Diabetic Gait Is Not Just Slow Gait: Gait Compensations in Diabetic Neuropathy.

BACKGROUND: Neuropathic complications from diabetes mellitus affect multiple nerve types and may manifest in gait. However, gait compensations are still poorly understood, as narrow analyses and lack of speed controls have contributed to conflicting or equivocal results. PURPOSE: To evaluate gait mechanics and energetics in diabetic peripheral polyneuropathy. METHODS: Instrumented gait analysis was performed on 14 participants with diabetic peripheral polyneuropathy and 14 matched controls, walking at 1.0 m/s. A full-body model with a multisegment foot was used to calculate inverse dynamics and analyze sagittal plane metrics and time series waveforms across stance phase. RESULTS: Alterations included increased hip and knee flexion in early stance followed by a prolonged hip extension moment in midstance. Late stance ankle dorsiflexion and power absorption were increased, and final push-off was delayed and truncated. CONCLUSION: A neuropathic diabetic gait shares important similarities to a mild crouch gait with weakness/dysfunction in the foot and ankle. This study highlights two main compensation mechanisms that have been overlooked in previous literature. First, increased triceps surae stretch in terminal stance may be used to increase proprioception and/or energy storage, while a prolonged hip extension moment in midstance compensates for a limited push-off. These result in an overall workload shift from distal to proximal joints. Clinical assessment, monitoring, and treatment of neuropathy may benefit by focusing on these specific functional alterations.

Putting chromium on the map for N2 reduction: production of hydrazine and ammonia. A study of cis-M(N2)2 (M = Cr, Mo, W) bis(diphosphine) complexes.

The first complete structurally and spectroscopically characterized series of isostructural Group 6 N2 complexes is reported. Protonolysis experiments on cis-[M(N2)2(P(Et)N(R)P(Et))2] (M = Cr, Mo, W; R = 2,6-difluorobenzyl) reveal that only Cr affords N2H5(+) and NH4(+) from the reduction of the N2 ligands.

Protonation studies of a mono-dinitrogen complex of chromium supported by a 12-membered phosphorus macrocycle containing pendant amines.

The reduction of fac-[CrCl3(P(Ph)3N(Bn)3)], (1(Cl3)), (P(Ph)3N(Bn)3 = 1,5,9-tribenzyl-3,7,11-triphenyl-1,5,9-triaza-3,7,11-triphosphacyclododecane) with Mg in the presence of dmpe (dmpe = 1,2-bis(dimethylphosphino)ethane) affords the first example of a monodinitrogen Cr(0) complex, Cr(N2)(dmpe)(P(Ph)3N(Bn)3), (2(N2)), containing a pentaphosphine coordination environment. 2(N2) is supported by a unique facially coordinating 12-membered phosphorus macrocycle containing pendant amine groups in the second coordination sphere. Treatment of 2(N2) at -78 °C with 1 equiv of [H(OEt2)2][B(C6F5)4] results in protonation of the metal center, generating the seven-coordinate Cr(II)-N2 hydride complex, [Cr(H)(N2)(dmpe)(P(Ph)3N(Bn)3)][B(C6F5)4], [2(H)(N2)](+). Treatment of 2((15)N2) with excess triflic acid at -50 °C afforded a trace amount of (15)NH4(+) from the reduction of the coordinated (15)N2 ligand (electrons originate from Cr). Electronic structure calculations were employed to evaluate the pKa values of three protonated sites of 2(N2) (metal center, pendant amine, and N2 ligand) and were used to predict the thermodynamically preferred Cr-NxHy intermediates in the N2 reduction pathway for 2(N2) and the recently published complex trans-[Cr(N2)2(P(Ph)4N(Bn)4)] upon the addition of protons and electrons.

Deuteration of boranes: catalysed versus non-catalysed processes.

A dichotomy in the reactivity of B-H bonds is reported. A bis(N-heterocyclic carbene)-ligated iridium(III) complex can effect rapid deuteration of boronate esters at room temperature with low catalyst loadings; however, borane and 9-BBN both undergo deuteration in the absence of catalyst, and do not react with the iridium complexes. This is proposed to result from the inductive electron-withdrawing properties of the boronic ester substituents. Deuterated boronic esters can be accessed rapidly at room temperature with only very low loadings of iridium catalyst.

Tandem deuteration/hydrosilylation reactions catalyzed by a rhodium carbene complex under solvent-free conditions.

The complex [Rh(I(t)Bu)(2)HCl] has been shown to be an active catalyst in the hydrosilylation of carbonyl and imine complexes. This reactivity, combined with the previously reported H/D exchange catalyzed by these complexes allows for a one pot, two step reaction using a single catalyst for both H/D exchange and hydrosilylation. Using triethylsilane, [Rh(I(t)Bu)(2)Cl] catalyst, and D(2) gas, deuterated silyl-ethers can be synthesized in an atom-economical, solvent-free reaction.

Activation of hydrogen by palladium(0): formation of the mononuclear dihydride complex trans-[Pd(H)2(IPr)(PCy3)].

An even split: In sharp contrast with the general behavior of Pd(0) complexes, [Pd(IPr)(PCy(3))] is able to activate the H-H bond. The resulting trans-[Pd(H)(2)(IPr)(PCy(3))] is the first isolated mononuclear dihydride palladium compound. Its formation is supported by multinuclear NMR spectroscopy, density functional calculations, and X-ray diffraction studies. The stability and reactivity of this new species are examined.

Cd(II), Zn(II), and Pd(II) complexes of an isoindoline pincer ligand: consequences of steric crowding.

The sterically crowded isoindoline pincer ligand, 6'-MeLH, prepared by condensation of 4-methyl-2-aminopyridine and phthalonitrile, exhibits very different reaction chemistry with Cd2+, Zn2+, and Pd2+. Three different ligand coordination modes are reported, each dependent upon choice of metal ion. This isoindoline binds to Cd2+ as a charge-neutral, zwitterionic, bidentate ligand using imine and pyridine nitrogen atoms to form the eight-coordinate fluxional complex, Cd(6'-MeLH)2(NO3)2. In the presence of Zn2+, however, loss of a pyridine arm occurs through solvolysis and tetrahedrally coordinated complexes are formed with coordination of pyrrole and pyridine nitrogen atoms. Reaction with Pd2+ produces the highly distorted, square planar complex Pd(6'-MeL)Cl in which a deprotonated isoindoline anion coordinates as a tridentate pyridinium NNC pincer ligand.