Nurturing whole person care with nature

As part of our goal to provide Whole Person Care to our residents and families, Stedman Community Hospice is committed to integrating alternative therapies to compliment the more traditional systems of care. Our Horticultural Therapy Program was introduced in the spring of 2011 with the launch of our beautiful therapy garden.  This workshop will discuss how we have since developed a comprehensive Horticultural Therapy Program in both a hospice and long-term care setting and how this type of program can benefit residents, families and staff.  Discussion will include how to utilize community groups, volunteers and students to achieve and maintain a high standard of program. We hope to inspire other care facilities to embrace horticultural therapy as a means to enhance the level of care for everyone

Contextual Teaching with Computer-Assisted Instruction

Computer technology has made substantial contributions to education and educators are now confronted with determining how to best incorporate it as a teaching tool. Educators have also long struggled with how to make what is learned in school more useful in other contexts. This review of recent literature was undertaken in an attempt to determine if computer-assisted instruction is compatible with contextual teaching and learning approaches. The four computer-assisted assets of flexibility, format, interactivity and navigational methods were examined because they yield the most interpretive evidence of compatibility with contextual teaching and learning approaches and their characteristics. It was concluded that all four of the assets identified were compatible and should be included within contextual approaches

Visibility-reducing organic aerosols in the vicinity of Grand Canyon National Park: Properties observed by high resolution gas chromatography

Fine particle and total airborne particle samples were collected during August 1989 within the Grand Canyon (Indian Gardens (IG)) and on its south rim (Hopi Point (HP)) to define summertime organic aerosol concentration and composition as a function of elevation at Grand Canyon National Park. Inorganic chemical constituents were analyzed also to help place the relative importance of organics in perspective. Fine particle organic aerosols were approximately equal in concentration to sulfate aerosols at both sites. Monthly average mass concentrations for fine aerosol organics ranged from 1.1 μg m(−3) (IG) to 1.3 μg m^(−3) (HP), while the organic aerosol concentration within total suspended particulate matter samples ranged from 1.9 μg m^(−3) (IG) to 2.1 μg m^(−3) (HP). Aerosol organics that could be evaluated by gas chromatography with flame ionization detection (GC-FID) (elutable organics) constituted 27% to 53% of the total organics mass collected as fine or total aerosol. At each site, roughly half of the elutable organics fine aerosol fraction was composed of highly polar organic compounds. Distributions of the elutable organics were compared to Los Angeles fine aerosol samples and to distributions of authentic sources of aerosol organics. It was found that the Grand Canyon organic aerosol during August 1989 did not resemble diluted aged Los Angeles organic aerosol, indicating that most of the organic particulate matter at the Grand Canyon at the time studied originated from other sources

Isolation of vascular smooth muscle cells from a single murine aorta

The vascular smooth muscle cell plays a significant role in many important cardiovascular disorders, and smooth muscle biology is therefore important to cardiovascular research. The mouse is critical to basic cardiovascular research, largely because techniques for genetic manipulation are more fully developed in the mouse than in any othermammalian species. We describe here a technique for isolating smooth muscle cells from a single mouse aorta. This technique is particularly useful when material is limiting, as is frequently the case when genetically modified animals are being characterized.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/43238/1/11022_2004_Article_381000.pd

Mitotic stress is an integral part of the oncogene-induced senescence program that promotes multinucleation and cell cycle arrest

Oncogene-induced senescence (OIS) is a tumor suppression mechanism that blocks cell proliferation in response to oncogenic signaling. OIS is frequently accompanied by multinucleation; however, the origin of this is unknown. Here, we show that multinucleate OIS cells originate mostly from failed mitosis. Prior to senescence, mutant H-RasV12 activation in primary human fibroblasts compromised mitosis, concordant with abnormal expression of mitotic genes functionally linked to the observed mitotic spindle and chromatin defects. Simultaneously, H-RasV12 activation enhanced survival of cells with damaged mitoses, culminating in extended mitotic arrest and aberrant exit from mitosis via mitotic slippage. ERK-dependent transcriptional upregulation of Mcl1 was, at least in part, responsible for enhanced survival and slippage of cells with mitotic defects. Importantly, mitotic slippage and oncogene signaling cooperatively induced senescence and key senescence effectors p21 and p16. In summary, activated Ras coordinately triggers mitotic disruption and enhanced cell survival to promote formation of multinucleate senescent cells

Targeting the LOX/hypoxia axis reverses many of the features that make pancreatic cancer deadly: inhibition of LOX abrogates metastasis and enhances drug efficacy

Pancreatic ductal adenocarcinoma (PDAC) is one of the leading causes of cancer‐related mortality. Despite significant advances made in the treatment of other cancers, current chemotherapies offer little survival benefit in this disease. Pancreaticoduodenectomy offers patients the possibility of a cure, but most will die of recurrent or metastatic disease. Hence, preventing metastatic disease in these patients would be of significant benefit. Using principal component analysis (PCA), we identified a LOX/hypoxia signature associated with poor patient survival in resectable patients. We found that LOX expression is upregulated in metastatic tumors from Pdx1‐Cre KrasG12D/+ Trp53R172H/+ (KPC) mice and that inhibition of LOX in these mice suppressed metastasis. Mechanistically, LOX inhibition suppressed both migration and invasion of KPC cells. LOX inhibition also synergized with gemcitabine to kill tumors and significantly prolonged tumor‐free survival in KPC mice with early‐stage tumors. This was associated with stromal alterations, including increased vasculature and decreased fibrillar collagen, and increased infiltration of macrophages and neutrophils into tumors. Therefore, LOX inhibition is able to reverse many of the features that make PDAC inherently refractory to conventional therapies and targeting LOX could improve outcome in surgically resectable disease

Nantenine: an antagonist of the behavioral and physiological effects of MDMA in mice

No selective antagonists for the effects of MDMA have yet been identified. The structurally-similar, naturally-occurring plant alkaloid nantenine (9,10-methylenedioxy-1,2 dimethoxyaporphine) may represent such a compound.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/46360/1/213_2003_Article_1741.pd

Dynamics of GLP-1R peptide agonist engagement are correlated with kinetics of G protein activation

The glucagon-like peptide-1 receptor (GLP-1R) has broad physiological roles and is a validated target for treatment of metabolic disorders. Despite recent advances in GLP-1R structure elucidation, detailed mechanistic understanding of how different peptides generate profound differences in G protein-mediated signalling is still lacking. Here we combine cryo-electron microscopy, molecular dynamics simulations, receptor mutagenesis and pharmacological assays, to interrogate the mechanism and consequences of GLP-1R binding to four peptide agonists; glucagon-like peptide-1, oxyntomodulin, exendin-4 and exendin-P5. These data reveal that distinctions in peptide N-terminal interactions and dynamics with the GLP-1R transmembrane domain are reciprocally associated with differences in the allosteric coupling to G proteins. In particular, transient interactions with residues at the base of the binding cavity correlate with enhanced kinetics for G protein activation, providing a rationale for differences in G protein-mediated signalling efficacy from distinct agonists

IL8 and Cathepsin B as Melanoma Serum Biomarkers

Melanoma accounts for only a small portion of skin cancer but it is associated with high mortality. Melanoma serum biomarkers that may aid early diagnosis or guide therapy are needed clinically. However, studies of serum biomarkers have often been hampered by the serum interference that causes false readouts in immunological tests. Here we show that, after using a special buffer to eliminate the serum interference, IL-8 and cathepsin B levels were significantly elevated in melanoma patients (p < 0.05). More importantly, the combination of IL-8 and cathepsin B were also studied as a prognosis marker for melanoma mortality. Our study provides a novel approach to examine serum biomarkers

American Cancer Society/American Society of Clinical Oncology Breast Cancer Survivorship Care Guideline

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/136493/1/caac21319_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/136493/2/caac21319-sup-0001-suppinfo1.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/136493/3/caac21319.pd