Browse Items (97 total)

The multimodal lateral cortex of the inferior colliculus (LCIC) exhibits a modular-extramodular micro-organization that is evident early in development. In addition to a set of neurochemical markers that reliably highlight its modular-extramodular…

INTRODUCTION: Topical atropine eye drops at low concentrations have been shown to slow myopia progression in East Asian studies. This study explored the effect of atropine 0.01% eye drops on controlling myopia progression in a multiethnic cohort of…

A therapeutic strategy that can combat the multifaceted nature of neuroinflammation pathology was investigated. Thus, we fabricated PEG-PdLLA polymersomes and evaluated the efficacy in co-delivery of simvastatin (Sim, as a repurposed…

Tan olive skin, wide smile, black hair, dark almond-shaped eyes, short and thin, mid 40s… a very typical person I used to see while I was in medical school. I see such patients less often now in private practice.

BACKGROUND: The formation of a bolus of food is critical for proper feeding function, and there is substantial variation in the size and shape of a bolus prior to a swallow. Preterm infants exhibit decreased abilities to acquire and process food, but…

Wild primates encounter complex matrices of substrates that differ in size, orientation, height, and compliance, and often move on multiple, discontinuous substrates within a single bout of locomotion. Our current understanding of primate gait is…

A twisting of the ovary and/or fallopian tube on its vascular and ligamentous supports, blocking adequate blood flow to the ovary. Rapid diagnosis and intervention are necessary to preserve ovarian function. Most often seen in women of reproductive…

The pineal gland is a naturally calcifying endocrine organ which secretes the sleep-promoting hormone melatonin. Age-related changes of the pineal have been observed, including decreased pinealocyte numbers, increased calcification, and a reduction…

Career Construction Counselling (CCC) is a narrative intervention that supports individuals in the elaboration of narrative identity and career construction. CCC theory, research, and practice has benefited from the Innovative Moments Model (IMM) to…

Antiphospholipid antibody syndrome (APS) is a systemic autoimmune disorder characterized by arterial and venous thrombosis, often accompanied by elevated titers of anti-phospholipid antibodies. Cardiac involvement in APS is not uncommon. However,…

INTRODUCTION: Duodenal diverticula are quite prevalent in general population, seen on up to 5% of radiology studies and up to 22% of autopsy examinations. PRESENTATION OF THE CASE: 70 years old female was admitted to the hospital with epigastric…

Context: Kratom, or Mitragyna speciosa, is a plant indigenous to Southeast Asia that has gained national attention in the United States for its increased use in the self-management of opioid withdrawal and pain, as well as for concerns about its…

STUDY OBJECTIVE: Older adults with syncope are commonly treated in the emergency department (ED). We seek to derive a novel risk-stratification tool to predict 30-day serious cardiac outcomes. METHODS: We performed a prospective, observational study…

The patient was a 33-year-old, highly educated, white female. She was pregnant with monochorionic-diamniotic identical twins, or twins that shared the same placenta but were in separate amniotic sacs. She had been cleared from her reproductive…

OBJECTIVE: To investigate the characteristics and risk factors of a novel parenchymal lung disease (LD), increasingly detected in systemic juvenile idiopathic arthritis (sJIA). METHODS: In a multicentre retrospective study, 61 cases were investigated…

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Career counseling practitioners hope that clients leave career counseling having experienced a process of transformative learning that has brought them into contact with their deepest sense of vitality. If so, clients are able to narrate a more…

This chapter describes how practitioners compose an identity narrative that reconstructs clients' small stories into a large story that encourages reflexivity to clarify choices. Having conducted the eight-step assessment protocol, practitioners…

This chapter discusses how to use career themes or central tensions to extend clients' occupational plots by identifying fitting settings, possible scripts, and future scenarios. Practitioners assess the educational and vocational interests that…

This chapter describes how to identify client solutions to the problems they pose in their early recollections. With a client's perspective and preoccupations in mind, practitioners begin to consider responses to the question about role models.…

After completing a Career Construction Interview and before beginning counseling with clients, practitioners must understand the meaning presented in clients' stories, relate this meaning to the initial reason they sought counseling, and prepare to…

This chapter describes the framework and elements of the Career Construction Interview during which practitioners ask story-crafting questions, which scaffold career construction. The Career Construction Interview consists of stimulus questions that…

This chapter explains how practitioners use narrative psychology to help clients revise their career stories to increase comprehension, coherence, and continuity. Narrative therapy is an umbrella term that encompasses a variety of approaches to…

This chapter examines the core concepts of self, identity, meaning, mastery, and mattering. It begins by discussing the role that language plays in constructing a self and then differentiates 'self' from 'identity.' The chapter explains how identity…

Work in the 21st century leaves people feeling anxious and insecure. Jobless work and automation have produced 'insecure workers,' especially those peripheral and external employees who perform temporary assignments. Depending upon a client's needs,…

This book describes methods of career construction counseling based on the conceptual model of life designing. It defines counseling and how career counseling has evolved over the last century. The counseling profession has evolved three distinct…

BACKGROUND CONTEXT: There are several prognostic scores available that intend to inform decision making for patients with spinal metastases. Many of these have not been found to reliably predict survival across the continuum of care. Recently, our…

OBJECTIVES: To describe patient-specific characteristics associated with non-operative failure leading to surgery. PATIENTS AND METHODS: We conducted a retrospective review of patients treated for spinal metastases from 2005 to 2017. We deemed…

Ugh. I am ashamed to say that is the first word that comes to my mind when I see Jake’s name on my schedule for the day. He is 10 and he has been my patient since he was born. He has an 8-year-old sister Annie and a 5-year-old brother Jimmy. They…
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