Given its mortality benefit, renal transplantation remains the ideal treatment modality for end stage renal disease in children. Despite the recent expansion of use in young children, the novel SARS-CoV-2 vaccine has not been universally accepted. Similarly, vaccine related state regulations are heterogenous. We present a cross-sectional analysis of institutional specific vaccination policies at US pediatric renal transplant centers and relationships to state legislation. We found that 36.1% of institutions require COVID-19 vaccination prior to transplant, while 17 states have current legislation prohibiting proof of vaccination as a means of access to public services. Of the 63.9% of transplant centers without immunization requirement, almost two-thirds are located in states without prohibitory regulations. Despite an unclear primary influence of institutional policy, our study demonstrates a lack of standardization and potential to create unnecessary inequities.

In order to design a cancer prevention promotion program in the region, suggestions were solicited at a medical center. We hypothesized that a majority would be native to state, and would be able to articulate about the barriers that may exist. Through online survey and focus groups, suggestions were sought, and the knowledge and the compliance with cancer prevention recommendations were assessed to determine the participants’ qualifications as potential educators. Sixty-five point two percent of participants (n = 1018) graduated from high school in Arkansas. The most commonly given suggestions were to provide education to increase awareness, to use social media for promotion, to improve access, and to reduce costs. Self-reported adherence rates to breast, cervical, and colorectal cancer screening were 82.6% ( n = 954), 75.8% ( n = 541), and 76.7% ( n = 453), respectively. Having a personal history of cancer significantly increased colorectal cancer screening uptake ( p = 0.04), but paradoxically decreased mammography uptake ( p = 0.007). Salary of $40,000 and more and having a Bachelor’s degree or higher were associated with higher compliance of Papanicolaou test only ( p = 0.007 and p = 0.001, respectively). A majority (67.7%, n = 1056) of respondents expressed willingness to contribute to promoting cancer prevention measures, and 38.3% ( n = 559) were willing to participate in focus groups. However, only 6.3% ( n = 35) actually participated. The participants’ knowledge and compliance appeared to be sufficient, but their follow through in focus group participation was poor.

Crystal structures of five first-row transition metal complexes of a recently-available bis-pyrazolylpyridine (bpp) ligand, 2,6-bis(3′,5′-diphenylpyrazolyl)pyridine (bdppp), prepared by reaction with transition metal chlorides, are reported. The ligand forms two types of structures, a 2:1 complex with Fe (II) chloride, and 1:1 complexes with Mn(II), Ni(II), Co(II), and Zn(II), chlorides, resulting in two different geometries. In all cases the ligand is tridentate, but in contrast to reported bpp structures, the plane of the pyridine ring coordinating with the metal is significantly distorted from the plane of the pyrazoles and metal.

Complexes of 2,6-bis-(3′,5′-diphenylpyrazolyl)pyridine (bdppp) with the chlorides of Ru(III), Pd(II), and Rh(III) have been synthesized. The X-ray structures of these complexes show that the ligand is tridentate and binds in a 1:1 ratio with the metal in all cases. The Ru and Rh complexes are octahedral, with one ligand and three chlorides around the metal, while the Pd complex is square planar, with one ligand and one chloride bound to the metal. The Pd complex features two Pd-bdppp complexes and a Pd2Cl62− counteranion. The electronic spectra of these complexes show strong UV absorbance bands from the phenyl rings present, with the Ru complex exhibiting several charge transfer bands and the Rh complex one charge transfer band. The 1H and 13C NMR spectra of the Rh and Pd complexes show slight differences from the free ligand, and the Ru complex is paramagnetic, featuring broad NMR peaks over a wide range. The Ru complex shows a quasi-reversible redox couple, while the Ru and Pd complexes show only irreversible reductions.