Pituitary surgery for small prolactinomas as an alternative to treatment with dopamine agonists

Despite the fact that consensus guidelines recommend long-term dopamine agonist (DA) therapy as a first-line approach to the treatment of small prolactinoma, some patients continue to prefer a primary surgical approach. Concerns over potential adverse effects of long-term medical therapy and/or the desire to become pregnant and avoid long-term medication are often mentioned as reasons to pursue surgical removal. In this retrospective study, 34 consecutive patients (30 female, 4 male) preferably underwent primary pituitary surgery without prior DA treatment for small prolactinomas (microprolactinoma 1-10mm, macroprolactinoma 11-20mm) at the Department of Neurosurgery, University of Bern, Switzerland. At the time of diagnosis, 31 of 34 patients (91%) presented with symptoms. Patients with microprolactinomas had significantly lower preoperative prolactin (PRL) levels compared to patients with macroprolactinomas (median 143μg/l vs. 340μg/l). Ninety percent of symptomatic patients experienced significant improvement of their signs and symptoms upon surgery. The postoperative PRL levels (median 3.45μg/l) returned to normal in 94% of patients with small prolactinomas. There was no mortality and no major morbidities. One patient suffered from hypogonadotropic hypogonadism after surgery despite postoperative normal PRL levels. Long-term remission was achieved in 22 of 24 patients (91%) with microprolactinomas, and in 8 of 10 patients (80%) with macroprolactinomas after a median follow-up period of 33.5months. Patients with small prolactinomas can safely consider pituitary surgery in a specialized centre with good chance of long-term remission as an alternative to long-term DA therap

Spring-block approach for nanobristle patterns

A two dimensional spring-block type model is used to model capillarity driven self-organization of nanobristles. The model reveals the role of capillarity and van der Waals forces in the pattern formation mechanism. By taking into account the relevant interactions several type of experimentally observed patterns are qualitatively well reproduced. The model offers the possibility to generate on computer novel nanobristle based structures, offering hints for designing further experiments.Comment: 6 pages, 6 figure

VO2 Phase Change Electrodes in Li-ion Batteries

Use of electrode materials that show phase change behavior and hence drastic changes in electrochemical activity during operation, have not been explored for Li-ion batteries. Here we demonstrate the vanadium oxide (VO2) cathode that undergoes metal-insulator transition due to first-order structural phase transition at accessible temperature of 68{\deg}C for battery operation. Using a suitable electrolyte operable across the phase transition range and compatible with vanadium oxide cathodes, we studied the effect of electrode structure change on lithium insertion followed by the electrochemical characteristics above and below the phase transition temperature. The high-temperature VO2 phase shows significantly improved capacitance, enhanced current rate capabilities, improved electrical conductivity and lithium-ion diffusivity compared to the insulating low temperature phase. This opens up new avenues for electrode designs, allowing manipulation of electrochemical reactions around phase transition temperatures, and in particular enhancing electrochemical properties at elevated temperatures contrary to existing classes of battery chemistries that lead to performance deterioration at elevated temperatures.Comment: 21 pages, 4 figure

Growth of carbon nanotubes on quasicrystalline alloys

We report on the synthesis of carbon nanotubes on quasicrystalline alloys. Aligned multiwalled carbon nanotubes (MWNTs) on the conducting faces of decagonal quasicrystals were synthesized using floating catalyst chemical vapor deposition. The alignment of the nanotubes was found perpendicular to the decagonal faces of the quasicrystals. A comparison between the growth and tube quality has also been made between tubes grown on various quasicrystalline and SiO2 substrates. While a significant MWNT growth was observed on decagonal quasicrystalline substrate, there was no significant growth observed on icosahedral quasicrystalline substrate. Raman spectroscopy and high resolution transmission electron microscopy (HRTEM) results show high crystalline nature of the nanotubes. Presence of continuous iron filled core in the nanotubes grown on these substrates was also observed, which is typically not seen in MWNTs grown using similar process on silicon and/or silicon dioxide substrates. The study has important implications for understanding the growth mechanism of MWNTs on conducting substrates which have potential applications as heat sinks

Probing low-density carriers in a single atomic layer using terahertz parallel-plate waveguides

As novel classes of two-dimensional (2D) materials and heterostructures continue to emerge at an increasing pace, methods are being sought for elucidating their electronic properties rapidly, non-destructively, and sensitively. Terahertz (THz) time-domain spectroscopy is a well-established method for characterizing charge carriers in a contactless fashion, but its sensitivity is limited, making it a challenge to study atomically thin materials, which often have low conductivities. Here, we employ THz parallel-plate waveguides to study monolayer graphene with low carrier densities. We demonstrate that a carrier density of ~2 × 1011 cm−2, which induces less than 1% absorption in conventional THz transmission spectroscopy, exhibits ~30% absorption in our waveguide geometry. The amount of absorption exponentially increases with both the sheet conductivity and the waveguide length. Therefore, the minimum detectable conductivity of this method sensitively increases by simply increasing the length of the waveguide along which the THz wave propagates. In turn, enabling the detection of low-conductivity carriers in a straightforward, macroscopic configuration that is compatible with any standard time-domain THz spectroscopy setup. These results are promising for further studies of charge carriers in a diverse range of emerging 2D materials

Nature inspired solid–liquid phase amphibious adhesive

Here we report a new class of bio-inspired solid–liquid adhesive, obtained by simple mechanical dispersion of PVDF (polyvinylidene fluoride) (solid spheres) into PDMS (polydimethylsiloxane) (liquid). The adhesive behavior arises from strong solid–liquid interactions. This is a chemical reaction free adhesive (no curing time) that can be repeatedly used and is capable of instantaneously joining a large number of diverse materials (metals, ceramic, and polymer) in air and underwater. The current work is a significant advance in the development of amphibious multifunctional adhesives and presents potential applications in a range of sealing applications, including medical ones

Structural Reinforcement through Liquid Encapsulation

The liquid inside a solid material is one of the most common composite materials in nature. The interface between solid–liquid plays an important role in unique deformation. Here, model systems of two polymers (polydimethylsiloxane–polyvinylidenefluoride) are used to make sphere of solid with liquid inside it