An unusual cause of gynaecomastia in a male

Summary: Beta-human chorionic gonadotropin (βhCG) is normally produced by syncytiotrophoblasts of the placenta during pregnancy and aids embryo implantation. However, it is also secreted in varying amounts in non-pregnant conditions commonly heralding a neoplastic process. We present a case of 50-year-old man, who presented with bilateral gynaecomastia with elevated testosterone, oestradiol, suppressed gonadotropins with progressively increasing levels of human chorionic gonadotropin (hCG). Biochemical and radiological investigations including ultrasonography of testes, breast tissue, MRI pituitary and CT scan full body did not identify the source of hCG. FDG PET scan revealed a large mediastinal mass with lung metastasis. Immunostaining and histological analysis confirmed the diagnosis of primary choriocarcinoma of the mediastinum. It is highly aggressive and malignant tumor with poor prognosis. Early diagnosis and management are essential for the best outcome. Learning Points: High βhCG in a male patient or a non-pregnant female suggests a paraneoplastic syndrome. In the case of persistently positive serum hCG, exclude immunoassay interference by doing the urine hCG as heterophilic antibodies are not present in the urine. Non-gestational choriocarcinoma is an extremely rare trophoblastic tumor and should be considered in young men presenting with gynaecomastia and high concentration of hCG with normal gonads. A high index of suspicion and extensive investigations are required to establish an early diagnosis of extra-gonadal choriocarcinoma. Early diagnosis is crucial to formulate optimal management strategy and to minimize widespread metastasis for best clinical outcome

Finding the Origin of the Pioneer Anomaly

Analysis of radio-metric tracking data from the Pioneer 10/11 spacecraft at distances between 20 - 70 astronomical units (AU) from the Sun has consistently indicated the presence of an anomalous, small, constant Doppler frequency drift. The drift can be interpreted as being due to a constant acceleration of a_P= (8.74 \pm 1.33) x 10^{-8} cm/s^2 directed towards the Sun. Although it is suspected that there is a systematic origin to the effect, none has been found. As a result, the nature of this anomaly has become of growing interest. Here we present a concept for a deep-space experiment that will reveal the origin of the discovered anomaly and also will characterize its properties to an accuracy of at least two orders of magnitude below the anomaly's size. The proposed mission will not only provide a significant accuracy improvement in the search for small anomalous accelerations, it will also determine if the anomaly is due to some internal systematic or has an external origin. A number of critical requirements and design considerations for the mission are outlined and addressed. If only already existing technologies were used, the mission could be flown as early as 2010.Comment: 21 SS pages, 4+1 figures. final changes for publicatio

Anomalous Hall effect in NiPt thin films

We study Hall effect in sputtered NixPt1-x thin films with different Ni concentrations. Temperature, magnetic field and angular dependencies are analyzed and the phase diagram of NiPt thin films is obtained. It is found that films with sub-critical Ni concentration exhibit cluster-glass behavior at low temperatures with a perpendicular magnetic anisotropy below the freezing temperature. Films with over-critical Ni concentration are ferromagnetic with parallel anisotropy. At the critical concentration the state of the film is strongly frustrated. Such films demonstrate canted magnetization with the easy axis rotating as a function of temperature. The magnetism appears via consecutive paramagnetic - cluster glass - ferromagnetic transitions, rather than a single second-order phase transition. But most remarkably, the extraordinary Hall effect changes sign at the critical concentration. We suggest that this is associated with a reconstruction of the electronic structure of the alloy at the normal metal - ferromagnet quantum phase transition.Comment: 12 pages, 17 figure

Cosmology with Varying Constants

The idea of possible time or space variations of the `fundamental' constants of nature, although not new, is only now beginning to be actively considered by large numbers of researchers in the particle physics, cosmology and astrophysics communities. This revival is mostly due to the claims of possible detection of such variations, in various different contexts and by several groups. Here, I present the current theoretical motivations and expectations for such variations, review the current observational status, and discuss the impact of a possible confirmation of these results in our views of cosmology and physics as a whole.Comment: 14 pages, no figures. Essay to appear in Phil. Trans. Roy. Soc. Lond. A Triennial Series (Christmas 2002 Issue

Power Corrections in Charmless B Decays

In this paper, we focus on the role of power corrections in QCD factorization(QCDF) method in charmless two-body nonleptonic $B$ meson decays. We use the ratio of the branching fraction of $B^+ \to \pi^+ K^{\ast 0}$ to that of $B^0 \to \pi^- \rho^+$, for which the theoretical uncertainties are greatly reduced, to show clearly that the power corrections in charmless B decays are probably large. With other similar ratios considered, for example, for the $B^0 \to K^- \rho^+$ decay, it is very likely that, among various sources of power corrections, annihilation topology plays an indispensable role at least for penguin dominated $\rm PV$ channels. We also consider some selective ratios of direct CP asymmetries. Among these, we find that, if power corrections other than the chirally enhanced power corrections and annihilation topology were negligible, QCDF would predict the direct CP asymmetry of $B \to \pi^+ \pi^-$ to be about 3 times larger than that of $B \to \pi^\pm K^\mp$, with opposite sign. Experimentally any significant deviation from this prediction would suggest either new physics or possibly the importance of long-distance rescattering effects.Comment: references and note added, to appear in Phys. Rev.

Factors affecting metal mobilisation during oxidation of sulphidic, sandy wetland substrates

Most metals accumulate as sulphides under anoxic conditions in wetland substrates, reducing their bioavailability due to the solubility of metal sulphides. However, upon oxidation of these sulphides when the substrate is occasionally oxidised, metals can be released from the solid phase to the pore water or overlaying surface water. This release can be affected by the presence of carbonates, organic matter and clay. We compared changes of Cd, Cu and Zn mobility (CaCl2 extraction) during oxidation of a carbonate-rich and a carbonate-poor sulphidic, sandy wetland substrate. In addition, we studied how clay with low and high cation sorption capacity (bentonite and kaolinite, respectively) and organic matter (peat) can counteract Cd, Cu and Zn release during oxidation of both carbonate-rich and carbonate-poor sulphidic sediments. CaCl2-extractability of Cu, a measure for its availability, is low in both carbonate-poor and carbonate-rich substrates, whereas its variability is high. The availability of Cd and Zn is much higher and increases when peat is supplied to carbonate-poor substrates. A strong reduction of Cd and Zn extractability is observed when clay is added to carbonate-poor substrates. This reduction depends on the clay type. Most observations could be explained taking into account pH differences between treatments, with kaolinite resulting in a lower pH in comparison to bentonite. These pH differences affect the presence and characteristics of dissolved organic carbon and the metal speciation, which in turns affects the interaction of metals with the solid soil phase. In carbonate-rich substrates, Cd and Zn availability is lower and the effects of peat and clay amendment are less clear. The latter can also be attributed to the high pH and lack of pH differences between treatments

Effect of online social networking on employee productivity

The popularity of social networking sites is relatively recent and the effect of online social networking (OSN) on employee productivity has not received much scholarly attention. The reason most likely lies in the social nature of social networking sites and OSN, which is assumed to have a negative effect on employee productivity and not bear organisational benefit. This reseach investigated recent Internet developments as seen in the social Web and specifically investigated the effect of OSN on employee productivity and what some of the consequences would be if employees were allowed unrestricted access to these networks. The findings concerning the nature of employees' OSN activities, employees' attitude or perceptions with regard to OSN in the workplace and how OSN can contribute or affect the productivity of employees are discussed in this article. Some of the basic misconceptions regarding OSN are highlighted and it is concluded that this technology can be used to increase collaboration between individuals who share a common interest or goal. Increased collaboration will stimulate knowledge sharing between individuals, with the possible effect of increased productivity. However, the risks associated with OSN should be noted, such as loss of privacy, bandwidth and storage consumption, exposure to malware and lower employee productivity

Neutron-Capture Elements in the Double-Enhanced Star HE 1305-0007: a New s- and r-Process Paradigm

The star HE 1305-0007 is a metal-poor double-enhanced star with metallicity [Fe/H] $=-2.0$, which is just at the upper limit of the metallicity for the observed double-enhanced stars. Using a parametric model, we find that almost all s-elements were made in a single neutron exposure. This star should be a member of a post-common-envelope binary. After the s-process material has experienced only one neutron exposure in the nucleosynthesis region and is dredged-up to its envelope, the AGB evolution is terminated by the onset of common-envelope evolution. Based on the high radial-velocity of HE 1305-0007, we speculate that the star could be a runaway star from a binary system, in which the AIC event has occurred and produced the r-process elements.Comment: 4 pages, 3 figures, paper accepted for publication in Chinese Physics letter