Digital Commons Network^™

Characteristics Of Patients With Low Hepatitis C Treatment Rates In Urban Medical Center Clinics, Rana Khamis, Crisshy Auguste, Paul H. Naylor Phd, Milton G. Mutchnik Md

Medical Student Research Symposium

The objective of this study was to determine whether there were different characteristics between HCV patients who were treated and those not treated after their first visit to a Gastroenterology (GI) or Infectious Disease (ID) clinic. This information might identify potential targets for remedial actions that could be performed to increase the number of treated patients.

Data was collected from 2019 HCV patient EMR charts including patient demographics, treatment history, and laboratory studies. We defined success as receiving treatment by July 2020 (6-18 months after the first visit).

We found that of 587 patients with HCV who were seen at …

Predicting Risk Of Atrial Fibrillation In Hematopoietic Stem Cell Transplant, Min Yi Wu, Madhulata Reddy, Shatha Farhan

Medical Student Research Symposium

Background

Atrial fibrillation (AF) in hematopoietic stem cell transplant (HSCT) recipients is associated with significant morbidity. We have previously reported that obstructive sleep apnea (OSA), older age and presence of dilated left atrium (LA) are significant predictors of AF early post HSCT. In the current study, we sought to evaluate if TSH pre HSCT and serum electrolytes and eGFR at engraftment in patients undergoing HSCT are associated with increased risk of AF.

Methods

This is a single center retrospective study, involving 748 consecutive patients undergoing autologous and allogenic HSCT from 2012 to 2022. Patients’ charts were reviewed to acquire clinical …

Exploring Arab Americans’ Preferences Towards Telemedicine As A Mental Health Treatment, George G. Kidess, Liam Browning, Nicole Oska, Liza Hinchey, Arwa Saleem, Sadie Knill, Malaak Elhage, Arash Javanbakht

Medical Student Research Symposium

Introduction

Arab Americans—a large minority group in the United States—experience higher rates of mental illness and relatively lower rates of treatment compared to the general population. While some factors leading to this disparity have been proposed, data in the literature remains lacking. This study aims to explore Arab-American mental health perspectives with regards to their preferences towards telemental health as a treatment option.

Methods

Responses were collected through an anonymous bilingual Qualtrics survey from both Arab and non-Arab participants (n=294, ages 18+). Participants’ perceptions towards telemental health and mental illness stigma were assessed, performing comparisons between Arabs and non-Arabs, as …

Investigating Arab American Perspectives On Barriers To Mental Health Treatment, Arwa Saleem, Liam Browning, Nicole Oska, George Kidess, Liza Hinchey, Sadie Knill, Malaak Elhage, Arash Javanbakht

Medical Student Research Symposium

Purpose: Compared to the general population, Arab Americans experience higher rates of mental illness and lower rates of mental health treatment. While some causes of this discrepancy have been suggested, there are many gaps in the literature since Arab Americans are not recognized as an ethnic group in the United States. This study aims to analyze Arab-Americans’ outlook on mental health by identifying and addressing the barriers to receiving mental health treatment.

Methods: An anonymous bilingual Qualtrics survey was conducted and responses were collected from Arab and non-Arab participants (n=294, ages 18+). The participants’ viewpoints on barriers between Arabs and …

Characterizing Cold Water Drownings In The Great Lakes, Elizabeth T. Helfrich, Anthony Lagina

Medical Student Research Symposium

Since the COVID-19 outbreak in 2020, Great Lakes drownings have increased. The Great Lakes are a unique and understudied environment due to being cold, fresh water, and resuscitation protocols and guidelines being derived from warm, primarily salt water environments. We analyzed open sources materials to find records of Great Lakes drownings from 2021-2023 and analyze the data looking for trends in cold and warm water drownings.

We found 80.0-85.0% of the included drowning victims were male and had an average age of 38.0-39.0 years old. 40.0%-57.7% of Great Lakes drowning deaths were in cold water; of those, Lake Michigan had …

Breast Cancer And Colorectal Cancer Screening In Arab Americans From 2021-2023, Nicole Oska, Hasti Nema, Deni Peterson, Kendall Brothers, Mohammed Najeeb Al Hallek

Medical Student Research Symposium

Breast Cancer and Colorectal Cancer Screening in Arab Americans from 2021-2023

Nicole Oska¹, Hasti Nema¹, Deni Peterson¹, Kendall Brothers¹, Mohammed Najeeb Al Hallak^1,2

¹Department of Oncology, School of Medicine, Wayne State University, Detroit, MI, USA; ²Barbara Ann Karmanos Cancer Institute, Detroit, MI, USA

Introduction:

Breast cancer (BC) and colorectal cancer (CRC) are among the most commonly diagnosed cancers in the United States^1,2; screening for these cancers is a pivotal component of preventative healthcare. Arab Americans represent a diverse, yet understudied, patient population that may encounter distinct barriers …

A Systematic Review Of The Social Determinants Of Health In Shoulder Arthroplasty Outcomes, Allison Boland, John Pum, Michael Gaudiani, Matthew A. Gasparro

Medical Student Research Symposium

This systematic review investigates the impact of social determinants of health (SDOH) on outcomes in shoulder arthroplasty (SA). SA, a common orthopedic procedure, has seen an increasing focus on SDOH influencing postoperative results. The study aims to comprehensively assess this impact on both surgical and patient-reported outcomes.

Through a systematic search of databases, 34 studies (2011-2021) met the inclusion criteria, involving 4,825,547 patients. Explored SDOH included insurance status, race/ethnicity, age, sex, income, social support, and veteran status. Outcomes considered were length of stay, American Shoulder and Elbow Surgeons scores, total SA rates, revision rates, complication rates, and discharge status.

Findings …

Bone Fractures With And Without Sickle Cell Disease In The Pediatric Population, Alexander Wind, Lilian Awad, David Merolla, Alexander Glaros, Ahmed Bazzi, Priya Spencer, Meghan Baske, Emily Ridge, Usha Sethuraman

Medical Student Research Symposium

Background: Individuals with sickle cell disease are restricted from certain physical activities due to the increased risk of complications including fractures secondary to osteopenia. However the exact incidence and outcomes of fractures amongst these patients is unknown.

Objectives: (1) describe the incidence, epidemiology, and outcomes of fractures in patients with SCD. (2) to compare fracture patterns and outcomes in patients with and without SCD.

Methods: This is a retrospective, cohort study of patients aged 0-25 years old with HbSS, HbSC, or HbS-β-thalassemia with a fracture evaluated at a pediatric emergency department from April 2009-April 2022. Eligible patients were identified using …

Lack Of Alternatives To Colonoscopy Limits Care Of Patients Unable To Complete Bowel Preparation, Tala Al-Saghir

Clinical Research in Practice: The Journal of Team Hippocrates

A clinical decision report using:

Benech N, Vinet O, Gaudin JL, et al.: The ONECC Study Group. Colon capsule endoscopy in clinical practice: lessons from a national 5-year observational prospective cohort. Endosc Int Open. 2021;9(10):E1542-E1548. https://doi.org/10.1055/a-1526-09231

for a patient with incomplete bowel preparation and colonoscopy.

Kinship, Gift Exchange, And The Management Of Diabetes, Bryen Turco, Vito Agrusa, Laila Abdallah, James Peter Meza

Clinical Research in Practice: The Journal of Team Hippocrates

The authors examine the impact of kinship structures on the management poorly controlled type 2 diabetes

Conflict With Patient: Patient Will Only See Specific Gender, Dhiraj Tadikamalla, Lara Rostomian, Meet Patel, Neil Garg, Sara Naessig, Sohini Pandit, Mariam Raheem

Patient Education Projects

No abstract provided.

Conflict With Patient: Bias And Patient Care, James Burtka, Alyssa Rogers, Kaitlin Verkuilen, Maria Tjilos, Nelson Pinto, Siddharth Tirumala, Amanah Fatima, Fadi Kathawa

Patient Education Projects

No abstract provided.

Group Reflection: Self-Reflection And Identity Formation, Noor Sulaiman, Emma Breukink, Hussein Bazzi, Ranganath Kathawate, Ron Lukose, Vikram Rajan, Sahalia Rashid, Rahul Vyas

Patient Education Projects

No abstract provided.

Group Reflection: Gender Divide Of The White Coat, Alexander Minos, Carline Dugue, Ethan Mathew, Katherine Sommers, Lauren Fleckenstein, Peter Zakaria, Sahalia Rashid, Rahul Vyas

Patient Education Projects

No abstract provided.

Group Reflection: The Message Of The White Coat, Cyra Kharas, Mihika Sridhar, Paul Villa, Robert Leone, Sophia Gandarillas, Kenan Abou Chaer, Astha Saini

Patient Education Projects

No abstract provided.

Implicit Bias Mask 2023: Breaking Down Bias, Akshitha Balagani, Jacob A. Lavalley, Nicholas Weigle, Rina Badran Samara, Swetha Reddy, Toby Joshua Hulst

Patient Education Projects

No abstract provided.

Implicit Bias Mask 2023: Promote Openness And Inclusiveness To Address Biases, Aneesh Sai Cherukuri, Ashlee V. Perry, Ethan Dewayne Dunn, Grace Victoria Chen, Philip O. Riendeau, Sarah Jabeen Qureshi

Patient Education Projects

No abstract provided.

Implicit Bias Mask 2023: Practice Awareness To Correct Biases, Carter Lee Dunaway, Jonah Zvi Kornbluh, Kit Le Chau Tran, Naya Pabla, Olivia M. Jeakle, Zaid Y. Saadeh

Patient Education Projects

No abstract provided.

Implicit Bias Mask 2023: Continuously Stay Sensitive To Internalized Biases, Celia Jane Somers, Hiba S. Hasan, Jenna N. Hart, Kostantinos L. Halkias, Louis Marwan Haddad, Nikhil Paruchuri

Patient Education Projects

No abstract provided.

Implicit Bias Mask 2023: What The Eyes Do See: Learning To Grow And Respond, Aminah Juma Bharadia, Beverly Fu, Emma Ho Harris, Gabriel Khazal Boudagh, Michael David Mello, Sriraj Atluri

Patient Education Projects

No abstract provided.

Implicit Bias Mask 2023: Identify Implicit Biases To Overcome Them, Abeer Wael Abukamil, Joseph Fuad Hanania, Michael Abraham Nunu, Samar Ghassan Chehab, Vipul Taxak, Yeonju Kim

Patient Education Projects

No abstract provided.

Implicit Bias Mask 2023: Assumptions And Challenges Influence Biases, Dhwani S. Krishnan, David Elyas, Joseph D. Overway, Melissa S. Connop, Swathi Srikantan, Zahira Nawal Malik

Patient Education Projects

No abstract provided.

Implicit Bias Mask 2023: Societal Factors Define Implicit Biases, Charles Michael Hughes, Danishi Kaur Bedi, Erika P. Lopez, Jeffrey Lu, Kairo Rosario Noronha, Layla A. Darwiche

Patient Education Projects

No abstract provided.

Implicit Bias Mask 2023: Fears Of The Unknown Impacts Growth Mindset, Ananya L. Yanamandra, Christopher F. Ross, Danny Dean Salka, Hamza Khan, Julie Marie Waineo, Karen Elizabeth Zapien-Guerra

Patient Education Projects

No abstract provided.

Renal Disease Rehabilitation And Delaying Dialysis, Spencer Brown, Natalie Sterner

Clinical Research in Practice: The Journal of Team Hippocrates

A clinical decision report using:

Greenwood SA, Koufaki P, Mercer TH, et al. Effect of exercise training on estimated GFR, vascular health, and cardiorespiratory fitness in patients with CKD: a pilot randomized controlled trial. Am J Kidney Dis. 2015;65(3):425-434. https://doi.org/10.1053/j.ajkd.2014.07.015

for a patient with non-dialysis CKD interested in slowing the progression toward necessary dialysis.

Early Closure Of Colostomy From Abdominal Trauma May Be Beneficial In Otherwise Healthy Patients, Nicole Xu

Clinical Research in Practice: The Journal of Team Hippocrates

A clinical decision report appraising

Khalid MS, Moeen S, Khan AW, Arshad R, Khan AF. Same admission colostomy closure: a prospective, randomised study in selected patient groups. Surgeon. 2005;3(1):11-14. https://doi.org/10.1016/s1479-666x(05)80004-6

for a patient with loop transverse colostomy due to trauma

Anticoagulant Drug-Drug Interactions With Cannabinoids: A Systematic Review, Maureen A. Smythe, Wendy Wu, Candice L. Garwood

Department of Pharmacy Practice

Introduction

This systematic review evaluates the extent to which the effect of anticoagulants may be altered in the presence of cannabinoids.

Methods

The following databases were searched: EMBASE, PubMed, Web of Science, Scopus, PscycINFO, and CINAHL from database inception through May 2023. Search terms included cannabis AND anticoagulant AND drug interactions, and related key words. The major outcome was hemorrhage or thrombosis and if available, the relative change in quantitative intensity of anticoagulation after cannabinoid exposure.

Results

The search generated 959 citations. After removal of 440 duplicates, 519 citations were screened. Overall, with the exception of warfarin, evidence supporting an …

Assessing Boil Water Notices As Health-Risk Communication: Risk Perceptions, Efficacy, And Compliance During Winter Storm Uri, Ashleigh M. Day, Sydney O'Shay, Khairul Islam, Matthew W. Seeger, Shawn P. Mcelmurry

Open Data at Wayne State

Winter Storm Uri was an extreme disaster that impacted much of the United States during February of 2021. Texas and Oklahoma were generally not prepared for such an event and experienced massive power grid failures. This led to cascading risks including water system disruptions and many boil water notices (BWNs). The breakdown of some communication channels and the inability to enact protective actions due to power outages, as well as travel limitations on public roads, complicated both dissemination and implementation. Under these conditions, a non-representative, cross-sectional, survey was collected to assess individuals experience BWNs and how perceived efficacy impacts compliance. …

Retrospective Assessment Of A Collaborative Digital Asthma Program For Medicaid-Enrolled Children In Southwest Detroit: Reductions In Short-Acting Beta-Agonist (Saba) Medication Use, Meredith Barrett, Rahul Gondalia, Vy Vuong, Leanne Kaye, Alex B. Hill, Elliot Attisha, Teresa Holtrop

Urban Studies and Planning Faculty Research Publications

Background
Real-world evidence for digitally-supported asthma programs among Medicaid-enrolled children remains limited. Using data from a collaborative quality improvement program, we evaluated the impact of a digital intervention on asthma inhaler use among children in southwest Detroit.

Methods
Children (6–13 years) enrolled with Kids Health Connection (KHC), a program involving home visits with an asthma educator, were invited to participate in a digital self-management asthma program (Propeller Health). Patients were provided with a sensor to capture short-acting beta-agonist (SABA) medication use, and given access to a paired mobile app to track usage. Patients’ healthcare providers and caregivers (“followers”) were invited …

Introducing A Trauma-Informed Care Model To Address Racial Disparities In Perinatal Outcomes Among African American Women, Mariah K. White

Honors College Theses

Racial disparities in maternal and infant health have remained an issue within the United States despite efforts to advance and improve our health system. Most maternal deaths are preventable, especially with early and adequate maternal care. Infant mortality occurs for several reasons, but inadequate care usage increases the risk for adverse outcomes. Prenatal care usage within the United States has been inadequate for numerous years, most commonly among African American women, despite its known benefit. Low prenatal care usage among African American women can be attributed to community barriers, social injustices, trauma, discrimination, and health care mistrust. Trauma is common …