Hernia repair is one of the most frequently performed surgical interventions that use mesh implants. This article evaluates crucial mesh parameters to facilitate selection of the most appropriate mesh implant, conside...Hernia repair is one of the most frequently performed surgical interventions that use mesh implants. This article evaluates crucial mesh parameters to facilitate selection of the most appropriate mesh implant, considering raw materials, mesh composition, structure parameters and mechanical parameters. A literature review was performed using the Pub Med database. The most important mesh parameters in the selection of a mesh implant are the raw material, structural parameters and mechanical parameters, which should match the physiological conditions. The structural parameters, especially the porosity, are the most important predictors of the biocompatibility performance of synthetic meshes. Meshes with large pores exhibit less inflammatory infiltrate, connective tissue and scar bridging, which allows increased soft tissue ingrowth. The raw material and combination of raw materials of the used mesh, including potential coatings and textile design, strongly impact the inflammatory reaction to the mesh. Synthetic meshes made from innovative polymers combined with surface coating have been demonstrated to exhibit advantageous behavior in specialized fields. Monofilament, largepore synthetic meshes exhibit advantages. The value of mesh classification based on mesh weight seems to be overestimated. Mechanical properties of meshes, such as anisotropy/isotropy, elasticity and tensile strength, are crucial parameters for predicting mesh performance after implantation.展开更多
This paper reviews the economic methodology used to justify a proposed 357 hectare (800 acre) Industrial Park that would breach the Urban Development Boundary (UDB) in Miami-Dade County, Florida, a boundary that had b...This paper reviews the economic methodology used to justify a proposed 357 hectare (800 acre) Industrial Park that would breach the Urban Development Boundary (UDB) in Miami-Dade County, Florida, a boundary that had been established to constrain urban sprawl and protect the surrounding wetlands and farmlands. We will examine the socio-economic setting of the region, the ownership of the farmland parcels designated to become industrial sites, and the misuse of the promoters’ narrow economic analysis. Then we shall explain and compute correctly the likely job creation based on the author’s own survey of recently constructed industrial plants similar to those proposed for this site. Rather than an industrial park, we offer instead a newly-designed multi-purpose Recreational–Ecological–Agricultural Park (REAP) & Nature Preserve which would maintain the integrity of the rural landscape, connect the densely-populated neighborhoods to the mangrove shoreline, and open nature’s treasure chest to urban Miami and the wider public.展开更多
文摘Hernia repair is one of the most frequently performed surgical interventions that use mesh implants. This article evaluates crucial mesh parameters to facilitate selection of the most appropriate mesh implant, considering raw materials, mesh composition, structure parameters and mechanical parameters. A literature review was performed using the Pub Med database. The most important mesh parameters in the selection of a mesh implant are the raw material, structural parameters and mechanical parameters, which should match the physiological conditions. The structural parameters, especially the porosity, are the most important predictors of the biocompatibility performance of synthetic meshes. Meshes with large pores exhibit less inflammatory infiltrate, connective tissue and scar bridging, which allows increased soft tissue ingrowth. The raw material and combination of raw materials of the used mesh, including potential coatings and textile design, strongly impact the inflammatory reaction to the mesh. Synthetic meshes made from innovative polymers combined with surface coating have been demonstrated to exhibit advantageous behavior in specialized fields. Monofilament, largepore synthetic meshes exhibit advantages. The value of mesh classification based on mesh weight seems to be overestimated. Mechanical properties of meshes, such as anisotropy/isotropy, elasticity and tensile strength, are crucial parameters for predicting mesh performance after implantation.
文摘This paper reviews the economic methodology used to justify a proposed 357 hectare (800 acre) Industrial Park that would breach the Urban Development Boundary (UDB) in Miami-Dade County, Florida, a boundary that had been established to constrain urban sprawl and protect the surrounding wetlands and farmlands. We will examine the socio-economic setting of the region, the ownership of the farmland parcels designated to become industrial sites, and the misuse of the promoters’ narrow economic analysis. Then we shall explain and compute correctly the likely job creation based on the author’s own survey of recently constructed industrial plants similar to those proposed for this site. Rather than an industrial park, we offer instead a newly-designed multi-purpose Recreational–Ecological–Agricultural Park (REAP) & Nature Preserve which would maintain the integrity of the rural landscape, connect the densely-populated neighborhoods to the mangrove shoreline, and open nature’s treasure chest to urban Miami and the wider public.
