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The methanol-catalyzed elimination of Cl^- from the “activated” anionic species [PPN][Ru3(μ-Cl)(μ-PhCCPh)(CO)9] (1) in the presence of bis(diphenylphosphino)methane (dppm) constitutes a rational high-yield route (>90%) to either the unique unsaturated 46-e (alkyne)triruthenium cluster, Ru3(μ-PhCCPh)(CO)7(dppm) (2), or its 48-e CO adduct, Ru3(μ-PhCCPh)(CO)8(dppm) (3). Whereas the CO-induced conversion of 2 into 3 is complete within few seconds at 25 °C under 1 atm of CO, the reverse transformation takes 1 h at 80 °C. The X-ray structure analysis of 2 is reported, revealing a perpendicular conformation of the alkyne relative to the metal triangle. The high reactivity of 2 is substantiated by a high chemical reactivity toward 2-e donors. Its reaction with 1 equiv of dppm (25 °C, 3 h) leads to the bis-dppm-substituted complex, Ru3(μ-PhCCPh)(CO)6(dppm)2 (4) (53% yield). Reaction of 2 with hydrogen gas (1 atm, 25 °C, 10 min) yields the dihydrido species, Ru3(μ-H)2(μ-PhCCPh)(CO)7(dppm) (5) (89% yield) existing as a mixture of two isomers differing in the orientation of the alkyne relative to the edge-bridging dppm ligand. Complex 2 reacts with a terminal alkyne like phenylacetylene under mild conditions to afford a mixture of the “fly-over” type compound Ru3{μ-HCC(Ph)C(O)(Ph)CCPh}(dppm)(CO)6 (6) (57% yield) and the diruthenacyclopentadiene derivative Ru2{μ-HCC(Ph)(Ph)CCPh}(μ-dppm)(CO)4 (7) (20% yield). The structure of 6 reveals the occurrence of a disymmetric edge-bridging dialkenyl ketone ligand HC&dbd;C(Ph)C(O)(Ph)C&dbd;CPh, resulting from regioselective coupling between the two alkynes and a carbonyl group. The formal unsaturation of 6 is masked by a weak interaction between the terminal C−Ph bond of the organic chain and one of the metal centers. Facile loss of this interaction is induced by mild thermolysis of 6. As a consequence, free rotation of the organic moiety around the metal−metal edge brings the opposite end of the organic chain (i.e., the C−H bond) close to the opposite face, thereby favoring CH activation to convert the alkenyl end into a vinylidene. This leads to quantitative formation of the vinylidene alkenyl ketone derivative, Ru3(μ-H){μ-CC(Ph)C(O)(Ph)CCPh}(dppm)(CO)6 (8) (94% yield). The X-ray structure of 8 is reported. Unsuccessful attempts to release the organic moiety from the cluster core are described. The reaction of a THF solution of 6 with CO in a reactor [P(CO) = 10 atm, T = 80 °C] leads to the new binuclear “fly-over” species Ru2{μ-HCC(Ph)C(O)(Ph)CCPh}(CO)6 (9a), thereby indicating that elimination of the edge-bridging dppm and cluster fragmentation are more favorable than elimination of a free ketone from the intact cluster. The X-ray structure of Ru2{μ-HCC(C3H7)C(O)(Ph)CCPh}(CO)6 (9b) (resulting from the coupling between diphenylacetylene and 1-pentyne) is reported.

Une jeune femme de 44 ans présentant un volvulus appendiculaire secondaire à un mucocèle appendiculaire. La symptomatologie d’un volvulus appendiculaire est semblable à celle d’une appendicite aiguë. Le diagnostic est souvent fait en per-opératoire. En cas de volvulus secondaire, la prise en charge chirurgicale est celle de la pathologie sous-jacente ; appendicectomie et résection du méso-appendice dans notre cas.

Les futurs chirurgiens doivent acquérir des compétences techniques et non techniques. Ces aptitudes non techniques sont définies par « une combinaison de savoirs cognitifs, sociaux, et ressources personnelles complémentaires des savoir-faire procéduraux ». La simulation en santé permet d’associer ces apprentissages.

The carbene anions [Cp‘(CO)2Mn&dbd;C(OEt)CHR]^- ([1]^-, Cp‘ = η⁵-MeC5H4; R = H, Me) react at −78 °C with the α,β-unsaturated ketones R¹(H)C&dbd;C(H)C{O}Me (2, R¹ = H, Me, Ph) to give the Michael adducts Cp‘(CO)2Mn&dbd;C(OEt)CH(R)CH(R¹)CH2C{O}Me (3) upon acidic hydrolysis at low temperature. By contrast, quenching the reaction after warming up to room temperature allows isolation of the cyclohexenone complexes Cp‘(CO)2Mn(η²-CH=CHCH(R)CH(R¹)CH2C{O}) (5), from which the corresponding substituted 2-cyclohexenones (9) can be readily released by reaction with triphenylphosphine or carbon monoxide.