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Background Hemodialysis (HD) patients elicit an oxidant-antioxidant imbalance in addition to a selenium deficiency, possibly contributing to cardiovascular disease (CVD) mortality. Objective To evaluate the effect of selenium supplementation on CVD outcomes and antioxidant status in HD patients. Design A randomized controlled intervention trial conducted from October 2012 to January

Background Hemodialysis (HD) patients elicit an oxidant-antioxidant imbalance in addition to a selenium deficiency, possibly contributing to cardiovascular disease (CVD) mortality. Objective To evaluate the effect of selenium supplementation on CVD outcomes and antioxidant status in HD patients. Design A randomized controlled intervention trial conducted from October 2012 to January 2013. Participants/setting The study included 27 maintenance HD patients (61.1+17.5y, 14M, 13F) receiving HD in the greater Phoenix, AZ area. Intervention Patients received one of three treatments daily: 2 Brazil nuts, (5g, 181µg/day of selenium as selenomethionine [predicted]), 1 tablet of selenium (200µg/day of selenium as selenomethionine), or control (3 gummy bears). Main outcome measures Antioxidant status outcome measures included total antioxidant capacity, vitamin C, and RBC and plasma glutathione peroxidase (GSH-Px). CVD outcomes measures included brain natriuretic peptide; plasma cholesterol, high density lipoprotein, low density lipoprotein, triglycerides; blood pressure, and thoracic cavity fluid accumulation. Statistical analyses performed Repeated measures ANOVA analyzed changes over time and between groups at months 0 and 2 and months 0 and 3. Results Independent analysis showed the Brazil nuts provided 11µg of selenium/day and the pill provided 266µg of selenium/day. Consequently, the Brazil nut group was combined with the placebo group. 21 patients completed 2 months of the study and 17 patients completed the study in its entirety. Data was analyzed for months 0, 1 and 2. No significant differences were noted for antioxidant status outcome measures with the exception of plasma GSH-Px. Patients receiving the selenium pill had a significant increase in plasma GSH-Px compared to the placebo group (6.0+11 and -4.0+7.6, respectively, p=0.023 for change between month 0 and month 2). No significant differences were seen in total antioxidant capacity or for CVD outcome measures over time or between groups. Conclusions These data indicate that selenium supplementation increased plasma GSH-Px concentration in HD patients; however, oxidative stress was not altered by selenium supplementation. The low vitamin C status of HD patients warrants further research, specifically in conjunction with selenium supplementation.
ContributorsSussman, Elizabeth Jessica (Author) / Johnston, Carol S (Thesis advisor) / Boren, Kenneth (Committee member) / Mayol-Kreiser, Sandra (Committee member) / Sweazea, Karen (Committee member) / Vaughan, Linda (Committee member) / Arizona State University (Publisher)
Created2013
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Description
Whenever a text is transmitted, or communicated by any means, variations may occur because editors, copyists, and performers are often not careful enough with the source itself. As a result, a flawed text may come to be accepted in good faith through repetition, and may often be preferred over the

Whenever a text is transmitted, or communicated by any means, variations may occur because editors, copyists, and performers are often not careful enough with the source itself. As a result, a flawed text may come to be accepted in good faith through repetition, and may often be preferred over the authentic version because familiarity with the flawed copy has been established. This is certainly the case with regard to Manuel M. Ponce's guitar editions. An inexact edition of a musical work is detrimental to several key components of its performance: musical interpretation, aesthetics, and the original musical concept of the composer. These phenomena may be seen in the case of Manuel Ponce's Suite in D Major for guitar. The single published edition by Peer International Corporation in 1967 with the revision and fingering of Manuel López Ramos contains many copying mistakes and intentional, but unauthorized, changes to the original composition. For the present project, the present writer was able to obtain a little-known copy of the original manuscript of this work, and to document these discrepancies in order to produce a new performance edition that is more closely based on Ponce's original work.
ContributorsReyes Paz, Ricardo (Author) / Koonce, Frank (Thesis advisor) / Solis, Theodore (Committee member) / Rotaru, Catalin (Committee member) / Arizona State University (Publisher)
Created2013
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Description
Broaden and build theory (BBT; Fredrickson, 1998; 2001) postulates that positive emotions expand the scope of one's attention and thought-action repertoires (Fredrickson & Branigan, 2005). Within the boundaries of BBT, the undoing hypothesis (Fredrickson, 1998, Fredrickson & Levenson, 1998) argues that positive emotions themselves do not bring forth specific action

Broaden and build theory (BBT; Fredrickson, 1998; 2001) postulates that positive emotions expand the scope of one's attention and thought-action repertoires (Fredrickson & Branigan, 2005). Within the boundaries of BBT, the undoing hypothesis (Fredrickson, 1998, Fredrickson & Levenson, 1998) argues that positive emotions themselves do not bring forth specific action tendencies or urges; therefore, they do not consequently require an increase in cardiovascular activity to carry out the urge. On the other hand, positive emotions have evolved to subdue the cardiovascular response previously initiated by negative emotions. This dissertation proposes that the real power of positive emotions might be to undo not the effects of negative emotions themselves, however, but simply reduce the arousal itself. This dissertation used minor physiological arousal (e.g., a step-stool task) to simulate the cardiovascular effects of the stress manipulations used in previous tests of the undoing hypothesis by Fredrickson and colleagues. This dissertation asks if positive emotions undo the cardiovascular reactivity of an emotionally neutral stimulus. Positive emotions were induced through one film clip (i.e., a happy film clip) and was compared to a neutral film clip (no emotion elicited). An experimental design measured the effects of arousal induction and film clip on participants' cardiovascular activity. Results indicated that positive emotions had the same effect as no emotions on participants' cardiovascular activity. Implications for theory and research are provided, as well as an assessment of the study's strengths and limitations. Finally, several directions for future research are offered.
ContributorsDeiss, Douglas M (Author) / Floyd, Kory (Thesis advisor) / Mongeau, Paul (Committee member) / Thompson, Marilyn (Committee member) / Arizona State University (Publisher)
Created2012
Description

Our project is to create a simplified, portable, modular electrocardiogram known as ECG/EKG. Most medical facilities, including hospitals, clinics, and skilled nursing facilities, still rely on traditional 12-lead EKG equipment consisting of a large cart with long 10 wires. These wires can be a pain to constantly detangle and rearrange

Our project is to create a simplified, portable, modular electrocardiogram known as ECG/EKG. Most medical facilities, including hospitals, clinics, and skilled nursing facilities, still rely on traditional 12-lead EKG equipment consisting of a large cart with long 10 wires. These wires can be a pain to constantly detangle and rearrange to determine a person’s heart conditions. This creates issues in fast paced scenarios such as when a patient is experiencing a heart attack and needs an EKG stat. Additionally, the current technology can be somewhat unreliable at determining heart conditions, causing providers to request multiple EKG’s for patients. With our improved versatile EKG, we can help solve these issues and implement additional outpatient use with its portable features. This can be done by remotely monitoring heart conditions during activities such as exercise, sleep, or stressful events, without worrying about wire disturbance.

ContributorsTaut, Sarah (Author) / Mullins, Hunter (Co-author) / Huang, Hai (Co-author) / Lam, Jadon (Co-author) / Lee, Youngju (Co-author) / Goode, Zachary (Co-author) / Byrne, Jared (Thesis director) / Swader, Melissa (Committee member) / McElfish, Alex (Committee member) / Barrett, The Honors College (Contributor) / School of Molecular Sciences (Contributor)
Created2023-05
Description

Our project is to create a simplified, portable, modular electrocardiogram known as ECG/EKG. Most medical facilities, including hospitals, clinics, and skilled nursing facilities, still rely on traditional 12-lead EKG equipment consisting of a large cart with long 10 wires. These wires can be a pain to constantly detangle and rearrange

Our project is to create a simplified, portable, modular electrocardiogram known as ECG/EKG. Most medical facilities, including hospitals, clinics, and skilled nursing facilities, still rely on traditional 12-lead EKG equipment consisting of a large cart with long 10 wires. These wires can be a pain to constantly detangle and rearrange to determine a person’s heart conditions. This creates issues in fast paced scenarios such as when a patient is experiencing a heart attack and needs an EKG stat. Additionally, the current technology can be somewhat unreliable at determining heart conditions, causing providers to request multiple EKG’s for patients. With our improved versatile EKG, we can help solve these issues and implement additional outpatient use with its portable features. This can be done by remotely monitoring heart conditions during activities such as exercise, sleep, or stressful events, without worrying about wire disturbance.

ContributorsLam, Jadon (Author) / Mullins, Hunter (Co-author) / Huang, Hai (Co-author) / Taut, Sarah (Co-author) / Lee, Youngju (Co-author) / Goode, Zachary (Co-author) / Byrne, Jared (Thesis director) / Swader, Melissa (Committee member) / McElfish, Alex (Committee member) / Barrett, The Honors College (Contributor) / Department of Information Systems (Contributor) / Human Systems Engineering (Contributor)
Created2023-05
Description

Our project is to create a simplified, portable, modular electrocardiogram known as ECG/EKG. Most medical facilities, including hospitals, clinics, and skilled nursing facilities, still rely on traditional 12-lead EKG equipment consisting of a large cart with long 10 wires. These wires can be a pain to constantly detangle and rearrange

Our project is to create a simplified, portable, modular electrocardiogram known as ECG/EKG. Most medical facilities, including hospitals, clinics, and skilled nursing facilities, still rely on traditional 12-lead EKG equipment consisting of a large cart with long 10 wires. These wires can be a pain to constantly detangle and rearrange to determine a person’s heart conditions. This creates issues in fast paced scenarios such as when a patient is experiencing a heart attack and needs an EKG stat. Additionally, the current technology can be somewhat unreliable at determining heart conditions, causing providers to request multiple EKG’s for patients. With our improved versatile EKG, we can help solve these issues and implement additional outpatient use with its portable features. This can be done by remotely monitoring heart conditions during activities such as exercise, sleep, or stressful events, without worrying about wire disturbance.

ContributorsMullins, Hunter (Author) / Lam, Jadon (Co-author) / Goode, Zachary (Co-author) / Taut, Sarah (Co-author) / Lee, Youngju (Co-author) / Huang, Hai (Co-author) / Byrne, Jared (Thesis director) / Swader, Melissa (Committee member) / McElfish, Alex (Committee member) / Barrett, The Honors College (Contributor) / Engineering Programs (Contributor)
Created2023-05
Description

Our project is to create a simplified, portable, modular electrocardiogram known as ECG/EKG. Most medical facilities, including hospitals, clinics, and skilled nursing facilities, still rely on traditional 12-lead EKG equipment consisting of a large cart with long 10 wires. These wires can be a pain to constantly detangle and rearrange

Our project is to create a simplified, portable, modular electrocardiogram known as ECG/EKG. Most medical facilities, including hospitals, clinics, and skilled nursing facilities, still rely on traditional 12-lead EKG equipment consisting of a large cart with long 10 wires. These wires can be a pain to constantly detangle and rearrange to determine a person’s heart conditions. This creates issues in fast paced scenarios such as when a patient is experiencing a heart attack and needs an EKG stat. Additionally, the current technology can be somewhat unreliable at determining heart conditions, causing providers to request multiple EKG’s for patients. With our improved versatile EKG, we can help solve these issues and implement additional outpatient use with its portable features. This can be done by remotely monitoring heart conditions during activities such as exercise, sleep, or stressful events, without worrying about wire disturbance.

ContributorsLee, Youngju (Author) / Taut, Sarah (Co-author) / Goode, Zachary (Co-author) / Lam, Jadon (Co-author) / Huang, Hai (Co-author) / Mullins, Hunter (Co-author) / Byrne, Jared (Thesis director) / Swader, Melissa (Committee member) / McElfish, Alex (Committee member) / Barrett, The Honors College (Contributor) / Department of Management and Entrepreneurship (Contributor) / Dean, W.P. Carey School of Business (Contributor)
Created2023-05
Description

Our project is to create a simplified, portable, modular electrocardiogram known as ECG/EKG. Most medical facilities, including hospitals, clinics, and skilled nursing facilities, still rely on traditional 12-lead EKG equipment consisting of a large cart with long 10 wires. These wires can be a pain to constantly detangle and rearrange

Our project is to create a simplified, portable, modular electrocardiogram known as ECG/EKG. Most medical facilities, including hospitals, clinics, and skilled nursing facilities, still rely on traditional 12-lead EKG equipment consisting of a large cart with long 10 wires. These wires can be a pain to constantly detangle and rearrange to determine a person’s heart conditions. This creates issues in fast paced scenarios such as when a patient is experiencing a heart attack and needs an EKG stat. Additionally, the current technology can be somewhat unreliable at determining heart conditions, causing providers to request multiple EKG’s for patients. With our improved versatile EKG, we can help solve these issues and implement additional outpatient use with its portable features. This can be done by remotely monitoring heart conditions during activities such as exercise, sleep, or stressful events, without worrying about wire disturbance.

ContributorsGoode, Zachary (Author) / Huang, Hai (Co-author) / Lam, Jadon (Co-author) / Lee, Youngju (Co-author) / Taut, Sarah (Co-author) / Mullins, Hunter (Co-author) / Byrne, Jared (Thesis director) / Swader, Melissa (Committee member) / Barrett, The Honors College (Contributor) / Engineering Programs (Contributor) / School of Manufacturing Systems and Networks (Contributor)
Created2023-05
Description

Our project is to create a simplified, portable, modular electrocardiogram known as ECG/EKG. Most medical facilities, including hospitals, clinics, and skilled nursing facilities, still rely on traditional 12-lead EKG equipment consisting of a large cart with long 10 wires. These wires can be a pain to constantly detangle and rearrange

Our project is to create a simplified, portable, modular electrocardiogram known as ECG/EKG. Most medical facilities, including hospitals, clinics, and skilled nursing facilities, still rely on traditional 12-lead EKG equipment consisting of a large cart with long 10 wires. These wires can be a pain to constantly detangle and rearrange to determine a person’s heart conditions. This creates issues in fast paced scenarios such as when a patient is experiencing a heart attack and needs an EKG stat. Additionally, the current technology can be somewhat unreliable at determining heart conditions, causing providers to request multiple EKG’s for patients. With our improved versatile EKG, we can help solve these issues and implement additional outpatient use with its portable features. This can be done by remotely monitoring heart conditions during activities such as exercise, sleep, or stressful events, without worrying about wire disturbance.

ContributorsHuang, Hai (Author) / Mullins, Hunter (Co-author) / Lam, Jadon (Co-author) / Taut, Sarah (Co-author) / Goode, Zachary (Co-author) / Lee, Youngju (Co-author) / Byrne, Jared (Thesis director) / Swader, Melissa (Committee member) / McElfish, Alex (Committee member) / Barrett, The Honors College (Contributor) / Department of Information Systems (Contributor) / Department of Supply Chain Management (Contributor)
Created2023-05
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Description
Aortic pathologies such as coarctation, dissection, and aneurysm represent a

particularly emergent class of cardiovascular diseases and account for significant cardiovascular morbidity and mortality worldwide. Computational simulations of aortic flows are growing increasingly important as tools for gaining understanding of these pathologies and for planning their surgical repair. In vitro experiments

Aortic pathologies such as coarctation, dissection, and aneurysm represent a

particularly emergent class of cardiovascular diseases and account for significant cardiovascular morbidity and mortality worldwide. Computational simulations of aortic flows are growing increasingly important as tools for gaining understanding of these pathologies and for planning their surgical repair. In vitro experiments are required to validate these simulations against real world data, and a pulsatile flow pump system can provide physiologic flow conditions characteristic of the aorta.

This dissertation presents improved experimental techniques for in vitro aortic blood flow and the increasingly larger parts of the human cardiovascular system. Specifically, this work develops new flow management and measurement techniques for cardiovascular flow experiments with the aim to improve clinical evaluation and treatment planning of aortic diseases.

The hypothesis of this research is that transient flow driven by a step change in volume flux in a piston-based pulsatile flow pump system behaves differently from transient flow driven by a step change in pressure gradient, the development time being substantially reduced in the former. Due to this difference in behavior, the response to a piston-driven pump can be predicted in order to establish inlet velocity and flow waveforms at a downstream phantom model.

The main objectives of this dissertation were: 1) to design, construct, and validate a piston-based flow pump system for aortic flow experiments, 2) to characterize temporal and spatial development of start-up flows driven by a piston pump that produces a step change from zero flow to a constant volume flux in realistic (finite) tube geometries for physiologic Reynolds numbers, and 3) to develop a method to predict downstream velocity and flow waveforms at the inlet of an aortic phantom model and determine the input waveform needed to achieve the intended waveform at the test section. Application of these newly improved flow management tools and measurement techniques were then demonstrated through in vitro experiments in patient-specific coarctation of aorta flow phantom models manufactured in-house and compared to computational simulations to inform and execute future experiments and simulations.
ContributorsChaudhury, Rafeed Ahmed (Author) / Frakes, David (Thesis advisor) / Adrian, Ronald J (Thesis advisor) / Vernon, Brent (Committee member) / Pizziconi, Vincent (Committee member) / Caplan, Michael (Committee member) / Arizona State University (Publisher)
Created2015