Open Access. Powered by Scholars. Published by Universities.®
- Discipline
-
- Medical Specialties (1392)
- Public Health (1299)
- Social and Behavioral Sciences (1003)
- Medical Sciences (936)
- Life Sciences (723)
-
- Nursing (581)
- Diseases (405)
- Sociology (369)
- Education (311)
- Pharmacy and Pharmaceutical Sciences (310)
- Mental and Social Health (292)
- Arts and Humanities (282)
- Physical Sciences and Mathematics (278)
- Veterinary Medicine (271)
- Rehabilitation and Therapy (257)
- Psychiatry and Psychology (242)
- Public Affairs, Public Policy and Public Administration (232)
- Dentistry (213)
- Health and Medical Administration (193)
- Oncology (183)
- Public Health Education and Promotion (178)
- Community Health and Preventive Medicine (176)
- Engineering (172)
- Psychology (170)
- Pediatrics (159)
- Medical Education (157)
- Surgery (150)
- Medicine and Health (147)
- Animal Sciences (143)
- Institution
-
- Thomas Jefferson University (572)
- Aga Khan University (356)
- University of Kentucky (352)
- TÜBİTAK (325)
- University of Nevada, Las Vegas (250)
-
- Virginia Commonwealth University (211)
- Washington University School of Medicine (191)
- Himmelfarb Health Sciences Library, The George Washington University (185)
- Chulalongkorn University (181)
- University of Nebraska - Lincoln (149)
- The Texas Medical Center Library (138)
- University of Alabama at Birmingham (134)
- Lehigh Valley Health Network (130)
- Western University (128)
- Edith Cowan University (117)
- University of Connecticut (113)
- University of South Florida (113)
- Marquette University (103)
- Population Council (95)
- Old Dominion University (93)
- Wayne State University (88)
- Wright State University (87)
- Dartmouth College (83)
- University of Nebraska Medical Center (80)
- Philadelphia College of Osteopathic Medicine (78)
- Nova Southeastern University (77)
- Chapman University (71)
- East Tennessee State University (71)
- Georgia Southern University (69)
- Loma Linda University (65)
- Keyword
-
- Humans (380)
- Female (204)
- Male (204)
- Thomas Jefferson University (181)
- Animals (140)
-
- Adult (107)
- Mice (98)
- Middle Aged (89)
- Adolescent (82)
- Philadelphia (81)
- Aged (80)
- United States (79)
- English (78)
- Nursing (63)
- Obesity (62)
- Public health (58)
- Doctor of Philosophy (PhD) Heersink School of Medicine (57)
- Treatment Outcome (55)
- Children (53)
- Education (53)
- Exercise (53)
- Poster (51)
- Watercooler Newsletter (51)
- Patient Care Services / Nursing (50)
- Human (49)
- Depression (48)
- Risk Factors (48)
- Jefferson Journal of Psychiatry (47)
- Newsletter (46)
- Pregnancy (46)
- Publication
-
- Turkish Journal of Medical Sciences (215)
- Theses and Dissertations (157)
- All ETDs from UAB (134)
- Open Access Publications (134)
- Journal of Health Disparities Research and Practice (132)
-
- Turkish Journal of Veterinary & Animal Sciences (110)
- Dissertations and Theses (Open Access) (91)
- Research outputs 2012 (90)
- The Thai Journal of Veterinary Medicine (87)
- Dartmouth Scholarship (83)
- Faculty Publications (80)
- USF Tampa Graduate Theses and Dissertations (80)
- Pediatrics Faculty Publications (74)
- Chulalongkorn Medical Journal (72)
- UCHC Articles - Research (65)
- Electronic Theses and Dissertations (58)
- Jefferson Journal of Psychiatry (58)
- UNLV Theses, Dissertations, Professional Papers, and Capstones (57)
- Administrative Issues Journal (53)
- Watercooler Newsletter (51)
- Department of Medicine (49)
- Dissertations (49)
- Population Health Matters (Formerly Health Policy Newsletter) (49)
- Patient Care Services / Nursing (48)
- PCOM Physician Assistant Studies Student Scholarship (47)
- Reproductive Health (47)
- Nursing Theses and Capstone Projects (45)
- Theses and Dissertations (ETD) (43)
- Aboriginal Policy Research Consortium International (APRCi) (42)
- Loma Linda University Electronic Theses, Dissertations & Projects (41)
- Publication Type
- File Type
Articles 3031 - 3060 of 7323
Full-Text Articles in Medicine and Health Sciences
Individual Resilience, Social Support, And Health Risk Behaviors In Adolescents And Young Adults: Study On Cross-Sectional And Longitudinal Samples, Chuong Hong Nguyen
Individual Resilience, Social Support, And Health Risk Behaviors In Adolescents And Young Adults: Study On Cross-Sectional And Longitudinal Samples, Chuong Hong Nguyen
Graduate Theses and Dissertations
Resilience is considered the ability that a person gains positive achievements despite exposure to significantly adverse life conditions. However, a majority of previous research has focused on human developmental tasks or academic achievements. Evidence of resilience on health risk behaviors has not been comprehensively established yet. The purposes of this dissertation were to extend the existing literature about the stability of resilience through time, to examine how the resilience scale concurrently and prospectively predict resilience statuses, and to explore effects of Social support over a long period of lifetime. The dissertation used a secondary database from the public-use version of …
Feed Supplementation With Natural Extracts Of Cranberry And Its Efficacy On Campylobacter Colonization In Poultry, Ann Woo-Ming
Feed Supplementation With Natural Extracts Of Cranberry And Its Efficacy On Campylobacter Colonization In Poultry, Ann Woo-Ming
Graduate Theses and Dissertations
Campylobacter spp. has been identified as one of the leading causative agents of food borne diarrheal illness. Epidemiological evidence has shown that poultry is the main source for human infection. Poultry are asymptomatic carriers of Campylobacter within their gastrointestinal tract, with colonization levels reaching 106-108 cfu/g cecal content. Surveys of domestic poultry flocks have estimated that approximately 90% of flocks are positive for Campylobacter colonization. Risk assessment studies have determined that by reducing levels of Campylobacter colonization during rearing, incidences of human infection will be significantly reduced. Currently there are no consistently effective treatments to eliminate Campylobacter from poultry flocks. …
Role Of Lactic Acid Bacteria As A Bio-Sanitizer To Prevent Attachment Of Listeria Monocytogenes On Deli Slicer Contact Surfaces, And The Influence Of Listeria Innocua On The Attachment Of L. Monocytogenes On Selected Materials Located In The Food-Processing Environment, Jean Baptiste Ndahetuye
Graduate Theses and Dissertations
Listeria monocytogenes an important foodborne pathogen that continues to be a serious problem for the food industry. This pathogen contaminates food primarily during post-harvest in the food-processing environment. Its ecology in the food-processing environment is not well understood but previous research has demonstrated the ability of L. monocytogenes to survive on food contact surfaces after cleaning and disinfection. The current study explored the attachment of three lactic acid bacteria (LAB) strains, Lactobacillus animalis , Lb. amylovorus and Pediococcus acidilactici , their combination in a cocktail, and their influence to prevent the attachment of L. monocytogenes at room temperature by examining …
Development Of A Microfluidic Device Coupled To Microdialysis Sampling For The Pre-Concentration Of Cytokines, Randy Francisco Espinal Cabrera
Development Of A Microfluidic Device Coupled To Microdialysis Sampling For The Pre-Concentration Of Cytokines, Randy Francisco Espinal Cabrera
Graduate Theses and Dissertations
A proof-of-concept microfluidic device combined with heparin-immobilized magnetic beads was created to concentrate cytokine proteins collected from microdialysis samples. Cytokines are known to be related to several diseases such as cancer, and Parkinson's diseases, so to be able to develop more effective diseases treatments their interactions have to be well understood. Amine-functionalized polystyrene and carboxyl-functionalized magnetic microspheres of ~6.0 ìm in diameter were used to immobilize heparin. The amount of heparin immobilized on polystyrene beads was 5.82 x 10-8 ± 0.36 x 10-8 M per 1.0 x 106 beads and for magnetic beads was 0.64 x 10-8 ± 0.01 x …
Effects Of Respiratory Vaccination Timing And Hormonal Growth Implant On Health, Performance, And Immunity Of Newly Received Stocker Calves, Kimberly Denise Poe
Effects Of Respiratory Vaccination Timing And Hormonal Growth Implant On Health, Performance, And Immunity Of Newly Received Stocker Calves, Kimberly Denise Poe
Graduate Theses and Dissertations
Stress alters the immune system and vaccination during this time may reduce vaccine response; whereas, growth implants may shift metabolism to enhance tissue deposition in exchange for energy required for immune response during bovine respiratory disease (BRD) challenge. This study was conducted to determine the effects of pentavalent respiratory vaccination timing with or without a hormonal growth implant on arrival (d 0) on health, performance, complete blood count, and vaccine response in high&ndashrisk, newly received stocker calves during a 42&ndashd receiving period. Crossbred bull and steer calves (n = 385) were weighed (initial BW = 202 ± 4.1 kg), stratified …
Aptamer-Based Spr Biosensor For Detection Of Avian Influenza Virus, Hua Bai
Aptamer-Based Spr Biosensor For Detection Of Avian Influenza Virus, Hua Bai
Graduate Theses and Dissertations
Rapid and specific detection of avian influenza (AI) virus is urgently needed with the concerns over the outbreaks of highly pathogenic H5N1 avian influenza in animal and human infection. Aptamers are artificial oligonucleic acid that can specifically bind to target molecules. They show comparable affinity for target virus and better thermal stability than monoclonal antibodies. Those advantages make aptamers promising candidates in diagnostic and detection applications. The goal of this research was to use DNA&ndashaptamer as the specific recognition element in a portable surface plasmon resonance (SPR) biosensor for detection of AI H5N1 virus in poultry.
A SPR biosensor was …
Burnout, Vicarious Traumatization, And Compassion Fatigue Within The Field Of Art Therapy, Megan Parrish
Burnout, Vicarious Traumatization, And Compassion Fatigue Within The Field Of Art Therapy, Megan Parrish
EVMS School of Health Professions Theses & Dissertations
Burnout, compassion fatigue, and vicarious traumatization are negative experiences that can pose problems for many health professionals, especially mental health professionals. This study is a preliminary study aimed at identifying the prevalence of these experiences within the field of art therapy. A mixed methods research design consisting of pre-existing measurements and qualitative questions were implemented into an online survey and dispersed through various online media. There were 88 participants who completed the survey. Responses were analyzed with results indicating that there was a presence of burnout, compassion fatigue, and vicarious traumatization within the field. Another aspect of the study was …
A Comparative Analysis Of Stress And Anxiety Reduction Between Working With Clay And Mandala Design Coloring, Sara Julsrud
A Comparative Analysis Of Stress And Anxiety Reduction Between Working With Clay And Mandala Design Coloring, Sara Julsrud
EVMS School of Health Professions Theses & Dissertations
One aim of this study was to help scientifically quantify many art therapists’ belief that artmaking is intrinsically healing. This study explored the effects of mindful art therapy processes (guided clay work meditation and mandala coloring) on stress and anxiety through measurements of blood pressure, heart rate, respiratory rate, and the State-Trait Anxiety Inventory (STAI). Data were collected from 20 undergraduate students from Virginia Wesleyan College and Old Dominion University, both of Norfolk, VA. Ages of subjects ranged from 18 to 40 years old. Through use of repeated measures analysis, the posttest measurements from each subject were compared to their …
A Study Of Art Therapy-Based Approaches To Communication Between Physicians And Pediatric Patients, Carrie Carowan
A Study Of Art Therapy-Based Approaches To Communication Between Physicians And Pediatric Patients, Carrie Carowan
EVMS School of Health Professions Theses & Dissertations
Miscommunication between physicians and child patients about perceived pain results in problems with diagnosis and treatment of childhood illness. This study used an art therapy-based approach to explore physician perceptions and understanding of child patients’ pain as compared to the pediatric patients’ perceptions of their own pain. Body Outline Forms (BOFs) and Magnified Pain Drawings (MPDs) (Barton, 1995) were completed by participants, and compared using a qualitative content analysis. Visual results reflected a difference in perception of pain by the physician and child participants in areas of color, size, shape, location, and movement. Verbal results collected from the physician participant …
What Is The Effect Of Mandala Drawing Versus Art Card Sorting On Mood, Stress, And Anxiety In Individuals With Mood And Anxiety Disorders?, Sara K.M. Young
What Is The Effect Of Mandala Drawing Versus Art Card Sorting On Mood, Stress, And Anxiety In Individuals With Mood And Anxiety Disorders?, Sara K.M. Young
EVMS School of Health Professions Theses & Dissertations
The effect of mandala drawing versus art card sorting on mood, stress, and anxiety on a clinical population of adults with a history or diagnosis of DSM-‐IV-‐TR mood and/or anxiety disorders is investigated through a randomized study utilizing experiment and control groups, and a single subject case study. Standardized measurements used to collect data were the profile of mood states, the state-‐trait anxiety inventory, and the Beck depression inventory-‐II. Statistical significance could not be tested due to a lack of control subjects. Mean and standard deviation are reported and show a decrease in the mean post experiment. The single subject …
Pengaruh Pemberian Infusa Herba Sambiloto (Andrographis Paniculata Nees) Terhadap Glibenklamid Dalam Menurunkan Kadar Glukosa Darah Tikus Putih Jantan Yang Dibuat Diabetes, Santi Purna Sari, Azizahwati Azizahwati, Diandra Andina Ratimanjari
Pengaruh Pemberian Infusa Herba Sambiloto (Andrographis Paniculata Nees) Terhadap Glibenklamid Dalam Menurunkan Kadar Glukosa Darah Tikus Putih Jantan Yang Dibuat Diabetes, Santi Purna Sari, Azizahwati Azizahwati, Diandra Andina Ratimanjari
Majalah Ilmu Kefarmasian
Many diabetics perform self-medication with antidiabetic herbs and synthetic drugs with the aim to obtain a synergistic or additive effects without informing their primary physician, such as the use of creat and glibenclamide. This research was carried out to know the impact of creat herb infusion on glibenclamide in bwering blood glucose levels on diabetic male albino rats. This study used 24 male Sparague-Lawley rats, which are divided into 6 groups, normal control and diabetic control were given 0,5% CMC solution I ml/200 g bw of rat, glibenclamide control were given glibenclamide suspension 0,9 mg/200 g bw of rat, creat …
Skrining Fitokimia Dan Uji Penghambatan Aktivitas Alfa-Glukosidase Pada Ekstrak Etanol Dari Beberapa Tanaman Yang Digunakan Sebagai Obat Antidiabetes, Abdul Munim, Azizahwati Azizahwati, Ayu Andriani
Skrining Fitokimia Dan Uji Penghambatan Aktivitas Alfa-Glukosidase Pada Ekstrak Etanol Dari Beberapa Tanaman Yang Digunakan Sebagai Obat Antidiabetes, Abdul Munim, Azizahwati Azizahwati, Ayu Andriani
Majalah Ilmu Kefarmasian
Diabetes mellitus (DM) is a group of metabolic disorders characterized by hyperglicemia and associated with abnormalities in carbohydrate, fat, and protein metabolisms. Patients with DM in the world continue to increase along with population growths. Starting from this condition, searching for sources of DM treatment is always performed. One therapy of DM is a-glucosidase inhibitor. a-Glucosidase is an enzyme that can break down a complex carbohydrate into simple sugar. lhe inhibiton of this enzyme can retard the rate of carbohydrate digestion resulting in a delay in glucose absorption. The purpose of this studywas to identify the content of chemical compound …
Archaeosomes And Tetraether Lipid Liposome, Hans-Joachim Freisleben
Archaeosomes And Tetraether Lipid Liposome, Hans-Joachim Freisleben
Majalah Ilmu Kefarmasian
Archaea have phytanyl ether lipids which is one of the characteristics that separates them from bacteria and eukaryotes. Some archaea have also unique membrane spanning tetrae ther lipids (T EL); in Sulfolobus and Ihermoplasma species these TELmake up the majority of total membrane lipids. Archaeal lipids are able to form stable liposomal structures, both from membrane factions, mainly the polar membrane fraction, i.e. archaeosomes, or from highly purified TEL (tetraether lipid liposomes). Liposomes of the main polar lipid (MPL) from thermoacidophilic archaeon Ihermoplasma acidophilum were thoroughly inevstigated. Archaeosomes and TEL liposomes exhibit extremely low proton permeability and high stability at …
Uji Penghambatan Aktivitas Alfa-Glukosidase Ekstrak Dan Fraksi Daun Antidesma Neurocarpum Miq., Rieka Widihasputri, Berna Elya, Azizahwati Azizahwati
Uji Penghambatan Aktivitas Alfa-Glukosidase Ekstrak Dan Fraksi Daun Antidesma Neurocarpum Miq., Rieka Widihasputri, Berna Elya, Azizahwati Azizahwati
Majalah Ilmu Kefarmasian
Diabetes mellitus is a metabolic dysfunction disease showed by hyperglicemia and abnormality of carbohydrates, fats, and proteins metabolism. It is known can be cured with a-glucosidase inhibitor. Previous experiment reported that methanol extract from leaves of Antidesma neurocarpum Miq. has a strong inhibitory activity of a-glucosidase (IC50 = 2,18 mikrogram/mL). The aim of this experiment was to know about the most active extract and fraction of inhibitory activity of a-glycosidase and also the chemical compounds from those most active extract and fraction. Extraction is done by using multilevel maceration (n-hexane, ethyl acetate and methanol). Inhibitory activity of a-glucosidase tested with …
Efek Antidiabetes Dan Identifikasi Senyawa Dominan Fraksi Kloroform Herba Ciplukan (Physalis Angulata L.), Sediarso Sediarso, Hadi Sunaryo, Nurul Amalia
Efek Antidiabetes Dan Identifikasi Senyawa Dominan Fraksi Kloroform Herba Ciplukan (Physalis Angulata L.), Sediarso Sediarso, Hadi Sunaryo, Nurul Amalia
Majalah Ilmu Kefarmasian
Antidiabetic activity of ciplukan (Physalis angulata L.) herb has been widely observed, as an extracts and infusions, proven to reduce blood sugar levels in rats or mice induced by alloxan. The research objective was to evaluate the antidiabetic effect and identify the content of the chloroform fraction ciplukan herb eluated with methanol-ammonia. Antidiabetic effects testing conducted using 30 male white mice (Mus musculus) ddY strain were divided into 6 groups, each consisting of 5 mice. K-1 is a negative control induced by alloxan, K-2, K-3 and K-4 induced by alloxan and treated with the test substance dose of 50 mg/kg …
Pengaruh Pemberian Sari Buah Mengkudu (Morinda Citrifolia Linn.) Terhadap Glibenklamid Dalam Menurunkan Kadar Glukosa Darah Tikus Putih Jantan Yang Dibuat Diabetes, Santi Purna Sari, Abdul Munim, Sri Wulandah Fitriani
Pengaruh Pemberian Sari Buah Mengkudu (Morinda Citrifolia Linn.) Terhadap Glibenklamid Dalam Menurunkan Kadar Glukosa Darah Tikus Putih Jantan Yang Dibuat Diabetes, Santi Purna Sari, Abdul Munim, Sri Wulandah Fitriani
Majalah Ilmu Kefarmasian
Drug interactions can occur in the use of two or more drugs simultaneously, including the use of synthetic drug with herbal medicine. Combination of glibenclamide with noni juice (Morinda citrifolia Linn.) often used by diabetic patient to decrease their blood glucose level. lhe aim of this research was to know the interaction between glibenclamide and noni juice administration on blood glucose level. This research used 24 Sprague-Dawley male rats which were divided into 6 groups. Before the experiment, the rats were first induced by alloxan, except group 1, which was the normal control. Group 2 was the control of diabetic …
Persistent Disparities In Cholesterol Screening Among Immigrants To The United States, Jim P. Stimpson, Fernando A. Wilson, Rosenda Murillo, Jose A. Pagan
Persistent Disparities In Cholesterol Screening Among Immigrants To The United States, Jim P. Stimpson, Fernando A. Wilson, Rosenda Murillo, Jose A. Pagan
Publications and Research
Background: This study compared differences in cholesterol screening among immigrant populations and US born race/ethnic groups and whether improving access to health care reduced differences in screening.
Methods: Self-reported cholesterol screening for adults was calculated from multivariate logistic regression analysis of the 1988–2008 National Health and Nutrition Examination Surveys (N = 17,118). Immigrant populations were classified by place of birth and length of residency.
Results: After adjusting for individual characteristics and access to health care, the multivariate adjusted probability of cholesterol screening is significantly lower for persons originating from Mexico (70.9%) compared to persons born in the US (80.1%) or …
Health Professions Education And Professional Obligations, Lisa Sprague
Health Professions Education And Professional Obligations, Lisa Sprague
National Health Policy Forum
While there are differences in academic degree and length of time spent preparing to practice, all health professionals must meet certain requirements to commence and remain in practice in the United States. This Basic outlines the educational requirements of the various professions and the processes designed to demonstrate continuing competence in practice.
Library Catalog, Education Services
Library Catalog, Education Services
Academic Commons and Scott Memorial Library Staff Papers and Presentations
2 page handout highlighting library catalog features.
The Lived Experiences Of Mexican Heritage Mothers Caring For Overweight Preschool Children, Susan Mcdonald
The Lived Experiences Of Mexican Heritage Mothers Caring For Overweight Preschool Children, Susan Mcdonald
Nursing Theses and Dissertations
Mexican heritage children are at greater risk to become overweight or obese than children of other ethnic or racial groups. The objective of this study was to gain insight into the lived experiences of Mexican-heritage mothers caring for overweight or obese preschool children. A qualitative, hermeneutic phenomenological design was selected for this study. Saturation was achieved with 12 mothers of Mexican heritage. Data collection and analysis was guided by the phenomenological approach of Max van Manen. Six themes and sixteen subthemes emerged from the data. Maternal caring practices were influenced by their Mexican heritage, emotional burdens, perceptions of child's weight …
Using Structural Equation Model To Study The Impact Of Organization Culture And Nursing Work Environment In Nursing And Patient Satisfaction, Taher Giaedi
MUSC Theses and Dissertations
No abstract provided.
Does Patient Awareness Of Physician Financial Conflicts Of Interest Impact Patient Healthcare Decision Making?, Danielle A. Dyer
Does Patient Awareness Of Physician Financial Conflicts Of Interest Impact Patient Healthcare Decision Making?, Danielle A. Dyer
MUSC Theses and Dissertations
Physician financial conflicts of interest exist in many forms ranging from ownership in ambulatory surgery centers, diagnostic centers and specialty hospitals. Evidence in the literature suggests growth in these types of ventures and an increase in utilization. Physician financial conflicts of interest are not always transparent to the patient and it is unclear if awareness of physician financial conflicts of interest would impact a patients' healthcare decisions. Using a qualitative research approach through two focus groups, awareness of physician financial incentives and whether it influences healthcare decisions was investigated. The population for the study was women ages 18 -65 who …
An Investigation Of Obstetrical Practice Patterns Through Secondary Data Analysis And Qualitative Inquiry, Barbara Shippey Mcalister
An Investigation Of Obstetrical Practice Patterns Through Secondary Data Analysis And Qualitative Inquiry, Barbara Shippey Mcalister
Nursing Theses and Dissertations
Mothers and their unborn are a vulnerable population. Despite overwhelming advances in health care and technology, the United States' indicators of maternal and infant mortality are dismal. To lay the foundation for a research trajectory ultimately aimed at improving the experiences and outcomes of pregnancy, two research projects were undertaken to investigate the impact of practice patterns for elective delivery on the current obstetrical paradigm. A qualitative clinical case study explored antepartum recommendations for cesarean section following the implied diagnoses of inevitable labor dystocia secondary to maternal physical stature in two healthy women. The women's perspectives on their experiences of …
College Of Public Health News, Georgia Southern University
College Of Public Health News, Georgia Southern University
College of Public Health: News & Publications
- Congratulations JPHCOPH Faculty!
Activation Of An Nlrp3 Inflammasome Restricts Mycobacterium Kansasii Infection, Chang-Chieh Chen, Sheng-Hui Tsai, Chia-Chen Lu, Shiau-Ting Hu, Ting-Shu Wu, Tsung-Teng Huang, Najwane Saïd-Sadier, David M. Ojcius, Hsin-Chih Lai
Activation Of An Nlrp3 Inflammasome Restricts Mycobacterium Kansasii Infection, Chang-Chieh Chen, Sheng-Hui Tsai, Chia-Chen Lu, Shiau-Ting Hu, Ting-Shu Wu, Tsung-Teng Huang, Najwane Saïd-Sadier, David M. Ojcius, Hsin-Chih Lai
All Dugoni School of Dentistry Faculty Articles
Mycobacterium kansasii has emerged as an important nontuberculous mycobacterium pathogen, whose incidence and prevalence have been increasing in the last decade. M. kansasii can cause pulmonary tuberculosis clinically and radiographically indistinguishable from that caused by Mycobacterium tuberculosis infection. Unlike the widely-studied M. tuberculosis, little is known about the innate immune response against M. kansasii infection. Although inflammasome activation plays an important role in host defense against bacterial infection, its role against atypical mycobacteria remains poorly understood. In this report, the role of inflammasome activity in THP-1 macrophages against M. kansasii infection was studied. Results indicated that viable, but not heat-killed, …
Therapeutic Drug Monitoring Of Factor Viii Prophylaxis Using Its Plasma Coagulant Activity And Global Hemostasis Biomarkers: A Pharmacokinetic/Pharmacodynamic Pilot Study, Hawaj Maitham Al
Theses and Dissertations
Background: The current clinical practice of factor VIII (FVIII) prophylaxis revolves around converting patients with severe hemophilia A, hereafter simply referred to as hemophilia, phenotype (defined as plasma factor VIII coagulant activity [FVIII:C] <1 IU dL-1) to moderate hemophilia phenotype (defined as plasma FVIII:C from 1–5 IU dL-1). However, a wide inter-individual variation in bleeding tendency is observed despite changes in plasma FVIII:C (pharmacokinetic [PK] changes). Therefore, monitoring FVIII prophylaxis by global hemostasis biomarkers (pharmacodynamic [PD] response) can potentially be beneficial. Objective: To conduct appropriate PK/PD modeling using plasma FVIII:C and global hemostasis (platelet function and blood viscoelastic) biomarkers in severe hemophilia. Methods: Nine non-bleeding severe hemophiliacs (plasma FVIII:C <1 IU dL-1) with variant bleeding tendency (5 frequent bleeders and 4 infrequent bleeders) were infused with a recombinant factor FVIII (rFVIII) prophylactic dose (mean = 32.1 international units per kilogram [IU kg-1]). Blood was collected at baseline and 0.5-, 1-, 2-, 4-, 8-, 12-, 24- and 48-hours (h) post-dose for plasma FVIII:C, platelet function (platelet contractile force [PCF], clot elastic modulus [CEM] and force onset time [FOT]) and blood viscoelastic (reaction-time [R], kinetics-time [K] and maximum amplitude [MA]) biomarkers and activated partial thromboplastin time (aPTT). Non-compartmental analysis (NCA) was performed using standard methods. Compartmental analysis (CA) and PK/PD modeling were performed by non-linear regression. Correlation and analysis of variance (ANOVA) were used to explore the role of clinically relevant modifiers of bleeding tendency, as appropriate. ANOVA was used to assess inter-group differences in pertinent PK and PD parameters. P value <0.05 significance level was pre-specified for all statistical tests. Results: Mean (±SD) volume of distribution at steady state (Vss), total clearance (CLtot) and terminal half-life (t1/2) from NCA were 40.5 (±11.2) milliliter per kilogram (mL kg-1), 2.9 (±1.2) milliliter per hour per kilogram (mL h-1 kg-1) and 11.6 (±6.2) h, respectively. Mean (±SD) Vss and CLtot from the one-compartment body model (CA) were 39.6 (±8.9) mL kg-1 and 3.1 (±1.3) mL h-1 kg-1, respectively. The mean (±SD) baseline effect (E0) and slope from the PK/PD linear modeling were: for aPTT, 48.9 (±4.4) seconds (sec) and -0.025 (±0.009) second deciliter per international unit (sec dL IU-1), respectively; for PCF, 0.3 (±0.3) kilodynes (kdynes) and 0.008 (±0.004) kilodynes deciliter per international unit (kdynes dL IU-1), respectively; and for CEM, 0.0 (±0.0) kilodynes per square centimeter (kdynes cm-2) and 0.032 (±0.016) kilodynes deciliter per international unit per square centimeter (kdynes dL IU-1 cm-2), respectively. The mean (±SD) maximum effect (Emax) and half the maximum effective concentration (EC50) from the PK/PD sigmoidal Emax model were: for FOT, 70.1 (±16.9) % reduction and 87.8 (±31.4) IU dL-1 for FOT, respectively; for R, 74.9 (±26.0) % reduction and 68.5 (±28.4) IU dL-1, respectively; and for K, 73.2 (±36.4) % reduction and 67.2 (±29.0) IU dL-1, respectively. MA was not PK/PD modeled due to its low sensitivity. Conclusions: Plasma FVIII:C remained ≥1 IU dL-1 over the prophylactic interval. FOT and R were the most sensitive biomarkers at lower plasma FVIII:C. PCF and CEM were more sensitive than K and aPTT at lower plasma FVIII:C. MA was the least sensitive biomarker. Correlation and inter-group differences did not reach statistical significance (small sample size). These results may be used to assess risk of bleeding and dose-optimize FVIII prophylaxis in severe hemophilia.
Military Service Members’ Attitudes Towards Mental Illness And Access To Mental Health Services: A Matter Of Stigma., Virginia Delbusto-Cohen
Military Service Members’ Attitudes Towards Mental Illness And Access To Mental Health Services: A Matter Of Stigma., Virginia Delbusto-Cohen
Nursing Doctoral
It has been clinically observed and the literature concurs that military service members often fail to access mental health services in spite of availability of care. The reasons for failure to access care appear to be that military service members are fearful of accessing mental health services for fear of being stigmatized. Failure to receive care for mental health problems can result in deleterious results, some of which may culminate in inability to function or even loss of life. Additionally, failure to access mental health care can result in massive monetary costs in terms of loss and replacement of personnel …
Alix Binds A Ypx3l Motif Of The Gpcr Par1 And Mediates Ubiquitin-Independent Escrt-Iii/Mvb Sorting, Michael R. Dores, Buxin Chen, Huilan Lin, May M. Paing, William A. Montagne, Timo Meerlo, Joann Trejo
Alix Binds A Ypx3l Motif Of The Gpcr Par1 And Mediates Ubiquitin-Independent Escrt-Iii/Mvb Sorting, Michael R. Dores, Buxin Chen, Huilan Lin, May M. Paing, William A. Montagne, Timo Meerlo, Joann Trejo
Open Access Publications
No abstract provided.
Health Policy & Management News, Georgia Southern University
Health Policy & Management News, Georgia Southern University
Health Policy & Community Health: News & Publications (2011-2018)
- Congratulations JPHCOPH Faculty!
Community Health News, Georgia Southern University
Community Health News, Georgia Southern University
Health Policy & Community Health: News & Publications (2011-2018)
- Congratulations JPHCOPH Faculty!