Digital Commons Network^™

Predicting Treatment Outcomes Of An Inpatient Substance Abuse Program For Adolescents : A Study Of The Mmpi-A Negative Treatment Indicator Scale, Makenya R. Pringle

Electronic Theses and Dissertations

No abstract provided.

Synthesis And Bioactivity Of Erythromycin Derivatives, Mingwei Chen

Electronic Theses and Dissertations

No abstract provided.

Using An Importance-Performance Analysis Of Summer Students In The Evaluation Of Student Health Services., Candice Cline Duvernois

Electronic Theses and Dissertations

Hitherto, students have not evaluated the importance and performance of services provided by the student health service (SHS) at East Tennessee State University. An evaluation could provide valuable feedback to providers and administration.

In 2001, there were 944 student visits in the summer sessions. Approximately 256 students were offered a survey containing an Importance-Performance scale of which 151 (59.0%) responded. The I-P scale rates the importance students place on healthcare services and the performance of the SHS in delivering services (i.e., patient satisfaction).

Based on mean scores, students reported high importance, high performance on urgent care, pharmacy and patient education. …

Antibiotic Resistance: Multi-Drug Profiles And Genetic Determinants., Lashan Denise Taylor

Electronic Theses and Dissertations

Antimicrobial susceptibility profiles were assembled for isolates of Moraxella catarrhalis collected from the Mountain Home Veteran's Affairs Medical Center (VAMC) clinical laboratory in Johnson City, Tennessee. The goal of the study was to identify isolates for genetic characterization using comparisons of susceptibility profiles. Isolates of Moraxella catarrhalis collected from July 1984 through 1994 were analyzed for β-lactamase production using a Cefinase disk assay.

A multi-drug profile consisting of 11 β-lactam antibiotics was performed on the 41 M. catarrhalis isolates. Kirby Bauer disk assays were performed for 7 cephalosporin and 4 non-cephalosporin antibiotics.

In summary, 2 observations implicate more complex resistance …

Antimicrobial Compounds From Aquatic And Marine Organisms, Ira Rajbhandari

Electronic Theses and Dissertations

No abstract provided.

Role Of Mitogen-Activated Kinases In Cd40-Mediated T Cell Activation Of Monocyte/Macrophage And Vascular Smooth Muscle Cell Cytokine/Chemokine Production, Denise M. Milhorn

Electronic Theses and Dissertations

This dissertation represents efforts to determine the functional consequences acquired by vascular smooth muscle cells (SMC) in response to CD40 ligation by activated CD154+ T cells, and to elucidate components of the signaling pathway(s) activated in response to CD40 signaling in both monocytes and SMC. To study the consequences of CD40 stimulation, primary human monocytes and aortic SMC were treated with plasma membranes purified from CD154 + , CD4+ T cells. The results presented in this dissertation demonstrate that SMC, like monocytes/macrophages, are capable of interacting with T cells in a manner that results in reciprocal activation events. SMC were …

Tnf(Alpha)-Dependent And Tnf(Alpha)-Independent Activation Of Macrophage Effector Function, Annette R. Clemons-Miller

Electronic Theses and Dissertations

Tumor necrosis factor α (TNFα) is a pleiotropic cytokine that is predominantly produced by activated macrophages. The effects of TNFα are as diverse as the cells with which it interacts, e.g., stimulating fibroblast growth, exerting cytotoxic/cytostatic; activity against various human and murine cell lines, promoting inflammation through upregulation of endothelial adhesion molecules and IL-8 production. Yet TNFα is best known, and in fact was originally described, for its role in the bacterial-induced hemorrhagic necrosis of tumors and exacerbation of septic shock in which aberrant TNFα production leads to vascular collapse, cachexia, multiple organ failure, and ultimately death in as many …

Development And Validation Of A High Performance Liquid Chromatographic Method Of Analysis For Artemisinin And Select Analogs Using An Evaporative Light Scattering Detector / By Krishna Kumar Venkatesh, Krishna Kumar Venkatesh

Electronic Theses and Dissertations

No abstract provided.

Understanding Cultural Influences On The Descriptive Language Of Pain, Alice Christine Chaney

Electronic Theses and Dissertations

No abstract provided.

Cd40-Mediated Signaling Of Interleukin-1(Beta) Synthesis And Rescue From Apoptosis In Monocytes: Modulation By Il-4 And Il-10, Jonathan C. Poe

Electronic Theses and Dissertations

To date, the cellular mechanisms involved in the progression of diseases characterized by chronic inflammation, such as rheumatoid arthritis (RA), remain largely unknown. However, cell-to-cell contact interactions between CD4+ helper T (Th) cells and monocytes have been implicated in the induction and maintenance of pro-inflammatory cytokine synthesis that is characteristic to the pathogenesis of RA. One such cytokine produced during monocyte-Th cell contact is interleukin (IL)-1 β, a mediator directly involved in the characteristic tissue destruction that occurs in the synovia of individuals with RA. Previous studies in our laboratories have shown that ligation of CD40 on monocytes with CD40 …

Information Technologies In Community Pharmacy Practice, Donna Sue West

Electronic Theses and Dissertations

No abstract provided.

Beliefs And Behaviors Associated With Vitamin Supplementation, Gail L. Heimer

Electronic Theses and Dissertations

No abstract provided.

Moraxella (Branhamella) Catarrhalis: A Molecular Epidemiology Study, Lyndell R. Gill

Electronic Theses and Dissertations

Moraxella (Branhamella) catarrhalis is the third-most-frequently isolated microorganism associated with acute exacerbations of chronic bronchitis in patients during their stay at the Mountain Home VA Medical Center (MHVAMC). In order to develop a practical, epidemiologically-meaningful typing method for M. (B.) catarrhalis, we tested two methods based on analysis of chromosomal DNA for typeability, reproducibility, and ability to differentiate between unrelated strains (discriminatory power, D). M. (B.) catarrhalis isolants from MHVAMC from 7/1/87-6/30/88 were grown overnight in broth and embedded in agarose. DNA was isolated by standard methods. The DNA was subjected to: (1) restriction endonuclease digestion (with either Bgl II …

Granny Midwives : Grandmother To Nurse Midwives, Emily Susan Coe

Electronic Theses and Dissertations

No abstract provided.

Massage And S-Iga Levels In Healthy Individuals, Robert Fulda

Electronic Theses and Dissertations

No abstract provided.

Role Of The Cd40-Cd40 Ligand Interaction In Cd4(+) T Cell Activation Of Monocyte Interleukin-1 Synthesis, David H. Wagner

Electronic Theses and Dissertations

Most studies of the induction of cytokine synthesis in monocytes have used an exogenous triggering agent such as Lipolpoysaccharide (LPS). However, during nonseptic chronic inflammatory responses (e.g., rheumatoid arthritis) monocyte activation occurs as a result of T cell generated signals. This report demonstrated that plasma membranes from anti-CD3 activated peripheral CD4$\sp{+}$ T cells (Tm$\sp{\rm A}$) but not from resting CD4$\sp{+}$ cells (Tm$\sp{\rm R}$) induced monocytes to synthesize IL-1 in the absence of costimulatory cytokines. The expression kinetics of the molecule(s) unique to activated T cells which interact with monocyte receptors to induce IL-1 demonstrated that optimal expression occurred at 6h …

Nitric Oxide Production: A Mechanism For Inhibition Of Chlamydia Trachomatis Replication, Bojun Chen

Electronic Theses and Dissertations

Chlamydia trachomatis (CT) replicates in macrophages, but is inhibited by IFN-$\gamma$ or LPS. IFN-$\gamma$ and/or LPS induced nitrite production in mouse peritoneal macrophages, macrophage cell lines (RAW264.7 and J774A.1) and McCoy cells. Kinetic studies indicated that peak production occurred 48 hours post-treatment. CT infection itself was insufficient to induce nitrite production, but resulted in enhancement of nitrite production in IFN-$\gamma$-treated cells. Treatment with IFN-$\gamma$ or LPS resulted in significant inhibition of CT replication in these cells. Strong correlation between nitrite production and inhibition of CT replication was observed in RAW264.7 and J774A.1 cells (correlation coefficients: $-$0.93 and $-$0.94, p $<$ 0.001). N$\sp{\rm g}$- monomethyl-L-arginine (L-NMMA) specifically inhibited nitrite production and partially reversed inhibition of CT replication in macrophage cell lines. NOS mRNA was measured in RAW264.7 cells by Northern blot and Dot blot hybridization. Strong correlation between NOS mRNA expression and inhibition of CT replication (correlation coefficient: $-$0.97, p $<$ 0.05) was observed. Anti-TNF-$\alpha$ antibody completely neutralized the biological activity of TNF-$\alpha$ secreted by LPS-treated RAW264.7 cells, yet the antibody neither reduced nitrite production nor restored CT replication. Combination of the antibody and L-NMMA significantly enhanced restoration of CT replication. In peritoneal macrophages, inhibition of CT replication induced by IFN-$\gamma$ was partially restored by L-NMMA or anti-TNF-$\alpha$ antibody. In McCoy cells, inhibition of CT replication induced by IFN-$\gamma$ and LPS was not significantly restored by L-NMMA. Great restoration of CT replication by 1 mM L-NMMA was observed in LPS-treated J774A.1 cells (31%), but not in IFN-$\gamma$-treated cells (5%). Our data indicate that (1) NO production is one of the mechanisms for inhibition of CT replication in IFN-$\gamma$-activated peritoneal macrophages and RAW264.7 cells; (2) NO plays a significant role in CT inhibition in LPS-treated macrophage cell lines, but not peritoneal macrophages; (3) TNF-$\alpha$ may be associated with inhibition, but the mechanism(s) may not involve NO production; (4) NO production may not be the mechanism for CT inhibition in McCoy cells treated with IFN-$\gamma$ and LPS.

A Molecular Basis For Erythromycin Sensitivity And Resistance In Escherichia Coli, Harold S. Chittum

Electronic Theses and Dissertations

The effect of erythromycin on the 50S ribosomal subunit during cell growth has been extensively investigated. Sucrose density gradient analysis of ribosomes formed in the presence and absence of the drug revealed a 50S specific assembly defect is partially responsible for erythromycin's inhibitory effects on wild type cells. Examination of two erythromycin-resistant mutants of E. coli (N281 and N282) revealed that mutant N281 (L22 mutant) but not N282 (L4 mutant) was assembly defective in the presence of the drug, although only at much higher drug concentrations (300 ug/ml vs. 75 ug/ml for wild type cells). The altered genes from each …

Mechanisms Of T Cell-Mediated Macrophage Activation: Role Of Antigen Specific And Antigen Nonspecific Cognate Interactions, Xiang Tao

Electronic Theses and Dissertations

Macrophages play an important role in host antimicrobial immunity and in non-septic inflammatory reactions. Most studies on macrophage activation have focused on the roles of the T cell-produced cytokine, interferon-$\gamma$ (IFN$\gamma)$ and bacterial product, lipopolysaccharide (LPS). T cell-macrophage interaction is a critical step in initiating both specific and nonspecific immune responses to antigenic stimulation. The current study examines the role of cognate T cell-macrophage interaction in activation of macrophage effector functions and induction of macrophage early activation gene expression. Viable resting T$\sb{\rm H}$2 clone cells can activate IFN$\gamma$-primed macrophages to produce reactive nitrogen intermediates (RNI) or express cytostatic activity. The …

Probing Protein-Protein Interactions Among Proteins Of A Nonaggregated Fatty Acid Synthetase From Euglena Gracilis Variety Bacillaris, Sande G. Williams

Electronic Theses and Dissertations

Enoyl-acyl carrier protein (ACP) reductase from chloroplast nonaggregated fatty acid synthetase (FAS) of Euglena gracilis variety bacillaris was purified to a single band on a denaturing polyacrylamide gel. The enzyme was partially characterized with respect to substrate specificity, reduced nucleotide requirement, and the effect of ACP and Ca$\sp{++}$ on enzyme activity. Antibodies against the purified protein were raised in hens and isolated from eggs. ACP was purified from Euglena in yields of about 1mg/100g (wet weight) of cells. Antibodies were raised against the purified protein. ACP antibodies inhibited the Euglena chloroplast FAS using Euglena or E. coli ACP as a …

An Evaluation Of Selected Sulfonamide-Polyvinylpyrrolidone Coprecipitates, Mahesh Kumar Krishnan

Electronic Theses and Dissertations

No abstract provided.

Synthesis Of Bcd-Ring Analogs Of K-76 As Potential Complement Inhibitors, Eliazar Ouma Karan

Electronic Theses and Dissertations

No abstract provided.

Preliminary Epidemiological Interpretation Of The Intrinsic And Extrinsic Factors Contributing To The Coverage And Participation Rates Of The Vaccination Program In Arssi, Ethiopia, Muchie Kidanu

Electronic Theses and Dissertations

Many immunization programs in developing countries arr now undergoing a period of rapid utilization. Innovative strategies, such as immunization holidays, are being tried. Political commitment and enthusiasm are high. There is a strong desire by health professionals to protect the lives of many children from the untimely death and/or disability resulting from infectious diseases preventable by vaccination.

Evaluation of an immunization program can benefit other elements of the health system, particularly those that are not amenable to objective evaluation as immunization. In this case, immunization can serve as an indicator of the overall performance of the health system. The problems …

The Status Of Home Intravenous Therapy Instruction In Pharmacy Curricula And Development Of A Didactic Course In Home Intravenous Therapy For Pharmacy Undergraduates, Mary Ruth Monk

Electronic Theses and Dissertations

No abstract provided.

A Survey Of The Pharmacist's Role In Home Health Care Agencies In Four Southeastern States, Carol Della Phelps

Electronic Theses and Dissertations

No abstract provided.

Comparison Of Complication Rates Between Continuous Versus Intermittent And Isotonic Versus Hypertonic Enteral Tube Feedings, Zona Gail Finney

Electronic Theses and Dissertations

No abstract provided.

The Relationship Between Selected Social And Environmental Factors And Cancer Mortality By Planning District In South Dakota, 1960-1980, Mansour Haghighatian

Electronic Theses and Dissertations

This paper investigated the association between selected social and environmental factors and age and sex-specific cancer mortality by planning district in South Dakota for 1960 to 1980. Social factors included median family income, percent of families in poverty, education, and urbanization. Environmental factors included herbicide use, pesticide use, and fertilizer use. Selected demographic variables, such as age, sex, and race were uses as control variables. Modernization theory was chosen as ·the conceptual framework. It was asserted that as the United States industrialized, standard of living also rose, and a shift from communicable diseases to degenerative illnesses as major causes of …

Direct Pharmacist Involvement In Antibiotic Therapy As A Potential Cost Savings Activity, R. G. Mclester

Electronic Theses and Dissertations

No abstract provided.

A Comparative Analysis Of The Lethality Of Technical Grade Fenvalerate And The Fenvalerate Formulation Pydrin / By Emily Gay Williamson, Emily Gay Williamson

Electronic Theses and Dissertations

No abstract provided.

The Effect Of Age On The Sensitivity Of Cell Cultures To Clostridium Difficile Toxin, Jo Anne Tichota-Lee

Electronic Theses and Dissertations

Clinical microbiology laboratories performing C. difficile toxin assays usually elect to maintain only cell lines shipped from suppliers. In this study, four cell lines, primary human foreskin (HFS), Chinese Hamster Ovary (CHO-Kl), HEp-2, and WI-38 were tested for sensitivity to the effects of C. difficile cytotoxin. The influence of the age of the culture and duration of the assay, 4 versus 24 hours, was also examined. Twenty-eight positive and 13 negative patient specimens were tested. Tubes of cells were inoculated at ages of 3,4,5,6,7,9, and 14 days and examined for cytopathic effects at 4 and 24 hours post inoculation. The …