Social Commentary in Three Novels by Edith Wharton

A thesis presented to the faculty of the Caudill College of Humanities at Morehead State University in partial fulfillment of the requirements for the Degree of Master of Arts by Michael A. Gillespie on December 8, 1994

AGU hydrology days 2004

24th annual AGU hydrology days was held at Colorado State University on March 10-12, 2004.List of abstracts of presentations given at the AGU Hydrology Days 2004

Development of a protocol to study novel radiotherapy-immunotherapy combinations in pre-clinical models of locally advanced rectal cancer

Heterogeneous responses to neo-adjuvant chemoradiotherapy are observed in Locally Advanced Rectal Cancer (LARC). Understanding the molecular and immunological factors underpinning response to radiotherapy-based treatment strategies may promote the development of novel treatment strategies to overcome resistance mechanisms and improve response rates. Murine models of LARC and experimental platforms to deliver precise radiotherapy to small animals, will enable the pre-clinical testing and development of radiotherapy and immunotherapy combinations to guide future clinical trials. Despite numerous technological advances in pre-clinical modelling of CRC, models which recapitulate the anatomy and mutational composition of LARC have been lacking. In Chapter 3, I describe the development of a novel orthotopic organoid transplant model which recapitulates histological features of aggressive disease, expresses common driver mutations, and maintains immunocompetence. Furthermore, the described model demonstrates reproducibility, high engraftment and is amenable to high experimental throughput. In Chapter 4, I then utilise the developed orthotopic model of LARC to demonstrate that precise delivery of clinically relevant fractionated radiotherapy is possible in the pre-clinical setting. I then performed irradiation studies to characterise the effects of single fraction and fractionated radiotherapy to the model developed in thesis. In Chapter 4, I characterise the radio-resistance of the orthotopic model of LARC which has been developed, and identify numerous potential resistance mechanisms. In Chapter 5, I then show the feasibility of administering fractionated radiotherapy and immunotherapy agents to an orthotopic model of LARC. Improved survival was demonstrated following treatment with fractionated radiotherapy and PD-1 inhibition. Overall, this thesis describes significant advances in the pre-clinical modelling of LARC and experimental capabilities for developing novel radiotherapy and immunotherapy combinations, which hold potential to inform the treatment scheduling of fractionated radiotherapy and PD-1 inhibition

Stochastic Simulation of Process Calculi for Biology

Biological systems typically involve large numbers of components with complex, highly parallel interactions and intrinsic stochasticity. To model this complexity, numerous programming languages based on process calculi have been developed, many of which are expressive enough to generate unbounded numbers of molecular species and reactions. As a result of this expressiveness, such calculi cannot rely on standard reaction-based simulation methods, which require fixed numbers of species and reactions. Rather than implementing custom stochastic simulation algorithms for each process calculus, we propose to use a generic abstract machine that can be instantiated to a range of process calculi and a range of reaction-based simulation algorithms. The abstract machine functions as a just-in-time compiler, which dynamically updates the set of possible reactions and chooses the next reaction in an iterative cycle. In this short paper we give a brief summary of the generic abstract machine, and show how it can be instantiated with the stochastic simulation algorithm known as Gillespie's Direct Method. We also discuss the wider implications of such an abstract machine, and outline how it can be used to simulate multiple calculi simultaneously within a common framework.Comment: In Proceedings MeCBIC 2010, arXiv:1011.005

Enzyme–free uric acid electrochemical sensors using β–cyclodextrin modified carboxylic acid functionalized carbon nanotubes

Carboxylic acid-functionalized multi-walled carbon nanotubes (COOH-MWCNT) were modified via ultrasonication with β-cyclodextrin (β-CD) to obtain a COOH-MWCNT:β-CD nanocomposite material for the purpose of developing an enzyme-free electrochemical sensor for uric acid—a clinically relevant molecule implemented in pregnancy-induced hypertension diagnosis. The nanocomposite material is deposited onto glassy carbon electrodes and subsequently capped with layers of Nafion and Hydrothane polyurethane. The surface morphology and electronic structure of the nanocomposite material were characterized using UV–Vis, TEM, and FTIR. The performance of the electrochemical sensor was measured through direct injection of UA during amperometry. With the high surface area of the COOH-MWCNT in concert with the selectivity provided by β-CD, the composite system outperforms similar COOH-MWCNT systems, displaying enhanced UA sensitivity versus films with only COOH-MWCNT. With the improved sensitivity (4.28 ± 0.11 µA mM−1) and fast response time (4.0 ± 0.5 s), the sensors offer wide detection of UA across clinically relevant ranges (100–700 μM) as well as demonstrated selectivity against various interferents

Gold Nanoparticle Colorants as Traditional Ceramic Glaze Alternatives

Historically, Roman stained glass has been a standard for high‐temperature color stability since biblical times but was not properly characterized as emission from nanoparticle plasmon resonance until the 1990s. The methods under which it was created have been lost, but some efforts have recently been made to recreate these properties using gold nanoparticle inks on glassy surfaces. This body of work employs gold nanoparticle systems ranging from 0.015% to 0.100% (wt/wt), suspended in a clear glaze body. The glazes are fired with traditional ceramic methods—in both gas reduction and electric oxidation kilns—in which nanoparticles are retained and can be imaged via TEM. Various colors intensities are reported in addition to changes in nanoparticle size after application and firing. The nanoparticle glazes are compared to traditional red glazes, highlighting the significantly lower metal loading required (5%‐10% for traditional glazes vs 0.100% for gold (wt/wt)), therein. Finally, proof of concept is provided with a functional gold nanoparticle mug, fired in reduction, that costs roughly 0.98$ USD in gold used

The pediatric emergency department care experience: A quality measure

To develop and validate a measure of the quality of the pediatric emergency department care experience from the parent perspective. This was a multiphase study conducted at a tertiary-care pediatric health system using qualitative and quantitative methods. A list of candidate questions was developed to measure each of eight dimensions of family-centered pediatric emergency care described in a published framework. This list was evaluated and refined using the Question Appraisal System (QAS-99) followed by cognitive interviewing methods. Remaining questions were field tested using survey methods via telephone interviews with randomly selected parents. Composite scores to measure each of the eight dimensions of family-centered pediatric emergency care were calculated. Reliability was evaluated using measures of internal consistency. Construct validity was evaluated by measuring the association of each question and composite scores with overall satisfaction. A pool of 77 questions was reduced to 51 using QAS-99 criteria. Cognitive interviews with 19 parents resulted in a final list of 24 questions for field testing. With a response rate of 46%, 404 parents participated in the field test. Each individual question exhibited a significant positive association with overall satisfaction. Measures of internal consistency did not support the composite scores based on the initial eight dimensions. An exploratory factor analysis resulted in alternative composite measures that exhibited acceptable reliability and construct validity. This study has resulted in a measure that can be used to inform quality improvement work aimed at improving the pediatric emergency department care experience

Delayed evaluation of combat-related penetrating neck trauma

ObjectiveThe approach to penetrating trauma of the head and neck has undergone significant evolution and offers unique challenges during wartime. Military munitions produce complex injury patterns that challenge conventional diagnosis and management. Mass casualties may not allow for routine exploration of all stable cervical blast injuries. The objective of this study was to review the delayed evaluation of combat-related penetrating neck trauma in patients after evacuation to the United States.MethodFrom February 2003 through April 2005, a series of patients with military-associated penetrating cervical trauma were evacuated to a single institution, prospectively entered into a database, and retrospectively reviewed.ResultsSuspected vascular injury from penetrating neck trauma occurred in 63 patients. Injuries were to zone II in 33%, zone III in 33%, and zone I in 11%. The remaining injuries involved multiple zones, including the lower face or posterior neck. Explosive devices wounded 50 patients (79%), 13 (21%) had high-velocity gunshot wounds, and 19 (30%) had associated intracranial or cervical spine injury. Of the 39 patients (62%) who underwent emergent neck exploration in Iraq or Afghanistan, 21 had 24 injuries requiring ligation (18), vein interposition or primary repair (4), polytetrafluoroethylene (PTFE) graft interposition (1), or patch angioplasty (1). Injuries occurred to the carotid, vertebral, or innominate arteries, or the jugular vein. After evacuation to the United States, all patients underwent radiologic evaluation of the head and neck vasculature. Computed tomography angiography was performed in 45 patients (71%), including six zone II injuries without prior exploration. Forty (63%) underwent diagnostic arteriography that detected pseudoaneurysms (5) or occlusions (8) of the carotid and vertebral arteries. No occult venous injuries were noted. Delayed evaluation resulted in the detection of 12 additional occult injuries and one graft thrombosis in 11 patients. Management included observation (5), vein or PTFE graft repair (3), coil embolization (2), or ligation (1).ConclusionsPenetrating multiple fragment injury to the head and neck is common during wartime. Computed tomography angiography is useful in the delayed evaluation of stable patients, but retained fragments produce suboptimal imaging in the zone of injury. Arteriography remains the imaging study of choice to evaluate for cervical vascular trauma, and its use should be liberalized for combat injuries. Stable injuries may not require immediate neck exploration; however, the high prevalence of occult injuries discovered in this review underscores the need for a complete re-evaluation upon return to the United States

Risk Factors for Urinary Complications After Renal Transplantation

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/73788/1/j.1600-6143.2007.01790.x.pd