Lowest Acceptable Bladder Capacity for Interpretation of Uroflowmetry Tests in Children.

OBJECTIVE: To determine the age-specific lowest acceptable value of bladder capacity (LABC) for interpretation of uroflowmetry tests in children. METHODS: From September 2008 through July 2012, healthy children aged 4-9 years were enrolled. All children were asked to have two sets of uroflowmetry and post-void residual (PVR) tests. We selected the tests with lower bladder capacity (voided volume+ PVR) of each child to analyze the LABC. Only bell shaped curves were regarded as normal. PVR >20 mL and Qmax <15 mL/s in children aged 4-6 years, and PVR >10 mL, Qmax <15.0 mL/s in children aged 7-9 years were defined as abnormal, respectively. Receiver operative characteristic curves were used to determine the age-specific cut-off value of LABC. The upper boundary of optimal bladder capacity (OBC) for interpretation of uroflowmetry was defined at 115% expected bladder capacity, and LABC as lower boundary. Linear regression was used to establish the relationship between age and LABC. RESULTS: Totally, 930 children were eligible for analysis of LABC. Through ROC curve analysis and regression analysis, the best fitted age specific LABC defined though differentiating low Qmax is 52.08 mL + age in years × 4.78 mL. For simplicity, the proposed LABC is age in years × 5 + 50. Good reproducibility of normal flow pattern, Qmax and PVR in each child were observed in the uroflowmetry tests within OBC. CONCLUSION: Through the large scale study for uroflowmetry tests in children, we proposed the age-specific lowest acceptable bladder capacity for interpretation of uroflowmetry tests as age in years × 5 + 50 mL.

Paramagnet enhanced nuclear spin relaxation in H2O@Open-C60 and H2@Open-C60.

Relaxation rates of endo-H2O in H2O@Open-C60 in the presence of a nitroxide radical and of their nitroxide derivatives have been measured and are compared with effects for endo-H2 in similar cages. T1 relaxation enhancement of the endo-H2O and H2 induced by either intra- or intermolecular interaction is relatively insensitive to the presence of a cage opening. Enhancement of intermolecular relaxation is observed, however, when the cage opening has an OH group.

Nuclear spin isomers of guest molecules in H2@C60, H2O@C60 and other endofullerenes.

Spectroscopic studies of recently synthesized endofullerenes, in which H2, H2O and other atoms and small molecules are trapped in cages of carbon atoms, have shown that although the trapped molecules interact relatively weakly with the internal environment they are nevertheless susceptible to appropriately applied external perturbations. These properties have been exploited to isolate and study samples of H2 in C60 and other fullerenes that are highly enriched in the para spin isomer. Several strategies for spin-isomer enrichment, potential extensions to other endofullerenes and possible applications of these materials are discussed.

Nuclear magnetic resonance of hydrogen molecules trapped inside C70 fullerene cages.

We present a solid-state NMR study of H2 molecules confined inside the cavity of C70 fullerene cages over a wide range of temperatures (300 K to 4 K). The proton NMR spectra are consistent with a model in which the dipole-dipole coupling between the ortho-H2 protons is averaged over the rotational/translational states of the confined quantum rotor, with an additional chemical shift anisotropy δ(H)(CSA)=10.1 ppm induced by the carbon cage. The magnitude of the chemical shift anisotropy is consistent with DFT estimates of the chemical shielding tensor field within the cage. The experimental NMR data indicate that the ground state of endohedral ortho-H2 in C70 is doubly degenerate and polarized transverse to the principal axis of the cage. The NMR spectra indicate significant magnetic alignment of the C70 long axes along the magnetic field, at temperatures below ~10 K.

Quantum rotation of ortho and para-water encapsulated in a fullerene cage.

Inelastic neutron scattering, far-infrared spectroscopy, and cryogenic nuclear magnetic resonance are used to investigate the quantized rotation and ortho-para conversion of single water molecules trapped inside closed fullerene cages. The existence of metastable ortho-water molecules is demonstrated, and the interconversion of ortho-and para-water spin isomers is tracked in real time. Our investigation reveals that the ground state of encapsulated ortho water has a lifted degeneracy, associated with symmetry-breaking of the water environment.

Comparison of Nuclear Spin Relaxation of H2O@C60 and H2@C60 and Their Nitroxide Derivatives.

The successful synthesis of H2O@C60 makes possible the study of magnetic interactions of an isolated water molecule in a geometrically well-defined hydrophobic environment. Comparisons are made between the T1 values of H2O@C60 and the previously studied H2@C60 and their nitroxide derivatives. The value of T1 is approximately six times longer for H2O@C60 than for H2@C60 at room temperature, is independent of solvent viscosity or polarity, and increases monotonically with decreasing temperature, implying that T1 is dominated by the spin-rotation interaction. Paramagnetic nitroxides, either attached covalently to the C60 cage or added to the medium, produce strikingly similar T1 enhancements for H2O@C60 and H2@C60 that are consistent with through-space interaction between the internal nuclear spins and the external electron spin. This indicates that it should be possible to apply to the endo-H2O molecule the same methodologies for manipulating the ortho and para spin isomers that have proven successful for H2@C60.

A photochemical on-off switch for tuning the equilibrium mixture of H2 nuclear spin isomers as a function of temperature.

The photochemical interconversion of the two allotropes of the hydrogen molecule [para-H(2) (pH(2)) and ortho-H(2) (oH(2))] incarcerated inside the fullerene C(70) (pH(2)@C(70) and oH(2)@C(70), respectively) is reported. Photoexcitation of H(2)@C(70) generates a fullerene triplet state that serves as a spin catalyst for pH(2)/oH(2) conversion. This method provides a means of changing the pH(2)/oH(2) ratio inside C(70) by simply irradiating H(2)@C(70) at different temperatures, since the equilibrium ratio is temperature-dependent and the electronic triplet state of the fullerene produced by absorption of the photon serves as an "on-off" spin catalyst. However, under comparable conditions, no photolytic pH(2)/oH(2) interconversion was observed for H(2)@C(60), which was rationalized by the significantly shorter triplet lifetime of H(2)@C(60) relative to H(2)@C(70).

Comparative NMR properties of H2 and HD in toluene-d8 and in H2/HD@C60.

Spin-lattice relaxation times, T(1), have been measured from 200-340 K for the protons in H(2) and HD molecules dissolved in toluene-d(8) and incarcerated in C(60). It is found that HD relaxes more slowly than H(2) in both environments and at all temperatures, as expected from the smaller values of the spin-rotation and dipole-dipole coupling in HD compared to H(2). More detailed analysis using models developed to describe relaxation in both condensed media and the gas phase indicates that transitions among the rotational states of H(2) occur at a rate similar to those of HD in both toluene-d(8) solution and in C(60), in contrast to the situation in gas phase collisions between hydrogen and He or Ar, where the lifetimes of rotational states of HD are markedly shorter than those for H(2). Measurements of the relative (1)H chemical shifts of H(2) and HD, the coupling constant J(HD), and the widths of the HD peaks at various temperatures revealed only small effects with insufficient accuracy to warrant more detailed interpretation.

A magnetic switch for spin-catalyzed interconversion of nuclear spin isomers.

The interconversion of ortho-hydrogen (oH(2)) and para-hydrogen (pH(2)), the two nuclear spin isomers of dihydrogen, requires a paramagnetic spin catalyst such as a nitroxide. We report the design and demonstration of spin catalysis of the interconversion of oH(2) and pH(2) incarcerated in an endofullerene based on a reversible nitroxide/hydroxylamine system. The system is an example of a reversible magnetic spin catalysis switch that can increase the rate of interconversion of the nuclear spin isomers of H(2) by a factor of approximately 10(4).

The spin chemistry and magnetic resonance of H2@C60. From the Pauli principle to trapping a long lived nuclear excited spin state inside a buckyball.

One of the early triumphs of quantum mechanics was Heisenberg's prediction, based on the Pauli principle and wave function symmetry arguments, that the simplest molecule, H(2), should exist as two distinct species-allotropes of elemental hydrogen. One allotrope, termed para-H(2) (pH(2)), was predicted to be a lower energy species that could be visualized as rotating like a sphere and possessing antiparallel ( upward arrow downward arrow) nuclear spins; the other allotrope, termed ortho-H(2) (oH(2)), was predicted to be a higher energy state that could be visualized as rotating like a cartwheel and possessing parallel ( upward arrow upward arrow) nuclear spins. This remarkable prediction was confirmed by the early 1930s, and pH(2) and oH(2) were not only separated and characterized but were also found to be stable almost indefinitely in the absence of paramagnetic "spin catalysts", such as molecular oxygen, or traces of paramagnetic impurities, such as metal ions. The two allotropes of elemental hydrogen, pH(2) and oH(2), may be quantitatively incarcerated in C(60) to form endofullerene guest@host complexes, symbolized as pH(2)@C(60) and oH(2)@C(60), respectively. How does the subtle difference in nuclear spin manifest itself when hydrogen allotropes are incarcerated in a buckyball? Can the incarcerated "guests" communicate with the outside world and vice versa? Can a paramagnetic spin catalyst in the outside world cause the interconversion of the allotropes and thereby effect a chemical transformation inside a buckyball? How close are the measurable properties of H(2)@C(60) to those computed for the "quantum particle in a spherical box"? Are there any potential practical applications of this fascinating marriage of the simplest molecule, H(2), with one of the most beautiful of all molecules, C(60)? How can one address such questions theoretically and experimentally? A goal of our studies is to produce an understanding of how the H(2) guest molecules incarcerated in the host C(60) can "communicate" with the chemical world surrounding it. This world includes both the "walls" of the incarcerating host (the carbon atom "bricks" that compose the wall) and the "outside" world beyond the atoms of the host walls, namely, the solvent molecules and selected paramagnetic molecules added to the solvent that will have special spin interactions with the H(2) inside the complex. In this Account, we describe the temperature dependence of the equilibrium of the interconversion of oH(2)@C(60) and pH(2)@C(60) and show how elemental dioxygen, O(2), a ground-state triplet, is an excellent paramagnetic spin catalyst for this interconversion. We then describe an exploration of the spin spectroscopy and spin chemistry of H(2)@C(60). We find that H(2)@C(60) and its isotopic analogs, HD@C(60) and D(2)@C(60), provide a rich and fascinating platform on which to investigate spin spectroscopy and spin chemistry. Finally, we consider the potential extension of spin chemistry to another molecule with spin isomers, H(2)O, and the potential applications of the use of pH(2)@C(60) as a source of latent massive nuclear polarization.

Using a two-step hydride transfer to achieve 1,4-reduction in the catalytic hydrogenation of an acyl pyridinium cation.

The stoichiometric reduction of N-carbophenoxypyridinium tetraphenylborate (6) by CpRu(P-P)H (Cp = eta(5)-cyclopentadienyl; P-P = dppe, 1,2-bis(diphenylphosphino)ethane, or dppf, 1,1'-bis(diphenylphosphino)ferrocene), and Cp*Ru(P-P)H (Cp* = eta(5)-pentamethylcyclopentadienyl; P-P = dppe) gives mixtures of 1,2- and 1,4-dihydropyridines. The stoichiometric reduction of 6 by Cp*Ru(dppf)H (5) gives only the 1,4-dihydropyridine, and 5 catalyzes the exclusive formation of the 1,4-dihydropyridine from 6, H(2), and 2,2,6,6-tetramethylpiperidine. In the stoichiometric reductions, the ratio of 1,4 to 1,2 product increases as the Ru hydrides become better one-electron reductants, suggesting that the 1,4 product arises from a two-step (e(-)/H(*)) hydride transfer. Calculations at the UB3LYP/6-311++G(3df,3pd)//UB3LYP/6-31G* level support this hypothesis, indicating that the spin density in the N-carbophenoxypyridinium radical (13) resides primarily at C4, while the positive charge in 6 resides primarily at C2 and C6. The isomeric dihydropyridines thus result from the operation of different mechanisms: the 1,2 product from a single-step H(-) transfer and the 1,4 product from a two-step (e(-)/H(*)) transfer.

Demonstration of a chemical transformation inside a fullerene. The reversible conversion of the allotropes of H2@C60.

The interconversion of the two allotropes of the hydrogen molecule (para-H2 and ortho-H2) incarcerated inside the fullerene C60 is reported (oH2@C60 and pH2@C60, respectively). For conversion, oH2@C60 was adsorbed at the external surface of the zeolite NaY and immersed into liquid oxygen at 77 K. Equilibrium was reached in less than 0.5 h. Rapid removal of oxygen provides a sample of enriched pH2@C60 that is stable for many days in the absence of paramagnetic catalysts (half-life approximately 15 days). Enriched pH2@C60 is nonvolatile and soluble in organic solvents. At room temperature in the presence of a paramagnetic catalyst (dissolved O2 or the nitroxide Tempo) a slow back conversion into oH2@C60 was observed by 1H NMR. A bimolecular rate constant for conversion of pH2@C60 to oH2@C60 using Tempo of kTempo approximately 4 x 10-5 M-1 s-1 was observed, which is approximately 3 orders of magnitudes slower than that for dissolved pH2 in organic solvents which is not protected by the C60 shell.

An EPR and NMR study of supramolecular effects on paramagnetic interaction between a nitroxide incarcerated within a nanocapsule with a nitroxide in bulk aqueous media.

A 15N-labeled nitroxide was incarcerated into an octa acid nanocapsule, which was confirmed by 1H NMR and EPR spectroscopy. Electron paramagnetic interaction between the 15N-labeled incarcerated nitroxide and a 14N-labeled free nitroxide in the external aqueous solution was observed by EPR spectroscopy. The observation of spin-spin interaction, through the walls of the cancer and is reflected in the simultaneous line-broadening of both the 15N-labeled and 14N-labeled nitroxides. The computer-assisted analysis of the EPR data further provides direct information on the motion and the polarity of both the incarcerated paramagnetic nitroxide and the nitroxides in the external bulk aqueous phase. We also show how communication between an incarcerated guest and molecules in the bulk solvent can be enhanced or inhibited by supramolecular factors such as Coulombic attraction or repulsion between a charged guest@host complex (incarcerated 15N nitroxide) and charged molecules in the aqueous phase.