Medicine and Health Sciences Commons^™

2021-08-12_Michiganoverview_Misc, Michigan Department Of Health & Human Services

Michigan COVID-19 MIS-C Data

The MIS-C Data page was obtained from Michigan's COVID-19 data page: https://www.michigan.gov/coronavirus/0,9753,7-406-98163_98173_104661---,00.html.

This report is created by the Michigan Department of Health & Human Services from data self-reported by health care providers and local health departments. Data is updated on the first and third Thursdays of the month.

Multisystem Inflammatory Syndrome in Children (MIS-C) is a condition in children and adolescents under 21 years of age where multiple organ systems become inflamed or dysfunctional which occurs in association with illness. Children with MIS-C may have a fever and various symptoms, including abdominal (gut) pain, vomiting, diarrhea, neck pain, rash, …

Returning To Our Roots: Re-Introducing Art Back Into Occupational Therapy, Vivi Trinh

Summer 2021 Virtual OTD Capstone Symposium

The usage of arts and crafts played a significant role in the fruition of the profession, but as it adopted more medically- and evidence-based treatment methods, most practitioners steered away from arts and crafts. The overall purpose of this project was to promote the use of art in OT as well as learn about the current use of art in OT through discussions held with practicing and retired occupational therapists and OT students with fieldwork experience. A portion of the project includes conducting a needs assessment at Urban Street Angels (USA), a community-based facility in downtown San Diego, CA that …

The Role Of Occupational Therapy In Addressing Community Mobility In Children To Young Adults With Disabilities: A Scoping Review, Shelby Reid, Steven M. Gerardi

Summer 2021 Virtual OTD Capstone Symposium

Objective: This study aims to systematically examine and organize current literature describing the assessments, interventions, and other behaviors of occupational therapists used to treat children to young adults with community mobility needs. Gaps in the knowledge will be highlighted to impact future research.

Methods: An electronic database search, searching within found literature, contact with driving and community mobility networks and organization were used to identify the relevant literature. Data was extracted and analyzed independently by the investigator by way of finding themes and codes and producing charted data.

Results: The total number of studies included in this work was 28. …

The Occupational Impact Of Mass Shootings, Ashley Ellsworth, Susan Macdermott, Becki Cohill, Karen Park

Summer 2021 Virtual OTD Capstone Symposium

Background: As mass shootings continue to persist in the United States, their occupational impact on victims needs to be understood. The psychosocial and physical tolls of mass shootings have been investigated, but research related to the occupational impact was not found.

Objective: The purpose of this study was to examine stories shared by survivors of mass shootings to determine whether changes in occupational participation, performance, and fulfillment of meaningful roles and performance patterns occurred following the incident.

Methods: The question "What is the occupational impact of mass shootings on exposed individuals in the United States?" was asked. A qualitative research …

A Scoping Review On The Role Of Occupational Therapy With Breast Cancer Survivors, Ellen Langlinais, Steven M. Gerardi

Summer 2021 Virtual OTD Capstone Symposium

BACKGROUND: Breast cancer survivors (BCS) suffer from treatment side effects that adversely impact occupation. Occupational therapy (OT) plays a role in the treatment of BCS, however, the literature has not clearly defined the role of OT with this population.

OBJECTIVE: The purpose of this capstone project was to conduct a scoping review of the literature to clearly define the role of OT in addressing the occupational needs of BCS.

METHODS: The scoping review methodology was based upon the 5-stage framework outlined by Arksey and O’Malley (2005). The EBSCOhost search engine was utilized for access to CINAHL Complete, MEDLINE, and OpenDissertation …

Exploring The Form, Function, And Meaning Of Brazilian Jiu-Jitsu, Alvin Ma, Susan Macdermott, Becki Cohill, Karen Park

Summer 2021 Virtual OTD Capstone Symposium

Brazilian Jiu-Jitsu (BJJ) is a grappling martial art derived from Judo and primarily uses chokeholds and joint locks to incapacitate an attacker. These techniques require little strength and can apply tremendous amounts of force to anatomically weaker areas of the body. BJJ is a growing martial art due to its popularity in self-defense and its effectiveness in sports like mixed martial arts (MMA). This study uses a phenomenological approach and aims to increase the understanding of the form, function, and meaning of BJJ through the lived experiences of BJJ practitioners from different experience levels. Participants will be recruited and interviewed …

The Role Of Ot With Individuals Living With Eating Disorders: A Scoping Review, Claudia Ritchey, Steven M. Gerardi

Summer 2021 Virtual OTD Capstone Symposium

Background: Eating disorders (ED) are mental and physical illnesses that affect an individual globally, disrupting their ability to function and participate in daily life.

Objectives: The objective of this capstone project was to conduct a scoping review of the literature to define the role of OT in the treatment of clients with ED.

Methods: A database search was performed using the following electronic databases: CINAHL Complete, Medline, APA PsycInfo, and OpenDissertations, using the search terms “occupational therapist or occupational therapy” and “eating disorders or anorexia nervosa or bulimia or disordered eating”. Articles were screened and reviewed for the …

The Case For Shifting Clinical Dentistry Toward Regenerative Biological Treatment Using Stem Cells: A Life-Changing Impact On The Profession’S Future, Merna Gress

International Programs

The conventional current procedures targeting the periodontal treatment for the diseased teeth and gums are based on arresting the destruction of these supporting structures and limiting the number of bacteria present. However, an ideal treatment would be regenerative in nature and should be accompanied with the reconstruction of these periodontal tissues back to normal. The application of Regenerative Dentistry is achieved through using the concept of cell and molecular biology to empower dental treatments that target a repair process for oral tissues instead of utilizing synthetic materials. One of the main applications of this concept is adult tissue-derived Mesenchymal Stem …

Controlling Vector-Borne Diseases Through Paratransgenesis, Juliane Buzzon Meneghesso Verga

International Programs

The high incidence of Vector-borne diseases (VBDs) and the inefficiency of current methods in preventing and treating them have been driving research for alternative solutions. Here, we present an approach called paratransgenesis that could help in such challenge. In paratransgenesis, genetic modification in vectors' symbionts can be used to block the transmission of various pathogens and help preventing or even eradicate insect-transmitted diseases.

Integrating Digital Health Technology To Alleviate Caregiver Burden, Patricia Ann Hunt

Applied Research Projects

The elder population in our country is growing at an exponential pace. Studies have shown that elders who are aged 80 years and older are projected to suffer from age related issues such as Alzheimer’s, dementia, and osteoporosis and will need assistance with Long Term Services and Support (LTSS). Additionally, many elders are also projected to suffer from more severe chronic illnesses such as diabetes, cancer, and heart related illnesses. Because many of these elders are aging in place, residing in their own homes, they will require the services of at home assistance, which high probability will be a neighbor, …

Pharmaceutical Management Of Weight Loss, Jake Schutzman, Md

Department of Family & Community Medicine Presentations and Grand Rounds

Objectives

• Briefly review some context & consequences of the US obesity epidemic
• Review available prescription anti-obesity medications
• Discuss details specific to each of these medications
• Review other medications affecting weight

After this lecture, I hope you will:

• Have a greater understanding of available anti-obesity medications
• Be more comfortable in patient discussions & management of obesity

Key Principles, Policies And Strategies In Promoting Telehealth, Stanley Mierzwa

Center for Cybersecurity

Policymakers, health service providers and community members face a myriad of challenges in rolling out or using telehealth services. These challenges relate to a broad range of issues, including policy and regulatory frameworks, governance structures, user adoption, digital literacy and capacity, infrastructure, as well as service quality, data safeguards, and institutional resistance to digital disruption.

This room aims to facilitate a discussion around the key policy and regulatory drivers, and other key building blocks, including those related to structural, capacity, technical and financial factors, for the effective introduction and scale-up of telehealth.

Room 2: Key Principles, Policies and Strategies in …

Developing Methods To Detect And Diagnose Chronic Traumatic Encephalopathy During Life: Rationale, Design, And Methodology For The Diagnose Cte Research Project, Michael L Alosco, Daniel S Marcus, Et Al.

2020-Current year OA Pubs

BACKGROUND: Chronic traumatic encephalopathy (CTE) is a neurodegenerative disease that has been neuropathologically diagnosed in brain donors exposed to repetitive head impacts, including boxers and American football, soccer, ice hockey, and rugby players. CTE cannot yet be diagnosed during life. In December 2015, the National Institute of Neurological Disorders and Stroke awarded a seven-year grant (U01NS093334) to fund the "Diagnostics, Imaging, and Genetics Network for the Objective Study and Evaluation of Chronic Traumatic Encephalopathy (DIAGNOSE CTE) Research Project." The objectives of this multicenter project are to: develop in vivo fluid and neuroimaging biomarkers for CTE; characterize its clinical presentation; refine …

College Of Health Professions News, Georgia Southern University

College of Health Professions: News & Publications (2012-2023)

• Introducing the 40 Under 40 Class of 2021

Occupational Therapist’S Impact In Current And Changing Roles And Routines For First-Time Foster Parents, Kathryn Chatfield, Becki Cohill, Susan Macdermott, Karen Park

Summer 2021 Virtual OTD Capstone Symposium

The purpose of this study was to understand occupational therapist’s impact in current and changing roles and routines for first-time foster parents as well as understanding how to establish, preserve and maintain such meaningful domains. This study allowed for insight into current and changing roles and routines for first-time foster parents. The results from this study allowed for further comprehension on how roles and routines were impacted, and that education and tools can be used to help decrease disruption to these domains. Understanding that taking on a new role as a foster parent means routines will be impacted in one …

Promoting Leisure And Social Participation For Seniors In An Assisted Living Facility, Macy Clark, Becki Cohill, Susan Macdermott, Karen Park

Summer 2021 Virtual OTD Capstone Symposium

Seniors in assisted living facilities (ALF) experience a decrease in leisure activity participation (Knecht-Sabres et al., 2020). This decrease could be due to the changes in the social, cultural, and physical environments and the loss of daily roles and routines (Lamarre et al., 2019). Participation in social group activities improves quality of life and provides many physical, cognitive, and socio-emotional benefits (Barnes et al., 2008; Horowitz & Vanner, 2010). Participation in group activities offers seniors a sense of community, purpose, belonging, and friendship (Dare et al., 2018). However, group activities offered in ALF may be generic and not individualized to …

The Role Of Occupational Therapy With People Living With Epilepsy: A Scoping Review, Paige Peeples, Steven M. Gerardi

Summer 2021 Virtual OTD Capstone Symposium

Objective: The aim of this scoping review is to systematically examine and organize current literature describing the current roles of occupational therapists with people living with epilepsy, including assessments, interventions, and other behaviors. This will help identify current gaps in the literature to facilitate future research.

Methods: Using scoping review methodology, an electronic database search was conducted using the search terms “occupational therapy and epilepsy”. Data was extracted and charted independently by the investigator by way of finding themes and codes through analysis.

Results: The total number of studies included was 12. The primary methodology noted were case studies. …

An Occupational Therapy Practice Guide For Sport-Related Concussion In Student Athletes, Jenny Park, Steven M. Gerardi, Mary Ann Smith

Summer 2021 Virtual OTD Capstone Symposium

Sport-related concussion (SRC) is a prevalent injury that affects millions of youth and young adults every year (McKeithan et al., 2019). The sequelae associated with an SRC can interfere with a student athletes’ ability to participate in school, return to play, and perform daily tasks (DeMatteo et al., 2018). Common practice in concussion management highlights the significance of getting individuals back to engaging in all areas of their lives; and this is consistent with the emphasis on participation by occupational therapy (OT) practitioners (DeMatteo et al., 2018). Despite the beneficial role that OT may offer, not only is there limited …

Occupational Therapy’S Role In Reducing Barriers For Team-Based Sports Participation For Adolescents, Dennis Nguyen, Karen Park, Becki Cohill, Susan Macdermott

Summer 2021 Virtual OTD Capstone Symposium

Participating in team-based sports has numerous benefits that includes not only increased physical fitness, but also cognitive abilities and academic performance. With the many benefits of participating in team sports can provide, it will be significant to understand adolescents' specific barriers and assist in reducing the barriers for successful participation. The purpose of the capstone project was to identify and understand adolescent barriers to bridge the gap between conventional rehabilitation and team sports participation. Multiple barriers and motivators were identified including financial management, time management, and physical/athletic skill. Facing these determinants may possibly support in increasing team sports participation and …

Transitional Vocational Program For Persons With Low Vision And Other Visual Impairments, Andria Lubben, Karen Park, Susan Macdermott, Becki Cohill

Summer 2021 Virtual OTD Capstone Symposium

Background: Low Vision is a life-altering visual disability (CDC, 2015). OTs work with individuals with low vision and work in the workplace and education, however, there is no research on OTs working with individuals with low vision in work or post educational settings (Butler, 2016). Vocational and educational needs are often not being met for individuals with low vision (Barbieri et al., 2019).

Problem: OTs have a limited role in adolescent transition to the workplace and higher education in individuals with low vision and other visual impairments.

Purpose: To understand transitional programs that support vocational and educational development of individuals …

Enhancing Discharge Preparation For Adults With Substance Use Disorder Within A Residential Treatment Facility, Piper Virva, Susan Macdermott, Becki Cohill, Karen Park

Summer 2021 Virtual OTD Capstone Symposium

The community reintegration process is a vital aspect of the recovery journey, which requires sufficient planning and preparation prior to discharge from treatment (Read & Stoffel, 2019). Individuals enrolled in a residential treatment program for SUD indicated that higher levels of assistance and preparation during the transition to community living and involvement in comprehensive discharge planning would better prepare them for community reintegration (Manuel et al., 2017). Historically, the role of occupational therapy (OT) with this population has been to facilitate the resumption of meaningful roles, identify supportive habits and routines, and address executive functioning deficits related to SUD (Champagne …

Exploring The Occupation Of Rest, Emilee Eckhart, Susan Macdermott, Becki Cohill, Karen Park

Summer 2021 Virtual OTD Capstone Symposium

Rest is an occupation that encompasses many aspects of the human experience. It is an occupation that looks different for everyone. The field of occupational therapy has always emphasized the importance and relevance of the occupation of rest. After a review of literature on the topic, there was little information about how rest and restful occupations are addressed in occupational therapy practice. This capstone project explored the occupation of rest and how it was understood and addressed in occupational therapy practice. This was a qualitative research design, where a survey was produced for occupational therapy practitioners (OTP). The survey questions …

Exploring Sensory Processing & Inclusivity Within A Fitness Gym Environment, Deveshma Maharaj, Karen Park, Becki Cohill, Susan Macdermott

Summer 2021 Virtual OTD Capstone Symposium

An individual’s sensory processing involves the reception, modulation, integration, and organization of sensory stimuli, as well as behavioral responses to sensory input (Dunn, 2001). Adults with sensory processing challenges may come across troubles with completing routines and tasks for work, social participation, and leisure (STAR Institute for SPD, n.d.). Since most individuals with these sensory processing challenges have struggled with symptoms continuously, they are likely to encounter secondary effects such as depression, underachievement, and social isolation (STAR Institute for SPD, n.d.). Adults with sensory processing deficits may experience difficulties with establishing their role in society, maintaining social support systems, and …

Robotic Bronchoscopy For Peripheral Pulmonary Lesion Biopsy: Evidence-Based Review Of The Two Platforms, Abhishek Kumar, Jose D. Caceres, Siddharthan Vaithilingham, Gurshan Sandhu, Nikhil K. Meena

School of Medicine Faculty Research

Despite many advancements in recent years for the sampling of peripheral pulmonary lesions, the diagnostic yield remains low. Initial excitement about the current electromagnetic navigation platforms has subsided as the real-world data shows a significantly lower diagnostic sensitivity of ~70%. “CT-to-body divergence” has been identified as a major limitation of this modality. In-tandem use of the ultrathin bronchoscope and radial endobronchial ultrasound probe has yielded only comparable results, attributable to the limited peripheral reach, device maneuverability, stability, and distractors like atelectasis. As such, experts have identified three key steps in peripheral nodule sampling—navigation (to the lesion), confirmation (of the correct …

Developing Methods To Detect And Diagnose Chronic Traumatic Encephalopathy During Life: Rationale, Design, And Methodology For The Diagnose Cte Research Project, Jeffrey Cummings, Numerous Authors, See Full List Below

School of Medicine Faculty Research

Background: Chronic traumatic encephalopathy (CTE) is a neurodegenerative disease that has been neuropathologically diagnosed in brain donors exposed to repetitive head impacts, including boxers and American football, soccer, ice hockey, and rugby players. CTE cannot yet be diagnosed during life. In December 2015, the National Institute of Neurological Disorders and Stroke awarded a seven-year grant (U01NS093334) to fund the “Diagnostics, Imaging, and Genetics Network for the Objective Study and Evaluation of Chronic Traumatic Encephalopathy (DIAGNOSE CTE) Research Project.” The objectives of this multicenter project are to: develop in vivo fluid and neuroimaging biomarkers for CTE; characterize its clinical presentation; refine …

Adaptation Of The Agency For Healthcare Research And Quality’S ‘Hospital Survey On Patient Safety Culture’ To The Bosnia And Herzegovina Context, Šehad Draganović, Guido Offermanns, Rachel E. Davis

Faculty Publications

OBJECTIVES: Measuring staff perspectives on patient safety culture (PSC) can identify areas of concern that, if addressed, could lead to improvements in healthcare. To date, there is no validated measure to assess PSC that has been tested and adapted for use in Bosnia and Herzegovina (BiH). This research addresses the gap in the evidence through the psychometric assessment of the Agency for Healthcare Research and Quality's: 'Hospital Survey on Patient Safety Culture' (HSOPSC), to determine its suitability for the health system in BiH. SETTING: Nine hospitals. PARTICIPANTS: Healthcare professionals (n=1429); nurse (n=823), doctors (n=328), other clinical personnel (n=111), non-clinical personnel …

Maternal Diet During Pregnancy And Lactation And Child Food Preferences, Dietary Patterns, And Weight Outcomes: A Review Of Recent Research, Alison K. Ventura, Suzanne Phelan, Karina Silva Garcia

Kinesiology and Public Health

Purpose of Review Efforts to promote children’s preferences for healthy foods hold much potential for improving diet quality and preventing obesity. The purpose of this review was to summarize recent evidence for associations between maternal diet during pregnancy and lactation and child food preferences, dietary patterns, and weight outcomes.

Recent Findings Recent research illustrates greater maternal vegetable intakes during pregnancy and lactation predict greater child preferences for and intakes of vegetables. Recent randomized clinical trials to improve maternal weight outcomes during the perinatal period via behavioral lifestyle interventions that included dietary components have yielded mixed findings for effects on child …

Racial/Ethnic Disparities In Alzheimer’S Disease Risk: Role Of Exposure To Ambient Fine Particles, Diane Younan, Xinhui Wang, Tara Gruenewald, Margaret Gatz, Marc L. Serre, William Vizuete, Meredith N. Braskie, Nancy F. Woods, Ka Kahe, Lorena Garcia, Fred Lurmann, Joann E. Manson, Helena C. Chui, Robert B. Wallace, Mark A. Espeland, Jiu-Chiuan Chen

Psychology Faculty Articles and Research

Background

Whether racial/ethnic disparities in Alzheimer’s disease (AD) risk may be explained by ambient fine particles (PM_2.5) has not been studied.

Methods

We conducted a prospective, population-based study on a cohort of Black (n=481) and White (n=6004) older women (aged 65-79) without dementia at enrollment (1995-98). Cox models accounting for competing risk were used to estimate the hazard ratio (HR) for racial/ethnic disparities in AD (1996-2010) defined by DSM-IV and the association with time-varying annual average PM_2.5 (1999-2010) estimated by spatiotemporal model.

Results

Over an average follow-up of 8.3 (±3.5) years with 158 incident cases (21 in …

Cabotegravir For Hiv Prevention In Cisgender Men And Transgender Women, Raphael J Landovitz, Deborah Donnell, Meredith E Clement, Brett Hanscom, Leslie Cottle, Lara Coelho, Robinson Cabello, Suwat Chariyalertsak, Eileen F Dunne, Ian Frank, Jorge A Gallardo-Cartagena, Aditya H Gaur, Pedro Gonzales, Ha V Tran, Juan C Hinojosa, Esper G Kallas, Colleen F Kelley, Marcelo H Losso, J Valdez Madruga, Keren Middelkoop, Nittaya Phanuphak, Breno Santos, Omar Sued, Javier Valencia Huamaní, Edgar T Overton, Shobha Swaminathan, Carlos Del Rio, Roy M Gulick, Paul Richardson, Philip Sullivan, Estelle Piwowar-Manning, Mark Marzinke, Craig Hendrix, Maoji Li, Zhe Wang, Jeanne Marrazzo, Eric Daar, Aida Asmelash, Todd T Brown, Peter Anderson, Susan H Eshleman, Marcus Bryan, Cheryl Blanchette, Jonathan Lucas, Christina Psaros, Steven Safren, Jeremy Sugarman, Hyman Scott, Joseph J Eron, Sheldon D Fields, Nirupama D Sista, Kailazarid Gomez-Feliciano, Andrea Jennings, Ryan M Kofron, Timothy H Holtz, Katherine Shin, James F Rooney, Kimberly Y Smith, William Spreen, David Margolis, Alex Rinehart, Adeola Adeyeye, Myron S Cohen, Marybeth Mccauley, Beatriz Grinsztejn

Faculty, Staff and Student Publications

BACKGROUND: Safe and effective long-acting injectable agents for preexposure prophylaxis (PrEP) for human immunodeficiency virus (HIV) infection are needed to increase the options for preventing HIV infection.

METHODS: We conducted a randomized, double-blind, double-dummy, noninferiority trial to compare long-acting injectable cabotegravir (CAB-LA, an integrase strand-transfer inhibitor [INSTI]) at a dose of 600 mg, given intramuscularly every 8 weeks, with daily oral tenofovir disoproxil fumarate-emtricitabine (TDF-FTC) for the prevention of HIV infection in at-risk cisgender men who have sex with men (MSM) and in at-risk transgender women who have sex with men. Participants were randomly assigned (1:1) to receive one of …

Use Of Geographic Information System Technology To Evaluate Health Disparities In Smoking Cessation Class Accessibility For Patients In Louisiana Public Hospitals, Tung-Sung Tseng, Michael D. Celestin, Qingzhao Yu, Mirandy Li, Ting Luo, Sarah Moody-Thomas

School of Public Health Faculty Publications

Research has shown cigarette smoking is a major risk factors for many type of cancer or cancer prognosis. Tobacco related health disparities were addressed continually in cancer screening, diagnosis, treatment, prevention and control. The present study evaluated the health disparities in attendance of smoking cessation counseling classes for 4,826 patients scheduled to attend between 2005 and 2007. Of 3,781 (78.4%) patients with records to calculate the distance from their home domicile to counseling sites using Geographic Information System technology, 1,435 (38%) of smokers who attended counseling had shorter travel distances to counseling sites (11.6 miles, SD = 11.29) compared to …