[Aspergillosis located on polycystic kidney treated with retroperitoneal nephrectomy]. / Polykystose rénale siège d'aspergillose traitée par néphrectomie rétropéritonéale laparoscopique.

We reported an uncommon case of 40 years old man, cardiac transplant recipient with chronic renal faillure who consulted for infected left polycystic renal. The serum creatinine level was 750 mmol/L, and urine culture isolated a E. Ecol germe. The abdominopelvic computed tomography showed a bilateral large polycystic renal cortex and suspected the infected cyst in lower pole of left kidney. The retroperitoneal laparoscopic nephrectomy was performed confirming a renal invasive aspergillosa. About this case we should have a high index of suspicion for fungal aetiology in kidney infection in transplant patients and the management of non functioning infected polycystic kidney can use laparoscopic retroperitoneal nephrectomy. This approach can offers a minimal morbidity and alternative to open surgery.

[Splenic lobulation and pseudo-cancer of the left kidney]. / Lobulation splénique et pseudo-cancer du rein gauche.

Discovery of a mass in the spleno-reno-pancreatic region requires complementary investigations to exclude a false diagnosis of renal tumour. While resembling a renal tumour, such masses can actually correspond to splenic lobulation, a cyst of the tail of the pancreas or a splenic entity (accessory spleen or splenosis).

Adenocarcinoma in the exstrophic bladder.

We report 2 cases of cancerous transformation in an exstrophic bladder. The histology of these tumors, methods of surveillance, and treatment are discussed in conjunction with a review of published reports. These rare tumors are almost entirely adenocarcinomas. Their treatment is surgical (radical cystectomy) with or without associated radiation therapy. Surveillance for patients with bladder exstrophy, whether surgically corrected or not, is indispensable and rests on cystoscopy and urine cytology.

Influence of noise on peak integrals obtained by direct summation

The influence of zero-filling on the peak integral precision is examined when integration is carried out by direct summation of spectral point ordinates. A relationship that allows the computation of the standard deviation of the integrals is derived, taking into account the effects of apodization and noise intensity profile. Discrepancies between theory and experimentation arise from nonideal characteristics of noise. Copyright 1998 Academic Press.

Model-free analysis of mixtures by NMR using blind source separation

The concept of blind source separation is described and examples of its use in 1D and 2D NMR spectroscopy are presented. The goal of this data processing method is to extract the spectra of components molecules when only mixtures are available. Copyright 1998 Academic Press.

In-phase double selective excitation of coupled spin systems using excitation sculpting

An experiment that excites exclusively coupled nuclei pairsis presented. It involves the biselective defocusing and refocusing of coupled transverse magnetization under double pulsed field gradient spin echo conditions. Application to the extraction of subspectra from crowded COSY spectra is presented, as well as a doubly selective version of the homonuclear J-resolved experiment. Copyright 1998 Academic Press.

The impact of expertise and sufficient information on psychologists' ability to detect malingering.

Twenty-two forensic diplomates and 22 general clinical psychologists were asked to review a variety of psychological data from one of four cases (two cases of malingering and two cases of legal insanity) to determine whether data suggested malingering or insanity. Of the 44 psychologists who reviewed cases, 86.4% accurately determined whether their protocol was from a malingerer or an insane person. Forensic diplomates and clinical psychologists were equally accurate in their determinations; only three subjects from each group misidentified their case. In spite of their success, confidence levels for both groups were reported as moderate. These results contradict previous studies that have found psychologists to not only be poor detectors of malingering, but also overconfident in their ability to detect it. It is believed that the success of psychologists in this study compared to previous studies was due to improved methodology.

Fast-atom bombardment of the cyclic acetals: Evidence indicating the predominant involvement of condensed-phase processes in ionization.

A series of cyclic acetals, the 2-phenyl-l,3 dioxolanes, and their deuterated analogues were studied by electron ionization (EI), chemical ionization (CI), and fast-atom bombardment (FAB) mass spectrometry to gain insight into the primary ionization processes for these compounds in FAB/liquid secondary ion mass spectrometry. Comparison of EI and CI data with that of FAB led to the conclusion that the predominant [M - H]+ ion observed in FAB for the nondeuterated cyclic acetals cannot to a large extent be rationalized in thermodynamic terms by known gas-phase ion-molecule reactions. Instead, a condensed-phase model in which the multicharged transition state for hydride abstraction is better solvated than the transition state for proton transfer appears to be a plausible explanation for the FAB data obtained for the nonlabeled cyclic acetals; however, this explanation is not entirely sufficient to rationalize the FAB data for the deuterated cyclic acetals. For these compounds, a dramatic time dependence of protonation versus hydride abstraction is observed that suggests that beam-induced reactive species are responsible for hydride abstraction in the condensed phase. This time dependence can be interpreted in terms of a buildup of highly reactive beam-induced species in the bulk of solution. Comparison of the results obtained for deuterated acetals with different surface activities support this hypothesis. (J Am Sot Mass.