Digital Commons Network^™

Intimate Partner Violence And Negotiation During Covid-19: Stressors, Resources, And Perception, Victoria P. Diamond

Dissertations, Theses, and Capstone Projects

Intimate partner violence (IPV) is a serious public health concern that affects millions across the globe. The COVID-19 pandemic created unforeseen stress, and necessitated safety policies that required social isolation, often extended exposure to one’s intimate partner, and an inability to access stress-reduction resources. These factors, along with many others, lead to an abrupt increase in IPV in many couples. Using the couple-adapted family stress model (ABCX), the current study examines both previously defined (e.g., emotional dysregulation, stress, unemployment, communication issues) and COVID-19 specific risk (e.g., quarantine, unprecedented social isolation, fear of contracting COVID-19) and protective factors (e.g., meaning in …

Panel Stacking Is A Threat To Consensus Statement Validity, Kasper P Kepp, Preben Aavitsland, Marcel Ballin, Francois Balloux, Stefan Baral, Kevin Bardosh, Howard Bauchner, Eran Bendavid, Raj Bhopal, Daniel T Blumstein, Paolo Boffetta, Florence Bourgeois, Adam Brufsky, Peter J Collignon, Sally Cripps, Ioana A Cristea, Nigel Curtis, Benjamin Djulbegovic, Oliver Faude, Maria Elena Flacco, Gordon H Guyatt, George Hajishengallis, Lars G Hemkens, Tammy Hoffmann, Ari R Joffe, Terry P Klassen, Despina Koletsi, Dimitrios P Kontoyiannis, Ellen Kuhl, Carlo La Vecchia, Tea Lallukka, John Lambris, Michael Levitt, Spyros Makridakis, Helena C Maltezou, Lamberto Manzoli, Ana Marusic, Clio Mavragani, David Moher, Ben W Mol, Taulant Muka, Florian Naudet, Paul W Noble, Anna Nordström, Peter Nordström, Nikolaos Pandis, Stefania Papatheodorou, Chirag J Patel, Irene Petersen, Stefan Pilz, Nikolaus Plesnila, Anne-Louise Ponsonby, Manuel A Rivas, Andrea Saltelli, Manuel Schabus, Michaéla C Schippers, Holger Schünemann, Marco Solmi, Andreas Stang, Hendrik Streeck, Joachim P Sturmberg, Lehana Thabane, Brett D Thombs, Athanasios Tsakris, Simon N Wood, John P A Ioannidis

Faculty, Staff and Student Publications

Consensus statements can be very influential in medicine and public health. Some of these statements use systematic evidence synthesis but others fail on this front. Many consensus statements use panels of experts to deduce perceived consensus through Delphi processes. We argue that stacking of panel members toward one particular position or narrative is a major threat, especially in absence of systematic evidence review. Stacking may involve financial conflicts of interest, but nonfinancial conflicts of strong advocacy can also cause major bias. Given their emerging importance, we describe here how such consensus statements may be misleading, by analyzing in depth a …

Changes In Psychological Challenges, Positive Experiences, And Coping Strategies Among International Students In The United States Before And During The Covid-19 Pandemic: A Qualitative Study, Chulwoo Park, Shannon Shimada, Airi Irene Trisnadi, Patricia Angelica

Faculty Research, Scholarly, and Creative Activity

The purpose of this study was to understand how the challenges and coping strategies among international students in the United States changed before and during the COVID-19 pandemic. We conducted a qualitative study through one-on-one in-depth interviews during April–June 2021. A total of 34 international students in the San Francisco Bay Area participated in this study. NVivo was used to analyze the qualitative data. Before COVID-19, the challenges were primarily related to a sense of belonging, such as culture shock, language barriers, and loss of identity. However, some positive experiences from school life and new culture were also found before …

Perceived Medical, Social, And Psychological Issues Due To The Covid-19 Pandemic Among Elderly: A Descriptive Analysis, Khushboo Juneja, Kathan Kapoor, Ashwini Kumar, Kundangar Eshwari

Open Access archive

Elderly individuals are more likely to suffer from both short and long-term consequences of COVID19, including exacerbation of existing illnesses, psychological issues, and increased risk of death. This study aimed to understand the medical, perceived psychological, and social health problems faced by the elderly due to the COVID-19 pandemic. This hospital-based study included 225 elderly patients (aged ≥60 years) with chronic health conditions. Hypertension (70.2%) and diabetes mellitus (64.0%) were the most common morbidities among the study participants. At least 34.7% of the participants had one or more symptoms suggestive of psychological problems due to COVID-19 pandemic. Among the participants, …

Effect Of Covid-19 On Access To Language Services Among Pediatric Hospital Providers In The United States: A Cross-Sectional Survey, Sheela Gavvala, Jessica Gonzalez, Kaleigh Riggs, Raymond Parlar-Chun

Journal of Applied Research on Children: Informing Policy for Children at Risk

Objectives: To survey pediatric hospitalists about their perceptions on 1) access to interpreter services, 2) how the COVID-19 pandemic affected access to interpreter services, and 3) methods and barriers to providing discharge instructions for families who prefer languages other than English (LOE).

Methods:

A cross sectional, observational study was conducted utilizing an online survey via REDCap that was distributed on the Pediatric Hospital Medicine (PHM) LISTSERV® from February 23 to March 23, 2022. Inclusion criteria included faculty and advanced practice providers who practice medicine in a hospital setting greater than 50% of their clinical time as well as medical students, …

Editorial: Covid And Autism 2023: Lessons Learnt And Future Directions For Research, Georgina Pérez Liz, Michaela Dubay, Cecilia Montiel-Nava

Psychological Science Faculty Publications

No abstract provided.

The State Of Elementary School Recess In Georgia: Policy, The Pandemic, And Patterns Of Play, Karyn A. Alee, Erica Decuir, Dawn M. Robinson

Education Faculty Publications

While we continue to see a growing push for the restoration and codification of recess in elementary schools, policy does not necessarily equal practice. Georgia recently passed legislation requiring at least 20 minutes of recess per day for students in PK-5. The purpose of this research study was to survey elementary school educators to reveal the temporal (i.e., duration, frequency, and cancellation practices) and descriptive (i.e., type, equipment, place) characteristics of recess in Georgia’s public elementary schools. The results of this study, which can be summed up statistically and descriptively as less recess overall, and less free play specifically, as …

Chicago’S Migrant Serving Ecosystem: Perspectives From Providers On The Frontline, Safa S. Asad

College of Science and Health Theses and Dissertations

Global destabilization has resulted in nearly 110 million people forcibly displaced from their homes. Sanctuary cities like Chicago have become “migrant hubs,” seeing thousands of migrants enter the city to access shelter and resources. City officials have called for more support, as the number of migrants has outweighed the number of migrant service providers.

Migrant service organizations play an integral role in the resettlement journey of migrants. These organizations provide direct and indirect services to support their clients. However, as the migrant crisis continues to worsen, it threatens the social safety net established by governments and immigrant serving nonprofit agencies …

Comparison Of Bulut Index-Beta Method And Global Health Security Index: Results From World Countries, Tevfi̇k Bulut, Mehmet Top, Murat Atan, Burkay Genç

Turkish Journal of Medical Sciences

Background/aimThe Global Health Security Index (GHSI), which is used to assess global health security preparedness level of countries, and Bulut Index-Beta (BI-β) method, developed as a multi-criteria decision-making method, were compared in terms of global health security in the context of world countries. Thus, it is aimed to demonstrate feasibility of BI-β method by testing it on GHSI datasets and then to contribute to methodological development of GHSI.Materials and methodsData set of the study consists of the publicly available GHSI data set, which allows for comparative evaluation of countries. BI-β method and GHSI were used to compare countries in terms …

Exploring The Covid-19 Infodemic In Alaska, Emily Maxwell

Interdisciplinary Studies

The onset of the COVID-19 global health crisis coincided with an unprecedented rise in health misinformation and false narratives related to the disease. This simultaneous spread of accurate and inaccurate information, referred to as an infodemic, has had observable impacts on the trajectory of the pandemic and the future of public health. While health misinformation has been a factor in previous outbreaks, the increased prominence of social media as an information platform allowed misinformation to spread more widely and rapidly than ever before. This investigation aims to assess the impacts of COVID-19 misinformation in Alaska using a mixed methods approach. …

The Effect Of Covid-19 Restrictions On The Social Support Experiences Of Black Women Giving Birth In South Carolina Hospitals During The First Year Of The Covid-19 Pandemic (2020) As Compared To A Previous Birth, Tiffany Eva Byrd

Theses and Dissertations

The United States is experiencing a maternal health crisis, which disproportionately affects Black women. Black women die from pregnancy-related causes two to three times as often as their White counter parts, and the majority of maternal death are preventable. In recent years, public health and national governing authorities have devoted resources to monitoring the health crisis and raising the public’s knowledge of warning signs; however, maternal mortality rates continue to rise. Noted contributors to Black maternal mortality include, but are not limited to, racism, delayed treatment and response to health emergencies, and lack of social and emotional support during childbirth, …

Impacts Of Covid-19 And Taliban Takeover On U.S. Afghan Refugee Women’S Mental Health: A Socio-Ecological Approach To Resilience Resources, Atefeh Aghaei

Theses and Dissertations

In response to the escalating global refugee crisis, intensified by ongoing conflicts and environmental changes, this dissertation research focuses on the mental health of Afghan refugee women in the United States (U.S.), particularly in the context of the COVID-19 pandemic and the 2021 Taliban takeover. With over 114 million people displaced globally, Afghan refugees, notably women, encounter heightened mental health risks due to violence, deprivation, systemic persecution, and the challenges of migration. This vulnerability is exacerbated by recent mass traumatic events, including the pandemic and political upheaval in Afghanistan. Our study, conducted through semi-structured interviews with Afghan refugee women and …

What Is The Economic Benefit Of Annual Covid-19 Vaccination From The Adult Individual Perspective?, Sarah M Bartsch, Kelly J O'Shea, Colleen Weatherwax, Ulrich Strych, Kavya Velmurugan, Danielle C John, Maria Elena Bottazzi, Mustafa Hussein, Marie F Martinez, Kevin L Chin, Allan Ciciriello, Jessie Heneghan, Alexis Dibbs, Sheryl A Scannell, Peter J Hotez, Bruce Y Lee

Center for Medical Ethics and Health Policy Staff Publications

Background: With coronavirus disease 2019 (COVID-19) vaccination no longer mandated by many businesses/organizations, it is now up to individuals to decide whether to get any new boosters/updated vaccines going forward.

Methods: We developed a Markov model representing the potential clinical/economic outcomes from an individual perspective in the United States of getting versus not getting an annual COVID-19 vaccine.

Results: For an 18-49 year old, getting vaccinated at its current price ($60) can save the individual on average $30-$603 if the individual is uninsured and $4-$437 if the individual has private insurance, as long as the starting vaccine efficacy against severe …

Modeling The Impact Of Behavioral Changes And Heterogeneity On U.S. Energy Demand, Sinoun Phoung

Theses

Energy consumption is fundamental to the functioning of modern society, powering essential activities such as transportation, cooking, and working. The drivers of energy demand are influenced by an interplay of physical characteristics, climatic conditions, policy decisions, and behavioral patterns. These behavioral patterns are shaped by socio-demographic factors such as age, income, and employment status, which introduce variability in energy usage. Additionally, the COVID-19 pandemic has introduced changes in daily behaviors, which is persisting into the post-pandemic era and further influencing changes in energy consumption. Understanding and quantifying the diversity and changes in societal behaviors is crucial for energy management and …

Veterinary Students' Perceptions Toward Incorporating And Expanding Telehealth Service Delivery Knowledge In Curricula And Future Practice: A Cross-Sectional Study, Kylie Watson, Nikhil M. Mardhekar, Utkarsh Pandey, Julia Wells, Karen Gruszynski, Amanda H. Wilkerson, John J. Dascanio, Syed S. Quadri, Jonathan T. Leo, Krishen D. Samuel, Vinayak K. Nahar, Robert E. Davis

Student Publications

Objective: Telehealth is the use of technology to deliver medical services. Potential uses among veterinarians include consulting with specialists about complicated cases, sending in electronic prescriptions, or meeting with clients to discuss patient health. Although the coronavirus disease 2019 pandemic posed many challenges to the veterinary profession, it accelerated the adoption of telehealth among veterinarians. As many of these changes took place quickly in response to the pandemic, many of those in practice did not receive much training or guidance; therefore, this study explores veterinary students' perceptions regarding incorporating telehealth into the veterinary curriculum and the utilization of telehealth in …

Equity-Informed Social Media Covid-19 Risk Communication Strategies: A Scoping Review, Nedra Peter, Lorie Donelle Phd, Rn, Fcan, Catherine George, Anita Kothari

Publications

OBJECTIVES: The COVID-19 pandemic has had devastating worldwide impact but most prominent was its effect on marginalised, underserved and equity-deserving populations. Social media arose as an important platform from which health organisations could rapidly disseminate information to equity-deserving populations about COVID-19 risks and events, provide instructions on how to mitigate those risks, motivate compliance with health directives, address false information, provide the opportunity for engagement and immediate feedback. The objective of this scoping review was to synthesise the academic and grey literature on equity-informed social media risk communication strategies developed during the pandemic. DESIGN: The review followed the Arksey and …

The Experience Of Middle School Special Education Teachers In New Jersey Teaching Virtually During Covid-19, Yolanda Henderson

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study is to describe the experiences of middle school special education teachers working remotely in New Jersey during the COVID-19 pandemic. The conceptual framework that guided this study was Schlossberg’s Transition Theory. Schlossberg's Transition Theory refers to events that result in a change of relationships, routines, assumptions, or roles. This theory allowed me to see the various phases such as moving in, through, and out of the COVID-19 pandemic. Recognizing how the pandemic affected the relationships, routines, and roles of teachers made it easy to understand how this theory related directly to the pandemic. …

We Did Our Best!: The Experience Of Frontline Workers In Long-Term Care During Covid-19 Outbreaks, Jillian M. Gratton, Lenora Duhn, Rosemary Wilson, Pilar Camargo-Plazas

Patient Experience Journal

In Canada, the COVID-19 pandemic had devastating effects for those living in long-term care (LTC) homes, yet little is known about the experiences of the frontline workers who endured in those settings with COVID-19 outbreaks. Specialized knowledge will improve our understanding of the effects of the pandemic on frontline workers (FW), enabling the development of stronger practices. The purpose of this research was to gain a deeper understanding of the experiences of FW caring for residents in LTC homes during a COVID-19 outbreak, using narrative inquiry. The methods used for data collection include interviews, field notes, and photovoice. Participants were …

Perspectives On Telemedicine Across Urban, Rural And Remote Areas In The Philippines During The Covid-19 Pandemic, Noleen Fabian, Regine Ynez De Mesa, Carol Tan-Lim, Gillian Sandigan, Johanna Lopez, Arianna Maever Loreche, Leonila Dans, Zharie Benzon, Herbert Zabala, Josephine Sanchez, Nanette Sundiang, Mia Rey, Antonio Dans

Ateneo School of Medicine and Public Health Publications

Objectives

This study explored attitudes, subjective norms, and perceived behavioural control of participants across urban, rural and remote settings and examined intention-to-use telemedicine (defined in this study as remote patient-clinician consultations) during the COVID-19 pandemic.

Methods

This is a cross-sectional study. 12 focus group discussions were conducted with 60 diverse telemedicine user and non-user participants across 3 study settings. Analysis of responses was done to understand the attitudes, norms and perceived behavioural control of participants. This explored the relationship between the aforementioned factors and intention to use.

Results

Both users and non-users of telemedicine relayed that the benefits of telemedicine …

Video And Phone Visit Use Differed By Language Preference Among Us Latino And Chinese Adults During The First 9 Months Of The Covid-19 Pandemic: A Cross-Sectional Electronic Health Record Study, Nancy P Gordon, Teresa Y Lin, Antonia Torreblanca, Mary E Reed

Faculty, Staff and Student Publications

BACKGROUND: During the first nine months of the COVID-19 emergency, patients were encouraged to use virtual versus clinic visits if in-person care was not deemed necessary by clinical staff. This study examined the association of spoken language preference and ethnicity with use of video versus phone virtual visits by US Latino and Chinese adult patients who got care in the same healthcare system.

METHODS: We analyzed electronic health record data for four groups of adults aged 26-85y who had ≥ 1 primary or specialty care outpatient clinician visits during April-December 2020: 80,869 Latino adults preferring Spanish (LEP Latino); 214,765 Latino …

The Impact Of Covid-19 On Mental Health- A Comparison Between Gender & Race, Taliyah Quinn

Theses and Dissertations

My study will focus on the rise of mental health toward the African American, Latinx and Asian Americans communities due to the COVID-19 pandemic. The spread of the virus, the high percentage rate of infections among minorities, isolation, quarantining and socio economic disadvantages played a major role in the increase of mental disparities.

Understanding Barriers To Effective And Equitable Covid-19 Response Through The Evaluation Of Essential Needs Program In Jefferson County, Ky., Haritha Pallam

Electronic Theses and Dissertations

This study utilized a multi-method study approach to assess the effectiveness of the Essential Needs Program (ENP), aimed at aiding priority groups in successfully completing isolation or quarantine (I/Q) during the COVID-19 pandemic. It commences with an overview of the COVID-19 pandemic's history and the role of ENP as a local emergency response strategy to mitigate community spread. Chaos and systems theories were employed to comprehensively understand disaster phenomena and factors influencing individual adoption of protective measures during the pandemic. Additionally, institutional decision-making models and implementation science were utilized to elucidate how public health stakeholders coordinated ENP services provision and …

Women's Experience Of Cancer Treatment During Covid-19 On The Texas-Mexico Border, Kayla E. Castañeda

Nursing Theses and Dissertations

The COVID-19 pandemic exposed existing racial, ethnic, socioeconomic, geographic, and gender disparities in cancer care and highlighted the need for more research in understudied populations. No studies have elucidated the experience of women living on the Texas-Mexico border receiving cancer treatment during the pandemic. This study explored the lived experience of receiving cancer treatment during the COVID-19 pandemic in 2020 for women living on the Texas-Mexico border and identified participants' self-identified unmet needs while receiving cancer treatment during the COVID-19 pandemic on the Texas-Mexico border. Following IRB approval and informed consent, ten women living on the Texas-Mexico border who received …

The Impact Of The Covid-19 Pandemic On Device-Associated Healthcare-Associated Infections In Nevada, Gabriela Bran

UNLV Theses, Dissertations, Professional Papers, and Capstones

Healthcare-associated infections or hospital-acquired infections (HAIs) have remained prevalent despite the growth of infection control programs in healthcare facilities and are a large cause of morbidity and mortality. Device-associated HAIs (DA-HAIs) make up a large portion of HAIs. The devices include central line-associated bloodstream infections (CLABSIs), catheter-associated urinary tract infections (CAUTIs), and ventilator-associated events (VAEs). DA-HAIs became a large concern during the COVID-19 pandemic as many healthcare facilities became overwhelmed by the influx of COVID-19 cases, illuminating the importance of studies to examine these changes. Therefore, this study aimed to evaluate how DA-HAI rates have changed during and after the …

The Influence Of The Covid-19 Pandemic On Binge Eating In A Demographically Diverse Us Community Sample, Jessica H. Habashy

UNLV Theses, Dissertations, Professional Papers, and Capstones

The novel coronavirus pandemic (COVID-19) has had profound effects among many individuals with or at risk for eating disorders. The most common primary eating disorder is binge eating disorder which has uniquely reflected more similarities than differences among diverse populations compared to other eating disorder classifications. Considering the upsurge of prevalence rates of eating disorders during the pandemic, it is important to assess the rate of binge eating across the demographic strata to gain a better understanding of who is impacted and provide healing to those who are suffering. Screening for binge eating features across the United States (US) using …

Evolving Community Preparedness: Analysis Of United States Pandemic Health Disaster Readiness, Jessy Rugeyo

Theses and Dissertations

The COVID-19 pandemic has shown substantial gaps in counties' preparedness and response capacity across the United States. This study analyzes the relationship between county-level pandemic preparedness and confirmed COVID-19 cases using secondary data from the FEMA's National Household Survey (NHS) and county-level COVID-19 data from the CDC. The data show a negative relationship between preparedness levels and COVID-19 positive rates, highlighting the necessity of proactive readiness measures. Individual risk assessment, motivation for preparedness, and socioeconomic variables have a major influence on confirmed cases. Higher levels of education, income, and preparedness are associated with lower positive rates, emphasizing the importance of …

E-Cigarette Use Reasons And Associated E-Cigarette Use Dependence Among College Students: A Longitudinal Examination, Tzung-Shiang Ou, Anne Buu, James J Yang, Hsien-Chang Lin

Faculty, Staff and Student Publications

Objective: Previous studies have established an understanding of reasons for e-cigarette use and associated e-cigarette use patterns such as use frequency, yet the critical extension to associated e-cigarette dependence outcome remains under-researched. This study used longitudinal data to examine whether the reasons for e-cigarette use predict a higher/lower level of e-cigarette dependence.

Methods: This study recruited college students who were current e-cigarette users from Fall 2019 to Fall 2020 (four semesters) at three public universities in the Midwest and South of the U.S. Those who participated for at least two semesters were included (N = 366). Data were collected using …

Mental Health Of Healthcare Workers In Kosovo During The Covid-19 Pandemic, Latif Hoxha

All Dissertations

ABSTRACT

This study explored the mental health of healthcare practitioners in Kosovo during the COVID-19 pandemic, focusing on the prevalence of stress, depression, and anxiety, and the associated individual, family, and work-related factors. The research employed a cross-sectional design with a sample of 449 healthcare workers from two hospitals in Kosovo. The Depression, Anxiety, and Stress Scale (DASS-21) was used to assess mental health symptoms, while socio-demographic and work-related information was collected through a questionnaire.

Based on the descriptive statistics of DASS-21 scores, the prevalence of mental health issues among the participants included high levels of depression (18%), anxiety (25%), …

Challenges In Lncrna Biology: Views And Opinions, Donald A Adjeroh, Xiaobo Zhou, Alexandre Rossi Paschoal, Nadya Dimitrova, Ekaterina G Derevyanchuk, Tatiana P Shkurat, Jeffrey A Loeb, Ivan Martinez, Leonard Lipovich

Faculty, Staff and Student Publications

This is a mini-review capturing the views and opinions of selected participants at the 2021 IEEE BIBM 3rd Annual LncRNA Workshop, held in Dubai, UAE. The views and opinions are expressed on five broad themes related to problems in lncRNA, namely, challenges in the computational analysis of lncRNAs, lncRNAs and cancer, lncRNAs in sports, lncRNAs and COVID-19, and lncRNAs in human brain activity.

Leveraging Machine Learning And Stochastic Programming To Address Vaccine Hesitancy In Public Health Resource Allocation, Hieu Trung Bui

Graduate Theses and Dissertations

Infectious disease outbreaks highlight the urgent need for effective strategies to distribute vaccines and allocate critical healthcare resources to contain the disease and reduce its negative impacts on the population. Managing these allocations is a significant challenge, especially in marginalized communities facing uncertainty in healthcare demand and logistical constraints. This dissertation addresses these challenges by investigating factors that influence dynamic changes in vaccine hesitancy (VH) and its implications for disease spread and healthcare resource demand. It develops optimization models for vaccine distribution and resource allocation under uncertainty, validated with data from the COVID-19 pandemic in the U.S. The first study …