Medicine and Health Sciences Commons^™

Exploring The Experience Of Healthcare-Related Epistemic Injustice Among People With Myalgic Encephalomyelitis / Chronic Fatigue Syndrome, Joanne Hunt, Jessica Runacres, Daniel Herron, David Sheffield

The Qualitative Report

Myalgic encephalomyelitis / chronic fatigue syndrome (ME/CFS) is a chronic, disabling yet clinically “contested” condition, previously theorised through a lens of epistemic injustice. Phenomena conceptually close to epistemic injustice, including stigma, are known to have deleterious consequences on a person’s health and life-world. Yet, no known primary studies have explored how people with ME/CFS experience healthcare through a lens of epistemic injustice, whilst a dearth of research explicitly exploring healthcare-related injustice from a patient perspective has been noted. This qualitative study seeks to address this gap. Semi-structured interviews and interpretative phenomenological analysis (IPA) were used to explore the experiences of …

Estimated Health Benefits, Costs And Cost-Effectiveness Of Eliminating Industrial Trans-Fatty Acids In Nigeria: Cost-Effectiveness Analysis, Matti Marklund, Leopold N Aminde, Mary Njeri Wanjau, Boni M Ale, Adedayo E Ojo, Clementina E Okoro, Abimbola Adegboye, Liping Huang, J Lennert Veerman, Jason Hy Wu, Mark D Huffman, Dike B Ojji

2020-Current year OA Pubs

INTRODUCTION: Nigeria is committed to reducing industrial

METHODS: The effect on ischaemic heart disease (IHD) burden, costs and cost-effectiveness of a mandatory iTFA limit (≤2% of all fats) for foods in Nigeria were estimated using Markov cohort models. Data on demographics, IHD epidemiology and

RESULTS: Over the first 10 years, a mandatory iTFA limit (assumed to eliminate iTFA intake) was estimated to prevent 9996 (95% uncertainty interval: 8870 to 11 118) IHD deaths and 66 569 (58 862 to 74 083) IHD events, and to save US$90 million (78 to 102) in healthcare costs. The corresponding lifetime estimates were 259 …

Encoding Of Visual Objects In The Human Medial Temporal Lobe, Yue Wang, Runnan Cao, Shuo Wang

2020-Current year OA Pubs

The human medial temporal lobe (MTL) plays a crucial role in recognizing visual objects, a key cognitive function that relies on the formation of semantic representations. Nonetheless, it remains unknown how visual information of general objects is translated into semantic representations in the MTL. Furthermore, the debate about whether the human MTL is involved in perception has endured for a long time. To address these questions, we investigated three distinct models of neural object coding-semantic coding, axis-based feature coding, and region-based feature coding-in each subregion of the human MTL, using high-resolution fMRI in two male and six female participants. Our …

Characterization Of Early Markers Of Disease In The Mouse Model Of Mucopolysaccharidosis Iiib, Katherine B Mccullough, Amanda Titus, Kate Reardon, Sara Conyers, Joseph D Dougherty, Xia Ge, Joel R Garbow, Patricia Dickson, Carla M Yuede, Susan E Maloney

2020-Current year OA Pubs

BACKGROUND: Mucopolysaccharidosis (MPS) IIIB, also known as Sanfilippo Syndrome B, is a devastating childhood disease. Unfortunately, there are currently no available treatments for MPS IIIB patients. Yet, animal models of lysosomal storage diseases have been valuable tools in identifying promising avenues of treatment. Enzyme replacement therapy, gene therapy, and bone marrow transplant have all shown efficacy in the MPS IIIB model systems. A ubiquitous finding across rodent models of lysosomal storage diseases is that the best treatment outcomes resulted from intervention prior to symptom onset. Therefore, the aim of the current study was to identify early markers of disease in …

The Brain Gene Registry: A Data Snapshot, Dustin Baldridge, Levi Kaster, Catherine Sancimino, Siddharth Srivastava, Sophie Molholm, Aditi Gupta, Inez Oh, Virginia Lanzotti, Daleep Grewal, Erin Rooney Riggs, Juliann M Savatt, Rachel Hauck, Abigail Sveden, Brain Gene Registry Consortium, John N Constantino, Joseph Piven, Christina A Gurnett, Maya Chopra, Heather Hazlett, Philip R O Payne

2020-Current year OA Pubs

Monogenic disorders account for a large proportion of population-attributable risk for neurodevelopmental disabilities. However, the data necessary to infer a causal relationship between a given genetic variant and a particular neurodevelopmental disorder is often lacking. Recognizing this scientific roadblock, 13 Intellectual and Developmental Disabilities Research Centers (IDDRCs) formed a consortium to create the Brain Gene Registry (BGR), a repository pairing clinical genetic data with phenotypic data from participants with variants in putative brain genes. Phenotypic profiles are assembled from the electronic health record (EHR) and a battery of remotely administered standardized assessments collectively referred to as the Rapid Neurobehavioral Assessment …

Cellular Geometry And Epithelial-Mesenchymal Plasticity Intersect With Piezo1 In Breast Cancer Cells, Choon Leng So, Mélanie Robitaille, Francisco Sadras, Michael H Mccullough, Michael J G Milevskiy, Geoffrey J Goodhill, Sarah J Roberts-Thomson, Gregory R Monteith

2020-Current year OA Pubs

Differences in shape can be a distinguishing feature between different cell types, but the shape of a cell can also be dynamic. Changes in cell shape are critical when cancer cells escape from the primary tumor and undergo major morphological changes that allow them to squeeze between endothelial cells, enter the vasculature, and metastasize to other areas of the body. A shift from rounded to spindly cellular geometry is a consequence of epithelial-mesenchymal plasticity, which is also associated with changes in gene expression, increased invasiveness, and therapeutic resistance. However, the consequences and functional impacts of cell shape changes and the …

Endocannabinoids And Their Role In Renal Health Of African Americans, William L. Doss Iii, Md, Mba, Abpmr

JCHP Collaborative Capstone and Research Exchange

Abstract

The current biomarkers used for detecting renal disease Creatinine has long been seen to be inadequate in identifying the extent of renal disease in African and African American populations. CB1 and CB2 receptors are ubiquitous in the human body and their expression is increased with inflammation in the body. In response to the increased expression, the hypothalamus produces endocannabinoids in response. As a result, endocannabinoids can be a biomarker in detecting renal disease where inflammation is a significant factor in renal injury.

Biological Activity Of Essential Oils – Focus On Antibiotic Resistance, Gyorgyi Horvath

Oxford ICSB

No abstract provided.

Evaluating Bone Fracture Healing Utilizing Doppler Imaging Modes, Shear Wave Elastography, X-Ray And Dual-Energy X-Ray Absorptiometry In A Rabbit Model, Priscilla Machado, Rachel Blackman, Ji-Bin Liu, Flemming Forsberg, Traci Fox

JCHP Collaborative Capstone and Research Exchange

Abstract

The healing of a bone fracture is a complex, multistage process consisting of inflammation in the local tissue, angiogenesis, callus formation, and eventually, remodeling and restoration of the bone to its original morphology. It is estimated that 5-10% of fractures do not heal properly and exhibit non-union of the fractured bone segments, with long-term complications compared to properly healed fractures. There is great clinical benefit in the ability to have early detection of impending non-union fractures, and diagnostic ultrasound can be used to image formation of the callus in a healing fracture through the use of different imaging modes. …

Localization Of The Multidrug Efflux Pump, Cdr1, In The Fluconazole-Resistant Ent2 Mutant Candida Albicans Strain, Ty Moyer, Sean Chadwick, Scott Gygax, Paula Mccourt

JCHP Collaborative Capstone and Research Exchange

Abstract

Deletion of the ENT2 gene in Candida albicans causes the mutant strain to exhibit fluconazole resistance despite having susceptibility prior to this mutation. It was hypothesized that the gain of resistance was sourced by the disruption in endocytic functions, specifically the inability to properly recycle the drug efflux pump, Cdr1. To fully analyze this mutation's effects on the endocytic functions of C. albicans, the Cdr1 protein was tagged in a wild type strain with green fluorescent protein (GFP) and its localization was examined via fluorescence microscopy. To examine Cdr1 protein localization in the ent2 mutant strain, tagging of …

Design And Validation Of A Multiplex Qpcr Assay For The Diagnosis Of Bacterial Vaginosis, Morgan G. Shriver, Richard Sunday, Zi-Xuan Wang, Scott Gygax

JCHP Collaborative Capstone and Research Exchange

Abstract

Current diagnostic criteria and treatment options for bacterial vaginosis (BV) commonly result in the misdiagnosis and/or mistreatment of the active infection, as well as subsequent reinfection with BV. This project aims to design and validate a multiplex qPCR assay as a means to accurately detect and quantify populations of dysbiotic Gardnerella vaginalis, Atopobium vaginae, Megasphaera Type 1 & Type 2, Bacterial vaginosis-associated bacterium 2 (BVAB2), as well as the commensal Lactobacillus crispatus, Lactobacillus jensenii, and Lactobacillus gasseri in vaginal specimen for the accurate diagnosis of BV. As these bacterial species are generally unable to be …

Engineered Car19 T-Cells To Demonstrate In Vitro Antileukemia Activity, Khushi Shah, Gian Zhang, Michael Milone

JCHP Collaborative Capstone and Research Exchange

Abstract

The Chimeric Antigen Receptor T-cells, also known as CAR T-cells, are a revolutionary approach to cancer treatment. They are engineered Tlymphocytes and recombinant receptors for specific antigens. They are mainly responsible for redirecting specificity, activation, and function of T lymphocytes and other immune cells in a single molecule. It attaches to the cancer cells, thereby leading to the destruction of the tumor. The CAR Tcells are made up of different domains, which include Antigen Binding Domain (CD19), Hinge, and Transmembrane Region, followed by Co- Stimulatory Domain (CD28) and T-cell Activation Domain (CD3). The Antigen Binding Domain recognizes the specific …

Capa: Quality Control Testing Of Laboratory Plates, Div Galdi, Bryn Mallon

JCHP Collaborative Capstone and Research Exchange

Abstract

The purpose of a Corrective and Preventive Action (CAPA) investigation is to identify and address errors, deviations, and compliance issues to ensure the integrity, reliability, and quality of research and biomanufacturing. In the biotech industry, where identifying and rectifying root causes of errors is key to ensuring quality data and preventing future errors, CAPA plays a crucial role. The Jefferson Biotechnology (JBT) lab was asked to investigate the sterility of a biotech supplier’s microbiological agar plates, when a client reported contamination in their agar plates, suspecting contamination prior to sleeve opening. By attempting to reproduce our client's results through …

Empowering Students With 5s Organizational Skills For Research Laboratory Optimization, Paula Mccourt, Phd

JCHP Collaborative Capstone and Research Exchange

Abstract

5S (Sort, Set-in-order, Shine, Standardize and Sustain) is a cost-effective organizational methodology frequently employed by biotech research labs and biomanufacturing to streamline optimization of production. Educational research labs offer experiential learning opportunities and serve as ideal environments for implementing 5S principles within undergraduate and graduate biotechnology curricula. In the Jefferson Biotechnology Program, the newly updated “Lab Design and Stewardship (BT303/503)” lecture and laboratory course, now integrates the 5S methodology into biotech student skill development. Participants in the BT303/503 course are instructed to improve workspaces within the biotechnology laboratory to bolster safety, efficiency, and inventory and equipment management. Through a …

Retention Of Respiratory Therapists: A Systems Thinking Approach, Jerin G. Juby, Dmgt, Rrt

JCHP Collaborative Capstone and Research Exchange

Abstract

Respiratory therapists are an integral part of the healthcare workforce in the United States. The healthcare workforce shortage accelerated by the COVID global pandemic has impacted respiratory therapy departments across the nation, with organizations struggling to hire and retain staff. The prevailing approaches in combating this are linear in nature and do not consider the complexity of the system. This mode of thinking does not adequately consider the characteristics and influences of the containing system, the many elements within the problematic organizational system, or their interdependencies and interactions. This study frames retention as a complex system problem wherein organizations …

Natural Products Ireland: From Bioactives To The Bioeconomy - A Systems-Based Approach, Gaia Scalabrino

Oxford ICSB

Natural Products (NP) are on the rise across the world, driven by economic, environmental, health and societal needs. An increasing focus has been placed on the role of boglands within climate change as peatlands store 1/3 of the world’s soil carbon and provide water storage. With our project ‘Unlocking Nature’s Pharmacy’ we aim to increase public awareness and drive Ireland towards a bioeconomy where Natural Product Science (NPS) plays a key role. At the NatPro Centre, the Trinity Centre for Natural Products Research, we use systems-based approaches (SBA), for example looking at the bogs of Ireland, to identify innovative bio-based …

Cold-Water Extract Of Nerium Oleander Leaves Inhibits Cancer: From Bench To Bedside, Thomas Efferth, Luay J. Rashan, Nadire Özenver, Joelle C. Boulos, Mona Dawood, Wynand P. Roos, Katrin Katrin, Ioannis Ioannis, Ludger A. Wessjohann, Heinz-Herbert Fiebig

Oxford ICSB

Nerium oleander is a well-known medicinal plant used in the Mediterranean region and traditional Indian medicine (Ayurveda) against a variety of diseases, including cancer. We investigated a cold-water extract of N. oleander leaves for their anticancer activities in vitro and in vivo. The cytotoxicity testing in the Oncotest panel of tumor cell lines and concomitant COMPARE analysis showed a high degree of similarity to mitosis-inhibiting compounds. We verified this hypothesis by treating tumor cells transfected with a tubulin-GFP fusion cDNA construct and confocal microscopy as well as a biochemical tubulin polymerization assay. N. oleander showed a similar inhibition of tubulin …

African Plants In Jamaican Farms And Gardens, Thera Edwards

Oxford ICSB

Plants of all growth forms and regeneration strategies were introduced to Jamaica by European slavers and by Enslaved Africans. Some species such as Tamarind used to purify drinking water on ships arrived through purposes of practicality while others that such as yam and plantain were transported as food supplies on the ships or by the Enslaved Africans as tubers for planting in their countries of destination. Tuber crops proved to be invaluable in hurricane prone islands such as Jamaica as the underground tuber was left undamaged by the high winds of the storms. Other crops such as Plantain while not …

Prevalence And Risk Factors Of Hikikomori In Young Adults In The Middle East, Harshil Paresh Shah

Thesis/ Dissertation Defenses

Hikikomori, a form of severe social withdrawal that can occur without the presence of any other psychological disorder, was once thought to be a Japanese culture-bound phenomena. However, studies have emerged from several parts of the world showing that this may be a global issue. Extant literature suggests associations between hikikomori and behavioral addictions such as gaming addiction and problematic social media use (PSMU). Since there is a relative paucity of research examining this phenomenon in the Middle Eastern context, this study aimed to determine the prevalence and risk factors of hikikomori in young adults of the Middle East. It …

Fda Investigational New Drug (Ind) Applications, Cassandra Taylor

Oxford ICSB

Current Federal law requires that a drug be the subject of an approved marketing application before it is transported or distributed across state lines. Because a sponsor will probably want to ship the investigational drug to clinical investigators in many states, it must seek an exemption from that legal requirement. The IND is the means through which the sponsor technically obtains this exemption from the FDA. During a new drug's early preclinical development, the sponsor's primary goal is to determine if the product is reasonably safe for initial use in humans, and if the compound exhibits pharmacological activity that justifies …

Volume 10 Full Text, Bjur Staff

Butler Journal of Undergraduate Research

No abstract provided.

Stream Gauging: Investigating The Flow Rate And Residence Time In Laguna Bacalar, Mexico, Elizabeth J. Kowalczyk

Butler Journal of Undergraduate Research

Stream gauging is a standard tool used to measure the flow rate of various bodies of water. Knowing the flow rate of a body of water allows for the residence time of a body of water to be calculated. Currently, there is very little information regarding the flow rate and residence times of Laguna Bacalar. This system has been observed hydrologically consistently only in the past 6 years. In this study, 13 stream-gauging locations of interest were identified and gauged for their respective flow rates using the midsection method. Once the flow rates were acquired, maps depicting the Laguna Bacalar …

Table Of Contents And Front Matter, Bjur Staff

Butler Journal of Undergraduate Research

No abstract provided.

Introduction To The Premarket Review Of Human Food Ingredients In The United States And Concepts In The Safety Assessment Of Novel Plant-Derived Ingredients, Troy Hubbard

Oxford ICSB

Premarket regulation of ingredients added to food is a key pillar ensuring the safety of food as it allows the opportunity to address potential safety concerns prior to consumer exposure. In the United States, food and color additives are substances that are intentionally added to food and are subject to pre-market approval by the Food and Drug Administration (FDA) and require a listing in the Code of Federal Regulations, unless the intended use of the substance is generally recognized as safe (GRAS), among qualified experts. GRAS is not an inherent property of a substance, as is often misunderstood; rather, it …

Inter-Institutional Analysis Of Skin Of Color Representation In Dermatological Lecture Content At Md And Do Medical Schools, Oluwafunke Oluwatosin Ogunremi, Blake Fredericksen, John Komas, Sana Ismail, Siri Knutsen-Larson Md, Valeriy Kozmenko Md, Afia Albin Do

Aesculapius Journal (Health Sciences & Medicine)

The purpose of this study was to analyze the lecture materials provided in medical schools through a diversity lens. Skin pathologies manifest distinctively on various shades of skin and physicians must be equipped with the proper knowledge to identify and diagnose these conditions accurately and promptly. For most medical students, images in prominent textbooks and lecture slides are their first encounter with disease presentations. Therefore, it is important to analyze the diversity of skin tones in the content that is being delivered. Specifically, the use of images featuring darker skin tones compared to those depicting lighter skin tones. This study …

Evaluating Bone Fracture Healing Utilizing Novel Ultrasound Modes, X-Ray And Dual-Energy X-Ray Absorptiometry In A Rabbit Model, Priscilla Machado, Rachel Blackman, Ji-Bin Liu, Flemming Forsberg, Traci Fox

Department of Radiology Posters

Background and Purpose

Healing in bone fractures is a complex process involving local inflammation, angiogenesis (i.e., the creation of new blood vessels), and formation of a bone-building callus, all of which leads to returning the bone nearly to its pre-fracture state. This is the process in a bone where the fracture is clean and the fractured ends oppose each other. Five to 10 percent of fractures are described as non-union, which can lead to poor healing and long-term complications. The purpose of this study was to compare fracture healing in a rabbit model using x-ray, the traditional method for evaluating …

2024 April 16 - Medical Student Education Committee Minutes, Medical Student Education Committee, East Tennessee State University

Medical Student Education Committee Minutes

No abstract provided.

Gender, Sexuality,Social Norms On Occupation, Alison Mula, Karen Mccarthy, Jaime Leite Jr.

Occupational Therapy | Faculty Conference Presentations

No abstract provided.

To Decipher Genomic Evolution Of Dengue Virus And To Probe The Activation Mechanism Of A Her2 Directed Chimeric Antigen Receptor Toward Computer Aided Drug Design (Cadd), Mariya Hryb

Theses and Dissertations

This study encompasses three significant chapters focusing on diverse yet interconnected aspects of pharmaceutical research. Chapter 1 delves into the complexities of drug development, emphasizing the challenges and the pressing need for advanced technologies to streamline the process. Computational methods like Computer-Aided Drug Design (CADD) extend their scope beyond small molecules, aiding in the design of intricate biomolecules vital for biomedical advancements, especially in immunotherapy. Chapter 2 introduces the Near-Neutral Balanced Selectionist Theory (NNBST) validated through analysis of Dengue virus evolution. The unique features observed align with NNBST, surpassing existing theories. This approach offers a deeper understanding of viral evolution …

Auditory Feedback Decreases Timing Variability For Discontinuous And Continuous Motor Tasks In Autistic Adults, Nicole M. Richard Williams, Luc Tremblay, Corene Hurt-Thaut, Jessica Brian, Julia Kowaleski, Kathrin Mertel, Sebastian Schlüter, Michael Thaut

Faculty Scholarship

Introduction: Autistic individuals demonstrate greater variability and timing error in their motor performance than neurotypical individuals, likely due at least in part to atypical cerebellar characteristics and connectivity. These motor difficulties may differentially affect discrete as opposed to continuous movements in autistic individuals. Augmented auditory feedback has the potential to aid motor timing and variability due to intact auditory-motor pathways in autism and high sensitivity in autistic individuals to auditory stimuli. Methods: This experiment investigated whether there were differences in timing accuracy and variability in autistic adults as a function of task (discontinuous vs. continuous movements) and condition (augmented auditory …