Digital Commons Network^™

Association Between Lifetime Interpersonal Violence And Post– Covid-19 Condition Among Women In Kentucky, 2020-2022, Ayşe Güler, Heather M. Bush, Katie Schill, Nurlan Kussainov, Ann L. Coker

Biostatistics Faculty Publications

Objective: The COVID-19 pandemic increased the risk of interpersonal violence. We investigated the association between lifetime interpersonal violence experience and risk of post–COVID-19 condition (the persistence of symptoms of COVID-19 and severity of health problems associated with COVID-19 that last a few weeks, months, or years) among women with lifetime interpersonal violence experience.   Methods: Women participants aged ≥18 years in Kentucky’s Wellness, Health & You—COVID-19 study completed online quantitative surveys about the impacts of the pandemic, developing COVID-19, and symptoms of post–COVID-19 condition. We conducted cross-sectional analyses estimating rate ratios of developing COVID-19 and symptoms of post–COVID-19 condition during the …

Exploring The Link Between Covid-19 And Transverse Myelitis: A Case Report, Sara Sanghera, Trivianne Franklin, Veeranna Vibhuti, Danielle Ford

North Texas Research Forum 2025

Transverse myelitis (TM) is a rare inflammatory syndrome of the spinal cord that is often attributed to immune-mediated responses which lead to demyelination and the resultant varying degrees of motor, sensory, and autonomic dysfunction. While COVID-19 virus itself is known to present with anosmia, ageusia and Guillian Barre syndrome, a few rare cases of COVID-virus related TM have been reported. This case presents a 61-year-old female experiencing bilateral lower extremity weakness with brisk to absent reflexes. Onset of the symptoms was of 3 days origin, and she was tested positive for COVID-19. Patient did not have upper extremity symptoms but …

An Evaluation Of The Decline In Primary Care Physician Visits, 2010 To 2021, Anuradha Jetty, Marie Ezran, Alison Huffstetler, Yalda Jabbarpour

Department of Family & Community Medicine Faculty Papers

INTRODUCTION: Primary care is the backbone of the United States healthcare system, yet it continues to be underfunded and inaccessible to many. Previous studies explored primary care visit patterns until 2016, leaving gaps in our understanding of how recent factors like state Medicaid expansions, the Coronavirus Disease 2019 (COVID-19) pandemic, and population growth have influenced these patterns. Hence, the objective of the current study was to analyze the trends in primary care visits provided by outpatient clinicians over time and by visit type and contextualize study findings within the changing healthcare landscape.

METHODS: The Medical Expenditure Panel Survey data (2010-2021) …

Essays On Public And Nonprofit Financial Management In Times Of Crisis, Junoh Jeon

Theses and Dissertations--Public Policy and Administration

This dissertation comprises three essays that examine critical aspects of public and nonprofit financial management, focusing on interorganizational relationships, local government influence, and financial reserve management in times of crisis.

The first essay examines how interorganizational relationships, specifically nonprofit organizations’ board interlocks, relate to their financial distress, depending on the temporal and spatial contexts. Organization-level fixed-effects regression analysis with Kentucky nonprofits from 2018 to 2022 shows that nonprofits with board interlocks in urban areas were less likely to experience financial distress during the COVID-19 pandemic. I suggest that board interlock acts as an adaptive buffering tool that helps manage resource …

Racial Disparities In Maternal Mortality Before, During, And After The Covid-19 Pandemic In The United States: A Difference-In-Difference Analysis, Kyosuke Kamijo, Misa Hayasaka, Tetsuya Kawakita

Department of Obstetrics & Gynecology Faculty Publications

Background

This study aimed to examine changes in racial disparities in pregnancy-related and maternal mortality before, during, and after the COVID-19 pandemic in the United States.

Methodology

This was a cross-sectional study using the Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) data from January 2018 to June 2024. We focused on pregnancy-related and maternal mortality among Black and White individuals to examine racial disparities. The study periods were defined as pre-pandemic (January 2018-March 2020), pandemic (April 2020-March 2022), and post-pandemic (April 2022-June 2024). We applied interrupted time series analysis and difference-in-difference (DID) models …

Resilience And Resourcefulness: How Crisis Centers In Louisiana Adapted Services During Covid-19, Fanny Ramirez, Ashlyn Barclay, Rockia Harris

Faculty Publications

Purpose: This article examines how crisis centers in Louisiana, USA, adapted their direct care services during COVID-19 to continue helping survivors affected by violence. Organizational resilience theory serves as the project’s main theoretical framework. As such, we report on how community- and university-based crisis centers drew on principles of resilience and resourcefulness to adapt their direct care services (e.g., crafting normalcy, putting alternative logics to work) during this difficult time. Method: We draw on 21 in-depth interviews with upper-level administrators from organizations working in violence against women conducted during the summer of 2020. The interview transcripts yielded 184 single-spaced pages …

Teacher Attrition During And After A Pandemic: A District’S ‘New Normal’ View, Tammy H. Jacobs

College of Graduate Studies: Theses & Dissertations

Teacher attrition has long been a concern in the K-12 educational sector, driven by various factors such as low salaries, lack of administrative support, increased teacher workload and responsibilities, and teacher stress and burnout. When the COVID-19 pandemic struck in March 2020, these existing pressures intensified. The abrupt transition to remote learning placed additional stress on teachers, who had to rapidly adapt their teaching strategies and engage students in virtual learning environments. As educators faced heightened expectations and were given additional duties, many chose to leave the profession entirely or retire early, exacerbating the ongoing teacher shortage. The combination of …

Opportunity Restored: Using Creative Measures To Provide Students With Academic Advancement Opportunities Lost During Covid-19, Randal Clint Jordan

Electronic Theses and Dissertations

This mixed-methods action research study examines the Fast Track and Graduation Path (FTGP) programs—equity-focused interventions developed to offer opportunity to students who experienced academic disruption during COVID-19 emergency schooling (Creswell & Plano Clark, 2018). The programs targeted students retained due to socioeconomic status, learned helplessness, or the technology learning gap, rather than a lack of ability or low prior performance (Jenson, 2013; Maier & Seligman, 1976; Bower, 2019). FTGP provided structured academic pathways, daily facilitation, technology-based instruction, and character education to rebuild learner confidence and achievement (Reimer & Hill, 2022).

Quantitative data from the Edgenuity© learning platform revealed the program’s …

Special Educator Persistence: Unveiling Teacher Perceptions, Janet Nutt

Theses and Dissertations--Early Childhood, Special Education, and Counselor Education

There is a continually growing shortage of special education teachers (SET). The shortage is so dire that the U.S. Bureau of Labor Statistics (2024) anticipates that as many as 35,900 new SET will be needed each year for the next decade. One of the leading factors contributing to the shortage of special educators is attrition, or any loss of teachers from their positions (Darling-Hammond, 2003; Ingersoll, 2001). Teacher persistence, therefore, is a critical concern in addressing the teacher shortage. The purpose of this mixed-methods research study is to examine the association between previously identified factors of attrition and SET decisions …

Prevalence Of Covid-19 Associated Xerostomia, Taste And Smelldisturbances Over 3 Years In An Egyptian Sample: A Cross-Sectional Study, Dalia Ghalwash, Ahmed Hamdy, Asmaa Abou-Bakr

Dentistry

Aim: Although xerostomia, smell, and taste dysfunctions are prominent signs of COVID-19 infection, long-term data regarding their prevalence and recovery rates is scarce. Accordingly, this study aimed to evaluate the frequency and persistence of xerostomia, taste, and smell disturbances in COVID-19 survivors over 3 years in an Egyptian sample. Methods: This cross-sectional study used an online questionnaire to assess the oral symptoms ofxerostomia, which include altered taste and smell. Data was collected from 826 patients recovered from COVID-19. Results: Xerostomia was the most frequent finding affecting 73.6% of the studied sample, followed bysmell disturbances affecting 67.8%, and altered taste reported …

A Comparison Of Involved And Uninvolved College Students' Stress And Coping During Covid-19, Abbie Alsene

Theses and Dissertations

In this study, I compare the stress and coping of involved students and uninvolved students at liberal arts colleges during COVID-19. The study seeks to understand if there are differences between the two student populations. Three research questions guide the study. First, how has COVID-19 affected the stress levels of involved students compared to uninvolved students at liberal arts colleges? Second, how do involved students cope with their stress related to COVID-19 compared to uninvolved students at liberal arts colleges? And lastly, what is the relationship between how involved college students view COVID-19 and their levels of stress in comparison …

Scrolling For Two: An Exploration Of Pregnant Women's Social Support And Information Seeking Behaviors Using Technology During The Covid-19 Pandemic, Sarah Knowlton

Theses and Dissertations

Pregnant women faced additional challenges in accessing reliable support and pregnancy- related information, leading to increased distress during the COVID-19 pandemic. Quarantine measures limited doctor’s appointments and isolated pregnant women from their families, which meant that meaningful connections and convenient information was important.

The purpose of this study is to explore the implications of COVID-19 social distancing on pregnant women, with a focus on three questions: 1) what digital technologies did pregnant women use for support and information seeking purposes during the pandemic? 2) how did pregnant women use technology to seek social support during the pandemic? 3) how did …

Economic Behavior And Policy Distortions: Evidence From Firms And Households, Seth Joseph Carter

Graduate Theses, Dissertations, and Problem Reports (ETD)

In Chapter 1, I reopen the question of whether U.S. firms experience effective tax decreases directly resulting from federal lobbying expenditures by introducing more rigorous causal-inference testing. I first model lobbying as a productive input for the legislator, affecting firm tax outcomes by influencing the share of scarce legislative attention afforded to industry tax priorities. Using multi-industry, firm-level data from 2007 to 2022, I exploit percentage changes in non-industry lobbying as a proxy for political competition facing firms through a novel application of Bartik, shift-share instrumental variable estimation and two-stage residual inclusion. Effects of induced firm lobbying shifts on reported …

Exploring The Determinants Of Life Expectancy At Birth: Predicting And Forecasting Global Health Trends Using Statistical, Machine Learning, And Deep Learning Models., Emma Rath

ICT

Accurate life expectancy forecasting is essential for health policy planning, yet research comparing statistical, machine learning, and deep learning approaches under real-world constraints remains limited. This study evaluates ARIMA/ARIMAX, tree-based, and neural network models using Irish and global datasets, considering small samples, missing data, and COVID-19 shocks. ARIMAX with lagged socioeconomic variables outperformed LSTM and other ML/DL methods. Income-based stratification improved predictive accuracy and interpretability, with SHAP analysis highlighting GDP per capita for developed countries and school enrolment and trade indicators for developing contexts. Results provide practical guidance for policymakers and establish limits for model complexity under constrained health data.

Enhancing Operational Efficiency Of Paratransit Services Using Predictive Models, Troyee Saha

Civil Engineering Dissertations - Archive

Paratransit services play a vital role in supporting the mobility of older adults and individuals with disabilities, yet they experienced major disruptions during the COVID-19 pandemic and continue to face ongoing operational issues such as trip cancellations. This dissertation explores these challenges through three distinct analyses using data from Arlington, TX. The first chapter investigates how COVID-19-related factors (policies, cases, and vaccination) and socio-demographics influenced paratransit usage from 2019 to 2021. Applying SARIMAX and Poisson regression models, the study finds a substantial drop in ridership—41% in 2020—and a shift toward essential medical travel. It also reveals that restrictive policies, such …

"The Perfect Storm": Weathering Black Racial Trauma Across The Lifespan And The Impact Of Covid-19, Taryne M. Mingo, Kiauhna Haynes

Adultspan Journal

Descendants of Africans Enslaved in the United States (DAEUS), who lived in the South prior to 1965 and experienced decades of legalized discrimination, were found to have been disproportionately impacted by the COVID-19 pandemic. Arline Geronimus (1992) coined the term “weathering” to acknowledge the accumulation of racial trauma stored within the body over extended periods of time. The purpose of this interpretive phenomenological study, aligned by the tenets of Critical Race Theory, explores how continuous racial trauma impacted DAEUS citizens’ well-being and trust in the COVID-19 vaccine. Three Group Experiential Themes emerged during this study, all connected with the experiences …

An Examination Of Post-Pandemic Enrollment Declines In California’S Public Education System, Ryan J. Cummins

CGU Theses & Dissertations

The persistent decline in enrollment in California public schools presents complex and far-reaching challenges, impacting budgets, staffing, and student outcomes. These challenges have been further compounded by the COVID-19 pandemic, which disrupted K-12 education nationwide. As students were sent home and families navigated prolonged school closures, the federal government responded with unprecedented funding to public schools, aimed at reengaging students safely, addressing academic losses, and mitigating socio-emotional impacts. While this temporary relief funding provided much-needed resources, it also allowed states and school districts broad discretion in spending, with little consistency or oversight. Investments in infrastructure, staffing, and programs varied significantly …

Resilience And Its Effects On Psychological Well Being During The Covid-19 Pandemic, Taylor Reinsel

Honors Theses

Stressors and trauma in life are unavoidable. However, the way we respond and adapt to them can be within our control. This response differs from person to person, but there are factors that can influence the likelihood of an individual rebounding from a crisis, as well as factors that can put them at a higher risk of developing mental illness. One of the main factors that influences Psychological Well Being is the presence of Resilience.

The main goal of this study was to examine how factors of Resilience relate to Psychological Well Being and COVID-19 Well Being during the COVID-19 …

An Analysis Of Elementary Teacher Working Conditions And Retention In North Carolina During The Initial Years Of The Covid-19 Pandemic, Tieshia S. Pickett

Doctor of Education Dissertations

The study aimed to investigate the impact of the COVID-19 pandemic on elementary teachers' perceptions of their working conditions and immediate professional plans in North Carolina. It compared 2018, 2020, and 2024 data to identify differences in perceptions of the pandemic. Using a nonexperimental quantitative design, the study analyzed archived data from the North Carolina Teacher Working Conditions Survey (NCTWCS) obtained from the North Carolina Education Research Data Center (NCERDC). The survey data covered pre-COVID-19 (2018), during COVID-19 (2020), and post-COVID-19 (2024) periods. The analysis focused on eight constructs: time, community support and involvement, facilities and resources, managing student conduct, …

Detecting Sars-Cov-2 In Ct Scans Using Vision Transformer And Graph Neural Network, Kamorudeen Amuda, Almustapha Wakili, Tomilade Amoo, Lukman Agbetu, Qianlong Wang, Jinjuan Feng

Electrical & Computer Engineering Faculty Publications

The COVID-19 pandemic has presented significant challenges to global healthcare, bringing out the urgent need for reliable diagnostic tools. Computed Tomography (CT) scans have proven instrumental in detecting COVID-19-induced lung abnormalities. This study introduces Convolutional Neural Network, Graph Neural Network, and Vision Transformer (ViTGNN), an advanced hybrid model designed to enhance SARS-CoV-2 detection by combining Graph Neural Networks (GNNs) for feature extraction with Vision Transformers (ViTs) for classification. Using the strength of CNN and GNN to capture complex relational structures and the ViT capacity to classify global contexts, ViTGNN achieves a comprehensive representation of CT scan data. The model was …

The Impact Of Covid-19 Pandemic Demands On By-Law Officer Wellness And Work, Harveen Randhawa

Theses and Dissertations (Comprehensive)

This research sheds light on how the rapid demand to enforce transitioning pandemic-related (and reopening) mandates impacts the wellness of bylaw officers in the context of resource strain. Ontario bylaw officers are at the forefront of the province’s response, enforcing lockdown rules to ensure community safety. This research is imperative in understanding how bylaw officers maintain their roles in municipal enforcement, while enforcing rapidly shifting COVID-19 regulations and moving forward into a post-lockdown climate. The research focuses on identifying and understanding the demands and resources that currently typify bylaw officers working in Southern Ontario. It further examines how the COVID-19 …

Nanobody Screening And Machine Learning Guided Identification Of Cross-Variant Anti-Sars-Cov-2 Neutralizing Heavy-Chain Only Antibodies, Peter R. Mcilroy, Zhuoming Liu, Sean Whelan, Et Al.

2020-Current year OA Pubs

Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) continues to persist, demonstrating the risks posed by emerging infectious diseases to national security, public health, and the economy. Development of new vaccines and antibodies for emerging viral threats requires substantial resources and time, and traditional development platforms for vaccines and antibodies are often too slow to combat continuously evolving immunological escape variants, reducing their efficacy over time. Previously, we designed a next-generation synthetic humanized nanobody (Nb) phage display library and demonstrated that this library could be used to rapidly identify highly specific and potent neutralizing heavy chain-only antibodies (HCAbs) with prophylactic and …

The Development Of A One Pot, Two Reaction Synthetic Preparation Of 1,2,4-Oxadiazole, And Synthesis Of Ataluren, A Novel Drug In The Fight Against Duchenne Muscular Dystrophy. Efforts Towards The Synthesis Of A Potential Protease Inhibitor Against The Main Protease (3clpro) Of Covid-19, Austin J. Carter

Theses and Dissertations

1,2,4-Oxadiazoles are five-membered heterocyclic structures first synthesized by Tiemann and Krüger in 1884. Recent discoveries suggest an array of useful biological properties.In preparation of 1,2,4-oxadiazoles, the most prevalent precursors are amidoximes, which can be created via the reaction of nitriles with hydroxylamine hydrochloride and a base. The amidoximes are reacted with an activated carboxylic acid to yield an acylated intermediate. This intermediate can be exposed to a base to cyclize into the 1,2,4-oxadiazole. This thesis describes the efforts in combining these three steps into a unified one-pot synthesis.

Currently, there are a significant number of commercially available FDA approved and …

The Autonomy Paradox, Working From Home And Psychosocial Hazards, Alexis Vassiley, Azadeh Shafaei, Mehran Nejati, Leigh Ann Onnis, Tim Bentley

Research outputs 2022 to 2026

This article investigates the experience of knowledge workers in New South Wales (NSW), Australia, who worked from home during the COVID-19 pandemic to understand their exposure to psychosocial hazards, specifically: workload and work pace; the work-home interface and social isolation. We explored how the increased autonomy afforded by working from home fitted with workers’ actual experience during the pandemic. Drawing on interviews with 33 NSW remote workers and 19 line-managers conducted in early 2021, this article argues that the increased autonomy afforded to employees by remote work is paradoxical. Many interviewees worked longer hours and experienced work intensification, as well …

Adaptive Crisis Management At The Operational Level: Responses To Covid-19 In The Australian Resources Sector, Michael M. Ajith, Andrei A. Lux, Tim Bentley, Michelle Striepe

Research outputs 2022 to 2026

The COVID-19 pandemic in 2020 significantly impacted Australia’s resources sector, particularly mining, oil, and gas industries, posing challenges for operational leaders. This study applied Adaptive Crisis Management Theory (ACMT) to understand how these leaders adapted during the crisis. Through interviews with 32 operational leaders, it was found that their roles evolved as crisis demands changed. Initially, they addressed immediate needs, then shifted focus to remote work facilitation and digital transformation, and finally emphasised recovery, trust, and resilience. These adaptations influenced leaders’ behaviours, highlighting the importance of flexibility in supporting employee wellbeing and organisational continuity during crises.

Early, Standardised, And Precise Treatment Of Copd Exacerbations And Covid-19, Sanjay Ramakrishnan

Theses: Doctorates and Masters

Background: Background Chronic Obstructive Pulmonary Disease (COPD) is a common chronic condition causing significant morbidity and mortality. Patients with COPD report sudden episodes of deteriorating respiratory symptoms called exacerbations, often presumed to be precipitated by infections. COPD is in the top 5 causes of death globally. COPD exacerbations drive a large proportion of these deaths. Despite this, there is no standardised model of care for the sickest patients who need hospitalisations for exacerbations. Meanwhile, treatment for COPD exacerbations continues to be guided by symptoms, instead of underlying biology. Most patients are treated with unnecessary and harmful systemic corticosteroids. During the …

Masculinism, Institutional Violence And #Metoo: Understanding Australian University Responses To The Covid-19 Pandemic, Emily Gray, Jacqueline Ullman, Mindy Blaise, Jo Pollitt

Research outputs 2022 to 2026

This article offers an analysis of data from the project Sexism, Higher Education, and Covid-19: The Australian Perspective. The authors argue that the gendered impact of the pandemic in Higher Education Institutions constitutes a form of institutionally perpetrated sexist harassment, and that raising awareness of the ways in which institutions themselves enable and perpetrate such harassment is consistent with the aims of the #MeToo movement. This article is intended to act as testament to the ways in which Australian universities function as masculinist institutions that, during this time of crisis, deployed tactics that were experienced by women and minority-identifying research …

Assessing The Effect Of Awareness Of International Oxygen Therapy Guidelines On Oxygen Administration Practices Among Nurses During The Covid-19 Pandemic: A Survey Of Nurses Working In The Pediatric And Medical Departments Of A National Teaching And Referral Hospital In Low-Resource Settings, Joseph Odhiambo, Lucy W Kivuti-Bitok, Solomon Omare, Irene Ngune

Research outputs 2022 to 2026

Awareness of International Oxygen Therapy Guidelines (IOTG) may have impacted oxygen therapy experience during the coronavirus (COVID-19) pandemic. This study explored if nurses at Kenyatta National Hospital (KNH) were aware of IOTG and if this awareness influenced their practice of oxygen administration during Covid-19 era. A survey of 80 nurses, from both pediatric and medical departments was carried out. Data collection was done through a self-administered questionnaire. Data were analyzed using descriptive statistics and the association between variables with Chi-square and t-test at p < 0.05. The mean age of the respondents was 39.82 ± 9.32, and 66.3 % were females. Respondents had an average of 2.47 years (±2.35) since the last oxygen therapy refresher training. Over 60 % of participants had been administered oxygen less than a month preceding the survey. Lack of awareness of IOTG (X2 = 7.113 (df = 1, n = 80), p = 0.008) and experience administering oxygen to a covid-19 patient (X2 = 6.851 (df = 1, n = 80), p = 0.018), were associated with low awareness of Covid-19 ventilation and oxygenation guidelines. Experience of having administered Oxygen to a Covid-19 patient (X2 = 6.851 (df = 1, n = 80), p = 0.018) and having reviewed or used any guidelines on oxygen therapy (X2 = 7.113 (df = 1, n = 80), p = 0.008) were significantly associated with awareness of covid 19 ventilation and oxygenation guidelines. Further regular training in oxygen therapy is needed to ensure good clinical practice.

Understanding The Impact Of The Care Connect Washington Program, Hannah Cohen-Cline, Dan Fish, Taylor Doren, Abby Bush

Articles, Abstracts, and Reports

No abstract provided.

Predictors Of Mental Health Services Use In Integrated Primary Care During Covid-19, Joseph D. Harrison

PCOM Psychology Dissertations

The purpose of this study was to identify the predisposing, need, and enabling factors that predict mental health services use before and during COVID-19 in an integrated primary care network in the Philadelphia metropolitan area. This retrospective observational study examined a sample of primary care patients from January 2018 to February 2020 (i.e., pre-COVID-19) and March 2020 to December 2022 (i.e., peri- COVID-19) using electronic health record data. Mental health services use was defined as the number of appointments attended by patients. A hierarchical regression was conducted to identify predictors of mental health services use by sequentially adding sociodemographic predisposing …