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Videolaparoscopic cholecystectomy is considered the treatment of choice for simple cholelithiasis. Now many surgeons consider the laparscopic procedure usable also in the complicated biliary lithiasis like acute cholecystitis and choledocholithiasis. The authors report their recent experience of the laparoscopic treatment of biliary lithiasis, regarding 221 non-selected patients (69% symptomatic cholelithiasis, 20% chronic cholecystitis, 4.5% acute cholecystitis, 4.5% coledocolithiasis, 2% hydrops). The diagnostic-therapeutic protocol and the results are described and compared with the beginning of their experience, when they treated only symptomatic gallbladder stone disease, and with the reports of the literature. The authors concluded that the laparoscopic procedure is a good chance for the surgeon in the treatment of all cases of benign biliary disease. But, in particular for patients with choledocholithiasis, he has be able to know all the diagnostic and therapeutic possibilities, to choose the best in every single case.  相似文献   
73.
The steady state diffusion cell test is often used to determine the chloride ion diffusion coefficient in cementitious materials. It involves the measurement of the flux of chloride ions through a specimen under near steady state conditions. It has been noted that such a test may also provide data which characterises the chloride binding capacity of the specimen. In this work a numerical model of chloride diffusion subject to the effects of chloride binding is used to assess the effect of deviations from the steady state on the data obtained from a diffusion cell test. It is noted that there will be a tendency to underestimate the diffusion coefficient, although good practice should limit this error. The predicted error in the chloride binding isotherm is smaller than that in the diffusion coefficient. Furthermore, the influence of errors in the effective porosity on model predictions is limited as the resulting effect on the values of the calculated parameters describing chloride diffusion and binding counteract each other.  相似文献   
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Components of the airspace-lining material may contribute to the local regulation of immune function within the lung. We report here that recombinant rat pulmonary surfactant-associated protein D (SP-D) inhibits the lectin- and anti-CD3-stimulated proliferation of human PBMCs. Inhibition was associated with a decreased production of IL-2, and the addition of human rIL-2 blocked the inhibitory action of SP-D. These effects were not inhibited by maltose, indicating that the inhibitory activity was not dependent upon the lectin activity of SP-D. Studies employing mutant SP-D lacking N-linked sugars or defective in multimerization further indicated that inhibition was not dependent upon cellular interactions with the N-linked oligosaccharide on SP-D or the oligomerization of trimeric SP-D subunits. Although a peptide containing an inverted DGR showed similar IL-2-dependent effects on anti-CD3-stimulated proliferation, deletion of the conserved DGRDGR sequence near the amino-terminal end of the collagen domain did not decrease the suppressive activity of SP-D. We hypothesize that SP-D can dampen lymphocyte responses to exogenous stimuli and protect the lung against collateral immune-mediated damage.  相似文献   
76.
This paper presents a new approach to adaptive motion control of an important class of robotic systems. The control schemes developed using this approach are very simple and computationally efficient since they do not require knowledge of either the mathematical model or the parameter values of the robotic system dynamics. It is shown that the control strategies are globally stable in the presence of bounded disturbances, and that the size of the tracking errors can be made arbitrarily small. The proposed controllers are very general and are implementable with a wide variety of robotic systems, including both open- and closed-kinematic-chain manipulators. Computer simulation results are given for a seven degree-of-freedom (DOF) Robotics Research Corporation Model K-1607 arm. These results demonstrate that accurate and robust trajectory tracking can be achieved by using the proposed schemes.  相似文献   
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A retrospective study of 105 barium follow-through examinations on 102 patients suspected of having malabsorption syndrome has been carried out to assess the usefulness of this technique in the diagnosis of coeliac disease. Comparison with histological and biochemical data has been made. Of the 34 examinations on 31 patients with a proven diagnosis of coeliac disease, 30 examinations showed both abnormal X-ray and biopsy findings, two examinations showed normal X-ray appearance but abnormal jejunal biopsy and two showed normal jejunal histology but abnormal X-ray findings. There were two cases with sensitivity, non-invasive nature, ease and cheapness of the technique, barium follow-through examination is suggested as the initial investigation in patients suspected of coeliac disease.  相似文献   
80.
We have implanted Sn, Ge, and Si into Nb films. The resulting Nb-Sn compounds and their annealing behavior have been analyzed by the Mössbauer effect and compared to samples obtained by diffusion of Sn into Nb foils. Mössbauer spectra show that Nb3Sn is obtained just by implantation, but with a T cof only 5 K. The 925°C annealing temperature necessary to form the A15 structure with long-range order of Nb chains and T cvalues up to 17.8 K is at least 100 °C higher in implanted samples than in samples prepared by diffusion of Sn into Nb. This is explained in terms of implantation-induced lattice defects. The metastable A15 phases of Nb3Ge and Nb3Si could not be formed by Ge or Si implantation, regardless of target or annealing temperature. It is suggested that the high-energy ions only form phases stable at high temperatures and with low T cvalues.On leave from North Dakota State University, Fargo, North Dakota.  相似文献   
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