Medicine and Health Sciences Commons^™

The Impacts On Visit Types Pre- And Post- Covid-19, Jacob Nimeh, Kyle Shaak Mph, Beth Careyva M.D., Grant M. Greenberg M.D., M.H.S.A., M.A.

Research Scholars Poster Presentation

No abstract provided.

Faculty Development In A Pandemic: Design And Delivery Of Remote-Based Medical Education, Anne Glowacki, Kerri Green Edd, Ms

Research Scholars Poster Presentation

No abstract provided.

Gwep Goals Of Care, Audrey Dunstan, Nyann Biery Ms

Research Scholars Poster Presentation

No abstract provided.

Using Nsqip-Pediatrics To Target Quality Improvement Initiatives For Appendicitis, Erin Arevalo, Marybeth Browne Md

Research Scholars Poster Presentation

No abstract provided.

Covid-19 Testing In Asymptomatic Patients Undergoing Elective Surgery, Joseph Budisak, Cathyann Feher Rn,Msn, Michael D. Pasquale Md, Facs, Fccm

Research Scholars Poster Presentation

No abstract provided.

Bringing Function To Families: Ot’S Role In Parenting With Sci, Alexandra Economou, Ots, Molly Flannery, Ots, Nikki Tutelman, Ots, Courtney Wagner, Ots, Rebecca Sinko, Otd, Otr/L

Collaborative Research and Evidence shared Among Therapists and Educators (CREATE Day)

Objectives:

• Describe participation challenges that impact the role of parenting for parents with SCI
• Identify evidence-based intervention areas within the scope of OT that facilitate participation in the role of parenting with SCI
• Discuss the unique need and application for OT services to support parents with SCI

PICO Question:

What are interventions within the scope of OT practice that increase participation in the role of parenting with spinal cord injury (SCI)?

Impact Of Placement Of Fitbit Hr Under Laboratory And Free-Living Conditions, Hyun Chul Jung, Minsoo Kang, Nan Hee Lee, Soeun Jeon, Sukho Lee

Faculty and Student Publications

© 2020 by the authors. Wrist-worn activity monitors have become accessible for measuring physical activities, but an activity monitor's accuracy worn at different placements is not well understood. This study aimed to examine the differences in measurements of heart rates, step counts, and calories estimated from the fitness tracker worn at different locations and the accuracy of Fitbit HR against criterion measures. Thirty-two healthy adults participated in this study. Participants wore Fitbit HR at four different locations (right proximal, distal, and left proximal, distal). Treadmill exercise consisted of five 5-min phases including slow walking and jogging. Free-living activities involved ten …

Educational Needs Associated With The Level Of Complication And Comparative Risk Perceptions In People With Type 2 Diabetes, Youngji Hwang, Dongsuk Lee, Yeon Sook Kim

Nursing Faculty Publications

Objectives: This study aimed to identify the educational needs of people with type 2 diabetes according to risk perceptions and the level of severity of complications. Methods: There were 177 study participants who were outpatients of the internal medicine department at a university hospital located in the Republic of Korea, who consented to participate in the survey from December 10, 2016 to February 10, 2017. The data were analyzed using descriptive statistics, Pearson correlation, ANOVA with post-hoc comparison, and multiple regression analysis. Type 2 diabetes complications were classified into 3 groups: no complications, common complications, and severe complications. …

Alcohol Misuse And Abuse Among College Students: An Implementation Of A Screening Program., Tiffany Slaughter Newcomb

Doctor of Nursing Practice Papers

Excessive alcohol use in the United States creates serious economic, health, and mortality problems (CountyHealthRankings, 2018). College students experience high rates of use, binge drinking, and 20% of college students meet the criteria for alcohol use disorder [AUD] (NIH, 2014). Screening by healthcare providers (HCPs) in the student health setting is critical and a recommended strategy for reducing negative consequences of alcohol use experienced by college students (US Preventive Services Task Force, 2018).

Aims: The objective of this project was to implement an alcohol screening program among college-age undergraduate students in a university student health center.

Methods: HCPs …

Implementing A Standardized Pediatric Bone Marrow Transplant Orientation., Erika L. Shell

Doctor of Nursing Practice Papers

Nurse orientation programs focus on establishing a nurse’s ability to perform skills necessary in the organization’s setting. The purpose of this project was to develop a unit-specific orientation program for the experienced registered nurse transitioning into providing care for pediatric bone marrow transplant (BMT) patients at a local children’s hospital to enhance nurse knowledge and satisfaction. Melnyk and Fineout-Overholt’s rating system for the hierarchy of evidence was used in the selection of articles with high levels of evidence for the critical appraisal of the supporting literature for the program development. The best practices for orientation content provide constructive effects on …

Current Practices, Perceptions And Challenges Of Telehealth In The Treatment Of Mental Health In The U.S. Department Of Veterans Affairs, James E. Plummer

Full-Text Theses & Dissertations

Currently there are 17,964,242 million Veterans living in the U.S. Around 50% of these Veterans are over 65 years of age. Many U.S. service members – both active and retired, experience trauma and dysfunction in restructuring their lives. Mental health problems are reported in over 50% of Veterans both in active service and retired. According to the U.S. Department of Veterans Affairs (VA), ten times more suicides are reported among Veterans who did not register with the VA compared to those who do register. Longer deployments, shorter times at home between the deployments and combat exposure are the greatest contributors …

A Unique Type Of Loneliness: Infertility In Nineteenth-Century America, Abigail Butler

Theses and Dissertations from 2020

Many diaries and letters written by nineteenth-century Americans display the aching for parenthood and pain of loss due to miscarriage. Though some women felt joy or relief when they recognized they had miscarried or were not pregnant, infertility negatively affected the everyday lives of many men and women in the nineteenth century. Infertility not only disturbed their personal beliefs of family and their role in society, but could cause marital discord, feeling outcast from society, and could lead to other health problems. Women in slavery faced even more serious consequences that included being sold away from their family and/or receiving …

Evaluating Family Satisfaction On An Advanced Certification Palliative Care Unit., Ruby Aebersold

Doctor of Nursing Practice Papers

Inpatient palliative care programs with The Joint Commission (TJC) Advanced Certification for Palliative Care are accountable for evaluating multiple health outcomes, including family satisfaction. A midwestern urban hospital’s palliative care unit received certification in January 2019. To comply with TJC standards, a clear data management and evaluation plan for family satisfaction data was needed. Investigation of the previous family satisfaction measure processes revealed areas in need of improvement in the satisfaction survey distribution, data collection, and evaluation processes. Satisfaction surveys were often unable to be distributed to families of deceased patients because the documented mailing address was a nursing facility. …

Examining Provider Perceptions And Roles Associated To Breastfeeding Support And Medical Management In Primary Care, Meghan Ganio Molinari

Graduate Theses

Background: Human milk is recommended as the exclusive source of nutrition for all infants in the first six months of life. Current rates of exclusive breastfeeding at six months are well below the public health recommendations (24.9% as of 2015). New mothers may experience many challenges which impact both breastfeeding initiation and duration rates in the postpartum period. Studies indicate that breastfeeding rates improve when women receive a combination of prenatal education coupled with postnatal support. Primary care practitioners in outpatient settings have a unique opportunity to provide lactation education, support, and medical management for their patients to improve …

The Aids Virus And The Galvanization Of The Lgbtq Movement For Equality, Michael Ernest Wachowski

Graduate Theses

The LGBTQ community was greatly altered by the AIDS crisis and the organizations that were founded in the 1980s. AIDS would become associated with those of the gay community during the early years of the crisis. The government and leading health officials perpetuated the public’s ignorance about the relativity new disease leading to more misunderstandings and mishandlings of the HIV/AIDS crisis. The disease did not discriminate among people, however, and quickly spread throughout many of the communities in the U.S. Organizations with roots in the LGBTQ community established themselves during the 1980s to deal with not only the AIDS crisis, …

Minding Many Minds An Assessment Of Mental Health And Resilience Among Undergraduate And Graduate Students A Mixed Methods Exploratory Study.Pdf, Rebecca Fried, Shazya Karmali, Jennifer Irwin

Health Studies Publications

No abstract provided.

Effect Of S100b Deletion On Membrane Properties And Localization Of Ncald And Hpca, Natasha Hesketh

Graduate School of Biomedical Sciences Theses and Dissertations

Calcium signaling is particularly important for neuronal function. Neurons utilize a wide range of calcium-binding proteins. Dysregulation of such proteins is linked to neurodegeneration. Neurocalcin delta (NCALD), hippocalcin (HPCA), and S100B are calcium sensors that are expressed in the hippocampus, a brain region essential to memory and severely damaged in Alzheimer’s disease (AD). Despite the potential importance of these proteins, we do not fully understand the physiological significance of their relationship. Because NCALD and HPCA are known to interact with S100B, we hypothesized that the loss of S100B affects NCALD and HPCA localization, and therefore electrical properties, of hippocampal neurons. …

Management And Treatment Of Hepatocellular Carcinoma With Immunotherapy: A Review Of Current And Future Options, Shima Ghavimi, Tehila Apfel, Hamed Azimi, Alana Persaud

Internal Medicine

With mortality rates of liver cancer doubling in the last 20 years, this disease is on the rise and has become the fifth most common cancer in men and the seventh most common cancer in women. Hepatocellular carcinoma (HCC) represents approximately 90% of all primary liver cancers and is a major global health concern. Patients with HCC can be managed curatively with surgical resection or with liver transplantation, if they are diagnosed at an early stage. Unfortunately, most patients with HCC present with advanced stages of the disease and have underlying liver dysfunction, which allows only 15% of patients to …

Determinants Of The Carbon Footprint Of German Swimmers 2020., Ann-Marie Muehlbauer

Master's Theses

The current climate situation is placing our planet and future generations at risk, which demonstrates the urgency to combat climate change and conduct research to support this effort. Calculating the carbon footprint of active sport participation represents an important opportunity to conduct additional research. This study examined the environmental attitudes and practices of swim club members in Germany. The study had three goals: First, to calculate the total and partial carbon footprint of German swimmers; second, to understand how sport organizations induce participants to engage in pro-environmental behavior; and third, to analyze various factors associated with carbon footprint, such as …

2020-08-01_Michiganoverview_Covidlongtermcare, Michigan Department Of Health & Human Services

Michigan COVID-19 Long Term Care Data

The COVID Long Term Care Facilities page was obtained from Michigan's COVID-19 data page: https://www.michigan.gov/coronavirus/0,9753,7-406-98163_98173-526911--,00.html.

This report is created by the Michigan Department of Health & Human Services from data self-reported by long-term care facilities into EMResource. Data is updated on an ongoing basis.

The data below represents a cumulative total of confirmed COVID-19 resident cases, cumulative total of suspected and confirmed resident deaths, cumulative total of confirmed COVID-19 staff cases, and cumulative total of suspected and confirmed staff deaths reported by SNFs in Michigan since January 1, 2020. Case numbers are provisional and may change as facilities correct …

2020-08-01_Michiganoverview_Covidstats, Michigan Department Of Health & Human Services

Cumulative Michigan COVID-19 Data

The COVID Overview page was obtained from Michigan's main COVID-19 page: https:/www.michigan.gov/coronavirus/0,9753,7-406-98163-520743--,00.html.

This report is provisional and subject to change. City of Detroit and Wayne County are reported separately. MDHHS began tracking probable cases April 5, 2020. FCI indicates federal correctional institute. MDOC indicates Michigan Department of Corrections. Diagnostic tests, including nucleic acid amplification/real-time polymerase chain reaction (NAAT/RT-PCR) and rapid virus antigen detection point of care (POC) tests, look for current infection. Serology (antibody) tests are used to look for the possibility of previous infection.
Source: Michigan Disease Surveillance System (MDSS) and Vital Records

The website contained the tables …

Clusters Of Individuals Experiences Form A Continuum Of Persistent Non-Symbolic Experiences In Adults, Jeffery A. Martin

CONSCIOUSNESS: Ideas and Research for the Twenty-First Century

Persistent forms of nondual awareness, enlightenment, mystical experience, and so forth (Persistent Non-Symbolic Experience) have been reported since antiquity. Though sporadic research has been performed on these experiences, the scientific literature has yet to report a large-scale cognitive psychology study of this population. Method: Assessment of the subjective experience of 319 adult participants reporting persistent non-symbolic experience was undertaken using 6-12 hour semi-structured interviews and evaluated using grounded theory and thematic analysis. Results: Five core, consistent categories of change were uncovered: sense-of-self, cognition, affect, perception, and memory. Participants’ reports formed phenomenological groups in which the types of change …

Decoding The Mechanisms Underlying Cell-Fate Decision-Making During Stem Cell Differentiation By Random Circuit Perturbation., Bin Huang, Mingyang Lu, Madeline Galbraith, Herbert Levine, Jose N Onuchic, Dongya Jia

Faculty Research 2020

Stem cells can precisely and robustly undergo cellular differentiation and lineage commitment, referred to as stemness. However, how the gene network underlying stemness regulation reliably specifies cell fates is not well understood. To address this question, we applied a recently developed computational method, random circuit perturbation (RACIPE), to a nine-component gene regulatory network (GRN) governing stemness, from which we identified robust gene states. Among them, four out of the five most probable gene states exhibit gene expression patterns observed in single mouse embryonic cells at 32-cell and 64-cell stages. These gene states can be robustly predicted by …

Athletic Training Education Reform, Caroline Hanson, Joan Rocks Dr.

Masters Theses/Capstone Projects

Athletic Training Education Programs are in the midst of major clinical and educational reforms following the release of the Strategic Alliance Degree Statement under the direction of the Commission on Accreditation of Athletic Training Education (CAATE). Athletic Training has historically been a bachelor’s-level entry degree. The new degree standards under CAATE will make the profession a master’s-level entry degree. Limited research exists on how the Strategic Alliance Degree Statement and the transition of the degree will affect the profession of Athletic Training in the short or long term due to the limited number of programs who have already completed the …

Atopic Dermatitis: Infected, Children's Mercy Kansas City

Clinical Pathways (Formally Known As Care Process Models)

No abstract provided.

Atopic Dermatitis: Non-Infected, Children's Mercy Kansas City

Clinical Pathways (Formally Known As Care Process Models)

No abstract provided.

Hybrid Cyclic/Linear Peptides In A Multi-Component Lipid Structure As A Sirna Delivery System, Abdulaziz Alasmari

Pharmaceutical Sciences (MS) Theses

Delivering siRNA is challenging due to many obstacles, such as extremely short in vivo half-life, rapid elimination via glomerular filtration, and inability to cross cell membranes due to the hydrophilic and negatively-charged nature. Thus, a delivery system is needed to deliver the siRNA into the cells by crossing the negatively-charged phospholipid cell membrane. The goal of this project was to design hybrid cyclic-linear peptides as siRNA delivery system. We designed and synthesized hybrid cyclic-linear peptides [R5K]W5, [R6K]W6, and [R5K]W7 containing positively-charged arginine residues attached to hydrophobic tryptophan chains for more efficient interaction with siRNA and to improve siRNA internalization into …

2020-08-01_Michiganoverview_Covidsymptoms, Michigan Department Of Health & Human Services

Michigan COVID-19 Syndromic Surveillance System Data

The Syndromic Surveillance System Data report was obtained from Michigan's COVID-19 dashboard, from under the link "​Coronavirus Symptoms": https://www.michigan.gov/coronavirus. Data was compiled by the Michigan Department of Health and Human Services (MDHHS). The information was updated daily.

Syndromic Surveillance System data is obtained from approximately 183 facilities participating in syndromic surveillance (132 Emergency Departments (ED), 51 Urgent Cares) across the State of Michigan. The reporting is based on individuals who present at EDs and may not be representative of the overall population. The coronavirus-like symptoms query searches visit free-text (chief complaint, triage notes, and clinical impression) for fever or …

A Systematic Review Of Interventions For Family Caregivers Who Care For Patients With Advanced Cancer At Home., Soojung Ahn, Rafael D. Romo, Cathy L. Campbell

Nursing | Faculty Scholarship

OBJECTIVE: To examine the characteristics of interventions to support family caregivers of patients with advanced cancer.

METHODS: Five databases (CINAHL, Medline, PsycINFO, Web of Science, and the Cochrane Library) were searched for English language articles of intervention studies utilizing randomized controlled trials or quasi-experimental designs, reporting caregiver-related outcomes of interventions for family caregivers caring for patients with advanced cancer at home.

RESULTS: A total of 11 studies met the inclusion criteria. Based on these studies, the types of interventions were categorized into psychosocial, educational, or both. The characteristics of interventions varied. Most interventions demonstrated statistically significant results of reducing psychological …

Consensus Guidelines For Management Of Hyperammonaemia In Paediatric Patients Receiving Continuous Kidney Replacement Therapy., Rupesh Raina, Jirair K Bedoyan, Uta Lichter-Konecki, Philippe Jouvet, Stefano Picca, Nicholas Ah Mew, Marcel C Machado, Ronith Chakraborty, Meghana Vemuganti, Manpreet K Grewal, Timothy Bunchman, Sidharth Kumar Sethi, Vinod Krishnappa, Mignon Mcculloch, Khalid Alhasan, Arvind Bagga, Rajit K Basu, Franz Schaefer, Guido Filler, Bradley A Warady

Paediatrics Publications

Hyperammonaemia in children can lead to grave consequences in the form of cerebral oedema, severe neurological impairment and even death. In infants and children, common causes of hyperammonaemia include urea cycle disorders or organic acidaemias. Few studies have assessed the role of extracorporeal therapies in the management of hyperammonaemia in neonates and children. Moreover, consensus guidelines are lacking for the use of non-kidney replacement therapy (NKRT) and kidney replacement therapies (KRTs, including peritoneal dialysis, continuous KRT, haemodialysis and hybrid therapy) to manage hyperammonaemia in neonates and children. Prompt treatment with KRT and/or NKRT, the choice of which depends on the …