El Complejo Hidroeléctrico Río Grande – Arroyo Corto se encuentra en la Localidad de Amboy, en el Valle de Calamuchita, a 116 km. de la Ciudad de Córdoba Capital, accediendo por Ruta Provincial N 5.
Esta monumental obra de ingeniería hidráulica es una de las más importantes de la Provincia de Córdoba. Pertenece al sistema de Rio Tercero y se ubica sobre el curso del Rio Grande.
Su rasgo más característico es la generación de energía a través de la central de bombeo en caverna, única en su tipo en el país. Esta central en caverna está ubicada a 218 m. por debajo del coronamiento de las presas, en las profundidades del Cerro Pelado. Sus dimensiones son de 105 m. de longitud, 27 m. de ancho y 50 m. de altura, albergando en su interior a 4 turbinas-bombas que totalizan una potencia instalada 750 MW.
A la caverna se accede a través de un túnel carretero excavado en roca, de 1800 m. de longitud. El espejo de agua abarca una superficie de 1250 has., con una capacidad 370 Hm3. Los objetivos de la represa son: generación eléctrica, aprovechando un salto de 180 m.; regulación de caudales y atenuación de crecidas; abastecer de agua potable a una población de 350.000 habitantes; proveer de riego al área del Río Tercero. Cabe destacar también que está central, por las características tan particulares que posee, se ha convertido en un gran atractivo turístico para la región.
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Waltz No. 9 in A Flat Major, Op. 69, No. 1, "L'adieu"
Saudade No. 3, "Lembranca do Senhor do Bonfim da"
Award-winning British classical guitarist Alison Smith released her debut album Recuerdos in 2008 to great acclaim, her fluid technique and expressive playing establishing herself as one of the most exciting and lyrical guitarists to emerge in recent years. Dedicated to Alison's late mother, Recuerdos ("memories") is a delightful collection of original and transcribed works for the classical guitar, an exciting musical journey from the Classical and Romantic periods through to the colours and rhythms of Spain, Japan and Latin America.


text:
Bacille Calmette–Guerin lymphadenitis in infants: A lesser known entity – Report of two cases
T Santosh, Kanchan Kothari, Roshni Patil, Akash Kiran Jogi
Department of Pathology, Seth GSMC and KEMH, Mumbai, Maharashtra, India
Date of Submission 01-Jan-2018
Date of Decision 02-Mar-2018
Date of Acceptance 29-May-2018
Dr. T Santosh
Department of Pathology, Seth GSMC and KEMH, Parel, Mumbai - 400 012, Maharashtra
DOI: 10.4103/jmedsci.jmedsci_1_18
Bacille Calmette–Guerin (BCG) vaccine containing live-attenuated Mycobacterium bovis was first used in humans to prevent tuberculosis (TB) in 1921. Intradermal BCG vaccine gives rise to classic primary complex that consists of a cutaneous nodule at the site of injection and subclinical involvement of the regional lymph nodes, which is self-limiting and requires no treatment. BCG lymphadenitis is the most common complication of BCG vaccination. Fine-needle aspiration is the rapid, safe, and cost-effective method for diagnosis as well as the management of BCG lymphadenitis. Awareness of this lesser known entity is important to prevent misdiagnosis. We report two cases of 2½ month and 6-month healthy male infants with left axillary lymphadenopathy following BCG vaccination. Fine-needle aspiration from both the cases revealed features of necrotizing granulomatous lymphadenitis with Ziehl-Neelsen stain for acid-fast bacilli being positive in 2nd case. Ipsilateral regional lymph node enlargement following BCG vaccination is considered as the most common complication, some progress to suppuration. Very rarely disseminated BCG infection may develop in immune-compromised individuals, resulting in a devastating outcome. Variable strategies have been applied in treating lymphadenitis related to BCG vaccine in the past decade, ranging from observation, antimycobacterial therapy, aspiration, incision, and drainage to lymph node surgical excision.
Keywords: Bacille Calmette–Guerin, fine-needle aspiration, lymphadenitis, Ziehl-Neelsen stain, infants
Santosh T, Kothari K, Patil R, Jogi AK. Bacille Calmette–Guerin lymphadenitis in infants: A lesser known entity – Report of two cases. J Med Sci 2018;38:239-43
Santosh T, Kothari K, Patil R, Jogi AK. Bacille Calmette–Guerin lymphadenitis in infants: A lesser known entity – Report of two cases. J Med Sci [serial online] 2018 [cited 2022 Jan 20];38:239-43. Available from: https://www.jmedscindmc.com/text.asp?2018/38/5/239/241019
The Bacille Calmette–Guerin (BCG) vaccine is a live-attenuated vaccine with residual virulence. After the first introduction of BCG vaccine in 1921, it was incorporated in expanded program of immunization in 1974 by the World Health Organization to decrease the serious complications and mortality of tuberculous infection.[1] In India, BCG is routinely administered intradermal at left deltoid region to newborns under National Immunization Program. Although BCG is a safe and widely accepted vaccine, it sometimes causes local adverse reaction such as regional lymphadenitis, local abscess formation, osteomyelitis, and rarely disseminated mycobacterial infection.[2]
BCG-induced lymphadenitis is the most common complication of BCG vaccination. Fine-needle aspiration (FNA) being a rapid minimally invasive test can help in proper diagnosis and the patient can be observed/managed appropriately rather than treated with antitubercular medication.[3] We hereby report two cases of BCG lymphadenitis in young infants.
A 6-month-old male child presented with swelling over left axillary region for 3 weeks. On examination, he had a swelling of size 2 × 2 cm with overlying skin being slightly reddish. No other lymphadenopathy or hepatosplenomegaly was noted. No family history or TB contact history was present. Ultrasonography showed a hypoechoic lesion of 4 × 4 × 2 cm with no internal vascularity, possibly intramuscular hematoma/abscess. The patient had been given BCG vaccination on D2 of life, and there was no significant lesion in the left deltoid region currently [Figure 1]. FNA from the swelling was done.
Figure 1: (a) Well-defined swelling over left axilla measuring 2 cm × 2 cm (arrow); (b) previous scar mark of Bacille Calmette–Guerin vaccination site (star); (c-f) cytosmears showed abundant thick necrosis, many neutrophils, lymphocytes, along with numerous epithelioid cell granulomas, histiocytic aggregates, and granulation tissue fragments (toluidine blue, Giemsa, Pap, ×400)
A 2½ month male child presented with complaints of left axillary swelling for 1 month. On examination, he had a swelling of 2 × 1.5 cm with overlying skin being unremarkable. No family history or TB contact history was present. Chest X-ray showed an isodense lesion in left axillary region with no lung involvement. Systemic examination was normal. He had a history of BCG vaccination in left arm on D2 of life. No other significant complaints were noted [Figure 1]. FNA of the swelling was advised.
Non-guided FNA of the swelling in both the cases was done using 23g needle and aspirate of 1 ml and 1.5 ml pus-like material following which the swelling slightly subsided. Sample was taken for toluidine blue, Giemsa, Pap, and Ziehl–Neelsen (ZN) stains. Cytosmears were adequate with abundant thick necrosis, many neutrophils, lymphocytes, histiocytes, and degenerating cells seen. There were numerous epithelioid cell granulomas, histiocytic aggregates, and granulation tissue fragments [Figure 1] and [Figure 2]. ZN stain for acid-fast bacilli was positive in 2nd case. Final report in both the cases was given as necrotizing granulomatous lymphadenitis; morphology compatible with BCG lymphadenitis. In both the cases, the parents sputum samples were tested negative for Mycobacterium tuberculosis (TB) by ZN staining and GeneXpert. After 3 months, the ipsilateral nodes had resolved spontaneously and are currently on follow-up.
Figure 2: (a) Swelling over left axilla measuring 2 cm × 2 cm (arrow); (b) Previous scar mark of Bacille Calmette–Guerin vaccination site (star); (c) Chest X-ray showed an isodense lesion (arrow) in left axillary region with no lung involvement; (d and f) microscopy showed numerous epithelioid cell granulomas, histiocytic aggregates in a background of abundant thick necrosis, neutrophils, and lymphocytes (toluidine blue, Giemsa, Pap, ×400), beaded rod shape bacilli was seen (Inset) (Zheil–Neelson, ×1000)
The history of the BCG vaccine starts with Albert Calmette and Camille Guerin. They were two French scientists who from 1905 had been working on developing a vaccine against TB. BCG is an abbreviation of Bacillus Calmette–Guerin, meaning the bacilli of Calmette and Guerin. Between 1905 and 1918, Calmette and Guerin carried out research into the mechanisms of TB infection. By 1921, the tubercle bacillus had been subcultured 230 times and it was so weakened that it was believed that it could confer immunity without causing disease in humans.[4]
Original BCG vaccine is a live-attenuated form of Mycobacterium bovis. World Health Organization established the "Expanded Program on Immunization" in 1974 to ensure that all children have access to routinely recommended vaccines including BCG. Each year 120 million doses of BCG vaccine are administered worldwide. Most of the presently used BCG vaccines are the different strains of M. bovis – Pasteur 1173 P2, Danish 1331, Glaxo 1077, and Tokyo 172, accounting for approximately 90% of all used BCG vaccines worldwide.[2],[4]
BCG vaccination is done by intradermal inoculation of 0.05 ml vaccine at left deltoid region (In India). It causes erythematous induration at the site of inoculation, which follows pustule formation after 2–3 weeks; ulceration, drainage, and crusting at 4–6 weeks after vaccination. Healing occurs with small residual scar 10–12 weeks after vaccination.[5]
Reported incidence of BCG vaccine-related complications varies from 0.1% to 17% in different studies worldwide. BCG-related lymphadenitis is the most common complication of BCG vaccination.[2] BCG regional lymphadenitis is related to either of the following: (a) host-related factors, i.e., very early age of the patient, congenital or acquired immunodeficiency; (b) factors related to administration, i.e., subcutaneous instead of intradermal, higher dose; or (c) related to vaccine strain, i.e., residual virulence of the BCG substrain, type of vaccine, and viability of final vaccine product. Immunologically, normal newborn has double the incidence of BCG adenitis compared with older infants and children.[2],[6]
Various studies have shown slightly male predominance with predominant age of presentation being 2–6 month and maximum size of lymph node ranging from 1 to 3 cm.[2],[3],[6]
The term BCG lymphadenitis applies when lymph node(s) have become large enough to be easily palpable and a cause of concern for the parents, likely with a diameter ≥ to 1 cm.[1] It can be of two types:
1. Regional lymphadenitis
The following features are in favor of regional BCG-related lymphadenitis rather than other pathologies (a) BCG vaccination at the ipsilateral arm, (b) onset between 2 weeks and 6 months, (c) child age not more than 2 years, (d) absence of systemic manifestations such as fever and weight loss, (e) absence of tenderness over the lymph node(s), and (f) axillary lymph node is mostly involved, although supraclavicular or cervical may be involved in isolation or in association with axillary lymphadenopathy. Laboratory and radiological investigations are not routinely recommended in a thriving child with unremarkable physical examination and no evidence of immunodeficiency in the family history.[1]
*Nonsuppurative lymphadenitis
This form represents the majority of BCG-related lymphadenitis. Its typically develops 2 weeks to 6 months postimmunization and tends to affect the axillary lymph node(s).
*Suppurative lymphadenitis
The suppurative form is marked by the progressive enlargement of regional lymph node (s) with collection of suppurative material and fluctuation associated with erythema and edema. If untreated, suppurative lymphadenitis frequently ruptures with sinus formation, resulting in prolonged course of illness and scaring sequels.[3]
2. Disseminated BCG infection/Disseminated/Systemic BCG disease/BCGosis
There is involvement of distant anatomical site(s) beyond BCG administration site and ipsilateral lymph node(s). Disseminated BCG infection is the most serious complication of BCG vaccination. Fatal infection has occurred at a rate of 0.06–1.56 cases per million doses; these deaths occurred primarily among immune-compromised persons. Disseminated BCG is commonly seen in primary immunodeficiency (PID) including severe combined immunodeficiency, complete Di George syndrome, chronic granulomatous diseases, the Mendelian susceptibility to mycobacterial disease (e.g., interferon-g receptor 1/2 deficiencies, IL-12/23 receptor b1 chain deficiency, IL-12p40 deficiency, S TAT1 deficiency and NEMO deficiency, and acquired immunodeficiency syndrome.[7],[8]
Diagnosis of BCG lymphadenitis depends on the history and clinical examination. Cases are diagnosed as ipsilateral enlargement of local lymph node at the site of BCG vaccination in the absence of any constitutional symptoms with other identifiable cause of adenitis. A tuberculin skin test is not useful for making a diagnosis of BCG lymphadenitis with typical presentation. The test is expected to be positive after recent BCG vaccination in immunocompetent host. However, it can be supplemented by a negative interferon-gamma release assay (IGRA) for M. tuberculosis, together with a normal chest radiograph might help in diagnosis by excluding TB in the rare situation of BCG lymphadenitis presenting atypically as an isolated left cervical mass without concomitant axillary involvement. The point to note over here is negative predictive value of IGRA and its utility in infants to exclude infection by M. tuberculosis remains controversial, and overreliance on the test in this young age group is discouraged. A negative tuberculin test should raise the suspicion of PID condition.[9]
BCG lymphadenitis is often difficult to differentiate from tuberculous lymphadenitis. Isolated axillary lymphadenitis of tuberculous etiology is very rare entity. Routine investigations such as blood examination, chest X-ray, and Mantoux test have no role in diagnosis. Microbiological separation of BCG is confirmatory, but species identification of acid-fast bacilli often needs phage typing or genetic analysis.[10]
Antimycobacterial drugs cannot prevent suppuration nor shorten the duration of healing, therefore are not recommended. Repeated aspirations are required for optimal management with a wider bore needles for ease of evacuation of thick inflammatory material. Needle aspiration is considered to be a safer option when compared with surgical excision, which likely will require general anesthesia in young infants.[1] S. Abbas Banani and Alborzi concluded that surgical excision is recommended in nonhealing cases after three attempts of aspiration.[2],[11] Incision and drainage should be avoided in cases of suppurative BCG lymphadenitis due to the risk of persistent draining wound, delayed wound healing, and unpleasant cosmetic outcome with scar formation.[1],[2]
Nonsuppurative BCG lymphadenitis is a relatively common benign condition that will regress spontaneously over a matter of weeks to months. A high index of clinical suspicion for BCG lymphadenitis should be kept in mind for patients who are recently vaccinated. FNA cytology combined with clinical correlation is useful not only in approaching at diagnosis but also in management. Multiple aspirations can be done to hasten the resolution by emptying its content and also provide material for appropriate microbiological investigations. Complete surgical excision should be considered for failed needle aspiration or recurrence of suppuration despite repeated aspirations. The addition of antimicrobial therapy or incision/drainage is of no proven benefit. Awareness, surveillance, and generation of data on complications at the vaccination centers are very important.
The authors certify that they have obtained all appropriate patient consent forms. In the form, the legal guardian has given his consent for images and other clinical information to be reported in the journal. The guardian understands that names and initials will not be published and due efforts will be made to conceal patient identity, but anonymity cannot be guaranteed.
Nagi E, Dayel A, Alshehri M, Alzahrani M, Sami A, Suliman A, et al. Bacillus Calmette Guerin vaccine related lymphadenitis in children: Management guidelines endorsed by the Saudi Pediatric Infectious Diseases Society (SPIDS). Int J Pediatr Adolesc Med 2015;2:89-95.
Pal S, Chakarabarti S, Phukan JP, Biswas S, Sinha A, Sinha R, et al. Role of needle aspiration in diagnosis and management of suppurative Bacille Calmette-Guerin adenitis: An institutional study of 30 cases. J Lab Physicians 2015;7:21-5.
[PUBMED] [Full text]
Bukhari E, Alzahrani M, Alsubaie S, Alrabiaah A, Alzamil F. Bacillus Calmette-Guerin lymphadenitis: A 6-year experience in two Saudi hospitals. Indian J Pathol Microbiol 2012;55:202-5.
[Full text]
Luca S, Mihaescu T. History of BCG vaccine. Maedica (Buchar) 2013;8:53-8.
Park K, editor. Epidemiology of communicable diseases. In: Park's Text Book of Preventive and Social Medicine. 23[rd] ed. New Delhi: Bhanot Publishers; 2015. p. 196-8.
Behjati B, Ayatoallahi J. Post BCG lymphadenitis in vaccinated infants in Yazd, Iran. Iran J Pediatr 2008;18:351-6.
Al Jumaah S, Al Hajjar S, Al Mousa H. Bacille Calmette-Guérin vaccination in Saudi Arabia: Benefits versus risks. Ann Saudi Med 2012;32:1-3.
Sohail S, Afzal M, Anwar V, Shama Q. Disseminated bacille calmette-guerin (BCG) disease in an infant with severe combined immunodeficiency. J Coll Physicians Surg Pak 2014;24 Suppl 3:S259-61.
Chan WM, Kwan YW, Leung CW. Management of Bacillus Calmette-Guerin lymphadenitis. Hong Kong J Paediatr 2011;16:85-94.
Goraya JS, Virdi VS. Bacille Calmette-Guérin lymphadenitis. Postgrad Med J 2002;78:327-9.
Banani SA, Alborzi A. Needle aspiration for suppurative post-BCG adenitis. Arch Dis Child 1994;71:446-7.
Santosh T
Kothari K
Patil R
Jogi AK
Bacille Calmette%26#8211;Guerin
fine-needle aspiration
lymphadenitis
Ziehl-Neelsen stain

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I saw a discussion online where one man discusses the situation in Raqqa in 2018 and why it might be improving as the US continues its role in eastern Syria. "If we can't win the SWEAT* fight, we'll lose Raqqa just as we lost Iraq. Most of our foreign policy failures boil down to the failure to win SWEAT. *Sewage Water Electricity Academics Trash," he writes.
People like quick-fix fancy acronyms. The US army still talks about this from time to time. "Standing for sewage, water, electricity, academics, trash, medical, safety and other, a SWEAT-MSO assessment is a mission performed by U.S. forces in areas of operation worldwide, to assess the needs of a local population by meeting with local leaders. The result is a list of plausible projects for local communities to choose from through the command emergency response program." It's an easy trap, a deceptive illusion. Give someone some drinking water and they will support you. But we know throughout history that many rebellions were led by people who had drinking water and such goodies, and who went into the jungles or the hills to fight, not for drinking water, but for rights. Whether it was Kurds fighting Saddam, or Castro on the Granma or even the American revolutionaries in 1776, who would have been hung for their actions and gave up lots of privileges to fight, the SWEAT acronym and others don't explain why they sacrificed all for freedom.
This is why you have to be careful of jargon and nonsense. it's easy to come up with an acronym about "winning hearts and minds," surely people had one during the colonial era and in Vietnam and now we can see this nonsense being bandied about regarding Raqqa and even as an excuse for why ISIS was acceptable.
But it is, at its heart, nonsense. The nonsense is that if you just give people good street lights and clean water, they will just accept things. But you know what? It's not true. Most anti-colonial struggles took place and were led by people who had received many of these apparent "basic" and "good services." Gandhi had gone to study. Mao had a decent life. Ho Chi Minh, if he had just consented, probably could have seen Vietnam flourish under rule from Paris. Mandela could have just accepted minority rule and asked for better roads so people could get to the mines.
But that's not what people want, really. Yes, it is true that the majority, the privileged, the powerful group, will want these things. So that explains why some people did support ISIS or Nazism. But the victims of ISIS don't benefit from this acronym or the extremists taking out the trash better. So you can indeed run a fascist regime in which some group benefits and accepts it. But you cannot run such a regime successfully when you are suppressing people. It doesn't matter how good the economy is. When they are denied things, the better the economy, the more they will demand because they want equality. In fact, equality is most in need when people have economic benefit. An extremely poor person who *also* lacks equality will demand his economic basics first, perhaps. But a middle class person who is *also* denied basic rights, will demand equality. That is why the First Intifada began in 1987 after 20 years of Israel ignoring the local people.
And that is why the acronyms of nonsense about "just give them drinking water" doesn't work. You have to satisfy people's desires and goals. The US in Iraq thinks that telling Kurds to "support Baghdad" will work so long as the KRG gets some scraps at the table. No, that won't work.
You can call it COIN or SWEAT or any acronym, like Vietnamization or whatever, but you will not win with this mentality. Either partner with the people, or you will lose them.


In 1999, the Resuscitation Council (UK) New-born Life Support (NLS) was launched. This course helps provide clear, practical and theoretical knowledge. The course is presented by Honorary Professor, Simon Mitchell, the New-born Life Support (NLS) Provider course has been developed, under the auspices of the Resuscitation Council, to provide clear practical instruction in airway support and the theoretical background to illustrate its importance in resuscitation of babies at birth.
This NLS course is designed for any healthcare professional involved in the delivery and care of the new-born infant. This includes both junior and senior medical and nursing staff, midwives, paramedics and resuscitation officers. All applicants must hold a professional healthcare qualification or be in training for a professional healthcare qualification.
Many people have the skill and knowledge but are unsure of their own skills, having never had to use it. Others need to acquire a basic understanding of the important factors which make new-born resuscitation different from adult resuscitation. Others need reminding of certain aspects of their everyday practice and some need to be reassured of mistaken concepts.
Understanding the physiology is fundamental, so there is a considerable emphasis on this throughout the duration of the course. Practical skills are taught in a way that provides hands on experience and hopefully enough time to practise and gain confidence. Simulations are a powerful tool for integrating the knowledge gained in simulated situations, however, they can be perceived as threatening by those unfamiliar with them.
The course is an informative experience. It is the enthusiasm of Professor Mitchell which will define the candidates' perception of the day and their appreciation of the knowledge gained. At the end of the course the Resuscitation Council (UK) hopes that candidates will understand the physiology underlying the establishment of breathing at birth, that they will also understand the important practical issues of airway management and external cardiac compressions, and that they will have had some practise in using the tools they will encounter when performing these tasks in the real world.
Even though this course includes both a theoretical test of knowledge and a practical test of skills those who have successfully completed the course should not consider themselves competent to cover a labour ward unsupervised. However, the course will have equipped them to maximise their learning opportunity afforded by this experience and enhancing their skill set.
Simon Mitchell is consultant neonatologist at St Mary's Hospital Manchester and honorary professor at University of Salford. After undergraduate medical training in Dundee he completed postgraduate training in paediatrics and neonatology in London, Oxford, Birmingham and Toronto. MD awarded for thesis exploring genetic aspects in cerebral palsy. Interests include neonatal ventilation & respiratory support, neonatal resuscitation, care of the well newborn and medicolegal aspects of neonatology, particularly perinatal asphyxia and causation in perinatally acquired brain injury.


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How do you bring about change? The usual method is to prove that something is wrong or inadequate and therefore a change is needed. You may try and offer a better idea but unless you can show that the existing idea is deficient, it is unlikely that your better idea will be adopted.
This habit of thinking arises directly from the idiom of argument. You must set out to show that the existing idea is wrong in some respect.
There is a real practical need to have some way of saying: 'That is excellent – but not enough'. There are many situations where we need to say this. A politician may make the most wonderful speeches. That is excellent but it is not enough. Action is important too.
So I have invented a new word - 'ebne'. It means 'Excellent But Not Enough' (see my contribution last month).
Now, when you want to express that sentiment you simply say 'That is ebne'. This is instead of a whole paragraph of explanation.
The willingness to acknowledge something as 'excellent' is important. This is different from spurious attempts to prove something inadequate in order to suggest change. Something may indeed be excellent and yet change and improvement might still be necessary.
Our traditional habits of thinking are ebne. They are excellent but they are not enough. Truth, logic and argument are simply not enough. We need to add perceptual thinking. We need to add creative and design thinking.
Ebne could also be used in the sense of: 'That is indeed good but possibly we can do better.' This indicates the possibility of improvement. Note that this is not the main use, which indicates not an improvement in what exists, but the need to add something new.
In general, ebne covers the situations where there is no direct attack on what exists but the suggestion is that other things may be needed.
In a court of law there are only two possibilities: 'Innocent or guilty'. In real-life discussions things are more complex. In a sense you might be saying: 'Innocent but not innocent enough'. That is why a signal like ebne can be so useful.
Our traditional thinking is very much concerned with judgment. There is judgment as to which box or category something belongs in. We find it impossible to say that something falls partly in one box and partly in another. That would require a whole new concept and a new word to describe it. We do not yet have a word for someone who is half-friend and half-enemy.
Language is a history of the past and not a design for the future. That is why new words are needed from time to time. This is not difficult if the new word is for a technical invention such as the computer.
It is much more difficult if the word is for a needed function that we never noticed. As usual there is a huge complacency and self-satisfaction both with our thinking and also with our languages.


text:
Acidul rodizonic este un compus organic cu formula chimică C6H2O6 sau (CO)4(COH)2. Compusul este, din punct de vedere structural, un dienol și o tetracetonă a ciclohexenei, mai exact este 5,6-dihidroxiciclohex-5-en-1,2,3,4-tetrona.

Note

Vezi și
 Acetilendiol
 Acid deltic
 Acid scuaric
 Acid croconic

Ciclohexani
Dioli
Enoli
Policetone
Acizi organici

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