The significance of low titer serum cryptococcal antigen testing from 2017 to 2023 performed in a tertiary care center.

Several false positive low serum cryptococcal antigen (SCrAg) reports by lateral flow assay (LFA) were identified in late 2016 at our tertiary care hospital. After the recall and correction of the problem in the reagent, we studied the significance of SCrAg LFA ≤ 1:10 from January 2017 to October 2023. Of 20 patients with 31 samples of SCrAg LFA ≤ 1:10, 14 patients (70%) were classified as true positives, four (20%) were indeterminate, and only two (10%) patients were false positives.

COVID-19 Proactive Disease Management Using COVID Virtual Hospital in a Rural Community.

Purpose: A community teaching hospital serving a rural population established an intensive "hospital at home" program for patients with COVID-19 utilizing disease risk stratification and pulse oximeter readings to dictate nurse and clinician contact. Herein, we report patient outcomes and provider experiences resulting from this "virtual" approach to triaging pandemic care.

Methods: COVID-19-positive patients appropriate for outpatient management were enrolled in our COVID Virtual Hospital (CVH).

The Thailand Cave Rescue: General Anaesthesia in Unique Circumstances Presents Ethical Challenges for the Rescue Team.

In 2018, the remarkable rescue of twelve young boys and their football coach trapped in a flooded cave in Thailand captured worldwide attention. The rescue required the boys to be dived out of the cave system while fully anaesthetized which presented unique practical and ethical challenges for the rescue team. Major departures from normal anaesthetic practice were required.

Iron(II) complexes of ditopic carbanionic carbenes.

Reaction of dimesityliron(II) (Fe2(mes)4) with the N-heterocyclic carbenes 1,3-bis(2,6-diisopropylphenyl)-imidazol-2-ylidene (IPr) and 1,3-bis(2,6-dimethylphenyl)hexahydropyrimidin-2-ylidene (6-Xyl) afforded the novel trigonal planar complexes [Fe(IPr)(mes)2] (1) and [Fe(6-Xyl)(mes)2] (2), respectively. Both species were structurally characterized by single crystal X-ray diffraction and display structures and magnetic responses consistent with a quintet ground state (S = 2). Reaction of 1 with KC8 in THF afforded K(+) salts of the anionic complex [{:C[N(2,6-(i)Pr2C6H3)]2(CH)C}2Fe(mes)](-) (3) and the homoleptic organometallic anion [Fe(mes)3](-) (4).

Structural and theoretical studies of intermolecular dihydrogen bonding in [(C6F5)2(C6Cl5)B]-H···H-[TMP].

The product of the intermolecular 'frustrated Lewis pair' (FLP) B(C6F5)2(C6Cl5)/2,2,6,6-tetramethylpiperidine and H2 has been studied by single-crystal neutron diffraction. This is the first structurally characterised example of a geometrically unconstrained dihydrogen (H···H) bond within a hydrogenated FLP system.

A homologous series of first-row transition-metal complexes of 2,2'-bipyridine and their ligand radical derivatives: trends in structure, magnetism, and bonding.

The organometallic first-row transition-metal complexes [M(2,2'-bipy)(mes)2] (M = Cr (1), Mn (2), Co (4), Ni (5); 2,2'-bipy = 2,2'-bipyridine; mes = 2,4,6-Me3C6H2) were reacted with potassium and a suitable alkali-metal sequestering agent to yield salts of the anionic species [M(2,2'-bipy)(mes)2](-). The neutral parent compounds and their corresponding anionic congeners were characterized by single-crystal X-ray diffraction in [Cr(2,2'-bipy)(mes)2]·1.5C6H6, [Mn(2,2'-bipy)(mes)2], [Co(2,2'-bipy)(mes)2]·THF, [Ni(2,2'-bipy)(mes)2], [K(dibenzo-18-crown-6)·THF][Cr(2,2'-bipy)(mes)2]·2THF, [K(18-crown-6)][Mn(2,2'-bipy)(mes)2]·2THF, [K(18-crown-6)][Mn(2,2'-bipy)(mes)2]·0.

Covalency in the 4f shell of tris-cyclopentadienyl ytterbium (YbCp3)--a spectroscopic evaluation.

Evidence is presented of significant covalency in the ytterbium 4f shell of tris-cyclopentadienyl ytterbium (YbCp(3)) in its electronic ground state, that can be represented by the superposition of an ionic configuration Yb(III):4f(13)(Cp(3)) and a charge-transfer configuration Yb(II):4f(14)(Cp(3))(-1). The relative weights of these configurations were determined from (i) the difference in their 4f photoionization cross sections, (ii) the accumulation of spin-density centered on the (13)C atoms of the Cp ring, as measured by a pulsed EPR (HYSCORE) experiment, (iii) the reduction in the spin-density in the 4f shell, manifest in the (171)Yb hyperfine interaction, and (iv) the principal values of the g-tensor, obtained from the EPR spectrum of a frozen glass solution at 5.4 K.

On the structural and electronic properties of [Zn2(4,4'-bipyridine)(mes)4]n- (n=0-2), a homologous series of bimetallic complexes bridged by neutral, anionic, and dianionic 4,4'-bipyridine.

Addition of 1 equiv of potassium metal to a tetrahydrofuran (THF) solution of Zn(2)(4,4'-bipyridine)(mes)(4) (1; mes =2,4,6-Me(3)C(6)H(2)) in the presence of 18-crown-6 (1,4,7,10,13,16-hexaoxacyclooctadecane) yielded the radical anionic species [Zn(2)(4,4'-bipyridine)(mes)(4)](•-), which was characterized by single crystal X-ray diffraction in [K(18-crown-6)(THF)(2)][Zn(2)(4,4'-bipyridine)(mes)(4)] (2). A similar reaction employing 2 equiv of alkali metal afforded the related complex [K(18-crown-6)](2)[Zn(2)(4,4'-bipyridine)(mes)(4)] (3). The [Zn(2)(4,4'-bipyridine)(mes)(4)](n-) (n = 0-2) moieties present in 1-3 are largely isostructural, yet exhibit significant structural variations which arise because of differences in their electronic structure.

Experimental and computational study of the structural and electronic properties of Fe(II)(2,2'-bipyridine)(mes)2 and [Fe(II)(2,2'-bipyridine)(mes)2]-, a complex containing a 2,2'-bipyridyl radical anion.

Addition of potassium metal and 2,2,2-crypt (4,7,13,16,21,24-hexaoxa-1,10-diazabicyclo[8.8.8]hexacosane) to a tetrahydrofuran (THF) solution of Fe(2,2'-bipyridine)(mes)(2) (1; mes = 2,4,6-Me(3)C(6)H(2)) yielded the anionic complex [Fe(2,2'-bipyridine)(mes)(2)](-) which was isolated as [K(2,2,2-crypt)][Fe(2,2'-bipyridine)(mes)(2)] (2) alongside the side-product [K(2,2,2-crypt)][Fe(mes)(3)] x C(6)H(12) (3).

Synthesis and characterization of alkali-metal salts of 2,2'- and 2,4'-bipyridyl radicals and dianions.

The reaction of ethylenediamine (en) solutions of 2,2'- and 2,4'-bipyridine (bipy) with varying stoichiometric amounts of potassium and rubidium metal resulted in the isolation of compositionally pure solids containing the respective bipyridyl radical anions (2,2'- and 2,4'-bipy(*-)) and dianions (2,2'- and 2,4'-bipy(2-)). These species were structurally characterized by single-crystal X-ray diffraction in K(2,2'-bipy)(en) (1a), K(4)(2,2'-bipy)(4)(en)(4) (1b), Rb(2)(2,2'-bipy)(en)(2) (2), K(2,4'-bipy)(en) (3), K(4)(2,4'-bipy)(2)(en)(3.5) (4), and Rb(4)(2,4'-bipy)(2)(en)(3.

Synthesis and characterization of the 4,4'-bipyridyl dianion and radical monoanion. A structural study.

The reaction of ethylenediamine solutions of 4,4'-bipyridine with varying stoichiometric amounts of sodium resulted in the isolation of the 4,4'-bipyridyl radical anion (44bipy(*-)) and the unprecedented 4,4'-bipyridyl dianion (44bipy(2-)). The radical was characterized by single-crystal X-ray diffraction in Na(44bipy)(en) (1) and Na2(44bipy)2(en)2 (2) and the dianion in Na 2(44bipy)(en)2 (3), allowing for interesting correlations to be drawn between electronic structure and metric structural data. Further characterization of the solids by means of powder X-ray diffraction, electron paramagnetic resonance, and/or elemental analysis is also reported.

Class discovery and classification of tumor samples using mixture modeling of gene expression data--a unified approach.

Motivation: The DNA microarray technology has been increasingly used in cancer research. In the literature, discovery of putative classes and classification to known classes based on gene expression data have been largely treated as separate problems. This paper offers a unified approach to class discovery and classification, which we believe is more appropriate, and has greater applicability, in practical situations.

Linkage analysis of the simulated data - evaluations and comparisons of methods.

The goal of this study is to evaluate, compare, and contrast several standard and new linkage analysis methods. First, we compare a recently proposed confidence set approach with MAPMAKER/SIBS. Then, we evaluate a new Bayesian approach that accounts for heterogeneity.

Linkage analysis with sequential imputation.

Multilocus calculations, using all available information on all pedigree members, are important for linkage analysis. Exact calculation methods in linkage analysis are limited in either the number of loci or the number of pedigree members they can handle. In this article, we propose a Monte Carlo method for linkage analysis based on sequential imputation.