Medicine and Health Sciences Commons^™

Examining The Healthcare Journeys Of African American Individuals With Type 2 Diabetes Amid Covid-19, Lei Edmerson

Honors Theses

The overall purpose of this study is to explore the pandemic experience of African American’s with Type 2 Diabetes. This study was done to highlight a specific group of people who live with a chronic illness and the steps they took to ensure their safety during a pandemic. The COVID- 19 pandemic had been shown to adversely and disproportionately impact minorities and those with diabetes in regards to mortality rates. This study aims to bring light to the stories of those dealing with more than just the pandemic. It wanted to explore how they made it thus far, and if …

An Investigation Of Chronic Pain As A Much-Neglected Symptom Of Hypermobile Ehlers-Danlos Syndrome, Sydney Collins

Honors Theses

Ehlers Danlos Syndrome is a group of heritable loose connective tissue disorders with 13 distinguished subtypes. The hypermobile type of Ehlers Danlos Syndrome (hEDS) is the most common subtype and is caused by a genetic mutation that leads to defective collagen fibrils. This leads to joint instability and hypermobility, skin elasticity, widespread pain, fatigue, and generalized tissue fragility. Chronic pain is reported to be a symptom in as high as 92% of the hEDS population (Voermans et al., 2010); despite this prevalence, there is a significant lack of research, awareness, and treatment standardization regarding pain in hEDS. This literature review …

Hiv-1 Transcription Elongation By Tat-Mediated Recruitment Of P-Tefb, Elizabeth Griggs

Honors Theses

Over 38.0 million people live with the human immunodeficiency virus (HIV) as of 462019. HIV hijacks the host's cellular machinery to replicate its viral DNA and transcribe the corresponding RNA. HIV-1 transcription relies on both cellular and viral transcription factors for proper regulation. The viral transcriptional activator Tat is a primary regulator. Transcription activation and elongation is controlled through the interaction of Tat with Positive Transcription Elongation Factor b (P-TEFb), a cellular transcriptional activator. The focus of this paper is 1) an in-depth understanding of the interaction between P-TEFb and Tat in HIV transcription, and 2) a review of recent …

Developing Prediction Models For Kidney Stone Disease, Joseph Palko

Honors Theses

Kidney stone disease has become more prevalent through the years, leading to high treatment cost and associated health risks. In this study, we explore a large medical database and machine learning methods to extract features and construct models for diagnosing kidney stone disease.

Data of 46,250 patients and 58,976 hospital admissions were extracted and analyzed, including patients’ demographic information, diagnoses, vital signs, and laboratory measurements of the blood and urine. We compared the kidney stone (KDS) patients to patients with abdominal and back pain (ABP), patients diagnosed with nephritis, nephrosis, renal sclerosis, chronic kidney disease, or acute and unspecified renal …

Simian Varicella Virus Antibody Response In Recombinant Svv-Siv Immunized Primates, Kiser Horne

Honors Theses

Since its emergence in the early 1980’s HIV has killed approximately 32 million people, and continues to kill over half a million people every year. Significant research into potential vaccines and cures for HIV has been ongoing for decades but has been largely unsuccessful. One of the more promising technologies that is being investigated to develop an HIV vaccine is recombinant vaccine technology. The study presented in this thesis aims to use simian varicella virus (SVV) and simian immunodeficiency virus (SIV) to act as a model for recombinant vaccine development. If a recombinant SVV-SIV vaccine can be proven safe and …

Coronary Artery Disease: An Analysis Of Its Biochemical, Physiological, And Sociological Causes And Effects, Alexander Velazquez

Honors Theses

Coronary Artery Disease (CAD) is a serious condition caused by a buildup of plaque in your coronary arteries, the blood vessels that bring oxygen-rich blood to your heart. It disproportionately affects millions of Americans and thousands of Mississippians. This study presents the results of an evaluation of causation factors of CAD, the physiological impact on the body, and the contributing determinants of CAD on Mississippi populations. Data on Mississippi populations were collected using the Center for Population Studies at the University of Mississippi. A multitude of individuals were evaluated when examining the causes and effects of CAD including men, women, …

Headache-Related Disability Among Individuals With And Without Migraine Aura, Delora Denney

Honors Theses

Migraine is a neurological disease marked by recurrent headache and migraine attacks. Migraine is one of the most common diseases in the world, and as a result of high prevalence and symptoms, migraine is also quite disabling. One-third of people who have migraine experience aura, and these individuals have a greater risk for stroke, psychiatric comorbidities, and suicide attempts. The present study aimed to evaluate if there was a difference in headache-related disability between those who have migraine with and without aura, and any headache or psychiatric factors that may account for observed difference in disability.

The present study is …

Hippocampal Connectivity In Parkinson's Disease, Landis Llewelyn

Honors Theses

Background: This thesis was conducted in order to investigate possible connections between functional connectivity of the hippocampus in individuals who have Parkinson’s disease.

Methods: The MRI images, the clinical data, and the demographic data of 93 individuals with PD and 18 individuals without PD were obtained from the Parkinson's Progression Markers Initiative. Resting-state fMRI data from a group of PD patients was compared to a control group of non-PD patients by using previously published methods with FMRIB Software Library (FSL) as well as Analysis of Functional Neuroimages (AFNI).

Results: Compared to the control (non-PD) group, results bilaterally showed lesser connectivity …

Using Deep Learning To Automate The Diagnosis Of Skin Melanoma, Akhil Reddy Alasandagutti

Honors Theses

Machine learning and image processing techniques have been widely implemented in the field of medicine to help accurately diagnose a multitude of medical conditions. The automated diagnosis of skin melanoma is one such instance. However, a majority of the successful machine learning models that have been implemented in the past have used deep learning approaches where only raw image data has been utilized to train machine learning models, such as neural networks. While they have been quite effective at predicting the condition of these lesions, they lack key information about the images, such as clinical data, and features that medical …

Diabetes Self-Management Training In Rural Mississippi, Nathan Foxworth

Honors Theses

The objective of this study is to evaluate participants’ attitudes towards and readiness to participate in an online Diabetes Self-Management Education and Support (DSMES) program in rural Mississippi, in light of the rapid shift to telemedicine necessitated by the CoVid19 pandemic. Semi- structured in-depth interviews were conducted with patients over 18 that live in areas considered rural in Mississippi. The findings of the study conclude that patients in rural settings are willing and ready to participate in DSMES online. Of the 12 participants in the study, 11 had access to the internet and had adequate infrastructure in order to participate …

To Care When There Is No Cure: Chronic Illness And Medicine, Skylar Nash

Honors Theses

Millions of people worldwide are suffering from chronic illness at this very moment. Just in the United States, a little less than half of the entire population has been diagnosed with a chronic illness, and a large portion of those patients have been diagnosed with multiple chronic diseases. Those stricken by incurable illness are forced to face and manage their unique illness experience along with the side-effects of the disease itself. For this subset of the population, everyday normal activity can become relatively impossible to work through. There are financial, psychological, social, and physical obstacles to overcome every day that …

Serine And Glutathione Biosynthesis In Breast Cancer Subclones That Preferentially Metastasize To Lung And Bone, Noah Thornton

Honors Theses

Metastatic breast cancers show distinct preferences to metastasize to lung and bone tissue. Transcriptomic analysis of lung-specific (LM) and bone-specific (BoM) subclones derived from the MDA-231 breast cancer line have identified differential expression of genes that may mediate this tissue-specific metastasis, but metabolic differences have not been systematically studied. If common metabolic phenotypes emerge in metastatic cancers having preferences for different organs, then such ‘metabolic plasticity’ may offer new therapeutic targets for treatment of specific metastases. Changes in glutathione (GSH) and serine synthesis may contribute to tissue-specific proliferation because of their roles in redox homeostasis, biosynthetic reactions including nucleotide synthesis, …

The Effects Of Progesterone Induced Blocking Factor And 17-Hydroxyprogesterone Caproate On The Pathophysiology Of Preeclampsia, Kyleigh M. Comley

Honors Theses

Preeclampsia (PE) is responsible for about 20% of the 13 million preterm births each year worldwide, including 100,000 cases annually in the United States. Despite being a leading cause of maternal and perinatal morbidity, the mechanisms of pathogenesis are still largely unknown. PE is progesterone deficient state characterized by hypertension, chronic immune activation, endothelial dysfunction and severe forms can lead to seizures. Treatment of seizures includes the administration of magnesium sulfate (MgSO4) though not all PE patients are responsive, and it does not decrease PE-associated hypertension. To resolve these conditions, PE patients are delivered early thereby making PE the leading …

Hiv Tat Protein Activates Plasma Kallikrein-Kinin System In Hiv-1 Tat Transgenic Mice, Logan Sneed

Honors Theses

Human Immunodeficiency Viruses are a group of lentiviruses that have seen a lot of study ever since their discovery. HIV-1, the most common and virulent form of the virus, has proven to be quite deadly when untreated, so any research into the mechanisms of HIV pathogenesis and replication could have major medical applications all over the world. HIV-1 is a sexually transmitted virus that compromises the hosts immune system and eventually leads to the patient developing AIDS, a life-threatening condition that nearly half of people infected with HIV will develop within ten years. Our study sets out to determine exactly …

Modeling Of Covid-19 Utilizing Various Compartmental Models To Predict Infection Rates Throughout Michigan, Colleen M. Staniszewski

Honors Theses

Compartmental modeling is a method of employing math to create a visual representation of a disease interacting with a select population, typically used in epidemiology analyses. This project applies compartmental modeling equations to data collected on the various aspects of COVID-19 in Michigan. Comparing current data to past predictive models, as well as the visual representations that were developed through the various compartmental modeling methods, allows an assessment of the effects of the preventative measures taken by the state, the various rates at which the infection is able to spread, as well as the potential path and spread of the …

Use Of Small Molecule Fanconi Anemia Pathway Inhibitors As Sensitizing Agents To Laromustine., Sam W. Marchant

Honors Theses

Laromustine is an experimental chemotherapeutic sulfonyl hydrazine prodrug shown in clinical trials to be effective against acute myeloid leukemia. The mechanism of action of laromustine involves interstrand crosslinking, via chloroethylation, and enzyme inhibition, caused by carbamoylation. The work described herein aims to investigate whether inhibition of the replication-dependent interstrand crosslink repair Fanconi Anemia pathway further sensitizes cells to laromustine. By measuring metabolic activity immediately after drug exposure, we find laromustine to be equally as cytotoxic towards Fanconi Anemia deficient and wild type cells. However, through clonogenic assays we show Fanconi Anemia mutations sensitize cells to laromustine’s anti-proliferative effect. Furthermore, we …