Demographics and Clinical Characteristics of Adult Patients Hospitalized due to COVID-19 in a Rural/Suburban Integrated Health System in Southcentral Pennsylvania, March Through May 2020.

Existing characterizations of coronavirus disease 2019 (COVID-19) admissions have occurred primarily in urban settings. This report describes demographic and clinical characteristics of the first COVID-19 patients presenting to a 6-hospital integrated health care system in rural/suburban southcentral Pennsylvania. Medical records of adult patients admitted with COVID-19 between March and May of 2020 were retrospectively reviewed for demographics, symptomatology, imaging, and lab values. Results were largely consistent with previous studies, although gastrointestinal manifestations were more prevalent, with diarrhea reported in 25.4% of patients hospitalized due to COVID-19. Nursing home patients represented 10.1% of admissions but accounted for 35.5% of total deaths in our sample. Patients self-identifying as Hispanic were disproportionately affected. Although Hispanic ethnicity was self-reported in only 9% of the community population, Hispanic patients accounted for 34% of admissions. Our data provide a unique focused review of hospitalized COVID-19 patients in a rural/suburban setting.

Synthesis and characterization of a Cu14 hydride cluster supported by neutral donor ligands.

The copper hydride clusters [Cu14 H12 (phen)6(PPh3)4][X]2 (X=Cl or OTf; OTf=trifluoromethanesulfonate, phen=1,10-phenanthroline) are obtained in good yields by the reaction of [(Ph3P)CuH]6 with phen, in the presence of a halide or pseudohalide source. The complex [Cu14H12 (phen)6(PPh3)4][Cl]2 reacts with CO2 in CH2Cl2 , in the presence of excess Ph3 P, to form the formate complex [(Ph3P)2Cu(κ(2)-O2CH)], along with [(phen)(Ph3 P)CuCl].

Mechanistic insights into the formation of N2O by a nickel nitrosyl complex.

Reaction of [Ni(NO)(bipy)(Me2phen)][PF6] with 1 equiv of nitric oxide (NO) in CH2Cl2 results in the formation of N2O and [{(Me2phen)Ni(NO)}2(µ-η(1)-N:η(1)-O)-NO2)][PF6] (3), along with the known complex, [Ni(bipy)3][PF6]2 (4). The isolation of complex 3, which contains a nitrite ligand, demonstrates that the reaction of [Ni(NO)(bipy)(Me2phen)][PF6] with exogenous NO results in NO disproportionation and not NO reduction. Complex 3 could also be accessed by reaction of [Ni(NO)(Me2phen)][PF6] (5) with (Me2phen)Ni(NO)(NO2) (7) in good yield. Complexes 3, 5, and 7 were fully characterized, including analysis by X-ray crystallography in the case of 3 and 7. Furthermore, addition of 0.5 equiv of bipy to [Ni(NO)(bipy)][PF6] results in formation of the hyponitrite complex, [{(bipy)Ni(κ(2)-O2N2)}η(1):η(1)-N,N-{Ni(NO)(bipy)}2][PF6]2 (9), in modest yield. Importantly, the hyponitrite ligand in 9 is thought to form via coupling of two NO(-) ligands and not by coupling of a nucleophilic nitrosyl ligand (NO(-)) with an electrophilic nitrosyl ligand (NO(+)). X-ray crystallography reveals that complex 9 features a new binding mode of the cis-hyponitrite ligand.

Nitric oxide release from a nickel nitrosyl complex induced by one-electron oxidation.

Reaction of [Ni(NO)(bipy)][PF6] (2) with AgPF6 or [NO][PF6] in MeCN results in formation of [Ni(bipy)x(MeCN)y](2+) and release of NO gas in moderate yields. In contrast, the addition of the inner sphere oxidant Ph2S2 to 2 does not result in denitrosylation. Instead, the diphenyldisulfide adduct [{(bipy)(NO)Ni}2(µ-S2Ph2)][PF6]2 (3) is formed in good yield. However, oxidation of 2 with 2,2,6,6-tetramethylpiperidine-1-oxyl (TEMPO) does results in cleavage of the Ni-NO bond and generation of NO. The metal-containing product, [(bipy)Ni(η(2)-TEMPO)][PF6] (4), can be isolated as an orange-brown solid in excellent yields. In the solid state, complex 4 contains a side-on bound TEMPO(-) ligand, which is characterized by a long N-O bond length [1.383(2) Å]. The contrasting reactivity of Ph2S2 and TEMPO likely relates to their different redox potentials, as Ph2S2 is a relatively weak oxidant. Finally, the addition of pyridine-N-oxide to 2 results in the formation of the adduct, [(bipy)Ni(NO)(ONC5H5)][PF6] (5). No evidence of NO release is observed in this reaction, probably because of the low one-electron (1e(-)) reduction potential of pyridine-N-oxide.