The diagnosis of periprosthetic joint infection (PJI) has always been challenging. Recently, D-dimer has become a promising biomarker in diagnosing PJI. However, there is controversy regarding its diagnostic value. We aim to investigate the diagnostic value of D-dimer in comparison to ESR and CRP.

PubMed, Embase, and the Cochrane Library were searched in February 2020 to identify articles reporting on the diagnostic value of D-dimer on PJI. Pooled analysis was conducted to investigate the diagnostic value of D-dimer, CRP, and ESR.

Six studies with 1,255 cases were included (374 PJI cases and 881 non-PJI cases). Overall D-dimer showed sensitivity of 0.80 (95% confidence interval (CI) 0.69 to 0.87) and specificity of 0.76 (95% CI 0.63 to 0.86). Sub-group analysis by excluding patients with thrombosis and hyper-coagulation disorders showed sensitivity of 0.82 (95% CI 0.70 to 0.90) and specificity of 0.80 (95% CI 0.70 to 0.88). Serum D-dimer showed sensitivity of 0.85 (95% CI 0.76 to 0.92), specificity of 0R. In patients with the aforementioned conditions, D-dimer has higher sensitivity but lower specificity compared to ESR and CRP. We do not recommend the use of serum D-dimer in patients with thrombosis and hyper-coagulation disorders for diagnosing PJI. Serum D-dimer may perform better than plasma D-dimer. Further studies are needed to compare serum D-dimer and plasma D-dimer in arthroplasty patients. Cite this article Bone Joint Res 2020;9(10)701-708.Helicenes are promising candidates for chiral optoelectronic materials because of their helically twisted π-conjugated system. However, the emission intensity of unsubstituted helicenes is very weak (Φf less then 0.05) due to a small oscillator strength for the S1 → S0 transition. In this work, we investigated the substitution position of the [7]helicene framework so that the S1 → S0 transition has a large transition magnetic dipole moment (TMDM) and is partially symmetry-allowed. A [7]helicene derivative thus designed showed a large fluorescence emission rate (kf = 0.02 ns-1) and a large TMDM for the S1 → S0 transition (| m | = 2.37 × 10-20 erg·Gauss-1), which are more than 10 times greater than those of unsubstituted [7]helicene (kf = 0.001 ns-1, | m | = 0.045 × 10-20 erg·Gauss-1). As a result, we achieved the [7]helicene derivative whose dissymmetry factor of CPL and fluorescence quantum yield were both high (|gCPL| = 1.3 × 10-2, Φf = 0.17) in the solution phase.Exploring highly efficient nanocatalysts for hydrogen (H2) production from catalytic hydrolysis of ammonia borane (AB) under ambient conditions and further unveiling their catalytic mechanism are of critical importance for renewable energy conversion technologies but remain big challenges. https://www.selleckchem.com/products/bay-2402234.html Herein, ultrafine binary RuP alloy nanoclusters homogeneously encapsulated onto nitrogen-functionalized hollow mesoporous carbon supports (RuP@NHMCs) are reported as a high-performance platinum (Pt)-free nanocatalyst for catalytic hydrolysis of AB at room temperature. Remarkable catalytic activity with a very high turnover frequency of 1774 molH2 molRu-1 min-1 and a low activation energy of 36.3 kJ mol-1 is observed based on compositional and structural synergies of RuP@NHMCs. Results of control experiments and catalytic kinetics studies reveal that the rate-determining step of catalytic hydrolysis of AB is the oxidation cleavage of a covalently stable H-OH bond, while RuP@NHMCs result in multiple electronic, functional, size, and support effects that kinetically accelerate the cleavage of attacked H-OH. Furthermore, RuP@NHMCs exhibit a good catalytic activity with a high yield of >99% for tandem hydrogenation of nitroarenes coupled with the hydrolysis of AB. We strongly believe that the catalyst design principle reported here could provide a new opportunity for synthesizing other Pt-free high-performance nanocatalysts.Perovskite oxides are an important class of oxygen evolution reaction (OER) catalysts in alkaline media, despite the elusive nature of their active sites. Here, we demonstrate that the origin of the OER activity in a La1-xSr x CoO3 model perovskite arises from a thin surface layer of Co hydr(oxy)oxide (CoO x H y ) that interacts with trace-level Fe species present in the electrolyte, creating dynamically stable active sites. Generation of the hydr(oxy)oxide layer is a consequence of a surface evolution process driven by the A-site dissolution and O-vacancy creation. In turn, this imparts a 10-fold improvement in stability against Co dissolution and a 3-fold increase in the activity-stability factor for CoO x H y /LSCO when compared to nanoscale Co-hydr(oxy)oxides clusters. Our results suggest new design rules for active and stable perovskite oxide-based OER materials.Carbonyls and amines are yin and yang in organocatalysis as they mutually activate and transform each other. These intrinsically reacting partners tend to condense with each other, thus depleting their individual activity when used together as cocatalysts. Though widely established in many prominent catalytic strategies, aminocatalysis and carbonyl catalysis do not coexist well, and, as such, a cooperative amine/carbonyl dual catalysis remains essentially unknown. Here we report a cooperative primary amine and ketone dual catalytic approach for the asymmetric α-hydroxylation of β-ketocarbonyls with H2O2. Besides participating in the typical enamine catalytic cycle, the chiral primary amine catalyst was found to work cooperatively with a ketone catalyst to activate H2O2via an oxaziridine intermediate derived from an in-situ-generated ketimine. Ultimately, this enamine-oxaziridine coupling facilitated the highly controlled α-hydroxylation of several β-ketocarbonyls in excellent yield and enantioselectivity. Notably, late-stage hydroxylation for peptidyl amide or chiral esters can also be achieved with high stereoselectivity. In addition to its operational simplicity and mild conditions, this cooperative amine/ketone catalytic approach also provides a new strategy for the catalytic activation of H2O2 and expands the domain of typical amine and carbonyl catalysis to include this challenging transformation.
The diagnosis of periprosthetic joint infection (PJI) has always been challenging. Recently, D-dimer has become a promising biomarker in diagnosing PJI. However, there is controversy regarding its diagnostic value. We aim to investigate the diagnostic value of D-dimer in comparison to ESR and CRP. PubMed, Embase, and the Cochrane Library were searched in February 2020 to identify articles reporting on the diagnostic value of D-dimer on PJI. Pooled analysis was conducted to investigate the diagnostic value of D-dimer, CRP, and ESR. Six studies with 1,255 cases were included (374 PJI cases and 881 non-PJI cases). Overall D-dimer showed sensitivity of 0.80 (95% confidence interval (CI) 0.69 to 0.87) and specificity of 0.76 (95% CI 0.63 to 0.86). Sub-group analysis by excluding patients with thrombosis and hyper-coagulation disorders showed sensitivity of 0.82 (95% CI 0.70 to 0.90) and specificity of 0.80 (95% CI 0.70 to 0.88). Serum D-dimer showed sensitivity of 0.85 (95% CI 0.76 to 0.92), specificity of 0R. In patients with the aforementioned conditions, D-dimer has higher sensitivity but lower specificity compared to ESR and CRP. We do not recommend the use of serum D-dimer in patients with thrombosis and hyper-coagulation disorders for diagnosing PJI. Serum D-dimer may perform better than plasma D-dimer. Further studies are needed to compare serum D-dimer and plasma D-dimer in arthroplasty patients. Cite this article Bone Joint Res 2020;9(10)701-708.Helicenes are promising candidates for chiral optoelectronic materials because of their helically twisted π-conjugated system. However, the emission intensity of unsubstituted helicenes is very weak (Φf less then 0.05) due to a small oscillator strength for the S1 → S0 transition. In this work, we investigated the substitution position of the [7]helicene framework so that the S1 → S0 transition has a large transition magnetic dipole moment (TMDM) and is partially symmetry-allowed. A [7]helicene derivative thus designed showed a large fluorescence emission rate (kf = 0.02 ns-1) and a large TMDM for the S1 → S0 transition (| m | = 2.37 × 10-20 erg·Gauss-1), which are more than 10 times greater than those of unsubstituted [7]helicene (kf = 0.001 ns-1, | m | = 0.045 × 10-20 erg·Gauss-1). As a result, we achieved the [7]helicene derivative whose dissymmetry factor of CPL and fluorescence quantum yield were both high (|gCPL| = 1.3 × 10-2, Φf = 0.17) in the solution phase.Exploring highly efficient nanocatalysts for hydrogen (H2) production from catalytic hydrolysis of ammonia borane (AB) under ambient conditions and further unveiling their catalytic mechanism are of critical importance for renewable energy conversion technologies but remain big challenges. https://www.selleckchem.com/products/bay-2402234.html Herein, ultrafine binary RuP alloy nanoclusters homogeneously encapsulated onto nitrogen-functionalized hollow mesoporous carbon supports (RuP@NHMCs) are reported as a high-performance platinum (Pt)-free nanocatalyst for catalytic hydrolysis of AB at room temperature. Remarkable catalytic activity with a very high turnover frequency of 1774 molH2 molRu-1 min-1 and a low activation energy of 36.3 kJ mol-1 is observed based on compositional and structural synergies of RuP@NHMCs. Results of control experiments and catalytic kinetics studies reveal that the rate-determining step of catalytic hydrolysis of AB is the oxidation cleavage of a covalently stable H-OH bond, while RuP@NHMCs result in multiple electronic, functional, size, and support effects that kinetically accelerate the cleavage of attacked H-OH. Furthermore, RuP@NHMCs exhibit a good catalytic activity with a high yield of >99% for tandem hydrogenation of nitroarenes coupled with the hydrolysis of AB. We strongly believe that the catalyst design principle reported here could provide a new opportunity for synthesizing other Pt-free high-performance nanocatalysts.Perovskite oxides are an important class of oxygen evolution reaction (OER) catalysts in alkaline media, despite the elusive nature of their active sites. Here, we demonstrate that the origin of the OER activity in a La1-xSr x CoO3 model perovskite arises from a thin surface layer of Co hydr(oxy)oxide (CoO x H y ) that interacts with trace-level Fe species present in the electrolyte, creating dynamically stable active sites. Generation of the hydr(oxy)oxide layer is a consequence of a surface evolution process driven by the A-site dissolution and O-vacancy creation. In turn, this imparts a 10-fold improvement in stability against Co dissolution and a 3-fold increase in the activity-stability factor for CoO x H y /LSCO when compared to nanoscale Co-hydr(oxy)oxides clusters. Our results suggest new design rules for active and stable perovskite oxide-based OER materials.Carbonyls and amines are yin and yang in organocatalysis as they mutually activate and transform each other. These intrinsically reacting partners tend to condense with each other, thus depleting their individual activity when used together as cocatalysts. Though widely established in many prominent catalytic strategies, aminocatalysis and carbonyl catalysis do not coexist well, and, as such, a cooperative amine/carbonyl dual catalysis remains essentially unknown. Here we report a cooperative primary amine and ketone dual catalytic approach for the asymmetric α-hydroxylation of β-ketocarbonyls with H2O2. Besides participating in the typical enamine catalytic cycle, the chiral primary amine catalyst was found to work cooperatively with a ketone catalyst to activate H2O2via an oxaziridine intermediate derived from an in-situ-generated ketimine. Ultimately, this enamine-oxaziridine coupling facilitated the highly controlled α-hydroxylation of several β-ketocarbonyls in excellent yield and enantioselectivity. Notably, late-stage hydroxylation for peptidyl amide or chiral esters can also be achieved with high stereoselectivity. In addition to its operational simplicity and mild conditions, this cooperative amine/ketone catalytic approach also provides a new strategy for the catalytic activation of H2O2 and expands the domain of typical amine and carbonyl catalysis to include this challenging transformation.
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