Group Size Research Articles

The role of blood related inflammatory factors on age-related macular degeneration (AMD)

BackgroundAge-related macular degeneration (AMD) is a significant retinal disease that leads to irreversible low vision, particularly in developing countries. The variation in AMD prevalence among different racial groups and highlighted role of inflammation on disease pathology from previous studies which yielded in inconsistent findings, It seems to be of great importance to do more investigation in this field.MethodsThis case control study involved 204 participants, divided into four groups of equal size (51 individuals per group). Three groups represented AMD cases of varying severity according to Beckman classification (3 groups) and one healthy control group. Sampling was conducted exhaustively until the desired sample size was reached. The control group comprised healthy individuals without any infectious or inflammatory systemic, ophthalmic disease. Blood samples were collected to measure inflammatory factors, including lymphocytes, monocytes, neutrophils, neutrophil-to-lymphocyte ratio (NLR), and C-reactive protein (CRP). Collected data were analyzed by statistical methods in SPSS version 21.ResultsOf the participants, 51% were women, and their ages ranged from 47 to 89 years (62.2 ± 8). According to multiple logistic regression analysis, age exhibited a statistically significant positive association with AMD severity (P = 0.038, odds ratio [OR] = 1.034). ANOVA results indicated a significant association between neutrophil count and AMD severity (P < 0.001). As the disease severity increased, the number of neutrophils decreased. The mean ± SD neutrophil counts for early, intermediate and advanced AMD were 3849 ± 800, 3702 ± 734, and 3342 ± 823, respectively. No statistically significant associations were found between lymphocyte count, monocyte count, neutrophil-to-lymphocyte ratio, CRP, and AMD.ConclusionThere was a significant relationship between the number of neutrophils in peripheral blood and the severity of AMD in study participants which needs more evaluation for the potential utility of this factor in the prognosis of AMD. There was not any significant relationship among the other factors and AMD.

Assumed similarity in personality traits has a short-lived positive effect on cooperation in absence of reciprocity

ABSTRACT Social dilemmas employing finitely repeated public goods games are usually employed to study individual cooperation and free-riding. It remains unclear whether and to what extent cooperation in teams is motivated by the assumed similarity of personality traits of other players. This study aims to investigate the effectiveness of sharing information on personality traits in a voluntary contribution mechanism game environment, which includes a punishment mechanism, on individual contributions to a public good. These factors are integrated into a game setting that incorporates various group sizes embedded in a survey. In addition, the participants in this study were selected from the general population of the United Arab Emirates. Results show that, on average, respondents were positively affected by the similar personality traits treatment in the first round soon after the treatment.

Rethinking Occupation Intensity during the Levantine Middle Epipalaeolithic: The use of Space and Site Formation Processes at the Geometric Kebaran site of Neve David, Israel

AbstractThe open-air Epipalaeolithic (Geometric Kebaran) site of Neve David (Mount Carmel, Israel) has played an important role in reconstructing scenarios of sedentarization in the Levant since its initial excavation in the 1980s, and has been seen as heralding later Natufian socioeconomic adaptations. However, little was known about the site’s formation processes and spatial organization, hindering the testing of this view. Employing new field data from Neve David, we present a combined macro- and microscopic analyses of the spatial and temporal distribution of lithics, faunal remains, phytoliths and wood ash, interpreted with the aid of ethnoarchaeological data and comparison to other Palaeolithic sites in the region. Post-depositional disturbance seems to be minimal at Neve David and we therefore suggest that the spatial distribution of the finds mostly represents human use of space. Throughout the thick sequence of occupation episodes, distinct division of space and well-preserved trampled occupation surfaces are generally lacking. We suggest that this pattern represents reduced mobility, as prolonged human activity blurs the primary depositional signal of the activity remains. The density of the finds generally increases in the upper layers of the site. Accordingly, we hypothesize that at the beginning of activity, the duration of occupation was longer and only later in the sequence of events was there an increase in group size. Our findings further highlight the position of the Geometric Kebaran as a pivotal stage in understanding the gap between the preceding highly mobile societies and the succeeding sedentary and demographically-larger Natufian societies.

Characterizing the effects of Dechlorane Plus on β-cells: a comparative study across models and species

ABSTRACT Epidemiological studies consistently link environmental toxicant exposure with increased Type 2 diabetes risk. Our study investigated the diabetogenic effects of a widely used flame retardant, Dechlorane Plus (DP), on pancreatic β-cells using rodent and human model systems. We first examined pancreas tissues from male mice exposed daily to oral gavage of either vehicle (corn oil) or DP (10, 100, or 1000 μg/kg per day) and fed chow or high fat diet for 28-days in vivo. DP exposure did not affect islet size or endocrine cell composition in either diet group. Next, we assessed the effect of 48-hour exposure to vehicle (DMSO) or DP (1, 10, or 100 nM) in vitro using immortalized rat β-cells (INS-1 832/3), primary mouse and human islets, and human stem-cell derived islet-like cells (SC-islets). In INS-1 832/3 cells, DP did not impact glucose-stimulated insulin secretion (GSIS) but significantly decreased intracellular insulin content. DP had no effect on GSIS in mouse islets or SC-islets but had variable effects on GSIS in human islets depending on the donor. DP alone did not affect insulin content in mouse islets, human islets, or SC-islets, but mouse islets co-exposed to DP and glucolipotoxic (GLT) stress conditions (28.7 mM glucose + 0.5 mM palmitate) had reduced insulin content compared to control conditions. Co-exposure of mouse islets to DP + GLT amplified the upregulation of Slc30a8 compared to GLT alone. Our study highlights the importance and challenges of using different in vitro models for studying chemical toxicity.

Biochar-mediated synthesis of ZSM-5 zeolite for the methanol-to-olefins reaction

The present study reports the successful synthesis of ZSM-5 zeolites with high external specific surface area by using biochar as a hard template. The physicochemical properties of the biochars (originated from grass, tea and lignin) were studied using XRD, SEM EDX, FTIR and other characterization techniques. The results showed that biochars obtained from different plants, due to the differences in morphology, particle size, composition and surface functional groups, led to significant effects on the morphology and acidity of the zeolite crystals. These ZSM-5 zeolites exhibited a significantly improved performance in the Methano-To-Olefins (MTO) reaction. Indeed, the catalyst lifetime of parent ZSM-5 started to decline after 6 h, whilst ZSM-5 modified by Grass-C only suffered a loss in conversion after 10 h on stream (at 400 °C, WHSV=8 h−1).

Rationale, conceptual issues, and resultant protocol for a mixed methods Person Trade Off (PTO) and qualitative study to estimate and understand the relative value of gains in health for children and young people compared to adults.

Economic evaluation of healthcare typically assumes that an identical health gain to different patients has the same social value. There is some evidence that the public may give greater value to gains for children and young people, although this evidence is not always consistent. We present a mixed methods study protocol where we aim to explore public preferences regarding health gains to children and young people relative to adults, in an Australian setting. This study is a Person Trade Off (PTO) choice experiment that incorporates qualitative components. Within the PTO questions, respondents will be asked to choose between treating different groups of patients that may differ in terms of patient characteristics and group size. PTO questions will be included in an online survey to explore respondent views on the relative value of health gains to different age groups in terms of extending life and improving different aspects of quality of life. The survey will also contain attitudinal questions to help understand the impact of question style upon reported preferences. Additionally, the study will test the impact of forcing respondents to express a preference between two groups compared with allowing them to report that the two groups are equivalent. One-to-one 'think aloud', semi-structured interviews will be conducted to explore a sub-sample of respondents' motivations and views in more detail. Focus groups will be conducted with members of the public to discuss the study findings and explore their views on the role of public preferences in health care prioritisation based on patient age. Our planned study will provide valuable information to healthcare decision makers in Australia who may need to decide whether to pay more for health gains for children and young people compared with adults. Additionally, the methodological test of forcing respondent choice or allowing them to express equivalence will contribute towards developing best practice methods in PTO studies. The rationale for and advantages of the study approach and potential limitations are discussed in the protocol.

Adaptive patterns of anti-predator escape behavior in a globally introduced bird species

Introduced species can represent quasi-experimental, anthropogenic case studies of both ecological and evolutionary principles. When these species are firmly established, competitive interactions between native and introduced species interactions, including foraging, spacing, and breeding competition, may be among the ecological costs incurred from such species invasions. In turn, genetic and/or plasticity-driven changes in behavior and morphology could also take place in the invading species with increasing introduction lag (time since the onset of introduction). Critically, however, introduction lag is difficult to study in any single non-native population without long-term observations, and, instead, it requires geographically repeated measures of the focal response variables across invasive populations that were introduced at different times. Here we tested a priori predictors of predator-avoidance behaviors through the flight initiation distance (FID) assay of a widely distributed invasive bird species, the common myna Acridotheres tristis. The species was extensively and consistently sampled throughout most of its independently introduced ranges across all hemispheres. Critically, FID increased with greater introduction lag. We also detected additional functional patterns in that FID increased towards the rural range within a continuous metric of urban-rural gradient and also at shorter distances from the Equator. Any robust study of FID must also include proximate predictors as well and, accordingly, we found that FID increased with greater starting distance, with lower immediate human density, with flighted over walking escape responses, and at lower heights of a bird’s perch above ground but was unrelated to myna group size. Respectively, these factors are informative about the sensory cues triggering anti-predator behaviors in invasive mynas and imply an adaptive set of patterns of anti-predator responses in the introduced ranges of this species. Control measures of invasive common myna populations should take into account their extensive behavioral and cognitive flexibilities and adjust the planned management methods accordingly.

Aggressive interactions influence cognitive performance in Western Australian magpies.

Extensive research has investigated the relationship between the social environment and cognition, suggesting that social complexity may drive cognitive evolution and development. However, evidence for this relationship remains equivocal. Group size is often used as a measure of social complexity, but this may not capture intraspecific variation in social interactions. Social network analysis can provide insight into the cognitively demanding challenges associated with group living at the individual level. Here, we use social networks to investigate whether the cognitive performance of wild Western Australian magpies (Gymnorhina tibicen dorsalis) is related to group size and individual social connectedness. We quantified social connectedness using four interaction types: proximity, affiliative, agonistic and vocal. Consistent with previous research on this species, individuals in larger groups performed better on an associative learning task. However, social network position was also related to cognitive performance. Individuals receiving aggressive interactions performed better, while those involved in aggressive interactions with more group members performed worse. Overall, this suggests that cognitive performance is related to specific types of social interaction. The findings from this study highlight the value of considering fine-grained metrics of sociality that capture the challenges associated with social life when testing the relationship between the social environment and cognition.

Long‐term tracking reveals the influence of body size and habitat type on the home range of Antillean manatees (Trichechus manatus manatus)

AbstractAntillean manatees (Trichechus manatus manatus) are endangered coastal, marine, and riverine megaherbivores with high environmental plasticity, constrained by tidal and seasonal water level cycles that affect access to food and fresh water. Accurate quantification of the species' habitat requirements, typically achieved through home range (HR) estimation, is required to implement area‐based conservation initiatives. In this study, we used GPS tracking data from 38 wild and captive‐rehabilitated released manatees to estimate HR using autocorrelated kernel density estimators (AKDE) and average time speed. We investigated whether body size, habitat type, sex and behavioural group influence home range size due to energy requirements, resources availability, a scramble‐competitive polygyny mating system, and adaptation to the wild. Eighteen manatees exhibited range‐resident behaviour, with a mean 95% home range of 72.96 km2 (± 218.52) and a median of 10.69 km2. The mean daily speed was estimated to be 13.47 km/day (± 4.16). Home range and body size were positively correlated, consistent with HR allometry theory. Long‐term tracked individuals showed a trend of increasing HR over time. Only four released animals (17.4%) were range‐resident, suggesting that they may need additional time to establish a home range. Individuals using only the marine environment had larger home ranges compared to mixed (marine and estuarine) and estuarine environments, probably due to freshwater availability. Our study contributes to the understanding of the factors driving manatee movement and provides more accurate estimates of area requirements, which can inform the establishment and zoning of marine protected areas.

A comparison of ultrasound-based testis volume with Prader orchidometry and stability of testis size relative to peers from birth to 28weeks.

Testis volume, an indicator of the reproductive development during minipuberty, is commonly measured by Prader orchidometer, despite ultrasound being the gold standard. Data are lacking on the longitudinal relationship between these two measures and on the stability of boys' relative testis size across infancy. To examine the relationship between ultrasound-based and orchidometer-based testis volume measurements and to assess the stability of relative testis size among individual boys in the study. The Infant Feeding and Early Development study is a longitudinal cohort of healthy infants recruited from hospitals in the Philadelphia area during 2010-2013. We measured testis size from birth to 28weeks in 147 infants using Prader orchidometry (nine study visits) and ultrasound (five study visits). We modeled testis growth, extracted predicted volumes for each boy on each day of the study, and ranked these volumes from smallest to largest. The average testis volume trajectory exhibited linear growth over the first 16weeks followed by slower growth and then a plateau. Prader orchidometry overestimated testis size by almost 3-fold, compared to ultrasound. A range of ultrasound volumes corresponded to each bead size (e.g., bead size of 1 cm3 corresponded to an ultrasound-based volume between 0.11 and 0.87 cm3). Infants changed rankings of median of 22 positions (of 147) across the entire 6-month follow-up. Infants' ranks near birth were highly correlated with their ranks at the end of the study. Consistent with other studies, we found wide variability in testis size during infancy and that Prader orchidometry overestimates testis size. When compared to ultrasound, orchidometry only crudely estimates testis size in this age group. Ultrasound-based volumes generally showed stability in relative testis size across infancy. Accurate measurement of testis size is difficult using orchidometry in infants. This highlights the need for ultrasound for accurate measurement, with a one-time measurement likely sufficient to determine relative testis size across the first 6 months of infancy.

Encapsulation of Lactobacillus plantarum in W1/O/W2 double emulsions stabilized with the high-intensity ultrasound-treated pea protein and pectin

This study focuses on developing a water-in-oil-in-water (W1/O/W2) double emulsion system using high-intensity ultrasound (HIU)-treated pea protein isolate (HIU-PPI) and pectin to encapsulate Lactobacillus plantarum (L. plantarum). The effects of ultrasound treatment on pea protein isolate (PPI) characteristics such as solubility, particle size, emulsification, surface hydrophobicity, and surface free sulfhydryl group were examined, determining optimal HIU processing conditions was 400 W for 10 min. The developed W1/O/W2 double emulsion system based on HIU-PPI demonstrated effective encapsulation and protection of L. plantarum, especially at the HIU-PPI concentration of 4 %, achieving an encapsulation efficiency of 52.65 %. Incorporating both HIU-PPI and pectin as emulsifiers increased the particle size and significantly enhanced the emulsion’s viscosity. The highest bacterial encapsulation efficiency of the emulsion, 59.94 %, was attained at a HIU to pectin concentration ratio of 3:1. These emulsions effectively encapsulate and protect L. plantarum, with the concentration of HIU-PPI being a critical factor in enhancing probiotic survival under simulated gastrointestinal digestion. However, the concurrent utilization of pectin and HIU-PPI as emulsifiers did not provide a notable advantage compared to the exclusive use of HIU-PPI in enhancing probiotic viability during in vitro simulated digestion. This research offers valuable perspectives for the food industry on harnessing environmentally friendly, plant-based proteins as emulsifiers in probiotic delivery systems. It underscores the potential of HIU-modified pea protein and pectin in developing functional food products that promote the health benefits of probiotics.

Multidisciplinary perspective on a Finnish general upper-secondary school’s educational change: strengthening and hindering factors

ABSTRACT Sustaining change beyond individual teachers is challenging and understanding factors making educational change effective is needed. We aimed to identify the factors that educators and construction specialists considered influential to educational change of a general upper-secondary school that was under construction and was to meet the pedagogical goals of the concurrently renewed national core curriculum and legislation. The analysis of multidisciplinary interviews (n = 22) conducted during the early phase of the construction process assisted in identifying the factors that the participants perceived as strengthening and hindering educational change. The strengthening factors related to leadership support, collaboration opportunities, and teachers’ professional training, engagement, and transformative agency. The hindrances were constraints that related, for instance, to issues in funding, large group sizes and those that lacked applicable cross-curricular examples. We postulate the need to assist schools and individual teachers in creating conditions for educational change at all levels of municipal education.

Does Paraspinal Muscle Mass Predict Lumbar Lordosis before and after Decompression for Degenerative Spinal Stenosis?

Retrospective Cohort Study. The purpose of this study was to determine if muscle mass and quality of the lumbar paraspinal muscles was associated with improvements in lumbar lordosis and other sagittal parameters after isolated posterior lumbar decompression surgery for lumbar spinal stenosis. Over time, either due to degenerative changes or other spinal conditions, individuals may develop sagittal imbalance. In patients with lumbar spinal stenosis, sagittal imbalance can further exacerbate symptoms of pain and radiculopathy. Sarcopenia of paraspinal muscles has been implicated in previous spine research as a variable with influence on surgical outcomes. Sagittal parameters were measured on preoperative and postoperative lateral lumbar radiographs and included lumbar lordosis (LL), sacral slope (SS), and pelvic tilt (PT). Preoperative MRI images were evaluated at the base of the L4 vertebral body to assess muscles mass of the psoas muscle and paravertebral muscles (PVM) and Goutallier grade of the PVM. Patients were divided into 3 muscle size groups based on PVM normalized for body size (PVM/BMI): Group A (smallest), Group B, and Group C (largest). Patients in Group C had greater LL preoperatively (51.5° vs. 47.9° vs. 43.2, P=0.005) and postoperatively (52.2° vs. 48.9° vs. 45.7°, P=0.043). There was no significant difference in the ∆LL values between groups (P>0.05). Patients in Group C had larger SS preoperatively (35.2° vs. 32.1° vs. 30.0°, P=0.010) and postoperatively (36.1° vs. 33.0° vs. 31.7°, P=0.030). Regression analysis showed that PVM/BMI was a significant predictor of LL preoperatively (P=0.039) and postoperatively (P=0.031), as well as SS preoperatively (P=0.001) and postoperatively (P<0.001). Muscle mass of the paravertebral muscles significantly impacts lumbar lordosis and sacral slope in patients with lumbar spinal stenosis before and after posterior lumbar decompression. These findings highlight a need to address risk factors for poor muscle quality in patients with sagittal imbalance.

Catalysing cooperation: the power of collective beliefs in structured populations

Collective beliefs can catalyse cooperation in a population of selfish individuals. We study this transformative power of collective beliefs, an effect that intriguingly persists even when beliefs lack moralising components. Besides the process itself, we consider the structure of human populations explicitly. We incorporate the intricate structure of human populations into our model, acknowledging the bias brought by social and cultural identities in interaction networks. Hence, we develop our model by assuming a heterogeneous group size and structured population. We recognise that beliefs, typically complex story systems, might not spontaneously emerge in society, resulting in different spreading rates for actions and beliefs within populations. As the degree of connectedness can vary among individuals perpetuating a belief, we examine the speed of trust build-up in networks with different connection densities. We then scrutinise the timing, speed and dynamics of trust and belief spread across specific network structures, including random Erdös-Rényi networks, scale-free Barabási-Albert networks, and small-world Newman-Watts-Strogatz networks. By comparing these characteristics across various network topologies, we disentangle the effects of structure, group size diversity, and evolutionary dynamics on the evolution of trust and belief.

Modifiable risk factors of immediate and long-term outcomes in the operable and inoperable with left-sided infective endocarditis

ObjectivesTo evaluate the outcomes of left-sided infective endocarditis that can be operated on and cannot be operated on, and to focus on modifiable risk factors for immediate and long-term mortality. MethodsThis study retrospectively investigated patients with left-sided infective endocarditis who occurred in our medical center between January 2006 and November 2022. Results48 in-hospital deaths occurred (5.8 %, 48/832). We identified time from symptoms to admission and symptomatic neurological complications to be risk factors for multiple organ failure upon admission. Time from symptoms to admission and vegetation size in group of isolated medical treatment were significantly shorter than those in the group of heart operation. We also found that preoperative neurological complications, annulus destruction, levels of serum creatinine at 24 and 48 h post heart operation, and perivalvular leakage are risk factors for in-hospital mortality post heart operation. With 148 μmol/L as a cutoff level, the diagnostic sensitivity and specificity of serum creatinine level 48 h post surgery for in-hospital mortality post cardiac surgery are 100 % and 81.6 %, respectively. We found that vegetation size, ICU stay, postoperative serum creatinine at 48 h, left ventricular end diastolic size postoperative, and red blood cell transfusion were associated with all-time mortality. ConclusionsEarly diagnosis and treatment, improvement of surgical techniques, good protection for heart, kidney and blood and close follow-up are advocated to conduce to better immediate and long-term outcomes of the operable and inoperable with left-sided infective endocarditis.

Effectiveness of a chatbot in improving the mental wellbeing of health workers in Malawi during the COVID-19 pandemic: A randomized, controlled trial.

We conducted a randomized, controlled trial (RCT) to investigate our hypothesis that the interactive chatbot, Vitalk, is more effective in improving mental wellbeing and resilience outcomes of health workers in Malawi than the passive use of Internet resources. For our 2-arm, 8-week, parallel RCT (ISRCTN Registry: trial ID ISRCTN16378480), we recruited participants from 8 professional cadres from public and private healthcare facilities. The treatment arm used Vitalk; the control arm received links to Internet resources. The research team was blinded to the assignment. Of 1,584 participants randomly assigned to the treatment and control arms, 215 participants in the treatment and 296 in the control group completed baseline and endline anxiety assessments. Six assessments provided outcome measures for: anxiety (GAD-7); depression (PHQ-9); burnout (OLBI); loneliness (ULCA); resilience (RS-14); and resilience-building activities. We analyzed effectiveness using mixed-effects linear models, effect size estimates, and reliable change in risk levels. Results support our hypothesis. Difference-in-differences estimators showed that Vitalk reduced: depression (-0.68 [95% CI -1.15 to -0.21]); anxiety (-0.44 [95% CI -0.88 to 0.01]); and burnout (-0.58 [95% CI -1.32 to 0.15]). Changes in resilience (1.47 [95% CI 0.05 to 2.88]) and resilience-building activities (1.22 [95% CI 0.56 to 1.87]) were significantly greater in the treatment group. Our RCT produced a medium effect size for the treatment and a small effect size for the control group. This is the first RCT of a mental health app for healthcare workers during the COVID-19 pandemic in Southern Africa combining multiple mental wellbeing outcomes and measuring resilience and resilience-building activities. A substantial number of participants could have benefited from mental health support (1 in 8 reported anxiety and depression; 3 in 4 suffered burnout; and 1 in 4 had low resilience). Such help is not readily available in Malawi. Vitalk has the potential to fill this gap.

Transition metal ion doped Mg-Zn manganites for optoelectronic device applications

This work aimed at synthesizing Mg0.5Zn0.5Mn1.95(Fe/Co/Ni)0.05O4 nanoparticles using sol–gel auto-combustion method. Structural studies (XRD, Rietveld, Raman) confirmed the tetragonal spinel structure with I41/amd space group and average crystallite size ranged between 18–22.8 nm. The morphologies and compositions of these nanoparticles were studied using SEM and EDX. UV–Vis spectra demonstrated significant enhancement in the absorbance values. The estimated optical band gaps vary between 1.6 to 1.77 eV. Frequency-dependent dielectric and impedance spectroscopic studies (at room temperature) reveal exciting results. Thus, tailoring of dielectric properties and optical band gaps of these transition metals doped Mg-Zn manganite nanoparticles may find potential applications in optoelectronics devices.

Private Firm Valuation Using Multiples: Can Artificial Intelligence Algorithms Learn Better Peer Groups?

Forming optimal peer groups is a crucial step in multiplier valuation. Among others, the traditional regression methodology requires the definition of the optimal set of peer selection criteria and the optimal size of the peer group a priori. Since there exists no universally applicable set of closed and complementary rules on selection criteria due to the complexity and the diverse nature of firms, this research exclusively examines unlisted companies, rendering direct comparisons with existing studies impractical. To address this, we developed a bespoke benchmark model through rigorous regression analysis. Our aim was to juxtapose its outcomes with our unique approach, enriching the understanding of unlisted company transaction dynamics. To stretch the performance of the linear regression method to the maximum, various datasets on selection criteria (full as well as F- and NCA-optimized) were employed. Using a sample of over 20,000 private firm transactions, model performance was evaluated employing multiplier prediction error measures (emphasizing bias and accuracy) as well as prediction superiority directly. Emphasizing five enterprise and equity value multiples, the results allow for the overall conclusion that the self-organizing map algorithm outperforms the traditional linear regression model in both minimizing the valuation error as measured by the multiplier prediction error measures as well as in direct prediction superiority. Consequently, the machine learning methodology offers a promising way to improve peer selection in private firm multiplier valuation.

Copper-Mediated Cyanodifluoromethylation of (Hetero)aryl Iodides and Activated (Hetero)aryl Bromides with TMSCF2CN.

Molecules bearing fluorine are increasingly prevalent in pharmaceuticals, agrochemicals, and functional materials. The cyanodifluoromethyl group is unique because its size is closer than that of any other substituted difluoromethyl group to the size of the trifluoromethyl group, but its electronic properties are distinct from those of the trifluoromethyl group. In addition, the presence of the cyano group provides synthetic entry to a wide range of substituted difluoromethyl groups. However, the synthesis of cyanodifluoromethyl compounds requires multiple steps, highly reactive reagents (such as DAST, NSFI, or IF5), or specialized starting materials (such as α,α-dichloroacetonitriles or α-mercaptoacetonitriles). Herein, we report a copper-mediated cyanodifluoromethylation of aryl and heteroaryl iodides and activated aryl and heteroaryl bromides with TMSCF2CN. This cyanodifluoromethylation tolerates an array of functional groups, is applicable to late-stage functionalization of complex molecules, yields analogues of FDA-approved pharmaceuticals and fine chemicals, and enables the synthesis of a range of complex molecules bearing a difluoromethylene unit by transformations of the electron-poor CN unit. Calculations of selected steps of the reaction mechanism by Density Functional Theory indicate that the barriers for both the oxidative addition of iodobenzene to [(DMF)CuCF2CN] and the reductive elimination of the fluoroalkyl product from the fluoroalkyl copper intermediate lie in between those of [(DMF)CuCF3] and [(DMF)CuCF2C(O)NMe2].

A Study to Evaluate the Efficacy of Preoperative Low-dose Nebulised Dexamethasone in Decreasing the Incidence of Postoperative Sore Throat in Patients Undergoing Surgery Under General Anaesthesia

Background and Aims: Postoperative sore throat (POST) is a stereotypical postoperative complication that usually occurs in approximately 21%–65% of patients who are under general anaesthesia and is ranked around eighth among the most undesirable subjective and unpleasant complaints by the society of American anaesthesiologist after general anaesthesia. As airway management is a crucial factor in the causation of POST, various methods, especially non-pharmacological, are used to reduce the incidence of postoperative sore throat with the use of a small-sized endotracheal tube with low intracuff pressures. The tracheal tube is applied with other agents that may help in reducing the symptoms such as steroids, lozenges, lignocaine, ketamine gargles, inhalation of steroids (also included in pharmacological methods used for reducing the incidence of postoperative sore throat). Aim and Objective: The aim of this study was to evaluate the efficacy of prophylactic low-dose nebulised dexamethasone for decreasing the incidence of post-extubation sore throat and to evaluate the complications of low-dose dexamethasone nebulisation in patients undergoing surgery under general anaesthesia. Patients and Methods: The study was done in the Anaesthesiology Department of Maharishi Markandeshwar Institute of Medical Sciences and Research (MMIMSR) Mullana, Ambala, after institutional ethical committee approval and written, informed consent was obtained from the patients from March 2021 to March 2022 with a group size of Group S – 25 patients and Group D – 25 patients. Observation and Results: The results showed that patients in the dexamethasone group had a lower POST rate compared to the control group. Conclusion: We concluded that a low dose of 4 mg dexamethasone was effective in reducing the incidence and severity of POST in patients after anaesthesia, and no side effects compared to 4 mg normal saline.