Beiträge zur Chemie der β-Lactam-Antibiotika

A reaction sequence for the preparation of 7-Amino-3-alkoxyceph-3-em-4-carboxylic acids 4 from natural penicillins is outlined. Key steps involve an ozonolysis and a novel type of cyclisation reaction (2 → 3). Products of the general structure 3 – not hitherto found in nature – have previously been prepared from Cephalosporin C [2]

SASRIN™, a Versatile Tool in Peptide Synthesis and Solid-Phase Organic Chemistry

The synthesis of the 4-(3-methoxy-4-(hydroxymethyl)phenoxymethyl) derivative of polystyrene-co-divinylbenzene (SASRIN™), its derivatives and its application in solid-phase peptide synthesis will be briefly reviewed in this paper. Solid-phase synthesis of fully protected peptide fragments may be the most important, but by far not the only application, as cleavage with nucleophiles or solid-phase synthesis on SASRIN derivatives will yield a range of useful C-terminally modified peptides, such as peptide hydrazides or p-nitroanilides

(±)-syn-Isopropyl 4-(1,1,1,3,3,3-hexa­fluoro­propan-2-yl­oxy)-1-hydr­oxy-3-methyl-2-(prop-1-yn­yl)cyclo­pent-2-ene­carboxyl­ate

The title compound, C16H18F6O4, was obtained through an unprecedented one-pot reaction sequence involving a Gosteli–Claisen rearrangement and a cyclo­isomerization. The constitution and relative configuration were determined by single-crystal X-ray diffraction analysis. In the crystal, mol­ecules are connected via O—H ⋯ O hydrogen bonds

Explaining Thailand's politicised COVID-19 containment strategies: securitisation, counter-securitisation, and re-securitisation

We examine the Thai government's politicised COVID-19 containment strategies, which have been challenged by Thai protesters. Although we use securitisation theory as an explanatory framework, we argue that researchers using this theory can explain the issues only if they simultaneously use social-conflict theory to explain the interactions between securitising actors and their audiences. By supplementing securitisation theory with social-conflict theory, we have found that the roles of securitising actors and audiences are not fixed. In our case study of Thailand, the Thai government and protesters have played two roles simultaneously: the role of a securitising actor and the role of an audience. This finding suggests that successful securitisation is impermanent; that is, it is subject to change over time. Securitisation may be successful, but the success can only be temporary because as new actors or resources enter the picture, the previously successful securitisation will, at some point, diminish

Postnatal cerebral hemodynamics in infants with severe congenital heart disease: a scoping review

Patients with severe congenital heart disease (CHD) are at risk for impaired neurodevelopment. Cerebral blood supply may be diminished by congenital anomalies of cardiovascular anatomy and myocardial function. The aim of this scoping review was to summarize the current knowledge on cerebral hemodynamics in infants with severe CHD. A scoping review was performed. Five databases were searched for articles published from 01/1990 to 02/2022 containing information on cerebral hemodynamics assessed by neuroimaging methods in patients with severe CHD within their first year of life. A total of 1488 publications were identified, of which 26 were included. Half of the studies used Doppler ultrasound, and half used magnetic resonance imaging techniques. Studies focused on preoperative findings of cerebral hemodynamics, effects of surgical and conservative interventions, as well as on associations between cerebral hemodynamics and brain morphology or neurodevelopment. Cerebral perfusion was most severely affected in patients with single ventricle and other cyanotic disease. Neuroimaging methods provide a large variety of information on cerebral hemodynamics. Nevertheless, small and heterogeneous cohorts complicate this field of research. Further studies are needed to improve our understanding of the link between CHD and altered cerebral hemodynamics to optimize neuroprotection strategies. IMPACT: Postnatal cerebral hemodynamics are altered in infants with congenital heart disease (CHD) as compared to healthy controls, especially in most severe types such as single ventricle or other cyanotic CHD. Associations of these alterations with brain volume and maturation reveal their clinical relevance. Research in this area is limited due to the rarity and heterogeneity of diagnoses. Furthermore, longitudinal studies have rarely been conducted. Further effort is needed to better understand the deviation from physiological cerebral perfusion and its consequences in patients with CHD to optimize neuroprotection strategies

Sonderklassen und integrative Förderung im nationalen Vergleich

Die integrative Förderung und die Sonderklassen sind niederschwellige sonderpädagogische Massnahmen, die in der Schweiz ganz unterschiedlich vergeben, benannt und umgesetzt werden. Gesetzliche Grundlagen und Forschungsbe- funde zeigen zwar, dass die integrative Förderung den separativen Settings vorzuziehen ist. Trotzdem führen rund zwei Drittel der Kantone noch Sonderklassen. Im Bereich der integrativen Förderung zeigen sich Unterschiede bezüg- lich Finanzierung, Gutachten, Zeugniseintrag und Kombination mit weiteren Massnahmen. Diese wirken sich auf Betroffene und auf die Ausgestaltung der Schulsettings vor Ort aus

The local soft tissue status and the prediction of local complications following fractures of the ankle region

INTRODUCTION Well-known risk factors (RF) for soft tissue complications following surgical treatment of fracture of the ankle region include diabetes, smoking, and the local soft tissue status. A weighted analysis might provide a risk profile that guides the surgical treatment strategy. The aim of this meta-analysis was to provide a risk profile for soft tissue complications following closed fractures of the ankle region. METHODS This review provides a meta-analysis of studies that investigate potential risk factors for complications in fractures of the ankle region. INCLUSION CRITERIA Original articles that were published between 2000 and 2020 in English or German language that calculated odds ratios (OR) of RF for soft tissue complications. Further, this study only includes articles that investigated fractures of the ankle region including pilon fracture, calcaneal fractures, and fractures of the malleoli. This study excluded articles that provide exploratory analyses, narrative reviews, and case reports. RF were stratified as patient specific systemic RF (PSS), patient specific local RF (PSL), and non-patient specific RF (NPS). PSS RF includes comorbidities, American society of anaesthesiology (ASA), requirement of medication, additional injuries, and smoking or substance abuse. PSL RF includes soft tissue status, wounds, and associated complications. NPS RF includes duration of surgery, staged procedure, or time to definitive surgery. Random effect (RE) models were utilized to summarize the effect measure (OR) for each group or specific RF. RESULTS Out of 1352 unique articles, 34 were included for quantitative analyses. Out of 370 complications, the most commonly assessed RF were comorbidities (34.6%). Local soft tissue status accounted for 7.5% of all complications. The overall rate for complication was 10.9% (standard deviation, SD 8.7%). PSS RF had an OR of 1.04 (95%CI 1.01 to 1.06, p = 0.006), PSL an OR of 1.79 (95% 1.28 to 2.49, p = 0.0006), and NPS RF an OR of 1.01 (95%CI 0.97 to 1.05, p = 0.595). Additional injuries did not predict complications (OR 1.23, 95%CI 0.44 to 3.45, p = 0.516). The most predictive RF were open fracture (OR 3.47, 95%CI 1.64 to 7.34, p < 0.001), followed by local tissue damage (OR 3.05, 95%CI 1.23 to 40.92, p = 0.04), and diabetes (OR 2.3, 95%CI 1.1 to 4.79, p = 0.26). CONCLUSION Among all RFs for regional soft tissue complications, the most predictive is the local soft tissue status, while additional injuries or NPS RF were less predictive. The soft tissue damage can be quantified and outweighs the cofactors described in previous publications. The soft tissue status appears to have a more important role in the decision making of the treatment strategy when compared with comorbidities such as diabetes