Cutaneous endometriosis.

Cutaneous endometriosis is a disorder that primarily affects women of reproductive age. The disorder is most commonly associated with cyclical pain during menses, but it can be difficult to diagnose in the absence of these symptoms and requires biopsy testing for a definitive diagnosis. We report on a case of a 41-year-old patient undergoing hormonal therapy for infertility who presented with a painful firm subcutaneous nodule in the umbilicus. She was ultimately diagnosed with cutaneous endometriosis and underwent surgical excision. In this report, we discuss the differential diagnosis and comment on treatment options, including surgical excision with wide margins or treatment with hormonal agents, such as danazol or leuprolide. Finally, we discuss whether patients with cutaneous endometriosis should receive an additional evaluation for pelvic endometriosis

Area law violations in a supersymmetric model

We study the structure of entanglement in a supersymmetric lattice model of fermions on certain types of decorated graphs with quenched disorder. In particular, we construct models with controllable ground state degeneracy protected by supersymmetry and the choice of Hilbert space. We show that in certain special limits these degenerate ground states are associated with local impurities and that there exists a basis of the ground state manifold in which every basis element satisfies a boundary law for entanglement entropy. On the other hand, by considering incoherent mixtures or coherent superpositions of these localized ground states, we can find regions that violate the boundary law for entanglement entropy over a wide range of length scales. More generally, we discuss various desiderata for constructing violations of the boundary law for entanglement entropy and discuss possible relations of our work to recent holographic studies.Comment: 20 pages, 1 figure, 1 appendi

Protecting the Last Tree: Environmental Education in the United States, 1990-2012

Having already been hired as an environmental organizer, I reflect on how my childhood experiences impacted me. I embark upon this vocational journey with youthful optimism, a good dose of realism, and just a touch of cynicism. An environmental organizer is someone who works mobilizing individuals around targeted environmental issues. They create policy changes that are environmentally positive… generally for little pay. What has motivated me, and scores of others, to willingly take on this seemingly impossible task? For me: was it the summer vacations to Yellowstone and The Rocky Mountains with my brothers and parents? Maybe it was being able to explore in “The Woods” behind my elementary school as a child? These questions have been central in my life this semester, as I am involved in two environmental education programs: the K-12 education component of Energy Service Corps (ESC) and the Leadership in Environmental Education Partnership (LEEP). My work within these organizations, which I will elaborate on in greater detail, compels me to contemplate the impact these programs have on children

Identification of Campylobacter Jejuni Using Polymerase Chain Reaction Method

Campylobacter jejuni is a curved-rod shaped bacteria, non-spore, microaerophilic Gram-negative and motile. It is commonly found in the feces of animals. They grow at a temperature of 37-42° C and are zoonotic causing a disease called campylobacteriosis. Campylobacter jejuni naturally presents in the chicken digestive tract and does not cause any diseases. However, chicken carcasses contaminated with this bacteria are closely related to the the incidence of campylobacteriosis in humans. Cases of human campylobacteriosis primarily caused by Campylobacter jejuni contamination on chicken carcasses. During the cutting process, Campylobacter jejuni will be able to spread to the chicken carcasses. Alternative approach for detecting Campylobacter jejuni contamination of chicken products is by using polymerase chain reaction (PCR) method. Therefore, to determine diagnosis of animal diseases in relation to the veterinary public health due to Campylobacter jejuni is by applying PCR with forward primer: 5\u27-TGACGCTAGTGTTGTAGGAG-3 and reverse primer: 5\u27-CCATCATCGCTAAGTGCAAC-3\u27. The PCR primers can amplify DNA Campylobacter jejuni as long as 402 bp. The PCR method is a molecular laboratory approach which is sensitive, specific, rapid and accurate for determining diagnosis of campylobacteriosis

Building workforce capacity for complex care coordination: a function analysis of workflow activity

Background The care coordination workforce includes a range of clinicians who manage care for patients with multiple chronic conditions both within and outside a hospital, in the community, or in a patient’s home. These patients require a multi-skilled approach to support complex care and social support needs as they are typically high users of health, community, and social services. In Australia, workforce structures have not kept pace with this new and emerging workforce. The aim of the study was to develop, map, and analyse workforce functions of a care coordination team. Methods Workflow modelling informed the development of an activity log that was used to collect workflow data in 2013 from care coordinators located within the care coordination service offered by a Local Health Network in Australia. The activity log comprised a detailed classification of care coordination functions based on two major categories – direct and indirect care. Direct care functions were grouped into eight domains. A descriptive quantitative investigation design was used for data analysis. The data was analysed using univariate descriptive statistics with results presented in tables and a figure. Results Care coordinators spent more time (70.9%) on direct care than indirect care (29.1%). Domains of direct care that occupied the most time relative to the 38 direct care functions were ‘Assessment’ (14.1%), ‘Documentation’ (13.9%), ‘Travel time’ (6.3%), and ‘Accepting/discussing referral’ (5.7%). ‘Administration’ formed a large component of indirect care functions (14.8%), followed by ‘Travel’ (12.4%). Sub-analyses of direct care by domains revealed that a group of designated ‘core care coordination functions’ contributed to 40.6% of direct care functions. Conclusions The modelling of care coordination functions and the descriptions of workflow activity support local development of care coordination capacity and workforce capability through extensive practice redesigns

KONFLIK BATIN TOKOH KYUUTA PADA FILM BAKEMONO NO KO KARYA MAMORU HOSODA (KAJIAN PSIKOLOGI SASTRA) 細田守が制作された『化け物の子』の映画における九太という登場人物の身分葛藤 ：心理学的文学研究

ABSTRACT Rahmawati, Liza Fuzna. 2020. "The Inner Conflict of Kyuuta in Mamoru Hosoda’s Movie Bakemono no Ko ". Thesis of Japanese Language and Culture Department, Diponegoro University, Semarang. Advisor Yuliani Rahmah, S.Pd., M.hum Bakemono no Ko tells the life of a boy named Kyuuta who was a human but spent his childhood to adolescence in Jutengai, the land of monsters (Bakemono). Kyuuta was confused about his identity as a human or a monster. This research reveals the inner conflict of Kyuuta in the Bakemono no Ko movie. The method used to obtain data is library research. This study uses a narrative structural theory, which is to find out the narrative structure of the film Bakemono no Ko which includes characters, plot, goals, narrative relationship with space and narrative relationship with time. In addition, the authors also use the method of literary psychology to uncover Kyuuta's inner conflict and the factors that cause his inner conflict. The theory used is the theory of Kurt Lewin. The result of this study is Kyuuta was confronted with various choices that caused a sense of doubt and causing his inner conflict. There are two types of Kyuuta’s inner conflict such approach-avoidance conflict and avoidance-avoidance conflict. There are 5 factors that cause Kyuuta's inner conflict, there are driving force, restraining force, forces corresponding to a persons needs, Induced force, Impersonal Force. Keywords: Bakemono no Ko, Kyuuta, inner conflict, Kurt Lewin, approach-avoidance conflict, avoidance-avoidance conflic

Changes in the Cytological and Biochemical Composition of the Rats’ Blood, Caused by Cobalt Salts Intoxication

The article deals with the study of hematological and biochemical composition of the blood of experimental animals poisoned by salts of cobalt

A multiwavelength study of young massive star forming regions: II. The dust environment

We present observations of 1.2-mm dust continuum emission, made with the Swedish ESO Submillimeter Telescope, towards eighteen luminous IRAS point sources, all with colors typical of compact HII regions and associated with CS(2-1) emission, thought to be representative of young massive star forming regions. Emission was detected toward all the IRAS objects. We find that the 1.2-mm sources associated with them have distinct physical parameters, namely sizes of 0.4 pc, dust temperatures of 30 K, masses of 2x10^3 Msun, column densities of 3x10^23 cm^-2, and densities of 4x10^5 cm^-3. We refer to these dust structures as massive and dense cores. Most of the 1.2-mm sources show single-peaked structures, several of which exhibit a bright compact peak surrounded by a weaker extended envelope. The observed radial intensity profiles of sources with this type of morphology are well fitted with power-law intensity profiles with power-law indices in the range 1.0-1.7. This result indicates that massive and dense cores are centrally condensed, having radial density profiles with power-law indices in the range 1.5-2.2. We also find that the UC HII regions detected with ATCA towards the IRAS sources investigated here (Paper I) are usually projected at the peak position of the 1.2-mm dust continuum emission, suggesting that massive stars are formed at the center of the centrally condensed massive and dense cores.Comment: 6 figures, accepted by Ap