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Opinion: Obama's Africa Policy; Maternal Health
President Obama is expected to arrive in Accra, Ghana, Friday night, the AP/Google.com reports. White House adviser Michelle Gavin said the president chose to travel to Ghana "because it"s such an admirable example of strong, democratic governance, vibrant civil society" (Babington, 7/10). The following are opinion pieces reflecting on his trip and Africa policy:
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How Long Does It Take To Recover From Total Hip Replacement Surgery?
Most patients undergoing total hip replacement surgery want to know when they"ll be able to return to their normal life. "Recovery time" is a common question posed to specialists and non-specialists alike. There are many factors that can contribute to recovery time, but typically patients can return to normal life activities within 1 to 6 months. To be more specific, however, we can examine the difference between "short-term recovery" and "long-term recovery".
News of the day
HSE Responds To Lord Gill's Inquiry Report Into The Explosion At ICL Plastics, Glasgow (2004), UK
The Health and Safety Executive (HSE) received copies of Lord Gill"s report[1] into the explosion, caused by a leak of liquefied petroleum gas (LPG) on 11 May 2004, when nine people died and many more were injured at the ICL Plastics factory in Maryhill, Glasgow.
Oncology

A Case Of Cecal Volvulus

Cecal volvulus is axial twisting that occurs involving the cecum, terminal ileum, and ascending colon. Rarely, it may take the form of upward and anterior folding of the ascending colon ("cecal bascule"). The research team led by Prof. Hiroshi Suzuki from Toyama Hospital reported a case of caecal voluvuls seen in a 78-year-old woman and was reported in the World Journal of Gastroenterology. A 78-year-old woman presented with fever, severe abdominal pain, and distension. She had been institutionalized for depression and senile dementia. Laboratory examinations disclosed a leucocytosis (WBC: 12500/í¼L) and elevated levels of serum C-reactive protein (2.8 mEq/L). Diagnosis of acute cecal volvulus was made from a "coffee bean sign" on an abdominal computed tomography and a "beak sign" on a gastrographin enema. An emergent laparotomy confirmed the diagnosis and an ileo-colectomy with primary anastomosis was carried out. The patient recovered after intensive respiratory care and fluid therapy, and then returned to her former institution. A review of Japanese literature disclosed that: (1) a marked increase of aged patients with mental disability presenting with cecal volvulus, (2) adoption of ileo-colectomy as the standard surgical procedure, and (3) improved survival of the patients, were observed in the last decade. Reference: Katoh T, Shigemori T, Fukaya R, Suzuki H. Cecal volvulus: Report of a case and review of Japanese literature. World J Gastroenterol 2009; 15(20): 2547-2549. Correspondence to: Hiroshi Suzuki, Professor, Division of Surgery, Toyama Hospital, Tsu-City 514-0043, Japan. Lai-Fu Li World Journal of Gastroenterology


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