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Inspire : Vol 5, Issue 3, Department Of Medicine

INSPIRE – Department of Medicine Archives

Content

• Medicine at National and International Forums
• World Congress - International Society of Nephrology (ISN)
• In-depth: featuring Manager Data Science – Mushyada Ali
• Featured Faculty – Dr Sonia Yaqub – Assistant Professor & Section Head- Nephrology section
• Poem section
• What are Academics Around the World Reading This Month?
• Publications
• Upcoming Events

The Potential Of Dietary Bioactive Compounds Against Sars-Cov-2 And Covid-19-Induced Endothelial Dysfunction, Jack N. Losso

Faculty Publications

COVID-19 is an endothelial disease. All the major comorbidities that increase the risk for severe SARS-CoV-2 infection and severe COVID-19 including old age, obesity, diabetes, hypertension, respiratory disease, compromised immune system, coronary artery disease or heart failure are associated with dysfunctional endothelium. Genetics and environmental factors (epigenetics) are major risk factors for endothelial dysfunction. Individuals with metabolic syndrome are at increased risk for severe SARS-CoV-2 infection and poor COVID-19 outcomes and higher risk of mortality. Old age is a non-modifiable risk factor. All other risk factors are modifiable. This review also identifies dietary risk factors for endothelial dysfunction. Potential dietary …

Exploring And Evaluating The Impact Of Covid-19 On Mobility Changes In Singapore, Aldy Gunawan, Linh Chi Tran, Kar Way Tan, I-Lin Wang

Research Collection School Of Computing and Information Systems

This paper analyzes the changes in mobility trends due to the impact of the COVID-19 pandemic in Singapore in the six different sectors: Retail and Recreation, Grocery and Pharmacy, Parks, Transit Stations, Workplaces and Residential. The period of observation is from 15 February 2020 to 18 August 2021. The observed patterns obtained from the descriptive data analysis sheds light on the effectiveness of social distancing measures in Singapore as well as the level of compliance among the country’s residents. Correlation analysis is used to explore the relationship between different sectors during the pandemic period. The results reveal a strong sense …

Efficacy Of Losartan In Hospitalized Patients With Covid-19-Induced Lung Injury: A Randomized Clinical Trial, Michael A. Puskarich, Nicholas E. Ingraham, Lisa H. Merck, Brian E. Driver, David A. Wacker, Lauren Page Black, Alan E. Jones, Courtney V. Fletcher, Andrew M. South, Thomas A. Murray, Christopher A. Lewandowski, Joseph Farhat, Justin L. Benoit, Michelle H. Biros, Kartik Cherabuddi, Jeffrey G. Chipman, Timothy W. Schacker, Faheem W. Guirgis, Helen T. Voelker, Joseph S. Koopmeiners, Christopher J. Tignanelli

Emergency Medicine Articles

Importance: SARS-CoV-2 viral entry may disrupt angiotensin II (AII) homeostasis, contributing to COVID-19 induced lung injury. AII type 1 receptor blockade mitigates lung injury in preclinical models, although data in humans with COVID-19 remain mixed.

Objective: To test the efficacy of losartan to reduce lung injury in hospitalized patients with COVID-19.

Design, Setting, and Participants: This blinded, placebo-controlled randomized clinical trial was conducted in 13 hospitals in the United States from April 2020 to February 2021. Hospitalized patients with COVID-19 and a respiratory sequential organ failure assessment score of at least 1 and not already using a renin-angiotensin-aldosterone system (RAAS) …

Residual Symptoms And The Quality Of Life In Individuals Recovered From Covid-19 Infection: A Survey From Pakistan, Mohammad Aadil Qamar, Russell Seth Martins, Rubaid Azhar Dhillon, Areeba Tharwani, Omar Irfan, Qosain Fatima Suriya, Wajiha Rizwan, Javaid Ahmed Khan, Ali Bin Sarwar Zubairi

Medical College Documents

Background: There remains scarcity of literature regarding the patient's health status post-COVID-19 infection. This study analyzes the prevalence of residual symptoms and quality of life (QoL) after COVID-19.
Methods: An anonymous online survey was administrated in Pakistan from November 2020 to April 2021 in COVID-19 survivors. The questionnaire used the 12-Item Short Form Health Survey (SF-12) to assess mental and physical QoL. Multivariate linear regression was used to explore factors associated with mental and physical QoL scores.
Results: A total of 331 COVID-19 survivors participated in our survey. Around 42.0% of the cohort reported within 1-3 months of diagnosis of …

Racial Disparities In Covid-19 Outcomes Among Black And White Patients With Cancer, Julie Fu, Sonya A. Reid, Benjamin French, Cassandra Hennessy, Clara Hwang, Na Tosha Gatson, Narjust Duma, Sanjay Mishra, Ryan Nguyen, Jessica E. Hawley, Sunny R. K. Singh, David D. Chism, Neeta K. Venepalli, Jeremy L. Warner, Toni K. Choueiri, Andrew L. Schmidt, Leslie A. Fecher, Jennifer E. Girard, Mehmet A. Bilen, Deepak Ravindranathan, Sharad Goyal, Trisha M. Wise-Draper, Cathleen Park, Corrie A. Painter, Sheila M. Mcglown, Gilberto De Lima Lopes, Oscar K. Serrano, Dimpy P. Shah

Hematology/Oncology Articles

Importance: Non-Hispanic Black individuals experience a higher burden of COVID-19 than the general population; hence, there is an urgent need to characterize the unique clinical course and outcomes of COVID-19 in Black patients with cancer.

Objective: To investigate racial disparities in severity of COVID-19 presentation, clinical complications, and outcomes between Black patients and non-Hispanic White patients with cancer and COVID-19.

Design, Setting, and Participants: This retrospective cohort study used data from the COVID-19 and Cancer Consortium registry from March 17, 2020, to November 18, 2020, to examine the clinical characteristics and outcomes of COVID-19 in Black patients with cancer. Data …

An Exploratory Analysis Of Mindfulness And Work-Life Balance During The Covid-19 Pandemic, Christine Bush

Doctoral Dissertations and Projects

The negative effects of the COVID-19 pandemic have created a need for change in both personal and professional lives; however, due to the abrupt newness of the virus, there has been limited research. The purpose of this quantitative study is to examine mindfulness (via FFMQ), work-life balance (via WLB survey) and potential stressors among employees who have been affected by the COVID-19 global pandemic. An exploratory analysis of how mindfulness and work-life balance has played a role in employees’ adaptation to working during a pandemic will be conducted. An in-depth literature analysis was conducted to examine the relationship between mindfulness …

Developing A Fake News Identification Model With Advanced Deep Languagetransformers For Turkish Covid-19 Misinformation Data, Mehmet Bozuyla, Akin Özçi̇ft

Turkish Journal of Electrical Engineering and Computer Sciences

The massive use of social media causes rapid information dissemination that amplifies harmful messages such as fake news. Fake-news is misleading information presented as factual news that is generally used to manipulate public opinion. In particular, fake news related to COVID-19 is defined as 'infodemic' by World Health Organization. An infodemic is a misleading information that causes confusion which may harm health. There is a high volume of misinformation about COVID-19 that causes panic and high stress. Therefore, the importance of development of COVID-19 related fake news identification model is clear and it is particularly important for Turkish language from …

Your Liberty Is Not A Right To Jeopardize My Health: How A State Covid-19 Vaccine Mandate Promotes Health Justice, Rebecca L. Doloski

Marquette Benefits and Social Welfare Law Review

The COVID-19 pandemic has once again brought the vaccine debate into the national spotlight. Except this time, whether to be vaccinated or not has become widely politicized and the rapid spread of misinformation has led to a deadly game of those who refuse to be vaccinated not only allowing themselves to be susceptible to a deadly virus, but also putting others at risk. In addition to the misinformation and politicization of this issue, the question of constitutionality of such measures is back in the spotlight as potential state vaccine mandates appear to be on the horizon. This paper seeks to …

Long-Term Cardiovascular Outcomes Of Covid-19, Yan Xie, Evan Xu, Benjamin Bowe, Ziyad Al-Aly

Open Access Publications

The cardiovascular complications of acute coronavirus disease 2019 (COVID-19) are well described, but the post-acute cardiovascular manifestations of COVID-19 have not yet been comprehensively characterized. Here we used national healthcare databases from the US Department of Veterans Affairs to build a cohort of 153,760 individuals with COVID-19, as well as two sets of control cohorts with 5,637,647 (contemporary controls) and 5,859,411 (historical controls) individuals, to estimate risks and 1-year burdens of a set of pre-specified incident cardiovascular outcomes. We show that, beyond the first 30 d after infection, individuals with COVID-19 are at increased risk of incident cardiovascular disease spanning …

Sars-Cov-2 Omicron Virus Causes Attenuated Disease In Mice And Hamsters, Peter J Halfmann, Shun Iida, Kiyoko Iwatsuki-Horimoto, Tadashi Maemura, Maki Kiso, Suzanne M Scheaffer, Tamarand L Darling, Astha Joshi, Baoling Ying, James Brett Case, Zhenlu Chong, Bradley Whitener, Zhenlu Chong, Larissa B Thackray, Adrianus C M Boon, Michael S Diamond, Et Al

Open Access Publications

The recent emergence of B.1.1.529, the Omicron variant

American Heart Association Epi|Lifestyle Scientific Sessions: 2021 Meeting Highlights, Ruth Alma Turkson-Ocran, Kathryn Foti, Anika L. Hines, Debora Kamin Mukaz, Hyunju Kim, Samantha Martin, Anum Minhas, Faye L. Norby, Oluwabunmi Ogungbe, Alexander C. Razavi, Mary R. Rooney, Elisabeth L.P. Sattler, Jewel Scott Phd, Rn, Fnp-C, Alvin G. Thomas, Curtis Tilves, Amelia S. Wallace, Frances M. Wang, Mingyu Zhang, Pamela L. Lutsey, Kristie J. Lancaster

Faculty Publications

No abstract provided.

Information Trust And Covid-19 Vaccine Hesitancy Amongst Middle-Aged And Older Adults In Singapore: A Latent Class Analysis Approach, Micah Tan, Paulin Tay Straughan, Grace Cheong

Research Collection School of Social Sciences

Rationale: COVID-19 vaccine hesitancy presents significant challenges for public health. Objective: Vaccine hesitancy among middle-aged and older adults has been a significant barrier in Singapore’s battle against COVID-19. We hypothesize that the trust middle-aged and older adults place in various sources of information influences vaccine hesitancy, and that distinct typologies of trust can be identified to better inform targeted health communication efforts. Method: Data from a nationally representative panel survey of Singaporeans aged 56–75 (N = 6094) was utilized. Modules fielded in August and November 2020, and June 2021 were analyzed, assessing social networks, trust in sources of information, and …

Use Of Steroids In Covid-19 Patients: What Is Known?, Syed Muhammad Mustahsan, Marzia Tahir, Emaduddin Siddiqui

Department of Emergency Medicine

COVID-19 pandemic has exaggerated the role of steroids in the standard of care despite minimum direct evidence of their efficacy in COVID-19 patients and their well-known adverse effects. The literature abounds on the side effects of steroids affecting different organ systems of the body. COVID-19 patients, who are on long-term steroids, are more susceptible to their adverse effects. We, herein, briefly review the potential uses and the adverse effects of steroids on different organ systems of the body. Key Words: Steroids, COVID-19, Adverse effects.

Exploring The Covid-19 Pandemic Impact On Hawai'ian Small Businesses, Farrel Anthony Blake

Doctoral Dissertations and Projects

The COVID-19 pandemic has a profound and devastating impact on small businesses across the globe, especially and noticeable in the state of Hawai’i. The virus outbreak has disrupted the operations of all small business industries. This qualitative case study addressed the general problem of how the COVID-19 pandemic impacted Hawai’ian small businesses. The research provided a detailed understanding of the COVID-19 pandemic by focusing on key research questions to comprehend the problem statement. The case study findings provided an understanding of how small business owners and managers managed to remain sustainable since the start of the pandemic outbreak. Collectively, 15 …

Of Vascular Defense, Hemostasis, Cancer, And Platelet Biology: An Evolutionary Perspective, David G Menter, Vahid Afshar-Kharghan, John Paul Shen, Stephanie L Martch, Anirban Maitra, Scott Kopetz, Kenneth V Honn, Anil K Sood

Faculty, Staff and Student Publications

We have established considerable expertise in studying the role of platelets in cancer biology. From this expertise, we were keen to recognize the numerous venous-, arterial-, microvascular-, and macrovascular thrombotic events and immunologic disorders are caused by severe, acute-respiratory-syndrome coronavirus 2 (SARS-CoV-2) infections. With this offering, we explore the evolutionary connections that place platelets at the center of hemostasis, immunity, and adaptive phylogeny. Coevolutionary changes have also occurred in vertebrate viruses and their vertebrate hosts that reflect their respective evolutionary interactions. As mammals adapted from aquatic to terrestrial life and the heavy blood loss associated with placentalization-based live birth, platelets …

The Effect Of Redeployment During The Covid-19 Pandemic On Development Of Anxiety, Depression, And Insomnia In Healthcare Workers, Maylyn Martinez, Nancy H. Stewart, Anya L. Koza, Serena Dhaon, Christiana Shoushtari, Vineet M. Arora

Student Publications

No abstract provided.

Secondary Infections In Patients With Covid-19 Pneumonia Treated With Tocilizumab Compared To Those Not Treated With Tocilizumab: A Retrospective Study At A Tertiary Hospital In Kenya, Reena Shah, Jasmit Shah, Jaimini Gohil, Gunturu Revathi, Salim Surani

Internal Medicine, East Africa

Introduction: From the first case of SARS-Co-2 in Wuhan, China, to the virus being declared as a pandemic in March 2020, the world has witnessed morbidity and mortality on a global scale. Scientists have worked at a record pace to deliver a vaccine for the prevention of this deadly disease. Tocilizumab, an interleukin-6 (IL-6) blocker, received an emergency use authorization (EUA) by the Federal Drug Agency (FDA) in June 2021.
Methods: This retrospective observational cohort study was conducted at the Aga Khan University Hospital, Nairobi, from March 8, 2020, to December 31, 2020. All patients with PCR confirmed …

Forgotten Frontline Workers, One Year Later, Mark K. Nagasawa

Straus Institute for Thriving Children & Families

This is the second in a series of reports discussing findings from a June 2021 survey sent to New York Aspire Registry members who work in NYC (n=663). It also follows up on Forgotten Frontline Workers, a report issued last year which focused on family child care (FCC) professionals’ experiences earlier in the pandemic. The results discussed in this report come from a self-selected sample (n=97), and cannot be used to draw conclusions about all FCC professionals in NYC; however, their value comes from recognizing each of these participants’ humanity and the important policy-relevant issues …

Artificial Intelligence And Chatbots In Psychiatry, Kay T Pham, Amir Nabizadeh, Salih Selek

Faculty, Staff and Student Publications

The utilization of artificial intelligence (AI) in psychiatry has risen over the past several years to meet the growing need for improved access to mental health solutions. Additionally, shortages of mental health providers during the COVID-19 pandemic have continued to exacerbate the burden of mental illness worldwide. AI applications already in existence include those enabled to assist with psychiatric diagnoses, symptom tracking, disease course prediction, and psychoeducation. Modalities of AI mental health care delivery include availability through the internet, smartphone applications, and digital gaming. Here we review emerging AI-based interventions in the form of chat and therapy bots, specifically conversational …

Understanding The Homesick Experience Through The Narratives Of First-Year College Residential Students, Talita Santos Ferrara

Theses & Dissertations

Homesickness is a complex phenomenon that operates on a spectrum and impacts individuals' psychological, cognitive, and physical functioning. Sufferers experience a preoccupation of home and a strong desire to return home. In higher education, homesickness among first-year students has been linked to a higher risk of dropping out of school, symptoms of depression and anxiety, and a lack of satisfaction with the overall college experience. Through the lens of belongingness theory, this phenomenological study examined the essence of the homesick experience among first-time undergraduate college students living in the residence halls of a private Catholic college in the Northeast. The …

On The Test Accuracy And Effective Control Of The Covid-19 Pandemic: A Case Study In Singapore, Guang Cheng, Sarah Yini Gao, Yancheng Yuan, Chenxiao Zhang, Zhichao Zheng

Research Collection Lee Kong Chian School Of Business

This study examines the impact of coronavirus disease 2019 (COVID-19) test accuracy (i.e., sensitivity and specificity) on the progression of the pandemic under two scenarios of limited and unlimited test capacity. We extend the classic susceptible–exposed–infectious–recovered model to incorporate test accuracy and compare the progression of the pandemic under various sensitivities and specificities. We find that high-sensitivity tests effectively reduce the total number of infections only with sufficient testing capacity. Nevertheless, with limited test capacity and a relatively high cross-infection rate, the total number of infected cases may increase when sensitivity is above a certain threshold. Despite the potential for …

Classification And Keyword Identification Of Covid 19 Misinformation On Social Media: A Framework For Semantic Analysis, Grace Y. Smith

Theses and Dissertations

The growing surge of misinformation among COVID-19 communication can pose great hindrance to truth, magnify distrust in policy makers and/or degrade authorities’ credibility, and it can even harm public health. Classification of textual context on social media data relating to COVID-19 is an effective tool to combat misinformation on social media platforms. In this research, Twitter data was leveraged to 1) develop classification methods to detect misinformation and identify Tweet sentiment with respect to COVID-19 and 2) develop a human-in-the-loop interactive framework to enable identification of keywords associated with social context, here, being misinformation regarding COVID-19. 1) Six fusion-based classification …

Understanding Logistics Airmen’S Risk Information Seeking And Processing During The Covid-19 Pandemic: The Role Of Organizational Meetings In An Extended Prism Framework, Christopher T. Price

Theses and Dissertations

The purpose of this survey-based research was to understand how organizational workplace meetings surrounding the COVID-19 pandemic impacted logistics Airmen across the United States Air Force and subsequently played a role into their risk seeking behavior on social media. Specifically, this research tested an expanded Planned Information Risk Seeking Model with organizational meetings as an antecedent to determine if current meetings influenced an Airman's perceived behavioral control, attitude toward seeking, subjective norms, knowledge sufficiency an intentions to seek information regarding COVID-19.

Covid-19, Poverty Reduction, And Partisanship In Canada And The United States, Daniel Beland, Shannon Dinan, Philip Rocco, Alex Waddan

Political Science Faculty Research and Publications

Poor people proved especially vulnerable to economic disruption during the coronavirus disease (COVID-19) pandemic, which highlighted the importance of poverty reduction as a policy concern. In this article, we explore the politics of poverty reduction during the COVID-19 crisis in Canada and the United States, two liberal welfare-state regimes where poverty reduction is a key policy issue. We show that, since the beginning of the pandemic, policies likely to reduce poverty significantly have been adopted in both Canada and the United States. Yet, this poverty reduction logic has emerged in different ways in the two countries—with the United States embracing …

Chans-Law: Preventing The Next Pandemic Through The Integration Of Social And Environmental Law, Kirsten Davies, Michelle Mei Ling Lim, Tianbao Qin, Philip Riordan

Research Collection Yong Pung How School Of Law

Zoonotic viruses have sacrificed hundreds of millions of people throughout human history. There are currently 1.7 million unidentified viruses estimated to be circulating in mammal and bird populations. It is foreseeable that in the near future, another of these will transmit to people, heralding the start of the next pandemic—one potentially more deadly than COVID-19. At the core of this article is a call for pre-emptive protection of the natural environment and its regenerative systems as the first fundamental step in the prevention of future epidemics and pandemics. While zoonoses originate in nature, the predominant legal discipline, managing these crises, …

Vr In Tourism: A New Call For Virtual Tourism Experience Amid And After The Covid-19 Pandemic, Maksim Godovykh, Carissa Baker, Alan Fyall

Faculty Scholarship and Creative Works

Virtual reality has become a more common phenomenon in both destination marketing and on-site experience. The recent challenges such as overtourism and the COVID-19 pandemic have created a pressing need to examine virtual tourism as an alternative to traditional travel. This conceptual article aims at clarifying virtual experience in tourism, discussing the main antecedents and outcomes of virtual experience, and proposing a conceptual model of virtual tourism experience. The review of the literature revealed that virtual experience in tourism is influenced by factors related to information, quality, technology acceptance, and affective involvement and has significant effects on tourists' attitudes and …

The Role Of 3d Ct Imaging In The Accurate Diagnosis Of Lung Function In Coronavirus Patients, Ibrahim Shawky Farahat, Ahmed Sharafeldeen, Mohamed Elsharkawy, Ahmed Soliman, Ali Mahmoud, Mohammed Ghazal, Fatma Taher, Maha Bilal, Ahmed Abdel Khalek Abdel Razek, Waleed Aladrousy, Samir Elmougy, Ahmed Elsaid Tolba, Moumen El-Melegy, Ayman El-Baz

All Works

Early grading of coronavirus disease 2019 (COVID-19), as well as ventilator support machines, are prime ways to help the world fight this virus and reduce the mortality rate. To reduce the burden on physicians, we developed an automatic Computer-Aided Diagnostic (CAD) system to grade COVID-19 from Computed Tomography (CT) images. This system segments the lung region from chest CT scans using an unsupervised approach based on an appearance model, followed by 3D rotation invariant Markov–Gibbs Random Field (MGRF)-based morphological constraints. This system analyzes the segmented lung and generates precise, analytical imaging markers by estimating the MGRF-based analytical potentials. Three Gibbs …

Prognostic And Predictive Biomarkers In Patients With Coronavirus Disease 2019 Treated With Tocilizumab In A Randomized Controlled Trial, Jennifer Tom, Min Bao, Larry Tsai, Aditi Qamra, David Summers, Montserrat Carrasco-Triguero, Jacqueline Mcbride, Carrie M Rosenberger, Celia J F Lin, William Stubbings, Kevin G Blyth, Jordi Carratalà, Bruno François, Thomas Benfield, Derrick Haslem, Paolo Bonfanti, Cor H Van Der Leest, Nidhi Rohatgi, Lothar Wiese, Charles Edouard Luyt, Farrah Kheradmand, Ivan O Rosas, Fang Cai

Faculty, Staff and Students Publications

OBJECTIVES: To explore candidate prognostic and predictive biomarkers identified in retrospective observational studies (interleukin-6, C-reactive protein, lactate dehydrogenase, ferritin, lymphocytes, monocytes, neutrophils, d-dimer, and platelets) in patients with coronavirus disease 2019 pneumonia after treatment with tocilizumab, an anti-interleukin-6 receptor antibody, using data from the COVACTA trial in patients hospitalized with severe coronavirus disease 2019 pneumonia.

DESIGN: Exploratory analysis from a multicenter, randomized, double-blind, placebo-controlled, phase 3 trial.

SETTING: Hospitals in North America and Europe.

PATIENTS: Adults hospitalized with severe coronavirus disease 2019 pneumonia receiving standard care.

INTERVENTION: Randomly assigned 2:1 to IV tocilizumab 8 mg/kg or placebo.

MEASUREMENTS AND MAIN …

Epidemiological Algorithm For Early Detection Of Covid-19 Cases In A Mexican Oncologic Center, Moisés González-Escamilla, Diana Cristina Pérez-Ibave, Carlos Horacio Burciaga-Flores, Vanessa Natali Ortiz-Murillo, Genaro A. Ramírez-Correa, Patricia Rodríguez-Niño, Rafael Piñeiro-Retif, Hazyadee Frecia Rodríguez-Gutiérrez, Fernando Alcorta-Nuñez

School of Medicine Publications

An early detection tool for latent COVID-19 infections in oncology staff and patients is essential to prevent outbreaks in a cancer center. (1) Background: In this study, we developed and implemented two early detection tools for the radiotherapy area to identify COVID-19 cases opportunely. (2) Methods: Staff and patients answered a questionnaire (electronic and paper surveys, respectively) with clinical and epidemiological information. The data were collected through two online survey tools: Real-Time Tracking (R-Track) and Summary of Factors (S-Facts). Cut-off values were established according to the algorithm models. SARS-CoV-2 qRT-PCR tests confirmed the positive algorithms individuals. (3) Results: Oncology staff …