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A Comparison Between Monopolar Radiofrequency Ablation And Electrocautery (Diathermy) Ablations In Left Modified Maze (Short-Term Results), Waleed El-Awady

Journal of Medicine in Scientific Research

Introduction Atrial fibrillation is the most common cardiac arrhythmia and is associated with significant morbidity and mortality. The classic cut-and-sew maze procedure is successful in 85–95% of patients. However, it is technically challenging and requires prolonged cardiopulmonary bypass. The left modified maze procedure is successful in 65–85% of patients. The aim of this study was to compare the success of two different ablation sources in the left modified MAZE. Patients and methods Between June 2010 and December 2016, 40 patients underwent left modified MAZE (Cox III) procedure: 20 patients were done with monopolar radiofrequency ablation (group A) and the other …

Retrograde Transcatheter Closure Of Perimembranous Aneurysmal Ventricular Septal Defects Using Amplatzer Vascular Plug Ii, Ahmed A. Al Gebaly, Rania Diaa Abou Shokka, Wael M. Hossam

Journal of Medicine in Scientific Research

Introduction Retrograde transcatheter closure of perimembranous aneurysmal ventricular septal defects (pmVSD) can be a better option for transcatheter closure of ventricular septal defect with device placement into ventricular septal aneurysm with fewer complications. Also, a retrograde approach might decrease procedure time and radiation exposure time. Aim The purpose of this study was to report off-label experience using Amplatzer Vascular Plug II (AVPII) for the trans catheter closure of perimembranous aneurysmal VSD. Comparison of haemodynamic effects of ketamine and sevofluorane as in induction of anesthesia. Materials and methods Our series consists of a fifteen child with pmVSD. The mean age was …

One-Year Angiographic Results Of Left Anterior Descending Bypass Using Internal Mammary Artery: A Series Of 48 Consecutive Patients, Ahmed S. Mahlab

Journal of Medicine in Scientific Research

The left internal mammary artery (LIMA) has been used as a conduit for coronary artery revascularization since 1968. Here we are reporting A total of 48 consecutive patients were operated upon using double mammary arteries. All of them received a mammary graft to the left anterior descending artery (LAD). All 48 of them were controlled angiographically at 1 year postoperative to ensure satisfactory well-functioning grafts.

Ruptured Inferior Mesenteric Artery Aneurysm: A Case Report, Assem Mohamed Herzallah

Journal of Medicine in Scientific Research

Among visceral artery aneurysms, inferior mesenteric artery aneurysm is the rarest. Although most cases are of degenerative etiology, a small fraction of these cases are caused by autoimmune diseases. We report a case of spontaneous retroperitoneal hemorrhage from a ruptured inferior mesenteric artery aneurysm in a 30-year-old patient with systemic lupus erythematosus, treated by ligation.

Nursing And Midwifery Links [December 2019 Issue], Secretariat At Johns Hopkins University School Of Nursing Global Network Of Who Collaborating Centers For Nursing And Midwifery

Nursing and Midwifery Links (LINKS)

In this edition of the Links Magazine, we highlight the current issues, research, innovations, and perspectives of these institutions around palliative care. We recognize the importance of this human right and the role nurses and midwives have in advancing care for those in need of palliative health services. As is made evident in this publication, there are important areas where timely, evidence-based, and strategic efforts are needed to ensure that individuals are effectively cared for across the lifespan and varying levels of health and wellness. By promoting awareness and collaboration around this global health priority, we can ensure a healthier …

Decolonizing Urban Indian Institutions: Indigenous Authority In Boise, Idaho, Melanie Lee Fillmore

Boise State University Theses and Dissertations

American Indigenous populations are underrepresented in American political science discourse. There is a lack of knowledge on public perception of political trust within Indigenous communities. I argue that contemporary discourses on data and political participation of American Indigenous people are incomplete without framing that data within the context of ongoing settler colonialism. National data shows that nearly 71% of all American Indigenous people live in urban settings. Framing American Indigenous political participation requires an in depth examination of the role of American Settler colonialism. Studies need to account for the impact of Federal government use of authority has had on …

Functional Importance Of Lipin Phosphorylation, Stephanie Elizabeth Hood

Graduate Theses and Dissertations

Highly conserved throughout evolution, lipins are dual functioning proteins found from yeast to humans. Functioning in the cytoplasm as phosphatidate phosphatase enzymes (PAP), lipins produce diacylglycerol that serves as a precursor for neutral fats and membrane phospholipids. Alternatively, nuclear lipins are responsible for the regulation of metabolic genes. Interestingly, both the mammalian lipin 1 paralog and the single Drosophila Lipin ortholog are highly phosphorylated proteins. Target of rapamycin (TOR) has previously been identified as one of the kinases that controls the subcellular localization of both lipin 1 and Drosophila Lipin. However, other serine and threonine kinases are predicted to be …

Illuminating Pay Secrecy: Construct Clarification And An Exploration Of Effects Via The Incentive And Sorting Tracks, Sarah Holtzen

Graduate Theses and Dissertations

Pay secrecy is a burgeoning debate in compensation research. On one side of the debate, it is argued that pay secrecy is a useful and beneficial practice because it can prevent potential dissatisfaction and destructive competition possible when people make unfavorable pay comparisons. On the other side, it is argued that pay secrecy is undesirable because it obscures the motivational properties of pay and does not prevent people from making pay comparisons, nor safeguard them from the resulting dissatisfaction. Despite the popularity of pay secrecy in organizations today, extant research has failed to provide any definitive answers as to whether …

Montclair Magazine (Fall/Winter 2019), Montclair State University

Montclair: The magazine of Montclair State University

No abstract provided.

Mercenaries And War: Understanding Private Armies Today, Sean Mcfare

Strategic Monographs

Mercenaries are more powerful than experts realize, a grave oversight. Those who assume they are cheap imitations of national armed forces invite disaster because for-profit warriors are a wholly different genus and species of fighter. Private military companies such as the Wagner Group are more like heavily armed multinational corporations than the Marine Corps. Their employees are recruited from different countries, and profitability is everything. Patriotism is unimportant, and sometimes a liability. Unsurprisingly, mercenaries do not fight conventionally, and traditional war strategies used against them may backfire.

Fentanyl As A Chemical Weapon, John P. Caves , Jr.

WMD Proceedings

Fentanyl is a major topic in the news these days because of its significant contribution to the ongoing opioid epidemic in the United States. It clearly is a major counternarcotic challenge. But there also has been some reporting, including about congressional interest, as to whether fentanyl additionally should be considered a weapon of mass destruction (WMD) and whether U.S. Government chemical defense efforts should place greater emphasis on it. This paper provides some perspective on fentanyl as a chemical weapon.

Full Issue - Winter 11(3) Winter: Special Issue: Integrating International Students In Local (Student) Communities: A Theory-To-Practice Perspective

Journal of Comparative & International Higher Education

No abstract provided.

Integrating International Students: The Missing Link In Portuguese Higher Education Institutions, Cristina Sin, Orlanda Tavares

Journal of Comparative & International Higher Education

Special Issue

Higher Education Regionalization In The Northern Triangle Of Central America: Guatemala, El Salvador And Honduras, Jermain Griffin, Lisbeth R. Gall

Journal of Comparative & International Higher Education

No abstract provided.

Developing A Privacy Code Of Practice For Connected And Automated Vehicles, Rajen Akula

Canadian Journal of Law and Technology

Connected and autonomous vehicles (‘‘CAVs”) can collect, store, process and transmit vast amounts of data. Understanding the use (and potential misuse) of this data, particularly when that data is about an identifiable individual within the meaning of data protection law, is regarded critical to the success of this new mode of transportation. However, what constitutes personal information in relation to coneccted and automated vehicle data on a case-by-case basic. This presents a policy challenge for the government and creates uncertainty for businesses wishing to make use of this data.

Is Binge Watching Bad For You? Escapism, Stress, Self-Controland Gratifications?, Weipu Wang

Theses and Dissertations

The relatively new phenomenon of binge watching presents a dramatic shift from the norm of traditional television viewing. However, is this ubiquitously popular media marathon that contains negative connotations really bad for you? A survey administered to 157 television binge-watchers identified the role of stress and self-control in influencing both the gratifications sought and the consequences of binge watching through the Structural Equation Modeling (SEM) analysis. The current study found that binge watching to avoid problems is a commonly employed strategy for individuals to cope with stress. However, engaging in binge-watching behavior as a coping mechanism to purposefully avoid problems …

The Role Of The Autonomic Nervous System In The Relationship Between Emotion Regulation And Conflict Tactics In Couples, Natalie Gold Orr

Theses and Dissertations

Gross' emotion regulation model, Porges' polyvagal theory, and other existing research suggest that regulation of emotions, tactics used to handle conflict, and certain physiological processes that occur within the autonomic nervous system (ANS) in response to stress are significantly related, especially in relational contexts. However, despite their pervasiveness and negative impacts, there is a noticeable lack of research on predictors of violent, aggressive, or abusive conflict tactics in couples. In the current study, the predictive role of emotion regulation in relation to conflict tactics was examined, in addition to the role of respiratory sinus arrhythmia (RSA) and pre-ejection period (PEP) …

Impact Of Intercultural Competence On Communicative Success In L2 Environments(With Reference To Missionaries Of The Church Ofjesus Christ Of Latter-Day Saints), David Milford Lucero

Theses and Dissertations

This study explores the impact of cultural competence on success in completing key missionary tasks. Qualitative survey results are supported by data from an intercultural effectiveness assessment and a Mandarin Chinese listening proficiency test to describe themes related to missionary communicative success and to explore correlations between intercultural effectiveness and listening proficiency. Missionary communicative tasks are clarified into themes:"obtaining referrals,"obtaining teaching opportunities," and"helping people make and keep commitments." Factors perceived as associating with communicative success include"feeling and communicating love" and receiving"spiritual guidance." The effect of training on intercultural competence is also described. The intercultural effectiveness subcategory of positive regard is …

In Search Of Work-Life Balance: Organizational And Economic Challenges Confronting Women In Banking And Management Consulting Firms In Southwest Nigeria, Oluwafisayo Ogundoro

Electronic Theses and Dissertations

Married women in the banking and management consulting firms in Nigeria encounter challenges that affect their commitment to their families while working long hours in demanding jobs. This study explores the challenges married women encounter and the impacts they have on women’s family lives, social lives, and health. I analyze primary and secondary sources to understand how organizational work culture such as long working hours, work competitiveness, and Nigeria’s unstable economy negatively affect the work-life balance of married women in banking and management consulting firms. Although participants shared the belief that their workplaces practiced “equality,” their descriptions of daily life …

Neurofibromatosis Type-1 With Retinal Microvascular Corkscrew Tortuosity., Adrian J Battiston, Lauren A Dalvin, Carol L Shields

Wills Eye Hospital Papers

No abstract available.

Melanocytoma Of The Optic Disk: A Review., Jerry A. Shields, Hakan Demirci, Arman Mashayekhi, Ralph C. Eagle Jr., Carol L. Shields

Wills Eye Hospital Papers

Melanocytoma is a deeply pigmented variant of melanocytic nevus that classically occurs in the optic disk, sometimes with contiguous involvement of the adjacent retina or choroid. Historically, this tumor was often confused with malignant melanoma both clinically and histopathologically. Today, however, it is generally recognized by its typical clinical features that differ from most melanomas and erroneous enucleation is rarely done. Histopathologically, melanocytoma is composed of intensely pigmented round to oval nevus cells with benign features. Although traditionally believed to be a relatively stationary lesion, it is now known to exhibit minor enlargement in 10--15% of cases and can cause …

Conjunctival Melanoma With Orbital Invasion And Liver Metastasis Managed With Systemic Immune Checkpoint Inhibitor Therapy., Michael Chang, Sara E Lally, Lauren A Dalvin, Marlana Orloff, Carol L Shields

Wills Eye Hospital Papers

A 60-year-old Caucasian female was referred for biopsy-proven amelanotic orbito-conjunctival melanoma. Map biopsies revealed residual invasive melanoma on the deep tarsal margin at the site of previous surgery. Repeat excisions were required after recurrence was detected following 3 months and 7 months. Positron emission tomography scan detected liver metastasis and additional orbito-conjunctival melanoma recurrence. Biomarker testing showed NRAS mutation without BRAF or c-KIT mutations and without PD-L1 expression. Systemic checkpoint inhibitor therapy was initiated with regression of both the orbito-conjunctival melanoma and liver metastasis. Invasive, non resectable orbito-conjunctival melanoma with liver metastasis can demonstrate a response to systemic checkpoint inhibitor …

Management Of Retinoblastoma In Older Children (>5 Years) Using Intra-Arterial Chemotherapy: Comparison Of Outcomes To Prechemotherapy And Intravenous Chemotherapy Eras., Evan B. Selzer, R. Joel Welch, Pascal Jabbour, Ann M. Leahey, Carol L. Shields

Wills Eye Hospital Papers

Purpose: Intra-arterial chemotherapy (IAC) has emerged as an effective treatment for retinoblastoma (RB) however, little information exists regarding its use in older patients (>5 years). In the present study, we evaluate the use of IAC (2008-2018) for RB in older patients and compare the outcomes to those in the prechemotherapy (<1994) and intravenous chemotherapy (IVC) (1994-2007) eras.

Methods: A retrospective analysis of all patients older than 5 years treated with IAC for RB from 2008-2018. Comparisons were made to 26 active RB cases in older children treated in the prechemotherapy era and to 12 active RB cases treated in the IVC era.

Results: There were …

Acknowledgement To Our Reviewers, Ijrh Editorial Board

Indian Journal of Research in Homoeopathy

No abstract provided.

Research Design In Homoeopathy: A Perspective, Anil Khurana

Indian Journal of Research in Homoeopathy

No abstract provided.

Effect Of Cuprum Metallicum Potentised Through Both Serial Dilution And Succussion In Comparison To Succussion Alone On Escherichia Coli Bacterial System And Electrical Properties Of Poly (Vinylidene Fluoride-Co-Hexafluoropropylene) Polymer, A Gayen, Mondal D, D Bera, P Biswas, B Paul, D Bhar, S Das, R Narula, A Khurana

Indian Journal of Research in Homoeopathy

Background: Homoeopathic medicines are traditionally potentized by serial dilution followed by succussion. Respective roles of these two components need to be assessed and explored for which the present study was undertaken. Objective: To compare the effect of the medicine Cuprum metallicum (Cup. met.) potentised through both serial dilution and succussion with succussion alone on selected biological and physical systems. Method: Starting with the medicine Cup. met. at 6C, we potentized it further to 30C and 200 C by serial dilution, followed by succussion (Set A). The same medicine at 6C was also potentized to 30C and 200C by using succussion …

Preparation And Standardisation Of Plasmodium Falciparum Nosode, Rajesh Shah

Indian Journal of Research in Homoeopathy

Background: Malaria officinalis, a Homoeopathic preparation used against malaria, was prepared from decomposed vegetable matter from a marshy area by G. W. Bowen in 1862. No scientific published material is available on the source of any malaria-related nosode. There is a need to develop the new nosode using the organisms. The author has developed the nosode from Plasmodium falciparum parasites, and the detailed method of preparation is described in this manuscript. Objective: Preparation and standardisation of Homoeopathic nosode prepared from P. falciparum parasites, which could be explored for further research and therapeutic efficacy. Materials and Methods: The most widely cultivated …

An Open-Label Prospective Observational Trial For Assessing The Effect Of Homoeopathic Medicines In Patients Suffering From Gout, Sangita Saha, Sarkar Paulami, Rajat Chattopadhyay, Subhranil Saha

Indian Journal of Research in Homoeopathy

Background: Gout is an inflammatory arthritis associated with hyperuricaemia and intra-articular monosodium urate crystals, resulting in pain, activity limitation, disability and impact on patients' quality of life. Objective: The objective of this study was to examine the effects of individualised homoeopathic medicines in serum uric acid level and quality of life in patients suffering from gout. Methods: A prospective, single-arm, non-randomised, open-label, observational trial was conducted on 32 adults suffering from gout (diagnosed as per the American College of Rheumatology–European League Against Rheumatism gout classification criteria) at the Outpatient Department of The Calcutta Homoeopathic Medical College and Hospital, Kolkata. Serum …

Evidence- Based Homoeopathy: Case Report Of Alopecia Areata In An 11 Year Old Boy, Ashish Shivadikar

Indian Journal of Research in Homoeopathy

Introduction: Alopecia areata (AA) is an autoimmune disease characterised by non-scarring hair loss in single or multiple areas of the scalp. The disease affects hair on the head or other parts of the body. AA occurs in people of all ages and affects 1-2% of human population. Homoeopathic literature shows that cases of AA have been treated successfully with homoeopathic medicines. Case Summary: This is the case of an 11 years old boy with alopecia areata. The case presented here is documented from Dermatology clinic at Regional Research Institute of Homoeopathy at Gudivada, Andhra Pradesh. The patient was treated with …

Lycopodium Clavatum For Urolithiasis, Beuy Joob, Wiwanitkit Viroj

Indian Journal of Research in Homoeopathy

No abstract provided.