Renopancreatic transplant. Urologic complications

OBJECTIVE: Retrospective study of urological complications in our series of reno-pancreatic transplants. MATERIAL AND METHODS: Between February 1983 and May 1994 our group has conducted 93 RPT, 80 of which, mean age 36 +/- 6 years (24-54 years), are studied in this paper: 57 male and 23 female with an average time in dialysis of 20 +/- 15 months (0-84 months) and diabetes evolution of 21 +/- 5 years (11-37 years). RESULTS: Actuarial annual survival of patient, renal graft and pancreatic graft has been 85%, 79% and 74% respectively. Haematuria: 25% incidence, with graft pancreatitis etiology in 16 cases, rejection in 8 and urinary fistula in 6. Urinary infection: 85% incidence, symptomatic in 23 patients (29%) and asymptomatic in the remaining cases. Dysuria, urethritis and urethral stenosis: 14 patients, all male, most with both conditions associated. Reconversion of pancreatic exocrine secretion by intestinal route was performed in 7 patients. Urinary fistula: secondary to surgery in 9 cases and rejection in 4. Etiology of one case remained unknown. In 4 cases it was resolved with conservative treatment, and with surgical correction in 8. One patient required pancreatic transplantectomy and one patient died of AMI. CONCLUSIONS: Urological complication in RPT account for a significant morbidity, urinary fistula being the one with greater repercussion on the patient and pancreatic graft survival.     

Multivariate evaluation of Spanish educational research journals

This paper informs about an evaluation of Spanish educational research journals using the modality of reputation inferred from survey data. Univariate and multivariate patterns are offered. Specifically cluster analysis and non-parametric multidimensional scaling reveal themselves as useful methods to inquire the complexity of this scientometric question which is the evaluation of periodical series. This revised version was published online in June 2006 with corrections to the Cover Date.     

Bone marrow biopsy in the diagnosis of fever of unknown origin in patients with acquired immunodeficiency syndrome

BACKGROUND: Fever is commonly observed in patients with human immunodeficiency virus (HIV) disease and frequently eludes diagnosis. The role of bone marrow biopsy in the diagnosis of fever of unknown origin in patients infected with HIV remains controversial. PATIENTS AND METHODS: One hundred twenty-three consecutive patients with 137 episodes of fever lasting 10 or more days without diagnosis after 1 week of hospitalization were evaluated by bone marrow biopsy. RESULTS: Overall, a specific diagnosis was achieved in 52 episodes by means of culture and histopathological examination (diagnostic yield, 37.9%). Three types of disease were found: mycobacterial infections (n = 36, 69% of documented episodes), including 18 patients with disseminated tuberculosis and 14 with Mycobacterium avium-intracellulare complex infections; non-Hodgkin lymphomas (n = 12, 23%); and visceral leishmaniasis (n = 4, 8%). Although bone marrow cultures were more sensitive than microscopic examination with special stains for the diagnosis of mycobacterial infections, the pathological examination of bone marrow led to a more rapid diagnosis of disease. In addition, the histopathological examination of bone marrow alone led to the diagnosis of a specific condition in 43 episodes (31.3% of all episodes). CONCLUSIONS: Bone marrow biopsy is a useful procedure for the diagnosis of fever in patients with advanced HIV disease, particularly in areas where tuberculosis and leishmaniasis are prevalent. Involvement of the marrow may be the first indication of the existence of extranodal non-Hodgkin lymphoma. For Mycobacterium avium-intracellulare complex infection, blood cultures were more sensitive than bone marrow biopsy.     

Thermal Diffusivity in Supercritical Fluids Measured by Thermal Lensing

Thermal diffusivities of supercritical CO₂ and C₂H₆ were determined over a wide density range with a photothermal technique. The thermal lens, formed by the degradation of the absorbed light energy as heat by the sample, allows the employment of a nonequilibrium method in the critical region. Controlling the refractive-index gradient, i.e., a density gradient, perturbations can be maintained at levels where convection is negligible. An easy-to-operate setup allowed us to measure thermal diffusivities in the density ranges 5 to 20 mol·dm^–3 for CO₂ at 308 and 313 K and 2 to 12 mol·dm^–3 for C₂H₆ at 308 K with a standard precision of 15%.     

Potential applications of poly(vinyl alcohol)‐congo red aqueous solutions and hydrogels as liquids for hydraulic fracturing

The authors report on the viscoelastic characterization of guar hydrogels obtained through complexation reactions with borax ions. These gels are compared with hydrogels obtained from poly(vinyl alcohol) of different degree of hydrolysis through complexation reactions with congo red. The effect of the degree of hydrolysis and both, the concentration of PVA and the concentration of congo red, on the viscoelastic properties of the hydrogels is analyzed. The potential use of the PVA‐based hydrogels as hydraulic fracturing liquids is discussed in relation to the commonly used fracturing liquid based on the guar–borax system. © 2008 Wiley Periodicals, Inc. J Appl Polym Sci, 2008     

MTCLAB: A MATLAB®-based program for traveltime quality analysis and pre-inversion velocity tuning in 2D transmission tomography

A MATLAB^®-based computer code that analyses the traveltime distribution and performs quality analysis at the pre-inversion stage for 2D transmission experiments is presented. The core tools of this approach are the so-called mean traveltime curves. For any general recording geometry, the user may select any pair of subsets of contiguous sources and receivers. The portion of the domain swept by the implied rays defines a zone of analysis, and for each source (receiver) the outcoming (incoming) ray fan is named a source (receiver) gather. The empirical mean traveltime curves are constructed, for each zone, by assigning the average and the standard deviation of the traveltimes in the gathers to the positions of the sources (receivers).The theoretical expressions assume isotropic homogeneous velocity inside each zone. The empirical counterparts use the observed traveltimes and make no assumptions. Isotropic velocity in each zone is inferred by least-squares fitting of the empirical mean traveltime curves. The user may refine the analysis considering different zones (multi-zone analysis). Initially the whole domain is modelled as a single zone. The procedure compares empirical versus theoretical curves. In addition, residuals can be plotted using source–receiver positions as plane coordinates. The results are used to unravel the possible presence of anomalous gathers, heterogeneities, anisotropies, etc. Depending on the kind of anomalies, velocity estimation and mean time residuals are different in the source and receiver gather curves.This software helps to grasp a better understanding of the data variability before the inversion and provides to the geophysicist an approximate zonal isotropic model and a range of velocity variation that can be used in the inverse problem as a priori information (regularization term). Its use is described through tutorial examples. A guided user interface leads the user through the algorithm steps.