Pancreatitis with an unusual fatal complication following endoscopic retrograde cholangiopancreaticography: a case report

<p>Abstract</p> <p>Introduction</p> <p>Endoscopic retrograde cholangiopancreaticography has been the treatment of choice for stones in the common bile duct. Although the procedure is usually safe, procedure-related complications do occur.</p> <p>Case presentation</p> <p>A case of pancreatitis following endoscopic retrograde cholangiopancreaticography is described in a 55-year-old woman. After an uneventful recovery the patient's condition deteriorated rapidly 16 days after the endoscopic retrograde cholangiopancreaticography, and the patient died within 1 hour. Post-mortem examination revealed massive intrapulmonary fat embolism. The complications of endoscopic retrograde cholangiopancreaticography and pancreatitis are described.</p> <p>Conclusion</p> <p>Fat embolism can occur after the remission of pancreatitis and pancreatic necrosis may be overlooked on contrast-enhanced computed tomography scanning.</p

Borehole dilution tests to measure leachate flow at a recirculation landfill

The recirculation and infiltration of leachate in landfills may be carried out to facilitate the flushing of contaminants and accelerate the stabilisation of waste. Flushing contaminants through recirculation relies on the movement of fluids through the landfill body to basal drains, which will predominantly be driven by gravity. Leachate recirculation and infiltration measures commenced at de Kragge II landfill (Bergen op Zoom, The Netherlands) in March 2018. Up to 90 m3/day of treated leachate is recirculated into the top of a 20 m deep, 5 ha landfill cell through 14 horizontal drains installed at the surface. Poor connectivity between the waste and the basal drainage system has resulted in saturated conditions forming in the lower 7-8 m of the landfill. Knowledge about the leachate flow within the waste body is essential for evaluating the success of the stabilisation measures. To investigate the flow regime within the saturated waste, 22 Single Borehole Dilution tests were carried out in 13 piezometers atdifferent depths, between 8.4 and 18.1 m below ground level, and locations across the landfill cell. Tests were repeated in a number of the piezometers to demonstrate repeatability. Flow was measured in all piezometers. Calculated Darcy flow velocities ranged between 0.01 and 1.02 m/day, with the highestvelocities measured in the deepest piezometers. Four tests were carried out in one nest of piezometers installed at different depths, with the leachate recirculation system switched off for two days prior to and during the test. Although flows were somewhat higher in two of the piezometers, it was not possible to conclude whether the infiltration of leachate significantly influences flow

What is next for the neurobiology of temperament, personality and psychopathology?

This paper represents the outcome of a multidisciplinary discussion on what works, what does not, and what can be improved, in ongoing work on biobehavioral taxonomies and their biomarkers. The authors of this paper, representing a wide spectrum of biobehavioral disciplines (clinical, developmental, differential psychology, neurophysiology, endocrinology, psychiatry, neurochemistry, and neurosciences), have contributed more extensive opinions to the Theme Issue 'Neurobiology of temperament, personality and psychopathology: what's next?'. The authors identified 10 directions in international and multidisciplinary cooperation, and multiple insights for ‘what is next’ for each of these directions

What's next for the neurobiology of temperament, personality and psychopathology?

This paper represents the outcome of a multidisciplinary discussion on what works, what doesn't, and what can be improved, in on-going work on bio-behavioural taxonomies and their biomarkers. The authors of this paper, representing a wide spectrum of bio-behavioural disciplines (clinical, developmental, differential psychology, neurophysiology, endocrinology, psychiatry, neurochemistry, neurosciences), have contributed more extensive opinions to the Theme Issue "Neurobiology of temperament, personality and psychopathology: what's next?". The authors identified ten directions in international and multidisciplinary cooperation, and multiple insights for "what is next" for each of these directions