Medicine and Health Sciences Commons^™

Design Of Smart Head-Mounted Display Technology: A Convergent Mixed Methods Study, Abigail Kumagai, V.Swetha E. Jeganathan, Harleen Shergill, Michael D. Fetters, Sayoko E. Moroi, John Gosbee, Dae Shik Kim, James D. Weiland, Joshua R. Ehrlich

Medical Student Research Symposium

The purpose of this study was to explore the factors impacting preference for head-mounted display (HMD) technology among individuals with visual impairment. HMD are commercially available assistive devices intended for those with low vision. Individuals with a range of visual impairment and diagnosis of either age-related macular degeneration, diabetic retinopathy, glaucoma or retinitis pigmentosa were recruited. Participants completed the Impact of Vision Impairment (IVI) questionnaire, were taught to use three different HMDs (eSight, Epson Moverio, and NuEyes) and were subsequently interviewed regarding their experience. Interviews were recorded, transcribed, and coded by two independent coders. Qualitative data was analyzed using a …

Sex-Based Differences In Depth Of Soft Tissue And Bone Diameter At The Sternal Intraosseous Catheter Insertion Site, Tristan Lemon, Ryan Kelly, Revelle Gappy, Sarah Meram, James Paxton

Medical Student Research Symposium

Background

Intraosseous (IO) catheters are commonly used to rapidly obtain vascular access for critically-ill patients in the emergency department (ED). While the sternum is a common IO insertion site for adult subjects, little is known about sex-based variation in the proper depth of insertion.

Methods

A retrospective cohort study was performed, utilizing CT scans obtained from DMC over a ten-year period (2009-2018) to estimate soft tissue depth overlying the recommended sternal IO insertion site. Depths of soft tissue from skin surface to bone surface (Measurement A) and from skin surface to the opposite bony cortex (Measurement B) were measured using …

Impact Of Covid-19 On A Free Clinic Patient Population, Mitchell Naveh Bs, Tanha Shah Ms, Shravan Morisetty Bs, Amanda Fisher Bs, Alisha Pandit Ba, Tasnim Rahman Bs, Kenan Alhayek Bs, Arthur Orchanian Bs, Andrea Janis Bs, Meredith Hengy Bs, Avinash Ramkissoon Mph, Ralph Williams Ii Md, Dionyssios Tsilimingras Md

Medical Student Research Symposium

The Robert R. Frank Student Run Free Clinic at WSUSOM, surveyed patients to determine the impact of the COVID-19 pandemic on its patient population. The study examined any challenges faced in food, financial status, transportation, and healthcare. A Qualtrics survey was administered with ethnicity, age, and gender as controls, while testing patient responses to social factors using the Likert scale. The survey was targeted to a portion of the clinic’s patient pool (n=33) over a span of three months and responses were analyzed using SPSS 26 regression analysis, ANOVA, and paired sample T-tests. Significant responses were across demographics, categories of …

Chronic Use Of Non-Medical Abdominal Compressors: Medical And Psychological Implications, Sawsan Edriss, Bushra Azom, Manar Edriss, Mustafa Edriss, Ann-Cathrin Guertler, Eva Waineo Md, Diane L. Levine Md

Medical Student Research Symposium

The popularity of waist cinchers, shapewear, abdominal binders, corsets, and waist trainers has increased in the population. Although corsets have been part of western fashion since the 18th century, abdominal compressors remain in style even today. In 2018, sales for shapewear worldwide were estimated at 2.26 billion USD. 1 Despite its popularity, shapewear safety and medical effects have not been widely studied.

In 1968, “Pantygirdle Syndrome” was described, attributing vulvitis, urethritis, and urinary tract infections to materials used from the “pantygirdle”. 2 The article describes that the girdle caused gastrointestinal symptoms with diaphragmatic and stomach displacement causing gastro-esophageal reflux disease …

Surgical Outcomes For Esotropia In Children With High Ac/A Ratio, Sabrina E. Dass, Monique Cheng, Reecha S. Bahl

Medical Student Research Symposium

PURPOSE: To assess if high accommodative convergence/accommodation (AC/A) ratio impacts surgical outcomes in children with esotropia (ET).

METHODS: A retrospective chart review identified patients who underwent primary bilateral medial rectus (BMR) recessions for ET. Patients were excluded if follow up was ≤2 months. Basic demographic information, visual acuity, stereopsis, alignment, and target angle for surgery was collected. High AC/A was defined as ≥10 prism diopter (Δ) deviation at near compared to distance. Outcome parameters were near and distance deviations ≤10Δ within orthophoria, and/or stereopsis postoperatively. Yates’ continuity correction, unpaired t-test, regression analysis, and one-way ANOVA were used.

RESULTS …

Voting Is Healthcare: Talking Politics With Patients Can Improve Health Outcomes, Kellie A. Brue Ms, Jaya Parulekar Bs, Neel Patel Do, Ijeoma Nnodim Opara Md

Medical Student Research Symposium

Introduction: Many healthcare policy-related issues were hot topics during this unprecedented election year. Healthcare workers took it upon themselves to play a major role in the election by introducing voting as a topic of discussion within the patient encounter. At Wayne State University School of Medicine (WSUSOM), the Voting is Healthcare (VIH) Taskforce was created in order for students, residents and faculty to assist patients with voter registration. The Taskforce’s major partner was VotER, a non-profit, non-partisan organization dedicated to helping patients register to vote through a user-friendly and easily-accessible online platform.

Methods: The VIH Taskforce distributed badge-backers with QR …

Same Day Transportation For Opioid Use Disorder: Impact Of The Crisis Addiction Recovery Transportation (Cart) Program, Katherine Palmer Loveluck, Andrew King

Medical Student Research Symposium

Patients with opioid use disorder (OUD) frequently present to the emergency department (ED). Delays or barriers in referral to recovery programs from the ED may decrease successful linkage to ongoing care. Immediately following discharge is a particularly high-risk time for OUD patients as studies have shown that immediately following a non-fatal overdose there is an increase in death rates¹. To attempt to combat this gap in care The Detroit Medical Center (DMC) partnered with a community program, Team Wellness (TW), to offer direct transportation 18 hours per day to the TW facility. This crisis addiction recovery transportation (CART) …

Uptodate Use As A Predictor Of Medical Student Success, Connor Buechler, Kurt Wendland, Jason Booza, Diane Levine

Medical Student Research Symposium

Background

Both practicing physicians and student learners prioritize speed of access and ease of use over most other criteria in choosing how to look up clinical information, with electronic resources far outpacing books for these reasons. While there are many variations of electronic reference materials available, UpToDate is one of, if not the most, frequently referenced clinical knowledge resources. It is professionally written and edited by practicing clinicians with frequent updates as new information or studies become available to inform care, allowing the learner to answer clinical questions rapidly, correctly, and fully. Given its proven popularity, the usefulness of UpToDate …

Increasing Diversity In Cardiology: A Fellowship Director's Perspective, Amman Bhasin, Arif Musa, Azar Razikeen, Louis Massoud, Arshia Noori, Ali Ghandour, David Gelovani, Luis Afonso, Randy Lieberman, Ajay Vaidya

Medical Student Research Symposium

Introduction:

Under-represented minority (URM) physicians, specifically African American, Asian (Filipino, Hmong, Vietnamese), Native American, Hispanic, and/or Pacific Islander, constitute only about 10% of practicing cardiologists. Although cardiology programs may face challenges recruiting under-represented minority applicants, concerted efforts to increase diversity may increase the likelihood of graduating minority cardiologists. However, there remains uncertainty regarding how best to recruit under-represented minorities and incentivize minority applicants to apply for cardiology fellowship training. As a result, the goal of this study is to survey current cardiology fellowship program directors regarding their views of diversity and recruitment of URMs.

Methods:

A questionnaire containing items that …

Does Delay In The Diagnosis Of Rudimentary Horn Pregnancy In Patients With Unicornuate Uteri Impact Treatment Outcomes?, Victoria Webber, Megan Fee, Damla Gonullu, Jessica Rausch, Omosalewa Itauma, Chidinma Abara, Awoniyi Awonuga

Medical Student Research Symposium

OBJECTIVE: Rudimentary horn pregnancy (RHP) is a very rare form of ectopic pregnancy (EP) that tends to rupture in the second trimester. Similar to other EPs, the treatment of RHPs is excision, hence delay in diagnosis (DID) can be detrimental. Our objective is to determine whether DID of RHP in patients with unicornuate uteri (UCU) impacts the treatment outcome.

DESIGN: Retrospective cohort study of published case reports in PubMed database.

MATERIALS AND METHODS: A computerized PubMed search of case reports of RHP from 2007 to 2020 was performed using the key words; unicornuate uterus, rudimentary horn, pregnancy, case. Data was …

Critical Importance Of Using Fibroscan To Identify Patients With Cirrhosis In A Predominantly African American Patient Population, Sarah Nasser, Katherine Wong, Paul Naylor, Murray Ehrinpreis, Milton Mutchnick

Medical Student Research Symposium

Introduction: Identifying patients with cirrhosis is complicated, but the availability of Transient Elastography by FibroScan for non-invasive assessment of fibrosis appears to have resolved this issue. The objective of our study was to use a Fibroscan database to identify patients with cirrhosis in our primarily African American Hepatitis C patients and to track outcome especially of patients with Hepatitis C (HCV).

Methods: The electronic medical records of 79 out of the 332 individuals (24%) with a Fibroscan between 2014 and 2016 and a score of >12.5 kPa laboratory values recorded, and etiology and outcomes evaluated. AST to Platelet …

2021-01-30_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 …

2021-01-30_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 …

2021-01-30_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 …

Fat Graft For Parotidectomy Defect Reconstruction In The Setting Of Malignant Disease, S. Hamad Sagheer, Bs, Alexander Knops, Ba, Kurren Gill, Md, Vivian Xu, Bs, Howard Krein, Md, Phd, Ryan Heffelfinger, Md

Department of Otolaryngology - Head and Neck Surgery Posters

Objectives: Currently, limited data examines the safety of utilizing fat transfers in the setting of malignant parotid disease. Here we evaluate the safety of fat graft reconstruction of parotidectomy defects in the setting of malignant disease.

Study Design: Retrospective cohort study

Methods: Electronic chart review of patients who underwent parotidectomy from 2012-2020 were reviewed.

Results: Three hundred and sixty-one patients were identified at a single institution who underwent parotidectomy, and 113 (31.3%) were for malignancy. One hundred and thirty-two patients underwent fat graft reconstruction (49.2%, n=65 for umbilical, 50.8%, n=67 for dermal). One-third of patients had malignant pathology (34.8%, n=46). …

Intraoperative Evaluation Of Nasal Valve Repair Interventions: A Prospective Analysis, Kurren Gill, Md, S. Hamad Sagheer, Bs, Cory Bovenzi, Md, Brian Yan, Ba, Howard Krein, Md, Phd, Ryan Heffelfinger, Md

Department of Otolaryngology - Head and Neck Surgery Posters

Objectives: To allow for early identification and treatment of inadequate nasal valve repair interventions in the intraoperative setting, based on degree of nasal valve collapse quantified by suction-assisted pressure readings. Patient outcomes were measured by comparison of pre- and post-operative Nasal Obstruction Symptom Evaluation (NOSE) surveys.

Study Design: Prospective study.

Methods: All enrolled patients undergo suction-assisted evaluation of nasal valve collapse before surgical intervention. Patients randomized into the experimental group underwent repeat assessment after various nasal valve interventions, compared to a control group where adequacy of interventions was assessed by palpation of the nasal ala.

Results: 20 patients who underwent …

Management Of Gliomas In Patients With Lynch Syndrome., Iyad Alnahhas, Appaji Rayi, Shirley Ong, Pierre Giglio, Vinay Puduvalli

Department of Neurology Faculty Papers

No abstract provided.

Formulation And Characterization Of Beeswax/Rosemary Oil Nanostructured Lipid Carrier For Drug Delivery System, Mohd Latif Farhanim

Student Works (2020-2029)

A stable colloidal suspension of nanostructured lipid carriers (NLCs) was synthesized from natural source of lipid. The toxicity and insolubility of drugs in water remain a significant problem and has led to the development of food-grade drug delivery systems such as nanostructured lipid carriers (NLCs). NLCs composing various amount of beeswax (BW), rosemary oil (RO) and poloxamer 188 (P188) were prepared by melt-emulsification combined with ultrasonication method. The physicochemical properties of NLC also were determined. Optimization of the formulation (F) was performed based on the criteria of stability. Formulation with the smallest particle size and highest magnitude of zeta potential …

Current Community-Based Mental Health Promotion Strategies Among Children And Adolescents: A Literature Review Of Evidence And Feasibility In Indonesia, Ade Sutrimo, Lita Heni Kusumawardani

Journal of Indonesian Health Policy and Administration

Mental disorders impact people's quality of life globally. A quarter of the world's population consists of children and adolescents who are significantly experiencing mental disorders since the age of 14. Community-based mental health strategies are aimed to overcome the challenges of mental health. The purpose of this review was to explore the evidence of children and adolescents' mental health promotion strategies to be potentially implemented in Indonesia. A literature review design was utilized using PRISMA on 20 journals through Science Direct, Proquest, SAGE, Scopus, EBSCO, and Taylor and Francis, in the last five years, within keywords of community-based, children and …

Analysis Of Implementation Of Maternity Planning And Prevention Of Complication (P4k) Program With Stickers In Purwakarta Regency 2017, Yunita Restu Safitri, Pujiyanto Pujiyanto

Journal of Indonesian Health Policy and Administration

. Pregnant women are one of the risk groups that should be considered to receive particular attention. Maternal mortality is caused by direct and indirect causes, which generally can be identified in early pregnancy. The Ministry of Health has launched various programs to reduce maternal mortality. At the community level, since 2007, there has been a birth planning and prevention of complications (P4K) program as a screening tool for pregnant women at risk by using stickers. The main point of this program is the active participation of families and communities to care for pregnant women in their environment. Purwakarta Regency, …

Modulation Of Mitochondrial Dynamics, Bioenergetics And The Innate Antiviral Immune Response In Zika Virus Infected Retinal Cells, Karim Dirani, Sneha Singh, Ashok Kumar, Shailendra Giri

Medical Student Research Symposium

Modulation of mitochondrial dynamics and bioenergetics in Zika Virus infected retinal cells

Karim Dirani¹, Sneha Singh¹, Shailendra Giri², Ashok Kumar¹

¹ Department of Ophthalmology, Visual and Anatomical Sciences, and Kresge Eye Institute, Wayne State University School of Medicine, Detroit, MI

² Department of Neurology, Henry Ford Health Systems, Detroit, MI

Purpose: In addition to the powerhouse of the cells and regulation of apoptosis, mitochondria are being increasingly recognized in playing crucial role in modulating innate immune response in viral infections. In this study, we sought to determine the impact of mitochondrial dynamic (fission, …

Dermatology Technique: Mohs Micrographic Surgery, Michelle J. Volis

Mako: NSU Undergraduate Student Journal

This paper aims to educate the readers about a novel surgery approach that is becoming popular among dermatologists. This technique, Mohs surgery, is implemented in order to treat malignant skin cancer types. This paper incorporates the history of Mohs micrographic surgery, the advantages and disadvantages of the procedure, and alternatives to this approach. The main advantage is healthy tissue preservation while disadvantages include holes in fragmented tissue margins and tissue orientation complications.

Functional Influence Of 14-3-3 (Ywha) Proteins In Mammals, Elizabeth Barley, Santanu De

Mako: NSU Undergraduate Student Journal

The 14-3-3 (YWHA) proteins are homologous, ubiquitous, and conserved in most organisms ranging from plants to animals and play important roles in regulating key cellular events such as cell signaling, development, apoptosis, etc. These proteins consist of seven isoforms in mammals, termed under Greek alphabetization: beta (β), gamma (γ), epsilon (ε), eta (η), tau/theta (τ), sigma (σ), and zeta (ζ). Each of these isoforms can interact with a plethora of binding partners and has been shown to serve a distinct role in molecular crosstalk, biological processes, and disease susceptibility. Protein 14-3-3 isoforms are scaffolding proteins capable of forming homodimers and …

Sleep And Function In Patients With Multiple Sclerosis, Nawar Aljundi, Kelsey Arvai, Michael Mitchell, Jennifer Martin, Abdulghani Sankari, M. Safwan Badr

Medical Student Research Symposium

Introduction: Fatigue is a core symptom of Multiple Sclerosis (MS) and impairs function and quality of life in this patient population. Studies show that sleep-disordered breathing is also common in persons with MS and may exacerbate fatigue symptoms. Within a larger study of patients with spinal cord injuries and disorders, we evaluated the relationships among sleep-disordered breathing (SDB) severity, sleep quality, and functional outcomes in patients with MS. Our objective was to examine the impact of SDB severity on the severity of fatigue and functional impairment in this population.

Methods: Twenty-five subjects (average age=57(11), min=35, max=79; 80% male; average …

Effect Of Trazodone On Upper Airway Resistance In Chronic Spinal Cord Injury, Geoffrey M. Ginter, Sean Carroll, Abdulghani Sankari, Safwan Badr

Medical Student Research Symposium

Background:

Spinal cord injury (SCI) is a known risk factor for sleep-disordered breathing. While device-based therapies such as CPAP are beneficial in these individuals, adherence to these treatments is often low; consequently, pharmacotherapies for sleep-disordered breathing in patients with SCI are in high demand. Trazodone is an atypical antidepressant with a complex mechanism of action, including alpha adrenergic agonist activity and inhibition of serotonin reuptake. Serotonin (5-HT) is a known modulator of respiratory circuitry, which has been shown to influence the ventilatory drive. Trazodone is commonly prescribed as a sleep aid, but its impact on breathing during sleep is still …

A Closer Look Into Empathy Among Medical Students: The Career Eulogy As A Lens, William Crump, R. Steve Fricker, Craig Ziegler

Marshall Journal of Medicine

Introduction

Empathy is widely considered to be key to being an effective physician. The measurement of empathy is important to those designing medical education. The majority of the literature on empathy is based on survey scales that ask the learner to express their degree of agreement with a series of statements. We have previously studied and published an entirely projective measure that we term a career eulogy.

Methods

We had 65 students based at a regional rural medical school campus complete measures of a career eulogy (CE) and the Jefferson Scale of Empathy (JSE) over their four years in medical …

Male Breast Enlargement After Automated Implantable Cardioverter-Defibrillator Placement, Anisha Valluri, Lynne J. Goebel

Marshall Journal of Medicine

Placement of implantable cardioverter-defibrillators (ICDs) are increasing in frequency due to their indication for the prevention of sudden cardiac death in patients prone to life-threatening arrhythmias. Primary care physicians should be aware of the possible complications so they can treat their patients appropriately. This article describes a rare case of chronic unilateral breast enlargement after the placement of an ICD in a male patient with Tetralogy of Fallot.

A Case Of Recurrent Breast Cancer Diagnosed From Symptomatic Metastasis To Bladder, Reagan M. Stafford, Andrew J. Weaver, Mary Legenza, Douglas Henson

Marshall Journal of Medicine

Abstract:

Women in the United States have an approximate 1 in 8 chance of developing breast cancer in their lifetime. The main cause of death from breast cancer is from metastatic spread of the disease; with the most frequent sites of spread being to the bone, brain, and lungs. The urinary bladder is a rare site of metastasis that has been rarely reported on in the literature. Here we present a case of recurrent metastatic breast cancer found in the urinary bladder without findings of any other sites of metastasis.

Case Report: Sapho Syndrome Previously Mistaken For Paget's Disease, Shane T. Musick, Nathan Hill

Marshall Journal of Medicine

SAPHO syndrome is a rare clinical entity, an acronym named for its frequent coincident clinical manifestations, synovitis, acne, pustulosis, hyperostosis, and osteitis. Its clinical phenotype is widely heterogeneous, which coupled with its rarity causes many misdiagnoses. Herein, we present a case of a patient that was previously diagnosed with Paget’s disease. After an MVA, the full extent of his disease was detected via incidental imaging, which demonstrated sclerosis and ankylosis of the lumbar spine, sclerosis of the clavicles, and the pathognomonic bull’s head configuration on bone scan. Upon further questioning, the patient also harbored intermittent palmar pustulosis, psoriasis, sternoclavicular pain …

Confronting The Covid-19 Pandemic: A View From The Laboratory, Gary W. Procop

Marshall Journal of Medicine

A retrospective review of salient features of the early-to-mid phases COVID-19 pandemic is provided from the perspective of the clinical laboratory. Lessons learned and possible improvements are opined. These include the importance of maintaining a robust laboratory infrastructure, increased public health funding, the partnership between public health and hospital/commercial laboratories, and the critical importance of sound scientific assessment even during a pandemic crisis.