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31.
One of the diagnostic possibilities to consider when a patient presents with cough, fever, dyspnea, or pulmonary infiltrates is hypersensitivity pneumonitis. Some of the problems encountered in diagnosis of diffuse lung disease are illustrated in two case reports. In one of the cases, interstitial pneumonitis of insidious onset was attributed to inhalation of thermophilic organisms in moldy silage. In the other, the outstanding pathologic feature was bronchiolitis obliterans, and circumstantial evidence pointed to a home humidifier as the source of the problem.  相似文献   
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If a solution of macromolecule of concentration c and volume a, initially saturated with a ligand of dissociation constant K, is gel filtered through a volume v of solution initially free of ligand, the saturation y with which it emerges is given by the equation y-lny-1=Kv/ca.  相似文献   
34.
Torsion of the penis is a rare anomaly, believed to be due to abnormal skin attachment and not to any structural abnormality of the corpora. The rotation is usually to the left in a counter-clockwise fashion. The urethral meatus is placed in a oblique position and the median raphe makes a spiral curve from the base of the penis towards the meatus. Three boys with congenital torsion of the penis are reported. A corrective operative for this condition is described. Penile torsion was first described by Verneuil in 1857, but in the past no operative correction was recommended, since attempts to move the skin around were believed not to correct the spiral alignment of the corpora cavernosa.  相似文献   
35.
Data on liver vitamin A concentrations in malnourished, debilitated, down cattle in tropical, northern Australia support the hypothesis that 12% annual cattle mortality was due, in part, to a slow release of liver vitamin A. High Ca and low Zn levels in the legume forage apparently contributed to the slow release. The cattle showed marked sensitivity to sunlight and exhibited problems of sight. The malnourished yearling steers averaged 183.3 micrograms vitamin A/g wet liver vs 152.3 micrograms for steers slaughtered off good green wet season forage. Indications of a slow release of liver vitamin A were that: (1) only 4 to 7 micrograms vitamin A/g liver were in the alcohol fraction or release form; (2) after adjustments for decreases in liver and blood volume in starving animals, blood vitamin A was lowered to 18 micrograms/100 ml, which was low in relation to the adjusted liver vitamin A level of 91.7 micrograms/g, and (3) after adjustments, the liver had released only 1,667 units of vitamin A/day in the dry season, or about 1/4 of maintenance needs. The cattle were grazing a legume forage pasture containing 7.1% protein and no measurable carotene. The forage was deficient in Zn (25 ppm), which would slow the release of liver vitamin A. High Ca levels in the legume forage (.4 to .54%) in combination with low P levels (.11 to .18%) would further aggravate the low Zn level.  相似文献   
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We report a case with an unusual müllerian anomaly: complete uterine septum and pyometra in the right hemicavity and pyocolpos along with a longitudinal vaginal septum. A patient with recurrent low-grade fever and lower abdominal pain was admitted. Pyometra and pyocolpos were detected in the right uterine hemicavity and in the right hemivagina. The septa were resected, the cavities were irrigated, and the patient was treated with antibiotics. The patient conceived 8 months later. Patients with abnormal vaginal findings should be approached with caution; precise knowledge of urogenital anatomy and urogenital anomalies is necessary in the management of these patients.  相似文献   
38.
We report simultaneous all-optical switching of multiple wavelengths using an optical loop mirror with an asymmetrically placed semiconductor optical amplifier. Switching is shown for 14-wavelength channels (across 14-nm bandwidth) with switching contrast of 10-23 dB  相似文献   
39.
We report a case of Bellini duct carcinoma of the left kidney with invasive growth pattern. A 39-year-old man was admitted to our hospital with the chief complaint of gross hematuria. Ultrasonography showed left renal swelling but normal reniform configuration of the kidney was maintained. Computed tomography demonstrated a low density tumor infiltrating into the renal cortex and with tumor extension into the renal vein. Renal angiography revealed a hypovascular tumor. We suspected a left renal cell carcinoma with tumor extension into the left renal vein, and performed radical nephrectomy. Macroscopically, the resected kidney had a normal outer contour. The tumor with infiltrative growth pattern existed in renal medulla. Histopathologic examination revealed a papillary adenocarcinoma originated in Bellini duct (pT3bN2M0). The patient underwent systemic chemotherapy (M-VAC). This case showed invasive growth pattern, which were different from the usual renal cell carcinoma and Bellini duct carcinoma.  相似文献   
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