Digital Commons Network^™

Mass Deworming To Improve Developmental Health And Wellbeing Of Children In Low-Income And Middle-Income Countries: A Systematic Review And Network Meta-Analysis, Vivian A. Welch, Elizabeth Ghogomu, Alomgir Hossain,, Shally Awasthi, Zulfiqar Ahmed Bhutta, Chisa Cumberbatch, Robert Fletcher, Jessie Mcgowan, Shari Krishnaratne, Elizabeth Kristjansson

Department of Paediatrics and Child Health

Background: Soil-transmitted helminthiasis and schistosomiasis, considered among the neglected tropical diseases by WHO, affect more than a third of the world’s population, with varying intensity of infection. We aimed to evaluate the eff ects of mass deworming for soil-transmitted helminths (with or without deworming for schistosomiasis or cointerventions) on growth, educational achievement, cognition, school attendance, quality of life, and adverse effects in children in endemic helminth areas.

Methods: We searched 11 databases up to Jan 14, 2016, websites and trial registers, contacted authors, and reviewed reference lists. We included studies published in any language of children aged 6 months to …

Use Of Antibiotics In Children Younger Than Two Years In Eight Countries: A Prospective Cohort Study, Elizabeth T. Rogawski, James A. Platts-Mills, Jessica C. Seidman, Sushil John, Mustafa Mahfuz, Manjeswori Ulak, Sanjaya K. Shrestha, Sajid Bashir Soofi, Zulfiqar Ahmed Bhutta, Anita K. M. Zaidi

Department of Paediatrics and Child Health

Objective: To describe the frequency and factors associated with antibiotic use in early childhood, and estimate the proportion of diarrhoea and respiratory illnesses episodes treated with antibiotics.
Methods: Between 2009 and 2014, we followed 2134 children from eight sites in Bangladesh, Brazil, India, Nepal, Pakistan, Peru, South Africa and the United Republic of Tanzania, enrolled in the MAL-ED birth cohort study. We documented all antibiotic use from mothers’ reports at twice-weekly visits over the children’s first two years of life. We estimated the incidence of antibiotic use and the associations of antibiotic use with child and household characteristics. We described …

Evaluation Of Major And Minor Lower Extremity Amputation In Diabetic Foot Patients, Firat Ozan, Kaan Gürbüz, İlhami̇ Çeli̇k, Zehra Beştepe Dursun, Erdal Uzun

Turkish Journal of Medical Sciences

Background/aim: We evaluated the existing risk factors with clinical results in patients who underwent major and minor amputation of the lower extremity as a result of diabetic foot ulcers (DFUs). Materials and methods: We retrospectively studied 107 patients who had undergone lower extremity amputation. The patients were divided into minor (Group 1, n = 75) and major (Group 2, n = 32) amputation groups. On clinical evaluation, the type of surgery performed, smoking history, comorbidities, duration of diabetes mellitus (DM) diagnosis, duration of DFU presence, peripheral neuropathy, peripheral arterial disease, results of deep tissue culture, length of hospitalization, and blood …

Comparison Of Microscopy, Elisa, And Real-Time Pcr For Detectionof Giardia Intestinalis In Human Stool Specimens, Yunus Emre Beyhan, Zeynep Taş Cengi̇z

Turkish Journal of Medical Sciences

Background/aim: This study included patients who had digestive system complaints between August 2015 and October 2015. The research was designed to compare conventional microscopy with an antigen detection ELISA kit and the TaqMan-based real-time PCR (RT-PCR) technique for detection of Giardia intestinalis in human stool specimens. Materials and methods: Samples were concentrated by formalin-ether sedimentation technique and microscopic examinations were carried out on wet mount slides. A commercially available ELISA kit (Giardia CELISA, Cellabs, Brookvale, Australia) was used for immunoassay. DNA was extracted from fecal samples of about 200 mg using the QIAamp Fast DNA Stool Mini Kit (QIAGEN, Hilden, …

Higher Daptomycin Dose Associated With Improved Survival In Methicillin-Resistant Staphylococcus Aureus Bacteremia, Timothy T. Timbrook, R. Caffrey, Megan K. Luther, Vrishali Lopes, Kerry L. Laplante

Pharmacy Practice and Clinical Research Faculty Publications

Study Objective: Current guidelines recommend higher daptomycin doses than the daptomycin label dose of 6 mg/kg for methicillin-resistant Staphylococcus aureus (MRSA) bacteremia; however, the evidence supporting this recommendation is from in vitro and case series studies. This study evaluated the comparative effectiveness of the daptomycin label dose versus higher daptomycin doses in patients with MRSA bacteremia.

Design: Retrospective national cohort study.

Setting: Veterans Affairs medical centers.

Patients: A total of 371 adults with MRSA bacteremia who were admitted between 2002 and 2015 and treated initially with vancomycin within 24 hours of initial culture collection and then …

Effects Of Dietary Intake Of Antioxidants And Omega-3 Fatty Acids On Free Radical Production In Children At Various Stages Of Chronic Kidney Disease, Linda Marie Sawyer

Wayne State University Dissertations

The purpose of this study was to understand the relationship between dietary intake of antioxidants and omega-3 fatty acids on free radical injury and free radical scavenging in children with chronic kidney disease (CKD) so that complications of kidney failure, especially cardiovascular disease, may be avoided or delayed. Children with CKD on dialysis and post-renal transplantation are at an extremely high risk for cardiovascular morbidity and mortality. We hypothesized that children with CKD who have higher dietary intake of antioxidants and omega-3 FAs, would have lower free radical injury, as measured by 8-Isoprostanes (8-ISOP) and Thiobarbituric Acid Reactive Substances (TBARS) …

The Relationship Of Assimilation On The Health Behaviors, Health Beliefs, And Use Of Health Care Services Of The Samoan Immigrants In The United States, Miliama Bracken

Wayne State University Theses

This study accepts the null hypothesis that there is no relationship between assimilation and the health behaviors, health beliefs, and use of health care services of the Samoan immigrants in the United States. The target population included Samoans who immigrated from Samoa or American Samoa and were 18 or more years of age. A total of 150 questionnaires were distributed and 126 respondents were included in the study. The respondents were asked how often they visited the doctor during the year. Would they seek the help of a medical doctor if they were sick, or a Samoan healer? They were …

Human Cytomegalovirus Cytoplasmic Virion Assembly Complex: Structure In Vivo And Role Of Pul103 In Its Biogenesis, Ma Christina Raye Lim

Wayne State University Theses

Human Cytomegalovirus (HCMV) is a linear, double stranded DNA virus that causes severe disease in the immunocompromised, and is one of the common cause of congenital disease. Antivirals that are currently available for treatment target the DNA replication of the virus cycle, and are highly toxic. Finding new drug targets, such as proteins responsible for virion assembly and egress, would help to alleviate the disease burden.

HCMV remodels the host cell to form a structure called the cytoplasmic virion assembly complex (cVAC), a site of virion maturation and egress. The first objective of this work is to study the structure …

The Potential Stimulation Of C. Minuta Growth By Various Prebiotics, And Its Sensitivity To Various Antibiotics, Maria Elena Hakim

Wayne State University Theses

Gut microbiota play a crucial role in maintaining intestinal health and integrity; a feature that is both heritable, as well as affected by the environment and lifestyle. Probiotics are supplements containing live microorganisms that act in a similar manner to gut microflora, and maintain a balance in the latter. C. minuta is a novel bacterium in the gut that was found to be associated with reduction in body weight and adiposity. The aim of this study was to determine the possible effects of different prebiotics on C. minuta growth, and the survival of C. minuta in response to different antibiotics. …

Elucidating Structure, Function, And Small Molecular Interactions Of Human Immunodeficiency Virus And Chikungunya Virus, Kristin Nicole Slater

Wayne State University Theses

Abstract HIV-1:

Human immunodeficiency virus-1 (HIV-1) is a widespread, incurable retrovirus known to cause

immunodeficiency and a shortened life span. Despite successful treatment methods, HIV-1

frequently mutates, resulting in antiviral resistance. Many therapies target the HIV-1 protease

(PR), which is responsible for cleaving the viral polyprotein essential for its life cycle. HIV-1 PR

often evades treatment by way of mutations and less commonly through residue insertions. We

have identified a clinical isolate with a five residue insertion between residues 28 and 29.

Through molecular dynamics simulations we analyzed the protease protein structure and

determined that the residue insertion created a …

An Ethical Framework For Global Governance For Health Research, Kiarash Aramesh

Electronic Theses and Dissertations

Global Governance is the way by which various affairs of human social life at the global scale are governed in the absence of a global governance. This field is composed of complex networks of role players. Global Health Governance is a branch of Global Governance that governs the health-related affairs. An important branch of this huge complex of networks that has not been analyzed sufficiently in the scholarly literature yet is Global Governance for Health Research. Global health research, although it is a part of global health affairs, has its own features and conditions that bring about its specific issues …

The Lived Experience Of Individuals Living With Human Immunodeficiency Virus (Hiv) And Acquired Immune Deficiency Syndrome (Aids) While Residing In A Rural Region Of Northern Appalachia, Renee Elizabeth Gilhousen

Electronic Theses and Dissertations

The purpose of this research study was to describe and understand the lived experience of individuals living with HIV/AIDS while residing in a rural region of northern Appalachia. A hermeneutic phenomenological method following the Utrecht School was used for this study. The setting for this study was a rural region of northern Appalachia. The sample consisted of 15 individuals, 18 years of age and older, self-identified as being HIV infected. Two semi-structured interviews were conducted. Transcripts of the interviews were analyzed for identification of themes across the data. Six themes were identified: surviving the predators, walking the road to death, …

Solidarity With The Vulnerable: Global Healthcare Ethics In Spiritan Perspective, Chike Anyigbo

Electronic Theses and Dissertations

This dissertation focuses on global healthcare ethics from a Spiritan perspective. As the Spiritan Congregation developed over centuries, its core charism has been implemented in a variety of ministries articulated in terms of solidarity with the vulnerable (SWV). There has been very little discussion of the contribution of the Spiritan charism to ethics in general or healthcare ethics more specifically, as discussed in this work. Nevertheless, from the outset, the Spiritan ministry emphasized the importance of individual dignity as a foundation for a commitment to the poor. The focus clarified the importance of respecting the vulnerable. Over time, the Spiritan …

The Neonatal Anti-Viral Response Fails To Control Measles Virus Spread In Neurons Despite Interferon-Gamma Expression And A Th1-Like Cytokine Profile, Priya Ganesan

Electronic Theses and Dissertations

Neonates are highly susceptible to infections in the central nervous system (CNS) and have a greater risk of viral infections and encephalopathies. Neurotropic viral infections can lead to blindness, hearing loss and neurological deficiencies such as cognitive impairment, epilepsy, and even death in the neonatal and pediatric populations. Viral infections also are hypothesized to indirectly contribute to neurodegenerative and neuropsychiatric diseases such as Schizophrenia and Parkinson’s disease later in life due to early neuronal damage or stress. Many diverse viruses are capable of invading the neonatal CNS including Borna Disease Virus, Coxsackievirus (CV), Herpes simplex viruses (HSV), and measles virus. …

Nitric Oxide Release From Poly(Lactic-Co-Glycolic Acid) Nanoparticles And Titanium Alloy, Nina A. Reger

Electronic Theses and Dissertations

Current methods for the treatment of bacterial infection involve the use of systemic antibiotics, which are high concentrations of antibiotics delivered over a long period time. Unfortunately, the use of systemic antibiotics can cause harmful side effects to the patient and increases the possibility for antibiotic resistance. The delivery of antibiotics or alternative antimicrobial compounds, such as nitric oxide, directly to the site of infection would decrease the amount of antibiotic necessary to treat a bacterial infection.

Poly (lactic-co-glycolic acid)/polyvinyl alcohol nanoparticles and a titanium- aluminum-vanadium metal oxide alloy implant were surface functionalized to deliver nitric oxide. Polymer nanoparticles can …

Understanding Zoonotic Enteric Disease In Minnesota: A Spatio Temporal Analysis And Causal Theory Approach, Suchismita Swain

All Graduate Theses, Dissertations, and Other Capstone Projects

With 75 percent of diseases in humans having origin in animals or animal products, zoonotic diseases have an enormous impact on the global disease burden. A significant portion of this can be attributed to bacterial zoonotic enteric pathogens. This study was designed to locate clusters of bacterial zoonotic enteric outbreaks in the State of Minnesota and study the seasonality of these outbreaks. In addition to identifying hot spots for zoonotic enteric outbreaks in Minnesota, the study also aimed to design a causal model to improve understanding of risk factors. This thesis considered only the bacterial zoonotic pathogens with significant disease …

Police Assisting Addicts Towards Recovery: A Preliminary Analysis Of Drug Policy, Sherah Dickinson

Undergraduate Research Journal

The War on Drugs began in 1967 with the hope of ending the devastating effects of drug addiction. Unfortunately, the prevalence of drug use and abuse has only spread across socioeconomic, cultural, and geographic lines. This research describes the implications of criminalizing drug addiction, for example: crowded prison populations and disparate treatment of minority and disadvantaged groups. This review further investigates alternative methods and policies using evidence-based practice to treat substance addiction such as the ANGEL Program in Gloucester Massachusetts.

The Role Of The 5-Hydroxytrptamine 1f Receptor In Mitochondrial Biogenesis And Acute Kidney Injury, Whitney Sharee Gibbs

MUSC Theses and Dissertations

Mitochondrial dysfunction exacerbates cellular injury, impairs energy-dependent repair, and leads to kidney damage and failure following acute kidney injury (AKI). Mitochondrial dysfunction and impaired mitochondrial biogenesis correlate with decreased in peroxisome proliferator-activated receptor coactivator 1-α (PGC-1α), the reported master regulator of mitochondrial biogenesis, and its downstream targets following I/R-induced AKI. Furthermore, recovery of renal function and tubular injury is accelerated following pharmacological induction of mitochondrial biogenesis following I/R-induced AKI. These results suggest that recovery of mitochondrial number and function may be an effective therapeutic strategy in restoring renal function following AKI. We recently made the novel observation that agonists of …

Human Antibody Responses To Pneumococcal Vaccination In Aging Hiv-Positive Individuals, Megan Bickford

MUSC Theses and Dissertations

Introduction: Streptococcus pneumoniae is a major cause of morbidity and mortality in HIV-positive individuals. Despite the widespread use of anti-retroviral medications, the incidence of pneumococcal disease is 20-40 fold higher in the HIV+ population compared to HIV- persons. Consequently, pneumococcal vaccination is recommended for all HIV+ individuals. In 2012 the FDA changed vaccine recommendation from a single vaccination with the 23-valent pneumococcal polysaccharide vaccine (PPV23) to a dual vaccination with 13-valent protein conjugate vaccine (PCV13) followed by PPV23. Studies demonstrating superiority of the PCV13/PPV23 regimen compared to PPV23 alone are limited and controversial. The goal of this study was to …

Mental Disorders And Drug/Alcohol Use In Patients Commencing Extensively Drug-Resistant Tuberculosis Treatment, J. Scuffell, D. Boccia, F. Garcia Velarde, Segundo R. Leon, G. Raviola, Leonid Lecca, Jerome T. Galea

Social Work Faculty Publications

Mental disorders and alcohol/drug use worsen treatment outcomes for multidrug-resistant tuberculosis (TB), but data are lacking for extensively drug-resistant (XDR) TB. We investigated the association of baseline mental disorders and alcohol/drug use on XDR-TB treatment outcomes in a retrospective study of 53 XDR-TB Peruvian patients during 2010–2012. Logistic regression estimated the odds ratios for unfavourable XDR-TB treatment outcomes. Overall treatment success was 25%. Mental disorders and drug/alcohol use were found in respectively 22.4% and 20.4% of patients; neither were associated with unfavourable treatment outcomes. Future research should explore the relationship between mental health and drug/alcohol use in XDR-TB treatment outcomes.

Teaching Public Policy Drafting In Law School: One Professor's Approach, Lisa A. Rich

Faculty Scholarship

This article provides an overview of the Drafting for Public Policy course offered at the Texas A&M University School of Law. The article addresses the theoretical and pedagogical underpinnings of the course, including how such a course easily encompasses the teaching of cultural context and awareness, as well as professional identity, and encourages students to engage deeply in the policymaking process. It also explores the continued relevance of the work of Harold D. Lasswell, as well as that of Myres McDougal and Anthony Kronman. These works, from 1943 and 1993 respectively, resonate now because they called on law schools to …

Molecular Modeling Of Novel Tryptamine Analogs With Antibiotic Potential Through Their Inhibition Of Tryptophan Synthase, Jared Schattenkerk

CMC Senior Theses

The growing prevalence of antibiotic-resistant bacteria is a global health crisis that threatens the effectiveness of antibiotics in medical treatment. Increases in the number of antibiotic-resistant bacteria and a drop in the pharmaceutical development of novel antibiotics have combined to form a situation that is rapidly increasing the likelihood of a post-antibiotic era. The development of antibiotics with novel enzymatic targets is critical to stall this growing crisis. In silico methods of molecular modeling and drug design were utilized in the development of novel tryptamine analogs as potential antibiotics through their inhibition of the bacterial enzyme tryptophan synthase. Following the …

Untangling The Most Probable Role For Vitamin D3 In Autism, Dianne E. Godar, Stephen J. Merrill

Mathematics, Statistics and Computer Science Faculty Research and Publications

Recent studies indicate an important role for vitamin D₃ in autism spectrum disorder (ASD), although its mechanism is not completely understood. The most puzzling aspect of ASD is that identical twins, who share identical DNA, do not have 100% concordance rates (∼88% for identical and ∼31% for fraternal twins). These findings provide major clues into the etiology: ASD must involve an environmental factor present in the prenatal milieu that both identical twins are not always exposed to because they do not always share it (i.e., placentas). Combined with the exponential increasing rates of ASD around the world, these observations …

All Sites But Skin Cancer Incidences Analyzed Worldwide By Sex, Age, And Skin Type Over Time (1955-2007), Advancing Age, And Uvb Dose Reveals Important Carcinogenic Drivers, Dianne E. Godar, Rossen Gurov, Stephen Merrill

Mathematics, Statistics and Computer Science Faculty Research and Publications

Because we observed increasing incidences over time, advancing age, higher estrogen levels, decreasing UVB (290-315 nm) doses, or lower vitamin D₃, and Human Papillomavirus hiding in immune-privileged sites of hair follicles play roles in melanoma, we wondered if the majority of cancers might have similar carcinogenic drivers. To investigate this possibility, we performed worldwide analysis of all sites but skin cancer over time (1955-2007), advancing age, and UVB doses for males and females with all skin types and ages (0-85+) and in five age groups using IARC data. To investigate Human Papillomavirus’s role, we analyzed the incidences of …

Federalism And Health Care In Canada: A Troubled Romance?, Colleen M. M. Flood, William Lahey Prof., Bryan P. Thomas

Articles, Book Chapters, & Popular Press

Canadian federalism fragments health system governance. Although the Constitution has been interpreted as providing shared jurisdiction over health generally, with respect to health care, the courts have interpreted it as giving direct jurisdiction to the provinces. The federal role in health care is therefore indirect, but nevertheless potentially powerful. For example, the federal government has used its spending powers to establish the Canada Health Act (CHA), which commits funding to provinces on condition they provide first-dollar public coverage of hospital and physician services. However, in recent times, as federal contributions have declined, the CHA has been weakly enforced. …

Museum Collections: Natural History Training Bridges Time, Space, And Digital Platforms., Anna Monfils, Karen Powers, Christopher J. Marshall, James F. Smith, Chris Martine, L. Alan Prather

Faculty Journal Articles

Natural history collections offer a number of unique physical and virtual opportunities to create formal and informal progressive learning environments. Collections provide direct interaction with biodiversity as it changes through time and space. Collections-based experiences lead to an increased understanding and substantive interaction with the living world. Recent studies demonstrate how nature and outdoor experiences can improve learning. We discuss how collections, and the data associated with collections, are a critical component linking nature and scientific inquiry. Partnerships that develop around collections and collections-based science can foster innovative educational and research experiences that are enhanced by access to museum specimens. …

A Foe More Than A Friend: Law And The Health Of The American Urban Poor, David Ray Papke, Mary Elise Papke

Fordham Urban Law Journal

No abstract provided.

Affordable Housing Law And Policy In An Era Of Big Data, Nestor M. Davidson

Fordham Urban Law Journal

No abstract provided.

The Other Pill: Expanding Access To Pre-Exposure Prophylaxis To Prevent Hiv Transmission Among Minors In New York, Aaron Neishlos, Michael D’Ambrosio

Fordham Urban Law Journal

No abstract provided.

Becker Medical Library Annual Report 2017

Library Annual Reports

No abstract provided.