https://www.selleckchem.com/products/lazertinib-yh25448-gns-1480.html preceded by intravenous alteplase administered within 4.5 hours after symptom onset. (Funded by the Stroke Prevention Project of the National Health Commission of the People's Republic of China and the Wu Jieping Medical Foundation; DIRECT-MT ClinicalTrials.gov number, NCT03469206.). Copyright © 2020 Massachusetts Medical Society.While ketones are among the most versatile functional groups, their synthesis remains reliant upon reactive and low abundance starting materials. In contrast, amide formation is the most-used bond construction in medicinal chemistry because the chemistry is reliable and draws upon large, diverse substrate pools. A new method for the synthesis of ketones is presented here that draws from the same substrates used for amide bond synthesis amines and carboxylic acids. A nickel terpyridine catalyst couples N -alkyl pyridinium salts with in-situ formed carboxylic acid fluorides or 2-pyridyl esters under reducing conditions (Mn metal). The reaction has broad scope, as demonstrated by the synthesis of 35 different ketones bearing a wide variety of functional groups with an average yield of 60 ± 16%. This approach is capable of coupling diverse substrates, including pharmaceutical intermediates, to rapidly form complex ketones. © 2020 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.Blastic plasmacytoid dendritic cell neoplasm (BPDCN) is a rare and aggressive hematologic malignancy arising from plasmacytoid dendritic cell precursors. The disease typically manifests in the skin, but it also evolves into a leukemic phase or can be complicated by other myeloid malignancies, especially myelomonocytic tumors. The association between these neoplasms is not fully elucidated. We report a case of BPDCN with a history of cytopenia that was supposed to be chronic myelomonocytic leukemia. The patient received intensive chemotherapy and achieved complete remission, but soon relapsed. The successive