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51.
Three affected siblings with the hermaphrodism are described. The propositi showed the following characteristics: male phenotype and gender role, hypospadias, bilateral scrotal ovotestes with palpable nodules, and absence of müllerian structures. The X chromatin was positive and the Y chromatin was negative in the 3 affected subjects. Their karyotype in peripheral blood lymphocytes and in gonadal fibroblasts was 46,XX and no Y chromosome fluorescence was observed. Plasma FSH was elevated in the 2 older patients and plasma LH was elevated only in the oldest. Plasma testosterone was low and plasma estradiol high in the 3 siblings; plasma progesterone was elevated in 2, but normal in 1 sibling. Since some of the clinical characteristics of these 3 affected siblings are not the most common features in the majority of sporadic cases of true hermaphrodism, it is suggested that the presence of all of them may be the first clue for the clinical suspicion of the familial type of true hermaphrodism.  相似文献   
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Energy-barrier models are analyzed to find hidden assumptions and establish ranges of validity. The analysis proceeds by comparison with integrated results for model continuum membranes. The main conclusions are that a simple energy-barrier model has a wide range of validity, is remarkably accurate even when its conditions of validity are not strictly met, and is almost always superior to the analogous equations of irreversible thermodynamics. Its major limitations are a possible nonphysical divergence at high electric fields or volume flows caused by breakdown of the transition-state approximation, and the inability to treat multicomponent mixtures except in a pseudobinary (Nernst-Planck) approximation.  相似文献   
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Hydrobiologia - Floodplains are some of the most productive and diverse ecosystems on Earth. The Usumacinta River Basin, in the Southern Gulf of Mexico, hosts several floodplain lakes, whose...  相似文献   
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Thirty-five patients (23 males) with asymptomatic hyperuricemia for at least two years underwent two-dimensioal ultrasonography of knees and ankles. Urate deposits (tophi) in tendons, synovium, and other soft tissues were detected in 12 patients (34%). Increased vascularity (inflammation) was evident in 8 of these patients (23%). Tophi were more frequently found in knees than in ankles and were especially prevalent in the distal patellar tendon. The presence of tophi was unrelated to the known duration of hyperuricemia (mean, 5 years). Ultrasonography allows detection of tophi and inflammation in a third and in a fourth, respectively, of asymptomatic hyperuricemic patients.  相似文献   
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