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Comparison Of Perioperative And Postoperative Outcomes Among 3 Left Atrial Incisions: Conventional Direct, Transseptal, And Superior Septal Left Atriotomy, Estelle Démoulin, Dionysios Adamopoulos, Tornike Sologashvili, Mathieu Van Steenberghe, Jalal Jolou, Haran Burri, Christoph Huber, Mustafa Cikirikcioglu

The Texas Heart Institute Journal

BACKGROUND: Achieving optimal exposure of the mitral valve during surgical intervention poses a significant challenge. This study aimed to compare perioperative and postoperative outcomes associated with 3 left atriotomy techniques in mitral valve surgery-the conventional direct, transseptal, and superior septal approaches-and assess differences during the surgical procedure and the postoperative period.

METHODS: Inclusion criteria were patients undergoing mitral valve surgery from January 2010 to December 2020, categorized into 3 cohorts: group 1 (conventional direct; n = 115), group 2 (transseptal; n = 33), and group 3 (superior septal; n = 59). To bolster sample size, the study included patients undergoing …

The Differences In Code Status Conversation Approaches Reported By Emergency Medicine And Palliative Care Clinicians: A Mixed-Method Study, Kei Ouchi, Thidathit Prachanukool, Emily L Aaronson, Joshua R Lakin, Masaya Higuchi, Shan W Liu, Maura Kennedy, Anna C Revette, Anita N Chary, Jenson Kaithamattam, Brandon Lee, Thanh H Neville, Mohammad A Hasdianda, Rebecca Sudore, Mara A Schonberg, James A Tulsky, Susan D Block

Faculty, Staff and Students Publications

BACKGROUND: During acute health deterioration, emergency medicine and palliative care clinicians routinely discuss code status (e.g., shared decision making about mechanical ventilation) with seriously ill patients. Little is known about their approaches. We sought to elucidate how code status conversations are conducted by emergency medicine and palliative care clinicians and why their approaches are different.

METHODS: We conducted a sequential-explanatory, mixed-method study in three large academic medical centers in the Northeastern United States. Attending physicians and advanced practice providers working in emergency medicine and palliative care were eligible. Among the survey respondents, we purposefully sampled the participants for follow-up interviews. …

Bmfou Pilot Project Rfc - Request For Change, Nikia Greene, Daryl Reed

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

The Problem Of Extravagant Inferences, Cass Sunstein

Georgia Law Review

Judges and lawyers sometimes act as if a constitutional or statutory term must, as a matter of semantics, be understood to have a particular meaning, when it could easily be understood to have another meaning, or several other meanings. When judges and lawyers act as if a legal term has a unique semantic meaning, even though it does not, they should be seen to be drawing extravagant inferences. Some constitutional provisions are treated this way; consider the idea that the vesting of executive power in a President of the United States necessarily includes the power to remove, at will, a …

Antisocial Innovation, Christopher Buccafusco, Samuel N. Weinstein

Georgia Law Review

Innovation is a form of civic religion in the United States. In the popular imagination, innovators are heroic figures. Thomas Edison, Steve Jobs, and (for a while) Elizabeth Holmes were lauded for their vision and drive and seen to embody the American spirit of invention and improvement. For their part, politicians rarely miss a chance to trumpet their vision for boosting innovative activity. Popular and political culture alike treat innovation as an unalloyed good. And the law is deeply committed to fostering innovation, spending billions of dollars a year to make sure society has enough of it. But this sunny …

Systemic Failures In Health Care Oversight, Julie L. Campbell

Georgia Law Review

Hospitals are intentionally shirking their duty to identify and report incompetent medical practitioners, and it is causing catastrophic injuries to patients. Why are hospitals doing this? Two decades of health care reforms have changed the way physicians and hospitals interact in the U.S. health care system, and as a result, the traditional health care oversight tools no longer work to ensure physician competence. With three out of four physicians now employees of hospitals or health care systems, hospitals have become the guardians of both the internal and external warning systems designed to flag incompetent practitioners. As the guardians, hospitals are …

Remediation For Pfas Contamination: The Role Of Cercla Enforcement In Environmental Justice, Amanda F. Watson

Georgia Law Review

PFAS are a family of manufactured chemicals that are highly persistent in the environment. Most people in the U.S. have been exposed to PFAS, but different groups of people may have higher exposure due to their environments. In recent years, peer-reviewed scientific studies have shown that PFAS are linked to numerous adverse human health effects. As a result, the U.S. Environmental Protection Agency (EPA) has taken a variety of actions to address PFAS, including proposing to designate PFOS and PFOA, two chemicals in the PFAS family, as hazardous substances under CERCLA, or Superfund. CERCLA is the primary legal mechanism in …

The Urologist’S Role In Bowel Management Of Adult Spina Bifida: A Narrative Review, Malcolm Sundell, George E. Koch, Melissa Kaufman

School of Medicine Faculty Publications

Background and Objective: Urologists are central to the coordinated care of patients with spina bifida (SB), and efforts to optimize bladder management and protection of the upper tracts are well established. However, the urologist’s role in treating this population often extends to the management of bowel dysfunction which may be less defined. The methods available to the urologist for bowel management range from lifestyle modifications to medical and surgical therapy, with many patients requiring combinations of multiple strategies to combat conflicting symptoms of constipation and fecal incontinence (FI). This narrative review aims to compile a detailed algorithm of management options, …

Attitudes Of Social Workers Working In The Medical Fields Towards Participating In Developing Social Policies In The Health Sector In Qassim Region, Ibrahim Mohammed Alsobaihy Dr., Ahmed Abdelhamid Elebshehe Dr.

Journal of Arabic Sciences and Humanities

The paper is entitled “Attitudes of social workers working in the medical fields towards participating in developing social policies in the health sector in Qassim region”. It aims to study the nature of social workers' attitudes working in the medical field towards participating in developing social policies in the health sector. It determines the relationship between some personal, professional, and institutional variables of social workers and these attitudes. It also presents proposed mechanisms to enhance their positive attitudes. This research is descriptive and relies on the social survey method of (65) social workers working in the medical field in the …

Ogilvie's Syndrome: Acute Colonic Pseudoobstruction. A Review For Residents., Tyler Bayliss, Caleb Clark, Errington C. Thompson

Marshall Journal of Medicine

Ogilvie's syndrome (acute colonic pseudoobstruction) was first described in 1948. Acute colonic pseudoobstruction can occur in a variety of clinical settings, including postsurgical, obstetrics, pelvic surgery, critical care and sepsis. Clinicians need to recognize the syndrome early. Colonic distention without evidence of obstruction can be seen on plain films of the abdomen or CT scan. Successful therapies, including bowel rest, neostigmine and colonoscopic decompression, have been used. Avoiding respiratory compromise from abdominal distention and colonic perforation of the primary goals of treatment. Surgical intervention should be reserved for patients who are refractory to medical treatment or develops signs and symptoms …

Overcoming Communication Challenges: Training Family Medicine Interns Amidst Covid-19, Ny'nika T. Mcfadden, Connie C. Leeper, Catanya G. Stager, Amanda H. Wilkerson

Marshall Journal of Medicine

Introduction

Assessing and addressing possible deficiencies in medical school training is important for residency programs. Due to virtual rotations and low patient volumes, the COVID-19 pandemic disrupted medical students’ opportunities to practice patient communication. Communication skills are essential for medical students and residents. Continuous participation in communication training can increase the self-efficacy of healthcare professionals. Due to the likely impact of COVID-19, we designed and implemented a tailored workshop that focused on increasing 16 incoming family medicine interns’ level of comfort communicating with patients and their families.

Methods

Sixteen incoming family medicine interns participated in the workshop during orientation in …

A Case Of Occlusive Myocardial Infarction Caused By Nephrotic Syndrome In A 26-Year-Old Type 1 Diabetic, Kyle Admire, Charlotta Jornlid, Chelsea Ryan, Rebecca Pauly

Marshall Journal of Medicine

Nephrotic syndrome is a rare condition distinguished by proteinuria exceeding 3g per day. Other associated characteristics include hematuria, hypoalbuminemia, edema, and hyperlipidemia. There is an array of complications of this syndrome, which are primarily due to the profound losses of protein in the urine. One such complication is thromboembolism, with most documented cases in the form of venous thromboembolism of the extremities which is in part due to urinary loss of antithrombin III and increased synthesis of prothrombotic factors. There are limited available data regarding arterial thrombi and especially few reports about coronary thromboses, which can be life-threatening. In this …

Management Of Cryptogenic Stroke Secondary To Large Asd With Percutaneous Occluder Device And Antiplatelet Drugs, Riya Gupta, Naveed Iqbal

Marshall Journal of Medicine

Atrial septal defects (ASD) represent the most common congenital heart disease diagnosed in adult population and can present with variable clinical findings. Recent literature emphasizes the importance of management of ASD especially if it is associated with structural right heart changes such as RV dysfunction, right ventricular enlargement, arrythmias or paradoxical embolism.

The decision between medical therapy versus surgical closure of ASD is a common clinical conundrum especially in the setting of cryptogenic stroke.

More Physicians Alone Won’T Solve Rural America’S Health Care Problems, Atul Grover

Marshall Journal of Medicine

Policymakers have voiced their hope that locating family doctors and other primary care physicians within rural communities would, by itself, improve the health status of rural residents. However, access does not necessarily translate to better health. Rural populations face disproportionately worse health outcomes and inequities compared to urban populations. To improve the health care of rural America, it is critical to define—and periodically reassess—the problem and identify varying targeted policies.

Settler Cannabis By Kaitlyn Reed, Danielle Lopez

Natural Resources Journal

No abstract provided.

An Afrocentric Source Code For Afrofuturism: Welcome To Neosankofa, Aaron X. Smith

Third Stone

This research investigates the potentialities for ancient African wisdom to guide humanity into a more harmonious, advanced Afrofuturistic positive coexistence. The research presented herein, investigates the long unbroken emphasis on the art and cultural strategy of looking back in order to optimally move forward as a community, a nation, and an international collective. A guiding question in this historical investigation is, how does the African past inform, empower, and elevate us into the future. The results of this Afrocentric ethnographic interrogation unearth little known connections to the subject Afrocentric Futurism, from previous Academics who expressed similar notions later defined under …

Film Review: Beyond Men And Masculinity–Exploring The Detrimental Effects Of Masculinity And Envisioning A New Paradigm, Raheleh Akhavizadegan

Journal of International Women's Studies

The documentary Beyond Men and Masculinity explores the negative impact of traditional masculinity on men’s mental and emotional health, as well as its broader societal implications. It advocates for a redefined version of masculinity based on vulnerability, compassion, and equality. The experts in the documentary emphasize the need for men to express their emotions, challenge traditional gender norms, and create a more just and equitable society. By redefining masculinity, the documentary envisions a future where men can thrive beyond rigid expectations and embrace their authentic selves, leading to improved mental health, reduced violence, and stronger communities.

Attitudes Of Unmarried Men And Women Towards Stay-At-Home Husbands In Indian Society, Rasabattula Srinivas

Journal of International Women's Studies

Although at a slow rate, the gender roles of women are changing in India. Today, Indian women are assuming responsibilities far beyond those of a traditional household. However, the question arises: are the gender roles of men changing? Is Indian society open to the idea of a stay-at-home husband? To address these concerns, we conducted interviews with unmarried women and men, followed by a thematic analysis. Ninety-seven percent of male respondents expressed reluctance towards becoming a stay-at-home husband, while 86% of female respondents indicated a hesitancy to marry someone with that inclination. Major reasons cited by males included “gender role …

Communication Strategy Evaluation Of The Empowerment Program For Women Ex-Migrant Workers In Indonesia, Moh Faidol Juddi

Journal of International Women's Studies

Domestic migrant workers living with their employers is one of the major causes of cases of high inequality globally. To ease this problem, the Indonesian government has attempted to empower women ex-migrant workers by prohibiting them from returning to work in the domestic sector abroad. This empowerment program was implemented through the sustainability training program of the Community of Migrant Worker’s Families (KKBM) from 2017 to 2019. The government hoped that by focusing on entrepreneurship, former migrant laborers would be able to achieve financial independence. Most of them, however, decided to return to their previous jobs or to work overseas …

Jordanian Women In Academia: Barriers And Motivators In Scientific Research And Promotion, Abeer Al Bawab, Rana Dajani, Lubna Akroush, Rania Ahmad Jaber, Abeer Bashier Dababneh, Muna Yacoub Hindiyeh, Fairouz M. Aldhmour, Sabha Alkam, Zaina Muqbel, Yazan A. Al-Ajlouni

Journal of International Women's Studies

The purpose of this study is to evaluate the research output and status of women academics in science fields in Jordan. The rationale is to identify trends as well as challenges to advise policy makers and university administrators on how to promote more involvement of women academics within the university. A survey of two sections was developed. The first section included 36 items that measure demographics and challenges in academic, research, administrative, and family contexts. The second section included questions regarding motivators and barriers to academic research. Participants were prompted to respond per the Likert’s Scale, where the responses were …

Inequality In The Participation Of Women On Corporate Boards, Clotilde Hernández Garnica, Sair Alejandra Martínez Hernández, Armando Tomé González

Journal of International Women's Studies

In recent years, studies on gender inequality have increased because of the 1995 World Conference on Women, which aimed to increase women’s participation in decision-making and exercising power. This paper investigates this research question: How does participation by gender on corporate boards and in directorships impact the rest of the decision-making positions? We conducted this study to give evidence of the gender inequality that exists on boards of directors and within leadership positions in Mexico with the aim of proposing strategies to remedy this situation. The hypothesis is that if men make up the majority of corporate boards and directorships, …

Inactive Women As A Result Of The Gender-Based Division Of Labor: The Virtualcall Project As A Possible Solution, Ebru Işık

Journal of International Women's Studies

Today, many women are excluded from the labor market despite having a good education. Perhaps the most obvious reason for this situation is the gender-based division of labor. Because of this division of labor, women are mostly considered to be responsible for domestic work and care work and it becomes difficult for them to go out of the house. Such women are not able to participate in the labor market due to their domestic responsibilities and are currently considered inactive. Economic inactivity, a huge problem for many European countries including Turkey, excludes a great potential human resource that will be …

Work-Family Conflict And Stress: A Triangulated Analysis Of The Plight Of Working Mothers In Nigerian Universities, Ngozi Christiana Nwadike, John T. Okpa, Nnana Okoi Ofem, Godfrey Ekene Odinka, Frank Mbeh Attah, Pius Otu Abang, Antigha Umo Bassey

Journal of International Women's Studies

This study investigated the plight of working mothers of children under the age of 18 at the University of Nigeria within the context of work-family conflict, using data from a cross-sectional sample of 485 academic and non-academic staff selected through a multi-staged sampling technique. Data were obtained using questionnaires and seven IDI (in-depth interview) respondents. Data were analyzed using descriptive statistics such as percentages and frequency tables, while the Chi-square was used to examine the study variables. The results indicated that there is a statistically significant relationship between couples living together and the stress experience of working mothers with under-age …

Matrilineality, Water Knowledge And Networks, And The Position Of Women In Rural Tanzania, Ruth Aernout, Sara Dewachter, Nathalie Holvoet

Journal of International Women's Studies

This article reports on a study of the effect of matrilineality on a community’s social fabric in the Morogoro region of Tanzania. We used water information-sharing networks as a proxy for social interaction, with water accessibility, functionality, and quality being highly problematic in the area under study. This is a situation that particularly affects women, who are generally responsible for household water provision yet are excluded from water management institutions. Drawing on network and survey data and focus group discussions, the differences in inter-gender interaction, inclusiveness, and women’s status were explored by comparing a matrilineal and mixed patri-matrilineal community. We …

Women’S Microenterprise And The Sdgs: Reframing Success In Women’S Economic Development In Sri Lanka, Melissa Langworthy

Journal of International Women's Studies

This research utilizes a capability approach to query the extent to which dominant conceptualizations of women’s micro-entrepreneurship enhance both economic and social development outcomes. Microenterprise programs speak directly to achieving the United Nations’ Sustainable Development Goals (SDGs), particularly regarding poverty (SDG 1), gender equality (SDG 5), and decent work (SDG 8). However, microenterprise programs are embedded in institutional and normative definitions that limit women as “entrepreneurial,” thereby affecting women’s microenterprise motivations, characteristics, and capabilities. As a result, women’s enterprises continue to be largely informal and home-based subsistence enterprises that offer a low-quality employment option and fail to deliver “empowerment” outcomes. …

The Emancipation Of A Harem Girl: Resisting The Gendered Division Of Space In Wafa Faith Hallam’S The Road From Morocco, Rachid Lamghari

Journal of International Women's Studies

This article examines the challenging of Orientalist and Western discourses and of patriarchal authority over Eastern women in Wafa Faith Hallam’s memoir The Road from Morocco. The conventional representation of these women is revisited as Saadia in the memoir debunks the passivity and docility with which they are associated by exercising her agency and trespassing the sacred cultural and physical frontiers. Regardless of being introduced to confinement in the private space of a harem since her infancy, Saadia manages to liberate herself first through leaving the allegedly sacred frontiers of the house and trespassing in public space which is discursively …

Balancing The Protection And Participation Of Refugee Women Through The Women, Peace, And Security Agenda: Notes From Turkey, Ebru Demir, Bilge Sahin, Irem Sengul

Journal of International Women's Studies

This article examines whether incorporating the Women, Peace, and Security Agenda of the United Nations Security Council into the international refugee regime may give refugee women greater potential to participate in decision-making processes. In addition to recognizing the need to protect women in conflict settings, the Women, Peace, and Security Agenda also promotes women’s participation in order to achieve sustainable peace. The article focuses on Turkey, which hosts the largest number of refugees globally. The article explores the extent to which the protection and participation of refugee women in Turkey are balanced in the activities of national and international actors, …

Reproductive Homonationalism And In/Ter/Dependence In Spain And Catalonia: “Feminazis” And Queer And Trans Reproduction, Doris Leibetseder, Leon Freude

Journal of International Women's Studies

Spain and Catalonia are timely and crucial examples for analyzing homonationalism and queer and trans reproduction with Assisted Reproductive Technologies (ART). This essay employs Puar’s (2013) formulation of “homonationalism” as an ideology that privileges LGBTIQ people while simultaneously discriminating against other types of people. The Catalan independence process provides us with important insights into the relationship and interdependence between queer and trans reproduction and the state or nation. Queer and trans people’s reproduction is dependent on the laws of the state, the state depends on the reproduction of its population, and most Western EU-states want to appear as LGBTIQ-friendly. A …

The Other Dimensions Of Dalit Oppression: Tracing Intersectionality Through Ants Among Elephants, Arundhati Sen

Journal of International Women's Studies

This paper demonstrates how gender abuse is not merely restricted to hierarchical gender oppression but also operates within an intersectional framework where gender is intertwined with hierarchical caste exploitation. While revisiting White bourgeois feminism, bell hooks emphasizes the incorporation of different marginal perspectives to make feminism an all-encompassing radical movement, accessible to everyone. Inspired by the lens that hooks uses to interpret Black feminism and the Indian scholars who approach Dalit feminism from an intersectional standpoint, I analyze Sujatha Gidla’s autobiography Ants among Elephants (2017), a family story of a lower-middle-class rural South Indian Dalit woman. I argue for the …

Editor's Introduction, Kimberly Davis, Priyanka Tripathi, Catherine Ndinda

Journal of International Women's Studies

No abstract provided.