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51.
We report a nephrotic syndrome patient with eosinophilia who developed ileus, epigastralgia and malabsorption due to strongyloidiasis which became symptomatic by steroid therapy. The patient was then treated with thiabendazole and recovered. A percutaneous renal biopsy revealed minimal change nephrotic syndrome. This renal injury may be brought on by severe infection of Strongyloides stercoralis. It is important to rule out strongyloidiasis prior to corticosteroid therapy to patients from eosinophilia endemic areas.  相似文献   
52.
Motility related protein 1 (MRP1/CD9) expression in colon cancer   总被引:1,自引:0,他引:1  
STUDY OBJECTIVES: To examine the incidence and clinical significance of prolonged air leak (PAL) in patients undergoing radical upper lobectomy and to determine potential risk factors for PAL in this group of patients. DESIGN: Retrospective review of a prospective database. SETTING: Experience of one thoracic surgeon at a tertiary care cancer center. PATIENTS: One hundred consecutive patients undergoing right upper lobectomy and mediastinal lymph node dissection for non-small cell lung cancer over an 11-year period. MEASUREMENTS: PAL was defined as an air leak lasting >7 days. Preoperative, intraoperative, and postoperative clinical data were collected and analyzed to determine the factors associated with PAL. RESULTS: PAL was the most prevalent postoperative complication, comprising 25.5% of all complications seen, and lasting an average of 12.1+/-5.3 days. In 21 of the 26 patients with PAL, this complication was the only morbidity identified. There was no statistically significant difference in patient age, gender, preoperative FEV1 and diffusion of carbon monoxide, exposure to neoadjuvant chemotherapy, status of pulmonary fissures, or pathologic stage between the PAL group vs the remaining 74 patients without this complication. A significantly greater proportion of patients with PAL had FEV1/FVC ratio < or =50% (6/26 vs 5/74; p=0.02). Patients with PAL had significantly longer median length of hospital stay (11 vs 7 days; p=0.0001). Moreover, PAL was the single most common reason for an extended length of hospitalization (21/58, 36% of all causes). CONCLUSION: PAL is an alarmingly common postoperative complication and is the most frequent cause of an extended length of hospital stay in patients undergoing radical upper lobectomy. Severe obstructive pulmonary disease predisposes patients to the development of this complication.  相似文献   
53.
In this paper, we propose a multi-agent learning system for the control of an intelligent robot, based on a model of the human consciousnesses, including the ego. We pay attention to the intelligent learning processes of human beings. We try to give a robot a high learning ability by modeling the roles of the human consciousnesses, including the ego. In most ordinary methods, the instructions for learning are given from outside the system only. In the proposed method, the instructions are given not only from outside, but also from inside (from other agents in the system). Therefore, the robot can learn efficiently because it has more instructions than usual. The learning is also more flexible, since an agent learns by instructions from other agents while the learning agent and one of the instructing agents exchange roles according to changes in the environment. We experimentally verified that the proposed method is efficient by using an actual robot.  相似文献   
54.
A binary blend which consists of two incompatible polymers such as poly(vinyl chloride) and polyethylene has been performed through a partial co-crosslinking reaction with peroxide to give a co-crosslinked blend with a uniform dispersion of small polyethylene particles and with an improved mechanical property. The results are obtained through the formation of a co-crosslinked product which acts as a potential solid phase dispersant as well as a well-bonded reinforcing interlayer on polyethylene particles uniformly dispersed in poly(vinyl chloride) matrix. The resulting blends (PVC/PE=10/90 wt) give carbon spherules of 0.5 to 1m diameter through pressure-carbonization at 650° C for 1 h.  相似文献   
55.
The enhancement ofT c in Pb-Bi-Sn and Pb-Bi-In system alloy filaments produced by glass-coated melt spinning was investigated as a means of producing a new type of superconducting filament with highT c. Long filaments of Pb-Bi-Sn alloy withT c higher than 10 K and Pb-Bi-In alloy withT c higher than 9 K were obtained from the molten state at a temperature of 1500 K with a winding speed of 2.63 m sec–1. For example, a Pb45Bi35Sn20 filament withT c of 10.1 K was 15 m in diameter and polycrystalline with a grain size of 100 nm. The structure of the filament was a mixture of , tin and bismuth phases and a metastable phase of mixed structure of bismuth and supersaturated solid solution of tin in -phase was detected. TheT c of the filament decreased on heat treatment. A metastable phase of mixed structure of bismuth and -phase was also detected for a Pb45Bi45In10 filament withT c of 9.3 K. As the metastable phase for the Pb-Bi-In filament was more unstable than that for the Pb-Bi-Sn filament, theT c of the filament was drastically decreased by heat treatment. The metastable phase was considered to play an important role in the enhancement ofT c for Pb-Bi-Sn and Pb-Bi-In alloy filaments.  相似文献   
56.
New biomarkers are needed to further stratify the risk of malignancy in intraductal papillary mucinous neoplasm (IPMN). Although microRNAs (miRNAs) are expected to be stable biomarkers, they can vary owing to a lack of definite internal controls. To identify universal biomarkers for invasive IPMN, we performed miRNA sequencing using tumor-normal paired samples. A total of 19 resected tissues and 13 pancreatic juice samples from 32 IPMN patients were analyzed for miRNA expression by next-generation sequencing with a two-step normalization of miRNA sequence data. The miRNAs involved in IPMN associated with invasive carcinoma were identified from this tissue analysis and further verified with the pancreatic juice samples. From the tumor-normal paired tissue analysis of the expression levels of 2792 miRNAs, 20 upregulated and 17 downregulated miRNAs were identified. In IPMN associated with invasive carcinoma (INV), miR-10a-5p and miR-221-3p were upregulated and miR-148a-3p was downregulated when compared with noninvasive IPMN. When these findings were further validated with pancreatic juice samples, miR-10a-5p was found to be elevated in INV (p = 0.002). Therefore, three differentially expressed miRNAs were identified in tissues with INV, and the expression of miR-10a-5p was also elevated in pancreatic juice samples with INV. MiR-10a-5p is a promising additional biomarker for invasive IPMN.  相似文献   
57.
Decomposition of t-butylhydroperoxide was retarded by triazine thiols and their zinc salts, but accelerated by the copper salts of triazine thiols as well as sulfur compounds such as dithiocarbamates and mercaptobenzothiazolates. Triazine thiols and their zine salts are effective antioxidants for polyethylene crosslinked with peroxide and containing copper, and for protecting epichlorohydrin vulcanizates against attack by “sour” or hydroperoxide-containing gasoline.  相似文献   
58.
It has been found that the enthalpy of formation of perovskite compounds, ΔfH° (ABO3, B = transition metais), from binary oxides can be well characterized in terms the tolerance factor, t≡(rA+ ro)√2 (rB+ ro), where rA and rB are the radii of A-site ions with 12-coordination and B-site ions with 6-coordination, respectively, and ΔfH°=−168 + 270(1 − t) kJ·mol−1 for AIBVO3, ΔfH°=−125 + 1000(1 − t) kJ·mol−1 for AIIBIVO3, and ΔfH°=− 90 + 720(1 − t) kJ·mol−1 for AIIIBIIIO3. Although the thermodynamic data of K2NiF4 compounds are not extensive, a similar regularity can be found when use is made of the radii of A-site ions with 9-coordination for the K2NiF4 compounds. These correlations will be quite useful in predicting.  相似文献   
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