Zum Gutachten „Biosphärenreservat Rhön: Bekanntheit und Anziehungskraft im Vergleich zu anderen Biosphärenreservaten in Deutschland“ : Zusammenfassung und Kommentierung

Das unveröffentlichte Gutachten „Biosphärenreservat Rhön: Bekanntheit und Anziehungskraft im Vergleich zu anderen Biosphärenreservaten in Deutschland“ basiert auf einer repräsentativen Bevölkerungsumfrage im Herbst 2003. Es wurde durch die Bayerische Bezirksregierung Unterfranken – vertreten durch die bayerische Verwaltungsstelle des UNESCO-Biosphärenreservats Rhön – in Auftrag gegeben und vom Institut für Demoskopie Allensbach erstellt. Ziel der deutschlandweit durchgeführten Befragung von 2059 Über-16-Jährigen war die Untersuchung der Kernfragen: „Das Biosphärenreservat Rhön gehört zu den flächenmäßig größten deutschen Biosphärenreservaten. Gehört es auch zu den bekanntesten? Und zu den attraktivsten?“ (IfD 2003) im Vergleich aller 14 deutschen Biosphärenreservate

Population-based patient care study for breast cancer

Background: Different approaches for an effective quality management are funded by the Ministry of Health to verify, to assess and, if necessary to optimize the quality of health care using the tracer diagnoses of breast, rectal, and lung cancer in eight regions in Germany. The conception of these observational studies and initial findings are shown here, using breast cancer in the region of Munich (population 2.4 million) as an example. Patients and Methods: The study started on April 1, 1996. The recruitment phase for all primary boast cancer patients in this region is planned for 2 years with a 3-5-year follow-up. Established documentation sheets are used to document basic medical information of each patient, along with the original reports (pathology: radiotherapy, doctors' reports, etc.), follow-up reports and quality of life questionnaires (QLQ, including the EORTC QLQ C30). Results: In 1996, the Munich region has a crude incidence of 125/100,000 women (world standard 71.5). After almost complete documentation the incidence is 10-15% higher. In the period from April 1 1996 to June 30, 1997 1,360 patients have been recruited into the study. 79% of the patients were 50 years of age or older. pT stages are distributed as follows: pTIS 5%, pT1 54%, pT2 32%, pT3 4%, pT4 6%. 4.5% had primary metastases. Breast-conserving therapy (BCT) was performed in 57% of patients. Five of the 46 departments involved recruited more than 50 patients each within these 14 months. These larger departments treat 59% of all patients. The proportion of older patients and pT4 stages is significantly higher in the smaller departments. BCT is performed significantly more often in the larger departments. First results of quality of life show dependencies on age, but no differences between mastectomy and BCT 3 months after operation. Not only the addressed patients (response rate to QLQ over 80%) but also almost all hospitals and many physicians are milling to support and to partake in quality assurance. 35 hospitals, 46 surgical departments. 80 heads of department and surgically: active general practioners, 330 general practioners. 7 radiotherapy departments, and 13 pathology departments have so far documented for this study. Conclusions: An effective quality management in oncology needs a modern cancer registry which uses documentation sheets as well as original reports and organizes the complicated infrastructure for an interdisciplinary cooperation. To be able to evaluate the health care reality it is necessary to carry out a data analysis and assess each individual case. A feedback of the results have to be available for each physician and each department. The cost of this information management is approximately 0.3% of the health care cost for this group of patients

CXS: Coherent X-ray scattering at the UE49-SGM at BESSY II

The coherent soft-x-ray scattering experiment CXS has been developed to study nano-structured magnetic and nonmagnetic thin film samples in transmission or reflection geometry. A nanometer precision movable sample stage in a 1 Tesla magnet vector field together with a movable CCD detector, variable in sample – CCD distance, allows both XMCD and XMLD experiments in transmission and reflection as well as imaging techniques such as Fourier transform holography and ptychography

Breast cancer: are long-term and intermittent endocrine therapies equally effective?

PURPOSE In breast cancer (BC), the duration of endocrine adjuvant therapies (AT) has been extended continuously up to 10~years. We present an alternative explanation for the effect, which could enable shorter treatments. METHOD The relevant literature on chemoprevention and (neo-)adjuvant therapy was reviewed. Data for initiation and growth of primary and contralateral BCs and their metastases (MET) were considered. Also, population-based data from the Munich Cancer Registry for MET-free survival, time trends of MET patterns, and survival achieved by improved ATs are used to estimate all events in the long-term follow-up. RESULTS Extended ATs (EAT) that continue after 1, 2, or 5~years reduce mortality only slightly. The effect is delayed, occurring more than 5~years after extension. EATs does not affect the prognosis of 1stBCs, they preventively eradicate contralateral 2ndBCs and thus their future life-threatening METs. Because chemoprevention can eradicate BCs from the smallest clusters to almost detectable BCs, ATs can be temporarily suspended without imposing harm. Results equal to EATs can be achieved by short-term ATs of the 1stBC and by repeated neo-ATs targeted at the indefinitely developing 2ndBCs. Considering this potential in de-escalation, a 70-80% reduction of overtreatment seems possible. CONCLUSION Knowledge of initiation and growth of tumors with known effects of neo-ATs suggest that intermittent endocrine ATs may achieve the same results as EATs but with improved quality of life and survival because of fewer side effects and better compliance. The challenge for developments of repeated ATs becomes: how short is short enough

Optical inter-site spin transfer probed by energy and spin-resolved transient absorption spectroscopy

Optically driven spin transport is the fastest and most efficient process to manipulate macroscopic magnetization as it does not rely on secondary mechanisms to dissipate angular momentum. In the present work, we show that such an optical inter-site spin transfer (OISTR) from Pt to Co emerges as a dominant mechanism governing the ultrafast magnetization dynamics of a CoPt alloy. To demonstrate this, we perform a joint theoretical and experimental investigation to determine the transient changes of the helicity dependent absorption in the extreme ultraviolet spectral range. We show that the helicity dependent absorption is directly related to changes of the transient spin-split density of states, allowing us to link the origin of OISTR to the available minority states above the Fermi level. This makes OISTR a general phenomenon in optical manipulation of multi-component magnetic systems. Optically driven spin transfer is the fastest process to manipulate magnetism. Here, the authors show that this process emerges as the dominant mechanism in femtosecond spin dynamics enabling to the engineering of functional magnetic systems for future all optical technologies

Spatial distribution of electric-field enhancement across the gap of terahertz bow-tie antennas

The electric-field enhancement in terahertz (THz) antennas designed for nonlinear THz spectroscopy of soft matter is characterized by spatially resolved electrooptic sampling. To mimic the relevant interaction geometry, metallic, resonant bow-tie antennas are deposited on a thin zinc telluride crystal of 10 µm thickness. The THz electric field transmitted through the antenna gap is recorded by electrooptic sampling. By focusing the 800 nm, sub-20 fs sampling pulses, we achieve a spatial resolution of some 3 µm, which is 1/3 to 1/8 of the antenna-gap width. The THz field in the gap displays an enhancement by a factor of up to 4.5 with a pronounced spectral variation, depending sensitively on the antenna-arm length and the gap width. By scanning the 800 nm probe spot laterally through the antenna gap, the spatial variation of the enhancement is determined, reaching the highest values at the edges of the gap. The results are in agreement with simulations of the electric-field distributions by finite-element calculations. © 2020 Optical Society of America under the terms of the OSA Open Access Publishing Agreemen

Changes in prognostic and therapeutic parameters in prostate cancer from an epidemiological view over 20 years

&lt;b&gt;&lt;i&gt;Background:&lt;/i&gt;&lt;/b&gt; The study objective was to examine changes in prognosis and treatment of prostate cancer patients over 20 years and to evaluate their impact on survival. &lt;b&gt;&lt;i&gt;Patients and Methods:&lt;/i&gt;&lt;/b&gt; 38,861 prostate cancer patients diagnosed between 1990 and 2010 and living in the catchment area of the Munich Cancer Registry were analysed. &lt;b&gt;&lt;i&gt;Results:&lt;/i&gt;&lt;/b&gt; Pre-therapeutic prostate-specific antigen (PSA) testing increased substantially in the early 1990s. A shift from capsule-exceeding tumours to capsule-limited tumours also took place especially in the 1990s. The proportion of radical prostatectomy increased continuously over the last 20 years from 20% to almost 50% whereas hormone therapy decreased from 55% to 18%. Radiation therapy and transurethral resection of the prostate increased slightly from about 5% to 10%. The 5- and 10-year relative survival rates increased from 92% to 97% and from 86% to 92%, respectively. &lt;b&gt;&lt;i&gt;Conclusions:&lt;/i&gt;&lt;/b&gt; 2 reasons may account for the rise in survival rates over 20 years: First, the establishment of widely used PSA testing resulted in a shift towards more favourable T categories due to the detection of many additional small tumours as well as the noticeable change in initial treatment strategy towards more radical prostatectomies. The second factor that likely increased survival was improvements in the therapies themselves.</jats:p

Picosecond x-ray magnetic circular dichroism spectroscopy at the Fe L-edges with a laser-driven plasma source

Time-resolved x-ray magnetic circular dichroism (XMCD) enables a unique spectroscopic view on complex spin and charge dynamics in multi-elemental magnetic materials. So far, its application in the soft-x-ray range has been limited to synchrotron-radiation sources and free-electron lasers. By combining a laser-driven plasma source with a magnetic thin-film polarizer, we generate circularly polarized photons in the soft x-ray regime, enabling the first XMCD spectroscopy at the Fe L edges in a laser laboratory. Our approach can be readily adapted to other transition metal L and rare earth M absorption edges and with a temporal resolution of < 10 ps, a wide range of ultrafast magnetization studies can be realized.Comment: 7 pages, 4 figures, supplemental materia

Accelerating double pulse all-optical write/erase cycles in metallic ferrimagnets

All-optical switching of magnetic order presents a promising route toward faster and more energy efficient data storage. However, a realization in future devices is ultimately dependent on the maximum repetition rates of optically induced write/erase cycles. Here, we present two strategies to minimize the temporal separation of two consecutive femtosecond laser pulses to toggle the out-of-plane direction of the magnetization of ferrimagnetic rare-earth transition metal alloys. First, by systematically changing the heat transfer rates using either amorphous glass, crystalline silicon, or polycrystalline diamond substrates, we show that efficient cooling rates of the magnetic system present a prerequisite to accelerate the sequence of double pulse toggle switching. Second, we demonstrate that replacing the transition metal iron by cobalt leads to a significantly faster recovery of the magnetization after optical excitation allowing us to approach terahertz frequency of write/erase cycles with a minimum pulse-to-pulse separation of 7 ps