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1.
Angew Chem Int Ed Engl ; 62(45): e202312645, 2023 Nov 06.
Artigo em Inglês | MEDLINE | ID: mdl-37723118

RESUMO

CO2 hydrogenation to methanol has the potential to serve as a sustainable route to a wide variety of hydrocarbons, fuels and plastics in the quest for net zero. Synergistic Pd/In2 O3 (Palldium on Indium Oxide) catalysts show high CO2 conversion and methanol selectivity, enhancing methanol yield. The identity of the optimal active site for this reaction is unclear, either as a Pd-In alloy, proximate metals, or distinct sites. In this work, we demonstrate that metal-efficient Pd/In2 O3 species dispersed on Al2 O3 can match the performance of pure Pd/In2 O3 systems. Further, we follow the evolution of both Pd and In sites, and surface species, under operando reaction conditions using X-ray Absorption Spectroscpy (XAS) and infrared (IR) spectroscopy. In doing so, we can determine both the nature of the active sites and the influence on the catalytic mechanism.

2.
Nanoscale ; 15(29): 12319-12332, 2023 Jul 27.
Artigo em Inglês | MEDLINE | ID: mdl-37434462

RESUMO

The pursuit of new catalysts for the aqueous transformation of biomass-derived compounds under mild conditions is an active area of research. In the present work, the selective hydrogenation of 5-hydroxymethylfurfural (HMF) to 2,5-bishydroxymethylfuran (BHMF) was efficiently accomplished in water at 25 °C and 5 bar H2 pressure (after 1 h full conversion and 100% selectivity). For this, a novel nanocatalyst based on graphene-supported Pt NPs decorated with Sn-butyl fragments (-SnBun) has been used. More specifically, Pt NPs supported on reduced graphene oxide (rGO) were functionalized with different equivalents (0.2, 0.5, 0.8 and 1 equiv.) of tributyltin hydride (Bu3SnH) following a surface organometallic chemistry (SOMC) approach. The synthesized catalysts (Pt@rGO/Snx) were fully characterized by state-of-the-art techniques, confirming the presence of Sn-butyl fragments grafted on the platinum surface. The higher the amount of surface -SnBun, the higher the activity of the catalyst, reaching a maximum conversion with Pt@rGO/Sn0.8. Indeed, the latter has proven to be one of the most active catalysts reported to date for the aqueous hydrogenation of HMF to BHMF (estimated TOF = 666.7 h-1). Furthermore, Pt@rGO/Sn0.8 has been demonstrated to be an efficient catalyst for the reduction of other biomass-derived compounds in water, such as furfural, vanillin or levoglucosenone. Here, the catalytic activity is remarkably boosted by Sn-butyl fragments located on the platinum surface, giving a catalyst several times faster than non-functionalized Pt@rGO.

3.
Microorganisms ; 12(1)2023 Dec 23.
Artigo em Inglês | MEDLINE | ID: mdl-38257857

RESUMO

BACKGROUND: Children and adolescents living with HIV (CALHIV) are at high risk of meningococcal infections and may present lower immune responses to vaccines. The objectives of this study were to assess the immunogenicity of the quadrivalent Men ACWY-TT vaccine (Nimenrix®) in CALHIV after a two-dose schedule and to describe possible HIV-related factors that may affect the immunogenic response. METHODS: A multicenter prospective study was designed, including CALHIV followed in five hospitals in Madrid, between 2019 and 2021. Two doses of the Men ACWY-TT vaccine were administered. Serum bactericidal antibody (SBA) assays using rabbit complement (rSBA) against serogroups C, W, and Y were used to determine seroprotection and vaccine response (the proportion achieving a putative protective titer of ≥eight or a ≥four-fold rise in titer from baseline). Serum was collected at baseline, and at 3 and 12 months after vaccination. RESULTS: There were 29 CALHIV included, 76% of whom were perinatally infected. All were receiving TAR and presented a good immunovirological and clinical status overall. At baseline, 45% of CALHIV had seroprotective titers to at least one serogroup, with individual seroprotection rates of 24%, 28%, and 32% against C, W, and Y, respectively. After a two-dose schedule, vaccine response was 83% for each serogroup, eliciting a vaccine response to all serogroups in 69% of them. One year after vaccination, 75% of CALHIV maintained seroprotective titers against the C serogroup, and 96% against W and Y. None of the HIV-related characteristics analyzed could predict vaccine response or antibody duration. CONCLUSIONS: CALHIV who received effective TAR and presented a good immuno-virological situation achieved an appropriate vaccine response after two doses of the Men ACWY-TT vaccine, and antibody-mediated protection against serogroups C, W, and Y was maintained in more than 70% of the patients one year after vaccination.

4.
Enferm. infecc. microbiol. clín. (Ed. impr.) ; 40(10): 557-561, dic. 2022. tab
Artigo em Espanhol | IBECS | ID: ibc-212840

RESUMO

Introducción: La infección congénita por CMV (CMVc) es más frecuente en hijos expuestos al. VIH durante la gestación, con tasas reportadas en la era pre-TAR del 2 al 7%. El control de la carga viral de VIH y la recuperación inmunológica asociada al tratamiento antirretroviral (TAR) podrían ser factores que influyan en su transmisión. El objetivo de este trabajo fue describir la epidemiología de la infección CMVc en recién nacidos expuestos al VIH en el Hospital Universitario 12 de Octubre, entre los años 2000-2017. Material y métodos: Estudio observacional y retrospectivo. Se recogieron variables epidemiológicas y clínicas a través de la historia clínica de los sujetos incluidos. Se realizó análisis estadístico con el programa informático SPSS 24.0. Resultados: Se incluyeron 288 pares de madres/hijos. Observamos una tasa de CMVc del 2,1% (IC 95% 0,7-4,9). Conclusiones: La tasa de CMVc fue menor a la comunicada en la era pre-TAR, aunque aún parece superior a la observada en niños no expuestos al VIH.(AU)


Introduction: Congenital citomegalovirus (CMVc) infection is more common in children exposed to HIV during pregnancy, with reported rates in pre-ART era from 2 to 7%. The use of combined antiretroviral treatment (ARTc) could be a determining factor in reducing this risk of CMV transmission. The aim of this study was to describe the epidemiology of CMVc infection in newborns of HIV-infected mothers at Hospital Universitario 12 de Octubre, Madrid, Spain, from 2000 to 2017. Material and methods: An observational and retrospective study was carried out. Epidemiological and clinical variables were collected. Statistical analysis was performed with the SPSS 24.0 computer program. Results: 288 mother–infant pairs were included in the study. We observed a CMVc rate of 2.1% (95% CI 0.9–4.9). Conclusions: The rate of CMVc in HIV-exposed children observed was lower than that reported in pre-ARTc era but seems higher than those described in general population.(AU)


Assuntos
Humanos , Feminino , Recém-Nascido , Toxoplasmose Congênita , Citomegalovirus , Gravidez , HIV , Epidemiologia , Estudos Retrospectivos , Doenças Transmissíveis , Microbiologia
5.
Chem Sci ; 13(44): 13046-13059, 2022 Nov 16.
Artigo em Inglês | MEDLINE | ID: mdl-36425494

RESUMO

The search for new ligands capable of modifying the metal nanoparticle (MNP) catalytic behavior is of increasing interest. Herein we present the first example of RuNPs stabilized with non-planar heptagon-containing saddle-shaped nanographenes (Ru@1 and Ru@2). The resemblance to graphene-supported MNPs makes these non-planar nanographene-stabilized RuNPs very attractive systems to further investigate graphene-metal interactions. A combined theoretical/experimental study allowed us to explore the coordination modes and dynamics of these nanographenes at the Ru surface. The curvature of these saddle-shaped nanographenes makes them efficient MNP stabilizers. The resulting RuNPs were found to be highly active catalysts for the hydrogenation of aromatics, including platform molecules derived from biomass (i.e. HMF) or liquid organic hydrogen carriers (i.e. N-indole). A significant ligand effect was observed since a minor modification on the hept-HBC structure (C[double bond, length as m-dash]CH2 instead of C[double bond, length as m-dash]O) was reflected in a substantial increase in the MNP activity. Finally, the stability of these canopied RuNPs was investigated by multiple addition experiments, proving to be stable catalysts for at least 96 h.

6.
Enferm Infecc Microbiol Clin (Engl Ed) ; 40(10): 557-561, 2022 12.
Artigo em Inglês | MEDLINE | ID: mdl-36274043

RESUMO

INTRODUCTION: Congenital citomegalovirus (CMVc) infection is more common in children exposed to HIV during pregnancy, with reported rates in pre-ART era from 2 to 7%. The use of combined antiretroviral treatment (ARTc) could be a determining factor in reducing this risk of CMV transmission. The aim of this study was to describe the epidemiology of CMVc infection in newborns of HIV-infected mothers at Hospital Universitario 12 de Octubre, Madrid, Spain, from 2000 to 2017. MATERIAL AND METHODS: An observational and retrospective study was carried out. Epidemiological and clinical variables were collected. Statistical analysis was performed with the SPSS 24.0 computer program. RESULTS: 288 mother-infant pairs were included in the study. We observed a CMVc rate of 2.1% (95% CI 0.9-4.9). CONCLUSIONS: The rate of CMVc in HIV-exposed children observed was lower than that reported in pre-ARTc era but seems higher than those described in general population.


Assuntos
Infecções por Citomegalovirus , Doenças Fetais , Infecções por HIV , Doenças do Recém-Nascido , Complicações Infecciosas na Gravidez , Lactente , Gravidez , Criança , Feminino , Recém-Nascido , Humanos , Transmissão Vertical de Doenças Infecciosas , Mães , Complicações Infecciosas na Gravidez/epidemiologia , Complicações Infecciosas na Gravidez/tratamento farmacológico , Estudos Retrospectivos , Infecções por HIV/complicações , Infecções por HIV/epidemiologia , Infecções por HIV/tratamento farmacológico , Infecções por Citomegalovirus/epidemiologia , Antirretrovirais/uso terapêutico
7.
ACS Catal ; 12(14): 8462-8475, 2022 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-37528952

RESUMO

The development of energetically efficient processes for the aqueous reduction of biomass-derived compounds into chemicals is key for the optimal transformation of biomass. Herein we report an early example of the reduction of biomass-derived oxygenated compounds in water by magnetically induced catalysis. Non-coated and carbon-coated core-shell FeCo@Ni magnetic nanoparticles were used as the heating agent and the catalyst simultaneously. In this way it was possible to control the product distribution by adjusting the field amplitude applied during the magnetic catalysis, opening a precedent for this type of catalysis. Finally, the encapsulation of the magnetic nanoparticles in carbon (FeCo@Ni@C) strongly improved the stability of the magnetic catalyst in solution, making its reuse possible up to at least eight times in dioxane and four times in water.

8.
Nanoscale ; 13(14): 6902-6915, 2021 Apr 14.
Artigo em Inglês | MEDLINE | ID: mdl-33885491

RESUMO

Formation of stable carbides during CO bond dissociation on small ruthenium nanoparticles (RuNPs) is demonstrated, both by means of DFT calculations and by solid state 13C NMR techniques. Theoretical calculations of chemical shifts in several model clusters are employed in order to secure experimental spectroscopic assignations for surface ruthenium carbides. Mechanistic DFT investigations, carried out on a realistic Ru55 nanoparticle model (∼1 nm) in terms of size, structure and surface composition, reveal that ruthenium carbides are obtained during CO hydrogenation. Calculations also indicate that carbide formation via hydrogen-assisted hydroxymethylidyne (COH) pathways is exothermic and occurs at reasonable kinetic cost on standard sites of the RuNPs, such as 4-fold ones on flat terraces, and not only in steps as previously suggested. Another novel outcome of the DFT mechanistic study consists of the possible formation of µ6 ruthenium carbides in the tip-B5 site, similar examples being known only for molecular ruthenium clusters. Moreover, based on DFT energies, the possible rearrangement of the surface metal atoms around the same tip-site results in a µ-Ru atom coordinated to the remaining RuNP moiety, reminiscent of a pseudo-octahedral metal center on the NP surface.

10.
ACS Appl Nano Mater ; 3(7): 7076-7087, 2020 Jul 24.
Artigo em Inglês | MEDLINE | ID: mdl-32743352

RESUMO

Magnetically induced catalysis using magnetic nanoparticles (MagNPs) as heating agents is a new efficient method to perform reactions at high temperatures. However, the main limitation is the lack of stability of the catalysts operating in such harsh conditions. Normally, above 500 °C, significant sintering of MagNPs takes place. Here we present encapsulated magnetic FeCo and Co NPs in carbon (Co@C and FeCo@C) as an ultrastable heating material suitable for high-temperature magnetic catalysis. Indeed, FeCo@C or a mixture of FeCo@C:Co@C (2:1) decorated with Ni or Pt-Sn showed good stability in terms of temperature and catalytic performances. In addition, consistent conversions and selectivities regarding conventional heating were observed for CO2 methanation (Sabatier reaction), propane dehydrogenation (PDH), and propane dry reforming (PDR). Thus, the encapsulation of MagNPs in carbon constitutes a major advance in the development of stable catalysts for high-temperature magnetically induced catalysis.

13.
Nanoscale ; 11(35): 16544-16552, 2019 Sep 21.
Artigo em Inglês | MEDLINE | ID: mdl-31455954

RESUMO

Bimetallic ruthenium-platinum nanoparticles (RuPt NPs) of different surface distributions and stabilized by using a sulfonated N-heterocyclic carbene ligand (1-(2,6-diisopropylphenyl)-3-(3-potassium sulfonatopropyl)-imidazol-2-ylidene) were prepared from Ru(COD)(COT) (COD = cyclooctadiene and COT = cyclooctatriene), and platinum precursors having various decomposition rates (Pt(NBE)3, NBE = norbornene, Pt(CH3)2(COD) and Pt2(DBA)3, DBA = dibenzylideneacetone). Structural and surface studies by FT-IR and solid-state MAS NMR, using carbon monoxide as a probe molecule, revealed the presence of different structures and surface compositions for different nanoparticles of similar sizes, which principally depend on the decomposition rate of the organometallic precursors used during the synthesis. Specifically, the slower the decomposition rate of the platinum precursor, the higher the number of Pt atoms at the NP surface. The different bimetallic RuPt NPs, as well as their monometallic equivalents (Pt and Ru NPs), were used in isotopic H/D exchange through C-H activation on l-lysine. Interestingly, the activity and selectivity of the direct C-H deuteration were dependent on the NP surface composition at the α position but not on that at the ε position. Chemical shift perturbation (CSP) experiments revealed that the difference in reactivity at the α position is due to a Pt-carboxylate interaction, which hinders the H/D exchange.

14.
Dalton Trans ; 48(4): 1351-1366, 2019 Jan 22.
Artigo em Inglês | MEDLINE | ID: mdl-30608093

RESUMO

Monomeric alkoxo complexes of the type [(iPrPCP)M-OR] (M = Ni or Pd; R = Me, Et, CH2CH2OH; iPrPCP = 2,6-bis(diisopropylphosphino)phenyl) react rapidly with CO2 to afford the corresponding alkylcarbonates [(iPrPCP)M-OCOOR]. We have investigated the reactions of these compounds as models for key steps of catalytic synthesis of organic carbonates from alcohols and CO2. The MOCO-OR linkage is kinetically labile, and readily exchanges the OR group with water or other alcohols (R'OH), to afford equilibrium mixtures containing ROH and [(iPrPCP)M-OCOOH] (bicarbonate) or [(iPrPCP)M-OCOOR'], respectively. However, [(iPrPCP)M-OCOOR] complexes are thermally stable and remain indefinitely stable in solution when these are kept in sealed vessels. The constants for the exchange equilibria have been interpreted, showing that CO2 insertion into M-O bonds is thermodynamically more favorable for M-OR than for M-OH. Alkylcarbonate complexes [(iPrPCP)M-OCOOR] fail to undergo nucleophilic attack by ROH to yield organic carbonates ROCOOR, either intermolecularly (using neat ROH solvent) or in intramolecular fashion (e.g., [(iPrPCP)M-OCOOCH2CH2OH]). In contrast, [(iPrPCP)M-OCOOMe] complexes react with a variety of electrophilic methylating reagents (MeX) to afford dimethylcarbonate and [(iPrPCP)M-X]. The reaction rates increase in the order X = OTs < IMe ≪ OTf and Ni < Pd. These findings suggest that a suitable catalyst design should combine basic and electrophilic alcohol activation sites in order to perform alkyl carbonate syntheses via direct alcohol carboxylation.

15.
Pediatr Infect Dis J ; 38(3): 263-267, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-29750764

RESUMO

BACKGROUND: In recent years, there is an increasing interest in the use of linezolid for the treatment of tuberculosis (TB). METHODS: Patients less than 18 years of age who received linezolid within the Spanish Pediatric TB Network from 2001 to 2016 were retrospectively included. Treatment characteristics, adverse events (AEs) and outcomes were analyzed. RESULTS: Fifteen children were included (53% male) with a median age of 3.6 years [interquartile range (IQR): 1.6-6.2]. Median follow-up was 54 months (IQR: 38-76). The reasons for linezolid use were drug-resistant TB in 8 (53%) patients, drug-induced liver injury in 5 (33%) patients and chronic liver disease in 2 (13%) patients. Four children (26%) were on immunosuppressive therapy when TB was diagnosed. Five children (33%) were diagnosed with extrapulmonary TB. The median duration of linezolid treatment was 13 months (IQR: 7.5-17). Nine patients had 13 linezolid-related AEs. Hematologic toxicity was observed in 8 patients (53%) and gastrointestinal intolerance in 3 patients (20%). In 2 patients, linezolid dose was reduced, and in 2 patients, linezolid was discontinued because of AEs. A 2-year-old girl went back to her country of birth and was lost to follow-up. No relapses were observed among the other 14 patients (93%). CONCLUSIONS: Linezolid may be considered when treating children with drug-resistant TB but also in the cases of patients with chronic liver disease or drug-induced liver injury. However, AEs should be closely monitored. Further studies are needed to determine the optimum dosage and the optimal duration of linezolid treatment in children.


Assuntos
Antituberculosos/uso terapêutico , Linezolida/uso terapêutico , Tuberculose Resistente a Múltiplos Medicamentos/tratamento farmacológico , Adolescente , Antituberculosos/efeitos adversos , Doença Hepática Induzida por Substâncias e Drogas , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Linezolida/efeitos adversos , Masculino , Estudos Retrospectivos , Espanha , Resultado do Tratamento
16.
Am Heart J ; 206: 1-10, 2018 12.
Artigo em Inglês | MEDLINE | ID: mdl-30273903

RESUMO

BACKGROUND: The contemporary natural history of patients with acute pulmonary embolism (PE) not receiving (or early discontinuing) anticoagulant therapy has not been consistently evaluated. OBJECTIVE: To assess the rate of the composite outcome of PE-related death, sudden death, or recurrent thromboembolism (VTE) within 30 days in all PE patients in whom anticoagulation was not administered or discontinued prematurely (<90 days of anticoagulation). METHODS: We used the RIETE database to assess the incidence rates (per 100 person-days) of the composite outcome within the subsequent 30 days. The risk of these events was compared to PE patients who were anticoagulated for ≥90 days. RESULTS: Of 34,447 PE recruited from 2001 to 2017, 47 (0.14%) did not receive anticoagulants and 1348 (3.91%) discontinued it before 90 days. Fatal PE developed in 25 (53%) of those without any anticoagulation and in 45 (3.33%) with premature discontinuations. Sudden death or non-fatal recurrent VTE occurred in 6 (0.45%) and 24 (1.48%) patients, respectively. The incidence of the primary outcome declined logarithmically from 6.36 per 100 patient-days in untreated patients to 0.32-0.13 in those treated for 8-90 days. During the first week of follow-up, the incidence rate was 13.9 and 0.60-0.31 per 100 patient-days, respectively. The adjusted odds of the primary outcome was 27 fold higher in untreated than in treated patients, and progressively decreased to 2.5-7 fold higher in patients treated for at least 7 days. CONCLUSION: The incidence of the composite outcome was highest during the first week, and inversely and logarithmically correlated with the duration of anticoagulant therapy.


Assuntos
Anticoagulantes/uso terapêutico , Embolia Pulmonar/tratamento farmacológico , Sistema de Registros , Trombose/epidemiologia , Suspensão de Tratamento , Doença Aguda , Idoso de 80 Anos ou mais , Europa (Continente)/epidemiologia , Feminino , Seguimentos , Humanos , Incidência , Masculino , Embolia Pulmonar/diagnóstico , Estudos Retrospectivos , Fatores de Risco , Taxa de Sobrevida/tendências , Trombose/etiologia , Fatores de Tempo , Tomografia Computadorizada por Raios X , Estados Unidos/epidemiologia
17.
Chem Commun (Camb) ; 54(51): 7070-7073, 2018 Jun 21.
Artigo em Inglês | MEDLINE | ID: mdl-29876568

RESUMO

Herein we present ruthenium nanoparticles (Ru-NPs) stabilized with two rigid NHC ligands derived from cholesterol. The obtained nanoparticles were fully characterized and applied in the hydrogenation of various aromatic compounds under mild conditions. Interestingly, the more bulky ligand gives a slightly lower ligand coverage and a faster catalyst.

18.
Acc Chem Res ; 51(2): 376-384, 2018 02 20.
Artigo em Inglês | MEDLINE | ID: mdl-29308876

RESUMO

Although there has been for the past 20 years great interest in the synthesis and use of metal nanoparticles, little attention has been paid to the complexity of the surface of these species. In particular, the different aspects concerning the ligands present, their location, their mode of binding, and their dynamics have been little studied. Our group has started in the early 1990s an investigation of the surface coordination chemistry of ruthenium and platinum nanoparticles but at that time with a lack of adequate techniques to fulfill our ambition. Over 10 years later, we went back to this problem and could obtain a more precise vision of the surface species. This Account is centered on ruthenium chemistry. This metal has been the most studied in our group, first thanks to the availability of a precursor, Ru(cyclooctadiene)(cyclooctatriene) (Ru(COD)(COT)), which possesses the ability to decompose in very mild conditions without leaving residues on the resulting nanoparticles and second because of the absence of magnetic perturbations (Knight shift, paramagnetism, ferromagnetism, etc.), which has allowed the use of solution and solid state NMR. In this respect, it has been possible to evidence the presence of a high concentration of hydrides on the surface of these particles, to study their dynamics, and to show that since the polarity of the Ru-H bond is similar to that of the C-H bond, a Ru/H NP would behave as a big lipophilic entity. The second point was to characterize the coordination of ancillary ligands. This has been achieved for different ligands, in particular phosphines and carbenes, which made possible the study of the modification of NP reactivity induced by surface ligands. This led to the conclusion that the presence of surface ligands can benefit both the activity of NP catalysts and their selectivity. If it was expected that the selectivity could be modulated, the promoting effect from the presence of ligands on, for example, arene or CO hydrogenation was totally unexpected. Playing with poison atoms (Sn, Fe, etc.) or ligands (CO) may allow us to play with the reactivity of the NPs to make them more selective for selected reactions. Finally, the search for specific ligands for nanoparticles is still in its infancy, but some examples have been found as have specific reactions of nanoparticles. Obviously arene hydrogenation and CO hydrogenation were well-known in heterogeneous catalysis, but we could demonstrate that they can be carried out in very mild conditions on ligand stabilized RuNPs. On the other hand, the enantiospecific C-H activation leading to enantioselective labeling of large organic or biomolecules or the C-C bond cleavage in mild conditions were both unexpected. There is still much work to perform for reaching the degree of control on nanoparticles that is presently achieved in organometallic molecular chemistry, but this work shows that it is possible.

19.
Inorg Chem ; 56(21): 13086-13099, 2017 Nov 06.
Artigo em Inglês | MEDLINE | ID: mdl-28985067

RESUMO

A series of nickel pincer complexes with terminal alkoxo ligands [(iPrPCP)Ni-OR] (R = Et, nBu, iPr, CH2CH2OH; iPrPCP is the 2,6-bis(diisopropylphosphinomethyl)phenyl pincer ligand) was synthesized and fully characterized. Together with the previously reported methoxo analogues of Ni and Pd, these complexes constitute a unique series of isostructural late transition-metal alkoxides. Spectroscopic and X-ray diffraction data provide direct indications of the strong polarization of their covalent Ni-OR bonds. One of the most salient features of this class of compounds is their facile hydrolysis with traces of moisture, leading to equilibrium mixtures with the corresponding hydroxides [(iPrPCP)M-OH] (M = Ni or Pd) and alcohols, ROH. To compare the hydrolytic stability of nickel and palladium alkoxides, we performed NMR titrations of both hydroxides with several alcohols and determined the corresponding equilibrium constants. In general, these constants are ca. 1 order of magnitude smaller for M = Ni than Pd, indicating that Ni alkoxide complexes are more readily hydrolyzed than their Pd counterparts. For alkoxide complexes containing heteroatom-free R groups, the tendency to hydrolyze decreases as the parent alcohol ROH becomes more acidic, that is, R = Me > Et > iPr. This intuitive trend is broken for 2-methoxyethanol, the most acidic alcohol investigated. The hydroxo/2-methoxyethanol exchange equilibrium constants are comparable to those of ethanol (M = Ni) or methanol (M = Pd), showing that the corresponding 2-methoxyethoxide complexes are more prone to hydrolysis than anticipated. These experimental observations were rationalized in the light of density functional theory calculations.

20.
PLoS One ; 12(8): e0183558, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28841701

RESUMO

BACKGROUND: An increasing number of perinatally HIV-infected women (PHIV) are reaching adulthood and becoming pregnant. Most PHIV women have been exposed to a high number of antiretroviral regimens, and they may have difficulties to achieve viral suppression. Psychosocial problems are not uncommon and could be an important barrier for treatment adherence. The effects of chronic HIV infection and long-term exposure to antiretroviral treatment of PHIV women cause concerns on the developing fetus. The aims of this study were to describe the prevention of mother-to-child transmission strategies in PHIV women and the infant outcomes in the Madrid Cohort of HIV-infected mother-infant pairs. METHODS: All PHIV pregnant women registered in the Cohort that gave birth from 2000 to 2015 were included in the study. RESULTS: Twenty-eight pregnancies in twenty-two perinatally infected women were registered. Most women were Caucasian and heavily treatment-experienced. Nine cases (32.1%) were at high risk of HIV mother-to-child transmission. Maternal HIV-1 viral load was detectable close to delivery in four women (14.3%). The management of these cases was described, and the treatment strategies were discussed. None of the newborns acquired HIV infection. Eight infants (28.6%) were small for gestational age. CONCLUSIONS: This study included a large series of pregnancies among PHIV women attended according to a youth-centered care model. The challenges in the management of this population by health-care providers were described. Specific strategies to minimize perinatal transmission risks should be addressed in future collaborative studies.


Assuntos
Infecções por HIV/fisiopatologia , Complicações Infecciosas na Gravidez , Resultado da Gravidez , Adolescente , Adulto , Fármacos Anti-HIV/uso terapêutico , Feminino , Infecções por HIV/complicações , Infecções por HIV/tratamento farmacológico , Infecções por HIV/epidemiologia , Humanos , Gravidez , Complicações Infecciosas na Gravidez/tratamento farmacológico , Espanha/epidemiologia , Carga Viral , Adulto Jovem
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