Digital Commons Network^™

Informing Healthcare Operations With Integrated Pathology, Clinical, And Epidemiology Data: Lessons From A Single Institution In Kenya During Covid-19 Waves, Allan Njau, Jemimah Kimeu, Jaimini Gohil, David Nganga

Pathology, East Africa

Pathology, clinical care teams, and public health experts often operate in silos. We hypothesized that large data sets from laboratories when integrated with other healthcare data can provide evidence that can be used to optimize planning for healthcare needs, often driven by health-seeking or delivery behavior. From the hospital information system, we extracted raw data from tests performed from 2019 to 2021, prescription drug usage, and admission patterns from pharmacy and nursing departments during the COVID-19 pandemic in Kenya (March 2020 to December 2021). Proportions and rates were calculated. Regression models were created, and a t-test for differences between …

Preadmission Testing For Covid-19 As A Screening Strategy: A Retrospective Chart Review From A Tertiary Hospital In Kenya, David Odada, James Ndai, Jemimah Kimeu, Jasmit Shah, Reena Shah

School of Nursing & Midwifery, East Africa

Background: Since COVID-19 was declared a pandemic in March 2020, hospitals and patient care facilities have faced challenges in protecting healthcare workers and patients from being exposed to the infection. The main challenge has been how exposure to COVID-19 can be controlled when asymptomatic patientscan transmit the infection. This study aims to evaluate pre-admission testing of COVID-19 in patients at the Aga Khan University Hospital, Nairobi as a screening strategy for understanding, preventing and controlling exposure to COVID-19.

Methods: This was a descriptive retrospective chart review study that analysed the incidence of COVID-19, incidental detection of laboratory-confirmed COVID-19 …

Private Censorship, Disinformation And The First Amendment: Rethinking Online Platforms Regulation In The Era Of A Global Pandemic, Tzu- Chiang Huang

Michigan Technology Law Review

The proliferation of online disinformation and the rise of private censorship are paradigmatic examples of the challenges to traditional First Amendment jurisprudence in an algorithmic society. The limitations of traditional First Amendment jurisprudence are amplified by the impact of the COVID-19 pandemic in two ways. On the one hand, in the wake of the pandemic, we have entered an “infodemic” era where the volume of disinformation, as well as the harm it causes have reached unprecedented levels. For example, health disinformation has contributed to vaccine hesitancy. On the other hand, even though the proliferation of online disinformation seems to suggest …

The Impact Of The Covid-19 Pandemic On International Students In A Public University In The United States: Academic And Non-Academic Challenges, Nara M. Martirosyana, Dana Van De Walker, D. Patrick Saxon

Journal of Comparative & International Higher Education

The COVID-19 pandemic has substantially impacted higher education. The unexpected move to online learning and support services has created many challenges. International students, who often are unfamiliar with the culture and norms of American higher education, have been particularly disadvantaged. Analyzing data received through an online survey, researchers identified the top five academic and non- academic challenges faced by international students during the pandemic, and their use of support services to overcome these challenges. The results inform college administrators, professors, and student services professionals on the experiences of international students during the pandemic and offer suggestions for reviving and expanding …

The Impact Of The Covid-19 Pandemic On International Students In A Public University In The United States: Academic And Non-Academic Challenges, Nara M. Martirosyan, Dana Van De Walker, D. Patrick Saxon

Journal of Comparative & International Higher Education

No abstract provided.

Covid-19 Mindfulness Toolkit: A 4-Week Course For Adult Working Professionals, Ilene Gregorian

Mindfulness Studies Theses

The COVID-19 pandemic is unprecedented in terms of size and scale, and has impacted virtually every facet of life across the world over the past two and a half years. For adult working professionals, it has presented enormous challenges including work-from-home mandates, video conferencing, homeschooling, unplanned childcare, financial instability, and prolonged uncertainty leading to increased fear, stress, anxiety, and loneliness. Other work on this topic reports that even a short program in mindfulness can help adult working professionals counteract the negative effects of chronic stress and trauma. This study argues that my proposed program with four specific mindfulness practices entitled …

No Leave To Grieve: How Misfit Frameworks And America's "Grief Tsunami" Require Better Bereavement Policy, Katherine S. Hanson

Marquette Benefits and Social Welfare Law Review

The COVID-19 pandemic fueled America’s recent death surge: 2021 has become the deadliest year on record in the United States. Scholars and commentators claim that the American workplace re-mains unprepared for the impending “grief tsunami” in the wake of such pervasive loss. Likewise, American law is ill-equipped for workplace grief. Bereavement, while medically “normal,” lacks a substantial foothold in workplace benefits and in the law. Currently, organizations bear the burden of developing their own policies—and where available, these policies remain insufficient to accommodate the myriad logistical and emotional complexities associated with the loss of a loved one. In the event …

The Effect Of Lockdown, Economic Stimulus Package And National Recovery Plan Announcements On The Malaysian Stock Market, Kok Jun Tan, Mohd Edil Abd Sukor

Research Publications (2021 to 2025)

This research aims to investigate the effect of lockdown, economic stimulus package and national recovery plan announcements during the Covid-19 pandemic on the Malaysian stock market. The study employs an event study methodology. A sample of 13 sectorial indexes are selected. The sample period taken for the study is from January 2, 2019 to October 29, 2021. The results of the study suggest that all events i.e., lockdown, economic stimulus packages and recovery plan announcements have significantly affect the stock market. Nevertheless, the impact varies across time periods. For example, the first three Movement Control Order (MCO) 1.0, 2.0 and …

Pivoting The Biosafety Program In Response To Covid-19: Recommendations Of Key Services And Tasks To Consider For The Next Pandemic, Robert J Emery, Scott J Patlovich, Kristin G King, Janelle Rios

Faculty, Staff and Student Publications

INTRODUCTION: With the onset of the COVID-19 pandemic, a rapid adjustment of work tasks was necessary for many biosafety programs (and other safety programs) to address drastic shifts in workload demands amid pandemic-related shutdowns and subsequent needs for supporting COVID-19-related safe work protocols, diagnostic testing, research, vaccine development, and so forth. From a program management standpoint, evaluating and understanding these tasks were critically important to ensure that appropriate support and resources were in place, especially during such unprecedented times of rapid change and significant impact to normal life and routine.

METHODS: Described here are examples of how the biosafety program …

The Covid-19 Pandemic And Disruptions To Essential Health Services In Kenya: A Retrospective Time-Series Analysis, Helen Kiarie, Marleen Temmerman, Mutono Nyamai, Nzisa Liku, Wangari Thuo, Violet Oramisi, Lilly Nyaga, Janette Karimi, Phidelis Wamalwa, Gladwell Gatheca

Obstetrics and Gynaecology, East Africa

Background: Public health emergencies can disrupt the provision of and access to essential health-care services, exacerbating health crises. We aimed to assess the effect of the COVID-19 pandemic on essential health-care services in Kenya.

Methods: Using county-level data routinely collected from the health information system from health facilities across the country, we used a robust mixed-effect model to examine changes in 17 indicators of essential health services across four periods: the pre-pandemic period (from January, 2018 to February, 2020), two pandemic periods (from March to November 2020, and February to October, 2021), and the period during the COVID-19-associated health-care workers’ …

Acute Pericarditis And Acute Pleuritis/Empyema Following Submandibular Infection In A Covid-19-Postive Patient: An Autopsy Revealing The Danger Space Of The Neck, Jessica Anderson, Seyedalireza Fatemi, Joseph Fullmer, Ping Zhang

Conference Presentation Abstracts

Acute pericarditis and empyema are life-threatening complications of severe odontogenic infections; reports of these findings from an autopsy perspective are rare. We report an autopsy case demonstrating infection from the mandibular molars to the pericardium and pleura in a patient following COVID-19 infection. A 53-year-old woman with history of COVID-19 (and on repeat testing at admission) presented with submandibular abscess that grew Streptococcus anginosus. Despite incision and drainage of the neck abscess and medical treatment, her condition deteriorated, with sudden death a week after admission. An autopsy with histologic analysis was performed. Externally, a surgical incision containing purulent drainage …

In Covid-19 Health Messaging, Loss Framing Increases Anxiety With Little-To-No Concomitant Benefits: Experimental Evidence From 84 Countries, Charles A. Dorison, Et. Al., Andree Hartanto

Research Collection School of Social Sciences

The COVID-19 pandemic (and its aftermath) highlights a critical need to communicate health information effectively to the global public. Given that subtle differences in information framing can have meaningful effects on behavior, behavioral science research highlights a pressing question: Is it more effective to frame COVID-19 health messages in terms of potential losses (e.g., “If you do not practice these steps, you can endanger yourself and others”) or potential gains (e.g., “If you practice these steps, you can protect yourself and others”)? Collecting data in 48 languages from 15,929 participants in 84 countries, we experimentally tested the effects of message …

The George-Anne Daily, Georgia Southern University

George-Anne Media Group: Newsletters & Magazines

No abstract provided.

Coronavirus Disease 2019 (Covid-19) Vaccination Preparedness Policies In Us Hospitals, Susan E Beekmann, Hilary M Babcock, Mark S Rasnake, Thomas R Talbot, Philip M Polgreen

2020-Current year OA Pubs

We surveyed infectious disease specialists about early coronavirus disease 2019 (COVID-19) vaccination preparedness. Almost all responding institutions rated their facility's preparedness plan as either excellent or adequate. Vaccine hesitancy and concern about adverse reactions were the most commonly anticipated barriers to COVID-19 vaccination. Only 60% believed that COVID-19 vaccination should be mandatory.

Cerebral Venous Sinus Thrombosis Associated With Coronavirus Disease 2019: Case Report And Review Of The Literature, Kessarin Panichpisal, Ilana Ruff, Maharaj Singh, Massihullah Hamidi, Pedro D. Salinas, Kyle Swanson, Stephen Medlin, Sudeepta Dandapat, Payton Tepp, Genevieve Kuchinsky, Amy Pesch, Thomas Wolfe

College of Nursing Faculty Research and Publications

Introduction:

Coronavirus disease 2019 (COVID-19) is associated with significant risk of acute thrombosis. We present a case report of a patient with cerebral venous sinus thrombosis (CVST) associated with COVID-19 and performed a literature review of CVST associated with COVID-19 cases.

Case Report:

A 38-year-old woman was admitted with severe headache and acute altered mental status a week after confirmed diagnosis of COVID-19. Magnetic resonance imaging brain showed diffuse venous sinus thrombosis involving the superficial and deep veins, and diffuse edema of bilateral thalami, basal ganglia and hippocampi because of venous infarction. Her neurological exam improved with anticoagulation (AC) and …

The Future Of Insolvency Law In A Post-Pandemic World, Aurelio Gurrea-Martinez

Research Collection Yong Pung How School Of Law

The COVID-19 crisis has encouraged many countries to amend their insolvency laws. In most cases, these amendments took place temporarily, especially during the hibernation phase of the pandemic. In other countries, however, the pandemic has led to permanent changes in their insolvency legislation. More importantly, the COVID-19 crisis has accelerated the insolvency reforms that were already on the political agenda of many countries, and it has encouraged other jurisdictions to reassess the desirability of their insolvency and restructuring frameworks. This article analyses the current trends, reforms and policy discussions that are expected to reshape the future of insolvency law in …

Factors Associated With Severe Illness In Patients Aged <21 Years Hospitalized For Covid-19, Rewa Choudhary, Bryant J Webber, Lindsay S Womack, Hannah K Dupont, Sophia K Chiu, Valentine Wanga, Megan E Gerdes, Sophia Hsu, Dallas S Shi, Theresa M Dulski, Osatohamwen I Idubor, Arthur M Wendel, Nickolas T Agathis, Kristi Anderson, Tricia Boyles, Eleanor S Click, Juliana Da Silva, Mary E Evans, Jeremy A W Gold, Julia C Haston, Pamela Logan, Susan A Maloney, Marisol Martinez, Pavithra Natarajan, Kevin B Spicer, Mark Swancutt, Valerie A Stevens, Jessica Rogers-Brown, Gyan Chandra, Megan Light, Frederick E Barr, Jessica Snowden, Larry K Kociolek, Matthew Mchugh, David L Wessel, Joelle N Simpson, Kathleen C Gorman, Kristen A Breslin, Roberta L Debiasi, Aaron Thompson, Mark W Kline, Julie A Boom, Ila R Singh, Michael Dowlin, Mark Wietecha, Beth Schweitzer, Sapna Bamrah Morris, Emilia H Koumans, Jean Y Ko, David A Siegel, Anne A Kimball

Faculty, Staff and Students Publications

OBJECTIVES: To describe coronavirus disease 2019 (COVID-19)-related pediatric hospitalizations during a period of B.1.617.2 (Δ) variant predominance and to determine age-specific factors associated with severe illness.

METHODS: We abstracted data from medical charts to conduct a cross-sectional study of patients agedchildren's hospitals from July to August 2021 for COVID-19 or with an incidental positive severe acute respiratory syndrome coronavirus 2 test. Among patients with COVID-19, we assessed factors associated with severe illness by calculating age-stratified prevalence ratios (PR). We defined severe illness as receiving high-flow nasal cannula, positive airway pressure, or invasive mechanical ventilation.

RESULTS: Of 947 hospitalized patients, 759 …

Narrative Review Of Covid-19 Vaccine Hesitancy: Evidence In Late 2021, Ambree Papa Schoetker, Manoj Sharma

Spectra Undergraduate Research Journal

The coronavirus disease, COVID-19, has changed daily life dramatically since early 2020. Although COVID-19 vaccines are available in the United States, many express distrust in this primary prevention measure and doubt both the seriousness of COVID-19 and its associated morbidity and mortality. Vaccine hesitancy, also described as the reluctance or refusal of vaccines despite availability, exists on a continuum and was a known public health threat prior to the coronavirus pandemic. This narrative review examines studies related to the determinants of COVID-19 vaccine hesitancy among adults in the United States. Also explored are the factors related to COVID-19 vaccine risk …

The Professional Identity Development Of Counseling Students During Extreme Stressors: Lessons Learned In The Covid-19 Pandemic, Edward Ewe, Kok-Mun Ng

Journal of Counselor Preparation and Supervision

Based on Bronfenbrenner’s bioecological framework and current literature, we discussed the impact of the COVID-19 crisis may have shaped the professional identity development (PID) of counseling students and the ecosystems of counselor education. While the discipline recognizes the importance of paying attention to counseling students’ PID, the discourse on the topic in the context of extreme environmental stressors such a pandemic appears to be lacking. We discussed in this paper the opportunity the COVID-19 pandemic has presented to counselor educators and supervisors (CES) to frame extreme challenging moments like theses as times to facilitate the strengthening and internalizing of counselor …

Trade-Off Characterization Between Social And Environmental Impacts Using Agent-Based Models And Life-Cycle Assessment, Joseph C. Leichty, Christopher S. Mabey, Christopher A. Mattson, John L. Salmon, Jason Weaver

Faculty Publications

Meeting the UN’s sustainable development goals requires designers and engineers to solve multi-objective optimization problems involving trade-offs between social, environmental, and economic impacts. This paper presents an approach for designers and engineers to quantify the social and environmental impacts of a product at a population-level and then perform a trade-off analysis between those impacts. In the approach, designers and engineers define the attributes of the product as well as the materials and processes used in the product’s life cycle. Agent-Based Modeling (ABM) tools that have been developed to model the social impacts of products are combined with Life- Cycle Assessment …

The Effects Of Covid 19-Related Social Media Hate Crime On Asian And Asian Americans' Self-Esteem, Saachi Chugh

LSU Master's Theses

The COVID-19 pandemic has changed the way people communicate, live, socialize and perhaps the way they feel about the Asian population. The United States has seen a rise in the Asian hate crimes on online and offline platforms since the beginning of the pandemic which has affected the overall well-being of the Asian population. To our knowledge, the present study is one of the first studies to address the effects of COVID 19-related online perceived racial discrimination on the self-esteem of Asians. Additional objectives were to reveal the different coping mechanisms being used by the Asian population to cope with …

Covid-19 Pandemic Impacts On Mammalian Carnivore Activity In The Eastern United States, Joan Tremblay, Miranda Davis, Robert Bagchi

Honors Scholar Theses

Lockdowns and restrictions associated with the 2020 Covid-19 pandemic altered human activity, with potential impacts on wildlife. In particular, the activity of reclusive mammalian carnivores, which often avoid humans, may have been affected with ramifications for population connectivity and viability. Here, I evaluate changes in the capture rates of humans and mammalian carnivores between 2019 and 2020 across 31 sites in the Eastern United States. Site-specific capture records were obtained from the Snapshot USA camera trapping survey. Differences in carnivore activity were modelled as a response to human activity changes and the development level of the site (urban, suburban, rural …

The Impact Of Covid-19 On Physical (In)Activity Behavior In 10 Arab Countries, Haleama Al Sabbah, Zainab Taha, Radwan Qasrawi, Enas A Assaf, Leila Cheikh Ismail, Ayesha S Al Dhaheri, Maha Hoteit, Ayoub Al-Jawaldeh, Reema Tayyem, Hiba Bawadi, Majid Alkhalaf, Khlood Bookari, Iman Kamel, Somaia Dashti, Sabika Allehdan, Tariq A Alalwan, Fadwa Hammouh, Mostafa I Waly, Diala Abu Al-Halawa, Rania Mansour, Allam Abu Farha, The Regional Corona Cooking Survey Group ( The Regional Corona Cooking Survey Group (

All Works

Insufficient physical activity is considered a strong risk factor associated with non-communicable diseases. This study aimed to assess the impact of COVID-19 on physical (in)activity behavior in 10 Arab countries before and during the lockdown. A cross-sectional study using a validated online survey was launched originally in 38 different countries. The Eastern Mediterranean regional data related to the 10 Arabic countries that participated in the survey were selected for analysis in this study. A total of 12,433 participants were included in this analysis. The mean age of the participants was 30.3 (SD, 11.7) years. Descriptive and regression analyses were conducted …

A Multitrait Locus Regulates Sarbecovirus Pathogenesis, Alexandra Schäfer, Emma S Winkler, Michael S Diamond, Et Al

2020-Current year OA Pubs

Infectious diseases have shaped the human population genetic structure, and genetic variation influences the susceptibility to many viral diseases. However, a variety of challenges have made the implementation of traditional human Genome-wide Association Studies (GWAS) approaches to study these infectious outcomes challenging. In contrast, mouse models of infectious diseases provide an experimental control and precision, which facilitates analyses and mechanistic studies of the role of genetic variation on infection. Here we use a genetic mapping cross between two distinct Collaborative Cross mouse strains with respect to severe acute respiratory syndrome coronavirus (SARS-CoV) disease outcomes. We find several loci control differential …

Increased Anxiety From Fear Of Omicron In China As Compared To North America And Western Europe: A Cross-Sectional Kendall's Tau-B Analysis Using The Generalized Anxiety Disorder 7-Item Questionnaire, Dan Shan, Chang Liu, Shaoyang Li, Yuandian Zheng

Student Publications

Background: Policies dealing with the Coronavirus Disease 2019 (COVID-19) pandemic vary across the globe, the different governmental responses then affect the public perception of COVID-19. Many unofficial Chinese media outlets frequently spread misinformation about COVID-19 and exaggerated reports of rare sequelae of Omicron for monetization and attention seeking, leading to panics in the Chinese public. In comparison the attitudes toward Omicron in other countries around the world, especially in North America and Western Europe have shifted to a more relaxed stance.

Objective: This article primarily aims to investigate the association between Chinese people’s attitudes toward the potential after-effects of Omicron …

The Effects Of Covid 19-Related Social Media Hate Crime On Asian And Asian Americans' Self-Esteem, Saachi Chugh

LSU Master's Theses

The COVID-19 pandemic has changed the way people communicate, live, socialize and perhaps the way they feel about the Asian population. The United States has seen a rise in the Asian hate crimes on online and offline platforms since the beginning of the pandemic which has affected the overall well-being of the Asian population. To our knowledge, the present study is one of the first studies to address the effects of COVID 19-related online perceived racial discrimination on the self-esteem of Asians. Additional objectives were to reveal the different coping mechanisms being used by the Asian population to cope with …

Mortality Rate And Associated Factors In Critically Ill Intubated Patients With Coronavirus Disease 2019 (Covid-19) At Pranangklao Hospital, Natthika Yurakate, Muthita Phanasathit

Asian Medical Journal and Alternative Medicine

Introduction: In the epidemic wave of the ongoing coronavirus disease 2019 (COVID-19) pandemic in April 2021. This study aimed to explore the 30-day mortality rate and its associated factors and anesthetic practice in critically ill COVID-19 patients who received intubation.
Methods: This retrospective cohort study was collected data from medical records in critically ill COVID-19 patients who received intubation and admitted to Pranangklao Hospital (PNKH) from April 1 to June 30, 2021.
Results: A total of 73 patients were admitted and intubated with the median age was 65 years (IQR = 18), 43 (58.9%) were male, 37 (50.7%) were body …

Occupational Health And Safety Trainees Reflect On Their Education And Future Careers During Covid-19., Jennifer Marshall Phd, Mph, Cph, Vidya Chandran Mba, Mph, Cph, Bds, Davies Toluhi Mbchb, Mph, Cph, Karen D. Liller Phd, Mph, Cph, Saloni Mehra Mph, Cph, Candace Burns Phd, Ms, Aprn, Faaohn

Florida Public Health Review

Background: The National Institute for Occupational Safety and Health (NIOSH) funded Education and Research Centers (ERCs), located at 18 universities, with the mission to train occupational safety and health (OSH) leaders. The Florida Sunshine ERC has trained hundreds of students since its inception in 1997 through seven programs that collaboratively foster interdisciplinary education and applied research and practice. The COVID-19 pandemic has presented practical challenges for educators, students, and trainees, forcing institutions to move to remote learning. The pandemic also magnifies the importance of public health and OSH.

Purpose: This evaluation elicited feedback from ERC trainees early in the …

Controlling Multiple Covid-19 Epidemic Waves: An Insight From A Multi-Scale Model Linking The Behaviour Change Dynamics To The Disease Transmission Dynamics, Biao Tang, Weike Zhou, Xia Wang, Hulin Wu, Yanni Xiao

Faculty, Staff and Student Publications

COVID-19 epidemics exhibited multiple waves regionally and globally since 2020. It is important to understand the insight and underlying mechanisms of the multiple waves of COVID-19 epidemics in order to design more efficient non-pharmaceutical interventions (NPIs) and vaccination strategies to prevent future waves. We propose a multi-scale model by linking the behaviour change dynamics to the disease transmission dynamics to investigate the effect of behaviour dynamics on COVID-19 epidemics using game theory. The proposed multi-scale models are calibrated and key parameters related to disease transmission dynamics and behavioural dynamics with/without vaccination are estimated based on COVID-19 epidemic data (daily reported …

Years Of Life Lost Associated With Covid-19 Deaths In The Usa During The First 2 Years Of The Pandemic, Troy Quast, Ross Andel, Sean Gregory, Eric A Storch

Center for Medical Ethics and Health Policy Staff Publications

Background: Prior estimates of the years of life lost (YLLs) in the USA associated with coronavirus disease 2019 (COVID-19) were 1.2 million through 11 July 2020 and 3.9 million through 31 January 2021 (which roughly coincides with the first full year of the pandemic). The aim of this study is to update YLL estimates through the first 2 years of the pandemic.

Methods: We employed data regarding COVID-19 deaths through 5 February 2022 by jurisdiction, gender and age group. We used actuarial life expectancy tables by gender and age to estimate YLLs.

Results: We estimated roughly 9.7 million YLLs due …