129 research outputs found
Animalia Humorosum: Aesop's animal fables made more believable with a modern twist
No full textThere is much that is unusual about this 8½” square booklet of 28 pages followed by two pages of advertisements for other books by Óla. For starters, the pages are purple with light-colored typeface and cutout colored characters in partial-page illustrations. The T of C uses superscript to indicate page numbers for the twelve fables. That same page clarifies that Ólafia L. Óla is a pseudonym for V. Subhash. In TH, the hare, not the tortoise, challenges to a race upon no provocation. The author turns this tale into the more usual “Rabbit Races the Hedgehog,” famous among Grimm’s fairytales. Every one of the species looks the same to the superficial hare. In LM, after the mouse frees the lion, the hungry lion eats the mouse. “Steer clear of known dangers.” DW is told just as in the tradition. “Better die on your feet than live on your knees.” In TB, the second traveler takes off his socks; the smell of them revolts the bear, who departs. What did the bear whisper to him? “Tell that fellow that trees offer no safety because bears are good climbers.” The ox makes up a snake friend to worry the dog out of his manger. A passing hunter saves the shepherd boy attacked by a real wolf. The mice do manage to get a bell around the cat’s neck by having it ready around their hole when the cat pokes in its head. Two foxes jump for grapes. One reacts according to the tradition. The other says the effort has been stupid. “We are foxes. We don’t eat grapes. Let’s go and catch some rabbits.” One of two crows suggests the traditional pebble approach. The other says that will take too much time and too many pebbles and will dirty the water. He manages to knock over the pitcher and they can drink both from the water spilled and the water still in the overturned pitcher. The owner of the golden goose eventually stops reading his mail, misses paying taxes, loses his property, and has to give up the goose as compensation for the unpaid taxes. The wolf escapes the lambskin and never comes back. The crow removes the doughnut from his mouth and tells the fox to move along.Ólafia L. Óla (V. Subhash
Palliative laparoscopic hepatico- and gastrojejunostomy for advanced pancreatic cancer
No full textOnly 10% to 20% of pancreatic tumors are resectable at the time of diagnosis. Patients with advanced disease have a median survival of 4.9 months. Palliation is often required for biliary or duodenal obstruction, or both, and for pain. Optimal palliation should guarantee the shortest possible hospital stay and as long a survival as possible with a good quality of life. In recent years, treatment options for palliation of biliary and duodenal obstruction due to pancreatic cancer have broadened. Endoscopic and percutaneous biliary stenting have been shown to be successful tools for safe palliation of high-risk patients. Nevertheless, fit patients with unresectable pancreatic cancer benefit from surgery, which allows long-lasting biliary and gastric drainage. While laparoscopic cholecystojejunostomy and gastroenterostomy in patients with advanced pancreatic cancer have been widely reported, laparoscopic hepatico-jejunostomy has been rarely described. In this article, we describe our technique of laparoscopic hepatico-jejunostomy and gastrojejunostomy. We also discuss current evidence on the indications for these procedures in patients with unresectable pancreatic cancer
Evolved Infantry Subhash Mukhopadhyay/ বিবর্তিত পদাতিক সুভাষ মুখোপাধ্যায়
No full textWhen the present moves towards the future, leaving the past as a witness, it changes itself and reaches its end. In this change, even if the external structure changes, the ideological infrastructure remains intact. Then we do not call it change, but evolution. However, this evolution is not only an evolution of spatial geography and temporal dimensions; it is also an evolution of the mind and mood of the evolved person. Subhash Mukherjee is no exception of this thinking. He is a real example of such evolution. Not only in his political philosophy of life, but also in his literary-centered meditations, poet Subhash Mukhopadhyay did not follow a set path. He changed his opinion, but remained steadfast in his goal. He moved away from leftism ideology and joined hands
with Gandhism. That is true. However, he did not abandon communism. Evolution is the law of the ideological universe. But we must see to it that, that evolved consciousness does not hurt the collective convictions. Subhash Mukhopadhyay is a skilled thinker-artist in this work.
Therefore, in the article under discussion, the primary intention of the author will be to create an outline of evolution in terms of Subhash Mukhopadhyay’s criticism of life, social consciousness, political thought, poetic thought, poetic justice, linguistic thought, aesthetic sense etc. It is to be noted that more examples will be provided from the poet\u27s various poems to authenticate the logical tradition of the discussion. However, for the purpose of presenting the subject matter of the article, various literary forms such as novels, letters or songs will also be used in addition to the poet\u27s poems. And by the end of the article, following these steps, we will reach the evolved consciousness of poet Subhash Mukhopadhyay
Effect of bariatric surgery on future general surgical procedures
No full textBariatric surgery is now accepted as a safe and effective procedure for morbid obesity. The frequency of bariatric procedures is increasing with the adoption of the laparoscopic approach. The general surgeons will be facing many more of such patients presenting with common general surgical problems. Many of the general surgeons, faced with such situations, may not be aware of the changes in the gastrointestinal anatomy following bariatric procedures and management of these clinical situations will therefore present diagnostic and therapeutic challenges. We hereby present a review of management of few common general surgical problems in patients with a history of bariatric surgery
Subcutaneous endoscopic fasciotomy in a porcine model of abdominal compartment syndrome: A feasibility study
No full textPurpose: Treatment of abdominal compartment syndrome (ACS) involves abdominal decompression via a laparotomy, which can result in significant wound-related morbidity. Our aim was to determine if subcutaneous endoscopic abdominal fasciotomy in a porcine model of ACS is feasible and what effect it may have on intra-abdominal pressure (IAP) and superior mesenteric artery (SMA) blood flow.Materials and Methods: A total of 6 female pigs weighing 50 kg each were used for the study. Each animal underwent placement of an arterial line, pulmonary artery catheter, SMA blood flow probe, IAP catheter, and intra-abdominal saline infusion line. After endoscopic dissection of a subcutaneous pocket overlying the rectus muscles, saline was infused into the abdomen to a pressure of 40 mm Hg. Physiologic parameters were measured before and after bilateral endoscopic anterior rectus fasciotomies were performed, and analyzed with a paired t-test.Results: Mean subcutaneous dissection time was 42.5 +/- 11.3 minutes, and mean fasciotomy time was 5.5 +/- 2.3 minutes. There were no significant changes in heart rate, cardiac output, pO(2), or pH during the experiment. IAP increased exponentially as fluid was instilled into the abdomen. SMA blood flow decreased reliably and linearly with increasing IAP. Mean baseline IAP was 4.0 +/- 1.7 mm Hg. IAP decreased from 37 nun Hg to 25 mm Hg after fasciotomy (P < 0.001). Mean baseline SMA blood flow was 629 +/- 164 mL/min. SMA blood flow improved from 265 mL/min to 389 mL/min after fasciotomy (P < 0.01).Conclusion: Subcutaneous endoscopic abdominal fasciotomy is feasible and appears to lower IAP and raise SMA blood flow in a porcine model of ACS
Decoding "Public authority" under the RTI act: a comment on Subhash Chandra Aggarwal v. Indian national congress
No full textThe June, 2013 order of the Central Information Commission ("CIC") in Subhash Chandra Aggarwal v. Indian National Congress which brought political parties within the scope of the Right to Information ("RTI") Act, has highlighted some issues regarding the drafting and interpretation of the RTI Act. The CIC held that the six national political parties which were respondents
in the case, have the ingredients that qualify them as "public authorities" within the meaning of section 2(h) of the RTI Act. In this comment the author argues that the reasoning for holding what constitutes substantial financing that makes a body a "public authority" is not clear and the interpretation of the definition of "public authority" is inconsisten
Effect of bariatric surgery on future general surgical procedures
No full textBariatric surgery is now accepted as a safe and effective procedure for
morbid obesity. The frequency of bariatric procedures is increasing
with the adoption of the laparoscopic approach. The general surgeons
will be facing many more of such patients presenting with common
general surgical problems. Many of the general surgeons, faced with
such situations, may not be aware of the changes in the
gastrointestinal anatomy following bariatric procedures and management
of these clinical situations will therefore present diagnostic and
therapeutic challenges. We hereby present a review of management of few
common general surgical problems in patients with a history of
bariatric surgery
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