Ruthenium Trichloride tert-Butylhydroperoxide, a Simple Catalytic System for the Oxidation of Alcohols to Carbonyl Compounds.-The oxidation of secondary alcohols, e.g. (I), to ketones, e.g. (II), is carried out with 90-100% selectivity and 30-90% conversion by a very convenient method using RuCl3-tBu hydroperoxide as the catalyst system. The presence of a phase-transfer agent has no significant effect; the presence of surfactants retards the reaction. The catalyst system is inert to olefinic bond as shown by attempted epoxidation of cyclohexene leading only to traces of cyclohexenone. -(AGARWAL, D. D.; JAIN, R.; SANGHA, P.; RASTOGI, R.; Indian J.
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Coronary heart disease (CHD) is the most common cause of morbidity and mortality in Canadian women. Despite advances in screening and research, CHD continues to pose a significant health care burden to Canadian women. This integrative literature review explores how a Nurse Practitioner (NP) in primary care can optimize risk stratification for CHD in Canadian women. A systematic search of the contemporary literature identified 11 key articles.These were analyzed using the Critical Appraisal Skills Programme tools to assess relevance and the strengths and weaknesses of the evidence. Three key themes emerged from the literature and are explored in detail: the limitations of current risk prediction models for risk stratification in women; the emergence and evolving importance of female-specific risk factors; and additional adjunctive testing (coronary artery calcium screening) that may improve the accuracy of risk prediction models in women. Recommendations based on the above themes with respect to NP practice, education, and research are identified. Female-specific risk stratification, improving NP education, and areas for further research including the need for screening beyond traditional risk prediction models are highlighted.
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