Medicine and Health Sciences Commons^™

2020-05-28_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. Data was compiled by the Michigan Department of Health and Human Services (MDHHS). The information was updated daily at 3p.m., with COVID-19 results included as of 10 a.m.

Note on cumulative counts: This report is provisional and subject to change. As public health investigations of individual cases continue, there will be corrections to the status and details of referred cases that result in changes to this report. City of Detroit and Wayne County are reported separately.
Note on the deaths: Deaths must be reported by health care …

2020-05-28_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 COVID-19 resident cases reported by SNFs in Michigan since January 1, 2020. Facilities that did not report data are listed as “--.” Case numbers are provisional and may change as facilities correct or add data.
In addition, residents and family members should understand that the presence of …

Please Share Your Covid Experience!, Peter Gavin Ferriby

University Briefings & Virtual Events

As history unfolds during the COVID-19 Pandemic, the Remembering COVID-19 Project is collecting experiences and responses from the SHU community to preserve for decades to come. Ryan Matura Library staff, in collaboration with the departments of history, sociology, theatre arts and the School of Communication, Media & the Arts, will collect and archive the content.

Monitoring Patient And Caregiver Adherence To Treatment In Management Of Vascular Ulcers, Angela N. Ikeri

Theses and Graduate Projects

Chronic diseases have increased the incidence of vascular ulcer development. These ulcers require long-term wound management and other interventions from different health care specialists to achieve healing and decrease further complications. Following acute hospital and clinic vascular ulcer care interventions, patients are discharged home or to other facilities in the communities with vascular ulcer care instructions. Often, these patients come back to the vascular clinic or get readmitted into the hospital with deterioration of their wounds. This project used questionnaires to determine what barriers vascular ulcer patients and their caregivers have in the management of these wounds in the community. …

Mild Traumatic Brain Injury: Parental Education For An Active Child, Elizabeth W. Roth

Theses and Graduate Projects

Mild traumatic brain injuries in the pediatric population are prevalent and pervasive. Identification and recognition of concussion symptoms is complicated by variable symptom manifestation and duration. The purpose of this evidence-based DNP project was to implement a concussion education intervention to increase parental recognition and knowledge regarding pediatric concussions. Individualized, in-person education, evidence-based injury prevention, symptom recognition, and collaboration encouraged lifestyle modification to reduce childhood injuries. Evaluation of parental concerns concluded a desire for future health promotion education resulting in bimonthly meetings to further improve personal, familial, and professional health.

Education For Health Care Providers: Medical Cannabis, Morgan C. Rohl

Theses and Graduate Projects

Health care providers are consistently unaware of the implications, efficacy, and resources correlated with medical cannabis and cannabidiol. Thus, patients are uninformed about medical cannabis as a treatment option for their qualifying conditions. Informative educational sessions present a method to facilitate specialty knowledge development regarding medical cannabis and cannabidiol. In this scholarly project, six nurse practitioners and two allied staff members, attended a PowerPoint presentation followed by an open discussion regarding cannabinoids. Examination of post-presentation survey results indicated that felt more informed about the physiology and efficacy of cannabidiol, more aware of the resources for them, and had increased comfort …

Increasing Autism Awareness In The Somali Community, Safiya Ahmed

Theses and Graduate Projects

Autism spectrum disorder has become more prevalent in recent years, especially in the Somali community in Minneapolis. Early detection, diagnosis and interventions are essential for children with this disorder. A recent study on the prevalence of autism spectrum disorder in Minneapolis, Minnesota reported that Somali children not only have the highest prevalence of this disorder among all races and ethnicity but also receive late diagnosis and interventions. A comprehensive literature review identified lack of awareness, cultural stigma, and difficulty to access services as barriers for early diagnosis and interventions for Somali children. The literature also supported the importance of early …

Effectiveness And Safety Of Oral Anticoagulants Among Nvaf Patients With Obesity: Insights From The Aristophanes Study, Steve Deitelzweig, Allison Keshishian, Amiee Kang, Amol Dhamane, Xuemei Luo, Xiaoyan Li, Neeraja Balachander, Lisa Rosenblatt, Jack Mardekian, Xianying Pan, Manuela Di Fusco, Alessandra B. Garcia Reeves, Huseyin Yuce, Gregory Y. H. Lip

Publications and Research

This ARISTOPHANES analysis examined stroke/systemic embolism (SE) and major bleeding (MB) among a subgroup of nonvalvular atrial fibrillation (NVAF) patients with obesity prescribed warfarin or non-vitamin K antagonist oral anticoagulants (NOACs) in order to inform clinical decision making. A retrospective observational study was conducted among NVAF patients who were obese and initiated apixaban, dabigatran, rivaroxaban, or warfarin from 1 January 2013–30 September 2015, with data pooled from CMS Medicare and four US commercial claims databases. Propensity score matching was completed between NOACs and against warfarin in each database, and the results were pooled. Cox models were used to evaluate the …

A Web-Based, Positive Emotion Skills Intervention For Enhancing Posttreatment Psychological Well-Being In Young Adult Cancer Survivors (Empower): Protocol For A Single-Arm Feasibility Trial, John M. Salsman, Laurie E. Mclouth, Michael Cohn, Janet A. Tooze, Mia Sorkin, Judith T. Moskowitz

Behavioral Science Faculty Publications

BACKGROUND: Adolescent and young adult cancer survivors (AYAs) experience clinically significant distress and have limited access to supportive care services. Interventions to enhance psychological well-being have improved positive affect and reduced depression in clinical and healthy populations but have not been routinely tested in AYAs.

OBJECTIVE: The aim of this protocol is to (1) test the feasibility and acceptability of a Web-based positive emotion skills intervention for posttreatment AYAs called Enhancing Management of Psychological Outcomes With Emotion Regulation (EMPOWER) and (2) examine proof of concept for reducing psychological distress and enhancing psychological well-being.

METHODS: The intervention development and testing are …

An Osteocalcin-Deficient Mouse Strain Without Endocrine Abnormalities, Cassandra R. Diegel, Steven Hann, Ugar M. Ayturk, Jennifer C. W. Hu, Kyungeun Lim, Casey J. Droscha, Zachary B. Madaj, Gabrielle E. Foxa, Isaac Izaguirre, Vai Vivarium And Transgenics Core, Noorulain Paracha, Bohdan Pidhaynyy, Terry L. Dowd, Alexandra G. Robling, Matthew L. Warman, Bart O. Williams

Publications and Research

Osteocalcin (OCN), the most abundant noncollagenous protein in the bone matrix, is reported to be a bone-derived endocrine hormone with wide-ranging effects on many aspects of physiology, including glucose metabolism and male fertility. Many of these observations were made using an OCN-deficient mouse allele (Osc– ) in which the 2 OCN-encoding genes in mice, Bglap and Bglap2, were deleted in ES cells by homologous recombination. Here we describe mice with a new Bglap and Bglap2 double-knockout (dko) allele (Bglap/2p.Pro25fs17Ter) that was generated by CRISPR/Cas9-mediated gene editing. Mice homozygous for this new allele do not express full-length Bglap or Bglap2 mRNA …

2020-05-28_Michiganoverview_Covidbedppe, Michigan Department Of Health & Human Services

Michigan COVID-19 Hospital Data

The webpage was obtained from Michigan's Coronavirus Cumulative Data page, under the link Data About Places. Data is self-reported by hospitals daily to the EM Resource System per MDHHS Director Robert Gordon's Emergency Order.

Contains the tables Statewide Available Bed Tracking for COVID-19, COVID-19 Metrics, Statewide Available PPE Tracking for COVID-19 (Statewide Available PPE and Bed Tracking), as well as the tables PPE Days On Hand and Patient Census.

Changing The Culture Of Opioid-Related Messaging In Florida: A Formative Research Approach, Laura Boutemen, Lindsay Neuberger, Chad Collins, Chandler Dobiyanski, Bethany Richardson, Emily Knapp

Florida Public Health Review

Though expanding in negative impact for decades, the opioid epidemic, including heroin use, has reached public health emergency status in the United States. Heroin is not used only by the most intense drug users, but becoming more common place (Hirschfeld Davis, 2017). It is essential to better understand how young adults perceive heroin prevention, intervention, and treatment so the most effective campaign messages can be constructed to assist them. This paper presents data from four focus groups (N=24) in Orlando, Florida to better gauge young adult knowledge regarding heroin and obtain specific recommendations to successfully inform future messaging. Results suggest …

2020-05-27/28 Daily Unm Global Health Covid-19 Briefing, Christophe G. Lambert, Shawn Stoicu, Ingrid Hendrix, Lori D. Sloane, Mari Anixter, Anastasiya Nestsiarovich, Praveen Kumar, Nicolas Lauve, Jenny Situ, Ariel Hurwitz, Elly Munde, Perez Olewe, Kristine Tollestrup, Orrin Myers, Douglas J. Perkins

HSC Covid 19 Briefings

Executive Summary:

NM Highlights: NM governor’s press briefing. NM restaurants reopening. Navajo Nation updates. NM case count. CVS new testing sites. Mask Madness competition updates. Limited campus will return at UNM. US Highlights: CA becomes fourth state with 100,000 known infections. Model shows relationship between COVID-19 and crime. International Highlights: E.U. countries ban hydroxychloroquine. Will E.U. economic collapse create an historic centralized government? Economics, Workforce, Supply Chain, PPE: Mental health impact. Face mask itch. Remote postdoctoral fellowships. Epidemiology Highlights: Black vs. white hospitalization and mortality. African infection rates limited. Characteristics of COVID patients. Healthcare Policy Recommendations: South Korea focuses on …

Causes Of Challenges In Implementing Computer-Based Knowledge Management Systems In Healthcare Institutions: A Case Study Of Private Hospitals In Johannesburg, South Africa, George Maramba, Alfred Coleman, Felix F. Ntawanga

The African Journal of Information Systems

The advent of computer-based knowledge management systems has changed the world, especially in the way businesses operate, making them an integral aspect to modern economies and the drivers of success. Studies show that the implementation of computer-based knowledge management systems is challenging, particularly in healthcare institutions. This paper presents a study that was undertaken to identify the causes of challenges encountered when implementing computer-based knowledge management systems in healthcare institutions. A case was used as this study’s research methodology in which three private hospitals based in Johannesburg, South Africa, were utilized. Six participants, two from each private hospital, were purposively …

A Rare Case Report And Literature Review Of Anabolic-Androgenic Steroids (Aas)-Induced Acute Myocardial Infarction, Qian Zhang, Khine S. Shan, Ahmad Raza, Neelima Manda, Travis Nace

Abington Jefferson Health Papers

Anabolic-androgenic steroids (AAS) are synthetic drugs manufactured to mimic the male sex hormone testosterone [1]. They are usually prescribed for medical conditions including but not limited to impotence in males, endometriosis, hypogonadism, and aplastic anemia [2]. It has also been used historically by athletes and bodybuilders to enhance performance as it can stimulate protein synthesis leading to an increase in muscle size and strength [3]. However, the use of AAS has become a serious global public health dilemma as it has been used widely by the general population to improve physical strength and appearance [1]. In …

Outcomes Of Open Mitral Valve Replacement Versus Transcatheter Mitral Valve Repair; Insight From The National Inpatient Sample Database., Waqas Ullah, Yasar Sattar, Maryam Mukhtar, Hafez M. Abdullah, Vincent M. Figueredo, Donald C. Haas, David L. Fischman, M. Chadi Alraies

Abington Jefferson Health Papers

Background: Transcatheter mitral valve repair and replacement (TMVR) is a minimally invasive alternative to conventional open-heart mitral valve replacement (OMVR). The present study aims to compare the burden, demographics, cost, and complications of TMVR and OMVR.

Methods: The United States National Inpatient Sample (US-NIS) for the year 2017 was queried to identify all cases of TMVR and OMVR. Categorical and continuous data were analyzed using Pearson chi-square and independent t-test analysis, respectively. An adjusted odds ratio (aOR) based on the ordinal logistic regression (OLR) model was calculated to determine the association between outcome variables.

Results: Of 19,580 patients, 18,460 …

Racism And The Political Economy Of Covid-19: Will We Continue To Resurrect The Past?, Zinzi D. Bailey, J. Robin Moon

Publications and Research

COVID-19 is not spreading over a level playing field; structural racism is embedded within the fabric of American culture, infrastructure investments, and public policy, and fundamentally drives inequities. The same racism that has driven the systematic dismantling of the American social safety-net has also created the policy recipe for American structural vulnerability to the impacts of this and other pandemics. The Bronx provides an important case study for investigating the historical roots of structural inequities showcased by this pandemic; current lived experiences of Bronx residents are rooted in the racialized dismantling of New York City’s public infrastructure and systematic disinvestment. …

Assisting Children With Velocardiofacial Syndrome Who Have Developmental Disabilities And Delays Associated With Speech, Communication, And Education, Mckenzie K. Holty

Honors Thesis

Children with velocardiofacial syndrome (VCFS) have a variety of complex needs. Research shows that VCFS is characterized by a combination of medical problems, developmental delays, and learning disabilities, which vary from child to child. This syndrome also puts adolescents at a higher risk for developing psychiatric and psychotic disorders. The complexity of symptoms that can arise from VCFS can influence the ability of these children to communicate, socialize, and learn effectively. This literature review aims to discuss literature for caregivers, educators, and physicians to aid children effectively and understand their challenges relating to speech, communication, and education. This topic is …

Why Monitoring Your Media Consumption During Covid-19 Is Important, Dessa Bergen-Cico

Population Health Research Brief Series

Are you spending more time consuming media (news, television, video games) than before COVID-19? Social distancing and stay-at-home orders have led to a surge in media consumption. This brief explains how too much media consumption (including the news) can affect your psychological and physiological wellbeing and provides strategies for monitoring your media consumption.

The Relationship Of Span Of Control To Nurse Manager Satisfaction, Jeffrey Batcher

Master of Science in Nursing Final Projects

Purpose: The purpose of this study was to examine the relationship between span of control (SOC) and nurse manager job satisfaction for nurse managers working in a hospital system. The study may help administrators identify how wide and narrow SOC correlates to the overall job satisfaction of nurse managers.

Design: A non-experimental descriptive correlational study design was used.

Methods: Data were collected from a convenience sample of nurse managers working within an eleven-hospital healthcare system. Survey Monkey was used for data collection and included a demographic questionnaire, The Ottawa Hospital Model of Nursing Clinical Practice (TOH MoNCP) Clinical Management Span …

Reduction Of Secondary Transmission Of Sars-Cov-2 In Households By Face Mask Use, Disinfection And Social Distancing: A Cohort Study In Beijing, China, Yu Wang, Huaiyu Tian, Li Zhang, Dandan Guo, Wenting Wu, Xingxing Zhang, Ge Lin Kan, Lei Jia, Da Huo, Beiwei Liu, Xiaoli Wang, Ying Sun, Quanyi Wang, Peng Yang, C. Raina Macintyre

Environmental & Global Health Faculty Research

Introduction Transmission of COVID-19 within families and close contacts accounts for the majority of epidemic growth. Community mask wearing, hand washing and social distancing are thought to be effective but there is little evidence to inform or support community members on COVID-19 risk reduction within families. Methods: A retrospective cohort study of 335 people in 124 families and with at least one laboratory confirmed COVID-19 case was conducted from 28 February to 27 March 2020, in Beijing, China. The outcome of interest was secondary transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) within the family. Characteristics and practices of …

Predictors Of Nonadherence To Radiation Therapy Schedules Among Head And Neck Cancer Patients, Jennifer Lynn Miller

USF Tampa Graduate Theses and Dissertations

Nonadherence to radiation therapy schedules is a documented problem among head and neck cancer patients. This retrospective dissertation study examined whether demographics, clinical characteristics, or physical and psychological symptoms were related to nonadherence in head and neck cancer patients. The electronic medical records of 262 head and neck cancer patients at a southeastern U.S. cancer center were reviewed to determine whether nonadherence was related to symptom scores and other patient and clinical-related factors. Nonadherent patients were more likely to be female, be admitted to the cancer center as inpatients during treatment and receive outpatient IV fluids during treatment. Nonadherent patients …

College Of Public Health News, Georgia Southern University

College of Public Health: News & Publications

• May 2020 Publications

Usability Of A Mobile App For Improving Literacy In Children With Hearing Impairment: Focus Group Study., Shelly Deforte, Emre Sezgin, Janelle Huefner, Shana Lucius, John Luna, Anand A Satyapriya, Prashant Malhotra

Ambulatory and Primary Care Articles

BACKGROUND: Children with hearing loss, even those identified early and who use hearing aids or cochlear implants, may face challenges in developing spoken language and literacy. This can lead to academic, behavioral, and social difficulties. There are apps for healthy children to improve their spoken language and literacy and apps that focus on sign language proficiency for children with hearing loss, but these apps are limited for children with hearing loss. Therefore, we have developed an app called Hear Me Read, which uses enhanced digital stories as therapy tools for speech, language, and literacy for children with hearing loss. The …

A Fatal Case Of Primary Amoebic Meningoencephalitis From Recreational Waters., Edward Hamaty, Saif Faiek, Minesh Nandi, David Stidd, Manish Trivedi, Hari Kandukuri

Department of Neurosurgery Faculty Papers

Background: Naegleria Fowleri is a single-cell, thermophilic amphizoid amoeba, and a rare known causative agent for primary amoebic meningoencephalitis with >97% mortality rate. The amoeba resides in freshwater lakes and ponds but can also survive in inadequately chlorinated pools and recreational waters. The mode of infection includes activities such as diving or jumping into freshwater or submerging the head under the water. Although most commonly seen in the southern United States, it is essential to keep this clinical suspicion in mind regardless of geography, as presenting symptoms can be very similar to classic bacterial meningitis.

Conclusion: As per the CDC, …

Long-Term Patient-Reported Outcome Measures After Injury: National Trauma Research Action Plan (Ntrap) Scoping Review Protocol, Juan Pablo Herrera-Escobar, Manuel A. Castillo-Angeles, Samia Y. Osman, Claudia P. Orlas, Mahin B. Janjua, Muhammad Abdullah Arain, Emma Reidy, Molly P. Jarman, Michelle A. Price, Adil H. Haider

Medical College Documents

Background: A significant proportion of patients who survive traumatic injury continue to suffer impaired functional status and increased mortality long after discharge. However, despite the need to improve long-term outcomes, trauma registries in the USA do not collect data on outcomes or care processes after discharge. One of the main barriers is the lack of consensus regarding the optimal outcome metrics.
Objectives: To describe the methodology of a scoping review evaluating current evidence on the available measures for tracking functional and patient-reported outcomes after injury. The aim of the review was to identify and summarize measures that are being used …

Utilizing Evidence-Based Trauma Trainings In The Prevention Of Secondary Trauma, Aria Hudson, Marissa Mackey, Stephanie Armes

School of Psychology, Family, and Community Research Conference

Secondary trauma (ST) is a risk mental health clinicians face when treating trauma clients. To our knowledge, research has not explored how a clinician’s trauma training could protect against developing secondary trauma. We used data from a larger national project examining ST in a sample of Marriage and Family Therapists (MFTs; N = 200). A majority of the sample (n = 149; 64.5%) reported receiving specific trauma training. We explored qualitative reports of the specific trauma trainings clinicians received; the most commonly reported were Trauma Focused Cognitive Behavioral Therapy (TFCBT; n = 36) and Eye Movement Desensitization and Reprocessing (EMDR; …

Equine Therapy’S Effect On Attachment For Former Foster Children, Joanna Frazier, Bryn Knapp

School of Psychology, Family, and Community Research Conference

Research has shown the importance of secure attachment, and the negative impact that insecure or disorganized attachment can have, especially for foster or adopted children. Attachment interventions have helped improve behavior problems and increase emotion regulation. Studies have shown that equine assisted psychotherapy (EAP) can help participants increase emotion regulation and decrease behavior problems. In this study, 50 adolescent former foster children will participate in weekly psychotherapy or EAP for one year. The primary aim of this study is to measure the effectiveness of EAP against traditional psychotherapy within this population, measuring outcomes on emotion regulation, behavior problems, and attachment.

Narrative Therapy With First-Generation College Students : Impacts On Anxiety, Depression, And Retention Rates., Nicole Ruttenberg, Lisa Christensen

School of Psychology, Family, and Community Research Conference

Over 50% of students entering higher education represent the first generation in their family to do so. These students experience unique stressors related to educational background, finances, membership in underrepresented populations, and other identities which shape their worldview. Grappling with such complexities can lead to increased likelihood of depression and anxiety, contributing to a 400% drop-out rate when compared with continuing-generation students. Narrative Therapy (NT) has shown promise in treating anxiety and depression and may be beneficial in integrating the intersectional experiences of first-generation students. Our proposed research would examine the impact of NT on depression, anxiety, and retention rates.

Does Marital Satisfaction Mediate The Relationship Between Maternal And Paternal Postpartum Depression (Ppd)?, Karen Touboul Futerman, Leah Smith

School of Psychology, Family, and Community Research Conference

Research suggests that the presence of maternal postpartum depression (PPD) increases the likelihood of experiencing paternal PPD. Low marital satisfaction is significantly related to paternal PPD. Using a sample of 372 heterosexual couples, data was gathered at 1 month and 9 months postpartum for both mothers and fathers to assess PPD and marital satisfaction. Using a multiple regression model, results suggest that marital satisfaction mediates the relationship between maternal and paternal PPD. We also found that the severity of paternal PPD symptoms were negatively correlated with marital satisfaction. This study highlights the importance of supporting the couple relationship as they …