Most patients under the care of a specialist palliative care service identify a preference for place of death as end of life approaches. Only a minority change their preference once a preferred place has been elicited. We recommend that patients are supported to explore their preferences for PPD as part of specialist palliative care, and that preferences are reviewed as end of life approaches.

The origin of switchable site selectivity during Pd-catalysed C–H alkenylation of heteroarenes has been examined through More O’Ferrall–Jencks, isotope effect, and DFT computational analyses, which indicate substitution of ionic thioether...

Conspectus Our global society generates an unwieldy amount of CO2 per unit time. Therefore, the capture of this greenhouse gas must involve a diverse set of strategies. One solution to this problem is the conversion of CO2 into a more useful chemical species. Again, a multiplicity of syntheses and products will be necessary. No matter how elegant the chemistry is, commercial markets often have little use for a small set of compounds made in tremendous yield. Following this reasoning, the Bocarsly Research Group seeks to develop new electrochemical and photochemical processes that may be of utility in the conversion of CO2 to organic compounds. We focus on investigating proton-coupled charge transfer mechanisms that produce both C1 and carbon–carbon bonded products (C2+). In early work, we considered the reduction of CO2 to formate at electrocatalytic indium and tin electrodes. These studies demonstrated the key role of surface oxides in catalyzing the reduction of CO2. This work generated efficient systems for the formation of formate and paved the way to studies using non-copper, intermetallic electrocatalysts for the generation of C2+ species. Most notable is the efficient formation of oxalate at an oxidized Cr3Ga electrode. Oxalate has recently been suggested as a potential nonfossil, alternate organic feedstock. Separately, we have focused on the electrocatalytic effects of pyridine on the reduction of CO2 in aqueous electrolyte. These studies demonstrated that electrodes that normally yield a low hydrogen overpotential (Pd and Pt) show suppressed H2 evolution and strongly enhanced activity for CO2 reduction in the presence of pyridinium. Methanol was observed to form in high Faradaic yield at low overpotential using this system. The 6-electron, 6-proton reduction of CO2 in the presence of pyridinium was intriguing, and significant effort was placed on understanding the mechanism of this reaction both on metal electrodes and on semiconducting photocathodes. P–GaP electrodes were found to provide exceptional behavior for the formation of methanol using only light as the energy source. The pyridinium studies highlighted the role of protons in the overall reduction of CO2, stimulating our interest in the chemistry of MnBr­(bpy)­(CO)3 and related compounds. This complex was reported to electrochemically reduce CO2 to CO. We saw these reports as an opportunity to study the detailed nature of the proton-coupled electron transfer (PCET) mechanism associated with CO2 reduction. Our investigation of this system revealed the role of hydrogen-bonding in CO2 reduction and pointed the way for the construction of a photochemical process for CO generation using a [(bpy)­(CO)3Mn­(CN)­Mn­(bpy)­(CO)3]+ photocatalyst. Based on our studies to date, it appears likely that heterogeneous systems can be assembled to convert CO2 into products that are “beyond C2 products.” This may open up new practical chemistry in the area of fossil-based replacements for both synthesis and fuels. Systems with pragmatic efficiencies are close to re...

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The complex, [{[Mn(bpy)(CO)3]2}(μ-CN)]+ (Mn2CN+), has previously been shown to photochemically reduce CO2 to CO.