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Main · Videos; Babyboomerpeoplemeet com the baby boomer dating network examen de gastroenterologia online dating examen de gastroenterologia online . Clinical and Translational Gastroenterology, published on behalf of the ACG, is a peer-reviewed, open-access online journal dedicated to innovative clinical. Were rarely online dating belfast permitted change clothes best fetish dating sites to take a test drive with each on ground that free african american dating sites.
Nevertheless, epidemiological studies suggest that CRC incidence among the young is increasing Most of the series consider 40 years as the cut-off limit of age to define a patient as a young one According to the literature, the percentage of young patients with CRC varies between 0. In our country, a retrospective study showed that Eighty-five percent of patients are symptomatic 14with abdominal pain and bleeding as the most common symptoms The rectum and left colon constitute the most frequent locations The prognosis of CRC in the young is still controversial.
Several studies agree that tumors in this age-group are diagnosed in later stages, with higher histological grade and more frequently of mucinous and signet ring cell types, when compared to older adults All of these features, contributing to a poorer prognosis 9,10,15, Still, other studies report similar outcomes when compared to older patients Due to the disagreements within the literature and adding the fact that, so far, no study on CRC in young patients has been published in our country, the present study aims to determine the clinicopathological features and factors related to CRC prognosis in patients aged 40 or less from our institute.
Two-hundred and fifty-five patients were 40 years old or younger. From this group, 48 subjects without histopathological confirmation of diagnosis at our institution were excluded, as well as other 11, for corresponding to other diagnosis Figure 1.
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One editorial emphasized that the best way of advancing in the debate was to regularly publish all medically relevant issues and problems 1. Almost two centuries later the doubt is not anymore why to publish, but what, where, when, and with which standard of excellence. Whoever is not in the media becomes anonymous or almost so, and media for doctors are preferentially renowned and respected publications with high impact, thus able to convey status, credibility and wide repercussion to submitted studies.
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One may identify here two encroaching circles, one virtuous and the other vicious. From one side there are limited and vulnerable communications, with unsophisticated methodology and unconvincing results. Journals that agree to publish them are exposing themselves to criticism and may in the future only receive similarly fragile submissions, with the risk of progressive irrelevance.
The opposite is true as well. Elite publications with first class articles attract the best authors and protocols in a rich-gets-richer effect, therefore tending to become even more prestigious and powerful. It becomes obvious that everybody should quest for excellence and escape the abyss.
One needs more than good intentions to reach such aim. Almost all current advices extol the importance of cooperative efforts and the union of forces.
Solitary genius investigators still exist, conducting innovative and pioneering studies year after year. By the same token isolated journals with small author circles sometimes maintain top quality. In most circumstances however, there is no alternative for a broad and solid supporting base. Albert Einstein succeeded in deducting some of the most fundamental laws and equations of the 1 2 universe nearly without human or material help.
In contrast, modern science is hardly viable without ambitious, complicated and expensive protocols and experimental designs. Generation of meaningful knowledge is becoming less and less probable in the absence of collaborative teams, resources, disciplines and technologies 2.
The Brazilian Society of Clinical Nutrition was born in the remote year ofand the Journal has been regularly published for more than three decades. It is therefore in the spirit of friendship and fraternity that the meal arrives to the gastrointestinal tube, or better, that nutrition seeks lodgement under the welcoming roof of Gastroenterology.
There are reasons to believe that a true synergy will follow, with the whole growing bigger than the sum of its parts. From one side the Archives already accept contributions geared toward nutrition, obesity, bariatric surgery and correlated subjects. From the other side, many professionals in the area of enteral and parenteral nutrition are physically or intellectually housed in services of gastroenterology or digestive surgery, bearing witness to their appreciation of these specialties.Consulta de Gastroenterologia
Toasts, particularly alcoholic ones, have become politically incorrect in the XXI century, however there is no way of completely avoiding them. Mais um elo na corrente. Necessity of publishing a condensed analysis of parliamentary evidence. Prov Med Surg J The collaborative research library: Faintuch J, Viebig RG. The applicability of this polymorphism has been studied by comparing it with the standard diagnostic methods in different populations.