Extrahepatic perfusion and incomplete hepatic perfusion after hepatic arterial infusion pump implantation: incidence and clinical implications.

Introduction: This study investigates the incidence of extrahepatic perfusion and incomplete hepatic perfusion at intraoperative methylene blue testing and on postoperative nuclear imaging in patients undergoing hepatic arterial infusion pump (HAIP) chemotherapy.

Methods: The first 150 consecutive patients who underwent pump implantation in the Netherlands were included. All patients underwent surgical pump implantation with the catheter in the gastroduodenal artery.

Impact of a transformation from flood to drip irrigation on groundwater recharge and nitrogen leaching under variable climatic conditions.

The sustainability of agriculture in the Mediterranean climate is challenged by high irrigation water demands and nitrogen fertilizer losses to the environment, causing significant pressure on groundwater resources and groundwater-dependent ecosystems. Advanced irrigation technologies and improved fertilizer management have been promoted as key solutions to reduce the agricultural impact on aquatic systems. However, it remains unclear how different irrigation-fertilizer practices perform on the long-term under a highly variable climate, such as the Mediterranean one.

Seasonal Influence on the Numbers of Gender-Related Orofacial Cleft Conceptions in the Netherlands.

Background: In the multifactorial etiology of orofacial clefts (OFCs), environmental factors play an important role. To trace the influence of these factors, the timing of the cell biological mechanisms that occur during embryological development of the primary and secondary palates must be taken into account. That is, the fusion process of the facial and palatal processes, respectively, followed by their differentiation into bone and musculature, which take place during the first trimester of pregnancy.