TY - JOUR A1 - Sommer, Claudia A1 - Richter, Helmut A1 - Rogausch, Jan P. A1 - Frettloh, Jule A1 - Lungenhausen, Margitta A1 - Maier, Christoph T1 - A modified score to identify and discriminate neuropathic pain: a study on the German version of the neuropathic pain symptom inventory (NPSI) N2 - Background: Neuropathic pain must be correctly diagnosed for optimal treatment. The questionnaire named Neuropathic Pain Symptom Inventory (NPSI) was developed in its original French version to evaluate the different symptoms of neuropathic pain. We hypothesized that the NPSI might also be used to differentiate neuropathic from non-neuropathic pain. Methods: We translated the NPSI into German using a standard forward-backward translation and administered it in a case-control design to patients with neuropathic (n = 68) and non-neuropathic pain (headache and osteoarthritis, n = 169) to validate it and to analyze its discriminant properties, its sensitivity to change, and to detect neuropathic pain subgroups with distinct profiles. Results: Using a sum score (the NPSI-G score), we found sensitivity to change (r between 0.37 and 0.5 for pain items of the graded chronic pain scale) and could distinguish between neuropathic and other pain on a group basis, but not for individual patients. Post hoc development of a discriminant score with optimized diagnostic properties to distinguish neuropathic pain from non-neuropathic pain resulted in an instrument with high sensitivity (91%) and acceptable specificity (70%). We detected six different pain profiles in the patient group with neuropathic pain; three profiles were found to be distinct. Conclusions: The NPSI-G potentially combines the properties of a diagnostic tool and an instrument to identify subtypes of neuropathic pain. KW - Neuralgie KW - NPSI Y1 - 2011 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-68716 ER - TY - THES A1 - Maier, Jan Richard T1 - Investigations of Metal-free Cannibalistic Hexadehydro-Diels-Alder and Pt-catalyzed Dimerization Reactions of Linked Aryl Bisdiynes T1 - Untersuchungen von metallfreien kannibalistischen Hexadehydro-Diels-Alder und Pt-katalysierten Dimerisierungsreaktionen von verbrückten Arylbisdiinen N2 - The introductory chapter reviews the current state of mechanistic understanding of the hexadehydro-Diels-Alder (HDDA) reaction. With the rapid development of the HDDA reaction from its first discovery in 1997, the question of whether a concerted or stepwise mechanism better describes the thermally activated formation of ortho-benzyne from a diyne and a diynophile has been debated. Mechanistic and kinetic investigations were able to show that this is not a black or white situation, as minor changes can tip the balance. In chapter 2 of this thesis, the catalytic process leading from 1,11-bis(p-tolyl)undeca-1,3,8,10-tetrayne to fully-substituted naphthalene and azulene derivatives, by two different platinum-catalyzed dimerization pathways, was investigated. In chapter 3, the cannibalistic self-trapping reaction of an ortho-benzyne derivative generated from 1,11-bis(p-tolyl)undeca-1,3,8,10-tetrayne in an HDDA reaction was investigated. Without adding any specific trapping agent, the highly reactive benzyne is trapped by another bisdiyne molecule in at least three different modes. In chapter 4 direct UV/VIS spectroscopic evidence for the existence of an o-benzyne in solution is reported, and the dynamics of its formation in a photo-induced reaction are established. For this purpose, 1,11-bis(p-tolyl)undeca-1,3,8,10-tetrayne was investigated, using femtosecond transient absorption spectroscopy in the ultraviolet/visible region. In chapter 5, following the isolation and characterization of the reaction products discussed in chapter 3, further species resulting from reactions of the highly reactive ortho-benzyne derivative were identified. N2 - Das einleitende Kapitel gibt einen Überblick über den aktuellen Stand des mechanistischen Verständnisses der Hexadehydro-Diels-Alder (HDDA)-Reaktion. Mit der rasanten Entwicklung der HDDA-Reaktion seit ihrer ersten Entdeckung im Jahr 1997 wurde die Frage diskutiert, ob ein konzertierter oder ein schrittweiser Mechanismus die thermisch aktivierte Bildung von ortho-Benzin aus einem Diin und einem Diinophil besser beschreibt. Mechanistische und kinetische Untersuchungen konnten zeigen, dass es sich hierbei nicht um eine Schwarz-Weiß-Situation handelt, da schon kleine Änderungen das Gleichgewicht verändern können. In Kapitel 2 dieser Arbeit wurde der katalytische Prozess, der von 1,11-Bis(p-tolyl)undeca-1,3,8,10-tetrain zu vollständig substituierten Naphthalin- und Azulen-Derivaten führt, über zwei verschiedene platinkatalysierte Dimerisierungspfade untersucht. In Kapitel 3 wurde die kannibalistische Selbsteinfangreaktion eines ortho-Benzin-Derivats untersucht, das aus 1,11-Bis(p-tolyl)undeca-1,3,8,10-tetrain in einer HDDA-Reaktion erzeugt wurde. Ohne Zugabe eines spezifischen Einfangmittels wird das hochreaktive Benzin von einem anderen Bisdiin-Molekül in mindestens drei verschiedenen Modi eingefangen. In Kapitel 4 wird der direkte UV/VIS-spektroskopische Nachweis für die Existenz eines o-Benzins in Lösung berichtet und die Dynamik seiner Bildung in einer photoinduzierten Reaktion aufgezeigt. Zu diesem Zweck wurde 1,11-Bis(p-tolyl)undeca-1,3,8,10-tetrayne mittels Femtosekunden-Transienter-Absorptionsspektroskopie im ultravioletten/sichtbaren Bereich untersucht. In Kapitel 5 wurden nach der Isolierung und Charakterisierung der in Kapitel 3 diskutierten Reaktionsprodukte weitere Spezies identifiziert, die aus Reaktionen des hochreaktiven ortho-Benzin-Derivats resultieren. KW - Diels-Alder-Reaktion KW - Reaktivität KW - hexadehydro-Diels-Alder KW - Dimerization KW - Reaction mechanism KW - Reaktionsmechanismus KW - Transient absorption KW - Transiente Absorption Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-240411 ER - TY - JOUR A1 - Weidemann, Frank A1 - Maier, Sebastian K. G. A1 - Störk, Stefan A1 - Brunner, Thomas A1 - Liu, Dan A1 - Hu, Kai A1 - Seydelmann, Nora A1 - Schneider, Andreas A1 - Becher, Jan A1 - Canan-Kühl, Sima A1 - Blaschke, Daniela A1 - Bijnens, Bart A1 - Ertl, Georg A1 - Wanner, Christoph A1 - Nordbeck, Peter T1 - Usefulness of an implantable loop recorder to detect clinically relevant arrhythmias in patients with advanced fabry cardiomyopathy JF - The American Journal of Cardiology N2 - Patients with genetic cardiomyopathy that involves myocardial hypertrophy often develop clinically relevant arrhythmias that increase the risk of sudden death. Consequently, guidelines for medical device therapy were established for hypertrophic cardiomyopathy, but not for conditions with only anecdotal evidence of arrhythmias, like Fabry cardiomyopathy. Patients with Fabry cardiomyopathy progressively develop myocardial fibrosis, and sudden cardiac death occurs regularly. Because 24-hour Holier electrocardiograms (ECGs) might not detect clinically important arrhythmias, we tested an implanted loop recorder for continuous heart rhythm surveillance and determined its impact on therapy. This prospective study included 16 patients (12 men) with advanced Fabry cardiomyopathy, relevant hypertrophy, and replacement fibrosis in "loco typico." No patients previously exhibited clinically relevant arrhythmias on Holier ECGs. Patients received an implantable loop recorder and were prospectively followed with telemedicine for a median of 1.2 years (range 0.3 to 2.0 years). The primary end point was a clinically meaningful event, which required a therapy change, captured with the loop recorder. Patients submitted data regularly (14 +/- 11 times per month). During follow-up, 21 events were detected (including 4 asystole, i.e., ECG pauses >= 3 seconds) and 7 bradycardia events; 5 episodes of intermittent atrial fibrillation (>3 minutes) and 5 episodes of ventricular tachycardia (3 sustained and 2 nonsustained). Subsequently, as defined in the primary end point, 15 events leaded to a change of therapy. These patients required therapy with a pacemaker or cardioverter defibrillator implantation and/or anticoagulation therapy for atrial fibrillation. In conclusion, clinically relevant arrhythmias that require further device and/or medical therapy are often missed with Holier ECGs in patients with advanced stage Fabry cardiomyopathy, but they can be detected by telemonitoring with an implantable loop recorder. KW - Cardiovascular magnetic-resonance KW - Coronary artery disease KW - Ventricular-arrhythmias KW - Task force KW - Management KW - Enzyme replacement therapy KW - Hypertrophic cardiomyopathy KW - Myocardial fibrosis KW - Guidelines KW - Manifestation Y1 - 2016 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-188093 VL - 118 IS - 2 ER - TY - JOUR A1 - Liu, Xiaocui A1 - Ming, Wenbo A1 - Luo, Xiaoling A1 - Friedrich, Alexandra A1 - Maier, Jan A1 - Radius, Udo A1 - Santos, Webster L. A1 - Marder, Todd B. T1 - Regio‐ and Stereoselective Synthesis of 1,1‐Diborylalkenes via Brønsted Base‐Catalyzed Mixed Diboration of Alkynyl Esters and Amides with BpinBdan JF - European Journal of Organic Chemistry N2 - The NaOtBu‐catalyzed mixed 1,1‐diboration of terminal alkynes using the unsymmetrical diboron reagent BpinBdan (pin = pinacolato; dan = 1,8‐diaminonaphthalene) proceeds in a regio‐ and stereoselective fashion affording moderate to high yields of 1,1‐diborylalkenes bearing orthogonal boron protecting groups. It is applicable to gram‐scale synthesis without loss of yield or selectivity. The mixed 1,1‐diborylalkene products can be utilized in Suzuki–Miyaura cross‐coupling reactions which take place selectivly at the C–B site. DFT calculations suggest the NaOtBu‐catalyzed mixed 1,1‐diboration of alkynes occurs through deprotonation of the terminal alkyne, stepwise addition of BpinBdan to the terminal carbon followed by protonation with tBuOH. Experimentally observed selective formation of (Z)‐diborylalkenes is supported by our theoretical studies. KW - boronate esters KW - borylation KW - cross‐coupling KW - synthesis design KW - structure elucidation Y1 - 2020 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-214728 VL - 2020 IS - 13 SP - 1941 EP - 1946 ER - TY - JOUR A1 - Maier, Jan A1 - Marder, Todd B. T1 - Mechanistic and Kinetic Factors of ortho‐Benzyne Formation in Hexadehydro‐Diels‐Alder (HDDA) Reactions JF - Chemistry – A European Journal N2 - With the rapid development of the hexadehydro‐Diels‐Alder reaction (HDDA) from its first discovery in 1997, the question of whether a concerted or stepwise mechanism better describes the thermally activated formation of ortho‐benzyne from a diyne and a diynophile has been debated. Mechanistic and kinetic investigations were able to show that this is not a black or white situation, as minor changes can tip the balance. For that reason, especially, linked yne‐diynes were studied to examine steric, electronic, and radical‐stabilizing effects of their terminal substituents on the reaction mechanism and kinetics. Furthermore, the influence of the nature of the linker on the HDDA reaction was explored. The more recently discovered photochemical HDDA reaction also gives ortho‐arynes, which display the same reactivity as the thermally generated ones, but their formation might not proceed by the same mechanism. This minireview summarizes the current state of mechanistic understanding of the HDDA reaction. KW - Alkyne KW - Benzyne KW - Cyclization KW - Hexadehydro-Diels-Alder KW - reaction mechanism Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-239006 VL - 27 IS - 30 SP - 7978 EP - 7991 ER -