Pancreaticobiliary maljunction (PBM) is a congenital malformation that is associated with biliary cancer development. When patients are diagnosed with PBM, a diversion operation is recommended. Although a risk remains for developing residual bile duct carcinoma following diversion, the development of a carcinoma of the ampulla of Vater after a diversion operation for PBM is rare. We present a t...

OBJECTIVES The primary objective of this study is to investigate household diversion of stimulant medication. Secondary objectives are to examine clinical/demographic predictors of diversion, types of formulations diverted, exposure to household diversion in the media, and storage of prescription stimulants within households. METHODS Questionnaires were completed by 180 parents of youth who w...

Urinary diversion involves providing an alternate path for urine to exit the body other than the normal ureter, bladder, urethra route. This can be accomplished by creating a pouch for collecting urine that then exits through a stoma, or by diverting the ureters to a stoma and allowing urine to free-flow through an opening in the abdomen. The first urinary diversion involved creation of a fistu...

This paper studies search diversion by competing intermediaries connecting consumers with third-party stores. First, we show that endogenizing store entry leads to more search diversion when intermediaries cannot price discriminate among stores because the intermediaries’ incentives are aligned with the marginal stores. Second, competition among intermediaries may lead to more or less search di...

For persons with co-occurring disorders, interaction with criminal justice systems is a frequent occurrence. As a result, a variety of diversionary programs have been developed nationwide. In this study, a total of 248 individuals with co-occurring disorders of serious mental illness and substance use disorders who had been arrested and booked on misdemeanor charges participated in a post-booki...

STUDY OBJECTIVE We examine the attitudes of emergency department (ED) key informants about the perceived effects of a statewide ban on ambulance diversion on patients, providers, and working relationships in a large urban emergency medical system. METHODS We performed a qualitative study to examine the effects of a diversion ban on Boston area hospitals. Key informants at each site completed ...

PURPOSE To study the long term complications of ileal conduit urinary diversion in 36 patients with invasive urinary bladder cancer who lived more than 5 years after surgery. PATIENTS AND METHODS A retrospective study included 36 long term survivors (survival 5 years or greater) with invasive bladder cancer who did radical cystectomy or anterior pelvic excentration with ileal conduit urinary ...

BACKGROUND The use of prescription opioid medications has increased greatly in the United States during the past two decades; in 2010, there were 16,651 opioid-related deaths. In response, hundreds of federal, state, and local interventions have been implemented. We describe trends in the diversion and abuse of prescription opioid analgesics using data through 2013. METHODS We used five progr...

Ultram (tramadol HCL) was approved by the Food and Drug Administration in 1994 as a non-scheduled drug under the Controlled Substance Act. The non-scheduled status was contingent on the development and implementation of a comprehensive post-marketing surveillance program by an Independent Steering Committee external to Ortho-McNeil Pharmaceutical charged with monitoring abuse and recommending s...

OBJECTIVE The purpose of this article is to discuss and illustrate the MDCT findings of potential complications after cystectomy and urinary diversion. CONCLUSION Multiple complications may occur after urinary diversion. Tumor recurrence is a major concern in patients with bladder cancer. CT has an important role in postoperative evaluation of patients with urinary diversion to identify corre...