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        Ectopic sympathetic ganglia cells of the ventral root of the spinal cord: an anatomical study

        Chrissie Massrey,Marwah M. Abdulkader,Eyas Hattab,Joe Iwanaga,Marios Loukas,R. Shane Tubbs 대한해부학회 2020 Anatomy & Cell Biology Vol.53 No.1

        The sympathetic trunk ganglia contain the cell bodies of neurons. However, some patients who undergo sympathectomy can develop compensatory hyperhidrosis. To evaluate for ectopic pathways, the present anatomical study was performed. Ten adult cadavers underwent dissection of the spinal canal and removal of randomly selected ventral roots, which were submitted for histological analysis. Random ventral root samples were taken from cervical, thoracic, and lumbosacral regions in each specimen. Each histological section was then analyzed and the presence or absence of sympathetic cells documented for level and position within the ventral root. Of all samples, a sympathetic nerve cell was found in 80% of ventral roots. At least one sympathetic cell was found in these 80%. Most sympathetic cells were found in the proximal one-third of the ventral root. Such cells were found at all spinal levels and no specific level within a vertebral region was found to house a greater concentration of these cells. No statistical significance was found when comparing sides or sex. Our study confirmed that sympathetic cells exist in the majority of human ventral roots. Such data might better explain various clinical presentations and postoperative complications/findings.

      • COMMUNICATING THE FAIR TRADE MESSAGE: THE ROLES OF REPUTATION AND FIT

        Jos Bartels,Machiel J. Reinders,Chrissie Broersen,Sarah Hendriks 글로벌지식마케팅경영학회 2018 Global Marketing Conference Vol.2018 No.07

        This study examines the extent to which Fair Trade reputation and fit between this reputation and the communicated Fair Trade message influences consumer skepticism and positive electronic word-of-mouth. The results of two experiments show that previous Fair Trade reputation has a direct and indirect effect, via consumer brand identification, on consumer skepticism. Moreover, the fit between a reputation and the communicated message only seems to affect skepticism when the communicated message is perceived as realistic. In industries with bad Fair Trade reputations (Study 1) fit does not seem to have an effect on skepticism, while fit does influence skepticism in industries with a certain reputation history on Fair Trade (Study 2). Skepticism and consumer brand identification play an important mediating role in the relationship between reputation, fit and consumers’ electronic word-of-mouth intentions. We therefore conclude that communicating Fair Trade initiatives can be a rewarding effort but also seems to be a delicate matter.

      • Education and Counseling of Pregnant Patients with Chronic Hepatitis B: Perspectives from Obstetricians and Perinatal Nurses in Santa Clara County, California

        Yang, Elizabeth J.,Cheung, Chrissy M.,So, Samuel K.S.,Chang, Ellen T.,Chao, Stephanie D. Asian Pacific Journal of Cancer Prevention 2013 Asian Pacific journal of cancer prevention Vol.14 No.3

        Background: This study aimed to better understand the barriers to perinatal hepatitis B prevention and to identify the reasons for poor hepatitis B knowledge and delivery of education to hepatitis B surface-antigen-positive pregnant women among healthcare providers in Santa Clara County, California. Materials and Methods: Qualitative interviews were conducted with 16 obstetricians and 17 perinatal nurses in Santa Clara County, California, which has one of the largest populations in the United States at high risk for perinatal hepatitis B transmission. Results: Most providers displayed a lack of self-efficacy attributed to insufficient hepatitis B training and education. They felt discouraged from counseling and educating their patients because of a lack of resources and discouraging patient attitudes such as stigma and apathy. Providers called for institutional changes from the government, hospitals, and nonprofit organizations to improve care for patients with chronic hepatitis B. Conclusions: Early and continuing provider training, increased public awareness, and development of comprehensive resources and new programs may contribute to reducing the barriers for health care professionals to provide counseling and education to pregnant patients with chronic hepatitis B infection.

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