Digital Commons Network^™

Medical Student Mock Interview And Diabetes Education During The Covid-19 Pandemic, Ajith Thomas, Kendahl Oberdorfer, Suma Alzouhayli

Medical Student Research Symposium

Background: The Diabetes Education and Wellness (DEW) clinic is an interprofessional, student-run free clinic that promotes education and autonomy in diabetes management for underserved communities. When pandemic restrictions prevented in-person clinic visits, DEW opted instead to meet their patients virtually. DEW coordinators from the school of medicine designed a primer course to teach skills and medical knowledge that directly impacts diabetes management to ensure continued care of our patients.

Methods: The two components of the intervention were mock interviews and diabetes education. Medical students who previously volunteered at DEW were recruited to provide mock interviews. First year medical students were …

Intrabody-Mediated Postsynaptic Recruitment Of Camkiiα Improves Memory, Anthony Chifor, Jeongyoon Choi Dr., Joongkyu Park Dr.

Medical Student Research Symposium

Long-term potentiation (LTP), the selective strengthening of specific synapses based on recent activity, has widely been accepted as the biological mechanism responsible for learning and memory. N-methyl-D-aspartate receptors (NMDARs) play a critical role in LTP, which when activated, result in a surge of postsynaptic intracellular calcium levels. The calcium rise during LTP results in the activation of Ca²⁺/calmodulin-dependent kinase II alpha (CaMKIIa), which consequently enacts multiple cellular effects that ultimately result in the strengthening of synaptic connections. Previous work has examined the effects of CaMKIIa overexpression in rat hippocampi on spatial memory, however, significant but limited improvement in …

Language Preference Impact On The Outcomes Of Those Lost To Follow-Up After A Diagnosis Of Pregnancy Of Unknown Location, Erin A. Leestma, Mayra A. Shafique, Megan Mcnitt, Annmarie Vilkins

Medical Student Research Symposium

Pregnancy of unknown location (PUL) is a temporary diagnosis when there is a positive pregnancy test but an intrauterine gestational sac and/or fetal pole are not visualized with ultrasonography. The three potential outcomes for such a pregnancy are failed pregnancy, an early intrauterine pregnancy or an ectopic/abnormal pregnancy. Given the serious associated morbidity of ectopic pregnancy, these PUL require strict follow up of bHCG levels to help the clinician determine the likely outcome of the PUL (failed vs early vs ectopic) and choose the best intervention (expectant management, surgical management or medical management). One potential barrier to follow-up identified in …

Ultrasound Education Curriculum Increases First Year Student Visualization Ability Three-Fold, Joseph Files, Majd Faraj, Jared Hudson, Anna Kang, David Melville, Charles S. Day

Medical Student Research Symposium

Introduction: Ultrasound usage in identifying a subsheath within the first dorsal extensor compartment may be useful in determining cortisone shot effectiveness in alleviating pain for DeQuervain’s Tenosynovitis(1,2). However, no ultrasound educational curriculum has been established for non-radiologists(3-5). We hypothesize that an ultrasound training protocol will show marked improvement of anatomical knowledge and technical knowledge of how to utilize an ultrasound probe to visualize the first extensor compartment and any possible septation.

Materials & Methods: First-year medical students were polled for participation from a single medical school at a tertiary care academic medical center in the Midwest. Evaluations were developed and …

Management Of Patients Diagnosed With Pregnancy Of Unknown Location, Mayra A. Shafique

Medical Student Research Symposium

Ectopic pregnancies account for 75% of maternal deaths in the first trimester and 9%-13% of all pregnancy-related deaths.¹ It is critical that patients at risk for ectopic pregnancy be treated promptly. Pregnancy of unknown location (PUL) classifies a patient at risk for ectopic pregnancy when a pregnancy cannot be located on ultrasound but bhCG level is positive.² The incidence of PUL is 15% in patients undergoing a transvaginal ultrasound early in the first trimester.^2,3 In order to determine a management strategy to improve management of patient’s with PUL, a retrospective chart review of patients who presented to …

Corticosteroid Injection Exhibits Symptomatic Improvement In Cts Patients With Negative Emgs, Brooke G. Garnica, Aaron R. Prater, Elizabeth A. Washnock-Schmid, Alaa Hazime, Dr. Charles S. Day

Medical Student Research Symposium

Introduction

While corticosteroid injections for carpal tunnel syndrome (CTS) are effective in patients with mild EMGs, no literature has examined the effectiveness of injections in patients with negative EMGs. We hypothesized that patients with negative EMGs will have minimal symptomatic and functional improvement.

Methods

The Boston Carpal Tunnel Questionnaire (BCTQ) was administered to patients clinically diagnosed with CTS and a negative or mild EMG prior to corticosteroid injection. The BCTQ comprises functional (FSS) and symptom status (SSS) questions. The patient was re-evaluated at 2-weeks, 1-, 3-, and 6-months post-injection. Data were analyzed via one-way ANOVA tests. A post-hoc Benjamini-Hochberg FDR …

Sex Differences In Locomotor Activity And Behavioral Sensitization In Rats Administered Fentanyl, Jessica J. Lee, Nareen Sadik, Cameron Davidson Phd, Majd Yahya, Josie Zdun, Shane Perrine Phd

Medical Student Research Symposium

Opioid overdoses have continued to increase, and women have experienced a greater rate of increase than males. Preclinical studies demonstrate marked sex differences in addiction-related behaviors, with females being more vulnerable due to a potential role of estradiol. We sought to understand how the estrous cycle, as a proxy measure of estradiol, influences sex differences in the sensitizing effects of fentanyl. In this ongoing study, we used male and female rats to investigate potential sex effects of fentanyl (20µg/kg subcutaneously) administration for 14 days and a forced abstinence period of 13 days on behavioral sensitization via locomotor activity (LMA) following …

Do Orthopedic Surgeons Follow Through On Verbal Commitments To Participate In Deficit Recovery Efforts?, Maxwell T. Yoshida, Wendy Jin, Joseph S. Files, Austin M. Meadows, Charles S. Day M.D. Mba

Medical Student Research Symposium

No abstract provided.

Social Determinants Of Health Influence Outcomes In Patients Undergoing Total Hip Arthroplasty: A Systematic Review, Varag Abed Bs, Daisy Ference Ba, Alex Duvall Ba, Ajith Dupati Bs, Joshua Castle Md, Eric Makhni Md/Mba

Medical Student Research Symposium

Purpose: To examine the effects of social determinants of health (SDOH) on patient outcomes following total hip arthroplasty (THA)

Methods: A systematic search was conducted using the MEDLINE, Epub Ahead of Print, Web of Science, PubMed and Embase databases in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines to find studies involving at least 1 SDOH and its effects on patient reported outcomes and surgical outcomes following THA. 2,840 studies were initially identified and we are still in the process of determining which studies will eventually meet the criteria regarding SDOH influencing postoperative THA outcomes.

Results: …

Utilizing Primary Care To Engage Patients On Opioids In A Psychological Intervention For Chronic Pain, Sikander Chohan, Lyuba Gavrilova Bs, Leah Hect, Kristi Autio, Erin Tobin, Brian K. Ahmedani, Lisa R. Miller-Matero

Medical Student Research Symposium

Introduction: Chronic pain is commonly encountered in primary care. It is often treated with opioids, which can cause overdose and death. Psychological interventions are an effective alternative, yet difficulty engaging patients with opioid prescriptions has led to their underutilization. Offering these interventions in primary care settings may alleviate this barrier.

Objective: Determine whether opioid prescriptions are related to patients engaging in a brief psychological intervention for chronic pain management in primary care.

Study Design: Secondary analysis of a pilot randomized clinical trial (RCT) of a 5-session psychological intervention for chronic pain. Patients with chronic pain (N= 220) were approached to …

The Effect Of Socioeconomic Status On Patient Outcomes Following Rotator Cuff Repair At Two Hospital Campuses, Bushra Fathima, Emily Lau, Joshua P. Castle, Cassandra Keinath, Chaoyang Chen, Gabriel Burdick, Stephanie J. Muh

Medical Student Research Symposium

INTRODUCTION: To examine the relationship between demographics, socioeconomic status (SES), and patient outcomes after rotator cuff repair (RCR).

METHODS: A retrospective review identified 7564 patients who underwent RCR between 2017 and 2021. Patients were stratified into two groups, urban(U) or suburban(S), based on which campus they underwent surgery. Demographic information, medical comorbidities, SES and other preoperative risk factors were compared. Pre- and postoperative functional outcomes at each location were analyzed. Categorical variables were reported as counts and percentages while continuous variables were reported as means and standard deviations. Chi-square tests were used to compare categorical variables while independent …

Blood Pressure Response In Children With Heart Disease, Daisuke Kobayashi, Mara A. Darian

Medical Student Research Symposium

Abstract:

Background: Cardiopulmonary exercise testing (CPET) has been utilized for the management of children with congenital heart disease. Blood pressure (BP) response is one of the important markers that may carry a prognostic implication and has not been well studied in children who underwent Fontan operation.

Objective: The aims are to evaluate the incidence of abnormal BP response and the association between BP response and mortality/transplant at follow up in children undergoing Fontan operation.

Methods: This was the retrospective study of 114 children status post Fontan operation, who underwent treadmill CPET at Children’s Hospital of Michigan. The study duration was …

Evaluation Of The Utility Of Lymph-Vascular Invasion As An Independent Prognostic Predictor Of Overall Survival For Patients With Renal Cell Carcinoma That Undergo Nephrectomy, Ivan Rakic, Nikola Rakic Md, Nicholas Corsi, Austin Piontkowski, Sami Majdalani Md, Akshay Sood Md, Deepansh Dalela Md, Sohrab Arora Md, Marcus Jamil Md, Craig Rogers Md, Firas Abdollah Md

Medical Student Research Symposium

Lymph-vascular invasion(LVI) is recognized as an adverse pathological feature in patients with renal cell carcinoma RCC) patients. Its impact on overall survival (OS) is not clear, and scarcely addressed in literature. Our aim was to assess the prognostic ability of LVI as a predictor of OS in RCC patients using a large, North American cohort.

We included 45,036 cM0 RCC patients from 2010-2015 who underwent partial or radial nephrectomy within the NCDB. Kaplan-Meier curves and log-rank test compared survival curves. Cox regression analysis tested the relationship between LVI and OS.

Median age was 60. Most patients had pT1 stage(70.0%), and …

A Pilot Study On Hand Palmar And Digital Nerve Ultrasound In Peripheral Nerve Diseases, Luke Geierman, Ryan Castoro, Christopher Andriano, Arthur Yan, Amira Badr

Medical Student Research Symposium

INTRODUCTION:

Palmar and digital nerves of the hand can be imaged with high resolution using ultrasonography because of their superficial anatomic locations. However, no studies have systematically evaluated these nerves in polyneuropathies.

OBJECTIVE:

Measure the cross-sectional area (CSA) and echogenicity (represented as % black) of the palmar and digital nerves of the hand in chronic polyneuropathies.

METHODS:

We studied 52 individuals: 26 with electrodiagnostically confirmed chronic peripheral nerve diseases (16 demyelinating/10 axonal) compared with 26 age and gender matched controls. Ultrasonography was performed in the median and ulnar nerves at: digit 2/5 lateral common palmar nerves at the distal palmar …

Radiation Exposure, Emergency Department Usage, And The Impact Of Parental Health Literacy On A Cohort Of Pediatric Hydrocephalus Patients In Detroit, Jacob Gluski, Bushra Fathima, Jeffery Sondhiemer, Carolyn A. Harris

Medical Student Research Symposium

Hydrocephalus is a significantly morbid long-term disease. While working with patients for another study we became aware of significant radiation exposure and emergency department usage in this patient population. For this study we quantified this usage; additionally, in an IRB approved study we collected health literacy data from the patients’ parents to see if it was correlated with either of these measures. A survey was sent to the 129 families for whom contact information was available. Complete data from a cohort of 110 patients was used. A survey response rate of 8% was obtained. Patients averaged 12.96 (±16.02 SD) emergency …

The Short-Term Effects Of Fine Airborne Particulate Matter And Climate On Covid-19 Disease Dynamics, El Hussain Shamsa, Kezhong Zhang

Medical Student Research Symposium

Background: Despite more than 60% of the United States population being fully vaccinated, COVID-19 cases continue to spike in a temporal pattern. These patterns in COVID-19 incidence and mortality may be linked to short-term changes in environmental factors.

Methods: Nationwide, county-wise measurements for COVID-19 cases and deaths, fine-airborne particulate matter (PM_2.5), and maximum temperature were obtained from March 20, 2020 to March 20, 2021. Multivariate Linear Regression was used to analyze the association between environmental factors and COVID-19 incidence and mortality rates in each season. Negative Binomial Regression was used to analyze daily fluctuations of COVID-19 cases …

Racial Disparities In Risk For Covid-19 In Pregnancy: Results From The Michigan Statewide Collaborative, Inara Ismailova, Robert Sokol Md, Yasmin Hasbini Md, Dereje Gudicha Phd

Medical Student Research Symposium

Objective:

Though previous studies have looked at both COVID-19 outcomes in pregnancy and racial disparities among patients with COVID-19, few have specifically studied racial disparities among pregnant patients with COVID-19. Our goal in this study is to analyze the relationship, if any, between race and disparate COVID-19 risk in pregnancy.

Study Design:

A retrospective cohort analysis was performed on data collected as part of the COVID-19 in Pregnancy and The Newborn: State of Michigan Collaborative, an established database of pregnant patients admitted to 14 institutions in South Michigan. Cases were defined as patients with a positive SARS-CoV-2 test result. Controls, …

How Do Anesthesiologists Prefer To Reduce Preoperative Anxiety In Pediatric Patients?, Arif Musa, Jahan Tajran, Rana Movahedi, Jeffrey C. Wang, David Safani, Christopher Cooke, Guillaume Farah, Syed F. Hussain, Brendan Lynch, Gligor Gucev

Medical Student Research Symposium

250 or less

Evaluating Quality Of Life And Functional Outcomes In Salvage Surgery For Head And Neck Cancer, Arielle Best, Nitika Tripathi, John Riley, Amy Williams Phd, Steven Chang Md, Samantha Tam Md

Medical Student Research Symposium

INTRODUCTION

Unique challenges surround treatment for residual or recurrent head and neck squamous cell carcinoma (HNSCC). Of the limited treatment options for residual or recurrent HNSCC, salvage surgery is often the best option. However, salvage surgery can result in significant morbidity, affecting both quality of life (QoL) and functional outcomes. Few studies have examined QoL outcomes following salvage surgery in the setting of HNSCC. Our goal is to analyze the head and neck related quality of life, and functional outcomes in patients with head and neck cancer who underwent salvage surgery.

METHODS

In this study, FACT-HN Version 4 was administered …

Ets-Related Gene (Erg) Is Differentially Expressed In Dermatofibroma (Fibrous Histiocytoma) As Compared With Dermatofibromasarcoma Protuberans And Hypertrophic Scars: A Pilot Immunohistochemical Study, Meredith Hengy, Jesse Veenstra, Kyle Perry, David M. Ozog, Ben Friedman

Medical Student Research Symposium

Immunohistochemical staining can be of great utility in differentiating various cutaneous spindle cell neoplasms, particularly when the histomorphological appearance of the lesions is inconclusive. Nuclear staining for ETS-related gene (ERG), a highly sensitive endothelial cell marker, has seldom been studied in the context of cutaneous spindle cell neoplasms. Little is known about its specificity for vascular differentiation. In this pilot study, immunohistochemical analysis for ERG was performed on fifteen dermatofibromas (DF), ten keloids, and nine dermatofibrosarcoma protuberans tumors (DFSP). Consistent nuclear expression of ERG was found in DF [100% (15/15) of the lesions demonstrated >50% labeling of tumor cells with …

Network-Embedded Zero Trust Agent For Automation And Control Systems, Maik Seewald, Laurent Hausermann, Andre Guerard

Defensive Publications Series

Techniques are presented herein that support a zero trust architecture for (e.g., legacy) devices in an operational technology (OT) and industrial internet of things (IIoT) environment. The presented techniques support granular segmentation and access control to critical assets based on a network equipment vendor’s ability to host applications (in this instance a proxy) on network components such as switches. Aspects of the presented techniques comprise three key components or artifacts. A first artifact encompasses a proxy component that is hosted as part of a control system. A second artifact encompasses a proxy component – i.e., a zero trust agent (ZTA) …

A Language For Specifying Rate Limits, Joel Trunick

Defensive Publications Series

The present disclosure relates to a method and system for developing a language, which is specific for ‘rate limiting’ in digital transactions. The present disclosure uses a specific language to encode ‘rate limiting’ rules and conditions, such that the encoded language is in a readily understandable format and covers many different use cases for ‘rate limiting’. As a result, the present disclosure eliminates requirement of specific version of server and makes it possible to pass rules from one service to another in electronic format. Further, the users may be able to generate automated reports which is in an understandable format.

Automatic Control Of Lighting During Video Capture, Neil Hendin, Fei Wu

Defensive Publications Series

This disclosure describes techniques to automatically optimize lighting conditions around a subject of a video or photograph to produce a better lit image. With user permission, ambient light conditions are analyzed by using image processing and machine learning and available light sources are adjusted to optimize the lighting of the scene. In contrast to traditional techniques that passively adapt to existing light conditions, the described techniques actively modify the light falling on the subject. Effectively, the techniques extend and improve AAA algorithms (auto exposure, auto white balance, autofocus) to include auto lighting. The techniques can be applied in any image …

HawaiʻI Is Not Your Escapist Fantasy: Varying Perspectives Surrounding Misconceptions And Representations Of HawaiʻI In The Tourism Industry, Shannon Hussey

Senior Theses

In this thesis, I argue that Hawai’i Tourism is dominated by idealized representations of paradise that are portrayed in hotels and resort advertising, selling an “authentic Hawaiian experience” that ignores significant parts of Hawaiian culture and the oppression of Native Hawaiians and local residents. The promotion of these exotified themes and images are seemingly used as a marketing scheme to attract consumers to view Hawai’i as merely a “tropical paradise” further adhering to individuals’ “escapist fantasy.” In delivering on this experience, the tourist industry reinforces and reifies the stereotypical images that are portrayed in the media. The systematic promotion of …

Assessing The Contribution Of Immigrants To Canada's Nursing And Health Care Support Occupations: A Multi-Scalar Analysis, Rafael Harun, Margaret Walton-Roberts

Social Work and Urban Studies Faculty Research

Background

The World Health Organization adopted the Global Strategy on Human Resources for Health Workforce 2030 in May 2016. It sets specific milestones for improving health workforce planning in member countries, such as developing a health workforce registry by 2020 and ensuring workforce self-sufficiency by halving dependency on foreign-trained health professionals. Canada falls short in achieving these milestones due to the absence of such a registry and a poor understanding of immigrants in the health workforce, particularly nursing and healthcare support occupations. This paper provides a multiscale (Canada, Ontario, and Ontario’s Local Health Integration Networks) overview of immigrant participation in …

The Public’S Case Against Dte Energy: Extracting Profits, Inducing Health Harms, And Damaging Democracy, Alex B. Hill, Bridget Vial, Aly Shaw, Gin Armstrong, Robert Galbraith

Urban Studies and Planning Faculty Research Publications

Together with our partners, MEJC and LittleSis, We The People Michigan finds that DTE has extracted profit from its customers through hundreds of thousands of shutoffs, the second highest amount of rate hikes in the country, and unnecessary power outages that leave customers without power. They have invested heavily in new fossil fuel power plants that place significant health burdens on customers while blocking renewable energy initiatives. Finally, this report digs into the campaign donations of DTE executives, board members, and PAC to reveal how they utilize dark money to advance their profit-driven agenda.

Smokejumper Obituary: Roggow, Ellsworth J. “Busty” (North Cascades 1954), National Smokejumper Association

Smokejumper Obituaries

No abstract provided.

Confirmation Of A Phenotypic Entity For Tspear Variants In Egyptian Ectodermal Dysplasia Patients And Role Of Ethnicity, Eman A. Rabie, Inas S. M. Sayed, Khalda Amr, Hoda A. Ahmed

Faculty Journal Articles

No abstract provided.

United States Subnational Flags: Flags Of Territories, States, Counties And Municipalities. Alabama Through Louisiana, Rolland Mcgiverin

Library Faculty and Staff

No abstract provided.

United States Subnational Flags: Flags Of Territories, States, Counties And Municipalities. Maine Through Oregon, Rolland Mcgiverin

Library Faculty and Staff

No abstract provided.