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Entirely, we show that PMD must certanly be viewed as a distinct condition entity, that will require tailored treatment strategies.A direct and asymmetric syn-aldol effect of N-acyl-1,3-oxazinane-2-thiones with dialkyl acetals from aromatic acetals into the presence of 2-5 mol % [DTBM-SEGPHOS]NiCl2, TMSOTf, and lutidine has been developed. It has been established that the oxazinanethione heterocycle, utilized for the very first time as a scaffold in asymme