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  • 1
    ISSN: 1433-2965
    Keywords: Bone ultrasound ; Osteoporosis fractures ; Race ; Ethnicity
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The lower fracture rates among African-American women relative to Caucasian women may reflect their higher bone mass. However, bone mass is not the only determinant of bone strength: the quality and microarchitecture of the bone are also important. Quantitative ultrasound is believed to measure properties of bone strength that are independent of bone mass. To test the hypothesis that there are racial differences in quantitative ultrasound measures of bone, we recruited 154 African-American women age ⩾65 years. A random sample of 300 Caucasian women participating in the Study of Osteoporotic Fractures in Pittsburgh, Pennsylvania, was chosen for comparison. The Walker Sonix UBA 575+ was used to measure calcaneal broadband ultrasonic attenuation (BUA). Duplicate BUA measurements were obtained with a reproducibility of 5%. We measured bone mineral density (BMD) of the hip and calcaneus using single (calcaneus) or dual (hip) energy X-ray absorptiometry. The correlation between BUA and calcaneal BMD was similar in Caucasians (r=0.66,p〈0.001) and African-Americans (r=0.58,p〈0.001). Age-adjusted BUA (dB/MHz) was higher among the African-American women than Caucasian women (69.1 and 66.2, respectively), but these differences were not statistically significant, (p=0.12). Adjustment for calcaneal BMD completely attenuated the racial differences in BUA. BMD at the femoral neck and calcaneus was higher among the African-American women, even after adjusting for age, height and weight. In conclusion, our results suggest that racial differences in rates of fracture cannot be explained by differences in bone quality as assessed by ultrasound attenuation.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 0018-019X
    Keywords: Chemistry ; Organic Chemistry
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology
    Notes: Irradiation in the n→π* absorption band of the α,β-unsaturated γ,δ-epoxyketone 5 in ethanol at -65° exclusively afforded the rearranged ene-dione 13, whereas at + 24° under otherwise unchanged reaction conditions or upon triplet sensitization with Michler's ketone and with acetophenone at + 24° essentially identical mixtures of 13 (major product), 14, and 15 were obtained. Selective π→π* excitation of 5 at -78° and + 24° led to similar product patterns. The 9β,10β-epimeric epoxyketone 7 selectively isomerized to 14 and 15 at + 24° and n → π* or π → π* excitation.Neither the epoxyketones 5 and 7 nor the photoproducts 13-15 were photochemically interconverted. In separate photolyses each of the latter gave the double bond isomers 16, 18, and 19, respectively. Cleavage of 13 to the dienone aldehyde 17 competed with the double bond shift (→ 16) when photolyzed in alcoholic solvents instead of benzene.The selective transformations 5 → 13 (at -65° and n → π* excitation) and 7 → 14+15 are attributed to stereoelectronic factors facilitating the skeletal rearrangements of the diradicals 53 and 55, the likely primary photoproducts resulting from epoxide cleavage in the triplet-excited compounds 5 and 7, via the transition states 54, 56, and 57. The loss of selectivity in product formation from 5 at higher temperature and n → π* excitation or triplet sensitization is explicable in terms of radical dissociation into 58 and 59 increasingly participating at the secondary thermal transformations of 53. The similar effect of π → π* excitation even at -78° indicates that some of the π,π* singlet energy may become available as thermal activation energy. It is further suggested that the considerably lesser ring strain in 14 and 15, as compared with 13, is responsible that selectivity in product formation from 7 is maintained also at +24° and at π → π* excitation.
    Additional Material: 2 Tab.
    Type of Medium: Electronic Resource
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