11 research outputs found
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eHydrogenation: electrochemical Hydrogen-free hydrogenation
Hydrogenation reactions are staple transformations commonly used across scientific fields to synthesise pharmaceuticals, natural products, and various functional materials. However, the vast majority of these reactions require the use of a toxic and costly catalyst leading to unpractical, hazardous and often functionally limited conditions. Herein, we report a new, general, practical, efficient, mild and high-yielding hydrogen-free electrochemical method for the reduction of alkene, alkyne, nitro and azido groups. Finally, this method has been applied to deuterium labelling
The early course and treatment of posttraumatic stress disorder in very young children: diagnostic prevalence and predictors in hospital-attending children and a randomized controlled proof-of-concept trial of trauma-focused cognitive therapy, for 3- to 8-year-olds.
BACKGROUND: The introduction of developmentally adapted criteria for posttraumatic stress disorder (PTSD) has improved the identification of â€6-year-old children with clinical needs. Across two studies, we assess predictors of the development of PTSD in young children (PTSD-YC), including the adult-led acute stress disorder (ASD) diagnosis, and provide proof of principle for cognitive-focused therapy for this age range, with the aim of increasing treatment options for children diagnosed with PTSD-YC. METHOD: Study 1 (Nâ=â105) assessed ASD and PTSD-YC diagnosis in 3- to 8-year-old children within one month and at around three months following attendance at an emergency room. Study 2 (Nâ=â37) was a preregistered (www.isrctn.com/ISRCTN35018680) randomized controlled early-phase trial comparing CBT-3M, a cognitive-focused intervention, to treatment-as-usual (TAU) delivered within the UK NHS to 3- to 8-year-olds diagnosed with PTSD-YC. RESULTS: In Study 1, the ASD diagnosis failed to identify any young children. In contrast, prevalence of acute PTSD-YC (minus the duration requirement) was 8.6% in the first month post-trauma and 10.1% at 3âmonths. Length of hospital stay, but no other demographic or trauma-related characteristics, predicted development of later PTSD-YC. Early (within one month) diagnosis of acute PTSD-YC had a positive predictive value of 50% for later PTSD-YC. In Study 2, most children lost their PTSD-YC diagnosis following completion of CBT-3M (84.6%) relative to TAU (6.7%) and CBT-3M was acceptable to recipient families. Effect sizes were also in favor of CBT-3M for secondary outcome measures. CONCLUSIONS: The ASD diagnosis is not fit for purpose in this age-group. There was a strong and encouraging signal of putative efficacy for young children treated using a cognitive-focused treatment for PTSD, and a larger trial of CBT-3M is now warranted
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The early course and treatment of posttraumatic stress disorder in very young children: diagnostic prevalence and predictors in hospitalâattending children and a randomized controlled proofâofâconcept trial of traumaâfocused cognitive therapy, for 3â to 8âyearâolds
Background: The introduction of developmentally adapted criteria for posttraumatic stress disorder (PTSD) has improved the identification of â€6âyearâold children with clinical needs. Across two studies, we assess predictors of the development of PTSD in young children (PTSDâYC), including the adultâled acute stress disorder (ASD) diagnosis, and provide proof of principle for cognitiveâfocused therapy for this age range, with the aim of increasing treatment options for children diagnosed with PTSDâYC. Method: Study 1 (N = 105) assessed ASD and PTSDâYC diagnosis in 3â to 8âyearâold children within one month and at around three months following attendance at an emergency room. Study 2 (N = 37) was a preregistered (www.isrctn.com/ISRCTN35018680) randomized controlled earlyâphase trial comparing CBTâ3M, a cognitiveâfocused intervention, to treatmentâasâusual (TAU) delivered within the UK NHS to 3â to 8âyearâolds diagnosed with PTSDâYC. Results: In Study 1, the ASD diagnosis failed to identify any young children. In contrast, prevalence of acute PTSDâYC (minus the duration requirement) was 8.6% in the first month postâtrauma and 10.1% at 3 months. Length of hospital stay, but no other demographic or traumaârelated characteristics, predicted development of later PTSDâYC. Early (within one month) diagnosis of acute PTSDâYC had a positive predictive value of 50% for later PTSDâYC. In Study 2, most children lost their PTSDâYC diagnosis following completion of CBTâ3M (84.6%) relative to TAU (6.7%) and CBTâ3M was acceptable to recipient families. Effect sizes were also in favor of CBTâ3M for secondary outcome measures. Conclusions: The ASD diagnosis is not fit for purpose in this ageâgroup. There was a strong and encouraging signal of putative efficacy for young children treated using a cognitiveâfocused treatment for PTSD, and a larger trial of CBTâ3M is now warranted
Genomic epidemiology of SARS-CoV-2 in a UK university identifies dynamics of transmission
AbstractUnderstanding SARS-CoV-2 transmission in higher education settings is important to limit spread between students, and into at-risk populations. In this study, we sequenced 482 SARS-CoV-2 isolates from the University of Cambridge from 5 October to 6 December 2020. We perform a detailed phylogenetic comparison with 972 isolates from the surrounding community, complemented with epidemiological and contact tracing data, to determine transmission dynamics. We observe limited viral introductions into the university; the majority of student cases were linked to a single genetic cluster, likely following social gatherings at a venue outside the university. We identify considerable onward transmission associated with student accommodation and courses; this was effectively contained using local infection control measures and following a national lockdown. Transmission clusters were largely segregated within the university or the community. Our study highlights key determinants of SARS-CoV-2 transmission and effective interventions in a higher education setting that will inform public health policy during pandemics.</jats:p
eFluorination using cheap and readily available tetrafluoroborate salts
A new practical electrochemical method for the rapid, safe, and mild synthesis of tertiary hindered alkyl fluorides from easily accessed carboxylic acids has been developed without the need for hydrofluoric acid derivatives or non-glass reactors. In this anodic fluorination, collidinium tetrafluoroborate (Coll·HBF4) is advantageous as a supporting electrolyte and fluoride donor. A wide range of functional groups has been shown to be compatible with this new methodology. The possibility of scale-up using flow electrochemistry has also been demonstrated, thus representing a viable procedure for tertiary fluorination on a larger scale
Flow cytometric detection of the redistribution of the glycoprotein Ib-Ix complex on thrombin-stimulated platelets is dependent on the type of antibody conjugate used
Flow cytometric detection of the redistribution of the glycoprotein Ib-Ix complex on thrombin-stimulated platelets is dependent on the type of antibody conjugate use
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Electrochemical isothiocyanation of primary amines
Isothiocyanates are ubiquitous building blocks used across the fields. Nevertheless, their classical syntheses very often rely on the use of toxic and expensive reagents. Herein, we report a new practical, mild, high-yielding, and supporting-electrolyte-free electrochemical method for the preparation of aliphatic and aromatic isothiocyanates from amine and carbon disulfide
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eFluorination using cheap and readily available tetrafluoroborate salts
A practical electrochemical method for the rapid, safer, and mild synthesis of tertiary hindered alkyl fluorides from carboxylic acids has been developed without the need for hydrofluoric acid salts or non-glass reactors. In this anodic fluorination, collidinium tetrafluoroborate acts as both the supporting electrolyte and fluoride donor. A wide range of functional groups has been shown to be compatible, and the possibility of scale-up using flow electrochemistry has also been demonstrated
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eFluorination of activated alcohols using collidinium tetrafluoroborate
Tertiary CâF bonds are important structural designs; however, they suffer from challenging synthesis. Current methodologies use corrosive amine-HF salts or expensive and hazardous catalysts and reagents. Our group recently introduced collidinium tetrafluoroborate as an efficient fluorinating agent for anodic decarboxyfluorination reactions. Nevertheless, tertiary carboxylic acids are less readily available and more challenging to prepare than their alcohol analogues. Herein we report a practical, mild, and cheap electrochemical method to achieve deoxyfluorination of hindered carbon centers