Medicine and Health Sciences Commons^™

2021-04-14_Michiganoverview_Covidtestingtimes, Michigan Department Of Health & Human Services

Michigan COVID-19 Testing Turnaround Data

The COVID Testing Turnaround Time page was obtained from Michigan's COVID-19 data page: https://www.michigan.gov/coronavirus/0,9753,7-406-98163_98173-545615--,00.html.

This report was created by the Michigan Department of Health & Human Services, providing data for the past 14 days on the average time it takes for a diagnostic COVID-19 laboratory test to be reported to the state health department. Testing turnaround time data will be updated weekly on Friday mornings.

MDHHS receives results from commercial labs, hospitals, and public health labs. However, public health laboratories perform limited diagnostic testing and disease surveillance for infectious diseases. Total turnaround time is calculated from the difference of …

Impact Of Cuff Over Inflation On Blood Pressure Readings In Adults, Amy Toonstra Pt, Dpt, Kristin Lafebvre Pt, Phd, Jessica Denn, Matthew Goecke, Lucas Grossoehme, Emma Jarocki

DPT Capstone Posters

Purpose

• Physical therapists regularly use blood pressure (BP) readings when making clinical decisions.
• Inaccuracies in BP readings may occur when not following standard procedure.
• False or missed diagnoses of hypertension (HTN) may lead to improper medical management.

Objective

To determine the effects of cuff over inflation on BP readings compared to the standardized 20 mmHg above the loss of Korotkoff sounds when taking manual BP in adults.

Participants

109 adult participants recruited at the MN State Fair on August 28, 2019.

Methods

Data Collection

• Utilized American Heart Association (AHA) standardized positioning and procedures
• Baseline BP measurement taken using standard cuff …

Socastee Interview, Participant #13, April 14, 2021, Jennifer Mokos, Jaime Mccauley

Flood Survivor Interviews

A community member of the Rosewood neighborhood in Socastee is interviewed by a CCU student.

Best Practices To Prevent Or Delay Diabetes In Adults With Prediabetes, Aminata Cham

Nursing DNP Projects

Abstract

Diabetes mellitus is a common disease prevalent in 10.5% of the US population about 34.2 million people and a disproportionate percentage of people of color. An EBP project for people with prediabetes was conducted in a faith-based based setting after institutional review board approval. The purpose of the project was to increase fruits and vegetable intake and increase physical activity in adults with prediabetes. The Chronic Care Model was used to guide the design and implementation of the project. The project was a modified version of the National Diabetes Prevention Program (NDPP) in a series of four 2-hour sessions …

2021-04-14_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.

The State of Michigan is working around the clock to test and treat COVID-19 patients. Below is the most recent data healthcare experts across the state have compiled. It is updated Monday - Saturday.
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 …

Efficacy Of The Idbt-Pain Skills Training Intervention To Reduce Emotional Dysregulation And Pain Intensity In People With Chronic Pain: Protocol For A Single-Case Experimental Design With Multiple Baselines., Nell Norman-Nott, Chelsey Wilks, Negin Hesam-Shariati, Negin Hesam-Shariati, Jessica Schroeder, Jina Suh, Jina Suh, Mary Czerwinski, Sylvia Gustin

Psychology Faculty Works

Introduction Difficulties in emotional regulation are key to the development and maintenance of chronic pain. Recent evidence shows internet-delivered dialectic behaviour therapy (iDBT) skills training can reduce emotional dysregulation and pain intensity. However, further studies are needed to provide more definitive evidence regarding the efficacy of iDBT skills training in the chronic pain population. Methods and analysis A single-case experimental design (SCED) with multiple baselines will be used to examine the efficacy of a 4-week iDBT-Pain skills training intervention (iDBT-Pain intervention) to reduce emotional dysregulation and pain intensity in individuals with chronic pain. The iDBT-Pain intervention encompasses two components: (1) …

Implementing Best Practices To Improve Veteran’S Primary Care: A Pilot Project For Suicide Screening, Assessment & Referral, Nathaniel Held

Doctor of Nursing Practice Projects

Problem Description: Suicide is an increasing problem within the United States, but an even greater problem among the veteran population. Veterans are twice as likely to commit suicide than individuals within the civilian population. El Paso County, Colorado has the highest veteran population in the state and the highest number of suicides. Despite numerous military mental health programs available. Studies have found that many veterans will visit a civilian primary care clinic (for various reasons) within a month of taking their own lives but rarely are mental health concerns noted. This can be due to a lack of awareness and …

Multifaceted Management Of Covid In The Medical Student Population Of Sidney Kimmel Medical College, Wayne Bond Lau, Kristin Desimone, Leonard Levine, Kathryn Trayes, Charlie Pohl

Department of Emergency Medicine Posters

COVID has created hardships in the lives of many persons. In a time of chaos, it was clear our institution needed an efficient workflow to track all students requiring quarantine, so that academic progress and student wellness would not be casualties.

This presentation reviews that workflow in detail, for the purpose of sharing strengths of the process for the greater GSA/OSR network’s benefit.

Life Skills Curriculum For Lower Middle School Students At Benton Hall Academy, Elizabeth Atkins

OTD Capstone Projects

This capstone project focused on the creation of a life skills curriculum for the lower/middle school students at Benton Hall Academy, a school for children who learn differently, in Nashville, TN. Through collaboration with stakeholders, students' top 3 life skill needs were identified, including: social and communication skills, money management and spending skills, and vocation planning. Current literature and materials, as well as students' overarching needs, were examined and used to create the above mentioned units, totaling 13 individual lessons with all needed materials also included.

Addressing Comorbidity Education Needs In Tristar Skyline’S Readmission Reduction Program, Savannah Carroll

OTD Capstone Projects

This doctoral capstone experience was completed in partnership with TriStar Skyline Medical Center’s inpatient rehabilitation Readmission Reduction Program. This project was driven by a need to increase the provision of education for patients qualifying for this program to promote successful comorbidity management upon discharge to reduce avoidable readmissions. The primary focus of this project was to develop educational materials to promote an understanding of how to successfully manage Diabetes Mellitus, COPD, and CHF to reduce disease complications and avoidable readmissions. The educational materials were developed as online interactive modules for in-room education at the patient’s own pace with voice over …

Clinicians' Perspectives On The Permobil Explorer Mini, Hannah Guffey

OTD Capstone Projects

Clinicians' Perspectives on the Permobil Explorer Mini

Vitamin D Promotes Skeletal Muscle Regeneration And Mitochondrial Health, Christine M. Latham, Camille R. Brightwell, Alexander R. Keeble, Brooke D. Munson, Nicholas T. Thomas, Alyaa M. Zagzoog, Christopher S. Fry, Jean L. Fry

Athletic Training and Clinical Nutrition Faculty Publications

Vitamin D is an essential nutrient for the maintenance of skeletal muscle and bone health. The vitamin D receptor (VDR) is present in muscle, as is CYP27B1, the enzyme that hydroxylates 25(OH)D to its active form, 1,25(OH)D. Furthermore, mounting evidence suggests that vitamin D may play an important role during muscle damage and regeneration. Muscle damage is characterized by compromised muscle fiber architecture, disruption of contractile protein integrity, and mitochondrial dysfunction. Muscle regeneration is a complex process that involves restoration of mitochondrial function and activation of satellite cells (SC), the resident skeletal muscle stem cells. VDR expression is strongly upregulated …

2021-04-14_Michigandaily_Covidmap, Michigan Department Of Health & Human Services

Daily Michigan COVID-19 Update

The "WHERE WE STAND WITH COVID-19" map was obtained from Michigan's main COVID-19 page: https://www.michigan.gov/coronavirus. Data was compiled by the Michigan Department of Health and Human Services (MDHHS). The information was updated daily at 3p.m., Monday - Saturday.

The State of Michigan is working around the clock to test and treat COVID-19 patients. Below is the most recent data healthcare experts across the state have compiled.

The image contained a map, indicating total cases by county, and also provides statistics on Total Confirmed Cases, Total COVID-19 Deaths, Daily Confirmed Cases, and Daily COVID-19 Deaths. There …

2021-04-14_Michiganoverview_Covidbedppe, Michigan Department Of Health & Human Services

Michigan COVID-19 Hospital Data

Contains the tables Statewide Hospital Capacity Report for COVID-19, COVID-19 Metrics, Statewide Hospital Available PPE Tracking for COVID-19, as well as the tables PPE Days On Hand and Patient Census.

Silver Diamine Fluoride: Preventing Dental Caries, Renee S. Bingman

Dental Hygiene ETDs

Purpose

The study was designed to determine awareness and knowledge of silver diamine fluoride (SDF) among dental hygiene program directors and determine if schools have included SDF education to their curriculum.

Methods

A descriptive survey was used to gather information from all United States dental hygiene program directors.

Results

The survey had a max response from 39 school directors. With 92.31% of schools indicating SDF as a product of interest only 76.92% currently provided education to students. There are 76.92% of schools providing SDF education to students yet only 34.21% of those schools are providing SDF education to the faculty. …

Keap1 Is Required For Artesunate Anticancer Activity In Non-Small-Cell Lung Cancer, Kristen S. Hill, Anthony Mcdowell Jr., J. Robert Mccorkle, Erin Schuler, Sally R. Ellingson, Rina Plattner, Jill M. Kolesar

Pathology and Laboratory Medicine Faculty Publications

Artesunate is the most common treatment for malaria throughout the world. Artesunate has anticancer activity likely through the induction of reactive oxygen species, the same mechanism of action utilized in Plasmodium falciparum infections. Components of the kelch-like ECH-associated protein 1 (KEAP1)/nuclear factor erythroid 2-related factor 2 (NRF2) pathway, which regulates cellular response to oxidative stress, are mutated in approximately 30% of non-small-cell lung cancers (NSCLC); therefore, we tested the hypothesis that KEAP1 is required for artesunate sensitivity in NSCLC. Dose response assays identified A549 cells, which have a G333C-inactivating mutation in KEAP1, as resistant to artesunate, with an IC50 of …

Home Blood Pressure Monitoring To Improve Hypertension Control: A Narrative Review Of International Guideline Recommendations, John Andraos, Luma Munjy, Michael S. Kelly

Pharmacy Faculty Articles and Research

Home blood pressure monitoring (HBPM) is a convenient way to assess out-of-office blood pressure control and is recommended by numerous international guidelines to aid clinicians in the diagnosis and management of essential hypertension. Although available guidelines recommend the use of HBPM in patients receiving antihypertensive medication, their specific recommendations regarding optimal monitoring schedule, duration, and clinician interpretation of home blood pressure readings may differ among guidelines. Purpose: The purpose of this article is to review available international hypertension guideline recommendations related to the use of HBPM to improve hypertension control among patients receiving antihypertensive therapy. We also briefly highlight …

Conjunction Of Factors Impacting The 2019-2020 Flu Season In The Us, Yichen Wang

Undergraduate Research Symposium 2021

The 2019-2020 flu season is regarded as one of the most serious ones in decades. Previous researchers usually studied the effects of different factors on seasonal flu separately instead of their conjugate impact, so we wanted to find how multiple factors combine to affect the spread of influenza in the 2019-2020 flu season in America. We chose types of virus (A and B), environmental factors (temperature, precipitation, relative humidity), population density, and influenza vaccination status for different age groups which are statewide data containing monthly information from Sep. 2019 to May 2020. By principal component analysis, we could see the …

An Analysis Of The Behaviors Used By Physicians And (Pre)Medical Students To Cope With Stress, Carter Bracht

Honors Program: Senior Projects (Public)

Physicians (both practicing and resident) in the U.S. are experiencing high rates of burnout and mental health issues because of the stressors related to their career and the lack of coping mechanisms in practice by these physicians. As a population, physicians normalize internalization of their stress as members of a “proud” community. This study sought to examine the positive, negative, and positive addiction coping mechanisms that physicians use to relieve job-related stress using the following coping domains: emotion-oriented, task-oriented, and avoidance-oriented coping. We further sought to examine stressors and coping mechanisms that are introduced in (pre)medical school and how they …

Novel And Emerging Therapies For Inflammatory Bowel Disease., Badr Al-Bawardy, Raina Shivashankar, Deborah D Proctor

Division of Gastroenterology and Hepatology Faculty Papers

Inflammatory bowel diseases (IBD) such as ulcerative colitis and Crohn's disease are chronic, relapsing and remitting disorders of intestinal inflammation with potential systemic manifestations. Despite the availability of current biologics, such as anti-tumor necrosis factor (anti-TNF), anti-integrins, anti-interleukins and small molecules such as tofacitinib, the rates of primary and secondary treatment failure remain high in IBD. This highlights the importance of continued development of new therapeutic targets and modifications of existing ones to improve the treatment response rates and to also improve the safety profile and tolerability of these medications. In this review we will discuss novel treatment target agents …

Clinicians' Perspectives On The Permobil Explorer Mini, Searcy Fox

OTD Capstone Projects

Clinicians' Perspectives on the Permobil Explorer Mini

Clinicians Perspectives On The Permobil Explorer Mini, Lilly Otoole

OTD Capstone Projects

Clinicians Perspectives on the Permobil Explorer Mini

Violence Has No Home In Healthcare, Ellen Crowe, Mba, Ms, Carl J. Schiessl, Jd, Mary Reich Cooper, Md, Jd

Population Health Leadership Series: PopTalk Webinars

Throughout the COVID-19 pandemic, increased stress and anxiety has only further exacerbated the problem of violence in hospitals and other healthcare settings. Through the Safer Hospitals Initiative, Connecticut hospitals have united to develop and implement strategies to create a culture of safety for patients and staff within each of the institutions. This initiative applies the power of high reliability principles to standardize approaches to combatting violence in microsystems and macrosystems throughout an organization. We will share the strategies that may be replicated in your organizations to keep individuals working in healthcare organizations safer by stopping violence before it begins.

Fears And Barriers: Problems In Breast Cancer Diagnosis And Treatment In Pakistan, Sidra Saeed, Muhammad Asim, Malik Muhammad Sohail

Community Health Sciences

Background: Women in Pakistan lack appropriate awareness about diagnosis and treatment for breast cancer due to a range of multifaceted barriers. There is a dearth of literature examining the socio-cultural factors that inhibit women from breast cancer screening, diagnosis and treatment in Punjab, Pakistan. Addressing this gap, this qualitative study sought to identify and explore the barriers that hinder women from seeking timely screening and treatment.
Methods: In this process 45 women (age = 18-50 years) with breast cancer were purposively sampled and interviewed from the Punjab Institute of Nuclear Medicine (PINUM) hospital, Faisalabad, Pakistan.
Results: An inductive approach was …

Reduction In Hospital System Opioid Prescribing For Acute Pain Through Default Prescription Preference Settings: Pre-Post Study, Benjamin Heritier Slovis, Jeffrey Riggio, Melanie Girondo, Cara Martino, Bracken Babula, Lindsey Roke, John C. Kairys

Department of Medicine Faculty Papers

BACKGROUND: The United States is in an opioid epidemic. Passive decision support in the electronic health record (EHR) through opioid prescription presets may aid in curbing opioid dependence.

OBJECTIVE: The objective of this study is to determine whether modification of opioid prescribing presets in the EHR could change prescribing patterns for an entire hospital system.

METHODS: We performed a quasi-experimental retrospective pre-post analysis of a 24-month period before and after modifications to our EHR's opioid prescription presets to match Centers for Disease Control and Prevention guidelines. We included all opioid prescriptions prescribed at our institution for nonchronic pain. Our modifications …

A Comparative Analysis Of Distribution And Allocation Of Covid-19 Vaccines Between Two Administrations, Leila Halawi, J. Mayanja, J. Chilipamushi, Y. Zhang, B Albury, Jude Edwards

Publications

The pandemic of COVID-19 is a life-threatening disease that entailed all governments but especially the U.S government, to quickly prevent methods of spreading the virus while strategically putting in place a plan for biological testing for a vaccine for immunity. The purpose was to determine how effective the formulation of a COVID-19 vaccine and the distribution would impact the mortality with efficacy rates. Besides, this research paper underlines the principles for ethical and equitable distribution for mass immunization. A comparative analysis between the Trump Administration and the Biden Administration will be presented regarding the funding stream, distribution of vaccinations, and …

Understanding The Patient Journey To Diagnosis Of Lung Cancer, Yichen Zhang, Michael J. Simoff, David Ost, Oliver J. Wagner, James Lavin, Beth Nauman, Mei Chin Hsieh, Xiao Cheng Wu, Brian Pettiford, Lizheng Shi

School of Public Health Faculty Publications

Objective: This research describes the clinical pathway and characteristics of two cohorts of patients. The first cohort consists of patients with a confirmed diagnosis of lung cancer while the second consists of patients with a solitary pulmonary nodule (SPN) and no evidence of lung cancer. Linked data from an electronic medical record and the Louisiana Tumor Registry were used in this investigation. Materials and methods: REACHnet is one of 9 clinical research networks (CRNs) in PCORnet®, the National Patient-Centered Clinical Research Network and includes electronic health records for over 8 million patients from multiple partner health systems. Data from Ochsner …

Medical School To Residency: How Can We Trust The Process?, Gary L Beck Dallaghan, Irene Alexandraki, Jennifer Christner, Meg Keeley, Sorabh Khandelwal, Beat Steiner, Paul A Hemmer

Faculty, Staff and Students Publications

Background To say that the transition from undergraduate medical education (UME) to graduate medical education (GME) is under scrutiny would be an understatement. Findings from a panel discussion at the 2018 Association of American Medical Colleges Annual meeting entitled, "Pass-Fail in Medical School and the Residency Application Process and Graduate Medical Education Transition" addressed what and when information should be shared with residency programs, and how and when that information should be shared. Materials and Methods Over 250 participants representing UME and GME (e.g. leadership, faculty, medical students) completed worksheets addressing these questions. During report-back times, verbal comments were transcribed …

Study Of Potential Drug For Alzheimer’S Disease: Small Organic Molecules, 1,5-Dhn And Tmpyp Inhibit Amyloid-Β Peptide Aggregation And Quench Hydroxyl Radicals, Matthew Murphy

Undergraduate Research Conference

Alzheimer disease (AD) is recognized as the six leading cause of the death in the United States. As of now, there is no cure for this fatal disease. The current treatment methods can only temporarily slow the worsening of symptoms. Research data suggested that an excess generation of hydroxyl radical in the brain causing the aggregation of Amyloid-β (Aβ) peptide which is considered to be responsible for Alzheimer's disease. Thus, there is a pressing need to find a suitable drug which can quench hydroxyl radicals effectively and stop or slow down the formation of aggregation of Aβ peptide. The primary …

A Novel Molecular And Cellular Study On Curcumin, Khang Nguyen

Undergraduate Research Conference

Since the discovery of G-quartet (G4)by M. Gellertin 1962, much attention has been given on G4and C4(also called i-motif) as important drug design targets for the treatment of various human disorders. G4 forming sequences are prevalent in human genome, which includes many important regions of the eukaryotic genome, such as telomere ends, regulatory regions of many oncogenes c-kit, proto-oncogene c-myc, Kirsten rat sarcoma viral oncogene homolog (KRas). Curcumin(diferuloylmethane), an antiinflammatory and antioxidant compound, is found in the rhizomes of the plant Curcuma longa. The phytopolyphenolic chemical curcumin has been in the prominence due to its diverse pharmacological activities. Here, we …