Ethynylphenyl-Derivatized Free Base Porphyrins: Anodic Oxidation Processes and Covalent Grafting onto Glassy Carbon Electrodes.

In six of seven cases, direct anodic oxidation of the ethynyl group of an ethynylphenyl-derivatized free-base porphyrin gave modified glassy carbon electrodes in which the porphyrin was strongly surface-bound, most likely in a perpendicular geometry through covalent attachment of the ethynyl group to a surface carbon atom. The porphyrins each contained an ethynylphenyl group in one meso position and varied in the groups present in the other three meso positions. Electrografted 5,10,15,20-tetrakis(ethynylphenyl)porphyrin, H21, which has ethynyl moieties in all four meso positions, has well-defined surface voltammetry and grows to multilayer levels upon repeated cyclic voltammetry (CV) deposition scans. Multilayering was not observed to the same degree for monoethynylphenyl-substituted porphyrins and became progressively less for porphyrins having groups in the 15-meso position that were more protective against ethynyl radical attack. Clean molecular monolayer-level coverage was observed for 5-ethynylphenyl-10,20-bis(3-methoxyphenyl)-15-hexylporphyrin, H25. Owing to the fact that the ethynyl oxidation potential (1.1 to 1.5 V vs ferrocene) is more positive than that of the second macrocycle oxidation, the longevities and follow-up reactions of the porphyrin dications were also studied by CV, chemical oxidation, and optical spectroscopy in homogeneous solution. The primary follow-up products of the doubly oxidized porphyrins, whether surface-bound or in solution, were pyrrole-protonated species that were easily reduced back to the neutral porphyrin.

Novel organometallic chloroquine derivative inhibits tumor growth.

Autophagy has emerged as a mechanism critical to both tumorigenesis and development of resistance to multiple lines of anti-cancer therapy. Therefore, targeting autophagy and alternative cell death pathways has arisen as a viable strategy for refractory tumors. The anti-malarial 4-aminoquinoline compounds chloroquine and hydroxychloroquine are currently being considered for re-purposing as anti-cancer therapies intended to sensitize different tumors by targeting the lysosomal cell death pathway. Here, we describe a novel organometallic chloroquine derivative, cymanquine, that exhibits enhanced bioactivity compared to chloroquine in both normal, and reduced pH tumor microenvironments, thus overcoming a defined limitation of traditional 4-aminoquinolines. In vitro, cymanquine exhibits greater potency than CQ in a diverse panel of human cancer cell lines, including melanoma, in both normal pH and in reduced pH conditions that mimic the tumor microenvironment. Cymanquine treatment results in greater lysosomal accumulation than chloroquine and induces lysosomal dysfunction leading to autophagy blockade. Using a mouse model of vemurafenib-resistant melanoma, cymanquine slowed tumor growth greater than hydroxychloroquine, and when used in combination with vemurafenib, cymanquine partially restored sensitivity to vemurafenib. Overall, we show that cymanquine exhibits superior lysosomal accumulation and autophagy blockade than either chloroquine or hydroxychloroquine in vitro; and in addition to its high level of tolerability in mice, exhibits superior in vivo efficacy in a model of human melanoma.

Effect of Large Electrolyte Anions on the Sequential Oxidations of Bis(fulvalene)diiron Attached to Glassy Carbon by an Ethynyl Linkage.

Two ethynyl-derivatized isomers of bis(fulvalene)diiron (BFD, 1,1'-biferrocenylene) were prepared and covalently attached to glassy carbon electrodes through their ethynyl group by three different electrode modification methods. Cyclic voltammetry and square wave (SW) voltammetry were used to characterize surface coverages of 1.4-5.5 × 10-10 mol cm-2, the higher of these corresponding to roughly a monolayer, based on computation of an idealized close-packing structure for ethynylbis(fulvalene)diiron (E-BFD) on a solid surface. In a dichloromethane solution containing a smaller electrolyte anion such as [PF6]- or [ClO4]-, the E-BFD-modified electrodes exhibited two quasi-Nernstian one-electron oxidations. In contrast, the current for the second oxidation process, [E-BFD]+/2+, was diminished in electrolytes containing one of the large fluoroaryl borate anions, [B(C6F5)4]- or [B(C6H3(CF3)2)4]-. The effect was enhanced for electrodes having higher surface coverages being probed at shorter voltammetric time scales. SW voltammetry showed that the diminished currents for [E-BFD]+/2+ in large-anion electrolytes are not caused by slow electron transfer. Rather, they are attributed to mixed diffusivity of the counter-anions at the electrode/solution interface, as [E-BFD]+ and the anion form the optimum (lowest-energy) configuration of a 1:1 ion pair. The interior transport of the anion required to reach this configuration may be sterically encumbered, accounting for the diminished charge transfer observed with electrolytes containing large anions.

Quality assessment and improvement of post graduate family medicine training in the USA.

BACKGROUND: In 2013, the World Organisation of Family Doctors published training standards for post-graduate medical education (GME) in Family Medicine/General Practice (FP/GP). GME quality has not been well-defined, other than meeting accreditation standards. In 2009, the Association of Family Medicine Residency Directors (AFMRD) developed a tool that would aid in raising the quality of family medicine residency training in the USA. OBJECTIVE: We describe the development of this quality improvement tool, which we called the residency performance index (RPI), and its first three years of use by US family medicine residency (FMR) programmes. The RPI uses metrics specific to family medicine training in the USA to help programmes identify strengths and areas for improvement in their educational activities. Our review of three years of experience with the RPI revealed difficulties with collecting data, and lack of information on graduates' scope of practice. It also showed the potential usefulness of the tool as a programme improvement mechanism. CONCLUSIONS: The RPI is a nationwide, standardised, programme quality improvement tool for family medicine residency programmes in the USA, which was successfully launched as part of AFMRD's strategic plan. Although some initial challenges need to be addressed, it has the promise to aid family medicine residencies in their internal improvement efforts. This model could be adapted in other post-graduate training settings in FM/GP around the world.

Anodic Methods for Covalent Attachment of Ethynylferrocenes to Electrode Surfaces: Comparison of Ethynyl Activation Processes.

The electrochemical oxidation of ferrocenes having an H- or Li-terminated ethynyl group has been studied, especially as it relates to their covalent anchoring to carbon surfaces. The anodic oxidation of lithioethynylferrocene (1-Li) results in rapid loss of Li(+) and formation of the ethynyl-based radical FeCp(η(5)-C5H4)(C≡C), (1, Cp = η(5)-C5H5), which reacts with the electrode. Chemically modified electrodes (CMEs) were thereby produced containing strongly bonded, ethynyl-linked monolayers and electrochemically controlled multilayers. Strong attachments of ethynylferrocenes to gold and platinum surfaces were also possible. The lithiation/anodic oxidation process is a mirror analogue of the diazonium/cathodic reduction process for preparation of aryl-modified CMEs. A second method produced an ethynylferrocene-modified electrode by direct anodic oxidation of the H-terminated ethynylferrocene (1-H) at a considerably more positive potential. Both processes produced robust modified electrodes with well-defined ferrocene-based surface cyclic voltammetry waves that remained unchanged for as many as 10(4) scans. Ferrocene derivatives in which the ethynyl moiety was separated from the cyclopentadienyl ring by an ether group showed very similar behavior. DFT calculations were performed on the relevant redox states of 1-H, 1-Li, and 1, with emphasis on the ferrocenyl vs ethynyl character of their high valence orbitals. Whereas the HOMOs of both 1-H and 1-Li have some ethynyl character, the SOMOs of the corresponding monocations are strictly ferrocenium in makeup. Predominant ethynyl character returns to the highest valence orbitals after loss of Li(+) from [1-Li](+) or loss of H(+) from [1-H](2+). These anodic processes hold promise for the controlled chemical modification of carbon and other electrode surfaces by a variety of ethynyl or alkynyl-linked organic and metal-containing systems.

Facilitated carbon dioxide reduction using a Zn(II) complex.

Two new Zn(II) complexes have been prepared and evaluated for their capacity to activate and reduce CO2. The electrochemical properties of dichlorobis[diphenyl-(2-pyridyl)phosphine-κ(1)-N]zinc(II) [corrected]. and dichloro[diphenyl-(2-pyridyl)phosphine-κ(1)-N]zinc(II) 2 are compared using cyclic voltammetry. Electrochemical results indicate that 2 leads to a facilitated CO2 reduction to evolve CO at a glassy carbon electrode.

Unexpected formal insertion of CO2 into the C-Si bonds of a zinc compound.

Reaction of [κ2-PR2C(SiMe3)Py]2Zn (R = Ph, 2a; iPr, 2b) with CO2 affords the products of formal insertion at the C­Si bond, [κ2-PR2CC(O)O(SiMe3)Py]2Zn (R = Ph, 3a; iPr, 3b). Insertion product 3b was structurally characterized. The reaction appears to be a stepwise insertion and rearrangement of CO2 based on kinetic data.

Influence of cyclopentadienyl ring-tilt on electron-transfer reactions: redox-induced reactivity of strained [2] and [3]ruthenocenophanes.

In contrast to ruthenocene [Ru(η(5) -C5 H5 )2 ] and dimethylruthenocene [Ru(η(5) -C5 H4 Me)2 ] (7), chemical oxidation of highly strained, ring-tilted [2]ruthenocenophane [Ru(η(5) -C5 H4 )2 (CH2 )2 ] (5) and slightly strained [3]ruthenocenophane [Ru(η(5) -C5 H4 )2 (CH2 )3 ] (6) with cationic oxidants containing the non-coordinating [B(C6 F5 )4 ](-) anion was found to afford stable and isolable metalmetal bonded dicationic dimer salts [Ru(η(5) -C5 H4 )2 (CH2 )2 ]2 [B(C6 F5 )4 ]2 (8) and [Ru(η(5) -C5 H4 )2 (CH2 )3 ]2 [B(C6 F5 )4 ]2 (17), respectively. Cyclic voltammetry and DFT studies indicated that the oxidation potential, propensity for dimerization, and strength of the resulting RuRu bond is strongly dependent on the degree of tilt present in 5 and 6 and thereby degree of exposure of the Ru center. Cleavage of the RuRu bond in 8 was achieved through reaction with the radical source [(CH3 )2 NC(S)SSC(S)N(CH3 )2 ] (thiram), affording unusual dimer [(CH3 )2 NCS2 Ru(η(5) -C5 H4 )(η(3) -C5 H4 )C2 H4 ]2 [B(C6 F5 )4 ]2 (9) through a haptotropic η(5) -η(3) ring-slippage followed by an apparent [2+2] cyclodimerization of the cyclopentadienyl ligand. Analogs of possible intermediates in the reaction pathway [C6 H5 ERu(η(5) -C5 H4 )2 C2 H4 ][B(C6 F5 )4 ] [E=S (15) or Se (16)] were synthesized through reaction of 8 with C6 H5 EEC6 H5 (E=S or Se).

An electron transfer series of octahedral chromium complexes containing a redox non-innocent α-diimine ligand.

An electron-transfer series of octahedral α-diimine complexes [((H)L(Cy))3Cr](n+)(BARF)n (n = 2, 1, 0) has been synthesized and crystallographically characterized. Cyclic voltammetry indicated additional formation of [((H)L(Cy))3Cr](3+). The molecular structures suggested that all redox processes were ligand-based. Magnetic moments were consistent with spin ground states of S = 0 for [(H)L(Cy)3Cr](0), S = 1/2 for [(H)L(Cy)3Cr](+1), and S = 1 for [(H)L(Cy)3Cr](+2). The experimental data is consistent with chromium maintaining the +III oxidation state throughout, while being coordinated by varying numbers of neutral diimines ((H)L(Cy)) and diimine radical anions ((H)L(Cy)˙(-)).

The Residency Performance Index: An Effort at Residency Quality Assessment and Improvement in Family Medicine.

BACKGROUND: Residency programs are increasingly being asked to defend their quality, and that of the residents they produce. Yet "residency quality" is a construct that has not been well defined, with no accepted standards other than meeting accreditation standards. In 2009, the Association of Family Medicine Residency Directors developed a strategic plan that included the goal of raising the quality of family medicine training. OBJECTIVE: We describe the development of this quality improvement tool, which we called the residency performance index (RPI), and its first year of use by family medicine residency programs. We describe the use of the tool as a "dashboard" to facilitate program self-improvement. INTERVENTION: Using program metrics specific to family medicine training, and benchmark criteria for these metrics, the RPI was launched in 2012 to help programs identify strengths and areas for improvement in their educational activities and resident clinical experiences that could be tracked and reviewed as part of the annual program evaluation. RESULTS: Approximately 100 program directors began using the tool and 70 finished the process, and were provided aggregate data. Initial review of this experience revealed difficulties with collecting data, and lack of information on graduates' scope of practice. It also showed the potential usefulness of the tool as a program improvement mechanism. CONCLUSIONS: The RPI is a new quality improvement tool for family medicine residency programs. Although some initial challenges need to be addressed, it has the promise to aid family medicine residency in its internal improvement efforts.

Covalent attachment of porphyrins and ferrocenes to electrode surfaces through direct anodic oxidation of terminal ethynyl groups.

One with the surface: A method is presented for electrode modification with terminal alkynes and alkenes. Direct oxidation of these moieties leads to efficient grafting onto glassy carbon, gold, platinum, and indium tin oxide surfaces. Various ferrocenes and 5,10,15,20-(4-ethynylphenyl)porphyrin were attached in this way.

Metal complexes (M = Zn, Sn, and Pb) of 2-phosphinobenzenethiolates: insights into ligand folding and hemilability.

The divalent metal complexes M(II){(SC6H4-2-PR2)-κ(2)S,P}2 (3-7, and 9-11) (M = Zn, Sn, or Pb; R = (i)Pr, (t)Bu, or Ph), the Sn(IV) complexes Sn{(SC6H4-2-PR2)-κ(2)-S,P}Ph2Cl (12 and 13) (R = (i)Pr and (t)Bu), and the ionic Sn(IV) complexes [Sn{(SC6H4-2-PR2)-κ(2)-S,P}Ph2][BPh4] (14 and 15) (R = (i)Pr and (t)Bu) have been prepared and characterized by multinuclear NMR spectroscopy and single crystal X-ray diffraction when suitable crystals were afforded. The Sn(II) and Pb(II) complexes with R = Ph, (i)Pr, or (t)Bu (5, 6, 9, and 10) demonstrated ligand "folding" hinging on the P,S vector-a behavior driven by the repulsions of the metal/phosphorus and metal/sulfur lone pairs and increased M-S sigma bonding strength. This phenomenon was examined by density functional theory (DFT) calculations for the compounds in both folded and unfolded states. The Sn(IV) compound 13 (R = (t)Bu) crystallized with the phosphine in an axial position of the pseudotrigonal bipyramidal complex and also exhibited hemilability in the Sn-P dative bond, while compound 12 (R = (i)Pr), interestingly, crystallized with phosphine in an equatorial position and did not show hemilability. Finally, the crystal structure of 15 (R = (t)Bu) revealed the presence of an uncommon, 4-coordinate, stable Sn(IV) cation.

Anodic oxidation of disulfides: detection and reactions of disulfide radical cations.

The anodic oxidation of five diaryldisulfides have been studied in a dichloromethane/[NBu4][B(C6F5)4] electrolyte. Cyclic voltammetry scans of (p-RC6H4)2S2 (R = Me, 1a; R = F, 1b; R = OMe, 1c) show modest chemical reversibility for the 1(0/+) couple (E1/2 values vs ferrocene: 1.04 V for 1a, 1.21 V for 1b, 0.92 V for 1c), providing the first voltammetric evidence for the radical cation [Ar2S2](+). A dimer dication, [Ar4S4](2+), is proposed as an intermediate in the formation of the electrolysis product, the trisulfide [Ar3S3](+). The chemical reversibility of the one-electron oxidations of Ar2S2 vanishes in [PF6](-)-containing electrolytes. The radical cations of the more sterically constrained ortho-substituted analogues dimesityldisulfide (2a, E1/2 = 1.01 V) and bis(2,4,6-triisopropylphenyl)disulfide (2b, E1/2 = 0.98 V) show less tendency to dimerize. In all cases except 2b, the bulk electrolysis product is [R3S3](+), consistent with earlier literature reports. A mechanism is proposed in which the trisulfide is formed by reaction of the dimer dication [Ar4S4](2+) with neutral Ar2S2 to afford the trisulfide in a net 2/3 e(-) process. Oxidation of Ar2S2, either anodically or by a strong one-electron oxidant, in the presence of cyclohexene gives an efficient synthetic route to 1,2-substituted cyclohexyldisulfides.

An anodic method for covalent attachment of molecules to electrodes through an ethynyl linkage.

Electroactive organometallic molecules have been covalently attached to electrode surfaces through an ethynyl linkage. The process takes advantage of ethynyl-based radicals generated by anodic oxidation of a lithio-activated terminal ethynyl group. Electrophores containing redox-active ferrocene, cymantrene, or cobaltocenium moieties have been deposited at the one-to-three monolayer level. Both metal-based and ligand-based chemical reactions have been carried out on the surface-modified systems.

Metal-metal bond formation between [n]metallocenophanes: synthesis and characterisation of a dicarba[2]ruthenocenophanium dimer.

Feeling the strain: The first example of metal-metal bonding between strained [n]metallocenophanes is reported. A dicarba[2]ruthenocenophanium dimer has been synthesised through the oxidation of a dicarba[2]ruthenocenophane (see figure). The structural and electrochemical characterisation of the dimer is also discussed.

Anodic properties of diarylethene derivatives having organometallic piano-stool tags.

The half-sandwich tamoxifen derivative, Mn(CO)(3)(η(5)-C(5)H(4)(Et)C=C(C(6)H(5))(2)), gives a radical cation which is charge-delocalized between the "cymantrenyl" and diphenylethene moieties and undergoes facile metal-carbonyl substitution reactions. Mn and Re complexes with finely tuned redox potentials can be obtained for cancer cell inhibition studies.

Organometallic electrodes: modification of electrode surfaces through cathodic reduction of cyclopentadienyldiazonium complexes of cobalt and manganese.

Two organometallic complexes having cyclopentadienyldiazonium ligands have been isolated and characterized by spectroscopy, X-ray crystallography, and electrochemistry. Both CoCp(η(5)-C(5)H(4)N(2))(2+) (2(2+)) and Mn(CO)(3)(η(5)-C(5)H(4)N(2))(+) (3(+)) undergo facile cyclopentadienyldiazonium ligand-based one-electron reductions which liberate dinitrogen and result in strong binding of the cyclopentadienyl ligand to a glassy carbon surface, similar to the processes well established for organic aryldiazonium salts. The organometallic-modified electrodes are robust and have a thickness of approximately one monolayer (Γ = (2-4) × 10(-10) mol cm(-2)). Their voltammetric responses are as expected for a cobaltocenium-modified electrode, [CoCp(η(5)-C(5)H(4)-E)](+), where Cp = cyclopentadienyl and E = electrode, and a "cymantrene"-modified electrode Mn(CO)(3)(η(5)-C(5)H(4)-E). The cobaltocenium electrode has two cathodic surface waves. The first (E(1/2) = -1.34 V vs ferrocene) is highly reversible, whereas the second (E(pc) = -2.4 V) is not, consistent with the known behavior of cobaltocenium. The cymantrene-substituted electrode has a partially chemically reversible anodic wave at E(1/2) = 0.96 V, also consistent with the behavior of its Mn(CO)(3)Cp parent. Many of the properties of aryl-modified electrodes, such as "blockage" of the voltammetric responses of test analytes, are also seen for the organometallic-modified electrodes. Surface-based substitution of a carbonyl group by a phosphite ligand, P(OR)(3), R = Ph or Me, was observed when the cymantrene-modified electrode was anodically oxidized in the presence of a phosphite ligand. The successful grafting of organometallic moieties by direct bonding of a cyclopentadienyl ligand to electrode surfaces expands the chemical and electrochemical dimensions of diazonium-based modified electrodes.

Organometallic electrochemistry based on electrolytes containing weakly-coordinating fluoroarylborate anions.

Electrochemistry is a powerful tool for the study of oxidative electron-transfer reactions (anodic processes). Since the 1960s, the electrolytes of choice for nonaqueous electrochemistry were relatively small (heptaatomic or smaller) inorganic anions, such as perchlorate, tetrafluoroborate, or hexafluorophosphate. Owing to the similar size-to-charge ratios of these "traditional" anions, structural alterations of the electrolyte anion are not particularly valuable in effecting changes in the corresponding redox reactions. Systematic variations of supporting electrolytes were largely restricted to cathodic processes, in which interactions of anions produced in the reactions are altered by changes in electrolyte cations. A typical ladder involves going from a weakly ion-pairing tetraalkylammonium cation, [N(C(n)H(2n+1))(4)](+), with n > or = 4, to more strongly ion-pairing counterparts with n < 4, and culminating in very strongly ion-pairing alkali metal ions. A new generation of supporting electrolyte salts that incorporate a weakly coordinating anion (WCA) expands anodic applications by providing a dramatically different medium in which to generate positively charged electrolysis products. A chain of electrolyte anions is now available for the control of anodic reactions, beginning with weakly ion-pairing WCAs, progressing through the traditional anions, and culminating in halide ions. Although the electrochemical properties of a number of different WCAs have been reported, the most systematic work involves fluoro- or trifluoromethyl-substituted tetraphenylborate anions (fluoroarylborate anions). In this Account, we focus on tetrakis(perfluorophenyl)borate, [B(C(6)F(5))(4)](-), which has a significantly more positive anodic window than tetrakis[(3,5-bis(trifluoromethyl)phenyl)]borate, [BArF(24)](-), making it suitable in a larger range of anodic oxidations. These WCAs also have a characteristic of specific importance to organometallic redox processes. Many electron-deficient organometallic compounds are subject to nucleophilic attack by the traditional family of electrolyte anions. With a view to testing the scope of the much less nucleophililic WCAs in providing a benign electrolyte anion for the generation of organometallic cation radicals, we carried out a series of studies on transition metal sandwich and half-sandwich compounds. The model compounds were chosen both for their fundamental importance and because their radical cations had been neither isolated nor spectrally characterized, despite many previous electrochemical investigations with traditional anions. The oxidation of prototypical organometallic compounds, such as the sandwich-structured ruthenocene and the piano-stool structured Cr(eta(6)-C(6)H(6))(CO)(3), Mn(eta(5)-C(5)H(5))(CO)(3), Re(eta(5)-C(5)H(5))(CO)(3), and Co(eta(5)-C(5)H(5))(CO)(2), gave the first definitive in situ characterization of their radical cations. In several cases, the kinetic stabilization of the anodic products allowed the identification of dimers or unique dimer radicals having weak metal-metal bonds and provided new preparative options for organometallic systems. In terms of thermodynamic effects, the lower ion-pairing abilities of WCAs and their good solubility in a broad range of solvents, including those of lower polarity, permitted a systematic study that yielded an integrated model of how to use solvent-electrolyte combinations to manipulate the E(1/2) differences of compounds undergoing multiple electron-transfer reactions. Although the efficacy of WCA-based electrolytes in organometallic anodic chemistry is now established, WCAs might further expand applications of organic redox chemistry. Other WCAs, including those derived from carboranes and fluorinated alkoxyaluminates, merit additional studies.