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Fusobacterium Nucleatum: A Rare Presentation Of Hepatic Abscesses, Meghan Gwinn, Erica Herc

MERF 2020 - Case Reports

Fusobacterium nucleatum is a facultative anaerobic gram-negative bacillus found in the oral cavity, gastrointestinal tract, and genitourinary tract. Fusobacterium nucleatum is a rare cause of hepatic abscesses and empyema. We describe a case of Fusobacterium liver abscess and empyema, resulting in extensive thrombophlebitis in intraabdominal and extremity veins. A 78-year-old female with past medical history significant for bicytopenia and tooth repair 8 months prior presented with mild diarrhea and fatigue. She was febrile, tachycardic, and tachypneic. On physical exam, she had mild epigastric tenderness and bilateral lower extremity pitting edema. Labs were notable for an AKI and elevated LFTs. Imaging …

Hypercoagulability In Covid-19: A Rare Case Of Dic In Sars-Cov2 In The Emergency Department, Naureen Farook, Stephanie Stokes-Buzzelli

MERF 2020 - Case Reports

Although SARS-CoV2 is increasingly being considered a systemic disease, there have been very few case reports documenting DIC as a rare but fatal consequence of the SARS-CoV2 syndrome. We present our patient scenario as an example of severe COVID sepsis in the ED and DIC. 67-year old nursing home resident with CAD, DM, HTN, and seizures presents to our ED resus room with altered mental status and hypoxia after a reported fall from bed. He was tachycardic to 110 and required a nonrebreather at 15L saturating at 96%. His physical exam revealed GCS 10, no focal neurologic deficits, dry mucous …

Multicenter, Observational Cohort Study Evaluating Third-Generation Cephalosporin Therapy For Bloodstream Infections Secondary To Enterobacter, Serratia, And Citrobacter Species, Caroline Derrick, P. Brandon Bookstaver, Zhiqiang K. Lu, Christopher M. Bland, S. Travis King, Kayla R. Stover, Kathey Rumley, Shawn H. Macvane, Jenna Swindler, Scott Kincaid, Trisha Branan, David Cluck, Benjamin Britt, Kelly E. Pillinger, Bruce M. Jones, Virginia Fleming, V. Paul Dimondi, Sandy Estrada, Brad Crane, Brian Odle, Majdi N. Al-Hasan, Julie Ann Justo

ETSU Faculty Works

Objectives: There is debate on whether the use of third-generation cephalosporins (3GC) increases the risk of clinical failure in bloodstream infections (BSIs) caused by chromosomally-mediated AmpC-producing Enterobacterales (CAE). This study evaluates the impact of definitive 3GC therapy versus other antibiotics on clinical outcomes in BSIs due to Enterobacter, Serratia, or Citrobacter species. Methods: This multicenter, retrospective cohort study evaluated adult hospitalized patients with BSIs secondary to Enterobacter, Serratia, or Citrobacter species from 1 January 2006 to 1 September 2014. Definitive 3GC therapy was compared to definitive therapy with other non-3GC antibiotics. Multivariable Cox proportional hazards regression evaluated the impact of …

The Delayed Effect Of Temperature On The Risk Of Hospitalization Due To Covid-19: Evidence From Mumbai, India, Vipin Nair, Rahul Thekkedath, Paduthol Godan Sankaran

Open Access archive

Meteorological factors and climatic variability have an immense influence on the transmission of infectious diseases and significantly impact human health. Present study quantifies the delayed effect of atmospheric temperature on the risk of hospitalization due to the Coronavirus disease 2019 (COVID-19) with adjusting the effects of other environmental factors in Mumbai, India. The daily reported data of the number of hospitalized COVID-19 positive cases and the environmental factors at Mumbai, Maharashtra, India were collected and analyzed to quantify the main and the delayed effects. Exploratory data analysis and Distributed Linear and Non-linear lag Model (DLNM) with Generalized Additive Model (GAM) …

Pretreatment Out-Of-Pocket Expenses For Presumptive Multidrug-Resistant Tuberculosis Patients, India, 2016-2017, Priya Rathi, Kalpita Shringarpure, Bhaskaran Unnikrishnan, Vineet Kumar Chadha

Open Access archive

In India, under the National Tuberculosis Elimination Programme, the government provides free treatment for multidrug-resistant tuberculosis; however, many patients seek care elsewhere, which is costly. To determine those out-of-pocket expenses, we interviewed 40 presumptive patients and found that they spent more than their median annual income before registering for the government program.

The Pacific Sentinel, May 2020, Portland State University. Student Publications Board

The Pacific Sentinel

Editor: Jake Johnson

Articles in this issue include:

• Letter from the Editor
• Ongoing Crisis in Yemen
• Coronavirus Updates
• Squashing Coronavirus Will Take Time
• There Is No “Chinese Virus”
• An Unequal Pandemic
• Do Not Go Gently Into That Pandemic
• The Coronavirus Outbreak Reveals the Flaws of Our Social Safety N
• Language, Thought, Freedom, and the Soul
• Stop Going on Twitter
• Crocheting COVID-19
• Isolation in the Time of Coronavirus
• Animal Crossing: New Horizons Review
• Mysteries, Wonder Boys, and Other Phenomena

Investigating The Interactions Between Individual Calmodulin And Hiv-1 Protein Domains, Riley K. Kendall, Jerry Larue

Student Scholar Symposium Abstracts and Posters

The World Health Organization found that 37.9 million people were living with HIV by the end of 2018. HIV is a virus that weakens the immune system through viral replication and the destruction of CD4⁺ T-cells, which are white blood cells that detect infection and make antibodies. A cure for HIV has not yet been discovered. HIV-1 contains a Gag polyprotein which regulates the stages of viral replication. Previous studies suggest that the myristoyl group of a matrix protein peptide found on the Gag polyprotein, MA, forms a complex with a calcium-binding, multifunctional regulatory protein called Calmodulin (CaM). CaM …

Preliminary Incidence And Trends Of Infections With Pathogens Transmitted Commonly Through Food - Foodborne Diseases Active Surveillance Network, 10 U.S. Sites, 2016-2019, Danielle M. Tack, Logan Ray, Patricia M. Griffin, Paul R. Cieslak, John Dunn, Tamara Rissman, Rachel Jervis, Sarah Lathrop, Alison Muse, Monique Duwell, Kirk Smith, Melissa Tobin-D'Angelo, Duc J. Vugia, Joanna Zablotsky Kufel, Beverly J. Wolpert, Robert Tauxe, Daniel C. Payne

Pathology Research and Scholarship

To evaluate progress toward prevention of enteric illnesses, the Foodborne Diseases Active Surveillance Network (FoodNet) of CDC's Emerging Infections Program monitors the incidence of laboratory-diagnosed infections caused by eight pathogens transmitted commonly through food at 10 U.S. sites.* This report summarizes preliminary 2019 data and describes changes in incidence compared with that during 2016-2018. The incidence of enteric infections caused by these eight pathogens reported by FoodNet sites in 2019 continued to increase or remained unchanged, indicating progress in controlling major foodborne pathogens in the United States has stalled. Campylobacter and Salmonella caused the largest proportion of illnesses; trends in …

From Fighting Wasting To Shedding Excess: An Explanatory Sequential Mixed-Method Study Of Obesity Among People Living With Hiv In Nigeria, John Olajide Olawepo

UNLV Theses, Dissertations, Professional Papers, and Capstones

The human immunodeficiency virus (HIV) infection is a global epidemic, with initial high mortality rates since the first diagnosis over three and a half decades ago. However, the use of antiretroviral therapy (ART) has led to longer, healthier lives for many people living with HIV (PLHIV). Accordingly, aging comes with associated co-morbidities like obesity, diabetes, and cardiovascular diseases. The purpose of this mixed-methods study was to further understand the emergent phenomenon of obesity and overweight among PLHIV who are on treatment with ART, using Nigeria as a case study.

An explanatory sequential mixed-method design was used that involved the analysis …

Association Of Micronutrient Inadequacy And Body Mass Index In Young Adults, Taylor Peabody

Human Nutrition and Hospitality Management Undergraduate Honors Theses

Background

Micronutrient inadequacy has been found at higher levels in overweight and obese individuals in a broad range of ages relative to healthy weight. Insufficient micronutrient levels can have a negative impact on physical and mental health along with excess weight.

Objective

Due to health consequences related to inadequate micronutrient intake and the understanding that the general population not only fails to meet the majority of micronutrient recommendations, but is also overweight or obese, the objective of this study is to first, determine if young adults in the Northwest Arkansas Region are consuming adequate levels of micronutrients and second, if …

Predicting The Unexpected: Applying Advanced Underwriting To Accurately Predict Early Duration Claims In Life Insurance, Jessica Howe

Honors Scholar Theses

Early duration claims, which are defined as claims that are filed within the first five years of a life insurance policy's issuance, are a large potential risk with high costs that life insurers remain exposed to, yet there has not been any significant advancement on how to properly budget for these claims. The early duration claims model seeks to address this problem by creating a more thorough underwriting procedure that specifically assesses an applicant’s likelihood of early death. The underwriting questions aim to capture risks that are not assessed by the current life insurance underwriting process and may be utilized …

Characterization Of A Mycoplasma Pneumoniae Cards Toxin Mutant, Nikaash Pasnoori

Honors Scholar Theses

Mycoplasma pneumoniae is a high-burden pathogen which causes mild to significant infections of the respiratory system. According to the CDC, an estimated two million cases occur yearly in the United States alone, demonstrating the widespread effect of the pathogen. In addition to being the cause of respiratory infections, M. pneumoniae has also been implicated in exacerbating pre-existing asthma conditions. These morbidities make finding a vaccine candidate a vital part of easing the healthcare burden caused by the pathogen. The current mechanism of infection is unknown, but recent evidence points to the Community Acquired Respiratory Distress Syndrome (CARDS) toxin as being …

Antibiotic Resistant Bacteria, Antibiotic Resistance Genes And Potential Drivers In The Aquatic Environments, Shuo Shen

Dissertations

As antibiotic resistance genes in aquatic environment have been increasing across the world, affecting water quality and public health, many studies documented concentrations of antibiotic resistance genes and some studies discussed their potential drivers. However, systematic and quantitative reviews that link antibiotic resistance genes (ARGs) to anthropogenic and environmental factors are limited. Nevertheless, this information will be important for developing regulation policy on controlling antibiotic use and therefore reducing potential risks to antibiotic resistance. I conducted meta-analysis of ARGs concentration at a global scale using Bayesian inference to explore climatic and socio-economic factors as drivers. I found local-scale climatic variables …

University Of Central Florida Graduate Catalog, 2020 - 2021, University Of Central Florida

UCF Catalogs

No abstract provided.

Detection And Enumeration Of Bacterial Pathogens In The American Oyster (Crassostrea Virginica), Mohammad Maruf Billah

Theses and Dissertations

American oyster (Crassostrea virginica) is a popular seafood for its delicacy and high nutritional value. Based on increasing concern about contamination of bacterial pathogens in raw oyster, my research objectives have been focused on detection and enumeration of two important bacterial pathogens, Escherichia coli and Salmonella spp. in the American oyster in south Texas waters, local markets and controlled laboratory studies. Immunohistochemical and RT-PCR analyses showed substantial bacterial pathogen’s presence in gills and digestive glands of oysters collected from San Martin Lake and South Padre Island as well as local markets. Laboratory studies showed increasing trend of both …

The Molluscum Contagiosum Virus Targets Host Innate Immune Signaling Networks At Multiple Points Using Viral Proteins Mc160 And Mc163, Catherine D. Suarez

Seton Hall University Dissertations and Theses (ETDs)

The Molluscum Contagiosum Virus (MCV) causes a common skin infection. A member of the Poxviridae family, MCV spreads through skin to skin contact and produces benign skin lesions that persist for months in otherwise healthy individuals. Despite its prevalence, MCV remains understudied, and its pathogenicity is poorly understood. Therefore, a more detailed understanding of MCV-host interactions is of great importance. The MCV genome encodes a variety of immune evasion molecules to antagonize host cell innate immune responses (IIRs). Two such MCV immune evasion molecule are the MC160 and MC163 proteins. MC160 contains two tandem death effector domains (DEDs). DEDs are …

Physiological Consequences Of Adverse Early-Life Experiences: A Skeletal Investigation Of Frailty And Resilience Within An Institutionalized Sample Using A Modified Version Of The Skeletal Frailty Index (Sfi), Ashley Dafoe

Theses and Dissertations

This study investigates frailty, defined as the accumulation of deficits in physiological functioning, by applying the Skeletal Frailty Index (SFI) to a skeletal sample (N=67) recovered from the Mississippi State Asylum (MSA), and in a comparative sample, the Terry Collection. The SFI was statistically modified to increase its utility here. Variables that influence frailty, including age, sex, stress in early-life, and resilience, were assessed relative to four SFIs: Overall, Nutritional, Activity, and Infection. This study finds that the predicted relationships between the SFIs and the aforementioned variables are largely absent in the MSA sample. When compared to individuals in the …

Challenging Social Systems Under The Threat Of Pollution: Replication And Extension Of Eadeh And Chang (2019), Dylan J. Pieper

Dissertations and Theses @ UNI

I replicated and extended Eadeh and Chang (2019; Study 2) who found that reading a story about pollution harming a child increased self-reported liberalism and increased support for environmental regulation policies through greater negative affect (i.e., anger and disgust) (Hypothesis 1). Eadeh and Chang’s (2019) threat-affordance model posits that perceived threat can increase greater support for liberalism or greater support for conservatism, depending on the type of threat. In contrast, Jost and colleagues’ (2003) system justification theory posits that perceived threat asymmetrically predicts greater support for conservatism and greater systemsupporting collective action. This article advances a synthesis of these two …

Efficient Conditional Inactivation Of Rdh10 Reveals Important Role Of Retinoic Acid During Lung Branching Morphogenesis., Nhut Quang Huy Tran

Electronic Theses and Dissertations

Birth defects are complicated pathological processes. Many birth defects can be traced back to disrupted regulation of molecular signaling pathways during embryogenesis. One of the most important gene regulatory factors during embryo development is retinoic acid (RA). However, studying the specific roles of RA in each organ during embryogenesis in vivo is challenging. The Sandell laboratory has a conditional mutant mouse model that can potentially be used for studying the role of RA during embryogenesis by inducing stage-specific RA deficiency. This model allows retinol dehydrogenase 10 (Rdh10), a gene required for RA production, to be inactivated at a …

Comparative Host Response And Gene Regulation In Deer Mice And Syrian Golden Hamsters During Acute Infection With Modoc Virus, Tyler Sherman

Dissertations

Flaviviruses (family Flaviviridae, genus Flavivirus) comprise a diverse group of globally-distributed viruses that may specifically infect vertebrates, invertebrates, or both. Of those that can replicate in both invertebrates (such as ticks and mosquitoes) as well as vertebrates (such as mammals), many represent important human pathogens. Examples of these include dengue virus (DENV), which may cause severe hemorrhagic fevers, West Nile virus (WNV), Japanese encephalitis virus (JEV), and Zika virus (ZIKV), all of which may cause febrile illness with neurologic involvement, and yellow fever virus (YFV), which may induce hepatic dysfunction. Given that these viruses (among others) are carried and transmitted …

Why We (Probably) Must Deliberately Infect, Adam J. Kolber

Faculty Scholarship

No abstract provided.

Depression Is Associated With Decreased Severity And Lower Mortality In Non-Elderly Hospitalized Adults With Influenza In The United States, Timothy L. Wiemken, Daniel Hoft, Jeffrey Scherrer

The University of Louisville Journal of Respiratory Infections

Background: Depression is associated with risk for chronic disease, though its relationship with infectious diseases is less understood. Depression may modify the clinical outcomes of patients with infectious diseases such as influenza via its association with inflammation. The objective of this study was to evaluate the relationships between depression and clinical outcomes in non-elderly adults with influenza infection.

Methods: This was a secondary analysis of the Nationwide Inpatient Sample database, years 2012–2016. Hospitalized adults aged 18–65 admitted during each influenza season were included. Depression status was documented via ICD-10 codes. The association between depression and clinical outcomes (e.g., …

The Impact Of State-Level Laws On Syringe Service Program Access And Risk Environment Of People Who Inject Drugs (Pwid), Samuel Pettyjohn

Electronic Theses and Dissertations

Background: Understanding concentrated areas with high rates of opioid use disorder (OUD) allows for improved placement of Narcan access points through syringe services programs (SSPs). People Who Inject Drugs (PWID) have lower risk of contracting infectious diseases the closer they are to SSPs. Tennessee law prohibits SSPs within 2000ft of a school or park, impacting the placement of SSPs in non-urban areas. Testing factors related to SSP siting placement within a system dynamic model can better determine the relationship between PWID risk environment and SSP access and utility.

Methods: We identified areas of greatest need for harm reduction interventions within …

The Coronavirus And The Risks To The Elderly In Long-Term Care, William Gardner, David States, Nicholas Bagley

Articles

The elderly in long-term care (LTC) and their caregiving staff are at elevated risk from COVID-19. Outbreaks in LTC facilities can threaten the health care system. COVID-19 suppression should focus on testing and infection control at LTC facilities. Policies should also be developed to ensure that LTC facilities remain adequately staffed and that infection control protocols are closely followed. Family will not be able to visit LTC facilities, increasing isolation and vulnerability to abuse and neglect. To protect residents and staff, supervision of LTC facilities should remain a priority during the pandemic.

Development Of An Attenuated Zika Virus By Editing The 5’ Untranslated Region, E. Ashley Thompson

Master's Theses

Zika Virus (ZIKV) is a mosquito-transmitted flavivirus that usually causes no symptoms to mild febrile in humans, and it has been regarded as an insignificant pathogen to public health. However, recent outbreaks of ZIKV infection have revealed that ZIKV can cause severe neurological effects in adults, such as Guillain-Barre Syndrome (GBS), and in infants whose mothers acquired the virus during pregnancy, causing Congenital Zika Syndrome (CZS). Currently, no approved vaccine is available and there is a critical need to develop an effective and safe vaccine. While most vaccine developmental strategies target the viral prM-E protein of ZIKV, we aimed to …

Understanding Violent-Crime Recidivism, J.J. Prescott, Benjamin Pyle, Sonja B. Starr

Articles

People convicted of violent crimes constitute a majority of the imprisoned population but are generally ignored by existing policies aimed at reducing mass incarceration. Serious efforts to shrink the large footprint of the prison system will need to recognize this fact. This point is especially pressing at the time of this writing, as states and the federal system consider large-scale prison releases motivated by the COVID-19 pandemic. Those convicted of violent crimes constitute a large majority of older prisoners, who are extremely vulnerable to the spread of the virus behind bars. Excluding them from protective measures will deeply undermine those …

Getting To Zero: An Evaluation Of Santa Clara County’S Hiv Prevention Program In Comparison To Selected Counties, Nupur Rathore

Master's Projects

Research Question: This research project compared SCC with nine other counties in California to determine, how SCC’s outcome of its GTZ program varies in comparison to other selected counties? The project also focused on determining how SCC’s spending for its GTZ differed from the other selected counties?

Parallel Evolution Of Tobramycin Resistance Across Species And Environments, Michelle R. Scribner, Alfonso Santos-Lopez, Christopher Marshall, Christopher Deitrick, Vaughn S. Cooper

Biological Sciences Faculty Research and Publications

Different species exposed to a common stress may adapt by mutations in shared pathways or in unique systems, depending on how past environments have molded their genomes. Understanding how diverse bacterial pathogens evolve in response to an antimicrobial treatment is a pressing example of this problem, where discovery of molecular parallelism could lead to clinically useful predictions. Evolution experiments with pathogens in environments containing antibiotics, combined with periodic whole-population genome sequencing, can be used to identify many contending routes to antimicrobial resistance. We separately propagated two clinically relevant Gram-negative pathogens, Pseudomonas aeruginosa and Acinetobacter baumannii, in increasing concentrations of …

Vestigial-Like 1 Is A Shared Targetable Cancer-Placenta Antigen Expressed By Pancreatic And Basal-Like Breast Cancers, Sherille Denae Bradley

Dissertations and Theses (Open Access)

Cytotoxic T lymphocyte (CTL)-based cancer immunotherapies have shown great promise for inducing clinical regression by targeting tumor-associated antigens (TAA). To expand the TAA landscape of pancreatic ductal adenocarcinoma (PDAC), we performed tandem mass spectrometry analysis of HLA class I-bound peptides from tumors of PDAC patients. This led to the identification of a shared HLA-A*0101 restricted peptide derived from co-transcriptional activator Vestigial-like 1 (VGLL1), a novel putative TAA demonstrating overexpression in multiple tumor types and low or absent transcript expression in normal tissues with the exception of placenta. VGLL1-specific CTL isolated and expanded from the blood of a male PDAC patient …

Heterogeneous Nuclear Ribonucleoprotein K (Hnrnp K) Overexpression And Its Interaction With Runx1 Rna In Acute Myeloid Leukemia, Marisa Aitken

Dissertations and Theses (Open Access)

Acute myeloid leukemia (AML) is an often devastating hematologic malignancy with 5-year overall survival lingering near 20%. Acquiring a deeper understanding of molecular underpinnings of leukemogenesis will provide a basis for developing more effective therapeutic strategies for patients with AML.

Here, we identified overexpression of hnRNP K as a recurrent abnormality in a subset (~20%) of AML patients. High levels of this RNA-binding protein associated with inferior clinical outcomes in de novo AML. Thus, to evaluate its putative oncogenic capacity in myeloid disease, we overexpressed hnRNP K in murine hematopoietic stem and progenitor cells isolated from fetal liver cells (FLCs). …