Acridinedione as selective flouride ion chemosensor: a detailed spectroscopic and quantum mechanical investigation

The use of small molecules as chemosensors for ion detection is rapidly gaining popularity by virtue of the advantages it offers over traditional ion sensing methods. Herein we have synthesized a series of acridine(1,8)diones (7a–7l) and explored them for their potential to act as chemosensors for the detection of various anions such as fluoride (F⁻), acetate (OAc⁻), bromide (Br⁻), iodide (I⁻), bisulfate (HSO₄⁻), chlorate (ClO₃⁻), perchlorate (ClO₄⁻), cyanide (CN⁻), and thiocyanate (SCN⁻). Acridinediones were found to be highly selective chemosensors for fluoride ions only. To investigate in detail the mechanism of selective fluoride ion sensing, detailed spectroscopic studies were carried out using UV-visible, fluorescence and ¹H NMR spectroscopy. Fluoride mediated (NH) proton abstraction of acridinedione was found to be responsible for the observed selective fluoride ion sensing. Quantum mechanical computational studies, using time dependent density functional theory (TDDFT) were also carried out, whereupon comparison of acridinedione interaction with fluoride and acetate ions explained the acridinedione selectivity for the detection of fluoride anions. Our results provide ample evidence and rationale for further modulation and exploration of acridinediones as non-invasive chemosensors for fluoride ion detection in a variety of sample types.

The use of small molecules as chemosensors for ion detection is rapidly gaining popularity by virtue of the advantages it offers over traditional ion sensing methods.     

Pyogenic liver abscess: Changing patterns in approach

AIM: To define optimum management of the pyogenic liver abscess and assess new trends in treatment.METHODS: One hundred and sixty nine patients with pyogenic liver abscess managed at Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Kashmir (India) from July 2001 to August 2006 were studied to evaluate and define the optimum treatment.RESULTS: Mortality in the surgically treated group of patients was 9.4% (12/119), while those treated non-surgically had a fatality rate of 16.66% (7/42). Multiple liver abscesses treated surgically had a surprisingly low mortality of 30%. The biliary tract (64.97%) was the most common cause of liver abscess. Multiple abscesses, mixed organisms and abscess complications are all associated with a significantly increased mortality. However, the lethality of the primary disease process was the most important factor in determining survival.CONCLUSION: Transperitoneal surgical drainage and antibiotics are the mainstay of treatment. Percutaneous drainage is recommended for high risk patients only.     

Three-dimensional ultrasound reconstruction of the pelvicaliceal system: an in-vitro study

Objectives  Three-dimensional (3D) reconstruction of the pelvicaliceal system (PCS) can be helpful for percutaneous renal procedures. 3D reconstruction of the PCS using ultrasound (US) has not been studied. We determined the feasibility and accuracy of 3DUS reconstruction of the PCS in an in vitro model. Methods  Ten pig kidneys were scanned in vitro using freehand 3DUS (Logiq 9, GE medical systems). Multi-planar reformatted (MPR) and volume rendered (VR) reconstructions of the PCS were processed on a workstation. Using resin casts of the PCS as the reference standard, MPR reconstructions were compared for maximal polar and antero-posterior (AP) PCS length, lower pole infundibular (LPInf) diameter and number of calices. VR movies were compared for number of calices. Three blinded reviewers matched VR movies to casts and given an “anatomical representation” score using a five-point scale. Results  There were no significant differences in maximal AP length, LPInf diameter or number of calices between MPR reconstructions and casts. Maximal polar length between MPR reconstructions and casts were different (t = 6.44, P = 0.0001). VR movie reconstructions underestimated the number of calices visualised (t = 3.23, P = 0.01). A total of 22 out of 30 (73%) 3D VR videos were accurately matched to their casts. The 3D VR median score for anatomical representation was 3 (fair representation). Conclusions  Three-dimensional ultrasound reconstruction of the porcine PCS is quantitatively comparable to corresponding casts of the PCS. 3D VR movies of the PCS were a fair representation of the PCS anatomy. 3DUS is a potential tool in the planning and execution of percutaneous renal procedures.