173 research outputs found

    Creative Downtown: The Role of Culture in Rebuilding Lower Manhattan

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    Examines how NYC arts groups and artists below Canal Street were affected by September 11, and possible actions the city, state, and private sector could take on behalf of arts and culture in rebuilding and revitalizing the downtown area

    The Wife of Andrea

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    Student variables as a predictor of E -course completion

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    The purpose of this study is to determine student variables that predict E-course completion. Research questions were defined for investigating the relationship between student demographics and E-course completion. Student demographics include age, gender, GPA, student major, access to technology and employment. The student demographic variables were correlated with course completion and through logistic regression were determined to be predictors of E-course completion. The research population for this study was 3453 Marshall University students enrolled in E-courses from the spring semester of 1998 through the fall semester of 2000. Data for the study was obtained from the Marshall University Institutional Research Board. The data was coded to ensure confidentiality of the students as described in the Family Education Rights to Privacy Act (Buckly Amendment) (1998). The analysis of the data indicates that age, gender and GPA are student demographics that are positively correlated with Ecourse completion and they are predictors of E-course completion as single variables and as a cluster of all three variables. Student major was categorized into seven distinct groups that represent the colleges within Marshall University. These categories include the College of Business, the College of Education, the College of Liberal Arts, the College of Science, the Community & Technical College, the College of Fine Arts and the Graduate College. The student major categories incorporated in the College of Business, the College of Science and the Graduate College proved to be indicators of Ecourse completion. The data for the student attributes of access to technology and employment were computed from a randomly selected sample selected from the original population (n = 555). The analysis of the data reveals that access to technology and employment are correlated with E-course completion and are also significant indicators of student success. Ancillary findings relating Regents, B.A. and graduate students to Ecourse completion were also analyzed within the study and found to be significant predictors based on the identified student demographics

    Community-Based Population Health Research: A Report from the Field

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    This Forum, “Community-Based Population Health Research: A Report from the Field” highlights the work of 1889 Jefferson Center for Population Health and Mainline Center for Population Health Research. Leaders from both research centers provide an overview of the history and purpose of the centers and describe accomplishments and current initiatives. Objectives: Describe two innovative models for population health research centers List three benefits of partnering with a University when establishing a population health center Characterize challenges associated with the development of community-engaged and health system embedded, population health research centers Presentation: 49:1

    Presence of a prothrombotic state in people with idiopathic pulmonary fibrosis: a population-based case-control study

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    BACKGROUND: Laboratory studies suggest that the clotting cascade is activated in fibrotic lungs. Since humans vary in their tendency to clot due to a variety of inherited or acquired defects, we investigated whether a prothrombotic state increases the chance of developing idiopathic pulmonary fibrosis (IPF) and/or worsens the prognosis of IPF. METHODS: We recruited 211 incident cases of IPF and 256 age-and sex-matched general population controls and collected data on medical history, medication, smoking habit, blood samples as well as lung function and high-resolution CT scans done as part of routine clinical care. A prothrombotic state was defined as the presence of at least one inherited or acquired clotting defect or marker of fibrinolytic dysfunction. We used logistic regression to quantify the association between a prothrombotic state and IPF adjusted for age, sex, smoking habit and highly sensitive C reactive protein. Cox regression was used to determine the influence of a prothrombotic state on survival. RESULTS: Cases were more than four times more likely than controls to have a prothrombotic state (OR 4.78, 95% CI 2.93 to 7.80; p<0.0001). Cases with a prothrombotic state were also likely to have more severe disease (forced vital capacity <70% predicted) at presentation (OR 10.79, 95% CI 2.43 to 47.91) and had a threefold increased risk of death (HR 3.26, 95% CI 1.09 to 9.75). CONCLUSIONS: People with IPF are more likely to have a prothrombotic state than general population controls and the presence of a prothrombotic state has an adverse impact on survival

    Aldehyde dehydrogenase 1A1 and gelsolin identified as novel invasion-modulating factors in conditioned medium of pancreatic cancer cells

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    Conditioned medium (CM) from clonal sub-populations of the pancreatic cancer cell line, MiaPaCa-2 with differing invasive abilities, were examined for their effect on in vitro invasion. Conditioned medium from Clone #3 (CM#3) strongly promoted invasion, while CM from Clone #8 (CM#8) inhibited invasion in vitro. 2D DIGE followed by MALDI-TOF MS analysis of CM#3 and CM#8 identified 41 proteins which were differentially regulated; 27 proteins were down-regulated and 14 proteins up-regulated in the invasion-promoting CM#3 when compared to CM#8. Western blotting analysis confirmed the down-regulated expression of gelsolin and the up-regulation of aldehyde dehydrogenase 1A1 in CM#3. Down-regulation of aldehyde dehydrogenase 1A1 in Clone #3 CM and gelsolin levels in Clone #8 CM by siRNA transfection revealed an important involvement of these proteins in promoting and inhibiting invasion in these pancreatic cancer cell lines

    Depression and loneliness in Jamaicans with sickle cell disease

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    <p>Abstract</p> <p>Background</p> <p>Sickle cell disease (SCD) is the commonest genetic disorder in Jamaica, and has life-long implications for those afflicted with it. It is well known that depression and loneliness may exist in those with chronic diseases, but the coexistence of depression and loneliness in people with sickle cell disease is not clear. The aim of this study is to determine the prevalence of and factors associated with depression and loneliness in the Jamaica Sickle Cell Cohort Study and its age and sex matched controls.</p> <p>Methods</p> <p>277 patients with SCD and 65 controls were administered a questionnaire that studied demographics, disease severity, depression, and loneliness. Regression analyses were done to examine relationships between outcomes and associated variables.</p> <p>Results</p> <p>Depression was found in 21.6% of patients and 9.4% in controls. Loneliness scores were also significantly higher in patients (16.9 ± 5.1) than in controls (14.95 ± 4.69). Depression was significantly associated with unemployment [OR = 2.9, p-value: < 0.001], whereas unemployment (p-value: 0.002), and lower educational attainment were significantly associated with loneliness.</p> <p>In patients with SCD, depression was significantly associated with being unemployed (OR 2.4, 95% CI 1.2,4.6, p-value:0.01), presence of a leg ulcer (OR = 3.8, 95% CI: 1.7, 8.4, p-value: 0.001), frequent visits (OR = 3.3, 95% CI: 1.2, 8.9, p-value: 0.019), and frequent painful crises (OR = 2.5, 95% CI: 1.1, 5.8, p-value: 0.035). Not being employed (Coef.: 2.0; p-value: 0.004) and higher educational attainment (tertiary vs. primary education, Coef.: -5.5; p-value: < 0.001) were significant associations with loneliness after adjusting for genotype.</p> <p>Conclusions</p> <p>Health workers need to actively look for and manage these problems to optimize their patients' total biopsychosocial care.</p

    Surveillance of Sentinel Node-Positive Melanoma Patients with Reasons for Exclusion from MSLT-II:Multi-Institutional Propensity Score Matched Analysis

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    BACKGROUND: In sentinel lymph node (SLN)-positive melanoma, two randomized trials demonstrated equivalent melanoma-specific survival with nodal surveillance vs completion lymph node dissection (CLND). Patients with microsatellites, extranodal extension (ENE) in the SLN, or >3 positive SLNs constitute a high-risk group largely excluded from the randomized trials, for whom appropriate management remains unknown. STUDY DESIGN: SLN-positive patients with any of the three high-risk features were identified from an international cohort. CLND patients were matched 1:1 with surveillance patients using propensity scores. Risk of any-site recurrence, SLN-basin-only recurrence, and melanoma-specific mortality were compared. RESULTS: Among 1,154 SLN-positive patients, 166 had ENE, microsatellites, and/or >3 positive SLN. At 18.5 months median follow-up, 49% had recurrence (vs 26% in patients without high-risk features, p 3 positive SLN constitute a high-risk group with a 2-fold greater recurrence risk. For those managed with nodal surveillance, SLN-basin recurrences were more frequent, but all-site recurrence and melanoma-specific mortality were comparable to patients treated with CLND. Most recurrences were outside the SLN-basin, supporting use of nodal surveillance for SLN-positive patients with microsatellites, ENE, and/ or >3 positive SLN
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