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The Real-Time Extractiion Of Neural Spikes For Brain-Machine Interface Application Using Deep Learning Algorithm, Patel Sahaj Anilbhai Jan 2019

The Real-Time Extractiion Of Neural Spikes For Brain-Machine Interface Application Using Deep Learning Algorithm, Patel Sahaj Anilbhai

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The detection of neural spikes in real-time and accurately has become the center of interest for the researchers in the field of brain-machine/computer interface (BMI/BCI). The primary challenge in the Brain-Machine interface is to translate raw neuronal response signals into the control of electrical actuators. Only accurate and rapid classification of neural response can help efficiently and conveniently to disable peoples, particularly those suffering from spinal cord injury, stocks, etc., Recording from neurons and analyzing them with many different methods are not new. However, the primary challenge here is the real-time recording and classifying the spikes with higher accuracy. In …


Automating Personal Safety Among Different Age Groups, Jayun Patel Jan 2019

Automating Personal Safety Among Different Age Groups, Jayun Patel

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Personal Safety has always been crucial to one’s life. Many different threats are faced by people in their day to day lives. These threats differ with different age groups that affect their health and well being. Different threats affect people, which include birth defects, falls, drowning, health problems, abuse, suicide, homicide, and sexual violence [39]. Many other threats occur every day but these threats are the common threats that are faced by most of the people at different ages. These threats can affect the victims in terms of the health of the person, and the physical and mental well being …


Examining Teachers' Perceptions And Practices Of Family Engagement With Families Of Emergent Bilinguals In Pre-Kindergarten And Kindergarten Classrooms: A Mixed Methods And Multiple Case Study, Julie I. Paul Jan 2019

Examining Teachers' Perceptions And Practices Of Family Engagement With Families Of Emergent Bilinguals In Pre-Kindergarten And Kindergarten Classrooms: A Mixed Methods And Multiple Case Study, Julie I. Paul

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This study addressed pre-K and kindergarten teachers’ perceptions and practices of family engagement with families of students who are Dual Language Learners/Emergent Bilinguals. The study employed an explanatory sequential mixed methods design (Quan --> QUAL) (Creswell & Plano-Clark, 2018). To address the purpose of the study, the overarching mixed methods question was: How do pre-K and kindergarten teachers engage families of all their students and families of students who are emergent bilinguals? Mixing of the strands occurred after the quantitative data was collected. Quantitative results helped develop the semi-structured interview protocol for the qualitative phase of the study. Qualitative results …


Bayesian Hierarchical Negative Binomial And Zero-Inflated Negative Binomial Models For High-Dimensional Analyses With Applications To Human Microbiome Count Data, Amanda H. Pendegraft Jan 2019

Bayesian Hierarchical Negative Binomial And Zero-Inflated Negative Binomial Models For High-Dimensional Analyses With Applications To Human Microbiome Count Data, Amanda H. Pendegraft

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The human microbiome was first described as an “ecological community of commensal, symbiotic, and pathogenic microorganisms that literally share our bodyspace”. These microorganisms, also known as microbes and bacteria, are known for participation in human health. For example, microbes extract energy from foods that are otherwise indigestible, synthesize vitamins and amino acids necessary for important bodily functions, and protect hosts against disease-carrying pathogens. Therefore, the pursuit of human microbiome research is important for understanding the influence of microorganisms throughout human systems. Human microbiome research is founded on advances in next-generation sequencing technology. Namely, the identification of microbes that constitute the …


Enhanced Proangiogenic Activity Of Endothelial Cells In Response To Polyglutamate Domain-Modified Qk Peptides Delivered On Bone Grafting Materials, Nicholas Weldon Pensa Jan 2019

Enhanced Proangiogenic Activity Of Endothelial Cells In Response To Polyglutamate Domain-Modified Qk Peptides Delivered On Bone Grafting Materials, Nicholas Weldon Pensa

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Over 2 million bone grafting procedures are performed annually. To meet the high demand for these surgeries, commercial grafting materials sourced from allograft, xenograft, and synthetic calcium phosphate have become widely popular clinically. One limitation of these grafts, however, is their lack of growth factors that drive angiogenesis during bone tissue regeneration. Insufficient revascularization of the injured bone tissue leads to poor fracture healing. However, reincorporating angiogenic factors on grafting materials has proven challenging due to limited surface interactions between the protein and mineral graft surface. To address this challenge, we have synthesized a polyglutamate domain to the VEGF mimetic …


Genetic And Epigenetic Underpinnings Of End-Stage Human Heart Failure, Mark Emile Pepin Jan 2019

Genetic And Epigenetic Underpinnings Of End-Stage Human Heart Failure, Mark Emile Pepin

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Heart failure (HF) is the clinical endpoint of numerous diseases that negatively impact the heart’s capacity to pump and/or fill with blood. A variety of genetic and environmental factors have been identified as critical determinants of HF susceptibility; however, these factors cannot independently explain the phenotypic diversity of human HF. Instead, a complex interplay has been theorized to exist between genetics and the environment, although the molecular underpinnings of this synergy remain poorly understood. Of the possible mechanisms, epigenetic influences are uniquely capable of explaining how acute stressors of the cardiac microenvironment trigger the stable – yet reversible – reprogramming …


Ventral Hippocampal Input To The Medial Prefrontal Cortex Regulates Social Memory, Mary Leann Phillips Jan 2019

Ventral Hippocampal Input To The Medial Prefrontal Cortex Regulates Social Memory, Mary Leann Phillips

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Both the ventral hippocampus (vHIP) and medial prefrontal cortex (mPFC) are active participants in the neural circuitry activated by social interaction, and are both necessary for certain aspects of social behavior. Additionally, synaptic projections from the ventral hippocampus (vHIP) to the medial prefrontal cortex (mPFC) are implicated in several neuropsychiatric disorders. Using the Mecp2 knockout (KO) mouse model of Rett syndrome, an autism-associated disorder with network level deficits in the vHIP and mPFC as well as aberrant social behavior, we strove to determine the role of vHIP-mPFC in social behavior. Here, we show that the vHIP-mPFC projection is hyperactive in …


Organizational Characteristics And Environmental Factors Associated With Hospitals Identified As Consolidation Targets, Christi Pierce Jan 2019

Organizational Characteristics And Environmental Factors Associated With Hospitals Identified As Consolidation Targets, Christi Pierce

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In today’s dynamic healthcare landscape, hospitals face uncertainty and pressure from changing reimbursement schemas, intense government regulation, technological advances, consumer demand and workforce scarcity. These increased pressures have led to an acceleration of consolidation activities as hospitals position themselves to cope with a dynamic and complex external environment by maximizing resources, creating economies of scale and expanding access to care. Despite increased hospital consolidation activity, little is known about what makes a hospital attractive as a consolidation target to an acquiring hospital, particularly post-ACA. The purpose of this study was to evaluate the organizational characteristics and environmental factors associated with …


Investigating The Relationship Between Nurse Burnout And Self-Reported Medication Administration Errors In Alabama Hospitals, Aoyjai Prapanjaroensin Jan 2019

Investigating The Relationship Between Nurse Burnout And Self-Reported Medication Administration Errors In Alabama Hospitals, Aoyjai Prapanjaroensin

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Background: Approximately 30% to 60% of nurses report high levels of burnout worldwide. Nurse burnout may impact vigilance and job performance. Nursing job performance may decrease due to lowered alertness if nurses have high levels of burnout, and this issue may be related to the act of committing a medication error. Of the very few studies exploring the relationship between nurse burnout and medication errors, the findings are conflicting. The purpose of this study is to examine the relationship between nurse work environment characteristics, burnout levels and self-reported medication administration errors as well as patient safety grades among nursing staff …


Three Essays In Hospital Financial Distress: Prediction, Antecedents And Organizational Response, Neeraj Avinash Puro Jan 2019

Three Essays In Hospital Financial Distress: Prediction, Antecedents And Organizational Response, Neeraj Avinash Puro

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The following essays examine the financial distress in acute care hospitals in the United States. The first essay examines the accuracy of prediction models of financial distress, the second explores the factors associated with financial distress and the third essay examines organizational response to financial distress. The first essay compares the predictive ability of three financial distress prediction models: modified Altman Z score (1993), Ohlson O score (1980) and Zmijewski (1984) to more accurately predict financial distress in U.S acute care hospitals. Building on the first essay, the second essay uses the most accurate predictive model to examine acute care …


The Reductive Stress Reducto-Mir: Emerging Insight Into Microrna-671, Justin Michael Quiles Jan 2019

The Reductive Stress Reducto-Mir: Emerging Insight Into Microrna-671, Justin Michael Quiles

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Excessive accumulation of reactive oxygen and nitrogen species (ROS/RNS) promotes cardiac pathophysiology. Although extreme oxidative burden is cytotoxic, ROS/RNS are continually generated within multiple domains of cardiac myocytes, and these species play fundamental roles in signal transduction through reversible thiol oxidation. Nuclear factor, erythroid 2 Like 2 (Nfe2l2/NRF2) is activated by ROS/RNS and binds cis regulatory antioxidant response elements (AREs) to induce the expression of a host of thiol oxidoreductases which regulate signaling events at the post-translational, transcriptional and epigenetic levels. Although oxidative stress has been linked to cardiac disease, adaptive processes in the heart require reduction-oxidation (redox) reactions as …


Determination Of The Role Of Smu_833 In The Fitness And Virulence Of Cariogenic Streptococcus Mutans, Katherine Lynn Rainey Jan 2019

Determination Of The Role Of Smu_833 In The Fitness And Virulence Of Cariogenic Streptococcus Mutans, Katherine Lynn Rainey

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Dental caries, commonly known as tooth decay, is the most common infectious disease worldwide. The main etiological agent of dental caries is Streptococcus mutans which can readily form a biofilm on the surface of teeth and produce acids through the metabolism of dietary sugars, which is largely responsible for the demineralization and subsequent destruction of tooth enamel. In addition, S. mutans synthesizes extracellular glucosyltransferases (Gtfs) capable of breaking apart dietary sucrose and polymerizing the glucose subunits into the sticky glucan matrix of the biofilm, imperative for the formation of robust, three-dimensional biofilms. Currently used caries therapies are not species-specific and …


Quantifications Of Theranostic Polymer-Based Particles For Image-Guided Drug Delivery, Sithira Ratnayaka Jan 2019

Quantifications Of Theranostic Polymer-Based Particles For Image-Guided Drug Delivery, Sithira Ratnayaka

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Modern medicine employs many drugs in its disease treatment methods. This is because they provide the best permanent solutions to complicated ailments. However the usefulness of these drugs is mitigated by several factors, namely that of specific release. Common drug delivery mechanisms lack the specificity needed to ensure that release is limited to the diseased area, which can lead to unnecessary side effects. By utilizing medical imaging, both drug delivery devices and physiology can be observed by physicians, which can greatly increase the specificity of drug delivery. Specifically, utilizing a very inert medical imaging modality, such as ultrasound, guarantees minimum …


Impact Of Environmental Exposures On Respiratory Health, Lawrence Rasmussen Jan 2019

Impact Of Environmental Exposures On Respiratory Health, Lawrence Rasmussen

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Chronic obstructive pulmonary disease (COPD) is a leading cause of morbidity and mortality around the world. Cigarette smoking is a leading cause of COPD; similarly, individuals exposed to secondhand smoke (SHS) are also vulnerable to COPD and other airway diseases; however, distinct molecular mechanisms involved in SHS-induced lung effects that result in COPD are poorly understood. Mucociliary clearance (MCC) is a primary lung defense against inhaled particulate matter and pathogens. Thus, understanding how inhaled irritants such as SHS disrupt MCC will promote improved scientific understanding and better public health initiatives to prevent respiratory illnesses. Using a variety of in vitro …


Increasing Living Kidney Donation Through Advocacy And Patient Navigation, Rhiannon Deierhoi Reed Jan 2019

Increasing Living Kidney Donation Through Advocacy And Patient Navigation, Rhiannon Deierhoi Reed

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As the prevalence of kidney disease continues to increase in the United States, the gap between the need for organs and available kidney donors is growing as well. Deceased donor organs alone are insufficient to meet this need, and transplant centers have turned their focus to living donation to address the shortage. However, the frequency of living kidney donation has been declining in the US since 2004. Changes in the health of the US population have been suggested as one possible explanation for the decline, but currently these assertions remain anecdotal. A second theory with more published evidence attributes the …


Development And Validation Of A Recumbent Patient Weighing Scale, Kayla Rettig Jan 2019

Development And Validation Of A Recumbent Patient Weighing Scale, Kayla Rettig

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Today, most medications are administered according to a standard amount or based on the patient’s weight (weight-based). For emergency departments and emergency medical services, weight-based medications are difficult to administer as medical personnel do not have a means to obtain accurate patient weights. Paramedics generally rely on visual estimation for adults and height- or age-based estimation tools for children in order to obtain weight. Over the past year, a team of biomedical engineering students, including the present author, worked to design and fabricate a weighing device for in-ambulance use. This device consists of three separate scales, wired together as one, …


Uncovering The Role Of Women In Two Social Movements: The Intricacies Of Black Feminine Leadership, Ajanet Schauron Rountree Jan 2019

Uncovering The Role Of Women In Two Social Movements: The Intricacies Of Black Feminine Leadership, Ajanet Schauron Rountree

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ABSTRACT The historical conceptualization of social movements on the space-time continuum is often androcentric. Heavy reliance on male leadership perspectives negates the female point of view and creates what Marable labels an “idealized interpretation” that skirts the actual relationship between individuals and the evolution of history. This research is the deliberate recovery of the purposefully omitted while elucidating the intricacies of the leadership of Black women. It foregrounds and clarifies the leadership narratives of Black women who navigated the gendered and racialized spaces of their churches and communities in the struggle for civil and human rights during the Civil Rights …


Enhancing Work Zone Mobility Through Design And Control Of Lane Closures, Troyee Saha Jan 2019

Enhancing Work Zone Mobility Through Design And Control Of Lane Closures, Troyee Saha

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Work zones hinder mobility, affecting travelers and transportation agencies that are trying to ensure efficient traffic flow through work zones. A study by Wunderlich & Hardesty, 2002 reported that nearly 20% of the National Highway System roads have scheduled construction work during the peak construction season. Additionally, approximately 24% of non-recurring delays on freeways are caused by work zones. Given the time lost by travelers due to work zone induced traffic congestion, it is critically important to efficiently plan temporary traffic control (TTC) at work zones. However, earlier research conducted by Sisiopiku & Ramadan, 2017 confirms that the majority of …


High Efficiency, Fast Dynamic Response Sc Dc-Dc Converter For Battery Management System, Ruikuan Lu Jan 2019

High Efficiency, Fast Dynamic Response Sc Dc-Dc Converter For Battery Management System, Ruikuan Lu

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Batteries have always been considered as one of the important, reliable, light-weight, and ubiquitous energy sources in our daily lives. As battery technology has progressed, different types of battery controlling, monitoring, and supervising technologies are also being rapidly developed. Most of the modern portable electronic devices are battery-powered (lithium-ion batteries, solar cells, fuel cells, etc.). The charging and discharging of the batteries are normally based on DC-DC converter. Form converter structure, the switches and capacitors based converter without inductive components is widely applied. In addition, the switched-capacitor (SC) converters are typically integrated with a monolithic integrated circuit, the low-cost and …


Insuring Graduation: An Analysis Of The Association Between Student Health Insurance And Graduation, John Robert Lovett Jan 2019

Insuring Graduation: An Analysis Of The Association Between Student Health Insurance And Graduation, John Robert Lovett

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Most college students have access to basic health services through their campus’ college health program. Unfortunately, students who lack health insurance may be limited in their access to health services beyond the acute care provided, which may manifest in a myriad of adverse outcomes; ultimately resulting in withdrawal from college without graduating. Student health insurance plans (SHIPs) are high-quality, affordable insurance plans specially designed to meet this need. This study utilized survival analysis to examine the temporal nature of college graduation behavior, as it related to student health insurance status. The results of this study show no significant relationship between …


An Exploratory Study Of The Influence Of Perceived Organizational Support, Coworker Social Support, The Nursing Practice Environment, And Nurse Demographics On Burnout In Palliative Care Nurses, Marcia Ann Lowe Jan 2019

An Exploratory Study Of The Influence Of Perceived Organizational Support, Coworker Social Support, The Nursing Practice Environment, And Nurse Demographics On Burnout In Palliative Care Nurses, Marcia Ann Lowe

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AN EXPLORATORY STUDY OF THE INFLUENCE OF PERCEIVED ORGANIZATIONAL SUPPORT, COWORKER SOCIAL SUPPORT, THE NURSING PRACTICE ENVIRONMENT, AND NURSE DEMOGRAPHICS ON BURNOUT IN PALLIATIVE CARE NURSES MARCIA A. LOWE SCHOOL OF NURSING ABSTRACT Burnout, a condition characterized by emotional exhaustion, depersonalization, and decreased personal accomplishment, has been studied in many disciplines in healthcare, including nursing, medicine, and social work. Working with palliative care patients and their families is innately challenging and may predispose nurses to burnout. The purpose of this study is to examine the influence of perceived organizational support (POS), coworker social support, the nursing practice environment, and nurse …


Biopsychosocial Correlates Of Pain In Youth With Eosinophilic Esophagitis: A Comparison To Other Pediatric Patients, Mary Kenna Lynch Jan 2019

Biopsychosocial Correlates Of Pain In Youth With Eosinophilic Esophagitis: A Comparison To Other Pediatric Patients, Mary Kenna Lynch

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EoE is a chronic, clinico-pathological, esophageal disease with symptoms that include dysphagia, reflux, vomiting, feeding aversion, and epigastric pain. Diagnosis requires clinical symptom presentation and histologic findings of eosinophil-predominant inflammation of the esophagus. While the pediatric patient’s epigastric pain is predictive of their quality of life, little is known about their pain experience. Through two studies, the pain experience, sleep quality, and internalizing symptoms of youth with Eosinophilic Esophagitis (EoE) have been examined. Through individually evaluating each of these factors as well as testing their relations with each other, the model proposed by Lynch and colleagues (2015) to understand the …


Healthcare Cybersecurity: Building A Cyber Vulnerability Profile For U.S. Hospitals, Gemini O. Majkowski Jan 2019

Healthcare Cybersecurity: Building A Cyber Vulnerability Profile For U.S. Hospitals, Gemini O. Majkowski

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Digital transformation in healthcare has offered exponential advances in capabilities and efficiencies improving access, quality of care, chronic disease management, public health surveillance, and population health. However, the speed of change left security lagging, exposing cyber vulnerabilities that cost the U.S. $6.2 billion dollars annually, at an average cost of $2.2 million dollars, and 3,128 records breached per incident. Despite significant investments to close the gap on cyber vulnerabilities, cybersecurity remains a critical issue. Little research has been done to build a cyber vulnerability profile for U.S. hospitals. In this study, U.S. hospitals with reportable breach and without reportable breach …


Light Transmission And Wear Of Translucent Zirconia After Conventional And Fast Sintering Cycle, Anvita Maharishi Jan 2019

Light Transmission And Wear Of Translucent Zirconia After Conventional And Fast Sintering Cycle, Anvita Maharishi

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ABSTRACT Introduction: Zirconia is classified by the mole percentage of yttria contained in the zirconia. The most strong and opaque material contains 3 mol % yttria, intermediate strength and opacity contain 4 mol %, and whereas 5 mol % is the weakest but most translucent zirconia. Refined zirconia powder is pressed into a mold to form a disc which is then milled to form a restoration. Post milling of sintered zirconia restorations is necessary to obtain final mechanical and physical properties of the restoration. Traditionally conventional sintering cycles required 6-8 hours to sinter. Whereas, fast sintering cycles have been have …


An Investigation Of Histocompatibility Testing And Mhc Class I In Xenotransplantation, Gregory Ryan Martens Jan 2019

An Investigation Of Histocompatibility Testing And Mhc Class I In Xenotransplantation, Gregory Ryan Martens

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In the United States, hundreds of thousands of patients suffer from end-stage organ failure or terminal diseases without the option of a life-saving transplant because of severe organ shortages. Xenotransplantation offers a possible solution by using genetically engineered pigs as organ donors. Application of pig-to-human organ transplantation has been limited by antibody-mediated rejection (AMR), but recent genetic engineering advances have eliminated pig glycan xenoantigens and dramatically reduced antibody binding. In human-to-human transplantation, allotransplantation, AMR is prevented by pretransplant screening donors and recipients. The major histocompatibility complex (MHC), class I and II, are primary targets for antibodies and may also bind …


Appropriately Timed Epigenetic Manipulation With Histone Deacetylase Inhibitors As A Platform Approach To Tumor Immunotherapy, Tyler Mccaw Jan 2019

Appropriately Timed Epigenetic Manipulation With Histone Deacetylase Inhibitors As A Platform Approach To Tumor Immunotherapy, Tyler Mccaw

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In contrast to chemotherapy and radiotherapy, immunotherapy is able to respond in proportion to tumor burden and continue to evolve in parallel with the tumor mass and metastatic sites. In this way, immune-based cancer therapies are a living drug and hold enormous potential. In this work, we enforce expression of MHCII on a murine breast cancer model to study how changes in tumor biology can drive improved T cell-mediated responses. We next use histone deacetylase inhibitors to manipulate the microenvironment through a more clinically relevant, therapeutic approach. Herein, improvements in tumor control were driven by CD8 T cells and IFNγ, …


Occupational Therapy Students’ Perceptions Of Individuals With Mental Illness Before And After A Service-Learning Experience, Valley Mccurry Jan 2019

Occupational Therapy Students’ Perceptions Of Individuals With Mental Illness Before And After A Service-Learning Experience, Valley Mccurry

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Service-learning is a pedagogical approach that allows occupational therapy students to engage in experiential learning with individuals who have mental illness. Perceptions of individuals with mental illness are influenced by factors such as societal stigma. Stigma is present among allied health professionals and students, including occupational therapy students, which may influence provision of care. In order to assess occupational therapy students’ level of comfort with the mental health population, this study used a convergent mixed methods approach to evaluate how students’ personal beliefs and self-efficacy changed after a service-learning experience at a homeless shelter. The study explored occupational therapy students’ …


Endothelial N-Glycan Hypoglycosylation Enhances Cd16+ Monocyte Adhesion: A Role For Alpha-Mannosidases, Kellie Regal Mcdonald Jan 2019

Endothelial N-Glycan Hypoglycosylation Enhances Cd16+ Monocyte Adhesion: A Role For Alpha-Mannosidases, Kellie Regal Mcdonald

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Monocyte extravasation through the endothelial layer is a hallmark of atherosclerotic plaque development and is mediated by heavily glycosylated surface adhesion molecules, such as intercellular adhesion molecule-1 (ICAM-1). Human monocytes have been classified into three distinct groups: classical (anti-inflammatory; CD14+/CD16-), nonclassical (patrolling; CD14+/CD16++), and intermediate (pro-inflammatory; CD14++/CD16+). The CD16+ nonclassical / intermediate monocytes have been implicated in atherosclerosis progression and their levels positively associate with adverse cardiac events. However, there is a relative lack of understanding as to whether there are distinct mechanisms that regulate CD16+ vs. CD16- monocyte adhesion to the inflamed endothelium. Our previous data identified a high-mannose …


Transition Into Adulthood: Cannabis Use And Mental Health, Katie Mcintyre Jan 2019

Transition Into Adulthood: Cannabis Use And Mental Health, Katie Mcintyre

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The US is currently experiencing sweeping changes in the legal status of cannabis, the most common illicit drug used in America. Due to its classification as a Schedule I substance we know very little about how cannabis use impacts mental health since illicit drugs are not legally allowed to be researched in a laboratory setting. The current research on cannabis use (CU) and mental health (MH) is expansive and conflicting. One side of the debate suggests CU in adolescence has a direct effect on MH, the other side suggests CU could be an indirect coping mechanism of poor MH. One …


Amyloid And White Mater Hyperintensity Burden In The Stroke Belt, Emily Carol Mckinley Jan 2019

Amyloid And White Mater Hyperintensity Burden In The Stroke Belt, Emily Carol Mckinley

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Several large cohort studies have found associations between residence in the Stroke Belt and cognitive impairment as well as dementia mortality; however, the rela-tionship between residence in the Stroke Belt and buildup of amyloid has not been estab-lished. The current project assessed the association between residence in the Stroke Belt and amyloid burden, amyloid accumulation, or white matter hyperintensities (WMH) in a large, national cohort of older US residents. The first study used linear regression models to examine the relationship between geographic residence and Centiloid values. Residence in the Stroke Belt at the time of baseline amyloid PET assessment was …