Herstel van de fascia transversalis bij directe of indirecte liesbreuken

De chirurgische behandeling van liesbreuken geniet nog steeds grote belangstelling, getuige de ongeveer zeventig publicaties die per jaar over dit onderwerp verschijnen. In onze moderne tijd met de grote vooruitgang in de hartchirurgie en de orgaantransplantaties lijkt het onbegrijpelijk, dat aan dit onderwerp nog zoveel aandacht wordt besteed. Begrijpelijker wordt dit echter, wanneer men zich realiseert dat in Nederland ongeveer 25.000 liesbreukoperaties per jaar worden verricht (Van de Wetering 1960) en dat het percentage recidieven in de literatuur varieert van 2,5 tot 30, waarbij opvalt dat de lagere percentages meestal worden verkregen bij nacontroles, die zijn verricht per circulaire. Ontevredenheid over de bereikte resultaten verklaart de voortdurende belangstelling voor dit onderwerp. Reeds in 1921 stelde Pitzman: "The size and endlessness of the stream of inguinal herniotomy technique raises the strong suspicion that sarnething is fundamenrally wrong". De stroom van nieuwe technieken of modificaties op oude technieken is echter blijven aanhouden. De laatste twee decennia is er belangrijke vooruitgang geboekt in het praktisch gebruik van de verworven anatomische kennis van het liesgebied, zodat sommige eerder geaccepteerde orthodoxe anatomische concepten moesten worden herzien, evenals sommige details van erkende technische procedures voortdurend moesten worden gemodificeerd

Actors that Unify Threads and Events

There is an impedance mismatch between message-passing concurrency and virtual machines, such as the JVM. VMs usually map their threads to heavyweight OS processes. Without a lightweight process abstraction, users are often forced to write parts of concurrent applications in an event-driven style which obscures control flow, and increases the burden on the programmer. In this paper we show how thread-based and event-based programming can be unified under a single actor abstraction. Using advanced abstraction mechanisms of the Scala programming language, we implemented our approach on unmodified JVMs. Our programming model integrates well with the threading model of the underlying VM

Sub-millimeter Tests of the Gravitational Inverse-square Law

Motivated by a variety of theories that predict new effects, we tested the gravitational 1/r^2 law at separations between 10.77 mm and 137 microns using two different 10-fold azimuthally symmetric torsion pendulums and rotating 10-fold symmetric attractors. Our work improves upon other experiments by up to a factor of about 100. We found no deviation from Newtonian physics at the 95% confidence level and interpret these results as constraints on extensions of the Standard Model that predict Yukawa or power-law forces. We set a constraint on the largest single extra dimension (assuming toroidal compactification and that one extra dimension is significantly larger than all the others) of R <= 160 microns, and on two equal-sized large extra dimensions of R <= 130 microns. Yukawa interactions with |alpha| >= 1 are ruled out at 95% confidence for lambda >= 197 microns. Extra-dimensions scenarios stabilized by radions are restricted to unification masses M >= 3.0 TeV/c^2, regardless of the number of large extra dimensions. We also provide new constraints on power-law potentials V(r)\propto r^{-k} with k between 2 and 5 and on the gamma_5 couplings of pseudoscalars with m <= 10 meV/c^2.Comment: 34 pages, 38 figure

Improving biosecurity: A necessity for aquaculture sustainability

The implementation of biosecurity measures is vital to the future development of aquaculture, if the culture of aquatic species is to make it possible to feed the global human population by 2030. Biosecurity includes control of the spread of aquatic plant and animal diseases and invasive pests, and the production of products that are safe to eat. For controls on diseases and invasive pests, it is necessary to implement programmes that involve all regional countries. Lessons from measures implemented in Asia need to be expanded/upscaled in Latin America, Africa and other emerging aquaculture regions. Such development will make countries more self sufficient and will feed local populations. Globally, there is good evidence that aquatic animal diseases and invasive animal and plant pests are being spread by hull fouling and ballast water in shipping, and serious aquatic animal diseases by the international trade in ornamental fish. While there has been a growing awareness of the danger of ballast water transfer, hull fouling remains a serious problem. It is widely recognized that ornamental fish present a disease risk, but individual countries have tried to address this alone, and there has not been an international effort to control the trade. Developments in genetics and molecular biology hold great potential for disease control, either by breeding for disease resistance, or by the use of rapid, specific, culture site testing. Currently, there is no evidence that the use of antibiotics in aquaculture poses a threat to human health or that antibiotic-resistant strains have developed; however, the future use of genetically modified aquatic organisms (GMOs) may negate the need for chemotherapy. Cultured aquatic organisms, selected for disease resistance or rapid growth, are likely to become more acceptable, and probably necessary, to feed the rapidly growing global population. Most global aquaculture occurs in developing Asian countries, in which aquaculture products can harbor zoonotic parasites, and there is a need to treat such products to negate the threat of parasitic zoonoses and permit international export. Climate change is likely to be a major influence on aquaculture in the future, with impacts on coastal aquaculture through increased sea levels affecting coastlines, and acidification. To feed the growing global population, it will be necessary to culture new species, for which research on diseases and invasiveness will be necessary to acquire the information necessary to implement biosecurity measures

Optical symmetries and anisotropic transport in high-Tc superconductors

A simple symmetry analysis of in-plane and out-of-plane transport in a family of high temperature superconductors is presented. It is shown that generalized scaling relations exist between the low frequency electronic Raman response and the low frequency in-plane and out-of-plane conductivities in both the normal and superconducting states of the cuprates. Specifically, for both the normal and superconducting state, the temperature dependence of the low frequency $B_{1g}$ Raman slope scales with the $c-$axis conductivity, while the $B_{2g}$ Raman slope scales with the in-plane conductivity. Comparison with experiments in the normal state of Bi-2212 and Y-123 imply that the nodal transport is largely doping independent and metallic, while transport near the BZ axes is governed by a quantum critical point near doping $p\sim 0.22$ holes per CuO$_{2}$ plaquette. Important differences for La-214 are discussed. It is also shown that the $c-$ axis conductivity rise for $T\ll T_{c}$ is a consequence of partial conservation of in-plane momentum for out-of-plane transport.Comment: 16 pages, 8 Figures (3 pages added, new discussion on pseudogap and charge ordering in La214

Comparison of pharmacopeial statistical methods applied in microbiological assay for antibiotics potency determination using parallel lines and three-dose level

Pharmaceutical equivalence studies, useful for checking the interchangeability of generic medicines and their respective innovator medicines, have been carried out in Brazil since 1999, as a consequence of the establishment of the generic medicine policy. For medicines containing antibiotics, microbiological assays are often the most appropriate method. However, the statistical methods applied in these assays are not widely known due to the difficult access to official codes and/or little knowledge of the statistical tools of analysis. Thus, the aim of this work was to compare the statistical methods for determining the potency of antibiotics through the cylinder-plate method using parallel lines and a three-dose level model, as described in the Brazilian Pharmacopeia (4th edition, 1988), British Pharmacopoeia 2011, European Pharmacopoeia (7th edition), The International Pharmacopoeia (4th edition), and United States Pharmacopeia (34th edition). The assay is illustrated with the antibiotic ofloxacin, and details on orthogonal coefficients, normality test, homogeneity of variance test, and detection of outliers are discussed. The calculations obtained by statistical analyses from different pharmacopeias lead to the same final interpretation. In practice, with the availability of alternative pharmacopeial methods, the analyst can choose the most appropriate statistical calculation to be used.Os estudos de equivalência farmacêutica, úteis na verificação da intercambialidade entre os medicamentos genéricos e respectivos medicamentos de referência, têm sido realizados no Brasil desde 1999, como consequência do estabelecimento da política de medicamentos genéricos. Para medicamentos contendo antibióticos, os ensaios microbiológicos são, muitas vezes, o método mais adequado. Entretanto, os métodos estatísticos aplicados nesses ensaios não são amplamente conhecidos devido à dificuldade de acesso aos compêndios oficiais e/ou pouca compreensão das ferramentas estatísticas de análises. Portanto, o objetivo desse trabalho foi comparar os métodos estatísticos para determinação de potência de antibióticos pelo delineamento por retas paralelas e três níveis de doses, descritos nas farmacopeias Brasileira 4. ed. (1988), Britânica 2011, Europeia 7. ed., Internacional 4. ed. e na Farmacopeia dos Estados Unidos 34. ed. (2011). O ensaio é exemplificado com o antibiótico ofloxacino e detalhes sobre coeficientes ortogonais, teste de normalidade, teste de homogeneidade de variância e detecção de outliers são discutidos. Os cálculos obtidos pelas análises estatísticas segundo as diferentes farmacopeias resultaram na mesma interpretação final. Na prática, métodos farmacopéicos alternativos permitem ao analista a escolha do cálculo estatístico mais apropriado a ser utilizado

Low Q^2 Jet Production at HERA and Virtual Photon Structure

The transition between photoproduction and deep-inelastic scattering is investigated in jet production at the HERA ep collider, using data collected by the H1 experiment. Measurements of the differential inclusive jet cross-sections dsigep/dEt* and dsigmep/deta*, where Et* and eta* are the transverse energy and the pseudorapidity of the jets in the virtual photon-proton centre of mass frame, are presented for 0 < Q2 < 49 GeV2 and 0.3 < y < 0.6. The interpretation of the results in terms of the structure of the virtual photon is discussed. The data are best described by QCD calculations which include a partonic structure of the virtual photon that evolves with Q2.Comment: 20 pages, 5 Figure

Hadron Production in Diffractive Deep-Inelastic Scattering

Characteristics of hadron production in diffractive deep-inelastic positron-proton scattering are studied using data collected in 1994 by the H1 experiment at HERA. The following distributions are measured in the centre-of-mass frame of the photon dissociation system: the hadronic energy flow, the Feynman-x (x_F) variable for charged particles, the squared transverse momentum of charged particles (p_T^{*2}), and the mean p_T^{*2} as a function of x_F. These distributions are compared with results in the gamma^* p centre-of-mass frame from inclusive deep-inelastic scattering in the fixed-target experiment EMC, and also with the predictions of several Monte Carlo calculations. The data are consistent with a picture in which the partonic structure of the diffractive exchange is dominated at low Q^2 by hard gluons.Comment: 16 pages, 6 figures, submitted to Phys. Lett.