Inguinal hernia the development of a hernia include: smoking, chronic obstructive pulmonary disease, obesity, pregnancy, peritoneal dialysis, collagen vascular disease, and previous open appendectomy, among others. Hernias are partly genetic and occur more often in certain families. It is unclear if inguinal hernias are associated with heavy lifting. Hernias can often be diagnosed based on signs and symptoms. Occasionally medical imaging is used to confirm the diagnosis or rule out other possible causes. Groin hernias that do not cause symptoms in males do not need to be repaired. Repair, however, is generally recommended in females due to the higher rate of femoral
Ans Wortel Ans Wortel Ans (Anna Maria) Wortel (18 October 1929, in Alkmaar, Netherlands4 December 1996, in Hilvarenbeek, Netherlands) was a Dutch painter, poet and writer. She made gouaches and oil paintings, aquarelles, drawings, collages, lithographs, etchings, sculptures and glass sculptures. She was an autodidact and won the first prize at the biennale of Paris in 1963. She was one of the leading female artists of postwar Dutch modern art. Wortel’s work is strongly autobiographical. Her experiences as a girl, woman, mother and as an artist were the main source of her inspiration. Common themes are human emotions, love, relationships, mother/child relations