Medicine and Health Sciences Commons^™

Assessing The Educational Quality Of Training Videos For Collection Of A Nasopharyngeal Swab, Evan M. Ryan, Matthew T. Solverson, Dallin N. Christensen, Kristy J. Carlson, Kaeli K. Samson, Samuel K. Pate, Jayme R. Dowdall, Christie A. Barnes

Graduate Medical Education Research Journal

Introduction: The SARS-CoV-2 pandemic has forced healthcare systems to disseminate their training materials quickly and broadly, including instruction on identifying cases of infection through correct nasopharyngeal swabbing. Incorrect nasopharyngeal swabbing technique leads to substandard sampling, patient discomfort, and increased risk of complications. We set out to evaluate the quality of educational videos on the nasopharyngeal swab procedure.

Methods: Using video search engines, videos on nasopharyngeal swabbing were identified and distributed to two reviewers. The quality of videos was assessed using a scoring system that examined indications, contraindications, personal protective equipment use, swab depth, swab angle, and audiovisual quality. Descriptive statistics …

Covid-19 Disease And Viral Characteristics In A Long-Term Care Facility, Shauna Assadzandi, Emily Crocetti, Courtney S. Pilkerton, Amie M. Ashcraft, Carl D. Shrader

Marshall Journal of Medicine

Background

Due to the combination of age, comorbidities, and close living quarters, residents at long-term care facilities (LTCFs) are at particularly high risk of severe symptoms and death due to COVID-19.

Methods

This cross-sectional study examines the relationship between demographic characteristics, symptom severity, and length of viral shedding in 49 residents testing positive for SARS-CoV-2 at a LTCF in West Virginia (WV).

Results

Over half of the residents were asymptomatic, while nearly a quarter experienced severe symptoms. Women were more likely to be asymptomatic, and age was not associated with symptom severity. While no specific medical condition was associated with …

Faith Community Nurses: Caring For Individuals, Congregations, And Communities During The Covid-19 Pandemic, Mary Lynne Knighten Dnp, Rn, Nea-Bc, Lorie Hacker, Phyllis Ann Solari-Twadell, Lanet Owen Bsn, Rn-Bc, Bob Kentner Dnp, Rn, Chpq, Cen, Tcrn, Linda F. Garner

International Journal of Faith Community Nursing

As the COVID-19 pandemic continues for nearly two years, communities of faith are struggling to meet the spiritual needs of individuals, congregants, and communities during a particularly trying time in history. They have experienced closures, phased re-openings, and reinstated restrictions as the pandemic sees the fourth surge and a deadly more transmissible form of COVID in the Delta Variant. Faith Community Nurses, who are specially educated to provide intentional care of the spirit, play a pivotal role in providing care, support, and education to maintain and improve whole person health when people are isolated, physically distant, and at times critically …

Vv Ecmo For Treatment Of Severe Ards In Covid-19 Patients At Unmc, Cale J. Ewald, Levi Zehr, Shaun L. Thompson

Graduate Medical Education Research Journal

Abstract

Introduction: Veno-venous extracorporeal membrane oxygenation (VV ECMO) is an indicated treatment for severe acute respiratory distress syndrome (ARDS) refractory to conventional medical treatment. Severe ARDS is a common complication of CoVID-19 infection. Subsequently, the efficacy of VV ECMO in CoVID-19 severe ARDS patients must be investigated. ECMO is a resource-intensive treatment modality, meaning that its use must be reserved for patients with robust indications and paucity of contraindications.

Methods: We performed retrospective chart review of three patients at the University of Nebraska Medical Center that were placed on VV ECMO secondary to severe ARDS from CoVID-19 infection.

Results: All …

Wellness Review 2021, Part 1, Martin Huecker, Brian A. Ferguson, Jacob Shreffler

Journal of Wellness

Introduction: This article presents a curated selection of the wellness literature from January to June of 2021. JWellness editors offer a summary of recent publications within the wellness domain to seek an understanding of both burnout prevention and, more importantly, thriving in the medical profession.

Methods: For the interval of Jan 1 to June 30, 2021, a UofL librarian queried PubMed for empirical research studies, review articles, and editorials related to healthcare professional wellness. Excluding papers related to COVID-19 (due to extensive prior coverage) and editorials/commentaries, the editors narrowed to 43 articles (systematic reviews, meta-analyses, general reviews, and clinical trials) …

Student-Athletes' Perceptions Of Covid-19 Guidelines And If They Ensure Safety, Will Overholt, Erika Smith-Goodwin, Jennifer Walker

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Please enjoy Volume 7, Issue 1 of the JSMAHS. In this issue, you will find Professional, Graduate, and Undergraduate research abstracts, and case reports.

Thank you for viewing this 7^th Annual OATA Special Edition.

Preventive Behaviors, Barriers, And Drivers Of The Covid-19 Pandemic In Malaysia: A Cross-Sectional Survey, Normaliza Ab Malik, Rusyda Helma Mohd, Nor Ba'yah Abdul Kadir

Makara Journal of Health Research

Background: Coronavirus disease 2019 (COVID-19) is a public health concern worldwide. This study aimed to assess the preventive behaviors, barriers, and drivers, including the knowledge and self-efficacy of COVID-19 in Malaysia.

Methods: A cross-sectional study was conducted during the COVID-19 outbreak by using a self-administered questionnaire. The instrument used was adopted from the World Health Organization resources. Descriptive statistics were used to describe the categorical data. Chi-square and independent t-test were performed to evaluate the associations between the variables and preventive behaviors.

Results: A total of 465 (97.3%) respondents were recorded. The mean age was 34.3 ± …

Nosocomial Covid-19 Infection In Patients With Nasal Trauma During Coronavirus Pandemic, Reza Erfanian, Mahdokht Manavi, Saeed Sohrabpour, Shirin Irani, Mohammadreza Firouzifar

BioMedicine

Objectives: Considering the reduction of patients' attendance in hospitals, including patients with nose fracture, in fear of COVID-19 transmission, this study aims to investigate the risk of nosocomial COVID-19 transmission in patients with nasal trauma seeking medical care in hospital.

Methods: Patients with nasal trauma referred to our specialized ENT referral center were evaluated, treated, and followed, up to two weeks. After discharge, COVID-19 symptoms were questioned by telephone, and additional assessments were requested for suspected patients.

Results: Out of 108 patients with possible nasal fracture, 27 didn’t need nasal reduction after physical examination while 81 required nasal bone reduction. …

A Review On Corona Virus Disease (Covid-19), Hatem Hejaz, Dalia Abo Arqoup, Rezq Basheer, Hiba Abu Znaid, Hiba Swaity, Thara’A Thara’A Rabai

Hebron University Research Journal-A (Natural Sciences) - (مجلة جامعة الخليل للبحوث- أ (العلوم الطبيعيه

Novel Coronavirus (COVID-19) is a new strain of coronavirus that may cause illness in animals or humans. SARS-CoV-2 was first identified in late December 2019, in Wuhan, China. The coronavirus infected patients ‘who suffering from Immundeficient or chronic inflammation are at higher risk of getting a severe infection from COVID-19. The symptoms such as proinflammatory and hypercoagulable, non-cardiac pneumonia, multi-organ failure, and ARDS resulting in sudden death have been seen in those patients. Supportive treatment is still the main strategy in treating this disease since there is no evidence that current medicine can prevent or cure the infection resulting from …

Insignificant Impacts Of Covid-19 Stay-At-Home Orders On Chicago Air Quality, Adam W.T. Steffeck

DePaul Discoveries

With the onset of the COVID-19 pandemic, reports of air quality improvements around the world resulting from the stay-at-home orders were widespread. However, for Chicago, no significant air quality improvements occurred despite large reductions in private vehicle transportation due to the lack of commuters. The city of Chicago is a nexus for long-haul transportation by trucks and trains, which did not decrease during the pandemic. These transportation sources use mostly diesel fuel engines and emit NO_X, a precursor to tropospheric ozone, and PM_2.5, both of which are harmful air pollutants. Using open access EPA air quality …

Teaching And Parenting During Covid-19, Erin Lord Kunz

Survive & Thrive: A Journal for Medical Humanities and Narrative as Medicine

This creative nonfiction project examines the relationship between work, motherhood, creativity, and advocacy. With increased quarantines and illness, mothers in particular have felt more strain to provide care to their children while also trying to maintain a professional life. This has often created an absence of these mothers in the professional sphere, and their creative work is performed from home, sometimes with the support of their employers and sometimes without. While supporting their families, students, colleagues, and own creative pursuits, mothers often have the additional burden of advocacy given their proximity to so many who have been negatively impact by …

Coagulopathy In Covid-19: A Review, Shannon Ginty

International Undergraduate Journal of Health Sciences

Recent data has demonstrated that the pathophysiology of severe COVID-19 infection is associated with a significant pulmonary coagulopathy. Thrombotic complications have been reported in approximately 35-45% of patients with severe COVID-19. Entry of SARS-CoV-2 into the host cells leads to dysregulation in inflammatory signalling pathways, disrupting the normal coagulation mechanism. The hypercoagulability with abnormal clot formation is attributed to the inappropriately elevated immune response, culminating in a ‘cytokine storm’ with high levels of pro-inflammatory cytokines and subsequent thrombosis. The coagulopathy in COVID-19 affects many coagulation parameters such as D-dimer levels, fibrinogen levels, platelet count and prothrombin time. Coagulation parameters must …

Full Issue: The International Undergraduate Journal Of Health Sciences, Volume 1, Issue 1, June 2021

International Undergraduate Journal of Health Sciences

The full June 2021 issue (Volume 1, Issue 1) of the International Undergraduate Journal of Health Sciences

N Y State Dent J June-July 2021

The New York State Dental Journal

The New York State Dental Journal (NYSDJ) is produced by the New York State Dental Association (NYSDA) six times a year, in January, March, April, July, September and November. Each issue features clinical and scientific articles written by researchers and practitioners from around the globe and is subject to review by a panel of specialists convened by the Editor.

Issues include cover and feature articles alongside regular columns with regional news impacting the New York membership including editorial and perspectives columns, legal, association activities, component news, continuing education opportunities, and classifieds.

A Group Of Homoeopathic Medicines For Covid-19: A Systematic Review Of Clinical Features, Horacio Escalante, Nazmul Hasan, Adriana Delgado, Salvador Soto, Jessica Vivas

Indian Journal of Research in Homoeopathy

Background: Historically, several homoeopathic medicines are known to have attributed a significant role in the control and management of infectious epidemic diseases. Objectives: This study aimed to compile a list of prospective homoeopathic medicines for the treatment and prophylaxis of the COVID-19 epidemic by conducting a systematic review and statistical analysis of clinical characteristics of this emerging coronavirus disease. Materials and Methods: A> systematic review protocol was developed according to the reporting items of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Articles for review were selected from PubMed, World Health Organization database, MedRxiV, and BioRxiv. Studies in …

Physical Activity Interventions For Older Adults In The Age Of Covid-19 And Beyond, Rachel N. Bragg, K. Jason J. Crandall

Topics in Exercise Science and Kinesiology

Topics in Exercise Science and Kinesiology Volume 2: Issue 1, Article 6, 2021. As the coronavirus (COVID-19) pandemic continues, it is important to understand why older adults are at higher risk for more severe morbidity and higher mortality compared to younger age groups. At the same time, there is a growing body of evidence suggesting physical activity and exercise can have positive benefits for older adults’ health. Point of application #1: The first step in keeping older adults active is motivating them to adhere to a structured program either at home, in a community setting, or in a long-term care …

Comparing The Health And Welfare Of Refugees And Non-Refugees At The Outset Of The Covid-19 Pandemic: The Results Of A Community Needs Assessment., Matthew J. Lyons, Mary Helen O'Connor, Iris Feinberg, Daniel J. Whitaker, Michael Eriksen, Ashli Owen-Smith, Saiza Jivani, Mohammad Tamer, Esther Kim, Ganaro Makor

Journal of Refugee & Global Health

Refugees are a vulnerable population who experience significant health disparities. They may also be at disproportionately high risk of adverse outcomes due to the COVID-19 pandemic. This paper presents the results of a community needs assessment to investigate the impact of the pandemic on health and welfare in a refugee relocation community in the United States. A multilingual data collection team made up of refugees surveyed 179 participants (128 refugees vs. 51 non-refugees). Only 55.9% of refugee respondents said they would be able to provide enough food for their family this week, compared with 84.0% of non-refugees (p < 0.01), and this difference was even greater for food next week …

Pandemic And Õen Consumption In Japan: Deliberate Buying To Aid The Seller, Kosuke Mizukoshi, Yuichiro Hidaka

Markets, Globalization & Development Review

This dialogue contribution discusses whether it is possible to create favorable new social assistance under the market principles, based on the Ouen or Õen (aid) consumption in Japan. The meaning of consumption has changed due to the COVID-19 pandemic. In Japan, aid consumption is increasing. This means helping local restaurants and producers by willfully and proactively buying and consuming their services and products. This is a favorable form of new social assistance and the result of strong marketing and market functions. The penetration of market forces may surpass pure altruistic behavior such as donations and gifts, by creating new market-linked …

The After Math, Amy L. Courtney

Akesis

Poetry reflecting on the COVID-19 pandemic

Trade War, Ppe, And Race, Ernesto A. Hernandez-Lopez

Northwestern Journal of Law & Social Policy

Tariffs on Personal Protective Equipment (PPE), such as face masks and gloves, weaken the American response to COVID. The United States has exacerbated PPE shortages with Section 301 tariffs on these goods, part of a trade war with China. This has a disparate impact felt by minority communities because of a series of health inequity harms. COVID’s racial disparity appears in virus exposure, virus susceptibility, and COVID treatments. This Article makes legal, policy, and race-and-health arguments. Congress has delegated to the United States Trade Representative expansive authority to increase tariffs. This has made PPE supplies casualties of the trade war. …

Development Of A Real-Time Reverse-Transcription Pcr For Sars Cov-2 On The Luminex Aries® Platform, Subathra Marimuthu, Holly Aliesky, Brigid Connelly, Danial Arsalan Malik, Leslie A Wolf

The University of Louisville Journal of Respiratory Infections

The University of Louisville Infectious Diseases Laboratory followed the US Food and Drug Administration (FDA) Emergency Use Authorization (EUA) guidance for developing a molecular diagnostic test for SARS CoV-2 to help address the novel coronavirus pandemic. As a Clinical Laboratory Improvement Amendment ‘88 (CLIA) certified, high-complexity clinical laboratory, the Infectious Diseases Laboratory chose to use the Luminex ARIES^® platform to evaluate a laboratory developed test. This instrument was already familiar to the Infectious Diseases Laboratory and in use for molecular diagnostic testing for pathogens causing atypical pneumonia and two tick-borne pathogens. The FDA EUA guidance for molecular diagnostic tests …

Dengue With Signs Of Alarm And Leptospirosis In A Pediatric Patient With Covid-19, Mayron Nakandakari Gomez, Hamilton Marín-Macedo, Raúl Seminario-Vilca

Revista de la Facultad de Medicina Humana

Dengue and Leptospirosis are endemic metaxenic diseases that affect tropical and subtropical areas, mostly in underdeveloped countries. In addition to this, the COVID-19 pandemic is causing a great deal of damage to both the population and the health level. This is the case of a 13-year-old patient who had fever, gingival and intermenstrual bleeding, abdominal pain and shortness of breath. She had SARS-CoV-2 IgM and IgG positive rapid test, and positive serology NS1 for Dengue and IgM for Leptospira. In addition, non-contrast pulmonary tomography showed areas of consolidated and frosted glass at the base level, as well as cysturitis. Diagnoses …

Perception Of Knowledge And Attitudes Towards Covid-19 In A Group Of Citizens In The Urban Area Of Huánuco, Mely Ruiz Aquino, Anibal Diaz Lazo, Milward Ubillús, Alejandrina Aguí Ortiz

Revista de la Facultad de Medicina Humana

Objective. To identify relationship between knowledge and type of attitudes towards COVID-19 in the citizens of the urban area of Huánuco. Methods. Observational, descriptive and cross-sectional study, with a quantitative approach. It was carried out in the city of Huánuco, 2020. Sample comprised 168 citizens. A previously validated knowledge questionnaire and an attitudes scale towards COVID-19 were applied. Pearson's χ² test and Spearman's correlation coefficient (rho) were applied. Results. When analyzing the type of knowledge regarding COVID-19, 62.5% (105) of the sample was located in the category “unknown”. Analyzing the type of attitudes perceived by citizens towards COVID-19, 36.9% (62) …

International Respiratory Infections Society Covid Research Conversations: Podcast 3 With Dr. Antoni Torres, Julio A. Ramirez, Antoni Torres

The University of Louisville Journal of Respiratory Infections

Section(s) Topics

1–4 Introductions

5 “Spanish” influenza

6–9 Dr. Torres’ personal thoughts and experiences

10 COVID-19 hospitalizations in Barcelona

11 A threatening phone call

12–13 Origin of the CIBERESUCICOVID project

14 Baseline characteristics

15 Bloodwork at hospital admission; ICU admission vs. day 3

16 Treatments

17 Complications

18 Outcomes related to interventions

19 Viral RNA load in plasma associated with critical illness and dysregulated response

20 Follow-up with health care workers

21 Medical education

22 Conclusions

23–26 Interleukin 6

27–29 Ventilatory approach

30–33 Post-COVID syndrome

34–38 Impact on health care workers

39–41 Holidays and COVID-19 infection

42–43 New paradigm for …

Iga (Henoch Schönlein Purpura) Vasculitis In A Pediatric Patient With Covid-19 And Strongyloidiasis, Mayron Nakandakari Gomez, Hamilton Marín Macedo, Raúl Seminario Vilca

Revista de la Facultad de Medicina Humana

Vasculitis is a rare disease in children, with IgA Vasculitis being its most common presentation. One condition that has been associated with the development of vasculitis is the invasion of the vascular endothelium by Strongyloides stercoralis in cases of hyperinfestation. Another condition that is not yet under-researched is the likely association of IgA vasculitis-like processes with SARS-CoV-2 and COVID-19 infection itself. It is presented the case of a four-year-old patient who healed with palpable purplish lesions to lower limb predominance, acute abdominal pain, and episodes of high digestive hemorrhage. Initially listed as a possible severe dengue and leptospirosis, but clinically …

Application Of The Integrated Autoregressive Method Of Moving Averages For The Analysis Of Series Of Cases Of Covid-19 In Peru, Daniel Cordova Sotomayor, Flor Santa Maria Carlos

Revista de la Facultad de Medicina Humana

Objective: To estimate an Integrated Autoregressive Moving Average model (ARIMA) for the analysis of series of COVID-19 cases, in Peru. Methods: The present study was based on a univariate time series analysis; The data used refer to the number of new accumulated cases of COVID-19 from March 6 to June 11, 2020. For the analysis of the fit of the model, the autocorrelation coefficients (ACF), the unit root test of Augmented Dickey-Fuller (ADF), the Normalized Bayesian Information Criterion (Normalized BIC), the absolute mean percentage error (MAPE) and the Box-Ljung test. Results: The prognosis for COVID-19 cases, between June 12 and …

International Respiratory Infections Society Covid Research Conversations: Podcast 2 With Dr. Michael S. Niederman And Dr. Edward J. Schenck, Julio A. Ramirez, Michael S. Niederman, Edward J. Schenck

The University of Louisville Journal of Respiratory Infections

Section(s) Topics

1–4 Introductions

5 COVID-19 in New York City

6–7 Telemedicine, long-term sequelae

8 Development of a multi-disciplinary ICU team

9–10 Treatment of ARDS, COVID-19 pathogenesis

11–12 Prioritizing treatment at research

13 Challenges in tracing the natural history of severe COVID-19

14–15 Experience with mechanically ventilated patients; non-pulmonary organ failure

16–17 Mapping COVID-19 trajectories by SOFA score

18–20 Findings: additive organ dysfunction, improving vs. worsening trajectory

21 ARDS therapeutic approaches

22 Clinical trials involving Cornell

23–25 Lessons learned: patient care, research, education, caring for critical care workers

26–30 2021 predictions: improved therapies and research, endemic COVID-19, vaccines

31–33 Prioritizing …

International Respiratory Infections Society Covid Research Conversations: Podcast 1 With Dr. Francesco Blasi, Julio A. Ramirez Md, Francesco Blasi Md, Phd

The University of Louisville Journal of Respiratory Infections

Section(s) Topics

1–2 Introductions

3 Foundations of best practice

4 COVID-19 as stimulus for innovation

5 Adapting and evolving therapeutic approach

6 Age and comorbidities as risk factors

7 Over-capacity ICU

8 Adapting the ER for COVID-19

9 Training personnel for COVID-19

10 Psychological support, healthcare heroes, and COVID fatigue

11 Increased oxygen requirement

12–13 Milan’s multi-disciplinary unit

14 Standardizing respiratory support measures

15 Nutrition, sedation, and life support

16 CPAP successes and failures

17 Prone and lateral positioning of patients on CPAP

18 Different COVID-19 phenotypes?

19 Thromboembolism risk score, age, and comorbidities

20 Cardiorespiratory considerations: hypertension, echocardiography

21 …

An Update On The Leading Covid-19 Vaccines, Ahmed A. Eladely, Javaria Anwer Mbbs, Ashwini Gotimukul Mbbs, Manish Kc Mbbs, Jessica Petrey Msls, Alex Glynn Ma, Ruth M. Carrico Phd, Dnp, Julio A. Ramirez Md

The University of Louisville Journal of Respiratory Infections

We reviewed the COVID-19 vaccines that reached phase III of clinical development. For each of the 10 vaccines identified, we described the technology used for vaccine development, the available data from phase III clinical trials, data on vaccine safety, and the role of new SARS-CoV-2 variants on vaccine efficacy.

Comprehensive Echocardiographic Findings In Critically Ill Covid-19 Patients With Or Without Prior Cardiac Disease, Renuka Jain, Pedro D. Salinas, Stacie Kroboth, Abigail Kaminski, Sarah Roemer, Ana Cristina Perez Moreno, Bijoy K Khandheria

Journal of Patient-Centered Research and Reviews

Purpose: Coronavirus disease 2019 (COVID-19) presents with a spectrum of disease severity, the most serious cases requiring intensive care. Echocardiography is a front-line tool in evaluating cardiovascular complications of COVID-19 in the intensive care unit (ICU); we analyzed transthoracic echocardiograms obtained from this patient population with state-of-the-art ultrasound technology.

Methods: All patients with COVID-19 requiring ICU admission on whom a transthoracic echocardiogram was obtained were included in the study. Focused transthoracic protocols were performed by experienced sonographers. Echocardiographic variables, including speckle-tracking echocardiography, were collected and analyzed. Clinical information was obtained from the electronic medical record. Patients were followed until discharge. …