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1.
J Nutr Educ Behav ; 52(4): 359-368, 2020 04.
Article in English | MEDLINE | ID: mdl-31522895

ABSTRACT

OBJECTIVE: To determine if student outcomes, usage, perceptions, and engagement differ between introductory nutrition courses that used an open educational resource (OER) textbook compared with a traditional textbook. DESIGN: Cross-sectional. SETTING: College introductory nutrition course. PARTICIPANTS: Students enrolled in introductory nutrition courses that used a traditional textbook or an OER textbook. INTERVENTION: Implementation of an OER textbook in all introductory nutrition courses during 1 semester. MAIN OUTCOME MEASURE(S): Usage, perceptions, and engagement with the textbook were evaluated by an online survey. Student outcome data (eg, grades) were collected from the learning management system at the end of the semester. ANALYSIS: Differences in student outcomes, usage, perceptions, and engagement were determined by t tests. Open-ended responses on textbook likes and dislikes were evaluated by thematic analysis. RESULTS: The number of students who completed the introductory nutrition course with a traditional textbook (n = 346) was higher than those who completed the course with an OER textbook (n = 311). There was no difference in student outcomes between textbooks. P values for student usage ranged from <.001 to .001, <.001 for engagement, and <.001 to .001 for perception with the OER textbook, with significantly better P values for outcomes than those with the traditional textbook. The $0 cost and place-based nature were noted as positive attributes of the OER textbook, whereas students appreciated the format and visual appeal of the traditional textbook. CONCLUSIONS AND IMPLICATIONS: Academic performance in introductory nutrition was not affected by an OER textbook. An OER textbook for introductory nutrition may be an appropriate solution for institutions seeking to reduce student costs.


Subject(s)
Academic Performance/statistics & numerical data , Nutritional Sciences/education , Textbooks as Topic , Adolescent , Adult , Cross-Sectional Studies , Female , Humans , Male , Middle Aged , Students , Universities , Young Adult
2.
J Matern Fetal Neonatal Med ; 27(18): 1834-8, 2014 Dec.
Article in English | MEDLINE | ID: mdl-24660896

ABSTRACT

OBJECTIVE: Data surrounding the use of a random urine protein:creatinine ratio (PCR) in the diagnosis of preeclampsia is conflicting. We sought to determine whether PCR in early pregnancy can replace the 24-hour urine collection as the primary screening test in patients at risk for baseline proteinuria. METHODS: Women requiring a baseline evaluation for proteinuria supplied a urine sample the morning after their 24-hour collection. The PCR was analyzed as a predictor of significant proteinuria (≥150 mg). A regression equation to estimate the 24-hour protein value from the PCR was then developed. RESULTS: Sixty of 135 subjects enrolled completed the study. The median 24-hour urine protein and PCR were 90 mg (IQR: 50-145) and 0.063 (IQR: 0.039-0.083), respectively. Fifteen patients (25%) had significant proteinuria. PCR was strongly correlated with the 24-hour protein value (r = 0.99, p < 0.001) and highly predictive of significant proteinuria (AUC = 0.86). A PCR cut-point of 0.079 yielded a sensitivity of 93.3% and a specificity of 57.8%. The resulting regression equation [total protein = 46.5 + 904.2*PCR] accurately estimates the actual 24-hour protein (95% CI: ±88 mg). CONCLUSION: A random urine PCR accurately estimates the 24-hour protein excretion in the first half of pregnancy and can be used as the primary screening test for baseline proteinuria in at-risk patients.


Subject(s)
Creatinine/urine , Pre-Eclampsia/diagnosis , Proteinuria/diagnosis , Urinalysis/methods , Adult , Female , Gestational Age , Humans , Pre-Eclampsia/urine , Pregnancy/urine , Pregnancy Complications/diagnosis , Pregnancy Complications/urine , Pregnancy Trimester, First/urine , Proteins/metabolism , Young Adult
4.
Inorg Chem ; 38(21): 4705-4714, 1999 Oct 18.
Article in English | MEDLINE | ID: mdl-11671195

ABSTRACT

Several eighteen- and sixteen-electron derivatives of tungsten(0), molybdenum(0), and chromium(0) carbonyl complexes, including [PPN](2)[Cr(CO)(3)(O,S-C(6)H(4))] (2c), [PPN](2)[W(CO)(3)(NH,S-C(6)H(4))] (5c), [PPN](2)[W(CO)(3)(O,S-C(6)H(4))] (6c), [PPN](2)[W(CO)(4)(S,S-C(6)H(4))] (7b) have been synthesized from the reaction of photochemically generated M(CO)(5)THF with a series of doubly deprotonated 1,2-disubstituted benzene rings with the appropriate oxygen, nitrogen, and sulfur donor atoms. These complexes have been characterized in the solid state by X-ray crystallography and in solution by IR and (13)C NMR spectroscopies. The crystal of 2c (C(84)H(71)N(3)O(5)P(4)SCr) is triclinic P&onemacr;, a =13.869(3) Å, b = 23.128(5) Å, c = 12.056(2) Å, alpha = 104.84(3) degrees, beta = 106.91(3) degrees, gamma = 95.29(3) degrees, Z = 2; that of 5c (C(89)H(77)N(7)O(3)P(4)SW) is monoclinic P2(1), a = 11.054(2) Å, b = 28.140(6) Å, c = 12.566(2) Å, beta = 90.58(1) degrees, Z = 2; that of 6c (C(85)H(70)N(4)O(4)P(4)SW) is triclinic P&onemacr;, 12.236(2) Å, b = 14.419(2) Å, c = 22.748(4) Å, alpha = 76.44(1) degrees, beta = 75.98(2) degrees, gamma = 70.98(1) degrees, Z = 2; that of 7b (C(82)H(64)N(2)O(4)P(4)S(2)W) is triclinic P&onemacr;, a = 12.650(1) Å, b = 14.810(1) Å, c = 21.053(2) Å, alpha = 77.182(7) degrees, beta = 78.334(7) degrees, gamma = 66.579(7), Z = 2; and that of 8 (C(10)H(8)O(4)P(2)W) is monoclinic P2(1)/c, a = 11.582(1) Å, b = 10.791(1) Å, c = 10.449(1) Å, beta = 100.867(7) degrees, Z = 2. The average nu(CO) frequencies for each tricarbonyl species reported are compared to those related dianions previously reported in order to gauge the pi-donor character of the different ligands. The (13)C NMR spectrum for each tricarbonyl derivative consists of a single sharp peak for the three inequivalent carbonyls as a result of a low-energy, fast intramolecular exchange process. Both inter- and intramolecular CO-exchange processes have been probed via variable temperature (13)C NMR. In the case of the 16-electron species the geometry of the metal dianion is that of a distorted trigonal bipyramid consisting of three carbonyl ligands and a five-membered chelate ring bound through the pi-donor atoms at an equatorial and an axial position, with the stronger pi-donor atom in the equatorial site. The equatorial site for the most effective pi-donor is preferred over the axial position because the unoccupied d(xy)() orbital lies in the equatorial plane, and may be stabilized via a pi-donor ligand in the equatorial position. The axial position exhibits a filled/filled repulsion as both orbitals available for pi-bonding are filled.

5.
Inorg Chem ; 36(17): 3648-3656, 1997 Aug 13.
Article in English | MEDLINE | ID: mdl-11670056

ABSTRACT

The amino and phosphino acid derivatives of chromium(0) and tungsten(0), [Et(4)N][Cr(CO)(4)(O(2)CCH(2)NH(2))] (1), [Et(4)N][Cr(CO)(4)(O(2)CCH(2)NHMe)] (2), [Et(4)N][Cr(CO)(4)(O(2)CCH(2)NMe(2))] (3), [Et(4)N][W(CO)(4)(O(2)CCH(C(CH(3))(3))NH(2))] (4), [Et(4)N][W(CO)(4)(O(2)CCH(C(6)H(5))NH(2))], [Et(4)N][W(CO)(4)(O(2)CCH(2)PPh(2))] (5), and [Et(4)N][Cr(CO)(4)(O(2)CCH(2)PPh(2))] have been synthesized from the reaction of the M(CO)(5)THF adduct with the tetraethylammonium salt of the corresponding amino or phosphino acid in THF solution. The complexes have been characterized in solution by (13)C NMR and infrared spectroscopies and in the solid state by X-ray crystallography. The geometry of the metal anion is, in each case, that of a distorted octahedron consisting of four carbonyl ligands and a puckered five-membered glycinate chelate ring, bound through the nitrogen atom and one of its oxygen atoms. Notable about complex 1 is that the crystal obtained exhibited both a different morphology and a different space group than its tungsten analogue. Examination of the packing diagram reveals that this change is due to the different orientation of the chelate ring in 1 relative to the corresponding orientation in the W(CO)(4)(O(2)CCH(2)NH(2))(-) anion. Complexes 1 and 2 exhibit intermolecular hydrogen-bonding interactions between the amine N-H group and the distal oxygen on an adjacent molecule, with N.O distances of 2.828 and 2.821 Å, respectively. Investigations of the lability of the carbonyl ligands have been carried out. The lability is proposed to be due to base-assisted removal of a proton from the amine ligand leading to a substitutionally labile amide transient species. The tungsten analogue of complex 1 was used to obtain evidence in support of this mechanism. The isotope effect (k(H)/k(D)) was measured for W(CO)(4)(O(2)CCH(2)NH(2))(-) using d(5)-glycine and was found to be 2.34. The activation parameters for the intermolecular exchange of CO in the [Et(4)N][W(CO)(4)(O(2)CCH(2)NH(2))] salt were determined and found to be DeltaH() = 15.4 +/- 1.0 kcal/mol and DeltaS() = -23.2 +/- 3.2 eu, values consistent with the proposed mechanism. In addition, the effect of substitution of electron-donating (C(CH(3))(3)) and electron-withdrawing (C(6)H(5)) substituents on the methylene carbon was evaluated. There was little change in the rate of CO exchange observed for W(CO)(4)(O(2)CCH(C(CH(3))(3))NH(2))(-) (5) and W(CO)(4)(O(2)CCH(C(6)H(5))NH(2))(-) vs W(CO)(4)(O(2)CCH(2)NH(2))(-), showing that steric or electronic effects away from the N center are not responsible for the observed CO lability. As anticipated on the basis of the proposed substitutional pathway, the phosphino acid metal carbonyl derivatives did not exhibit facile intermolecular CO exchange.

6.
Inorg Chem ; 36(11): 2426-2432, 1997 May 21.
Article in English | MEDLINE | ID: mdl-11669881

ABSTRACT

A synthetic methodology for the preparation of a large variety of eta(3)-HB(3-Phpz)(3)Cd(acetate) adducts is presented which involves replacement of toluene in the eta(3)-HB(3-Phpz)(3)Cd(acetate) solvate complex by the appropriate cyclic ether or cyclic thioether. In this manner, adducts of THF, dioxane, propylene oxide, cyclohexene oxide, and propylene sulfide were isolated. The solid-state structures of several of these complexes were determined by X-ray crystallography, revealing a six-coordinate complex where the acetate ligand is shown to be fairly symmetrically bonded to the cadmium center. In methylene chloride solution, the cyclic ether or thioether readily dissociates to afford the five-coordinate complex, as demonstrated by (113)Cd NMR. A quantitative assessment of the binding of these base adducts of eta(3)-HB(3-Phpz)(3)Cd(acetate) was determined by measuring the temperature dependence of the equilibrium constants for the five- and six-coordinate derivatives. The presence of one sharp (113)Cd resonance in this equilibrium mixture is indicative of rapid intermolecular exchange between the five- and six-coordinate complexes when compared to the chemical shift differences in these two species ( approximately 6600 Hz at 89 MHz). The order established for ether binding is THF > dioxane > propylene sulfide > cyclohexene oxide >/= propylene oxide, with DeltaH degrees and DeltaS degrees spanning the ranges -27.7 to 24.3 kJ/mol and -89.7 to -94.1 J/(mol K). The epoxide and thioepoxide adducts were shown to serve as models for the initiation step in the copolymerization of epoxides with carbon dioxide catalyzed by metal carboxylates. That is, the carboxylate ligand was shown to ring-open the epoxide or thioepoxide, subsequently affording polyethers or polythioethers with ester end groups. By way of contrast, in the presence of CO(2) and epoxides, this system led to cyclic carbonate production.

7.
Inorg Chem ; 36(25): 5686-5688, 1997 Dec 03.
Article in English | MEDLINE | ID: mdl-11670185

ABSTRACT

Three monomeric Cd(II) phenoxide complexes have been prepared by reacting Cd[N(SiMe(3))(2)](2) with 2 equiv of 2,6-disubstituted phenols bearing sterically bulky tert-butyl or phenyl groups. The strongly coordinating solvents THF, tetrahydrothiophene (THT), and pyridine used for these reactions were incorporated into the metal's coordination sphere, leading to complexes with a general formulation of Cd(O-2,6-R(2)C(6)H(3))(2)(solv)(2)(-)(3). The Cd complexes obtained have been characterized crystallographically and have been found to adopt differing solid-state geometries. The X-ray crystal structure of Cd(O-2,6-(t)BuC(6)H(3))(2)(THF)(2), 1, previously reported by Buhro, displayed unusual square-planar coordination of the metal center. Complex 2, Cd(O(t)BuC(6)H(3))(2)(THT)(2), has been found to take on the same square-planar geometry, even with the more strongly donating thioether ligand. Alternatively, complex 3, Cd(O-2,6-Ph(2)C(6)H(3))(2)(THF)(2), has been found to adopt distorted-tetrahedral geometry, quite similar to its zinc congener. The O(1)-Cd-O(2) angle between the phenoxide ligands in 3 is 150.1(2) degrees, and the angle between the ether ligands is 83.1(3) degrees. When the strongly basic solvent pyridine was used, a five-coordinate complex 4, Cd(O-2,6-(t)BuC(6)H(3))(2)(py)(3), was isolated. This complex 4 is best described as having trigonal bipyramidal geometry with the phenoxide ligands and one pyridine defining the equatorial plane and two axial pyridine ligands having an angle of 169.7(2) degrees. The angle between the phenoxide ligands in 4 is 156.1(2) degrees. These complexes 1-4 have also been characterized in noncoordinating solvent solutions by (1)H, (13)C, and (113)Cd NMR spectroscopy and have been found to contain labile donor ligands. Preliminary studies indicate that, in a noncoordinating solvent, a rapid equilibrium exists between species with and without coordinated donor solvent ligands.

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