Syntheses of dibenzo[b,e][1,4]dioxin derivatives via iron complexes, and further functionalizations via directed metallation

Double nucleophilic aromatic substitution reactions between (cyclopentadienyl)(η⁶-1,2-dichlorobenzene)iron(1 + ) salts and substituted 1,2benzenediols have been carried out under mild conditions to prepare [η⁶-dibenzo[b,e][1,4]dioxin]iron(1 + ) complexes functionalized in the 1- or 2-position with an alkyl, aldehyde, carboxylic acid, methoxycarbonyl, carboxamide, or hydroxy group. 3-Methyl- and 4-methyl-(η⁶-1,2-dichlorobenzene)iron complexes were treated with substituted 1,2-benzenediols to effect functionalization of both aromatic rings of the heterocycle. The dibenzodioxin ligands were liberated routinely by irradiation with ultraviolet light. Directed deprotonation of the free functionalized dibenzodioxins with an alkyllithium reagent followed by quenching with a variety of electrophiles yielded further derivatives, including two new isoindolone systems.     

Where to treat the older patient? Can Markov models help us better understand the relationship between hospital and community care?

We have previously used Markov models to describe movements of patients between hospital states; these may be actual or virtual and described by a phase-type distribution. Here we extend this approach to a Markov reward model for a healthcare system with Poisson admissions and an absorbing state, typically death. The distribution of costs is evaluated for any time and expressions derived for the mean and variances of costs. The average cost at any time is then determined for two scenarios: the Therapeutic and Prosthetic models, respectively. This example is used to illustrate the idea that keeping acute patients longer in hospital to ensure fitness for discharge, may reduce costs by decreasing the number of patients that become long-stay. In addition we develop a Markov Reward Model for a healthcare system including states, where the patient is in hospital, and states, where the patient is in the community. In each case, the length of stay is described by a phase-type distribution, thus enabling the representation of durations and costs in each phase within a Markov framework. The model can be used to determine costs for the entire system thus facilitating a systems approach to the planning of healthcare and a holistic approach to costing. Such models help us to assess the complex relationship between hospital and community care.     

Marfan syndrome in Europe

OBJECTIVES: Marfan syndrome (MFS) is a relatively frequent systemic connective tissue disorder with an important physical morbidity and mortality. The influences of MFS on physical problems, perception of severity, and impact on the quality of life and psychosocial well-being have been studied only limitedly. The aim of this study was to assess the association between the severity derived from the reported symptoms and subjectively experienced severity of MFS (expressed as a global judgment), with special emphasis regarding impact on relationships and pregnancies, psychosocial adjustment, and differences between the seven European countries. METHODS: A questionnaire designed specifically for this study and translated in each of the native languages was sent to 2,080 members of one of the patient support groups in Belgium, Denmark, France, Germany, The Netherlands, Switzerland, and the United Kingdom. 857 MFS patients of 13 years and older completed the questionnaire and were included in the data analysis. RESULTS: Physical impairments were scored by perception of severity of physical symptoms by the patients (physical severity perception score) and by their perception of the influence of MFS on their life (subjective severity score). Main discrepancy between physical severity perception and subjective severity score was the higher percentage of patients scoring in physical severity perception as severe (53.5%) compared to subjectively severe (26.5%). 61% of those who scored on the physical severity score as severely affected were designated as being mildly-moderately affected on subjective scoring. Both severity scores increased significantly with age. Two hundred-twenty women have carried 430 pregnancies (1.95 pregnancies/woman), with cardiovascular complications in 1.6%. Prenatal studies for MFS were rejected by 7.6% of MFS patients of 25 years and older, 33.6% were undecided, and 48.5% favored prenatal diagnosis for MFS if available. A positive general self-image was reported by 91.5% of patients. However, more than 90% stated that MFS had a negative influence on their sexual relationships, which they ascribed to negative perception of their body image. CONCLUSIONS: MFS has significant impact on daily life activities, but the majority of patients come to terms with their condition. Acceptance is mainly determined by subjective severity, and less by physical symptoms as reported by the patients themselves. It is important to stimulate a positive attitude towards MFS.     

Determination of dissociation temperature for ArO in inductively coupled plasma-mass spectrometry: Effects of excited electronic states and dissociation pathways

The method of comparing experimental and calculated ion ratios to determine a gas kinetic temperature (T_gas) characteristic of the origin of a polyatomic ion in inductively coupled plasma-mass spectrometry (ICP-MS) is applied to ArO⁺. Repeated measurements of ion ratios involving this species yield erratic T_gas values. Complications arise from the predicted presence of a low-lying excited electronic state (²Π) above the ⁴Σ ground state. Omission of this excited state yields unreasonably high temperatures (> 10,000 K) for nine out of nineteen trials. Inclusion of the excited electronic state in the partition function of ArO⁺ causes temperatures to increase further. The problem appears to be related to the prediction that ArO⁺ in the ²Π excited state dissociates into Ar⁺ and O, different products than ArO^{+ 4}Σ which dissociates into Ar and O⁺. Adjustments to the calculations to account for these different products yield reasonable temperatures (2100 to 3500 K) that are consistent from day-to-day and similar to those seen for other weakly-bound polyatomic ions.     

A quantitative comparison of 5-aminolaevulinic acid- and methyl aminolevulinate-induced fluorescence, photobleaching and pain during photodynamic therapy

The characteristics of protoporphyrin IX (PPIX) fluorescence in superficial basal cell carcinoma (sBCC) and carcinoma in situ (Bowen's Disease, BD) following application of 5-aminolaevulinic acid (5-ALA) and its methyl ester (methyl aminolevulinate [MAL]) before, during and after photodynamic therapy (PDT) were investigated in 40 patients. Photosensitizer prodrug penetration can limit PDT efficacy and understanding the characteristics of PPIX fluorescence through fluorescence spectroscopy, may improve knowledge of photosensitizer delivery. Fluorescence intensity was assessed quantitatively, and the rate of photobleaching was determined by fitting an exponential decay. As a secondary end-point, PDT-induced pain was also measured continuously during treatment using a novel hand-held device, known as a pain logger. In vivo PPIX fluorescence was shown to decrease during irradiation, allowing the in vivo photobleaching of PPIX to be monitored. No significant difference was found between ALA- or MAL-induced PPIX fluorescence in lesions of sBCC and BD (P>0.05), indicating no detectable difference in PPIX kinetics for the two prodrugs as assessed by these measures. Pain, as assessed by the logger device, showed high interindividual variability and pain levels tended to be higher initially, decreasing during treatment. No difference was seen in pain experienced during ALA-or MAL-PDT (P>0.05).     

Tomato polyphenol oxidase B is spatially and temporally regulated during development and in response to ethylene

Plant polyphenol oxidases (PPOs) are ubiquitous plastid-localized enzymes. A precise analysis of PPO function in plants has been complicated by the presence of several family members with immunological cross reactivity. Previously we reported the isolation of genomic clones coding for the seven members of the tomato (Solanum lycopersicum) PPO family (A, A', B, C, D, E, and F). Here we report the complex spatial and temporal expression of one of the members, PPO B. The PPO B promoter was sequenced and subjected to homology analysis. Sequence similarities were found to nucleotide sequences of genes encoding enzymes/proteins active in the following systems: phenylpropanoid biosynthesis, signal transduction and responsiveness to hormones and stresses, fruit and seed proteins/enzymes, and photosynthesis. Chimeric gene fusions were constructed linking PPO B 5' flanking regions to the reporter gene, b-glucuronidase (GUS). The resultant transgenic plants were histochemically analyzed for GUS activity in various vegetative and reproductive tissues, and evaluated for PPO B responsiveness to ethylene induction. It was shown that PPO B expression was tissue specific, developmentally regulated, ethylene induced, and localized predominantly to mitotic or apoptotic tissues.     

Synthesis and complexes of an N4 Schiff-base macrocycle derived from 2,2'-iminobisbenzaldehyde

An N(4) tetradentate [1 + 1] Schiff base metal free macrocycle HL was prepared, by 1?:?1 condensation of 2,2'-iminobisbenzaldehyde (1) and diethylenetriamine, and characterised. Seven mononuclear complexes, [Zn(II)L(py)](BF(4)) (2), [Cu(II)L](BF(4))]·H(2)O (3), [Ni(II)L](BF(4))·H(2)O (4), [Co(II)L](BF(4))]·H(2)O (5), Fe(III)L(BF(4))(2)·2H(2)O·MeCN (6), [Co(III)L(NCS)(2)]·0.3py (7) and [Fe(III)L(NCS)(2)] (8), of L(-) are reported. The Cu(II) and Ni(II) complexes were prepared by a template approach whereas the others were accessed by metallation of pre-formed HL. The X-ray crystal structure determinations show that [Cu(II)L](BF(4)) and [Ni(II)L](BF(4)) feature square planar N(4) coordinated Cu(II) and Ni(II) centres, respectively, whereas [Fe(III)L(NCS)(2)]·NO(2)Me features an octahedral N(6) coordinated Fe(III) centre (two NCS anions bound axially) and the Zn(II) complex, which crystallised as 2{[Zn(II)L(py)](BF(4))}·py, features square pyramidal Zn(II) ions (a pyridine molecule bound axially). In all cases the N(4) macrocycle is bound equatorially to the metal ion. Cyclic voltammograms of the soluble BF(4) complexes, 2-5, were carried out in MeCN vs. 0.01 mol L(-1) AgNO(3)/Ag and revealed multiple, mostly irreversible or quasi-reversible, redox processes. The Zn(II) complex 2 exhibited two irreversible oxidation processes and one irreversible reduction process, all of which are ligand-centered. The Ni(II) complex 4 showed a process with a weak return wave at E(m) = +0.57 V (ΔE = 0.05 V). Interestingly, after controlled potential coulometry experiments on 2, 3 and 4 (at +0.48, +0.61 and +0.71 V which transferred 1.2, 1.0 and 1.6 e(-) equiv. per complex, respectively), a new reversible or quasi-reversible process was obtained, with a lower potential than beforehand (E(m) (ΔE)/V = +0.16 (0.08), +0.31 (0.13) and +0.45 (0.11) respectively).     

A family of 13 tetranuclear zinc(II)-lanthanide(III) complexes of a [3+3] Schiff-base macrocycle derived from 1,4-diformyl-2,3-dihydroxybenzene

A family of thirteen tetranuclear heterometallic zinc(II)-lanthanide(III) complexes of the hexa-imine macrocycle (L(Pr))(6-), with general formula Zn(II)(3)Ln(III)(L(Pr))(NO(3))(3)·xsolvents (Ln = La, Ce, Pr, Nd, Sm, Eu, Gd, Tb, Dy, Ho, Er, Tm or Yb), were prepared in a one-pot synthesis using a 3:1:3:3 reaction of zinc(II) acetate, the appropriate lanthanide(III) nitrate, the dialdehyde 1,4-diformyl-2,3-dihydroxybenzene (H(2)L(1)) and 1,3-diaminopropane. A hexanuclear homometallic zinc(II) macrocyclic complex [Zn(6)(L(Pr))(OAc)(5)(OH)(H(2)O)]·3H(2)O was obtained using a 2:0:1:1 ratio of the same reagents. A control experiment using a 1:0:1:1 ratio failed to generate the lanthanide-free [Zn(3)(L(Pr))] macrocyclic complex. The reaction of H(2)L(1) and zinc(II) acetate in a 1:1 ratio yielded the pentanuclear homometallic complex of the dialdehyde H(2)L(1), [Zn(5)(L(1))(5)(H(2)O)(6)]·3H(2)O. An X-ray crystal structure determination revealed [Zn(3)(II)Pr(III)(L(Pr))(NO(3))(2)(DMF)(3)](NO(3))·0.9DMF has the large ten-coordinate lanthanide(III) ion bound in the central O(6) site with two bidentate nitrate anions completing the O(10) coordination sphere. The three square pyramidal zinc(II) ions are in the outer N(2)O(2) sites with a fifth donor from DMF. Measurement of the magnetic properties of [Zn(II)(3)Dy(III)(L(Pr))(NO(3))(3)(MeOH)(3)]·4H(2)O with a weak external dc field showed that it has a frequency-dependent out-of-phase component of ac susceptibility, indicative of slow relaxation of the magnetization (SMM behaviour). Likewise, the Er and Yb analogues are field-induced SMMs; the latter is only the second example of a Yb-based SMM. The neodymium, ytterbium and erbium complexes are luminescent in the solid phase, but only the ytterbium and neodymium complexes show strong lanthanide-centred luminescence in DMF solution.     

Spin crossover active iron(II) complexes of selected pyrazole-pyridine/pyrazine ligands

This review begins with a brief introduction to pyrazole and to spin crossover. The focus then moves to a detailed consideration of the synthesis and magnetic properties of structurally characterized iron(II) spin crossover (SCO) active complexes of pyrazole- and pyrazolate-based ligands that also contain at least one pyridine or pyrazine unit within the ligand motif. The syntheses and crystallization methods reported in the original publications are emphasized in this review. The reason for this is that these factors often affect the exact nature of the final product, including the amount and nature of the crystallization solvent molecules present and/or what polymorph is obtained, and hence they can impact strongly on the SCO properties of the resulting materials, as can be seen in this review.     

Metal-free and dicopper(II) complexes of Schiff base [2 + 2] macrocycles derived from 2,2'-iminobisbenzaldehyde: syntheses, structures, and electrochemistry

Three new bis-terdentate Schiff base [2 + 2] macrocycles (H(2)L(Et), H(2)L(Pr), and H(2)L(Bu)) have been prepared in high yields by 1:1 condensation of 2,2'-iminobisbenzaldehyde with 1,2-diaminoethane, 1,3-diaminopropane, and 1,4-diaminobutane, respectively. Metalation of these macrocycles yields the corresponding dicopper(II) acetate (1, 2, and 3) and tetrafluoroborate (4, 5, and 6) complexes. The structures of H(2)L(Et), H(2)L(Pr), H(2)L(Bu), [Cu(II)(2)L(i)(OAc)(2)]·solvents (where i is Et, Pr or Bu) and [Cu(II)(2)L(Pr)(DMF)(4)] (BF(4))(2)·0.5H(2)O are reported. Intramolecular hydrogen bonding is a feature of the metal-free macrocycles. The copper(II) centers in [Cu(II)(2)L(i)(OAc)(2)]·solvents are four coordinate, and the macrocycles have U-shaped (Et, Bu) or stepped (Pr) conformations. Complex 5 crystallizes with two dimethylformamide (DMF) molecules bound per five coordinate copper(II) center. Electrochemical studies revealed ligand based oxidations for all of the macrocycles and complexes. Complexes 1 and 2 undergo two quasi-reversible oxidations in DCM which are associated with the deposition of a visible film on the electrode after multiple scans in this oxidative region, suggestive of electropolymerization. Complexes 4-6, studied in MeCN, have Cu(II) → Cu(I) redox potentials at more positive potentials than for 1-3.