Direct comparison of the response of bicyclic sultam and lactam dienes to photoexcitation. Concerning the propensity of differing bond types to bridgehead nitrogen for homolytic cleavage.

A convergent strategy has allowed access to bridgehead sultam 9 and the related carboxamides 10 and 11. The synthetic routing proceeds via the coupling of a suitably constructed dienamine to either o-iodobenzenesulfonyl chloride or o-iodobenzoyl chloride to generate the amides. The application in sequence of ring-closing metathesis and an intramolecular Heck reaction gave rise to advanced tricyclic intermediates. The final two steps involved bromination in liquid bromine and proper 2-fold dehydrobromination. The latter maneuver was best achieved with tetrabutylammonium fluoride in DMSO at elevated temperature. While the irradiation of 9 led principally via SO2-N bond homolysis and [1,5] sigmatropic rearrangement to generate 37, 10 proceeded via disrotatory cyclization to the exo cyclobutene 39, and 11 resisted photoisomerization. The inertness of 11 may stem from its distorted structural features which force its conjugated diene double bonds to be rigidly oriented 32 degrees out-of-plane. The unique ability of the sulfonamide linkage to excited-state homolysis holds comparative interest.

Gynecologic malignancies in adolescents.

Gynecologic malignancies are rare in the pediatric and adolescent populations. Given the potential consequence of infertility and the negative impact on body image that can result from the treatment of these cancers, clinicians must be aware of the most current recommendations for medical and surgical therapy of gynecologic malignancies in these patients. This article focuses on the most common gynecologic cancers in pediatric and adolescent girls, with a special emphasis on treatment that maintain fertility and positive body image.

Definition of Several Control Elements Relevant to the Stereodefined Serial Elaboration of Belted Poly(spirotetrahydrofurans) Fitted with a Cyclohexane Core.

The stereochemistry of the condensations of 2-cyclohexenones, alpha-arylidenecyclohexanones, and alpha-(tert-butyldimethylsiloxy)cyclohexanones carrying one or two (both syn and anti) spirotetrahydrofuran units adjacent to the carbonyl with allyl organometallics (especially indium) and with the Normant reagent (ClMgO(CH(2))(3)MgCl) is described. Good levels of anti stereoselection are observed in the alpha-arylidene series. Subsequent cyclization generates a second (or third) tetrahydrofuran ring possessing trans vicinal oxygens. Useful levels of matched and mismatched diastereoselection are also attainable by prior alpha-oxygenation. The intrinsic differences in diastereomer production between indium and magnesium organometallics are highlighted. A clear distinction regarding the anticipated direction of stereoselectivity is made on the grounds of chelation capabilities and the intra- or intermolecularity of carbon-carbon bond formation. Finally, the two protocols that are described in detail are shown to be iterative, a feature that augurs well for ultimately accessing the eight possible hexaspirocyclohexanes in an efficient and stereocontrolled manner.