Gallstone recurrence after direct contact dissolution with methyltert-butyl ether

1995 ◽  
Vol 40 (8) ◽  
pp. 1775-1781 ◽  
Author(s):  
Juergen Pauletzki ◽  
Joseph Holl ◽  
Michael Sackmann ◽  
Michael Neubrand ◽  
Ulrich Klueppelberg ◽  
...  
Keyword(s):  
Direct Contact ◽  
Butyl Ether ◽  
Gallstone Recurrence ◽  
Contact Dissolution

scholarly journals Non Surgical Management of Cholelithyasis (Pittashmari): A Case Study

1970 ◽  
Vol 7 (1) ◽  
pp. 34-37
Author(s):  
R. K. Sharma ◽  
Dr.H. S. Shah ◽  
Dr. J.K. K Gohel
Keyword(s):  
Surgical Management ◽  
Alternative Therapy ◽  
Butyl Ether ◽  
Tertiary Butyl ◽  
Surgical Measures ◽  
Healing System ◽  
Extracorporeal Shock Wave ◽  
Contact Dissolution ◽  
Surgical Treatments

As a matter of fact, surgery (cholecystectomy or gall bladder removal) is the most common form of treatment for cholelithiasis (gallstones). However, the fact that surgically removing gallstones requires the removal of an entire organ has led to a growing interest in non-surgical treatments for gallstones. Besides alleviating symptoms, treatment for gallstones is necessary to avoid a progression that can result in severe conditions such as acute cholelithiasis. But so far as the medical management of cholelithiasis is concerned, it is not up to the mark in modern healing system. Although ursodiol or chenodiol in the form of oral bile acid pills, extracorporeal shock-wave lithotripsy (ESWL), contact dissolution therapy [injecting a solvent known a Methyl tertiary-butyl ether (MTBE) into the gallbladder to dissolve the gallstones], Percutaneous Cholecystostomy are good non-surgical measures, their roles are either limited or these are not free from adverse effects. Obviously, there is an urgent need of help from Alternative therapy to counter these difficulties. This article is a step in the direction of making an availability of a safe and effective non-surgical management of cholelithiasis to the ailing mankind.

Saturn's E, G and F rings: modulated by the plasma sheet

1984 ◽  
Vol 75 ◽  
pp. 597
Author(s):  
E. Grün ◽  
G.E. Morfill ◽  
T.V. Johnson ◽  
G.H. Schwehm
Keyword(s):  
Solar Wind ◽  
Direct Contact ◽  
Transport Processes ◽  
Time Variable ◽  
Dust Particles ◽  
Spatial Diffusion ◽  
Drag Forces ◽  
Orbit Perturbation ◽  
Time Variations ◽  
F Ring

ABSTRACTSaturn's broad E ring, the narrow G ring and the structured and apparently time variable F ring(s), contain many micron and sub-micron sized particles, which make up the “visible” component. These rings (or ring systems) are in direct contact with magnetospheric plasma. Fluctuations in the plasma density and/or mean energy, due to magnetospheric and solar wind processes, may induce stochastic charge variations on the dust particles, which in turn lead to an orbit perturbation and spatial diffusion. It is suggested that the extent of the E ring and the braided, kinky structure of certain portions of the F rings as well as possible time variations are a result of plasma induced electromagnetic perturbations and drag forces. The G ring, in this scenario, requires some form of shepherding and should be akin to the F ring in structure. Sputtering of micron-sized dust particles in the E ring by magnetospheric ions yields lifetimes of 102to 104years. This effect as well as the plasma induced transport processes require an active source for the E ring, probably Enceladus.

Worker Protection Standard: Owner and Immediate Family Exemption

EDIS ◽  
2016 ◽  
Vol 2016 (7) ◽  
Author(s):  
Frederick M. Fishel ◽  
Tatiana Sanchez
Keyword(s):  
Direct Contact ◽  
Family Members ◽  
Agricultural Workers ◽  
Federal Regulation ◽  
Fact Sheet ◽  
Agricultural Plants

The Worker Protection Standard (WPS) is a Federal regulation designed to protect agricultural workers (people involved in the production of agricultural plants) and pesticide handlers (people mixing, loading, or applying pesticides or doing other tasks involving direct contact with pesticides).There are certain exemptions in the WPS rule that have been revised pertaining to agricultural establishment owners and their immediate family members. This fact sheet explains these new provisions.

Worker Protection Standard: Information at a Central Location

EDIS ◽  
2016 ◽  
Vol 2016 (7) ◽  
Author(s):  
Frederick M. Fishel ◽  
Tatiana Sanchez
Keyword(s):  
Direct Contact ◽  
Agricultural Workers ◽  
Specific Information ◽  
Federal Regulation ◽  
Central Location ◽  
Agricultural Pesticides ◽  
Full Implementation ◽  
Standard Information ◽  
Agricultural Plants ◽  
General Guidance

The Worker Protection Standard (WPS) is a Federal regulation designed to protect agricultural workers (people involved in the production of agricultural plants) and pesticide handlers (people mixing, loading, or applying pesticides or doing other tasks involving direct contact with pesticides). It has been in full implementation since 1995. This document provides general guidance to help you comply with the requirements of the Federal Worker Protection Standard (WPS) for agricultural pesticides, 40 CFR part 170, as amended in 2015. This document addresses specific information that agricultural establishments must display at a central location for their employees.

Managing total reduced sulfur emissions at a Canadian kraft pulp mill

TAPPI Journal ◽  
2016 ◽  
Vol 15 (4) ◽  
pp. 265-272 ◽  
Author(s):  
ROHAN BANDEKAR ◽  
JIM FREDERICK ◽  
JAROSLAV STAVIK
Keyword(s):  
Direct Contact ◽  
Black Liquor ◽  
Pulp Mill ◽  
Packed Bed ◽  
Average Value ◽  
Emission Limit ◽  
Total Reduced Sulfur ◽  
Reduced Sulfur ◽  
Air Ingress ◽  
Solids Content

This study addresses the challenges a dissolving-grade pulp mill in Canada faced in 2014 in meeting its total reduced sulfur (TRS) gas emission limit. These emissions from the recovery boiler exit are controlled by passing the boiler exit gas through a TRS scrubber system. The mill employs a cyclonic direct contact evaporator to concentrate black liquor to firing solids content. The off-gases from the direct contact evaporator flow to the effluent gas control system that consists of a venturi scrubber, a packed bed scrubber, and a heat recovery unit. Emissions of TRS greater than the regulated limit of 15 ppm were observed for a 4-month period in 2014. The level of emissions measured during this period was significantly higher than about 12 ppm, the expected average value based on historic experience. The problem persisted from mid-June 2014 until the annual mill shutdown in October 2014. The main TRS components detected and the performance of the Teller scrubber in capturing them are examined. Other potential causes for these emissions are identified, including mechanical problems such as broken packing in the TRS packed bed scrubber, broken baffle plates in the scrubber, and cyclone evaporator leaks causing air ingress. Repairs were carried out during the mill shutdown, which eliminated the TRS emissions problem.

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