COVID-19 and liver cancer: lost patients and larger tumours.

Background: Northern England has been experiencing a persistent rise in the number of primary liver cancers, largely driven by an increasing incidence of hepatocellular carcinoma (HCC) secondary to alcohol-related liver disease and non-alcoholic fatty liver disease. Here we review the effect of the COVID-19 pandemic on primary liver cancer services and patients in our region.

Objective: To assess the impact of the COVID-19 pandemic on patients with newly diagnosed liver cancer in our region.

One-pot oxidative hydrolysis-oxidative cleavage of 7-borylindoles enables access to o-amidophenols and 4-acylbenzoxazoles.

7-Borylindoles undergo a one-pot oxidative-hydrolysis of the arylboronate and oxidative cleavage of the indole C2-C3 double bond to afford o-amidophenol derivatives. Subsequent cyclisation delivers benzoxazoles bearing an acyl group at C4, a substitution pattern common to fungal-derived benzoxazole alkaloids. Using 7-borylindoles as substrates to access functionalised o-amidophenols circumvents the difficult preparation of these compounds from arenes, streamlining access to substituted 4-acylbenzoxazoles in the process.

Endoscopic ultrasound in patients with normal liver blood tests and unexplained dilatation of common bile duct and or pancreatic duct.

Objective: To determine the yield of endoscopic ultrasound (EUS) in the investigation of patients with normal liver function tests (LFTs) and unexplained dilatation of common bile duct (CBD) and/or pancreatic duct (PD), following CT and/or magnetic resonance cholangiopancreatography.

Materials And Methods: Consecutive patients undergoing linear EUS between January 2007 and August 2011 for the indication of dilated CBD and/or PD, normal LFT, and nondiagnostic cross-sectional imaging formed the study group. The study was performed as a retrospective analysis of prospectively collected data.

Tuberculosis and the pancreas: a diagnostic challenge solved by endoscopic ultrasound. A case series.

Pancreatic tuberculosis is a rare disease. It can be easily confused with malignancy or pancreatitis on imaging. This could result in unnecessary surgery.

The structure of water in p-sulfonatocalix[4]arene.

Tetrasodium p-sulfonatocalix[4]arene exists as a hydrate with approximately 14 water molecules and has three polymorphic modifications, all of which contain a water molecule in the molecular cavity that is engaged in OH···π interactions. Single-crystal neutron structures are reported for two of these three forms and reveal a "compressed" water molecule with short OH bonds. Partial atomic charges and hardness analysis (PACHA) calculations based on the neutron coordinates give an OH···π interaction energy of 6.

Two different hydrogen bond donor ligands together: a selectivity improvement in organometallic {Re(CO)3} anion hosts.

Rhenium(I) compounds [Re(CO)(3)(Hdmpz)(2)(ampy)]BAr'(4) and [Re(CO)(3)(N-MeIm)(2)(ampy)]BAr'(4) (Hdmpz = 3,5-dimethylpyrazole, N-MeIm = N-methylimidazole, ampy = 2-aminopyridine or 3-aminopyridine) have been prepared stepwise as the sole reaction products in good yields. The cationic complexes feature two different types of hydrogen bond donor ligands, and their anion binding behavior has been studied both in solution and in the solid state. Compounds with 2-ampy ligands are labile in the presence of nearly all of the anions tested.

Tripodal imidazole frameworks: Reversible vapour sorption both with and without significant structural changes.

A series of tripodal imidazole frameworks (TIFs) are reported based on a tripodal, cavity-containing tris(imidazole) derivative. In the case of [Co(3)Cl(6)(1)(2)]·n(solvent) (TIF-1) which possesses a doubly interpenetrated framework structure, the material exhibits rigid, permanent porosity and selectively absorbs CO(2). The non-interpenetrated [Co(1)(2)(H(2)O)(2)]Cl(2)·4H(2)O (TIF-2) also absorbs gases and vapours fully reversibly exhibiting a reversible phase change in the process and considerable conditioning and hysteresis.

Enhanced anion binding from unusual coordination modes of bis(thiourea) ligands in platinum group metal complexes.

Treatment of a range of bis(thiourea) ligands with inert organometallic transition-metal ions gives a number of novel complexes that exhibit unusual ligand binding modes and significantly enhanced anion binding ability. The ruthenium(II) complex [Ru(η(6)-p-cymene)(κS,S',N-L(3)-H)](+) (2b) possesses juxtaposed four- and seven-membered chelate rings and binds anions as both 1:1 and 2:1 host guest complexes. The pyridyl bis(thiourea) complex [Ru(η(6)-p-cymeme)(κS,S',N(py)-L(4))](2+) (4) binds anions in both 1:1 and 1:2 species, whereas the free ligand is ineffective because of intramolecular NH⋅⋅⋅N hydrogen bonding.

Temporal trends in retinal detachment incidence in Scotland between 1987 and 2006.

Aim: Rhegmatogenous retinal detachment (RRD) is a common and sight-threatening condition. The reported incidence of RRD has varied considerably in published literature and few studies have examined the temporal trends in incidence rate over a long time period. Our aim is to examine the time trends of primary RRD in Scotland.

Homo- and heterodinuclear complexes of the tetrakis(pyrazolyl)borate ligand.

Monometallic complexes of the tetrakis(pyrazolyl)borate ligand [ML(2){B(pz)(4)}] {M = Rh, Ir; L(2) = eta-cod, eta-nbd, (CO)(2), (CO)(PPh(3))} have two free pyrazolyl rings which can be coordinated to a second ML(2) unit to give the dimeric compounds [L(2)M{mu-B(pz)(4)}ML(2)](+), and to a metal halide to give heterobimetallic species [L(2)M{mu-B(pz)(4)}M'Cl(2)]. (1)H NMR spectroscopy shows that [(eta-cod)Rh{mu-B(pz)(4)}Rh(eta-cod)](+) 1(+), [(eta-nbd)Rh{mu-B(pz)(4)}Rh(eta-nbd)](+) 2(+), [(eta-cod)Ir{mu-B(pz)(4)}Ir(eta-cod)](+) 3(+) and [(CO)(2)Rh{mu-B(pz)(4)}Rh(CO)(2)](+) 4(+) are fluxional at room temperature. Cooling a solution of [(eta-cod)Rh{mu-B(pz)(4)}Rh(eta-cod)](+) 1(+) to -90 degrees C slows the fluxional process, which involves inversion of the two B-(N-N)(2)-M six-membered rings.

Preconception lifestyle advice for people with subfertility.

Background: Infertility is a prevalent problem and has significant consequences for individuals, families and the wider community. People's chance of having a healthy, live birth may be impacted upon by factors such as weight, diet, smoking, other substance abuse, environmental pollutants, infections, medical conditions, medications and family medical history. However, there is no current guideline about what preconception advice should be offered to people presenting for infertility treatment.

Lifestyle factors in people seeking infertility treatment - A review.

Background: Clinical infertility is a prevalent problem with significant financial and psychosocial costs. Modifiable lifestyle factors exist that may affect a person's time to conception and their chance of having a healthy, live birth. However, no guideline delineates what preconception advice should be offered to people presenting for infertility treatment.

Allosteric effects in a tetrapodal imidazolium-derived calix[4]arene anion receptor.

A ditopic tetrapodal imidazolium-based 1,3-alternate calix[4]arene host binds anions as 1 : 2 complexes via a range of CH...

Bonding modes, structures and fluxionality in rhodium and iridium tris(3,5-dimethylpyrazolyl)methane diene complexes.

The structures adopted by a range of hydrotris(3,5-dimethylpyrazolyl)methane complexes [ML(2){HC(pz')(3)}](+) (M = Rh, Ir; L(2) = diene) have been investigated. There is low steric hindrance between ligands in [Rh(eta-nbd){HC(pz')(3)}](+) (nbd = norbornadiene) and [Rh(eta-dmbd){HC(pz')(3)}](+) (dmbd = 2,3-dimethylbuta-1,3-diene) resulting in kappa(3) co-ordination of the pyrazolylmethane. The complexes [M(eta-cod){HC(pz')(3)}](+) (cod = cycloocta-1,5-diene) (M = Rh, Ir) are kappa(2) co-ordinated with the free pyrazolyl ring positioned above and approximately parallel to the square plane about rhodium or iridium.

The d3/d2 alkyne complexes [MX2(eta-RC[triple bond, length as m-dash]CR)Tp']z (X = halide, z = 0 and 1+): final links in a d6-d2 redox family tree.

The d4 halide complexes [MX(CO)(eta-RC[triple bond, length as m-dash]CR)Tp'] [R = Me, M = W, X = F; R = Ph, M = Mo or W, X = F or Cl; Tp' = hydrotris(3,5-dimethylpyrazolyl)borate] undergo two-electron oxidation in the presence of a halide source to give the d2 monocations [MX1X2(eta-PhC[triple bond, length as m-dash]CPh)Tp']+ (R = Me, M = W, X1 = X2 = F; R = Ph, M = Mo, X1 = X2 = F or Cl; M = W, X1 = X2 = F or Cl; X1 = F, X2 = Cl). Each monocation (R = Ph) shows two reversible one-electron reductions (the second process was not detected for R = Me) corresponding to the stepwise formation of the neutral d3 and monoanionic d4 analogues, [MX1X2(eta-PhC[triple bond, length as m-dash]CPh)Tp'] and [MX1X2(eta-PhC[triple bond, length as m-dash]CPh)Tp']- respectively; the potentials for the two processes can be 'tuned' over a range of ca. 1.

Solid state and solution structures of rhodium and iridium poly(pyrazolyl)borate diene complexes.

The structures adopted by a range of poly(pyrazolyl)borate complexes [ML2Tp(x)] [M = Rh, Ir; L2 = diene; Tp(x) = Bp' {dihydrobis(3,5-dimethylpyrazolyl)borate}, Tp' {hydrotris(3,5-dimethylpyrazolyl)borate}, Tp {hydrotris(pyrazolyl)borate}, B(pz)4 {tetrakis(pyrazolyl)borate}] have been investigated. Low steric hindrance between ligands in [Rh(eta-nbd)Tp] (nbd = norbornadiene), [Rh(eta-cod)Tp] (cod = cycloocta-1,5-diene) and [Rh(eta-nbd)Tp'] results in K3 coordination of the pyrazolylborate but [M(eta-cod)Tp'] (M = Rh, Ir) are kappa2 coordinated with the free pyrazolyl ring positioned above and approximately parallel to the square plane about the metal. All but the most sterically hindered Tp(x) complexes undergo fast exchange of the coordinated and uncoordinated pyrazolyl rings on the NMR spectroscopic timescale.

Anion hydrogen bond effects in the formation of planar or quintuple helical coordination polymers.

A relatively inflexible 1D coordination polymer is induced to adopt either planar or quintuple helical supramolecular isomers according to the hydrogen bonding demands of the counter anions.

Anion binding and luminescent sensing using cationic ruthenium(II) aminopyridine complexes.

The synthesis of a series of ruthenium(II) based anion sensors of the type [Ru(eta(6)-C(6)H(4)MeCHMe(2))Cl(L)(2)][BF(4)] (2) is reported in which ligand L represents a series of substituted pyridinylmethyl-amine derivatives. The carbazole based ligand L(3) exhibits a fluorescent intraligand charge-transfer (ILCT) state that is quenched by ligand-to-metal charge transfer (LMCT) upon coordination to ruthenium in the 1:1 complex [Ru(eta(6)-C(6)H(4)MeCHMe(2))Cl(2)(L(3))] (1 c). The 1:2 complex 2 c is fluorescent, however, and acts as a fluorescent anion sensor because of the mixing of an anion-dependent charge-transfer component into the excited state.

The assessment of student reasoning in the context of a clinically oriented PBL program.

Background: Doctors' clinical reasoning ability significantly impacts upon their level of clinical competence. Throughout medical training students are given the opportunity to develop their reasoning ability in order to become appropriately clinically competent by graduation.

Aim: To develop an instrument to assess students' reasoning ability on a written case-based question which was aligned to their learning in a PBL program.

Prognostic factors in renal cell carcinoma: association of preoperative sodium concentration with survival.

Purpose: Conventional renal cell carcinoma (RCC) has a variable natural history, and determining individual prognosis is important to guide management. We have examined the prognostic significance of a large number of hematologic and biochemical variables, as well as traditional tumor-related factors in patients with RCC.

Experimental Design: Patients undergoing nephrectomy for newly diagnosed RCC between September 1998 and March 2005 were invited to participate.

Second-sphere interaction of anions with a weakly binding metal complex host: probing the effect of counteranions.

The reaction of [Re(OTf)(CO)5] with N-methylimidazole (MeIm) afforded [Re(CO)3(MeIm)3]OTf (1). The reactions of 1 with KPF6, NaBPh4 and NaBAr'4 (Ar' = 3,5-bis(trifluoromethyl)phenyl) afforded [Re(CO)3(MeIm)3]PF6 (2) [Re(CO)3(MeIm)3]BPh4 (3) and [Re(CO)3(MeIm)3]BAr'4 (4) respectively. An analogous reaction using N-phenylimidazole (PhIm) yielded [Re(CO)3(PhIm)3]BAr'4 (7).

A small tris(imidazolium) cage forms an N-heterocyclic carbene complex with silver(I).

A small, sterically rigid tris(imidazolium) cyclophane reacts with Ag2O to give an Ag(I) carbene complex in which one of the imidazolium moieties remains protonated.

The effect of micro-CN linkage isomerism and ancillary ligand set on directional metal-metal charge-transfer in cyanide-bridged dimanganese complexes.

The reaction of [Mn(CN)L'(NO)(eta(5)-C(5)R(4)Me)] with cis- or trans-[MnBrL(CO)(2)(dppm)], in the presence of Tl[PF(6)], gives homobinuclear cyanomanganese(i) complexes cis- or trans-[(dppm)(CO)(2)LMn(micro-NC)MnL'(NO)(eta(5)-C(5)R(4)Me)](+), linkage isomers of which, cis- or trans-[(dppm)(CO)(2)LMn(micro-CN)MnL'(NO)(eta(5)-C(5)R(4)Me)](+), are synthesised by reacting cis- or trans-[Mn(CN)L(CO)(2)(dppm)] with [MnIL'(NO)(eta(5)-C(5)R(4)Me)] in the presence of Tl[PF(6)]. X-Ray structural studies on the isomers trans-[(dppm)(CO)(2){(EtO)(3)P}Mn(micro-NC)Mn(CNBu(t))(NO)(eta(5)-C(5)H(4)Me)](+) and trans-[(dppm)(CO)(2){(EtO)(3)P}Mn(micro-CN)Mn(CNBu(t))(NO)(eta(5)-C(5)H(4)Me)](+) show nearly identical molecular structures whereas cis-[(dppm)(CO)(2){(PhO)(3)P}Mn(micro-NC)Mn{P(OPh)(3)}(NO)(eta(5)-C(5)H(4)Me)](+) and cis-[(dppm)(CO)(2){(PhO)(3)P}Mn(micro-CN)Mn{P(OPh)(3)}(NO)(eta(5)-C(5)H(4)Me)](+) differ, effectively in the N- and C-coordination respectively of two different optical isomers of the pseudo-tetrahedral units (NC)Mn{P(OPh)(3)}(NO)(eta(5)-C(5)H(4)Me) and (CN)Mn{P(OPh)(3)}(NO)(eta(5)-C(5)H(4)Me) to the octahedral manganese centre. Electrochemical and spectroscopic studies on [(dppm)(CO)(2)LMn(micro-XY)MnL'(NO)(eta(5)-C(5)R(4)Me)](+) show that systematic variation of the ligands L and L', of the cyclopentadienyl ring substituents R, and of the micro-CN orientation (XY = CN or NC) allows control of the order of oxidation of the two metal centres and hence the direction and energy of metal-metal charge-transfer (MMCT) through the cyanide bridge in the mixed-valence dications.

Au...Au interactions: Z ' > 1 behavior and structural analysis.

The tendency of molecules containing an Au...