2D (7)Li,(15)N heteronuclear shift correlation through scalar coupling has successfully been applied to several lithium organyls consisting of polydentate N ligands such as N,N,N',N'-tetramethylethylenediamine (tmeda), N,N,N',N',N''-pentamethyldiethylentriamine (pmdta) and (-)-sparteine. Structural insights on the conformation of benzyllithium·pmdta (5) in a toluene solution and the strength of ion pairing in combination with PGSE NMR measurements, (1)H,(1)H-NOESY and (1)H,(7)Li-HOESY experiments are presented. By studying in detail the formation of 5 in solution, a transient species has been observed for the first time and assigned to a pre-complex of nBuLi and pmdta. In addition, the solution behaviour of the complex formed between benzyllithium and (-)-sparteine (8) has been studied by PGSE and multinuclear NMR spectroscopy. The straightforward synthesis and first applications in asymmetric lithiations are also reported, which show that the new system benzyllithium·(-)-sparteine (8) provide poorer enantioselective induction than the classical nBuLi·(-)-sparteine (6). The results were supported by deprotonation experiments confirming that the formation of 8 relies on two relevant factors, namely temperature and lithiating reagent. The existence of 8 may thus interfere with the asymmetric induction when the system nBuLi· (-)-sparteine is used in the enantioselective deprotonations of N-Boc-N-(p-methoxyphenyl)-benzylamine conducted in toluene.
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http://dx.doi.org/10.1002/chem.201202346 | DOI Listing |
Int J Health Plann Manage
December 2024
Centre for Global Chronic Conditions, London School of Hygiene & Tropical Medicine, London, UK.
Background: Reducing inequities in hypertension control among those affected in low- and middle-income countries requires person-centred health system responses based on a contextualised understanding of the choices and care pathways taken by those who rely on the services provided, particularly those from poor and marginalised communities. We examine patterns of care seeking and pathways followed by individuals with hypertension from low-income households in the Philippines and Malaysia. This study aims to fill a significant gap in the literature by analysing the stages at which individuals make decisions that may affect the successful control of their blood pressure.
View Article and Find Full Text PDFJ Biomol Struct Dyn
December 2024
School of Physical Sciences, Swami Ramanand Teerth Marathwada University, Nanded, Maharashtra, India.
The dielectric behavior of Asparagine (CHNO) in water over the frequency range of 10 MHz to 30 GHz in the temperature region of 278.15-303.15 K in a step of 5 K has been carried out using time domain reflectometry (TDR) at various concentrations of asparagine.
View Article and Find Full Text PDFJ Am Med Inform Assoc
December 2024
AI for Health Institute, Washington University in St Louis, St Louis, MO 63130, United States.
Objective: Early detection of surgical complications allows for timely therapy and proactive risk mitigation. Machine learning (ML) can be leveraged to identify and predict patient risks for postoperative complications. We developed and validated the effectiveness of predicting postoperative complications using a novel surgical Variational Autoencoder (surgVAE) that uncovers intrinsic patterns via cross-task and cross-cohort presentation learning.
View Article and Find Full Text PDFNurs Open
January 2025
Faculty of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran.
Aim: Health literacy is considered as key factor to empower women to participate in self-care and child-care activities. The purpose of the present study is to determine the relationship between health-promoting behaviours and health literacy among pregnant women.
Design: A cross-sectional study.
Crit Care
December 2024
Ethics of Healthcare Group, Department of IQ Health, Radboud University Medical Center, PO Box 9101, 6500 HB, Nijmegen, The Netherlands.
Background: Listening and responding to family concerns in organ and tissue donation is generally considered important, but has never been researched in real time. We aimed to explore in real time, (a) which family concerns emerge in the donation process, (b) how these concerns manifest during and after the donor conversation, and (c) how clinicians respond to the concerns during the donor conversation.
Methods: A qualitative embedded multiple-case study in eight Dutch hospitals was conducted.
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