A randomized trial of cisplatin, etoposide and bleomycin (PEB) versus carboplatin, etoposide and bleomycin (CEB) for patients with 'good-risk' metastatic non-seminomatous germ cell tumors

BACKGROUND: Cisplatin-based combination chemotherapy will cure 70% to 80% of patients with metastatic non-seminomatous germ cell tumors but is associated with the possibility of severe neuro-, oto- and nephro-toxicities. Carboplatin, a cisplatin analogue, is an active drug in testicular cancer with a more favourable spectrum of side effects. In a randomized trial, the German Testicular Cancer Study Group compared a combination regimen of carboplatin, etoposide and bleomycin (CEB) to standard cisplatin, etoposide and bleomycin (PEB) chemotherapy for patients with 'minimal-' and moderate-disease' non-seminomatous germ cell tumors, according to the Indiana University classification. PATIENTS AND METHODS: PEB was given for three cycles at standard doses (given days 1-5), and the CEB regimen consisted of carboplatin (target AUC of 5 mg/ml x min) on day 1, etoposide 120 mg/m2 on days 1 to 3 and bleomycin 30 mg on days 1, 8 and 15. Four cycles of CEB were given, with the omission of bleomycin in the fourth cycle. Thus, the cumulative doses of etoposide and bleomycin applied in the two treatment arms were comparable. Fifty-four patients were entered on the trial, 29 were treated with PEB and 25 with CEB chemotherapy. Patients were stratified according to disease extent (minimal versus moderate) and the degree of tumor marker elevation. Thirty-two patients (59%) belonged to the group with minimal disease and low markers. RESULTS: No significant difference in response to chemotherapy was seen between the two arms, with CR rates of 81% for the PEB arm and 76% for CEB treatment. However, more patients treated with CEB (32% versus 13%) have relapsed after therapy, and 4 patients (16%) have died of disease progression after CEP in contrast to 1 (3%) after PEB therapy. The first interim analysis of negative events (relapse, vital tumor at secondary resection, death from disease and therapy-associated death) showed a significantly higher rate after CEB than after PEB therapy, and the trial was terminated early. After a median follow-up of 33 months for all patients, the calculation of negative events is still significantly in favour of PEB-treated patient, particularly since three late relapses > 2 years have been observed in the CEB arm (P = 0.03). CONCLUSION: This randomized trial demonstrates that even with the use of adequate doses of etoposide and full-dose bleomycin, carboplatin cannot altogether replace cisplatin in patients with testicular cancer. Treatment with the PEB regimen remains the standard approach in patients with 'good-risk' non-seminomatous germ cell tumors.     

High-temperature,high-pressure thermophysical measurements on liquid zinc

Wire-shaped zinc samples were resistively volume heated as part of a fast-capacitor discharge circuit. Time-resolved measurements with submicrosecond resolution of the current through the specimen, the voltage drop across it, and the thermal expansion of the specimen as a function of time allow determination of the enthalpy, electrical resistivity, and density at different temperatures up to superheated liquid states of zinc far above the normal boiling point. High static pressures, up to 3800 bar of the ambient medium water, were used. An estimate of the critical pressure for zinc is given by investigations of the stability of the sample with a framing CCD camera, taking pictures of different samples varying the ambient static pressure. The critical volume and the critical temperature are obtained by means of an extrapolation of measured data at different pressures.Paper presented at the Fourth International Workshop on Subsecond Thermophysics, June 27–29, 1995, Köln, Germany.     

38. Generalversammlung von CENELEC

Ohne Zusammenfassung     

Ewald Hering und die Gegenfarbtheorie

Ewald Hering's color-opponent-theory is still considered one of the foundations of the visual sciences. Prior to Hering, Hermann v. Helmholtz introduced a theory of color appearance, which was based primarily on the physical aspects of the stimulus. In contrast to Helmholtz, Hering's theory strongly emphasized the subject's perception of color. As a consequence, Hering considered Helmholtz' theory inadequate. Contrary to some historical accounts, he did not object to Helmholtz's three-receptor explanation for color-mixture. Instead of Helmholtz' fundamental colors red, green, and blue, Hering suggested that the colors possess opponent character: blue-yellow; red-green; and, black-white. Helmholtz, on the other hand, refused to accept Hering's theory. Finally, a student with Helmholtz, Johannes v. Kries, developed the so-called “zone-theory”, which combines both, Young-Helmholtz's and Hering's theory at different stages of the visual information processing system.     

International collaboration: Will it be keeping alive East European research?

International scientific collaboration is very sensitive to political and economic changes in a country or a geopolitical region. Collaboration in research is reflected by the corresponding coauthorship of the published results which can be analysed with the help of bibliometric methods. Based on data from theScience Citation Index (SCI), the change of annual international coauthorship patterns ofBulgaria, Czechoslovakia, Hungary, Poland andRomania have been analysed for the periods 1981–1985 and 1984–1993, respectively. It is shown that international collaboration was not developing similarly in the countries under study. Whilst scientific communities of Hungary and Poland have already been opening in the early 80s, the international collaboration of the other East-European countries was still dominated by COMECON relations till 1989. As expected, since 1990 an increasing scientific collaboration with highly developed countries can be observed in all five countries. At the same time, scientific collaboration with the former communist countries shows a clear decline. The great share of international co-authorship links is some countries reflect various tendencies part of which are interpreted with the help of a cardiologic model.