Needle localization of non-palpable breast lesions

Screening mammography identifies suspicious, non palpable mammary lesions. Mammographic needle localization (MNL) is currently being used to facilitate excision biopsy of these lesions. Thirty-two patients underwent biopsies of the breast after MNL for non-palpable lesions. Mammographic indications for biopsy consisted of microcalcifications (48%), mass or abnormal density (21%) or mass+abnormal density (24%). The carcinoma was identified in four cases (12%). Two of these were in situ, one was microinvasive and one was frankly invasive. Three were treated with a modified radical mastectomy. One of these non palpable lesion demonstrated nodal metastasis but none showed distant metastasis. All radiologically detected abnormalities were removed and confirmed with repeat radiology. No complications were identified. MNL effectively localizes non-palpable lesion of the breast and compliments accurate diagnosis and treatment of early carcinoma of the breast

Analisis Pendapatan dan Kesejahteraan Produsen Jamur Tiram di Kota Metro

The purposes of this research are to: (1) determine income oyster mushroom producer in Metro City, (2) determine welfare level of oyster mushroom producer in Metro City. This experiment was conducted in Metro City that was chosen by purposive in December 2013 until May 2014. It was considered that the Metro City has high enough in producing the oyster mushroom. This study takes 42 producers. This study used a census method with qualitative and quantitative analysis. Analysis of the data used descriptive qualitative analysis with tabulation method and descriptive quantitative analysis. The results showed that: (1) The average income of oyster mushroom in Metro City was in high income, consist of farming income of their own activities (on farm), from outside of their own activities (off farm) and from outside of farming activities (non farm). The biggest income of oyster mushroom in Metro City is sourced from income of oyster mushroom farming, (2) Most of oyster mushroom farmer in Metro City was in enough and in suitable live based on Sajogjo\u27s criteria (1997), and also included to welfare category based on the criteria of BPS (2007)

Pemberdayaan Warga Keterbelakangan Mental di Desa Karangpatihan Ponorogo melalui Frutable Greden

Desa Karangpatihan merupakan salah satu desa yang berada di pelosok selatan-barat Kabupaten Ponorogo, Kecamatan Balong, dimana terdapat sebagian masyarakatnya merupakan penyandang keterbelakangan mental dengan kondisi geografis tanah yang kurang subur dan cenderung tandus karena berdiri di bawah kaki pegunungan berkapur. Faktor geografis, kemiskinan dan tingkat pendidikan yang rendah mengakibatkan warga mengalami pemasalahan pola hidup, khususnya berkaitan dengan konsumsi makanan yang bergizi. Pengadaan program frutable greden bertujuan untuk meningkatkan konsumsi sayur dan buah, sekaligus memberdayakan masyarakat menjadi lebih produktif. Kegiatan dalam program frutable greden meliputi pembangunan frutable greden atau semacam green house, penananaman, serta perawatan tanaman yang dilakukan oleh warga keterbelakangan mental. Hasil panen dari perawatan tanaman dapat dikonsumsi sebagai bentuk pemenuhan gizi warga. Proses pemberdayaan dilangsungkan secara bertahap mulai dari tahap sosialisasi, pembangunan frutable greden, penanaman bibit tanaman, perawatan tanaman hingga pemanenan. Bentuk pemberdayaannya berupa melibatkan partisipasi warga keterbelakangan mental secara aktif dengan bantuan dari kader frutable greden. Kader disini merupakan salah satu anggota keluarga warga keterbelakangan mental yang normal yang dipilih dan bertugas untuk membantu tim dalam menggerakkan pelaksanaan proses pemberdayaan. Hasil pemanenan dari tanaman di green house ini dapat dikonsumsi dijadikan bahan pangan tambahan masyarakat sebagai bentuk pemenuhan gizi

A two-species continuum model for aeolian sand ripples

We formulate a continuum model for aeolian sand ripples consisting of two species of grains: a lower layer of relatively immobile clusters, with an upper layer of highly mobile grains moving on top. We predict analytically the ripple wavelength, initial ripple growth rate and threshold saltation flux for ripple formation. Numerical simulations show the evolution of realistic ripple profiles from initial surface roughness via ripple growth and merger.Comment: 9 pages, 3 figure

British citizenship, gender and migration: the containment of cultural differences and the stratification of belonging

Debates about integration, British values and identity, who can belong and who can become a citizen, have been fuelled by concerns about growing cultural diversity in the United Kingdom. To promote a shared sense of national identity and claim a universal and normative citizen subject, the UK government, along with many other western nations, has introduced compulsory citizenship and language testing. This article traces and critiques the evolution of the British citizenship test since its introduction in 2005 and argues that the regime fails to recognise the gendered and segmented nature of migration, and functions as a silent and largely invisible mechanism of civic stratification and control. Drawing on Home Office data, it is argued that citizenship testing enables the government to cherry pick migrants who conform to an idealised citizen subject, while containing cultural difference by excluding others, particularly women, who are tolerated but remain symbolic non-citizens

Efficacy and Safety Comparison of Liraglutide, Glimepiride, and Placebo, All in Combination With Metformin, in Type 2 Diabetes: The LEAD (Liraglutide Effect and Action in Diabetes)-2 study

OBJECTIVE—The efficacy and safety of adding liraglutide (a glucagon-like peptide-1 receptor agonist) to metformin were compared with addition of placebo or glimepiride to metformin in subjects previously treated with oral antidiabetes (OAD) therapy

Family-based pediatric weight management interventions in US primary care settings targeting children ages 6-12 years old: A systematic review guided by the RE-AIM framework.

Obesity is a pandemic that disproportionately affects children from vulnerable populations in the USA. Current treatment approaches in primary care settings in the USA have been reported to be insufficient at managing pediatric obesity, primarily due to implementation challenges for healthcare systems and barriers for families. While the literature has examined the efficacy of pediatric obesity interventions focused on internal validity, it lacks sufficient reporting and analysis of external validity necessary for successful translation to primary care settings. We conducted a systematic review of the primary-care-setting literature from January 2007 to March 2020 on family-based pediatric weight management interventions in both English and/or Spanish for children ages 6-12 years in the USA using the Reach, Efficacy/Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) framework. A literature search, using PRISMA guidelines, was conducted in January 2022 using the following electronic databases: Medline Ovid, Embase, and Cochrane Library. 22 270 records were screened, and 376 articles were reviewed in full. 184 studies were included. The most commonly reported dimensions of the RE-AIM framework were Reach (65%), Efficacy/Effectiveness (64%), and Adoption (64%), while Implementation (47%) and Maintenance (42%) were less often reported. The prevalence of reporting RE-AIM construct indicators ranged greatly, from 1% to 100%. This systematic review underscores the need for more focus on external validity to guide the development, implementation, and dissemination of future pediatric obesity interventions based in primary care settings. It also suggests conducting additional research on sustainable financing for pediatric obesity interventions

Two cultures, one identity: formulations of Australian Isma'ili Muslim identity

The Shi'a Imami Nizari Isma'ili Muslims have often been considered the "poster child" for pluralistic integration (Cayo 2008). This ethos has been inculcated within members of the community, with its adherents seeing themselves as a diverse and multi-ethnic collective. Nevertheless, despite this purported pluralism, social research on the Isma'ilis has primarily focused on the diasporic and post-diasporic migrant communities of South Asian descent, the 'first and second-generation immigrants,' in the Euro-American context (Mukadam and Mawani 2006, 2009; Nanji 1983, 1986). The experiences of co-religionists in other contexts have often been neglected. This study examines how members of the self-described geographically and socially isolated Isma'ili community in Australia construct their identity vis-à-vis the larger, global, Isma'ili community, and how they have responded to the potential of identity threat given the arrival of another group of Isma’ilis with a differing migratory history integrating into the extant community. Using the approach of identity process theory, this study examines how salient features of identity are constructed amongst the Australian Isma'ilis, how religion and identity take on multiple meanings within the Australian Isma'ili context, and, finally, sheds light on the self-sufficiency of this community despite geographic and social isolation

A Comparison of Magnesium and Beryllium Acceptors in GaN Grown by rf-Plasma Assisted Molecular Beam Epitaxy

ABSTRACT Step-doped structures of both magnesium and beryllium were grown in GaN and analyzed using secondary ion mass spectrometry. Dopant incorporation was studied as a function of substrate temperature and dopant flux for Ga-polarity and N-polarity GaN. Incorporation is different for each polarity, with Mg incorporating by up to a factor of 20 times more (30 times more with atomic hydrogen) on the Ga-face, while Be incorporates more readily on the N-face. The effect of atomic hydrogen on the incorporation kinetics of both Mg and Be is also discussed. Mg and Be both undergo surface segregation during growth. Photoluminescence measurements suggest that Be is a p-type dopant with an optical activation energy of approximately 100 meV