Laparoscopic Cholecystectomy in Chronic Calculus Cholecystitis

Introduction: Laparoscopic cholecystectomy has clearly become the choice over open cholecystectomy in the treatment of hepatobiliary disease since its introduction by Mouret in 1987. This study evaluates a series of patients with chronic calculus cholecystitis who were treated with laparoscopic and open cholecystectomy and assesses the outcomes of both techniques. Objective: To evaluate the efficacy of laparoscopic vs open cholecystectomy in chronic calculus cholecystitis and establish the out-comes of this treatment modality at Lumbini Medical College and Teaching Hospital. Methods: This was a retrospective analysis over a one-year period (January 1, 2012 to December 31, 2012), per-formed by single surgeon at Lumbini Medical College and Teaching Hospital located midwest of Nepal. 166 patients underwent surgical treatment for chronic calculus cholecystitis. Patients included were only chronic calculus cholecystitis proven histopathologocally and the rest were excluded. Data was collected which included patients demographics, medical history, presentation, complications, conversion rates from laparoscopic. cholecystectomy to open cholecystectomy, operative and postoperative time. Results: Patients treated with laparoscopic cholecystectomy for chronic calculus cholecystitis had shorter operating times and length of stay compared to patients treated with open cholecystectomy for chronic calculus cholecystitis. Conversion rates were 3.54% in chronic calculus cholecystitis during the study period. Complications were also lower in patients who underwent laparoscopic cholecystectomy versus open cholecystectomy for cholelithiasis. Conclusions: Laparoscopic cholecystectomy appears to be a reliable, safe, and cost-effective treatment modality for chronic calculus cholecystitis

Environmentally induced phenotypic variation in wild yellow-bellied marmots

We thank all the marmoteers who helped in data collection and 2 anonymous reviewers who helped us to clarify our message. AM-C was supported by a Fulbright Fellowship, and JGAM was supported by Fond Québécois de Recherche sur la Nature et les Technologies. KBA was supported by the National Science Foundation between 1962 and 2000. DTB was supported by the National Geographic Society, UCLA (Faculty Senate and the Division of Life Sciences), a Rocky Mountain Biological Laboratory research fellowship, and by the National Science Foundation (IDBR-0754247 and DEB-1119660 to DTB as well as DBI 0242960 and 0731346 to the Rocky Mountain Biological Laboratory).Peer reviewedPostprin

Modeling the Dynamics of Long-Term Variability of Hydroclimatic Processes

The stochastic analysis, modeling, and simulation of climatic and hydrologic processes such as precipitation, streamflow, and sea surface temperature have usually been based on assumed stationarity or randomness of the process under consideration. However, empirical evidence of many hydroclimatic data shows temporal variability involving trends, oscillatory behavior, and sudden shifts. While many studies have been made for detecting and testing the statistical significance of these special characteristics, the probabilistic framework for modeling the temporal dynamics of such processes appears to be lacking. In this paper a family of stochastic models that can be used to capture the dynamics of abrupt shifts in hydroclimatic time series is proposed. The applicability of such ‘‘shifting mean models’ ’ are illustrated by using time series data of annual Pacific decadal oscillation (PDO) indices and annual streamflows of the Niger River. 1

Nature and chemical abundances of a sample of Lyman-α emitter objects at high redshift

We built a grid of photoionization models and compiled already available observational emission line intensities (1000 53. Values for C/O abundance ratio derived for the LAEs seem to be consistent with those derived for local star forming objects with similar metallicities, while an overabundance of N/O was found for most of the LAEs.Instituto de Astrofísica de La Plat

Podoconiosis in East and West Gojam Zones, Northern Ethiopia

Background: Podoconiosis is a neglected tropical disease (NTD) that is prevalent in red clay soil-covered highlands of tropical Africa, Central and South America, and northern India. It is estimated that up to one million cases exist in Ethiopia. This study aimed to estimate the prevalence of podoconiosis in East and West Gojam Zones of Amhara Region in northern Ethiopia. Methodology/Principal Findings: A cross-sectional household survey was conducted in Debre Eliyas and Dembecha woredas (districts) in East and West Gojam Zones, respectively. The survey covered all 17,553 households in 20 kebeles (administrative subunits) randomly selected from the two woredas. A detailed structured interview was conducted on 1,704 cases of podoconiosis identified in the survey. Results: The prevalence of podoconiosis in the population aged 15 years and above was found to be 3.3% (95% CI, 3.2% to 3.6%). 87% of cases were in the economically active age group (15–64 years). On average, patients sought treatment five years after the start of the leg swelling. Most subjects had second (42.7%) or third (36.1%) clinical stage disease, 97.9% had mossy lesions, and 53% had open wounds. On average, patients had five episodes of acute adenolymphangitis (ALA) per year and spent a total of 90 days per year with ALA. The median age of first use of shoes and socks were 22 and 23 years, respectively. More men than women owned more than one pair of shoes (61.1% vs. 50.5%; x2 = 11.6 p = 0.001). At the time of interview, 23.6% of the respondents were barefoot, of whom about two-thirds were women. Conclusions: This study showed high prevalence of podoconiosis and associated morbidities such as ALA, mossy lesions and open wounds in northern Ethiopia. Predominance of cases at early clinical stage of podoconiosis indicates the potential for reversing the swelling and calls for disease prevention interventions

Nature and chemical abundances of a sample of Lyman-α emitter objects at high redshift

We built a grid of photoionization models and compiled already available observational emission line intensities (1000 53. Values for C/O abundance ratio derived for the LAEs seem to be consistent with those derived for local star forming objects with similar metallicities, while an overabundance of N/O was found for most of the LAEs.Instituto de Astrofísica de La Plat

Chemical abundance of the LINER galaxy UGC 4805 with SDSS-IV MaNGA

Chemical abundance determinations in Low-Ionization Nuclear Line Regions (LINERs) are especially complex and uncertain because the nature of the ionizing source of this kind of object is unknown. In this work, we study the oxygen abundance in relation to the hydrogen abundance (O/H) of the gas phase of the UGC 4805 LINER nucleus. Optical spectroscopic data from the Mapping Nearby Galaxies (MaNGA) survey was employed to derive the O/H abundance of the UGC 4805 nucleus based on the extrapolation of the disk abundance gradient, on calibrations between O/H abundance and strong emission-lines for Active Galactic Nuclei (AGNs) as well as on photoionization models built with the Cloudy code, assuming gas accretion into a black hole (AGN) and post-Asymptotic Giant Branch (p-AGB) stars with different effective temperatures. We found that abundance gradient extrapolations, AGN calibrations, AGN and p-AGB photoionization models produce similar O/H values for the UGC 4805 nucleus and similar ionization parameter values. The study demonstrated that the methods used to estimate the O/H abundance using nuclear emission-line ratios produce reliable results, which are in agreement with the O/H values obtained from the independent method of galactic metallicity gradient extrapolation. Finally, the results from the WHAN diagram combined with the fact that the high excitation level of the gas has to be maintained at kpc scales, we suggest that the main ionizing source of the UGC 4805 nucleus probably has a stellar origin rather than an AGN.Fil: Krabbe, Angela. Universidade Do Vale Do Paraíba; BrasilFil: Oliveira, C. B.. Universidade Do Vale Do Paraíba; BrasilFil: Zinchenko, I. A.. Universitat Ulm. Faculty Of Natural Sciences. Institute Of Theoretical Physics; AlemaniaFil: Hernández Jiménez, J. A.. Universidad Andrés Bello; ChileFil: Dors, Oli L.. Universidade Do Vale Do Paraíba; BrasilFil: Hägele, Guillermo Federico. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata. Instituto de Astrofísica La Plata. Universidad Nacional de La Plata. Facultad de Ciencias Astronómicas y Geofísicas. Instituto de Astrofísica La Plata; ArgentinaFil: Cardaci, Monica Viviana. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata. Instituto de Astrofísica La Plata. Universidad Nacional de La Plata. Facultad de Ciencias Astronómicas y Geofísicas. Instituto de Astrofísica La Plata; ArgentinaFil: Telles, N. R.. Universidade Do Vale Do Paraíba; Brasi

Chemical abundances of Seyfert 2 AGNs, I: comparing oxygen abundances from distinct methods using SDSS

We compare the oxygen abundance (O/H) of the narrow-line regions (NLRs) of Seyfert 2 AGNs obtained through strong-line methods and from direct measurements of the electron temperature (Te-method). The aim of this study is to explore the effects of the use of distinct methods on the range of metallicity and on the mass-metallicity relation of active galactic nuclei (AGNs) at low redshifts (z<~0.4). We used the Sloan Digital Sky Survey (SDSS) and NASA/IPACExtragalactic Database (NED) to selected optical (3000Fil: Dors, Oli L.. Universidade Do Vale Do Paraiba; BrasilFil: de Freitas Rosa, Morsyleide. Universidade Do Vale Do Paraiba; BrasilFil: Amores, E. B.. Universidade Estadual de Feira de Santana; BrasilFil: Almarcha Pérez, Martha Ayelén. Instituto de Astrofísica de Andalucía - Csic; EspañaFil: Cardaci, Monica Viviana. Instituto de Astrofísica de la Plata (conicet- Universidad Nacional de la Plata); Argentina. Universidad Nacional de La Plata; ArgentinaFil: Hägele, Guillermo Federico. Universidad Nacional de La Plata; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata. Instituto de Astrofísica La Plata. Universidad Nacional de La Plata. Facultad de Ciencias Astronómicas y Geofísicas. Instituto de Astrofísica La Plata; ArgentinaFil: Armah, M.. Universidade Do Vale Do Paraiba; BrasilFil: Krabbe, A. C.. Universidade Do Vale Do Paraiba; BrasilFil: Ruiz Faúndez, Giovanni Patricio. Laboratorio Nacional de Astrofisica, Itajuba; Brasi