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The Effect Of Integrative Medicine Interventions On Patient Activation Measure, Rochelle F. Richards Jan 2022

The Effect Of Integrative Medicine Interventions On Patient Activation Measure, Rochelle F. Richards

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Activated patients believe they have essential roles in achieving and maintaining their health. Patient activation is strongly related to improved clinical outcomes (Hibbard, 2017; Greene, 2013). The study’s primary purpose is to evaluate the use of Integrative Medicine Interventions (IMIs) and their relationship to patient activation levels; and to investigate the association between IMI protocols and patient activation levels on patient reported outcomes (PROs) for those with chronic diseases, specifically chronic fatigue and mental health-related conditions of anxiety and depression, using the principles of Integrative Medicine’s (IM) whole-person approach as the model of care in independent IM practices across the …

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Multilevel Influences On Physical Activity Participation In Rural And Cancer Populations With Obesity, Nashira Inika Brown Jan 2022

Multilevel Influences On Physical Activity Participation In Rural And Cancer Populations With Obesity, Nashira Inika Brown

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espite the strong evidence of physical activity benefits, the prevalence of physical inactivity and associated obesity continues to increase. Rural and cancer survivor populations with obesity, in particular, remain highly inactive and are at increased risk of comorbidities. Thus, physical activity interventions are needed to promote active lifestyles. However, before developing or adapting existing multi-level physical activity interventions, more research is needed to understand the necessary components to meet the needs and preferences of these unique populations. Therefore, this project involved identifying the gaps in literature followed by three studies to investigate the multilevel influences on physical activity in rural …

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Exploring The Influence Of Family History Before And After Type 2 Diabetes Development Through Statistical Analysis Of Biomarkers And An Educational Intervention, Jessica Johnson Denton Jan 2022

Exploring The Influence Of Family History Before And After Type 2 Diabetes Development Through Statistical Analysis Of Biomarkers And An Educational Intervention, Jessica Johnson Denton

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The prevalence of type 2 diabetes is increasing at an alarming rate in both children and adults worldwide. Timely identification of those at risk for type 2 diabetes is essential to reduce morbidity and mortality and to mitigate the toll on families and the healthcare system. Family history is an effective, universal tool that can be used to identify individuals at risk for type 2 diabetes before they acquire additional risk factors. Understanding how family history contributes to biomarkers associated with diabetes in healthy individuals could facilitate the creation of early screening and prevention strategies designed for this specific at-risk …

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An Evaluation Of The In Vitro Antibacterial, Biocompatibility, And Mineralization Properties Of Six Calcium Silicate-Based Pulp Capping Materials, Taimy Cruz Hondares Jan 2022

An Evaluation Of The In Vitro Antibacterial, Biocompatibility, And Mineralization Properties Of Six Calcium Silicate-Based Pulp Capping Materials, Taimy Cruz Hondares

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Purpose: The purpose of this study was to evaluate the antibacterial activity, biocompatibility, and mineralization-inducing potential of calcium silicate-based pulp capping materials. Methods: Six contemporary calcium silicate-based pulp capping materials were compared in this study, including ProRoot MTA, MTA Angelus, Biodentine, EndoSequence, NeoMTA 2 and NeoPutty. The antibacterial effects of these materials against Streptococcus mutans UA159 and Enterococcus faecalis ATCC 29212 were determined by the agar-diffusion assay and the direct culture test. The biocompatibility and mineralization-inducing potential of these materials in preodontoblastic 17IIA11 cells were compared by the MTT assay and by evaluating alkaline phosphatase activity and calcium deposits, respectively. …

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Dear Former Phenom, Meredith Beretta Jan 2022

Dear Former Phenom, Meredith Beretta

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Dear Former Phenom is a collection of essays and poems covering my life as a female athlete in America, beginning when I was a small child and continuing to my retirement after my senior year as a collegiate student-athlete. As it stands, the collection is incomplete. This current version contains the core memories and the foundation of my discussion. This collection tells the story of my failure to reach my full potential as an athlete. It is the story of me constantly achieving higher and higher achievements, awards, accolades, and praise until I didn’t anymore. Until there was no one …

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The Potential Roles Of Broccoli Sprouts (Bsp) And Green Tea Polyphenols (Gtps) In Prevention Of Mammary Cancer, Itika Arora Jan 2022

The Potential Roles Of Broccoli Sprouts (Bsp) And Green Tea Polyphenols (Gtps) In Prevention Of Mammary Cancer, Itika Arora

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Cancer is one of the leading causes of death in the United States. Based on the American Cancer Society statistics, in 2021 1,806,590 new cancer cases and 605,520 cancer deaths are projected to occur in the United States. Amongst all, breast cancer (BC) is one of the most prevalent cancers that occurs in women. Various lifestyle factors such as alcohol intake, smoking, an unhealthy diet and physical inactivity may result in increased rates of BC risks (cancer-transition) by inducing mutations in DNA. Numerous epidemiological studies indicate that a diet rich in green tea polyphenols (GTPs), and/or cruciferous vegetables such as …

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A 15-Year Retrospective Analysis On After-Hours Dental Emergencies In A Children's Hospital Setting, Alexandra An-Yen Chen Jan 2022

A 15-Year Retrospective Analysis On After-Hours Dental Emergencies In A Children's Hospital Setting, Alexandra An-Yen Chen

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Dental emergencies are one of the most common oral health complications and can exhibit a detrimental impact on a child’s physical and psychological development; additionally, it may impose economic challenges for the family. Purpose: The purpose of this study was to analyze the after-hours dental emergency visits in the past 15 years at the Children’s of Alabama (COA) Hospital Emergency Department. Methods: A retrospective chart review between January 2007 and December 2021 was conducted. Patients’ demographics, type of dental complaint, and management were evaluated for overall characteristics in the 15 years and trends in 5-year increments. The impact of the …

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A Pilot Mixed Methods Study Examining Factors Affecting Return To Work Among African American Stroke Survivors, Kristin D. Ashley Jan 2022

A Pilot Mixed Methods Study Examining Factors Affecting Return To Work Among African American Stroke Survivors, Kristin D. Ashley

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BACKGROUND: Stroke is a highly prevalent and disabling condition among African Americans. Although there is limited research regarding barriers and facilitators to return to work among stroke survivors, evidence suggests that African American stroke survivors return to work (RTW) less frequently than Caucasians. Most of the research on this topic has been conducted in European countries, leaving significant knowledge gaps on RTW among African Americans in the United States. The purpose of this study was to identify factors that affect RTW for African American stroke survivors and then build upon those results to better understand facilitators and barriers to RTW. …

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Mice With Ghrh Deficiency Are Resistant To The Detrimental Health Effects Of High Fat Diet, Joseph Jablonsky Jan 2022

Mice With Ghrh Deficiency Are Resistant To The Detrimental Health Effects Of High Fat Diet, Joseph Jablonsky

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According to our previous study, mice with a CRISPR/Cas9 mediated deletion of the GHRH gene have decreased bodyweight, respiratory exchange ratio (RER), energy expenditure compared to wild type animals, and increased insulin sensitivity and enhanced longevity. Calorie restriction enhances lifespan and delays multiple aging related phenotypes; however it is not known how these animals respond to nutritional stressors such as high fat diet (HFD) during the aging process. We subjected 18 month old GHRH-/- male and female mice to a high fat diet to determine differences in response to HFD in aged animals. After HFD exposure, GHRH-/- mice have increased …

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Teacher Perception, Experience, And Attitudes On Student Achievement In A Title I High School In Central Alabama, Marvin Augusta Carter Jan 2022

Teacher Perception, Experience, And Attitudes On Student Achievement In A Title I High School In Central Alabama, Marvin Augusta Carter

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The purpose of this study was to share the lived experiences of teachers regarding how they supported student achievement in a Title I high school. After almost 60 years of Title I initiatives, the achievement gap between students in poverty and other more affluent students has not changed in any statistically significant manner (Jimenez-Castellanos, 2010). Due to the lack of academic growth for students in Title I schools as compared to students in non-Title I schools, parents, policymakers, and other stakeholders have increased pressure on educators and educational researchers to identify student achievement barriers and implement the use of effective …

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Role Of Dietary Compounds On Modulation Of Epigenetic Mechanisms And Gut Microbiota In Prevention Of Breast Cancer, Manvi Sharma Jan 2022

Role Of Dietary Compounds On Modulation Of Epigenetic Mechanisms And Gut Microbiota In Prevention Of Breast Cancer, Manvi Sharma

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Breast cancer is the second leading causes of mortality among women living in the United States, representing a major public health issue. The current chemoprevention therapies can result into various adverse effects. Therefore, the use of dietary bioactive compounds has been of great interest due to their safer, non-toxic and efficacious properties. Sulforaphane (SFN) is an isothiocyanate found in various cruciferous vegetables such as broccoli sprouts (BSp) and green-tea polyphenols (GTPs) contain a major polyphenol, (-)-epigallocatechin-3-gallate (EGCG). These compounds have been shown to exhibit several anticancer properties especially as an epigenetic modifier. We investigated the efficacy of BSp or GTPs …

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The Influence Of Sleep Duration And Sleep Efficiency On Abdominal Adiposity And Blood Pressure In Adolescents Ages 16 To 18 Who Participated In The Cleveland Children's Sleep And Health Study: A Secondary Data Analysis, Shameka Rodgers Phillips Jan 2022

The Influence Of Sleep Duration And Sleep Efficiency On Abdominal Adiposity And Blood Pressure In Adolescents Ages 16 To 18 Who Participated In The Cleveland Children's Sleep And Health Study: A Secondary Data Analysis, Shameka Rodgers Phillips

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Introduction: Abdominal adiposity and blood pressure (BP) are two major modifiable risk factors for cardiovascular disease (CVD), the leading cause of death in the world. The impact of abdominal adiposity and BP on health, particularly CVD, begins in childhood. Older adolescents tend to have the highest prevalence of abdominal adiposity and BP in the pediatric population. Despite interventions like diet and exercise, the prevalence of excess abdominal adiposity and elevated BP continues to increase during late adolescence. Evidence suggests that sleep duration and sleep efficiency impact abdominal adiposity and BP in adults and the pediatric population, but limited studies have …

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Tissue Engineered Cardiac Muscle Patches With Human Pluripotent Stem Cells Enhance The Repairing Efficacy Of Infarcted Cardiac Muscle In Mouse Model, Xi Lou Jan 2022

Tissue Engineered Cardiac Muscle Patches With Human Pluripotent Stem Cells Enhance The Repairing Efficacy Of Infarcted Cardiac Muscle In Mouse Model, Xi Lou

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Myocardial infarction (MI) remains one of the major contributors to heart failure, which can lead to death, and there has been a lack of effective treatments so far. Human pluripotent stem cells (hPSCs) have been found to be an encouraging candidate for MI treatment. But it is facing challenge of low engraftment, limited integration of transplanted cells with host myocardium. To enhance the therapeutic efficacy of stem cell therapy of MI treatment, two approaches have been explored: 1)The first approach was to overexpress N-cadherin (CDH2), a cell-cell adhesion molecule, in human induced pluripotent stem cell-derived cardiomyocytes (CDH2-hiPSC-CMs), and examine its …

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Characterizing The Role Of Tissue-Specific Retinol Dehydrogenases, Kelli Rae Goggans Jan 2022

Characterizing The Role Of Tissue-Specific Retinol Dehydrogenases, Kelli Rae Goggans

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The bioactive form of vitamin A, retinoic acid is essential for development, cellular differentiation, epigenetic modifications, the immune system, and a variety of other processes due to its ability to regulate over 500 genes through activation of nuclear receptors. While many studies have focused on characterizing the biosynthesis and signaling of retinoic acid in embryogenesis, few have focused on adult tissues. Recent research has identified a novel retinol dehydrogenase, retinol dehydrogenase epidermal 2 (RDHE2), and shown RDHE2 is a potent, physiologically relevant retinol dehydrogenase in Xenopus. The work in this dissertation characterizes RDHE2 in mammalian models. We identify a paralog …

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History Of Allergy, Atopy, Infectious And Autoimmune Disease And Risk Of Multiple Myeloma, Tony B. Zbysinski Jan 2022

History Of Allergy, Atopy, Infectious And Autoimmune Disease And Risk Of Multiple Myeloma, Tony B. Zbysinski

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Multiple Myeloma (MM) is a plasma cell malignancy, which is defined in part by antibodies and complexes of immunoglobulin (Ig) heavy and light chains (IgH and IgL). Previous associations of immune-stimulating conditions such as allergic, autoimmune, and infectious conditions and the risk of multiple myeloma (MM) are inconsistent. However, these studies were conducted in populations of European ancestry, leaving the possibility that these conditions may contribute to the excess risk of plasma cell proliferative disorders observed among Black Americans. Therefore, we assessed MGUS, a precursor condition to myeloma, and MM risk related to a history of allergy, atopy, infections and …

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Telehealth High-Intensity Interval Exercise And Cardiometabolic Health In Spinal Cord Injury, Jacob Adams Jan 2022

Telehealth High-Intensity Interval Exercise And Cardiometabolic Health In Spinal Cord Injury, Jacob Adams

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BACKGROUND: Recent studies have shown that high intensity interval training (HIIT) can improve cardiometabolic health in individuals with spinal cord injury (SCI). Individuals with SCI experience a wide array of barriers to participate in exercise such as lack of time, accessible equipment, and transportation. It is imperative to identify modes of exercise that provide effective health benefits and are accessible while requiring low time commitment. Studies have demonstrated that HIIT has similar positive improvements in cardiometabolic health with 20% of total time commitment compared to moderate intensity exercise (MIT) in short term studies. OBJECTIVES: The purpose of this study is …

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Instructional Leadership During Modern Crises: A Phenomenological Study Of A Pandemic In The Modern Age, Larry Bradley Robertson Jan 2022

Instructional Leadership During Modern Crises: A Phenomenological Study Of A Pandemic In The Modern Age, Larry Bradley Robertson

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Significant research exists concerning crisis management in schools; however, educational leaders were unprepared for the COVID-19 pandemic (Bratianu & Bejinaru, 2021; Diliberti et al., 2020; Tomasik et al., 2020). This crisis was different from any experienced in modern times. It impacted the entire world in terms of politics, economics, education, and way of life. New issues emerged due to the necessity for schools to implement remote learning. Among those issues were online learning, the disparity of the haves and have nots among students, social and emotional well-being of students, learning loss, and the role of the educator (Martinez & Broemmel, …

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The Requirement Of Transcriptional Lim Complex Co-Regulators For Pancreatic Endocrine Cell Development And Function, Eliana Davi Toren Jan 2022

The Requirement Of Transcriptional Lim Complex Co-Regulators For Pancreatic Endocrine Cell Development And Function, Eliana Davi Toren

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The prevalence and tremendous impact of diabetes mellitus has made glucose regulation of the insulin-producing -cell and surrounding pancreatic islet of Langerhans a center of public and research interests alike. A comprehensive understanding of these hormone-producing cells begins with their developmental origins. What are the genetic cues and participants in the tightly orchestrated process of their formation? Investigating the earliest determinants of islet-cell fate not only allows us to deeply understand mature - and islet-cell function, but also produces a data-driven template for how these cells can be reproduced in future stem-cell based diabetes therapies. LIM transcriptional complexes are indispensable …

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Examining Family Health Through Family-Centered Care Within An Organizational Context, Bria Kathryn Morgan Jan 2022

Examining Family Health Through Family-Centered Care Within An Organizational Context, Bria Kathryn Morgan

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Introduction: Family health is characterized as a multi-dimensional process that is shaped by a number of social determinants. Similar to individual health, various domains work in conjunction and intersect to produce family health. Family-centered care is one of the many ways that healthcare providers can support health, however, little is known about if and how it is beneficial for family health. Considering the relevance of an organizational context, this study seeks to understand the delivery of care within an organization and providers’ perceptions of family-centered care. Data/Methods: Using the case of the Ronald McDonald House, this study integrates qualitative content …

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Nutrition Practices And Body Composition In Infants Born Preterm, Maggie Jerome Jan 2022

Nutrition Practices And Body Composition In Infants Born Preterm, Maggie Jerome

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Adequate nutrition and optimal growth are critical goals of clinical care for premature infants in the NICU due to rapid brain growth and development that occur during this time. Emerging evidence suggests that body composition in preterm infants is predictive of neurodevelopmental and metabolic outcomes later in childhood. The objective of this dissertation is to investigate factors affecting premature infant growth and body composition, including high enteral protein supplementation, nutrition during the first two weeks of life, and race of infants born at 22-32 weeks gestational age admitted to the UAB NICU. In a pilot study, 56 preterm infants were …

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Exploring The Influence Of Psychosocial Stress And Inflammatory Properties Of The Diet On Cardiometabolic Risk And Gut Microbiome Health Among Young Adult Women Of Birmingham, Alabama, Rachel Olivia Knight Jan 2022

Exploring The Influence Of Psychosocial Stress And Inflammatory Properties Of The Diet On Cardiometabolic Risk And Gut Microbiome Health Among Young Adult Women Of Birmingham, Alabama, Rachel Olivia Knight

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Concerning trends for obesity, diabetes, heart attacks, and obesity-related cancers, or cardiometabolic disease (CMD), are developing within the emerging and young adult/adulthood (EYA) population. Evidence supports the concept that chronic stress leads to physiologic dysregulation, reduced mental health, chronic diseases, and reduced longevity; however, these are not inevitable outcomes, and resilience or vulnerability is determined by interacting environmental and biobehavioral factors. Although CMD manifests clinically in older adulthood, disease pathophysiology begins earlier, and thus, EYA is a critical time for observation and intervention. Growing evidence indicates inflammation is a major risk factor in CMD development and may be exacerbated by …

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Health Disparities In Cardiometabolic Risk Among African American And European American Adults, Catharine A. Couch Jan 2022

Health Disparities In Cardiometabolic Risk Among African American And European American Adults, Catharine A. Couch

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African American (AA) individuals are disproportionately burdened by cardiometabolic disease, including type 2 diabetes (T2D) and cardiovascular disease (CVD), and associated risk factors. The objective of this dissertation research was to investigate pathophysiological and lifestyle contributors to racial disparities in cardiometabolic disease including beta-cell dysfunction, ectopic fat, the natriuretic peptide system, and diet. These first three risk factors, beta-cell dysfunction, ectopic fat, and the natriuretic peptide system, were explored in a cross-sectional study of young AA and European American (EA) adults. The fourth risk factor, diet, was explored in a large, national cohort of black and white adults. First, we …

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Il-22 Mediated Host Defense During Attaching-Effacing Pathogen Infection, Baiyi Cai Jan 2022

Il-22 Mediated Host Defense During Attaching-Effacing Pathogen Infection, Baiyi Cai

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Intestinal infections are a cause of morbidity and mortality worldwide and remain a public threat. Interleukin (IL)-22 is central to host immune responses in the intestine during infection and inflammation. IL-22 can be produced by both innate and adaptive immune cells, yet their relative contributions to host protection remain unclear. Here we demonstrated the specific role and mechanism for IL-22 from innate and adaptive sources to protect the host. Using the Citrobacter rodentium (C.r) model, we found that IL-22 from innate cell, protect the host during early infection. IL-22 induces epithelial production of polymorphonuclear neutrophils (PMN) recruiting chemokine CXCL1, CXCL2 …

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Self-Efficacy In Pulmonary Rehabilitation, Erica Anderson Jan 2022

Self-Efficacy In Pulmonary Rehabilitation, Erica Anderson

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the fourth leading cause of death in the United States, Chronic Obstructive Pulmonary Disease (COPD) is a major contributor of morbidity and mortality. The disease is characterized by chronic irritation and inflammation of the airways. The most common symptoms include chronic cough and shortness-of-breath. Pulmonary rehabilitation is a comprehensive exercise and education program for people with lung disease. It is well-established as an intervention to improve symptoms and other qualityof- life outcomes in people with COPD. Self-efficacy is the belief in one’s own abilities. It is recognized by the American Thoracic Society and European Respiratory Society as an integral part …

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Distinct Clinical Manifestations Associated With Autoantibodies And Cytokines In Systemic Lupus Erythematosus, Fatima K. Alduraibi Jan 2022

Distinct Clinical Manifestations Associated With Autoantibodies And Cytokines In Systemic Lupus Erythematosus, Fatima K. Alduraibi

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Objective: Systemic lupus erythematosus (SLE) is a chronic autoimmune disease characterized by production of autoantibodies (autoAbs) and cytokines. Moreover, lupus nephritis (LN) occurs in approximately 50% of SLE patients. AutoAb and cytokine levels produced by B and T cells are high in LN patients, although their relationship with histological patterns requires investigation. Methods: We analyzed the relationship between B cell cytokines and major T cell cyto-kines, including their association with autoAbs, and the clinical manifestations of SLE, especially LN. We also analyzed endogenous intracellular interferon beta (IFNβ) expression in the peripheral blood mononuclear cells and serum circulating nephritogenic autoAbs from …

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Efficacy Of Lower Incisor Intrusion Using Clear Aligners, Cason Roberson Jan 2021

Efficacy Of Lower Incisor Intrusion Using Clear Aligners, Cason Roberson

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Objective: The primary objective of this study is to evaluate pre and posttreatment lateral cephalometric radiographs on patients treated with Invisalign by the same orthodontist where lower incisor intrusion was prescribed and to determine the amount of true lower incisor intrusion achieved during treatment. Methods: This retrospective case series study included 48 patients with an overbite exceeding 2mm, who were treated with Invisalign clear aligner therapy, and whose Clincheck treatment plan included lower incisor intrusion. The mean age of the study group was 27 years with 14 (29%) of the subjects being male and 35 (71%) being female. The mean …

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Statistical Methods For Evaluating Confounding In Nutritional Epidemiology: Examining The Association Of Dietary Measures And Incident Type 2 Diabetes, Stephanie E. Tison Jan 2021

Statistical Methods For Evaluating Confounding In Nutritional Epidemiology: Examining The Association Of Dietary Measures And Incident Type 2 Diabetes, Stephanie E. Tison

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Nutrition is a key factor in the development of noncommunicable diseases (NCDs) such as cardiovascular disease, diabetes, obesity, and cancer, which are continuing to increase globally. Research on dietary patterns is crucial for informing what aspects of diet are most critical for preventing and possibly reversing chronic disease. Dietary patterns focus on the types of food that are consumed which reflects the complexity and cultural aspects of diet rather than focusing on a single food or nutrient. Observational cohort studies are able to observe typical dietary intake and thus better reflect the real association between diet and chronic disease. In …

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Pain Among Older Adults With Cancer-Results From The Cancer And Aging Resilience Evaluation (Care) Registry, Mustafa Al Obaidi Jan 2021

Pain Among Older Adults With Cancer-Results From The Cancer And Aging Resilience Evaluation (Care) Registry, Mustafa Al Obaidi

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Purpose: The impact of pain on functional status and mental health among older adults with cancer is a relevant, yet understudied issue. Our aim of this study sought to identify prevalence of pain at diagnosis in older adults with cancer and evaluate the association with functional status limitations, cognition, and mental health issues. Methods: This study included patients diagnosed with cancer at age ≥60 enrolled in the CARE Registry at University of Alabama at Birmingham. Patients completed a patient-reported geriatric assessment at the time of their initial visit with a medical oncologist. Pain measured in numeric rating scale from 0-10. …

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Nutritional And Metabolic Effects Of Elexacaftor/Tezacaftor/Ivacaftor In Adults And Adolescents With Cystic Fibrosis, Julianna Bailey Jan 2021

Nutritional And Metabolic Effects Of Elexacaftor/Tezacaftor/Ivacaftor In Adults And Adolescents With Cystic Fibrosis, Julianna Bailey

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Background: Since malnutrition is a main clinical consequence of CF, a high-calorie, high-fat diet is recommended. Highly effective cystic fibrosis transmembrane conductance regulator (CFTR) modulators promote improved growth and weight gain in subsets of the CF population. Recently Elexacaftor/Tezacaftor/Ivacaftor (ETI) was approved for use in up to 90% of people with CF. Our single center open-label observational cohort study aimed to explore the changes in dietary and metabolic outcomes with use of ETI. Methods: Participants underwent baseline (V1) measurements prior to taking their first dose of ETI. Follow-up measurements were obtained at 28 days (V2) on ETI and > 6 months …

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Cardiovascular Disease Risk In Head Neck Squamous Cell Carcinoma Patients: Using Electronic Medical Records Data, Amrita Mukherjee Jan 2021

Cardiovascular Disease Risk In Head Neck Squamous Cell Carcinoma Patients: Using Electronic Medical Records Data, Amrita Mukherjee

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The objective of my dissertation research was to assess burden of cardiovascular disease (CVD) risk factors in Head Neck Squamous Cell Carcinoma (HNSCC) patients and to determine the association of traditional CVD risk factors and HNSCC-related factors with incident CVD outcomes. For this clinical cohort study, I analyzed electronic medical records (EMR) and tumor registry data on HNSCC patients diagnosed between January 2012 and December 2018 at UAB hospital and O’Neal Comprehensive Cancer Center. First, I assessed prevalence and incidence of traditional CVD risk factors at HNSCC diagnosis (baseline) and at one-year post HNSCC diagnosis, respectively. Then I determined the …

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