Digital Commons Network^™

Assessing Spatial Variability In Observed Infectious Disease Spread In A Prospective Time-Space Series, Chih-Chieh Wu, Chien-Hsiun Chen, Shann-Rong Wang, Sanjay Shete

Faculty, Staff and Student Publications

Most of the growing prospective analytic methods in space-time disease surveillance and intended functions of disease surveillance systems focus on earlier detection of disease outbreaks, disease clusters, or increased incidence. The spread of the virus such as SARS-CoV-2 has not been spatially and temporally uniform in an outbreak. With the identification of an infectious disease outbreak, recognizing and evaluating anomalies (excess and decline) of disease incidence spread at the time of occurrence during the course of an outbreak is a logical next step. We propose and formulate a hypergeometric probability model that investigates anomalies of infectious disease incidence spread at …

Religious Festivals In The Age Of ‘Lockdown’ And ‘Social Distancing’: A Comparative Study Of Easter, Eid, Passover, Rama Navami, And Vaisakhi., Irfan Raja, Rev. Ruth Dowson, Abdul Basit Shaikh, Ivan Cohen, Nasser N. Alotaibi

International Journal of Religious Tourism and Pilgrimage

Religious practices can conjure distinctive ideas and images for different groups of people, especially religious festivals, which are signs of congregations, celebrations, and contentment, usually to mark the completion of religious obligations. All major religions celebrate notable festivals to mark important events and religious obligations that bring together followers of that faith. The year 2020 will be remembered as unique in the history of all faiths. As a result of the COVID-19 crisis, governments across the world announced compulsory measures such as ‘social distancing’ and ‘lockdown’ to avoid the spread of Coronavirus. Thus, all major religions either cancelled or reduced …

Leadership In Higher Education Instructional Design, Shihua Brazill, Travis N. Thurston, Pat Munday

Interdisciplinary Arts and Sciences Articles

No abstract provided.

From Paper To Pixels: How Covid-19 Changed Teachers’ Perspectives Toward Technology, Nora Knight

Honors Theses

As schools transitioned to virtual education during the COVID-19 pandemic, teachers faced numerous instructional, technological, and emotional challenges. The purpose of this research study is to explore how K-5 elementary school teachers navigated the transition to remote instruction during all stages of the pandemic. Additionally, it examines teachers’ perspectives on technology integration in their classrooms throughout COVID-19, focusing on their preparedness, confidence, and instructional decision-making as they adapted to online teaching. A mixed-methods survey was distributed to 108 elementary school teachers in Madison County, Kentucky. The results revealed educators’ feelings and experiences with educational technology before, during, and after the …

Multilateral Organizations And Health Emergency Management During Crisis: The Case Study Of The World Health Organization During Covid-19 Pandemic, Aya Helmy Hamada

Theses and Dissertations

Multilateral organizations, such as the World Health Organization (WHO), play a key role in managing health emergencies during crises. During the COVID-19 pandemic, WHO achieved significant progress by supporting countries with technical assistance, guidelines, and essential resources. As well as providing technical guidance, sharing information, and coordinating among member states. This experience highlighted the importance of WHO in tackling global public health problems and showed how multilateral collaboration can help address complex challenges. Moreover, risk and crisis communication proved to be a critical part of WHO’s response, ensuring that clear and timely information reached the public and stakeholders. Despite these …

Scottish Workers’ Stories Of Life And Labour During Covid-19 From The Workers’ Stories Project, Hailey Maxwell, Ruth Gilbert, Suki Sangha, Ewan Gibbs

Studies in Scottish Literature

This article explores how Scottish workers narrated the impact of the COVID-19 pandemic on their life and work, by analysing 55 fifty-five submissions to the Workers' Stories Project. Between 2020 and 2022, the project creative reflections on the pandemic from workers across Scotland, drawing on the tradition of workers' inquiry and workers' education that encouraged critical reflection and the embrace of worker creativity. Submissions were overwhelmingly literary in form, primarily short prose supplemented by poetry, with three key themes emerging: intimacy and alienation; insecurity and status; and a slower living pace. Cumulatively, the stories underline how COVID-19 magnified workplace injustices …

Bridging The Rural Telehealth Divide, Deborah Farringer

Law Faculty Scholarship

This article examines the historical development, regulatory landscape, and post-pandemic future of telehealth in the United States, with a particular focus on its original purpose: improving access to care for rural populations. Although Congress first authorized Medicare reimbursement for telehealth in 1997 to alleviate rural health disparities, federal and state regulatory frameworks—especially restrictions on originating sites, licensure rules, and HIPAA-driven technology requirements—significantly limited adoption for more than two decades. The COVID-19 public health emergency triggered sweeping temporary waivers that removed geographic limitations, permitted the use of common communication technologies, liberalized supervision and prescribing rules, and allowed audio-only encounters. These changes …

Covid's Impact On Our Youngest Learners, Scottie Ellsworth

Journal of the Symposium of University Research and Creative Expression

Project Mentor(s): Amanda Obery, PhD; Wendie Castillo

The COVID-19 pandemic profoundly disrupted education, leaving lasting effects on elementary students’ academic development, particularly in literacy and reading comprehension. This research investigated the long-term educational impacts of the pandemic by drawing on qualitative insights from interviews with five educators across a range of specializations, including general education, interventional support, and multilingual learning. Using inductive thematic analysis and descriptive coding, the study identified key themes that reflected shifts in academic achievement, student behavior, attendance, and school priorities post-pandemic. These findings illuminate critical areas where students require support and outline the structural, instructional, and …

Electronic Device Usage During Covid-19 And Suspected Developmental Delay In Rural Thai Children: A Case-Control Study, Kunnara Maneekunwong, Pimkanabhon Trakooltorwong, Salisa Kodyee, Nathamon Wutthipan, Chompunut Sopajaree, Katemanee Moonpanane

Asia-Pacific Social Science Review

The COVID-19 pandemic has significantly altered the way in which people interact with and use technology, particularly in early childhood. This study investigated the relationship between electronic device usage during the COVID-19 pandemic in rural Thailand and suspected developmental delay (SDD) in early childhood. A case-control study aimed to investigate the relationship between suspected SDD and electronic device usage among children aged 2–5 and their primary caregivers in Chiang Rai province, Thailand. The cases were children with SDD, whereas the controls were children with age-appropriate development. The Developmental Surveillance and Promotion Manual (DSPM) and the Screen Media Exposure (SME) questionnaire …

Understanding Covid-19 Message Fatigue And Reactance In A Post-Crisis Context, Lillian Hamilton Mantel

Dissertations and Theses

The COVID-19 pandemic prompted widespread public health messaging encouraging behaviors such as vaccination, mask-wearing, and staying home when sick. However, persistent exposure to these messages has sometimes produced unintended effects, including message fatigue and psychological reactance. Drawing on psychological reactance theory (PRT) and the integrative model of behavioral prediction (IMBP), this study examines the relationships between message fatigue, psychological reactance, and behavioral intentions toward three COVID-19 preventive behaviors: vaccination, masking, and staying home when sick. A survey of 348 U.S. adults assessed participants' levels of message fatigue, psychological reactance, attitudes, perceived norms, self-efficacy, response efficacy, collective efficacy, and behavioral intentions. …

Dilemmas And Prospects Of Infectious Disease Prevention In Long-Term Care: A Qualitative Study, Po-Jen Kung, Ching-Min Chen, Nancy Reynolds

International Nursing Research Congress (INRC)

Aim: To explore the experiences of long-term care workers in preventing emerging infectious diseases, the challenges they faced during the pandemic, and how they were addressed.

Design: This study used an exploratory qualitative research design.

Methods: The study involved various long-term care institutions across Taiwan. Twelve interviewees, including four nurses, four nursing assistants, and four managers, were recruited via purposive sampling. All interviewees worked in the sector during the COVID-19 pandemic, were actively involved in clinical care or institutional management, and were proficient in Mandarin. In-depth interviews were conducted face-to-face between July and August 2024, and data …

Hospital And Temporal Variations In Limitations Of Care Among Hospitalized Patients With Covid-19: A Virus Registry Retrospective Cohort Study, Nathan Mesfin, Nitesh Kumar Jain, Anwar Khedr, Hisham Mushtaq, Abbas B. Jama, Noura Attallah, Esraa Hassan, Benjamin Langworthy, Nicholas Ingraham, Juan Pablo Domecq Garces, Thoyaja Koritala, Donna Lee Armaignac, Nicholas Eugene Perkins, Katherine Belden, Vishakha Kumar, Karen Boman, Devang K. Sanghavi, Vikas Bansal, Rahul Kashyap, Rodrigo Cartin-Ceba, Abigail La Nou, Allan J. Walkey, R. Adams Dudley, Syed Anjum Khan

Division of Infectious Diseases and Environmental Medicine Faculty Papers

INTRODUCTION: Life-support limits (i.e., code status), the first step in the continuum of palliation and end-of-life (EoL) care, stem from decisions made by patients and their providers to align care near the EoL with patients' wishes. The pandemic created health care strain that may have influenced life-support limitation practices among patients with serious COVID-19. In this study, we examine variations in life-support limitations (do-not-resuscitate, DNR; do-not-intubate, DNI) depending on the hospital and period of hospitalization.

METHODS: We included all adults admitted to a hospital in the United States with COVID-19 from January 2020 to December 2021 using the VIRUS registry. …

The Covid-19 Pandemic And College Students' Experiences: A Phenomenological Study, Mervin L. Davis

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to explore and comprehend the lived experiences of college students at North Carolinian colleges and universities during the interruption and transitions of studies amid the COVID-19 pandemic. This research used qualitative inquiry design and employed Schlossberg’s transition theory to guide the study. Schlossberg’s transition theory correlates with this research and phenomenological exploration because it underscores the varying abilities and incapacities of students to persist through their studies during challenging circumstances. The setting for this research was North Carolinian higher education institutions within Mecklenburg County which boast 17 colleges and universities within a 50-mile …

“Sisters, Are You Running Out Of Menstrual Supplies??”: Exploring #Sistersfightpandemicwithease And Tactical Hashtag Feminism In The Covid-19 Crisis, Qingyue Sun

Interdisciplinary Studies

This article examines the hashtag feminism movement#SistersFightPandemicWithEase (#SFPWE) on Weibo, analyzing how it navigated state censorship, online misogyny, and platform governance during the Wuhan lockdown in China. Through qualitative analysis, I argue that #SFPWE diverges from traditional hashtag feminism,instead operating as a form of pragmatic feminism in crisis. The movement embodies what I term tactical feminist activism—an issue-based advocacy that prioritizes pragmatic problem-solving over structural critique. Its tactical nature lies in its ability to appear politically non-threatening and temporarily valuable to authorities. However, findings indicate that #SFPWE ultimately reinforced state legitimacy rather than challenging the structural gender inequalities underlying the …

Covid-19 Infection Prevention And Control Guidelines Of Philippine Physical Therapy Association (Ppta) And Rehabilitation Department Of Select Hospitals In The Philippines: Impact On Infection Trend, Ghiester Marc T. Estrellado, Venize Edanne F. Montecillo, Cristina Faye C. Panopio, Alexandra Marie V. Amistoso, Raymond M. Tosoc

Philippine Journal of Physical Therapy

Introduction: There is a paucity of evidence supporting the need for setting up hospital COVID-19 infection prevention and control (IPC) guidelines for Physical Therapists (PTs) that meet global standards. This study aimed to determine the consistency of IPC guidelines among different rehabilitation departments of hospitals within Region IV-A and the Philippine Physical Therapy Association’s (PPTA) recommendations with the World Health Organization’s (WHO) IPC guidance document. It also compared the hospitals’ consistency scores with the trend of infected PTs per month.

Methods: In this descriptive cross-sectional survey, an online checklist was developed and validated to examine the consistency of the IPC …

The Lingering Effects Of The Covid-19 Pandemic On Nurses, Linda H. Yoder, Jacqueline M. Gordon, Noah Zanville

International Nursing Research Congress (INRC)

Background: Posttraumatic growth (PTG) is the experience of positive psychological change after struggling with major life crises, often resulting in a re-evaluation of priorities, greater appreciation for life, and spiritual/existential growth. The purpose of this national study was to measure PTG levels among nurses caring for patients during the ongoing COVID-19 pandemic.

Design: The survey study consisted of 2,077 U.S. based Academy of Medical-Surgical Nurses (AMSN) members and nurses from 23 hospitals in HCA Healthcare. The Posttraumatic Growth Inventory-Expanded (PTGI-X) and a demographic data collection sheet were used to collect data. Descriptive statistics and reliability testing were performed, as well …

Unvaccinated By Doubt: How Covid-19 Governance Sparked A Measles Outbreak, Ellen Black

Law Faculty Scholarship

This Article examines how the erosion of public trust in government and public health institutions during the COVID-19 pandemic has contributed to the resurgence of measles in the United States. It argues that pandemic-era governance—marked by inconsistent scientific messaging, politically charged public health mandates, and the federal government’s coordination with social media platforms to suppress dissenting viewpoints—generated widespread skepticism that continues to undermine vaccination uptake. Through a detailed analysis of lockdown policies, vaccine and mask mandates, and the subsequent revelations regarding governmental influence over online content moderation, the Article demonstrates how conflicting guidance and perceived censorship fostered long-lasting public doubt. …

The Experience Of A Medicalized Hotel Due To Covid-19, Ariadna Barta, Marta Cervera, Joan Escarrabill, Eva Palou, Anna Carbonell, Georgia Narsavage, Faust Feu, Carmen Hernandez

International Nursing Research Congress (INRC)

The emerging pandemic⁽¹⁾ caused by the rapid spread of the new coronavirus Covid-19 required urgent reorganization to respond to care demands of patients with this new disease^(2-4). In Spain, nurses were key contributors to providing out of hospital care. Transforming a hotel into a medical setting was an innovative idea that was able to provide integrated nursing and quality health care for patients recovering from Covid-19^(5,8,9).

Purpose: To examine the experiences and perceived care of patients admitted to a Medicalized Hotel (MH) for Covid-19, from March 25 and May 15, 2020, by asking them …

Adaptive Ensemble Approaches For Face Mask Detection Using Transfer Learning Model, Faisal Alshanketi

University of Bisha Journal for Basic and Applied Sciences

Amidst the Covid-19 pandemic, wearing a mask has become mandatory and remains crucial in the ongoing pandemic. In certain situations and conditions, masks may be required periodically. However, manually monitoring large crowds of people to ensure they are wearing masks in public places or events can be an arduous task that is both time-consuming and difficult to manage. One way to address the challenge of manually monitoring mask-wearing in public places is to adopt machine learning (ML) methods and ICT-based surveillance mechanisms, thereby reducing the need for large numbers of personnel. While previous studies have proposed various machine learning models …

Comparing Regulation With Collective Bargaining: Drawing On Processes Of Change During The Covid-19 Crisis In Israel, Lilach Lurie, Guy Mundlak

Comparative Labor Law & Policy Journal

This article compares two systems of labour market governance: regulation by means of employment standards, and norms that are established in collective bargaining. A comparative framework draws nine criteria, spanning procedural and substantive dimensions, and emphasises the degree of integration between the systems, or “coupling.” The study uses Israel’s response to the COVID-19 crisis as a case study, drawing on a unique dataset of all regulatory provisions and collective agreements concluded from March 2020 to December 2021, supplemented by interviews with key actors. In the public sector, strong coupling was achieved through coordinated regulatory and bargaining processes, resulting in more …

The Economic Burden Of Covid-19 In A Region With Stringent Response Measures: A Case Study Of Taiwan, Elise Chia-Hui Tan, Fei-Yuan Hsiao, Ming-Chin Yang

Journal of Food and Drug Analysis

The COVID-19 pandemic has imposed a significant economic burden globally, particularly in regions with stringentresponse measures. This study aimed to assess the economic impact of COVID-19 in Taiwan, focusing on both directand indirect costs. A cost-of-illness analysis was conducted, utilizing data from the Taiwan Centers for Disease Control(CDC), national databases, epidemiological studies, and economic surveys. The analysis included both direct costs (e.g.,hospital admissions, outpatient care) and indirect costs (e.g., productivity losses due to long COVID, absenteeism, caregiving duties). The study encompassed Taiwan's population of 23.2 million, with particular attention to age-specific impacts on economic outcomes. The total economic burden of …

The New England Trail, End To End In Five Days: A Running Couple Test Their Limits, Scott Livingston

Appalachia

A moment-by-moment narrative of a grueling run from Mount Monadnock in New Hampshire to Guilford, Connecticut from June 17 through June 22, 2020.

The Lmpact Of The Covid-19 Pandemic On Registered Nurses, Mary Ellen Roberts, Joyce M. Knestrick, Lenore Resick

International Nursing Research Congress (INRC)

Background: The Covid –19 pandemic is a new experience with a substantial impact on the health and well-being of nurses caring for the patients diagnosed with the disease. Increased work and family demands have not been studied in these frontline workers. COVID-19 has altered many US nurses’ career plans. Over the past two years, the researchers have spoken with nurses who consistently, and increasingly, report planning to leave the workforce. This study looks at the impact of COVID-19 on the professional and personal lives of nurses.

Purpose: To understand the effects of COVID-19 a global pandemic on nurses caring for …

Nurses’ Lived Experiences During The Covid-19 Pandemic: A Descriptive Phenomenological Study, Kala Mayer, Jo Anne Bennett, Elizabeth Reifsnider, Jeanie Skibiski, Soojung Jo

International Nursing Research Congress (INRC)

The COVID-19 pandemic presented unprecedented challenges for nurses, including confronting end-of-life decisions, witnessing patient suffering, and burnout. Nevertheless, many nurses demonstrated resilience and personal growth despite adversities. Notable gaps in the literature include limited exploration of the long-term impacts of the pandemic on nurses, variations in experiences based on geographic, gender, and cultural factors, as well as the role of leadership and organizational response. Likewise, how nurses adapted to innovations such as new technologies and the impact of their pandemic experiences on patient outcomes and care quality remain underexplored. This study employed a phenomenological descriptive approach to capture nurses’ lived …

Exploring Cultural Dimensions Of Nurses' Experiences During Covid-19 In The Us And Hungary, Kala Mayer, Judit Staller, Jo Anne Bennett, Zoltán Balogh, Jeanie Skibiski, Anna Jeney, Soojung Jo, Elizabeth Reifsnider

International Nursing Research Congress (INRC)

Both the Hungarian and U.S. public health and care systems were inadequately prepared to manage the COVID-19 pandemic, contributing to significant distress among nurses. The role of geographical, gender, and cultural factors, along with leadership and organizational response during the pandemic between countries, remains underexplored in the literature. Nurses around the world are now more likely than before the pandemic to leave direct patient care roles. Cultural influences and healthcare system structure play crucial roles in shaping nurses' decisions to stay in or leave the profession. To address this research gap, we are using the lens of Hofstede’s Cultural Dimensions …

Corporate Social Responsibility Disclosure And Financial Performance: Empirical Evidence From Vietnam, Nguyen T. Tran, Nhung T. Le, Tung D. Nguyen

Economic and Business Review

This study examines the relationship between corporate social responsibility (CSR) disclosure and firm performance, with particular attention to CSR's role as a mitigating mechanism during periods of economic crisis, notably the COVID-19 pandemic. Utilizing a unique hand-collected dataset comprising CSR disclosures from Vietnamese publicly listed firms in the VNR500 index between 2014 and 2021, the analysis employs both accounting-based (return on equity) and market-based (Tobin's Q) performance indicators. The empirical findings indicate a positive association between CSR disclosure and firm performance across both measures. Disaggregated analysis reveals that governance-related disclosures significantly enhance market valuation, whereas the presence of a …

The Impact Of Public Relations Strategies On The Effectiveness Of Epidemic Management In Jordan: A Case Study Of Covid-19, Hazem Jamil Al-Rahahleh

Middle East Journal of Communication Studies

This study aimed to explore the impact of public relations strategies on the effectiveness of epidemic management in Jordan, using the COVID-19 pandemic as a case study. The study employed the descriptive-analytical method, which is based on the systematic description and interpretation of social and media phenomena. The findings revealed that public relations play a pivotal strategic role in managing health crises by building public trust, preparing communication plans, and formulating awareness messages in coordination with relevant authorities. The study recommended the need to enhance the training of public relations personnel in managing communication during health crises, to continue diversifying …

Finding Community: A Thematic Analysis Of Resilience During The Pandemic, Myles Kwitny, Quinn Richards, Grace Digirolamo, Shannon Freedman, Sophie Wenzel

Journal of Appalachian Health

Introduction: The Covid-19 pandemic impacted those within rural Appalachian communities, particularly people with marginalized identities.

Purpose: Through interviewing 44 participants from New River Valley, an Appalachian community in Virginia, this study sought to understand how resilience impacted individuals' experiences during the pandemic.

Methods: Participants belonged to one of the following groups: African American, Hispanic, older adults, or people who use drugs. Participants were required to reside in the New River Valley and be older than 18. Each participant was interviewed either in person, by phone, or over video call. Interviews were recorded, transcribed, then thematically analyzed for themes of resilience. …

Covid-19 Adolescent Technology Use And Physical Activities: Cluster Analysis For Mental Health, Chunling Niu, Rui Jin, Ashley Love, Sohelia Sadeghi, Loren Cossette, Marissa Molina

Journal of Youth Development

This study examined how COVID-19 disrupted adolescent education, social interactions, and mental health by conducting exploratory cluster analysis to identify distinct profiles of technology use and physical activities, then comparing resulting clusters on demographics, social support, and mental health dimensions. Using the first wave of the longitudinal Oxford Achieving Resilience during COVID-19 (ARC) study of 1,196 United Kingdom adolescents aged 13-18, three clustering algorithms (k-means, k-medoids, and agglomerative hierarchical) identified optimal groupings validated both statistically and empirically. Three distinct clusters emerged: Cluster 1 (n = 380) characterized by low media use and moderate activity; Cluster 2 (n = 153) showing …

Restricted Social Engagement Is Associated With Depressive Symptoms In Older Chinese Adults: A Nationwide Cross-Sectional Study, Zheng Guo, Yulu Zheng, Yahong Zhu, Huacheng Wang, Jian Geng, Hengrui Liu, Piyong Ma, Lois Balmer, Xingang Li

Research outputs 2022 to 2026

Background and Aims: Social isolation has been linked to depressive symptoms in older adults. Previous studies have shown that greater engagement in social activities is associated with better mental health. However, it remains unclear whether restricted social engagement is related to poorer mental health outcomes. This study examined the association between reduced social activities/networking and the presence of depressive symptoms among community-dwelling older Chinese adults. Methods: During the COVID-19 pandemic, people chose to minimize going out to reduce the risk of infection, creating a natural setting that mimicked a passive intervention of restricted social engagement for community-based individuals. Data were …