Library

feed icon rss

Your email was sent successfully. Check your inbox.

An error occurred while sending the email. Please try again.

Proceed reservation?

Export
  • 1
    ISSN: 1530-0358
    Keywords: Low anterior resection ; Colorectal surgery ; Coloanal anastomosis ; Coloanal reservoir ; Anorectal function ; Incontinence ; Rectal cancer
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract AIM: This study was designed to analyze the functional and clinical outcomes of straight coloanal anastomosis compared with colonic J-pouch performed after low anterior resection. MATERIALS AND METHODS: Between September 1989 and June 1996, all patients who underwent low anterior resection with anastomosis less than 4 cm from the dentate line were classified into two groups based on the restoration of intestinal continuity: “straight” coloanal anastomosis (n=39) or colonic J-pouch (n=44). Both groups were assessed according to the level of anastomosis, anastomotic complications (stricture, leak, pelvic abscess), age, and gender. For comparison of functional outcome, daily bowel movements, tenesmus, urgency, incontinence score (range, 0–20), and anorectal manometric findings were evaluated preoperatively and at six months, and one and two years after surgery. RESULTS: There were no significant differences between the groups relative to age: (coloanal anastomosis, 66.3±10.1 (range, 46–86),vs. colonic J-pouch, 64.9±13.2 (range, 39–88) years); gender (females): (coloanal anastomosis, 46.2 percentvs. colonic J-pouch; 38.6 percent); diagnosis: (rectal carcinoma: coloanal anastomosis, 84.6 percent,vs. colonic J-pouch, 77.3 percent); preoperative incontinence score (coloanal anastomosis, 1.5±4.6,vs. colonic J-pouch, 1.1±4); bowel movements: (coloanal anastomosis, 2.1±2.3,vs. colonic J-pouch, 2.1±1.9/day); level of anastomosis: (coloanal anastomosis, 1.8±1.3,vs. colonic J-pouch, 1.5±1.3 cm from the dentate line); history of perioperative radiation therapy: (coloanal anastomosis, 15.4 percent,vs. colonic J-pouch, 20.5 percent); or manometric findings. There was also no significant difference in postoperative mortality: (coloanal anastomosis, 5.1 percent,vs. colonic J-pouch, 2.3 percent); or anastomotic complications: (coloanal anastomosis, 7/39 (17.9 percent),vs. colonic J-pouch, 2/44 (4.5 percent)P=0.08); strictures: (10.3vs. 0 percent); leaks: (5.1vs. 2.3 percent); bleeding: (2.6vs. 0 percent); rectovaginal fistula: (0vs. 2.3 percent). Also, in the colonic J-pouch group, two patients developed pouchitis, and one patient experienced difficult evacuation one year after surgery. There was a statistically significant better function judged by less frequent bowel movements (4±2vs. 2.4±1.3/day;P〈0.005) and urgency (36.7vs. 7.7 percent;P〈0.05), incontinence score (2.2±3.7vs. 0.8±1.6;P〈0.05) up to one year after surgery. At two years, the coloanal anastomosis group did not show statistical improvement in functional results compared with one year postoperatively. Rectal compliance in manometric findings was significantly increased in the coloanal anastomosis group at one year after surgery (12.4±12.6vs. 4.2±1.5 ml/mmHg;P〈0.05). However, these differences were less profound after two years. CONCLUSION: The functional superiority of the colonic J-pouch was greatest at one year after surgery. By two years, adaptation of the “straight” coloanal anastomosis yielded similar functional results. However, the almost fourfold reduction in anastomotic complications in the colonic J-pouch group reveals a second potential advantage of this technique.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Diseases of the colon & rectum 35 (1992), S. 843-846 
    ISSN: 1530-0358
    Keywords: Rectal cancer ; Colon and rectal surgery ; Coloanal anastomosis ; Colonic reservoir
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Functional results in 33 patients who underwent a coloanal anastomosis with reservoir were prospectively evaluated three months after colostomy closure and later (16.2±5.7 months) and were compared with those of 36 healthy controls. We were unable to demonstrate any significant difference between patients and controls concerning frequency of stools, feeling of the need to defecate, continence of stools and flatus, differentiation between flatus and feces, urgency, and need to wear a protective pad. There was a statistically significant difference concerning the ability to evacuate, which was better in the control group (score=1.03) than in the patients (score=1.63) (P 〈0.001). These results suggest that coloanal anastomosis with reservoir provides nearly normal function except for the ability to evacuate.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
  • 3
    ISSN: 0018-019X
    Keywords: Chemistry ; Organic Chemistry
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology
    Notes: Reaktionen von 1,3,5,7-Tetramethyl-anti-tricyclo[5.1.0.03,5]octan-2,6-diolen und deren 4,4,8,8-Tetrachlor- und 4,8-Dichlorderivaten mit DiphosphortetrajodidEs wurden die P2I4-Reaktionen mit 1,3,5,7-Tetramethyl-anti-tricyclo[5.1.0.03,5]-octan-2,6-diolen (3/6), mit dem 4,8-Dichlorderivat 4 und mit den 4,4,8,8-Tetrachlorderivaten 5/7 untersucht. Dabei entstanden die Styrolderivate 9 und 12, die anti-Bishomobenzolderivate 8 und 11, ein Homotropylidenderivat 10, ein Cyclo-octatetraenderivat 13 und ein 9-Oxabicyclo[4.2.1]nona-2,4,7-trienderivat 15. Die Ausbeuten lagen zwischen 1 und 10%. Die Bildung aller dieser Produkte liess sich unter der Annahme der primären Umwandlung einer oder beider Hydroxylgruppen in Abgangsgruppen X oder X und Y (wahrscheinlich X=Y=I) mechanistisch deuten. Die Reaktion der Deschlorderivate 3/6 lieferte nach Substitution beider Hydroxyl-gruppen durch X und Y: (a) unter Abspaltung von HX und HY das Styrolderivat 9 (Schema 2) und (b) unter Abspaltung von XY das Homotropylidenderivat 10 (Schema 3a) und das Bishomobenzolderivat 8 (Schema 3b). Die Reaktion des 4,8-Dichlor-derivates 4 lieferte nach Substitution beider Hydroxylgruppen durch X und Y: (a) unter Abspaltung von HX und HY das Styrolderivat 12 (Schema 2), und (b) unter Abspaltung von XY das Bishomobenzolderivat 11 (Schema 3b). Die Reaktion mit den 4,4,8,8-Tetrachlorderivaten 5/7 lieferte: (a) nach Substitution beider Hydroxyl-gruppen durch X und Y unter Abspaltung von XCl und YCl das Cyclooctatetraen-derivat 13 (Schema 4), und (b) nach Substitution nur einer Hydroxylgruppe durch X unter Abspaltung von XCl und HCl das bicyclische Derivat 15 (Schema 5). Alle diese Reaktionen sind zusätzlich zu den angegebenen Fragmentierungen und Eliminierungen noch teilweise von Umlagerungen des Kohlenstoffgerüstes begleitet.Die thermische Umlagerung von 1,5-Dichlor-2,4,6,8-tetramethyl-cycloocta-1,3,5,7-tetraen (13) in das Styrolderivat 12 wurde in Abhängigkeit der Lösungs-mittelpolarität untersucht und mit der analogen thermischen Umlagerung von Brom-cyclooctatetraen und Chlor-cyclooctatetraen verglichen.
    Additional Material: 1 Tab.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
  • 4
    ISSN: 0018-019X
    Keywords: Chemistry ; Organic Chemistry
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology
    Notes: Using the ‘permutation of indices’ method proposed by Kaplan and Fraenkel, we could formulate the density-matrix equations required to fit the temperature-dependent 13C-NMR spectra observed with the title compounds. For 6Li13CHBr2 (1) and 6Li13CH2SC6H5 (2) an exchange mechanism is proposed by which monomers interchange C- and Li-atoms via a non-observed dimeric intermediate; the activation parameters of these intermolecular dynamic processes have been found to be ΔH≠ = 10.2 kcal/mol, ΔS≠ = 13.7 cal/mol·K for 1 and ΔH≠ = 11.1 kcal/mol, ΔS≠ = 20.6 cal/mol·K for 2 ((D8)THF as solvent). In the case of (6Li)butyllithium (3), the observed low-temperature spectra indicate that dimeric (3b) and tetrameric (3a) species are in dynamic equilibrium interchanging the C3H713CH2 groups (and THF molecules) bonded to the 6Li-atoms. The relative concentrations of the dimer and of the tetramer have been determined by peak integration or by line-shape fitting; the ‘pseudo’- equilibrium constant, defined by K′eq = [3b]2/[3a], was found to be 2.6·10-2 mol/1 (at -88°) and corresponds to ΔGR (-88°) = 2 ΔG°f(3b) - ΔG°f(3a) = 1.34 kcal/mol. The activation parameters of the dynamic process responsible for the exchange were estimated as ΔH≠ = 3.78 kcal/mol and ΔS≠ = -31.3 cal/mol·K. Tentative interpretation of the thermodynamic and kinetic parameters is given.
    Additional Material: 6 Ill.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
  • 5
    ISSN: 0018-019X
    Keywords: Chemistry ; Organic Chemistry
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology
    Notes: The π-bond configurations, the conformations, and the dynamic behaviour of dibenzo [c,j]octalene (2) and of benzo [c]octalene (3) have been investigated by 13C-NMR. spectroscopy at different temperatures. Dibenzooctalene was found to present π-bond fixation in the octalene unit as in 2b; with this π-bond fixation the molecule is not planar and takes two different conformations which are rapidly interconverted by inversion of one cyclooctatetraene ring. Monobenzooctalene (3) also presents π-bond fixation in the octalene unit but exists as two valence isomers, 3b and 3c. Isomer 3c dominates the dynamic equilibrium. With this π-bond configuration, the molecule is chiral but undergoes several isodynamic processes, namely inversion of the cyclooctatriene and/or of the cyclooctatetraene ring. The valence isomer 3b can have two different conformations which are rapidly interconverted by inversion of one cyclooctatetraene ring. The interconversion 3c ⇌ 3b implies the occurrence of a π-bond shift process; this process affects the 13C-NMR. lineshape above 50°.
    Additional Material: 13 Ill.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
  • 6
    ISSN: 0018-019X
    Keywords: Chemistry ; Organic Chemistry
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology
    Notes: Attempts to deprotonate nitrocyclopropane led to solutions which showed strong ESR. signals (Fig. 1)and from which 1-nitro- l′-nitroso-bicyclopropyl (3) and 1,1′-dinitro-bicyclopropyl (2) were isolated. The activation energy for rotation about the central C, C-bond of 2 is estimated to be about 12 kcal/mol (1 H-NMR. spectra in Fig. 2). In contrast, the oven-chain analogue 2,3-dimethyl-2,3-dinitrobutane (1) shows a methyl singlet down to -70° C. Low-temperature X-ray analyses of 1, 2, 3, and also of 1,1′-dinitro-bicyclobutyl (4) show that all four molecules have gauche-conformations but reveal striking structural differences between the openchain and the cyclic derivatives (Fig. 4-6): the central C, C-bond is long in 1 (1.575 Å), short in 2 (1.479 Å); the C, N-bonds are long in 1 (1.549 Å), short in 2 (1.488 Å); the orientation of the nitro groups is bisected in 2 and perpendicular in 1. The crystal structure of the nitro-nitroso compound 3 is isomorphous with that of the dinitro compound 2 and thus disordered (Fig. 15-16). The effect of the nitro group as π-electron acceptor on the molecular conformations and bond lengths is discussed. From analysis of the anisotropic vibrational parameters of 2 the root-mean-square librational amplitude of the nitro groups about their C, N-bonds is estimated to be about 5.8° at 95 K, corresponding to a rotational barrier of about 9 kcal/mol, i. e. the same order of magnitude as the NMR. estimate of about 12 kcal/mol for C, C-rotation.
    Additional Material: 16 Ill.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
  • 7
    Electronic Resource
    Electronic Resource
    New York, NY : Wiley-Blackwell
    Helvetica Chimica Acta 64 (1981), S. 258-278 
    ISSN: 0018-019X
    Keywords: Chemistry ; Organic Chemistry
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology
    Notes: Iterative least-squares lineshape fitting of 1H-decoupled 13C-DNMR. spectra is advantageously used for the investigation of symmetrical or asymmetrical intramolecular (two-structure) exchange processes. The least-squares procedure adopted allows the following parameters to be either optimized by computer or kept constant (according to experimental conditions): the nuclei populations (taking into account line intensity effects resulting from differences in spin-lattice relaxation times and/or Overhauser enhancements), the corresponding chemical shifts and natural linewidths (characterizing the sites undergoing exchange), the fractional population of one structure (in the case of asymmetrical exchange), one of the chemical rates, the base-line position, and the base-line tilt. The relative sensitivity of the lineshape with respect to the fitted parameters as well as the importance of correlations among these parameters have been investigated and tested with examples. The reliability of the kinetic parameters as obtained by the iterative least-squares lineshape fitting procedure is discussed.
    Additional Material: 10 Ill.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
  • 8
    ISSN: 0018-019X
    Keywords: Chemistry ; Organic Chemistry
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology
    Notes: The problem of assigning the two small ESR. coupling constants of the [16]annulene radical anion to the two sets of four equivalent outer and inner ring protons is treated by three different semiempirical MO methods. All three methods indicate that the smaller coupling constant (0.743 Gauss) should be assigned to the inner protons, and the larger one (0.963 Gauss) to the outer ones. The electronic spectra of [16]annulene, its radical anion, and its dianion have been remeasured. Especially interesting was the detection of a symmetry-forbidden band of the radical anion at 1473 nm (6789 cm-1, logε 2.57). The spectra are discussed in terms of different MO models.
    Additional Material: 6 Ill.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
  • 9
    Electronic Resource
    Electronic Resource
    New York, NY : Wiley-Blackwell
    Helvetica Chimica Acta 65 (1982), S. 1885-1893 
    ISSN: 0018-019X
    Keywords: Chemistry ; Organic Chemistry
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology
    Notes: The UV./VIS. absorption spectrum of [18]annulene has been remeasured in 3-rnethylpentane at room and at liquid nitrogen (glass) temperature and interpreted by the CNDO/S-CI-method. The confrontation of the experimental electronic transitions with the CNDO/S-CI-calculated ones favors a structure with D6h-symmetry, i.e, a structure with delocalized π-bonds.
    Additional Material: 7 Ill.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
  • 10
    Electronic Resource
    Electronic Resource
    New York, NY : Wiley-Blackwell
    Helvetica Chimica Acta 78 (1995), S. 679-692 
    ISSN: 0018-019X
    Keywords: Chemistry ; Organic Chemistry
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology
    Notes: The UV/VIS absorption spectrum of [14]annulene was measured in 3-methylpentane at room and liquid-N2 temperatures and interpreted by the CNDO/S-CI method. This comparison between experiment and theory supports a structure with π-bond delocalization for this molecule.
    Additional Material: 9 Ill.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
Close ⊗
This website uses cookies and the analysis tool Matomo. More information can be found here...