Novel needle cutting edge geometry for end‐cut biopsy

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/135111/1/mp5253.pd

Effects of insertion speed and trocar stiffness on the accuracy of needle position for brachytherapy

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/135125/1/mp9812.pd

Initial carbon, nitrogen, and phosphorus fluxes following ponderosa pine restoration treatments

Southwestern ponderosa pine forests were dramatically altered by fire regime disruption that accompanied Euro-American settlement in the 1800s. Major changes include increased tree density, diminished herbaceous cover, and a shift from a frequent lowintensity fire regime to a stand-replacing fire regime. Ecological restoration via thinning and prescribed burning is being widely applied to return forests to the pre-settlement condition, but the effects of restoration on ecosystem function are unknown. We measured carbon (C), nitrogen (N), and phosphorus (P) fluxes during the first two years after the implementation of a replicated field experiment comparing thinning and composite (thinning, forest floor fuel reduction, and prescribed burning) restoration treatments to untreated controls in a ponderosa pine forest in northern Arizona, USA. Total net primary productivity (260 g Cm22yr21) was similar among treatments because a 3050(percent) decrease in pine foliage and fine-root production in restored ecosystems was balanced by greater wood, coarse root, and herbaceous production. Herbaceous plants accounted for ,20(percent) of total plant C, N, and P uptake in the controls but from 25(percent) to 70(percent) in restored plots. Total plant N uptake was ;3 g Nm22yr21 in all treatments, but net N mineralization was just one-half and twothirds of this value in the control and composite restoration, respectively. Element flux rates in controls generally declined more in a drought year than rates in restoration treatments. In this ponderosa pine forest, ecological restoration that emulated pre-settlement stand structure and fire characteristics had a small effect on plant C, N, and P fluxes at the whole ecosystem level because lower pine foliage and fine-root fluxes in treated plots (compared to controls) were approximately balanced by higher fluxes in wood and herbaceous plants

Dynamic Weighted Bar for Upper Limb Rehabilitation

This paper explores the design of a dynamically weighted therapy bar, which can provide real-time quantitative performance information and adjustments during rehabilitation exercise. In contrast, typical therapy equipment is passive, offering no feedback to the patient or clinician. The dynamic weighted bar (DWB) was designed and fabricated containing an inertial sensor which tracks the orientation of the bar and adjusts the position of an internal weight accordingly, in turn providing a targeted force imbalance between the patient's two arms. Step input experiments were performed on the device while it was held in various stationary positions. The DWB was able to successfully function and transmit motion information. It was able to produce a center of mass shift of 101.6 mm, and a complete travel time between 0.96 s and 1.41 s over the entire length. The use of the DWB device can offer many benefits during rehabilitation including access to more quantitative information for clinicians as well as the potential for more personalized therapy programs

Precision grid and hand motion for accurate needle insertion in brachytherapy

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/98741/1/MPH004749.pd

Lymphocyte Modulation with FTY720 Improves Hemorrhagic Shock Survival in Swine

The inflammatory response to severe traumatic injury results in significant morbidity and mortality. Lymphocytes have recently been identified as critical mediators of the early innate immune response to ischemia-reperfusion injury. Experimental manipulation of lymphocytes following hemorrhagic shock may prevent secondary immunologic injury in surgical and trauma patients. The objective of this study is to evaluate the lymphocyte sequestration agent FTY720 as an immunomodulator following experimental hemorrhagic shock in a swine liver injury model. Yorkshire swine were anesthetized and underwent a grade III liver injury with uncontrolled hemorrhage to induce hemorrhagic shock. Experimental groups were treated with a lymphocyte sequestration agent, FTY720, (n = 9) and compared to a vehicle control group (n = 9). Animals were observed over a 3 day survival period after hemorrhage. Circulating total leukocyte and neutrophil counts were measured. Central lymphocytes were evaluated with mesenteric lymph node and spleen immunohistochemistry (IHC) staining for CD3. Lung tissue infiltrating neutrophils were analyzed with myeloperoxidase (MPO) IHC staining. Relevant immune-related gene expression from liver tissue was quantified using RT-PCR. The overall survival was 22.2% in the vehicle control and 66.7% in the FTY720 groups (p = 0.081), and reperfusion survival (period after hemorrhage) was 25% in the vehicle control and 75% in the FTY720 groups (p = 0.047). CD3+ lymphocytes were significantly increased in mesenteric lymph nodes and spleen in the FTY720 group compared to vehicle control, indicating central lymphocyte sequestration. Lymphocyte disruption significantly decreased circulating and lung tissue infiltrating neutrophils, and decreased expression of liver immune-related gene expression in the FTY720 treated group. There were no observed infectious or wound healing complications. Lymphocyte sequestration with FTY720 improves survival in experimental hemorrhagic shock using a porcine liver injury model. These results support a novel and clinically relevant lymphocyte immunomodulation strategy to ameliorate secondary immune injury in hemorrhagic shock

Examination of polymorphic glutathione S-transferase (GST) genes, tobacco smoking and prostate cancer risk among Men of African Descent: A case-control study

<p>Abstract</p> <p>Background</p> <p>Polymorphisms in <it>glutathione S-transferase </it>(GST) genes may influence response to oxidative stress and modify prostate cancer (PCA) susceptibility. These enzymes generally detoxify endogenous and exogenous agents, but also participate in the activation and inactivation of oxidative metabolites that may contribute to PCA development. Genetic variations within selected <it>GST </it>genes may influence PCA risk following exposure to carcinogen compounds found in cigarette smoke and decreased the ability to detoxify them. Thus, we evaluated the effects of polymorphic <it>GSTs </it>(<it>M1</it>, <it>T1</it>, and <it>P1</it>) alone and combined with cigarette smoking on PCA susceptibility.</p> <p>Methods</p> <p>In order to evaluate the effects of <it>GST </it>polymorphisms in relation to PCA risk, we used TaqMan allelic discrimination assays along with a multi-faceted statistical strategy involving conventional and advanced statistical methodologies (e.g., Multifactor Dimensionality Reduction and Interaction Graphs). Genetic profiles collected from 873 men of African-descent (208 cases and 665 controls) were utilized to systematically evaluate the single and joint modifying effects of <it>GSTM1 </it>and <it>GSTT1 </it>gene deletions, <it>GSTP1 </it>105 Val and cigarette smoking on PCA risk.</p> <p>Results</p> <p>We observed a moderately significant association between risk among men possessing at least one variant <it>GSTP1 </it>105 Val allele (OR = 1.56; 95%CI = 0.95-2.58; p = 0.049), which was confirmed by MDR permutation testing (p = 0.001). We did not observe any significant single gene effects among <it>GSTM1 </it>(OR = 1.08; 95%CI = 0.65-1.82; p = 0.718) and <it>GSTT1 </it>(OR = 1.15; 95%CI = 0.66-2.02; p = 0.622) on PCA risk among all subjects. Although the <it>GSTM1</it>-<it>GSTP1 </it>pairwise combination was selected as the best two factor LR and MDR models (p = 0.01), assessment of the hierarchical entropy graph suggested that the observed synergistic effect was primarily driven by the <it>GSTP1 </it>Val marker. Notably, the <it>GSTM1</it>-<it>GSTP1 </it>axis did not provide additional information gain when compared to either loci alone based on a hierarchical entropy algorithm and graph. Smoking status did not significantly modify the relationship between the <it>GST </it>SNPs and PCA.</p> <p>Conclusion</p> <p>A moderately significant association was observed between PCA risk and men possessing at least one variant <it>GSTP1 </it>105 Val allele (p = 0.049) among men of African descent. We also observed a 2.1-fold increase in PCA risk associated with men possessing the <it>GSTP1 </it>(Val/Val) and <it>GSTM1 </it>(*1/*1 + *1/*0) alleles. MDR analysis validated these findings; detecting <it>GSTP1 </it>105 Val (p = 0.001) as the best single factor for predicting PCA risk. Our findings emphasize the importance of utilizing a combination of traditional and advanced statistical tools to identify and validate single gene and multi-locus interactions in relation to cancer susceptibility.</p