Assessment of an intervention to optimise antenatal management of women admitted with preterm labour and intact membranes using amniocentesis-based predictive risk models: study protocol for a randomised controlled trial (OPTIM-PTL Study).

Introduction: The majority of women admitted with threatened preterm labour (PTL) do not delivery prematurely. While those with microbial invasion of the amniotic cavity (MIAC) represent the highest risk group, this is a condition that is not routinely ruled out since it requires amniocentesis. Identification of low-risk or high-risk cases might allow individualisation of care, that is, reducing overtreatment with corticosteroids and shorten hospital stay in low-risk women, while allowing early antibiotic therapy in those with MIAC.

Michael reactions of titanium enolates of glycolic acid derivatives with the Weinreb and morpholine amides of acrylic acid.

The conjugate additions of titanium enolates of glycolate-derived chiral oxazolidin-2-ones to various Michael acceptors have been evaluated as an entry to enantiopure 1,2,5-trioxygenated and related synthons. alpha,beta-unsaturated Weinreb and morpholine amides do react under suitable conditions and their adducts can be converted to diverse C1-C5 chiral fragments.

Toward a total synthesis of amphidinolide X and Y. The tetrahydrofuran-containing fragment C12-C21.

The key THF derivative (9a) for an enantioselective synthesis of amphidinolide X/Y was obtained from 1a via a selenoetherification reaction. In fact, among the cyclization methods investigated, the highest yield and stereocontrol were achieved at -78 degrees C with PhSeCl/EtiPr2N from diols 1a (anti-Z) and 1b (anti-E) and with PhSeCl/ZnBr2 from diols 1c (syn-Z) and 1d (syn-E). Also, surprisingly, use of protecting groups (on the allylic OH) was detrimental in the cases studied.

p16 overexpression identifies HPV-positive vulvar squamous cell carcinomas.

Two types of vulvar squamous cell carcinomas (VSCCs) are recognized according to their relationship to human papillomavirus (HPV). Basaloid or warty carcinomas are considered HPV-associated tumors, whereas differentiated keratinizing neoplasms are considered non-HPV-associated. Recently, immunohistochemical detection of p16 and p53 has been proposed to differentiate these 2 types of VSCCs.