Medicine and Health Sciences Commons^™

No Safe3 Haven Here: Mental Health Assessment Of Women And Children Held In U.S. Immigration Detention, Kathleen A. O'Connor, Claire Thomas-Duckwitz, Guillermina Gina Nuñez

Departmental Papers (S&A)

No abstract provided.

Graduate Medical Education 2014-2015 Annual Report, Children's Mercy Hospital

GME Annual Reports

Annual report of the Children's Mercy Hospital Graduate Medical Education department, including pediatric residency, internal medicine/pediatrics residency, fellowship programs, medical students, continuing medical education, and library services.

Disparities In Infant Mortality Due To Congenital Anomalies On Guam, Jonathan K. Noel, Sara Namazi, Robert L. Haddock

Health & Wellness Department Faculty Publications and Research

No abstract provided.

Design Of A Multi-Center Immunophenotyping Analysis Of Peripheral Blood, Sputum And Bronchoalveolar Lavage Fluid In The Subpopulations And Intermediate Outcome Measures In Copd Study (Spiromics), Christine M. Freeman, Sean Crudgington, Valerie R. Stolberg, Jeanette P. Brown, Joanne Sonstein, Neil E. Alexis, Claire M. Doerschuk, Patricia V. Basta, Elizabeth E. Carretta, David J. Couper, Annette T. Hastie, Robert J. Kaner, Wanda K. O'Neal, Robert Paine, Stephen I. Rennard, Daichi Shimbo, Prescott G. Woodruff, Michelle Zeidler, Jeffrey L. Curtis

Journal Articles: Pulmonary & Critical Care Med

BACKGROUND: Subpopulations and Intermediate Outcomes in COPD Study (SPIROMICS) is a multi-center longitudinal, observational study to identify novel phenotypes and biomarkers of chronic obstructive pulmonary disease (COPD). In a subset of 300 subjects enrolled at six clinical centers, we are performing flow cytometric analyses of leukocytes from induced sputum, bronchoalveolar lavage (BAL) and peripheral blood. To minimize several sources of variability, we use a "just-in-time" design that permits immediate staining without pre-fixation of samples, followed by centralized analysis on a single instrument.

METHODS: The Immunophenotyping Core prepares 12-color antibody panels, which are shipped to the six Clinical Centers shortly before …

The Effect Of Statins On Blood Gene Expression In Copd, Ma'en Obeidat, Nick Fishbane, Yunlong Nie, Virginia Chen, Zsuzsanna Hollander, Scottj Tebbutt, Yohan Bossé, Raymond T. Ng, Bruce E. Miller, Bruce Mcmanus, Stephen I. Rennard, Peter D. Paré, Don D. Sin

Journal Articles: Pulmonary & Critical Care Med

BACKGROUND: COPD is currently the fourth leading cause of death worldwide. Statins are lipid lowering agents with documented cardiovascular benefits. Observational studies have shown that statins may have a beneficial role in COPD. The impact of statins on blood gene expression from COPD patients is largely unknown.

OBJECTIVE: Identify blood gene signature associated with statin use in COPD patients, and the pathways underpinning this signature that could explain any potential benefits in COPD.

METHODS: Whole blood gene expression was measured on 168 statin users and 451 non-users from the ECLIPSE study using the Affymetrix Human Gene 1.1 ST microarray chips. …

Doctor Of Philosophy Brochure, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

Scaled-Up Mobile Phone Intervention For Hiv Care And Treatment: Protocol For A Facility Randomized Controlled Trial, Kelly L'Engle, K Green, S M. Succop, A Laar, S Wambugu

Nursing and Health Professions Faculty Research and Publications

Background: Adherence to prevention, care, and treatment recommendations among people living with HIV (PLHIV) is a critical challenge. Yet good clinical outcomes depend on consistent, high adherence to antiretroviral therapy (ART) regimens. Mobile phones offer a promising means to improve patient adherence and health outcomes. However, limited information exists on the impact that mobile phones for health (mHealth) programs have on ART adherence or the behavior change processes through which such interventions may improve patient health, particularly among ongoing clients enrolled in large public sector HIV service delivery programs and key populations such as men who have sex with men …

The Perceived Effects Of Dance For Individuals With Parkinson’S Disease And Healthy Amateurs, Taylor Marie Mastin

Electronic Theses and Dissertations

The objective of the present study was to compare the effects of dance participation on physical and psychological functioning as perceived by two distinct groups of dancers: dancers with Parkinson's disease (PD) and healthy amateur (HA) dancers. Dancers in the Parkinson's sample group were gathered from participants in the Dance for PD® program, while healthy amateur dancers were recruited from university dance departments and through social media. Both groups were administered measures related to affect, self-efficacy, quality of life, and which aspects of dance classes were most helpful and/or challenging. Several open-ended questions for both groups were included, along with …

A Community Needs Assessment For A Camp Activity Center For People With Disabilities, Jackie L. Main, Melissa A. Klenk, Samantha N. Vandriel

Community Based

This paper describes a needs assessment of a camp for individuals with disabilities. Utilizing a combination of focus groups and interviews, the needs assessment explores the benefits of additional space and services of an activity center and sensory room, the desire for additional equipment, the value of occupational therapy services, and the potential benefit these additions may have for the surrounding populations within the community. The participants include administrative staff, counselors, campers, and other key informants who maintain knowledge of the topics pertaining to the camp. The results revealed three major themes including marketing, staffing, and indoor space. It was …

Control Of Meiotic Cell Divisions In Presence Of Unrepaired Chromosome Breaks, Francisco Monge, Jesus Monge, Andrew Reville, Rima Sandhu

Undergraduate Research Posters 2015

Chromosome miss-segregation during meiosis is a major factor contributing to birth defects as well as many genetic anomalies through the formation of aneuploid gametes, i.e. gametes with a deficit or surplus of one or several chromosomes. The synaptonemal complex (SC) is a major protein structure assembled with the synapsis of homologous chromosomes and is conserved from unicellular yeast to humans. One of its major roles during prophase I in meiosis is providing a structural framework for the maintenance of synapsis to facilitate the completion of reciprocal crossover events. Failure to form an effective SC or to experience crossover events leads …

Role In Recombination Of Genes That Control Meiotic Cell Divisions, Francisco Monge, Jesus Monge, Andrew Reville, Rima Sandhu

Undergraduate Research Posters 2015

The production of gametes in Saccharomyces cerevisiae via meiosis is under strict regulatory control where proper segregation of homologous chromosomes into gametes requires physical linkage via crossovers. Cells that initiate meiotic recombination but do not process programmed double strand breaks into crossovers enter meiotic arrest. The main goal of the current project was whether overexpression of gene Y is sufficient to bypass the meiotic arrest in prophase I exhibited by dmc1 deletion and a zip1 mutant that carries an internal deletion. DMC1 is a recombinase that promotes homologous recombination. ZIP1 is a transverse filament protein of the synaptonemal complex (the …

Nitrosylation Of S100a8/ A9 Protein Complex By Inducible Nitric Oxide Synthase, Kia Smith

Undergraduate Research Posters 2015

How does the body fight infection? What causes inflammation? These are only a few questions that have been asked by many doctors across the globe. One thing that is known for certain about infection is that there is a particular sub-group of enzymes called NOS’s (eNOS, nNOS and iNOS) that produce Nitric Oxide (NO), a molecule radical capable of oxidizing proteins and alter their function. In our study we focus on inducible Nitric Oxide Synthase (iNOS). NOS’s are comprised of oxidase and reductase domains liked by Camodulin (CAM), a polypeptide linker. According to prior studies and SEM photographs, inducible Nitric …

Dynamics Of An Optically Trapped Particle, Flaherty Justin

Undergraduate Research Posters 2015

Particles trapped in a laser experience a linear restoring force that keeps them centered in the trap and will undergo restricted Brownian motion. The Brownian motion causes a change in the scattered laser light. The scattered light is projected onto a Quadrant Photodiode and can be used to obtain the Mean Squared Displacement of the particle, as well as the linear spring constant of the laser trap. The spring constant can be used to obtain the force applied by the laser trap, which is in the realm of piconewtons.

Novel Regulation Of The Pro-Apoptotic Protein Puma In Response To Hypoxia, Mareem Ali, Brianna Boslett

Undergraduate Research Posters 2015

Ischemic injury in skeletal muscle caused by hypoxic (low oxygen) conditions occurs in response to vascular and musculoskeletal traumas, diseases and following reconstructive surgeries. Hypoxia induces apoptotic cell death. We have reported that the protein PUMA plays a critical role in the apoptosis of myoblasts in response to culture in differentiation media as well as exposure to DNA damaging chemotherapeutic agents. We have also determined that the transcription factor MyoD, known to control the differentiation process, also plays a role in these apoptotic processes by directly increasing the expression of PUMA mRNA. Herein, we report an increase in PUMA protein …

Dual Stimuli Response Frequency And Stimulus Choice Of The African Clawed Frog, Xenopus Laevis, When Presented With Two Stimuli, Mingo Rolince, Heidi Pignolet, Alexa Hoy

Undergraduate Research Posters 2015

This preliminary study examines responses of African Clawed Frogs to simultaneous presentation of two stimuli. Frogs were tested in a round arena with water 4 cm deep. Four stimulus rods driven via computer-controlled stepper motors were concealed in a screen suspended above the water. These rods could present a lateral line stimulus, a visual stimulus, or a combination of both. Overall, reactions and no reactions were evenly distributed--51.1% and 48.9%, respectively. Frogs responded more frequently to rostral than caudal stimuli (chi-squared 20.8, df=11, p < 0.04). Frogs reacted more to stimuli between -90° and 90°. Turn angle depended linearly on stimulus angle (e.g., Turn angle = 0.44 + 0.64 x Stimulus angle; pslope < 0.0001; R2adj = 69.5%). (The distributions of stimulus angles appear slightly skewed as often the same stimulus rod was retested after the frog responded and partially oriented towards it, prompting a second test with smaller angles.) Two stimuli did not elicit more responses than one stimuli (P=0.25). The frogs’ choice of stimulus depended primarily on stimulus proximity and angle, not stimulus type. When presented with two stimuli, the frog chose the nearer stimulus and the more rostral stimulus (p < 0.0001). The largest factor in predicting the frog’s choice of stimuli seems to be the linear distance from the stimuli to the frog.

Deducing Shape Of Anisotropic Particles In Solution From Light Scattering: Spindles And Nanorods, Ilona Tsuper, Dan Terrano

Undergraduate Research Posters 2015

Depolarized Dynamic light scattering (DDLS) enables to measure in situ rotational and translational diffusion of nanoparticles suspended in solution. Their size, shape, diffusion, and intermolecular interactions can be interred then from DDLS data using various models of diffusion. Incorporating DDLS to analyze the dimensions of easily imaged elongated particles, such as Iron (III) oxyhydroxide Spindles (FeOOH) and gold coated Nanorods, will allow a deeper understanding between rotational/translational diffusion and size distribution of hard-to-image anisotropic wet systems such as micelles, microgels, and protein complexes. The emphasis of this study was to look at the aged FeOOH Spindle sample, and explore the …

Assaying The Splicing Activity Of Novel Human Disease Variants Of U4atac Snrna, Maitri K. Patel, Rosemary C. Dietrich

Undergraduate Research Posters 2015

In eukaryotes, pre-messenger RNA (pre-mRNA) splicing is an essential process in gene expression. Splicing is carried out by a dynamic multi-megadalton RNA-protein complex known as the spliceosome. Sequential transesterification reactions catalyzed by the spliceosome convert pre-mRNA to mRNA by removing the intervening sequences (introns) and joining the coding sequences (exons) together. Small nuclear RNAs (snRNAs) are essential splicing factors. Biallelic mutations of the human RNU4ATAC gene, which codes for U4atac snRNA, have been identified in patients diagnosed with Microcephalic Osteodysplastic Primordial Dwarfism type I (MOPD I). MOPD I is an autosomal recessive disorder characterized by extreme intrauterine growth retardation, multiple …

Lead Optimization Of Tubulin Inhibitor For Cancer Treatment, Morgan Ashcraft

Undergraduate Research Posters 2015

Tubulin-containing structures are important for many important cellular functions, including chromosome segregation during cell division, development and maintenance of cell shape, cell motility, and distribution of molecules on cell membranes. The rapid growth of cancer cells makes them very sensitive to the disruption of tubulin polymerization/depolymerization. Taxol (paclitaxel), a tubulin inhibitor approved by the FDA in 1992 for cancer treatment, is one of the most powerful chemotherapeutic agents. However, the low water solubility and drug resistance limits its clinical application. Various effort in drug discovery field focuses on more water soluble smaller molecular tubulin inhibitors. Our previous study led to …

Effects Of Accelerometer Based Feedback On Clinical Measures And Paretic Upper Extremity Amount Of Use In Subjects Chronic Post-Stroke, Amber Kuehn, Nathan Pohl, Mishgan Abdullah

Undergraduate Research Posters 2015

Purpose/Hypothesis: To determine the effects of accelerometer based feedback on clinical measures of paretic upper extremity (UE) recovery in people post-stroke and examine the relationship between these changes and paretic UE amount of use (AOU) measured by an accelerometer. Subjects: 7 people chronic post-stroke (5 males, 2 females; aged 62.03 ± 11.33 years) with an Upper Extremity Fugl-Meyer score range of 10-63 were included for this poster. Materials/Methods: Subjects wore wrist accelerometers for 3 weeks in the home. Clinical measures (Motor Activity Log, Stroke Impact Scale, Chedoke Arm and Hand Activity Inventory, and the ABILHAND) were assessed weekly. Data analysis …

Mechanism Of Action By Which 5-Nidr Acts As A Therapeutic Agent Against Brain Cancer, Seol Kim, Jung-Suk Choi

Undergraduate Research Posters 2015

Approximately 10,000 people in the United States are diagnosed annually with a brain tumor. In addition, the prognosis for brain cancer patients is poor as these cancers have low survival rates of less than 10%. One important chemotherapeutic agent used to treat brain cancer is temozolomide, an alkylating agent that causes cell death by damaging DNA. In this project, we tested the ability of a specific non-natural nucleoside developed in our lab, designated 5-NIdR, to increase the efficacy of temozolomide against brain cancer. Animal studies using xenograft mice were performed to evaluate the in vivo efficacy of this drug combination …

Safe Movement Practices By Stnas For Residents In Nursing Homes, Christine Fortuna

Undergraduate Research Posters 2015

Previous research reports that with compliance, safe movement programs and policies play a large roll in reducing worker injury and safe patient handling. The purpose for our research is to better understand the daily safe movement practices of State Tested Nursing Assistants as it relates to the safe handling and transferring of patients. We used Qualtric software to electronically survey 14 STNAs from Jenning’s Center for Older Adults Upper Level Neighborhood. The survey consisted of 7 forced choice questions and 19 open ended or follow up questions. The scope of our research covers the complexities of the daily tasks of …

Balance Training Application Of A Systematic Framework For Clinical Decision Making In Therapeutic Gaming For Older Adults, Brian Boccieri

Undergraduate Research Posters 2015

Falling is a major health concern for older adults. Balance is crucial in order to prevent falls. For balance to be functional an individual must be able to maintain balance while focusing on other tasks. For example, an individual must focus on more than just staying upright during walking while drinking a mug of coffee, or during standing while washing dishes. There are a countless number of daily activities that challenge balance. One of the problems with current clinical balance rehabilitation is that the training is often completed using isolated exercises that do not include the various other cognitive and …

Statistical Analysis Of Dasi Questionnaire And Modeling The Prediction Of Heart Failure Risk In Patients, Christian Negron

Undergraduate Research Posters 2015

9,880 patients were asked to complete the DASI questionnaire along with other questions to assess the predictability of heart failure risk. In this paper we attempt to reduce the amount of questions asked by hierarchical clustering of the question responses to determine if there is a change in the predictability of heart failure risk in patients. The data was modeled using Cox hazards multiple regression and validated through ROC and AUC. Our validation models show there is no difference between the usage of 12 and 6 DASI questions, therefore improving the simplicity of the questionnaire. Abbreviations: DASI, Duke Activity Status …

Ciliary Mechanosensation In Mdck Cells, Muhammad Tayeh

Undergraduate Research Posters 2015

Cilia are microscopic structures that extend from the surface of mammalian cells. Cilia can be categorized into two groups, primary cilia (non-motile) and motile cilia. Cilia are composed of tubulin subunits (microtubules) and covered by a plasma membrane. The physiological role of motile cilia has been very well documented, but the function of primary cilia remains largely unknown. It has been shown that primary cilia allow cells to sense and respond to mechanical stimuli. The ability for a cell to respond to mechanical stimuli is crucial for maintaining processes such as homeostasis. It has also been shown that defects in …

Developing Affordable Wet-Sample Electron Microscopy Integrated With A Temperature Controlled Sample Holder, Dan Terrano

Undergraduate Research Posters 2015

Scanning electron microscopy (SEM) is widely used to analyze the size, shape and composition of material systems. However, using this tool for analyzing systems such as particles suspended in solution, requires drastic sample alterations, such as precipitation and fixation. Besides altering their environment, this exposes the particles to the harsh conditions within an electron microscope, such as high vacuum and electron beam exposure. To this end, the first goal of this study was to develop methodologies for imaging wet samples using electron microscopy. This is realized by creating a sandwich structure containing the solution of interest between a partially electron …

The Effect Of Depression Symptoms On The Cardiac Autonomic Response To Positive Mood Induction, Elizabeth Golias, Khadeja Najjar, Brock Bodenbender

Undergraduate Research Posters 2015

Depression is characterized by a reduced capacity to experience pleasure (hedonic capacity). A growing literature suggests that hedonic capacity is supported by the sympathetic (SNS) and parasympathetic (PNS) branches of the autonomic nervous system. Both branches may work in a reciprocal fashion, or in tandem, reflecting co-activation of the SNS and PNS. While reduced PNS and increased SNS activity are associated with happy states among healthy individuals, preliminary findings suggest that depressed persons evidence blunted physiologic responses across a variety of emotion inducing stimuli. Much of this work, however, has examined PNS and SNS activity separately, and never with respect …

Cultural Differences In Coping And Depression Between Individuals Of Middle-Eastern And Non-Arab Backgrounds, Khadeja Najjar

Undergraduate Research Posters 2015

The Middle Eastern (Arab) demographic is a growing, yet neglected cultural group in mental health research. While Arabs are more predisposed to depression than other ethnic groups in US, little is known about mechanisms that account for this risk. One set of mechanisms may be the use of ineffective (maladaptive) coping or insufficient use of effective (adaptive) coping responses, which are robust predictors of depression in US samples, but virtually unexamined in Arabs. Further, the effect of a coping is influenced by culture, which, for Arabs, may change as a function of acculturation. Thus, the present study aimed to examine …

Effect Of Accelerometer Based Feedback On Paretic Upper Extremity Amount Of Use And Quality Of Movement: A Case Study, Mishgan Abdullah, Nathan Pohl, Amber Kuehn

Undergraduate Research Posters 2015

Purpose/Hypothesis: To determine the effects of accelerometer based feedback on clinical measures of paretic upper extremity (UE) recovery in people post-stroke and examine the relationship between these changes and paretic UE amount of use (AOU) measured by an accelerometer. Subjects: 7 people chronic post-stroke (5 males, 2 females; aged 62.03 ± 11.33 years) with an Upper Extremity Fugl-Meyer score range of 10-63 were included for this poster. Materials/Methods: Subjects wore wrist accelerometers for 3 weeks in the home. Clinical measures (Motor Activity Log, Stroke Impact Scale, Chedoke Arm and Hand Activity Inventory, and the ABILHAND) were assessed weekly. Data analysis …

Designing Tuftsin Conjugate For Directing Antimicrobial Ionophores To Macrophages, Sokhna Seck, Zeenat Razvi

Undergraduate Research Posters 2015

For all microorganisms, acquisition of metal ions is essential for survival in the environment or their infected host. Metal ions are required in many biological processes as cofactors for proteins or structural elements for enzymes. These ions play a role in chemotaxis, phosphorylation, transport of sugars and proteins, and initiation of DNA replication, among other things. It is critical for bacteria to ensure that metal uptake and availability meet its physiological needs; too little can impede these important biological processes, while too much can be toxic leading to radical formation which can cause damage to proteins and cell structures (Porcheron, …

Feasibility And Effects Of Accelerometer Based Feedback On Paretic Upper Extremity Amount Of Use In The Home Setting In Subjects Chronic Post-Stroke, Nathan Pohl, Amber Kuehn, Mishgan Abdullah

Undergraduate Research Posters 2015

Purpose : to (1) evaluate the feasibility of using accelerometers in the home to quantify how much subjects chronic post-stroke (PS) use their upper extremities (UE), (2) measure differences between amount of UE movement in subjects PS and a healthy control group (HC), (3) determine the effects of accelerometer based feedback on paretic UE use in subjects PS, and (4) determine if those effects are retained over time. Methods : Six subjects PS wore accelerometers for 3 weeks with two feedback sessions given during week two. Seven HC subjects wore accelerometers for one week. Accelerometer based outcome measures included relative …