Local staging with CT of tumors of the upper urothelium

OBJECTIVE: To evaluate the ability of computerized tomography (CT) to stage transitional cell carcinoma of the upper urinary tract. METHODS: 29 transitional cell carcinoma of the upper urinary tract submitted to nephroureterectomy were retrospectively evaluated. All 29 tumors had preoperative CT scans performed to stage the lesion. The pathological staging was compared to that of CT. RESULTS: 10 of the 29 tumors had CT evidence of tumor extension and 19 had localized noninvasive tumor on CT. Of the 10 patients with CT findings of tumor extension, 2 (20%) had superficial tumors and 8 (80%) had tumors that invaded into the adventitial fat, renal parenchyma or perirenal fat (pT3, pT4). Of the 19 patients with localized noninvasive tumor on CT, 13 (68%) had superficial tumors and 6 (32%) had pT3 or pT4 tumors. CT sensitivity for tumor invasion was 57% with a specificity of 87.5%. CONCLUSIONS: Our analysis shows that CT is of limited value in staging these tumors. When CT demonstrates direct tumor extension through the renal pelvic or ureteral wall, it is a sensitive indicator of high-stage tumor. However, the results obtained in low stage tumors must be viewed with caution.     

Effect of Crude Oil Composition and Blending on Flowing Properties

The effect of crude oil n-paraffin molecular weight distribution on wax crystallization risk was studied. Sixteen highly paraffinic crude oils from Eastern Venezuela were characterized, in terms of hydrocarbon family distribution, by High Temperature Simulate Distillation (HTSD), Gel Permeation Chromatography (GPC), and wax content. n-Paraffin chain length was correlated with crude oil cloud point and pour point. It was demonstrated that high molecular weight linear paraffins are responsible for crude oil wax precipitation. A quantitative correlation between molecular weight distribution and crude oil flowing properties was also obtained. It was found that the wider the molecular weight distribution, the lower is the wax crystallization risk. Blends of different paraffinic crude oils were prepared and their flowing properties were evaluated in comparison with the original crudes. Cloud points below the mean value were obtained. In some cases, a synergistic effect was observed (cloud points below the minimum of the two crude oils). Blends of some of these crudes with condensates afforded improvements on crude oil flow and a reduction of wax crystallization tendency (cloud point). This phenomenon can be attributed to a combination of two factors: I. increases in C24-n-paraffins, and II. a wider molecular weight distribution.     

Characterization of the chicken and quail homologues of the human gene responsible for the X-linked Kallmann syndrome

The human KAL gene, responsible for the X-linked Kallmann syndrome, was isolated previously. Southern blot analysis using human cDNA probes detected cross-hybridization with DNA from several organisms, including chicken and quail. The entire coding sequences of chicken and quail KAL cDNAs were determined. A comparison of these cDNAs with the human KAL cDNA reveals an overall identity of 73 and 72%, respectively. This results in 76 and 75% identity at the protein level. The highest conservation was found in the WAP four-disulfide core motif and in two of the four fibronectin type III repeats reported in the human protein. These results further support the hypothesis that the KAL protein is an extracellular matrix component with anti-protease and adhesion functions.     

Metal complexing properties of water-soluble poly(N-maleyl glycine) studied by the liquid-phase polymer-based retention (LPR) technique

Summary The separation of various metal ions by the water-soluble N-maleyl glycine polymer in conjunction with membrane filtration was investigated. The method is based on the retention of inorganic ions by this polymer in a membrane filtration cell and subsequent separation of low-molecular-weight species from the polymer complex formed. It is shown that poly(N-maleyl glycine) can bind several metal ions in aqueous solution at pH 3. At higher pH, the water-soluble polymer can be applied to the separation and preconcentration of many metal ions. In addition, the maximum capacity values of the homopolymer for copper(II) were investigated and compared in the presence of various metal ions at different pHs.     

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.     

Acute endocarditis of the native aortic valve caused by Propionibacterium acnes

Propionibacterium acnes is often considered to be a contaminant but it has also been found to be the principal pathogen in serious infections. P. acnes is a rare cause of infective endocarditis. It has been suggested that aortic root abscesses are caused by bacteria that are particularly virulent. The strongest risk factor for serious infections by this bacteria is the presence of foreign bodies. A case is presented in which endocarditis of a native aortic valve caused by P. acnes was associated with an aortic root abscess. Transesophageal echocardiography is particularly helpful in the diagnosis of this severe complication of infective endocarditis. The literature for P. acnes endocarditis is reviewed.