Preparations of metal trichalcogenophosphonates from organophosphonate esters.

A new method for the preparation of metal trichalcogenophosphonates is presented wherein organophosphonate esters are first reduced with LiAlH(4) and subsequently treated with an organometallic reagent and elemental sulfur or selenium to give the desired trichalcogenophosphonate complex. Using this synthetic protocol with (n)BuLi as the organometallic reagent, the lithium trithiophosphonate complexes [Li(2)(S(3)PCH(2)Ph)(THF)(TMEDA)](2) (1) and [Li(4)(S(3)P(n)Pr)(2)(TMEDA)(3)](∞) (3), where THF = tetrahydrofuran and TMEDA = N,N,N',N'-tetramethylethylenediamine, have been prepared. In both cases, the formation of byproducts is also evident, including, for 1, the tetrathiohypodiphosphonate complex [(PhCH(2)P(S(2)))(2)Li(2)(THF)(4)] (2), which has been structurally characterized. Replacement of (n)BuLi with (n)Bu(2)Mg as the metallating agent led to much cleaner products and improved yields, with the new trithio- and triselenoorganophosphonate complexes [Mg(S(3)PCH(2)Ph)(TMEDA)](2) (4) and [Mg(Se(3)P(n)Pr)(TMEDA)](2) (5) reported. All trichalcogenophosphonate complexes have been structurally characterized in the solid state: 1 adopts a dimer structure in which the [PhCH(2)PS(3)](2-) ligand exhibits a unique µ(3)-η(2),η(2),η(2)-coordination mode; 3 is polymeric comprising of [Li(4)(S(3)P(n)Pr)(2)(TMEDA)(2)] dimers linked via additional bridging bis(monodentate) TMEDA molecules; 4 and 5 both adopt dimeric motifs with µ(2)-η(2),η(2) coordination of the magnesium centers.

Nursing home revenue source and information availability during the emergency department evaluation of nursing home residents.

OBJECTIVES: Lack of access to medical information for nursing home residents during emergency department (ED) evaluation is a barrier to quality care. We hypothesized that the quantity of information available in the ED differs based on the funding source of the resident's nursing home. DESIGN: Cross-sectional observational study. SETTING: Single academic ED. PARTICIPANTS: Participants were 128 skilled nursing facility (SNF) residents age 65 or older from 12 SNFs. MEASUREMENTS: Emergency physicians documented knowledge of 9 essential information items. SNFs were categorized as accepting or not accepting Medicaid. RESULTS: Questionnaires were completed for 128 patients, of whom 95 (74%) were from 1 of 8 Medicaid-funded SNFs and 33 (26%) were from 1 of 4 SNFs not accepting Medicaid. Patients from SNFs accepting Medicaid were younger (79 versus 87, P < .001) and less frequently white (62% versus 97%, P < .001). The mean number of 9 possible information items available was lower for patients from SNFs that accept Medicaid (7.13 versus 8.15, P < .001). Emergency providers also reported lower satisfaction regarding access to information for residents from SNFs that accept Medicaid (P < .05). The association between residence in an SNF that accepts Medicaid and lower ED information scores remained after linear regression with clustering by SNF controlling for age, gender, and race. The most common source of information for residents from both types of SNFs was transfer papers from the SNF. CONCLUSION: Less information is available to ED providers for patients from SNFs that accept Medicaid than for residents from SNFs that do not accept Medicaid. Further study is needed to examine this information gap.

Implementation of a Web-based system to improve the transitional care of older adults.

We constructed a bidirectional Web-based system to transmit critical patient information in real time between referring nursing homes and a university hospital emergency department (ED) to facilitate the care of patients referred to our ED. Our model was inexpensive, improved measures of information transfer, and increased provider satisfaction.

Facile synthesis of bis(dichalcogenophosphinate)s and a remarkable [Li8(OH)6]2+ polyhedron.

The synthesis and characterization of three lithium complexes of novel bis(dichalcogenophosphinate) ligands are reported: (PhP(S)(2)CH(2)CH(2)P(S)(2)Ph)Li(2)(THF)(4) (2), (PhP(Se)(2)CH(2)CH(2)P(Se)(2)Ph)Li(2)(THF)(4).(PhP(Se)(2)CH(2)CH(2)P(Se)(2)Ph)Li(2)(THF)(6) (3), and [PhP(Te)(2)CH(2)CH(2)P(Te)(2)Ph][Li(8)(OH)(6)(THF)(8)] (4). The synthetic route to these complexes proceeds via the insertion reaction of elemental chalcogens into the phosphorus-lithium bonds of 1,2-dilithio-1,2-di(phenylphosphine)ethylene (1). X-ray analysis of 2 revealed isobidentate coordination of the lithiums by the dithiophosphinate groups. In contrast, the diselenophosphinate groups in 3 coordinate the lithium centers in both isobidentate and monodentate modes, and the ditellurophosphinate groups in 4 form non-coordinate separate ion pairs. The countercation in 4 is shown to be a unique [Li(8)(OH)(6)](2+) rhombic dodecahedral polyhedron, putatively formed from the capping of a hexameric [Li(OH)](6) aggregate with lithium cations on its open faces.

Aluminium complexes with thio-phosphorus ligands: syntheses and characterisations of [Al(2)(CyPS(3))(2)(CyPHS(2))(2)] and [Al(S(2)PPh(2))(3)].

The novel aluminium complexes [Al(2)(CyPS(3))(2)(CyPHS(2))(2)] and [Al(S(2)PPh(2))(3)] have been prepared as potential models for alumino-thiophosphonate based materials; [Al(2)(CyPS(3))(2)(CyPHS(2))(2)] is the first example of a primary dithiophosphinate to be characterised in the solid state.