WSES Jerusalem guidelines for diagnosis and treatment of acute appendicitis

Acute appendicitis (AA) is among the most common cause of acute abdominal pain. Diagnosis of AA is challenging; a variable combination of clinical signs and symptoms has been used together with laboratory findings in several scoring systems proposed for suggesting the probability of AA and the possible subsequent management pathway. The role of imaging in the diagnosis of AA is still debated, with variable use of US, CT and MRI in different settings worldwide. Up to date, comprehensive clinical guidelines for diagnosis and management of AA have never been issued. In July 2015, during the 3rd World Congress of the WSES, held in Jerusalem (Israel), a panel of experts including an Organizational Committee and Scientific Committee and Scientific Secretariat, participated to a Consensus Conference where eight panelists presented a number of statements developed for each of the eight main questions about diagnosis and management of AA. The statements were then voted, eventually modified and finally approved by the participants to The Consensus Conference and lately by the board of co-authors. The current paper is reporting the definitive Guidelines Statements on each of the following topics: 1) Diagnostic efficiency of clinical scoring systems, 2) Role of Imaging, 3) Non-operative treatment for uncomplicated appendicitis, 4) Timing of appendectomy and in-hospital delay, 5) Surgical treatment 6) Scoring systems for intra-operative grading of appendicitis and their clinical usefulness 7) Non-surgical treatment for complicated appendicitis: abscess or phlegmon 8) Pre-operative and post-operative antibiotics.Peer reviewe

The enigma of reversibility and the genesis of sense in Merleau-Ponty

This article clarifies Merleau-Ponty’s enigmatic, later concept of reversibility by showing how it is connected to the theme of the genesis of sense. The article first traces reversibility through “Eye and Mind” and The Visible and the Invisible, in ways that link reversibility to a theme of the earlier philosophy, namely an interrelation in which activity and passivity reverse to one another. This linkage is deepened through a detailed study of a passage on touch in the Phenomenology’s chapter on “Sensing,” which shows how reversibility is important to the genesis of sense, not from some already given origin, but through a creative operation within being, beyond the perceiver, wherein the field of perception internally diverges into active and passive moments. The article connects this point about the genesis of sense to themes in Merleau-Ponty’s lectures on institution and passivity. Altogether the article shows how reversibility is a sign of a divergence and thence of a sort of gap or excess in being that allows for a genesis of sense within being itself

Speech Communication

Contains table of contents for Part V, table of contents for Section 1, an introduction, reports on five research projects and a list of publications.C.J. Lebel FellowshipDennis Klatt Memorial FundNational Institutes of Health Grant R01-DC00075National Institutes of Health Grant P01-DC00361-06A1National Institutes of Health Grant R03-DC01721National Institutes of Health Grant R01-DC01291National Institutes of Health Grant R01-DC00261National Institutes of Health Contract R01-DC00776National Science Foundation Grant IRI 89-05249National Science Foundation Grant IRI 89-10561National Science Foundation Grant INT 90-2471

Speech Communication

Contains table of contents for Part V, table of contents for Section 1, reports on six research projects and a list of publications.C.J. Lebel FellowshipDennis Klatt Memorial FundNational Institutes of Health Grant R01-DC00075National Institutes of Health Grant R03-DC01721National Institutes of Health Grant R01-DC01291National Institutes of Health Grant R01-DC00261National Institutes of Health Grant P01-DC00361-06A1National Institutes of Health Grant R01-DC00776National Science Foundation Grant IRI 89-05439National Science Foundation Grant IRI 89-10561National Science Foundation Grant INT 90-2471