Abstract Aim Lumbar hernias are a rare clinical entity and surgical treatment is constantly evolving changing. We propose systematization step-by-step guiding safe effective repair with similar conditions to the inguinal region. Material & Methods The patient lies down in dorsal decubitus position 45° elevation of hernia side. first port umbilicus access, accessory ports along middle line. ...

purpose : to describe a case of acute angle-closure glaucoma associated with oral topiramate (topamax, aria daroo) therapy case report: two weeks after initiation of oral topiramate therapy for epilepsy, a 35-year-old woman presented with blurred vision and headache. intraocular pressure in both eyes was significantly elevated and her visual acuity was 20/30 ocular uterque (ou). bilateral conju...

oro-antral communication and fistula can occur as a result of inadequate and improper treatment. inadvertent communication with the maxillary sinus can occur during certain surgical procedures in the maxillary posterior region. though, spontaneous healing may occur in defects which are smaller than 2 mm but larger communications require immediate attention and should be treated without delay, i...

background pilonidal disease is a common condition that affects younger people in which over half of the affected patients present with a sacrococcygeal abscess. this study was performed to compare the outcome of excision and primary closure with that of rhomboid excision and flap procedure in patients with uncomplicated pilo­nidal disease. methods a total of 90 consecutive patients with piloni...

Stomata play an important role in plant innate immunity by limiting pathogen entry into leaves but molecular mechanisms regulating stomatal closure upon pathogen perception are not well understood. Here we show that the Arabidopsis thaliana L-type lectin receptor kinase-V.5 (LecRK-V.5) negatively regulates stomatal immunity. Loss of LecRK-V.5 function increased resistance to surface inoculation...

We deene the notion of weak relative pseudo-complement, and we show that, for an arbitrary lattice, the property of weak relative pseudo-complementation is strictly weaker than relative pseudo-complementation, but stronger than pseudo-complementation. Our main interest for this notion is in relation with the theory of closure operators. We prove that if a complete lattice L is completely inf-di...

Long-term peritoneal dialysis is accompanied by functional and histopathological alterations in the peritoneal membrane. In the long process of peritoneal dialysis, high-glucose peritoneal dialysis solution (HGPDS) will aggravate the peritoneal fibrosis, leading to decreased effectiveness of peritoneal dialysis and ultrafiltration failure. In this study, we found that the coincidence of elevate...

T he optimal secondary prevention strategy in patients presenting with a cryptogenic stroke or transient ischemic attack (TIA) and a patent foramen ovale (PFO) is uncertain. In the United States, closure of a PFO using a percutaneous transcatheter device is currently considered investigational by the Food and Drug Administration. Nonetheless, many patients in this setting are treated off-label ...

Land-surface models use different formulations of stomatal conductance and plant hydraulics, and it is unclear which type of model best matches the observed surface-atmosphere water flux. We use the North American Carbon Program data set of latent heat flux (LE) measurements from 25 sites and predictions from 9 models to evaluate models’ ability to resolve subdaily dynamics of transpiration. De...