Medicine and Health Sciences Commons^™

Host Cell Death In Legionella Pneumophila Pathogenesis And Immunity, Wenhan Zhu

Open Access Dissertations

Legionella pneumophila is an intracellular pathogen that causes a severe, atypical pneumonia termed Legionnaires' disease. Upon entering the host cell, L. pneumophila resides in a membrane-bound vacuole, in which the bacterium evades lysosomal fusion and replicates. The establishment of the vacuole requires the Dot/Icm (Defect in organelle trafficking/ intracellular multiplication) transport system, which translocates a large number of substrates into host cells to re-orchestrate various cellular processes, such as intracellular trafficking, protein synthesis and host cell death pathways. Therefore, a key step in understanding the biology of Legionella is to dissect the mechanisms of action of the Dot/Icm substrates. By …

Coordination Between Hand And Trunk Movements In A Fitts' Law Task, Fuwen Cai

Open Access Dissertations

It has been shown that limb movements are coupled in space and time in a bimanual Fitts' task. The present study was designed to examine whether coordination of hand and trunk share some sets of coordinative principles with bimanual coordination. Participants (n = 28) were required to perform a Fitts' task with the dominant hand and a Fitts' task with the trunk. These tasks were performed separately or together. The task required moving the trunk, the dominant hand or both, such that the cursor/cursors on a computer screen was/were moved from the starting position/positions to the designated target/targets as fast …

Coupled Fluid-Thermal Analysis Of Low-Pressure Sublimation And Condensation With Application To Freeze-Drying, Arnab Ganguly

Open Access Dissertations

Freeze-drying is a low-pressure, low-temperature condensation pumping process widely used in the manufacture of bio-pharmaceuticals for removal of solvents by sublimation. The goal of the process is to provide a stable dosage form by removing the solvent in such a way that the sensitive molecular structure of the active substance is least disturbed. The vacuum environment presents unique challenges for understanding and controlling heat and mass transfer in the process. As a result, the design of equipment and associated processes has been largely empirical, slow and inefficient.^ A comprehensive simulation framework to predict both, process and equipment performance is critical …

Quantitative Modeling Of Spatiotemporal Systems: Simulation Of Biological Systems And Analysis Of Error Metric Effects On Model Fitting, James Hengenius

Open Access Dissertations

Understanding the biophysical processes underlying biological and biotechnological processes is a prerequisite for therapeutic treatments and technological innovation. With the exponential growth of computational processing speed, experimental findings in these fields have been complemented by dynamic simulations of developmental signaling and genetic interactions. Models provide means to evaluate "emergent" properties of systems sometimes inaccessible by reductionist approaches, making them test beds for biological inference and technological refinement.^ The complexity and interconnectedness of biological processes pose special challenges to modelers; biological models typically possess a large number of unknown parameters relative to their counterparts in other physical sciences. Estimating these parameter …

Differences In Brainstem Level Encoding Of Am And Fm Signals In A Rat Model For Dyslexia, Stephen Anthony Chabot

Open Access Theses

Developmental dyslexia is a language learning disorder that affects a significant portion of the population. Many subjects who suffer from dyslexia show auditory processing deficits as children, some of which persist into adulthood, which impair their ability to learn one or more aspects of language. There is evidence that some types of training can correct the auditory processing deficits and bring the subject to a normal reading or speaking proficiency for their age group. One common rodent model for dyslexia is the cortical freeze lesion model. This model induces a lesion in the rat cortex similar to the microgyria present …

Designing A Sustainable And Transferable Inventory Management System For Small Healthcare Facilities, Shree Frazier

Open Access Theses

Managing the costs of supplies within healthcare facilities has been a task that has plagued the health industry for many years. Many facilities are accustomed to using a par system approach. This involves bringing an inventory item to an amount sufficient for daily operation. This method often requires daily inspection by a healthcare worker, which reduces his/her time spent performing value added tasks. Employees at small healthcare facilities have multiple responsibilities, therefore they cannot afford to spend much time on inventory management. A proposed approach is the Kanban method, which allows for strict monitoring of inventory items without the need …

The Impact Of An Omega-3 Enriched Diet On Hyperactivity And Biochemistry In An Animal Model For Attention-Deficit/Hyperactivity Disorder, Nadine M. Hammoud

Open Access Theses

Attention-deficit/hyperactivity disorder (ADHD) is the most diagnosed behavioral disorder in children. It affects around 5% of children worldwide and 11% of children in the United States, with rates increasing. Pharmaceutical treatments, such as amphetamines and methylphenidates, are not effective for everyone and are known to have unwanted side effects. While the etiology of the disorder is not yet fully understood, there are clear genetic and environmental components. Nutritional insufficiencies have recently become a popular environmental risk factor under investigation. Essential fatty acids (EFA), omega-3 polyunsaturated fatty acids (PUFA) in particular, are needed for proper brain development and function. Our lab …

Respiratory And Laryngeal Function In Teachers Pre- And Posta 1-Hour Vocal Loading Challenge, Nicole E. Herndon

Open Access Theses

Teachers use their voice as a key part of their profession, often speaking at an increased loudness for multiple hours a day. This places teachers at a high risk for voice disorders, which costs the United States billions of dollars annually. Vocal fatigue, or worsening of the voice as the day progresses, is a common complaint from teachers. The present study investigated respiratory and laryngeal function in teachers pre and post a 1-hour vocal loading challenge. Six teachers and three student teachers (total of 9 subjects) produced four speech tasks and completed two perceptual ratings pre and post a 1-hour …

Pharmacist Collaborative Drug Therapy Management In U.S. Hospitals, Pragya Mishra

Open Access Theses

The objectives for this study were to 1) assess the current extent, scope and perceptions of CDTM in U.S. hospitals, 2) determine the associations between hospital characteristics, pharmacy director characteristics, and perceptions of CDTM, 3) investigate hospitals' short-term and long-term plans regarding CDTM, and 4) identify pharmacy directors' views about the major facilitators and barriers for CDTM in hospitals.

A self-administered written survey was mailed to a national random sample of hospitals stratified by state. Pharmacy directors indicated whether any pharmacists were engaged in CDTM, what CDTM activities were permitted, and in what treatment categories CDTM was permitted. Demographic data …

Review Of The Pathogenesis And Treatment Of Acute Spinal Cord Injury And Investigation Into The Use Of Urine 3-Hpma As A Novel Biomarker Of Secondary Injury After Acute Spinal Cord Injury In The Dog, Andrea Sangster

Open Access Theses

Acute spinal cord injury (ASCI) has two pathophysiological stages of injury: the primary injury and the secondary injury cascade. Primary injury includes the initial or mechanical insult to the spinal cord. Secondary injury is a cascade of biochemical events that propagates damage of adjacent, healthy tissue increasing the overall volume of spinal cord tissue that is affected. Acrolein is a toxic byproduct of lipid peroxidation produced during secondary injury. A metabolite of acrolein-glutathione adduct found in urine, 3-HPMA, has recently been shown to increase after spinal cord injury in a rat model. The aim of our study was to apply …

The Effects Of Heat Stress On Immunity In Laying Hens And Dairy Cattle, Rebecca Ann Strong

Open Access Theses

With the increase in global climate change and the population growth driving the high demand for additional food production, heat stress (HS) is a major concern in the livestock industry across all species. Animals experience HS when exposed to high environmental temperatures outside their thermal neutral zone. The level of the effects can vary due to the length and intensity of HS to which the animal is exposed to. In experiment one, laying hens with access to cooled perches during HS had a lower heterophil to lymphocyte ratio compared to the control hens after 4 h of acute heat stress, …

African Starchy Foods, Gastric Emptying, And Starch Digestion In Malian Stunted Children, Fatimata Cisse

Open Access Dissertations

Starch serves as the main energy source in cereal and tuber-rich diets, and its glycemic response profile has been associated with health-related conditions. Sorghum and millet are known to have relatively low starch digestibility, a potentially desirable property for controlling blood glucose response and providing sustained energy. Gastric emptying rates of traditional sorghum and millet-based African foods of the Sahelian region (couscous, thick and thin porridges made from millet and/or sorghum) were compared to those of non-traditional "modern" foods that are mostly consumed in urban areas using a non-invasive 13C-labelled octanoic acid breath test in healthy volunteers. The obtained results …

Prediction Of Parturition And Dystocia In Holstein-Friesian Cattle, And Cesarean Section In Dystocic Beef Cattle, Wen Han Mark Hiew

Open Access Dissertations

Dystocia is a major problem in the dairy industry as it causes livestock and economic loss. It is more frequently seen in primiparous cattle compared to their multiparous counterparts due to their smaller stature and the slow maturation of pelvic dimensions. In some instances, human intervention of the parturition process is imperative to avoid pain, injury, and mortality of the neonate and the dam. The ability to accurately predict dystocia and the time of parturition will ensure that timely assistance can be given to animals that are of high risk of dystocia.^ The present thesis contains four studies that explore …

Evaluation Of Yttrium-90 Positron Emission Tomography Dosimetry, Katherine N. Tapp

Open Access Dissertations

Purpose: Radioembolization is a novel treatment which utilizes the liver's unique dual system blood supply to trap yttrium-90 (⁹⁰Y) microspheres in microvasculature near liver tumors. Radioembolization dose planning and dosimetry are based on crude, inaccurate assumptions due to the lack of knowledge of patient specific ⁹⁰Y microsphere distribution. In recent years, the very small 3.1867e-5 internal pair production decay branch of ⁹⁰Y has been shown to allow for positron emission tomography (PET) imaging following radioembolization. This work explores the accuracy and limitation of ⁹⁰Y PET imaging due to the extremely low signal to noise (SNR) …

Structured Deterministic Models Applied To Malaria And Other Endemic Diseases, Katia Patricia Vogt Geisse

Open Access Dissertations

This thesis includes modeling studies on three structured deterministic models. These models are used to study the disease dynamics of malaria or the joint disease dynamics of HIV and HSV-2. Each of the models includes multiple components containing individuals in various epidemiological classes for the purpose of addressing questions that are of interests to biologists and epidemiologists. Some of the compartments have a continuous age-structure, which is necessary for studying the specific biological questions under investigation.^ In Chapter 2 a chronological-age structured deterministic model for malaria is presented. The model includes the human and mosquito populations with the human population …

Current Steering And Electrode Spanning With Partial Tripolar Stimulation Mode In Cochlear Implants, Ching-Chih Wu

Open Access Dissertations

Cochlear implants (CIs) partially restore hearing sensation to profoundly deaf people by electrically stimulating the surviving auditory neurons. However, CI users perform poorly in challenging listening tasks such as speech recognition in noise and Cochlear implants (CIs) partially restore hearing sensation to profoundly deaf people by electrically stimulating the surviving auditory neurons. However, CI users perform poorly in challenging listening tasks such as speech recognition in noise and music perception, possibly due to the small number of implanted electrodes and the large current spread of electric stimulation. Although current spread may be reduced using partial tripolar (pTP) stimulation mode, the …

Prediction Of The Stress At The Inlet Of The Nip Region In A Roll Compactor, Timothy Patterson

Open Access Theses

The stress at the inlet nip region of a roll compactor (i.e., feeder outlet stress) is a necessary input parameter for existing powder roll compaction models; however the nip region inlet stress is poorly understood and difficult to directly measure. The inability to specify the nip region inlet stress on a roll compactor limits comparisons between powder roll compaction models and experimental results. Therefore, this thesis investigates the application of a solid plug model to a powder feed screw of a roll compactor in order to predict the stress at the inlet nip region.

The feeder outlet stress predictions of …

Risk Attitudes And Characteristics Of Student Pharmacists Across Cohorts, Kristin Rose Villa

Open Access Theses

In unstable environments, adaptation is a prerequisite for survival of organizations or groups. The Affordable Care Act has created a changing environment for health care providers. Unfortunately for Pharmacy, innovation within our profession has languished, leaving pharmacists in a precarious position. Many have noted the stagnation of the profession; in fact it has been a recurring theme in the commentary over the last five decades. The dialogue has focused on the externalities that represent barriers to the profession's evolution, including the direction change should take and the legal or organizational issues that inhibit change and innovation. Little attention has been …

The Parkinson's Experience Of Group Physical Activity: Understanding Social Support, Social Comparison, Physical Self-Perceptions, And Posttraumatic Growth, Tammy L. Sheehy

Open Access Theses

Group physical activity programs for clinical populations can provide opportunities for adaptive social interactions, improving perceptions of competence, and may facilitate posttraumatic growth (positive psychological changes resulting from traumatic life experiences). Therefore, the purpose of this study was to examine how people with Parkinson's experience social interactions and physical challenges in a group physical activity program, and to investigate what role they think those experiences play in posttraumatic growth. The study employed interpretative phenomenological analysis methodology (Smith, Flowers & Larkin, 2009). N= 20 participants ( n = 12 women; age = 56-79 years) in a boxing-based group exercise program …

State-Level Analysis Of Variation In Infant Mortality Rate: A Socio-Ecological Approach, Nicole M. Sobiech

Open Access Theses

Background: Infant mortality has been used as a predictor of population health, and was higher in the United States compared to other developed countries. The rate of infant mortality varies greatly at the State level, with infants born in southern States having an increase risk. ^ Methods: This paper investigates influential variables in all five dimensions of the socio-ecological model on State infant mortality in the U.S. Multiple regression analyses were conducted to determine the amount of variance that could be explained between and at the State level. ^ Results: The socio-ecological model explained 73% variation of State infant mortality …

Iron Nutriture Following Roux-En-Y Gastric Bypass Surgery, Breanne N. Wright

Open Access Theses

Roux-en-Y gastric bypass surgery (RYGB) is effective for weight loss, but is commonly associated with iron deficiency and its clinical manifestation, anemia. Diagnosing iron deficiency is complex because iron status depends on other nutrients; additionally, anemia following surgery is not specifically due to deficiency in iron, as it can be due to deficiencies in other nutrients including zinc, copper, vitamin B₆, folate, and vitamin B ₁₂. In patients who have undergone RYGB, our aims were to 1) conduct a comprehensive assessment of nutrients involved in iron homeostasis, 2) determine the contribution of dietary intake to iron deficiency, …

Efficacy Of Cleaning Method For Removal Of Exogenous Welding Fume Contamination From Nail Tissue Prior To Use As A Biomarker For Welding Fume Manganese Exposure, Jeffrey Corral Bainter

Open Access Theses

Nail tissue has been proposed as a biomarker for body burden of occupational exposure to manganese from welding fumes. Though recent studies have shown correlation between manganese exposure and both nail tissue concentration as well as concentrations in dopaminergic regions of the brain, concerns of the validity of nail tissue as a biomarker have arisen due to the potential for exogenous contamination of Mn to undermine the quantization of endogenous Mn in nail. Previous studies have used a cleaning method of 1% Triton X-100 surfactant plus sonication in order to attempt to remove exogenous welding fume contamination. Determination of the …

Cut-Off Values For Gait Variables To Detect Forelimb Lameness In Individual Dogs, Jennifer G. Carr

Open Access Theses

The objective of this study was to characterize kinetic and kinematic variables in dogs with forelimb lameness and determine lameness cutoff values of gait variables using ROC analysis with observational gait analysis (OGA) as reference. Twenty client-owned dogs with unilateral lameness were included. Dogs underwent orthopedic exam, including OGA, and instrumented gait analysis (IGA; kinetic and kinematic analysis). Kinetic variables with the highest accuracy were PVF and %WD with an area under the curve (AUC) of 0.73 and 0.92, respectively. Optimal cutoff value for PVF and %WD were ≤ 10.6 (sensitivity 70% and specificity 75%) and ≤ 29.7 (sensitivity 90% …

Epidemiology Of Coccidioidomycosis In Missouri, Ravi Kumar Aggu Sher

Open Access Theses

Introduction. Incidence of Coccidioidomycosis has been increasing nationally, from 2,271 cases in 1998 to 17,802 cases in 2012. Missouri is not endemic to Coccidioidomycosis but the incidence has been increasing since becoming reportable in 2003. To describe epidemiology of Coccidioidomycosis in Missouri we conducted a retrospective review of surveillance data at Missouri Department of Health & Senior Services (DHSS) for the years, 2004-2013.

Methods. Data was obtained from Missouri Health Surveillance Information System (WebSurv), the statewide reporting system for notifiable diseases. All cases that were "Confirmed" were included in the study.

Results. There were a total of 93 confirmed cases …

1,25-Dihydroxyvitamin D Alters Lipid Metabolism And Epithelialto- Mesenchymal Transition In Metastatic Epithelial Breast Cancer Cells, Alle Nicole Barnard

Open Access Theses

Evidence suggests that high vitamin D status (marked by serum 25-hydroxyvitamin D, 25(OH)2 D) is associated with a decreased risk of breast cancer. It has been established that 1,25-dihydroxyvitamin D (1,25(OH) 2 D) can alter glycolysis and the Krebs cycle of breast cancer cells (Jiang et al., 2010; Zheng et al., 2013) but little information is available on 1,25(OH) 2 D's alterations of lipid metabolism in breast cancer cells. Thus, the current research investigates if there was an effect of 1,25(OH) 2 D on proteins that regulate lipid metabolism in MCF10A, MCF10A-ras, MCF10CA1h, and MCF10CA1a epithelial breast cancer cells. While …

Pharmacokinetics And Toxicity Of The Novel Oral Demethylating Agent Zebularine In Laboratory And Tumor Bearing Dogs, Christopher Michael Fulkerson

Open Access Theses

The aim of this thesis is to investigate the pharmacokinetics and toxicity of the novel oral demethylating agent zebularine (zeb) in laboratory dogs and tumor bearing dogs. This thesis focuses on the application of this therapeutic strategy in dogs with naturally occurring invasive transitional cell carcinoma (InvTCC), which serve as a relevant model of the human disease.

DNA hypermethylation in the promoter region is a common epigenetic change in cancer that silences tumor suppressor genes. Zeb is an oral cytidine analog that acts as a demethylating agent. Zeb has been investigated extensively in vitro as well as in mice, rodents …

The Combined Effects Of Anthropogenic And Environmental Stressors On Fundulus Grandis Development, Christopher Jacob Klinkhamer

Open Access Theses

The 2010 Deepwater Horizon oil spill resulted in the release of ~ 5 million barrels of crude oil from the Macondo wellhead into the Gulf of Mexico. Oil from the spill was documented on 1,772km of shoreline with 847km of shoreline remaining oiled a year after the spill, and 687km of shoreline remaining oiled two years after the spill. Currently, there are few data available concerning long-term, sublethal effects associated with chronic exposure to crude oil in the Gulf of Mexico. In addition to the anthropogenic-induced stress of polycyclic aromatic hydrocarbon (PAH) exposure, aquatic organisms living in estuarial areas of …

Perceptual Compensation In Individuals With Autism Spectrum Disorders, Elizabeth Anne Langston

Open Access Theses

Compensation for coarticulation is the extent in which an individual perceives the contextual variations of speech. When presented with an ambiguous consonant-vowel segment (e.g., a consonant halfway between /sa/ and /∫a/) research illustrates that a listener is likely to compensate for coarticulation with the following vowel. Therefore, a listener will be more likely to report an ambiguous speech sound as /s/ when it occurs before [u] than before [a]. Previous results have suggested that, within neurotypical individuals, the degree to which individuals compensate for coarticulation may be related to their Autism Quotient (AQ; Yu, 2010). However, this research did not …

Using The Microsoft Kinect To Assess Human Bimanual Coordination, Joshua James Liddy

Open Access Theses

Optical marker-based systems are the gold-standard for capturing three-dimensional (3D) human kinematics. However, these systems have various drawbacks including time consuming marker placement, soft tissue movement artifact, and are prohibitively expensive and non-portable. The Microsoft Kinect is an inexpensive, portable, depth camera that can be used to capture 3D human movement kinematics. Numerous investigations have assessed the Kinect's ability to capture postural control and gait, but to date, no study has evaluated it's capabilities for measuring spatiotemporal coordination. In order to investigate human coordination and coordination stability with the Kinect, a well-studied bimanual coordination paradigm (Kelso, 1984, Kelso; Scholz, & …

Investigation Into The Control Of Melittin Secondary Structure And Antimicrobial Activity, Zachary B. Molinets

Open Access Theses

Antimicrobial resistance has been an exponentially growing problem since the discovery of antibiotics. Antibiotics have been misused for many years and this misuse has grown into a real problem for the medical community. While there are countless safeguards to prevent infection by a resistant strain of bacteria, there are still many plagued by it and must be treated with sometimes dangerous antibiotics. Melittin, along with many other peptides, contain potent antimicrobial properties, but are also toxic toward enthrocytes. The control of the secondary structure of peptides provides the key to adjusting their activity.