BACKGROUND AND STUDY AIMS With the success of peroral endoscopic myotomy (POEM) in treatment of achalasia, its successful application to other spastic esophageal motility disorders such as Jackhammer esophagus has been noted. The question of whether the lower esophageal sphincter (LES) should be included in the myotomy for Jackhammer esophagus is a topic of current debate. Here, we report our e...

Peroral endoscopic myotomy (POEM) has been established as an optional treatment for achalasia. POEM is an endoluminal procedure that involves dissection of esophageal muscle fibers followed by submucosal tunneling. Inoue first attempted to use POEM for the treatment of achalasia in humans. Expanded indications of POEM include classic indications such as type I, type II, type III achalasia, fail...

INTRODUCTION Data on anesthesia management and outcomes associated with peroral endoscopic myotomy (POEM) performed exclusively in the endoscopy unit are limited. In this prospective study, we evaluated the safety of anesthesia management, and the feasibility and efficacy of POEM performed exclusively in the endoscopy unit. METHODS A single-center prospective study of consecutive patients wit...

Background and study aims Per-oral endoscopic myotomy (POEM) has emerged as an efficacious treatment modality for the management of achalasia cardia (AC) and non-achalasia spastic esophageal motility disorders. Initial results are encouraging. We analyzed the safety and efficacy of POEM in a large cohort of patients with AC. Patients and methods The data from patients who underwent POEM (from J...

How much does language influence how we think? How far are the categories of our language contingent and culture-specific? Few questions are of greater significance to the social sciences. In this paper we attempt to demonstrate that linguistic semantics can address these questions with rigour and precision, by analysing some examples of cultural 'key words' in several languages. We want to arg...

This study explored touchscreen keyboards using high precision touchscreen strategies. Phase one evaluated three possible monitor positions: 30, 45, and 75 degrees from horizontal. Results indicate that the 75 degree angle, approximately the standard monitor position, resulted in more fatigue and lower preference ratings. Phase two collected touch bias and key size data for the 30 degree angle....

some arab critics and historians believe that if we cast a look at complete poetical work of mahmoud sami al-baroudi, we will realize that he has not brought anything new into poetical affairs and technical form of poem. and also he has not stepped out of the current issues of his own age. al-baroudi’s poetry has been divided into panegyric, lampoon, glory, and rhyming and his sensational prosp...

â â  this article deals with the systematic significance of ney (the flute) , which is rooted in persian literary heritage and was manifested in the work of jaläl-ad-dä«n-e rå«mä«, also known as mowlavi. it then elaborates on its influence on modern arab poetry. to achieve this, the article first takes a glimpse at the famous poem by mowlavi, known as “ the flute” and outlines its symbolic...

In blunt terms, the thesis I argue for here is that poetry is of no use in health care ethics education, because poetry is of no use. Put more circumspectly, insofar as a poem is given to health care students to read as a poem, it will not help achieve the ends of health care ethics education This is a conceptual point, arising from the idea that any genuine engagement of an individual with a p...

Per oral endoscopic myotomy (POEM) is a novel endoscopic procedure for achalasia treatment. Due to its novelty and high success rates, a repeat procedure is usually not warranted, making the feasibility and safety of such approach unknown. We report the first case of a successful repeat POEM done at the same site of a previously uncompleted POEM. An 84-year-old female with type 2 achalasia pres...