Evaluation of prognosis in patients with old myocardial infarction--using 201Tl myocardial scintigraphy and 99mTc cardiac scintigraphy

To evaluate the prognosis in 57 patients with old myocardial infarctions, 201Tl myocardial scintigraphy and 99mTc-HSA gated blood pool scan had been done as a 5-year follow up study. We subdivided into two groups; group I (over 60 years) and group II (under 60 years). Cardiac index (CI) and right ventricular ejection fraction (RVEF) did not change significantly, however left ventricular ejection fraction (LVEF) changed significantly (p less than 0.05). Correlationship between CAG score and delta LVEF by handgrip exercise test was y = -1.34 x +3.61 (n = 44, r = -0.400, p less than 0.01). Otherwise, Tl defect ratio between first and final examination did not show the significant change in two groups. In conclusion, nuclear examination (cardiac function and myocardial blood flow) is significant to evaluate the prognosis in patients with myocardial infarction.     

Determination of ammonium ion in a flow-injection system with a gas-diffusion membrane : Selection of Optimal Conditions for the pH Indicator

The spectrophotometric determination of ammonium ion in water by flow-injection analysis with a membrane-separator and a pH indicator for detection is studied in detail. The relations derived facilitate the selection of appropriate solution compositions or the prediction of sensitivity. It is shown that 1.5×10^?5 M bromocresol purple (pH 6.8) as acceptor solution gives the maximal sensitivity in the flow system with a laboratory-made separation unit. Application of ultrasonic radiation in the separation step and the use of different flow rates for the donor and acceptor streams may result in increased permeation of ammonia and a correspondingly high sensitivity. By modifying the acceptor solution so that the sensitivity is decreased, more concentrated samples such as urine can be analyzed by direct injection without prior dilution. In this procedure, the sample rate was 60 h^?1 for ammonium concentration of more than 10^?5 M and 30–40 h^?1 for concentrations in the range 3×10^?7?10^?5 M. The detection limit was about 3×10^?7 M.     

Enantioselective copper-catalyzed 1,4-addition of dialkylzincs to enones using a novel N,N,P–Cu(II) complex

Enantioselective copper-catalyzed 1,4-additions of dialkylzincs to enones were carried out in the presence of 1 mol % of Cu(OTf)₂ and 2.5 mol % of an N,N,P-ligand possessing a tert-butyl group at the adjacent position of the nitrogen of pyridine to afford the corresponding 1,4-adducts in up to 98% ee.