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

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

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

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

Preparation of water‐repellent silks by a reaction with octadecenylsuccinic anhydride

Silk fibers and membranes were acylated with octadecenylsuccinic anhydride (ODSA) at 75°C for different times. Swelling [N,N‐dimethylformamide (DMF) and dimethyl sulfoxide (DMSO)] and nonswelling (xylene) solvent media were used for the reaction. Silk membranes that reacted in DMF or DMSO displayed faster reaction kinetics and attained higher weight‐gain values than fibers. The effect of the solvent on the reaction yield was in the following order: DMSO > DMF ? xylene. The Fourier transform infrared spectra of acylated silk samples showed the characteristic absorption bands of the anhydride at 2990, 2852, 1780–1700, and 1170 cm^?1. The intensity of the latter band, which increased linearly with the weight gain, was used as a marker for evaluating the reaction kinetics of the samples acylated in the nonswelling medium. The moisture regain and water retention of silk fibers acylated with ODSA decreased significantly, regardless of the solvent system used. Accordingly, the water repellency increased. Acylation induced an increase in the thermal stability of the silk fibers and membranes. Fine particles adhering to the surfaces of the silk fibers acylated in xylene were detected by scanning electron microscopy. © 2003 Wiley Periodicals, Inc. J Appl Polym Sci 89: 324–332, 2003     

Formal verification of security protocol implementations: a survey

Automated formal verification of security protocols has been mostly focused on analyzing high-level abstract models which, however, are significantly different from real protocol implementations written in programming languages. Recently, some researchers have started investigating techniques that bring automated formal proofs closer to real implementations. This paper surveys these attempts, focusing on approaches that target the application code that implements protocol logic, rather than the libraries that implement cryptography. According to these approaches, libraries are assumed to correctly implement some models. The aim is to derive formal proofs that, under this assumption, give assurance about the application code that implements the protocol logic. The two main approaches of model extraction and code generation are presented, along with the main techniques adopted for each approach.     

Modification of oxidizing activity of Thiobacillus ferroxidans by some particulate solids

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

A tartrate-based alloy bath for brass-plated steel wire production

The plating of brass on steel from a tartrate based alloy bath has been studied using electrochemical methods and surface analysis techniques. The coating composition obtained using both direct current (d.c.) and pulsed current (p.c.) electrolysis was examined for a variety of temperatures, current densities and bath compositions. The dissolution process of a suitable composition of brass anodes was studied using small amounts of nitrate as depolarizing agent. Tests in a pilot plant showed that when electrolysis is carried outin continuo the coating composition remains constant with time (±1%). Tests were performed at cathode current densities of industrial interest (20–30 A dm^–2). The Auger and XPS analyses combined with Ar⁺ etching indicated a homogeneous composition throughout the coating.     

Collective decision making: a great opportunity for constraint reasoning

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