186 research outputs found

    Facile Entry to the Tetracyclic 5-7-6-3 Tigliane Ring System

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    A tandem anionic 5-exo-dig cyclization/Claisen rearrangement sequence was used to effect a facile, “one-pot” conversion of an appropriately substituted 4-alkyn-1-ol to the tetracyclic carbon core structure of phorbol. The synthesis was conducted using readily available nonracemic starting materials to provide the target structure as a single enantiomer in high chemical yield

    A Mild and Efficient Synthesis of Oxindoles: Progress Towards the Synthesis of Welwitindolinone A Isonitrile

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    The complete carbon skeleton of welwitindolinone A isonitrile has been prepared by using a [2+2] cycloaddition to establish the bicyclo[4.2.0]octane core and a SmI2-mediated intramolecular reductive cyclization between an enone and an aryl isocyanate to stereoselectively install the spiro-oxindole (see scheme; DBU=1,8-diazabicyclo[5.4.0]undec-7-ene)

    Opinion: Insights into updating Ambient Air Quality Directive 2008/50/EC

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    As evidence of adverse health effects due to air pollution continues to increase, the World Health Organization (WHO) recently published its latest edition of the global air quality guidelines (World Health Organization, 2021). Although not legally binding, the guidelines aim to provide a framework in which policymakers can combat air pollution by formulating evidence-based air quality management strategies. In the light of this, the European Union has stated its intent to revise the current ambient air quality directive (2008/50/EC) to more closely resemble the newly published WHO guidelines (European Commission, 2020). This article provides an informed opinion on selected features of the air quality directive that we believe would benefit from a reassessment. The selected features include discussion about (1) air quality sensors as a part of a hierarchical observation network, (2) the number of minimum sampling points and their siting criteria, and (3) new target air pollution parameters for future consideration.Peer reviewe

    Added Value of Vaisala AQT530 Sensors as a Part of a Sensor Network for Comprehensive Air Quality Monitoring

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    Poor air quality influences the quality of life in the urban environment. The regulatory observation stations provide the backbone for the city administration to monitor urban air quality. Recently a suite of cost-effective air quality sensors has emerged to provide novel insights into the spatio-temporal variability of aerosol particles and trace gases. Particularly in low concentrations these sensors might suffer from issues related e.g., to high detection limits, concentration drifts and interdependency between the observed trace gases and environmental parameters. In this study we characterize the optical particle detector used in AQT530 (Vaisala Ltd.) air quality sensor in the laboratory. We perform a measurement campaign with a network of AQT530 sensors in Helsinki, Finland in 2020-2021 and present a long-term performance evaluation of five sensors for particulate (PM10, PM2.5) and gaseous (NO2, NO, CO, O-3) components during a half-year co-location study with reference instruments at an urban traffic site. Furthermore, short-term (3-5 weeks) co-location tests were performed for 25 sensors to provide sensor-specific correction equations for the fine-tuning of selected pollutants in the sensor network. We showcase the added value of the verified network of 25 sensor units to address the spatial variability of trace gases and aerosol mass concentrations in an urban environment. The analysis assesses road and harbor traffic monitoring, local construction dust monitoring, aerosol concentrations from fireworks, impact of sub-urban small scale wood combustion and detection of long-range transport episodes on a city scale. Our analysis illustrates that the calibrated network of Vaisala AQT530 air quality sensors provide new insights into the spatio-temporal variability of air pollution within the city. This information is beneficial to, for example, optimization of road dust and construction dust emission control as well as provides data to tackle air quality problems arising from traffic exhaust and localized wood combustion emissions in the residential areas.Peer reviewe

    Intensified surveillance after surgery for colorectal cancer significantly improves survival

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    <p>Abstract</p> <p>Background</p> <p>Postoperative surveillance after curative resection for colorectal cancer has been demostrated to improve survival. It remains unknown however, whether intensified surveillance provides a significant benefit regarding outcome and survival. This study was aimed at comparing different surveillance strategies regarding their effect on long-term outcome.</p> <p>Methods</p> <p>Between 1990 and 2006, all curative resections for colorectal cancer were selected from our prospective colorectal cancer database. All patients were offered to follow our institution's surveillance programm according to the ASCO guidelines. We defined surveillance as "intensive" in cases where > 70% appointments were attended and the program was completed. As "minimal" we defined surveillance with < 70% of the appointments attended and an incomplete program. As "none" we defined the group which did not take part in any surveillance.</p> <p>Results</p> <p>Out of 1469 patients 858 patients underwent "intensive", 297 "minimal" and 314 "none" surveillance. The three groups were well balanced regarding biographical data and tumor characteristics. The 5-year survival rates were 79% (intensive), 76% (minimal) and 54% (none) (OR 1.480, (95% CI 1.135-1.929); <it>p </it>< 0.0001), respectively. The 10-year survival rates were 65% (intensive), 50% (minimal) and 31% (none) (<it>p </it>< 0.0001), respectively. With a median follow-up of 70 months the median time of survival was 191 months (intensive), 116 months (minimal) and 66 months (none) (<it>p </it>< 0.0001). After recurrence, the 5-year survival rates were 32% (intensive, <it>p </it>= 0.034), 13% (minimal, <it>p </it>= 0.001) and 19% (none, <it>p </it>= 0.614). The median time of survival after recurrence was 31 months (intensive, <it>p </it>< 0.0001), 21 months (minimal, <it>p </it>< 0.0001) and 16 month (none, <it>p </it>< 0.0001) respectively.</p> <p>Conclusion</p> <p>Intensive surveillance after curative resection of colorectal cancer improves survival. In cases of recurrent disease, intensive surveillance has a positive impact on patients' prognosis. Large randomized, multicenter trials are needed to substantiate these results.</p

    Evolution of a Synthetic Strategy: Total Synthesis of (±)-Welwitindolinone A Isonitrile

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    An efficient and highly stereoselective total synthesis of the natural product (±)-welwitindolinone A isonitrile (1) is described. The bicyclo[4.2.0]octane core of 1 was established by a regio- and diastereoselective [2+2] ketene cycloaddition. The C12 quaternary center and vicinal stereogenic chlorine were installed in a single operation with excellent stereocontrol via a chloronium ion mediated semipinacol rearrangement. Described strategies for construction of the spiro-oxinole include a SmI_2−LiCl mediated reductive cyclization and a novel anionic cyclization that simultaneously constructs the spiro-oxindole and vinyl isonitrile moieties

    Comprehensive evaluation of coding region point mutations in microsatellite-unstable colorectal cancer

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    Microsatellite instability (MSI) leads to accumulation of an excessive number of mutations in the genome, mostly small insertions and deletions. MSI colorectal cancers (CRCs), however, also contain more point mutations than microsatellite-stable (MSS) tumors, yet they have not been as comprehensively studied. To identify candidate driver genes affected by point mutations in MSI CRC, we ranked genes based on mutation significance while correcting for replication timing and gene expression utilizing an algorithm, MutSigCV. Somatic point mutation data from the exome kit-targeted area from 24 exome-sequenced sporadic MSI CRCs and respective normals, and 12 whole-genome-sequenced sporadic MSI CRCs and respective normals were utilized. The top 73 genes were validated in 93 additional MSI CRCs. The MutSigCV ranking identified several well-established MSI CRC driver genes and provided additional evidence for previously proposed CRC candidate genes as well as shortlisted genes that have to our knowledge not been linked to CRC before. Two genes, SMARCB1 and STK38L, were also functionally scrutinized, providing evidence of a tumorigenic role, for SMARCB1 mutations in particular. © 2018 The Authors. Published under the terms of the CC BY 4.0 licensePeer reviewe
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