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OBJECTIVE The aim of this study is to report early and intermediate outcomes of laparoscopic surgery for choledochal cysts with 400 cases. PATIENTS AND METHODS The operation was performed using four ports. The cystic duct was identified and divided. The liver was suspended by two stay-sutures: one on the round ligament and the other on the distal cystic(More)
AIM The aim of this study was to compare the safety of laparoscopic operation with open surgery for choledochal cyst in children. METHODS Early outcomes of open surgery from January 2001 to December 2006 were compared with early outcomes of laparoscopic operations from January 2007 to July 2010. The main outcome variables included intra- and early(More)
BACKGROUND Racial/ethnic minorities comprise almost 50% of registrants on national waiting lists for organ transplantation in the USA. As the list continues to expand, organ shortage becomes a bigger problem. Increasing donation rates especially among racial minority groups would lower the waiting times for these groups. PURPOSE Asian Americans are among(More)
PURPOSE OF REVIEW Insulin resistance is a known complication of end-stage renal disease that also appears to be present in earlier stages of chronic kidney disease (CKD). It is a risk factor for cardiovascular disease and an important potential therapeutic target in this population. Measurement of insulin resistance is reviewed in the context of known(More)
BACKGROUND AND OBJECTIVES Insulin resistance is a complication of advanced CKD. Insulin resistance is less well characterized in earlier stages of CKD. The response of the pancreatic β cell, effects on glucose tolerance, and risk of diabetes are not clear. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS The Cardiovascular Health Study included 4680 adults(More)
UNLABELLED BACKGROUND AND OBJECTIVES Peritoneal dialysis catheter (PDC) complications are an important barrier to peritoneal dialysis (PD) utilization. Practice guidelines for PDC placement exist, but it is unknown if these recommendations are followed. We performed a quality improvement study to investigate this issue. ♢ METHODS A prospective(More)
Mediastinoscopy has been widely used by thoracic surgeons to evaluate the superior mediastinum since 1959. Large series of mediastinoscopy have been reported with very low morbidity and no mortality. Proper attention to surgical techniques and mediastinal anatomy are essential to maintain the safety of the procedure. Situs inversus totalis is exceedingly(More)
INTRODUCTION The association of myasthenia gravis (MG) with thymoma is about 15%, which increases to about 35% in older patients (1,19). Thymomas represent nearly 50% of tumors in the anterior mediastinum and if large enough may cause mediastinal widening (12). The connection between the thymus gland and MG has led to the medical recommendation of a(More)
—We present a semi-supervised learning algorithm based on local and global consistency, working on a bi-relational graph of images and labels. By incorporating two types of different entities (images and labels) in a single graph, label propagation can exploit label correlations for measuring the relevance between unannotated images and labels, leading to a(More)
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