Especially in the field of enantioselective synthesis, vicinal diamines (1,2-diamines) 1 and compounds easily prepared from them-such as 1,2-bisimines, 1,2-diamides, or imidazolidin-2-ones-are widely used by organic chemists. Various strategies have been developed to produce these compounds selectively. Many natural products and medicinal agents also contain a 1,2-diamino unit.
We identified 5 risk factors for nocardiosis after SOT. Low-dose cotrimoxazole was not found to prevent Nocardia infection. These findings may help improve management of transplant recipients.
Background. Solid organ transplant (SOT) recipients are at risk of nocardiosis, a rare opportunistic bacterial infection, but prognosis and outcome of these patients are poorly defined. Our objectives were to identify factors associated with 1-year mortality after nocardiosis and describe the outcome of patients receiving short-course antibiotics (≤120 days).Methods. We analyzed data from a multicenter European case-control study that included 117 SOT recipients with nocardiosis diagnosed between 2000 and 2014. Factors associated with 1-year all-cause mortality were identified using multivariable conditional logistic regression.Results. One-year mortality was 10-fold higher in patients with nocardiosis (16.2%, 19/117) than in control transplant recipients (1.3%, 3/233, P < .001). A history of tumor (odds ratio [OR], 1.4; 95% confidence interval [CI], 1.1-1.8), invasive fungal infection (OR, 1.3; 95% CI, 1.1-1.5), and donor age (OR, 1.0046; 95% CI, 1.0007-1.0083) were independently associated with 1-year mortality. Acute rejection in the year before nocardiosis was associated with improved survival (OR, 0.85; 95% CI, 0.73-0.98). Seventeen patients received short-course antibiotics (median duration 56 [24-120] days) with a 1-year success rate (cured and surviving) of 88% and a 5.9% risk of relapse (median follow-up 49
months).Conclusions. One-year mortality was 10-fold higher in SOT patients with nocardiosis than in those without. Four factors, largely reflecting general medical condition rather than severity and/or management of nocardiosis, were independently associated with 1-year mortality. Patients who received short-course antibiotic treatment had good outcomes, suggesting that this may be a strategy for further study.
Vor allem bei enantioselektiven Synthesen werden vicinale Diamine (1,2‐Diamine) 1 und Verbindungen, die auf einfachem Weg aus diesen erhalten werden können – wie 1,2‐Bisimine, 1,2‐Diamide oder Imidazolidin‐2‐one –, in großem Umfang von Organikern verwendet. Mehrere Verfahren wurden entwickelt, um diese Verbindungen selektiv herzustellen. Auch viele Naturprodukte und Medikamente enthalten die 1,2‐Diaminostruktur.
The microscopic protonation mechanism, at an inframolecular level, of norbadione A, a pigment extracted from mushrooms and known to complex cesium cations, was determined by using 1H NMR titrations and the cluster expansion method. This study revealed a pH dependent Z to E isomer switch that occurs in both pulvinic moieties. As a consequence, norbadione A can exist in solution in four stereomeric forms (E-E, E-Z, Z-E, and Z-Z), which can be of interest in the development of molecular-level devices. In the presence of 0.15 M NaCl, the calculated microconstants showed an unusual apparent cooperativity between the enol groups, which results from the release of the sodium cations upon protonation of norbadione A.
Methallyltriphenylarsonium ylide polymerized in the presence of catalytic amounts of trialkylboranes. Linear polymers containing a terminal alcohol function were obtained after alkaline hydrogen peroxide oxidation. The chain of these polymers is constituted of methyl-substituted double bonds, separated by one methylene group. Their structure is related to that of natural rubber, in which the double bonds are separated by two methylene groups. These polymers arise from successive chain elongations of three carbon atoms at a time. A cyclic, polymeric ketone was also prepared from a cyclic trialkylborane. The mechanism, which involves a boratropic rearrangement after every insertion of a monomer, is discussed.
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