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A field research campaign, the Hail Spatial and Temporal Observing Network Effort (HailSTONE), was designed to obtain physical high-resolution hail measurements at the ground associated with convective storms to help address several operational challenges that remain unsatisfied through public storm reports. Field phases occurred over a 5-yr period, yielding hail measurements from 73 severe thunderstorms [hail diameter ≥ 1.00 in. (2.54 cm)]. These data provide unprecedented insight into the hailfall character of each storm and afford a baseline to explore the representativeness of the climatological hail database and hail forecasts in NWS warning products. Based upon the full analysis of HailSTONE observations, hail sizes recorded in Storm Data as well as hail size forecasts in NWS warnings frequently underestimated the maximum diameter hailfall occurring at the surface. NWS hail forecasts were generally conservative in size and at least partially calibrated to incoming hail reports. Storm mode played a notable role in determining the potential range of maximum hail size during the life span of each storm. Supercells overwhelmingly produced the largest hail diameters, with smaller maximum hail sizes observed as convection became progressively less organized. Warning forecasters may employ a storm-mode hail size forecast philosophy, in conjunction with other radar-based hail detection techniques, to better anticipate and forecast hail sizes during convective warning episodes.

OBJECTIVE: To provide current information on the risks of endoscopic sphincterotomy for stone. SUMMARY BACKGROUND DATA: In recent years (since the popularity of laparoscopic cholecystectomy), endoscopic sphincterotomy has been used increasingly for the management of bile duct stones in relatively young and healthy patients. The validity of this trend has been questioned using data on short-term complications derived from earlier decades that involved more elderly and high-risk patients. METHODS: Seven academic centers collected data prospectively using a common database. Complications within 30 days of the procedures were documented by standard criteria. RESULTS: Of 1921 patients, 112 (5.8%) developed complications; two thirds of these events were graded as mild (