In 1968, in a remark as wise as it is learned, Professor George Clark wrote of The Battle of Maldon that “what the poet does not create does not exist even if history inspires his poem.” Readers of the poem have been mulling this over for forty years. The historical information the poem affords us has been subject, in some degree, to alteration by imagination, to the formulae of verse, and to t...

BACKGROUND AND AIM Both peroral endoscopic myotomy (POEM) and pneumatic dilation (PD) has proved to be effective for treating achalasia in patients aged ≥ 65 years. However little is known about the comparison between POEM and PD. The aim of the study was to compare the safety and efficacy of POEM and PD for the treatment of achalasia in these patients. METHODS We retrospectively reviewed the...

Achalasia refers to the lack of smooth muscle relaxation of the distal esophagus. Although nonsurgical treatments such as pneumatic dilatation of the distal esophagus and botulinum toxin injections have been performed, these procedures have limited duration. Similarly, surgical treatment with Heller myotomy is associated with complications. At our institution, we perform the peroral endoscopic ...

There are considerable barriers to creative and innovative adoption of ICT, and especially module websites, in undergraduate geography teaching. For academics, some bar riers are related to the learning curves demanded by webpage design programmes and testing software (even commercial products such as Blackboard), while others seem to be a product of lack of knowledge about the possibilities at...

. . . in my view the pendulum has over swung with the stringent new ACGME residency work-hour restrictions. I do not believe that the challenges to continuity of care are of benefit to either patients or trainees. We walked down the hall at a brisk pace, challenged with the task of seeing all the patients before our time for rounds expired. Upon reaching the sought-after room, I inquired “who k...