Gonadoblastoma: clinicopathologic correlation in six patients

Six patients with a total of nine gonadoblastomas are presented; three--and possibly a fourth--had dysgerminomatous overgrowth which was massive in two patients. Calcification detected by abdominal films was present in three sufficient for preoperative diagnosis. All patients were found to have a Y stem line on peripheral leukocyte chromosome cultures except one patient, who had a 46 XX/45 XO karyotype. She was found to have Y chromatin bodies in the germ cells of her tumor which was in a normal ovary found at exploration for an ectopic pregnancy. Three were found in virilized phenotypic females investigated for amenorrhea, and two for therapy of pelvic masses due to dysgerminomatous overgrowth. Y chromatin studies are reported on gonadal tissue.     

Isolated dislocation of the carpal scaphoid

A case of isolated dislocation of the carpal scaphoid is presented and the literature on the subject reviewed. An analysis has been made of the cases reported and attention is drawn to certain features which are common to most of the cases.     

The existence of a fatigue syndrome after glandular fever

This prospective cohort study was designed to test whether a distinct fatigue syndrome existed after the onset of glandular fever. Two hundred and fifty primary care patients, with either glandular fever or an ordinary upper respiratory tract infection (URTI) were interviewed three times in the 6 months after the clinical onset of their infection. At each interview a standardized psychiatric interview was given and physical symptoms were assessed. There were 108 subjects with and Epstein-Barr virus (EBV) infection; 83 subjects had glandular fever not caused by EBV and 54 subjects had an ordinary URTI. Five subjects were excluded because they had no evidence of an infection. Principal components analyses of symptoms supported the existence of a fatigue syndrome, particularly in the two glandular fever groups. The addition of symptoms not elicited by the standard interviews gave the full syndrome. This included physical and mental fatigue, excessive sleep, psychomotor retardation, poor concentration, anhedonia, irritability, social withdrawal, emotional lability, and transient sore throat and neck gland swelling with pain. A fatigue syndrome probably exists after glandular fever.     

Gonadoblastoma: histologic, ultrastructural, and histochemical observations in five cases

In this series of gonadoblastomas it appeared that the germ cells were the motivating force underlying either tumor proliferation or regression. The ultrastructural morphology confirmed the presence of undifferentiated gonadal cells with active steroid synthesis by the interstitial cells. The Call-Exner-like bodies which showed extensive calcification were composed of basement membrane material containing a sulfated mucosubstance. A histochemical comparison with the noncalcifying Call-Exner bodies of a granulosa-cell tumor differed only in their glycoprotein content. The calcium deposits were identified as oriented hydroxyapatite crystals by electron diffraction, and it is proposed that the basement membrane material serves as a nucleation site for calcification. High serum testosterone levels were correlated with the presence solely of interstitial cells in one case. The finding of a gonadoblastoma without the presence of a Y chromosome contradicts earlier proposals concerning the requirement of a Y chromosome for germ cell proliferation.     

Diffraction from a Natural Grain Boundary in a Magnetite Bicrystal

The structure of a natural small-angle boundary in a magnetite bicrystal was investigated by X-ray diffraction. This boundary was a "general" type with a mixed twist and tilt character. The grain-boundary reflections observed around an 040 matrix reflection were in good agreement with those predicted by Boll-mann's O-lattice theory. These extra reflections appear to arise from a predominantly planar dislocation network. The structural width of the boundary, determined from the length of the relrods of the grain-boundary reflections, was of the order of four unit cells, close to the average spacing of the expected dislocation network.     

量度及預測隧道鑽機的土傳噪音及震動

在市區進行夜間隧道鑽挖工程所產生的土傳噪音及震動,容易引起投訴。現時的技術難以準確預測噪音及震動的級數,而隧道工程的進度也常因進行隧道鑽挖工程時產生過大的土傳噪音及震動而延誤。本文所提述的新技術,可以更準確地量度及預測鑽機震動強度及土壤傳震的特性@個技術包括測量單位衝擊力及隧道鑽機摩擦力所產生的震動級數鋵嵲珈?80於代,美國政府運輸部門(U.S.DeptofTransportationFederalTransitAdministrative)已研發相關的技術,並將該技術應用於鐵路土傳噪音量度及預測上。本文報告隧道鑽機所產生的土傳噪音及震動級數1/3倍頻帶數值的量度及預測。比較地面震動峰值速度(PPV)、最高(Lmax)噪聲和振動級數按快速和緩慢的時間常數和整體百分比(Percentile)數值列出。