SEXUAL ADJUSTMENT AFTER MYOCARDIAL INFARCTION

Cardiovascular diseases claim more American lives than all other causes of death combined,”1 as stated in the American Heart Association\u27s Heart Facts 1975. In 1972, it was estimated that 1,036,560 individuals died of cardiovascular disease; 683,100 of these were attributable to acute myocardial infarction.2 In addition, an estimated 28,420,000 Americans have some type of cardiovascular disease at a cost of $20 billion annually.3 The figures ”bring home a stalking reality; cardiovascular disease is epidemic in this country, the incidence and ramifications of which make it an ever-present threat to all Americans. The greatest threat is heart attack, tragically bearing the distinction of ”the nation\u27s number 1 killer.”4 Since it is estimated that 3,940,000 Americans have some history of angina pectoris or myocardial infarction,5 the problems associated with readjustment to living following myocardial infarction are of great concern to many, foremost to the victims themselves and their families. Among these adjustment problems are fear of pain and death, anxiety, and depression. Change in lifestyle may be necessary in the areas of diet, activity, job, and family rights and responsibilities

Creating a Community of Witnesses: Acts of Reading in Anne Michaels’s Fugitive Pieces

This article considers the reading effects of the mise en abyme in Anne Michaels's Fugitive Pieces to create a community of witnesses among readers. The novel’s multi-voicedness, created through a series of narratees and narrators, models complex identifications of the author, narrators, and reader. Through the figure of the reader presented by the narratees Bella, Michaela, and Naomi, as well as the narrators Athos, Jakob, and Ben, Michaels engages us in acts of reading and interpreting the ongoing effects of the Holocaust. She offers a prime example of not the eyewitness but the reader as witness in recent Canadian fiction.Cet article examine les effets de lecture de la mise en abyme dans Fugitive Pieces d’Anne Michaels pour créer une communauté de lecteurs en tant que témoins. Le caractère multivoix du roman, créé par une série de narrataires et de narrateurs, modélise les identifications complexes de l’auteur, des narrateurs et du lecteur. À travers la figure du lecteur représentée par les narrataires Bella, Michaela et Naomi, ainsi que par les narrateurs Athos, Jakob et Ben, Michaels nous engage dans des actes de lecture et d’interprétation des effets continus de l’Holocauste. Elle offre un excellent exemple non pas du témoinoculaire, mais du lecteur en tant que témoin dans la fiction canadienne récente

Authorizing her Text: Margaret Laurence's Shift to Third-Person Narration

Margaret Laurence's Manawaka novels are marked by an impulse toward self-examination and transformation in the lives of four female protagonists. Following the confessional model, Laurence's first two novels, The Stone Angel, and A Jest of God are written in the first person, but the later two, The Fire-Dwellers and The Diviners, are not. By focalizing through the eyes of the protagonist, narration is expanded in such a way that even her third-person novels attain the immediacy the first-person. Until now, however, the question as to why Laurence makes this shift in narrative voice has not been adequately examined

The Stone Diaries as an “Apocryphal Journal”

In The Stone Diaries (1993), Carol Shields interrogates the conventions of autobiography and its ability to represent the life of an ordinary woman. A striking feature of the text is its sudden and sometimes disconcerting shifts in narrative voice from first to third. From this evidence, it seems that it is Judith Downing, Daisy Goodwill’s eldest granddaughter, who writes Daisy’s life story, in collaboration with various family members,. This reading of the narrative as an apocryphal history, or “apocryphal journal” (Stone 118), is supported by archival evidence, by Shields’s own commentary, and by textual analysis. Influenced by postmodernist revisionist critiques of historiography and taking the form of a meta-autobiography, The Stone Diaries presents a sophisticated and complex feminist critique of dominant discourses such as autobiography, and it anticipates recent theoretical directions in women’s life writing and autobiography studies

Deportation Worry, Cardiovascular Disease Risk Factor Trajectories, and Incident Hypertension: A Community-Based Cohort Study.

Background Worry about deportation has been associated with cardiovascular disease risk factors in cross-sectional research. No research has evaluated this association longitudinally or examined the association between deportation worry and incident cardiovascular disease outcomes. Methods and Results We used data from an ongoing community-based cohort of 572 women primarily of Mexican origin. We estimated associations between self-reported deportation worry and: (1) trajectories of blood pressure, body mass index, and waist circumference with linear mixed models, and (2) incident hypertension with Cox proportional hazards models. Nearly half (48%) of women reported "a lot," 24% reported "moderate," and 28% reported "not too much" deportation worry. Higher worry at baseline was associated with nonlinear systolic blood pressure and mean arterial pressure trajectories. For example, compared with not too much worry, a lot of worry was associated with a faster initial increase (β, interaction with linear year term: 4.10; 95% CI, 1.17-7.03) followed by a faster decrease in systolic blood pressure (β, interaction with quadratic year term: -0.80; 95% CI, -1.55 to -0.06). There was weak evidence of an association between deportation worry and diastolic blood pressure and no association with body mass index, waist circumference, or pulse pressure trajectories. Among 408 women without baseline hypertension, reporting a lot (hazard ratio, 2.17; 95% CI, 1.15-4.10) and moderate deportation worry (hazard ratio, 2.48; 95% CI, 1.17-4.30) were each associated with greater risk of incident hypertension compared with reporting not too much worry. Conclusions Deportation worry may contribute to widening disparities in some cardiovascular disease risk factors and outcomes over time

Effects of omega-3 fatty acids on arterial stiffness in patients with hypertension: a randomized pilot study.

BackgroundOmega-3 fatty acids prevent cardiovascular disease (CVD) events in patients with myocardial infarction or heart failure. Benefits in patients without overt CVD have not been demonstrated, though most studies did not use treatment doses (3.36 g) of omega-3 fatty acids. Arterial stiffness measured by pulse wave velocity (PWV) predicts CVD events independent of standard risk factors. However, no therapy has been shown to reduce PWV in a blood pressure-independent manner. We assessed the effects of esterified omega-3 fatty acids on PWV and serum markers of inflammation among patients with hypertension.Design and methodsWe performed a prospective, randomized; double-blinded pilot study of omega-3 fatty acids among 62 patients in an urban, safety net hospital. Patients received 3.36 g of omega-3 fatty acids vs. matched placebo daily for 3-months. The principal outcome measure was change in brachial-ankle PWV. Serum inflammatory markers associated with CVD risk were also assessed.ResultsThe majority (71 %) were of Latino ethnicity. After 3-months, mean change in arterial PWV among omega-3 and placebo groups was -97 cm/s vs. -33 cm/s respectively (p = 0.36 for difference, after multivariate adjustment for baseline age, systolic blood pressure, and serum adiponectin). Non-significant reductions in lipoprotein-associated phospholipase A2 (LpPLA2) mass and high sensitivity C-reactive protein (hsCRP) relative to placebo were also observed (p = 0.08, and 0.21, respectively).ConclusionHigh-dose omega-3 fatty acids did not reduce arterial PWV or markers of inflammation among patients within a Latino-predominant population with hypertension.Clinical trial registrationNCT00935766 , registered July 8 2009

Kennesaw State University School of Music Holiday Spectacular

Kennesaw State University School of Music presents a special holiday concert featuring holiday favorites and more performed by the KSU Symphony Orchestra, Wind Ensemble and combined choirs.https://digitalcommons.kennesaw.edu/musicprograms/1785/thumbnail.jp

Asynchronous and Rhetorical: Appointment Forms and Their Effect on Writer-Consultant Exchanges

Especially in the wake of the recent pandemic, asynchronous consulting has become increasingly central to writing center work. Yet writing center scholarship has little attended to the significant impact writer input can have on asynchronous writer-consultant exchanges. Drawing on asynchronous consultation data collected before and after our 2019 redesign of our writing center’s asynchronous system, this comparative study examines the specific effect of the writer appointment form on the nature of both writers’ requests for feedback (RFFs) and consultants’ resulting comments. Our findings suggest that differently designed appointments forms can scaffold significantly different kinds of asynchronous writer-consultant exchanges, especially visible in the different emphases writers and consultants put on issues of correctness, clarity, organization, and the writer’s rhetorical situation. We argue that, particularly in the case of asynchronous consulting—which can easily devolve to a “fix-it” model of consulting—it is important for writing center administrators to design asynchronous platforms that encourage both writers and consultants to more explicitly consider how the specific rhetorical features of a writing task can shape revising goals

Molecular layer doping: non-destructive doping of silicon and germanium

This work describes a non-destructive method to introduce impurity atoms into silicon (Si) and germanium (Ge) using Molecular Layer Doping (MLD). Molecules containing dopant atoms (arsenic) were designed, synthesized and chemically bound in self-limiting monolayers to the semiconductor surface. Subsequent annealing enabled diffusion of the dopant atom into the substrate. Material characterization included assessment of surface analysis (AFM) and impurity and carrier concentrations (ECV). Record carrier concentration levels of arsenic (As) in Si (~5Ã 10^20 atoms/cm3) by diffusion doping have been achieved, and to the best of our knowledge this work is the first demonstration of doping Ge by MLD. Furthermore due to the ever increasing surface to bulk ratio of future devices (FinFets, MugFETs, nanowire-FETS) surface packing spacing requirements of MLD dopant molecules is becoming more relaxed. It is estimated that a molecular spacing of 2 nm and 3 nm is required to achieve doping concentration of 10^20 atoms/cm3 in a 5 nm wide fin and 5 nm diameter nanowire respectively. From a molecular perspective this is readily achievable