2,799 research outputs found

    Characterization of Jak, STAT, and Src interactions in Head and Neck Squamous Cell Carcinoma

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    Recurrence of Head and Neck Squamous Cell Carcinoma (HNSCC) is common; thus, it is essential to improve the effectiveness and reduce toxicity of current treatments. Proteins in the Src/Jak/STAT pathway represent potential therapeutic targets, as this pathway is hyperactive in HNSCC and it has roles in cell migration, metastasis, proliferation, survival, and angiogenesis. During short-term Src inhibition, Janus kinase (Jak) 2, and signal transducer and activator of transcription (STAT) 3 and STAT5 are dephosphorylated and inactivated. Following sustained Src inhibition, STAT5 remains inactive, but Jak2 and STAT3 are reactivated following their early inhibition. To further characterize the mechanism of this novel feedback pathway we performed several experiments to look at the interactions between Src, Jak2, STAT5 and STAT3. We attempted to develop a non-radioactive kinase assay using purified recombinant Jak2 and Src proteins, but found that phospho-tyrosine antibodies were non-specifically binding to purified recombinant proteins. We then performed in vitro kinase assays (IVKAs) using purified recombinant Jak2, Src, STAT3, and STAT5 proteins with and without Src and Jak2 pharmacologic inhibitors. We also examined the interactions of these proteins in intact HNSCC cells. We found that recombinant Jak2, STAT3, and STAT5 are direct substrates of Src and that recombinant Src, STAT3, and STAT5 are direct substrates of Jak2 in the IVKA. To our knowledge, the finding that Src is a Jak substrate is novel and has not been shown before. In intact HNSCC cells we find that STAT3 can be reactivated despite continuous Src inhibition and that STAT5 continues to be inhibited despite Jak2 reactivation. Also, Jak2 inhibition did not affect Src or STAT5 activity but it did cause STAT3 inhibition. We hypothesized that the differences between the intact cells and the IVKA assays were due to a potential need for binding partners in intact HNSCC cells. One potential binding partner that we examined is the epidermal growth factor receptor (EGFR). We found that EGFR activation caused increased activation of Src and STAT5 but not Jak2. Our results demonstrate that although STAT3 and STAT5 are capable of being Src and Jak2 substrates, in intact HNSCC cells Src predominantly regulates STAT5 and Jak2 regulates STAT3. Regulation of STAT5 by Src may involve interactions between Src and EGFR. This knowledge along with future studies will better define the mechanisms of STAT regulation in HNSCC cells and ultimately result in an ideal combination of therapeutic agents for HNSCC

    Adaptive Digital Scan Variable Pixels

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    The square and rectangular shape of the pixels in the digital images for sensing and display purposes introduces several inaccuracies in the representation of digital images. The major disadvantage of square pixel shapes is the inability to accurately capture and display the details in the objects having variable orientations to edges, shapes and regions. This effect can be observed by the inaccurate representation of diagonal edges in low resolution square pixel images. This paper explores a less investigated idea of using variable shaped pixels for improving visual quality of image scans without increasing the square pixel resolution. The proposed adaptive filtering technique reports an improvement in image PSNR.Comment: 4th International Conference on Advances in Computing, Communications and Informatics, August, 201

    Traumatic hyphaema following successive vacuum and forceps-assisted delivery

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    Hyphaema can cause corneal staining and is a potential risk for glaucoma. We report a case of a neonate with isolated traumatic hyphaema following a prolonged delivery with the consecutive use of vacuum and forceps. A review the literature discusses reports of ophthalmic injuries associated with assisted vaginal deliveries.peer-reviewe

    Linkage to care following home-based HIV counseling and testing: a mixed methods study in rural South Africa

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    Thesis (D.P.H.)--Boston UniversityBackground: The mandate for scale up of home-based HIV counseling and testing (HBHCT) is strong. To maximize the benefits of testing, prompt linkage to care and treatment for HIV-positive clients is essential. Timely linkage can lead to decreased morbidity and mortality, as well as increased quality of life and life expectancy. Early treatment initiation can also reduce HIV transmission to uninfected partners. While data exists on the transition to care from mobile and facility-based HIV testing, less is known about the transition from HBHCT. Methods: A mixed methods study was conducted among a sample of 492 HIV-positive HBHCT clients in rural South Africa to: 1) determine the rate of linkage from HBHCT to facility-based services; and 2) identify factors that influence linkage. Clients were followed up to assess linkage to care, defined as providing a blood sample for a facility-based CD4 count. Using data from a cross-sectional survey conducted among a subsample of 196 clients 6-153 days after testing, Cox regression was performed to determine factors associated with linkage. To further explore potential barriers and facilitating factors, in-depth interviews were conducted with 30 clients who were purposively selected based on timely versus delayed care seeking. Results: Among 359 HIV-positive HBHCT clients, 62.1% (95% CI: 55.7% - 68.5%) linked to care within 3 months. For those who did not link promptly, barriers occurred at all levels: individual, relationships, community, and health systems. Delayed care seeking was influenced by poor psychological responses to the diagnosis; challenges surrounding disclosure and limited social support; lack of time, opportunity, and financial resources; and internalized negative experiences with the healthcare system. Often, barriers interacted and were subtly reinforced by stigma. Women and youth may be particularly vulnerable to these barriers. Conclusion: The findings highlight important gaps in our understanding, and provide the basis for policy and programmatic recommendations. Key recommendations include: 1) including HBHCT and monitoring of linkage to care in the role of community health workers; 2) offering tailored counseling and motivational interviewing; 3) conducting short-term intensive community-based support groups; 4) offering mobile point-of-care CD4 counts; and 5) piloting and evaluating community based nurse-initiated treatment

    Detours admitting short paths

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    Finding shortest paths between two vertices in a weighted graph is a well explored problem and several efficient algorithms for solving it have been reported. We propose a new variation of this problem which we call the Detour Admitting Shortest Path Problem (DASPP).We present an efficient algorithm for solving DASPP. This is the first algorithm that constructs a shortest path such that each edge of the shortest path admits a detour with no more than k−hops. This algorithm has important applications in transportation networks. We also present implementation issues for the detour admitting shortest path algorithm
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