Characterization of Cardiovascular Risk Factors People Living with HIV in a Veteran Population

Background: CVD is the leading cause of death in PLWH. HIV positive individuals have a 1.5-2-fold greater risk of CVD compared to uninfected individuals, even if complete viral load suppression is achieved. HIV-associated CVD has tripled over the past 20 years, yet scant data is available describing this population. We have characterized CVD risk factors and treatment in PLWH in order to assess and improve cardioprotective treatment. Methods: A retrospective EMR review was conducted for HIV positive patients enrolled at the McGuire VAMC between 12/2018 and 12/2019. Patients were excluded if labs were older than one year from follow-up. Patient demographics was collected along with characterization and treatment of their HIV, hypertension, diabetes, and dyslipidemia. Patient CVD status and risk factors were analyzed, and cardioprotective agent appropriateness was assessed. Results: 242 patients were included in this study. Overall, 91% had HIV viral load ≤ 200. 25% of patients had diabetes, of which 51% were controlled. 86% of patients achieved a blood pressure goal of ≤ 140/90. 40% of patients achieved LDL ≤ 70, with 56% of patients on a statin. 14% of patients had past history significant for cardiovascular event. Conclusion: Characterization of CVD in PLWH should be a high priority and treatment should be closely monitored due to the rising disease state burden. Lack of large clinical trials outlining treatment strategies in this aging population has hindered appropriate patient care. Intensified and targeted cardioprotective strategies are needed due to a high proportion of patients with uncontrolled CVD risk factors.https://scholarscompass.vcu.edu/gradposters/1064/thumbnail.jp

Niche by Basma Kavanagh

Review of Basma Kavanagh\u27s Niche

Toxic Effects of Copper, Cadmium, and Methoxychlor Shown by Neutral Red Retention Assay in Two Species of Freshwater Molluscs

We used neutral red retention assay in lysosomes of digestive gland cells as an indicator for stress effects by the environmental contaminants Cu, Cd, and the pesticide methoxychlor in two freshwater molluscs, the unionid mussel, Elliptio complanata (Lightfoot) and the ramshorn snail Helisoma trivolvis (Say). Mussels and snails were exposed for 7 and 14 days to Cu and Cd each at nominal concentrations of 2.5 μg/L, 5.0 μg/L, and 10.0 μg/L, and to methoxychlor concentrations of 1.0 μg/L, 10.0μg/L, and 100.0 μg/L. Both mussels and snails exposed to Cu showed a significant increase in the percent of destabilized lysosomes compared with lab control and freshly-collected (field control) mussels at both 7 and 14 days exposure for all concentrations. Cd-exposed mussels did not show a significant difference with either of the controls at 7 days, but at 14 days exposure, Cd significantly increased the percent of destabilized lysosomes at all concentrations compared to field control mussels. Compared to laboratory controls, Cd increased lysosomal destabilization at 5.0 μg/L and 10.0 μg/L. Snails exposed to Cd for 7 days had a significantly higher percentage of lysosomal destabilization than both lab and field controls but at 14 days, significant differences were only seen at the two highest Cd concentrations. Methoxychlor-exposed mussels showed no significant lysosomal destabilization at 7 days compared to controls. But at 14 days exposure, the pesticide increased the percentage of lysosomal destabilization at 10.0μg/L compared to lab controls, and increased at both 10.0μg/L and 100.0μg/L compared to field control mussels. Methoxychlor-exposed snails had a higher percentage of lysosomal destabilization at 7 and 14 days at all concentrations compared to both controls with the exception of the 1.0 μg/L -7 day exposure group. Snails were more sensitive to Cd and to methoxychlor than were mussels possibly because they lack an operculum and are thus completely exposed to the environment. The lowest observed effect concentration (LOEC) for Cd was 2.5 μg/L (14 days) for Elliptio and 2.5 μg/L (7 and 14 days) for Helisoma. For methoxychlor, the LOEC was 10.0 μg/L (14 days) for Elliptio and 10.0 and 1.0 μg/L (7 and 14 days, respectively) for Helisoma. The LOEC for Cu was 2.5 μg/L (7 and 14 day exposure) for both Elliptio and Helisoma. These results show that lysosomal destabilization as indicated by neutral red retention is a reliable indicator of stress from heavy metals and a pesticide in freshwater molluscs, including a taxon that is endangered or threatened in North America

Daubert\u27s Significance

The authors review and note the limited reach of Daubert v. Merrell Dow Pharmaceuticals. They also address its implications for concerned non-lawyers

Pharmaceutical Risk and the Quality of Life

Quality-of-life research is briefly described and said to be in its infancy. However, the authors observe that such studies may, e.g., make it possible to better match patients and therapies. They also predict that, as scientific difficulties are overcome, the pharmaceutical industry will become more active in planning, implementing and evaluating such research

Aisha Bano - The Role of KCNQ (Kv7) Potassium Channels in Schizophrenia Deficits

For years, studies have been conducted to treat the positive and negative symptoms and cognitive deficits of schizophrenia; it has allowed to treat the positive symptoms through regulation of dopaminergic neurons and dopamine pathways; however, we still do not know how to treat the negative symptoms and cognitive deficits. The reason we cannot treat them is due to a lack of adequate understanding of the underlying pathology which manifests itself in the behavior. Over the years, there have been multiple proposed hypotheses regarding the underlying pathology, and accordingly, medication were developed to regulate the variety of pathways in the brain but each of them has failed. Under the mentorship of Dr. Behnam Ghasemzadeh, experiments are being conducted to regulate the activity of KCNQ potassium ion channel to ameliorate the negative symptoms and cognitive deficits of schizophrenia. The experiments are being conducted using animal-models of schizophrenia like-effect. The results suggest that decrease in the activity of the KCNQ potassium channels, leading to an increase in the neuronal activity, may be able to treat the symptoms of schizophrenia.https://epublications.marquette.edu/mcnair_2013/1007/thumbnail.jp

2017 update - Air Quality Laboratory & Olfactometry Laboratory Equipment - Koziel\u27s Lab

EQUIPMENT Major equipment in Dr. Koziel’s laboratory ([email protected]) see reference list below for complete descriptions of equipment used in previous research. For odorous VOC gas quantification: VOCs: Agilent 6890 GC-MS-FID-PID (5975C) VOCs: multidimensional GC-MS-Olfactometry (based on Agilent GC-MS platform) equipped with thermal desorption for sorbent tubes. NH3 and H2S (Drager electrochemical portable meter). INNOVA (NH3, CO2) Greenhouse gas GC-FID-ECD (for CO2, CH4, and N2O

Pharmacological Blockade of the Calcium Plateau Provides Neuroprotection Following Organophosphate Paraoxon Induced Status Epilepticus in Rats

Organophosphate (OP) compounds which include nerve agents and pesticides are considered chemical threat agents. Currently approved antidotes are crucial in limiting OP mediated acute mortality. However, survivors of lethal OP exposure exhibit delayed neuronal injury and chronic behavioral morbidities. In this study, we investigated neuroprotective capabilities of dantrolene and carisbamate in a rat survival model of paraoxon (POX) induced status epilepticus (SE). Significant elevations in hippocampal calcium levels were observed 48-h post POX SE survival, and treatment with dantrolene (10 mg/kg, i.m.) and carisbamate (90 mg/kg, i.m.) lowered these protracted calcium elevations. POX SE induced delayed neuronal injury as characterized by Fluoro Jade C labeling was observed in critical brain areas including the dentate gyrus, parietal cortex, amygdala, and thalamus. Dantrolene and carisbamate treatment provided significant neuroprotection against delayed neuronal damage in these brain regions when administered one-hour after POX-SE. These results indicate that dantrolene or carisbamate could be effective adjuvant therapies to the existing countermeasures to reduce neuronal injury and behavioral morbidities post OP SE survival