Guidelines for perioperative care in elective colonic surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations.

BACKGROUND: This review aims to present a consensus for optimal perioperative care in colonic surgery and to provide graded recommendations for items for an evidenced-based enhanced perioperative protocol. METHODS: Studies were selected with particular attention paid to meta-analyses, randomised controlled trials and large prospective cohorts. For each item of the perioperative treatment pathway, available English-language literature was examined, reviewed and graded. A consensus recommendation was reached after critical appraisal of the literature by the group. RESULTS: For most of the protocol items, recommendations are based on good-quality trials or meta-analyses of good-quality trials (quality of evidence and recommendations according to the GRADE system). CONCLUSIONS: Based on the evidence available for each item of the multimodal perioperative-care pathway, the Enhanced Recovery After Surgery (ERAS) Society, International Association for Surgical Metabolism and Nutrition (IASMEN) and European Society for Clinical Nutrition and Metabolism (ESPEN) present a comprehensive evidence-based consensus review of perioperative care for colonic surgery.

Wilkinson Hall, Chapman College, Orange, California

Wilkinson Hall, Chapman College, Orange, California, looking northwest. J.E. Wilkinson was a former trustee, chairman of the board, and acting president. This building was the first on the campus of Orange Union High Schooi, designed by local architect, C.B. Bradshaw and constructed in 1905 by R. J. Noble. In 1921 it was moved 250 feet and turned 90 degrees to its current location. Acquired in 1954 by Chapman College. it houses the Provost’s office, Academic Affairs, English & Comparative Literature, Graduate Studies, and the departments of Religion and Philosophy. It is listed in the National Registry for Historical Buildings.

Wilkinson Hall and Gentle Soring Fountain, Chapman College, Orange, California

Wilkinson Hall and "Gentle Spring" fountain, Chapman College, Orange, California. J.E. Wilkinson was a former trustee, chairman of the board, and acting president. This building was the first on the campus of Orange Union High Schooi, designed by local architect, C.B. Bradshaw and constructed in 1905 by R. J. Noble. In 1921 it was moved 250 feet and turned 90 degrees to its current location. Acquired in 1954 by Chapman College. it houses the Provost’s office, Academic Affairs, English & Comparative Literature, Graduate Studies, and the departments of Religion and Philosophy. It is listed in the National Registry for Historical Buildings.

Wilkinson Hall and Gentle Spring Fountain, Chapman College, Orange, California

Wilkinson Hall and "Gentle Spring" fountain, Chapman College, Orange, California. J.E. Wilkinson was a former trustee, chairman of the board, and acting president. This building was the first on the campus of Orange Union High Schooi, designed by local architect, C.B. Bradshaw and constructed in 1905 by R. J. Noble. In 1921 it was moved 250 feet and turned 90 degrees to its current location. Acquired in 1954 by Chapman College. it houses the Provost’s office, Academic Affairs, English & Comparative Literature, Graduate Studies, and the departments of Religion and Philosophy. It is listed in the National Registry for Historical Buildings.

Wilkinson Hall, Chapman College, Orange, California

People outside on the grass by Wilkinson Hall, Chapman College, Orange, California. J.E. Wilkinson was a former trustee, chairman of the board, and acting president. This building was the first on the campus of Orange Union High Schooi, designed by local architect, C.B. Bradshaw and constructed in 1905 by R. J. Noble. In 1921 it was moved 250 feet and turned 90 degrees to its current location. Acquired in 1954 by Chapman College. it houses the Provost’s office, Academic Affairs, English & Comparative Literature, Graduate Studies, and the departments of Religion and Philosophy. It is listed in the National Registry for Historical Buildings.

Wilkinson Hall, Chapman College, Orange, California

Wilkinson Hall, 301 N. Orange Street, Chapman College, Orange, California. J.E. Wilkinson was a former trustee, chairman of the board, and acting president. This building was the first on the campus of Orange Union High Schooi, designed by local architect, C.B. Bradshaw and constructed in 1905 by R. J. Noble. In 1921 it was moved 250 feet and turned 90 degrees to its current location. Acquired in 1954 by Chapman College. it houses the Provost’s office, Academic Affairs, English & Comparative Literature, Graduate Studies, and the departments of Religion and Philosophy. It is listed in the National Registry for Historical Buildings.

L2 performance and context of language learning: a comparative study of learners in Tehran and London

The importance of learning context has stirred debates in the field of second language acquisition over the past two decades since studying a second language (L2) abroad is believed to provide authentic opportunities that facilitate L2 acquisition and development. The present paper examines whether language performance of learners studying English in a formal language classroom context at home (AH) is different from performance of learners who study English abroad (SA) where they would have to use English for a range of communicative purposes. The data for this comparative study is part of a larger corpus of L2 performance of 100 learners of English, 60 in Tehran and 40 in London, on four oral narrative tasks. The two groups’ performances are compared on a range of different measures of fluency, accuracy, syntactic complexity and lexical diversity. The results of the analyses indicate that learners in the two contexts are very similar with respect to the grammatical accuracy and aspects of the oral fluency of their performance. However, the SA group appears to have benefited from living and studying abroad in producing language of higher syntactic complexity and lexical diversity. These results have significant implications for language teaching in AH contexts.

The classification of involuntary musical imagery: the case for earworms

Involuntary musical imagery (INMI) is the subject of much recent research interest. INMI covers a number of experience types such as musical obsessions and musical hallucinations. One type of experience has been called earworms, for which the literature provides a number of definitions. In this paper we consider the origins of the term earworm in the German language literature and compare that usage with the English language literature. We consider the published literature on earworms and conclude that there is merit in distinguishing between earworms and other types of types of involuntary musical imagery described in the scientific literature: e.g. musical hallucinations, musical obsessions. We also describe other experiences that can be considered under the term INMI. The aim of future research could be to ascertain similarities and differences between types of INMI with a view to refining the classification scheme proposed here.

Marxist Comrades or Capitalist Pigs? : From Musical Proletarians to Musical Capitalists in Roddy Doyle's The Commitments

Marxist themes of Roddy Doyle’s The Commitments have not often been looked at. Yet, they are decidedly prominent. The band make use of a Marxist image and of collectivist easy-played, easily-understood music in order to gain working class listeners. In fact, the band itself is based on an egalitarian structure, until it, due to an increasing individualist wish for success, falls apart. The aim of this essay is thus to argue, through pointing to the Marxist rhetoric of the band and the hypocrisy around it, and through a comparative reading between The Commitments and Orwell’s Animal Farm, that The Commitments has an allegorical value, much like Animal Farm does, when it comes to depicting the way Marxism has worked and failed as it has been practised in reality.

Gestação após gastroplastia para tratamento de obesidade mórbida: série de casos e revisão da literatura

Objetivo: relatar a evolução de uma série de casos de gestação em mulheres previamente submetidas à cirurgia de bypass gástrico para tratamento de obesidade grave. Métodos: cinco casos consecutivos de gravidez após gastroplastia ocorridos entre 2001 e 2004 foram avaliados. As pacientes tinham idade entre 30 e 34 anos e todas haviam sido submetidas à cirurgia de Capella. Aspectos clínicos, laboratoriais e do acompanhamento materno e fetal foram considerados, durante o período gestacional e após o parto. Foi realizada revisão da literatura internacional, por meio das bases de dados MEDLINE e Web of Science, utilizando os seguintes unitermos: gastroplasty, gastric bypass surgery, bariatric surgery e pregnancy. Resultados: todas as gestações observadas foram únicas e não ocorreram complicações obstétricas, durante o seguimento pré-natal e parto. Também não houve registro de recém-nascidos prematuros ou de baixo peso ao nascimento. Conclusão: nossos dados sugerem que a gravidez após gastroplastia é segura para a mãe e feto. Entretanto, em virtude do limitado volume de informação disponível sobre o tema, investigações adicionais são necessárias para estabelecer recomendações apropriadas com relação ao seguimento dessas gestações _________________________________________________ABSTRACT Purpose: we report a small series of pregnant women who underwent gastric bypass surgery for severe obesity, with a review of the literature on this topic. Methods: five consecutive cases of pregnancy after gastroplasty between 2001 and 2004 were evaluated, and clinical, laboratory and therapeutic features were considered. Patients were 30 to 34 years old and all had been submitted to gastroplasty by the Capella technique. The outcomes for both the pregnant woman and the fetus were evaluated. A search of the English language literature was done through MEDLINE and Web of Science databases with the following terms: gastroplasty, gastric bypass surgery, bariatric surgery, and pregnancy. Results: all 5 pregnancies were singleton. No major obstetric complications were observed and there were no premature or lowbirth weight infants. Conclusion: our data suggest that pregnancy following gastroplasty is safe for mother and fetus. However, since information about this topic is limited, further investigations are required to establish appropriate recommendations concerning the follow-up of these pregnancies

O sertão virou verso, o verso virou sertão:sertão e sertanejos representados e ressignificados pela Literatura de Cordel (1900-1940)

Backland¹ are not only geographic spaces limited by physically established borders. It is a space composed by events, experiences, behavior, symbology, manners related to how to live and see the world. It is developed from historical processes and layers of discourses that contact each other, compete among themselves, establish agreement, promote consensus which define, resignify and update them over time. The present paper seeks to analyze and discuss the forms in which discourses produced by cordel literature² sold and consumed in popular locations, from backlands to coast cities, during the first four decades of 20th century, represented the environment, habits, moral codes, cultural traits, social types, rites and beliefs, related to northeastern backlands. The paper also aims to investigate the forms on how discourses produced by representations contributed to the constitution of backlands as a space culturally constructed. Poems from the poet and editor João Martins de Athayde will be used to establish dialogues between discourses produced by cordel and others discursive modalities, such as, newspapers, prose literature, painting, texts of memoirists and historiography, about backlands, analyzing how those representations circulated, were consumed and absorbed by backlands and other spaces inhabitants, contacted and agreed with other types of discourse, supporting the establishment of backlands as a space and countryside people as a social type