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Acute aortic dissection is a rare, life-threatening condition. Clinical manifestations generally include the acute onset of severe chest or back pain. Aortic dissection presenting with signs and symptoms of acute spinal cord damage is the most severe complication and is particularly rare. This paper reports a case of aortic dissection in a 50-year-old man with a 10-year history of hypertension manifesting as acute spinal cord damage (bilateral lower extremity weakness and loss of all types of sensation), acute skeletal muscle ischaemic necrosis with increased levels of creatine kinase, and acute kidney failure with increased levels of serum creatinine and decreased glomerular filtration rate. The patient refused surgical treatment. His clinical condition progressively worsened and he died 3 days later. This case indicates the importance of considering aortic dissection in patients presenting with acute spinal cord damage, acute skeletal muscle necrosis or acute kidney failure, which may allow early diagnosis and reduce the mortality rate.

Choroideremia (CHM) is a chorioretinal degeneration with an X-linked pattern of inheritance. Affected males experience progressive atrophy of the choroid, retinal pigment epithelium and retina leading to eventual blindness. The CHM gene encodes Rab escort protein 1 (REP-1). REP-1 is involved in trafficking of Rab proteins in the cell. To date, the majority of reported mutations in the CHM gene cause a complete loss of REP-1 function. Here we report pathogenic mutations: a novel missense mutation, L550P; a truncation c.1542T>A, STOP; and two deletions (c.525_526delAG and c.1646delC) in the CHM gene and their phenotypic effect. To analyze the effect of mutations, the 3D structure of human REP-1 and the proteins associated with REP-1 function were modeled using sequence homology with rat proteins. In silico analysis of the missense mutation L550P suggests that the proline residue at position 550 destabilizes the β-structural elements, and the REP-1 tertiary structure. Truncation and deletion mutants are associated with a partial or total loss of the REP-1 essential activity and protein–protein interactions as predicted by the analysis of the structure and stability of these protein products. The presumptive loss of protein was confirmed by Western Blot analysis of protein from mononuclear cells and fibroblasts (FB) from CHM patients.

Shikimic acid is used as a precursor for the synthesis of oseltamivir phosphate (Tamiflu®), which is used as an anti‐viral for the H5N1 strain. As concern for this virus increases, demand for medicinal products capable of treating it increases, while shikimic acid resources remain limited. In this study, for the first time shikimic acid is extracted from pine needles using water at relatively low temperature. After the subsequent evaporation, column adsorption/desorption and crystallization processes, shikimic acid crystals with a purity of over 98 % are obtained. A total recovery of approximately 85 % is reached, with the highlights of the method being simplicity, low cost and industrial practicality.

In this letter, we present a new method to synthesize titania nanofibers with nanocrystallites via a sol−gel route in supercritical CO2. The nanofibers were formed by the esterification and condensation of titanium alkoxides using acetic acid as the polymerization agent in supercritical CO2 from 40 to 70 °C and 2500 to 8000 psia. The TiO2 nanofiber morphology was characterized by means of SEM and HRTEM, which indicated that the diameters ranged from 9 to 100 nm. N2 physisorption, and powder XRD showed that the nanofibers exhibited relatively high surface areas up to 400 m²/g and anatase and/or rutile nanocrystallites were formed after calcination.