Digital Commons Network^™

Farmers Markets And Social Cohesion In A Post-Covid-19 World, Daniel Falknor

Masters Projects

The sense of belonging to a community, or social cohesion, is established in food spaces enabled by three separate and unique mechanisms: proximity, frequency, and interactions. This study looks specifically at the Fulton Street Farmers Market in Grand Rapids and the effects the COVID-19 pandemic had on the social benefits derived from the mechanisms of social cohesion, in an attempt to identify and discover new ways to leverage social cohesion in food spaces. Three populations were identified at the farmers market: customers, vendors, and market staff. Surveys and informal interviews provided evidence that proximity to and within the market, higher …

Decreased Physical Activity Among Youth Resulting From Covid-19 Pandemic-Related School Closures: Natural Experimental Study., Amanda Grimes, Joseph S. Lightner, Katlyn Eighmy, Chelsea Steel, Robin P. Shook, Jordan A. Carlson

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: The COVID-19 pandemic has resulted in the closure of schools and may have inadvertently resulted in decreased physical activity for youth. Emerging evidence suggests that school closures due to the COVID-19 pandemic could have hastened the inactivity of youth, possibly due to a lack of structure outside of school and increased access to sedentary activities.

OBJECTIVE: The purpose of this study was to assess changes in physical activity from pre-school closure (before the pandemic) to post-school closure (during the pandemic) among youth in spring 2020.

METHODS: This study used a natural experimental design; youth were enrolled in a physical …

A Mixed-Methods Assessment Of Human Well-Being Related To The Presence Of Companion Animals During The Covid-19 Pandemic, Bindi Bennett, Suzie Cosh, Jack Thepsourinthone, Amy Lykins

People and Animals: The International Journal of Research and Practice

COVID-19 and the measures used to curb the pandemic (e.g., lockdowns, isolation) have significantly impacted mental health and well-being. This study sought to investigate the role of companion animals in alleviating stress and improving mental health during the pandemic. In this study, 250 Australian adults completed measures of well-being and life satisfaction, animal dependency, perceived emotional support from animals, and animals’ effect on mood. Employment and living with others were the strongest predictors of positive life satisfaction and well-being, while greater dependency on companion animals for emotional support and companion animals’ negative effects on mood were associated with reduced life …

Laboratory Findings In Covid-19 - Alterations Of Hematological, Immunological, Biochemical, Hormonal And Other Lab Panels: A Narrative Review, Yousef Rasmi, Lucas Paulo Jacinto Saavedra, Matei-Alexandru Cozma, Heba El-Nashar, Shaza Aly, Nouran Fahmy, Omayma Eldahshan, Mohamed El-Shazly, Elena Codruța Dobrică, Hamed Kord-Varkaneh, Camelia Cristina Diaconu, Mihnea Alexandru Găman

Journal of Mind and Medical Sciences

Up to the present date, according to the official reports of the World Health Organization (WHO), 205,338,159 patients have been confirmed with the coronavirus disease (COVID-19) and 4,333,094 have died as a consequence of this infectious disorder. The majority of COVID-19 patients will develop hematological, biochemical, immunological, hormonal and other complex alterations of their laboratory data which may be diagnosed using different biomarkers. In this paper, we review the alterations of the hematology, immunology, biochemistry, hormonal and other laboratory panels discovered in the subjects diagnosed with SARS-CoV-2 infection, based on the available data in the literature.

Social Work Experiences Of Moral Distress Amid Covid-19, Megan Tritt

Social Work Doctoral Dissertations

Social work professionals often experience stressful and emotional situations while also facing organizational barriers. The social work profession is empowered by an ethical commitment to diffuse tensions that emerge between competing values in conflict. Many of these situations are complicated by ethical concerns and constraints related to the very institutions that are designed to help. The coronavirus disease 2019 (COVID-19) outbreak has transformed the framework through which we view ethical dilemmas and presented morally challenging dilemmas out of the control of any professional in service to people during this time. The term moral distress was popularized in the field of …

Cardiac Telehealth Rehabilitation: Empowering The Patient, Alexander James Schmidt Hoff

Nursing Masters Papers

Coronary artery disease or coronary heart disease is one of the leading causes of death in the world. Center-based cardiac rehab has long been a sustainable answer for recovery from an acute coronary event. However, the COVID-19 pandemic halted in-person appointments for cardiac rehab patients. Therefore, patients and their healthcare team met virtually. The objective of this literature review is to discover the efficacy and cost-effectiveness of cardiac telerehabilitation, as it will likely have a more prominent role in patient recovery from acute myocardial infarctions. To determine this, a literature review was conducted based on recent studies involving coronary artery …

Outdoor Activity In The Daytime, But Not The Nighttime, Predicts Better Mental Health Status During The Covid-19 Curfew In The United Arab Emirates, Fatme Al Anouti, Justin Thomas, Spyridon Karras, Nour El Asswad

All Works

The COVID-19 pandemic and the associated infection prevention and control measures had a negative impact on the mental health of many people. In the United Arab Emirates (UAE), infection control measures implemented after March 24th, 2020, placed necessary restrictions on people's freedom of movement. This study aimed to assess the association between levels of daytime vs. nighttime outdoor activity and mental health among a sample of UAE residents during the lockdown period. An opportunity sample of 245 participants completed an online survey assessing levels of depression, somatic symptoms, daytime and nighttime activity levels. Multivariate logistic regression revealed that daytime activity, …

Effects Of Covid-19 In The Status Of Childhood Obesity In The United States: A Literature Review, Ana Cruz

The Graduate School Posters

Introduction: The main hypothesis is that COVID-19 affects the prevalence of childhood obesity in the United States due the precautions needed to contain the pandemic.

Methods: The methods used in this semi-systematic literature review includes web-based research from the following sources: Centers for Disease Control and Prevention, Google Scholar, ResearchGate, and EBSCOhost. The search was limited to children ages 5 to 19 years old with diagnosed obesity.

Results: The review found that COVID-19 pandemic has greatly increased the rate of childhood obesity in the United States due to changes in diet, increased screen time, and less physical activity.

Discussion: There …

Changes In Health Behaviors By Gender During A Global Pandemic, Anthony Costarella

Celebration of Scholarship 2022

As we emerge from Covid-19 pandemic, many people struggle to return to normal, leading us to ask what changes have occurred as a result of the virus and social distancing. We have observed 471 million people suffer with Covid-19, lost 6.08 million lives to the virus, and learned how the virus works as well as how to fight it, yet very little is known about the impact of the virus and its countermeasures on our health habits. PURPOSE: To examine the effect of gender on changes in health behaviors during the COVID-19 pandemic. METHODS: Eight hundred and sixty-six subjects (70.8% …

Preventing Occupational Imbalance With Seniors Living In The Community During The Covid-19 Pandemic, Carrieanne Allegri

MOT Student Capstones

When COVID-19 shut down the world in March of 2020, nobody knew what to expect. What we discovered was seniors no longer had the opportunities to engage in social events, attend classes, or participate in the community. Understanding that engagement in leisure and social activities are important in preventing depression and isolation amongst seniors, finding alternative activities via virtual delivery and socially distanced were identified as a need. 3 An in-service was provided to senior citizens at a community center to address areas identified as a need by community center staff and members. The main objective of the in-service included …

Pandemics And Housing Insecurity: A Blueprint For Land Use Law Reform, John R. Nolon

Elisabeth Haub School of Law Faculty Publications

COVID-19, racial inequity, housing insecurity, and climate change have come together to create widespread, large-scale crises. This Article introduces these four pandemics and describes in detail what local governments are doing to combat one of them: housing insecurity. It reviews recent progress with traditional inclusionary zoning requirements, discusses the move toward greater density in single-family zoning, lists strategies being used to remediate distressed housing, and notes the importance of affordable housing as a necessary strategy for preventing lower-income household displacement caused by gentrification. The reciprocal impacts of these four pandemics are clear; local land use leaders should examine how mitigating …

Covid-19 & Mental Health: The Impact On The Future Of Younger Generations, Greyson A. Fox Tran

Senior Theses

The aim of this research is to identify any existing correlations between the COVID-19 pandemic and negative mental health outcomes in younger populations. This paper examines the impact of the COVID-19 pandemic on the mental health of those younger than 25 years of age, specifically focusing on students. It will investigate how various factors of the pandemic have affected people and how they have coped with psychological distress induced by the pandemic. Through a review of scientific data and scholarly literature, the impacts of the pandemic on mental health will be assessed. Coping mechanisms and the effects of physical activity …

Jefferson Digital Commons Quarterly Report: January-March 2022, Larissa Gordon, Mslis, Med, Ma

Jefferson Digital Commons Reports

In this Issue:

• Articles
• Thesis/Dissertations
• Grand Rounds and Lectures
• Capstone Presentations
• Journals and Newsletters
• Posters
• Miscellaneous
• What People are Saying About the Jefferson Digital Commons

Exercise As A Moderator Of Persistent Neuroendocrine Symptoms Of Covid-19, Candida J. Rebello, Christopher L. Axelrod, Charles F. Reynolds, Frank L. Greenway, John P. Kirwan

Division of Basic Science Faculty Publications

Precipitated by chronic psychological stress, immune system dysregulation, and a hyperinflammatory state, the sequelae of postacute COVID-19 (long COVID) include depression and new-onset diabetes. We hypothesize that exercise counters the neuropsychiatric and endocrine sequelae of long COVID by inducing the release of circulating factors that mediate the anti-inflammatory response, support brain homeostasis, and increase insulin sensitivity.

The Influence Of The Covid-19 Pandemic On At-Risk Populations Experiencing Stress And Family Violence: The Importance Of An Action Model., Ivor L. Livingston, Litonya S. Livingston-Doles

Journal of Family Strengths

Abstract

The paper was entitled: “The Influence of the COVID-19 Pandemic on At-Risk Populations Experiencing stress and Family Violence: The Importance of An Action Model.”

As the title of the paper indicates, the paper had an ambitious task of showing how vulnerable populations, such as African Americans, because of racism, discrimination and subsequent inequities in their life experiences (such as inadequate health care, poor working conditions, a host of underlying health conditions, and potentially greater amounts of stress) are likely to become sicker with COVID-19 (higher morbidity and mortality) and, subsequently, more likely to experience higher than normal rates of …

Evangelical Mental Health During A Pandemic: A Three-Way Interaction Analysis, Michael Sean Williams

Doctoral Dissertations and Projects

COVID-19 quickly became a global pandemic and a biological disaster. Mental health deteriorated due to fear, stress, isolation, and loneliness. Symptoms of anxiety, depression, stress, and disturbed sleep have been associated with COVID-19. There is limited research on mental health and well-being among evangelical Christians. A primary concern is that church congregants and leaders are tired and struggle with mental health issues. Thus, care for the congregation and community is limited. The rate of distress and depression among the religious is on the rise. The purpose of this quantitative research is to evaluate the interaction of perceived stress and emotional …

Medical Accreditation For Foreign-Educated Refugees: An Undue Burden, Katherine Jolley, Alex Hansen

Brigham Young University Prelaw Review

Historically, the United States has maintained a policy of robust assistance to refugees that enter the country. Refugee relief includes short-term health coverage and employment services. Unfortunately, many international medical graduates who come as refugees face excessive barriers to join the healthcare industry when they arrive. In light of emergency adjustments to the accreditation processes during the COVID-19 pandemic, this article proposes that the accreditation process for foreign-educated healthcare workers poses an undue burden on refugees.

Colonic Epithelial Angiotensin-Converting Enzyme 2 (Ace2) Expression In Blacks And Whites: Potential Implications For Pathogenesis Covid-19 Racial Disparities, Mart De La Cruz, David P Nunes, Vaishali Bhardwaj, Deepika Subramanyan, Caroline Zaworski, Priya Roy, Hemant K Roy

Faculty, Staff and Students Publications

BACKGROUND: Covid-19 toll is disproportionate in Blacks although the mechanisms remain incompletely understood. From a biological perspective, several host proteins have received most attention as logical susceptibility targets. Specifically, angiotensin-converting enzyme 2 (ACE2) serves as the epithelial cell receptor and acts in concert with transmembrane protease serine 2 (TMPRSS2). Intriguingly, ACE2 can also suppress the inflammatory response and therefore may impact the severity of Covid-19 infections (from the exuberant immune response a.k.a. "cytokine storm"). We, therefore, assessed expression of ACE2 and TMPRSS2 in Blacks versus Whites.

METHODS: Archived mucosal biopsies from colonoscopic biopsies of visually normal rectal mucosa without concurrent …

Mental Health Disorders Among Post Graduate Residents In Kenya During The Covid-19 Pandemic, Sayed Karar, Jasmit Shah, Katie Du, Nidhi Leekha, Zohray Talib

Internal Medicine, East Africa

Background: Healthcare workers, including residents, are prone to various mental health disorders especially given the context of the COVID-19 pandemic. Residents, particularly, are already under undue stress due to their respective training program demands.

Methods: This cross-sectional, online survey-based study from August to November 2020 collected demographic and mental health measurements from all residents at the Aga Khan University Hospital, Nairobi. The questionnaire investigated demographic variables, information regarding direct care of COVID-19 patients, prior history of mental health and mental health outcomes using the Patient Health Questionnaire, Generalized Anxiety Disorder scale, Insomnia Severity Index, Impact of Event Scale–Revised …

El Impacto De La Pandemia En La Formación De Los Hábitos De Alimentación En Niñes Pequeñes En La Villa 21-24 En Barracas, Buenos Aires / The Impact Of The Pandemic In The Creation Of Nutritional Habits In Young Children In Villa 21-24 In Barracas, Buenos Aires, Hannah Seewald

Independent Study Project (ISP) Collection

Durante la Pandemia COVID-19 en Argentina, la inflación aumentó, y el desempleo aumentó especialmente entre los trabajadores informales, lo que dejó a muchos de ellos dependientes de los comedores comunitarios y de la ayuda nutricional para alimentar a sus familias. La violencia doméstica y la pobreza aumentaron aún más. Problemas estructurales como la falta de agua potable y los cortes de luz, situaciones que suelen enfrentar los habitantes de la Villa 21-24, Barracas, Buenos Aires, continuaron. Las escuelas se cerraron y la instrucción presencial se suspendió, en ese contexto los grupos comunitarios trabajaron para alcanzar los suministros adecuados de alimentos. …

Understanding Food Insecurity As A Multidimensional Construct: A Mixed Methods Approach To Assess Changes In Food Insecurity Status Among People Seeking Emergency Food Assistance, Whitney M. Fung Uy

USF Tampa Graduate Theses and Dissertations

Background: In the United States, 13.8 million households were food insecure in 2020, or 10.5% of the country’s population. Although the annual food insecurity rates remained stable between 2019 and 2020, largely due to increased COVID-19 pandemic relief efforts, many households experienced food insecurity and hardship at unprecedented rates. Food assistance provided by the largest government nutrition and food program, Supplemental Nutrition Assistance Program (SNAP), and emergency food providers (EFPs) such as food banks and pantries intended to provide short-term solutions have ended up as chronic, long-term methods of survival for many of these families, especially during COVID-19 and the …

Eco Yoga Therapy For Mental Health Related To The Covid-19 Pandemic, Karyn Stein

LMU Theses and Dissertations

Recently the magnitude of the mental health crisis due to the COVID-19 pandemic has been emerging. Reports of anxiety or depression related to COVID-19 have been on the rise globally. Individuals have been living in a perpetual state of the unknown for over two years. Fear of the virus, sickness of oneself or family/friends and social isolation have taken a toll. According to the WHO, anxiety and depression have gone up 25% in the last year (2022). The effects of a rising mental health crisis will be drastic on top of the deaths and sickness related to COVID-19. While governments …

Changes In Physical Activity Associated With The Covid-19 Pandemic In Individuals With Overweight And Obesity: An Interrupted Time Series Analysis With Historical Controls, Michael C Robertson, Che Young Lee, Ivan Haw-Chong Wu, Yue Liao, Margaret Raber, Nathan Parker, Thuan Le, Leticia Gatus, Karen M Basen-Engquist

Faculty, Staff and Students Publications

The objective of this study was to investigate changes in physical activity patterns associated with the COVID-19 pandemic in individuals with overweight and obesity who were participating in a school district worksite weight loss program. We conducted comparative design interrupted time series analyses on physical activity device (Fitbit) data from the 2018-2019 and 2019-2020 school years (N = 211). We administered a questionnaire in 2020 to supplement device data. After the stay-at-home orders in 2020, participants tended to decrease their weekly step count (B = -1315.7, SE = 627.7, p = .045), decrease their weekly "Lightly active minutes" (B = …

Food Supply Impacts And Solutions Associated With The Covid-19 Pandemic: A Regional Australian Case Study, Stephanie Louise Godrich, Flavio Macau, Katherine Kent, Johnny Lo, Amanda Devine

Research outputs 2022 to 2026

This study aimed to explore how food supply chains were impacted by COVID-19 and identify how the region could be better prepared for future crises. An online survey was completed by 107 consumers. In-depth interviews were conducted with 27 food supply stakeholders working in food production, distribution, retail, hospitality, institutions (i.e., childcare), logistics/freight and local government. Pre-COVID-19, farmer-direct distribution options and hospitality businesses comprised a substantial proportion of local food producer businesses. During the COVID-19 pandemic, consumers favoured local food supply options, farmers collaborated, and produce usually destined for export was redirected into local markets. Critical food supply actions included …

Development, Implementation, And Delivery Of A Remote Burnout Prevention Elective Course In An Accelerated Doctor Of Pharmacy Program During Covid-19, Melissa Santibanez, Jonathon May, Paul M. Boylan, Andrea Duque, Taylor Harris

Internet Journal of Allied Health Sciences and Practice

Purpose: There is limited evidence describing burnout among graduate health professions students, including pharmacy students, and there is a need for educational institutions to mitigate burnout and promote future healthcare provider wellness. Methods: A burnout prevention elective course was developed within an accelerated Doctor of Pharmacy program. Course faculty transitioned from live to fully remote instruction in April 2020. The modified course format combined discussion-based lectures, burnout self-assessments, reflective writing assignments, and applications-based presentations. Results: Twenty-one second-year pharmacy students completed the elective, and 13 completed post-course evaluations (61.9% response rate). Evaluations indicated substantial student support, with 92.3% “strongly agree” and …

Covid-19 In Older Adults- A Practical Review For Emergency Providers In 2022, Michael L. Malone, Teresita Hogan, Alice Bonner, Kevin Biese, Patti Pagel, Kathleen Unroe

Journal of Geriatric Emergency Medicine

COVID-19 has posed a considerable threat to all aspects of older Americans’ lives. The pandemic generated acute illness, emergency department (ED) visits, hospitalization, respiratory failure, and death. Pandemic-associated social isolation and loneliness further endangered older adults. Recovery from COVID-19 illness has commonly been followed by chronic symptoms, which may also precipitate ED visits. While vaccination has mitigated risks of serious illness requiring hospitalization, a booster dose is required to sustain protection. New treatments and therapies, including monoclonal antibodies and antiviral agents, have shown efficacy for older adults who are at risk of hospitalization. Older adults remain vulnerable in 2022, after …

The Who Global Tuberculosis 2021 Report - Not So Good News And Turning The Tide Back To End Tb, Chakaya Jeremiah, Eskild Petersen, Rebecca Nantanda, Brenda N. Mungai, Giovanni Battista Migliori, Farhana Amanullah, Patrick Lungu, Francine Ntoumi, Nagalingeswaran Kumarasamy

Department of Paediatrics and Child Health

Objective: To review the data presented in the 2021 WHO global TB report and discuss the current constraints in the global response.
Introduction and methods: The WHO global TB reports, consolidate TB data from countries and provide up to date assessment of the global TB epidemic. We reviewed the data presented in the 2021 report.
Results: We noted that the 2021 WHO global TB report presents a rather grim picture on the trajectory of the global epidemic of TB including a stagnation in the annual decline in TB incidence, a decline in TB notifications and an increase in estimated TB …

A Mixed-Methods Study To Determine The Impact Of Covid-19 On Food Security, Food Access And Supply In Regional Australia For Consumers And Food Supply Stakeholders, Stephanie Louise Godrich, Johnny Lo, Katherine Kent, Flavio Macau, Amanda Devine

Research outputs 2022 to 2026

Background: The COVID-19 pandemic has impacted the Australian food supply through changed consumer purchasing patterns, and potentially, household food security. The aim of this study was to determine the impact of COVID-19 on the prevalence of food insecurity and food supply issues, and perspectives of food supply stakeholders in regional Australia. Methods: A mixed-methods consumer survey and in-depth interviews with food supply stakeholders were conducted in regional Australia, more specifically South West Western Australia between May and July 2020, immediately after the 1st wave of the pandemic. Results: The prevalence of food insecurity was 21% among consumers, and significantly more …

Pharmacologic Ascorbic Acid As Early Therapy For Hospitalized Patients With Covid-19: A Randomized Clinical Trial, Dagan Coppock, Pierre-Christian Violet, Gustavo Vasquez, Katherine Belden, Michael Foster, Bret Mullin, Devon Magee, Isabelle Mikell, Lokesh Shah, Victoria Powers, Brian Curcio, Daniel A. Monti, Mark Levine

Department of Pharmacology and Experimental Therapeutics Faculty Papers

Despite the widespread availability of effective vaccines, new cases of infection with severe acute respiratory syndrome coronavirus-2, the cause of coronavirus disease 2019 (COVID-19), remain a concern in the settings of vaccine hesitancy and vaccine breakthrough. In this randomized, controlled, phase 2 trial, we hypothesized that high-dose ascorbic acid delivered intravenously to achieve pharmacologic concentrations may target the high viral phase of COVID-19 and thus improve early clinical outcomes. Sixty-six patients admitted with COVID-19 and requiring supplemental oxygen were randomized to receive either escalating doses of intravenous ascorbic acid plus standard of care or standard of care alone. The demographic …

Tackling Protein-Calorie Malnutrition During World Crises, Zahra Ali Padhani, Jai K. Das, Saeed Akhtar, Tariq Ismail, Zulfiqar Ahmed Bhutta

Woman and Child Health

Undernutrition is still highly prevalent in developing countries and leads to a multitude of problems as it weakens the immune system, which leads to increased risk of infections and diet-related diseases. COVID-19 has worsened the existing situation and has resulted in unprecedented health, social, and economic disruptions across the world. Before COVID-19, about 54% children under 5 years were moderately or seriously malnourished, and after the COVID-19 pandemic, early estimates suggest that an additional 2.6 million children were stunted; 9.3 million were wasted, with an addition of 2.1 million maternal anemia cases; 168,000 child deaths; and USD 29.7 billion in …