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2.
Artigo em Inglês | MEDLINE | ID: mdl-37043013

RESUMO

Polarization vision is used by a wide range of animals for navigating, orienting, and detecting objects or areas of interest. Shallow marine and semi-terrestrial crustaceans are particularly well known for their abilities to detect predator-like or conspecific-like objects based on their polarization properties. On land, some terrestrial invertebrates use polarization vision for detecting suitable habitats, oviposition sites or conspecifics, but examples of threat detection in the polarization domain are less well known. To test whether this also applies to crustaceans that have evolved to occupy terrestrial habitats, we determined the sensitivity of two species of land and one species of marine hermit crab to predator-like visual stimuli varying in the degree of polarization. All three species showed an ability to detect these cues based on polarization contrasts alone. One terrestrial species, Coenobita rugosus, showed an increased sensitivity to objects with a higher degree of polarization than the background. This is the inverse of most animals studied to date, suggesting that the ecological drivers for polarization vision may be different in the terrestrial environment.


Assuntos
Anomuros , Feminino , Animais , Anomuros/fisiologia , Ecossistema
3.
Neurohospitalist ; 11(1): 75-79, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33868563

RESUMO

Proximal median nerve injury is an uncommon consequence of anterior shoulder dislocation, especially occurring in isolation of other upper limb peripheral nerve injury. We report the case of an 82-year-old woman with a median nerve injury as detected by clinical and neurophysiological examination following a fall and anterior shoulder dislocation. Magnetic resonance neurography confirmed the diagnosis, but also detected asymptomatic brachial plexus and ulnar nerve involvement. Management was non-operative and there has been some improvement over several months. Our case expands the differential diagnosis for proximal median neuropathy and discusses the utility of neurography in cases of neural injury.

4.
Laryngoscope ; 131(10): 2179-2186, 2021 10.
Artigo em Inglês | MEDLINE | ID: mdl-33769590

RESUMO

BACKGROUND: Chronic rhinosinusitis (CRS) is a heterogeneous group of inflammatory sinonasal disorders with key defining symptoms, but traditionally separated into phenotypes by clinical/endoscopic findings. It is not known whether the two phenotypes have differing socioeconomic, comorbidity, and lifestyle differences. This analysis of the Chronic Rhinosinusitis Epidemiology Study (CRES) database sought to analyze any key differences in the socioeconomic variables between those with CRS with nasal polyps (CRSwNPs) and those without nasal polyps (CRSsNPs). We also sought to analyze differences in comorbidities, lifestyle, and quality of life. METHODS: Patients with a confirmed diagnosis of CRS in secondary and tertiary care outpatient settings in the UK were invited to participate in a questionnaire-based case-control study. Variables included demographics, socioeconomic factors, comorbidities, lifestyle factors, and health-related quality of life (HRQoL) (level 3 evidence). RESULTS: A total of 1204 patients' data were analyzed: 553 CRSsNP and 651 CRSwNP participants. The key socioeconomic variables did not demonstrate any notable differences, nor did lifestyle variables other than alcohol consumption being higher in those with CRSwNP (P = .032), but the latter was not significant after adjusting for age and sex. Aside from confirmation of asthma being more common in CRSwNP, it was notable that this group complained less of upper respiratory tract infections (URTIs), and CRSsNP participants showed evidence of worse HRQoL scores in respect of body pain (P = .001). CONCLUSIONS: Patients with CRSwNP experience higher rates of asthma and lower rates of URTIs; patients with CRSsNP have worse body pain scores. Otherwise, there are no demonstrable significant socioeconomic, comorbidity, lifestyle, or quality of life differences between the two phenotypes. LEVEL OF EVIDENCE: 3 Laryngoscope, 131:2179-2186, 2021.


Assuntos
Estilo de Vida , Qualidade de Vida , Rinite/complicações , Sinusite/complicações , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Asma/epidemiologia , Estudos de Casos e Controles , Doença Crônica/epidemiologia , Comorbidade , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Medição da Dor , Fenótipo , Estudos Prospectivos , Infecções Respiratórias/epidemiologia , Rinite/epidemiologia , Sinusite/epidemiologia , Fatores Socioeconômicos , Inquéritos e Questionários , Reino Unido/epidemiologia
6.
Respir Res ; 19(1): 129, 2018 06 27.
Artigo em Inglês | MEDLINE | ID: mdl-29945606

RESUMO

BACKGROUND: Chronic rhinosinusitis (CRS) is a common disorder associated with other respiratory tract diseases such as asthma and inhalant allergy. However, the prevalence of these co-morbidities varies considerably in the existing medical literature and by phenotype of CRS studied. The study objective was to identify the prevalence of asthma, inhalant allergy and aspirin sensitivity in CRS patients referred to secondary care and establish any differences between CRS phenotypes. METHODS: All participants were diagnosed in secondary care according to international guidelines and invited to complete a questionnaire including details of co-morbidities and allergies. Data were analysed for differences between controls and CRS participants and between phenotypes using chi-squared tests. RESULTS: The final analysis included 1470 study participants: 221 controls, 553 CRS without nasal polyps (CRSsNPs), 651 CRS with nasal polyps (CRSwNPs) and 45 allergic fungal rhinosinusitis (AFRS). The prevalence of asthma was 9.95, 21.16, 46.9 and 73.3% respectively. The prevalence of self-reported confirmed inhalant allergy was 13.1, 20.3, 31.0 and 33.3% respectively; house dust mite allergy was significantly higher in CRSwNPs (16%) compared to CRSsNPs (9%, p < 0.001). The prevalence of self- reported aspirin sensitivity was 2.26, 3.25, 9.61 and 40% respectively. The odds ratio for aspirin sensitivity amongst those with AFRS was 28.8 (CIs 9.9, 83.8) p < 0.001. CONCLUSIONS: The prevalence of asthma and allergy in CRS varies by phenoytype, with CRSwNPs and AFRS having a stronger association with both. Aspirin sensitivity has a highly significant association with AFRS. All of these comorbidities are significantly more prevalent than in non-CRS controls and strengthen the need for a more individualised approach to the combined airway.


Assuntos
Aspirina/efeitos adversos , Asma/epidemiologia , Hipersensibilidade a Drogas/epidemiologia , Rinite/epidemiologia , Sinusite/epidemiologia , Inquéritos e Questionários , Administração por Inalação , Asma/diagnóstico , Estudos de Casos e Controles , Doença Crônica , Estudos Transversais , Hipersensibilidade a Drogas/diagnóstico , Feminino , Humanos , Masculino , Prevalência , Estudos Prospectivos , Rinite/diagnóstico , Sinusite/diagnóstico , Estatística como Assunto/tendências , Reino Unido/epidemiologia
7.
Angew Chem Int Ed Engl ; 55(30): 8706-10, 2016 07 18.
Artigo em Inglês | MEDLINE | ID: mdl-27254776

RESUMO

Three isomers of [(Cp*Ru)2 C2 B10 H12 ], the first examples of 14-vertex heteroboranes containing 14-skeletal electron pairs, have been synthesized by the direct electrophilic insertion of a {Cp*Ru(+) } fragment into the anion [4-Cp*-4,1,6-RuC2 B10 H12 ](-) . All three compounds have the same unique polyhedral structure having an approximate Cs symmetry and featuring a four-atom trapezoidal face. X-ray diffraction studies could confidently identify only one of the two cage C atoms in each structure. The other C atom position has been established by a combination of i) best fitting of computed and experimental (11) B and (1) H NMR chemical shifts, and ii) consideration of the lowest computed energy for series of isomers studied by DFT calculations. In all three isomers, one cage C atom occupies a degree-4 vertex on the short parallel edge of the trapezium.

9.
Inorg Chem ; 54(22): 10878-89, 2015 Nov 16.
Artigo em Inglês | MEDLINE | ID: mdl-26535961

RESUMO

Although the dehydrogenation chemistry of amine-boranes substituted at nitrogen has attracted considerable attention, much less is known about the reactivity of their B-substituted analogues. When the B-methylated amine-borane adducts, RR'NH·BH2Me (1a: R = R' = H; 1b: R = Me, R' = H; 1c: R = R' = Me; 1d: R = R' = iPr), were heated to 70 °C in solution (THF or toluene), redistribution reactions were observed involving the apparent scrambling of the methyl and hydrogen substituents on boron to afford a mixture of the species RR'NH·BH3-xMex (x = 0-3). These reactions were postulated to arise via amine-borane dissociation followed by the reversible formation of diborane intermediates and adduct reformation. Dehydrocoupling of 1a-1d with Rh(I), Ir(III), and Ni(0) precatalysts in THF at 20 °C resulted in an array of products, including aminoborane RR'N═BHMe, cyclic diborazane [RR'N-BHMe]2, and borazine [RN-BMe]3 based on analysis by in situ (11)B NMR spectroscopy, with peak assignments further supported by density functional theory (DFT) calculations. Significantly, very rapid, metal-free hydrogen transfer between 1a and the monomeric aminoborane, iPr2N═BH2, to yield iPr2NH·BH3 (together with dehydrogenation products derived from 1a) was complete within only 10 min at 20 °C in THF, substantially faster than for the N-substituted analogue MeNH2·BH3. DFT calculations revealed that the hydrogen transfer proceeded via a concerted mechanism through a cyclic six-membered transition state analogous to that previously reported for the reaction of the N-dimethyl species Me2NH·BH3 and iPr2N═BH2. However, as a result of the presence of an electron donating methyl substituent on boron rather than on nitrogen, the process was more thermodynamically favorable and the activation energy barrier was reduced.

11.
BMJ Open ; 5(4): e006680, 2015 Apr 29.
Artigo em Inglês | MEDLINE | ID: mdl-25926143

RESUMO

OBJECTIVES: The aim of this study was to investigate the surgical revision rate in patients with chronic rhinosinusitis (CRS) in the UK CRS Epidemiology Study (CRES). Previous evidence from National Sinonasal Audit showed that 1459 patients with CRS demonstrated a surgical revision rate 19.1% at 5 years, with highest rates seen in those with polyps (20.6%). SETTING: Thirty secondary care centres around the UK. PARTICIPANTS: A total of 221 controls and 1249 patients with CRS were recruited to the study including those with polyps (CRSwNPs), without polyps (CRSsNPs) and with allergic fungal rhinosinusitis (AFRS). INTERVENTIONS: Self-administered questionnaire. PRIMARY OUTCOME MEASURE: The need for previous sinonasal surgery. RESULTS: A total of 651 patients with CRSwNPs, 553 with CRSsNPs and 45 with AFRS were included. A total of 396 (57%) patients with CRSwNPs/AFRS reported having undergone previous endoscopic nasal polypectomy (ENP), of which 182 of the 396 (46%) reported having received more than one operation. The mean number of previous surgeries per patient in the revision group was 3.3 (range 2-30) and a mean duration of time of 10 years since the last procedure. The average length of time since their first operation up to inclusion in the study was 15.5 years (range 0-74). Only 27.9% of all patients reporting a prior ENP had received concurrent endoscopic sinus surgery (ESS; n=102). For comparison, surgical rates in patients with CRSsNPs were significantly lower; 13% of cases specifically reported ESS, and of those only 30% reported multiple procedures (χ(2) p<0.001). CONCLUSIONS: This study demonstrated that there is a high burden of both primary and revision surgery in patients with CRS, worst in those with AFRS and least in those with CRSsNPs. The burden of revision surgery appears unchanged in the decade since the Sinonasal Audit.


Assuntos
Procedimentos Cirúrgicos Otorrinolaringológicos/estatística & dados numéricos , Reoperação/estatística & dados numéricos , Rinite/cirurgia , Sinusite/cirurgia , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos de Casos e Controles , Doença Crônica , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pólipos Nasais/cirurgia , Inquéritos e Questionários , Centros de Atenção Terciária/estatística & dados numéricos , Reino Unido , Adulto Jovem
12.
Chemistry ; 21(21): 7902-13, 2015 May 18.
Artigo em Inglês | MEDLINE | ID: mdl-25877987

RESUMO

The coordination chemistry of the stiboranes Ph4 Sb(OTf) (1 a, OTf = OSO2 CF3 ) and Ph3 Sb(OTf)2 (3) with Lewis bases has been investigated. The significant steric encumbrance of the Sb center in 1 a precludes interaction with most ligands, but the relatively low steric demands of 4-methylpyridine-N-oxide (OPyrMe) and OPMe3 enabled the characterization of [Ph4 Sb(OPyrMe)][OTf] (2 a) and [Ph4 Sb(OPMe3 )][OTf] (2 b), rare examples of structurally characterized complexes of stibonium acceptors. In contrast, 3 was found to engage a variety of Lewis bases, forming stable isolable complexes of the form [Ph3 Sb(donor)2 ][OTf]2 [donor=OPMe3 (6 a), OPCy3 (6 b, Cy=cyclohexyl), OPPh3 (6 c), OPyrMe (6 d)], [Ph3 Sb(dmap)2 (OTf)][OTf] (6 e, dmap=4-(dimethylamino)pyridine) and [Ph3 Sb(donor)(OTf)][OTf] [donor=1,10-phenanthroline (7 a) or 2,2'-bipy (7 b, bipy=bipyridine)]. These compounds exhibit significant structural diversity in the solid-state, and undergo ligand exchange reactions in line with their assignment as coordination complexes. Compound 3 did not form stable complexes with phosphine donors, with reactions instead leading to redox processes yielding SbPh3 and products of phosphine oxidation.

13.
Chem Sci ; 6(4): 2559-2574, 2015 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-29308163

RESUMO

Reductive elimination of [R3PPR3]2+, [11(R)]2+, from the highly electrophilic SbIII centres in [(R3P)3Sb]3+, [8(R)]3+, gives SbI containing cations [(R3P)Sb]1+, [9(R)]1+, which assemble into frameworks identified as cyclo-tetra(stibinophosphonium) tetracations, [(R3P)4Sb4]4+, [10(R)]4+. A phosphine catalyzed mechanism is proposed for conversion of fluoroantimony complexes [(R3P)2SbF]2+, [7(R)]2+, to [10(R)]4+, and the characterization of key intermediates is presented. The results constitute evidence of a novel ligand activation pathway for phosphines in the coordination sphere of hard, electron deficient acceptors. Characterization of the associated reactants and products supports earlier, albeit less definitive, detection of analogous phosphine ligand activation in CuIII and TlIII complexes, demonstrating that these prototypical ligands can behave simultaneously as reducing agents and σ donors towards a variety of hard acceptors. The reactivity of the parent cyclo-tetra(stibinophosphonium) tetracation, [10(Me)]4+, is directed by high charge concentration and strong polarization of the P-Sb bonds. The former explains the observed facility for reductive elimination to yield elemental antimony and the latter enabled activation of P-Cl and P-H bonds to give phosphinophosphonium cations, [Me3PPR'2]1+, including the first example of an H-phosphinophosphonium, [(Me3P)P(H)R']1+, and 2-phosphino-1,3-diphosphonium cations, [(Me3P)2PR']2+. Exchange of a phosphine ligand in [10(Me)]4+ with [nacnac]1- gives [(Me3P)3Sb4(nacnac)]3+, [15(Me)]3+, and with dmap gives [(Me3P)3Sb4(dmap)]4+, [16]4+. The lability of P-Sb or Sb-Sb interactions in [10(Me)]4+ has also been illustrated by characterization of heteroleptically substituted derivatives featuring PMe3 and PEt3 ligands.

14.
Chem Sci ; 6(11): 6545-6555, 2015 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-30090272

RESUMO

Triflate salts of trications [(bipy)2E]3+ ([6E][OTf]3) and [(tbbipy)2E]3+ ([6'E][OTf]3) (bipy = 2,2'-bipyridine, tbbipy = 4,4'-di- t butyl-2,2'-bipyridine; E = P, As, Sb, Bi) have been synthesized and comprehensively characterized. The unique molecular and electronic structures of this new class of complexes involving pnictogen Lewis acids has been assessed in the solid, solution and gas phases to reveal systematic variations in metric parameters, ligand lability and charge concentration. While the Lewis acidity of E3+ has the trend E = Bi < Sb < As < P as determined by gas-phase calculations and 1H NMR spectroscopy, the Lewis acidity of [6E]3+ has the trend E = P < As < Sb < Bi according to gas-phase calculations. Derivatives of [6'E][OTf]3 (E = P, As) are latent sources of E(OTf)3 as demonstrated by their reactions with dmap, which give the corresponding derivatives of [(dmap)3E][OTf]3. The highly oxidizing nature of P(OTf)3 and As(OTf)3 is evidenced in reactions of [6'E][OTf]3 (E = P, As) with phosphines, which give EI-containing monocations [(R3P)2E]1+ and oxidatively coupled dications [R3PPR3]2+, illustrating new P-P and P-As bond forming strategies. Cations [6'E]3+ (E = P, As) are C-H bond activating agents that dehydrogenate 1,4-cyclohexadiene, with higher activity observed for E = P. Combinations of [6'E]3+ and t Bu3P activate H2 and D2 under mild conditions, evidencing frustrated Lewis pair activity. Oxidation of [6'P][OTf]3 with SO2Cl2 gives [(tbbipy)2PCl2][OTf]3, containing a PV-trication, but there is no evidence of the analogous reaction with [6'As][OTf]3. The observations highlight new directions in the chemistry of highly charged cations and reveal a rich reactivity for p-block triflates E(OTf)3, which can be accessed through derivatives of [6E][OTf]3 and [6'E][OTf]3.

15.
J Am Chem Soc ; 136(42): 14941-50, 2014 Oct 22.
Artigo em Inglês | MEDLINE | ID: mdl-25259539

RESUMO

The cyclo-diphosphinophosphonium salt [(PtBu)3Me][OTf] (2) has been shown to be highly reactive toward Lewis bases, exhibiting diverse reactivity with phosphines, 4-(dimethylamino)pyridine (dmap) and chlorophosphines, providing approaches to new open-chain and cyclic catena-phosphorus frameworks. Reaction of 2 with R3P (R = Me or nPr) or dmap led to the ring-opened adducts [R3P-PtBu-PtBu-P(Me)tBu][OTf] (R = Me (4a), nPr (4b)) and [(dmap)-PtBu-PtBu-P(Me)tBu][OTf] (6), respectively. The complicated (31)P{(1)H} NMR spectra of the three compounds were simulated, evidencing the presence of two diastereomeric forms of 4a, and single diastereomers of 4b and 6. This ring-opening reactivity of the cation in 2 parallels the reactivity of isolobal epoxides with nucleophiles under acidic conditions. Compound 2 was also shown to react with a 2:1 mixture of Me2PCl and TMSOTf to form the unexpected cyclo-diphosphino-1,2-diphosphonium salt [(Me2P)2(PtBu)2][OTf]2 (8), which is postulated to result from two consecutive ring-opening and ring-closing steps. In contrast, reaction with MePCl2 furnished [(MeP)(PtBu)2(P(Me)tBu)][OTf] (9), consistent with insertion of a "MeP" moiety into the cationic phosphorus framework of 2. The importance of ring strain on the reactivity of the cation in 2 was illustrated by comparative studies of the corresponding cyclo-tetraphosphorus cation in [(PtBu)4Me][OTf] (10), which exhibits no reactivity under analogous conditions.

16.
Chem Commun (Camb) ; 50(81): 12146-9, 2014 Oct 18.
Artigo em Inglês | MEDLINE | ID: mdl-25177756

RESUMO

Protonation of MeRNH·BH3 (R = Me or H) with HX (X = B(C6F5)4, OTf, or Cl), followed by immediate, spontaneous H2 elimination, yielded the amine-boronium cation salt [MeRNH·BH2(OEt2)][B(C6F5)4] and related polar covalent analogs, MeRNH·BH2X (X = OTf or Cl). These species can be deprotonated to conveniently generate reactive aminoborane monomers MeRN=BH2 which oligomerize or polymerize; in the case of MeNH2·BH3, the two step process gave poly(N-methylaminoborane), [MeNH-BH2]n.

17.
Chem Commun (Camb) ; 50(59): 7979-81, 2014 Jul 28.
Artigo em Inglês | MEDLINE | ID: mdl-24915160

RESUMO

The coordination of Me2E(OTf)2 (E = Si, Ge, Sn) acceptors by dmap or 2,2'-bipy furnishes two series of complexes which exhibit distinct structural trends that correlate with the covalent radii of the tetrael elements, and which contrast complexes of these ligands with EX4 (X = Cl or Br).

18.
Angew Chem Int Ed Engl ; 53(24): 6050-69, 2014 Jun 10.
Artigo em Inglês | MEDLINE | ID: mdl-24861365

RESUMO

Pnictine derivatives can behave as both 2e(-) donors (Lewis bases) and 2e(-) acceptors (Lewis acids). As prototypical ligands in the coordination chemistry of transition metals, amines and phosphines also form complexes with p-block Lewis acids, including a variety of pnictogen-centered acceptors. The inherent Lewis acidity of pnictogen centers can be enhanced by the introduction of a cationic charge, and this feature has been exploited in recent years in the development of compounds resulting from coordinate Pn-Pn and Pn-Pn' interactions. These compounds offer the unusual opportunity for homoatomic coordinate bonding and the development of complexes that possess a lone pair of electrons at the acceptor center. This Review presents new directions in the systematic extension of coordination chemistry from the transition series into the p-block.

19.
Angew Chem Int Ed Engl ; 53(13): 3480-3, 2014 Mar 24.
Artigo em Inglês | MEDLINE | ID: mdl-24616180

RESUMO

The syntheses of salts containing ligand-stabilized Ph3Sb(2+) and Ph3Bi(2+) dications have been realized by in situ formation of Ph3Pn(OTf)2 (Pn=Sb or Bi) and subsequent reaction with OPPh3, dmap and bipy. The solid-state structures demonstrate diversity imposed by the steric demands and nature of the ligands. The synthetic method has the potential for broad application enabling widespread development of the coordination chemistry for Pn(V) acceptors.

20.
J Am Chem Soc ; 136(8): 3048-64, 2014 Feb 26.
Artigo em Inglês | MEDLINE | ID: mdl-24527706

RESUMO

The readily available iron carbonyl complexes, [CpFe(CO)2]2 (1) and CpFe(CO)2I (2) (Cp = η-C5H5), were found to be efficient precatalysts for the dehydrocoupling/dehydrogenation of the amine-borane Me2NH·BH3 (3) to afford the cyclodiborazane [Me2N-BH2]2 (4), upon UV photoirradiation at ambient temperature. In situ analysis of the reaction mixtures by (11)B NMR spectroscopy indicated that different two-step mechanisms operate in each case. Thus, precatalyst 1 dehydrocoupled 3 via the aminoborane Me2N═BH2 (5) which then cyclodimerized to give 4 via an off-metal process. In contrast, the reaction with precatalyst 2 proceeded via Me2NH-BH2-NMe2-BH3 (6) as the key intermediate, affording 4 as the final product after a second metal-mediated step. The related complex Cp2Fe2(CO)3(MeCN) (7), formed by photoirradiation of 1 in MeCN, was found to be a substantially more active dehydrocoupling catalyst and not to require photoactivation, but otherwise operated via a two-step mechanism analogous to that for 1. Significantly, detailed mechanistic studies indicated that the active catalyst generated from precatalyst 7 was heterogeneous in nature and consisted of small iron nanoparticles (≤10 nm). Although more difficult to study, a similar process is highly likely to operate for precatalyst 1 under photoirradiation conditions. In contrast to the cases of 7 and 1, analogous experimental studies for the case of photoactivated Fe precatalyst 2 suggested that the active catalyst formed in this case was homogeneous. Experimental and computational DFT studies were used to explore the catalytic cycle which appears to involve amine-borane ligated [CpFe(CO)](+) as a key intermediate.

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