Urolithiasis is a well-known and common late complication in patients with urinary diversion. Patients without urinary diversion lead to symptoms such as hematuria and ureteral colic, whereas stones in patients with urinary diversion tend to be asymptomatic and are often diagnosed incidentally during staging examinations of oncologic diseases. We report the case of a 64-year-old male patient wi...

In the past year, stories of Emergency Department (ED) crowding and ambulance diversion have entered Massachusetts headlines with increasing frequency. Hospitals throughout the state now report record numbers of hours on " diversion status, " unable to accept new ambulance arrivals because they are overwhelmed. When emergency responsiveness is threatened, public confidence in the entire health ...

Though rare, renal transplantation into a bowel containing urinary diversion is necessary in select clinical situations. Compared to renal transplant patients with functional native bladders, patients with urinary diversion have comparable long-term graft and patient survival rates. However, compounding the increased risk of malignancy in those on chronic immunosuppression are the inherent risk...

of evidence • Patients undergoing various bariatric surgical procedures lost an average of 61.2% of their excess weight (varying from 47.5% for gastric banding to 70.1% for biliopancreatic diversion or duodenal switch procedures) • Perioperative mortality was relatively low (varying from 0.1% for banding, 0.5% for bypass, to 1.1% for biliopancreatic diversion or duodenal switch) • Most patients...

We study search diversion by competing intermediaries connecting consumers with thirdparty stores (sellers). Search diversion is a strategic instrument that enables intermediaries to trade-off total consumer traffic for higher revenues per individual consumer visit. It is particularly useful in contexts in which the stores or products which are most sought-after by consumers are not the ones th...

Due to unbalanced distribution of tourists during peak time, tourists are likely to highly flock in certain areas of scenery spots if imperfect organization and management. For this reason, there may be crowds or even trample accidents in addition to unrecoverable damages for the ecological environment in such areas. Therefore, the valid solution is to formulate scientific tourist diversion str...

INTRODUCTION The closure of urinary diversions performed on newly born infants has a notable failure percentage in patients with bladder disease. We present the use of botulinum toxin as a useful and minimally invasive alternative to treat these patients. MATERIAL AND METHODS We present two patients with a single kidney and with posterior urethral valves (PUV), in whom it was necessary to per...

This paper examines the impact of the Thailand-Australia Free Trade Agreement (TAFTA) on bilateral merchandise trade flows between Australia and Thailand. Using aggregated data, an augmented gravity model is estimated in an attempt to quantify the trade creation and/or diversion effects of the agreement. The model includes 178 countries and is estimated using panel data over the period 1998 to ...

Over 3,300 unscreened agricultural water diversion pipes line the levees and riverbanks of the Sacramento River (California) watershed, where the threatened Southern Distinct Population Segment of green sturgeon, Acipenser medirostris, spawn. The number of sturgeon drawn into (entrained) and killed by these pipes is greatly unknown. We examined avoidance behaviors and entrainment susceptibility...

BACKGROUND Admitted patients boarding in the emergency department (ED) leads to hospital diversion. Active bed management and care for boarded patients can improve throughput. We developed a hospital medicine ED (HMED) team to participate in active bed management, and to care for boarded patients, to decrease diversion and improve throughput. METHODS An HMED team was created to participate in...