Digital Commons Network^™

Two Cases Of Bezold-Jarisch Reflex Induced By Intra-Arterial Nitroglycerin In Critical Left Main Coronary Artery Stenosis, Sachin P Shah, Sergio Waxman

The Texas Heart Institute Journal

The Bezold-Jarisch reflex, a well-described phenomenon, occurs upon the stimulation of intracardiac mechanoreceptors and is mediated by vagal afferent nerve fibers. Several factors can sensitize the cardiovascular system to develop this reflex, including acute myocardial ischemia, natriuretic peptides, and, rarely, nitroglycerin administration in the setting of acute myocardial infarction. The development of the Bezold-Jarisch reflex in the presence of severe coronary artery stenosis, specifically left main coronary artery stenosis, has not been described. We report 2 cases of patients who underwent elective coronary angiography and were given intra-arterial nitroglycerin during radial sheath insertion to reduce radial artery spasm. In both …

Perventricular Device Closure Of Residual Muscular Ventricular Septal Defects After Repair Of Complex Congenital Heart Defects In Pediatric Patients, Da Zhu, Kaiyu Tao, Qi An, Shuhua Luo, Changping Gan, Ke Lin

The Texas Heart Institute Journal

Residual muscular ventricular septal defects are surgical challenges, especially after the repair of complex congenital heart defects. We investigated perventricular device closure as a salvage technique in pediatric patients who had postoperative residual muscular ventricular septal defects.

From February 2009 through June 2011, 14 pediatric patients at our hospital had residual muscular ventricular septal defects after undergoing surgical repair of complex congenital heart defects. Ten patients met our criteria for perventricular device closure of the residual defects: significant left-to-right shunting (Qp/Qs >1.5) or substantial hemodynamic instability (a defect ≥2 mm in size). The patients' mean age was 20.4 ± 13.5 …

Cor Triatriatum Sinister In A 43-Year-Old Man With Syncope, Janet L Eichholz, Samer S Hodroge, Jerry J Crook, John W Mack, Dale C Wortham

The Texas Heart Institute Journal

Cor triatriatum sinister, a congenital cardiac anomaly involving a fibromuscular membrane that partitions the left atrium into 2 chambers, has been reported in only 0.1% to 0.4% of patients with congenital heart disease. The posterosuperior chamber receives blood from the pulmonary veins, and the anteroinferior chamber contains the left atrial appendage and mitral valve orifice. Most patients are diagnosed with the condition in infancy or childhood; adult cases are rare. We describe a case of cor triatriatum sinister in a 43-year-old man whose only presenting symptom was recurrent syncope. He underwent corrective resection of the membrane and was asymptomatic thereafter. …

Endovascular Treatment Of Acute Type B Dissection Complicating Aortic Coarctation, Seyed Ebrahim Kassaian, Kyomars Abbasi, Mehdi Mousavi, Mohammad Sahebjam

The Texas Heart Institute Journal

Surgical treatment poses a high risk to patients with concomitant aortic coarctation and dissection, and an interventional approach could be an alternative. We describe the case of a 52-year-old man with a long history of untreated hypertension and aortic coarctation who emergently presented at our institution with an acute Stanford type B dissection. The patient's elevated serum creatinine level, perfusion deficit in the right lower limb, and hypertension did not respond to medical therapy, and he did not consent to surgery. By endovascular means, we used a self-expandable stent-graft to cover the entry point of the dissection; then, we deployed …

Coronary Artery Diameter Related To Calcium Scores And Coronary Risk Factors As Measured With Multidetector Computed Tomography: A Substudy Of The Accuracy Trial, Yasmin S Hamirani, Khurram Nasir, Emil Avanes, Jigar Kadakia, Matthew J Budoff

The Texas Heart Institute Journal

Arterial remodeling, an early change of atherosclerosis, can cause dilated arterial diameter. We measured coronary artery diameter with use of noncontrast 64-slice multidetector computed tomography (MDCT), and studied its association with coronary artery calcium levels and traditional coronary risk factors.

We included 140 patients from the ACCURACY trial whose noncontrast MDCT images showed measurable coronary arteries. Using 3 measurements of left main coronary artery (LMCA) and right coronary artery (RCA) diameters within 3 mm of the ostium, we associated the results with traditional coronary risk factors and calcium scores.

The prevalence of LMCA and RCA calcium was 22% and 51%, …

The Diagnosis Of Exclusion: An Ongoing Uncertainty, Herbert L Fred

The Texas Heart Institute Journal

No abstract provided.

Stab Wound Of The Heart With Unusual Sequelae, Peter I Praeger, Jonathan Praeger, Ahmed M Abdel-Razek, Elie M Elmann

The Texas Heart Institute Journal

A 31-year-old woman was admitted to the emergency department with a stab wound to the heart. She was initially stable but rapidly developed hypotension. While the operating room and staff were in preparation, she underwent pericardiocentesis. She was then rushed to the operating room by the general surgical trauma team, who performed a bilateral anterior thoracotomy to control the bleeding. In the recovery room, the patient was still hypotensive, so cardiothoracic surgery was consulted.

An echocardiogram revealed severe hypokinesis of both ventricles. The cardiothoracic surgeons returned her to the operating room and discovered that the anterior pericardium had been completely …

Induction Of Early Biomarkers In A Thrombus-Induced Sheep Model Of Ischemic Heart Failure, Aluganti N Chandrakala, Pawel Kwiatkowski, Chittoor B Sai-Sudhakar, Benjamin Sun, Angela Phillips, Sampath Parthasarathy

The Texas Heart Institute Journal

The levels of brain natriuretic peptide (BNP) and monocyte chemoattractant protein-1 (MCP-1) are known to be increased in the sera of subjects with heart failure. Existing models do not account for the biomass of thrombus that occurs in patients undergoing myocardial infarction. In this study, we compared the expressions of sheep-derived genes for BNP, MCP-1, and atrial natriuretic peptide in a new large-animal model of thrombus-induced heart failure. Thrombus of autologous platelets was injected directly into the left circumflex coronary arteries of sheep. Cardiac ischemic injury was evaluated by troponin I levels, and heart failure progression was monitored with the …

Judicial Roles In Nonjudicial Functions, Nuno Garoupa, Tom Ginsburg

Faculty Scholarship

Judges perform nonjudicial functions in many contexts. Most jurisdictions regulate these functions in multiple ways, by statute and by custom. We provide a theory of judicial demand and judicial supply for nonjudicial functions. By teasing out the determinants of judicial involvement in nonjudicial functions, we show the potential market failures and the need for regulation. We suggest that some limitations on the judicial exercise of nonjudicial functions seem justified. However, these limits might vary across jurisdictions depending on institutional and contextual factors.

Complete Issue, Gla Glq

Georgia Library Quarterly

No abstract provided.

Georgia Library Spotlight: Thomas University Library, Thomasville, Georgia, Amber Brock

Georgia Library Quarterly

No abstract provided.

Teaching Government Information In Information Literacy Credit Classes, Emily Rogers

Georgia Library Quarterly

This paper reviews the teaching of credit-bearing information literacy courses and government information, reports questionnaire responses from librarians who teach these courses, and argues that revising the ways we teach government information in for-credit courses will help students achieve information literacy. A focus on government information as critical thinking and subject access resources, rather than as unique documents collections or formats, can remove barriers for researchers, particularly in classes that allow students an entire term to develop skills. In addition, librarians will increase their comfort levels addressing government information and develop ways to teach students to use these resources within …

Litigation-Fostered Bureaucratic Autonomy: Administrative Law Against Political Control, Daniel E. Walters

Faculty Scholarship

The idea of political control dominates our understanding of both what administrative law does and what it should do. This emphasis on political control, however, downplays the important ways that administrative law facilitates resistance to political control in administrative agencies. In this article, I offer studies of two instances in which agencies harnessed the power of seemingly standard administrative law litigation to resist the imposition of policies by political leadership. I classify these kinds of modes of resistance as instances of “litigation-fostered bureaucratic autonomy” and flesh out the mechanisms that drive the process. Acknowledging the role of such modes of …

Carbon Emissions And Economic Growth: A Granger Causality Analysis Across 18 Countries, Rohan Vakil

Empirical Economic Bulletin, An Undergraduate Journal

In this paper, an analysis of the relationship between Economic Growth and Carbon Emissions will be done using data from 9 Developed Countries, and 9 Less Developed Countries, as determined by the World Bank and United Nations. The countries analyzed will be Canada, France, Germany, Italy, Japan, Korea (South), Spain, United Kingdom, United States of America (9 Developed Countries); and India, Indonesia, Iran, Malaysia, Mexico, Brazil, Russian Federation, Saudi Arabia, and South Africa (9 Less Developed Countries). This research expands on the research done by Barassi and Spagnolo (2012), and Coondoo and Dinda (2003).

State Government Revenue: The Effects Of Legalized Gambling, Nicholas S. Malz

Empirical Economic Bulletin, An Undergraduate Journal

When facing financial constrictions, legalized gambling is an attractive alternative for state governments. Most empirical evidence on this topic only examines a single industry in a particular state. This study involves a general analysis of three different forms of gambling across all 50 states. The data is comprised of the gambling volume and state government revenues for all 50 states from 2000 to 2010. From the research, lotteries and horse racing typically increase state revenues, while casinos tend to decrease state revenues.

The Causality Between Budget Deficits And Interest Rates In Asean Countries, Janhavi Nerurkar

Empirical Economic Bulletin, An Undergraduate Journal

This paper investigates the correlation between budget deficits and interest rates across countries of varying income levels across Southeast Asia using the Granger-causality econometric model. It consists of a time series analysis of budget deficits (local currency unit) and real interest rates in Indonesia, Malaysia, Thailand, the Philippines and Singapore from 1990 to 2011.This analysis concludes that budget deficits and interest rates do not cause one another in the countries under consideration.

The Effect Of Macroeconomic Variables On Domestic Homeownership Rates, Patrick Graydon

Empirical Economic Bulletin, An Undergraduate Journal

This paper investigates how various macroeconomic variables affect homeownership rates in the United States. Some of the variables explored in this study include interest rates, unemployment rate, average household income, inflation rate, GDP, population, and residential construction. The paper uses quarterly data from quarter one of 2000 to quarter three of 2012. The results show the economic indicators that are closely correlated with the rate of homeownership.

An Empirical Study Of Salary Discrimination In Professional Basketball, Joshua Reynolds

Empirical Economic Bulletin, An Undergraduate Journal

This paper investigates the racial differences in salaries amongst professional basketball players during the 2011-2012 season. Prior studies from the 1980s and 1990s show that white and black players have earned a comparable mean salary, based on performance variables and other player characteristics. However these studies have shown, that taking race in as a factor when running regressions of the data, preference exists towards white player salaries. This paper looks to see if the recent shift in demographic makeup of the NBA prevalent during the late 1990s and 2000s has led to a more equitable distribution of salaries based on …

Institutional Quality, Income Inequality, And Economic Growth In Latin American Countries, Courtney Pomer

Empirical Economic Bulletin, An Undergraduate Journal

This paper investigates the possibility of the institutional quality of a country having an effect on income inequality and economic growth in Latin American Countries. The study incorporates the gini variable and growth rates of GDP in each country to examine the influence of corruption on the various countries throughout Latin America. Looking at previous research it has been found that corruption is positively correlated with income inequality and negatively correlated with economic growth. The variable for corruption in this study however measures the control of corruption in each country, so we will be looking at the institutional quality and …

Dissent Into Confusion: The Supreme Court, Denialism, And The False “Scientific” Controversy Over Shaken Baby Syndrome, Joelle Moreno, Brian Homgren

Utah Law Review

In the United States Supreme Court's first opinion on the merits from its 2011-2012 term, three members of the Court contributed their authoritative voices to one of the most recent -- and one of the most deadly -- false scientific controversies, the purported scientific debate over the medical diagnosis of shaken baby syndrome (SBS), a prevalent form of abusive head trauma (AHT).

On October 31, 2011, in Cavazos v. Smith, the Supreme Court upheld Shirley Ree Smith's conviction for causing the death of her seven-week-old grandson, Etzel. This conviction was based on the jury finding that Etzel died from SBS. …

Mapping, Modeling, And The Fragmentation Of Environmental Law, Dave Owen

Utah Law Review

In the past forty years, environmental researchers have achieved major advances in electronic mapping and spatially explicit, computerbased simulation modeling. Those advances have turned quantitative spatial analysis—that is, quantitative analysis of data coded to specific geographic locations—into one of the primary modes of environmental research. Researchers now routinely use spatial analysis to explore environmental trends, diagnose problems, discover causal relationships, predict possible futures, and test policy options. At a more fundamental level, these technologies and an associated field of theory are transforming how researchers conceptualize environmental systems.

Advances in spatial analysis have had modest impacts upon the practice of environmental …

Perpetual Conservation Easementsin The 21st Century: What Have We Learned And Where Should We Go From Here?, Nancy A. Mclaughlin

Utah Law Review

The public is investing billions of dollars in conservation easements, which now protect an estimated 40 million acres throughout the United States. But all is not well. Uncertainties in the law and abusive practices threaten to undermine public confidence in and the effectiveness of the conservation easement as a land protection tool. On February 15, 2013, the Wallace Stegner Center at the University of Utah S.J. Quinney College of Law sponsored a conference at which these issues were explored, with the goal of helping to minimize abuses and ensure that conservation easements will actually provide the promised conservation benefits to …

Ppl Montana: The Supreme Court’S Modern Day City Slicker Approach For Determining The Navigability For Title Test, Landon Newell

Utah Law Review

The river thunders in perpetual roar, swelling in floods of music when the storm gods play upon the rocks and fading away in soft and low murmurs when the infinite blue of heaven is unveiled. With the melody of the great tide rising and falling, swelling and vanishing forever, other melodies are heard in the gorges of the lateral canyons, while the waters plunge in the rapids among the rocks or leap in great cataracts.

Language Access Laws And Legal Issues: A Local Official's Guide, David Jung, Noemí O. Gallardo

Faculty Scholarship

No abstract provided.

Once Born, Twice Orphaned: Children’S Constitutional Case Against Same-Sex Adoption Bans, Tanya M. Washinton

Utah Law Review

The gay adoption debate has been focused on how placement bans deprive qualified gay and lesbian prospective parents of the opportunity to adopt children who are not likely to be permanently placed. Litigants challenging placement bans have focused primarily on the rights of prospective parents. States have defended these bans in ways that obscure the fact that they violate children’s rights by depriving them of the placement option that best serves their interests. Supply and demand realities, the best-interests-of-the-child standard, and the documented harms associated with non-placement demand state action that facilitates rather than frustrates the possibility of adoption. Confining …

The Oncoming Storm: State Indian Child Welfare Act Laws And The Clash Of Tribal, Parental, And Child Rights, Philip Jay Mccarthy Jr.

Utah Law Review

State ICWA laws may not grant Indian tribes greater rights “at the expense of the parents’ or children’s rights.”84 It is incumbent upon child advocates and counsel for parents to protect the rights of their clients and to challenge these laws.

The Corrupting Influence Of The United States On A Vulnerable Intercountry Adoption System: A Guide For Stakeholders, Hague And Non-Hague Nations, Ngos, And Concerned Parties, David M. Smolin

Utah Law Review

If the proportion of adoptions to the United States continues to fall, it is possible that the real result of the failures of the United States in regard to intercountry adoption will be the decreasing significance of the United States to the intercountry adoption system. The assumption that the United States is the central actor in the intercountry adoption system may in the future prove false, as the pathways of intercountry adoption change over time. Thus, the failure of the United States to sufficiently reform may also lead to an intercountry adoption system which increasingly bypasses the United States. From …

A Remedy To Fit The Crime: A Call For The Recognition Of The Unreasonable Rejection Of A Parent By A Child As Tortious Conduct, Bruce L. Beverly

Utah Law Review

The reluctance of courts to provide a tortious remedy for PA is not supported by the recognition of the fundamental rights of parents to be involved in the upbringing of their children. The courts should keep in mind that within the definition of the family comes not only the State’s obligation to do what is in the best interests of the child, but also what is in the best interests of the family. The relationship between children and their parents is beneficial not only to the child at the center of the alienation controversy, but also to each parent, who …

Best Practices/Teaching Strategies For Teaching Reading In The Primary Grades, Kate Birney

Theses and Dissertations

No abstract provided.

Military Service Members: A Manual For Reintegration After Deployment, Carla Barry

Doctoral Dissertations and Projects

Deployment to Afghanistan for Marines and Sailors stationed in Jacksonville, NC is continual. The transition back to home life can be both difficult and stressful. The purpose of this thesis is to increase awareness of the dynamics of reintegration of military members and their families after deployment. Based on questionnaires sent to local churches, military families, observations, and journaling the thesis project validated a need for support. The thesis project produced a resource guide teaching pastors stressors associated with reintegration. The summary and conclusion will address behavioral and social changes by group participants.