The force of presentation: Policing modes of expression and gatekeeping the status quo

Today the way philosophical work is presented is very narrowly circumscribed and as a result, this excludes people who do not want to, or cannot effectively, present their work in a particular manner. This canonization of the mode of presentation of philosophical work also serves to maintain the status quo of analytic philosophy as an exclusively academic discipline. In this paper I argue that diversity in how philosophical thinking is presented should be allowed, and even, encouraged. I argue that it is in philosophy’s interest to expand the ways that it is presented, because not doing so not only limits who can participate in philosophy, but it also limits who philosophy attracts and so how far-reaching philosophy can be.

TP10.1.2Evaluating the impact of the COVID-19 pandemic on the presentation and management of UGI cancer at a district general hospital

Introduction It has been predicted that the COVID-19 pandemic would disrupt the delivery of UK cancer treatment pathways. This study aims to assess the mode of presentation and type of management offered to oesophagogastric (OG) and hepatopancreaticobiliary (HPB) cancer patients at a busy district general hospital during the pandemic. Methods Confirmed OG and HPB cancer patients were identified in the local MDT database. Patients were identified between 01/03/2020 - 30/09/2020 (pandemic), and 01/03/2019 - 30/09/2019 (pre-pandemic). Mode of presentation and management was identified and compared. Results In 2019, 42 and 15 patients were diagnosed with OG and HPB cancers, compared to 25 and 19 patients in 2020, respectively. 26 (46%) patients were referred via 2ww pathway in 2019, compared to 29 (66%) in 2020. The number of cancers referred routinely or emergently were 28 (49%) and 2 (4%) in 2019, compared to 2 (5%) and 9 (20%) in 2020, respectively (p < 0.0001). Patients suitable for curative treatment were 16 (28%) and 7 (16%), in 2019 and 2020, respectively. Palliative or supportive treatment was offered to 26 (46%) and 14 (25%) patients in 2019, compared to 21 (48%) and 10 (23%) patients in 2020, respectively. Conclusion 2ww referrals were similar to 2019, while routine referrals reduced significantly. A marked, but not significant, reduction in patients suitable for curative intent is noted, perhaps due to delay in presentation despite the continuation of cancer surgical services. Further work on creating “COVID-free” pathways and increasing awareness of service availability would improve detectability of curable disease.

Case report and review of calcifying epithelial odontogenic tumor

Calcifying epithelial odontogenic tumor (CEOT) is a rare benign neoplasia, locally aggressive, that tends to invade bone and adjacent soft tissues. CEOT accounts for less than 1% of all odontogenic tumors. This article reports two cases of CEOT with different mode of presentation clinically, radiologically and histologically.

Lived-in Museum

The paper focuses on an aspect of the history of the collection of Ivan Skušek Jr., an early 20th century Slovenian collector that has not yet been looked at thoroughly, namely, its “apartment” period, the time when the collection was on display in three consecutive apartments Ivan Skušek Jr. and his Japanese wife lived in. Due to the failed plans to establish a museum, the collection ended up being on display in lived spaces for the entire period between their arrival to Ljubljana and Marija Skušek’s passing, all together for 43 years—much longer than it was ever displayed in museum settings. The paper focuses on the way a lived space functioned as a setting for the display of the collection and how this combination created a place for communication, appropriation and knowledge acquisition—how the collection was lived in, lived with and lived through. The analysis thus reflects on the implications of the setting of the lived-in museum: how it impacted the collection and its parts, how it conditioned the lives of its owners and how this mode of presentation influenced the reception of the visitors. In the second part of the paper, the analysis is based on specific material—Skušek’s archive that was recently analysed in the Slovenian Ethnographic museum collections, including a number of photographs of the interiors of the apartments.

Pre-emptive or reactive treatment, angioplasty or stent-graft? The outcome for interventions for venous stenosis in early-cannulation arteriovenous grafts

Background: Early-cannulation arteriovenous grafts (ecAVG) have good initial patency, but frequent episodes of reintervention for venous stenosis (VS) and thrombosis limit their use. Stent grafts (SG) have shown promise in reducing re-interventions and improving functional patency for dysfunctional ecAVG and recurrent VS. There is little data on the impact of stent grafts as the first elective procedure for VS. The aim of this study was to determine firstly, if treating VS whilst asymptomatic has a better outcome than treating after presentation with thrombosis; and secondly, to determine the best initial treatment for asymptomatic VS: SG or angioplasty. Methods: A retrospective study was performed of 259 ecAVG with a sutured anastomosis. The case-mix and outcomes of 153 who presented with VS was analysed by presentation (elective at surveillance or emergency following thrombosis), and then for only elective patients, by treatment (SG vs angioplasty). Results: There was no significant difference in case-mix and time to presentation by mode of presentation (100 elective and 53 with thrombosis) other than a higher rate of pro-thrombotic disorders in thrombosed ecAVG. Thrombosed ecAVG had poorer outcomes with increased re-intervention rates and thrombosis in the following year, and reduced long-term functional patency. In patients presenting electively, primary SG rather than angioplasty led to significantly reduced thrombosis rates, a longer time to re-intervention in the following year, and superior long-term functional patency. The use of SG was the same in both groups. Both the mode of presentation and the type of intervention performed were independently predictive of a poorer subsequent functional patency. Conclusions: Primary elective stent-grafting may be the optimal strategy to reducing maintenance costs with ecAVG.

Tuberculous Mastitis: A 7 year Experience in Sir Ganga Ram Hospital; Lahore.

Background: Tuberculous mastitis is a rare clinical entity and it often resembles breast malignancy and pyogenic breast abscess both radiologically and clinically. It usually affects females from the Africa and Indian sub-continent. Aim: To find out the clinical feature, diagnostic criteria and need for surgical intervention in tuberculous mastitis. Methods: Patients with clinical suspicion of breast tuberculosis were subjected to a set of investigations for confirmation and were included in the study. The main diagnostic measures were thorough history and examination. All were subjected to complete blood examination, ESR, Monteux test, ultrasound (for patients aged<40 years), mammogram (for patients aged>40 years), fine needle aspiration cytology andAFB staining. Abscesses were aspirated, lumps greater than 2cm were subjected to true cut biopsy and less than 2cm were excised and histopathology performed on the specimen. Data was recorded in a predesigned proforma and parameters like age, site, size, mode of presentation etc., were recorded along with need of surgical intervention. Results: 264 patients were included with mean age of 31.4.23 patients had bilateral disease. Primary disease was found in 162 patients and secondary in 102. Multifocal disease was found in 45. Mode of presentation was discharging sinus in 115, lump in 61, cold abscess in 60 and non- healing ulcer in 28 cases. Cytology and AFB staining had diagnostic value in 60 cases. Wall biopsy after drainage of abscess 43, true cut biopsy47 and wide local excision biopsy confirmed the diagnosis in 68 patients after the specimen were subjected to histopathology. Even after anti-tuberculous therapy, surgical intervention wasrequired for 171 patients. Conclusion: Tuberculous mastitis may masquerade malignant lesion of breast and poses diagnostic difficulties without histopathological examination. Surgical intervention may be required. Keywords: Tuberculous mastitis; discharging sinus; granulomatous mastitis.

Rational belief and Dialetheism

It is usually maintained that a subject with manifestly contradictory beliefs is irrational. How can we account, then, for the intuitive rationality of dialetheists, who believe that some manifest contradictions are true? My paper aims to answer this question. Its ultimate goal is to determine a characterization of (or rather a constraint for) rational belief approvable by both the theorists of Dialetheism and its opponents. In order to achieve this goal, a two-step strategy will be adopted. First, a characterization of rational belief applicable to non-dialetheist believers will be determined; this characterization will involve the semantic apparatus of Nathan Salmon’s Millian Russellianism but will get rid of the problematic and obscure notion of mode of presentation (guise in his own terminology), replacing it with a couple of novel devices, belief subsystems and cognitive coordination. Second, using ideas from Graham Priest, the leading proponent of Dialetheism, such a characterization will be modified, so as to devise a new one able to account for the intuitive rationality of both dialetheist and non-dialetheist believers.