Medicine and Health Sciences Commons^™

Incidence Of Ovarian Cancer By Race And Ethnicity In The United States, 1992–1997, Marc T. Goodman, Holly L. Howe, Ko Hui Tung, Joellyn Hotes, Barry A. Miller, Steven S. Coughlin, Vivien W. Chen

United States Public Health Resources

Ovarian cancer is the fifth most common cancer among U.S. women.¹ An estimated 23,400 new cases were expected to be diagnosed in the U.S. in 2001. As is the case for breast and endometrial cancers, ovarian cancer is more common among women in northern and central Europe, and North America compared with Africa, South America, and Asia.² In the U.S., substantial racial and ethnic variations also are observed in the incidence of ovarian cancer. rates reportedly are highest among non-Hispanic white and American Indian women, and are lower among Hispanic, Native Hawaiian, and Asian women.³ Among white …

Inhibition Of Markers Of Hepatic Stellate Cell Activation By The Hormone Relaxin, Robert G. Bennett, Kusum K. Kharbanda, Dean J. Tuma

United States Public Health Resources

Hepatic fibrois results from excess extracellular matrix produced primarily by hepatic stellate cells (HSC). In response to injury, HSC differentiate to a myofibroblastic phenotype expressing smooth muscle actin and fibrillar collagens. Relaxin is a polypeptide hormone shown to have antifibrotic effects in fibrosis models. In this study, activated HSC from rat liver were treated with relaxin to determine if relaxin can reverse markers of HSC activation. Relaxin treatment resulted in a decrease in the expression of smooth muscle actin, but had no effect on cell proliferation rate. The levels of total collagen and type I collagen were reduced, while the …

Ethanol Consumption Decreases The Synthesis Of The Mannose 6-Phosphatelinsulin-Like Growth Factor Ii Receptor But Does Not Decrease Its Messenger Rna, James Haorah, Richard Macdonald, Julie A. Stoner, Terrence M. Donohue, Jr.

United States Public Health Resources

The mannose 6-phosphatelinsulin-like growth factor I1 receptor (M6P/IGF-IIR) is a protein that facilitates the transport of acid hydrolases into the lysosome. We have shown that chronic ethanol consumption lowers the M6P/IGF-IIR content in rat hepatocytes. Here, we determined the steady-state level of mRNA encoding M6P/IGF-IIR, as well as the rate of receptor synthesis, to ascertain whether the ethanol-elicited reduction in receptor protein content is related to changes in either or both of these parameters. Rats were pair-fed the normal carbohydrate (NC) or low carbohydrate high-fat (LC) liquid diets containing either ethanol or isocaloric maltose-dextrin for 7-8 weeks. RNA was isolated …

Impaired Receptor-Mediated Endocytosis By The Asialoglycoprotein Receptor In Ethanol-Fed Mice: Implications For Studying The Role Of This Receptor In Alcoholic Apoptosis, Shana R. Dalton, Robert L. Wiegert, Cheryl R. Baldwin, Karen M. Kassel, Carol A. Casey

United States Public Health Resources

During receptor-mediated endocytosis (RME), extracellular molecules are internalized after being recognized and bound to specific cell surface receptors. In previous studies of the asialoglycoprotein receptor (ASGPR) in rats, we showed that ethanol impairs RME at multiple ASGPR sites. Ethanol administration has been shown to increase apoptosis, and we demonstrated increased sensitization to apoptotic induction in hepatocytes from ethanol-fed rats. Although a physiological role for the ASGPR has not been identified, investigators have shown its involvement in the uptake/clearance of apoptotic cells in vitvo. This suggests a potential role for the ASGPR in the removal of apoptotic cells, and the recent …

Acute Pesticide-Related Illnesses Among Working Youths, 1988–1999, Geoffrey M. Calvert, Louise N. Mehler, Rachel Rosales, Lynden Baum, Catherine Thomsen, Dorilee Male, Omar Shafey, Rupali Das, Michelle Lackovic, Ernest Arvizu

United States Public Health Resources

Objectives. The goal of this study was to describe acute occupational pesticide-related illnesses among youths and to provide prevention recommendations.
Methods. Survey data from 8 states and from poison control center data were analyzed. Illness incidence rates and incidence rate ratios were calculated.
Results. A total of 531 youths were identified with acute occupational pesticide-related illnesses. Insecticides were responsible for most of these illnesses (68%), most of which were of minor severity (79%). The average annual incidence rate among youths aged 15 to 17 years was 20.4 per billion hours worked, and the incidence rate ratio among youths vs adults …

Interferon Gamma Enhances Proteasome Activity In Recombinant Hep G2 Cells That Express Cytochrome P4502e1: Modulation By Ethanol, Natalia A. Osna, Dahn L. Clemens, Terrence M. Donohue Jr.

United States Public Health Resources

We tested the influence of IFNγ on proteasome activity in parental Hep G2 cells that do not metabolize ethanol, as well as in recombinant Hep G2-derived cells that express either or both alcohol dehydrogenase (ADH) and cytochrome P4502E1 (CYP2E1). IFNγ treatment increased proteasome activity in VL-17A (ADH⁺, CYP2E1⁺) and E-47 (CYP2E1⁺) cells, but not in Hep G2, VI-R2 (parental cells with empty vectors) or in VA-13 (ADH⁺) cells. Proteasome activation by IFNγ correlated positively with the level of CYP2E1 activity. Treatment of VL-17A cells with agents that inhibit CYP2E1 or the inducible …

What Affects Influenza Vaccination Rates Among Older Patients? An Analysis From Inner-City, Suburban, Rural, And Veterans Affairs Practices, Richard Kent Zimmerman, Tammy A. Santibanez, Janine E. Janosky, Michael J. Fine, Mahlon Raymund, Stephen A. Wilson, Inis Jane Bardella, Anne R. Medsger, Mary Patricia Nowalk

United States Public Health Resources

BACKGROUND: Despite strong evidence of the effectiveness of influenza vaccination, immunization rates have reached a plateau that is below the 2010 national goals. Our objective was to identify facilitators of, and barriers to, vaccination in diverse groups of older patients.
METHODS: A survey was conducted in 2000 by computer-assisted telephone interviewing of patients from inner-city health centers, Veterans Affairs (VA) outpatient clinics, rural practices, and suburban practices. The inclusion criteria were age ≥66 years and an office visit after September 30, 1998.
RESULTS: Overall, 1007 (73%) interviews were completed among 1383 patients. Influenza vaccination rates were 91% at VA clinics, …

Chronic Ethanol Consumption Impairs Receptor-Mediated Endocytosis Of Maa-Modified Albumin By Liver Endothelial Cells, Michael J. Duryee, Lynell W. Klassen, Thomas L. Freeman, Monte S. Willis, Dean J. Tuma, Geoffrey M. Thiele

United States Public Health Resources

Alcoholic liver disease has been associated with abnormalities in receptor-mediated endocytosis (RME) which results in abnormal degradation of metabolically altered proteins. Model systems using formaldehyde-modified albumin (f-Alb) have shown an impairment in RME following chronic alcohol consumption utilizing both in situ perfused rat livers and isolated rat liver endothelial cells (LECs). The discovery that alcohol metabolite derived aldehydes can modify proteins prompted a study to determine if malondialdehyde– acetaldehyde-modified albumin (MAA-Alb) would be degraded similar to that reported for f-Alb, and whether ethanol-fed rats would demonstrate an impaired RME with respect to this ligand which occurs as a consequence of …

Ham-Tmc Facts And Figures 2002-2003, Houston Academy Of Medicine-Texas Medical Center Library

Library Statistics

No abstract provided.

The Creation Of Rice County District One Hospital Intensive Care Unit, Rae S. Ormsby

Theses and Graduate Projects

Based on social history and idealist constructs, this study explores the creation of one intensive care unit (ICU) in the setting of its conrmunity's economic, political, and cultural background. The social history describes the social forces that facilitated the ICU's creation. From an idealist construct the study attempts to understand the thinking of the decision-makers involved as well as the community's response. The work is based largely on personal interviews and archival data from the records of the hospital board. Background material to explain the community context comes from such sources as local daily newspapers and the archives of the …

Bovine Tuberculosis In Michigan: Understanding Stakeholder Attitudes Toward The Disease And Eradication Efforts, Meegan Leah Dorn

Michigan Bovine Tuberculosis Bibliography and Database

Bovine tuberculosis has been discovered at unprecedented levels in Michigan wildlife, especially white-tailed deer (Odocoileus virginianus). Human behaviors, particularly the use of bait and feed, have facilitated the spread of the disease into free-ranging white-tailed deer populations. Policies aimed at eradicating bovine tuberculosis in Michigan require public compliance and cooperation in order to be successful. Because of the human contribution to the spread of bovine tuberculosis in Michigan wildlife, and the social nature of subsequent bovine tuberculosis eradication policies, we conducted a survey of bovine TB issue stakeholder groups in northeast Michigan, including non-resident hunters, resident hunters, livestock …

Bovine Tuberculosis In Elk (Cervus Elaphus Manitobensis) Near Riding Mountain National Park, Manitoba, From 1992 To 2002

Michigan Bovine Tuberculosis Bibliography and Database

From 1991 to April 2003, outbreaks of bovine tuberculosis (TB caused by Mycobacterium bovis) have been found in 11 cattle herds surrounding Riding Mountain National Park (RMNP). Located in southwestern Manitoba, RMNP and the surrounding area are home to a free-ranging herd of 2500 to 4000 elk that have been implicated as being a wildlife reservoir of M. bovis infection. Indirect contact between cattle and elk that feed during the winter on the same large, round hay bales is presumed to be the most likely mode of transmission between the species (1).

Prevalence Of Chronic Wasting Disease And Bovine Tuberculosis In Free-Ranging Deer And Elk In South Dakota, Christopher N. Jacques, Jonathan A. Jenks, Allen L. Jenny, Steven L. Griffin

Michigan Bovine Tuberculosis Bibliography and Database

Heads of hunter-harvested deer and elk were collected throughout South Dakota (USA) and within established chronic wasting disease (CWD) surveillance areas from 1997–2002 to determine infection with CWD and bovine tuberculosis (TB). We used immunohistochemistry to detect CWD-infected individuals among 1,672 deer and elk sampled via geographically targeted surveillance. A total of 537 elk (Cervus elaphus nelsoni), 813 white-tailed deer (Odocoileus virginianus), and 322 mule deer (O. hemionus) was sampled for CWD. Estimated overall prevalence and associated confidence intervals (95%) in white-tailed deer was 0.001% (0–0.007%). Similarly, estimated overall prevalence in elk and mule …

Spatial And Temporal Spread Of Bovine Tuberculosis In Wild White-Tailed Deer In Michigan, Graham J. Hickling, Stephen M. Schmitt, Daniel J. O'Brien

Michigan Bovine Tuberculosis Bibliography and Database

In 1975, a wild white-tailed deer infected with bovine tuberculosis was shot in the northeastern Lower Peninsula, Michigan. The shooting of a second infected deer in the same area in 1994 triggered ongoing disease surveillance in the region. By 2002, bovine tuberculosis had been confirmed in 12 Michigan counties: from 449 deer; two elk; 41 non-cervid wildlife; one captive cervid facility and 28 cattle herds. We analyzed geographic spread of disease since the surveillance began and investigated factors influencing the prevalence of disease within the infected area. These analyses reveal that 78 percent of tuberculous deer came from within a …

Mycobacterial Diseases In Wildlife, Gary Witmer, Thomas J. Deliberto, Kurt C. Vercauteren, Peter Butchko

Michigan Bovine Tuberculosis Bibliography and Database

Mycobacterium infections occur in numerous wildlife species worldwide and this bacterial genus can also cause disease in humans and livestock. Two Mycobacterium species and one subspecies that infect wildlife are important from a wildlife damage management perspective. Mycobacterium avium, avian tuberculosis, is a ubiquitous and cosmopolitan disease of wild and domestic birds. Wild and domestic ruminants are host to M. avium paratuberculosis, also known as Johne’s disease. Finally, Mycobaterium bovis, bovine tuberculosis, is primarily associated with domestic and wild bovines and ungulates, but also infects many other species of mammals. Eradicating these diseases from wildlife populations is …

Mycobacterial Diseases In Wildlife, Gary W. Witmer, Thomas J. Deliberto, Kurt C. Vercauteren, Peter Butchko

Michigan Bovine Tuberculosis Bibliography and Database

Mycobacterium infections occur in numerous wildlife species worldwide and this bacterial genus can also cause disease in humans and livestock. Two Mycobacterium species and one subspecies that infect wildlife are important from a wildlife damage management perspective. Mycobacterium avium, avian tuberculosis, is a ubiquitous and cosmopolitan disease of wild and domestic birds. Wild and domestic ruminants are host to M. avium paratuberculosis, also known as Johne’s disease. Finally, Mycobaterium bovis, bovine tuberculosis, is primarily associated with domestic and wild bovines and ungulates, but also infects many other species of mammals. Eradicating these diseases from wildlife populations is …

Police Training And Specialized Approaches For Responding To People With Mental Illnesses, Judy Hails, Randy Borum

Mental Health Law & Policy Faculty Publications

Eighty-four medium and large law enforcement agencies reported the amount of training provided on mental-health-related issues and the use of specialized responses for calls involving people with mental illnesses. Departments varied widely in the amount of training provided on mental-health-related topics, with a median of 6.5 hours for basic recruits and 1 hour for in-service training. Approximately one third of the agencies (32%) had some specialized response for dealing with calls involving people with mental illnesses. Twenty-one percent had a special unit or bureau within the department to assist in responding to these calls; 8% had access to a mental …

The Relationship Between Service Utilization And Medicaid Enrollees’ Trust In Health Care Providers, Huey Jen Chen

Mental Health Law & Policy Faculty Publications

Based on findings from 1990 National Co-morbidity Survey, it is estimated that nearly 20% of the U.S. population is affected by mental disorders during a given year. Approximately 5.4% of adults are considered to have a serious mental illness that interferes with their social function, and half of them suffer from severe and persistent mental illness (SMI). Mental illness imposes a high socioeconomic burden that is second only to cardiovascular disease (Kessler, Berglund, Zhao et al., 1996; Kessler, McGonagle, Zhao et al., 1994).

Among individuals with SMI, 40% do not seek any treatment from either general medical or specialty mental …

Triad Girls’ Group Treatment Manual, Michelle Levasseur, Colleen Clark

Mental Health Law & Policy Faculty Publications

No abstract provided.

The Art Of Practicing Scientific Medicine, Waris Qidwai

Department of Family Medicine

No abstract provided.

Utilization Of Services Of Homeopathic Practitioners Among Patients In Karachi, Pakistan, Waris Qidwai

Department of Family Medicine

BACKGROUND: The practice of homeopathy is becoming very popular. There is a need to study and understand as to why this is happening and to raise debate on the issue.
METHODS: The study was conducted on patients, visiting the Family Practice Centre, The Aga Khan University, Karachi. A questionnaire was used to collect information on the demographic profile, and the utilization of the services of homeopathic practitioners. The ethical requirements for conducting the study were met.
RESULTS: Three hundred and eighty-seven patients were surveyed. The study population included more women then men, with average age of 32.6 years. …

Use Of Home Remedies Among Patients Presenting To Family Physicians, Waris Qidwai, Sr Alim, Rh Dhanani, S Jehangir, A Nasrullah, A Raza

Department of Family Medicine

No abstract provided.

Use Of Folk Remedies Among Patients In Karachi, Pakistan, Waris Qidwai, Sr Alim, Rh Dhanani, S Jehangir, A Nasrullah, A Raza

Department of Family Medicine

BACKGROUND: The concept that food is medicine is being practiced in certain parts of the world, with positive outcomes on health of the population. We have such practice in Pakistan but it needs to be brought in line with the available scientific evidence.
METHODS: The study was conducted on 270 patients, visiting the Family Practice Center, the Aga Khan University, Karachi. A questionnaire was used to collect information on the demographic profile, and the use of folk remedies for medicinal uses.
RESULTS: Substantial use of folk remedies for different medical conditions has been documented. The remedies included cinnamon, ginger, …

Reproductive Health Services In Kwazulu Natal, South Africa: A Situation Analysis Study Focusing On Hiv/Aids Services, Lewis Ndhlovu, Catherine Searle, Robert A. Miller, Andrew A. Fisher, Ester Snyman, Nancy L. Sloan

HIV and AIDS

This Horizons report examines the readiness of reproductive health services in South Africa, which are primarily geared to women, to deliver HIV and AIDS treatment, care, and prevention services. The goal of the study was to obtain information from a representative sample of provincial health care facilities offering reproductive health services in KwaZulu Natal to meet the growing demand for HIV/AIDS-related services. Ninety-eight hospitals, community health centers, and clinics participated in the situation analysis that identified gaps in service delivery and determined priorities for service integration. Results of the study were presented to a large audience of Department of Health, …

Empowering Communities To Respond To Hiv/Aids: Ndola Demonstration Project On Maternal And Child Health: Operations Research Final Report, Hope Humana, Linkages, National Food And Nutrition Commission, Ndola District Health Management Team, Horizons Program, Zambia Integrated Health Project

HIV and AIDS

A pre–post intervention study conducted in Zambia by Horizons and local NGOs and governmental organizations demonstrated that HIV voluntary counseling and testing (VCT) and infant feeding counseling (IFC) to mothers attending maternal and child health (MCH) clinics are vital components of any mother-to-child transmission (MTCT) reduction strategy, whether or not antiretrovirals (ARVs) are available. These interventions enable mothers to make informed and healthy decisions. Data from the Ndola Demonstration Project yielded encouraging results from efforts to improve the capacity of mothers to make informed decisions about their own health and the health of their infant. The interventions succeeded in raising …

The Role Of Ap-1 Transcription Complex In Retinoic Acid-Dependent B16 Melanoma Cell Growth Arrest And Differentiation, Ying Huang

Theses, Dissertations and Capstones

Our laboratory has been studying the effects of all-trans retinoic acid (atRA) on the growth and differentiation of the B16 mouse melanoma cells. RA inhibits both anchorage-dependent and –independent growth and stimulates melanin production in B16 cells, which are accompanied by an increase in AP-1 activity. To further investigate the RA-induced AP-1 activity, I established clones of B16 stably expressing an AP-1-luciferase reporter gene. Treatment of these clones with phorbol dibutyrate (PDB), a known activator of AP-1, rapidly increased AP-1 activity which reached its maximum level at 2-4 h and returned to baseline level by 24 h. In contrast, RA …

Sequence Dependent Mobility Of Short Oligonucleotides In Free-Solution Electrophoresis, James D. Sterling, Eve F. Fabrizio, Ali Nadim

Business and Information Technology Faculty Research & Creative Works

No abstract provided.

Personality Profiles Of Iditasport Ultra-Marathon Participants, Kristin J. Stuempfle, Sherri Lind Hughes, H. Samuel Case, Deborah S. Evans

Health Sciences Faculty Publications

Each February, competitors convene in Big Lake, Alaska, to participate in the “Iditasport Human Powered Ultra-Marathon”. Who would attempt this challenging race? Personality might be one factor predicting participation. Iditasport represents a unique athletic event with a distinctive social and psychological climate that might be reflected in the personalities of the participants in many ways. This study was designed to identify the personality profile of Iditasport athletes when compared to normative populations and to explore differences between athletes competing in different race divisions.

Body Composition Relates Poorly To Performance In Ncaa Division Iii Football Players, Kristin J. Stuempfle, Frank I. Katch, David F. Petrie

Health Sciences Faculty Publications

We assessed body composition (height, body mass, body mass index, body fat by densitometry, fat mass, fat-free mass, and lean/fat ratio) and performance (10- and 40-yd sprints, pro shuttle run, vertical jump, sit and reach, and bench press) in 77 National Collegiate Athletic Association Division III football players. Data were analyzed by position and playing status. Significant differences (p less than or equal to 0.05) were found between positions for all body composition measurements and all performance tests except the sit and reach. Starters outperformed nonstarters in all performance tests except the 10-yd sprint and sit and reach ( …

Oxygen Saturation Among Newborn Infants And The Decrease Occurring During Feeding In Various Populations, Jennifer Lynn Allison

MUSC Theses and Dissertations

Pharyngeal and laryngeal structural movements coordinate respiration and swallowing functions, hence eliminating simultaneous execution. This research aims to document levels of oxygen saturation during rest and feeding among various newborn populations. Hypothesized is that an increase in oxygen alterations during feeding will be exhibited by infants of younger gestational age and, further, by those with the presence of respiratory anomalies. Thirty newborns in the nurseries at Medical University of South Carolina, free of cardiac and genetic maladies, were divided into three groups. Subjects of group 1 are healthy, full-term newborns; within groups 2 and 3, preterm infants (gestation). Subjects of …