43 research outputs found
A case of quadricuspid aortic valve characterized by echocardiography and magnetic resonance imaging
We report a rare subtype of quadricuspid aortic valve (QAV) associated with moderate aortic regurgitation in a 17- year old woman symptomatic for palpitations. The patient was admitted to our department for cardiac evaluation due to a previous diagnosis of bicuspid aortic valve; she underwent a new two-dimensional echocardiography revealing a rare type of quadricuspid aortic valve with a moderate regurgitation. For further investigating potentially associated abnormalities, patient was referred to Cardiac MRI; MRI showed no other abnormalities and confirmed echocardiographic findings. Quadricuspid aortic valve is a rare form of congenital valvular anomaly often occasionally diagnosed. In most cases this malformation causes a valve dysfunction, commonly aortic regurgitation, and can be associated with other cardiac abnormalities such as ventricular or atrial septal defect, anomalies of coronary arteries, patent ductus arteriosus, subaortic fibromuscolar stenosis and mitral valve malformation
Posttraumatic Stress in Women after the September 11 Terrorist Attacks in New York City
Background: Women have been shown to be at higher risk than men of developing posttraumatic
stress disorder (PTSD) after traumatic events. Women in New York City were more
likely than men to have probable PTSD 5–8 weeks after the September 11, 2001, terrorist attacks
on the World Trade Center. We explored the factors that could explain the higher prevalence
of probable PTSD among women in the aftermath of the attacks.
Methods: Data from a telephone survey of a randomly selected group of residents of Manhattan
living south of 110th street, conducted 5–8 weeks after September 11, were used in
these analyses. The survey assessed demographic information, lifetime experience of traumatic
events, life stressors, social support, event exposure variables, perievent panic attacks,
postevent concerns, and probable PTSD related to the attacks. We determined the contribution
of key covariates that could explain the gender-probable PTSD relation through stratified
analyses and manual stepwise logistic regression model building.
Results: Among 988 respondents, women were two times more likely than men to report
symptoms consistent with probable PTSD after the September 11 attacks. When adjusted for
potential confounders, the association between gender and probable PTSD diminished from
OR 5 2.2 (95% confidence interval [CI] 1.3–3.6) to OR 5 1.2 (95% CI 0.7–2.2).
Conclusions: These results suggest that specific behavioral and biographic factors (including
previous traumatic experiences and psychological disorders, social responsibilities, and perievent
emotional reactions) explained most of the excess burden of probable PTSD among women after
a disaster. Isolating the characteristics that place women at greater risk for probable PTSD
after disasters can inform public health prevention strategies and spur further research.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/40341/2/Pulcino_Posttraumatic Stress in WOmen after_2003.pd
GÊNEROS E SEXUALIDADES NA FORMAÇÃO DE DOCENTE: ANALISANDO SABERES A PARTIR DE OFICINAS PEDAGÓGICAS
O que pensam as estudantes de Pedagogia e Licenciaturas sobre os gêneros e as sexualidades? Quais são suas principais dúvidas sobre esses temas? Quais são as possibilidades de debater a diversidade de gênero e as sexualidades na formação docente? Nesse artigo, analisamos as experiências da aplicação da oficina “Corpo, gênero e sexualidade na escola”, realizada em três turmas, de duas universidades cariocas. Para isso, trazemos reflexões de materiais produzidos pelas alunas. Assim, pretendemos lançar algumas pistas sobre a construção de saberes em gêneros e sexualidades na formação docente.Palavras chave: Gênero. Sexualidade. Formação docente. Oficinas pedagógicas. GENDERS AND SEXUALITIES IN TEACHER TRAINING: ANALYZING KNOWLEDGE FROM PEDAGOGICAL WORKSHOPSWhat do Pedagogy and Undergraduate students think about genders and sexualities? What are your main doubts about these topics? What are the possibilities for discussing gender diversity and sexualities in teacher education? In this article, we analyze the experiences of applying the workshop “Body, gender and sexuality at school”, held in three classes, from two Rio de Janeiro universities. For that, we bring reflections of materials produced by the students. Thus, we intend to launch some clues about the construction of knowledge on gender and sexuality in teacher education.Keywords: Gender. Sexuality. Teacher training. Pedagogical workshops
Care of those with IDD in a Complex Health System
Care of those with IDD in a Complex Health System, Tiffany Pulcino, M.D.
Objectives: Understanding the “current state of caring for those with IDD Understanding IDD (intellectual and developmental disabilities) as a social construct Prognostic and Diagnostic considerations for those with ID
Optimizing the Medical Neighborhood for Care of Complex Patients: Case Study in Sickle Cell Disease
Optimizing the Medical Neighborhood for Care of Complex Patients: Case Study in Sickle Cell Disease, Dr. Tiffany Pulcino, MD, MPH, Medical Director WNY Complex Care Program, Internal Medicine Pediatric
Desfazendo os nós heteronormativos da escola: contribuições dos estudos culturais e dos movimentos LGBTTTI
This study is a theoretical research that has sought to understand the
concepts of culture and identity and, from these and reflections on
the history and the proceeding of the LGBTTTIV movements, ponder
on possibilities of overcoming heteronormative school practices.
First, it presents considerations on the concept of culture, which
includes an explanation of the different types of multiculturalism.
Then, it articulates the concepts of culture and identity, whereupon
the processes of recognition and representation are highlighted,
and brings some notes on equality and difference. After, it reflects
specifically on the sexual identities and contributions of social
structures that shape such identities without, however, determining
them. From this, it focuses on LGBTTT movements as movements
to resignify and resist to heteronormative practices. Finally, it
concludes that the critical and postmodern intercultural thinking is
one that can not only rethink and deconstruct the mechanisms of
exclusion of sexual differences present in everyday school life, but
also reclaim the questioning for school space, making it a forum for
discussion, where truths are shaken. Where it is possible to think,
reflect on and put oneself in the other’s place. A space in which it
is possible to be different.O trabalho a seguir configura-se como uma pesquisa de
caráter teórico, que tem por objetivos compreender as noções
de cultura e identidade e, a partir delas e de reflexões a
respeito da história e da atuação dos movimentos LGBTTTIV,
ponderar possibilidades de superação de práticas escolares
heteronormativas. Primeiro, expõe considerações a respeito
do conceito de cultura, o que inclui uma explanação acerca
dos diferentes tipos de multiculturalismo. Em seguida, articula
os conceitos de cultura e identidade, a partir dos quais se
destacam os processos de reconhecimento e de representação,
fazendo alguns apontamentos sobre igualdade e diferença.
Depois, reflete especificamente a respeito das identidades
sexuais e as contribuições das estruturas sociais que modelam
tais identidades sem, no entanto, as determinarem. A partir
disso, enfoca os movimentos LGBTTT como movimentos de
ressignificação e resistência das práticas heteronormativas.
E, por fim, conclui indicando o pensamento intercultural
crítico e pós-moderno como aquele que pode repensar e
desconstruir os mecanismos de exclusão das diferenças
sexuais presentes no cotidiano escolar. Mas, também, como
aquele que pode resgatar a problematização para o espaço
escolar, constituindo-o como espaço de discussão, onde as
verdades são abaladas. Trata-se do local onde é possível
pensar, refletir e se colocar no lugar do outro. Um espaço no
qual é possível ser diferent
A Comprehensive Approach to Sickle Cell Disease
A Comprehensive Approach to Sickle Cell Disease, Drs. Roxana Vlad, Department of Medicine, Division Chief, Hematology/Oncology, and Tiffany Pulcino, Medical Director of RRH Complex Care and Adult Sickle Cell Programs, PCAS