Digital Commons Network^™

Development, Validity And Reliability Study Of A Compliance Scale For The Covid-19 Outbreak Prevention Recommendations, Eli̇f Köse, Esra Yazici, Ahmet Bülent Yazici, Abdülkadi̇r Aydin, Hasan Çeti̇n Ekerbi̇çer, Oğuz Karabay

Turkish Journal of Medical Sciences

Background/aim: During the intense periods of the COVID-19 pandemic, legal measures were taken for its containment. However, since legal precautions cannot be implemented continuously, hand washing, mask usage and obeying social distance rules are important in combating the pandemic. Complying with these rules is mostly individual decisions. The behavior of individuals has a prominent place in the course of the pandemic. In this study, we aimed to develop a scale which could measure compliance with outbreak measures. Materials and methods: This study was conducted in two stages after evaluation of the content validity of the item pool formed by the …

The Clinical Course Of Covid-19 In Hematopoietic Stem Cell Transplantation (Hsct)Recipients, Ayşe Karataş, Ümi̇t Yavuz Malkan, Mustafa Velet, Haluk Demi̇roğlu, Yahya Büyükaşik, Gülçi̇n Telli̇ Di̇zman, Ahmet Çağkan İnkaya, Batuhan Erdoğdu, Olgu Erki̇n Çinar, Eli̇fcan Aladağ Karakulak, Sali̇h Aksu, İbrahi̇m Celaletti̇n Haznedaroğlu, Osman İlhami̇ Özcebe, Ni̇lgün Sayinalp, Hakan Göker

Turkish Journal of Medical Sciences

Background/aim: The disease caused by SARS-CoV-2 was named as COVID-19. There is as yet insufficient information about the effects of HSCT on the clinical course of COVID-19. In the present study, we aimed to investigate the clinical course of COVID-19 in patients who had undergone HSCT. Materials and methods: We analyzed baseline characteristics, clinical course and findings of COVID-19, hospitalization and death rates, overall survival, and case fatality rates of HSCT recipients diagnosed with COVID-19 retrospectively. Results: 57.6% of the patients underwent AHSCT, and 42.4% underwent allo-HSCT. 60.6%, 27.3%, and 12.1% of the patients had mild, moderate, and severe COVID-19 …

First Known Covid-19 Case And Contact Tracing Efforts In İstanbul, Turkey, Abdullah Emre Güner, Aral Sürmeli̇, Kemal Kural, Esra Şahi̇n, Peri̇han Alkan, Erdoğan Kocayi̇ği̇t, Mustafa Hati̇poğlu, Şuayip Bi̇ri̇nci̇, Kemal Memi̇şoğlu, Işil Maral

Turkish Journal of Medical Sciences

Background/aim: COVID-19 has now become a global pandemic. Understanding the routes of transmission is vital in the mitigation and suppression of the disease. İstanbul has become one of the disease's epicenters. This study aims to describe the first COVID-19 case and contact tracing efforts around it in İstanbul. Materials and methods: The descriptive study was conducted in İstanbul, Turkey. The first COVID-19 cases and those associated with them were investigated with contact tracing, and primary and secondary cases were described. Results: The source case was an individual who returned to Turkey from international travel at the beginning of March and …

Interleukin-21: A Potential Biomarker For Diagnosis And Predicting Prognosis In Covid-19 Patients, Ni̇lüfer Ayli̇n Acet Öztürk, Ahmet Ursavaş, Asli Görek Di̇lektaşli, Ezgi̇ Demi̇rdöğen, Necmi̇ye Funda Coşkun, Dane Edi̇ger, Ayşe Esra Uzaslan, Di̇ğdem Yöyen Ermi̇ş, Mert Karaca, Orkun Eray Terzi̇, Merve Bayram, Di̇lara Ömer Topçu, Büşra Yi̇ği̇tli̇ler, Ahmet Yurttaş, Shahri̇yar Maharramov

Turkish Journal of Medical Sciences

Background/aim: COVID-19 patients have a wide spectrum of disease severity. Several biomarkers were evaluated as predictors for progression towards severe disease. IL-21 is a member of common γ-chain cytokine family and creates some specific effects during programming and maintenance of antiviral immunity. We aimed to assess IL-21 as a biomarker for diagnosis and outcome prediction in patients hospitalized with COVID-19. Materials and methods: Patients with a preliminary diagnosis of COVID-19 and pneumonia other than COVID-19 admitted to a tertiary care hospital were included consecutively in this comparative study. Results: The study population consisted of 51 patients with COVID-19 and 11 …

Assessment Of Olfactory And Gustatory Functions In Covid-19 Patients, Muammer Meli̇h Şahi̇n, Eray Uzunoğlu, Mücahi̇t Yalçin, Gökçen Cesur, Mehmet Yildiz, Pinar Aysert Yildiz, Hasan Selçuk Özger, Süleyman Cebeci̇, Recep Karamert, Mehmet Düzlü, Hakan Tutar, Murat Di̇zbay, Alper Ceylan

Turkish Journal of Medical Sciences

Background/aim: This study aims to evaluate of olfactory and gustatory functions of COVID-19 patients and possible risk factors for olfactory and gustatory dysfunctions. Materials and methods: The cross-sectional study included adult patients who were diagnosed with COVID-19 in Gazi University Hospital between April 2020 and June 2020. Volunteered patients participated in a survey in which olfactory and gustatory functions and various clinical information were questioned. Sinonasal Outcome Test-22 was also administrated to all patients. Results: A hundred and seventy-one patients participated in this study. Olfactory and gustatory dysfunctions rates were 10.5% (n: 18) and 10.5% (n: 18), respectively. Patients without …

Clinical Features And Immunoglobulin Replacement Therapy Outcomes Of Adults Withcommon Variable Immunodeficiency: A Single Centre Experience, Uğur Haci̇ Muşabak, Tuba Erdoğan

Turkish Journal of Medical Sciences

Background/aim: Common variable immunodeficiency (CVID) characterized by defective immunoglobulin production is the most prevalent form of symptomatic primary immunodeficiency (PID) in adults. We aimed to reveal the clinical features of adults with CVID and to evaluate the effects of immunoglobulin replacement treatment (IRT) on hemato-immunological findings. Materials and methods: This study included 26 adult patients receiving IRT. Two measurements of complete blood counts and major immunoglobulin levels obtained at the beginning-end of follow up period were used for comparisons. Lymphocyte subsets and B-cell subgroups were measured only at the time of presentation. Results: The most common complications were related to …

Allergic Diseases In The Elderly Population: A Single-Center Experience, Eray Yildiz, Fati̇h Çölkesen, Şevket Arslan, Recep Evcen, Fi̇li̇z Sadi̇ Aykan, Mehmet Kilinç, Gökhan Ayteki̇n

Turkish Journal of Medical Sciences

Background/aim: Although allergic diseases are generally considered to be diseases of childhood and youth, the first symptoms of allergic diseases can be seen in old age sometimes. The aim of this study was to determine the prevalence and characteristics of allergic diseases in the elderly population admitted to the allergy unit on an outpatient basis. Materials and methods: The files of the patients who applied to our clinic's allergy unit during the 8-year period were retrospectively analyzed. The data of patients aged ≥ 65 years were obtained from the files of our allergy unit archive. Results: A total of 1272 …

Investigating The Development Of Perceptions And Behavioural Intentions Towards People Living With Hiv (Plhiv) Among Pre-Clinical Medical Students In The University Of Malaya, Calvin Christopher Willims Fernandez

Student Works (2020-2029)

Since the beginning of the HIV/AIDS epidemic in the 1980s, there has been a high prevalence of stigma and discrimination towards people living with HIV (PLHIV). They manifest in people’s attitudes and behaviour, and in various contexts including education, employment and healthcare. For the latter specifically, stigma-driven behaviours by healthcare practitioners have resulted in poorer health outcomes for PLHIV, where they are humiliated, isolated and in some cases, even refused treatment. This subsequently leads to an increase in mental health issues and other damaging health behaviours among PLHIV. Numerous studies have explored the manifestation of these stigmatizing attitudes and behaviours …

Re-Imagining Machine Learning In Dental Research: A Lesson Learned From The Covid-19 Pandemic, Jafar Kolahi, Mohammad Seyedhamzeh, David G. Dunning, Nader Kalbasi

Journal Articles: College of Dentistry

At this time, humankind is experiencing on a global scale a frightening infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). As of September 25, 2020, more than 32.3 million cases have been reported in 188 countries, resulting in more than 984,000 official reported deaths.^[1],[2] During the course of human history, there have been several pandemics, for example, plague and smallpox. However, one of the main differences between COVID-19 and previous pandemics is the availability of computer-based technologies. Paralleling the global growth of COVID-19, studies using computer-based technologies have emerged (e.g., machine learning) to fight against …

Assessment Of A Program For Sars-Cov-2 Screening And Environmental Monitoring In An Urban Public School District, John Crowe, Andy T. Schnaubelt, Scott Schmidtbonne, Kathleen Angell, Julia Bai, Teresa Eske, Molly Nicklin, Catherine Pratt, Bailey White, Brodie Crotts-Hannibal, Nicholas Staffend, Vicki L. Herrera, Jeramie Cobb, Jennifer Conner, Julie Carstens, Jonell Tempero, Lori Bouda, Matthew Ray, James V. Lawler, Walter S. Campbell, John-Martin Lowe, Joshua L. Santarpia, Shannon Bartelt-Hunt, Michael R. Wiley, David Brett-Major, Cheryl Logan, M. Jana Broadhurst

Journal Articles: Epidemiology

Importance: Scalable programs for school-based SARS-CoV-2 testing and surveillance are needed to guide in-person learning practices and inform risk assessments in kindergarten through 12th grade settings.

Objectives: To characterize SARS-CoV-2 infections in staff and students in an urban public school setting and evaluate test-based strategies to support ongoing risk assessment and mitigation for kindergarten through 12th grade in-person learning.

Design, Setting, and Participants: This pilot quality improvement program engaged 3 schools in Omaha, Nebraska, for weekly saliva polymerase chain reaction testing of staff and students participating in in-person learning over a 5-week period from November 9 to December 11, 2020. …

A Comprehensive Study To Delineate The Role Of An Extracellular Vesicle-Associated Microrna-29a In Chronic Methamphetamine Use Disorder, Subhash Chand, Austin Gowen, Mason Savine, Dalia Moore, Alexander Clark, Wendy Huynh, Niming Wu, Katherine Odegaard, Lucas Weyrich, Rick A. Bevins, Howard S. Fox, Gurudutt Pendyala, Sowmya V. Yelamanchili

Journal Articles: Anesthesiology

Extracellular vesicles (EVs), which express a repertoire of cargo molecules (cf. proteins, microRNA, lipids, etc.), have been garnering a prominent role in the modulation of several cellular processes. Here, using both non-human primate and rodent model systems, we provide evidence that brain-derived EV (BDE) miRNA, miR-29a-3p (mir-29a), is significantly increased during chronic methamphetamine (MA) exposure. Further, miR-29a levels show significant increase both with drug-seeking and reinstatement in a rat MA self-administration model. We also show that EV-associated miR-29a is enriched in EV pool comprising of small EVs and exomeres and further plays a critical role in MA-induced inflammation and synaptodendritic …

The Promise Of Improved Adherence With Long-Acting Antiretroviral Therapy: What Are The Data?, Kimberly Scarsi, Susan Swindells

Journal Articles: Infectious Diseases

As with other chronic conditions, adherence to daily medications remains a challenge for many individuals living with HIV due to structural, behavioral, and social barriers. Unfortunately, high levels of adherence to antiretroviral therapy are required to maintain virologic suppression. Alternative approaches are being explored to decrease the burden of daily pill administration, including long-acting injectable, oral, and implantable products. Phase 3 data support the efficacy of nanoformulated injectable cabotegravir and rilpivirine for HIV treatment in patients with undetectable viremia, but we have yet to learn how this strategy may benefit those with medication adherence challenges. Despite this, the affected community …

A Midwestern Academic Hiv Clinic Operation During The Covid-19 Pandemic: Implementation Strategy And Preliminary Outcomes, Nada Fadul, Nichole Regan, Layan Kaddoura, Susan Swindells

Journal Articles: Infectious Diseases

During the COVID-19 pandemic, HIV clinics had to transform care delivery for people with HIV (PWH). We developed a multifaceted telehealth implementation strategy and monitored number of out of care patients (OOC), medical visit frequency (MVF), gap in care (GiC) and viral suppression (VS), and compared measures to baseline data. Between April and October 2020, 1559 visits were scheduled; 328 (21%) were missed, and 63 (4%) were new to care. Of the remaining 1168 follow-up visits, 412 (35%) were telehealth visits. As of October 2020, there were 53 patients OOC, MVF was 55% and GiC was 24% compared to 34, …

A Deeper Inquiry Into The Transitional Needs Of Student Veterans, Nathan Calvin Bridendolph Jr

Graduate Theses, Dissertations, and Problem Reports (ETD)

Previous research revealed that veterans transitioning to post-secondary institutions have unique characteristics (PNPI, 2018; Wurster et al., 2013) and may suffer from a constellation of physical, psychological, and social problems that can impact their ability to perform to their full potential on campus (Ackerman et al., 2009; Alschuler & Yarab, 2016; Igielnik, 2019). Despite knowing the struggles student veterans (SVs) face when transitioning to campus, no studies were found that directly gain SVs’ input on what they believe will help their transition. The current study sought to gain a holistic perspective of SV needs by using the biopsychosocial model and …

Infection-Associated Biofilms And Statins: Protocol For Systematic Review, Dora Yesenia Valencia, Magdiel Habila, D. Jean Mcclelland, Abraham Degarege, Purnima Madhivanan, Karl Krupp

Journal Articles: Epidemiology

INTRODUCTION: Owing to their propensity for being associated with infections, biofilms have become a focus in infectious disease research. There is evidence suggesting that statins, which are commonly used for prevention of cardiovascular disease, may prevent biofilm-associated infections, but this association has not been well-understood.

METHODS AND ANALYSIS: This systematic review protocol will include six database searches from their inception to 20 August 2020. A medical librarian will conduct the searches in PubMed, EMBASE, Web of Science, CINAHL, LILACS and CENTRAL, without any limits. Bibliographies of selected articles, previously published reviews and high-yield journals that publish on statins and/or biofilms …

Molecular Determinants Of Fetal Tolerance And The Transition To Adult Immunity, Yi Wei Lim

Dissertations

The perinatal immune system is highly tolerogenic and is phenotypically and functionally distinct from the adult immune system. This tolerogenic nature is a double-edged sword for newborns. While it is beneficial to prevent excessive inflammation against the vast array of foreign antigens encountered after birth, it also causes a lack of immune responses to life-threatening infections. My dissertation research aims to investigate the mechanisms by which perinatal T cells contribute to immune tolerance in infants. A deeper understanding of the nature of the perinatal immune system will provide pivotal knowledge to develop safe and effective strategies to protect infants from …

Impact Of Vaccine Supplies And Delays On Optimal Control Of The Covid-19 Pandemic: Mapping Interventions For The Philippines, Carlo Delfin S. Estadilla, Joshua Uyheng, Elvira P. De Lara-Tuprio, Timothy Robin Y. Teng, Jay Michael R. Macalalag, Ma. Regina Justina E. Estuar

Mathematics Faculty Publications

Background

Around the world, controlling the COVID-19 pandemic requires national coordination of multiple intervention strategies. As vaccinations are globally introduced into the repertoire of available interventions, it is important to consider how changes in the local supply of vaccines, including delays in administration, may be addressed through existing policy levers. This study aims to identify the optimal level of interventions for COVID-19 from 2021 to 2022 in the Philippines, which as a developing country is particularly vulnerable to shifting assumptions around vaccine availability. Furthermore, we explore optimal strategies in scenarios featuring delays in vaccine administration, expansions of vaccine supply, and …

Relation Of Wettability Of Surfaces To Virus Survival Times, Anthony Pintola

Williams Honors College, Honors Research Projects

A newly identified coronavirus, SARS-CoV-2, also known as COVID-19, has caused a worldwide respiratory illness pandemic. The virus is known to spread via contact with water droplets from an infected person. These drops can contaminate the surfaces we as humans interact with on a daily basis. It can be beneficial to understand if there is a correlation between how long the virus can survive on these surfaces and how easily wettable they are. The data was collected by placing 10 mL droplets onto various surface samples and collecting images of the surface contact. From the image a radius was determined …

Activity Based Traffic Indicator System For Monitoring The Covid-19 Pandemic, Justin Junsay, Aaron Joaquin Lebumfacil, Ivan George Tarun, William Emmanuel S. Yu

Department of Information Systems & Computer Science Faculty Publications

This study describes an activity based traffic indicator system to provide information for COVID-19 pandemic management. The activity based traffic indicator system does this by utilizing a social probability model based on the birthday paradox to determine the exposure risk, the probability of meeting someone infected (PoMSI). COVID-19 data, particularly the 7-day moving average of the daily growth rate of cases (7-DMA of DGR) and cumulative confirmed cases of next week covering a period from April to September 2020, were then used to test PoMSI using Pearson correlation to verify whether it can be used as a factor for the …

Exploring Occupational Therapy For Daily Harm Reduction For Substance Users In Western Ma, Kim Phu

OTD DEx Reports - College of Pharmacy and Health Sciences

"All substances whether pharmaceutical or illicit have adverse health consequences, illicit substances in particular. Most illicit substances are made in illegal labs, cut with other materials, and are not made to a standard compared to pharmaceutical substances. Resulting in individuals being unaware of what they’re truly using and the potential harm. The health effects associated with illicit substance use are well known. However, the effects that illicit substances have on functioning often go unaddressed. Individuals with illicit substance use disorders (SUD) will experience functional impairments in Activities of Daily Living (ADL’s) and Instrumental Activities of Daily Living (ADL’s) and Instrumental …

Enduring Covid-19 As Nyc Subway Riders, Ruben Cuevas

Theses and Dissertations

My thesis paper describes my master art project of paintings about the New York City Subway riders commuting routine prior and during the Coronavirus. As a regular subway rider myself I am closely connected with this particular art project because I witnessed the subway riders endure the most contagious viral pandemic of the 21st century. My thesis recounts how from a few sketches and photo shots of people in the subway this art project developed into a collection of paintings carefully completed on large linen canvas and acrylic medium. The initial set of my paintings narrate typical NYC subway rider …

A Biochemical Characterization Of The Fusion Proteins From Enveloped Rna Viruses, Chelsea T. Barrett

Theses and Dissertations--Molecular and Cellular Biochemistry

Enveloped viruses must bind target cells and then fuse the viral membrane with a cell membrane to enter a host cell. These viruses use one or more surface glycoproteins to carry out these critical functions. The surface glycoprotein that carries out the fusion function, termed a fusion protein, is divided into three classes based on structural similarities. Some of the most studied human viral pathogens, such as human immunodeficiency virus (HIV), Ebola virus, influenza, measles, and the recently emerged severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), possess class I fusion proteins. Following synthesis, class I fusion proteins associate as non-covalently …

Substrate Trafficking Within The Type Vii Secretion Systems Of Pathogenic Mycobacteria, Zachary A. Williamson

Theses and Dissertations--Molecular and Cellular Biochemistry

Tuberculosis (TB), primarily caused by infection of Mycobacterium tuberculosis (Mtb) in the lungs, is the deadliest infectious bacterial disease killing 1.5 million people annually. A major determinant of virulence is active secretion through three specialized type VII secretion (ESX) systems; ESX-1, ESX-3, and ESX-5. A large group of substrates exported by the ESX systems is the PE (Proline-Glutamine) and PPE (Proline-Proline-Glutamate) families of proteins, which are highly expanded in the pathogenic species of Mycobacteria and encompass over 7% of Mtb’s genome coding capacity. PE and PPE proteins interact together to form PE-PPE heterodimers, and are secreted through …

Development Of Analytical Methods For Analysis Of Glycosaminoglycans And Their Mimetics In Human Plasma, Rawan M. Fayyad

Theses and Dissertations

Glycosaminoglycans (GAGs) are linear, polydisperse polysaccharides consisting of alternating amino sugars and either a uronic acid or galactose residue. They are ubiquitous components of the extracellular matrix and are present on cell surfaces and in basement membranes. GAGs are highly negatively charged as a result of many sulfate and carboxylic acid groups, and are extremely heterogeneous in both their structure and in their physicochemical properties. This complexity in structure is attributed to the alterations in residue types, glycosidic bond linkage, sulfation levels, sulfation positions, and chain lengths during biosynthesis. GAGs interact with a wide number of proteins and modulate various …

Policies Addressing Barriers To Low-Income Women And Children’S Health Care Utilization In The United States And Kenya: The Role Of Physician Payments And Cash Transfer Programs, Muloongo Simuzingili

Theses and Dissertations

This dissertation examined two policies to improve low-income women and children’s healthcare utilization: physician payments and cash transfer programs. Higher physician payments increase the supply of healthcare services while cash transfers increase individuals’ demand for healthcare services. Cash transfer programs can improve health outcomes, yet the extent to which they are a cost-effective strategy is largely understudied. Therefore, this dissertation examines three overarching research questions:

1. Are Medicaid physician fees associated with access to substance abuse disorder (SUD) treatment among low-income women of reproductive age?
2. Do economic preferences moderate cash transfer program effects on children’s health care utilization? Evidence from a …

Regulation Of Osseous Healing By Macrophage-Derived Wnt Ligands, Jefferson Overlin Abaricia

Theses and Dissertations

Osseous healing is regulated by various classes of cells and signaling mechanisms. Of these, Wnt signaling has long been known to be critically important in directing the differentiation of mesenchymal stem cells (MSCs) into osteoblasts during bone healing. However, the source of these Wnt ligands is not known. Recently, a body of literature has arisen finding both beneficial and detrimental effects of macrophage-derived Wnt ligands on the regeneration of other tissues (liver, kidney, heart, and intestine), often by regulating inflammatory activation and stem cell behavior. As macrophages have been well-characterized as orchestrators of healing, their use of Wnt signaling to …

Investigating Streptococcus Pneumoniae And Adenovirus Co-Infections Of Lung Epithelial Cells, Mark Nicholas Calabro

Browse all Theses and Dissertations

Co-infection is common among viruses and bacteria in the human respiratory system. Adenovirus (AdV) and Streptococcus pneumoniae are clinically relevant respiratory pathogens that cause morbidity and mortality in a variety of patient populations with the highest morbidity occurring among immunocompromised individuals, but also prevalent in infants and the elderly. Acute respiratory distress syndrome may become severe in healthy individuals when co-infection with S. pneumoniae and AdV occurs due to synergistic effects of the pathogens on the host. I hypothesized that S. pneumoniae infection decreases AdV transduction of airway epithelia. To test this hypothesis, we utilized the polarized immortalized airway epithelial …

2021-2022 Nursing Undergraduate Student Handbook, Morehead State University. Nursing Department.

Nursing Department Publications Archive

2021-2022 Undergraduate Student Handbook of the Department of Nursing at Morehead State University.

Ethnobotany, Ethnopharmacology, And Phytochemistry Of Medicinal Plants Used For Treating Human Diarrheal Cases In Rwanda: A Review, Gahamanyi Noel, Emmanuel Munyaneza, Emmanuel Dukuzimana, Naasson Tuyiringire, Cheol-Ho Pan, Erick V. G Komba

All Rsif Scholars' Publications

Diarrhea, often caused by microorganisms, has been associated with high morbidity and mortality in Africa. Increased rates of antimicrobial-resistant pathogens have reignited the quest for alternative therapies. This review aimed at identifying medicinal plants used in the treatment of human diarrheal cases in Rwanda and analyzing their ethnobotany, ethnopharmacology, and phytochemistry. We searched PubMed/Medline, Google Scholar, ScienceDirect, and the Web of Science for published articles on medicinal plants used to treat diarrhea in Rwanda. Additionally, specialized herbarium documents of different institutes were reviewed. Articles were assessed for relevance, quality, and taxonomical accuracy before being included in this review. Overall, 63 …

Intellectual Property As A Determinant Of Health, Ana S. Rutschman

Vanderbilt Journal of Transnational Law

Public health literature has long recognized the existence of determinants of health, a set of socioeconomic conditions that affect health risks and health outcomes across the world. The World Health Organization defines these determinants as “forces and systems” consisting of “factors combin[ing] together to affect the health of individuals and communities.” Frameworks relying on determinants of health have been widely adopted by countries in the global South and North alike, as well as international institutional players, several of which are direct or indirect players in transnational intellectual property (IP) policymaking. Issues raised by the implementation of IP policies, however, are …