Deprescribing of Medicines in Care Homes-A Five-Year Evaluation of Primary Care Pharmacist Practices.

(1) Background: This project evaluates the outcomes of a novel pharmacy-led model of deprescribing unnecessary medications for care home patients. A feasibility study was conducted in 2015 to explore exposure to inappropriate polypharmacy in patients residing in care homes over a one-year timescale. The aim of this study was to present the results of this ongoing service evaluation over a five-year period.

A dimeric magnesium(I) compound as a facile two-center/two-electron reductant.

The odd couple: A dimeric magnesium(I) complex acts as a facile and selective two-center/two-electron reductant towards a series of unsaturated substrates (see scheme; Ar = 2,6-iPr(2)C(6)H(3), Ad = 1-adamantyl). The novel reduced or reductively coupled products obtained from these reductions suggest that magnesium(I) compounds may find wide use in organic and organometallic syntheses.

Synthesis and structural characterisation of a soluble, metastable indium(I) halide complex, [InBr(tmeda)].

The first example of an indium(i) halide complex, [InBr(tmeda)], has been prepared by the reversible dissolution of InBr in a tmeda-toluene mixture. The structural characterisation of the metastable compound shows it to be monomeric with weak InIn interactions in the solid state. In solution, it decomposes to either InBr or [In2Br4(tmeda)2].

Stable magnesium(I) compounds with Mg-Mg bonds.

The chemistry of the group 2 metals (beryllium, magnesium, calcium, strontium, and barium) is dominated by the +2 oxidation state. Here, we report the reductions of two magnesium(II) iodide complexes with potassium metal in toluene, leading to thermally stable magnesium(I) compounds, (L)MgMg(L) (where L is [(Ar)NC(NPri2)N(Ar)]- or {[(Ar)NC(Me)]2CH}-, Ar is 2,6-diisopropylphenyl, Me is methyl, and Pri is isopropyl) in moderate yields. The results of x-ray crystallographic and theoretical studies are consistent with central Mg2+(2) units that have single, covalent magnesium-magnesium bonding interactions with 2.

Homo- and heteroleptic complexes of four-membered group 13 metal(I) N-heterocyclic carbene analogues with group 10 metal(0) fragments.

A series of complexes between recently developed four-membered group 13 metal(I) heterocycles and group 10 metal(0) fragments have been prepared and structurally characterized. One prepared complex, [Pt{Ga[N(Ar)]2CNCy2}3] (Ar = C6H3Pri2-2,6; Cy = cyclohexyl), possesses the shortest Pt-Ga bonds yet reported, the covalent components of which are suggested by theoretical studies to have significant pi character.

Base-stabilized amidodiarsenes: synthesis, structure, and theoretical studies.

The guanidinato- or amidinato-bridged diarsenes [As2{mu-(ArN)2CR}2] (Ar = C6H3Pri2-2,6; R = N(C6H11)2, NPri2, or But) have been prepared by reduction of the corresponding As(III) precursors, [Cl2As{kappa2-N,N'-(ArN)2CR}]. Theoretical studies suggest that the As-As bonds of the dimers have significant double-bond character, the sigma and pi components of which are derived mainly from As p orbital overlaps.

Synthetic, structural and theoretical studies of amidinate and guanidinate stabilised germanium(I) dimers.

The neutral germanium(i) dimers, [{Ge(Piso)}(2)] and [{Ge(Giso)}(2)], Piso = [(ArN)(2)CBu(t)](-), Giso = [(ArN)(2)CNPr(i)(2)](-), Ar = C(6)H(3)Pr(i)(2)-2,6, which are stabilised by bulky amidinate and guanidinate ligands respectively, have been prepared by reduction of the corresponding germanium(ii) chlorides, [Ge(Piso)Cl] and [Ge(Giso)Cl]; theoretical studies suggest that the Ge-Ge bonds of [{Ge(Piso)}(2)] and [{Ge(Giso)}(2)] are associated with their HOMOs, whilst their LUMOs have substantial Ge-Ge pi-bonding character.

Complexes of an anionic gallium(I) N-heterocyclic carbene analogue with group 14 element(II) fragments: synthetic, structural and theoretical studies.

The reactions of the anionic gallium(I) N-heterocyclic carbene (NHC) analogue, [K(tmeda)][:Ga{[N(Ar)C(H)]2}], Ar = C6H3Pri2-2,6, with the heavier group 14 alkene analogues, R2E=ER2, E = Ge or Sn, R = -CH(SiMe3)2, have been carried out. In 2:1 stoichiometries, these lead to the ionic [K(tmeda)][R2EGa{[N(Ar)C(H)]2}] complexes which exhibit long E-Ga bonds. The nature of these bonds has been probed by DFT calculations, and the complexes have been compared to neutral NHC adducts of group 14 dialkyls.

Variation of oxo-transfer reactivity of (nitro)cobalt picket fence porphyrin with oxygen-donating ligands.

Derivatives of (nitro)cobalt picket fence porphyrin with oxygen-donating ligands have been prepared in solution and in the solid state. Crystal structures of two of these derivatives, (H2O)CoTpivPP(NO2) and (CH3OH)CoTpivPP(NO2), have been determined. The ethanol complex (C2H5OH)Co(TPP)(NO2) has been obtained and spectrally characterized using sublimed layers methodology.