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Ontology based personalized modeling for chronic disease risk evaluation and knowledge discovery an integrated approach : a thesis submitted to Auckland University of Technology in fulfilment of the requirements for [the] degree of Doctor of Philosophy (PhD), 2009 /Verma, Anju. January 2009 (has links)
Thesis (PhD) -- AUT University, 2009. / Includes bibliographical references. Also held in print (270 leaves : ill. ; 30 cm.) in the Archive at the City Campus (T 616.0440112 VER)
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Chronic illness in context examining sociocultural factors in women's experience of lupus /Zeddies, Andréa McBride. January 2001 (has links)
Thesis (Ph. D.)--University of Texas at Austin, 2001. / Vita. Includes bibliographical references. Available also in a digital version from UMI/Dissertation Abstracts International.
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Life and work with "invisible" chronic illness (ICI) : authentic stories of a passage through trauma - a Heideggerian, Hermeneutical, phenomenological, multiple-case, exploratory analysis /Vickers, Margaret H. January 1900 (has links)
Thesis (Ph.D.)--University of Western Sydney, Nepean, 1997. / Includes bibliography.
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A fragile life : the epic of a multiple kidney transplant recipient /Hollingsworth, Guy M. January 1900 (has links)
Thesis (Ph. D., Education)--University of Idaho, April 25, 2006. / Major professor: Karen Wilson Scott. Includes bibliographical references (leaves 149-162). Also available online (PDF file) by subscription or by purchasing the individual file.
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Vitamin A status and inflammation during the first week of life in extremely premature infants at risk for bronchopulmonary dysplasiaMentro, Anne M., January 2004 (has links)
Thesis (Ph. D.)--Ohio State University, 2004. / Title from first page of PDF file. Document formatted into pages; contains xiv, 133 p.; also includes graphics (some col.) Includes bibliographical references (p. 107-133). Available online via OhioLINK's ETD Center
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From violation to reconstruction the process of self-renewal associated with chronic fatigue syndrome /Travers, Michele Kerry. January 2004 (has links)
Thesis (Ph. D.)--University of Sydney, 2004. / Title from title screen (viewed 5 May 2008). Includes questionnaires, interview guides, consent form, participant information sheet. Submitted in fulfilment of the requirements for the degree of Doctor of Philosophy to the Dept. of Clinical Nursing, Faculty of Nursing. Includes bibliographical references. Also available in print form.
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中醫藥治療慢性萎縮性胃炎伴腸上皮化生的Meta分析曲婉彤, 11 June 2016 (has links)
目的:全面而系統的評價中醫藥對慢性萎縮性胃炎伴腸上皮化生的臨床總體療效、胃鏡療效、病理療效,及中醫藥對腸上皮化生的逆轉率。 方法:電腦檢索中國期刊全文資料庫、重慶維普中文科技期刊資料庫、中國知網資料庫、中國生物醫學文獻資料庫網路版、萬方資料庫、PUBMED 和中國中醫藥期刊文獻資料庫,查找有關中醫藥治療,慢性萎縮性胃炎伴腸上皮他生的隨機對照試驗,檢索從2006 年至2015 年12 月發表的論文。按照納入標準、排除標準及結局指標的統計進行文獻篩查,採用Jadad 評分標準對文獻進行評估,採用Review Manager5 軟體進行Meta分析。 結果: 共納入的項臨床研究,未發現隨機雙盲實驗。共納入1559 例慢性萎縮性胃炎伴腸上皮化生患者,未發現嚴重不良反應。Meta 分析結果顯示,在臨床有效性方面, 中醫藥個體化方案治療組與中成藥治療組相比OR=5.18,95%CI(3.59, 7.64)],中醫藥個體化方案治療組與單純西醫西藥治療組相比OR=5.46, 95%CI (3.42,8.70),中醫中藥合輔助治療組與此外其他療法治療組OR=6.66 , 95%CI (2.69,16.49),試驗組療效均優於對照組。在胃鏡療效和病理療效方面,中醫中藥治療組與此外其他療法治療名且對胃粘膜萎縮改善情況對比結果OR=2.81,95%CI(1.76,4.47), 對腸上皮化生改善情況的對比結果OR=4.14, 95%CI (2.87, 5.99 )中醫中藥治療組與中成藥治療組對綜合胃鏡結果改善情況的對比結果OR =2.68, 95%CI (0.96, 6.8),對綜合病理結果改善情況的對比結果OR=2.80, 95%CI(1.79, 4.38), 試驗組優於對照在且。中醫中藥治療組與此外其他方法治療組對腸上皮化生逆轉情況的對比結果,共在內人病例數1552 例,結果顯示OR=3.61, 95%CI(2.76, 4.72),試驗組優於對照組。 結論:中醫藥治療慢性萎縮性胃炎伴腸上皮化生具有很好的臨床療效,主要體現在改善綜合胃鏡情況, 改善綜合病理情況以及逆轉腸上皮他生的情況。但由於臨床試驗設計的局限,不能對中醫藥對該疾病的作用進行全面的判斷,故仍需嚴謹的大樣本多中心的隨機雙盲試驗加以驗證。
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The Dual Role of Myeloperoxidase in Immune ResponseArnhold, Jürgen 30 January 2024 (has links)
The heme protein myeloperoxidase (MPO) is a major constituent of neutrophils. As a
key mediator of the innate immune system, neutrophils are rapidly recruited to inflammatory sites,
where they recognize, phagocytose, and inactivate foreign microorganisms. In the newly formed
phagosomes, MPO is involved in the creation and maintenance of an alkaline milieu, which is optimal
in combatting microbes. Myeloperoxidase is also a key component in neutrophil extracellular traps.
These helpful properties are contrasted by the release of MPO and other neutrophil constituents
from necrotic cells or as a result of frustrated phagocytosis. Although MPO is inactivated by the
plasma protein ceruloplasmin, it can interact with negatively charged components of serum and
the extracellular matrix. In cardiovascular diseases and many other disease scenarios, active MPO
and MPO-modified targets are present in atherosclerotic lesions and other disease-specific locations.
This implies an involvement of neutrophils, MPO, and other neutrophil products in pathogenesis
mechanisms. This review critically reflects on the beneficial and harmful functions of MPO against
the background of immune response.
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Experiência de adoecimento crônico : adultos que (con)vivem com anemia falciformePires, Carinna Maria Mercedes Vieira 21 May 2013 (has links)
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Previous issue date: 2013-05-21 / CNPq / O estudo analisou a experiência de adultos com Anemia Falciforme (Anemia Falciforme) abordada em primeira pessoa e como adoecimento crônico. Essa doença genética é comum no Brasil e no mundo, sendo mais frequente na população afrodescendente. Abordar a experiência de adoecimento crônico significa olhar para o sujeito que (con)vive com uma condição que o acompanha em todos os lugares. Os dados foram coletados segundo a técnica do relato oral por meio de entrevistas orientadas por roteiro semi estruturado junto a 4 homens e 4 mulheres adoecidos além de 4 familiares (respectivas mães) presentes por ocasião das entrevistas. A essas informações juntaram-se dados objetivos de caracterização dos sujeitos e seu contexto, bem como observações de dados não verbais e conversas informais registrada em diário de campo e que foram tratados conforme a análise temática. Os resultados mais significativos são apresentados em 2 manuscritos compondo a dissertação. O primeiro aborda as explicações sobre o conceito, causalidade, sintomas e enfrentamentos cotidianos expressos pelos adoecidos e o último é um estudo de caso mostrando a complexidade da experiência na sua singularidade. Entre as complicações da anemia falciforme algumas se mostraram comuns, como o uso de metáforas para conceituá-la; a dor e as feridas são crônicas e requerem manejo cotidiano e demandando a procura dos serviços de saúde; bem como a icterícia com potencial estigmatizante. Não obstante, cada caso apresenta peculiaridades pelas singularidades biográficas, idiossincrasias. O diagnóstico tardio foi unânime podendo ser compreendido, em parte, pela inexistência do Teste do Pezinho para detecção precoce da anemia falciforme no estado, porém há outros exames específicos que mediante suspeita clínica podem ser solicitados, contudo remete ao preparo dos profissionais de saúde. Ainda que acometa qualquer pessoa, reconhece-se que os mais atingidos parecem estar em segmentos histórica e socialmente excluídos, com isso não se pode ignorar que a experiência de adoecimento pode ser ainda mais dolorosa diante das desigualdades sociais (entre elas a racial) presentes na sociedade brasileira. Portanto, considera-se pertinente a elaboração de políticas focalizadoras quando se trata de contextos historicamente desiguais, para que seja possível garantir o acesso de todo cidadão aos benefícios das políticas universais de saúde. / The study examined the experience of adults with sickle cell disease (SCD) addressed in the first person and how chronic illness. This genetic disease is common in Brazil and in the world, being more frequent in people of African descent. Address the experience of chronic mean look at the guy (con) lives with a condition that accompanies it everywhere. Data were collected using the technique of oral accounts through interviews guided by a semi structured along the four men and four women sickened beyond 4 family (their mothers) present during the interviews. The information gathered these objective data to characterize the subjects and their context, as well as non-verbal data observations and informal conversations recorded in a field diary and were treated according to thematic analysis. The most significant results are presented in two manuscripts composing the dissertation. The first deals with the explanation of the concept, causation, symptoms and daily confrontations expressed by the diseased and the latter is a case study showing the complexity of the experience in their uniqueness. Among the complications of sickle cell anemia have shown some common, such as the use of metaphors to conceptualize it, the pain and the wounds are chronic and require daily management and demanding the demand for health services, as well as jaundice potentially stigmatizing. Nevertheless, each case presents peculiarities by singularities biographical idiosyncrasies. Late diagnosis was unanimous and can be understood, in part, by the absence of neonatal screening for early detection of sickle cell anemia in the state, but there are other specific tests that upon clinical suspicion may be requested, however refers to the preparation of health professionals. Although it affects anyone, it is recognized that the most affected segments appear to be historically and socially excluded, it can not be ignored that the illness experience can be even more painful in the face of social inequality (including the race) in the Brazilian society. Therefore, it is pertinent to preparation of focusing policies when it comes to historically unequal contexts, so that you can ensure access of all citizens to the benefits of universal health policies.
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Investigating the role of human cytomegalovirus protein LUNA in regulating viral gene expression during latencyLau, Jonathan January 2018 (has links)
Human cytomegalovirus (HCMV) is a widespread human herpesvirus pathogen and prototypical member of the β-herpesvirus subfamily. Like all herpesviruses, the virus establishes a lifelong latent infection following host exposure, which has the potential to reactivate periodically and contribute to recurrent disease processes. In individuals with weak or compromised immune systems, such reactivation can lead to profound pathology. Understanding how latent infections are maintained is important for uncovering how HCMV causes disease. The study of viral genes that are expressed during latent infection grants insight into how latency is regulated and how it could be therapeutically targeted. To that end, this project has sought to evaluate the functional significance of one such viral gene termed LUNA in the context of latency. In models of experimental latent infection based on primary myeloid cells, levels of viral gene transcription were found to be significantly reduced following infection with LUNA deletion mutant viruses, consistent with corresponding observable changes in post-translational histone modifications over the viral promoters of latency-associated genes. Additionally, using luciferase reporter systems, latency-associated viral gene promoters became activated in response to the expression of wild-type LUNA. Together, these findings argue for a role of LUNA in regulating viral gene expression during latent HCMV infection. One possible mechanism by which LUNA may fulfil its role is by targeting cellular ND10 structures, known intrinsic inhibitors of herpesvirus gene expression, for disruption. In support of this, latently infected cells were found to be devoid of ND10, a phenotype that was recapitulated by the direct expression of wild-type LUNA. Furthermore, mutation studies confirmed the identification of a novel deSUMOylase activity encoded by LUNA that was responsible for mediating ND10 disruption. Use of a catalytically inactive LUNA mutant in transcriptional analyses of latent infection also generated similar results as with the LUNA deletion viruses. Overall, these data support the hypothesis that LUNA serves as an important regulator of viral gene expression during latency, which is likely linked to its ability to target ND10 structures for disruption, thus raising the possibility that inhibition of deSUMOylation may serve as a novel therapeutic strategy to target latent HCMV infection.
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