The axial length affected the average RNFL thickness, and myopia affected the RNFL thickness distribution. High myopes are likely to exhibit different RNFL distribution patterns. Since ocular magnification significantly affects the RNFL measurement in such patients, it should be considered in diagnosing glaucoma.

The mild and selective hydrolysis of esters can often be crucial in the sequence toward a target molecule and is, therefore, an important objective in contemporary organic synthesis. Although several methods exist to accomplish this task in certain cases, a mild, generally applicable protocol remains absent. Frequent problems encountered include the concurrent hydrolysis of other ester groups present within the molecule under scrutiny, epimerization of stereocenters, and elimination reactions induced by the often basic conditions employed. Herein we report a new and selective method for the hydrolysis of esters under extremely mild conditions that avoid such side reactions and lead to high yields of the corresponding carboxylic acids.It was during our campaign toward thiostrepton, [1] a highly complex thiopeptide antibiotic, that we had the opportunity to search for such a method. Our sensitive intermediates proved too fragile to tolerate standard ester hydrolysis conditions. We finally came upon Me 3 SnOH, which had been previously employed by Mascaretti and co-workers [2] to cleave phenacyl ester anchored amino acids and peptides from a polystyrene resin and to hydrolyze methyl and isopropyl phenylacetate to give the corresponding acids in high yield. To our knowledge, these are the only examples in which Me 3 SnOH has been previously used to carry out hydrolytic ruptures of esters.[3] As shown in Table 1, this reagent proved extremely useful to us in attaining the highyielding and selective hydrolysis of methyl esters within the sensitive substrates 1-4, which were encountered en route to thiostrepton. These remarkable results prompted a secondphase investigation in which we attempted to determine systematically the generality and scope of this protocol, which involved heating the substrate with 1-10 equivalents of[*] Prof.

ObjectivesThe outbreak of Middle East respiratory syndrome coronavirus (MERS-CoV) infection in the Republic of Korea started from the index case who developed fever after returning from the Middle East. He infected 26 cases in Hospital C, and consecutive nosocomial transmission proceeded throughout the nation. We provide an epidemiologic description of the outbreak, as of July 2015.MethodsEpidemiological research was performed by direct interview of the confirmed patients and reviewing medical records. We also analyzed the incubation period, serial interval, the characteristics of superspreaders, and factors associated with mortality. Full genome sequence was obtained from sputum specimens of the index patient.ResultsA total of 186 confirmed patients with MERS-CoV infection across 16 hospitals were identified in the Republic of Korea. Some 44.1% of the cases were patients exposed in hospitals, 32.8% were caregivers, and 13.4% were healthcare personnel. The most common presenting symptom was fever and chills. The estimated incubation period was 6.83 days and the serial interval was 12.5 days. A total of 83.2% of the transmission events were epidemiologically linked to five superspreaders, all of whom had pneumonia at presentation and contacted hundreds of people. Older age [odds ratio (OR) = 4.86, 95% confidence interval (CI) 1.90–12.45] and underlying respiratory disease (OR = 4.90, 95% CI 1.64–14.65) were significantly associated with mortality. Phylogenetic analysis showed that the MERS-CoV of the index case clustered closest with a recent virus from Riyadh, Saudi Arabia.ConclusionA single imported MERS-CoV infection case imposed a huge threat to public health and safety. This highlights the importance of robust preparedness and optimal infection prevention control. The lessons learned from the current outbreak will contribute to more up-to-date guidelines and global health security.

While two-dimensional (2D) van der Waals (vdW) layered materials are promising channel materials for wearable electronics and energy-efficient field-effect transistors (FETs), large hysteresis and large subthreshold swing induced by either dangling bonds at gate oxide dielectrics and/or trap molecules in bubbles at vdW interface are a serious drawback, hampering implementation of the 2D-material based FETs in real electronics. Here, we report a monolayer MoS2 FET with near-zero hysteresis reaching 0.15% of the sweeping range of the gate bias, a record-value observed so far in 2D FETs. This was realized by squeezing the MoS2 channel between top h-BN layer and bottom h-BN gate dielectrics and further removing the trap molecules in bubbles at the vdW interfaces via post-annealing. By segregating the bubbles out to the edge of the channel, we also obtain excellent switching characteristics with a minimum subthreshold swing of 63 mV/dec, an average subthreshold slope of 69 mV/dec for a current range of four orders of magnitude at room temperature, and a high on/off current ratio of 108 at a small operating voltage (<1 V). Such a near-zero hysteresis and a near-ideal subthreshold limit originate from the reduced trap density of ~5.2  ×  109 cm−2 eV−1, a thousand times smaller than previously reported values.

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An ordered mesoporous tungsten‐oxide/carbon (denoted as m‐WO3−x‐C‐s) nanocomposite is synthesized using a simple one‐pot method using polystyrene‐block‐poly(ethylene oxide) (PS‐b‐PEO) as a structure‐directing agent. The hydrophilic PEO block interacts with the carbon and tungsten precursors (resol polymer and WCl6), and the PS block is converted to pores after heating at 700 °C under a nitrogen flow. The m‐WO3−x‐C‐s nanocomposite has a high Brunauer–Emmett–Teller (BET) surface area and hexagonally ordered pores. Because of its mesoporous structure and high intrinsic density of tungsten oxide, this material exhibits a high average volumetric capacitance and gravimetric capacitance as a pseudocapacitor electrode. In comparison with reduced mesoporous tungsten oxide (denoted as m‐WO3−x‐h), which is synthesized by a tedious hard template approach and further reduction in a H2/N2 atmosphere, m‐WO3−x‐C‐s shows a high capacitance and enhanced rate performance, as confirmed by cyclic voltammetry, galvanostatic charge/discharge measurements, and electrochemical impedance spectroscopy. The good performance of m‐WO3−x‐C‐s is attributed to the high surface area arising from the mesoporous structure, the large interconnected mesopores, and the low internal resistance from the well‐dispersed reduced tungsten oxide and amorphous carbon composite structure. Here, the amorphous carbon acts as an electrical pathway for effective pseudocapacitor behavior of WO3‐x.

The first phase of the total synthesis of thiostrepton (1), a highly complex thiopeptide antibiotic, is described. After a brief introduction to the target molecule and its structural motifs, it is shown that retrosynthetic analysis of thiostrepton reveals compounds 23, 24, 26, 28, and 29 as potential key building blocks for the projected total synthesis. Concise and stereoselective constructions of all these intermediates are then described. The synthesis of the dehydropiperidine core 28 was based on a biosynthetically inspired aza-Diels-Alder dimerization of an appropriate azadiene system, an approach that was initially plagued with several problems which were, however, resolved satisfactorily by systematic investigations. The quinaldic acid fragment 24 and the thiazoline-thiazole segment 26 were synthesized by a series of reactions that included asymmetric and other stereoselective processes. The dehydroalanine tail precursor 23 and the alanine equivalent 29 were also prepared from the appropriate amino acids. Finally, a method was developed for the direct coupling of the labile dehydropiperidine key building block 28 to the more advanced and stable peptide intermediate 27 through capture with the highly reactive alanine equivalent 67 under conditions that avoided the initially encountered destructive ring contraction process.