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At least 163 records · Page 9Linked to original sources

Milk production and somatic cell count in Michigan dairy herds.

The established association between milk production and SCC in dairy cattle is increasingly used to estimate lost production due to mastitis. Such cost estimates are used to make decisions regarding cost effective mastitis prevention and control. It is therefore important to verify the relationship between SCC and milk production using data from different areas of the country and by using different analytical methodology. Our study used the 1985 to 1986 Michigan DHIA data base and analyzed daily milk production records rather than lactation summary records as used in the past. One advantage to our approach was that it did not give equal weight to all lactations, regardless of their duration. Also, it enabled inclusion of cows that had incomplete lactations caused by culling, or had other reasons for removal from the herd. A statistical model was constructed to predict milk production on the basis of herd, cow within herd, stage in lactation, month of calving, lactation, and SCC. The data base contained 397,172 milk test records obtained from Michigan DHIA from 504 Holstein herds in Michigan's lower peninsula. Our final model predicted 78% of the variation in milk production. Prediction of milk loss for each herd was highly correlated (r = .98) with the prediction model adopted by most DHIA organizations. Our model predicted that the mean herd lost a mean of 1.17 kg of milk/cow per d associated with SCC.

Age Factors↗

Jamestown Canyon virus (California serogroup) is the etiologic agent of widespread infection in Michigan humans.

In a sample population of 780 Michigan residents tested for neutralizing antibodies to California serogroup viruses, 216 (27.7%) had specific neutralizing antibody to Jamestown Canyon virus. An additional eight (1.0%) had specific neutralizing to trivittatus virus; none had specific neutralizing antibody to La Crosse virus. Significantly more male residents than female residents of the Lower Peninsula had antibody to Jamestown Canyon virus. The frequency of neutralizing antibody titers fits the Poisson distribution, suggesting that Jamestown Canyon virus infections occur endemically in residents of Michigan. Among 128 sera with specific neutralizing antibody to Jamestown Canyon virus, only two (1.6%) were found to have significant hemagglutination-inhibiting antibody titers with La Crosse virus, while 23 of 44 (52%) had significant titers with Jamestown Canyon virus; a single serum had significant antibody by complement fixation tests with both La Crosse and Jamestown Canyon viruses. This study confirms earlier speculation that complement fixation and hemagglutination-inhibition tests with La Crosse virus (the only tests for California serogroup virus infections performed by most state diagnostic laboratories) fail to detect antibody to Jamestown Canyon virus. ASPEX computer-drawn maps demonstrated that the distribution of persons with antibody to Jamestown Canyon virus and residing in Michigan's Lower Peninsula is closely correlated with the estimated distribution of white-tailed deer in that part of the state, further supporting the hypothesis that white-tailed deer are the primary vertebrate host for Jamestown Canyon virus.

Adolescent↗

An outbreak of type E botulism among common loons (Gavia immer) in Michigan's upper peninsula.

An epizootic of type E botulism (Clostridium botulinum) occurred among common loons (Gavia immer) along the Lake Michigan shore of Michigan's Upper Peninsula (USA) during October and November 1983. An estimated 592 dead loons washed ashore along the Garden Peninsula. Type E botulinal toxin was demonstrated in blood samples and stomach contents of dead loons, and in samples of three species of dead fish found on the Lake Michigan shore. We suspect that loons acquired botulism by ingesting sick or dead fish containing type E toxin.

Animals↗

The prevalence of alcohol abuse and dependence in two geographically distinct regions in Michigan: an UPRNet study.

OBJECTIVE: No definitive studies have been done to determine the frequency of alcohol dependence and abuse in selected sites in Michigan. Because the Upper Peninsula is geographically, economically, and culturally distinct from Lower Michigan there may be an increased prevalence of alcoholism compared to other parts of the state. METHODS: This study compared the responses of 292 Upper Peninsula residents to the responses of 225 lower peninsula residents in the Kalamazoo area on a questionnaire regarding alcohol consumption and health habits. The Revised Health Screening Survey, which has shown adequate validity and reliability for detecting alcohol dependence and abuse, was administered. In the Upper Peninsula each of 12 family practice clinics belonging to UPRNet, a rural primary care research network, were asked to randomly recruit 24 patients to complete the questionnaires. RESULTS: Results showed that the percentage of alcohol dependent subjects in the three Kalamazoo clinics was 16%, while the overall percentage for all UP clinics was 12%. Chi-square analysis indicated no significant differences between the samples. CONCLUSIONS: The widely held belief that people who live in the Upper Peninsula of Michigan have a higher rate of alcohol dependence and abuse than people in other parts of the state was not found to be true in this primary care outpatient population.

Adult↗

Are Michigan hospitals facing a shortage of trained personnel?

The 1990 MHA Health Personnel Shortage Survey requested information on 31 personnel positions to determine the extent of personnel shortages, the sources of replacement personnel, the positions for which it is most difficult to recruit applicants, and the positions for which it is most difficult to retain personnel. In addition, hospitals were asked about the impact of personnel shortages on hospital services, the strategies they had implemented to alleviate the problems caused by shortages, and their commitment to, and involvement in, training and educational programs to increase the availability of health care personnel in Michigan. A total of 77 Michigan hospitals and health care institutions responded to the survey. Analyses were performed on a sample of 69 community hospitals distributed similarly, with respect to hospital bed size category and geographic location, to the state total of 176 Michigan community hospitals. For more information, or for a copy of the complete 1990 MHA Health Personnel Shortage Survey report, contact the MHCI Health Policy Analysis Department.

Allied Health Personnel↗

Compliance with physical activity recommendations by walking for exercise--Michigan, 1996 and 1998.

Physical inactivity is an important modifiable risk factor for many diseases, including cardiovascular disease, cancer, diabetes, and osteoporosis. The 1996 Surgeon General's report (1) recommended that persons of all ages obtain "a minimum of 30 minutes of physical activity of moderate intensity (e.g., brisk walking) on most, if not all, days of the week." Walking is encouraged as one of the most accessible ways to be physically active (2), is the most commonly reported leisure-time physical activity (LTPA) in the United States, and is relatively common among groups that are typically inactive (e.g., the elderly and low-income groups) (3). To determine whether exercise characteristics (i.e., duration, frequency, and speed of walking) of Michigan adults met the Surgeon General's recommendations, the Michigan Department of Community Health analyzed data from the 1996 and 1998 Michigan Behavioral Risk Factor Surveillance System (BRFSS) for those who reported walking as their only LTPA. This report summarizes the results of this analysis, which indicate that most walkers need to increase the frequency and perhaps the speed of their walking to comply with recommendations.

Adult↗

From the Centers for Disease Control and Prevention. Progress toward elimination of perinatal HIV infection--Michigan, 1993-2000.

In 1994, the U.S. Public Health Service (PHS) issued guidelines for maternal and neonatal zidovudine (ZDV) use to reduce perinatal human immunodeficiency virus (HIV) transmission. These guidelines recommend maternal ZDV use during the second and third trimesters of pregnancy and during labor and delivery (L&D) and administration of ZDV to the neonate for the first 6 weeks of life. In 2001, PHS updated 1995 guidelines for routine HIV counseling and voluntary testing of pregnant women. The Michigan Department of Community Health (MDCH) requires reporting of all children who are perinatally exposed to HIV and follows up these children to monitor their infection status and record demographic, clinical, and laboratory characteristics of infected children. The reporting of perinatally HIV-exposed children enables MDCH to monitor the effectiveness of public health efforts to prevent perinatal HIV transmission and assists the targeting of prevention programs and activities. This report summarizes surveillance data collected through December 31, 2001, on children born to HIV-infected women in Michigan during 1993-2000. The report highlights rapid adoption of PHS guidelines that resulted in the reduction of perinatally acquired HIV infection to historically low levels in Michigan. Improving levels of prenatal care (PNC) for HIV-infected pregnant women, especially substance users, and routine HIV counseling and voluntary testing for all pregnant women are needed to further reduce perinatal HIV infection.

AIDS Serodiagnosis↗

Michigan's recent attempt to ban abortion is blocked.

Five Michigan abortion clinics and a doctor filed a complaint in federal court on February 1, 2000, challenging the state's ¿Live Infant Protection Act¿, the state's recent attempt to ban virtually all abortions. The ban is scheduled to go into effect on March 10th, 2000. The ban was passed during Michigan's latest legislative session ending in December 1999. The broad language of the ¿Live Infant Protection Act¿ would outlaw virtually all abortion methods performed throughout pregnancy--beginning as early as 8 weeks. In addition, the extreme nature of the ban fails to contain any health exceptions to protect the woman and threatens doctors who violate the statute with life imprisonment and a US$50,000 fine. Plaintiffs in the case of Womancare of Southfield, P.C., et al vs. Granholm (No. 00-705-85) are represented by Janet Crepps and Linda Rosenthal of CRLP, and local cooperating attorney Tracie Dominique Palmer of Detroit, Michigan.

Abortion, Induced↗

Unintentional deaths from carbon monoxide poisoning--Michigan, 1987-1989.

Deaths from unintentional carbon monoxide (CO) poisoning in the United States result primarily from exposure to motor-vehicle exhaust and occur more often during the cold months of the year and in northern and midwestern states (1-3). In Michigan, from 1987 through 1989, 103 deaths were related to unintentional CO poisoning. To identify approaches for prevention of unintentional CO poisoning in Michigan, the Michigan Council on Injury Control (MCIC) studied death records and medical examiner (ME) records to determine the manner of deaths related to unintentional CO poisoning in that state from 1987 through 1989. This report summarizes findings of the investigation.

Accidents↗

Building a healthier northern Michigan.

Over the last 10 years, hospitals in the north central region of Michigan have collaborated with human service agencies across a 21-country area of northern Lower Michigan on the Community Health Assessment Project: Building A Healthier Northern Michigan. A survey was completed in 1995 that provided insight into the health status of adults in the region. The survey helped communities identify health priorities and implement plans to address them.

Adolescent↗

Mycobacterium bovis (bovine TB) exposure as a recreational risk for hunters: results of a Michigan Hunter Survey, 2001.

SETTING: Tuberculosis caused by Mycobacterium bovis (bovine TB) is endemic in the white-tailed deer population of north-eastern Michigan. Hunters may be exposed to M. bovis via cutaneous inoculation while field dressing deer or by ingestion of undercooked venison. Michigan hunters have received inconsistent messages about their risk of acquiring tuberculosis from recreational exposure to deer. The most common health advice offered has been to wear gloves while field dressing deer and to cook venison products thoroughly. OBJECTIVE: Data were collected to quantify these self-protective activities and to characterize hunters practicing these activities. DESIGN: In 2001, we surveyed 1833 hunters who had successfully harvested deer in or near Michigan's bovine TB endemic area in 2000. RESULTS: The survey response rate was 78%. Most hunters (89%) reported field dressing deer, 43% of whom wore gloves. Most hunters (95%) reported eating venison, 55% of whom reported their venison was always cooked thoroughly. Several hunter characteristics, including older age, female sex, higher awareness level, and area of residence, were significantly associated with the practice of these self-protective activities. CONCLUSION: The survey results suggest that hunters should receive consistent advice encouraging glove use while field dressing deer and the thorough cooking of venison products before consumption.

Adolescent↗

Michigan hospitals and kids SCORE big.

The Michigan Health Council, in cooperation with four Michigan hospital systems, initiated Strive for Challenging Outcomes and Reach Excellence (SCORE) to develop a more diverse health care work force for Michigan. This project is aimed at helping minorities and underrepresented youth learn about careers in health care and helping hospitals get started toward building diversity programs in their communities.

Adolescent↗

Michigan insurer funds effort to improve cardiac surgery.

Michigan insurer funds effort to improve cardiac surgery. Every year about 20,000 adults undergo surgery in Michigan for coronary artery bypass grafts and other cardiac procedures. A new performance improvement project funded by Blue Cross Blue Shield of Michigan will focus on reducing complications and making those procedures safer.

Cooperative Behavior↗

Promoting diversity in health management: the University of Michigan Experience.

There has been a resurgence in the call for greater racial and ethnic diversity in the health workforce. Researchers in health services have made the "business case" for diverse leadership of healthcare organizations, arguing that this will make these organizations more effective in serving diverse populations. Greater diversity in health management training programs will also have positive effects on their students. This article has three purposes: to discuss the importance of diversity in health management training programs; to describe the University of Michigan's Summer Enrichment Program (SEP), a program to increase the number of students of color who receive graduate training in health management; and to report the results of a survey of SEP alumni, conducted after the program's 15th year, which describe the graduate school and career experiences of 167 SEP alumni. Based upon the survey results, the SEP appears to have been very successful in enlarging the pool of students of color who attend graduate programs in health management and who embark on careers in the field. It has also had a very positive effect on diversity within the University of Michigan program. The implications of the Michigan experience and recent Supreme Court decisions for other graduate programs are discussed.

Adult↗

Multisite outbreak of norovirus associated with a franchise restaurant--Kent County, Michigan, May 2005.

The majority of cases of foodborne gastroenteritis in the United States are caused by noroviruses. This report summarizes an investigation by the Kent County Health Department (KCHD) in Michigan into three norovirus outbreaks and a cluster of community cases that were associated with a national submarine sandwich franchise restaurant during May 3-9, 2005. The investigation identified a potential source, a food handler who had returned to work within a few hours of having symptoms of gastrointestinal illness while he was still excreting norovirus in his stools. To prevent norovirus outbreaks, food service workers should be educated regarding norovirus transmission and control. In 2005, new guidelines for state health departments regarding norovirus containment were published by the Food and Drug Administration (FDA); guidelines for local health departments in Michigan were issued by the state's Department of Community Health and Department of Agriculture. The new guidelines for Michigan recommend that food service workers with suspected norovirus not return to work until they are asymptomatic for 48-72 hours.

Caliciviridae Infections↗

The Michigan Placental Tissue Registry.

The Michigan Placental Tissue Registry is located in the Department of Pathology at Michigan State University in East Lansing. Operational since 1970, the registry now receives some 1300 specimens annually from Michigan, out-of-state, and out-of-country hospitals. This registry is intended to assist physicians with patient care, to maintain a tissue bank for referred specimens, and to explore the cause, clinical significance, and management of placental abnormalities.

Female↗

Immunotoxicology: environmental contamination by polybrominated biphenyls and immune dysfunction among residents of the State of Michigan.

In 1973, inadvertent contamination occurred in a special farm feed supplement for lactating cows. Polybrominated biphenyls (PBBs) were used in place of magnesium oxide resulting in serious harm to farm animals, including cattle, chickens, geese, ducks. Farm families, accustomed to eating their own products, were most heavily exposed. To study the impact of PBBs, 336 adult Michigan farm residents, 117 general consumers for comparison, 75 dairy farm residents in Wisconsin, who had not eaten PBB-contaminated food, were examined, as were 79 healthy subjects in New York City. Abnormalities in the Michigan groups included hypergammaglobulinemia, exaggerated hypersensitive response to streptococci, significant decrease in absolute numbers and percentage of T and B-lymphocytes, and increased number of lymphocytes with no detectable surface markers ("null cells"). Significant reduction of in vitro immune function was noted in 20-25% of the Michigan farm residents who had eaten food containing PBB. The decreased immune function detected among the PBB-exposed farm residents tended to affect families as a unit and was independent of exposed individuals' age or sex, pointing against the possibility of genetic predisposition.

Agricultural Workers' Diseases↗

Injectable-antineoplastic-drug practices in Michigan hospitals.

Practices related to parenteral (injectable) antineoplastic drugs (PADs) in Michigan hospitals were surveyed. All hospitals in Michigan were surveyed to assess compliance with American Society of Hospital Pharmacists (ASHP) and Occupational Safety and Health Administration (OSHA) recommendations related to PADs. Other PAD-related practice issues not covered within those guidelines were also studied. Surveys were mailed to the pharmacy directors of the state's 192 acute-care hospitals. Included were questions concerning policies and procedures for ordering, storing, preparing, handling, labeling, transporting, administering, and disposing of PADs. Questions concerning staff education, spill cleanup, and personnel issues were also included. A total of 169 questionnaires were returned, yielding a response rate of 88%. Of those respondents, 132 indicated that they prepare PAD doses for inpatients. Adherence rates were high for several of the PAD-preparation recommendations, including handwashing (97%) and gloving (98.5%). Rates for gowning (71.2%), labeling of PAD doses as biohazards (chemical hazards) (73.5%), and use of Class II biological-safety cabinets (71.2%) were less favorable. Practice areas with relatively poor adherence rates included use of plastic-backed absorbent pads under PAD preparation areas (53.8%), storing PADs separately from other drugs (48.5%), informing prospective employees of potential risks of handling PADs (36.4%), availability of spill kits (36.4%), and attaching and priming i.v. tubing before adding PADs to i.v. containers (5.4%). Many pharmacy departments in Michigan hospitals can substantially improve their adherence to ASHP and OSHA recommendations related to PADs.

Antineoplastic Agents↗