A Comparative Study of Transpancreatic Sphincterotomy, Double Guidewire Technique, and Precut Sphincterotomy in Difficult Naive Biliary Cannulations in a Tertiary Care Center in Western India

Introduction Difficult biliary cannulation leads to prolonged papillary manipulation and repeated attempts at cannulation are known to increase the risk of postendoscopic retrograde Musical Toys cholangiopancreatography (ERCP) pancreatitis.This study aims to compare the efficacy and complications of three rescue methods, transpancreatic biliary sph

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Association of sustained virologic response with reduced progression to liver cirrhosis in elderly patients with chronic hepatitis C

Chih-Wei Tseng,1,2 Ting-Tsung Chang,3,4 Shinn-Jia Tzeng,5 Yu-Hsi Hsieh,1,2 Tsung-Hsing Hung,1,2 Hsiang-Ting Huang,6 Shu-Fen Wu,7 Kuo-Chih Tseng1,2 1Department of Internal Medicine, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Chia-Yi, 2School of Medicine, Tzuchi University, Hualien, 3Department of Internal Medicine, National Cheng K

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Power Grid Infrastructural Resilience against Extreme Events

Extreme weather events are one of the main causes of large-scale power outages in distribution systems.The changing climate has led to an increase in the frequency and severity of these events, which, if not mitigated, are expected to lead to more instances of widespread outages and the severe societal and economic damages that ensue.Protecting the

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