Use of Titanium Mesh Cage in Treating a Subtrochanteric Defect: A Case Report

Titanium mesh cages have been used during fixation of segmental defects in long bones; however, use in the subtrochanteric region of the proximal femur is a novel application. We describe a 38-year-old, 330-lb man with a highly comminuted fracture about the right femur after a gunshot wound. Immediate treatment involved use of a cement spacer. Findings of follow-up imaging showed about 26° external rotational deformity and 2-cm limb shortening. To correct the rotational abnormality and limb length discrepancy, a cylindrical titanium mesh cage and custom-made femur locking plate with a cancellous bone autograft were used. Subsequently, successful bridging was obtained across the defect. Titanium mesh cages may be potential alternative devices to use in treating segmental femoral bone defects in the subtrochanteric region of the femur

Complete Great Toe Sesamoid Excision: A Case Series

Background: Hallux sesamoids notably contribute to the biomechanics of the great toe. Although frequently ignored or forgotten, injury to the hallux sesamoids can be debilitating. Conservative management remains the initial approach for symptomatic sesamoid disorders, but surgical excision is an option. We performed a retrospective case series to examine the preoperative characteristics and postsurgical outcomes of patients who underwent great toe sesamoidectomy. Methods: We reviewed medical records of patients who underwent great toe sesamoidectomy performed by a single surgeon (RAM) during a 10-year period (26 patients, 28 procedures). Data collected included smoking status, prior first ray surgical treatment, highlevel athlete participation, diagnosis, preoperative treatment, length of time from symptoms to treatment, and visual analogue scale (VAS) pain score at final follow-up. Results: The average length of symptoms before operative treatment was about 3 years. Pain at final postoperative visit averaged 1.35 (range, 0-7), with 23 of 26 patients rating pain 0 to 3 measured on a 10-point VAS. Additionally, eight of the nine patients in high-level athletics returned to sports. There were no surgical site infections or wound complications. Two patients with underlying nerve disorders required procedures for treating late-appearing cock-up deformities and great toe metatarsophalangeal pain. Conclusions: The complete excision of the great toe sesamoid should be judiciously considered for recalcitrant pain attributable to the hallux sesamoids

\u3ci\u3eDay to Day Eats\u3c/i\u3e: Using an Educational Blog to Extend Nutrition Education

An educational blog was created for the purposes of extending learning beyond the reach of organized classes and supplementing the core themes of the Expanded Food and Nutrition Education Program. Focus group members reacted to the format, content, visual appeal, and writing style of the blog and addressed their likelihood of reading the blog because of these elements. Their overall acceptance of the blog as a relevant source of nutrition information confirms the usefulness of this mode of social media for expanding the sharing of information beyond in-person interactions

Relational Struggles and Experiential Immediacy in Religious American Families

Qualitative family scholar Kerry Daly has called for more theory addressing understudied dimensions including religion, everyday experiences, and time. Herein we address all three of these dimensions as we empirically examine and theorize Ono relational struggles among religious families. We also explore what we term experiential immediacy–defined as the personal and temporal proximity to participant-reported lived experience. Based on qualitative analyses of in-depth interviews with 198 highly religious families (N = 476 individuals), we identified four types of relational struggles created by religious involvement: burdens, disunities, abuses, and offenses. We also offer a conceptual framework of experiential immediacy grounded in the findings and explore how personal and temporal immediacy of remembered, present, and possible experiences and quality of experience relate to relational struggles created by religious involvement. We also suggest implications for research based on our findings and concepts

Text-Map Analysis: An Introduction to the Method and an Examination of Relationship Self-Regulation and Religion

The twofold purpose of this article is to (a) introduce text-map analysis and demonstrate its utility and (b) to examine systemic processes between relationship self-regulation and religion. In the first part, we propose a novel approach to qualitative data analysis termed mapping and analysis of processes and sequences. We then present procedural steps and diagrammatic conventions to chart sequences and connections between concepts and events sing flowchart diagrams we call text-maps. In the second part, using text-map analysis with a case study, we examine relationship self-regulation and religion in a Latter-day Saint couple. We draw upon three episodes from the couple\u27s marriage that were marked by relationship maintenance through self-regulation. We discuss the role of religion in relationship self-regulation and implications for research and practice. We also discuss the nature and limitations of the findings of the study and directions for future research

Uniting and Dividing Influences of Religion on Parent–Child Relationships in Highly Religious Families

Religion can have both helpful and harmful influences on relationships. The purpose of this study is to better understand how religion can have both a unifying and a dividing influence on parent–child relationships. Through the use of interviews with 198 highly religious families (N = 476 individuals), we address some of the complexity inherent in religion and examine the influence of three dimensions of religious experience (religious practices, religious beliefs, and religious community). Findings are supported with primary qualitative data. For the highly religious parents and children in this study, 8 times as many unifying accounts of religion than dividing accounts were identified. However, a substantial number of dividing accounts were still found. Religion appeared to be particularly divisive when religious beliefs or practices conflicted with children\u27s desire to fit in and spend time with their peer groups. Implications and suggestions for future research are offered

Shalom bayit—Peace of the Home: Ritual and Tradition in American Jewish Families

Utilizing a sample of 30 regionally diverse families (N=75 individuals) belonging to various branches of Judaism, we qualitatively explored how Judaism enhanced and facilitated participants' general life strengths and relational strengths (i.e., marriage and parenting). Based on our findings, Jewish rituals, traditions, and observances had a positive influence on participants' personal lives and family relationships. A sense of duty and responsibility felt toward Jewish observance and to family relationships seemed to facilitate much of this influence.12 month embargo; published online: 02 Jul 2018This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at [email protected]

The Family That Prays Together . . . : Relational Processes Associated With Regular Family Prayer

In the present article we explore how family prayer reportedly influenced family relationships. We conceptualized family prayer as a family ritual in religious families and used a qualitative methodology to interview a religiously, ethnically, and geographically diverse sample of 198 families (N = 476). Analysis of data revealed 7 related themes. Family prayer served important functions and influenced relationships in various ways including (a) as time of family togetherness and interaction; (b) as a space for social support; and (c) as a means for intergenerational transmission of religion. Further, family prayer (d) involved issues and concerns of individuals and the family; (e) helped reduce relational tensions; (f) provided feelings of connectedness, unity and bonding. Finally, (g) families struggled to pray together when there was disunity. Implication, applications, and future directions are addressed

The Family as a Context for Religious and Spiritual Development in Children and Youth

Our chapter addresses how the family promotes or hinders transcendence of the self in children, that is, how the family is a context in which spiritual development occurs. Due to space limitations, our emphasis is on socialization and interaction processes within the family and not on other issues such as psychodynamic processes (e.g., Rizzuto, 1979) or faith development (e.g., Fowler, 1981). There are many motivations to explore family socialization of religious and spiritual development. One, family spirituality and religiosity are linked with many desirable outcomes and inversely with negative outcomes in children and youth. (Other chapters in this volume examine these issues.) Two, therapists and family life educators are increasingly addressing spirituality and religion (Richards & Bergin, 1997). Three, religion is an important, even central force in many families (Dollahite, Marks, & Goodman, 2004)

Struggles Experienced by Religious Minority Families in the United States

More than a thousand empirical studies report positive correlations between religious involvement and various aspects oof psychological, relational, or physical health. Even so, there are also substantial costs, challenges, and negative aspects of religious involvement that warrant scholarly attention, including religion-related oppression and discrimination. The objective of this study was to provide an in-depth exploration and qualitative analysis of religion-related struggles experienced by religious minorities. A national sample of 198 diverse, religious families (N = 476 participants) were interviewed. Of the 198 families, 131 (66%) were from religious minority communities (i.e., Jewish, Muslim, or Christian minority faiths) and serve as the sample and focus of this study. Team-basked qualitative analyses indicated five recurring, religion-related sources of struggle that originated outside the family. Core themes included (1) struggles related to difference and minority status, (2) struggles related to other religious people, (3) struggles related to misunderstanding and ignorance, (4) struggles related to the demands of the faith community, and (5) struggles related to animosity and rejection. Supporting primary data are presented to illustrate each of the five themes. From a research vantage, religious minorities are posited as a rich but often overlooked context for studying religious struggles. In terms of clinical practice, the vital import of awareness and sensitivity to religio-cultural context is underscored. With respect to educational application, pragmatic exercises that help students cross over the empathy wall with respect to religious minorities are recommended