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Pancreaticobiliary maljunction (PBM) without biliary dilatation is a condition in which dilatation of the bile duct is not seen in patients with PBM. Recently, the Japanese Study Group on Pancreaticobiliary Maljunction (JSGPM) published new diagnostic criteria for PBM. In these criteria, biliary dilatation is defined according to the standard diameter at each age. We reviewed cases of pediatric patients with PBM without biliary dilatation.

From 1992 to 2019, 134 patients with PBM were treated in our institution. Among these, 7 patients were retrospectively diagnosed with PBM without biliary dilatation. The clinical information was retrospectively assessed in these patients.

Of the seven patients, six were female. All patients had symptoms similar to those of patients with congenital biliary dilatation. In all seven patients, the diagnosis of PBM was made before definitive surgery. Six patients had type B PBM, and one had type D PBM. All patients underwent extrahepatic bile duct resection and hepaticojejunostomy, and their symptoms resolved. One patient experienced postoperative complications of anastomotic leakage followed by anastomotic stricture.

The present report revealed important clinical features of this entity. However, there are still some issues that need to be discussed, and further research is needed.

The present report revealed important clinical features of this entity. However, there are still some issues that need to be discussed, and further research is needed.Forecasting the severity of plant diseases is an emerging need for farmers and companies to optimize management actions and to predict crop yields. Process-based models are viable tools for this purpose, thanks to their capability to reproduce pathogen epidemiological processes as a function of the variability of agro-environmental conditions. We formalized the key phases of the life cycle of Puccinia kuenhii (W. Krüger) EJ Butler, the causal agent of orange rust on sugarcane, into a new simulation model, called ARISE (Orange Rust Intensity Index). ARISE is composed of generic models of epidemiological processes modulated by partial components of host resistance and was parameterized according to P. kuenhii hydro-thermal requirements. After calibration and evaluation with field data, ARISE was executed on sugarcane areas in Brazil, India and Australia to assess the pathogen suitability in different environments. ARISE performed well in calibration and evaluation, where it accurately matched observations of orange rust severity. It also reproduced a large spatial and temporal variability in simulated areas, confirming that the pathogen suitability is strictly dependent on warm temperatures and high relative air humidity. Further improvements will entail coupling ARISE with a sugarcane growth model to assess yield losses, while further testing the model with field data, using input weather data at a finer resolution to develop a decision support system for sugarcane growers.

The patients with ruptured vertebral artery dissecting aneurysm (rVADA) should be treated as early as possible because VADA carries extremely high risk of rebleeding in the acute phase. We have established a mobile endovascular strategy for the patients with rVADA between our flagship center and its affiliated local hospitals. We introduced and reviewed our mobile endovascular therapy in this study.

We retrospectively evaluated 98 consecutive patients who underwent endovascular surgery for rVADA from 2000 to 2018 at our institution or five affiliated hospitals. When each patient was initially transported to the local affiliated hospitals, neuroendovascular surgeons traveled directly to the affiliated hospital from the flagship center in order to treat the patient there. Clinical outcomes using modified Rankin Scale at 6months after treatment, radiological results, and procedure-related complications were reviewed to justify our mobile endovascular strategy.

All aneurysms were cured successfully by interle endovascular therapy may work well in the acute treatment of rVADAs in the certain circumstance.

As the practice of nutritional support in patients with head and neck cancer (HNC) during curative radio(chemo)therapy is quite heterogeneous, we carried out a survey among European specialists.

A 19-item questionnaire was drawn up and disseminated via the web by European scientific societies involved in HNC and nutrition.

Among 220 responses, the first choice was always for the enteral route; naso-enteral tube feeding was preferred to gastrostomy in the short term, while the opposite for period longer than 1month. Indications were not solely related to the patient's nutritional status, but also to the potential burden of the therapy.

European HNC specialists contextualize the use of the nutritional support in a comprehensive plan of therapy. There is still uncertainty relating to the role of naso-enteral feeding versus gastrostomy feeding in patients requiring < 1 month nutritional support, an issue that should be further investigated.

European HNC specialists contextualize the use of the nutritional support in a comprehensive plan of therapy. selleck chemicals llc There is still uncertainty relating to the role of naso-enteral feeding versus gastrostomy feeding in patients requiring  less then  1 month nutritional support, an issue that should be further investigated.

The incidence and mortality rate of nasopharyngeal carcinoma (NPC) has changed in recent years. Our goal is to determine the epidemiological pattern of NPC to help policymakers allocate limited medical resources.

Detailed information about NPC from 2009 to 2019 was collected from the Global Burden of Disease 2019 database. Age-standardized rates (ASRs) and corresponding estimated annual percentage changes (EAPCs) were calculated to assess NPC's incidence and mortality trends.

Globally, there was a consistent increase in the NPC incidence cases from 2009 to 2019 (from 121.65 × 10

cases in 2009 to 176.50 × 10

cases in 2019, increasing by 45.09%). The age-standardized incidence rate (ASIR) of NPC increased from 1.81 in 2009 to 2.12 in 2019 (EAPC = 1.59, 95% CI 1.36-1.81). On the contrary, the mortality of NPC showed a downward trend (ASDR 0.93 in 2009 and 0.86 in 2019; EAPC = - 0.63, 95% CI - 0.78 to - 0.48), and it was negatively correlated with the social demographic index (SDI) in most regions. Both incidence and mortality rates of high-incidence territories tended to be stable or decline.