537 results match your criteria: "University of Michigan-Flint[Affiliation]"

The Impact of Educational Handouts on the Compliance Rate for Bariatric Patient Follow-Up Appointments.

Qual Manag Health Care

November 2024

Author Affiliations: EPIC Health, Southfield, Michigan (Dr Fedirko); Faculty, University of Michigan-Flint, (Drs Wilson and Buterakos), and Munson Healthcare, Traverse City, Michigan (Dr Pechta).

Background And Objectives: Compliance rates for follow-up appointments are an issue for postoperative sleeve gastrectomy (SG) patients. Without consistent reinforcement and monitoring of patient progress, patients tend to gain the weight back, all of the medical improvements made are lost, and the ability to access patients for potential complications is denied. Patients need much reinforcement during their forever bariatric lifestyle, and the lack of consistent reminders may contribute to follow-up noncompliance and recidivism in SG patients.

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Background: The ability to relearn a lost skill is critical to motor recovery after a stroke. Previous studies indicate that stroke typically affects the processes underlying motor control and execution but not the learning of those skills. However, these studies could be confounded by the presence of significant motor impairments.

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Objectives: This study aims to investigate the relocation of older adults in the US from community living to long-term care facilities (LTCFs). Specifically, it examines the predictive roles of possible and probable dementia and hospital stays in this complex health care transition.

Study Design: Utilizing data from the National Health and Aging Trends Study, a longitudinal cohort study (2011-2019), we employed a panel data approach, which consists of multiple observations over time for the same participants, allowing us to account for both cross-sectional variations (differences between participants) and time-series variations (changes in the same participant over time).

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Comprehensive evaluation of the nephrotoxicity of carbon quantum dots: Effects of the surface charge.

Chemosphere

November 2024

Department of Civil Engineering, National Taipei University of Technology, Taipei City, 106, Taiwan; Department of Biology, University of Michigan-Flint, MI, 48502, USA. Electronic address:

Carbon quantum dots (CQDs) are garnering attention for their broad applications. This study offers a detailed evaluation of the biomedical safety and health risks of carbon quantum dots (CQDs) with different surface modifications, addressing a key gap in their safe application. It focuses on three CQD types: diammonium citrate-based (CQDs-A), spermidine trihydrochloride-based (CQDs-S), and a combination (CQDs-A/S), analyzing their physicochemical properties, cytotoxicity, oxidative stress, inflammatory responses, and nephrotoxicity.

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The stereochemistry of the uncatalyzed chlorolactonization of 4-phenylpent-4-enoic acid at room temperature was examined to probe the reaction's intrinsic diastereoselectivities as a function of chlorenium ion donor, solvent polarity, and reactant concentration ranges. Kinetic studies using Variable Time Normalization Analysis (VTNA) revealed differing reaction orders for the syn and anti alkene addition processes. Aided and illustrated by quantum chemical modeling, this detailed mechanistic analysis of the substrate's intrinsic chlorolactonization reactions points to concerted Ad3-type paths for both syn and anti additions.

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Autism Training for Law Enforcement Officers: Perceptions From the Field.

J Autism Dev Disord

October 2024

Autism Risk and Safety Management, Port St. Lucie, FL, USA.

Autistic individuals and law enforcement officers are likely to engage under various circumstances within the community. Therefore, law enforcement officers require training on supporting those with autism and better understanding autistic behaviors. Aims for this study include: (1) developing and delivering high quality professional development on autism spectrum disorder (ASD) to support autistic individuals during encounters with law enforcement officers, and (2) examining how law enforcement officers respond to the professional development session.

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SWiLoc: Fusing Smartphone Sensors and WiFi CSI for Accurate Indoor Localization.

Sensors (Basel)

September 2024

Department of Computer and Information Science, University of Michigan-Dearborn, Dearborn, MI 48128, USA.

Dead reckoning is a promising yet often overlooked smartphone-based indoor localization technology that relies on phone-mounted sensors for counting steps and estimating walking directions, without the need for extensive sensor or landmark deployment. However, misalignment between the phone's direction and the user's actual movement direction can lead to unreliable direction estimates and inaccurate location tracking. To address this issue, this paper introduces SWiLoc (martphone and Fi-based alization), an enhanced direction correction system that integrates passive WiFi sensing with smartphone-based sensing to form Correction Zones.

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Article Synopsis
  • * The study aims to review existing literature on these practices and their effects on Nigerian women both in Nigeria and the US, guiding future research directions.
  • * Key findings reveal seven themes related to the treatment of widows, poverty, the influence of culture, and various health-related issues, highlighting the need for more research in the Nigerian American community.
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Pinonic Acid Derivatives Containing Thiourea Motif: Promising Antifungal Lead Compound Targeting Cellular Barrier of .

J Agric Food Chem

October 2024

East China Woody Fragrance and Flavor Engineering Research Center of National Forestry and Grassland Administration, Jiangxi Provincial Key Laboratory of Improved Variety Breeding and Efficient Utilization of Native Tree Species, College of Forestry, Jiangxi Agricultural University, Nanchang 330045, People's Republic of China.

Article Synopsis
  • Researchers synthesized 32 new pinonic acid derivatives from α-pinene, focusing on enhancing antifungal properties through thiourea modifications.
  • One promising compound showed strong antifungal activity (EC = 9.22 mg/L) similar to the control, effective against pear anthracnose, and had low toxicity to honeybees and human cell lines.
  • The compound destabilizes fungal mycelium, increases cell permeability, interferes with phospholipase C, and binds effectively to key enzymes, making it a potential candidate for developing new antifungal treatments.
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Purpose: The primary purpose of this randomized, cross-sectional study was to determine whether operant conditioning of motor evoked torque (MEP) in individuals with total knee arthroplasty (TKA) increases quadriceps MEP responses within a single session and induces acute corticospinal adaptations by producing sustained increases in MEP after training. A secondary purpose was to determine if these changes were affected by the stimulus intensity and number of training trials.

Methods: Thirty participants were block-randomized into one of three groups based on the participant's active motor threshold (100%, 120%, and 140%) to evaluate the effect of stimulus intensity.

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Background And Purpose: In 2020, a clinical practice guideline (CPG) highly recommended high-intensity gait training (HIGT) to improve walking outcomes in adults with chronic stroke, incomplete spinal cord injury (SCI), and brain injury. The success of implementing a CPG into a student-run pro bono clinic (SRPBC) utilizing knowledge translation (KT) to assess student learning is not well described. The purpose of this case report is to describe student learning by assessing the fidelity of HIGT implementation (time spent in HIGT and level of cardiovascular intensity) in a SRPBC.

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Objectives: To compare two implementation strategies, an educational handout and a knowledge-to-action (KTA) intervention, for promoting anterior cruciate ligament (ACL) injury prevention programme (ACL-IPP) implementation in amateur youth girls' soccer. The primary outcomes assessed include frequency of ACL-IPP implementation and ACL injury risk.

Methods: This was a prospective cohort study, which followed 671 amateur female soccer players (15.

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Background: Intracortical inhibitory/faciliatory measures are affected after stroke; however, the evidence is conflicting.

Objective: This meta-analysis aimed to investigate the changes in motor threshold (MT), motor evoked potential (MEP), short-interval intracortical inhibition (SICI), and intracortical facilitation (ICF), and identify sources of study variability using a machine learning approach.

Methods: We identified studies that objectively evaluated corticospinal excitability and intracortical inhibition/facilitation after stroke using transcranial magnetic stimulation.

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Shaping corticospinal pathways in virtual reality: effects of task complexity and sensory feedback during mirror therapy in neurologically intact individuals.

J Neuroeng Rehabil

September 2024

Neuromuscular & Rehabilitation Robotics Laboratory (NeuRRo Lab), Michigan Medicine, University of Michigan, 325 E Eisenhower Parkway (Room 3013), Ann Arbor, MI, 48108, USA.

Article Synopsis
  • The study investigates how virtual reality can enhance recovery in individuals with limb impairment by examining the effects of unilateral mirroring and other techniques on corticospinal excitability.
  • Participants used a VR system to see a virtual avatar mimicking their movements while their nondominant limb's muscle activity was measured through transcranial magnetic stimulation.
  • The research aims to understand the impact of incorporating complex activities and visuo-tactile stimulation before mirroring on improving muscle control, addressing limitations of traditional mirror therapy.
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Fibrinolytic and coagulative hyperactivity is proven to have a role in liquefaction and progression of chronic subdural hematoma (CSDH). Tranexamic acid was one of the pharmaceutical options that was explored, as it inhibits the hyper-fibrinolytic activity and reduces the vascular permeability in CSDH, leading to a gradual resolution of the hematoma. In this case study, we present a case of using tranexamic acid for CSDH treatment in an 86-year-old patient with co-morbidities.

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Children in low- and middle-income countries (LMICs) are disproportionately at risk of not meeting their developmental potential. Parental discipline can promote and hinder child outcomes; however, little research examines how discipline interacts with contextual factors to predict child outcomes in LMICs. Using data from 208,156 households with children between 36 and 59 months (50.

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Simulation-enhanced interprofessional education (SIM-IPE) offers an avenue to teach and facilitate communication, collaboration, and teamwork while gaining an appreciation for the unique roles different healthcare professionals from a variety of settings bring to such learning experiences. This article provides an initial overview of the current trajectory of interprofessional simulation-based education in healthcare practice. An introduction to the Interprofessional Education Collaborative Core Competencies and the Healthcare Simulation Standards of Best Practice will have a TM after Practice in superscript.

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Background: Utilizing fungicides to protect crops from diseases is an effective method, and novel eco-friendly plant-derived fungicides with high efficiency and low toxicity are urgent requirements for sustainable crop protection.

Result: Two series of rosin-based fungicides (totally 35) were designed and synthesized. In vitro fungicidal activity revealed that Compound 6a (Co.

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Background/objectives: Neighborhood walkability is the extent to which built and social environments support walking. Walkability influences older adults' participation in outdoor physical activity. Identifying factors that influence physical therapists' (PTs) decisions about prescribing outdoor walking is needed, especially for those who are aging in place.

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Ecofriendly Controlled-Release Insecticide Carrier: pH-/Temperature-Responsive Rosin-Derived Hydrogels for Avermectin Delivery against (Walker).

Langmuir

May 2024

Jiangsu Province Key Laboratory of Biomass Energy and Materials, College of Forestry, Northwest A&F University, Yangling, Shaanxi 712100, People's Republic of China.

The exploration of environmentally friendly, less toxic, sustained-release insecticide is increasing with the growing demand for food to meet the requirements of the expanding population. As a sustained-release carrier, the unique, environmentally friendly intelligent responsive hydrogel system is an important factor in improving the efficiency of insecticide utilization and accurate release. In this study, we developed a facile approach for incorporating the natural compound rosin (dehydroabietic acid, DA) and zinc ions (Zn) into a poly(-isopropylacrylamide) (PNIPAM) hydrogel network to construct a controlled-release hydrogel carrier (DA-PNIPAM-Zn).

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The COVID-19 pandemic has affected over 700 million people globally, straining healthcare systems and highlighting the need for interprofessional collaboration. The aim of this study was to describe interprofessional collaborative practice (IPCP) experiences from the perspectives of occupational therapists (OTs) and physical therapists (PTs) who were employed in a medical center both before and during the COVID-19 pandemic. This qualitative study, conducted from July 2020-November 2021, delved into the lived experiences of occupational and physical therapists in an inpatient setting during the pandemic through analysis of semi-structured interviews and journal entries.

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Understanding Abnormal Examination Findings During Concussion Recovery: A Retrospective Chart Review.

Neurol Clin Pract

June 2024

Department of Neurology (NSS, MP, AA, IKI, ML, JTE), University of Michigan, Ann Arbor; Department of Neurology (NSS), Georgetown University, Washington, DC; Department of Physical Therapy (BA), University of Michigan-Flint; and Sports Medicine and Physical Therapy (JF), University of Michigan, Ann Arbor.

Background And Objective: Physical examination findings in athletes with sport-related concussion (SRC) are not well described in the literature. The objective of this study was to describe physical examination findings during the first month following concussion in athletes, with a focus on the effect of sex, age, and time since injury.

Methods: This was a retrospective electronic medical record (EMR) review of physical examination findings in 500 patients aged 6-24 who were initially seen within 15 days of SRC at a multidisciplinary outpatient academic concussion clinic between 2017 and 2019.

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Traumatic brain injuries (TBIs) represent a significant public health concern, with mild-to-moderate cases comprising a substantial portion of incidents. Understanding the predictors of mortality among adult patients with mild-to-moderate TBIs is crucial for optimizing clinical management and improving outcomes. This literature review examines the existing research to identify and analyze the mortality predictors in this patient population.

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In this paper, molecules with AIE red light properties were designed by coupling dehydroabietic acid diarylamine and 2,3-diphenylfumaronitrile, which were designated 2DTPA-CN and 2TPA-CN. The emission wavelengths were 683 nm and 701 nm, respectively. The 2DTPA-CN and 2TPA-CN showed typical AIE characteristics with large Stokes shifts of 7.

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