Participatory action inquiry using baccalaureate nursing students: The inclusion of integrative health care modalities in nursing core curriculum.

Nurses, nursing educators and students support the inclusion of integrative health care (IHC) into nursing core curriculum as a way to create nurses who deliver nursing care to the full extent of their scope of practice and advance evidenced based IHC. Because of the holistic nature of IHC modalities, research to investigate appropriate teaching strategies and potential efficacy of learning IHC in the baccalaureate core curriculum requires a holistic approach. Therefore a phenomenological exploration using participatory action inquiry was conducted at a large Midwestern university.

Variants of the prins cyclization for the synthesis of terpenoid spiroethers and oxabicyclo[3.3.1]nonane derivatives.

Terpenoid spiroethers are abundant natural flavors with significant impact, particularly in the food industry. We present in this article the synthesis of new derivatives of the well-known flavors theaspirane and vitispirane using a variant of the Prins cyclization starting from α,β-unsaturated or heterocyclic ketones. When aromatic ketones were used as the starting materials for Lewis acid-mediated cyclizations, an alternative pathway involving a domino sequence of Prins cyclization, followed by an intramolecular Friedel-Crafts alkylation, gave benzoannelated oxabicyclo[3.

Enantioselective high performance liquid chromatography and supercritical fluid chromatography separation of spirocyclic terpenoid flavor compounds.

Chiral spirocyclic terpenoids are abundant natural flavors with significant impact particularly on the food industry. Chromatographic methods for analytical and preparative separation of these compounds are therefore of high interest to natural product chemists in academia and industry. Gas chromatography on chiral stationary phases is currently the standard method for the separation of volatile terpenoids, limiting the scale to analytical quantities.

Elucidation of the regio- and chemoselectivity of enzymatic allylic oxidations with Pleurotus sapidus - conversion of selected spirocyclic terpenoids and computational analysis.

Allylic oxidations of olefins to enones allow the efficient synthesis of value-added products from simple olefinic precursors like terpenes or terpenoids. Biocatalytic variants have a large potential for industrial applications, particularly in the pharmaceutical and food industry. Herein we report efficient biocatalytic allylic oxidations of spirocyclic terpenoids by a lyophilisate of the edible fungus Pleurotus sapidus.

Evolutionary conservation of mammalian sperm proteins associates with overall, not tyrosine, phosphorylation in human spermatozoa.

We investigated possible associations between sequence evolution of mammalian sperm proteins and their phosphorylation status in humans. As a reference, spermatozoa from three normozoospermic men were analyzed combining two-dimensional gel electrophoresis, immunoblotting, and mass spectrometry. We identified 99 sperm proteins (thereof 42 newly described) and determined the phosphorylation status for most of them.

On the prospects of polynuclear complexes with acetylenedithiolate bridging units.

The generation of polynuclear complexes with one, two, or four acetylenedithiolate bridging units via the isolation of eta2-alkyne complexes of acetylenedithiolate K[Tp'M(CO)(L)(C2S2)] (Tp'=hydrotris(3,5-dimethylpyrazolyl)borate, M=W, L=CO (K-3a), M=Mo, L=CNC6H3Me2 (K-3b)) is reported. The strong electronic cooperation of Ru and W in the heterobimetallic complexes [(eta5-C5H5)(PPh3)Ru(3a)] (4a) and [(eta5-C5H5)(Me2C6H3NC)Ru(3a)] (4b) has been elucidated by correlation of the NMR, IR, UV-vis, and EPR-spectroscopic properties of the redox couples 4a/4a+ and 4b/4b+ with results from density functional calculations. Treatment of M(II) (M=Ni, Pd, Pt) with K-3a and K-3b afforded the homoleptic bis complexes [M(3a)2] (M=Ni (5a), Pd (5b), Pt (5c)), and [M(3b)2] (M=Pd (6a) and Pt (6b)), in which the metalla-acetylendithiolates exclusively serve as S,S'-chelate ligands.

Acetylenedithiolate: alkyne complex formation renders it a dithiolate chelate ligand.

The isostructural complexes [{Tp'W(CO)(2)(eta(2)-C(2)S(2))}(2)M] (M = Ni, Pd, Pt) show that the eta(2)-C,C'-alkyne complexes of acetylenedithiolate at [Tp'W(CO)(2)](+) can generally act as dithiolate chelate ligands, leading to dithiolene type complexes.

The effect of cancer treatment on female fertility and strategies for preserving fertility.

Aggressive chemotherapy and radiotherapy in young patients with cancer has greatly enhanced the life expectancy of these patients, but these treatments often cause infertility because of the massive destruction of the ovarian reserve resulting in premature ovarian failure (POF). This review focuses on the effect of cancer treatments on fertility and on the various surgical and assisted-reproduction innovations that are available to provide the patient with the option of future pregnancies. As the emerging discipline of fertility preservation is steadily attracting increasing interest, developments in the near future promise to be very exciting.

Molybdenum and tungsten eta2-alkyne-1-thio complexes acting as sulfur donors in homoleptic Werner type complexes with nickel(II) and palladium(II).

Facile access to the eta2-alkyne-1-thio complexes [Tp'M(CO)2{eta2-(BnS)CC(S)}] (Tp' = hydrotris(3,5-dimethylpyrazolyl)borate; Bn = benzyl; M = Mo, W) by reductive removal of one benzyl group in the corresponding bis(benzylthio)acetylene complexes, [Tp'M(CO)2{eta2-(BnS)CC(SBn)}](PF6), has been thoroughly investigated. Experimental evidence of the intermediates, [Tp'M(CO)2{eta2-(BnS)CC(SBn)}] (M = Mo, W), and the fate of the cleaved benzyl group by isolation of the byproduct, [Tp'W(CO){C(O)Bn}{eta2-(BnS)CC(SBn)}], is provided. Neutral eta2-alkyne-1-thio complexes [Tp'M(CO)2{eta2-(BnS)CC(S)}] bearing a free terminal sulfur atom have been established as monodentate ligands L in homoleptic pentanuclear [M'L4]2+ complexes with nickel(II) and palladium(II).

High-throughput purification of single compounds and libraries.

The need for increasing productivity in medicinal chemistry and associated improvements in automated synthesis technologies for compound library production during the past few years have resulted in a major challenge for compound purification technology and its organization. To meet this challenge, we have recently set up three full-service chromatography units with the aid of in-house engineers, different HPLC suppliers, and several companies specializing in custom laboratory automation technologies. Our goal was to combine high-throughput purification with the high attention to detail which would be afforded by a dedicated purification service.

Serum inhibin A, inhibin B, pro-alphaC, and activin A levels in women with idiopathic premature ovarian failure.

Serum inhibin A, inhibin B, pro-alphaC, and activin A levels in 30 women with idiopathic premature ovarian failure (POF), 30 postmenopausal women, and 30 age-matched fertile women were determined. Women with POF showed low levels of inhibin A and inhibin B, but not of activin A, whereas the levels of pro-alphaC were significantly higher than in postmenopausal women. Thus, the circulating level of pro-alphaC could be a marker for assessing residual ovarian function in women with POF.

A neutral tungsten-eta2-alkyne-1-thio ligand forming a homoleptic Werner type complex with Cu(I).

The 1-thio-eta2-alkyne-complex [Tp'(CO)2W(BnSCCS)][Tp'= hydrotris(3,5-dimethylpyrazolyl)borate; Bn = benzyl], which was obtained by reductive removal of the benzyl group at the alkyne complex [Tp'(CO)2W(BnSCCSBn)]PF(6), has been established as a ligand in a combined organometallic/Werner type heterobimetallic complex with Cu(I).

[Inhibins and Activin A in hypertensive Disorders of Pregnancy and HELLP-Syndrome].

Objective: Are serum concentrations of the ovarian glycoproteins inhibin A, inhibin B, pro-alpha-C and activin A different in normotensive, chronical hypertensive or pregancies complicated by preeclampsia or HELLP-syndrome? What are the clinical consequences?

Methods: Serum concentrations of inhibin A, inhibin B, pro-alpha-C, and activin A of 99 women (37 normotensive patients, 23 patients with chronical hypertension, 25 women with preeclampsia and 14 patients with HELLP-syndrome) at different stages of pregnancy were determined by high specific ELISAS.

Results: During pregnancy serum levels of all parameters increased continually and fell rapidly within parturition. Activin A and inhibin B levels showed significant higher serum concentrations in patients with preeclampsia and - even more pronounced - in patients with HELLP-syndrome.

Concentrations of inhibins and activin in women undergoing stimulation with recombinant follicle-stimulating hormone for in vitro fertilization treatment.

Objective: To investigate the influence of human recombinant follicle-stimulating hormone (FSH) on circulating serum concentrations of the ovarian proteohormones inhibin A, inhibin B, pro alpha-C, and activin A and serum levels of estradiol after down-regulation with GnRH analogue.

Design: Serum concentrations of ovarian proteohormones and estradiol.

Setting: Academic clinical practice.

[Information processing in the gynecological endocrinological laboratory. Current concepts and integration strategies].

While computer applications are widely accepted in clinical chemical departments, small numbers of computer systems are used in gynecological endocrinological laboratories. Modern applications should be integrated in local area networks and clinical information systems that improve communication and data exchange within hospitals and the outer resources. Better communication may improve medical quality and will lead to a better therapy for gynecological endocrinological patients.

[P53-status in primary ovarian carcinomas, ovarian metastases of neoplasms in other sites and benign ovarian tumors: predictive value in comparison to histopathological parameters].

Objective: The purpose of this study was to determine whether the tumor suppressor gene p53 can be used as a prognosis factor to assess individual patient risk in primary ovarian carcinoma.

Materials And Methods: The concentration of the mutated, as well as the wild type p53 was examined in 98 cases of ovarian carcinoma. Among 98 ovarian tumors examined, 77 were primary carcinomas, 14 tumors were metastasis of foreign tumors, and 7 were benign ovarian tumors.

[Value of p53, urokinase plasminogen activator, PAI-1 and Ki-67 in vulvar carcinoma].

Objective: The present study was to measure new prognostic factors including the plasminogen activator urokinase and the plasminogen inhibitor PAI-1, as well as p53 and Ki-67, a marker of proliferation and to compare the clinical value of these in relation to the classic histopathological prognostic factors.

Material And Methods: The patient collective included 45 patients with vulvar carcinoma, both primary tumors and recurrences.

Results: Highly significant correlations were found for tumor diameter and thickness.

Urokinase and plasminogen activator-inhibitor (PAI-1) status in primary ovarian carcinomas and ovarian metastases compared to benign ovarian tumors as a function of histopathological parameters.

Ninety-eight patients with histologically confirmed ovarian tumors (77 primary ovarian carcinomas of stages T1 to T3 according to the postoperative histopathological classification pTNM classification, 14 ovarian metastases of various origins and seven benign ovarian tumors) were investigated with regard to the concentration of urokinase-type plasminogen activator (uPA) and plasminogen activator inhibitor (PAI-1) in membrane extracts of tumors. The results were correlated with the clinical course and with histopathological findings. With more advanced stage of primary ovarian carcinomas, there was a highly significant rise in the membrane concentrations of both uPA and PAI-1.

[Circadian blood serotonin and melatonin level in anorexia nervosa patients in comparison with normally menstruating women].

Day and night rhythms of melatonin and serotonin were measured in four female anorexia nervosa patients and for comparison in a control group with normal 28-day menstrual cycle. In the anorexia nervosa group the levels of gonadotropins and sexual steroids were distinctly lowered. In the LHRH test the hormonal profile showed pubertal to prepubertal patterns of secretion with an only moderate increase of LH and distinct shifting of the LH/FSH ratio in direction of FSH.

[Acetylation of spironolactone, canrenone and 2-methyl-canrenone].

Reaction of the title compounds with acetic anhydride and acetyl chloride yields the 3,5-dien-3-yl acetate 2, the isomeric 2,4,6- and 3,5,7-trien-3-yl acetates 3 and 4 as well as the 2,4,6,8(14)-tetraen-3-yl acetate 7. The 2 alpha-methyl-8,14-didehydro-canrenone (9) is obtained by hydrolysis of 7. Binding affinities of 7 and 9 to hormone receptors as well as serum proteins (SHBG, CBG) are investigated.

[Heterocyclic annulated steroids from 2-hydroxymethylene-canrenone].

A-ring annulated heterocycles, the isoxazole 6, the pyrazoles 8 and the pyrimidines 9 are prepared starting from 2-hydroxymethylene canrenone 1. Binding studies were carried out with the compounds 1 and 6-8 using estrogen, progesterone, androgen, gluco- and mineralocorticoid receptors as well as the serum proteins SHBG and CBG: the substances were inactive on the receptor level. 1, 7 and 8a show weak binding affinity to CBG.

[Synthesis and reactions of 2-methylene-canrenone].

Starting from the Mannich salt 1 of the aldosterone antagonist canrenone or from 2-methylene-canrenone (2) the A-ring annulated hetero- and carbocycles 5, 6, 8-13 were prepared. Receptor (estradiol, progesterone, androgen, gluco- and mineralocorticoid) binding studies and competition studies with the serum proteins SHBG and CBG were carried out using the compounds 2, 3, 4b, 5, 6b, 8 and 12. The relative binding affinities with CBG are below 1%, in all other cases lower than 0.

Low vision rehabilitation. Finding capable people behind damaged eyeballs.

Loss of vision is a common physical impairment in America today. Comprehensive low vision rehabilitation programs can have dramatic results in increasing the independence and productivity of affected persons. Rehabilitation efforts must be tailored to the type of vision loss and to specific functional implications.