[Paraneoplastic hyperleukocytosis in lung cancer]. / Paraneoplastische Hyperleukozytose bei Lungenkarzinom.

Paraneoplastic leukocytosis in solid tumors is associated with poor prognosis. While mild leukocytosis is common, paraneoplastic hyperleukocytosis is extremely rare. The case of a 73-year-old male diagnosed with an adenocarcinoma of the lung and a peak white blood cell count of 178,000/µl is reported. The patient succumbed to the disease after two cycles of immunochemotherapy only 2 months after first hospital admission. Specific treatment options are still under investigation and have not been reported in clinical use.

Correcting overestimated effect size estimates in multiple trials.

In a simulation study, Brand, Bradley, Best, and Stoica (2011) have shown that Cohen's d is notably overestimated if computed for data aggregated over multiple trials. Although the phenomenon is highly important for studies and meta-analyses of studies structurally similar to the simulated scenario, the authors do not comprehensively address how the problem could be handled. In this comment, we first suggest a corrective term d(')c that includes the number and correlation of trials. Next, the results of a simulation study provide evidence that the proposed dc' results in a more precise estimation of trial-level effects. We conclude that, in practice, d( ')c together with plausible estimates of inter-trial correlation will produce a more precise effect size range compared to that suggested by Brand and colleagues (2011).

Chemical and electrochemical reduction of polyarene manganese tricarbonyl cations: hapticity changes and generation of syn- and anti-facial bimetallic eta4,eta6-naphthalene complexes.

(Eta6-naphthalene)Mn(CO)(3)(+) is reduced reversibly by two electrons in CH(2)Cl(2) to afford (eta4-naphthalene)Mn(CO)(3)(-). The chemical and electrochemical reductions of this and analogous complexes containing polycyclic aromatic hydrocarbons (PAH) coordinated to Mn(CO)(3)(+) indicate that the second electron addition is thermodynamically easier but kinetically slower than the first addition. Density functional theory calculations suggest that most of the bending or folding of the naphthalene ring that accompanies the eta6 --> eta4 hapticity change occurs when the second electron is added. As an alternative to further reduction, the 19-electron radicals (eta6-PAH)Mn(CO)(3) can undergo catalytic CO substitution when phosphite nucleophiles are present. Chemical reduction of (eta6-naphthalene)Mn(CO)(3)(+) and analogues with one equivalent of cobaltocene affords a syn-facial bimetallic complex (eta4,eta6-naphthalene)Mn(2)(CO)(5), which contains a Mn-Mn bond. Catalytic oxidative activation under CO reversibly converts this complex to the zwitterionic syn-facial bimetallic (eta4,eta6-naphthalene)Mn(2)(CO)(6), in which the Mn-Mn bond is cleaved and the naphthalene ring is bent by 45 degrees . Controlled reduction experiments at variable temperatures indicate that the bimetallic (eta4,eta6-naphthalene)Mn(2)(CO)(5) originates from the reaction of (eta4-naphthalene)Mn(CO)(3)(-) acting as a nucleophile to displace the arene from (eta6-naphthalene)Mn(CO)(3)(+). Heteronuclear syn-facial and anti-facial bimetallics are formed by the reduction of mixtures of (eta6-naphthalene)Mn(CO)(3)(+) and other complexes containing a fused polycyclic ring, e.g., (eta5-indenyl)Fe(CO)(3)(+) and (eta6-naphthalene)FeCp(+). The great ease with which naphthalene-type manganese tricarbonyl complexes undergo an eta6 --> eta4 hapticity change is the basis for the formation of both the homo- and heteronuclear bimetallics, for the observed two-electron reduction, and for the far greater reactivity of (eta6-PAH)Mn(CO)(3)(+) complexes in comparison to monocyclic arene analogues.