Ocular Melanoma Metastasizing to Intra-Abdominal Lymph Nodes

Background. Visceral metastatic spread of ocular melanoma most commonly occurs via hematogenous route to the liver. Lymphatic spread of ocular melanoma into abdominal lymph nodes has not been reported previously. Case Presentation. A 47-year-old man with a history of ocular melanoma presented with a soft tissue mass on CT scan. The mass encased the portal structures of the hepaticoduodenal ligament. Image-guided biopsy revealed it to be a metastatic melanoma to lymph nodes. The patient underwent surgery with the intent to prolong disease-free survival. On final pathological examination, two lymph nodes were found harboring metastatic melanoma. Conclusion. Extrahepatic lymphatic intra-abdominal spread of ocular melanoma is not impossible. Since this mode of spread is rare, the oncologic significance of surgical resection of isolated intra-abdominal nodal with metastatic ocular melanoma is difficult to determine at the present time

California Psychological Inventory Factors and Non-Marital Cohabitants

This thesis is being archived as a Digitized Shelf Copy for campus access to current students and staff only. We currently cannot provide this open access without the author's permission. If you are the author of this work and desire to provide it open access or wish access removed please contact the Wahlstrom Library to discuss permission.Forty-two cohabitating males and 39 cohabitating females lived together without marriage an average for 14 months, their average age was 24.0 for males and 22.5 for females. The above cohabitants were compared with control groups for personality differences. The control groups consisted of unmarried single individuals with no cohabitation experience. There were 85 males and 81 females, the average age was 25.1 for males and 23.5 for females. Subject and control groups were selected on the basis of demographic and sociological background to obtain subjects from similar populations. All subjects were administered a questionnaire and the California Psychological Inventory (CPI). For both males and females, 19 of the 36 comparisons on the CPI reached significance at or beyond the .05 level. Five of the scales reached significance at or beyond .01 level. The overall trend of the data supports the hypothesis that the CPI differenciates cohabitants from non-cohabitants. Cohabitants scored significantly higher on: Self-acceptance, Sociability, Tolerance, and Flexibility. There was no significant difference on the Dominance scale. In addition, the CPI significantly differentiates cohabitants from non-cohabitants on Socialization, Good-Impression (negative relation), Achievement via Independence, Psychological Mindedness, and Femininity scale. Male cohabitants are significantly more feminine than their control group, and female cohabitants are significantly less feminine than their non-cohabitating peers

Can the Vocal Expression of Intellectually Disabled Individuals Be Used as a Pain Indicator? Initial Findings Supporting a Possible Novice Assessment Method

Pain is difficult to assess in non-verbal populations such as individuals with intellectual and developmental disability (IDD). Due to scarce research in this area, pain assessment for individuals with IDD is still lacking, leading to maltreatment. To improve medical care for individuals with IDD, immediate, reliable, easy to use pain detection methods should be developed. The goal of this preliminary study was to examine the sensitivity of acoustic features of vocal expressions in identifying pain for adults with IDD, assessing their feasibility as a pain detection indicator for those individuals. Such unique pain related vocal characteristics may be used to develop objective pain detection means. Adults with severe-profound IDD level (N = 9) were recorded in daily activities associated with pain (during diaper changes), or without pain (at rest). Spontaneous vocal expressions were acoustically analyzed to assess several voice characteristics. Analyzing the data revealed that pain related vocal expressions were characterized by significantly higher number of pulses and higher shimmer values relative to no-pain vocal expressions. Pain related productions were also characterized by longer duration, higher jitter and Cepstral Peak Prominence values, lower Harmonic-Noise Ratio, lower difference between the amplitude of the 1st and 2nd harmonic (corrected for vocal tract influence; H1H2c), and higher mean and standard deviation of voice fundamental frequency relative to no-pain related vocal productions, yet these findings were not statistically significant, possibly due to the small and heterogeneous sample. These initial results may prompt further research to explore the possibility to use pain related vocal output as an objective and easily identifiable indicator of pain in this population.</jats:p

Relationship between Creativity, Repression, and Anxiety in First Graders

The present study dealt with the extent to which creativity may be identified in 71 first graders and raised the question of whether and how creativity is related to anxiety and repression at this young age. Furthermore, intelligence was studied in relation to anxiety and repression. A significant correlation of 0.62 was obtained between creativity and decrease in repression. The various subtests and the four dimensions of creativity were separately analyzed in relation to anxiety and repression, and the results were discussed. No relation was found between intelligence and the dynamic variables of anxiety and repression. </jats:p