Developing a platform for comparison of hospital admission systems: An illustration

There is an increasing need to develop a platform for comparing hospital admission planning systems due to a shift in the service paradigm in the health sector. The current service concept of hospital admission planning aims at optimising the use of scarce hospital resources without paying much attention to the level of service offered to patients. As patients nowadays do not accept long waiting times for hospital admission, it becomes necessary to consider alternative admission service concepts. Waiting lists have also become a political issue, and alternative concepts have been advocated such as giving all patients an appointment for admission. A simulation model was built to examine the impacts of extreme admission service concepts in a simplified hospital setting. The alternative concepts considered are based on the ‘zero waiting time’ principle (immediate treatment), and the ‘booked admissions’ principle (using an appointment for admission). The results of these admission service concepts are compared with the results of the current concept, based on the ‘maximising resource use’ principle. The paper deals with the development of a framework and tool that allows evaluating different, somehow conflicting, hospital admission planning concepts and the usefulness of such framework and tool for more refined/real-life approaches to hospital admission planning.     

Isolation and Characterization of Crystalline,Neutral Diborane(4) Radicals

Diaryldihalodiboranes(4) were reacted with bis(amidinato)‐ and bis(guanidinato)silylenes to generate the first neutral diborane‐centered radicals. These formally non‐aromatic 5π electron systems are stable in the solid state as well as in solution and were characterized by solid‐state structure determination, high‐resolution mass spectrometry, and EPR spectroscopy. The reactivity of one of these radicals with the oxidant 1,4‐benzoquinone led to ring‐opening and B?O bond formation.     

Synthesis of [5]-, [6]-, and [7]helicene via Ni(0)- or Co(I)-catalyzed isomerization of aromatic cis,cis-dienetriynes

An original approach to helicene frameworks exploiting atom economic isomerization of appropriate energy-rich aromatic cis,cis-dienetriynes has been developed. The new paradigm provides nonphotochemical syntheses of helicenes based on the easy, convergent, and modular assembly of key cis,cis-dienetriynes and their nickel(0)-catalyzed [2+2+2] cycloisomerization. The potential of the methodology is underlined by the syntheses of the parent [5]helicene (2), 7,8-dibutyl[5]helicene (23), [6]helicene (24), and [7]helicene (25). The approach can be adapted to prepare functionalized helicenes as exemplified by the eight-step synthesis of 7,8-dibutyl-2,3-dimethoxy[6]helicene (34). Density functional theory (DFT) calculations showed that bis[2-((1Z)-1-buten-3-ynyl)phenyl]acetylene (1) and isomeric [5]helicene (2) differ enormously in the Gibbs energy content (DeltaG = -136.6 kcal x mol(-1)) to favor highly the devised intramolecular simultaneous construction of three aromatic rings.     

Acid-base equilibria in nonpolar media. 4. Extension of the self-consistent basicity scale in THF medium. Gas-phase basicities of phosphazenes

Eleven new phenyl-substituted phosphazenes (P1-, P3-, and P4-bases) have been synthesized by the Staudinger or the Kirsanov reactions. The UV-vis spectrophotometric titration method was used to establish the relative basicity of them, and to extend the ion-pair basicity scale for THF medium. These measurements together with our previous work give a continuous basicity scale in THF ranging from 2.6 (2-MeO-pyridine) to 26.6 (2-Cl-C6H4P4(pyrr) phosphazene) in pKalpha units: that is for 24 orders of magnitude and containing 58 compounds (pyridines, anilines, amines, guanidines, amidines, phosphazenes). Ion-pair formation was taken into account by using the Fuoss equation. DeltapKip values of some phosphazene indicators estimated earlier by the 13C NMR method were revised. For some of the phosphazenes gas-phase basicities were measured.     

A novel bis-phenanthridine triamine with pH controlled binding to nucleotides and nucleic acids

The new bis-phenanthridine triamine is characterised by three pK(a) values: 3.65; 6.0 and >7.5. A significant difference in the protonation state of at pH = 5 (four positive charges) and at pH = 7 (less than two positive charges) accounts for the strong dependence of -nucleotide binding constants on nucleotide charge under acidic conditions, whereas at neutral pH all -nucleotide complexes are of comparable stability. All experimental data point at intercalation as the dominant binding mode of to polynucleotides. However, there is no indication of bis-intercalation of the two phenanthridine subunits in binding to double stranded polynucleotides, the respective complexes being most likely mono-intercalative. Thermal stabilisation of calf thymus DNA (ct-DNA) and poly A-poly U duplexes upon addition of is significantly higher at pH = 5 than at neutral conditions. This is not the case with poly dA-poly dT, indicating that the specific secondary structure of the latter, most likely the shape of the minor groove, plays a key role in complex stability. At pH = 5 acts as a fluorimetric probe for poly G (emission quenching) as opposed to other ss-polynucleotides (emission increase), while at neutral conditions this specificity is lost. One order of magnitude higher cytotoxicity of compared to its "monomer" can be accounted for by cooperative action of two phenanthridinium units and the charged triamine linker. The results presented here are of interest to the development of e.g. sequence-selective cytostatic drugs, and in particular for the possibility to control the drug activity properties over binding to DNA and/or RNA by variation of the pH of its surrounding.     

Estimation of uncertainty in electrochemical amperometric measurement of dissolved oxygen concentration

A procedure for the estimation of measurement uncertainty of dissolved oxygen (DO) concentration measurement based on the ISO approach is presented. It is based on a mathematical model that involves 14 input parameters. The uncertainty of DO concentration strongly depends on changes in experimental details (temperature difference between calibration and measurement, the time interval between calibration and measurement, etc.). The relative measurement uncertainty is, however, practically independent of the DO concentration itself. The uncertainty is the lowest if the calibration and the measurement are done at the same temperature and on the same day. A calculation tool is provided (in the form of a GUM Workbench file) for practitioners that can be used for uncertainty calculation of DO concentrations at very different experimental conditions.Electronic Supplementary Material The uncertainty calculation example is available as a GUM Workbench calculation file C_O2_meas.smu (GUM Workbench ver. 1.3.3, Metrodata GmbH) together with its data file Input_values.xls (MS Excel 97). For those users who do not have GUM Workbench, the full report of the GUM Workbench calculation is available as a PDF file C_O2_meas.pdf. This material is available via the Internet at .     

Guanidinophosphazenes: design, synthesis, and basicity in THF and in the gas phase

A principle for creating a new generation of nonionic superbases is presented. It is based on attachment of tetraalkylguanidino, 1,3-dimethylimidazolidine-2-imino, or bis(tetraalkylguanidino)carbimino groups to the phosphorus atom of the iminophosphorane group using tetramethylguanidine or easily available 1,3-dimethylimidazolidine-2-imine. Seven new nonionic superbasic phosphazene bases, tetramethylguanidino-substituted at the P atom, have been synthesized. Their base strengths are established in tetrahydrofuran (THF) solution by means of spectrophotometric titration and compared with those of eight reference superbases designed specially for this study, P2- and P4-iminophosphoranes. The gas-phase basicities of several guanidino- and N',N',N',N'-tetramethylguanidino (tmg)-substituted phosphazenes and their cyclic analogues are calculated, and the crystal structures of (tmg)3P=N-t-Bu and (tmg)3P=N-t-Bu x HBF4 are determined. The enormous basicity-increasing effect of this principle is experimentally verified for the tetramethylguanidino groups in the THF medium: the basicity increase when moving from (dma)3P=N-t-Bu (pKalpha = 18.9) to (tmg)3P=N-t-Bu (pKalpha = 29.1) is 10 orders of magnitude. A significantly larger basicity increase (up to 20 powers of 10) is expected (based on the high-level density functional theory calculations) to accompany the similar gas-phase transfer between the (dma)3P=NH and (tmg)3P=NH bases. Far stronger basicities still are expected when, in the latter two compounds, all three dimethylamino (or tetramethylguanidino) fragments are replaced by methylated triguanide fragments, (tmg)2C=N-. The gas-phase basicity (around 300-310 kcal/mol) of the resulting base, [(tmg)2C=N-]3P=NH, having only one phosphorus atom, is predicted to exceed the basicity of (dma)3P=NH by more than 40 powers of 10 and to surpass also the basicity of the widely used commercial [(dma)3P=N]3P=N-t-Bu (t-BuP4) superbase.     

Generalized principle of designing neutral superstrong Brønsted acids

A generalized principle of designing superstrong Br?nsted acids is suggested according to the following scheme: M=O --> M=Z(X)(n). It consists of the formal replacement of =O fragment in carbonyl, sulfonyl, etc. groups in various acidic systems (e.g., CH(3)CHO, FSO(3)H, where M is the CH(3)CH= or FSO(2)H=fragment, respectively) by =NSO(2)F, =NCN, =C(CN)(2), =P(SO(2)F)(3), =S(CN)(4), or any other formally bivalent group =Z(X)(n) (where the formal valency of the central atom Z is n + 2), leading to highly acidic systems (e.g., HC(=P(CN)(3))NH(2), FS(=C(CN)(2))(2)OH, etc.). It is demonstrated that in several cases the introduction of the double-bonded substituent at the central atom (e.g., N, C, P, S, Cl) that carries the potentially acidic proton or the acidity site (e.g., OH, NH(2), CH(3), etc. groups) will lead to the enormous (up to ca. 120 kcal/mol or 88 pK(a) units!) increase of the intrinsic acidity of the respective parent acid. The acidity of the resulting acids and the scope and limitations of the principle are explored using density functional theory calculations at B3LYP 6-311+G level. Some of the resulting acids (or their anions) were found to undergo fragmentation in the course of the geometry optimization. The general trend that follows from the results of the calculations is that the stability of the resulting compounds is influenced by both the M and the Z. If M is a first row element (carbon or nitrogen), then stable species are produced with almost any Z. If M is a second row element (sulfur or phosphorus), then the species with first row Z are mostly predicted to be stable, but most of the species with second row Z are expected to undergo fragmentation during the geometry optimization. The Z = N and Z = C derivatives (e.g., =NSO(2)CF(3), =C(CN)(2), =C(SO(2)CF(3))(2), etc.) are predicted to be the most stable. However, they have relatively modest electron-accepting power as compared to their penta-, hexa-, and heptavalent counterparts. The acidifying effects of the =Z(X)(n)() groups with the same X increase with increasing n: =NCN < =C(CN)(2) < =P(CN)(3) < =S(CN)(4) and =NSO(2)F < =C(SO(2)F)(2) < =P(SO(2)F)(3). Also, the acidifying effect of a fluorosulfonyl-substituted substituent is higher than that of the corresponding cyano-substituted substituent.     

Recycling of homogeneous hydrogenation catalysts by dialysis coupled catalysis

Although transition-metal complexes are very attractive as homogeneous catalysts in fine chemistry, their high prices often limit their applications. A means to recycle those catalysts would solve this problem and would simultaneously facilitate the downstream purification of the product. This is now realized in a new concept in which homogeneous catalysis is coupled to dialysis. The advantages of homogeneous catalysis (off-the-shelf catalysts, high activities and selectivities) are thus combined with those of heterogeneous catalysis (easy catalyst separation from product solution, reuse of catalyst, and possibility for continuous operation). Since the heart of the process is the membrane, self-prepared membranes were preferred as they allow a better control and understanding of the separation characteristics. Rhodamine B was used as a probe molecule to define the working conditions of the membrane. The concept is proven to work for two relevant chiral reactions: a hydrogenation with Ru-BINAP and a hydrogen transfer reaction with Ru-TsDPEN [BINAP=(1,1'-binaphthalene)-2,2'-diylbis(diphenylphosphine); TsDPEN= tosyl-N,N'-diphenyl-1,2-ethanediamine].