Gallstone spillage is a common intraoperative event during laparoscopic cholecystectomy (LC). Patients present months to years with nonspecific symptoms after the original procedure. The complications of retained peritoneal gallstones are infrequent. Having a high index of suspicion is the key to early diagnosis. Every effort should be made to remove spilled gallstones at the index operation to...

Thesis (1) appears in two papers published in 1963.1 Theses (2) and (3) appear in later works under the joint rubric of internal realism.2 Putnam has not explained how the semantic theses that constitute internal realism fit together with his earlier, reliabilist conception of scientific inquiry. Nor have his followers. Barrels of philosophical ink have been spilled on (3) in complete isolation...

A 60-year-old female patient suffered unhealed wounds over left flank for around 30 years after surgical removal of left renal stones. Fecal material spilled from the two small openings of the scar, bothered her all day long. During the course of the 30 years, she suffered from intermittent fever, diarrhea and wound pain and presented with malnourished condition. After serial examinations, tumo...

Most livestock and poultry odors are generated by the anaerobic decomposition of livestock wastes such as manure (feces and urine), spilled feed, bedding materials, and wash water. Increased organic loading rates due to expanding animal numbers, slug loading, concentrated waste streams, and/or inadequate amounts of dilution water increase the potential for odor emissions from waste management s...

D iagnostic companies are facing ever-increasing pressures to deliver new products safely and efficiently. With diagnostic reagents as the basis of any experimental protocol, it is essential that they remain highly pure and that the potential for any contamination is minimized. Reagent packaging has commonly taken the form of glass bottles and containers, which have a well-known mode of failure...

This study encompasses the analysis of oil spills occurred in Gulf Morrosquillo during loading procedures tankers Coveñas maritime Terminal, by means numerical simulation experiments trajectories and weathering processes spilled, which under specific wind, waves, ocean currents conditions. A three-dimensional (3D) modelling system, OpenOil, is part open-source OpenDrift trajectory framework was...

foods contaminations with mycotoxin producing fungi is the common problem in production and maintenance of foods leads to production and presence of many types of mycotoxins with extensive clinical effect on human called mycotoxicosis. the aim of this study is to determine humidity percent and fungal contaminations of flour which is used in bakeries of tabriz city. from 89 bakeries that were ba...

Development of oil and natural gas deposits off Sakhalin's northern coast on the Sea of Okhotsk are currently under way. Should an accident involving a spill of crude oil or other effluents occur during the development of the oil and natural gas deposits that is currently under way off the eastern coast of northern Sakhalin, it can be expected to have an impact on the environment and economy of...

Laparoscopic cholecystectomy is considered the gold standard surgical intervention for the treatment of symptomatic gallstones. Gallbladder perforation (1040%) and stone spillage (6-30%) are the two complications encountered most often during the dissection and removal of the gallbladder in LC. Gallstone spillage was initially considered to be a benign event with no serious squeal. However, the...

Abstract. Dense, non-aqueous phase liquids (DNAPLs) are common organic contaminants in subsurface environment. Once spilled or leaked underground, they slowly dissolved into groundwater and generated a plume of contaminants. In order to manage the contaminated site and predict the behavior of dissolved DNAPL in heterogeneous subsurface requires a comprehensive numerical model. In this work, the...