The carbon–carbon (C–C) bond cleavage of cyclopropanols is a wide area of research with much current activity. This review highlights new developments in this area over the past two decades. A summary is made of the three main reactivity modes, namely, homoenolate chemistry, β-keto radical chemistry, and acid-catalyzed ring-opening, as well as all other methods for the C–C bond cleavage and functionalization of cyclopropanols, including base-mediated ring-opening, metal-catalyzed C–C insertions and eliminations, oxidative fragmentation using hypervalent iodine reagents, reactions of donor–acceptor cyclopropanols, and pericylic reactions. Emphasis is placed on the synthetic utility of cyclopropanols and related derivatives, which have emerged as unique three-carbon synthons.

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A comparison has been made of the reject rates of plain images for three separate periods when film, computed radiography (CR) and PACS systems were in operation throughout the Hammersmith Hospital, London. There was a statistically significant reduction in the overall percentage reject rate across all examinations from 9.9% to 8.1% when the hospital changed from using a conventional film based system to a CR system. There was a further reduction in the reject rate to 7.3% when the hospital moved to a hospital-wide PACS system, but this change was not statistically significant. Using estimations of the total number of images used, the percentage reject rates were 6.6% for film, 5.5% for CR and 5.5% for PACS. Thus, if the radiation dose for each image is unchanged, and the same types of images are used for the examination of each body area, a move from conventional film imaging to phosphor plate imaging provides the potential to reduce the patient population dose.

Like halogens, pnictogens, and chalcogens, group 14 tetrel atoms have the ability to exhibit areas of elevated electrostatic potential on their surfaces (σ-holes) which can engage in noncovalent interactions with electron donors. Evidence for tetrel bonds involving spin-1/2 nuclei, such as 13C, may be found by careful observation of the isotropic chemical shift in solid-state NMR experiments. Here, we study the 13C and 1H solid-state NMR spectroscopic responses to weak tetrel bond formation by examining a series of eight caffeine and theophylline cocrystals along with similar compounds not featuring tetrel bonds. Overall, we observe a moderate increase in the methyl 13C chemical shift on the order of ppm in cocrystals featuring tetrel bonds as compared to their nonbonded counterparts. The value of δ­(13C) shows a weak inverse correlation with the tetrel bond length, while no strong correlation with the tetrel bond angle is observed experimentally. Methyl proton chemical shifts are also influenced by the presence of a tetrel bond, but no strong correlations with structural features are noted based on the experimental data. With the aid of DFT calculations, we explore the relationship between the tetrel bond and the 13C chemical shift tensor, furthering our understanding of how tetrel bonds and potentially competing weak CH···O hydrogen bonds affect the NMR response, which is of importance in NMR crystallography applications. While computations generally show clear correlations between chemical shifts and structural features, this experimental work demonstrates that other interactions and crystal packing effects can weaken and even obscure the expected correlations.

A retrospective review of the medical and imaging records of 50 patients with portal hypertension examined in the authors' department during a 2-year period identified six patients with gallbladder wall varices. Imaging studies performed in these patients included computed tomography (CT) (four patients), duplex and color Doppler flow (five patients), and magnetic resonance (MR) (four patients). Five of six patients with gallbladder varices had portal vein thrombosis. Anechoic areas within the gallbladder wall detected with ultrasonography could be distinguished from intramural edema by using duplex or color Doppler flow imaging in all five patients in whom it was used. Contrast material enhancement of these varices was detected with CT in three patients, two of whom also had adjacent mesenteric collaterals. Gradient-echo MR imaging (fast imaging in steady precession/fast low-angle shot) showed flow-related enhancement within the gallbladder wall in two patients. The presence of gallbladder wall varices may imply the presence of portal vein thrombosis. Since these varices can be a source of major blood loss, surgeons must be made aware of them when operating on patients with portal hypertension.