In July of 2015, she went through what we thought was the worst episode yet. She was admitted to the hospital and by the 5th day test results showed that she was suffering from pancreatitis and complete intestinal blockage caused by an unknown cystic mass next to the her duodenum (first part of the small intestine). It was during surgery one week later that they discovered that she had a duodenal duplication cyst, a very rare congenital anomaly. They were able to partially excise the cyst, avoiding a more complicated surgery. It would take another two weeks for her to heal. The arts and crafts box [Bedside Adventure Kit] that Discovery Arts left for her kept her busy and helped take her mind off any pain or discomfort she was having. She also received a beautiful yellow fairy dress, wand, and wings when Discovery Arts visited the play room. While she could not wear the dress yet, she happily donned her wings every time she took a walk around the hospital floor. I am happy to say that she only ...

Figures 3 to 5 show different in-between states of the implant during this movement. Moving the two holders 3, 4 together at first causes the first and second portions 11,12 of the inextensible elongate members 1 to assume a gently outwardly bowed configuration each with respect to the longitudinal axis A. The third portions 13 are bend as well-Further moving the first holder 3 towards the second holder 4 causes the first and second portions 11, 12 of the elongate members 1 to assume a more bowed, almost semicircular shape. At some stage, the non-bendable elongate members 1 pass through a critical point, whereupon the first and second portions 11,12 snap into a generally radially-extending loops, yielding a somewhat concave petalshaped structure each. This means that the first and second portions 11, 12 finally twist and each portion 11, 12 form together with same portion of the other elongate members 1 a first and second fixation structure respectively. These fixations structures have a shape ...

An image is displayed using anamorphic video. A first portion of an image is displayed on a display at a first scale. At least one second portion of the image is displayed on the display. The at least one second portion is adjacent the first portion of the image. The second portion is displayed at a second scale higher than the first scale.

A technique to read a stored state in a magnetoresistive random access memory (MRAM) device, such as a giant magneto-resistance (GMR) MRAM device or a tunneling magneto-resistance (TMR) device uses a bit line in an MRAM device that is segmented into a first portion and a second portion. An interface circuit compares the resistance of a first portion and a second portion of a first bit line to the resistance of a first portion and a second portion of a second bit line to determine the logical state of a cell in the first bit line. The interface circuit includes a reset circuit that selectively couples the outputs of the interface circuit together. A subsequent decoupling of the outputs allows cross-coupling within the interface circuit to latch the outputs to a logical state corresponding to the stored magnetic state, thereby allowing the stored state of a cell to be read.

A thermal treatment medical system including an umbilical having a first portion and a second portion, and a connector including a male coupling body connected to the first portion, the male coupling body having a central shank defining first and second lumens, a female coupling body connected to the second portion, the female coupling body, matable with the male coupling body and defining third and fourth lumens matable to be in fluid communication with the first and second lumens, respectively, to define first and second fluid flow pathways, respectively, through the connector when the male coupling body is mated with the female coupling body. The second fluid flow pathway is co-axially disposed about a central axis coincident with the first fluid flow pathway. The connector includes a mating mechanism for spatially locking the male and female coupling bodies with respect to each other. Additionally, the thermal treatment medical system includes a multiple lumen co-axial connector for connecting the

A bone anchor includes an anchor body configured to be retained within bone. The anchor body includes a restrictor defining an opening having a first portion for permitting passage of a member therethrough, and a second portion restricting passage of the member therethrough. The member is movable between the first and second portions in a direction non-parallel to a direction of passage of the member through the opening. The restrictor includes an edge lining the opening oriented obliquely to a direction of passage of the member through the opening. The anchor body includes one or more resilient members with sharp, proximal edges for penetrating bone tissue.

Drop dispensers are provided which comprise a first portion, the first portion including a dispensing tip, the dispensing tip including an annular groove around an outer part of the dispensing tip, and a nozzle having a through-opening; and a second portion having a closed end, wherein the first portion is angularly disposed from the second portion and the dispensing tip is distal from the closed end. Exemplary drop dispensers also provide for a removable cannula tip for conveying liquids contained within the drop dispenser to a precise location in the eye, ear, nose, or mouth. Removable cannula tips are provided comprising an aperture for dispensing liquids, and an elastomeric annular ring capable of seating in the annular groove of the dispensing tip, wherein the aperture is distal to the elastomeric annular ring. The drop dispensers described are particularly well suited for the dispensing of ophthalmic solutions.

A method of imaging an object that includes subjecting an object to a beam of radiation that is directed along a first direction and analyzing a first portion of the beam of radiation that is transmitted through the object along the first direction so that the intensity of the first portion is suppressed. Analyzing a second portion of the beam of radiation that is refracted from the object. Generating an image of the object based on the suppressed first portion of the beam of radiation and the second portion of the beam of radiation.

A boot cover assembly for an articulating joint. The articulating joint includes a first rotational member and a second rotational member. The boot includes a first portion constructed of a first material and a second portion constructed of a second material. The first portion is coupled to the second portion of the boot cover assembly.

A computer system includes a host processor, a first PCI bus, a second PCI bus and a PCI-to-PCI bridge. The first PCI bus is coupled with the host processor. The PCI-to-PCI bridge interconnects the first and second PCI buses. The PCI-to-PCI bridge includes a first portion and a second portion. The first portion includes a first configuration register and the second portion includes a second configuration register. A method is also taught.

A computer-implemented method separates first and second portions of a tooth by defining a cutting surface intersecting the first and second portions by specifying two points; and applying the cutting surface to the tooth to separate the tooth into two portions.

A quick connect adjusting loop for a cargo tie-down rope comprises a body of substantially rigid, high strength material having a first portion forming a loop through which a loop of a tie-down rope extends and a second portion forming slip lock adjacent the loop for releasably gripping the rope.

Shivani Shah, BS, Christian W Ertl, MD, FACS, Leandra H Burke, BS, CCRP. Michigan State University College of Human Medicine; Western Michigan University School of Medicine. Inroduction: Duodenal diverticula in themselves are not uncommon findings. Studies have reported that 5 - 22% of patients undergoing endoscopic evaluations are found to have asymptomatic duodenal diverticula. However, rarely do these diverticula result in emergent complcations, such as bleeding, biliary obstruction, perforation, or acute diverticulitis.. Case Presentation: A 46 year-old woman presented to our care with RUQ pain, nausea, and vomiting lasting 3-4 weeks. An ultrasound revealed dilation of the common bile duct to 12 mm, suggesting the presence of choledocholithiasis. The patient subsequently underwent laparascopic cholecystectomy with common bile duct exploration and intraoperative choleangiogram. Exploration of the CBD was attempted but the cholendoscope could not be passed. There was evidence of obstruction at ...

Just 5% to 10% of patients with duodenal diverticula suffer from clinical symptoms, while most of the duodenal diverticula are diagnosed incidentally and are asymptomatic.

|i|Introduction.|/i| Duodenal diverticulum is a rare disease that can be easily missed. The incidence of duodenal diverticulum diagnosed by upper GI study is approximately 5%. Autopsy results show that 22% of the population have duodenum diverticulum. Most patients with duodenal diverticulum are asymptomatic. However, complications like inflammation, perforation with retroperitoneal abscess, sepsis, pancreatitis, bile duct obstruction, and bleeding can occur. Approximately 162 cases of perforated duodenal diverticulum have been reported in the literature. |i|Case Presentation.|/i| We present a rare case of an 82-year-old female with perforation of a duodenal diverticulum caused by small bowel obstruction; in addition to this, there was a synchronous colonic tumor. |i|Conclusion.|/i| Diagnosis and management of this rare disorder are controversial. Nonoperative management is advocated in some cases. Some of the cases require early aggressive surgical intervention. The mortality rate remains

Duodenal diverticulum diagnosis (costs for program #154947) ✔ Academic Hospital Harlaching ✔ Department of Pulmonology, Gastroenterology, Internal Intensive Medicine and Respiratory Medicine ✔ BookingHealth.com

Duodenal diverticulum diagnosis (costs for program #226511) ✔ University Hospital Würzburg ✔ Department of Medicine II (Department of Hematology, Oncology, Gastroenterology and Rheumatology) ✔ BookingHealth.com

0028] By way of another example, where the first portion 111 and second portion 112 are in a first position as shown in FIG. 5, a rotating force is applied to the first portion 111 thereby rotating the first portion 111 away from the second portion 112 about axis α and a rotating force is applied to the second portion 112, thereby rotating the second portion 112 away from the first portion 111 about axis α, positioning the first portion 111 and second portion 112 in a second position, and increasing the size of the front opening 131. Upon releasing the opposite forces on the first portion 111 and second portion 112, the reinforced perimeter 200 exhibits a force on the first portion 111 and second portion 112 thereby rotating the first portion 111 toward the second portion 112 about axis α and the second portion 112 toward the first portion 111 about the axis α, and returning the first portion 111 and second portion 112 to their first position. The cavity 132 of the ear protector 100 receives ...

A periampullary diverticulum is a location-specific type of duodenal diverticulum. Epidemiology The incidence is reported to increase with age with reported rates as high as 27%. Pathology It is located close to the region of the duodenum of...

Extremely low birth weight (ELBW) is a risk factor for various gastrointestinal complications. In the recent decades, advances in medicine have increased the survival of ELBW infants with necrotizing enterocolitis (NEC). To our knowledge, there have been no reports of neonates or infants developing simultaneous gastric and duodenal perforations and later developing NEC. We report a case of an extremely low birth weight infant (ELBWI) who developed both gastric and duodenal perforations at the same time and developed NEC after operation for gastric and duodenal perforations. The patient was a female infant with ELBW who developed both gastric and duodenal perforations at the same time and developed NEC after operation for gastric and duodenal perforations. After birth, endotracheal intubation was performed. However, barotrauma occurred during positive pressure ventilation, resulting in a large area of emphysema in the left lower lung field, leading to collapse of the left lung. This giant bulla may have

Honjo O, Yamada Y, Arata T, Matsuno T, Kurokawa T, Kushida Y. A primary aorto-duodenal fistula associated with an inflammatory abdominal aortic aneurysm: a case report. Acta Med Okayama. 2005 Aug; 59(4):161-4 ...

Coronavirus Global Surgical Collaborative (CVGSC)* An initiative sponsored by SAGES in collaboration with EAES, AEC, KSELS, and ELSA A group of surgical leaders from affected countries have joined to discuss what they are learning during this Covid-19 Global crisis. The following is a brief summary of what they feel may be useful information to disseminate to the surgical […]. ...

REVERSIBLE LATCH BOLT - A latch is provided for a mortise lock of the type comprising a housing for accommodating the lock components. The latch comprises a first and second portions movably mounted in the housing and a securing element for releasably connecting the first and second portions in either a first relative axial position or a second relative axial position where the first and second portions of the latch are rotatable relative to one another. In the first axially connected position of the latch, the first and second portions of the latch are movable together relative to the housing so that the first portion at least partially non-rotatably projects outwardly from the opening in the housing in an extended position of the latch, and the first portion is inside the housing in a retracted position of the latch. In the second axially connected position of the latch, the first portion of the latch extends further outwardly from the opening in the housing so that the first portion is ...

An everting tube structure comprises: a flexible collapsible tube having a first open end and a second open end, the flexible collapsible tube having a first portion proximate the first open end and a second portion, the first portion having a first part adjacent the first open end and a second part adjacent the second portion, the second portion having been folded at an angle to the first portion and wound around the second part of the first portion to form a hollow cylinder; and a tube member having an open end, the first open end of the tube being fluid-tightly, circumferentially attached to the open end of the tube member. Thus, the present invention provides an everting tube structure of simple construction, which can be easily produced, which allows easy and/or self-administration, and which has an enhanced self-guiding ability.

The strength of CT is to be able to differentiate between duodenal haematoma and duodenal perforation since the latter requires prompt surgical intervention while the former is managed conservatively [6]. Duodenal perforation is associated with extraluminal retroperitoneal and/or intraperitoneal gas and extravasation of oral contrast (if used). Neither of these is seen with intramural haematoma of the duodenum. While reviewing the CT it is also important to exclude associated retroperitoneal solid organ injuries [6 ...

The present invention pertains to a fiducial implant for the human body that is detectable by an imaging system. The invention is comprised of a first portion and a second portion. The first portion is configured to be detected by an imaging system when placed beneath the skin. The second portion is configured for fixed attachment to a bone beneath the skin without penetrating entirely through the bone and without fracturing the bone. The first portion is of detectable size and comprised of a material for detection by an imaging system, and sufficiently small to avoid the distortion of the skin when placed at an interface between the skin and the bone. The first portion also has at least a portion which is spherical and defines a surface for cooperating with a tool for securing the second portion to the bone. Additionally, the placement of n fiducial implants, where n≧4 and is an integer, into a portion of anatomy of the human body allows for the recreation of a particular image slice of the portion

The present invention pertains to a fiducial implant for the human body that is detectable by an imaging system. The invention is comprised of a first portion and a second portion. The first portion is configured to be detected by an imaging system when palce beneath the skin. The second portion is configured for fixed attachment to a bone beneath the skin without penetrating entirely through the bone and without fracturing the bone. The first portion is sufficiently large and comprised of a material for detection by an imagaging system, and sufficiently small to avoid the distortion of the skin when placed at an interface between the skin and the bone. The first portion also has at least a portion which is spherical and defines a surface for cooperating with a tool for securing the second portion to the bone. Additionally, the placement of three fiducial implants into a portion of anatomy of the human body allows for the recreation of a particular image slice of the portion of the anatomy taken by an

The invention provides a droplet actuator comprising a base substrate and a top substrate separated to form a gap, wherein: (a) the base substrate comprises electrodes configured for conducting droplet operations in the gap; and (b) the top substrate comprises a first portion coupled to second portion, where the second portion comprises one or more openings establishing a fluid path extending from an exterior of the droplet actuator and into the gap. The invention also provides related methods of manufacturing the droplet actuator, methods of using the droplet actuator, and methods of loading the droplet actuator.

An implantable device for restricting a cross-sectional area of a cavity formed by a stomach wall includes a member. The member has a first end connected with respect to a first portion of the stomach wall and an opposing second end connected with respect to a second portion of the stomach wall. The member has shape memory properties and is adapted to move the first end towards the second end.

A gamma ray collimator assembly comprising a first portion and a second collimator portion, the first and second portions having different gamma ray acceptance angles.

Im not out of the woods yet, Ive been invited to take the second portion of the assessment before being fully considered. Anyone know how this is like? Or known anyone that has worked with USPS for years?

The effects of two microencapsulated feeds were evaluated on development, growth, survival, proteolytic activity, and biochemical composition of white shrimp, Litopenaeus vannamei, larvae. The...

A case of pedunculated Brunners gland hamartoma (BGH) of the duodenum causing upper gastrointestinal (GI) hemorrhage is reported. The patient was a 47-year-old man who visited our hospital for further evaluation of tarry stools and shortness of breath. Endoscopic examination of the upper digestive tract revealed a large peduncular polyp with bleeding, about 30 mm in diameter, arising from the wall of the second portion of the duodenum. GI bleeding occurred from the base of the stalk of the polyp. Endoscopic polypectomy was performed. Histological examination of the specimen revealed that the main body of the polyp contained several lobules of mature Brunners gland with areas of cystic dilatation. The surface epithelium consisted of normal duodenal mucosa with areas of focal ulceration. This polyp was diagnosed as a BGH. The symptom of tarry stools resolved after endoscopic resection. Our case shows that treatment is necessary for duodenal BGH if GI bleeding occurs. ...

Semantic Scholar extracted view of Gastrointestinal obstruction caused by the spontaneously detached Brunners gland hamartoma of the duodenum. by Koichi Tomikashi et al.

Intravesical instillation of Bacillus Calmette-Guérin (BCG) is the treatment of choice for superficial bladder carcinoma. Complications of BCG therapy include local infections and disseminated BCG infection with multiple endorgan complications. We report a case of disseminated, post-treatment BCG infection that initially presented with granulomatous hepatitis and choroiditis. After successful anti-mycobacterial therapy and resolution of the hepatic and ocular abnormalities, the patient developed an acute upper gastrointestinal hemorrhage from an aortoduodenal fistula that required emergency surgery. The resection specimen revealed multifocal, non-caseating granulomas, indicating mycobacterial involvement. This case highlights the varied end organ complications of disseminated BCG infection, and the need for vigilance even in immuno-competent patients with a history of intravesical BCG treatment.

TY - JOUR. T1 - Endoscopic removal of a huge duodenal brunners gland adenoma. T2 - A new technique. AU - Huang, C. H.. AU - Perng, C. L.. AU - Yang, Y. H.. AU - Shyr, Y. M.. AU - Lin, H. J.. AU - Tseng, G. Y.. AU - Yu, I. T.. AU - Chang, F. Y.. AU - Lee, S. D.. PY - 1999. Y1 - 1999. UR - http://www.scopus.com/inward/record.url?scp=0032709461&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=0032709461&partnerID=8YFLogxK. U2 - 10.1016/S0016-5107(99)70182-3. DO - 10.1016/S0016-5107(99)70182-3. M3 - Article. C2 - 10570360. AN - SCOPUS:0032709461. VL - 50. SP - 868. EP - 869. JO - Gastrointestinal Endoscopy. JF - Gastrointestinal Endoscopy. SN - 0016-5107. IS - 6. ER - ...

We report a case of right paraduodenal hernia in an adult patient and its emergency diagnosis and management in an acute clinical presentation. A twenty-eight-year-old male patient was admitted in our outside hospitals emergency room after 12 hours of evolution of diffuse abdominal pain, nausea and vomiting. He referred a similar episode several months ago that ceased spontaneously. An abdominal CT scan with intravenous contrast demonstrated an encapsulated cluster of small bowel loops occupying mainly the right upper quadrant, lateral to the duodenum, suspicious for an internal hernia in the context of an intestinal malrotation. The patient underwent a laparotomy, which revealed a large sac containing dilated small bowel loops as shown by radiologic studies. The patient did well in postoperatory and was discharged home on the fourth day after the surgery. In a year follow up the patient remained asymptomatic.

Duodenal Diverticulum: An Unusual Cause of High-Grade Duodenal Obstruction. Sathyanarayana, Sandeep Anantha; Agaba, Emmanuel; Kamath, Vijay; Mishra, Nitin; Gunabushanam, Vikraman; Friedman, Barak; Alhindawi, Ritha // American Surgeon;Jul2011, Vol. 77 Issue 7, pE138 The article focuses on a 53-year-old woman with Trisomy 21 who presented to the hospital with colicky abdominal pain and bilious emesis. An intraluminal diverticulum in the second part of the duodenum was found. Doctors performed a diverticulectomy to repair the duodenotomy. It discusses the... ...

An instrument to perform endoscopic polypectomy having a first portion which grasps a polyp and a second portion which cuts away the polyps. The second portion is in contact with the first portion while the first portion grasps the polyp when the polyp is cut by the second portion. The first sheath member preferably contains a small grasping forcep mechanism. The second sheath member preferably contains a wire snare mechanism.

Each year, tuberculosis (TB) results in the death of 3 million people globally. In 2000-2020, an estimated 1 billion people will be infected, 200 million people will become sick, and 35 million will die from TB, if control is not strengthened.

Extracted from text ... 18 SA JOURNAL OF RADIOLOGY ? June 2006 A 30-year-old man was referred from a peripheral hospital with a 6-day history of abdominal pain and vomiting. He had been constipated for the previous 3 weeks. He was acutely ill and de hydrated. His pulse rate was 102/min, blood pressure (BP) 115/65 mmHg, respiratory rate 20/min and temperature 37.9 ?C. Abdominal examination revealed a distended stomach with a succussion splash. There was no rebound tenderness and rectal examination revealed stools in the rectum. A provisional diagnosis of a gastric outlet obstruction was made and a nasogastric tube was inserted draining green ..

Massive Upper Gastrointestinal Bleeding (Hemorrhage). This medical illustration series depicts the normal anatomy of the thorax and abdomen. It then compares the normal abdominal cavity to one that has a massive upper gastrointestinal bleeding resulting from erosion of multiple ulcers in the duodenum and stomach lining.

Massive Upper Gastrointestinal Bleeding (Hemorrhage). This medical illustration series depicts the normal anatomy of the thorax and abdomen. It then compares the normal abdominal cavity to one that has a massive upper gastrointestinal bleeding resulting from erosion of multiple ulcers in the duodenum and stomach lining.

A compression anastomosis ring (CAR) assembly for use in joining severed organ wall portions of a hollow organ. The assembly comprises a first portion which includes an anvil ring and a second portion which comprises a bottom ring, at least one ring element, and at least one spring element formed of a shape-memory alloy. The at least one spring element provides a restorative force and is in compressive force contact with the bottom ring and the tissue to be joined is positioned between the anvil ring and the bottom ring. A plurality of needles on one of the ring elements is operative, upon application of a closure force, to pierce the tissue and the anvil ring, holding the disk to the second portion of the CAR assembly. An applicator for applying the CAR assembly and a method for using the assembly and applicator are taught.

Ectopic pancreas is a benign congenital abnormality, defined as pancreatic tissue that lacks anatomic or vascular continuity to the pancreas. An incidence of 0.55%-13% ha..

Remember: abnormal rotation results in intestinal malrotation with sypmtoms of obstruction and volvulus(intestinal ischemia due to twisting). Cecum is found in the right upper quadrant, fixed to the second portion of the duodenum ...

A gastrinoma is a gastrin-secreting tumor that can occur in the pancreas, although it is most commonly found in the duodenum. Duodenal wall gastrinomas have been identified in 40-50% of patients.

This study consists of two phases: the first portion of the study is a Phase 1 dose escalation study to determine the maximum tolerated dose and the dose limiting toxicities of SB1518 when given as a single agent orally once daily in subjects with advanced myeloid malignancies; the second portion of the study is a Phase 2 study to define the efficacy and safety profile of single-agent SB1518 at the recommended dose in subjects with chronic idiopathic myelofibrosis (CIMF ...

In the microgravity area, two experiments for Dr. R.S. Subramanian of Clarkson University in Potsdam, N.Y., were started today. The first test, to study the movement of bubbles and drops in a liquid, was completed earlier today. Payload Specialist Dr. Jean-Jacques Favier then successfully removed the container from the Bubble, Drop and Particle Unit, and installed another container for the experiment, which is now processing. This second portion of his experiment is focusing on drops of liquid suspended in another liquid. Findings from the investigation may lead to the production of better-quality, bubble-free alloys on Earth. This could help engineers design systems for the recycling of waste material in space, essential during long- duration missions. ...

Another point I also wanted to make is that there are two genres of Dangerous Ideas, ideas not particularly dangerous in academia but dangerous in the context of the wider culture, and ideas that are universally verboten. All those who assert rejection of the soul and free will are dangerous ideas also know that the former is probably normative among many intellectuals, and the second is not particularly revolutionary, both philosophy and religion have examined it for centuries. Now consider Pinkers response, the first part in regards to sex differences is probably widely accepted outside of academia, while the second portion in regards to intergroup differences tracking race or ethnicity has been a cultural third rail for several decades. I believe that understanding of some intergroup differences more salient than lactose digestion capacity will arise out of the genomics, and there are already hints of this in the HapMap. I suggest intellectuals now move to making the public more conscious ...

The piece for which the album is named takes up the entirety of side A. Dropping the needle immediately emits a roar of red hot, thunderous drums (though fidelity cools later on). The notes say the piece contains sounds recorded around the Midwest so theres editing going on but its hard to tell to what extent. At times it seems like McCormick might have some kind of mechanical assistance (a la Eli Keszler) rather than overdubs? Definitely a sheets of sound scenario. The jump cut to the second portion is a favorite moment shifting from a free percussion-as-noise tape feel to a more spacious recording with two pieces of metal infinitely grinding around and around (definitely some Aaron Zarzutzki vibes, which the world could use plenty more of). A few subtle oscillator tones materialize signaling the advent of something. And sure enough, that something arrives in the form McCormick taking up sticks again and working the kit in a much jazzier fashion this go round. Theres a few computery glitches ...

Here are the full transcripts from our new cover feature... In the second part Donovan explains how Zeppelin were formed during the recording of Hurdy Gurdy Man...