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Sample records for ampulla of vater

  1. Benign anatomical mistakes: "ampulla of Vater" and "papilla of Vater".

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    Mirilas, Petros; Colborn, Gene L; Skandalakis, Lee J; Skandalakis, Panajiotis N; Zoras, Odysseas; Skandalakis, John E

    2005-03-01

    The anatomy of the ampullary termination of the bile and pancreatic ducts is complex; appropriate terminology for this area is confusing and inaccurate. We examine the terms "ampulla of Vater" and "papilla of Vater" for anatomical and historical correctness. The term "ampulla" refers to a dilated part of a duct or other channel. Thus, this word is topographically correct to describe the dilatation at the confluence of the bile and main pancreatic ducts; historically, however, there is considerable reason to believe that its first description was by Santorini rather than Vater. The eponymous term "papilla of Vater" is also incorrect historically. The use of eponyms is firmly entrenched in the medical literature, but some are so problematic that they should be discarded. The eponymous terms for both the ampulla and the papilla should be replaced with the terms "hepatopancreatic ampulla" (or "biliaropancreatic ampulla") and "major [or "greater"] duodenal papilla," respectively.

  2. Large cell neuroendocrine carcinoma of the ampulla of Vater.

    LENUS (Irish Health Repository)

    Beggs, Rachel E

    2012-09-01

    Large cell neuroendocrine carcinomas of the ampulla of Vater are rare and confer a very poor prognosis despite aggressive therapy. There are few case reports of large cell neuroendocrine carcinomas of the ampulla of Vater in the literature and to date no studies have been done to establish optimal management. We describe a pooled case series from published reports of neuroendocrine carcinomas of the ampulla of Vater including a case which presented to our institution.

  3. Carcinoma of ampulla of vater : emphasis on the CT technique

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    Jung, Hyun Seouk; Byun, Jae Young; Jung, So Lyung; Kim, Euy Neyng; Lee, Jae Moon; Shinn, Kyung Sub [Catholic Univ. Medical College, Seoul (Korea, Republic of)

    1997-06-01

    To demonstrate a CT technique by which carcinoma of the ampulla of Vater can be more accurately diagnosed, and to describe the radiologic findings of this carcinoma. We retrospectively reviewed CT findings in 26 patients with pathologically proven carcinoma of the ampulla of Vater. One additional cup of diluted oral contrast medium was ingested immediately before the scan. We analysed the difference in detection rate of the mass in the duodenal lumen with and without duodenal luminal opacification of gastrografin. We also evaluated the size and shape of the mass, dilatation of CBD and the pancreatic duct, and 1ymph node metastasis. In addition, we analyzed multimodality imaging findings(ultrasonogram(US):13;hypotonic duodenogram(HTDG):7;ERCP:17) of carcinoma of the ampulla of Vater. Nodular soft tissue masses protruding into the duodenal lumen were identified in 21 of 26 cases. In 95% of cases (21/22) with favorable opacification and distension of the duodenum, masses were clearly identified on CT imaging. However, in four cases with poor opacification and distension of the duodenum, masses could not be observed(P=0.000). The mass on CT scan showed a well-defined margin, round or lobulated contour, and contrast enhancement simiar to that of the pancreas. CBD dilatation was identified in 20 cases and pancreatic duct dilatation in 12. On US, protruding masses in the distal CBD were observed in nine of 13 cases(60%) and on HTDG, in six of seven cases(86%) as well-defined filling defects. Since the accuracy of CT diagnosis of intestinal lesions is directly proportional to the degree of intestinal distension and opacification with oral contrast, we believe that adequate CT technique for distending and opacitying the duodenal lumen are necessary for early diagnosis of carcinoma of the ampulla of Vater.

  4. Prognostic Factors of Ampulla of Vater Carcinoma after Radical Surgery

    Institute of Scientific and Technical Information of China (English)

    Dongbing Zhao; Yongkai Wu; Yi Shan; Chengfeng Wang; Ping Zhao

    2009-01-01

    OBJECTIVE Ampullary carcinoma is a rare disease with better prognosis than other periampullary neoplasms.This study investigated the association between clinicopathologiC factors and prognosis after radical resection of ampulla of Vater carcinoma.METHODS Clinical data from 105 patients who underwent radical pancreaticoduodenectomy from January 1990 to December 2005 were retrospectively analyzed by the Kaplan-Meier method,log-rank test,and the Cox proportional hazard model.RESULTS The in-hospital mortalitv rate was 8.6%,the lymph node metastasis rate was 37.1%,and the five-year survival rate was 42.8%.Pancreatic involvement(P=0.027),tumor diameter(P =0.008),T stage(P=0.003),TNM stage(P<0.001),and number of metastatic lymph nodes(P<0.001)were associated with prognosis when the univariate analysis was used.Multivariate analysis showed that the number of lymph node metastases (P<0.001;OR:1.923;CI:1.367-2.705)and tumot diameter(P=0.03;OR:1.432;CI:1.035-1.981) were the independent prognostic factors.CONCLUSION The number of metastatic lymph nodes and tumor diameter are important pathologic factors predicting prognosis of ampulla of Vater carcinoma after radical resection,and lymph node dissection during the radical surgery effectively improves the survival rate.

  5. Neuroendocrine carcinoma of the ampulla of Vater causing ectopic adrenocorticotropic hormone-dependent Cushing's syndrome

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    KATO, AKIHISA; HAYASHI, KAZUKI; NAITOH, ITARU; SENO, KYOJI; OKADA, YUKIKO; BAN, TESSHIN; KONDO, HIROMU; NISHI, YUJI; UMEMURA, SHUICHIRO; HORI, YASUKI; NATSUME, MAKOTO; JOH, TAKASHI

    2016-01-01

    Ectopic adrenocorticotropic hormone (ACTH) is rarely secreted by neuroendocrine tumors. Although neuroendocrine tumors may occur at any site in the gastrointestinal system, they very rarely occur in the ampulla of Vater and have a poor prognosis. The present study described the first Cushing's syndrome as a result of ectopic ACTH arising from the ampulla of Vater neuroendocrine carcinoma. A 69-year-old female was admitted with clinical features of Cushing's syndrome, confirmed biochemically by hypokalemia, and elevated levels of ACTH and cortisol. In further investigations, a tumor of the ampulla of Vater and liver metastases were detected. Pathological analysis of the biopsy confirmed a neuroendocrine carcinoma, which was immunohistochemically positive for chromogranin A, synaptophysin, cluster of differentiation 56 and ACTH. Therefore, the present study diagnosed a functional and metastatic neuroendocrine carcinoma of the ampulla of Vater with ectopic ACTH production causing Cushing's syndrome. The patient succumbed to mortality 4 months later, despite administration of combined chemotherapy with irinotecan and cisplatin. PMID:27330779

  6. A rare case of ectopic pancreas in the ampulla of Vater presented with obstructive jaundice.

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    Filippou, Dimitrios K; Vezakis, Antonios; Filippou, Georgios; Condilis, Nicolas; Rizos, Spiros; Skandalakis, Panagiotis

    2006-01-01

    A rare case of ectopic pancreas in the ampulla of Vater presented with obstructive jaundice. Ectopic pancreas is a common congenital disorder which is referred to as pancreatic rest. The incidence in autopsy series varies from 1 to 2% (range 0.55 to 13%). Most common site of ectopic pancreatic tissue is the stomach, although it can be found anywhere in the foregut and the proximal midgut. Ectopic pancreatic tissue in the ampulla of Vater is a very rare condition. Searching in the literature, using the terms "ectopic pancreas" and "Ampulla of Vater", we found only 10 records. The authors report on a rare case of a 69 years old female with ectopic pancreas in the ampulla of Vater, presented with painless obstructive jaundice, and the diagnostic and therapeutic strategy that followed.

  7. [Tumors of Vater's ampulla. Review of 25 cases].

    Science.gov (United States)

    Benito Ruiz, J; Del Pino Porres, J; Herrero Bernabéu, C

    1989-08-01

    Cancer of ampulla of Vater is a infrequent tumor which was a much better prognosis after radical treatment than cancer of the pancreas. In this paper, 25 patients were studied, with a mean age of 59 years and a slight male predominance. The most frequent symptoms were related to jaundice and weight loss. The correct preoperative diagnosis was only reached in 54.16% of the patients, endoscopic retrograde cholangiopancreatography being the best diagnostic method, together with ?CTPH. We emphasize the difficulty of reaching a diagnosis and the variable results of both pre- and peroperative biopsy. The results of surgical treatment (9 Whipple operations, 7 ampullectomies and 7 bypass operations) are evaluated, showing that duodenopancreatectomy is the most effective therapy, although we had only one 5-year survival, 11.1% versus 0% for ampullectomy, which is an operation that carriers an elevated recurrence rate (greater than 50%). The mortality derived from Whipple's operation was 22.2%, and from local excision, 14.3%. The rate of complications was 55.5% after cephalic duodenopancreatectomy and null after ampullectomy. In view of these results, we think that the most appropriate therapeutic approach to ampulloma is the Whipple operation, and that ampullectomy should be reserved for those patients in poor general condition with small tumors, and that bypass operations should be used when the tumor is not resectable. PMID:2682830

  8. Coexistence of small cell neuroendocrine carcinoma and villous adenoma in the ampulla of Vater

    Institute of Scientific and Technical Information of China (English)

    Ji-Hong Sun; Ming Chao; Shi-Zheng Zhang; Guang-Qiang Zhang; Bin Li; Jian-Jun Wu

    2008-01-01

    Small cell neuroendocrine carcinoma of the ampulla of Vater is extremely rare and different from the common ampullary adenocarcinoma. The ampullary adenoma is also a rare neoplasm and has the potential to develop an adenocarcinoma. Their coexistence has been rarely reported in the literature. We herein describe an unusual case of a small cell neuroendocrine carcinoma associated with a villous adenoma in the ampulla of Vater with emphasis on computed tomography (CT)and histopathological findings. We also discuss their clinical, histopathological and radiological features as well as possible histogenesis.

  9. Malignant gastrointestinal stromal tumor of the ampulla of Vater presenting with obstructive jaundice

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    Filippou Dimitrios

    2006-01-01

    Full Text Available Malignant gastrointestinal stromal tumor (GIST consists a rare neoplasm, developing in small intestine and stomach. The presenting manifastations include weakness, weight loss, nausea, melena and anaemia. The present case refers to a 65 years old female patient with a GIST of the ampulla of Vater presenting with obstructive jaundice. Diagnosis was achieved pre-operatively by biopsies collected through diagnostic ERCP. The tumour was locally excised, with preservation of the ampulla. The histological analysis suggested low grade GIST positive for both CD 117 (c-kit and CD34. Two years after the surgery the patient remains free of disease. Malignant GIST of the ampulla of the Vater is extremely rare as only few similar cases have been described in the literature. This is the first time a GIST being presented as obstructive jaundice ever reported. Despite the unavailability of EUS-FNA, the diagnosis was set preoperatively and the tumor was resected.

  10. Carcinoid of the ampulla of Vater: Morphologic features and clinical implications

    Institute of Scientific and Technical Information of China (English)

    George A Poultsides; Wayne AI Frederick

    2006-01-01

    Carcinoids involving the ampulla of Vater are rare lesions that may produce painless jaundice. The published data indicate that these tumors, in contrast to their midgut counterparts, metastasize in approximately half of cases irrespective of primary tumor size. Therefore,radical excision in the form of pancreaticoduodenectomy is recommended regardless of tumor size. As with other gastrointestinal carcinoid tumors, biological treatment with octreotide analogues can be applied to symptomatic patients. Tumor-targeted radioactive therapy is a newly emerging treatment option. We here report case of a carcinoid tumor of the ampulla of Vater presenting as painless jaundice in a 65-year old man and review the relevant literature, giving special attention to the morphologic features, clinical characteristics, and treatment modalities associated with this disease process.

  11. Adenomyomatous hyperplasia of the ampulla of Vater presenting as acute pancreatitis

    OpenAIRE

    Rafiullah,; Tanimu, Sabo

    2014-01-01

    We report an interesting and rare case of a man with adenomyomatous hyperplasia of the ampulla of Vater presenting as acute pancreatitis, which to our knowledge, is only the second reported case in the English literature. The patient presented with an acute onset of abdominal pain, nausea and vomiting, without fever, chills or rigours. CT of the abdomen revealed changes of acute pancreatitis with a peripancreatic adenopathy, and abdominal ultrasound revealed a slightly hyperechoic and oedemat...

  12. Intradiverticular Ampulla of Vater: Personal Experience at ERCP

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    Girolamo Geraci

    2013-01-01

    Full Text Available Introduction. Conflicting results have been reported about the true impact of intradiverticula ampulla (IA on the technical success and complication rate of endoscopic retrograde cholangiopancreatography (ERCP. Patients. A total of 500 patients who underwent ERCP were divided into two groups according to the presence (group A, 81 patients or absence (group B, 419 patients of IA. Success rate, difficulty at cannulation, findings at ERCP, and procedure-related complications were retrospectively reviewed. Results. Successful cannulation was achieved in 100% of group A patients compared to 98% of group B patients (P = ns. There was a significant difference in the type of cannulation that was routinary in group B (, while requiring guidewire in group A (. Cholangitis (, microstones (, dilated common bile duct without stones (, stone recurrence (, and transient postprocedure hyperamylasemia ( were more frequently observed in group A. There was no significant difference in complication rate between both groups. Conclusions. The finding of an IA at ERCP should not be considered a predictor for failed cannulation. IA is associated with post-ERCP transient hyperamylasemia and is a risk factor for biliary stone disease and its recurrence.

  13. KL-6 mucin expression in carcinoma of the ampulla of Vater: Association with cancer progression

    Institute of Scientific and Technical Information of China (English)

    Wei Tang; Masatoshi Makuuchi; Yoshinori Inagaki; Norihiro Kokudo; Qian Guo; Yasuji Seyama; Munehiro Nakata; Hiroshi Imamura; Keiji Sano; Yasuhiko Sugawara

    2005-01-01

    AIM: To assess histochemical expression of KL-6 and its clinicopathological significance in carcinoma of the ampulla of Vater.METHODS: Ampullary carcinoma tissues were collected from 38 patients who underwent pancreatoduodenectomy or local resection. Tissues were subjected to immunohistochemical analysis using KL-6 antibody.RESULTS: Positive staining of ampullary carcinoma cells was observed in 26 (68.4%) cases. Staining was not found in the surrounding non-cancer regions of the ampullary tissues. Remarkable KL-6 expression was observed in invasive carcinoma cells in pancreatic and duodenal tissues and in metastatic carcinoma cells in lymph nodes. Positive KL-6 expression was related to lymph node metastasis (P = 0.020), pancreatic invasion (P = 0.016), duodenal invasion (P = 0.034), and advanced stage of TNM clinical classification (P = 0.010). Survival analysis showed that positive expression of KL-6 was related to a poorer prognosis (P = 0.029).CONCLUSION: The aberrant expression of KL-6 mucin is significantly related to unfavorable behaviors of carcinoma of the ampulla of Vater.

  14. Adenoma viloso com transformação carcinomatosa da ampola de Vater Villous adenoma with carcinomatous degeneration of the ampulla of Vater

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    Guilherme Pinto Bravo Neto

    2001-02-01

    Full Text Available Villous adenomas of the duodenum and ampulla of Vater are uncommon, but they have been diagnosed more frequently with the increasing use of upper gastrointestinal endoscopy. Differential diagnosis with villous adenocarcinoma may be difficult. The authors present a case of a 47-year-old man with a giant villous adenoma of the duodenum, with intermittent jaundice, that was treated by pancreatoduodenectomy.

  15. MEK inhibitor treatment is effective in a patient with metastatic carcinoma of the ampulla of Vater with BRAF and NRAS mutations shown by next-generation sequencing.

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    Tahover, Esther; Bar Shalom, Rachel; Bogot, Naama; Kelsen, David; Gabizon, Alberto

    2016-07-01

    Here, we present a case of an 84-year-old woman who developed obstructive jaundice and was diagnosed with nonoperable adenocarcinoma originating from the ampulla of Vater, a lethal disease with a median overall survival of less than a year. Her tumor was examined by next-generation sequencing, which showed BRAF and NRAS mutations. To target these mutations, a MEK inhibitor was chosen for treatment. The patient has been treated with a MEK inhibitor for the last 12 months since diagnosis, with clinical and laboratory improvement and manageable side effects. PET-computed tomography imaging has shown stable disease or improvement in the primary and metastatic lesions. This is the first case report of an ampulla of a Vater cancer patient with NRAS and BRAF mutations, identified in next-generation sequencing, and treated successfully with a MEK inhibitor. PMID:27075779

  16. Endoscopic sphincterotomy in patients with stenosis of ampulla of Vater: Three-year follow-up of exocrine pancreatic function and clinical symptoms

    Institute of Scientific and Technical Information of China (English)

    Nils Ewald; Axel Michael Marzeion; Reinhard Georg Bretzel; Hans Ulrich Kloer; Philip Daniel Hardt

    2007-01-01

    AIM: To investigate retrospectively the long-term effect of endoscopic sphincterotomy (ES) including exocrine pancreatic function in patients with stenosis of ampulla of Vater.METHODS: After diagnostic endoscopic retrograde cholangiopancreatography (ERCP) and ES because of stenosis of the ampulla of Vater (SOD Type I), follow-up examinations were performed in 60 patients (mean follow-up time 37.7 mo). Patients were asked about clinical signs and symptoms at present and before intervention using a standard questionnaire. Before and after ES exocrine pancreatic function was assessed by determination of immunoreactive fecal elastase 1. Serum enzymes indicating cholestasis as well as serum lipase and amylase were measured.RESULTS: Eighty percent of patients reported an improvement in their general condition after ES. The fecal elastase 1 concentrations (FEC) in all patients increased significantly after ES. This effect was even more marked in patients with pathologically low concentrations (< 200 ng/g) of fecal elastase prior to ES. The levels of serum lipase and amylase as well as serum alcaline phosphatase (AP) and gamma-glutamyltranspeptidase (GGT) decreased significantly after ES.CONCLUSION: The results of this study demonstrate that patients with stenosis of the ampulla of Vater can be successfully treated with endoscopic sphincterotomy. The positive effect is not only indicated by sustained improvement of clinical symptoms and cholestasis but also by improvement of exocrine pancreatic function.

  17. Human equilibrative nucleoside transporter 1 and carcinoma of the ampulla of Vater: expression differences in tumour histotypes

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    G. Perrone

    2010-09-01

    Full Text Available The human equilibrative nucleoside transporter 1 (hENT1 is the major means by which gemcitabine enters human cells; recent evidence exists that hENT1 is expressed in carcinoma of the ampulla of Vater and that it should be considered as a molecular prognostic marker for patients with resected ampullary cancer. Aim of the present study is to evaluate the variations of hENT1 expression in ampullary carcinomas and to correlate such variations with histological subtypes and clinicopathological parameters. Forty-one ampullary carcinomas were histologically classified into intestinal, pancreaticobiliary and unusual types. hENT1 and Ki67 expression were evaluated by immunohistochemistry, and apoptotic cells were identified by the terminal deoxynucleotidyl transferase mediated deoxyuridine triphosphate biotin nick end labelling (TUNEL method. hENT1 overexpression was detected in 63.4% ampullary carcinomas. A significant difference in terms of hENT1 and Ki67 expression was found between intestinal vs. pancreaticobiliary types (P=0.03 and P=0.009 respectively. Moreover, a significant statistical positive correlation was found between apoptotic and proliferative Index (P=0.036, while no significant correlation was found between hENT1 and apoptosis. Our results on hENT1 expression suggest that classification of ampullary carcinoma by morphological subtypes may represent an additional tool in prospective clinical trials aimed at examining treatment efficacy; in addition, data obtained from Ki67 and TUNEL suggest a key role of hENT1 in tumour growth of ampullary carcinoma.

  18. Transduodenal ampullectomy in the treatment of villous adenomas and adenocarcinomas of the Vater's ampulla Ampulectomía transduodenal en el tratamiento de los adenomas vellosos y adenocarcinomas de la ampolla de Vater

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    J. A. Fraguela Mariña

    2004-12-01

    Full Text Available Introduction: adenomas are the most frequent tumors of the Vater's ampulla. Their capacity for malignant transformation following the adenoma-carcinoma sequence is well known. It is because of this that resection after diagnosis is required. The identification of the appropriate technique according to tumor features would require that patients not be undertreated or overtreated, which would give rise to serious consequences derived from their location. Patients and methods: villous adenomas and adenocarcinomas of the Vater's ampulla candidates for local resection were revised from January 1st, 1998 through June 30th, 2003. We describe the methods of diagnosis and ampulectomy techniques we performed. Results: we performed an ampulectomy by first intention in all 8 patients included in this study. However, pancreatoduodenectomy was necessary in two patients because of the closeness of resection margins. We had no mortality in this series, and morbidity was limited to two episodes of digestive bleeding that were controlled by electrocoagulation and embolization. The mean follow-up was 28.5 months (range, 6-72 months. Conclusions: the difficulty of precise preoperatory diagnosis in adenomas of the Vater's ampulla demands resection after identification. Ampulectomy is the treatment of choice for villous adenomas and T1 adenocarcinomas, with 1 cm of resection margin to avoid local recurrence.Introducción: los tumores más frecuentes de la ampolla de Vater son los adenomas. Es conocida su capacidad de malignización mediante la secuencia adenoma-carcinoma, por lo que requieren su resección, tras su diagnóstico. El establecimiento de la técnica adecuada según las características del tumor permitiría no infratratar o sobretratar pacientes, con las graves consecuencias que se derivan de ello, debido a su localización. Pacientes y métodos: se revisan los adenomas vellosos y adenocarcinomas de ampolla de Vater subsidiarios de resección local desde

  19. Villous Adenoma of Papilla of Vater

    OpenAIRE

    1990-01-01

    Biliary obstruction due to a benign villous adenoma of the ampulla of Vater treated by transduodenal local excision and sphincteroplasty is reported. Local surgical resection enabled a submucosal resection of the adenoma.

  20. Analysis of Founder Mutations in Rare Tumors Associated With Hereditary Breast/Ovarian Cancer Reveals a Novel Association of BRCA2 Mutations with Ampulla of Vater Carcinomas.

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    Pinto, Pedro; Peixoto, Ana; Santos, Catarina; Rocha, Patrícia; Pinto, Carla; Pinheiro, Manuela; Leça, Luís; Martins, Ana Teresa; Ferreira, Verónica; Bartosch, Carla; Teixeira, Manuel R

    2016-01-01

    BRCA1 and BRCA2 mutations are responsible for hereditary breast and ovarian cancer, but they also confer an increased risk for the development of rarer cancers associated with this syndrome, namely, cancer of the pancreas, male breast, peritoneum, and fallopian tube. The objective of this work was to quantify the contribution of the founder mutations BRCA2 c.156_157insAlu and BRCA1 c.3331_3334del for cancer etiology in unselected hospital-based cohorts of Portuguese patients diagnosed with these rarer cancers, by using a strategy that included testing of archival tumor tissue. A total of 102 male breast, 68 pancreatic and 33 peritoneal/fallopian tube carcinoma cases were included in the study. The BRCA2 c.156_157insAlu mutation was observed with a frequency of 7.8% in male breast cancers, 3.0% in peritoneal/fallopian tube cancers, and 1.6% in pancreatic cancers, with estimated total contributions of germline BRCA2 mutations of 14.3%, 5.5%, and 2.8%, respectively. No carriers of the BRCA1 c.3331_3334del mutation were identified. During our study, a patient with an ampulla of Vater carcinoma was incidentally found to carry the BRCA2 c.156_157insAlu mutation, so we decided to test a consecutive series of additional 15 ampullary carcinomas for BRCA1/BRCA2 mutations using a combination of direct founder mutation testing and full gene analysis with next generation sequencing. BRCA2 mutations were observed with a frequency of 14.3% in ampulla of Vater carcinomas. In conclusion, taking into account the implications for both the individuals and their family members, we recommend that patients with these neoplasias should be offered BRCA1/BRCA2 genetic testing and we here show that it is feasible to test for founder mutations in archival tumor tissue. Furthermore, we identified for the first time a high frequency of germline BRCA2 mutations in ampullary cancers. PMID:27532258

  1. [Ampulloma of Vater's papilla--case report].

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    Smejkal, P; Smejkal, M

    2002-01-01

    The authors discuss, based on a case-report, the diagnostic problems of malignities of the pancreas and ampulla of Vater. In the same patient they found an interesting complication after laparoscopic cholecystectomy (LCHE). It was a female patient who had LCHE four years previously where an ampulloma of the ampulla of Vater was diagnosed with invasion into the pancreas and a suspect secondary in the lower lobe of the right lung. On operation a pulmonary abscess was detected from a retained concrement. Duodenopancreatectomy which was performed did not reveal any tumour in the pancreatic area. PMID:11881293

  2. Tumor de colisión periampular Collision tumor of the ampulla of Vater: Carcinoid and adenocarcinoma

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    J. Ferrando Marco

    2007-04-01

    Full Text Available Presentamos un caso de tumor de colisión periampular en el que coexisten un tumor carcinoide de pared duodenal y un adenocarcinoma de cabeza de páncreas. El paciente era un varón de 64 años con historia reciente de diarreas al que se diagnosticó una ictericia obstructiva. Histopatológicamente el tumor resecado mostraba dos neoplasias independientes. Una de ellas constituida por cordones sólidos de células neuroendocrinas que afectaba pared duodenal. La otra está formada por un adenocarcinoma bien diferenciado procedente del páncreas. Ambas neoplasias fueron confirmadas inmunohistoquímicamente. Según la literatura anglosajona revisada tan sólo hemos encontrado seis casos de esta rara coexistencia neoplásica.We report the case of a periampullary collision tumor, in which a duodenal-wall carcinoid and an adenocarcinoma of the head of the pancreas coexisted. We describe the case of a 64-year-old man with a recent history of diarrhea, who was diagnosed with obstructive jaundice. A duodeno-pancreatectomy was performed, and the specimen showed two independent neoplasms in the histopathologic study. Solid cords and nests of neuroendocrine cells in the duodenal wall formed the carcinoid tumor, whereas the other neoplasm was made up of a well-differentiated adenocarcinoma of the pancreas. Both were confirmed by immunohistochemical analysis. According to the literature reviewed, this is the sixth reported case of this rare neoplastic association.

  3. Endoscopic papillectomy for tumors at ampulla of Vater%经内镜十二指肠乳头切除术治疗乳头部肿瘤的临床价值

    Institute of Scientific and Technical Information of China (English)

    覃华; 赵秋; 李德民; 王波; 李荣香; 张敏; 胡继芬; 王渝

    2012-01-01

    Objective To assess the feasibility,safety and efficacy of endoscopic papillectomy (EP) for tumors at the ampulla of Vater (AV).Methods A total of 15 patients with tumor at AV that were indicated for EP were included in this prospective study.Their clinical profiles,procedural parameters and outcome were evaluated.Results All patients underwent EP procedure successfully.Four patients who were diagnosed as having chronic inflammation in the reference endoscopy were confirmed as having adenoma after EP.Out of the 11 patients who were previously diagnosed as andenoma on biopsy,2 of low differentiated adenocarcinoma,1 of well differentiated adenocarcinoma and 1 malignant transformation were pathologically confirmed after EP.Stents were implanted in 8 patients with dilated pancreatic and/or common bile duct.Except for 2 cases of melena and 2 transient elevated level of blood amylase after EP,no other major complications occurred.Three patients,including 1 case of low-differentiated adenocarcinoma,1 case of malignant transformation and 1 case of lesion residual,were referred to surgery,another patient with low-differentiated adenocarcinoma declined any additional intervention because of old age.In the remaining 11 cases ( 11/15,73.3% ) including one well differentiated adenocarcinoma,no recurrence was observed during a follow-up period of 23.4 (5 to 47) months.Conclusion EP is a minimal invasive,safe and effective treatment for tumors at AV,which also can provide an accurate staging of the lesion.%目的 探讨经内镜十二指肠乳头切除术(EP)治疗十二指肠乳头部肿瘤的临床价值.方法 前瞻性观察研究15例经EP治疗的十二指肠乳头部肿瘤患者的临床疗效、并发症及随访观察结果,评价其临床价值.结果 所有15例患者均顺利完成EP治疗,其中4例术前病检为慢性炎症者术后病理诊断为腺瘤;11例术前病检为腺瘤者中术后病理诊断为高分化腺癌1例、低分化腺癌2

  4. Large Somatostatin-Producing Endocrine Carcinoma of the Ampulla of Vater in Association with GIST in a Patient with von Recklinghausen?s Disease. Case Report and Review of the Literature

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    George H Sakorafas

    2008-09-01

    Full Text Available Context Somatostatin-producing endocrine tumors of the duodenum are very rare neoplasms of the gastrointestinal tract. These tumors may be associated with von Recklinghausen’s disease. Case report We present the case of a 49- year-old female patient with von Recklinghausen’s disease and an incidentally diagnosed ampullary neoplasm. The patient was treated with a classical pancreaticoduodenectomy. At surgery, a mass was found in the greater curve of the stomach which was resected using the classic Whipple procedure. Histology and immunohistochemistry showed that the duodenal tumor was an ampullary somatostatin-producing endocrine carcinoma while the gastric tumor was a gastrointestinal stromal tumor (GIST. The postoperative course was uneventful and the patient is alive, without tumor recurrence, six years after surgery. Conclusion Somatostatin-producing endocrine tumors of the duodenum are rare tumors, often associated with von Recklinghausen’s disease; these neoplasms should be treated aggressively using radical surgical resection. Although local resection may be appropriate for small duodenal somatostatin-producing tumors, a pancreaticoduodenectomy is usually required for larger tumors.

  5. Calpain system protein expression in carcinomas of the pancreas, bile duct and ampulla

    International Nuclear Information System (INIS)

    Pancreatic cancer, including cancer of the ampulla of Vater and bile duct, is very aggressive and has a poor five year survival rate; improved methods of patient stratification are required. We assessed the expression of calpain-1, calpain-2 and calpastatin in two patient cohorts using immunohistochemistry on tissue microarrays. The first cohort was composed of 68 pancreatic adenocarcinomas and the second cohort was composed of 120 cancers of the bile duct and ampulla. In bile duct and ampullary carcinomas an association was observed between cytoplasmic calpastatin expression and patient age (P = 0.036), and between nuclear calpastatin expression and increased tumour stage (P = 0.026) and the presence of vascular invasion (P = 0.043). In pancreatic cancer, high calpain-2 expression was significantly associated with improved overall survival (P = 0.036), which remained significant in multivariate Cox-regression analysis (hazard ratio = 0.342; 95% confidence interva l = 0.157-0.741; P = 0.007). In cancers of the bile duct and ampulla, low cytoplasmic expression of calpastatin was significantly associated with poor overall survival (P = 0.012), which remained significant in multivariate Cox-regression analysis (hazard ratio = 0.595; 95% confidence interval = 0.365-0.968; P = 0.037). The results suggest that calpain-2 and calpastatin expression is important in pancreatic cancers, influencing disease progression. The findings of this study warrant a larger follow-up study

  6. Proton conductivity in ampullae of Lorenzini jelly

    Science.gov (United States)

    Josberger, Erik E.; Hassanzadeh, Pegah; Deng, Yingxin; Sohn, Joel; Rego, Michael J.; Amemiya, Chris T.; Rolandi, Marco

    2016-01-01

    In 1678, Stefano Lorenzini first described a network of organs of unknown function in the torpedo ray—the ampullae of Lorenzini (AoL). An individual ampulla consists of a pore on the skin that is open to the environment, a canal containing a jelly and leading to an alveolus with a series of electrosensing cells. The role of the AoL remained a mystery for almost 300 years until research demonstrated that skates, sharks, and rays detect very weak electric fields produced by a potential prey. The AoL jelly likely contributes to this electrosensing function, yet the exact details of this contribution remain unclear. We measure the proton conductivity of the AoL jelly extracted from skates and sharks. The room-temperature proton conductivity of the AoL jelly is very high at 2 ± 1 mS/cm. This conductivity is only 40-fold lower than the current state-of-the-art proton-conducting polymer Nafion, and it is the highest reported for a biological material so far. We suggest that keratan sulfate, identified previously in the AoL jelly and confirmed here, may contribute to the high proton conductivity of the AoL jelly with its sulfate groups—acid groups and proton donors. We hope that the observed high proton conductivity of the AoL jelly may contribute to future studies of the AoL function. PMID:27386543

  7. Proton conductivity in ampullae of Lorenzini jelly.

    Science.gov (United States)

    Josberger, Erik E; Hassanzadeh, Pegah; Deng, Yingxin; Sohn, Joel; Rego, Michael J; Amemiya, Chris T; Rolandi, Marco

    2016-05-01

    In 1678, Stefano Lorenzini first described a network of organs of unknown function in the torpedo ray-the ampullae of Lorenzini (AoL). An individual ampulla consists of a pore on the skin that is open to the environment, a canal containing a jelly and leading to an alveolus with a series of electrosensing cells. The role of the AoL remained a mystery for almost 300 years until research demonstrated that skates, sharks, and rays detect very weak electric fields produced by a potential prey. The AoL jelly likely contributes to this electrosensing function, yet the exact details of this contribution remain unclear. We measure the proton conductivity of the AoL jelly extracted from skates and sharks. The room-temperature proton conductivity of the AoL jelly is very high at 2 ± 1 mS/cm. This conductivity is only 40-fold lower than the current state-of-the-art proton-conducting polymer Nafion, and it is the highest reported for a biological material so far. We suggest that keratan sulfate, identified previously in the AoL jelly and confirmed here, may contribute to the high proton conductivity of the AoL jelly with its sulfate groups-acid groups and proton donors. We hope that the observed high proton conductivity of the AoL jelly may contribute to future studies of the AoL function. PMID:27386543

  8. High Volume Washing of the Abdomen in Increasing Survival After Surgery in Patients With Pancreatic Cancer That Can Be Removed by Surgery

    Science.gov (United States)

    2016-05-03

    Acinar Cell Carcinoma; Ampulla of Vater Adenocarcinoma; Cholangiocarcinoma; Duodenal Adenocarcinoma; Pancreatic Adenocarcinoma; Pancreatic Ductal Adenocarcinoma; Pancreatic Intraductal Papillary Mucinous Neoplasm, Pancreatobiliary-Type; Periampullary Adenocarcinoma

  9. Composite neuroendocrine and adenomatous carcinoma of the papilla of Vater

    Institute of Scientific and Technical Information of China (English)

    Joanna A Musialik; Maciej J Kohut; Tomasz Marek; Anatol Wodo(I)a(z)ski; Marek Hartleb

    2009-01-01

    Malignant tumors of papilla are usually adenocarcinomas.We present a 67-year-old female who became icteric as result of a malignant tumor infiltrating the papilla of Vater. Histopathological assessment of surgically excised tumor showed both neuroendocrine and adenocarcinomatous features. To our knowledge, this is the seventh report of this rare neoplastic association in the duodenal periampullary region.

  10. Expanded spectrum of limb anomalies in the VATER association

    Energy Technology Data Exchange (ETDEWEB)

    Fernbach, S.K.; Glass, R.B.J.

    1988-04-01

    The radiographs of 230 children who had undergone neonatal surgery for imperforate anus and/or esophageal atresia/tracheoesophageal fistula were reviewed. Of the 31 children with limb anomalies thus detected, the 24 who had no radiologic or laboratory evidence of chromosomal abnormality form the basis of this report. In 16 children the limb anomalies fell within the commonly described spectrum of the VATER association. In the other 8 children and in 3 of the children with typical VATER limb anomalies additional anomalies were encountered: Sprengel deformity (2), hypoplasia of the humerus (3), radioulnar synostosis (1), midline anomalies of the hand (1), absence of the pubis, femur, tibia, and fibula and two rays of the foot (1), and other foot deformities. Subtle anomalies of the hand were common and included: clinodactyly, syndactyly, shortening of the middle phalanx of the fifth digit, and rotary malposition of the digits.

  11. Acute Recurrent Pancreatitis: A Possible Clinical Manifestation of Ampullary Cancer

    Directory of Open Access Journals (Sweden)

    Athanasios Petrou

    2011-11-01

    Full Text Available Context Acute recurrent pancreatitis still poses diagnostic difficulties. The coexistence or moreover the causative relationship of carcinoma of the ampulla of Vater and acute recurrent pancreatitis is fairly rare. Case report We present a case of carcinoma of the ampulla of Vater that presented with acute recurrent necrotizing pancreatitis complicated with pseudocysts. A diagnosis of malignancy in the ampulla was only made after several ERCP attempts due to residual inflammation at the periampullary area. Conclusion Malignancy at the ampulla of Vater causing recurrent episodes of pancreatitis represents a realistic risk and attempts to diagnose the underlying cause should always take into account the possibility of cancer.

  12. Morphology of the ampullae of Lorenzini in juvenile freshwater Carcharhinus leucas.

    Science.gov (United States)

    Whitehead, Darryl L; Gauthier, Arnault R G; Mu, Erica W H; Bennett, Mike B; Tibbetts, Ian R

    2015-05-01

    Ampullae of Lorenzini were examined from juvenile Carcharhinus leucas (831-1,045 mm total length) captured from freshwater regions of the Brisbane River. The ampullary organ structure differs from all other previously described ampullae in the canal wall structure, the general shape of the ampullary canal, and the apically nucleated supportive cells. Ampullary pores of 140-205 µm in diameter are distributed over the surface of the head region with 2,681 and 2,913 pores present in two sharks that were studied in detail. The primary variation of the ampullary organs appears in the canal epithelial cells which occur as either flattened squamous epithelial cells or a second form of pseudostratified contour-ridged epithelial cells; both cell types appear to release material into the ampullary lumen. Secondarily, this ampullary canal varies due to involuted walls that form a clover-like canal wall structure. At the proximal end of the canal, contour-ridged cells abut a narrow region of cuboidal epithelial cells that verge on the constant, six alveolar sacs of the ampulla. The alveolar sacs contain numerous receptor and supportive cells bound by tight junctions and desmosomes. Pear-shaped receptor cells that possess a single apical kinocilium are connected basally by unmyelinated neural boutons. Opposed to previously described ampullae of Lorenzini, the supportive cells have an apical nucleus, possess a low number of microvilli, and form a unique, jagged alveolar wall. A centrally positioned centrum cap of cuboidal epithelial cells overlies a primary afferent lateral line nerve. PMID:25515416

  13. De novo 13q deletions in two patients with mild anorectal malformations as part of VATER/VACTERL and VATER/VACTERL-like association and analysis of EFNB2 in patients with anorectal malformations

    NARCIS (Netherlands)

    Dworschak, G.C.; Draaken, M.; Marcelis, C.; Blaauw, I. de; Pfundt, R.P.; Rooij, I.A.L.M. van; Bartels, E.; Hilger, A.; Jenetzky, E.; Schmiedeke, E.; Grasshoff-Derr, S.; Schmidt, D.; Marzheuser, S.; Hosie, S.; Weih, S.; Holland-Cunz, S.; Palta, M.; Leonhardt, J.; Schafer, M.; Kujath, C.; Rissmann, A.; Nothen, M.M.; Zwink, N.; Ludwig, M.; Reutter, H.

    2013-01-01

    Anorectal malformations (ARMs) comprise a broad spectrum of conditions ranging from mild anal anomalies to complex cloacal malformations. In 40-50% of cases, ARM occurs within the context of defined genetic syndromes or complex multiple congenital anomalies, such as VATER/VACTERL (vertebral defects

  14. Changes of ampulla pressure in the semicircular canal of pigeons by caloric stimulation

    Science.gov (United States)

    Wada, Yoshiro; Suzuki, Hiroyuki; Watanabe, Satoru

    Still now several hypotheses about the mechanisms of the caloric nystagmus have been in conclusive. In this study we confirmed the convection effect and the volume change effect of the endolymph in horizontal semicircular canal following the caloric stimulation using pigeons ( Columba livia). Although the direction of the caloric nystagmus depended on the head position and the stimulus site of calorization, the caloric nystagmus disappeared after plugging of horizontal semicircular canal. On the other hand, the ampulla pressure increased by cold calorization and decreased by hot calorization and these pressure changes had no relation to the head position. These results show that the main role of the mechanisms of the caloric nystagmus under 1G is the convection effect but the volume change effect may act on the caloric nystagmus not only under 1G but also under microgravity.

  15. Differential lectin binding patterns in the oviductal ampulla of the horse during oestrus

    Directory of Open Access Journals (Sweden)

    S Desantis

    2009-06-01

    Full Text Available We investigated the oligosaccharide sequence of glycoconjugates, mainly sialoglycoconjugates, in the horse oviductal ampulla during oestrus by means of lectin and pre-lectin methods such as the KOH-neuraminidase procedure to remove sialic acid residues and incubation with N-glycosidase F to cleave N-linked glycans. Ciliated cells displayed Nlinked oligosaccharides throughout the cytoplasm. The cilia glycocalyx expressed both N- and O-linked (mucin-type oligosaccharides, both showing a high variety of terminal sequences. In the most non-ciliated cells, the whole cytoplasm contained N-linked oligosaccharides with terminal aGal as well as mucin-type glycans with terminal Forssman pentasaccharides. In a few scattered non-ciliated cells, the whole cytoplasm displayed sialylated N-linked oligosaccharides with terminal Neu5Ac-GalNAc and O-linked glycans terminating with neutral and/or aGalNAc, Neu5Aca2,6Gal/ GalNAc, Neu5AcGalb1,3GalNAc. Supra-nuclear granules, probably Golgi zones, of non-ciliated cells showed mainly Olinked glycans rich in sialic acid residues. The luminal surface of non-ciliated cells showed N-linked oligosaccharides, containing terminal/internal aMan/aGlc, bGlcNAc and terminal aGal, as well as mucin-type oligosaccharides terminating with a large variety of either neutral saccharides or sialylated sequences. Apical protrusions containing O-linked oligosaccharides with terminal Forssman pentasaccharide, Neu5Ac-Galb1,4GlcNAc, Neu5Ac-GalNAc were seen in nonciliated cells scattered along the epithelium. These findings show the presence of sialoglycoconjugates in the oviductal ampulla epithelium of the mare and the existence of different lectin binding profiles between ciliated and non-ciliated (secretory cells, as well as the presence of non-ciliated cell sub-types which might determine functional differences along the ampullary epithelium of mare oviduct.

  16. Perforation of the Papilla of Vater in Wire-Guided Cannulation

    Directory of Open Access Journals (Sweden)

    Yuichi Takano

    2016-01-01

    Full Text Available Background. WGC in ERCP is considered a safe technique, although rare complications can occur. One unique complication of WGC is the perforation of the papilla of Vater by the guidewire. Subjects and Methods. Of 2032 patients who underwent ERCP at our department between January 2010 and December 2014, we selected 208 patients who underwent WGC for naïve papilla as subjects. A detailed examination of patients in whom a perforation occurred was conducted, and risk factors for perforations were investigated. Results. The perforation was observed in 7 of 208 patients (3.4%. All patients recovered with conservative treatment without the need for surgery. The perforation rate was significantly higher in the patients with juxtapapillary duodenal diverticula than those without diverticula (12.5% versus 0.6%, p<0.001. Cannulation of the bile duct was ultimately achieved in 5 of 7 patients; PSP was performed for 4 of these patients. Conclusion. Caution must be exercised when dealing with patients who have a juxtapapillary duodenal diverticula because they are at higher risk of perforations. Because these are small perforations made by a wire, most of them heal with conservative treatment. However, perforations can make cannulation difficult, and PSP may be useful for deep cannulation.

  17. Somatostatinoma of the Vater's papilla in a patient with von Recklinghausen's disease

    Directory of Open Access Journals (Sweden)

    Čolović Radoje

    2007-01-01

    Full Text Available Background. Somatostatinomas of the gastrointestinal tract secret hormone somatostatin which can cause "inhibitory syndrome" comprising diabetes mellitus, cholelithiasis and steatorrheic diarrhea. It is also secreted by the D cells of Langerhans's islands of the pancreas as well as endocrine cells of the stomack, small bowel, salivary glands and parafollicular cells of the thiroid gland. Somatostatinomas of the digestive tract appear within the pancreas and duodenum. Patients suffering from von Recklinghausens's disease are paticularly prone to the somatostatinomas of the duodenum. Case report. In this paper we presented a 51-year old female patient with von Recklinghausen's disease in whom, during the investigation for obstructive jaundice, tumor of the Vater's papilla was found. The patient was submitted to Whipple's duodenopancreatectomy. Histology and immunohistochemistry discovered type B glandular carcinoid tumor with strong antisomatostatin and mild antigastrin immunoreactivity. The patient stayed symptom-free more than four years now. Conclusion. Patients with von Recklinghausen's disease should be examined for other tumors, particularly carcinoids of the duodenum and papilla, especially if the signs of cholestasis are present.

  18. VACTERL/VATER Association

    Directory of Open Access Journals (Sweden)

    Solomon Benjamin D

    2011-08-01

    Full Text Available Abstract VACTERL/VATER association is typically defined by the presence of at least three of the following congenital malformations: vertebral defects, anal atresia, cardiac defects, tracheo-esophageal fistula, renal anomalies, and limb abnormalities. In addition to these core component features, patients may also have other congenital anomalies. Although diagnostic criteria vary, the incidence is estimated at approximately 1 in 10,000 to 1 in 40,000 live-born infants. The condition is ascertained clinically by the presence of the above-mentioned malformations; importantly, there should be no clinical or laboratory-based evidence for the presence of one of the many similar conditions, as the differential diagnosis is relatively large. This differential diagnosis includes (but is not limited to Baller-Gerold syndrome, CHARGE syndrome, Currarino syndrome, deletion 22q11.2 syndrome, Fanconi anemia, Feingold syndrome, Fryns syndrome, MURCS association, oculo-auriculo-vertebral syndrome, Opitz G/BBB syndrome, Pallister-Hall syndrome, Townes-Brocks syndrome, and VACTERL with hydrocephalus. Though there are hints regarding causation, the aetiology has been identified only in a small fraction of patients to date, likely due to factors such as a high degree of clinical and causal heterogeneity, the largely sporadic nature of the disorder, and the presence of many similar conditions. New genetic research methods offer promise that the causes of VACTERL association will be better defined in the relatively near future. Antenatal diagnosis can be challenging, as certain component features can be difficult to ascertain prior to birth. The management of patients with VACTERL/VATER association typically centers around surgical correction of the specific congenital anomalies (typically anal atresia, certain types of cardiac malformations, and/or tracheo-esophageal fistula in the immediate postnatal period, followed by long-term medical management of sequelae of

  19. Clinical Usefulness of :1{sup 8}F 2-Fluoro-2-Deoxy-D-Glucose Positron Emission Tomography Scan in the Diagnosis of Ampullary Carcinoma

    Energy Technology Data Exchange (ETDEWEB)

    Nam, Se Jin; Chung, Jae Joon; Kim, Dae Jung; Cho, Eun Suk; Ahn, Jhii Hyun; Kim, Joo Jee; Yu, Jeong Sik [Dept. of Radiology, Gangnam Severance Hospital, Yensei University College of Medicine, Seoul (Korea, Republic of)

    2011-08-15

    To evaluate the clinical usefulness of the {sup 18}F 2-fluoro-2-deoxy-D-glucose positron emission tomography ({sup 18}F-FDG PET) scan in the diagnosis of the ampulla of Vater cancer. CT images of 39 patients with ampulla of Vater cancer were reviewed regarding the lesion size, location, and bile or pancreatic duct dilatation. The patients were divided into three groups according to the lesion visibility on CT (Group A: visible mass, Group B: no visible mass but prominent ampulla, Group C: no visible lesion). Standardized uptake value (SUV) was measured on PET scan and the detection rate on PET images was comparable with that of CT images. Twenty-four patients (61.5%) were classified as Group A, 11 (28.2%) as Group B and 4 (10.3%) as Group C. All of Group A, 10 (90.9%) of Group B and 3 (75.0%) of Group C showed biliary dilatation. Pancreatic duct dilatation was shown in 18 (75.0%) of Group A, 9 (81.8%) of Group B, and 1 (25.0%) of Group C. The average of SUV of all patients was 5.90 {+-} 3.1. Most (94.9%) of all patients showed high FDG uptake over 2.5 with 93.9% in Group B and C. '1{sup 8}F-FDG PET scan was use for the detection of ampulla of Vater cancer, even though the lesion was invisible on CT.

  20. Differential c-erbB-1 and c-erbB-2 mRNA expression in cancer of the pancreas compared with cancer of the papilla of Vater

    Institute of Scientific and Technical Information of China (English)

    Klaus L Prenzel; Ute Warnecke-Eberz; Jan Brabender; Stephan E Baldus; Elfriede Bollschweiler; Christian A Gutschow; Uta Drebber; Arnulf H Hoelscher; Paul M Schneider

    2006-01-01

    AIM: We examined quantitative mRNA expression of growth factor receptors (c-erbB-1, c-erbB-2) and the anti-apoptosis gene survivin known to be regulated in pancreatic adenocarcinomas and compared the expression pattern with that in carcinomas of the papilla of Vater.METHODS: Quantitative real-time reverse transcriptasePCR (QRT-PCR, TaqmanTM) was performed to analyze mRNA expression levels of c-erbB-1, c-erbB-2 and survivin in normal and corresponding tumor samples of 31 pancreatic adenocarcinomas and 8 cancers of the papilla of Vater.RESULTS: The overall median mRNA expression of survivin was significantly increased in both adenocarcinoma of the pancreas (P<0.01) and papilla of Vater (P<0.008) compared with uninvolved normal control tissue. In pancreatic cancer, expression of c-erbB-1 was significantly decreased compared with the normal pancreatic tissue (P<0.03), whereas in the cancer of the papilla of Vater expression of c-erbB-2 was significantly downregulated (P<0.05) compared with the paired normal samples. Gene expression was not associated with tumor stage, differentiation or prognosis.CONCLUSION: The common anti-apoptosis gene survivin is overexpressed both in the cancer of the papilla of Vater and pancreas. In contrast, the growth factor receptor genes c-erbB-1 and c-erbB-2 are differentially regulated in both tumor entities adding further evidence that pancreatic cancer is biologically different from the cancer of papilla of Vater.

  1. Die Entdeckung der Differenz: Zur Besonderheit des Vaters für das Kind The Discovery of Difference: On the Noteworthiness of the Father for his Child

    Directory of Open Access Journals (Sweden)

    Beate Kortendiek

    2003-07-01

    Full Text Available In dem Sammelband wird in zehn Beiträgen aus psychoanalytischer und -therapeutischer sowie bindungs- und systemtheoretischer Perspektive nach der Bedeutung des Vaters für Säugling und Kleinkind gefragt. Hierbei geht es u.a. um die Analyse von Vaterlosigkeit, Bindungsentwicklungen, Spielsituationen und Schlafstörungen unter besonderer Berücksichtung der Entwicklung dyadischer und triadischer Beziehungen zwischen Vater, Mutter und Kind. Die Berichte sind von Wissenschaftler/-innen und Therapeut/-innen aus Österreich, Deutschland und der Schweiz verfasst und gehen zurück auf die Jahrestagung (2001 der „Deutschen Gesellschaft für die seelische Gesundheit in der frühen Kindheit“ (Germanspeeking Association für Infant Mental Health/GAIMH. Die Veröffentlichung ermöglicht einen Überblick über die aktuelle psychologisch orientierte Forschung und Debatte der frühen Beziehung zwischen Vater und Kind.The ten contributions to this anthology all address the relevance of the father for the baby and infant, employing psychoanalytical and therapeutic perspectives, as well as attachment theory and systemic theory. Among other things, the texts analyse growing up without a father, developing attachment, child play, and sleep disorders with a special focus on the development of dyadic and triadic relations between father, mother, and child. The individual reports were written by scientists and therapists in Austria, Germany, and Switzerland, and were inspired by the 2001 annual Meeting of the “German Speaking Association for Infant Mental Health (GAIMH.” This publication offers an overview of current psychological research and debates about early father-child relationships.

  2. Safe endoscopic resection of gangliocytic paraganglioma of the major duodenal papilla Ampulectomía endoscópica eficaz de un paraganglioma gangliocítico localizado en la papila de Vater

    Directory of Open Access Journals (Sweden)

    P. Sánchez-Pobre

    2004-09-01

    Full Text Available A case of gangliocytic paraganglioma of the papilla of Vater in a 76-year-old man with a history of recurrent obstructive jaundice is presented. This is the first case of gangliocytic paraganglioma of the major papilla succesfully resected by endoscopic ampullectomy.Se describe un caso de paraganglioma gangliocítico de la papila de Vater, en un varón de 76 años, manifestado con cuadros de ictericia obstructiva recidivante. Este es el primer caso descrito de paraganglioma de la papila mayor resuelto eficazmente mediante ampulectomía endoscópica.

  3. Shell Colour Polymorphism in Bulla ampulla

    DEFF Research Database (Denmark)

    Cedhagen, Tomas

    1999-01-01

    Colour patterns of Bulla ampulla shells collected from Africa eastward to Pacific Islands were studied. 1\\vo common colour morphs were found. The typical morph is commonest. It is closely and finely mottled or all over with pinkish-gray on a creamy or flesh~tinted ground, with darker clouds......, irregular, V-shaped, or as longitudinal bands. The colouration of the other common morph is more uniform. It is lacking the darker clouds or bands and the colour is more greyish. The entire shell surface is densely mottled all over with small brown spots on a grey or beige background. Both morphs seem...

  4. Diagnostic Value of Ultrasonic Testing in Ampulla-type Renal Pelvis%超声检查在壶腹肾盂诊断中的价值

    Institute of Scientific and Technical Information of China (English)

    马佳; 王萍; 卢金生

    2012-01-01

    Objective To analyze 1he ultrasound phenomenon of ampulla-type renal pelvis, and improve its ultrasound diagnostic accuracy rate . M eihods U ltrasound perform ance of 30 am pulla-type renal pelvis w hich w ere diagnosed Ihrough C T scan or X -ray intravenous pyebgram w as retrospective analyzed . Results The representation of am pulla-type renal pelvis is oval, obtuse triangle, shuttle shape or branches type, mainly wilh m ild-to-moderate set separation system ,and 1here were no sense of tension of 1he renalpelvis . Conclusion Full understanding 1he ultrasonographic feature of ampulla-type renal pelvis can help reducing 1he m isdiagnosis rate of ultrasonic .%目的 分析壶腹型肾盂的超声表现,提高壶腹肾盂的超声诊断正确率.方法 回顾分析30例经CT扫描或X线静脉肾盂造影证实的壶腹型肾盂的超声学表现.结果 壶腹肾盂表现为卵圆形、钝角三角形、梭型及树枝型,以轻中度集合系统分离为主,肾盂均无张力感.结论 充分了解壶腹型肾盂的声像图特点,可以帮助减少超声对壶腹肾盂的误诊率.

  5. Imaging features of benign and malignant ampullary and periampullary lesions.

    Science.gov (United States)

    Nikolaidis, Paul; Hammond, Nancy A; Day, Kevin; Yaghmai, Vahid; Wood, Cecil G; Mosbach, David S; Harmath, Carla B; Taffel, Myles T; Horowitz, Jeanne M; Berggruen, Senta M; Miller, Frank H

    2014-01-01

    The ampulla of Vater is an important anatomic landmark where the common bile duct and main pancreatic duct converge in the major duodenal papilla. Imaging evaluation of the ampulla and periampullary region poses a unique diagnostic challenge to radiologists because of the region's complex and variable anatomy and the variety of lesions that can occur. Lesions intrinsic to the ampulla and involved segment of the biliary tree can be neoplastic, inflammatory, or congenital. Neoplastic lesions include ampullary adenocarcinomas and adenomas, which often are difficult to differentiate, as well as pancreatic or duodenal adenocarcinomas, pancreatic neuroendocrine tumors, and cholangiocarcinomas. Ultrasonography (US), computed tomography, magnetic resonance (MR) imaging, and MR cholangiopancreatography are commonly used to evaluate this region. Endoscopic retrograde cholangiopancreatography or endoscopic US examination may be necessary for more definitive evaluation. Periampullary conditions in the duodenum that may secondarily involve the ampulla include neoplasms, duodenitis, duodenal diverticula, and Brunner's gland hyperplasia or hamartomas. Because these lesions can exhibit a wide overlap of imaging features and subtle or nonspecific imaging findings, diagnosis is made on the basis of patient age, clinical history, and imaging and laboratory findings. Given the complexity of imaging evaluation of the ampulla and periampullary region, it is essential for radiologists to understand the variety of lesions that can occur and recognize their imaging characteristics. PMID:24819785

  6. Anomalies of the bile ducts: a case report of direct drain of the cystic duct into the papilla of Vater.

    Directory of Open Access Journals (Sweden)

    Watanabe,Akiharu

    1983-10-01

    Full Text Available Direct drain of the cystic duct and drain of the biliary tract through an internal fistula into the duodenum in a 81-year-old man were endoscopically diagnosed without an operation.

  7. Significance of cytomorphological and microbiological examination of bile collected by endoscopic cannulation of the papilla of vater

    Directory of Open Access Journals (Sweden)

    Misra Vatsala

    2009-07-01

    Full Text Available Background: Bile analysis yields important information such as "biliary microlithiasis" and biliary tract colonization by microorganisms like Salmonella typhi or paratyphi, Escherichia coli , etc., which may progresses to cholelithiasis and have been found to have a role in the development of gallbladder cancer in India. Aim: To perform microscopic, cytomorphological and microbiological examination of bile collected during endoscopic retrograde cholangiopancreatography in patients with benign and malignant lesions of the gallbladder. Materials and Methods: Bile was collected from 48 patients by a catheter inserted through the cystic duct during endoscopic retrograde cholangiopancreatography. Direct microscopy and grading of crystals was performed. Smears prepared from centrifuged deposits were stained with Giemsa, Papanicolaou stain and Gram′s stain for cytological and microbiological examination. Special staining for Helicobacter pylori was performed using Loeffler′s Methylene blue and Warthin Starry stain. The rest of the sample was used for culture and complete microbiological examination. Results: Thirty-six patients had inflammatory lesions while 12 had malignant lesions. Crystals were observed in 93% of the cases, 13 (28.8% had only cholesterol crystals, three (6.6% had bilirubinate and 29 (64.4% had both cholesterol and bilirubinate crystals. Smears from the centrifuged deposit mainly showed coccoid or cocobacillary bacteria on Gram′s staining (81.3%. Five of 12 (41.6% malignant cases showed epithelial atypia while none of the benign or inflammatory lesions showed such a change in hematoxylin and eosin and Pap-stained smears. Microbiologic analysis showed Staphylococcus aureus (14%, S. saprophyticus (5.5%, Peptococcus (5.5%, Peptostreptococcus (5.5%, Proteus mirabilis (5.5%, E. coli (17%, Enteorbacter cloacae (5.5% and H. pylori (2.8%. Conclusion: Complete microscopic and microbiological examination of bile directly obtained from

  8. Optimization of the generator settings for endobiliary radiofrequency ablation

    Institute of Scientific and Technical Information of China (English)

    Maximilien; Barret; Sarah; Leblanc; Ariane; Vienne; Alexandre; Rouquette; Frederic; Beuvon; Stanislas; Chaussade; Frederic; Prat

    2015-01-01

    AIM:To determine the optimal generator settings for endobiliary radiofrequency ablation. METHODS:Endobiliary radiofrequency ablation was performed in live swine on the ampulla of Vater,the common bile duct and in the hepatic parenchyma. Radiofrequency ablation time,"effect",and power were allowed to vary. The animals were sacrificed two hours after the procedure. Histopathological assessment of the depth of the thermal lesions was performed. RESULTS:Twenty-five radiofrequency bursts were applied in three swine. In the ampulla of Vater(n = 3),necrosis of the duodenal wall was observed starting with an effect set at 8,power output set at 10 W,and a 30 s shot duration,whereas superficial mucosal damage of up to 350 μm in depth was recorded for an effect set at 8,power output set at 6 W and a 30 s shot duration. In the common bile duct(n = 4),a 1070 μm,safe and efficient ablation was obtained for an effect set at 8,a power output of 8 W,and an ablation time of 30 s. Within the hepatic parenchyma(n = 18),the depth of tissue damage varied from 1620 μm(effect = 8,power = 10 W,ablation time = 15 s) to 4480 μm(effect = 8,power = 8 W,ablation time = 90 s). CONCLUSION:The duration of the catheter application appeared to be the most important parameter influencing the depth of the thermal injury during endobiliary radiofrequency ablation. In healthy swine,the currently recommended settings of the generator may induce severe,supratherapeutic tissue damage in the biliary tree,especially in the high-risk area of the ampulla of Vater.

  9. Obscure Gastrointestinal Bleeding from an Ampullary Tumour in a Patient with a Remote History of Renal Cell Carcinoma: A Diagnostic Conundrum

    Directory of Open Access Journals (Sweden)

    Rhonda M Janzen

    1998-01-01

    Full Text Available Metastasis of renal cell carcinoma to the ampulla of Vater is a rare occurrence. The outlined case, which presented as an upper gastrointestinal bleed, is only the eighth such reported case in the English-language literature. This case is the longest reported time interval between surgical nephrectomy to presentation with ampullary metastasis at 17.5 years. The ampullary source of bleeding in this case was initially obscure and missed by conventional gastroscopy. Diagnosis was made with a side-viewing endoscope, emphasizing the usefulness of this instrument in the investigation of active bleeding from a small bowel source.

  10. Support Vector Machine Based on microRNA Expression Profiles to Predict Histological Origin of Ampullary Carcinoma: Case Report of a Patient Affected From Adenocarcinoma of the Papilla of Vater With Lynch Syndrome.

    Science.gov (United States)

    Tavano, Francesca; Copetti, Massimiliano; Piepoli, Ada; Carella, Massimo; Gentile, Annamaria; Burbaci, Francesca Paola; Fontana, Andrea; De Bonis, Antonio; di Mola, Fabio Francesco; di Sebastiano, Pierluigi; Andriulli, Angelo

    2016-04-01

    Adenocarcinomas of Vater's papilla (PVAC) may originate from either the pancreatic duct or the intestinal epithelium. Conflicting data have been reported about the frequency of the 2 anatomical entities and their influence on patients' prognosis. To ascertain the anatomical origin of PVAC in a family member of a Lynch syndrome kindred, we searched for microRNA (miRNA) expression profiles on resected tumor specimens. The support vector machine was trained on our previous miRNAs expression data sets of pancreatic and colorectal tissue samples and used to classify the site of origin of the tumor in our patient. The support vector machine worked by contrasting the profiles of miRNAs in patients with pancreatic ductal and colorectal cancers to that of our patient, which was finally classified as pancreatic ductal adenocarcinoma accordingly to alterations of 55 miRNAs. The PVAC might be originated from ductal epithelium rather than from the intestinal mucosa of the papilla in the case at issue. Alteration of miR-548b-3p, miR-551a, miR-21, miR-92a, miR-let-7i, and miR-181a* emerged as potentially associated with cancer genetic susceptibility in PVAC. PMID:26954494

  11. [Trimming with argon plasma of self-expanding metal stents: report of 7 cases].

    Science.gov (United States)

    Jury, Gastón; Amieva, Leandro; López, Fagalde Rafael; Jury, Rubén

    2014-06-01

    The use of self-expandable enteral stents for palliation of malignant stenosis may present the complication of concealing the ampulla of Vater behind the metallic mesh. Anchoring in the duodenal wall (distal or partial migration) may also be a complication of biliary metallic stents and therefore may cause difficulty in gaining access to the biliary tract. In these cases of difficult access, a fenestration on the prosthesis ( biliary or enteral) can be created to allow reaching the obstructed biliary tract by means of argon plasma (AP). Were retrospectively analysed 7 cases. Under endoscopic vision, AP was directed to filgurate and cut 6 biliary prosthesis and a duodenal stent. Fulguration and cut of biliary stent was performed in 5 cases of distal partial migration and cholangitis. In one case of obstruction caused by distal migration inside the duodenal stent light, cutting of the biliary stent was performed. A window was created in the enteral prosthesis in order to access the ampulla of Vater and place a biliary tract prosthesis. All cases were resolved successfully and without complications. We conclude that the use of AP to fulgurate and cut nitinol prosthesis was effective and presented no complications in this series. PMID:25199306

  12. Primary small-cell neuroendocrine carcinoma of the duodenum – a case report and review of literature

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    Nagai Hideo

    2004-08-01

    Full Text Available Abstract Background Small-cell neuroendocrine carcinoma in the duodenum is an extremely rare neoplasm with poor prognosis. Case presentation A 57-year-old man presented with sudden onset gastrointestinal bleeding and fainting attacks. Duodenoscopy and hypotonic duodenography revealed a 3 × 3 cm protruding tumor with ulcerations situated opposite the ampulla of Vater in the second part of the duodenum. Local excision of the tumor was performed, followed by adjuvant chemotherapy with 5-fluoro uracil and leucovorin. Examination of the tumor by immunohistochemistry and electron microscopy indicated it to be neuroendocrine in nature, expressing synaptophysin and AE1/AE3, and containing dense core granules. The patient showed no sign of recurrence and has been disease-free for more than 48 months after surgery. Conclusions Most cases of small-cell neuroendocrine carcinoma in the duodenum show rapid progression of the disease, and even radical surgery with or without chemotherapy do not prevent death. We report a rare subtype of small-cell neuroendocrine carcinoma. This subtype appears to have a much better prognosis, and may be amenable to local excision, if the lesion is away from the ampulla of Vater.

  13. VATER/VACTERL Association and Caudal Regression with Xq25-q27.3 Microdeletion: A Case Report.

    Science.gov (United States)

    Puvabanditsin, Surasak; Van Gurp, James; February, Melissa; Khalil, Marwa; Mayne, Julia; Ai McConnell, Jennifer; Mehta, Rajeev

    2016-01-01

    We report a term female neonate with vertebral anomalies, anal and urethral atresia, esophageal atresia with tracheoesophageal fistula (TEF), renal agenesis, pulmonary hypoplasia, genital and sacral appendages, and a single umbilical artery. Genetic studies revealed a 20.91 Mb interstitial deletion of the long arm of X chromosome: Xq25-q27.3. This is a new case of VATER/VACTERL association with Xq25 microdeletion. PMID:26881326

  14. Partial duodenectomy and translocation of the distal common bile duct in repairing duodenal defect near the papilla of Vater for a gastrointestinal stromal tumor

    Institute of Scientific and Technical Information of China (English)

    HE Qing-si; JIANG Jin-bo; LIU Feng-jun; SUN Guo-rui; LI Xue-mei

    2007-01-01

    @@ Surgical resection is preferred in the treatment of gastrointestinal stromal tumor (GIST).1-3 Duodenal GIST comprises 4.5% of all GISTs,1 but the optimal surgical procedure for it remains uncertain.

  15. Heterotopic Pancreas of the Gallbladder Associated with Chronic Cholecystitis

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    Muhammad Hanif Shiwani

    2008-01-01

    Full Text Available Context The presentation of heterotopic pancreas with cholecystolithiasis is exceedingly rare. Very few cases have beenreported in the literature. The clinical significance so far is unclear.Case report We report a case of a 20-yearold female, suffering with biliary colic. On clinical examination abdomen wasunremarkable. Ultrasonographic examination shows suspicion of a single stone in the gallbladder. Her liver functions were slightly abnormal. MRCP did not show any abnormality in the gallbladder and the common bile duct was of normal caliber. She underwent a successful laparoscopic cholecystectomy and her symptoms resolved. Pathological examination of the gallbladder revealed an area of heterotopic pancreas. Conclusion The preoperative diagnosis of heterotopic pancreas in the gallbladder is difficult. The significance of incidental finding of heterotopic pancreas in unclear and requires a systematic review of the subject. diverticulum, ampulla of Vater, and the main pancreatic duct [1]. We report a case of heterotopic pancreas of gallbladder

  16. Gastrointestinal bleeding and obstructive jaundice: Think of hepatic artery aneurysm.

    Science.gov (United States)

    Vultaggio, Fabrice; Morère, Pierre-Henri; Constantin, Christophe; Christodoulou, Michel; Roulin, Didier

    2016-06-27

    Hemobilia is an uncommon and potential life-threatening condition mainly due to hepato-biliary tree traumatic or iatrogenic injuries. Spontaneously ruptured aneurysm of the hepatic artery is seldom described. We report the case of an 89-year-old woman presenting with abdominal pain, jaundice and gastrointestinal bleeding, whose ultrasound and computed tomography revealed a non-traumatic, spontaneous aneurysm of the right hepatic artery. The oeso-gastro-duodenoscopy and colonoscopy did not reveal any bleeding at the ampulla of Vater, nor anywhere else. Selective angiography confirmed the diagnosis of hepatic artery aneurysm and revealed a full hepatic artery originating from the superior mesenteric artery. The patient was successfully treated by selective embolization of microcoils. We discuss the etiologies of hemobilia and its treatment with selective embolization, which remains favored over surgical treatment. Although aneurysm of the hepatic artery is rare, especially without trauma, a high index of suspicion is needed in order to ensure appropriate treatment. PMID:27358680

  17. Replacement Gastrostomy Tube Causing Acute Pancreatitis: Case Series with Review of Literature

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    Anish M Shah

    2012-01-01

    Full Text Available Context Percutaneous endoscopic gastrostomy (PEG feedings are generally considered safe with few serious complications. Acute pancreatitis is a rare complication associated with replacement percutaneous endoscopic gastrostomy tubes. Case report We report two cases of acute pancreatitis induced by migrated replacement percutaneous endoscopic gastrostomy tubes. Conclusions Migration of a balloon into the duodenum can result in external manipulation of the ampulla of Vater thereby disturbing the flow of pancreatic secretions leading to acute pancreatitis. Recognition of this complication is important and should be included as potential etiology of acute pancreatitis in patients receiving percutaneous endoscopic gastrostomy feedings. Periodic examination and documentation of the distance of the balloon from the skin should be performed to document the position of the tubes or any inadvertent migration of the tubes. The use of Foley catheters as permanent replacement tubes should be considered medically inappropriate.

  18. Chronic Calcific Pancreatitis Presenting as an Isolated Left Perinephric Abscess: A Case Report and Review of the Literature

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    Ragesh Babu Thandassery

    2011-09-01

    Full Text Available Context Acute and chronic pancreatitis may present with pseudocysts in atypical locations. Activated pancreatic enzymes track along anatomic fascial planes causing digestion of the surrounding tissues and resulting in distant pseudocysts. Pseudocysts at atypical locations pose significant diagnostic as well as therapeutic challenges. Case report We report an unusual presentation of a pancreatic pseudocyst in a young male who presented with a left perinephric abscess. Percutaneous drainage was not successful in resolving the abscess and he was subsequently diagnosed as having chronic pancreatitis together with a left perinephric abscess. Needle knife sphincterotomy of the ampulla of Vater resulted in the gradual resolution of the abscess. Conclusion We report a rare presentation of chronic pancreatitis with a perinephric abscess and its non-surgical management. This case report indicates that any patient presenting with a perinephric abscess of unknown etiology not responding to conventional treatment modalities should be investigated for underlying pancreatitis.

  19. Pancreatic and Gastric Heterotopia with Associated Submucosal Lipoma Presenting as a 7-cm Obstructive Tumor of the Ileum: Resection with Double Balloon Enteroscopy

    Directory of Open Access Journals (Sweden)

    Kun Jiang

    2015-07-01

    Full Text Available Pancreatic and gastric heterotopias are rare clinical entities which have been identified throughout the entire length of the gastrointestinal tract. Combined gastric and pancreatic heterotopias, although unusual, have been described in the duodenum and jejunum, and in other structures, including Meckel's diverticulum and the ampulla of Vater. We report a novel case of pancreatic and gastric heterotopia with an associated submucosal lipoma in a 38-year-old female with a recent history of rectal cancer and chronic crampy abdominal pain. On computed tomography, a 7-cm luminal polypoid mass extending into the distal ileum was discovered. The mass was successfully resected using retrograde double balloon enteroscopy. We believe this is the first report of all three histological entities co-existing in an obstructive ileal lesion in an adult. It highlights endoscopic resection trough double enteroscopy as a safe alternative to more invasive surgical approaches for this type of lesion.

  20. Identification of new cancer biomarkers based on aberrant mucin glycoforms by in situ proximity ligation

    DEFF Research Database (Denmark)

    Pinto, Rita; Carvalho, Ana S; Conze, Tim;

    2012-01-01

    ) based on existing monoclonal antibodies directed to MUC1, MUC2, MUC5AC and MUC6 mucins and to cancer-associated carbohydrate antigens Tn, Sialyl-Tn (STn), T, Sialyl-Le(a) (SLe(a) ) and Sialyl-Le(x) (SLe(x) ) we screened a series of 28 mucinous adenocarcinomas from different locations (stomach, ampulla...... of Vater, colon, lung, breast and ovary) to detect specific mucin glycoforms. We detected Tn/STn/SLe(a) /SLe(x) -MUC1 and STn/SLe(a) /SLe(x) -MUC2 glycoforms in $50% of the cases, with a variable distribution among organs. Some new glycoforms-T/SLe(a) -MUC2, STn/T/SLe(a) /SLe(x) -MUC5AC and STn...

  1. Die Entdeckung der Differenz: Zur Besonderheit des Vaters für das Kind

    Directory of Open Access Journals (Sweden)

    Beate Kortendiek

    2003-07-01

    Full Text Available In dem Sammelband wird in zehn Beiträgen aus psychoanalytischer und -therapeutischer sowie bindungs- und systemtheoretischer Perspektive nach der Bedeutung des Vaters für Säugling und Kleinkind gefragt. Hierbei geht es u.a. um die Analyse von Vaterlosigkeit, Bindungsentwicklungen, Spielsituationen und Schlafstörungen unter besonderer Berücksichtung der Entwicklung dyadischer und triadischer Beziehungen zwischen Vater, Mutter und Kind. Die Berichte sind von Wissenschaftler/-innen und Therapeut/-innen aus Österreich, Deutschland und der Schweiz verfasst und gehen zurück auf die Jahrestagung (2001 der „Deutschen Gesellschaft für die seelische Gesundheit in der frühen Kindheit“ (Germanspeeking Association für Infant Mental Health/GAIMH. Die Veröffentlichung ermöglicht einen Überblick über die aktuelle psychologisch orientierte Forschung und Debatte der frühen Beziehung zwischen Vater und Kind.

  2. Die Rolle des Vaters bei berufstätiger Mutter - Aufgabenbeteiligung, Lebenszufriedenheit und Schulleistung der Kinder

    OpenAIRE

    Röhr-Sendlmeier, Una M.; Bergold, Sebastian

    2012-01-01

    "Väterliche Rollenkonzepte, mütterliche Berufstätigkeit und die Zufriedenheit des Vaters in verschiedenen Lebensbereichen werden als Bedingungsfaktoren für die väterliche Beteiligung am Haushalt und an kindbezogenen Aufgaben untersucht und die Bedeutung dieser familiären Kontextvariablen für die Schulleistungen der Kinder in den Kernfächern Deutsch und Mathematik beleuchtet. Bei 279 Elternpaaren von Schülern und Schülerinnen in 3., 6. und 9. Klassen verschiedener Schultypen wurden Fragebogend...

  3. Embryologic and anatomic basis of duodenal surgery.

    Science.gov (United States)

    Androulakis, J; Colborn, G L; Skandalakis, P N; Skandalakis, L J; Skandalakis, J E

    2000-02-01

    The following points should be remembered by surgeons (Table 1). In writing about the head of the pancreas, the common bile duct, and the duodenum in 1979, the authors stated that Embryologically, anatomically and surgically these three entities form an inseparable unit. Their relations and blood supply make it impossible for the surgeon to remove completely the head of the pancreas without removing the duodenum and the distal part of the common bile duct. Here embryology and anatomy conspire to produce some of the most difficult surgery of the abdominal cavity. The only alternative procedure, the so-called 95% pancreatectomy, leaves a rim of pancreas along the medial border of the duodenum to preserve the duodenal blood supply. The authors had several conversations with Child, one of the pioneers of this procedure, whose constant message was to always be careful with the blood supply of the duodenum (personal communication, 1970). Beger et al popularized duodenum-preserving resection of the pancreatic head, emphasizing preservation of endocrine pancreatic function. They reported that ampullectomy (removal of the papilla and ampulla of Vater) carries a mortality rate of less than 0.4% and a morbidity rate of less than 10.0%. Surgeons should not ligate the superior and inferior pancreaticoduodenal arteries because such ligation may cause necrosis of the head of the pancreas and of much of the duodenum. The accessory pancreatic duct of Santorini passes under the gastrointestinal artery. For safety, surgeons should ligate the artery away from the anterior medial duodenal wall, where the papilla is located, thereby avoiding injury to or ligation of the duct. "Water under the bridge" applies not only to the relationship of the uterine artery and ureter but also to the gastroduodenal artery and the accessory pancreatic duct. In 10% of cases, the duct of Santorini is the only duct draining the pancreas, so ligation of the gastroduodenal artery with accidental inclusion of

  4. Die Lust am Vater The Desire for the Father

    Directory of Open Access Journals (Sweden)

    Heide Volkening

    2004-11-01

    Full Text Available Herrmanns Studie analysiert die Produktivität ödipaler Plot-Strukturen in der deutschsprachigen Literatur des 20. Jahrhunderts. Dabei zeigt sich die Persistenz männlicher Konfliktmuster des Expressionismus in der feministischen Literatur seit den 1960er Jahren. De-ödipalisierte Narrative findet Herrmann im US-amerikanischen Science-Fiction-Film.Herrmann’s study analyzes the productivity of Oedipal plot structures in German-language literature of the Twentieth Century. In doing so, the study illustrates the persistence of male modes of conflict as typical of Expressionism in post-60’s feminist literature. Herrmann finds de-oedipalized narratives in the American science fiction film.

  5. Primary combined carcinoid and adenocarcinoma of the ileum associated with transitional carcinoma of the bladder. Single case report Causa infrecuente de disfagia en el postoperatorio tardío de la cirugía de la hernia de hiato

    Directory of Open Access Journals (Sweden)

    I. D. Venizelos

    2007-03-01

    Full Text Available Composite neoplasms, carcinoid and adenocarcinoma have been reported to occur in several parts of the body, including the stomach, ampulla of Vater, large bowel, lung, and urinary bladder. Here we report a case of a 74-year-old male with a composite carcinoid-adenocarcinoma of the ileum associated with a transitional cell carcinoma of the bladder. The microscopical examination of the composite tumor showed an admixture of typical carcinoid tumor and moderately a differentiated adenocarcinoma. Immunohistochemically, the two components showed clear-cut differentiations. A review of the literature revealed that this is the first reported case of composite carcinoid-adenocarcinoma of the ileum associated with transitional cell carcinoma of the urinary bladder.Las neoplasias compuestas, el carcinoide y el adenocarcinoma se ha observado que aparecen en varias partes del organismo, como el estómago, la ampolla de Vater, el intestino grueso, el pulmón y la vejiga urinaria. Publicamos aquí el caso de un varón de 74 años con un tumor compuesto de tipo carcinoide-adenocarcinoma del íleon asociado a un carcinoma vesical de células transicionales. El examen macroscópico del tumor compuesto mostró una mezcla de tumor carcinoide típico y adenocarcinoma moderadamente diferenciado. Desde el punto de vista inmunohistoquímico, los dos componentes estaban claramente diferenciados. Una revisión de la bibliografía reveló que este es el primer caso que se publica de un tumor compuesto de tipo carcinoide-adenocarcinoma del íleon asociado a un carcinoma de células transicionales de la vejiga urinaria.

  6. Pancreas divisum and duodenal diverticula as two causes of acute or chronic pancreatitis that should not be overlooked: a case report

    Directory of Open Access Journals (Sweden)

    De Filippo Massimo

    2008-05-01

    Full Text Available Abstract Introduction Pancreas divisum is a congenital anatomical anomaly characterized by the lack of fusion of the ventral and dorsal parts of the pancreas during the eighth week of fetal development. This condition is found in 5% to 14% of the general population. In pancreas divisum, the increased incidence of acute and chronic pancreatitis is caused by inadequate drainage of secretions from the body, tail and part of the pancreatic head through an orifice that is too small. The incidence of diverticula in the second part of the duodenum is found in approximately 20% of the population. Compression of the duodenal diverticula at the end of the common bile duct leads to the formation of biliary lithiasis (a principal cause of acute pancreatitis, pain associated with biliary lithiasis owing to compression of the common bile duct (at times with jaundice, and compression of the last part of Wirsung's duct or the hepatopancreatic ampulla (ampulla of Vater that may lead to both acute and chronic pancreatitis. Case presentation We describe the radiological findings of the case of a 75-year-old man with recurrent acute pancreatitis due to a combination of pancreas divisum and duodenal diverticula. Conclusion Magnetic resonance cholangiopancreatography is advisable in patients with recurrent pancreatitis (both acute and chronic since it is the most appropriate noninvasive treatment for the study of the pancreatic system (and the eventual presence of pancreas divisum and the biliary systems (eventual presence of biliary microlithiasis. Moreover, it can lead to the diagnostic suspicion of duodenal diverticula, which can be confirmed through duodenography with X-ray or computed tomography scan with a radio-opaque contrast agent administered orally.

  7. [Nephrotic syndrome associated with ampulloma].

    Science.gov (United States)

    López-Navidad, A; Colomina, J; Domingo, P; Franco, M; Algaba, F

    1989-06-01

    A patient is reported who presented simultaneously classic nephrotic syndrome and adenocarcinoma of the Vater ampulla. Morphological study of the renal biopsy revealed changes characteristic of membranous glomerulonephritis and subepithelial deposits. These deposits stained specifically for IgG and C'3 with a granular pattern, but deposits of CEA-antiCEA immune complexes were not found in glomerular capillaries. The association of nephrotic syndrome with lymphoproliferative diseases and a large variety of solid tumors, like carcinoma of the breast, bronchogenic, colon and stomach has been communicated, but the present case constitutes the first known association with adenocarcinoma of the Vater ampulla. PMID:2772382

  8. Serum Hyperamylasemia as a prognostic indicator of acute viral hepatitis and cirrhosis of liver

    Directory of Open Access Journals (Sweden)

    N. Kaur

    2014-06-01

    Full Text Available Liver disease is a condition that causes liver inflammation or tissue damage and affects liver function. Liver functions tests are abnormal in various liver diseases such as hepatitis, cirrhosis and end stage liver disease. The study of pancreatic enzymes for prognostic purpose in evolving liver disease is gaining ground and act as prognostic indicator for liver diseases. Present study has been planned to assess the serum amylase status in 50 patients of acute viral hepatitis and 50 patients of cirrhosis of liver in comparison to 50 normal healthy control subjects. Levels of serum amylase were determined by CNP- G3 kinetic method. The serum levels of amylase were significantly raised (p<0.0001 in patients compared to control group and levels were observed to be constantly increased with increased severity of liver diseases. The probable cause of variation in serum amylase enzymes in acute viral hepatitis and cirrhosis of liver is its anatomical proximity and common egress system through Ampulla of vater into the duodenum.

  9. Delayed gastric emptying is associated with pylorus-preserving but not classical Whipple pancreaticoduodenectomy: A review of the literature and critical reappraisal of the implicated pathomechanism

    Institute of Scientific and Technical Information of China (English)

    Kosmas I Paraskevas; Costas Avgerinos; Costas Manes; Dimitris Lytras; Christos Dervenis

    2006-01-01

    Pylorus-preserving pancreaticoduodenectomy (PPPD)is nowadays considered the treatment of choice for periampullary tumors, namely carcinoma of the head,neck, or uncinate process of the pancreas, the ampulla of Vater, distal common bile duct or carcinoma of the peri-Vaterian duodenum. Delayed gastric emptying (DGE)comprises one of the most troublesome complications of this procedure. A search of the literature using Pubmed/Medline was performed to identify clinical trials examining the incidence rate of DGE following standard Whipple pancreaticoduodenectomy (PD) vs PPPD. Additionally we performed a thorough in-depth analysis of the implicated pathomechanism underlying the occurrence of DGE after PPPD. In contrast to early studies, the majority of recently performed clinical trials demonstrated no significant association between the occurrence of DGE with either PD or PPPD. PD and PPPD procedures are equally effective operations regarding the postoperative occurrence of DGE. Further randomized trials are required to investigate the efficacy of a recently reported (but not yet tested in largescale studies) modification, that is, PPPD with antecolic duodenojejunostomy.(C) 2006 The WJG Press. All rights reserved.

  10. [Relative increase and metacritic aggravation in the diagnosis of anicteric cholestasis].

    Science.gov (United States)

    Albot, G; Geraudias, P; Kind, M

    1975-02-14

    The authors report 3 cases and report the diagnostic usefulness of two signs of minor cholestasis described by one of them in 1966. A relative increase, in the absence of obvious virus hepatitis or cirrhosis, of the serum bilirubin, cholesterol, lipids and alkaline phosphatase, together with B.S.P. excretion. suggest minor cholestasis. The sign of "metacritical aggravation" when there is some suspicion of minor cholestasis, the supervision of the course of the disease, or a retrospective inquiry, permit, in the presence of minor symptoms, such as, pain, fever, jaundice, or pruritus, one to make the diagnosis of minor cholestasis. The latter is due either to the presence of small gall stones in the common bile duct, or to inflammation of the ampulla of Vater, or sphincter of Oddi, a Vaterian ampulloma, pancreatitis, or following damage to the common bile duct. In practice, liver biopsy confirms the diagnosis, and intravenous cholangiography, by the perfusion method, is usually able to demonstrate obstruction of the common bile duct. PMID:169583

  11. US-guided percutaneous transhepatic biliary drainage: comparative study of right-sided and left-sided approach

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Young Hwan; Cha, Soon Joo [College of Medicine, Inje Univ., Kimhae (Korea, Republic of)

    2002-02-01

    To compare the feasibility and safety of US-guided right and left percutaneous transhepatic biliary drainage (PTBD). Between March 1998 and May 1999, 32 patients underwent 36 US-guided right or left PTBD in referred order, alternatively. The causes of biliary obstruction were bile duct stone (n=2), bile duct carcinoma (n=10), carcinoma of the pancreas (n=9), GB carcinoma (n=7), metastasis to the porta hepatis (n=3), and carcinoma of the ampulla of vater (n=1). Technical success, procedure time, fluoroscopic time, and complications were evaluated. PTBD was successful in 94% of both right and left approach. The average procedure time was 9.7 {+-}3.8 min. in the right approach and 9.6 {+-}3.1 min. in the left approach, respectively (p=0.794). The average fluoroscopic time were 3.9{+-}2.4 min. in the right approach and 3.8{+-}2.2 min. in the left approach (p=0.892). A major complication, bile peritonitis, occurred in one of 16 patient with right-sided approach. Minor complications occurred in six right (2 hemobilia, 3 tube malfunction, 1 cholangitis) and three left (1 hemobilia, 1 fever, 1cholangitis) PTBD. There were no significant difference in the complication rates between right and left PTBD (p=0.729). There were no significant differences in feasibility and safety in US-guided right and left PTBD.

  12. Emergency Pancreatoduodenectomy with Preservation of Gastroduodenal Artery for Massive Gastrointestinal Bleeding due to Duodenal Metastasis by Clear Cell Renal Cell Carcinoma in a Patient with Celiac Artery Stenosis

    Directory of Open Access Journals (Sweden)

    Kyriakos Neofytou

    2014-01-01

    Full Text Available Duodenal metastasis from renal cell carcinoma is rare, and even rarer is a massive gastrointestinal bleeding from such tumours. Coeliac occlusive disease, although rarely symptomatic, can lead to ischaemic changes with anastomotic dehiscence and leaks when a patient undergoes pancreatoduodenectomy. A 41-year-old man with known metastasis to the adrenal glands and the second part of the duodenum close to the ampulla of Vater from clear cell renal cell carcinoma was admitted to our department due to massive gastrointestinal bleeding from the duodenal metastasis. Endoscopic control of the bleed was not possible, while the bleeding vessel embolization was able to control the haemorrhage only temporarily. An angiography during the embolization demonstrated the presence of stenosis of the coeliac artery and also hypertrophic inferior pancreaticoduodenal arteries supplying the proper hepatic artery via the gastroduodenal artery (GDA. The patient underwent emergency pancreatoduodenectomy with preservation of the gastroduodenal artery. The patient had an uneventful recovery and did not experience further bleeding. Also the blood flow to the liver was compromised as shown by the normal liver function tests (LFTs postoperatively. To the best of our knowledge, this is the first report of a preservation of the GDA during an emergency pancreatoduodenectomy.

  13. A STUDY OF OBSTRUCTIVE JAUNDICE WITH FOCUS ON PREDICTIVE FACTORS FOR OUTCOME

    Directory of Open Access Journals (Sweden)

    Srinidhi

    2014-07-01

    Full Text Available BACKGROUND AND OBJECTIVES: Obstructive jaundice is a problem frequently encountered by general surgeons. A clear understanding of the etiology, presentation and management is a prerequisite for the management of obstructive jaundice. There is a need to identify the risk factors which may predict outcome. Hence, a detailed study of the various causes of obstructive jaundice and their management is of paramount importance. METHODS: A Prospective observational study was undertaken to investigate the pattern of clinical presentation, diagnosis and management of the different causes of obstructive jaundice. About 21 consecutive patients with symptoms and signs of obstructive jaundice were included in the study. Cases were admitted, examined, investigated and operated during the period of Nov 2010 to Aug 2012. RESULTS & CONCLUSION: The highest age incidence of obstructive jaundice was in the 50 - 80 years with maximum incidence in the 6th decade. There was an increased incidence in female i.e. M: F=1:2.5. Most common cause of obstructive jaundice is choledocholithiasis, followed by periampullary carcinoma. Among periampullary carcinoma, Ca head of pancreas and Ca Ampulla of Vater are the common causes. Jaundice is the most common presentation of surgical jaundice followed by pain abdomen, nausea/vomiting, itching, loss of weight and fever. Ultrasonography was the investigation of choice in our hospital. It is cheap, safe and reliable. Early diagnosis and management helps to reduce the mortality and morbidity rate. ERCP is comparatively as good as Open exploration of CBD and Choledochoduodenostomy for CBD calculi. Good survival benefit in cases of malignant obstructive jaundice depends on detecting the disease early in its course. It was noted on statistical analysis of malignant cases that the values of direct bilirubin levels were significantly higher in those patients who expired postoperatively compared to surviving patients. Hence these parameters

  14. Direct measurement of first-pass ileal clearance of a bile acid in humans

    International Nuclear Information System (INIS)

    The purpose of this study was to develop and validate a method of directly measuring ileal bile acid absorption efficiency during a single enterohepatic cycle (first-pass ileal clearance). This has become feasible for the first time because of the availability of the synthetic gamma-labeled bile acid 75Selena-homocholic acid-taurine (75SeHCAT). Together with the corresponding natural bile acid cholic acid-taurine (labeled with 14C), SeHCAT was infused distal to an occluding balloon situated beyond the ampulla of Vater in six healthy subjects. Completion of a single enterohepatic cycle was assessed by obtaining a plateau for 75SeHCAT activity proximal to the occluding balloon, which prevented further cycles. Unabsorbed 75SeHCAT was collected after total gut washout, which was administered distal to the occluding balloon. 75SeHCAT activity in the rectal effluent measured by gamma counter was compared with that of absorbed 75SeHCAT level measured by gamma camera and was used to calculate first-pass ileal clearance. This was very efficient (mean value, 96%) and showed very little variation in the six subjects studied (range, 95%-97%). A parallel time-activity course in hepatic bile for 14C and 75Se during a single enterohepatic cycle, together with a ratio of unity for 14C/75Se in samples obtained at different time intervals, suggests that 75SeHCAT is handled by the ileum like the natural bile acid cholic acid-taurine. Extrapolation of 75SeHCAT first-pass ileal clearance to that of the natural bile acid therefore seems justifiable. In a subsidiary experiment, ileal absorption efficiency per day for 75SeHCAT was also measured by scanning the gallbladder area on 5 successive days after the measurement of first-pass ileal clearance. In contrast with absorption efficiency per cycle, absorption efficiency per day varied widely (49%-86%)

  15. Expression of Bcl-2 and Bax in extrahepatic biliary tract carcinoma and dysplasia

    Institute of Scientific and Technical Information of China (English)

    Sheng-Mian Li; Shu-Kun Yao; Nobuyoshi Yamamura; Toshitsugu Nakamura

    2003-01-01

    AIM: To compare the difference of expression of Bcl-2 and Bax in extrahepatic biliary tract carcinoma and dysplasia, and to analyze the role of Bcl-2 and Bax proteins in the progression from dysplasia to carcinoma and to evaluate the correlation of Bcl-2/Bax protein expression with the biological behaviors.METHODS: Expressions of Bcl-2 and Bax were examined immunohistochemically in 27 cases of extrahepatic biliary tract carcinomas (bile duct carcinoma: n=21, carcinoma of ampulla of Vater: n=6), and 10 cases of atypical dysplasia.Five cases of normal biliary epithelial tissues were used as controls. A semiquantitative scoring system was used to assess the Bcl-2 and Bax reactivity.RESULTS: The expression of Bd-2 was observed in 10 out of 27 (37.0 %) invasive carcinomas, 1 out of 10 clysplasias, none out of 5 normal epithelial tissues. Bax expression rate was 74.1% (20/27) in invasive carcinoma, 30 % (3/10) in dysplasia,and 40 % (2/5) in normal biliary epithelium. Bcl-2 and Bax activities were more intense in carcinoma than in dysplasia,with no significant difference in Bcl-2 expression (P=0.1:10),and significant difference in Bax expression (P=0.038). Level of Bax expression was higher in invasive carcinoma than in dysplasia and normal tissue (P=0.012). Bcl-2 expression was correlated to Bax expression (P=0.0059). However, Bcl-2/Bax expression had no correlation with histological subtype,grade of differentiation, or level of invasion.CONCLUSION: Increased Bcl-2/Bax expression from dysplasia to invasive tumors supports the view that this is the usual route for the development of extrahepatic biliary tract carcinoma. Bcl-2/Bax may be involved, at least in part,in the apoptotic activity in extrahepatic biliary carcinoma.

  16. Radiation therapy for patients with obstructive jaundice caused by carcinoma of the extrahepatic biliary system

    Energy Technology Data Exchange (ETDEWEB)

    Kawamura, Masashi; Nakagawa, Hirofumi (National Shikoku Cancer Center Hospital, Ehime (Japan)); Kataoka, Masaaki (and others)

    1992-04-01

    From February 1980 through September 1990, 92 patients with obstructive jaundice resulting from biliary tract cancer were registered at Shikoku Cancer Center Hospital or Ehime University Hospital. Radiation therapy (RT) was used to treat 38 of these patients (30 with carcinoma of the extrahepatic bile duct, excluding ampulla of Vater, and eight patients with carcinoma of the gallbladder). Of 38 patients, 11 underwent intraoperative radiation therapy (IORT), and 27 were treated by external radiation therapy (ERT) alone. In contrast, 54 patients (39 with carcinoma of the extrahepatic bile duct and eight with carcinoma of the gallbladder) were not treated by RT. All jaundiced patients received external and/or internal biliary drainage of some kind. Among patients undergoing biliary drainage with a catheter, 21 patients who underwent RT (four with IORT) survived significantly longer than 19 patients who did not (generalized Wilcoxon test: p<0.05). There were no significant differences in survival between 7 patients with recanalization and 11 patients with no recanalization. Concerning the survival of laparotomized patients, excluding those with complete resection or perioperative death, eight patients treated with postoperative ERT survived longer than 12 patients who did not have postoperative ERT (not significant). Eleven patients underwent IORT. A patient with unresectable carcinoma of the hilar bile duct survived 2 years and 3 months after a combination treatment of ERT and IOTR. In four of eight autopsied patients, radiation effects of Grade II were observed (Oboshi and Shimosato's evaluation system for the histological effects of radiation therapy). Our experience suggests that RT is effective in patients with obstructive jaundice caused by carcinoma of the biliary system. (author).

  17. Spiral CT features of abdomen after whipple's operation

    Energy Technology Data Exchange (ETDEWEB)

    Kim, T. H.; Lee, K. Y.; Shin, K. H.; Jung, M. H.; Park, C. M.; Cha, I. H. [Korea Univ. College of Medicine, Seoul (Korea, Republic of)

    1997-04-01

    To assess the CT features of postoperative anatomical changes, surgical complications, and patterns of tumor recurrence after Whipple's operation. 42 spiral CT scans of 31 patients who had undergone Whipple's operation were retrospectively reviewed. Postoperative diagnoses were distal CBD cancer in 13 patients, cancer of the ampulla of Vater in ten, cancer of the head of the pancreas in seven, and microcystic cystadenocarcinoma of the pancreas in one. Time intervals between surgery and CT ranged from 1 week to 5 years. CT features of postoperative anastomotic changes, surgical complications, and patterns of tumor recurrence were analyzed. Gastro- or duodeno-jejunal anastomosis was seen in 32 CT scans(74%), pancreaticojejunostomy in 27(64%), and choledochojejunostomy in 24(57%). Pneumobilia was seen in ten patients(34%). Abnormal fluid collections in the peripancreatic and perihepatic space were demonstrated in two patients who underwent CT scans within 3 weeks after operation. Other complications included wound abscess(n=2), and portal vein occlusion(n=1). The most common site of metastasis was the lymph node(n=8)(retroperitoneal:n=5; mesentery root:n=4; and celiac:n=2), followed by the liver(n=6), peritoneum(n=3), adrenal gland(n=2), and afferent loop(n=1). In three cases, there was local recurrence in the pancreatic bed. To reduce possible diagnostic errors during CT interpretation, a Knowledge of normal postoperative anatomy, common complications, and patterns of disease recurrence following Whipple's operation is important.

  18. KL-6在肿瘤中的研究进展%Advanced research of KL-6 in malignant tumors

    Institute of Scientific and Technical Information of China (English)

    夏红强; 何建蓉

    2011-01-01

    KL - 6 ia a glycoprotein coded hy the MUCI gene , relative molecular weight close 200000 Dalton , has already been regarded as a indicator of interstitial lung diseases.In recent years some studies has confirmed the high expression of KL - 6 in patients with breast cancer, lung cancer, colon cancer, ampulla of Vater and the association with cancer progression, lymph node involvement and metastases.Serum KL - 6 is helpful marker and for predicting the development of cancer for lung cancer molecular targeted therapy.Evaluation of serum KL - 6 can be regarded as a predictive marker of radiation pneumonitis.%KL-6是由MUCl基因编码,相对分子量接近200000的糖蛋白.很早就已作为间质性肺疾病的血清学指标.近年来研究发现,KL-6在乳腺癌、肺癌、结肠癌、壶腹部癌等多种肿瘤中表达均增高,而且同有无淋巴结转移、远处转移密切相关.检测血清KL-6有助于了解乳腺癌、结肠癌等肿瘤的疾病发展和检测,并可以对肺癌某些靶向药物的疗效评估有预测作用.对于放射性肺炎有一定的预测作用.

  19. Pneumoperitoneum Caused by Transhepatic Air Leak After Metallic Biliary Stent Placement

    International Nuclear Information System (INIS)

    A self-expanding metallic biliary stent was placed for palliation of a common bile duct obstruction in a 68-year-old male with unresectable pancreatic head cancer 3 days after initial percutaneous right transhepatic catheter decompression. The stent crossed the ampulla of Vater. Three days later, the stent was balloon-dilated and the percutaneous access was removed. At removal, a small contrast leak from the transhepatic tract was seen. Three days later, pneumoperitoneum was found with symptoms of peritoneal irritation and fever. A widely open sphincter of Oddi caused by the metallic stent, accompanied by delayed sealing of the transhepatic tract, may have caused the air and bile leakage into the peritoneal space. This case shows that pneumoperitoneum may occur without ductal tear or bowel injury, with a biliary stent crossing the ampulla of Vater

  20. Bone and brain metastases from ampullary adenocarcinoma

    Institute of Scientific and Technical Information of China (English)

    Ioannis A Voutsadakis; Stergios Doumas; Konstantinos Tsapakidis; Maria Papagianni; Christos N Papandreou

    2009-01-01

    Ampullary carcinoma is the second most common cancer of the peri-ampullary area after pancreatic carcinoma and metastasizes mostly intra-abdominally and to the liver. Extra-abdominal metastases are less frequent. In this report we describe the case of a patient with resected adenocarcinoma of the ampulla of Vater who developed skeletal metastases in the lower extremity and brain metastases. We briefly discuss aspects of this comparatively rare gastrointestinal malignancy.

  1. Heterotopic Pancreas Mimicking Cholangiocarcinoma. Case Report and Literature Review

    OpenAIRE

    Atindriya Biswas; Ehab A. Husain; Roger M Feakins; Abraham, Ajit T

    2007-01-01

    Context Majority of the patients developing obstructive jaundice have an underlying malignancy. Identification of a benign pathology like heterotopic pancreas as an aetiology is uncommon and usually occurs only subsequent to a major operation. Case report We report a case of heterotopic pancreas adjacent to the ampulla of Vater mimicking distal cholangiocarcinoma. A 47- year-old patient presented with abdominal pain and obstructive jaundice. ERCP demonstrated a distal common bile duct strictu...

  2. Ascariasis Presenting as Acute Abdomen—A Case Report

    OpenAIRE

    Nag, Hirdaya H.; Ji, Ram

    2012-01-01

    Infection with Ascaris lumbricoides is common in tropical and subtropical regions of the world. Prevalence of ascariasis is related to poverty, poor hygiene and poor fecal sanitation. This helminth usually lives harmlessly in small intestine but can also cause intestinal obstruction or perforation peritonitis which is common in childhood. Ascaris can also migrate through ampulla of vater to produce cholangitis, pancreatitis,cholecystitis and rarely hepatic abscess. Ascaris induced hepatic abs...

  3. Die Lust am Vater

    Directory of Open Access Journals (Sweden)

    Heide Volkening

    2004-11-01

    Full Text Available Herrmanns Studie analysiert die Produktivität ödipaler Plot-Strukturen in der deutschsprachigen Literatur des 20. Jahrhunderts. Dabei zeigt sich die Persistenz männlicher Konfliktmuster des Expressionismus in der feministischen Literatur seit den 1960er Jahren. De-ödipalisierte Narrative findet Herrmann im US-amerikanischen Science-Fiction-Film.

  4. Changes of endolymphatic pressure in the semicircular canal of pigeon by caloric stimulation

    Science.gov (United States)

    Wada, Y.; Suzuki, H.; Watanabe, S.

    1994-08-01

    It gets into difficult to explain the mechanism of caloric nystagmus only by convection theory from results of microgravity experiments. One of the other theories is an occurrence of a relative volume change due to a temperature change. Since the volume change must lead to a pressure change after caloric stimulation, we tried to measure the ampulla pressure of the horizontal semicircular canal in pigeons (Columba livia) using an improved servo micropipette system. The main result was that the ampulla pressure increased by cooling and decreased by heating. The changes of the ampulla pressure depended on the temperature change but were not influenced by the pigeon's head position.

  5. Diagnosis, Preoperative Evaluation, and Assessment of Resectability of Pancreatic and Periampullary Cancer.

    Science.gov (United States)

    Verma, Ashish; Shukla, Sunit; Verma, Nimisha

    2015-10-01

    Periampullary region encircles a radius of 2 cm around the ampulla of Vater; accordingly, four distinct neoplasias with overlapping imaging features originate in the region. Each of these lesions has a different long-term prognosis; hence, imaging evaluation to characterize the lesion is important. Further certain specific features pertaining to the vascular invasion and systemic spread may decide about the treatment as well as surgical approach. An understanding of the advances in imaging and image processing technology as well as in the methods of image acquisition, for the purpose, is quite relevant towards etching out a rational pre-treatment evaluation protocol. Further, an evidence-based decision as to the choice of optimum modality for answering specific clinical question is of prime importance in achieving a reasonable post-treatment outcome. Pancreatic adenocarcinoma is the fourth most common cancer and a malignancy with one of the least 5-year survival rates (ranging from 6.8 to 15 % depending on peripancreatic extensions, dropping to 1.8 % for metastatic disease). A survival rate of 15-27 % can be achieved if the lesion is resectable but unfortunately, only 10-15 % of patients are eligible for resection. Cystic tumors of pancreas are a rarer variety of pancreatic neoplasia (5-15 % of pancreatic cysts and 1 % of all pancreatic cancers) which have a much better outcome and chances of resection. Being mostly incidentalomas, a timely differentiation of this lesion from the much more common pseudocyst (which would mandate a medical management and a different surgical protocol) is the key for curability. Lastly, the neuroendocrine tumors of pancreas are equally rare (1 % of all pancreatic tumors), but importantly due to associated clinical syndromes and their capability to metastasize early in the course of disease, a timely detection may hence be the key for successful treatment of these lesions. Imaging plays a vital role in the initial detection and

  6. SWI/SNF Complex-deficient Undifferentiated/Rhabdoid Carcinomas of the Gastrointestinal Tract: A Series of 13 Cases Highlighting Mutually Exclusive Loss of SMARCA4 and SMARCA2 and Frequent Co-inactivation of SMARCB1 and SMARCA2.

    Science.gov (United States)

    Agaimy, Abbas; Daum, Ondrej; Märkl, Bruno; Lichtmannegger, Ines; Michal, Michal; Hartmann, Arndt

    2016-04-01

    Undifferentiated gastrointestinal tract carcinomas are rare highly aggressive neoplasms with frequent but not obligatory rhabdoid features. Recent studies showed loss of SMARCB1 (INI1), a core subunit of the SWI/SNF chromatin remodeling complex, in 50% of tested cases. However, the molecular pathways underlying histologically similar but SMARCB1-intact cases are unknown. We herein analyzed 13 cases for expression of 4 SWI/SNF complex subunits SMARCB1, SMARCA2, SMARCA4, and ARID1A and the mismatch-repair proteins MLH1, MSH2, MSH6, and PMS2 by immunohistochemistry. Patients included 12 men and 1 woman aged 32 to 81 years (median, 57 y). Site of origin was colon (5), small bowel (2), stomach (3), small+large intestine (1), small intestine+ampulla of Vater (1), and esophagogastric junction (1). All tumors showed anaplastic large to medium-sized cells with variable rhabdoid features, pleomorphic giant cells, and, rarely, spindle cell foci. Abortive gland formation was seen in 3 cases and bona fide glandular component in 1 case. Most cases strongly expressed vimentin and variably pancytokeratin. In total, 12/13 cases (92%) showed loss of at least 1 SWI/SNF component. Loss of SMARCB1 (5/13), SMARCA2 (10/13), SMARCA4 (2/13), and ARID1A (2/13) was observed either in combination or isolated. SMARCA2 loss was isolated in 5 cases and coexisted with lost SMARCB1 in 5 cases (all 5 SMARCB1-deficient tumors showed loss of SMARCA2 as well). Co-inactivation of SMARCB1 and SMARCA4 or of SMARCA2 and SMARCA4 was not observed. Two mismatch-repair-deficient cases (MLH1/PMS2) showed concurrent loss of SMARCB1, SMARCA2, and (one of them) ARID1A. This study illustrates for the first time loss of different components of the SWI/SNF complex other than SMARCB1 in undifferentiated gastrointestinal carcinomas including novel SMARCA4-deficient and SMARCA2-deficient cases. Our results underline the close link between SWI/SNF deficiency and the aggressive rhabdoid phenotype. Frequent loss of SMARCA

  7. A new method of preventing bile duct injury in laparoscopic cholecystectomy

    Institute of Scientific and Technical Information of China (English)

    Fang Xu; Cheng-Gang Xu; De-Zheng Xu

    2004-01-01

    AIM: Of all the complications of laparoscopic cholectecystomy,bile duct injury (BDI) is the most serious complication.The prevention of injury to the common bile duct (CBD) remains a significant concern in laparoscopic cholecystectomy (LC).Different kinds of methods have been advanced to avoid this injury but no single method has gained wide acceptance.Because of various limitations of current methodologies we began a study using cold light illumination of the extrahepatic biliary system (light cholangiography LCP) to better visualize this area and thereby reduce the risk of bile duct injury.METHODS: Thirty-six patients with cholelithiasis were divided into two groups.Group Ⅰ (16 cases) received LCP and group Ⅱ (20 cases) received methelenum coeruleum cholangiography (MCCP).In group Ⅰ cold light was used to illuminate the common bile duct by leading an optical fiber into the common duct with a duodenoscope at the time of LC.The light coming from the fiber in the CBD could clearly illuminate the location of CBD and hepatic duct establishing its location relative to the cystic duct.This method was compared with the dye injection technique using methelenum coeruleum.RESULTS: In group Ⅰ thirteen cases were successfully illuminated and three failed.The cause of three failed cases was due to the difficulty in inserting the fiber into the ampulla of Vater.No complications occurred in the thirteen successful cases.In each of these successful cases the location of the common and hepatic ducts was clearly seen differentiating the ductal system from surrounding anatomy.In ten cases both the left and right hepatic ducts could be seen and in three only the right hepatic ducts were seen.In four of the thirteen cases,cystic ducts were also seen.In group Ⅱ,eighteen of the twenty cases were successful.The location of extrahepatic ducts became blue differentiating the ductal system from surrounding anatomy.Two cases failed due to a stone obstructing the cystic duct

  8. Anomalous opening of the common bile duct into the duodenal bulb: endoscopic treatment

    Directory of Open Access Journals (Sweden)

    Oguz Dilek

    2007-07-01

    Full Text Available Abstract Background Anomalous biliary opening especially the presence of the ampulla of Vater in the duodenal bulb is a very rare phenomenon. We report clinical implications, laboratory and ERCP findings and also therapeutic approaches in 53 cases. Methods The data were collected from the records of 12.158 ERCP. The diagnosis was established as an anomalous opening of the common bile duct (CBD into the duodenal bulb when there is an orifice observed in the bulb with the absence of a papillary structure at its normal localization and when the CBD is visualized by cholangiography through this orifice without evidence of any other opening. Results A total of 53 cases were recruited. There was an obvious male preponderance (M/F: 49/4. Demographic data and ERCP findings were available for all, but clinical characteristics and laboratory findings could be obtained from 39 patients with full records. Thirty – seven of 39 cases had abdominal pain (95% and 23 of them (59% had cholangitis as well. Elevated AP and GGT were found in 97.4% (52/53. History of cholecystectomy was present in 64% of the cases, recurrent cholangitis in 26% and duodenal ulcer in 45%. Normal papilla was not observed in any of the patients and a cleft-like opening was evident instead. The CBD was hook shaped at the distal part that opens to the duodenal bulb. Pancreatic duct (PD was opening separately into the bulb in all the cases when it was possible to visualize. Dilated CBD in ERCP was evident in 94% and the CBD stone was demonstrated in 51%. PD was dilated in four of 12 (33% cases. None of them has a history of pancreatitis. Endoscopically, Papillary Balloon Dilatation instead of Sphincterotomy carried out in 19 of 27 patients (70% with choledocholithiazis. Remaining eight patients had undergone surgery (30%. Clinical symptoms were resolved with medical treatment in 16(32% patients with dilated CBD but no stone. Perforation and bleeding were occurred only in two patients

  9. Actinomycosis mimicking recurrent carcinoma after Whipple's operation

    Institute of Scientific and Technical Information of China (English)

    Jun-Te Hsu; Hung-Chieh Lo; Yi-Yin Jan; Han-Ming Chen

    2005-01-01

    Actinomycosis is a rare, chronic, spreading, suppurative,granulomatous and fibrosing infection. Actinomyces are normal inhabitants of the oral cavity and gastrointestinal tract. They rarely cause disease and are seldom reported as pathogens. Herein, we reported on a 69-year-old male patient who had undergone Whipple's operation due to ampulla Vater carcinoma, and became infected with actinomycosis at the pancreaticojejunostomy, which mimicked a recurrent malignancy. He was treated with radical resection of the mass at the pancreaticojejunostomy and had an uneventful postoperative course.

  10. A case of dextrocardia, radial ray malformation and renal anomaly.

    Science.gov (United States)

    Nallegowda, M; Singh, U; Shivananda; Shukla, R; Kabra, M

    2003-10-01

    A 12-year-old boy is described with bilateral radial club hands, scoliosis, hypospadias, isolated dextrocardia, hypoplastic ribs, an ectopic kidney and spina bifida occulta. Although some of the clinical features of this patient are seen in VATER association and sacrococcygeal dysgenesis, the presence of dextrocardia, facial dysmorphism, radial, renal and vertebral anomalies preclude these diagnoses.

  11. Long-term follow-up of two patients with metastatic neuroendocrine tumours treated with octreotide

    NARCIS (Netherlands)

    van de Loosdrecht, AA; van Bodegraven, AA; Sepers, JM; Sindram, JW

    1998-01-01

    Two patients are described with metastatic neuroendocrine tumours of the pancreas head and region of Vater. After surgery, administration of the long-acting somatostatin analogue octreotide was started. In the first patient we found an IgG-lambda paraproteinaemia and a parathyroid hormone-related pr

  12. [Prospects of intraoperative dynamic cholangio-manometry by tensor detectors with graphic recording of pressure function].

    Science.gov (United States)

    Tsatsanidi, K N; Pugaev, A V; Gordeev, P S; Sandrikov, V A; Mukha, A V; Gambarian, A R

    1991-02-01

    Intraoperative cholangio-manometry with a miniature tensor sensor and graphic recording of the results were conducted to study the function of the major duodenal papilla in 53 patients. A periodical activity of the ampulla of the papilla was revealed, which was characterized by certain values of the peak and basal pressure, and duration of contraction and relaxation periods. The numerical values and the pattern of the pressure curve differed in patients with obstructive cholecystitis, biliary pancreatitis, and a concrement incarcerated in the ampulla of the papilla. The informativeness of the study increases with the use of the glucagon test.

  13. Illustration of extensive extracellular matrix at the epithelial-mesenchymal interface within the renal stem/progenitor cell niche

    Directory of Open Access Journals (Sweden)

    Minuth Will W

    2012-09-01

    Full Text Available Abstract Background Stem/progenitor cells are promising candidates to treat diseased renal parenchyma. However, implanted stem/progenitor cells are exposed to a harmful atmosphere of degenerating parenchyma. To minimize hampering effects after an implantation investigations are in progress to administer these cells within an artificial polyester interstitum supporting survival. Learning from nature the renal stem/progenitor cell niche appears as a valuable model. At this site epithelial stem/progenitor cells within the collecting duct ampulla face mesenchymal stem/progenitor cells. Both cell types do not have close contact but are separated by a wide interstitium. Methods To analyze extracellular matrix in this particular interstitium, special contrasting for transmission electron microscopy was performed. Kidneys of neonatal rabbits were fixed in solutions containing glutaraldehyde (GA or in combination with cupromeronic blue, ruthenium red and tannic acid. Results GA revealed a basal lamina at the ampulla and a bright but inconspicuously looking interstitial space. In contrast, GA containing cupromeronic blue exhibits numerous proteoglycan braces lining from the ampulla towards the interstitial space. GA containing ruthenium red or tannic acid demonstrates clouds of extracellular matrix protruding from the basal lamina of the ampulla to the surface of mesenchymal stem/progenitor cells. Conclusions The actual data show that the interstitium between epithelial and mesenchymal stem/progenitor cells contains much more and up to date unknown extracellular matrix than earlier observed by classical GA fixation.

  14. HYDRODYNAMIC BEHAVIOR OF AN UNDERWATER MOVING BODY AFTER WATER ENTRY

    Institute of Scientific and Technical Information of China (English)

    施红辉; 高见卓也

    2001-01-01

    An experimental study was conducted to investigate the vater entry phenomenon. A facility was designed to carry out the tests with the entry velocities of around 352 m/s. Visualization, pressure measurement, velocity measurement and underwater impact test were performed to investigate the hydroballistic behavior of the underwater moving body, the underwater flow field, the supercavitation,etc.. This study shows that the motion of a high-speed underwater body is strongly three-dimensional and chaotic. Furthermore, it is found that the distribution of the trajectory deflection of the underwater projectile depends on the depth of water. It is also found by measuring the deformation on a witness plate submerged in water,that the impact energy of an underwater projectile is reduced as it penetrates deeper into vater.

  15. Altered cupular mechanics: a cause of peripheral vestibular disorders?

    Science.gov (United States)

    Helling, Kai; Watanabe, Nobuhiro; Jijiwa, Hiroyasu; Mizuno, Yoshio; Watanabe, Satoru; Scherer, Hans

    2002-06-01

    It has taken many decades to arrive at today's concept of cupula mechanics in the stimulation of endolymphatic flows on the hair cells in the ampullae of the semicircular canal. While Steinhausen assumed free swing-door movement of the cupula in the 1930s, Hillman was the first to demonstrate firm cupula attachment to the ampulla wall as a physiological necessity in the 1970s. In contrast to the present clinical concepts of acute peripheral vestibular functional disorders (circulatory disturbances, viral or bacterial infection, altered electrolytes in the endolymph), this study examines the extent to which an impaired attachment mechanism can trigger peripheral vestibular disorders. For this purpose, we used a pigeon model (n = 8), in which mechanical detachment of the cupula from the ampulla wall was achieved by means of a targeted pressure increase in the ampulla of the lateral semicircular canal. In two additional animals the labyrinth was completely destroyed on one side in order to directly compare partial and complete vestibular disorders. In this way partial damage to the lateral semicircular canal ampulla presents a clinical picture whose symptoms are very similar to those of an idiopathic vestibular disorder in humans. Their intensity and course of compensation differ markedly from the symptoms of complete vestibular destruction. Subsequent histological examination revealed that the hair cells remained intact during the experimental detachment of the cupula. Our results thus show that only altered cupula mechanics seem to trigger the clinical picture of a peripheral vestibular disorder. This may result in completely new approaches to differential diagnosis and the therapy of vestibular neuronitis.

  16. Clinical evaluation of a new serum tumour marker CA 242 in pancreatic carcinoma.

    OpenAIRE

    Pasanen, P. A.; Eskelinen, M.; Partanen, K.; Pikkarainen, P; Penttilä, I.; Alhava, E

    1992-01-01

    The aim of this study was to evaluate the new monoclonal tumour marker CA 242 in the diagnosis of pancreatic carcinoma and to compare it with the established markers CA 50 and CEA. Serum concentrations were determined in 113 patients with jaundice, in 20 patients with laboratory values suggesting cholestasis, and in 60 patients with a suspicion to have chronic pancreatitis. Twenty-four of these 193 patients had pancreatic carcinoma and two patients had carcinoma of papilla of Vater. The sensi...

  17. The Manipulation effectivity of cell co-cultures in 5% CO2 incubation system to increase in vitro cattle embryo production

    Directory of Open Access Journals (Sweden)

    Ferry Lismanto Syaiful

    2010-03-01

    Full Text Available The purpose of this research is to determine the effectivity of various cell co-cultures of cattle embryo production by in vitro CO2 5% incubation system and get the best cell co-culture. Cell co-culture which are used in the synthesis is the oviduct cells, isthmus cells, ampulla cells, follicle cells and without cells. Data were analyzed based on completely randomized desiggn. The average growth rate/ cleavage in various cell culture was: the oviduct cell 59.24%, ampulla cell 58.69%, isthmus cell 58.25%, follicle cell 52.24% and without cells 47.76%. The average growth of 8-16 cells embryos to various cell co-culture was: the oviduct cell 46.02%, ampulla cell 45.45%, isthmus cell 45.15%, follicle cell 43.07%, and without cell 38.50%. The mean percentage of morula in various cell co-culture treatment was: the oviduct cell 20.59%, ampulla cell 20.48%, isthmus cell 20.30%, follicle cell 16.96% and without cell 12.58%. The average percentage of embryonic growth (cleavage, 8-16 cells and morula was not significantly different (P > 0.05. The treatment of a variety of cell co-culture increased significantly (P>0.05, blastocysts production, namely: the oviduct cell 3.28%, ampulla cell 3.22%, isthmus cell 3.08%, follicle cell 2.45% and without cell 1.97%. In conclusion, the treatment of various cell co-culture in 5%CO2 incubation system can increace the growth of cattle embryos in vitro.

  18. Ampullary Cancers Harbor ELF3 Tumor Suppressor Gene Mutations and Exhibit Frequent WNT Dysregulation

    Directory of Open Access Journals (Sweden)

    Marie-Claude Gingras

    2016-02-01

    Full Text Available The ampulla of Vater is a complex cellular environment from which adenocarcinomas arise to form a group of histopathologically heterogenous tumors. To evaluate the molecular features of these tumors, 98 ampullary adenocarcinomas were evaluated and compared to 44 distal bile duct and 18 duodenal adenocarcinomas. Genomic analyses revealed mutations in the WNT signaling pathway among half of the patients and in all three adenocarcinomas irrespective of their origin and histological morphology. These tumors were characterized by a high frequency of inactivating mutations of ELF3, a high rate of microsatellite instability, and common focal deletions and amplifications, suggesting common attributes in the molecular pathogenesis are at play in these tumors. The high frequency of WNT pathway activating mutation, coupled with small-molecule inhibitors of β-catenin in clinical trials, suggests future treatment decisions for these patients may be guided by genomic analysis.

  19. Endosonography-Guided Biliary Drainage with One-Step Placement of a Newly Developed Fully Covered Metal Stent Followed by Duodenal Stenting for Pancreatic Head Cancer

    OpenAIRE

    Kei Ito; Naotaka Fujita; Yutaka Noda; Go Kobayashi; Takashi Obana; Jun Horaguchi; Shinsuke Koshita; Yoshihide Kanno; Takahisa Ogawa; Yuhei Kato; Yasunobu Yamashita

    2010-01-01

    An 83-year-old man was admitted to our department, presenting with jaundice, fever, and nausea. CT revealed a pancreatic head tumor with duodenal invasion. Endoscopic transpapillary biliary drainage was unsuccessful due to stenosis at the second portion of the duodenum and tumor invasion to the papilla of Vater. Using a convex linear array echoendoscope, a fully-covered metal stent was placed across the puncture tract to bridge the duodenum and the bile duct. After improvement of jaundice, a ...

  20. Reporting Tumor Molecular Heterogeneity in Histopathological Diagnosis

    Science.gov (United States)

    Mafficini, Andrea; Amato, Eliana; Fassan, Matteo; Simbolo, Michele; Antonello, Davide; Vicentini, Caterina; Scardoni, Maria; Bersani, Samantha; Gottardi, Marisa; Rusev, Borislav; Malpeli, Giorgio; Corbo, Vincenzo; Barbi, Stefano; Sikora, Katarzyna O.; Lawlor, Rita T.; Tortora, Giampaolo; Scarpa, Aldo

    2014-01-01

    Background Detection of molecular tumor heterogeneity has become of paramount importance with the advent of targeted therapies. Analysis for detection should be comprehensive, timely and based on routinely available tumor samples. Aim To evaluate the diagnostic potential of targeted multigene next-generation sequencing (TM-NGS) in characterizing gastrointestinal cancer molecular heterogeneity. Methods 35 gastrointestinal tract tumors, five of each intestinal type gastric carcinomas, pancreatic ductal adenocarcinomas, pancreatic intraductal papillary mucinous neoplasms, ampulla of Vater carcinomas, hepatocellular carcinomas, cholangiocarcinomas, pancreatic solid pseudopapillary tumors were assessed for mutations in 46 cancer-associated genes, using Ion Torrent semiconductor-based TM-NGS. One ampulla of Vater carcinoma cell line and one hepatic carcinosarcoma served to assess assay sensitivity. TP53, PIK3CA, KRAS, and BRAF mutations were validated by conventional Sanger sequencing. Results TM-NGS yielded overlapping results on matched fresh-frozen and formalin-fixed paraffin-embedded (FFPE) tissues, with a mutation detection limit of 1% for fresh-frozen high molecular weight DNA and 2% for FFPE partially degraded DNA. At least one somatic mutation was observed in all tumors tested; multiple alterations were detected in 20/35 (57%) tumors. Seven cancers displayed significant differences in allelic frequencies for distinct mutations, indicating the presence of intratumor molecular heterogeneity; this was confirmed on selected samples by immunohistochemistry of p53 and Smad4, showing concordance with mutational analysis. Conclusions TM-NGS is able to detect and quantitate multiple gene alterations from limited amounts of DNA, moving one step closer to a next-generation histopathologic diagnosis that integrates morphologic, immunophenotypic, and multigene mutational analysis on routinely processed tissues, essential for personalized cancer therapy. PMID:25127237

  1. Reporting tumor molecular heterogeneity in histopathological diagnosis.

    Directory of Open Access Journals (Sweden)

    Andrea Mafficini

    Full Text Available Detection of molecular tumor heterogeneity has become of paramount importance with the advent of targeted therapies. Analysis for detection should be comprehensive, timely and based on routinely available tumor samples.To evaluate the diagnostic potential of targeted multigene next-generation sequencing (TM-NGS in characterizing gastrointestinal cancer molecular heterogeneity.35 gastrointestinal tract tumors, five of each intestinal type gastric carcinomas, pancreatic ductal adenocarcinomas, pancreatic intraductal papillary mucinous neoplasms, ampulla of Vater carcinomas, hepatocellular carcinomas, cholangiocarcinomas, pancreatic solid pseudopapillary tumors were assessed for mutations in 46 cancer-associated genes, using Ion Torrent semiconductor-based TM-NGS. One ampulla of Vater carcinoma cell line and one hepatic carcinosarcoma served to assess assay sensitivity. TP53, PIK3CA, KRAS, and BRAF mutations were validated by conventional Sanger sequencing.TM-NGS yielded overlapping results on matched fresh-frozen and formalin-fixed paraffin-embedded (FFPE tissues, with a mutation detection limit of 1% for fresh-frozen high molecular weight DNA and 2% for FFPE partially degraded DNA. At least one somatic mutation was observed in all tumors tested; multiple alterations were detected in 20/35 (57% tumors. Seven cancers displayed significant differences in allelic frequencies for distinct mutations, indicating the presence of intratumor molecular heterogeneity; this was confirmed on selected samples by immunohistochemistry of p53 and Smad4, showing concordance with mutational analysis.TM-NGS is able to detect and quantitate multiple gene alterations from limited amounts of DNA, moving one step closer to a next-generation histopathologic diagnosis that integrates morphologic, immunophenotypic, and multigene mutational analysis on routinely processed tissues, essential for personalized cancer therapy.

  2. Heterotopic Pancreas Mimicking Cholangiocarcinoma. Case Report and Literature Review

    Directory of Open Access Journals (Sweden)

    Atindriya Biswas

    2007-01-01

    Full Text Available Context Majority of the patients developing obstructive jaundice have an underlying malignancy. Identification of a benign pathology like heterotopic pancreas as an aetiology is uncommon and usually occurs only subsequent to a major operation. Case report We report a case of heterotopic pancreas adjacent to the ampulla of Vater mimicking distal cholangiocarcinoma. A 47- year-old patient presented with abdominal pain and obstructive jaundice. ERCP demonstrated a distal common bile duct stricture suspicious of cholangiocarcinoma. He underwent a pylorus-preserving pancreaticoduodenectomy. Histology showed a nodule of heterotopic pancreatic tissue adjacent to the ampulla. Conclusion We have reviewed the literature on heterotopic pancreas of the periampullary region presenting with biliary obstruction. This is a rare entity and remains difficult to diagnose, despite advances in radiological and endoscopic imaging techniques. For symptomatic patients with an established diagnosis of periampullary heterotopic pancreas, local excision may be sufficient. However, in the absence of unequivocal imaging or histological confirmation of benign pathology, and when there is a suspicion of underlying malignancy, pancreaticoduodenectomy may be the only treatment option, as in this case.

  3. Electrical Resistivity of an Elasmobranch's Ampullary Jelly in Varying Electric and Magnetic Fields

    Science.gov (United States)

    Brown, Brandon; Hughes, Mary E.

    2001-03-01

    The ampullae of Lorenzini are believed to function as the electroreceptive organs in elasmobranch fishes. Though the entire excised organs have been the subject of electrical transport measurements, the jelly that fills the ampullae -- composed primarily of glycoproteins with proteins and dissolved salts -- has received less scrutiny. The specific electromagnetic properties of the jelly contribute to electroreception, and we hope to supply useful parameters to modeling efforts via precise electrical characterization. We report preliminary resistivity measurements from ampullary jelly removed, post mortem, from an adult triaenodon obesus (white-tip reef shark). We present data over a broad range of applied electrical currents. We also present data of the resistivity as a function of applied magnetic field strength.

  4. The role of perilymph in the response of the semicircular canals to angular acceleration.

    Science.gov (United States)

    Anliker, M.; Van Buskirk, W.

    1971-01-01

    A new model for the response of the semicircular canals to angular motion is postulated. This model is based on evidence that the bony canal is not compartmentalized and assumes that the ampulla wall is highly flexible. It is shown that the perilymph induces a cupula displacement far greater than that produced by the endolymph alone. The predicted dynamic behavior of the canals on the basis of this model is found to be consistent with experimental observations.

  5. The role of perilymph in the response of the semicircular canals to angular acceleration. [dynamic model for perilymph induced displacement of cupula

    Science.gov (United States)

    Anliker, M.; Vanbuskirk, W.

    1973-01-01

    A new model for the response of the semicircular canals to angular motion is postulated. This model is based on evidence that the bony canal is not compartmentalized and assumes that the ampulla wall is highly flexible. It is shown that the perilymph induces a cupula displacement far greater than that produced by the endolymph alone. The predicted dynamic behavior of the canals on the basis of this model is found to be consistent with experimental observations.

  6. Origins of bone repair in the armour of fossil fish: response to a deep wound by cells depositing dentine instead of dermal bone

    OpenAIRE

    Johanson, Zerina; Smith, Moya; Kearsley, Anton; Pilecki, Peter; Mark-Kurik, Elga; Howard, Charles

    2013-01-01

    The outer armour of fossil jawless fishes (Heterostraci) is, predominantly, a bone with a superficial ornament of dentine tubercles surrounded by pores leading to flask-shaped crypts (ampullae). However, despite the extensive bone present in these early dermal skeletons, damage was repaired almost exclusively with dentine. Consolidation of bone, by dentine invading and filling the vascular spaces, was previously recognized in Psammolepis and other heterostracans but was associated with ageing...

  7. Considerations of viscosity in the preliminaries to mammalian fertilisation

    OpenAIRE

    Hunter, Ronald H. F.; Coy, P; Gadea, J.; Rath, D

    2011-01-01

    Migration of spermatozoa in the female genital tract will be strongly influenced by the viscosity of the fluids encountered, yet little systematic analysis has been given to such a consideration. This essay reviews the series of milieux confronting a fertilising sperm during its progression to the oviduct ampulla. Two groups are discussed, first those in which ejaculation is into the vagina, second those in which semen enters the uterus during a protracted mating. Viscous glycoprotein secreti...

  8. What's in the Gift? Towards a Molecular Dissection of Nuptial Feeding in a Cricket.

    Science.gov (United States)

    Pauchet, Yannick; Wielsch, Natalie; Wilkinson, Paul A; Sakaluk, Scott K; Svatoš, Aleš; ffrench-Constant, Richard H; Hunt, John; Heckel, David G

    2015-01-01

    Nuptial gifts produced by males and transferred to females during copulation are common in insects. Yet, their precise composition and subsequent physiological effects on the female recipient remain unresolved. Male decorated crickets Gryllodes sigillatus transfer a spermatophore to the female during copulation that is composed of an edible gift, the spermatophylax, and the ampulla that contains the ejaculate. After transfer of the spermatophore, the female detaches the spermatophylax and starts to eat it while sperm from the ampulla are evacuated into the female reproductive tract. When the female has finished consuming the spermatophylax, she detaches the ampulla and terminates sperm transfer. Hence, one simple function of the spermatophylax is to ensure complete sperm transfer by distracting the female from prematurely removing the ampulla. However, the majority of orally active components of the spermatophylax itself and their subsequent effects on female behavior have not been identified. Here, we report the first analysis of the proteome of the G. sigillatus spermatophylax and the transcriptome of the male accessory glands that make these proteins. The accessory gland transcriptome was assembled into 17,691 transcripts whilst about 30 proteins were detected within the mature spermatophylax itself. Of these 30 proteins, 18 were encoded by accessory gland encoded messages. Most spermatophylax proteins show no similarity to proteins with known biological functions and are therefore largely novel. A spermatophylax protein shows similarity to protease inhibitors suggesting that it may protect the biologically active components from digestion within the gut of the female recipient. Another protein shares similarity with previously characterized insect polypeptide growth factors suggesting that it may play a role in altering female reproductive physiology concurrent with fertilization. Characterization of the spermatophylax proteome provides the first step in

  9. What's in the Gift? Towards a Molecular Dissection of Nuptial Feeding in a Cricket.

    Directory of Open Access Journals (Sweden)

    Yannick Pauchet

    Full Text Available Nuptial gifts produced by males and transferred to females during copulation are common in insects. Yet, their precise composition and subsequent physiological effects on the female recipient remain unresolved. Male decorated crickets Gryllodes sigillatus transfer a spermatophore to the female during copulation that is composed of an edible gift, the spermatophylax, and the ampulla that contains the ejaculate. After transfer of the spermatophore, the female detaches the spermatophylax and starts to eat it while sperm from the ampulla are evacuated into the female reproductive tract. When the female has finished consuming the spermatophylax, she detaches the ampulla and terminates sperm transfer. Hence, one simple function of the spermatophylax is to ensure complete sperm transfer by distracting the female from prematurely removing the ampulla. However, the majority of orally active components of the spermatophylax itself and their subsequent effects on female behavior have not been identified. Here, we report the first analysis of the proteome of the G. sigillatus spermatophylax and the transcriptome of the male accessory glands that make these proteins. The accessory gland transcriptome was assembled into 17,691 transcripts whilst about 30 proteins were detected within the mature spermatophylax itself. Of these 30 proteins, 18 were encoded by accessory gland encoded messages. Most spermatophylax proteins show no similarity to proteins with known biological functions and are therefore largely novel. A spermatophylax protein shows similarity to protease inhibitors suggesting that it may protect the biologically active components from digestion within the gut of the female recipient. Another protein shares similarity with previously characterized insect polypeptide growth factors suggesting that it may play a role in altering female reproductive physiology concurrent with fertilization. Characterization of the spermatophylax proteome provides the

  10. Distribution of lymphocytes, immunoglobulin-containing cells, macrophages, and dendritic cells in the accessory sex glands of rams experimentally infected with Actinobacillus seminis

    Directory of Open Access Journals (Sweden)

    Jorge Acosta-Dibarrat

    2016-05-01

    Full Text Available Abstract: The distribution of cells involved in the immune response in accessory sex glands of rams experimentally infected with Actinobacillus seminis was studied. Twelve one-year old rams were experimentally infected by intraurethral (IU (n=4 and intraepididymal (IE (n=4 route, and four control (CON animals were used. The animals were slaughtered 35 days post-inoculation, samples were taken from accessory sex glands, and bacteriology and histopathology tests were performed. The presence of CD4, CD8 and TCRγδ (WC1 lymphocytes, CD45RO cells, macrophages (CD14, dendritic cells (CD1b, IgA-, IgG- and IgM-containing cells (IgCC was determined. Animals of the IE group developed clinical epididymitis. No lesions were seen in rams of the IU group; two of the intraepididymal inoculated CON developed small lesions in the epididymis. A. seminis isolates were achieved from 6:16 (37.5% accessory sex glands in the IE group, but not in the IU and CON groups. In the CON group, IgA- and IgM- containing cells predominated in the bulbourethral glands and the disseminated prostate, and they were scarce or null in the vesicles and ampullae. A significant increase of IgA-, IgG- and IgM- containing cells was confirmed in the seminal vesicles, the ampullae and the bulbourethral glands in the IE group. In the IE and IU groups, an increase in CD4, CD8, WC1, CD45RO and CD14 was evidenced in the vesicles and ampullae. CD1b dendritic cells were present in the ampullae and vesicles with inflammatory processes. A. seminis triggered a local immune response in the IE and IU groups. These results indicate a different pattern of infiltrating immune cells in the accessory sex glands of infected A. seminis rams.

  11. What’s in the Gift? Towards a Molecular Dissection of Nuptial Feeding in a Cricket

    OpenAIRE

    Pauchet, Yannick; Wielsch, Natalie; Wilkinson, Paul A.; Sakaluk, Scott K.; Svatoš, Aleš; ffrench-Constant, Richard H; Hunt, John; David G Heckel

    2015-01-01

    Nuptial gifts produced by males and transferred to females during copulation are common in insects. Yet, their precise composition and subsequent physiological effects on the female recipient remain unresolved. Male decorated crickets Gryllodes sigillatus transfer a spermatophore to the female during copulation that is composed of an edible gift, the spermatophylax, and the ampulla that contains the ejaculate. After transfer of the spermatophore, the female detaches the spermatophylax and sta...

  12. Copitarsia uncilata Burgos & Leiva sp. nov. de Cuculliinae para Colombia y México (Lepidoptera, Noctuidae Copitarsia uncilata Burgos & Leiva sp. nov. of Cuculliinae from Colombia and Mexico (Lepidoptera, Noctuidae

    Directory of Open Access Journals (Sweden)

    Rodrigo Burgos-Pino

    2010-01-01

    Full Text Available Se describe e ilustran los adultos y genitalia de macho y hembra de Copitarsia uncilata Burgos & Leiva sp. nov., que se distribuye en Colombia y México. La nueva especie se caracteriza por poseer un uncus ancho apicalmente espatulado con una diminuta proyección dorsal bulbosa, digitus de corte apical ampliamente cóncavo y una ampulla con ápice recurvado que sobresale de la valva, externamente es similar a Copitarsia decolora (Guenée.We describe and illustrate the adult and genitalia of male and female Copitarsia uncilata Burgos & Leiva sp. nov. which is distributed in Colombia and Mexico. The new species is characterized by having a broad spatulated uncus with an apical medium projection, digitus white a wide concave apical emargination and ampulla with recurved apex protruding from the valve. It is externally similar to Copitarsia decolora (Guenée.

  13. Application of Posterior Triangulation Approach with Drawing Cholecyst Ampulla and Observing Rouviere Ditch in Laparoscopic Cholecystectomy%提壶腹看Rouviere沟后三角入路法在腹腔镜胆囊切除中的应用

    Institute of Scientific and Technical Information of China (English)

    刘斌; 刘坤; 黄侣新; 柏磊; 陈江

    2013-01-01

    目的 探讨腹腔镜胆囊切除术(LC)中采用提胆囊壶腹、看Rouviere沟、胆囊后三角入路法切除胆囊,对成功完成LC和预防胆管、血管损伤的临床意义.方法 2009年7月至2011年12月期间应用提胆囊壶腹、看Rouviere沟、从胆囊后三角入路法(研究组)切除胆囊112例,同期常规方法(对照组)行LC 55例,比较2组的临床疗效.结果 2组一般临床资料比较差异无统计学意义(P>0.05),具有可比性.研究组112例成功完成了LC,无中转开腹及并发症发生.对照组55例LC发生并发症3例,其中2例胆管损伤及1例左肝动脉损伤.研究组的并发症发生率明显低于对照组[0(0/112)比5.45% (3/55),P<0.05],研究组和对照组间术中出血量、手术时间、住院时间及中转开腹率差异均无统计学意义[术中出血量:(8.95±3.95) mL比(8.09±3.91) mL,P-0.189;手术时间:(84.72±37.15) min比(77.05±37.22) min,P-0.212;住院时间:(6.40±2.39)d比(7.02±3.41)d,P=0.178].结论 在LC中,采用提胆囊壶腹、看Rouviere沟、从胆囊后三角入路法,相对容易精准解剖壶腹部与胆囊管移行区,完整显露胆囊壶腹部、胆囊管、胆总管及胆囊动脉,既是成功完成LC的保证,又可有效避免术中胆管和血管的损伤.

  14. Sperm release pathway

    Science.gov (United States)

    ... the testes, epididymis, urethra, vas deferens, prostate gland, seminal vesicle, and penis. The testes are composed of coiled ... first at the ampulla, where secretions from the seminal vesicle are added. From the ampulla, seminal fluid is ...

  15. Efficacy of Black Tea as a Negative Oral Contrast Agent for MR Cholangiopancreatography (MRCP

    Directory of Open Access Journals (Sweden)

    Amir Hossein Jalali

    2010-05-01

    Full Text Available Background/Objective: Evaluation of the use of black tea as negative oral contrast agent in MR cholangiopancreatography (MRCP."nPatients and Methods: Thirty-five patients (mean age, 50.3±19.2 years, who were referred for MRCP, entered in this study. MRCP was performed before, after 5 minutes and after 15 minutes following consumption of 300 ml of black tea. Depiction of the gall bladder, cystic duct, proximal and distal parts of the common bile duct (CBD, intra hepatic ducts, ampula of Vater, main pancreatic duct (MPD and signal loss of the stomach and three different segments of the duodenum were investigated according to VAS and Lickert scores."nResults: Regarding visibility of seven different anatomical parts of the pancreatobiliary tree (gall bladder, cystic duct, CBD, common hepatic duct, intrahepatic duct, ampula of Vater and MPD, the post procedure images were better visualized only in the distal part of CBD, ampula of vater and MPD both in Lickert and VAS scoring (all Ps≤0.001."nThere was no significant difference between the images 5 and 15 minutes after tea consumption. Regarding the obliteration of high signal in the stomach and three different parts of the duodenum, all post tea images of the mentioned parts showed significant disappearance of high signal in Lickert and VAS scoring systems (all Ps≤0.001. "nConclusion: Black tea is an affordable, cheap, available, safe, and efficient oral negative contrast agent for MRCP which reduces the signal intensity of fluids in the gastrointestinal tract and is also efficient for better depiction of MPD, distal part of CBD and ampula.

  16. A 56-year-old woman with ampullary adenocarcinoma and acute pancreatitis Mujer de 56 años con adenocarcinoma de la ampolla de Vater y pancreatitis aguda

    Directory of Open Access Journals (Sweden)

    V. M. Santos

    2012-12-01

    Full Text Available A 56-year-old woman was admitted with jaundice, and laboratory data were indicative of pancreatitis, which recurred in spite of adequate clinical and nutritional management. The patient was an overweight diabetic using metformin, who had antecedents of cholelithiasis and recent cholecystectomy. Clinical and laboratory features were not conclusive about the cause of this acute pancreatitis. However, imaging data contributed to diagnosis suspicion, and the histopathology study of the transpapillary biopsy confirmed the ampullary adenocarcinoma. Whipple´s surgery was the procedure of choice, associated with radical lymphadenectomy, followed by an uneventful outcome. Recrudescence of signs and symptoms of acute pancreatitis, with elevated serum levels of bilirrubins and of hepatic canalicular enzymes, should enhance the suspicion index about periampullary tumors. High levels of CA 19-9 can constitute a useful marker of this condition. Transpapillary biopsy can characterize the diagnosis of ampullary malignancies.Se presenta el caso de una mujer de 56 años, que presentaba ictericia y cuyos exámenes de laboratorio fueran indicativos de pancreatitis. Presentó recurrencia a pesar de las medidas clínicas y nutricionales adecuadas. La paciente era diabética, con sobrepeso, tomaba metformina y con antecedentes de colelitiasis y reciente colecistectomía. Los datos clínicos y del laboratorio no fueron concluyentes acerca del origen de esta pancreatitis aguda. Sin embargo, los estudios de imagen contribuyeron a la sospecha del diagnóstico; los estudios de citologia exfoliativa y de biopsia transpapilar confirmaron un adenocarcinoma ampular. La cirugía de Whipple fue el procedimiento de opción, asociado con linfadenectomía radical, con resultado favorable. El recrudecimiento de señales y síntomas de pancreatitis aguda, con niveles séricos elevados de bilirrubina y de enzimas hepáticos debe reforzar el índice de sospecha acerca de tumores

  17. Microanatomy of the carunculae major artery and its clinical significance%十二指肠大乳头血供的临床解剖学研究

    Institute of Scientific and Technical Information of China (English)

    张国飞; 石小田

    2015-01-01

    Objective To provide exact and reliable morphological data for the operation of endoscop-ic sphincterotomy (EST). Method (1) 20 cadeveric duodenum and pancreas were perfused with latex. (2) The resource, number, diameter, branches of all carunculae major arteries of these specimens and the distance from vascular origin to Vater bulb, the inner margin of duodenum and carunculae major were observed. Results (1) Carunculae major arteries originated from the anterior and posterior arterial arches, and each had two branches. The diameter of the two branches of the anterior carunculae major artery was (1.3±0.1) mm and (1.0±0.2) mm. The distance from the vascular origin of the two branches to the Vater’s ampulla, the inner mar-gin of duodenum and carunculae major was (5.7 ± 0.6) mm and (6.0 ± 0.4) mm, (8.7 ± 1.1) mm and (9.7 ± 1.7) mm, (16±0.9) mm and (16±1.5) mm, respectively. The diameter of the two branches of the posterior caruncu-lae major artery was (0.62 ± 0.02) mm and (0.98 ± 0.06) mm. The distance from the vascular origin of the two branches to Vater’s ampulla, the inner margin of duodenum and carunculae major were (11 ± 0.7) mm and (16.4±0.4) mm ,(13±0.3) mm and (17.9±0.3) mm, (16±0.7) mm and (19.2±0.6) mm, respectively. (2) The first branch of the anterior carunculae major arteries was at the direction 10~11 o'clock and the second branch was at the position 2~3 o'clock. The first branch of the posterior carunculae major arteries was at the position of 8~9 o'clock and the second branch was at the position of 4~5 o'clock. The branches of carunculae major arteries were primarily located at the position of 8~11 o'clock and secondarily at the position of 2~5 o'clock, and least at 11~1 as well as 6~7 o'clock. Conclusion In EST the incision should be made at the direction of 11~1 or 6~7 o'clock.%目的:为内窥镜下十二指肠乳头括约肌切开术( EST)与内镜乳头气囊扩张术(EPBD)取结石术提供形态学依据。方法(1)20例

  18. Application of a wire-guided side-viewing duodenoscope in total esophagectomy with colonic interposition

    Institute of Scientific and Technical Information of China (English)

    Chin-Yuan Yii; Jen-Wei Chou; Yen-Chun Peng; Wai-Keung Chow

    2011-01-01

    Therapeutic endoscopic retrograde cholangiopancreatography(ERCP) is the mainstay treatment for bile duct disease. The procedure is difficult per se, especiallywhen a side-viewing duodenoscope is used, and when the patient has altered anatomical features, such as colonic interposition. Currently, there is no consensus on the standard approach for therapeutic ERCP in patientswith total esophagectomy and colonic interposition. We describe a novel treatment design that involves the use of a side-viewing duodenoscope to perform therapeuticERCP in patients with total esophagectomy and colonic ninterposition. A gastroscope was initially introduced into the interposed colon and a radio-opaque standardguidewire was advanced to a distance beyond the papilla of Vater, before the gastroscope was withdrawn. A sideviewing duodenoscope was then introducedalong the guidewire under fluoroscopic guidance. After cannulationinto the papilla of Vater, endoscopic retrograde cholangiography(ERC) revealed a filling defect (maximumdiameter: 15cm) at the distal portion of the commonbile duct (CBD). This defect was determined to be a stone,which was successfully retrieved by a Dormia basket after complete sphincterotomy. With this treatment design, it is possible to perform therapeutic ERCP in patients withcolonic interposition, thereby precluding the need for percutaneous drainage or surgery.

  19. The Rare Cancer Network: ongoing studies and future strategy

    Directory of Open Access Journals (Sweden)

    Mahmut Ozsahin

    2014-08-01

    Full Text Available The Rare Cancer Network (RCN was formed in the early 1990’s to create a global network that could pool knowledge and resources in the studies of rare malignancies whose infrequency prevented both their study with prospective clinical trials. To date, the RCN has initiated 74 studies resulting in 46 peer reviewed publications. The First International Symposium of the Rare Cancer Network took place in Nice in March of 2014. Status updates and proposals for new studies were heard for fifteen topics. Ongoing studies continue for cardiac sarcomas, thyroid cancers, glomus tumors, and adult medulloblastomas. New proposals were presented at the symposium for primary hepatic lymphoma, solitary fibrous tumors, Rosai-Dorfman disease, tumors of the ampulla of Vater, salivary gland tumors, anorectal melanoma, midline nuclear protein in testes carcinoma, pulmonary lymphoepithelioma-like carcinoma, adenoid cystic carcinoma of the trachea, osteosarcomas of the mandible, and extra-cranial hemangiopericytoma. This manuscript presents the abstracts of those proposals and updates on ongoing studies, as well a brief summary of the vision and future of the RCN.

  20. Reproductive characteristics of the african pygmy hedgehog, atelerix albiventris.

    Science.gov (United States)

    Bedford, J M; Mock, O B; Nagdas, S K; Winfrey, V P; Olson, G E

    2000-09-01

    To obtain further perspective on reproduction and particularly gamete function among so-called primitive mammals presently grouped in the Order Insectivora, we have examined the African hedgehog, Atelerix albiventris, in light of unusual features reported in shrews and moles. Atelerix proves to share many but not all of the characteristics seen in these other insectivores. The penis of Atelerix has a 'snail-like' form, but lacks the surface spines common in insectivores and a number of other mammals. Hedgehog spermatozoa display an eccentric insertion of the tail on the sperm head, and they manifest the barbs on the perforatorium that, in shrews, probably effect the initial binding of the sperm head to the zona pellucida. As a possible correlate, the structural matrix of the hedgehog acrosome comprises only two main components, as judged by immunoblotting, rather than the complex of peptides seen in the matrix of some higher mammals. The Fallopian tube of Atelerix is relatively simple; it displays only minor differences in width and in the arborized epithelium between the isthmus and ampulla, and shows no evidence of the unusual sperm crypts that characterize the isthmus or ampulla, depending on the species, in shrews and moles. In common with other insectivores, Atelerix appears to be an induced ovulator, as judged by the ovulation of some 6-8 eggs by about 23 h after injection of hCG. The dense cumulus oophorus appeared to have little matrix, in keeping with the modest dimensions of the tubal ampulla and, while it was not quite as discrete as that of soricids, it did show the same insensitivity to 0.5% (w/v) ovine or bovine hyaluronidase. PMID:11006156

  1. Simplified pancreatoduodenectomy for complex blunt pancreaticoduodenal injury

    Institute of Scientific and Technical Information of China (English)

    FENG Xin-fu; FAN Wei; SHI Cheng-xian; LI Jun-hua; LIU Jun; LIU Zhen-hua

    2013-01-01

    A 34-year-old man admitted to our department with complex blunt pancreaticoduodenal injury after a car accident.The wall of the first,second,and third portions of the duodenum was extensively lacerated,and the pancreas was longitudinally transected along the superior mesenteric vein-portal vein trunk.The pancreatic head and the uncinate process were devitalized and the distal common bile duct and the proximal main pancreatic duct were completely detached from the Vater ampulla.The length of the stump of distal common bile located at the cut surface of remnant pancreas was approximately 0.6 cm.A simplified Kausch-Whipple's procedure was performed after debridement of the devitalized pancreatic head and resection of the damaged duodenum in which the stump of distal common bile duct and the pancreatic remnant were embedded into the jejunal loop.Postoperative wound abscess appeared that eventually recovered by conservative treatment.During 16 months follow-up the patient has been stable and healthy.A simplified pancreaticoduodenectomy is a safe alternative for the Whipple procedure in managing complex pancreaticoduodenal injury in a hemodynamically stable patient.

  2. Laparoscopic ampullectomy for an ampullarian adenoma.

    Science.gov (United States)

    Borie, Frédéric; Zarzavadjian Le Bian, Alban

    2013-11-01

    Lesions involving the ampulla of Vater are rare entities (0.1-0.2 %) with high malignant potential (90 %) [1]. As a treatment, the surgical procedure known as duodenopancreatectomy was the main option, whatever the tumor's stage or nature. Yet with improvements of endoscopic diagnostic and therapeutic techniques, management of these lesions has been modified, enabling endoscopic removal of adenoma and adenocarcinoma-in situ. Thus, when endoscopic treatment is not possible, surgical ampullectomy is still an alternative option to duodenopancreatectomy [1, 2]. The continuous improvements in surgical techniques and instruments now allow the safe realization of laparoscopic ampullectomy, despite the few cases described in the literature [3, 4]. Here we present a surgical technique in a 52-year-old patient with an ampulloma. The ampulloma was discovered during a gastroscopy for abdominal pain. The endoscopic ultrasound with biopsy revealed a 15-mm adenoma with moderate-grade dysplasia. The thoracoabdominal CT scan was normal. The procedure was performed as shown. The tumor histology showed a R0 resection (5-mm surgical margin) of an adenoma with focal high-grade dysplasia. At 3-year follow-up, outcomes were unremarkable, without any complications. PMID:23836126

  3. Percutaneous placement of self-expandable metallic biliary stents in malignant extrahepatic strictures: indications of transpapillary and suprapapillary methods

    International Nuclear Information System (INIS)

    To compare the efficacy of suprapapillary and transpapillary methods of transhepatic biliary metallic stent placement in malignant biliary strictures and to specify the indications of each method applied. Stents were placed in 59 patients. Strictures were categorized as type A (within 3 cm of the ampulla, n = 27), type B (over 3 cm from ampulla, n = 7), type C (within 3 cm of the bending portion, n = 9), or type D (over 3 cm above the bending portion, n=16). The stenting method was suprapapillary in 34 cases and transpapillary in 25. The rates of initial and long-term patency and of early recurrence were compared. Initial patency rates for the suprapapillary and transpapillary methods were 1/7 (14.3%) and 20/20 (100%) respectively for type A (p < 0.0001), 4/5 (80.0%) and 2/2 for type B, 3/7 (42.9%) and 2/2 for type C, and 15/16 (93.8%) and 0/0 for type D. Early recurrence rates were 7/30 (23.3%) using the suprapapillary method and 4/29 (13.8%) using the transpapillary method (p = 0.51). The long-term patency rate did not differ significantly according to either type (p = 0.37) or method (p = 0 . 6 2 ). For good initial patency, the transpapillary method is recommended for strictures of the distal extrahepatic duct near the ampulla and just above the bending portion. Long-term patency is not influenced by the stenting method employed

  4. Morphometric Study of the Mare Oviductal Mucosa at Different Reproductive Stages.

    Science.gov (United States)

    Mouguelar, Horacio; Díaz, Tomás; Borghi, Damiana; Quinteros, Rolando; Bonino, Facundo; Apichela, Silvana Andrea; Aguilar, José Javier

    2015-11-01

    The objectives of this work were to describe some morphometric characteristics and to establish quantitative parameters of different regions of the equine oviductal mucosa from the isthmus, ampullary-isthmic junction (AIJ), and ampulla. Twenty-one mixed-bred mares were used for this study. Mares were selected in the following reproductive phases: anestrus, estrus, and diestrus. The left oviducts were examined with light microscopy, and rights ones were studied through the intraoviductal molds. The isthmus showed the smallest luminal area, mucosal area, epithelial perimeter, and luminal diameter. On the molds surfaces, some grooves extended as longitudinal canals, reducing their depth as they approached to the AIJ. Several small height projections, some obliquely positioned towards utero-tubal junction, were observed in all reproductive phases. These formations may represent pockets or cul-de-sacs in the basal areas of the epithelial folds. The AIJ mucosa gradually changed from the smooth isthmic region toward highly folded ampulla. The number and complexity of epithelial folds showed moderate increase in the same way that many of the morphometric parameters. Multiple curves were observed on the molds of the AIJ, creating a zigzag path in the oviductal lumen. In the ampulla, the high branched epithelial folds occupied most of the lumen, leaving a small luminal area free. A linear relationship between epithelial perimeter and mucosal area was found. The presence of glandular-like structures was observed in all the reproductive stages studied. The equine endosalpinx reveals a highly complex tridimensional arrangement where each region shows very particular and specific designs.

  5. A note on the duodenum of the West Indian manatee (Trichechus manatus), with emphasis on the duodenal glands.

    Science.gov (United States)

    Reynolds, J E; Krause, W J

    1982-01-01

    The anatomy of the duodenum of the West Indian manatee has both macroscopic and microscopic features that are unusual when compared to other mammalian forms. Macroscopically, the voluminous duodenal ampulla and the paired duodenal diverticula are distinctive. The general microscopic structure of the manatee duodenum is not unusual, but the duodenal glands secrete an acid mucin (sialomucin). The cells of these glands appear to be intermediate between classical serous and mucous cell types. These cells also contain granules with regions of high peripheral electron density. The overall structure of the manatee duodenum most strongly resembles that of the dugong, another member of the order Sirenia. PMID:7148376

  6. An experimental study on a function of the cupula. Effect of cupula removal on the ampullary nerve action potential.

    Science.gov (United States)

    Suzuki, M; Harada, Y; Sugata, Y

    1984-01-01

    We used a posterior semicircular canal that had been isolated from a frog. From the utricular side the ampulla was cut open at a position one third of the way along the long axis. The cupula was removed through this opening using a glass micropipette. The action potential from the posterior ampullary nerve was recorded before and after removal of the cupula. After removal, the action potential disappeared almost completely. When the cupula was put back on the crista, the action potential was restored. When the cupula was put back upside down, the action potential recovered, but to a lesser extent.

  7. 壶腹周围癌早期诊断和鉴别诊断%Eady and differential diagnosis of periampullary cancer

    Institute of Scientific and Technical Information of China (English)

    赵玉沛

    2008-01-01

    Periampullary cancer is a kind of malignant cancer of digestive tract.It arises within 2 cm of the major duodenal papilla and eomprises cancers of the ampulla,distal comliiOll bile duct,pancreas and duodenum.Their clinical features and anatomic locations are similar,as are the therapeutic approaches.However,their long-term outcomes vary.Due to the bad prognosis,it is very important to make an early,accurate diagnosis and differential diagnosis of periampullary cancer.This article summarizes some basic methods and new developments of early and differential diagnosis of poriampullary cancer.

  8. Choledochoduodenal Fistula after the Placement of a Partially Covered Metal Stent for Unresectable Pancreatic Cancer.

    Science.gov (United States)

    Masuda, Daisuke; Ogura, Takeshi; Imoto, Akira; Onda, Saori; Sano, Tatsushi; Takagi, Wataru; Okuda, Atsushi; Takeuchi, Toshihisa; Fukunishi, Shinya; Inoue, Takuya; Higuchi, Kazuhide

    2016-01-01

    A 75-year-old Japanese man with type 2 diabetes mellitus suffered from unresectable pancreatic head cancer and was admitted to our institution due to acute cholangitis. A partially covered metal stent was placed at that time. 11 months later, he was readmitted for acute cholangitis. Upper endoscopy revealed complete stent distal migration and a small hole on the oral side of the ampulla. While attempting cannulation into the hole, an upstream biliary tract was revealed. Accordingly, we diagnosed the patient to have a choledochoduodenal fistula. After metal stent removal and balloon dilation, we placed two 7 Fr plastic stents, which successfully relieved the patient's cholangitis. PMID:27301511

  9. Dynamic and ultrastructural study of sphincter of Oddi in early-stage cholelithiasis in rabbits with hypercholesterolemia

    Institute of Scientific and Technical Information of China (English)

    Jing Guo Wei; Yao Cheng Wang; Fan Du; Hou Jun Yu

    2000-01-01

    AIM To study the relationship between preformation of gallstone and the kinetics and ultrastructure of sphincter of Oddi.METHODS Adult female rabbits were used and divided into 3 groups, and fed with either normal or high cholesterol diet for four or eight weeks.Each group contained eight rabbits. The manometry of sphincter of Oddi, biliary cineradiography, gallbladder volume measurement and ultrastructure observation under electron microscope were performed.RESULTS In groups Ⅰ and Ⅱ, the basal pressure in low-pressure ampulla or high pressure zone of sphincter of Oddi was elevated, the amplitude of phasic contraction was decreased and the volume of gallbladder were increased, with a significant difference (P<0.01) from those of control. Gallstones were found in group Ⅱ rabbits (7/8). Under cineradiography, low-pressure ampulla showed a spasmodic status without apparent peristaltic contraction. Under electron microscope, inside the muscular cells of sphincter of Oddi,loosening of microfilament and swelling of plasmosomes which congregated at the top were observed. The amount showed no obvious change under nitric oxide synthase (NOS) stain.CONCLUSION Twisting of the microfilament and disarrangement of kink macula densa inside the muscular cells suggested that the sphincter of Oddi was under spasmodic status. The impaired diastolic function caused and aggravated the stasis of cystic bile. The swelling plasmosome could be one of the important factors in elevating the tonic pressure of sphincter of Oddi.

  10. Considerations of viscosity in the preliminaries to mammalian fertilisation.

    Science.gov (United States)

    Hunter, Ronald H F; Coy, P; Gadea, J; Rath, D

    2011-03-01

    Migration of spermatozoa in the female genital tract will be strongly influenced by the viscosity of the fluids encountered, yet little systematic analysis has been given to such a consideration. This essay reviews the series of milieux confronting a fertilising sperm during its progression to the oviduct ampulla. Two groups are discussed, first those in which ejaculation is into the vagina, second those in which semen enters the uterus during a protracted mating. Viscous glycoprotein secretions that accumulate in the oviduct isthmus of both groups before ovulation are highlighted, as is the environment generated in the ampulla by the post-ovulatory suspension of oocyte(s), cumulus cells and spermatozoa; follicular and peritoneal fluids may also be present. The viscosity of all female tract fluids responds to cyclical variations in temperature, and these exist within the oviduct near the time of ovulation. Gradations in viscosity influence the pattern and strength of sperm flagellar activity and the rate of forward movement. Measurements of sperm motility are currently made in a physiological medium of constant viscosity and temperature, thereby overlooking changes in the female genital tract. A more sophisticated approach might reveal an adequate fertilising potential in a proportion of putatively poor semen samples. PMID:21234667

  11. An electrokinetic model of transduction in the semicircular canal.

    Science.gov (United States)

    O'Leary, D P

    1970-09-01

    Transduction in the semicircular canal was studied by focusing an infrared beam on either side of exposed ampullae from the posterior canals of Rana pipiens. The direction of fluid movement resulting from a stimulus was inferred by observing the polarity of the change in afferent impulse mean rate relative to the spontaneous value. On the basis of the accepted functional polarization of this receptor, the results indicate that fluid moved toward the warmer side of the ampulla. Convection and thermal reception were shown to be unlikely explanations for these results. Morover, cupular displacements toward the warmer side would not be expected. Because thermo-osmosis can cause fluid to move toward the warmer side in a gelatin membrane, the results can be interpreted as evidence that thermo-osmosis occurred in the gelatinous cupula and influenced the transduction mechanism. Thermo-osmosis of liquids appears to be due to an electric field that is set up in a charged membrane; hence, the hair cells might have detected an electric field that occurred in the cupula during thermo-osmosis. Electroreception might be an important link in the transduction of physiological stimuli also. Rotational stimuli could result in weak electric fields in the cupula by the mechanoelectric effect. Cupular displacements could be important for large stimuli, but extrapolations to threshold stimuli suggest displacements of angstrom amplitudes. Therefore, electroreception by the hair cells could be an explanation of the great sensitivity that has been observed in the semicircular canal and other labyrinthine receptors. PMID:5496906

  12. A morphological and molecular assessment of the genus Sinotubimorpha (Halymeniaceae, Rhodophyta)

    Institute of Scientific and Technical Information of China (English)

    Ying-Wen SHENG; Wen ZHANG; Dan ZHAO; Hong-Wei WANG

    2012-01-01

    A critical reassessment of the morphological features of two closely related red algal genera,Grateloupia C.Agardh and Sinotubimorpha W.X.Li & Z.F.Ding (Halymeniaceae),pointed out that members of the two genera had most morphological characteristics in common,including the Grateloupia type auxiliary cell ampullae.Sinotubimorpha hitherto was distinguished from Grateloupia by:(i) the hollow axis; (ii) the presence of secondary filaments in ampullae; (iii) 1- to 3-celled carpogonial branch; and (iv) the occasional production of 1- to 4-celled flanking filaments on carpogonium.However,when these features were re-examined among 37 Chinese species of genera described in Flora Algarum Marinarum Sinicarum and one newly reported species,Grateloupia orientalis,we found that it was difficult to draw a clear-cut distinction between the two genera based only on morphological differences.In rbcL sequence analysis,all the species of Sinotubimorpha with G.catenata formed a single monophyletic subclade within the large Grateloupia clade of the Halymeniaceae.It is therefore suggested that all the Chinese species of Sinotubimorpha,S.catenata,S.guangdongensis,S.qingdaoensis,S.claviformis,and S.ramosissima should be synonymous with G.catenata,and that Sinotubimorpha should be included in synonymy under Grateloupia.

  13. Denticle-embedded ampullary organs in a Cretaceous shark provide unique insight into the evolution of elasmobranch electroreceptors

    Science.gov (United States)

    Vullo, Romain; Guinot, Guillaume

    2015-10-01

    Here, we report a novel type of dermal denticle (or placoid scale), unknown among both living and fossil chondrichthyan fishes, in a Cretaceous lamniform shark. By their morphology and location, these dermal denticles, grouped into clusters in the cephalic region, appear to have been directly associated with the electrosensory ampullary system. These denticles have a relatively enlarged (˜350 μm in diameter), ornamented crown with a small (˜100 μm) asterisk- or cross-shaped central perforation connected to a multi-alveolate internal cavity. The formation of such a complex structure can be explained by the annular coalescence and fusion, around an ampullary vesicle, of several developmental units still at papillary stage (i.e. before mineralization), leading to a single denticle embedding an alveolar ampulla devoid of canal. This differs from larger typical ampullae of Lorenzini with a well-developed canal opening in a pore of the skin and may represent another adaptive response to low skin resistance. Since it has been recently demonstrated that ampullary organs arise from lateral line placodes in chondrichthyans, this highly specialized type of dermal denticle (most likely non-deciduous) may be derived from the modified placoid scales covering the superficial neuromasts (pit organs) of the mechanosensory lateral line system of many modern sharks.

  14. Primary malignant tumours of the duodenum.

    Science.gov (United States)

    Nix, G A; Wilson, J H; Dees, J

    1985-04-01

    The clinical and radiological findings in 19 patients with primary duodenal malignancy are described. Weight loss, abdominal pain, nausea and vomiting were the main symptoms. Diagnosis was made by endoscopy or ERCP (71%) or by barium studies (68%). In retrospect the tumour was visible in 97% of the studies. Tumour growth was longitudinal, circular or spiral, the inner curvature being involved over a greater length than the outer curvature. Exophytic tumour growth, involvement of the papilla of Vater, malignant spikes, transient, non-constant tumour image, skip lesions and ulceration were often seen. Mean survival time was 18 months from start of symptoms in 10 inoperable patients, and 24 months in 9 patients undergoing resection. PMID:2986213

  15. The arc of Buhler: special considerations when performing pancreaticoduodenectomy.

    Science.gov (United States)

    Kageyama, Yumiko; Kokudo, Takashi; Amikura, Katsumi; Miyazaki, Yoshihiro; Takahashi, Amane; Sakamoto, Hirohiko

    2016-12-01

    A 74-year-old female was diagnosed as having a carcinoma of the papilla of Vater. Preoperative computed tomography showed stenosis of the celiac trunk and an enlarged artery arising from the superior mesenteric artery (SMA) joining the root of the splenic artery. Since this artery communicated with the SMA and the celiac trunk, independently of the gastroduodenal and dorsal pancreatic arteries, it was considered to be the arc of Buhler (AOB). The arterial blood flow to the liver, spleen, and stomach appeared to depend on the AOB, such that AOB preservation was considered to be essential. A subtotal stomach-preserving pancreaticoduodenectomy with preservation of the AOB was thus performed. Although AOB is a relatively infrequent type of arterial communication between the SMA and the celiac trunk, it needs to be preserved during pancreaticoduodenectomy when celiac trunk stenosis is present. PMID:26951124

  16. Earthworms and their Nephridial Symbionts: Co-diversification and Maintenance of the Symbiosis

    DEFF Research Database (Denmark)

    Lund, Marie Braad; Holmstrup, Martin; Davidson, Seana K.;

    Earthworms harbor in their nephridia (excretory organs) symbiotic bacteria which densely colonize a specific part of the nephridia, called the ampulla [1]. The symbiosis is species-specific and the symbionts form their own monophyletic genus Verminephrobacter (β-proteobacteria) [2] and are vertic......Earthworms harbor in their nephridia (excretory organs) symbiotic bacteria which densely colonize a specific part of the nephridia, called the ampulla [1]. The symbiosis is species-specific and the symbionts form their own monophyletic genus Verminephrobacter (β-proteobacteria) [2......] and are vertically transmitted [3]. For these reasons we hypothesized that the earthworm-Verminephrobacter association evolved by co-diversification. This hypothesis was investigated by a comparison of earthworm and symbiont phylogenies. The earthworm phylogeny was based on Cytochrome c oxidase subunit I (COI...... suggests that the symbiosis has been stably maintained over evolutionary time dating back to the last common lumbricid earthworm ancestor. How this evolutionarily stable association is maintained is unknown; symbiont-free worms can be reared in lab culture and therefore the symbionts are not essential...

  17. ERCP-the role of radiologist or what the endoscopist needs to know

    International Nuclear Information System (INIS)

    Endoscopic retrograde cholangiopancreatography (ERCP) is an interdisciplinary endoscopic-radiologic method for diagnosis and treatment of the diseases of the biliary and pancreatic ducts. The procedure requires an excellent technical experience and high professional qualification of the medical team. The cannulation of the papilla of Vater and the contrast imaging of the hepatobiliary tree and the pancreatic duct need co-operation between the radiologist and endoscopist for interpretation of the findings - malignant or benign stenosis, choledocholithiasis, iatrogenic lesions. The undertaken endoscopic therapeutic procedures are performed under fluoroscopic guidance as well as the subsequent assessment of their effective - stone extraction, stent placement, etc. The good collaboration of the team during each stage of the procedure can guarantee its success. (authors)

  18. Nitinol Stents for Palliative Treatment of Malignant Obstructive Jaundice: Should We Stent the Sphincter of Oddi in Every Case?

    International Nuclear Information System (INIS)

    Purpose: To evaluate the necessity of metallic stenting of the sphincter of Oddi in malignant obstructive jaundice when the tumor is more than 2 cm from the papilla of Vater.Methods: Sixty-seven self-expandable biliary stents were used in 60 patients with extrahepatic lesions of the common hepatic or common bile duct and with the distal margin of the tumor located more than 2 cm from the papilla of Vater. Stents were placed above the papilla in 30 cases (group A) and in another 30 with their distal part protruding into the duodenum (group B).Results: The 30-day mortality was 15%, due to the underlying disease. The stent occlusion rate was 17% after a mean period of 4.3 months. No major complications were noted. Average survival was 132 days for group A and 140 days for group B. In group A, 19 patients survived ≤ 90 days and in eight of these, cholangitis occurred at least once. Of 11 patients in group A with survival > 90 days, only two developed cholangitis. In group B, 13 patients who survived ≤ 90 days had no episodes of cholangitis and in 17 with survival > 90 days, cholangitis occurred in three. There is a statistically significant difference (p < 0.05) regarding the incidence of cholangitis in favor of group A.Conclusions: In patients with extrahepatic lesions more than 2 cm from the papilla and with a relative poor prognosis (≤ 3 months), due to more advanced disease or to a worse general condition, the sphincter of Oddi should also be stented in order to reduce the postprocedural morbidity

  19. Endosonography-Guided Biliary Drainage with One-Step Placement of a Newly Developed Fully Covered Metal Stent Followed by Duodenal Stenting for Pancreatic Head Cancer

    Directory of Open Access Journals (Sweden)

    Kei Ito

    2010-01-01

    Full Text Available An 83-year-old man was admitted to our department, presenting with jaundice, fever, and nausea. CT revealed a pancreatic head tumor with duodenal invasion. Endoscopic transpapillary biliary drainage was unsuccessful due to stenosis at the second portion of the duodenum and tumor invasion to the papilla of Vater. Using a convex linear array echoendoscope, a fully-covered metal stent was placed across the puncture tract to bridge the duodenum and the bile duct. After improvement of jaundice, a duodenal metal stent was placed across the stricture of the duodenum. No procedure-related complications occurred. Neither migration nor obstruction of the two stents was observed during the three months followup period. Combination of ESBD using a fully covered metal stent and duodenal stenting is a feasible technique and possibly a less invasive treatment option for malignant biliary and duodenal obstruction compared to surgery.

  20. En varice i vortexvenens ampul er en sjælden differentialdiagnose til malignt melanom i årehinden

    DEFF Research Database (Denmark)

    Rimsaite, Audrone; Andersen, Carl Uggerhøj

    2015-01-01

    Melanoma of the choroid is the most frequent primary intra-ocular malignancy whereas a varix of the vortex vein ampulla is a benign, rare and asymptomatic condition requiring no treatment. A varix of the vortex vein ampulla is usually found acci-dentally and can easily be mistaken for a choroidal...

  1. Akut pancreatitis forårsaget af galdesten i barnealderen

    DEFF Research Database (Denmark)

    Zachariassen, G; Saffar, D F; Mortensen, J

    1999-01-01

    A 10 year-old girl presented with acute abdominal pain. Serum-amylase was 3959 U/l. Ultrasonography showed dilatation of both the common bile duct and the pancreatic duct and a high density area near the ampulla. Endoscopic retrograde cholangiography (ERC) verified a stone near the ampulla, which...

  2. Pancreaticoduodenectomy for periampullary tumors at Dr. Cipto Mangunkusumo Hospital, Jakarta

    Directory of Open Access Journals (Sweden)

    Toar J.M. Lalisang

    2004-09-01

    Full Text Available We reported our experience on 31 pancreaticoduodenectomy out of 141 periampullary tumors during 1994 until 2002; 16 of them were female, and age average 17-68 years. Jaundice was the most common presenting sign; 14 patients showed plasma albumin lower than 3.5 g/dl, and 10 patients had bilirubin level more than 10 mg/dl. We performed classical Whipple technique in 17, pyloric preserving pancreaticoduodenectomy in 11, and total pancreaticoduodenectomy in 3 patients. The mean of operative time was 436 minutes (290-570 minutes. The patients were grouped into 2 periods, between 1994-1999 and thereafter. With experience, the amount of blood loss has decreased from 2000 ml to 400 ml. Histopathologic results showed adenocarcinoma of the pancreas head in 11, adenocarcinoma of the ampulla of Vater in 11, carcinoma of duodenum in 4, head of pancreas benign cyst in 2, and benign tumor in 3 patients. The surgical mortality was 4 in the first 12 patients, in contrast to only 1 in the last 19 patients. The most serious complication was pancreatic leakage in 14 patients, in 4 of them it was responsible as the cause of death. The length of stay after operation varied between 12 and 47 days. Until the end of this report 7 patients are still alive, and 4 patients lost of contact. Recurrence was detected in 13 out of 22 survivors, occurring between 4 to 24 months after operation and 12 patients died 2-3 months later. Three patients died due to other causes. We conclude that pancreoticoduodenectomy is an effective technique, and the operative mortality is decreasing. Furthermore, morbidity especially from pancreatic leakages can be treated in our hospital. (Med J Indones 2004; 13: 166-70 Keywords: operative outcome, Whipple technique, pancreatic leakage

  3. Bile duct malignancies.

    Science.gov (United States)

    Tucek, S; Tomasek, J; Halámkova, J; Kiss, I; Andrasina, T; Hemmelová, B; Adámková-Krákorová, D; Vyzula, R

    2010-01-01

    Bile duct malignancies include intrahepatic cholangiocarcinoma (ICC), extrahepatic cholangiocarcinoma (ECC), gall bladder carcinoma (GC) and carcinoma of Vater's ampulla (ampulloma). Bile duct neoplasms are rare tumours with overall poor prognosis. The overall incidence affects up to 12.5 per 100,000 persons in the Czech Republic. The mortality rate has risen recently to 9.5 per 100,000 persons. The incidence and mortality have been remarkably stable over the past 3 decades. The survival rate of patients with these tumours is poor, usually not exceeding 12 months. The diagnostic process is complex, uneasy and usually late. Most cases are diagnosed when unresectable, and palliative treatment is the main approach of medical care for these tumours. The treatment remains very challenging. New approaches have not brought much improvement in this field. Standards of palliative care are lacking and quality of life assessments are surprisingly not common. From the scarce data it seems, however, that multimodal individually tailored treatment can prolong patients'survival and improve the health-related quality of life. The care in specialized centres offers methods of surgery, interventional radiology, clinical oncology and high quality supportive care. These methods are discussed in the article in greater detail. Improvements in this field can be sought in new diagnostic methods and new procedures in surgery and interventional radiology. Understanding the tumour biology on the molecular level could shift the strategy to a more successful one, resulting in more cured patients. Further improvements in palliative care can be sought by defining new targets and new drug development. The lack of patients with bile duct neoplasms has been the limiting factor for any improvements. A new design of larger randomized international multicentric clinical trials with prompt data sharing could help to overcome this major problem. Defining standards of palliative care is a necessity

  4. Endoscopic ultrasound-guided choledochoduodenostomies with fully covered self-expandable metallic stents

    Institute of Scientific and Technical Information of China (English)

    Tae Jun Song; Yil Sik Hyun; Sang Soo Lee; Do Hyun Park; Dong Wan Seo; Sung Koo Lee; Myung-Hwan Kim

    2012-01-01

    AIM:To investigate the long-term outcomes of endoscopic ultrasound-guided choledochoduodenostomy (EUS-CDS) with a fully covered self-expandable metallic stent (FCSEMS).METHODS:From April 2009 to August 2010,15 patients with distal malignant biliary obstructions who were candidates for alternative techniques for biliary decompression due to a failed endoscopic retrograde cholangiopancreatography (ERCP) were included.These 15 patients consisted of 8 men and 7 women and had a median age of 61 years (range:30-91 years).The underlying causes of the distal malignant biliary obstruction were pancreatic cancer (n =9),ampulla of Vater cancer (n =2),renal cell carcinoma (n =1),advanced gastric cancer (n =1),lymphoma (n =1),and duodenal cancer (n =1).RESULTS:The technical success rate of EUS-CDS with an FCSEMS was 86.7% (13/15),and functional success was achieved in 100% (13/13) of those cases.In two patients,the EUS-CDS failed because an FCSEMS with a delivery device could not be passed into the common bile duct.The mean duration of stent patency was 264 d.Early adverse events developed in three patients (3/13,23.1%),including self-limited pneumoperitoneum in two patients and cholangitis requiring stent reposition in one patient.During the follow-up period (median:186 d,range:52-388 d),distal stent migration occurred in four patients (4/13,30.8%).In 3 patients,the FCSEMS could be reinserted through the existing choledochoduodenal fistula tract.CONCLUSION:EUS-CDS with an FCSEMS is technically feasible and can lead to effective palliation of distal malignant biliary obstructions after failed ERCP.

  5. Endobronchial metastases from extrathoracic malignancies.

    Science.gov (United States)

    Akoglu, Sebahat; Uçan, Eyüp S; Celik, Gülperi; Sener, Gülper; Sevinç, Can; Kilinç, Oğuz; Itil, Oya

    2005-01-01

    Endobronchial metastases (EBM) from extrapulmonary malignant tumors are rare. The most common extrathoracic malignancies associated with EBM are breast, renal and colorectal carcinomas. In this study, we aimed to evaluate the clinical, radiographic and bronchoscopic aspects of patients with EBM who were diagnosed between 1992 and 2002. Data about patients' clinical conditions, symptoms, radiographic and endoscopic findings, and histopathological examination results were investigated. EBM was defined as bronchoscopically visible lesions histopathologically identical to the primary tumor in patients with extrapulmonary malignancies. We found 15 cases with EBM. Primary tumors included breast (3), colorectal (3), and renal (2) carcinomas; Malignant Melanoma (2); synovial sarcoma (1), ampulla of Vater adenocarcinoma (1), pheochromocytoma (1), hypernephroma (1), and Hodgkin's Disease (1). The most common symptoms were dyspnea (80%), cough (66.6%) and hemoptysis (33.3%). Multiple (40%) or single (13.3%) pulmonary nodules, mediastinal or hilar lymphadenopathy (40%), and effusion (40%) were the most common radiographic findings. The mean interval from initial diagnosis to diagnosis of EBM was 32.8 months (range, 0-96 months) and median survival time was 18 months (range, 4-84). As a conclusion, various extrapulmonary tumors can metastasize to the bronchus. Symptoms and radiographic findings are similar with those in primary lung cancer. Therefore, EBM should be discriminated from primary lung cancer histopathologically. Although mean survival time is usually short, long-term survivors were reported. Consequently, treatment must be planned according to the histology of the primary tumor, evidence of metastasis to other sites and medical status of the patient. PMID:16475029

  6. Endobronchial metastases from extrathoracic malignancies.

    Science.gov (United States)

    Akoglu, Sebahat; Uçan, Eyüp S; Celik, Gülperi; Sener, Gülper; Sevinç, Can; Kilinç, Oğuz; Itil, Oya

    2005-01-01

    Endobronchial metastases (EBM) from extrapulmonary malignant tumors are rare. The most common extrathoracic malignancies associated with EBM are breast, renal and colorectal carcinomas. In this study, we aimed to evaluate the clinical, radiographic and bronchoscopic aspects of patients with EBM who were diagnosed between 1992 and 2002. Data about patients' clinical conditions, symptoms, radiographic and endoscopic findings, and histopathological examination results were investigated. EBM was defined as bronchoscopically visible lesions histopathologically identical to the primary tumor in patients with extrapulmonary malignancies. We found 15 cases with EBM. Primary tumors included breast (3), colorectal (3), and renal (2) carcinomas; Malignant Melanoma (2); synovial sarcoma (1), ampulla of Vater adenocarcinoma (1), pheochromocytoma (1), hypernephroma (1), and Hodgkin's Disease (1). The most common symptoms were dyspnea (80%), cough (66.6%) and hemoptysis (33.3%). Multiple (40%) or single (13.3%) pulmonary nodules, mediastinal or hilar lymphadenopathy (40%), and effusion (40%) were the most common radiographic findings. The mean interval from initial diagnosis to diagnosis of EBM was 32.8 months (range, 0-96 months) and median survival time was 18 months (range, 4-84). As a conclusion, various extrapulmonary tumors can metastasize to the bronchus. Symptoms and radiographic findings are similar with those in primary lung cancer. Therefore, EBM should be discriminated from primary lung cancer histopathologically. Although mean survival time is usually short, long-term survivors were reported. Consequently, treatment must be planned according to the histology of the primary tumor, evidence of metastasis to other sites and medical status of the patient.

  7. Scanning electron microscopy of the vestibular end organs. [morphological indexes of inner ear anatomy and microstructure

    Science.gov (United States)

    Lindeman, H. H.; Ades, H. W.; West, R. W.

    1973-01-01

    The vestibular end organs, after chemical fixation, were freeze dried, coated with gold and palladium, and studied in the scanning microscope. Scanning microscopy gives a good three dimensional view of the sensory areas and allows study of both gross anatomy and microstructures. Cross anatomical features of the structure of the ampullae are demonstrated. The form of the statoconia in different species of animals is shown. New aspects of the structure of the sensory hairs are revealed. The hair bundles in the central areas of the cristae and in the striola of the maculae differ structurally from the hair bundles at the periphery of the sensory regions. Furthermore, some hair bundles consisting of very short stereocilia were observed. The relationship between the cupula and the statoconial membrane to the epithelial surface is discussed.

  8. The Smell of Relics: Authenticating Saintly Bones and the Role of Scent in the Sensory Experience of Medieval Christian Veneration

    Directory of Open Access Journals (Sweden)

    Paul Anthony Brazinski

    2013-09-01

    Full Text Available ''The archaeology of smell is a burgeoning field in recent scholarship. This paper adds to existing literature by investigating the function of smell in relation to relic sales and veneration in medieval Europe, a hitherto understudied area of research. Collating historical texts concerning the translatio of saintly relics in Western Europe and the Byzantine Empire with archaeological sources associated with relic veneration and religious worship (including ampullae, unguentaria, sarcophagi, holy oils, pillow graves, and silk, this paper suggests that (1 smell was used in the medieval world as a means to challenge or confirm a relic’s authenticity, and (2 olfactory liquids that imbued or permeated material objects in the context of worship functioned as a means of focusing attention on relic veneration and were an essential part of the cult and/or pilgrimage experience.

  9. Anatomy of Tunga trimamillata Pampiglione et al., 2002 (Insecta, Siphonaptera, Tungidae and developmental phases of the gravid female

    Directory of Open Access Journals (Sweden)

    Pampiglione S.

    2005-09-01

    Full Text Available This paper deals with some internal anatomical features observed in histological sections and freshly dissected mounts of Tunga trimamillata, a Siphonaptera recently discovered in Andean regions of Ecuador from several mammals, including man. It was possible to study in males and also non-gravid and gravid females, the location and anatomy of several organs not previously described for this species: the testes, epididymis, ganglia, Malpighian tubules, eyes, rectal ampulla with one of its pads and structures which could be interpreted as midgut diverticula, whose presence has not been recorded in the Siphonaptera. The process of neosomy in the female during pregnancy is illustrated by photographs of the consecutive developmental phases, taken at the stereomicroscope. Furthermore, some details of the exoskeleton, spermatheca during different phases of pregnancy of the gravid female and the presence of a foreign body (parasite? within the haemocoel have been displayed in specimens cleared with Hoyer’s medium.

  10. False positive of the scintigraphy with octreoscan: a diagnosis of elimination; Faux positif de la scintigraphie a l'octreoscan: un diagnostic d'elimination

    Energy Technology Data Exchange (ETDEWEB)

    Charrier, N.; Brenot-Rossi, I.; Chuto, G.; Giovannini, M.; Delpero, J.R. [Institut Paoli-Calmettes, Marseille, (France)

    2009-05-15

    The imaging of receptors with somatostatin analogs by the pentetreotide-indium 111 (octreoscan) allows the detection of endocrine tumors essentially according to the density of S.S.T.2 receptors at the tumor level. The sensitivity of octreoscan for the detection of intestine endocrine tumors is included between 80 and 100% in the different studies. The clinical case presented here enlightens a case of false positive.We concluded to a physiological elimination of pentetreotide-indium 111 with intra pancreatic biliary stasis (perhaps a dysfunction of sphincter of ampulla of bile duct) and to the lack of tumor centre. It is here a diagnosis of elimination, supported by the different results of examination. all normal. This case of false positive induced expensive and traumatic explorations for the patient. (N.C.)

  11. Excitatory and inhibitory synaptic mechanisms at the first stage of integration in the electroreception system of the shark

    DEFF Research Database (Denmark)

    Rotem, Naama; Sestieri, Emanuel; Hounsgaard, Jørn Dybkjær;

    2014-01-01

    High impulse rate in afferent nerves is a common feature in many sensory systems that serve to accommodate a wide dynamic range. However, the first stage of integration should be endowed with specific properties that enable efficient handling of the incoming information. In elasmobranches......, the afferent nerve originating from the ampullae of Lorenzini targets specific neurons located at the Dorsal Octavolateral Nucleus (DON), the first stage of integration in the electroreception system. Using intracellular recordings in an isolated brainstem preparation from the shark we analyze the properties...... of this afferent pathway. We found that stimulating the afferent nerve activates a mixture of excitatory and inhibitory synapses mediated by AMPA-like and GABAA receptors, respectively. The excitatory synapses that are extremely efficient in activating the postsynaptic neurons display unusual voltage dependence...

  12. Presentation and Surgical Management of Duodenal Duplication in Adults

    Directory of Open Access Journals (Sweden)

    Caroline C. Jadlowiec

    2015-01-01

    Full Text Available Duodenal duplications in adults are exceedingly rare and their diagnosis remains difficult as symptoms are largely nonspecific. Clinical presentations include pancreatitis, biliary obstruction, gastrointestinal bleeding from ectopic gastric mucosa, and malignancy. A case of duodenal duplication in a 59-year-old female is presented, and her treatment course is reviewed with description of combined surgical and endoscopic approach to repair, along with a review of historic and current recommendations for management. Traditionally, gastrointestinal duplications have been treated with surgical resection; however, for duodenal duplications, the anatomic proximity to the biliopancreatic ampulla makes surgical management challenging. Recently, advances in endoscopy have improved the clinical success of cystic intraluminal duodenal duplications. Despite these advances, surgical resection is still recommended for extraluminal tubular duplications although combined techniques may be necessary for long tubular duplications. For duodenal duplications, a combined approach of partial excision combined with mucosal stripping may offer advantage.

  13. Cupula motion in the semicircular canal of the skate, Raja erinacea. An experimental investigation.

    Science.gov (United States)

    Oman, C M; Frishkopf, L S; Goldstein, M H

    1979-01-01

    An upper bound on the magnitude of semicurcular canal cupula motion was experimentally determined in the isolated labyrinth of the skate, Raja erinacea. To visualize the cupula, a glass pipette was pushed through the ampullary wall, and local regions of the cupula were stained by slow infusion of small amounts of Alcian Blue dye. Caloric stimuli which produced large changes in single unit activity in the ampullary nerve and which often recruited several larger, previously silent units were found to produce on detectable cupula motion as seen through the ampulla wall. However when the cupula was first grossly displaced, motion was thereafter observed in response to identical caloric stimuli. Analysis of afferent responses indicates that the normal range of cupula motion in the skate is below the optical resolution of the method, conservatively estimated as 3--5 micrometers.

  14. Mathematical Model of the Cupula-Endolymph System with Morphological Parameters for the Axolotl (Ambystoma tigrinum) Semicircular Canals.

    Science.gov (United States)

    Vega, Rosario; Alexandrov, Vladimir V; Alexandrova, Tamara B; Soto, Enrique

    2008-08-26

    By combining mathematical methods with the morphological analysis of the semicircular canals of the axolotl (Ambystoma tigrinum), a system of differential equations describing the mechanical coupling in the semicircular canals was obtained. The coefficients of this system have an explicit physiological meaning that allows for the introduction of morphological and dynamical parameters directly into the differential equations. The cupula of the semicircular canals was modeled both as a piston and as a membrane (diaphragm like), and the duct canals as toroids with two main regions: i) the semicircular canal duct and, ii) a larger diameter region corresponding to the ampulla and the utricle. The endolymph motion was described by the Navier-Stokes equations. The analysis of the model demonstrated that cupular behavior dynamics under periodic stimulation is equivalent in both the piston and the membrane cupular models, thus a general model in which the detailed cupular structure is not relevant was derived.

  15. Co-Speciation of Earthworms and their nephridial symbionts, Acidovorax Spp

    DEFF Research Database (Denmark)

    Lund, Marie Braad; Fritz, Michael; Holmstrup, Martin;

    2006-01-01

    Earthworms (Annelida; Lumbricidae) harbour species-specific symbiotic bacteria in their nephridia (excretory organs) where the symbionts densely colonize a specific part of the nephridia called the ampulla [1]. The symbiosis is universal among earthworms, the symbionts form a monophyletic cluster...... within the genus Acidovorax [2], and they are transmitted vertically [3]. For these reasons, we suggest that the earthworm-Acidovorax association has evolved by co-speciation. This hypothesis was tested by a comparative study of earthworm and symbiont phylogeny. Different earthworm species were collected...... in Denmark and DNA was extracted from their nephridia. Earthworm phylogeny was resolved on the basis of mitochondrial cytochrome c oxidase subunit I (COI) by direct PCR amplification and sequencing from the nephridial DNA extract. Symbiont 16S rRNA gene sequences were retrieved by cloning and sequencing...

  16. Sperm head binding to epithelium of the oviduct isthmus is not an essential preliminary to mammalian fertilization - review.

    Science.gov (United States)

    Hunter, R H F

    2011-08-01

    In endeavouring to understand the nature of sperm-oviduct interactions in mammals, attention was focused on experimental models in which fertilization can occur without a preliminary phase of sperm head binding to the isthmus epithelium. The ovarian endocrine milieu imposed on the oviduct tissues plays an important role in the binding phenomenon, although less so after the time of ovulation. Nonetheless, a sperm suspension introduced into the peritoneal cavity or surgical insemination directly into the oviduct ampulla before ovulation can result in fertilization, as can a surgical model in which the isthmus has been resected and the remaining portions of the duct reanastomosed. Mating or artificial insemination after ovulation in pigs permits rapid sperm transport to the site of fertilization, and the frequency of polyspermic penetration increases with the post-ovulatory age of eggs.Strategies underlying sperm binding were considered, especially in terms of preovulatory sperm storage and suppression of full membranous maturation. These, in turn, raised the problem of how sperm binding in vitro to oviduct cells from prepuberal animals or to cells harvested during the luteal phase of the estrous cycle, or to cells from the ampulla or even the tracheal epithelium, can act to regulate sperm storage and maturation with precision. In an evolutionary perspective, preovulatory binding of diverse populations of cells to the endosalpinx may have developed as a form of fine tuning to assist in sperm selection, to synchronize completion of capacitation with the events of ovulation, and to promote monospermic fertilization by a controlled release of competent gametes.

  17. Peribiliary Glands as a Niche of Extrapancreatic Precursors Yielding Insulin-Producing Cells in Experimental and Human Diabetes.

    Science.gov (United States)

    Carpino, Guido; Puca, Rosa; Cardinale, Vincenzo; Renzi, Anastasia; Scafetta, Gaia; Nevi, Lorenzo; Rossi, Massimo; Berloco, Pasquale B; Ginanni Corradini, Stefano; Reid, Lola M; Maroder, Marella; Gaudio, Eugenio; Alvaro, Domenico

    2016-05-01

    Peribiliary glands (PBGs) are niches in the biliary tree and containing heterogeneous endodermal stem/progenitors cells that can differentiate, in vitro and in vivo, toward pancreatic islets. The aim of this study was to evaluate, in experimental and human diabetes, proliferation of cells in PBGs and differentiation of the biliary tree stem/progenitor cells (BTSCs) toward insulin-producing cells. Diabetes was generated in mice by intraperitoneal injection of a single dose of 200 mg/kg (N = 12) or 120 mg/kg (N = 12) of streptozotocin. Liver, pancreas, and extrahepatic biliary trees were en bloc dissected and examined. Cells in PBGs proliferated in experimental diabetes, and their proliferation was greatest in the PBGs of the hepatopancreatic ampulla, and inversely correlated with the pancreatic islet area. In rodents, the cell proliferation in PBGs was characterized by the expansion of Sox9-positive stem/progenitor cells that gave rise to insulin-producing cells. Insulin-producing cells were located mostly in PBGs in the portion of the biliary tree closest to the duodenum, and their appearance was associated with upregulation of MafA and Gli1 gene expression. In patients with type 2 diabetes, PBGs at the level of the hepatopancreatic ampulla contained cells showing signs of proliferation and pancreatic fate commitment. In vitro, high glucose concentrations induced the differentiation of human BTSCs cultures toward pancreatic beta cell fates. The cells in PBGs respond to diabetes with proliferation and differentiation towards insulin-producing cells indicating that PBG niches may rescue pancreatic islet impairment in diabetes. These findings offer important implications for the pathophysiology and complications of this disease. Stem Cells 2016;34:1332-1342. PMID:26850087

  18. Endoscopic Ultrasound (EUS)-Guided Pancreatic Duct Drainage: The Basics of When and How to Perform EUS-Guided Pancreatic Duct Interventions

    Science.gov (United States)

    Chapman, Christopher G.; Waxman, Irving; Siddiqui, Uzma D.

    2016-01-01

    Despite the advances in endoscopy, endoscopic ultrasound-guided pancreatic duct drainage (EUS-PDD) remains a technically challenging procedure. Technical success rates are greater than 70%; however, the average rate of adverse events is nearly 20%, which increases to 55% when stent migration is included. Until recently, a significant difficulty with this technique was the absence of dedicated devices. Proper patient selection is of utmost importance, and EUS-PDD should be reserved for patients who have failed endoscopic retrograde pancreatography. Furthermore, EUS-PDD must be performed by experienced endoscopists who are familiar with the technique. The most common indications include chronic pancreatitis induced strictures and stones, disconnected pancreatic ducts, inaccessible ampulla, and post-surgical altered anatomy. This manuscript will review the accessories used, techniques employed, and published literature reporting outcomes as well as adverse events regarding EUS-PDD. PMID:27012290

  19. Trinocladus divnae and montiella filipovici: A new species (Dasycladales, green algae from the Upper Cretaceous of the Mountain Paštrik (Mirdita Zone

    Directory of Open Access Journals (Sweden)

    Radoičić Rajka

    2006-01-01

    Full Text Available Two new dasycladalean species from the Upper Cretaceous of the Mountain Paštrik, Kukes Cretaceous Unit of the Mirdita Zone are described: Trinocladus divnae sp. nov. is characterized by variable size of the thallus, relatively narrow main axis, typical Trinocladus organization of the laterals and thin calcification limited to the distal part of the thallus which includes a swollen part of secondaries and short tertiaries. Often, the internal portion of the whorls (except sometimes the main stem membrane, tends to dissolve and form dissolution cavities filled with cement. Montiella filipovici sp. nov. is characterized by a primary skeleton made of a thin individual sheath around a fertile ampullae, often obliterated by recrystallization. Four to six laterals, each giving one secondary and one fertile ampulla located on the upper side of the relatively thick short primary lateral. Upper Cenomanian limestone with Cisalveolina fraasi and Trinocladus divnae sp. nov. was deposited immediately before the events that resulted in sea level rising. The middle and upper Cenomanian eustatic-tectonic processes had different effects in the Paštrik shallow water areas, depending on the distance from the basinal part of the Unit. Bathymetric changes in a part of the Paštrik sedimentary area were not significant, even negligible. Montiella filipovici is found in the post-fraasi shallow water sequence, assigned to the ?uppermost Cenomanian-lowermost Turonian (= Whiteinella archaeocretacea Zone p. p.; a short stratigraphic gap, in a part of the area, is noted. Shallow water limestone with Turonian taxa, corresponding to the helvetca Zone, occurs a few meters upward. Supplementary note: the species Cylindroporella parva RADOIČIĆ is transferred in the genus Montiella, the species Permocalculus elliotti JOHNSON is transferred in the genus Trinocladus, while the species Trinocladus bellus YU JING is transferred in the genus Belzungia.

  20. Ultrasound-guided percutaneous transhepatic biliary drainage: Experiences in 146 patients

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Jai Keun [Sohwa Children' s Hospital, Seoul(Korea, Republic of); Yu, Jeong Sik; Kim, Ki Whang; Chung, Soo Yoon; Jeong, Mi Gyoung [Yonsei University College of Medicine, Seoul (Korea, Republic of); Choi, Deuk Lin; Kwon, Gui Hyang; Lee, Hae Kyung [Soonchunhyang University College of Medicine, Seoul (Korea, Republic of)

    1999-03-15

    Percutaneous biliary drainage is an important technique for palliative therapy of obstructive biliary disease and diagnostic information. The purpose of this study is to review and evaluate the experiences of ultrasound-guided percutaneous transhepatic biliary drainage. Ultrasound-guided percutaneous transhepatic biliary drainage was performed on 146 occasions in 134 patients. The causes of biliary obstruction were: benign diseases (19 cases, 14.2%) such as bile duct stones or stricture, cholangiocarcinoma (37 cases, 27.6%), pancreatic carcinoma (35 cases, 26.1%), metastasis (22 cases, 16.5%), gall bladder cancer (14 cases, 10.4%), ampulla of Vater cancer (4 cases, 3.0%), hepatocellular carcinoma (3 cases, 2.2%). Retrospectively reviewing medical records, we found out frequency of external or external/internal biliary drainages, puncture of left or right hepatic duct, and presence of bileinfection. Ultrasound-guided percutaneous transhepatic biliary drainage was compared with conventional biliary drainage of previous reports on the basis of frequency of complications. External (124 procedures, 84.9%) and external/internal biliary drainage (22 procedures, 15.1%) were carried out by puncture of dilated right (59.6%) or left (40.4%) intrahepatic duct. Sixty-nine complications occurred in 47 patients. Catheter related complications (33/69, 47.8%) were most common: catheter dislodgement (17/69, 24.6%), malfunction (9/69, 13.1%), leakage (7/69, 10.1%). Other minor complications such as simple fever (16/69, 23.2%), cholangitis (7/69, 10.1%), hemobilia (4/69, 5.8%), biloma (2/69, 2.9%) and wound infection (1/69, 1.5%) occurred. Major complications including sepsis (4/69, 5.8%) and bile peritonitis (2/69, 2.9%) were also noted. Puncture-related complications such as hemobilia, biloma and bile peritonitis occurred in 8 cases (5.5%). Comparing with conventional X-ray guided drainage, ultrasound-guided percutaneous transhepatic biliary drainage is a safe procedure for

  1. Association between alcohol consumption and cancers in the Chinese population--a systematic review and meta-analysis.

    Directory of Open Access Journals (Sweden)

    Ying Li

    Full Text Available BACKGROUND: Alcohol consumption is increasing worldwide and is associated with numerous cancers. This systematic review examined the role of alcohol in the incidence of cancer in the Chinese population. METHODS: Medline/PubMed, EMBASE, CNKI and VIP were searched to identify relevant studies. Cohort and case-control studies on the effect of alcohol use on cancers in Chinese were included. Study quality was evaluated using the Newcastle-Ottawa Scale. Data were independently abstracted by two reviewers. Odds ratios (OR or relative risks (RR were pooled using RevMan 5.0. Heterogeneity was evaluated using the Q test and I-squared statistic. P<.01 was considered statistically significant. RESULTS: Pooled results from cohort studies indicated that alcohol consumption was not associated with gastric cancer, esophageal cancers (EC or lung cancer. Meta-analysis of case-control studies showed that alcohol consumption was a significant risk factor for five cancers; the pooled ORs were 1.79 (99% CI, 1.47-2.17 EC, 1.40 (99% CI, 1.19-1.64 gastric cancer, 1.56 (99% CI, 1.16-2.09 hepatocellular carcinoma, 1.21 (99% CI, 1.00-1.46 nasopharyngeal cancer and 1.71 (99% CI, 1.20-2.44 oral cancer. Pooled ORs of the case-control studies showed that alcohol consumption was protective for female breast cancer and gallbladder cancer: OR 0.76 (99% CI, 0.60-0.97 and 0.70 (99% CI, 0.49-1.00 respectively. There was no significant correlation between alcohol consumption and lung cancer, colorectal cancer, pancreatic cancer, cancer of the ampulla of Vater, prostate cancer or extrahepatic cholangiocarcinoma. Combined results of case-control and cohort studies showed that alcohol consumption was associated with 1.78- and 1.40-fold higher risks of EC and gastric cancer but was not significantly associated with lung cancer. CONCLUSIONS: Health programs focused on limiting alcohol intake may be important for cancer control in China. Further studies are needed to examine the

  2. Investigation of FGF10 as a candidate gene in patients with anorectal malformations and exstrophy of the cloaca.

    Science.gov (United States)

    Krüger, Victoria; Khoshvaghti, Mercedeh; Reutter, Heiko; Vogt, Hannes; Boemers, Thomas M; Ludwig, Michael

    2008-08-01

    The spectrum of anorectal malformations (ARM) comprises anal stenosis, ectopic anus, recto-urogenital fistula, persistent cloaca, multisystem VACTERL (VATER associations including cardiac and limb anomalies) associations, and exstrophy of the cloaca (CE). The latter also constitutes the most severe form of the bladder exstrophy epispadias complex. Since recent data revealed that fibroblast growth factor 10 (fgf-10) invalidation in mice resulted in a genetically reproducible urorectal defect, we considered FGF10 a suitable candidate gene for ARM and CE, as the protein seems to be involved in the development of this primary developmental field. A total of 20 patients (ten with ARM and VACTERL association, respectively, and ten with CE) were analysed for genomic mutations in the coding regions and exon-intron boundaries of FGF10. Aside from a common FGF10 variant no deviation from the wild-type sequence could be detected and data obtained is not supportive of FGF10 as a genetic cause of ARMs or CE in the patients investigated. Nonetheless, mutations in possibly further upstream located promoter regions and/or unknown regulatory sequences or non-coding regions cannot be excluded. Furthermore, it cannot be ruled out that other genes involved in the signalling pathway of FGF10 may contribute to the formation of these congenital malformations. PMID:18587586

  3. ["For me, painting is a continuation of dreaming by different means" (Neo Rauch 2006). Contributions of art to psychoanalytic dream interpretation].

    Science.gov (United States)

    Danckwardt, Joachim F

    2008-01-01

    This paper maintains that pictorial and scenic thinking (represented in dreams, daydreams, paintings, pictorial language) is not a regressive phenomenon usurping ego energy. It is rather a kind of thinking with eyes, hands and feet resp. with formative means such as point, line, plane, space, movement, color, and contrast which constitute consciousness from the ocean of the inner and outer unconscious. This is shown by discussing the painting "Vater [Father]" (2007) of Neo Rauch as well as the views of, among others, Kandinsky, Klee, and Rothko. Rauch's notion of painting as a continuation of dreaming is confirmed by a re-analysis of Freud's dream of the "castle by the sea". Here dream-work is similar to picture and film work. The choice of formative means determines whether pictures will be born or something else: a dream, fantasy, idea or interpretation, and by the same token it determines the kind of picture, dream, fantasy etc. Freud's dream of the "castle by the sea" is a "specimen dream" for interpretation via retranslation of picture/dream-work.

  4. Ectopic duodenal insulinoma: a very rare and challenging tumor type. Description of a case and review of the literature.

    Science.gov (United States)

    La Rosa, Stefano; Pariani, Dario; Calandra, Calogera; Marando, Alessandro; Sessa, Fausto; Cortese, Ferdinando; Capella, Carlo

    2013-12-01

    Although most insulinomas are located in the pancreas, very rare ectopic cases have been described in the spleen, perisplenic tissue, duodenohepatic ligament, and adjacent to the ligament of Treitz. Moreover, three cases located in the duodenum have also been reported in the English literature. Ectopic insulinomas represent challenging neoplasms with clinical implications mainly due to the difficulties in their pre-operatory diagnosis and localization. In the present paper, we describe the fourth ectopic duodenal insulinoma so far reported. A 75-year-old woman presented at clinical observation due to neuroglycopenic symptoms that disappeared after glucose intake. Tumor was localized in the second portion of the duodenum in front of the papilla of Vater and was surgically enucleated. Microscopically, it was composed of monomorphic cells with eosinophilic cytoplasm arranged in trabecular and lobular patterns and diffusely positive for insulin, proinsulin, amylin, and PDX1. About 30 % of tumor cells also showed immunoreactivity for somatostatin, while no positivity for glucagon, pancreatic polypeptide, gastrin, serotonin, and somatostatin receptor subtype 2A was found. The Ki67 proliferative index was 1 %. We have also reviewed the literature on this topic to give the reader a comprehensive overview of this very rare tumor type. PMID:24006218

  5. [A Case of Invasive Intraductal Papillary Mucinous Carcinoma, Penetrating the Stomach, Colon, and Jejunum].

    Science.gov (United States)

    Goto, Tadahiro; Toyama, Hirochika; Asari, Sadaki; Terai, Sachio; Kinoshita, Hisoka; Matsumoto, Taku; Kuramitsu, Kaori; Tanaka, Motofumi; Takebe, Atsushi; Kido, Masahiro; Matsumoto, Ippei; Ajiki, Tetsuo; Fukumoto, Takumi; Ku, Yonson

    2015-11-01

    A 69-year-old woman was admitted to a nearby clinic complaining of abdominal pain. Abdominal CT showed a 10 cm diameter huge cystic lesion in the body and tail of the pancreas. The patient was referred to our institution for treatment. Endoscopic ultrasonography (EUS) revealed a cystic mass with a solid lesion. Endoscopic retrograde pancreatography(ERP) demonstrated mucous at the opening of the papilla of Vater and dilatation of the pancreatic duct with a solid nodule. Contrast radiography revealed a fistula from the tumor to the jejunum. A biopsy specimen from the lesion showed adenocarcinoma. Intraoperative findings showed a tumor occupying the pancreas body and tail with suspected invasion to the stomach, jejunum, and transverse colon. We performed distal pancreatectomy with partial resection of stomach, jejunum, and colon. Pathological findings showed an invasive type of IPMC, with invasion to the subserosal layer of the stomach and colon and the mucous layer of the jejunum. While IPMC is recognized as a slow growing malignancy, some cases of invasive carcinoma with fistulation into adjacent organs have been reported. To our knowledge, a case of IPMC penetrating to 3 adjacent organs is rare.

  6. A case of methicillin-resistant Staphylococcus aureus infection following bile duct stenting

    Institute of Scientific and Technical Information of China (English)

    Markus K Diener; Alexis Ulrich; Theresia Weber; Moritz N Wente; Markus W Büchler; Helmut Friess

    2005-01-01

    AIM: To present a case of methicillin-resistant Staphylococcus aureus (MRSA) infection following bile duct stenting in a patient with malignant biliary obstruction.METHODS: A 78-year-old male patient was admitted to a community hospital with progredient painless jaundice lasting over two weeks, weight loss and sweating at night.Whether a stent should be implanted pre-operatively in jaundiced patients or whether these patients should directly undergo surgical resection, was discussed.RESULTS: ERC and a biopsy from the papilla of Vater revealed an adenocarcinoma. In addition, a 7-Ch plastic stent was placed into the common bile duct. Persistent abdominal pain, increasing jaundice, weakness and indigestion led to the transfer of the patient to our hospital.A pylorus-preserving pancreatoduodenectomy wasperformed. Intraoperatively, bile leaked out of the transected choledochus andthe stent was found to be dislocated in the duodenum. A smear of the bile revealed an infection with MRSA, leading to post-operative isolation of the patient.CONCLUSION:As biliary stents can cause severe infection of the bile, the need for pre-operative placement of biliary stents should be carefully evaluated in each individual case.

  7. [Thoracoabdominal CT scan: a useful tool for the diagnosis of air embolism during an endoscopic retrograde cholangiopancreatography].

    Science.gov (United States)

    Tan, B K; Saunier, C-F; Cotton, F; Gueugniaud, P-Y; Piriou, V

    2008-03-01

    We report the case of an 82-year-old woman treated with biliary stents for an ampulloma of Vater's papilla, with recurrent stenosis of the common bile duct. She was hospitalized with a cholestasis. An endoscopic retrograde cholangiopancreatography (ERCP) was scheduled to change the biliary stent for a metallic one, under general anaesthesia, with oral intubation. The ERCP was performed initially without any complication, but as the metallic biliary stent was placed, an air embolism occurred and a cardiac arrest happened immediately. The etiologic diagnosis was quickly confirmed by an injected multislice body-scan, which showed liver, right heart and brain gas embolism. Cardiopulmonary resuscitation allowed a complete haemodynamic recovery but a poor neurological recovery. The patient was transferred in intensive care unit, were she died 12 days after, despite hyperbaric oxygen therapy and the disappearance of the air embolism on the following computed tomography scan. This case may be useful to recall the utility of a body-scan for the diagnosis, treatment and follow-up of an air embolism during ERCP. PMID:18313255

  8. Affect of periampullary structure display for three kinds of bowel preparation methods%3种肠道准备方法对十二指肠壶腹周围结构显示的影响

    Institute of Scientific and Technical Information of China (English)

    陈清生; 蔡吉勇; 陶锐; 胡薇; 魏梅

    2015-01-01

    目的:对比肌内注射(肌注)低张药物、口服阴性对比剂及肌注低张药物结合口服阴性对比剂3种方法进行肠道准备后对正常十二指肠壶腹及周围解剖结构显示的差异。方法将健康体检者60例随机分为3组各20例,分别采用肌注消旋山茛菪碱(654-2肌注组)、饮温开水(饮水组)和肌注654-2注射液结合饮温开水(654-2肌注+饮水组)进行肠道准备。3组体检者分别行肠道准备后壶腹部CT扫描。结果3种肠道准备后CT扫描图像对十二指肠肠腔扩张度,胆总管下段、壶腹部、十二指肠乳头及十二指肠黏膜显示差异有统计学意义(P<0.05),654-2肌注+饮水组十二指肠、壶腹部解剖结构的显示结果最佳。结论肌注低张药物结合口服阴性对比剂肠道准备后CT扫描有利于正常十二指肠、壶腹部周围解剖结构的显示,为最优肠道准备方法。%Objective To observe the differences of the normal duodenal ampulla and surrounding anatomical struc -tures display by intramuscular injection hypotonic drugs ,negative oral contrast agent ,intramuscular injection of hypotonic drugs with negative oral contrast agent three kinds of methods of bowel preparation .Methods 60 cases of healthy people were ran-domly divided into A group,B group and C group,each of 20 people,bowel preparation were given with intremuscular injected 654-2 injection ,drunk warm water ,and injecting 654-2 injection combined with drunk warm water respectively .3 groups health-y people were performed CT examination after bowel preparation .Results 3 kinds of bowel preparation for CT scan images of the duodenum lumen expansion,common bile duct,ampulla,duodenal mucosa and duodenal showed statistically significant differences(P<0.05).Intramuscular 654-2 combined water duodenum,ampulla anatomy showed the best results .Conclusion The best bowel preparation of injected 654-2,drunk warm water,before CT

  9. Treatment of malignant biliary obstruction with wallstent endoprosthesis

    Energy Technology Data Exchange (ETDEWEB)

    Yang, Geun Seok; Kim, Sung Woo; Kim, Won Ho; Kim, Yong Joo [Kyung-pook National University Hospital, Daegu (Korea, Republic of)

    1995-01-15

    The purpose of this study was to evaluate the patency, procedure related complications and effectiveness of Wallstent application to the malignant biliary obstruction as a palliative treatment. We retrospectively reviewed the clinical results, duration of survival, patency rate and complication of the Wallstent application on 33 patients who had had obstructive jaundice by the malignant lesion in recent 3 years. One or two step procedures were mainly taken with 10 mm diameter Wallstents. Grouping according to place the stent at the hilum or not, and grouping according to place the stent through the ampulla or not were done to evaluate the difference of the patency and survival rate between the groups. Biliary endoprosthesis with Wallstent were successfully placed in all patients without difficulty. Procedure related short-term complication rate was about 18.1% (n = 6/33). Complications were fever (n = 4), cholecystitis (n = 1) and sepsis (n = 1). Long-term complications were mainly obstruction (n = 9/31) of the Wallstent during the follow-up period. Also cholecystitis occurred in one patient 3 months later. Mean survival duration was 139.72 (46-237) days among those who expired. Mean patency duration of stents was 139.67 (26-310) days. Survival rates were 93.5% at the second month, 68.8% at the third month, 61.2% at the 4th month, 53.5% at the 5th month, 49.1% at the 7th month and 35.7% at the 9th month. Patency rates were 93.7% at the second month, 84.2% at the 4th month, 66.9% at the 5th month, 59.5% at the 7th month and 39.6% at the 10th month. The application was repeated in the 6 patients with stent occlusion. Significant statistical difference could not be found between the groups according to placing the stent at the hilum and according to placing the stent through the ampulla. Patency rates were higher than survival rates in the follow-up period. Wallstent application provides good palliation with little discomfort and few complications in the patients with

  10. Prune belly syndrome associated with incomplete VACTERL

    Directory of Open Access Journals (Sweden)

    Ghritlaharey R

    2007-01-01

    Full Text Available A Prune Belly syndrome with VATER/VACTERL association is an extremely rare. They are either stillborn or die within few days of life, only few such cases have been reported in literature. We are presenting here a male neonate of Prune Belly syndrome associated with incomplete VACTERL with brief review of literature.

  11. Biliær papillomatose er en sjælden årsag til intermitterende obstruktiv ikterus

    DEFF Research Database (Denmark)

    Veedfald, Simon; Vainer, Ben; Wettergren, André

    2011-01-01

    Over a five-year period a 67 year-old male had been experiencing recurring bouts of biliary obstruction with occasional superimposed cholangitis. Renewed endoscopic retrograde cholangiopancreatography revealed amorphous filling defects and excessive mucinous discharge from the papilla of Vater. S...

  12. Study of 50 cases of modern management of ectopic pregnancy

    Directory of Open Access Journals (Sweden)

    Rajita S. Jani

    2014-04-01

    Results: Lower abdominal pain was most common presenting symptom of ectopic pregnancy in 96% cases. The classical triad of symptoms (amenorrhea, abdominal pain and vaginal bleeding was present in only 28% cases. PID contributed 24% cases and previous abortion contributed 28% cases indicating these two as the common risk factors. Ampulla was the commonest site for ectopic pregnancy, in 52% cases. Salpingostomy performed mainly at this site. In 6% cases ectopic pregnancy in infundibulum were treated with fimbrial expression and fimbriectomy. 22% patients were managed medically (methotraxte. These were the cases having unruptured ectopic pregnancy and ectopic mass <4 cm. Laparoscopy was done in 34% cases, in 2 cases it was converted to laparotomy. While open laparotomy was done in 40% cases. Conclusions: Ectopic pregnancy is a treatable problem. Ultrasonography plays central role in the diagnosis and management. Mode of therapy is determined by a combination of clinical symptoms, sonography findings and serum b-HCG values. Surgical management is still a cornerstone of management of ectopic pregnancy. But now scope of medical and laparoscopic management is also there. In recent years laparotomy has been replaced by laparoscopic surgery which is more conservative, minimally invasive and less time consuming which leads to quick recovery. [Int J Reprod Contracept Obstet Gynecol 2014; 3(2.000: 374-379

  13. Mechanics of the cupula: effects of its thickness.

    Science.gov (United States)

    Njeugna, E; Eichhorn, J L; Kopp, C; Harlicot, P

    1992-01-01

    Mechanical aspects of the ampullar diaphragm, that is the crista ampullaris and the cupula, related to its thickness, are studied by a numerical method. Numerical methods are able to go beyond the limits of analytical approaches and are the only methods able to take into account this thickness. A finite elements method is applied to the median plane slice of the ampullar diaphragm. One assumes that the cupula sticks firmly without slipping, to the ampullar wall and to the crista ampullaris. The computation takes into account the pressures on the liquid interfaces and the deformations of the ampulla. So the volume swept over by the cupula during quasi-static deformations can be evaluated and the global elasticity coefficient of the human cupula can be calculated. The related value of the long time constant of the semicircular canal is close to the value obtained when measuring, in vivo, the activity on the vestibular nerve in animals. The thick cupula model clearly shows two different spatial distributions of strain on the hairs of the sensory cells, leading to a discrimination between the vestibular inflating pressure and the transcupular pressure difference. This result matches recent neurophysiological data and brings a new insight in the mechanics of the vestibular angular accelerometer and its regulation.

  14. Hartnäckige Anachronismen Stubborn Anachronisms

    Directory of Open Access Journals (Sweden)

    Barbara Drinck

    2004-11-01

    Full Text Available Väter sind anders ist die überarbeitete Fassung von Guter Vater – Böser Vater (1997. Uns liegen elf Kapitel vor, die sich mit der Entwicklung des Mannes vom Sohn zum Vater, mit dem Geschlechterverhältnis von Mann und Frau, der Bedeutung des Berufs für den Mann und der männlichen Aggression und Sexualität auseinandersetzen. Der Text basiert auf der orthodox-psychoanalytischen Annahme einer binären Geschlechtsidentität, sein Männlichkeitsbild gründet Petri auf die These von der angeblichen kulturellen Überlegenheit des Mannes, auf populär-evolutionistische Ansichten von der Rolle von Mann und Frau sowie auf die Vorstellung ‚gesunder‘ binärer geschlechtsadäquater Identität, die – wen wundert’s – zwangsläufig in Heterosexualität münde. Über den Nutzen dieser Vater-Studie lässt sich streiten.Väter sind anders (Fathers are Different is the revised edition of Guter Vater—Böser Vater (Good Father—Bad Father 1997. We are presented with eleven chapters that grapple with the development of the man from son to father, the gender relationship between man and woman, the importance of vocation for the man, and male aggression and sexuality. The text is based on the orthodox psychoanalytical acceptance of a binary gender identity. Petri grounds his conception of masculinity in the theory of the alleged cultural superiority of the man, popular evolutionist views on the roll of man and woman, as well as the perception of “healthy” binary gender-representative identity, which—no surprise here—inevitably leads to heterosexuality. The usefulness of this fatherhood study can be debated.

  15. Effects of an electric field on white sharks: in situ testing of an electric deterrent.

    Directory of Open Access Journals (Sweden)

    Charlie Huveneers

    Full Text Available Elasmobranchs can detect minute electromagnetic fields, <1 nV cm(-1, using their ampullae of Lorenzini. Behavioural responses to electric fields have been investigated in various species, sometimes with the aim to develop shark deterrents to improve human safety. The present study tested the effects of the Shark Shield Freedom7™ electric deterrent on (1 the behaviour of 18 white sharks (Carcharodon carcharias near a static bait, and (2 the rates of attacks on a towed seal decoy. In the first experiment, 116 trials using a static bait were performed at the Neptune Islands, South Australia. The proportion of baits taken during static bait trials was not affected by the electric field. The electric field, however, increased the time it took them to consume the bait, the number of interactions per approach, and decreased the proportion of interactions within two metres of the field source. The effect of the electric field was not uniform across all sharks. In the second experiment, 189 tows using a seal decoy were conducted near Seal Island, South Africa. No breaches and only two surface interactions were observed during the tows when the electric field was activated, compared with 16 breaches and 27 surface interactions without the electric field. The present study suggests that the behavioural response of white sharks and the level of risk reduction resulting from the electric field is contextually specific, and depends on the motivational state of sharks.

  16. Surgical Management of Ampullary Somatostatinoma

    Directory of Open Access Journals (Sweden)

    Nicholas Phillips

    2016-07-01

    Full Text Available Introduction Somatostatinomas of the ampulla are rare neuroendocrine tumours with limited studies in the literature. These are often associated with familial genetic predisposition e.g. NF 1 and Von Hippel-Lindau Syndrome. Histology commonly shows classical features such as Psammoma bodies. The classical presentation with inhibitory syndrome is rare, but ampullary mass effects can cause an earlier presentation with potentially better outcomes with earlier intervention and treatment. Case series We report three cases of ampullary somatostatisnomas: one sporadic and two familial, associated with neurofibromatosis type 1. The first patient presented with pruritus, the second with recurrent pancreatitis and the third, with elevated CA19-9 levels. Various preoperative localisation techniques were employed and one had an attempted endoscopic resection yielding involved margins. All patients underwent pancreaticoduodenectomy, of which one was laparoscopic assisted. The median size of the tumour was 10 mm and one patient had nodal involvement. All 3 patients have remained disease free at most recent follow up ranging from 1.5 to 11 years. Discussion Ampullary somatostatinomas can present early with mass related effects while inhibitory syndrome is rare. Early detection and intervention in ampullary somatostatinoma may contribute to better outcomes than pancreatic somatostatinomas. Long-term survival is achievable through pancreaticoduodenectomy for resectable ampullary somatostatinoma and laparoscopic approach is a feasible and viable option.

  17. Endoscopic ultrasound for the characterization and staging of rectal cancer. Current state of the method. Technological advances and perspectives.

    Science.gov (United States)

    Gersak, Mariana M; Badea, Radu; Graur, Florin; Hajja, Nadim Al; Furcea, Luminita; Dudea, Sorin M

    2015-06-01

    Endoscopic ultrasound is the most accurate type of examination for the assessment of rectal tumors. Over the years, the method has advanced from gray-scale examination to intravenous contrast media administration and to different types of elastography. The multimodal approach of tumors (transrectal, transvaginal) is adapted to each case. 3D ultrasound is useful for spatial representation and precise measurement of tumor formations, using CT/MR image reconstruction; color elastography is useful for tumor characterization and staging; endoscopic ultrasound using intravenous contrast agents can help study the amount of contrast agent targeted at the level of the tumor formations and contrast wash-in/wash-out time, based on the curves displayed on the device. The transvaginal approach often allows better visualization of the tumor than the transrectal approach. Performing the procedure with the rectal ampulla distended with contrast agent may be seen as an optimization of the examination methodology. All these aspects are additional methods for gray-scale endoscopic ultrasound, capable of increasing diagnostic accuracy. This paper aims at reviewing the progress of transrectal and transvaginal ultrasound, generically called endoscopic ultrasound, for rectal tumor diagnosis and staging, with emphasis on the current state of the method and its development trends.

  18. Observational study of children with aerophagia.

    Science.gov (United States)

    Loening-Baucke, Vera; Swidsinski, Alexander

    2008-09-01

    Aerophagia is a rare disorder in children. The diagnosis is often delayed, especially when it occurs concomitantly with constipation. The aim of this report is to increase awareness about aerophagia. This study describes 2 girls and 7 boys, 2 to 10.4 years of age, with functional constipation and gaseous abdominal distention. The abdomen was visibly distended, nontender, and tympanitic in all. Documenting less distention on awakening helped to make the diagnosis. Air swallowing, belching, and flatulence were infrequently reported. The rectal examination often revealed a dilated rectal ampulla filled with gas or stool and gas. The abdominal X-ray showed gaseous distention of the colon in all and of the stomach and small bowel in 8 children. Treatment consisted of educating parents and children about air sucking and swallowing, encouraging the children to stop the excessive air swallowing, and suggesting to them not to use drinking straws and not to drink carbonated beverages. The aerophagia resolved in all in 2 to 20 months (mean=8 months). PMID:18445758

  19. Simulation of cupulolithiasis and canalolithiasis by an animal model.

    Science.gov (United States)

    Valli, Paolo; Botta, Laura; Zucca, Gianpiero; Valli, Stefano; Buizza, Angelo

    2008-01-01

    The physical mechanisms responsible for cupulolithiasis and canalolithiasis have been investigated by two groups of experiments in isolated posterior semicircular canal (SCC) of frog (Rana esculenta L.). First, clouds of 10-30 isolated otoconia were let to fall (snowfall of otoconia) either through the ampulla onto the cupula, or inside the long arm of the canal, opposite to the cupula. Second, microspheres ranging 30 to 350 microm in diameter were gently moved to and fro inside the long arm of the canal by a micromanipulator. The effects were evaluated by recording the firing rate (Nfr) of the ampullary nerve. Snowfall of otoconia produced detectable changes of Nfr only when otoconia got in contact with the cupula, but not when falling through the endolymph. Movement of the microspheres in the canal long arm induced Nfr changes only if the microsphere diameter exceeded about 50 microm. Although the exact microsphere size needed for receptor stimulation may depend on the experimental conditions, these results strongly suggest that debris moving inside a SCC (canalolithiasis) can produce transcupular pressures able to stimulate ampullar receptors only if they have suitable size, whereas isolated otoconia cannot, except when lying on the cupula (cupulolithiasis).

  20. Gross anatomy of the intestine and its mesentery in the nutria (Myocastor coypus).

    Science.gov (United States)

    Pérez, W; Lima, M; Bielli, A

    2008-11-01

    The intestines and mesentery of the nutria (Myocastor coypus) have not been fully described. In the present study 30 adult nutrias were studied using gross dissection. The small intestine was divided into the duodenum, jejunum and ileum as usual. The duodenum started at the pylorus with a cranial portion, which dilated forming a duodenal ampulla. The ileum was located within the concavity of the caecum and attached to the coiled caecum by means of the iliocaecal fold. The ascending colon had two ansae, one proximal and one distal. The proximal ansa was fixed to the caecum by the caecocolic fold. The base of the caecum and a short proximal part of the ascending colon belonging to the proximal ansa were attached to the mesoduodenum descendens. The distal ansa of the ascending colon had a proximal part which was sacculated and a distal part which was smooth. The two parts of the distal ansa of the ascending colon were parallel and joined by a flexure of variable localisation. The smooth part of the distal ansa of the ascending colon was attached to the initial portion of the descending colon by a peritoneal fold. The short transverse colon was directly attached to the mesoduodenum and greater omentum. In conclusion, we have described the anatomy of the intestines of the nutria and its mesentery in detail, and provided a nomenclature list adapted to the Nomina Anatomica Veterinaria.

  1. Hydrodynamical properties of recombinant spider silk proteins: Effects of pH, salts and shear, and implications for the spinning process.

    Science.gov (United States)

    Leclerc, Jérémie; Lefèvre, Thierry; Gauthier, Martin; Gagné, Stéphane M; Auger, Michèle

    2013-09-01

    We have investigated the effect of pH, salts and shear on the hydrodynamical diameter of recombinant major ampullate (MA) rMaSpI silk proteins in solution as a function of time using (1) H solution NMR spectroscopy. The results indicate that the silk proteins in solution are composed of two diffusing populations, a high proportion of "native" solubilized proteins and a small amount of high molecular weight oligomers. Similar results are observed with the MA gland content. Salts help maintaining the proteins in a compact form in solution over time and inhibit aggregation, the absence of salts triggering protein assembly leading to a gel state. Moreover, the aggregation kinetics of rMaSpI at low salt concentration accelerates as the pH is close to the isoelectric point of the proteins, suggesting that the pH decrease tends to slow down aggregation. The data also support the strong impact of shear on the spinning process and suggest that the assembly is driven by a nucleation conformational conversion mechanism. Thus, the adjustment of the physicochemical conditions in the ampulla seems to promote a stable, long term storage. In addition, the optimization of protein conformation as well as their unfolding and aggregation propensity in the duct leads to a specifically organized structure.

  2. Reproductive Biology of Bothrops erythromelas from the Brazilian Caatinga

    Directory of Open Access Journals (Sweden)

    Verônica Alberto Barros

    2014-01-01

    Full Text Available The reproductive biology of Bothrops erythromelas, a small pit viper from the Caatinga, a semiarid biome in Brazil, is described based on analysis of individuals deposited in zoological collections. Males are smaller and also attain sexual maturity at a smaller size than females. Female reproductive cycle is seasonal with an extended period of secondary vitellogenesis and births occurring in a restricted period from late spring to early summer. Sperm storage in females may probably occur in infundibular tubular glands and uterine muscular twisting (UMT, which is a polymorphic condition within B. erythromelas. Seasonal spermatogenesis in males is variable with some intraspecific variation regarding the male reproductive stage per season. Most males are reproductively active during spring/summer and reproductively quiescent during autumn/winter, although some individuals vary (e.g., show testicular spermatogenesis and active sexual segment of the kidneys (SSK during winter. The SSK could be identified in every male. Most males showed highly hypertrophied SSK in spring/summer and moderately hypertrophied SSK in autumn/winter. The ampulla ductus deferentis was observed and histochemical reactions were conducted. We discuss the probable influence of the unique environmental conditions of the Caatinga region and phylogenetic inertia in the reproductive patterns of this snake species.

  3. Modelling of energy expended by free swimming spermatozoa in temperature-dependent viscous semen.

    Science.gov (United States)

    Foo, Jong Yong Abdiel

    2010-01-01

    Derived models of fertilization kinetics have relied upon estimates of the swimming velocity of spermatozoa from the insemination site to a fallopian tube. However, limited derivations are available describing the probability and energy expended when spermatozoa collide with one another. An analytic approach of spermatozoon motion in a linear viscoelastic fluid is adopted to simplify the derivation. The complex kinematics of motion of an inextensible flagellum is modelled as planar flagellar wave of small amplitude. In humans, a temperature difference is expected between the cooler tubal isthmus and the warmer tubal ampulla. Thus, fluidic characteristics of semen such as viscosity can vary along the female reproductive tract. The results suggest that the probability of spermatozoa colliding in relatively lower viscous semen increases by 64.87% for a 0.5 degrees C surge in temperature. Moreover, this increases for a denser concentration of spermatozoa due to the limited semen volume available to manoeuvre. In addition, the propulsive forces and shear stress were 39.35% lower in less viscous semen due to an increase in temperature of only 0.5 degrees C. Hence, the described derivations herein can assist in the understanding of work done by a normal motile spermatozoon in a pool of semen. PMID:19939204

  4. Gbx2 is required for the morphogenesis of the mouse inner ear: a downstream candidate of hindbrain signaling.

    Science.gov (United States)

    Lin, Zhengshi; Cantos, Raquel; Patente, Maria; Wu, Doris K

    2005-05-01

    Gbx2 is a homeobox-containing transcription factor that is related to unplugged in Drosophila. In mice, Gbx2 and Otx2 negatively regulate each other to establish the mid-hindbrain boundary in the neural tube. Here, we show that Gbx2 is required for the development of the mouse inner ear. Absence of the endolymphatic duct and swelling of the membranous labyrinth are common features in Gbx2-/- inner ears. More severe mutant phenotypes include absence of the anterior and posterior semicircular canals, and a malformed saccule and cochlear duct. However, formation of the lateral semicircular canal and its ampulla is usually unaffected. These inner ear phenotypes are remarkably similar to those reported in kreisler mice, which have inner ear defects attributed to defects in the hindbrain. Based on gene expression analyses, we propose that activation of Gbx2 expression within the inner ear is an important pathway whereby signals from the hindbrain regulate inner ear development. In addition, our results suggest that Gbx2 normally promotes dorsal fates such as the endolymphatic duct and semicircular canals by positively regulating genes such as Wnt2b and Dlx5. However, Gbx2 promotes ventral fates such as the saccule and cochlear duct, possibly by restricting Otx2 expression.

  5. Cupula displacement, hair bundle deflection, and physiological responses in the transparent semicircular canal of young eel.

    Science.gov (United States)

    Rüsch, A; Thurm, U

    1989-03-01

    The transparent labyrinth of young eels (Anguilla anguilla L.) was used in toto for studying the configuration of cupula displacement, deflection of the hair bundle, and correlated changes in transepithelial voltage (delta TEV) and nerve activity (delta NA) in the semicircular canal. Microcapillaries were introduced into the canal through holes produced by a microthermocauter. Mechanical stimulation was applied either by injection of fluid into the ampulla or by electromagnetically displacing ferrofluid as a piston within the canal. Motion of individual kinocilia, stained cupulae or the ferrofluid piston was analysed by double-exposed microphotographs, photodiodes, or a video-system. The three-dimensional cupula displacement configuration was found to be piston- to diaphragm-like. Hair bundles at different sites on the crista exhibit differences in amplitude and time course of deflection. The transfer factor between shifts of the canal fluid and the tips of the kinocilia is 0.4-0.6. Displacements in opposite directions induce delta TEV and delta NA of opposite sign. Various tests confirmed delta TEV to reflect receptor potential responses. Nerve activity adapts to a tonic response with a time constant of 6.4 s. No similar adaptation occurred in delta TEV. Stimulus-response curves of TEV- and NA-responses are similar and sigmoid in shape with saturation at ciliary deflections of roughly +6 degrees and -3 degrees.

  6. Functional optical coherence tomography for high-resolution mapping of cilia beat frequency in the mouse oviduct in vivo

    Science.gov (United States)

    Wang, Shang; Burton, Jason C.; Behringer, Richard R.; Larina, Irina V.

    2016-02-01

    Since mouse is a superior model for genetic analysis of human disorders, reproductive studies in mice have significant implications on further understanding of fertility and infertility in humans. Fertilized oocytes are transported through the reproductive tract by motile cilia lining the lumen of the oviduct as well as by oviduct contractions. While the role of cilia is well recognized, ciliary dynamics in the oviduct is not well understood, largely owing to the lack of live imaging approaches. Here, we report in vivo micro-scale mapping of cilia and cilia beat frequency (CBF) in the mouse oviduct using optical coherence tomography (OCT). This functional imaging method is based on spectral analysis of the OCT speckle variations produced by the beat of cilia in the oviduct, which does not require exogenous contrast agents. Animal procedures similar to the ones used for production of transgenic mice are utilized to expose the reproductive organs for imaging in anesthetized females. In this paper, we first present in vivo structural imaging of the mouse oviduct capturing the oocyte and the preimplantation embryo and then show the result of depth-resolved high-resolution CBF mapping in the ampulla of the live mouse. These data indicate that this structural and functional OCT imaging approach can be a useful tool for a variety of live investigations of mammalian reproduction and infertility.

  7. Cupulin is a zona pellucida-like domain protein and major component of the cupula from the inner ear.

    Science.gov (United States)

    Dernedde, Jens; Weise, Christoph; Müller, Eva-Christina; Hagiwara, Akira; Bachmann, Sebastian; Suzuki, Mamoru; Reutter, Werner; Tauber, Rudolf; Scherer, Hans

    2014-01-01

    The extracellular membranes of the inner ear are essential constituents to maintain sensory functions, the cupula for sensing torsional movements of the head, the otoconial membrane for sensing linear movements and accelerations like gravity, and the tectorial membrane in the cochlea for hearing. So far a number of structural proteins have been described, but for the gelatinous cupula precise data are missing. Here, we describe for the first time a major proteinogenic component of the cupula structure with an apparent molecular mass of 45 kDa from salmon. Analyses of respective peptides revealed highly conserved amino-acid sequences with identity to zona pellucida-like domain proteins. Immunohistochemistry studies localized the protein in the ampulla of the inner ear from salmon and according to its anatomical appearance we identified this glycoprotein as Cupulin. Future research on structure and function of zona pellucida-like domain proteins will enhance our knowledge of inner ear diseases, like sudden loss of vestibular function and other disturbances.

  8. Cupulin is a zona pellucida-like domain protein and major component of the cupula from the inner ear.

    Directory of Open Access Journals (Sweden)

    Jens Dernedde

    Full Text Available The extracellular membranes of the inner ear are essential constituents to maintain sensory functions, the cupula for sensing torsional movements of the head, the otoconial membrane for sensing linear movements and accelerations like gravity, and the tectorial membrane in the cochlea for hearing. So far a number of structural proteins have been described, but for the gelatinous cupula precise data are missing. Here, we describe for the first time a major proteinogenic component of the cupula structure with an apparent molecular mass of 45 kDa from salmon. Analyses of respective peptides revealed highly conserved amino-acid sequences with identity to zona pellucida-like domain proteins. Immunohistochemistry studies localized the protein in the ampulla of the inner ear from salmon and according to its anatomical appearance we identified this glycoprotein as Cupulin. Future research on structure and function of zona pellucida-like domain proteins will enhance our knowledge of inner ear diseases, like sudden loss of vestibular function and other disturbances.

  9. Broken heart as work-related accident: Occupational stress as a cause of takotsubo cardiomyopathy in 55-year-old female teacher – Role of automated function imaging in diagnostic workflow

    Directory of Open Access Journals (Sweden)

    Agnieszka Mielczarek

    2015-12-01

    Full Text Available Takotsubo cardiomiopathy (TTC (known also as “ampulla cardiomyopathy,” “apical ballooning” or “broken heart syndrome” is connected with a temporary systolic left ventricular dysfunction without the culprit coronary lesion. Takotsubo cardiomyopathy was first described in 1990 in Japan after octopus trapping pot with a round bottom and narrow neck similar in shape to left ventriculogram in TTC patients. The occurrence of TTC is usually precipitated by a stressful event with a clinical presentation mimicking myocardial infarction: chest pain, ST-T segment elevation or T-wave inversion, a rise in cardiac troponin, and contractility abnormalities in echocardiography. A left ventricular dysfunction is transient and improves within a few weeks. Takotsubo cardiomyopathy typically occurs in postmenopausal women and the postulated mechanism is catecholamine overstimulation. Moreover, the distribution of contractility impairments usually does not correspond with typical region supplied by a single coronary artery. Therefore, the assessment of regional pattern of systolic dysfunction with speckle-tracking echocardiography and automated function imaging (AFI technique may be important in diagnosis of TTC and may improve our insight into its patophysiology. We described a 55-year-old female teacher with TTC diagnosed after acute psychological stress in workplace. The provoking factor related with occupational stress and pattern of contraction abnormalities documented with AFI technique including basal segments of left ventricle make this case atypical.

  10. “Histo-architecture of the rabbit fallopian tube following short-term RISUG implant”.

    Directory of Open Access Journals (Sweden)

    Mithilesh Pal

    2014-12-01

    Full Text Available RISUG ® (Reversible Inhibition of Sperm Under Guidance is an injectable contraceptive for male running under clinical trial phase- III. As RISUG was not tried in females, the present study was initiated to examine the tissue specific reaction and the histo-architecture of the fallopian tube, isthmus region, receive the polymer implant. Five non-pregnant female rabbits were allowed to retain the implant for 90 days. Thereafter, isthmuses along with other associated organs were removed and examined both macro- and micro-scopically. There were no gross changes in the isthmus region and other related organs like ampulla, uterus and ovary. Aggregates of RISUG ® implants were observed occupying spaces among villi, bulging with shed epithelium and mucus in the lumen, villi deviated from their normal perpendicular position. No lymphocytic infiltration in mucosa and tunica muscle layer was observed .The serosa showed normal histo-architecture in the implanted and adjoining isthmic wall. The above finding indicates that the drug is compatible with in the fallopian tube and therefore needs to be explored further for its contraceptive potential in females.

  11. Percutaneous Transhepatic Removal of Bile Duct Stones: Results of 261 Patients

    Energy Technology Data Exchange (ETDEWEB)

    Ozcan, Nevzat, E-mail: nevzatcan@yahoo.com; Kahriman, Guven, E-mail: guvenkahriman@hotmail.com; Mavili, Ertugrul, E-mail: ertmavili@yahoo.com [Erciyes University, Department of Radiology, Medical Faculty (Turkey)

    2012-08-15

    Purpose: To determine the effectiveness of percutaneous transhepatic removal of bile duct stones when the procedure of endoscopic therapy fails for reasons of anatomical anomalies or is rejected by the patient. Methods: Between April 2001 and May 2010, 261 patients (138 male patients and 123 female patients; age range, 14-92 years; mean age, 64.6 years) with bile duct stones (common bile duct [CBD] stones = 248 patients and hepatolithiasis = 13 patients) were included in the study. Percutaneous transhepatic cholangiography was performed, and stones were identified. Percutaneous transhepatic balloon dilation of the papilla of Vater was performed. Then stones were pushed out into the duodenum with a Fogarty balloon catheter. If the stone diameter was larger than 15 mm, then basket lithotripsy was performed before balloon dilation. Results: Overall success rate was 95.7%. The procedure was successful in 97.5% of patients with CBD stones and in 61.5% of patients with hepatolithiasis. A total of 18 major complications (6.8%), including cholangitis (n = 7), subcapsular biloma (n = 4), subcapsular hematoma (n = 1), subcapsular abscess (n = 1), bile peritonitis (n = 1), duodenal perforation (n = 1), CBD perforation (n = 1), gastroduodenal artery pseudoaneurysm (n = 1), and right hepatic artery transection (n = 1), were observed after the procedure. There was no mortality. Conclusion: Our experience suggests that percutaneous transhepatic stone expulsion into the duodenum through the papilla is an effective and safe approach in the nonoperative management of the bile duct stones. It is a feasible alternative to surgery when endoscopic extraction fails or is rejected by the patient.

  12. Ascaris lumbricoides and its invasion of the accessory cystic duct: an unusual presentation.

    Science.gov (United States)

    Majid, Zain; Masood, Irfan; Pirzada, Muhammad Taqi

    2015-04-01

    Around the world, Ascaris lumbricoides is the most common helminthic infection. We describe the case of a 25-year-old woman, known to have had Ascaris infestation, presenting with abdominal pain, constipation and jaundice together with fever and tachycardia. There was tenderness in the right hypochondrium and liver function tests confirmed cholestatic jaundice. An abdominal ultrasound showed multiple linear echogenic foci in the distal small intestine along with cholelithiasis and a thick-walled gall bladder with a single stone compressing the common bile duct (Mirizzi syndrome). The patient underwent exploratory laparotomy; more than 100 worms were found inside the small intestine and they were removed by enterotomy and manual decompression. No worm could be palpated within the common bile duct (CBD). Cholecystectomy was performed, during which an accessory cystic duct was noted opening into the common bile duct superiorly to the main cystic duct. A 10 cm live worm was found coming out of it and was removed via forceps. Later on an endoscopic retrograde cholangio-pancreatogram (ERCP) showed a widened ampulla, a mildly dilated common bile duct, but without any filling defects. The patient made an uneventful postoperative recovery being discharged on the ninth day. Worms in an accessory cystic duct have not been report in the medical literature so far.

  13. Cardiac surgery of premature and low birthweight newborns: is a change of fate possible?

    Science.gov (United States)

    Alkan-Bozkaya, Tijen; Türkoğlu, Halil; Akçevin, Atif; Paker, Tufan; Ozkan-Çerçi, Hilda; Dindar, Aygün; Ersoy, Cihangir; Bayer, Vedat; Aşkin, Demet; Undar, Akif

    2010-11-01

    Low birthweight (LBW) continues to be a high-risk factor in surgery for congenital heart disease. This risk is particularly very high in very low birthweight infants under 1500g and extremely LBW infants under 1000g. From January 2005 to December 2008, 33 consecutive LBW neonates underwent cardiac surgery in our clinic in keeping with the criteria for choice of surgery. Their weight range was between 800 and 1900g. Nine of them were under 1000g. Cardiopulmonary bypass (CPB) was used in 17 patients (39.5%) and pulsatile perfusion mode was applied to patients in the CPB group. The same surgical team operated to achieve palliation (8 patients, 24.2%) or full repair (25 patients, 75.8%). Median gestational age was 36 weeks with 12 (36.4%) premature babies (≤37 weeks). Median age at operation was 5 days. Pathologies were single ventricle (n=3), pulmonary atresia-ventricular septal defect (n=3), aortic coarctation (n=10), aorticopulmonary window and interrupted aortic arch combination (n=6), patent arterial duct (n=11), critical aortic stenosis (n=8), and tetralogy of Fallot with pulmonary atresia (n=2). One infant had VATER syndrome. Selective cerebral perfusion technique was used in complex arch pathologies for cerebral protection. Median follow-up was 14 months. There were four early postoperative deaths. None of the cases showed a need for early reoperation. The acceptable early- and midterm mortality rates in this group suggest that these operations can be successfully performed. There is a need for further multicenter studies to evaluate these high-risk groups.

  14. Assisted reproductive techniques and the risk of anorectal malformations: a German case-control study

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    Zwink Nadine

    2012-09-01

    Full Text Available Abstract Background The use of assisted reproductive techniques (ART for treatment of infertility is increasing rapidly worldwide. However, various health effects have been reported including a higher risk of congenital malformations. Therefore, we assessed the risk of anorectal malformations (ARM after in-vitro fertilization (IVF and intracytoplasmic sperm injection (ICSI. Methods Data of the German Network for Congenital Uro-REctal malformations (CURE-Net were compared to nationwide data of the German IVF register and the Federal Statistical Office (DESTATIS. Odds ratios (95% confidence intervals were determined to quantify associations using multivariable logistic regression accounting for potential confounding or interaction by plurality of births. Results In total, 295 ARM patients born between 1997 and 2011 in Germany, who were recruited through participating pediatric surgeries from all over Germany and the German self-help organisation SoMA, were included. Controls were all German live-births (n = 10,069,986 born between 1997 and 2010. Overall, 30 cases (10% and 129,982 controls (1% were born after IVF or ICSI, which translates to an odds ratio (95% confidence interval of 8.7 (5.9–12.6 between ART and ARM in bivariate analyses. Separate analyses showed a significantly increased risk for ARM after IVF (OR, 10.9; 95% CI, 6.2–19.0; P  Conclusions There is a strongly increased risk for ARM among children born after ART. Elevations of risk were seen after both IVF and ICSI. Further, separate analyses of patients with isolated ARM, ARM with associated anomalies and those with a VATER/VACTERL association showed increased risks in each group. An increased risk of ARM was also seen among both singletons and multiple births.

  15. Reversible transient apical ballooning syndrome with coronary lesions

    Institute of Scientific and Technical Information of China (English)

    Yunshan Cao; Min Zhang; Xiang Li; Ping Xie; Lynn Cronin

    2009-01-01

    Transient apical ballooning syndrome(Tako-Tsubo syndrome or ampulla cardiomyopathy) occurs predominantly in women over 60 years of age with a history of recent physical or psychological stress. We present a case of a male patient with reversible transient apical ballooning syndrome with significant coronary lesions and other ECG changes that did not explain the clinical symptoms.

  16. Is routine drainage necessary after pancreaticoduodenectomy?

    OpenAIRE

    Wang, Qiang; Jiang, Yong-Jian; Li, Ji; Yang, Feng; Di, Yang; Yao, Lie; Jin, Chen; Fu, De-Liang

    2014-01-01

    With the development of imaging technology and surgical techniques, pancreatic resections to treat pancreatic tumors, ampulla tumors, and other pancreatic diseases have increased. Pancreaticoduodenectomy, one type of pancreatic resection, is a complex surgery with the loss of pancreatic integrity and various anastomoses. Complications after pancreaticoduodenectomy such as pancreatic fistulas and anastomosis leakage are common and significantly associated with patient outcomes. Pancreatic fist...

  17. Distichopora vervoorti, a new shallow-water stylasterid coral (Cnidaria: Hydrozoa: Stylasteridae) from Bali, Indonesia

    NARCIS (Netherlands)

    Cairns, S.D.; Hoeksema, B.W.

    1998-01-01

    A new species of stylasterid coral, Distichopora vervoorti, is described from shallow water off Bali, Indonesia. Although similar to D. irregularis in having meandering pore rows, it differs from that species in colony and branch shape, coenosteal colour, and expression of the ampullae.

  18. Tratamiento paliativo de la obstrucción tumoral del vaciamiento gástrico con prótesis metálicas autoexpandibles insertadas endoscópicamente Palliative management of malignant gastric outlet obstruction with endoscopically inserted self-expanding metal stents

    Directory of Open Access Journals (Sweden)

    J. García-Cano

    2008-06-01

    Full Text Available Antecedentes y objetivo: la inserción de prótesis metálicas autoexpandibles para paliar la obstrucción tumoral del vaciamiento gástrico es un procedimiento mínimamente invasivo, que cada vez se utiliza con más frecuencia. Presentamos la experiencia de esta técnica en un hospital de nivel II del Sistema Nacional de Salud. Pacientes y métodos: estudio retrospectivo de un periodo de cinco años (2003-2007, en los que se trató de resolver la obstrucción tumoral del vaciamiento gástrico en 27 ocasiones a 23 pacientes (media de 0,45 procedimientos por mes, mediante la inserción endoscópica de prótesis no recubiertas (Wallstent® y Wallflex®. Resultados: la inserción fue técnicamente posible en el 100% de los 27 intentos. Se obtuvo un buen resultado clínico en 25 ocasiones (92,5%. Se utilizó sólo endoscopia 10 (37% veces y en las otras 17 (63% también fluoroscopia. Tras la inserción de la prótesis se intervino a un paciente con intención curativa y a otro, en el que la prótesis no funcionó, para realizar una derivación paliativa. Cuatro prótesis se obstruyeron por crecimiento tumoral, recanalizándose mediante la inserción de nuevas prótesis. En tres ocasiones se produjo ictericia obstructiva en prótesis que cubrían la papila de Vater. No hubo otras complicaciones. Tampoco mortalidad derivada del procedimiento. La media de supervivencia fue de 104 días (rango 28-400, DE ± 94. Conclusiones: en nuestra experiencia, la inserción endoscópica de prótesis metálicas autoexpandibles parece un método seguro y eficaz en el tratamiento paliativo de la obstrucción tumoral del vaciamiento gástrico y puede llevarse a cabo con éxito en un centro de nuestras características.Aim and background: the insertion of self-expanding metal stents to palliate malignant gastric outlet obstruction is a minimally invasive procedure that is being increasingly used. We discuss experience with this technique in a level-II hospital in the

  19. Spatial differences in gene expression in the bovine oviduct.

    Science.gov (United States)

    Maillo, Veronica; de Frutos, Celia; O'Gaora, Peadar; Forde, Niamh; Burns, Gregory W; Spencer, Thomas E; Gutierrez-Adan, Alfonso; Lonergan, Patrick; Rizos, Dimitrios

    2016-07-01

    The aim of this study was to compare the transcriptome of the oviductal isthmus of pregnant heifers with that of cyclic heifers as well as to investigate spatial differences between the transcriptome of the isthmus and ampulla of the oviduct in pregnant heifers. After synchronizing crossbred beef heifers, those in standing oestrus (=Day 0) were randomly assigned to cyclic (non-bred, n=6) or pregnant (artificially inseminated, n=11) groups. They were slaughtered on Day 3 and both oviducts from each animal were isolated and cut in half to separate ampulla and isthmus. Each portion was flushed to confirm the presence of an oocyte/embryo and was then opened longitudinally and scraped to obtain epithelial cells which were snap-frozen. Oocytes and embryos were located in the isthmus of the oviduct ipsilateral to the corpus luteum Microarray analysis of oviductal cells revealed that proximity to the corpus luteum did not affect the transcriptome of the isthmus, irrespective of pregnancy status. However, 2287 genes were differentially expressed (P<0.01) between the ampulla and isthmus of the oviduct ipsilateral to the corpus luteum in pregnant animals. Gene ontology revealed that the main biological processes overrepresented in the isthmus were synthesis of nitrogen, lipids, nucleotides, steroids and cholesterol as well as vesicle-mediated transport, cell cycle, apoptosis, endocytosis and exocytosis, whereas cell motion, motility and migration, DNA repair, calcium ion homeostasis, carbohydrate biosynthesis, and regulation of cilium movement and beat frequency were overrepresented in the ampulla. In conclusion, large differences in gene expression were observed between the isthmus and ampulla of pregnant animals at Day 3 after oestrus. PMID:27069007

  20. Politische Ökonomie, Wirtschaftspolitik und Wirtschaftsethik : was bleibt vom Forschungsprogramm von John Neville Keynes?

    OpenAIRE

    Neck, Reinhard

    2006-01-01

    "Es wird untersucht, wieweit die von John Neville Keynes, dem Vater von John Maynard Keynes, stammende Unterscheidung von Volkswirtschaftstheorie, Wissenschaft von der Wirtschaftspolitik und Wirtschaftsethik heute noch sinnvoll ist und welche Aufgaben diesen Teildisziplinen der Volkswirtschaftslehre angesichts der Neuen Politischen Ökonomie und anderer jüngerer Entwicklungen zukommen sollen." (Autorenreferat) "In 1890, John Neville Keynes, the father of John Maynard Keynes, published a boo...

  1. Acute toxicity and efficacy of postoperative combined modality therapy for adenocarcinoma of the pancreas

    International Nuclear Information System (INIS)

    PURPOSE: To examine the acute toxicity and outcome in patients (pts) treated with combined modality therapy following resection of adenocarcinoma of the pancreas. MATERIALS AND METHODS: From 2/88 to 2/96, 34 pts (M:20, F:14) received postoperative combined modality therapy following a pancreatic resection. Tumor location included; head only: 28, head and ampulla: 1, ampulla only: 1, body and tail: 2, and tail only: 2. Postoperative stages included: stage I: 7 (21%) and stage III: 27 (79%). Pts were referred for combined modality therapy based on surgeon preference. In general, pts were treated who had one or more adverse prognostic factors. These included positive local/regional lymph nodes (79%), positive margins (50%) or disease invasive into adjacent structures (85 %). Radiation fields included the original primary tumor bed (based on preoperative CT scans) and peri-pancreatic and para-aortic lymph nodes adjacent to vertebral bodies T10 through L3. No attempt was made to include the entire pancreas in the radiation field. Patients received 5040 cGy at 180 cGy/day using a 3 or 4 field technique and CT-based treatment planning. Concurrent bolus 5-FU (375-500 mg/m2) was delivered on the first three and last three days of radiation. Post-radiation maintenance bolus 5-FU was given to 7 patients for a median of 6 cycles. A toxicity assessment using the NCI toxicity criteria was performed at each weekly visit and 4 weeks following the completion of combined modality therapy. The median follow-up was 13 months (range: 2-36 months). Patterns of failure as a component of failure were assessed by radiographic criteria and, in 2 pts, by intraoperative evaluation for symptomatic progression of disease. Local/regional failure was defined as recurrence within the radiation field. Distant failure included liver, peritoneal seeding, and extra-abdominal sites. Actuarial survival was calculated from the time of surgery using the Kaplan-Meier method. RESULTS: The only grade 3

  2. Investigation of the potential of optical coherence tomography (OCT) as a non-invasive diagnostic tool in reproductive medicine

    Science.gov (United States)

    Trottmann, Matthias; Homann, Christian; Leeb, R.; Doering, D.; Kuznetsova, J.; Reese, S.; Stief, C. G.; Koelle, S.; Sroka, R.

    2015-02-01

    Introduction and objective: In Europe, nearly every sixth couple in the reproductive age is involuntarily childless. In about 30%, both male and female reveal fertility problems. In about 10% of infertile men, azoospermia is the underlying cause. As conventional therapeutic options are limited, surgical testicular sperm extraction (TESE) is necessary to obtain sperms for assisted reproductive techniques. Regarding the females, up to 30% of all idiopathic infertilities are due to alterations of the uterine tube So far, no imaging technique, which does not require any labelling, is available to evaluate the male and female genital tract at a microscopic level under in vivo conditions. Thus, the aim of this study was to investigate the potential of optical coherence tomography (OCT) as a non-invasive diagnostic tool in gynaecology and andrology. Material and Methods: Tissues samples from the bovine testis, epididymis, vas deferens, ovary, oviduct (ampulla and isthmus) and uterus were obtained immediately after slaughter (14 cows aged 3 to 8 years and 14 bulls aged 3 to 6 years; breeds: Holstein- Friesian, and Deutsches Fleckvieh). Imaging was done by using the US Food and Drug Administration (FDA) approved probe-based Niris Imaging System (Imalux, Cleveland, Ohio, USA) and the Telesto 1325 nm OCT System and Ganymede 930 nm OCT System (Thorlabs Inc., Dachau, Germany). All images obtained were compared to histological images after paraffin embedding and HE staining. Results: OCT imaging visualized the microarchitecture of the testis, epididymis, spermatic duct and the ovary, oviduct and uterus. Using the Thorlabs systems a axial resolution of approx. 5μm and lateral resolution of 8- 15μm could be achieved. Different optical tissue volumes could be visualized, which depends on the optical penetration depth of the wavelength of the system used. While the tissue volume observed by probe based Imalux-OCT is similar to the used Thorlabs systems, the optical resolution is

  3. Examination of the cupula and stereocilia of the horizontal semicircular canal in the toadfish Opsanus tau.

    Science.gov (United States)

    Silver, R B; Reeves, A P; Steinacker, A; Highstein, S M

    1998-12-01

    We imaged the horizontal semicircular canal (HSCC) crista and cupula of toadfish, Opsanus tau, by using a) confocal light microscopy of isolated vital HSCC; b) serial sections of fixed, trichrome-stained HSCC; and c) scanning electron microscopy of fixed HSCCs. HSCC were dissections which included an ampulla and an attached canal tube (long and slender canal portion), and, in some cases, a small portion of the utricular wall. Cupulae were seen as multipartite mucus connective tissue shells rising from the crista and extending toward the ampullary roof. They were composed of several refractile bands traversing the cupulae perpendicular to longitudinal fibers extending from the cupular base to its apex. Alcian green-stained cupulae showed an asymmetric alcianphilic, dark, X-shaped structure, indicating that the pillar is rich in mucin and carbohydrate, an interpretation supported by images of trichrome-stained sections. The cupular antrum is devoid of prominent refractile fibers. No tubes or channels were observed in the cupula or antrum of vital preparations. Cupular shell fibers cover the surface of the crista, are roughly parallel, and are associated with a translucent material having a refractive index greater than the surrounding endolymph. Stereocilia were thin, 100-microm-long structures, with little longitudinal curvature, which end with no end bulb. No strands extend from stereocilia to the roof or other portions of the cupular antrum. Gross movements of stereocilia were not seen in mechanically quiescent preparations. Within the cupular antrum, stereocilia were parallel to connective tissue fibers, all embedded in an isotropic gel. This fiber-reinforced gel and cupular matrix are sensitive to N-acetlyneuraminidase and beta-N-acetyl glucosaminidase, and minimally sensitive to beta-N-acetyl hexosaminidase. Connective tissue fibers may serve to stiffen the gel, whose matrix would restrict lateral motion of embedded fibers and stereocilia thereby providing

  4. Use of computed tomography to evaluate the intestinal tract of adult llamas

    International Nuclear Information System (INIS)

    In the llama, signs of colic are obscure and may be exhibited as persistent sternal recumbency and anorexia even in the presence of a surgical lesion. Diagnostic methods for evaluation of abdominal disorders are limited. As a result, surgical intervention may be prolonged and increase the risk of mortality and postoperative complications. The objective of this study was to determine the feasibility of computed tomography to evaluate the llama intestinal tract. Eighteen hours prior to the computed tomography scan, six llamas were given barium sulfate (15%) via an orogastric tube. Following induction of general anesthesia, the llamas were positioned in sternal recumbency, and 10 mm contiguous slices were obtained from the diaphragm to the tuber ischiadicum. Structures that were consistently identified included the first, second, and third compartments (C1, 2, and 3), small intestine, spiral colon, and ascending colon. C1 was easily identified in the cranial aspect of the abdomen due to its large size relative to the other compartments and characteristic saccules. C2 was located cranial, ventral, and to the right of C1, while C3 was visualized as a tubular structure to the right and ventral to C1 and C2, C3 was traced caudally until it turned dorsally and continued cranially to a dilated ampulla in the right cranial abdomen delineating the entrance to the small intestine. The spiral colon was identified consistently in the left ventral caudal abdomen. Structures that could not be conclusively identified included the cecum and mesenteric lymph nodes. Computed tomography allowed a consistent evaluation of the major intestinal structures associated with colic in the llama. Thus, computed tomography is a potentially valuable noninvasive diagnostic tool to effectively evaluate the abdominal cavity and differentiate medical from surgical lesions in the llama

  5. Bad基因在黄体期绵羊生殖器官中表达的比较研究%The on comparison of expression of Bad gene in generative organ of sheep at luteal phase

    Institute of Scientific and Technical Information of China (English)

    葛晨霞; 王龙涛; 李向军; 贾博寅; 马磊; 姜怀志

    2011-01-01

    DUring luteal phase (LP) immunohistochemistry was used to confirm and locate apoptosis cells and to detect the expression of Bad in major reproductive organs (ovaries, oviduct and uterus) of Small-tails Han Sheep (SHS) and Suffolk Sheep (SS),which have high and low productivity,respectively. Bad gene was expressed in most of luteal cells. secretory cells and part of ciliated cell in fimbriaend of fallopian tube, ampullae and isthmusthe epithelia at luteal phase of submited positiveness, ciliated cell was stained strongly at luteal phase. The expression inten difference was unsharpness in different position of fimhriae tubae at contemporaneous. Staining was moderate with Bad positive cells in fimbriaend of fallopian tube,ampullae and isthmusthe epithelia. Staining was light with Bad positive cells in endometrial gland and endometrium cotyledon Average optical density and average positive area were measured by computator image analysis software in different of position between Small-tails Hah Sheep (SHS) and Suffolk Sheep (SS) but also had several visible differences in reproductive organs. The ratio of positive cells and AO of endometrium cotyledon stroma of SHS was higher significantly than SS in LP (P<0. 01). The result showed that the difference of apoptosis in reproductive organs and expression of Bad between SHS and SS maybe is agroundwork which result in of their differential productivity.%以黄体期小尾寒羊和萨福克羊为研究对象,采用免疫组织化学技术,针对Bad基因在母羊生殖器官卵巢,输卵管和子宫中的表达与定位进行初步研究,在卵巢中Bad基因均在多数黄体细胞中表达;在输卵管宫管结合部、峡部和壶腹部的分泌细胞Bad基因均有不同程度的表达,未发现纤毛细胞Bad阳性细胞;子宫内膜腺体小泡表达Bad阳性,子宫内膜子叶、基质的阳性细胞数极少,阳性细胞呈轻度着色,显弱阳性.利用计算机图像分析技术测量小尾寒羊和萨福克

  6. Hirshsprung's disease; the clinical differentiation and treatment of children with Hirschsprung's disease and pseudo-Hirschsprung's disease.

    Science.gov (United States)

    RAVITCH, M M

    1958-07-01

    Hirschsprung's disease is marked by constipation from the time of birth, with the development, if uncorrected, of a protuberant abdomen and flared costal margins. The rectal ampulla is empty and the abdomen is filled with fecal masses. Pain is not prominent. Flatus is passed in large amounts. Encopresis does not occur. Barium enema shows the characteristic narrowed distal rectal segment and biopsy of the rectum shows absence of the ganglion cells of the myenteric plexus. Treatment is operative resection of the distal narrow segment and a primary anastomosis.Hirschsprung's disease may be mimicked in children with:1. Psychogenic constipation-pseudo-Hirschsprung's disease. Unlike Hirschsprung's disease, symptoms do not appear at birth, encopresis is common, and the barium enema shows no narrow distal segment.2. Mental retardation and cerebral defect.3. Corrected imperforate anus-on the basis of stenosis, imperfect innervation or poor habit training.4. Cretinism-with severe constipation and intestinal dilatation perhaps the presenting symptoms. Treatment of these four groups of children with severe constipation not due to Hirschsprung's disease is:For Group 1, open discussion with parent and child. Assumption by the physician of full control of the details of treatment, and relegation of parent to the role of the physician's agent in following the prescribed regimen. For Group 2, an enema regimen. Whereas fairly rapid restoration (and then persistence) of normal bowel habit can be expected in Group 1, the basic defects in Group 2 may require indefinite continuation of treatment. For Group 3, regular enema regimen, in the less severe cases-one identical with that used in Group 1, and dilatation of strictures or anoplasty. In Group 4, thyroid hormone therapy relieves the constipation of hypothyroidism and causes reversion of radiographic changes in the colon and rectum. PMID:13561108

  7. A late role for bmp2b in the morphogenesis of semicircular canal ducts in the zebrafish inner ear.

    Directory of Open Access Journals (Sweden)

    Katherine L Hammond

    Full Text Available The Bone Morphogenetic Protein (BMP genes bmp2 and bmp4 are expressed in highly conserved patterns in the developing vertebrate inner ear. It has, however, proved difficult to elucidate the function of BMPs during ear development as mutations in these genes cause early embryonic lethality. Previous studies using conditional approaches in mouse and chicken have shown that Bmp4 has a role in semicircular canal and crista development, but there is currently no direct evidence for the role of Bmp2 in the developing inner ear.We have used an RNA rescue strategy to test the role of bmp2b in the zebrafish inner ear directly. Injection of bmp2b or smad5 mRNA into homozygous mutant swirl (bmp2b(-/- embryos rescues the early patterning defects in these mutants and the fish survive to adulthood. As injected RNA will only last, at most, for the first few days of embryogenesis, all later development occurs in the absence of bmp2b function. Although rescued swirl adult fish are viable, they have balance defects suggestive of vestibular dysfunction. Analysis of the inner ears of these fish reveals a total absence of semicircular canal ducts, structures involved in the detection of angular motion. All other regions of the ear, including the ampullae and cristae, are present and appear normal. Early stages of otic development in rescued swirl embryos are also normal.Our findings demonstrate a critical late role for bmp2b in the morphogenesis of semicircular canals in the zebrafish inner ear. This is the first demonstration of a developmental role for any gene during post-embryonic stages of otic morphogenesis in the zebrafish. Despite differences in the early stages of semicircular canal formation between zebrafish and amniotes, the role of Bmp2 in semicircular canal duct outgrowth is likely to be conserved between different vertebrate species.

  8. Positron Emission Tomography with 2-Deoxy-2-[18F] Fluoro-DGlucose in the Detection of Malignancy in Intraductal Papillary Mucinous Neoplasms of the Pancreas

    Directory of Open Access Journals (Sweden)

    Brian KP Goh

    2007-05-01

    Full Text Available A 79-year-old Indian male was admitted with upper abdominal discomfort of 1-year duration which was associated with loss of weight and appetite. Clinical examination of the abdomen did not reveal any palpable masses. Laboratory investigations including a complete blood count, liver function tests and serum amylase were unremarkable. Standard serum tumor markers were within normal limits: carbohydrate antigen (CA 19-9, 13.4 U/mL (reference range: 3-45 U/mL; carcinoembryonic antigen (CEA, 1.4 μg/L (reference range: 0.5-3.5 μg/L and alphafetoprotein, 1.3 μg/L (reference range: 1-10 μg/L. A contrast-enhanced computed tomographic (CT scan demonstrated a cystically dilated and tortuous pancreatic duct measuring 1.9 cm, suggestive of an intraductal papillary mucinous neoplasm (IPMN. The common bile duct was dilated up to the level of the ampulla and a 3.2x2.0 cm heterogeneous soft tissue mass was observed in the head of the pancreas which extended into the duodenum, suggestive of a malignant lesion (Images 1 and 2. Fusion positron emission tomography/computed tomography (PET/CT was subsequently performed with 12.7 mCi of 2-deoxy-2-[18F] fluoro-D-glucose (18F-FDG administered intravenously. A whole body PET/CT scan was performed 60 minutes later with CT data used for attenuation correction and anatomical correlation. This confirmed a metabolically active focus within the pancreatic head mass with a standard uptake value (SUVmax of 3.5 compatible with carcinoma (Image 3.

  9. Capsule endoscopy and push enteroscopy in the diagnosis of obscure gastrointestinal bleeding

    Institute of Scientific and Technical Information of China (English)

    戈之铮; 胡运彪; 萧树东

    2004-01-01

    Background In obscure gastrointestinal (GI) bleeding, it is often difficult to detect the bleeding sites located in the small bowel with conventional radiological, scintigraphic or angiographic techniques. Push enteroscopy and capsule endoscopy are currently considered to be the most effective diagnostic procedures. The aim of this study was to compare the detection rates between capsule endoscopy and push enteroscopy. Methods From May 2002 through January 2003, we prospectively examined by capsule endoscopy 39 patients with suspected small bowel diseases, in particular GI bleeding of unknown origin in Renji Hospital. Among them, 32 complained of obscure recurrent GI bleeding. Between January 1993 and October 1996, we used push enteroscopy on 36 patients who suffered from unexplained GI bleeding. All patients had prior normal results on gastroscopy, colonoscopy, small bowel barium radiography, scintigraphy and/or angiography. Results M2A capsule endoscopy disclosed abnormal small bowel findings in 26 (82%) out of 32 patients. Twenty-one of them had significant pathological findings explaining their clinical disorders. Diagnostic yield was therefore 66% (21 of 32 patients). Definite bleeding sites diagnosed by capsule endoscopy in 21 patients included angiodysplasia (8), inflammatory small-bowel (5), small-bowel polyps (4), gastrointestinal stromal tumour (2), carcinoid tumour and lipoma (1), and hemorrhagic gastritis (1). Push enteroscopy detected the definite sources of bleeding in 9 (25%) of the 36 patients. Patients with definite bleeding sources included angiodysplasias (2), leiomyosarcoma (2), leiomyoma (1), lymphoma (1), Crohn's disease (1), small-bowel polyps (1) and adenocarcinoma of ampulla (1). Suspected bleeding sources were shown by push enteroscopy in two additional patients (6%), and in other five patients (16%) by capsule endoscopy.Conclusions The present study of patients with obscure GI bleeding showed that capsule endoscopy significantly superior

  10. Size of the Ovulatory Follicle Dictates Spatial Differences in the Oviductal Transcriptome in Cattle

    Science.gov (United States)

    Gonella-Diaza, Angela María; da Silva Andrade, Sónia Cristina; Sponchiado, Mariana; Pugliesi, Guilherme; Mesquita, Fernando Silveira; Van Hoeck, Veerle; de Francisco Strefezzi, Ricardo; Gasparin, Gustavo R.; Coutinho, Luiz L.; Binelli, Mario

    2015-01-01

    In cattle, molecular control of oviduct receptivity to the embryo is poorly understood. Here, we used a bovine model for receptivity based on size of the pre-ovulatory follicle to compare oviductal global and candidate gene transcript abundance on day 4 of the estrous cycle. Growth of the pre-ovulatory follicle (POF) of Nelore (Bos indicus) cows was manipulated to produce two groups: large POF large corpus luteum (CL) group (LF-LCL; greater receptivity) and small POF-small CL group (SF-SCL). Oviductal samples were collected four days after GnRH-induced ovulation. Ampulla and isthmus transcriptome was obtained by RNA-seq, regional gene expression was assessed by qPCR, and PGR and ERa protein distribution was evaluated by immunohistochemistry. There was a greater abundance of PGR and ERa in the oviduct of LF-LCL animals thus indicating a greater availability of receptors and possibly sex steroids stimulated signaling in both regions. Transcriptomic profiles indicated a series of genes associated with functional characteristics of the oviduct that are regulated by the periovulatory sex steroid milieu and that potentially affect oviductal receptivity and early embryo development. They include tissue morphology changes (extra cellular matrix remodeling), cellular changes (proliferation), and secretion changes (growth factors, ions and metal transporters), and were enriched for the genes with increased expression in the LF-LCL group. In conclusion, differences in the periovulatory sex steroid milieu lead to different oviductal gene expression profiles that could modify the oviductal environment to affect embryo survival and development. PMID:26699362

  11. Optimizing management of pancreaticopleural fistulas

    Institute of Scientific and Technical Information of China (English)

    Marek Wronski; Maciej Slodkowski; Wlodzimierz Cebulski; Daniel Moronczyk; Ireneusz W Krasnodebski

    2011-01-01

    AIM: To evaluate the management of pancreaticopleu ral fistulas involving early endoscopic instrumentation of the pancreatic duct.METHODS: Eight patients with a spontaneous pancre aticopleural fistula underwent endoscopic retrograde cholangiopancreatography (ERCP) with an intention to stent the site of a ductal disruption as the primary treatment. Imaging features and management were evaluated retrospectively and compared with outcome.RESULTS: In one case, the stent bridged the site of a ductal disruption. The fistula in this patient closed within 3 wk. The main pancreatic duct in this case appeared normal, except for a leak located in the body of the pancreas. In another patient, the papilla of Vater could not be found and cannulation of the pancreatic duct failed. This patient underwent surgical treatment. In the remaining 6 cases, it was impossible to insert a stent into the main pancreatic duct properly so as to cover the site of leakage or traverse a stenosis situated down stream to the fistula. The placement of the stent failedbecause intraductal stones (n = 2) and ductal strictures (n = 2) precluded its passage or the stent was too short to reach the fistula located in the distal part of the pan creas (n = 2). In 3 out of these 6 patients, the pancre aticopleural fistula closed on further medical treatment. In these cases, the main pancreatic duct was normal or only mildly dilated, and there was a leakage at the body/tail of the pancreas. In one of these 3 patients, additional percutaneous drainage of the peripancreatic fluid collections allowed better control of the leakage and facilitated resolution of the fistula. The remaining 3 patients had a tight stenosis of the main pancreatic duct resistible to dilatation and the stent could not be inserted across the stenosis. Subsequent conservative treatment proved unsuccessful in these patients. After a failed therapeutic ERCP, 3 patients in our series devel oped super infection of the pleural or peripancreatic

  12. Bad基因在小尾寒羊输卵管上皮组织的表达%Expression of Bad gene in uterine tubal epithelium of small-tails han sheep

    Institute of Scientific and Technical Information of China (English)

    葛晨霞; 王龙涛; 李向军; 姜怀志

    2011-01-01

    The expression level of gene Bad in uterine tubal epithelium was detected adopting immunohistochemistry stain.Average optical density and average positive area were measured by computator image analysis software in different position and different stage of genesial cycle,in order to analysis the expression of pro-apoptosis gene Bad in uterine tubal epithelium.The result showed that part of ciliated cells in fimbriaend of fallopian tube,ampullae and isthmusthe epithelia of follicular phase and luteal phase of submited positiveness were stained stronger at luteal phase than those at follicular phase.The expression difference was unsharp in different position of fimbriae tubae at contemporaneousness.The secretory cells were positive at follicular phase and luteal phase, different position had no difference at the same phase,therefor,staining was stronger at luteal phase than follicular phase in the same region.The difference of average optical density and positive area rate in ampullae and isthmus epithelia were unsharp(P>0.05) ,while significant difference between fimbriaend of fallopian tube and isthmus at luteal phase or at follicular phase(P<0.05).It was significant difference in average optical density and positive area rate in identity position at different phase(P<0.05).It is concluded that Bad expressed in oviduct epithelia of small tails han sheep could participate the regulation of cyclic variation of oviduct epithelia.%采用免疫组织化学方法检测小尾寒羊输卵管上皮组织中Bad基因的表达水平,利用计算机图像分析技术测量小尾寒羊生殖周期的不同阶段输卵管上皮组织Bad基因表达的平均光密度和平均阳性面积.结果显示,小尾寒羊输卵管伞部、壶腹部和峡部上皮组织中的部分纤毛细胞在卵泡期和黄体期呈阳性,黄体期纤毛细胞较卵泡期表达强.同时期各部位表达强度的差异不明显.黄体期和卵泡期的分泌细胞均呈阳性,同时期不同部

  13. [Ultrastructural description of Euglena pailasensis (Euglenozoa) from Rincón de la Vieja volcano, Guanacaste, Costa Rica].

    Science.gov (United States)

    Sánchez, Ethel; Vargas, Maribel; Mora, Marielos; Ortega, José Maria; Serrano, Aurelio; Freer, Enrique; Sittenfeld, Ana

    2004-03-01

    The euglenoids are unicellular eukaryotic flagellates living in a diversity of soils and aquatic environments and ecosystems. This study describes the ultrastructure of an euglenoid isolated from the surface of a boiling mud pool with temperatures ranging from 38 to 98 degrees C and pH 2 - 4. The hot mud pool is located in Area de Pailas de Barro, Las Pailas, Rincón de la Vieja Volcano, Guanacaste, Costa Rica. The morphological characterization of the Euglena pailasensis was performed by SEM and TEM. It was determined that, although the euglenoid was obtained from an extreme volcanic environment, the general morphology corresponds to that of a typical member of Euglena of 30-45 microm long and 8-10 microm wide, with membrane, pellicle, chloroplasts, mitochondria, nucleus, pigments and other cytoplasmic organelles. E. pailasensis is delimited by a membrane and by 40 to 90 pellicle strips. It was observed up to 5 elongated chloroplasts per cell. The chloroplast contains several osmiophilic globules and a pyrenoid penetrated by few thylakoid pairs. The nutritious material is reserved in numerous small paramylon grains located at the center of the cell, mitocondria are characterized by the presence of crests in radial disposition toward the interior of the lumen. It was also observed around the external surface "pili" like filaments originating from the pellicle strips. There is no evidence for the presence of flagella in the ampulla (reservoir/canal area), a fact confirmed by negative staining, and a difference regarding other species of Euglena. The observed ultrastructural characteristics are not sufficient to explain the adaptation of this species to acid and hot environments. PMID:17357397

  14. Defecography of rectal wall prolapse conditions; Defecografia nelle malattie parietali del retto da prolasso

    Energy Technology Data Exchange (ETDEWEB)

    Salzano, A.; Muto, M.; De Rosa, A. [Azienda Sanitaria di Rilievo Nazionale A. Cardarelli, Naples (Italy). Servizio di Neuroradiologia; Ginolfi, F.; Carbone, M.; Amodio, F.; Rossi, E. [Naples Univ. Federico 2. (Italy). Ist. di Scienze Radiologiche; Tuccillo, M. [Azienda Sanitaria di Rilirvo Nazionale A. Cardarelli, Naples (Italy). 2. Servizio di Radiologia

    1999-06-01

    Pelvic floor and rectal prolapse conditions have greatly benefited by new imaging and instrumental diagnostic approaches, and especially defecography, for both pathophysiological interpretation and differential diagnosis. The authors investigated the efficacy of defecography in the assessment of rectal prolapse, and in particular the role of videproctography in diagnosis such dynamic disorders. The dynamic changes of ampulla are well depicted by videoproctography, which showed anorectum normalization and spontaneous reduction of invagination after intussusception. Defecography exhibited good capabilities in showing rectal wall function abnormalities. Finally, some features of videoproctography such as low radiation dose, non-invasiveness and ease of execution, make the examination acceptable to patients with anorectal disorders and for the follow-up of rectal prolapse. [Italian] Le malattie del pavimento pelvico e dei prolassi del retto hanno tratto numerosi vantaggi da nuovi approcci di diagnostica per immagini e strumentali, specialmente dall'esame defecografico, sia nell'interpretazione fisiopatologica che nella diagnostica differenziale dei disordini anorettali. Scopo del lavoro: valutare l'efficacia della metodica defecografica nel riconoscimento delle malattie da prolasso del retto e in particolare il ruolo svolto dalla videoproctografia nella documentazione diagnostica e nel definire i principali elementi semeiologici riscontrabili in tali malattie in modo dinamico. Le fasi dinamiche della valutazione morfologica e posizionale dell'ampolla rettale sono ben evidenti nella viedeoproctografia, che documenta dopo l'intussuscezione la normalizzazione del complesso anorettale e la riduzione spontanea dell'invaginazione parietale. In questo studio si sottolineano le possibilita' diagnostiche della defecografia integrata da videoproctografia nel riconoscimento delle malattie parietali funzionali del retto e alcune peculiarita

  15. [Etiological factors of acute pancreatitis].

    Science.gov (United States)

    Spicák, J

    2002-09-01

    Acute pancreatitis develops immediately after the causative impulse, while chronic pancreatitis develops after the long-term action of the noxious agent. A typical representative of acute pancreatitis is biliary pancreatitis, chronic pancreatitis develops in alcoholism and has a long latency. As alcoholic pancreatitis is manifested at first as a rule by a potent attack, it is classified in this stage as acute pancreatitis. The most frequent etiological factors in our civilization are thus cholelithiasis and alcoholism (both account for 20-50% in different studies). The assumed pathogenetic principles in acute biliary pancreatitis are the common canal of both efferent ducts above the obturated papilla, duodenopancreatic reflux and intrapancreatic hypertension. A detailed interpretation is however lacking. The pathogenesis of alcoholic pancreatitis is more complicated. Among others some part is played by changes in the calcium concentration and fusion of cellular membranes. Idiopathic pancreatitis occurs in up to 10%, part of the are due to undiagnosed alcoholism and cholelithiasis. Other etiologies are exceptional. Similarly as in cholelithiasis pancreatitis develops also during other pathological processes in the area of the papilla of Vater such as dysfunction of the sphincter of Oddi, ampulloma and juxtapapillary diverticulum, it is however usually mild. The incidence of postoperative pancreatitis is declining. Its lethality is 30% and the diagnosis is difficult. In the pathogenesis changes of the ion concentration are involved, hypoxia and mechanical disorders of the integrity of the gland. Pancreatitis develops in association with other infections--frequently in mumps, rarely in hepatitis, tuberculosis, typhoid and mycoses. Viral pancreatitis is usually mild. In parasitoses pancreatitis develops due to a block of the papilla Vateri. In hyperparathyroidism chronic pancreatitis is more likely to develop, recent data are lacking. As to dyslipoproteinaemias

  16. [Etiological factors of acute pancreatitis].

    Science.gov (United States)

    Spicák, J

    2002-09-01

    Acute pancreatitis develops immediately after the causative impulse, while chronic pancreatitis develops after the long-term action of the noxious agent. A typical representative of acute pancreatitis is biliary pancreatitis, chronic pancreatitis develops in alcoholism and has a long latency. As alcoholic pancreatitis is manifested at first as a rule by a potent attack, it is classified in this stage as acute pancreatitis. The most frequent etiological factors in our civilization are thus cholelithiasis and alcoholism (both account for 20-50% in different studies). The assumed pathogenetic principles in acute biliary pancreatitis are the common canal of both efferent ducts above the obturated papilla, duodenopancreatic reflux and intrapancreatic hypertension. A detailed interpretation is however lacking. The pathogenesis of alcoholic pancreatitis is more complicated. Among others some part is played by changes in the calcium concentration and fusion of cellular membranes. Idiopathic pancreatitis occurs in up to 10%, part of the are due to undiagnosed alcoholism and cholelithiasis. Other etiologies are exceptional. Similarly as in cholelithiasis pancreatitis develops also during other pathological processes in the area of the papilla of Vater such as dysfunction of the sphincter of Oddi, ampulloma and juxtapapillary diverticulum, it is however usually mild. The incidence of postoperative pancreatitis is declining. Its lethality is 30% and the diagnosis is difficult. In the pathogenesis changes of the ion concentration are involved, hypoxia and mechanical disorders of the integrity of the gland. Pancreatitis develops in association with other infections--frequently in mumps, rarely in hepatitis, tuberculosis, typhoid and mycoses. Viral pancreatitis is usually mild. In parasitoses pancreatitis develops due to a block of the papilla Vateri. In hyperparathyroidism chronic pancreatitis is more likely to develop, recent data are lacking. As to dyslipoproteinaemias

  17. Epithelial cell stretching and luminal acidification lead to a retarded development of stria vascularis and deafness in mice lacking pendrin.

    Directory of Open Access Journals (Sweden)

    Hyoung-Mi Kim

    Full Text Available Loss-of-function mutations of SLC26A4/pendrin are among the most prevalent causes of deafness. Deafness and vestibular dysfunction in the corresponding mouse model, Slc26a4(-/-, are associated with an enlargement and acidification of the membranous labyrinth. Here we relate the onset of expression of the HCO(3 (- transporter pendrin to the luminal pH and to enlargement-associated epithelial cell stretching. We determined expression with immunocytochemistry, cell stretching by digital morphometry and pH with double-barreled ion-selective electrodes. Pendrin was first expressed in the endolymphatic sac at embryonic day (E 11.5, in the cochlear hook-region at E13.5, in the utricle and saccule at E14.5, in ampullae at E16.5, and in the upper turn of the cochlea at E17.5. Epithelial cell stretching in Slc26a4(-/- mice began at E14.5. pH changes occurred first in the cochlea at E15.5 and in the endolymphatic sac at E17.5. At postnatal day 2, stria vascularis, outer sulcus and Reissner's membrane epithelial cells, and utricular and saccular transitional cells were stretched, whereas sensory cells in the cochlea, utricle and saccule did not differ between Slc26a4(+/- and Slc26a4(-/- mice. Structural development of stria vascularis, including vascularization, was retarded in Slc26a4(-/- mice. In conclusion, the data demonstrate that the enlargement and stretching of non-sensory epithelial cells precedes luminal acidification in the cochlea and the endolymphatic sac. Stretching and luminal acidification may alter cell-to-cell communication and lead to the observed retarded development of stria vascularis, which may be an important step on the path to deafness in Slc26a4(-/- mice, and possibly in humans, lacking functional pendrin expression.

  18. Effects of contrast media on the hepato-pancreato-biliary system

    Institute of Scientific and Technical Information of China (English)

    Omer Topcu; Atilla Kurt; Isilay Nadir; Sema Arici; Ayhan Koyuncu; Cengiz Aydin

    2009-01-01

    AIM: To determine the effects of high osmolarity contrast media (HOCM) and iso-osmolar contrast media (CM) application, with or without pressure, on hepato-pancreato-biliary (HPB) system. METHODS: Sixty rats were divided into six equal groups as follows: Group 1: (0.9% NaCl, control), Group 2: (diatrizoate meglumine Na, ionic HOCM, Urographin~(R)), Group 3: (iodixanol, iso-osmolar nonionic CM, Visipaque~(R)); each of which was applied without pressure, whereas the animals of the remaining three groups (1p, 2p, 3p) were subjected to the same CM with pressure. We performed a duodenal puncture and introduced a catheter into the ampulla. After the catheterization, 0.2 mL CM or 0.9%NaCl was injected with or without pressure. Blood samples were taken for biochemical evaluations. The histopathological examinations of liver, common bile duct, and pancreas were performed. RESULTS: There were no significant differences between the six groups for blood amylase, alanine aminotransferases, aspartate aminotransferases, bilirubin levels ( P > 0.05). Alkaline phosphatase and γ glutamyl transaminase levels were higher ( P 0.05) between HOCM (2, 2p) and iso-osmolar CM (3, 3p) groups. Bile duct proliferation and regeneration in the Urographin(R) Groups (2, 2p) were significantly higher ( P 0.05) between the groups. Application of the CM with pressure did not cause additional damage to the HPB system. CONCLUSION: Iso-osmolar, non-ionic CM could be more reliable than the ionic HOCM, whereas the application of pressure during the CM application had no effect on the HPB system.

  19. Hypoplasia of the thumb. Clinical presentation and reconstruction

    International Nuclear Information System (INIS)

    In the genesis of the partial or total absence of the thumb they are genetic, environmental factors or a combination of both. It is take part of a syndrome or to be isolated and frequently associated with problems of radial longitudinal deficiency of the forearm. Objective. The purpose of this study is shown the experience, the focus of the processing and the results obtained since the point esthetic and functional view. The most it accepted classification is the proposal by Blauth that helps to determine the forecast and the processing. Materials and methods. it is a work type series of cases in 22 children with hypoplasia of the thumb, with a minimum of 12 months, (average 28 months). In 15 cases there were association of radial dysplasia or another anomaly among them 4 patients with VATER, and the 7 remaining they corresponded to hypoplasia of the thumb as only entity. We carried out tendon transfer, with opening of the first comisure in 2 patients with hypoplasia type II. In 3 patients, with hypoplasia type III A, one carries out corner opening, transfer of the superficial flexor of the 4 finger to correct instability of the articulation MF and opposition of the thumb, and transfer for extension of the thumb. In 17 cases one carries out politicization of the index. Results. The outcome was evaluated in: non pinch, lateral pinch and fingertip pinch; the grade of opposition like good, minimal and non opposition, and the aesthetic result according to the satisfaction of the parents in bad, regular and good. The five children reconstructed with transfers of tendons and comisure opening had good result. In 17 children with politicization one patient had a necrosis, of the 16 remaining a good or acceptable result was obtained. Discussion. It is not easy to follow a good system of measure of the functional results. We find that a practical way to evaluate was the clip, opposition and aesthetics. Previous to the surgeries it is required to evaluate alterations

  20. One stage correction of anorectal malformations in newborns

    Directory of Open Access Journals (Sweden)

    Makedonsky I.O.

    2015-06-01

    Full Text Available The retrospective analysis of case histories of 35 infants (19 boys, 16 girls, treated in the department of reconstructive surgery of Dnipropetrovsk center of mother and child health in the period 2008-2013 was done. All the patients underwent one-stage treatment of anorectal malformations in neonatal period. Surgery was performed in the first 48 hours of life. Body weight of infants ranged from 2,8 to 4,4 kg (average weight 3,2 kg. Among related conditions there were observed vesico-ureteral reflux (VUR – in 11 (31,4%, VATER association - in 6 (17.1%, malformations of the spine – in 18 (51,4%, of the heart – in 2 (5,7% . During cystoscopy fistula in the urinary system was revealed in 16 boys. Surgical treatment was carried out by the posterior sagittal anorectoplasty (PSARP by A.Pena. 2 patients additionally underwent laparotomy. Among 16 patients with fistula in the urinary system, prostatic urethra fistula was revealed in 14, bladder neck fistula – in 2. Children were discharged from the hospital 2 weeks after surgery. All the children re­ceived anti­biotics due to the presence of VUR. After 1 month after surgery VCUG was performed. Long-term results were studied for a period of 10 to 24 months. All patients had VUR without evidence of hydronephrosis. In the period of 3-6 months after surgery 2 patients presented anal stenosis due to violation of dilatation. The evaluation results in the late period (10-24 months after surgery noted the presence of normal stool 2-3 times a day, 3 children had periodic con­stipations treated by diet. Available merits of the described method: only one operation and general anesthesia is per­for­med, no risk of prolonged contamination by pathogenic flora of the urinary system through the fistula, potential risk of complications of laparotomy and colostomy decreases, fistula visualization in cystoscopy allows to avoid the X-ray.

  1. PC-MR不同解剖定位测量中脑导水管脑脊液流动的可复性研究%The research about repeatability of CSF flow measurements of cerebral aqueduct on different anatomical localization utilizing PC-MR

    Institute of Scientific and Technical Information of China (English)

    钟熹; 江魁明; 麦慧; 董天发; 唐文艳

    2013-01-01

    目的 探讨同一解剖位置不同检查者测量结果间的相关性及可复性.方法 选取32例健康志愿者,其中男15例,女17例,年龄18~30岁,平均(25.4±3.4)岁.应用3.0TMR两次测量中脑导水管不同解剖位置的脑脊液(CSF)流动.由两位医师先后对同一志愿者进行独立扫描,所有图像由另一医师进行后处理.选用T2WI正中矢状面定位,先后垂直导水管入口段、中间段、出口段进行扫描.在导水管显示面积最大的幅度图像上沿其边缘绘制ROI,重复3次取其结果平均值.取收缩期向下峰值流速(PPV)、舒张期向上峰值流速(PNV)及绝对每搏出量(ASV)进行对比分析.取2位医师测量结果的平均数用于比较不同解剖定位对测量结果的影响.结果 不同解剖定位间平均PPV、PNV存在统计学差异,上段高于下段(P<0.05),两两均数比较,入口段与出口段流速存在差异(P<0.05);而ASV三者间无差异(P>0.05).不同医师测量相同解剖定位时,两次PPV测量结果相关性以中间段最高,相关系数r=0.94,出口段r=0.82,人口段r=0.78.结论 ①中脑导水管不同解剖位置的CSF流速存在差异,上段流速高于下段,而ASV无差异;②导水管中间段测量结果可复性最佳,可作为理想的测速位置.%Objective To explore the correlation and repeatability of the measured results on the same anatomical localization by different surveyor. Methods 32 healthy volunteers were selected for research, including 15 males and 17 female, aged 18~30 yeas old, mean 25. 4 ± 3. 4 yeas old. We measured CSF flow of the aqueduct with 3T MR on different anatomical localization repeatedly. All volunteers were examined by two physicians independently and all images were postpro-cessed by another physician. The localizer was placed perpendicular to the inlet, ampulla, pars posterior of the aqueduct on the median sagittal T2-weighted image. The region of interest (ROD was drew in the amplitude image when

  2. Large Duodenal Gastrointestinal Stromal Tumor Presenting with Acute Bleeding Managed by a Whipple Resection. A Review of Surgical Options and the Prognostic Indicators of Outcome

    Directory of Open Access Journals (Sweden)

    Norman Oneil Machado

    2011-03-01

    Full Text Available Context Duodenal gastrointestinal stromal tumors (GISTs are uncommon and constitute a relatively small subset of GISTs which presents a unique dilemma having various surgical options. A case of a large ulcerating duodenal GIST arising from the second and third parts of the duodenum and involving the pancreas which was managed by a Whipple resection is presented. The literature is also reviewed to present the current status on surgical options, outcome, prognostic indicators and the role of imatinib mesylate in its management. Case report A 58-year-old patient presented with acute gastrointestinal bleeding which was diagnosed to be due to a duodenal GIST following CT scan and endoscopic biopsy. The mass which measured about 10x9 cm originated from the 2nd part and extended into the 3rd part of the duodenum. He underwent a Whipple resection, and histopathology confirmed a duodenal GIST having a greater than 10 mitotic count per fifty high power field and areas of necrosis. Postoperatively, he received imatinib mesylate 400 mg bid; however, 4 months later, he presented with multiple disseminated peritoneal metastases and succumbed to the disease 2 months later. Conclusion GISTs of the duodenum which are small in size and do not involve the papilla of Vater are better resolved using a limited resection of the duodenum since the outcome in terms of operative risk or disease recurrence is not influenced in these cases. However, large tumors with more extensive involvement would require a pancreaticoduodenectomy to achieve adequate tumor clearance. Even though duodenal GISTs have a relatively better prognosis as compared to GISTs at other sites, their aggressiveness ranges from small indolent tumors to aggressive sarcomas. Following tumor resection, a recurrence rate of about 40% has been reported. A more favorable prognosis in duodenal GISTs is attributed to a lower prevalence of P53 loss, the duodenal location of the tumor, a smaller size of the

  3. American Prometheus. The Triumph and Tragedy of J. Robert Oppenheimer. Biography; J. Robert Oppenheimer. Die Biographie

    Energy Technology Data Exchange (ETDEWEB)

    Bird, Kai; Sherwin, Martin J.

    2009-07-01

    A definitive portrait of legendary scientist J. Robert Oppenheimer, the ''father'' of the atomic bomb, discusses his seminal role in the twentieth-century scientific world, as well as his lesser-known roles as family man, supposed communist, and head of Princeton's Institute for Advanced Studies. ''American Prometheus'' is a rich evocation of America in mid-century and a compelling portrait of scientist J. Robert Oppenheimer, a man shaped by its major events--the Depression, World War II, and the Cold War. (orig.) [German] J. Robert Oppenheimer (1904-1967), der ''Vater der Atombombe'', zaehlt zu den schillerndsten Figuren der juengeren Zeitgeschichte. Fuer ihre glaenzende Biographie des ''amerikanischen Prometheus'' erhielten der Journalist Kai Bird und der Historiker Martin J. Sherwin den Pulitzer-Preis. Exemplarisch lassen sie das Drama eines Forschers lebendig werden, der sich zwischen Erkenntnisdrang und ethischer Verantwortung entscheiden muss. Oppenheimer leitete das streng geheime Manhattan-Projekt in der Wueste von New Mexico, wo am 16. Juli 1945 die erste Atombombe gezuendet wurde. Kurz darauf starben in Hiroshima und Nagasaki mehr als 200 000 Menschen durch die neue ''Wunderwaffe'' - die Menschheit war ins Atomzeitalter eingetreten. Erschuettert von der Zerstoerungskraft seiner Schoepfung, engagierte sich Oppenheimer fortan gegen den Einsatz nuklearer Waffen. Das machte ihn im Amerika der McCarthy-Aera verdaechtig. Er geriet ins Visier des FBI, wurde als Spion der Sowjetunion verleumdet und musste den Staatsdienst quittieren. Sein Privatleben wurde an die Oeffentlichkeit gezerrt, seine Wohnung verwanzt, sein Telefon abgehoert. Erst 1963 rehabilitierte ihn Praesident Kennedy. Ueber dreissig Jahre hinweg haben die Autoren Interviews mit Oppenheimers Angehoerigen, Freunden und Kollegen gefuehrt, FBI-Akten gesichtet, Tonbaender von Reden und Verhoeren

  4. A secondary copulatory structure in a female insect: a clasp for a nuptial meal?

    Science.gov (United States)

    Gwynne, Darryl T.

    2002-03-01

    Secondary copulatory structures are well-known in male dragonflies and spiders. Here I report a secondary copulatory organ in female ground weta, Hemiandrus pallitarsis (Ensifera, Orthoptera - crickets and allies). The organ, located on the underside of the abdomen, appears to secure the male's genitalia during the transfer of a spermatophylax nuptial meal to this location, an area quite separate from the female's primary copulatory structures, where the sperm ampulla is attached.

  5. Medline Plus

    Full Text Available ... ampulla, where secretions from the seminal vesicle are added. From the ampulla, seminal fluid is propelled forward ... the prostate gland, where a milky fluid is added to form semen. Finally, the semen is ejaculated ...

  6. Plastic or metal stents for benign extrahepatic biliary strictures: a systematic review

    OpenAIRE

    Vleggaar Frank P; van Boeckel Petra GA; Siersema Peter D

    2009-01-01

    Abstract Background Benign biliary strictures may be a consequence of surgical procedures, chronic pancreatitis or iatrogenic injuries to the ampulla. Stents are increasingly being used for this indication, however it is not completely clear which stent type should be preferred. Methods A systematic review on stent placement for benign extrahepatic biliary strictures was performed after searching PubMed and EMBASE databases. Data were pooled and evaluated for technical success, clinical succe...

  7. Duodenal Ampulla Ulcer、Cholelithiasis Combine With Billiary-duodenal Fistula%十二指肠球部溃疡、胆石症合并胆囊十二指肠瘘1例

    Institute of Scientific and Technical Information of China (English)

    王崇文; 邹平稳; 张小燕; 付唆林

    2016-01-01

    胆囊十二指肠漏是胆囊十二指肠之间形成的病理性通道,临床上少见,由于其无特异的临床症状,且早期胃镜阳性检查难发现瘘口,易漏诊.本文对我院1例十二指肠球部溃疡、胆石症合并胆囊十二指肠瘘的临床资料进行回顾性分析,并对该疾病的诊断及治疗做经验性总结.

  8. The modified ampullar approach for vestibular implant surgery: Feasibility and its first application in a human with a long-term vestibular loss

    Directory of Open Access Journals (Sweden)

    Raymond eVan De Berg

    2012-02-01

    Full Text Available Objective: To assess, for the first time in a human with a long-term vestibular loss, a modified approach to the ampullae and the feasibility of evoking a VOR by ampullar stimulation.Material and methods: Peroperative stimulation of the ampullae, using the ampullar approach, was performed under full anaesthesia during cochlear implantation in a 21-year old female patient, who had experienced bilateral vestibular areflexia and sensorineural hearing loss for almost twenty years. Results: The modified ampullar approach was performed successfully with as minimally invasive surgery as possible. Ampullar stimulation evoked eye movements containing vectors congruent with the stimulated canal. As expected, the preliminary electrophysiological data were influenced by the general anaesthesia, which resulted in current spread and reduced maximum amplitudes of eye movement. Nevertheless, they confirm the feasibility of ampullar stimulation.Conclusion: The modified ampullar approach provides safe access to the ampullae using as minimally invasive surgery as possible. For the first time in a human with long-term bilateral vestibular areflexia, it is shown that the VOR can be evoked by ampullar stimulation, even when there has been no vestibular function for almost twenty years. This approach should be considered in vestibular surgery, as it provides safe access to one of the most favourable stimulus locations for development of a vestibular implant.

  9. Digitalised endoscopic retrograde pancreatography (D-ERP): A comparison with ERCP

    Energy Technology Data Exchange (ETDEWEB)

    Soimakallio, S.; Pirinen, A.; Suhonen, M.

    1988-06-01

    Cannulation of the papilla of Vater was successful in 49 out of 65 cases (75.4%) and digital imaging of the pancreas in 38% of cases. Visualisation of the pancreatic duct with D-ERP was comparable to that of conventional ERCP. Absent or faint opacification of the parenchyma was seen in 39.5% of patients. Both methods were equally effective for the diagnosis of pancreatic tumours. D-ERP was better than ERCP for the diagnosis of chronic pancreatitis. Two patients (4.1%) had clinical evidence of mild acute pancreatitis following pancreatic duct injections.

  10. Digitalised endoscopic retrograde pancreatography (D-ERP): A comparison with ERCP

    International Nuclear Information System (INIS)

    Cannulation of the papilla of Vater was successful in 49 out of 65 cases (75.4%) and digital imaging of the pancreas in 38% of cases. Visualisation of the pancreatic duct with D-ERP was comparable to that of conventional ERCP. Absent or faint opacification of the parenchyma was seen in 39.5% of patients. Both methods were equally effective for the diagnosis of pancreatic tumours. D-ERP was better than ERCP for the diagnosis of chronic pancreatitis. Two patients (4.1%) had clinical evidence of mild acute pancreatitis following pancreatic duct injections. (orig.)

  11. Nitric oxide in the bovine oviduct: influence on contractile activity and nitric oxide synthase isoforms localization.

    Science.gov (United States)

    Yilmaz, O; Całka, J; Bukowski, R; Zalecki, M; Wasowicz, K; Jaroszewski, J J; Markiewicz, W; Bulbul, A; Ucar, M

    2012-04-15

    The oviducts of 64 Holstein cows in luteal (early I, early II and late) and follicular phases were evaluated to determine the protein expression and mRNA transcription of different nitric oxide synthase isoforms (eNOS, iNOS, nNOS) as well as the effect of nitric oxide (NO) on spontaneous contractility in vitro. The expression patterns of nitric oxide synthase (NOS) isoforms in isthmus and ampulla (n = 6 for each phase) were determined by immunohistochemistry, reverse transcriptase polymerase chain reaction (RT-PCR) and Western blot analysis. In the contractility studies, longitudinal and circular isolated strips of isthmus and ampulla (n = 10 for each phase) of oviducts located ipsilateral to the luteal structure or preovulatory follicle were treated as follows: a) L-arginine, an endogenous NO donor (10(-8) to 10(-3)m), b) N(ω)-nitro-L-arginine methyl ester (L-NAME), a NOS inhibitor (10(-5)m) and L-arginine (10(-3)m), c) methylene blue (MB), an inhibitor of soluble guanylate (10(-5)m) and L-arginine (10(-3)m) and d) sodium nitroprusside (SNP), an exogenous NO donor (10(-8) to 10(-4)m). Immunohistochemical evaluation revealed that endothelial NOS (eNOS) expression detected in epithelial layer of isthmus and ampulla was strong in early I luteal phase, moderate in follicular phase and weak in other phases. Neuronal NOS (nNOS) immunoreactivity was strong in isthmus and moderate in ampulla, and staining of nerve fibers was observed mostly in early I luteal and follicular phases. All eNOS, nNOS and inducible NOS (iNOS) isoforms were detected by RT-PCR. eNOS and iNOS proteins were evident, whereas nNOS was undetectable by Western blot analysis in the tissue examined. L-arginine applied alone or after L-NAME did not alter or increase the contractile tension of the strips in most tissues examined. However, L-arginine applied after MB increased contractile tension in the strips of ampulla and longitudinal isthmus from early I luteal phase and circular isthmus from

  12. The effect of DDT and its metabolite (DDE) on prostaglandin secretion from epithelial cells and on contractions of the smooth muscle of the bovine oviduct in vitro

    Energy Technology Data Exchange (ETDEWEB)

    Wrobel, Michal H.; Mlynarczuk, Jaroslaw; Kotwica, Jan, E-mail: janko@pan.olsztyn.pl

    2012-03-01

    The insecticide DDT and its metabolite (DDE), due to their lipolytic nature and resistance to biodegradation, are accumulated in the living tissues. In cows, DDT and DDE were found to affect prostaglandin (PG) secretion from the endometrium and contractions of the myometrium. In this study, the impact of both xenobiotics (0.1, 1, 10 or 100 ng/ml) on the function of epithelial cells and muscle strips of bovine oviducts from 1 to 5 day of the oestrous cycle was examined. Therefore the concentration of PGE2 and PGFM (a metabolite of PGF2α) in culture media, mRNA expression of genes involved in PGs synthesis in epithelial cells and the force and amplitude of strips contractions were measured after 2 and 24 or 48 h of incubation. Neither DDT nor DDE affected the viability of cells after 48 h (P > 0.05). Both DDT and DDE increased the concentrations of PGFM in culture medium and secretion of PGE2 after only 2 h of cell culture (P < 0.05). Similar effects were seen for the influence of DDE on amount of PGFM after 48 h, while DDT decreased secretion of PGE2 (P < 0.05). DDT after 2 h increased (P < 0.05) mRNA expression of PGF2α synthase (PGFS), while both xenobiotics decreased (P < 0.05) mRNA expression of cyclooxygenase-2 (COX-2) after 24 h. DTT also increased the force of isthmus contractions after 2 h, as did both xenobiotics after 48 h (P < 0.05). Moreover, after 2 and 48 h, DDE stimulated the amplitude of contractions of the isthmus as well as the ampulla, (P < 0.05). The effect of both compounds on oviduct contractions was diminished by indomethacin, which blocks PG synthesis. We conclude that oviductal secretion of prostaglandins is affected, by DDT and DDE. The influence of these xenobiotics on PGF2α and PGE2 secretion and ratio may be part of the mechanism by which both DDT and its metabolite disturb the contractions of oviductal muscle. -- Highlights: ► DDT and its metabolite – DDE are accumulated in the living tissues. ► The insecticides affected PGF2

  13. HIPOPLASIA DEL PULGAR: PRESENTACIÓN CLÍNICA Y RECONSTRUCCIÓN Hipoplasia of the thumb: Clinical presentation and reconstruction

    Directory of Open Access Journals (Sweden)

    Enrique M Vergara Amador

    2008-03-01

    ógicas o renales. Pacientes con deficiencia longitudinal del radio tienen peores resultados que los pacientes que tuvieron hipoplasia única del pulgar. En general los resultados fueron buenos y están de acuerdo con los reportes de la literatura donde escriben que el procedimiento ideal para la reconstrucción de un pulgar hipoplásico tipo IIIb, IV y V sigue siendo la pulgarización.Background. in the genesis of the partial or total absence of the thumb they are genetic, environmental factors or a combination of both. It is take part of a syndrome or to be isolated and frequently associated with problems of radial longitudinal deficiency of the forearm. Objective. The purpose of this study is mostar the experience, the focus of the processing and the results obtained since the point esthetic and functional view. The most it accepted classification is the proposal by Blauth that helps to determine the forecast and the processing. Materials and methods. it is a work type series of cases in 22 children with hipoplasia of the thumb, with a minimum of 12 months, (average 28 months. In 15 cases there were association of radial dysplasia or another anomaly among them 4 patients with VATER, and the 7 remaining they corresponded to hipoplasia of the thumb as only entity. We carried out tendon transfer, with opening of the first comisure in 2 patients with hipoplasia type II. In 3 patients, with hipoplasia type III A, one carries out corner opening, transfer of the superficial flexor of the 4 finger to correct instability of the articulation MF and opposition of the thumb, and transfer for extension of the thumb. In 17 cases one carries out pollicization of the index. Results. The outcome was evaluated in: non pinch, lateral pinch and fingertip pinch; the grade of opposition like good, minimal and non opposition, and the aesthetic result according to the satisfaction of the parents in bad, regular and good. The five children reconstructed with transfers of tendons and comisure

  14. Comprehensive review of the anatomy and physiology of male ejaculation: Premature ejaculation is not a disease.

    Science.gov (United States)

    Puppo, Vincenzo; Puppo, Giulia

    2016-01-01

    Human semen contains spermatozoa secreted by the testes and a mixture of components produced by the bulbo-urethral and Littre (paraurethral) glands, prostate, seminal vesicles, ampulla, and epididymis. Ejaculation is used as a synonym for the external ejection of semen, but it comprises two phases: emission and expulsion. As semen collects in the prostatic urethra, the rapid preorgasmic distension of the urethral bulb is pathognomonic of impeding orgasm, and the man experiences a sensation that ejaculation is inevitable (in women, emission is the only phase of orgasm). The semen is propelled along the penile urethra mainly by the bulbocavernosus muscle. With Kegel exercises, it is possible to train the perineal muscles. Immediately after the expulsion phase the male enters a refractory period, a recovery time during which further orgasm or ejaculation is physiologically impossible. Age affects the recovery time: as a man grows older, the refractory period increases. Sexual medicine experts consider premature ejaculation only in the case of vaginal intercourse, but vaginal orgasm has no scientific basis, so the duration of intercourse is not important for a woman's orgasm. The key to female orgasm are the female erectile organs; vaginal orgasm, G-spot, G-spot amplification, clitoral bulbs, clitoris-urethra-vaginal complex, internal clitoris and female ejaculation are terms without scientific basis. Female sexual dysfunctions are popular because they are based on something that does not exist, i.e. the vaginal orgasm. The physiology of ejaculation and orgasm is not impaired in premature ejaculation: it is not a disease, and non-coital sexual acts after male ejaculation can be used to produce orgasm in women. Teenagers and men can understand their sexual responses by masturbation and learn ejaculatory control with the stop-start method and the squeeze technique. Premature ejaculation must not be classified as a male sexual dysfunction. It has become the center of a

  15. The Mecyclothorax beetles (Coleoptera, Carabidae, Moriomorphini of Tahiti, Society Islands

    Directory of Open Access Journals (Sweden)

    James Liebherr

    2013-08-01

    Full Text Available The 101 species of Mecyclothorax Sharp known to inhabit Tahiti Island, French Polynesia are taxonomically revised, including 28 species that are newly described: M. claridgeiae sp. n., M. jeanyvesi sp. n., M. poria sp. n., M. aano sp. n., M. papau sp. n., M. manina sp. n., M. everardi sp. n., M. ramagei sp. n., M. pitohitiensis sp. n., M. curtisi sp. n., M. hoeahiti sp. n., M. ninamu sp. n., M. kokone sp. n., M. paahonu sp. n., M. kayballae sp. n., M. ehu sp. n., M. papuhiti sp. n., M. tuea sp. n., M. taatitore sp. n., M. konemata sp. n., M. arboricola sp. n., M. rahimata sp. n., M. oaoa sp. n., M. maninapopoti sp. n., M. hunapopoti sp. n., M. fefemata sp. n., M. maninamata sp. n., and M. niho sp. n. Mecyclothorax muriauxioides Perrault, 1984 is newly synonymized with M. muriauxi Perrault, 1978. Lectotypes are designated for: Thriscothorax altiusculus Britton, 1938; T. bryobius Britton, 1938; Mecyclothorax globosus Britton, 1948: and M. sabulicola Britton, 1948. Dichotomous identification keys augmented by dorsal habitus and male aedeagal photographs are provided to the various species-groups and all included species. The spermatophore of M. papau sp. n. is described, with the ampulla and collar found to correspond dimensionally to the length of the internal sac flagellar plate. Variation among characters of the female reproductive tract is presented for all newly described plus other representative species comprising the radiation. Taxa are assigned to species groups, modified from the classification of G.G. Perrault, based on derived character states polarized using the Australian outgroup taxon Mecyclothorax punctipennis (MacLeay. Much of the species-level diversity on this small Pacific island is partitioned allopatrically over very small distributional ranges. No species is shared between Tahiti Nui and Tahiti Iti, and nearly all species in Tahiti Nui are geographically restricted to one ridgelike massif of that volcano. Cladistically

  16. Salvage Treatment of Pseudoaneurysm Rupture Hemorrhage Patient Fllowing Pancreaticoduodenectomy%胰十二指肠切除术后假性动脉瘤破裂出血纠误挽治

    Institute of Scientific and Technical Information of China (English)

    梁耀杰; 杜俊东; 焦华波; 涂玉亮; 朱自满; 吴雷超; 吕金勇; 金鑫

    2015-01-01

    Objective To explore new ideas for the salvage treatment of pseudoaneurysm rupture hemorrhage patient following pancreaticoduodenectomy. Methods Clinical data of 1 patient with pseudoaneurysm rupture hemorrhage patient af-ter pancreaticoduodenectomy for Vater's ampullary carcinoma was retrospectively analyzed, and relevant literature was also re-viewed. Results After pancreaticoduodenectomy (3 weeks), the patient's condition was complicated with the burst of the splenic artery pseudoaneurysm rupture, and after celiac artery spring bolt and gelatin sponge embolization surgery, postopera-tive hemorrhagic shock, acute liver and kidney dysfunction occurred, and the patient was admitted to our hospital when the circulatory function became stable. Upon admission he developed hypoalbuminemia, multiple liver abscess, abdominal abscess and empyema and after repeated abscess drainage catheter, intravenous nutritional support, broad-spectrum antibiotic therapy, the patient still had persistent fever, and the relapses made the condition worse. Total parenteral nutrition support was suspen-ded and antibiotics and many other medications, endoscopic gastric jejunostomy enteral nutrition support were given, with the secondary psychological counseling and physical exercise, and the condition gradually improved, the patient was able get out of the bed after 2 months. Sleep, diet and mental condition also returned to normal and 3 months later he was discharged. Conclusion Postoperative treatment of critically ill patients should not over-rely on antibiotics and total parenteral nutrition. Attention should be paid promptly to minimally invasive abscess drainage, and enteral nutrition and psychological counseling should be strengthened and the use of antibiotics and other drugs be limited, all of which may be helpful in the rehabilitation of critically ill patients.%目的:总结探讨胰十二指肠切除术后并发假性动脉瘤破裂出血的诊疗新

  17. Diagnostic and interventional radiology in the post-operative period and follow-up of patients after rectal resection with coloanal anastomosis

    Energy Technology Data Exchange (ETDEWEB)

    Severini, A.; Civelli, E.M.; Uslenghi, E.; Cozzi, G.; Salvetti, M.; Milella, M. [Department of Radiology, National Cancer Institute of Milan, via Venezian 1, I-23100 Milan (Italy); Gallino, G.; Bonfanti, G.; Belli, F.; Leo, E. [Department of Surgery, National Cancer Institute of Milan, via Venezian 1, I-23100 Milan (Italy)

    2000-07-01

    Surgical treatment of carcinoma of the distal third of the rectum with anal sphincter preservation is increasingly used in accredited cancer centers. This study aimed to evaluate the diagnostic usefulness of radiological investigations in the management of patients who had undergone resection with coloanal anastomosis for carcinoma of the rectum, in the immediate post-operative period, during closure of the protective colostomy and in the follow-up of symptomatic recanalized patients. A total of 175 patients who had undergone total rectal resection with end-to-side anastomosis for carcinoma of the distal third of the rectal ampulla, most of whom had received postoperative radiotherapy, were evaluated radiologically. In the postoperative period radiological investigation was ordered only for symptomatic patients to detect pathology of the anastomosis and the pouch sutures and was used direct film abdominal radiography and contrast-enhanced radiography of the rectal stump with a water-soluble radio-opaque agent. Before closure of the colostomy, 2 months after rectal excision or approximately 4 months after if postoperative radiotherapy was given, the anastomosis and pouch of all patients, even asymptomatic ones, were studied with water-soluble contrast enema to check for normal canalization. In the follow-up after recanalization radiological examinations were done to complete the study of the large intestine if the endoscopist was not able to examine it up to the cecum. Of the 175 patients examined radiologically during the postoperative period and/or subsequent follow-up, 95 showed no pathological findings. Seventy-nine patients had fistulas of the coloanal anastomosis or the pouch, 23 of which supplied a presacral collection. In the absence of severe sepsis, the only therapeutic measures were systemic antibiotics and washing of the surgical catheters to maintain efficient operation. In 2 patients in whom transanal drainage was performed radiologically the fistula

  18. Diagnostic and interventional radiology in the post-operative period and follow-up of patients after rectal resection with coloanal anastomosis.

    Science.gov (United States)

    Severini, A; Civelli, E M; Uslenghi, E; Cozzi, G; Salvetti, M; Milella, M; Gallino, G; Bonfanti, G; Belli, F; Leo, E

    2000-01-01

    Surgical treatment of carcinoma of the distal third of the rectum with anal sphincter preservation is increasingly used in accredited cancer centers. This study aimed to evaluate the diagnostic usefulness of radiological investigations in the management of patients who had undergone resection with coloanal anastomosis for carcinoma of the rectum, in the immediate post-operative period, during closure of the protective colostomy and in the follow-up of symptomatic recanalized patients. A total of 175 patients who had undergone total rectal resection with end-to-side anastomosis for carcinoma of the distal third of the rectal ampulla, most of whom had received postoperative radiotherapy, were evaluated radiologically. In the postoperative period radiological investigation was ordered only for symptomatic patients to detect pathology of the anastomosis and the pouch sutures and was used direct film abdominal radiography and contrast-enhanced radiography of the rectal stump with a water-soluble radio-opaque agent. Before closure of the colostomy, 2 months after rectal excision or approximately 4 months after if postoperative radiotherapy was given, the anastomosis and pouch of all patients, even asymptomatic ones, were studied with water-soluble contrast enema to check for normal canalization. In the follow-up after recanalization radiological examinations were done to complete the study of the large intestine if the endoscopist was not able to examine it up to the cecum. Of the 175 patients examined radiologically during the postoperative period and/or subsequent follow-up, 95 showed no pathological findings. Seventy-nine patients had fistulas of the coloanal anastomosis or the pouch, 23 of which supplied a presacral collection. In the absence of severe sepsis, the only therapeutic measures were systemic antibiotics and washing of the surgical catheters to maintain efficient operation. In 2 patients in whom transanal drainage was performed radiologically the fistula

  19. Study of responsible arteries of duodenal ulcer hemorrhage and the significance of transcatheter arterial embolization%十二指肠溃疡出血责任动脉的研究及在栓塞治疗中的意义

    Institute of Scientific and Technical Information of China (English)

    李强; 吴亮; 汤继军

    2014-01-01

    Objective To study the responsible arteries of duodenal ulcer hemorrhage and the significance of transcatheter arterial embolization.Methods There were 1 7 patients of massive bleeding of duodenal ulcer,in which 1 6 patients were diagnosed and 8 ca-ses were treated by endoscope initially.DSAs were performed at gastr-oduodenal arteries or their ramus in all patients.DSA signs were analysed by two salted docters together.At first the responsible ar-teries for duodenal ulcer hemorrhage were affirmed,and then endo-vascular embolization was performed.Results The responsible arteries for duodenal ampulla ulcer hemorrhage were the ascending duodenal artery(ADA)、the pancreaticoduodenal trunk(PDT)、the supraduodenal artery(SDA)and the retroduodenal artery (RDA).The responsible arteries for descendant duodenum ulcer hemorrhage were the anterior superior pancreaticoduodenal artery (ASPDA)and the posterior superior pancreaticoduodenal artery(PSPDA).The positive rate of bleeding that showed the signs of bleeding was 100%,the s-uccess rate of the operations was 100%,the complete efficiency ra-te of hemostasis was 88.2%,the par-tial efficiency rate of hemostas was 1 1.8%.Conclusion The responsible arteries of duodenal ulcer hemorrhage are multiples,which is important for guiding transcatheter arterial embolization of the responsible arteries of duodenal ulcer hemorrhage accurately.%目的:探讨十二指肠溃疡出血的责任动脉及在栓塞治疗中的意义。方法17例十二指肠溃疡大出血患者,分析其 DSA表现,判定出血的责任动脉,然后实施栓塞治疗。结果十二指肠球部溃疡出血的责任动脉为十二指肠升动脉(ADA)、十二指肠胰干(PDT)、十二指肠上动脉(SDA)、十二指肠后动脉(RDA),十二指肠降部溃疡出血的责任动脉为胰十二指肠上前动脉(ASPDA)和胰十二指肠上后动脉(PSPDA)。结论十二指肠溃疡出血的责任动脉众多,准确判定十二指肠溃疡出血的责任动

  20. A study on the changing of the irradiated mice salivary glands and it's influence to the pancreas

    Energy Technology Data Exchange (ETDEWEB)

    Funahara, Takayuki; Nasu, Masanori; Furumoto, Keiichi (Nippon Dental Univ., Tokyo (Japan))

    1991-02-01

    X-ray irradiation (10 Gy) was given to the salivary gland in mice. Protein and glycoprotein syntheses in the salivary glands and pancreas were examined by using {sup 3}H-leucine and {sup 14}C-acetylglucosamine as tracers. Quantitative analysis of serum amylase and histochemical examination were also conducted. Uptake of {sup 3}H-leucine was low in the parotid, submandibular, and sublingual glands 3 and 7 days after irradiation, which were close to those in the non-irradiated group 21 days after irradiation. Uptake of {sup 14}C-acetylglucosamine in the parotid, submandibular, and sublingual glands varied with time, which was similar to that of {sup 3}H-leucine uptake. The uptake of both {sup 14}C-acetylglucosamine and {sup 3}H-leucine in the pancreas, as opposed to that in the salivary glands, varied with time, with the highest levels on Days 3 and 7, respectively. Serum amylase level, determined by the maltopentaose method, was 5,341+-772 mU/ml in the non-irradiated group. On Day 3, it was 6,706+-583 mU/ml. This was slightly higher than the level in the non-irradiated group on Days 7 and 21, with no statistically significant difference. Hematoxylin-eosin staining revealed hypertrophy of the glandular cells on Day 3, atrophy of the glandular cells on Day 7, and irregular cell arrangement on Day 21 for the parotid gland; and atrophied granular ampulla on Day 3, and hypertrophy on Day 7 for the submandibular gland. No marked changes were observed in either the sublingual gland or pancreas. Ninhydrin staining revealed a decreased stainability in the submandibular gland on Day 3; and an increased stainability in the pancreas on Day 7. In conclusion, protein and glycoprotein syntheses in the salivary glands after X-ray irradiation of 10 Gy decreased on Days 3 and 7, respectively. This seemed to be associated with compensatory function of the pancreas. (N.K.).

  1. Magnetic field effects on the vestibular system: calculation of the pressure on the cupula due to ionic current-induced Lorentz force

    Science.gov (United States)

    Antunes, A.; Glover, P. M.; Li, Y.; Mian, O. S.; Day, B. L.

    2012-07-01

    Large static magnetic fields may be employed in magnetic resonance imaging (MRI). At high magnetic field strengths (usually from about 3 T and above) it is possible for humans to perceive a number of effects. One such effect is mild vertigo. Recently, Roberts et al (2011 Current Biology 21 1635-40) proposed a Lorentz-force mechanism resulting from the ionic currents occurring naturally in the endolymph of the vestibular system. In the present work a more detailed calculation of the forces and resulting pressures in the vestibular system is carried out using a numerical model. Firstly, realistic 3D finite element conductivity and fluid maps of the utricle and a single semi-circular canal containing the current sources (dark cells) and sinks (hair cells) of the utricle and ampulla were constructed. Secondly, the electrical current densities in the fluid are calculated. Thirdly, the developed Lorentz force is used directly in the Navier-Stokes equation and the trans-cupular pressure is computed. Since the driving force field is relatively large in comparison with the advective acceleration, we demonstrate that it is possible to perform an approximation in the Navier-Stokes equations that reduces the problem to solving a simpler Poisson equation. This simplification allows rapid and easy calculation for many different directions of applied magnetic field. At 7 T a maximum cupula pressure difference of 1.6 mPa was calculated for the combined ampullar (0.7 µA) and utricular (3.31 µA) distributed current sources, assuming a hair-cell resting current of 100 pA per unit. These pressure values are up to an order of magnitude lower than those proposed by Roberts et al using a simplistic model and calculation, and are in good agreement with the estimated pressure values for nystagmus velocities in caloric experiments. This modeling work supports the hypothesis that the Lorentz force mechanism is a significant contributor to the perception of magnetic field induced vertigo.

  2. Magnetic field effects on the vestibular system: calculation of the pressure on the cupula due to ionic current-induced Lorentz force.

    Science.gov (United States)

    Antunes, A; Glover, P M; Li, Y; Mian, O S; Day, B L

    2012-07-21

    Large static magnetic fields may be employed in magnetic resonance imaging (MRI). At high magnetic field strengths (usually from about 3 T and above) it is possible for humans to perceive a number of effects. One such effect is mild vertigo. Recently, Roberts et al (2011 Current Biology 21 1635-40) proposed a Lorentz-force mechanism resulting from the ionic currents occurring naturally in the endolymph of the vestibular system. In the present work a more detailed calculation of the forces and resulting pressures in the vestibular system is carried out using a numerical model. Firstly, realistic 3D finite element conductivity and fluid maps of the utricle and a single semi-circular canal containing the current sources (dark cells) and sinks (hair cells) of the utricle and ampulla were constructed. Secondly, the electrical current densities in the fluid are calculated. Thirdly, the developed Lorentz force is used directly in the Navier-Stokes equation and the trans-cupular pressure is computed. Since the driving force field is relatively large in comparison with the advective acceleration, we demonstrate that it is possible to perform an approximation in the Navier-Stokes equations that reduces the problem to solving a simpler Poisson equation. This simplification allows rapid and easy calculation for many different directions of applied magnetic field. At 7 T a maximum cupula pressure difference of 1.6 mPa was calculated for the combined ampullar (0.7 µA) and utricular (3.31 µA) distributed current sources, assuming a hair-cell resting current of 100 pA per unit. These pressure values are up to an order of magnitude lower than those proposed by Roberts et al using a simplistic model and calculation, and are in good agreement with the estimated pressure values for nystagmus velocities in caloric experiments. This modeling work supports the hypothesis that the Lorentz force mechanism is a significant contributor to the perception of magnetic field induced vertigo.

  3. Cryptosporidium spp. infection in mares and foals of the northwest region of São Paulo State, Brazil Infecção por Cryptosporidium spp. em éguas e potros da região noroeste do estado de São Paulo, Brasil

    Directory of Open Access Journals (Sweden)

    Sandra Valéria Inácio

    2012-12-01

    Full Text Available The present study aimed to analyze the occurrence of infection by Cryptosporidium spp. in mares and their respective foals. This study was carried out in 11 farms located in the municipalities of Araçatuba, Birigui, Guararapes and Santo Antônio do Aracangua, in the northwest region of the State of Sao Paulo, from November 2010 to March 2011. A total of 98 mares and 98 foals of several breeds were analyzed; among foals, 59 were males and 39 females, aged from three to 330 days. Feces were collected directly from the rectal ampulla, purified and processed according to modified Kinyoun stain. Occurrence of Cryptosporidium spp. was 21.4% (21/98 for foals and 18.4% (18/98 for mares. Occurrence of Cryptosporidium spp. had significant association with breeds and age of animals. Results obtained led to the conclusion that foals older than two months and Mangalarga animals are less susceptible to the occurrence of Cryptosporidium spp.O presente estudo teve como objetivo analisar a ocorrência da infecção por Cryptosporidium spp. em éguas e seus respectivos potros. Este estudo foi realizado em 11 fazendas localizadas nos municípios de Araçatuba, Birigui, Guararapes e Santo Antônio do Aracangua, na região Noroeste do Estado de São Paulo, de novembro de 2010 a março de 2011. Um total de 98 éguas e 98 potros de diversas raças foram analisados, sendo que, entre os filhotes, 59 eram machos e 39 fêmeas, cujas idades variavam de três até 330 dias. Fezes foram colhidas diretamente da ampola retal, purificadas e processadas pela técnica de Kinyoun modificada. A ocorrência de Cryptosporidium spp. observada foi de 21,4% (21/98 para potros e 18,4% (18/98 para éguas. A ocorrência de Cryptosporidium spp. teve uma associação significativa com a raça e a idade dos animais. A partir dos resultados obtidos, conclui-se neste estudo que potros com idade superior a dois meses e animais da raça Mangalarga foram menos susceptíveis à ocorrência de

  4. Analysis on the Value of Iodine Contrast Medium on the Urologic Disease%碘造影剂对泌尿系疾病的诊断价值分析

    Institute of Scientific and Technical Information of China (English)

    张茵

    2013-01-01

    目的:评价碘造影剂泛影葡胺对泌尿系疾病的诊断价值。方法:回顾静脉肾盂造影患者的资料,2005年~2009年行静脉肾盂造影患者共122例,男性82例,女性40例。对照组122例。结果:造影检查发现,梗阻性肾病73例,多囊肾13例,慢性肾盂肾炎14例,先天性壶腹肾盂16例,先天性单侧双肾盂、双输尿管1例,单侧输尿管狭窄3例,2例因肾盂积水严重,输尿管不显影,无法明确诊断。结论:碘造影剂泛影葡胺价格低廉,使用时简便宜行,适合基层医院开展检查,基本能达到诊断目的。%Objective:To evaluate the value of the Iodine contrast medium meglumine diatrizoate on the Urologic disease .Methods:After Reviewing the information of the Intravenous pyelography sufferers ,from 2005 to 2009 there were totally 122 cases of Intravenous py-elography sufferers,male 82 cases, female 40 cases .control group 122 cases.Result:As a result of the contrast examination ,there were 73 cases of obstructive nephropathy , 13 cases of Polycystic kidney , 14 cases of chronic pyelonephritis , 16 cases of congenital ampulla of pelvis,1 case of congenital unilateral double pelvis and congenital unilateral double ureter ,3 cases of Unilateral ureteral stenosis .For the reason of the serious hydronephrosis ,ureter can't develop ,2 cases were unable to confirm the diagnosis .Conclusion:Iodine contrast medi-um meglumine diatrizoate is cheap and convenient ,Suitable for primary hospital to carry out inspection .It can basically meet the diagnostic purposes.

  5. Tricks and tips in pancreatoduodenectomy

    Institute of Scientific and Technical Information of China (English)

    Anna; Pallisera; Rafael; Morales; Jose; Manuel; Ramia

    2014-01-01

    Pancreaticoduodenectomy(PD) is the standard surgical treatment for tumors of the pancreatic head, proximal bile duct, duodenum and ampulla, and represents the only hope of cure in cases of malignancy. Since its initial description in 1935 by Whipple et al, this complex surgical technique has evolved and undergone several modifications. We review three key issues in PD:(1) the initial approach to the superior mesenteric artery, known as the artery-first approach;(2) arterial complications caused by anatomic variants of the hepatic artery or celiac artery stenosis; and(3) the extent of lymphadenectomy.

  6. Duodenopancreatectomias: análise de 39 pacientes Pancreaticoduodenectomies: analysis of 39 patients

    Directory of Open Access Journals (Sweden)

    Orlando Jorge Martins Torres

    2007-02-01

    Full Text Available OBJETIVO: Pretendemos neste estudo analisar 39 pacientes submetidos à duodenopancreatectomia. MÉTODO: No período de julho de 1998 a março de 2004, trinta e nove pacientes foram submetidos a duodenopancreatectomia no Hospital Universitário da Universidade Federal do Maranhão. Foram analisados os dados epidemiológicos, o quadro clínico, os métodos radiológicos, as indicações da operação e as complicações encontradas . RESULTADOS: Havia 22 pacientes do sexo masculino (56,4% e 17 pacientes do sexo feminino (43,6% com média de idade de 54,9 anos (variação de 21-82 anos. O exame radiológico mais utilizado foi a tomografia computadorizada. O diagnóstico histológico definitivo revelou adenocarcinoma periampolar em 35 pacientes (89,7%, pancreatite crônica (três pacientes - 7,7% e adenocarcinoma colo-retal (um paciente - 2,6%. O adenocarcinoma periampolar mais freqüente foi o carcinoma ductal do pâncreas (27 pacientes - 69,2%, seguido por carcinoma de papila de Vater ( cinco pacientes - 12,8%, adenocarcinoma duodenal (dois pacientes - 5,1% e carcinoma de via biliar distal (um paciente - 2,6%. As complicações pulmonares foram as mais freqüentes sendo encontradas em cinco pacientes (12,8%, a sepse peritoneal em quatro pacientes (10,2%, fístula pancreática em três pacientes (7,6% e a hemorragia0 intra-abdominal em três pacientes (7,6%. A mortalidade intra-hospitalar em 30 dias foi 10,2 % (quatro pacientes. CONCLUSÃO: A duodenopancreatectomia ainda está associada a morbidade considerável. Entretanto com uma seleção adequada destes pacientes este procedimento pode ser realizado de forma segura com melhores resultados.BACKGROUND: The aim of this study is to analyze 39 patients underwent Whipple's operation. METHOD: In the period from July 1998 to March 2004, thirty-nine patients underwent pancreaticoduodenectomy at University Hospital, Federal University of Maranhão. The diagnosis was made on the basis of computed

  7. CORRESPONDENCIA

    Directory of Open Access Journals (Sweden)

    Consuelo Restrepo

    2010-06-01

    Full Text Available Letter to the Editor:Given the academic spirit of Colombia Médica, let us make some comments on the article «Unilateral renal agenesis: case review of ambulatory pediatric nephrology clinics in Cali, by Dr. Consuelo Restrepo de Rovetto et al.1As for the assertion «There are no national or local statistics in Colombia to know the frequency, clinical aspects and complications of this anomaly» even when it is true that in our country there is little information on the epidemiological behavior of this type of pathology, we have found in the literature two articles: one published by Zarante et al. in Biomédica in 2010 (published online since 01.09.09, which mentions a prevalence of unilateral renal agenesis of 0.94 per 10,000, in the evaluation of 52,744 births in four Colombian cities2. Another article published by García et al.3 in the same journal in 2003, reported a prevalence of unilateral agenesis or kidney dysplasia of 1.76 per 10,000 births in the evaluation of 5686 births in Bogotá.Additionally, in the results section «Single kidney associated to other pathologies was found in 46.5% cases: occult spina bifida and congenital scoliosis, three cases; anorectal malformations, 3 cases; chromosome syndromes, 2 cases; Klippel-Feil syndrome, two cases; cryptorchidie, 1 case; tricuspid insufficiency, 1 case; pre-auricular appendix in 1 case, and a case of morbid obesity. No patient with myeloid-Vater sequence or meningocele was found», which states that no patients were found with a diagnosis of Vater sequence. We would like to clarify that the term Vater sequence is currently not appropriate and it has been replaced by the term VACTERL association from the acronym vertebral defects, anal atresia, cardiac defects, tracheo-esophageal fistula, renal malformations, and limb defects4. The term association refers to «the occurrence of multiple idiopathic congenital malformations during blastogenesis»5. Given this definition, and knowing that

  8. Letter to the Editor

    Directory of Open Access Journals (Sweden)

    Paula Hurtado

    2010-06-01

    Full Text Available Given the academic spirit of Colombia Médica, let us make some comments on the article «Unilateral renal agenesis: case review of ambulatory pediatric nephrology clinics in Cali, by Dr. Consuelo Restrepo de Rovetto et al.1 As for the assertion «There are no national or local statistics in Colombia to know the frequency, clinical aspects and complications of this anomaly» even when it is true that in our country there is little information on the epidemiological behavior of this type of pathology, we have found in the literature two articles: one published by Zarante et al. in Biomédica in 2010 (published online since 01.09.09, which mentions a prevalence of unilateral renal agenesis of 0.94 per 10,000, in the evaluation of 52,744 births in four Colombian cities2. Another article published by García et al.3 in the same journal in 2003, reported a prevalence of unilateral agenesis or kidney dysplasia of 1.76 per 10,000 births in the evaluation of 5686 births in Bogotá. Additionally, in the results section «Single kidney associated to other pathologies was found in 46.5% cases: occult spina bifida and congenital scoliosis, three cases; anorectal malformations, 3 cases; chromosome syndromes, 2 cases; Klippel-Feil syndrome, two cases; cryptorchidie, 1 case; tricuspid insufficiency, 1 case; pre-auricular appendix in 1 case, and a case of morbid obesity.  No patient with myeloid-Vater sequence or meningocele was found», which states that no patients were found with a diagnosis of Vater sequence. We would like to clarify that the term Vater sequence is currently not appropriate and it has been replaced by the term VACTERL association from the acronym vertebral defects, anal atresia, cardiac defects, tracheo-esophageal fistula, renal malformations, and limb defects4. The term association refers to «the occurrence of multiple idiopathic congenital malformations during blastogenesis»5. Given this definition, and knowing that there are no

  9. Cupula-receptor cell relationships with evidence provided by SEM microdissection.

    Science.gov (United States)

    Barber, V C; Emerson, C J

    1979-01-01

    Ampullae from the inner ear of the skate, Raja ocellata, were examined by SEM to further elucidate the relationships of the sensory hairs of the receptor cells to the overlying cupula. Specimens were prepared by a variety of methods and were fractured to visualize these relationships. Critical point drying resulted in good cellular and sensory hair preservation, but the cupulae were grossly shrunken. Freeze-dried cupulae, in contrast, more closely approximated the in vivo condition. Although tissues suffered freezing damage, sensory hair bundles were readily discerned. In both critical point dried and freeze-dried ampullae, the peripheral hair cell bundles and the kinocilia of most of the central hair cells, extended across the subcupular space and contacted the cupular material. Some of the specimens were further investigated by dissection in the SEM, the process being viewed in real time stereo. Microdissection confirmed that most kinocilia were attached to the cupula. When the cupula was displaced, sensory hair bundles remained attached to it and broke preferentially at their base from the receptor cells.

  10. 21例Crouzon综合征头颅三维CT分析%3D CT analysis of 21 cases of Crouzon syndrome

    Institute of Scientific and Technical Information of China (English)

    谢毓芝; 林涛; 朱凌; 朱文静

    2015-01-01

    目的:探讨Crouzon综合征CT影像表现。方法回顾性分析21例Crouzon综合征患者的头颅三维CT影像资料,总结其异常CT表现。结果 Crouzon综合征头颅三维影像表现包括颅骨、眼眶、面中部及颈椎的异常。颅骨:5例舟状头畸形,4例尖头畸形,3例短头畸形;15例颅骨内板“指压迹”,12例垂体窝增大;6例双侧内听道壶腹样扩大,2例双侧内听道狭窄;8例共10侧颈静脉球高位;8例蝶骨体发育不良;12例双侧外耳道向下倾斜,2例3侧骨性外耳道闭锁。眼眶:21例均表现为不同程度双侧眼眶外侧壁夹角增大,眶距增宽,眼眶变浅,眼球突出,视神经迂曲。面中部:21例病例均有不同程度面中部凹陷,下颌骨相对前突;16例表现为鼻中隔偏曲;14例表现为腭弓高耸;2例表现为鼻泪管缩短,管径增宽。颈椎:5例颈椎融合畸形;1例椎体蝴蝶椎。结论 Crouzon综合征颅CT表现纷繁多样,诊断时多平面重建及三维影像结合观察,可对这一少见疾病的正确诊断提供帮助。%Objective To discuss CT findings of Crouzon syndrome. Methods The imaging data of 3D skull CT in 21 cases with Crouzon syndrome were analyzed retrospectively. Results The malformation involved skull, orbit, midface and cervical spine. The CT abnormalities of skull included scaphocephaly in 5 cases, oxycephaly in 4 cases, brachycephaly in 3 cases, diffuse indentation of inner table of skull in 15 cases, widening of hypophysial fossa in 12 cases, ampulla-type internal auditory canal in 6 cases, internal auditory canal stenosis in 2 cases, 10 sides high riding jugular bulb in 8 cases, corpora ossis sphenoidalis dysplasia in 8 cases, downward sloping external acous-tic meatus in 12 cases, 3 sides atresia of external auditory canal in 2 cases. CT abnormalities of orbit included in-creased lateral orbital wall angle, hypertelorism, shallow orbit, proptosis and circuitous optic

  11. Un modelo descriptivo del sistema reproductor hembra del coipo (Myocastor coypus II: los órganos tubulares (A descriptive model of the female reproductive system of coypu (Myocastor coypus II: tubular organs

    Directory of Open Access Journals (Sweden)

    Felipe, A. E.

    2006-03-01

    prominence. The mucous tunic of infundibulum and ampulla had many longitudinal folds with fine secondary and tertiary branches. Folds were low and undivided at the isthmus. The mucosa of the oviducts was covered by high epithelium. The double uterus consisted of two uteri with cavities quite independent from each other. A gross septum separated the cervical canals which still remained separately in the dorsal surface of the cervix. The mucous epithelium of the horns was composed of ciliated cylindrical cells that contained oval nuclei in basal position. There were abundant endometrial glands in the horns. The epithelium of the endocervix was composed of large columnar cells, with a mucus-secreting appearance. All along the uterine horns the lamina propria was composed of a lax connective tissue. The myometrium was very well-developed. The perimetrium was a serous membrane with many longitudinal muscle fibres. The vagina was a tubular organ. The fornix was divided into five cul-de-sacs. The vaginal mucosa was covered by a stratified squamous epithelium. The connective-epithelial junction was notably irregular due to the presence of many connective papillae which projected themselves from the lamina propria into the basal epithelium. The general morphology of the reproductive organs of the Myocastor coypus is typical of the hystricomorph rodents studied.

  12. Berufstätige Mütter und sozial-emotionale Kompetenzen ihrer Kinder

    OpenAIRE

    Röhr-Sendlmeier, Una M.; Bergold, Sebastian; Jöris, Andreas; Cummings, Anna Verena; Heim, Karin; Johannen, Eva

    2012-01-01

    "Bei 985 vollständigen Familien mit Kindern der 3., 4. und 6. Klassen aus Grundschulen, Hauptschulen, Realschulen und Gymnasien wurde in einer Querschnittsuntersuchung die Beziehung zwischen der Berufstätigkeit der Mutter und sozial- emotionalen Kompetenzen der Kinder untersucht. Die Aufgabenübernahme des Vaters (erfragt vom Vater), das Wohlbefinden und der praktizierte Erziehungsstil der Mutter (erfragt von der Mutter) wurden als vermittelnde Variablen für den postulierten Zusammenhang angen...

  13. Risk Factors of Persistent Ectopic Pregnancy after Laparoscopic Conservative Surgery for Tubal Pregnancy%腹腔镜保守性手术后持续性异位妊娠的有关因素分析

    Institute of Scientific and Technical Information of China (English)

    黄晓斌; 柳晓春; 郑玉华; 冯敏清; 罗美玲

    2012-01-01

    Objective To study the risk factors of persistent ectopic pregnancy (PEP) following laparoscopic conservative surgery for tubal pregnancy. Methods Since January 2007 to December 2011, we performed laparoscopic conservative surgery on 2105 patients with tubal pregnancy, 27 of them ( 1. 3% ) developed PEP after the procedure. We analyzed the risk factors of PEP based on the data of these patients. Results Among the 27 patients, 26 were cured with MTX, and the other were cured after a emergency operation for abdominal hemorrhage. Univariate analysis showed that PEP is correlated with preoperative serum levels of p-hCG ( ≥ 4000 U/L) and pregnendione ( ≥ 30 nmol/L) , as well as the site of pregnancy (x2 = 66. 512 , P = 0. 000; x2 = 85. 093 , P=0.000;x2 =9. 918, P = 0. 019). There existed significant difference in the rate of PEP between the patients had the tubal pregnancy at the intramural oviduct and those at the isthmus and ampulla (x = 4. 182, P = 0. 041 ; ;x2 = 4. 992, P = 0. 025 ) . Length of menelipsis, age, size of lesion, history of cesarean section are not related to the incidence of PEP (P > 0. 05 ). Conclusion Preoperative serum levels of β-hCG ( ≥ 4000 U/L) and pregnendione ( ≥30 nmol/L) , as well as the site of pregnancy are risk factors of PEP.%目的 探讨腹腔镜保守性手术后持续性异位妊娠(persistent ectopic pregnancy,PEP)的有关因素. 方法 2007年1月~2011年12月对2105例输卵管妊娠行腹腔镜保守性手术,27例术后发生PEP,发生率1.3%,对腹腔镜保守性手术后PEP的有关因素进行分析. 结果 26例PEP甲氨蝶呤(MTX)药物治疗治愈,1例PEP因腹腔内出血急诊手术治愈.对有关因素进行单因素分析显示,PEP的发生与术前血清β-hCG≥4000 U/L、术前血清孕酮≥30 nmol/L和妊娠部位有关(x2=66.512,P=0.000;x2=85.093,P=0.000;x2=9.918,P=0.019),其中间质部与峡部、壶腹部的PEP发生率有统计学差异(x2 =4.182,P=0.041;x2 =4.992,P =0.025);停经时间

  14. Therapeutic value of endoscopic metal pyloric stent implantation for gastric outlet obstruction%经内镜放置幽门金属支架对胃出口梗阻的治疗价值

    Institute of Scientific and Technical Information of China (English)

    朱静; 张杰; 陈婧; 郎海波; 于剑锋; 郝建宇

    2012-01-01

    目的 探讨经内镜放置幽门金属支架对胃出口梗阻的治疗价值.方法 对2008年1月至2012年1月因多种良恶性疾病引起胃出口梗阻而接受内镜下幽门金属支架植入术的21例患者的病例资料进行回顾性分析.结果 21例成功进行了幽门十二指肠支架置入术,14例24小时内症状明显缓解,1例于48小时后行CRE球囊扩张后缓解,总缓解率为71.4%.21例中有3例十二指肠壶腹部受累伴梗阻性黄疸的病例成功进行了双支架的置入治疗.3例出现术中出血,对症治疗后停止.1例良性狭窄病例使用覆膜支架发生移位,4例出现支架术后再堵塞,其中2例行二次支架置入.恶性肿瘤引起的狭窄术后生存时间平均为2.5个月.结论 对由于各种原因导致胃出口梗阻且无法手术或拒绝外科治疗的患者,幽门支架的置入可有效解除梗阻,改善患者生活质量.%Objective To evaluate the therapeutic value of endoscopic implantation of metal stent in gastric outlet obstruction. Methods Data of 21 patients who developed benign or malignant gastric outlet obstruction from January 2008 to January 2011 were retrospectively reviewed. Results Endoscopic metal pyloric stents were successfully placed in 21 patients. Symptoms were subsided in 14 patients. 1 patient subsided after CRE ballon in 48 hours. Response rate was 71.4%. 3 duodenal patients ampulla involvement with cases of obstructive jaundice successfully treated two-stent implantation. Bleeding occurred in 3 patients, 1 case of benign stenosis using stent occurred displacement , Obstruction occurred in 4 patients, and 2 of them received the second metal pyloric stent. The average survival time of obstruction patient with malignant was 2.5 months. Conclusion No chance of surgical treatment or refuse surgery patients because of some causes gastric outlet obstruction can effectively remove the obstruction and improve patients quality of life.

  15. 卵巢浆液性肿瘤中输卵管上皮的病理形态学观察%Morphologic changes of fallopian tubal epithelium in ovarian serous tumors

    Institute of Scientific and Technical Information of China (English)

    文佳; 史景丽; 沈丹华; 陈云新; 宋秋静

    2012-01-01

    Objectives To study the morphologic changes of fallopian tubal epithelium in patients with ovarian serous epithelial tumors and to explore the relationship between the tubal epithelial changes and tumorigenesis of serous ovarian carcinoma.Methods The fallopian tubes in 79 cases of high-grade serous ovarian carcinoma,12 cases of low-grade serous ovarian carcinoma,16 cases of serous borderline ovarian tumor and 11 cases of non-ovarian benign tumors were serially examined under light microscope.Immunohistochemical study with EnVision method was used to detect the expression of p53 and bcl-2 protein in the fallopian tubal epithelium in all cases.The occurrences of secretory cell outgrowth(SCOUT),p53 signature,serous tubal intraepithelial carcinoma(STIC) and serous invasive carcinoma were analyzed.Results SCOUT in tubal epithelium was observed in 60.8%(48/79) of the high-grade serous carcinoma group,4/12 of the low-grade serous carcinoma group,3/16 of the serous borderline tumor group and 2/11 of the non-ovarian benign tumor group(P =0.001).P53 signature,STIC and serous invasive carcinoma occurred only in the fallopian tubal epithelium of patients with high-grade serous ovarian carcinoma,with the positive rates being 29.1%(23/79),15.2%(12/79) and 44.3%(35/79),respectively.Of the 23 cases with p53 signature,17 cases had solitary lesion and 6 cases involved more than two sites.A total of 33 p53 signature positive foci were found,with 22 foci located at fimbria and 11 at ampulla.Bcl-2 expression was demonstrated in 90.9% of those foci(30/33).Of the 12 patients with STIC,7 cases were solitary and 5 cases involved more than two sites.A total of 18 STIC foci were found,with 16 foci located at fimbria and 2 at ampulla.All of them were positive for bcl-2.Conclusions SCOUT is found in fallopian tubal epithelium in patients with serous ovarian epithelial tumors,especially high-grade serious carcinoma.On the other hand,p53 signature,STIC and invasive serous carcinoma of

  16. A terapêutica endoscópica nas complicações biliares pós-transplante hepático Endoscopic management of biliary complications after liver transplantation

    Directory of Open Access Journals (Sweden)

    Jeany Borges e Silva Ribeiro

    2012-12-01

    cholangiopancreatography due to suspected biliary complications. RESULTS: Fifteen patients were included (10 male, mean age of 49.57 years and 36 endoscopic retrograde cholangiopancreatographies were undertaken (2.4/patient. Biliary stricture was diagnosed in 13 patients and endoscopic treatment was successful in 56% (38,46% still in treatment. Biliary leaks were found in one patient and dysfunction of the hepatobilliary ampulla with choledocholithiasis was diagnosed in one patient, both cured by endoscopic treatment. CONCLUSIONS: Post-liver transplantation biliary complications are relatively common and endoscopic treatment may result in satisfactory outcome. Stenosis was the more frequent complication in this series.

  17. Risk factors of post endoscopic retrograde cholangiopancreatography complicated pancreatitis%经内镜逆行胰胆管造影术后并发胰腺炎危险因素分析

    Institute of Scientific and Technical Information of China (English)

    黄继征; 霞明; 龚传明; 程建国; 文峰

    2011-01-01

    Objective To explore the risk factors of post endoscopic retrograde cholangiopancreatography(ERCP) complicated pancreatitis(PEP) and to provide references to its prevention. Methods Totally 1 896 patients who underwent ERCP were divided into PEP group ( n= 285) and non-PEP group ( n= 1 161 ). The risk factors of patients, operation and operator were analyzed. Results In patient factors, female, age( less than 60), pancreatitis history,without choledocholithiasis, suspected Oddi's sphincter dysfunction were the risk factors for PEP ( P < 0.05 ), but bilirubin increase, common bile duct diameter( less than 0.4cm), ampulla diverticulum, complicated diabetes or hypertension were not related with PEP( P > 0.05 ). In operation factors, pancreas imaging, pancreatic duct sphincterotomy, aerocyst dilatation of bililary sphincter muscle were related with PEP( P < 0.05 ), but the remedial or diagnostic ERCP, Oddi's sphincterometry, bile duct sphincterotomy were not related with PEP. For operators, fewer operation cases, prolonged operation time and difficult intubation were related with PEP ( P < 0.05 ), but ERCP operation defeat was not the risk factor for PEP ( P>0.05 ). Conclusion Female, aged under 60, pancreatitis history, suspected Oddi's sphincter dysfunction, poor pancreas imaging and operator's skill as well as difficult intubation were the main risk factors for PEP.%目的 探讨经内镜逆行胰胆管造影术(ERCP)后并发胰腺炎(PEP)的危险因素,为PEP的预防提供参考.方法 回顾性分析1 896例ERCP患者,分为PEP组(n=285)及无PEP组(n=1 161),对比分析两组各相关危险因素,涉及患者因素、操作因素及术者因素.结果 患者因素中女性、年龄(小于60岁)、胰腺炎病史、无胆总管结石、疑有Oddi括约肌功能障碍者易并发PEP(P0.05).操作因素中胰腺显影、胰管括约肌切开术、胆道括约肌气囊扩张术患者在PEP组所占比例明显高于无PEP组(P0.05).结论 年龄小于60

  18. Optical nerve stimulation for a vestibular prosthesis

    Science.gov (United States)

    Harris, David M.; Bierer, Steven M.; Wells, Jonathon D.; Phillips, James O.

    2009-02-01

    Infrared Nerve Stimulation (INS) offers several advantages over electrical stimulation, including more precise spatial selectivity and improved surgical access. In this study, INS and electrical stimulation were compared in their ability to activate the vestibular branch of the VIIIth nerve, as a potential way to treat balance disorders. The superior and lateral canals of the vestibular system of Guinea pigs were identified and approached with the aid of precise 3-D reconstructions. A monopolar platinum stimulating electrode was positioned near the ampullae of the canals, and biphasic current pulses were used to stimulate vestibular evoked potentials and eye movements. Thresholds and input/output functions were measured for various stimulus conditions. A short pulsed diode laser (Capella, Lockheed Martin-Aculight, Inc., Bothell WA) was placed in the same anatomical position and various stimulus conditions were evaluated in their ability to evoke similar potentials and eye movements.

  19. Medline Plus

    Full Text Available ... vas deferens, a muscular tube, which propels sperm forward through smooth muscle contractions. The sperm arrive first ... added. From the ampulla, seminal fluid is propelled forward through the ejaculatory ducts toward the urethra, passing ...

  20. Cause analysis and treatment countermeasure of postcholecystestomy syndrome%胆囊切除术后综合征原因分析与治疗对策

    Institute of Scientific and Technical Information of China (English)

    熊为民; 邓剑; 丁志平; 陈声飞

    2016-01-01

    目的:探析胆囊切除术后综合征(PCS)的原因与治疗对策。方法35例单纯胆囊切除术患者,对其术后发生PCS的临床资料进行回顾性分析。结果35例患者中,出现PCS原因:胆道因素、胆道外因素及其他因素。胆道因素17例,包括胆道结石5例、胆管扩张3例、胆管狭窄2例、胆道十二指肠瘘1例、胆囊管残留过长4例、胆总管损伤2例;胆道外因素14例,包括缩窄性乳头炎4例、胆汁返流性胃炎4例、上消化道溃疡3例、慢性胰腺炎2例、十二指肠憩室1例;其他因素4例,主要为患者精神紧张及过度劳累所致。手术治疗23例,其中治愈19例、好转2例、无效1例、死亡1例;保守治疗12例,其中治愈9例、好转2例、无效1例。术后随访时间6~36个月,未见复发病例。结论PCS病因复杂,术前应全面检查,术中规范操作,严格探查,避免损伤胆管和电灼误伤等,可有效减少和杜绝术后PCS发生。可根据PCS病因进行对症治疗,并加强患者心理治疗和护理工作,以促进患者身体恢复,提高生活质量。%ObjectiveTo investigate cause and treatment countermeasure of postcholecystestomy syndrome (PCS).MethodsA retrospective analysis was made on clinical data of 35 patients with PCS after single cholecystectomy.ResultsCauses of PCS in the 35 cases included biliary tract factor, outside biliary tract factor and other factor. There were 17 cases with biliary tract factor, including 5 cases with biliary calculi, 3 cases with cholangiectasis, 2 cases with stenosis of bile duct, 1 case with biliary duodenal fistula, 4 cases with long residual cystic duct, and 2 cases with choledochus injury. There were 14 cases with outside biliary tract factor, including 4 cases with constrictive papillitis of vater, 4 cases with bile reflax gastritis, 3 cases with upper digestive tract ulcer, 2 cases with chronic pancreatitis, and 1 case with duodenal diverticulum

  1. Kronos und der walfisch

    Directory of Open Access Journals (Sweden)

    Janez Stanovnik

    2016-02-01

    Full Text Available Nach Hesiod, Theog. 154—210 entmannte Kronos seinen Vater Uranos, als sich dieser Gaia in der Nacht nahte, indem er ihm mit der von seiner Mutter gegebenen Sichel sein Glied abschnitt. Es ist bekannt, daß das Verhältnis zwischen Uranos und Kronos eine Dublette des Verhältnisses zwischen Kronos und seinen Kindern, insbesondere Zeus, ist. Laut der Theogonie hat auch Zeus dasselbe seinem Vater Kronos angetan: er hat ihn mit Honig trunken gemacht und ihn damn im Schlaf gefesselt und entmannt.

  2. CBA小鼠内耳感觉上皮的参考数据%Reference data of sensory epithelium in the inner ear in CBA mice

    Institute of Scientific and Technical Information of China (English)

    刘洪; 丁大连; 孙虹; 蒋海燕; RichardSalvi

    2011-01-01

    Objective To provide useful reference data of sensory epithelium in the inner ear, the cochlear and vestibular system were carefully measured in CBA mice. Methods Six young CBA mice at three months of age were used for this study. The surface preparations of cochlear basilar membrane and vestibular end-organs were measured under light microscope. The length and the width of basilar membrane and organ of Corti were examined along the cochlear basilar membrane. In addition, the total number and the density of cochlear hair cell along the basilar membrane were also calculated. To evaluate the vestibular end-organs, the total amount of hair cells in macula of saccule and utricle were counted. The hair cell density of striola region and marginal region in saccule and utricle were calculated respectively, and the density of hair cells in cristae in membranous ampulla of three semicircular canals were also counted. Results The total length of the cochlear basilar membrane was 5.76 ±0.196 mm in CBA mice. The width of basilar membrane was 339.1 ±9.87 μm at 1.5 mm, 304.5 ± 11.82 μm at 3 mm, and 300.1 ±7.22μm at 5 mm from the cochlear base respectively. This indicated that the width of cochlear basilar membrane was gradually narrowing from base to apex. In contrast, the width of organ of Corti was 37.80±2.24 μm at 1.5 mm, 45.00±2.67μm at 3 mm, and 52.20 ± 3.16 fun at 5 mm from the base respectively, which demonstrated that the width of organ of Corti was gradually increasing from base to apex. The total number of cochlear hair cells in CBA mice was 3116.41 ± 151.91, which included 680.67 ± 17.50 inner hair cells and 2435.8 ± 143.46 outer hair cells. The density of cochlear hair cells was similar across the entire length of the cochlea with a density of 541.1 ± 9.36/mm. The density of inner hair cells and outer hair cells were 118.3±2.68/mm and 422.8 ± 11.87/mm respectively. The total number of hair cells in macula of utricle and saccule were 3300 ± 177

  3. Laparoscopic Pancreas-Sparing Subtotal Duodenectomy

    Directory of Open Access Journals (Sweden)

    Ignasi Poves

    2011-01-01

    Full Text Available Context Primary adenocarcinoma of the duodenum is a rare digestive malignancy which is commonly treated by radical surgical resection, pancreaticoduodenectomy being the technique of choice. Complete tumor resection obtaining free margins should be the standard of treatment for primary adenocarcinoma of the duodenum. Segmental duodenal resection is an appropriate operation for selected cases of primary adenocarcinoma of the duodenum of the 3rd and 4th portions of the duodenum. Case report We present the case of a 67-year-old woman suffering from an infra-ampullary large villous polypoid mass affecting the 3rd portion of the duodenum. Multiple endoscopic biopsies did not disclose any malignancy, and abdominal CT and endoscopic ultrasound found no extraduodenal involvement. A 3rd and 4th portion pancreas-sparing duodenectomy was carried out using a totally laparoscopic approach. Intra-operatory duodenoscopy was done to safeguard the papilla of Vater. Recovery was uneventful and the patient was discharged on the 7th postoperative day. The final diagnosis was primary adenocarcinoma of the duodenum (free resection margins. After forty-five months of follow-up, the patient is free of disease. Conclusions We recommend this procedure for treatment of an infra-ampullary benign and pre-malignant duodenal pathology; it can also be a treatment option and an alternative to a pancreaticoduodenectomy in very selected cases of tumors confined to the duodenum. Expertise in both pancreatic surgery and laparoscopic techniques is required.

  4. [Hemobilia].

    Science.gov (United States)

    Galun, D; Basarić, D; Lekić, N; Raznatović, Z; Barović, S; Bulajić, P; Zuvela, M; Milićević, M

    2007-01-01

    The phenomenon now known as haemobilia was first recorded in XVII century by well known anatomist from Cambridge, Francis Glisson and his description was published in Anatomia Hepatis in 1654. Until today etiology, clinical presentation and management are clearly defined. Haemobilia is a rare clinical condition that has to be considered in differential diagnosis of upper gastrointestinal bleeding. In Western countries, the leading cause of haemobilia is hepatic trauma with bleeding from an intrahepatic branch of the hepatic artery into a biliary duct (mostly iatrogenic in origin, e.g. needle biopsy of the liver or percutaneous cholangiography). Less common causes include hepatic neoplasm; rupture of a hepatic artery aneurysm, hepatic abscess, choledocholithiasis and in the Orient, additional causes include ductal parasitism by Ascaris lumbricoides and Oriental cholangiohepatitis. Clinical presentation of heamobilia includes one symptom and two signs (Quinke triad): a. upper abdominal pain, b. upper gastrointestinal bleeding and c. jaundice. The complications of haemobilia are uncommon and include pancreatitis, cholecystitis and cholangitis. Investigation of haemobilia depends on clinical presentation. For patients with upper gastrointestinal bleeding oesophagogastroduodenoscopy is the first investigation choice. The presence of blood clot at the papilla of Vater clearly indicates the bleeding from biliary tree. Other investigations include CT and angiography. The management of haemobilia is directed at stopping bleeding and relieving biliary obstruction. Today, transarterial embolization is the golden standard in the management of heamobilia and if it fails further management is surgical.

  5. Endoscopic ultrasound-guided choledochoduodenostomy in patients with failed endoscopic retrograde cholangiopancreatography

    Institute of Scientific and Technical Information of China (English)

    Takao Itoi; Fumihide Itokawa; Atsushi Sofuni; Toshio Kurihara; Takayoshi Tsuchiya; Kentaro Ishii; Shujiro Tsuji; Nobuhito Ikeuchi; Fuminori Moriyasu

    2008-01-01

    Endoscopic ultrasonography (EUS)-guided biliary drainage was performed for treatment of patients who have obstructive jaundice in cases of failed endoscopic retrograde cholangiopancreatography (ERCP). In the present study, we introduced the feasibility and outcome of EUS-guided choledochoduodenostomy in four patients who failed in ERCP. We performed the procedure in 2 papilla of Vater, including one resectable case, and 2 cases of cancer of the head of pancreas. Using a curved linear array echoendoscope, a 19 G needle or a needle knife was punctured transduodenally into the bile duct under EUS visualization. Using a biliary catheter for dilation, or papillary balloon dilator, a 7-Fr plastic stent was inserted through the choledochoduodenostomy site into the extrahepatic bile duct. In 3 (75%) of 4 cases, an indwelling plastic stent was placed, and in one case in which the stent could not be advanced into the bile duct, a naso-biliary drainage tube was placed instead. In all cases, the obstructive jaundice rapidly improved after the procedure. Focal peritonitis and bleeding not requiring blood transfusion was seen in one case. In this case, pancreatoduodenectomy was performed and the surgical findings revealed severe adhesion around the choledochoduodenostomy site. Although further studies and development of devices are mandatory, EUS-guided choledochoduodenostomy appears to be an effective alternative to ERCP in selected cases.

  6. Strategic Petroleum Reserve, annual site environmental report for calendar year 1991

    International Nuclear Information System (INIS)

    This report, provided annually in accordance with DOE Order 5400.1, summarizes monitoring data collected to assess Strategic Petroleum Reserve (SPR) impacts on the environment. The report serves as a management tool for mitigating such impacts, thus serving the public interest by ensuring environmentally sound operation of the SPR. Included in this report is a description of each site's environment, an overview of the SPR environmental program, and a recapitulation of special environmental activities and events associated with each SPR site during 1990. The active permits and the results of the environmental monitoring program (i.e., air, surface vater, groundwater, and water discharges) are discussed within each section by site. The quality assurance program is presented which includes results from laboratory and field audits and studies performed internally and by regulatory agencies. In general, no significant adverse environmental impact resulted from any SPR activities during 1990. Environmental areas of concern, such as potential groundwater contamination, are fully addressed in the applicable section by site. The SPR continues to maintain an overall excellent environmental record

  7. The value of abdominal ultrasound in the diagnosis of colon cancer Rentabilidad de la ecografía abdominal en el diagnóstico del cáncer de colon

    Directory of Open Access Journals (Sweden)

    D. Martínez-Ares

    2005-12-01

    Full Text Available Introduction: colon cancer is one of the main causes of cancer death. Diagnosis requires the examination of the entire large bowel by means of radiological or endoscopic techniques. Many patients suspect of colon cancer are referred for colonoscopy but nevertheless this suspicion is not confirmed after endoscopic examination. The objective of this study is the evaluation of the reliability of abdominal ultrasound in the diagnosis of these tumors. Material and method: we selected patients suspect of colon cancer referred to the endoscopy unit for a colonoscopy. An abdominal ultrasound was carried out on all patients prior to the endoscopy. Considering the endoscopic examination as a gold standard, the sensibility, specificity, positive predictive value (PPV and negative predictive value (NPV of the ultrasonography were evaluated. Likewise, a series of analytical and clinical parameters were evaluated, in an attempt to establish associated factors of a colon cancer. The statistical analysis was carried out by means of the statistical package SPSS 12.0 for Windows. Results: 145 patients were included in the study (56.6% males with an average 66.72 years of age (22-89. A cancer was diagnosed in 42 cases (28.9%. In the diagnosis of colon cancer, abdominal ultrasound presents a sensitivity of 79.06%, a specificity of 92.15%, a PPV and a NPV of 80.9% and of 91.2%, respectively. Excluding from the analysis lesions of the rectal ampulla, which cannot be adequately evaluated by means of ultrasound, the figures for sensitivity, specificity, PPV and NPV increase to 91.8, 92.1, 80.9 and 96.9% respectively. The univariate analysis showed that an age over 65 years and the presence of microcytosis are associated to a greater risk of colon cancer while after multivariate analysis only the presence of microcytosis resulted to be an independent predictive factor of cancer. Conclusions: abdominal ultrasound presents high sensitivity, specificity, PPV and NPV in the

  8. Microwave -assisted Synthesis Calcium Carbonate in Water/Ethylene Glycol Mixed Solvents%水/乙二醇混合溶剂中微波辅助合成碳酸钙

    Institute of Scientific and Technical Information of China (English)

    孙新园; 张群; 陈敏; 潘玉锁

    2012-01-01

    在水/乙二醇混合溶剂中,通过微波辅助加热的方法,研究溶液过饱和度对碳酸钙成核生长的影响。分别采用扫描电子显微镜(SEM)、X-射线粉末衍射(XRD)对所得的样品进行了表征。结果表明,过饱和度的改变对碳酸钙形貌和晶型具有非常明显的影响,分别获得了菱面体状方解石、纤维捆扎状文石、松树枝状球霰石为主体的碳酸钙晶体。%In this paper, the influence of diffident supersaturations of the bulk solution on the nucleation and crystal growth of calcium carbonate is studied through the method of microwave - assisted beating in water/ethylene glycol mixed solvents. The ob- tained crystals are characterized by scanning electron microscopy (SEM) and X -ray diffraction (XRD). The resuh shows that the morphologies and polymorphs are obvious varied from rhombohedron calcite, fiber strapping aragonite to pine - dendritic vater- ite with the changes of supersaturations.

  9. Hartnäckige Anachronismen

    Directory of Open Access Journals (Sweden)

    Barbara Drinck

    2004-11-01

    Full Text Available Väter sind anders ist die überarbeitete Fassung von Guter Vater – Böser Vater (1997. Uns liegen elf Kapitel vor, die sich mit der Entwicklung des Mannes vom Sohn zum Vater, mit dem Geschlechterverhältnis von Mann und Frau, der Bedeutung des Berufs für den Mann und der männlichen Aggression und Sexualität auseinandersetzen. Der Text basiert auf der orthodox-psychoanalytischen Annahme einer binären Geschlechtsidentität, sein Männlichkeitsbild gründet Petri auf die These von der angeblichen kulturellen Überlegenheit des Mannes, auf populär-evolutionistische Ansichten von der Rolle von Mann und Frau sowie auf die Vorstellung ‚gesunder‘ binärer geschlechtsadäquater Identität, die – wen wundert’s – zwangsläufig in Heterosexualität münde. Über den Nutzen dieser Vater-Studie lässt sich streiten.

  10. Sepp, Brüder

    OpenAIRE

    2009-01-01

    Vater der Brüder war Johann S. (* 24.6.1626 Kaltern/Südtirol [Caldaro/I], † zw. 1679/84 Schlanders/Südtirol [Silandro/I]). Paul (Paolo): * 1649 Kaltern/Südtirol (Caldaro/I), † April 1670 Bozen/Südtirol (Bolzano/I) oder 1692 Kaltern. Sänger, Komponist, Organist.

  11. The analysis on wire intervention therapy under the guidance of hysteroscope and laparoscope in the treatment of 100 patients with tubal infertility%宫腹腔镜联合导丝介入诊治输卵管性不孕症100例分析

    Institute of Scientific and Technical Information of China (English)

    武英敏

    2011-01-01

    separated and there was Methylene blue liquid outflowed from the bilateral tubal. 12 cases had one side blockage, false positive of HSG was 14.06%. 24 tubules underwent ostomy at the tubal ampulla umbrella. ②57 patients (57%) were identified with pelvic lesion, and pelvic inflammation as the predominant reason, followed by endometriosis, polycystic ovary syndrome and tuberculosis. The procedures were consisted with adhesion decomposition, endometriosis clearance and drilling of the polycystic ovary. No procedures were tried for the least promising function recovery of severe adhesion. ③Endometritis and polyps were the first and second lesions by hysteroscope. The procedures were consisted with adhesion decomposition of the endometriosis, fenestration of the oviducts and excision of polyps. No procedure was performed for the tuberculous scars. The pregnancy rates were accumulated to 41.8% in two years after operation. Conclusion: The wire intervention operation under the guidance of hysteroscope and laparoscope show a significance of diagnosis and therapy. The procedure time is shortened and more cost is saved, especially for the class I blockage. It is also important for guiding the following therapy.

  12. Peritonite meconial como diagnóstico diferencial de ascite fetal: relato de caso Meconium peritonitis in the differential diagnosis of fetal ascites: a case report

    Directory of Open Access Journals (Sweden)

    Melania Maria Ramos de Amorim

    1999-07-01

    include fetal ascites and intra-abdominal calcifications. Evidence suggests that prenatal diagnosis can improve postnatal prognosis. Case Report: R.C.M.S., 22 years, II pregnancy O para, presented ultrasound (12/02/98 with diagnosis of fetal ascites. Investigation for hydrops fetalis was performed and immune and nonimmune causes were excluded. Severe fetal ascites persisted on subsequent ultrasound examinations, without calcifications. Vaginal delivery occurred at 36 weeks (01/02/99, with polyhydramnios. Female neonate weighing 2,670 g, with signs of respiratory distress, abdominal distension and petechiae. Abdominal distension worsened progressively, with palpation of a petrous tumor in the right upper quadrant and elimination of white mucus at rectal examination. Radiological findings (01/04/99 were disseminated abdominal calcifications, intestinal dilatation and absence of gas at rectal ampulla. Exploratory laparotomy was indicated with diagnosis of meconium peritonitis. A giant meconium cyst and ileal atresia were observed and lysis of adhesions and ileostomy were performed. Initial postoperative evolution was satisfactory but was subsequently complicated by sepsis and neonatal death occurred (01/09/99. Conclusion: meconium peritonitis should be remembered at differential diagnosis of fetal ascites. In the present case, surgical indication could be anticipated if prenatal diagnosis were established, with improvement of neonatal evolution.

  13. Inner ear morphological study of guinea pigs with acoustically evoked short latency negative response%声诱发短潜伏期负电位豚鼠的内耳铺片研究

    Institute of Scientific and Technical Information of China (English)

    黄文钦; 李治美; 徐丽; 农东晓; 唐安洲; 覃焕桦; 杨甜

    2012-01-01

    Objective To establish a model of ototoxicity in guinea pigs with acoustically evoked short latency negative response (ASNR) and verify the responsible organ of ASNR based on microscopic characteristics of basal membranes,saccules,utricles and ampulla canalis semicircularis of the inner ear.Methods Total of 45 guinea pigs were employed in the experiment,which were randomly divided into the control group (15 subjects,30 ears) and the deafened group (30 subjects,60 ears). Each animal experienced auditory brainstem response ( ABR ). A quick treatment was employed for deafened group consisting of a subcutaneous injection of kanamycin at a dose of 400 mg/kg followed by jugular vein injection of ethacrynic acid at a dose of 40 mg/kg one hour later.The animals were performed ABR test from 7 to 10 days after the drug administration.The deafened group was further divided into ASNR group and non-ASNR group based on the presence of ASNR.All the guinea pigs were sacrificed after ABR tests.The Corti organ,macula sacculi,macula utriculi and crista ampullaris were observed by light microscope.Results In the deafened group (60 ears),3 subjects died postoperatively,27 subjects (54 ears) provided full data.ASNR was elicited in 19 ears (35.2%,19/54 ),the thresholds of ASNR were from 110 to 125 dBSPL with average of ( 121.7 ±4.5)dBSPL ASNR latency ranges were 1.80-2.08 ms,the average latency of thresholds were ( 1.93 ±0.07) ms.The stretched preparation results:overall hair-cell density of macula saccule,macula utriculi and crista ampullaris decreased in order of normal eontrol group,ASNR group and non-ASNR group.There was no difference between the normal group and ASNR group for cell density of macula saccule.Apart from this,statistical differences were found among other groups.Conclusions The present study evoked ASNR in an olotoxicity guinea pig model which was profound hearing loss with normal saccular function and normal saccular hair cell density.It suggested that ASNR

  14. The number and profile of reactive NADH-d and NADPH-d neurons of myenteric plexus of six-month-old rats are different in the cecum portions O número de neurônios e a área do perfil neuronal NADH-d e NADPH-d reativos do plexo mioentérico de ratos com seis meses de idade são diferentes nas diferentes porções e regiões do ceco

    Directory of Open Access Journals (Sweden)

    Elizangela A. Silva

    2008-05-01

    Full Text Available Whole-mount preparations were prepared and submitted to NADH-diaphorase and NADPH-diaphorase histochemistry techniques. The myenteric plexus arrangement and the number of neurons were comparatively evaluated among the different portions of the cecum. The neurons from the apical and basal regions were distributed in classes at intervals of 100µm², the means of the corresponding intervals being compared. The ganglia, in both techniques, were often connected by fine bundles, which became thicker in the mesenteric region and in the region next to the cecal ampulla. The number of positive NADH-d neurons was higher than that of NADPH-d neurons in all portions, from both regions. The numbers of reactive NADH-d e NADPH-d neurons were significantly different among the different portions of the cecum, except for the antimesenteric basal and intermediate basal regions, considering the NADH-d neurons. The profile area for the reactive NADH-d e NADPH-d neurons was higher in the apical region than in the basal area. Differences in arrangement, distribution and size of positive NADH-d e NADPH-d neurons in the different cecum portions evidenced the importance of the subdivision of the analyzed organ.Estudaram-se o arranjo do plexo mioentérico, o número de neurônios e a área do perfil do corpo celular (µm² dos neurônios mioentéricos, nas regiões apical e basal do ceco de ratos Wistar com 6 meses de idade. Estas regiões foram subdivididas nas seguintes porções: apical mesentérica (AM; apical intermediária (AI; apical antimesentérica (AA; próximo à ampola cecal (PA; basal intermediária (BI, e basal antimesentérica (BA. Foram montados preparados de membrana que receberam as técnicas histoquímica de NADH-diaforase (NADH-d e NADPH-diaforase (NADPH-d. O arranjo do plexo mioentérico e o número de neurônios foram avaliados comparativamente entre as diferentes porções das regiões do ceco. Os neurônios das regiões apical e basal foram

  15. Rare presentation of Brunner's gland adenoma:another differentiation in patients with recurrent"idiopathic" pancreatitis

    Institute of Scientific and Technical Information of China (English)

    Soumil Vyas; James RA Skipworth; Dimitrios Lytras; Claire Smyth; Anthony Mee; Adrian Hatfield; Charles Imber; George Webster

    2012-01-01

    BACKGROUND: Brunner's  gland  adenoma  (BGA)  is  an unusual benign neoplasm arising from Brunner's glands in the duodenum. When symptomatic it presents either with duodenal obstruction  or  bleeding.  However,  pancreatitis  secondary  to ampullary obstruction from a BGA is very rare. METHODS: A  23-year-old  female  presented  with  recurrent episodes  of  "idiopathic"  pancreatitis.  She  was  extensively investigated  and  was  found  to  have  a  large  polypoid  BGA, intermittently obstructing the ampulla. This created a ball-valve  effect  causing  secondary  intermittent  obstruction  of the pancreatic duct resulting in pancreatitis. The condition was cured surgically, through transduodenal excision of the BGA. We reviewed the surgical literature pertaining to these unusual  and  similar  causes  of  obstructive  pancreatitis,  not related to gallstones. RESULTS: BGA of the duodenum is a rare cause of pancreatitis. Extensive  investigations  should  be  carried  out  in  all  cases  of unexplained  pancreatitis  before  classifying  the  condition as  "idiopathic".  Discovery  of  a  lesion  of  this  nature  gives  an opportunity to provide a permanent surgical cure. CONCLUSIONS: BGA adds an unusual etiology for pancreatitis. All  patients  with  pancreatitis  should  undergo  extensive investigations  before  being  termed  "idiopathic".  Surgical excision of the BGA provides a definitive curative treatment for the adenoma and pancreatitis.

  16. Tumor budding in upper gastrointestinal carcinomas

    Directory of Open Access Journals (Sweden)

    Viktor Hendrik Koelzer

    2014-08-01

    Full Text Available The basis of personalized medicine in oncology is the prediction of an individual’s risk of relapse and death from disease. The presence of tumor budding (TB at the tumor-host interface of gastrointestinal cancers has been recognized as a hallmark of unfavorable disease biology. TB is defined as the presence of dedifferentiated cells or small clusters of up to five cells at the tumor invasive front and can be observed in aggressive carcinomas of the esophagus, stomach, pancreas, ampulla, colon and rectum. Presence of TB reproducibly correlates with advanced tumor stage, frequent lymphovascular invasion, nodal and distant metastasis. The UICC has officially recognized TB as additional independent prognostic factor in cancers of the colon and rectum. Recent studies have also characterized TB as a promising prognostic indicator for clinical management of esophageal squamous cell carcinoma, adenocarcinoma of the gastro-esophageal junction and gastric adenocarcinoma. However, several important issues have to be addressed for application in daily diagnostic practice: 1 Validation of prognostic scoring systems for tumor budding in large, multi-center studies 2 Consensus on the optimal assessment method 3 Inter-observer reproducibility. This review provides a comprehensive analysis of TB in cancers of the upper gastrointestinal tract including critical appraisal of perspectives for further study.

  17. Neonatal handling induces anovulatory estrous cycles in rats

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    Gomes C.M.

    1999-01-01

    Full Text Available Since previous work has shown that stimulation early in life decreases sexual receptiveness as measured by the female lordosis quotient, we suggested that neonatal handling could affect the function of the hypothalamus-pituitary-gonadal axis. The effects of neonatal handling on the estrous cycle and ovulation were analyzed in adult rats. Two groups of animals were studied: intact (no manipulation, N = 10 and handled (N = 11. Pups were either handled daily for 1 min during the first 10 days of life or left undisturbed. At the age of 90 days, a vaginal smear was collected daily at 9:00 a.m. and analyzed for 29 days; at 9:00 a.m. on the day of estrus, animals were anesthetized with thiopental (40 mg/kg, ip, the ovaries were removed and the oviduct was dissected and squashed between 2 glass slides. The number of oocytes of both oviductal ampullae was counted under the microscope. The average numbers for each phase of the cycle (diestrus I, diestrus II, proestrus and estrus during the period analyzed were compared between the two groups. There were no significant differences between intact and handled females during any of the phases. However, the number of handled females that showed anovulatory cycles (8 out of 11 was significantly higher than in the intact group (none out of 10. Neonatal stimulation may affect not only the hypothalamus-pituitary-adrenal axis, as previously demonstrated, but also the hypothalamus-pituitary-gonadal axis in female rats.

  18. Re-identifying Grateloupia yangjiangensis (Rhodophyta, Halymeniaceae) based on morphological observations, life history and rbcL sequence analyses

    Institute of Scientific and Technical Information of China (English)

    WANG Hongwei; GUO Shaoru; ZHANG Xiaoming; ZHAO Dan; ZHANG Wen; LUAN Rixiao

    2014-01-01

    On the basis of morphological observations, life history and molecular phylogeny, Grateloupia yangjiangen-sis, which is similar to G. filicina, G. orientalis, G. catenata, and G. ramosissima in appearance, was re-exam-ined. The results are as follows:(1) the auxiliary-cell ampullae of G. yangjiangensis were of Grateloupia type, thalli was fleshy and gelatinous in texture, and the erect axes were compressed;the cortex was 0.25-0.30 mm thick, consisting of five to seven outer layers, and there were five inner layers of triangular or stellate cells;(2) there was no filamentous stage in the development of the carpospores;(3) the ribulose-1,5-bisphosphate carboxylase/oxygenase gene (rbcL) sequence of four G. yangjiangensis examined showed that there was no intergeneric divergence among them, and for the phylogenetic tree, four sequences of G. yangjiangensis formed a single monophyletic subclade within the large Grateloupia clade of Halymeniaceae. In conclusion, G. yangjiangensis was a single species within the genus Grateloupia. This research provided criterion for identification and cultivation of G. yangjiangensis.

  19. Parameters That May Be Used for Predicting Failure during Endoscopic Retrograde Cholangiopancreatography

    Directory of Open Access Journals (Sweden)

    Emre Balik

    2013-01-01

    Full Text Available Aim. Endoscopic retrograde cholangiopancreatography (ERCP is frequently used for the diagnosis and treatment of hepatic, biliary tract, and pancreatic disorders. However, failure during cannulation necessitates other interventions. The aim of this study was to establish parameters that can be used to predict failure during ERCP. Methods. A total of 5884 ERCP procedures performed on 5079 patients, between 1991 and 2006, were retrospectively evaluated. Results. Cannulation was possible in 4482 (88.2% patients. For each one-year increase in age, the cannulation failure rate increased by 1.01-fold (. A history of previous hepatic biliary tract surgery caused the cannulation failure rate to decrease by 0.487-fold (. A tumor infiltrating the ampulla, the presence of pathology obstructing the gastrointestinal passage, and peptic ulcer increased the failure rate by 78-, 28-, and 3.47-fold, respectively (. Conclusions.Patient gender and duodenal diverticula do not influence the success of cannulation during ERCP. Billroth II and Roux-en-Y gastrojejunostomy surgeries, a benign or malignant obstruction of the gastrointestinal system, and duodenal ulcers decrease the cannulation success rate, whereas a history of previous hepatic biliary tract surgery increases it. Although all endoscopists had equal levels of experience, statistically significant differences were detected among them.

  20. Pineapple juice as a negative oral contrast agent in magnetic resonance cholangiopancreatography: a preliminary evaluation.

    Science.gov (United States)

    Riordan, R D; Khonsari, M; Jeffries, J; Maskell, G F; Cook, P G

    2004-12-01

    The quality of magnetic resonance cholangiopancreatography (MRCP) images is frequently degraded by high signal from the gastrointestinal tract. The aim of this study is to evaluate pineapple juice (PJ) as an oral negative contrast agent in MRCP. Preliminary in vitro evaluation demonstrated that PJ shortened T(2) relaxation time and hence decreased T(2) signal intensity on a standard MRCP sequence to a similar degree to a commercially available negative contrast agent (ferumoxsil). Electrothermal atomic absorption spectrometry assay demonstrated a high manganese concentration in PJ of 2.76 mg dl(-1), which is likely to be responsible for its T(2) imaging properties. MRCP was subsequently performed in 10 healthy volunteers, before and at 15 min and 30 min following ingestion of 400 ml of PJ. Images were assessed blindly by two Consultant Radiologists using a standard grading technique based on contrast effect (degree of suppression of bowel signal), and image effect (diagnostic quality). There were statistically significant improvements in contrast and image effect between pre and post PJ images. There was particularly significant improvement in visualization of the pancreatic duct, but no significant difference between 15 min and 30 min post PJ images. Visualization of the ampulla, common bile duct, common hepatic and central intrahepatic ducts were also significantly improved at 15 min following PJ. Our results demonstrate that PJ, may be used as an alternative to commercially available negative oral contrast agent in MRCP.

  1. Reality named endoscopic ultrasound biliary drainage

    Institute of Scientific and Technical Information of China (English)

    Hugo; Gon?alo; Guedes; Roberto; Iglesias; Lopes; Joel; Fernandez; de; Oliveira; Everson; Luiz; de; Almeida; Artifon

    2015-01-01

    Endoscopic ultrasound(EUS) is used for diagnosis and evaluation of many diseases of the gastrointestinal (GI) tract. In the past, it was used to guide a cholangio-graphy, but nowadays it emerges as a powerful thera-peutic tool in biliary drainage. The aims of this review are: outline the rationale for endoscopic ultrasound-guided biliary drainage(EGBD); detail the procedural technique; evaluate the clinical outcomes and limitations of the method; and provide recommendations for the practicing clinician. In cases of failed endoscopic retro-grade cholangiopancreatography(ERCP), patients are usually referred for either percutaneous transhepatic biliary drainage(PTBD) or surgical bypass. Both these procedures have high rates of undesirable complications. EGBD is an attractive alternative to PTBD or surgery when ERCP fails. EGBD can be performed at two locations: transhepatic or extrahepatic, and the stent can be inserted in an antegrade or retrograde fashion. The drainage route can be transluminal, duodenal or trans-papillary, which, again, can be antegrade or retrograde [rendezvous(EUS-RV)]. Complications of all techniques combined include pneumoperitoneum, bleeding, bile leak/peritonitis and cholangitis. We recommend EGBD when bile duct access is not possible because of failed cannulation, altered upper GI tract anatomy, gastric outlet obstruction, a distorted ampulla or a periampullary diverticulum, as a minimally invasive alternative to surgery or radiology.

  2. Posterior Semicircular Canal Benign Paroxysmal Positional Vertigo Presenting with Torsional Downbeating Nystagmus: An Apogeotropic Variant

    Directory of Open Access Journals (Sweden)

    Paolo Vannucchi

    2012-01-01

    Full Text Available The aim of this study is to verify the hypothesis that free-floating particles could sometimes localize into the distal portion of the non ampullary arm of the posterior semicircular canal (PSC so that assuming the Dix-Hallpike’s positions, the clot could move towards the ampulla eliciting a inhibitory torsional-down beating paroxysmal positional nystagmus (PPNy, instead of typical excitatory torsional-up beating PPNy. Among 45 patients with vestibular signs suggesting anterior semicircular canal paroxysmal positional vertigo (PPV, collected from February 2003 to August 2006, we detected a group of 6 subjects whose clinical findings showed a singular behaviour during follow-up. At the first check-up, all patients were submitted to different types of physical manoeuvres for ASC canalolithiasis. Patients were controlled during the same session and after one week. When we found that nystagmus was qualitatively changed we adopted the appropriate physical therapies for that sign. At a next check-up, after having performed some physical therapies, all patients had a typical PSC PPNy of the opposite side, with respect to that of the ASC initially diagnosed. Basing on these observations we conclude that PSC PPV, similarly to lateral semicircular canal PPV, could manifests in a apogeotropic variant.

  3. Diagnostic and therapeutic endoscopic approaches to intraductal papillary mucinous neoplasm.

    Science.gov (United States)

    Turner, Brian G; Brugge, William R

    2010-10-27

    Pancreatic cystic lesions are increasingly identified on routine imaging. One specific lesion, known as intraductal papillary mucinous neoplasm (IPMN), is a mucinous, pancreatic lesion characterized by papillary cells projecting from the pancreatic ductal epithelium. The finding of mucin extruding from the ampulla is essentially pathognomonic for diagnosing these lesions. IPMNs are of particular interest due to their malignant potential. Lesions range from benign, adenomatous growths to high-grade dysplasia and invasive cancer. These mucinous lesions therefore require immediate attention to determine the probability of malignancy and whether observation or resection is the best management choice. Unresected lesions need long-term surveillance monitoring for malignant transformation. The accurate diagnosis of these lesions is particularly challenging due to the substantial similarities in morphology of pancreatic cystic lesions and limitations in current imaging technologies. Endoscopic evaluation of these lesions provides additional imaging, molecular, and histologic data to aid in the identification of IPMN and to determine treatment course. The aim of this article is to focus on the diagnostic and therapeutic endoscopic approaches to IPMN.

  4. Constipation: A common problem in childhood

    Directory of Open Access Journals (Sweden)

    Bukarica Svetlana

    2005-01-01

    Full Text Available Introduction Constipation in children is defined as the infrequent and difficult passage of hard stool, not necessarily associated with infrequent stools. All healthy newborns have their first stool within the first 24 to 48 hours after birth. Intestinal transit time increases with age, therapy decreasing the frequency of stooling. Anatomy and Physiology of Anus and Rectum Acquisition of fecal continence requires: normal internal and external anal sphincters, puborectal muscle as well as intact sensory input from both the rectal vault and anal canal. Etiology and Differential Diagnosis During the first year of life, failure to have bowel movement every other day warrants evaluation. During infancy, constipation is usually due to dietary manipulations, malnutrition or some other functional abnormalities. Anatomic causes are found only in 5% of patients. Diagnosis and Therapy Diagnosis relies on history and physical examination. Digital rectal examination usually reveals a shorter anal canal with decreased sphincter tone. The rectal ampulla is dilated and filled with stool. Anorectal manometry is helpful in differentiating functional constipation from aganglionosis or other neurologic problems. Treatment varies depending on the underlying cause. Bowel retraining, aimed at establishing regular daily bowel movement, is of utmost importance in children. The response to treatment is usually dramatic. Conclusion Constipation in children causes anxiety in the family and successful treatment requires persistent reassurance and repeated reevaluation.

  5. Grateloupia tenuis Wang et Luan sp. nov. (Halymeniaceae, Rhodophyta: A New Species from South China Sea Based on Morphological Observation and rbcL Gene Sequences Analysis

    Directory of Open Access Journals (Sweden)

    Ling Yu

    2013-01-01

    Full Text Available Grateloupia tenuis Wang et Luan sp. nov. is a new species described from Lingshui, Hainan Province, South China Sea. Based on the external form and internal structure, combined with rbcL gene sequence analysis, Grateloupia tenuis is distinct from other Grateloupia species as follows: (1 thalli is slippery and cartilaginous in texture; possess fewer branches, relatively slight main axes, and two or three dichotomous branches; (2 cortex is 5-6 layers; medulla is solid when young, but hollow in old branches; reproductive structures are dispersed in main axes of thalli and lower portions of branchlets; exhibits Grateloupia-type auxiliary cell ampullae; (3 the four studied G. tenuis sequences were positioned in a large Grateloupia clade of Halymeniaceae, which included sister group generitype G. filicina with 68 bp differences; G. tenuis was determined to be a sister taxon to the G. catenata, G. ramosissima, G. orientalis, and G. filiformis subclade. The pairwise distances between G. tenuis and these species were 39 to 50 bp. The sequences of G. tenuis differed by 81–108 bp from the sequences of other samples in Grateloupia; there are 114–133 bp changes between G. tenuis and other genera of Halymeniaceae. In final analysis, we considered Grateloupia tenuis Wang et Luan sp. nov. to be a new species of genus Grateloupia.

  6. Plastic or metal stents for benign extrahepatic biliary strictures: a systematic review

    Directory of Open Access Journals (Sweden)

    Vleggaar Frank P

    2009-12-01

    Full Text Available Abstract Background Benign biliary strictures may be a consequence of surgical procedures, chronic pancreatitis or iatrogenic injuries to the ampulla. Stents are increasingly being used for this indication, however it is not completely clear which stent type should be preferred. Methods A systematic review on stent placement for benign extrahepatic biliary strictures was performed after searching PubMed and EMBASE databases. Data were pooled and evaluated for technical success, clinical success and complications. Results In total, 47 studies (1116 patients on outcome of stent placement were identified. No randomized controlled trials (RCTs, one non-randomized comparative studies and 46 case series were found. Technical success was 98,9% for uncovered self-expandable metal stents (uSEMS, 94,8% for single plastic stents and 94,0% for multiple plastic stents. Overall clinical success rate was highest for placement of multiple plastic stents (94,3% followed by uSEMS (79,5% and single plastic stents (59.6%. Complications occurred more frequently with uSEMS (39.5% compared with single plastic stents (36.0% and multiple plastic stents (20,3%. Conclusion Based on clinical success and risk of complications, placement of multiple plastic stents is currently the best choice. The evolving role of cSEMS placement as a more patient friendly and cost effective treatment for benign biliary strictures needs further elucidation. There is a need for RCTs comparing different stent types for this indication.

  7. Colony specificity in Botrylloides leachi. I. Morphological aspects

    Directory of Open Access Journals (Sweden)

    G Zaniolo

    2006-12-01

    Full Text Available We studied colony specificity in the colonial ascidian Botrylloides leachi which, as in other botryllid ascidians, leads to either fusion or non-fusion between contacting colonies. Fusion requires the prior disappearance of contacting tunic cuticles and contact between facing ampullar epithelia. The epithelial cells of the ampullar tip show “pad regions” rich in ribosomes, which contribute to the synthesis of new tunic and cuticle. Blood cells, mainly phagocytes and pigment cells, increase their concentrations inside the ampullar lumen and phagocytes can cross the ampullar epithelium and enter the tunic, where they can contribute to the digestion of tunic cuticles and cells of the ampullar epithelium in order to establish a common circulation. Non-fusion reaction, as studied in the colony allorecognition assay, resembles the subcuticular rejection described in Japanese Botrylloides, characterised by limited tunic fusion, hemocyte leakage, and necrotic spots. Conversely, in the cut surface assay, a more intense cytotoxic reaction is observed along the contact border. In this case, morula cells crowd massively inside the facing ampullae, enter the tunic, and release their vacuolar contents which are probably required for the formation of necrotic spots.

  8. 2. symposium energy crops 2009; 2. Symposium Energiepflanzen 2009

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2010-07-27

    Within the meeting '2nd Symposium energy plants 2009', held at 17th to 18th November, 2009, in Berlin (Federal Republic of Germany), the following lectures were held: (1) The bio energy policy of the Federal Government in the area of attention between climatic protection, ecology and economy (Ilse Aigner); (2) Chances and threatens of cultivation of energy plants for a sustainable energy supply (Alois Heissenhuber); (3) Certification as a prerequisite of the global exploration of bio energy (Andreas Feige); (4) A project support in the field of cultivation of energy plants, a review (Andreas Schuette); (5) Results from the investigation of the crop rotation in the EVA network (Armin Vater); (6) Optimisation of the cultivation technology of sorghum millets (Christian Roehricht); (7) The two-culture utilization system - a comparison between ecologic and conventional cultivation (Reinhold Stuelpnagel); (8) Crop rotation with energy plants - Chances and threatens for the plant protection (Baerbel Gerowitt); (9) Efficiency of utilization of water for energy plants (Siegfried Schittenhelm); (10) Utilization of arable food grasses and permanent grassland as a substrate for biogas (Matthias Benke); (11) Economical evaluation of plant fermentation substrates (Dominik Reus); (12) Energy plants as a challenge for the agricultural engineering (Heiner Bruening); (13) Influence of the design of cultivation on the subsequent effects of the cultivation of energy plants (Michael Glemnitz); (14) Energy plants and waters protection - Key aspects and possible options of action (Heike Nitsch); (15) Neophytes as energy plants - Chances and threatens (Werner Kuhn); (16) Manifold in te landscape - extensive cultivation systems with renewable raw materials as an option for nature protection? (Peer Heck); (17) Ecologic aspects of agro forestry systems (Holger Gruenewald); (18) Enhancement of the potential of energy yield of winter wheat (Wolfgang Friedt); (19) Interspersed silphie

  9. Max Planck and modern physics; Max Planck und die moderne Physik

    Energy Technology Data Exchange (ETDEWEB)

    Hoffmann, Dieter (ed.) [MPI fuer Wissenschaftsgeschichte, Berlin (Germany)

    2010-07-01

    Max Planck (1858-1947) is according to the words of Max von Laue the ''father of quantum physics''. This characteristic has until today continuance, although Planck stood for long time sceptically in front of his quantum hypothesis and so became a revolutionary in spite of his wishes. Eclipted by this pioneer role of the scholar for the foundation of the quantum theory are the numerous further works of the scholer, by which he has in many other fields provided eminent things. Starting with his fundamental contribution to thermodynamics, which make him to an excellent researcher of the field, until the works in the early history of relativity theory and the promotion of the young Einstein, which let him become also to a pioneer of the second central pillar of modern physics. The present collection attempts to show the whole spectrum of the physical works of Max Planck and his role in the formation of modern physics. [German] Max Planck (1858-1947) ist nach den Worten Max von Laues der ''Vater der Quantenphysik''. Diese Charakteristik hat bis heute Bestand, obwohl Planck seiner Quantenhypothese lange Zeit skeptisch gegenueberstand und so zum Revolutionaer wider Willen wurde. Ueberschattet von dieser Pionierrolle des Gelehrten fuer die Begruendung der Quantentheorie werden die zahlreichen weiteren Leistungen des Gelehrten, mit denen er in vielen anderen Bereichen Herausragendes zur Herausbildung der modernen Physik geleistet hat. Angefangen mit seinen fundamentalen Beitraegen zur Thermodynamik, die ihn zu einem der herausragenden Forscher des Gebietes machen, bis hin zu den Arbeiten in der Fruehgeschichte der Relativitaetstheorie und der Foerderung des jungen Einstein, die ihn ebenfalls zum Pionier der zweiten zentralen Saeule der modernen Physik werden liessen. Der vorliegende Sammelband versucht das gesamte Spektrum der physikalischen Arbeiten Max Plancks und seiner Rolle in der Herausbildung der modernen Physik aufzuzeigen

  10. Ventriculomegaly with non-CNS anomalies

    International Nuclear Information System (INIS)

    We correlated fetal magnetic resonance (MR) imaging findings with postnatal clinical findings to assess ventriculomegaly with non-CNS anomalies. From 2002 to 2010, 52 fetuses underwent a MRI for evaluation of ventriculomegaly after ultrasonography (US). Ten of the 52 demonstrated anomalies outside the central nervous system (CNS), including trisomy 8, trisomy 18, X-linked hydrocephalus, CHARGE/Potter sequences, VATER association, oral-facial-digital syndrome, esophageal atresia type C, or external auditory canal stenosis. Examinations were performed between 24 and 35 weeks' gestation. MR imaging was performed in a 1.5-tesla unit using a phased-array coil without preparation. Fetal MR imaging showed abnormalities of the kidney, bladder, duodenum, and thumbs but did not permit diagnosis of esophageal atresia type C or craniofacial, anorectal, or skeletal anomalies. Cardiac anomaly was most frequent, but fetal MR imaging did not allow final diagnosis of congenital heart disease. On both US and MR imaging, esophageal atresia type C and anorectal anomaly were undetected; normal rectal signal in a case of anorectal anomaly without urorectal fistula did not lead to suspicion of anomaly. Observation of adducted thumbs on MR imaging is an important sign of X-linked hydrocephalus. The slice area used in this study did not cover polydactyly, which accompanies oral-facial-digital syndrome. US and MR imaging are complementary imaging methods used to evaluate ventriculomegaly. Fetal MR imaging should cover the kidney, bladder, and fingers. Further work is needed to determine the anomalies that can be clearly detected by fetal MR imaging. (author)

  11. Väterforschung als Familienforschung

    Directory of Open Access Journals (Sweden)

    Walter Bien

    2004-11-01

    Full Text Available Männer im Übergang zur Vaterschaft von Ariane Schorn ist ein interessantes, empfehlenswertes Buch, das einen wichtigen, bisher wenig beleuchteten Aspekt im Alltag eines Großteils der Bevölkerung umfasst, immerhin sind bzw. werden zwischen70 und 80% aller Männer im Laufe ihres Lebens einmal Vater. Das Buch zeigt eine lebendige, nicht immer einfache Entwicklung in einer schwierigen Zeit der Familientriade.

  12. Zum psychoanalytischen Verständnis der Harry Potter-Entwicklungsromane

    OpenAIRE

    Subkowski, Peter

    2008-01-01

    In dieser Arbeit wird herausgearbeitet wie Harry Potter nach dem traumatisierenden Verlust beider Eltern und der nachfolgenden Vernachlässigung durch seine Verwandten eine exemplarische psychische Entwicklung zu einem reifen Erwachsenen nimmt. Auf der Basis seiner verinnerlichten frühen Mutterliebe erwirbt er dabei über die Identifikation mit seinem Vater und dem väterlichen Freund Dumbledore zunehmend Selbstvertrauen und gewinnt neue Freunde in seiner Peer-Group. Harry durchläuft nach zahlre...

  13. Die Konstruktion von Müttern, Vätern und Eltern

    Directory of Open Access Journals (Sweden)

    Ellinor Forster

    2004-11-01

    Full Text Available Durch die Frauen- und Geschlechterforschung wurde der Blick der Wohlfahrtsstaatsanalysen auf die unbezahlte Arbeit von Ehefrauen und Müttern sowie die wohlfahrtsstaatlichen Reformen für diese Gruppen ausgedehnt. Die vorliegende Untersuchung knüpft an die zunächst auf Mutterschaftskonzepte zentrierte Wohlfahrtsstaatsforschung an, geht jedoch darüber hinaus, indem sie den Gegenstandsbereich um die Erforschung der Vater- und Elternschaft erweitert.

  14. Marine alien species in Greek Seas: Additions and amendments by 2010

    Directory of Open Access Journals (Sweden)

    A. ZENETOS

    2012-12-01

    Full Text Available An update of the inventory of alien marine species from the coastal and offshore waters of Greece is presented. Records were compiled based on the existing scientific and grey literature, including the HCMR database of Greek alien species (ELNAIS, technical reports, scientific congresses, academic dissertations, websites, and unpublished/personal observations. 47 species were added to the inventory, including 34 invertebrates, one vertebrate (fish, three plants, eight protozoa, and one cyanobacterium. With the new records, the inventory of alien marine species of Greece now includes a total of 237 species (33 macrophytes, 131 invertebrates, 42 vertebrates, two bacteria and 29 protozoans. Among these, the presence of the gastropodHypselodoris infucata, the bivalvesDendrostrea frons and Septifer forskaliand the chondrichthyan Rhizoprionodon acutus is reported here for the first time. Based on molecular analysis, the occurrence of Bulla arabica in Greek waters is confirmed, and the suggestion that previous records of Bulla ampulla in the Mediterranean should be considered as misidentification of B. arabica is further supported. The acclimitization status of earlier records was revised in the light of new data, and thus the fishEnchelycore anatina, Seriola fasciata andTylerius spinosissimus, the red algaeHypnea cornuta and Sarconema scinaioides, the scyphomedusaCassiopea andromeda, the cephalopodSepioteuthis lessoniana, the nudibranchChromodoris annulata and the bivalvesGastrochaena cymbium andPseudochama corbieri were upgraded from casual records to established populations. The increased rate of introductions of warm water species confirms previous findings, which link the rate of introduction in the eastern Mediterranean to climate change.

  15. Electrosensitive spatial vectors in elasmobranch fishes: implications for source localization.

    Directory of Open Access Journals (Sweden)

    Ariel C Rivera-Vicente

    Full Text Available The electrosense of sharks and rays is used to detect weak dipole-like bioelectric fields of prey, mates and predators, and several models propose a use for the detection of streaming ocean currents and swimming-induced fields for geomagnetic orientation. We assessed pore distributions, canal vectors, complementarity and possible evolutionary divergent functions for ampullary clusters in two sharks, the scalloped hammerhead (Sphyrna lewini and the sandbar shark (Carcharhinus plumbeus, and the brown stingray (Dasyatis lata. Canal projections were determined from measured coordinates of each electrosensory pore and corresponding ampulla relative to the body axis. These species share three ampullary groups: the buccal (BUC, mandibular (MAN and superficial ophthalmic (SO, which is subdivided into anterior (SOa and posterior (SOp in sharks. The stingray also has a hyoid (HYO cluster. The SOp in both sharks contains the longest (most sensitive canals with main projections in the posterior-lateral quadrants of the horizontal plane. In contrast, stingray SO canals are few and short with the posterior-lateral projections subsumed by the HYO. There was strong projection coincidence by BUC and SOp canals in the posterior lateral quadrant of the hammerhead shark, and laterally among the stingray BUC and HYO. The shark SOa and stingray SO and BUC contain short canals located anterior to the mouth for detection of prey at close distance. The MAN canals of all species project in anterior or posterior directions behind the mouth and likely coordinate prey capture. Vertical elevation was greatest in the BUC of the sandbar shark, restricted by the hammerhead cephalofoil and extremely limited in the dorsoventrally flattened stingray. These results are consistent with the functional subunit hypothesis that predicts specialized ampullary functions for processing of weak dipole and geomagnetic induced fields, and provides an anatomical basis for future experiments on

  16. Helical CT defecography; La defecografia con Tomografia Computerizzata spirale

    Energy Technology Data Exchange (ETDEWEB)

    Ferrando, R.; Fiorini, G.; Beghello, A.; Cicio, G.R.; Derchi, L.E.; Consigliere, M.; Resasco, M. [Genua Univ., Genua (Italy). Ist. di Radiologia, Cattedra R; Tornago, S. [Genua Univ. Genua (Italy). 2 Clinica Ortopedica

    1999-11-01

    The purpose of this work is to investigate the possible role of Helical CT defecography in pelvic floor disorders by comparing the results of the investigations with those of conventional defecography. The series analyzed consisted of 90 patients, namely 62 women and 28 men, ranging in age 24-82 years. They were all submitted to conventional defecography, and 18 questionable cases were also studied with Helical CT defecography. The conventional examination was performed during the 4 standard phases of resting, squeezing, Valsalva and straining; it is used a remote-control unit. The parameters for Helical CT defecography were: 5 mm beam collimation, pitch 2, 120 KV, 250 m As and 18-20 degrees gantry inclination to acquire coronal images of the pelvic floor. The rectal ampulla was distended with a bolus of 300 mL nonionic iodinated contrast agent (dilution: 3g/cc). The patient wore a napkin and was seated on the table, except for those who could not hold the position and were thus examined supine. Twenty-second helical scans were performed at rest and during evacuation; multiplanar reconstructions were obtained especially on the sagittal plane for comparison with conventional defecographic images. Coronal Helical CT defecography images permitted to map the perineal floor muscles, while sagittal reconstructions provided information on the ampulla and the levator ani. To conclude, Helical CT defecography performed well in study of pelvic floor disorders and can follow conventional defecography especially in questionable cases. [Italian] Scopo di questo lavoro e' ricercare un ruolo per la defeco-TC con apparecchiatura elicoidale nello studio delle malattie del pavimento pelvico confrontandola con i risultati consolidati della defecografia tradizionale. Si sono visionati 90 pazienti, 62 femmine e 28 maschi, con eta' compresa tra 24 e 82 anni, con defecografia tradizionale; di questi, 18 casi con diagnosi dubbia sono stati studiati anche con defeco-TC spirale

  17. Bicarbonate secretion by rabbit proximal colon.

    Science.gov (United States)

    Sullivan, S K; Smith, P L

    1986-10-01

    Stripped segments of proximal colon (1-6 cm distal to the ampulla caecalis coli) were studied in vitro in Ussing chambers under short-circuit conditions using the pH-stat technique. With glucose and HCO3-CO2 present in the serosal bathing solution only, proximal colon alkalinizes the luminal bathing solution at a rate of 2.1 +/- 0.2 mu eq X h-1 X cm-2 (n = 36). With HCO3-CO2 present in the luminal bathing solution alone, proximal colon does not significantly acidify or alkalinize the serosal bathing solution. Addition of glucose (10 mM) to the luminal bathing solution abolished luminal alkalinization. Removal of HCO3 and CO2 from the serosal bathing solution or replacement of O2 with N2 also abolished luminal alkalinization. Acetazolamide (0.1 mM) added to both bathing solutions did not alter the rate of luminal alkalinization. Ion-replacement studies revealed that the alkalinization process was highly dependent on the presence of Na in the bathing solutions and much less dependent on the presence of Cl. Furthermore, ouabain (0.1 mM) significantly reduced luminal alkalinization. As in rabbit ileum, serosal epinephrine (0.1 mM) did not alter luminal alkalinization but increased serosal alkalinization by a Na-dependent mechanism. These results suggest that luminal alkalinization results from a Na-dependent, active transcellular HCO3 transport process and that a Na-dependent HCO3 absorptive process is activated by adrenergic stimuli. PMID:3766731

  18. Malignant biliary obstruction treated with metallic stents

    International Nuclear Information System (INIS)

    Purpose: The outcome of 33 patients with malignant biliary obstruction treated with metallic stents is presented. Materials and methods: Thirty-eight biliary metallic stents were placed in 33 patients with malignant biliary obstruction. They were 52-71 years old (mean = 61.7); 23 were male and 10 were female. The biliary obstruction was caused by biliary carcinoma (n = 16), pancreatic carcinoma (n = 2), hepatoma (n = 2), metastasis in liver (n = 3) and lymph node metastasis (n = 10). Six types and 38 metallic stents were used. After stentering, 3 cases were treated with intrastent brachytherapy, 7 cases treated with external radiotherapy and 2 patients treated with interventional radiology. Patients were followed for 6-28 months, mean 11 months. Results: Stent placement was successful in all 33 cases. The same time, 4 patients were treated with plastic tube for external drainage only. The successful rate was 90%. Twenty-nine patients were placed in one time, 4 cases began with plastic tube which was replaced with metallic stents after 1-2 weeks. Nine had metallic stents and plastic tube, because of complicated obstruction. The external drainage catheters were removed after 15-200 days. Three patients had stents crossing the ampulla. In 28 cases (84.85%), jaundice was reduced satisfactorily while in 5 cases with complicated biliary obstruction, the result was unsatisfactory. The median survival was 7 months. After stentering, 12 cases were treated with locat chemotherapy, brachytherapy or radiotherapy. The median survival period was 10 months. Conclusion: The metallic stent provides good palliative drainage and is well tolerated by patients. It improves the survival rate when combined with radiotherapy, brachytherapy and chemotherapy in patients with malignant biliary obstruction

  19. Vaterschaft nach der Scheidung – Die Perspektive der Väter Fatherhood After Divorce—The Fathers’ Perspective

    Directory of Open Access Journals (Sweden)

    Michael Matzner

    2004-11-01

    Full Text Available Während man in Deutschland die Situation von allein erziehenden Müttern gut erforscht hat, wandte man sich den von ihren Kindern getrennt lebenden Vätern nur äußerst selten zu. Dies ist mehr als erstaunlich, wenn man sich die in die Millionen gehende Zahl betroffener Väter und Kinder vor Augen führt. Allein im Jahr 2000 wurden 95.000 Ehepaare mit minderjährigen Kindern (146.000 geschieden. Bei Gerhard Amendts empirischer Studie handelt es sich um die erste deutschsprachige, als Buch erschienene wissenschaftliche Veröffentlichung zum Thema „Scheidungsväter“. Amendt beantwortet aus der Perspektive der Väter folgende Fragen: Wie sprechen Väter über ihre Scheidung und wie gehen sie mit den Scheidungsfolgen um? Wie verbringen sie die Zeit mit ihren Kindern? Warum brechen manche von ihnen den Kontakt zu den Kindern ab? Der neue Zugang zum Thema Scheidung bzw. Trennung über die Person des Vaters war längst überfällig und bringt neue Perspektiven und Erkenntnisse in die wissenschaftliche Debatte.While the situation of single mothers has been duly researched in Germany, very rarely has attention been given to fathers who live separated from their children. This is truly remarkable when one surveys the number, rising into the millions, of fathers and children affected. In the year 2000 alone, 95,000 married couples with dependant children (146,000 divorced. Gerhard Amendt’s empirical study can be seen as the first German-language, book length, scientific publication on “divorced fathers.” Arendt answers the following questions from the perspective of the fathers: How do fathers talk about divorce and how do they deal with the consequences of divorce? How do they spend time with their children? Why do some of them cut off contact to their children? This new access to the issues of divorce or separation with regard to the father was long overdue and brings new perspectives and realizations to the scientific debate.

  20. Harry Potter - das Trauma als Motor der psychischen Entwicklung

    OpenAIRE

    Subkowski, Peter

    2004-01-01

    In den Harry Potter-Bänden wird exemplarisch die psychische Entwicklung eines traumatisierten Jungen von der frühen verinnerlichten Mutterliebe über das massive Verlusttrauma zur Zeit der analen Phase und der kumulativen Traumatisierung durch die Vernachlässigung und das Gequältwerden bei seinen Verwandten dargestellt. Über die Identifikation mit seinem Vater und anderen Ersatzvätern erwirbt sich Harry Potter schließlich Selbstvertrauen und gewinnt neue Freunde. Harry durchläuft dab...

  1. Überwachen und Strafen : Armut und Ausgrenzung in Büchners "Woyzeck"

    OpenAIRE

    Reinhard, Nadja

    2013-01-01

    In Georg Büchners Jubiläumsjahr seines 200. Geburtstages sind die 1824-1826 in juristischen Fachzeitschriften publizierten, inzwischen längst vergessenen Gutachten von Georg Büchners Vater Ernst erneut unter dem Titel "Versuchter Selbstmord mit Stecknadeln" veröffentlicht worden. Die depressive Patientin des titelgebenden Berichts gab an, zunächst 30 und später dann 300 Stecknadeln in suizidaler Absicht verschluckt und unbeeinträchtigt wieder ausgeschieden zu haben. Ernst Büchner hielt das ni...

  2. Sinfonia

    OpenAIRE

    Lotti, Antonio

    2011-01-01

    Antonio Lotti (1667 – 1740) gehörte zu den angesehensten Musikern seiner Zeit und wurde deshalb vom sächsischen Kurprinzen mit Einverständnis seines Vaters für drei Jahre nach Dresden verpflichtet. Lotti hatte den Auftrag, mit einem italienischen Ensemble italienische Opern in Dresden aufzuführen. August der Starke erteilte am 23. August 1718 von Warschau aus die schriftliche Ordre an den Grafen Wackerbarth, ein neues Opernhaus am Taschenberg zu errichten. Es wurde am 3. September 1719 mit „G...

  3. Sinfonia

    OpenAIRE

    Lotti, Antonio

    2014-01-01

    Antonio Lotti (1667 – 1740) gehörte zu den angesehensten Musikern seiner Zeit und wurde deshalb vom sächsischen Kurprinzen mit Einverständnis seines Vaters für drei Jahre nach Dresden verpflichtet. Lotti hatte den Auftrag, mit einem italienischen Ensemble italienische Opern in Dresden aufzuführen. August der Starke erteilte am 23. August 1718 von Warschau aus die schriftliche Ordre an den Grafen Wackerbarth, ein neues Opernhaus am Taschenberg zu errichten. Es wurde am 3. September 1719 mit „G...

  4. Malignant biliary obstruction: treatment with interventional radiology

    Institute of Scientific and Technical Information of China (English)

    翟仁友; 钱晓军; 戴定可; 于平

    2003-01-01

    Objective To evaluate the method of palliative drainage by means of metallic indwelling stents or plastic tubes for patients with malignant biliary obstruction. Methods From January 1995 to Febuary 2001, 243 consecutive patients (161 men and 82 women; aged 26-91 years, mean of 61.3 years) with malignant biliary obstruction were treated with transhepatic placement of metallic stents and/or plastic tubes. Among them, 47 patients had pancreatic carcinoma, 98 cholangiocarcinoma, 28 metastatic carcinoma and 60 hepatic carcinoma. 169 stents of nine types were used in this series. After stenting, 47 patients were treated for local tumors. Procedure- and device-related complications were recorded. Patient survival and stent patency rates were calculated with Kaplan-Meier survival analysis.Results One hundred and three patients underwent successfully stent placement for the first time. Others had their stents installed 1-2 weeks after catheterization. Stents were used in 132 patients. Ninety-five patients were treated with a single stent. Seventeen patients had two stents installed for bilateral drainage,20 patients had two stents installed from top to bottom to create stenting of adequate ength, and 12 patients had stents placed across the ampulla. The 2-month mortality rate was 8.64% (21/243). Major complications occurred in two patients (0.8%, 2/243). Minor complications included self-limited bleeding into the drainage tubes and fever. The average patency of the initial stent was 7.5 months and average survival was 9 months. Thirteen patients received brachytherapy in their stents, 15 extra radiation therapy, and 19 intra-arterial infusion chemotherapy. The 47 patients treated for local tumors had an average survival of 11.3 months (log rank 32.8,P<0.001) with an average patency of 9.7 months(log rank 4.7,P<0.05).Conclusion Percutaneous transhepatic bile drainage as a palliative procedure is well tolerated by patients. After stenting, treatment for local tumor may

  5. Photodynamic therapy for gastrointestinal tumors using three a photosensitizers - ALA induced PPIX, Photofrin and MTHPC. A pilot study

    International Nuclear Information System (INIS)

    Photodynamic therapy (PDT) produces localized necrosis with light after prior administration of a photosensitizing drug. As PDT lesions in the gastrointestinal tract heal well, the technique is suitable for repeated endoscopic use. In this study we used PDT to treat benign and malignant gastrointestinal tumors in esophagus, duodenum and rectum in 22 patients, who refused or were not suitable for surgery. Patients were sensitized with 0.15 mg/kg of body weight with mesotetrahydroxyphenylchlorin i.v. m-THPc (2 patients), with 2.0 mg/kg Photofrin i.v. (4 patients) or 60 mg/kg 5-aminolevulinic acid orally ALA (which is converted in vivo to active derivate protoporphyrin IX-PPIX) in fractionated doses (16 patients). Laser treatment was performed 2 days after Photofrin, 2 and 4 days after mTHPc and 4 hours after ALA, using a metal vapour laser (628 nm, 50-150 J/cm2 for ALA and Photofrin, 650 nm and 10-15 J/cm2 for mTHPc). Using ALA, the necrosis was only superficial (up to 1.8 mm depth). Four patients treated with Photofrin showed deeper necrosis, in one case of 8 mm colon cancer complete response, in three cases 1-1.5 cm adenomatous polyps involving the ampulla Vateri 50% longer term reduction in size - seen endoscopically. Two patients with rectal villous adenomas treated with mTHPc showed 60-80% reduction in size (observed endoscopically) within few days after PDT, with better effects for treatment carried out 4 rather than 2 days after the sensitization. In all patients the healing was without any complications. Photofrin and mTHPc work better, but cause cutaneous photosensitivity lasting 12 and 5 weeks, respectively. Better results with ALA are possible when using higher drug doses or modified light dosimetry. PDT is a promising treatment for small localized tumors in patients unsuitable for surgery, but further work is required to optimize the treatment conditions. (authors)

  6. 体外受精取卵日手淫取精失败的取精方法%Research on methods to obtain sperm after failing to obtain sperm by masturbation in oocyte retrieval for in vitro fertilization

    Institute of Scientific and Technical Information of China (English)

    蒲军; 丘彦

    2011-01-01

    目的 研究体外受精取卵日手淫取精失败的取精方法.方法 对120例体外受精取卵日手淫取精失败的临床资料进行回顾分析.结果 120例患者分别采用药物治疗法、性交法、阴茎头震荡刺激法、经直肠输精管壶腹和精囊及前列腺按摩法、经皮穿刺附睾睾丸法5种方法作为手淫取精失败的替代取精法,120例患者全部取精成功.结论 性交法、经皮穿刺附睾睾丸取精法是较满意的两种替代方法.提前冷冻精子是解决体外受精取卵日手淫取精失败的最佳方案.%Objective To research the methods to obtain sperm after failing to obtain sperm by masturbation in oocyte retrieval for in vitro fertilization. Methods To retrospectively analyse the clinical data of 120 patients failing to obtain sperm by masturbation in oocyte retrieval for in vitro fertilization. Results 120 patients adopted 5 methods respectively to obtain sperm for substitution,which including drug treatment,coitus,shaking and stimulating balanus,pressing ampulla of deferent duct and seminal vesicle and prostate per rectum, percutaneous epididymal and testicular sperm aspiration. Conclusion There are two frequently used methods to obtain sperm by coitus and percutaneous epididymal and testicular sperm aspiration for substitution. It is the optimal method to freeze sperm in advance to deal with one patient fail to obtain sperm by masturbation in oocyte retrieval for in vitro fertilization.

  7. Laryngo-tracheo-oesophageal clefts

    Directory of Open Access Journals (Sweden)

    Leboulanger Nicolas

    2011-12-01

    Full Text Available Abstract A laryngo-tracheo-esophageal cleft (LC is a congenital malformation characterized by an abnormal, posterior, sagittal communication between the larynx and the pharynx, possibly extending downward between the trachea and the esophagus. The estimated annual incidence of LC is 1/10,000 to 1/20,000 live births, accounting for 0.2% to 1.5% of congenital malformations of the larynx. These incidence rates may however be underestimated due to difficulty in diagnosing minor forms and a high mortality rate in severe forms. A slightly higher incidence has been reported in boys than in girls. No specific geographic distribution has been found. Depending on the severity of the malformation, patients may present with stridor, hoarse cry, swallowing difficulties, aspirations, cough, dyspnea and cyanosis through to early respiratory distress. Five types of laryngo-tracheo-esophageal cleft have been described based on the downward extension of the cleft, which typically correlates with the severity of symptoms: Type 0 laryngo-tracheo-esophageal cleft to Type 4 laryngo-tracheo-esophageal cleft. LC is often associated with other congenital abnormalities/anomalies (16% to 68%, mainly involving the gastro-intestinal tract, which include laryngomalacia, tracheo-bronchial dyskinesia, tracheo-bronchomalacia (mostly in types 3 and 4, and gastro-esophageal reflux disease (GERD. The syndromes most frequently associated with an LC are Opitz/BBB syndrome, Pallister Hall syndrome, VACTERL/VATER association, and CHARGE syndrome. Laryngeal clefts result from failure of fusion of the posterior cricoid lamina and abnormal development of the tracheo-esophageal septum. The causes of the embryological developmental anomalies leading to LC are not known but are thought to be multifactorial. LC appears to be mostly sporadic although some familial cases with suspected autosomal dominant transmission have been reported. The age of diagnosis depends mainly on the severity of

  8. Franz Kafka: Raízes

    Directory of Open Access Journals (Sweden)

    George Bernard Sperber

    1997-11-01

    Full Text Available Der Text versucht den Wurzeln des Schaffens Franz Kafkas nachzugehen, und sucht diese in verschiedenen, konzentrischen und exzentrischen Kreisen. Ein erster un enger Kreis ist der der Familie Kafkas, mit der vorherrschenden Figur des autoritären Vaters. Ein zweiter und weiterer Kreis ist der des Prager Judentums, mit dem ihm auferlegten Außenseitertum, das auch den dritten und noch breiteren Kreis bedingt, und zwar den der deutschsprachigen Bevölkerung Prags am Anfang des Jahrhunderts. Die aus diesen Kreisen sprießenden Wurzeln bedingen das Außenseitertum Kafkas, befähigen ihn aber auch die Rolle des Dichters als Propheten zu übernehmen.

  9. Sobre traducciones fracasadas:

    OpenAIRE

    Dieter Messner

    2010-01-01

    V članku so obravnavani prevodi književnih besedil Petra Handkeja (Der Chinese des Schmerzes) in Christine Nöstlinger (Der geheime Großvater/el abuelo misterioso in Anatol und die Wurschtelfrau/Anatol y Desiree) iz nemščine v španščino ter Juana Marséja (El amante bilingüe) iz španščine v nemščino. Analizirani so pokrajinski in sociolektalni izrazi, ki jih avtorji uporabljajo za označevanje pokrajin in oseb. Španski prevodi avstrijskih avtorjev kažejo, da so prevajalci pri delu uporabljali zg...

  10. Selected Abstracts of the 12th International Workshop on Neonatology; Cagliari (Italy; October 19-22, 2016

    Directory of Open Access Journals (Sweden)

    --- Various Authors

    2016-10-01

    Full Text Available Selected Abstracts of the 12th International Workshop on Neonatology; Cagliari (Italy; October 19-22, 2016ABS 1. ABNORMAL FETAL GROWTH ALTERS THE METABOLIC PROFILE OF EARLY HUMAN MILK • A. Kontogeorgou, Ch. Fotakis, D.D. Briana, T. Boutsikou, A. Malamitsi-Puchner, P. ZoumpoulakisABS 2. VENTED BASE FEEDING BOTTLE IN PRETERM INFANTS WITH GERD SYMPTOMS: EFFECTS ON RESPIRATION-DEGLUTITION PATTERNS AND REFLUX • E. Cocchi, C. Zavattero, E. Maggiora, C. Peila, A. Coscia, E. Bertino, F. CresiABS 3. ANALYSIS OF CIRCULATING miRNAs IN OBESE CHILDREN BORN SMALL FOR GESTATIONAL AGE • M.F. Faienza, F. Marzano, G. D'Amato, E. Inzaghi, A. Annese, M.F. Caratozzolo, A.M. D'Erchia, M. Chiara, D. Horner, E. Sbisà, L. Cavallo, G. Pesole, S. Cianfarani, A. Del Vecchio, A. TulloABS 4. CELOSOMY: OMPHALOCELE AND GASTROSCHISIS • F. Ayari, H. Chourou, H. Mannai, M. Chour, I. Ksibi, N. Ben Ameur, M. Ben Ammara, S. KacemABS 5. BREAST MILK IN INTRAUTERINE GROWTH RESTRICTION: DIFFERENCES COMPARED TO ADEQUATE FOR GESTATIONAL AGE INFANTS • C. Fadda, A. Reali, R. Pintus, F. Deidda, A. DessìABS 6. A RATHER UNIQUE AND UNEXPECTED PEDIATRIC SURGICAL CASE • G. Gaido, E.M. Nyaga, P.E. RolandiABS 7. VATER SYNDROME • M. Tuveri, C. Porcu, G. Ottonello, L. SabaABS 8. SEVERE NECROTIZING ENTEROCOLITIS ASSOCIATED WITH GASTROSCHISIS: DIFFICULTIES OF CARE • F. Ayari, W. Barbaria, E. Marmech, I. Ksibi, M. Cheour, N. Ben Ameur, M. Ben Ammara, S. KacemABS 9. RECURRENT ABDOMINAL PAIN AND JUVENILE SOLITARY POLYP (JSP: A CASE REPORT • L. Nai Fovino, V. Rametta, F. Rigon, G. Passarella, F. Rimondi, C. Santagati, M. Berardi, F. Marino, S. Innaurato, E. Michelin, C. Lorenzetto, S. Rossin, S. RugolottoABS 10. ULTRASOUND MONITORING OF LIVER ABSCESSES IN NEWBORNS • S. de Nardi, C. Porcu, M. Puddu, M.C. Pintus, M.A. Marcialis, L. SabaABS 11. RESPIRATORY PROBLEMS IN CHILDREN WITH REPAIRED ESOPHAGEAL ATRESIA AND TRACHEOESOPHAGEAL FISTULA • F. Porcaro, L. Valfrè, L. Rotondi

  11. 经会阴二维超声对产后女性盆底功能的初步筛查%Preliminary Screening for Pelvic Floor Function in Postpartum Women with the Two-dimensional Transperineal Ultrasonography

    Institute of Scientific and Technical Information of China (English)

    杨粟芬; 赵倩

    2013-01-01

    目的 利用经会阴二维超声对自然分娩女性产后100例常规体检观察膀胱颈、子宫颈及直肠、肛管,探讨经会阴超声初步筛查产后女性盆底功能的价值.方法 对行经阴道超声检查的女性,将腔内探头置于阴道下段及会阴处,观察平静呼吸及乏氏(Valsalva)动作下膀胱颈及子宫颈活动度及直肠形态变化,观察肛管形态及结构,利用彩色多普勒观察肛门括约肌血流分布情况.结果 100例女性经会阴处观察均可清晰显示膀胱颈及宫颈位移、尿道膀胱颈角度、直肠壶腹部活动及肛管回声,并可显示肛管内的血流分布.结论 经会阴二维超声对产后女性盆底的观察可初步筛查产后压力性尿失禁、直肠脱垂及膨出、肛门括约肌损伤,操作简单,具备临床实用价值.%Objective Observation of bladder necks, cervices, rectums and anal canals was made through routine physical examinations of 100 women who had undergone the spontaneous delivery with the two-dimensional transperineal ultrasonography. To investigate the significance of preliminary screening for pelvic floor function in postpartum women with the two-dimensional transperineal ultrasonography. Methods Endo-probe was put in lower areas of vagina and perineum regions of women for transvaginal ultrasound examinations to observe activity of cervix vesicae and cervix uterus, morphology change of recta, and the form and structure of anal tubes under eupnea and Valsalva. Blood distribution in sphincter ani was also observed with color Doppler. Results Displacement of cervix vesicae and cervix uterus, angles of cervix transurethral vesicae, activity in rectal ampulla and anal echo were showed clearly in transperineal examinations of 100 women. Blood distribution in anal tubes can also be revealed well. Conclusion Postpartum pelvic floor observation by transperineal two-dimensional ultrasonography can initially screen postpartum stress urinary incontinence

  12. Uroboros : [aus "Uroboros"] : [luuletused] / Ene Mihkelson ; tlk. Irja Grönholm ja Gisbert Jänicke

    Index Scriptorium Estoniae

    Mihkelson, Ene, 1944-

    2006-01-01

    Sisu: Uroboros : "In der Nacht fragt heimlich jemand Wie heisst du..." ; "Am Meer stand ein Mann mit einer Sense..." ; "An dem Tag als es Kugeln regnete..." ; "Zum Zeitvertrieb ersteigerte ich mir auf einer Auktion ein paar..." ; "Sie hat sich mit der Zeit eingelassen und daraus..." ; Das Feld ; "Mutter ist wieder bei mir obgleich..." ; "Wir waren ein Mädchen Wir redeten..." ; "Als ich vier Jahre alt wurde Da wurde so viel..." ; "Wer ist dein Vater Der Fremde aus der Ferne..." ; "Das letzte Wort Das letzte Das letzte Das allein...". Orig.: Uroboros : "Öö aegu keegi küsib sala Mis su nimi on..." ; "Mere ees seisis vikatiga mees..." ; "Sel päeval kui sadas kuulivihma..." ; "Ajaviiteks ostsin enampakkumisel sõpru..." ; "Ta ajaga läinud on sohki ja sellest..." ; Põld ; "Mu ema on jälle mu juures kuigi..." ; "Meid oli üks türduk Me rääkisime..." ; "Kui olin saanud neljaseks Nii väga kiitis..." ; "Kes on su isa Kaugelt tulnud võõras..." ; "Viimast sõna Viimast Viimast Ainu..."

  13. Arzt und Hobby-Astronom in stürmischen Zeiten Der Büchernachlass des Doktor Johannes Häringshauser, Viertelsmedicus in Mistelbach (1630-1641) in der Melker Stiftsbibliothek.

    Science.gov (United States)

    Davison, Giles; Glaßner, Gottfried

    2009-06-01

    Auf der Suche nach astronomischer Literatur stieß Giles Davison in der Melker Stiftsbibliothek auf den Namen "Doctor Johannes Häringshauser“ als Besitzer seltener und interessanter astronomischer Werke u.a. von Johannes Regiomontan, Georg von Peuerbach, Michael Mästlin, Johannes Kepler und Daniel Sennert. Weitere in den Jahren 2007-2009 durchgeführte Nachforschungen ergaben, dass es sich um den von 1630-1641 in Mistelbach, Niederösterreich, als Landschaftsarzt tätigen Vater des Melker Konventualen und Bibliothekars Sigismund Häringshauser (1631-1698) handelt. Er wurde 1603 als Sohn des aus Magdeburg stammenden Apothekers Johannes Häringshauser geboren und starb 1642 in Mistelbach. Johannes Häringshauser Sen. bekleidete von 1613-1640 eine Reihe wichtiger Ämter in der Wiener Stadtregierung und starb 1647. Der Studienaufenthalt von Dr. Johannes Häringshauser Jun. in Padua (1624-1626) dürfte das Interesse für Astronomie geweckt haben, das sich in seiner in die Bestände der Melker Stiftsbibliothek eingegangenen Privatbibliothek widerspiegelt. Der Großteil der 10 dem Fachbereich der Astronomie und Astrologie zuzuweisenden Titel wurde von ihm in den Jahren 1636 und 1637 erworben.

  14. 经内镜金属支架治疗胃出口梗阻的疗效评价%Endoscopic serf-expanded metal stent for gastric outlet obstruction:a ten-year experience

    Institute of Scientific and Technical Information of China (English)

    钟芸诗; 姚礼庆; 徐美东; 周平红

    2008-01-01

    目的 评价经内镜金属支架治疗胃出口梗阻的临床价值.方法 总结1999年3月至2008年1月间复旦大学附属中山医院内镜中心采用内镜金属支架治疗胃出口梗阻56例患者的临床资料.结果 56例患者中男33例、女23例.年龄(65±14)岁;晚期胃窦癌17例,胃癌术后复发15例(其中毕Ⅰ式吻合8例),十二指肠癌4例,壶腹周围癌7例,转移性肿瘤13例.支架置入成功率98.2%(55/56).49例患者(87.5%)在支架置入1~3(2±1)d后开始进流质饮食,进食半流质的时间为4~9(6±2)d;42例(76.4%)患者在支架置入10~16(13±3)d后开始进普通饮食.并发症发生率包括疼痛14.5%、支架移位1.8%和出血25.5%,无穿孔.截至2008年1月20日,53例(96.4%)接受了随访,生存期14~332(139±15)d,中位生存期135 d.支架通畅率94.3%(50/53),有3例患者分别在术后143 d、158 d和190 d出现了再狭窄,通过再次置入金属支架后好转.结论 内镜下金属支架引流术是治疗胃出口梗阻的一种微创、安全、有效的方法.%Objective To evaluate the efficacy of endoscopic self-expanded metal stent for the treatment of gastric outlet obstruction.Methods Fifty-six cases of gastric outlet obstruction, collected from March 1999 to January 2008, were treated by endoscopic self-expanded metal stents. The success rate, complication rate and survival were evaluated. Results Among the 56 cases, the male to female ratio was 33 to 23, and the average age was [65±14(24-86)] years. Seventeen cases were gastric cancer, 4 duodenal carcinoma, 7 peri-ampulla carcinoma, 13 metastasis cancer and 15 presented recurrence after operations. The success rate of stent implantation was 98.2% (55/56). Forty-nine cases(87.5%) could eat liquid food 1-3 days after operations and eat semifluid food 4-9 days later. Forty-two cases (76.4%)could eat normal food after 10-16 days. The main complications included 14.5% of eases with pain, 1.8% with stent shift, 25.5% with bleeding and

  15. 应激性心肌病诊治探讨

    Institute of Scientific and Technical Information of China (English)

    柴文慧; 陈海娟

    2009-01-01

    应激性心肌病(stress cardiomyopathy)是一种由精神刺激所诱发的以左心室不全为主要表现的,伴有影像学与心电图呈一过性改变的一组症候群。该病2006年WHO心肌病指南中分为一种特殊的心肌病;该疾病曾有多种名称,包括:短暂性左心室心尖部气球样变(transient left ventricular apical ballooning),伤心综合征(broker heart syndrome),壶腹心肌病(ampulla cardiomyopathy),应激性心肌病(stress cardiomyopathy)等。此病在临床上与急性心梗非常相似,故认识此病非常重要。

  16. Wandel in der Implementation des Deutschen Embryonenschutzgesetzes

    Directory of Open Access Journals (Sweden)

    Bals-Pratsch M

    2010-01-01

    Full Text Available Das Embryonenschutzgesetz (ESchG bildet seit 1990 die rechtliche Grundlage für die Fortpflanzungmedizin in Deutschland. Die Bundesärztekammer (BÄK hat aus diesem Gesetz (§ 1 Abs. 1 Nr. 3 und 5 die sogenannte Dreierregel herausgelesen. Damit hat sie zwar durch die Begrenzung des Transfers auf 3 Embryonen den Gesundheitsschutz der Frau hervorgehoben, gleichzeitig aber die reproduktiven Rechte der Frau eingeschränkt. Da die Fortschritte in der Reproduktionsmedizin, wie die Blastozystenkultur mit selektivem Transfer oder die Präimplantationsdiagnostik (PID, bei einer konservativen Lesart des ESchG in Deutschland nicht im Interesse der Kinderwunschpaare umgesetzt werden konnten, ist die Diskussion um ein umfassendes Fortpflanzungsmedizingesetz entstanden. Zudem ist die konservative Interpretation des ESchG teilweise durch das in der Länderhoheit befindliche Berufsrecht festgeschrieben worden, falls die entsprechenden Landesärztekammern (LÄK die Richtlinie der BÄK ratifiziert hatten. Gesetze sind aber so formuliert, dass „technische Veränderungen“ (z. B. Blastozystentransfer keine Neukodifikation erfordern, sondern andere Sachverhalte zu anderen rechtlichen Bewertungen führen. Der neue Kommentar des ESchG sowie aktuelle Gerichtsurteile zur Kultivierung von Eizellen und zur Trophoblastbiopsie als frühe Form der Pränataldiagnostik (PND bestätigen die im Gesetz vorhandenen Auslegungsspielräume. – Die Erbrechts- und Unterhaltsansprüche eines Kindes gegenüber seinem genetischen Vater bei der Samenspende können außerhalb eines neuen Fortpflanzungsmedizingesetzes geregelt werden. Das Verbot der Eizellspende und Leihmutterschaft folgen aus dem rechtlichen Status der „Mutter“ eines Kindes als der Frau, die das Kind geboren hat. Mit diesem Hintergrund greift das ESchG mit dem Verbot der Eizellspende in das Reproduktionsrecht von Frauen ein. Abgesehen von diesem Verbot ist mit der von vielen Reproduktionsmedizinern und auch von den

  17. Luise Millerin und Ne'mat - die weiblichen Hauptfiguren von "Kabale und Liebe" und "Afwah wa Araneb" im Vergleich

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    Rascha Muhammad ‘OrabiRasch ‘Abdel ‘Aziz Muhammad ‘Orabi

    2013-10-01

    Full Text Available Dieser Beitrag  verfolgt  das Ziel, die weibliche Hauptfigur im deutschen Drama "Kabale und Liebe" und im arabischen Drama "Afwah wa Araneb" zu charakterisieren und miteinander zu vergleichen. Dabei werden die inneren sowie die zwischenmenschlichen Konflikte dieser beiden Frauen aufgezeigt und verglichen. Es macht sich bemerkbar, wie ähnlich die Schicksale der beiden weiblichen Hauptfiguren sind, die nach den Wertvorstellungen des Vaters oder des Familienoberhauptes leben müssen. Sie können als Musterbeispiele für die damalige Männerherrschaft angesehen werden. Männerherrschaft und Ungleichwertigkeit der Geschlechter - ein Thema, das unser modernes Leben noch immer beschäftigt. Darüber hinaus möchte ich beweisen, dass sich ein vollständiges Bild nur dann ergibt, wenn bei der Betrachtung alle Komponenten, politische, soziologische, psychologische sowie theologische, als Einheit berücksichtigt werden, wobei Luise und Ne'mat jeweils im Blickpunkt stehen sollen. Die gesellschaftliche Funktion des Dramas besteht in der Änderung der Gesellschaft durch Literatur und Drama. Die Untersuchung geht davon aus, dass beide Dramen als literarische Unterstützung der Emanzipation der bürgerlichen oder bäuerlichen Frau betrachtet werden sollen. Beide Dramen passen in jede Zeit. Unseren Jugendlichen sind die damaligen Probleme heute nicht fremd. Zu Zeiten Luises und Ne'mats hofft die junge Generation auf das Ende des Absolutismus, die Auflösung der Standesunterschiede und die Verwirklichung der sozialen Gerechtigkeit. Im arabischen Frühling spielen die Jugendlichen in Ägypten die Hauptrolle bei dem Sturz des diktatorischen Regimes von Husni Mubarak. Sie fordern auch Freiheit, Würde und soziale Gerechtigkeit. Diese Generationenkonflikte gibt es schon immer und wird es immer geben. Sie sind eine wesentliche Voraussetzung für Veränderung und Entwicklung. Schlagwörter: Interkulturalität, Komparatistik, "Kabale und Liebe", "Afwah wa Araneb

  18. Analysis of quality of ....

    OpenAIRE

    Gholamreza Bordbar; Fatemah Shakeri

    2012-01-01

    Selection and appointment of best people in any job is an important decision. In this regard, management of the universities is one of the concerning subjects and respectively, head of departments are also important due to their influence on the performance of faculties. In this paper the quality of competency based selection and appointment of head of departments has been studied considering five dimensions of professional knowledge intellectual and behavioral skills personality characterist...

  19. Analysis of quality of ....

    Directory of Open Access Journals (Sweden)

    Gholamreza Bordbar

    2012-03-01

    Full Text Available Selection and appointment of best people in any job is an important decision. In this regard, management of the universities is one of the concerning subjects and respectively, head of departments are also important due to their influence on the performance of faculties. In this paper the quality of competency based selection and appointment of head of departments has been studied considering five dimensions of professional knowledge intellectual and behavioral skills personality characteristics attitude, insight and honor of people and the gap between present and desired status has been analyzed according to the viewpoints of faculty members of Yazd University. The data has been collected through literature review, interview and questionnaire. The validity of designed questionnaire has been approved by a group of experts. 175 questionnaires have been distributed among faculty members of 30 departments of Yazd University in 2009, out of which, 122 have been completed and returned. The reliability of questionnaire has been computed using Cronbach's alpha as 0.97. The findings imply that at the current status, the dimensions of "personality characteristics" and "professional knowledge" are of most and least concern, respectively. The findings of calculating weighted negative gap in departments imply that less consideration of personality characteristics is the major reason for selection of incompetent head of departments. By ranking elements of this dimension using TOPSIS technique, it has been found that concentration on factors such as challenging, age, resistance against pressure, freshness and sociality and patience could further improve the current status. Therefore, with a proper planning for quality improvement of the elements of the mentioned dimensions, the probable problems and obstacles towards desirable performance of faculties can be rapidly removed.     Keywords : Quality, Competency based selection, Head of department, Yazd

  20. Study of dynamics of level of physical preparedness of students.

    Directory of Open Access Journals (Sweden)

    Коvalenko Y.A.

    2010-12-01

    Full Text Available The dynamics of level of physical preparedness of students is studied in the article. A tendency is marked to the decline of level of physical preparedness of students of 1-3 courses. Methodical recommendations are presented on the improvement of the system of organization of physical education of students of the Zaporizhzhya national university. The dynamics of indexes of physical preparedness of students 1, 2, 3 courses of different years of teaching is studied. Principal reasons of decline of level of physical preparedness of students are certain. There are recommendations the department of physical education in relation to physical preparedness of students.

  1. Evolution of definition of competitiveness of products

    Directory of Open Access Journals (Sweden)

    I.A. Aleksandrov

    2010-12-01

    Full Text Available Investigational evolution of definition of competitiveness of products, certainly the stages of his development. Classification of existent approaches is improved in relation to the estimation of competitiveness of products, found out the sources of competitive edges from position of consumer cost, marginal utility, differentiation of products, demand and supply, key competense, marketing categories and ecological approach.

  2. Use of motivational levers of increase of efficiency of functioning of enterprises of region

    Directory of Open Access Journals (Sweden)

    Pakulin Sergey

    2016-02-01

    Full Text Available The method of increase of efficiency of work of labor collective is developed and approved due to the improvement of socially psychological climate. On the basis of the questionnaire questioning, utilizing separate expert descriptions of mutual relations of people in a collective, the integral index of mutual relations is measured in a collective, measures are then developed for the correction of conduct of his cocks with the purpose of improvement of morally psychological climate

  3. OF THE CONCEPT OF QUALITY OF PHYSICAL PERFECTION IN THE CONTEXT OF QUALITY OF LIFE

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    A. S. Khorloohiyn

    2011-01-01

    Full Text Available The urgency of definition of the concept of quality of physical perfection in a context of quality of life is described. Necessity of application to the decision of the given problem of system approaches is shown. The structure of developed model of system of quality management of granting of service as complex of the interconnected systems is defined. Questions of maintenance of a complex of means and methods of an estimation of a condition of the client and definition of a technique of formation of the correct typical program of physical preparation of the client are allocated. 

  4. Legality of use of drones

    OpenAIRE

    Slabá, Tereza

    2015-01-01

    The thesis analyses the legality of the use of drones in warfare based on the examination of three specific case studies. Firstly the use of armed drones in Afghanistan 2001 and 2002, then Pakistan drone strikes ongoing since 2004 and lastly the Yemen case study. A developed legal framework is used to assess the legality of the use of drones. Furthermore, it briefly touches upon the aspects of morality and ethics of the use of the unmanned aerial vehicles in combat.

  5. Survey of Departments of Physiology

    Science.gov (United States)

    Ganong, William F.

    1977-01-01

    Presents data of the 1976 survey of departments of physiology. Includes comparison to 1974 and 1975 data for number of academic positions available, department budgets, graduate students and post doctoral fellows, and salaries. (SL)

  6. Strategy of modernization of Sonatrach

    International Nuclear Information System (INIS)

    The problem of modernization of Sonatrach proceeds from an analysis which assumes as fundamentals : technological evolution as a source of competitive advantage, the careful observation of the strategies followed by the main actors of the international oil industry, the evolution of relationship between the State and the state owned enterprise. (Author)

  7. Assessment of sustainability of logistic activity of Port of Klaipeda

    OpenAIRE

    Kutkaitis, Audrius; Šimanskienė, Ligita; Burgis, Darius

    2014-01-01

    In this article we analyze the relation between sustainable development and logistic activity of sea ports. The assessment of sustainability of development of logistic activity in seaports is important for determining current trends of development, to indicate problematic areas and to develop means of adjusting development according to predetermined goals. The main problem that the article deals with is the complexity of sustainable development assessment that usually requires specific app...

  8. Increasing of Reliability of Converter

    Directory of Open Access Journals (Sweden)

    Trebuňa, F.

    2006-01-01

    Full Text Available The innovative activities in steel production invoke exploitation of new machines with the higher production capacity and productivity of labor. The paper deals with deformation and stress analysis of carrying parts of converter pedestal on the base of which the proposals and supporting measures were made that had the aim to increase reliability of the converter during steel production. This was achieved by lifespan prolongation of anchor and connecting bolts of converter pedestal, by change of stiffness of connected elements as well as by correction of nuts of bolted connections. The realization of structural changes decreased loading amplitudes and consequently the vibrations of pedestal. Solution was verified by numerical and experimental procedures of mechanics.

  9. FORMATION OF PARENTAL COMPETENCE OF CONDITIONS OF ELEMENTARY SCHOOL

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    B. V. Sergeeva

    2016-03-01

    Full Text Available Article is devoted to a problem of formation of parental competence of younger school students. Results of designing of the maintenance of parental competence of children of younger school age are presented in article. Process of formation of the parental competence of younger school students consisting of 3 blocks is also presented: target, organizational and substantial and estimated and productive, the target block assumes statement of the purpose - formation of parental competence of younger school students and consists of components: motivational and personal (manifestation of interest of parents in successful result of education of younger school students, abilities to empathy, pedagogical reflection, self-checking; Gnostic (existence at parents of knowledge of features of manifestation and formation of the pupil during the different periods of development; communicative and activity (manifestation by parents of abilities to build relationship with the pupil, to stimulate his independence in activity, to apply effective methods of education; competence-based experience (use of the approved and mastered knowledge, skills of education of younger school students in practice of family education; the organizational and substantial, including system methods and forms of formation of parental competence of younger school students; the estimated and productive block of model consists of an assessment of productivity of process of formation of the competence of parents including identification of dynamics of level of parental competence at children of younger school age assuming achievement of sufficient level of parental competence of children of younger school age, and also a condition of formation of parental competence of younger school students. Realization of model of formation of parental competence of children of younger school age of age will be effective at increase of readiness of teachers for formation of pedagogical competence of

  10. IMPROVEMENT OF DEVELOPMENT OF TOURISM OF SERBIA

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    Slobodan CEROVIC

    2007-06-01

    Full Text Available Serbia, without doubt, has qualitative and diverse base to develop tourism. Natural attractions as well as attained level of lodging and other capacities point out that numerous types of tourism could be developed, especially if one takes into account landscape diversity as well as natural potentials of Serbia. Previous development of tourism affirms its numerous effects which, in significant manner, have been embedded in economic and social development of Serbia. In that connection, the aim of this work is to point out the necessity of stimulating tourism in Serbia, which would form necessary assumptions for its dynamic role in the development of Serbia’s economy.

  11. THE ASSESSMENT OF SATISFACTION OF GRADUATES OF INSTITUTE OF STOMATOLOGY OF KRASGMU QUALITY OF EDUCATION

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    Maygurov Aleksandr Alekseevich

    2013-04-01

    Full Text Available The Relevance of research is that its results will allow to create an objective information basis for improvement and correction of educational work with the students and to account their requirements and interests, dynamics of their valuable installations and orientations. The Research of objective was definition of degree of satisfaction by quality of training among the students of Institute of stomatology of KRASGMU. Materials and methods. In this article is presented the analysis of questioning among the students of a fifth course of Institute of stomatology of KRASGMU in three academic years. Results and discussions. The majority of students consider themselves completely prepared for independent work at the level of the expert with higher education. Practically all respondents specified that in the course of training at university they amplified or created various all-mental abilities and abilities. The positive fact is that results of poll give the chance to draw a conclusion on rather high level of a motivated and conscious choice of educational institution and that the majority of students consider training at Stomatologii KRASGMU Institute interesting and prestigious. At the same time, by results of poll the problems which are most exciting students, demanding the additional analysis were revealed also.

  12. Indexes of estimation of efficiency of the use of intellectual resources of industrial enterprises

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    Audzeichyk Olga

    2015-12-01

    Full Text Available The article researches the theoretical and practical aspects of estimation of intellectual resources of industrial enterprises and proposes the method of estimation of efficiency of the use of intellectual resources.

  13. Of Corpse

    OpenAIRE

    Narvaez, Peter

    2003-01-01

    Laughter, contemporary theory suggests, is often aggressive in some manner and may be prompted by a sudden perception of incongruity combined with memories of past emotional experience. Given this importance of the past to our recognition of the comic, it follows that some "traditions" dispose us to ludic responses. The studies in Of Corpse: Death and Humor in Folklore and Popular Culture examine specific interactions of text (jokes, poetry, epitaphs, iconography, film drama) and social conte...

  14. Comparative analysis of indexes of physical preparedness of footballers of professional commands of different level

    OpenAIRE

    Shalenko V.V.; Pertsukhov A.A.

    2010-01-01

    This paper deals with results of the research of physical preparedness of professional teams of footballers of different level. The pedagogical testing program of the physical skills level includes control exercised recommended by the scientific-methodical committee of Ukrainian Federation of Football. The article presents indices of physical preparedness of footballers of different playing roles of the top league teams of Ukrainian championship and first league of Ukrainian team championship...

  15. Computation of Modulus of Elasticity of Concrete

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    Onwuka, D.O

    2013-09-01

    Full Text Available - In this presentation, a computer based method which uses a set of algebraic equations and statistical data, were used to compute concrete mixes for prescribeable elastic concrete modulus, and vice versa. The computer programs based on Simplex and Regression theories can be used to predict several mix proportions for obtaining a desired modulus of elasticity of concrete made from crushed granite rock and other materials. The modulus of elasticity of concrete predicted by these programs agreed with experimentally obtained values. The programs are easy and inexpensive to use, and give instant and accurate results. For example, if the modulus of elasticity is specified as input, the computer instantly prints out all possible concrete mix ratios that can yield concrete having the specified elastic modulus. When the concrete mix ratio is specified as input, the computer quickly prints out the elastic modulus of the concrete obtainable from a given concrete mix ratio.

  16. OF INERTIAL PROPERTIES OF SOILS

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    Sargsjan Akop Egishovich

    2012-10-01

    The article describes the motion of the construction foundation slab as a rigid body with six degrees of freedom on the surface of the inertial linearly deformable semi-space. The dynamic mechanical model of the base is presented as six pairs of parallel-connected springs and dampers that characterize the rigidity of the base subjected to ultimate forces (three forces alongside the axes and three moments in relation to the axes.

  17. Ways of modernization of the automated system of crisis management of the Emercom of Russia

    OpenAIRE

    KACHANOV SERGEY A.; AGEEV SERGEY V.; GRACHEV VITALI L.

    2015-01-01

    The principles and the main approaches to the upgrade of software and structure of information provision of automated information management system of the unified state system of prevention and liquidation of emergency situations, as well as ways to increase the level of interaction between the functional subsystems of the unified state system of prevention and liquidation of emergency situations.

  18. Development of generalized dynamic model of oscillations of cylinder case of diesel engine of locomotive

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    Irina YUTKINA

    2014-03-01

    Full Text Available An engineering method of design, worked out by the authors, is considered in the paper. It allows to carry out design of amplitude-frequency specter and vibration loading of cylinder cases of the diesel engine of locomotive with account of cavitation-erosion damage. Offered method of design of parameters of cavitation-erosion damage may be used in design of new structures of diesel engines of locomotives and systems of cooling.

  19. Capillography of Mats of Nanofibers

    Science.gov (United States)

    Noca, Flavio; Sansom, Elijah; Zhou, Jijie; Gharib, Mory

    2008-01-01

    Capillography (from the Latin capillus, 'hair', and the Greek graphein, to write ) is a recently conceived technique for forming mats of nanofibers into useful patterns. The concept was inspired by experiments on carpetlike mats of multiwalled carbon nanotubes. Capillography may have the potential to be a less-expensive, less-time-consuming alternative to electron-beam lithography as a means of nanoscale patterning for the fabrication of small devices and instruments. In capillography, one exploits the lateral capillary forces exerted on small objects that pierce the surface of a liquid. If the small objects are identical, then the forces are always attractive. Two examples of the effects of such forces are the agglomeration of small particles floating on the surface of a pond and the drawing together of hairs of a wet paintbrush upon removal of the brush from water. Because nanoscale objects brought into contact remain stuck together indefinitely due to Van der Waals forces, patterns formed by capillography remain even upon removal of the liquid. For the experiments on the mats of carbon nanotubes, a surfactant solution capable of wetting carbon nanotubes (which are ultra-hydrophobic) was prepared. The mats were wetted with the solution, then dried. Once the mats were dry, it was found that the nanotubes had become ordered into various patterns, including nestlike indentations, trenches, and various combinations thereof. It may be possible to exploit such ordering effects through controlled wetting and drying of designated portions of mats of carbon nanotubes (and, perhaps, mats of nanofibers of other materials) to obtain patterns similar to those heretofore formed by use of electron-beam lithography. For making patterns that include nestlike indentations, it has been conjectured that it could be possible to control the nesting processes by use of electrostatic fields. Further research is needed to understand the physics of the patterning processes in order to

  20. FORMATION OF PARENTAL COMPETENCE OF CONDITIONS OF ELEMENTARY SCHOOL

    OpenAIRE

    B. V. Sergeeva; R. K. Arakelian

    2016-01-01

    Article is devoted to a problem of formation of parental competence of younger school students. Results of designing of the maintenance of parental competence of children of younger school age are presented in article. Process of formation of the parental competence of younger school students consisting of 3 blocks is also presented: target, organizational and substantial and estimated and productive, the target block assumes statement of the purpose - formation of parental competence of youn...

  1. PREPARATION OF HALIDES OF PLUTONIUM

    Science.gov (United States)

    Garner, C.S.; Johns, I.B.

    1958-09-01

    A dry chemical method is described for preparing plutonium halides, which consists in contacting plutonyl nitrate with dry gaseous HCl or HF at an elevated temperature. The addition to the reaction gas of a small quantity of an oxidizing gas or a reducing gas will cause formation of the tetra- or tri-halide of plutonium as desired.

  2. Fundamentals of equations of state

    CERN Document Server

    Eliezer, Shalom; Hora, Heinrich

    2002-01-01

    The equation of state was originally developed for ideal gases, and proved central to the development of early molecular and atomic physics. Increasingly sophisticated equations of state have been developed to take into account molecular interactions, quantization, relativistic effects, etc. Extreme conditions of matter are encountered both in nature and in the laboratory, for example in the centres of stars, in relativistic collisions of heavy nuclei, in inertial confinement fusion (where a temperature of 10 9 K and a pressure exceeding a billion atmospheres can be achieved). A sound knowledg

  3. Problem of mathematical deduction of the existence of black holes

    Directory of Open Access Journals (Sweden)

    Yuan-Shun Chin

    1990-01-01

    Full Text Available The mathematical proof of existence of Black Hole is based on the assumption of mass being independent of speed. Considering the effect of special relativity of the dependence of mass with speed there is no Black hole.

  4. Comparative analysis of indexes of physical preparedness of footballers of professional commands of different level

    Directory of Open Access Journals (Sweden)

    Shalenko V.V.

    2010-01-01

    Full Text Available This paper deals with results of the research of physical preparedness of professional teams of footballers of different level. The pedagogical testing program of the physical skills level includes control exercised recommended by the scientific-methodical committee of Ukrainian Federation of Football. The article presents indices of physical preparedness of footballers of different playing roles of the top league teams of Ukrainian championship and first league of Ukrainian team championship. Differences of physical preparedness structure of goalkeepers, defenders, halfbacks and forwards are revealed.

  5. THE MODEL OF DEVELOPMENT OF ART PICTURE OF THE WORLD OF THE STUDENTS OF FACULTY OF ART EDUCATION

    OpenAIRE

    Gang, Liu

    2011-01-01

    The article presents the theoretical model of development of art picture of the world of the students future teachers of fine arts. In the description of the model describes the principles of the development of art picture of the world, revealed the psychological and pedagogical conditions, are indicated means, criteria and levels of evaluations of the development of art picture of the world of the students in the process of art-pedagogical education

  6. Summary of Code of Ethics.

    Science.gov (United States)

    Eklund, Kerri

    2016-01-01

    The Guide to the Code of Ethics for Nurses is an excellent guideline for all nurses regardless of their area of practice. I greatly enjoyed reading the revisions in place within the 2015 edition and refreshing my nursing conscience. I plan to always keep my Guide to the Code of Ethics for Nurses near in order to keep my moral compass from veering off the path of quality care.

  7. Summary of Code of Ethics.

    Science.gov (United States)

    Eklund, Kerri

    2016-01-01

    The Guide to the Code of Ethics for Nurses is an excellent guideline for all nurses regardless of their area of practice. I greatly enjoyed reading the revisions in place within the 2015 edition and refreshing my nursing conscience. I plan to always keep my Guide to the Code of Ethics for Nurses near in order to keep my moral compass from veering off the path of quality care. PMID:27183735

  8. Evaluation of the Effects of

    OpenAIRE

    Deniz Çetinkünar; Meltem Önder

    2012-01-01

    Background and Design: In this study, we aimed to evaluate the effects of a formula composed of millet extract, wheat germ oil, calcium pantothenate and L-cystine in women with diffuse alopecia by using Digital Phototrichogram (Trichoscan). Materials and methods: We evaluated female patients who presented to Gazi University Faculty of Medicine Department of Dermatology between January 2008 and November 2008 with the complaint of diffuse hair loss. Digital phototrichogram was performed in the ...

  9. Measurement of Spin of Projectiles

    Directory of Open Access Journals (Sweden)

    S. R. Verma

    1989-01-01

    Full Text Available Hitherto the spin of the projectile has been measured with the help of spin loop method (for magnetised projectiles and Multishot Ballistic Synchro method (for magnetised and non-magnetised projectiles. This paper discusses the method of measurement of spinwith a single ballistic synchro picture; the advantage of this method is that it dispenses with elaborate and precise optical alignment, required for Multishot Ballistic Synchro method.

  10. Optimization of Gas Supply of CHP Sources of Energy

    OpenAIRE

    Odiņeca, T; Zēbergs, V

    2008-01-01

    The article contains reviews the method of optimization of gas supply of CHP sources of energy - the method of calculation of permissible IRR. It is effective for analyzing the projects of CHP plants’ gasification (also in reconstruction of existing boiler houses). IRR is an effective criterion of profitability of gasification, if the forecast of the consumption of gas is precise. Using the method of calculation of permissible IRR it is possible to find the load limits in which CH...

  11. Determination of Basic Factors of Influence and Indexes of Evaluation of Quality of Labour Life of Workers of Industry

    OpenAIRE

    Yastremskaya Elena N.; Stamatin Aleksandr V.

    2012-01-01

    In this paper the factors influencing the quality of working life of workers in industry as an example of mechanical engineering is investigated. The main components of the quality of working life is defined conditions, financial incentives, intangible promotion, social security, state of the environment. The influence of defined components on productivity is proven. The results of research for mechanical engineering of fifth technological structure in Kharkiv region allow to conclude that al...

  12. Ways of improvement of financial provision of industrial development

    Directory of Open Access Journals (Sweden)

    Shemyakina Natalya V.

    2013-03-01

    Full Text Available The article conducts the study of the state of financial provision of industrial development under modern conditions and justifies main ways of improvement and prospects of investment financing of technical development of the production potential. Classical theses and fundamental works of foreign and domestic scientists, statistical indicators and results of author’s studies of the problems of financing of technical development of industry became the methodological basis of the study. Using the conducted analysis of the state of financing the industrial development in Ukraine, potential sources of financial resources of development of the production potential (profit, depreciation, means of financial institutions and leasing, condition of the state financial support of technical development of the industrial sector and taking into account the modern experience of foreign countries, the article justifies main ways of improvement of the financial provision of industrial development. The proposed ways of improvement of financial provision of industrial development are based on: orientation at the modern model with attraction of all potential investment sources; state-private co-financing of investment projects of production development; de-centralisation of the state support through the use of various channels of support of the processes of industrial development; and formation of the market infrastructure of ensuring of financing of the innovation and investment process in industry.

  13. Evaluation of perception of quality of life of disabled athletes

    Directory of Open Access Journals (Sweden)

    Bolach Bartosz

    2014-01-01

    Full Text Available Purpose: To evaluate the perception of quality of life for athletes - disabled, participating in individual and team Paralympic sports. Material: The study involved 32 athletes sports club "Start" in Wroclaw in 2013, engaged in individual sports: swimming, weightlifting, powerlifting (powerlifting and command: wheelchair basketball and volleyball in a sitting position. Results: Studies have proven that sports people with physical disabilities have a positive effect on the quality of their lives. Conclusions: 1. Study aspects of perception of quality of life is a complex issue, but deserves proper attention and appropriate force to study it. 2. Athletes - Disabled involved both individual and team sports, the perception of quality of life is average.

  14. Formation of the Cycle of Business Processes of Management of Marketing Activity of a Transport Enterprise

    OpenAIRE

    Horielov Dmytro O.; Lavrova Yuliia V.

    2014-01-01

    The article is devoted to problems of organisation of the process of management of marketing activity of an enterprise. It specifies the model of services of a transport enterprise and provides levels of services and their structure: basic, real, expanded, expected and prospective. The article offers to differentiate planning and realisation of the transportation service by its levels, each of which would correspond with a separate business process of management. It reveals specific features ...

  15. Removal of

    OpenAIRE

    Roohan Rakhshaee; Zahra Zamiraee; Somaieh Baghipour; Mohammad Panahandeh

    2013-01-01

    Background and Objectives: Azolla Filiculoides as a non-living fern was used in a batch system to remove "Basic Blue 3", which is a cationic dye and a carcinogenic agent.Materials and Methods: We used a batch system by applying certain concentrations of dye contaminant and in the presence of a certain amount of adsorbent under optimum conditions. The main groups presenting in the Azolla cell wall were evaluated by acidification and alkalization of Azolla's media and then potentiometric titrat...

  16. The environment of marketing of football clubs of Iraq

    Directory of Open Access Journals (Sweden)

    Michuda Y.P.

    2012-01-01

    Full Text Available Features and conditions of use of marketing in professional football of Iraq are presented, characteristic features of macroenvironment and a microenvironment in which marketing activity of professional football clubs of Iraq is carried out are considered. In research the data of questionnaire 76 experts of Association of football of Iraq (IFA, and also 45 heads of football clubs of the Superleague of Iraq is used. The maintenance and role of environment in formation and functioning of a control system by marketing activity of football clubs of Iraq is defined. Positive and negative factors which define management efficiency marketing of football clubs are revealed.

  17. Direction of use of instruments of classic concept of municipal marketing in development of competitiveness of a city

    Directory of Open Access Journals (Sweden)

    I.M. Budnikevich

    2011-10-01

    Full Text Available The prerequisites of formation of the concept of classical marketing in Ukraine are considered in the paper. The definition of the municipal marketing in the framework of the classical concept is offered. The role of marketing instruments in formation of competitive advantages of the city is determined. The variants of segmentation of city environment and strategies of municipal marketing towards target markets are described. The experience of Dresden (Germany in the field of realization of marketing concept is studied.

  18. Direction of use of instruments of classic concept of municipal marketing in development of competitiveness of a city

    OpenAIRE

    I.M. Budnikevich

    2011-01-01

    The prerequisites of formation of the concept of classical marketing in Ukraine are considered in the paper. The definition of the municipal marketing in the framework of the classical concept is offered. The role of marketing instruments in formation of competitive advantages of the city is determined. The variants of segmentation of city environment and strategies of municipal marketing towards target markets are described. The experience of Dresden (Germany) in the field of realization of ...

  19. [Phaleristics of Sisters of Charity].

    Science.gov (United States)

    Tsymbal, A N

    2014-03-01

    In 1912 International Committee of the Red Cross and Red Crescent established a medal in honor of Florence Nightingale, still the most honorable award for nurses. In our country, there are no separate awards for nurses, they are awarded in the system of national awards, but medical authorities, major military medical institutions and public organizations have developed their own system of awarding the best nurses. Reader offered some graphic images of existing award marks contained documents revealing the mechanism of premium policy for the most distinguished in nursing health professionals. PMID:25046939

  20. Estimation of competitiveness of enterprises of chemical industry: methodical aspects

    Directory of Open Access Journals (Sweden)

    M.V. Kasatkina

    2011-10-01

    Full Text Available Existent approaches and methods of estimation of competitiveness of enterprise are considered. Thrown out suggestions about level classification of descriptions of competitiveness. Offered to recommendation on perfection of estimation of competitiveness of enterprises of chemical industry taking into account the specific of their activity.

  1. Types of Meaningfulness of Life and Values of Future Teachers

    Science.gov (United States)

    Salikhova, Nailia R.

    2016-01-01

    The leading role of meaning of life in regulation of human's activity of all types provides the relevance of the research. The goal of the paper is to identify and describe types of meaningfulness of life in future teachers, and to reveal the specificity of values hierarchy indicative of each type. The leading approach applied in the research was…

  2. Maintenance and ways of maintainance and strengthening of health of students of institutes of higher

    Directory of Open Access Journals (Sweden)

    Leyfa A.V.

    2009-10-01

    Full Text Available The aim of given study was the basing of substance and experimental testing economy of health by students. The developed substance is built on a base of the rules and foundations general system of sanitary physical training in combination with subsidiary and additional resources. Results of pedagogical experiment testify to effectiveness of developed substance in the economy of health by students.

  3. Features of structure of skin of hairy part of head of men at androgenic defluxion

    Directory of Open Access Journals (Sweden)

    Kostilenko Yu.P.

    2009-01-01

    Full Text Available Utilized by us universal innovative method of morphological researches provided the receipt of original information, which not only complement the known facts but also in more depth expose principles of device of skin of hairy part of head of men in a norm and after an androgenic pelade. In the process of androgenic pelade degradation foremost intradermal hair follicles undergo sclerosis. In the reticulated layer of derma degrading hair follicles substituted with connective tissue. Complete loss of hair at an androgenic defluxion, results in compensatory reorganization of skin of hairy part of head, which is expressed in a substitution of hypodermis connecting tissue by fatty tissue, blood vessels formation in all layers of skin of with prevaliation of venous among, and also, in the considerable increase of concentration of sebaceous glands in the reticulated layer of derma. In spite of complete loss of hair at an androgenic pelade, germ epithelial elements, being sources of formation of thin (abortive hairsprings array patterns of which are saved in the skin of hairy part of head, hidden in the layer of sebaceous glands. On the basis of the actual findings in our work revealed, that loss of hairs at an androgenic defluxion filled in due to the physiological hypertrophy of other tissue constituents of skin.

  4. Pedagogical conditions of maintenance of integrity of process of socialization-individualization of children-orphans

    OpenAIRE

    Pronina A. N.

    2011-01-01

    Formation of the high-grade person of children of preschool age, without parental support should be carried out in complete process of socialization-individualization that assumes working out of the pedagogical conditions directed on maintenance of interrelation of processes of socialization and an individualization.

  5. Pedagogical conditions of maintenance of integrity of process of socialization-individualization of children-orphans

    Directory of Open Access Journals (Sweden)

    Pronina A. N.

    2011-12-01

    Full Text Available Formation of the high-grade person of children of preschool age, without parental support should be carried out in complete process of socialization-individualization that assumes working out of the pedagogical conditions directed on maintenance of interrelation of processes of socialization and an individualization.

  6. Fractal dimensionality of cascades of atomic displacements

    International Nuclear Information System (INIS)

    The cascades of opening displacements, formed during irradiation of solids are the most typical process of dissipation of the energy of incident particles and the generation of radiation defects. The aim of the present work is the examination of the energy dependence of the fractal dimensionality of the cascades of atomic displacements in the solid

  7. Kinetics of cyaniding of gold comprising ores

    International Nuclear Information System (INIS)

    Present article is devoted to kinetics of cyaniding process of gold comprising ores. Thus in laboratory conditions the researches on leaching of gold and silver from ores of various deposits of Tajikistan by means of cyaniding were conducted. The results of laboratory researches on cyaniding of ores of various deposits are presented. The flowsheet of cyaniding of gold comprising ores was elaborated.

  8. Features of Formation of the National Income

    OpenAIRE

    Sergey Alexandrovich SURKOV; Ellen G. Trofimova

    2015-01-01

    Significant indicator of economic progress of the country is the specific income per capita. Experts consider such indicator important from the point of view of forecasting of economic development. Influence of various factors is presented in references, but influence of psychological indicators, in particular, influence of personal characteristics of the population isn't considered. On material of the population of various countries of the world features of formation of the national specific...

  9. Prevention of retinopathy of prematurity

    OpenAIRE

    João Borges Fortes Filho; Gabriela Unchalo Eckert; Marcia Beatriz Tartarella; Renato Soibelmann Procianoy

    2011-01-01

    Retinopathy of prematurity (ROP) is related to oxygen-regulated vascular endothelial growth factor and to insulin-like growth factor-I. After premature birth, supplemental oxygen induces a retinal hyperoxic condition with vasoconstriction and to a definitive interruption of retinal vasculogenesis. Peripheral ischemia may stimulate retinal neovascularization and the onset of additional ROP-related complications. The natural course of the disease may result in irreversible blindness if not prom...

  10. Influence of mechanical abrasion of carbon adsorbents on aerodynamic resistance of filters of system of ventilation of NPS

    International Nuclear Information System (INIS)

    Influence of mechanical abrasion of granules on aerodynamic resistance of different carbon adsorbents at conditions similar to work of filters AU-1500 is studied. The change of fractional composition of the probed adsorbents by abrasion is determined. The obtained experimental data allow making conclusion about practicability using mixture of adsorbent Norit with different fractional composition for renewal of adsorbers of ventilation system of NPS.

  11. Analysis of Risks and Factors of Formation of the Structure of Financial Capital of Subject of Entrepreneurship

    Directory of Open Access Journals (Sweden)

    Rubaha Mariya V.

    2013-11-01

    Full Text Available The article is devoted to analysis of the structure of sources of financing economic subjects, study of commercial and financial risks of formation of the structure of financial capital of subjects of entrepreneurship. The article pays significant attention to calculation of the weighted average cost of capital, degrees of financial and operational leverages and also to assessment of their mutual influence upon results of financial and economic activity of an enterprise. It studies impact of factors of external environment on the structure of sources of financing subjects of entrepreneurship, these factors include specific features of operational activity, quality and liquidity of assets, concentration of own capital, stages of the life cycle, level of profitability of operational activity, credit history of a borrower and a necessity to ensure the prospective repayment capacity, and financial mentality of owners and managers of an enterprise. The article also analyses factors of external environment of an enterprise (cost of attraction of financing from different sources, commodity and financial markets situations, state regulation and control over business processes, level of taxation of profit of enterprises and also income of physical persons and legal entities – investors from owning securities that influence the possibilities to attract financial capital and, consequently, prospects of efficient functioning of a subject of entrepreneurship in a long-term prospect.

  12. Mode of Action of Mycotoxins

    Science.gov (United States)

    Mycotoxins are a structurally disparate group of toxic chemicals. There only common link is that they are all produced by fungi. It is therefore not surprising that their biochemical mechanisms of action are as diverse as their taxonomic origins. The study of biochemical and cellular mechanisms o...

  13. Mode of Action of Glyphosate

    Science.gov (United States)

    Although glyphosate is the most used and studied herbicide in the world, the available information is not enough to fully understand its mode of action. The molecular site of action of glyphosate is the enzyme 5-enolpyruvlyshikimate-3-phosphate synthase (EPSPS). It is the only known compound that ...

  14. Pathophysiology of Retinopathy of Prematurity

    OpenAIRE

    İmren Akkoyun

    2012-01-01

    Retinopathy of prematurity (ROP), an ocular disease characterized by onset of vascular abnormalities in the developing retina, is the major cause of visual impairment and blindness in premature neonates. ROP is a complex multifactorial disease that occurs with microvascular degeneration followed by neovascularization which passing through different stages can progress to retinal detachment. Currently used ablative therapies like cryocoagulation and laser photocoagulation for prolifer...

  15. Birds of Prey of Wisconsin.

    Science.gov (United States)

    Hamerstrom, Frances

    This copiously illustrated document is designed to be a field quide to birds of prey that are common to Wisconsin, as well as to some that enter the state occasionally. An introduction discusses birds of prey with regard to migration patterns, the relationship between common names and the attitudes of people toward certain birds, and natural signs…

  16. The problem of formation of design competence of university students

    OpenAIRE

    Galina; Marina

    2014-01-01

    The article discusses the concept of "design competence" under the implementation of educational standards of the third generation, emphasizes integrative bond formation of design competence with the implementation of project activities in the context of modern educational paradigm.

  17. Prospects of development of the market of functional food

    OpenAIRE

    Radosteva, E.; Kalacheva, T.

    2013-01-01

    In article choice tendencies are defined by the population of Perm Krai of food; the basic principles of creation and production of functional food are revealed; the main receptions of transformation of foodstuff in the functional are defined.

  18. ABOUT FORMS OF REALIZATION OF THE FUNCTIONS OF THE STATE

    Directory of Open Access Journals (Sweden)

    Novikova A. S.

    2015-11-01

    Full Text Available The article is devoted to consideration of questions of functions of the state and forms of their realization, which are of very great importance in the theory of the state and practice of its functioning. It can be explained with the next moments, first, to that in functions are shown essence of the state, its social appointment. The state representing the phenomenon of social life, it is characterized by extraordinary variety of directly observable and perceived manifestations. It is defined as a variety of the tasks solved by the state in various areas of life of society, and a variety of bodies, forms, methods and means of implementation of the state activity. In this regard studying of functions serves as the prerequisite of knowledge of the main thing and defining in the state. Secondly, functions of the state define its structure, i.e. ways, regularities of the organization of elements of the state as difficult system. Research of functions of the state and forms of their realization helps to estimate its opportunities, promotes deeper understanding of the mechanism of its interaction with other structures of society in the solution of the most important political, economic, social, ecological, cultural and other tasks. The correct establishment of functions of the state and definition of forms of realization of these functions promotes stabilization of the public relations and development of society in various spheres

  19. INFLUENCE OF PARAMETERS OF CRYSTALLIZATION ON MODIFYING OF AN ALLOY

    Directory of Open Access Journals (Sweden)

    V. Yu. Stetsenko

    2015-01-01

    Full Text Available It is shown that extent of modifying of an alloy is proportional to overcooling at its hardening, viscosity of fusion and interphase superficial energy of crystals of the leading phase. The key technological parameters of modifying of an alloy are the speed of its hardening, viscosity of fusion and extent of refinement from surface-active elements. Their adsorption on crystals of the leading phase interferes with modifying of an alloy.

  20. Significance of irradiation of blood

    International Nuclear Information System (INIS)

    Many reports of fatal GVHD occurring in non-immunocompromised patients after blood transfusion have been published in Japan. One explantation is that transfused lymphocytes were simulated and attack the recipient organs recognized as HLA incompatible. That is so called 'one-way matching'. To reduce the risk of post-transfusion GVHD, one of the most convenient methods is to irradiate the donated blood at an appropriate dose for inactivation of lymphocytes. Because no one knows about the late effect of irradiated blood, it is necessary to make the prospective safety control. (author)

  1. Stages of Formation of the Strategy of Social Responsibility of Business

    OpenAIRE

    Zatieyshchykova Olha O.

    2014-01-01

    The article studies existing approaches to formulation of stages of the strategy, according to which a list of stages of formation of the strategy of social responsibility (SSR) is formed, including: identification of the mission and vision of SSR, formation of the system of goals of SSR, assessment of influence of factors of external environment, assessment of the level of social responsibility, analysis of alternatives and selection of strategies. The article identifies SSR mission for Ukra...

  2. FEATURES OF DEFINITION OF TAX BURDEN OF AN ECONOMIC ENTITY

    Directory of Open Access Journals (Sweden)

    Sobchenko N. V.

    2015-12-01

    Full Text Available The results of an analytical assessment of the developed frame of reference on concepts of tax planning, tax burden, tax burden of the enterprise are presented in article. Tax planning is the most important part of financial planning of the organization. A basis of this process is possibility of each taxpayer to use legislatively resolved means, receptions and ways directed on minimization of tax payments. Minimization of taxes is directed not only on absolute decrease in volumes of tax payments, but also on purposeful transfer of business to more favorable conditions of managing. Tax planning is connected with recognition of the right of each taxpayer to apply all legislatively resolved means, receptions and ways to decrease in tax payments. The analysis of a condition of tax burden of an economic entity of real sector of economy is carried out. It is noted, that by means of various techniques of its assessment it is possible to receive contradictory data on dynamics of change of level of tax burden. As one of factors of increasing the efficiency of business activity is optimization of tax payments and implementation of tax planning acts. Importance of realization of tax planning and optimization of tax payments is defined by desire of taxpayers to lower tax burden and explainable aspiration of the state to prevent it

  3. Logic of management of strategic problems of the enterprise

    Directory of Open Access Journals (Sweden)

    Ivahnenko Aleksandr Vladimirovich

    2014-12-01

    Full Text Available Problems of management by firm in the conditions of changes are considered, types of strategic problems, logic of constructions of system of strategic management are allocated. Principles of formation of strategy of firm and a strategy choice in conditions not full definiteness are defined.

  4. SOME PROBLEMS OF AUTOMATIC CONTROL OF DEFECTS OF GLASSWORKS

    Directory of Open Access Journals (Sweden)

    Rozhkov S.A.

    2006-04-01

    Full Text Available It is performed analysis of existing systems for checking a quality of glass products with reference to problems of automation of checking of quality of finished products. There are brought results of experimental studies of the model of the system for quality control with the optical sensor.

  5. Analysis of the automated systems of planning of spatial constructions

    Directory of Open Access Journals (Sweden)

    М.С. Барабаш

    2004-04-01

    Full Text Available  The article is devoted to the questions of analysis of existing SAPR and questions of development of new information technologies of planning on the basis of integration of programmatic complexes with the use of united informatively-logical model of object.

  6. Problems of formation of the financial resources of small businesses

    Directory of Open Access Journals (Sweden)

    Gorbunova Irina Ivanovna

    2014-05-01

    Full Text Available Article is devoted problems of formation of financial resources of small enterprises. In article kinds and sources of financing of small enterprises are analysed, the estimation of influence of external and internal factors on formation of financial resources of small enterprises is given.

  7. Mathematical Modelling of Process of Fluoration of Metal Tungsten

    Directory of Open Access Journals (Sweden)

    Brendakov Roman V.

    2016-01-01

    Full Text Available Wide use of products from metal tungsten in various branches of a national economy is caused by unique properties of this metal. By means of physical and mathematical modelling of process of receiving gaseous hexafluoride of tungsten it is possible to solve a problem of creation of import-substituting technology of processing of metal tungsten. The fluoride technology of processing of tungsten allows to put various coverings and to make products of tungsten of a various form which can't be received by traditional methods. Fluoride technology of processing of tungsten it is possible to present in the form sequences of two processes, process of fluorination of metal tungsten and process of restoration of fluorides of tungsten hydrogen.

  8. Mode of action of etoxazole.

    Science.gov (United States)

    Nauen, Ralf; Smagghe, Guy

    2006-05-01

    The mode of action of the 2,4-diphenyl-1,3-oxazoline acaricide/insecticide etoxazole has been argued to be moulting inhibition, but experimental results supporting this hypothesis are lacking. This study investigated the effect of etoxazole on chitin biosynthesis in the fall armyworm, Spodoptera frugiperda (Smith) (Lepidoptera: Noctuidae). Etoxazole induced moulting defects in fall armyworm larvae similar, if not identical, to those caused by benzoylphenylureas, a well-known class of insecticidal chitin biosynthesis inhibitors. Furthermore, in contrast to untreated larvae, the chitin content in the integuments of larvae several days after treatment did not differ from that in freshly ecdysed individuals, thus suggesting strong chitin biosynthesis inhibition in vivo. A more detailed investigation of the inhibitory potential by incubating cultured integument pieces from larvae of S. frugiperda with [14C]N-acetyl-D-glucosamine, a radiolabelled chitin precursor, revealed I50 values of 2.95 and 0.071 microM for etoxazole and triflumuron respectively. The incorporation of radiolabel into potassium hydroxide-resistant material was inhibited by etoxazole in a dose-dependent manner. Based on these results, it is concluded that the acaricidal and insecticidal mode of action of etoxazole is chitin biosynthesis inhibition. PMID:16555232

  9. STUDY OF CREEP OF SAND

    Directory of Open Access Journals (Sweden)

    K. D. Chyong

    2012-07-01

    Full Text Available Statement of the problem. Subgrade has perceived rheological properties, most importantly, creep. As a result, the number subbase displacements and their irregularities grow constantly in re-cent years. But this fact is not taken into account in calculations, this is why additional studies of structural strength and creep of sand are essential.Results. Empirical relationships between displacements of models of sand subbase and loading conditions are obtained. It is shown that creep in sand subbase develops within a few months and years even. A degree of an increase in strength of sand with low moisture content with time result-ing from structural strength formation is examined. It is found that a deformation rate depends largely on a loading level.Conclusions. The data obtained allow us to develop more reliable methods to predict a defor-mation change with time.

  10. Prolegomena of a logic of culture

    DEFF Research Database (Denmark)

    Zeller, Jörg

    Considerations about the elements of a logic of culture inspired by Cassirer's philosophy of symbolic forms, his logic of cultural science and Bourdieu's logic of praxis.......Considerations about the elements of a logic of culture inspired by Cassirer's philosophy of symbolic forms, his logic of cultural science and Bourdieu's logic of praxis....

  11. Formation of communication skills of aviation specialists

    OpenAIRE

    Коваленко, Ольга Олександрівна

    2012-01-01

    Culture of the professional communication is the basis of the professional activity. It is spoken about the process of formation of the professional communication culture, where communication, professionalism of the communication are foundation of it in personal oriented studying by means of creative technologies; examined about peculiarities, and defined conditions of formation of professional oral skills culture of future aviation specialists.

  12. Measurement of \

    CERN Document Server

    Aguilar-Arevalo, A A; Bazarko, A O; Brice, S J; Brown, B C; Bugel, L; Cao, J; Coney, L; Conrad, J M; Cox, D C; Curioni, A; Djurcic, Z; Finley, D A; Fleming, B T; Ford, R; Garcia, F G; Garvey, G T; Gonzales, J; Grange, J; Green, C; Green, J A; Hart, T L; Hawker, E; Imlay, R; Johnson, R A; Karagiorgi, G; Kasper, P; Katori, T; Kobilarcik, T; Kourbanis, I; Koutsoliotas, S; Laird, E M; Linden, S K; Link, J M; Liu, Y; Louis, W C; Mahn, K B M; Marsh, W; Mauger, C; McGary, V T; McGregor, G; Metcalf, W; Meyers, P D; Mills, F; Mills, G B; Monroe, J; Moore, C D; Mousseau, J; Nelson, R H; Nienaber, P; Nowak, J A; Osmanov, B; Ouedraogo, S; Patterson, R B; Pavlovic, Z; Perevalov, D; Polly, C C; Prebys, E; Raaf, J L; Ray, H; Roe, B P; Russell, A D; Sandberg, V; Schirato, R; Schmitz, D; Shaevitz, M H; Shoemaker, F C; Smith, D; Soderberg, M; Sorel, M; Spentzouris, P; Spitz, J; Stancu, I; Stefanski, R J; Sung, M; Tanaka, H A; Tayloe, R; Tzanov, M; Van de Water, R G; Wascko, M O; White, D H; Wilking, M J; Yang, H J; Zeller, G P; Zimmerman, E D

    2009-01-01

    MiniBooNE reports the first absolute cross sections for neutral current single \\pi^0 production on CH_2 induced by neutrino and antineutrino interactions measured from the largest sets of NC \\pi^0 events collected to date. The principal result consists of differential cross sections measured as functions of \\pi^0 momentum and \\pi^0 angle averaged over the neutrino flux at MiniBooNE. We find total cross sections of (4.76+/-0.05_{stat}+/-0.40_{sys})*10^{-40} cm^2/nucleon at a mean energy of =808 MeV and (1.48+/-0.05_{stat}+/-0.14_{sys})*10^{-40} cm^2/nucleon at a mean energy of =664 MeV for \

  13. Morphometric justification of algorithm of the choice of method of surgical treatment of dysplastic coxarthrosis

    Directory of Open Access Journals (Sweden)

    Norkin I.A.

    2015-06-01

    Full Text Available Purpose: to define regularities of variability of bone structures of a hip joint depending on type of dysplastic coxarthrosis and to develop tactics of total endoprosthesis replacement. Objects of research. 106 patients with dysplastic coxarthrosis of varying severity, passing treatment on the basis of Federal State Budget Institution of Saratov Scientific Research Institute of Traumatology and Orthopedics from 2005 to 2014 applying methods X, KT-, MRT-metry variation and statistical methods. Results: According to anatomic features of a hip joint at dysplastic coxarthrosis of various types algorithms of choice of acetabularand femoral components of endoprosthesis, and also tactics of total endoprosthesis replacement in groups of research are developed. Conclusion. The choice of a standard size of an endoprosthesis of a hip joint needs to be carried out taking into account X-ray anatomic features of a hip joint and degree of expressiveness of the dysplastic changes. At dysplastic coxarthrosis of the l-ll types it is necessary to carry out standard total endoprosthesis replacement; at coxarthrosis of the III type —total endoprosthesis replacement in combination with plasticity of a roof of acetabular hollow; at coxarthrosis of the IV type — total endoprosthesis replacement in a combination from the shortening femur osteotomy.

  14. Forming of the system of the financial providing of innovative development of economy of Republic of Belarus

    Directory of Open Access Journals (Sweden)

    E.A. Mjatnikova

    2011-01-01

    Full Text Available The major condition of efficiency of realization of innovative projects and programs is their financial maintenance. In article the analysis of use of various sources of financing and the state preferences is carried out by working out and realization of innovative projects and programs. Assumptions on formation of uniform system of financial maintenance of innovative development of economy of Belarus are stated.

  15. Features of structure of skin of hairy part of head of men at androgenic defluxion

    OpenAIRE

    Kostilenko Yu.P.; Tikhonova O.A.

    2009-01-01

    Utilized by us universal innovative method of morphological researches provided the receipt of original information, which not only complement the known facts but also in more depth expose principles of device of skin of hairy part of head of men in a norm and after an androgenic pelade. In the process of androgenic pelade degradation foremost intradermal hair follicles undergo sclerosis. In the reticulated layer of derma degrading hair follicles substituted with connective tissue. Complete l...

  16. Rationalization of work of leaders of physical-sports organizations

    Directory of Open Access Journals (Sweden)

    Galina Putiatina

    2016-02-01

    Full Text Available Purpose: to create the main ways of rationalization of the work of heads of physical-sports organizations in the structure of their scientific organization of the work. Material & Methods: the content of the administrative activity of representatives of the system of the regional government of the sphere of physical culture and sport of the Kharkov area, and also directors of sports schools of Kharkov (57 respondents are generalized. Methods – the analysis of references, the organizational analysis, the organizational diagnosis, the poll (questioning, the methods of mathematical statistics. Results: the essence and the content of rationalization of the administrative work in the sphere of physical culture and sport are considered. The integrated approach to certain objects of rationalization of the administrative work is established in physical-sports organizations. Conclusions: the main ways of rationalization of the work of heads of physical-sports organizations are: the organization of work concerning the development of motivational mechanisms of the activity of heads; the increase of the economic appeal of work; the formation of ideology of a healthy lifestyle.

  17. Biomechanics aspects of technique of high jump

    OpenAIRE

    Adashevskiy V.M.; Iermakov S.S.; Marchenko A. A.

    2013-01-01

    The purpose of work consists in the theoretical ground of optimum biomechanics descriptions in high jumps. A mathematical model is developed for determination of influence on the height of jump: speed and corner of flight of centre-of-mass during pushing away, positions of centre-of-mass body of sportsman in the phases of pushing away and transition through a slat, forces of resistance of air environment, influences of moment of inertia of body. The basic technical run-time errors of sportsma...

  18. IMPROVEMENT OF THE PRINCIPLES OF THE ORGANIZATION OF INSPECTION AND SUPERVISING ACTIVITY OF BANK OF RUSSIA

    Directory of Open Access Journals (Sweden)

    Виктор Макарович Заернюк

    2013-04-01

    Full Text Available In article established practices of the organization of control and supervision of Bank of Russia of activity of the Russian commercial banks are considered.  The analysis is carried out and the assessment of a level of development of a substantial component of bank regulation and supervision is given.Purpose: Research of tendencies and problems in the organization of control and supervising activity of Bank of Russia at the present stage.Methodology: General scientific methods were used: analysis and synthesis, comparisons, generalizations, system approach. In the course of use of the actual material methods of the economical and statistical analysis were used.Results: The conclusion that the excessive and bureaucratized control from the Central bank interferes with dynamic development of the banking sector is drawn. It is required to generation of the new thinking which is expressing in transfer of accent from need of strict, in many respects of formal, application of bank instructions and regulations on formation of professional opinion of the controler, increase of its responsibility for results of checks.DOI: http://dx.doi.org/10.12731/2218-7405-2013-3-1

  19. Distinctive Characteristics of Hypergene Alteration of Composition of Different Rocks

    OpenAIRE

    N. N. Zinchuk

    2014-01-01

    Comparative complex analysis of different types of weathering crust indicates that the following three factors along with mineralogical peculiarities of primary rocks and hydrogeochemical conditions are of great importance for formation of eluvial material. First factor is a degree of structural ordering of primary minerals. A second one is related to an inheritance of properties by new mineral phases. The third factor includes a universalism of processes of transformation of hypogene and for...

  20. Characteristics of research of efficiency of the enterprise activity

    OpenAIRE

    Bilopolsky, Mykola; Chigarev, Dmytro

    2016-01-01

    The aim of the research is to elaboration of the logic study of efficiency of the enterprise activity with considering the characteristic features of the modern business environment. The objectives of the study were: highlighted the characteristic features of the modern business environment, that influence on the efficiency of the enterprise activity; elaborated of the logic study of efficiency of the enterprise activity in development conditions.In contrast to existing approaches, in the pro...

  1. Analysis of Modern State of Engineering Industry of Ukraine

    OpenAIRE

    Bozhko Valeriy P.; Kashcheeva Irina A.

    2013-01-01

    The article studies the modern state of engineering companies of Ukraine. It proves importance of the engineering industry, state and level of development of which is the main indicator of economic and, first of all, industrial development of the country. It reveals main problems of engineering companies, which arise under modern economic conditions and slow down or even stop their development. The studied material is used for development of recommendations on improvement of the state and sol...

  2. Basic Grounds of Formation of the Concept of Social Security of Economically Active Population

    Directory of Open Access Journals (Sweden)

    Poliak Natalia O.

    2014-02-01

    Full Text Available The goal of the article is justification of a necessity of development of the national concept of social security in Ukraine and revelation of basic grounds of formation of such a concept for economically active population on the basis of specification of its goals, tasks and identification of main directions and measures of realisation. The author offers the following main directions of realisation of the concept of social security of economically active population: expansion of the sphere of coverage of social security of economically active population, creation of a efficient system of state social standards and guarantees, introduction of financial and economic justification of social laws into practice, realisation of social responsibility and use of modern social technologies. Development of the concept of social security of economically active population in Ukraine would facilitate, in general, improvement of the existing system of social security, improvement of the living standards and socio-economic development of the state.

  3. Mechanisms of action of angiogenin

    Institute of Scientific and Technical Information of China (English)

    Xiangwei Gao; Zhengping Xu

    2008-01-01

    Angiogenin induces angiogenesis by activating vessel endothelial and smooth muscle cells and triggering a number of biological processes,including cell migration,invasion,proliferation,and formation of tubular structures.It has been reported that angiogenin plays its functions mainly through four pathways:(1) exerting its ribonucleolytic activity;(2)binding to membrane actin and then inducing basement membrane degradation;(3) binding to a putative 170-kDa protein and subsequently transducing signal into cytoplasm;and (4) transiocating into the nucleus of target cells directly and then enhancing ribosomal RNA transcription.Angiogenin can also translocate into the nucleus of cancer cells and induces the corresponding cell proliferation.Furthermore,angiogenin has neuroprotective activities in the central nervous system and the loss of its function may be related to amyotrophic lateral sclerosis.This review intends to conclude the mechanisms underlying these actions of angiogenin and give a perspective on future research.

  4. Prevention of retinopathy of prematurity

    Directory of Open Access Journals (Sweden)

    João Borges Fortes Filho

    2011-06-01

    Full Text Available Retinopathy of prematurity (ROP is related to oxygen-regulated vascular endothelial growth factor and to insulin-like growth factor-I. After premature birth, supplemental oxygen induces a retinal hyperoxic condition with vasoconstriction and to a definitive interruption of retinal vasculogenesis. Peripheral ischemia may stimulate retinal neovascularization and the onset of additional ROP-related complications. The natural course of the disease may result in irreversible blindness if not promptly diagnosed and attended. Recently, a significant increase in the prevalence of ROP has been observed in survival rates of preterm infants, especially in emerging-economy countries in Latin America, Asia, and Eastern Europe. This article addresses the main preventive measures in ROP.

  5. Planning of process of physical education of students.

    Directory of Open Access Journals (Sweden)

    Pylypey L.P.

    2012-09-01

    Full Text Available Going is considered near the personality oriented system professionally-applied physical training of students. In an experiment 500 students of 1-3 courses took part in age from 17 to 23 years. In research of motivation to employments 52 students took part 3 courses. The results of cross-correlation analysis of computer-integrated indexes of level of physical training are resulted. Aims, functions of structure, typology and principles of physical education, are certain. Progress of professional training trends are exposed. The organizational and methodical aspects of construction of the system of physical education are recommended. Directions of planning of educational process are offered on physical education on the basis of professionally-applied physical training of students. Attention is accented on the necessity of exposure of terms for realization of creative capabilities of teacher, leaders and students.

  6. Removal of

    Directory of Open Access Journals (Sweden)

    Roohan Rakhshaee

    2013-02-01

    Full Text Available Background and Objectives: Azolla Filiculoides as a non-living fern was used in a batch system to remove "Basic Blue 3", which is a cationic dye and a carcinogenic agent.Materials and Methods: We used a batch system by applying certain concentrations of dye contaminant and in the presence of a certain amount of adsorbent under optimum conditions. The main groups presenting in the Azolla cell wall were evaluated by acidification and alkalization of Azolla's media and then potentiometric titration with standard basic and acidic solutions. Results: It was observed that the removal efficiency of dye using non-living Azolla in accordance with the Langmuir isotherms was 82% for the initial dye concentration of 200 mg/lit under reaction conditions consisting of contact time 6 h, pH= 6, temperature 25 ˚C, and dose 5 g/lit. Qmax (maximum uptake capacity by the activated Azolla at three temperatures 5, 25 and 50 ˚C was 0.732, 0.934, and 1.176 mmol/g respectively. ΔG (Gibbs free energy changes was obtained for these temperatures as -0.457, -0.762, and -1.185 kJ/mol respectively.Conclusion: Removal of basic blue 3 using Azolla is an economically and effective method.

  7. Measurement of \

    Energy Technology Data Exchange (ETDEWEB)

    Aguilar-Arevalo, A.A.; /Mexico U., ICN; Anderson, C.E.; /Yale U.; Bazarko, A.O.; /Princeton U.; Brice, S.J.; /Fermilab; Brown, B.C.; /Fermilab; Bugel, L.; /Columbia U.; Cao, J.; /Michigan U.; Coney, L.; /Columbia U.; Conrad, J.M.; /MIT; Cox, D.C.; /Indiana U.; Curioni, A.; /Yale U. /Columbia U.

    2009-11-01

    MiniBooNE reports the first absolute cross sections for neutral current single {pi}{sup 0} production on CH{sub 2} induced by neutrino and antineutrino interactions measured from the largest sets of NC {pi}{sup 0} events collected to date. The principal result consists of differential cross sections measured as functions of {pi}{sup 0} momentum and {pi}{sup 0} angle averaged over the neutrino flux at MiniBooNE. We find total cross sections of (4.76 {+-} 0.05{sub stat} {+-} 0.40{sub sys}) x 10{sup -40} cm{sup 2}/nucleon at a mean energy of = 808 MeV and (1.48 {+-} 0.05{sub stat} {+-} 0.14{sub sys}) x 10{sup -40} cm{sup 2}/nucleon at a mean energy of = 664 MeV for {nu}{sub {mu}} and {bar {nu}}{sub {mu}} induced production, respectively. In addition, we have included measurements of the neutrino and antineutrino total cross sections for incoherent exclusive NC 1{pi}{sup 0} production corrected for the effects of final state interactions to compare to prior results.

  8. Genome of

    NARCIS (Netherlands)

    Santini, S.; Jeudy, S.; Bartoli, J.; Poirot, O.; Lescot, M.; Abergel, C.; Barbe, V.; Wommack, K.E.; Noordeloos, A.A.M.; Brussaard, C.P.D.; Claverie, J.M.

    2013-01-01

    Large dsDNA viruses are involved in the population control of many globally distributed species of eukaryotic phytoplankton and have a prominent role in bloom termination. The genus Phaeocystis (Haptophyta, Prymnesiophyceae) includes several high-biomass-forming phytoplankton species, such as Phaeoc

  9. Study of International Standards of Risk Management

    OpenAIRE

    Dykan Volodymyr L.; Posokhov Igor M.

    2014-01-01

    The goal of the article lies in the study of existing international standards of risk management, an important factor of improvement of risk management in domestic corporations and enterprises and development of recommendations on application of international standards in Ukraine, in particular, within the framework of building corporate systems of risk management. The conducted study shows that approaches on organisation of the process of risk management, used in standards of risk management...

  10. ACTUALIZATION OF SELF EDUCATION OF SENIOR PUPILS

    OpenAIRE

    Bykov Viktor Stepanovich; Rychkova Lydya Sergeevna

    2012-01-01

    The issue of necessity of self-education of pupils is timely in modern conditions. One can’t find a sphere of human activity without a connection with moral and material values of whole society and separate individual. In connection with this the purpose of the study is examination of necessity of construction of pedagogical system actualizing self-education of a pupil. This system is specified by tendencies of humanization, differentiation, ecological compatibility of social processes, raise...

  11. Theoretical aspects of competitiveness of the industry of mineral water

    Directory of Open Access Journals (Sweden)

    E.M. Azarian

    2014-03-01

    Full Text Available The aim of the article. The article presents theoretical aspects of the concept and content of economic competitiveness for its competitive positions. Authors found positive trends, essential trends of increasing the competitiveness of the food industry as a complex system. The article shows theoretical basis for the competitiveness of the industry of mineral water, clarifies the concepts of competitiveness. Authors suggest development of the main directions of improving the competitiveness of the food complex sector. The results of the analysis. Authors generalized theoretical experience of the concept and scope of the use of the methodology of competitiveness; analysis of the competitiveness of the industry of mineral water, revealed positive trends; developed the main directions of improving the competitiveness of the sector in food complex. Analysis of the mineral waters of Ukraine reveals the following competitive advantages: the ability to produce high quality products with an unique competitive advantage. Creating favorable conditions relevant resources and innovation of enterprises in order to increase their profitability, improve the culture of consumption of mineral water Ukrainian production, the elimination of the innovative and trend- to-market at the optimum time dictated by the marketing activity and consumer demand. Interaction with competitive firms, leaders of the study and implementation of international experience in the production and marketing strategy and sales, cooperation within the industry and with other industries in the country and with similar industries abroad, presence of unique recipes, advanced manufacturing, processing its own base; infrastructure. Conclusions and directions of further researchers. There is an intensive foreign investment in the development of the industry of mineral water. Formation of the state of quality and safety, monitoring compliance with in terms of quality and security of mineral

  12. Rationalisation of Management of Strategic Option of an Enterprise

    Directory of Open Access Journals (Sweden)

    Chechetova-Terashvili Tetyana M.

    2013-12-01

    Full Text Available The article analyses the state of management of domestic corporate enterprises by such features: nature of management, management functions, spheres of activity, efficiency of activity and priority directions of development. It outlines problems of non-correspondence of requirements of the highly competitive environment and existing models of management. It analyses the procedure of formation of managerial competences at the level of subjects of corporate relations, in the basis of which there is identification of their functions and criteria of efficiency of activity. It identifies a necessity of the study of managerial competences through allocation of corporate management subjects, authorities of which are outlined by goals of efficient management, protection of shareholders’ rights, ensuring observation of rights of interested persons, protected by law and international regulatory rules, ensuring modern and correct disclosure of information by all existing issues that have to do with the JSC activity. It justifies a set of measures on the search for efficient decisions on accumulation and use of managerial knowledge by means of creation of a portfolio of alternatives in correspondence with certain criteria.

  13. Statistical assessment of quality of credit activity of Ukrainian banks

    Directory of Open Access Journals (Sweden)

    Moldavska Olena V.

    2013-03-01

    Full Text Available The article conducts an economic and statistical analysis of the modern state of credit activity of Ukrainian banks and main tendencies of its development. It justifies urgency of the statistical study of credit activity of banks. It offers a complex system of assessment of bank lending at two levels: the level of the banking system and the level of an individual bank. The use of the system analysis allows reflection of interconnection between effectiveness of functioning of the banking system and quality of the credit portfolio. The article considers main aspects of management of quality of the credit portfolio – level of troubled debt and credit risk. The article touches the problem of adequate quantitative assessment of troubled loans in the credit portfolios of banks, since the methodologies of its calculation used by the National Bank of Ukraine and international rating agencies are quite different. The article presents a system of methods of management of credit risk, both theoretically and providing specific examples, in the context of prevention of occurrence of risk situations or elimination of their consequences.

  14. Report of safety of the characterizing system of radioactive waste

    International Nuclear Information System (INIS)

    Report of safety of the system of radioactive waste of the ININ: Installation, participant personnel, selection of the place, description of the installation, equipment. Proposed activities: operations with radioactive material, calibration in energy, calibration in efficiency, types of waste. Maintenance: handling of radioactive waste, physical safety. Organization: radiological protection, armor-plating, personal dosemeter, risks and emergency plan, environmental impact, medical exams. (Author)

  15. Asymptotic behavior of the number of Eulerian orientations of graphs

    CERN Document Server

    Isaev, Mikhail

    2011-01-01

    We consider the class of simple graphs with large algebraic connectivity (the second-smallest eigenvalue of the Laplacian matrix). For this class of graphs we determine the asymptotic behavior of the number of Eulerian orientations. In addition, we establish some new properties of the Laplacian matrix, as well as an estimate of a conditionality of matrices with the asymptotic diagonal predominance

  16. Diversity of

    Directory of Open Access Journals (Sweden)

    Mohamed M. Abou Zaid

    2014-01-01

    Full Text Available Seasonal abundance, biomass, and taxonomic composition of copepods in El-Mex Bay (Southeastern Mediterranean region were studied from autumn 2011 to 2012. Most species within the copepod communities displayed a clear pattern of succession throughout the investigation period. Generally copepods were the predominant group. They contributed numerically 57% of the total zooplankton counts with an average of 5083 organisms/m3 and a total number of 203,333 individuals. The bay harbored 50 species belonging to 28 genera within 19 families and 4 orders under one class. Calanoids were represented by 24 species which formed 31.6% of total copepods predominantly Acartia clausi, Calocalanus pavo, Clausocalanus furcatus, Eucalanus crassus, Nannocalanus minor, Paracalanus parvus, Eucalanus subcrassus, and Temora longicornis. Cyclopoids comprised 13 species of which Acanthocyclops americanus, Halicyclops magniceps, Oithona attenuata, and Oithona nana were the most abundant adult copepods. Eleven Harpacticoid species were also recorded with Euterpina acutifrons, Microsetella norvegica, Onychocamptus mohammed being the most prevalent. It was found however, that two Poecilostomatoida species were rarely encountered in the plankton Oncaea minuta and Corycaeus typicus. Copepod larvae and copepodite stages formed the main bulk of copepod Fauna as noticed in the El-Mex Bay during the investigation period. Their percentage was 36.7% of the total count and their total numbers were 74,629 individuals with an average of 1866 organisms/m3. The persistent relationships between total copepod counts, copepod orders, and physico-chemical variables suggested that physical factors operate on the copepod communities, either directly to limit maximum distribution along the bay, or indirectly on abundance.

  17. ORGANIZATIONAL-ECONOMIC MECHANISM OF PROVIDING OF COMPETITIVENESS OF ENTERPRISES OF RAILWAY TRANSPORT

    OpenAIRE

    Kalinichenko, O.

    2011-01-01

    The organizational-economic mechanism of providing of competitiveness of enterprises of railway transport is formed. Constituents and factors of forming of competition potential of enterprises of railway transport are considered.

  18. Discrete formulation of teleportation of continuous variables

    OpenAIRE

    van Enk, S. J.

    1999-01-01

    Teleportation of continuous variables can be described in two different ways, one in terms of Wigner functions, the other in terms of discrete basis states. The latter formulation provides the connection between the theory of teleportation of continuous degrees of freedom of a light field and the standard description of teleportation of discrete variables.

  19. System of strategic planning of enterprises activity

    OpenAIRE

    Тригоб’юк, Сергій Сергійович

    2012-01-01

    The review of researches of strategic management is resulted in the article, especially features of strategic administrative decisions, strategic diagnostics, in the system of the strategic planning of activity of enterprises, and the problems of leadership, development of strategic thinking and social aspects of business conduct in a modern variable environment also.

  20. Zeros of entire functions of finite order

    Directory of Open Access Journals (Sweden)

    Supper Raphaële

    2002-01-01

    Full Text Available Given , , let be the set of all entire functions , with , for which there exists some constant such that . It is shown that the zero set of a function of satisfies and that the union of the zero sets of two functions of is not necessarily the zero set of a function of . Some uniqueness results of Carlson's type are also obtained.

  1. OF THE IMPLEMENTATION OF A GOVERNMENT PROGRAMS

    Directory of Open Access Journals (Sweden)

    Skaryupina, M.B.

    2016-04-01

    Full Text Available This article describes the problem and the need for monitoring of the government program effectiveness, conceptual model of monitoring during the implementation of the state program. Also the author presented a software module for monitoring of implementation of the government programs and gave a description of the main elements of an effective monitoring system of implementation of the government program.

  2. Multipliers of the Range of Composition Operators

    OpenAIRE

    ATTELE, K. R. M.

    1992-01-01

    The structure of the space of multipliers of the range of a composition operator $C_\\phi$ on the Hardy space is studied. We provide necessary and/or sufficient conditions in terms of appropriate measurements of the distance of $|\\phi|$ to 1 for the containment or the inclusion of the space of multipliers in standard spaces.

  3. On the Cognition of Laws of Nature

    OpenAIRE

    Weingartner, Paul

    2003-01-01

    In this paper I shall discuss the problem of cognition of laws of nature on the following different levels of understanding: First level of understanding of laws of nature: the Greek Ideal of Science Second level: Space Time Invariance Third level: Dynamical Laws Fourth level: Statistical Laws Fifth level: Laws and Causality Sixth level: Chaotic Motion Seventh level: Initial conditions and Constants of Nature

  4. Influence of motive activity on forming of proof skills of healthy way of life of students of higher educational establishments.

    Directory of Open Access Journals (Sweden)

    Trotsenko V.V.

    2010-08-01

    Full Text Available The estimation and the analysis of impellent activity of students is considered. The importance of impellent activity in forming a healthy way of life of students is shown. In research the data of questionnaire of students are used. sports priorities of students are revealed should to undertake in attention by development of the program of physical training. The wide spectrum of the reasons which interfere with exercises is revealed. These reasons should be considered during individual work with each student. It is proved, that impellent activity influences forming of proof skills of a healthy way of life of students.

  5. Theoretical Substantiation of Formation of Integration Forms of Interaction of Enterprises when Developing the Innovation Policy

    Directory of Open Access Journals (Sweden)

    Manoylenko Oleksandr V.

    2014-01-01

    Full Text Available The article considers issues, connected with activation of innovation activity of engineering enterprises on the basis of application of integration forms of interaction. It justifies a necessity of formation of infrastructure of interaction of an enterprise when introducing innovation models of development with consideration of realisation of goals of all interested parties. The article offers a generalised scheme of organisational interaction of an enterprise in external environment and a matrix of functional provision of the integration process. The theoretical approach that is considered in the article allows increase of innovation activity of engineering enterprises and minimisation of expenditures of own resources when realising innovation policy of an enterprise.

  6. PROBLEMS OF FUNCTIONING OF RAILWAY TRANSPORT OF UKRAINE IN THE CONDITIONS OF STRENGTHENING OF GLOBALIZATION

    OpenAIRE

    Chekhovska, M.

    2011-01-01

    Basic directions of globalization of railway transport and problem are examined in the article, that is related to this process. Prospects of entrance of domestic railway transport in a global transport network is grounded.

  7. Study of the stability of solutions of some classes of initial boundary value problems of aerohydroelasticity

    International Nuclear Information System (INIS)

    The stability of several classes of constructions containing elastic elements has been studied. A nonlinear mathematical model of a vibration equipment device intended for the intensification of technological processes, for example, the stirring process, has been considered as an example

  8. FEATURES OF ADDITIONAL QUALIFICATION OF THE ORGANIZATION OF CRIME

    Directory of Open Access Journals (Sweden)

    Alexander Mikhailovich Zatsepin

    2015-01-01

    Full Text Available The article considers the qualification of organization of crimes, which is determined by the specificity of criminal-legal regulation of the concept of the organizer. The author notes that an additional qualification of organization of crimes by the principle of organization of committing the crime is based on two circumstances: organization of a crime and committing a crime. Therefore, only the forms of governing crimecommitters refer to the supervision of commission of crimes cited in relevant literature. Beyond the commission of crime, supervision of the commission cannot be made. The author comes to the conclusion that the definition of the organizer as a person who created an organized group or criminal community (criminal organization causes objections due to the fact that, on the one hand, it does not refer to all forms of criminal complicity and on the other hand it gives an impression of being out of the organization of the crime commission.

  9. Estimation of efficiency of virtual productive enterprise functioning with the use of concept of hyperstability

    Directory of Open Access Journals (Sweden)

    Sobchak Andrii

    2016-02-01

    Full Text Available The concept of hyperstability of the cybernetic system is considered in an appendix to the task of estimation of efficiency of virtual productive enterprise functioning. The basic factors, influencing on efficiency of functioning of such enterprise are determined. The article offers the methodology of synthesis of static structure of the system of support of making decision by managers of virtual enterprise, in particular procedure of determination of numerical and high-quality strength of equipment, producible on a virtual enterprise.

  10. FUNCTIONS OF THE HEAD OF SPECIAL (CORRECTIONAL) EDUCATIONAL INSTITUTION ON PERFECTION OF ESTIMATION OF EDUCATIONAL SYSTEM

    OpenAIRE

    Voynelenko Natalya Vaselyevna

    2012-01-01

    In article the maintenance of activity of the head of special (correctional) educational institution on the organization of estimation of quality of educational system is discussed. The model of joint activity of participants of educational process on estimation of educational objects, as component of system of quality management in Educational institution is presented. Functions of estimation of educational system in activity of the head of educational institution are formulated.

  11. Technology of production of beef of special quality

    OpenAIRE

    Pavlovski Zlatica; Aleksić Stevica; Cmiljanić Ratimir; Škrbić Zdenka; Lukić Miloš; Stojanović Ljiljana

    2004-01-01

    By applying the method of industrial crossing of Domestic spotted cattle of lower production performances with French fattening/meat breeds (Charolais and Limousine) young cattle is obtained with better fattening traits as well as traits of carcass and meat quality. Application of the method of industrial crossing of Domestic spotted cattle of lower production performances, beside significant increase of the quantity of high quality beef meat, would also have positive effect on the economical...

  12. DEVELOPMENT OF COMPOSITION OF INFUSION MEDICATION ON BASIS OF MOXIFLOXACIN

    OpenAIRE

    Almakaeva L.G.; Begunova N.V.; Naumenok L.G.; Dolya V.G.; Almakaev М.S.

    2015-01-01

    Application of fluoroquinolones covers by experience of treatment more than 800 million patients, and presently they are one of basic classes in the antimicrobial arsenal of practical medicine. Such achievements became possible after the clear understanding of intercommunication of structure and activity of molecules of this class of antibiotics. This knowledge became the basis for the synthesis of new derivatives with a wide range, powerful activity and improved pharm...

  13. Simulation of Kinematics of Special Theory of Relativity

    OpenAIRE

    Matveev, V. N.; Matvejev, O. V.

    2011-01-01

    The principles of the special theory of relativity are extremely simple. A knowledge of the Pythagorean theorem and an ability to perform the simplest algebraic operations are sufficient to be conversant with the kinematics of the special theory of relativity, as well as the time dilation and contraction of the longitudinal dimensions of moving bodies that are associated with relative motion. However, the simplicity of the fundamentals of the theory of relativity are in surprising contrast wi...

  14. On the Crime of Dereliction of Duty of Food Safety

    OpenAIRE

    Bifa Zhu; Hui Xie

    2014-01-01

    Food safety is one of the basic requirements of livelihood, however, with the development of the socialist market economy, many problems exist in the food safety field. Therefore the governments have enacted a series of policies and regulations to supervise food safety, one of which is the crime of dereliction of duty of food safety, which is put forward to improve and perfect the food safety supervision and management and food security. This paper aims to study the necessity of the crime of ...

  15. Regularity of

    Institute of Scientific and Technical Information of China (English)

    WANG; Wei

    2001-01-01

    [1] Nagaev, A. V., Integral limit theorems for large deviations when Cramer's condition is not fulfilled I, II, Theory Prob. Appl., 1969, 14: 51-64, 193-208.[2] Nagaev, A. V., Limit theorems for large deviations where Cramer's conditions are violated (In Russian), Izv. Akad. Nauk USSR Ser., Fiz-Mat Nauk., 1969, 7: 17.[3] Heyde, C. C., A contribution to the theory of large deviations for sums of independent random variables, Z. Wahrscheinlichkeitsth, 1967, 7: 303.[4] Heyde, C. C., On large deviation probabilities for sums of random variables which are not attracted to the normal law, Ann. Math. Statist., 1967, 38: 1575.[5] Heyde, C. C., On large deviation probabilities in the case of attraction to a nonnormal stable law, Sanky, 1968, 30: 253.[6] Nagaev, S. V., Large deviations for sums of independent random variables, in Sixth Prague Conf. on Information Theory, Random Processes and Statistical Decision Functions, Prague: Academic, 1973, 657674.[7] Nagaev, S. V., Large deviations of sums of independent random variables, Ann. Prob., 1979, 7: 745.[8] Embrechts, P., Klüppelberg, C., Mikosch, T., Modelling Extremal Events for Insurance and Finance, Berlin-Heidelberg: Springer-Verlag, 1997.[9] Cline, D. B. H., Hsing, T., Large deviation probabilities for sums and maxima of random variables with heavy or subexponential tails, Preprint, Texas A&M University, 1991.[10] Klüppelberg, C., Mikosch, T., Large deviations of heavy-tailed random sums with applications to insurance and finance, J. Appl. Prob., 1997, 34: 293.

  16. IMPROVEMENT OF SYSTEM OF MATERIAL STIMULATION AND MATERIAL ENCOURAGEMENT OF WORK OF HEALTH WORKERS

    Directory of Open Access Journals (Sweden)

    Elena Vladimirovna Deryabina

    2015-12-01

    Full Text Available In article are considered possibilities of a solution of the problem of quality of medical services by improvement of system of material stimulation and encouragement of health workers. Are developed the methodical recommendations about material stimulation and encouragement of work of medical personnel directed on increase of individual and collective productivity, improvement of quality of medical services.

  17. Quantization of Equations of Motion

    Directory of Open Access Journals (Sweden)

    D. Kochan

    2007-01-01

    Full Text Available The Classical Newton-Lagrange equations of motion represent the fundamental physical law of mechanics. Their traditional Lagrangian and/or Hamiltonian precursors when available are essential in the context of quantization. However, there are situations that lack Lagrangian and/or Hamiltonian settings. This paper discusses a description of classical dynamics and presents some irresponsible speculations about its quantization by introducing a certain canonical two-form ?. By its construction ? embodies kinetic energy and forces acting within the system (not their potential. A new type of variational principle employing differential two-form ? is introduced. Variation is performed over “umbilical surfaces“ instead of system histories. It provides correct Newton-Lagrange equations of motion. The quantization is inspired by the Feynman path integral approach. The quintessence is to rearrange it into an “umbilical world-sheet“ functional integral in accordance with the proposed variational principle. In the case of potential-generated forces, the new approach reduces to the standard quantum mechanics. As an example, Quantum Mechanics with friction is analyzed in detail. 

  18. Directions of improvement of account of factoring operations

    Directory of Open Access Journals (Sweden)

    V.I. Kuz

    2015-06-01

    Full Text Available With the height of competition on commodity markets the suppliers of commodities and services for bringing in of new and maintenance of present clients are forced to give certain privileges to them, including postponement or arranging on the installment system of payment. In these terms one of perspective instruments of financing of enterprises of the real sector is factoring. Factoring plays an important role in a market economy. He provides to the enterprises and organizations of height of volume of turnover means and acceleration of circulating of capital; assists more rapid redemption a debtor and creditor debts and as a result, height of rates of production and circulating of commodities, works or services; assists expansion of production. How a process of development of factoring operations is intensive enough, a necessity grows for the detailed consideration of methodology of record-keeping of factoring operations. Methodology of record-keeping of factoring operations offered in the article for a supplier, at a factor and debtor, on the basis of operating card of accounts can be used in practice of commercial organizations-participants of agreement of factoring.

  19. Identification of Methodology of Indirect Assessment of Economy Shadowing

    Directory of Open Access Journals (Sweden)

    Avhustyn Ruslan R.

    2014-03-01

    Full Text Available The article explains the essence of the shadow economy as an objective phenomenon of socio-economic relations and its influence upon national economy security through instruments of pricing, fiscal restrictions, tax control, and banking and insurance regulation. It proves the necessity of use of the indirect method of assessment of the level of economy shadowing along with methods of direct control over the growth of shadowed economic relations, since such an approach would allow rational approach to identification of volumes and level of shadow activity. In the result of the study the article marks out varieties of indirect assessment of economy shadowing (methods of document, accounting and economic analysis, their specific features, advantages and shortcomings and results of practical use. The article reveals approaches and indicators of economic analysis that allow identification of reasons of deviations from the normal economic activity of economic subjects. It provides examples of the indirect method of assessment of the volume of shadowed economy that deal with analysis of demand on money and comparison of rates of the growth of the money supply with the volume of sight drafts with GDP.

  20. Practice of formation of cognitive competence of a future manager

    Directory of Open Access Journals (Sweden)

    Doronina Maya S.

    2013-03-01

    Full Text Available The article justifies a necessity of introduction of a cognitive component, which creates prerequisites of mastering technologies of generation of new knowledge by a graduate with the use of own original schemes and skills, into the system of competences that are formed by the higher school. The article shows the process of formation of the graduate’s cognitive competence in the form of a succession of such its getting more complicated variants as educational, educational and cognitive, intellectual and cognitive, research, and scientific and research. The article provides such elements as the goal, result, assessment criteria and the nature of pedagogical accompaniment in each variant of the structural and logic model of cognitive activity. It provides real examples of results of formation of educational competence taken from the disciplines of the curriculum of training managers. It identifies the final goal of the new technology of the educational process – formation of ability of a student on the basis of analysis of publications and practical experience to detect a new problem, draw up a gnoseological and ontological picture of the world that facilitate development of a constructive mechanism of its collective study, formulate hypotheses, find and realise methods of their examination and identify novelty of the obtained results.

  1. SYSTEM ORGANIZATION OF MATERIAL PROVIDING OF BUILDING

    Directory of Open Access Journals (Sweden)

    A. V. Rаdkеvich

    2014-04-01

    Full Text Available Purpose. Development of scientific-methodical bases to the design of rational management of material streams in the field of building providing taking into account intersystem connections with the enterprises of building industry. Methodology. The analysis of last few years of functioning of building industry in Ukraine allows distinguishing a number of problems that negatively influence the steady development of building, as the component of the state economics system. Therefore the research of existent organization methods of the system of building objects providing with material resources is extremely necessary. In connection with this the article justifies the use of method of hierarchies analysis (Saati method for finding the optimal task solution of fixing the enterprises of building industry after building objects. Findings. Results give an opportunity to guidance of building organization to estimate and choose advantageous suppliers - enterprises of building industry, to conduct their rating, estimation taking into account basic descriptions, such as: quality, price, reliability of deliveries, specialization, financial status etc. Originality. On the basis of Saati method the methodologies of organization are improved, planning and managements of the reliable system of providing of building necessary material resources that meet the technological requirements of implementation of building and installation works. Practical value. Contribution to the decisions of many intricate organizational problems that are accompanied by the problems of development of building, provided due to organization of the reliable system of purchase of material resources.

  2. [THE PERSPECTIVES OF STUDYING OF POLYMORPHISM OF GENES OF GAMMA-INTERFERON UNDER CHRONIC BRUCELLOSIS].

    Science.gov (United States)

    Nurpeisova, A Kh; Kolomeietz, A N

    2016-02-01

    The brucellosis is an actual zoonotic disease in many countries, Russia included. The complexity of individual prognosis of disease and choice of tactics of maintenance of patients is explained by heterogeneity of clinical manifestations of brucellosis and different rate of progression of organs pathology. Despite of low mortality, this pathology quite often results in disability of patient. The frequent transition of acute process into chronic one (40-60%), probability of development of primary chronic brucellosis determines interest of researchers to issues of immunopathogenesis of this disease. The article presents review of achievements in studies of polymorphism of genes of gamma-interferon in the given area.

  3. Features of empathy of students of pedagogical specialties

    Directory of Open Access Journals (Sweden)

    Galina Bezverkhnya

    2014-08-01

    Full Text Available Purpose: to define levels of empathy at students. Material and methods: levels of the manifestation of empathy are studied at students of faculty of the primary education of full-time education and correspondence course (120 persons. The technique of the definition of empathy of I. M. Yusupov was used. Results: the reliable decrease is revealed in the level of empathy to children from the II to the IV course of the full-time education. On the correspondence course the level of empathy to children remains stable on the II and the IV courses. Conclusions: this technique of the definition of the level of empathy allows to judge the professional suitability of those who chooses a pedagogical profession, and helps to define, what profession shouldn't be chosen by graduates of schools because of the incompatibility with the object of the future professional activity.

  4. Report of results of the tests of evaluation of the operation of service of personal dosimetry of the CNLV

    International Nuclear Information System (INIS)

    The ININ realized the evaluation of the service of personal dosimetry in the CNLV, in the categories: IV.- (Photons of high energy of 137Cs) and the VA.- (Particles beta of 90Sr/90Y); in the category IV the test was satisfactory, however in the chart 1 has an underestimation a the American Standard HP over the value true conventional of a 9%; for this irregularity it is recommended to revise the procedures of evaluation of the process and the determination of the chart 1 of the HP. In the category VA, the test is also satisfactory, however the results contrasted with the chart 2 and the HP, the values were overestimated in 29% of the true conventional value, and for that problem is recommended to revise the evaluation procedures in contrast with the values determined by the standard HP. (Author)

  5. Stages of Formation of the Strategy of Social Responsibility of Business

    Directory of Open Access Journals (Sweden)

    Zatieyshchykova Olha O.

    2014-02-01

    Full Text Available The article studies existing approaches to formulation of stages of the strategy, according to which a list of stages of formation of the strategy of social responsibility (SSR is formed, including: identification of the mission and vision of SSR, formation of the system of goals of SSR, assessment of influence of factors of external environment, assessment of the level of social responsibility, analysis of alternatives and selection of strategies. The article identifies SSR mission for Ukrainian enterprises, which lies in increase of the quality of life of employees, local society and society in general. SSR vision – improvement of effectiveness of business and profitability indicators on the basis of creation of trustworthy relations between business, society and state. The article develops the goals tree of SSR that has goals of three levels. It identifies a list of factors of external environment, including: growing anxiety about the state of environment and demographic situation, level of education and culture, growing intensity of competition, level of income and wellbeing, active participation of the state policy in the use of principles of social responsibility, propaganda of social responsibility within the impact area, fast change of technologies, fair marketing practice, informing and executing agreements. The article offers to assess the level of social responsibility on the basis of calculation of indicators of social investments both by quantitative and qualitative methods and calculation of indicators of voluntary social responsibility of business. It also offers main components of the essence of the SSR strategy.

  6. Genetic bases of the evolution of organisms

    Directory of Open Access Journals (Sweden)

    Marinković Dragoslav M.

    2002-01-01

    Full Text Available Biological progress consists of the continuous increase of divergence with simultaneous maintenance and the increase of conformance (harmoniousness of living systems. A mutual balance between divergence of forms and the degree of perfection of their structure and function indicates a level of the evolutionary development of a particular group of organisms, i.e. a level and prospects of their evolutionary progress. An enormous potential of combined genetic polymorphousness is reduced to adaptive landscapes of a limited number of developmental programmes that make actual units of inheritance and variability within each species.

  7. ASPECTS OF MANAGEMENT OF AGRICULTURAL FIRMS

    OpenAIRE

    L ROLÍNEK; DOKTOROVÁ, M.

    2002-01-01

    The level of external and internal entropy belongs to the basic indicators of assessment of successfulness of management and competitive level of enterprises. The entropy represents the measure of the unsystematic character of enterprises, which can lead to the decrease of its productivity, and in the end its competitive ability. The assessment of the file of agricultural enterprises shows, that the level of internal, external and the whole entropy does not show too favourable prospects for t...

  8. Synthesis of logistic information streams of seaport

    OpenAIRE

    Пархотько, Андрій Валерійович; Зінченко, Сергій Георгійович

    2016-01-01

    Sequence of operations of seaport work includes a number of operations, dealing with loading, unloading and servicing of ships, reception and shipping freights. Information processing is the cornerstone of material streams management. Information streams of the port cover interaction of internal and external users of information: management of the port, production divisions, public institutions and the clients of the port. Thus, the technological process can be presented as a turn of informat...

  9. Recycling Engineering Of Disposal Of Waste Matter

    International Nuclear Information System (INIS)

    This book introduces conception of waste, generation of waste with generation and circulation of waste, waste generation amount, and classification of waste, management of waste, collection of waste on plan of collection, transportation and device of waste, waste management system such as extended producer responsibility, manifest system, exchange system of waste, volume-rate garbage disposal system, recycling of waste, including disposal technology for recycling waste, sanitary landfill, incineration, composting and human waste of disposal.

  10. DOCUMENTING OF THE PROCESS OF ACCUMULATION OF KNOWLEDGE AND DEVELOPMENT OF THE INTELLECTUAL HUMAN CAPITAL

    Directory of Open Access Journals (Sweden)

    Yermolenko V. V.

    2015-06-01

    Full Text Available The problem of documenting of process of accumulation of knowledge and development of the intellectual human capital is considered in this article. The purpose of the article is the research of theoretical approaches of documenting of process of accumulation of knowledge, development of the intellectual human capital and the analysis of domestic public corporations on documenting of process of accumulation of knowledge. The solution of research tasks in article is proposed: the analysis of the contents of theories of development of the human capital in the conditions of economy of knowledge is carried out; domestic practice of public corporations on documenting of process of accumulation of knowledge is studied; features of documenting of knowledge as maintenance of development of the human capital are marked out. The particular emphasis in the article is placed on disclosure of such problems, as: methodological and theoretical aspects of development of the intellectual human capital; formation of mechanisms and ways of documenting of knowledge in the conditions of knowledge economy; formation of corporate institutes of formation and the development of the intellectual human capital, realizing reproduction of the intellectual capital and engineering of knowledge; formation of organizational innovations and dumping of old organizational routines. Documenting of knowledge is presented as maintenance of development of the human capital, the project of introduction of knowledge management and its documentary maintenance in corporations, and also ways of network documenting of knowledge of the human capital in the process of joint design activity is offered. Development of a special control system and its organizational and methodical providing which will allow to increase efficiency of work with documents during projects of development of the intellectual human capital is necessary for management of the documentary massif of knowledge of the

  11. METHODOLOGY OF DETERMINATION OF QUALITY INDEX OF MAINTENANCE SERVICE SYSTEM OF POWER EQUIPMENT OF TRACTION SUBSTATIONS

    Directory of Open Access Journals (Sweden)

    O.O. Matusevych

    2016-03-01

    Full Text Available Purpose. The purpose of this paper is development of methodology for definition of a quality system of maintenance and repair (M and P power equipment of traction substations (TS of electrified railways operating under conditions of uncertainty based on expert information. Methodology. The basic tenets of the theory of fuzzy sets and marks, linguistic and interval estimates of experts were applied to solve this problem. Results. Analysis of the existing diversity of approaches to development of modern methods of improvement of M and P allows us to conclude that the improvement in the quality of the system is achieved by solving individual problems increase the operational reliability of power equipment of traction substations in the following main interrelated areas. There are technical, economic and organizational. The basis of the quality evaluation system is initial data and expertise developed version of the document formalized quality evaluation of electrical equipment of traction substations by experts. The choice of determining the level of Quality service system based on the marks, linguistic and interval estimates of experts, which are reflected in quantitative and / or qualitative form was done. The possible options for expert data presentation and their corresponding quantitative methods of calculating the integral index of quality improvement system maintenance and P of traction substations were described. The methodology and the method of assessing the quality of system maintenance and P of TS allows quickly respond to changing operating conditions of power equipment of traction substations, and to determine the most effective strategies for maintenance of electrical and P TS under conditions of uncertainty functioning distance electricity. Originality. The method of a systematic approach to improve the quality of the system maintenance and P of power equipment of traction substation under conditions of uncertainty based on expert

  12. Assessment of results of functional units department of marketing

    Directory of Open Access Journals (Sweden)

    D.V. Raiko

    2011-12-01

    Full Text Available Improved methodological support of the evaluation of heads of departments of marketing, the distinction which is urahuvanni functional orientation of each department, the application of expert methods using universal scale Harinhtona for the quantitative determination of performance in two components: the results of the work and qualities of leaders (business, professional and personal. The total score corresponds to the head of qualitative features of the low to very high, which allows to make personnel decisions for the promotion of leaders and motivating material as well as identify priority areas to improve the results of their work and improving the professional, business, personal qualities.

  13. Organization of a system of guarantee of quality for the control of specifications of chemical reagents

    International Nuclear Information System (INIS)

    Analytic methods were implemented based on valuations acid-base and redox for the quantitative determination of sodium hidroxid, iodine and iron chloride III, like part of a system of quality for the technical specifications of these reagents. The planning of its system of quality includes two fundamental parts: insurance and control of quality. In the insurance part the state of operation of the team that you uses settled down, gauges the one that achieve to maintain under the supervision of a single operator (electronic equip and glassware) and the design of the appropriate documents settled down to carry out the periodic supervision of the acting of the same ones and other aspects characteristic of the system (experimental results). Also protocolized and validated the analytic methods to use following the approaches of precision given by ASTM, organism whose methodologies are recognized in the country like official; other procedures, as that of calibration of the volumetric equipments, they were also protocolized. In the part of control of quality, the limits settled down and procedures were applied the scales and used other, to the necessary distilled water to carry out the determinations and to the used chemical reagents. With base in the obtained results you determines that the analyzed reagents fulfill the specifications of ACS (and with those reported by the maker) at the same time settled down that the laboratory 09 of the Chemistry School, used in a large part of development of this project, it didn't fulfill the necessary requirements so that it works as laboratory of control of quality. As an alternative, the administration of the School outlines as solution the use of the Laboratory of Insurance of the Quality from the Unit of Service to the Industry for such end

  14. of polygons

    KAUST Repository

    Lu, Yanyan

    2012-08-01

    Decomposing a shape into visually meaningful parts comes naturally to humans, but recreating this fundamental operation in computers has been shown to be difficult. Similar challenges have puzzled researchers in shape reconstruction for decades. In this paper, we recognize the strong connection between shape reconstruction and shape decomposition at a fundamental level and propose a method called α-decomposition. The α-decomposition generates a space of decompositions parameterized by α, the diameter of a circle convolved with the input polygon. As we vary the value of α, some structural features appear and disappear quickly while others persist. Therefore, by analyzing the persistence of the features, we can determine better decompositions that are more robust to both geometrical and topological noises. © 2012 Elsevier Ltd. All rights reserved.

  15. Evaluation of the Effects of

    Directory of Open Access Journals (Sweden)

    Deniz Çetinkünar

    2012-06-01

    Full Text Available Background and Design: In this study, we aimed to evaluate the effects of a formula composed of millet extract, wheat germ oil, calcium pantothenate and L-cystine in women with diffuse alopecia by using Digital Phototrichogram (Trichoscan. Materials and methods: We evaluated female patients who presented to Gazi University Faculty of Medicine Department of Dermatology between January 2008 and November 2008 with the complaint of diffuse hair loss. Digital phototrichogram was performed in the frontal and occipital regions of the patients. Using this method, anagen: telogen ratios were determined. 53 female patients whose ages were between 18 and 50 and who were diagnosed as having telogen effluvium type diffuse alopecia were included in the study. The patients were given a capsule containing 140 mg millet extract, 271 mg wheat germ oil, 2 mg L-cystine and 10 mg calcium pantothenate three times a day for three months. The criteria for assessing the efficacy of the therapy included number of hair loss per day, hair pull test and digital phototrichogram.Results: The reduction of daily average hair loss after the treatment was statistically significant. Statistically significant difference was found between the pre- and post-treatment results of the hair pull test. Before the treatment, the average anagen ratio was determined to be 69.0±11.2 in the frontal region, and 72.3±9.4 in the occipital region. After the treatment, the anagen ratio increased to 76.4±11.2 in the frontal region and to 79.9±8.6 in the occipital region. The increase in the anagen hair rate in the frontal and occipital regions after the treatment was found to be statistically significant. Conclusion: As a result, it was found that the formula composed of millet extract, wheat germ oil, L-cystine and calcium pantothenate may be effective in the treatment of telogen effluvium. However, controlled studies including larger groups of diffuse alopecia patients and placebo groups are

  16. BASES OF CONSTRUCTIVITY OF MODERN PERSONALITY

    Directory of Open Access Journals (Sweden)

    Natalya Petrovna Shatalova

    2014-11-01

    Full Text Available Formation of bases of constructibility is important process at this stage of de-velopment of our state. Personality of modern type must be capable to self-determination, competent adoption of constructive decisions and manifestation of a personal responsibility for the constructive election, personality of modern type must be capable for self-determination, competent adoption of constructive decisions and manifestation to a personal responsibility for the constructive choice. Formation of bases of constructibility in the course of education is caused by use of constructive tasks and the constructive educational environment which define innovative recep-tions and skills of influence as methods of pedagogical influence taking into account constantly changing circumstances. Extent of mastering each member of society bases of constructibility defines a spiritual condition of society, of the present and the future of our country, development of economy and culture in general.Purpose: consideration of question about development of constructive thinking and constructive skills of personality in modern constructive educational environ-ment.Methodology: formal pedagogical method, the theoretical modeling, the meth-od of participant observation.Results. In the article is give the short analysis of problem of development of personality in modern society, opened the concept of constructibility of the personali-ty and her basic components, classification constructive tasks investigated, specified preparatory steps for organization of the conditions of development of a constructibil-ity and gives a brief description of their. Article has the scientific value as contains au-thor's generalizations possessing scientific novelty and the conclusions directed on disclosure of problems of formation and development of the modern personality, considered from the point of view of the theory of democratic constructivism in edu-cation.Practical implications: pedagogical

  17. Problems of Formation of Demand for Labour under Conditions of Unstable Development of Economy

    OpenAIRE

    Vorontsova Olesia V.

    2014-01-01

    The article analyses modern problems of formation of demand for labour under conditions of unstable development of economy. The reasons of instability of development of the labour market under conditions of globalisation transformations are innovation shifts that cause changes in the structure, volumes of employment and labour productivity. Retrospective analysis of tendencies of formation of demand for labour shows existence of inconsistency of development of the labour market with modern re...

  18. Research of methods of providing of temporal transparency of asynchronous TK network

    OpenAIRE

    Нашат, Галеб Саммур Альбдур

    2011-01-01

    Work is devoted development and research of new methods of indemnification of jittera by the additional delay of barns in the buffer of knot of commutation at the different levels of his load for providing of sentinel transparency of asynchronous telecommunication networks. The method of calculation of indexes of sentinel transparency of network is offered, which takes into account necessary quality of service traffic and allows to forecast the mean value of delay an...

  19. FEATURES OF THE PROFESSIONAL ACTIVITIES OF GRADUATES OF EDUCATIONAL INSTITUTIONS FSIN OF RUSSIA

    OpenAIRE

    Sorokin Aleksandr Ivanovich

    2012-01-01

    This article describes the features of professional activities of graduates of educational institutions of the Federal Penitentiary Service of Russia. Objective: To determine the characteristics of professional activities of graduates of educational institutions of the Federal Penitentiary Service of Russia. Methodology of work: competence approach. Scope of the results: training in universities FSIN of Russia. Results: describes the main features of the professional activities of graduates o...

  20. ETHNOPSYCHOLOGICAL FEATURES OF VALUABLE ORIENTATIONS OF STUDENTS

    Directory of Open Access Journals (Sweden)

    Maryam T. NOGEROVA

    2015-01-01

    Full Text Available The difficulty of studying the actual problems of modern science ‒ the value-motivational sphere of personality is the lack of a common understanding of the nature and function of value orientations. Recently, it became necessary to study the factors affecting the formation of value-motivational sphere of personality determinants of which are cultural and psychological characteristics of the individual. In this regard, relevant is the study of gender and ethno-psychological features of valuable orientations of students. The purpose of this study is to identify the characteristics of the impact of ethnicity and gender of students in their value orientation. We investigate the severity of valuable orientations of students as "process‒result," "altruism‒egoism", "work‒free", "power ‒money" and their tier structure. The influence of ethnicity and gender of students on degree and level structure abovementioned value orientations. 

  1. Perception of the quality of life of caregivers of octogenarians

    Directory of Open Access Journals (Sweden)

    Camila Alves Nogueira

    2013-05-01

    Full Text Available The objective of the study was to investigate the perception that caregivers of octogenarians have regarding the quality of life and aspects of life that are more harmful to this quality. A cross-sectional, descriptive and quantitative study conducted in 2010 with 52 subjects of the Family Health Units in Campina Grande-PB, Brazil that responded a socio-demographic questionnaire and the WHOQOL-Bref. Data were analyzed with the SPSS. The total WHOQOL-bref score was 52.26 points. The aspects that were more jeopardized were: sex life (94.3%, feelings (67.4%, pain (65.5% and leisure (53.8%; the least affected were: living quarters (82.8%, energy (78.9%, physical appearance (78.9% and personal relationships (76.9%. The caregivers’ perceptions regarding the quality of life are marked by dissatisfaction, thereby leading to the belief that the care activities can have a negative effect on their lives.

  2. Study of tritium labeling of complex mixture of polychlorinated biphenyls

    International Nuclear Information System (INIS)

    The method for tritium labeling of technical mixture (commercial mark - SOVOL, USSR) of polychlorinated biphenyls (PCBs) was developed. The influence of procedure of labeling by thermally activated tritium on the nativity of polychlorinated biphenyls (PCBs) was studied. The method of labeling by thermally activated tritium has some factors, which are able to destroy organic compounds - photodegradation, thermo-degradation and degradation caused by reaction of substitution of organic compounds hydrogen atoms by activated tritium atoms. To develop a method of labeling of every organic compound by thermally activated tritium it is necessary to determine and optimize the conditions of labeling. In our case procedure of labeling is complicated because of technical mixture of PCBs consist from more than 20 isomers, chlorinated with different degree. We studied the dependence of appearance of products of degradation PCBs from duration of labeling procedure. It was found that some part of PCBs and product of its degradation were evaporated under vacuum and were collected on the glass flask cooled by liquid nitrogen. It was found that correlation between labeled of PCBs and products of degradation did not changed with increasing time of labeling, and radiochemical yield of tritium labeled of PCBs was stable - about 15-20 %. The optimum regime of labeling was selected. It was found that purification of labeled PCBs by TLC on silica gel with hexane allows obtaining tritium-labeled PCBs purified from by-products. Thus, TLC purification seems inexpensive, fast and suitable for purification of tritium-labeled PCBs

  3. Technique of studying the interaction of charges of explosives

    Energy Technology Data Exchange (ETDEWEB)

    Yefremov, E.I.; Kravtsov, V.S.; Myachina, N.I.; Rodak, S.N.

    1982-01-01

    A technique is presented for studying the interaction of explosive charges which includes recording of the velocity of detonation of the studied charges, measurement of mechanical stresses developing in this case in the medium and determination of granulometric composition of the model with simultaneous and diverse initiation.

  4. Characterization of Out of Lesson and Out Of School Physical

    Directory of Open Access Journals (Sweden)

    Krzysztof WARCHOŁ

    Full Text Available Principal purpose of the study is characteristics of out of lesson and out of school physical activities of children in selectedprimary schools in the Podkarpackie province. Inspiration for undertakings originate research was the opportunity to familiarizeoneself with the types of physical activity of students in their free time and the influence of formal and legal factors on theorganizational level of additional physical activities. The research was conducted in 60 primary schools in the Podkarpackieprovince. The basic condition in selecting the schools for the research owned a proper sport facility by the school. Research wasconducted in April and May, 2005. Empirical material was gathered by means of a diagnostic survey. Questionnaire of thesurvey included a set of closed questions. Students of physical education and headmasters of the schools were the respondents.The research indicates low level of physical activity of people of various ages. It should be assumed that this state of affairscorresponds to the state of physical education at schools. Therefore, in the search for optimal solutions, out of lesson and outof school activities should be included in the process of preparation of the young generation to physical activity in their adultlives. In conclusion, additional physical activity of children relies, to a large extent, on community service performed byteachers. Most of the times, out of lesson and out of school activities are occasional and incidental in nature and rarelyconstitute a part of an organized sequence of systematic events scheduled for specified points in time.

  5. Economic evaluation of the efficiency of use of circulating assets

    Directory of Open Access Journals (Sweden)

    Svetlana Mullinova

    2015-06-01

    Full Text Available The article reviewed the status of inventory in the organization. The results of an economic study of current assets and their effect on the financial condition of the organization. The analysis of indicators of working capital and their efficiency. The recommendations to speed up inventory turnover may find practical application in the accounting and analytical activity of the agricultural organizations.

  6. STRUCTURE OF AGGRESSION OF STUDENTS OF PEDAGOGICAL HIGHER EDUCATION INSTITUTION

    Directory of Open Access Journals (Sweden)

    Pavel Azifovich Bajguzhin

    2014-11-01

    Full Text Available Purpose: to reveal features of structure of aggression of students of pedagogical university as at future teachers.Methodology. 330 students of the III-IV courses which are training at pedagogical university took part in inspection. Structure of aggression estimated by results of the analysis of the data obtained by means of test Buss-Durkey. Research of interrelation of studied indicators of aggression made by means of the correlation analysis.Results. Specifics of structure of aggression are defined by the compensatory relations of its components (physical, indirect, verbal aggression, irritability and the indicators constraining aggression and substituting it (negativism, offense, suspiciousness. The main correlation loading is born by an «irritability» indicator. High rates of verbal aggression are accompanied by an indicator of indirect aggression, the average which level of manifestation is shown by 60,1% of students. Features of structure of aggression at groups of students with extreme options of manifestation of aggression and hostility are presented.Practical implications. Results of research can be applied in practice of vocational guidance and selection by experts in the field of differential psychophysiology and work psychology.

  7. The potential of radiotherapy of lymphoma infiltrations of the CNS

    International Nuclear Information System (INIS)

    Radiotherapy is a very important element in the complex therapy of lymphomas of the central nervous system, significantly improving the results of the aggressive system chemotherapy. Irradiation of considerable tissue volumes and the application of rather high total doses are recommended. In view of the unfavorable prognosis and biological behavior of the tumor, the total treatment (including chemotherapy and radiotherapy) should be aggressive. (author)

  8. The Constitution of the Republic of Estonia

    Index Scriptorium Estoniae

    2009-01-01

    Sisaldab ka: The Constitution of the Republic of Estonia Amendment Act. The Constitution of the Republic of Estonia Implementation Act. Act to Amend the Constitution of the Republic of Estonia for Election of Local Government Councils for Term of Four Years

  9. The Constitution of the Republic of Estonia

    Index Scriptorium Estoniae

    2005-01-01

    Raamat sisaldab ka: The Constitution of the Republic of Estonia amendment act ; The Constitution of the Republic of Estonia implementation act ; Act to amend the Constitution of the Republic of Estonia for election of local government councils for term of four years

  10. Analytical Provision of Management of Intangible Assets

    Directory of Open Access Journals (Sweden)

    Shelest Viktoriya S.

    2013-11-01

    Full Text Available The goal of the article lies in the study of the process of conduct of economic analysis of such a complex product of the innovation and information society as objects of intellectual property, which are accepted in business accounting as intangible assets. All-absorbing integration processes in the economy and large-scale propagation of information technologies influence the capital structure. Thus, accepting intangible assets as a driving factor of competitiveness, enterprises prefer namely these assets, reducing the share of tangible assets. Taking this into account the scientists thoroughly studied the issues of economic analysis of intangible assets, since the obtained data are the main source of accounting and analytical information required for making weighted managerial decisions. At the same time, the issues of authenticity, accuracy, efficiency and transparency of the obtained results become topical. In the process of the study the article shows information content of the accounting and analytical data due to introduction of accounting and conduct of economic analysis of intangible assets. The article considers the modern state of the methods of analysis of intangible assets based on opinions of scientists. It characterises economic and legal state of development of licence agreements in Ukraine. It justifies economic expediency of use of such agreements. It forms the ways of making efficient managerial decisions on use of intangible assets in economic activity of subjects of entrepreneurship.

  11. Operating Modes Of Chemical Reactors Of Polymerization

    Directory of Open Access Journals (Sweden)

    Meruyert Berdieva

    2012-05-01

    Full Text Available In the work the issues of stable technological modes of operation of main devices of producing polysterol reactors have been researched as well as modes of stable operation of a chemical reactor have been presented, which enables to create optimum mode parameters of polymerization process, to prevent emergency situations of chemical reactor operation in industrial conditions.

  12. Analysis of Tendencies of Development of Trade in Ukraine

    OpenAIRE

    Frolova Larysa V.; Rozhenko Oleksandra V.

    2014-01-01

    The article analyses economic state of trade in Ukraine in general and in Donetsk oblast in particular. It justifies significance of modern trade in carrying out economic activity and in creating the gross and regional product. The article analyses the following structural indicators of trade for 2010 – 2012: a number of economic subjects, number of employed workers, volume of sold products (goods, services), average monthly wages of workers, and arrears of wages at the end of the year. It sh...

  13. ABOUT ADVANTAGES OF COGNITIVE VIEW OF TYPOLOGY OF SEMANTIC PREDICATES

    OpenAIRE

    Generalova Larisa Mikhailovna

    2012-01-01

    Purpose The article considers disadvantages of traditional typologies of semantic predicates from a cognitive linguistic viewpoint. The author of the article determines place and importance of semantic predicate for denoting of conceptualization of events of extralinguistic reality. Methodology The author uses in the paper some complex method of linguistic analyses, which encloses description, contrast and semantic interpretation.Results Semantic predicates are cognitive categories of concept...

  14. INTERDEPENDENCE OF COST AND QUALITY OF ITEMS OF REAL ESTATE

    OpenAIRE

    Lukmanova Inessa Galeevna; Nezhnikova Ekaterina Vladimirovna

    2012-01-01

    The authors argue that the costs of design development, building and maintenance of items of real estate are interconnected, and that they depend heavily on the high quality of work performed at each of the above stages. Quality management standards, according to ISO 9001:2008 international standards, assure the satisfactory quality of building works. Classification of the quality indicators distributed into several groups is developed to ensure the target management of the quality of buildin...

  15. Radiology of sport injuries of pelvic apophyses

    International Nuclear Information System (INIS)

    Pelvic apophyses are places of insertion of strong muscles and tendons and are therefore places of least resistance at the end of skeletal growth. Avulsions and disruptions of pelvic apophyses can be caused by overstrain during different kinds of sport activity. Typical radiological findings in 8 different cases of ruptures of apophyses, osteochondropathies, and resulting conditions of sport injuries are demonstrated. The difficulties of correct diagnosis and different diagnosis are pointed out. The significance of hormonal impairment of ossification for development and stress factor of pelvic apophyses is exposed. Questions of treatment and follow-up studies are discussed. (orig.)

  16. Economy of Renewable Resources of Energy Operation

    Directory of Open Access Journals (Sweden)

    Martin Vyslouzil

    2008-01-01

    Full Text Available Nowadays the renewable resources continue to be more important in the Czech Republic especially thanks to tendency reach of 8 % share of total production of electricity power which the Czech Republic sing on the European Union. This article contains description of various kinds of the renewable resources of energy (water, wind, power cells, biomass, biogas and sun, their present using and possibilities of their expansion. Article follows effect of growing share of the renewable resources of price of electric energy for final consumers. Also describe potentialities of other construction of renewable resources of energy in the Czech Republic with respect to local economic conditions.

  17. On Boundaries of the Language of Physics

    Science.gov (United States)

    Kvasz, Ladislav

    The aim of the present paper is to outline a method of reconstruction of the historical development of the language of physical theories. We will apply the theory presented in Patterns of Change, Linguistic Innovations in the Development of Classical Mathematics to the analysis of linguistic innovations in physics. Our method is based on a reconstruction of the following potentialities of language: analytical power, expressive power, integrative power, and explanatory power, as well as analytical boundaries and expressive boundaries. One of the results of our reconstruction is a new interpretation of Kant's antinomies of pure reason. If we relate Kant's antinomies to the language, they retain validity.

  18. Overview of climatic effects of nuclear winter

    International Nuclear Information System (INIS)

    A general description of the climatic effects of a nuclear war are presented. This paper offers a short history of the subject, a discussion of relevant parameters and physical processes, and a description of plausible nuclear winter scenario. 9 refs

  19. Problem of shortage of motor activity students

    Directory of Open Access Journals (Sweden)

    Futornyі S.M.

    2013-06-01

    Full Text Available The approaches to the problem of a rational organization of motor activity of students. Elucidate the relation of motor activity of health conditions. Shows the contradictions between the growing need to enhance students' mental labor in the modern educational environment and the lack of physical activity of young people in the learning process at the university. The level of physical activity of students and to assess its compliance with the appropriate regulations. An expert survey of physical education teachers. The necessity of changing approaches to the process of physical education and the development of recommendations and actions to improve the quality of education in physical education. It is proved that the deficit of motor activity by the students it is advisable to include educational and daily activities of this category of students of various forms of physical education classes of various kinds.

  20. Interface of magnetoresistive converter of active power

    Directory of Open Access Journals (Sweden)

    A. I. Vytiaganets

    2009-10-01

    Full Text Available The vehicle and programmatic interfaces of magnetoresistive converter of active power are considered, the results of statistical treatment of the multiple measuring of active-power are analysed.

  1. SYSTEMATIZATION OF MODERN CONCEPT OF THE CONTROLLING

    Directory of Open Access Journals (Sweden)

    Kuzina A. F.

    2014-09-01

    Full Text Available The article gives an overview of the results of the comparison of singularities of the American and the German model controlling, we have also revealed the pros and cons of these concepts

  2. THE TECHNOLOGY OF MANAGEMENT OF FORMATION OF STUDENTS’ PROFESSIONAL INTERESTS

    Directory of Open Access Journals (Sweden)

    Anna Leonidovna Nemykina

    2014-10-01

    Full Text Available The article discusses the technological approach to the formation and development of the students’ professional interests at universities. Based on the analysis of fundamental works of Russian scientists the concepts of "interest", "professional interest" were analyzed. The author developed the structural scheme of the technology of management of the professional interests formation and levels of their development. The essential characteristics of these levels were determined in the article. Conclusion of the article is the position that the consecutive passing of motivational and target, activity, adaptive, self-reflexive-identification levels contributes to the formation of professional interest. Article can be used in empirical research on the analyzed topic.

  3. Features of empathy of students of pedagogical specialties

    OpenAIRE

    Galina Bezverkhnya; Tsybul’skaVictoria

    2014-01-01

    Purpose: to define levels of empathy at students. Material and methods: levels of the manifestation of empathy are studied at students of faculty of the primary education of full-time education and correspondence course (120 persons). The technique of the definition of empathy of I. M. Yusupov was used. Results: the reliable decrease is revealed in the level of empathy to children from the II to the IV course of the full-time education. On the correspondence course the level of empathy to chi...

  4. Determination of the radioprotective activity of certain analogs of imipramine

    International Nuclear Information System (INIS)

    Investigation of some derivatives of azepine, structurally related to imipramine in view of their radioprotective activity towards γ-radiation. Among them, three compounds displayed significant activity

  5. Methods of Stress Testing of Financial Stability of Ukrainian Enterprises

    Directory of Open Access Journals (Sweden)

    Lukianenko Iryna G.

    2013-11-01

    Full Text Available The goal of the article lies in adaptation of the procedure of stress testing for assessment of financial stability of enterprises and development of adequate economic and mathematical instruments for its conduct. It was revealed during the study that the proposed approach allows not only obtaining a forecast assessment of financial stability in future periods of enterprise activity but also all-sided study and quantitative assessment of its reaction on action of internal and external stresses in short-term and long-term prospects. This article proves that main stages of the conduct of a stress test at the enterprise level are analysis of external environment and identification of potential markets; identification of indicators that meet the detected risks and stresses; development and specification of the economic and mathematical model, that is used for running scenarios, which should be oriented at unfavourable but quite probable events. The conducted studies confirmed prospectiveness of the use of longitudinal data models and vector auto-regression models, including error correction models when conducting stress testing at the level of the branch and an individual enterprise. The obtained results could be used as a basis for further development and improvement of the method of stress testing of financial stability of economic subjects and also for identification of the model of stress testing of individual branches of the Ukrainian economy.

  6. Casimir operators of groups of motion of constant curvature spaces

    International Nuclear Information System (INIS)

    Limit transitions between generating operators (Casimir operators) of the centre of universal enveloping algebra are constructed for Lie algebras of groups of motion of n-dimensional constant curvature spaces (CCS). A method for constructing Casimir operators of the group of motion of an arbitrary n-dimensional CCS from Casimir operators of the group SO(n+1) is formulated. The method is illustrated by the examples of groups of motion of 4-dimensional CCS: Galil