28 research outputs found
Post-Radiation Optic Neuropathy
No full textSeizures; Headache; Decreased memory; Deteriorating vision; Hypothalamic dysfunctionA 17-year old male without visual complaint underwent bifrontal craniotomy with subtotal resection of a pituitary adenoma with suprasellar extension. Post-operative VA: 20/25 OU.Post-operative XRT with declining VA: NLP OD, 20/40 OSCTOptic atrophySurgeryAttache
An Unusual Presentation of an Optic Nerve Lesion
No full textLoss of vision OS; Left peri-orbital painA 54-year old male with acute loss of vision OS associated with peri-orbital pain.VA: 20/20 OD, 20/200 OS; Left proptosis; Diminished color vision OS; RAPD OSCTHyperemic edematous left optic nerve with evidence of psammoma bodies.Corticosteroids; XRT; Surgery1. Walsh, F.B. and Hoyt, W.F.: Clinical Neuro-ohthalmology, Vol 3, Baltimor, The Williams and Wilkins, 1969, pp 2075-2077. 2. Lessel, S. and Van Dalen, J.T.W.: Neuro-ophthalmology, Vol 3, Elsevier, 1984 p 49. 3. Hoyt, W.F., Meshel, L.G., Lessel, S„ et al: Malignant optic glioma of adulthood. Brain 1973;96:121. 4. Dodge, H.W., Jr., Love, J.G., Craig, W.M., et al: Gliomas of the optic nerves. Arch Neurol 1958;79:607. 5. Pfaffenbach, D.D., Kearns, T.P., Hollenhorst, R.W.: An unusual case of optic nerve-chiasmal gliorra. Am J Ophthalmol 1972;74:523
An Unusual Presentation of an Optic Nerve Lesion
No full textLoss of vision OS; Periorbital painA 54-year old male with left periorbital pain and ipsilateral loss of vision.VA: 20/20 OD, 20/200 OS; Reduced color vision OS; RAPD OSCTEnlarged optic nerveCorticosteroids; Surgery; XRT1. Walsh, FB and Y Hoyt-, W.F.: Clinical Neuro-ophthalmology, Vol 3, Baltimore, Williams and Wilkins, 1969; pp 2075-2077. 2. Lessel, S., and Van Dalen, J.T.W. : Neuro-ophthalmology, Vol 3, Elsevier, 1984; p 49. 3. Hoyt, W.F., Meshel, L.G., Lessel, S., et al: Malignant optic glioma of adulthood, Brain 1973; 96:121. 4. Dodge, H.W. Jr., Love, J.G., Craig, W.M., et al: Gliomas of the optic nerves. Arch Neurol 1958;79:607. 5. Pfaffenbach, D.D., Kearns, T.P., Hollenhorst, R.W.,: An unusual case of optic nerve-chiasmal glioma. Am J Ophthalmol 1972;74:523
A Multivariate Surface-Based Analysis of the Putamen in Premature Newborns: Regional Differences within the Ventral Striatum
Get PDFMany children born preterm exhibit frontal executive dysfunction, behavioral problems including attentional deficit/hyperactivity disorder and attention related learning disabilities. Anomalies in regional specificity of cortico-striato-thalamo-cortical circuits may underlie deficits in these disorders. Nonspecific volumetric deficits of striatal structures have been documented in these subjects, but little is known about surface deformation in these structures. For the first time, here we found regional surface morphological differences in the preterm neonatal ventral striatum. We performed regional group comparisons of the surface anatomy of the striatum (putamen and globus pallidus) between 17 preterm and 19 term-born neonates at term-equivalent age. We reconstructed striatal surfaces from manually segmented brain magnetic resonance images and analyzed them using our in-house conformal mapping program. All surfaces were registered to a template with a new surface fluid registration method. Vertex-based statistical comparisons between the two groups were performed via four methods: univariate and multivariate tensor-based morphometry, the commonly used medial axis distance, and a combination of the last two statistics. We found statistically significant differences in regional morphology between the two groups that are consistent across statistics, but more extensive for multivariate measures. Differences were localized to the ventral aspect of the striatum. In particular, we found abnormalities in the preterm anterior/inferior putamen, which is interconnected with the medial orbital/prefrontal cortex and the midline thalamic nuclei including the medial dorsal nucleus and pulvinar. These findings support the hypothesis that the ventral striatum is vulnerable, within the cortico-stiato-thalamo-cortical neural circuitry, which may underlie the risk for long-term development of frontal executive dysfunction, attention deficit hyperactivity disorder and attention-related learning disabilities in preterm neonates. © 2013 Shi et al
Mental health counseling in the schools: school psychologists' perceptions and current practice
Get PDFIncludes bibliographical references
Scope, Scale, and Sustainability: What It Takes to Create Lasting Community Change
Get PDF· This article examines success factors that relate specifically to the ability of a comprehensive community initiative (CCI) to achieve the scope and scale required to generate community-level outcomes and to sustain those positive impacts over time.
· The CCIs selected for study represent a wide range of goals, strategies, and organizational structures.
· Six factors were found to cut across scope, scale, and sustainability. These factors include having a single broker or entity that holds the vision of the change effort; clearly defined roles; alignment among interventions, resources, and geography; meaningful community engagement; competent leadership and staff; and strategic, cross-level relationships.
· Additional factors were found to relate to success in achieving scope, scale, or sustainability individually.
· Lessons include to plan, operate, and evaluate based on a systems- and community-change framework; choose focused and affordable strategies; build the capacity to use data; and plan for change and conflict
Representations of migrant and nation in selected works of Rohinton Mistry and Salman Rushdie
Get PDFThis thesis explores the representations of, and the relationship between. the migrant and the nation in selected works of the Bombay-born novelists Rohinton Mistry and Salman Rushdie. I explore each writer's engagement with contemporary debates surrounding the material, political, social and imaginative consequences of the crisis in secularism in India during the 1970s, 1980s and 1990s, and consider how this engagement is informed by their
migrant positions beyond India's borders. A primary concern is the way in which Mistry's and Rushdie's representations of the nation, and of migrant and diasporic subjects, intersects with the representation of Bombay in their work.
This thesis is divided into five chapters. The first two chapters concentrate on Mistry's fiction, the remaining three on Rushdie's work. Published between 1988 and 2002, the central novels examined are situated within debates regarding the founding principles of the Indian nation, and notions of Indianness, the rise of communalism in general and Hindu nationalism in particular, and the renaming of Bombay as Mumbai. My readings foreground the necessity of a
close understanding of the historical and political transformations taking place within Bombay and India during the 1970s, 1980s and 1990s, but also during the 1950s and 1960s. I argue that Mistry's and Rushdie's work is informed by a deepening anxiety over these socio-political transformations, and over how reconfigurations of Indianness increasingly position minority communities, and migrant and diasporic subjects, outside of definitions of national identity.
This anxiety extends into the negotiation of their own migrant positions. My reading of the differing representations of the migrant in Mistry's and Rushdie's work engages with ideas of accountability, political responsibility, and with notions of cosmopolitanism. In doing so, I question familiar assumptions regarding the migrant condition as one of predominantly empowering political agency. I argue that, while both authors emphasise the importance of the migrant sustaining a critical engagement with India's politics, they also foreground the anxious difficulties of doing so. This difficulty informs Mistry's and Rushdie's divergent negotiation of their own position as migrant writers, and I examine how their fiction is marked by an anxiety over the adequacy of writing as a mode of political engagement with the crisis in secularism and the parochialisation of Bombay, and as a means of negotiating the politics of migrancy
