Independentism and the European Union. EPC Policy Brief, 7 May 2014

Independentism is a live issue in Europe today. In the European Union separatist parties have gained votes in Scotland, Catalonia, Flanders and elsewhere, and referendums are in prospect. In Eastern Europe Crimea’s referendum has led to an international crisis. Graham Avery, senior adviser to the EPC asks in this policy brief: What is the European Union's policy on independentism? Is the division of a member state into two states bad for the EU? And finally, how is the organisational structure of the EU relevant to independentism?

The law of treaties as applied by the government of the United States of America.

Mimeographed.

Treaty provisions relating to the rights of inheritance, acquisitions, and ownership of property in force between the United States and other countries /

Mode of access: Internet.

The Nile projects,

Charges brought by Sir William Willcocks against Sir Murdoch MacDonald, adviser to the Egyptian Ministry of Public Works- Charges A, B, and C, of the [Nile projects] committee's criticism (articles 8 to 21) of the report, which concern Lt. Col. Kennedy.--Charge made by the committee against Sir William Willcocks.--Charge made by the committee against Lt. Col. Kennedy and Sir William Willcocks.--Appendices.

The Agricultural journal of India.

1916-19 include a "Special Indian Science Congress number," consisting of papers bearing on agriculture and allied subjects read at the annual congresses.

The bee-keepers' record.

Published by: J. Herrod-Hempsall, 1926-1952; British Bee Publ., Ltd., 1953-54.

The educational job ahead : as co-op leaders see it.

Cover title.

Survey and inspection of non-provided schools ...

Report, dated 7th April 1905.--Appendices: A-B. Reports of the architect (education) on school buildings, and on the results of tests of drains. C. Return showing--1. Accommodation; 2. Roll and average attendance (September and October 1904); 3. Staff on 1st May 1904, fixed staff 1905-6, and final staff with costs; 4. Loss of accommodation; 5. Recommendations of sub-committees; 6. Small sketch plans of the schools. D. Return of staff on 1st May 1904, showing name, age, status, qualifications, salary, etc., with small sketch plans of the schools. E. Reports of the educational adviser and of the architect, on accommodation. F. Report of the comptroller.--Map and index.--Appendix to Report of Education committee. 26th July, 1905. Salaries of teachers in non-provided schools appointed prior to and since 1st May, 1904, at salaries and under conditions other than those provided for in the council's scale of salaries for teachers.

Men's Gymnastics Team, U-M, 1959

Back Row: adviser Ed Gagnier, Richard Montpetit, Nino Marion, Barry Feinberg, co-captain Jim Hayslett, Wolfgang Dozauer, coach Newt Loken

Front Row: Dick Kimball, Frank Newman, Charles Clarkson, Ed Cole

Not in picture, Jim Brown, Bill Skinner

Bee-keepers' record.

Imprint varies.

Summary of agricultural operations at state institutions.

Report year ends June 30.

Continent bladder stoma

The formation of an aesthetically desirable urinary diversion through a continent bladder stoma requires a long-term commitment by both patient and urologist to monitoring patient progress and addressing problems, both urological and otherwise, which arise over time. In this manuscript, issues relating to physical aspects of surgical management are discussed. These include the nature of and siting of the stoma and its catheterising track, the continence mechanism, provision of a low-pressure storage system of adequate capacity and management of the bladder neck/urethra when incompetent. It is imperative that careful patient selection is practised at the outset when such surgery is contemplated, otherwise a satisfactory outcome is unlikely to ensue irrespective of the procedural skills employed operatively.

Laparoscopic Swenson procedure - An optimal approach for both primary and secondary pull-through for Hirschsprung's disease

Background/Purpose: Several pull-through procedures are available for the surgical management of Hirschsprung's disease (HD) in children. The authors have adopted a laparoscopic approach since 1995, including laparoscopic Swenson procedure (LSw), both for one-stage primary and 2-stage secondary procedures. The aim of this study was to examine the role of LSw in children with HD in both primary and secondary procedures. Methods: From January 1995 to December 2001, 42 children with biopsy-proven HD underwent laparoscopic pull-through procedure for HD. This group included 29 children who underwent LSw, a detailed analysis of which forms the basis of this report. Results: Sixteen children underwent a single-stage neonatal LSw; the median weight of this group at the time of surgery was 3.2 kg and the median age was 5 days. Secondary LSw was performed in the remaining 13 children, which included 3 children with total colonic HD who underwent laparoscopic total colectomy and LSw. The median operating time was 105 minutes (range, 66 to 175 minutes). The median time to commence full diet was 48 hours (range, 24 to 86 hours), and median time to return to normal play and activity was 72 hours (range, 48 hours to 5 days). There was no difference in operating time between primary and secondary pull-through procedures. There were no intraoperative complications, and no patient required open conversion. Postoperative ileus was noted in 3 children and enterocolitis in 2. The median hospital stay was 4 days (range, 2 to 6 days). Follow-up was between 6 months to 7 years with a median follow-up of 2.2 years. At follow-up, 2 children required laparoscopic antegrade continence enema procedure. A satisfactory continence was noted in 15 of the 19 children who were older than 3 years at the time of last follow-up. Conclusions: LSw seems to be a suitable procedure for laparoscopic management of HD in children. LSw is safe and effective, both for primary and secondary type of pull-through procedures, with good short-term results.

Rehabilitation of pelvic floor muscles utilizing trunk stabilization

The pelvic floor muscles (PFM) are part of the trunk stability mechanism. Their function is interdependent with other muscles of this system. They also contribute to continence, elimination, sexual arousal and intra-abdominal pressure. This paper outlines some aspects of function and dysfunction of the PFM complex and describes the contribution of other trunk muscles to these processes. Muscle pathophysiology of stress urinary incontinence (SUI) is described in detail. The innovative rehabilitation programme for SUI presented here utilizes abdominal muscle action to initiate tonic PFM activity. Abdominal muscle activity is then used in PFM strengthening, motor relearning for functional expiratory actions and finally impact training. (C) 2003 Elsevier Ltd. All rights reserved.

Pubovaginal sling versus transurethral Macroplastique for stress urinary incontinence and intrinsic sphincter deficiency: a prospective randomised controlled trial

Objective To compare the pubovaginal sling and transurethral Macroplastique in the treatment of female stress urinary incontinence (SUI) and intrinsic sphincter deficiency (ISD). Design A prospective randomised controlled trial comparing two surgical treatments for SUI and ISD. Setting Tertiary referral urogynaecology unit in Australia. Population Women with SUI and ISD who were suitable for either surgical technique. Methods Forty-five women with SUI and ISD were randomly allocated the pubovaginal sling (n = 22) or transurethral Macroplastique (n = 23). Subjective and objective success rates, patient satisfaction and cost measurements at six months and one year following surgery were the primary outcome measures. A telephone questionnaire survey was performed at a mean follow up period of 62 months (43-71). Main outcome measure Comparison of success rates, complications and costs. Results The symptomatic and patient satisfaction success rates were similar following the sling and Macroplastique with the objective success rate being significantly greater (P < 0.001) following the sling (81% vs 9%). Macroplastique had significantly lower morbidity but was more expensive than the sling (P < 0.001). Response rate at 62 months follow up was 60% in both groups with the sling group reporting better continence success (69% vs 21%) and satisfaction rates (69% vs 29%, P = 0.057). Conclusions The pubovaginal sling was more effective and economical than transurethral Macroplastique for the treatment of SUI and ISD. However, transurethral Macroplastique remains an appropriate treatment in selected cases of SUI and ISD.