Digital Commons Network^™

Associations Between Long Covid And Healthcare Access: A Cross-Sectional Analysis Of The Behavioral Risk Factor Surveillance System (Brfss) 2022, Tiffany Elliott

Capstone Experience: Master of Public Health

Objective. To evaluate the association of healthcare access with Long COVID and clinical and sociodemographic factors.

Methods. Data were from the CDC's 2022 Behavioral Risk Factor Surveillance System (BRFSS) surveys regarding four measures of healthcare access and Long COVID. There were 25,549 respondents who reported Long COVID and 95,830 respondents who did not report Long COIVD.

Results. 25,549 (22.0%) of respondents reported Long COVID. Significant associations were found in respondents with public health insurance and delayed medical care due to cost. Those with chronic health conditions were more likely to report Long COVID. Women, certain racial/ethnic groups, …

Unmc Ai Task Force Report, Emily Glenn, Rachel Lookadoo, Unmc Ai Task Force

Reports: University of Nebraska Medical Center

In July 2023, University of Nebraska Medical Center and Nebraska Medicine leadership charged a task force with investigating facets of artificial intelligence (AI) in an academic health center setting. What must we know, do and plan for regarding generative artificial intelligence in the domains of enhancing education, research, clinical care, business functions and in combating misinformation/disinformation? Task force members were allocated into five subcommittees to investigate key points to inform strategic planning—Enhance Learning, Enhance Research, Enhance Clinical Care, Enhance Business Function and Combat Dis-/Mis-Information and Bias. This work was aligned with the UNMC Strategic Planning process as a “big rock” …

Rare Streptococcus Intermedius Central Nervous System Septic Emboli: A Case Report And Review Of Literature, Jonathan Herskovitz, Cristina J. Torres, Bryan Walker, Jasmine R. Marcelin

Graduate Medical Education Research Journal

We report a case of a male in his thirties who presented with rapidly progressive encephalopathy, mediastinal abscess, and multiple ring-enhancing lesions throughout the brain. Extensive evaluation revealed Streptococcus intermedius septic emboli to the brain from dental sources via a right-to-left anatomic shunt. The patient completed an 11-week course of IV antibiotic therapy after which he made a near complete recovery. We provide a comprehensive review of the literature with Streptococcus intermedius CNS septic emboli and source of infection.

This Case Is Out Of Hand: A Non-Infectious Mimic Of Surgical Site Infection Following Routine Surgery, Keaton Reed, Shalmali Mirajkar, Alex Lesiak, Sarah L. Lonowski, Angela L. Hewlett

Posters and Presentations: College of Medicine Students

Background: Pyoderma gangrenosum is a reactive, non-infectious neutrophilic dermatosis that classically presents as a rapidly progressive, erythematous, ulcerative lesion of the skin and soft tissue, sometimes accompanied by necrosis and purulence. It has been reported following routine surgery, and the shared features with skin and soft tissue infection can lead to treatment with antibiotics and further surgical interventions before diagnosis. Case: A 49-year-old woman presented 6 days after a bilateral carpal tunnel release with 3 days of increased pain, erythema, and swelling of the left surgical site with redness tracking up the arm. Empiric antibiotics were started for presumed surgical …

Understanding And Quantifying Bioaerosol Fate Within The Aerobiological Pathway: Physical Transport, Environmental Decay, And Mitigation, Sean Kinahan

Theses & Dissertations

The recent COVID-19 pandemic has highlighted the need for better tools to understand and characterize phases of the aerobiological pathway, a model for understanding how infectious bioaerosols are sourced, generated, transported, deposit, and affect human health. This dissertation presents validation of methodologies for studying transport of airborne biological agents and variations on their consequences, especially focusing on their physical and chemical fate. Chapter 1 focuses on a parallel comparison of two methods of aging bioaerosols in real-world outdoor environments with complex sunlight, atmospheric chemistry, and pollutants. Both capture on microfibers and the use of Goldberg rotating drums to keep a …

Investigating Transcriptional Anomalies During Persistence In Chlamydia Trachomatis, Nathan D. Hatch

Theses & Dissertations

Chlamydia trachomatis (Ctr) is the leading cause of bacterial sexually transmitted infections. Ctr, a Gram-negative, obligate intracellular bacterium, develops within a membrane-bound vacuole termed an inclusion. This protective, nutrient rich, intracellular environment has allowed Ctr to undergo extensive reductive evolution – resulting in a streamlined genome of approximately 1 Mbp and the loss or fragmentation of several biosynthetic pathways, including the ability to synthesize tryptophan (Trp) de novo. During infection, the host immune system releases the cytokine IFNγ. Upon binding to a host cell, IFNγ stimulates the expression of indoleamine-2,3-dioxygenase, an enzyme capable of catabolizing cytosolic Trp, thereby starving …

A Literature Review Of The Psychosocial Impacts On Livestock Producers And Veterinary Responders Involved With Depopulation During And After An Animal Health Emergency, Beth Galles

Capstone Experience: Master of Public Health

A vital aspect of an animal health emergency in the United States is removing and disposing of diseased and healthy animals through depopulation. It is frequently required to prevent the spread of diseases that affect human health or economic stability. Production animals are eventually slaughtered, but this does not negate the human-animal bond felt between these animals and their caretakers. There is increasing recognition that participation in depopulation may be a traumatic event requiring care for the individuals involved, including livestock producers and veterinarians. Despite this, limited resources are available for these individuals when an animal health emergency occurs. This …

A Qualitative Analysis Of Candida Auris Laboratory Surveillance In Nebraska, Lissa M. Young

Capstone Experience: Master of Public Health

Objectives: Candida auris is an emerging pathogenic yeast that was first identified in Japan in 2009 and detected in the United States in 2015. As of 2020, C. auris has been reported in cases throughout 41 countries, including the United States. The ability of this species of yeast to spread rapidly and survive for long periods of time on surfaces, the high mortality rate of those infected, and its multidrug resistant phenotype, have rendered it a urgent public health threat (the highest threat level) by the United States Centers for Disease Control and Prevention beginning in 2019 (CDC, 2019). Since …

Association Of Socioeconomic Status And Mental Health Characteristics And Participant Attrition In A Cohort Study, Mathews Thampi

Capstone Experience: Master of Public Health

The cohort study is an essential design for investigating associations between a variety of risk factors or exposures and a plethora of health outcomes. However, one of their biggest weaknesses is participant attrition, which can introduce bias and impact validity. Understanding whether this attrition is related to exposure and outcome is a critical aspect of assessing the potential for selection bias. The Women and Their Children's Health (WaTCH) study is a prospective cohort study designed initially to examine the health impacts of exposure to the Deepwater Horizon oil spill. The study has undergone two waves of data collection and is …

The Relationship Between Congenital Heart Disease And Infant Mortality In Low- And Middle-Income Countries: A Comprehensive Literature Review, Helen Nneoma Odo

Capstone Experience: Master of Public Health

Congenital heart diseases (CHD) are conditions that are present at birth and can affect the structure of an infant’s heart and the way it works. Millions of children are born each year with congenital heart disease yet screening for CHD is not practiced in Low- and Middle-income countries (LMICs). Studies on access to healthcare for infants with congenital heart disease have not kept pace. This literature review centers on the role of congenital heart disease in infant mortality, its burden, incidence and prevalence in LMICs. The databases of PubMed, Google Scholar and Embase were searched and the selected articles for …

Effects Of Hospital Interventions On Maternal Mortality Rates Of African American Women: A Literature Review, Oluwatosin A. Soyege

Capstone Experience: Master of Public Health

Maternal mortality is a serious health concern and harms society’s economic, physical, and psychological well-being. It is tragic for the woman’s family and community when a woman passes away during pregnancy, at delivery, or shortly after delivery. Hospital interventions are needed to mitigate the social impact of maternal mortality. In the U.S., several initiatives have been enacted to reduce maternal mortality. Fighting racism would also help African American women’s rates of maternal mortality as they are subject to stigma in everyday contexts, during pregnancy and obtaining healthcare, and when obtaining resources and services during pregnancy. This paper reviews the literature …

Lessons Learned Creating Microbiology Laboratory Demonstration Videos, Marnie Imhoff, Linsey Donner

Innovations in Health Sciences Education Journal

Microbiology laboratory classes are designed to allow students to apply knowledge gained during lectures and become proficient in laboratory skills. Students are introduced to procedures for working with and identifying microorganisms. Instructors must prepare students to perform and interpret the necessary testing procedures to be successful. Laboratory demonstration videos provide students with a first-person, unobstructed demonstration on how to perform laboratory techniques. The videos can be used as a visual learning tool to supplement courses with an in-person laboratory session or as a component in online learning. This article describes the creation of instructional microbiology laboratory demonstration videos.

A Case Of Groove Pancreatitis Presenting With Intermittent Gastric Outlet Obstruction, Kevin Brittan Et. Al.

Graduate Medical Education Research Journal

No abstract provided.

Unmasking The C3ulprit, Audai Maayah Et. Al.

Graduate Medical Education Research Journal

No abstract provided.

A Case Of Agitated Catatonia Improved By Electroconvulsive Therapy In A Patient With Schizophrenia, Emily Royer Et. Al.

Graduate Medical Education Research Journal

No abstract provided.

Pancytopenia: Horse, Zebra, Or Something Else, Hayden Brodersen Et. Al.

Graduate Medical Education Research Journal

No abstract provided.

Fluid-Resistant Hyponatremia In Active Inflammatory Bowel Disease: A Case Report, Sandeep Puri Et. Al.

Graduate Medical Education Research Journal

No abstract provided.

Gastroenteritis Leading To Multiorgan Failure In A Young Adult, Alexandra Fiedler Et. Al.

Graduate Medical Education Research Journal

No abstract provided.

An Unusual Cause Of Diastolic Murmur, Brendan Hurley Et. Al.

Graduate Medical Education Research Journal

No abstract provided.

The Kneed For Stability: Posterior Knee Pain In A Recreational Soccer Player, Brendan George Et. Al.

Graduate Medical Education Research Journal

No abstract provided.

Sporadic Hypokalemic Periodic Paralysis Likely Induced By Kratom (Mitragyna Speciosa), Mehar Zahid Et. Al.

Graduate Medical Education Research Journal

No abstract provided.

Rosai-Dorfman Disease In The Setting Of Post-Transplant Lymphoproliferative Disorder, Erica Lee Et. Al.

Graduate Medical Education Research Journal

No abstract provided.

Immunotherapy-Induced Glomerulonephritis: Whodunit?, Brian Benes Et. Al.

Graduate Medical Education Research Journal

No abstract provided.

What Do Our Patients Really Know About Dialysis And End Stage Kidney Disease, Debra Wekesa Et. Al.

Graduate Medical Education Research Journal

No abstract provided.

Incidence And Outcomes Of Acute Appendicitis During The Covid-19 Pandemic, Ellen Horstmann Et. Al.

Graduate Medical Education Research Journal

No abstract provided.

Analyzing Predictive Factors For Pathologic Complete Response For Locally Advanced Rectal Cancer, Adam Cloos Et. Al.

Graduate Medical Education Research Journal

No abstract provided.

Predictors Of Trauma Patients Leaving Against Medical Advice, Krysta M. Sutyak Et. Al.

Graduate Medical Education Research Journal

No abstract provided.

Clinically Significant Hypotension In Patients Undergoing Thoracoscopic Lobectomy: A Single-Center, Retrospective Analysis Of Thoracic Epidural Analgesia Versus Liposomal Bupivacaine Intercostal Nerve Blockade, Jason Lizalek Et. Al.

Graduate Medical Education Research Journal

No abstract provided.

Outcomes In Intravenous To Oral Antimicrobial Therapy In Beta-Hemolytic Streptococcus Species, Mackenzie R. Keintz Et. Al.

Graduate Medical Education Research Journal

No abstract provided.

Comparison Of Outcomes For Patients Admitted From The Emergency Department With Focal Vs Multifocal Pneumonia, Glen Clinton Et. Al.

Graduate Medical Education Research Journal

No abstract provided.