Digital Commons Network^™

But, It's Just A Uti, Gillian Long

Research Days

A case report of a 12 year old female presenting to the emergency room with rash, hematuria and shortness of breath, ultimately found to have a life changing diagnosis.

Variability In Methotrexate Metabolites In A Cohort Of Jia Patients, Nuria Lara Castillo, Mara Becker, Marc Sudman, Susan Thompson, Laura Ramsey

Research Days

Background: Methotrexate (MTX) is the cornerstone disease-modifying anti-rheumatic drug for the treatment of Juvenile Idiopathic Arthritis (JIA). While most patients receiving MTX have a favorable outcome, approximately 30% do not respond, and several experience toxic events, suggesting interindividual difference. Furthermore, evaluation of MTX response takes several months, with the risk of missing the early “window of opportunity” for treatment. Predicting MTX response prior to administration would greatly benefit these patients and their treating physicians by saving valuable time during the early stages of the disease onset. MTX is a folate antagonist and, similar to folate, it undergoes polyglutamation inside the …

What Happens After They Leave The Ed? Following Up Acute Asthma Exacerbations After Changes In Clinical Practice Guidelines For Treatment, Phillip S. Wozniak, Jade B. Tam-Williams

Research Days

In 2022, Children’s Mercy Hospital (CMH) implemented a new clinical practice guideline (CPG) recommending single-dose dexamethasone as the first line oral steroid for treatment of mild to moderate acute asthma exacerbations. We assessed the impact of this CPG change on readmission rates after discharge from emergency department/urgent care (ED/UC). We hypothesized that single-dose dexamethasone would be non-inferior to a 5-day course of prednisone/prednisolone with respect to 7-day and 30-day acute care readmission rates and need for additional outpatient steroid courses.

Bilateral Buccal Myomucosal Flap Palatoplasty For The Management Of Velopharyngeal Dysfunction In Children, Jay Szekely, Meghan Tracy, Janelle R. Noel-Macdonnell, Jill M. Arganbright

Research Days

Background: The use of bilateral myomucosal buccal flap palatoplasty (BMBFP) for velopharyngeal insufficiency (VPI) has increased in popularity. Despite the increasing popularity, there is a paucity in research examining their outcomes, especially in reference to the pediatric population.

Objectives/Goal: The objective of this paper was to investigate the utility of BMBFP for the correction of VPI in children.

Methods/Design: Retrospective chart review was performed using CPT codes to locate patients with BMBFP performed at our pediatric institution between July 2020 to July 2024. Data collected included demographics, associated syndromes, complications, pre-operative and post-operative resonance outcomes, and the need for revision …

Posterior Pharyngeal Flap For The Management Of Velopharyngeal Dysfunction: Comparing Outcomes For Children With 22q11.2 Deletion Syndrome To Those Without, Jay Szekely, Meghan Tracy, Janelle R. Noel-Macdonnell, Jill M. Arganbright

Research Days

Introduction (including objectives): Velopharyngeal dysfunction (VPD) is one of the most common clinical features of 22q11.2 deletion syndrome (22q11.2DS) and often requires surgical intervention; due to the multifactorial nature of VPD, these patients present unique and often complex surgical challenges. Prior studies have generally demonstrated poorer speech outcomes postoperatively in children with 22q11.2DS. The posterior pharyngeal flap (PPF) is often considered first-line surgical choice for correction of VPD in children with 22q11.2DS. The aim of this study is to compare PPF outcomes for children with 22q11.2DS to those without.

Methods: Retrospective review for pediatric patients diagnosed with VPI who underwent …

Viral Detection In Anterior Nasal Swabs Versus Nasopharyngeal Swabs In Children, Nicole Neeley, Abby Kietzman, Rangaraj Selvarangan, Dithi Banerjee, Jennifer Goldman, Jennifer Schuster

Research Days

Background: Respiratory viruses are a significant cause of pediatric illness and healthcare utilization. Diagnostic testing for respiratory viruses is generally performed using nasopharyngeal (NP) specimens obtained by trained staff, limiting testing to medical settings. Evaluating additional sampling methods in children that are easier to collect and can be performed outside of medical settings, such as anterior nasal swab (NS) specimens may expand access to diagnostic testing and aid public health surveillance.

Methods: Eligible children hospitalized at Children’s Mercy Hospital who had a standard of care NP specimen collected for respiratory viral testing were enrolled. Research NS specimens were obtained through …

Outcomes Of Expectant, Medical, And Surgical Management Of Early Pregnancy Loss, Sylvia Lobo Md

Dept. of Obstetrics & Gynecology Resident Research Day

No abstract provided.

Oligohydramnios As A Potential Risk Factor For Postpartum Readmission For Hypertensive Disorders Of Pregnancy, Rachel Denneny Md

Dept. of Obstetrics & Gynecology Resident Research Day

No abstract provided.

Systematic Review And Meta-Analysis Of Administration Of Liposomal Bupivacaine For Opioid Reduction After Cesarean Delivery, Madelyn Roberson Md

Dept. of Obstetrics & Gynecology Resident Research Day

No abstract provided.

Comparative Analysis Of Frozen Embryo Transfer Protocols In Patients With And Without Ovulatory Dysfunction, Juan Naranjo Md

Dept. of Obstetrics & Gynecology Resident Research Day

No abstract provided.

Stage I Hypertension And Aspirin Use In Pregnancy, Keiko Leong Md/Mph

Dept. of Obstetrics & Gynecology Resident Research Day

No abstract provided.

Correction To The Key (Page 92) Of Description Of The Nymph Of Ophiogomphus Smithi (Odonata: Gomphidae), With A Key To The Species Of Ophiogomphus In The Western Great Lakes Region Tgle 49(1&2): 78–97, William A. Smith, Kenneth J. Tennessen

The Great Lakes Entomologist

[excerpt]

In our paper describing the nymph of Ophiogomphus smithi (TGLE, vol. 49, pages 78–97), we characterized Ophiogomphus howei in couplet 1 of the Primary Key (p. 92) as “Head W [width] greater than maximum abdomen W”. The statement was based on our misinterpretation of data reported online.

Phyllopalpus Pulchellus Uhler, The Handsome Trig (Orthoptera: Gryllidae), A Confirmed Michigan Resident, Mark F. O'Brien, Julie A. Craves

The Great Lakes Entomologist

[excerpt]

Phyllopalpus pulchellus Uhler is a member of the Trigonidiinae, also called trigs, sword-tail crickets (Capinera et al. 2004), or more informally, bush crickets; the common name is the Handsome Trig or Red-headed Bush Cricket. The distinctive features of this small cricket (less than 15 mm)—the large black palps, light yellow legs, shiny black wings, and red pronotum and head—are not seen in any other crickets within its range. The Handsome Trig can be found throughout much of the U.S. east of extreme east Texas and south of approximately 41.5° latitude, just south of the Michigan state border (Walker 2003).

Xiphydria Prolongata (Hymenoptera: Xiphydriidae): First North American Hosts And State Records For Connecticut And New York, Chris T. Maier, David R. Smith

The Great Lakes Entomologist

Adults of the Eurasian sawfly, Xiphydria prolongata (Geoffroy) (Hymenoptera: Xiphydriidae), were reared from Salix nigra Marshall in Connecticut and from Salix alba L. in New York. These are the first reported hosts for North America, and the collecting localities represent the first state records.

Assessing The Contribution Of Geography And Host Use To Genetic Structure In New York Populations Of The Parasitoid Wasp, Aphidius Ervi, Haley J. Plasman, David M. Althoff

The Great Lakes Entomologist

Host-associated differentiation (HAD) been proposed as a general mechanism for differentiation of many groups of parasitic organisms including plant-feeding insects and their natural enemies. In particular, parasitoid wasps that attack herbivorous insects have many life habits similar to other parasitic taxa, suggesting that HAD also may be important in differentiation. We tested for the population genetic signature of HAD in a parasitoid wasp, Aphidius ervi (Haliday), a biocontrol agent that uses many species of aphids throughout Europe, but is mainly limited to the clover and alfalfa host-races of the pea aphid Acyrthosiphon pisum (Harris) in North America. We assessed allelic …

Sirex Nigricornis (Hymenoptera: Siricidae) Oviposition Preference And Development In Relation To Host Age, And A Novel Live-Trapping System For Wood-Borers, Jessica A. Hartshorn, Larry D. Galligan, Ace J.W. Lynn-Miller, Fred M. Stephen

The Great Lakes Entomologist

Sirex nigricornis F. (Hymenoptera: Siricidae) is a pine-inhabiting woodwasp native to eastern North America. A non-native congener, S. noctilio F., was discovered along the southeastern shore of Lake Ontario in New York in 2004 and its current distribution now includes seven northeastern states, Ontario, and Quebec. Its discovery led to a sharp increase in research focusing on S. noctilio as well as S. nigricornis. Research on these two species, and their associates, requires efficient methods for field collection and laboratory rearing. Success of these programs relies on successful collection of, and oviposition by, live females in artificial conditions. Moisture content …

Gallery Characteristics And Life History Of The Ambrosia Beetle Anisandrus Obesus (Coleoptera: Curculionidae: Scolytinae) In Big Tooth Aspen, Steven Cassar, Richard Roeper, Robert Beck, Todd Pomeroy, Mark Bruce

The Great Lakes Entomologist

Anisandrus obesus LeConte constructs entrance holes uniformly over the surface of Big Tooth Aspen (Populus grandidenta Michx.) in April each year. An individual female bores a single entrance tunnel about 7 mm into the sapwood and then two lateral tunnels parallel to the surface. After symbiotic fungal growth, eggs are laid along the gallery walls by May. Three larval instars consume the beetle’s symbiotic fungus and do not expand the gallery. Pupae develop through June with progeny adults appearing by mid-July. Progeny sex ratio of approximately 6 females to 1 male was observed. Progeny adults overwinter within the parental gallery; …

Attraction Of Diabrotica Barberi Smith And Lawrence (Coleoptera: Chrysomelidae) To Eugenol-Baited Traps In Soybean, Louis S. Hesler

The Great Lakes Entomologist

Diabrotica barberi Smith and Lawrence (the northern corn rootworm) is a native North American leaf beetle and a major pest of corn. However, adult D. barberi forage in various habitats outside of corn fields, including soybean, roadside vegetation, and prairie. Eugenol is a common floral volatile that has been shown to increase trap catch of D. barberi within corn and prairie habitat. This paper documents the first report of increased catch of D. barberi on eugenol- baited traps in soybean fields. In two successive tests, catch of D. barberi was increased eight-fold or more by baiting traps with eugenol compared …

Invertebrate Communities Associated With Three Early Phases Of A Prairie Restoration Project, Tracy R. Evans, Meredith J. Mahoney, E. D. Cashatt, Bryon W. Cross, Geert R. De Snoo, C. J.M. Musters

The Great Lakes Entomologist

While specific invertebrate groups have been studied in prairie restorations, there are few studies that look at terrestrial invertebrate assemblages. We surveyed invertebrates in three phases of plant restoration that were part of a larger restoration project. This cross-sectional study of invertebrate recovery at two, four and five years post-restoration shows there was no overall difference in invertebrate taxa richness and diversity between restoration phases. Overall abundance was greatest in the most recently restored area. Richness, diversity and abundance of six functional groups did not differ. The conclusion is that all phases are still characterized by pioneer invertebrate assemblages, and …

A Synopsis Of The Cimicoidea (Heteroptera) Of Michigan, Daniel R. Swanson

The Great Lakes Entomologist

An overview of the 20 species of Cimicoidea (Anthocoridae, Cimicidae, Lasiochilidae, Lyctocoridae) found in Michigan is presented, along with identification keys, distribution maps, and relevant literature. Five new state records for the following species, representing three of the four cimicoid families found in Michigan, are presented: Oeciacus vicarius Horváth (Cimicidae: Cimicinae), Cimexopsis nyctalis List (Cimicidae: Haematosiphoninae), Amphiareus obscuriceps (Poppius) (Anthocoridae), Cardiastethus borealis Kelton (Anthocoridae), and Lyctocoris stalii (Reuter) (Lyctocoridae).

Redescription Of The Female Of Oobius Depressus (Girault) (Hymenoptera: Encyrtidae), Newly Found In Michigan, U.S.A., Serguei V. Triapitsyn, Toby R. Petrice, Vladimir V. Berezovskiy

The Great Lakes Entomologist

A female of Oobius depressus (Girault) (Hymenoptera: Encyrtidae), collected in a modified Malaise trap in the canopy of a black locust tree, Robinia pseudoacacia, at Rose Lake State Wildlife Area in Bath Charter Township, Clinton Co., Michigan, U.S.A., is re-described and illustrated. This species was previously known only from the type series of headless specimens of both sexes from the type locality in Morristown, Henry Co., Illinois, U.S.A. These type specimens were from a single cohort of locust borer, Megacyllene robiniae (Forster) (Coleoptera: Cerambycidae), eggs collected and reared over one hundred years ago. An updated taxonomic key to females of …

New Records Of Aulacigaster Neoleucopeza Mathis And Freidberg (Diptera: Schizophora: Aulacigastridae) From Wisconsin, Daniel K. Young, Craig M. Brabant

The Great Lakes Entomologist

In Wisconsin, Aulacigaster neoleucopeza was previously known from but a single Dane County record dating from April 1951. We report one specimen captured with a flight-intercept trap on private property in Lafayette County, five specimens recovered from Lindgren funnel and Malaise traps at the Hemlock Draw, Nature Conservancy Preserve in Sauk County, and 659 specimens from Malaise traps at the Quincy Bluff State Natural Area in Adams County. The specimens were taken from mid-April 1998, late April to mid-May 2014, and early to mid-April 2010, respectively. As

Impact Of Integrating Psychiatric Care Into High-Risk Obstetrical Care, Alexandra Thomas Md

Dept. of Obstetrics & Gynecology Resident Research Day

No abstract provided.

Effectiveness Of Abdominal Circumference Alone Compared To Estimated Fetal Weight In The Diagnosis Of Fetal Growth Restriction, Catherine Shield Md

Dept. of Obstetrics & Gynecology Resident Research Day

No abstract provided.

Investigating Ecomorphology Of Cervidae Astragli Using Geometric Morphometrics, Carly Wisner

Student Research and Creative Activity Expo

This study explores the ecomorphology of Cervidae astragali using three-dimensional geometric morphometric analyses.

Conceptualizing Destination Resilience As Destination Marketing Strategy During Crisis, Made Hardinata Wijakesuma

Student Research and Creative Activity Expo

This study aims to investigate Destination Resilience model derived from variables of tourism discourse utilized as destination marketing strategy during natural disaster crisis in Bali, Indonesia.

Enhancing Self-Regulated Learning: Exploring Student Use Of Dual-Monitor Setups In Academic Environments, Qusai Tweissi

Student Research and Creative Activity Expo

Exploring how students use Dual-monitor setups to enhance their learning through self-regulation, investigating how these setups help students stay organized, manage their tasks, and optimize their study habits.

Examining The Therapeutic Potential Of Somatostatin: A Paracrine Potentiator Of Islet Calcium Pulsatility, Ben Stiadle

Student Research and Creative Activity Expo

Somatostatin has been demonstrated to induce oscillatory calcium patterns in pancreatic islets, prompting an investigation as to whether exogeneous application of the hormone can prevent or reverse deleterious adaptations to elevated glucose

Effects Of Type 2 Diabetes Medications On Human And Mouse Ovarian Cancer Cells, Emma Sielski

Student Research and Creative Activity Expo

Alternative avenues of ovarian cancer treatment are needed: by combining type 2 diabetes drugs with an oncolytic virus, an antitumor agent capable of targeting, infecting, and killing tumor cells, while inducing an antitumor immune response; the proposed approach would fulfill this need and potentially offer ovarian cancer patients a new avenue for treatment.

Sub-Surafce Damage Detection In Concrete Structure Using Topology Optimization And Digital Image Correlation, Aayush Poudel

Student Research and Creative Activity Expo

This project explores new and innovative method of sub-surface damage detection in concrete structures using optimization and digital image correlation.