Optimal management of chronic cyclical pelvic pain: an evidence-based and pragmatic approach

This article reviews the literature on management of chronic cyclical pelvic pain (CCPP). Electronic resources including Medline, PubMed, CINAHL, The Cochrane Library, Current Contents, and EMBASE were searched using MeSH terms including all subheadings and keywords: “cyclical pelvic pain”, “chronic pain”, “dysmenorrheal”, “nonmenstrual pelvic pain”, and “endometriosis”. There is a dearth of high-quality evidence for this common problem. Chronic pelvic pain affects 4%–25% of women of reproductive age. Dysmenorrhea of varying degree affects 60% of women. Endometriosis is the commonest pathologic cause of CCPP. Other gynecological causes are adenomyosis, uterine fibroids, and pelvic floor myalgia, although other systems disease such as irritable bowel syndrome or interstitial cystitis may be responsible. Management options range from simple to invasive, where simple medical treatment such as the combined oral contraceptive pill may be used as a first-line treatment prior to invasive management. This review outlines an approach to patients with CCPP through history, physical examination, and investigation to identify the cause(s) of the pain and its optimal management

Cultivator: Pacific Tongues Educators' Guide to cultivating an active artistic Oceanic community of writers, spoken word performers, leaders, educators, and students of all ages

Master of ArtsPacific Island StudiesPlan BThesis, (M.A.) UH Manoa 201

Weight modules over Bell--Rogalski algebras

We study a class of $\mathbb{Z}$-graded algebras introduced by Bell and Rogalski. Their construction generalizes in large part that of rank one generalized Weyl algebras (GWAs). We establish certain ring-theoretic properties of these algebras and study their connection to GWAs. We classify the simple weight modules in the infinite orbit case and provide a partial classification in the case of orbits of finite order

Ozone groups and centers of skew polynomial rings

We introduce the ozone group of a noncommutative algebra $A$, defined as the group of automorphisms of $A$ which fix every element of its center. In order to initiate the study of ozone groups, we study PI skew polynomial rings, which have long proved to be a fertile testing ground in noncommutative algebra. Using the ozone group and other invariants defined herein, we give explicit conditions for the center of a PI skew polynomial to be Gorenstein (resp. regular) in low dimension.Comment: Some simplifications, clarifications, and corrections throughout. To appear in IMR

Climate robust culvert design: probabilistic estimates of fish passage impediments

*** This abstract is for a Snapshot (5-min) presentation. *** Many Washington State culverts are currently inadequate for fish passage. Apart from a few special cases, the standard for sizing culverts in Washington State is based on a simple linear function of bankfull width (BFW). This reflects a geomorphic approach to culvert design that can be applied across a large range of situations (Barnard et al. 2013, 2015). Future changes in BFW have previously been estimated by the Washington Department of Fish and Wildlife (WDFW) (Wilhere et al. 2016), by estimating the percent change in BFW derived from projected changes in runoff. This percent change can then be applied to direct observations of channel geometry. The main purpose of this talk is to present a novel new prototype for sizing culverts to account for the effects of climate change. The tool allows a user to enter some basic details about a culvert, choose a proposed design width, and evaluate the likelihood that it will fail to provide fish passage over a particular design lifetime. Likelihoods are estimated using a Monte Carlo approach, resulting in a probability distribution of future bankfull width. These probabilities will be used to assess the likelihood of culvert failure for different choices about how to size it. Since probabilities cannot be assigned to greenhouse gas scenarios, separate probabilities will be assessed for each greenhouse gas scenario, and likelihood estimates are produced for a given design lifetime. The talk will also include results from a recent evaluation of the climate and streamflow data used as the basis of the WDFW report. The work was funded by the Swinomish Indian Tribal Community (SITC) via the Skagit Climate Science Consortium (SC2)