Evaluating Clinical Performance of Student Physical Therapists: A Comparison of Student- and Staff-Managed Patient Outcomes After Hip Arthroplasty.

OBJECTIVE: To compare patient outcomes following acute rehabilitation after total hip arthroplasty (THA) of two groups: patients treated by student physical therapists (SPTs) under licensed physical therapist (PT) supervision and by licensed PTs. PARTICIPANTS: Seventy-eight patients with rehabilitation managed by supervised SPTs and 78 treated by licensed PTs. Inclusion criteria were admission between 2010 and 2014, first-time THA, age 55 to 70 yrs, and research consent. METHODS: Retrospective cohort review of electronic health records was conducted. The primary outcome measure was Activity Measure for Post-Acute Care (AM-PAC) 6 Clicks Basic Mobility Short Form. OUTCOMES: Patient base¬line and discharge outcomes measured by AM-PAC 6 Clicks were analyzed with mixed-model analysis of covariance. RESULTS: No significant difference was found in AM-PAC score between patient groups, even after differences in body mass index and session number were controlled. AM-PAC mean (SD) scores of SPT-managed cases changed from 14.5 (2.4) at baseline to 18.2 (2.1) at discharge; of PT-managed cases, from 14.4 (2.4) to 18.2 (2.1). Outcomes were realized in fewer SPT-managed sessions than PT-managed sessions; distance ambulated was significantly greater in the PT-managed group. Discharge locations did not differ. CONCLUSION: AM-PAC scores after THA were equal whether patients were treated by supervised SPTs or licensed PTs.

Synthesis and structures of tris(2-pyridyl)aluminate sandwich compounds [{RAl(2-py')2}2M] (py' = 2-pyridyl, M = Ca, Mn, Fe).

Reactions of the lithium salts [{RAl(2-py')3Li·THF] [2-py' = 2-py (2-pyridyl), R = (n)Bu (1), R = (sec)Bu (2); py' = 5-Me-2-py (5-methyl-2-pyridyl), R = Me (3); 6-Me-2-py (6-methyl-2-pyridyl), R = Et (4b)] with the corresponding metal(ii) halides give the new heterobimetallic sandwich compounds [{RAl(2-py)3}2M] [R = (n)Bu, M = Ca (5), Mn (6), Fe (7); R = (sec)Bu, M = Ca (8), Mn (9)], [{MeAl(5-Me-2-py)3}2Ca] (10) and [{EtAl(6-Me-2-py)3}2Ca] (11) and the co-complex [{EtAl(6-Me-2-py)3}Mn(µ-Cl)Li{(6-Me-2-py)3AlEt}] (12). While neither the bridgehead group (R) nor remote ring Me-groups have any impact on metal coordination in 5-10, the introduction of Me groups into the pyridyl substituent at the 6-position (i.e., adjacent to the donor pyridyl-N atoms) has a marked effect on the ability of the ligands to form sandwich arrangements, as seen in the distorted structure of the sandwich compound 11 and in the formation of the co-complex 12, consisting of a two half-sandwich arrangement linked by a µ-Cl ion. The syntheses and solid-state structures of the new precursor 4b and the new compounds 5-12 are reported.

Group 11 complexes containing the [C5(CN)5]- ligand; 'coordination-analogues' of molecular organometallic systems.

The reactions of Na[C(5)(CN)(5)] (Na[1]) with group 11 phosphine complexes [(P)(n)MCl] (M = Cu, Ag, Au, P = Ph(3)P; M = Cu, P = dppe (Ph(2)PCH(2)CH(2)PPh(2))] give a range of compounds containing the pentacyanocyclopentadienide ligand, [C(5)(CN)(5)](-) (1). The new complexes [(Ph(3)P)(2)M{1}](2) [M = Cu (3); M = Ag (5)], [(Ph(3)P)(3)Ag{1}] (4), [(dppe)(3)Cu(2){1}(2)] (6) and [Au(PPh(3))(2)][1] (7) include the first complete series of group 11 complexes of any cyclopentadienide ligand to be structurally characterised.

Transition metal complexes of the pentacyanocyclopentadienide anion.

The ready formation of a range of transition metal complexes of the pentacyanocyclopentadienide anion via ligand transfer reactions employing Na[C(5)(CN)(5)] indicates that the [C(5)(CN)(5)](-) anion has an extensive transition metal coordination chemistry and is not such a weakly coordinating anion.

Ligand effects in the formation of tertiary carbanions from substituted tertiary aromatic amides.

Reaction of 2-isopropyl-(N,N-diisopropyl)-benzamide 5 with tBuLi in ether results in ortho deprotonation and the formation of a hemisolvate based on a tetranuclear dimer of (5-Li(o))(2)⋅Et(2)O. The solid-state structure exhibits a dimer core in which the amide oxygen atoms fail to stabilize the metal ions but are instead available for interaction with two metalated monomers that reside peripheral to the core. Reaction of 5 with tBuLi in the presence of the tridentate Lewis base PMDTA (N,N,N',N'',N''-pentamethyldiethylenetriamine) takes a different course. In spite of the tertiary aliphatic group at the 2-position in 5, X-ray crystallography revealed that a remarkable benzylic (lateral) deprotonation had occurred, giving the tertiary benzyllithium 5-Li(l)⋅PMDTA. The solid-state structure reveals that amide coordination and solvation by PMDTA combine to distance the Li(+) ion from the deprotonated α-C of the 2-iPr group (3.859(4) Å), thus giving an essentially flat tertiary carbanion and a highly distorted aromatic system. DFT analysis suggests that the metal ion resides closer to the carbanion center in solution. In line with this, the same (benzylic) deprotonation is noted if the reaction is attempted in the presence of tridentate diglyme, with X-ray crystallography revealing that the metal is now closer to the tertiary carbanion (2.497(4) Å). Electrophilic quenches of lithiated 5 have allowed, for the first time, the formation of quaternary benzylic substituents by lateral lithiation.

Extending the family of titanium heterometallic-oxo-alkoxy cages.

Here we investigate the synthesis of high-nuclearity heterometallic titanium oxo-alkoxy cages using the reactions of metal chlorides with [Ti(OEt)(4)] or the pre-formed homometallic titanium-oxo-alkoxy cage [Ti(7)O(4)(OEt)(20)] (A). The octanuclear Ti(7)Co(II) cage [Ti(7)CoO(5)(OEt)(19)Cl] (1) (whose low-yielding synthesis we reported earlier) can be made in better yield, reproducibly by the reaction of a mixture of heptanuclear [Ti(7)O(4)(OEt)(20)] (A) and [KOEt] with [Co(II)Cl(2)] in toluene. A alone reacts with [Co(II)Cl(2)] and [Fe(II)Cl(2)] to form [Ti(7)Co(II)O(5)(OEt)(18)Cl(2)] (2) and [Ti(7)Fe(II)O(5)(OEt)(18)Cl(2)] (3), respectively. Like 1, compounds 2 and 3 retain the original Ti(7) fragment of A and the II-oxidation state of the transition metal ions (Tm). In contrast, from the reaction of [Ti(OEt)(4)] with [Cr(II)Cl(2)] it is possible to isolate [Ti(3)Cr(V)O(OEt)(14)Cl] (4) in low yield, containing a Ti(3)Cr(V) core in which oxidation of Cr from the II to V oxidation state has occurred. Reaction of [Mo(V)Cl(5)] with [Ti(OEt)](4) in [EtOH] gives the Ti(8)Mo(V)(4) cage [{Ti(4)Mo(2)O(8)(OEt)(10)}(2)] (5). The single-crystal X-ray structures of the new cages 2, 3, 4, and 5 are reported. The results show that the size of the heterometallic cage formed can be influenced by the nuclearity of the precursor. In the case of 5, the presence of homometallic Mo-Mo bonding also appears to be a significant factor in the final structure.

Oxidative dehydrocoupling of N-H bonds using a redox-active main group superbase.

Reaction of the redox-active base Sn(NMe(2))(2)/(n)BuLi with o-phenylene diamine leads to oxidative dehydrocoupling and rearrangement into the triazolyl anion.

A quadruply-bonded [Cr2(guanidinate)4]4- tetraanion.

The reaction of chromocene, Cp(2)Cr, with dilithiated 2,3-diphenylguanidine [(PhNH)(2)C=NH = L(2)H(3)] gives the novel, quadruply-bonded tetraanion [Cr(2)(L(2)H)(4)](4-).

An unexpected dependence on the SnII base; reactions of Sn(NR2)2 with aromatic dithiols.

Unexpectedly, the reactions of the Sn(II) base Sn(NMe(2))(2) with 1,2-benzodithiols [L(SH)(2)] do not give the stannylenes, L(S)(2)Sn, which are generated with Sn{N(SiMe(3))(2)}(2), instead the ion-separated Sn(IV) compounds [Sn{L(S)(2)}](2-) 2[R(2)NH(2)](+) are formed in high yields.

A remarkably flexible and selective receptor for Ba2+ amplified from a hydrazone dynamic combinatorial library.

A new [2+2] tetra-hydrazone macrocyclic receptor was significantly amplified in a dynamic combinatorial library upon templation with alkaline earth metal ions. After optimisation the product could be isolated in 95% yield and its interaction with ions was investigated by NMR and UV-Vis spectroscopy.

Confinement of halide ions within homologous inverse coordination hosts; modification of halide-ion selectivity.

The structures of a series of spherical host-guest complexes [{MeE(PPh)(3)Li(4)·3thf}(4)(µ(4)-X)](-) (E = Al, [1X](-); E = Ga, [2X](-); E = In, [3X](-)) reveal that changing the halide ions (X = Cl, Br, or I) within their central tetrahedral Li(4) sites has negligible effect on the structural parameters.

Single-source materials for metal-doped titanium oxide: syntheses, structures, and properties of a series of heterometallic transition-metal titanium oxo cages.

Titanium dioxide (TiO(2)) doped with transition-metal ions (M) has potentially broad applications in photocatalysis, photovoltaics, and photosensors. One approach to these materials is through controlled hydrolysis of well-defined transition-metal titanium oxo cage compounds. However, to date very few such cages have been unequivocally characterized, a situation which we have sought to address here with the development of a simple synthetic approach which allows the incorporation of a range of metal ions into titanium oxo cage arrangements. The solvothermal reactions of Ti(OEt)(4) with transition-metal dichlorides (M(II)Cl(2), M = Co, Zn, Fe, Cu) give the heterometallic transition-metal titanium oxo cages [Ti(4)O(OEt)(15)(MCl)] [M = Co (2), Zn (3), Fe (4), Cu (5)], having similar MTi(4)(µ(4)-O) structural arrangements involving ion pairing of [Ti(4)O(OEt)(15)](-) anion units with MCl(+) fragments. In the case of the reaction of MnCl(2), however, two Mn(II) ions are incorporated into this framework, giving the hexanuclear Mn(2)Ti(4)(µ(4)-O) cage [Ti(4)O(OEt)(15)(Mn(2)Cl(3))] (6) in which the MCl(+) fragments in 2-5 are replaced by a [ClMn(µ-Cl)MnCl](+) unit. Emphasizing that the nature of the heterometallic cage is dependent on the metal ion (M) present, the reaction of Ti(OEt)(4) with NiCl(2) gives [Ti(2)(OEt)(9)(NiCl)](2) (7), which has a dimeric Ni(µ-Cl)(2)Ni bridged arrangement arising from the association of [Ti(2)(OEt)(9)](-) ions with NiCl(+) units. The syntheses, solid-state structures, spectroscopic and magnetic properties of 2-7 are presented, a first step toward their applications as precursor materials.

A simple approach to coordination compounds of the pentacyanocyclopentadienide anion.

Deprotonation of [Et(3)NH][C(5)(CN)(5)] with metal bases provides a very simple approach to coordination compounds containing the pentacyanocyclopentadienide anion [C(5)(CN)(5)](-) (1). The three-dimensional polymer [Na(thf)(1.5)(1)](∞) and the molecular dimer [{(tmeda)(2)Na(1)}(2)] are obtained by reaction of this precursor with NaH in the presence of thf or tmeda (Me(2)NCH(2)CH(2)NMe(2)). Their single-crystal X-ray structures both reveal σ-bonded C≡N-Na arrangements and π stacking between [C(5)(CN)(5)](-) ions. DFT calculations on the [C(5)(CN)(5)](-) ion have been used to investigate the structures and bonding in [Na(thf)(1.5)(1)](∞) and [{(tmeda)(2)Na(1)}(2)]. The absence of π bonding of the metal ions in both complexes is due to dispersion of the negative charge from the C(5) ring unit to the C[triple chemical bond]N groups in the [C(5)(CN)(5)](-) ion, making the coordination chemistry of this anion distinctly different from that of cyclopentadienide C(5)H(5)(-).

Formation and rearrangement of Sn(II) phosphanediide cages.

The room-temperature reactions of Sn(NMe(2))(2) with less sterically demanding primary phosphines (RPH(2)) give the homoleptic phosphanediide compounds [SnPR](n) in high yields (R=tBu (1a), cyclohexyl (1b), 1-adamantyl (1c)). However, the room-temperature reaction of Mes*PH(2) (Mes*=2,4,6-tBu(3)C(6)H(2)) with Sn(NMe(2))(2) gives the model intermediate [{SnPMes*}(2)(mu-NMe(2))SnP(H)Mes*] (3), together with the product of complete deprotonation [SnPMes*](3) (4). Phosphorus--phosphorus bonded products are produced in these reactions at elevated temperatures. If the reaction producing 1a is heated to reflux then [tBuP(H)P(H)tBu] is produced as the major product (together with tin metal). The novel octanuclear cage [{SnPtBu}(7)Sn(PtBu)(3)] (2) can also be isolated in low yield, resulting from formal addition of the heterocyclic stannylene [(tBuP)(3)Sn] to a Sn-P single bond of the intact structure of 1a. Prolonged heating of the reaction producing 3 and 4 leads to the formation of the diphosphene [PMes*](2) (5) and tin metal. The X-ray structures of the heptamer 1a (n=7), octanuclear 2 and trinuclear 3 are reported.

Stoichiometric and catalytic Sn-mediated dehydrocoupling of primary phosphines.

The room-temperature reactions of stannocene, Cp*(2)Sn, with a range of primary phosphines, RPH(2), result in diphosphanes [RP(H)P(H)R]. The reactions involving Cp*(2)SnCl(2), however, result in catalytic dehydrocoupling; the first example of main group metal catalysed dehydrocoupling to be identified.

Heterometallic cobalt(II)-titanium(IV) oxo cages; key building blocks for hybrid materials.

The two new heterometallic cobalt(II)/titanium oxo cages octanuclear [Ti(7)O(5)(OEt)(19)(CoCl)] (1) and pentanuclear [Ti(4)O(OEt)(15)(CoCl)] (2) have been obtained via condensation reactions of Ti(OEt)(4) in the presence of CoCl(2). This simple methodology gives access to key well-defined molecular building blocks for Co-doped hybrid materials.

Joining the crown family; the tetrameric, O-bridged macrocycle [{P(micro-N(t)Bu)}2(micro-O)]4.

The in situ reaction of the dianion [O_P(micro-N(t)Bu)]2(2-) with the dimer [ClP(micro-N(t)Bu)]2 gives the O_bridged macrocycle [{P(micro-N(t)Bu)}2(micro-O)]4 (1), being the largest crown-like phosph(III)azane of its type to be reported and having a structure that is directly related to the ubiquitous 12-crown-4.

Mixed alkylamido aluminate as a kinetically controlled base.

The mechanisms by which directed ortho metalation (DoM) and postmetalation processes occur when aromatic compounds are treated with mixed alkylamido aluminate i-Bu3Al(TMP)Li (TMP-aluminate 1; TMP = 2,2,6,6-tetramethylpiperidide) have been investigated by computation and X-ray diffraction. Sequential reaction of ArC(=O)N(i-Pr)2 (Ar = phenyl, 1-naphthyl) with t-BuLi and i-Bu3Al in tetrahydrofuran affords [2-(i-Bu3Al)C(m)H(n)C(=O)N(i-Pr)2]Li x 3 THF (m = 6, n = 4, 7; m = 10, n = 6, 8). These data advance the structural evidence for ortho-aluminated functionalized aromatics and represent model intermediates in DoM chemistry. Both 7 and 8 are found to resist reaction with HTMP, suggesting that ortho-aluminated aromatics are incapable of exhibiting stepwise deprotonative reactivity of the type recently shown to pertain to the related field of ortho zincation chemistry. Density functional theory calculations corroborate this view and reveal the existence of substantial kinetic barriers both to one-step alkyl exchange and to amido-alkyl exchange after an initial amido deprotonation reaction by aluminate bases. Rationalization of this dichotomy comes from an evaluation of the inherent Lewis acidities of the Al and Zn centers. As a representative synthetic application of this high kinetic reactivity of the TMP-aluminate, the highly regioselective deprotonative functionalization of unsymmetrical ketones both under mild conditions and at elevated temperatures is also presented.

Synthesis and structure of the Li13 cage [[[O-P(mu-NtBu)]2Li2]3(LiCl)6Li(Cl/OnBu)0.5(thf)7], containing a [O-P(mu-NtBu)]2(2-) dianion.

The hydrolysis of [ClP(mu-NtBu)]2 with H2O-Et3N in thf, followed by in situ lithiation with nBuLi gives the Li13 cage [[[O-P(mu-NtBu)]2Li2]3(LiCl)6Li(Cl/OnBu)0.5(thf)7], containing a [O-P(mu-NtBu)]2(2-) dianion that is isoelectronic with ligands of the type [(RN)P(mu-NR)]2(2-).

pi-Bonding versus oligomerisation in the aromatic anions [C(6)H(4)N(2)E](-): formation of the cyclic tetrameric tetraanion [C(6)H(4)N(2)Sb](4)(4-).

The reaction of 1,2-(NH(2))(2)C(6)H(4) with Sb(NMe(2))(3)/(n)BuLi gives the formally-aromatic heterocyclic anion [C(6)H(4)N(2)Sb](-) which oligomerises into a cyclic tetrameric arrangement in the complex [C(6)H(4)N(2)SbLi.PMDETA](4) () (PMDETA = {Me(2)NCH(2)CH(2)}(2)NMe) using a donor-acceptor bonding mode that is unique in related main group heterocyclic anions.