Background: We aim to investigate the impact of routine cholangiography on asymptomatic patients with percutaneous cholecystostomy (PCC) for acute cholecystitis (AC).
Methods: The study included all patients treated with PCC for AC from 2017 to 2020 at a single academic center. Patients who underwent routine cholangiography within 30 days post-discharge while asymptomatic were compared to patients who were only followed clinically.
Introduction: Pigtail catheter (PGC) insertion due to spontaneous pneumothorax (SPT) in the pediatric population has increased markedly in the last years. However, only few studies examined its efficacy in terms of length of hospitalization, rate of complications, and especially pain management comparing to large bore catheter (LBC) insertion. We sought to compare analgetic drug consumption, efficacy, and complication rate between PGC and LBC in children with SPT.
View Article and Find Full Text PDFElectromagnetic pulse propagation in the slow light regime and near a zero group velocity point is relevant to a plethora of potential applications, and has analogies in numerous other wave systems. Unfortunately, the standard frequency-based formulation for pulse propagation is unsuitable for describing the dynamics in such regimes, due to the divergence of the dispersion coefficients. Moreover, in the presence of absorption, it is not clear how to interpret the propagation dynamics due to the drastic change induced by absorption upon the dispersion curves.
View Article and Find Full Text PDFThe mechanism of H and D atom loss, following ultraviolet photolysis of methylamine-d(3), CD(3)NH(2), has been studied via electronic action and Doppler spectroscopies. The N-H bond is preferentially cleaved and the yield of both H and D photofragments increases gradually, but differently, as higher vibrational states on the first excited electronic state, A, are accessed, leading to some drop in H/D branching ratios. The average translational energies of the H photofragments are somewhat higher than those of D, implying lower energy content left in the internal degrees of freedom of the CD(3)NH than in the CD(2)NH(2) partner fragment.
View Article and Find Full Text PDFThe probability of hydrogen atom release, following photoexcitation of methylamine, CH(3)NH(2), is found to increase extensively as higher vibrational states on the first excited electronic state are accessed. This behavior is consistent with theoretical calculations, based on the probability of H atom tunneling through an energy barrier on the excited potential energy surface, implying that N-H bond breaking is dominated by quantum tunneling.
View Article and Find Full Text PDFThe N-H and C-D bond fission in partially deuterated methylamine, CD(3)NH(2), has been investigated using vibrationally mediated photodissociation. Jet-cooled action spectra and Doppler profiles of the H and D photofragments were monitored following approximately 243.1 nm photodissociation of the parent pre-excited to two, three or four N-H stretch quanta.
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