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Background: Stone impaction is an obstacle to successful laparoscopic common bile duct exploration (LCBDE). This study aims to identify the incidence, operative difficulties and techniques used to disimpact and remove impacted stones during LCBDE.
Methods: Prospectively collected data from a large series of LCBDE.
Reframing risks in rare diseases: economics of networks, spillovers, and scale.
Front Pharmacol
December 2024
Binera, Inc. Consulting for United States Department of Health and Human Services, Administration for Strategic Preparedness and Response, Biomedical Advanced Research and Development Authority (BARDA), Washington, DC, United States.
Rare diseases affect over three hundred million individuals globally. Investment in research and development remains incommensurate with the challenges rare diseases pose. Further investment in information sharing platforms to promote common and standardized network technologies for rare disease is needed.
View Article and Find Full Text PDFThe criticality of exports sophistication and CO emissions: A new path towards sustainable environmental management.
J Environ Manage
December 2024
Department of Economics, University of Sahiwal, Sahiwal, 57000, Pakistan. Electronic address:
This study investigates the relation between exports sophistication and CO emissions, with particular attention paid to how foreign direct investment moderates them in Asian economies from 1995 to 2020. This study investigates the influence of exports sophistication, which measures productivity and income associated with an export basket, on environmental quality. Utilizing a two-step Generalized Method of Moments (GMM), we found that exports sophistication has an inverted U-shaped relationship with CO emissions.
View Article and Find Full Text PDFUtilizing the Ellik bladder evacuator during cystoscopic retrieval of urocystoliths in 12 dogs.
J Vet Intern Med
December 2024
North Carolina Veterinary Hospital, College of Veterinary Medicine, North Carolina State University, Raleigh, North Carolina, USA.
Background: Urocystolithiasis is a common problem in dogs; many canine uroliths are resistant to medical dissolution. Novel management options would expand, and in some cases improve, current urolith retrieval strategies.
Hypothesis/objectives: To describe a previously unreported technique by the Ellik bladder evacuator (EE) to assist in minimally invasive, cystoscopic retrieval of canine cystoliths.
Difficult airway foreign body removal.
BMJ Case Rep
December 2024
Pediatrics, All India Institute of Medical Sciences Bhubaneswar, Bhubaneswar, Odisha, India.
Foreign body (FB) aspiration in children is a common emergency. Traditionally, rigid bronchoscopy has been considered to be the mainstay for removal. However, in certain cases, flexible bronchoscopy can prove to be a better option and avoid thoracic surgery and unnecessary morbidity.
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