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Background: The objective of this study was to determine the relationship between perioperative complications and the severity of obstructive sleep apnoea (OSA) in patients undergoing bariatric surgery who had undergone preoperative polysomnography (PSG)., Methods: The records of 797 patients, age >18 yr, who underwent bariatric operations (442 open and 355 laparoscopic procedures) at Mayo Clinic and were assessed before operation by PSG, were reviewed retrospectively. OSA was quantified using the apnoea-hypopnoea index (AHI) as none (≤ 4), mild (5-15), moderate (16-30), and severe (≥ 31). Pulmonary, surgical, and 'other' complications within the first 30 postoperative days were analysed according to OSA severity. Logistic regression was used to assess the multivariable association of OSA, age, sex, BMI, and surgical approach with postoperative complications., Results: Most patients with OSA (93%) received perioperative positive airway pressure therapy, and all patients were closely monitored after operation with pulse oximetry on either regular nursing floors or in intensive or intermediate care units. At least one postoperative complication occurred in 259 patients (33%). In a multivariable model, the overall complication rate was increased with open procedures compared with laparoscopic. In addition, increased BMI and age were associated with increased likelihood of pulmonary and other complications. Complication rates were not associated with OSA severity., Conclusions: In obese patients evaluated before operation by PSG before bariatric surgery and managed accordingly, the severity of OSA, as assessed by the AHI, was not associated with the rate of perioperative complications. These results cannot determine whether unrecognized and untreated OSA increases risk.

An ab initio study of two series of carbon-to-carbon proton transfer reactions is reported. The first series refers to the heterocyclic C(4)H(5)X(+)/C(4)H(4)X (X = CH(-), NH, S, O, PH, CH(2), AlH, BH) systems, and the second to the linear [Formula: see text] (X = CH(-), NH, S, PH, O, CH(2), AlH, BH) reference systems . The major objective of this study was to examine to what degree the aromaticity of C(4)H(4)X (X = CH(-), NH, S, O, PH) and the antiaromaticity of C(4)H(4)X (X = AlH, BH) is expressed at the transition state of the proton transfer and how this affects the respective intrinsic barriers. From the differences in the barriers between a given cyclic system and the corresponding linear reference system , ΔΔH(++) = ΔH(++)(cyclic) - ΔH(++)(linear), it was inferred that in the cyclic systems both aromaticity and antiaromaticity lower ΔH(++)(cyclic). This conclusion was based on the assumption that the factors not associated with aromaticity or antiaromaticity such as resonance, inductive and polarizability effects in the protonated species, and charge delocalization occurring along the reaction coordinate affect ΔH(++) for the cyclic and linear systems in a similar way and hence offset each other in ΔΔH(++). The extent by which ΔH(++)(cyclic) is lowered in the aromatic systems correlates quite well with the degree of aromaticity of C(4)H(4)X as measured by aromatic stabilization energies as well as the NICS(1) values of the respective C(4)H(4)X. According to the rules of the principle of nonperfect synchronization (PNS), these results imply a disproportionately large degree of aromaticity at the transition state for the aromatic systems and a disproportionately small degree of transition state antiaromaticity for the antiaromatic systems. These conclusions are consistent with the changes in the NICS(1) values along the reaction coordinate. Other points discussed in the paper include the complex interplay of resonance, inductive, and polarizability effects, along with aromaticity and antiaromaticity on the proton affinities of C(4)H(4)X.

Our 2004 disclosure of the amino hemiketal-containing spiroleucettadine was met with keen interest by the natural products and synthetic communities. As repeated efforts to synthesize spiroleucettadine failed and questions regarding the original structure elucidation process arose, evidence mounted against the validity of the proposed structure. The low ratio of H/C in the core of spiroleucattadine complicated the original structure elucidation process. Speculation prompted a reisolation of spiroleucettadine from an untouched portion of the original Luecetta collection and a thorough analysis of analytical data. In addition, a systematic analysis of candidate structures was performed via density functional theory (DFT) calculations; a favored high scoring structure 1b was ultimately confirmed to be spiroleucettadine via X-ray analysis of crystalline spiroleucettadine and reinforced the validity of DFT calculations in structure elucidation. We present the revised structure of spiroleucettadine, a bicyclic sponge alkaloid with a scarcity of H-atoms in its core.

An ab initio study of six carbon-to-carbon identity proton transfers is reported. They refer to the benzenium ion/benzene (C6H7(+)/C6H6), the 2,4-cyclopentadiene/cyclopentadienyl anion (C5H6/C5H5(-)), and the cyclobutenyl cation/cyclobutadiene (C4H5(+)/C4H4) systems and their respective noncyclic reference systems, that is, [structure: see text], [structure: see text] and [structure: see text]. For the aromatic C6H7(+)/C6H6 and C5H6/C5H5(-) systems, geometric parameters and aromaticity indices indicate that the transition states are highly aromatic. The proton-transfer barriers in these systems are quite low, which is consistent with a disproportionately high degree of transition-state aromaticity. For the antiaromatic C4H5(+)/C4H4 system, the geometric parameters and aromaticity indices indicate a rather small degree of antiaromaticity of the transition state. However, the proton-transfer barrier is higher than expected for a transition state with a low antiaromaticity. This implies that another factor contributes to the barrier; it is suggested that this factor is angle and torsional strain in the transition state. The question whether charge delocalization at the transition state might correlate with the development of aromaticity was also examined. No such correlation was found, that is, charge delocalization lags behind proton transfer as is commonly observed in nonaromatic systems involving pi-acceptor groups.

The deprotonation of pentacarbonyl[(3-diethylamino-2,4-dimethyl)cyclobut-2-ene-1-ylidene]chromium (1d) and pentacarbonyl[(3-diethylamino-4-methyl-2-phenyl)cyclobut-2-ene-1-ylidene]chromium (1e) leads to antiaromatic conjugate anions by virtue of their being cyclobutadiene derivatives. Rate constants for the deprotonation of 1d and 1e by P2-Et and pKa values were determined in acetonitrile. Gas-phase B3LYP calculations of 1d, 1e, and their respective conjugate anions, using a generalized basis set, were also performed. Furthermore, for purposes of comparison with carbene complexes of similar structures, but having conjugate anions that are not antiaromatic, corresponding calculations were performed on pentacarbonyl[3-diethylamino-2,5-dimethyl)cyclopent-2-ene-1-ylidene]chromium (5), [dimethylamino(methyl)carbene]pentacarbonylchromium (3a), and [dimethylamino(iso-propyl)carbene]pentacarbonylchromium (3b) and their respective conjugate anions, and solution-phase pKa and kinetic measurements were carried out for 3a and 3b. Major points of interest include the effect of antiaromaticity on the kinetic and thermodynamic acidities of 1d and 1e, the large effect of the phenyl group on the gas-phase acidity of 1e, the strong attenuation of the acidities and the effect of the phenyl group in acetonitrile, and the position of the C=C double bonds in the cyclobutadiene ring of the conjugate anion of 1e., (Copyright 2004 American Chemical Society)

We report an ab initio study of the identity carbon-to-carbon proton-transfer NCCH(2)Y + NCCH=Y(-) right arrow over left arrow NCCH=Y(-) + NCCH(2)Y in the gas phase, where Y = H, CH=CH(2), CH=O, CH=S, CN, NO, and NO(2). The main focus is on a comparison with the previously reported systems CH(3)Y + CH(2)=Y(-) right arrow over left arrow CH(2)=Y(-) + CH(3)Y, i.e., on the effect of the cyano group on acidities, proton-transfer barriers, and transition state structures. The conclusions of this study are as follows: (1) The transition state for the NCCH(2)Y/NCCH=Y(-) systems is more imbalanced than that for the CH(3)Y/CH(2)=Y(-) systems. (2) The cyano group leads to an increase in the acidities but to a decrease in the proton transfer barriers. This barrier reduction results from the fact that the stabilizing effect of the cyano group on the transition state is greater than that on the anion. (3) Within a reaction series, the barriers are largely dominated by the pi-acceptor strength of Y, i.e., the strongest pi-acceptors lead to the highest barriers. This is similar to proton transfers in solution but quite different from the CH(3)Y/CH(2)=Y(-) systems in the gas phase; in these latter systems pi-acceptor effects play a minor role while the barrier lowering field effect of Y is dominant.

The presence of the MeO-5 in the structure 5-methoxyamphimidine (5) is unusual in the light of a recent analysis of the relationships among sponge- and tunicate-derived pyridoacridines. We explore a possible biochemical pathway, from neoamphimidine (2) to 5-methoxyamphimidine (5). The results of semiempirical and ab initio calculations are presented to help understand the relationships that favor the formation of 5 versus the formation of undiscovered bis-oxygenated pyridoacridines.

A reinvestigation of sponge natural products from additional Indo-Pacific collections of Xestospongiacf. carbonaria and X. cf. exigua has provided further insights on the structures, biological activities, and biosynthetic origin of bisannulated acridines. These alkaloids include one known pyridoacridine, neoamphimedine (2), and three new analogues, 5-methoxyneoamphimedine (4), neoamphimedine Y (5), and neoamphimedine Z (6). A completely new acridine, alpkinidine (7), was also isolated. A disk diffusion soft agar assay, using a panel of five cancer cell lines (solid tumors and leukemias) and two normal cells, was used to evaluate the differential cytotoxicity (solid tumor selectivity) of the sponge semipure extracts and selected compounds including amphimedine (1), 2, 4, and 7. While all four compounds were solid tumor selective, 1 and 2 were the most potent and 4 was the most selective. The rationale used to characterize the new structures is outlined along with the related biosynthetic pathways envisioned to generate 2 and 7.

Derivatives of methyl 5-hydroxy-2-oxo-1-cyclohexanecarboxylate react with aryllead(IV) reagents in high yield and with wide variation in diastereoselectivity. Ab initio calculations are consistent with a heretofore unrecognized attraction between the carbanionic center of the beta-ketoester intermediate and the distal OSiR(3) group. This attractive interaction stabilizes the silyl group in the axial conformation and leads to the excellent trans diastereoselection in the formation of quaternary centers. [reaction: see text]

Phototropins (phot1 and phot2), the plant blue-light receptors for phototropism, chloroplast movement, and stomatal opening, are flavoproteins that contain two approximately 12 kDa FMN-binding domains, LOV1 and LOV2, at their N-terminus, and a serine/threonine protein kinase domain at their C-terminus. The light-activated LOV2 domain forms a metastable intermediate which has been shown to be a protein-chromophore cysteinyl adduct (Cys39) at C(4a) of FMN. This species thermally relaxes back to the ground state in the dark. We measured the light-minus-dark FTIR difference spectra for the LOV2 domain of oat phot1. These spectra show the disappearance of bands at 1580, 1550, and 1350 cm(-1) that originate from, or are strongly coupled to, the N5=C(4a) stretching vibrations, consistent with the perturbations expected upon C(4a) adduct formation. Assignment of these negative difference FTIR bands to native chromophore vibrations is based on the alignment with resonance Raman bands of FMN. Prominent positive bands include a doublet at 1516 and 1536 cm(-1) and one at 1375 and 1298 cm(-1). Normal-mode vibrational-frequency calculations for both lumiflavin and lumiflavin with a sulfur attached at the C(4a) position agree with many of the positive and negative bands observed in the difference spectra. Both calculated and experimental difference FTIR spectra for deuterium isotope substitutions at exchangeable positions in the flavin chromophore are consistent with the assignment of the above positive bands to vibrational modes involving both the newly formed tetrahedral geometry of C(4a) and the N5-H bond in the long-lived LOV2(S)(390) cysteinyl species.

Gas-phase acidities of CH2=C=X (X = CH2, NH, O, and S) and barriers for the identity proton transfers (X=C=CH2 + HC triple bond C-X- right harpoon over left harpoon -X-C triple bond CH + CH2=C=X) as well as geometries and charge distributions of CH2=C=X, HC triple bond C-X- and the transition states of the proton transfer were determined by ab initio methods at the MP2/6-311+G(d,p)//MP2/6-311+G(d,p) and B3LYP/6-311+G(d,p) levels of theory. The acidities were also calculated at the CCSD(T)/6-311+G(2df,p) level. A major objective of this study was to examine how the enhanced unsaturation of CH2=C=X compared to that of CH3CH=X may affect acidities, transition state imbalances, and intrinsic barriers of the identity proton transfer. The results show that the acidities are all higher while the barriers are lower than for the corresponding CH3CH=X series. The transition states are all imbalanced but less so than for the reactions of CH3CH=X.

Gas-phase acidities of CH3Y (Y: NO, C identical to CH, CH=NH, and CH=S), barriers to the identity proton-transfer CH3Y + CH2=Y- reversible CH2=Y- + CH3Y, as well as geometries and charge distributions of CH3Y, CH2=Y- and the transition states of the proton transfers were determined by ab initio methods at the MP2/6-311 + G(d,p)//MP2/6-311 + G(d,p), B3LYP/6-311 + G(d,p), and BPW-91/6-311 + G-(d,p) levels of theory. The acidities were also calculated at the CCSD(T)/6-311 + G(2df,2p) level. To make more meaningful comparisons, the same quantities for previously studied systems (Y: H, CH=CH2, CH=O, CN, NO2) were recalculated at the levels used in the present work. The geometric parameters as well as the group charges indicate that the transition states for all the reactions are imbalanced, although there is no correlation between the degree of imbalance and the pi-acceptor strength of the Y group. Based on multi-parameter correlations with the field (sigma F), resonance (sigma R), and polarizability effect (sigma alpha) substituent constants, the contributions of each of these effects to the acidities and barriers were evaluated. For the Y groups whose sigma F, sigma R, and sigma alpha are unknown (CH=NH, CH=S, C identical to CH), a method for estimating these substituent constants is proposed. The barriers for the CH3Y/CH2=Y- systems are all lower than for the CH4/CH3- system; this contrasts with the situation in solution where the Y groups lead to an increase in the barrier. The reasons for this reversal are analyzed. We also make an attempt to clarify the issue as to why the transition states of these reactions are imbalanced, a question which continues to draw attention in the literature.