Heterocyclic Boron Acid Catalyzed Dehydrative Amidation of Aliphatic/Aromatic Carboxylic Acids with Amines.

A commercially available and versatile dehydrative amidation catalyst, featuring a thianthrene boron acid structure, has been developed. The catalyst shows high catalytic activity to both aliphatic and less reactive aromatic carboxylic acid substrates, including several bioactive or clinical molecules with a carboxylic acid group.

Shear Flows in Far-from-Equilibrium Strongly Coupled Fluids.

Although the viscosity of a fluid ranges over several orders of magnitude and is extremely sensitive to microscopic structure and molecular interactions, it has been conjectured that its (opportunely normalized) minimum displays a universal value which is experimentally approached in strongly coupled fluids such as the quark-gluon plasma. At the same time, recent findings suggest that hydrodynamics could serve as a universal attractor even when the deformation gradients are large and that dissipative transport coefficients, such as viscosity, could still display a universal behavior far from equilibrium. Motivated by these observations, we consider the real-time dissipative dynamics of several holographic models under large shear deformations. In all the cases considered, we observe that at late time both the viscosity-entropy density ratio and the dimensionless ratio between energy density and entropy density approach a constant value. Whenever the shear rate in units of the energy density is small at late time, these values coincide with the expectations from near equilibrium hydrodynamics. Surprisingly, even when this is not the case, and the system at late time is far from equilibrium, the viscosity-to-entropy ratio approaches a constant which decreases monotonically with the dimensionless shear rate and can be parametrically smaller than the hydrodynamic result.

Comparative Dose-Response Study of Phenylephrine Bolus for the Treatment of the First Episode of Spinal Anesthesia-Induced Hypotension for Cesarean Delivery in Severe Preeclamptic versus Normotensive Parturients.

Background: It is well-known that severe preeclamptic parturients have less vasopressor requirements than normotensive parturients; however, the exact dose difference is poorly documented. This study aimed to determine and compare the ED50 and ED90 of a single bolus phenylephrine for the treatment of spinal anesthesia-induced hypotension in parturients with severe preeclampsia and parturients with normotension. Methods: Seventy-five parturients with severe preeclampsia scheduled for cesarean delivery under combined spinal-epidural anesthesia were enrolled and randomly allocated to receive a single bolus of phenylephrine at five different doses (40, 50, 60, 70, and 80 µg), whereas 75 parturients with normotension were randomized to receive a single bolus of phenylephrine at five different doses (70, 80, 90, 100, and 110 µg) for the treatment of the first episode of hypotension. Phenylephrine dose values were log-transformed, the proportions of the successful interventions at each dose were converted to probits, and regression analysis was performed. Results: The ED50 and ED90 (95% CI) of bolus phenylephrine were 72.1 (61.7 to 79.9) µg and 107 (95.9-128.6) µg in parturients with normotension. The ED50 and ED90 values in parturients with severe preeclampsia were 47.6 (41.3-52.7) µg and 70.7 (62.9-86.7) µg. The relative median potency was 1.51 (1.16-2.61). Conclusion: Under this study conditions, severe preeclamptic parturients required a 34% reduction of ED50 of phenylephrine dose compared with normotensive parturients.

Solvent-Controlled Regioselective Reaction of 2-Methyleneaziridines with Acrylic/Propargylic Acids: Synthesis of Carboxylate Aziridine/Acetone Esters.

Herein, we report a convenient solvent-controlled regioselective esterification to access two types of carboxylate esters without any additive or non-green activation strategy. In this transformation, 2-methyleneaziridines served as an ester reagent, providing two alternative electrophilic carbon centers. Notably, this protocol is suitable for some structure-complicated clinical molecules with a carboxylic acid group, presenting remarkable application potential.

Comparative study on the manually-controlled variable-rate versus fixed-rate infusion of norepinephrine for preventing hypotension during spinal anesthesia for cesarean delivery.

STUDY OBJECTIVE: Previous studies have shown that prophylactic norepinephrine infusion is superior to intermittent bolus administration in preventing post-spinal hypotension. Nevertheless, it is still controversial whether manually-controlled variable-rate infusion is more effective than fixed-rate infusion. The purpose of the present study was to compare the efficacy of variable-rate infusion and fixed-rate infusion of norepinephrine for prophylaxis against maternal hypotension and maintaining hemodynamic stability during spinal anesthesia for cesarean delivery to determine more effective mode for clinical practice. DESIGN: A prospective randomized, controlled study. SETTING: Operating room, Women's Hospital, Zhejiang University School of Medicine. PATIENTS: A total of 161 parturients scheduled for elective cesarean delivery with spinal anesthesia were randomized into Group F (fixed-rate infusion) and Group V (variable-rate infusion). INTERVENTIONS: Parturients received prophylactic norepinephrine infusion concurrent with the intrathecal injection at rate started at 0.05 µg/kg/min. In Group F, norepinephrine was administered continuously at a fixed (on-off) rate, and a bolus of norepinephrine 5 µg or 10 µg was given when systolic blood pressure (SBP) decreased by 20% or more of baseline. In Group V, manually adjusted norepinephrine infusion within the range 0-0.14 µg/kg/min, according to SBP at 1-min intervals until delivery, aim to maintain values close to the baseline. MEASUREMENTS: During the study period, the incidence of maternal hypotension, hemodynamic performance, the number of physician interventions, reactive hypertension, bradycardia, nausea, vomiting, norepinephrine cumulative dose (before delivery), and neonatal outcomes were recorded. MAIN RESULTS: The incidence of maternal hypotension was significantly lower in Group V than that in Group F (9% versus 30%) (P < 0.001). No significant difference was found in the serial changes in SBP and heart rate (HR) for the first 15 min. Group V showed higher frequency of physician interventions compared with the Group F (P < 0.001). The incidence of hypertension, severe hypotension, nausea, vomiting, bradycardia, norepinephrine cumulative dose, and neonatal outcome were comparable between the two groups. CONCLUSION: When norepinephrine was infused at an initial dose of 0.05 µg/kg/min for preventing hypotension during spinal anesthesia for cesarean delivery, due to technical limitations of inadequate dose design in this study, neither a variable-rate infusion (need more physician intervention) nor a fixed-rate infusion regimen (experience more transient hypotension) was optimal. However, in terms of clinical importance, how to prevent the parturients from experiencing more incidence of hypotension might be a greater concern for anesthesiologists.

Iridium-catalyzed regioselective C-H sulfonamidation of 1,2,4-thiadiazoles with sulfonyl azides in water.

We have developed a regioselective C-N cross-coupling of 1,2,4-thiadiazoles with sulfonyl azides through iridium catalysis in water. This method tactically linked the 1,2,4-thiadiazoles and sulfonamides together, and the novel molecules increased the diversity of 1,2,4-thiadiazoles which may have potential applications.

Carboxylic acid stimulated silver shell isomerism in a triple core-shell Ag84 nanocluster.

Isomerization is highly important in all aspects of science, yet it is rarely observed in nanoscience. Here, we synthesized a unique triple core-shell Ag84 nanocluster displaying isomerism, which is controlled by different carboxylic acids and a one-way transformation (SD/Ag84a → SD/Ag84b). The innermost core is a rare Ag10 nanocluster which comprises an Ag6 octahedral unit as seen in face-centred cubic (fcc) silver metal and four capped Ag atoms. It templates two crescent-shaped polyoxometalate (W7O26)10- shells which are then enclosed in a shell of silver shaped as rugby balls. The organic ligands (iPrS-, n PrCOO- and PhCOO-) finally shield the metallic clusters. Due to slight differences in structure at two poles and the steric hindrance of n PrCOO- and PhCOO-, SD/Ag84a and SD/Ag84b adopt the shapes of flat-headed and cuspidal prolate spheres, respectively. Interestingly, PhCOOH is dominant over n PrCOOH whereby crystals of SD/Ag84b were isolated if PhCOOH is added during the synthesis of SD/Ag84a. This demonstrates that PhCOOH not only alters the organic coats but also induces metal shell re-organization. This work reveals carboxylate-controlled skeletal isomerism in silver nanoclusters for the first time, thus deepening the understanding of silver nanocluster assembly, flexibility and reactivity.