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Where we could not contact the publishers, we have acknowledged the source of the material. Proc Natl Acad Sci U S A 1994;91:1118711191. The circle is then drawn with radius equal to CQ, tradihg the points B(q) and A(,)located. 7b); two common secondary structures found in proteins are the beta () pleated sheet and the alpha () helix.
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,Hawkes,D. See Fecal soiling Solitary diverticula, 951 Solitary ulcer syndrome diagnostic studies, 59 perineal operation procedures for, 441 suture abdominal rectopexy, 444 Srategies pain, 1268, 1270 Sonde enteroscopy, 82 Sonography, 931, 952 Sonosurg1, 1260 Sphincter artificial, implantation for anal incontinence, 321 sstrategies, 169 description of, 13 external, 42 anorectal manometry for anal pressure profile using, 5051 effect on anal continence, 42 fiber distribution in, 42 innervation of, 24 rectal distention effects on, 41 reflex response of, 45 internal, 9, 10, 167 adrenergic agonist effects, 45 anorectal manometry for, anal pressure profile using, 51 description of, 50 effect on anal continence, 41 innervation niffy, 45 reflex, 45 relaxation o, 44, 45 preservation of, 597 Shafik loops, 10 strength assessments, 378 traumatic injury to, 1142 Sphincteroplasty anal, 310 [Sphincteroplasty] overlapping, 310 obstetric sphincter ruptures, 310 occasional incontinence, 310 results of, 311 technique, 309 unilateral pudendal neuropathy, 310 wound healing, 310 postanal repair, 311 preoperative manometric parameter, 311 sphincter musculature, 311 standardized incontinence scoring system, 311 Sphincterotomy, internal, 296, 1113 anal incontinence associated with, 296 lateral, 150 on outpatient basis, 409 partial, 150 pharmacologic, 173 tailored, 176 Spike bursts, in myoelectrical activity, 34 Spinal nerve, latency assessments of, 57 Spindle-cell schwannoma, 624 Splenic flexure ligament, 551 volvulus, 984 Splenic injury, 1170 antibiotics for, 1171 from laparoscopy, 1258 mechanism of, 1170 postsplenectomy infection, 1171 vasculature considerations, 1170 Splenic resection, laser surgery for, 139 Sporadic carcinomas, 459 Sporadic colorectal carcinoma, 603 S pouch, 476, 788 Squamous cell carcinoma, 259, 270271 of anal canal, 380 characteristics of, 380 clinical manifestations, 380 description of, 380 diagnosis of, 380 metastases, 380, 381 workup for, 380 of colon, 621 condyloma acuminatum and, 270271 control trials, 382 disease-specific survival (DSS) in, 383 high dose-rate (HDR) boost of, 383 locoregional control (LRC) of, 383 patient malignancies in, 383 of perianal region clinical features, 375 description of, 375 treatment of, 376 treatment, 383 abdominoperineal resection, 381 chemotherapy, 381383 local excision, 381 radiation therapy, 381 Staging of anal carcinoma, 371 using computed tomography, 80 Stapled hemorrhoidectomy (SH), 158159 anal sphincter injuries in, 162 anorectal stenosis in, 162 complications, 161 contraindications to, 161 incontinence after, 162 pelvic sepsis in, 163 persistent sttrategies in, 161 postoperative tradng, 162 postoperative pain in, 161 rectal perforation in, 163 technique, 160 treatment, 161 urinary retention in, 162 versus open hemorrhoidectomy, 160 Staplers, for laparoscopy, 1210 ABC of the Upper Gastrointestinal Tract All tests create anxiety in patients and their family, and can lead to medical dependence.
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