Publications by authors named "N D Lees"

The Diels-Alder reaction is one of the most effective methods for the synthesis of substituted cyclohexenes. The development of protein catalysts for this reaction remains a major priority, affording new sustainable routes to high value target molecules. Whilst a small number of natural enzymes have been shown capable of catalysing [4 + 2] cycloadditions, there is a need for significant mechanistic understanding of how these prospective Diels-Alderases promote catalysis to underpin their development as biocatalysts for use in synthesis.

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Article Synopsis
  • Advanced respiratory failure requiring tracheostomy is prevalent in heart transplant patients, with about 28.6% needing the procedure within approximately 11.5 days post-surgery.
  • Significant risk factors for requiring a tracheostomy include a history of stroke, previous sternotomy, longer cardiopulmonary bypass time, primary graft failure, renal replacement therapy, and higher daily mean SOFA scores.
  • Patients who needed a tracheostomy had a markedly higher one-year mortality rate (50%) compared to those who did not require one (16%), suggesting that tracheostomy is an indicator of poor prognosis in heart transplant recipients.
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Introduction/purpose: The routine mid-trimester fetal anatomy ultrasound (FAS) is offered to every pregnant woman and remains critical in the detection of structural fetal anomalies. Our study aimed to determine the prevalence of abnormalities on routine FAS performed by a single operator, who is an experienced sub-specialist in maternal-fetal medicine.

Methods: A retrospective analysis of all routine FAS performed a tertiary private obstetric ultrasound practice in metropolitan Sydney over a 7-year period, August 2015-July 2022.

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()-4-Hydroxy-3-methylbut-2-enyl diphosphate reductase, or IspH (formerly known as LytB), catalyzes the terminal step of the bacterial methylerythritol phosphate (MEP) pathway for isoprene synthesis. This step converts ()-4-hydroxy-3-methylbut-2-enyl diphosphate (HMBPP) into one of two possible isomeric products, either isopentenyl diphosphate (IPP) or dimethylallyl diphosphate (DMAPP). This reaction involves the removal of the C4 hydroxyl group of HMBPP and addition of two electrons.

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Oehler et al. described an interesting finding, stating that length of stay (LOS) of the donors in the intensive care unit (ICU) did not have an impact on the outcomes and survival of recipients up to 5 years after heart transplantation (HTx) [..

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