Background: Racial inequities for patients with heart failure (HF) have been widely documented. HF patients who receive cardiology care during a hospital admission have better outcomes. It is unknown whether there are differences in admission to a cardiology or general medicine service by race. This study examined the relationship between race and admission service, and its effect on 30-day readmission and mortality Methods: We performed a retrospective cohort study from September 2008 to November 2017 at a single large urban academic referral center of all patients self-referred to the emergency department and admitted to either the cardiology or general medicine service with a principal diagnosis of HF, who self-identified as white, black, or Latinx. We used multivariable generalized estimating equation models to assess the relationship between race and admission to the cardiology service. We used Cox regression to assess the association between race, admission service, and 30-day readmission and mortality. Results: Among 1967 unique patients (66.7% white, 23.6% black, and 9.7% Latinx), black and Latinx patients had lower rates of admission to the cardiology service than white patients (adjusted rate ratio, 0.91; 95% CI, 0.84–0.98, for black; adjusted rate ratio, 0.83; 95% CI, 0.72–0.97 for Latinx). Female sex and age >75 years were also independently associated with lower rates of admission to the cardiology service. Admission to the cardiology service was independently associated with decreased readmission within 30 days, independent of race. Conclusions: Black and Latinx patients were less likely to be admitted to cardiology for HF care. This inequity may, in part, drive racial inequities in HF outcomes.

The prediction of the heats of formation of group IV and group VI metal oxide monomers and dimers with the coupled cluster CCSD(T) method has been improved by using Kohn-Sham density functional theory (DFT) and Brueckner orbitals for the initial wave function. The valence and core-valence contributions to the total atomization energies for the CrO3 monomer and dimer are predicted to be significantly larger than when using the Hartree-Fock (HF) orbitals. The predicted heat of formation of CrO3 with CCSD(T)/PW91 is consistent with previous calculations including high-order corrections beyond CCSD(T) and agrees well with the experiment. The improved heats of formation with the DFT and Brueckner orbitals are due to these orbitals being closer to the actual orbitals. Pure DFT functionals perform slightly better than the hybrid B3LYP functional due to the presence of exact exchange in the hybrid functional. Comparable heats of formation for TiO2 and the second- and the third-row group IV and group VI metal oxides are predicted well using either the DFT PW91 orbitals, Brueckner orbitals, or HF orbitals. The normalized clustering energies for the dimers are consistent with our previous work except for a larger value predicted for Cr2O6. The prediction of the reaction energy for UF6 + 3Cl2 → UCl6 + 3F2 was significantly improved with the use of DFT or Brueckner orbitals as compared to HF orbitals.

Syntheses of porous organic cages (POCs) represent an important synthetic puzzle in dynamic covalent chemistry-based self-sorting. Improved understanding of the formation mechanisms of POCs can lead to control and rational design of cages with desired functionality. Herein, we explore the formation mechanisms of imine-based POCs using time-resolved electrospray mass spectrometry and electronic structure calculations at the density functional theory and correlated molecular orbital theory levels. We found that the synthesis of the [4 + 6] cycloimine cage CC3-R and the [2 + 3] cycloimine cage CC-pentane both proceed through similar intermediates via a series of consecutive reactions. The proposed reaction mechanisms are supported by electronic structure calculations. On the basis of our observations from both experiments and calculations, we propose a comprehensive method for designing and predicting new POC species. In addition, the observation of stable incomplete cages during CC3-R synthesis inspired us to design intentionally defective cages. These missing-linker-type molecular defects were installed into CC3-R via nonsolvent induced crystallization. The defective CC3-R materials were found to have enhanced CO2 interaction and improved CO2 uptake capacity due to the additional functional groups present within the CC3 crystals.

Only the neutral tetrafluorides of Ce, Pr, and Tb as well as the [LnF7 ](3-) anions of Dy and Nd, with the metal in the +IV oxidation state, have been previously reported. We report our attempts to extend the row of neutral lanthanide tetrafluorides through the reaction of laser-ablated metal atoms with fluorine and their stabilization and characterization by matrix-isolation IR spectroscopy. In addition to the above three tetrafluorides, we found two new tetrafluorides, (3) NdF4 and (7) DyF4 , both of which are in the +IV oxidation state, which extends this lanthanide oxidation state to two new metals. Our experimental results are supported by quantum-chemical calculations and the role of the lanthanide oxidation state is discussed for both the LnF4 and [LnF4 ](-) species. Most of the LnF4 species are predicted to be in the +IV oxidation state and all of the [LnF4 ](-) anions are predicted to be in the +III oxidation state. The LnF4 species are predicted to be strong oxidizing agents and the LnF3 species are predicted to be moderate to strong Lewis acids.

Eu-DOBDC metal–organic frameworks (MOFs) have demonstrated capabilities in the adsorption of acid gases, indicating that other rare earth (RE)-DOBDC MOFs are promising candidates for similar applications. To investigate the entire suite of RE-DOBDC MOFs, density functional theory (DFT) simulations of bulk periodic and cluster structure models were used to predict acid gas adsorption. Cluster models of M­(L)3, L = OOCH–, BDC–, and DOBDC–, were used to calculate binding enthalpies of NO2, SO2, and H2O directly to the metal sites, whereas bulk periodic DFT simulations of RE-DOBDC MOFs investigated the structural effects of the extended MOF framework on acid gas adsorption. From both sets of simulations, the metal center does not exhibit changes in the spin states, indicative of physisorption between the gas molecule and the metal center. However, a comparison of results identified that the presence of structural linkers in periodic DFT simulations increased binding energies between the guest molecule and the MOF over those found by cluster calculations. Additionally, the inclusion of the DOBDC linker in the periodic calculation results in delocalization of the charge between the acid gas and the DOBDC linker. Based on this comprehensive analysis, design of future RE-DOBDC MOFs can exploit differences in binding of the gas molecule with the linker or the metal center.