Medicine and Health Sciences Commons^™

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.

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 …

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 …

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 …

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.

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 …

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 …

College Of Public Health News, Georgia Southern University

College of Public Health: News & Publications

• May 2020 Publications

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 …

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, …

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 …

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 …

Factors Of Resiliency In Adolescents With Divorced Parents: Do Adolescents Who Become Part Of A Blended Family Report More Resilience Than Adolescents With Divorced Parents Who Do Not Become Part Of A Blended Family?, Makenzie Kinloch

School of Psychology, Family, and Community Research Conference

It is not a surprise that non-traditional families are becoming more common. One of the increasingly prevalent forms of non-traditional families are blended families. Adolescents who have gone through parental divorce are faced with unique challenges as they must navigate a changing family structure, and possibly entering into a blended family. This research proposal aims to examine resilience within adolescents in different family systems, exploring if adolescents who have gone through a parental divorce yet not blended with any other family report more resilience than adolescents who have gone through a parental divorce but who have blended with another family.

Attachment Styles And Perceived Parental Acceptance And Rejection Of Sexual Orientation In Lgbq Individuals, Emily Grossmann, Michelle Tran

School of Psychology, Family, and Community Research Conference

Individuals who identify as LGBQ can face challenges with social acceptance. This study seeks to measure the relationship between sexual orientation and attachment style, and how parental response to coming out as non-heterosexual might impact this relationship. Participants completed an online survey measuring adult attachment via the Experiences in Close Relationships-Revised (ECR-R) and perceived parental acceptance or rejection via the Parental Acceptance and Rejection of Sexual Orientation Scale (PARSOS). The authors posit that perceived parental acceptance serves as a protective factor for attachment insecurity and explore Emotionally Focused Therapy as a treatment to increase attachment security in LGBQ individuals.

An Argument For Marriage And Family Therapy Treatment Of Grief With Adolescent Clients, Nicole Wilson, Boone Butler

School of Psychology, Family, and Community Research Conference

This proposal argues when treating adolescents who experience grief, Marriage and Family Therapy (MFT) treatment provides more beneficial outcomes for the processing of grief. Previous research suggests that adolescents who experienced exclusively family therapy exhibited decreases in internalizing behavior and their capacity to process their emotions was stronger comparative to their peers. Suggestions for further research to be conducted will prove that compared to individual therapy, MFT is more efficacious in treating adolescent grief. Further research suggestions include the utilization of Beck’s Depression Inventory and a comparative analysis of paired data between two groups – MFT treatment versus individual treatment.

The Efficacy Of Virtual And In-Person Treatment Of Substance Use, And Mediating Effects Of Social Connection, Nga Chi Wong, Cody Moberg

School of Psychology, Family, and Community Research Conference

Telehealth increases accessibility of treatment for SUD patients who need the social connection but do not have access to a treatment facility due to financial, geographical or other limitations. However, empirical evidence is needed to validate the efficacy of virtual SUD treatment as well as explore the mediation effects of social connection. We hope to carry out a quantitative longitudinal cohort study by looking at treatment outcomes between two groups of adults randomly assigned to in-person or virtual SUD treatment. We will then reassess the occurrence of drug use to understand any longitudinal differences and mediation effect of social connection.

Child-Parent Family Therapy And Conflict With A Romantic Partner, Ethan Blackstone, Mike San Martino

School of Psychology, Family, and Community Research Conference

This study aims to show a correlation between family therapy with an adult child and their caregiver, and conflict in romantic relationships. The study will take place at a community mental health center clinic, aiming at a population that already plans to receive therapy. Conflict will be measured on a scale to determine if there is a change before and after therapy. If a connection is established, this study will help to further emphasize how relationships within a system can have an important impact on other relationships within the same system, even if it is indirectly.

Comfort In Mental Health Treatment For Transgender And Gender Nonconforming Individuals, Alex Rabern

School of Psychology, Family, and Community Research Conference

Transgender and gender nonconforming (TGNC) people often encounter insensitive treatment in health care settings (Gessner et al, 2020). TGNC patients or clients are then more likely to avoid going to the doctor or seeking out therapy (Puckett et al, 2018). Health care professionals report a lack of education or training in how to be more sensitive (Carabez et al, 2016). This study focuses on providing the reportedly missing training to marriage and family therapists, to increase TGNC client comfort in participating in therapy. A training seminar, based on available models of TGNC sensitivity (Kort, 2018), will be provided to a …

Exploring Loneliness In Committed Relationships: What Role Does Quality Of Relationship Play?, Amanda Mcgovern, Kate Belbutoski

School of Psychology, Family, and Community Research Conference

Loneliness is an aspect of the human experience that has garnered increasing attention as links between loneliness and negative health outcomes have been discovered across medical and mental health fields. Research on loneliness has highlighted relationship status as a prominent influencing factor on individual’s experiences of loneliness, underscoring findings that those in more committed relationships may experience less loneliness. This has clinical implications for therapists, particularly those working with couples who might assume that individuals in committed relationships are unlikely to experience loneliness because of their committed relationship status. This study focuses on the experience of loneliness in committed relationships …

Treatment Of Female Anorgasmia Using Narrative Therapy And Therapeutic Masturbation – A Practice-Based Study, Leslie Martin

School of Psychology, Family, and Community Research Conference

This research study will use a practice-based model to explore orgasm and sexual pleasure with female clients who report that they are unable to experience an orgasm. By thickening their definitions and stories around orgasm and pleasure; and by engaging in therapeutic masturbation weekly between sessions, clients will experience increased pleasure and orgasm. The use of a guided therapeutic masturbation exercise is used from Emily Nagaski’s book Come As You Are. And quantitative data will be gathered using questions 11, 12, 13, and 16, from an adapted version of the Female Sexual Functioning Inventory.

Anjaneyasana: Yoga As An Intervention For Sexual Shame, Caitlin Minniear, Kathy Smith

School of Psychology, Family, and Community Research Conference

While literature exists about the benefits of yoga through mindfulness, and on mindfulness and sex, little is known about the use of yoga as an intervention to promote healthy female sexuality. This study will explore the efficaciousness of yoga in reducing sexual shame. Data from 60 female participants will be collected via surveys. Using statistical analyses, changes in participants levels of sexual shame and sexual enjoyment will be examined as impacted by weekly yoga practice with an emphasis on body awareness, relaxation, and body positivity. We hypothesize a negative correlation between a weekly yoga practice and feelings of sexual shame …