We describe a case of a perforated duodenal diverticulum, which was managed by a combined percutaneous and endoscopic approach. In combination with conservative treatment, this technique can be a challenging alternative to surgery.
The clinical relevance of cispride鈥檚 stimulating effects on lower oesophageal motility was studied in 19 patients with documented (endoscopy, biopsy) grade II or III oesophagitis. Patients were treated for 8 or 16 weeks (depending essentially on whether the result was cure or failure) with 10 mg of cisapride four times a day (n = 11) or placebo (n = 8). Cisapride was superior to placebo with regard to mucosal healing (p < 0.001) and symptomatic improvement (p < 0.05): at the end of treatment, healing (grade 0) was observed in 8 cisapride patients, against 1 placebo patient, and reflux symptoms had disappeared in 7 and 1 patients, respectively. In conclusion, cisapride was of significant benefit to oesophagitis patients and was well tolerated.
When following architecture-driven strategies to develop large softwareintensive systems, the analysis of the dependencies is not an easy task. In this paper, we report a systematic literature review on dependency analysis solutions. Dependency analysis concerns making dependencies due to interconnections between programs or system components explicit. The review is practice-driven because its research questions, execution, and reporting were influenced by the practice of a group of software architects at Philips Healthcare MRI. The review results in an overview and assessment of the state-of-the-art and applicability of dependency analysis. The overview provides insights about definitions related to dependency analysis, the sort of development activities that need dependency analysis, and the classification and description of a number of dependency analysis solutions. The contribution of this paper is for both practitioners and researchers. They can take it as a reference to learn about dependency analysis, match their own practice to the presented results, and to build similar overviews of other techniques and methods for other domains or types of systems.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations鈥揷itations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.