Introduction: The use of abdominal zippers for temporary abdominal closure was devised to facilitate repeated explorations, allowing multiple cleansing of the peritoneal cavity and the detection and management of septic complications. In our study, an OPEN ABDOMEN using a sterile zip in a patient with gangrenous bowels and reanastomosis derived infection is reported.Case report: In this study a patient with a history of appendectomy one year before referral (had referred to the physician with a one month complaint of abdominal pain) is presented. The patient underwent laparatomy twice. Most of his small intestine was resected due to the gangrene and primary anastomosis was performed. Finally after three days, the patient underwent multiple cleansing of the abdominal cavity following purulent discharge from the incision, acute respiratory distress syndrome and sepsis with diagnosis of discharge from the site of anastomosis. Zipper locked method was used for temporary closure of ABDOMEN wall in order to facilitate multiple access of abdominal cavity. Finally, abdominal wall was closed constantly.Conclusion: Temporary closure of the ABDOMEN by means of devices such as zip gives the opportunity of rapid, easy and safe assessment, management and treatment of these patients to the surgeons.

After offering an overview of some of the main themes of Popper’s political thought, the paper argues that his account faces two problems relating to institutions. The first is that while Popper stresses the ‘rational unity of mankind’, and the potential for any of us to furnish criticisms of public policy, it is not clear what institutional means currently exist for this to enable this to take place. Second, Popper has stressed the conjectural character of even our best theories. However, at any point, some theories will have fared better in the face of criticism than others, and they may give us important information about constraints on our actions. At the same time, as ordinary citizens we may not be in a good position to understand the theories in question, let alone appraise the state of the specialised discussion of them. There is, it is suggested, a case for thinking of ways to institutionally entrench such fallible theories, especially in the current setting in which social media play an important role

Echinococcosis is a parasitic disease that is produced by Echinococcus granulosus and still represents an important medical problem in many countries. Echinococcosis in extrahepatic sites is usually asymptomatic unless the cyst causes symptoms due to pressure, as in our case, or ruptures to the peritoneal cavity. Echinococcal cysts at unusual locations many times pose diagnostic dilemmas, and the diagnosis sometimes is made intraoperatively. Primary ovarian and paraovarian cyst hydatid disease is a very rare entity. In our case, a 25-year-old female gravida 1, para 1, was admitted to the emergency department of the Alzahra Hospital of Tabriz due to diffuse abdominal pain, nausea, abdominal distension and urinary frequency of ten-day duration and exacerbation of pain from a few hours before admission. Clinical examination revealed tachycardia of 105 per minute, normal body temperature and normal blood pressure. Abdominopelvic sonography revealed a mass with regular thick contour located in the left ovary suggestive of huge cystadenoma or carcinoma of the ovary. Emergent laparotomy was performed for suspected adnexal torsion. Intra operative findings were a large paraovarian mass with thick wall without any torsion. Mass was removed completely and sent for frozen section study. Pathological examination showed the diagnosis of hydatid cyst. The postoperative period was uneventful and the patient was discharged 3 days later, with the advice to receive Albendazole. The patient referred to a general surgeon for management of the hepatic cysts.

The term acute ABDOMEN became popular in the beginning of the last century, and it meant that the surgeon is faced with an abdominal event or surgical ABDOMEN that needs emergent surgery, and morbidity and mortality dramatically increased if surgery postponed. During the years better paraclinical and laboratory modalities became routine, and the surgeons were able to diagnose the event exactly and act accordingly in most usual cases; so the old saying “ OPEN and see, rather than wait and see” became less reliable. Since acute abdominal conditions has more or less the same clinical and Paraclinical Signs and Sympatoms; the present article is meant mostly to deal with special cases in patients with comorbidities, because due to their compromised immune response, the clinical and laboratory findings has not changed pathological. These special conditions includes children, elderlies, morbid obese, diabetics, renal failure, postoperative cardiac patients and comorbidities as well as heavy smokers, alcohol and substance abusers; and last but not least patient with severe immune deficiency like HIV and the like; which needs special attention and frequent clinical and paraclinical evaluation for proper decision making.

One may say that The OPEN Society and Its Enemies (OS) offered in 1945 the first complete elaboration of the general approach proposed by Karl Popper, namely his ‘critical rationalism’, a bold generalization of the fallibilist falsificationism in the domain of the empirical sciences masterly proposed in Logik der Forschung (1934). The political content of The OS has been critically discussed. Nevertheless, not all people insist on the equally important moral dimension of the book, giving it its unity, I submit. Without morality, no critical discussion, no reason, no OPEN society, let us say in a nutshell. I would argue that according to Popper, a strictly Christian morality of love would not be the appropriate emotional companion of critical rationalism, but that the less demanding moral emotion of sympathy or compassion is perhaps necessary to give it its force against violence. I give some support to this line of argument. In my view, Popper proposed a somewhat unarticulated critical rationalist ‘emotivism’ of sorts. The emotion of compassion is necessary for triggering our moral decisions and values, which are the ultimate basis of the choice for a reason against violence.