Peroral endoscopic myotomy (POEM) is the application of esophageal myotomy to the concept of natural orifice transluminal surgery (NOTES) by utilizing a submucosal tunneling method. Since the first case of POEM was performed for treating achalasia in Japan in 2008, this procedure is being more widely used by many skillful endosopists all over the world. Currently, POEM is a spotlighted, emergin...

This paper x-rayed the effect of multinational oil companies on the chieftaincy institution in Bayelsa state, Nigeria. It reports that the multinational oil companies have unfavourably affected the chieftaincy institution in Bayelsa State through their developmental efforts and the youths of their host communities. Finally, the paper posits that despite the attendant recurrent rebellion and pro...

1 War in Africa, and in other parts of the world, has recently attracted significant attention given the cost of those conflicts in human lives and damage to national and regional economies. A growing and p roductive literature has emerged focussing on the motivations of rebels during these wars. Important econometric work has attempted to explain the economic and political motivations of rebel...

As impostors seldom make lies to pass in the world, without putting false names upon things, [ . . . ] to persuade the people they ought not to defend their liberties, by giving the name of rebellion to the most just and honourable actions that have been performed for the preservation of them; and to aggravate the matter, fear not to tell us that rebellion is like the sin of witchcraft. But tho...

This reflection focuses on the case of a student who failed my English class when I was concurrently a PhD student and a middle school teacher. The pedagogical insight imbedded in the story of our time together adds to the literature on teacher content knowledge Shulman (1986) called the missing paradigm. The piece takes an unorthodox approach to a case study based on the twofold identity of th...

A 54-year-old woman sought clinical consultation because of a > 27-year history of dysphagia. She had an Eckardt score of 13 and was diagnosed with sigmoid-type achalasia (S2 type, type II) based on esophageal motility testing, upper endoscopy, barium esophagography, and clinical presentations. We investigated a technique of peroral endoscopic myotomy (POEM) performed directly without a submuco...

BACKGROUND AND STUDY AIMS Peroral endoscopic myotomy (POEM) is a time-consuming and challenging procedure. Traditionally, the myotomy is done after the submucosal tunnel has been completed. Starting the myotomy earlier, after submucosal tunneling is half completed (concurrent myotomy and tunneling), may be more efficient. This study aims to assess if the method of concurrent myotomy and tunneli...

Associated with the renewal of funding in 2002, and the successful attainment of several of the studies early goals, the current goals of the study have been modified and now include the interaction of marine aerosols with marine boundary layer (MBL) clouds. New goals include: 1) assessment of the relative impacts of purely meteorological and aerosol factors on cloud albedo, 2) determination of...

BACKGROUND The Patient-Oriented Eczema Measure (POEM) is a validated, patient-derived assessment measure for monitoring atopic eczema severity, although further information on how different POEM scores translate into disease severity categories is needed for clinical trials, epidemiological research and audit. OBJECTIVES We sought to determine the relationship between Patient-Oriented Eczema ...

Peroral endoscopic myotomy (POEM) is a revolutionary therapy for achalasia and related disorders. POEM utilizes almost the same myotomy procedure as the Heller myotomy; thus, it would be expected to have the same or greater duration of therapeutic effect. However, to date, there have been no reports to prove the basis for this procedure in achalasia. In this case, we were able to histologically...