The usefulness of the timeliness of endoscopic sphincterotomy in severe acute pancreatitis of biliary origin

There are evidence indicating that endoscopic retrograde cholangiopancreatography with sphincterotomy (ERCP+S) reduces the rate of complications in patients with severe acute biliary pancreatitis (ABP). The aim of this study was to analyze our experience in the treatment of severe ABP with ERCP+S and compare the evolution of the patients treated early (3 days or less following admission) with those treated late (after the 3rd day). A retrospective review of the clinical histories of the 16 patients with severe ABP treated with ERCP+S over the last two years is presented, analyzing their clinical features on admission and evolution. Biliary stones or biliary sludge was observed in 11 cases (69%). Nine patients had undergone early, and 7 late, ERCP+S. The patients of the latter group presented a greater number of complications during evolution than the former group (43% vs 0%; p = 0.025). The mortality of the patients of the late ERCP+S was also greater although without statistical significance (28.6% vs 0%; p = 0.15). No complication secondary to ERCP+S was detected. These findings confirm the fact that ERCP+S performed early in severe ABP significantly reduces the number of complications and is associated with a lower mortality.     

On bisymmetric operators on a finite chain

The bisymmetry property is studied for operators defined on a finite chain. In particular, a characterization of all bisymmetric, commutative and smooth binary operators is given. It is deduced from this characterization that bisymmetry and associativity are equivalent for finite chains, under these additional conditions.     

Content of carbohydrates and trace elements in a group of non-alcoholic drinks

BACKGROUND: In order to elaborate recommendations for the dietetic care of diabetic patients and other clinical disorders we have measured the concentration of carbohydrates and trace elements in a group of non alcoholic refreshments of current use in Spain. MATERIAL AND METHODS: Thirty refreshments were classified into 10 groups. Glucose and phosphate were measured by hexokinase and reduction of phospho-molybdate methods respectively in an autoanalyzer Dax-72. Glucose and fructose were analyzed by cellulose thin-layer chromatography; glucose, fructose and sucrose by gas chromatographys. Sodium and potassium by emission spectrophotometry and calcium, magnesium, iron, copper and zinc by atomic absorption spectrophotometry. RESULTS: Light refreshments and soft drinks have no carbohydrates. Isotonic beverages, fruit juices, cool tea and non alcoholic beers had less than 10 g/dl. Tonic waters, Fanta, different coles, non alcoholic bitter and others had more than 10 g/dl. Sodium levels between 15-20 mEq/l were found in the isotonic beverages and 7-Up and levels of 7 mEq/l in the others. Potassium values between 15-40 mEq/l were found in the fruit juices, 3-4 mEq/l in Gatorade and less than 1 mEq/l in the others. CONCLUSIONS: Light refreshments and soft drinks contain low concentrations of carbohydrates and sodium. Fruit juices have high potassium concentration. Such information can be especially useful for dietetic care of diabetic patients.     

Acclimation of the photosynthetic response of Chromatium vinosum to light-limiting conditions

The predictive value of the Neonatal Neurological Examination (NNE) adapted from Prechtl (1977) and the Infant Motor Screen (IMS) from Nickel (1989) at 4 months was studied in severely jaundiced infants in Zimbabwe. Fifty infants were examined with the NNE, 41 with the IMS and 43 with the Bayley Scales of Infant Development (BSID) (Bayley 1969). Five infants had choreoathetosis and six had a motor delay at age 1 year. The NNE and IMS proved to be sensitive instruments particularly when two infants who became malnourished after the neonatal period were excluded. Logistic regression was used to investigate the relation between the BSID and five selected predictors from the NNE. This resulted in a correct classification of 93%. By using only the predictors acoustic blink and traction response, 80% of the infants were correctly classified but the number of false negatives was reduced from three to one.     

Epidemiology of peptic ulcer disease in cirrhotic patients: role of Helicobacter pylori infection

OBJECTIVE: The aim of this study was to investigate the clinical and epidemiological factors associated with the appearance of peptic ulcer in patients with cirrhosis and, in particular, the role of Helicobacter pylori infection. METHODS: A total of 201 of 220 consecutive patients included in a prospective study that aimed to evaluate the effect of dietary intervention on cirrhotic complications and survival underwent upper gastrointestinal endoscopy. At entry, an epidemiological and clinical questionnaire was completed and the presence of peptic ulcer disease or esophageal varices at endoscopy was prospectively collected. Sera were obtained and stored at -70 degrees C until analyzed, being tested afterward for Helicobacter pylori antibodies using a commercial ELISA kit. RESULTS: Eleven of 201 patients had borderline anti-Helicobacter pylori IgG titers and were excluded from further analysis. In the remaining 190 patients, point prevalence of peptic ulcer was 10.5% and lifetime prevalence 24.7%. Multivariate analysis selected male sex (OR 2.3; 95%CI 1.09-4.89) and Helicobacter pylori seropositivity (OR: 1.7, 95%CI 1.02-2.81) as the variables independently related to peptic ulcer disease. CONCLUSIONS: Male sex and seropositivity for Helicobacter pylori are the major risk factors for peptic ulcer in cirrhosis.     

Paper‐Derived Ferroelectric Ceramics: A Feasibility Study

Preceramic paper may serve as a preform to manufacture single sheet as well as multilayer porous ferroelectric ceramic products. In this article, the authors discuss the formation, microstructure, and properties of preceramic papers highly loaded with BaTiO₃ filler ranging from 70 to 80 vol% and their conversion into ceramic materials. In order to increase the density of the single sheets, post calendering is applied. These sheets are used for the fabrication of multilayer ceramics using warm lamination technique. After binder burnout and sintering up to 1300 °C for 2 h in air, porous paper‐derived multilayer BaTiO₃ is obtained. The effect of ceramic filler content and calendering on the residual porosity in sintered samples is studied. Furthermore, the influence of porosity on the microstructure, mechanical, dielectric, and piezoelectric properties of the sintered BaTiO₃ ceramics is investigated.

     

Fractional-Fourier-transform calculation through the fast-Fourier-transform algorithm

A method for the calculation of the fractional Fourier transform (FRT) by means of the fast Fourier transform (FFT) algorithm is presented. The process involves mainly two FFT's in cascade; thus the process has the same complexity as this algorithm. The method is valid for fractional orders varying from -1 to 1. Scaling factors for the FRT and Fresnel diffraction when calculated through the FFT are discussed.     

A syntactic approach based on distortion-tolerant Adjacency Grammars and a spatial-directed parser to interpret sketched diagrams

This paper presents a syntactic approach based on Adjacency Grammars (AG) for sketch diagram modeling and understanding. Diagrams are a combination of graphical symbols arranged according to a set of spatial rules defined by a visual language. AG describe visual shapes by productions defined in terms of terminal and non-terminal symbols (graphical primitives and subshapes), and a set functions describing the spatial arrangements between symbols. Our approach to sketch diagram understanding provides three main contributions. First, since AG are linear grammars, there is a need to define shapes and relations inherently bidimensional using a sequential formalism. Second, our parsing approach uses an indexing structure based on a spatial tessellation. This serves to reduce the search space when finding candidates to produce a valid reduction. This allows order-free parsing of 2D visual sentences while keeping combinatorial explosion in check. Third, working with sketches requires a distortion model to cope with the natural variations of hand drawn strokes. To this end we extended the basic grammar with a distortion measure modeled on the allowable variation on spatial constraints associated with grammar productions. Finally, the paper reports on an experimental framework an interactive system for sketch analysis. User tests performed on two real scenarios show that our approach is usable in interactive settings.