Sequential intraluminal endoscopic and laparoscopic treatment for bile duct stones associated with gallstones

BACKGROUND: On the basis of a flowchart including prior or current jaundice or pancreatitis, abnormal liver function, ultrasound or IV cholangiography, bile duct (BD) stones were suspected in 71/593 patients referred for gallstones. METHODS: When endoscopic retrograde cholangiography detected BD stones, endoscopic sphincterotomy (ES) and endoscopic BD clearance were attempted, followed by laparoscopic cholecystectomy (LC). BD stones were found in 44/71 patients. The sensitivity values of preoperative conditions were: 92% for IV cholangiography, 88% for abnormal liver function, 50% for ultrasound, and 37% for jaundice at admission. RESULTS: Endoscopic clearance succeeded in 37 patients and LC was completed in 33 patients. Conversion to open surgery (9%) was comparable with the rate in patients without BD stones. The median hospital stay for the sequential endoscopic and laparoscopic treatments was 13 days (range 4-54) or 22 days if open surgery was used. CONCLUSIONS: In conclusion, BD stones can be endoscopically cleared preoperatively in most patients without interfering with LC.     

SESF-Fuse: an unsupervised deep model for multi-focus image fusion

Neural Computing and Applications - Muti-focus image fusion is the extraction of focused regions from different images to create one all-in-focus fused image. The key point is that only objects...     

Hepatic damage produced by long-term alcohol consumption in well-nourished rats

A study of the effect of long-term alcohol consumption on the liver of well-nourished rats is described. Rats fed for 16 weeks on a semipurified diet supplemented with high levels of vitamins and lipotropic factors and alcohol corresponding to 35% of the total caloric intake developed marked fatty changes of the liver. Mild fatty changes were observed in pair-fed controls receiving as isoenergetic equivalent of sucrose instead of alcohol. Intracellular hyaline bodies, corresponding ultrastructurally to giant mitochondria were abundantly found in the hepatocytes of alcoholic rats, while in the controls they were not seen. Te findings in this investigation are postulated to provide further evidence that the long-term intake of alcohol exerts a direct causative role in the pathogenesis of liver damage.     

Modification of oxidizing activity of Thiobacillus ferroxidans by some particulate solids

Different particulate solids such as glass powder, various types of activated carbon and bentonite suspended in Thiobacillus ferrooxidans cultures produce very different effects on the oxidizing activity of the microorganism. The atmospheric oxygen uptake by Thiobacillus ferrooxidans in Warburg respirometer flasks containing 9K medium with ferrous sulfate as energy source and suspended bentonite is 2.8 times that in the absence of solids. The dissolution rate of pure pyrite in 250 cm³ shake flasks containing 9K medium and bentonite is considerably enhanced over that where the only solid phase is pyrite. Conversely, the oxidizing ability of the microorganism seems to be inhibited by all the activated carbons tested. The effect of ground glass seems to be related to its particle size distribution. Implications for the bioleaching of sulfide ores and coal pyrite are discussed in the light of current knowledge on the adsorption of Thiobacillus ferrooxidans cells on solid surfaces.     

Ellipsoidal neighbourhood outlier factor for distributed anomaly detection in resource constrained networks

Anomaly detection in resource constrained wireless networks is an important challenge for tasks such as intrusion detection, quality assurance and event monitoring applications. The challenge is to detect these interesting events or anomalies in a timely manner, while minimising energy consumption in the network. We propose a distributed anomaly detection architecture, which uses multiple hyperellipsoidal clusters to model the data at each sensor node, and identify global and local anomalies in the network. In particular, a novel anomaly scoring method is proposed to provide a score for each hyperellipsoidal model, based on how remote the ellipsoid is relative to their neighbours. We demonstrate using several synthetic and real datasets that our proposed scheme achieves a higher detection performance with a significant reduction in communication overhead in the network compared to centralised and existing schemes.     

Collective decision making: a great opportunity for constraint reasoning

Collective decision making is an area of increasingly growing interest, mainly due to the rise of many IT-enabled environments where people connect and share information with others. We believe that constraint reasoning can have a major impact in this field, by providing general and flexible frameworks to model agents’ preferences over the alternative decisions, efficient algorithms to compute the best individual and collective decisions, and innovative approaches to deal with missing information. However, in order to do this, we claim that constraint reasoning should increase its efforts to open up to other research areas, such as voting and game theory, multi-agent systems, machine learning, and reasoning under uncertainty.     

Who and what links to the Internet Archive

The Internet Archive’s (IA) Wayback Machine is the largest and oldest public Web archive and has become a significant repository of our recent history and cultural heritage. Despite its importance, there has been little research about how it is discovered and used. Based on Web access logs, we analyze what users are looking for, why they come to IA, where they come from, and how pages link to IA. We find that users request English pages the most, followed by the European languages. Most human users come to Web archives because they do not find the requested pages on the live Web. About 65 % of the requested archived pages no longer exist on the live Web. We find that more than 82 % of human sessions connect to the Wayback Machine via referrals from other Web sites, while only 15 % of robots have referrers. Most of the links (86 %) from Websites are to individual archived pages at specific points in time, and of those 83 % no longer exist on the live Web. Finally, we find that users who come from search engines browse more pages than users who come from external Web sites.     

Lecithin-protein interaction in the GTP-dependent acyl-CoA synthase

The enzymic activity of the GTP-dependent acyl-CoA synthase isolated from rat liver mitochondria is affected by removal and addition of lecithin (3). Purified preparations of this enzyme contain bound lecithin. In this presentation the nature of the lecithin-protein interaction is examined. From binding measurements at different temperatures it is possible to postulate which type of secondary valence bonds is holding the protein and lecithin together. Presented at AOCS Meeting, Chicago, October 1967.