Experiences and Perceptions of Great Lakes Water Level Change

This report presents findings of an online survey of 1,815 Great Lakes property owners, managers, and other interested stakeholders. The survey was administered between September and November 2014 following a period of extremely low Great Lakes water levels in 2013 and the rapid rebound to average-above average water levels in 2014. The purpose of the survey was to inform the University of Michigan Graham Sustainability Institute’s Integrated Assessment of Water Levels in the Great Lakes. The results of the survey indicate that property owners and managers surveyed are highly concerned about water levels in the Great Lakes. Some key impacts that respondents have experienced include a decrease in recreational opportunities due to low water levels, an increase in operating expenses due to low water levels, a decrease in water quality due to low water levels, and property damage due to erosion. The most popular forms of information for obtaining knowledge about water levels among respondents are personal contact with friends, family members, and neighbors, websites of organizations dealing with water levels, news media, and email updates/alerts. The greatest number of respondents reported wanting to know more about the causes of water level change, what water levels will be like in the future, and adaptation strategies for dealing with low water levels. The most common barriers to obtaining knowledge among respondents are difficulty finding or accessing information and not looking for information.Master of ScienceNatural Resources and EnvironmentUniversity of Michiganhttp://deepblue.lib.umich.edu/bitstream/2027.42/109694/1/Rachel Jacobson_Practicum_Dec_2014.pd

Joint NCAA Division I and II National Championship Finals

The following thesis discussed a potential future event consisting of a joint National Collegiate Athletic Association (NCAA) National Volleyball Championship involving the top two Division I teams and the top two Division II teams, each playing for their own national title. Before such an event can take place, what is needed is a realistic budget, a careful marketing strategy keeping in mind the ten P\u27s, a plan to motivate employees, a safe environment for spectators and participants, and an ethical framework for team preparation limits

Translating Indigenous Civic Ecologies

Art exhibits by the artists Jude Norris and Nadia Myre present Indigenous civic ecology as multifaceted relationships with animals and land. These perspectives translate liberal citizenship and civil society into visions of Indigenous civic ecology conveying related relational practices. Winnebago theorist Renya Ramirez emphasizes emotion, relationships, care work, and vernacular understandings of belonging as gendered aspects of Native citizenship exceeding and troubling liberal logic. Norris and Myre’s art works extend Ramirez’ human-focused discussion into civic ecology frameworks. These works develop Ramirez’s theory of translocal Native citizenship in an Indigenist materialist vein (Kalbfleisch and Robinson 52), while at the same time showing the ways that theories of new materialism in art history and translation studies remain settler colonial when they do not centre Indigenous knowledge.Las exposiciones de arte de las artistas Jude Norris y Nadia Myre presentan la ecología cívica Indígena como un conjunto de relaciones multifacéticas con los animales y la tierra. Estas perspectivas traducen las nociones liberales de ciudadanía y de sociedad civil a visiones de ecología cívica Indígena a través de prácticas de relación que vinculan con estas nociones en sus obras. La teórica Renya Ramirez, perteneciente a la comunidad Winnebago, plantea que la emoción, las relaciones, la labor de atención social y las visiones vernáculas de pertenencia son aspectos de ciudadanía Nativa marcados por el género que exceden y problematizan la lógica liberal. Las obras de Norris y Myre extienden el planteamiento de Ramirez, centrado en el ser humano, hacia marcos de ecología cívica. Estas obras desarrollan la teoría de ciudadanía Nativa translocal de Ramirez dentro de una perspectiva materialista Indígenista (Kalbfliesch, 2014), a la vez que muestran el modo en que las teorías del nuevo materialismo en historia del arte y en traductología siguen operando dentro del orden colonial cuando no tienen como eje el conocimiento Indígena.  Les artistes Jude Norris and Nadia Myre présentent l’écologie civique autochtone comme des rapports à multiples facettes avec les animaux et la terre Ainsi, leur oeuvre traduit les notions de citoyenneté libérale et de société civile par le concept autochtone d’écologie civique et donne corps à des pratiques relationnelles interreliées. La théoricienne Winnebago Renya Ramirez, dont les travaux sont axés sur l’humain, souligne que l’émotion, les rapports, le travail de soins et la conception vernaculaire de l’appartenance sont des aspects genrés de la citoyenneté autochtone qui dépassent et dérangent la logique libérale. Les œuvres de Norris and Myre insèrent les notions avancées par Ramirez dans un cadre d’écologie civique. Elles ajoutent la dimension du matérialisme indigéniste à la théorie de citoyenneté autochtone translocale proposée par Ramirez (Kalbfliesch, 2014) et, en même temps, montrent que les théories du nouveau matérialisme en histoire de l’art et en traductologie demeurent coloniales si elles ne privilégient pas les connaissances autochtones.As exposições das artistas Jude Norris e Nadia Myre apresentam a ecologia cívica indígena como relações multifacetadas com os aimais e a terra.  Estas perspectivas traduzem a cidadania liberal e a sociedade civil como  visões da ecologia cívica indígena, transmitindo práticass relacionais afins.  A teórica Winnibago Renya Ramirez enfatiza a emoção, os relacionamentos, o cuidado e as noções de pertença como aspectos de gênero da cidadania nativa que excedem e incomodam a lógica liberal. As obras de arte de Norris e de Myres extendem a discussão centrada no humano de Ramirez para modelos de ecologia cívica. Tais trabalhos ampliam a teoria de cidadania nativa translocal de Ramirez numa perspectiva materialista indigenista (Kalbfliesch, 2014), mostrando, ao mesmo tempo, como estas teorias do novo materialismo na história da arte e nos estudos de tradução se mantêm colonialistas por não focalizarem o conhecimento indígena

Short-form Philadelphia Naming Test: Rationale and Empirical Evaluation

This project translates research findings from the Philadelphia (picture) Naming Test into a clinical tool for diagnosis and measurement of change. The tool is a pair of 5-minute naming tests, each involving a different, representative set of 30 PNT targets. In an evaluation carried out with a well-distributed sample of 25 individuals with chronic aphasia, accuracy scores on the short forms, PNT30-A and –B, were highly correlated with the full PNT and with each other. By utilizing the extensive research database from the PNT, score equivalents and norms are calculated that can be applied in the clinical setting

Health mindset is associated with anxiety and depression in patients undergoing treatment for breast cancer

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/156141/2/tbj13765_am.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/156141/1/tbj13765.pd

Literacy disparities in patient access and health-related use of Internet and mobile technologies

Age and race-related disparities in technology use have been well documented, but less is known about how health literacy influences technology access and use

Correction to: Air pollution, methane super-emitters, and oil and gas wells in Northern California: the relationship with migraine headache prevalence and exacerbation

No abstract was provided by the editors of this work

Air pollution, methane super-emitters, and oil and gas wells in Northern California: the relationship with migraine headache prevalence and exacerbation

Background Migraine–an episodic disorder characterized by severe headache that can lead to disability–affects over 1 billion people worldwide. Prior studies have found that short-term exposure to fine particulate matter (PM2.5), nitrogen dioxide (NO2), and ozone increases risk of migraine-related emergency department (ED) visits. Our objective was to characterize the association between long-term exposure to sources of harmful emissions and common air pollutants with both migraine headache and, among patients with migraine, headache severity. Methods From the Sutter Health electronic health record database, we identified 89,575 prevalent migraine cases between 2014 and 2018 using a migraine probability algorithm (MPA) score and 270,564 frequency-matched controls. Sutter Health delivers care to 3.5 million patients annually in Northern California. Exposures included 2015 annual average block group-level PM2.5 and NO2 concentrations, inverse-distance weighted (IDW) methane emissions from 60 super-emitters located within 10 km of participant residence between 2016 and 2018, and IDW active oil and gas wells in 2015 within 10 km of each participant. We used logistic and negative binomial mixed models to evaluate the association between environmental exposures and (1) migraine case status; and (2) migraine severity (i.e., MPA score > 100, triptan prescriptions, neurology visits, urgent care migraine visits, and ED migraine visits per person-year). Models controlled for age, sex, race/ethnicity, Medicaid use, primary care visits, and block group-level population density and poverty. Results In adjusted analyses, for each 5 ppb increase in NO2, we observed 2% increased odds of migraine case status (95% CI: 1.00, 1.05) and for each 100,000 kg/hour increase in IDW methane emissions, the odds of case status also increased (OR = 1.04, 95% CI: 1.00, 1.08). We found no association between PM2.5 or oil and gas wells and migraine case status. PM2.5 was linearly associated with neurology visits, migraine-specific urgent care visits, and MPA score > 100, but not triptans or ED visits. NO2 was associated with migraine-specific urgent care and ED visits, but not other severity measures. We observed limited or null associations between continuous measures of methane emissions and proximity to oil and gas wells and migraine severity. Conclusions Our findings illustrate the potential role of long-term exposure to multiple ambient air pollutants for prevalent migraine and migraine severity

Asthma Discordance in Twins Is Linked to Epigenetic Modifications of T Cells

T cells mediate the inflammatory responses observed in asthma among genetically susceptible individuals and have been suspected to be prone to epigenetic regulation. However, these relationships are not well established from past clinical studies that have had limited capacity to control for the effects of variable genetic predisposition and early environmental exposures. Relying on a cohort of monozygotic twins discordant for asthma we sought to determine if epigenetic modifications in T cells were associated with current asthma and explored whether such modifications were associated with second hand smoke exposures. Our study was conducted in a monozygotic twin cohort of adult twin pairs (n = 21) all discordant for asthma. Regulatory T cell (Treg) and effector T cell (Teff) subsets were assessed for levels of cellular function, protein expression, gene expression and CpG methylation within Forkhead box P3 (FOXP3) and interferon gamma-γ (IFNγ) loci. Comparisons by asthma and current report of exposure to second hand smoke were made. Treg from asthmatic discordant twins demonstrated decreased FOXP3 protein expression and impaired Treg function that was associated with increased levels of CpG methylation within the FOXP3 locus when compared to their non-asthmatic twin partner. In parallel, Teff from discordant asthmatic twins demonstrated increased methylation of the IFNγ locus, decreased IFNγ expression and reduced Teff function when compared to Teff from the non-asthmatic twin. Finally, report of current exposure to second hand smoke was associated with modifications in both Treg and Teff at the transcriptional level among asthmatics. The results of the current study provide evidence for differential function of T cell subsets in monozygotic twins discordant for asthma that are regulated by changes in DNA methylation. Our preliminary data suggest exposure to second hand smoke may augment the modified T cell responses associated with asthma