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A coronavirus guide for older adults (and their family advocates)

A late February study in the Journal of the American Medical Association showed that children 10 and under accounted for just 1% of all COVID-19 cases, for example, while adults in the 30-79 age groups represented a whopping 87%. The World Health Organization (WHO) found something similar in China, with 78% of patients falling between the ages of 30 and 69. “Older people are more likely to be infected, especially older people with underlying lung disease,” says Dr. Teena Chopra, medical director of infection prevention and hospital epidemiology at Wayne State University. “For this population, mortality rates for COVID-19 are about 15%.” In this sense, COVID-19 behaves a lot like seasonal flu. From 70% to 85% of all flu deaths and 50% to 70% of flu-related hospitalizations occur among people in the 65-plus age group, according to the United States Centers for Disease Control and Prevention (CDC). The 2002-2003 SARS outbreak similarly proved lethal for more than 50% of people over 60 who contracted the disease. “People living in long care facilities have common meetings, they share common rooms,” says Chopra. Common meetings and common rooms can too often mean common pathogens. The health system itself may be playing a significant role in putting seniors at risk. People with multiple medical conditions typically visit multiple specialists, and every such visit means entering a health care environment that can be teeming with viruses and bacteria. For now, Chopra advises older patients to postpone doctor visits that aren’t absolutely essential, like “their annual eye visit. Dental cleaning can be avoided too.” Telemedicine—conducting doctor visits that don’t require hands-on treatment online—can be helpful too, as can e-prescribing, with drugs being delivered straight to patients, sparing them exposure to pharmacies.
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Trump makes room for experts, but still takes a leading role on coronavirus

At a campaign rally this week in North Carolina, President Trump reassured the crowd that he had jawboned the nation’s pharmaceutical companies into quickly tackling the coronavirus. “They’re going to have vaccines, I think, relatively soon,” he said. But “soon” was correct only if it meant 12 to 18 months from now. Both health officials and drug industry executives have repeatedly told Trump that a vaccine was still a long way off. Yet by promising a vaccine “soon,” the president almost certainly misled at least some of the public into thinking a solution to the outbreak was just around the corner. In confronting the first major health crisis of his presidency, Trump has made himself the primary source of information to the public with mixed results. Appearing before cameras sometimes multiple times a day to talk about the coronavirus, he has offered a consistently rosier assessment of the situation than health experts and has put forth unproven or even false assertions. “I think it’s fair to say that President Trump has struggled, and that’s not surprising,” said Matthew Seeger, a dean at Wayne State University who has written extensively on crisis communications. “One of the real challenges we’ve seen is a tendency to over-reassure. There is a tendency for us to say, ‘Don’t worry, everything is going to be fine, don’t panic.’”
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How the Wall Street roller coaster affects your finances

It’s been a wild roller coaster ride on Wall Street this past week. Last week saw one of the biggest drops in the Dow’s history. Yesterday, the market saw its biggest single-day jump in history. Matthew Roling is the Interim Chair for the Department of Accounting at Wayne State University Mike Ilitch School of Business. Roling told Detroit Today host Stephen Henderson that “the market rewards patience, diversification and low fees.” He says the large drop last week in stocks was undeniably a reflection of the interconnection between the U.S. and Chinese economies, adding that the consensus cause of the dip by economists was the coronavirus outbreak in China. “It was a realization by the market that what’s going on with this virus might seriously wreak havoc on our economy.”
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These Detroit researchers are studying the cosmos, seeking answers

We’re entering a new era of space exploration in the United States. Private firms are pushing the boundaries of what is possible with technology and innovation. And the Trump Administration wants to get us back to the moon for the first time since 1972 as part of a longer strategy to put a human on Mars. Wayne State University has its own robotic dark sky observatory in New Mexico that can be operated remotely. “The Dan Zowada Memorial Observatory is a state-of-the-art 20-inch robotically-controlled remote observatory in the high desert of Rodeo, New Mexico, at an altitude of 4,128 feet,” according to the observatory’s page on WSU’s website. “This location has some of the darkest skies in the nation!” Edward Cackett is a Wayne State University astrophysicist. His research looks at trying to understand how material falls into black holes — a process called ‘accretion’ — as well as trying to understand the structure of extremely dense stars called neutron stars. “If we learn about how the black hole grows, how things fall into the black hole, it helps us understand better how galaxies form, how galaxies evolve, and that, of course, tells us eventually about how we come about — how we form solar systems and how everything evolves.”
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4 ways to protect yourself from disinformation

Elizabeth Stoycheff, associate professor of communication, wrote an article for The Conversation. “You might have fallen for someone’s attempt to disinform you about current events. But it’s not your fault. Even the most well-intentioned news consumers can find today’s avalanche of political information difficult to navigate. With so much news available, many people consume media in an automatic, unconscious state – similar to knowing you drove home but not being able to recall the trip. And that makes you more susceptible to accepting false claims. But, as the 2020 elections near, you can develop habits to exert more conscious control over your news intake. Teach these strategies to students in a course on media literacy, helping people become more savvy news consumers in four simple steps.”
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An astrophysicist answers your questions about black holes, supernovae and neutron stars

Learn the secrets of some of the most mysterious phenomena in space this Thursday, February 27, at Hopcat in Detroit. Wayne State Astrophysicist Ed Cackett will help you explore the university’s latest research on the physics of black holes and neutron stars, both some of the most compact objects in the universe. Neutron stars, for example, says Cackett, are some of the densest. “The material inside [a neutron star] is denser than an atomic nucleus. The equivalent is crushing down the entirety of humanity into the size of a sugar cube.” Cackett also studies black holes, one of the most misunderstood physical phenomena in popular culture. He says, with Wayne State’s Dan Zowada Memorial Observatory in New Mexico, he and other researchers can look at how objects fall into black holes, specifically, by measuring the light that’s emitted as they fall past the event horizon.
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Release of report on oversight of Michigan charter schools

The Levin Center at Wayne State University Law School commissioned the Citizens Research Council (CRC) of Michigan to review the scope and degree of oversight of Michigan’s charter schools and their authorizers. The report, titled “Improving Oversight of Michigan Charter Schools and Their Authorizers,” focuses on the inadequacy of public oversight of charter school authorizers, the entities that are charged under Michigan law with authorizing and overseeing the performance of charter schools in the state. The Levin Center requested the report as part of its ongoing mission to promote effective oversight at all levels of government – federal, state, and local. The Levin Center and the CRC will present the report at a briefing on Wednesday, Feb. 26,  at noon at Wayne State University’s Law School. Speakers include Eric Lupher, president of the CRC of Michigan, and Jim Townsend, director of the Levin Center at Wayne Law.  
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More Michigan grandparents are raising grandkids

A proposed change in state law would take the first steps in formalizing support for a growing number of Michiganders raising their grandchildren. State representatives Kathy Crawford and Frank Liberti have sponsored legislation that would take first steps to better recognize and support older Michiganders raising grandchildren. Both bills are before the House’s Families, Children, and Seniors Committee, which Crawford chairs. The state, Crawford said, is already behind in recognizing the critical and exhausting work of grandparents thrust back into full-time parenting. And their numbers are growing. Twice as many grandparents today in Michigan report raising or helping to raise grandchildren than a generation ago — an estimated 120,206 Michiganders in 2019 compared to 58,220 in 1987, according to the survey, called the Older Michigander Needs & Solutions Assessment. Tom Jankowski, associate director for research at Wayne State University’s Institute of Gerontology, developed questions for the report. The language about caregiving for grandchildren shifted slightly between the first and second surveys, he cautioned. Still, he said, the questions were close enough to roughly capture how the caregiving landscape has grown over time. Child care is expensive, meaning that Michigan’s poorest families often turn to grandparents for help, said Jankowski. Those growing numbers, along with Michigan’s demographic shift toward an older population — 2.4 million Michiganders age 60 or older last year compared to 1.5 million in 1987 — show the stark challenge facing so many families across the state. 
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Federal restrictions limit marijuana research in Michigan

Randall Commissaris, a Wayne State University associate professor of pharmaceutical sciences, is studying the effects of using marijuana or alcohol when driving vehicles. Wayne State has several research projects underway, including the one by Commissaris, who runs a driving safety lab in the college of pharmacy and is studying the reaction time of people under the influence of marijuana or alcohol. Commissaris said the driving simulation places subjects in a 2001 Chevy Impala and presents a road filled with obstacles to drive around. "We collect data in a flight data-type recorder and look at driving performance using cannabis and while drinking," he said. "We worked with medical marijuana patients for two years, but in December 2018 when recreational became legal we started working with them." Under the influence or marijuana or alcohol, the reaction time is longer, but much of it depends with how much is consumed and their tolerance level. "We are still studying everything, but we are seeing a greater tolerance level with marijuana than alcohol," he said. "If the subject has a history with marijuana they are less affected in the driving test. There is a little evidence of that with alcohol but more with marijuana." Commissaris said Wayne State is planning to begin studies on edible cannabis products. "There is not enough research on cannabis," he said. "We want to do more, but it is complicated because the products and plants are highly variable in concentration." Another study is being conducted by Christine Rabinak, an associate professor in the WSU pharmacy college, who is conducting a study on the use of cannabis on (post-traumatic stress disorder) patients.
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Bug burgers? Crickets replace cows in the future of sustainable food

Does the thought of eating bugs make you cringe? You’re not alone, especially in further north areas like Michigan. “We have these harsh winters, [so] insects aren’t available,” says Julie Lesnik, an anthropology professor at Wayne State University who specializes in the evolution of the human diet and using insects as a food source. “It’s not a part of a lot of traditional diets in higher latitudes. “This isn’t just something that primitive people eat, this is a food resource that has been smartly used for millions of years and in a lot of ways we are silly for ignoring it.” But Lesnik makes the argument that eating — and farming — insects may make sense for a growing population where our food system leads to growing inequity, hunger and obesity. Bugs are also an environmentally-friendly food source and rich in nutrients, and a culture built around it with recipes and even a business in metro Detroit. WDET’s Anna Sysling spoke to Lesnik on the colonialist history of our bug aversion, the case for an insect-based farming system and how you can start dabbling in this diet.
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Congress fixes – just a bit – the unpopular, ‘unfair’ rule that stopped injured service members from suing for damages

Robert M. Ackerman, professor of law, wrote an article for The Conversation about recent legislation addressing the law barring members of the military from collecting damages from the federal government for injuries off the battlefield. Ackerman wrote: “The legislation represents progress for injured service members – but still limits who among them may press for damages.” The new law does not cover everyone. That’s because the legislation only allows claims by those who allege to have been victims of medical malpractice by military health care providers. And claims cannot be brought in federal court, as is normally the case under the Federal Tort Claims Act. Rather, they must be pursued through a Defense Department administrative procedure under regulations that the Department of Defense is required to draft.
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Weinstein trial begs a question: Why is the pain of women and minorities often ignored?

Anne P. DePrince, professor of psychology at the University of Denver, and Jennifer M. Gómez, Wayne State University assistant professor, wrote a Conversation piece about the trial of media mogul Harvey Weinstein and the painful effects on women and minorities. “For months, he (Weinstein) has presented his pain to us, granting a hospital-room interview to catalog his suffering and using a walker on his way in and out of the courthouse. His defense team has argued he deserves your sympathy. They asked the judge to let Weinstein’s surgeon testify to confirm their client is “hurt and enfeebled. These requests for your compassion are reminders that sympathy is not automatic. Not everyone gets our sympathy when they show us their pain. Whose pain, then, are we most likely to see, believe and ultimately award our sympathy? And what do those tendencies mean for health outcomes and courtroom justice? As trauma psychologists, we have spent a great deal of time researching the impact of violence and how survivors are treated when they disclose. In studying trauma and intimate violence, we have learned much about whose pain is believed or disbelieved. Studies suggest there is bias against women and ethnic minorities in both the health care and criminal justice systems. Pain bias in the health care system.”
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Michigan workers should get Election Day off, Benson says

Michigan Secretary of State Jocelyn Benson is urging businesses to give their workers the day off on Election Day by making it a company holiday. Benson said she’s encouraging Michigan companies to give employees the day off work on Nov. 3, so they can vote and work as poll workers. She praised Wayne State University for recently announcing such a move, MLive.com reported. Keith E. Whitfield, Wayne State’s provost and senior vice president for academic affairs, said that Nov. 3 will be a university holiday, with no classes held and only essential employees reporting to work. “We hope that faculty, staff and students will take advantage of the Election Day holiday to exercise their civic duty and participate in these important national elections,” Whitfield wrote.
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Wayne State researchers receive grant to develop new treatments for Barth syndrome

A team from Wayne State University, led by Miriam Greenberg, Ph.D., professor of biological sciences in the College of Liberal Arts and Sciences, recently received a grant from the National Heart, Lung, and Blood Institute of the National Institutes of Health to work on potential new targets for treating Barth syndrome (BTHS). The four-year, nearly $1.5 million award, aims to identify specific metabolites as candidates for new treatments for Barth syndrome and other cardiomyopathies. Barth syndrome is a rare and life-threatening, X-linked genetic disorder that primarily affects males and is passed from mother to son; women who are carriers do not show symptoms of the disorder. Fifty percent of children born to a mother who is a carrier will inherit the defective gene, and all daughters born to an affected man will be carriers. BTHS is caused by a mutation in the tafazzin gene that results in decreased production of cardiolipin, an essential lipid for energy metabolism. According to Greenberg, BTHS causes numerous pathologies, including cardiomyopathy, a disorder of the heart muscle; neutropenia, a reduction in the number of white blood cells; hypotonia, reduced muscle tone; undeveloped skeletal muscles and muscle weakness; delayed growth; decreased stamina; physical disability; and methylglutaconic aciduria, an increase in an organic acid that is characteristic of abnormal mitochondrial function.
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Well, impeachment didn’t work – how else can Congress keep President Trump in check?

Kirsten Carlson, associate professor of law and adjunct associate professor of political science, wrote an article about President Trump’s future during post-impeachment, and what measures may be taken regarding oversight of the executive branch. “Oversight is one way to ensure government transparency. The Constitution authorizes Congress to exercise oversight as part of the carefully crafted balance of powers among the three branches of government. Impeachment is an important check on presidential power. However, it is the most rarely used of the multiple tools Congress has to review, monitor and supervise the executive branch and its implementation of public policy. Congress can also exercise oversight through the power of the purse, which allows it to withhold or limit funding. And it can use its power to organize the executive branch, which it uses to create and abolish federal agencies. In addition, Congress makes laws, confirms officials and conducts investigations.”
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Wayne State to observe Election Day as a holiday

The day of the next general election will be an official holiday at Wayne State University. “I’m very pleased to announce that this year, Wayne State University has officially declared Election Day, Tuesday, Nov. 3, 2020, a university holiday,” said Wayne State President M. Roy Wilson on Thursday. “This means there will be no classes, and the university will be closed, with the exception of essential personnel who must report to work. This holiday will afford faculty, staff and students the liberty to put their civic duty first.” The Damon J. Keith Center for Civil Rights at Wayne Law also is now home to the first-ever polling location on campus. Keith was a longtime federal judge who died last year at 96 and was known as a champion of civil and voting rights. The WSU Student Senate took action on a new polling site after students said the off-campus location was a barrier to voting in 2016.
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Packing ethics into medical students’ global health trips

Medical trainees want to help in less-resourced countries. But short-term programs can misread local needs, overburden hosts, and send students into situations they're not prepared to handle. Here’s how leaders are ensuring ethical, effective experiences. Programs that want to provide effective, ethical experiences should avoid veering toward "volun-tourism," experts say. Instead, they should build solid, respectful partnerships with local communities. Some call this “fair trade education,” borrowing from the “fair trade” concept that promotes equity between producers, who are often from lower-income places, and consumers in higher-income nations. To make sure it was achieving this and other goals, Wayne State University School of Medicine paused its student-run global health trips a few months ago. Until then, the school’s World Health Student Organization would raise funds, buy medicines, and travel to sites in less-resourced countries. “The students would create pop-up clinics” and organize trips with the help of U.S. nongovernmental organizations, explains Ijeoma Opara, MD, who codirects Wayne State’s new interdisciplinary Global Health Alliance (GHA). “It was students’ responsibility to arrange faculty to accompany them on travel as well as faculty in the host country to provide oversight.” Now, though, the school is working on extensive changes. “We want to focus on structured, competency-based learning experiences as well as on developing strong, long-term, bidirectional relationships with faculty leadership in host countries,” says Opara. “Hosts should be fully engaged in program design and defining intended outcomes. Only they really know their resources, their needs, and their capacity." At Wayne State, predeparture trainings include lessons in the history, language, and culture of destinations, combined with modules from the University of Minnesota’s Global Ambassadors for Patient Safety program. Students’ failure to understand local values can inadvertently cause problems for both patients and providers, notes Kristiana Kaufmann, M.D., who codirects the school’s GHA program with Opara.
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Taking zinc can shorten your cold. Thank a 91-year-old scientist for the discovery

The common cold is a top reason for missed work and school days. Most of us have two or three colds per year, each lasting at least a week. There's no real cure, but studies from the last several years show that some supplement containing zinc can help shorten the duration of cold symptoms by up to 40% — depending on the amount of the mineral in each dose and what it's combined with. Zinc has an interesting back story. It wasn't even acknowledged as an essential mineral for human health until the 1970s. But that changed thanks to the work of Dr. Ananda Prasad — a 91-year-old doctor who, decades ago, had a hunch that led to a better understanding of zinc's role in immunity. Back in the 1960s Prasad was studying a group of young men in Egypt who had not grown to normal heights and remained underdeveloped in other ways, too. Prasad wondered if the problem might be a lack of zinc. When Prasad gave them zinc supplements, the men grew significantly taller. "I couldn't believe it," he says. Prasad had never expected such significant growth. Some scientists challenged his findings, at the time, questioning the idea that zinc deficiency could even occur in humans. "It was controversial," Prasad says. But he pressed on with his research and  began to document the ways zinc influences immunity. Eventually, in the 1970's, the National Academy of Sciences (NAS) declared zinc an essential mineral, fundamental to many aspects of cell metabolism. NAS established a recommended daily allowance, which is the daily amount that's sufficient for good nutrition. Prasad says he felt vindicated by this action. "Absolutely," Prasad told us from his home in Michigan, where he's a researcher and professor at Wayne State University School of Medicine. What came next in his career may be just as surprising. Prasad had demonstrated that zinc had an effect on immunity — so he figured that it might help against a ubiquitous scourge — the common cold.
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Detroit nurse shares story of health scare to stress importance of self-care to next generation

Donulae Knuckles is known as “Nurse Knuckles,” and when she’s teaching, her most important lesson comes from when she suddenly found herself as the patient. Local 4 spoke with Knuckles on National Wear Red Day, which is designed to raise awareness for women’s cardiovascular health. Knuckles is a Detroit mother of five and a registered nurse for the past 23 years. She’s a PhD student, a graduate teaching assistant and an advocate for the American Heart Association. At the Wayne State College of Nursing, Knuckles teaches the next generation of nurses to care for the whole patient -- body, mind and spirit. She wants them to care for themselves, too. “It has become my passion and my purpose in this life,” Knuckles said. “This is what I do. I love it.”