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  • 2000-2004  (5)
  • General Chemistry  (3)
  • Prognostic factors  (2)
  • 1
    ISSN: 1436-2813
    Keywords: Key Words Ductal pancreatic carcinoma ; Curative resection ; Prognostic factors
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The fate of patients with potentially resectable carcinomas is not only determined by the pTNM tumor stage, but also possibly by tumor-biological factors. The aim of this study was to identify these prognostic factors in patients undergoing primary curative (R0) resection. The study retrospectively analyzed 113 patients with ductal adenocarcinoma who were operated on between 1986 and 1995. R0 resection was able to be performed in 93 patients. Lymph node metastases were found in 73%. The rates of lymph vessel and perineural invasion were 83.5% and 45%, respectively. Among the 25 carcinomas without lymph node metastases, 64% already had lymph vessel invasion and 48% had perineural invasion. The cumulative 5-year survival rate of the 91 surviving patients analyzed was 10.5%. Depending on the tumor stage we found a significant difference in 5-year survival rates between patients without lymph node metastases (26.5%) and those with lymph node involvement (5%) (P = 0.008). A multivariate analysis only identified lymph vessel invasion (L0/1), tumor size (≦/≦2 cm), and tumor grading (G) to have significant and independent prognostic value. Lymph vessel invasion, tumor size, and tumor grading proved to be independent factors determining long-term prognosis.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Langenbeck's archives of surgery 385 (2000), S. 14-20 
    ISSN: 1435-2451
    Keywords: Key words Ductal pancreatic carcinoma ; Prognostic factors ; Surgical treatment
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract  Background and aims: The average 5-year survival rate following resection of a ductal adenocarcinoma of the pancreas is 10%, worldwide. Despite increasing resection rates, only about 20% can be operated on with curative intent. A differential histopathological analysis of the resected tumors may help to justify expanding the surgical procedure by extended lymph-node dissection. Patients/methods: Between January 1986 and December 1995, a total of 113 patients underwent resection with curative intent for a ductal pancreatic carcinoma with regional lymph-node dissection. All histological findings were reviewed and reclassified in accordance with the 1997 Union Internationale Contra la Cancrum (UICC) classification. Survival data for all of these patients were obtained from family doctors and registration offices. Independent prognostic factors were statistically analyzed. Results: Of the 113 patients, 93 received an R0 resection. The postoperative mortality rate was 2.2% (2 of 93). More than one-half of the tumors had a diameter of between 2.1 cm and 4 cm. Among the 22 tumors measuring up to 2 cm in diameter, 41% already had lymph-node metastasis and 86% invasion of the lymphatic vessels. Carcinomas measuring between 4.1 cm and 6 cm were all associated with lymph-vessel invasion. Perineural invasion was present in 50% of the tumors. A noteworthy finding was the fact that 64% of the 25 tumors with negative lymph nodes had lymph-vessel invasion, and 48% perineural invasion. The cumulative 5-year survival rate of the R0-resected patients was 10.5%. Patients with lymph-node-negative stages survived significantly longer (26.5%) than patients with lymph-node-positive stages (5%). Furthermore, a significant difference was seen between pN1a and pN1b (16.7% vs 2.2%). Multivariate analysis identified tumor grading, tumor size and lymph vessel invasion as independent prognostic factors. Conclusions: Apart from the factors tumor size and tumor grading, lymph-vessel invasion appears to be of special significance for the long-term prognosis. Already in the pN0 stage, the latter was present in 64% of the cases and must be considered a precursor of lymphogenic metastasization. Since lymph-vessel invasion was demonstrated in 86% of tumors measuring less than 2 cm, the therapeutic consequence for all ductal pancreatic tumors is an extended lymphatic and soft tissue dissection that goes beyond the regional lymph-node stations.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1434-1948
    Keywords: NLO materials ; Second harmonic generation ; Two-photon fluorescence ; Solvatochromism ; Electrochemistry ; Sesquifulvalene ; Sandwich complex ; Chemistry ; General Chemistry
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology
    Notes: In order to investigate nonlinear optical properties, in particular second harmonic generation (SHG) of organometallic complexes, numerous dipolar monocationic sesquifulvalene complexes of the general form [Mc-Z-C7H6]+ have been synthesised (Mc = metallocenyl), wherein the metallocenyl moiety Mc acts as an electron donor, and the tropylium cation C7H6+ as an electron acceptor. The mutual electronic influence of the donor and the acceptor groups is warranted by a linking spacer Z, which is a single bond [Mc = CpFeC5H4 (4a); Mc = CpRuC5H4 (4b)], an unsaturated bridge containing olefins [Z = (E-CH=CH)n: n = 1, Mc = CpFeC5H4 (25a), Mc = CpRuC5H4 (25b); n = 2, Mc = CpFeC5H4 (26); n = 3, Mc = CpFeC5H4 (27)], or thiophene units [Z = 2,5-C4H2S, Mc = CpFeC5H4 (28); Z = 5,5′-(2,2′-C4H2S)2, Mc = CpFeC5H4 (29); Z = 2-(5-E-CH=CH)C4H2S, Mc = CpFeC5H4 (30)]. For the salts of 4a·BF4, 4b·PF6 and 25a·PF6 X-ray structure determinations have been performed [4a·BF4: orthorhombic, Pnma, = 21.75(2), b = 9.900(2), c = 6.881(3) Å, V = 1482.0(15) Å3, Z = 4; 4b·PF6: monoclinic, P2(1)/c, a = 8.104(3), b = 18.206(14), c = 11.228(4) Å, β = 107.59(3), V = 1579.1(15) Å3, Z = 4; 25a·PF6: triclinic, P1bar, a = 10.067(6), b = 10.496(6), c = 11.418(6) Å, α = 94.07(4), β = 110.96(4), γ = 102.88(5)°, V = 1083.1(11) Å3, Z = 2]; the solid state structures indicate an almost coplanar arrangement of the organic π-system. Cyclic voltammetry studies reveal an irreversible one-electron reduction and an electrochemically reversible one-electron oxidation step for the ferrocenyl derivatives, whereas the ruthenocenyl derivatives demonstrate an irreversible two-electron oxidation. The redox potentials clearly indicate that the oxidation occurs at the metallocene unit, and the reduction is localised on the tropylium entity. In the electronic absorption spectra two intense bands are observed in the region 400 〈 λ 〈 900 nm which undergo strong negative solvatochromic shifts. The origin of the high-energy absorption band is assumed to be an interligand charge-transfer (LL-CT) transition, and the low-energy absorption band is assigned to a donor-acceptor charge-transfer (DA-CT) transition. Whereas the LL-CT is continuously shifted to lower energy with increasing spacer length, the energy of the DA-CT approaches a limiting value. A comparable phenomenon is also observed for the difference between the oxidation and reduction potentials obtained from electrochemical studies. Investigations concerning the nonlinear optical properties of the dipolar cationic sesquifulvalene complexes by means of hyper-Rayleigh scattering (HRS) indicate that the ferrocenyl derivatives fluoresce due to two-photon absorption whereas the ruthenocenyl congeners exhibit second harmonic generation with considerably larger first hyperpolarizability which is partly resonance-enhancement based.
    Additional Material: 8 Ill.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Weinheim : Wiley-Blackwell
    Berichte der deutschen chemischen Gesellschaft 2000 (2000), S. 771-781 
    ISSN: 1434-1948
    Keywords: Cooperative effects ; Coordination modes ; Nickel ; Bimetallic complexes ; π interactions ; Chemistry ; General Chemistry
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology
    Notes: Different cooperative binding modes of nitriles within the bimetallic pocket of a pyrazolate-based compartmental dinickel(II) site have been studied. The H3O2-bridged dinuclear complex 1 reacts with cyanamide to yield 4, in which a secondary hydrogencyanamido(1-) bridge spans the two metal centers at an unusually short metal-metal distance imposed by the primary ligand matrix. In 5, a single 2-cyanoguanidine (cnge) molecule is N-bound to one nickel(II) ion through its nitrile part and is coordinated to the adjacent metal site through an amido nitrogen. The characteristics of the coordination spheres of the metal centers suggest an additional side-on π-bonding interaction of the nitrile moiety with the second high-spin nickel(II) ion. This unusual interaction is corroborated by comparing the IR bands for the ν(C≡N) stretching vibration of 5 with those of complex 6, which has two end-on bound cnge molecules, and those of the related mononuclear complex 7, which lacks a second nickel(II) ion. The nature of the π-bonding interaction in 5 is further analyzed by DFT calculations on relevant model systems. Even though the π-bonding is found to be very weak, it does include some backbonding from occupied 3d MOs at the second high-spin nickel(II) ion to the π* MOs of the nitrile. Such an unconventional π-interaction is suggested to be enforced by the constrained fixation of the nitrile unit within the highly organized coordination pocket of the bimetallic framework. In contrast, the bifunctional 2-hydroxybenzonitrile is accommodated by the distinct binding of the nitrile and phenolate functions to the different metal centers in 8, which confirms that the simultaneous binding of both an OR-function and an end-on bound nitrile is indeed feasible within the active site pocket. Such a situation is reminiscent of the bimetallic effect that has been assumed to enable the cooperative hydration of nitriles at the dinickel(II) site of 1. Complexes 4·(ClO4)2, 5·(ClO4)2, 6·(ClO4)3, 7·(ClO4)(BPh4), and 8·(ClO4)2 have been characterized structurally by X-ray crystallography.
    Additional Material: 10 Ill.
    Type of Medium: Electronic Resource
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  • 5
    ISSN: 1434-1948
    Keywords: Lanthanide(III) ; Ytterbium ; Aryloxides ; Fluorine ; C-F Activation ; Chemistry ; General Chemistry
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology
    Notes: Reaction of [Yb(OAr)2(THF)3] (OAr = OC6H2-2,6-tBu2-4-R; R = H, Me, tBu) with perfluorodecalin in THF at room temperature results in C-F activation and formation of the first heteroleptic aryloxofluorolanthanoid complexes, [Yb(OAr)2F(THF)]2. Oxidation of bis(cyclopentadienyl)ytterbium(II) with perfluoro(methylcyclohexane) or perfluorodecalin in DME surprisingly gives unsolvated [YbCp2F]3. The analogous reaction of bis(methylcyclopentadienyl)ytterbium(II) yields unsolvated [Yb(MeCp)2F]4, whilst in THF, the oxidation provides [Yb(MeCp)2F(THF)]2. Treatment of [YbCp2F(THF)]2 with triphenylphosphane oxide gives [YbCp2F(OPPh3)]2. X-ray structure determinations revealed [Yb(OAr)2F(THF)]2 (R = H or tBu) to be centrosymmetric fluoride-bridged dimers with five-coordination for ytterbium. Examination of the structures of the cyclopentadienyl complexes showed that [YbCp2F]3 is trimeric with formal eight-coordination for ytterbium and a planar (YbF)3 ring, whereas [Yb(MeCp)2F]4 is an eight-coordinate tetramer having a puckered (YbF)4 ring with F-Yb-F angles of ca. 90° and Yb-F-Yb angles close to 180° [178.9(4), 168.4(3)°]. Both [Yb(MeCp)2F(THF)]2 and [YbCp2F(OPPh3)]2 are nine-coordinate fluoride-bridged dimers.
    Additional Material: 6 Ill.
    Type of Medium: Electronic Resource
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