Dysgerminoma in three patients with Swyer syndrome

<p>Abstract</p> <p>Background</p> <p>Dysgerminoma is the most common malignant germ cell tumor of the ovary. This malignancy can be associated with pure gonadal dysgenesis or Swyer syndrome, mixed gonadal dysgenesis and partial gonadal dysgenesis.</p> <p>Case presentation</p> <p>Dysgerminoma developed in 3 phenotypic female patients with 46 XY pure gonadal dysgenesis. All patients presented first with abdominopelvic mass. Laparatomy was done. 46 XY karyotype was made by lymphocyte culture. Then these patients underwent gonadectomy that histopathology results were streak ovaries without evidence for malignancy. Two patients received postoperative adjuvant therapy.</p> <p>Conclusion</p> <p>In Patients with Swyer syndrome the risk of dysgerminoma is high and gonadectomy is recommended. Also 5% of dysgerminomas are discovered in phenotypic female and 46 XY karyotype, thus in adolescent with dysgerminoimas and amenorrhea, karyotype should be done.</p

Changing of model of medical staff's motivation and pay in connection with the transformation of healthcare facilities in communal non-profit enterprises

The article is devoted to changes in the model of medical staff’s motivation and pay, the expediency of which has arisen in connection with the transformation of healthcare facilities into communal non-profit enterprises. The changes between public healthcare facilities and communal non-profit enterprises were studied according to the following criteria: organizational and legal form, status, financing, activity planning, form of accounts, reporting, audit. The main stages of the process of reorganization of healthcare facilities and their transformation into communal non-profit enterprises are considered. The distribution of types of medical care depending on the type of services and the qualifications of specialists who provide care, is provided. New models of medical staff’s motivation and pay that can be used after the transformation of public healthcare facilities are considered

Investigation of spin-orbit interaction in AlGaN/GaN heterostructures with large electron density

Magnetotransport phenomena in the high-density two-dimensional electron gas of AlGaN/GaN heterostrutures are investigated. Peculiarities of low- and high-field magnetotransport measurements in the temperature range from 0.3 to 10 K are discussed. The weak localization and antilocalization effects are observed and analyzed. The Rashba constant describing the spin-orbit interaction is extracted from the results of low-field magnetotransport for the structure with 33% aluminum content in the barrier and an electron sheet density of 1.1 x 10(13) cm(-2) and appears to be of 1.01 x 10(-10) eV cm

Selection for increased nitrogen fixation in red clover

Plants were selected and bred from the modal yield class of the population and from the class showing the largest yield (and nitrogen content), under conditions of test-tube culture using a single strain of rhizobia as inoculum. Progeny tests made on about 60 crosses within each group over two generations showed larger yields in families raised from the most effective parent plants, but the average effect of selection was small (about 5% dry weight increase). When the same material was tested with other strains of bacteria the effect of selection was less, but did not entirely disappear. In these conditions, selection was partly for increased symbiotic nitrogen fixation and partly for tolerance of the restricted conditions of growth. RESP-653

Formation of ultrapotassic magma via crustal contamination and hybridization of mafic magma: an example from the Stomanovo monzonite, Central Rhodope Massif, Bulgaria

Generally all orogenic ultrapotassic rocks are formed after melting of metasomatized sub-continental lithospheric mantle via subducted crustal mica-bearing lithologies. Here we present another possible model, based on the study of the small Stomanovo ultrapotassic monzonite porphyry intrusion in the Central Rhodope Massif, Bulgaria. The monzonite dated at 30.50 ± 0.46 Ma is intruded into the voluminous Oligocene (31.63 ± 0.40 Ma) Bratsigovo–Dospat ignimbrite. The monzonite hosts both normally and reversely zoned clinopyroxene phenocrysts. The normally zoned clinopyroxene is characterized by gradually diminishing core-to-rim Mg no. (89–74), whereas the reversely zoned clinopyroxene has green Fe-rich cores (Mg no. 71–55) mantled by normally zoned clinopyroxene (Mg no. 87–74). Neither the core of the normally zoned clinopyroxene nor the Fe-rich green cores are in equilibrium with the host monzonite. This ultrapotassic monzonite shows more radiogenic Sr isotopes ((87Sr/86Sr)i = 0.71066) and ϵNd(t) = −7.8 to −8.0 that are distinct from the host ignimbrites with (87Sr/86Sr)i = 0.70917–0.70927 and ϵNd(t) = −4.6 to −6.5. The Sr–Nd isotopic data and the presence of copious zircon xenocrysts from the underlying metamorphic basement suggest extensive crustal assimilation. Our observations indicate that the Stomanovo ultrapotassic monzonite formed after extensive lower or middle crustal fractional crystallization from an evolved magma producing cumulates. The process was followed by hybridization with primitive mantle-derived magma and subsequent continuous crustal contamination. We suggest that instead of inheriting their high K2O and large-ion lithophile element enrichments from slab-derived/metasomatic fluids, the Stomanovo ultrapotassic monzonite may owe some of its unusually high alkalinity to the assimilation of potassium-rich phases from the Rhodope Massif basement rocks