Digital Commons Network^™

Quantification Of How Mechanical Ventilation Influences The Airborne Infection Risk Of Covid-19 And Hvac Energy Consumption In Office Buildings, Zhihong Pang, Xing Lu, Zheng O’Neill

Faculty Publications

This paper presents an EnergyPlus-based parametric analysis to investigate the infection risk of Coronavirus Disease 2019 (COVID-19) under different mechanical ventilation scenarios for a typical medium-sized office building in various climate zones. A Wells-Riley (WR) based Gammaitoni-Nucci (GN) model was employed to quantitatively calculate the airborne infection risk. The selected parameters for the parametric analysis include the climate zone, outdoor air fraction, fraction of infectors, quanta generation rate, and exposure time. The loss and deposition of particles are not considered. The results suggest that the COVID-19 infection risk varies significantly with climate and season under different outdoor air fraction scenarios …

Covid-19 Patients Who Discharge With Home Oxygen Have Lower Readmission Rates Than Covid-19 Patients Who Discharge Without Oxygen, Samantha G. Landers

2023 Spring Honors Capstone Projects - Archive

The purpose of this study was to explore what the best care should be at discharge after being diagnosed with COVID-19. This was a retrospective study using data from electronic health records. Patients discharged to home with oxygen (O2) were less likely to be readmitted within 30 days. Linear Regression was computed to determine variables that could predict if discharge with and without O2 would affect readmission rates. When adjustments were made for co-variants, it was determined that patients having been in the ICU on the ventilator were 2.6 times more likely to be readmitted within 30 days. However, COVID-19 …

Network Effects Of Emergency Department Clinician Strain And Patient Congestion, Aisha Nelson

All Theses

We develop a discrete-event simulation model to study how staffing strain affects patient outcomes across a network of Emergency Departments (EDs). The aim is to observe how clinician staffing and transfers throughout the system affect the system’s behavior. We will study the network of the seven EDs in the Prisma Health-Upstate system. Patient acuity and resource need are stratified using the five-level Emergency Severity Index (ESI). Patient flow data within and between EDs are collected from EPIC, staffing data from ShiftAdmin, and environmental COVID-19 prevalence data from the Department of Health and Environmental Control. Time periods include the Omicron wave …

A Mixed Methods Study On Urban Educators’ Feelings Of Preparedness To Implement Practices That Impact Social And Emotional Learning In A Mid-Pandemic Environment, Emily Dittmer

Dissertations

The purpose of the mixed methods study was to evaluate urban educators’ perceptions of their preparedness to implement social and emotional learning strategies in their classrooms/workspaces as well as to understand what the educators’ experiences were as their students returned to a five day a week school schedule after a year and a half of disruptions due to the COVID-19 pandemic. Those involved in the study included educators from four K-8 public charter schools located in an urban Midwestern environment. Quantitative data was obtained through the administration of two identical surveys that were completed by volunteer participants at two different …

The Effects Of The Covid-19 Pandemic On Mergers And Acquisitions, Goodwill, And Goodwill Impairment In The Technology Industry, Dee Webster

Honors Scholar Theses

I explore associations between COVID-19 and changes in mergers and acquisitions (M&As), goodwill valuation, and goodwill impairments in the technology industry. Prior literature explores the pandemic’s effects on the dynamics of M&As, goodwill, and goodwill impairment, but are not specific to the pandemic’s impact on the technology industry. This study references prior literature to provide conceptual support as well as research findings to examine the overall changes in technology companies of interest in this study. First, I find that M&A activity before COVID-19 and during COVID-19 was not substantially different when averaged. Second, I find that there was a significant …

Impacts Of Personal Cultural Orientations On College Students’ Psychological Health And Preventive Behaviors During The Covid-19 Period, Joanna Ouyang

Honors Theses

The COVID-19 pandemic has brought dramatic life changes to individuals across the world. Personal cultural orientations of these individuals alter the way individuals respond to the pandemic and their mental wellness. This research investigates how personal cultural orientations impact college students’ mental health primarily anxiety, prevention behaviors and intentions to reduce the spread of COVID-19, and active coping strategies during the COVID-19 pandemic. Participants (n=155) completed measures of independence, ambiguity intolerance, masculinity, gender equality, mental health, prevention behaviors to reduce the spread of COVID-19, and active coping strategies to protect themselves during the pandemic. Results revealed that people with higher …

Advancement Of Detection And Treatment For Triple-Negative Breast Cancer And Infectious Disease, Austin Smothers

All Dissertations

Triple-negative breast cancer (TNBC) continues to be one of the leading causes of death in women, making up 7% of all cancer deaths. Tumor-treating electric fields (TTFields) are low-energy, low-frequency oscillating electric fields (OEF) that have been shown to induce an anti-proliferative effect on mitotic cells in glioblastoma multiforme (GBM), non-small cell lung cancer (NSCLC), and ovarian cancer. Currently, tumor-treating field (TTField) therapy utilizes “optimal” frequencies of electric fields to achieve maximal cell death by cell line. However, because of differences in cell size, shape, and ploidy during mitosis, optimal electric field characteristics for maximal cell death may not exist. …

Mental Health And Psychological Well-Being Of Kenyan Adolescents From Nairobi And The Coast Regions In The Context Of Covid-19, Gideon Mbithi, Adam Mabrouk, Ahmed Sarki, Rachel Odhiambo, Mary Namuguzi, Judith Dzombo, Joseph Atukwatse, Margaret Kabue, Paul Mwangi, Amina Abubakar

Institute for Human Development, East Africa

Background Despite the high burden of mental health problems during adolescence and its associated nega- tive consequences, it has remained neglected especially in sub-Saharan Africa. The 2019 novel Coronavirus disease (COVID-19) pandemic has placed additional stress on adolescent mental health. However, there are few studies docu- menting the burden of mental health problems and even fewer mental health services in the region. In relation to the limited body of knowledge, the present study aims to determine the psychological well-being of adolescents and to assess the risks and associated factors of mental health problems among adolescents in the context of COVID-19 …

Beyond Covid-19: The Impact Of Recent Pandemics On Medical Students And Their Education: A Scoping Review, Moneb Bughrara, Stephanie Swanberg, Victoria Lucia, Keaton Schmitz, Dawn Jung, Tracy Wunderlich-Barillas

Posters

Over the past two years, COVID-19 has greatly altered undergraduate medical education (UME) as well as daily life. Medical schools across the world were disrupted and had to immediately adapt the educational experience to the online environment in order to continue the delivery of quality UME. However, COVID-19 was not the only recent pandemic. This posed the question, were similar disruptions and adaptations also seen in recent past pandemics such as Severe Acute Respiratory Syndrome (SARS) or Middle East Respiratory Syndrome (MERS) that could have prepared UME for COVID-19? This scoping review investigated the educational and personal impact of recent …

Post-Covid-19 Employee Satisfaction: An Examination Of Flexible Work Arrangements, Joshua Cooper

Honors Theses

Amid the COVID-19 pandemic, many businesses had to switch their strategy to stay afloat in such unprecedented times. One way that businesses, as well as entire industries, pivoted was by using flexible work arrangements to alleviate the stress and potential danger of employees gathering at work. The addition of flexible working arrangements into industries has created an entirely different world of work that challenges the traditional form of working in a face-to-face format. Moving forward, after the pandemic, industries have to accommodate for these more present working conditions that impact how employees view their satisfaction with their job. This research …

The Inherent Monetary Incentive Of Intellectual Property Rights And The Failure Of Intellectual Property Waivers To Recognize This Motive, Ellaheh D. Sims

Barry Law Review

No abstract provided.

Workplace Factors That Contribute To Teacher Intent To Leave The Profession, Teresa Blount Gibbons

Electronic Theses and Dissertations

There is a nationwide shortage of qualified teachers, with 90% of all teacher shortages caused by teacher attrition (Carver-Thomas & Darling-Hammond, 2019). This study surveyed public school K-12 teachers in South Carolina to gain an understanding of workplace factors that contribute to teacher intentions to quit/ teacher attrition. The current design measures teacher stress perceptions of workplace factors as the relational theoretical lens to determine teacher intention to leave or likelihood of attrition. The results of a study suggest that student stressors and workload are the most important factors in teacher attrition. A qualitative analysis of student stressors found that …

Covid-19'S Impact On School Principals' Self-Efficacy As Managerial Leaders, Krystle Marie Ballatore

Electronic Theses and Dissertations

This dissertation in practice (DiP) employs qualitative research and educational theories to examine the impact of COVID-19 on school principals' self-efficacy in one South Carolina school district. Its theoretical framework is based on Bandura's (1977, 1986, 1997) social cognitive theory. The dissertation begins by outlining the specific problem at hand, relevant general concerns, and a purpose statement. This problem serves as the foundation for the research questions: How has the COVID-19 pandemic impacted principals' self-efficacy as their schools' managerial leaders? How do these principals' experiences vary in degree of impact by school level (i.e., early childhood, primary, elementary, intermediate, middle, …

From Teacher To Campus Leader: An Autoethnographic Study Of An Assistant Principal At A New Mexico Elementary Campus Post Covid-19, Mona E. Plaza

Open Access Theses & Dissertations

In March 2020, the COVID-19 pandemic began its effect on public school education. With online classes, students without remote access, and teachers with little to no experience in technology-based instruction, students, parents, and teachers were navigating the unknown. We have returned to campus, and routines are back in place, but education will never be the same. This autoethnography explores the first year of a teacher transitioning to an assistant principal on a small New Mexico elementary school campus as the education system recovers from the fallout of the pandemic. The purpose of this study is to use research as a …

Maternal Sars-Cov-2 Infection And Prematurity: The Southern Michigan Covid-19 Collaborative, Ray Bahado-Singh, Adi L. Tarca, Yasmin G. Hasbini, Robert J. Sokol, Madhurima Keerthy, Gregory Goyert, Theodore Jones, Lisa Thiel, Pooja Green, Youssef Youssef, Courtney Townsel, Shyla Vengalil, Paige Paladino, Amy Wright, Mariam Ayyash, Gayathri Vadlamudi, Marta Szymanska, Sonia Sajja, Onur Turkoglu, Grace Sterenberg, Alexandra R. Mangus, Micheal Baracy, Maria Gibbons, Karlee Grace, Kaitlyn Houston, Jessica Norman, Dereje W. Gudicha, Sonia S. Hassan

Obstetrics, Gynecology and Women's Health Services Articles

OBJECTIVE: COVID-19 has been reported to increase the risk of prematurity, however, due to the frequent absence of unaffected controls as well as inadequate accounting for confounders in many studies, the question requires further investigation. We sought to determine the impact of COVID-19 disease on preterm birth (PTB) overall, as well as related subcategories such as early prematurity, spontaneous, medically indicated preterm birth, and preterm labor (PTL). We assessed the impact of confounders such as COVID-19 risk factors, a-priori risk factors for PTB, symptomatology, and disease severity on rates of prematurity.

METHODS: This was a retrospective cohort study of pregnant …

Flying The Unfriendly Skies: How Flight Crew Members Perceived And Communicatively Constructed The Emotional Labor Of Their Positions Throughout The Covid-19 Pandemic, William B.L. Ingelson

UNLV Theses, Dissertations, Professional Papers, and Capstones

The COVID-19 pandemic brought about unprecedented levels of volatility to all hospitality industries, including aviation. Such levels of volatility have highlighted a need to understand the effects of the COVID-19 pandemic on flight crew communication. This study explores the impact of the COVID-19 pandemic on intra-flight crew communication and the emotional labor flight crew members experienced. Utilizing the theoretical frameworks of facework, politeness theory, emotional labor, and emotional management, this study examined how participants communicated through the tumult of this time period. This study discovered heavy usage of surface acting and increased levels of emotional labor through 28 qualitative interviews …

Shortening The Postoperative Length Of Stay Following Total Knee Arthroplasty Does Not Negatively Impact Short-Term Patient Outcomes; A Retrospective Review Of The Response To The Covid-19 Pandemic, Bailey Shevenell, Johanna Mackenzie, Cassandra Lieblein, Brian J. Mcgrory, Michael Becker, Nicholas Colacchio, Adam Rana

Costas T. Lambrew Research Retreat 2023

Safely Decreasing Postoperative Length of Stay for Total Knee Arthroplasty (TKA) Patients Following the COVID-19 Pandemic

Covid-19 Prevalence And Trends Among Pregnant And Postpartum Individuals In Maine By Rurality And Pregnancy Conditions, Charlie Grantham, Christina Ackerman-Banks, Heather Lipkind, Kristin Palmsten, Katherine Ahrens

Costas T. Lambrew Research Retreat 2023

Our study is the first to estimate prevalence of COVID-19 among pregnant and postpartum individuals for Maine, using data that captures both commercial and public insurance and examines differences by rurality, a known modifier of COVID-19 infections in the U.S. individuals.

Covid-19 And Depression And Anxiety Screening In Primary Care, Elizabeth Bernier, Abrey Feliccia, Leah Wood, Kate Herlihy, Kristen A. Woodberry

Costas T. Lambrew Research Retreat 2023

Introduction:

• The COVID-19 pandemic had a severe effect on mental health, heightening the prevalence and severity of anxiety and depression amongst the general population in rural and non-rural areas, particularly youth.

• Most reports draw from available data from mental health referrals, hospitalizations, suicides, and other incident data

• There is limited longitudinal information from general population samples using standardized mental health assessments.

Demand Prediction And Inventory Management Of Surgical Supplies, Rajon Paul Pantha

Graduate Theses and Dissertations

Effective supply chain management is critical to operations in various industries, including healthcare. Demand prediction and inventory management are essential parts of healthcare supply chain management for ensuring optimal patient outcomes, controlling costs, and minimizing waste. The advances in data analytics and technology have enabled many sophisticated approaches to demand forecasting and inventory control. This study aims to leverage these advancements to accurately predict demand and manage the inventory of surgical supplies to reduce costs and provide better services to patients. In order to achieve this objective, a Long Short-Term Memory (LSTM) model is developed to predict the demand for …

The Effect Of Covid-19 And The Media On Trust In The Healthcare System, Analise Noelle Richcreek

Undergraduate Honors Thesis Collection

The present study surveys the role that mass media consumption and COVID-19 plays on people's trust in healthcare as well as their health behaviors. Current research has shown that misinformation about COVID-19 is likely to be spread by the media to influence people's opinions on healthcare. This study provides a more in depth look on how media information impacts trust in the healthcare system and subsequent health behaviors in the midst of a pandemic. 202 participants completed a survey measuring media usage and health behaviors, with 38% identifying as students. The results revealed a strong positive correlation between trust in …

Social Ecological Resilience, Social Capital, Anomie And The Impact Of Covid-19., Kevin Pacifico Gonzaga

Electronic Theses and Dissertations

From climate change to racial tension and income inequality, many difficulties face the United States and those who live within its borders. The extreme and increasing political polarization in the United States as well as the impact of the COVID-19 pandemic have only made these challenges more difficult to address. In this complex web of adversity, the concept of resilience is important to study. Resilience may be broadly defined as the ability to “bounce back” or return to adaptive functioning after experiencing significant adversity or challenges (Smith et al., 2008). Better understanding how resilience functions and the general state of …

Anti-Vaccination: Addressing Vaccine Hesitancy And Its Consequences For Modern Public Health Policy, Joshua Bird

Senior Honors Theses

Modern vaccination is arguably the most significant medical achievement in human history. Through widespread vaccination, populations are no longer susceptible to diseases that plagued humanity for most of its existence (measles, rubella, smallpox). While vaccinations have largely shown themselves as safe and efficacious under most circumstances, small but considerable portions of the worldwide population reject vaccination for various social, religious, and political reasons. Research indicates that vaccine hesitancy spans all socioeconomic boundaries, affecting patients and their physicians. To explore the underlying themes of vaccine hesitancy and their relationship to loss aversion and omission bias, a study of various factors underlying …

Cross-Sectional And Longitudinal Comparison Of Health-Related Quality Of Life And Mental Well-Being Between Persons With And Without Post Covid-19 Condition, Emily Stella Scott, Erica I. Lubetkin, Mathieu F. Janssen, John Yfantopolous, Gouke J. Bonsel, Juanita A. Haagsma

Publications and Research

Background:

Still little is known about the impact of post COVID-19 condition (PC) on health-related quality of life (HRQOL) and mental well-being. We compared participants with PC with three groups: an acute COVID-19 infection (AC) only, at least one chronic condition (CC) but no COVID-19, or no condition at all, healthy (PH). Between these disease groups, we also estimated and compared HRQOL and mental well-being change over time.

Methods:

Participants from six countries (Greece, Italy, Netherlands, Sweden, United Kingdom and United States) completed two web-based questionnaires (T1 = April–May 2020 and T2 = April–June 2022). Primary outcomes were HRQOL, measured …

Outcomes Following Extracorporeal Membrane Oxygenation For Severe Covid-19 In Pregnancy Or Post Partum, John J Byrne, Amir A Shamshirsaz, Alison G Cahill, Mark A Turrentine, Angela R Seasely, Joe Eid, Caroline E Rouse, Michael Richley, Nandini Raghuraman, Mariam Naqvi, Yasser Y El-Sayed, Martina L Badell, Cece Cheng, James Liu, Emily H Adhikari, Soha S Patel, Erika R O'Neil, Patrick S Ramsey

Faculty, Staff and Student Publications

IMPORTANCE: Existing reports of pregnant patients with COVID-19 disease who require extracorporeal membrane oxygenation (ECMO) are limited, with variable outcomes noted for the maternal-fetal dyad.

OBJECTIVE: To examine maternal and perinatal outcomes associated with ECMO used for COVID-19 with respiratory failure during pregnancy.

DESIGN, SETTING, AND PARTICIPANTS: This retrospective multicenter cohort study examined pregnant and postpartum patients who required ECMO for COVID-19 respiratory failure at 25 hospitals across the US. Eligible patients included individuals who received care at one of the study sites, were diagnosed with SARS-CoV-2 infection during pregnancy or up to 6 weeks post partum by positive nucleic …

Advances In The Treatment Of Invasive Fungal Disease, Zhuan Zhang, Gerald F Bills, Zhiqiang An

Faculty, Staff and Student Publications

With over 300 million severe cases and 1.5 million deaths annually, invasive fungal diseases (IFDs) are a major medical burden and source of global morbidity and mortality. The World Health Organization (WHO) recently released the first-ever fungal priority pathogens list including 19 fungal pathogens, considering the perceived public health importance. Most of the pathogenic fungi are opportunistic and cause diseases in patients under immunocompromised conditions such as HIV infection, cancer, chemotherapy, transplantation, and immune suppressive drug therapy. Worryingly, the morbidity and mortality caused by IFDs are continuously on the rise due to the limited available antifungal therapies, the emergence of …

Nursing Perspectives On The Use Of Continuous Glucose Monitoring In The Intensive Care Unit., Eileen R Faulds, Kathleen M Dungan, Molly Mcnett, Laureen Jones, Norma Poindexter, Matthew Exline, Jillian Pattison, Francisco J Pasquel

Nursing Articles

BACKGROUND: The COVID-19 pandemic necessitated rapid implementation of continuous glucose monitoring (CGM) in the intensive care unit (ICU). Although rarely reported, perceptions from nursing staff who used the systems are critical for successful implementation and future expanded use of CGM in the inpatient setting.

METHODS: A 22-item survey focused on CGM use was distributed to ICU nurses at two large academic medical centers in the United States in 2022. Both institutions initiated inpatient CGM in the spring of 2020 using the same CGM+point of care (POC) hybrid protocol. The survey employed a 1- to 5-point Likert scale regarding CGM sensor …

Racialized Experiences Of Covid-19: Help-Seeking Patterns In Response To Racial Discrimination Among Asian American College Students, Jeeyun Lee

Student Theses

In the United States, reported anti-Asian hate crimes increased by 164% from 2020 to 2021, with New York demonstrating a difference of 223% (Center for the Study of Hate & Extremism, 2021). Ample evidence suggested its deleterious emotional impact; COVID-19-associated racial discrimination was found to be significantly associated with increased levels of mental distress, such as anxiety, depression, and PTSD symptoms (e.g., Hahm et al. 2021). With an aim of addressing the significant dearth of research on Asian Americans’ help-seeking behaviors in response to COVID-19-associated racism and distress, this study employed grounded theory to explore the experiences of 10 self-identified …

Understanding Covid-19 Vaccine Hesitancy In Underserved Populations, Kenecia Dones

Doctor of Nursing Practice Projects

Vaccination remains one of the most effective ways to limit the spread of infectious diseases and reduce mortality and morbidity in the United States, especially in underserved populations. African Americans and Latinos are eight times more likely to die than White Non-Hispanic populations of COVID-19-related complications. Although vaccines are currently offered and approved to anyone over 5 years old in the United States, there continues to be vaccine hesitancy in the underserved population. The purpose of this project was to understand vaccine hesitancy in underserved populations to promote vaccine confidence and build trust in patients to the point where they …

The Increase Of Suicide Risks Amongst Individuals With Mental Health Disorders During The Covid-19 Pandemic, Joanna Flores

Electronic Theses, Projects, and Dissertations

The COVID-19 pandemic brought on many challenges, one of them being the increase of suicidal ideation among individuals with a mental health diagnosis. This study seeks to determine the key factors that increased suicidal ideation by interviewing clients from a mental health agency. This is an important topic since suicide rates have been steadily increasing throughout the last 19 years. The researcher conducted one-on-one interviews virtually with mental health clinicians at the study site. The themes found in this study were fear of COVID, isolation, anxiety, and depression. A subtheme found in this study was social isolation. Understanding the key …