South Dakota Fisheries: An Evaluation of a Chemical Immersion Marking Technique for Juvenile Yellow Perch and Application to a Stocking Assessment of Marsh-Reared Yellow Perch into Eastern South Dakota Lakes

Currently, yellow perch Perca flavescens stocking needs in South Dakota are met by intensive trap and transfer of juvenile and adult perch. The success of these stocking efforts is largely undocumented, primarily due to problems in distinguishing yellow perch produced within the recipient water body and stocked perch. We first developed a transfer-tank marking protocol to determine immersion duration and optimal concentration of oxytetracycline (OTC) hydrochloride needed to produce an effective mark. Then we validated the protocol for adult yellow perch and determined the persistence of OTC in edible muscle tissue. Marking results indicated that satisfactory OTC marks may be obtained in juvenile yellow perch using 600- to 700-ppm OTC for an immersion period of 6 to 8 h. OTC marks were evident in juvenile yellow perch otoliths and dorsal spines checked at 3 months post-immersion. Mark quality was observed to be slightly better in juvenile dorsal spines than otoliths. OTC marks in adult yellow perch were detectable at otolith margins at 9 d post-immersion. Adult muscle tissues were analyzed with high pressure liquid chromatography to quantify OTC residues. A nonlinear model (In epi-OTC [~g g-I] = 0.960 - 0.389*In time [h]; r\u27- = 0.99) describing the combined OTC base/epi residue relation to time indicated that no more than 0.5 ~g OTC g-I should be present at 73 h following immersion

Personal non-commercial use only

ABSTRACT. Objective. To determine the incidence and prevalence of sporadic inclusion body myositis (sIBM) and polymyositis (PM) in a population-based study. Methods. Charts of patients with myositis in Olmsted County, Minnesota, USA, from 1981 to 2000 were reviewed. Results. For sIBM, the age-and sex-adjusted incidence rates per 100,000 were 0.79 (95% confidence interval = 0.24-1.35), and for PM, 0.41 (95% CI 0.08-0.73). The age-and sex-adjusted prevalence rates per 100,000 were 7.06 (95% CI 0.87-13.24) for sIBM and 3.45 (95% CI 0.00-7.35) for PM. Conclusion. The incidence and prevalence rates for sIBM are higher than previously reported

Prevalence of Fibromyalgia: A Population‐Based Study in Olmsted County, Minnesota, Utilizing the Rochester Epidemiology Project

Objective To estimate and compare the prevalence of fibromyalgia by 2 different methods in Olmsted County, Minnesota. Methods The first method was a retrospective review of medical records of potential cases of fibromyalgia in Olmsted County using the Rochester Epidemiology Project (from January 1, 2005, to December 31, 2009) to estimate the prevalence of diagnosed fibromyalgia in clinical practice. The second method was a random survey of adults in Olmsted County using the fibromyalgia research survey criteria to estimate the percentage of responders who met the fibromyalgia research survey criteria. Results Of the 3,410 potential patients identified by the first method, 1,115 had a fibromyalgia diagnosis documented in the medical record by a health care provider. The age‐ and sex‐adjusted prevalence of diagnosed fibromyalgia by this method was 1.1%. By the second method, of the 2,994 people who received the survey by mail, 830 (27.6%) responded and 44 (5.3%) met the fibromyalgia research survey criteria. The age‐ and sex‐adjusted prevalence of fibromyalgia in the general population of Olmsted County by this method was estimated at 6.4%. Conclusion To the best of our knowledge, this is the first report of the rate at which fibromyalgia is being diagnosed in a community. This is also the first report of prevalence as assessed by the fibromyalgia research survey criteria. Our results suggest that patients, particularly men, who meet the fibromyalgia research survey criteria are unlikely to have been given a diagnosis of fibromyalgia.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/97488/1/21896_ftp.pd

Patient perceptions of electronic medical records use and ratings of care quality

Purpose: Despite considerable potential for improving health care quality, adoption of new technologies, such as electronic medical records (EMRs), requires prudence, to ensure that such tools are designed, implemented, and used meaningfully to facilitate patient-centered communication and care processes, and better health outcomes. The association between patients’ perceptions of health care provider use of EMRs and health care quality ratings was assessed.\ud Method: Data from two iterations of the Health Information National Trends Survey, fielded in 2011 and 2012, were pooled for these analyses. The data were collected via mailed questionnaire, using a nationally representative listing of home addresses as the sampling frame (n=7,390). All data were weighted to provide representative estimates of quality of care ratings and physician use of EMR, in the adult US population. Descriptive statistics, t-tests, and multivariable linear regression analyses were conducted.\ud Results: EMR use was reported significantly more frequently by females, younger age groups, non-Hispanic whites, and those with higher education, higher incomes, health insurance, and a usual source of health care. Respondents who reported physician use of EMRs had significantly higher ratings of care quality (Beta=4.83, standard error [SE]=1.7, P<0.01), controlling for sociodemographic characteristics, usual source of health care, and health insurance status.\ud Conclusion: Nationally representative data suggest that patients’ perceptions of EMR use are associated with their perceptions of the quality of the health care they receive

A study of upper respiratory bacterial flora in children attending Michigan day care centers.

Otitis media (OM) is the most commonly diagnosed illness in young children in the U.S. Despite being such a common disease, upper respiratory bacterial colonization, the initial stage in the pathogenic process leading to OM, is not well understood. This study describes weekly bacterial colonization patterns, the associations between colonization dynamics and OM risk factors, the amount of genetic diversity present in bacterial strains, and associations between genetic diversity and OM risk factors. We recruited 38 children from two Michigan day care centers to participate, and collected weekly throat cultures from participating children over a three week period. We isolated OM bacterial pathogens from throat cultures, and genetically fingerprinted all isolates using pulsed-field gel electrophoresis. Bacterial colonization patterns fluctuated randomly from week to week, and changes were greater in children attending an Ann Arbor day care center and in children who took antibiotics. Children in the day care centers carried 86 genetically distinct H. influenzae isolates and 29 distinct S. pneumoniae. Overall, 43% of the children were colonized with more than one genetically distinct isolate during a single sampling period. Children between 37 and 48 months of age, children with allergies, and children exposed to smoking were more likely to carry two or more genetically distinct H. influenzae isolates than children not in these categories. These findings and possible explanations for these results are described in detail in this dissertation.Ph.D.Biological SciencesHealth and Environmental SciencesMicrobiologyMolecular biologyPublic healthUniversity of Michigan, Horace H. Rackham School of Graduate Studieshttp://deepblue.lib.umich.edu/bitstream/2027.42/132008/2/9938542.pd

Impact of pre-travel consultation on clinical management and outcomes of travelers’ diarrhea: a retrospective cohort study

Abstract Background International travelers are at high risk of acquiring travelers’ diarrhea. Pre-travel consultation has been associated with lower rates of malaria, hepatitis, and human immunodeficiency virus (HIV) infections. The objective was to study the impact of pre-travel consultation on clinical management and outcomes of travelers’ diarrhea. Methods This retrospective cohort study analyzed 1160 patients diagnosed with travelers’ diarrhea at Mayo Clinic Rochester, MN from 1994 to 2017. Variables included high-risk activities, post-travel care utilization, antimicrobial prescriptions, hospitalizations, and complications. Travelers were divided into those who sought (n = 256) and did not seek (n = 904) pre-travel consultation. The two groups were compared using the Wilcoxon test for continuous variables and chi-square test for categorical variables. Multivariate logistic regression was used to adjust for differences in traveler characteristics. Results More pre-travel consultation recipients were young Caucasians who had more post-travel infectious disease (ID) consultation [OR 3.1 (95% CI 1.9–5.3)], more stool sampling [OR 1.6 (95% CI 1.1–2.4)], and more antimicrobial prescriptions [OR 1.6 (95% CI 1.1–2.5)] for travelers’ diarrhea compared to the non-pre-travel consultation group. The pre-travel consultation group had shorter hospital stays (mean 1.8 days for pre-travel versus 3.3 days for non-pre-travel consultation group, p = 0.006) and reduced gastroenterology consultation rates [OR 0.4 (95% CI 0.2–0.9)]. 23 patients with positive stool cultures had Campylobacter susceptibilities performed; 65% (15/23) demonstrated intermediate susceptibility or resistance to ciprofloxacin. Conclusion Pre-travel consultation was associated with higher rates of stool testing and antimicrobial prescriptions. The high rate of quinolone-resistant Campylobacter in our small sample suggests the need for judicious antimicrobial utilization. The pre-travel consultation group did have a shorter duration of hospitalization and reduced need for gastroenterology consultation for prolonged or severe symptoms, which are positive outcomes that reflect reduced morbidity of travelers’ diarrhea