Endometrial carcinoma after cyclical oestrogen-progestogen therapy for Turner's syndrome

A case of endometrial adenocarcinoma in a patient with Turner's syndrome who had received long term combined oestrogen-progestogen therapy is described.

Further studies on age and trypanosome infection rates in glossina pallidipes aust., g. palpalis fuscipes newst. and g. brevipalpis newst. in Uganda

Between June 1964 and May 1965, samples of Glossina pallidipes Aust., G. palpalis fuscipes Newst. and G. brevipalpis Newst. were caught in an area on the north-eastern shore of Lake Victoria in Uganda. Both males and females were classified into age-categories according to the degree of wear of the wings. Females were also classified into ovarian age-categories according to the exact or approximate number of ovulations that had taken place. All were examined for presence of infections with Trypanosoma, which were classified as vivax-type, congolense-type or brucei-type according to their location in the flies.

The percentage compositions of the samples by wing-fray category are compared. The mean wing-fray category of females of G. palpalis fuscipes and G. brevipalpis was somewhat lower, and that of females of G. pallidipes somewhat higher, than that of the corresponding males. However, the figures for infection rate in females of all three species were higher than in the corresponding males, significantly so in G. pallidipes and G. palpalis fuscipes, and it seems probable that the mean age of females, at least of the two latter species, was greater than that of males. Among females, the range of calendar ages of flies in the various fray categories was wide.

The physiological age-determination method, in which females older than about 42 days are classified iDto four age-categories, does not extend sufficiently far to give a reasonable pattern for the age-composition of any of the species at Lugala, and many of the individuals caught must have been more than about 80 days old.

Seasonal fluctuations in mean wing-fray and in the proportion of old flies in the population were correlated with changes in infection rate of females of G. palpalis fuscipes but not of females of G. pallidipes. Among males of neither species were seasonal fluctuations in mean fray correlated with changes in infection rate, though among those of G. palpalis fuscipes the two varied similarly between June and February.

Females of G. pallidipes and G. palpalis fuscipes about 31–42 days old had significantly fewer brucei-type infections than those over 42 days old, and either the developmental cycle in the field must normally be longer than that recorded in laboratory investigations or many of the flies must become infected when more than just a few days old.

Studies on age and trypanosome infection rate in females of Glossina pallidipes Aust., G. palpalis fuscipes Newst. and G. brevipalpis Newst. in Uganda

During 1964–65, 1,646 newly emerged females of Glossina pallidipes Aust., 1,898 of G. palpalis fuscipes Newst. and 2,528 of G. brevipalpis Newst. were marked and released in an area on the north-eastern shore of Lake Victoria in Uganda so that, by examination of those subsequently recaptured, the relation between physiological and calendar age could be determined. In the light of the results, records of physiological age and trypanosome infections in large numbers of wild-caught females of the same three species caught in the same area in 1962–63 were examined, together with published observation on the animals on which they fed, and the effects of age and food-animals on the incidence of infections were investigated.

Physiological age was determined by examination of the reproductive system and was expresses as the exact or approximate number of ovulations that had taken place. Infections with Trypanosoma were classified as brucei-type, vivax-type or congolense-type, and the last two as mature (infective) or immature, according to the sites in which trypanosomes were found in the flies. All brucei-type infections were regarded as mature.

The relation between physiological and calender age indicated that the length of the ovulation cycle was 11 days in G. pallidipes, 11 1/2 in G. brevipalpis and about 15 in G. palpalis fuscipes, but from other evidence that the last figure should have been about 11 days it is considered that ovulation was retarded in the released females of G. palpalis fuscipes.

The incidence of mature vivax- and congolense- type infections rose with age in all three species, beginning for the most part when flies were about a fortnight old. Brucei-type infections were rare and were found only in flies more than about 35 days old; nearly all flies with such infections also had one or both of the other types. The incidence of immature vivax-type infections rose with age up to about 25 days and then levelled off, which suggests that all eventually became mature. Immature congolense-type infections were rare.

G. pallidipes had the highest total infection rate and G. brevipalpis the lowest. The percentage of order flies in the samples was, however, greater in the later than in G. palpalis fuscipes, which suggests that age is not the sole factor determining infection rate. Food-animals appeared to influence it, since the infection rates of the three species were proportional to the percentages of meals obtained from Bovids.

The age at which females were inseminated was lowest in G. palpalis fuscipes, greatest in G. pallidipes and intermediate in G. brevipalpis. Abnormal ovulation cycles were rare in wild-caught flies, and few females that from their age should have been pregnant were found with an empty uterus.

Seasonal and diurnal variations in physiological age and trypanosome infection rate of females of Glossina pallidipes Aust., G. palpalis fuscipes Newst. and G. brevipalpis Newst

A series of 24-hr. catches of Glossina from bait-oxen was carried out during 16 months in 1962–63 at Lugala, Uganda, where G. pallidipes Aust., G. palpalis fuscipes Newst. and G. brevipalpis Newst. occur. Female flies were dissected to determine their physiological age and the presence or absence of trypanosomes. Five age-categories were distinguished, depending on whether a fly had ovulated 0, 1, 2, 3 or more (4 + ) times. Flies remained in each of the first four categories for about 11 days and the fifth therefore comprised those over 40–50 days old. Trypanosome infections were classified as brucei-type, vivax-iype or congolense-type (i.e., attributable to trypanosomes of the groups of Trypanosoma brucei, T. vivax and T. congolense) according to the sites in which they were found.

In all three species of Glossina, vivax-tjpe infections were commonest and alone showed seasonal fluctuations in incidence. Infections of the brucei-type were rare. The total infection rate (all types) in G. pallidipes and G. palpalis fuscipes was highest in or immediately after months of greatest rainfall and relatively lower in dry months; the highest infection rates in G. brevipalpis occurred a month later than those of the other two species. Over 80 per cent, of infections in all three were found in category 4+ flies, the percentage of which in the catches varied in much the same way as the total infection rate, suggesting not only that the flies live longest during wet periods but also that fluctuations of infection rate are largely due to changes in mean age. The regression of total infection rate on percentage of category 4 + flies was significant for G. palpalis fuscipes over 14 months, and for G. pallidipes over 12 months, but insignificant for G. brevipalpis.

The age-composition of catches of G. pallidipes and G. brevipalpis but not G. palpalis fuscipes varied during the day. In G. pallidipes, the percentage of older flies was higher in the middle of the day than in the early morning and late evening, and these contrasts were reflected in the infection rate, which was highest in samples taken in the middle of the day. In G. brevipalpis, the percentage of oldier flies and also the infection rate were lower during the night than during the day.

Estimates were made of the mean number of bites by infected females that would be received by one ox in one day. The number varied from month to month, with peaks shortly after periods of high rainfall, mainly as a result of changes in fly density and relatively little as a result of changes in infection rate. G. pallidipes, the most numerous species, was responsible for most of the potentially infective bites.

Seasonal abundance and diurnal variations in activity of some Stomoxys and Tabanidae in Uganda

The results are described of 202 24-hr, catches of Stomoxys and Tabanids on cattle at Lugala on the north-eastern shore of Lake Victoria, and also of six 24-hr, catches at Sukulu, 33 miles from Lugala, all of which were made in 1961–63.

Species of Tabanus and Ancala were more abundant in open grassland than inside the edge of the lake-shore forest. Stomoxys nigra, Macq. and S. Calcitrans (L.) were equally numerous in both situations, whereas S. omega Newst. was most abundant inside the forest edge.

Many species were caught during all months of the year. In both catching areas, there were seasonal rises in numbers of nearly all species between May and August and again in November or December, that is, towards the end of the rains and early in the dry seasons. At one of the two areas there was also a large increase in catch of a few species in April, in the middle of the main wet season.

Diurnal activity of Tabanus and Ancala was greatest near the middle of the day, the exact timing of the peak varying with season. Four species of Haematopota exhibited morning and evening peaks with lower activity at midday, and a rather rare fifth species was apparently more active in the middle of the day. Three species of Stomoxys were also most active in the morning and late evening, but peak activity of a fourth species, S. calcitrans, occurred shortly after midday. Activity during the night was rare.