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Background: To evaluate the application value of a spontaneously closed protective stoma (SCPS) in an ileal pouch-anal anastomosis, which is a novel procedure first performed in our hospital in 2008.

Materials and methods: Two males cases with ulcerative colitis and one female with familial adenomatous polyposis were treated with colorectal surgery at the First Affiliated Hospital of Zhejiang University since March 2010. The surgery was designed as total proctocolectomy with an ileal pouch-anal anastomosis and SCPS. The surgical plan and procedure was determined with the patients after analyzing their hospitalized records and follow-up information.

Results: No operation-induced death or anastomotic leakage occurred. One patient had a persistent fever and another patient presented with postoperative urinary retention. The average time until flatulence occurred post-SCPS was 26 days, and the average time until the removal of the postoperative stomal tube was 46 days that healed well.

On April 18, 2002, the Court held a hearing on the issues identified by the parties remaining in contention. One of the most divisive issues was the laboratory that would perform the DNA testing. The Respondent vehemently opposed the Petitioner's selection of Forensic Science Associates, under the helm of Dr. Edward T. Blake, whereas the Petitioner did not approve the Respondent's choiceVirginia's Division of Forensic Science. At the hearing, the Court asked counsel for the Petitioner if they would be amenable to the alternative of Orchid Cellmark (formerly Cellmark Diagnostics) or another private laboratory conducting the testing. Counsel responded that they could not answer the question without first consulting with co-counsel Peter Neufeld. The Court instructed counsel to submit a supplemental memorandum addressing the issue. Shortly thereafter, the Petitioner submitted a filing explaining that Mr. Neufeld steadfastly believed that Forensic Science Associates was the only appropriate laboratory to perform the testing in this case.

[2] Cellmark Diagnostics was recently acquired by Orchard Biosciences. Orchid Cellmark was one of the first laboratories in the world to offer DNA identity testing and is accredited by the American Association of Blood Banks for biological relationship testing. Orchid Cellmark currently performs the STR analysis of thousands of backlogged sexual assault kits from various law enforcement agencies through out the country. These kits consist of blood standards, vaginal swabs, anal swabs, and body secretions. Orchid Cellmark also runs the only forensic DNA laboratory program in the United States offering a national pro bono DNA identification service to indigent criminal defendants, analyzing relevant physical evidence in up to six pro bono cases per year. Finally, Orchid Cellmark was also among the first companies to provide forensic DNA training to other scientists from around the world, including a training course dedicated specifically to the interpretation of RFLP DNA test results. See ht tp://www.cellmark-labs.com/companyprofile.htm

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