Digital Commons Network^™

Exploring The Role Of Identity Development In Social Networking Web Pages, Jacqueline F. Stahl

Antioch University Dissertations & Theses

This study investigates young adults’ social networking web pages for aspects related to identity development. The study is primarily based on the theory of identity development presented by Berzonsky (1997). Raters assessed selected web pages for characteristics associated with different styles of identity development. A principal component analysis was used to determine that there are three components that relate to identity development that are manifested in the web pages. It was established that there were three main components that described aspects of identity within the social networking pages. These components were determined to be a “Self Focused Type,” an “Inconsistent …

Bracing For Idiopathic Scoliosis: Improving Adherence Through Psychological Intervention, Shoshana J. Fagen

Antioch University Dissertations & Theses

Poor treatment adherence is increasingly being recognized as a significant problem in pediatric medicine. For the condition Adolescent Idiopathic Scoliosis, poor adherence rates to the most non-surgical intervention, orthotic bracing, have become a well-established fact. This treatment modality has been correlated with multiple psychosocial areas of difficulty, including low self image, suicidal ideation, feelings of isolation, social discomfort, depression, an external locus of control, increasing risk taking behavior, high levels of stress, anger, fear, shame, and eating disorders. Since the orthotic bracing has been linked to both poor adherence and to psychosocial problems, an intervention is created to increase adherence …

Raising Children On The Autism Spectrum: Parental Needs, Kathleen A. Ryan

Antioch University Dissertations & Theses

The rates of Autism Spectrum Disorder (ASD) diagnoses have increased rapidly in the past few years. This increase is affecting many American families but the current research literature fails to evaluate the needs of parents who are raising children on the spectrum. Parents of children with Autism experience grief, denial, anger, guilt, depression, isolation, stress, financial difficulties, and marital struggles. The author proposed a mixed methods study to determine services received and satisfaction with those services; level of parental interest in specialized services; how well parents’ needs had been met with existing services; and what services parents of autistic children …

Utilizing The Standard Trauma-Focused Emdr Protocol In Treatment Of Fibromyalgia, Tricia L. Teneycke

Antioch University Dissertations & Theses

Fibromyalgia is a syndrome characterized by chronic pain and fatigue. It notably impacts individuals and their families, creates notable opportunity costs for society, and places heavy demands on the medical system. Fibromyalgia has no cure. Its etiology is uncertain but likely biopsychosocial. In a subset of individuals experiencing Fibromyalgia, the experience of one or more traumatic experiences precipitates the onset of symptoms. Eye Movement Desensitization and Reprocessing (EMDR) is an evidence-based treatment for traumatic stress injuries. None of the handful of published accounts of EMDR treatment of Fibromyalgia have utilized the standard evidenced-based, trauma-focused EMDR (TF-EMDR) protocol, opting instead for …

The Management Of Feral Pig Socio-Ecological Systems In Far North Queensland, Australia, Gabriela Shuster

Antioch University Dissertations & Theses

The development of management programs for socio-ecological systems that include multiple stakeholders is a complex process and requires careful evaluation and planning. This is particularly a challenge in the presence of intractable conflict. The feral pig (Sus scrofa) in Australia is part of one such socio-ecological system. There is a large and heterogeneous group of stakeholders interested in pig management. Pigs have diverse effects on wildlife and plant ecology, economic, health, and social sectors. This study used the feral pig management system as a vehicle to examine intractable conflict in socio-ecological systems. The purpose of the study was …

Wholeistic EducationTm, Cerissa Leigh Desrosiers

Antioch University Dissertations & Theses

This dissertation introduces Wholeistic Education^TM (WED^TM), an innovative, values-based, interdisciplinary pro-social theory that is the culmination of centuries of scientific and philosophical learning and exploration about optimal mental health and human development. WED is based on basic human nature and universal human rights, and so it applies to all variations of human society- racial, ethnic, religious, or otherwise. WED is a foundation theory to which any targeted implementation strategy can be applied. It is both a proactive strategy for seeking and maintaining health before a crisis arises in families, schools, and organizations as well as a treatment …

Measuring The Effect Of Supported Employment Treatment On Self-Efficacy In Individuals With Severe Mental Illness, Meghan E. Szczebak

Antioch University Dissertations & Theses

Competitive employment is a common goal for those with severe mental illness (SMI), and evidence shows that the majority of those with SMI want to work. However, despite the desire to work competitively, those with SMI have the highest unemployment rate of any disability group (Mueser, Salyers, & Muesar, 2001). The Recovery Model is an approach to Supported Employment that has provided hope for those with mental illness, as well as challenged treatment providers to adopt a more collaborative, optimistic approach to helping clients live fulfilling, self-directed lives. To increase employment for those with SMI, effective vocational rehabilitation methods must …

What's In A Name? The Influence Of An Adhd-Inattentive Type Label On Perceived Social Competence As Viewed By Mental Health Professionals And Teachers, Jason Arkin

Antioch University Dissertations & Theses

Objective: To determine whether the presence of an ADHD-PI label influenced adult perceptions of a female adolescent’s social competence. Method: Forty four primary and secondary teachers and 54 mental health professionals rated their perceptions based on a vignette that included or did not include the label ADHD-PI. Results: The ADHD-PI labeled vignettes elicited more negative perceptions of the child’s social acceptance and ability to make close friends. Also, mental health professionals rated the girl as more socially accepted, regardless of diagnosis. There were no other significant main effects and there were no significant interaction effects. Conclusion: The presence of an …

The Impact Of Council On Early Adolescents, Denise Jaimes-Villanueva

Antioch University Dissertations & Theses

Throughout history, attempts have been made to influence children’s social behavior through programs and policies in schools. While well-intentioned, such programs are sometimes introduced and perpetuated without evidence about whether they fulfill their goals and objectives. Council is a program that has been implemented in schools since 1980 to foster tolerance and social connection. The Center for Council Training started more than 50 programs in California, Arizona, Washington, Colorado, New York, and Israel. The Council Practitioners Center started to integrate Council into schools in the Los Angeles Unified School District (LAUSD) and has a goal of expanding Council throughout California …

The Origin Of A Sense Of Self In Women, Kimberly Dewing Robbins

Antioch University Dissertations & Theses

This phenomenological study focuses on how a strong sense of self in women changes social precepts and gender stereotypes empowering women to define themselves instead of being defined by society. A sense of self may be defined as the ability to distinguish one’s own values from those of any outside persuasions, and to do so well enough to be able to protect those ideals from unwanted external influence. Is a sense of self, realized at a young age, an innate feeling or developed over time through adversity and the maturation process? This study will specifically look at what influences can …

A Relational Group Intervention For Teen Pregnancy, Megan E. Turchetti

Antioch University Dissertations & Theses

This dissertation project involved the program development and evaluation of a group intervention designed for pregnant and mothering teens. Current services for teenage mothers have significant problems with utilization. This is especially true for teen mothers living in rural regions. Research on service utilization demonstrates that many programs for teen mothers lack integrated understanding of this population’s needs as adolescents, and their needs as new mothers. The present group intervention, Mothering: A Beginners’ Group (MBG), integrates conceptual frameworks including empowerment, psychoeducation, and relational therapy in an effort to address the complex needs of teen mothers. A group space was designed …

A Phenomenological Investigation Of Physician Job Satisfaction In Rural Integrated Primary Care, Jacob Brendan Austin

Antioch University Dissertations & Theses

The job satisfaction of rural primary care physicians is of import given the crucial role these physicians play in rural health care systems and their consistent decline in numbers nationwide. The professional isolation of practicing in rural areas, particularly in accessing specialty care, creates greater burdens for rural physicians than their more urban counterparts, which likely contributes to their low level of job satisfaction. The shortage of mental health providers in rural areas in particular is thought to create a burden for rural primary care physicians, who generally neither have the time, training, nor expertise to adequately deal with complex …

Developmental Biology (Embryology), Steelman Library, Todd Schraw Dr.

Syllabus Repository

No abstract provided.

An Investigation Of The Relationship Between Symmetry Index In Isometric Strength And Vertical Ground Reaction Forces In Drop-Landings, Lemuel A. Brown

EWU Masters Thesis Collection

No abstract provided.

Does The Expression Of Transforming Growth Factor Β-1: Affect The Outcome Of The Radiofrequency Modified Maze Procedure In Patients With Rheumatic Atrial Fibrillation?, Wei Wang, Lei Liu, Yuan Li, Sheng-Shou Hu, Yun-Hu Song, Xin Wang

The Texas Heart Institute Journal

We investigated whether the expression of transforming growth factor β-1 in the left atrial appendage affected the outcome of the radiofrequency modified maze procedure in patients with rheumatic valve disease and long-standing persistent atrial fibrillation.

Messenger RNA and protein expression of transforming growth factor β-1 and volume fractions of collagen types I and III were measured in 80 patients with rheumatic valve atrial fibrillation who underwent valve surgery with the radiofrequency modified maze procedure; the same was done in a control group of 20 patients with rheumatic valve disease and sinus rhythm who underwent valve surgery alone.

At 6 months' …

Ectopic And Atretic Ostium Of Left Main Coronary Artery: From Interleaflet Triangle Between Left And Noncoronary Cusps, Ta-Chung Shen, Hsin-Hua Chou, Kuei-Ton Tsai

The Texas Heart Institute Journal

Left main coronary artery atresia is an extremely rare coronary anomaly in which there is no left coronary ostium and the left main trunk ends blindly. Ectopic origin of the left coronary artery from the left ventricle is an even rarer condition. Herein, we describe the case of a 37-year-old woman whose left main coronary artery atresia was not corrected during previous surgical correction of patent ductus arteriosus and aortic insufficiency. Five years after that first operation, the patient developed severe angina and heart failure. She underwent coronary artery bypass grafting with greater saphenous vein directly to the left main …

Accuracy Of Automated Attenuation-Based 3-Dimensional Segmentation: In The Analysis Of Left Ventricular Function Compared With Magnetic Resonance Imaging, Harald Brodoefel, Ilias Tsiflikas, Ulrich Kramer, Nina Lang, Anja Reimann, Christoph Burgstahler, Claus D Claussen, Martin Heuschmid

The Texas Heart Institute Journal

We evaluated attenuation-based 3-dimensional segmentation for the analysis of left ventricular function, using as our standard of reference magnetic resonance imaging and dual-source computed tomography with traditional short-axis planimetry.

Twenty patients with known or suspected coronary artery disease were examined prospectively. In all magnetic resonance and computed tomographic datasets, global functional values were determined by 2-dimensional planimetry. Computed tomographic scans were further evaluated by automated 3-dimensional segmentation, and the results were compared by Pearson correlation and Bland-Altman analysis.

Agreement between magnetic resonance imaging and dual-source computed tomographic 2-dimensional planimetry was good for all values (end-diastolic volume, bias= −4.2, r=0.99; end-systolic …

Constrictive Pericarditis Treated By Surgery, Alireza A Ghavidel, Maziar Gholampour, Majid Kyavar, Yalda Mirmesdagh, Mohammad-Bagher Tabatabaie

The Texas Heart Institute Journal

We reviewed the records of 45 patients (mean age, 46.6 ± 14.9 yr; range, 21–84 yr) with a diagnosis of constrictive pericarditis who had undergone pericardiectomy from 1994 through 2006. Preoperatively, 2 of the patients (4.4%) were in New York Heart Association (NYHA) functional class I, 20 (44.4%) in class II, 22 (48.9%) in class III, and 1 (2.2%) in class IV. Pericardial calcification was detected in 20% of plain chest radiographs. Constrictive pericarditis was caused by tuberculosis in 22.2%, chronic renal failure in 8.9%, a history of sternotomy in 4.4%, and malignancy in 4.4%. The cause was idiopathic in …

Hypoplastic Right-Heart Syndrome Presenting As Multiple Miscarriages, Chadi Dib, Philip A Araoz, Norman P Davies, Joseph A Dearani, Naser M Ammash

The Texas Heart Institute Journal

Reversible causes of miscarriage are many, but they affect only 1% of women who are trying to conceive. Herein, we describe the case of a 23-year-old woman who presented for evaluation of repeated miscarriages and was found to have hypoxemia and erythrocytosis. Further evaluation revealed hypoplastic right-heart syndrome with an intracardiac shunt. She underwent hybrid repair with pulmonary valve balloon valvuloplasty, followed by surgery to perform atrial septal defect closure and a Glenn anastomosis. The erythrocytosis and hypoxemia resolved, and she was able to conceive and deliver a healthy baby at term 2 years later.

This is a unique case …

Acute Promyelocytic Leukemia As A Cause Of Intracoronary Drug-Eluting-Stent Thrombosis, Zaven Sargsyan, Christopher Higgins, Sanda Alexandrescu, David A Ott, Surendra K Jain

The Texas Heart Institute Journal

Stent thrombosis is a potentially lethal complication of percutaneous coronary intervention. We describe the case of a 51-year-old man who presented with acute anterior ST-segment-elevation myocardial infarction and underwent successful percutaneous transluminal coronary angioplasty and placement of 3 drug-eluting stents in the left anterior descending coronary artery. Despite receiving dual antiplatelet therapy, the patient presented a week later with a non-ST-segment-elevation myocardial infarction and was found to have nonocclusive thrombosis of the left anterior descending coronary artery stents and his ostial left main and left circumflex coronary arteries. Subsequently, bone marrow biopsy analysis indicated that the patient had acute myelogenous …

Transcatheter Retrieval And Repositioning Of Embolized Stent From The Right Ventricle In An Infant, Daisuke Kobayashi, Harinder R Singh, Daniel R Turner, Thomas J Forbes, Srinath T Gowda

The Texas Heart Institute Journal

Intracardiac stent embolization is a challenging complication in a small infant. A Palmaz stent was placed across the atrial septum in a 3-month-old boy to relieve symptoms of right-side heart failure. On routine chest radiography one week later, the stent was found to have embolized into the right ventricle. The stent was retrieved and repositioned by means of transcatheter technique, without subsequent complications. We found this method to be a viable alternative to surgery in a high-risk infant. To our knowledge, this is the first report of the successful transcatheter retrieval and repositioning of an expandable intravascular stent from an …

Nitinol Thermoreactive Clips For Secondary Sternal Closure In Cases Of Noninfective Sternal Dehiscence, Arif Gucu, Faruk Toktas, Cuneyt Eris, Yusuf Ata, Tamer Turk

The Texas Heart Institute Journal

Postoperative sternal dehiscence is a potentially catastrophic sequela to median sternotomy that can cause not only chest-wall discomfort and pulmonary dysfunction but infection, both superficial and mediastinal. Nitinol thermoreactive clips use a novel material in the treatment of sternal dehiscence. We sought to determine whether the use of these clips is an effective remedy for noninfective sternal dehiscence.

From January 2008 through December 2011, we retrospectively studied the data on 10 patients whose sternums had been closed with nitinol thermoreactive clips after the development of noninfective sternal dehiscence. Diagnosis was made on the bases of clinical criteria, chest radiography, and …

Extreme Thrombocytosis And Cardiovascular Surgery: Risks And Management, Ethan A Natelson

The Texas Heart Institute Journal

Extreme thrombocytosis is a major risk factor for excessive bleeding and for thrombosis, either of which can complicate cardiovascular surgical and interventional procedures. Extreme thrombocytosis can also cause an unusual syndrome, erythromelalgia, that results in a type of chronic microvascular occlusive arterial disease. We present the differential diagnosis of conditions that may lead to extreme thrombocytosis, 3 cases (each of which illustrates a different potential complication), and a review of the pertinent medical literature. Correcting excessive thrombocytosis is typically not difficult, whether electively or acutely, and effective therapy usually controls thrombosis and excessive hemorrhage post-procedurally.

Apical Hypertrophic Cardiomyopathy: Preliminary Attempt At Palliation With Use Of Subselective Alcohol Ablation, Paolo Angelini, Carlo Uribe, Jorge Monge, Jorge M Escobar, Eduardo Hernandez-Vila

The Texas Heart Institute Journal

We report a case of severe apical hypertrophic cardiomyopathy in order to discuss the nature of this unusual condition and the possibility of using selective alcohol ablation to effectively treat symptomatic hypertrophic cardiomyopathy that presents with apical aneurysm. A 73-year-old woman with severe, progressive dyspnea and intermittent chest pain was found to have localized left ventricular apical dyskinesia distal to an obstructive mid-distal muscular ring. The ring caused total systolic obliteration of the apical left ventricular cavity. Apical cavity pressure was extremely high, up to 330 mmHg-200 mmHg above that in the main left ventricular cavity. Because of the danger …

Medical Education On The Brink: 62 Years Of Front-Line Observations And Opinions, Herbert L Fred

The Texas Heart Institute Journal

No abstract provided.

Long-Term Results Of Aortic Banding For Complex Infrarenal Neck Anatomy And Type I Endoleak After Endovascular Abdominal Aortic Aneurysm Repair, Zvonimir Krajcer, Kathryn G Dougherty, Igor D Gregoric

The Texas Heart Institute Journal

For many patients with abdominal aortic aneurysm, unsuitable anatomy of the infrarenal aortic neck precludes endovascular aortic aneurysm repair or causes type I endoleak after the procedure. In an attempt to overcome these challenges, we retrospectively examined the usefulness of aortic banding as an adjunctive procedure to endovascular repair in 8 patients who had an abdominal aortic aneurysm with a complex infrarenal aortic neck. The procedures were performed with the patients under general anesthesia and involved making an 8-cm upper-midline laparotomy incision to expose the aneurysmal aorta. Three patients underwent aortic banding before endovascular repair; the other 5 underwent banding …

Management Of Intra-Aortic Balloon Pump Entrapment: A Case Report And Review Of The Literature, Gerard J Fitzmaurice, Anton Collins, Haralambos Parissis

The Texas Heart Institute Journal

An intra-aortic balloon pump is one of the most valuable tools in the cardiac surgeon's armament to assist in the management of the failing heart. Despite its widespread use, there are associated risks and complications, one of which is balloon rupture with associated entrapment. Numerous approaches for dealing with this complication have been described; here we review the previous experience with intra-aortic balloon pump entrapment and discuss potential management, with particular reference to a recent case of our own.

Carotid Artery Stenting Versus Endarterectomy: A Systematic Review, Amir Gahremanpour, Emerson C Perin, Guilherme Silva

The Texas Heart Institute Journal

For about 2 decades, investigators have been comparing carotid endarterectomy with carotid artery stenting in regard to their effectiveness and safety in treating carotid artery stenosis. We conducted a systematic review to summarize and appraise the available evidence provided by randomized trials, meta-analyses, and registries comparing the clinical outcomes of the 2 procedures. We searched the MEDLINE, SciVerse Scopus, and Cochrane databases and the bibliographies of pertinent textbooks and articles to identify these studies.

The results of clinical trials and, consequently, the meta-analyses of those trials produced conflicting results regarding the comparative effectiveness and safety of carotid endarterectomy and carotid …

Pulmonary Resection In The 21st Century: The Role Of Robotics, Robert J Cerfolio

The Texas Heart Institute Journal

No abstract provided.

Chronic Kidney Disease Is Associated With Increased Coronary Artery Atherosclerosis As Revealed By Multidetector Computed Tomographic Angiography, Sion K Roy, Albert Cespedes, Dong Li, Tae-Young Choi, Matthew J Budoff

The Texas Heart Institute Journal

Chronic kidney disease (CKD) is an independent risk factor for cardiovascular events. We evaluated whether multidetector computed tomographic angiography (MDCTA) revealed a link between pre-dialysis CKD and coronary artery atherosclerosis.

We retrospectively analyzed 549 patients who underwent MDCTA. Patients were divided into 3 groups: normal glomerular filtration rate (GFR) (GFR >90 mL/min/1.73 m2 body surface area), mild CKD (>60GFR≤90 mL/min/1.73 m2), and moderate CKD (>30GFR≤60 mL/min/1.73 m2). Normality testing was performed to determine if continuous variables were modeled in Gaussian distribution before analysis of variance was applied. The χ2 test was used to compare GFR subgroups. Multiple linear …