Digital Commons Network^™

Covid 19 And Classroom Instruction: A Comparison Of Synchronous In-Person And Virtual Student Learning, Jason Brown

Electronic Theses and Dissertations

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The purpose of this ex-post facto quantitative study was to compare English Language Arts (ELA) and math Tennessee Compressive Assessment Program (TCAP) scores of students in grades four through eight who attended school virtually or in-person during the 2020-2021 school year. Due to the COVID-19 pandemic, the school district in this study allowed parents to choose to send their children to traditional in-person classes or attend school virtually. In-person and virtual students engaged synchronous classroom instruction through Google Meets. All virtual students were instructed by the teachers they would have had if their parents had chosen to send them for …

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Covid-19 Vaccine Uptake In The Hispanic And Latinx Communities Of Northeast Tennessee, Gabriela Abrego

Electronic Theses and Dissertations

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This work addresses the underlying issues surrounding COVID-19 vaccine uptake in Hispanic and Latinx communities in the Northeast region of Tennessee. A qualitative, phenomenological research approach was used to conduct interviews and data from the interviews was used to inform a survey instrument. The interview guide in the qualitative phase of the study was based on the Health Belief Model (HBM) developed by Rosenstock (Rosenstock, 1974). A quantitative approach was then used by piloting the survey instrument in the study population. Common themes found through the interviews were: previous negative experience with COVID-19 vaccination, previous negative experience as a result …

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The Experiences Of Students During Covid-19 School Disruptions, Brandi Bullock

Electronic Theses and Dissertations

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The purpose of this study was to identify the perceptions of educators with respect to student experiences between March 2020 and February 2021 related to academics, social-emotional health, and safety and security. Data collection strategies included one-on-one interviews with 12 educators in one East Tennessee school district. To qualify for the study, participants had to have taught during COVID-19 schooling disruptions and have taught either 1st, 2nd, 3rd, 4th, or 5th grade in the 2022-23 school year. Data analysis was based on Systems Theory (Laszlo & Krippner, 1998) and Change Theory (Fullan, 2020). The results revealed 5 key themes that …

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A Pandemic’S Potential To Haunt: A Longitudinal Look At The Professional Wellbeing Of Tn’S Infant And Early Childhood Mental Health (Iecmh) Workforce, Robyn A. Dolson

Electronic Theses and Dissertations

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Infant and Early Childhood Mental Health (IECMH) providers engage in uniquely relational work with high-risk families that expose them to the full advantages (i.e., compassion satisfaction [CS]) and disadvantages (e.g., burn-out [BO]) of a helper role. Though the pandemic seemed poised to escalate disadvantage, most early pandemic studies found high CS alongside elevated BO. Unfortunately, as COVID-19 has continued, CS has declined while BO has increased. Given the delayed COVID-19 impact on children, these changes may be particularly acute for IECMH providers. Using a longitudinal cohort of 27 IECMH providers, this study aimed to describe and quantify changes in professional …

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Assessing A Pandemic: Spatiotemporal Analysis Of Covid-19 In Tennessee School-Age Children, Omobolaji Olawuyi

Electronic Theses and Dissertations

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This study is a spatiotemporal analysis of the COVID-19 pandemic in school-age children (5-18 years) in Tennessee, from 2020-03-19 to 2022-02-12. Trend Analysis, Emerging Hot Spot Analysis, and a time series revealed three significant waves in both age groups. Therefore, Change Point Detection at the county level was completed using six defined change points to identify the wax and wane of the three COVID-19 waves. Hierarchical Cluster Analysis grouped counties with similar change points into six clusters. No spatial pattern was observed in distribution of the six clusters, however, when each change point was evaluated separately, spatial autocorrelation was present, …

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Resident Assistants As Students And Personnel During The Covid-19 Pandemic, Amy Korstange

Electronic Theses and Dissertations

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This qualitative phenomenological study explored the experiences of students working as resident assistants (RAs) in college or university housing departments during the March 2020 COVID-19 shutdown. Twelve current and former RAs participated in qualitative interviews exploring their experience as their institutions shut down because of COVID-19. Three broad categories of experience were found: RAs who were considered essential employees and required to work during the pandemic, RAs who were given the option of working during the pandemic, and RAs who were laid off at the beginning of their pandemic. The central research question was regarding the perceived experience of RAs …

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Community Health Workers' Covid-19 Vaccine Status And Concerns For Client Welfare In Appalachia, Olivia Sullivan, Samuel Pettyjohn, Amy Wahlquist

Appalachian Student Research Forum

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Community health workers (CHWs) make up a crucial part of the public health system by providing culturally-sensitive care in historically marginalized communities, such as those found throughout Appalachia. During the ongoing COVID-19 pandemic, CHWs have been less likely to accept the COVID-19 vaccine than other healthcare workers. It is important to understand if CHW vaccination status affects concern for their clients during the pandemic, as this may subsequently affect care delivery. Therefore, this study investigated the association between CHW vaccination status and concern for their clients given COVID-19 restrictions lifting. Secondary analysis was performed on data from an electronic survey …

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An Examination Of Discrimination On Stress, Depression, And Oppression-Based Trauma During The Covid-19 Pandemic And The Racial Awakening Of 2020, Ardhys N. De Leon, Jacqueline Woerner, Robert D. Dvorak, Jonathan Cox, Tatiana D. Magri, Emma R. Hayden, Manik Ahuja, Angela M. Haeny

ETSU Faculty Works

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Background

Discrimination is a pervasive societal issue that monumentally impacts people of color (POC). Many Black, Asian, and Hispanic/Latinx individuals report experiencing race-based discrimination in their lifetime. Discrimination has previously been linked to adverse health outcomes among POC, including stress, depressive, and posttraumatic stress disorder symptoms. These health disparities are posited to have become exacerbated by COVID-19 and the racial awakening of 2020. The current study examined the short- and long-term effects of discrimination on stress, depression, and oppression-based trauma among POC.

Methods

Participants were (n = 398) who identified as Black, Indigenous, Hispanic/Latinx, and Asian completed an online self-report …

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Telehealth Acceptance Among Appalachian Respondents During Covid 19: A Secondary Data Analysis, Victoria Hood-Wells, Florence M. Weierbach, Amy Wahlquist, Janet M. Keener, Manik Ahuja, Hadii M. Mamudu

ETSU Faculty Works

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Purpose: The purpose of this study is to examine the relationship between telehealth use, telehealth satisfaction, and chronic medical conditions among residents living in Appalachian and non-Appalachian communities.

Sample: A COVID-19 public health survey was distributed via social media and healthcare clinics in the tri-state region of central Appalachia. Survey responses were limited to adults aged ≥18 years who consented to participate in the survey that self-identified as an individual with one or more chronic medical conditions (n=195).

Method: Simple descriptive statistics including frequencies, percentages, means, and standard deviations (SDs) were calculated for variables of interest both overall and by …

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Coping Strategies And Self-Compassion As Protective Factors In The Infant And Early Childhood Mental Health Workforce, Megan Wolff

Electronic Theses and Dissertations

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The mental health field experiences high levels of stress, resulting in a greater risk of poor professional quality of life, likely exacerbated by the additional stress associated with COVID-19. The present study examined the effect COVID-19 stress had on the professional quality of life of the infant and early childhood mental health (IECMH) workforce and whether coping strategies and self-compassion acted as protective factors. Results indicated that higher COVID-19 stress was associated with higher burnout and secondary traumatic stress (STS) and lower compassion satisfaction (CS). The results also showed that the pathway from COVID-19 stress to burnout was moderated by …

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Look, But Don’T Touch: Impact Of Covid-19 On The Nicu Caregiver, Rebecca C. Otwell-Dove

Electronic Theses and Dissertations

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Admission of an infant into the neonatal intensive care unit (NICU) is an experience that has been associated with a variety of both positive and negative health outcomes for parent and child. While both the setting name and the admitted population alludes to a sole focus on the affected infant, what often remains underrecognized is the impact on the ones who care for the newborn long before and longer after their NICU stay. Given the recency and unprecedented impact of the COVID-19 pandemic, very little research has examined the impact of COVID-19-specific stress on the experience of parents of infants …

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The Role Of Middle And High School Principals During The Covid-19 Pandemic: A Phenomenological Study, Dustin Ford

Electronic Theses and Dissertations

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The purpose of this qualitative study was to examine middle and high school principal roles prior to and during the COVID-19 pandemic to gain a better understanding about how leadership responsibilities adapted or changed. Data collection strategies included one-on-one interviews with nine middle and high school principals in East Tennessee. To qualify for the study participants had to have experience in the principalship prior to the pandemic. The analysis of data was based on the theoretical frameworks of adaptive leadership (Heifetz et al., 2009) and change theory (Fullan, 2020). The results revealed five key themes that were consistent during the …

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Innovation In Health Science Education: An Experiential Learning Program, Lily Apedaile

International Journal of Health Sciences Education

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The SARS-CoV-2 pandemic disrupted health professions education on a number of different levels. Many health professions and pre-health professions students lost access to real-world clinical experience which has lead to disruptions in the healthcare workforce pipeline. At the University of Montana a diverse group of health professions educators designed an innovative experiential learning program, called Griz Health, that would allow UM students to engage in healthcare experiences while helping the campus with COVID-19 response. Because of the overwhelmingly positive response from students and community members that participated in this program, the Griz Health program was shifted from a volunteer response …

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The Prevalence Of Cardio-Metabolic Conditions (Diabetes, Hypertension, And Obesity) Before And During Covid-19 And Association With Health And Sociodemographic Factors, Valentine Nriagu Md, Hadii M. Mamudu Phd, David Adzrago Ms, Emmanuel Odame Drph, Oluwabunmi Dada Phd, Trishita Paul, Florence Weierbach Phd, Karilynn Dowling-Mcclay Pharmd, David Stewart Pharmd, Timir Paul Md

Appalachian Student Research Forum

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Cardiometabolic conditions, including hypertension, diabetes, and obesity are associated with adverse health outcomes, including increased rates of hospitalization and deaths in patients who are diagnosed with COVID-19. However, little to no evidence is known currently on the cardiometabolic conditions before and during the COVID-19 pandemic. This study utilizes a nationally representative sample of adults in the United States (U.S.) to estimate the prevalence of cardiometabolic conditions, focusing on diabetes, hypertension, and obesity, and determine their prevalence and absolute and relative rates before and during COVID-19 pandemic declaration. Furthermore, the study aims to determine the association between these cardiometabolic conditions and …

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Access To Contraceptive Services During The Covid-19 Pandemic: Perceptions Of Choose Well Hospital Partners, Rakesh Adelli, Kate E. Beatty Dr, Michael Grady Smith Dr, Amal Jamal Khoury, Dr, Liane Ventura, Jordan Brooke De Jong

Appalachian Student Research Forum

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Introduction: Contraceptive decision-making is individual in nature and access to high-quality contraceptive care, including counseling and the full range of contraceptive methods, can help individuals achieve their personal reproductive goals and prevent unintended pregnancy. The COVID-19 pandemic disrupted provision and utilization of contraceptive counseling and contraceptive methods. Long-acting reversible contraception (LARC) methods, such as the contraceptive implant and intrauterine devices (IUDs), were particularly affected by the pandemic because they require placement by a health care provider in a clinical setting. Choose Well (CW), an ongoing statewide contraceptive access initiative in South Carolina, launched in 2017 and continues through 2022. CW …

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Perceptions Of Risk For Covid-19 Among Individuals With Chronic Diseases And Stakeholders In Central Appalachia, Manik Ahuja, Hadii M. Mamudu, Florence M. Weierbach, Karilynn Dowling-Mcclay, David W. Stewart, Manul Awasthi, Timir K. Paul

ETSU Faculty Works

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Coronavirus disease 2019 (COVID-19) pandemic is rapidly evolving and is a serious public health threat worldwide. Timely and effective control of the pandemic is highly dependent on preventive approaches. Perception of risk is a major determinant of health behavior. The current study explores the association between actual risk and perceived risk for one’s self, family/friends and friends, and community. A questionnaire was administered to participants in Central Appalachia (n = 102). The actual risk was based on the number of chronic conditions of the following conditions: hypertension, heart disease, cancer, diabetes, and chronic obstructive pulmonary disease. Participants were also queried …

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Blockade Of Sars-Cov-2 Spike Protein-Mediated Cell–Cell Fusion Using Covid-19 Convalescent Plasma, Ling Wang, Juan Zhao, Lam N.T. Nguyen, Lam N.T. Nguyen, James L. Adkins, Madison Schank, Sushant Khanal, Xindi Dang, Dechao Cao, Bal K. C. Thakuri, Zeyuan Lu, Jinyu Zhang, Yi Zhang, Xiao Y. Wu, Mohamed El Gazzar, Shunbin Ning, Jonathan P. Moorman, Zhi Q. Yao

ETSU Faculty Works

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The recent COVID-19 pandemic poses a serious threat to global public health, thus there is an urgent need to define the molecular mechanisms involved in SARS-CoV-2 spike (S) protein-mediated virus entry that is essential for preventing and/or treating this emerging infectious disease. In this study, we examined the blocking activity of human COVID-19 convalescent plasma by cell–cell fusion assays using SARS-CoV-2-S-transfected 293 T as effector cells and ACE2-expressing 293 T as target cells. We demonstrate that the SARS-CoV-2 S protein exhibits a very high capacity for membrane fusion and is efficient in mediating virus fusion and entry into target cells. …

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Psychological Distress And Susceptibility To Disease In The Infant And Early Childhood Mental Health (Iecmh) Workforce In The Time Of The Covid-19 Pandemic, Ashley Sexton

Undergraduate Honors Theses

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Chronic stress, anxiety, and depression can have many adverse effects on physical health, including immunosuppression and increased susceptibility to disease. For the last year, the world has endured sustained stress caused by the COVID-19 pandemic which has had its own impact on mental health. Stress from COVID-19 will likely have an even greater impact on the Infant and Early Childhood Mental Health (IECMH) workforce due to the stressful nature of their work. Self-care has been shown to improve overall wellbeing and act as a buffer for stress. Therefore, the current study aims to investigate if IECMH workers with clinically significant …

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“We’Re Sinking And We’Re Sinking Quick”: Family And Feeding Work During The Covid-19 Pandemic For Single, White, Middle-Class Mothers, Debora Garrison

Electronic Theses and Dissertations

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This study examines the work of single, white, middle-class women feeding and caring for their families during the COVID-19 pandemic in the year 2020. The study draws from qualitative analyses of one-on-one interviews conducted with seven single mothers. After situating single mothers and family food provision in the academic literature, as well as and current knowledge about the pandemic in the U.S., the author explores ways that the pandemic disrupted family life. Findings indicated that the single mothers were keenly impacted by being cut off from child care, schools, and other social connections they needed to maintain employment. Further, their …

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Sororities Surviving Covid-19: A Phenomenological Study Of Panhellenic Virtual Sorority Recruitment, Margaret Darden

Electronic Theses and Dissertations

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This phenomenological study addressed perceptions of virtual sorority recruitment and was conducted at a large, public university in the Midwestern United States. Data was gathered through interviews using a criterion sampling method in place for this study. Study participants fell into one of the following categories: new members, general members, chapter recruitment chairs, chapter presidents, chapter advisors, chapter recruitment advisors, or the fraternity/sorority advisor. Emerging themes and categories were identified by coding and analyzing the interview data. The themes that were identified were: the convenience of online meetings, reduced emphasis on appearance reduced emotional, financial and time strain, increased accessibility …

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Preserving Safety While Upholding The Integrity Of Medical Education And Practical Skills: The Impact Of Covid-19 On Teaching Human Anatomy, Anna Cowan

Undergraduate Honors Theses

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The global pandemic caused by COVID-19 placed constraints on several aspects of normal life, especially those of higher level education. While many programs moved to teaching in a strictly online format, there are some courses in which this structure was not appropriate. This study observed the outcome of the adapted course structure employed at Quillen College of Medicine during their Gross Human Anatomy course. Through a voluntary survey and multiple independent t-tests, it was demonstrated that the students who took the adapted course performed, on average, 2 points lower on each exam than previous classes. Also, this study showed that …

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Symptoms-Based Fuzzy-Logic Approach For Covid-19 Diagnosis, Maad Shatnawi, Anas Shatnawi, Zakarea Alshara, Ghaith Husari

ETSU Faculty Works

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The coronavirus (COVID-19) pandemic has caused severe adverse effects on the human life and the global economy affecting all communities and individuals due to its rapid spreading, increase in the number of affected cases and creating severe health issues and death cases worldwide. Since no particular treatment has been acknowledged so far for this disease, prompt detection of COVID-19 is essential to control and halt its chain. In this paper, we introduce an intelligent fuzzy inference system for the primary diagnosis of COVID-19. The system infers the likelihood level of COVID-19 infection based on the symptoms that appear on the …

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Hydroxychloroquine: A Comprehensive Review And Its Controversial Role In Coronavirus Disease 2019, Pankaj Bansal, Amandeep Goyal, Austin Cusick, Shubham Lahan, Harpal S. Dhaliwal, Poonam Bhyan, Pradnya B. Bhattad, Fawad Aslam, Sagar Ranka, Tarun Dalia, Lovely Chhabra, Devang Sanghavi, Bhavin Sonani, John M. Davis

ETSU Faculty Works

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Hydroxychloroquine, initially used as an antimalarial, is used as an immunomodulatory and anti-inflammatory agent for the management of autoimmune and rheumatic diseases such as systemic lupus erythematosus. Lately, there has been interest in its potential efficacy against severe acute respiratory syndrome coronavirus 2, with several speculated mechanisms. The purpose of this review is to elaborate on the mechanisms surrounding hydroxychloroquine. The review is an in-depth analysis of the antimalarial, immunomodulatory, and antiviral mechanisms of hydroxychloroquine, with detailed and novel pictorial explanations. The mechanisms of hydroxychloroquine are related to potential cardiotoxic manifestations and demonstrate potential adverse effects when used for coronavirus …

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Oxidative Stress, Proton Fluxes, And Chloroquine/Hydroxychloroquine Treatment For Covid-19, Christina B. Klouda, William L. Stone

ETSU Faculty Works

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Chloroquine (CQ) and hydroxychloroquine (HCQ) have been proposed as treatments for COVID-19. These drugs have been studied for many decades, primarily in the context of their use as antimalarials, where they induce oxidative stress-killing of the malarial parasite. Less appreciated, however, is evidence showing that CQ/HCQ causes systemic oxidative stress. In vitro and observational data suggest that CQ/HCQ can be repurposed as potential antiviral medications. This review focuses on the potential health concerns of CQ/HCQ induced by oxidative stress, particularly in the hyperinflammatory stage of COVID-19 disease. The pathophysiological role of oxidative stress in acute respiratory distress syndrome (ARDS) has …

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Remote Teaching Doesn't Come Without Challenges, Mayra Almodóvar-López, Julia Teresa Atiles, Aleida Chavarría-Vargas, Maria Jose Dias, Irma Zúñiga-León

ETSU Faculty Works

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Creative Commons: Reconocimiento, No Comercial, Sin Obra Derivada 3.0 Costa Rica. Las autorizaciones adicionales a las aquí delimitadas se pueden obtener en el correo: educare@una.cr Analysis of challenges faced by early childhood education teachers of 3 to 6 years old as a result of the suspension of face-to-face educational services due to COVID-19, and the implications in teacher education and professional development.

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