Attempted endoscopic closure of a pancreaticocolonic fistula with an over-the-scope clip

Context Spontaneous development of fistulae is an uncommon complication of acute pancreatitis. Until recently,surgical management has been the standard of care. Endoscopic treatment has been described with hemoclips and glue.Case report We report a case of a gentleman with a history of recurrent episodes of acute pancreatitis who presentedwith symptoms correlating with the development of a pancreatic-colonic fistula. Closure of the fistula was attemptedwith an over-the-scope clip. Conclusion More evidence is needed to determine criteria for use of over-the-scope clip inclosure of GI and pancreatic fistulae

Accounting for non-technical issues in computer system design

Thesis (M.S.)--Massachusetts Institute of Technology, Alfred P. Sloan School of Management, 1983.MICROFICHE COPY AVAILABLE IN ARCHIVES AND DEWEYBibliography: leaf 117.by Darrell Lee Gray.M.S

Using Poultry Manure From Layers as a Supplemental Nitrogen Source for Corn

The objectives of this study were to try to find an effective inorganic nitrogen (N) fertilizer rate to apply to a corn crop when poultry manure has been used on the field and to see if an N soil test at sidedress time could help predict the amount of N needed

Reviews

Lilith in a New Light: Essays on the George Macdonald Fantasy Novel. Ed. Lucas H. Harriman. Reviewed by William Gray. Black & White Ogre Country: The Lost Tales of Hilary Tolkien. Edited by Angela Gardner. Illustrated by Jef Murray. Reviewed by Glen GoodKnight. C.S. Lewis and the Search for Rational Religion. John Beversluis. Reviewed by Donald T. Williams. Faith and Choice in the Works of Joss Whedon. K.. Dale Koontz. Reviewed by Amy H. Sturgis. Fritz Leiber, Critical Essays. Ed. Benjamin Szumskyj. Reviewed by Darrell Schweitzer. Myth and Magic: Art according to the Inklings. Eduardo Segura and Thomas Honegger. Reviewed by Jason Fisher. From Narnia to a Space Odyssey: The War of Ideas between Arthur C. Clarke And C. S. Lewis. Ed., and with introduction, by Ryder W. Miller. Reviewed by Joe R. Christopher. The Mirror Crack\u27d: Fear and Horror in JRR Tolkien\u27s Major Works. Ed. Lynn Forest-Hill. Reviewed by Edith L. Crowe. Arda Reconstructed: The Creation of the Published Silmarillion. Douglas Charles Kane. Reviewed by Jason Fisher. Night Operation. Owen Barfield. Reviewed by David Bratman. Eager Spring. Owen Barfield. Reviewed by David Bratman

Life's Simple 7: Saving Black Men's Lives

The burden of cardiometabolic diseases including type 2 diabetes (DM), obesity and hypertension as well as cancer is greatest among Africans Americans (AA). In Ohio, AAs have the highest rates of DM, cardiovascular disease (CVD), cancer and mortality from these diseases. Thus, strategies to prevent DM, CVD, cancer and mortality among AAs are critically needed. The National African American Male Wellness Walk Initiative (AAMWWI) was established in Columbus, Ohio in 2004, with the aim of reducing disparities in chronic diseases and premature death among AA males. During the last 14 years, it has become the largest health initiative in central Ohio for AAs. This year, it is estimated that the AAMWWI had 20,000 participants and nearly 2,000 free health screenings. The Ohio State University has been a valued partner in this effort; and leadership from the AAMWW connected with Ohio State faculty to collaborate in the shared mission of improving disparities in diabetes, CVD, cancer and mortality. Attaining health targets for the American Heart Association's (AHA) "Life's Simple 7" including targets for blood pressure, cholesterol, glucose, smoking, body mass index, physical activity and dietary intake is associated with lower risk of diabetes, cardiovascular disease, cancer and mortality among AAs. The aim of the partnership between AAMWWI and Ohio State is to design a novel intervention for AA males in central Ohio to improve attainment of Life's Simple 7. The audience will hear from Mr. John Gregory, founder of the AAMWWI, Dr. Joshua Joseph, assistant professor of Medicine in the Division of Endocrinology, Diabetes, and Metabolism, and Dr. Darrell Gray, II, assistant professor of Medicine in the Division of Gastroenterology, Hepatology and Nutrition and deputy director of the Center for Cancer Health Equity. These speakers will 1) review the history of AAMWWI, 2) review recent longitudinal Life's Simple 7 using data from the AAMWWI, and 3) engage the audience in discussion about ideas for sustainable intervention for AA males that increases attainment of Life's Simple 7. The target audience includes community members and organization leadership, students, faculty, health advocates, medical professionals, and researchers who are engaged in the work of examining health disparities and achieving health equity.AUTHOR AFFILIATION: Darrell Gray II, Assistant Professor, College of Medicine, [email protected] (Corresponding Author); John Gregory, Co-Founder, African American Male Wellness Walk Initiative; Chad Anderson, Executive Director, African American Male Wellness Walk Initiative; Latasha Parks, Nurse, The Ohio State University Wexner Medical Center; Joshua Joseph, Assistant Professor, College of Medicine; Mark White, Founder, Gateway Health & Wellness Center, and Co-Founder, African American Male Wellness Walk Initiative.The burden of type 2 diabetes (DM), obesity, hypertension and cancer are greatest among African-Americans (AA). In Ohio, AAs have the highest mortality from these diseases. Thus, strategies to prevent DM, CVD, cancer and mortality among AAs are a critical and unmet need. The National African-American Male Wellness Walk Initiative (AAMWWI) was established in Columbus in 2004, with the goal to reduce disparities in premature death among AA males. During the last 14 years, it has become the largest health initiative in central Ohio for AAs. Ohio State has been a valued partner in this effort, and leadership from the AAMWWI connected with Ohio State faculty to collaborate in the shared mission of improving disparities in diabetes, CVD, and mortality. We will review the history of AAMWWI, review recent observational data from AAMWWI, and engage the audience