Purpose: The aim of this study was to determine the incidence and pattern of injuries resulting from auto-tricycle crashes among patients in a tertiary referral centre in Ghana. Methods: Data were retrospectively extr...Purpose: The aim of this study was to determine the incidence and pattern of injuries resulting from auto-tricycle crashes among patients in a tertiary referral centre in Ghana. Methods: Data were retrospectively extracted from hospital records of patients who got involved in auto-tricycle crashes and presented to the Accident and Emergency Centre of the Komfo Anokye Teaching Hospital (KATH), over a one-year period using a structured questionnaire. The gathered data were then entered into an electronic database and then analysed with SPSS version 20.0. Results: The incidence of injury following auto-tricycle crashes over the one-year period was 5.9% (95% CI: 4.9% - 7.0%) with a case fatality rate (FR) of 3.8% (95% CI: 1.3% - 8.7%). All the mortalities resulted from head and neck injuries and none of the patients involved wore a crash helmet. Only 5% of those studied wore crash helmets and were all drivers. Closed fractures accounted for 58% of the injuries, followed by open fractures, 28%. The most commonly fractured bones were the tibia/fibula, followed by the femur and then radius/ulna. The most common mechanism of injury was auto-tricycle toppling over (29%). Passengers were the most injured (48%), followed by drivers (37%) and pedestrians (15%). Most (72%) injuries among participants involved a single body part. On the injury severity scale, most (61%) of patients had minor trauma and 38% had major trauma. Conclusion: Auto-tricycle crashes account for 5.9% of injuries at the study site with a case fatality rate of 3.8%. Passengers had a higher injury rate (48%) than drivers (37%). Fractures of the tibia/fibula were most commonly associated with auto-tricycle crashes. Injuries to the head and neck were responsible for the deaths in the study participants and non-use of a crash helmet was associated with mortalities.展开更多
We aimed to evaluate the efficacy of tricyclic antidepressants(TCAs) as a therapeutic option for irritable bowel syndrome(IBS) through meta-analysis of randomized controlled trials.For the years 1966 until September 2...We aimed to evaluate the efficacy of tricyclic antidepressants(TCAs) as a therapeutic option for irritable bowel syndrome(IBS) through meta-analysis of randomized controlled trials.For the years 1966 until September 2008,PubMed,Scopus,Web of Science,and Cochrane Central Register of Controlled Trials were searched for double-blind,placebo-controlled trials investigating the effi cacy of TCAs in the management of IBS.Seven randomized,placebo-controlled clinical trials met our criteria and were included in the metaanalysis.TCAs used in the treatment arm of these trials included amitriptyline,imipramine,desipramine,doxepin and trimipramine.The pooled relative risk for clinical improvement with TCA therapy was 1.93(95% CI:1.44 to 2.6,P<0.0001).Effect size of TCAs versus placebo for mean change in abdominal pain score among the two studies was -44.15(95% CI:-53.27 to -35.04,P<0.0001).It is concluded that low dose TCAs exhibit clinically and statistically signifi cant control of IBS symptoms.展开更多
The tricyclic compound 1, a key intermediate of the pentacyclic core of Et 743 and its analogues, was synthesized. Its 11-epimer was found as the product of racemization when BOP was used as the coupling agent, but no...The tricyclic compound 1, a key intermediate of the pentacyclic core of Et 743 and its analogues, was synthesized. Its 11-epimer was found as the product of racemization when BOP was used as the coupling agent, but not when BOP-C1 used in the same reaction. The stereochemistry of both isomers was confirmed on basis of the 1H NMR and NOE-difference spectra.展开更多
Novel ethyl 7-chloro-6-fluoro-l-methyl-4-oxo-1, 4-dihydro-[1, 3]thiazeto[3, 2-a]quino- line-3-carboxylate 2 was prepared from 3-chloro-4-fluoroaniline in eight steps. It can be used as a new intermediate for the synth...Novel ethyl 7-chloro-6-fluoro-l-methyl-4-oxo-1, 4-dihydro-[1, 3]thiazeto[3, 2-a]quino- line-3-carboxylate 2 was prepared from 3-chloro-4-fluoroaniline in eight steps. It can be used as a new intermediate for the synthesis of tricyclic fluoroquinolones.展开更多
Tricyclic and tetracyclic terpanes are important constituents of crude oil and source rock extracts.However,they have not been reported in the Offshore Niger Delta Basin,Nigeria.Thus,the present study investigated the...Tricyclic and tetracyclic terpanes are important constituents of crude oil and source rock extracts.However,they have not been reported in the Offshore Niger Delta Basin,Nigeria.Thus,the present study investigated the geochemical significance of tricyclic and tetracyclic terpanes in source rock extracts from the Offshore Niger Delta Bain,Nigeria with gas chromatography-mass spectrometry(GC-MS).The total relative abundances of tricyclic terpanes,C_(19)TT-C_(21)TT,and C_(23) TT in the rock samples ranged from 82.50 to 96.37%,50.08 to 74.17%,and 25.83 to 49.92%,respectively.These values showed the source rocks were formed from a mixed origin(terrestrial and marine).Among the tricyclic and tetracyclic terpanes identified in the rock extracts,the conventional(C_(20)TT,C_(23)TT,C_(24)TT,C_(24)TeT)and recent(Y1,X1,Z1)were more prominent than all others,indicating mixed input of terrigenous and marine organic matter.The C_(24)TT/C_(23)TT,C_(24)TeT/(C_(24)TeT+C_(26)TT),C_(19)TT/C_(23)TT,C_(20)TT/C_(23)TT,C_(25)TT/C_(24)TeT,C_(25)TT/C_(26)TT,C_(19)TT/C_(20)TT,C_(24)TeT/C_(26)TT,Z1/(Z1+C_(24)TT),and Y1/(Y1+C_(24)TT)in the rock samples range from 0.33 to 1.30,0.76 to 0.90,0.18 to 0.73,0.34 to 1.05,0.33 to 1.74,0.30 to 1.39,0.31 to0.89,1.66 to 4.33,0.36 to 0.83,and 0.34 to 0.79,respectively.These values further showed that the rock samples were formed from mixed input of terrigenous and marine organic matter and deposited under oxic to suboxic conditions in lacustrine-fluvial/deltaic environments.Also,the C_(24)TeT/C_(20)-26TT,C_(24)TeT/C_(30)HOP,and C_(23)TT/C_(30)HOP ranged from 0.16 to 0.45,0.02 to 0.42,and 0.01 to 0.48,respectively.This range of values suggests that source rocks were within immature to early mature stage.Thus,this study showed that tricyclic and tetracyclic terpanes were effective in determining the origin,depositional environments,and thermal maturity of source rocks in the Niger Delta Basin,Nigeria.展开更多
The tricyclic compoun d (2) C20H28O6 has been synthesized through thereaction of IMDA. The crystals of the title compound(2A) were crystallized from etherin monoclinic space group C2 with a unit cell: a = 11. 301 (2),...The tricyclic compoun d (2) C20H28O6 has been synthesized through thereaction of IMDA. The crystals of the title compound(2A) were crystallized from etherin monoclinic space group C2 with a unit cell: a = 11. 301 (2), b=11-.863 (3 ), c =29. 59 (1) , β= 101. 02(5)°, V=3894. 246, Dc=1.2413 g/cm3, Z=8, F(000)=1568, Mr= 364. 00 R=0.055, R2=0. 055, μ= 535 cm-1, S(GOF) =0. 571. Theconfiguration of C2a-H in the title compound was found to be contrary to what wasexpected and a possible mechanism of reaction was proposed.展开更多
Let G be a graph and A=(aij)n×n be the adjacency matrix of G, the eigenvalues of A are said to be the eigenvalues of the graph G, and to form the spectrum of this graph. The numbers of positive, negative and zero...Let G be a graph and A=(aij)n×n be the adjacency matrix of G, the eigenvalues of A are said to be the eigenvalues of the graph G, and to form the spectrum of this graph. The numbers of positive, negative and zero eigenvalues in the spectrum of the graph G are called positive and negative inertia indexes and nullity of the graph G, are denoted by p(G), n(G), η(G), respectively, and are collectively called inertia indexes of the graph G. The inertia indexes have many important applications in chemistry and mathematics. The purpose of the research of this paper is to calculate the inertia indexes of one special kind of tricyclic graphs. A new calculation method of the inertia indexes of this tricyclic graphs with large vertices is given, and the inertia indexes of this tricyclic graphs with fewer vertices can be calculated by Matlab.展开更多
Tricyclic compounds (4b-endo) and (4b-exo) are synthesized as the plausible intermediates of the total synhthesis of hainanolide by Lewis acid catalyzed intramolecular DielsAlder (IMDA) reaction.
An unexpected compound, hydroperoxide (4) formed from (3), the exo-cycloaddition product, which was synthesized through the Lewis acid catlyzed intramolecular Diels-Alder (IMDA) reaction. Its structure was confirmed b...An unexpected compound, hydroperoxide (4) formed from (3), the exo-cycloaddition product, which was synthesized through the Lewis acid catlyzed intramolecular Diels-Alder (IMDA) reaction. Its structure was confirmed by spectra and X-Ray diffraction analysis, An 1O2oxidation mechanism was proposed.展开更多
This paper describes an approach to identify epicyclic and tricyclic motion during projectile flight caused by mass asymmetries in spinstabilized projectiles. Flight video was captured following projectile launch of s...This paper describes an approach to identify epicyclic and tricyclic motion during projectile flight caused by mass asymmetries in spinstabilized projectiles. Flight video was captured following projectile launch of several M110A2E1 155 mm artillery projectiles. These videos were then analyzed using the automated flight video analysis method to attain their initial position and orientation histories.Examination of the pitch and yaw histories clearly indicates that in addition to epicyclic motion's nutation and precession oscillations, an even faster wobble amplitude is present during each spin revolution, even though some of the amplitudes of the oscillation are smaller than 0.02 degree.The results are compared to a sequence of shots where little appreciable mass asymmetries were present, and only nutation and precession frequencies are predominantly apparent in the motion history results. Magnitudes of the wobble motion are estimated and compared to product of inertia measurements of the asymmetric projectiles.展开更多
Objective:To assess the effect of selective serotonin reuptake inhibitors(SSRIs)and tricyclic antidepressants(TCAs)in reducing vertigo,tinnitus,and hearing loss among patients with Meniere's disease(MD).Data Sourc...Objective:To assess the effect of selective serotonin reuptake inhibitors(SSRIs)and tricyclic antidepressants(TCAs)in reducing vertigo,tinnitus,and hearing loss among patients with Meniere's disease(MD).Data Sources:The following databases were utilized in this scoping review:Ovid Medline,PubMed-NCBI,CINAHL,Cochrane Library,Web of Science,and Clinicaltrials.gov.Method:Studies were identified through the following search phrases:"serotonin specific reuptake inhibitors"OR"tricyclic antidepressants"AND"Meniere's disease."References from included manuscripts were examined for possible inclusion of additional studies.Results:The literature search yielded 23 results,which were screened by three independent reviewers.Seventeen studies and three duplicates were excluded.An examination of references from the included studies yielded two additional publications.A total of four published studies assessing SSRIs and TCAs among 147 patients with MD were ultimately included.Four studies described significant reductions in vertigo attack frequency among patients treated with either SSRIs or TCAs compared to their pretreatment baseline.Three studies assessed the drugs'effects on hearing,of which none found a significant difference among patients treated with SSRIs or TCAs.One study found a significant decrease in patient-reported tinnitus following treatment with TCAs or SSRIs compared to their pretreatment baseline.Conclusions:Data exploring SSRIs and TCAs among patients with MD suggests that these medications may reduce the frequency of tinnitus and vertigo,although there was significant heterogeneity in outcome reporting.There remains a need for larger-scale prospective studies that emphasize objective data to evaluate their effective-ness in reducing common MD symptoms.展开更多
文摘Purpose: The aim of this study was to determine the incidence and pattern of injuries resulting from auto-tricycle crashes among patients in a tertiary referral centre in Ghana. Methods: Data were retrospectively extracted from hospital records of patients who got involved in auto-tricycle crashes and presented to the Accident and Emergency Centre of the Komfo Anokye Teaching Hospital (KATH), over a one-year period using a structured questionnaire. The gathered data were then entered into an electronic database and then analysed with SPSS version 20.0. Results: The incidence of injury following auto-tricycle crashes over the one-year period was 5.9% (95% CI: 4.9% - 7.0%) with a case fatality rate (FR) of 3.8% (95% CI: 1.3% - 8.7%). All the mortalities resulted from head and neck injuries and none of the patients involved wore a crash helmet. Only 5% of those studied wore crash helmets and were all drivers. Closed fractures accounted for 58% of the injuries, followed by open fractures, 28%. The most commonly fractured bones were the tibia/fibula, followed by the femur and then radius/ulna. The most common mechanism of injury was auto-tricycle toppling over (29%). Passengers were the most injured (48%), followed by drivers (37%) and pedestrians (15%). Most (72%) injuries among participants involved a single body part. On the injury severity scale, most (61%) of patients had minor trauma and 38% had major trauma. Conclusion: Auto-tricycle crashes account for 5.9% of injuries at the study site with a case fatality rate of 3.8%. Passengers had a higher injury rate (48%) than drivers (37%). Fractures of the tibia/fibula were most commonly associated with auto-tricycle crashes. Injuries to the head and neck were responsible for the deaths in the study participants and non-use of a crash helmet was associated with mortalities.
基金Supported by National Science Foundation, Tehran
文摘We aimed to evaluate the efficacy of tricyclic antidepressants(TCAs) as a therapeutic option for irritable bowel syndrome(IBS) through meta-analysis of randomized controlled trials.For the years 1966 until September 2008,PubMed,Scopus,Web of Science,and Cochrane Central Register of Controlled Trials were searched for double-blind,placebo-controlled trials investigating the effi cacy of TCAs in the management of IBS.Seven randomized,placebo-controlled clinical trials met our criteria and were included in the metaanalysis.TCAs used in the treatment arm of these trials included amitriptyline,imipramine,desipramine,doxepin and trimipramine.The pooled relative risk for clinical improvement with TCA therapy was 1.93(95% CI:1.44 to 2.6,P<0.0001).Effect size of TCAs versus placebo for mean change in abdominal pain score among the two studies was -44.15(95% CI:-53.27 to -35.04,P<0.0001).It is concluded that low dose TCAs exhibit clinically and statistically signifi cant control of IBS symptoms.
文摘The tricyclic compound 1, a key intermediate of the pentacyclic core of Et 743 and its analogues, was synthesized. Its 11-epimer was found as the product of racemization when BOP was used as the coupling agent, but not when BOP-C1 used in the same reaction. The stereochemistry of both isomers was confirmed on basis of the 1H NMR and NOE-difference spectra.
基金we are grateful to the National Natural Science Foundation of China（No.20372043）for flnancial support for this Work.
文摘Novel ethyl 7-chloro-6-fluoro-l-methyl-4-oxo-1, 4-dihydro-[1, 3]thiazeto[3, 2-a]quino- line-3-carboxylate 2 was prepared from 3-chloro-4-fluoroaniline in eight steps. It can be used as a new intermediate for the synthesis of tricyclic fluoroquinolones.
文摘Tricyclic and tetracyclic terpanes are important constituents of crude oil and source rock extracts.However,they have not been reported in the Offshore Niger Delta Basin,Nigeria.Thus,the present study investigated the geochemical significance of tricyclic and tetracyclic terpanes in source rock extracts from the Offshore Niger Delta Bain,Nigeria with gas chromatography-mass spectrometry(GC-MS).The total relative abundances of tricyclic terpanes,C_(19)TT-C_(21)TT,and C_(23) TT in the rock samples ranged from 82.50 to 96.37%,50.08 to 74.17%,and 25.83 to 49.92%,respectively.These values showed the source rocks were formed from a mixed origin(terrestrial and marine).Among the tricyclic and tetracyclic terpanes identified in the rock extracts,the conventional(C_(20)TT,C_(23)TT,C_(24)TT,C_(24)TeT)and recent(Y1,X1,Z1)were more prominent than all others,indicating mixed input of terrigenous and marine organic matter.The C_(24)TT/C_(23)TT,C_(24)TeT/(C_(24)TeT+C_(26)TT),C_(19)TT/C_(23)TT,C_(20)TT/C_(23)TT,C_(25)TT/C_(24)TeT,C_(25)TT/C_(26)TT,C_(19)TT/C_(20)TT,C_(24)TeT/C_(26)TT,Z1/(Z1+C_(24)TT),and Y1/(Y1+C_(24)TT)in the rock samples range from 0.33 to 1.30,0.76 to 0.90,0.18 to 0.73,0.34 to 1.05,0.33 to 1.74,0.30 to 1.39,0.31 to0.89,1.66 to 4.33,0.36 to 0.83,and 0.34 to 0.79,respectively.These values further showed that the rock samples were formed from mixed input of terrigenous and marine organic matter and deposited under oxic to suboxic conditions in lacustrine-fluvial/deltaic environments.Also,the C_(24)TeT/C_(20)-26TT,C_(24)TeT/C_(30)HOP,and C_(23)TT/C_(30)HOP ranged from 0.16 to 0.45,0.02 to 0.42,and 0.01 to 0.48,respectively.This range of values suggests that source rocks were within immature to early mature stage.Thus,this study showed that tricyclic and tetracyclic terpanes were effective in determining the origin,depositional environments,and thermal maturity of source rocks in the Niger Delta Basin,Nigeria.
文摘The tricyclic compoun d (2) C20H28O6 has been synthesized through thereaction of IMDA. The crystals of the title compound(2A) were crystallized from etherin monoclinic space group C2 with a unit cell: a = 11. 301 (2), b=11-.863 (3 ), c =29. 59 (1) , β= 101. 02(5)°, V=3894. 246, Dc=1.2413 g/cm3, Z=8, F(000)=1568, Mr= 364. 00 R=0.055, R2=0. 055, μ= 535 cm-1, S(GOF) =0. 571. Theconfiguration of C2a-H in the title compound was found to be contrary to what wasexpected and a possible mechanism of reaction was proposed.
文摘Let G be a graph and A=(aij)n×n be the adjacency matrix of G, the eigenvalues of A are said to be the eigenvalues of the graph G, and to form the spectrum of this graph. The numbers of positive, negative and zero eigenvalues in the spectrum of the graph G are called positive and negative inertia indexes and nullity of the graph G, are denoted by p(G), n(G), η(G), respectively, and are collectively called inertia indexes of the graph G. The inertia indexes have many important applications in chemistry and mathematics. The purpose of the research of this paper is to calculate the inertia indexes of one special kind of tricyclic graphs. A new calculation method of the inertia indexes of this tricyclic graphs with large vertices is given, and the inertia indexes of this tricyclic graphs with fewer vertices can be calculated by Matlab.
文摘Tricyclic compounds (4b-endo) and (4b-exo) are synthesized as the plausible intermediates of the total synhthesis of hainanolide by Lewis acid catalyzed intramolecular DielsAlder (IMDA) reaction.
文摘An unexpected compound, hydroperoxide (4) formed from (3), the exo-cycloaddition product, which was synthesized through the Lewis acid catlyzed intramolecular Diels-Alder (IMDA) reaction. Its structure was confirmed by spectra and X-Ray diffraction analysis, An 1O2oxidation mechanism was proposed.
文摘This paper describes an approach to identify epicyclic and tricyclic motion during projectile flight caused by mass asymmetries in spinstabilized projectiles. Flight video was captured following projectile launch of several M110A2E1 155 mm artillery projectiles. These videos were then analyzed using the automated flight video analysis method to attain their initial position and orientation histories.Examination of the pitch and yaw histories clearly indicates that in addition to epicyclic motion's nutation and precession oscillations, an even faster wobble amplitude is present during each spin revolution, even though some of the amplitudes of the oscillation are smaller than 0.02 degree.The results are compared to a sequence of shots where little appreciable mass asymmetries were present, and only nutation and precession frequencies are predominantly apparent in the motion history results. Magnitudes of the wobble motion are estimated and compared to product of inertia measurements of the asymmetric projectiles.
文摘Objective:To assess the effect of selective serotonin reuptake inhibitors(SSRIs)and tricyclic antidepressants(TCAs)in reducing vertigo,tinnitus,and hearing loss among patients with Meniere's disease(MD).Data Sources:The following databases were utilized in this scoping review:Ovid Medline,PubMed-NCBI,CINAHL,Cochrane Library,Web of Science,and Clinicaltrials.gov.Method:Studies were identified through the following search phrases:"serotonin specific reuptake inhibitors"OR"tricyclic antidepressants"AND"Meniere's disease."References from included manuscripts were examined for possible inclusion of additional studies.Results:The literature search yielded 23 results,which were screened by three independent reviewers.Seventeen studies and three duplicates were excluded.An examination of references from the included studies yielded two additional publications.A total of four published studies assessing SSRIs and TCAs among 147 patients with MD were ultimately included.Four studies described significant reductions in vertigo attack frequency among patients treated with either SSRIs or TCAs compared to their pretreatment baseline.Three studies assessed the drugs'effects on hearing,of which none found a significant difference among patients treated with SSRIs or TCAs.One study found a significant decrease in patient-reported tinnitus following treatment with TCAs or SSRIs compared to their pretreatment baseline.Conclusions:Data exploring SSRIs and TCAs among patients with MD suggests that these medications may reduce the frequency of tinnitus and vertigo,although there was significant heterogeneity in outcome reporting.There remains a need for larger-scale prospective studies that emphasize objective data to evaluate their effective-ness in reducing common MD symptoms.
