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Prior to 1917, Turkey used the lunar Islamic calendar with the Hijri era for general purposes and the Julian calendar for fiscal purposes. The start of the fiscal year was eventually fixed at 1 March and the year number was roughly equivalent to the Hijri year (see Rumi calendar). As the solar year is longer than the l...
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This section always places the intercalary day on even though it was always obtained by doubling (the (twice sixth) or bissextile day) until the late Middle Ages. The Gregorian calendar is proleptic before 1582 (calculated backwards on the same basis, for years before 1582), and the difference between Gregorian and Jul...
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The following equation gives the number of days (actually, dates) that the Gregorian calendar is ahead of the Julian calendar, called the "secular difference" between the two calendars. A negative difference means the Julian calendar is ahead of the Gregorian calendar.
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where formula_2 is the secular difference and formula_3 is the year using astronomical year numbering, that is, use for BC years. formula_4 means that if the result of the division is not an integer it is rounded down to the nearest integer. Thus during the 1900s, 1900/400 = 4, while during the −500s, −500/400 = −2.
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Up to 28 February in the calendar being converted , add one day less or subtract one day more than the calculated value. Give February the appropriate number of days for the calendar being converted . When subtracting days to calculate the Gregorian equivalent of 29 February (Julian), 29 February is discounted. Thus if...
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The year used in dates during the Roman Republic and the Roman Empire was the consular year, which began on the day when consuls first entered office—probably 1 May before 222 BC, 15 March from 222 BC and 1 January from 153 BC. The Julian calendar, which began in 45|BC}}, continued to use 1 January as the first day of ...
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During the Middle Ages, under the influence of the Catholic Church, many Western European countries moved the start of the year to one of several important Christian festivals—25 December (Christmas), 25 March (Annunciation), or Easter (France), while the Byzantine Empire began its year on 1 September and Russia did so...
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In common usage, 1 January was regarded as New Year's Day and celebrated as such, but from the 12th century until 1751 the legal year in England began on 25 March (Lady Day). So, for example, the Parliamentary record lists the execution of Charles I on 30 January as occurring in 1648 (as the year did not end until 24 M...
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Most Western European countries changed the start of the year to 1 January before they adopted the Gregorian calendar. For example, Scotland changed the start of the Scottish New Year to 1 January in 1600 (this means that 1599 was a short year). England, Ireland and the British colonies changed the start of the year to...
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In some countries, an official decree or law specified that the start of the year should be 1 January. For such countries, a specific year when a 1 January-year became the norm can be identified. In other countries, the customs varied, and the start of the year moved back and forth as fashion and influence from other c...
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Neither the papal bull nor its attached canons explicitly fix such a date, though it is implied by two tables of saint's days, one labelled 1582 which ends on 31 December, and another for any full year that begins on 1 January. It also specifies its epact relative to 1 January, in contrast with the Julian calendar, whi...
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During the period between 1582, when the first countries adopted the Gregorian calendar, and 1923, when the last European country adopted it, it was often necessary to indicate the date of some event in both the Julian calendar and in the Gregorian calendar, for example, "10/21 February 1750/51", where the dual year ac...
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"Old Style" (O.S.) and "New Style" (N.S.) indicate dating systems before and after a calendar change, respectively. Usually, this is the change from the Julian calendar to the Gregorian calendar as enacted in various European countries between 1582 and the early 20th century.
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In England, Wales, Ireland and Britain's American colonies, there were two calendar changes, both in 1752. The first adjusted the start of a new year from Lady Day (25 March) to 1 January (which Scotland had done from 1600), while the second discarded the Julian calendar in favour of the Gregorian calendar, removing 11...
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For countries such as Russia where no start of year adjustment took place, O.S. and N.S. simply indicate the Julian and Gregorian dating systems. Many Eastern Orthodox countries continue to use the older Julian calendar for religious purposes.
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Extending the Gregorian calendar backwards to dates preceding its official introduction produces a proleptic calendar, which should be used with some caution. For ordinary purposes, the dates of events occurring prior to 15 October 1582 are generally shown as they appeared in the Julian calendar, with the year starting...
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Usually, the mapping of new dates onto old dates with a start of year adjustment works well with little confusion for events that happened before the introduction of the Gregorian calendar. But for the period between the first introduction of the Gregorian calendar on 15 October 1582 and its introduction in Britain on ...
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Events in continental western Europe are usually reported in English language histories as happening under the Gregorian calendar. For example, the Battle of Blenheim is always given as 13 August 1704. Confusion occurs when an event affects both. For example, William III of England set sail from the Netherlands on 11 N...
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Shakespeare and Cervantes seemingly died on exactly the same date (23 April 1616), but Cervantes predeceased Shakespeare by ten days in real time (as Spain used the Gregorian calendar, but Britain used the Julian calendar). This coincidence encouraged UNESCO to make 23 April the World Book and Copyright Day.
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For dates before the year 1, unlike the proleptic Gregorian calendar used in the international standard ISO 8601, the traditional proleptic Gregorian calendar (like the Julian calendar) does not have a year 0 and instead uses the ordinal numbers 1, 2, ... both for years AD and BC. Thus the traditional time line is 2 BC...
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The Gregorian calendar continued to employ the Julian months, which have Latinate names and irregular numbers of days:
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Europeans sometimes attempt to remember the number of days in each month by memorizing some form of the traditional verse "Thirty Days Hath September". It appears in Latin, Italian, French and Portuguese, and belongs to a broad oral tradition but the earliest currently attested form of the poem is the English marginali...
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Variations appeared in "Mother Goose" and continue to be taught at schools. The unhelpfulness of such involved mnemonics has been parodied as "Thirty days hath September/ But all the rest I can't remember" but it has also been called "probably the only sixteenth-century poem most ordinary citizens know by heart". A com...
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In conjunction with the system of months, there is a system of weeks. A physical or electronic calendar provides conversion from a given date to the weekday and shows multiple dates for a given weekday and month. Calculating the day of the week is not very simple, because of the irregularities in the Gregorian system. ...
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Opinions vary about the numbering of the days of the week. ISO 8601, in common use worldwide, starts with Monday=1; printed monthly calendar grids often list Mondays in the first (left) column of dates and Sundays in the last. In North America, the week typically begins on Sunday and ends on Saturday.
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The Gregorian calendar improves the approximation made by the Julian calendar by skipping three Julian leap days in every 400 years, giving an average year of 365.2425 mean solar days long. This approximation has an error of about one day per 3,030 years with respect to the current value of the mean tropical year. Howe...
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In the 19th century, Sir John Herschel proposed a modification to the Gregorian calendar with 969 leap days every 4000 years, instead of 970 leap days that the Gregorian calendar would insert over the same period. This would reduce the average year to 365.24225 days. Herschel's proposal would make the year 4000, and mu...
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On time scales of thousands of years, the Gregorian calendar falls behind the astronomical seasons. This is because the Earth's speed of rotation is gradually slowing down, which makes each day slightly longer over time (see tidal acceleration and leap second) while the year maintains a more uniform duration.
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Each point is the date and time of the June solstice in that particular year. The error shifts by about a quarter of a day per year. Centurial years are ordinary years, unless they are divisible by 400, in which case they are leap years. This causes a correction in the years 1700, 1800, 1900, 2100, 2200, and 2300.
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For instance, these corrections cause 23 December 1903 to be the latest December solstice, and 20 December 2096 to be the earliest solstice—about 2.35 days of variation compared with the astronomical event.
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Marfan syndrome (MFS) is a multi-systemic genetic disorder that affects the connective tissue. Those with the condition tend to be tall and thin, with long arms, legs, fingers, and toes. They also typically have exceptionally flexible joints and abnormally curved spines. The most serious complications involve the heart...
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MFS is caused by a mutation in "FBN1", one of the genes that makes fibrillin, which results in abnormal connective tissue. It is an autosomal dominant disorder. In about 75% of cases, it is inherited from a parent with the condition, while in about 25% it is a new mutation. Diagnosis is often based on the Ghent criteri...
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There is no known cure for MFS. Many of those with the disorder have a normal life expectancy with proper treatment. Management often includes the use of beta blockers such as propranolol or atenolol or, if they are not tolerated, calcium channel blockers or ACE inhibitors. Surgery may be required to repair the aorta o...
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About 1 in 5,000 to 1 in 10,000 people have MFS. Rates of the condition are similar in different regions of the world. It is named after French pediatrician Antoine Marfan, who first described it in 1896.
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More than 30 signs and symptoms are variably associated with Marfan syndrome. The most prominent of these affect the skeletal, cardiovascular, and ocular systems, but all fibrous connective tissue throughout the body can be affected.
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Most of the readily visible signs are associated with the skeletal system. Many individuals with Marfan syndrome grow to above-average height, and some have disproportionately long, slender limbs with thin, weak wrists and long fingers and toes.
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The Steinberg sign, also known as the thumb sign, is one of the clinical examination tests for Marfan disease in the hands. It is a clinical test in which the tip of the thumb extends beyond the palm when the thumb is clasped in the clenched hand.
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Besides affecting height and limb proportions, people with Marfan syndrome may have abnormal lateral curvature of the spine scoliosis, thoracic lordosis, abnormal indentation ("pectus excavatum") or protrusion ("pectus carinatum") of the sternum, abnormal joint flexibility, a high-arched palate with crowded teeth and a...
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In Marfan syndrome, the health of the eye can be affected in many ways, but the principal change is partial lens dislocation, where the lens is shifted out of its normal position. This occurs because of weakness in the ciliary zonules, the connective tissue strands which suspend the lens within the eye. The mutations r...
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Other signs and symptoms affecting the eye include increased length along an axis of the globe, myopia, corneal flatness, strabismus, exotropia, and esotropia. Those with MFS are also at a high risk for early glaucoma and early cataracts.
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The most serious signs and symptoms associated with Marfan syndrome involve the cardiovascular system: undue fatigue, shortness of breath, heart palpitations, racing heartbeats, or chest pain radiating to the back, shoulder, or arm. Cold arms, hands, and feet can also be linked to MFS because of inadequate circulation....
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Because underlying connective tissue abnormalities cause MFS, the incidence of dehiscence of prosthetic mitral valve is increased. Care should be taken to attempt repair of damaged heart valves rather than replacement.
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Individuals with Marfan Syndrome may be affected by various lung-related problems. One study found that only 37% of the patient sample studied (mean age 32±14 years; M 45%) had normal lung function. Spontaneous pneumothorax is common. In spontaneous unilateral pneumothorax, air escapes from a lung and occupies the pleu...
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Dural ectasia, the weakening of the connective tissue of the dural sac encasing the spinal cord, can result in a loss of quality of life. It can be present for a long time without producing any noticeable symptoms. Symptoms that can occur are lower back pain, leg pain, abdominal pain, other neurological symptoms in the...
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Each parent with the condition has a 50% risk of passing the genetic defect on to any child due to its autosomal dominant nature. Most individuals with MFS have another affected family member. About 75% of cases are inherited. On the other hand, about 15–30% of all cases are due to "de novo" genetic mutations; such spo...
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Marfan syndrome is caused by mutations in the "FBN1" gene on chromosome 15, which encodes fibrillin 1, a glycoprotein component of the extracellular matrix. Fibrillin-1 is essential for the proper formation of the extracellular matrix, including the biogenesis and maintenance of elastic fibers. The extracellular matrix...
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A transgenic mouse has been created carrying a single copy of a mutant fibrillin-1, a mutation similar to that found in the human gene known to cause MFS. This mouse strain recapitulates many of the features of the human disease and promises to provide insights into the pathogenesis of the disease. Reducing the level o...
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Transforming growth factor beta (TGF-β) plays an important role in MFS. Fibrillin-1 directly binds a latent form of TGF-β, keeping it sequestered and unable to exert its biological activity. The simplest model suggests reduced levels of fibrillin-1 allow TGF-β levels to rise due to inadequate sequestration. Although ho...
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Marfanoid–progeroid–lipodystrophy syndrome (MPL), also referred to as Marfan lipodystrophy syndrome (MFLS), is a variant of MFS in which Marfan symptoms are accompanied by features usually associated with neonatal progeroid syndrome (also referred to as Wiedemann–Rautenstrauch syndrome) in which the levels of white adi...
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Diagnostic criteria of MFS were agreed upon internationally in 1996. However, Marfan syndrome is often difficult to diagnose in children, as they typically do not show symptoms until reaching pubescence. A diagnosis is based on family history and a combination of major and minor indicators of the disorder, rare in the ...
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In 2010, the Ghent nosology was revised, and new diagnostic criteria superseded the previous agreement made in 1996. The seven new criteria can lead to a diagnosis:
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The thumb sign (Steinberg's sign) is elicited by asking the person to flex the thumb as far as possible and then close the fingers over it. A positive thumb sign is where the entire distal phalanx is visible beyond the ulnar border of the hand, caused by a combination of hypermobility of the thumb as well as a thumb wh...
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The wrist sign (Walker-Murdoch sign) is elicited by asking the person to curl the thumb and fingers of one hand around the other wrist. A positive wrist sign is where the little finger and the thumb overlap, caused by a combination of thin wrists and long fingers.
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Many other disorders can produce the same type of body characteristics as Marfan syndrome. Genetic testing and evaluating other signs and symptoms can help to differentiate these. The following are some of the disorders that can manifest as "marfanoid":
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There is no cure for Marfan syndrome, but life expectancy has increased significantly over the last few decades and is now similar to that of the average person.
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Regular checkups are recommended to monitor the health of the heart valves and the aorta. Marfan syndrome is treated by addressing each issue as it arises and, in particular, preventive medication even for young children to slow progression of aortic dilation. The goal of this treatment strategy is to slow the progress...
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The American Heart Association made the following recommendations for people with Marfan syndrome with no or mild aortic dilation:
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Management often includes the use of beta blockers such as propranolol or if not tolerated calcium channel blockers or ACE inhibitors. Beta blockers are used to reduce the stress exerted on the aorta and to decrease aortic dilation.
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If the dilation of the aorta progresses to a significant-diameter aneurysm, causes a dissection or a rupture, or leads to failure of the aortic or other valve, then surgery (possibly a composite aortic valve graft or valve-sparing aortic root replacement) becomes necessary. Although aortic graft surgery (or any vascula...
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The skeletal and ocular manifestations of Marfan syndrome can also be serious, although not life-threatening. These symptoms are usually treated in an appropriate manner for the condition, such as with pain medications or muscle relaxants. Because Marfan syndrome may cause asymptomatic spinal abnormalities, any spinal ...
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Treatment of a spontaneous pneumothorax is dependent on the volume of air in the pleural space and the natural progression of the individual's condition. A small pneumothorax might resolve without active treatment in one to two weeks. Recurrent pneumothoraces might require chest surgery. Moderately sized pneumothoraces...
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As an alternative approach, custom-built supports for the aortic root are also being used. As of 2020 this procedure has been used in over 300 people with the first case occurring in 2004.
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During pregnancy, even in the absence of preconception cardiovascular abnormality, women with Marfan syndrome are at significant risk of aortic dissection, which is often fatal even when rapidly treated. Women with Marfan syndrome, then, should receive a thorough assessment prior to conception, and echocardiography sho...
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Prenatal testing can be performed in females with Marfan syndrome to determine if the condition has been inherited in their child. At 10 to 12 weeks of pregnancy, examining a piece of placental tissue through a test called chorionic villus sampling can be performed to make a diagnosis. Another prenatal test can be perf...
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Marfan syndrome is expressed dominantly. This means a child with one parent a bearer of the gene has a 50% probability of getting the syndrome. In 1996, the first preimplantation genetic testing (PGT) therapy for Marfan was conducted; in essence PGT means conducting a genetic test on early-stage IVF embryo cells and di...
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Prior to modern cardiovascular surgical techniques and medications such as losartan, and metoprolol, the prognosis of those with Marfan syndrome was not good: a range of untreatable cardiovascular issues was common. Lifespan was reduced by at least a third, and many died in their teens and twenties due to cardiovascula...
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Marfan syndrome affects males and females equally, and the mutation shows no ethnic or geographical bias. Estimates indicate about 1 in 5,000 to 10,000 individuals have Marfan syndrome.
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Marfan syndrome is named after Antoine Marfan, the French pediatrician who first described the condition in 1896 after noticing striking features in a five-year-old girl. The gene linked to the disease was first identified by Francesco Ramirez at the Mount Sinai Medical Center in New York City in 1991.
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In addition the following historical figures and celebrities often appear on lists of people with Marfan syndrome, but from case to case the evidence is speculative, questionable, or even refuted.
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Ethanol (abbr. EtOH; also called ethyl alcohol, grain alcohol, drinking alcohol, or simply alcohol) is an organic compound. It is an alcohol with the chemical formula . Its formula can be also written as or (an ethyl group linked to a hydroxyl group). Ethanol is a volatile, flammable, colorless liquid with a characteri...
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Ethanol is naturally produced by the fermentation process of sugars by yeasts or via petrochemical processes such as ethylene hydration. It has medical applications as an antiseptic and disinfectant. It is used as a chemical solvent and in the synthesis of organic compounds, and as a fuel source. Ethanol also can be de...
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"Ethanol" is the systematic name defined by the International Union of Pure and Applied Chemistry for a compound consisting of an alkyl group with two carbon atoms (prefix "eth-"), having a single bond between them (infix "-an-") and an attached functional group −OH group (suffix "-ol").
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The "eth-" prefix and the qualifier "ethyl" in "ethyl alcohol" originally come from the name "ethyl" assigned in 1834 to the group − by Justus Liebig. He coined the word from the German name "Aether" of the compound −O− (commonly called "ether" in English, more specifically called "diethyl ether"). According to the "Ox...
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The name "ethanol" was coined as a result of a resolution on naming alcohols and phenols that was adopted at the International Conference on Chemical Nomenclature that was held in April 1892 in Geneva, Switzerland.
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The term "alcohol" now refers to a wider class of substances in chemistry nomenclature, but in common parlance it remains the name of ethanol. It is a medieval loan from Arabic "al-kuḥl", a powdered ore of antimony used since antiquity as a cosmetic, and retained that meaning in Middle Latin. The use of 'alcohol' for e...
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Ethanol is used in medical wipes and most commonly in antibacterial hand sanitizer gels as an antiseptic for its bactericidal and anti-fungal effects. Ethanol kills microorganisms by dissolving their membrane lipid bilayer and denaturing their proteins, and is effective against most bacteria, fungi and viruses. However...
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Ethanol may be administered as an antidote to ethylene glycol poisoning and methanol poisoning. Ethanol serves this process by acting as a competitive inhibitor against methanol and ethylene glycol for alcohol dehydrogenase. Though it has more side effects, ethanol is less expensive and more readily available than fome...
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Ethanol, often in high concentrations, is used to dissolve many water-insoluble medications and related compounds. Liquid preparations of pain medications, cough and cold medicines, and mouth washes, for example, may contain up to 25% ethanol and may need to be avoided in individuals with adverse reactions to ethanol s...
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In mammals, ethanol is primarily metabolized in the liver and stomach by alcohol dehydrogenase (ADH) enzymes. These enzymes catalyze the oxidation of ethanol into acetaldehyde (ethanal):
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When present in significant concentrations, this metabolism of ethanol is additionally aided by the cytochrome P450 enzyme CYP2E1 in humans, while trace amounts are also metabolized by catalase.
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The resulting intermediate, acetaldehyde, is a known carcinogen, and poses significantly greater toxicity in humans than ethanol itself. Many of the symptoms typically associated with alcohol intoxication—as well as many of the health hazards typically associated with the long-term consumption of ethanol—can be attribu...
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The subsequent oxidation of acetaldehyde into acetate is performed by aldehyde dehydrogenase (ALDH) enzymes. A mutation in the ALDH2 gene that encodes for an inactive or dysfunctional form of this enzyme affects roughly 50% of east Asian populations, contributing to the characteristic alcohol flush reaction that can ca...
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As a central nervous system depressant, ethanol is one of the most commonly consumed psychoactive drugs.
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Despite alcohol's psychoactive and carcinogenic properties, it is readily available and legal for sale in most countries. However, there are laws regulating the sale, exportation/importation, taxation, manufacturing, consumption, and possession of alcoholic beverages. The most common regulation is prohibition for minor...
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The largest single use of ethanol is as an engine fuel and fuel additive. Brazil in particular relies heavily upon the use of ethanol as an engine fuel, due in part to its role as one of the world's leading producers of ethanol. Gasoline sold in Brazil contains at least 25% anhydrous ethanol. Hydrous ethanol (about 95%...
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The US and many other countries primarily use E10 (10% ethanol, sometimes known as gasohol) and E85 (85% ethanol) ethanol/gasoline mixtures. Over time, it is believed that a material portion of the ≈ per year market for gasoline will begin to be replaced with fuel ethanol.
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Australian law limits the use of pure ethanol from sugarcane waste to 10% in automobiles. Older cars (and vintage cars designed to use a slower burning fuel) should have the engine valves upgraded or replaced.
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According to an industry advocacy group, ethanol as a fuel reduces harmful tailpipe emissions of carbon monoxide, particulate matter, oxides of nitrogen, and other ozone-forming pollutants. Argonne National Laboratory analyzed greenhouse gas emissions of many different engine and fuel combinations, and found that biodi...
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Ethanol combustion in an internal combustion engine yields many of the products of incomplete combustion produced by gasoline and significantly larger amounts of formaldehyde and related species such as acetaldehyde. This leads to a significantly larger photochemical reactivity and more ground level ozone. This data ha...
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More than 20% of Brazilian cars are able to use 100% ethanol as fuel, which includes ethanol-only engines and flex-fuel engines. Flex-fuel engines in Brazil are able to work with all ethanol, all gasoline or any mixture of both. In the U.S. flex-fuel vehicles can run on 0% to 85% ethanol (15% gasoline) since higher eth...
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Ethanol's high miscibility with water makes it unsuitable for shipping through modern pipelines like liquid hydrocarbons. Mechanics have seen increased cases of damage to small engines (in particular, the carburetor) and attribute the damage to the increased water retention by ethanol in fuel.
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Ethanol was commonly used as fuel in early bipropellant rocket (liquid-propelled) vehicles, in conjunction with an oxidizer such as liquid oxygen. The German A-4 ballistic rocket of World War II (better known by its propaganda name ), which is credited as having begun the space age, used ethanol as the main constituent...
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Commercial fuel cells operate on reformed natural gas, hydrogen or methanol. Ethanol is an attractive alternative due to its wide availability, low cost, high purity and low toxicity. There is a wide range of fuel cell concepts that have entered trials including direct-ethanol fuel cells, auto-thermal reforming systems...
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Ethanol fireplaces can be used for home heating or for decoration. Ethanol can also be used as stove fuel for cooking.
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Ethanol is an important industrial ingredient. It has widespread use as a precursor for other organic compounds such as ethyl halides, ethyl esters, diethyl ether, acetic acid, and ethyl amines.
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Ethanol is considered a universal solvent, as its molecular structure allows for the dissolving of both polar, hydrophilic and nonpolar, hydrophobic compounds. As ethanol also has a low boiling point, it is easy to remove from a solution that has been used to dissolve other compounds, making it a popular extracting age...
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Ethanol is found in paints, tinctures, markers, and personal care products such as mouthwashes, perfumes and deodorants. However, polysaccharides precipitate from aqueous solution in the presence of alcohol, and ethanol precipitation is used for this reason in the purification of DNA and RNA.
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Because of its low freezing point of and low toxicity, ethanol is sometimes used in laboratories (with dry ice or other coolants) as a cooling bath to keep vessels at temperatures below the freezing point of water. For the same reason, it is also used as the active fluid in alcohol thermometers.
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Ethanol is a 2-carbon alcohol. Its molecular formula is CHCHOH. An alternative notation is CH−CH−OH, which indicates that the carbon of a methyl group (CH−) is attached to the carbon of a methylene group (−CH–), which is attached to the oxygen of a hydroxyl group (−OH). It is a constitutional isomer of dimethyl ether. ...
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Ethanol is a volatile, colorless liquid that has a slight odor. It burns with a smokeless blue flame that is not always visible in normal light. The physical properties of ethanol stem primarily from the presence of its hydroxyl group and the shortness of its carbon chain. Ethanol's hydroxyl group is able to participat...
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