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Full-Text Articles in Entire DC Network
Impact Of Leader In Me On Social-Emotional Learning Of Elementary Students, David Danielski
Impact Of Leader In Me On Social-Emotional Learning Of Elementary Students, David Danielski
Dissertations
Social-emotional learning and college and career readiness skills are increasingly important in preparing our students for a successful future. The Leader in Me, based on Steven Covey’s seven habits, offers a process intended to increase the leadership skills of students through the explicit teaching of each of the habits. By studying the practices and outcomes of The Leader in Me process from schools with high degrees of implementation, this study evaluates the impact on social-emotional learning of elementary students. The findings inform programmatic decisions for social-emotional learning implementation and advocate for policy that emphasizes teacher preparedness and accountability measures for …
What The Fmla Can Learn From Erisa: The Doctrine Of Equitable Estoppel, Michael Van Kleunen
What The Fmla Can Learn From Erisa: The Doctrine Of Equitable Estoppel, Michael Van Kleunen
Marquette Law Review
None.
Process Improvement And Lift Design For The Installation Of A Metrology Machine Assembly, Dalt J. Lasell, James Mitchell O'Meara, Matthew Steensma
Process Improvement And Lift Design For The Installation Of A Metrology Machine Assembly, Dalt J. Lasell, James Mitchell O'Meara, Matthew Steensma
Industrial and Manufacturing Engineering
The objective is to work with Onto Innovations, a leading provider of semiconductor metrology and manufacturing solutions, to develop a system that safely installs a 250lb optics plate into the Atlas III: one of their metrology machines. Based in Milpitas, CA, Onto Innovations utilizes a variety of operations to create different products and assembles each product on site. The 250lb optics plates are WIP that are transferred between fixtures and the Atlas III using a combination of lifts and human workers. The WIP have long lead times, high tolerances, and large costs associated with their manufacturing process.
Onto Innovations identified …
Testing The Retrospective Pretest With High School Youth In Out-Of-School Time Programs, Jill Young, Leanne Kallemeyn
Testing The Retrospective Pretest With High School Youth In Out-Of-School Time Programs, Jill Young, Leanne Kallemeyn
Journal of Youth Development
Practitioners and evaluators face several constraints in conducting rigorous evaluations to determine program effect. Researchers have offered the retrospective pretest/posttest design as a remedy to curb response-shift bias and better estimate program effects. This article presents an example of how After School Matters (ASM) tested the use of retrospective pretest/posttest design for evaluating out-of-school time (OST) programs for high school youth participants. Differences between traditional pretest and retrospective pretest scores were statistically significant, but effect sizes were negligible, indicating that both pretests yielded similar results. Interviews with youth led to 3 key findings that have implications for ASM using retrospective …
Using Experience Industry Strategies To Increase Quality Of Youth Program Experiences, Allen Taggart, Gary Ellis, Jingxian Jiang, Andrew Lacanienta
Using Experience Industry Strategies To Increase Quality Of Youth Program Experiences, Allen Taggart, Gary Ellis, Jingxian Jiang, Andrew Lacanienta
Journal of Youth Development
We evaluated 4 “experience industry” strategies for enhancing the quality of immediate experiences for 4-H youth: theming, adding multisensory experiences, personalizing interactions, and providing memorabilia. These strategies are commonly used by theme parks, restaurants, resorts, attractions, and other experience industry organizations, but their application to youth services is sporadic. 4-H youth (n = 30) participated in a series of 8 outdoor recreation activity sessions. Each activity session, 1 per week for 8 consecutive weeks, was structured using a unique combination of the 4 strategies. Participants completed questionnaires measuring 5 dimensions of experience quality after each activity session. Theme and personalization …
Youth Leadership Development In The Start2finish Running & Reading Club, Majidullah Shaikh, Corliss Bean, Tanya Forneris
Youth Leadership Development In The Start2finish Running & Reading Club, Majidullah Shaikh, Corliss Bean, Tanya Forneris
Journal of Youth Development
Researchers have asserted that offering intentional leadership roles to youth can help them to develop life skills (e.g., communication, decision-making); however, few physical-activity-based positive youth development programs provide youth these intentional leadership roles, and little research has explored the impact of these opportunities on youth who take them up. The purpose of this study was to understand the developmental experiences of youth leaders in a physical-activity-based positive youth development program. Sixteen youth leaders (M age= 13.37, SD = 1.36) from 4 sites of the Start2Finish Running & Reading Club participated in semi-structured interviews to discuss their experiences as junior coaches. …
Lesson Study Model Of 4-H Professional Development: Data-Driven Improvements To Educator Practice, Lynn Schmitt-Mcquitty, Steven Worker, Martin Smith
Lesson Study Model Of 4-H Professional Development: Data-Driven Improvements To Educator Practice, Lynn Schmitt-Mcquitty, Steven Worker, Martin Smith
Journal of Youth Development
Educator professional development in the 4-H Youth Development Program needs improvement. Lesson study, an iterative and educator-centered approach to professional development, has proven to be effective in school-based settings; however, research on the model in youth development programs is limited. The present study investigated the use of lesson study with professional Cooperative Extension staff, adult 4-H volunteers, and teenage 4-H volunteers in different 4-H contexts in 3 state programs. Findings revealed improvements in educators’ data-driven decision-making, content knowledge, lesson planning and implementation, and social connections across all contexts. To work effectively within the 4-H context, however, some adaptations to the …
Rare Presentation Of Cerebral Venous Sinus Thrombosis, Haris Majid Rajput, Anam Anis, Iqra Athar, Neelma Naz Khattak, Hanin Tanich, Mazhar Badshah
Rare Presentation Of Cerebral Venous Sinus Thrombosis, Haris Majid Rajput, Anam Anis, Iqra Athar, Neelma Naz Khattak, Hanin Tanich, Mazhar Badshah
Pakistan Journal of Neurological Sciences (PJNS)
We report case of a 16 year old girl with no known co-morbidities, presented with headache, quadriparesis and sudden vision loss. She had pallor and BMI was 33.09kg/m2. She had left 6th nerve palsy, bilateral papilledema and no perception of light. Motor examination showed power of 4/5 in all four limbs with bilateral extensor plantars. Neuroimaging was suggestive of superior saggital sinus thrombosis. CSF opening pressure was 72 cm of water.20 ml CSF was drained leading to improvement in headache and visual acuity. CVST presenting with quadriparesis and visual loss is a rare entity. Common presentations of CVST include headache, …
Cerebral Venous Sinus Thrombosis With Positive Dengue Serology, Sajid Hameed, Owais Hashmat, Mubashar Memon, Muhammad Wasay
Cerebral Venous Sinus Thrombosis With Positive Dengue Serology, Sajid Hameed, Owais Hashmat, Mubashar Memon, Muhammad Wasay
Pakistan Journal of Neurological Sciences (PJNS)
Dengue fever is a viral febrile illness caused by dengue virus and spread by Aedes mosquito worldwide. It usually manifests as an acute fever associated with body ache, skin rash, and thrombocytopenia. Neurological manifestations are relatively uncommon but well-known. We report a case of a 25-year-old male patient who presented to our hospital with acute febrile illness, headache, and vomiting. Extensive laboratory investigations were done and he was diagnosed with cerebral venous sinus thrombosis. Dengue serology was positive. He was treated with anticoagulation and hydration with complete recovery. The treatment with anticoagulation is challenging due to accompanying thrombocytopenia. Only two …
Culture Bound Syndromes In Pakistan: Implications And Strategic Vision For Health Management, Lamae Zulfiqar, Nazish Idrees, Muhammad Rafiq
Culture Bound Syndromes In Pakistan: Implications And Strategic Vision For Health Management, Lamae Zulfiqar, Nazish Idrees, Muhammad Rafiq
Pakistan Journal of Neurological Sciences (PJNS)
Understanding the culture a person belongs to is crucial as it forms the beliefs, values, perspectives, worries and hopes. It can then be used to assess the problems a person goes through and devise a treatment plan with a focus on belief system of a person. Culture bound syndromes are common in every society but are usually overlooked or given less consideration by professionals. These syndromes are belief systems associated with various diseases and disorders and can be very helpful in treatment, if understood in the perspective of a particular person as every syndrome is perceived differently by an individual …
Can Early Orthotic Support And Physical Therapy Improve The Functional Level And Decrease Rate Of Surgical Interventions In Spastic Cerebral Palsy?, Sarfraz Ahmad, Syeda Rahat, Syeda Bushra
Can Early Orthotic Support And Physical Therapy Improve The Functional Level And Decrease Rate Of Surgical Interventions In Spastic Cerebral Palsy?, Sarfraz Ahmad, Syeda Rahat, Syeda Bushra
Pakistan Journal of Neurological Sciences (PJNS)
cerebral palsy is a disorder of movement and posture that results from a non progressive lesion of brain within 3 years of age. To determine the role of early orthotics and physical therapy in improving the functional status and in decreasing the rate of surgical interventions in management of spastic diplegic cerebral palsy child.
Mental Health Of University Male Students Viewing Internet Pornography: A Qualitative Study, Komal Razzaq, Muhammad Rafiq
Mental Health Of University Male Students Viewing Internet Pornography: A Qualitative Study, Komal Razzaq, Muhammad Rafiq
Pakistan Journal of Neurological Sciences (PJNS)
This research was carried out to explore psychosocial and mental health issues of adults viewing pornography on the internet. Study Design: For this purpose, a qualitative research design was used. Method: In- depth interviews were conducted with twenty five university male students to explore the psychosocial issues in cases of internet pornography. After gathering the data from participants, a software, NVivo11 Plus was used for data management and analysis. This was also used for labelling and themes and categories generation. Results: After data analysis, main three categories generated on psychosocial issues associated with viewing internet pornography which were psychological issues, …
Rhabdomyolysis Due To Status Epilepticus Causing Acute Renal Failure, Iqra Athar, Neelma Naz Khattak, Haris Majid Rajput, Anam Anis, Hanin Tanich, Mazhar Badshah
Rhabdomyolysis Due To Status Epilepticus Causing Acute Renal Failure, Iqra Athar, Neelma Naz Khattak, Haris Majid Rajput, Anam Anis, Hanin Tanich, Mazhar Badshah
Pakistan Journal of Neurological Sciences (PJNS)
Acute renal failure is one of the most common complications of rhabdomyolysis. Rhabdomyolysis is a serious syndrome and should be suspected in patients presenting after direct or indirect muscle injury, seizures, strenuous exercise, crush injuries and ingestion of drug or toxins. Rhabdomyolysis secondary to status epilepticus is a serious complication, leading to life threatening acute renal failure. Therefore, early recognition of risk of rhamdomylosis in status epilepticus and initiation of treatment is important.
Empowerment Of Primary Health Care In An Outreach Resource-Limited District In Punjab: A Strategy For Improving Adherence To Antiepileptic Drug Treatment In Children With Epilepsy., Muhammad Akbar Malik, Arshad Rafique, Ahmad Omar Virk
Empowerment Of Primary Health Care In An Outreach Resource-Limited District In Punjab: A Strategy For Improving Adherence To Antiepileptic Drug Treatment In Children With Epilepsy., Muhammad Akbar Malik, Arshad Rafique, Ahmad Omar Virk
Pakistan Journal of Neurological Sciences (PJNS)
There is wide acknowledgement of the need for community involvement in the optimal management of children with epilepsy (CWE) in outreach financially constrained districts of the developing countries, but there is scarce data on comprehensive community-based childhood epilepsy treatment programs assessment.
Neurology Training In Pakistan: 2020-2025, Safia Bano, Sarwar Jamil Siddique, Ahsan Numan Numan
Neurology Training In Pakistan: 2020-2025, Safia Bano, Sarwar Jamil Siddique, Ahsan Numan Numan
Pakistan Journal of Neurological Sciences (PJNS)
As the year 2019 comes to end, many advances in neurology has been occurred over worldwide and is still going on. The emergence of new devices and drugs will help neurologists with additional therapeutic options to optimize the patient care especially in more complex cases. Antibody therapies especially monoclonal antibodies are flooding the landscape in nearly every discipline of neurology is no exception. We watched newer clinical trials, gain FDA approval for use, and many more therapeutic evidence-based interventions enter the pipeline. Neurology in the 20th century has undergone extraordinary changes, particularly in the past few decades. We trace the …
Development And Validation Of Juvenile Criminal Thinking Styles’ Inventory, Fatima Sana, Muhammad Rafiq
Development And Validation Of Juvenile Criminal Thinking Styles’ Inventory, Fatima Sana, Muhammad Rafiq
Pakistan Journal of Neurological Sciences (PJNS)
The current research explored the styles of criminal thinking among juvenile delinquents in Pakistani cultural context. Initially, 40 juvenile delinquents were interviewed individually to generate an item pool of 34 distinct thought statements. After excluding repetitive items a list of 19 items was piloted on 30 juvenile delinquents as a self-report measure of 5-point rating scale (Juvenile Criminal Thinking Styles’ Inventory). Finally, a sample of 211 juvenile delinquents were given the final list of 19 items, Measure of Criminal Social Identity (Boduszek, Adamson, Shevlin, & Hyland, 2012; Shagufta, 2015), and a demographic form. Principal Component factor analysis determined a three …
Ochlocracy: Are We There Yet?, Garry Wills
Measuring Lead Concentrations Of Vacant Lots In The Tree Street Neighborhood Of Lewiston, Me, Adam Gardner, Erin O'Farrell, Julian Cook
Measuring Lead Concentrations Of Vacant Lots In The Tree Street Neighborhood Of Lewiston, Me, Adam Gardner, Erin O'Farrell, Julian Cook
Community Engaged Research Reports
High levels of lead contamination have detrimental health implications for communities, with the most profound impacts of lead poisoning affecting young children. The City of Lewiston, Maine, is home to a disproportionate amount of reported lead poisoning cases as compared to the rest of the state. Within Lewiston, the downtown “Tree Street” neighborhood contains 72% of all reported lead-poisoning cases in the city, signifying a need to identify the source(s) of lead exposure and minimize the impact of lead contamination on Tree Street residents. In collaboration with Healthy Neighborhoods, we identified 19 vacant lots in the Tree Street neighborhood to …
The Complexity Of Asian Americans In Higher Education, Akampreet Kaur
The Complexity Of Asian Americans In Higher Education, Akampreet Kaur
Publications and Research
The Complexity of Asian Americans in Higher Education: What impacts & motivates Asian American students to select a particular major choice?
For my AACS 370 course, I have done to focus my research topic on Asian Americans within Higher Education. Through this data, I hoped to find the factors that contributed to Asian Americans in regards to their major. My research purpose was: To gather information about Asian American students & the choices they make about pursuing higher education. I have decided to do this since I believe there is limited data in regards to why Asian Americans are …
Expression Vs. Expectation: A Look Into Patients' Perspectives On Professional Appearance In Physical, Speech Or Occupational Therapists With And Without Body Art, Catherine Joy Swedlund
Expression Vs. Expectation: A Look Into Patients' Perspectives On Professional Appearance In Physical, Speech Or Occupational Therapists With And Without Body Art, Catherine Joy Swedlund
Honors College
Objective: This study evaluated perceptions of professional appearance in tattooed versus non-tattooed therapists in a healthcare setting by surveying a cohort of students from a Christian-associated university.
Background: The popularity of tattoos among young adults in America is becoming increasingly popular. Research, however, informs us that although popularity has increased, perceptions of tattoos are still associated with negative feelings and perceptions in the workplace and in religious contexts. Culturally, in America, tattoos are associated with a lower socioeconomic status and education level. Additionally, women with tattoos tend to be judged more harshly, with more perceptions of deviant behavior compared to …
Otras Perspectivas (Other Perspectives), Volume 20, Issue 01, December 2019, Occupational Therapy Graduate Program
Otras Perspectivas (Other Perspectives), Volume 20, Issue 01, December 2019, Occupational Therapy Graduate Program
OTras Perspectivas: UNM Occupational Therapy Program Newsletter
Acknowledging that the success of the Occupational Therapy Program hinges on the mutual investment of community and friends beyond the local community, the UNM Occupational Therapy Program faculty and staff have initiated this newsletter. The goal is to provide an additional forum for communication, and provide updates about the program's development, faculty, students, alumni, and friends.
Impact Of Project Echo Models Of Medical Tele-Education: A Systematic Review, Ryan K. Mcbain, Jessica L. Sousa, Adam J. Rose, Sangita M. Baxi, Laura J. Faherty, Caroline Taplin, Andre Chappel, Shira H. Fischer
Impact Of Project Echo Models Of Medical Tele-Education: A Systematic Review, Ryan K. Mcbain, Jessica L. Sousa, Adam J. Rose, Sangita M. Baxi, Laura J. Faherty, Caroline Taplin, Andre Chappel, Shira H. Fischer
Project ECHO Bibliography
BACKGROUND: Extension for Community Healthcare Outcomes (ECHO) and related models of medical tele-education are rapidly expanding; however, their effectiveness remains unclear. This systematic review examines the effectiveness of ECHO and ECHO-like medical tele-education models of healthcare delivery in terms of improved provider- and patient-related outcomes.
METHODS: We searched English-language studies in PubMed, Embase, and PsycINFO databases from 1 January 2007 to 1 December 2018 as well as bibliography review. Two reviewers independently screened citations for peer-reviewed publications reporting provider- and/or patient-related outcomes of technology-enabled collaborative learning models that satisfied six criteria of the ECHO framework. Reviewers then independently abstracted data, …
Persistence And Mitigation Of Antibiotic Resistance In Manure And Manure-Amended Soils, Mara J. Zelt
Persistence And Mitigation Of Antibiotic Resistance In Manure And Manure-Amended Soils, Mara J. Zelt
Department of Agricultural and Biological Systems Engineering: Dissertations, Theses, and Student Research
The emergence of antibiotic resistance (AR) is a growing global threat to human and animal health. The work described here asses the AR mitigation potential of management strategies at critical control points in livestock production, and agricultural land management as well as the effectiveness of a communication strategy to convey research-based information to empower behavioral change that could mitigate AR.
The first study evaluates the impact of beef cattle diet management strategies on AMR prevalence in manure. Two treatments – forage concentration and essential oils – in cattle diets were evaluated for their impact on AMR bacteria in feedlot manure. …
Xenobiotic Exposure Requires Mitochondrial Metabolism For Redox Homeostasis And Survival In Astrocytes, Jordan Rose
Xenobiotic Exposure Requires Mitochondrial Metabolism For Redox Homeostasis And Survival In Astrocytes, Jordan Rose
Department of Biochemistry: Dissertations, Theses, and Student Research
Astrocytes are integral components of glutamatergic neurotransmission, providing essential metabolic processes for neuronal homeostasis and acting as the first line of defense against xenobiotics crossing the blood brain barrier. Arsenic is a xenobiotic with widespread natural and industrial prevalence, and has been linked to impaired neurodevelopment and neuronal death. Given the integrated metabolic nature of astrocytes and neurons, we sought to explore how arsenic impacts astrocyte metabolism in order to better understand the mechanisms of xenobiotic toxicity in the mammalian brain.
We demonstrate that astrocyte viability depends upon de novoglutathione (GSH) synthesis during arsenic exposure, and sub-lethal arsenic exposure …
Motherhood And The Periodical Press: The Myth And The Medium, Susan A. Malcom
Motherhood And The Periodical Press: The Myth And The Medium, Susan A. Malcom
Department of English: Dissertations, Theses, and Student Research
In this study, I utilize close readings of the periodically published works of three women writers – Kate Chopin, Frances Ellen Watkins Harper, and Elia Peattie –through the lenses of historical/biographical, affective, and biosocial theories. Examining these works against the backdrop of America’s mythologized mother exposes the social ubiquity of the myth and the realities of motherhood nineteenth-century women experienced.
Chapter one examines the mythological nature of American motherhood as it evolved from a politically and socially nuanced Republican Mother and the role of American periodicals as a medium of perpetuating that myth. Historically, American motherhood was an extended function …
Role Of Arginine And/Or Taurine In Protection Against Gentamicin-Induced Nephrotoxicity In Male And Female Rats, Amal H. Emara, Wafaa M. Ismaeil
Role Of Arginine And/Or Taurine In Protection Against Gentamicin-Induced Nephrotoxicity In Male And Female Rats, Amal H. Emara, Wafaa M. Ismaeil
Journal of Medicine in Scientific Research
Background As a highly effective antibiotic, gentamicin is used in the treatment of serious and life-threatening gram-negative infections. L-arginine (2-amino-5-guanidino-pentanoic acid) has a protective role on renal failure that induced by gentamicin administration and it may decrease the tubular reabsorption of another cationic substance, gentamicin due to its cationic structure. The aim of this study is to determine the influence of gender on nephroprotective effects of L-arginine (Arg) and/or taurine (Tau) on gentamicin (G) induced nephrotoxicity. Methods Adult Sprague-Dawley albino rats of both sexes (150-200 g, 48 male and 48 female), were bred from the animal unit of National Nutrition …
Glutamic Acid Decarboxylase Auto-Antibodies Prevalence Among Patients With Type 2 Diabetes Mellitus And Their Clinical Characteristics In A Sample Of The Egyptian Population, Atef A. Bassyounia, Ayat I. Ghanem, Ghada A. Omar
Glutamic Acid Decarboxylase Auto-Antibodies Prevalence Among Patients With Type 2 Diabetes Mellitus And Their Clinical Characteristics In A Sample Of The Egyptian Population, Atef A. Bassyounia, Ayat I. Ghanem, Ghada A. Omar
Journal of Medicine in Scientific Research
Background Patients with latent autoimmune diabetes in adults may develop early loss of β-cell mass. They are often misdiagnosed as having type 2 diabetes mellitus (T2DM). This is because latent autoimmune diabetes in adults condition does share characteristics of both type 1 and T2DM. Aim To estimate the prevalence of unrecognized cases with glutamic acid decarboxylase auto-antibodies (GADA) among patients with T2DM in a sample of the Egyptian population, describing their clinical and laboratory features, and investigating the relationship with chronic complications of diabetes. Settings and design A total of 1515 Egyptian patients previously diagnosed as having T2DM were divided …
Recent Conservative Management Trends In Dealing With Uterine Adnexal Torsion Will Preserve Fertility In Childbearing Women: A Review Of Literature And Case Series, Hossam H. Soliman
Recent Conservative Management Trends In Dealing With Uterine Adnexal Torsion Will Preserve Fertility In Childbearing Women: A Review Of Literature And Case Series, Hossam H. Soliman
Journal of Medicine in Scientific Research
Introduction Uterine adnexal torsion is a rare gynecologic emergency, representing 2.5–7% of all the acute gynecologic surgical conditions. It could lead to adnexal ischemia and necrosis, putting a woman at the risk of a radical surgery, which leads her to lose a uterine adnexa, plummeting her future fertility, and possibility inducing a negative effect of her future marital and family life. Adnexal detorsion associated with cystectomy is a simple maneuver that could spare the woman of losing her ovary; this technique could successfully work even with an apparently necrosed ovary. Aim A review of literature, in addition to a retrospective …
Additive Value Of Intraoperative Hemodynamic Monitoring To Epicardial Echocardiography During Surgical Repair Of Children With Congenital Heart Disease, Ahmed A. Algebaly, Hanan Mohammed Hassan, Rania D. Eldin Abou Shokka
Additive Value Of Intraoperative Hemodynamic Monitoring To Epicardial Echocardiography During Surgical Repair Of Children With Congenital Heart Disease, Ahmed A. Algebaly, Hanan Mohammed Hassan, Rania D. Eldin Abou Shokka
Journal of Medicine in Scientific Research
Aim The aim was to evaluate the additive value of intraoperative hemodynamic monitoring to epicardial echocardiography on the surgical outcome in children undergoing surgical correction of congenial heart disease. Patients and methods This study was conducted on 238 children with congenital heart disease who were enrolled for surgical correction. They were arranged in two groups: group A included 159 children in whom e-echo was used to detect intraoperative residual lesions while group B included 79 patients in whom e-echo and intraoperative hemodynamic monitoring using oxygen saturation step-up and intracardiac pressures after disconnection of cardiopulmonary bypass to detect residual shunt flow …
Surgical Outcomes Of Obstructive Mechanical Valve Thrombosis, Risk Factors, And Comorbidity Analysis, Ahmed Shafeek Ali
Surgical Outcomes Of Obstructive Mechanical Valve Thrombosis, Risk Factors, And Comorbidity Analysis, Ahmed Shafeek Ali
Journal of Medicine in Scientific Research
Background Obstructive mechanical valves thrombosis is a life-threatening complication associated with high morbidity and mortality. Although thrombolytic therapy has gained a lot of popularity in recent years, yet the treatment of choice is still controversial. Objective The aim of this study was to evaluate the outcomes of patients who underwent redo valve surgery for obstructive mechanical valve thrombosis. Patients and methods Outcomes of 380 patients who underwent emergency redo surgery for obstructive mechanical valve thrombosis at our institute during a 5-year period (January 2012 to December 2017) were reviewed retrospectively. Clinical symptoms and transthoracic echocardiography were the mainstay in diagnosis. …