Digital Commons Network^™

Three-Year Outcomes Of Post-Acute Sequelae Of Covid-19, Miao Cai, Yan Xie, Eric J Topol, Ziyad Al-Aly

2020-Current year OA Pubs

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection causes post-acute sequelae of coronavirus disease 2019 (COVID-19) (PASC) in many organ systems. Risks of these sequelae have been characterized up to 2 years after infection, but longer-term follow-up is limited. Here we built a cohort of 135,161 people with SARS-CoV-2 infection and 5,206,835 controls from the US Department of Veterans Affairs who were followed for 3 years to estimate risks of death and PASC. Among non-hospitalized individuals, the increased risk of death was no longer present after the first year of infection, and risk of incident PASC declined over the 3 …

Covid-19 Ethics: Unique Aspects And A Review As Of Early 2024, Wayne X Shandera

Faculty, Staff and Students Publications

COVID-19 presents a variety of ethical challenges in a set of arenas, arenas not always considered in past pandemics. These challenges include issues related to autonomy, distributive ethics, and the establishment of policies of equity and justice. Methods are a literature review based on regular editing of an online textbook during the COVID-19 outbreak and a literature review using key ethical terms. Patients are confronted with new issues related to autonomy. Providers need to expand their concepts of ethical issues to include decisions based on proportionality and public health ethics. The public health sector needs to assess the beneficence of …

Vaccine Uptake And Intentions: Insights From A Texas Survey On Factors Influencing Covid-19 Vaccination Decisions, Yordanos M. Tiruneh, Paula M. Cuccaro, Kimberly S. Elliott, Jing Xie, Journey Martinez, Mark Owens, Christian R. Alvarado, Jose-Miguel Yamal

School of Medicine Faculty Publications and Presentations

The effectiveness of COVID-19 vaccines depends on widespread vaccine uptake. Employing a telephone-administered weighted survey with 19,502 participants, we examined the determinants of COVID-19 vaccine acceptance among adults in Texas. We used multiple regression analysis with LASSO-selected variables to identify factors associated with COVID-19 vaccine uptake and intentions to receive the vaccine among the unvaccinated. The prevalence of unvaccinated individuals (22%) was higher among those aged 18–39, males, White respondents, English speakers, uninsured individuals, those facing financial challenges, and individuals expressing no concern about contracting the illness. In a fully adjusted regression model, higher odds of being unvaccinated were observed …

Vaccine Uptake And Intentions: Insights From A Texas Survey On Factors Influencing Covid-19 Vaccination Decisions, Yordanos M Tiruneh, Paula M Cuccaro, Kimberly S Elliott, Jing Xie, Journey Martinez, Mark Owens, Christian R Alvarado, Jose-Miguel Yamal

Faculty, Staff and Student Publications

The effectiveness of COVID-19 vaccines depends on widespread vaccine uptake. Employing a telephone-administered weighted survey with 19,502 participants, we examined the determinants of COVID-19 vaccine acceptance among adults in Texas. We used multiple regression analysis with LASSO-selected variables to identify factors associated with COVID-19 vaccine uptake and intentions to receive the vaccine among the unvaccinated. The prevalence of unvaccinated individuals (22%) was higher among those aged 18-39, males, White respondents, English speakers, uninsured individuals, those facing financial challenges, and individuals expressing no concern about contracting the illness. In a fully adjusted regression model, higher odds of being unvaccinated were observed …

Depressive Symptoms And Substance Use Behaviors Among Young Adults Before And During Covid-19, Sarah Chun

Clinical Psychology Dissertations

Exposure to previous public health disasters have been found to have a significant negative impact on young adult mental health. Thus, it is important to examine the effect that COVID-19 had on young adult mental health. The current study examined differences in depressive symptoms as well as frequency and impairment of substance use in two cross-sectional samples of undergraduate students, one before COVID-19 and one during COVID-19. This study also examined the moderating effects of religiosity on the association between COVID-19 status and both depressive symptoms and substance use behaviors. Participants were 898 young adults (M_age = 19.83, …

Early Marriage Of Girls In The Context Of The Covid-19 Pandemic: A Literature Review, Shah Md Atiqul Haq, Mufti Nadimul Quamar Ahmed, Shamim Al Aziz Lalin, Arnika Tabassum Arno, Khandaker Jafor Ahmed

Sociology and Anthropology Student Research

The COVID-19 pandemic has had far-reaching consequences worldwide and has also led to significant changes in people's lifestyles, resulting in an increase in social problems, such as early marriages for girls in different contexts. This study aimed to examine the relationship between the COVID-19 pandemic and early marriage among girls. Our analysis of 36 studies published between 2020 and 2023 shows that the pandemic has accelerated the number of early marriages for girls in several ways. In many countries, early marriages often result from social disintegration, loss of social support, inability to pay for basic needs, prolonged school closures, economic …

A Cross – Sectional Observational Study On Pharmacoeconomics Burden Of Covid -19 In Ashmoun Fever Hospital Delta Egypt, Marwa Helmi Desouki, Marwa G. Elhennawy, Samar F. Farid

Bulletin of Faculty of Pharmacy Cairo University

Background: A wide range of respiratory illnesses like common colds, Middle East Respiratory Syndrome (MERS) and Severe Acute Respiratory Syndrome (SARS) are caused by coronaviruses.

In 2019 scientists in Wuhan, China discovered a new coronavirus (COVID-19). Unknown new coronavirus that infected people for the first time and causes losses for humans. It has caused a large number of deaths around the world and a greater number of injuries, and the countries of the world began to take measures and closures to confront the spread of this virus, and the economy was greatly affected.

Aim of Study: This study provides …

Federal Powers In A Pandemic, Julia Whitehead, Braden Leach

Georgia State University Law Review

This Article examines how the young federal government responded to infectious diseases to ascertain the limits of federal powers and analyzes how federal powers were used in response to the COVID-19 pandemic.

Asymptomatic Covid-19-Associated Acquired Hemophilia A And Disseminated Intravascular Coagulation From A Bypassing Agent, Abraham Attah, Deanna Huffman, Palash Asawa, Vinay Edlukudige Keshava, Deep Shah

School of Medicine Faculty Publications

Acquired hemophilia A (AHA) is a clotting disorder characterized by the presence of neutralizing antibodies that inhibit factor VIII, resulting in increased bleeding risk. Known etiologies include malignancy, autoimmune conditions, graft-vs-host disease, and more recently coronavirus disease 2019 (COVID-19) infection. In this case report, we describe an 86-year-old female who was found to have AHA incidentally during preoperative workup for meningioma resection. She was subsequently found to have COVID-19 infection which was the likely cause of her development of AHA. She was treated with factor eight inhibitor bypassing agent (FEIBA) and recombinant factor VII (rVII) for a small hematoma on …

Avidity Maturation Of Humoral Response Following Primary And Booster Doses Of Bnt162b2 Mrna Vaccine Among Nursing Home Residents And Healthcare Workers, Oladayo A. Oyebanji, Nicholas Sundheimer, Vaishnavi Ragavapuram, Brigid M. Wilson, Jürgen Bosch, Christopher L. King, David H. Canaday

Faculty Scholarship

Infections, despite vaccination, can be clinically consequential for frail nursing home residents (NHR). Poor vaccine-induced antibody quality may add risk for such subsequent infections and more severe disease. We assessed antibody binding avidity, as a surrogate for antibody quality, among NHR and healthcare workers (HCW). We longitudinally sampled 112 NHR and 52 HCWs who received the BNT162b2 mRNA vaccine after each dose up to the Wuhan-BA.4/5-based Omicron bivalent boosters. We quantified anti-spike, anti-receptor binding domain (RBD), and avidity levels to the ancestral Wuhan, Delta, and Omicron BA.1 & 4/5 strains. The primary vaccination series produced substantial anti-spike and RBD levels …

Understanding The Complexities Of Student Learning Progress In Texas: A Study Of Covid-19 And Rural Vs. Non-Rural Districts, Shifang Tang, Zhuoying Wang, Lei Zhang, David Jimenez

Faculty Publications

In this study, we investigate the impact of COVID-19 on academic achievement in Texas public schools. Demographic and Grade 5 STAAR test data were collected from 1155 public school districts for 2018–2019 and 2020–2021. Multiple regression was adopted to analyze the differences between rural and non-rural districts, as well as the impact of demographic characteristics on students’ achievement. The results reveal significant differences in demographic characteristics between the two academic years, with non-rural districts exhibiting a greater decline in academic achievement than rural districts. Additionally, the findings suggest that higher teacher salaries correlate with better academic performance across various subjects …

Short- And Long-Term Predicted And Witnessed Consequences Of Digital Surveillance During The Covid-19 Pandemic: Scoping Review, Leigha Comer, Lorie Donelle Phd, Rn, Fcan, Bradley Hiebert, Maxwell J. Smith, Anita Kothari, Saverio Stranges, Jason Gilliland, Jed Long, Jacquelyn Burkell, Jacob J. Shelley, Jodi Hall, James Shelley, Tommy Cooke, Marionette Ngole Dione, Danica Facca

Publications

BACKGROUND: The COVID-19 pandemic has prompted the deployment of digital technologies for public health surveillance globally. The rapid development and use of these technologies have curtailed opportunities to fully consider their potential impacts (eg, for human rights, civil liberties, privacy, and marginalization of vulnerable groups). OBJECTIVE: We conducted a scoping review of peer-reviewed and gray literature to identify the types and applications of digital technologies used for surveillance during the COVID-19 pandemic and the predicted and witnessed consequences of digital surveillance. METHODS: Our methodology was informed by the 5-stage methodological framework to guide scoping reviews: identifying the research question; identifying …

Effects Of Covid-19 On Mental Health Workers' Job Satisfaction, Employee Burnout, And Intent To Leave, Colton Jacobs

Doctoral Dissertations and Projects

The COVID-19 disease emerged in December 2019 and created a worldwide pandemic. As the COVID-19 virus spread, healthcare workers faced increased workloads and burnout due to increased stress. With a current abundance of research to better understand how the pandemic affected healthcare workers, minimal research has been conducted to investigate the effects on mental health workers. It is imperative to better understand how the consequences of the pandemic affected mental health workers due to their importance in supporting the mental well-being of our communities. This study focused on how the COVID-19 pandemic influenced job satisfaction, burnout syndrome, and intent to …

The Communal Table: A Wholistic Perspective On Food And Social Development, Sarah Cook

Masters Theses

In order to address issues of isolation in the wake of a global pandemic, this thesis examines the nature of the connection between food and community through commensality. “Commensality” is defined as the practice of eating together, which has demonstrable health benefits on personal, interpersonal, and psychological levels. Research reveals that, while commensality has been a foundational tenet of society since civilization’s beginnings, instances of commensality appear to be at an all time low for modern Americans. The results are diminished mental health, undeveloped support networks, and missed opportunities for emotional connection. All of these may be thought of as …

Exploring The Lived Experiences Of Rural Texas School Counselors Working With Students’ Mental Health After The Covid-19 Pandemic, Lanessa K. Allman

Doctoral Dissertations and Projects

The purpose of this qualitative descriptive phenomenological study was to describe the lived experiences of rural Texas counselors when working with students’ mental health in the aftermath of the COVID-19 pandemic. The study aims to answer questions of what school counselors describe as the mental health environment for students in rural Texas schools prior, during, and after the COVID-19 pandemic and the changes in the mental health environment of rural students. Most existing research has been focused on how COVID-19 changed school counselors’ roles and responsibilities and how the pandemic affected students’ mental health. The current study concentrated on the …

Mental Health Training For Teachers Since Covid-19, Patricia M. Van Prooyen

Doctoral Dissertations and Projects

This study used a qualitative case study approach to examine teachers’ experiences returning to school following the COVID-19 pandemic and determine if mental health training for teachers to support student mental health would ease the return to school. The researcher recruited 12 Christian school teachers that taught in the classroom pre- and post-COVID-19. Inclusive criteria included teaching two years before the shutdown, teaching during the shutdown, returning to in-person teaching, and being at least 25 years old with no gaps in teaching between 2018-2022. All participants participated in a 30-45-minute audio-recorded, semi-structured, one-on-one interview in a discreet safe venue, such …

The Perceived Impact Of Direct Patient Care During The Covid-19 Pandemic On Occupational Therapy Practitioners’ Mental Health Status, Emilee N. Sasser, Kathleen French, Alison Lecompte, Carrie C. Slade, Jasper Queen

Journal of Interprofessional Practice and Collaboration

Aim: To identify the impact of severe acute respiratory syndrome-related coronavirus 2 (COVID-19) on the mental health status of occupational therapy (OT) practitioners providing direct patient care.

Methods: The researchers administered a survey to identify OT practitioners’ perceptions of mental health prior to and during the pandemic. The survey was posted online via a link on social media pages related to occupational therapy professional groups. Participants completed the self-administered survey consisting of 16 questions. Some participants provided narrative responses to select survey questions, which asked about their mental health prior to and during the COVID-19 pandemic.

Results: One hundred and …

The Cure For World Peace: A Public Health Strategy, Eva Eleftheriadis

Undergraduate Honors Theses

Health and the environment impact the security and stability of the global community, as can be seen through the effects of pandemics and climate change. This paper attempts to address these factors by helping create a preventative strategy for countries to be better equipped to face these challenges, and decrease the extent of future manifestations. Starting with a comparative analysis of the Black Death and the COVID-19 pandemic, this paper explores the relationship that exists between health, the environment, and human behavior. The analysis suggests that when these aspects are mutually beneficial, there is an increase in human security, which …

Safeguarding The Pandemic Agreement From Disinformation, Alexandra Finch, Kevin A. Klock, Lawrence O. Gostin, Sam F. Halabi, Sarah A. Wetter

Georgetown Law Faculty Publications and Other Works

Complicating the negotiation of a global pandemic treaty has been a sustained disinformation campaign worldwide to undermine the agreement by making and amplifying spurious assertions about what it intends to accomplish and how it will do so. Central to the disinformation campaign are erroneous claims about national sovereignty and forcible takings of pandemic countermeasures. Further, legitimate and unfounded unease concern weakened intellectual property (IP) and speech rights. Having followed the negotiations and provided technical assistance to the World Health Organization's (WHO's) leadership, we set the record straight in several key areas.

Learning Disrupted: The Effects Of The Covid-19 Pandemic On The Student Teacher/Supervising Practitioner Relationship, Bethany Tremblay-Price

Educational Studies Dissertations

In March 2020, the COVID-19 pandemic disrupted the lives of educators across Massachusetts when schools closed their doors to in-person learning for the school year. Online teaching and learning became the norm as teachers quickly adapted their lessons for virtual classrooms. Student teachers were among these educators, finding themselves quarantined for the final months of their teacher education programs. Literature suggests that the student teaching semester and the relationships formed within it are integral to teacher education. How would these relationships fare through this interruption to the field experience? This qualitative case study examined the relationships between student teachers and …

When The Fear Sinks In: The Politics Of Paranoia In The Wake Of Covid-19, Samantha G. Minear

Senior Theses

This project begins in January 2021 – a period henceforth known as ‘post-pandemic’ – following the release of the first COVID-19 vaccines in Europe (AstraZeneca) and the United States (Pfizer). While the pandemic is still ongoing as of December 2023, the release of vaccines heralded a new era more reminiscent of a time before March 2020: less (or no) mask mandates, a reduced emphasis on social distancing, and a positive shift in social opinion towards prophylactic vaccination. During my time as an American studying international politics, I have observed a positive correlation between time passed since January 2021 and the …

Sustained Ifn Signaling Is Associated With Delayed Development Of Sars-Cov-2-Specific Immunity, Elsa Brunet-Ratnasingham, Sacha Sacha, Haley E. Randolph, Marjorie Labrecque, Justin Bélair, Raphaël Lima-Barbosa, Amélie Pagliuzza, Lorie Marchitto, Michael Hultström, Julia Niessl, Rose Cloutier, Alina M. Flores, Nathalie Brassard, Mehdi Benlarbi, Jérémie Prévost, Shilei Ding, Sai Priya Anand, Gérémy Sannier, Amanda Marks, Dick Wågsäter, Eric Bareke, Hugo Zeberg, Miklos Lipcsey, Robert Frithiof, Anders Larsson, Sirui Zhou, Tomoko Nakanishi, David Morrison, Dani Vezina, Catherine Bourassa, Gabrielle Gendron-Lepage, Halima Medjahed, Floriane Point, Jonathan Richard, Catherine Larochelle, Alexandre Prat, Janet L. Cunningham, Nathalie Arbour, Madeleine Durand, J. Brent Richards, Kevin Moon, Nicolas Chomont, Andrés Finzi, Martine Tétreault, Luis Barreiro, Guy Wolf, Daniel E. Kaufmann

Mathematics and Statistics Faculty Presentations

Plasma RNAemia, delayed antibody responses and inflammation predict COVID-19 outcomes, but the mechanisms underlying these immunovirological patterns are poorly understood. We profile 782 longitudinal plasma samples from 318 hospitalized patients with COVID-19. Integrated analysis using k-means reveals four patient clusters in a discovery cohort: mechanically ventilated critically-ill cases are subdivided into good prognosis and high-fatality clusters (reproduced in a validation cohort), while non-critical survivors segregate into high and low early antibody responders. Only the high-fatality cluster is enriched for transcriptomic signatures associated with COVID-19 severity, and each cluster has distinct RBD-specific antibody elicitation kinetics. Both critical and non-critical clusters with …

Lemons To Lemonade: Educational Modifications During The Covid-19 Pandemic And Their Utility Moving Forward, Ellis S. Logan, Brandon Atkins, Anne M. Price

The Journal of Public and Professional Sociology

The COVID-19 pandemic necessitated changes across social institutions, including education. This case study outlines specific innovations using five cases of pedagogical developments made by social science faculty members at a public university, and their utility for undergraduate students in a post-pandemic world. These innovations relate specifically to office hour scheduling, class assignment reminders, building informal class support groups, experiential learning, and virtual paper submission and evaluation. For each case, we outline the implementation procedure, evaluate its effectiveness, and discuss the benefits. We argue that these methods, forged during “challenging times”, will help improve students’ experiences and success during their time …

Perceived Stress From Covid-19 On High School Students With Previous Trauma In A Rural County In The Southeastern United States, Kari Anne Russell

Doctoral Dissertations and Projects

The COVID-19 pandemic created historical trauma that will be felt for years to come. As the world begins sifting through the impacts, adolescents with previous trauma could be among the greatest sufferers. Rooted in trauma theory, this study aimed to examine the effects on high school students with previous trauma in a rural county in the southeastern United States. Variables such as previous mental health or counseling services, gender, socioeconomic status, race or ethnicity, and number of generations living in the home were all examined for those students having four or more ACEs. Through a quantitative design and with passive …

Impact Of Leadership Decisions On Police Officer Well-Being: A Covid-19 Response, Jason N. Spencer

Doctoral Dissertations and Projects

The purpose of this qualitative dissertation research project is to determine the impact that law enforcement leaders, their leadership styles, and decision-making processes have on the well-being of police officers. This study sought to understand this impact by focusing on the perspectives of frontline police officers, detectives, and first-line supervisors from various law enforcement organizations in the Central Virginia Region and within the context of leadership decisions made in response to the COVID-19 pandemic. Using the constructivist grounded theory approach to research design, 12 participants responded to an initial qualitative questionnaire, followed by a semi-structured interview to gain the rich, …

The Experience Of University Academics With Emergency Remote Teaching During The Covid-19 Pandemic Of 2020: A Phenomenological Study, Judith M. Peterson

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study was to explore the experiences of academics at the university level with emergency remote teaching during the 2020-2021 COVID-19 pandemic. The theory guiding this study was Milheim, K. L. (2012) application of Maslow, A. H. (1943) hierarchy of needs. The central research question was: How did academics at the university level experience transitioning their course and teaching online during emergency remote teaching during the COVID-19 pandemic of 2020-2021? Eleven lecture academics were selected from six universities from the University of Wisconsin System who transitioned their residence courses to online during the pandemic. I …

Change For The Better? An Examination Of How Technology-Based Instruction During Covid-19 Changed Teaching Methods In Band, An'cheyl Davis

Doctoral Dissertations and Projects

Despite having access to such technologies, most music educators were not using online worksheets, playing exercises, or video questionnaires during daily instruction prior to the COVID-19 pandemic in 2020. For example, in the band world, the only daily use of technology may have been the metronome, as most band directors focus on playing exercises and literature during class. Band classes are “hands-on” and performance-based. With the onset of the COVID-19 pandemic, band directors had to transition from traditional teaching to teaching band online quickly. To combat the rapid spread of the coronavirus, schools in all fifty states and all U.S. …

States’ Covid-19 Restrictions Were Associated With Increases In Drug Overdose Deaths In 2020, Douglas A. Wolf, Shannon M. Monnat, Jennifer Karas Montez, Emily E. Wiemers, Elyse Grossman

Center for Policy Research

Drug overdoses surged in the U.S. during the COVID-19 pandemic. Public health experts raised concerns in the pandemic’s early months about how the pandemic and the policies enacted to stem it might increase overdose risk. This brief summarizes the findings of a paper that used national data to identify how states’ COVID-19 policies affected drug overdose rates among U.S. adults ages 25-64 during the first year of the pandemic. Results show that counties located in states that adopted more aggressive in-person activity restrictions experienced larger increases in 2020 than counties located in states with fewer limitations. State economic support policies …

The Psychological Conditions Of Pregnant Women During The Covid-19 Outbreak In Lebanon, Ibrahim Kadamani, Ali Samaha, Maya Gebbawi, Najwa Yahfoufi, Hanadi Mohamad Nur Steitiyeh, Abbas Samaha

BAU Journal - Health and Wellbeing

In Lebanon, the psychological conditions of pregnant women during the COVID-19 pandemic have not been reported, which creates the need to conduct this study that aims to evaluate the psychological conditions of pregnant women during the COVID-19 pandemic. A cross-sectional design was adopted to reach the aim of this study. The study sample was reached through OBS/GYN clinics to be able to contact the pregnant women in the community, where a convenient sampling technique was followed. The total number of participants was 360 pregnant women: 101 (27.77%) first trimester, 140 (38.88%) second trimester, and 119 (33.33%) third trimester. There is …

Sentinel Surveillance Of Sars-Cov-2 Rates And Equity Impacts Using Labor And Delivery Patients In Phoenix, Arizona, Caitlyn J. Linehan, Trisalyn Nelson, Celeste V. Bailey, Esma Gel, Dean V. Coonrod, Cheryl K. Roth

Department of Supply Chain Management and Analytics: Faculty Publications

Proactive management of SARS-CoV-2 requires timely and complete population data to track the evolution of the virus and identify at risk populations. However, many cases are asymptomatic and are not easily discovered through traditional testing efforts. Sentinel surveillance can be used to estimate the prevalence of infections for geographical areas but requires identification of sentinels who are representative of the larger population. Our goal is to evaluate applicability of a population of labor and delivery patients for sentinel surveillance system for monitoring the prevalence of SARS-CoV-2 infection. We tested 5307 labor and delivery patients from two hospitals in Phoenix, Arizona, …