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All ETDs from UAB

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Articles 1921 - 1950 of 2525

Full-Text Articles in Medicine and Health Sciences

Understanding The Regulatory Mechanisms Of Ubp-M And H2a Deubiquitination In Chromatin And Cellular Functions, Heui Yun Joo Jan 2009

Understanding The Regulatory Mechanisms Of Ubp-M And H2a Deubiquitination In Chromatin And Cellular Functions, Heui Yun Joo

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Posttranslational modifications of histones regulate important chromatin and cellular functions. Among them, ubiquitination of histone H2A is correlated to transcriptional repression, such as HOX gene silencing and X chromosome inactiviation. Little was known about the removal of ubiquitin from histones, the enzyme(s) involved and its function in chromatin dynamics. We have identified the protein Ubp-M (USP16) to be the H2A- and nucleosome-specific deubiquitinase. We also demonstrated that Ubp-M-mediated H2A deubiquitination is involved in cell cycle progression to M-phase, HOX gene expression, and posterior development in Xenopus laevis. Furthermore, we have also purified USP12 and USP46 which contain an Ubp-M independent …

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A System Genetics Analysis Of Energy Metabolism Traits In Drosophila Melanogaster, Patricia Paola Jumbo-Lucioni Jan 2009

A System Genetics Analysis Of Energy Metabolism Traits In Drosophila Melanogaster, Patricia Paola Jumbo-Lucioni

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Obesity is emerging as a global public health problem and it has shown to precede and predict the development of type 2 diabetes, a complex disease that has also reached epidemic proportions in the US and worldwide. Despite that obesity-related traits are highly heritable, the genetic basis underlying their natural variation and the loci playing pleiotropic roles among organismal traits have not been fully elucidated. The overall goals of these present studies were: to shed light on the architecture of the genetic co-expression networks regulating variations in obesity-related traits, elucidate the extent to which they are regulated by pleiotropic loci, …

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Sustained Pupil Constriction Following Brief Light Exposure: Relation To Retinal Health, Laxmikanth Kankipati Jan 2009

Sustained Pupil Constriction Following Brief Light Exposure: Relation To Retinal Health, Laxmikanth Kankipati

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The pupillary light reflex (PLR) is an indispensable clinical measure of visual, neurological and autonomic function which, until recently, was thought to be driven by only rods and cones. In 2000, a novel subset of retinal ganglion cells (RGCs) was discovered that express melanopsin and are intrinsically photosensitive (ipRGC). These ipRGCs contribute to the PLR and are responsible for the sustained pupilloconstriction observed following light offset (the post-illumination pupil response (PIPR)). The primary goal of this project was to examine the PIPR in a broad sample of the general human population. Using a newly-developed, wide-field optical system, we demonstrate that …

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Effects Of Daily Versus 30-Day Continuous Contact Lens Wear On Tear Cytokine Levels, Lucy Ebunoluwa Kehinde Jan 2009

Effects Of Daily Versus 30-Day Continuous Contact Lens Wear On Tear Cytokine Levels, Lucy Ebunoluwa Kehinde

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The purpose of this investigation was to determine if 30 days of continuous contact lens wear produces a different ocular inflammatory response compared to 30 days of daily wear of Bausch & Lomb® PureVisionTM silicone hydrogel contact lenses. Eighty-five individuals wore these lenses for 30 days continuously in one eye and daily in the contralateral eye. Relative concentrations of 27 cytokines were measured in tear samples collected from the subjects using cytometric bead-based assays. Clinical tests were also conducted to correlate changes in cytokine levels to changes in clinical profiles. This study contributes to a greater understanding of the impact …

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Parental Attitudes Of Human Papillomavirus Vaccination Of Adolescent Girls In Alabama, Allison G. Litton Jan 2009

Parental Attitudes Of Human Papillomavirus Vaccination Of Adolescent Girls In Alabama, Allison G. Litton

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Human papillomavirus is the most common sexually transmitted infection in the United States. This study examined racial and socio-demographic differences between African Americans and non-Hispanic Whites in Alabama regarding HPV vaccine acceptability. This cross sectional study employed a statewide survey of Alabama parents using a random digit dial phone method conducted through the Survey Research Unit at UAB. Participants were female caregivers of adolescent girls between the ages of 10-14 years. The final sample size was 403. Analyses included descriptive statistics, cross tabulations and odds ratios to assess race/ethnicity and other subgroup differences and logistic regression of intention to vaccinate …

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Regulation Of Vh Replacement In Human Immature B Cells By B Cell Receptor (Bcr) - Mediated Signaling, Jing Liu Jan 2009

Regulation Of Vh Replacement In Human Immature B Cells By B Cell Receptor (Bcr) - Mediated Signaling, Jing Liu

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VH replacement occurs through RAG-mediated secondary recombination to change unwanted IgH genes. In this dissertation, I focused on studying the molecular mechanism that regulates VH replacement in human immature B cells. In part I, our results show that VH replacement is regulated by B cell antigen receptor (BCR) mediated signaling. Using the human EU12 mHC+ cells as an experimental model system, crosslinking BCR with F(ab')2 anti-IgM antibodies results in BCR internalization, cell proliferation arrest, and induction of VH replacement. Pretreatment of human EU12 mHC+ cells with the protein tyrosine kinase inhibitor Genistein, Syk kinase inhibitors, and a Src kinase inhibitor …

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Counterregulatory Roles Of Transforming Growth Factor (Tgf)-Beta And Atrial Natriuretic Peptide (Anp) In Pressure Overload-Induced Cardiac Remodeling And Fibrosis, Jason Anthony Lucas Jan 2009

Counterregulatory Roles Of Transforming Growth Factor (Tgf)-Beta And Atrial Natriuretic Peptide (Anp) In Pressure Overload-Induced Cardiac Remodeling And Fibrosis, Jason Anthony Lucas

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Pressure overload stress (eg. hypertension or aortic stenosis) results in excessive cardiac fibrosis, changes in left ventricular (LV) geometry, and disruption of LV contractility, ultimately leading to heart failure. We hypothesize that transforming growth factor-beta (TGF-beta), a pro fibrogenic factor, and atrial natriuretic peptide (ANP), an anti fibrogenic factor, interact directly in a counterregulatory manner to balance the production of extracellular matrix (ECM) under pressure overload induced cardiac stress or hypoxia-induced pulmonary vascular adaptation. In this report, we examine structural and functional responses of the intact heart to pressure overload stress in vivo. We then utilize isolated rat pulmonary artery …

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Mechanisms Of Growth Hormone Action In Skeletal Muscle, Mahendra Devaraj Mavalli Jan 2009

Mechanisms Of Growth Hormone Action In Skeletal Muscle, Mahendra Devaraj Mavalli

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Growth hormone (GH) and insulin like growth factor-1 (IGF-1) exert profound growth promoting actions during pre and postnatal skeletal muscle development. GH and IGF-1 seem to promote their anabolic actions by influencing skeletal muscle cell prolif-eration and fusion. However, because GH stimulates the production of IGF-1 from the liver and other GH-responsive peripheral tissues, including skeletal muscle, the individual contributions of these two growth factors to anabolic responses in skeletal muscle remains poorly defined. In this dissertation research, I sought to distinguish the mechanisms responsible for growth hormone's (GH) anabolic actions in skeletal muscle. To accomplish this, I analyzed the …

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The Distinction Between First And Higher-Order Pregnancies Among Low-Income Adolescents, Ann Elizabeth Montgomery Jan 2009

The Distinction Between First And Higher-Order Pregnancies Among Low-Income Adolescents, Ann Elizabeth Montgomery

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Rapid repeat pregnancy is defined as having a subsequent pregnancy within 2 years of the first. In the United States, approximately 30-50% of adolescent mothers will experience a repeat pregnancy within 12 to 24 months of the first birth (Sangalang, Barth, & Painter, 2006; Coard, Nitz, & Felice, 2000). The negative implications of adolescents having a first birth--most notably in the areas of "health, career, and economic conditions" (Khalili, 2005, p. 19)--are compounded when a second pregnancy occurs (Key, Barbosa, & Owens, 2001). This exploratory study addressed one of the primary gaps in the literature related to rapid repeat adolescent …

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The Antecedents And Consequences Of The Niche Approach To Healthcare Delivery, Lejon Poole Jan 2009

The Antecedents And Consequences Of The Niche Approach To Healthcare Delivery, Lejon Poole

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ABSTRACT OBJECTIVE: Niche hospitals represent a growing segment in the health care industry. A niche strategy is an approach that focuses on a narrow market segment that its resources and capabilities can exploit (Porter, 1980; Powers and Khan, 2004). The purpose of the proposed study was to provide an understanding of the antecedents and consequences of the niche approach to healthcare delivery. The interaction of the niche strategy and the physician-owner as a unique bundle of resources was also examined. The subsequent model tested the relationships among generic strategies, market effects, firm effects, and financial performance. RESEARCH DESIGN AND METHODS: …

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Cystic Fibrosis Transmembrane Conductance Regulator (Cftr) Modulators And Their Mechanistic Basis: Relevance To Emerging Therapies For Cystic Fibrosis, Louise Clare Pyle Jan 2009

Cystic Fibrosis Transmembrane Conductance Regulator (Cftr) Modulators And Their Mechanistic Basis: Relevance To Emerging Therapies For Cystic Fibrosis, Louise Clare Pyle

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Cystic fibrosis (CF) is a lethal genetic disorder leading to pulmonary decline and premature death. The gene responsible for CF, the cystic fibrosis transmembrane conductance regulator (CFTR), serves as a chloride and bicarbonate channel situated at the apical cell surface of epithelia. The discovery of small molecules that augment channel gating of mutant CFTR (so-called `potentiators') represents a major theme of CF research, and offers hope for new therapeutic interventions. High-throughput screening (HTS) provides a means to test millions of agents in an unbiased manner for CFTR potentiating properties. New agents identified by HTS have undergone extensive pre-clinical and clinical …

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The Role Of Mitochondria And Plasma Membrane Ca2+ Transport Systems In Ca2+-Dependent Glutamate Release From Rat Cortical Astrocytes, Reno Cervo Reyes Jan 2009

The Role Of Mitochondria And Plasma Membrane Ca2+ Transport Systems In Ca2+-Dependent Glutamate Release From Rat Cortical Astrocytes, Reno Cervo Reyes

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Astrocytes, a type of glial cell in the central nervous system, are recognized for their support roles to neurons. They supply neurons with metabolites, maintain ion homeostasis and clear the synaptic space of neurotransmitters. However, it has been found that some astrocytes have receptors for neurotransmitter and neuroligands, exhibit Ca2+ excitability when stimulated via these receptors, and secrete gliotransmitters as an output of this Ca2+ excitability. In the Ca2+-dependent release of glutamate, it has been shown that the endoplasmic reticulum is the predominant source and the extracellular space is the auxiliary source of free Ca2+ necessary for triggering exocytosis. Because …

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Neuroinflammation And Fragile X Syndrome: Regulation By Glycogen Synthase Kinase-3, Christopher Joseph Yuskaitis Jan 2009

Neuroinflammation And Fragile X Syndrome: Regulation By Glycogen Synthase Kinase-3, Christopher Joseph Yuskaitis

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Neuroinflammation and Fragile X syndrome (FXS) are two particularly devastating neurologic conditions for which no adequate treatment exists and much is still unknown about the underlying cellular and molecular processes. Neuroinflammation contributes to the pathogenesis of many neurologic and psychiatric disorders, thus treatment of the underlying inflammation has broad implications. FXS is the most common cause of inherited intellectual and developmental delay and one of the few known genetic causes of autism. Neuroinflammation and FXS have potential links with glycogen synthase kinase-3 (GSK3) and its inhibitor, lithium. Therefore, the overall goal of this research was to examine the role of …

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Maintaining Healthy Eating Behaviors With Women After A Weight Management Program: A Grounded Theory Approach, Christie Zunker Jan 2009

Maintaining Healthy Eating Behaviors With Women After A Weight Management Program: A Grounded Theory Approach, Christie Zunker

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The purpose of this qualitative study was to explore the process of how women maintain their weight and continue healthy eating behaviors after completing a weight management program, which emphasized low-energy density foods. This is important since many women regain weight after participating in weight management programs. Theoretical sampling strategies guided participant recruitment. Inclusion criteria were: self-reported African American or Caucasian women aged 30 and older who lost > 5% of their body weight during their participation in the EatRight weight management program at least one year ago or longer. Height and weight was measured. Participants that remained > 5% below their …

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Diffusion Pathways Through The Outer Membrane Of Mycobacteria, Olga Danilchanka Jan 2009

Diffusion Pathways Through The Outer Membrane Of Mycobacteria, Olga Danilchanka

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The extraordinary capacity of Mycobacterium tuberculosis (Mtb) to adapt to environmental changes during infection contributes to its success as a pathogen. While the unique outer membrane (OM) of mycobacteria functions as a permeability barrier for toxic molecules, uptake of nutrients is required to sustain viability of Mtb. Whereas hydrophobic molecules can diffuse through membranes, uptake of small hydrophilic compounds is mediated by water-filled channels, porins. For example, Msp-like porins of M. smegmatis (Ms) were shown to be required for uptake of hydrophilic beta-lactam antibiotics, which are also known to diffuse through porins in gram-negative bacteria. Because the structure of the …

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Parenting Behaviors And Adolescent Obesity, Kathy Lynne Newman Jan 2009

Parenting Behaviors And Adolescent Obesity, Kathy Lynne Newman

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PARENTING BEHAVIORS AND EARLY ADOLESCENT OBESITY KATHY NEWMAN SCHOOL OF NURSING ABSTRACT The incidence of adolescent obesity has more than tripled in the past 30 years with the rate increasing from 5% to 17%. Approximately 17.0% of adolescents in the United States are obese with 4% being categorized as morbidly obese. Obesity disproportionately affects minority adolescent groups. Previous studies have examined relationships between parental behaviors and adolescent health risk behaviors, but few studies have compared these relationships across different racial/ethnic groups. The purpose of this study was to examine the relationships between parental nurturance, parental involvement, family cohesion, and early …

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Validation Of Two Qualitative Occupational Expose Assessment Models For Particulates And Vapors, Leshan J. Elliott Jan 2008

Validation Of Two Qualitative Occupational Expose Assessment Models For Particulates And Vapors, Leshan J. Elliott

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o ensure industrial workers are not overexposed to hazardous chemicals, it is necessary to evaluate the magnitude of occupational exposures. Small and medium sized companies usually do not employ industrial hygienists or other professionals trained in occupational exposure evaluations. Thus, traditional quantitative air sampling methods are usually not feasible due to resource and budgetary limitations. Qualitative exposure assessment models have gained in popularity because they are simple, inexpensive, and less time consuming than quantitative methods. Models are available which predict exposure concentrations or categorize exposures as acceptable or unacceptable. Unfortunately, most models have not been validated or previous studies have …

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Analysis Of Hiv-1 Variable Loop 3-Specific Neutralizing Antibody Responses By Hiv-2/Hiv-1 Envelope Chimeras, Katie L. Davis Jan 2008

Analysis Of Hiv-1 Variable Loop 3-Specific Neutralizing Antibody Responses By Hiv-2/Hiv-1 Envelope Chimeras, Katie L. Davis

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Defining the epitope specificities of the neutralizing antibody response to the HIV-1 envelope protein (Env) during natural human infection and in response to vaccination by HIV-1 immunogens could provide insight into the mechanisms of virus immune containment and facilitate vaccine design. Transplantation of discrete HIV-1 neutralizing epitopes into HIV-2 Env scaffolds may provide a sensitive, biologically functional context in which to quantify specific antibody reactivities in complex sera. Here we describe the development of a novel HIV-2 proviral scaffold (pHIV-2KR.X7) into which we have substituted the env V3 region of several laboratory and primary HIV-1 strains to yield a panel …

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The Role Of Tgfß Signaling In Skeletal Development, Hwa-Seon Seo Jan 2008

The Role Of Tgfß Signaling In Skeletal Development, Hwa-Seon Seo

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skeletal element is essential for body movement along with the joints, muscles, tendons and ligaments. They also protect internal organs and serve as a reservoir for hematopoietic stem cells and minerals. To accomplish these multiple tasks, the size and shape of the skeletal elements need to be carefully designed during development of the embryo. Skeletal formation in vertebrae is a complex developmental processes controlled by dynamic and well-balanced interactions between a number of molecular signals. Intensive efforts in the past several decades have made substantial progress in understanding molecular and cellular mechanisms of skeletal development. Despite the fact that TGFß …

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Gender Difference In Traumatic Brain Injury Outcomes: Survival, Functional Independence, And Employment Status, Andrea T. Underhill Jan 2008

Gender Difference In Traumatic Brain Injury Outcomes: Survival, Functional Independence, And Employment Status, Andrea T. Underhill

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Medical and rehabilitative care of women living with traumatic brain injury (TBI) is based on information drawn from research conducted primarily on men. Care for men may be adequate for women, but all of the body’s organs have the capability to respond differently based on gender, and research should examine the genders separately. This dissertation examines the survival to 24 months post-TBI and the functional independence and employment status at 12 and 24 months post-TBI of men and women. Participants were drawn from a longitudinal study of injured persons and include those diagnosed only with a TBI. Variables used in …

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Partner Referral Among Patients With Sexually Transmitted Diseases In Dhaka, Bangladesh, Nazmul Alam Jan 2008

Partner Referral Among Patients With Sexually Transmitted Diseases In Dhaka, Bangladesh, Nazmul Alam

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This dissertation puts together three closely related articles on partner referral for sexually transmitted diseases (STD). The first paper sought to understand feasibility and acceptability of partner referral for STD in less developed countries using a systematic literature review. The results summarized from 39 articles indicate that partner referral outcome was more common for spousal partners than for causal partners. Client's reported barriers included stigma and fear of abuse while infrastructural barriers included limited resources are important. Client centered counseling was found to be effective in increasing partner referral in Africa. The second paper aimed to determine if intention of …

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Diagnosing Antiretroviral Treatment Failure In Resource-Limited Settings, Ronald Alexander Cantrell Jan 2008

Diagnosing Antiretroviral Treatment Failure In Resource-Limited Settings, Ronald Alexander Cantrell

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This dissertation had three central goals. The first was to review the existing literature for reports of virologic failure among adults initiating non-nucleoside reverse transcriptase inhibitor-based antiretroviral therapy in resource-limited settings. The second was to describe the epidemiology of virologic failure over the first 6 months of therapy in Lusaka, Zambia. The third was to examine the performance of different approaches for diagnosing virologic failure. We performed a meta-analysis using data from previously published reports to create summary estimates for the prevalence of virologic failure and found that the lowest estimate of the 95% confidence interval was 10% or higher …

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The Developmental Functions Of Bdnf And Mecp2 On Dendritic And Synaptic Structure, Christopher A. Chapleau Jan 2008

The Developmental Functions Of Bdnf And Mecp2 On Dendritic And Synaptic Structure, Christopher A. Chapleau

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Mutations in the transcriptional repressor MeCP2 cause Rett Syndrome (RTT), a mental retardation disease associated with reduced dendritic architecture of cortical pyramidal neurons, in addition to a decrease in the number of dendritic spines. I present the first quantification analysis of spine density in postmortem human brain tissue, demonstrating that hippocampal CA1 pyramidal neurons have reduced spine densities in RTT patients throughout their lives. One gene that MeCP2 regulates is BDNF, an important developmental factor that modulates synaptic transmission and plasticity, as well as spine formation and maturation. In immature cultured hippocampal neurons, cell-autonomous expression of BDNF accelerates the differentiation …

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Enzymatic And Proteomic Analysis Of Spinal Cord In A G93a Als Mouse Model, Page Jones Jan 2008

Enzymatic And Proteomic Analysis Of Spinal Cord In A G93a Als Mouse Model, Page Jones

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Mutations to copper,zinc superoxide dismutase (Cu,Zn SOD or SOD1) are the only known causes of amyotrophic lateral sclerosis (ALS), a neurodegenerative disorder characterized primarily by death of spinal motor neurons. While the molecular mechanisms responsible for motor neuron death in this disease remain to be elucidated, recent studies implicate mitochondrial dysfunction as a key factor in the pathogenesis of ALS. In support of this, we observed ALS-dependent alterations in key functions including creatine kinase activity and ATP levels, which could be linked to changes in the mitochondrial proteome. Importantly, extensive research efforts have failed to develop a treatment that significantly …

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Calmodulin Binding To Cellular Flice Like Inhibitory Protein Modulates Fas-Induced Signaling And Tumorigenesis In Cholangiocarcinoma, Pritish Subhash Pawar Jan 2008

Calmodulin Binding To Cellular Flice Like Inhibitory Protein Modulates Fas-Induced Signaling And Tumorigenesis In Cholangiocarcinoma, Pritish Subhash Pawar

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Cholangiocarcinoma, a fatal tumor arising from biliary epithelium, has very poor 5-year survival rate due to lack of early diagnosis and effective therapies. Induction of the Fas-mediated apoptosis is a promising therapeutic target in this tumor. Studies from our group and others have indicated that Fas-expression correlates inversely with disease progression and that CaM-antagonists induce apoptosis in cholangiocarcinoma cells in a Fas related manner. Further, we reported a direct and dynamic interaction of CaM and Fas and that CaM is recruited into the Fas-stimulated death inducing signaling complex (DISC), suggesting a cross talk between Fas and CaM pathways. The studies …

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Role Of Variant Sialylation In Regulating Tumor Cell Behavior, Faheem M. Shaikh Jan 2008

Role Of Variant Sialylation In Regulating Tumor Cell Behavior, Faheem M. Shaikh

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Many different tumors have been documented to have elevated levels of the enzyme ST6Gal I, a Golgi glycosyltransferase that adds α2-6 sialic acids to glycoproteins. Concurrently, upregulated ST6Gal I is associated with metastasis and poor patient prognosis. We initially showed that HD3 colonocytes made to express oncogenic-ras, a common mutation in colon carcinoma, have increased expression of ST6Gal I and elevated α2-6 sialylated integrins. Having established that ras regulates ST6Gal I expression in colon epithelial cells, we found that colonocytes carrying hyper α2-6 sialylated β1 integrins exhibit increased adhesion to and migration toward collagen I. Further, we found that β1 …

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Friction Produced By Esthetic Brackets With Varying Ligation, Christine Knox Abenoja Jan 2008

Friction Produced By Esthetic Brackets With Varying Ligation, Christine Knox Abenoja

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Controlling friction is an important aspect of orthodontics because it allows more predictable tooth movement with less anchorage loss. Friction at the bracket/archwire/ligation interface can reduce the force available for desired tooth movement. Initial stages of orthodontic treatment depend on the ability of the archwire to slide freely through the bracket, making friction an important aspect of all orthodontic brackets in the early phases of orthodontic treatment. The purpose of the present in vitro study was to measure the force to move esthetic brackets over an archwire using different ligation methods. A stainless steel model reproducing the maxillary right dentition …

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A Comparative Study Of Extraction Treatment Efficiency Using Conventional Edgewise Brackets And Self-Ligating Brackets, Stan C. Cox Jan 2008

A Comparative Study Of Extraction Treatment Efficiency Using Conventional Edgewise Brackets And Self-Ligating Brackets, Stan C. Cox

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The purpose of the present study was to assess treatment efficiency of one selfligating bracket system (In-Ovation, GAC International, Bohemia, NY) compared to a conventional ligating bracket system (Ovation, GAC International, Bohemia, NY) in extraction cases used in the same practice. Treatment duration, number of appointments, and number of arch wires used per patient were compared within one private orthodontic practice. The total sample size was 155 patients, 83 consecutively finished with conventionally-ligated Ovation brackets and 72 consecutively finished with In-Ovation self-ligating brackets. After applying the exclusion criteria, there were 68 patients in the self-ligated (SL) group and 79 patients …

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Variability Of Two Sampling Methods In Plaque Samples, Kuei C. Hsu Jan 2008

Variability Of Two Sampling Methods In Plaque Samples, Kuei C. Hsu

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Introduction: Dental caries remain the most common infectious disease in children, and is in fact, on the rise in the U.S. among 2 to 5 year olds. Among hundreds of oral bacteria, mutans streptococci (MS) are considered the major species associated with dental caries. Studies have shown that increased MS in saliva or plaque is an important indicator for caries. The use of standard plate count (SPC) from plaque samples particularly yield variable quantitative results because of complexities of sample collection and processing. Objectives: This study was undertaken to determine collection reproducibility in plaque samples from permanent first molars using …

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Success Rates Of Temporary Anchorage Devices Placed In An Orthodontic Clinic, Alex C. Schreiber Jan 2008

Success Rates Of Temporary Anchorage Devices Placed In An Orthodontic Clinic, Alex C. Schreiber

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In recent years, the use of a variety of temporary placed implants to attain absolute anchorage has been described in the orthodontic literature. The use of temporary implants, fixed to bone, overcomes some of the limitations of traditional anchorage and their reliance on patient compliance. The purpose of this study was to evaluate factors relating to the successful placement of miniscrew temporary anchorage devices in an orthodontic clinic. The orthodontic records of patients who had miniscrews placed during their treatment at the University of Alabama at Birmingham School of Dentistry Postgraduate Orthodontic Clinic were selected. After application of the inclusion …

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