Digital Commons Network^™

Responding To A Community Tuberculosis Outbreak: Public Health Nursing Interventions, Deborah J. Swanson

Theses and Dissertations

The role of the public health nurse in responding to a tuberculosis (TB) outbreak is instrumental in controlling the disease and preventing further spread in a community. This paper focuses on the interventions carried out by public health nurses in Grand Forks, ND where a TB outbreak occurred from 20 IO until 2013 with a peak in cases identified in late 2012. The population affected had unstable housing, low socioeconomic status, and other risk factors for TB. A total of 26 adult and pediatric cases of TB were identified among a closely connected social network with multiple and prolonged exposures …

Development Of Novel Antifungal Peptides Based On A Natural Model Of Histatin-5 Peptide, Duy Tu Nguyen

Graduate Theses and Dissertations

Our research group is working toward the development of novel antifungal peptides based on a natural model of peptide histatin-5. Histatin-5 is found in human saliva and known to protect our body against oral infections by Candida species. Candidiasis, or an infection caused by Candida species, is considered one of the most medically important fungal infections worldwide. Blood stream infections caused by Candida species are the fourth leading cause of hospital-acquired fungal infections that is associated with high mortality rates and high costs of treatment. This study investigated the modes of action of histatin-5 with the use of one 16-mer …

Evaluation Of The Efficacy Of A Rat Agreement Based Reinforcement Procedure, Katherine B. Lalonde

Masters Theses

Since 2007, giant African pouched rats (Cricetomys gambianus) have been used successfullyfor detecting Tuberculosis (TB) positive patients.The rats are trained to detect TB-positive sputum samples through the use of operant conditioning techniques, in which an indicator response is rewarded with food. If the rats are to be used for first line screening of patients reinforcement could not be provided because the true status of the sample would be unknown. The present study evaluated the effects of a reinforcement-for-agreement procedure that could be used to reinforce indication responses when the true status of the sample is unknown. Four rats evaluated 100 …

Sepsis Bundled Care - An Early Goal Directed Therapy Application Study, Deven Arora

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Introduction: Septicemia is a severe disease affecting our healthcare system. A local hospital implemented a treatment protocol based on recent national standards to better treat this condition. The purpose of this study was to see if this protocol had any effect on patient outcomes in key variables. Methods: Pre and post design with pre-implementation (of the treatment protocol) sample group being all patients admitted to the Emergency Department (ED) at the test hospital with initial diagnosis of sepsis from May - October of 2012 while the post sample group was all patients admitted to the ED at the test hospital …

Virotech Patents, Viropiracy, And Viral Sovereignty, Peter K. Yu

Faculty Scholarship

Although there are many important intellectual property and public health developments in the United States, the domestic debate remains surprisingly disconnected from the international debate. To help bridge this disconnect, this Article discusses the interrelationship between intellectual property and public health in the context of communicable diseases. This type of disease is intentionally picked to highlight how developments abroad could easily affect what happens at home, and vice versa.

The first half of this Article recounts three distinct stories about viruses responsible for AIDS, SARS, and the avian influenza (H5N1). The first story focuses on the ongoing developments within the …

A Hybrid Agent-Based And Differential Equations Model For Simulating Antibiotic Resistance In A Hospital Ward, Lester Caudill, Barry Lawson

Department of Math & Statistics Faculty Publications

Serious infections due to antibiotic-resistant bacteria are pervasive, and of particular concern within hospital units due to frequent interaction among health-care workers and patients. Such nosocomial infections are difficult to eliminate because of inconsistent disinfection procedures and frequent interactions among infected persons, and because ill-chosen antibiotic treatment strategies can lead to a growth of resistant bacterial strains. Clinical studies to address these concerns have several issues, but chief among them are the effects on the patients involved. Realistic simulation models offer an attractive alternative. This paper presents a hybrid simulation model of antibiotic resistant infections in a hospital ward, combining …

Development And Evaluation Of Chitosan Particle Based Antigen Delivery Systems For Enhanced Antigen Specific Immune Response, Bhanuprasanth Koppolu

Graduate Theses and Dissertations

Particle-based vaccine delivery systems are under exploration to enhance antigen-specific immunity against safe but poorly immunogenic polypeptide antigens. Chitosan is a promising biomaterial for antigen encapsulation and delivery due to its ability to form nano- and microparticles in mild aqueous conditions thus preserving the antigenicity of loaded polypeptides. The objective of this work is to develop a chitosan particle based antigen delivery system for enhanced vaccine response. Chitosan particle sizes, which ranged from 300 nm to 3 ìm, were influenced by chitosan concentration, chitosan molecular weight and addition rate of precipitant salt. The composition of precipitant salt played a significant …

In Vitro Analysis Of Short Chain Fatty Acids And Human Fecal Microbiota Stimulated By Pectin Sources, Byungjick Min

Graduate Theses and Dissertations

As interest increases for colonic health, various studies have been conducted to investigate functional ingredients for host health and prevention of chronic disease in humans such as colon cancer and Type 2 diabetes. In particular dietary fiber has been reported to have beneficial effects on colonic health. More recently, dietary fiber has been categorized based on its characteristics and numerous studies have been conducted to determine correlations with chronic diseases. Pectin is a naturally occurring biopolymer that has been used in various applications for purposes of pharmaceutical and biotechnology. Pectin is a soluble dietary fiber and can be entirely fermented …

Periprosthetic Knee Infection: Ten Strategies That Work., Javad Parvizi, Md, Priscilla Ku Cavanaugh, Claudio Diaz-Ledezma

Department of Orthopaedic Surgery Faculty Papers

Periprosthetic joint infection (PJI) is one of the most serious complications following total knee arthroplasty (TKA). The demand for TKA is rapidly increasing, resulting in a subsequent increase in infections involving knee prosthesis. Despite the existence of common management practices, the best approach for several aspects in the management of periprosthetic knee infection remains controversial. This review examines the current understanding in the management of the following aspects of PJI: preoperative risk stratification, preoperative antibiotics, preoperative skin preparation, outpatient diagnosis, assessing for infection in revision cases, improving culture utility, irrigation and debridement, one and two-stage revision, and patient prognostic information. …

Can Inhibitor-Resistant Substitutions In The Mycobacterium Tuberculosis Β-Lactamase Blac Lead To Clavulanate Resistance?: A Biochemical Rationale For The Use Of Β-Lactam–Β-Lactamase Inhibitor Combinations, Sebastian G. Kurz, Kerstin A. Wolff, Saugata Hazra, Christopher R. Bethel, Andrea M. Hujer, Kerri M. Smith, Yan Xu, Lee W. Tremblay, John S. Blanchard, Liem Nguyen, Robert A. Bonomo

Chemistry Faculty Publications

The current emergence of multidrug-resistant (MDR) and extensively drug-resistant (XDR) tuberculosis calls for novel treatment strategies. Recently, BlaC, the principal β-lactamase of Mycobacterium tuberculosis, was recognized as a potential therapeutic target. The combination of meropenem and clavulanic acid, which inhibits BlaC, was found to be effective against even extensively drug-resistant M. tuberculosis strains when tested in vitro. Yet there is significant concern that drug resistance against this combination will also emerge. To investigate the potential of BlaC to evolve variants resistant to clavulanic acid, we introduced substitutions at important amino acid residues of M. tuberculosis BlaC (R220, A244, S130, and …

Population Occurrence And Pathogen Prevalence Of Lone Star Ticks (Acari: Ixodidae) Collected From Southeast Nebraska, Amanda C. Maegli

Department of Entomology: Dissertations, Theses, and Student Research

Lone star tick, Amblyomma americanum (L.), has recently become established in Nebraska; therefore, local biology, ecology, and tick-borne disease risk are not known. Research was conducted to determine monthly questing activity, establishment, and pathogenic microorganisms associated with the lone star tick in Nebraska.

Lone star tick populations were collected from May through August, 2012 in six sites in southeast Nebraska using carbon dioxide (CO₂) traps. A total of 747 adults, 3,076 nymphs, and 1,289 larvae were collected. Total ticks collected and monthly activity were significantly different for each site.

A semi-randomized sample of 251 adult ticks were selected …

Research: South Dakota State University, Winter 2013, Christie Delfanian, Matt Landwehr

State of Discovery South Dakota State University's Research Magazine

CONTENTS:

South Dakota expertise integral part of Landsat [Page] 1
West Nile: Researchers help public health officials combat West Nile virus [page] 2
Health care: arteries, corticosteroids, concussions, and preemies [Page] 4
Oilseeds [Page] 6
Undergraduate Research [Page] 8
Organ donation key to helping Native Americans on dialysis [Page] 10
Researchers meet challenge of increased competition: 2012 measurements [Page] 11

Development Of A Control Banding Method For Selecting Respiratory Protection Against Bioaerosols, Jacques Lavoie, Eve Neesham-Grenon, Maximilien Debia, Yves Cloutier, Geneviève Marchand

Rapports de recherche scientifique

La sélection d’un appareil de protection respiratoire contre les bioaérosols peut s’avérer une tâche complexe compte tenu de l’absence de valeurs limites d’exposition et de données toxicologiques, ainsi que des limites des techniques d’échantillonnage actuelles et de la grande diversité des bioaérosols. Dans ces circonstances, une méthode qualitative d’évaluation et de gestion du risque fournit une alternative aux méthodes quantitatives utilisées en hygiène du travail. Ce rapport propose un modèle de gestion graduée du risque pour le choix de la protection respiratoire contre les bioaérosols infectieux et non infectieux applicable à l’ensemble des milieux de travail et s’adressant aux hygiénistes …

Factors Associated With Parental Decision Making And Childhood Vaccination, Zuwen Qiu-Shultz

UNLV Theses, Dissertations, Professional Papers, and Capstones

In order to better understand factors affecting immunization status, logistic regression was used to assess the association of various socio-demographic factors and whether parents would have their child immunized if not a state mandate. Factors included in the study were race, household income, number of children in the household, number of adults in the household, if the child had a primary provider, if the child had a health check-up in the last twelve months, and medical insurance status of the child. The combined Nevada Kindergarten Health Survey Result of 2009-2010 (Year Two) and 2010-2011 (Year Three) conducted by the Nevada …

Development Of Novel Subunit Vaccine Against H5n1 Influenza, Lu Zhang

Graduate Theses and Dissertations

Influenza is a common infectious disease resulting from a frequently mutated RNA virus. Vaccination is currently the most effective method to prevent people from seasonal or pandemic influenza. The production of traditional egg-based influenza vaccine is time-consuming and provides limited effect against new strains. Therefore, it is necessary to develop a rapid method to produce influenza vaccines. We proposed a novel influenza vaccine based on the E.coli expression system. Hemagglutinin (HA) is the major target surface protein of influenza virus for vaccine development. In this study, we sub-cloned the HAs encoding gene into an E. coli expression vector; the signal …

Exile And Compassion: The Management Of Leprosy In The Cook Islands, 1925-95, Raeburn Lange

Pacific Studies

After its introduction to the northern Cook Islands in the nineteenth century, leprosy (Hansen's disease) gradually spread throughout the group and became a public health problem. This article traces the history of the disease and its management from the time when the colonial government ceased to rely only on the isolation of leprosy sufferers on islets with in the Cook group and began to supplement its internal control measures by sending many of the patients to Makogai in Fiji. The authorities' changing approaches to the control of leprosy in the group throughout the period are examined as a way of …

Quantifying Value In Public Health: Using Economic Methods To Analyze System Change, Theresa M. Green

Dissertations

In this time of economic downturn, it is becoming increasingly important for organizations, including those in public health, to “prove their worth,” to show the value in improvement strategies. Health agencies have learned to discuss impact in terms of health outcome and mortality/morbidity measures. However, it is critical that these impacts are also expressed in a way that shows cost-efficiency and economic benefit especially for promising, evidence-based public health interventions. Although several methods of economic evaluation including cost-effective analysis, cost-utility analysis, or cost-benefit analysis and return on investment (ROI) have been used in social sciences and health research, fewer examples …

Diagnosis And Acute Management Of Patients With Concussion At Children's Hospitals., Jeffrey D. Colvin, Cary Thurm, Brian M. Pate, Jason G. Newland, Matt Hall, William P. Meehan Iii

Manuscripts, Articles, Book Chapters and Other Papers

Objectives: To describe the number of hospital admissions for concussion at paediatric hospitals in the USA. To describe the use of imaging and medications for acute concussion paediatric patients.

Design: Cross-sectional study.

Setting: Children's hospitals participating in the Pediatric Health Information System in the USA during a 10-year period.

Patients: All emergency department (ED) visits and inpatient admissions with the primary diagnosis of concussion, defined as International Classification of Diseases, Ninth Revision, Clinical Modification codes for: (1) concussion, (2) postconcussion syndrome or (3) skull fracture without mention of intracranial injury with concussion.

Main outcome measures: The proportion of concussion patients …

Genome-Wide And Differential Proteomic Analysis Of Hepatitis B Virus And Aflatoxin B1 Related Hepatocellular Carcinoma In Guangxi, China, Lu-Nan Qi, Le-Qun Qi, Yuan-Yuan Chen, Zhao-Hong Chen, Tao Bai, Bang-De Xiang, Xiao Qin, Kai-Yin Xiao, Min-Hao Peng, Zhi-Ming Liu, Tang-Wei Liu, Xue Qin, Shan Li, Ze-Guang Han, Zeng-Nan Mo, Regina M. Santella, Cheryl Winkler, Stephen J. O'Brien, Tao Peng

Biology Faculty Articles

Both hepatitis B virus (HBV) and aflatoxin B1 (AFB1) exposure can cause liver damage as well as increase the probability of hepatocellular carcinoma (HCC). To investigate the underlying genetic changes that may influence development of HCC associated with HBV infection and AFB1 exposure, HCC patients were subdivided into 4 groups depending upon HBV and AFB1 exposure status: (HBV(+)/AFB1(+), HBV(+)/AFB1(-), HBV(-)/AFB1(+), HBV(-)/AFB1(-)). Genetic abnormalities and protein expression profiles were analyzed by array-based comparative genomic hybridization and isobaric tagging for quantitation. A total of 573 chromosomal aberrations (CNAs) including 184 increased and 389 decreased were detected in our study population. Twenty-five recurrently …

Spread Of Malicious Objects In Computer Network: A Fuzzy Approach, Bimal K. Mishra, Apeksha Prajapati

Applications and Applied Mathematics: An International Journal (AAM)

We propose an e-epidemic fuzzy SEIQRS (Susceptible-Exposed-Infectious-Quarantine- Recovered-Susceptible) model for the transmission of malicious codes in a computer network. We have simulated the result for various parameters and analyzed the stability of the model. The efficiency of antivirus software and crashing of the nodes due to attack of malicious code is analyzed. Furthermore, initial simulation results illustrate the behavior of different classes for minimizing the infection in a computer network. It also reflects the positive impact of anti-virus software on malicious code propagation in a computer network. The basic reproduction number R0 f and its formulation is also discussed.

The Effect Of Marriage On Stage At Diagnosis And Survival In Women With Cervical Cancer, Sanae El Ibrahimi

UNLV Theses, Dissertations, Professional Papers, and Capstones

Marriage is associated with improved health outcomes for many conditions. Married persons enjoy financial stability, social and emotional support, and tend to have better control of health risk behaviors compared to the unmarried. The marriage scene is changing continuously. Americans are marrying less or delaying the engagement to an older age. They are divorcing more, they choose cohabitation as an alternative to marriage, or engage in premarital relationships. As a consequence, barely half of Americans were married in 2011 compared to close to three quarters of Americans were married in the sixties. With the increase of the unmarried population - …

Staphylococcus Aureus Sara Regulates Inflammation And Colonization During Central Nervous System Biofilm Formation, Jessica N. Snowden, Matthew K. Beaver, Karen Beenken, Alexander R. Horswill, Tammy L. Kielian

Journal Articles: Pediatrics

Infection is a frequent and serious complication following the treatment of hydrocephalus with CSF shunts, with limited therapeutic options because of biofilm formation along the catheter surface. Here we evaluated the possibility that the sarA regulatory locus engenders S. aureus more resistant to immune recognition in the central nervous system (CNS) based on its reported ability to regulate biofilm formation. We utilized our established model of CNS catheter-associated infection, similar to CSF shunt infections seen in humans, to compare the kinetics of bacterial titers, cytokine production and inflammatory cell influx elicited by wild type S. aureus versus an isogenic sarA …

A Novel Mechanism Of Enhanced Susceptibility To Bacterial Pneumonia In Influenza-Infected Hosts, Hazem Elsayed Ghoneim

Theses and Dissertations (ETD)

Viruses such as influenza suppress host immune function by a variety of methods. This may result in a significant morbidity through several pathways, including facilitation of secondary bacterial pneumonia from pathogens such as Streptococcus pneumoniae. Lungresident alveolar macrophages (AMs) act as the first line of innate cellular immunity against respiratory bacterial pathogens, including pneumococcus. Therefore, they represent an attractive target for study Before investigating the impact of influenza infection on resident AMs, we first characterized different subsets of lung-resident macrophages in naïve mice using a novel in vivo labeling approach in conjunction with multicolor flow cytometric analysis and confocal microscopic …

Appraisal Of Antimicrobial Prescribing Practices Of Governmental And Non-Governmental Dentists For Hospitals In The Western Region Of Saudi Arabia, Sameer E. Al-Harthi, Lateef M. Khan, Hassan H. Abed, Huda M. Alkreathy, Ahmed S. Ali

Saudi Medical Journal

OBJECTIVE: To scrutinize the knowledge, attitude, and antimicrobial practices in Saudi Arabian Dentistry. METHODS: In this cross-sectional survey of dentists, a self-administered questionnaire comprising of 61 questions was dispersed to the participants randomly, which included their professional profile, awareness of the current scope of antimicrobial resistance, prescribing practice, frequency of antimicrobial prescription, and sources of continuing education of antimicrobials. The study took place in the Faculty of Dentistry, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia between February and April 2013. RESULTS: Knowledge and awareness concerning specific antimicrobials, with specific oral cavity lesion was 78% for the students and interns, …

The “Middle Place”: The Npr-A Impact Mitigation Program And Alaska’S North Slope, Shauna Woods

Alaska Law Review

The communities of Alaska's North Slope increasingly find themselves in a "middle place," stuck between a past to which they cannot return and a future that is fraught with uncertainty. Oil and gas development on Alaska's North Slope has resulted in environmental, cultural, and social changes that have adversely affected the communities in the area. At the same time, oil and gas leasing in the National Petroleum Reserve in Alaska, located on the North Slope, has created an important revenue source for helping those communities mitigate the impacts of development and augment their capacities for addressing future changes. In particular, …

On Head Lice And Social Interaction In Archaic Andean Coastal Populations, Bernardo Arriaza, Vivien Standen, Karl Reinhard, Aduto Araújo, Jörg Heukelbach, Katharina Dittmar

Karl Reinhard Publications

Archaic mummies from northern Chile were examined for the presence of Pediculus humanus capitis. The excellent preservation of mummies and louse nits/eggs permitted a study of the degree of head lice infestation. We studied 63 Chinchorro mummies (ca. 5000–3000 years B.P.) from the Arica-Camarones coast. An area of 2 cm × 2 cm on each mummy’s head was systematically inspected for louse nits/eggs. Hairs with nits/eggs and lice were collected and analyzed using optic and scanning electronic microscopy. About 79% (50/63) of the mummies resulted positive for pediculosis, with an average of 2.1 nits/ eggs/cm2 per positive individual. Microscopic …

Social Media For Supply Chain Risk Management, Xiuju Fu, Rick S. M. Goh, J. C. Tong, Loganathan Ponnanbalam, Xiaofeng Yin, Zhaoxia Wang, H. Y. Xu, Sifei Lu

Research Collection School Of Computing and Information Systems

With the rapid increase of online social network users worldwide, social media feeds have become a rich and valuable information resource and attract great attention across diversified domains. In social media data, there are abundant contents of two-way and interactive communication about products, demand, customer services and supply. This makes social media a valuable channel for listening to the voices from the market and measuring supply chain risks and new market trends for companies. In this study, we surveyed the potential value of social media in supply chain risk management (SCRM) and examined how they can be applied to SCRM …

Characterizing The Effect Of Dasatinib On Anti-Tumor Immune Response And Exploring The Potential Of Combining Targeted Therapy And Immunotherapy In A C-Kit Mutant Mastocytoma Model, Yan Yang

Dissertations and Theses (Open Access)

Targeted therapy and immunotherapy eradicate malignant cells through different mechanisms, and the strengths and weaknesses of these two approaches are potentially complementary. Therefore, the combination of molecular targeted drugs with immune- based therapies is considered an attractive approach for improving the therapeutic efficacy of cancer treatment. The mutation and amplification of the c-KIT proto- oncogene are associated with multiple different cancer types, and multiple c-KIT inhibitors have been tested clinically. In spite of some encouraging results using these agents, most patients with c-KIT mutant cancers still relapse due to drug resistance. This also demonstrates the inherent limitation of molecular targeted …

C-Jun N-Terminal Kinases Regulate Adenovirus-Mediated Autophagy And Antigen Presentation, Sarah R. Klein

Dissertations and Theses (Open Access)

Targeted immunotherapy with recombinant, oncolytic adenoviruses is under investigation for the treatment of cancer. Evidence indicates adenoviruses induce autophagy that is required for oncolysis, but the molecular regulation of autophagy in infected cells remains under investigation. Our data suggested the canonical pathway regulating starvation-induced autophagy was not implemented in adenovirus-induced autophagy; however, adenovirus infection triggered phosphorylation of c-Jun N-terminal kinases (JNK) that was essential for autophagy. Adenoviral replication within the host cell elicited JNK pathway activation leading to B cell lymphoma-2 (Bcl-2) phosphorylation. JNK-dependent Bcl-2 phosphorylation stimulated the dissociation of Bcl-2/beclin 1 heterodimers, enabling beclin 1 to initiate autophagy. Moreover, …

Human Consequences Of Animal Exploitation: Needs For Redefining Social Welfare, Atsuko Matsuoka, John Sorenson

The Journal of Sociology & Social Welfare

This paper addresses an area which has not been given serious consideration in social welfare and social work literature, the instrumental use of nonhuman animals, in particular as food, and argues that the welfare of humans and other animals are intertwined. The paper examines the consequences of animal exploitation for humans in terms of health, well-being, environmental damage, and exploitation of vulnerable human groups. The paper concludes that a necessary redefinition of social welfare entails attention to these issues and the recognition that other animals have inherent value and their rights must be respected.