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R A Rossi

Publications and source records attributed to R A Rossi.

3 recordsLinked to original sources

Synthesis of several halobisnoradamantane derivatives and their reactivity through the S(RN)1 mechanism.

Several bridgehead halobisnoradamantane derivatives (5, 7, 10, and 17) were synthesized from tricyclic diester 1 in good yields using standard methods. The reactivity through the S(RN)1 mechanism of the above compounds and the known halobisethano derivatives 24 and 25a-c was studied. Iodo derivatives 7, 10, and 25a reacted with diphenylphosphide ions in DMSO under irradiation to give the corresponding substitution and reduction products by the S(RN)1 mechanism, while iodo ketone 17 gave a mixture of the rearranged substitution product 36 and the reduction product 18. Formation of 36 takes place through a 1,5-hydrogen migration of the initially formed radical, a kind of process that has been observed for the first time in the S(RN)1 propagation steps. The diiodo derivative 24 reacted with diphenylphosphide ions under similar reaction conditions to give the substitution and/or reduction products 32, 31, 27, 25a, and 26. The intramolecular ET reaction in the monosubstitution radical anion 32*(-) seems to be faster than the intermolecular ET to the substrate, and the monoiodo derivative 25a is a reaction intermediate.

Journal Article↗

A novel type of nucleophilic substitution reactions on nonactivated aromatic compounds and benzene itself with trimethylsiliconide anions.

[reaction: see text]. The reaction of fluorobenzene with Me3Si- anion (1) in HMPA at room temperature surprisingly affords o- and p-fluorotrimethylsilylbenzenes (substitution of aromatic H for TMS, 76% yield) 7a and 7b and also 14% of trimethylsilylbenzene (2). Benzene itself reacts at 50 degrees C to furnish 4 in 45% yield. Pyridine affords p-trimethylsilylpyridine quantitatively. Mechanistic studies are presented.

Anions↗

A computerized intervention to decrease the use of calcium channel blockers in hypertension.

OBJECTIVE: To determine whether a computer-assisted reminder would alter prescribing habits for the treatment of hypertension in accordance with current clinical guidelines in a general internal medicine clinic. DESIGN: A randomized trial. SETTING: The General Internal Medicine Clinic of the Veterans Affairs Puget Sound Health Care System, Seattle Division. PATIENTS/PARTICIPANTS: Clinic providers were randomized to a control group (n = 35) or intervention group (n = 36). We targeted the providers of patients being treated for hypertension with calcium channel blockers, a class of drug not recommended for initial therapy. INTERVENTION: An automated computer query identified eligible patients and their providers. A guideline reminder was placed in the charts of patients of intervention providers; the charts of patients of control providers received no reminder. MEASUREMENTS AND MAIN RESULTS: During the 5-month study period, 346 patients were seen by the 36 primary care providers (staff physicians, nurse practitioners, residents, and fellows) in the intervention group, and 373 patients were seen by the 35 providers in the control group. Intervention providers changed 39 patients (11.3%) to other medications during the study period, compared with 1 patient (<1.0%) of control providers (p < .0001). For patients whose therapy was unchanged, providers noted angina in 23.1%, indications other than those for hypertension in 9.5%, intolerable adverse effects with first-line therapy in 13.9%, and inadequate control with first-line therapy in 13.9%. Of those patients without provider-indicated contraindications, 23.6% were switched from calcium channel blockers to first-line agents during the intervention period. CONCLUSIONS: The use of a computerized, clinic-based intervention increased compliance with guidelines in the treatment of primary hypertension in general, and decreased the use of calcium channel blockers for the treatment of hypertension in particular.

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