Hernia Basecamp—A Free to Use, Online Hernia Learning Platform. Analysis of Its Use Since Launch in June 2021

Introduction: Hernia Basecamp is an online learning platform hosted within the WebSurg website. One of the drivers of its development was to cover the syllabus of the UEMS AWS examination, but it is a learning resource in its own right. There are currently 205 video lectures, with a number of them selected to create 10 modules of 3 h each with UEMS CME accreditation. The aim of this study was to review the Hernia Basecamp usage since launch in June 2021.Methods: The Hernia Basecamp WebSurg platform was interrogated using Matomo Analytics in January 2023 (19 month period since launch). Data on the number of visits, pages looked at and time spent on the platform per visit, along with the number of CME modules taken and passed were collected.Results: Users from 146 countries visited the Hernia Basecamp site 17,171 times (6,586 times, 38.4% in first 9 months). The top 5 countries by visitors were the United Kingdom, Mexico, Spain, United States and Germany (accounting for 29.4% of the visits). The average time spent per visit was 11 min 37 s (range: 47 s–49 min 4 s), and the number of pages/videos viewed per visit was 8.1 (range: 2–21). The number of UEMS CME modules taken was 675, and 326 (48%) of these tests were passed.Conclusion: In the first 19 months from launch, Hernia Basecamp provided over 3,000 h of hernia education. The UEMS approved CME accreditation tests were commonly used

An analysis of material consumption culture in the Muslim world

In this paper, we examine the notion of material consumption culture in Islamic societies. We differentiate between institutionalised religion and religion as culture. We contest the Orientalist portrayal of Islam as a fanatic ideology opposed to Western Modernity’s features of secularism, individualism, and pluralism. With reference to the Qur’anic text, we discuss that such qualities are embedded with Islam. We do not interpret the Qur’an from a theological perspective; rather, we seek to demonstrate the possibilities of its multiple interpretations. We argue that, in their everyday life consumption practices, Muslims (re)interpret religious guidelines in different ways and refer to Islam, as a transcendental set of guidelines, to make better sense of their cultural practices in different ways. We summarise our discussion by highlighting the importance of analysing the culture of consumption from the lens of insiders and offer directions for future research

HiPER project target studies on shock ignition: design principles, modeling, energy scaling, risk reduction options

targets. In previous publications we had identified a window in laser parameter space for the ignition of a simple, small target (with fuel mass of less than 0.3 mg), previously designed for fast ignition. We had also studied aspects of the robustness to parameter deviation from nominal values as well as to hydrodynamic instabilities and non uniform irradiation. Aspects of the scaling with target size had also been discussed. Recent work aimed at improving target and laser modelling (e.g., by considering targets with a more realistic structure, and 3D irradiation schemes) and increasing target robustness. In particular, we show that the separation of the stages of fuel compression and hot spot creation, typical of shock ignition, introduces some design flexibility when scaling targets to higher size. This can be exploited in the future, once limitations set by laser-plasma instabilities and hydrodynamic instabilities will be assessed experimentally. We have determined analytic scaling laws for the different design options, and used detailed numerical simulations to generate the relevant gain curves. We are studying ways to reduce the growth of Rayleigh-Taylor instabilities both at the ablation front and at the hot-cold fuel interface. Concerning irradiation schemes, we have analyzed ways to increase robustness to laser errors and target misplacement; we are also studying polar-drive schemes, which could be used to test shock ignition on the NIF or LMJ lasers, originally designed for indirect-drive laser fusion. In the final part of the presentation we will discuss a few open issues for shock ignition, requiring specific experimental and theoretical efforts

Lateral Interactions in Peripheral Vision Vary Between

this paper examines. The second question, namely, which of the paradigms (if any) portrays the actual threshold, is more relevant but also more difficult to address, and it may well be that the attentional and memory load that spatial versus temporal paradigms demand make each of them unsuitable for addressing distinct subsets of research topics. In any case, the reasons that this second question escapes examination are that (1) empirically, we cannot collect dependable data that would allow a comparison with "true threshold" because all of our measured thresholds are suspect in these conditions and (2) formally, simulations cannot be carried out to address the issue in the absence of dependable and detailed quantitative knowledge of the particular effects of attention and memory (in spatial versus temporal presentations) on visual performance. Yet, the issue may be irrelevant from a practical point of view as long as thresholds obtained in spatial versus temporal paradigms keep a constant relation to each other and results obtained with spatial versus temporal paradigms in the same or different studies are not compared except to arrive at conclusions regarding differences in the outcomes of each paradigm. Since observing the latter admonition is entirely in the hands of practicing psychophysicists, the work reported in this paper set out to document the relation between thresholds obtained in identical conditions except for the spatial versus temporal arrangement of the 2AFC paradig

Preserving Fertility by Treating the 3 Compartments: Laparoscopic Approach to Deep Infiltrating Endometriosis

Study Objective: To describe a laparoscopic technique for the resection of deep endometriosis, treating the 3 compartments.Design: Educational video.Setting: Tertiary referral center in Strasbourg, FrancePatient: A 37-year-old primiparous woman.Intervention: Adenomyomectomy, partial cystectomy, and bowel resection. Fertility preservation was mandatory because of the patient's desire for future pregnancy.Measurements and Main Results: A 37-year-old primiparous woman presented with main symptoms of dysmenorrhea and dyspareunia associated with pollakiuria and macroscopic menstrual hematuria (with emission of endometriotic tissue on analysis). She also complained of dyschezia. Magnetic resonance imaging revealed an endometriotic nodule in the vesicouterine space with an involvement of the anterior wall of the uterus and a suspicion of bladder adenomyosis. There were lateral spicules attracting the ovaries toward the midline and an infiltration of the round ligaments and nodules related to the rectovaginal space's endometriosis. A possible invasion was noted underneath the rectal mucosa. The patient expressed her desire preserve fertility. The local institutional review board has approved the video. Initially, an ultrasonography was performed showing the adenomyoma invading the bladder. The second step was a cystoscopic evaluation by means of a double J probe and a bladder catheter. After surgery the bladder catheter was left in place for 15 days and the double J stents for 6 weeks. The first step was the dissection of the vesicouterine space to dissect the anterior adenomyoma from the bladder. A partial cystectomy was then performed to remove the bladder nodule. The adenomyoma was resected at its uterine portion and the uterus sutured. Surgery was then performed in the posterior compartment. Ureterolysis was performed bilaterally, and the pararectal fossas were then opened. The rectovaginal space was dissected. A rectosigmoid resection was mandatory to remove the bowel nodule. Patient follow-up included regular consultations and a hysterosonography at 6 weeks after surgery. Hysterosonography demonstrated an adequate patency. No adhesions to the uterus were found. We recommended to wait for 6 months to allow pregnancy according to the department's protocols. A clinical improvement was observed. Today, at 8 months she has not attempted pregnancy.Conclusions: A complete surgery is feasible for severe and deep endometriosis with a multicompartmental disease, using a laparoscopic approach aiming to preserve fertility. (C) 2019 Published by Elsevier Inc. on behalf of AAGL