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The synthesis of rotaxanes derived from the synthetic peptide macrocycles cyclo(l-ProGly)4 and cyclo(l-ProGly)5 and diammonium threads is described. [2]Rotaxanes are formed in good yields (56-63%), despite the disruption of internal amide-amide hydrogen bonding in the macrocycles.

The preparation of 6(A)-deoxy-6(A)-(6-(2-(1,4,7,10-tetraoxa-13-azacyclopentadecan-13-yl)acetamido)hexylamino)-alpha-cyclodextrin, 3, 6(A)-deoxy-6(A)-(6-(2-(1,4,7,10,13-pentaoxa-16-azacyclooctadecan-16-yl)acetamido)hexylamino)-alpha-cyclodextrin, 4, and their beta-cyclodextrin analogues, 5 and 6, are described. (1)H (600 MHz) ROESY NMR spectra of the C(6) substituted beta-cyclodextrins, 5 and 6, are consistent with the intramolecular complexation of their azacyclopentadecanyl- and azacyclooctadecanyl(acetamido)hexylamino substituents in the beta-cyclodextrin annulus in D(2)O at pD = 8.5 whereas those of their alpha-cyclodextrin analogues, 3 and 4 are not complexed in the alpha-cyclodextrin annulus. This is attributed to the monoazacoronand components of the substituents being able to pass through the beta-cyclodextrin annulus whereas they are too large to pass through the alpha-cyclodextrin annulus. However, the substituents of 3 and 4 are intermolecularly complexed by beta-cyclodextrin to form pseudo [2]-rotaxanes. Metallocyclodextrins are formed by 5 through complexation by the monoazacoronand substituent component for which log (K/dm(3) mol(-1))= <2, 6.34 and 5.38 for Ca(2+), Zn(2+) and La(3+), respectively, in aqueous solution at 298.2 K and I= 0.10 mol dm(-3)(NEt(4)ClO(4)).

(E)-4-tert-Butyl-4'-oxystilbene, 1(-), is thermally stable as the (E)-1(-) isomer but may be photoisomerized to the (Z)-1(-) isomer as shown by UV-vis and (1)H NMR studies in aqueous solution. When (E)-1(-) is complexed by alphaCD two inclusion isomers (includomers) form in which alphaCD assumes either of the two possible orientations about the axis of (E)-1(-) in alphaCD.(E)-1(-) for which (1)H NMR studies yield the parameters: k(1)(298 K)= 12.3 +/- 0.6 s(-1), DeltaH(1)(++)= 94.3 +/- 4.7 kJ mol(-1), DeltaS1(++)= 92.0 +/- 5.0 J K(-1) mol(-1), and k(2)(298 K)= 10.7 +/- 0.5 s(-1), DeltaH(2)(++)= 93.1 +/- 4.7 kJ mol(-1), DeltaS2(++)= 87.3 +/- 5.0 J K(-1) mol(-1) for the minor and major includomers, respectively. The betaCD.(E)-1(-) complex either forms a single includomer or its includomers interchange at the fast exchange limit of the (1)H NMR timescale. Complexation of 1(-) by N-(6(A)-deoxy- alpha-cyclodextrin-6(A)-yl)-N'-(6(A)-deoxy- beta-cyclodextrin-6(A)-yl)urea, results in the binary complexes 2.(E)-1(-) in which both CD component annuli are occupied by (E)-1(-) and which exists exclusively in darkness and 2.(Z)-1(-) in which only one CD component is occupied by (Z)-1(-) and exists exclusively in daylight at lambda > or = 300 nm. Irradiation of solutions of the binary complexes at 300 and 355 nm results in photostationary states dominated by 2.(E)-1(-) and 2.(Z)-1(-), respectively. In the presence of 4-methylbenzoate, 4(-), 2.(Z)-1(-) forms the ternary complex 2.(Z)-1(-).4(-) where 4(-) occupies the second CD annulus. Interconversion occurs between 2.(Z)-1(-).4(-) and 2.(E)-1(-)+4(-) under the same conditions as for the binary complexes alone. Similar interactions occur in the presence of 4-methylphenolate and 4-methylphenylsulfonate. The two isomers of each of these systems represent different states of a molecular device, as do the analogous binary complexes of N,N-bis(6(A)-deoxy- beta-cyclodextrin-6(A)-yl)urea, 3, [3.(E)-1(-) and 3.(Z)-1(-), where the latter also forms a ternary complex with 4(-).

This review of blunt trauma to the abdominal aorta is based on one case summary and 32 cases from the literature. Motor vehicle accidents caused about half of the reported cases. In 69% of the cases the diagnosis was made in the immediate or early period. Associated injuries were present in 71% of the cases. Most injuries occurred at the inferior mesenteric artery (33%) or the renal arteries (24%). Overall mortality was 27%. Lower extremity ischemia evident on physical examination may suggest the diagnosis. When blunt abdominal aortic injury is suspected without distal ischemia, aortography may be used to define or exclude the injury and further therapy. Only minimal intimal disruptions should be managed nonoperatively.

Blunt trauma to renal arteries often receives suboptimal management because of delayed diagnosis, incomplete preoperative evaluation, associated injuries, or unknown functional capacity of the contralateral kidney. We propose a rational treatment plan from an analysis of our three cases and a review of 118 cases. Two thirds of the patients were male, and left-sided injuries predominated over right 42.9% to 30.6%. In 20 cases the insult was bilateral. Associated injuries occurred in 72%, averaging 1.6 injuries per case, of which one half were intra-abdominal. Flank and/or abdominal pain was present in 73% of cases, tenderness in 65%, and gross or microscopic hematuria in 74%. Repairs were attempted on 38 renal arteries. "Successful" repairs were accomplished in 16 arteries, while repairs failed in 22. Subsequent hypertension developed in 32% of successes. Repair should be attempted in stable patients with unilateral injury of less than four hours' duration, bilateral injuries of less than 20 hours' duration, or injuries with nonocclusion on arteriogram.