Ideological narrative in modern American political discourse

The discourse of American politicians like any other political figures prominently features a narrative - a system of interconnected stories that transition from one into another from speech to speech. The ideological narrative in political discourse plays an important part in myth creation in supporting the concept of Exceptional Americ

New national and regional bryophyte records, 67

[Abstract Not Available

Phosphodiesterase type 5 and high altitude pulmonary hypertension

Methods: 689 subjects (313 men) of mean (SD) age 44 (0.6) years living above 2500 m were screened for HAPH by medical examination and electrocardiography, and 188 (27%) met the criteria for right ventricular hypertrophy. 44 underwent cardiac catheterisation and 29 (66%) had a resting mean pulmonary artery pressure (PAP) above 25 mm Hg. 22 patients with a raised mean PAP were randomised to receive sildenafil (25 or 100 mg) or matching placebo taken 8 hourly for 12 weeks. Results: At 3 months, patients on sildenafil 25 mg 8 hourly (n = 9) had a significantly (p = 0.018) lower mean PAP (–6.9 mm Hg) at the end of the dosing interval than those on placebo (n = 8) (95% CI –12.4 to –1.3). The treatment effect for sildenafil 100 mg 8 hourly (n = 5) compared with placebo was –6.4 mm Hg (95% CI –12.9 to 0.1). Both doses improved 6 minute walk distance, the lower dose by 45.4 m (95% CI 11.5 to 79.4; p = 0.011) and the higher dose by 40.0 m (95% CI 0.2 to 79.8; p = 0.049). Sildenafil was well tolerated. Necroscopic lung specimens from three subjects with HAPH showed abundant PDE5 in the muscular coat of remodelled pulmonary arterioles. Conclusions: PDE5 is an attractive drug target for the treatment of HAPH and a larger study of the long term effects of PDE5 inhibition in HAPH is warranted

Direct Regioselective Dehydrogenation of α-Substituted Cyclic Ketones

We disclose a highly regioselective, catalytic one-step dehydrogenation of α-substituted cyclic ketones in the presence of 2,3-dichlorobenzo-5,6-dicyano-1,4-benzoquinone (DDQ). The high regioselectivity originates from a phosphoric acid-catalyzed enolization, selectively affording the thermodynamically preferred enol, followed by the subsequent oxidation event. Our method provides reliable access to several α-aryl and α-alkyl substituted α,β-unsaturated ketones