30 research outputs found

    Tasleḍt tasnalɣant n tmeslayt n At Yeɛla n Uqemqum (Lesnam)

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    Tasleḍt tasnalɣant n tmeslayt n At Yeɛla n Uqemqum (Lesnam)Tutlayt d allal n teywalt1, d tamagit n yal agdud deg umaḍal. Tawuri-s ur teqqin ara kan ɣer teywalt, acku yal timetti, yal aɣref yettmeslay tutlayt-is, ayen i tt-yettağğan tẓeṭṭ assaɣ iğehden yid-s. Tutlayt n tmaziɣt, d tutlayt seg tutlayin n umaḍal, ttmeslayen-tt yimezdaɣ n Tefriqt ugafa am : Lezzayer, Tunes, Maṛuk, Libya d Maṣer, tella daɣen deg kra n tmura n unẓul am : Mali, Niğer, Muriṭanya akken i d-yenna ACHAB, (R) : « Tamaziɣt tettbin-d s wudem n waṭas n tmeslayin, ttwazuzrent ɣef yiwet n trakalt d tahrawant 2». Tutlayt tamaziɣt tebda-d s timawit (timucuha, inzan,…), imiren ulac tizrawin yettwaxedmen fell-as armi d tasuta tis 19 i bdan yimusnawen xeddmen tizrawin ɣef yiḍrisen n tsekla i d-gemren, am tmucuha d yiḍrisen n tmedyazt, daɣen tella-d temhazt s yisegzawalen i xedmen ɣef tmeslayin aladɣa taqbaylit. Seg wid yuran, ad d-nebder asegzawal amezwaru « Dictionnaire Kabyle- Français » n DU PARADIS Venture deg useggas n 1790, i d-yefkan anamek i wawalen n teqbaylit s tutlayt tafransist, syin iban-d usegzawal yettwassnen mliḥ : « Dictionnaire Kabyle-Français (Parler des Ait Menguellat, Algérie) » n DALLET Jean-Marie deg useggas n 1982, yexdem tazrawt i tmeslayt n taddart n At Mengellat i d-yezgan deg waɣir n Tizi-Wezzu. Llant daɣen tezrawin neɣ leqdicat i xedmen imusnawe

    Association of mechanical bowel preparation with oral antibiotics and anastomotic leak following left sided colorectal resection:an international, multi-centre, prospective audit

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    Introduction: The optimal bowel preparation strategy to minimise the risk of anastomotic leak is yet to be determined. This study aimed to determine whether oral antibiotics combined with mechanical bowel preparation (MBP+Abx) was associated with a reduced risk of anastomotic leak when compared to mechanical bowel preparation alone (MBP) or no bowel preparation (NBP). Methods: A pre-planned analysis of the European Society of Coloproctology (ESCP) 2017 Left Sided Colorectal Resection audit was performed. Patients undergoing elective left sided colonic or rectal resection with primary anastomosis between 1 January 2017 and 15 March 2017 by any operative approach were included. The primary outcome measure was anastomotic leak. Results: Of 3676 patients across 343 centres in 47 countries, 618 (16.8%) received MBP+ABx, 1945 MBP (52.9%) and 1099 patients NBP (29.9%). Patients undergoing MBP+ABx had the lowest overall rate of anastomotic leak (6.1%, 9.2%, 8.7% respectively) in unadjusted analysis. After case-mix adjustment using a mixed-effects multivariable regression model, MBP+Abx was associated with a lower risk of anastomotic leak (OR 0.52, 0.30–0.92, P = 0.02) but MBP was not (OR 0.92, 0.63–1.36, P = 0.69) compared to NBP. Conclusion: This non-randomised study adds ‘real-world’, contemporaneous, and prospective evidence of the beneficial effects of combined mechanical bowel preparation and oral antibiotics in the prevention of anastomotic leak following left sided colorectal resection across diverse settings. We have also demonstrated limited uptake of this strategy in current international colorectal practice

    Evaluating the incidence of pathological complete response in current international rectal cancer practice

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    The mainstay of management for locally advanced rectal cancer is chemoradiotherapy followed by surgical resection. Following chemoradiotherapy, a complete response may be detected clinically and radiologically (cCR) prior to surgery or pathologically after surgery (pCR). We aim to report the overall complete pathological response (pCR) rate and the reliability of detecting a cCR by conventional pre-operative imaging.A pre-planned analysis of the European Society of Coloproctology (ESCP) 2017 audit was performed. Patients treated by elective rectal resection were included. A pCR was defined as a ypT0 N0 EMVI negative primary tumour; a partial response represented any regression from baseline staging following chemoradiotherapy. The primary endpoint was the pCR rate. The secondary endpoint was agreement between post-treatment MRI restaging (yMRI) and final pathological staging.Of 2572 patients undergoing rectal cancer surgery in 277 participating centres across 44 countries, 673 (26.2%) underwent chemoradiotherapy and surgery. The pCR rate was 10.3% (67/649), with a partial response in 35.9% (233/649) patients. Comparison of AJCC stage determined by post-treatment yMRI with final pathology showed understaging in 13% (55/429) and overstaging in 34% (148/429). Agreement between yMRI and final pathology for T-stage, N-stage, or AJCC status were each graded as 'fair' only (n = 429, Kappa 0.25, 0.26 and 0.35 respectively).The reported pCR rate of 10% highlights the potential for non-operative management in selected cases. The limited strength of agreement between basic conventional post-chemoradiotherapy imaging assessment techniques and pathology suggest alternative markers of response should be considered, in the context of controlled clinical trials

    Removal of the Materials Test Reactor overhead working reservoir

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    Salient features of the removal of an excessed contaminated facility, the Materials Test Reactor (MTR) overhead working reservoir (OWR) from the Test Reactor Area to the Radioactive Waste Management Complex at the Idaho National Engineering Laboratory are described. The 125-ton OWR was an overhead 160,000- gallon-capacity tank approximately 193 feet high which supplied cooling water to the MTR. Radiation at ground level beneath the tank was 5 mR/hr and approximately 600 mR/hr at the exterior surface of the tank. Sources ranging from 3 R/hr to in excess of 500 R/hr exist within the tank. The tank interior is contaminated with uranium, plutonium, and miscellaneous fission products. The OWR was lowered to ground level with the use of explosive cutters. Dismantling, decontamination, and disposal were performed by Aerojet Nuclear Company maintenance forces. (auth
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