The major of two solution-state tautomers observed for an etheno product of 2,6-diaminopurine was identified as the tautomer H-1 on the basis of the recognition of the two-bond coupling between the NH proton and C-9a and the three-bond coupling between the NH proton and C-3a. The couplings were distinguished as being over two- or three bonds by determination of the sign of the coupling using two-dimensional heteronuclear NMR, negative in the former case and positive in the latter case. [structure: see text]
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http://dx.doi.org/10.1021/ol049114w | DOI Listing |
Transl Psychiatry
January 2025
Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA.
Peripheral inflammatory markers (PIMs), such as C-reactive protein (CRP) or white blood cell count (WBC), have been associated with depression severity in meta-analyses and large cohort studies. However, in typically-sized psychoimmunology studies (N < 200) that explore associations between PIMs and neurobiological/psychosocial constructs related to depression and studies that examine less-studied PIMs (e.g.
View Article and Find Full Text PDFAm J Emerg Med
January 2025
Maimonides Medical Center, Department of Emergency Medicine, 965 48th Street, Brooklyn, NY 11219, United States. Electronic address:
Objectives: To determine the accuracy of emergency physicians (EPs) in diagnosing pneumoperitoneum with POCUS, and if the volume of pneumoperitoneum affects accuracy.
Methods: POCUS clips were obtained from patients undergoing intraperitoneal insufflation for an elective laparoscopic procedure. Video clips of the right upper quadrant and epigastric regions were obtained prior to insufflation and then after 500 ml, 1000 ml, and 1500 ml of insufflation.
J Clin Med
January 2025
Department of Nephrology and Medical Intensive Care, Charité-Universitätsmedizin Berlin, 22083 Berlin, Germany.
Predictive machine learning models have made use of a variety of scoring systems to identify clinical deterioration in ICU patients. However, most of these scores include variables that are dependent on medical staff examining the patient. We present the development of a real-time prediction model using clinical variables that are digital and automatically generated for the early detection of patients at risk of deterioration.
View Article and Find Full Text PDFMedicina (Kaunas)
January 2025
Department of Health Science, University of Eastern Piedmont, 28100 Novara, Italy.
Congenital syphilis remains a significant global health concern, with severe morbidity and mortality if undiagnosed and untreated. Although many infants appear asymptomatic at birth, subtle clinical signs-including bullous lesions (congenital bullous syphilis, also known as pemphigus syphiliticus)-may facilitate early detection. Recognizing this rare manifestation is crucial for timely intervention, reducing serious outcomes.
View Article and Find Full Text PDFJ Neurosurg Spine
January 2025
2Cleveland Clinic Center for Spine Health, Cleveland Clinic, Cleveland; and.
Objective: Spinal fusion is a commonly performed surgical procedure used to relieve pain, deformity, and instability of various spinal pathologies. Although there have been attempts to standardize spinal fusion assessment radiologically, there is currently no unified definition that also considers clinical symptomology. This review attempts to create a more holistic and standardized definition of spinal fusion.
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