Trends in the Sources of Endophthalmitis at Kresge Eye Institute

Purpose Endophthalmitis is a defined as a purulent inflammation of the intraocular fluids, namely the vitreous and aqueous humor. Endophthalmitis most commonly develops from infection, but can also be acquired from inflammatory and neoplastic conditions. We sought to determine these sources at our institute and to look for trends in our urban population. Methods A retrospective chart review of patients who attended the Kresge Eye Institute in Detroit, MI between 2003 to 2018 was performed. Patient list was identified from our EMR using the diagnoses codes related endophthalmitis. Information gathered included demographics, type of tissue/fluid cultured, the presumed source of endophthalmitis as well as culture results and sensitivities to anti-microbials, if known. Results From billing results, 168 patients were identified, of these, 101 with culture results were included. The average age of patients was 63.7 years old and 52% were female. Majority of the samples were of vitreous (72.3%), 21 were aqueous humor, and 3 from retinal tissue. Culture results were negative in 60 patients, positive for bacteria in 30, and positive for fungi and viruses respectively in 4 patients. Gram-positive bacteria including staph epidermidis were the most common pathogens cultured. Presumed sources of endophthalmitis included 29 patients who were post-op, 17 in whom the source was endogenous and exogenous in 14. Other sources included bleb-induced, post injection and unknown. Conclusion We believe this information will prove beneficial in guiding diagnosis and management strategies of endophthalmitis in urban populations. Future directions include the analysis of the specific organisms involved and their susceptibilities. We will use this information to create an institutional biogram which will prove especially useful in the age of antibiotic resistance

Law Library Newsletter, Volume 2, Issue 2 - July/August 2010

If you are working as a RA this summer don’t miss the article about resources for re- search! Find tips about navigating the interviewing process for judicial clerkships Meet Dan Manier, who heads the technology department for the law school Wondering what apps others find useful and fun for their mobile devices? See the list of recommendations

Law Library Newsletter, Volume 5, Issue 4 - January/February 2014

Special points of interest: Snow removal stats A fun (and educational) new app Learn what returning 2-3Ls think about their legal research skills Meet your new Bloomberg Law Rep The exciting conclusion of our six part series on the Making of Modern Law database modules Inside this issue: Managing Microforms in the Digital Age 2 The Big Job of Snow Removal 2 Upcoming Lexis Advance Enhancements 3 Duolingo: Free Language Education for the World 3 Summer Research Experience Survey Results 4 Pre-Finals Play Date with Pets 5 ND Transitions to Gmail and Google Calendar

Law Library Newsletter, Volume 2, Issue 4 - November/December 2010

Check out all the information to help you prepare for finals: on exam reserves, study aids and more! Photos of trick-or- treaters in the law school Meet Terri Welty, Dean Ed Edmonds’ “right hand (wo)man”. Looking for new apps for your iPhone or iPad? Check out more recommendations in this issu

Missionary English Teaching: The English Language, Western Culture, and Christianity

Teaching English as a missionary has become a significantly larger field in the recent years. These missionaries are confronted with a unique set of circumstances in which they perform their service. As English teachers, these missionaries are faced with the dilemma of teaching as best they can while at the same time living as followers of Christ in cultures that may be opposed to Christ as well as to the Western culture. This thesis unwraps the issues involved and discusses possible solutions to the problems that present themselves for missionary English teachers