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Aeolianite successions of low-gradient continental margins commonly show complex records of coastal dune deposition linked to a wide range of sea-level positions and climatic periods of the middle and late Pleistocene, recording both regional and broader-scale drivers of sediment production, coastal dune development and landform preservation. To better characterise the general pattern of sedimentation that occurs over Quaternary glacial–interglacial cycles on low-gradient, temperate carbonate continental shelves we examine the morphology, stratigraphy and age of aeolianite deposits in the Perth region, Western Australia. This includes an analysis of well-defined drowned coastal landforms preserved on the adjacent shelf. New and previously published optical ages provide a preliminary timeframe for the deposition of aeolianite in the Perth region and on Rottnest Island, 17 km offshore. An extensive aeolianite ridge near Perth, representing a former barrier, has Optically Stimulated Luminesence (OSL) ages that range from 120 ± 12 to 103 ± 10 ka (MIS 5e–5a in the context of associated age uncertainties). OSL ages for an exposure in the same ridge 2.5 km inland, record the onlap of much older aeolianite, OSL age 415 ± 70 ka, by shell-rich estuarine beds, OSL age 290 ± 30 ka. A further 5.5 km inland from the coast, two thick aeolianite units, separated by a well-developed palaeosol, have stratigraphically consistent OSL ages of 310 ± 30 and 155 ± 20 ka. In contrast, aeolianite units that form the northern coast of Rottnest Island have OSL ages of 77 ± 12 ka and 27 ± 5 ka. The new OSL ages and previously reported TL and U/Th ages indicate that the bulk of the island comprises dunes deposited around the end of the Last Interglacial sensu lato (MIS 5a–4) and during the Last Glacial (MIS 4–2), accumulating over a Last Interglacial coral reef and basal calcarenite. Drowned barrier and dune landforms preserved on the adjacent continental shelf reveal that barriers were formed during periods of intermediate sea level (e.g. MIS 3) and significant dune mobility occurred when the shelf was subaerially exposed. The pattern of shelf sedimentation discernible in the Perth region – large-scale coastal carbonate dune deposition during periods of high and intermediate sea level and reactivation during glacial lowstands – is largely consistent with published stratigraphic and age data for large-scale aeolianite deposits on other low-gradient carbonate shelves. Based on these data, a general model is proposed for the cycle of Quaternary sedimentation and landform evolution that occurs on these shelves, which are dynamic sedimentary environments with coastal landforms and sedimentary successions that are very sensitive to erosion and sediment reworking. [ABSTRACT FROM AUTHOR]

Gliosarcoma is a rare histopathological subtype of glioblastoma. Metastatic spreading is unusual. In this report, we illustrate a case of gliosarcoma with extensive extracranial metastases with confirmation of histological and molecular concordance between the primary tumor and a metastatic lesion of the lung. Only the autopsy revealed the extent of metastatic spread and the hematogenous pattern of metastatic dissemination. Moreover, the case bared a familial coincidence of malignant glial tumors as the patient's son was diagnosed with a high-grade glioma shortly after the patient's death. By molecular analysis (Sanger and next generation panel sequencing), we could confirm that both patient's tumors carried mutations in the TP53 gene. Interestingly, the detected mutations were located in different exons. Altogether, this case draws attention to the fact that sudden clinical aggravation could be caused by the rare phenomenon of metastatic spread and should therefore be always taken into consideration, even at an early disease stage. Furthermore, the presented case highlights the contemporary value of autoptic pathological examination. [ABSTRACT FROM AUTHOR]

Background This prospective multicenter study assessed the prognostic influence of the extent of resection when compared with biopsy only in a contemporary patient population with newly diagnosed glioblastoma. Patients and methods Histology, O6-methylguanine-DNA methyltransferase (MGMT) promoter methylation status, and clinical data were centrally analyzed. Survival analyses were carried out with the Kaplan–Meier method. Prognostic factors were assessed with proportional hazard models. Results Of 345 patients, 273 underwent open tumor resection and 72 biopsies; 125 patients had gross total resections (GTRs) and 148, incomplete resections. Surgery-related morbidity was lower after biopsy (1.4% versus 12.1%, P = 0.007). 64.3% of patients received radiotherapy and chemotherapy (RT plus CT), 20.0% RT alone, 4.3% CT alone, and 11.3% best supportive care as an initial treatment. Patients ≤60 years with a Karnofsky performance score (KPS) of ≥90 were more likely to receive RT plus CT (P < 0.01). Median overall survival (OS) (progression free survival; PFS) ranged from 33.2 months (15 months) for patients with MGMT-methylated tumors after GTR and RT plus CT to 3.0 months (2.4 months) for biopsied patients receiving supportive care only. Favorable prognostic factors in multivariate analyses for OS were age ≤60 years [hazard ratio (HR) = 0.52; P < 0.001], preoperative KPS of ≥80 (HR = 0.55; P < 0.001), GTR (HR = 0.60; P = 0.003), MGMT promoter methylation (HR = 0.44; P < 0.001), and RT plus CT (HR = 0.18, P < 0.001); patients undergoing incomplete resection did not better than those receiving biopsy only (HR = 0.85; P = 0.31). Conclusions The value of incomplete resection remains questionable. If GTR cannot be safely achieved, biopsy only might be used as an alternative surgical strategy. [ABSTRACT FROM PUBLISHER]

Abstract: The Daly River occupies a mainly undisturbed large catchment in the Australian wet–dry tropics. Concerns about possible increased sediment input to the River from clearing and cropping have motivated this study of fine sediment sources. Using geochemical tracers for both modern sediments and alluvial bench deposits, it is shown that, for the last ~30 years, 89–97% of the fine sediment originates from erosion by gullying and channel change. There is no discernible input of top soil from the cleared land adjacent to the Daly River in the study area. The analysis and OSL dating of the alluvial benches have also provided data on the age of (and inferences about the causes of) bench formation, flood frequency change, sedimentation rate change, and episodes of sand transport. The benches are being destroyed as the channel widens (contributing sediment to the river) and the bed of the Daly appears to be shallowing, both responses to increased overbank flows. The sediment source created by channel widening is almost all the result of hydrologic change, with no discernible role for land use. [Copyright &y& Elsevier]

PURPOSE: To analyse long-term outcome and clinical prognostic factors in medulloblastoma. METHODS: We analysed 280 patients with medulloblastoma (3-18 years) included from 1991 to 1997 in the randomised multicentre trial HIT'91 comparing pre-('sandwich') and postradiation ('maintenance') chemotherapy (median follow-up of survivors for 10 years). RESULTS: In 187 patients with complete staging, overall survival (OS) was higher after maintenance compared to sandwich treatment for M0 (10-year OS 91% and 62%, p=0.001) and M1 patients (10-year OS 70% and 34%, p=0.020). In M2/3 disease, 10-year OS was 42% and 45%. Incomplete staging, metastases, younger age and sandwich chemotherapy were independent adverse risk factors. Twelve percent of all relapses (13 of 107) occurred after more than five years, and 12 patients had secondary neoplasms. CONCLUSIONS: After maintenance therapy, long-term survival was excellent in fully assessable patients with localised medulloblastoma, and favourable for M1 patients. Patients should be followed longer for late relapses and secondary tumours. [ABSTRACT FROM AUTHOR]