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Parastomal hernia is a major complication of an intestinal stoma. This study was performed to compare the results of various operative methods to treat parastomal hernias.
Results of surgical treatment for parastomal hernias (postoperative recurrence, complications and postoperative hospital stays) were surveyed in 39 patients over an 11-year period. The patients enrolled in this study underwent surgery by a single surgeon to exclude surgeon bias.
Seventeen patients were male, and twenty-two patients were female. The mean age was 65.9 years (range, 36 to 86 years). The stomas were 35 sigmoid-end-colostomies (90%), 2 loop-colostomies (5%), and 2 double-barrel-colostomies. Over half of the hernias developed within two years after initial formation. Stoma relocation was performed in 8 patients, suture repair in 14 patients and mesh repair in 17 patients. Seven patients had recurrence of the hernia, and ten patients suffered from complications. Postoperative complications and recurrence were more frequent in stoma relocation than in suture repair and mesh repair. Emergency operations were performed in four patients (10.3%) with higher incidence of complications but not with increased risk of recurrence. Excluding emergency operations, complications of relocations were not higher than those of mesh repairs. Postoperative hospital stays were shortest in mesh repair patients.
In this study, mesh repair showed low recurrence and a low complication rate with shorter hospital stay than relocation methods, though these differences were not statistically significant. Further studies, including randomized trials, are necessary if more reliable data on the surgical treatment of parastomal hernias are to be obtained.
Parastomal hernia; Recurrence; Complication; Relocation; Mesh repair
Among the various stoma complications, the parastomal hernia (PSH) is the most common. Prevention of PSH is very important to improve the quality of life and to prevent further serious complications. The aim of this study was to analyze the incidence and the risk factors of PSH.
From January 2002 and October 2008, we retrospectively reviewed 165 patients who underwent an end colostomy. As a routine oncologic follow-up, abdomino-pelvic computed tomography was used to examine the occurrence of the PSH. The associations of age, sex, body mass index (BMI), history of steroid use and comorbidities to the development of the PSH were analyzed. The median duration of the follow-up was 36 months (0 to 99 months).
During follow-up, 50 patients developed a PSH and the 5-year cumulative incidence rate of a PSH, obtained by using the Kaplan-Meier method, was 37.8%. In the multivariate COX analysis, female gender (hazard ratio [HR], 3.29; 95% confidence interval [CI], 1.77 to 6.11; P < 0.0001), age over 60 years (HR, 2.37; 95% CI, 1.26 to 4.46; P = 0.01), BMI more than 25 kg/m2 (HR, 1.8; 95% CI, 1.02 to 3.16; P = 0.04), and hypertension (HR, 2.08; 95% CI, 1.14 to 3.81; P = 0.02) were all independent risk factors for the development of a PSH.
The 5-year incidence rate of a PSH was 37.8%. The significant risk factors of a PSH were as follows: female gender, age over 60 years, BMI more than 25 kg/m2, and hypertension. Using a prophylactic mesh during colostomy formation might be advisable when the patients have these factors.
Colostomy; Hernia; Incidence; Risk factors; Complication
The purpose of this study was to evaluate the overall rate and risk factors for the development of an incisional hernia and a parastomal hernia after colorectal surgery.
The study cohort consisted of 795 consecutive patients who underwent open colorectal surgery between 2005 and 2007 by a single surgeon. A retrospective analysis of prospectively collected data was performed.
The overall incidence of incisional hernias was 2% (14/690). This study revealed that the cumulative incidences of incisional hernia were 1% at 12 months and 3% after 36 months. Eighty-six percent of all incisional hernias developed within 3 years after a colectomy. The overall rate of parastomal hernias in patients with a stoma was 6.7% (7/105). The incidence of parastomal hernias was significantly higher in the colostomy group than in the ileostomy group (11.9% vs. 0%; P = 0.007). Obesity, abdominal aortic aneurysm, American Society of Anesthesiologists score, serum albumin level, emergency surgery and postoperative ileus did not influence the incidence of incisional or parastomal hernias. However, the multivariate analysis revealed that female gender and wound infection were significant risk factors for the development of incisional hernias female: P = 0.009, wound infection: P = 0.041). There were no significant factors related to the development of parastomal hernias.
Our results indicate that most incisional hernias develop within 3 years after a colectomy. Female gender and wound infection were risk factors for the development of an incisional hernia after colorectal surgery. In contrast, no significant factors were found to be associated with the development of a parastomal hernia.
Ventral hernia; Surgical stomas; Ileostomies; Colostomies
A 68-year-old immunosuppressed woman was admitted with poor-functioning colostomy, which she had following a Hartmann’s procedure for diverticular disease in sigmoid colon 8 years previously. She was on cyclosporin and warfarin for transplanted kidney and atrial fibrillation, respectively. On admission, an erythematous and tender swelling was found around the stoma, which was diagnosed as an irreducible, parastomal hernia clinically. The swelling was investigated further with CT, which revealed an organised mesocolic abscess of diverticular origin. The abscess was drained percutaneously under radiological guidance. She recovered well subsequently. This case is a unique presentation of diverticular abscess and management was a challenge considering the patient’s co-morbidities and the location of the abscess.
INTRODUCTION: Parastomal hernia is a common complication of stoma construction. Although the majority of patients are asymptomatic, about 10% require surgical correction. AIMS: We describe a new surgical approach for the repair of parastomal hernias, which avoids both the need for laparotomy and stoma mobilization. PATIENTS AND METHODS: Nine patients (4 female) with parastomal hernia underwent surgical repair. Median age was 55 years (range 38-73 years). There were 8 para-ileostomy herniae and one paracolostomy hernia. A lateral incision was made approximately 10 cm from the stoma, and carried down to the rectus sheath. The dissection was carried medially towards the stoma, and around the defect in the abdominal musculature. The hernia sac was excised when possible and the fascial defect closed with non-absorbable, monofilament suture. A polyprolene mesh was placed round the stoma by making a slit in the mesh. The skin was closed with subcuticular monofilament absorbable suture. RESULTS: All patients returned to normal diet on the first postoperative day, and were discharged from hospital within 72 h. There were no wound infections, and no recurrences after a median follow up of 6 months (range 3-12 months). DISCUSSION: The technique we describe is simple and avoids the need of laparotomy. The mucocutaneous junction of the stoma is not disturbed, reducing the risk of contamination of the mesh, stenosis or retraction of the stoma. Grooving of the stoma and difficulty in fitting appliances is avoided because the wound is not placed near the mucocutaneous junction. This approach may be superior to other mesh repairs for parastomal hernia.
We herein report a laparoscopically performed re-do operation on a patient who had previously undergone a laparoscopic parastomal hernia repair.
We describe the case of a 71-year-old patient who presented within 3 months of her primary laparoscopic parastomal hernia repair with recurrence. On relaparoscopy, dense adhesions to the mesh were found, and the mesh had migrated into the hernia sac. This had allowed loops of small bowel to herniate into the sac. The initial part of the procedure involved the lysis of adhesions. A piece of Gore-Tex DualMesh with a central keyhole and a radial slit was cut so that it could provide at least 3 cm to 5 cm of overlap of the fascial defect. The tails of the mesh were wrapped around the bowel, and the mesh was secured to the margins of the hernia with circumferential metal tacking and 4 transfascial sutures. The patient remains in satisfactory condition and no recurrence or any surgery-related problem has been observed during 8 months of follow-up.
Revisional laparoscopic repair of parastomal hernias seems feasible and has been shown to be safe and effective in this case. The success of this approach depends on longer follow-up reports and standardization of the technical elements.
Revisional laparoscopic parastomal hernia repair; Revisional laparoscopic surgery; Parastomal hernia; Recurrence
Parastomal hernias (PSHs) are a common type of incisional hernia and the most frequent complication to colostomies. Usually only mobile structures of the abdomen herniate in the hernial sac of the non-traumatic hernia. This case describes a large PSH adjacent to a lower left quadrant colostomy containing the mobile small intestine, part of the colon and a perforated stomach. The PSH presented with acute abdomen requiring explorative laparatomy and debridement. Large hernias may over time predispose to stretching of ligaments and mobilization of otherwise immobile structures with damage to these structures. The case report includes a short overview of hernia types associated with dislocation of the fixed organs of the abdominal space.
Rationale:Due to the improvement of prognosis through adjuvant therapy, the life expectancy of neoplasia patients is continuously increasing, which, in conjunction with the progressive occurrence of parastomal hernias during the disease evolution, explains the growing number of reported parastomal hernias affecting patients with permanent colostomy.
Conventional techniques of local repair are inappropriate considering the high recurrence rate, and the decision of stoma relocation depends on the associated pathology, which may counter-indicate general anesthesia, and on previous surgical interventions that are usually followed by a dense peritoneal adhesion syndrome
Objective:The purpose of this article is to make known a variant of alloplastic technique, without translocation, with a low degree of invasiveness, which can be performed successfully under spinal anesthesia, followed by a reduced period of hospitalization.
Methods and Results:The study group consisted of 6 patients with permanent left iliac anus who underwent these interventions one to three years prior to the occurrence of parastomal hernia.
Patients were followed at 1 year and 2 years postoperatively and the results were favorable, with no recurrence and improved quality of life through proper prosthesis of the stoma
Discussion:We suggest that this technique variation is applied to small and medium parastomal hernias, in case of patients with permanent left iliac anus, with the declared intent of minimal invasiveness.
parastomal hernia; minimal invasive; alloplastic procedure; quality of life
The aim of this study was to investigate the clinical and radiological incidence of parastomal hernia.
We reviewed, retrospectively, 83 patients with end colostomy operated on from January 2003 to June 2009 at Ajou University hospital. Age, sex, surgical procedure type, body mass index (weight/length2), stoma size, and respiratory co-morbidity were documented. We compared the incidence of radiological and clinical parastomal hernia.
There were 47 males (56.6%) and 36 females (43.4%). During an overall median follow-up of 30 months (range, 6 to 45 months), 24 patients (28.9%) developed a radiological parastomal hernia postoperatively and 20 patients (24.1%) presented clinical symptoms. Using computed tomography (CT) classification, the groups were as follows: type 0 (40, 48.2%), type Ia (19, 22.9%), type Ib (8, 9.6%), type II (4, 4.8%) and type III (12, 14.5%), with 63 asymptomatic patients and 20 symptomatic patients. The aperture size was significantly different between symptomatic and asymptomatic patients (76.45 mm vs. 49.41 mm; P = 0.000). There was a significant correlation between aperture size and the radiological type (P = 0.003).
This study showed the incidence of radiological parastomal hernia is acceptable compared to previous studies. CT classification may be useful to evaluate parastomal hernia.
Parastomal hernia; Computed tomography; End colostomy
The aim of this study was to investigate the clinical and radiological incidence of parastomal hernia and to analyze the risk factors for parastomal hernia.
We reviewed retrospectively 108 patients with end colostomy from January 2003 to June 2010. Age, sex, surgical procedure type, body mass index (kg/m2), stoma size, and respiratory comorbidity were documented.
There were 61 males (56.5%) and 47 females (43.5%). During an overall median follow-up of 25 months (range, 6 to 73 months), 36 patients (33.3%) developed a radiological parastomal hernia postoperatively and 29 patients (26.9%) presented with a clinical parastomal hernia. In multivariate analysis, gender (odds ratio [OR], 6.087; P = 0.008), age (OR, 1.109; P = 0.009) and aperture size (OR, 6.907; P < 0.001) proved to be significant and independent risk factors after logistic regression analysis.
This study showed that the incidence of radiological parastomal hernia is higher than clinical parastomal hernia. Risk factors for parastomal hernia proved to be female, age, and aperture size.
Hernia; Computed tomography; Colostomy
Parastomal hernia is a frequent complication after enterostomy formation. A repair using prosthetic mesh by way of a laparoscopic or open transabdominal approach is usually recommended, however, other procedures may be done if the repair is to be performed in a contaminated environment or when the abdominal cavity of the patient is difficult to enter due to postsurgical dense adhesion. The components separation method, which was introduced for non-transabdominal and non-prosthetic ventral hernia repair, solves such problems.
Case 1. A 79-year-old Japanese woman who underwent total cystectomy with ileal conduit for bladder cancer presented with a parastomal hernia, which was repaired using a keyhole technique. Simultaneously, an incisional hernia in the midline was repaired with a prosthetic mesh. One year after her hernia surgery, a recurrence occurred lateral to the stoma, but it was believed to be difficult to enter the peritoneal cavity because of the wide placement of mesh. Therefore, surgery using the components separation method was performed.
Case 2. A 72-year-old Japanese man underwent an abdominoperineal resection for rectal cancer. At 5 and 12 months after his operation, a perineal hernia and an incisional hernia in the midline were repaired with prosthesis using a transabdominal approach, respectively. Three years after his rectal surgery, a parastomal hernia developed lateral to the stoma. For the same reason as case 1, surgery using the components separation method was performed. No recurrence was observed in either case as of 40 and 8 months after the last repair, respectively.
The components separation method is a novel and effective technique for parastomal hernia repair, especially in cases following abdominal polysurgery or midline incisional hernia repairs using large pieces of mesh. To the best of our knowledge, this is the first report in English on the application of the components separation method for parastomal hernia repair.
Parastomal hernia; Components separation method; Incisional hernia; Repair
A parastomal hernia is the most common surgical complication following stoma formation. As the field of laparoscopic surgery advances, different laparoscopic approaches to repair of parastomal hernias have been developed. Recently, the Sugarbaker technique has been reported to have lower recurrence rates compared to keyhole techniques. As far as we know, the Sugarbaker technique has not yet been performed in Korea. We herein present a case report of perhaps the first laparoscopic parastomal hernia repair with a modified Sugarbaker technique to be successfully carried out in Korea. A 79-year-old woman, who underwent an abdominoperineal resection for an adenocarcinoma of the rectum 9 years ago, presented with a large parastomal and incisional hernias, and was treated with a laparoscopic repair with a modified Sugarbaker technique. Six months after surgery, follow-up with the patient has shown no evidence of recurrence.
Laparoscopy; Abdominal hernia; Surgical stomas; Surgical procedures; Minimally invasive
Acute appendicitis involving the hernia sac is infrequent but well-documented in medical literature. In most instances, it occurs within the right inguinal (Amyand’s hernia) or right femoral hernia (de Garengeot hernia). The diagnosis is always mistaken for incarcerated groin hernia. During surgery, the appendix itself, either perforated or strangulated, is most commonly encountered within the hernia sac. In very rare occasions, only appendiceal pus is found in the hernia sac. In this paper, we report the case of a 90-year-old woman with acute appendicitis and a tender mass in the right groin. Typical findings of acute appendicitis by computed tomography (CT) and incarcerated femoral hernia with groin cellulitis misled us into preoperative diagnosis of strangulated femoral hernia. Acute phlegmonous inflammation of the incarcerated femoral hernia sac containing pus only and acute suppurative appendicitis were found intraoperatively. This case presents a rare complication of acute appendicitis and the first report of CT-documented appendiceal pus-contained femoral hernia. Knowledge of this rare condition is helpful in establishing preoperative diagnosis and patient management decisions.
hernia sac; acute appendicitis; pus-containing femoral hernia
Parastomal hernia is a common complication of a colostomy. Ultimately, one-third of patients with a parastomal hernia will need surgical correction due to frequent leakage or life-threatening bowel obstruction or strangulation. However, treatment remains a challenge resulting in high recurrence rates. Two single center trials demonstrated that the frequency of parastomal hernias decreases by prophylactic placement of a mesh around the stoma at the time of formation. Unfortunately, both studies were small-sized, single-center studies and with these small numbers less common complications could be missed which were the reasons to initiate a prospective randomized multicenter trial to determine if a retromuscular, preperitoneal mesh at the stoma site prevents parastomal hernia and does not cause unacceptable complications.
One hundred and fifty patients undergoing open procedure, elective formation of a permanent end-colostomy will be randomized into two groups. In the intervention group an end-colostomy is created with placement of a preperitioneal, retromuscular lightweight monofilament polypropylene mesh, and compared to a group with a traditional stoma without mesh. Patients will be recruited from 14 teaching hospitals in the Netherlands during a 2-year period. Primary endpoint is the incidence of parastomal hernia. Secondary endpoints are stoma complications, cost-effectiveness, and quality of life. Follow-up will be performed at 3 weeks, 3 months and at 1, 2, and 5 years. To find a difference of 20% with a power of 90%, a total number of 134 patients must be included. All results will be reported according to the CONSORT 2010 statement.
The PREVENT-trial is a multicenter randomized controlled trial powered to determine whether prophylactic placement of a polypropylene mesh decreases the incidence of a parastomal hernia versus the traditional stoma formation without a mesh.
The PREVENT-trial is registered at: http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=2018
Parastomal hernia; Prophylactic; Prevention; Mesh; Colostomy
Parastomal herniation is a common complication after stoma formation. The incidence can be reduced by using an extraperitoneal technique, limiting the size of the trephine to 1.5-2.0 cm or by strengthening with a mesh. If an intraperitoneal technique is used the intestine should be brought out through the rectus muscle. Generally, the symptoms are easily controlled with a support belt. Various techniques have been advocated for surgical repair. Fascial repair alone should no longer be performed owing to an unacceptably high recurrence rate, but should be combined with a prosthetic mesh. Relocation of the stoma should be performed for primary repairs.
Bochdalek hernia is one of the most common congenital abnormalities manifested in infants. In the adult is a rarity, with a prevalence of 0.17–6% of all diaphragmatic hernias. Right-sided Bochdalek hernias containing colon are even more rare, with no case described in the literature with ileo-cecal appendix.
PRESENTATION OF CASE
The authors present a case of a right-sided Bochdalek hernia in an adult female of 49 years old, presented with severe respiratory failure. During laparotomy for hernia correction, were found in an intrathoracic position the cecum and ileo-cecal appendix, the right colon and the transverse colon.
Although useful in patient evaluation, clinical history and physical examination are not helpful in making diagnosis because of their nonspecific character. CT scan is the most accurate exam for making diagnosis. Most of the times there is no hernial sac. Surgery is the treatment of choice, and it is always indicated even if asymptomatic. In general suture of the defect is possible. Due to patient's weak respiratory function we chose laparotomy by Kocher incision.
Being the first case of a right-sided Bochdalek hernia in the adult with a herniated ileo-cecal appendix, we name it Almeida-Reis hernia.
Bochdalek; Hernia; Diaphragm; Ileo-cecal appendix; Almeida-Reis
In an attempt to reduce the high recurrence rate after repair of parastomal hernia, a technique was devised in which non-absorbable mesh was used to provide a permanent closure of the gap between the emerging bowel and abdominal wall. Seven patients were treated during the period 1990-1992. Five-year follow-up has given disappointing results, with recurrent hernia in 29% of cases and serious complications, including obstruction and dense adhesions to the intra-abdominal mesh, in 57% and a mesh-related abscess in 15% of cases. This study highlights a dual problem--failure of a carefully sutured mesh to maintain an occlusive position, and complications of the mesh itself. The poor results obtained with this technique together with the disappointing results with other methods described in the literature confirms that parastomal hernia presents a continuing challenge.
A perforated sigmoid colon cancer within an inguinal hernia is extremely rare. This unexpected finding is usually discovered during surgery and causes an unavoidable septic evolution. Here, we describe the case of an 84-year-old man who presented with fever, abdominal distension, and a painful, enlarged, left scrotum. A CT showed a left, incarcerated, inguinal hernia containing a perforated sigmoid adenocarcinoma (which was confirmed by histopathology). The possibility of an irreducible inguinal hernia in association with perforated sigmoid colon cancer should be considered in the array of diagnoses. A pre-operative CT scan would be helpful in facilitating an accurate diagnosis.
Perforation; Sigmoid adenocarcinoma; Inguinal hernia; Computed tomography (CT)
Appendicitis and incarcerated hernia are frequently encountered reasons of emergency surgery for acute abdomen. The treatment in early stages of each condition is generally simple, but when these conditions are combined, the symptoms become slightly complicated, obscuring specific symptoms. Especially the lack of symptoms for appendicitis leads to delayed diagnosis, resulting in high morbidity. Amyand hernia, which contains appendix in its inguinal hernia sac, is perhaps more familiar to the general surgeons than De Garengeot hernia, which is an incarcerated femoral hernia with an appendix in its sac. We report the case of a 90-year-old female with incarcerated femoral hernia who underwent emergency hernioplasty only to reveal an inflamed appendix in its sac. The patient underwent both appendectomy and hernia repair simultaneously with synthetic mesh and was discharged on postoperative day 7 without any complications. We will also discuss the physical and radiological findings of De Garengeot hernia.
Femoral hernia; Incarceration; Appendicitis; De Garengeot hernia
Lumbar hernia is a rare complication that can occur after breast reconstruction using a latissimus dorsi flap. The defect occurs within the superior lumbar triangle and may result in visceral incarceration.
PRESENTATION OF CASE
We report a 61-year-old female who presented with a left sided lumbar bulge and pain 7 years following a modified radical mastectomy and latissimus dorsi flap reconstruction. Computed tomography demonstrated a lumbar hernia with incarcerated colon. The patient underwent a successful laparoscopic repair with prosthetic mesh underlay.
Lumbar hernias may be congenital, secondary to trauma or prior surgery. Imaging studies assist in excluding soft tissue tumors, infections, hematoma or abdominal wall denervation atrophy, which may also present as a lumbar bulge. Repair may be performed in an open, laparoscopic or retroperitoneoscopic approach.
Laparoscopic lumbar hernia repair with mesh is a safe and feasible way to manage an uncommon complication after breast reconstruction with a latissimus flap.
Lumbar hernia; Breast reconstruction; Laparoscopy
An inguinal hernia is a common surgical disease in elderly patients, but an association with intra-abdominal malignancies is rare.
We report a case of a 78-year-old Caucasian woman presenting with a right inguinal mass suspected to be an irreducible hernia. A computed tomography scan showed the presence of the cecum in her inguinal canal, with an irregular thickening of the cecal wall suggesting a neoplasm within the inguinal hernia. A colonoscopy was not completed owing to the huge involvement of the cecum into the hernia sac. A laparotomy was performed, at which time the cecum was herniated through her right inguinal canal and the cecal tumor had infiltrated her abdominal wall and femoral artery. A right inguinal incision was necessary for good vascular control and to carry out an en bloc resection of the tumor with the inguinal wall. A right colectomy was performed and the inguinal wall repaired. The postoperative course was uneventful and our patient received adjuvant radiochemotherapy.
We describe a rare case of a locally advanced cecal tumor presenting as a right inguinal hernia. Both diagnosis and surgical treatment in elderly patients represent a challenge for the surgeon in cases of aggressive tumors as reported in this paper.
Cecum carcinoma; Inguinal hernia; Intrasaccular tumors; Right colectomy
Paraduodenal hernia, a rare congenital anomaly which arises from an error of rotation of the midgut, is the most common type of intraabdominal hernia. There are two variants, right and left paraduodenal hernia, the right being less common. We report the case of a 41-year-old patient with a right paraduodenal hernia with a 6-month history of intermittent episodes of intestinal obstruction. Diagnosis was established by CT scan and upper gastrointestinal series with small bowel follow-through. In a planned laparotomy, herniation of the small bowel loops through the fossa of Waldeyer was found. Division of the lateral right attachments of the colon opened the hernia sac widely, replacing the pre- and postarterial segments of the intestine in the positions they would normally occupy at the end of the first stage of rotation during embryonic development. Six months after the surgery, after an uneventful recovery, the patient remains free of symptoms.
Paraduodenal hernia; Internal hernia; Intestinal obstruction
Existence of non-inflamed or inflamed vermiform appendix in an inguinal hernia is named Amyand's hernia in honor to the surgeon Claudius Amyand who successfully performed first perforated appendicitis.
A 69-year-old Turkish male patient with a slight right groin pain and swelling was presented to our clinic, and found to have a slightly tender and reducible right inguinal hernia. He underwent surgery under general anesthesia, and a adhesive caecum and an inflamed appendix were explored within the hernia sac. Adhesions were divided by sharp dissection and appendectomy was performed. After carrying out a Lichtenstein hernioplasty, a broad-spectrum antibiotic was postoperatively admitted for 3 days. He recovered uneventfully, and neither complication nor recurrence was detected during 52 months of follow-up.
Although occurrence of an appendicitis in an inguinal hernia is rare, a surgeon should be vigilant for facing with it even in elective cases. Treatment can be provided only surgically, but surgical treatment is not standard except from appendectomy. In our opinion, application of mesh hernia repair should depend on the degree of inflammation of appendix and the presence of incarceration of hernia sac with a suitable antibiotic admission for 3-5 days postoperatively.
Hernia; inguinal; appendicitis
Slow transmural tissue necrosis may occur after an electrosurgical Bovie injury and lead to eventual bowel perforation.
Bowel injury during laparoscopic surgery is a rare but serious complication. A Bovie injury to the bowel can cause delayed perforation of the viscus, thus increasing the possibility of a preventable morbidity. Patients presenting with perforation peritonitis within 24 hours and up to 2 to 3 weeks after laparoscopic Bovie injury to the bowel have been reported in the literature.
Description: A 74-year-old woman underwent a laparoscopic ventral hernia mesh repair. Intraoperatively, a small area of superficial Bovie injury to the small bowel was repaired with Lembert sutures and tissue glue. Postoperatively, the patient recovered well, but she presented with perforation peritonitis 3 months after surgery. An exploratory laparotomy showed a jejunal perforation in the same area that was injured with cautery and repaired during the previous surgery. The patient was only using inhaled steroids for asthma on and off but had a remote history of chemotherapy and radiation for colorectal cancer.
Bovie injury to the bowel has a hidden depth, causing a slow transmural tissue necrosis, and it might also impair local healing and eventually lead to perforation. Thus, the patient may present later than the usual period for wound healing and remodeling as previously reported. Given the disastrous consequence, it is imperative to perform a good surgical repair of even a minor Bovie injury to the bowel. This is the first report of a delayed presentation (>1 month) of a Bovie injury of the bowel.
Laparoscopic injury; Ventral hernia; Thermal injury; Small bowel injury; Bovie injury; Cautery injury
Inguinal hernia has a nature to surprise surgeons with its unexpected contents. Appendix epiploicae alone in the hernial sac is a rare entity and that too if hypertrophied and presenting as irreducible hernia is still more uncommon. We report a 52-year-old male with complains of irreducible inguinal mass with little pain on Left side for seven days. A diagnosis of irreducible inguinal hernia was made and the patient was treated laparoscopically by Trans-Abdominal Pre-Peritoneal Mesh Hernioplasty (TAPP). As a surprise, content of the hernial sac was enlarged / hypertrophied appendix epiploicae of sigmoid colon with appendigitis. Patient also had and incidental hernia on the other side, which was repaired in the same sitting. Postoperative recovery of the patient was excellent.
Appendices epiploicae; Inguinal Hernia; Trans-abdominal pre peritoneal

domain: medical


Main Article Content
The special issue of SCPE covers issues of Scalable and Distributed Applications that cope with increased demand for data-intensive computations, deployed on GPUs, Grids, Clusters, supercomputers, cloud-based or other virtualized resources. Speeding up the computations and increasing the bandwidth require many techniques like algorithm optimizations, load balancing, parallelization, resource brokering, reducing communication, etc.
This special issue provides a selection of articles that concern large scale computations and scalable computing in distributed systems. The idea was born at the 2014 Fedcsis conference, particularly at the 7th workshop on Large Scale Computations on Grids (LaSCoG) and 2nd workshop on Scalable Computing in Distributed Systems, but the call was open to any submission.
Two papers were selected out of seven for our current special issue. The first paper deals with GPU implementation of a multiple string matching. This paper evaluates the speedup of the basic parallel strategy and the different optimization strategies for parallelization of Aho-Corasick, Set Horspool, Set Backward Oracle Matching, Wu-Manber and SOG algorithms on a GPU. The authors obtain speed up between 2.5 and 10.9 over the equivalent sequential version of the algorithms, and a variety of speedup factors between 11 and 34 for parallel implementations of the analyzed algorithms.
The second paper presents a scalable and distributed solution version of a Broker As A Service for the SLA-based brokering of Cloud resources and for Multi-Cloud brokering. It describes the design of a service that takes as input a set of service requirements and a set of resource providers, and finds the best (or at least a good) combination of providers. The authors discuss how their architecture of a distributed broker overcomes the problems of the centralized broker allowing a Multi-User and a Multi-Cloud utilization. Their prototype implementation is a scalable solution, by distributing smaller tasks among independent agents, whose population dynamically scale together with the computing infrastructure.
We would like to thank the editorial board of SCPE for the chance of arranging this special issue, and all the reviewers for their hard work.
Special Issue Papers


text: Walmart plans to close half its stores in Chicago, a reversal of the retail giant’s high-profile commitment in 2020 to expand in the city as part of its corporate racial justice initiative in the wake of George Floyd’s murder by police. Walmart announced Tuesday that next week it will close four poor-performing stores out of the eight it operates in Chicago. Three of the locations are located in Chicago’s South and West Side neighborhoods, which are predominantly minority and have long struggled with grocery and retail access. One of the stores is in Chicago’s North Side, which is predominantly White and more affluent. The announcement comes after Walmart highlighted its efforts in Chicago as a “critical part” of its broader $100 million pledge to advancing racial equity in 2020. “Chicago will be an example of what’s possible when we leverage business, government and community organizations for the good of all,” Walmart CEO Doug McMillon said in 2021. It also follows more than a decade of intense efforts by Chicago political leaders to draw Walmart and other chains to underserved areas to spur economic development. But Walmart said Tuesday that these four stores lose tens of millions of dollars a year and that annual losses have nearly doubled in the last five years. The company said it tried several strategies to improve the stores and invested hundreds of millions of dollars in the city. “Unfortunately, these efforts have not materially improved the fundamental business challenges our stores are facing,” Walmart said in a blog post. The company said workers in these stores will be eligible to switch to other Walmart stores and it will work with local leaders to help find reuse options for the buildings. Walmart said its remaining four Chicago stores “continue to face the same business difficulties,” but it believes closing these four will give the others the best chance of staying open. The closures call attention to the recent pullback in major US cities by Walmart and other national chains. They also raise questions about the effectiveness of government strategies that closely rely on national chains to improve food and retail access in underserved areas. David Merriman, a professor of public policy, management and analytics at the University of Illinois Chicago, found in a 2012 study of Walmart’s impact in Chicago that businesses closer to Walmart were significantly more likely to close than similar businesses farther away. The study also found that the number of jobs lost by nearby retail competitors essentially offset the number of jobs created at the new Walmart stores. “Communities around the city shouldn’t see Walmart or other big-box retailers as a panacea for local economic problems,” he said. ‘An example of what’s possible’ In 2020, Walmart temporarily closed all eight of its stores in Chicago during protests in the city and across the country over Floyd’s murder by police. There were fears that Walmart and other businesses would leave Chicago, but Walmart pledged to stay and invest in the city. Chicago Mayor Lori Lightfoot and Walmart’s McMillon announced in June 2020 that Walmart would reopen its stores and also build two health centers and a training academy for employees in Chicago. “Walmart’s commitment to Chicago remains strong. We are not going anywhere,” McMillon said. He also said at the time that Walmart’s stores in Chicago collectively operate at a loss due to a “combination of our sales, product margin and expenses.” He said Walmart would try to reduce losses without raising prices or cutting workers’ wages or hours. Walmart “may have to revisit these decisions again” if they weren’t working after a few years, he cautioned, “but that’s not what we hope for or plan on.” A year later, McMillon said “Walmart wants to serve the people of this great city, build a successful business and work with those who are determined to see Chicago fulfill its potential.” In a statement Tuesday, Lightfoot said she was “incredibly disappointed that Walmart, a strong partner in the past,” was closing stores. “Unceremoniously abandoning these neighborhoods will create barriers to basic needs for thousands of residents,” she said. “I call on Walmart to ensure that these soon-to-be-closed stores are repurposed with significant community engagement so they can find a new use to serve their neighborhoods.” Struggles in cities Walmart’s decision follows years of attempts by the company to move into big US cities. Walmart expanded in rural and suburban areas during the 1980s and 1990s and began to try to enter cities in the early 2000s. But the company was met with stiff resistance in New York, Los Angeles, Chicago and other cities from unions and Democratic opponents who worried non-union Walmart would drive down wages and hurt small businesses. In 2006, Walmart overcame opposition in Chicago and opened its first store. Chicago’s mayor at that time, Richard M. Daley, paved the way for Walmart by vetoing an ordinance requiring all big-box stores to pay their employees a $10 minimum wage. Other Chicago leaders saw bringing in Walmart and national chains as a way to boost the economy and provide access to fresh food in Chicago’s predominantly Black South Side area. “This Wal-Mart is a win-win-win — a win for the local economy, a win for local job creation, and a win for the Chicagoans,” Chicago’s then-mayor Rahm Emanuel said in 2012 when Walmart opened a store in the city’s Chatham neighborhood. (It’s one of the stores now slated for closure.) But this strategy was misplaced, said Stacy Mitchell, the co-executive director of the Institute for Local Self-Reliance, a research and advocacy organization that challenges economic concentration. She believes the city should have taken stronger efforts to support smaller grocers who have been squeezed by big chains. “Chicago city leaders bent over backwards to lure Walmart to the city,” she said. “What they should have been doing was supporting the development of local businesses with a real commitment to the city and its residents.” Walmart is retrenching in some cities. It has also closed stores in Portland, Oregon, recently. The benefits of Walmart’s ability to drive down costs and keep prices low have proven less effective in cities. Walmart’s typical 180,000 square-foot supercenter model is not as well suited for urban neighborhoods as it is for suburban and rural areas, said Ray Wimer, a professor of retail practice at Syracuse University. Walmart is also not the only national chain that has closed stores in major cities. A Whole Foods flagship closed in San Francisco on Monday, citing concerns about worker safety. Walgreens and CVS have also closed in San Francisco and New York, while Starbucks closed 16 locations across various cities. These retailers face several challenges in cities. Urban locations carry higher rents, which means they need to hit higher sales targets to break even, Wimer told CNN. Some retailers have also cited higher levels of theft and other crime in their city stores. In addition, Covid-19 pandemic safety lockdowns and the rise of remote work have hurt foot traffic and sales to stores. And the growth of Amazon and same-day delivery has made going to stores less appealing for urban residents.

domain: geography


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two. ball mill is easy to throw out pulp through throat. during the normal ball milling process, pulp is thrown out from throat with small stones. reasons and countermeasures: imbalance of water-material ratio in ball mill. the water amount in ball mill cylinder is an important index in ball milling process. It reflects the carrying energy china gold ball mill, wet ball mill, tube mill, rod mill, find details about china gold ball mill, mine ball mill from gold ball mill, wet ball mill, tube mill, rod mill shanghai dingbo heavy industry machinery Co ltd.
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the planetary ball mill machine has four working positions which can be installed with two or four ball mill pots on planet disk. when the planet disk rotates, the pot axis makes planetary movements at high speed, the balls and materials inside the pots are impacted strongly in high speed movement, and materials are eventually ground into fine the ball mill is commonly divided into grid type ball mill and overflow type ball mill the rod mill is divided into overflow type and open type rod mill, whose diameter of hollow shaft is generally larger than that of ball mill with the same specifications. grinding medium of ball mill and rod mill
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ball mill equipment, rotary dryer, sand making machine manufacturer supplier in china, offering mini sand making machine for cobble stone, good quality dewatering screen for tailings with polyurethane screen, mineral processing big capacity agitator tank, gold leaching tank high ball mill, ore grinding machine, ore ball mills, china ball mil. due to the ways of discharge are different, there are two types of ball mills: into-lattice type and over-flow type, or center-discharging type and side-
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- 'Swades', 'Mother India' & 'Lagaan': 10 Hindi films to watch this Independence Day weekend
- We are sisters, we all have something unique, says Ananya Panday on Suhana Khan, Shanaya Kapoor's Bollywood debut
- Happy birthday, Saif Ali Khan! ‘Tandav’, ‘Omkara’, & ‘Go Goa Gone’ performances capture actor’s range
- Patriarchy, misogyny & power: The Iron Throne up for grabs again in 'Game of Thrones' prequel
"The Ballad of Songbirds and Snakes" is the latest project in the dystopian young-adult franchise based on Suzanne Collins' novels.
The film follows a young Coriolanus Snow (Tom Blyth), years before he would become the tyrannical President of the fictional nation Panem, as he is chosen to be the mentor of the 10th Hunger Games, a televised event in which teenagers are chosen via lottery to fight to the death.
Francis Lawrence, who helmed three of the four "The Hunger Games" films, is returning to direct the new movie.
"Dr. Gaul is as cruel as she is creative and as fearsome as she is formidable. Snow's savvy as a political operator develops in no small part due to his experiences with her as the games' most commanding figure," the director said in a statement.
We are sisters, we all have something unique, says Ananya Panday on Suhana Khan, Shanaya Kapoor's Bollywood debut
Besides Blyth, Davis joins already announced cast members Rachel Zegler, Hunter Schafer, Josh Andres Rivera, Jerome Lance, Ashley Liao, Aamer Husain, Hiroki Berrecloth, and Peter Dinklage.
Nathan Kahane, Lionsgate Motion Picture Group President, said the team is elated to have the acclaimed actor board the highly anticipated prequel film.
"The Hunger Games films have always been elevated by their exceptional casting, and we are thrilled to be continuing that tradition with Viola Davis as Volumnia Gaul. Her formidable and powerful presence will add layers of complexity and menace to this story," added Kahane.
The film is backed by franchise producer Nina Jacobson and her producing partner Brad Simpson, along with Lawrence.
"From the beginning, Viola has been our dream for Dr. Gaul because of the finely layered intelligence and emotion she brings to every role. A brilliant and eccentric strategist, Gaul is instrumental in shaping a young Coriolanus Snow into the man he will become. We are incredibly fortunate to have an actor with Viola's extraordinary range and presence to play this pivotal role," said Jacobson.
Davis will next be seen in "The Woman King", directed by Gina Prince-Bythewood.
- Front Page
- Pure Politics
- Brands & Companies
- Lenders Call Byju’s Lawsuit ‘Meritless’
A group of lenders, who claim to collectively own more than 85% of a $1.2 billion term loan taken by Byju’s, has termed the suit filed by the edtech company against their demand for an “accelerated” repayment “meritless”.PM Meets Altman, says ‘We Welcome all Collaborations’
India welcomes all collaborations that can accelerate its digital transformation and empower its citizens, Prime Minister Narendra Modi said after his Thursday meeting in New Delhi with OpenAI chief executive Sam Altman, who is currently on a tour meeting world leaders across Europe and Asia.Adani’s Proposed Air Works Deal has Passed Long Stop Date: Crisil
Adani Group’s proposed acquisition of Air Works has passed its long stop date and the two companies are not in discussions to extend deal timelines, ratings agency Crisil said in a recent note, potentially adding to the list of purchase plans that have been halted.
ETPrime stories of the day
11 mins read
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AI vs. India’s demographic dividend: Three questions we must answer to come out on top
9 mins read


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Games To Play Unblocked Plays 578
Play Mad Warrior for free now on Games To Play
Play Mad Warrior online
Mad Warrior is a fun action game where you can evolve by collecting gems and eliminating your enemies.
Left mouse click to attack Right mouse click to sprint Cursor to move

domain: game


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Luke Bryan certainly has a firecracker of a wife in Caroline Bryan – but he also has a firecracker for a mom, and together these two manage to have way too much fun!
LeClaire Bryan and Caroline Bryan are incredibly close and have been for many years. Over the years they’ve learned how to have fun with one another – even if it’s a prank involving one mean momma goose!
Well, as the story goes – Caroline convinced LeClaire that they had a “super friendly” mother goose on the farm near the pond. Turns out she wasn't so friendly!!

domain: relationship


A Pair of Closures Start at 6 PM Today on I-77
September 9, 2019 3:26PM EDT
CANTON (News Talk 1480 WHBC) – Drivers beware, a pair of closures on Interstate 77 could complicate your commute home. The first being the ramp from I-77 southbound to SR 800. The detour will be I-77 southbound to SR 627 to I-77 northbound. The second closure will be the ramp from Everhard Rd to I-77 SB. That detour will be Everhard Rd ramp to I-77 northbound to Portage St. exit to I-77 southbound. Both closures will start at 6 PM tonight and will remain closed until 6 AM tomorrow morning.


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September 2020 - Question of the Month
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Why does Legitimate Leadership regard courage at work as so important?
The results of the Leading in Crisis diagnostic survey showed that leaders delivered admirably on the care criterion, but did not deliver on the growth…
The assumption that people know what is expected of them, or that expectations between parties is both clear and aligned, is a common problem…
At a time when business outcomes can no longer be predicted or guaranteed, when forecasting has become more difficult and uncertainty endemic, it is essential that organisations stay attuned to early warning signals and cultivate the capacity to accelerate…
For more information regarding the above, please
Question of the Month
By Josh Hayman, associate, Legitimate Leadership.
Question: Why does Legitimate Leadership regard courage at work as so important?
Answer: If a person (like a leader) is in a relationship to give, the conventional view is that giving is about generosity. But in the Legitimate Leadership Model the often less-talked-about way of giving is about courage.
We find that courage is by far the rarer form of giving, which is partly why Legitimate Leadership emphasizes it.
Of the two (generosity and courage), courage is also the harder to get right. This is because being generous involves rising above a loss of things – the price we pay for being generous is generally not high.
Being courageous involves much more risk as there is usually an issue at play which presents the possibility of real and serious consequences. What the person stands to lose makes acting courageously difficult, and for some, impossible.
Courage is critical in the workplace because the absence of it leads people to give in to their fears, rather than rising above them.
In leadership, acting with courage means much more than disciplining your people. Caring about your people may require courage in making yourself vulnerable. Providing the means for your people may require courage to challenge policies and standards, or your manager or your colleagues. Cultivating ability may require the courage to coach others to the point where you are replaceable. Praising and rewarding people may require the courage to spend money on doing so when it is unpopular to do so. Being prepared to single out exceptional performers for reward instead of just rewarding the “herd” will require courage.
The good news is that courage is not a matter of ability or skill, it is a matter of the will, and exercising it gets easier with practice.
WEBINAR REPORT: HOW 16 LEGITIMATE LEADERSHIP CLIENTS PERFORMED DURING THE CRISIS
In a survey of the performance of leaders in 16 Legitimate Leadership client companies and organisations during the first months of the coronavirus crisis, the results showed that their leaders were more successful in demonstrating care and compassion than they were in using the crisis to empower and bring out the best in their people.
Legitimate Leadership says there are two criteria for legitimate power: care and growth.
The results of the Leading in Crisis diagnostic survey showed that leaders delivered admirably on the care criterion, but did not deliver on the growth criterion to the same extent. They did not capitalise on the opportunity the crisis offered to empower people and enable them to be the best that they could be.
ARTICLE: THE ACCOUNTABILITY THIEF
By Wendy Lambourne, director, Legitimate Leadership.
When managers in organisations are asked why they do not hold their people accountable, they typically provide a list of reasons which fall neatly into the categories of Willing; Able; and Allowed. But the reason which is not given, which is actually the primary reason why managers do not hold their people accountable, is that managers have not clarified and agreed what each person is accountable for in the first place.
FINANCIAL TIMES ARTICLE: YOU DON’T HAVE TO SELL CHANGE TO PEOPLE WHO DESIGNED IT
COMMENT BY WENDY LAMBOURNE, LEGITIMATE LEADERSHIP, ON THE ARTICLE BELOW: The Leading in Crisis diagnostic survey recently conducted across 16 Legitimate Leadership client organisations (see webinar report, above) provides affirmation of what Cath Bishop and Margaret Heffernan suggest below. Leaders in Legitimate Leadership client organisations put their people’s safety first and demonstrate a genuine concern for their people. Trust in the leadership as well as productivity increased as a result. Remote working facilitated increased empowerment concomitant with decreases in multiple checks and reporting. For the increase trust to be sustained however requires that leaders do not revert to a focus on results and micromanagement of people. Continuing and doing even more caring for and growing their people, as the authors say, “makes companies fit for the future, whatever it may bring”.
OUR SUMMARY OF THIS ARTICLE: In this recent Financial Times article in its Rebooting the Workplace series, business authors Cath Bishop and Margaret Heffernan wrote that the future of work requires a new social contract. At a time when business outcomes can no longer be predicted or guaranteed, when forecasting has become more difficult and uncertainty endemic, it is essential that organisations stay attuned to early warning signals and cultivate the capacity to accelerate change when clarity emerges, they wrote. Which means that leadership and decision-making cannot stay at the top.
A highly networked organisation, in which information and insight travels fast and without impediments, is the only coherent response to a world where business conditions can change overnight. We can learn from the improvisatory genius of world-class sporting teams, in which players have the freedom and skill for on-the-spot decision-making, according to the authors.
Glimmers of this approach were seen early in the pandemic. Across public and private sectors, leaders from line managers to chief executives went to exceptional lengths to look after their people, wherever they were. To their surprise, caring about people made productivity go up, not down.
At the same time, much work shifted from the centre to smaller, often ad hoc, teams. Devolving decision-making to the frontline and increasing localisation forced leaders to trust their people to know what to do.

domain: sociology


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Peaceful moments 10 Flowers
Simply a beautiful arrangement of red roses is enough to sweep people off their feet. Get this eye-pleasing bunch of 10 red roses beautifully wrapped in blue paper packing and adorned with the blue ribbon bow. Send this bouquet from Shopnideas and make the special moments unforgettable. This bouquet is the ideal gift for your husband, wife, girlfriend, boyfriend on occasions like birthday, anniversary, wedding, valentine’s day, rose day, propose day or any other special occasions.


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Cucumber Planting In Thornbury Back Garden By Skud
Lemon variety. Seeds from Bek. I previously planted these from seed in my little mini-greenhouses, and have now planted them out into large tubs/pots, with a frame for them to grow up.
Two of the seedlings were closely intertwined and I didn't want to disturb their roots so I just left them together. I might cut one of them off once they're settled, if one or the other seems to be doing better.
Median Lifespan 98 days
First harvest expected 81 days after planting
Last harvest expected 139 days after planting
Seeds savedSave seeds
No seeds saved

domain: agronomy


Starring Andy Samberg, Andre Braugher, and Terry Crews as a diverse group of New York City police detectives who must adjust when a new "by-the-book" boss takes over.
|Joe Lo Truglio|
Joseph "Joe" Lo Truglio is an actor, comedian, and writer best known for his work as a cast ...
Detective Charles Boyle idolizes Jake, is the precinct’s workhorse. He’s not that brilliant, he’s not physically gifted, but he tries harder than anyone else.
Detective Charles Boyle Photos
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This information is taken from the statutory List as it was in 2001 and may not be up to date.
WOOLASTON GENERAL ST 59 NE 10/252 Church of St Andrew GV II Anglican parish church. C12 foundation, but almost entirely now of C19 'restoration' and extension. Sandstone, concrete tiled roof to coped gables. Original C12 cruciform plan now lost, is nave, south porch, 2-gabled south aisle, chancel, vestry, north tower (on site of north transept ?). Various windows generally in a C14 style.
Three-stage tower with chamfered offsets, crenellated parapet to low pyramidal roof and weathervane, two deep buttresses to north side of nave. Outer and inner porch doorways heavily restored Norman, door has fine decorative C19 strap hinges. At west end of nave a 3-light window of c1300. Interior, nave with barrel roof, 2-bay south aisle of 1829, the easternmost bay on site of former south transept, chancel arch has paired granite columns with foliated caps, chancel roof 2 heavy cusped King post trusses. Pitch pine pews, octagonal C16 font on Victorian base, C18 pulpit from Claycoton, Northants and screen from Church of the Venerable Bede; one medieval bell, 2 of C17 and 2 of C18. The church was in the grant of Tintern Abbey from 1131; major restoration by Henry Morgan of Tidenham in 1859. It stands in a roughly circular churchyard, suggesting a very early site development.
(VCH, Gloucestershire, Vol X).
Listing NGR: ST5867699343
© Ms Becky Vacara. Source: Historic England Archive
This photograph was taken for the Images of England project
People & Organisations
Photographer: Vacara, Becky
Rights Holder: Vacara, Becky
Concrete, Granite, Sandstone, Tile, Medieval Parish Church, Religious Ritual And Funerary, Church, Place Of Worship, Weather Vane, Unassigned, Anglican Church

domain: christianity


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domain: pet


The Polypropylene Melt Blown Nonwoven Fabrics market report provides a detailed analysis of global market size, regional and country-level market size, segmentation market growth, market share, competitive Landscape, sales analysis, impact of domestic and global market players, value chain optimization, trade regulations, recent developments, opportunities analysis, strategic market growth analysis, product launches, area marketplace expanding, and technological innovations.
The global Polypropylene Melt Blown Nonwoven Fabrics market size is expected to gain market growth in the forecast period of 2020 to 2025, with a CAGR of xx%% in the forecast period of 2020 to 2025 and will expected to reach USD xx million by 2025, from USD xx million in 2019.
Screw/band Hose Clamps market is split by Type and by Application. For the period 2015-2025, the growth among segments provide accurate calculations and forecasts for sales by Type and by Application in terms of volume and value. This analysis can help you expand your business by targeting qualified niche markets.
By Type, Polypropylene Melt Blown Nonwoven Fabrics market has been segmented into
Fiber Diameter, <1um
Fiber Diameter, 1-5um
Fiber Diameter, >5um
By Application, Polypropylene Melt Blown Nonwoven Fabrics has been segmented into:
The major players covered in Polypropylene Melt Blown Nonwoven Fabrics are:
Don & Low
Shandong JOFO Nonwoven Co
Among other players domestic and global, Polypropylene Melt Blown Nonwoven Fabrics market share data is available for global, North America, Europe, Asia-Pacific, Middle East and Africa and South America separately. Global Info Research analysts understand competitive strengths and provide competitive analysis for each competitor separately.
Click to view the full report TOC, figure and tables: https://www.globalinforesearch.com/Global-Polypropylene-Melt-Blown-Nonwoven-Fabrics_p466400.html
Regions and Countries Level Analysis
Regional analysis is another highly comprehensive part of the research and analysis study of the global Polypropylene Melt Blown Nonwoven Fabrics market presented in the report. This section sheds light on the sales growth of different regional and country-level Polypropylene Melt Blown Nonwoven Fabrics markets. For the historical and forecast period 2015 to 2025, it provides detailed and accurate country-wise volume analysis and region-wise market size analysis of the global Polypropylene Melt Blown Nonwoven Fabrics market.
The report offers in-depth assessment of the growth and other aspects of the Polypropylene Melt Blown Nonwoven Fabrics market in important countries (regions), including:
North America (United States, Canada and Mexico)
Europe (Germany, France, UK, Russia and Italy)
Asia-Pacific (China, Japan, Korea, India and Southeast Asia)
South America (Brazil, Argentina, etc.)
Middle East & Africa (Saudi Arabia, Egypt, Nigeria and South Africa)
Competitive Landscape and Polypropylene Melt Blown Nonwoven Fabrics Market Share Analysis
Screw/band Hose Clamps competitive landscape provides details by vendors, including company overview, company total revenue (financials), market potential, global presence, Polypropylene Melt Blown Nonwoven Fabrics sales and revenue generated, market share, price, production sites and facilities, SWOT analysis, product launch. For the period 2015-2020, this study provides the Polypropylene Melt Blown Nonwoven Fabrics sales, revenue and market share for each player covered in this report.
The content of the study subjects, includes a total of 15 chapters:
Chapter 1, to describe Polypropylene Melt Blown Nonwoven Fabrics product scope, market overview, market opportunities, market driving force and market risks.
Chapter 2, to profile the top manufacturers of Polypropylene Melt Blown Nonwoven Fabrics, with price, sales, revenue and global market share of Polypropylene Melt Blown Nonwoven Fabrics in 2018 and 2019.
Chapter 3, the Polypropylene Melt Blown Nonwoven Fabrics competitive situation, sales, revenue and global market share of top manufacturers are analyzed emphatically by landscape contrast.
Chapter 4, the Polypropylene Melt Blown Nonwoven Fabrics breakdown data are shown at the regional level, to show the sales, revenue and growth by regions, from 2015 to 2020.
Chapter 5, 6, 7, 8 and 9, to break the sales data at the country level, with sales, revenue and market share for key countries in the world, from 2015 to 2020.
Chapter 10 and 11, to segment the sales by type and application, with sales market share and growth rate by type, application, from 2015 to 2020.
Chapter 12, Polypropylene Melt Blown Nonwoven Fabrics market forecast, by regions, type and application, with sales and revenue, from 2020 to 2025.
Chapter 13, 14 and 15, to describe Polypropylene Melt Blown Nonwoven Fabrics sales channel, distributors, customers, research findings and conclusion, appendix and data source.
Table of Content
1 Market Overview
2 Manufacturers Profiles
3 Sales, Revenue and Market Share by Manufacturer
4 Global Market Analysis by Regions
5 North America by Country
6 Europe by Country
7 Asia-Pacific by Regions
8 South America by Country
9 Middle East & Africa by Countries
10 Market Segment by Type
11 Global Polypropylene Melt Blown Nonwoven Fabrics Market Segment by Application
12 Market Forecast
13 Sales Channel, Distributors, Traders and Dealers
14 Research Findings and Conclusion
GlobaI Info Research（GIR） is a report publisher, a customer, interest-based suppliers. Is in the best interests of our clients, they determine our every move. At the same time, we have great respect for the views of customers. With the improvement of the quality of our research, we develop custom interdisciplinary and comprehensive solution. For further development, we will do better and better. GlobalInfoResearch will with excellent professional knowledge and experience to carry out all aspects of our business. At the same time, we will thoroughly look for information, to give a more comprehensive development.
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|Research solves mystery of memory and mood
||Researchers have identified two types of stem cells in the hippocampus, a region of the brain crucial for learning and memory.
|Researchers tie unexpected brain structures to creativity — and to stifling it
||Investigators at Stanford University have found a surprising link between creative problem-solving and heightened activity in the cerebellum, a structure located in the back of the brain and more typically thought of as the body’s movement-coordination center. In designing the study, the researchers drew inspiration from the game Pictionary. The cerebellum, traditionally viewed as the [...]
The post Researchers tie unexpected brain structures to creativity — and to stifling it appeared first on PsyPost.
|Study identifies neural circuit involved in making emotional decisions
||Some decisions arouse far more anxiety than others. Among the most anxiety-provoking are those that involve options with both positive and negative elements, such choosing to take a higher-paying job in a city far from family and friends, versus choosing to stay put with less pay. MIT researchers have now identified a neural circuit that [...]
The post Study identifies neural circuit involved in making emotional decisions appeared first on PsyPost.
|From a Sense of ‘I’ to a Sense of Awe
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|Health factors influence ex-prisoners’ chances of returning to jail
||Ex-prisoners with a history of risky drug use, mental illness or poverty are more likely to end up back behind bars. Those who are obese, are chronically ill or have attempted suicide are more likely to remain in the community. These are some of the findings from an exploratory study into health-related factors that could [...]
The post Health factors influence ex-prisoners’ chances of returning to jail appeared first on PsyPost.
|Brain training induces lasting mental health gains for veterans and civilians with brain injury
||In the first study of its kind, veterans and civilians with traumatic brain injury showed improved cognitive performance and psychological and neural health following strategy-based cognitive training. The Department of Defense-funded study, published this week in Neuropsychological Rehabilitation, was conducted by an interdisciplinary team of cognitive neuroscientists, rehabilitation specialists, and neuroimaging experts from the Center for [...]
The post Brain training induces lasting mental health gains for veterans and civilians with brain injury appeared first on PsyPost.
|Regular exposure to stereotypical news coverage creates racial bias, study finds
||A recent University of Houston (UH) study suggests that long-term exposure to news may negatively influence racial bias towards social groups. Temple Northup, assistant professor at UH’s Jack J. Valenti School of Communication, studied the influence of news coverage on an individuals’ unconscious attitudes towards social groups. His study “Effects of Long-Term Exposure to News [...]
The post Regular exposure to stereotypical news coverage creates racial bias, study finds appeared first on PsyPost.
|Cybersex can harm real world relationships
||The term addiction often brings thoughts of drugs or alcohol, however, other serious types of addictions exist, such as sex addiction (or compulsive sexual behavior). Sex addiction refers to individuals who continually pursue new sexual partners, have multiple and often sexual encounters, partake in compulsive masturbation, and use pornography habitually. Just like alcoholics who cannot [...]
The post Cybersex can harm real world relationships appeared first on PsyPost.
|Using Creativity to Gain Clarity
||Creativity “facilitates inner resources like flexibility, openness, compassion and a sense of perspective,” said Joy Malek, MS, a licensed marriage and family therapist and founder of SoulFull, where she offers … ...
|Genuine Love: Four Elements of Love (Practices for Awakening...
||Whether you and your partner are just getting started in building your love relationship, or struggling to get back the love and connection that once came naturally, the wise and … ...
|How to Choose the Right Therapist for Your Child
||Searching for the best therapist for your child can be challenging. The New York area has the highest concentration of therapists in the world. How do you know who to choose? Which therapist is the best for your child? As one parent recently said in … ...
|Happy Birthday Edward Gibbon
||227 years ago this month, the last installment of The Decline and Fall of the Roman Empire came out. Gibbon was wrong about Roman emperors, and he was wrong about the Church. But he was right that democracy depends on the ability to sail away from a tyrant.
|Johnstown Flood: Anniversary of a Catastrophe
||May 31, 1889, a small river near Pittsburgh grew to the size of the Mississippi when the South Fork Dam overflowed and then broke apart, releasing 20 million tons of … ...
|How to Practice Forgiving Yourself
||Self-blame is a human dilemma. We may blame ourselves for shouting at our kids or not protecting our siblings from abusive parents when we were young, or hating ourselves for … ...
|Diary of a Self-Help Book Junkie
||Diary of a Self-Help Book Junkie My name is Lisa and I’m a Self-Help book junkie. Yes. There. I can admit it. I’ve read them all, from Dr. Phil … ...
|Regret And Worry: A User’s Guide
||Regret and worry have their place. Here's some background on them, helpful to keeping them in their place.
|Bomb blasts may cause early aging in brains of troops
||Scientists have discovered signs of early aging in the brains of war veterans caught near roadside bomb explosions, even among those who felt nothing from the blast.
|Self-Care Sunday Links 5.31.15
||It’s been a while since I’ve shared a list of self-care links. With today being the last day of May (wow, this month flew by!), it seems like a fitting … ...
|Targeted drug can ‘diminish the suffering’ of myelofibrosis
||Use of the targeted agent pacritinib significantly reduced the symptoms and burden of advanced myelofibrosis in patients, says a Mayo Clinic researcher who co-led PERSIST-1, the worldwide phase III clinical trial that tested the therapy. Specifically, pacritinib substantially reduced severe enlargement of the spleen, a typical feature of advanced myelofibrosis, in more than 20 percent [...]
The post Targeted drug can ‘diminish the suffering’ of myelofibrosis appeared first on PsyPost.
|The Surprising Mental Benefit To Glancing At a Grassy Rooftop for 40 Seconds
The surprising effect of glancing at a grassy rooftop for just 40 seconds.
» Continue reading: The Surprising Mental Benefit To Glancing At a Grassy Rooftop for 40 Seconds
» Read HealthiestBlog.com, the new site from PsyBlog's author
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domain: psychology


This issue of Oil and Gas Technology Opportunity Engine (TOE) features information on the development of IoT platforms for the remote monitoring of oil fields and also the development of SaaS-based asset management software platforms to maintain all relevant data used in the operations of oil & gas companies. The TOE also features trends and innovations associated with the use of artificial intelligence for seismic data analytics and the use of cloud-based software platforms for several upstream and downstream processes associated with the oil & gas industry.
The TOE also provides intelligence on the use of pyrolysis for remediating the soil contaminated with crude oil and the use of electrocoagulation- based produced water remediation to remove oil and grease compounds during onshore as well as offshore operations. The TOE additionally provides insights on the development of robots for remote oil field monitoring and the use of novel carbon capture processes for natural gas sweetening. Furthermore, the TOE provides intelligence on the use of satellite imagery to monitor global methane emissions and the use of microwave plasma technology for the conversion of natural gas to hydrogen.
The Oil and Gas TOE provides intelligence on innovations pertaining to technologies, products, and processes, along with strategic insights, in the upstream and downstream processes in the oil and gas industry.
The Energy and Utilities cluster provides global insights and intelligence on a wide variety of disruptive emerging technologies and platforms ranging from energy storage, advanced batteries, solar and wind energy, to unconventional oil, bioenergy, geothermal energy, and energy transmission.
Table of Contents
Advancements in IoT & Cloud-based Oil Well Monitoring, Produced Water Remediation and Robots for Remote Monitoring of Oil & Gas Fields
- IoT-Enabled Remote Oilfield Monitoring System
- Remote Monitoring Of Oilfield Services
- SaaS-based Mineral Ownership Platform
- Automated Mineral Ownership Platforms
- Cloud-based Platform for Oil & Gas Operations
- Cloud-based Data Storage Facilities for Oil & Gas Explorations
- AI-based Seismic Data Analytics
- Cloud Computing for Oil & Gas Explorations
- Pyrolysis for Soil Remediation
- Biochar can Improve Water Retention Properties When used as Fertilizers
- Produced Water Remediation Using Electrocoagulation
- Stringent Discharge Limits Drive the Need for Produced Water Remediation
- Carbon Dioxide Capture for Natural Gas Sweetening
- Growing Demand for Natural Gas Drive the Need for Efficient Refining Technologies
- Four-legged Robot for Oil Field Monitoring
- Public Perception Hindering the Adoption
- Simulating Borehole Ballooning to Ensure Oil & Gas Drilling
- Real-time Simulation for Effective and Safe Deep Water Drilling Operations
- Satellite Imagery to Monitor Global Methane Emissions
- Analyzing Methane Leakage for Ensuring Environmental Sustainability
- Alternative Applications for Long-Chain Hydrocarbons
- Enabling Cost-Effective Production of Electricity Conductive Thin Coatings
- Microwave-driven, Plasma-assisted Conversion of Natural Gas to Hydrogen
- Enabling Cost-Effective and Environment-Friendly Hydrogen Production
- Key Contacts