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Metal-catalyzed C-H activations are environmentally and economically attractive synthetic strategies for the construction of functional molecules as they obviate the need for pre-functionalized substrates and minimize waste generation. Great challenges reside in the control of selectivities, the utilization of unbiased hydrocarbons, and the operation of atom-economical dehydrocoupling mechanisms. An especially mild borylation of benzylic CH bonds was developed with the ligand-free pre-catalyst Co[N(SiMe3 )2 ]2 and the bench-stable and inexpensive borylation reagent B2 pin2 that produces H2 as the only by-product. A full set of kinetic, spectroscopic, and preparative mechanistic studies are indicative of a tandem catalysis mechanism of CH-borylation and dehydrocoupling via molecular CoI catalysts.
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Reductive transformations of easily available oxidized matter are at the heart of synthetic manipulation and chemical valorization. The applications of catalytic hydrofunctionalization benefit from the use of liquid reducing agents and operationally facile setups. Metal-catalyzed hydroborations provide a highly prolific platform for reductive valorizations of stable C=X electrophiles. Here, we report an especially facile, broad-scope reduction of various functions including carbonyls, carboxylates, pyridines, carbodiimides, and carbonates under very mild conditions with the inexpensive pre-catalyst Mn(hmds)2 . The reaction could be successfully applied to depolymerizations.
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Heat shock protein expression can be induced by heat shock making it possible to artificially modulate their levels noninvasively in vivo in a spatially and temporally controlled manner. Here, we report the use of the major heat shock protein 70 (HSP70) as an inducible target by using the small molecule deoxyspergualin (DSG) conjugated to the near-infrared fluorophore (Cy5.5). We demonstrate that heat induction in the form of localized hyperthermia of normal tissue in living mice results in sufficient HSP70 overexpression for detection with DSG-Cy5.5 conjugate. This effect is dependent on total energy delivered and reaches maximum fluorescence signal in 6 to 8 hours post heat induction and declines over a period of up to 24 hours. These results suggest that DSG-Cy5.5 agent accumulates in tissue with elevated HSP70 by heat.
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Guanidinas , Proteínas HSP70 de Choque Térmico , Animales , Proteínas de Choque Térmico , RatonesRESUMEN
Homogeneous electrocatalytic proton reduction is reported using cobalt complex [1](BF4 )2 . This complex comprises two bis(1-methyl-4,5-diphenyl-1H-imidazol-2-yl)methane (HBMIM Ph 2 ) ligands that contain an acidic methylene moiety in their backbone. Upon reduction of [1](BF4 )2 by either electrochemical or chemical means, one of its HBMIM Ph 2 ligands undergoes deprotonation under the formation of dihydrogen. Addition of a mild proton source (acetic acid) to deprotonated complex [2](BF4 ) regenerates protonated complex [1](BF4 )2 . In presence of acetic acid in acetonitrile solvent [1](BF4 )2 shows electrocatalytic proton reduction with a kobs of ≈200â s-1 at an overpotential of 590â mV. Mechanistic investigations supported by DFT (BP86) suggest that dihydrogen formation takes place in an intramolecular fashion through the participation of a methylene C-H bond of the HBMIM Ph 2 ligand and a CoII -H bond through formal heterolytic splitting of the latter. These findings are of interest to the development of responsive ligands for molecular (base)metal (electro)catalysis.
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Iron-containing metalloenzymes that contain the 2-His-1-Carboxylate facial triad at their active site are well known for their ability to activate molecular oxygen and catalyse a broad range of oxidative transformations. Many of these reactions are synthetically challenging, and developing small molecular iron-based catalysts that can achieve similar reactivity and selectivity remains a long-standing goal in homogeneous catalysis. This review focuses on the development of bioinspired facial N,N,O ligands that model the 2-His-1-Carboxylate facial triad to a greater degree of structural accuracy than many of the polydentate N-donor ligands commonly used in this field. By developing robust, well-defined N,N,O facial ligands, an increased understanding could be gained of the factors governing enzymatic reactivity and selectivity.
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In this work, the effect of the electronically different ancillary ligands on the overall properties of the RuIIL moiety (L = 2,6-bis(phenylazo)pyridine) in heteroleptic complexes of general formula [RuLQCl]0/+ was investigated. Four different ancillary ligands (Q) with different electronic effects were used to prepare the heteroleptic compounds from the precursor complex, [RuL(CH3CN)Cl2] (1); Q = pcp: 2-(4-chloro-phenylazo)pyridine (strong π-acceptor), [2]+; bpy: 2,2'-bipyridyl (moderate π-acceptor), [3]+; acac-: acetylacetonate (strong σ-donor), 4; and DTBCat2-: 3,5-di- tert-butyl catecholate (strong π-donor), 5. The complexes [2]+, [3]+, 4, and 5 were fully characterized and structurally identified. The electronic structures of these complexes along with their redox partners were elucidated by using a host of physical measurements: nuclear magnetic resonance, cyclic voltammetry, electronic paramagnetic resonance, UV-vis-NIR spectroscopy, and density functional theory. The studies revealed significant effects of the coligands on azo bond lengths of the RuL moiety and their redox behavior. Aerobic alcohol oxidation reactions using these Ru complexes as catalysts were scrutinized. It was found that the catalytic efficiency is primarily controlled by the electronic effect of the coligand. Accordingly, the complex [2]+ (containing a strong π-acceptor coligand, pcp) brings about oxidation efficiently, producing 86% of benzaldehyde. In comparison, however, the complexes 4 and 5 (containing electron donating coligand) furnished only 15-20% of benzaldehyde under identical reaction conditions. Investigations of the reaction mechanism suggest that an unstable Ru-H species is formed, which is transformed to a Ru-hydrazo intermediate by H-walking as reported by Hall et al. ( J. Am. Chem. Soc., 2015, 137, 12330). Aerial O2 regenerates the catalyst via oxidation of the hydrazo intermediate.
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A new ß-diiminate ligand (the bis(1-methyl-4,5-diphenyl-1H-imidazol-2-yl)methane anion, BMIMPh2- ) is introduced, in which the ligand framework bears an extended imidazole-based π-system in conjugation with a formal ß-diketiminates (NacNac) backbone. Bis-ligated transition metal complexes (Co, Zn) featuring this anionic ligand undergo a series of four consecutive single-electron oxidations that are all ligand-based. The singly and doubly oxidized complexes can be synthesized on a preparative scale and have been fully characterized by various spectroscopic techniques. This is in sharp contrast to the corresponding NacNac-based complexes in which only singly oxidized complexes were isolated and characterized. Single crystal X-ray structure determination revealed a correlation between the intra-ligand metrical parameters and the oxidation state of BMIMPh2- . These structural changes in the ligand framework make BMIMPh2- as a perceptible non-innocent ligand in contrast to NacNac type ligands.
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Reactions of M(CO)6 (M = Mo, Cr) and 2 mol of 2,4-di-tert-butyl-6-(pyridin-2-ylazo)-phenol ligand (HL) in air yielded [Mo(VI)O2(L(1)¯)2], 1, and [Cr(III)(L(1)¯)(L(â¢2)¯)], 2, respectively, in high yields. Formation of the Cr-complex is a substitution reaction, which is associated with electron transfer, while that of Mo is an example of molecular oxygen activation. Isolated monoradical chromium complex 2 is susceptible to oxidation. Accordingly the reaction of 2 with the oxidant, I2 produces a cationic nonradical complex of chemical composition [Cr(III)(L(1)¯)2]I3, [2]I3 in almost quantitative yield. All the isolated complexes are primarily characterized by various spectroscopic techniques and magnetic measurements. While the molybdenum complex is diamagnetic, the two chromium complexes behave as simple paramagnets: µeff (295 K), 2.81 µB and 3.79 µB for 2 and [2]I3, respectively. Single-crystal three-dimensional X-ray structures of 1, 2, [2]I3 are reported. The geometry of the Mo-complex is square antiprism (octacoordination), and that of the Cr-complexes is distorted octahedral. Redox properties of the complexes are studied by cyclic voltammetry and constant potential coulometry. The data are analyzed based on density functional theoretical calculations of molecular orbitals of redox isomers of the Cr complexes. The results indicated that the redox events in the complexes occur at the ligand center. The oxidation state of Cr in 2 is further assessed by XPS measurements and compared with the reported systems.
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Three chemical reactions of two 2-aminothioethers and 2-aminothiophenol with CpRu(II)Cl(PPh3)2 (Cp(-) = cyclopentadienyl anion), under identical reaction conditions, are reported. While 2-(methylthio)aniline, H2L(1) and an analogous substrate, 2-(phenylthio)aniline yielded dicationic dinuclear complexes [(PPh3)CpRu(II)(L(3/)L(4))Ru(II)Cp(PPh3)]Cl2 (where L(3) = (4E)-4-(4-imino-3-(methylthio)cyclohexa-2,5-dienylidene)-2-(methylthio)cyclohexa-2,5-dienimine ([1a]Cl2) and L(4) = (4E)-4-(4-imino-3-(phenylthio)cyclohexa-2,5-dienylidene)-2-(phenylthio)cyclohexa-2,5-dienimine ([1b]Cl2)), the reaction with 2-aminothiophenol (H2L(2)) produced a mononuclear complex [(PPh3)CpRu(II)(L(2))]Cl (where L(2) = 6-iminocyclohexa-2,4-dienethione) ([2]Cl). All these complexes are obtained in high yields (65%-75%). Formations of the products from the above reactions involve a similar level of oxidation of the respective substrate, although their courses are completely different. A comparison between the above two chemical transformations are scrutinized thoroughly. Characterizations of these complexes were made using a host of physical methods: X-ray crystallography, nuclear magnetic resonance (NMR), cyclic voltammetry, ultraviolet-visible (UV-vis), electron paramagnetic resonance (EPR) spectroscopy, and density functional theory (DFT). The complexes [1a]Cl2 and [1b]Cl2 showed intense metal-to-ligand charge transfer transition in the long wavelength region of the spectrum, at 860 and 895 nm, respectively, and displayed two reversible electron transfer (ET) processes at [1a](2+): -0.28 and -0.52 V; [1b](2+): -0.13 and -0.47 V, along with an irreversible ET process at 0.76 and 0.54 V, respectively. The ET processes at negative potentials are due to successive reductions of the bridging ligand, which are characterized by EPR and UV-vis spectroscopy. The one-electron reduced compound, [1a](+), showed a intraligand charge transfer transition (ILCT) at 1530 nm. The complex [2](+) showed a reversible ET process at -0.36 V and two irreversible ET processes at -1.04 and 1.18 V, respectively. DFT calculations were used to support the spectral and redox properties of the complexes and also to throw light on the difference of redox behavior between thioether and thiophenol substrates.
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In an unusual reaction of [Pd(L(1))Cl2] (L(1) = 2-(arylazo)pyridine) with amines, a new series of palladium complexes [Pd(L(2â¢-))Cl] (L(2) = 2-((2-amino)arylazo)pyridine) (1a-1h) were isolated. The complexes were formed via N-H and N-C bond cleavage reactions of 1°/2° and 3° amines, respectively, followed by regioselective aromatic ortho-C-N bond formation reaction and are associated with ortho-C-H/ortho-C-Cl bond activation. A large variety of amines including both aromatic and aliphatic were found to be effective in producing air-stable complexes. Identity of the resultant complexes was confirmed by their X-ray structure determination. Efforts were also made to understand the mechanism of the reaction. A series of experiments were performed, which point toward initial ligand reduction followed by intraligand electron transfer. Examination of the structural parameters of these complexes (1) indicates that the in situ generated ligand coordinated to the Pd(II) center serves as the backbone of these air-stable monoradical complexes. Molecular and electronic structures of the isolated complexes were further scrutinized by various spectroscopic techniques including cyclic voltammetry, variable temperature magnetic susceptibility measurements, electron paramagnetic resonance, and UV-vis spectroscopy. Finally the electronic structure was confirmed by density functional theory calculations. The isolated monoradical complexes adopt an unusual π-stacked array, which leads to a relatively strong antiferromagnetic interaction (J = -40 cm(-1) for the representative complex 1c).
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A series of nickel complexes of 2-(arylazo)pyridine have been synthesized, and the precise structure and stoichiometry of the complexes are controlled by the use of different metal precursors. Molecular and electronic structures of the isolated complexes are scrutinized thoroughly by various spectroscopic techniques, single crystal X-ray crystallography, and density functional theory (DFT). Two different classes of Ni(II) complexes are identified where the ligands bind as neutral or anion radicals in the respective metal complexes. These are shown to be chemically interconvertible, and their characterization confirmed that the redox series is entirely ligand-centered without affecting the bivalent oxidation state of the metal ion. An efficient method of Ni(II) catalyzed N-arylation of 2-(arylazo)pyridine substrates has been elaborated. The chemical reactions have led to isolation of strongly fluorescent 2-pyridyl-substituted hydrazine derivatives, which have been characterized thoroughly. Three-dimensional X-ray structure of a hydrazine molecule, 2-(2-(naphthalen-1-yl)-2-phenylhydrazinyl)pyridine, is reported. Isolated hydrazines satisfy all the prerequisites of an ideal dye with moderate absorptive property, large Stokes shift, high quantum yields, and high photostability.
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The isolation and complete characterization of a new bis-azoaromatic ligand, 2,6-bis(phenylazo)pyridine (L), are described, and its coordination to iron(II) is reported. A pseudo-trigonal-bipyramidal mixed-ligand complex of iron(II), FeLCl2 (1), and a homoleptic octahedral iron complex, mer-[Fe(L)2]ClO4 [2]ClO4, have been synthesized from L and FeCl2 or hydrated Fe(ClO4)2, respectively, in boiling methanol. Determination of the X-ray crystallographic structure together with magnetic data (≈ 5.06 µB) and Mössbauer analysis of 1 established a high-spin Fe(II) complex ligated by one neutral 2,6-bis(phenylazo)pyridine ligand. The X-ray crystallographic structure (showing dN-N > 1.30 Å), Mössbauer data, and magnetic susceptibility measurements (≈ 1.65 µB) as well as a nearly isotropic EPR signal with only a small metal contribution at g = 1.968, on the other hand, suggest a low-spin Fe(II) complex with a one-electron-reduced radical ligand coordination in [2]ClO4. The ligand and the metal complexes have well-behaved redox properties, with the ligand(s) functioning as the redox-active site(s) responsible for redox events. The uncoordinated ligand, L, displays a reversible one-electron wave at -1.07 V and a quasi-reversible wave at -1.39 V. The partially reduced ligand L(â¢-) shows a single-line EPR spectrum at g = 2.001, signifying that L(â¢-) is a free radical. While complex 1 shows a reversible reduction at -0.08 V and an irreversible cathodic response at -0.98 V, the bis-chelate [2]ClO4 undergoes a reversible one-electron oxidation at 0.54 V and three successive reversible one-electron reductions at -0.18, -0.88, and -1.2 V, all occurring at the ligands without affecting the metal ion oxidation state. The electronic structures of the parent monocationic complex [2](+) and its oxidized and reduced forms, generated by exhaustive electrolyses, have been characterized by using a host of spectroscopic techniques and density functional theory (DFT). It is found that the 2,6-bis(phenylazo)pyridine ligand (L) is truly redox noninnocent and is capable of coordinating transition-metal centers in its neutral ([L](0)), monoanionic monoradical ([L(â¢)](-)), and dianionic diradical ([L(â¢â¢)](2-)) forms.
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We synthesized two series of imatinib mesylate (STI-571) analogs to develop a Bcr-Abl and c-KIT receptor-specific labeling agent for positron emission tomography (PET) imaging to measure Bcr-Abl and c-KIT expression levels in a mouse model. The methods of molecular modeling, synthesis of STI-571 and its analogs, in vitro kinase assays, and radiolabeling are described. Molecular modeling revealed that these analogs bind the same Bcr-Abl and c-KIT binding sites as those bound by STI-571. The analogs potently inhibit the tyrosine kinase activity of Bcr-Abl and c-KIT, similarly to STI-571. [(18)F]-labeled STI-571 was prepared with high specific activity (75 GBq/µmol) by nucleophilic displacement and an average radiochemical yield of 12%. [(131)I]-labeled STI-571 was prepared with high purity (>95%) and an average radiochemical yield of 23%. The uptake rates of [(18)F]-STI-571 in K562 cells expressing Abl and in U87WT cells overexpressing c-KIT were significantly higher than those in the U87 cell and could be inhibited by STI-71 (confirming the specificity of uptake). PET scans of K562 and U87WT tumor-bearing mice with [(18)F]-STI-571 as a contrast agent showed visible tumor uptake and tumor-to-non-target contrast.
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Antineoplásicos/uso terapéutico , Benzamidas/uso terapéutico , Proteínas de Fusión bcr-abl/metabolismo , Piperazinas/uso terapéutico , Tomografía de Emisión de Positrones/métodos , Proteínas Proto-Oncogénicas c-kit/metabolismo , Pirimidinas/uso terapéutico , Animales , Antineoplásicos/química , Benzamidas/química , Modelos Animales de Enfermedad , Humanos , Mesilato de Imatinib , Ratones , Modelos Moleculares , Piperazinas/química , Pirimidinas/químicaRESUMEN
BACKGROUND: Parkinson's Disease (PD) affects movement and cognition, and physiotherapy, particularly treadmill gait training, has potential in addressing movement dysfunctions in PD. However, treadmill training falls short in addressing cognitive aspects and adherence. Virtual reality (VR) and gamification can enhance motor and cognitive retraining and improve adherence. People with Parkinson's Disease (PWPD) have decreased motor skill learning efficiency, but tDCS can improve motor and cognitive learning. METHODS: 78 participants with PD will be randomly allocated in a 1:1:1 ratio to one of three groups: (1) treadmill + Gamified Virtual Reality Environment (GVRE) + tDCS training group; (2) treadmill + GVRE training group or (3) treadmill training group. Participants will follow a 6-week, 12-session treadmill gait training plan, gradually increasing session duration from 20 to 45 minutes. Participants in (1) and (2) will undergo a GVRE training protocol, with (1) also receiving tDCS for the first 20 minutes of each session. Assessments will occur at baseline, post-intervention, and at a 6-week follow-up. The primary outcome measure will be gait speed during single and dual-task performance. Secondary measures will include additional gait parameters, executive tests for cognitive performance, and clinical outcomes for disease stage, cognitive status, and physical condition. DISCUSSION: This randomized clinical trial presents an innovative neurorehabilitation protocol that aims to improve gait and cognition in PWPD. The study also examines how tDCS can enhance motor and cognitive training. Results could contribute to enhancing the motor and cognitive state of PWPD through a GVRE and tDCS-based neurorehabilitation protocol. TRIAL REGISTRATION: NCT05243394. 28/02/2024 -v3.2.
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Terapia por Ejercicio , Enfermedad de Parkinson , Estimulación Transcraneal de Corriente Directa , Realidad Virtual , Humanos , Enfermedad de Parkinson/rehabilitación , Enfermedad de Parkinson/terapia , Enfermedad de Parkinson/fisiopatología , Estimulación Transcraneal de Corriente Directa/métodos , Terapia por Ejercicio/métodos , Masculino , Femenino , Persona de Mediana Edad , Marcha/fisiología , Anciano , CogniciónRESUMEN
A series of cobalt complexes of ligands based on the 2-(arylazo)pyridine architecture have been synthesized, and the precise structure and stoichiometry of the complexes depend critically on the identity of substituents in the 2, 4, and 6 positions of the phenyl ring. The 2-(arylazo)pyridine motif can support either Co(II) complexes with neutral ligands, Co(II)Cl2(L(a))2 (1), Co(II)Cl2(L(c))2 (3), [Co(II)Cl(L(b))2]2(PF6)2 (5[PF6]2), or Co(III) complexes of reduced 2-(arylazo)pyridine ligand radical anions, L(â¢-), Co(III)Cl(L(bâ¢-))2 (2), Co(III)Cl(L(câ¢-))2 (4), and Co(III)Me(L(bâ¢-))2 (6). All three members of the latter class are based on approximately trigonal-bipyramidal CoX(L(â¢-))2 architectures [L = 2-(arylazo)pyridine] with two azo nitrogen atoms and the X ligand (X = Cl or Me) in the equatorial plane and two pyridine nitrogen atoms occupying axial positions. Density functional theory suggests that the electronic structure of the Co(III) complexes is also dependent on the identity of X: the strong σ-donor methyl gives a low-spin (S = 0) configuration, while the σ/π-donor chloro gives an intermediate-spin (S = 1) local configuration. In certain cases, one-electron reduction of the Co(II)X2L2 complex leads to the formation of Co(III)X(L(â¢-))2; i.e., reduction of one ligand induces a further one-electron oxidation of the metal center with concomitant reduction of the second ligand.
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The murine double minute (MDM2) oncogene a negative regulator of protein 53 (p53) tumor suppressor, is found overexpressed in many different types of cancer and the interaction between MDM2 and p53 has become the target of intensive research. MDM2 inhibitors represent a promising class of p53 activating compounds that may be effective in cancer treatment and diagnostic imaging. Nutlins, a family of cis-imidazoline analogues and small-molecule MDM2 antagonists, have the potential use in cancer therapies. We have synthesized an imidazole derivative (Nutlin-Glycine) conjugated to the commonly used fluorophore, 6-carboxyfluorescein (FAM) and evaluated its possible use as an imaging agent. Cellular uptake studies demonstrated that the fluorescence intensity in human osteosarcoma (SJSA-1) and colon carcinoma (HCT116) cells were significantly increased with the treatment of Nutlin-Glycine-FAM when compared with FAM (control). Blocking studies also confirmed that our imidazole-fluorescein conjugate may be a good candidate for imaging tumors, suggesting the need for further in vivo evaluation by positron emission tomography.
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Fluoresceína/química , Imidazoles/química , Imidazoles/farmacología , Animales , Línea Celular Tumoral , Proliferación Celular/efectos de los fármacos , Fluoresceína/análisis , Fluoresceína/farmacología , Células HCT116 , Humanos , Imidazoles/síntesis química , RatonesRESUMEN
Shape controlled fabrication of highly transparent and flexible nanostructures (nanocone, nanoneedle, nanowalls) onto nafion substrate were performed at room temperature by simple ion irradiation method. By varying the ion incidence angle and irradiated ion, the surface morphology and alignment were gradually changed from nanocone to nanowall pattern. Interestingly, ion irradiation onto the nafion surface led to the systematic pattern without surface modification by external addition of any material onto the substrate prior to ion irradiation. The antireflective performance of the nanostructures made the surface more transparent compared to the bare substrate. The growth mechanism of the nanostructures arrays with different shapes is also discussed briefly. This straightforward and fast method is thought to be very enticing for surface engineering and fabrication of antireflective nanostructures of controlled dimension onto different kinds of plastic substrates. These kinds of transparent nanostructures might have a remarkable role for promising commercial impact in wide variety of areas such as dust-free devices, see-through devices, nanofluidics, and drug delivery.
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Vertically aligned carbon nanofibers (VA-CNFs)-carbon nanowalls (CNWs) have been prepared on a silicon (Si) substrate by plasma-enhanced chemical vapor deposition. The VA-CNFs-CNWs were formed at bias voltage of - 185 V, whereas conventional VA-CNFs were synthesized under conditions of high bias voltages. Degenerated CNWs with turbostratic graphite structure were created on amorphous carbon layer around CNFs like a flag attached to a pole, which is evidenced by scanning electron microscopy, transmission electron microscopy, electron diffraction, and micro-Raman spectroscopy. Electron field emission characteristics of VA-CNFs-CNWs with unique microstructure, fabricated on the Si substrate, were primarily investigated. As a result, the VA-CNFs-CNWs showed the turn-on and the threshold fields of 1.7 V x microm(-1) and 3.35 V x microm(-1) with current densities of 10 nA x cm(-2) and 1 microA x cm(-2), respectively. The field enhancement factor beta was estimated to be 1059 by using Fowler-Nordheim theory.
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This work reports the results of our investigation on the aerial oxidation of aromatic amines that are promoted by protic acid. While primary aromatic amines produce substituted phenazines as major products, N-phenyl-o-phenylenediamine produces polycyclic aromatic heterocycles like azaacene and secondary and tertiary amines give exclusively the dyes containing a triphenylmethane moiety. Isolation of the compounds and the effects of substitutions on the aromatic rings have been investigated. In this context, plausible reaction steps that are involved have been discussed. Single-crystal X-ray structure analyses of the representative compounds are solved to authenticate their formation. In almost every case, a high degree of delocalization of electron was noted. The compounds have been characterized thoroughly and show rich spectral properties. For example, the phenazine molecules exhibited absorption peaks between 475 and 605 nm because of the charge-transfer transition from the amine and tricyclopyrazine moiety. Their acidochromic and solvatochromic behaviors, which are supported by theoretical calculations, are investigated. The polycyclic azacene molecule exhibits strong absorption in the visible region and fluoresces with high quantum yield. The phenazine dyes undergo a quasi-reversible reduction at a low cathodic potential that varies linearly as a function of Hammett's constant.
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BACKGROUND: Concerns have been expressed about the impact that screening for risk of suicide may have on a person's mental health. AIMS: To examine whether screening for suicidal ideation among people who attend primary care services and have signs of depression increases the short-term incidence of feeling that life is not worth living. METHOD: In a multicentre, single-blind, randomised controlled trial, 443 patients in four general practices were randomised to screening for suicidal ideation or control questions on health and lifestyle (trial registration: ISRCTN84692657). The primary outcome was thinking that life is not worth living measured 10-14 days after randomisation. Secondary outcome measures comprised other aspects of suicidal ideation and behaviour. RESULTS: A total of 443 participants were randomised to early (n = 230) or delayed screening (n = 213). Their mean age was 48.5 years (s.d. = 18.4, range 16-92) and 137 (30.9%) were male. The adjusted odds of experiencing thoughts that life was not worth living at follow-up among those randomised to early compared with delayed screening was 0.88 (95% CI 0.66-1.18). Differences in secondary outcomes between the two groups were not seen. Among those randomised to early screening, 37 people (22.3%) reported thinking about taking their life at baseline and 24 (14.6%) that they had this thought 2 weeks later. CONCLUSIONS: Screening for suicidal ideation in primary care among people who have signs of depression does not appear to induce feelings that life is not worth living.