Discontinuities without discontinuity: The Weakly-enforced Slip Method

Tectonic faults are commonly modelled as Volterra or Somigliana dislocations in an elastic medium. Various solution methods exist for this problem. However, the methods used in practice are often limiting, motivated by reasons of computational efficiency rather than geophysical accuracy. A typical geophysical application involves inverse problems for which many different fault configurations need to be examined, each adding to the computational load. In practice, this precludes conventional finite-element methods, which suffer a large computational overhead on account of geometric changes. This paper presents a new non-conforming finite-element method based on weak imposition of the displacement discontinuity. The weak imposition of the discontinuity enables the application of approximation spaces that are independent of the dislocation geometry, thus enabling optimal reuse of computational components. Such reuse of computational components renders finite-element modeling a viable option for inverse problems in geophysical applications. A detailed analysis of the approximation properties of the new formulation is provided. The analysis is supported by numerical experiments in 2D and 3D.Comment: Submitted for publication in CMAM

Pathogenic bacteria and indicator organisms for anti-microbial resistance in pork meat at retail level in The Netherlands.

Slaughter pigs and pork carcasses are often contaminated with pathogenic bacteria. Consequently raw meat on sale in retail stores may also contain these bacteria. In The Netherlands the calculated contribution by pigs to the relative occurrence of human salmonellosis in the period 1994-1998 was 25.2 % (van Pelt, 2001). Survey and monitoring data on the contamination of raw products with pathogens like Salmonella, Campylobacter, Listeria monocytogenes and Escherichia coli O157 are essential for making risk estimates, and the results of surveys carried out in 1990/2000 and 2002 are presented here. In 2002 also a surveillance of anti-microbial resistance among indicator bacteria (Escherichia coli, Enterococcus faecium/faecalis) isolated from pork meat was started. The results show that pork meat was contaminated with Salmonella in levels between 6.2 - 10.5 %, S. Typhimurium being the predominant serotype, and to a lesser extent with Campylobacter, Listeria and E. coli O157

The Role of Pathology in Small Renal Mass Laparoscopic Cryoablation

Objective. We evaluated histological outcome of intraoperative biopsies at laparoscopic renal mass cryoablation (LCA), prevalence of peritumoral fat tissue invasion, and risk of tract seeding. Methods. Patients were biopsied 3–5 times (16-gauge). Histology was analyzed by general pathologists and reviewed. Peritumoral fat was histologically examined. The trocar used for biopsy-guidance was examined by cytology. Records were studied for reporting tract metastasis. Results. 77 biopsied renal masses with mean ± SD diameter 30 ± 7.4 mm were histologically classified by primary and review pathology revealing 64 and 62 malignancies, 13 and 15 benign lesions, respectively. In 30/34, the fat covered a carcinoma but revealed no malignancy. Cytology showed no malignant cells but was inconclusive in 1 case. No tract metastasis occurred. Conclusions. The use of an intraoperative biopsy protocol provides histological diagnosis of all renal masses. No existence of peritumoral fat tissue invasion or tract seeding was found

Visualization of cholinoceptive neurons in the rat neocortex:Colocalization of muscarinic and nicotinic acetylcholine receptors

The present investigation analyzes the cellular distribution of muscarinic and nicotinic acetylcholine receptors in rat neocortex, by use of monoclonal antibodies raised against purified receptor proteins. The degree of colocalization of both types of receptors was determined by way of immunofluorescent double-labeling techniques. For both classes of receptors, pyramidal and nonpyramidal cells were found immunostained and an identical laminar distribution pattern of immunopositive neurons in the rat neocortex became apparent. A striking similarity in distribution of the two cholinergic receptor types was found in the frontal/motor and parietal cortex. Accordingly, we observed a high degree of colocalization of muscarinic and nicotinic acetylcholine receptors within immunopositive cortical neurons. Approximately 90% of the cholinoceptive neurons expressed both types of receptors. The current data demonstrate that (i) the distribution of muscarinic and nicotinic cholinoceptive neurons in the neocortex is present in identical laminar patterns and represent the same type of cells, (ii) both classes of cholinergic receptors are highly colocalized within cholinoceptive neurons, which points at individual neurons as a likely site of interaction between muscarinic and nicotinic acetylcholine receptor-mediated processes.</p

Contribution of Genetics to the Susceptibility to Hidradenitis Suppurativa in a Large, Cross-Sectional Dutch Twin Cohort

IMPORTANCE Hidradenitis suppurativa is a chronic, inflammatory skin disease in which genetic factors are considered to play a role, with up to 38% of patients reporting a family history. Variations in the γ-secretase genes are found mainly in familial cases with an autosomal dominant pattern of inheritance. These variations are rare in the general population with hidradenitis suppurativa, even in patients who report a family history of the disease. OBJECTIVE To assess the heritability of hidradenitis suppurativa in a nationwide Dutch twin cohort. DESIGN, SETTING, AND PARTICIPANTS In this cross-sectional study on self-reported hidradenitis suppurativa conducted from 2011 to 2016, data were collected from twins participating in the surveys of the nationwide Netherlands Twin Register. All complete twin pairs answering the question on hidradenitis suppurativa in the survey were included: 978 female monozygotic twin pairs and 344 male monozygotic twin pairs and 426 female dizygotic twin pairs, 167 male dizygotic twin pairs, and 428 dizygotic twin pairs of the opposite sex. Statistical analysis was performed from July to November 2019. MAIN OUTCOMES AND MEASURES The main outcome is the proportion of susceptibility to hidradenitis suppurativa due to additive genetic factors (narrow-sense heritability), dominant genetic factors, common or shared environmental factors, or unshared or unique environmental factors. The main outcome was evaluated prior to data collection. RESULTS The prevalence of hidradenitis suppurativa among twin pairs was 1.2% (58 of 4686); the mean (SD) age was 32.7 (15.4) years. The narrow-sense heritability of hidradenitis suppurativa was 77% (95% CI, 54%-90%), with the remainder of the variance due to unshared or unique environmental factors based on an age-adjusted model combining additive genetic factors and unshared or unique environmental factors. CONCLUSIONS AND RELEVANCE The high heritability found in this study suggests a stronger than previously assumed genetic basis of hidradenitis suppurativa. Environmental factors were also shown to contribute to the susceptibility to hidradenitis suppurativa, supporting a multifactorial cause of the disease. Moreover, the results of this study strongly support the need for a global genome-wide association study in the general population of patients with hidradenitis suppurativa

Familial Cervical Cancer: Case Reports, Review and Clinical Implications

We report three Dutch families with familial clustering of (pre)neoplastic cervical disease, review the literature on familial risks of cervical intraepithelial neoplasia (CIN) and cervical cancer, and discuss possible practical guidelines for women with a family history of cervical cancer. Daughters and sisters of women with cervical cancer have been reported to have a relative risk of 1.5-2.3 to develop this type of cancer. From a practical clinical point of view, we suggest that as in women with an increased non-genetic risk to develop cervical cancer (e.g. because of immunosuppressive therapy) increased surveillance to detect this tumour should be considered in women with an increased risk based on family history. Cessation of smoking should be advised. As the use of condoms at least prevents HPV re-infection its use can be recommended as a way to lower the cervical cancer risk. Future studies to determine the genetic contribution to the development of cervical cancer should include the paternal family history of cancer and, because genetic predisposition might express itself as a higher risk to develop precursors of cervical cancer, carcinoma in situ and CIN grade II-III