Novel retrograde puncture method to establish preperitoneal space for laparoscopic direct inguinal hernia repair with internal ring suturing

The aim of this study was to explore the clinical efficacy of a novel retrograde puncture approach to establish a preperitoneal space for laparoscopic direct inguinal hernia repair with inguinal ring suturing. Forty-two patients who underwent laparoscopic inguinal hernia repair with retrograde puncture for preperitoneal space establishment as well as inguinal ring suturing between August 2013 and March 2014 at our hospital were enrolled. Preperitoneal space was successfully established in all patients, with a mean establishment time of 6 min. Laparoscopic repairs were successful in all patients, with a mean surgical time of 26±15.1 min. Mean postoperative hospitalization duration was 3.0±0.7 days. Two patients suffered from postoperative local hematomas, which were relieved after puncturing and drainage. Four patients had short-term local pain. There were no cases of chronic pain. Patients were followed up for 6 months to 1 year, and no recurrence was observed. Our results demonstrate that preperitoneal space established by the retrograde puncture technique can be successfully used in adult laparoscopic hernioplasty to avoid intraoperative mesh fixation, and thus reduce medical costs.

Direct effects of soybean seed vigor on weed competition

Seed vigor is one of the factors that determines the speed and uniformity of seedling emergence and initial plant growth, which are crucial aspects in the competition against weeds. The objective of this study was to verify the direct effects of soybean seed vigor on weed competition and grain yield. A field experiment was conducted with three seed lots of the "Conquista" cultivar, previously characterized by physiological tests as having high, intermediate and low vigor. The experiment was divided into weeded and unweeded plots with six treatments. Crop plant height, weed dry mass accumulation and crop grain yield data were recorded. Seed vigor did not affect plant height and grain yield. Plants which developed from seeds with high and intermediate vigor showed the best results for competition against weeds, reducing weed dry mass accumulation. Plants which developed from high vigor seeds give the best results for grain yield for both weeded and unweeded treatments.

Crawling up the value chain: domestic institutions and non-traditional foreign direct investment in Brazil, 1990-2010

Brazil attracted relatively little innovation-intensive and export-oriented foreign investment during the liberalization period of 1990 to 2010, especially compared with competitors such as China and India. Adopting an institutionalist perspective, I argue that multinational firm investment profiles can be partly explained by the characteristics of investment promotion policies and bureaucracies charged with their implementation. Brazil's FDI policies were passive and non-discriminating in the second half of the 1990s, but became more selective under Lula. Investment promotion efforts have often been undercut by weakly coordinated and inconsistent institutions. The paper highlights the need for active, discriminating investment promotion policies if benefits from non-traditional FDI are to be realized.