Medicine and Health Sciences Commons^™

2020-04-28_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 …

An Occupational Therapy Approach To Education For Foster Parents, Alexandra E. Judd

Student Capstone Papers

The focus of this project is to enhance current programming for foster parent pre-licensure education courses in San Diego, California. This capstone project focused on the preferred learning styles of foster parents and utilized adult learning theories to create suggestions to enhance the current pre-licensure class curriculum. Data collected during verbal interviews with foster parents helped guide the suggestions to enhance the current curriculum. Utilizing specific occupational therapy group strategies, occupational therapists can help enhance education for foster parents by increasing the saliency of the learning material. The increased saliency facilitates a deeper understanding of the material and increases the …

2020-04-28_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 …

2020-04-28_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.

2020-04-28_Michiganoverview_Covidstats, Michigan Department Of Health & Human Services

Cumulative Michigan COVID-19 Data

The COVID Overview page was obtained from Michigan's main COVID-19 page: https:/www.michigan.gov/coronavirus/0,9753,7-406-98163-520743--,00.html. Data was compiled by the Michigan Department of Health and Human Services (MDHHS). The information was updated daily at 3p.m., with COVID-19 results included as of 10 a.m.

Note on cumulative counts: This report is provisional and subject to change. As public health investigations of individual cases continue, there will be corrections to the status and details of referred cases that result in changes to this report.
Note on the deaths: Deaths must be reported by health care providers, medical examiners/coroners, and recorded by local health departments …

2020-04-28_Michiganoverview_Covidcounts, Michigan Department Of Health & Human Services

Michigan COVID-19 Confirmed Cases by Date of Onset Data

Data was captured from the Cumulative Data link of Michigan's Coronavirus webpage, under the url https://www.michigan.gov/coronavirus/0,9753,7-406-98163_98173_99207---,00.html.

The website contained the table Count of Confirmed COVID-19 Cases by Date of Onset , sorted by Michigan Preparedness Region. It also contained 18 charts, including the count of confirmed Covid-19 cases by date of onset in the state overall as well as in each preparedness region,and the normalized rate of Covid-19 cases per 1,000,000 residents in both the state and in each preparedness region.

2020-04-28_Michiganoverview_Covidlongtermcare, Michigan Department Of Health & Human Services

Michigan COVID-19 Long Term Care Data

The COVID Long Term Care Facilities page was obtained from Michigan's COVID-19 data page: https://www.michigan.gov/coronavirus/0,9753,7-406-98163_98173-526911--,00.html.

This report is created by the Michigan Department of Health & Human Services from data self-reported by long-term care facilities into EMResource. Data is updated on an ongoing basis.

MDHHS has established a regional hub strategy to assist in reducing the spread of COVID-19 within nursing facilities. COVID-19 Regional Hubs have established units dedicated to treating COVID-19-affected individuals and have established appropriate staffing levels and protocols to support this level of care.
These case counts reflect current cases of COVID-19 among facility residents reported …

Clinical Decision-Making Support For Covid-19 Based On Data Driven Artificial Intelligence For Clinical Severity And Treatment Response (Issue 2, 28 April 2020), Hiba Alblooshi, Ahmed Al Suwaidi, Fatma Aljasmi, Taleb M. Almansoori

Covid19 Newsletters

No abstract provided.

2020-04-28 A Message From Chancellor Roth (2), Paul B. Roth

HSC Messages from the Chancellor

No abstract provided.

2020-04-28 A Message From Chancellor Roth (1), Paul B. Roth

HSC Messages from the Chancellor

No abstract provided.

Rapamycin Rejuvenates Oral Health In Aging Mice., Jonathan Y An, Kristopher A Kerns, Andrew R Ouellette, Laura Robinson, H Douglas Morris, Catherine Kaczorowski, So-Il Park, Title Mekvanich, Alex Kang, Jeffrey S Mclean, Timothy C Cox, Matt Kaeberlein

Faculty Research 2020

Periodontal disease is an age-associated disorder clinically defined by periodontal bone loss, inflammation of the specialized tissues that surround and support the tooth, and microbiome dysbiosis. Currently, there is no therapy for reversing periodontal disease, and treatment is generally restricted to preventive measures or tooth extraction. The FDA-approved drug rapamycin slows aging and extends lifespan in multiple organisms, including mice. Here, we demonstrate that short-term treatment with rapamycin rejuvenates the aged oral cavity of elderly mice, including regeneration of periodontal bone, attenuation of gingival and periodontal bone inflammation, and revertive shift of the oral microbiome toward a more youthful composition. …

A Phase 1/2 Study Of The Oral Flt3 Inhibitor Pexidartinib In Relapsed/Refractory Flt3-Itd-Mutant Acute Myeloid Leukemia., Catherine C Smith, Mark J Levis, Olga Frankfurt, John M Pagel, Gail J Roboz, Richard M Stone, Eunice S Wang, Paul L Severson, Brian L West, Mai H Le, Sabine Kayser, Bao Lam, Henry H Hsu, Chao Zhang, Gideon Bollag, Alexander E Perl

Articles, Abstracts, and Reports

FMS-like tyrosine kinase 3 (FLT3) tyrosine kinase inhibitors (TKIs) have activity in acute myeloid leukemia (AML) patients with FLT3 internal tandem duplication (ITD) mutations, but efficacy is limited by resistance-conferring kinase domain mutations. This phase 1/2 study evaluated the safety, tolerability, and efficacy of the oral FLT3 inhibitor PLX3397 (pexidartinib), which has activity against the FLT3 TKI-resistant F691L gatekeeper mutation in relapsed/refractory FLT3-ITD-mutant AML. Ninety patients were treated: 34 in dose escalation (part 1) and 56 in dose expansion (part 2). Doses of 800 to 5000 mg per day in divided doses were tested. No maximally tolerated dose was reached. …

Antinéoplasiques En Milieu Hospitalier : Étude Pilote Sur L’Exposition Potentielle Du Personnel D’Hygiène Et De Salubrité, France Labrèche, Capucine Ouellet, Brigitte Roberge, Ahmed Yennek, Nicolas Caron

Rapports de recherche scientifique

Certains antinéoplasiques (ANP), utilisés pour le traitement du cancer, sont eux-mêmes classés cancérogènes et peuvent avoir d’autres effets toxiques chez des travailleurs qui les manipulent. L’incidence du cancer et le nombre de personnes vivant avec le cancer ne cessent d’augmenter, ce qui permet d’envisager une augmentation des quantités d’ANP utilisées et du nombre de travailleurs potentiellement exposés. Une étude menée par l’Unité de recherche en pratique pharmaceutique du Centre hospitalier universitaire Ste-Justine a montré que plusieurs prélèvements effectués sur des surfaces touchées par le personnel infirmier et par celui de la pharmacie montraient des résidus d’ANP. Il n’y a cependant …

Développement D’Outils Pour L’Évaluation Du Processus D’Implantation Et L’Analyse Économique D’Une Intervention Ergonomique : Le Cas D’Une Intervention De Prévention Des Troubles Musculosquelettiques Dans L’Industrie De L’Abattage Et De La Transformation De La Volaille, Émilie Desjardins, Hélène Sultan-Taïeb, France St-Hilaire, Nicole Vézina, Élise Ledoux, Patricia Bélanger, Rita Naji

Rapports de recherche scientifique

Depuis les années 1990, Nicole Vézina et son équipe ont réalisé des travaux de recherche qui ciblent l’apprentissage de l’affilage et de l’aiguisage des couteaux dans un objectif de prévention des troubles musculosquelettiques (TMS). Le cas à l’étude est une intervention implantée dans le département d’éviscération d’une usine d’abattage et de transformation de la volaille située au Québec. Il s’agit d’une intervention ergonomique de prévention des TMS avec plusieurs types de transfert d’apprentissage dans un contexte de travail à la chaîne à cadence élevée. L’objectif général de cette étude était de développer des outils de collecte de données adaptés aux …

La Multiplication Des Services De Livraison À Vélo Et Les Problèmes De Santé Et De Sécurité Des Cyclistes Commerciaux : Élaboration De Bonnes Pratiques, Ugo Lachapelle, David Carpentier Laberge, Marie-Soleil Cloutier

Rapports de recherche scientifique

Les emplois nécessitant l’usage d’un vélo se sont diversifiés au-delà de la simple messagerie de plis et colis pour devenir de plus en plus nombreux. Parmi ces types d’emploi, celui qui a connu le plus grand essor à Montréal, comme ailleurs, est la livraison par vélo de repas à domicile. D’autres services mobiles, les déménagements, la vente ambulante et les entreprises de logistique du dernier kilomètre utilisent également de plus en plus souvent le vélo comme moyen de transport. Pourtant, les risques encourus par les cyclistes commerciaux sont peu connus.

Les objectifs du projet étaient d’étudier la croissance de la …

A Proposed Music Therapy Protocol For Trauma-Informed, Culturally Aware Practice With Migrants At The Us-Mexico Border, Mackenzie K. Conner

Expressive Therapies Capstone Theses

This paper reviews current literature surrounding therapeutic work done with the migrant population and considers it through the lens of future music therapy interventions to be done at the United States (US)-Mexico border. The migration process across the US-Mexico border is often filled with danger and treachery, leading to trauma responses, such as depression, anxiety, and post traumatic stress disorder. These traumatic experiences are augmented even further if there is a detention period or separation of families. In work reported by psychotherapists, counselors, and expressive arts therapists, there is often a focus of building empowerment, resilience, and coping skills. Yet …

Internal Training Load In Collegiate Basketball Players: Effort Ratings Vs. Heart Rate Measurements In Ncaa Dii Players, Amber Stephens

Honors College Theses

BACKGROUND: College basketball is an intense team sport that utilizes both the aerobic and anaerobic energy systems to play a 40-minute-long game and cover around 2-3 miles on average per game (Narazaki et al 2009). The high workloads can lead to fatigue, which increases injury risk (Garbenytė-Apolinskienė et al 2019). The purpose of this study is to compare subject ratings of perceived exertion (RPE) with objective measures of heart rate during pre-season training.

METHODS: Male and female basketball players from a National Collegiate Athletic Association (NCAA) Division II school wore a heart rate monitor (Firstbeat™) during the first …

Caffeine’S Physiological And Psychological Effects, Cameron Shadaia

Honors College Theses

In my university honors research paper, I will not only take a look at the physiological and psychological effects of the body, but also the proper range of caffeine intake, the situational purposes for caffeine, the best and worst ways to introduce caffeine into the body, and popular beverages that are commonly used for caffeine consumption. This research paper draws upon a variety of studies in which caffeine was the topic of interest. The conclusion that is drawn upon is that caffeine can have many benefits if used in a proper dosage. Negative effects have a higher likelihood of occurring …

Screen Time Reduction, Karmen L. Serda Mrs.

MSN Capstone Projects

Children and adolescents are spending an alarming amount of time engaging in screen time (ST) activities on mobile devices, computers, televisions (TV), and video games; activities include, but are not limited to, watching shows or movies, playing video games, searching the internet, texting, or using social media. This excessive ST is contributing to a vast array of serious childhood complications and health concerns, of which are rarely discussed, acknowledged, or remedied.

The proposed implementation of a structured 3-day elementary school based screen time reduction program (STRP) that would target not only the children and adolescents, but their parents and/or caregivers …

The Community Health System In The Drc: An Overview, Frontline Health Project

Reproductive Health

This brief provides an overview of the community health system in the Democratic Republic of the Congo (DRC). The community health system is decentralized and operates across five levels: national, provincial, health zone, health area, and community. Various policy documents guide DRC’s community health system, including The National Health Development Plan 2016–2020. Relais communautaire (RECOs) are the main cadre of community health workers operating in the DRC. They are volunteers who provide a minimum package of reproductive, maternal, newborn, and child health services, including the provision of family planning; integrated community case management for malaria, diarrhea, and respiratory diseases; nutrition …

The Community Health System In Mali: An Overview, Frontline Health Project

Reproductive Health

This brief provides an overview of the community health system in Mali. The system is decentralized and operates across five levels: national, regional, district, health area, and community. It relies on two cadres of community health workers to deliver health-care services, primarily to rural populations: agents de santé communautaire (ASCs) and relais communautaire. The National Implementation Guide for Essential Community Health Care is the main document that outlines responsibilities of community health providers and processes for organization, management, and delivery of health services. Although Mali’s maternal, child (under five years), and infant mortality rates have fallen over the past two …

Prevalence Of Pelvic Organ Prolapse In Women, Associated Factors And Impact On Quality Of Life In Rural Pakistan: Population-Based Study, Abdul Hakeem Jokhio, Raheela Mohsin Rizvi, Christine Macarthur

Department of Obstetrics & Gynaecology

Background: Pelvic organ prolapse (POP) is a gynecological condition resulting from pelvic floor dysfunction in women. The objective of this study is to estimate "the prevalence of pelvic organ prolapse" associated factors, duration and impact on women's quality of life in rural Pakistan.
Methods: A cross-sectional study was conducted with a three stage random sampling strategy. Three health centers were selected and selected Lady Health Workers from each health center interviewed a random sample of women in their households. The interview used a structured questionnaire to collect symptom data. Female gynaecologists then conducted a clinical examination at the local health …

2020-04-28 Daily Unm Global Health Covid-19 Briefing, Christophe G. Lambert, Shawn Stoicu, Lori D. Sloane, Susan Atlas, Anastasiya Nestsiarovich, Praveen Kumar, Nicolas Lauve, Kathryn Foos, Emma Wolinsky, Melissa Cossé, Jenny Situ, Susie Pham, Jennifer Thompson, Fiona Nguyen, Ryen Ormesher, Avanika Mahajan, Timothy Campbell, Lynnmarie Jarratt, Samantha Paltrow-Krulwich, Alyse Raboff, Stephen Esguerra, Lauren Tagliaferro Epler, Ariel Hurwitz, Alexandra Yingling, Clinton Onyango, Perez Olewe, Cristian Bologa, Jens Langsjoen, Orrin Myers, Douglas J. Perkins

HSC Covid 19 Briefings

Executive Summary:

NM case update. NM antibody testing. Las Cruces essential worker screening. Small business closure inequity. More jobless benefits. Santa Fe furloughs. NM Funeral homes prepared. NM oil sector hit. State-by-state restrictions/reopenings. US testing expansion. JAMA on prisons. NY reopening focus. Farmers euthanizing animals. New Zealand success. Stockholm herd immunity. UK worst-hit in Europe. Japanese island lockdown. Spain multi-phase plan. Economic damage lockdown duration. Oil price impacts. Aerosol intubation box. Family cluster transmission. US contact tracing lacking. Chinese tracing system. Early US deaths undercounted. More poison center calls. Homeless shelter infection. Reduced coronary syndrome admissions. Italian predicted model. GIS …

Association Of Aβ With Ceramide-Enriched Astrosomes Mediates Aβ Neurotoxicity, Ahmed Elsherbini, Alexander S. Kirov, Michael B. Dinkins, Guanghu Wang, Haiyan Qin, Zhihui Zhu, Priyanka Tripathi, Simone M. Crivelli, Erhard Bieberich

Physiology Faculty Publications

Amyloid-β (Aβ) associates with extracellular vesicles termed exosomes. It is not clear whether and how exosomes modulate Aβ neurotoxicity in Alzheimer's disease (AD). We show here that brain tissue and serum from the transgenic mouse model of familial AD (5xFAD) and serum from AD patients contains ceramide-enriched and astrocyte-derived exosomes (termed astrosomes) that are associated with Aβ. In Neuro-2a cells, primary cultured neurons, and human induced pluripotent stem cell-derived neurons, Aβ-associated astrosomes from 5xFAD mice and AD patient serum were specifically transported to mitochondria, induced mitochondrial clustering, and upregulated the fission protein Drp-1 at a concentration corresponding to 5 femtomoles …

First Trimester Prenatal Screening: Parent Education, Madison Vandiver

Honors College Theses

The healthcare field is constantly evolving, and consequently the ways that medical procedures are done is always changing. Advancements in medicine have made it possible to screen for chromosomal abnormalities earlier and for the screening to be done more accurately than ever before. This is accomplished through a first trimester screening performed between 11- 13 weeks gestation of the pregnancy. With this screening becoming more integrated into routine prenatal care and being offered to various women with a range of risk factors, it is important to offer many educational opportunities about the screening procedure. Provision of education to patients interested …

Gender Differences In Correctional Supervisor Wellbeing, Work, And Home Demands, Emily Long

Honors Scholar Theses

In recent years women’s participation in the American workforce has risen dramatically, while they still maintain the majority of the workload at home and in family life. Despite this increase in employment, women’s occupational health has been consistently underresearched and virtually no research has been conducted on female correctional workers. In this study we utilized a cross-sectional survey administered to 143 participants, both male and female, who work as correctional supervisors at the Connecticut Department of Correction. Participants responded to questions collecting information about their demographics, wellbeing, work, and home demands. Data analysis indicated that women, compared to men, did …

Covid-19 In Prisons And Jails In The United States, Laura Hawks, Steffie Woolhander, Danny Mccormick

Publications and Research

In mid-March 2020, the first case of novel coronavirus 2019 (COVID-19) was diagnosed at Riker’s Island, the main jail complex in New York City. Within 2 weeks,more than 200 cases were diagnosed within the facility, despite efforts to curb the spread.The situation at the Cook County jail in Chicago is similar, with about 350 incarcerated persons and staff members testing positive for the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus as of early April 2020. Many other jails and prisons have reported outbreaks of COVID-19 and related deaths.

Prior viral epidemics have wrought havoc in carceral settings. An account …

Assessing Controlling Stimuli For Safety Responses In Children With Autism Spectrum Disorder, Andrea Giraldo

Thesis Projects

Children with autism spectrum disorder (ASD) may be less likely to generalize newly learned responses. Lack in generalized responding from one setting to another setting could be because of the presence or absence of specific stimuli. Identifying the stimuli that are influencing the response is critical when teaching safety skills to children with ASD. This study assessed the functional relation between stimuli and response. The experimenters extended the methodology used by Halle and Holt (1991) to identify the controlling stimuli for an identification response to community helpers in various locations. The stimulus parameters that were assessed during the current study …

Continuous Epidural Hydromorphone Infusion For Post-Cesarean Delivery Analgesia In A Patient On Methadone Maintenance Therapy: A Case Report., Mellany A Stanislaus, Joseph L Reno, Robert H Small, Julie H Coffman, Mona Prasad, Avery M Meyer, Kristen M Carpenter, John C Coffman

Women’s Health Articles

The prevalence of opioid use disorder (OUD) in the United States has more than quadrupled over the past two decades. This patient population presents a number of challenges to clinicians, including difficult pain management after surgical procedures due to the development of opioid tolerance. Significantly greater opioid consumption and pain scores after cesarean delivery have been reported in patients with OUD compared to other obstetric patients. A multi-modal analgesic regimen is generally recommended, but there are few well-established pain management strategies after cesarean delivery specific to patients with OUD. We present the case of a patient with OUD maintained on …

Integrating The Functional Movement Screen ® Into Strength And Conditioning Programs, Quincy Johnson, Chantel C. Coleman, Timothy Baghurst

Topics in Exercise Science and Kinesiology

• The purpose of this article is to provide an overview of the Functional Movement Screen (FMS®) and how it can be integrated into strength and conditioning programs of all levels.
• We utilized current literature and previous FMS ® field experience to develop and recommend approaches for implementing FMS® protocols into strength and conditioning programs.
• Description of FMS® Movements: The FMS® is a comprehensive biomechanical efficiency screen which is comprised of seven movements that have been deemed fundamental to athletic performance (7). Those movements include the; deep squat, hurdle step, in-line lunge, shoulder mobility, active straight-leg raise, trunk stability push-up, and …