226 research outputs found

    PHAR 514E.01: Case Studies in Pharmacy Ethics

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    PHAR 514.01: Pharmacy Ethics

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    An Electrochemical Analysis of Fretting Corrosion in Metal-on-Metal Hip Implants Subjected to High Impaction Loads

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    The metal-on-metal total hip arthroplasty, a procedure where the hip joint is replaced by a femoral prosthesis with a metal femoral head and a metal socket, has been a popular option for patients requiring a hip joint replacement. Metal on metal hip implants have been a successful implant design until recently where there has been an increased number of failures of this type of implant due to fretting corrosion, believed to be caused from the use of large femoral heads. Fretting corrosion in hip implants results from cyclic micromotion at the taper-trunnion interface; this interface motion removes the protective oxidation layer from the metal allowing the fluid environment of the body to react with the metal and ultimately leads to the release of metal ions into the surrounding tissue and bloodstream. The objective of this research is to quantify the amount of fretting corrosion at the taper-trunnion interface after a static load of 991 lbs is applied, and compare results to a previous study where 450 lbs impaction force was applied. For both studies all specimens are cyclically loaded between 10 lbs and 460 lbs while fretting corrosion data is collected. Fretting corrosion was characterized through the implementation of an electrochemical experiment in order to measure the amount of metal ions released from the implant during loading, which is directly correlated to the amount of fretting corrosion. Results of this study will elucidate the importance of impaction load in the process of fretting corrosion at the metal taper-trunnion interface

    Brand Me: How LinkedIn Training Improves Personal Branding by influencing Self-esteem and Job Search Self-efficacy by generating an All-Star profile

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    This article considers how LinkedIn training in the form of a workshop can improve a professional\u27s personal brand by influencing self-esteem and job search efficacy by developing a LinkedIn All-Star Profile. Self-esteem and self-efficacy are two of the most highly researched social and vocational psychology aspects. While there has been some research on the impact of non-technological workshops, there needs to be more research on the effects of workshop training in these two variables on employee personal brand on social media

    Observations of stem water storage in trees of opposing hydraulic strategies

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    Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/116368/1/ecs2201569165.pd

    Contrasting strategies of hydraulic control in two codominant temperate tree species

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    Biophysical controls on plant water status exist at the leaf, stem, and root levels. Therefore, we pose that hydraulic strategy is a combination of traits governing water use at each of these three levels. We studied sap flux, stem water storage, stomatal conductance, photosynthesis, and growth of red oaks (Quercus rubra) and red maples (Acer rubrum). These species differ in stomatal hydraulic strategy and xylem architecture and may root at different depths. Stable isotope analysis of xylem water was used to identify root water uptake depth. Oaks were shown to access a deeper water source than maples. During non‐limiting soil moisture conditions, transpiration was greater in maples than in oaks. However, during a soil dry down, transpiration and stem water storage decreased by more than 80% and 28% in maples but only by 31% and 1% in oaks. We suggest that the preferential use of deep water by red oaks allows the species to continue transpiration and growth during soil water limitations. In this case, deeper roots may provide a buffer against drought‐induced mortality. Using 14 years of growth data, we show that maple growth correlates with mean annual soil moisture at 30 cm but oak growth does not. The observed responses of oak and maple to drought were not able to be explained by leaf and xylem physiology alone. We employed the Finite‐difference Ecosystem‐scale Tree Crown Hydrodynamics model version 2 plant hydrodynamics model to demonstrate the influence of root, stem, and leaf controls on tree‐level transpiration. We conclude that all three levels of hydraulic traits are required to define hydraulic strategy.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/136732/1/eco1815_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/136732/2/eco1815.pd

    Species‐specific transpiration responses to intermediate disturbance in a northern hardwood forest

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    Intermediate disturbances shape forest structure and composition, which may in turn alter carbon, nitrogen, and water cycling. We used a large‐scale experiment in a forest in northern lower Michigan where we prescribed an intermediate disturbance by stem girdling all canopy‐dominant early successional trees to simulate an accelerated age‐related senescence associated with natural succession. Using 3 years of eddy covariance and sap flux measurements in the disturbed area and an adjacent control plot, we analyzed disturbance‐induced changes to plot level and species‐specific transpiration and stomatal conductance. We found transpiration to be ~15% lower in disturbed plots than in unmanipulated control plots. However, species‐specific responses to changes in microclimate varied. While red oak and white pine showed increases in stomatal conductance during postdisturbance (62.5 and 132.2%, respectively), red maple reduced stomatal conductance by 36.8%. We used the hysteresis between sap flux and vapor pressure deficit to quantify diurnal hydraulic stress incurred by each species in both plots. Red oak, a ring porous anisohydric species, demonstrated the largest mean relative hysteresis, while red maple, bigtooth aspen, and paper birch, all diffuse porous species, had the lowest relative hysteresis. We employed the Penman‐Monteith model for LE to demonstrate that these species‐specific responses to disturbance are not well captured using current modeling strategies and that accounting for changes to leaf area index and plot microclimate are insufficient to fully describe the effects of disturbance on transpiration.Key PointsPlot level scaling of evaporation from sap flux evaluated with eddy fluxDisturbance changes intradaily transpiration dynamicsHydraulic strategy causes species‐specific transpiration differencesPeer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/110637/1/jgrg20315.pd

    A New Approach to Measuring Estrogen Exposure and Metabolism in Epidemiologic Studies

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    Endogenous estrogen plays an integral role in the etiology of breast and endometrial cancer, and conceivably ovarian cancer. However, the underlying mechanisms and the importance of patterns of estrogen metabolism and specific estrogen metabolites have not been adequately explored. Long-standing hypotheses, derived from laboratory experiments, have not been tested in epidemiologic research because of the lack of robust, rapid, accurate measurement techniques appropriate for large-scale studies. We have developed a stable isotope dilution liquid chromatography-tandem mass spectrometry (LC-MS(2)) method that can measure concurrently all 15 estrogens and estrogen metabolites (EM) in urine and serum with high sensitivity (level of detection=2.5-3.0fmol EM/mL serum), specificity, accuracy, and precision [laboratory coefficients of variation (CV\u27s) \u3c or =5% for nearly all EM]. The assay requires only extraction, a single chemical derivatization, and less than 0.5mL of serum or urine. By incorporating enzymatic hydrolysis, the assay measures total (glucuronidated+sulfated+unconjugated) EM. If the hydrolysis step is omitted, the assay measures unconjugated EM. Interindividual differences in urinary EM concentrations (pg/mL creatinine), which reflect total EM production, were consistently large, with a range of 10-100-fold for nearly all EM in premenopausal and postmenopausal women and men. Correlational analyses indicated that urinary estrone and estradiol, the most commonly measured EM, do not accurately represent levels of total urinary EM or of the other EM. In serum, all 15 EM were detected as conjugates, but only 5 were detected in unconjugated form. When we compared our assay methods with indirect radioimmunoassays for estrone, estradiol, and estriol and enzyme-linked immunosorbent assays for 2-hydroxyestrone and 16alpha-hydroxyestrone, ranking of individuals agreed well for premenopausal women [Spearman r (r(s))=0.8-0.9], but only moderately for postmenopausal women (r(s)=0.4-0.8). Our absolute readings were consistently lower, especially at the low concentrations characteristic of postmenopausal women, possibly because of improved specificity. We are currently applying our EM measurement techniques in several epidemiologic studies of premenopausal and postmenopausal breast cancer

    Nonmuscle myosin heavy chain IIA mediates integrin LFA-1 de-adhesion during T lymphocyte migration

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    Precise spatial and temporal regulation of cell adhesion and de-adhesion is critical for dynamic lymphocyte migration. Although a great deal of information has been learned about integrin lymphocyte function–associated antigen (LFA)-1 adhesion, the mechanism that regulates efficient LFA-1 de-adhesion from intercellular adhesion molecule (ICAM)-1 during T lymphocyte migration is unknown. Here, we show that nonmuscle myosin heavy chain IIA (MyH9) is recruited to LFA-1 at the uropod of migrating T lymphocytes, and inhibition of the association of MyH9 with LFA-1 results in extreme uropod elongation, defective tail detachment, and decreased lymphocyte migration on ICAM-1, without affecting LFA-1 activation by chemokine CXCL-12. This defect was reversed by a small molecule antagonist that inhibits both LFA-1 affinity and avidity regulation, but not by an antagonist that inhibits only affinity regulation. Total internal reflection fluorescence microscopy of the contact zone between migrating T lymphocytes and ICAM-1 substrate revealed that inactive LFA-1 is selectively localized to the posterior of polarized T lymphocytes, whereas active LFA-1 is localized to their anterior. Thus, during T lymphocyte migration, uropodal adhesion depends on LFA-1 avidity, where MyH9 serves as a key mechanical link between LFA-1 and the cytoskeleton that is critical for LFA-1 de-adhesion
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