Obstruction of common bile duct due to a ‘Forgotten stent’ causing stone formation is a rare entity, which is usually associated with cholangitis. A much rarer presentation is our case with an ERCP stent forming a nidus for stone formation in the common bile duct without any evidence of cholangitis or bile duct obstruction. A 66-year-old female patient with a previous history of laparoscopic cholecystectomy and common bile duct stenting done 2 years back presented with vague abdominal pain, nausea and vomiting without features of jaundice or cholangitis. She was diagnosed on imaging as a case of choledocholithiasis with two stents in the common bile duct. A failed ERCP to extract the stent and relieve obstruction necessitated open choledochotomy, stents removal, common bile duct clearance and choledochoduodenostomy. The rarity of this patient with an ERCP acting as a nidus for common bile duct stones without evidence of obstruction or cholangitis is something to be documented. Although rare, these complications must always be considered and considered a possibility due to which post-operative and post-endoscopic follow up, regular check-ups and timely removal of the stents is necessary to avoid unnecessary complications or a need for repeat procedures and surgery that results in greater morbidity.
Asthma is an inflammatory, reversible and progressive disease with episodes of exacerbations. Both the Nasal and Bronchial mucosa are the elements of united airway disease and Eosinophils measured from this mucosa can be an indirect marker of Airway inflammation (AI) in asthma and Allergic Rhinitis (AR). Eosinophil infiltration is hallmark feature of pathogenesis of airway inflammation and is raised in acute and chronic variants. Sputum Smear cytology for Esonophilis (SSE), marker of AI is used as research tool in specialized Institutions to measure AI. In this study I00 patients were enrolled. 52% had Bronchial Asthma (BA) whereas 48% of them had associated Allergic Rhinitis (BAAR). The severity of asthma was assessed as per FEV1classification. There was no statistically significant difference between sputum eosinophilis in both groups (P=0.298). There was no statistically significant association between SSE and severity of Asthma in both groups (P=0.298 and P=0.129)
Dairy farming has become one of major sources of income for farmers. To maintain a large dairy farm, fodder must be available in palatable form at every point of time in sufficient quantity. To ensure that the ready fodder is available for cattle, a high-capacity chaff cutter is necessary. A high speed and hogh-capacity chaff cutter procured from the local market and tested for its performance. The machine consisted of a flywheel type cutter head which was mounted on the rectangular platform. The cutter head consisted of three rectangular plain knives fixed 120° apart on a circular disc of 440 ϕ. The feeding assembly was mounted with three feed rollers viz., upper, low, and additional. Chute type feeding mechanism was provided. The machine was operated by a 3.73 kW diesel engine. The ‘v’ belt was provided for power transmission from engine to cutter head with a reduction ratio of 1:0.32. Feed rollers were driven by bevel and spur gears. Short run and long run evaluation of the machine were conducted for napier grass and dry jowar. The variation in length of cut pieces was found to be 8.39% and 5.78% for dry jowar and napier grass, respectively. Quality of cut was calculated and found to be -0.80 for dry jowar and -0.53 for napier grass. The average efficiency of the machine was found to be 86.87% and 88.93% for dry jowar and napier grass, respectively. The average diesel consumption was found to be 0.69 l h-1.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations 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.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.