A recent observational study suggests that aspirin might be instrumental in preventing flare ups of chronic pulmonary obstructive disease (COPD), thereby improving quality of life for those who suffer from breathing difficulties because of it. Of the 1,700 participants followed in the three-year study, 764 reported that they took aspirin daily. The aspirin users in the 2019 study reported fewer flare ups and less shortness of breath than participants in a control group that did not use aspirin. The COPD patients who took aspirin also did better on the 50-question St. George Respiratory Questionnaire score, which measures quality of life in patients with diseases of airway obstruction. While daily aspirin users reported a lower incidence of flare-ups, the findings need further confirmation, the authors write. “The study demonstrated only a small effect on moderate exacerbations and didn’t indicate that aspirin is as effective as other therapies in reducing exacerbations,” says Amber Lanae Martirosov, PharmD, MSc, BCPS, clinical pharmacy specialist ambulatory care at Henry Ford Health Systems, and clinical assistant professor in the Department of Pharmacy Practice at Eugene Applebaum College of Pharmacy and Health Sciences, Wayne State University. “The observational study design also provides some limitations and should be a starting point, not a reason to change clinical practice.” Martirosov urged caution when interpreting the results because ratios tend to overestimate data in research. “Additionally, the study did not provide information about dosing, adherence, or duration of aspirin therapy,” she says. “As such, we are not able to make sound recommendations about aspirin therapy in terms of dosing or duration.”

The Center for Peace and Conflict Studies at Wayne State University, in collaboration with NATO, is presenting a half-day symposium from 9 a.m. to noon on Thursday, July 25. The program will feature a keynote by former U.S. Senator Carl Levin titled “The Evolution and Future Direction of NATO.” A panel also will be held, featuring NATO Assistant Secretary General John Manza — a Wayne State University alumnus — and other distinguished security policy analysts and alliance scholars from Ohio State and Wayne State universities. Given the timeliness of this topic, the general public, media, as well as diplomatic and military officials in the region — including Canada — are welcome to attend the symposium and learn more about this key alliance. “In light of controversies over matters such as funding and future defense commitments, it is important for Americans, Canadians and others to know of NATO’s varied missions, which range from continental defense to naval rescue and multiregional peacekeeping,” said Frederic Pearson, Center for Peace and Conflict Studies director. “The alliance also has close relations with other organizations, including the European Union and Organization for Security and Cooperation in Europe, as well as individual national governments. Come and hear of these multiple facets.”

Combining private and public dollars, Michigan Gov. Gretchen Whitmer launched a new initiative to combat the same growing opioid crisis in the state that’s plaguing the country and killing thousands of Americans every year. The collaborative program, dubbed the Michigan Opioid Partnership, aims to remove barriers to those people who need to enter an opioid treatment program and find a path to success, Whitmer said Monday afternoon during a news conference on the campus of Wayne State University. In addition to the medication system in hospitals, the program will assist jails using a continuity-of-care approach focused on long-term treatment of opioid disorder using $1.5 million in funds. The Center for Behavioral Health and Justice at Wayne State University will get the grant to coordinate the efforts. County jails will be selected for funding to work in partnership with the university team to serve inmates with addiction. The program will last 16-months and will work like an extension of the current program in place, explained Sheryl Kubiac, the dean of Wayne State University’s School of Social Work and Director of the Center for Behavioral Health. Kubiac said the program was already involved in 16 counties with jail administrators and community stakeholders. “We’re going to act as sort of the glue, or the external facilitators to go into the counties and get folks to talk to each other,” she said. “Inside the jails we are going to lead them through a needs assessment. Each one of the county jails that works with us will get approximately $250,000 to be able to apply to an area of need.” Kubiac said working with addicts in jail is different than when someone is in the emergency department at a hospital; in jail, a person is forced to look at the problem and can’t hide from it. “You don’t get the hospital ER where they come in and go out. People that go in jail are usually there for a few days so you get a chance to really engage them, or begin the process of engagement and that’s really important when someone is addicted – you need that time to really engage them,” she said. “The medications do a start to get people paying attention and stabilize, but then what we have to do is try and figure out why they were using and try to fix what’s happening emotionally or psychologically.”

Matthew Larson, assistant professor of criminal justice, wrote a piece about Juneteenth (June 19) marking “the celebration of the de facto end of slavery in the United States.” (This article is republished from a June 19, 2018 edition of The Conversation). Larson points out, however, that for hundreds of thousands of African-Americans stuck in pretrial detention – accused but not convicted of a crime, and unable to leave because of bail – that promise remains unfulfilled. “While Juneteenth is a momentous day in U.S. history, it is important to appreciate that the civil rights and liberties promised to African-Americans have yet to be fully realized. As legal scholar Michelle Alexander forcefully explains, this is a consequence of Jim Crow laws and the proliferation of incarceration that began in the 1970s, including the increase of people placed in pretrial detention and other criminal justice policies. There are 2.3 million people currently incarcerated in American prisons and jails – including those not convicted of any crime. Black men comprise 40 percent of them, even though they represent just 13 percent of the U.S. population. Larson adds, “Juneteenth celebrates the freedom of black Americans and the long, hard road they were forced to traverse to gain that freedom. But as criminologists like me have maintained time and again, the U.S. criminal justice system remains biased, albeit implicitly, against them.”

A new study offers a solution to the problems of jail overcrowding and recidivism in Michigan: Invest more in mental health and drug treatment. Wayne State University’s Center for Behavioral Health and Justice spent five years reviewing treatment and jail-diversion programs in 10 counties. Researchers found that people who got treatment for mental health disorders were less likely to return to jail. “Training law enforcement to recognize the signs and symptoms of mental illness is really important,” says Sheryl Kubiak, dean of WSU’s School of Social Work who led the study. “When we did pre- and post-interviews, officers would tell us things like they didn’t believe in mental illness, they just thought it was bad behavior. If we can decrease the number of people who go into costly confinement and deter them to treatment, I think we will do a lot better.” 

Eric Decker once reached a large audience as a radio talk show host under the name Eric Thomas. He launched his career at Banana 101.5, a rock radio station in Flint, then worked all over the country, including several years blogging and hosting at 97.1 The Ticket sports radio station in Southfield where he covered the Lions, Tigers, Red Wings and Pistons. Now Decker hopes to reach people as an attorney. Recently wrapping up his 1L year at Wayne State University Law School, he is clerking this summer at Maiorana PC, a small patent law firm in St. Clair Shores. “Radio was certainly good preparation for the public speaking aspect of law, but I really benefitted from all the show prep I did over the years,” he says. “The time I spent researching in radio was a good warm up.” A political science major at WSU after studying at Mott Community College and Oakland Community College, Decker is one of two “LawStart” students who were the first in the program to be accepted into Wayne Law. The highly competitive program allows students in the College of Liberal Arts and Sciences to earn both their bachelor's degree and law degree from Wayne State in six years, instead of the usual seven.  

A diagnosis of a life-threatening illness is an enormous shock wave to any family. But there are extra challenges involved when that diagnosis happens for a teen or young adult. While their friends are getting ready for the prom or for college, they will be going through treatment and having tough conversations with family and doctors. Cynthia Bell is an assistant professor and research scientist at the Wayne State University College of Nursing, and has studied end-of-life conversations with teens and young adults. 

Around 50 million Americans suffer from chronic pain. Most of us think of pain as something that arises after a physical injury, accident or damage from an illness or its treatment. But researchers are learning that, in some people, there can be another source of chronic pain. Repeated exposure to psychological trauma, or deep anxiety or depression — especially in childhood — can leave a physical imprint on the brain that can make some people more vulnerable to chronic pain, scientists say. EAET is a different sort of psychotherapy. It’s one of several behavioral therapies (among other interventions) included in a report from the U.S. Department of Health and Human Services titled “Pain Management Best Practices.” According to the report, published May 9, “Research indicates that EAET has a positive impact on pain intensity, pain interference, and depressive symptoms.” EAET was developed in 2011 by psychologist Mark Lumley at Wayne State University and his colleague Dr. Howard Schubiner. 

Crews started moving the David Mackenzie House in Midtown on April 1. On the last day of May, the 124-year-old, 600-ton house is almost at its new location. It is being moved a block, from Cass Avenue to Forest Avenue.

If you live in southeast Michigan, your ZIP code may determine how long you live. Live in the 48236 ZIP of Grosse Pointe and at birth you can expect to live to an average of 82 years. Just a few short miles away, however, if you’re born and live in the Detroit ZIP of 48201, you can shave 13 years off that respectable mark. The 13-year loss can be attributed to numerous factors, including a lack of access to healthy food, health care and safe places to exercise. Resource limitations and socioeconomic disparities in the 48201 ZIP code also contribute to soaring levels of toxic stress and poor health. That stress often manifests in the form of disproportionate levels of high blood pressure, which, if uncontrolled, brings on a host of illness guaranteed to shorten lifespan. That’s the bad news.
The good news, as attendees of the Detroit Regional Chamber’s annual Mackinac Policy Conference heard Thursday morning, is that a radically new form of mapping health data by census tract may give policymakers, researchers and health care providers the information they need to design targeted efforts to improve health in areas with a long history of worse outcomes. The goal, said Phillip Levy, assistant vice president of Translational Science and Clinical Research Innovation for Wayne State University, is to develop a precision approach to population health, guided by data provided by drilling down as far as possible, perhaps even to individual neighborhoods.

Midtown and Detroit are changing fast. Wayne State University is trying to keep up. In August 2018, to help better position itself for these changes, the university began the creation of a new master plan that will shape the future look and function of its campus. It hired the planning firm DumontJanks, which has extensive experience working with universities, to be the lead consultant on the project. The firm and university officials have given a series of public presentations over the last few months. The general shape of the plan is becoming clear, but there’s still many more details yet to be released. The plan itself is not prescriptive—there’s no timeline and the recommendations are largely form-based that can be implemented as resources become available. “This is a framework that will allow us to have flexibility and includes a lot of data so we can understand impacts,” said Ashley Flintoff, director of planning and space management for Wayne State. “We’ll soon have a tool to make better, informed decisions.” Several developments on the campus are already underway and were decided on prior to this planning effort, such as the massive Gateway Performance Complex, relocation of the Mackenzie House, and a new basketball arena built in partnership with the Detroit Pistons. However these plans roll out over the next months and years, it’s clear Wayne State will be in a much better position to grow and adapt alongside the city.

Diverting individuals with mental health disorders into treatment programs rather than simply jailing them not only significantly reduces the jail population but also lowers the chances of recidivism among offenders, according to a five-year study conducted by the Center for Behavioral Health and Justice at Wayne State University’s School of Social Work and released by the state of Michigan. According to the study, 54 percent of all individuals booked into jails in the target counties reported some variation of a substance abuse problem, while 45 percent described themselves as housing insecure and 42 percent said they had been recently incarcerated. Meanwhile, 34 percent had some indication of mental illness. “More than just a collection of data, this report offers us an early roadmap to drastic improvements in how our criminal justice system handles issues of mental illness and substance abuse,” said Sheryl Kubiak, dean of the Wayne State School of Social Work and the principal investigator for the study. “In addressing these issues, we also give ourselves opportunity to address many of the problems that these issues underlie, including jail overcrowding, poor access to mental health, and drug treatment and recidivism.” Drug abuse presented an equally thorny problem for many jails, said Kubiak. “Most jails have little therapy or protocols for inmates suffering withdrawals,” she said. “Some just hand out blankets and Gatorade and think that’s enough.” Kubiak concludes: “As the study proves, when we simply lock up mentally ill or addicted individuals with no real plan to get them help, we’re only prolonging and exacerbating problems that we have the tools to effectively address.”  

Arash Javanbakht, assistant professor of psychiatry, wrote a piece for The Conversation about the growing interest in trauma and childhood trauma. “A child’s brain is a sponge for learning about how the world works and who they themselves are. We humans have an evolutionary advantage in having the ability to trust the older and learn from them about the world. That leads to cumulative knowledge and protection against adversity, about which only the experienced know. A child absorbs the patterns of perceiving the world, relating to others and to the self by learning from adults. But when the initial environment is unusually tough and unfriendly, then a child’s perception of the world may form around violence, fear, lack of safety and sadness. Brains of adults who experience childhood adversity, or even poverty, are more prone to detecting danger, at the cost of ignoring the positive or neutral experiences.” Javanbakht continued: “Childhood trauma is more common than one would think: Up to two-thirds of children experience at least one traumatic event. These include serious medical illness or injury, firsthand experience of violence or sexual abuse or witnessing them, neglect, bullying and the newest addition to the list: mass shootings.

An independent study by Wayne State University into Adrian’s water got underway Tuesday night as representatives prepped participants on what to expect. The meeting with Adrian residents was closed to the media but Wayne State student Andrew James briefed media ahead of the meeting on his study. James will test water samples throughout Adrian for the presence of cyanobacteria (blue-green algae) and certain toxins affiliated with the bacteria, specifically microsystin and anatoxin. James said the study was suggested by Thomas Prychitko, due to the previous findings. The Wayne State professor will help supervise James through the project. “The gist of it is, yes, we are testing to see if there is any harmful bacteria in the water of these fine people in Adrian, Michigan,” James said. The study is for James’ master’s degree and thesis, he said. The study is not in conjunction with any other agency, nor is it affiliated with the city of Adrian and its water study being conducted by Tetra Tech. Wayne State is funding the project. “This is a significant investment by Wayne State,” Taylor said as each water sample can cost up to $225. James said the purpose is to identify if there is cyanobacteria in the water and where in Adrian it might be. The university put a call out in April for participants.

Achieving equity for low-income students in post-secondary education requires getting down to the nitty-gritty of what they need, and the Institute for Higher Education Policy provided a forum for that with a summit featuring game-changing institutional leaders — including WSU Associate Vice President for Enrollment Management Dawn Medley — the release of a special report and in-person perspectives of students who have overcome major finance-related obstacles on their way to a degree. With student-sensitive efforts such as generous emergency funds and a debt-forgiveness initiative, Wayne State University has been a national leader in providing financial and emotional support to low-income and working-class students. “It’s letting them know that you don’t just see them, but you hear them,” said Dawn Medley, associate vice president for enrollment management. “Schools keep putting burden of success on the back of the student. You really have to listen to your students and what they need if you are going to clean up the water and change the system.”

Dawn Medley, associate vice president for enrollment management, wrote a piece about Wayne State’s innovative use of a conversational artificial intelligence (AI) tool – also known as “chatbot.” Medley wrote: “The chatbot, developed by AdmitHub, helps prospective students successfully apply to and enroll in a college or university by answering their questions through text and mobile messaging. Marrying AI with a conversational tone, our chatbot – named “W the Warrior,” after our mascot – helped boost enrollment by 14.6 percent, including an 18 percent increase in first-generation students and a 13 percent increase in Pell-eligible students.” Medley points out that in-person guidance and nudges are as vital as ever, but the chatbot has afforded more time to focus on important interactions. “At Wayne State, we have discovered that there is no silver bullet to helping our students learn “how to college.” But we now know about several solutions that can work in tandem to help our students succeed. Success is not just about how students learn in the classroom. It’s also about how students interact with the institution.

Steven Ondersma discovered that "only a very small proportion, maybe 10 percent" of the people who need professional care realize that need and have the means to address it. "I've just become really interested in having whole-population effects, rather than helping a few people who might be ready to make use of the treatment and have access to that treatment," says Ondersma, deputy director of the Merrill Palmer Skillman Institute at Wayne State University. Ondersma and others in Michigan who are interested in addressing the social determinants of health have increasingly turned to technology as an answer to that question. Weisong Shi, professor of computer science at Wayne State envisions the potential for technology to bring a doctor's office to those more remote patients. He proposes a vehicle, "just like an ice cream truck," that would allow people to get basic physical tests in their communities, with the results being transmitted back to a provider's office. Asthma disproportionately affects African-Americans nationwide, but in Detroit the problem is particularly pronounced – and often an emergency situation. Karen MacDonell, associate professor in Wayne State’s School of Medicine, has been using technology to improve those outcomes with the Detroit Young Adult Asthma Project. Funded by a series of National Institutes of Health grants, MacDonell began the project over 10 years ago by interviewing young African-American Detroiters about their asthma. She asked participants what strategies would help them adhere to their medication before an emergency arose. "Long story short, they wanted something using technology – something they could have with them, something easy to manage, something brief," she says. MacDonell developed a text messaging program that collects information about a patient's asthma and then sends the patient conversational messages encouraging medication use.

Children from low-income and minority families will be more likely to flunk than wealthier white classmates with similarly low test scores under Michigan’s third-grade reading law, if the experience of Florida is repeated here. Research and Northwestern University found that Florida third-graders with similarly low reading scores were held back at different rates, depending on the socioeconomic status of their families. While the long-term impact of holding children back a grade is mixed, the socioeconomic and racial disparity found in Florida should be a flashing yellow caution light for Michigan, said Sarah Lenhoff, assistant professor of education at Wayne State University. “This study is an important warning for Michigan lawmakers and educators as our state implements this new law,” Lenhoff said. “If children are given differential opportunities to use exemptions from retention, this policy could lead to greater inequity in educational opportunity between low-income children and their wealthier peers.”

Steven Ondersma discovered that "only a very small proportion, maybe 10 percent" of the people who need professional care realize that need and have the means to address it. "I've just become really interested in having whole-population effects, rather than helping a few people who might be ready to make use of the treatment and have access to that treatment," says Ondersma, deputy director of the Merrill Palmer Skillman Institute at Wayne State University. Ondersma and others in Michigan who are interested in addressing the social determinants of health have increasingly turned to technology as an answer to that question. Weisong Shi, professor of computer science at Wayne State envisions the potential for technology to bring a doctor's office to those more remote patients. He proposes a vehicle, "just like an ice cream truck," that would allow people to get basic physical tests in their communities, with the results being transmitted back to a provider's office. "You can go to this rural area and ... run these checks without asking these people to drive about 50 miles away to go to a hospital to do this kind of test," Shi says. Asthma disproportionately affects African-Americans nationwide, but in Detroit the problem is particularly pronounced – and often an emergency situation. Karen MacDonell, associate professor in Wayne State’s School of Medicine, has been using technology to improve those outcomes with the Detroit Young Adult Asthma Project. Funded by a series of National Institutes of Health grants, MacDonell began the project over 10 years ago by interviewing young African-American Detroiters about their asthma. She asked participants what strategies would help them adhere to their medication before an emergency arose. "Long story short, they wanted something using technology – something they could have with them, something easy to manage, something brief," she says. MacDonell developed a text messaging program that collects information about a patient's asthma and then sends the patient conversational messages encouraging medication use.

In a special episode of the Michigan Association of Counties’ Podcast 83, Sheryl Kubiak, Wayne State University School of Social Work dean, talked about mental health policies and reforms in Michigan and what they can mean to county jails.