Self-Expandable Metal Stents for Left Sided Colon Obstruction from Diverticulitis. A Single Center Retrospective Series

Background and Objectives: The incidence of diverticulitis is increasing in western countries. Complicated diverticulitis is defined as diverticulitis associated with localized or generalized perforation, localized or distant abscess, fistula, stricture or obstruction. Colonic symptomatic strictures are often treated with segmental colectomy. The aim of our study is to report our experience with Self Expandable Metal Stents (SEMS) placement to relieve sigmoid obstruction secondary to diverticulitis, either as a permanent solution or as a bridge to elective colectomy. Material and Methods: From January 2016 to December 2018, 21 patients underwent SEMS placement for sigmoid obstruction secondary to diverticulitis at our institution. In four patients with poor general conditions, SEMS was considered the definitive form of treatment. In 17 patients, the stent was placed as bridge to elective colectomy. Data were prospectively collected and retrospectively analyzed. Primary outcomes were postoperative mortality and morbidity after SEMS and subsequent elective colectomy. Results: There was no mortality or major morbidity after SEMS placement or subsequent elective colectomy. No stoma was performed. Conclusions: Placement of Colorectal Self Expandable Stent represents a useful tool to relieve obstruction in patients with left-sided colonic diverticulitis. SEMS placement makes it possible to transform an emergency clinical condition into an elective condition, giving time to resolve the inflammation and the infection inevitably associated with complicated diverticulitis.

The State

Chapter 6 discusses late eighteenth- and early nineteenth-century geography books’ sustained focus on the political states of Europe. The books present states both as organic communities with multi-faceted jurisdictions, and as increasingly centralized governmental authorities. They usually specify that monarchy is the definitive form of European government, and that European states share a propensity for ‘liberty’, broadly defined as respect for law and property, and the maintenance of the balance of power in Europe. Some geographical texts talk about ‘nations’, but ideas about European polities remain reliant on established notions of governmental structures.

An Irish Race Convention? Body Politics and the 1924 Tailteann Games

Covering the 1924 Tailteann Games, a 2-week sporting and cultural celebration held in the Irish Free State, the following article explores the broader sociocultural significance of the Tailteann’s opening ceremony. Said to be the restoration of an ancient Irish festival, the Tailteann Games were envisioned as an Irish ‘race Olympiad’ open to those born in Ireland and those of Irish descent. Welcoming visitors from several nations, the festival marked an ambitious effort on the part of its organisers to formally announce the newly independent state onto the world stage. While previous studies on the Tailteann Games of 1924 have depicted it as an attempt to project a certain kind of Irish identity, the present article seeks to specify the meaning of this identity in much greater detail. Surveying the use of ancient folklore, mass gymnastic displays and modern technologies during the opening ceremony, it is argued that the 1924 Games sought to depict the Irish Free State as a young, modern and culturally vibrant state. The article thus highlights efforts to project a specific and definitive form of Irish identity during the Free State’s opening years.

“Though This Be Madness, Yet There Is Method In’t”: The mamnūʿ min al-ṣarf (Diptotes) in Arabic Grammatical Tradition

This article discusses theories designed by medieval Arabic grammarians to explain one of the most puzzling topics in Arabic grammar, mamnūʿ min al-ṣarf (diptotes). The mainstream theory of mamnūʿ min al-ṣarf probably took on its definitive form in the early 4th/10th century; it differs from Sībawayhi’s (d. ca 180/796) theory, yet consists of a generalisation of features found in the latter. A later modification, which retained its basic elements, was presented to the mainstream theory probably during the 7th/13th century. A radically different theory was presented by al-Suhaylī (d. 581/1185), who harshly criticised the mainstream theory as inadequate and arbitrary.

Basic Concept of Intellectual property Rights (IPRs)

Intellectual property Rights (IPRs) is protected by different systems of laws. Journals must choose a definitive form of systems. Some Blackwell journals use copyright system and some Blackwell use license from authors. Now a days online journals are using creative common licenses. Under creative common license journals are open access, allowed to download, copy, distribute, and display derivative works with proper attribution to author or owner for noncommercial purpose at a free cost. Education on IPRs will support to comprehend ones rights, professional code of conduct and the doctrine of "fair use" in publication. One cannot do anything with once writing. Researchers, academic, editors and readers must have the basic knowledge on who owns the rights in a publication and what users can do with the publication by law.

DEVELOPMENT OF HEART АT EARLY STAGES OF HUMAN ОNTOGENESIS

In the study, the peculiarities of development in the embryonic and early pre-production periods of human ontogenesis are studied. The timing of the laying of structures from which gradually formed the atrium and ventricles of the heart, the interdermal and interventricular septum of the organ are established. The process of the formation of the valves of the heart has been observed. It was noted that in the prenatal of the 7th week of intrauterine development the structure of the heart resembles a definitive form. During the 4th week of intrauterine development on the upper wall the only atrium in the median line there is a concavity on the lower surface of which there is a crescentic protrusion, this is the initial of the primary atrial septum. In the 5 weeks of embryo, the free edge of the primary primitive partition grows caudally in the direction of the atrioventricular tubule, thus gradually separating the right and left atrium. In embryos 7-8 weeks of intrauterine development (embryos 18.0 - 30.0mm PСL), the heart takes the position from horizontal to vertical, due to intense and uneven growth adjacent organs and structures, especially the liver. In embrions of this age group, the length of the heart ranges from 1.5±0.05mm to 2.1±0.05mm, and the width at the base of the heart is – 480.0±10.0μm 590.0±5,0μm The thickness of the wall of the left ventricle is dominated by the thickness of the wall of the right ventricle at 30,0±2,0μm, and the thickness of the walls of the right and left atrium is almost the same.

Introduction

This introductory chapter provides a brief summary of the discussions in the succeeding chapters. Here, the new quantum mechanics has in recent years achieved in its essential parts what is presumably a definitive form: the so-called “transformation theory.” Therefore the principal emphasis shall be placed on the general and fundamental questions which have arisen in connection with this theory. In particular, the difficult problems of interpretation, many of which are even now not fully resolved, will be investigated in detail. In this connection, the relation of quantum mechanics to statistics and to the classical statistical mechanics is of special importance.

Uma porta fechada ao devaneio: uma aplicação a textos sânscritos dos esquemas de abordagem linguístico-retórica de Isaac Nicolau Salum

In four articles issued between 1971 and 1975, Isaac Nicolau Salum outlined the main ideas of a “linguistic-rhetorical approach” method to texts not giving it a definitive form, which was, however, tried to be attained by means of inumerable text schematization exercises published in eleven booklets up to 1979.Rescuing some of lhe scattered proposals in those writings, this article aims at meditating about the method value for a critical study of texts and for the analysis of the speech, and at the same time, as a corroboration of the procedure effectiveness. applying it to the characterization of Nala and Damayanti, characters of a parallel account to the narrative structure of the Sanskrit epic poem Mahābhārata, for whom it reveals rhetorical dimensions that a less attentive reading will neglect.

Prayer Book Use and Conformity

This chapter begins by noting the key place of liturgical worship in Anglican identity and reflects on the effect of inculturated and multiple-choice liturgical forms in weakening a common global identity for Anglicans. It then makes a case for the profound ecclesiological significance of the Prayer Book tradition in the absence of either extensive confessions or a living magisterium: the principle that the rule of prayer is the rule of belief. The chapter then outlines the development of the Book of Common Prayer from Thomas Cranmer to the definitive form of 1662 and its derivatives and alternatives in modern Anglicanism. The following section outlines how the Lambeth Conference, as the highest teaching forum of the Anglican Communion, has understood the Prayer Book since its first meeting in 1867. In conclusion, the chapter discusses what, if anything, makes Anglican worship distinctive among Christian practices.