PANCREATICODUODENECTOMY COMBINED GASTRODUODENAL COLLATERAL RECONSTRUCTION AND PRESERVATION DUE TO MEDIAN ARCUATE LIGAMENT SYNDROME: TECHNICAL NOTES WITH TWO SURGICAL CASES REPORT (WITH VIDEO)

Abstract Introduction Pancreaticoduodenectomy in patients with CA stenosis due to median arcuate ligament often required carefully collateral pathways management to avoid hepatic ischemic complications.Cases presentation Case 1: A 63-year-old man was referred to our department because of jaundice with distal common bile duct tumor.Pancreaticoduoden

In this study, we established a dynamic micromodel of urinary tract infection to analyze the impact of UT-segment-specific urinary outflow on the persistence of E.coli colonization.We found that the adherence of Dr+ E.coli to bladder T24 transitional cells and type IV collagen is maximal at lowest shear stress and is reduced by any increase in flow

Deep reinforcement learning (DRL) trains agents to make decisions by learning from rewards and penalties, using trial and error.It combines reinforcement learning (RL) with deep neural networks (DNNs), enabling agents to process large datasets and learn from complex environments.DRL has achieved notable success in gaming, robotics, decision-making,

The complementary sex determiner (csd) gene is Kits responsible for controlling the sex-determination molecular switch in western honey bees (Apis mellifera): bees that are heterozygous for csd develop into females, whereas bees that are hemizygous or homozygous develop into males.The homozygous diploid males are destroyed at an early stage of thei