OBJECTIVE Approximately 50% of constipated children contract rather than relax the external sphincter complex during a defecation attempt. Although biofeedback training (BF) is able to change this defecation behavior, there is no additional effect of BF to conventional treatment (CT) on clinical outcome compared with CT alone. It has been postulated that the absence of a significant difference ...

PURPOSE We present 12-month followup results of functional evaluation and safety assessment of a modification of hemorrhoidal artery ligation (DGHAL) called Recto-Anal-Repair (RAR) in treatment of advanced hemorrhoidal disease (HD). METHODS Patients with grade III and IV HD underwent the RAR procedure (DGHAL combined with restoration of prolapsed hemorrhoids to their anatomical position with ...

would have been expressed in fewer words! Another gentleman with true military fortiter in re friendship, told me my pamphlet was tit to line trunks with, reminding one of what O'Connell said to a writer, *'1 saw an excellent thing in your last essay !" " What was it ? what was it ?" eagerly cried Scriblerus. "It was a mutton pie," replied O'Connell!. I have therefore good reason to remember Lo...

S tudents often approach the familiar stories of the Bible wondering what more they can learn from texts they have been reading since childhood.As teachers, we face the challenge of getting students to focus on the text itself, without being overly influenced by the preconceptions and interpretations that have become attached to these stories through centuries of retelling and commentary. One d...