Identification of Clinically Significant Cytokine Signature Clusters in Patients With Septic Shock.

Objectives: To identify cytokine signature clusters in patients with septic shock.

Design: Prospective observational cohort study.

Setting: Single academic center in the United States.

Effect of early mobilisation on long-term cognitive impairment in critical illness in the USA: a randomised controlled trial.

Background: Patients who have received mechanical ventilation can have prolonged cognitive impairment for which there is no known treatment. We aimed to establish whether early mobilisation could reduce the rates of cognitive impairment and other aspects of disability 1 year after critical illness.

Methods: In this single-centre, parallel, randomised controlled trial, patients admitted to the adult medical-surgical intensive-care unit (ICU), at the University of Chicago (IL, USA), were recruited.

Management of Persistent Air Leaks.

Alveolar-pleural fistulas causing persistent air leaks (PALs) are associated with prolonged hospital stays and high morbidity. Prior guidelines recommend surgical repair as the gold standard for treatment, albeit it is a solution with limited success. In patients who have recently undergone thoracic surgery or in whom surgery would be contraindicated based on the severity of illness, there has been a lack of treatment options.

Diastereoselective oxidative carbon-carbon bond formation via silyl bis-enol ethers.

Diisopropylsilyl bis-enol ethers are shown to be powerful intermediates for the diastereoselective dimerization and cross-coupling of cyclic ketones. The trends observed for the oxidative coupling of a range of different dialkylsilyl bis-enol ethers derived from cyclohexanone are rationalized by invoking a stereochemical model based on a Thorpe-Ingold effect.