BACKGROUND Bouveret's syndrome causes gastric outlet obstruction when a gallstone is impacted in the duodenum or stomach via a bilioenteric fistula. It is a rare condition that causes significant morbidity and mortality and often occurs in the elderly with significant comorbidities. Individual diagnostic and treatment strategies are required for optimal management and outcome. The purpose of th...

Technological advances have changed how traditional surgical procedures are performed. New knowledge and surgical skills are required to effectively monitor the patient and manage fluids administered perioperatively. Today, selective fluids are used in a variety of surgical specialties. Complications of fluid therapy can occur that are intrinsic to each procedure within a specialty. This articl...

Even with the rapid changes in the level of complexity and the uncertainty of the environment in which Belgian sea fisheries operate, fisheries management in Belgium is still mainly based on restrictive policy instruments founded in the biological approach of fisheries management science. Since they will continue to play an important role, this paper evaluated changes in three restrictive polic...

BACKGROUND Interstitial pulmonary fibrosis is a disease with a highly variable clinical course. To ascertain if an inadequate selection of patients might explain part of this variability, two different groups of patients with interstitial pulmonary fibrosis, those with the "lone" form of the disease (LIPF) and those with associated collagen vascular disorders (AIPF), were studied separately. ...

Decline in aquatic resource stocks, occurs for various reasons. Although regulations and measures have proven useful, they have failed to inhibit effectively the stock reduction trends. Iranian Fisheries Organization has carried out a great deal of investments and efforts concerning the enhancement of the Caspian Sea resource stocks through the restrictive regulations, and reproduction and rele...

Self-organization of an ordered structure occurs in a plasma under rather restrictive conditions. A new framework for a variational principle invokes a coercive form that results in a criterion for self-organizing relaxation of a two-fluid plasma. The constraints (constants of motion of the ideal model) are adjusted, through a weakly dissipative process, so that the relaxed state, under well-de...