Superconducting phase diagram of NaxCoO2.yH2O

We synthesized Nax(H3O)zCoO2yH2O samples with various Na/H3O ratios but with the constant Co valence of s = +3.40, and measured their magnetic properties to draw phase diagrams of the system. The superconductivity is very sensitive to the Na/H3O ratio. With varying x under fixed s of +3.40, magnetically ordered phase appears in the intermediate range of x sandwiched by two separated superconducting phases, suggesting that the superconductivity is induced by moderately strong magnetic interactions. In the vicinity of the magnetic phase, transition from the superconducting state to the magnetically ordered state was induced by applying high magnetic field. This transition is of the second order, at least, above 1.8 K. The upper-critical field is expected to be much higher than the Pauli limit for a phase located far away from the magnetic phase regarding the Na/H3O ratio.Comment: proceedings of ISS200

Valence and Na content dependences of superconductivity in NaxCoO2.yH2O

Various samples of sodium cobalt oxyhydrate with relatively large amounts of Na$^{+}$ ions were synthesized by a modified soft-chemical process in which a NaOH aqueous solution was added in the final step of the procedure. From these samples, a superconducting phase diagram was determined for a section of a cobalt valence of $\sim$+3.48, which was compared with a previously obtained one of $\sim$+3.40. The superconductivity was significantly affected by the isovalent exchanger of Na$^{+}$ and H$_{3}$O$^{+}$, rather than by variation of Co valence, suggesting the presence of multiple kinds of Fermi surface. Furthermore, the high-field magnetic susceptibility measurements for one sample up to 30 T indicated an upper critical field much higher than the Pauli limit supporting the validity of the spin-triplet pairing mechanism.Comment: 4 figures and 1 tabl

Catheter-related fungemia due to fluconazole-resistant Candida nivariensis

金沢大学大学院医学系研究科血液情報学We report on a case of fungemia due to fluconazole-resistant Candida nivariensis (MIC, ≥128 μg/ml). Internal transcribed spacer PCR followed by microchip gel electrophoresis with a blood culture that tested positive revealed a unique pattern different from those of other pathogenic yeasts. Copyright © 2007, American Society for Microbiology. All Rights Reserved

Management strategy for acute pancreatitis in the JPN Guidelines

The diagnosis of acute pancreatitis is based on the following findings: (1) acute attacks of abdominal pain and tenderness in the epigastric region, (2) elevated blood levels of pancreatic enzymes, and (3) abnormal diagnostic imaging findings in the pancreas associated with acute pancreatitis. In Japan, in accordance with criteria established by the Japanese Ministry of Health, Labour, and Welfare, the severity of acute pancreatitis is assessed based on the clinical signs, hematological findings, and imaging findings, including abdominal contrast-enhanced computed tomography (CT) and magnetic resonance imaging (MRI). Severity must be re-evaluated, especially in the period 24 to 48 h after the onset of acute pancreatitis, because even cases diagnosed as mild or moderate in the early stage may rapidly progress to severe. Management is selected according to the severity of acute pancreatitis, but it is imperative that an adequate infusion volume, vital-sign monitoring, and pain relief be instituted immediately after diagnosis in every patient. Patients with severe cases are treated with broad-spectrum antimicrobial agents, a continuous high-dose protease inhibitor, and continuous intraarterial infusion of protease inhibitors and antimicrobial agents; continuous hemodiafiltration may also be used to manage patients with severe cases. Whenever possible, transjejunal enteral nutrition should be administered, even in patients with severe cases, because it seems to decrease morbidity. Necrosectomy is performed when necrotizing pancreatitis is complicated by infection. In this case, continuous closed lavage or open drainage (planned necrosectomy) should be the selected procedure. Pancreatic abscesses are treated by surgical or percutaneous drainage. Emergency endoscopic procedures are given priority over other methods of management in patients with acute gallstone-associated pancreatitis, patients suspected of having bile duct obstruction, and patients with acute gallstone pancreatitis complicated by cholangitis. These strategies for the management of acute pancreatitis are shown in the algorithm in this article