3 research outputs found
A Solvate of the Diacetate Salt of the Octaethyltetraphenylporphyrin Dication, H\u3csub\u3e4\u3c/sub\u3eOETPP\u3csup\u3e2+\u3c/sup\u3e.2CH\u3csub\u3e3\u3c/sub\u3eCOO\u3csup\u3e-\u3c/sup\u3e.3CH\u3csub\u3e3\u3c/sub\u3eCOOH.- CH\u3csub\u3e2\u3c/sub\u3eCI\u3csub\u3e2\u3c/sub\u3e
The structure of 2,3,7,8,12,13,17,18-octaethyl-5,10,15,-20-tetraphenylporphyrin(2+) diacetate acetic acid dichloromethane solvate, C60H64N42+.2C2H3O2-.3C2H4-O2.CH2CI2, has been determined at 200K. The molecule is severely non-planar and adopts an $4 saddle shape. It is the most distorted member of the OETPP series reported to date, with displacements of the β- pyrrole C atoms from the plane of the four N atoms as great as 1.42 Å, and acute tilts of the phenyl rings relative to the porphyrin plane. The two acetate counterions act as bidentate ligands which bond to the H atoms on opposite pairs of N atoms. The crystal lattice also contains three acetic acid molecules of solvation per porphyrin molecule, all of which are involved in hydrogen bonds to the acetate molecules. An \u27innocent\u27 molecule of CH2CI2 is also present
Radiation Chemistry of Overirradiated Aqueous Solutions of Hydrogen Cyanide and Ammonium Cyanide
The radiolysis of aqueous solutions (O2-free) of HCN and NH4CN was examined at very large doses of 60Co gamma radiation (up to 230 Mrad). In this dose range the cyanide initially present (0.12 M) is decomposed and only its radiolytic products participate in the radiation-induced chemical process. It has been found that the weight of the dry residue containing the mixture of nonvolatile radiolytic products increases as doses increase up to 40 Mrad (up to about 4 g/l), but with further dose increases remains practically unchanged (NH4CN) or decreases slightly (HCN). Carboxylic and amino acids are present in overirradiated samples. At increasing doses their concentrations decrease, with the exception of oxalic and malonic acids, which are continually produced and accumulate. This is also the case with the abundant NH3 and CO2, as well as with several other products that were generated at lower radiation-chemical yields. The molecular weights of the radiolytic products are up to 20,000 daltons throughout the dose range studied. Their amounts gradually change with increasing doses above 30 Mrad: The compounds with Mw between 2,000 and 6,000 daltons become more abundant, while the amounts of polymers with Mw between 6,000 and 20,000 decrease. The relevance of these findings for studies of chemical evolution is considered
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Effects of pre-operative isolation on postoperative pulmonary complications after elective surgery: an international prospective cohort study an international prospective cohort study
We aimed to determine the impact of pre-operative isolation on postoperative pulmonary complications after elective surgery during the global SARS-CoV-2 pandemic. We performed an international prospective cohort study including patients undergoing elective surgery in October 2020. Isolation was defined as the period before surgery during which patients did not leave their house or receive visitors from outside their household. The primary outcome was postoperative pulmonary complications, adjusted in multivariable models for measured confounders. Pre-defined sub-group analyses were performed for the primary outcome. A total of 96,454 patients from 114 countries were included and overall, 26,948 (27.9%) patients isolated before surgery. Postoperative pulmonary complications were recorded in 1947 (2.0%) patients of which 227 (11.7%) were associated with SARS-CoV-2 infection. Patients who isolated pre-operatively were older, had more respiratory comorbidities and were more commonly from areas of high SARS-CoV-2 incidence and high-income countries. Although the overall rates of postoperative pulmonary complications were similar in those that isolated and those that did not (2.1% vs 2.0%, respectively), isolation was associated with higher rates of postoperative pulmonary complications after adjustment (adjusted OR 1.20, 95%CI 1.05–1.36, p = 0.005). Sensitivity analyses revealed no further differences when patients were categorised by: pre-operative testing; use of COVID-19-free pathways; or community SARS-CoV-2 prevalence. The rate of postoperative pulmonary complications increased with periods of isolation longer than 3 days, with an OR (95%CI) at 4–7 days or ≥ 8 days of 1.25 (1.04–1.48), p = 0.015 and 1.31 (1.11–1.55), p = 0.001, respectively. Isolation before elective surgery might be associated with a small but clinically important increased risk of postoperative pulmonary complications. Longer periods of isolation showed no reduction in the risk of postoperative pulmonary complications. These findings have significant implications for global provision of elective surgical care. We aimed to determine the impact of pre-operative isolation on postoperative pulmonary complications after elective surgery during the global SARS-CoV-2 pandemic. We performed an international prospective cohort study including patients undergoing elective surgery in October 2020. Isolation was defined as the period before surgery during which patients did not leave their house or receive visitors from outside their household. The primary outcome was postoperative pulmonary complications, adjusted in multivariable models for measured confounders. Pre-defined sub-group analyses were performed for the primary outcome. A total of 96,454 patients from 114 countries were included and overall, 26,948 (27.9%) patients isolated before surgery. Postoperative pulmonary complications were recorded in 1947 (2.0%) patients of which 227 (11.7%) were associated with SARS-CoV-2 infection. Patients who isolated pre-operatively were older, had more respiratory comorbidities and were more commonly from areas of high SARS-CoV-2 incidence and high-income countries. Although the overall rates of postoperative pulmonary complications were similar in those that isolated and those that did not (2.1% vs 2.0%, respectively), isolation was associated with higher rates of postoperative pulmonary complications after adjustment (adjusted OR 1.20, 95%CI 1.05–1.36, p = 0.005). Sensitivity analyses revealed no further differences when patients were categorised by: pre-operative testing; use of COVID-19-free pathways; or community SARS-CoV-2 prevalence. The rate of postoperative pulmonary complications increased with periods of isolation longer than 3 days, with an OR (95%CI) at 4–7 days or ≥ 8 days of 1.25 (1.04–1.48), p = 0.015 and 1.31 (1.11–1.55), p = 0.001, respectively. Isolation before elective surgery might be associated with a small but clinically important increased risk of postoperative pulmonary complications. Longer periods of isolation showed no reduction in the risk of postoperative pulmonary complications. These findings have significant implications for global provision of elective surgical care