About: Journal for vascular ultrasound is an academic journal published by SAGE Publishing. The journal publishes majorly in the area(s): Medicine & Internal medicine. It has an ISSN identifier of 1544-3167. Over the lifetime, 63 publications have been published receiving 7 citations. The journal is also known as: JVU.
TL;DR: The Journal of Experiential Education (JEE) issue 45(1) as discussed by the authors explores key topics concerning experiential education in a range of disciplinary contexts, including Transformative Design Pedagogy: Teaching Biophilic Design through ExperientIAL Learning by Genell Wells Ebbini, examines students' understanding of interior design principles founded on the theory of biophilia.
Abstract: Welcome to JEE issue 45(1). This issue includes a number of diverse articles exploring key topics concerning experiential education in a range of disciplinary contexts. Before I introduce the articles, I want to draw readers’ attention to the Call for Editors for the Journal of Experiential Education, on the pages immediately following this letter. My term expires in 2022, and the Journal’s parent association, the Association for Experiential Education, is seeking to recruit an editor or editorial team to lead the JEE into its next phase. It’s an especially exciting moment for the journal, as our Scopus CiteScore places the journal in the top 20%, and we are moving steadily toward attaining an impact factor. I will have more to say before I depart, but I encourage interested parties to apply, or to contact me with questions. The first article, Transformative Design Pedagogy: Teaching Biophilic Design through Experiential Learning by Genell Wells Ebbini, examines students’ understanding of interior design principles founded on the theory of biophilia. Readers will appreciate the graphical evidence Ebbini offers in support of the study’s main findings, which provides an excellent example of how to methodically approach the study of experiential learning in a disciplinary context. In another example of experiential praxis, Transforming Pre-Service Teacher Perceptions of Immigrant Communities Through Digital Storytelling by Lan Kolano and Anna Sanczyk documents a digital storytelling project wherein preservice teachers used digital storytelling to work with immigrant children on their English language skills. Their multimodal approach provides yet another exciting extension of core experiential learning principles into new, disciplinary contexts. Karen Anderson, Margaret Pierce, and Kathleen McNamara present the rare longterm follow up study, with their article, NUMB3Rs Revisited: Long-Term Impacts of Reimagining Service Learning. Their study provides an outstanding contribution to knowledge of service learning’s effects on early career teachers following their participation during preservice training. The fourth article, Undergraduates’ Motivation Following a Zoo Experience: Status Matters but Structure Does not, by Ashley Heim and Emily Holt, examines biology students’ encounter with a zoo experience using the framework of free-choice learning. The framework of free-choice learning is common in informal STEM contexts, but less so in experiential education; hopefully this study changes that condition, since the two are so closely related. Finally, Paul Shirilla, Craig Solid, and Suzanne Graham present a methodological argument about the benefits of longitudinal designs using multilevel modeling, compared to traditional statistical designs. The Benefits of Longitudinal Data and Editorial
TL;DR: A case of inguinal hidradenitis suppurativa is described in a patient with positive risk factors, diagnosed by ultrasonography using B-Mode, Color Doppler, and finally also with Microvascular Flow Imaging, to demonstrate the usefulness of this new technique in characterization of lesions.
Abstract: Microvascular Flow Imaging is a new ultrasound technique with better ability than Color Doppler Imaging to identify small vessels that have slow blood flow, and it permits better evaluation of the features, especially microvascular architecture, of various lesions. We describe a case of inguinal hidradenitis suppurativa in a patient with positive risk factors (young age, female, smoker, and obese), diagnosed by ultrasonography using B-Mode, Color Doppler, and finally also with Microvascular Flow Imaging. Our aim is to demonstrate the usefulness of this new technique in characterization of lesions.
TL;DR: In this article, the authors found significant differences between the right and left common carotid and internal Carotid arteries in patients with hypertension and diabetes for 2 age groups, where the difference in lumen diameter (LD), intimalmedial thickness (IMT), flow velocities, and arterial compliance were measured with B-mode ultrasound and Doppler examinations.
Abstract: Age, hypertension, and diabetes can cause significant alterations in arterial structure and function, including changes in lumen diameter (LD), intimal-medial thickness (IMT), flow velocities, and arterial compliance. These are also considered risk markers of atherosclerosis and cerebrovascular disease. A difference between right and left carotid artery blood flow and IMT has been reported by some researchers, and a difference in the incidence of nonlacunar stroke has been reported between the right and left brain hemispheres. The aim of this study was to determine whether there are differences between the right and left common carotid arteries and internal carotid arteries in patients with hypertension and diabetes for 2 age groups. We studied 250 patients with both diabetes and hypertension. Patients were divided into 2 age groups with the old age group being 56 to 75 years and the young age group 35 to 55 years. The bilateral common carotid and internal carotid arteries were evaluated with B-mode ultrasound and Doppler examinations. The LD and IMT were measured for both common carotid arteries, and spectral waveform parameters and indices were recorded for both internal carotid arteries. The difference in LD between the left and right common carotid arteries for the old age group was 11.64% and for the young age group was 6.42%, with significant P values of <.05 for both age groups. The difference in IMT between the left and right common carotid arteries was 18.27% in the old age group compared with 15.38% in the young age group, with significant P values of <.05. There was a difference in peak systolic velocity between the left and right internal carotid arteries of 4.85% in the old age group which was not significant, compared with 14.28% in the young age group with a significant P value <.05, whereas the difference in end-diastolic velocity between the left and right internal carotid arteries was not significant for both age groups. Differences between the right and left internal carotid arteries for resistive index, pulsatility index, and pressure gradient were significant only in the young age group. We found significant differences between the right and left common carotid and internal carotid arteries in patients with diabetes and hypertension which were more prominent in the young age group. Values for common carotid IMT and LD were significantly higher in the left common carotid artery versus the right common carotid artery in both age groups. Differences between the 2 carotid sides may be attributed to anatomic variations in the common carotid artery origins which lead to differences in stress between the 2 sides.
TL;DR: This study did not demonstrate evidence of a significant change in the MFV in the middle cerebral arteries or evidence of an association between change in VO2peak and change in MFV or PI between UPA and EPA groups.
Abstract: Introduction: An active lifestyle with regular exercise is thought to decrease or delay the onset of Alzheimer dementia through increasing blood flow to the brain. We examined the mean flow velocity (MFV) and pulsatility index (PI) in the middle cerebral arteries of individuals randomized into 2 groups—a usual physical activity (UPA) group and an enhanced physical activity (EPA) exercise intervention group—to determine whether exercise training is related to changes in cerebral blood flow. Methods: We examined 23 participants, randomized into a UPA group (n = 12) and an EPA group (n = 11), with transcranial color-coded Doppler (TCCD) and cardiorespiratory fitness (VO2peak) testing at baseline and following a 26-week intervention. Transcranial color-coded Doppler was used to measure MFV and PI. Participants in the EPA group completed supervised aerobic exercise training for 26 weeks. Kendall’s tau-b correlation was used to examine relationships between variables. The Wilcoxon rank-sum tests were used to examine changes between the UPA and EPA groups. Results: There was no significant change in MFV or PI in the UPA group or the EPA group (P values >.05) between baseline and 26 weeks; the change between the UPA and EPA groups was also not significant (P = .603). There was no evidence of an association between change in VO2peak and change in MFV or PI (all P values >.05). Participants in the EPA group significantly increased their VO2peak compared with the UPA group (P = .027). Conclusion: This study did not demonstrate evidence of a significant change in the MFV in the middle cerebral arteries or evidence of a significant change in the PI between UPA and EPA groups. Future studies should be performed in larger cohorts and should consider use of personalized exercise programs to maximize understanding of how cerebrovascular hemodynamics change in structure and function with exercise for adults at risk of Alzheimer dementia.
TL;DR: In this paper , the authors performed a retrospective review of patients referred to a multidisciplinary team over a 5-year period who underwent intervention and found that one-year amputation-free survival was positively correlated with post-procedure pedal acceleration time (PAT) and inversely related to wound score.
Abstract: Introduction: The global burden of peripheral arterial disease and related critical limb ischemia has been increasing, and with it an increased incidence of limb loss and mortality. Multidisciplinary teams appear to have a beneficial impact on managing these complex patients, but measuring success depends on the outcome chosen. Determining the risk/benefit of intervention can be difficult, and there has been increasing emphasis on using frailty measures to predict the likelihood of morbidity and mortality after vascular interventions. Methods: We performed a retrospective review of patients referred to a multidisciplinary team over a 5-year period who underwent intervention. Data included the modified Frailty Index (mFI), Society for Vascular Surgery (SVS) WIfI wound score (0-2 vs 3), and pedal acceleration time (PAT) post-procedure. Outcomes analyzed were 1-year amputation-free survival (AFS-1), independence, and major complications. Results: There were 81 patients who underwent either open or endovascular revascularization. One-year amputation-free survival was positively correlated with post-procedure PAT (AFS-1 107.3 ± 25.5 vs non-AFS-1 174 ± 93; P = .025) and inversely related to wound score (SVS 3 AFS-1 5/17 [29%] vs SVS 0-2: 46/64 [72%]; P = .025). Independence was linked to wheelchair dependence prior to intervention with 6/16 (38%) patients patients spending more than 50% of their time in a wheelchair being independent versus 56/64 (88%) who were not wheelchair-dependent being independent (P = .005). An mFI ≥6 was associated with increased incidence of major complications at 1 year (mFI ≥6 11/31 [35%] vs mFI <6 5/50 [10%]; P = .018). Conclusion: One-year amputation-free survival was impacted by post-procedural success as measured by PAT, but negatively impacted by severity of wound at presentation. An mFI ≥6 was associated with greater incidence of complications. These findings may impact decision-making in determining the relative risk/benefit of revascularization in CLI. Vascular technologists can have an important role in development of limb salvage teams.