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1.
Luminescence ; 39(1): e4600, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-37752625

RESUMEN

Hypochlorite (ClO- ), as a kind of essential reactive oxygen species, plays a crucial role in vitro and in vivo. Here, a ratiometric fluorescent probe (TPAM) was designed and constructed for sensing ClO- based on substituted triphenylamine and malononitrile, which exhibited obvious colour transfer from orange to colourless under daylight accompanied by noticeable fluorescence change from red to green in response to ClO- . TPAM could effectively monitor ClO- with the merits of fast response, excellent selectivity, high sensitivity and a low detection limit of 0.1014 µM. 1 H NMR, mass spectra and theoretical calculations proved that ClO- caused the oxidation of the carbon-carbon double bond in TPAM, resulting in compound 1 and marked changes in colour and fluorescence. In addition, TPAM was utilized for imaging ClO- in living cells successfully with good photostability and biocompatibility.


Asunto(s)
Colorantes Fluorescentes , Ácido Hipocloroso , Colorantes Fluorescentes/química , Espectrometría de Fluorescencia , Imagen Óptica , Carbono
2.
Obes Surg ; 33(11): 3510-3516, 2023 11.
Artículo en Inglés | MEDLINE | ID: mdl-37804471

RESUMEN

BACKGROUND AND PURPOSE: Dumping syndrome (DS) is a shared but underappreciated complication after metabolic-bariatric surgery. The purpose of the study was to investigate the prevalence and intensity of symptoms suggestive of DS and their relationship with health-related quality of life (HRQOL) after laparoscopic sleeve gastrectomy (LSG). METHOD: A retrospective cohort study was performed for all patients with a history of sleeve gastrectomy between July 2017 and July 2022 in our center. Basial clinic statistics were gathered from electronic medical database, the prevalence and severity of DS were assessed by Dumping Symptom Rating Scale (DSRS), and HRQOL is collected through the Short Form Health Survey 36 (SF-36). RESULT: In total, 133 of 202 patients completed the questionnaire (response rate 65.8%). A total of 64.7% (N = 86) of participants were female, aged 34.0 (IQR 26.0-39.0) years at completion of the questionnaire, with a mean body mass index of 35.8 (IQR 31.4-40.5) kg/m2. The prevalence of symptoms suggestive of DS was 45.9% (N = 61), and the associated protective factor was the time between surgery and study. Compared with the patients without DS, patients with DS scored significantly worse on four of eight SF-36 subdomains. CONCLUSION: Symptoms suggestive of early dumping syndrome after sleeve gastrectomy are common and are associated with a worse health-related quality of life, which deserves clinical attention. Additional counselling, education, and care are needed to mitigate the decline in quality of life caused by dumping symptoms.


Asunto(s)
Laparoscopía , Obesidad Mórbida , Humanos , Femenino , Masculino , Síndrome de Vaciamiento Rápido/epidemiología , Síndrome de Vaciamiento Rápido/etiología , Síndrome de Vaciamiento Rápido/diagnóstico , Obesidad Mórbida/cirugía , Incidencia , Calidad de Vida , Estudios Retrospectivos , Laparoscopía/efectos adversos , Gastrectomía/efectos adversos
3.
Obes Surg ; 33(5): 1545-1552, 2023 05.
Artículo en Inglés | MEDLINE | ID: mdl-36869972

RESUMEN

BACKGROUND AND PURPOSE: Western studies have explored bariatric surgeons concerning their views on bariatric surgery (BS) and reproductive health, but Asian data were lacking. The aim of this study was to explore the perception and practice of bariatric surgeons on the reproductive health of female patients who underwent BS in China to better guide clinical practice and improve clinical outcomes. METHOD: An online questionnaire of 31 questions developed by bariatric surgeons was collected by sending to one online communication group (WeChat group) whose members are Chinese bariatric surgeons. RESULT: A total of 87 bariatric surgeons from mainland China were surveyed. Almost all (97.7%, 85/87) surgeons considered the reproductive health conversation for women who underwent BS to be important or very important. Only 1/4 of surgeons routinely discuss reproductive health-related issues with patients, and only 56% of doctors always ask patients for postoperative contraception. Less than 20% of bariatric surgeons have full knowledge of postoperative contraception, and nearly 40% of them believe that gynecologists should be responsible for providing contraception. More than 35% of bariatric surgeons have never been involved in the co-management of pregnancy in patients with a history of BS. CONCLUSION: Although most bariatric surgeons are aware of the importance of female reproductive health, there is a large gap in the perception and clinical practice of bariatric surgeons in terms of reproductive health. It is necessary to further strengthen the education of bariatric surgeons and enhance multidisciplinary cooperation with gynecology, obstetrics, and other disciplines to bring better clinical outcomes.


Asunto(s)
Cirugía Bariátrica , Obesidad Mórbida , Cirujanos , Embarazo , Humanos , Femenino , Salud Reproductiva/educación , Estudios Transversales , Pueblos del Este de Asia , Obesidad Mórbida/cirugía , Cirugía Bariátrica/educación , Percepción
4.
Obes Surg ; 33(5): 1587-1595, 2023 05.
Artículo en Inglés | MEDLINE | ID: mdl-36869973

RESUMEN

Bariatric surgery (BS) is escalating as the most efficient and endurable therapy for severe obesity. Women's reproductive health is essential to women's quality of life and is receiving increasing attention. However, despite the high prevalence of BS among women, the effect of BS on reproductive health remains underemphasis. The purpose of this narrative review is to provide an overview of BS on women's reproductive health, including their reproductive health before, during, and after pregnancy. Although limited attention has been given, current evidence highlights the substantial implications of bariatric surgery on reproductive health and reminds us of the importance of adopting decision-making conversations about reproductive health before bariatric surgery.


Asunto(s)
Cirugía Bariátrica , Obesidad Mórbida , Embarazo , Femenino , Humanos , Salud Reproductiva , Calidad de Vida , Obesidad Mórbida/cirugía , Medición de Riesgo
5.
Obes Surg ; 32(11): 3619-3626, 2022 11.
Artículo en Inglés | MEDLINE | ID: mdl-36070119

RESUMEN

PURPOSE: Nonalcoholic fatty liver disease (NAFLD) is the most common chronic liver disease in the world, and liver fibrosis has been proven to be associated with liver disease related events and total mortality. Several noninvasive methods have been developed, but whether those methods are suitable for the detection of fibrosis in Chinese patients with obesity and NAFLD has not been completely elucidated. This study aimed to compare the efficacy of fibrosis-4 (FIB-4), aspartate transaminase to platelet ratio index (APRI), modified aspartate transaminase to platelet ratio index (m-APRI), BARD (BARD (BMI (body mass index) > 28 = 1 point, AAR (aspartate aminotransferase/alanine aminotransferase) > 0.8 = 2 points, DM (diabetes mellitus) = 1 point)), NAFLD fibrosis score (NFS), and shear wave elastography (SWE) in the evaluation of the degree of liver fibrosis in Chinese patients with obesity and NAFLD. MATERIALS AND METHODS: A retrospective study consisted of 100 patients. The accuracy of FIB-4, APRI, m-APRI, BARD, NFS, and SWE in the assessment of significant or advanced liver fibrosis in Chinese patients with obesity and NAFLD was compared. RESULTS: Weight and alanine aminotransferase (ALT) were independent risk factors for liver fibrosis. SWE, APRI, and m-APRI had significant efficiency in the diagnosis of significant fibrosis in patients with obesity and NAFLD. APRI and SWE were superior to the other methods in the diagnosis of significant and advanced liver fibrosis in patients with obesity and NAFLD. APRI and SWE showed no statistically significant difference in diagnostic efficiency. CONCLUSIONS: Weight and ALT are independent risk factors for liver fibrosis progression in NAFLD patients. SWE and APRI have predictive value for significant and advanced fibrosis of NAFLD in Chinese patients with obesity.


Asunto(s)
Enfermedad del Hígado Graso no Alcohólico , Obesidad Mórbida , Humanos , Enfermedad del Hígado Graso no Alcohólico/complicaciones , Enfermedad del Hígado Graso no Alcohólico/diagnóstico por imagen , Alanina Transaminasa , Estudios Retrospectivos , Obesidad Mórbida/cirugía , Aspartato Aminotransferasas , Cirrosis Hepática/complicaciones , Fibrosis , Obesidad/complicaciones , Obesidad/patología , China/epidemiología , Biopsia/efectos adversos , Hígado/diagnóstico por imagen , Hígado/patología
6.
ACS Nano ; 16(5): 8223-8232, 2022 05 24.
Artículo en Inglés | MEDLINE | ID: mdl-35544599

RESUMEN

Enantioselective recognition and separation have attracted much attention in pharmaceutical analysis, food chemistry, and life science. Herein, we propose an efficient strategy to achieve such purposes using optically active luminogens with aggregation-induced emission (AIE) characteristics. These AIE luminogens (AIEgens) show strong enantiomeric discrimination for 12 kinds of chiral acids and unprotected amino acids. In particular, an exceptionally high enantioselectivity for d/l-Boc-glutamic acid was observed, as demonstrated by the large difference between the formed AIEgen/acid complexes. Due to the AIE effect, enantioselective separation was achieved by aggregation of the AIEgens with one enantiomer in the mixed acid solution. Through analysis of the fluorescence standard curve, the aggregates of AIEgen/chiral acid possessed 90% d-analyte, from which the enantiomeric excess (ee) value was assessed to be 80% ee. Such a result is in good agreement with that (91% d-analyte and 82% ee) by chiral HPLC analysis. Thus, this simple one-step aggregation method can serve as a preliminary screening tool for high-throughput analysis or separation of chiral chemicals.


Asunto(s)
Aminas , Aminoácidos , Estereoisomerismo , Fluorescencia , Aminas/química , Aminoácidos/química
7.
Acta Virol ; 66(1): 18-26, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35380862

RESUMEN

Human immunodeficiency virus (HIV)/hepatitis B virus (HBV) co-infection accelerates the progression of HBV-related liver diseases. HBV basic core promoter (BCP)/pre-core (preC) gene mutations may be one of the most important risk factors. In this study, a total of 230 patients were recruited, and 199 patients whose HBV BCP/preC gene were successfully amplified and sequenced, including 99 HIV/HBV co-infected and 100 HBV mono-infected patients. Next-generation sequencing was used for detection of BCP/preC mutations which were then compared in patients with different HBV genotypes and different HBeAg statuses, and 1% and 20% cutoff values were defined to evaluate the mutations. HBV quasispecies diversity was also compared in HIV/HBV co-infected and HBV mono-infected patients. Among the patients infected with HBV genotype C and HBeAg-negative status, the frequency of A1762T/G1764A double mutations was significantly lower in HIV/HBV co-infected patients than in HBV mono-infected patients (53.3% vs. 100.0%, P = 0.008) regardless of the 1% or 20% cutoff value level. However, A1762T/G1764A double mutations did not differ in the other groups (P >0.05). Viral quasispecies diversity was lower in HIV/HBV co-infected patients than in HBV mono-infected patients (P Keywords: human immunodeficiency virus, hepatitis B virus; mutations; viral quasispecies; next-generation sequencing.


Asunto(s)
Coinfección , Infecciones por VIH , Hepatitis B Crónica , Coinfección/genética , ADN Viral/genética , Genotipo , Infecciones por VIH/complicaciones , Virus de la Hepatitis B/genética , Hepatitis B Crónica/complicaciones , Hepatitis B Crónica/genética , Humanos , Mutación , Regiones Promotoras Genéticas , Cuasiespecies
8.
Chem Sci ; 13(3): 611-632, 2022 Jan 19.
Artículo en Inglés | MEDLINE | ID: mdl-35173927

RESUMEN

Chirality is important to chemistry, biology and optoelectronic materials. The study on chirality has lasted for more than 170 years since its discovery. Recently, chiral materials with aggregation-induced emission (AIE) have attracted increasing interest because of their fascinating photophysical properties. In this review, we discussed the recent development of chiral materials with AIE properties, including their molecular structures, self-assembly and functions. Generally, the most effective strategy to design a chiral AIE luminogen (AIEgen) is to attach a chiral scaffold to an AIE-active fluorophore through covalent bonds. Moreover, some propeller-like or shell-like AIEgens without chiral units exhibit latent chirality upon mirror image symmetry breaking. The chirality of achiral AIEgens can also be induced by some optically active molecules through non-covalent interactions. The introduction of an AIE unit into chiral materials can enhance the efficiency of their circularly polarized luminescence (CPL) in the solid state and the dissymmetric factors of their helical architectures formed through self-assembly. Thus, highly efficient circularly polarized organic light-emitting diodes (CPOLEDs) with AIE characteristics are developed and show great potential in 3D displays. Chiral AIEgens are also widely utilized as "turn on" sensors for rapid enantioselective determination of chiral reagents. It is anticipated that the present review can entice readers to realize the importance of chirality and attract much more chemists to contribute their efforts to chirality and AIE study.

9.
Chem Commun (Camb) ; 57(98): 13321-13324, 2021 Dec 09.
Artículo en Inglés | MEDLINE | ID: mdl-34814159

RESUMEN

Novel chiral AIEgens bearing optically pure amino groups were synthesized and showed excellent discrimination for a series of chiral acidic compounds and amino acids. Interestingly, after supramolecular assembly with 4-sulfocalix[4]arene, the obtained complexes showed enhanced enantioselectivity for chiral acids.

10.
Ying Yong Sheng Tai Xue Bao ; 31(9): 2955-2962, 2020 Sep 15.
Artículo en Chino | MEDLINE | ID: mdl-33345496

RESUMEN

The matching of root system is a key factor driving the resistance of plant community to soil erosion. In this study, Amoeba graphical method was used to establish a root framework erosion resistance index (ERIrf, %) from three dimensions of root morphology, quantity and spatial concerns to quantify the effective of root erosion resistance by plant community. We analyzed root growth characteristics of plant community from abandoned land, Caragana korshinskii and Robinia pseudoacacia communities in loess hilly area. The results showed that the parameters of constructing the root framework erosion resistance index included the acting coefficient of root framework (α), root density (Rb, kg·m-3), root framework degree (S), soil bulk density (ρ, g·cm-3), and soil and water conservation coefficient (φ). The equation could be expressed as ERIrf=α×Rd×S×φρ×100%. This root framework erosion resistance index well represented the erosion resistance effects of plant root system. Logarithmic function could better fit the relationship between soil erosion resis-tance ability and root framework erosion resistance index. Our findings would provide scientific reference for the construction of anti-erosion vegetation community and assessment of ecological construction.


Asunto(s)
Caragana , Robinia , China , Suelo
11.
Front Chem ; 8: 532, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32793546

RESUMEN

The aqueous room temperature mono-dehydration of sugar alcohols (D-sorbitol and D-mannitol) was conducted using functionalized yttrium oxide nanocatalysts prepared via sol-gel methods. Materials exhibited high selectivity to mono-dehydration products. Solvent and catalyst effects were also investigated and discussed. The introduction of titanium into the yttrium oxide framework would decrease both substrate conversion and mono-dehydration efficiency. In addition, studies of the catalytic mechanism indicate high mono-dehydration efficiency may come from the stability of the formed intermediate during catalysis. This work provides a highly efficient and benign system for catalytic mono-dehydration of sugar alcohols.

12.
J Org Chem ; 85(11): 7515-7525, 2020 06 05.
Artículo en Inglés | MEDLINE | ID: mdl-32345024

RESUMEN

A nickel-catalyzed Suzuki alkyl-aryl coupling of cycloalkyl silyl peroxides with boronic acids is reported. The primary and secondary ketoalkyl electrophiles generated through C-C bond cleavage were amenable, providing rapid access to a variety of distal arylated alkyl ketones. A radical pathway is proposed for this reaction.

13.
IEEE Trans Knowl Data Eng ; 31(7): 1397-1411, 2019 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-31564814

RESUMEN

Outsourcing data and computation to cloud server provides a cost-effective way to support large scale data storage and query processing. However, due to security and privacy concerns, sensitive data (e.g., medical records) need to be protected from the cloud server and other unauthorized users. One approach is to outsource encrypted data to the cloud server and have the cloud server perform query processing on the encrypted data only. It remains a challenging task to support various queries over encrypted data in a secure and efficient way such that the cloud server does not gain any knowledge about the data, query, and query result. In this paper, we study the problem of secure skyline queries over encrypted data. The skyline query is particularly important for multi-criteria decision making but also presents significant challenges due to its complex computations. We propose a fully secure skyline query protocol on data encrypted using semantically-secure encryption. As a key subroutine, we present a new secure dominance protocol, which can be also used as a building block for other queries. Furthermore, we demonstrate two optimizations, data partitioning and lazy merging, to further reduce the computation load. Finally, we provide both serial and parallelized implementations and empirically study the protocols in terms of efficiency and scalability under different parameter settings, verifying the feasibility of our proposed solutions.

14.
Org Lett ; 21(17): 7104-7108, 2019 Sep 06.
Artículo en Inglés | MEDLINE | ID: mdl-31448922

RESUMEN

An iron-catalyzed decarboxylative olefination of unstrained carbon-carbon bonds via alkoxyl radical induced C-C bond cleavage is presented. This protocol features mild conditions (room temperature, redox-neutral), good substrate scope and functional group compatibility, as well as excellent stereoselectivity, thus providing a facile access to the distal alkenyl ketones.

15.
J Interferon Cytokine Res ; 39(12): 740-751, 2019 12.
Artículo en Inglés | MEDLINE | ID: mdl-31329012

RESUMEN

Treatment of chronic hepatitis B with pegylated-interferon-α-2a (PegIFNα) in pediatric patients can lead to a higher rate of hepatitis B virus (HBV) surface antigen (HBsAg) loss than in adults. However, the mechanism of underlying immune response is not clear. The aim of this study was to explore innate and adaptive immunity, especially HBV-specific T cell responses in hepatitis B e antigen (HBeAg)-positive pediatric patients, who have experienced HBsAg loss. Isolated lymphocytes of 20 HBeAg-positive pediatric patients were collected every 12 weeks until treatment was stopped. The phenotype of T/natural killer (NK) cells and function of HBV-specific T cells were analyzed by flow cytometry. The frequency of CD69 and tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) expressed on T cells and TRAIL on CD56hi NK cells in patients with HBsAg loss was remarkably higher compared with nonresponse patients. Furthermore, in vitro peptide stimulation of HBV-specific T cell responses was increased in patients with HBsAg loss when compared with week 0 and 48, and correlated with decline of viral load. The PegIFNα therapy in pediatric patients triggered T/NK cell activation and HBV-specific T cell responses, thereby contributing to successful viral control.


Asunto(s)
Antivirales/farmacología , Antígenos e de la Hepatitis B/inmunología , Virus de la Hepatitis B/inmunología , Interferón-alfa/farmacología , Interferón-alfa/uso terapéutico , Polietilenglicoles/farmacología , Polietilenglicoles/uso terapéutico , Linfocitos T/efectos de los fármacos , Linfocitos T/inmunología , Adolescente , Antivirales/uso terapéutico , Niño , Preescolar , Femenino , Humanos , Interferón-alfa/análisis , Masculino , Polietilenglicoles/análisis , Proteínas Recombinantes/análisis , Proteínas Recombinantes/farmacología , Proteínas Recombinantes/uso terapéutico
16.
Org Lett ; 21(13): 5178-5182, 2019 Jul 05.
Artículo en Inglés | MEDLINE | ID: mdl-31247761

RESUMEN

A nickel-catalyzed iminyl radical-triggered C-C bond cleavage/radical addition/cyclization cascade of oxime esters and vinyl azides is described. This protocol enables rapid access to the cyanoalkylated 3,4-dihydro-2 H-pyrroles and phenanthridines in good yields via adjustment of the substrate's properties. Moreover, these reactions proceed under mild and redox-neutral conditions with a board substrate scope and excellent functional group tolerance.

17.
Chem Sci ; 10(1): 161-166, 2019 Jan 07.
Artículo en Inglés | MEDLINE | ID: mdl-30713627

RESUMEN

An efficient transition-metal free C-C bond cleavage/borylation of cycloketone oxime esters has been described. In this reaction, the B2(OH)4 reagent not only served as the boron source but also acted as an electron donor source through formation of a complex with a DMAc-like Lewis base. This complex could be used as an efficient single electron reductant in other ring-opening transformations of cycloketone oxime esters. Free-radical trapping, radical-clock, and DFT calculations all suggest a radical pathway for this transformation.

18.
J Med Syst ; 43(2): 22, 2019 Jan 02.
Artículo en Inglés | MEDLINE | ID: mdl-30604024

RESUMEN

In this paper, a virtual rehabilitation training system based on electroencephalogram (EMG) feedback is proposed to solve the problem that the existing virtual rehabilitation training methods can not reflect the initiative of patients and lack of individual adaptability. Aiming at the EEG data fusion rehabilitation system based on Virtual Prototyping technology, a motion pattern recognition method based on the feature fusion of EEG and EMG signals is studied to improve the accuracy and flexibility of the rehabilitation training system. The corresponding virtual rehabilitation training scene is designed, and the control and feedback adjustment of the virtual scene are realized by using the above EEG feature analysis method. Finally, the virtual rehabilitation training is realized. The multi-level coupling relationship between EEG and EMG signals under different grip forces was explored by using the synchronous coupling characteristics between EEG and EMG signals, which provided a theoretical basis for further application in clinical rehabilitation evaluation.


Asunto(s)
Electroencefalografía/métodos , Electromiografía/métodos , Fatiga/fisiopatología , Procesamiento de Señales Asistido por Computador , Telerrehabilitación/métodos , Femenino , Humanos , Masculino , Fatiga Mental , Fatiga Muscular , Adulto Joven
19.
Antivir Ther ; 23(7): 567-574, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-30095435

RESUMEN

BACKGROUND: The correlation between hepatitis B surface antigen (HBsAg) seroconversion and the characteristics of HBV quasispecies (QS) before and during pegylated interferon-α-2a (PEG-IFN-α-2a) treatment in hepatitis B e antigen (HBeAg)-positive chronic hepatitis B (CHB) children has not yet been reported. METHODS: 35 patients, including 18 HBsAg seroconverters (SS) and 17 non-seroconverters (SN), were enrolled. Serum samples were collected before treatment and at weeks 12 and 24 of treatment. Sequences within the basal core promoter/pre-core (BCP/PC) and S/reverse transcriptase (S/RT) region were analysed by next-generation sequencing. RESULTS: There was no significant difference in the baseline diversity of HBV QS (Shannon entropy [Sn]; Hamming distance [HD]) in either region between the two groups. The baseline mutations A1762T/G1764A, C1913A, and T2003A/G or C2004T were correlated with non-response to therapy (P=0.025, P=0.036, P=0.032, respectively). After 24 weeks of therapy, HBV diversity within the BCP/PC region in the SS group notably declined (Sn: P=0.002; HD: P=0.011), while that of the SN group was nearly unchanged. As for the S/RT region, 24 weeks of treatment made no significant difference on QS diversity in either group. CONCLUSIONS: Our data demonstrated that the baseline viral mutations and dynamic changes in HBV QS diversity within the BCP/PC region were closely related to HBsAg seroconversion in HBeAg-positive CHB children treated with PEG-IFN-α-2a.


Asunto(s)
Antivirales/uso terapéutico , Anticuerpos contra la Hepatitis B/sangre , Virus de la Hepatitis B/efectos de los fármacos , Hepatitis B Crónica/tratamiento farmacológico , Interferón alfa-2/uso terapéutico , Cuasiespecies/efectos de los fármacos , Proteínas del Núcleo Viral/genética , Preescolar , ADN Viral/sangre , ADN Viral/genética , Femenino , Expresión Génica , Antígenos de Superficie de la Hepatitis B/sangre , Antígenos e de la Hepatitis B/sangre , Virus de la Hepatitis B/genética , Virus de la Hepatitis B/inmunología , Hepatitis B Crónica/inmunología , Hepatitis B Crónica/virología , Humanos , Sueros Inmunes/química , Masculino , Mutación , Regiones Promotoras Genéticas , Estudios Prospectivos , Seroconversión , Resultado del Tratamiento , Carga Viral/efectos de los fármacos
20.
J Org Chem ; 83(7): 4239-4249, 2018 04 06.
Artículo en Inglés | MEDLINE | ID: mdl-29557652

RESUMEN

Metal-catalyzed cyanoalkylation/cyclization of olefinic 1,3-dicarbonyls with cycloketone oxime esters has been developed under redox-neutral conditions. This protocol provided a straightforward approach to diverse cyanoalkylated 2,3-dihydrofurans via a tandem ring-opening/addition/cyclization process.

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