Medicine and Health Sciences Commons^™

Differences In The Cancer Burden And Current Funding Of Nci-Designated Cancer Centers, Todd Burus, Caree R. Mcafee, Pamela C. Hull

Markey Cancer Center Faculty Publications

Importance  National Cancer Institute (NCI)-designated clinical and comprehensive cancer centers are required to define a geographic catchment area (CA) in which they focus research, outreach, and engagement efforts for the purposes of reducing cancer burden, particularly among certain vulnerable populations. A comprehensive analysis of the cancer burden of these catchment areas and their association with cancer center funding through the Cancer Center Support Grant (CCSG) has not been performed.

Objective  To examine CA cancer burden indicators and cancer center CCSG funding during the 2023 federal fiscal year (FY23).

Design, Setting, and Participants  This population-based cross-sectional study assessed cancer center cancer …

Disparities In Human Papillomavirus–Associated Cancer Incidence By Appalachian Residence, Todd Burus, Melina Windon, Yasminka A. Jakubek, Krystle A. Lang Kuhs

Markey Cancer Center Faculty Publications

Importance  Poor socioeconomic conditions and corresponding health disparities have historically characterized the Appalachian region of the US. Low uptake of the human papillomavirus (HPV) vaccine and high rates of cervical cancer have been observed in the region; however, a comprehensive assessment of HPV-associated cancer in Appalachia has not been performed.

Objective  To compare the burden of HPV-associated cancer incidence between the Appalachian and non-Appalachian regions of the US.

Design, Setting, and Participants  This cross-sectional study of HPV-associated cancer incidence rates and trends used the US Cancer Statistics Incidence Analytic Database, covering 99% of the US population and 100% of the …

Examining Associations Between Sociodemographic Characteristics And Ever Breastfed Children, Nhanes 1999–2020, Jessica Amezcua, Lindsey M. West, Camelia Malkami, Marlo M. Vernon, Elinita Pollard, Justin X. Moore

Markey Cancer Center Faculty Publications

Although breastfeeding provides health benefits to both mother and child, this study aimed to explore whether disparities in breastfeeding continue to exist, particularly among non-Hispanic Black (NHB) mothers and children. We performed a cross-sectional analysis among 19,830 children in the United States (US) using the National Health and Nutrition Examination Survey (NHANES) data from 1999 to 2020. Breastfeeding initiation and duration rates increased overall from 1999 to 2020. Children who were ever breastfed were more likely to have higher body weight, older mothers, mothers who did not smoke during pregnancy, a higher family poverty–income ratio (PIR), food security, mothers in …

Examining Geographic Disparity: Variation In Cancer Outcomes Within Appalachia, Todd Burus, Pamela C. Hull, Krystle A. Lang Kuhs, Tianyan Gao, Christine F. Brainson, B. Mark Evers

Markey Cancer Center Faculty Publications

BACKGROUND: 

The Appalachian region of the US extends from the Mississippi Delta to southern New York. Although disparities in Appalachian cancer outcomes have long been observed, recent rates and trends have not been assessed.

STUDY DESIGN: 

We calculated 5-year age-adjusted US cancer incidence and mortality rates for 2017 to 2021, stratified into Appalachian and non-Appalachian populations, as well as Appalachian subregions, using the US Cancer Statistics Incidence Analytics Database and National Center for Health Statistics mortality files. Annual rates for 2004 to 2021 were also calculated.

RESULTS: 

In 2017 to 2021, all-site cancer incidence (466.6; 95% CI 465.5 to 467.6) …

Health Care Access Domains And Treatment As Mediators Of Ovarian Cancer Racial Disparities In Survival: A Structural Equation Modeling Analysis In Seer-Medicare, Clare Meernik, Quan Chen, Lauren E. Wilson, Ashwini Joshi, Fariha Rahman, Maria Pisu, Margaret Liang, Kevin C. Ward, Margaret Gates Kuliszewski, Thomas Tucker, Andrew Berchuck, Bin Huang, Tomi Akinyemiju

Markey Cancer Center Faculty Publications

Racial differences in health care access (HCA) may contribute to disparities in ovarian cancer (OC) survival. We used structural equation models (SEMs) to examine associations between race and HCA domains (affordability, availability, accessibility) in relation to overall and OC-specific mortality. Non-Hispanic (NH)–Black and non-Black (Hispanic, NH-White) women diagnosed with OC in 2008-2015 were identified from Surveillance, Epidemiology, and End Results–Medicare. Cox proportional hazards regression was used to conduct mediation analysis for associations between race and HCA domains with overall and OC-specific mortality. SEM models adjusting for demographic and clinical covariates were used to estimate hazard ratios (HRs) and 95% CIs. …

Cancer-Associated Fibroblast Secreted Dkk1 Promotes The Immunosuppressive Tumor Microenvironment And Colorectal Cancer Resistance To Chemotherapy, Zhijie Yin, Yuning Zhou, Xudong Zhu, Ryan A. Goettl, Chi Wang, Heidi L. Weiss, B. Mark Evers, Qingding Wang

Markey Cancer Center Faculty Publications

Chemotherapy is the cornerstone of treatment for colorectal cancer (CRC). However, acquired resistance can lead to a decrease in the efficiency of chemotherapy. Here, we show that cancer-associated fibroblasts (CAFs) play a critical role in acquired resistance to chemotherapy. Treatment with 5-fluorouracil (5-FU), oxaliplatin, or SN38 (an active metabolite of irinotecan) increased DKK1 expression and secretion, activation of MEK/ERK, and upregulation of p53 in CAFs. Knockdown of p53 or inhibition of MEK/ERK blocked the increase in DKK1 expression induced by chemotherapeutic agents in CAFs. Consistently, elevated DKK1 and phospho-ERK levels were found in CAFs isolated from surgically resected samples of …

Hsp47 Drives Obesity-Associated Breast Cancer Progression By Enhancing Asporin Deposition In Adipose Tissue, Gaofeng Xiong, Daheng He, Dana L. Napier, Jing Chen, Haizhu Shi, Chun Li, Paula J. Hurley, Chi Wang, Haining Zhu, Changcheng Zhou, Therese J. Bocklage, Ren Xu

Markey Cancer Center Faculty Publications

Fibrosis is an important feature of adipose tissue in obese individuals; nevertheless, roles of obesity-associated extracellular matrix (ECM) deposition in breast cancer progression largely remain elusive. Here, we show that expression of Hsp47, a chaperone protein involving collagen secretion, is induced in adipose tissue from obese humans and mice. Adipocyte-specific Hsp47 deletion (Adi-KO) suppresses the high-fat diet (HFD)-induced obesity and mammary tumor progression, accompanied by a reduction in ECM deposition. Matrisome analyses lead to the identification of asporin as a new target of Hsp47 in adipose tissue. Co-immunoprecipitation results confirm that the recruitment of Hsp47 enhances asporin secretion in adipocytes. …

Cancer Advocacy Empowers Appalachian Kentucky Youth, Lauren Hudson Rose, Holly Burke, Olivia Thornsbury, Kameron Jackson, Rebecca Spradlin, Nathan L. Vanderford

Markey Cancer Center Faculty Publications

Kentucky has the highest cancer incidence rate and second highest cancer mortality rate in the United States, and the Appalachian region of the state experiences a disproportionate cancer burden. Cancer-related advocacy, a movement that strives to provide support to cancer patients, families, and organizations, along with policy creation, could help address this disparity by enhancing cancer-related prevention and control efforts. The University of Kentucky Markey Cancer Center’s Appalachian Career Training in Oncology (ACTION) Program partners with the American Cancer Society Cancer Advocacy Network (ACS CAN) to involve Appalachian Kentucky high school and undergraduate students in cancer advocacy activities at the …

Identifying Risk Factors For Adverse Lung Health Outcomes Among Rural Appalachian Women, Jessica R. Thompson, Courtney J. Walker, John C. Flunker, W. Jay Christian, Wayne T. Sanderson, Nancy E. Schoenberg, Steven R. Browning

Markey Cancer Center Faculty Publications

Purpose: Despite high rates of lung disease and lung cancer among women, few studies have focused on adverse lung health risk factors among rural Appalachian women. We aim to describe the prevalence of demographic, behavioral, and economic characteristics among a cohort of rural Appalachian women and ascertain the association between these risk factors and lung function.

Methods: Through a cross-sectional study in two rural Appalachian Kentucky counties (2015–2017), we collected demographics, health history/behaviors, and lung function via pulmonary function tests. Restricting to female participants with interpretable pulmonary function tests (N = 456), we estimated prevalence ratios of the association …

The Implementation Of The Queensland Health Smoking Cessation Clinical Pathway In A Western Australian Private Hospital Setting: A Feasibility, Leah Jane Epton

Theses

As smoking is prohibited on most hospital grounds, hospitalisation presents a valuable opportunity for healthcare professionals to identify smokers, administer smoking cessation treatments, and ensure appropriate inpatient support, as well as continued follow-up on discharge. It has been reported both anecdotally and in published research that encouragement from a health professional is a significant external prompt for a smoker to attempt quitting. It has also been noted in the inpatient setting, one in every 33 conversations will lead to the successful cessation of smoking.

More broadly, a 2012 Cochrane review on smoking cessation interventions for inpatients identified that they are …

Defining Barriers In Pulmonary Hypertension: Pulmonary Hypertension In Remote And Rural Settings In Australia: An Epidemiologic Study Aided By Echocardiography, Pyi Naing

Theses

Pulmonary hypertension (PH) is a common, complex, and potentially lethal haemodynamic condition with many underlying aetiologies. It is poorly understood, and diagnosis is usually made late in the disease process resulting in poor outcomes even in the developed world. An innovative universal framework is required to achieve early and accurate diagnosis for improved outcomes, especially in remote and rural areas. The thesis documents my substantial body of work that unlocks a collective framework to assist patients with PH, particularly in areas not classically serviced by tertiary level PH care.

The first chapter of my thesis outlines the history, important milestones …

The Effect Of Woc Nurse Rounding On At-Risk Patients In The Icu In Reducing Hapis: An Integrative Review, Sydney Conrad, Ayoka Allen, Abby Fitzpatrick, Raquel Luague, Emily Lindall

Master's Projects

Hospital-acquired pressure Injuries (HAPIs) are a “never event” and a nursing quality indicator closely monitored by hospitals. Pressure injury prevention strategies have been widely researched and used to reduce HAPI rates; however, despite this research, HAPI rates, especially in the intensive care unit (ICU), remain high. Prevention is a complex, individualized process that requires nursing understanding and application. Wound, Ostomy, and Continence nurses (WOC nurses) are specially trained and certified in wound management and can provide tremendous clinical insight into risk and prevention factors. This integrative review examines whether WOC nurse rounding in the ICU reduces HAPI rates.

Fnes 722 Exercise, Energy Balance, And Body Composition, Bridget Mcfadden

Open Educational Resources

This course focuses on the interrelationships between exercise energetics, energy balance, and body composition. There are four major goals for students in this course. Each student will be expected to acquire and demonstrate knowledge in the following areas: macro- and micro- nutrient requirements and the role they play in physiological function; energy expenditure and body composition assessments; nutrition and exercise considerations for physique and sport; ability to evaluate the scientific evidence on nutritional ergogenic aids and diets.

Ocd Lesions Of The Lateral Femoral Condyle And The Impact Of The Location On Recovery, Catharine Kral, Joshua Cummings, Ellie Helton, Shannon Margherio, Brian S. Harvey, Kevin Latz

Posters

Descriptive study based on Zhou, Liang, et al. we categorized the LFC OCD lesions into weight bearing and non-weight bearing lesions to assess clinical and radiographic variables and evaluate the need for progression to operative management.

The Therapeutic Promise Of Ketamine In Depression: A Case Report, Renee Abernathy, Clinton Martin, Janaki Nimmagadda, Anupama Yedla

UAB Huntsville Research Day - All Presentations

2025 oral presentation

Missed Hiv Screening Chances In Adolescents At Emergency Departments, Ethan Barnes, Claudette Poole

UAB Huntsville Research Day - All Presentations

2025 oral presentation

Prep Pro In Huntsville - A Pilot Study On The Effects Of Prep And Sti Education On Prep Prescriptions For Adolescent Girls And Young Women, Dax Bushway, Rohan Pareek, Ahley Ford, Shivani Malhotra, Stephanie Barnett

UAB Huntsville Research Day - All Presentations

2025 oral presentation

From Grill Master To Grill Disaster: A Case Of Wire-Bristle Acute Perforated Appendicitis, Joshua Cummins, Jesse Faulk, Zaria Murrell

UAB Huntsville Research Day - All Presentations

2025 oral presentation

From Gut To Brain: A Rare Complication Of Acute Diverticulitis, Roshini Raghu, Hinal Rathi, John Fanning

UAB Huntsville Research Day - All Presentations

2025 oral presentation

Silent Nerve, Struggling Diaphragm: A Rare Complication Of Interscalene Nerve Block, Hinal Rathi, Alan Baggett

UAB Huntsville Research Day - All Presentations

2025 oral presentation

When Good Inflammation Turns Bad: Role Of Bioactive Lipids In Obesity, Chronic Inflammation And Resistant Hypertension, Soumyadeep Bag, Shreya Sunil, Tumpa Patra, Peng Li, Ganesh Halade, Vasundhara Kain, Tanja Dudenbostel

UAB Huntsville Research Day - All Presentations

2025 research poster

Diagnostic And Prognostic Value Of Retinal And Intracranial Hemorrhages In Abusive Head Trauma, Brenton T. Bicknell, Akanksha Malepati, Michael A. Taylor, Robert Tauscher, Krupa Patel

UAB Huntsville Research Day - All Presentations

2025 research poster

Independent Component Analysis Of Resting-State Fmri Identifies Regions Associated With Seizure Freedom After Laser Interstitial Thermal Therapy For Temporal Lobe Epilepsy, Mahdi Alizadeh, J. Miao, Caio Matias, Kevin J. Hines, Christopher T T. Skidmore, Michael R. Sperling, Joseph I Tracy, Ashwini Sharan, Chengyuan Wu

Department of Neurosurgery Faculty Papers

OBJECTIVE: Temporal lobe epilepsy (TLE) is a common form of drug-resistant epilepsy often treated with surgical interventions, including laser interstitial thermal therapy (LITT). However, patient-specific factors influencing LITT outcomes remain unclear. This retrospective study aimed to identify pre-operative resting-state functional MRI (rs-fMRI) patterns associated with seizure freedom following LITT in mesial TLE.

METHODS: We analyzed rs-fMRI data from 28 patients with mesial TLE who underwent LITT, classifying them into seizure-free (SF) and not seizure-free (NSF) groups based on 12-month post-operative outcomes. Independent component analysis (ICA) was used to identify subject-specific brain networks, and generalized linear models (GLM) were employed to …

Cutaneous Cytomegalovirus In Mixed Serostatus Kidney Transplant Patient, Dominic Finan, Vaibhav Garg, Lucjan Lang, Tricia Royer, Katherine Belden, Sherry Yang

Department of Dermatology and Cutaneous Biology Faculty Papers

Cutaneous cytomegalovirus infection is a rare but serious complication in solid organ transplant recipients. We present a 47-year-old male kidney transplant recipient with a chronic, nonhealing right lower extremity ulcer. Initial biopsies revealed septic vasculopathy, leading to treatment with sodium thiosulfate and antibiotics for suspected calciphylaxis. Despite regular wound care, the ulcer continued to worsen. After completing 6 months of cytomegalovirus prophylaxis, surveillance viral levels remained undetectable, but the ulcer progressed considerably. Worsening severity prompted hospitalization, during which cytomegalovirus viremia was detected, and an ulcer biopsy confirmed cytomegalovirus inclusion bodies. Antiviral therapy was reinitiated, resulting in rapid and sustained wound …

Immunohistochemical Assessment Of Ki-67 In Oral Lichen Planus, Ibrahem Gamal, Mahmoud Fathy El-Sherbeny, Sherif Yousef El Nagdy, Nadia Abbas Ibrahim El-Sissy

Mansoura Journal of Dentistry

Objective: The purpose of the current study was to assess cell proliferation by analyzing the expression of Ki-67 in 30 cases of oral lichen planus (OLP). Material and methods: 30 archival paraffin blocks of OLP were examined for Ki-67 expression using immunohistochemical staining. Normal oral mucosa served as a control. After carefully examining the tissue samples, the number of positive cells was counted in order to semi-quantitatively characterize the expression pattern. Scores ranging from 1 to 3 were assigned to nuclear immunostaining for Ki-67 proliferation. SPSS-13 program was used for the statistical analysis, and p

Immunohistochemical Evaluation Of Cd10 In Ameloblastoma And Dentigerous Cyst, Mennatalla M. Abougamila, Mona M. A. Ibrahim, Lawahez El. M. Ismail

Mansoura Journal of Dentistry

Objectives: Expression of CD10 in Ameloblastoma and Dentigerous cyst via immunohistochemistry. Material and methods: The current work was carried out on thirty-one tissues embedded in paraffin and treated with formalin of Ameloblastoma and fourteen cases of Dentigerous cyst (DC) were taken from the Faculty of Dentistry's Oral Pathology Department's archives, Mansoura University. Immunohistochemical reagents: Cluster of differentiation (CD10) (Autostainer Link 48) Clone 56C6 Ready-to-use monoclonal mouse antibody. The area percentage of stained cells from five randomly selected fields was examined under ×400 magnification in order to determine the tissue immunoreactivity for CD10. Results: In the present study, we revealed a …

Evaluation Of Clinical Effects Of Prp As An Adjunctive To Non-Surgical Periodontal Therapy In Treatment Of Periodontitis Patients: A Randomized Controlled Clinical Trial, El Sabbahy A. Youssef, Islam Kandil, Mona S. Abdelhafez, Samah Elmeadawy

Mansoura Journal of Dentistry

Objective: This research evaluates the efficacy of mechanical debridement (MD) alone versus MD with platelet-rich plasma (PRP) applications in early periodontitis treatment, focusing on clinical and microbiological outcomes after six weeks.

Materials and Methods: Twenty patients diagnosed with stage II grade B periodontitis, each exhibiting a pocket depth of up to 5 mm, were classified into two groups of ten for this study. Group I received MD and subgingival PRP treatment (test), while Group II received only MD (control). Clinical indicators, including sulcular bleeding index (SBI), probing depth (PD), plaque index (PI), and clinical attachment loss (CAL), were assessed at …

Socket Preservation Using Autogenous Particulate Dentin In Combination With Liquid Platelet-Rich Fibrin Versus Bone Allografts After Surgical Extraction Of Impacted Lower Third Molar, Ali Mahmoud Mohamed Ali Elshafei, Wael Mohamed Ahmed Said Ahmed, Ziad Amr Elmissiry

Mansoura Journal of Dentistry

Objectives To evaluate and compare the efficacy of sticky tooth graft versus bone allografts used for socket preservation after the surgical extraction of horizontally impacted lower third molars. Materials and Methods Thirty patients with horizontally impacted lower third molars were randomly and equally divided into two groups; group I: 15 patients received dentin granules mixed with Liquid PRF (sticky tooth) in the socket after extraction, group II: 15 patients received bone allograft after extraction. Postoperative pain, edema and bone resorption were assessed. Bone resorption was evaluated using cone-beam computed tomography (CBCT) over a three-month period. Results There were statistically significant …

Effect Of Naringenin Cisplatin Combination On Apoptosis Of Human Tongue Squamous Cell Carcinoma Cell Line, Nahed Atef, Nancy Hussein, Mohamed Grawesh, Mohamed Anees

Mansoura Journal of Dentistry

Aim and Objectives: This research was aimed to evaluate the efficacy of a combination treatment comprising the natural compound Naringenin (NAR) and the chemotherapeutic agent Cisplatin (CP) regarding the reduction of cell viability and the induction of apoptosis in human TSCC (HNO-97) and normal oral epithelial cell (NOEC) lines. Material and Methods: The cytotoxicity and IC50 of NAR, CP, and their combinations were evaluated using the MTT assay. The expression levels of the apoptotic marker genes p53 and caspase-3 were assessed using RT-PCR. Western blot analysis was carried out to assess the protein expression levels of the apoptotic markers Bax …

Evaluation Of Two- Implant Assisted Mandibular Overdentures Of Cobalt Chromium Vs. Peek Combined Denture Bases Regarding Occlusion And Patient Satisfaction: A Within-Subject Study, Khaled M. Diaa, Noha H. El-Shaheed, May A. Hagag, Fatma A. El-Waseef

Mansoura Journal of Dentistry

Objectives The purpose of this within-patient study was to compare two implant-assisted overdentures (IAOs) reinforced either with polyether-ether ketone (PEEK) or cobaltchromium (CO-CR) regarding the percentage of occlusal contact using a digital occlusion analysis system (Occlusense) and to assess patient satisfaction and Oral Health–Related Quality of Life (OHRQoL). Subjects and methods Ten complete edentulous subjects were eligible. All patients were delivered two mandibular implant-assisted overdentures with two reinforcement materials, CO-CR (group I) and PEEK (group II).The mandibular overdentures were retained to the underlying implant fixtures by ball and socket attachments. Patients were evaluated three months after each overdenture use. For …