Lithium furyl and pyridyl amidinates as building blocks in coordination polymers, ladder and cage structures.

Lithium N,N'-bis(trimethylsilyl)heterocyclic amidinate complexes with 3- and 4-pyridyl and 3-furyl carbon substituents were prepared by addition of the corresponding nitriles to LiN(SiMe(3))(2) (LiNTMS(2)) solution. In the presence of N,N,N',N' tetramethylethylene diamine (TMEDA), both pyridyl amidinates crystallize as coordination polymers with an amidinate-Li-pyridyl backbone. The 4-pyridyl derivative (7) creates a linear polymer with amidinate-Li-TMEDA units as side chains, whereas the 3-pyridyl polymer (6) has a two-dimensional (2D) network structure in which TMEDA serves as a cross-linker.

Do US veterans wear appropriately sized shoes?: the Veterans Affairs shoe size selection study.

Poorly fitting footwear has frequently been cited as an etiologic factor in the pathway to diabetic foot ulceration. However, we are unaware of any reports in the medical literature specifically measuring shoe size versus foot size in this high-risk population. We assessed the prevalence of poorly fitting footwear in individuals with and without diabetic foot ulceration.

Syme ankle disarticulation in patients with diabetes.

Background: Syme ankle disarticulation is an amputation level that minimizes disability and preserves function, but it has been used sparingly in patients with diabetes mellitus. Surgeons have avoided this level because of the perceived high risk for wound failure, wound infection, or migration of the heel pad, which makes prosthesis use difficult.

Methods: Ninety-seven adult patients with diabetes mellitus who underwent Syme ankle disarticulation because of a neuropathic foot with an infection or gangrene, or both, during an eleven-year period were studied retrospectively.