Management of germ cell tumors in children: Approaches to cure

The introduction of cisplatinum chemotherapy and current advances in the surgical treatment have resulted in a dramatic improvement of the prognosis of children with malignant germ cell tumors (GCT). Cisplatinum chemotherapy generally results in sufficient systemic tumor control, but local relapses may still occur in patients who did not receive adequate local treatment. Therefore, the therapeutic consideration must take into account age, primary site of the tumor, and its histology. In gonadal tumors, there is a high chance of primary complete resection since these tumors tend to be encapsulated, and particularly testicular GCT are often detected at a low tumor stage. In contrast, a primary complete resection may be impossible in large nongonadal tumors such as sacrococcygeal or mediastinal GCT. In these tumors, a neoadjuvant or pre-operative chemotherapy after clinical diagnosis by imaging and evaluation of tumor markers significantly facilitates complete resection on delayed surgery. In addition, the impact of chemotherapy on local tumor control may be enhanced by locoregional hyperthermia. In most intracranial GCT complete resection is impossible and may be associated with significant morbidity. Nevertheless, biopsy is essential for diagnosis in nonsecreting tumors. In intracranial GCT, radiotherapy significantly contributes to local tumor control, and doses are stratified according to histology. These general considerations have been integrated into national and international cooperative treatment protocols. In most current protocols, treatment is stratified according to an initial risk assessment that includes the parameters age, site, histology, stage, completeness of resection and the tumor markers alpha(1)-fetoprotein (AFP) and human choriogonadotropin (beta-HCG). With such modern protocols overall cure rates above 80% can be achieved. Moreover, the previously high-risk groups may now expect a favorable prognosis with this risk-adapted treatment, whereas an increasing number of low-risk patients are treated expectantly or with significantly reduced chemotherapy. As current biologic studies reveal distinct genetic patterns in childhood GCT, it can be expected that further combined clinical and genetic studies will be valuable for risk assessment of childhood GCT

Glatiramer acetate does not protect from acute ischemic stroke in mice

Background The role of the immune system in the pathophysiology of acute ischemic stroke is increasingly recognized. However, targeted treatment strategies to modulate immunological pathways in stroke are still lacking. Glatiramer acetate is a multifaceted immunomodulator approved for the treatment of relapsing-remitting multiple sclerosis. Experimental studies suggest that glatiramer acetate might also work in other neuroinflammatory or neurodegenerative diseases apart from multiple sclerosis. Findings We evaluated the efficacy of glatiramer acetate in a mouse model of brain ischemia/reperfusion injury. 60 min of transient middle cerebral artery occlusion was induced in male C57Bl/6 mice. Pretreatment with glatiramer acetate (3.5 mg/kg bodyweight) 30 min before the induction of stroke did not reduce lesion volumes or improve functional outcome on day 1. Conclusions Glatiramer acetate failed to protect from acute ischemic stroke in our hands. Further studies are needed to assess the true therapeutic potential of glatiramer acetate and related immunomodulators in brain ischemia

Insights into intermetallic phases on pulse welded dissimilar metal joints

The Magnetic Pulse Welding (MPW) process has been developed to an industrially used joining method which is considered to be a fast, noncontact, clean and "cold" solid state welding process. Unlike fusion welding, the absence of direct heat during the welding cycle makes it possible to join dissimilar metals, for instance aluminium to copper or copper to steel, without noticeable detrimental metallurgical defects. This is very desirable, as today s industry lacks technologies to join often not fusion-weldable dissimilar materials effectively. However, current metallographic studies show that for many material combinations the formation of intermetallic seams in the joint region of magnetic pulse welds can not be completely avoided. Modern technical equipment for MPW is used to join aluminium with copper in order to study the microstructure and the intermetallic phases formed in the weld region in dependence of the processing parameters. The welds are analysed by means of metallographic and electron microscopic (SEM) methods. Relations between the parameters and the microstructures formed within the weld joints are shown. Based on the obtained results conclusions will be drawn with respect to the intermetallic phase formation process and the optimization of the weld microstructure and properties

To relate surface properties and surface elemental composition - Application of XPS in soil science

Soil particles always are coated by thin layers (nm to µm) of predominantly organic compounds that form the interface between particle and pore space and govern soil functioning (e.g. liquid transport, sorption, respiration). Chemical modification of the surface layer can change surface properties such as wettability (quantified in terms of contact angle CA) with implications for e.g. liquid distribution and sorption capacity. This points to the importance to specifically analyze the coating's chemical composition in order to better understand soil functioning. The shallow analysis depth (max. 10 nm) indicates X ray photoelectron spectroscopy (XPS) as a suitable tool. Here, all elements with Z ≥ 3 will be identified by the binding energy of the photoelectrons emitted after irradiation of the surface by X rays. In sensu stricto only applicable to flat and smooth surfaces our results so far prove applicability of XPS as well to rough surfaces such as soil particles. For XPS no sample pre-treatment is needed, i.e. the surfaces analyzed are those governing e.g. CA and sorption. The relation between surface elemental composition and CA could be demonstrated within a soil chronosequence where the changes of surface element contents due to an increasing coating of the particles by organic compounds and microorganisms were correlated to increasing CA. The surface O/C ratio could be identified as a general parameter linking surface chemical composition and CA for a wide range of different materials including hydrophobized glass slides while the amount of non-polar C species was indicated to define CA. Artificially induced modifications of surface properties became visible by changes in the surface elemental composition. Gentle crushing of soil microaggregates (SMA) resulted in slightly increased N contents hinting on a preferred location of N compounds within SMA. Exposition to HCl gas to decrease soil pH or cleaning of quartz sand by HCl treatment resulted in addition of Cl and removal of Fe, respectively. However, due to its high surface sensitivity XPS measures the presence of C species on all surfaces exposed to the environment (adventitious carbon AC). AC was found to complicate the verification of sorption of small amounts of organic acids to montmorillonite, pointing on the necessity to estimate the influence of AC in certain cases. On the other hand, detection of AC indicates AC as a factor to be considered when discussing surface properties

Influence of Axial Workpiece Positioning during Magnetic Pulse Welding of Aluminum-Steel Joints

Magnetic Pulse Welding (MPW) offers a method to economically join similar and dissimilar metals without the need for external physical or chemical binders, while avoiding the adverse heating effects seen in many welding techniques. MPW allows for the fabrication of joints via the harnessing of Lorentz forces, which result from discharging a current pulse through a coil. In the process an outer piece (flyer) is accelerated onto an inner piece (parent), and welding is achieved using propagating impact fronts. There are several geometrical factors to be considered including the flyer-coil distance, the parentflyer distance, as well as the axial relationship between flyer and coil (working length). Various shapes of the front are possible and each configuration has its own advantages and drawbacks. The goal of this work is to show not only how the aforementioned parameters are related, but also ways to optimize front propagations, which are vital to the welding result. This is done primarily by determining the influence of the working length of tubular MPW specimens. It is shown that for steel-aluminum joints in the given arrangements, three different front regimes exist, which are related to geometrical factors. These results are especially useful to avoid seemingly favorable but nevertheless suboptimal conditions for flyer movement that would reduce weld quality and energy efficiency of the process

Kinematical analysis of emotionally induced facial expressions in patients with obsessive–compulsive disorder

Background: Motor function is deficient in many patients with obsessive–compulsive disorder (OCD), especially in the face. To investigate subtle motor dysfunction, kinematical analysis of emotional facial expressions can be used. Our aim was to investigate facial movements in response to humorous film stimuli in OCD patients.; Method: Kinematical analysis of facial movements was performed. Ultrasound markers at defined points of the face provided exact measurement of facial movements, while subjects watched a humorous movie (‘Mr Bean’). Thirty-four OCD patients (19 male, 15 female; mean (S.D.) age: 35·8 (11·5) years; mean (S.D.) total Y-BOCS score: 25·5 (5·9)) were studied in unmedicated state and after a 10-week treatment with the SSRI sertraline. Thirty-four healthy controls (19 male, 15 female; mean (S.D.) age: 37·5 (13·1) years) were also investigated.; Results: At baseline, OCD patients showed significantly slower velocity at the beginning of laughing than healthy controls and a reduced laughing frequency. There was a significant negative correlation between laughing frequency and severity of OCD symptoms. Ten weeks later a significant increase of laughing frequency and initial velocity during laughing was found.; Conclusions: Execution of adequate facial reactions to humour is abnormally slow in OCD patients. Susceptibility of OCD patients with regard to emotional stimuli is less pronounced than in healthy subjects. This phenomenon is closely correlated to OCD symptoms and is state-dependent.Peer Reviewe

Circularly Polarized Luminescence of [6]Helicenes through Excited-State Intramolecular Proton Transfer

We present the concept of combining circularly polarized luminescence (CPL) and excited-state intramolecular proton transfer (ESIPT) features into a single molecule as a strategy to generate high-performance ESIPT-based CPL materials. For this purpose, a [6]helicene bearing two ESIPT structural units was synthesized using a double Suzuki–Miyaura reaction and a double C(sp2)−H hydroxylation approach. The photophysical properties of the doubly hydroxylated [6]helicene were studied in parallel with a non-hydroxylated [6]helicene control compound, revealing that the presence of a chiral [6]helicene unit results in a strong CPL response and the presence of the ESIPT units in a considerable red shift. The red-shifted emission along with the outstanding glum (≈10−2) and a large Stokes shift makes the doubly hydroxylated [6]helicene a promising candidate for use in optoelectronics