ABSTRACT
BACKGROUND: Disparities in pain control have been extensively studied in the hospital setting, but less is known regarding the racial/ethnic disparities in opioid prescriptions for patients with abdominal pain in ambulatory clinics. METHODS: We examined opioid prescriptions during visits by patients presenting with abdominal pain between the years of 2006 and 2015, respectively, in the National Ambulatory Medical Care Survey database. Data weights for national-level estimates were applied. RESULTS: We identified 4006 outpatient visits, equivalent to 114 million weighted visits. Rates of opioid use was highest among non-Hispanic White patients (12%), and then non-Hispanic Black patients (11%), and was the lowest in Hispanic patients (6%). Hispanic patients had lower odds of receiving opioid prescriptions compared to non-Hispanic White patients (OR = 0.49; 95% CI, 0.31-0.77, p = 0.002) and all non-Hispanic patients (OR 0.48; 95% CI 0.30-0.75; p = 0.002). No significant differences were noted in non-opioid analgesia prescriptions (p = 0.507). A higher frequency of anti-depressants/anti-psychotic prescriptions and alcohol use was recorded amongst the non-Hispanic patients (p = 0.027 and p = 0.001, respectively). CONCLUSIONS: Rates of opioid prescriptions for abdominal pain patients were substantially lower for the Hispanic patients compared with the non-Hispanic patients, despite having a decreased rate of high-risk features, such as alcohol use and depression. The root cause of this disparity needs further research to ensure equitable access to pain management.
ABSTRACT
Microwave-assisted (MWA) multicomponent reactions (MCRs) have successfully emerged as one of the useful tools in the synthesis of biologically relevant heterocycles. These reactions are strategically employed for the generation of a variety of heterocycles along with multiple point diversifications. Over the last few decades classical MCRs such as Ugi, Biginelli, etc. have witnessed enhanced yield and efficiency with microwave assistance. The highlights of MWA-MCRs are high yields, reduced reaction time, selectivity, atom economy and simpler purification techniques, such an approach can accelerate the drug discovery process. The present review focuses on the recent advances in MWA-MCRs and their mechanistic insights over the past decade and shed light on its advantage over the conventional approach.
ABSTRACT
There are few reports that describe crystal structures of compounds containing cobalt complexed to either dimethyl sulfoxide (Me2SO) or quinoline (C9H7N). The title compound, [Co(C2H6OS)6][CoCl3(C9H7N)]2, is a cobalt salt in which the metal ion is complexed to both Me2SO and quinoline. In particular, we observed that anhydrous cobalt(II) chloride reacts with quinoline in Me2SO to form a salt that is to be formulated as [CoII(Me2SO)6]2+{[CoIICl3quinoline]2-}. The CoII atom in the cation portion of this mol-ecule lies on a inversion center and is bound to the O atoms of six Me2SO moieties in an octa-hedral configuration, while the CoII atom in the anion is attached to three chloride ligands and one quinoline moiety in a tetra-hedral arrangement.
ABSTRACT
A series of bis- and tris(oxobenzimidazolyl)hydroborato compounds, namely, [BoRBenz]Na and [ToRBenz]-Na (R = Me, But, Ad), which feature uncommon sterically demanding LX [O2] and L2X [O3] donor ligands, have been obtained via the reactions of NaBH4 with 1-R-1,3-dihydro-2H-benzimidazol-2-ones. Evidence that the alkyl substituents are suitably located to have a significant impact on the coordination environment is provided by the observation that the methyl derivative [ToMeBenz]Na(κ3-diglyme) exhibits κ3-coordination of the diglyme, whereas the t-butyl and adamantyl derivatives, [ToButBenz]Na(κ2-diglyme) and [ToAdBenz]Na(κ2-diglyme), exhibit κ2-coordination. The [BoRBenz] and [ToRBenz] ligands also allow for isolation of discrete mononuclear thallium compounds, [BoRBenz]Tl and [ToRBenz]Tl, for which the steric demands of the ligands have been quantified in terms of both cone angle and buried volume concepts.
ABSTRACT
In the title compound, C11H9NO2Se, the pyridine and phenyl rings are almost perpendicular, with the dihedral angle between their mean planes being 79.16â (7)°. In the crystal, the mol-ecules pack so as to form ruffled sheets in the (110) plane connected by weak C-Hâ¯O inter-actions. In addition, there are weak π-π inter-actions between the mean planes of both the phenyl [centroid-centroid perpendicular distance of 3.591â (2)â Å and slippage of 1.854â (2)â Å] and pyridine rings [centroid-centroid perpendicular distance of 3.348â (2)â Å and slippage of 1.854â (2)â Å].
