Octreotide decreased the patient's need for blood transfusions. Possible mechanisms include altering blood flow to the gastrointestinal tract and direct effects on the venous malformations.
Advanced tourist information systems should offer more than relatively static information about sights and places. Instead, semantically rich information about sights should be delivered to the mobile users. Furthermore, tourists should not be overwhelmed by a stream of superfluous data that are unrelated to their interest, location, and knowledge of a place. Personalization of the information delivery to each traveler, together with their travel history, is therefore crucial. This article presents the major design issues of the personalized Tourist Information Provider (TIP). TIP is a combination of an event-based system (EBS) and a location-based service (LBS) applied to a mobile environment. We discuss the lessons learned from developing its kernel using a semantic network of sight-related information and considering the travelers' interest and travel route, with emphasis on modeling decisions and their impact on the final system.
We report two cases of hepatocellular carcinoma revealed by jaundice and the presence of free-floating tumoural fragments within the biliary system. Two men (one of 64 and one of 73) presented with isolated jaundice. The results from ultrasound, CT and MRI were suggestive of a cholangiocarcinoma. Surgical intervention demonstrated bile duct thrombi from the primary tumour causing obstructive jaundice.
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