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  • 1
    ISSN: 1432-1963
    Keywords: Schlüsselwörter Angeborene Herzfehler ; Fetale Autopsie ; Autopsiemethode ; Pränatale Diagnostik ; Keywords Congenital heart defects ; Fetal autopsy ; Autopsy method ; Prenatal diagnostics
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Abstract As a result of the quality of prenatal ultrasound and the expanded experience of prenatal diagnosticians, it is possible to observe congenital heart malformations in increasingly greater detail and at an ever earlier stage of gestation [4]. Since it is on the basis of ultrasound findings that decisions to terminate pregnancies are made, it is of cardinal importance that after termination monitoring and confirmation of the prenatal diagnosis be carried out. This need can only be adequately met by autopsy. There are different methods for carrying out autopsies when there is suspicion of a congenital heart defect: a) the Anderson sequential segmental analysis as modified according to the Berlin method; b) use of a special autoptic method corresponding to the ultrasound findings, based on defining a preferred sectional plane; c) stereo-microscopically; or d) microscopically after embedding and preparation of serial microscopic sections. For the pathologist the consequence is that he has to adapt his autopsy method to the ultrasound findings and the age of the fetus. This enables him to determine an optimal, case-based autopsy strategy for each type of cardiac defect, which is essential for monitoring of the prenatal diagnosis. The present paper discusses the various autoptic methods used in cases of congenital heart malformations and the consequences for the pathologist of the continuing improvements in prenatal diagnostics.
    Notes: Zusammenfassung Aufgrund der Qualität der Untersuchungsergebnisse des pränatalen Ultraschalls und der gestiegenen Erfahrungen in der Pränataldiagnostik, lassen sich angeborene Herzfehler detaillierter und in immer früheren Schwangerschaftswochen darstellen [4]. Da auf der Basis der Ultraschallbefunde Entscheidungen über die Beendigung von Schwangerschaften getroffen werden, besteht nach vollzogener Beendigung der Schwangerschaft, ein starkes Bedürfnis nach Kontrolle und Bestätigung der pränatalen Diagnostik. Dies kann erschöpfend nur durch die Sektion befriedigt werden. Angeborene Herzfehler können mit verschiedenen Methoden seziert werden: a) nach der Anderson-Segmentanalyse, modifiziert nach der Berliner-Methode, b) nach einer speziellen Sektionstechnik entsprechend der Ultraschallbefunde mit Festlegung einer pathologisch-anatomischen Vorzugsschnittebene, c) stereomikroskopisch oder d) mikroskopisch nach Einbettung und Aufarbeitung in Serienschnitten. Die Konsequenz, die sich daraus für den Pathologen ergibt ist, dass er seine Sektionstechnik in Abhängigkeit von Ultraschallbefund und Alter des Fetus anpassen und festlegen muss. Somit kann eine adäquate fallabhängige Autopsiestrategie für jeden speziellen Herzfehler festgelegt werden, die für die Qualitätskontrolle der pränatalen Diagnostik unerlässlich ist. In dem folgenden Beitrag werden verschiedene Sektionstechniken bei angeborenen Herzfehlern analysiert und die sich aus den derzeitigen Ergebnissen der pränatalen Diagnostik ableitenden Konsequenzen für Pathologen, dargestellt.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    New York, NY : Wiley-Blackwell
    Helvetica Chimica Acta 63 (1980), S. 2538-2553 
    ISSN: 0018-019X
    Keywords: Chemistry ; Organic Chemistry
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology
    Notes: In HSO3F/SO2ClF the β-hydroxy esters Ph-CHOH-CMe2-COOR (1, R=Me, Et) are doubly protonated, then transformed into the fluorosulfates 7 and (partly) into the fluorides 8. At -15°, both 7 and 8 undergo a rearrangement, forming derivatives of Me2C=C(Ph)COOR (2). By labelling 1 with 13C, singly (13C(3)) and doubly (13C(1,3)), it could be shown that exclusively the ROOC groups undergo a 1,2-shift. Compound 2 is also formed in HSO3F/SO2ClF from the isomeric Me2COH-CHPh-COOR (3) by elimination, and less easily from the α-hydroxy ester Ph-CMe2-CHOH-COOR (5) via a phenyl 1,2-shift. Another isomer, Ph-C(OH)Me-CHMe-COOR (4) gives products different from 2.Using more acidic systems containing SbF5, the free carbenium ions 13 (Ph-CH+-CMe2-COOR) can be stabilized; they do not form 2, possibly because of complexation of the ester group with SbF5. The energy profile and the mechanism of the rearrangement 1 → 2 are discussed.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 0018-019X
    Keywords: Chemistry ; Organic Chemistry
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology
    Notes: 5,6-Dimethylidene-exo-2,3-epoxynorbornane (1) is reduced slowly by LiAlH4 in boiling tetrahydrofuran (THF) and furnishes a mixture of 5,6-dimethylidene-exo-2-norbornanol (2), 2,3-dimethylidene-anti-7-norbornanol (3) and principally 6-methyl-5-methylidene-anti-3-nortricyclanol (4). The yield of 4 is the highest for low initial concentrations of LiAlH4; it decreases in favour of alcohols 2 and 3 at high concentration of LiAlH4. The reduction of 1 with AlH3 in THF yields 3 as the major product, thus revealing an efficient synthesis of 7-substituted-2, 3-dimethyl-idenenorbornane derivatives. No alcohol 2could be isolated by LiEt3BH reduction of 1. LiAlD4 reduces 1 into the monodeuterated alcohols 2-d, 3-d and 4-d. The deuterium label is found in the endo-position at C (3) in 2-d, in the exo-position at C(5) in 3-d and in the methyl group of the tricyclic alcohol 4-d. Mechanistic limits for the formation of 2, 3 and 4 are discussed briefly.
    Additional Material: 1 Tab.
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  • 4
    ISSN: 0018-019X
    Keywords: Chemistry ; Organic Chemistry
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology
    Notes: Synthesis and Structure of Porphine-type Nickel Complexes Containing Axially Oriented SidechainsThe structure of (±)-[1, 11-dimethoxy-10 H-HDP (2-)]nickel (3), the product of the thermodynamically controlled addition of methanol to [6 H-HDP]nickel-bis-(tetrafluoroborate) (1), was determined by X-ray analysis. The two methoxy groups in 3 are cis-oriented. The syntheses and spectroscopic properties of [1, 11-diethoxy-10 H-HDP (2-)]nickel (5), [1, 11-dineopentyloxy-10 H-HDP (2-)]nickel (6) as well as the bridged complexes [1, 11-pentamethylenedioxy-10 H-HDP (2-)]nickel (4) and [1, 11-(E)-2,3-(dimethyl-2-butenylenedioxy)-10 H-HDP (2-)]nickel (7) are described. Reaction of 1 with bromide ions or 4-methylpyridine leads to the formation of the corresponding hexacoordinated, paramagnetic complexes dibromo [6 H-HDP]-nickel (II) (8) and bis (4-methylpyridine)[6 H-HDP]nickel-bis (tetrafluoroborate) (9).
    Additional Material: 6 Ill.
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  • 5
    ISSN: 0018-019X
    Keywords: Chemistry ; Organic Chemistry
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology
    Notes: The exo- and endo-irontricarbonyl complexes of 5,6-dimethylidene-2-exo-norbornyl alcohols 10x, 10n, p-bromobenzenesulfonates 11x, 11n, acetate 12x and of the 2,3-dimethylidene-7-anti-norbornyl alcohols 17x, 17n, p-bromobenzenesulfonates 19x, 19n and acetates 20x, 20n have been prepared. The SN1 buffered acetolyses of 11x, 19x and 19n gave 12x, 20x and 20n, respectively (retention of configuration). The first-order rate constants of the acetolyses have been evaluated and compared with those of the acetolyses of the uncomplexed 5,6-dimethylidene-2-exo-norbornyl (14) and 2,3-dimethylidene-7-anti-norbornyl p-bromobenzenesulfonates (18). A rate retardation effect of ca. 1.5 · 105 was measured for 11x → 12x (65°) compared with the acetolysis of 14. The retardation effect is larger (〉 5 · 107) with 11n. Contrastingly, the acetolysis 19x → 20x was slightly accelerated with respect to that of the uncomplexed p-bromobenzenesulfonate 18. An unsignificant rate-retardation effect was measured for the acetolysis 19n → 20n. The results are interpreted in terms of competitive inductive destabilization and charge-induced dipole stabilizing interaction by the exocyclic diene-iron tricarbonyl fragment. PMO. arguments give a rationale for the difference in polarizability between the diene-Fe(CO)3 group in 19 and that in the endo-7-norbornadienyl-iron tricarbonyl system.
    Additional Material: 1 Tab.
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  • 6
    ISSN: 0018-019X
    Keywords: Chemistry ; Organic Chemistry
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology
    Notes: Syntheses of the alcohols 10 and 18, and the corresponding ketones 11 and 19 are presented. Endo-5, exo-6-bis (chloromethyl)-endo-3-chloro-exo-2-norbornanol (16) and endo-5-(bromomethyl)-exo-6-(chloromethyl)-endo-3-chloro-exo-2-norbornanol (17) were obtained by HCl- and, respectively, HBr-addition to endo-5, exo-6-bis (chloromethyl)-exo-2, 3-epoxynorbornane (5). The Wagner-Meerwein rearrangement was precluded in these reactions probably because of the formation of a relatively stable chloronium ion 15 arising from the participation of the 1,4-chlorine atom of the endo-5-chloromethyl group in the heterolytic ring opening of the epoxide 5.The ‘naked’ fluoride anion (excess CsF in DMF or KF in DMF with 18-crown-6-ether) permitted the selective elimination of 2 equivalents of HCl from 16 and yielded the chlorohydrin-diene 18.
    Additional Material: 1 Ill.
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  • 7
    ISSN: 0018-019X
    Keywords: Chemistry ; Organic Chemistry
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology
    Notes: Stereoselective syntheses of 2exo, 3exo-bis (chloromethyl)-5-[(Z)-chloromethylidene]- (9), 2exo, 3exo-bis (chloromethyl)5-[(E)-chloromethylidene]- (10) and 2exo, 3exo-bis(chloromethyl)-5-[(E)-methoxymethylidene]-6-niethylidene-7-oxa-bicyclo[2.2.1]heptane (13) are presented. Double elimination of HCI from 9, 10 and 13 yielded 2-[(Z)-chloromethylidene]- (14), 2-[(E)chloromethylidene]- (15) and 2-[(E)-methoxymethylidene]-3,5,6-mmethylidene-7-oxabicycio[2.2.1]heptane (18), respectively, without loss of the olefin configuration. Ethylene tetracarbonitrile (TCE) and N-phenyltriazolinedione (NPTAD) added to these new exocyclic dienes and tetraenes preferentially onto their exo-face. The same face selectivity was observed for the cycloadditions of TCE to the (Z)- and (E)-chlorodienes 9 and 10, thus realizing a case where the kinetic stereoselectivity of the additions is proven not to be governed by the stability of the adducts. The exo-face selectivity of the Diels-Alder additions of dienes grafted onto 7-oxabicyclo [2,2.1]heptanes contrasts with the endo-face selectivity reported for a large number of cycloadditions of dienes grafted onto bicyclo[2.2.1]heptane skeletons.
    Additional Material: 5 Ill.
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  • 8
    ISSN: 0018-019X
    Keywords: Chemistry ; Organic Chemistry
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology
    Notes: The rates of photo-oxidation of exocyclic S-cis-butadienes grafted onto bicyclo-[2.2.1]heptanes and 7-oxabicyclo[2.2.1]heptanes (1-6) are dependent upon remote modifications of the bicyclic skeletons. They correlate with the rates of Diels-Alder additions of these dienes to strong dienophiles. The 2,3-dimethylidenenorbornane (1), 5,6-dimethylidene-2-norbornene (2) and 2,3-dimethylidene-7-oxanorbornane (3) gave the corresponding endo-peroxides (3,6-dihydro-1,2-dioxines) 7-9 in good yield. The 2, 3, 5, 6-tetramethylidene-7-oxanorbornane (4) gave the mono-endo-pe-roxide 6, the latter did not react with a second equivalent of oxygen. Similarly, 5, 6-dimethylidene-7-oxa-2-norbornene (5) was unreactive toward photo-oxidation. Thermal isomerization of the endo-peroxides 7 and 9 gave, the trans-diepoxides 10 and 14, respectively, with high stereoselectivity. The endo-peroxides 6, 7 and 9 were cleanly isomerized into the corresponding α, β-unsaturated γ-hydroxy aldehydes in the presence of catalytic amounts of Rh2(CO)4Cl2.
    Additional Material: 1 Tab.
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  • 9
    ISSN: 0018-019X
    Keywords: Chemistry ; Organic Chemistry
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology
    Notes: The [2.2.2]hericene (6), a bicyclo[2.2.2]octane bearing three exocyclic s-cis-butadiene units has been prepared in eight steps from coumalic acid and maleic anhydride. The hexaene 6 adds successively three mol-equiv. of strong dienophiles such as ethylenetetracarbonitrile (TCE) and dimethyl acetylenedicarboxylate (DMAD) giving the corresponding monoadducts 17 and 20 (k1), bis-adducts 18 and 21 (k2) and tris-adducts 19 and 22 (k3), respectively. The rate constant ratio k1/k2 is small as in the case of the cycloadditions of 2,3,5,6-tetramethylidene-bicyclo [2.2.2]octane (3) giving the corresponding monoadducts 23 and 27 (k1) and bis-adducts 25 and 29 (k2) with TCE and DMAD, respectively. Constrastingly, the rate constant ratio k2/k3 is relatively large as the rate constant ratio k1/k2 of the Diels-Alder additions for 5,6,7,8-tetramethylidenebicyclo [2.2.2]oct-2-ene (4) giving the corresponding monoadducts 24 and 28 (k1) and bis-adducts 26 and 30 (k2). The following second-order rate constants (toluene, 25°) and activation parameters were obtained for the TCE additions: 3+TCE→23: k1 = 0.591±0.012 mol-1·l·s-1, ΔH≠=10.6±0.4 kcal/mol, and ΔS≠ = -24.0±1.4 cal/mol·K (e.u.); 23+TCE→25: k2=0.034±0.0010 mol-1·l·s-1, ΔH≠ = 10.6±0.6 kcal/mol, and ΔS≠ = -29.7±2.0 e.u.; 4+TCE→26: k1 = 0.172±0.035 mol-1·l·s-1, ΔH≠ 11.3±0.8 kcal/mol, and ΔS≠ = -24.0±2.8 e.u.; 24+TCE→26: k2 = (6.1±0.2)·10-4 mol-1·l·s-1, ΔH≠ = 13.0±0.3 kcal/mol, and ΔS≠ = -29.5±0.8 e.u.; 6+TCE→17: k1 = 0.136±0.002 mol-1·l·s-1, ΔH≠ = 11.3±0.2 kcal/mol, and ΔS≠ = -24.5±0.8 e.u.; 17+TCE→18: k2 = 0.0156±0.0003 mol-1·l·s-1, ΔH≠ = 10.9±0.5 kcal/mol, and ΔS≠ = -30.1 ± 1.5 e.u.; 18+TCE→19: k3=(5±0.2) · 10-5 mol-1 mol-1 ·l·s-1, ΔH≠ = 15±3 kcal/mol, and ΔS≠ = -28 ± 8 e.u. The following rate constants were evaluated for the DMAD additions (CD2Cl2, 30°): 6+DMAD→20: k1 = (10±1)·10-4 mol-1 · l·s-1; 20+DMAD→21: k2 = (6.5±0.1) · 10-4 mol-1 ·l·-1; 21+DMAD→22: k3 = (1.0±0.1) · 10-4 mol-1 ·l·s-1.The reactions giving the barrelene derivatives 19, 22, 26 and 30 are slower than those leading to adducts that are not barrelenes. The former are estimated less exothermic than the latter. It is proposed that the Diels-Alder reactivity of exocyclic s-cis-butadienes grafted onto bicycle [2.2.1]heptanes and bicyclo [2.2.2]octanes that are modified by remote substitution of the bicyclic skeletons can be affected by changes inthe exothermicity of the cycloadditions, in agreement with the Dimroth and Bell-Evans-Polanyi principle.Force-field calculations (MMPI 1) of 3, 4, 6 and related exocyclic s-cis-butadienes as a moiety of bicyclo [2.2.2]octane suggested single minimum energy hypersurfaces for these systems (eclipsed conformations, planar dienes). Their flexibility decreases with the degree of unsaturation of the bicyclic skeleton. The effect of an endocyclic double bond is larger than that of an exocyclic diene moiety.
    Additional Material: 2 Ill.
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  • 10
    ISSN: 0018-019X
    Keywords: Chemistry ; Organic Chemistry
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology
    Notes: (-)-1-Camphanoyloxyacrylonitrile (=(-)-1-cyanovinyl camphanate; 1) obtained from the commercially available (-)-camphanoyl chloride and 2-oxo-propiononitrile added to furan at 20° in the presence of Cu (BF4)2 · 6H2O or ZnI2 and gave a mixture of 2-cyano-7-oxabicyclo [2.2.1]hept-5-en-2-yl camphanates (2-5) from which isomer 5 could be obtained pure by crystallization. The latter was transformed into (+)-(1R)-7-oxabicyclo[2.2.1]hept-5-en-2-one (6) in high yield and optical purity. Adducts 2-4 were recycled into 1+furan by heating in toluene, and (-)-camphanic acid was recovered after saponification of 5. The absolute configuration of 6 was deduced from its CD spectrum which showed two 1200-cm-1 Franck-Condon series for its n→πCO* transition.
    Additional Material: 1 Ill.
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