University of Michigan–Ann Arbor

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    WHO Smallpox Images, 1953-1988 (with gaps)

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    included is a spreadsheet of captions for the image

    High resolution computed tomography of the chest in infants with cystic fibrosis.

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    http://deepblue.lib.umich.edu/bitstream/2027.42/192034/2/Pediatric Pulmonology - 1999 - - Abstracts 390 to 439.pdfPublished versionDescription of Pediatric Pulmonology - 1999 - - Abstracts 390 to 439.pdf : Published versio

    Improved Comorbidity Capture Using a Standardized 1-Step Quality Improvement Documentation Tool

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    Objective: To assess the impact of implementation of a “1-step” documentation query system on comorbidity capture and quality outcomes within the Department of Otolaryngology–Head and Neck Surgery. Methods: Implementation of the 1-step documentation query system was instituted for all otolaryngology–head and neck surgery faculty at a single institution. Individual query responses and impact metrics were analyzed. Departmental case-mix index (CMI), risk of mortality (ROM), and severity of illness (SOI) were collated over a 14-month implementation period and compared to a 12-month preimplementation period. Results: A total of 226 documentation queries occurred during the program pilot period, with an 86.7% response rate. Of queries with a response, 91.0% resulted in a significant impact for the hospitalization diagnoses-related group, ROM, or SOI. Departmental CMI increased from 2.73 to 2.91 over the implementation period, and observed/expected mortality ratio decreased from 0.50 to 0.42 pre- to postimplementation. Discussion: With increasing emphasis on quality metrics outcomes within the United States health care system, there is a need for institutions to accurately capture the complexity and acuity of the patients they care for. There was a positive change in quality outcomes metrics, including ROM, SOI, and CMI over the first year of deployment of the 1-step documentation query process. Implications for Practice: Clinical severity metrics are becoming increasingly important to otolaryngologists, as insurers move to severity-adjusted profiles. The 1-step documentation query process provides a reproducible and effective way for clinical documentation specialists and physicians to collaborate on improving departmental clinical severity metrics.http://deepblue.lib.umich.edu/bitstream/2027.42/191975/2/2018_Oto-HNS_1-Step Documentation QI Tool.pdfPublished versionDescription of 2018_Oto-HNS_1-Step Documentation QI Tool.pdf : Published versio

    Function-Preserving Tailored Open Partial Laryngectomy for Chondrosarcoma of the Thyroid Ala: A Case Report

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    http://deepblue.lib.umich.edu/bitstream/2027.42/191965/2/Function-Preserving Tailored Open Partial Laryngectomy for Chondrosarcoma of the Thyroid Ala A Case Report.pdfPublished versionDescription of Function-Preserving Tailored Open Partial Laryngectomy for Chondrosarcoma of the Thyroid Ala A Case Report.pdf : Published versio

    Cereblon ligands and uses thereof

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    http://deepblue.lib.umich.edu/bitstream/2027.42/192158/2/WO2024015340A1_Original_document_20240124172503.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/192158/3/WO2024015340A1_Original_document_20240124172503.pd

    Still Separate? Still Unequal? Brown V. Board of Education, Fifty Years Later..., January 19, 2004

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    Lecture by Lani Guinier, Professor of Law, Harvard Law School, for the 17th Annual Martin Luther King Jr. Symposium

    Environmental Justice Case Study in St. Clair Township, Michigan

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    In St. Clair Township, Michigan, residents have filed a lawsuit against fossil fuel companies for negligence and unlawful contamination of their community. Our master's capstone team worked to support St. Clair Township residents in their fight for a healthier community in partnership with Freshwater Future and Families Reclaiming Our Environment. We sought to re-engage community members exhausted by a 40-year struggle and organize existing data detailing incidents from the 1980s to present day. These project objectives were met through hosting a community engagement event, conducting a survey to understand residents’ sentiments towards the facilities, and synthesizing records into a comprehensive timeline. The community engagement event acted as an opportunity to meet residents and learn about their concerns, shaping the survey. Survey results revealed that although almost all respondents are aware they live near these facilities, only slightly more than half had prior knowledge of the facilities before moving into their current residence. Results also showed that a majority of residents have been or are concerned about water and air quality near their homes. About 48% of respondents have or are experiencing health issues that might be correlated with the air quality near their home. Residents also described long-standing frustration with the companies and government agencies, who they feel have failed to address the pollution from these facilities. At the same time, our archival process has begun telling the four decades long story of St. Clair Township and its relationship with these local fossil fuel facilities. While still a work in progress, the timeline has begun to piece together evidence showing how residents have been and still are overlooked in the decision-making processes of these harmful facilities. The timeline has also begun teasing apart the complicated relationships between regulators and jurisdictional complexities that have perpetuated this problem for far too long. Through this report, we provide multifaceted evidence that the petrochemical facilities in St. Clair Township harm a rural frontline community’s health and quality of life and that government actors have failed to intervene. We make the case that environmental justice movements fighting petrochemical pollution must pay increased attention to previously overlooked sites within a massive geography of fossil fuel infrastructure.Master of Science (MS)School for Environment and SustainabilityUniversity of Michiganhttp://deepblue.lib.umich.edu/bitstream/2027.42/193035/1/Freshwater Future Rebecca Beilinson.pdfDescription of Freshwater Future Rebecca Beilinson.pdf : Master's Project Full Documen

    International Court of Justice. Ruling on South African Accusation Against Israel

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    This is the text of a podcast on StocktonAfterClassThis is a summary of the Ruling handed down by the International Court of Justice on January 26,2024 regarding the South African charge of Genocide against Israel.http://deepblue.lib.umich.edu/bitstream/2027.42/192153/1/RulingByICJ26January2024.docDescription of RulingByICJ26January2024.doc : Main articleSEL

    Optimization of LoRaWAN Based IOT When Applied to Warehouse Battery Monitoring System Through Time Serial Forecasting

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    This dissertation proposes and studies a novel optimization scheme for LoraWAN based electric vehicle batteries monitoring system located in warehouses by utilizing techniques to optimize packet delivery and power settings. At first, based on my simulation of such a LoraWAN system, I observed and concluded that the optimized setting of such a system mainly depends on the network traffic regulated by the number of active users in the next channel access window. I therefore define the reward of the system as the multiplication of the packet delivery rate and power efficiency. A system setting consists of a traffic level and an appropriate radiation power. The optimized system setting results in maximum reward. However, the network traffic, or the number of active users in the next access window is time-varying and unknown due to the adoption of pure ALOHA protocol as well as the different packet rates and operation modes of battery LoraWAN sensors. Several factors lead to optimization of reward, including duty cycle regulation and future traffic prediction. The most effective optimization requires management of the traffic level based on criticality. A method called duty cycle management allows the lowest network traffic level with highest throughput and reward. When batteries have critical or urgent data, the specific nodes drive elevated network traffic levels for timely notification. With a large number of batteries in critical status, network traffic is at a maximum level. The goal of duty cycle management is to achieve an optimal network traffic level for different battery operating modes. Another factor in optimization is the future prediction of traffic, utilized for setting transmit power. I also examine optimizing reward with radios distributed in different zones around the collector. Also, the role of shadowing is considered in finding optimal system settings. I develop a network mechanism to survey the traffic level, power, and reward, storing the lowest power level that provides 80% of the maximum possible reward. Simulations validate the proposed scheme, which achieves the best results with an average 31% higher reward compared to competing approaches without the duty cycle management. Further chapters in this dissertation elaborate on topics related to networks of LoRaWAN radios and the optimization of their performance.PhDCollege of Engineering & Computer ScienceUniversity of Michigan-Dearbornhttp://deepblue.lib.umich.edu/bitstream/2027.42/192768/1/2024_Dissertation_BT_B.pdf-1Description of 2024_Dissertation_BT_B.pdf : Dissertatio

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