Digital Commons Network^™

Predictors And Disparities Associated With Pain (Pandda-P) Study: A Comparison Of Pediatric Rheumatology Patients, Kathryn Ann Thompson

All ETDs from UAB

Background: Chronic pain is a prominent feature of many pediatric rheumatic conditions. However, the diagnosis, experience, and treatment of musculoskeletal pain varies by condition. Therefore, the overall aim of the present study is to elucidate group differences and examine biopsychosocial correlates of pain in children with juvenile idiopathic arthritis (JIA), juvenile primary fibromyalgia syndrome (JPFS), non-specific chronic pain (NSCP), and pain-free controls.Methods: We recruited 117 (66% female, 73% White) school-aged children from Children’s of Alabama Rheumatology and Allergy Clinics and the community. Participants self-reported their pain, physical function, sleep, pain-related stigma, and somatic symptoms and underwent experimental pain tasks. Caregivers …

Trump’S Legacy: The Long-Term Risks To American Democracy, Michael Vitiello

McGeorge School of Law Scholarly Articles

While President Trump was extreme in his contempt for legal and political norms, his presidency was consistent with the direction in which the Republican Party has moved over the past several decades. Strategies put in place by Trump and other Republicans, along with institutional aspects of our country’s “democracy,” assure the Republican Party’s continued, outsized controll despite Trump’s failure to achieve a second term.

This Article reviews Trump and his Administration’s contempt for political norms, explores the Republican Party’s hard turn to the right, and discusses how the Republicans have been able to hold onto power greater than one would …

The Constitutional Right To “Establish A Home", John G. Sprankling

McGeorge School of Law Scholarly Articles

Everyone needs a home. But exclusionary zoning ordinances in many communities prevent low-income and moderate-income families from securing affordable homes, disproportionately harming people of color. Because these ordinances satisfy the rational basis test, they have been immune from substantive due process attack. This Article provides a new method to challenge the constitutionality of exclusionary zoning.

For decades, the Supreme Court has recognized that the Due Process Clause of the Fourteenth Amendment protects the right to “establish a home.” The Clause was adopted, in part, as a response to the “Black Codes” enacted by southern states in the post-Civil War era …

Integrated Report 2022; Adapt + Thrive, Association Of International Certified Professional Accountants

AICPA Annual Reports

No abstract provided.

À La Carte Cable: A Regulatory Solution To The Misinformation Subsidy, Christopher R. Terry, Eliezer J. Silberberg, Stephen Schmitz, John Stack, Eve Sando

Catholic University Journal of Law and Technology

Although “fake news” is as old as mass media itself, concerns over disinformation have reached a fever pitch in our current media environment. Online media outlets’ heavy reliance on user-generated content has altered the traditional gatekeeping functions and professional standards associated with traditional news organizations. The idea of objectivity-focused informational content has primarily been substituted for a realist acceptance of the power and popularity of opinion-driven “news.” This shift is starkly visible now: mainstream news media outlets knowingly spread hoaxes, conspiracy theories, and the like.

This current state of affairs is not some freak accident. The Supreme Court’s First Amendment …

Disentangling Mtor Complexes Underlying Pten-Loss-Associated Autism Spectrum Disorder, Kamran Tariq

Dartmouth College Ph.D Dissertations

Phosphatase and tensin homolog deleted on chromosome 10 (PTEN) protein is a negative regulator of the AKT serine threonine kinases (Protein Kinase B) in the mechanistic target of rapamycin (mTOR) signaling pathway. Mutations in PTEN are found in patients with autism, epilepsy, or macrocephaly. In mouse models, Pten-loss results in neuronal hypertrophy, hyperexcitability, seizures, and social deficits. The underlying molecular mechanisms of these phenotypes are not well-delineated. I aimed to disentangle the role of the downstream mTOR complex 1 (mTORC1) and mTOR complex 2 (mTORC2) in orchestrating aberrations in neuronal form and function resulting from Pten-loss. First, we found that …

Communicating Clinic Visit Information To Family Caregivers, Reed Wr Bratches

Dartmouth College Ph.D Dissertations

Statement of the Problem: Information from clinic visits is critical to family caregivers, who are the family members or friends who provide at-home care for their loved ones. However, patient’s clinic visits are infrequently attended by caregivers. While methods exist to communicate information from visits to patients, little is known about the methods used to communicate with caregivers, or their effects on caregiver outcomes. I address this gap in this dissertation through three studies.

Methods: A systematic review was used synthesize the methods used to communicate information to family caregivers and their impact on caregivers. A national survey of family …

Neuroprotective And Nootropic Evaluation Of Myristica Malabarica On Diabetes-Induced Cognitive Impairment In Experimental Animals: Promising For Controlling The Risk Of Alzheimer’S Disease, Kolguri Jagadeeshwar, Rajasekhar Reddy Alavala, Subhakar Raju Ravula, Umasankar Kulandaivelu, G.S.N. Koteswara Rao

The Thai Journal of Pharmaceutical Sciences

This study intends to explore the neuroprotective and memory-enhancing properties of Myristica malabarica (MM) leaf extracts on diabetic-induced cognitive decline rats. The models of Y maze and Morris water maze were selected for nootropic activity and neuroprotective properties were deliberate by assessing the levels of Ach, malondialdehyde (MDA), superoxide dismutase (SOD), nitric oxide (NO), catalase (CAT) and glutathione hormone (GSH) in diabetic rat brains. Significantly improved memory and learning with 100 mg/kg (P < 0.01) and 200 mg/kg (P < 0.001) of EAMM (L) and MAMM (L) in Y maze and Morris water maze models. Significant effect was observed in all the extracts with two doses when compared with diabetic control on day 75. The levels of AChE (P < 0.001), MDA (P < 0.01), and NO (P < 0.05) were decreased significantly and significantly raised (P < 0.01) levels of SOD, CAT, and GSH with MAMM (100 and 200 mg/kg) compared with disease control. Further studies on MM leaf are needed as evidence of cognitive impairment in defense against diabetes has been shown to expose its mode of action.

Fluid Properties Of Solvents And Oils Used In In Situ Forming Microparticles, Sai Myo Thu Rein, Torsak Intaraphairot

The Thai Journal of Pharmaceutical Sciences

In situ forming microparticle (ISM) has been recently used as the injectable drug delivery system prepared from polymeric non-aqueous phase in oil emulsion. Solvents and oils used in ISM including N-methyl pyrrolidone (NMP), 2-pyrrolidone (PYR), dimethyl sulfoxide (DMSO), glycofurol, triacetin, olive oil, camellia oil and isopropyl myristate (IPM) were evaluated for pH, density, viscosity, flow time, surface tension, contact angle, color distribution, injectability, antimicrobial activities and cytotoxicity. The most viscous camellia oil and olive oil showed the highest flow time with lowest color diffusion and lower injectability; thus, they were suitable for performing as external phase of ISM to prolong …

Metabolite Profiling And Activity Study Of Ethanol Extract Of Chrysophyllum Cainito L. Leaves In Increasing Bone Density In Male Mice, Burhan Ma’Arif, Kurniawan Hidayat Perdana Putra, Miftah Saiful ‘Arifin, Rukiana, Reyhan Amiruddin, Weka Sidha Bhagawan, Arief Suryadinata, Fidia Rizkia Inayatilah, Roihatul Muti’Ah, Agnis Aditama

The Thai Journal of Pharmaceutical Sciences

Phytoestrogen is a group compound which has an estrogen-like structure or function. One of its roles was in the bone formation. Chrysophyllum cainito L. is a plant that contains phytoestrogen. The purpose of this research is to determine the metabolite profile and activity of1ethanolpextract of C. cainitoxleaves to increase trabecular femur bone density in male mice. The metabolite profiling analysis was done using ultra-high performance liquid chromatography-quadrupole time-of-flight mass spectrometry/mass spectrometry and analyzed using Masslynx 4.1 software. Four doses of ethanol extract of C. cainito leaves were prepared for treatment. Which are 2,14,48, and 316 mg/ body weight (BW) mice/day …

Inhibition Of Phospholipase A2 And Prostaglandin Synthase Activities As Possible Mechanistic Insight Into The Anti-Inflammatory Activity Of Brenania Brieyi Methanol And Chloroform Fractions, Ifeoma Felicia Chukwuma, Victor Onukwube Apeh, Florence Nkechi Nworah, Chinelo Chinenye Nkwocha, John Emaimo, Lawrence Uchenna Sunday Ezeanyika, Victor Nwadiogo

The Thai Journal of Pharmaceutical Sciences

Objectives: The pharmacological basis of anti-inflammatory agents is geared toward maintaining body homeostasis. This study investigated the scientific underpinning and mechanisms of anti-inflammatory activity of root bark of Brenania brieyi. Material and Methods: The plant material was extracted with a mixture of methanol and chloroform (2:1) and fractionated with 0.2 volume water. Egg albumin-induced edema and cotton pellet-induced granuloma models were used to investigate anti-inflammatory activity while the possible mechanisms of actions were evaluated using standard methods. Results: Significant (P < 0.05) reduction in edema and granuloma tissue formation were recorded in fractions treated groups compared with the normal control. There was a significant (P < 0.05) inhibition of membrane hemolysis and phospholipase A2 (PLA2) activity by the fractions compared with the standard drugs, indomethacin, and prednisolone, respectively. Both fractions significantly (P < 0.05) inhibited prostaglandin (PG) synthase and nitric oxide radical activities compared with the control. However, varying doses of both fractions did not inhibit leukocyte migration compared with rats in indomethacin and control groups. The methanol fraction was found to be more potent in most of the tests. Conclusion: These results show that B. brieyi root bark has anti-inflammatory activity, and the potential underlying mechanisms of its action are inhibition of PLA2 and PG involved in inflammatory responses.

Application Of Fluorotag In Quantification Of Metformin In Tablet Dosage Form And Biological Samples, Panikumar Durga Anumolu, Sunitha Gurrala, Sahitya Menkana, Ceema Mathew, Lavanya Srimantula

The Thai Journal of Pharmaceutical Sciences

Background: New specific and sensitive spectrofluorimetric fluorotag method has been developed and validated for the quantification of metformin hydrochloride. Materials and Methods: The derivatization reaction was carried out using 1,2-naphthoquinone-4-sulfonic sulfonate as (NQS) fluorotag in the presence of strong alkaline medium (potassium hydroxide) to form the highly fluorescent product. The fluorescence was observed at emission wavelength 453 nm after excitation at 359 nm. The different experimental conditions affecting the reaction product formation and stability were carefully studied and optimized as 2% w/v of potassium hydroxide solution, 0.5% w/v NQS reagent. Results: At optimum reaction conditions, good linear relationship was found …

Preferences Of Thai Head Pharmacists For Pharmacy Technician Education: Certification Versus Bachelor’S Degree Program, Sukunta Muadthong, Nusaraporn Kessomboon, Tsutomu Kitajima, Kamolnut Muangyim, Surachat Ngorsuraches, Pattapong Kessomboon

The Thai Journal of Pharmaceutical Sciences

Objective: This study aimed to investigate Thai hospital pharmacists’ preferences for a proposed bachelor’s degree curriculum for pharmacy technicians (PhTs), preparing PhTs to fill an advanced role in pharmacy, compared to the existing high vocational certificate (HVC) curriculum for PhTs. Methods: A labeled discrete choice experiment (DCE) questionnaire was sent by post to head pharmacists of 814 Thai Ministry of Public Health hospitals over a 2-month period. Respondents’ preferences for the proposed bachelor’s degree or the existing HVC of PhT were determined based on their selections among three attributes: Competency in pharmaceutical information services, competency in pharmaceutical inventory management, and …

Virgin Coconut Oil Ameliorates Arsenic Hepatorenal Toxicity And No-Mediated Inflammation Through Suppression Of Oxidative Stress In Rats, Ademola C. Famurewa, Ekenechukwu K. Maduagwuna, Chinyere Aloke, Sharon O. Azubuike-Osu, Arunaksharan Narayanankutty

The Thai Journal of Pharmaceutical Sciences

Background: Compelling evidence has implicated oxidative stress as a leading mechanism for arsenic (As)-induced pathologies. We evaluated antioxidant effect of virgin coconut oil (VCO) against arsenic-induced oxidative stress-mediated hepatorenal damage in rats. Methods: Rats were randomly divided into three groups: Control group, as group, and VCO + As group. VCO was orally administered before and along with arsenic (10 mg/kg body weight, orally) for 21 days. Subsequently, serum liver enzymes, albumin (ALB), creatinine, urea, antioxidant enzymes, malondialdehyde, and nitric oxide (NO) level were evaluated. The histology of the tissues was analyzed with standard procedures. Results: Arsenic caused marked increases in …

Screening Of Process Variables Using Box–Behnken Design In The Fabrication Of Berberine Hydrochloride-Loaded Transethosomes For Enhanced Transdermal Delivery, Koushlesh Kumar Mishra, Chanchal Deep Kaur

The Thai Journal of Pharmaceutical Sciences

Objective: The objective of the present work was to develop, optimize, and characterize berberine hydrochloride (BBN-HCl)-loaded transethosomes (TEs) for enhanced transdermal delivery. In this study, screening of formulation and process variables was conducted using Box–Behnken design approach to observe significant and insignificant influence on the TEs. Materials and Methods: The TEs was developed by homogenization technique (hot method). The optimized BBN-HCl-loaded TEs were evaluated for its vesicle size (VS), polydispersity index (PDI), zeta potential (ZP), loading capacity, and entrapment efficiency. Characterization was done by powder X-ray diffraction (P-XRD), differential scanning calorimetric (DSC), and transmission electron microscopy. Further, in vitro drug …

Analysis Of Pharmaceutical Inventory Management In A State Hospital In Myanmar, Mya Pann Thazin, Rungpetch Sakulbumrungsil

The Thai Journal of Pharmaceutical Sciences

Inventory management analysis for a state-level hospital pharmacy of Myanmar was conducted using ABC-VEN matrix analysis to identify the drug categories that require stringent management control. The annual expenditure of all drug items managed by pharmacy department for the years 2016 and 2017 was analyzed and application of ABC, VEN, and ABC-VEN matrix analysis was performed. The study showed that the average annual expenditure was 288,414 USD. Of the total 297 items of medicines, 7.7% (23), 16.8% (50), and 75.4% (224) were classified as A, B, and C category items, respectively, accounting for 70.4%, 19.7%, and 9.9% of drug expenditure. …

Population Pharmacokinetics Of Phenytoin In Epileptic Children And Dosage Regimens Using Monte Carlo Simulation, Leena Mekloy, Wanchai Treyaprasert

The Thai Journal of Pharmaceutical Sciences

Objective: The study aimed at a population pharmacokinetic analysis of phenytoin in epileptic children so as to determine optimal dosage regimen for achieving the therapeutic range. Materials and Methods: A total of 370 blood level concentrations from 225 patients were collected retrospectively from clinical routine therapeutic drug monitoring data. The data were analyzed based on population pharmacokinetics using NONMEM software.A base model was developed to handle covariates, including age, gender, weight, liver function test results, and co-anticonvulsants. The final model was done until the precision of parameters with minimum objective function value achieved. Monte Carlo simulation was utilized to determine …

Effects Of The Mobile Serious Game (Herbarian) With Location-Based Learning On Students’ Retention Of Botanical Terms And Their Experiences, Sornkanok Vimolmangkang, Nattanichcha Kulthanachairojana, Taksina Chuanasa, Supotchana Sitthigool, Anuchai Theeraroungchaisri

The Thai Journal of Pharmaceutical Sciences

Background: A serious game was developed from the use of learning through drill and practice principle to enhance the knowledge memorizing together with the principle of game-based learning in education application. The aim of this study was to investigate the effectiveness of using game-based and location-based learning concepts on the student knowledge score and knowledge retention score. Methods: A mobile application game named “Herbarian” was developed and used in the pharmaceutical botany course as a part of the undergraduate pharmacy curriculum. The content in the game was botanical jargon linked to plant morphology. Twenty-one and 51 undergraduate students voluntarily used …

Chloroquine And Eye Problems At A General Hospital In Western Thailand, Nunthaluxna Sthapornnanon, Chattraporn Chumchit, Supakarn Suksajjee, Sukanya Boonnum, Suphitchaya Neramitwanchai, Chitthathep Chaisaen

The Thai Journal of Pharmaceutical Sciences

Objective: This study aimed to explore the eye problems after CQ use, to review if the eye examinations were performed during patients were treated with CQ and to identify factors related to those eye problems. Method: Retrospective study was done. Data were collected from both electronic medical records and medical records. Patients who were treated with CQ during May15, 2010- May 31, 2019 at a general hospital in western Thailand were included. Results: There were 123 patients who were treated with CQ. Eye problems were found in 26 patients (21.14 %). Majority of those had blurred vision (13/26; 50.00%). Focus …

Investigation Of Film Thickness Uniformity On Tablets By Handheld Raman Spectrometer, Srisakul Srisuk, Jittima Chatchawalsaisin

The Thai Journal of Pharmaceutical Sciences

Purpose: The aim of this study was to investigate the uniformity of film thickness on coated tablets using handheld Raman spectrometer. Methods: Oval-shaped tablets were coated with Opadry® II blue at a pan speed of 8 rpm and spray rates of 8.2 and 10.5 g/min. The coating process was also carried out at the pan speed of 14 rpm and spray rate of 8.2 g/min. Other process parameters, that is, inlet air temperature and atomizing air pressure were kept constant. Twenty coated tablets were taken at 10 min intervals for determination of weight gain. The film deposited on both faces …

Recent Advancements On Biological Activity Of Indole And Their Derivatives: A Review, Punet Kumar, Md Iftekhar Ahma, Sangam Singh, Mohammad Rizki Fadhil Pratam, Arun K. Mishra

The Thai Journal of Pharmaceutical Sciences

Indole, a versatile outstanding heterocyclic compound, engaged in numerous pharmacological properties due to their multiple biochemical processes. The remarkable indole moiety resembles with numerous protein structures. The fascinating molecular framework of indole makes its suitable for drug development. Indole derivatives mimic the peptides structure and bind reversibly to several enzymes, which contribute enormous opportunities to develop novel drugs with distinct mechanism of action. The presence of nitrogen-based heterocycles in several compounds has been investigated enormously as the core structures comprise several biologically appropriate molecules found active in different diseases. The investigations conducted worldwide have shown outstanding impact for scientists, working …

Complexity Of Implementing Harm Reduction Services In Community Hospitals: A Two-Phase Qualitative Study, Kanittha Nimsakul, Puckwipa Suwannaprom, Siritree Suttajit

The Thai Journal of Pharmaceutical Sciences

Objective: Regardless of effective harm reduction services (HRS) in Thanyarak Hospital, difficulties exist while implementing them in community hospitals. This study aimed to investigate the complexities of HRS implementation in two community hospitals in Mae Hong Son. Methods: Phase 1, in-depth interviews were conducted with 21 participants to investigate the complexity of HRS dissemination. An interview guide was developed from the seven domains of the Nonadoption, Abandonment, Scale-up, Spread, and Sustainability framework, and thematic analysis was used. Phase 2 involved two rounds of a Delphi technique with 17 experts to evaluate the HRS’s complexity level (complex, complicated, and simple). Results: …

The Impact Of Pharmacists’ Interventions In Female Internal Medicine Ward At University-Based Hospital On Cost Savings And Cost Avoidance, Tanatape Wanishayakorn, Orawan Sae-Lim, Onnicha Suntornlohanakul, Pastraporn Yiengkulchao, Prayut Muangming, Natayu Chuerdee

The Thai Journal of Pharmaceutical Sciences

Background: Several studies have been conducted regarding the role of clinical pharmacist in the reduction of medical costs, the impact of clinical pharmacists in internal medicine wards on cost saving had been rarely studied. Objective: The objective of this study was to define the characteristics of drug-related problem (DRPs) and evaluate the effect on cost savings and cost avoidance by clinical pharmacists in female internal medicine ward at Songklanagarind Hospital. Materials and Methods: A retrospective analysis of pharmacists’ interventions recorded for 6 months was conducted. DRPs were categorized based on Pharmaceutical Care Network Europe V9.00. The interventions that were accepted …

Plaque Reduction Neutralization Test As A Method For Detecting Functional Neutralizing Antibodies Against Live Sars-Cov-2 Virus, Supaporn Phumiamorn, Skalin Trisiriwanich, Kornnika Kulabutar, Asmah Usoo, Thitiporn Somporn, Wipawee Wongchana, Sompong Sapsutthipas

The Thai Journal of Pharmaceutical Sciences

Introduction and objective: Since 2020, little is known about neutralizing antibody (NAb) responses to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), a novel coronavirus emerging and causing COVID-19 in humans. Here, we established a plaque reduction neutralization test (PRNT) to use as a method for detecting functional NAbs to SARS-CoV-2. Materials and Method: Vero cells were used as target cells for infection with the new coronavirus and cytopathic effects were obviously exhibited. Results: The development of plaque reduction after neutralization of virus with diluted specific antiserum was assessed according to a dose-response effect and consistency of test results with pooled …

Challenges In Evaluating Pediatric Fever And Rash In The Era Of Covid-19 And Multisystem Inflammatory Syndrome In Children (Mis-C)., Taylor Jarvill, Priyanka Lauber Do, Samuel Umaru Md, Tibisay Villalobos Md, Susan K. Yaeger Md

Department of Emergency Medicine

Introduction: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has challenged the medical community to characterize and treat a new illness. Now almost two years after the initial confirmed cases of COVID-19, medical teams are faced with another unique disease process temporally related to the pandemic-multisystem inflammatory syndrome in children (MIS-C). The comparison of these patients’ presentations illustrates the new challenges of evaluating a pediatric rash and fever in the era of MIS-C. Case Reports: This report presents three cases with features of MIS-C, positivity for SARS-CoV-2, rashes, fevers, gastrointestinal involvement, and elevated inflammatory markers. The first case poses a diagnostic …

Fp-22-14 Single And Living Alone In Midlife, 2021, Corrine E. Wiborg

National Center for Family and Marriage Research Family Profiles

No abstract provided.

Fp-22-21 Women's Union Status At First Birth, Adrianne R. Brown

National Center for Family and Marriage Research Family Profiles

No abstract provided.

Fp-22-25 Marriage Rate In The U.S.: Geographic Variation, 2021, Gabrielle Juteau

National Center for Family and Marriage Research Family Profiles

No abstract provided.

Effect Of Saliva Contamination On Crown Retention Strengths Of Resin And Rmgi Cements, Bushra Nizami

All ETDs from UAB

Background: The most common contaminant in the oral cavity is saliva. Many studies have shown that contamination with saliva negatively affects the strength of the resin-dentin bond. A literature review by Nair et al reported that 64.6% of studies on the topic show a detrimental effect of salivary contamination on adhesive materials. No published studies were found that thoroughly studied the effects of saliva contamination on RMGIs and resin cements with regards to crown retention rates. Objective: To study the effect of salivary contamination on crown retention strengths of RMGI and resin cements at various stages of bonding and in …

The Effect Of Maxillary Sinus Anatomical Variations, Surgical Considerations, And Patient Factors On Volumetric Changes Following Lateral Wall Sinus Floor Elevation Technique For Up To 8 Years, Mengyi Shi

All ETDs from UAB

jectives: The aim of this retrospective study is to assess the long-term dimensional stability, or shrinkage, of the lateral window sinus grafts using cone beam computed tomography scans (CBCT) and radiographic software. Material and Methods: All patients from UAB Periodontal Graduate Clinic with available records of sinus augmentation via the lateral window approach with delayed implant placement between 2014 and 2019 were screened for having two follow up CBCT scans of diagnostic quality. The first scan must be completed within 6-9 months of lateral window sinus floor elevation (LWSFE) and prior to implant placement. The second CBCT must be taken …