Transforming organic chemistry research paradigms:Moving from manual efforts to the intersection of automation and artificial intelligence

Organic chemistry is undergoing a major paradigm shift,moving from a labor-intensive approach to a new era dominated by automation and artificial intelligence(AI).This transformative shift is being driven by technological advances,the ever-increasing demand for greater research efficiency and accuracy,and the burgeoning growth of interdisciplinary research.AI models,supported by computational power and algorithms,are drastically reshaping synthetic planning and introducing groundbreaking ways to tackle complex molecular synthesis.In addition,autonomous robotic systems are rapidly accelerating the pace of discovery by performing tedious tasks with unprecedented speed and precision.This article examines the multiple opportunities and challenges presented by this paradigm shift and explores its far-reaching implications.It provides valuable insights into the future trajectory of organic chemistry research,which is increasingly defined by the synergistic interaction of automation and AI.

Efficacy and safety of early anticoagulation after endovascular treatment in patients with atrial fibrillation

Background The timing for initiating anticoagulant therapy in acute ischaemic stroke(AIS)patients with atrial fibrillation who recanalised after endovascular treatment(EVT)is unclear.The objective of this study was to evaluate the effect of early anticoagulation after successful recanalisation in AIS patients with atrial fibrillation.Methods Patients with anterior circulation large vessel occlusion and atrial fibrillation who were successfully recanalised by EVT within 24 hours after stroke in the Registration Study for Critical Care of Acute Ischemic Stroke after Recanalization registry were analysed.Early anticoagulation was defined as the initiation of unfractionated heparin(UFH)or low-molecular-weight heparin(LMWH)within 72 hours after EVT.Ultra-early anticoagulation was defined if it was initiated within 24 hours.The primary efficacy outcome was the score on the modified Rankin Scale(mRS)at day 90,and the primary safety outcome was symptomatic intracranial haemorrhage within 90 days.Results Overall,257 patients were enrolled,of whom 141(54.9%)initiated anticoagulation within 72 hours after EVT,including 111 within 24 hours.A significant shift towards better mRS scores at day 90 was associated with early anticoagulation(adjusted common OR 2.08(95%CI 1.27 to 3.41)).Symptomatic intracranial haemorrhage was comparable between patients treated with early and routine anticoagulation(adjusted OR 0.20(95%CI 0.02 to 2.18)).Comparison of different early anticoagulation regimens showed that ultra-early anticoagulation was more significantly associated with favourable functional outcomes(adjusted common OR 2.03(95%CI 1.20 to 3.44))and reduced the incidence of asymptomatic intracranial haemorrhage(OR 0.37(95%CI 0.14 to 0.94)).Conclusions In AIS patients with atrial fibrillation,early anticoagulation with UFH or LMWH after successful recanalisation is associated with favourable functional outcomes without increasing the risk of symptomatic intracranial haemorrhages.