低钾血症对颅脑创伤患者预后的影响

目的 探讨低钾血症在颅脑创伤患者中的发病情况及其与预后的关系。方法 2010 年6月至2013 年6 月共有168 例住院期间出现低钾血症且年龄≥18 岁的颅脑创伤患者纳入研究。依据低钾血症严重程度的不同,将患者分成轻度组（3.00mmol/L≤血钾＜3.50mmol/L）、中度组（2.50mmol/L≤血钾＜3.00mmol/L）和重度组（血钾＜2.50mmol/L）,各组均采用患者血钾的最低值进行数据分析。高钠血症和低磷血症分别被定义为血钠＞147.00mmol/L 和血磷＜0.80mmol/L。结果 受试患者的血钾在1.10~3.40mmol/L,平均2.90mmol/L。当血钾出现最低值时,与其余两组比较,重度组患者具有更高的血钠和更低的血磷水平（均P＜0.01）。与轻度组（10.5%）或中度组（25.7%）相比,重度组患者的病死率（82.1%）显著上升（均P＜0.01）。多变量逻辑回归分析结果显示,低格拉斯哥昏迷评分（OR=1.28,95%CI=1.12~1.42,P＜0.01）、低血钾（OR=5.57,95%CI=2.76~10.93,P＜0.01）、低血磷（OR=2.76,95%CI=1.11~7.25,P＜0.01）以及高血尿素氮（OR=1.16,95%CI=1.07~1.24,P＜0.01）是导致患者死亡的独立危险因素。结论 颅脑创伤患者是出现低钾血症的高危人群,重度低钾血症的患者更容易合并高钠血症和低磷血症。重度低钾血症和低磷血症是颅脑创伤患者死亡的独立危险因素。     

Synthesis and Application of N-Tosyl Piperidinyl-Containing α-Aminophosphonates

Abstract

A series of novel (4′-tosyl) piperidin-4-yl containing α-aminophosphonates were synthesized by a one-pot reaction, efficiently catalyzed by magnesium perchlorate, under solvent-free conditions from 1-tosylpiperidin-4-one, substituted aromatic amines, and diethyl phosphite (DEP). The synthesized compounds were characterized by IR, ¹H NMR, ¹³C NMR, ³¹P NMR, and HRMS spectroscopy. A single-crystal X-ray structure of diethyl 4-(2-chlorophenyl) amino-1-(4’-methylbezenesulfonyl) piperidin-4-yl-phosphonate (2a) was obtained, and some of the title compounds displayed insecticidal activities against Plutella xylostella.

Supplementary materials are available for this article. Go to the publisher's online edition of Phosphorus, Sulfer, and Silicon and the Related Elements for the following free supplemental files: Additional figures and tables.     

Bivalent Organophosphorus Compounds—Synthesis and Acetylcholinesterase Inhibitory Activity

Abstract

A series of novel symmetric S,S′-2,2′-(ethane-1,2-diylbis(azanediyl)) bis(2-oxoethane-2,1-diyl) O,O,O′,O′-tetraethyl diphosphorodithioate derivatives (12) was designed and synthesized based on the cluster effect and the multiple binding sites of acetylcholinesterase (AChE). The structures of all the newly synthesized title compounds were characterized by ¹ Choi, S. K. Synthetic Multivalent Molecules: Concepts and Biomedical Application, 20–21. New Jersey: John Wiley & Sons, Inc. 2004, chapter 1 [Google Scholar]H and ¹³ Tang, H., Zhao, L. Z., Zhao, H. T., Huang, S. L., Zhong, S. M., Qin, J. K., Chen, Z. F., Huang, Z. S. and Liang, H. 2011. Euro. J. Med. Chem., 46: 4970–4979. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar]C NMR as well as elemental analyses. Their inhibitory activities against AChE were tested, and compound 12b exhibited the best activity (6.60-fold higher than ethion). The results suggested that the compound would bind to the catalytic center and the narrow gorge of the AChE simultaneously.

Supplementary materials are available for this article. Go to the publisher's online edition of Phosphorus, Sulfer, and Silicon and the Related Elements for the following free supplemental files: Additional table.     

Thermal decomposition properties of guanidine nitrate and basic cupric nitrate

Characterized with a large gas production and low combustion temperature, the guanidine nitrate (GN) gas-generating agents are studied and applied widely. The determination factors of thermal decomposition properties of guanidine nitrate and basic cupric nitrate (GN/BCN) gas-generating agents for airbag application was investigated by the thermogravimetry–differential scanning calorimetry–mass spectrmetry–Fourier transform infrared spectroscopy (TG-DSC-MS-FTIR) and automatic calorimeter. Five different mass ratios were concerned. Our study showed that the onset reaction temperatures of GN/BCN mixtures were lower than that of individual GN and BCN. The thermal decomposition of GN/BCN mixtures could be divided into three stages, including the dissociation and escape of crystal water, solid (GN)-solid (BCN) phase reaction, and liquid (GN)-solid (BCN) phase reaction. When mass ratio of GN/BCN was 62.24/37.73, the largest value of the reaction heat was measured to 3152.7 J g^?1, with N₂ and H₂O as the major gases during thermal decomposition.     

固相萃取/超高效液相色谱法测定龙胆泻肝丸中栀子苷、龙胆苦苷与黄芩苷

建立了一种快速测定龙胆泻肝丸中栀子苷、龙胆苦苷和黄芩苷3种有效成分的超高效液相色谱方法。样品经50%甲醇提取,C18固相萃取(SPE)小柱净化后,采用Ultimate XB-C18色谱柱(4.6 mm×50 mm,1.8μm)进行分离,以乙腈-0.1%磷酸溶液为流动相进行梯度洗脱。考察了不同规格色谱柱、流动相梯度比例、进样体积、柱温和流速对分离效果的影响,并对SPE柱流出液的平衡体积进一步考察,在最佳分析条件下进行液相色谱分析,该方法显示了良好的线性关系(r≥0.999 8),其定量下限(LOQ)为0.24～0.44 mg/L,加标回收率为95%～99%。该方法快速、准确,可满足实际检测需要。     

First-principles characterization of formate and carboxyl adsorption on stoichiometric CeO2(111) and CeO2(110) surfaces

Molecular adsorption of formate and carboxyl on stoichiometric CeO₂(111) and CeO₂(110) surfaces was studied using periodic density functional theory (DFT+U) calculations. Two distinguishable adsorption modes (strong and weak) of formate are identified. The bidentate configuration is more stable than the monodentate adsorption configuration. Both formate and carboxyl bind at the more open CeO₂(110) surface are stronger. The calculated vibrational frequencies of two adsorbed species are consistent with the experimental measurements. Finally, the effects of U parameters on the adsorption of formate and carboxyl over both CeO₂ surfaces were investigated. We found that the geometrical configurations of two adsorbed species are not affected by different U parameters (U = 0, 5, and 7). However, the calculated adsorption energy of carboxyl pronouncedly increases with the U value while the adsorption energy of formate only slightly changes (<0.2 eV). The Bader charge analysis shows the opposite charge transfer occurs for formate and carboxyl adsorption where the adsorbed formate is negatively charge while the adsorbed carboxyl is positively charged. Interestingly, with the increasing U parameter, the amount of charge is also increased.     

Euphorbiane: A Novel Triterpenoid with an Unprecedented Skeleton from Euphorbia tirucalli

Euphorbiane ( 1 ), a novel triterpenoid exhibiting a unique skeleton, together with seven known compounds were isolated from the 95% EtOH extract of the fresh stems of Euphorbia tirucalli. The structure of 1 and relative stereochemistry were elucidated by extensive NMR and a single‐crystal X‐ray crystallographic analysis.