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1.
OBJECTIVE: We report a case of candidiasis of the upper urinary tract that presented as acute renal failure associated with septic syndrome. The patient initially required hemodialysis. Right hydronephrosis and perirenal collection were observed on ultrasound examination. METHODS: A percutaneous nephrostomy was performed. Nephrostomy urine cytology and cultures were positive for Candida tropicalis. An anterograde pyelography showed a 'fungus ball' in the urinary tract. RESULTS: Therapy with oral fluconazole and percutaneous amphotericin B achieved excellent results. CONCLUSIONS: Candidiasic urinary infection of the upper urinary tract often produces obstructive uropathy requiring percutaneous nephrostomy, which can also be used to instill amphotericin B. Combination therapy with amphotericin B and fluconazole can achieve excellent results.  相似文献   
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We describe 2 patients with a Sj?gren-like syndrome apparently secondary to hypertriglyceridemia. Both had bilateral parotitis in addition to musculoskeletal and sicca symptoms. Parotid gland histology revealed fatty infiltration with no inflammation. Therapy with dietary modification and triglyceride lowering drugs resulted in resolution of symptoms and parotid swelling in one patient. In the 2nd patient, hypertriglyceridemia was resistant to triglyceride lowering drugs, and parotid symptoms and swelling continued unabated. Our findings suggest aggressive treatment of hyperlipidemia in pseudo-Sj?gren's syndrome may result in amelioration of musculoskeletal and parotid symptoms.  相似文献   
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Technological infrastructure at home is changing continuously and is becoming increasingly interconnected. Media devices, including the TV set, provide access to the Internet and offer manifold opportunities to consume media on demand. Additionally, personal devices, such as smartphones, also enable flexible consumption and sharing of media. Questions about how these technologies change the user's media usage and how these changes affect the social structure of a household, however, remain largely unanswered. In order to gain insight into the adoption of new technologies into daily routines, we explored these changes in respect of people's media usage in a qualitative long-term Living Lab study. We will present findings regarding personal routines, flexible integration of new devices into existing practices, influences on households as social systems and related issues in device access and collective use. We will highlight potentials and conflicts regarding device shifts and roles; restrictions in device access; social influences in the living room; and individual changes in media consumption.  相似文献   
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Rationally, engineering a favorable physicochemical microenvironment for enzymes has recently emerged as an effective strategy to improve their catalytic performance. In this review, we discuss four microenvironmental effects according to the mechanism of action: localizing and excluding reactants and regulators, regulating microenvironmental pH, creating a water-like microenvironment, and increasing the local temperature. These mechanisms are enzyme-independent and can in principle be used in combination to tailor enzyme behaviors, offering new approaches to enabling, enhancing, and regulating enzyme catalysis in diverse applications without the need for genetic engineering.  相似文献   
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The flow of a model non-polar liquid through small carbon nanotubes is studied using non-equilibrium molecular dynamics simulation. We explain how a membrane of small-diameter nanotubes can transport this liquid faster than a membrane consisting of larger-diameter nanotubes. This effect is shown to be back-pressure dependent, and the reasons for this are explored. The flow through the very smallest nanotubes is shown to depend strongly on the depth of the potential inside, suggesting atomic separation can be based on carbon interaction strength as well as physical size. Finally, we demonstrate how increasing the back-pressure can counter-intuitively result in lower exit velocities from a nanotube. Such studies are crucial for optimisation of nanotube membranes.  相似文献   
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A beam of charged vortex rings is used to study the vorticity present downstream from an array of 2-m-diameter orifices through which a steady flow of superfluid 4He is driven at known velocity and pressure head p. From the measured attentuation of the beam at low p, we infer a density of vortex line less than predicted by the Feynman critical velocity model. Possible explanations are considered. We find evidence that an interconnected tangle of vortices is formed above a certain value of p, which is in reasonable agreement with theory, at least for one orifice plate. Charge transfer and transient attenuation measurements indicate that this tangle decays in part into small vortex rings. These results are compared with an earlier experiment of Gamota.Research supported in part by the National Science Foundation under grant DMR 72-02971.  相似文献   
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In a pot culture experiment, the effect of gypsum (50% of soil requirement), pyrites (equivalent to gypsum), farmyard manure (0.5 g per 100g soil) and Zn (10mg Zn kg–1 soil) on Zn equilibria in Ghabdan and Langrian series of sodic soils was studied. The equilibrium soil solutions collected anaerobically after 1, 14, 28, 42, 56, 70 and 84 days of submergence were analysed for pH, EC, HCO3 and Zn. Submergence markedly decreased soil solution pH and Zn up to 14 days and thereafter, the former slightly increased and the latter continued to decrease. Addition of amendments decreased soil solution pH in the order gypsum, pyrites and farmyard manure (FYM) and increased Zn concentration in the order FYM, gypsum and pyrites. The values of Zn potential (pZn + 2pOH) were within the range of pKsp for Zn(OH)2-Zn2+ (aq) from 16 to 84 days of submergence in Ghabdan soil and from 9 to 42 days of submergence in Langrian soil, where later it shifted to ZnCO3-Zn2+ (aq) system. Addition of FYM, pyrites and gypsum shortened the period of predominant existence of Zn(OH)2-Zn2+ (aq) system to 40, 30 and 12 days in Ghabdan soil and 30, 20 and 6 days in Langrian soil respectively. After these periods the system was saturated with respect to ZnCO3-Zn2+ (aq) except gypsum treatment where Zn-soil (unknown solid phases) -Zn2+ (aq) system controlled the solubility of Zn after 38 and 28 days of submergence of Ghabdan and Langrian soil respectively.  相似文献   
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