Intra-abdominal abscess caused by toothpick injury

SummaryWe present the case of a 42-year-old female who presented to our emergency department (ED) complaining of epigastric pain for four days. She had been seen in the outpatient department and ED previously for evaluation, but continued to experience epigastric pain with fever. Emergency panendoscopy was performed and a toothpick was discovered impacted in the duodenal bulb. The gastroenterologist was unable to remove the toothpick endoscopically. Computed tomography of the abdomen revealed a long and straight hyperdense foreign body, and intra-abdominal abscess formation. An emergency laparotomy was performed. The patient recovered gradually and was discharged 11 days later. She could not remember when she swallowed the wooden toothpick, but guessed that it was while out drinking. There is an old wives’ tale in Taiwan that putting a toothpick in the cup while drinking beer reduces the likelihood of abdominal distention from the carbonation of the beer

Combining Coauthorship Network and Content for Literature Recommendation

This paper studies literature recommendation approaches using both content features and coauthorship relations of articles in literature databases. Most literature databases allow data access (via site subscription) without having to identify users, and thus task-focused recommendation is more appropriate in this context. Previous work mostly utilizes content and usage log for making task-focused recommendation. More recent works start to incorporate coauthorship network for recommendation and found it beneficial when the specified articles preferred by authors are similar in their content. However, it was also found that recommendation based on content features achieves better performance under other circumstances. Therefore, in this work we propose to incorporate both content and coauthorship network in making task-focused recommendation. Three hybrid methods, namely switching, proportional, and fusion are developed and compared. Our experimental results show that in general the proposed hybrid approach achieves better performance than approaches that utilize only one source of knowledge. In particular, the fusion method tends to have higher recommendation accuracy for articles of higher ranks. Besides, the content-based approach is more likely to recommend articles of low fidelity, whereas the coauthorship network-based approach has the least chance

EVALUATION OF RECEIVING ABILITY OF TEENAGE MALE TABLE TENNIS PLAYERS IN TAIWAN

The purpose of this study was to evaluate the forehand receiving ability of teenage male table tennis players. Thirty-nine male players consist of skill levels from junior to senior high school students and national squads were selected. This assessment involves three tests: basic control, judgment, and match-like condition simulation. We found under the basic control test, the junior high school players performed poorer in downspin and left-side downspin in the aspect of accuracy (

Comparison between the use of percutaneous nephrostomy and internal ureteral stenting in the management of long-term ureteral obstructions

AbstractObjectivesIn this study, we compared between the efficacy and complications of percutaneous nephrostomy (PCN) tubes and those of internal ureteral stents (e.g., double-J stents) used for relieving ureteral obstructions.Materials and methodsA retrospective chart review was performed. Between 2003 and 2009, 110 patients (63 females and 47 males, with a mean age of 63.6 years, range 19–89 years) who had an extrinsic ureteral obstruction, and subsequently underwent either PCN tube placement (n = 44) or internal ureteral stent placement (n = 66), were enrolled. Clinical data on patients with duration of diversion/drainage for more than 6 months were collected. Statistical analyses were performed with respect to a patient's age, etiology of the obstruction, outcome of residual hydronephrosis, and renal function tests.ResultsPatient ages and procedure-related complications were comparable between these two groups. The mean duration of diversion was 16.8 ± 8.6 months in the stent group versus 14.1 ± 6.7 months in the PCN group (p = 0.067). A smaller elevation in serum creatinine was noted in the PCN group (0.21 vs. 0.78 mg/dL, p = 0.03). Nine of 86 (10.4%) double-J stents were converted to PCN tubes during the study period. Residual hydronephrosis after decompression was more common in the stent group than in the PCN group (65.2% vs. 27.2%, p = 0.01). These findings suggest better preservation of renal function by a PCN tube.ConclusionsResults of this study suggest that, to better preserve renal function, PCN is the choice of treatment, irrespective of the etiology. While patients who have a PCN tube may have to carry an additional external drainage device, the complications did not seem to differ significantly from those who used internal drainage with a ureteral stent. Because young cancer patients may especially need aggressive chemotherapy to prolong their survival, PCN urinary drainage may become a better choice from the standpoint of cancer control

Measuring non-Markovianity of processes with controllable system-environment interaction

Non-Markovian processes have recently become a central topic in the study of open quantum systems. We realize experimentally non-Markovian decoherence processes of single photons by combining time delay and evolution in a polarization-maintaining optical fiber. The experiment allows the identification of the process with strongest memory effects as well as the determination of a recently proposed measure for the degree of quantum non-Markovianity based on the exchange of information between the open system and its environment. Our results show that an experimental quantification of memory in quantum processes is indeed feasible which could be useful in the development of quantum memory and communication devices.Comment: 5 pages, 4 figures. V2: Minor modifications, title change

Application of Scutellariae radix

Salmonella enterica serovar Choleraesuis, a host-adapted pathogen of swine, usually causes septicemia. Lactic acid bacteria (LAB) strains have been widely studied in recent years for their probiotic properties. In this study, a mouse infection model first screened for potential agents against infection, then a pig infection model evaluated effects of LAB strains and herbal plants against infection. Scutellariae radix (SR) and Gardeniae fructus (GF) showed abilities to reduce bacteria shedding and suppressing serum level of TNF-α induced by infection in swine. Bioactivities of SR and GF were enhanced by combining with LAB strains, which alone could speed up the bacteria elimination time in feces and boost immunity of infected pigs. Baicalein and genipin exhibited stronger cytotoxicity than baicalin and geniposide did, as well as prevent Salmonella from invading macrophages. Our study suggests LAB strains as exhibiting multiple functions: preventing infection, enhancing immunity to prepare host defenses against further infection, and adjusting intestinal microbes’ enzymatic activity in order to convert herbal compounds to active compounds. The SR/GF-LAB strain mixture holds potential infection-prevention agents supplied as feed additives