Digital Commons Network^™

Interleukin-6 Production And Epithelial Cell Signaling By Telomerase Immortalized Gingival Keratinocytes In Porphyromonas Gingivalis Infection., Himabindu Vuddaraju

Electronic Theses and Dissertations

P. gingivalis is a major periodontal disease causing pathogen. Gingival epithelial cells being the first line of defense, interact and internalize the bacteria evoking a cell signaling response that finally leads to the release of cytokines. IL-6 is a potent pro- inflammatory cytokine, which is one of the responsible factors for bone resorption, a clinical manifestation of periodontitis. The experimental model study hypothesizes that P. gingivalis infection increases the production of IL-6 in telomerase immortalized gingival keratinocytes (TIGKs) through up-regulation of c-Jun (AP-1 reporter). We observed the IL-6 production post-infection with P. gingivalis WT ATCC33277 and mutants ?0482, ?Ndk and …

Regulation Of Macrophage Inflammatory Signaling Pathways By Amp-Activated Protein Kinase., Yanfang Zhu

Electronic Theses and Dissertations

AMP-activated protein kinase, AMPK, is a conserved serine/threonine kinase with a critical function in the regulation of metabolic pathways in eukaryotic cells. Recently, AMPK has been shown to play an additional role as a regulator of inflammatory activity in leukocytes. Treatment of macrophages with chemical AMPK activators, or forced expression of a constitutively active form of AMPK, results in polarization to an antiinflammatory phenotype. Additionally, we reported previously that stimulation of macrophages with antiinflammatory cytokines such as IL-10, IL-4 and TGF-ß results in rapid activation of AMPK, suggesting that AMPK contributes to the suppressive function of these cytokines. In the …

Quality Of Primary Care From The Patient Perspective In Saudi Arabia : A Multi-Level Study., Khalid Awad Alahmary

Electronic Theses and Dissertations

Objectives: To assess primary care performance for measures of patients’ experience in Community-based Primary Care (CPC) and Employer-based Primary Care (EPC) systems in Saudi Arabia, to examine variations in performance across the two systems, and to explore factors at both the individual-level and the organizational-level that explain variations in primary care performance. Design and Methods: This is an observational and cross-sectional study, using comparative design and survey research methods. The newly revised and re-translated Arabic version of the Primary Care Assessment Survey (PCAS) was used to measure patients’ experience of primary care. PCAS operationalizes the IOM definition of primary care, …

Early Detection And Control Of Potential Pandemics., Shengpeng Jin

Electronic Theses and Dissertations

Over the centuries, human beings have been inflicted with a variety of contagious diseases, resulting in tens of millions of respiratory illnesses and deaths worldwide. Early detection of disease spread facilitates timely responses that can greatly reduce its impact on a population. Therefore, this early information is a major public health objective and is crucial for policy makers and public health officials responsible for protecting the public from the spread of contagious diseases. Current indicators of the spread of contagious outbreaks lag behind its actual spread, leaving no time for a planned response. The studies of Christakis et al. in …

Sa-4-1bbl As A Platform To Develop Adjuvant Systems For Prophylactic And Therapeutic Vaccines., Gunes Dinc 1984-

Electronic Theses and Dissertations

Vaccines against infectious diseases are one of the most critical accomplishments in modern medicine. Despite significant progress in vaccinology, there is still a dire need for developing vaccines against various acute and chronic infections and cancer. In general, vaccines are categorized as prophylactic, given to healthy individuals to prevent disease, and therapeutic, administered to people who already have disease. As such, the nature, quality, and quantity of immune responses required for the efficacy of these two types vaccines are different. Prophylactic vaccines against infectious diseases primarily rely on the generation of neutralizing high titers of antibody for their efficacy. These …

Dietary Counseling Practices And Perceived Barriers Among Utah Dental Hygienists, Natalie F. Carlson

Electronic Theses and Dissertations

Diet related factors are associated with the 2 most prevalent oral diseases- caries and periodontal disease. Furthermore, there is growing evidence of a synergistic link between nutrition, systemic health, and oral health. Regardless of this evidence and in spite of recommendations by dental associations, researchers have shown the majority of dental professionals are consistently excluding nutritional screenings and dietary counseling in their dental services. The purpose of this study was to examine the nutritional screening and dietary counseling practices of Utah dental hygienists and to evaluate possible associations between various factors influencing the implementation of nutritional services. Surveys were collected …

Evaluation Of Key Components Of Draft Guidelines For The National Weather Service Tsunamireadytm Community Program, Colleen Scott

Electronic Theses and Dissertations

The National Tsunami Hazard Mitigation Program partnered with the National Weather Service (NWS) in 2000 to create the TsunamiReady^TM (TR) Community program. TR is designed to help communities in coastal areas plan and prepare for tsunamis. To achieve TR recognition communities must meet certain criteria including specific emergency planning and management actions within the categories of mitigation, preparedness, response, and recovery.

This study’s purpose was to evaluate the acceptability and usefulness of key components of a proposed revised set of TR Community program guidelines. Research was guided by the Elaboration Likelihood Model (ELM) using Community Based Participatory Research methods …

Beyond Donors And Dollars: An Ethnographic Case Study Of International Aid And Its Agents In Mozambique, Carly Amanda Santoro

Electronic Theses and Dissertations

In Mozambique, international non-governmental organizations (INGOs) work mainly in Mozambique's rural areas, with programs dedicated to the prevention of infectious diseases, education, access to food and clean water, gender equity, and many other concerns. Yet despite these efforts, Mozambican populations are critical of NGOs' missions and practices, and Mozambique remains one of the poorest countries in the world. To explore these issues concerning contradictions in aid in Mozambique, I employ the concept of cultural capital, which refers to cultural practices, perspectives, and beliefs in relation to one's ability to access symbolic and material goods. My thesis examines the degree to …

The Genetics Of Conservation Translocations: A Comparison Of North American Golden Eagles (Aquila Chrysaetos Canadensis) And Bald Eagles (Haliaeetus Leucocephalus), Maria Wheeler

Electronic Theses and Dissertations

In the past half-century, two raptors with similar life histories, bald eagles (Haliaeetus leucocephalus) and golden eagles (Aquila chrysaetos canadensis) were the subjects of either broad-scale reintroduction or translocation projects in North America. These two different conservation approaches provided the framework for a retrospective natural experiment. The goal of my research was to determine the effects of these two conservation management approaches on the genetic population structure of each species. Methods included sequencing cyt b mtDNA and genotyping 10 microsatellite loci for contemporary and historic golden eagles and bald eagles. Contemporary samples were collected from captive and wild birds, and …

An Ethical Justification For Post-Trial Access To Anti-Retroviral Drugs For Participants And Host Populations In Developing Countries: A Global Justice Perspective, Evaristus Chiedu Obi

Electronic Theses and Dissertations

The pandemic nature of HIV/AIDS in developing countries engenders global health emergency which establishes the urgent need to address the issue of affordable access to anti-retroviral drugs in developing countries. The dissertation discusses an ethical justification for post-trial access to anti-retroviral drugs for participants and host populations in developing countries within the context of global justice, stressing the combination of national and global responsibilities in realizing this objective. Drawing on the strengths of Rawls's statist and Pogge's cosmopolitan theories and on the International Human Rights Law, the dissertation proposes a paradigm of Global Health Justice involving a sliding scale of …

The Search For Novel Antibiotic Compounds Through Molecular Modeling And Structure-Function Analysis Of Cspe In E. Coli K12, Andre Duane Samuel

Electronic Theses and Dissertations

Escherichia coli K12 has the capacity to express nine Csp (Cold shock-related protein) gene products (CspA-I). These proteins share between 29 and 83 percent identity in their amino acid sequences and only one, CspA, has a solved crystal structure. One of the Csps shown to be involved in chromosome condensation is a 6.3 kDa protein called CspE and deletion studies of its homologues in Bacillus subtilis show that at least one of the Csp proteins is required for cell viability. All of the Csp proteins studied to date bind to single stranded nucleic acids. Knowing that at least one of …

Dopamine Transporter (Dat), Nicotinic Acetylcholine Receptor (Nachr), And Metabotropic Glutamate Receptor 2 (Mglu2) Irreversible Probes For Identifying Anti-Psychostimulant Therapeutics, Shaili Aggarwal

Electronic Theses and Dissertations

Numerous in vitro and in vivo studies implicate that certain ligands that interact with DAT, nAChRs, and mGlu2 have tremendous potential as anti-addiction therapeutics. However, understanding how these promising anti-addiction compounds interact with their major drug targets at the molecular level is limited because of the absence of human DAT, nAChRs, and mGlu2 x-ray crystal structures. This knowledge gap is important towards rationally designing new therapeutics for psychostimulant abuse and addiction. The objective of this research was to develop irreversible chemical probes based on promising anti-addiction lead compounds (i.e., pyrovalerone, bupropion, BINA, etc) to map their binding sites and poses …

Dopamine Transporter (Dat) And Metabotropic Glutamate Receptor 5 (Mglu5) Irreversible Probes For Identifying Anti-Psychostimulant Therapeutics, Ranganadh Velagaleti

Electronic Theses and Dissertations

Numerous behavioral studies indicate that dopamine transporter (DAT) inhibitors and metabotropic glutamate receptor 5 (mGlu5) negative allosteric modulators (NAMs) possess promising anti-addiction therapeutic properties. However, the lack of human DAT (hDAT) and mGlu5 X-ray crystal structures makes it difficult to understand how these promising anti-addiction compounds interact with their major drug targets at the molecular level. This knowledge gap represents an important problem towards rationally designing new therapeutics for numerous addiction disorders. The objective of this research was to develop irreversible chemical probes based on select DAT inhibitors and mGlu5 NAMs in order to map the corresponding binding sites and …

Childhood Growth In An Oneota Community: Examining Long Bone Growth Differences In The The Juveniles At Norris Farms 36, Whitney Broughton

Electronic Theses and Dissertations

Oneota migration into the central Illinois River valley around ad 1300 resulted in a number of different interactions with Mississippian groups. Milner and colleagues (1991) identified significant numbers of perimortem injuries at the Norris farms 36 cemetery, along with biological markers for poor health, such as cribra orbitalia and porotic hyperostosis. They suggested that the threat of violence may have forced the Oneonta at Morton village to limit subsistence activities to circumscribed areas close to the settlement, thereby reducing the resource base and negatively impacting the health of the community. However, recent research (Bengtson et al. 2012; Bengtson and O'Gorman …

Is Marital Status A Determinant Of Self-Monitoring Of Blood Glucose?, Jasmine Evelyn Dixon Jones

Electronic Theses and Dissertations

Glycemic control is one of the most important aspects of diabetes management and is necessary for the prevention or delay of complications associated with diabetes mellitus (DM). Self-monitoring of blood glucose (SMBG) is a technique used achieve glycemic control by revealing day-to-day changes in blood glucose levels. Since marriage protective effects have been shown for mortality, especially for men, it is useful to determine whether a similar relationship is found between marriage and SMBG. The purpose of this study is to examine whether marital status is a determinant of SMBG, when controlling for other variables, and whether marital status determines …

Host And Bacterial Determinants Of Staphylococcus Aureus Nasal Colonization In Humans, Gowrishankar Muthukrishnan

Electronic Theses and Dissertations

Staphylococcus aureus (SA), an opportunistic pathogen colonizing the anterior nares in approximately 30% of the human population, causes severe hospital-associated and community-acquired infections. SA nasal carriage plays a critical role in the pathogenesis of staphylococcal infections and SA eradication from the nares has proven to be effective in reducing endogenous infections. To understand SA nasal colonization and its relation with consequent disease, assessment of nasal carriage dynamics among a diverse population and determining factors responsible for SA nasal carriage have become major imperatives. Here, we report on an extensive longitudinal monitoring of SA nasal carriage in 109 healthy individuals over …

Antimicrobial Peptide Resistance And Immunomodulation By Hiv-1 Gp41, Matthew Wood

Electronic Theses and Dissertations

Fusion inhibitors are a class of antiretroviral drugs used to prevent entry of HIV into host cells. Many of the fusion inhibitors being developed, including the drug enfuvirtide (ENF), are peptides designed to mimic, and thereby competitively inhibit, the viral fusion protein gp41. An exception to this is a class of cyclic, cationic, antimicrobial peptides known as θ-defensins, which are produced by many non-human primates and exhibit broad-spectrum antiviral and antibacterial activity. Currently, the θ-defensin analog RC-101 is being developed as a microbicide to prevent sexual transmission of HIV-1. Understanding potential RC-101 resistance, and how resistance to other fusion inhibitors …

Pharmacists' Preparedness For Acute Medical Emergencies, James W. Parrett

Electronic Theses and Dissertations

Purpose/Objectives: This project studied how prepared community pharmacists are to respond to acute medical emergencies, as well as their perceived efficacy in addressing these situations. Specifically, it considered what training pharmacists have for responding to medical emergencies, what emergency medical equipment pharmacies have on-hand, the frequency that medical emergencies occur within pharmacies, and the types of emergencies encountered. It also measured self and collective efficacy of pharmacists in responding to medical emergencies within their pharmacy to determine if differences in self-efficacy or collective efficacy exist. Methods: This study utilized a cross-sectional, non-experimental, descriptive design via a self-administered, Internet-based survey distributed …

Hope And Low Level Literacy Of Haitians In Petit-Goave: Implications For Hope Theory And Adult Literacy Education, Donita Grissom

Electronic Theses and Dissertations

This cross-sectional study extended Snyder's Hope Theory (1991) by analyzing the difference in trait hope levels, pathway thinking, and agency thinking of pre-literate (no prior access to literacy) and non-literate (access to literacy, but little or no prior literacy education) Haitian adults. The data were derived from archival records of 135 students enrolled in Haitian-Kreyol adult literacy classes in Petit-Goave, Haiti. Mann-Whitney U results indicated that there were no significant differences in trait hope, pathway thinking, or agency thinking between the pre-literate and non-literate Haitian adults. Both groups reported average trait hope, average pathway thinking, and low agency thinking. Potential …

Mobile Phone Short Message Service (Sms) To Improve Malaria Pharmacoadherence In Zambia, Elinda Steury

Electronic Theses and Dissertations

Malaria significantly contributes to morbidity and mortality rates in Zambia. The currently accepted malaria treatment is artemisinin-based combination therapy (ACT); it is more than 97% effective when the regimen is strictly adhered to. However, the mean ACT adherence rate in sub-Saharan Africa is only approximately 38-48%. Poor pharmacoadherence remains a significant barrier to malaria control and elimination. The purpose of this study was to determine if adherence rates to a six-dose ACT antimalarial treatment differ between patients in Zambia who received short message service (SMS) reminders and those who did not. An experimental, randomized, controlled trial was conducted to collect …

Modeling Risk For Sexually Transmitted Infections In Women In A Court-Ordered Substance Treatment Program, Frances Deavers

Electronic Theses and Dissertations

Developing a comprehensive model of Sexually Transmitted Infection (STI) risk factors and their inter-relationships is vital to improving methods of risk identification and treatment delivery. The CDC posed three general categories that may serve as a framework for such a model: sexual network, individual behavior, and social/ structural risk. None of the extant risk models incorporate measures from all three categories. Additionally, none of these models, generally focused on individual behavior, use medical data on infection as their outcome variable. This is problematic because the ultimate outcome of infection is also influenced by sexual network and social/ structural variables, in …

Diet At Medieval Alytus, Lithuania: Stable Carbon And Nitrogen Isotope Analysis Of Bone And Dentin Collagen, Katie Whitmore

Electronic Theses and Dissertations

The Baltic region was a vibrant center of power and economic prosperity in medieval Europe; Lithuania in particular. Until now, little stable isotopic analysis has been utilized to assess diet in this region during this time period. The aim of this study was to undertake a preliminary assessment of the composition of diet at late medieval Alytus (late 14th to early 18th centuries) from bone (N=35) and dentin (N=38) collagen samples. The stable carbon isotopic data suggest a diet primarily comprised of C3 plants such as barley, rye, wheat, and flax, and animals consuming C3 plants. The stable nitrogen isotopic …

The Effects Of Elevated Total Dissolved Solids On The Behavior And Survival Of The Allegheny Mountain Dusky Salamander, Desmognathus Ochrophaeus, Megan M. Morrissey

Electronic Theses and Dissertations

Elevated total dissolved solids (TDS) have been found in streams in Pennsylvania primarily due to unconventional natural gas development (UNGD) and mine drainage. TDS is the concentration of dissolved salts in water. To understand the effects of TDS on amphibians, a semi-aquatic salamander (Desmognathus ochrophaeus exposed to synthetic solutions containing TDS up to 5,000 ppm. In an initial study, animals exposed to a solution of approximately 2,000 ppm TDS containing elevated sulfate experienced reduced survival and decreased locomotory activity. Follow-up studies were consistent with the hypothesis that elevated TDS had adverse effects on survival, but effects were not seen unless …

Optimization Models For Resource Allocation Under Perturbation., Dongxue Bridgeman 1986-

Electronic Theses and Dissertations

Optimization Models for Resource allocation are investing in how to make the best use of available but limited resources in order to achieve the best results. In strategic planning, resource allocation is a plan for using available resources, especially in the near future, to achieve the goals of the future. It is a process of allocating resources during the entire planning horizon and among the various units. Resource allocation plans can be decided by using mathematical programming. In this dissertation, the research has been focused on how to allocate resources in the uncertain environment. The mathematical programming formulations for the …

Health Service Utilization And Stigma Among Hiv-Positive Men-Who-Have-Sex-With Men (Msm) In Rural Appalachia, Roger L. Blackwell Jr

Electronic Theses and Dissertations

ABSTRACT

Health Service Utilization and Stigma among

HIV-Positive Men-Who-Have-Sex-With-Men (MSM) in Rural Appalachia

by

Roger Lee Blackwell

The world has now entered the third decade of the AIDS epidemic. Men-who-have-sex-with-men continue to be disproportionately affected by HIV/AIDS. The United States still struggles in its response to this ongoing crisis in many areas: disease prevention, treatment, and HIV related stigma, prejudice and discrimination. Much of the information reported on MSM living with HIV has come from urban population centers, but only a few studies have focused on HIV positive MSM living in rural areas. Therefore, the overall aim of this dissertation …

Mechanisms Of The Anti-Pneumococcal Function Of C-Reactive Protein, Toh B. Gang

Electronic Theses and Dissertations

Human C-reactive protein (CRP) increases survival of and decreases bacteremia in mice infected with Streptococcus pneumoniae. Such protection of mice against pneumococcal infection is seen only when CRP is administered into mice 6 hours before to 2 hours after the injection of pneumococci, but not when CRP is given to mice at a later time. Our first aim was to define the mechanism of CRP-mediated initial protection of mice against infection. It was proposed that CRP binds to phosphocholine (PCh) moieties present in the cell wall and activates the complement system on the pneumococcal surface that kills the pathogen. …

Cause And Impacts Of The Early Season Collapse Of Lilium Grayi (Gray’S Lily), On Roan Mountain, Tn/Nc, Russell J. Ingram

Electronic Theses and Dissertations

A population of the rare Southern Appalachian endemic species Lilium grayi, (Gray’s lily) Roan Mountain, TN/NC was monitored for 2 years to determine the cause and impact of an early season collapse. High concentrations of the Lilium spp. host-specific fungal phytopathogen, Pseudocercosporella inconspicua (G. Winter) U. Braun were associated with 19/20 symptomatic and 0/30 asymptomatic plants. Strength of the association between pathogen and disease and the replication of disease symptoms in 4/4 healthy hosts showed that P. inconspicua was the causal agent of the disease referred to as lily leaf spot. Disease had a severe impact on the population …

An Economic Evaluation Of Primary Care Behavioral Health In Pediatrics: A Case Study, Natasha B. Gouge

Electronic Theses and Dissertations

A barrier cited by primary care administrators in integrating behavioral health is financial risk. Fee-for-service billing mechanisms remain complex and there is little empirical guidance on cost-effective models. This study was an economic evaluation of an integrated care model in a pediatric private practice clinic. The study evaluated cost benefits by examining specific delivery indices such as concerns presented, time spent, billing codes used, and reimbursement received in regards to pediatric primary care visits by comparing days when an on-site Behavioral Health Consultant (BHC) was available versus Non-BHC Days. All 3 hypotheses were supported: 1) more patients were seen in …

Microsporidia Spore Adherence And Host Cell Infection In Vitro, Cory A. Leonard

Electronic Theses and Dissertations

Microsporidia infect invertebrate and vertebrate animals. Human pathogenic microsporidia are associated with severe disease in immunocompromised individuals, and mostly asymptomatic infection in the immunocompetent. Treatment options for microsporidiosis are limited, incompletely effective, and associated with toxicity. Furthermore, microsporidia infection of healthy individuals is poorly understood, and the consequences of asymptomatic infection have not been determined. Little is known about the molecular mechanisms of microsporidia infection, but such information is essential for the development of new therapies. Spores adhere to host cell surfaces in vitro. Our laboratory has focused on determining specific host cell and microsporidia spore surface participants in spore …

Bioengineering The Expression Of Active Recombinant Human Cathepsin G, Enteropeptidase, Neutrophil Elastase, And C-Reactive Protein In Yeast, Eliot T. Smith

Electronic Theses and Dissertations

The yeasts Pichia pastoris and Kluyveromyces lactis were used to express several recombinant human proteins for further biochemical characterization. Two substitution variants of recombinant human enteropeptidase light chain (rhEPL) were engineered to modify the extended substrate specificity of this serine protease. Both were secreted as active enzymes in excess of 1.7 mg/L in P. pastoris fermentation broth. The substitution variant rhEPL R96Q showed significantly reduced specificities for the preferred substrate sequences DDDDK and DDDDR; however, the rhEPL Y174R variant displayed improved specificities for these substrate sequences relative to all other reported variants of this enzyme. The neutrophil serine proteases human …