Cytological findings of phosphaturic mesenchymal tumor: Report of a case with summary of prior published cases.

Phosphaturic mesenchymal tumor (PMT) is a rare neoplasm causing tumor-induced osteomalacia (TIO) and is characterized by secretion of FGF23, renal phosphate wasting and hypophosphataemia. It can be completely cured by resection and therefore its diagnosis is of utmost importance. Although the histology is well described, there is sparse literature on cytology of PMT and only three cases have been described so far. A 45-year-old lady presented with a non-tender mass in hard palate for 2 years from which fine-needle aspiration was done. The smears were paucicellular and showed bland spindle cells embedded in osteoid-like stromal matrix in a hemorrhagic background. Here we take the opportunity to describe the cytological findings of PMT along with its cytological differentials and a summary of prior published cases.

Testicular Mixed Teratoma and Yolk Sac Tumor, Prepubertal Type: A Case Report with Summary of Prior Published Cases.

BACKGROUND: Testicular mixed germ cell tumor is common in the post-pubertal age, less so in prepuberty. There are only 3 reports of prepubertal mixed teratoma and yolk sac tumor. Two of these cases had immature teratoma component and were in the neonatal age group. The third case in a toddler had a mature teratoma component. CASE REPORT: An 18-month-old boy presented with a testicular mass. Serum AFP was elevated (2200 ng/ml). The orchidectomy specimen contained a yolk-sac tumor and a small epidermoid cyst, indicating a mature teratomatous component. CONCLUSION: We report a testicular mixed teratoma and yolk sac tumor, prepubertal type along with summary of prior published cases. There is only one report describing this combination of mature teratoma with yolk sac tumor in the prepubertal testis.

Extralobar Pulmonary Sequestration in Adrenal Mimicking Neuroblastoma: A Case Report.

Background: Extralobar pulmonary sequestration (ELS) is a malformation composed of bronchopulmonary tissue outside the lungs that is discontinuous from the main tracheobronchial tree. ELS can present as a suprarenal space occupying lesion. Case Report: A 1-day old girl presented with a right supra-adrenal mass, first detected in-utero at 34 weeks. The differential included congenital neuroblastoma, but the urinary VMA was normal. At resection, there was lung tissue composed of dilated and tortuous bronchioles lined by columnar epithelium present in a back- to- back arrangement along with thick-walled vessels, features of an ELS with congenital pulmonary airway malformation type II. Conclusion: ELS enters the differential diagnosis of neonatal suprarenal masses with normal urinary catecholamines, and can have the morphology of a type II congenital pulmonary airway malformation.

Knowledge, attitude, and practice on digital eye strain during coronavirus disease-2019 lockdown: A comparative study.

BACKGROUND: Computer vision syndrome is a group of eye and vision-related problems that result from prolonged computer use. The worldwide pandemic of coronavirus disease-2019 (COVID-19) lockdown has led to an increase in the digital screen exposure as jobs as well as academic learning have majorly shifted online. This has caused an increase in digital eye strain (DES) globally. The aims and objectives of this study were to compare the knowledge, attitude, and practices among medical and nonmedical professionals with regard to DES in a background of COVID-19 lockdown. MATERIALS AND METHODS: A cross-sectional, observational, online questionnaire-based research survey analysis was conducted among medical professionals with age- and sex-matched nonmedical professionals. Responses were collected over a week and analyzed. The level of significance was set at a P < 0.05. Statistical Package for the Social Sciences software version 23.0 was used for the result analysis. RESULTS: Our study included 353 (50.4%) medical and 347 (49.6%) nonmedical personnel. It was noted that 266 (75.4%) of medical professionals and 268 (77.2%) of nonmedical professionals experienced eye problems after prolonged digital screen exposure. A significant proportion of respondents experienced an increase in symptoms following COVID-19 lockdown with 140 (52.6%) being medical professionals and 163 (60.8%) nonmedical professionals (P = 0.015). CONCLUSIONS: DES is a preventable lifestyle-associated disorder. Awareness among the masses can reduce the adverse effects. Proper lighting, adequate viewing distance, voluntary blinking, and using lubricating eye drops are a few ways to reduce the chances of DES. Further studies are needed to formulate standardized guidelines for the management of DES.

Communicating prognosis of patients with advanced cancer between health care providers: a tertiary cancer center review of written correspondence.

BACKGROUND: Communication of prognosis and goals of care between oncologists, community health care providers (HCPs) and patients treated for advanced cancer facilitates optimal care planning. We aimed to review the frequency, content and timing of documented prognosis in written correspondence during the last year of life of advanced cancer patients. METHODS: All patients who died during palliative care or medical oncology admission in 2015 at a large, Australian tertiary center were identified. Patients with incurable solid organ cancer and reviewed ≥1 times in oncology outpatient (OP) clinic were included. We reviewed all oncology OP consultation notes and letters, oncology discharge summaries and advanced care plans over a 12-month period before death. Both internal (OP notes) and external correspondence (OP letters; discharge summaries) were reviewed for documentation of qualitative and quantitative prognosis. RESULTS: One hundred and forty-seven patients were included in the analysis [median age of 70 years, interquartile range (IQR), 58-77 years; males, 60%]. Most patients had a previous inpatient admission (73%). The median OP consultations per patient was 6 (IQR, 2-9) with a median rate of 63% (IQR, 41-87%) resulting in a correspondence letter. The majority of patients had a qualitative statement of prognosis documented in OP notes (63%) and external correspondence letters (61%). However only a minority had a documented quantitative prognosis in either OP notes (14%) or external correspondence letters (7%). The median time from documentation of qualitative and quantitative prognosis to death was 3.5 (IQR, 1.6-6.9) and 2.2 (IQR, 1.1-4.4) months, respectively. While almost all patients had a completed goals-of-care (GOC) form (99%), only 15% of patients had an advanced care plan. CONCLUSIONS: Documentation of qualitative and quantitative prognosis is infrequent despite multiple clinical encounters prior to patient death. This infers inadequate communication between oncologists and other HCPs which reduces insight into patient clinical trajectory and could result in differing care between providers.

Functional models of α-keto acid dependent nonheme iron oxygenases: synthesis and reactivity of biomimetic iron(II) benzoylformate complexes supported by a 2,9-dimethyl-1,10-phenanthroline ligand.

Two biomimetic iron(II) benzoylformate complexes, [LFe(II)(BF)(2)] (2) and [LFe(II)(NO(3))(BF)] (3) (L is 2,9-dimethyl-1,10-phenanthroline and BF is monoanionic benzoylformate), have been synthesized from an iron(II)-dichloro complex [LFe(II)Cl(2)] (1). All the iron(II) complexes have been structurally and spectroscopically characterized. The iron(II) center in 2 is coordinated by a bidentate NN ligand (2,9-dimethyl-1,10-phenanthroline) and two monoanionic benzoylformates to form a distorted octahedral coordination geometry. One of the benzoylformates binds to the iron in 2 via both carboxylate oxygens but the other one binds in a chelating bidentate fashion via one carboxylate oxygen and the keto oxygen. On the other hand, the iron(II) center in 3 is ligated by one NN ligand, one bidentate nitrate, and one monoanionic chelating benzoylformate. Both iron(II) benzoylformate complexes exhibit the facial NNO donor environment in their solid-state structures. Complexes 2 and 3 are stable in noncoordinating solvents under an inert atmosphere, but react with dioxygen under ambient conditions to undergo oxidative decarboxylation of benzoylformate to benzoate in high yields. Evidence for the formation of an iron(IV)-oxo intermediate upon oxidative decarboxylation of benzoylformate was obtained by interception and labeling experiments. The iron(II) benzoylformate complexes represent the functional models of α-keto acid dependent oxygenases.

Copper(II) complexes of 3,4,5-trisubstituted pyrazolates: in situ formation of pyrazole rings from different carbon centers.

The synthesis and characterization of two pyrazolate-bridged dicopper(II) complexes, [Cu(2)(L(1))(2)(H(2)O)(2)](ClO(4))(2) (1, HL(1)=3,5-dipyridyl-4-(2-keto-pyridyl)pyrazole) and [Cu(2)(L(2))(2)(H(2)O)(2)](ClO(4))(2) (2, HL(2)=3,5-dipyridyl-4-benzoylpyrazole), are discussed. These copper(II) complexes are formed from the reactions between pyridine-2-aldehyde, 2-acetylpyridine (for compound 1) or acetophenone (for compound 2), and hydrazine hydrate with copper(II) perchlorate hydrate under ambient conditions. The single-crystal X-ray structure of compound 1·2H(2)O establishes the formation of a pyrazole ring from three different carbon centers through C-C bond-forming reactions, mediated by copper(II) ions. The free pyrazoles (HL(1) and HL(2)) are isolated from their corresponding copper(II) complexes and are characterized by using various analytical and spectroscopic techniques. A mechanism for the pyrazole-ring synthesis that proceeds through C-C bond-forming reactions is proposed and supported by theoretical calculations.

Aerobic oxidation of primary alcohols catalyzed by copper complexes of 1,10-phenanthroline-derived ligands.

Five copper complexes [(L(1))(2)Cu(H(2)O)](ClO(4))(2) (1), [(L(1))Cu(H(2)O)(3)](ClO(4))(2) (1a), [(L(3))(2)Cu(H(2)O)](ClO(4))(2) (2), [(L(5))(2)Cu(H(2)O)](ClO(4))(2) (3) and [(L(6))(2)Cu](ClO(4)) (4) (where L(1) = 1,10-phenanthroline, L(3) = 1,10-phenanthroline-5,6-dione, L(5) = 1,10-phenanthrolinefuroxan and L(6) = 2,9-dimethyl-1,10-phenanthrolinefuroxan), and in situ prepared copper complexes of 2,9-dimethyl-1,10-phenanthroline (L(2)) or 2,9-dimethyl-1,10-phenanthrolinedione (L(4)) were used for aerial oxidation of primary alcohols to the corresponding aldehydes under ambient conditions. The copper catalysts have been found to catalyze a series of primary alcohols including one secondary alcohol with moderate turnover numbers and selectivity towards primary alcohols. Copper(II) complexes 1 (or 1a) and 2 were found to be the better catalysts among all other systems explored in this study. A copper(II)-superoxo species is implicated to initiate the oxidation reaction. Structural and electronic factors of 1,10-phenanthroline-based ligands affecting the catalytic results for aerial oxidation of alcohols are discussed.

Copper(II)-mediated oxidative transformation of vic-dioxime to furoxan: evidence for a copper(II)-dinitrosoalkene intermediate.

The mononuclear copper(II) complex [Cu(H(2)L(1))(2)(H(2)O)](ClO(4))(2) (1) (where H(2)L(1) = 1,10-phenanthroline-5,6-dioxime) reacts with copper(II) perchlorate in acetonitrile at ambient conditions in the presence of triethylamine to afford a copper(II) complex, [Cu(L(3))(2)(H(2)O)](ClO(4))(2) (2a), of 1,10-phenanthroline furoxan. A similar complex [Cu(L(3))(2)Cl](ClO(4)) (2) is isolated from the reaction of H(2)L(1) with copper(II) chloride, triethylamine, and sodium perchlorate in acetonitrile. The two-electron oxidation of the vic-dioxime to furoxan is confirmed from the X-ray single crystal structure of 2. An intermediate species, showing an absorption band at 608 nm, is observed at -20 °C during the conversion of 1 to 2a. A similar blue intermediate is formed during the reaction of [Cu(HDMG)(2)] (H(2)DMG = dimethylglyoxime) with ceric ammonium nitrate, but H(2)DMG treated with ceric ammonium nitrate does not form any intermediate. This suggests the involvement of a copper(II) complex in the intermediate step. The intermediate species is also observed during the two-electron oxidation of other vic-dioximes. On the basis of the spectroscopic evidence and the nature of the final products, the intermediate is proposed to be a mononuclear copper(II) complex ligated by a vic-dioxime and a dinitrosoalkene. The dinitrosoalkene is generated upon two-electron oxidation of the dioxime. The transient blue color of the dioxime-copper(II)-dinitrosoalkene complex may be attributed to the ligand-to-ligand charge transfer transition. The intermediate species slowly decays to the corresponding two-electron oxidized form of vic-dioxime, i.e. furoxan and [Cu(CH(3)CN)(4)](ClO(4)). The formation of two isomeric furoxans derived from the reaction of an asymmetric vic-dioxime, hexane-2,3-dioxime, and copper(II) perchlorate supports the involvement of a dinitrosoalkene species in the intermediate step. In addition, the oxidation of 2,9-dimethyl-1,10-phenanthroline-5,6-dioxime (H(2)L(2)) to the corresponding furoxan and subsequent formation of a copper(I) complex [Cu(L(4))(2)](ClO(4)) (3) (where L(4) = 2,9-dimethyl-1,10-phenanthroline furoxan) are discussed.

Reactivity of nickel(II) and copper(II) complexes of a ß-aminohydrazone ligand with pyridine-2-aldehyde: macrocyclization vs unprecedented pyrazole ring synthesis via C-C bond-forming reaction.

The synthesis and characterization of a mononuclear nickel(II) complex [Ni(L(2))](ClO(4))(2) (1) and an analogous mononuclear copper(II) complex [Cu(L(2))](ClO(4))(2) (2) of a 15-membered azamacrocycle (L(2) = 3-(2-pyridyl)-6,8,8,13,13,15-hexamethyl-1,2,4,5,9,12-hexaazacyclopentadeca-5,15-diene) are reported. The macrocyclic ligand is formed during the reaction of 4,4,9,9-tetramethyl-5,8-diazadodecane-2,11-dione dihydrazone (L(1)) with pyridine-2-aldehyde (PyCHO) templated by metal ions. The X-ray crystal structure of 1 exhibits a distorted square-pyramidal coordination geometry, where the metal ion sits in the macrocyclic cavity and the pendant pyridine group of L(2) occupies the axial position. While 1 is stable in the presence of an excess of PyCHO, 2 reacts further with copper(II) salt and PyCHO to form a mononuclear copper(I) complex, [Cu(H(2)L(3))](ClO(4))(3) (3). The structure of the complex cation of 3 reveals a distorted tetrahedral coordination geometry at the copper center with a pseudo 2-fold screw axis. A two-dimensional (2D) polymeric copper(II) complex, {[Cu(2)(L(4))(2)](ClO(4))(2)}(n) (4) is obtained by reacting complex 2 (or [Ni(L(1))](ClO(4))(2)) with copper(II) perchlorate and pyridine-2-aldehyde in a methanol-water solvent mixture. Complex 4 is also obtained by treating 3 with copper(II) perchlorate and pyridine-2-aldehyde in the presence of a base. The X-ray structural analysis of 4 confirms the formation of a pyrazolate bridged dimeric copper(II) complex. The extended structure in the solid state of 4 revealed the formation of a 2D coordination polymer with the dimeric core as the repeating unit. The ligand (HL(4)) in 4 is a 3,4,5-trisubstituted pyrazole ring formed in situ via C-C bond formation and represents an unprecedented transformation reaction.

Hexanuclear copper(II) cage with {Cu3O···H···OCu3} core supported by a dicompartmental oxime ligand with m-xylyl spacer: synthesis, molecular structure and magnetic studies.

A new dicompartmental dioxime ligand (H(2)L) with m-xylyl spacer between the donor sites has been synthesised by Schiff-base condensation of α,α'-diamino-m-xylene and diacetyl monooxime. The ligand reacts with copper(ii) salts giving rise to hexanuclear tricationic copper(II) cage complexes [Cu(II)(6)(µ(3)-O···H···O-µ(3))L(3)(H(2)O)(6)]X(3) (X = BF(4), 1a; X = ClO(4), 1b). The complexes have been characterised by different analytical and spectroscopic techniques and confirmed the hexanuclear structure even in solution. Single crystal X-ray diffraction studies of both the complexes revealed a very similar core structure with three dicompartmental ligands supporting two triangular Cu(3)O cores that share a proton, located on their common threefold axis and involved in a strong hydrogen bond interaction (O···O distance of 2.517(2) Å). Two Cu(3)O units do not superimpose but are staggered and disposed with the formation of a helicate structure. However both the enantiomers are present in the centrosymmetric space group. The facing Cu(3)-planes in 1a are separated at a distance of 3.476 Å. The temperature dependence of the magnetic behaviour of the hexanuclear complex 1a clearly indicates an overall antiferromagnetic exchange interaction between the spin carriers in the cage having two Cu(3)O subunits and leaves a single unpaired electron in each triangular unit. The unpaired electrons in the two Cu(3)O units interact antiferromagnetically through hydrogen bonding giving rise to an overall singlet-spin ground state.

Copper(II) and nickel(II) complexes of beta-aminoketoxime ligand: syntheses, crystal structures, magnetism, and nickel(II) templated coupling of oxime with nitrile.

The syntheses, molecular structures, and magnetic properties of a dicopper(II) complex, [Cu(2)(HL(1))(2)](ClO(4))(2) (1), and its nickel(II) analog, [Ni(2)(HL(1))(2)](ClO(4))(2) (2), of a beta-amino ketoxime ligand (H(2)L(1) = 4,4,9,9-tetramethyl-5,8-diazadodecane-2,11-dione dioxime) are discussed. The metal centers in out-of-plane oximate bridged dinuclear complexes (1 and 2) display distorted trigonal bipyramidal geometry and form a six-membered M(2)(NO)(2) ring oriented in a boat conformation. The two copper(II) centers in 1 interact ferromagnetically giving rise to a triplet-spin ground state whereas the two nickel(II) centers in 2 interact antiferromagnetically to stabilize a singlet-spin state. Variable temperature magnetic susceptibility measurements establish the presence of a weak ferromagnetic coupling (J = 13 cm(-1)) in 1 and a weak anitiferromagnetic coupling (J = -12 cm(-1)) in 2. The exchange coupling constant derived from B3LYP computations in conjunction with broken symmetry spin-projection techniques for the oximate bridged dinuclear copper(II) complex shows excellent agreement with the corresponding experimental value. A square-planar mononuclear nickel(II) complex of the dioxime ligand, [Ni(H(2)L(1))](ClO(4))(2) (3), is reported along with its crystal structure, which reacts with acetonitrile to produce a six-coordinate mononuclear complex, [Ni(L(2))](ClO(4))(2) (4). The ligand (L(2)) in complex 4 is the iminoacyl derivative of oxime, where the coupling of oxime and acetonitrile takes place via a proton-assisted pathway. The iminoacylation of H(2)L(1) works with other nitriles like butyronitrile and benzonitrile. Computational studies support a proton-assisted coupling of oxime with nitrile. The critical transition states have been located for the iminoacylation reaction. Complex 4 can be converted back to complex 3 by reacting with sodium acetate in methanol.