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2015

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The Role Of The Teacher In Family Involvement: A Multiple Case Study, Terri Garrison Jan 2015

The Role Of The Teacher In Family Involvement: A Multiple Case Study, Terri Garrison

All ETDs from UAB

The purpose of this qualitative multiple case study was to explore the teacher's role in family involvement in preschool classrooms. Family involvement has been a relevant topic for early childhood educators for many years (Hoover-Dempsey & Sandler, 1995). When families are involved in their child's school experience, it has added a positive benefit to the child's development (Chavkin, 2005; Swick, 2004; Marcon, 1999). Regardless of this widely held belief, many families face barriers that prevent involvement from occurring (Gallimore & Goldenberg, 2001; Lamb-Parker, Piotrkowski, Baker, Kessler-Sklar, Clark, & Peay, 2001). This multiple case study was designed to answer the following …


Safety Culture And Patient Harm, Alfonso Gatmaitan Jan 2015

Safety Culture And Patient Harm, Alfonso Gatmaitan

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SAFETY CULTURE AND PATIENT HARM EVENTS: A CONTINGENCY THEORY PERSPECTIVE IN THE CONTEXT OF COMPLEX ADAPTIVE SYSTEMS ALFONSO GATMAITAN ADMINISTRATION-HEALTH SERVICES ABSTRACT This study examines the correlation between a Culture of Patient Safety as measured by hospital staff surveys and actual patient harm attributed to hospital performance. It is generally accepted by health care management leaders that the presence of a strong culture of patient safety has become a critical component in reducing patient harm. However, little empirical evidence within multiple hospitals over time exists to support this belief. Healthcare managers can utilize this evidence in formulating patient safety improvement …


On Fire Or Burnt Out? The Social Psychological Health Of United Methodist Pastors, Philip Gibson Jan 2015

On Fire Or Burnt Out? The Social Psychological Health Of United Methodist Pastors, Philip Gibson

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This study examines the social processes and structures that shape the social psychological health of United Methodist pastors. These individuals play a central role in a religious institution that is in a state of decline in the 21st century United States. In addition, burnout, a state of compromised social psychological health related to work involving relationships, is a salient issue among clergy. Using a qualitative approach based in grounded theory methodology, 31 semi-structured interviews were conducted with current and former United Methodist pastors, including those in a supervisory role within the Church hierarchy. Using grounded theory coding practices, data from …


Kinomic Profiling And Drug Screening Of Three-Dimensional Glioblastoma Microtumors As A Potential Comparative Model To Orthotopic Xenolines, Ashley Nichole Gilbert Jan 2015

Kinomic Profiling And Drug Screening Of Three-Dimensional Glioblastoma Microtumors As A Potential Comparative Model To Orthotopic Xenolines, Ashley Nichole Gilbert

All ETDs from UAB

Glioblastoma multiforme (GBM), the most common form of primary malignant brain cancer in adults, is a devastating disease for which effective treatment has remained elusive for over 75 years. A likely reason for the minimal progress during this time is the lack of accurate preclinical models to represent the patient in vivo environment, causing a disconnect in drug therapy effectiveness between the laboratory and clinic. Our proposed solution to address this disconnect and the issues of traditional preclinical modeling is to use innovative HuBiogel-based MicroTumors as a three-dimensional (3D) drug screening model for GBM. Six subcutaneous patient-derived xenografts (PDXs) prepared …


Role Of Macrophages In The Cardiomyopathy Associated With Obesity And Type 2 Diabetes, Mehak Goel Jan 2015

Role Of Macrophages In The Cardiomyopathy Associated With Obesity And Type 2 Diabetes, Mehak Goel

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Obesity is a state of chronic low-grade systemic inflammation that, along with type 2 diabetes (T2D), increases the risk of developing cardiovascular disease (CVD). Despite the wealth of information on the link between macrophages and cytokines in adipose tissue and peripheral insulin resistance, their role in the pathogenesis of diabetic cardiomyopathy and cardiac diastolic dysfunction is unclear. We hypothesized that activated immune cell mediators, in particular monocytes and macrophages, are fundamental drivers of diet-induced obesity and diabetic cardiomyopathy. Herein, firstly, a diet-induced model of diabetic cardiomyopathy was developed in C57BL/6 mice by feeding a high fat diet (HFD, 45% kcal …


Consequences Of Trps1 Deficiency On Dentinogenesis, Morgan Goss Jan 2015

Consequences Of Trps1 Deficiency On Dentinogenesis, Morgan Goss

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Dentinogenesis is a complex process of dentin formation. It involves differentiation of odontoblasts, the cells that make dentin, and the formation of a unique extracellular matrix, known as dentin. Dentin is ultimately produced through the interaction of collagen fibers, non-collagenous proteins and hydroxyapatite (HA) crystals. Odontoblasts are cranial neural crest (CNC) ectomesenchymal derived cells. Trps1 is a novel transcription factor believed to play an important role in both tooth formation and the mineralization process. TRPS1 gene mutations are known to result in dental and skeletal abnormalities manifested in humans as tricho-rhino-phalangeal syndrome (TRPS) and Ambras syndrome. Trps1 expression varies throughout …


County-Level Homicide In The United States: An Analysis From A Social Disorganization Perspective, Julien Grayer Jan 2015

County-Level Homicide In The United States: An Analysis From A Social Disorganization Perspective, Julien Grayer

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The United States has the highest rates of homicide among industrialized nations. The analysis of variations in the homicide rate lends itself to interpretation through various theoretical frameworks, one of which is social disorganization. Social disorganization is commonly used as a means to discuss crime in the context of neighborhoods and communities. The argument of social disorganization is that criminal activity is curbed by collective efficacy. That collective efficacy is affected by structural variables such as poverty, residential stability, and heterogeneity. The question then became whether social disorganization could be utilized for county-level analysis. The results showed that social disorganization …


The Effect Of Applied Stress On Knowledge Retention In A Multiwall Virtual Environment, David Wayne Brown Jan 2015

The Effect Of Applied Stress On Knowledge Retention In A Multiwall Virtual Environment, David Wayne Brown

All ETDs from UAB

While the science of medicine continues to grow as new discoveries in the treatment of disease are made, the education of existing procedures has not evolved with the growth of new technology. The training of doctors and nurses is still, primarily, one of classrooms and presentations. In addition, this training is predominately focused on treating the patient once they have reached the hospital, with limited thought given to out of hospital emergencies. Simulation labs are present at most schools, but these are limited in their ability to deliver identical scenarios across the entire student population due to variances in personnel …


Lab-On-A-Brane: A Novel Physiologically Relevant Planar Arterial Model To Study Transendothelial Transport, Karim I. Budhwani Jan 2015

Lab-On-A-Brane: A Novel Physiologically Relevant Planar Arterial Model To Study Transendothelial Transport, Karim I. Budhwani

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The tremendous quality of life impact notwithstanding, cardiovascular diseases and Cancer add up to over US$ 700bn each year in financial costs alone. Aging and population growth are expected to further expand the problem space while drug research and development remain expensive. However, preclinical costs can be substantially mitigated by substituting animal models with in vitro devices that accurately model human cardiovascular transport. Here we present a novel physiologically relevant lab-on-a-brane that simulates in vivo pressure, flow, strain, and shear waveforms associated with normal and pathological conditions in large and small blood vessels for studying molecular transport across the endothelial …


Effects Of Transcranial Direct Current Stimulation (Tdcs) On Symptoms Of Binge Eating Disorder (Bed) And Sub-Threshold Bed, Emilee Elizabeth Burgess Jan 2015

Effects Of Transcranial Direct Current Stimulation (Tdcs) On Symptoms Of Binge Eating Disorder (Bed) And Sub-Threshold Bed, Emilee Elizabeth Burgess

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The present study investigated the efficacy of a single administration of transcranial direct current stimulation (tDCS) to reduce binge eating symptoms, namely food consumption, food cravings, and binge urges, in individuals clinically diagnosed with BED and sub-threshold BED. The study used a within-subjects crossover design whereby each participant received both a real and a sham condition of tDCS in counterbalanced order. Results indicated that tDCS significantly reduced caloric intake of specifically preferred foods during an in-lab eating test, decreased food cravings induced by food photo images, and decreased binge desire on the same day as treatment, compared to sham stimulation. …


Exploring The Relationship Between Study Abroad And Emotional Intelligence, Michael Joshua Carter Jan 2015

Exploring The Relationship Between Study Abroad And Emotional Intelligence, Michael Joshua Carter

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EXPLORING THE RELATIONSHIP BETWEEN STUDY ABROAD AND EMOTIONAL INTELLIGENCE MICHAEL JOSHUA CARTER EDUCATIONAL LEADERSHIP ABSTRACT Given the increased interest in the academic and behavioral impact of university study abroad programs, the possible relationship between study abroad and emotional intelligence was evaluated. A paper-based survey packet consisting of a researcher-developed demographic questionnaire and the Bar-On EQ-i: 2.0 Emotional Intelligence Quotient Inventory (EQi) was administered to a convenience sample of 144 undergraduate students, ages 19-25, at the University of Alabama at Birmingham. The total sample consisted of two groups: (1) a sample group of undergraduate students who participated in the university study …


Intra-Oral Scanning Devices Compared To Traditional Digital Impressions, Terpsithea Christou Jan 2015

Intra-Oral Scanning Devices Compared To Traditional Digital Impressions, Terpsithea Christou

All ETDs from UAB

The aim of this study is to review the state of art concerning 3D optical acquisition techniques and devices currently used in Orthodontics, and determine whether a commercial intra-oral scanner is as accurate as traditional impressions for orthodontic purposes. Materials and Methods: Records of 30 subjects were prospectively acquired and digital models were obtained using an intra-oral scanner, LythosTM by Ormco, and an extra-oral scanner, GOM ATOS Triple Scan II by GOM. Seven parameters indicating linear measurements from predetermined landmarks were measured and analyzed. Paired t tests, plots and bars and Bland and Altman Analysis were used to compare and …


Upper Incisors Position Changes After Orthodontic Treatment In Class I, Ii And Iii Malocclusions, Konstantinos Bakos Jan 2015

Upper Incisors Position Changes After Orthodontic Treatment In Class I, Ii And Iii Malocclusions, Konstantinos Bakos

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Objective: The purpose of this study was to evaluate the maxillary central incisor position changes after orthodontic treatment in Class I, II and III malocclusions. Material and Methods: This retrospective cohort study evaluated nighty non extraction orthodontic Class I, II and III cases which were collected randomly from the Orthodontic clinic at the University of Alabama at Birmingham and the Institutional Review Board of the University of Alabama at Birmingham approved the study. All the chosen cases were treated with fixed appliances and according to the standards of American Board of Orthodontics. All the lateral cephalo-metric radiographs were taken using …


Mechanisms Of Npy-Induced Phase Shifts And Gsk3 Modulation Of Rhythmic Molecular Clock Gene Expression, Neurophysiological Function, And Memory., Rachel Besing Jan 2015

Mechanisms Of Npy-Induced Phase Shifts And Gsk3 Modulation Of Rhythmic Molecular Clock Gene Expression, Neurophysiological Function, And Memory., Rachel Besing

All ETDs from UAB

The current set of studies addresses three main hypotheses. We first tested the hypothesis that NPY-induced phase advances are accompanied by persistent suppression of core circadian clock gene PER2 and are mediated by long-term depression of neuronal excitability in a phase-specific manner. We found that NPY induced phase advances in PER2::LUC cultures, as well as decreased neuronal firing in SCN slices, are largest when NPY is given in the early part of the day and PER2::LUC phase advances were blocked by depolarization with potassium chloride, suggesting that NPY-induced phase advances are mediated by long-term depression of neuronal excitability. The second …


Exploring First-Semester Medical Student Academic Self-Efficacy: A Mixed Methods Investigation, Deborah J. Blackstone Jan 2015

Exploring First-Semester Medical Student Academic Self-Efficacy: A Mixed Methods Investigation, Deborah J. Blackstone

All ETDs from UAB

Academic self-efficacy has been empirically demonstrated to be related to academic performance over a wide range of grade levels and academic settings, but little research exists examining this relationship in medical school. This study sought to fill this gap by investigating academic self-efficacy in first-semester medical students using a sequential mixed methods approach. In the first, quantitative strand, 81 first-semester medical students completed an academic self-efficacy survey during the first science-based course and again at the end of the semester. Academic self-efficacy for out of class academic tasks decreased over the semester; academic self-efficacy for in class academic tasks was …


Hiv-1 Adaptation To T-Cell Responses During Infection, Victor Yimin Du Jan 2015

Hiv-1 Adaptation To T-Cell Responses During Infection, Victor Yimin Du

All ETDs from UAB

recommended vitamin D intake, and perceived barriers to adequate calcium intake


The Adhd Medication Process Model: A Qualitative Investigation Of Teaching Pedagogies, Ideal Student Behavior, Labeling Processes, And Attitudes Towards Adhd Medication., Zachary Robert Simoni Jan 2015

The Adhd Medication Process Model: A Qualitative Investigation Of Teaching Pedagogies, Ideal Student Behavior, Labeling Processes, And Attitudes Towards Adhd Medication., Zachary Robert Simoni

All ETDs from UAB

The number of children diagnosed with and medicated for ADHD has increased within the last decades. In this study, I assert that ADHD is a serious mental health issue with a biological etiology which in many cases is alleviated by the use of medication. However, I also argue that powerful socio-cultural forces are important to understanding ADHD and medication use in the American Educational system. Physicians and psychiatrists are responsible for assigning medication as a treatment for ADHD. Nevertheless, teachers are at the front lines of the ADHD issue and handle it on a daily basis. Despite this fact, very …


The Influence Of Personal, Interpersonal, And Community Factors On The Parenting Self-Efficacy Of First-Time Mothers, Tamika L. Smith Jan 2015

The Influence Of Personal, Interpersonal, And Community Factors On The Parenting Self-Efficacy Of First-Time Mothers, Tamika L. Smith

All ETDs from UAB

The Social Ecological Model (SEM) allows for examining human behavior and the factors that influence behavior change in totality. In addition, the model offers guidance in identifying the factors that may lead to a change in or explanation of behavior. This study utilizes SEM to identify factors at the personal, interpersonal, and community level in order to determine the relationship between specific ecological factors and parenting self-efficacy. Furthermore, the study examines the predictive quality of the ecological factors on parenting self-efficacy. Data collected from the Parenting for the First-time Project (PFT) was used. PFT is a multi-site longitudinal study of …


Exploiting The Glioblastoma Tumor Microenvironment For Enhanced Oncolytic Herpes Simplex Virus Therapy, Tyrel Talbert Smith Jan 2015

Exploiting The Glioblastoma Tumor Microenvironment For Enhanced Oncolytic Herpes Simplex Virus Therapy, Tyrel Talbert Smith

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Gliomas are the most common and fatal malignancy of the adult central nervous system. The need for new therapeutic options is clear, as standard of care therapies only extend median survival 12-14 months beyond diagnosis. Conditionally replication-competent oncolytic herpes simplex type-1 viruses (oHSV) have emerged as promising therapeutics for treating malignant gliomas. However, two factors that contribute to the dismal prognosis of malignant gliomas, immunosuppression and invasive growth, are also thought to limit virotherapeutic efficacy. We examined these factors in tumor microenvironments to explore novel strategies to treat malignant gliomas with oHSV for improved therapeutic response. In a Phase 1b …


Retention Of Cad/Cam Crowns Luted With Resin Cements And Rmgi, Shruti Sushilkumar Sonavane Jan 2015

Retention Of Cad/Cam Crowns Luted With Resin Cements And Rmgi, Shruti Sushilkumar Sonavane

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Objectives: To measure retention of lithium disilicate (IPS e.max CAD, Ivoclar Viva-dent) and zirconia reinforced lithium disilicate (CELTRATM DUO, Dentsply) copings luted using resin cements and resin-modified glass ionomer cement. Methods: 110 Extracted human, non-carious mandibular 2nd premolars (n=10) were embedded in PVC cylinders with acrylic resin and placed into a lathe to produce a uni-form crown preparation (22°-convergence & 3mm-height). Following the orientation groove placement (69L bur), preparations were scanned and milled using a CEREC 3D/Sirona machine to produce e.max and CELTRATM DUO crowns. Preparations were imaged with a digital microscope (Keyence/VHX-600-20X) and the surface area of each crown …


The Role Of Ribosome Biogenesis In Exercise-Induced Skeletal Muscle Anabolism In Aging, Michael Stec Jan 2015

The Role Of Ribosome Biogenesis In Exercise-Induced Skeletal Muscle Anabolism In Aging, Michael Stec

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Numerous chronic medical conditions, as well as normal aging result in a significant loss of skeletal muscle mass. This has profound effects on quality of life and can increase the risk of all-cause mortality. Currently, the most potent treatment for reversing the loss of muscle mass is resistance exercise training (RT); however, the human muscle fiber growth (hypertrophy) response to this treatment is quite variable, and older adults do not respond as favorably to this treatment as younger adults. The focus of this dissertation is to elucidate the role that ribosome biogenesis plays in regulating the RT-induced hypertrophic response. We …


The Role Of Mammalian Tribbles Homolog 3 (Trb3) In Macrophage Biology; Evidence For Reciprocal Regulation Of Macrophage Function In Foam Cell Formation, Dennis Steverson Jan 2015

The Role Of Mammalian Tribbles Homolog 3 (Trb3) In Macrophage Biology; Evidence For Reciprocal Regulation Of Macrophage Function In Foam Cell Formation, Dennis Steverson

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Atherosclerosis is disease characterized by dysregulated lipid metabolism and chronic inflammation. Macrophages are critical to the progression of the disease and are involved in the pathophysiology at all stages of the disease. In the early stages, macrophages are responsible for fatty streak formation by becoming foam cells through lipid uptake. In the later stages, macrophages contribute to the degradation of the fibrous cap and are largely responsible for chronic inflammation in atherosclerotic plaques. Tribbles homolog 3 (TRB3) is a pseudokinase that inhibits Akt activation by blocking its phosphorylation site. TRB3 is expressed on numerous cell types in the body (pancreatic …


Deleterious Effects Of Hyperglycemia On Cognitive Functioning In The Cardia Study Cohort, Michele Holland Talley Jan 2015

Deleterious Effects Of Hyperglycemia On Cognitive Functioning In The Cardia Study Cohort, Michele Holland Talley

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DELETERIOUS EFFECTS OF HYPERGLYCEMIA ON COGNITIVE FUNCTIONING IN THE CARDIA STUDY COHORT MICHELE LYN HOLLAND TALLEY SCHOOL OF NURSING ABSTRACT With an aging society, maintaining cognitive functioning into older age is becoming more important. Because of the impact cognitive functioning has on daily activities, any disruption may inhibit the ability to perform such daily activities successfully. To prevent disruptions, determinants of cognitive functioning must be considered. Such determinants may or may not be modifiable. Some predictors may be demographic, metabolic, or inflammatory in nature. In addition, predictors or determinants may differ based on genetic predisposition to Alzheimer’s disease. As part …


Difference In Recommended-To-Actual Nurse Staffing And Patient Falls, Shawn Ulreich Jan 2015

Difference In Recommended-To-Actual Nurse Staffing And Patient Falls, Shawn Ulreich

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Patient falls are a serious safety concern in hospitals. Injuries from falls can be devastating to patients and are now subject to reimbursement penalties from the Center for Medicare and Medicaid Services. Patient falls have been identified by the American Nurses Association as a nursing sensitive indictor suggesting that improvements in the quality or quantity of nurses may impact this outcome. Moreover, the literature suggests that nurse staffing levels have an impact on various patient outcomes such as patient falls. Therefore, identifying appropriate nurse staffing levels to minimize patient falls is critically important to hospitals. A variety of staffing metrics …


Characterization Of The Gtpase Rac1 As An Electrophilic-Sensitive Protein In Vascular Cells, Stephanie Brook Wall Jan 2015

Characterization Of The Gtpase Rac1 As An Electrophilic-Sensitive Protein In Vascular Cells, Stephanie Brook Wall

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The GTPase Rac1 is a protein which has been shown to be dysregulated in the context of a number of inflammatory diseases including atherosclerosis. Rac1 responds to extracellular signals and is involved in cellular cytoskeletal rearrangement, reactive oxygen species generation and cell cycle progression. When activated Rac1 interacts with effector proteins on the plasma membrane. This activation has recently been shown to be modulated by redox signaling via an active site cysteine. However, it is not known whether other redox signaling compounds can modulate Rac1 activity. An important redox signaling mediator is the electrophilic lipid, 15-deoxy-Δ12,14-prostaglandin J2 (15dPGJ2). This lipid …


Decoding Nf1 Intragenic Copy-Number Changes, Meng-Chang Hsiao Jan 2015

Decoding Nf1 Intragenic Copy-Number Changes, Meng-Chang Hsiao

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Genomic rearrangements may cause both Mendelian and complex disorders. Currently, several major mechanisms causing genomic rearrangements have been proposed such as non-allelic homologous recombination (NAHR), non-homologous end joining (NHEJ), fork stalling and template switching (FoSTeS) and microhomology-mediated break-induced replication (MMBIR). However, to what extent these mechanisms contribute to gene-specific pathogenic copy-number changes (CNCs) remains understudied. Furthermore, only few studies resolved these pathogenic alterations at the nucleotide-level. Accordingly, our aim was to explore which mechanisms contribute to a large, unique set of locus-specific non-recurrent genomic rearrangements causing the genetic neurocutaneous disorder neurofibromatosis type 1 (NF1). Through breakpoint-spanning PCR as well as …


A Bio-Inspired Hybrid Nanosack For Pancreatic Islet Transplantation In The Omentum, Patrick Tj Hwang Jan 2015

A Bio-Inspired Hybrid Nanosack For Pancreatic Islet Transplantation In The Omentum, Patrick Tj Hwang

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Pancreatic islet transplantation (PIT) has demonstrated consistent and sustained reversal of type 1 diabetes, generating optimism for its wider application as a potential cure for type 1 diabetes. However, the clinical efficacy is still lacking because of a substantial loss of islets during or shortly after transplant to the implantation site. The liver has been widely used as an implantation site for PIT, but it has serious risks for islet loss, such as massive islet destruction by instant blood-mediated inflammatory reaction, progressive attrition of islet cells due to exposure to the toxic environment. The omentum has gained significant attention as …


Mechanisms Of Heme Oxygenase-1-Mediated Protection Against Tissue Injury, Travis David Hull Jan 2015

Mechanisms Of Heme Oxygenase-1-Mediated Protection Against Tissue Injury, Travis David Hull

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Heme oxygenase-1 (HO-1) catalyzes the rate-limiting step in the catabolism of heme, which is released by necrotic cells in injured tissue. HO-1 expression is protective in cardiac and renal injury because it coordinates the degradation of pro-oxidant heme with the generation of equimolar quantities of iron (Fe2+) and the cytoprotective mole-cules carbon monoxide and biliverdin. While many studies have demonstrated that HO-1 expression is protective in numerous disease states, relatively few have examined the specific cellular compartment(s) through which HO-1 expression confers its protective effects. Our objective was to define the cellular compartments in which HO-1 expression is critical to …


Mechanisms Of Resistance To Oncolytic Herpes Simplex Viruses In Malignant Peripheral Nerve Sheath Tumors, Joshua Douglas Jackson Jan 2015

Mechanisms Of Resistance To Oncolytic Herpes Simplex Viruses In Malignant Peripheral Nerve Sheath Tumors, Joshua Douglas Jackson

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Malignant peripheral nerve sheath tumors (MPNSTs) are rare but highly aggressive cancer of the peripheral nervous tissue. Median patient survival is approximately two years following diagnosis due in part to the ineffective options for treatment. As an alternative therapeutic approach to conventional radio- and chemotherapy, oncolytic herpes simplex viruses type-1 (oHSVs) have been proposed to treat MPNSTs. These oHSVs have been shown safe in clinical trials with associated tumor regression. However, there is evidence that resistance to the therapy should be anticipated in a subset of patients. Therefore, the goal of this dissertation has been to identify the primary obstacles …


Zebrafish Wnt9b Patterns The First Pharyngeal Arch Into D-I-V Domains And Promotes Anterior-Medial Outgrowth, Henry Jackson Jan 2015

Zebrafish Wnt9b Patterns The First Pharyngeal Arch Into D-I-V Domains And Promotes Anterior-Medial Outgrowth, Henry Jackson

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The secondary mouth and its associated face and jaws were an important evolutionary adaptation in the vertebrate lineage. The secondary mouth is formed from facial prominences including the fronto-nasal prominence and the 1st pharyngeal-arch derived maxillary and mandibular prominence. Cranial neural crest cells within these prominences give rise to the connective tissues of face and jaws, and strict spatio-temporal regulation of cranial neural crest cell fate patterning and subsequent prominence outgrowth is vital to normal facial development. Oral-facial clefting (OFC) is a common morbid human birth disorder characterized by disrupted oral and craniofacial morphogenesis. Our previous studies demonstrate that a …