family

Promoting Male Involvement in Family Planning: Insights From the No-Scalpel Vasectomy Program of Davao City, Philippines

ABSTRACTDespite global consensus on the importance of male involvement in family planning, disparities persist in low- and middle-income countries, where women continue to bear the responsibility for these initiatives. The Philippines, with a high fertility rate and unmet family planning needs, exemplifies this challenge. We present the experiences and lessons learned from implementing the no-scalpel vasectomy (NSV) program in Davao City, showcasing its potential for increasing male engagement in family planning decisions. Launched in 2008, the program aimed to address gender disparity by promoting NSV as a safe and effective contraceptive alternative to female-centric methods. Through the use of culturally sensitive information campaigns and couple-focused counseling, the program challenged traditional notions of masculinity and encouraged shared decision-making. Strong local government commitment and public-private partnerships played key roles in driving the program’s success. Results showed an average annual increase of 80% in NSV clients over the past 3 years compared to before the COVID-19 pandemic, underscoring its effectiveness. The program presents a compelling intervention model for similar initiatives, highlighting how overcoming cultural barriers, infrastructure limitations, and budgetary constraints through policy advocacy, strategic partnerships, and tailored approaches can significantly boost male involvement in family planning and improve reproductive health outcomes within communities.




family

Family Planning, Reproductive Health, and Progress Toward the Sustainable Development Goals: Reflections and Directions on the 30th Anniversary of the International Conference on Population and Development




family

Novel pathogenic PDX1 gene variant in a Korean family with maturity-onset diabetes of the young [VARIANT DISCREPANCY RESOLUTION]

The diagnosis of maturity-onset diabetes of the young (MODY), a monogenic form of diabetes mellitus caused by a mutation in a single gene, is often uncertain until genetic testing is performed. We report a 13-yr-old Korean boy who was initially diagnosed with type 2 diabetes (T2DM). MODY was suspected because of his nonobese body habitus and family history of multiple affected members. Targeted panel sequencing of all MODY-related genes was performed using the NextSeq 550Dx platform (Illumina). Sanger sequencing was performed using blood samples from the parents, siblings, and other relatives. A frameshift variant in the 3' region of the last exon of PDX1 was detected in the patient and his family members with diabetes. PP1_Moderate criterion was applied and this variant was confirmed to be the genetic cause of diabetes in the family and classified as likely pathogenic. The study highlights the importance of genetic testing for nonobese, early-onset diabetic patients with multiple affected family members. Increased awareness and aggressive genetic testing for MODY are needed.




family

Novel inherited CDX2 variant segregating in a family with diverse congenital malformations of the genitourinary system [RAPID COMMUNICATION]

Anorectal malformations (ARMs) constitute a group of congenital defects of the gastrointestinal and urogenital systems. They affect males and females, with an estimated worldwide prevalence of 1 in 5000 live births. These malformations are clinically heterogeneous and can be part of a syndromic presentation (syndromic ARM) or as a nonsyndromic entity (nonsyndromic ARM). Despite the well-recognized heritability of nonsyndromic ARM, the genetic etiology in most patients is unknown. In this study, we describe three siblings with diverse congenital anomalies of the genitourinary system, anemia, delayed milestones, and skeletal anomalies. Genome sequencing identified a novel, paternally inherited heterozygous Caudal type Homeobox 2 (CDX2) variant (c.722A > G (p.Glu241Gly)), that was present in all three affected siblings. The variant identified in this family is absent from population databases and predicted to be damaging by most in silico pathogenicity tools. So far, only two other reports implicate variants in CDX2 with ARMs. Remarkably, the individuals described in these studies had similar clinical phenotypes and genetic alterations in CDX2. CDX2 encodes a transcription factor and is considered the master regulator of gastrointestinal development. This variant maps to the homeobox domain of the encoded protein, which is critical for interaction with DNA targets. Our finding provides a potential molecular diagnosis for this family's condition and supports the role of CDX2 in anorectal anomalies. It also highlights the clinical heterogeneity and variable penetrance of ARM predisposition variants, another well-documented phenomenon. Finally, it underscores the diagnostic utility of genomic profiling of ARMs to identify the genetic etiology of these defects.




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Cross-Sectional Study of Cesarean Delivery and Safety Culture by Family Medicine Presence [Annals Journal Club]




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New Tools Take Whole-Person Approach to Obesity Care [Family Medicine Updates]




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PBRNs: Past, Present, and Future: A NAPCRG Report on the Practice-Based Research Network Conference. [Family Medicine Updates]




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Impact of Health Equity Fellowships [Family Medicine Updates]




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The Changing Role of a Chair and DA: Follow-Up from the 2023 ADFM Annual Conference Session [Family Medicine Updates]




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Guidance and Resources for Family Medicine Scholarship [Family Medicine Updates]




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Family Medicine Resident Scholarly Activity Infrastructure, Output, and Dissemination: A CERA Survey [Original Research]

PURPOSE

Meeting scholarly activity requirements continues to be a challenge in many family medicine (FM) residency programs. Studies comprehensively describing FM resident scholarship have been limited. We sought to identify institutional factors associated with increased scholarly output and meeting requirements of the Accreditation Council for Graduate Medical Education (ACGME).

OBJECTIVES

Our goals were to: (1) describe scholarly activity experiences among FM residents compared with ACGME requirements; (2) classify experiences by Boyer’s domains of scholarship; and (3) associate experiences with residency program characteristics and scholarly activity infrastructure.

METHODS

This was a cross-sectional survey. The survey questions were part of an omnibus survey to FM residency program directors conducted by the Council of Academic Family Medicine Educational Research Alliance (CERA). All ACGME-accredited US FM residency program directors, identified by the Association of Family Medicine Residency Directors, were sampled.

RESULTS

Of the 691 eligible program directors, 298 (43%) completed the survey. The respondents reported that 25% or more residents exceeded ACGME minimum output, 17% reported that 25% or more residents published their work, and 50% reported that 25% or more residents delivered conference presentations. Programs exceeding ACGME scholarship requirements exhibit robust infrastructure characterized by access to faculty mentorship, scholarly activity curricula, Institutional Review Board, medical librarian, and statistician.

CONCLUSIONS

These findings suggest the need for codified ACGME requirements for scholarly activity infrastructure to ensure access to resources in FM residency programs. By fostering FM resident engagement in scholarly activity, programs help to create a culture of inquiry, and address discrepancies in funding and output among FM residency programs.




family

A Few Doctors Will See Some of You: The Critical Role of Underrepresented in Medicine (URiM) Family Physicians in the Care of Medicaid Beneficiaries [Original Research]

PURPOSE

Despite being key to better health outcomes for patients from racial and ethnic minority groups, the proportion of underrepresented in medicine (URiM) physicians remains low in the US health care system. This study linked a nationally representative sample of family physicians (FPs) with Medicaid claims data to explore the relative contributions to care of Medicaid populations by FP race and ethnicity.

METHODS

This descriptive cross-sectional study used 2016 Medicaid claims data from the Transformed Medicaid Statistical Information System and from 2016-2017 American Board of Family Medicine certification questionnaire responses to examine the diversity and Medicaid participation of FPs. We explored the diversity of FP Medicaid patient panels and whether they saw ≥150 beneficiaries in 2016. Using logistic regression models, we controlled for FP demographics, practice characteristics, and characteristics of the communities in which they practiced.

RESULTS

Of 13,096 FPs, Latine, Hispanic, or of Spanish Origin (LHS) FPs and non-LHS Black FPs saw more Medicaid beneficiaries compared with non-LHS White and non-LHS Asian FPs. The patient panels of URiM FPs had a much greater proportion of Medicaid beneficiaries from racial and ethnic minority groups. Overall, non-LHS Black and LHS FPs had greater odds of seeing ≥150 Medicaid beneficiaries in 2016.

CONCLUSIONS

These findings clearly show the critical role URiM FPs play in caring for Medicaid beneficiaries, suggesting physician race and ethnicity are correlated with Medicaid participation. Diversity in the health care workforce is essential for addressing racial health inequities. Policies need to address problems in pathways to medical education, including failures to recruit, nurture, and retain URiM students.




family

Family Medicine Presence on Labor and Delivery: Effect on Safety Culture and Cesarean Delivery [Original Research]

PURPOSE

Currently, 40% of counties in the United States do not have an obstetrician or midwife, and in rural areas the likelihood of childbirth being attended to by a family medicine (FM) physician is increasing. We sought to characterize the effect of the FM presence on unit culture and a key perinatal quality metric in Iowa hospital intrapartum units.

METHODS

Using a cross-sectional design, we surveyed Iowa physicians, nurses, and midwives delivering intrapartum care at hospitals participating in a quality improvement initiative to decrease the incidence of cesarean delivery. We linked respondents with their hospital characteristics and outcomes data. The primary outcome was the association between FM physician, obstetrician (OB), or both disciplines’ presence on labor and delivery and hospital low-risk, primary cesarean delivery rate. Unit culture was compared by hospital type (FM-only, OB-only, or Both).

RESULTS

A total of 849 clinicians from 39 hospitals completed the survey; 13 FM-only, 11 OB-only, and 15 hospitals with both. FM-only hospitals were all rural, with <1,000 annual births. Among hospitals with <1,000 annual births, births at FM-only hospitals had an adjusted 34.3% lower risk of cesarean delivery (adjusted incident rate ratio = 0.66; 95% CI, 0.52-.0.98) compared with hospitals with both. Nurses endorsed unit norms more supportive of vaginal birth and stronger safety culture at FM-only hospitals (P <.05).

CONCLUSIONS

Birthing hospitals staffed exclusively by FM physicians were more likely to have lower cesarean rates and stronger nursing-rated safety culture. Both access and quality of care provide strong arguments for reinforcing the pipeline of FM physicians training in intrapartum care.




family

Family Medicine Obstetrics: Answering the Call [Editorials]




family

Menendez Family Members: We Had ‘Gut-Level’ Fears Erik and Lyle Were Sexually Abused

Ted Soqui/Sygma via Getty Images

Relatives of Lyle and Erik Menendez spoke in an interview Wednesday about their long-running fears that the brothers had been abused for years before they killed their parents.

After a press conference in which they’d called for the imprisoned siblings’ freedom, the family members told Chris Cuomo on NewsNation about how their suspicions only deepened as time passed.

“Over the years we really did know that there was abuse at gut-level. But as time goes on and we all talked to each other more and more, it validates the fears and the gut-level reactions that we had,” the brothers’ cousin Karen VanderMolen-Copley told Cuomo. “That solidified the knowledge that the sexual abuse actually did occur, because that’s not something you want to believe, and then once you talk to each other it becomes more and more obvious.”

Read more at The Daily Beast.




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Comment on The Shocking Truth About SMA: Why Every Family Should Be Informed by 먹튀검증소

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family

Whoopi Goldberg Endorses Harris Voters Avoiding Holidays with Trump-Supporting Family — 'It Might Not Be the Time to Gather'


Whoopi Goldberg told her co-hosts Tuesday on ABC's "The View" that she agrees with Vice President Kamala Harris voters who want to avoid family members who voted for President-elect Donald Trump during the holidays.

The post Whoopi Goldberg Endorses Harris Voters Avoiding Holidays with Trump-Supporting Family — ‘It Might Not Be the Time to Gather’ appeared first on Breitbart.




family

Netflix announces new Japanese family drama ‘Asura’ helmed by Palme d’Or-winner

The show will premiere in January 2025






family

'We basically lost everything': Bats force Sask. family to abandon house

Rachelle and Kelly Swan bought their house in Spiritwood two years ago. They gave up their keys to the bank voluntarily in May, closing the door on the bat-infested house.  



  • News/Canada/Saskatchewan

family

Shorten family bill triple PM’s

The Opposition Leader, who has three young children, says all his election travel was declared and above board.




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Will Your Family Make You a Better Trial Participant?

It is becoming increasing accepted within the research community that patient engagement leads to a host of positive outcomes – most importantly (at least practically speaking) improved clinical trial recruitment and retention.

But while we can all agree that "patient engagement is good" in a highly general sense, we don't have much consensus on what the implications of that idea might be. There is precious little hard evidence about how to either attract engaged patients, or how we might effectively turn "regular patients" into "engaged patients".

That latter point - that we could improve trial enrollment and completion rates by converting the (very large) pool of less-engaged patient - is a central tenet of the mHealth movement in clinical trials. Since technology can now accompany us almost anywhere, it would seem that we have an unprecedented opportunity to reach out and connect with current and potential trial participants.

However, there are signs that this promised revolution in patient engagement hasn't come about. From the decline of new apps being downloaded to the startlingly high rate of people abandoning their wearable health devices, there's a growing body of evidence suggesting that we aren't in fact making very good progress towards increasing engagement. We appear to have underestimated the inertia of the disengaged patient.

So what can we do? We know people like their technology, but if they're not using it to engage with their healthcare decisions, we're no better off as a result.

Daniel Calvert, in a recent blog post at Parallel 6 offers an intriguing solution: he suggests we go beyond the patient and engage their wider group of loved ones. By engaging what Calvert calls the Support Circle - those people most likely to "encourage the health and well being of that patient as they undergo a difficult period of their life" - trial teams will find themselves with a more supported, and therefore more engaged, participant, with corresponding benefits to enrollment and retention. 

Calvert outlines a number of potential mechanisms to get spouses, children, and other loved ones involved in the trial process:
During the consent process the patient can invite their support team in with them. A mobile application can be put on their phones enabling encouraging messages, emails, and texts to be sent. Loved ones can see if their companion or family member did indeed take today’s medication or make last Monday’s appointment. Gamification offers badges or pop-ups: “Two months of consecutive appointments attended” or “perfect eDiary log!” Loved ones can see those notifications, like/comment, and constantly encourage the patients. 
Supporting materials can also be included in the Support Circle application. There are a host of unknown terms to patients and their team. Glossaries, videos, FAQs, contact now, and so much more can be made available at their fingertips.
I have to admit I'm fascinated by Calvert's idea. I want him to be right: the picture of supportive, encouraging, loving spouses and children standing by to help a patient get through a clinical trial is an attractive one. So is the idea that they're just waiting for us to include them - all we need to do is a bit of digital communication with them to get them fully on board as members of the study team.

The problem, however, remains: we have absolutely no evidence that this approach will work. There is no data showing that it is superior to other approaches to engage trial patients.

(In fact, we may even have some indirect evidence that it may hinder enrollment: in trials that require active caregiver participation, such as those in Alzheimer's Disease, caregivers are believed to often contribute to the barriers to patient enrollment).

Calvert's idea is a good one, and it's worthy of consideration. More importantly, it's worthy of being rigorously tested against other recruitment and retention approaches. We have a lot of cool new technologies, and even more great ideas - we're not lacking for those. What we're lacking is hard data showing us how these things perform. What we especially need is comparative data showing how new tactics work relative to other approaches.

Over 5 years ago, I wrote a blog post bemoaning the sloppy approaches we take in trial recruitment - a fact made all the more painfully ironic by the massive intellectual rigor of the trials themselves. I'm not at all sure that we've made any real progress in those 5 years.

In my next post, I'll outline what I believe are some of the critical steps we need to take to improve the current situation, and start bringing some solid evidence to the table along with our ideas.

[Photo credit: Flikr user Matthew G, "Love (of technology)"]







family

NASA Federal Credit Union Announces New Zero Down, No PMI Family Mortgage - Video OneTitle

Bill White, VP of Real Estate Lending for NASA FCU, speaks to current housing market conditions, as well as the new Family Mortgage and other options from NASA FCU.





family

CREATE A THANKSGIVING FEAST THAT WILL BE SURE TO KEEP THE FAMILY TALKING! - Lifestyle Expert Shares Easy Tricks For Turkey Day!

Lifestyle Expert Shares Easy Tricks For Turkey Day!





family

Trusting Their Plan and Each Other, Family Faces Down Daunting Cost of Care for Son with Special Needs - �Trust� � The Vollmert Family Story

Trust is critical, especially for a person with autism and their family. Meet the Vollmert family and get a sense of how they approach daily life and planning for a financially secure future with their autistic son, Scott. Learn more: http://u.nm.com/1AQBAsN




family

Heathcliff is rather perturbed with a family member.







family

WildBrain's Family Channel Airs Pretty Guardian Sailor Moon Crystal Anime in Canada

Anime airs Mondays through Thursdays at 7:30 p.m. EST




family

Mother bans adult daughter from family Thanksgiving after she refuses to host the event: 'I made it very clear she needed to stay true to her word and if she dumped it on someone else she wouldn't be going to Thanksgiving'

Hosting events is a lot of work; there's a house to be cleaned, food to be prepped, and a lot of general setup that needs to be taken care of. When it's family, it's even more so to do—it's probably a good idea to hide the things your family won't approve of and save yourself the judgment.

Family hosting schedules help to ease the burden of any one person having to host too often, and the reality is that for a member of the family to drop from hosting duties places a disproportionate amount of responsibility on the other members of the family to host additional events.

The problem is this assumes that each member of the family is equally able to host in the first place. The reality is this is never the case. Some people, usually older members of the family, have homes with more space for hosting more people and the space to store the things necessary for hosting a large family. Many of us, particularly in our younger adult years, live in spaces that we'd be horrified to let our family into.




family

Cousin tries to guilt-trip woman into giving up family heirloom their grandma personally left to her in her will, woman refuses but family is divided: ‘She hoped I’d keep it safe’

When a family member we hold near and dear to our hearts passes on to the next life, everything they leave behind holds astronomically more sentimental value—especially those who had special bonds with this family member. We can only hope that this family member can live on in the life they lived with and without us, and the items they pass down to us stick with us for as long as we are here, too.

That's the thing about passing on—this event really makes certain individuals show their true colors. Family members who have been nice to you all of your life now turn sour. Others creep out of the woodwork and assume they were grandma's favorite (which means they get everything she left in the will, despite her last wishes.) It's baffling that some folks use somber life events like this to gain something instead of grieving, going so far as to try and rip family heirlooms away from those who have the legal right to keep them.

The woman in this story is dealing with an entitled cousin who, despite not having a close, personal relationship with their grandmother, automatically assumes she is entitled to a necklace grandma left behind. Their grandmother personally gave the woman this necklace in hopes that she'd "treasure" it, and also wrote it into her will before she left them. Their family is divided, though it doesn't make sense as to why. Going against someone's last wishes in order to "keep the peace" is an entitlement that knows no bounds.




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Stage mom of 16-year-old divorces husband via email, CC's his entire family and friend group: '[He's] unable to adapt to any change'

There's divorce, and then there's burning every bridge you've ever built! This stage mom of a 16-year-old is sharing her story about what happened when she and her husband decided to call it quits via email, and it is a messy story. 

I suppose every divorce is messy in its own way. Some couples face cheating allegations, with one partner losing trust in their spouse. Others realize they're just not compatible anymore, and have different life goals. And of course, it's always more complicated when family is involved, whether that's having a bunch of kids or having parents who live at home (or both). 

It's not like you can totally keep the public out of the loop when you divorce your spouse. You'll have to pack up everything you own and move, sign legal documents, and face big life changes. Still, the way this stage mom went about it had people on the r/AITAH subreddit calling her out for her behavior. Check out the full story below and see if you side with her or her husband. 

Up next, read about these employees who got fired almost as soon as they started the job, like one dude who refused to wear safety gear, telling the supervisor "no" to his face! 




family

Stepsisters hide 18-year-old's passport so she would miss the family vacation and take care of the kids, father retaliates by cancelling the whole trip: 'I was livid'

There is a lot of irresponsible parenting in this story. First, let's start with the stepsisters in question. This is a pair of 25 and 28-year-old single moms who were so reliant on the Redditor's 18-year-old daughter to babysit their kids that they couldn't possibly get a real babysitter to take care of them. So when it came time for a family vacation, the stepsisters tried to convince the Redditor's daughter to stay behind, despite the fact that she wanted to partake in some much-deserved time off as well.

Then, there's the Redditor's wife, who tried to defend her fully-grown daughters for trying to sabotage the 18-year-old's ability to join the family on the trip. These ladies stole her passport, leaving the 18-year-old and her father scrambling just hours before their flight departure. Tension was so high between all the members of the family that the Redditor decided to cancel the entire trip. Looks like his stepdaughters would have to take care of their own kids for a change.

Keep scrolling below for the full story and for the best reactions from folks in the comments section. For more, check out this post about a Thanksgiving meltdown.




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Hospitals Cannot Admit Patients in ICU If They or Family Refuse

bHighlights:/bul class="group-list punch-points"li Refusal by patients or kin restricts ICU entry/li liGuidelines tackle the futility of




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Nurse-Family Partnership Viral Facebook Campaign Gains More Than One Million Users in Only One Day

Nurse-Family Partnership Viral Facebook Campaign Gains More Than One Million Users in Only One Day




family

Family MRSA Risk Rises After Hospital Discharge

Family members of patients recently released from hospitals are at increased risk of contracting the dangerous Methicillin-resistant Staphylococcus aureus




family

Rajinikanth&#039;s Family watches Darbar

The family members of Rajinikanth along with multifaceted talent Raghava Lawrence watched his latest movie Darbar in Rohini Silver Screens.




family

MS Dhoni Takes Family Vacation In Phuket Ahead Of Exciting IPL 2025 Auction

Mahendra Singh Dhoni, the former captain of the Indian cricket team, is currently enjoying a vacation with his family in Phuket, Thailand. Away from the cricketing world, Dhoni is taking some time off to relax. A picture shared on his daughter




family

The Great Indian Family Review: हिंदू- मुस्लिम एकता पर बनी विक्की कौशल की एक औसत फिल्म

निर्देशक- विजय कृष्ण आचर्याकलाकार- विक्की कौशल, मानुषी छिल्लर, कुमुद मिश्रा, मनोज पाहवा, यशपाल शर्मा, सादिया सिद्दीकी, अलका अमीन, सृष्टि दीक्षित और वेदांत सिन्हा "हमें कहां पता होता है कि हमारा जन्म कहां हुआ है, किस घर में, किस




family

Meet woman, whose family was ashamed of her business, later her company was acquired by Mukesh Ambani, she is...

In 2016, she introduced Zivame Studios, creating an omni-channel experience and expanding Zivame's presence into tier 2 and tier 3 cities across India.




family

Women's medicine : Sex, family planning and British female doctors in transnational perspective, 1920-70 [Electronic book] / Caroline Rusterholz.

Manchester : Manchester University Press, [2020]




family

Dynasty Divided : A Family History of Russian and Ukrainian Nationalism [Electronic book] / Fabian Baumann.

Ithaca, NY : Cornell University Press, [2023]




family

Bordering intimacy : Postcolonial governance and the policing of family [Electronic book] / Joe Turner.

Manchester : Manchester University Press, [2020]




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ProteoMutaMetrics: machine learning approaches for solute carrier family 6 mutation pathogenicity prediction

RSC Adv., 2024, 14,13083-13094
DOI: 10.1039/D4RA00748D, Paper
Open Access
  This article is licensed under a Creative Commons Attribution 3.0 Unported Licence.
Jiahui Huang, Tanja Osthushenrich, Aidan MacNamara, Anders Mälarstig, Silvia Brocchetti, Samuel Bradberry, Lia Scarabottolo, Evandro Ferrada, Sergey Sosnin, Daniela Digles, Giulio Superti-Furga, Gerhard F. Ecker
Predict SLC6 mutation clinical pathogenicity by calculating the amino acid descriptors in different ranges with rationalization analysis of the prediction.
The content of this RSS Feed (c) The Royal Society of Chemistry




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Structural determination of fructooligosaccharides and raffinose family oligosaccharides using logically derived sequence tandem mass spectrometry

Analyst, 2024, Advance Article
DOI: 10.1039/D4AN00872C, Paper
Chia Yen Liew, Wun-Long Li, Chi-Kung Ni
Logical procedures for structural determination of fructooligosaccharides and raffinose family oligosaccharides.
To cite this article before page numbers are assigned, use the DOI form of citation above.
The content of this RSS Feed (c) The Royal Society of Chemistry




family

Radiolytic degradation of selective actinide extractants from the bis-1,2,4-triazine family in cyclohexanone solutions

Phys. Chem. Chem. Phys., 2024, Advance Article
DOI: 10.1039/D4CP02623C, Paper
Adrian Sulich, Jan Grodkowski, Krzysztof Bobrowski
Absorption spectra of transients derived from bis-1,2,4-triazine ligands in cyclohexanone solutions mimicking the extraction system studied by pulse radiolysis. The addition of benzophenone and saturation by O2 protect ligands from radiation damage.
To cite this article before page numbers are assigned, use the DOI form of citation above.
The content of this RSS Feed (c) The Royal Society of Chemistry