Digital Commons Network^™

Comorbid Patterns In The Homeless Population: A Theoretical Model To Enhance Patient Care, Kanwalgeet Hans, Luke Mike, Robert Heidel, Paula Benavides, Robert Arnce, Jan Talley

Faculty and Staff Publications

Introduction:

From the perspective of social determinants, homelessness perpetuates poor health and creates barriers to effective chronic disease management, necessitating frequent use of emergency department (ED) services. In this study we developed a screening algorithm (checklist) from common comorbidities observed in the homeless population in the United States. The result was a theoretical screening tool (checklist) to aid healthcare workers in the ED, including residents, medical students, and other trainees, to provide more efficacious treatment and referrals for discharge.

Methods:

In this retrospective cohort study we used the Nationwide Emergency Department Sample (NEDS) to investigate comorbidities and ED utilization patterns …

Kaposiform Lymphangiomatosis Presenting With A Group A Streptococcus Pericardial Effusion

Faculty, Staff and Student Publications

A 4-year-old child was transferred to the paediatric intensive care unit with acute respiratory failure following 4 days of fever, nausea and vomiting. Chest X-ray on admission had an enlarged cardiac silhouette and transthoracic echo confirmed a large pericardial effusion. An emergent pericardiocentesis was performed at bedside which drained nearly 1000 mL of purulent fluid. Postdrainage course was complicated by acute systolic and diastolic heart failure, thrombocytopenia and acute renal failure. A chest CT and MRI were concerning for a diffuse mediastinal soft-tissue density, so the patient underwent interventional radiology-guided biopsy complicated by haemorrhage requiring mediastinal exploration and subtotal thymectomy. …

Clostridioides Difficile Infection And One Health: An Equine Perspective, Natasza M. R. Hain-Saunders, Daniel R. Knight, Mieghan Bruce, Thomas V. Riley

Research outputs 2022 to 2026

Clostridioides (Clostridium) difficile presents a significant health risk to humans and animals. The complexity of the bacterial–host interaction affecting pathogenesis and disease development creates an ongoing challenge for epidemiological studies, control strategies and prevention planning. The recent emergence of human disease caused by strains of C. difficile found in animals adds to mounting evidence that C. difficile infection (CDI) may be a zoonosis. In equine populations, C. difficile is a known cause of diarrhoea and gastrointestinal inflammation, with considerable mortality and morbidity. This has a significant impact on both the well-being of the animal and, in the case of performance …

Exploring And Evaluating The Impact Of Covid-19 On Mobility Changes In Singapore, Aldy Gunawan, Linh Chi Tran, Kar Way Tan, I-Lin Wang

Research Collection School Of Computing and Information Systems

This paper analyzes the changes in mobility trends due to the impact of the COVID-19 pandemic in Singapore in the six different sectors: Retail and Recreation, Grocery and Pharmacy, Parks, Transit Stations, Workplaces and Residential. The period of observation is from 15 February 2020 to 18 August 2021. The observed patterns obtained from the descriptive data analysis sheds light on the effectiveness of social distancing measures in Singapore as well as the level of compliance among the country’s residents. Correlation analysis is used to explore the relationship between different sectors during the pandemic period. The results reveal a strong sense …

Towards Efficient Annotations For A Human-Ai Collaborative, Clinical Decision Support System: A Case Study On Physical Stroke Rehabilitation Assessment, Min Hun Lee, Daniel P. Siewiorek, Asim Smailagic, Alexandre Bernardino, Sergi Bermúdez I Badia

Research Collection School Of Computing and Information Systems

Artificial intelligence (AI) and machine learning (ML) algorithms are increasingly being explored to support various decision-making tasks in health (e.g. rehabilitation assessment). However, the development of such AI/ML-based decision support systems is challenging due to the expensive process to collect an annotated dataset. In this paper, we describe the development process of a human-AI collaborative, clinical decision support system that augments an ML model with a rule-based (RB) model from domain experts. We conducted its empirical evaluation in the context of assessing physical stroke rehabilitation with the dataset of three exercises from 15 post-stroke survivors and therapists. Our results bring …

On The Test Accuracy And Effective Control Of The Covid-19 Pandemic: A Case Study In Singapore, Guang Cheng, Sarah Yini Gao, Yancheng Yuan, Chenxiao Zhang, Zhichao Zheng

Research Collection Lee Kong Chian School Of Business

This study examines the impact of coronavirus disease 2019 (COVID-19) test accuracy (i.e., sensitivity and specificity) on the progression of the pandemic under two scenarios of limited and unlimited test capacity. We extend the classic susceptible–exposed–infectious–recovered model to incorporate test accuracy and compare the progression of the pandemic under various sensitivities and specificities. We find that high-sensitivity tests effectively reduce the total number of infections only with sufficient testing capacity. Nevertheless, with limited test capacity and a relatively high cross-infection rate, the total number of infected cases may increase when sensitivity is above a certain threshold. Despite the potential for …

Wifitrace: Network-Based Contact Tracing For Infectious Diseases Using Passive Wifi Sensing, Amee Trivedi, Camellia Zakaria, Rajesh Krishna Balan, Ann Becker, George Corey, Prashant Shenoy

Research Collection School Of Computing and Information Systems

Contact tracing is a well-established and effective approach for the containment of the spread of infectious diseases. While Bluetooth-based contact tracing method using phones has become popular recently, these approaches suffer from the need for a critical mass adoption to be effective. In this paper, we present WiFiTrace, a network-centric approach for contact tracing that relies on passive WiFi sensing with no client-side involvement. Our approach exploits WiFi network logs gathered by enterprise networks for performance and security monitoring, and utilizes them for reconstructing device trajectories for contact tracing. Our approach is specifically designed to enhance the efficacy of traditional …

The Rider (2022-02-28), Verilu Infante

The Rider Archives

Vol.7 No.21

P2p Accommodation Motivators And Repurchase Intention: A Comparison Of Indirect And Total Effects Before And During The Covid-19 Pandemic, Cass Shum, Billy Bai, Mehmet Erdem

Hospitality Faculty Research

Despite increased research attention on guests’ motivators to use peer-to-peer (P2P) accommodation, such as Airbnb, it remains unclear which motivators have the strongest effect on repurchase intention; and how the COVID-19 pandemic changes the effects of motivators. By conducting two U.S.-based studies before and during the COVID-19 pandemic, this study tested and compared the indirect and total effects of 13 motivators on repurchase intention on the P2P accommodation platforms via satisfaction. Functional motivators increased repurchase intention via satisfaction before and during the pandemic. Neighborhood – a location-based functional motivator – consistently had the strongest total effects on repurchase intention. COVID-anxiety …

Implementation Of An Antibiotic Stewardship Program In Long-Term Care Facilities Across The Us, Robin L.P. Jump

Faculty Scholarship

Importance: Antibiotic overuse in long-term care (LTC) is common, prompting calls for antibiotic stewardship programs (ASPs) designed for specific use in these settings. The optimal approach to establish robust, sustainable ASPs in LTC facilities is unknown. Objectives: To determine if the Agency for Healthcare Research and Quality (AHRQ) Safety Program for Improving Antibiotic Use, an educational initiative to establish ASPs focusing on patient safety, is associated with reductions in antibiotic use in LTC settings. Design, Setting, and Participants: This quality improvement study including 439 LTC facilities in the US assessed antibiotic therapy data following a pragmatic quality-improvement program, which was …

Modeling Through, Ryan Calo

Duke Law Journal

Theorists of justice have long imagined a decision-maker capable of acting wisely in every circumstance. Policymakers seldom live up to this ideal. They face well-understood limits, including an inability to anticipate the societal impacts of state intervention along a range of dimensions and values. Policymakers see around corners or address societal problems at their roots. When it comes to regulation and policy-setting, policymakers are often forced, in the memorable words of political economist Charles Lindblom, to “muddle through” as best they can.

Powerful new affordances, from supercomputing to artificial intelligence, have arisen in the decades since Lindblom’s 1959 article that …

Punishment Clauses: Amending United States Constitutions To Pursue “Complete Abolition”, Sydney Osterweil-Artson

Cardozo International & Comparative Law Review (CICLR) Blog

The Universal Declaration of Human Rights (“UDHR”) proclaims, “No one shall be held in slavery or servitude; slavery and the slave trade shall be prohibited in all their forms.” Though not legally binding, the document denotes international principles of fundamental human rights. The United States Constitution fails to enshrine the UDHR’s categorical denunciation of slavery and servitude, with the Thirteenth Amendment reading: “Neither slavery nor involuntary servitude, except as a punishment for crime whereof the party shall have been duly convicted, shall exist within the United States, or any place subject to their jurisdiction.”

This post was originally published on …

Psychosocial Impact Of Covid-19 On Healthcare Workers: A Cross-Sectional Survey From Pakistan, Syed M. Ali, Sidrah Nausheen

Sultan Qaboos University Medical Journal

Objectives: This study aimed to assess the anxiety and depression symptoms in healthcare professionals in Pakistan as a result of the coronavirus pandemic. Methods: This cross-sectional study was conducted from May to June 2020 and included six different hospitals in Pakistan. An English-language demographics questionnaire, a validated COVID-19 fear scale, depression scale PHQ-9 and anxiety scale GAD-7 were sent to doctors, nurses and paramedical staff via WhatsApp. Data were analysed using descriptive statistics, Chi-square test and Student’s t-test. Results: A total of 400 participants were included in this study (response rate: 80.0%); 263 (65.8%) were doctors and 137 (34.3%) were …

Severe Pneumonitis In Omani Infants During An In-Hospital Measles Outbreak: A Report Of Three Cases, Samiya Al-Hashmi, Kholoud Al-Mukhaini, Samiuddin Shaikh, Ahmad Elkhamisy, Nuha Al Tahir, Nawal Al Maskari

Sultan Qaboos University Medical Journal

Measles is a highly contagious infectious disease. Despite aggressive national initiatives to eradicate measles, outbreaks have occurred in recent years. We report three infants who presented to a tertiary care hospital in Muscat, Oman, in 2019 with measles and then developed pneumonitis, received intensive care treatment and made full recoveries. Infants can have an atypical presentation and develop severe symptoms. Pneumonitis is a serious complication and the management strategies are controversial. The early detection of measles and isolation of affected individuals play major roles in the elimination of measles outbreaks.

A Rare Case Of Emphysematous Endocarditis Caused By Escherichia Coli, Ahmed S. Al-Dhahli, Rashid S. Al-Umairi, Osama Elkadi

Sultan Qaboos University Medical Journal

Infective endocarditis (IE) is an infection of the heart endocardium with significant morbidity and mortality. Gram negative infection, particularly emphysematous IE, is an extremely rare and life-threatening disease. We report a 59-year-old diabetic female patient who was admitted to a secondary care hospital in Rustaq, Oman, in 2017 with the diagnosis of pneumonia for which she was started on antibiotics. Shortly afterwards, she developed facial and mouth deviation and became more tachypneic. Computed tomography of the brain demonstrated bilateral multiple small infarcts. Pulmonary angiography computed tomography was performed which ruled out pulmonary embolism. Nonetheless, it revealed an air-containing lesion around …

Effectiveness Of Using Information, Education, And Communication Flowchart Media In Implementation Of Early Breastfeeding Initiation, Rizna Notarianti, Sandra Fikawati, Alifani Faiz Faradhila

Kesmas

Early initiation of breastfeeding (EIB) has many benefits for both the baby and the mother. However, in Bogor City, there are still many babies who do not get EIB when they are born (33.6%). The implementation of EIB is not optimal due to the absence of standard procedures to equalize its theory and perception. This study aimed to investigate the effectiveness of using Information, Education, and Communication (IEC) flowchart media concerning the standard procedure for EIB implementation in the Primary Health Care (PHC) in Bogor City. A quasi-experimental research was conducted on 58 midwives divided into the intervention and control …

Public Perception And Obedience With Social Distancing Policies During The Covid-19 Pandemic In Jakarta, Indonesia, Widyamurti Widyamurti, Edwina Bernita Sitorus, Dewi Susanna, Bambang Wispriyono, Aria Kusuma, Renti Mahkota

Kesmas

The Indonesian Government established a social distancing policy to prevent COVID-19 transmission. However, this implementation will be ineffective without the compliance of the people. This study aimed to analyze the relationship between public perception and obedience with social distancing in terms of the variables based on the Health Belief Model. This study used a cross-sectional design with a population of Daerah Khusus Ibukota (DKI) Jakarta’s indigenes within the productive age of 15-64 years. The sample comprised 408 participants, with the independent variables of sociodemographics (age, gender, occupation, and education) and health beliefs (perceived susceptibility, severity, benefits, barriers, and self-efficacy). Meanwhile, …

Endangered Sustainable Innovation: Indigenous Milk Hygiene And Preservation Techniques By Maasai Too Valuable To Lose, J. Y. Laffa, C. R. Mcculloch, D. Schoder

IGC Proceedings (1977-2023)

The indigenous Parakuyo Maasai communities of Tanzania are traditional pastoralists who depend on fresh cow’s milk as a staple food. However, the arid climate and a lack of clean water challenge milk production and conventional milk hygiene practices.

By conducting informational interviews in eight Parakuyo Maasai regions and 13 districts of Tanzania we sought to identify the key indigenous plants preferred and establish their traditional manner of use. A semi-structured questionnaire was designed to: (i) determine the plants used, (ii) the parts used, (iii) methods of preparation and utensil smoking, (iv) therapeutic applications and associated health benefits of these plants, …

Covid-19 And Rural Food Security: A Case Study Of Sheshegu In Eastern Cape Province, South Africa, Xolisile Gideon Ngumbela

African Social Science Review

This study is an attempt to determine COVID-19's impact on household food safety. The study adopted a case study approach, and Sheshegu location was chosen as the research area for the Amathole District of the South African Eastern Cape Province. Data collection was done in multiple households with the help of a semi-structured questionnaire, as well as collecting information from secondary sources. The study focused on the notion of food security as a theoretical basis for the analysis, which was primarily a cross-case analysis. This study does not address the analysis of individual cases; however, individual cases are provided as …

Carbapenemase-Producing Pseudomonas Aeruginosa – An Emerging Challenge, Fred C. Tenover, David P. Nicolau, Christian M. Gill

Biology Faculty Publications

Carbapenem-resistant Pseudomonas aeruginosa (CR-PA) is a major healthcare-associated pathogen worldwide. In the United States, 10–30% of P. aeruginosa isolates are carbapenem-resistant, while globally the percentage varies considerably. A subset of carbapenem-resistant P. aeruginosa isolates harbour carbapenemases, although due in part to limited screening for these enzymes in clinical laboratories, the actual percentage is unknown. Carbapenemase-mediated carbapenem resistance in P. aeruginosa is a significant concern as it greatly limits the choice of anti-infective strategies, although detecting carbapenemase-producing P. aeruginosa in the clinical laboratory can be challenging. Such organisms also have been associated with nosocomial spread requiring infection prevention interventions. The carbapenemases …

Variants Associated With Bedaquiline (Bdq) Resistance Identified In Rv0678 And Efflux Pump Genes In Mycobacterium Tuberculosis Isolates From Bdq Naïve Tb Patients In Pakistan, Dania Khalid Saeed, Sadia Shakoor, Safina Abdul Razzak, Zahra Hasan, Saba Faraz Sabzwari, Zahida Azizullah, Akber Kanji, Asghar Nasir, Samreen Shafiq, Najia Karim Ghanchi, Rumina Hasan

Department of Pathology and Laboratory Medicine

Background: Mutations in the Rv0678, pepQ and atpE genes of Mycobacterium tuberculosis (MTB) have been reported to be associated with reduced antimycobacterial susceptibility to bedaquiline (BDQ). Resistance conferring mutations in treatment naïve MTB strains is likely to have implications for BDQ based new drug regimen that aim to shorten treatment duration. We therefore investigated the genetic basis of resistance to BDQ in MTB clinical isolates from BDQ naïve TB patients from Pakistan. In addition, mutations in genes associated with efflux pumps were investigated as an alternate mechanism of resistance.
Methods: Based on convenience sampling, we studied 48 MTB clinical isolates …

An Ngo Input For The Special Rapporteur For The Human Rights Of Migrants To The Office Of The United Nations High Commissioner For Human Rights Report On Human Rights Violations At International Borders: Trends, Prevention, And Accountability, Katherine Kaufka Walts, Sarah J. Diaz, Abigail Mitchell

Center for the Human Rights of Children

The Center for the Human Rights of Children, in collaboration with Kids in Need of Defense (KIND) and the Young Center for Immigrant Children’s Rights (“Young Center”) submits this input in response to the call for submissions made by the Special Rapporteur on the Human Rights of Migrants to inform the forthcoming report to the 50th session of the Human Rights Council regarding the United States’ current border management policies that aim to prevent migration atthe southern border. This input will focus on United States’ push back methods, namely the recently reimplemented Migrant Protection Protocols (MPP) otherwise known as “Remain …

Face Masks And Freedom Of Speech: The Constitutionality Of Illinois Face Mask Mandates Amidst The Covid-19 Pandemic, Israel M. Del Mundo

DePaul Law Review

No abstract provided.

Infusing Covid-19 Into An Undergraduate Parasitology Research Course, Alexa Von Dohlen

SoTL Commons Conference

The COVID-19 pandemic is a global event that has impacted both how and what educators teach. An unexpected outcome of the pandemic was the ability to enhance student understanding of public health through discussion of the novel coronavirus. Course-based undergraduate research experiences (CURE) provide students with authentic research experiences in the framework of an undergraduate course. Here the reconfiguration of the Parasitology Research course as an online CURE is discussed. This course included curriculum focused not only on parasite diagnostics, but also how it relates to diagnosing COVID-19 with the aim of helping students become scientifically prepared citizens.

Medical School Watercooler Newsletter - February 24, 2022, Lindsey Lyle

Watercooler Newsletter

This is the February 24, 2022 edition of the Frederick P. Whiddon College of Medicine's newsletter - Watercooler.

Contents include:

• Faculty Spotlight: Chandrani Sarkar, Ph.D.
• Solidarity Week focuses on compassionate care
• 'Why I became an academic medicine coach'
• Black Pioneers in Medicine: Errol D. Crook, M.D.
• Research from USA scientists suggests ticks may transmit leprosy to people

Recommendations For Infection Control In Congregate Shelters Following A Natural Disaster, Megan Schultz, Blaine Winters

Student Works

Infection control is at the forefront of nurses’ minds, particularly following a natural disaster. Natural disasters often displace people from their homes, requiring them to stay in congregate shelters for a short period of time. The risk of infection is significantly increased in shelters environments. The purpose of this literature review is to determine the appropriate strategies to mitigate the spread of infection in congregate shelters following a natural disaster. Implications for practice are identified.

Helminth Products Modulate Innate Immune Recognition Of Nucleic Acids In Systemic Lupus Erythematosus, Laura B. Dall, Bent Deleuran, Lars Østergaard, Maibritt Mardahl, Paul Denton, Peter Nejsum

Biology Faculty Publications

Aim

Methods

Editorial: Anticancer Potential Of Artemisia Annua, Jill M. Kolesar, Peter H. Seeberger

Pharmacy Practice and Science Faculty Publications

No abstract provided.

Management Of Infective Endocarditis In Pregnancy By A Multidisciplinary Team: A Case Series, Kayle S. Shapero, Varidhi Nauriyal, Christina Megli, Kathryn Berlacher, Sami El-Dalati

Internal Medicine Faculty Publications

Introduction: The incidence of infective endocarditis (IE) in pregnancy is rare and has been increasing during the opioid epidemic. IE in pregnancy is associated with high rates of maternal and fetal morbidity and mortality. Multidisciplinary endocarditis teams for management of IE have been shown to reduce in-hospital and 1-year mortality. We present a single-center experience managing IE in pregnancy utilizing a multidisciplinary endocarditis team.

Methods: Patients diagnosed with IE while pregnant or within 30 days post-partum were identified. All patients discussed at the institution's weekly multidisciplinary endocarditis meeting were included. Demographic and clinical data and outcome-related variables were retrospectively reviewed …

Pandemic, Poverty, And Power: Biosocial Ethics Of Global Solidarity For Health, Stan Chu Ilo Ph.D.

Vincentian Studies

Stan Chu Ilo takes a detailed look at the vulnerabilities of the poor within the context of the COVID-19 pandemic and of global inequities in general, with a special focus on marginalized people in Africa. Because of its impact on the social determinants of health, which are explained, racism has exacerbated the pandemic’s effects. For this reason, Chu Ilo explores different definitions of power. He advocates a biosocial ethical approach to health—one that considers how people’s living conditions and behavior on both the global and individual levels affect health care decision-making and health outcomes. He discusses the need for the …