Rushabh Doshi

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We present ideas on how to structure software systems for high availability by considering MTTR/MTTF characteristics of components in addition to the traditional criteria, such as functionality or state sharing. Recursive restartability (RR), a recently proposed technique for achieving high availability, exploits partial restarts at various levels within(More)
Adenosquamous carcinoma is a rare form of colorectal cancer. It is believed to be more aggressive and carries a poorer prognosis compared to the more typical colonic adenocarcinomas. Here we describe a case of primary cecaladenosquamous carcinoma invading into the terminal ileum along with a review of the literature.
Pancreatic fluid collections (PFCs) are a frequent complication of pancreatitis. It is important to classify PFCs to guide management. The revised Atlanta criteria classifies PFCs as acute or chronic, with chronic fluid collections subdivided into pseudocysts and walled-off pancreatic necrosis (WOPN). Establishing adequate nutritional support is an(More)
A 45-year-old man with a history of renal cell carcinoma and immunosuppression presented to our institution with melena. Upper gastrointestinal endoscopy demonstrated two nodules in the duodenal bulb. Biopsies revealed a circumscribed neoplasm in the duodenal submucosa comprising nests of epithelial cells with uniform round nuclei and abundant finely(More)
A 53-year-old man with gallstone pancreatitis complicated by infected walled-off pancreatic necrosis (WOPN) was admitted to our institution. EUS-guided cystgastrostomy was performed with insertion of a 15-mm diameter lumen-apposing metal stent (LAMS). Two weeks later, during direct endoscopic necrosectomy (DEN), a therapeutic gastroscope (10-mm diameter,(More)
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