Digital Commons Network^™

The Relationship Between Ventilation Rates In Schools And The Indoor Airborne Transmission Potential Of Covid-19, Seamus Harrington, Mark Mulville, Spyros Stravoravdis

Articles

The requirement for natural ventilation strategies in classrooms to perform in respect to both their inherent and adaptive capacity is necessary to mitigate the risk of transmission associated with infectious airborne pathogens such as COVID-19. This paper assesses the performance of ten classrooms considering (a) the designed versus actual ventilation capacity; (b) the probability of airborne disease transmission by unit time resulting from calculated ventilation rates and (c) the reduction of transmission risk associated with mask wearing by all occupants.

Monitored air changes per hour (ACH) range from 0.26–1.7, demonstrating that none of the classrooms meet designed ventilation rate whilst …

Adherence To Covid-19 Safety Guidelines As A Function Of Depression And Anxiety, Derek Berger

Senior Honors Theses and Projects

The entire world has been impacted by the COVID-19 pandemic in a multitude of ways. This project aimed to identify if those experiencing depression and anxiety are more likely or less likely to follow mandated guidelines and safety procedures for COVID-19 than those who are undiagnosed. For the purposes of this project, guidelines and safety procedures were defined as receiving the COVID-19 vaccines, wearing a mask, practicing social distancing, and avoiding social gatherings. Data were gathered through the construction and administration of a nationwide survey, and then depression and anxiety were correlated with each safety procedure separately. It was found …

Institute Of Public Health Newsletter- Volume4, Issue2, Institute Of Public Health (Iph)

Institute of Public Health Newsletter (IPHNL) and Other Publications

No abstract provided.

Institute Of Public Health Newsletter- Volume5, Issue1, Institute Of Public Health (Iph)

Institute of Public Health Newsletter (IPHNL) and Other Publications

No abstract provided.

Overlooked Sex And Gender Aspects Of Emerging Infectious Disease Outbreaks: Lessons Learned From Covid-19 To Move Towards Health Equity In Pandemic Response, Lynn Lieberman Lawry, Roberta Lugo-Robles, Vicki Mciver

Journal Articles: Epidemiology

Sex and gender issues are especially important in emerging infectious diseases (EIDs) but are routinely overlooked despite data and practice. Each of these have an effect either directly, via the effects on vulnerability to infectious diseases, exposures to infectious pathogens, and responses to illness, and indirectly through effects on disease prevention and control programs. The severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), the viral agent of coronavirus disease 2019 (COVID-19) has underscored the importance of understanding the sex and gender impacts on pandemics. This review takes a broader looks at how sex and gender impact vulnerability, exposure risk, and treatment and …

Nonsystematic Reporting Biases Of The Sars-Cov-2 Variant Mu Could Impact Our Understanding Of The Epidemiological Dynamics Of Emerging Variants, Mary E. Petrone, Carolina Lucas, Bridget Menasche, Mallery I. Breban, Inci Yildirim, Melissa Campbell, Saad B. Omer, Edward C. Holmes, Albert I. Ko, Nathan D. Grubaugh, Akiko Iwasaki, Craig B. Wilen, Chantal B. F. Vogels, Joseph R. Fauver

Journal Articles: Epidemiology

Developing a timely and effective response to emerging SARS-CoV-2 variants of concern (VOCs) is of paramount public health importance. Global health surveillance does not rely on genomic data alone to identify concerning variants when they emerge. Instead, methods that utilize genomic data to estimate the epidemiological dynamics of emerging lineages have the potential to serve as an early warning system. However, these methods assume that genomic data are uniformly reported across circulating lineages. In this study, we analyze differences in reporting delays among SARS-CoV-2 VOCs as a plausible explanation for the timing of the global response to the former VOC …

Psychological Burden Of Second Line Healthcare Workers In Morocco During Covid-19 Outbreak: A Cross-Sectional Study, Ismail Hanine, Khadija Benallel, Roukaya Benjelloun, Mohamed Kadiri

Health Sciences

Background: Second-line healthcare workers have played a crucial role during the covid-19 pandemic, providing essential support to frontline workers and ensuring the smooth functioning of healthcare systems. Aim: Our subjects were not the focus of many research studies. Our aim was to explore the relationship between the outbreak and the experience of the second line of defense and if they endured the psychological burden of the pandemic as much as those on the frontline, despite not being in direct contact with infected or suspected cases in the first wave. Methods: In this study, we focused our attention on those not …

Election Emergencies: Voting In Times Of Pandemic, Michael T. Morley

Scholarly Publications

Over the past century, two global pandemics have struck during American elections—the Spanish Flu of 1918 and COVID-19 in 2020. The legal system’s responses to these pandemics, occurring against very distinct constitutional backdrops concerning voting rights, differed dramatically from each other. These pandemics highlight the need for states to prepare to address not only public health crises, but election emergencies more broadly. States must adopt election emergency laws that both empower election officials to modify the rules of the electoral process as necessary to respond to these disasters, and also set forth “redlines,” identifying certain policies that, even in a …

Exploring The Impact Of Covid-19 On Adults With Intellectual And Developmental Disabilities In The United States, Sarah Lineberry

Theses and Dissertations

Like most disasters, the COVID-19 pandemic has disproportionately impacted people from historically marginalized communities. People with intellectual and developmental disabilities (IDD) have faced higher rates of infection, hospitalization, and death compared to people without disabilities, as well as significant disruptions to the services that support them to participate in the community. A relative lack of research about the experiences of people with IDD may have contributed to this risk and continues to limit our understanding of the impacts of COVID-19. This three-paper dissertation is guided by the theory of epistemic injustice (Fricker, 2007) to understand the impacts of COVID-19 on …

Doctoral Students’ Experiences Of The Pandemic And Their Perceptions Of Grit, Josie Bryant

Murray State Theses and Dissertations

The pandemic has significantly changed societal structures and individuals’ lives. The early tragedies and stress of the pandemic affected health, relationships, families, education, work, travel, and immigration. Students who entered doctoral programs in 2020 chose a unique time to pursue an already arduous goal amidst unprecedented challenges. Using a phenomenological approach, this study explored doctoral students’ experiences during the pandemic and sought to understand their perspectives of grit. The study aimed to offer first-hand insight into the pandemic’s effects on doctoral students, and add critical contributions to understanding the necessary actions, support systems, and policies for a life in a …

Effects Of Peer-Supported And Self-Guided Exercise On Self-Reported Anxiety And Depression Among Young Adults - A Pilot Study, Xihe Zhu, Michael D. Kostick, Justin A. Haegele

Human Movement Studies & Special Education Faculty Publications

Mental health conditions such as anxiety and depression became heightened issues for college-aged young adults during the global pandemic. The main purpose of this study was to examine the effects of a peer-supported exercise intervention on young adults (vs. self-guided exercise) who reported elevated levels of anxiety and/or depression. A parallel group design was used where young adults (n = 27) were randomly assigned to either a peer-supported or self-guided exercise group which lasted for eight weeks. The generalized anxiety and depression subscales of the Counseling Center Assessment of Psychological Symptoms (CCAPS-34) were measured for a baseline and then at …

Attitudes Towards De-Globalization: Do Multicultural Experiences Matter?, Gustavo Miotti

Dissertations from the Executive Doctorate in Business Administration Program

De-globalization is believed to have started with the Great Recession in 2008 and accelerated with political backlash against interdependence between countries with the rise of populist leaders in the two major sponsors of globalization, the United States, and the United Kingdom. More recently, COVID-19 showed that countries were vulnerable to the complex global supply chains to which we were exposed. In 2023, the war in Ukraine and tensions between USA and China has made the scenario even more complex. Based on contact theory and sensemaking, this dissertation investigates the proposition that individuals that have had more multicultural experiences will exhibit …

Covid-19 Vaccine Hesitancy In Asean: Insights From A Multi-Wave Survey Database From July 2020 To March 2021, Kenneth Y. Hartigan-Go, Ronald U. Mendoza, Madeline Mae A. Ong, Jurel K. Yap

Ateneo School of Medicine and Public Health Publications

Objectives

Early studies on COVID-19 vaccine hesitancy showed varied intensity across countries, which was linked to various factors such as socio-economic conditions, information sources, and issues of trust in government, scientific experts, and the health sector. This study aims to evaluate the determinants of vaccine hesitancy to offer insights into the strategies that may be successful in designing communications campaigns for enhanced vaccination uptake.

Methods

Through logistic regression, this study examines correlates of survey data from five Southeast Asian countries, namely Indonesia (ID), Malaysia (MY), Philippines (PH), Thailand (TH), Vietnam (VN) collected by the Massachusetts Institute of Technology Initiative on …

The Determinants Of Covid-19 Vaccination Intention: A Meta-Review, Yam B. Limbu, Rajesh K. Gautam

Department of Marketing Faculty Scholarship and Creative Works

Background: A large number of systematic reviews have been published that synthesized various determinants of COVID-19 vaccination intention (CVI). However, they reported inconsistent evidence. Therefore, we conducted a meta-review (systematic review of systematic reviews) to provide a comprehensive synthesis of factors influencing CVI. Methods: This meta-review was conducted in accordance with PRISMA guidelines. PubMed, Scopus, Web of Science, and CINAHL were searched for systematic reviews published from 2020 to 2022 that examined the determinants of CVI. AMSTAR-2 critical appraisal tool was used to ensure the quality of included reviews, and ROBIS tool was used to evaluate the risk of bias. …

My Physical-Digital Self: Exploring The Detrimental Effects Of The Metaverse On Relationship & Identity Development, Sophia De Castro

CMC Senior Theses

The metaverse, which is the next iteration of the internet--an immersive, virtual world--poses a threat to the essential human need for healthy relationship and identity development. Coming out of the COVID-19 pandemic, the effects of isolation and virtual socialization led many to prefer physical experiences, despite society’s overall dependency on and connectedness to the internet and technological devices. Framed by Maslow’s hierarchy of human psychological needs, Turkle’s analysis of the human relationship to earlier forms of virtual reality, and Foucault’s principles of caring for and knowing the self, this paper argues that the metaverse will be detrimental towards developing participant’s …

I Versus We: Social Regulations Exacerbated Tension Between Individualism And Collectivism During China’S Twenty-First Century Public Health Emergencies, Duan Wang

Honors Theses

Since 2020, the COVID-19 pandemic has been a global public health problem, which stimulated restrictions like lockdowns, public service closures, and strict border controls that disrupted individuals' life patterns to mitigate the potential transmission within communities. Intriguingly, with its adherence to the “zero-COVID tolerance” policy, China represented a unique case in the overall global reopening trend after three years of the pandemic. Such an unwavering, uncompromising stance reflected conflicts between individuals and the Chinese government regarding COVID regulations, which exposed the tension between individualism and government-proposed collectivism.

This thesis investigates strict social regulations and the exacerbated tension between individualism and …

Associations Between Covid-19 Therapies And Inpatient Gastrointestinal Bleeding: A Multisite Retrospective Study, Noah A. Wiedel, Harlan Sayles, Jessica Larson, Jana L. Wardian Phd, Alexander Hewlett, James C. Mcclay, Jin Ge, Alfred J. Anzalone, The N3c Consortium

Journal Articles: Hospital Medicine

Little data is available regarding the incidence of gastrointestinal bleeding in adults hospitalized with COVID-19 infection and the influence of patient comorbidities and demographics, COVID-19 therapies, and typical medications used. In this retrospective study, we utilized the National COVID Cohort Collaborative to investigate the primary outcome of the development of gastrointestinal bleeding in 512 467 hospitalized US adults (age >18 years) within 14 days of a COVID-19 infection and the influence of demographics, comorbidities, and selected medications. Gastrointestinal bleeding developed in 0.44% of patients hospitalized with COVID-19. Comorbidities associated with gastrointestinal bleeding include peptic ulcer disease (adjusted odds ratio [aOR] …

Virtual Home Visits During Covid-19 Pandemic: Mothers' And Home Visitors' Perspectives, Abdullah Al-Taiar, Michele A. Kekeh, Stephanie Ewers, Amy L. Prusinski, Kimberly J. Alombro, Nancy Welch

Community & Environmental Health Faculty Publications

Background

The experiences of mothers enrolled in Maternal, Infant and Early Childhood Home Visiting (MIECHV) program with virtual home visiting (VHV) during the pandemic remain mostly unknown. This study aimed to describe in detail the experience of home visitors and mothers with VHV during COVID-19 pandemic. This is a prerequisite for guiding future efforts to optimize MIECHV services that are provided through virtual operation.

Methods

Focus groups discussion were conducted with home visitors (n = 13) and mothers (n = 30) who were enrolled in BabyCare program in Virginia from January 2019 to June 2022. This included mothers who received …

Speaking To The Head And The Heart: Prioritizing Empathetic Communication In The Post-Covid Workplace, Kevin T. Caffrey

Administrative / Professional Faculty Articles

As of August 2022, COVID-19 continues to affect our daily lives in physical, psychological, and financial ways. Many vulnerable individuals are struggling to adapt to returning to work and as a result, employee morale is at risk. In times of crises, empathy is needed in the workplace to support one another, but many leaders and employees may not have a firm grasp of the concept. This article seeks to define empathetic communication and explore the need for prioritizing empathy amid the current post-COVID-19 workplace. Through a literature review of empathy, psychological safety in the workplace, and crisis leadership, the author …

Virtual Teaching Kitchen Classes And Cardiovascular Disease Prevention Counselling Among Medical Trainees, Alexander C. Razavi, Anna Latoff, Amber Dyer, Jaclyn Lewis Albin, Kristi Artz, Alexandra Babcock, Francesca Cimino, Farzaneh Daghigh, Beth Dollinger, Maya Fiellin, Emily A. Johnston, Grace Marie Jones, Robert D. Karch, Emily T. Keller, Heather Nace, Nimisha K. Parekh, Stephanie Nelson Petrosky, Amy Robinson, Jessica Rosen, Eva M. Sheridan, Susan W. Warner, Jada L. Willis, Timothy S. Harlan

PCOM Scholarly Works

Background: Hands-on culinary medicine education for medical trainees has emerged as a promising tool for cardiovascular health promotion. Purpose: To determine whether virtual culinary medicine programming associates with Mediterranean diet (MedDiet) adherence and lifestyle medicine competencies among medical trainees across the USA. Method: A total of 1433 medical trainees across 19 sites over a 12-month period were included. The Cooking for Health Optimisation with Patients-Medical Trainees survey composed of 61 questions regarding demographics, nutritional attitudes, dietary habits including MedDiet score and lifestyle medicine counselling competencies. Multivariable logistic regression assessed the association of virtual culinary medicine education with MedDiet intake and …

Betacoronaviruses Sars-Cov-2 And Hcov-Oc43 Infections In Igrov-1 Cell Line Require Aryl Hydrocarbon Receptor, Meisam Yousefi, Wai Suet Lee, Wharton O.Y. Chan, Wei He, Marcus G. Mah, Cythia Lingli Yong, Joshua M. Deerain, Lijin Wang, Camille Arcinas, Biaoguo Yan, Dewei Tan, Wan Rong Sia, Akshamal M. Gamage, Jinxuan Yang, Alan Chen Yu Hsu, Shang Li, Martin Linster, Xinglou Yang, Sujoy Ghosh, Danielle E. Anderson, Gavin J.D. Smith, Chee Wah Tan, Lin Fa Wang, Yaw Shin Ooi

Division of Basic Science Faculty Publications

The emergence of novel betacoronaviruses has posed significant financial and human health burdens, necessitating the development of appropriate tools to combat future outbreaks. In this study, we have characterized a human cell line, IGROV-1, as a robust tool to detect, propagate, and titrate betacoronaviruses SARS-CoV-2 and HCoV-OC43. IGROV-1 cells can be used for serological assays, antiviral drug testing, and isolating SARS-CoV-2 variants from patient samples. Using time-course transcriptomics, we confirmed that IGROV-1 cells exhibit a robust innate immune response upon SARS-CoV-2 infection, recapitulating the response previously observed in primary human nasal epithelial cells. We performed genome-wide CRISPR knockout genetic screens …

Identification Of Oral Therapeutics Using An Ai Platform Against The Virus Responsible For Covid-19, Sars-Cov-2, Adam Bess, Frej Berglind, Supratik Mukhopadhyay, Michal Brylinski, Chris Alvin, Fanan Fattah, Kishor M. Wasan

Faculty Publications

Purpose: This study introduces a sophisticated computational pipeline, eVir, designed for the discovery of antiviral drugs based on their interactions within the human protein network. There is a pressing need for cost-effective therapeutics for infectious diseases (e.g., COVID-19), particularly in resource-limited countries. Therefore, our team devised an Artificial Intelligence (AI) system to explore repurposing opportunities for currently used oral therapies. The eVir system operates by identifying pharmaceutical compounds that mirror the effects of antiviral peptides (AVPs)—fragments of human proteins known to interfere with fundamental phases of the viral life cycle: entry, fusion, and replication. eVir extrapolates the probable antiviral efficacy …

Facing Emergencies With Equity: Adopting Arpa's Emergency Rental Assistance Eligibility And Documentation Standards For Undocumented Individuals As A Model For Housing Stability, Gregory Zlotnick

Faculty Articles

Demand for federally funded housing programs vastly outpaces supply. Moreover, the supply of those programs has been limited in their scope: namely, to U.S. citizens and certain legal residents. A patchwork of federal statutes and regulations, stitched together over years, made clear that undocumented individuals-a group estimated to number around 11,000,000 in 2022-are ineligible for various kinds of federally subsidized housing.

As a result, undocumented individuals-an already-vulnerable class of residents-were even more vulnerable to housing instability when the COVID-19 pandemic reached the United States in 2020. Ineligible for short term resources, such as unemployment benefits, as well as longer-term supports, …

Delivering Health Services During Early Days Of Covid-19 Pandemic: Perspectives Of Frontline Healthcare Workers In Kenya’S Urban Informal Settlements, Vibian Angweny, Sabina Odero, Stephen Mulupi, Derrick Ssewanyana, Constance Shumba, Eunice Ndirangu, Amina Abubakar

Institute for Human Development, East Africa

The COVID-19 pandemic has caused widespread disruptions to health, economic and social lives globally. This qualitative study explores frontline healthcare workers’ (HCWs) experiences delivering routine care in Kenya’s informal settlements during the early phases of the pandemic, amidst stringent COVID-19 mitigation measures. Thirteen telephone interviews were conducted with facility and community-based HCWs serving three informal settlements in Nairobi and Mombasa. Data were analyzed using the framework approach. Results indicate there were widespread fears and anxieties surrounding COVID-19 and its management. Secondly, access to facility-based care at the onset of the pandemic was reported to decline, with service availability hampered by …

Clinical Presentation Of Immune-Mediated Post Sars-Cov-2 Encephalitis And Vasculitis, Trevi Mancilla, J Lee, W Hills, P Stanford

Continental, MidAmerica, & Mountain Divisions GME Research Day 2023

No abstract provided.

Autophagic Vacuoles With Sarcolemmal Features In Myositis Following Covid-19 Infection, Praveen Walaliyadda, Allen Swanson, Trevi R. Mancilla, A Walaliyadda, Sean Huggins, J Wilson

Continental, MidAmerica, & Mountain Divisions GME Research Day 2023

No abstract provided.

Changes In Covid-19 Titer Levels Over Time, Colson Healy, Brian Kaszuba, Angelina Rodriguez, Tami Vargochik, Napatkamon Ayutyanont

Far West Division GME Research Day 2023

No abstract provided.

New Onset Hashimoto’S Thyroiditis Associated With Severe Rhabdomyolysis After Infection With Covid19, Nova Mebane, Jacqueline M. Phillips, Cynthia Salloum, Neva Mebane, Daniel Park

Gulf Coast Division GME Research Day 2023

No abstract provided.

A Leadership Perspective On Preventing Counselor Burnout In A Behavioral Health Setting During Covid-19, Claudia P. De La Torre

Walden Dissertations and Doctoral Studies

During the COVID-19 pandemic, there was a high need for mental health services, which resulted in a shortage of mental health clinicians. This shortage of mental health clinicians then resulted in a high burnout rate due to client intake. This doctoral case study was grounded in the Baldrige Excellence Framework and focused on how a behavioral health organization in South Texas managed burnout in clinicians during the COVID-19 pandemic. This study aimed to help behavioral health leaders find a solution to preventing burnout during a high demand pandemic. This doctoral study had several data sources, including semistructured interviews with three …

Structural Empowerment Of Nurse Leaders In New York State During The Covid-19 Pandemic, Tracey Braithwaite

Walden Dissertations and Doctoral Studies

The current phenomenological study explored the lived experience of Acting Chief Nursing Officers, Chief Nursing Officers, Chief Nursing Executives (henceforth CNOs) at hospitals in New York State who were charged with responding to executive orders while maintaining quality of patient care despite staffing constraints, inadequate supplies, or lack of additional support for the duties associated with their role. Their experience of structural empowerment in relation to the COVID-19 pandemic was also studied. The theoretical framework was Kanter’s theory of structural empowerment that addressed organizational behavior in the context of employee empowerment. The research question addressed how the CNOs perceived their …