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Articles 116521 - 116550 of 255889

Full-Text Articles in Life Sciences

Application Of Hyperspectral Imaging And Acoustic Emission Techniques For Apple Quality Prediction, Nader Ekramirad, Ahmed Rady, Akinbode A. Adedeji, Reza Alimardani Jan 2017

Application Of Hyperspectral Imaging And Acoustic Emission Techniques For Apple Quality Prediction, Nader Ekramirad, Ahmed Rady, Akinbode A. Adedeji, Reza Alimardani

Biosystems and Agricultural Engineering Faculty Publications

There is a growing demand for developing effective non-destructive quality assessment methods with quick response, high accuracy, and low cost for fresh fruits. In this study, hyperspectral reflectance imaging (400 to 1000 nm) and acoustic emission (AE) tests were applied to ‘GoldRush‘ apples (total number, n = 180) to predict fruit firmness, total soluble solids (TSS), and surface color parameters (L*, a*, b*) during an eight-week storage period. Partial least squares (PLS) regression, least squares support vector machine (LS-SVM), and multivariate linear regression (MLR) methods were used to establish models to predict the quality attributes of the apples. The results …

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Ammonia And Carbon Dioxide Emissions Of Three Laying-Hen Housing Systems As Affected By Manure Accumulation Time, Timothy A. Shepherd, Hongwei Xin, John P. Stinn, Morgan D. Hayes, Yang Zhao, Hong Li Jan 2017

Ammonia And Carbon Dioxide Emissions Of Three Laying-Hen Housing Systems As Affected By Manure Accumulation Time, Timothy A. Shepherd, Hongwei Xin, John P. Stinn, Morgan D. Hayes, Yang Zhao, Hong Li

Biosystems and Agricultural Engineering Faculty Publications

Laying-hen housing design and management are the most significant factors affecting the generation and release of gaseous ammonia to the atmosphere. Transitioning the hen housing type from traditional high-rise (where manure is stored within the house for about one year) to modern manure-belt style (where manure is removed every 1 to 4 d and placed into long-term storage) has significantly improved in-barn air quality and reduced farm-level ammonia emissions. As a direct result of the advantages, 100% of new construction for U.S. egg production incorporates manure-belt systems that regularly remove manure from the houses. However, manure-belt system designs (e.g., active …

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Development And Evaluation Of A Low-Cost Probe-Type Instrument To Measure The Equilibrium Moisture Content Of Grain, Paul R. Armstrong, Samuel G. Mcneill, Naomi Manu, Augustine Bosomtwe, James K. Danso, Enoch Osekre, George Opit Jan 2017

Development And Evaluation Of A Low-Cost Probe-Type Instrument To Measure The Equilibrium Moisture Content Of Grain, Paul R. Armstrong, Samuel G. Mcneill, Naomi Manu, Augustine Bosomtwe, James K. Danso, Enoch Osekre, George Opit

Biosystems and Agricultural Engineering Faculty Publications

Storage of grain in bags is common in Africa, Asia, and many other less developed countries making a bag probing method well-suited for moisture content (MC) measurement. A low-cost meter was developed under a USAID project to reduce post-harvest loss (PHL). The meter, referred to as the PHL meter, measures the MC of maize and other grains based on relative humidity (RH) and temperature (T) measurements obtained by a small digital sensor located in the tip of a tubular probe that can be inserted into bags of grain or other grain bulks. Measurements are used by equilibrium moisture content (EMC) …

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Evaluating Ventilation Rates Based On New Heat And Moisture Production Data For Swine Production, Yanxi Lu, Morgan D. Hayes, John P. Stinn, Tami M. Brown-Brandl, Hongwei Xin Jan 2017

Evaluating Ventilation Rates Based On New Heat And Moisture Production Data For Swine Production, Yanxi Lu, Morgan D. Hayes, John P. Stinn, Tami M. Brown-Brandl, Hongwei Xin

Biosystems and Agricultural Engineering Faculty Publications

Heat and moisture production (HMP) rates of animals are used for calculation of ventilation rate (VR) in animal housing. New swine HMP data revealed considerable differences from previously reported data. This project determined new design VRs and evaluated differences from previously recommended VRs. The swine production stages evaluated included gestation, farrowing, nursery, growing, and finishing. The ranges of ambient temperature and ambient relative humidity (RH) evaluated for VR were -25°C to 15°C in 10°C increments and 15% to 75% in 15% increments, respectively. Indoor set points for temperature and RH were, respectively, 15°C, 20°C, 25°C and 60%, 70%, 80% for …

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Effects Of Biochar Treatment Of Municipal Biosolids And Horse Manure On Quality Of Runoff From Fescue Plots, Rachel Williams, Dwayne R. Edwards Jan 2017

Effects Of Biochar Treatment Of Municipal Biosolids And Horse Manure On Quality Of Runoff From Fescue Plots, Rachel Williams, Dwayne R. Edwards

Biosystems and Agricultural Engineering Faculty Publications

Land-applied horse manure and municipal biosolids can increase nutrient and bacteria concentrations in runoff. Biochar has been demonstrated to have beneficial impacts on nutrient retention and runoff quality when used to treat other land-applied organic soil amendments (e.g., poultry manure). The objective of this study was to evaluate the effects of biochar addition to horse manure and municipal biosolids on runoff concentrations of nutrients and fecal coliforms. Biochar was added at 5% to 8% (wet basis) to horse manure and biosolids that were applied to 2.4 m x 6.1 m fescue plots followed by application of simulated rainfall (102 mm …

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First 100 Cases Of Bls First Responder A Dministered Naloxone In A Statewide Ems System, Joshua Mastenbrook, James Markman, Tyler Koedam, William Fales Jan 2017

First 100 Cases Of Bls First Responder A Dministered Naloxone In A Statewide Ems System, Joshua Mastenbrook, James Markman, Tyler Koedam, William Fales

Research Day

Abstract Title: FIRST 100 CASES OF BLS FIRST RESPONDER ADMINISTERED NALOXONE IN A STATEWIDE EMS SYSTEM Abstract ID: 240 Abstract Category: Clinical Research BACKGROUND: In October 2015, a midwestern state law mandated that all BLS first responder (FR) agencies be trained and equipped to administer naloxone to suspected opioid-overdose patients. Although well intentioned, several questions have arisen: does naloxone use displace emphasis on early positive pressure ventilation (PPV), is naloxone being appropriately administered, and does the mandate affect patient outcome. The purpose of this study is to evaluate the first 100 cases of FR administered naloxone (FR-naloxone) for administration appropriateness …

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A Case Of Difficult-To-Treat Asthma Due To Uncontrolled Atypical Gastroesophageal Reflux, Alissa Welsh, Andrey Leonov Jan 2017

A Case Of Difficult-To-Treat Asthma Due To Uncontrolled Atypical Gastroesophageal Reflux, Alissa Welsh, Andrey Leonov

Research Day

Introduction: 
In uncontrolled asthma, comorbid conditions should be treated in order to achieve better asthma control. The contribution of gastro-esophageal reflux (GER) may be overlooked when its presentation is atypical. 
Case Report: 
11 year-old male with moderate persistent asthma and allergic rhinitis presented with persistent barky cough, diagnosed as spasmodic croup after bronchoscopy, esophagram, swallow study and magnified airway x-ray failed to show anatomical abnormality. Empiric proton pump inhibitor (PPI) treatment was started with improvement in cough. Patient was referred to Gastroenterology for evaluation of GER, despite lack of heartburn or vomiting. Endoscopy revealed esophageal candida infection which was treated. …

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Longstanding Esophageal Foreign Body Misdiagnosed As Croup, Daniel Zindrick M.D., Philip Pazderka M.D. Jan 2017

Longstanding Esophageal Foreign Body Misdiagnosed As Croup, Daniel Zindrick M.D., Philip Pazderka M.D.

Research Day

Introduction: More than 100,000 cases of foreign body (FB) ingestion are reported each year in the United States and 80% of cases occur in children. Patients may be asymptomatic or have only transient symptoms at the time of ingestion. We report the case of a 1 year old female with longstanding esophageal FB after roughly 2 months of ongoing stridor that was misdiagnosed as croup. Case: 1 year old healthy female presented to the ED for intermittent stridor with crying. On initial evaluation by PCP 2 months prior, patient had concomitant upper respiratory infectious symptoms and was diagnosed with croup. …

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Atypical Neuroleptic Malignant Syndrome: A Case Presentation, Philip Mccarthy, Matthew Lacasse Jan 2017

Atypical Neuroleptic Malignant Syndrome: A Case Presentation, Philip Mccarthy, Matthew Lacasse

Research Day

Introduction: Neuroleptic malignant syndrome (NMS) is an emergent, often fatal, medical condition associated with the use of dopamine receptor antagonist medications. Fever, muscle rigidity, autonomic instability and altered mental status are known to be the hallmarks of the disease. In contrast with the typical presentation, Atypical NMS often presents with a different set of symptoms, making diagnosis difficult. It is important to use clinical acumen to make a timely and efficient diagnosis of NMS. We present a case of Atypical NMS in a 21 year old male. Clinical Case Pt is a 21 year old African American male with previous …

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A Highly Unusual Case Of Metastatic Pancreatic Adenocarcinoma, Zachary Koehn, Lauren Piper Jan 2017

A Highly Unusual Case Of Metastatic Pancreatic Adenocarcinoma, Zachary Koehn, Lauren Piper

Research Day

Introduction: Pancreatic cancer is a rare malignancy, with nearly a 100% mortality rate. The strongest risk factor for pancreatic cancer is advanced age; the median age of diagnosis is 70. Here we discuss a case of pancreatic cancer in a 32 year-old woman. Case Description: S.R. is a 32 year-old female presenting with new-onset jaundice. Two months prior to presentation, she reported vomiting and LUQ pain, and was treated for H. pylori. Her symptoms improved, but she developed anorexia, RUQ pain, 35 lb weight loss and clay-colored diarrhea. Her medical history is negative except for 10-pack-year smoking history. Exam revealed …

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16 Year Old Baseball Pitcher Presenting With Gradual Worsening Of Posterolateral Right Elbow Pain And Negative Mri Findings, Nithin Natwa, Reema Sheth, Nisha Sheth Jan 2017

16 Year Old Baseball Pitcher Presenting With Gradual Worsening Of Posterolateral Right Elbow Pain And Negative Mri Findings, Nithin Natwa, Reema Sheth, Nisha Sheth

Research Day

Background: Elbow pain is a common presenting symptom in repetitive motion performing athletes. Due to the popular use of prolonged conservative therapy in elbow pain, and the importance of early surgical intervention in Elbow Synovial Fold Syndrome, proper and prompt diagnosis is essential. In our case report, a 16 year old male right hand-dominant baseball pitcher presents with gradual onset of posterolateral right elbow pain over 4 months. Purpose: This study helps reflect the correct timeline in imaging along with the appropriate duration of conservative management. After reviewing this study the reader will be better able to differentiate between Lateral …

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Rare Presentation Of High Grade Retroperitoneal Angiosarcoma In A Patient Status Post Endovascular Aortic Repair (Evar), Jairo Espinosa M.D., Alan Hifko, Julia Miladore M.D., John T. Collins Jan 2017

Rare Presentation Of High Grade Retroperitoneal Angiosarcoma In A Patient Status Post Endovascular Aortic Repair (Evar), Jairo Espinosa M.D., Alan Hifko, Julia Miladore M.D., John T. Collins

Research Day

INTRODUCTION: Primary angiosarcoma of the aorta is a rare malignancy arising from the aorta’s endothelial lining. The most common presentation is claudication, however in the presence of an endograft a tumor originating in the aneurysmal sac may remain undetected and mimic common graft pathology. Diagnosis is typically delayed due to vague clinical presentation and imaging being indistinguishable from common complications of endografts such as leaks, infections or hematomas. We report a case of primary angiosarcoma of the aorta after endovascular repair of an abdominal aortic aneurysm. This case report describes the sixth case in the literature of primary angiosarcoma arising …

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Mixed Goblet Cell Carcinoid-Adenocarcinoma: A Case Series, Jairo Espinosa M.D., Timothy Truong, Julia Miladore M.D., John T. Collins, Saad Shebrain M.D., Gitonga Munene M.D. Jan 2017

Mixed Goblet Cell Carcinoid-Adenocarcinoma: A Case Series, Jairo Espinosa M.D., Timothy Truong, Julia Miladore M.D., John T. Collins, Saad Shebrain M.D., Gitonga Munene M.D.

Research Day

INTRODUCTION: Mixed goblet cell carcinoid-adenocarcinoma (GCC) tumors are a group of rare heterogenous neoplasms of the appendix accounting for < 5% of all primary appendiceal tumors. They are characterized as an intermediate between classic carcinoid tumors and appendiceal adenocarcinomas, exhibiting both neuroendocrine and glandular/mucinous morphology that most commonly presents in Caucasian females in the fifth and sixth decades. We present three cases of mixed GCC presenting as acute appendicitis. CASE PRESENTATION: Case #1 A 65-year-old male presented with RLQ pain, nausea, emesis, and leukocytosis. CT of the abdomen revealed perforated appendicitis. The patient underwent a laparoscopic appendectomy. Pathology revealed a high-grade adenocarcinoma ex goblet cell carcinoid, signet ring type extending through the muscularis propria into the mesoappendix measuring >3cm. The patient subsequently underwent a colonoscopy that revealed diverticulosis, but was otherwise normal. Patient then underwent a right hemicolectomy and partial omentectomy. Pathology revealed normal ileal, omental, and colonic tissue without evidence of carcinoma. 0/12 nodes were positive. Case #2 A 49-year-old male presented with periumbilical pain, nausea, emesis, and leukocytosis. CT of the abdomen revealed appendicitis. The patient underwent a laparoscopic appendectomy. Pathology revealed a high-grade, poorly differentiated, adenocarcinoma ex goblet cell carcinoid invading through the muscularis propria into …

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A Case Of Successful Treatment Of Skin Excoriation Disorder With N-Acetyl Cysteine, Nauman Khan M.D., Priya Mahajan M.D., Sadia Shaukat M.D., Matthew Lacasse D.O., Mark Kanzawa D.O. Jan 2017

A Case Of Successful Treatment Of Skin Excoriation Disorder With N-Acetyl Cysteine, Nauman Khan M.D., Priya Mahajan M.D., Sadia Shaukat M.D., Matthew Lacasse D.O., Mark Kanzawa D.O.

Research Day

Introduction: We present a case of a middle age patient with skin excoriation disorder since age 15 who experienced significant improvement with augmentation of her treatment regimen with N-acetyl cysteine. This improvement occurred despite a recurrence of her depression, alcohol use disorder, and stimulant use disorder. Case Presentation: A 59 year-old-female with 44 years of unsuccessful treatment of self-excoriation disorder presented with symptoms of unspecified depression, OCD and stimulant use disorder. She was referred by her surgeon who had to postpone a revision of her hip replacement as she was self-excoriating the right axillary lymphadenectomy site. Initial administration of PHQ-9 …

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Traumatic Stab Wound To The Chest: A Rare Cause Of Pituitary Apoplexy, Jairo Espinosa M.D., Tim Wysozan, Chris Sloffer Jan 2017

Traumatic Stab Wound To The Chest: A Rare Cause Of Pituitary Apoplexy, Jairo Espinosa M.D., Tim Wysozan, Chris Sloffer

Research Day

INTRODUCTION: Pituitary apoplexy is an uncommon condition that results from infarction and hemorrhage of an established pituitary adenoma. Based on our review of the literature, this is the first description of pituitary apoplexy presenting after a knife stab wound to the deltopectoral region. 
CASE PRESENTATION: A 44 year-old male presented to the trauma bay as a tier 1 trauma activation status post stabbing to the left deltopectoral groove. The patient was found to be hypotensive, tachycardic and actively exsanguinating from the stab wound. He was taken to the operating room where the wound was explored and the left cephalic vein …

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Traumatic Laceration Of The Posterior Tibial Tendon Treated With Novel Technique, Nicholas Miladore, Robert Gorman Jan 2017

Traumatic Laceration Of The Posterior Tibial Tendon Treated With Novel Technique, Nicholas Miladore, Robert Gorman

Research Day

Abstract Title: TRAUMATIC LACERATION OF THE POSTERIOR TIBIAL TENDON TREATED WITH NOVEL TECHNIQUE Abstract ID: 249 Abstract Category: Clinical Research INTRODUCTION: Posterior tibial tendon (PTT) insufficiency is a common entity, and can result in chronic tendon disruption. Acute disruption is a rare occurrence, but has been described in the literature. Most reported cases are associated with ipsilateral ankle fractures. Laceration of the posterior tibial tendon has also been described, typically in the operative setting as a result of iatrogenic injury. 
CASE REPORT: A 15 year old male presented to the clinic with complaints of right ankle pain and weakness. 2.5 …

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Gallbladder Duplication: Case Report Of A Rare Congenital Anomaly Treated By Single-Incision Laparoscopic Cholecystectomy In A Pediatric Patient, Jairo Espinosa M.D., Peter White, Michael Leinwand M.D. Jan 2017

Gallbladder Duplication: Case Report Of A Rare Congenital Anomaly Treated By Single-Incision Laparoscopic Cholecystectomy In A Pediatric Patient, Jairo Espinosa M.D., Peter White, Michael Leinwand M.D.

Research Day

Introduction: Gallbladder duplication is a rare congenital anomaly. Preoperative diagnosis is essential for prevention of intra operative complications. Based on our review of the literature, this is the first description of gallbladder duplication treated with single-incision laparoscopic surgery (SILS) in a pediatric patient.

Case Presentation: A 14 year-old girl presented to the pediatric surgery clinic with a 4-month history of right upper quadrant abdominal pain, nausea, and low- grade fevers. Preoperative imaging revealed gallbladder duplication. The single incision laparoscopic technique was employed. Intra operative ndings included two gallbladders that appeared to share a common wall. There were two parallel cystic …

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Paired Samples Analysis Of Isolated Gastrocnemius Contracture In Patients With Foot And Ankle Pathology, Adam Green, James Jastifer M.D. Jan 2017

Paired Samples Analysis Of Isolated Gastrocnemius Contracture In Patients With Foot And Ankle Pathology, Adam Green, James Jastifer M.D.

Research Day

INTRODUCTION: Prior studies have demonstrated that patients with foot and ankle pain have an associated isolated gastrocnemius contracture (decrease in ankle dorsiflexion). It remains unclear if this is a casual, or a causal relationship. The purpose of the current study is to report validated ankle dorsiflexion in both legs of patients with unilateral foot and ankle pain to provide some insight into the relationship between an isolated gastrocnemius contracture and foot and ankle pain. Our hypothesis was that patients presenting with foot and ankle pain would have similar measured ankle range of motion in both ankles despite having unilateral foot …

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Mechanical Loading As Potential Treatment For Wnt Inhibitor Induced Bone Loss, Juraj Zahatnansky Md, Daniel Dick, Gabrielle Foxa, Robert Baker, Bart Williams Phd Jan 2017

Mechanical Loading As Potential Treatment For Wnt Inhibitor Induced Bone Loss, Juraj Zahatnansky Md, Daniel Dick, Gabrielle Foxa, Robert Baker, Bart Williams Phd

Research Day

The Wnt signaling pathway has been shown to play a role in bone homeostasis and carcinogenesis. On the one hand, a decrease in signaling has been associated with a decrease in bone mass, on the other, an increase in signaling with cancer development. LGK974 is a Wnt signaling inhibitor currently being investigated as a potential cancer therapeutic agent. This molecule inhibits Porcupine, a transmembrane protein necessary for Wnt ligand secretion. In light of the above and based on our preliminary data, treatment with LGK974 leads to bone mass loss. Our investigation aims to address whether such bone loss can be …

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Pheochromocytoma With Ivc Invasion: Case Report & Systematic Review Of Literature, Jennifer Kim Bs, Ms2, Gitonga Munene M.D., David Schutter Md, Pgy3 Jan 2017

Pheochromocytoma With Ivc Invasion: Case Report & Systematic Review Of Literature, Jennifer Kim Bs, Ms2, Gitonga Munene M.D., David Schutter Md, Pgy3

Research Day

Surgical management and outcome of pheochromocytoma with invasion of the inferior vena cava (IVC) has not been thoroughly reported or widely available in the literature. As determining the malignancy of pheochromocytoma has yet to be clearly defined and the experience of surgical resection of this condition is underrepresented, we include a case report and a systematic literature review on this condition. A literature search in PubMed was performed based on a recent review article by Kassahun et al. (2016). The search yielded 13 case reports between 1988 and 2014 from which data was extracted based on the following variables: patient’s …

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Mycobacterial Disease Overlooked In A Frail Diabetic Male Treated For Pneumonia, Aydin Tavakoli Md Msc, Glenn V. Dregansky Do Jan 2017

Mycobacterial Disease Overlooked In A Frail Diabetic Male Treated For Pneumonia, Aydin Tavakoli Md Msc, Glenn V. Dregansky Do

Research Day

Mycobacterial disease has been characterized to cause human illness since the 1950’s but practitioners whom address pulmonary disease can overlook its insidious presentation. This case report documents the presentation of a mycobacterial illness treated as a severe pneumonia. This is the case of a critically ill 43-year-old male, with poorly treated diabetes who presented with severe, long-standing respiratory distress in DKA. He had a history of weight loss, night sweats, decreased oral intake, and weakness for about a month. He was treated for euglycemia and his pulmonary disease was characterized as a bacterial pneumonia. Common pathogens were ruled out in …

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Food Insecurity In Kalamazoo, Nicholas Sweda, Cheryl A. Dickson, Jeffrey Friedman, Michelle L. Knapp, David Lee, Vina Tran Jan 2017

Food Insecurity In Kalamazoo, Nicholas Sweda, Cheryl A. Dickson, Jeffrey Friedman, Michelle L. Knapp, David Lee, Vina Tran

Research Day

Introduction: Food insecurity is both an inconvenience and problem. As of 2013, over 16 million children in the USA were food insecure. The consequences of food insecurity include health issues from nutritional deficits, developmental difficulties, and behavioral problems that manifest in educational, personal and professional challenges. Overall, food insecurity and its impact on individuals and families is under-recognized. Additionally, the extent to which physicians play a role in helping patients secure access to food assistance programs remains unclear. Objective: The objective of this study was to assess the efficacy and methodologies of current healthcare practices based in Kalamazoo County, MI, …

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Effect Of Variable Activities On The Engagement Of Memory Care Patients, Ai Yamasaki, Cheryl A. Dickson, Patrick Albright, Tyler Gardner, Katherine Han, Brendan Tamm Jan 2017

Effect Of Variable Activities On The Engagement Of Memory Care Patients, Ai Yamasaki, Cheryl A. Dickson, Patrick Albright, Tyler Gardner, Katherine Han, Brendan Tamm

Research Day

Background and Objectives: Studies demonstrate that social activities (e.g., church attendance, recreation, and group activities), productive activities (e.g., gardening, preparing meals, and shopping), and fitness activities (e.g., sports, walking, and exercise) are independently associated with survival of elderly persons even after functional disability. The Heritage Community of Kalamazoo focuses on activities such as bible study, music, pet therapy, and modified volleyball exercises to provide and maintain residents’ spiritual appreciation, cognitive abilities, and quality of life. The purpose of the project is to identify any strengths and weaknesses in activity programming for memory care residents at Heritage Community through observation and …

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Priapism After Epidural Or Spinal Anesthesia, Sarah Khalil, Kelly Quesnelle, Jeffrey Friedman, Audrey Jensen, Duncan Polot, Sydney Spitler Jan 2017

Priapism After Epidural Or Spinal Anesthesia, Sarah Khalil, Kelly Quesnelle, Jeffrey Friedman, Audrey Jensen, Duncan Polot, Sydney Spitler

Research Day

Introduction: Preoperative epidural and spinal anesthesia improves patient outcomes by reducing potential side effects due to prolonged treatment with general anesthesia as well as mitigating postoperative pain. Rarely, patients receiving epidural and spinal anesthesia develop priapism secondary to administration of the anesthetic agent. Little is known about the development of this complication and its management following onset. Rationale: A case of priapism following administration of epidural anesthesia in Kalamazoo, MI, at Bronson Methodist Hospital, prompted a search of the literature into the etiology, pathophysiology, and management of such cases. Review of Literature: A search of two databases was conducted, including …

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Utility Of Fern Test To Determine Rupture Of Membranes, Wesley Eichorn, Susan Jevert-Eichorn Jan 2017

Utility Of Fern Test To Determine Rupture Of Membranes, Wesley Eichorn, Susan Jevert-Eichorn

Research Day

Introduction: The fern test was first described by Kardos and Tamasi in 1955 as a test used to determine rupture of amniotic membranes. The test is done by collection of fluid from the vagina which is then allowed to dry for 10 minutes on a slide. The slide is then inspected with microscopy for evidence of ferning. Accurate determination of rupture of membranes is important due to its significant implications on the management of obstetrical patients. Case: EC is a 23 year old G1P0 at 40 and 3/7 weeks gestation who presented to an outpatient facility with a chief complaint …

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Improving Productivity Through Scheduling At The Wmed Family Medicine Residency Clinic, Alex Witte Md, Susan Jevert-Eichorn, Alison Radigan Md, Larry Mann Do, Jamie Mccartney Md, Aisha Shakoor Md Jan 2017

Improving Productivity Through Scheduling At The Wmed Family Medicine Residency Clinic, Alex Witte Md, Susan Jevert-Eichorn, Alison Radigan Md, Larry Mann Do, Jamie Mccartney Md, Aisha Shakoor Md

Research Day

INTRODUCTION: The Accreditation Council for Graduate Medical Education (ACGME) requires every family medicine residency program to have a practice site that supports, “continuous, comprehensive, convenient, accessible, and coordinated patient care”. The WMed Family Medicine Resident Clinic (Team Oakland), located within the Family Health Center (FHC) – Paterson location, has long been plagued by scheduling difficulties, as evidenced by high no-show rates, empty appointment slots, and frequent cancellations threatening the ability of our residents to achieve the required number of outpatient visits mandated by the Family Medicine Residency Review Committee (RRC) and the requirement for continuity from the ACGME. We believe …

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Acquired Craniosynostosis In A Patient With Iatrogenic Vitamin D Intoxication, Wesley Eichorn, Kristi Vanderkolk Md Jan 2017

Acquired Craniosynostosis In A Patient With Iatrogenic Vitamin D Intoxication, Wesley Eichorn, Kristi Vanderkolk Md

Research Day

Introduction: Craniosynostosis, which refers to premature fusion of cranial sutures, is an uncommon diagnosis in the pediatric patient, occurring with an incidence of approximately 1 in 2,000 individuals. It is most often associated with X-Linked hypophosphatemic rickets. The implications of craniosynostosis, especially with a delayed diagnosis, are severe. Case Report: MJ is an African American male born at term via cesarean section with an unremarkable immediate postnatal period. He was diagnosed with rickets at the age of 7 months but treatment was not immediately initiated. He presented again at age 9 months with an upper respiratory infection and failure to …

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Benefit Of Ultrasound Curriculum Development For Family Medicine Residents, Nithin Natwa, Uzair Munshey, Duncan Vos, Robert Baker Jan 2017

Benefit Of Ultrasound Curriculum Development For Family Medicine Residents, Nithin Natwa, Uzair Munshey, Duncan Vos, Robert Baker

Research Day

Introduction/Purpose: Musculoskeletal problems comprise some of the most common reasons for ambulatory care encounters in the United States, accounting for 8.3% of the 1.2 billion visits per year according to the CDC. Musculoskeletal Ultrasound use has become more common in primary care for diagnosis and therapeutics. In Family Medicine Residency (FMR) Programs there is a deficiency of a structured, competency-based musculoskeletal ultrasound (MSK US) training despite its growing popularity. Currently, there is no formalized requirement for Ultrasound education as in other residency programs in spite of its benefit. Methods: We received a positive response on our needs analysis survey for …

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Childhood Idiopathic Pulmonary Hypertension: A Case Report, Nathaniel Balmert, Joseph Prahlow Jan 2017

Childhood Idiopathic Pulmonary Hypertension: A Case Report, Nathaniel Balmert, Joseph Prahlow

Research Day

Introduction: Pulmonary arterial hypertension (PAH) is characterized as average pulmonary artery pressure of greater than 25mm Hg at rest. Childhood idiopathic pulmonary hypertensions (CIPH) is distinguishable from PAH by the absence of family history or underlying disease. Symptoms of CIPH include dyspnea, exercise limitation, and syncope. Common organ-specific changes include right ventricular hypertrophy and right ventricular strain. We present the case of a 6-year-old girl presenting with idiopathic pulmonary arterial hypertension aggravated by esophageal intubation. Methods: This case is from the files of one of the authors, a forensic pathologist. Case Report and Discussion: Diagnosed with pulmonary arterial hypertension when …

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Enhancing Childrens Social-Emotional Learning Skills Through Mindfulness Practices, Shun Yi Wan, Stephanie Chang, Jordan Fenlon, Amrith Shettigar, Mckenzie Johnson, Sam Lealofi Jan 2017

Enhancing Childrens Social-Emotional Learning Skills Through Mindfulness Practices, Shun Yi Wan, Stephanie Chang, Jordan Fenlon, Amrith Shettigar, Mckenzie Johnson, Sam Lealofi

Research Day

Background: The Kalamazoo Eastside neighborhood has been subject to a great deal of economic and functional instability, particularly impacting the youth. Local demographic studies indicate that 90% of children are eligible for free or reduced lunch due to low income, 58% of households are single-female households, and 29% of parents do not have a high school diploma. Eastside Youth Strong (EYS) is a local organization focused on improving the lives of these children. This study will be investigating the EYS afterschool program’s mindfulness initiative. Purpose: Social and emotional learning were chosen to be studied because these skills are critical for …

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