218 research outputs found
Augustana Seniors Fall 1883: Johan August Frost
Johan August Frost was a senior at Augustana College, Rock Island, Illinois, in the fall of 1883. His name appears in the course catalog from 1883-1884, along with this birthplace, the year of his birth, and a few other facts. From this start we researched the genealogy and family history of Johan August Frost. This paper contains a short biography of Johan August Frost, a report of his ancestors, a report of his descendants, and some open questions for further research
Effect of statin treatment on preterm labour
Preterm labour (PTL) is defined as labour before 37 completed weeks of gestation.
Despite advances in medical research, PTL remains a major clinical problem. Preterm
birth (PTB) rates range from approximately 5-18% worldwide. Importantly, PTB is
the leading cause of childhood morbidity and mortality. PTL is difficult to predict and
the aetiology is poorly understood but infection and inflammation are believed to be
major factors. It has been suggested that the presence of intrauterine infection or
inflammation may initiate the pathological, preterm activation of the inflammatory
cascade associated with term labour. Therefore, PTL therapeutics should aim to inhibit
these inflammatory pathways. Statins, 5-hydroxy-3-methylglutaryl-coenzyme A
(HMG-CoA) reductase inhibitors, are potent inhibitors of cholesterol biosynthesis,
which act on the mevalonate pathway. In addition to their lipid-lowering effects, statins
also have anti-inflammatory and anti-contraction properties.
The hypothesis of this thesis was that statins will prevent PTB by reducing
inflammation. The aims of this thesis were firstly to investigate the effect of the statins,
simvastatin and pravastatin, on inflammation and contractility in a pregnant human
myometrial cell line. Secondly, to determine whether simvastatin and/or pravastatin
can prevent PTB or improve neonatal outcome in a lipopolysaccharide (LPS)-induced
mouse model of PTB.
Myometrial cells were either co-treated with LPS and simvastatin/pravastatin, pretreated
with simvastatin/pravastatin or treated with simvastatin/pravastatin post-LPS
stimulation. The effect of statin treatment on the mRNA expression and the release of
inflammatory mediators was then investigated. Simvastatin treatment reduced LPS-induced
inflammation by both lowering the expression of pro-inflammatory mediators
and increasing the expression of anti-inflammatory mediators. Pravastatin treatment
did not alter the expression of inflammatory mediators following LPS stimulation.
The effect of simvastatin on the contraction of myometrial cells was investigated by
embedding the cells in rat tail collagen to form gels. As these are smooth muscle cells,
basal contraction was observed causing the gel size to reduce. When LPS was
introduced, this caused the gels to contract further than the vehicle treated gels.
Simvastatin attenuated the contraction of the myometrial cells, both alone and in the
presence of LPS. These effects were reversed by the addition of mevalonate pathway
metabolites, mevalonate and geranylgeranyl pyrophosphate (GG-PP) but not by
farnesyl pyrophosphate (F-PP). Simvastatin also lowered levels of phosphorylated
myosin light chain (pMLC) in the myometrial cells, which is essential for smooth
muscle contraction. Again, this effect was abolished by mevalonate and GG-PP but
not F-PP. It is hypothesised that simvastatin attenuated myometrial cell contraction by
inhibiting Rho isoprenylation by GG-PP, preventing Rho-associated kinase (ROCK)
activation, which then prevented the phosphorylation of MLC.
A mouse model of intrauterine LPS-induced PTB was utilised to investigate the effect
of statin treatment on PTB and fetal survival. Mice received an intraperitoneal
injection of pravastatin (10μg) or simvastatin (20μg or 40μg) on gestational day (D)16.
This was followed by ultrasound-guided intrauterine injection of LPS (1μg) on D17
and another pravastatin/simvastatin treatment two hours later. When mice were treated
with LPS, 77.8% of mice delivered preterm. When mice received LPS and 20μg
simvastatin, 50% delivered preterm. However, when mice were treated with LPS and
40μg simvastatin, 40% delivered preterm, more pups were born alive and uterine pro-inflammatory
mRNA expression was downregulated. Conversely, pravastatin did not
prevent PTB or improve the percentage of live born pups.
In summary, simvastatin treatment exerted anti-inflammatory and anti-contraction
effects on human myometrial cells in vitro. The anti-contractile properties were likely
due to the inhibition of the Rho/ROCK pathway. Furthermore, in our LPS-induced
mouse model of PTB, fewer mice delivered preterm with simvastatin treatment,
simvastatin attenuated LPS-induced pup mortality and reduced uterine inflammatory
gene expression. These results suggest that statin therapy may be a novel treatment for
PTL
Suitport Feasibility - Development and Test of a Suitport and Space Suit for Human Pressurized Space Suit Donning Tests
The suitport concept has been recently implemented as part of the small pressurized lunar rover (Currently the Space Exploration vehicle, or SEV) and the Multi-Mission Space Exploration Vehicle (MMSEV) concept demonstrator vehicle. Suitport replaces or augments the traditional airlock function of a spacecraft by providing a bulkhead opening, capture mechanism, and sealing system to allow ingress and egress of a spacesuit while the spacesuit remains outside of the pressurized volume of the spacecraft. This presents significant new opportunities to EVA exploration in both microgravity and surface environments. The suitport concept will enable three main improvements in EVA by providing reductions in: pre-EVA time from hours to less than thirty minutes; airlock consumables; contamination returned to the cabin with the EVA crewmember. To date, the first generation suitport has been tested with mockup suits on the rover cabins and pressurized on a bench top engineering unit. The work on the rover cabin has helped define the operational concepts and timelines, and has demonstrated the potential of suitport to save significant amounts of crew time before and after EVAs. The work with the engineering unit has successfully demonstrated the pressurizable seal concept including the ability to seal after the introduction and removal of contamination to the sealing surfaces. Using this experience, a second generation suitport was designed. This second generation suitport has been tested with a spacesuit prototype using the pressure differentials of the spacecraft. This test will be performed using the JSC B32 Chamber B, a human rated vacuum chamber. This test will include human rated suitports, the suitport compatible prototype suit, and chamber modifications. This test will bring these three elements together in the first ever pressurized donning of a rear entry suit through a suitport. This paper presents design of a human rated second generation suitport, modifications to the JSC human rated chamber B to accept a suitport, and a compatible space suit to support pressurized human donning of the pressurized suit through a suitport. Design challenges and solutions and compromises required to develop the system are presented. Initial human testing results are presented
Improving the quality of clinical teaching in a restorative clinic using student feedback.
IntroductionA large proportion of the undergraduate curriculum is spent within Restorative Dentistry at the University of Liverpool. As well as supportive "phantom head" courses the undergraduates receive significant amounts of teaching within the clinics themselves. In 2004, to help inform the clinical tutors as to their areas of strengths and weaknesses, undergraduates were invited to complete an anonymous questionnaire on the quality of teaching they received from their clinical supervisors. This process has been repeated subsequently in 2005 and 2006.MethodA 19 parameter questionnaire, employing a 5-point Likert scale and space for open comments, was circulated to every clinical undergraduate student. Questionnaires were returned anonymously and all data collected by one researcher. Descriptive statistical analysis was performed and the staff provided with individual feedback within the context of the overall departmental profile. The pooled data from each of the years was then compared to determine if any changes had occurred. Statistical analysis used Kruskal Wallis tests to determine whether these were statistically significant.ResultsAlthough the range varied, median scores of 4 (agree) were gained for each question each year. Following statistical analysis 18 of the parameters showed a statistically significant improvement (P ConclusionIt would appear that the use of a questionnaire based feedback system can result in a tangible and demonstrable improvement in the delivery of clinical teaching
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A Practical First Step Using Needs Assessment and a Survey Approach to Implementing a Clinical Pharmacogenomics Consult Service.
Introduction:Genetic-guided selection of non-oncologic medications is not commonly practiced in general, and at University of California, San Francisco (UCSF) Health, specifically. Understanding the unique position of clinicians with respect to clinical pharmacogenetics (PG) at a specific institution or practice is fundamental for implementing a successful PG consult service. Objectives:To assess clinicians' current practices, needs, and interests with respect to clinical PG at UCSF Health, a large tertiary academic medical center. Methods:A list of 42 target medications with clinical PG recommendations was complied. Clinical specialties that routinely used the target medications were identified. A 12-question survey focused on practice of PG for target medications was developed. Pharmacists and physicians were surveyed anonymously in several clinical specialties. Survey results were analyzed using descriptive statistics. Results:Of the 396 clinicians surveyed, 76 physicians and 59 pharmacists participated, resulting in 27% and 50% average response rates, respectively. The current use of PG in clinical practice for physicians and pharmacists was 29% and 32%, respectively, however this number varied across clinical specialties from 0% to 80%. Of clinicians whom reported they do not currently apply PG, 63% of physicians and 54% of pharmacists expressed interest in integrating PG. However, the level of interest varied from 20% to 100% across specialties. Of the respondents, 64% of physicians and 56% of pharmacists elected to provide contact information to investigators to further discuss their interest related to clinical PG. Conclusions:While PG is not uniformly practiced at UCSF Health, there is considerable interest in utilizing PG by the respondents. Our approach was successful at identifying clinicians and services interested in PG for specific drug-gene pairs. This work has set a foundation for next steps to advance PG integration at UCSF Health. Clinicians can adopt our approach as preliminary work to build a clinical PG program at their institutions
Economic and Social Rights in Northern Ireland: Models of Enforceability
Economic, social and cultural rights (ESR) are those rights defined as such in the International Covenant on Economic, Social and Cultural Rights (1966), the Council of Europe’s Social Rights Charter, the EU’s Charter of Fundamental Rights, and other equivalent legal provisions. In this report, we outline five models for enforcement of economic and social rights (ESR). We use the term ‘model’ to describe these, not in the sense that they are ‘models of best practice’, but simply to indicate that there are various methods already developed which differ from each other in significant ways. There is already extensive, if patchy, implementation of various economic and social rights in Northern Ireland law, even if these protections are not labelled as such. In this context, we need to take into account both common law and statutory provisions regarding rights in the housing, social security, education, employment, human rights, and equality contexts. All of these go some way towards meeting some aspects of internationally-protected ESR, but taken together they still fall short of protecting all internationally-protected ESR to the degree required to satisfy international obligations, as any of the recent reports on the state of ESR in Northern Ireland by the Committee on Economic, Social, and Cultural Rights makes clear. The existing protections do mean, however, that any new initiative is not starting from scratch, which has implications for how best to proceed. The models we discuss below should be regarded as additional to the construction of complementary mechanisms, in civil society particularly, to better enable existing rights that directly or indirectly protect ESR rights, to be implemented more effectively. In particular, it will be important to consider ways in which existing rights could be better mobilised to serve the goal of securing the effective protection of ESR
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