MichiganGreat Lakes Region: The geographic area of the Great Lakes in general and when the specific state or states are not indicated. It usually includes Illinois, Indiana, Michigan, Minnesota, New York, Ohio, Pennsylvania, and Wisconsin.Polybrominated Biphenyls: Biphenyl compounds which are extensively brominated. Many of these compounds are toxic environmental pollutants.IndianaWisconsinCoyotes: The species Canis latrans in the family CANIDAE, a smaller relative of WOLVES. It is found in the Western hemisphere from Costa Rica to Alaska.Carpometacarpal Joints: The articulations between the CARPAL BONES and the METACARPAL BONES.Fresh Water: Water containing no significant amounts of salts, such as water from RIVERS and LAKES.Food Contamination: The presence in food of harmful, unpalatable, or otherwise objectionable foreign substances, e.g. chemicals, microorganisms or diluents, before, during, or after processing or storage.Bathing Beaches: Beaches, both natural and man-made, used for bathing and other activities.Blue Cross Blue Shield Insurance Plans: Prepaid health and hospital insurance plan.Quarantine: Restriction of freedom of movement of individuals who have been exposed to infectious or communicable disease in order to prevent its spread; a period of detention of vessels, vehicles, or travelers coming from infected or suspected places; and detention or isolation on account of suspected contagion. It includes government regulations on the detention of animals at frontiers or ports of entrance for the prevention of infectious disease, through a period of isolation before being allowed to enter a country. (From Dorland, 28th ed & Black's Veterinary Dictionary, 17th ed)United StatesPolychlorinated Biphenyls: Industrial products consisting of a mixture of chlorinated biphenyl congeners and isomers. These compounds are highly lipophilic and tend to accumulate in fat stores of animals. Many of these compounds are considered toxic and potential environmental pollutants.Internet: A loose confederation of computer communication networks around the world. The networks that make up the Internet are connected through several backbone networks. The Internet grew out of the US Government ARPAnet project and was designed to facilitate information exchange.Lobbying: A process whereby representatives of a particular interest group attempt to influence governmental decision makers to accept the policy desires of the lobbying organization.Legislation as Topic: The enactment of laws and ordinances and their regulation by official organs of a nation, state, or other legislative organization. It refers also to health-related laws and regulations in general or for which there is no specific heading.State Government: The level of governmental organization and function below that of the national or country-wide government.Charities: Social welfare organizations with programs designed to assist individuals in need.Politics: Activities concerned with governmental policies, functions, etc.Prisons: Penal institutions, or places of confinement for war prisoners.PrisonersSan FranciscoRural Population: The inhabitants of rural areas or of small towns classified as rural.Transfer (Psychology): Change in learning in one situation due to prior learning in another situation. The transfer can be positive (with second learning improved by first) or negative (where the reverse holds).Rural Health: The status of health in rural populations.Electronic Mail: Messages between computer users via COMPUTER COMMUNICATION NETWORKS. This feature duplicates most of the features of paper mail, such as forwarding, multiple copies, and attachments of images and other file types, but with a speed advantage. The term also refers to an individual message sent in this way.Radio Waves: Electromagnetic waves with frequencies between about 3 kilohertz (very low frequency - VLF) and 300,000 megahertz (extremely high frequency - EHF). They are used in television and radio broadcasting, land and satellite communications systems, radionavigation, radiolocation, and DIATHERMY. The highest frequency radio waves are MICROWAVES.Boxing: A two-person sport in which the fists are skillfully used to attack and defend.Radio Frequency Identification Device: Machine readable patient or equipment identification device using radio frequency from 125 kHz to 5.8 Ghz.Paraparesis, Tropical Spastic: A subacute paralytic myeloneuropathy occurring endemically in tropical areas such as the Caribbean, Colombia, India, and Africa, as well as in the southwestern region of Japan; associated with infection by HUMAN T-CELL LEUKEMIA VIRUS I. Clinical manifestations include a slowly progressive spastic weakness of the legs, increased reflexes, Babinski signs, incontinence, and loss of vibratory and position sensation. On pathologic examination inflammatory, demyelination, and necrotic lesions may be found in the spinal cord. (Adams et al., Principles of Neurology, 6th ed, p1239)Fisheries: Places for cultivation and harvesting of fish, particularly in sea waters. (from McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed)Encyclopedias as Topic: Works containing information articles on subjects in every field of knowledge, usually arranged in alphabetical order, or a similar work limited to a special field or subject. (From The ALA Glossary of Library and Information Science, 1983)Ships: Large vessels propelled by power or sail used for transportation on rivers, seas, oceans, or other navigable waters. Boats are smaller vessels propelled by oars, paddles, sail, or power; they may or may not have a deck.Accidents, Occupational: Unforeseen occurrences, especially injuries in the course of work-related activities.Galliformes: An order of heavy-bodied, largely terrestrial BIRDS including pheasants, TURKEYS, grouse, QUAIL, and CHICKENS.Drowning: Death that occurs as a result of anoxia or heart arrest, associated with immersion in liquid.Rift Valley Fever: An acute infection caused by the RIFT VALLEY FEVER VIRUS, an RNA arthropod-borne virus, affecting domestic animals and humans. In animals, symptoms include HEPATITIS; abortion (ABORTION, VETERINARY); and DEATH. In humans, symptoms range from those of a flu-like disease to hemorrhagic fever, ENCEPHALITIS, or BLINDNESS.Rift Valley fever virus: A mosquito-borne species of the PHLEBOVIRUS genus found in eastern, central, and southern Africa, producing massive hepatitis, abortion, and death in sheep, goats, cattle, and other animals. It also has caused disease in humans.West Nile virus: A species of FLAVIVIRUS, one of the Japanese encephalitis virus group (ENCEPHALITIS VIRUSES, JAPANESE). It can infect birds and mammals. In humans, it is seen most frequently in Africa, Asia, and Europe presenting as a silent infection or undifferentiated fever (WEST NILE FEVER). The virus appeared in North America for the first time in 1999. It is transmitted mainly by CULEX spp mosquitoes which feed primarily on birds, but it can also be carried by the Asian Tiger mosquito, AEDES albopictus, which feeds mainly on mammals.West Nile Fever: A mosquito-borne viral illness caused by the WEST NILE VIRUS, a FLAVIVIRUS and endemic to regions of Africa, Asia, and Europe. Common clinical features include HEADACHE; FEVER; maculopapular rash; gastrointestinal symptoms; and lymphadenopathy. MENINGITIS; ENCEPHALITIS; and MYELITIS may also occur. The disease may occasionally be fatal or leave survivors with residual neurologic deficits. (From Joynt, Clinical Neurology, 1996, Ch26, p13; Lancet 1998 Sep 5;352(9130):767-71)Surgery, Computer-Assisted: Surgical procedures conducted with the aid of computers. This is most frequently used in orthopedic and laparoscopic surgery for implant placement and instrument guidance. Image-guided surgery interactively combines prior CT scans or MRI images with real-time video.Universities: Educational institutions providing facilities for teaching and research and authorized to grant academic degrees.Soccer: A game in which a round inflated ball is advanced by kicking or propelling with any part of the body except the hands or arms. The object of the game is to place the ball in opposite goals.Patient Care Team: Care of patients by a multidisciplinary team usually organized under the leadership of a physician; each member of the team has specific responsibilities and the whole team contributes to the care of the patient.Tennis: A game played by two or four players with rackets and an elastic ball on a level court divided by a low net.Football: A competitive team sport played on a rectangular field. This is the American or Canadian version of the game and also includes the form known as rugby. It does not include non-North American football (= SOCCER).Anniversaries and Special Events: Occasions to commemorate an event or occasions designated for a specific purpose.Personnel Staffing and Scheduling Information Systems: Computer-based systems for use in personnel management in a facility, e.g., distribution of caregivers with relation to patient needs.WingEarthquakes: Sudden slips on a fault, and the resulting ground shaking and radiated seismic energy caused by the slips, or by volcanic or magmatic activity, or other sudden stress changes in the earth. Faults are fractures along which the blocks of EARTH crust on either side have moved relative to one another parallel to the fracture.Emergency Shelter: Temporary shelter provided in response to a major disaster or emergency.Tsunamis: Series of ocean waves produced by geologic events or underwater LANDSLIDES. These waves can travel at speeds averaging 450 (and up to 600) miles per hour in the open ocean.Neutral Glycosphingolipids: A subclass of GLYCOSPHINGOLIPIDS containing one or more sugars within their head group connected directly to a ceramide moiety. They consist of monoglycosyl-, and oligoglycosylsphingoids and monoglycosyl- and oligoglycosylceramides.Diptera: An order of the class Insecta. Wings, when present, number two and distinguish Diptera from other so-called flies, while the halteres, or reduced hindwings, separate Diptera from other insects with one pair of wings. The order includes the families Calliphoridae, Oestridae, Phoridae, SARCOPHAGIDAE, Scatophagidae, Sciaridae, SIMULIIDAE, Tabanidae, Therevidae, Trypetidae, CERATOPOGONIDAE; CHIRONOMIDAE; CULICIDAE; DROSOPHILIDAE; GLOSSINIDAE; MUSCIDAE; TEPHRITIDAE; and PSYCHODIDAE. The larval form of Diptera species are called maggots (see LARVA).

Emergence of vancomycin resistance in Staphylococcus aureus. Glycopeptide-Intermediate Staphylococcus aureus Working Group. (1/1355)

BACKGROUND: Since the emergence of methicillin-resistant Staphylococcus aureus, the glycopeptide vancomycin has been the only uniformly effective treatment for staphylococcal infections. In 1997, two infections due to S. aureus with reduced susceptibility to vancomycin were identified in the United States. METHODS: We investigated the two patients with infections due to S. aureus with intermediate resistance to glycopeptides, as defined by a minimal inhibitory concentration of vancomycin of 8 to 16 microg per milliliter. To assess the carriage and transmission of these strains of S. aureus, we cultured samples from the patients and their contacts and evaluated the isolates. RESULTS: The first patient was a 59-year-old man in Michigan with diabetes mellitus and chronic renal failure. Peritonitis due to S. aureus with intermediate resistance to glycopeptides developed after 18 weeks of vancomycin treatment for recurrent methicillin-resistant S. aureus peritonitis associated with dialysis. The removal of the peritoneal catheter plus treatment with rifampin and trimethoprim-sulfamethoxazole eradicated the infection. The second patient was a 66-year-old man with diabetes in New Jersey. A bloodstream infection due to S. aureus with intermediate resistance to glycopeptides developed after 18 weeks of vancomycin treatment for recurrent methicillin-resistant S. aureus bacteremia. This infection was eradicated with vancomycin, gentamicin, and rifampin. Both patients died. The glycopeptide-intermediate S. aureus isolates differed by two bands on pulsed-field gel electrophoresis. On electron microscopy, the isolates from the infected patients had thicker extracellular matrixes than control methicillin-resistant S. aureus isolates. No carriage was documented among 177 contacts of the two patients. CONCLUSIONS: The emergence of S. aureus with intermediate resistance to glycopeptides emphasizes the importance of the prudent use of antibiotics, the laboratory capacity to identify resistant strains, and the use of infection-control precautions to prevent transmission.  (+info)

A multistate, foodborne outbreak of hepatitis A. National Hepatitis A Investigation Team. (2/1355)

BACKGROUND: We investigated a large, foodborne outbreak of hepatitis A that occurred in February and March 1997 in Michigan and then extended the investigation to determine whether it was related to sporadic cases reported in other states among persons who had consumed frozen strawberries, the food suspected of causing the outbreak. METHODS: The cases of hepatitis A were serologically confirmed. Epidemiologic studies were conducted in the two states with sufficient numbers of cases, Michigan and Maine. Hepatitis A virus RNA detected in clinical specimens was sequenced to determine the relatedness of the virus from outbreak-related cases and other cases. RESULTS: A total of 213 cases of hepatitis A were reported from 23 schools in Michigan and 29 cases from 13 schools in Maine, with the median rate of attack ranging from 0.2 to 14 percent. Hepatitis A was associated with the consumption of frozen strawberries in a case-control study (odds ratio for the disease, 8.3; 95 percent confidence interval, 2.1 to 33) and a cohort study (relative risk of infection, 7.5; 95 percent confidence interval, 1.1 to 53) in Michigan and in a case-control study in Maine (odds ratio for infection, 3.4; 95 percent confidence interval, 1.0 to 14). The genetic sequences of viruses from 126 patients in Michigan and Maine were identical to one another and to those from 5 patients in Wisconsin and 7 patients in Arizona, all of whom attended schools where frozen strawberries from the same processor had been served, and to those in 2 patients from Louisiana, both of whom had consumed commercially prepared products containing frozen strawberries from the same processor. CONCLUSIONS: We describe a large outbreak of hepatitis A in Michigan that was associated with the consumption of frozen strawberries. We found apparently sporadic cases in other states that could be linked to the same source by viral genetic analysis.  (+info)

Provider attitudes toward dispensing emergency contraception in Michigan's Title X programs.(3/1355)


Evaluation of "solitary" thyroid nodules in a community practice: a managed care approach. (4/1355)

Evaluation of thyroid nodules remains a challenge for primary care physicians. To include or exclude the presence of malignancy in a thyroid nodule, radioisotope scan, ultrasound, and fine-needle aspiration biopsy of the thyroid generally are used. The objectives of this study were to determine the utility and cost effectiveness of fine-needle aspiration biopsy of solitary thyroid nodules in a community setting; to compare the cost of fine-needle aspiration biopsy with that of radioisotope scan and ultrasound; and to determine whether the practice of obtaining radioisotope scans and ultrasound has changed in the 1990s compared with the 1980s. Patients were referred by community physicians to university-based endocrinologists for evaluation of thyroid nodules. Many of the patients had previously undergone radioisotope scans and ultrasound scans at the discretion of their primary care physicians. All patients underwent fine-needle aspiration biopsy. The biopsy results were evaluated prospectively, and the practice of community physicians' obtaining radioisotope scans and ultrasound scans was compared for the 1980s and 1990s. Eighty-three patients underwent 104 biopsies. In 20 biopsies the specimens were inadequate; the others showed 70 benign, 9 suspicious, and 4 malignant lesions. All four patients with biopsy findings read as malignant were found to have malignant growth at surgical procedures. Two benign biopsy findings were false-negative results. Malignant growth was correctly diagnosed later for one patient at a second biopsy and for the other because of growth of the nodule. The cost of 104 biopsies was $20,800. The cost of radioisotope scans was $22,400, and the cost of ultrasound scans was $10,640. The frequency of obtaining radioisotope scans (84.5% vs 77%) and ultrasound scans (65% vs 45%) was slightly higher in the 1990s compared with the 1980s. Fine-needle aspiration biopsy is a safe and cost effective initial evaluation modality for smaller community-based centers, as it is at large tertiary centers. The cost incurred ($33,040) in obtaining the radioisotope scans and ultrasound scans could have been saved if fine-needle aspiration biopsy had been used as the initial diagnostic procedure for evaluation of these nodules. Although radioisotope scan and ultrasound scan are of little diagnostic help in the evaluation of thyroid nodules, they continued to be obtained at a high frequency during the last decade.  (+info)

Patient waiting times in a physician's office. (5/1355)

This observational study measured waiting times, appointment durations, and scheduling variables of a single family practice physician. Waiting time and appointment duration in four sequential groups of sessions were compared using analysis of variance; each group used different scheduling templates. Groups 1 and 2 used a 15-minute base interval; group 3 used a 20-minute base interval. Observations for group 4 were collected at a different health center using a 15-minute base interval. Scheduling variables were correlated with waiting time using correlation coefficients, and data were collected on 1783 appointments. The best waiting time (mean +/- SD) was 17.33 +/- 19.19 minutes. The mean appointment duration for this group was 17.99 +/- 7.97 minutes. The F statistic comparing the four groups of sessions for waiting times was 34.14 and for appointment duration was 37.37, both of which are significant (P < 0.001). The Spearman correlation coefficient for waiting time with queue was 0.2474 (P < 0.001). The Spearman correlation coefficients for mean waiting time and lateness of starting a session (0.4530), patients per hour (0.3461), and patients per session (0.3674) were all significant (P < 0.001). Both scheduling and patient flow affect patient waiting times. The best schedule would consist of shorter sessions that started on time and were extended to accommodate extra patients rather than adding in patients and crowding the schedule. In addition to reducing the actual waiting times, the perception of waiting can be managed to minimize patient dissatisfaction.  (+info)

The development and implementation of normal vaginal delivery clinical pathways in a large multihospital health system. (6/1355)

The entire country has become more concerned with healthcare costs due to managed care, capitation risk-based contracts, and the near elimination of the cost-plus reimbursement system. Clinical pathways have become one way to reduce unnecessary resource consumption by reducing provider variance, improving clinical outcomes, and reducing cost. We present here our rationale and process for developing a common clinical pathway for normal vaginal delivery in a large and varied multihospital system. We also discuss how this new pathway is expected to improve quality of care and reduce costs.  (+info)

Delivery of preventive healthcare to older African-American patients: a performance comparison from two practice models. (7/1355)

While there is an increasing recognition by primary care providers of the importance of preventive health services (PHS), the delivery of such services has in general been substandard in many ambulatory care settings. Patient sociodemographic status and the structural and operational procedures of different clinic models are all believed to affect delivery of PHS. We conducted a 2-year, retrospective, sequentially randomized chart analysis of African-American patients above age 50, comparing primary, secondary, and tertiary PHS performance rates in two practice models: a medicine resident/faculty physician clinic (MR) and a nurse practitioner/faculty physician clinic (NP). Sociodemographics, disease profile, and PHS completion rates from 132 NP and 111 MR patient charts were abstracted. Apart from age, sociodemographic features were similar in both patient groups. While there were differences between clinics with regards to disease profiles (P < 0.05), and the higher number of diseases per patient (P < 0.0001) in the MR population, the NP collaborative practice had significantly better PHS performance. Rates of immunization (influenza/pneumococcal), pelvic/pap and prostate examinations, stool-guaiac testing, mammography, and functional assessment (activities of daily living, instrumental activities of daily living, and mental status testing) were > 90% in the NP and < 60% in MR patients. Although lower completion rates were found for dietary counseling (60%), auditory screening (36%), dental examination (41%), and obtaining advanced directives (24%) in the NP clinic, the rates were higher than those for the MR clinic. In this NP collaborative model, a high level of preventive health services was delivered while providing primary care to an older, inner city, African-American population of low socioeconomic means.  (+info)

Evaluating and improving the delivery of heart care: the University of Michigan experience. (8/1355)

With increasing pressure to curb escalating costs in medical care, there is particular emphasis on the delivery of cardiovascular services, which account for a substantial portion of the current healthcare dollar spent in the United States. A variety of tools were used to improve performance at the University of Michigan Health System, one of the oldest university-affiliated hospitals in the United States. The tools included initiatives to understand outcomes after coronary bypass operations and coronary angioplasty through use of proper risk-adjusted models. Critical pathways and guidelines were implemented to streamline care and improve quality in interventional cardiology, management of myocardial infarction, and preoperative assessment of patients undergoing vascular operations. Strategies to curb unnecessary costs included competitive bidding of vendors for expensive cardiac commodities, pharmacy cost reductions, and changes in nursing staff. Methods were instituted to improve guest services and partnerships with the community in disease prevention and health promotion.  (+info)

  • In addition to the lab providing a service to the burgeoning craft malt industry, it has enhanced Michigan State University's ability to fully analyze samples coming from the various research efforts throughout the state with the main goal of finding appropriate varieties and management strategies to support successful malting barley cultivation in Michigan. (brewersassociation.org)
  • The National Institute on Disability, Independent Living and Rehabilitation Research (NIDILRR) has awarded Wayne State University's Department of Physical Medicine and Rehabilitation and DMC Rehabilitation Institute of Michigan (RIM) a five-year grant totaling $2.23 million to fund the Southeastern Michigan Traumatic Brain Injury System (SEMTBIS). (wayne.edu)
  • For more information, see " Michigan Pioneer and Historical Collections: A Research Guide ," by the Michigan State University Libraries. (familysearch.org)
  • This is fantastic news for the patients of southeast Michigan who require the services of leading physical medicine and rehabilitation experts," said Jack D. Sobel, M.D., dean of the Wayne State University School of Medicine. (wayne.edu)
  • With over 30 outpatient sites located throughout southeast Michigan, it is also a center of choice for persons recovering from sports and orthopedic injuries. (wayne.edu)
  • Is Southeast Michigan the freshwater capital of the world? (msu.edu)
  • That title belongs to Southeast Michigan, or at least it should belong. (msu.edu)
  • That's the message of "The Heart of the Lakes" (Greenstone Books, $19.95), a new book positioning Southeast Michigan, with its historic water connections and resurgent Detroit waterfront, as the premier freshwater destination. (msu.edu)
  • It's self-evident, and I can't believe it's not already a rallying cry for the community leaders of Southeast Michigan," said author Dave Dempsey, the senior adviser at FLOW (For Love of Water), a Traverse City-based environmental group. (msu.edu)
  • The Community Foundation for Southeast Michigan invited Dempsey to write the book as a "launchpad to make Southeast Michigan the freshwater capital of the world," he said. (msu.edu)
  • Tom Woiwode, the director of the foundation's GreenWays Initiative, said the goal is to take advantage of the unique position of Detroit and Southeast Michigan. (msu.edu)
  • Due to the lack of quality analysis infrastructure, the MSU Upper Peninsula Research and Extension Center has established a malting barley quality lab to support the growth of this emerging Michigan industry. (brewersassociation.org)
  • The Institute is home to many innovative programs, including the Southeastern Michigan Traumatic Brain Injury System and the Center for Spinal Cord Injury Recovery. (wayne.edu)
  • The school budget is not a done deal but among the points of agreement between the governor and the Legislature is to triple the funding for literacy coaches to help Michigan students improve their reading scores. (msu.edu)
  • Preliminary data presented to the task force shows Michigan jail populations have nearly tripled in the last 35 years, even as Michigan crime rates have dipped dramatically, and that costs for handling the system are high - in 2017, Michigan counties spent $478 million on corrections and jail costs, not including any costs related to building or renovating jail facilities. (mlive.com)
  • The Mackinac Bridge underneath the northern lights early July 17, 2017, in Michigan. (freep.com)
  • The northern lights shine over Little Sable Point Lighthouse near Silver Lake State Park in Michigan on July 16, 2017. (freep.com)
  • The northern lights in southwest Grand Traverse County on July 16, 2017, in Michigan. (freep.com)
  • November 2017 -Grad student Elahe Honavar wins Detroit Society of Applied Spectroscopy Poster Award for the outstanding graduate student chemical analysis poster "Comparing the effect of additives on protein analysis between DESI and ESI" presented at the November 2, 2017 ANACHEM/SAS symposium in Livonia, Michigan. (wmich.edu)
  • The data was shared at the first meeting of the Michigan Task Force on Jail and Pretrial Incarceration, a new group created under an executive order from Gov. Gretchen Whitmer tasked with analyzing jail data through 2019 and submit proposals for legislative and administrative changes. (mlive.com)
  • February 2019 - A new agreement between Aquinas College and Western Michigan University provides a path for Aquinas students to obtain two degrees in less time, allowing them to earn an advanced degree faster, with less cost and in programs that give them the skills and expertise needed in the marketplace. (wmich.edu)
  • It is considered to be one of the two anchor cities of Northern Michigan , along with Traverse City . (wikipedia.org)
  • Founded in 1951, Northwestern Michigan College, known as NMC to local residents, is a community college in Traverse City, Grand Traverse County, Michigan. (fastweb.com)
  • Since relocating her industry-leading digital marketing company to Traverse City in 1996, Lisa has been a commendable role model for other Michigan entrepreneurs. (prweb.com)
  • Oneupweb is a privately held company located in Traverse City, Michigan. (prweb.com)
  • Michigan IBA Program Overview The Michigan Important Bird Areas Program officially began in March 2006 by a coalition of four managing partners: Audubon, Detroit Audubon Society, Kalamazoo Nature Center, and Michigan Audubon Society. (audubon.org)
  • Formerly published by the Kalamazoo Valley Genealogical Society, Kalamazoo, MI. (familysearch.org)
  • Hiring: CDL-A Reefer Truck Drivers in Kalamazoo, Michigan! (monster.com)
  • Western Michigan University invites applications and nominations for two tenure-track positions in the Department of Chemistry in Kalamazoo, MI: a Faculty Specialist I and either an Assistant or Associate Professor. (wmich.edu)
  • Women using a common, injectable form of birth control showed increased levels of potentially hazardous lead in their blood, a study led by a Michigan State University researcher found. (msu.edu)
  • Alpena / æ l ˈ p iː n ə / is a city in the U.S. state of Michigan and the county seat of Alpena County . (wikipedia.org)
  • Fraser is a city in Macomb County of the U.S. state of Michigan . (wikipedia.org)
  • The automaker also said it would build electric vehicles at its existing plant in Flat Rock, Mich., as part of a plan to invest $900 million in manufacturing in the state. (nytimes.com)
  • Michigan is a state in the northern United States . (wikimedia.org)
  • Michigan este unul din cele 50 de state ale Statelor Unite ale Americii . (wikimedia.org)
  • Of the 33 distinct wetland types known to occur in Michigan, 26 are considered rare because fewer than 100 intact, functioning examples are known to occur (State Rank of S1, S2, and S3). (michigan.gov)
  • You may not operate a snowmobile if your license to operate an automobile has been suspended or revoked by Michigan or your home state. (michigan.gov)
  • What does it mean when a poll from a firm linked to Democrats in a key Democratic state can't produce anything better than 44% for a Democratic incumbent and a virtual tie with a Republican challenger?Disaster: Released Wednesday, the poll of 600 likely voters showed Obama leading Romney in Michigan, 44.2 percent to 40.5. (freerepublic.com)
  • State Representative George Darany would like to give every Michigan resident making $100,000 or less a state subsidy to help cover the cost of gas. (freerepublic.com)
  • According to Michigan Votes, the bill would give individuals with annual incomes below $50,000 a per-vehicle fuel subsidy of $100, payable in the form of a refundable state income tax credit. (freerepublic.com)
  • and different publishers (Pioneer Society of the State of Michigan, Pioneer and Historical Society of the State of Michigan, Michigan Pioneer and Historical Society, Michigan Historical Commission). (familysearch.org)
  • For more information, see " Michigan Pioneer and Historical Collections: A Research Guide ," by the Michigan State University Libraries. (familysearch.org)
  • Michigan became the 26th state admitted to the Union on January 26, 1837. (familysearch.org)
  • There are 83 counties in the U.S. state of Michigan. (familysearch.org)
  • The Michigan Horse Council Endowmentis open to students enrolled in the Michigan State University, College of Agriculture and Natural Resources. (fastweb.com)
  • A 13-year-old Michigan boy was abandoned Monday in Omaha under Nebraska's safe-haven law, said state health and human service officials. (redorbit.com)
  • A Michigan state trooper was charged with murder Wednesday in connection to the October death of a 15-year-old ATV driver. (nydailynews.com)
  • Obituaries from the Michigan Chronicle, the oldest surviving African American newspaper in the state. (cyndislist.com)
  • Install state for Hell Michigan is unknown. (mozilla.org)
  • Nationwide's available homeowners insurance options for Michigan state residents are both flexible and dependable. (nationwide.com)
  • Though the Wildcats have won three straight since losing 78-74 on Nov. 12 to a Michigan State team that would overtake them for the top spot in the AP Poll, Calipari's biggest challenge is still trying to get all the individual talent to come together as a collectively strong unit. (yahoo.com)
  • Michigan State is trying to regain a share of first place in the Big Ten, while looking to further erase the memory of recent back-to-back losses. (yahoo.com)
  • Michigan State seeks to continue its domination of the visiting Golden Gophers on Wednesday night. (yahoo.com)
  • The Spartans (16-4, 5-2) are tied with fourth-ranked Ohio State for second in the conference - one-half game behind No. 20 Michigan. (yahoo.com)
  • Michigan State followed that with Saturday's impressive 83-58 win over Purdue, improving to 12-0 at home this season. (yahoo.com)
  • While Michigan State has had little trouble with Minnesota, coach Tom Izzo is wary of the Golden Gophers, who have won three straight, including a 77-74 victory at then-No. 7 Indiana on Jan. 12. (yahoo.com)
  • This involves visiting a local law enforcement agency, getting fingerprinted on a Michigan Applicant Card (RI-008), and mailing it to the Michigan State Police along with a copy of your petition, plus payment for any associated fees. (theknot.com)
  • Tourism: thanks to Pure Michigan we are showing America just how beautiful we think our home state is. (ontheissues.org)
  • To give you more perspective though, Michigan had the highest growth in incoming international visitors of any state in the nation from 2014 to 2015. (ontheissues.org)
  • Meet with local outdoor enthusiasts to enjoy the wonderful state of Michigan! (meetup.com)
  • Michigan (/ˈmɪʃɪɡən/ ( listen)) is a state in the Great Lakes and Midwestern regions of the United States. (wikipedia.org)
  • Michigan is the tenth most populous of the 50 United States, with the 11th most extensive total area, and the largest state by total area east of the Mississippi River. (wikipedia.org)
  • Michigan is the only state to consist of two peninsulas. (wikipedia.org)
  • In 1805, the Michigan Territory was formed, and in 1837 was admitted into the Union as the 26th state. (wikipedia.org)
  • Thompsonville is a village in Benzie County in the U.S. state of Michigan. (wikipedia.org)
  • This visit was coordinated by the Michigan Neuroimaging Initiative, with primary support from the Michigan Institute for Computational Discovery and Engineering (MICDE) and additional support from the fMRI Laboratory and the Psychology department. (umich.edu)
  • Civil rights investigators for the Justice Department on Friday opened a federal probe into the controversial shooting death of a Saginaw, Michigan, man whose family says he had a history of mental illness. (cnn.com)
  • We love to tailgate and watch the Bowl games, and are always trying to come up with clever things to do to our biggest rivals up north, the Michigan Wolverines. (allrecipes.com)
  • Gov Jennifer Granholm (D-MI)-- again repeated VP Biden's line that that was the info we got from the intel, at the time of the attack, and that it was the REP. that cut the defense, thus(as a result) it affected (somehow) the security around the embassy. (freerepublic.com)
  • April 24, 2009 Michigan Gov. Jennifer Granholm describes what the future looks like for Southeast Michigan and explains that it's not too late for the region to recover. (npr.org)
  • Assessing stormwater reduction through green infrastructure: RecoveryPark (Detroit, Mich. (usgs.gov)
  • The effectiveness of green infrastructure (including urban land conversion and bioswales) at reducing stormwater runoff is being assessed at RecoveryPark, a redeveloped urban farm in Detroit, Michigan. (usgs.gov)
  • In response to decreasing water levels in the Great Lakes, especially Lake Michigan and Lake Huron, the International Upper Great Lakes Study (IUGLS) asked USGS to continuously measure flows in the connecting channels of St. Marys, St. Clair, and Detroit Rivers, and Water Survey Canada (WSC) to measure flows of Niagara River. (usgs.gov)
  • DETROIT (CBS 62) Rev. Jesse Jackson stopped by the Michigan Matters set to talk with host Carol Cain about developments in the Trayvon Martin murder case and the emergency manager saga playing out in Detroit. (freerepublic.com)
  • Detroit doesn t have a problem, Michigan has a problem. (freerepublic.com)
  • DETROIT A federal judge dismissed the most serious charges Tuesday against seven members of a Michigan militia who were rounded up as homegrown extremists accused of plotting war against the U.S., saying their expressed hatred of law enforcement didn t amount to conspiracy against the government. (freerepublic.com)
  • Published by the Detroit Society for Genealogical Research, 5201 Woodward Avenue, Detroit, MI 48202. (familysearch.org)
  • A federal judge in Detroit recently determined that the Michigan Department of Corrections for years violated the Americans with Disabilities Act (ADA) with respect to about 200 prisoners statewide who are deaf or hard of hearing, and it could be placed under the watch of an independent monitor. (freep.com)
  • Michigan requires Tesla to sell cars through dealers DETROIT -- Governor Rick Snyder today signed bipartisan legislation aimed at discouraging Tesla Motors from selling its electric cars directly through company stores. (usatoday.com)
  • Although Michigan has come to develop a diverse economy, it is widely known as the center of the U.S. automotive industry, being home to the country's three major automobile companies (whose headquarters are all within the Detroit metropolitan area). (wikipedia.org)
  • Despite its small population, it is by far the largest city in the sparsely populated Northeast Michigan ( lower peninsula ) area, serving as its commercial and cultural hub. (wikipedia.org)
  • There are two lake-effect snowbelts, one on the south shore of Lake Superior , in the Upper Peninsula , the other on the eastern shore of Lake Michigan , in the Lower Peninsula . (britannica.com)
  • The Lower Peninsula, to which the name Michigan was originally applied, is often noted to be shaped like a mitten. (wikipedia.org)
  • The Upper Peninsula (often referred to as "the U.P.") is separated from the Lower Peninsula by the Straits of Mackinac, a five-mile (8 km) channel that joins Lake Huron to Lake Michigan. (wikipedia.org)
  • Representatives voted 75-32 to concur with modifications of a bill that they had approved in June and agreed to send it to Michigan Governor Rick Snyder, a Republican who has backed the expansion of the Medicaid program. (yahoo.com)
  • Snyder broke with other Republican governors this year to support a Medicaid expansion he said would save taxpayers and businesses money while improving the quality of life for Michigan residents currently not covered. (yahoo.com)
  • Snyder, who has boasted of making Michigan more hospitable for entrepreneurs, brings Michigan into a growing number of states that have raised obstacles to the California-based electric car company. (usatoday.com)
  • A statewide School Wellness Award program in Michigan has energized school leaders to create healthier schools. (cdc.gov)
  • The Michigan Department of Health and Human Services is sparking action and encouraging schools to create healthier environments through the statewide School Wellness Award Program. (cdc.gov)
  • In support of the Michigan Department of Environmental Quality (MDEQ) Water Chemistry Monitoring Project, the USGS Michigan Water Science Center has been collecting long-term water quality data for Michigan's rivers and streams. (usgs.gov)
  • The Ojibwe were established in Michigan's Upper Peninsula and northern and central Michigan, and also inhabited Ontario, northern Wisconsin, southern Manitoba, and northern and north-central Minnesota. (wikipedia.org)
  • IBA program coordinator Caleb Putnam is now the vice chair of the Coordinating Council of the Michigan Bird Conservation Initiative (MiBCI), and is working to build partnerships resulting in the long term monitoring and conservation of these sites. (audubon.org)
  • At a rally in Michigan, President Trump misstated the findings of the special counsel investigation, misleadingly promised to protect patients with pre-existing conditions and falsely described funding for a restoration program for the Great Lakes. (nytimes.com)
  • The Great Lakes cool the hot winds of summer and warm the cold winds of winter , giving Michigan a more moderate and somewhat moister climate than some other north-central states. (britannica.com)
  • Spend quality family time exploring historical cities, relaxing on the great lakes, and enjoying the wilderness while staying at one of our Michigan hotels. (marriott.com)
  • 8. Each player, manager and coach should have on hand a completed Michigan Department of Community Health/CDC Parent and athlete concussion information sheet. (google.com)
  • We have made a formal report of the abandonment to the Michigan Department of Human Services," Landry said, noting a 14-year-old girl from Iowa who was left last week in Omaha has been returned to her family. (redorbit.com)
  • The Department of Sociology at Western Michigan University offers programs in criminal justice and sociology . (wmich.edu)
  • In Michigan, excessive alcohol use cost $8.2 billion, or $2.16 per drink (6). (cdc.gov)
  • Lisa Wehr honored by the state's largest business publication for her impact on the growth of Michigan business enterprises, proven innovation, determination and drive to succeed. (prweb.com)
  • And when Michigan Governor Jennifer M. Granholm introduced the state's aggressive plan to train workers for new careers in cutting-edge industries, it was Lisa who joined her at the podium. (prweb.com)
  • Th e Maltese who came to America and to Michigan kept their allegiance to the Roman Catholic Church. (jhu.edu)
  • Students majoring in chemistry at Western Michigan University may prepare for a career in industry, teaching or graduate study in chemistry, biochemistry, medicine and dentistry or pharmaceuticals. (wmich.edu)
  • Thinking about studying chemistry at Western Michigan University? (wmich.edu)
  • Without Yassaman, Akhavan-Tafti would have never ended up at Western Michigan University, a move that he says "saved his life. (wmich.edu)
  • Western Michigan University is flexible and responsive to the ever-changing demands of the world. (wmich.edu)
  • Torch Lake, Michigan Cottage! (vrbo.com)
  • MILWAUKEE (AP) -- After spending more than $1.8 million for a temporary system to catch stray condoms slipping through a sewage treatment plant, a Milwaukee Metropolitan Sewerage District spokesman says officials are fairly confident a majority of condoms are now being caught before they can reach Lake Michigan. (jwz.org)
  • Come Explore Lake Michigan! (earthcam.com)
  • EarthCam has teamed up with affiliate, Surf Grand Haven , to deliver uninterrupted live views of Lake Michigan. (earthcam.com)
  • Her great uncles, George B. Porter, who was governor of Michigan , James Madison Porter, secretary of the navy under President Tyler, and David R. Porter, governor of Pennsylvania, were men of ability and distinction. (tufts.edu)
  • The mission of the Michigan Health Endowment Fund is to improve the health of Michigan residents and reduce the cost of health care with special emphasis on the health and wellness of children and seniors. (idealist.org)
  • I wanted to keep the 'Buy Michigan' momentum going when the economy got better," he says. (yahoo.com)
  • Michigan has a tendency to reward the people that are here for sticking it out through thick and thin, but as soon as the economy gets whole again, it kinda goes away. (yahoo.com)
  • Congress must also pass the REINS Act, which grants Congress the power to vote down major cost-inducing regulations and end harmful government bureaucracies that are strangling the economy of Upper Michigan. (ontheissues.org)
  • We need to get the government out of our farms and out of our businesses to move the Michigan economy forward and bring our jobs and children back to Michigan. (ontheissues.org)
  • The initial decision to cancel the movie was not consistent with the high value the University of Michigan places on freedom of expression and our respect for the right of students to make their own choices in such matters," the statement said. (cnn.com)
  • Reuters) - The Republican-led Michigan House gave final approval on Tuesday to a bill that would expand the Medicaid health program for the poor under Democratic President Barack Obama's healthcare reform law. (yahoo.com)
  • Creating a viable public healthcare program for Michigan is crucial to ensuring that we can care for our families. (ontheissues.org)
  • Most of the city was lost in the Great Michigan Fire of 1871. (wikipedia.org)
  • Hancock , city , Houghton county, northwestern Upper Peninsula of Michigan , U.S. It is located about halfway up the Keweenaw Peninsula, across Portage Lake from Houghton . (britannica.com)
  • Eastern Michigan has dropped 12 straight games against Top 25 opponents by an average of 27.9 points since an 89-83 overtime victory at No. 21 Michigan on Dec. 17, 1997. (yahoo.com)
  • Ha is currently a Ph.D. candidate in Civil Engineering at University of Michigan. (umich.edu)
  • She is also the president of the Human Factors and Ergonomics Society at the University of Michigan, Co-Chair of the Diversity Committee of the American Society of Biomechanics and a member of Society of Hispanic Professional Engineers, Alpha Pi Mu and Tau Beta Pi. (umich.edu)
  • The University of Michigan has decided to proceed with a screening of the film "American Sniper" despite objections from some students. (cnn.com)
  • The Michigan Legislature Website is a free service of the Legislative Service Bureau in cooperation with the Michigan Legislative Council, the Michigan House of Representatives, the Michigan Senate, and the Library of Michigan. (mi.gov)
  • Learn more about the task force and see upcoming meeting dates on the Michigan Supreme Court's website . (mlive.com)
  • Health website ( http://www.michigan.gov/mdch ). (cdc.gov)
  • The area was part of the larger Northwest Territory until 1800, when western Michigan became part of the Indiana Territory. (wikipedia.org)
  • The Ottawa lived primarily south of the Straits of Mackinac in northern, western and southern Michigan, but also in southern Ontario, northern Ohio and eastern Wisconsin, while the Potawatomi were in southern and western Michigan, in addition to northern and central Indiana, northern Illinois, southern Wisconsin and southern Ontario. (wikipedia.org)
  • On Wednesday, the Michigan House passed Senate Bill 1018 on a 63-46 straight party-line vote, with Republicans voting yes, and Democrats voting no. (freerepublic.com)
  • The expansion could result in an additional 400,000 people covered initially with $1.7 billion of federal funding covering fiscal 2013-2014 that would increase the next fiscal year, according to a Michigan Senate Fiscal Agency analysis. (yahoo.com)
  • In Michigan, 19.7% of adults and 17.8% of high school students reported binge drinking in 2011 (3,4). (cdc.gov)
  • The move by the Michigan Liquor Control Commission follows a series of widely publicized incidents in recent weeks in which students in states such as Washington and New Jersey were hospitalized after drinking Four Loko, a fast-growing brand. (wsj.com)
  • An Michigan Web Site (you) with whom we (Michigan Personals) have an established relationship. (angelfire.com)
  • We create a unique online personals site (called the Michigan personals) for you, personalized with your name, logo, and choice of styles. (angelfire.com)
  • The Michigan Personals Site we created generates love,romance, relations, and more for men women, girls, and guys all over the world. (angelfire.com)
  • This is an Michigan lifestyle web site for people that like life with flare, contents of this site may contain explicate language. (angelfire.com)
  • You can find Hell right here in Michigan so come and drop by Smitty's Dam Site Inn.Then when the next person tells you to go to Hell you can say you've been there and done that already. (mozilla.org)
  • The first permanent European settlement was founded in 1668 on the site where Père Jacques Marquette established Sault Ste. Marie, Michigan as a base for Catholic missions. (wikipedia.org)
  • Earlier this month, both houses of the Legislature passed a bill, backed by the Michigan Auto Dealers Association, that would require all automakers to sell through franchised dealers. (usatoday.com)