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The development of convenient and practical synthetic strategies for constructing bioactive molecules without metal residues is of great interest in organic synthesis. Herein, a metal-free, operationally simple, and scalable electrooxidation-induced three-component cross-coupling method to access 3-thio/selenophosphorylated imidazole derivatives from readily available isothiocyanates/isoselenocyanates, isocyanates, and H-phosphonates is first reported. More than 30 examples have been provided with good to moderate yields. Importantly, the readily accessible compounds could be used as pesticides (wheat anti-locust) with good biocompatibility (5d-stimulated RAW 264.7 macrophages, IL-6 = 5.3 pg mL−1, THF-α = 79.8 pg mL−1), reiterating the importance of the developed electrochemical methodology. [ABSTRACT FROM AUTHOR]

Study Objective: We conducted this double-blinded randomized controlled trial to examine whether the combination of dexamethasone and dexmedetomidine as adjuvants of transversus abdominis plane (TAP) block could improve analgesia efficacy and duration for gastric cancer patients., Design: Randomized controlled trial., Setting: The preoperative area, operating room, postanesthesia recovery room and bed ward., Patients: A total of 312 adult patients (104 per group) with gastric cancer were included., Interventions: Patients received bilateral subcostal TAP block with three different anesthetics (60 ml 0.25% ropivacaine added with 10 mg dexamethasone and 1 μg·kg-1 dexmedetomidine [A] or 10 mg dexamethasone [B] or 1 μg·kg-1 dexmedetomidine [C])., Measurements: The primary outcome was the incidence of moderate-to-severe pain 24 h on movement. Secondary outcomes included incidence of moderate-to-severe pain, pain score, opioids use, recovery quality and adverse events., Main Results: The incidence of moderate-to-severe pain on movement 24 h postoperatively of group A was significantly lower than group B (45.19% vs 63.46%; RR 0.71; 95% CI, 0.55 to 0.92) and group C (45.19% vs 73.08%, RR 0.62; 95% CI, 0.49 to 0.79). The median moving pain scores decreased significantly at 24 h (3.00 [3.00,5.00] vs 4.00 [3.00,6.00] vs 4.00 [3.00,5.00]; P < 0.001). There were significant differences in the opioids consumption within the first 24 h (27.5 [17.0,37.2] vs 30.0 [20.0,42.0] vs 32.0 [25.0,44.0] mg; P = 0.01) and the duration to first rescue analgesia (65.5 ± 26.7 vs 45.9 ± 34.5 vs 49.2 ± 27.2 h; P = 0.04)., Conclusions: The combination with dexamethasone and dexmedetomidine as adjuvants for TAP block reduced the incidence of moderate-to-severe pain and pain score both on movement and at rest at 24 h with prolonged duration to first rescue analgesia after gastric cancer surgery., Trial Registration Number: ChiCTR2000037981., Competing Interests: Declaration of competing interest None., (Copyright © 2024 Elsevier Inc. All rights reserved.)