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At least 19 recordsLinked to original sources
PubMed1994

Michigan Health Care Education and Research Foundation: sharing a vision of the future with Michigan physicians.

The aim of the Michigan Health Care Education and Research Foundation (MHCERF) is to support the development and analysis of ideas so that the citizens of Michigan may benefit ... MHCERF is proud of its efforts to support health and medical care research, as well as service in our state. In striving to improve medical care and health policy in Michigan, the aims, objectives and activities of the Michigan Health Care Education and Research Foundation (MHCERF) effectively complement the goals of Michigan physicians. MHCERF attempts to improve health and medical care primarily through the support of research. Moreover, MHCERF's success is in large part attributed to the physicians of Michigan. Receiving grants through MHCERF, physicians have conducted a substantial amount of high quality research for the Foundation. Since 1985, physicians and medical students in the state of Michigan have received 61 grants from MHCERF totaling approximately $1.8 million dollars, nearly half of all funded grants. The purpose of this article is two fold: (1) to communicate the purpose and mission of MHCERF to an important audience-Michigan physicians, and (2) to demonstrate the contribution Michigan physicians have made to the goals of MHCERF through the grants they've received, research they've conducted, and consultation they've provided.

Education, Medical↗
PubMed1995

Immunizing Michigan's children: what went wrong and what can be done to improve Michigan's pitiful record?

"New National Survey: MICHIGAN HAS LOWEST IMMUNIZATION RATE OF ALL 50 STATES FOR 1994." This headline, which appeared in bold letters, was the lead story in the August 25, 1995 edition of The New York Times. In the days following, news media around the state highlighted results of the federal Centers for Disease Control report that found only 61 percent of Michigan two-year-olds fully immunized, while nationally 75 percent of children ages 19-35 months have shots up-to-date. In Detroit, the lowest ranked city in the nation, numbers were worse, with just half fully immunized by age two. The Ann Arbor News called Michigan's record "pitiful," stating, "Our children are too valuable for Michigan to rank last in immunization." The Detroit Free Press called the CDC results "a source of shame." Noting substantial increases in Michigan's vaccination rate the past four years, editorial writers added, "But last is still last."

Attitude of Health Personnel↗
PubMed2002

Atmospheric mercury deposition to Lake Michigan during the Lake Michigan Mass Balance Study.

Wet and dry mercury (Hg) deposition were calculated to Lake Michigan using a hybrid receptor modeling framework. The model utilized mercury monitoring data collected during the Lake Michigan Mass Balance Study and the Atmospheric Exchange Over Lakes and Oceans Studytogether with high-resolution over-water meteorological date provided by the National Oceanic and Atmospheric Administration (July, 1994-October, 1995). Atmospheric deposition was determined to be the primary pathway for mercury inputto Lake Michigan, contributing approximately 84% of the estimated 1403 kg total annual input (atmospheric deposition + tributary input). Wet (10.6 microg m(-2)) and dry deposition (9.7 microg m(-2)) contributed almost equally to the annual atmospheric Hg deposition of 20.3 microg m(-2) (1173 kg). Re-emission of dissolved gaseous Hg from the lake was also significant (7.8 microg m(-2)), reducing the net atmospheric deposition to 12.5 microg m(-2) (720 kg). A strong urban influence was observed in the over-water mercury deposition estimates in the southern portion of the lake. The Chicago/Gary urban area was estimated to contribute approximately 20% (127 kg) of the annual atmospheric mercury deposition to Lake Michigan. The magnitude of local anthropogenic mercury sources in the Chicago/Gary urban area suggests that emission reductions could significantly reduce atmospheric mercury deposition into Lake Michigan.

Air Movements↗
PubMed1978

PBB homologs in sera of Michigan dairy farmers and Michigan chemical workers.

In November, 1976 the Environmental Sciences Laboratory of the Mount Sinai School of Medicine, examined 1029 persons in Michigan for the potential health effects of exposure to PBB. Included in this group were 55 persons from Michigan Chemical Corporation and 237 farming families. Blood serum was analyzed for PBB. FireMaster FF-1 contains several bromobiphenyl components, the major constituent being approximately 60% 2,4,4,2'4'4'-hexabromobiphenyl. Other PBB homologs identifiable as peaks by gas chromatography--mass spectrometry include two pentabromobiphenyl peaks, three additional hexabromobiphenyl peaks, and two heptabromobiphenyl peaks. The relative concentrations, with respect to the major hexabromobiphenyl peak, of these minor constituents (1--20%) of PBB were different for persons from Michigan Chemical Corporation and for farmers. Penta-, hexa-, and hepta-bromobiphenyl components in serum samples analyzed from farming families from Michigan Chemical Corporation employees were compared with relative concentrations of these homologs in FireMaster mixture and in tissue and blood samples from rats fed FireMaster FF-1. Varying concentrations of these PBB components are attributed to different routes of exposure and the relative ease of metabolism and excretion of one pentabromobiphenyl component.

Animal Feed↗
PubMed2002

Deposition and emission of gaseous mercury to and from Lake Michigan during the Lake Michigan Mass Balance Study (July, 1994-October, 1995).

This paper presents measurements of dissolved gaseous mercury (DGM) concentrations in Lake Michigan and the application of a mechanistic approach to estimate deposition and emission fluxes of gaseous mercury (Hg2+ and Hg0) to and from Lake Michigan. Measurements of DGM concentrations made during May and July, 1994 and January, 1995 indicate that Lake Michigan was supersaturated with DGM suggesting that transfer of Hg0 occurs from the water to the atmosphere. Over-water concentrations of gaseous Hg2+ were estimated from total gaseous Hg (TGM) concentrations measured at five sites in the basin and used to model dry deposition fluxes of Hg2+. The modeling approach combines estimates of dry deposited Hg2+ with known photochemical and biotic reduction rates to form Hg0, which is available for re-emission. The model accounts for temporal and spatial variations in the deposition velocity of gaseous Hg2+ and the transfer velocity of Hg0 using high temporal and spatial resolution meteorological data. The modeled DGM concentrations agree well with the observed DGM concentrations in Lake Michigan. The modeled dry deposition fluxes of Hg2+ (286-797 kg yr(-1)) are very similar to the emission fluxes of Hg0 (320-959 kg yr(-1)), depending on the gaseous Hg2+ concentration used in the model.

Environmental Monitoring↗
PubMedDate not supplied

An analysis of the adequacy of preparation for end-stage renal disease care in Michigan. Michigan Renal Plan Task Force.

The Michigan Renal Plan Task Force has been charged with the development of a comprehensive plan to optimize the management of renal disease in Michigan. To assess the preparedness of new patients with end-stage renal disease (ESRD) patients in Michigan, surveys were sent to all outpatient ESRD facilities in the state concerning all new ESRD outpatients starting treatment during the first quarter of 1994. Responses were received from 69% of these facilities, covering 439 patients; 73% of patients were admitted to the hospital at the initiation of dialysis, and 69% required a temporary dialysis catheter. The median time to first outpatient dialysis was 10 days. Hospital admittance and use of temporary catheters were associated with a lower serum albumin at 1 month of follow-up. Temporary dialysis catheter usage was highest (85%) in rural areas, and lowest (59%) in suburban centers. Fifty-four percent of patients had a 1 month serum albumin of < or = 3.5 g/dl. At 1 month, nearly 60% of patients had a plasma hemoglobin of < or = 10.0 g/dl. These results suggest that better patient preparation for ESRD is needed to reduce the need for hospital admittance, to reduce the use of temporary catheters with their associated risks, and to improve the nutritional and psychosocial rehabilitation of these patients.

Adolescent↗
PubMed1995

Provider-assisted suicide: a survey of PA attitudes. Results of the 1994 Michigan survey conducted by the Michigan Academy of Physician Assistants Public Policy Committee.

Assisted suicide continues to be a topic of debate among health care providers, including PAs. The Public Policy Committee of the Michigan Academy of Physician Assistants surveyed all licensed PAs in Michigan regarding assisted suicide in an effort to determine whether a public policy statement should be developed, and whether that could be extrapolated into a resolution to be taken to the House of Delegates (HOD) of the American Academy of Physician Assistants in 1994. Based on the divergent results of the survey, the Michigan delegation did not submit a resolution to the HOD.

Attitude of Health Personnel↗
PubMed1988

Using the Short Michigan Alcoholism Screening Test to study social drinkers: Tecumseh, Michigan.

The Short Michigan Alcoholism Screening Test (SMAST), often given to clinical samples to detect alcoholics, was used in a survey of a randomly selected sample (N = 1,266) in a small midwestern town, with a population of about 10,000. The specific aims were: (1) to test if scores on the SMAST would be related to these normal subject's levels of drinking; (2) to test if the SMAST could identify a drinking group who had never sought treatment for alcohol-related problems, thus defining a potential subset for help; and (3) to appraise the SMAST as a research tool for use in a general population. Results show that the number of SMAST items endorsed is significantly but modestly correlated to drinking levels, with higher volume drinkers having higher scores. This prediction was improved by removing two items reporting "not normal" drinking that had caused SMAST scores to be spuriously high. Factor analysis of test items allowed construction of five rank-ordered groups: those (1) reporting no alcohol-related SMAST problems; (2) described by two items, self-reported "not normal" drinking; (3) with one problem: "can't stop" drinking; (4) reporting problems but had not received treatment for them (the predicted group); and (5) reporting both problems and attempts at help with them (e.g., Alcoholics Anonymous). These latter two groups had significantly higher scores on several other measures of alcohol-related behavior, as well as tests measuring emotional adjustment, notably Eysenck's Neuroticism Scale and Buss and Plomin's measure of Impulsivity. The SMAST demonstrates potential usefulness in selecting problem, no-problem and patterns of use in drinkers from a normal drinking population when clusters of items are constructed to be exclusive in a Guttman-like rank order, rather than by sheer number of items endorsed or use of simple factor scores.

Adult↗