Digital Commons Network^™

Outcomes Among Heart Failure Patients Hospitalized For Acute Pulmonary Embolism And Covid-19 Infection: Insight From The National Inpatient Sample, Bruce Adrian Casipit, Sahana Tito, Isaac Ogunmola, Abiodun Idowu, Shivaraj Patil, Kevin Lo, Behnam Bozorgnia

Einstein Health Papers

There is paucity of data regarding the outcomes of hospitalized acute pulmonary embolism (PE) patients with heart failure (HF) and Coronavirus Disease 2019 (COVID-19) infection. We utilized the 2020 National Inpatient Sample (NIS) Database in conducting a retrospective cohort study to investigate the outcomes of hospitalized acute PE patients with HF and COVID-19, looking at its impact on in-hospital mortality, thrombolysis, and thrombectomy utilization as well as hospital length of stay (LOS). A total of 23,413 hospitalized acute PE patients with HF were identified in our study, of which 1.26% (n = 295/23,413) had COVID-19 infection. Utilizing a stepwise survey …

The Effect Of Bisphenol A (Bpa) Substitutes On Cd4+ T Cell Immunity, Cassandra Poole

Longwood Senior Theses

CD4+ helper T cells are an important cell of the immune system. One key factor in the mediation of the immune system in general, and T cells in particular, is the female sex hormone estrogen. Abnormal estrogen levels are associated with a variety of conditions, including autoimmune diseases, and several types of cancer, including breast cancer. BPA is a well-known estrogen mimicking compound, used in the manufacturing of plastics, epoxy resins, and polystyrenes. As the negative effects of BPA become more apparent, many BPA substitutes have been developed. While the effect of estrogen on T cells is understood, the effect …

Insights Into Accuracy Of Social Scientists' Forecasts Of Societal Change, Igor Grossma, Andree Hartanto, Nadyanna M. Majeed, Et Al See Comments For Full List Of Authors

Research Collection School of Social Sciences

How well can social scientists predict societal change, and what processes underlie their predictions? To answer these questions, we ran two forecasting tournaments testing accuracy of predictions of societal change in domains commonly studied in the social sciences: ideological preferences, political polarization, life satisfaction, sentiment on social media, and gender-career and racial bias. Following provision of historical trend data on the domain, social scientists submitted pre-registered monthly forecasts for a year (Tournament 1; N=86 teams/359 forecasts), with an opportunity to update forecasts based on new data six months later (Tournament 2; N=120 teams/546 forecasts). Benchmarking forecasting accuracy revealed that social …

Effect Of Covid-19 The Liver Function Test, Plasma D-Dimer, Serum Ferritin And Renal On Function Test (Urea And Creatinine), Zainab Abdul Ameer, Manal Rasheed

Iraqi Postgraduate Medical Journal

BACKGROUND: The assessment of the level of some biochemical parameters (liver function test, renal function test, serum ferritin and plasma D-dimer) revealed that the Covid-19 infection affected the level of them. The study aimed to demonstrate the biochemical changes of liver and renal functions tests, serum ferritin and plasma D-dimer in Iraqi patients with Covid-19 disease.PATIENTS AND METHODS: A retrospective cross sectional study conducted in Isolation centers for Covid-19 patients in Baghdad and AL-Najaf AL-Ashraf Governorate from July 2020 to February 2021. Forty five males and 76 females were included in this study. The exclusion criteria were patients below eighteen …

Potentiation Of The Immune Checkpoint Blockade Response By Metabolic Modulation Is Predictable Using Molecular Imaging, Renee L. Chin

Dissertations and Theses (Open Access)

Unregulated cell division is a hallmark of cancer. The high metabolic needs of the tumor cells result in nutrient depletion and produce a hostile tumor microenvironment (TME) for antitumor immune cells, protecting the tumor from immune cell-mediated control and immunotherapy. Two of these environmental factors, acidosis and hypoxia, are commonly found in solid cancers. In my thesis, I posited that modulation of tumor acidosis and hypoxia can serve as biomarkers by indicating immunogenicity and tumor sensitivity to immune checkpoint blockade (ICB) as monitored using molecular imaging. Esomeprazole was found to promote tumor immunogenicity and induce tumor control when used to …

Blueprints For Well-Being Modeling The Way Through Human-Centered Leadership And Pathway To Excellence, Lucy Leclerc, Christine Pabico

Group: American Nurses Credentialing Center (ANCC)

As the ground in healthcare continues to shift beneath our feet, we can now confidently describe the world we live in as peripandemic. Not quite pandemic and not quite postpandemic. Assuredly, the ship of hope that we'd return to a "normal" prepandemic state has sailed. Persistent workforce turbulence alongside persistent high-acuity and high-volume patients has created what one nurse leader describes as "the eye of the hurricane that never moves on."

Adapting Private Law For Climate Change Adaptation, Jim Rossi, J. B. Ruhl

Vanderbilt Law School Faculty Publications

The private law of torts, property, and contracts will and should play an important role in resolving disputes regarding how private individuals and entities respond to and manage the harms of climate change that cannot be avoided through mitigation (known in climate change policy dialogue as “adaptation”). While adaptation is commonly presented as a problem needing legislative solutions, this Article presents a novel and overdue case for private law to take climate adaptation seriously.

To date, the role of private law is a significant blind spot in scholarly discussions of climate adaptation. Litigation invoking common-law doctrines in climate adaption disputes …

Smart Wearables: The Overlooked And Underrated Essential Worker, Rebekah Hill

William & Mary Law Review

This Note argues that the FDA should revamp its criteria for regulating medical devices to unambiguously include smart wearables. Specifically, this Note calls for the FDA to amend its definition of “medical device” to focus on what a device is technologically capable of rather than its intended use.

Part I will examine the established legislation regarding medical devices; in particular, it will examine the relationship between FDA regulations and the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule and argue that when taken together, HIPAA creates a strong presumption that smart wearables should be regulated by the FDA. This …

Hiv Prevalence And Characteristics Among Patients With Aids-Defining And Non–Aids-Defining Cancers In A Tertiary Hospital In Kenya, Diana Muturi, Sitna Mwanzi, Felix Riunga, Jasmit Shah, Reena Shah

Internal Medicine, East Africa

Purpose: Antiretroviral therapy (ART) has resulted in a higher life expectancy of persons living with HIV. This has led to an aging population at risk for both non–AIDS-defining cancers (NADCs) and AIDS-defining cancers (ADCs). HIV testing among patients with cancer in Kenya is not routinely performed, making its prevalence undefined. The aim of our study was to determine the prevalence of HIV and the spectrum of malignancies among HIV-positive and HIV-negative patients with cancer attending a tertiary hospital in Nairobi, Kenya.

Materials and Methods: We conducted a cross-sectional study between February 2021 and September 2021. Patients with a …

A Randomized Clinical Trial Of Transgender Women Switching To B/F/Taf: The (Mo)Betta Trial, Jordan E Lake, Ana N Hyatt, Han Feng, Paula Debroy, Aaren Kettelhut, Hongyu Miao, Liming Peng, Shalender Bhasin, Susan Bell, Nahid Rianon, Todd T Brown, Nicholas T Funderburg

Faculty, Staff and Student Publications

Background: Cardiometabolic disease in transgender women (TW) is affected by gender-affirming hormonal therapies (GAHTs), HIV, and antiretroviral therapy (ART). We evaluated the 48-week safety/tolerability of switching to bictegravir/emtricitabine/tenofovir alafenamide (B/F/TAF) vs continued ART in TW on GAHT.

Methods: TW on GAHT and suppressive ART were randomized 1:1 to switch to B/F/TAF (Arm A) or continue current ART (Arm B). Cardiometabolic biomarkers, sex hormones, bone mineral density (BMD) and lean/fat mass by DXA scan, and hepatic fat (controlled continuation parameter [CAP]) were measured. Wilcoxon rank-sum/signed-rank and χ2 tests compared continuous and categorical variables.

Results: TW (Arm A n = 12, Arm …

Oral Health Considerations For Aging Patients Living With Hiv/Aids, Madeleine Daily Dds, Susan Liu Dds, Yuna Park Dds, Mph, Ms, Emily Byington Msw, Ivette Estrada Ma, Mphil, Sunil Wadhwa Dds, Carol Kunzel Phd

The New York State Dental Journal

People living with HIV/AIDS (PLWH) have an increased life expectancy due to advances in antiretroviral therapy. In 1996, the life expectancy for a 20-year old living with HIV was 39-years old; today, it is >70-years old. As life expectancy increases, PLWH are burdened with age-associated comorbidities. This paper reviews the interaction between aging and HIV and how it affects social, physical, and oral health issues. The shift in demographics presents new challenges for clinicians in how to identify, address, and manage these complex manifestations. This review summarizes how to approach HIV-related changes when providing care as a dental clinician.

Reckoning With “Corporeal And Mental Disabilities”: The Bureaucracy Of Immigrant Disease Management In Early-To-Mid Nineteenth Century America, Vivek K. Rallabandi

Student Publications

This paper explores how the American bureaucratic apparatus during the early-to-mid nineteenth century dealt with immigrants who carried risks of physical and mental illness. Though previous studies have discretely dealt with physical and mental illnesses that immigrants during this period carried, this paper takes an integrated approach, arguing that these two elements should be viewed in conjunction with one another.

Interdisciplinary Amputee Care From Injury To Independence: Medical, Occupational Therapy, And Prosthetic Intervention, Amanda Fox

Capstone Projects

During my doctoral capstone experience, I focused on advanced clinical practice of hand therapy and treatment of upper extremity amputees. I had the opportunity to observe and collaborate with surgeons and prosthetists to gain an improved understanding of my patients’ multi-disciplinary care. I assisted in teaching three upper extremity courses for WMU’s OTD program. I also evaluated and treated my site’s entire amputee caseload in addition to my site mentor’s more complex cases. Utilizing what I learned, I created educational resources and HEPs specifically geared toward amputees. Theses resources were supplied throughout the patient’s POC as needed and at my …

Wernicke's Encephalopathy: Mapping The Risk Factors Throughout The State Of South Carolina, Shannon M. Rychener

Senior Theses

Wernicke’s Encephalopathy is a consistently underrecognized neurodegenerative brain disorder resulting from prolonged thiamine deficiency. Clinical presentation of the disease results from brain lesions attributable to thiamine deficiency. Because these lesions occur in various locations in the cerebral cortex, symptoms can vary significantly. Varied presentation of symptoms, in addition to the lack of a widely accepted biomarker for the disorder cause challenges to clinicians when identifying and diagnosing the disorder. Due to these challenges, healthcare providers must heavily rely on patient history and risk factor prevalence when multiple symptoms of the disorder are present. By mapping the prevalence of the four …

From Nafta To The Usmca: How Does Protectionist American Economic Policy Impact Mexico’S Foreign Car Production?, Samantha Raeder

Honors Capstones

No abstract provided.

Sars-Cov-2 Restructures Host Chromatin Architecture, Ruoyu Wang, Joo-Hyung Lee, Jieun Kim, Feng Xiong, Lana Al Hasani, Yuqiang Shi, Erin N Simpson, Xiaoyu Zhu, Yi-Ting Chen, Pooja Shivshankar, Joanna Krakowiak, Yanyu Wang, David M Gilbert, Xiaoyi Yuan, Holger K Eltzschig, Wenbo Li

Faculty, Staff and Student Publications

Some viruses restructure host chromatin, influencing gene expression, with implications for disease outcome. Whether this occurs for SARS-CoV-2, the virus causing COVID-19, is largely unknown. Here we characterized the 3D genome and epigenome of human cells after SARS-CoV-2 infection, finding widespread host chromatin restructuring that features widespread compartment A weakening, A-B mixing, reduced intra-TAD contacts and decreased H3K27ac euchromatin modification levels. Such changes were not found following common-cold-virus HCoV-OC43 infection. Intriguingly, the cohesin complex was notably depleted from intra-TAD regions, indicating that SARS-CoV-2 disrupts cohesin loop extrusion. These altered 3D genome/epigenome structures correlated with transcriptional suppression of interferon response genes …

Public Cleanliness Satisfaction Survey 2022, Paulin Straughan, Mathews Mathew

Research Collection School of Social Sciences

The Singapore Management University undertook the fifth wave of the Public Cleanliness Satisfaction Survey (PCSS) with 2,020 Singapore residents providing responses to the survey from July to October 2022, amidst the COVID-19 pandemic.

The 2022 wave of the PCSS continued to reflect an overall satisfaction with public cleanliness in Singapore, similar to the last PCSS in 2021. Majority of survey respondents (92%) were satisfied with the cleanliness of public spaces that they had recently visited, with no change from 2021. Satisfaction with the cleanliness of food outlets saw the largest decrease (by 2.1%) among all location types, to 82.7%. Nevertheless, …

Disgust Sensitivity Relates To Attitudes Toward Gay Men And Lesbian Women Across 31 Nations, F. Van Leeuwen, Y. Inbar, M. B. Petersen, L. Aaroe, P. Barclay, F. K. Barlow, M. De Barra, D. V. Becker, L. Borovoi, J. Choi, N. S. Consedine, J. R. Conway, P. Conway, V. C. Adoric, Li, Norman P.

Research Collection School of Social Sciences

Previous work has reported a relation between pathogen-avoidance motivations and prejudice toward various social groups, including gay men and lesbian women. It is currently unknown whether this association is present across cultures, or specific to North America. Analyses of survey data from adult heterosexuals (N = 11,200) from 31 countries showed a small relation between pathogen disgust sensitivity (an individual-difference measure of pathogen-avoidance motivations) and measures of antigay attitudes. Analyses also showed that pathogen disgust sensitivity relates not only to antipathy toward gay men and lesbians, but also to negativity toward other groups, in particular those associated with violations of …

Pathogen Risk Assessment On Arabian Felines In The United Arab Emirates, Laia Montserrat Stefano

Dissertations

The Arabian Peninsula has been known to harbour five species of felines, namely leopards (Panthera pardus), cheetahs (Acinonyx jubatus), caracals (Caracal caracal), sand cats (Felis margarita), and wildcats (Felis silvestris). Currently, their situation in the wild is critical in the region and ex situ breeding efforts are the greatest hope to restore their populations. However, these efforts need to go hand-in-hand with focus on their health, since pathogens are known to be a serious threat to animals under managed care. Globally, the potential pathogens of these five species include viruses, …

A Multi-Species Simulation Of Mosquito Disease Vector Development In Temperate Australian Tidal Wetlands Using Publicly Available Data, Kerry Staples, Steven Richardson, Peter J. Neville, Jacques Oosthuizen

Research outputs 2022 to 2026

Worldwide, mosquito monitoring and control programs consume large amounts of resources in the effort to minimise mosquito-borne disease incidence. On-site larval monitoring is highly effective but time consuming. A number of mechanistic models of mosquito development have been developed to reduce the reliance on larval monitoring, but none for Ross River virus, the most commonly occurring mosquito-borne disease in Australia. This research modifies existing mechanistic models for malaria vectors and applies it to a wetland field site in Southwest, Western Australia. Environmental monitoring data were applied to an enzyme kinetic model of larval mosquito development to simulate timing of adult …

Covid-19 Is Not All Bad News: Negative And Surprisingly Positive Reports From College Stem Students And Implications For Stem Instruction, Yuchen Jiang, Boyan Ma, Zimo Ma, Pamela M. Propsom, Zaheen Rashed '24, Rudrayani Upadhyay, Zichen Zhao

Student Research

The negative educational consequences of COVID-19 are well documented. Much less investigated have been any potential positive outcomes of the pandemic. We surveyed 392 students at one college querying why they continue studying STEM or leave the STEM disciplines and about the effects of COVID-19 on their education. STEM students may have been especially impacted by pandemic-imposed remote instruction given STEM’s reliance on hands-on laboratory experiences. Because the literature indicates that people of color and those from lower socioeconomic groups were more negatively affected by COVID-19, we hypothesized that students from these groups would report greater adverse educational consequences of …

Corticosteroids Increase The Risk Of Invasive Fungal Infections More Than Tumor Necrosis Factor-Alpha Inhibitors In Patients With Inflammatory Bowel Disease, Martin H Gregory, Andrej Spec, Dustin Stwalley, Anas Gremida, Carlos Mejia-Chew, Katelin B Nickel, Matthew A Ciorba, Richard P Rood, Margaret A Olsen, Parakkal Deepak

2020-Current year OA Pubs

BACKGROUND: Invasive fungal infections are a devastating complication of inflammatory bowel disease (IBD) treatment. We aimed to determine the incidence of fungal infections in IBD patients and examine the risk with tumor necrosis factor-alpha inhibitors (anti-TNF) compared with corticosteroids.

METHODS: In a retrospective cohort study using the IBM MarketScan Commercial Database we identified US patients with IBD and at least 6 months enrollment from 2006 to 2018. The primary outcome was a composite of invasive fungal infections, identified by ICD-9/10-CM codes plus antifungal treatment. Tuberculosis (TB) infections were a secondary outcome, with infections presented as cases/100 000 person-years (PY). A …

The Who Aware (Access, Watch, Reserve) Antibiotic Book And Prevention Of Antimicrobial Resistance, Veronica Zanichelli, Michael Sharland, Bernadette Cappello, Lorenzo Moja, Haileyesus Getahun, Carmem Pessoa-Silva, Hatim Sati, Catharina Van Weezenbeek, Hanan Balkhy, Mariângela Simão, Sumanth Gandra, Benedikt Huttner

2020-Current year OA Pubs

Guidance on the appropriate use of antibiotics for common infections is lacking in many settings. The World Health Organization (WHO) has recently released

Failure Of Early Mycological Clearance In Hiv-Negative Cryptococcal Meningitis, Zhihui Su, Chongliang Luo, Kai Dai, Dasen Yuan, Bang-E Qin, Meifeng Gu, Junyu Liu, Yong Chen, Fuhua Peng, Ying Jiang

2020-Current year OA Pubs

BACKGROUND: Negative cerebrospinal fluid (CSF) cultures at 2 weeks after antifungal treatment (early mycological clearance [EMC]) should be a treatment goal of cryptococcal meningitis (CM). However, EMC in human immunodeficiency virus (HIV)-negative patients with CM is poorly understood.

METHODS: We conducted a retrospective review of medical records and 1-year follow-up of 141 HIV-negative patients with CM with an initial positive CSF culture for

RESULTS: Of 141 patients, 28 (19.9%) had EMC failure. The 1-year mortality rate was 5.7% (8/141). Multivariate analysis showed that non-amphotericin B (AmB)-based regimens, baseline log

CONCLUSIONS: EMC failure in HIV-negative CM is attributed to non-AmB-based therapy …

Utilizing The System Engineering Trade Study Analysis Method To Analyze Patient Aeromedical Evacuation, Sara Shaghaghi, Jeremy M. Slagley, Michael E. Miller, Gaiven Varshney

Faculty Publications

The US Air Force has gone through many aeromedical patient isolation transport system designs. The first designs were developed in response to the Ebola outbreak in 2014 and, more recently, the COVID-19 pandemic. The trade study analysis part of the system engineering design method was used to analyze the historic and current aeromedical patient contamination control transport systems. A trade study is a process that evaluates alternatives based upon various “-ilities”, such as reconfigurability, flexibility, durability, cost, and more, and performs a systematic analysis to aid designers in producing a ‘good’ design alternative given the large set of possible solutions. …

Characterization And Genomic Analysis Of Two Escherichia Coli O157:H7 Bacteriophages Isolated From Pigeons, Mohamad I. Alolama

Dissertations

Enterohemorrhagic Escherichia coli, also known as EHEC, is a subset of Shiga toxin-producing E. coli (STEC), and it has recently been identified as one of the principal foodborne pathogens. E. coli O157:H7 is the most important serotype of STEC for its role in causing foodborne illnesses. E. coli O157:H7 could cause various gastroenteritis symptoms such as diarrhea, hemolytic uremic syndrome, hemorrhagic colitis, and thrombotic thrombocytopenic purpura and may cause death. Elimination of E. coli O157:H7 during food processing and storage is a possible solution. Bacteriophages have a significant impact on bacterial populations in nature due to their ability to …

A Survey Of South Carolina Pharmacists' Readiness To Prescribe Human Immunodeficiency Virus Pre-Exposure Prophylaxis, Charles M. Burns, Kyle Endres, Caroline Derrick, Alexandra Cooper, Patricia Fabel, Nwora Lance Okeke, Divya Ahuja, Amy Corneli, Mehri S. Mckellar

Faculty Publications

Introduction: Human immunodeficiency virus (HIV) pre-exposure prophylaxis (PrEP) is largely underutilized in the Southern United States. Given their community presence, pharmacists are well positioned to provide PrEP within rural, Southern regions. However, pharmacists' readiness to prescribe PrEP in these communities remains unknown. Objective: To determine the perceived feasibility and acceptability of prescribing PrEP by pharmacists in South Carolina (SC). Methods: We distributed a 43-question online descriptive survey through the University of South Carolina Kennedy Pharmacy Innovation Center's listserv of licensed SC pharmacists. We assessed pharmacists' comfort, knowledge, and readiness to provide PrEP. Results: A total of 150 pharmacists responded to …

Pathogen Genomes As Global Public Goods (And Why They Should Not Be Patented), Jorge L. Contreras

Utah Law Faculty Scholarship

During past viral outbreaks, researchers rushed to patent genomic sequences of the viruses as they were discovered, leading to disputes and delays in research coordination. Yet similar disputes did not occur with respect to the genomic sequence of SARS-CoV-2, the virus responsible for COVID-19. With respect to COVID-19, global research collaboration occurred rapidly, leading to the identification of new variants, the ability to track the spread of the disease, and the development of vaccines and therapeutics in record time. The lack of patenting of SARS-CoV-2 is likely due the U.S. Supreme Court’s 2013 ruling in Association for Molecular Pathology v. …

Letter To The Editor: Quality Criteria For Computational Models Predicting Individual Outcomes In Car-T Cell Therapy, Anna M Mc Laughlin, Cassian Yee

Faculty, Staff and Student Publications

No abstract provided.

In Vitro Activity Of Eravacycline And Comparator Agents Against Bacterial Pathogens Isolated From Patients With Cancer, Kenneth Rolston, Bahgat Gerges, Lior Nesher, Samuel A Shelburne, Randall Prince, Issam Raad

Faculty, Staff and Student Publications

BACKGROUND: Bacterial infections are common in patients with cancer, and many bacteria have developed resistance to currently used antibiotics.

OBJECTIVES: We evaluated the

METHODS: Antimicrobial susceptibility testing was performed using CLSI-approved methodology and interpretive criteria for 255 Gram-positive and 310 Gram-negative bacteria. MIC and susceptibility percentage were calculated according to CLSI and FDA breakpoints when available.

RESULTS: Eravacycline had potent activity against most Gram-positive bacteria, including MRSA. Of 80 Gram-positive isolates with available breakpoints, 74 (92.5%) were susceptible to eravacycline. Eravacycline had potent activity against most Enterobacterales, including ESBL-producing organisms. Of 230 Gram-negative isolates with available breakpoints, 201 (87.4%) were …