Telephone Associated Pathology: Clinical Case Studies and Discussion

The advancement of modern technology shapes and develops new expressions of psychopathology and accompanying treatments. This is most apparent with the telephone, an instrument of contact and communication for the patient, and assessment and intervention for the therapist. The telephone both constrains and creates unique constellations of patient symptomatology. This paper will examine one such telephone symptom complex-the habitual over use of the telephone by non-bipolar patients. The frequent monopolization of the phone seen in some bipolar patients will not be considered, though the elements of intrusion and aggression discussed in this paper are probably shared by manic patients. A review of the psychiatric literature reveals a surprising paucity of writing about the psychodynamic significance of patient\u27s use of the telephone, even in the area of sexual paraphilias and sexually obscene phone calls. Freud describes the telephone as a representation of the body, and as a metaphor for psychoanalysis (1,2). Stekel (3) discusses the telephone as a sexual symbol, and Harris (4) relates phobic anxiety of the telephone to castration anxiety. Fliess (5) is the first to write of telephoning as a symbol for masturbation, an idea elaborated by Shengold in his paper The Symbol of Telephoning (6). Alman si, Socarides, and others have written of the use of the telephone in sexual paraphilias (7,8) . The bulk of writing in the mental health literature, however, focuses on the use of the telephone in counseling services and suicide hotlines. With the ever increasing utilization of the telephone by patient and therapist alike, this limited analysis of the meaning and uses of the telephone in the psychiatric literature is an intriguing deficiency in the understanding of patient behavior

Actual and Future Perspectives of Isothermal NSC-Engines

It is doubtless that the world population, energy consumption and worldwide environment and biosphere pollution are growing almost synchronously and exponentially and this fact is causing enormous environmental problems and will continue to do so (CO2, NOX and the consequences; global earth warming, global earth dimming, ozone hole, global climate changes etc. The energy reserves of the planet will be approx. until the end of the actual century well exhausted). One can deduce that the solutions for a number of mentioned problems are in the improvement of some of the primary causal factors, especially the current thermal engines. This can satisfactorily be achieved only: A) By developing new high efficiency thermal engine concepts, e.g. the newly-developed “NSC-Concept” (NSC=New Stirling engine Concept [1]), and on this concept based “Isothermal NSC-engines [4]”, geared for consequent use of actual conventional and alternative energy sources (e.g. all combustible gases - especially hydrogen, solar energy sources, geothermal and other energy sources and waste heat or waste cold sources). B) By invention and application of new energy sources and technologies, especially the industrial hydrogen production and in this way to start the “Hydrogen energy age” [3]. This topic and NSC-concept was thoroughly analysed by the first author (PhD Thesis [1]). Both authors reported about it several times and recently in [5], [6] and [12]. The research results show that new isothermal NSC-engines are and will be suitable for nearly all application fields of the actual thermal engines. The paper presents an overview of the latest results of the above-mentioned research and presents actual and possible future application perspectives of isothermal process based thermal NSC-engines

Richterov tip inkarcerirane obturatorne hernije: otežana dijagnostika

Obturator hernia is a rare type of abdominal hernia where herniation occurs through the obturator canal. It develops predominantly in elderly underweight women. It has unspecific early symptoms, which is the reason these hernias are usually discovered only after they have become incarcerated. Incarcerated obturator hernias are usually discovered on abdominal computed tomography (CT) scan or emergency surgery due to bowel obstruction. We present a case of an 85-year-old female patient who was admitted because of intermittent abdominal pain and vomiting. Consecutive upright abdominal x-rays failed to show bowel obstruction. Abdominal CT scan revealed a right-sided incarcerated femoral hernia that was not found during emergency surgery. After laparotomy had been performed, a Richter type of right-sided incarcerated obturator hernia was discovered with a small necrotic area on the small bowel. Bowel resection was performed and obturator hernia was closed with interrupted sutures. The patient recovered without complications. Obturator hernia, due to its rarity and unspecific early symptoms, can still be misleading even to the most experienced surgeons. Delayed diagnosis of obturator hernia can lead to bowel necrosis and perforation with significant postoperative morbidity and mortality.Obturatorna hernija je rijedak oblik abdominalne hernije gdje do hernijacije dolazi kroz obturatorni kanal. Najčešće se javlja kod starijih pothranjenih žena. Rani simptomi obturatorne hernije su nespecifični, što je razlog da se ovakve hernije prepoznaju obično nakon što se razvije inkarceracija. Inkarcerirane obturatorne hernije se najčešće prepoznaju tijekom CT trbuha ili hitnog kirurškog zahvata zbog simptoma mehaničkog ileusa. Ovdje prikazujemo slučaj 85-godišnje bolesnice koja je primljena u bolnicu zbog povremenih bolova u trbuhu praćenih povraćanjem. Uzastopne nativne RTG snimke abdomena nisu pokazale opstrukciju crijeva. Učinjen je CT trbuha gdje se prikazala desnostrana inkarcerirana femoralna kila koja, međutim, tijekom hitnog kirurškog zahvata nije nađena. Nakon što je učinjena laparotomija, pronašli smo desnostranu inkarceriranu obturatornu kilu Richterova tipa s malim područjem nekrotičnog tankog crijeva. Učinili smo segmentnu resekciju tankog crijeva. Kilni otvor je zatvoren pojedinačnim šavima. Postoperacijski oporavak bolesnice je bio uredan. Obturatorna kila, zahvaljujući niskoj incidenciji i nespecifičnim ranim simptomima, može biti zbunjujuća čak i za najiskusnijeg kirurga. Odgođena dijagnoza obturatorne kile može dovesti do nekroze i perforacije crijeva, što sa sobom nosi značajan pobol i smrtnost

BIOL 404- The Effects of Dioxin-like Polychlorinated Biphenyls (PCBs) on the Development of Myeloid Suppressor Cells

Polychlorinated biphenyls (PCBs) are a man-made organic compound consisting of two phenyl rings connected by a single bond, with any number of chlorine molecules occupying positions around the rings. They are most commonly used as a dielectric and coolant fluid in electrical generators and transformers. Manufacture has declined drastically since the 1970s in America due to their exertion of estrogen-mimicking effects in the body, although they continue to persist in harmful concentrations in the environment. PCBs are endocrine-disrupting, and through estrogenic or anti-estrogenic effects have been shown to increase breast cancer risk by changing gene expression in several genes common to the formation of breast tissue cancer cells, including IGF-1, which fuels all stages of cancer growth. We intend to test cells in vitro for additional sensitivities to the estrogen mimicking effects of PCB 138 and PCB 153. This will hopefully elucidate the mechanistic effects of PCBs on the endocrine system

Rancang Bangun Sistem Informasi Pengelolaan Barang Berbasis Web Menggunakan Framework Nuxt JS

Salah satu permasalahan di PT. Pura Barutama unit Rotogravure satu adalah masih dilakukan pengelohan data secara manual untuk mencatat barang-barang di ruangan server sehingga banyak kendala seperti penggunaan sumber daya kertas yang banyak, juga kemungkinan kertas hasil pencatatan hilang. Maka dari itu, diperlukan sistem yang bisa memudahkan pengguna untuk mencatat informasi data barang di ruangan server dengan cepat dan bisa diakses di mana saja serta memberikan pemberitahuan tentang keadaan ruangan server. Penelitian ini menghasilkan sistem informasi barang-barang di dalam ruangan server dan juga sistem penyampaian informasi mengenai suhu dan kelembapan ruangan server dan banyak lagi yang bisa dilakukan pengguna seperti memasukkan data-data, mengubah, menghapus, mencetak, atau melihat visualisasi dari ruangan server dalam bentuk tiga dimensi. Semua tampilan dan fungsi di dalam sistem akan dibangun menggunakan framework Nuxt JS sebuah framework yang bisa menghubungkan frontend dan backend lebih mudah.One of the problems in PT. Pura Barutama unit Rotogravure satu is they still manage data manually to record properties in server room. So that there are many problems such as the use of a lot of paper resources, as well as the possibility of missing the paper. Therefore, a system is needed that can make it easier for users to record information about properties in the server room quickly and can be accessed anywhere and provide notifications about the state of the server room. This research resulted in an information system for properties in the server room and also a system for delivering information about the temperature and humidity of the server room and many more that users can do such as creating data, changing, deleting, printing, or viewing visualizations from the server room in three dimension. All these interfaces and functions will be build using Nuxt JS, a framework that can connect frontend and backend easily