Digital Commons Network^™

Consensus Paper: Cerebellar Development, K Leto, M Arancillo, Ebe Becker, A Chiang, Et Al.

Faculty, Staff and Students Publications

The development of the mammalian cerebellum is orchestrated by both cell-autonomous programs and inductive environmental influences. Here, we describe the main processes of cerebellar ontogenesis, highlighting the neurogenic strategies used by developing progenitors, the genetic programs involved in cell fate specification, the progressive changes of structural organization, and some of the better-known abnormalities associated with developmental disorders of the cerebellum.

Sickle Cell Disease With Cyanotic Congenital Heart Disease: Long-Term Outcomes In 5 Children, Glen J Iannucci, Olufolake A Adisa, Matthew E Oster, Michael Mcconnell, William T Mahle

The Texas Heart Institute Journal

Sickle cell disease is a risk factor for cerebrovascular accidents in the pediatric population. This risk is compounded by hypoxemia. Cyanotic congenital heart disease can expose patients to prolonged hypoxemia. To our knowledge, the long-term outcome of patients who have combined sickle cell and cyanotic congenital heart disease has not been reported. We retrospectively reviewed patient records at our institution and identified 5 patients (3 girls and 2 boys) who had both conditions. Their outcomes were uniformly poor: 4 died (age range, 12 mo-17 yr); 3 had documented cerebrovascular accidents; and 3 developed ventricular dysfunction. The surviving patient had developmental …

"Eyeing" The Cause Of Heart Failure: Visible Telltale Clues, Herbert L Fred, Manoj Thangam

The Texas Heart Institute Journal

No abstract provided.

Comparative Efficacy Of Nebivolol And Metoprolol To Prevent Tachycardia-Induced Cardiomyopathy In A Porcine Model, Alireza Nazeri, Macarthur A Elayda, Ana Maria Segura, Raymond F Stainback, Joanna Nathan, Vei-Vei Lee, Christina Bove, Luiz Sampaio, Brian Grace, Ali Massumi, Mehdi Razavi

The Texas Heart Institute Journal

Chronic tachycardia is a well-known cause of nonischemic cardiomyopathy. We hypothesized that nebivolol, a β-blocker with nitric oxide activity, would be superior to a pure β-blocker in preventing tachycardia-induced cardiomyopathy in a porcine model.

Fifteen healthy Yucatan pigs were randomly assigned to receive nebivolol, metoprolol, or placebo once a day. All pigs underwent dual-chamber pacemaker implantation. The medication was started the day after the pacemaker implantation. On day 7 after implantation, each pacemaker was set at atrioventricular pace (rate, 170 beats/min), and the pigs were observed for another 7 weeks. Transthoracic echocardiograms, serum catecholamine levels, and blood chemistry data were …

Aspirin Resistance Predicts Adverse Cardiovascular Events In Patients With Symptomatic Peripheral Artery Disease, Tilak Pasala, Jennifer Soo Hoo, Mary Kate Lockhart, Rehan Waheed, Prasanna Sengodan, Jeffrey Alexander, Sanjay Gandhi

The Texas Heart Institute Journal

Antiplatelet therapy reduces the risk of myocardial infarction, stroke, and vascular death in patients who have symptomatic peripheral artery disease. However, a subset of patients who take aspirin continues to have recurrent cardiovascular events. There are few data on cardiovascular outcomes in patients with peripheral artery disease who manifest aspirin resistance.

Patients with peripheral artery disease on long-term aspirin therapy (≥4 wk) were tested for aspirin responsiveness by means of the VerifyNow Aspirin Assay. The mean follow-up duration was 22.6 ± 8.3 months. The primary endpoint was a composite of death, myocardial infarction, or ischemic stroke. Secondary endpoints were the …

Endovascular Treatment Of Superior Vena Cava Syndrome Via Balloon-In-Balloon Catheter Technique With A Palmaz Stent, Wassim Shatila, Abdelkader Almanfi, Mehran Massumi, Kathryn G Dougherty, Dhaval R Parekh, Neil E Strickman

The Texas Heart Institute Journal

Superior vena cava syndrome is a well-known disease entity that carries substantial rates of morbidity and mortality. Although most cases of superior vena cava syndrome are secondary to a malignant process, additional causes (such as mediastinal fibrosis, pacemaker lead implantation, or central venous catheter placement) have been reported. Multiple treatment options include percutaneous transluminal angioplasty, stent implantation, thrombolysis, mechanical thrombectomy, and venous grafting. We present a case of superior vena cava syndrome in a symptomatic 30-year-old woman who obtained complete relief of obstruction and marked symptomatic improvement through venoplasty and stenting, aided by our use of a balloon-in-balloon catheter system.

Ms 020 Guide To Leon Dmochowski, Md, Phd Papers (1947-1977), Leon Dmochowski (1909-1981)

Manuscript Finding Aids

The Leon Dmochowski, MD, PhD papers contain article reprints, reports and an undated manuscript related to his career in oncology and virology. The collection contains 2 boxes equaling 1 cubic foot, the materials are mostly in good condition. One item has water damage. See more at MS 020.

Ms 025 Guide To Samuel Bloom, Phd Papers (1935-2000), Samuel Bloom (1921-2006)

Manuscript Finding Aids

The Samuel Bloom, Ph.D., collection consists of materials related to his career as Assistant Professor of Sociology, Department of Psychiatry, Baylor College of Medicine. See more at MS 025.

Contribution Of Tactile Dysfunction To Manual Motor Dysfunction In Type Ii Diabetes, Nereyda Ochoa, Gloria R Gogola, Stacey L Gorniak

Faculty, Staff and Student Publications

Introduction:

Changes in sensory and motor functions of the hand in Type II Diabetes (T2D) patients have been reported; there is speculation that these changes are driven by tactile dysfunction. The purpose of this study was to evaluate the effects of tactile feedback on manual function in T2D patients.

Methods:

T2D patients and healthy controls underwent median nerve blocks at the wrist and elbow. All participants underwent traditional timed motor evaluations, force dynamometry, laboratory-based kinetic evaluations, and sensory evaluation.

Results:

Tactile sensation in the T2D group at baseline was found to be equivalent to tactile function of the control group …

Ms 013 Guide To Laura C. Bickel, Md Papers (1938-1967), Laura C. Bickel (1912-1977)

Manuscript Finding Aids

The Laura C. Bickel, MD papers contain article reprints, correspondance, case studies, photographs, and xrays related to her research into the Rubella virus and congenital defects and her career in pediatrics. See more at MS 013.

Ms 017 Guide To Joe R. Gandy, Md Papers (1929-1973), Joe R. Gandy (1908-1985)

Manuscript Finding Aids

The Joe R. Gandy, MD papers contain correspondance, programs, manuscripts, research, news releases, news clippings, and recording transcripts from his research into railroad medicine and his career as a surgeon. See more at MS 017.

Ms 018 Guide To Saul Kit, Phd Papers (1958-1974), Saul Kit (1920-2008)

Manuscript Finding Aids

The Saul Kit, PhD papers contain research journals, reprints, copies, and an undated manuscript documenting his career in biochemistry. This collection focuses on his research published from 1958-1974. The collection consists of one box, equaling .25 cubic feet. The materials are in good condition. See more at MS 018.

Pacemaker Troubleshooting: Common Clinical Scenarios, Payam Safavi-Naeini, Mohammad Saeed

The Texas Heart Institute Journal

No abstract provided.

Venous Myocardial Infarction In An Infant With Obstructed Totally Anomalous Pulmonary Venous Drainage And Coronary Sinus Ostial Atresia, Deepa Prasad, James P Strainic, Khyati Pandya, Peter C Kouretas, Ravi C Ashwath

The Texas Heart Institute Journal

We report a rare causal association between obstructed supracardiac totally anomalous pulmonary venous drainage and coronary sinus ostial atresia. Our 12-week-old patient developed venous myocardial infarction secondary to coronary venous hypertension because her sole route of coronary venous drainage was obstructed. She recovered after the obstruction was relieved by balloon dilation. Surgical repair then included anastomosis of the pulmonary venous confluence to the left atrium, ligation of the vertical vein, and unroofing of the coronary sinus. Coronary sinus ostial atresia is rarely diagnosed before autopsy.

Long-Term Follow-Up Study Of Temporary Tricuspid Valve Detachment As Approach To Vsd Repair Without Consequent Tricuspid Dysfunction, Gianluca Lucchese, Lucia Rossetti, Giuseppe Faggian, Giovanni B Luciani

The Texas Heart Institute Journal

Temporary tricuspid valve detachment improves the operative view of certain congenital ventricular septal defects (VSDs), but its long-term effects on tricuspid valve function are still debated.

From 2002 through 2012, we performed a prospective study of 68 children (mean age, 1.28 ± 1.01 yr) who underwent transatrial closure of VSDs following temporary tricuspid valve detachment. Sixty patients had conoventricular and 8 had mid-muscular VSDs. All were in sinus rhythm. Seventeen patients had systemic pulmonary artery pressures. Preoperative echocardiograms showed trivial-to-mild tricuspid regurgitation in 62 patients and tricuspid dysplasia with severe regurgitation in 6 patients. Patients were clinically and echocardiographically monitored …

Catheter Ablation Of Ventricular Tachycardia: Moving Beyond Palliation, Nilesh Mathuria

The Texas Heart Institute Journal

No abstract provided.

Thirty-Three Years Of Dizzy Medical Writing And Editing: A Meta-Analysis And The Hall Of Shame, Herbert L Fred, Mark S Scheid

The Texas Heart Institute Journal

No abstract provided.

Latino Civic And Social Engagement, Bernardo E. Pohl Jr, Viola Garcia, Traqina Emeka

Journal of Family Strengths

Special issue editors Bernardo Pohl, Viola Garcia and Traqina Emeka introduce the special edition of the Journal of Family Strengths.

The Latino Experience In America, Robert D. Sanborn, Angelo P. Giardino

Journal of Family Strengths

Angelo P. Giardino and Robert Sanborn discuss the latest issue of the Journal of Family Strengths.

Undocumented And Unafraid: The Emergence Of An Undocumented Movement And Its Impact On Immigration Policy, The Dream Act, Daca, Dapa, And Family Unification, William V. Flores Ph.D.

Journal of Family Strengths

Undocumented and Unafraid: The Emergence of an Undocumented Movement and Its Impact on Immigration Policy, the DREAM Act, DACA, DAPA, and Family Unification

This articles traces the efforts of undocumented students throughout the U.S. to come forward and reveal their status, claim rights, and participate in political and community engagement efforts typical of U.S. citizens by becoming active in student and community organizations, shaping political discourse on immigrant rights, and expanding our conception of what it means to be ‘American.’ Their social activism reflects a strong desire to be full-members of this society. Undocumented youth are deeply concerned about family …

The Continuum Of Lens Through Which Teachers View Cultural Differences: How Perceptions Impact Pedagogy, Constance Harris Russell, Denise Mcdonald, Lisa A. Jones, Laurie Weaver

Journal of Family Strengths

This paper describes a study conducted in a school district that experienced a significant shift in student demographics. As this shift parallels a national increase of immigrants in public schools, the study explored teachers’ perceptions of students’ cultural differences and how these differences impact their own pedagogy. The authors propose a Cultural Lens Continuum as a metaphorical heuristic structure for making meaning of the differing participating teachers’ views (i.e., microscopic, telescopic, panoramic, and holographic). This continuum aligns with existing research on culturally relevant pedagogy, in that the type of lens one possesses indicates the level of responsiveness to and adoption …

The Little Mexican Girl That Could: An Immigrant Child Becoming A Bilingual Teacher, Leslie M. Gauna, Christine E. Beaudry

Journal of Family Strengths

This article reveals findings from a narrative inquiry into the experiences of Marlene, a young Latina woman, and her journey to becoming a Spanish Bilingual elementary teacher. The article begins by demonstrating the increasing need for certified Bilingual and ESL teachers that can effectively address the needs of linguistically and culturally diverse students within the context of shifting population and public school demographics in the United States. It then provides an overview of the inquiry and explores salient themes related to how Marlene’s stories reflect challenges and supports to becoming a Spanish Bilingual teacher, and how her experiences shaped her …

Finding Latino/A Voices In The Storytelling Process: Preservice Teachers Tell Their Stories In Digital Narratives, Laura A. Mitchell, Diane M. Miller, Colin Dalton

Journal of Family Strengths

Preservice teachers in a bilingual education teacher preparation program created digital narratives that told their cultural stories within a sociocultural framework. The study revealed that the creation of digital stories within a sociocultural framework allowed preservice teachers to better understand their cultural heritages and unique places in society. This process allowed the preservice teachers to share their voices with audiences that they may have never considered before. Their newfound voices gave them the confidence to share with others about their identity and created a sense of belonging in their worlds in which they lived.

Si Votan: Texas Latino Politicians Perspectives On Engaging Latino Voters In The Electoral Process, Rebecca Pfeffer Ph.D., Robert D. Sanborn

Journal of Family Strengths

Drs. Pfeffer and Sanborn (JFS) conducted interviews with Texas politicians Adrian Garcia, former Houston City Councilmember and Sheriff of Harris County, Texas, and Texas State Senator Eddie Lucio Jr., to discuss the role that Latino voters play in the electoral process on both the state and national scale. Interviews have been edited for clarity.

An Assessment Of The Human Papillomavirus Immunization Knowledge, Practices, And Prevention Among A Cohort Of Urban College Students, Nancy H. Busen Phd, Fnp-Bc, Aprn, Robert G. Hanks Phd, Rn, Fnp, Aprn, Eileen R. Giardino Phd, Rn, Aprn, Fnp, Stanley Cron Msph

Journal of Nursing & Interprofessional Leadership in Quality & Safety

Human papillomavirus (HPV) is the most common sexually transmitted disease, yet little is known about the college-age knowledge and prevention practices related to HPV. Although sample vaccination rates mirrored national known vaccination rates, a majority of participants did not complete the three dose vaccine schedule. HPV knowledge was similar between males and females while males were more likely to engage in preventative practices. This information can help healthcare providers reinforce vaccination schedule and prevention practices.

Implementation Of A Comprehensive Clinical Toolkit For Postpartum Depression Screening: Breaking Barriers In Women's Health Care, Liza C. Rivera Dnp, Msn, Aprn, Whnp-Bc

Journal of Nursing & Interprofessional Leadership in Quality & Safety

A quality improvement initiative to increase screening of postpartum women to detect depression and appropriately refer women screening positive for follow-up care was implemented in an obstetrics and gynecology practice. Physicians in the practice (n = 13) completed an educational module on use and benefits of a toolkit and showed a significant post test increase. Review of patient medical charts found a significant increase in screening rate in an 8-week intervention cycle. Through means of establishing a protocol for appropriate referral for follow-up, the goal of referring 50% of women who screened positive was exceeded.

The Future Of Healthcare Delivery: Ipe/Ipp Audiology And Nursing Student/Faculty Collaboration To Deliver Hearing Aids To Vulnerable Adults Via Telehealth, Robert E. Novak Ph.D, Asha Fellow, Adelita Gonzales Cantu Phd., Rn, Amanda Zappler Aud, Laura Coco Aud, Craig A. Champlin Phd, Asha Fellow, Julie C. Novak Dnsc, Rn, Faanp, Faan

Journal of Nursing & Interprofessional Leadership in Quality & Safety

A multi-departmental, two-city initiative to provide hearing aid service via a telepractice approach was developed whereby nursing and auditory students with supervisory faculty used AV conferencing for training and interaction with referred patients. Located in two cities, 21 nursing and 15 doctoral level audiology students met virtually, and students received teleaudiology education and practicum with interprofessional education and practice components. Nursing students in one city and a supervising faculty in another city could interact with providers and patients in both cities to provide hearing care. The teleaudiology project delivered hearing health care services, including fitting of digital mini hearing aids, …

The Power Of Reasoning: How Student Nurses Develop Confidence In Reasoning, Michael F. Brown

Dissertations and Theses (Open Access)

Background

Clinical Reasoning (CR) is the intellectual capacity to understand the value of patient data related to current knowledge, skills, and experiences within a dynamic domain of patient care with reflective analysis relating the new experience and understanding into new knowledge to be applied in future clinical situations. Poorly developed CR skills inhibit effective problem-solving abilities of nursing students producing levels of unexpected confusion and loss of confidence impeding their adaptability and effectiveness in dynamic healthcare environments. This study explored the effectiveness of human patient simulation (HPS) as an innovative method to facilitate the development of CR in undergraduate nursing …

Treatment Recidivism In Adolescents With Mental Illness: A Focused Applied Medical Ethnography, Chukwudi C. Ekwemalor

Dissertations and Theses (Open Access)

Background

Treatment recidivism, described as frequent unplanned relapse readmissions, is a national problem predominant in adolescents with mental illness with significant socioeconomic consequences. Adolescents living with mental illness are a sub-culture of adolescence, the critical growth period of developmental and social transition from childhood to adulthood. The main triggers of treatment recidivism in this population are not fully understood from previous studies.

Purpose

The study purpose was to explore treatment recidivism with the following aims:

1. To illuminate treatment recidivism from the perspectives of recidivist adolescents with mental illness.

2. To describe the main factors that contribute to treatment recidivism …

Experiences Of Stress And Coping Over Time By Caregivers Of Stroke Survivors: A Mixed-Methods Approach, Fang Ye

Dissertations and Theses (Open Access)

Background/ Objectives: Caregivers of stroke survivors often experience physical and mental stress, decreased physical and emotional well-being, high burden of care, social isolation, and neglecting self-care. The majority of previous research studies have identified caregiver experiences during the first one-to-two years post stroke. Little is known about caregiver experiences beyond the first two years of the post- stroke recovery trajectory, indicating a need for longitudinal study of their experiences over time. Therefore, the objectives of this study were to 1) investigate caregiver experiences of stress and coping over 5-7 years post stroke using quantitative methods, and 2) explore through …