36-month clinical outcomes of patients with venous thromboembolism: GARFIELD-VTE.

Background: Venous thromboembolism (VTE), encompassing both deep vein thrombosis (DVT) and pulmonary embolism (PE), is a leading cause of morbidity and mortality worldwide.

Methods: GARFIELD-VTE is a prospective, non-interventional observational study of real-world treatment practices. We aimed to capture the 36-month clinical outcomes of 10,679 patients with objectively confirmed VTE enrolled between May 2014 and January 2017 from 415 sites in 28 countries.

Role of imine isomerization in the stereocontrol of the Staudinger reaction between ketenes and imines.

Computational-experimental analysis has allowed determining that the stereochemistry of the Staudinger reaction between ketenes and imines is strongly associated with the nature of the imine, which affects the two steps of the reaction. The first step, namely the nucleophilic attack of the sp-hybridized nitrogen atom of the imine on the sp-hybridized carbon atom of the ketene, is affected by the energetically accessible isomerization patterns of the imine. The second step consists of a conrotatory electrocyclization of the zwitterionic intermediate formed in the previous step.

[Scorpionism in children in Tucumán: descriptive analysis of cases in a second level of complexity Hospital].

Scorpionism in Tucumán is very frequent. The aim is to describe the clinical and epidemiological characteristics of cases of scorpionism that were seen in the Emergency Department of Eva Perón Hospital, Banda del Río Salí, Tucumán, between July 2013 and March 2015. Forty patients were assisted, 21 boys and 19 girls.

2-Azetidinones as Precursors of Pincer Ligands: Preparation, Structure, and Spectroscopic Properties of CC'N-Osmium Complexes.

A metal-promoted degradation of 2-azetidinones to afford CC'N-pincer ligands is reported. The hexahydride complex OsH6(P(i)Pr3)2 (1) reacts with (±)-cis-1-(4-methoxyphenyl)-3-phenoxy-4-(pyridin-2-yl)azetidin-2-one (I), (±)-cis-1-(4-methoxyphenyl)-3-phenoxy-4-(isoquinolin-2-yl)azetidin-2-one (II), and (±)-cis-1-(4-methoxyphenyl)-3-phenoxy-4-(quinolin-2-yl)azetidin-2-one (III) to give the respective OsH2(P(i)Pr3)2(CC'N) (2-4) complexes, which add HBF4·OEt2 to yield [OsH2(P(i)Pr3)2(CC″N)]BF4 (5-7). These salts are the result of the addition of the proton of the acid to the dianionic CC'N-pincer ligand.

Mechanistic Insight into the Facilitation of β-Lactam Fragmentation through Metal Assistance.

The mechanism of OsH6(PiPr3)2-mediated fragmentation of a 4-(2 pyridyl)-2-azetidinone has been investigated by DFT calculations. The addition of the C4-H bond of the substrate to OsH2(PiPr3)2 allows the active participation of an osmium lone pair in the B-type β-lactam fragmentation process. This new mechanism makes the N1-C4/C2-C3 fragmentation of the lactamic core thermally accessible through a stepwise process.