scholarly journals A kidney’s virtual phantom simulation with MCNPX v 2.6 of a Mexican woman to estimate 131I doses

2019 ◽  
Author(s):  
Jose Rafael Nicolielly Leal ◽  
Eugenio Torres Garcia ◽  
Noé Chávez Aguilera ◽  
Carlos Alberto Rodriguez
2019 ◽  
Vol 34 (7) ◽  
pp. 1291-1291
Author(s):  
P Rivera ◽  
K Savage ◽  
A Ball

Abstract Objective The following case will demonstrate a systematic approach to neuropsychological evaluation with Spanish-speaking individuals, which includes creating a suitable test battery, interpreting results with appropriate normative samples, and incorporating personal history. Case Description 61-year-old, right-handed, Mexican female with 2 years of formal education, and with a recent history of subarachnoid hemorrhage with hydrocephalus. She was referred by her social worker and primary care provider to discern whether the reported cognitive complaints were due to a neurocognitive condition or depression. Diagnostic Impressions and Outcomes The evaluation was administered entirely in Spanish and some exams were modified to accommodate her limited literacy skills. She exhibited deficits in executive functioning, verbal fluency, and memory. Emotional testing revealed moderate depression with anxious distress, which she attributed to significant changes in everyday life. Her family informed us that she was the “matriarch of the family” and worked as a farm field truck driver, with significant difficulties/lack of engagement in both of these roles. Therefore, diagnoses of probable major vascular neurocognitive disorder and major depressive disorder with anxious distress were assigned. With this information, her providers were able to connect the family with community resources. Discussion The Hispanic population continues to be the fastest growing demographic in the United States. As more clinicians will work with members of this ethnicity in outpatient settings, it is important that they incorporate culturally-relevant factors in their approach to testing and interpretation of results. Nonetheless, this case demonstrates the current challenges and limitations, including modification of exams, differences in educational system that underlie test construction, and patient’s history. Recommendations for future areas of study and practice will also be discussed.


Author(s):  
Kellyn Dailey Hall

Culturally competent management of adults with swallowing disorders involves more than simply including ethnically appropriate foods in dysphagia therapy. It requires an understanding of the client's health beliefs, challenges, and unique cultural perspective regarding all aspects of food to ensure unbiased and culturally appropriate services are provided. This chapter begins with an overview of dysphagia management followed by a closer look at cultural beliefs regarding food and ethical conflicts that may arise. The strategies for shared decision-making presented help create a culturally sensitive dynamic between the clinician and the patient/family that positively influence therapy outcomes. The chapter concludes with a case study that highlights the importance of ethnographic interviewing needed to establish understanding and trust between the clinician and an elderly Mexican woman and her family. The strategies and techniques presented here can be applied across all cultures to achieve successful management of dysphagia.


2017 ◽  
Vol 2 (1) ◽  
pp. 58 ◽  
Author(s):  
Heather L. Walmsley ◽  
Susan Cox ◽  
Carl Leggo

This paper explores the use of found poetry as interpretive and aesthetic inquiry into the meaning and experience of reproductive tourism. The context is an ethnographic study of transnational egg donation, focusing upon the fertility services industry in Cancun, Mexico. Our source is an audio-recorded interview conducted with Maria, a young Mexican woman who struggles to maintain her integrity as a single mother donating eggs to a fertility clinic. Drawing upon Maria’s story, we experiment with three forms of found poetry as a method for listening deeply to her voice. In this paper, we share our research process, poems, and reflections.


2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
David Vrba ◽  
Jan Vrba

It is demonstrated that a theory of zero-order mode resonator (ZOR) metamaterial (MTM) structure can be used for the development of a novel class of applicators for microwave thermotherapy, for example, for hyperthermia in cancer treatment or for physiotherapy. The main idea of creating such an applicator is to generate and radiate a plane electromagnetic (EM) wave into the treated biological tissue, at least in a certain extent. The main aim of this paper is to investigate whether an EM wave generated by ZOR MTM structure and emitted into the biological tissue can produce a homogeneous SAR distribution in the planes parallel to the applicator aperture and achieve a penetration depth approaching the theoretical limit represented by SAR distribution and penetration depth of an ideal EM plane wave. EM field distribution inside a virtual phantom of the treated region generated by the applicator that is based on the proposed ZOR MTM principle is investigated using a well-proven full-wave commercial simulation tool. The proposed applicator type shows both a low unwanted leaked electromagnetic field and a fairly homogeneous electric field in its aperture as well as in the virtual phantom of the treated region.


2019 ◽  
Vol 8 (11) ◽  
pp. 310
Author(s):  
Jen Bagelman ◽  
Sasha Kovalchuk

This paper begins with an account of Lucía Vega Jimenez, a Mexican woman who lived and worked in Metro Vancouver, Coast Salish Territories (Canada) and who died while held in detention in British Columbia’s Immigration Holding Centre. This article argues that Lucía’s story exposes a number of critical aspects regarding the geographies and politics of migration in Canada today. First, Lucia’s story points to the ways in which Canada’s determination process invisibilises certain forms of violence and, as such, serves as a highly restrictive and exclusionary mechanism. Second, it shows how this exclusionary mechanism extends like ‘capillaries’ throughout urban space. In this context city services (like transit) increasingly become less spaces of refuge, and more privatized border checkpoints. Third, following Lucia’s story reveals how city checkpoints funnel people with precarious status into remote detention, akin to Foucault’s ‘carceral archipelago.’ While expanding on carceral literature, this paper departs from existing scholarship that tends to think about remoteness horizontally. The paper argues that it is below the surface where carceral regimes become particularly hostile and—as such—the paper calls for deepened engagement with questions of verticality. Finally, the article illustrates how subterranean carceral dimensions are being politicized, agonistically, through sanctuary practices.


2021 ◽  
pp. 123-133
Author(s):  
Ricardo Fernández-Ferreira ◽  
Andrés Arroyave-Ramírez ◽  
Daniel Motola-Kuba ◽  
Gabriela Alvarado-Luna ◽  
Ileana Mackinney-Novelo ◽  
...  

Phyllodes tumor of the breast is an infrequently encountered fibroepithelial neoplasm, which accounts for 0.3–1% of all tumors. Few case reports have described the occurrence of giant phyllodes tumor. To our knowledge, about 20% of phyllodes tumors would be considered giant benign. Complete surgical excision is the standard of care for giant benign phyllodes tumors; axillary lymph node metastasis is rare, and dissection should be limited to patients with pathologic evidence of tumor in the lymph nodes. We report the case of a 40-year-old Mexican woman with giant mammary tumor who underwent a right total mastectomy. The pathology results showed a benign phyllodes tumor 4,857 g in weight and 40.2 × 36.3 × 15 cm in size. We do not suggest adjuvant radiation therapy for patients with benign phyllodes tumors that are widely excised. A review of the pertinent literature was performed.


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