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Sewers To Solutions: A Guide To Wastewater Pathogen Monitoring, Justin R Clark, Anthony W Maresso

Faculty, Staff and Students Publications

Wastewater-based epidemiology (WBE) is the analysis of wastewater to detect pathogen levels or activity for public health awareness or action. Pioneered in the 1940s, WBE underwent a resurgence during the COVID-19 pandemic, providing important information about number of cases, outbreaks, and seasonal impact. With advancements in detection technologies and growing interest in environmental surveillance, WBE is poised to become a standard practice in public health monitoring. Here, we provide an overview of the current state of the art of pathogen WBE, including methods of molecular detection, analysis of wastewater data, real-world applications and programs, public health interventions, and benefits and …

The Correlation Between Clinical Manifestations And Mortality In Covid-19 Infection, Wail A. Tashkandi

Journal of King Abdulaziz University: Medical Sciences

Background: The Coronavirus disease 2019 (COVID-19) pandemic affected more than 700 million individuals worldwide and resulted in the death of over 7 million people. Still, data are scarce on whether specific clinical manifestations of COVID-19 infection correlate with increased mortality rates. Objective: To study the correlation between clinical manifestations and mortality in a cohort of Saudi patients with COVID-19 infection. Methods: This was a retrospective (both descriptive and analytical) study of medical records conducted at a tertiary healthcare center in Jeddah, Saudi Arabia, using a large dataset collected between April and December 2020. The clinical manifestations of patients were studied …

Student Loan Debt And Higher Education Disruptions During Covid-19, Arielle Kuperberg, Danny Turkson, Joan Maya Mazelis, Katherine Fredricks, Anurag Pant

Journal of Student Financial Aid

We collected and analyzed a survey of 1,018 undergraduate students enrolled at a public regional university in Spring 2021, examining pandemic disruptions to education, living situations, and finances in the first year of the pandemic, and their relationship to loan presence and reports of taking out more loans as a result of the pandemic. Over half of students had student loans, and over one-third of them reported that they increased loan debt due to the pandemic. Results revealed pandemic-related academic and financial disruptions increased student debt for some. Students with loans were also more likely to have moved out of …

Karanasan Ng Piling Pamilyang Pilipino Sa Panahon Ng Pandemya: Alaala Ng Enhanced Community Quarantine Sa Metro Manila, Glenda D. Salorsano

Social Sciences and Development Review

The global spread of COVID-19 has become a worldwide phenomenon. Every country faced different challenges brought by the pandemic in which highlighted the strengths and weaknesses of each nation in combating the virus. It not only became a widespread blow to the health sector but also paved the way for the revelation of other social aspects that need attention. This occurrence allowed the concrete identification of other deficiencies in crucial sectors of society that are associated with pandemic response. These include infrastructure, public transportation, public safety, human rights, and access to sufficient and proper food for every family, and financial …

The Perception Of Leader Identity: The Impact Of The Covid-19 Pandemic On Interfaith Hospital Chaplains, Zachary C. Wooten, Jocelyn R. Brown

Interdisciplinary Journal of Leadership Studies

This article showcases the results of one research question in a multi-question study, specifically, “How do interfaith hospital chaplains perceive themselves leaders or part of the leadership process?” To answer this question, researchers interviewed ten interfaith hospital chaplains and employed interpretive phenomenological analysis (IPA). The analysis revealed the participants’ views that interfaith hospital chaplains are part of the leadership processes in hospital systems. A significant opportunity exists for chaplains and the healthcare system at large to engage in a more expansive, interdisciplinary understanding of leadership with the work of healthcare chaplaincy at the center of such discourse. This understanding moves …

Performance Of Digital Economic Indicators During The Covid-19 Pandemic: Payment System Case Of Indonesia, Darjana Darjana, Yanti Rusmawati

Bulletin of Monetary Economics and Banking

We explore the performance of digital payment system instruments during both the pre-COVID-19 period and during the pandemic. We focus on four main digital economic indicators in Indonesia; namely, electronic money, Automated Teller Machine (ATM), digital banking, and Real Time Gross Settlement (RTGS) transactions. Using monthly data covering the period 2013:01 to 2023:04 obtained from Bank Indonesia, we employ the Difference-in-Differences method to assess the impact of the pandemic on digital economic indicators. The results show that during the pandemic, generally, the transaction value of electronic money, digital banking and RTGS are continuously upward trending, while the number of electronic …

Virtual Teaching During Covid-19: Attitudes, Abilities, And Educational Needs Of Cooperative Extension Staff, Kathryn Yerxa, Kayla L. Parsons, Jennifer Lobley

Journal on Empowering Teaching Excellence

Access the online Pressbooks version of this introduction here.

This study aimed to 1) identify the attitudes and abilities of Cooperative Extension staff regarding the delivery of virtual educational programming based on their characteristics and 2) identify professional development priorities to effectively deliver programming virtually. We disseminated an adapted Faculty Readiness to Teach Online questionnaire to Cooperative Extension staff via Qualtrics. Mean and standard deviation were calculated from complete surveys (n = 67) for each virtual programming competency in the self-reported attitude and ability sections, categorized by position type, years of teaching, and program area. We conducted a MANCOVA to …

Full Issue: Journal On Empowering Teaching Excellence, Volume 9, Issue 2, Fall 2025

Journal on Empowering Teaching Excellence

The full-length Fall 2025 issue (Volume 9, Issue 2) of the Journal on Empowering Teaching Excellence

Access the online Pressbooks version (with downloadable EPUB format) here.

This issue of the Journal on Empowering Teaching Excellence brings together articles that highlight approaches for engaging students and broader communities through teaching, coaching, and assessment in higher education. The contributions examine community-engaged learning in graduate coursework, the use of coaching practices to support student-centered teaching and advising, Cooperative Extension staff readiness for virtual instruction, and alternative assessment strategies aimed at increasing engagement and reducing anxiety in challenging STEM courses. Collectively, the articles …

Impact Of The Covid-19 Outbreak On The Emotional Responses And Self-Protective Behaviors Of Nursing Students., Banisha Lyngdoh Nonglait, Jyothsna Jennifer Hans, S P Sagar, Gayatri Poojari, Sanju Pant, Maria Pais Dr

Manipal Journal of Nursing and Health Sciences

Background: The COVID-19 pandemic has disrupted nearly every aspect of our society. The higher education sector is no exception. Students face an increasingly unstable environment, impacting their physical and emotional health.

Objectives: The study aims to determine students' emotional responses to the impacts of the COVID-19 outbreak. It also assesses their behavior in protecting themselves from cross-contamination during this period.

Methods: A descriptive survey design was used in this study, which included 61 undergraduate students. To collect data, researchers employed socio-demographic questionnaires alongside a structured attitude survey designed to assess emotional responses and self-protective behaviors related to COVID-19. The reliability …

The Common Cold Is Associated With Protection From Sars-Cov-2 Infections, Camille M Moore, Katherine Rivera-Spoljaric, Et Al.

2020-Current year OA Pubs

BACKGROUND: Adults and children often respond differently to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, with adults facing a higher risk of symptomatic and severe illness. We hypothesize that children's protection from symptomatic SARS-CoV-2 may be due to more frequent respiratory viral infections, which prime their airway antiviral defenses.

METHODS: Using case-cohort and case-control analyses in the Human Epidemiology and Response to SARS-CoV-2 cohort, we evaluated whether infection with common respiratory viruses protects against SARS-CoV-2 infections and investigated airway molecular mechanisms by which this protection is achieved. We tested 10 493 longitudinal nasal swabs from 1156 participants for 21 …

Effectiveness Of Rehabilitation In Patients After Covid-19: Example Interventions And Recommendations, Adam Łątka, Tomasz Król, Michał Kuszewski, Piotr Król, Alicja Kasprzak, Anna Brzęk

Baltic Journal of Health and Physical Activity

Background: Rehabilitation after COVID-19 plays a vital role in the lengthy treatment process, contributing to the acceleration of recovery and minimizing the effects of the disease. This study aimed to evaluate the effectiveness of rehabilitation in patients after COVID-19. An attempt was made to assess whether the rehabilitation changed spirometric indices, cardiopulmonary efficiency and the subjective quantification of dyspnea. Material and methods: The study, conducted from March to May 2022, involved 52 individuals aged 25 to 71 years (50.48 ± 11.6) divided into the study group, undergoing three weeks of outpatient rehabilitation, and the control group. Both groups underwent the …

Associations Of Ccr5Δ32 With Covid-19 In An Iraqi Kurdish Population And Global Allele Frequencies Of Ccr5Δ32, Sherko Subhan Niranji

Human Biology Open Access Pre-Prints

Chemokine receptor 5 Delta 32 (CCR5Δ32), a 32-nucleotide deletion in the receptor’s gene, is associated with infectious diseases (e.g., protection against HIV-1). Studies have yielded conflicting results regarding this receptor and Coronavirus Disease 19 (COVID-19) in various nations. No studies have investigated the CCR5 genetic polymorphisms in Kurdish populations. Few studies have been performed in Iraq regarding associations of CCR5 with infectious diseases including COVID-19. This study aims to investigate associations of CCR5Δ32 with COVID-19 in an Iraqi Kurdish population and global allele frequencies of the CCR5Δ32 associated with various diseases around the world.

Conventional polymerase chain reaction (PCR) was …

Public Perception About Covid-19 Vaccine Hesitancy In South Central Nebraska, Rita Nnenne Oparaocha

Biology Theses, Dissertations, and Student Creative Activity

The COVID-19 pandemic created a shift in the trajectory of vaccination hesitancy, altering risk perceptions and vaccination attitudes among individuals in rural communities. The 5C framework highlights confidence, complacency, constraints, calculation, and collective responsibility as influencing factors of vaccine hesitancy. This study assessed the proportion of adults who refused COVID-19 vaccination and identified the individual reasons for hesitancy among those who refused the COVID -19 vaccines in South Central Nebraska. Data was analyzed from a local cross-sectional public health survey administered to 2,034 adult participants over a six-month period (March-August 2024), including 91 respondents who were from outside the seven-county …

Factors Associated With Covid-19 Testing In Structurally Vulnerable Populations: An Exploratory Study In Southern Maine, Grace L Price, Kathleen M. Fairfield, Sumayo Awale, Renee Fay-Leblanc, Caroline Fernandes, Ann Marie R. Hess, Elizabeth A. Jacobs, Donna Lawlor, David Ngandu, Leslie Nicoll, Kinna Thakarar, Ellyn Touchette, Andrew Volkers, Gloria D. Sclar

Journal of Maine Medical Center

Introduction: The COVID-19 pandemic disproportionately affected structurally vulnerable populations in the United States. COVID-19 testing was instrumental in controlling viral spread and linking people to treatment; however, testing rates were lower among racial and ethnic minority groups. Our objective was to identify factors associated with desired COVID-19 testing behavior among vulnerable populations.

Methods: We conducted an exploratory cohort study of at-home COVID-19 testing between March 2022 and November 2023 in Portland, Maine. Partnering with trusted community organizations, we engaged participants from immigrant, housing-unstable, substance-using, and low-income/uninsured communities. Participants received 5 at-home COVID-19 tests every 8 weeks for 48 weeks. Participants …

Adjudicated Cardiovascular Events In Patients With Covid-19: Association With Vaccination Status And Changes Over Time, Behnood Bikdeli, Darsiya Krishnathasan, Antoine Bejjani, Candrika D. Khairani, Nada Hamade, Umberto Campia, Julia Davies, Nicole Porio, Ali Assi, Andre Armero, Anthony Tristani, Marcos D. Ortiz-Rios, Victor Nauffal, Zaid I. Almarzooq, Eric Q. Wei, Bridget Mcgonagle, Mariana Pfeferman, Sina Rashedi, Alyssa Sato, Giovanni Scimeca, Valeria Zuluaga-Sánchez, Mehrdad Zarghami, Aditya Achanta, Sirus Jesudasen, Bruce C. Tiu, Geno J. Merli, Orly Leiva, John Fanikos, Aditya M. Sharma, Samantha M. Rizzo, Ruth B. Morrison, Alec Vishnevsky, Shiavax J. Rao, Sivan Naveh, Abdelghani El Rafei, James Welker, Marc P. Bonaca, Brett J. Carroll, Samuel Z. Goldhaber, Zhou Lan, Gregory Piazza, The Corona-Vte Network Investigators

Jefferson Hospital Staff Papers and Presentations

BACKGROUND: Patients with COVID-19 are at risk of thrombotic and cardiovascular complications. Existing risk estimates derive from early COVID-19 experiences. More recent event rates, temporal trends, and the association between vaccination status and cardiovascular outcomes remain unclear.

METHODS: The CORONA-VTE Network (COVID-19 Registry to Assess Frequency, Risk Factors, Management, and Outcomes of Arterial and Venous Thromboembolic Complications) multicenter registry included patients with COVID-19 from March 2020 to February 2024. A composite of venous and arterial thrombotic events and a composite of adjudicated cardiovascular events were assessed at 90 days after COVID-19 diagnosis. Time-to-first-event analyses were stratified by inpatients and outpatients …

The Impact Of The Covid-19 Pandemic On Middle School Educators And The Need For Healthy Coping Techniques: A Transcendental Phenomenological Study, Dionne E. Mitchell

Doctoral Dissertations and Projects

In this transcendental phenomenological study, the researcher investigated how the Coronavirus Disease (COVID-19) pandemic impacted public middle school educators’ mental health and well-being (MHWB) and how they developed effective coping strategies in response. Using Lazarus and Folkman’s transactional stress and coping theory model and the social support theory as frameworks, the study explored the lived experiences of ten middle school instructors from the southeastern United States who taught during the COVID-19 pandemic. Semi-structured interviews, a focus group, and reflective diary entries were implemented as data collection methods. Thematic analysis identified several significant findings. Teachers faced professional challenges as they adapted …

Markets We Thought We Knew, Nicole J. Olynk Widmar, Michael L. Smith, Erin Robinson

Purdue University Press Books

Markets We Thought We Knew explores the evolving nature of markets and how they shape—and are shaped by—consumer behavior. From essential life necessities such as water to everyday commodities and products including locally sourced foods, this book covers a variety of topics and invites readers to examine a diverse range of markets through a reflective lens. By revisiting past market dynamics and real-world examples, readers are encouraged to rethink how preferences are formed, how opinions shift over time, and how value is assigned—sometimes in unexpected ways. What insights might you gather from a deeper understanding of local and global markets, …

Crisis Response In Nursing Education: An Integrative Review Of Nursing Programme Adaptation To Covid-19, Monina A. Hernandez, Gina B. Diaz, Pearl Ed G. Cuevas

International Nursing Research Congress (INRC)

Purpose: To synthesize and examine published research on the ways in which undergraduate Nursing education programmes in various countries adapted to the COVID-19 pandemic.

Methods: Whittemore and Knafl’s (2005) integrative review approach informed this review. This approach was chosen by the researchers because it allows inclusion of various research methodologies to highlight different perspectives regarding a research problem. The five-stage framework includes: problem identification, literature search, data evaluation, data analysis and presentation of findings.

Key words were used in conjunction with Boolean operators, truncation, and spelling variants to search three electronic databases. The search terms used were: “nursing education” OR …

Covid-19 Vaccine Acceptance Among People Who Smoke In Rural Southwest Georgia: Perspectives And Influencing Factors, Shadé Owolabi, Helen Singer, Katherine Reilly, Łucja T. Bundy Ma-Edm, J.K. Veluswamy, Carla Berg, Regine Haardörfer, James Hotz, Ajay Gehlot, Michelle Kegler

Journal of the Georgia Public Health Association

Background: The COVID-19 vaccine is a critical tool in reducing COVID-19 related morbidity and mortality. Unfortunately, vaccine hesitancy is an ongoing public health challenge, especially in certain geographic areas and sub-populations. This study assessed factors associated with COVID-19 vaccine uptake and hesitancy among individuals who smoke in rural communities in southwest Georgia, one of the first COVID-19 “hot spots” in the U.S.

Methods: We conducted qualitative interviews (n=23) using a semi-structured interview guide, informed by the Integrated Behavioral Model (IBM), that assessed vaccine-related behavior, intention to be vaccinated, perceived risk, social norms, attitudes, and environmental barriers and facilitators …

The Use Of Storytelling In Covid-19 Vaccine Promotion: A Scoping Review Of Interventions And Campaigns, Suha Ballout, Sabreen A. Darwish, Patricia J. Kelly, Teresa Keller, Ross Shegog, Basil H. Aboul-Enein

College of Nursing Faculty Papers & Presentations

BACKGROUND: The development of the COVID-19 vaccine, a groundbreaking scientific advancement, also fueled vaccine hesitancy mainly due to vaccine misinformation and the limited public understanding of the new technology and its rapid pace of development and deployment. A variety of public health communication strategies have been used that include engaging the community in identifying and developing messages, using culturally appropriate communication methods, applying behavioral health principles, and storytelling. The purpose of this scoping review was to assess the most relevant evidence from the research literature on storytelling interventions to mitigate COVID vaccine hesitancy during the pandemic.

METHODS: A scoping review …

The Impact Of Awake Prone Positioning In The Patient With Covid-19, Ellie Butsch, Margo Halm, Ann Alway, Eliza Burkholder, Julia Koos

Nursing & Health Sciences Research Journal

Background: Prone positioning has been shown to improve clinical outcomes for sedated, mechanically ventilated individuals with moderate to severe respiratory illnesses. Some studies also show potential benefit to awake individuals with COVID-19.

Objectives: The primary aim of this study was to investigate if hospitalized non-critically ill individuals diagnosed with SARS-CoV-2 who engage in frequent proning are more likely to have improved outcomes compared to non-proning individuals.

Methods: A retrospective cohort design was used to assess outcomes associated with awake prone positioning. A convenience sample was used to select two cohorts of individuals admitted with COVID-19 from April 2020-March 2021. Cohort …

Food Access And Food Insecurity Among Early Childhood Educators And Staff Prior To And During The Covid-19 Pandemic: A Mixed Methods Pilot Study, Rahel Mathews, Leah Pylate, Will Davis, Elizabeth Thorne, Jamila Taylor, Shecoya White, Bennett Pope, Emma Bryant

Journal of Human Sciences and Extension

Emerging research indicates that 40% of early childhood education (ECE) workers experience food insecurity. The purpose of this study was to describe the food insecurity and food access of Head Start teachers and staff in Mississippi before the COVID-19 pandemic and to understand how COVID-19 affected food access. A mixed-methods design was employed using cross-sectional surveys, at two different time points, and three focus groups. Three Head Start centers from the Mississippi Coast participated. Approximately 52% of teacher and staff respondents experienced food insecurity before COVID-19; during the pandemic, their level of food insecurity worsened from low to very low …

A Mixed-Methods Design-Based Research: Study Of Teacher Self-Efficacy And The Implementation Of Social Emotional Learning In The High School Classroom, Avia Brown

Dissertations

The escalating mental health crisis among adolescents, exacerbated by the COVID-19 pandemic, positioned schools as critical intervention sites for supporting student well-being (K. McNamara, 2020). However, teacher capacity and self-efficacy in implementing social-emotional learning (SEL) competencies remain significant barriers to effective, sustainable practice. This mixed-methods design-based research study examined the efficacy of professional development and instructional coaching in enhancing teacher self-efficacy and supporting the implementation of SEL competencies in high school classrooms.

The researcher employed a comprehensive, five-stage design thinking framework (empathize, define, ideate, prototype, test) to develop and evaluate a structured eight-week professional development and coaching intervention targeting SEL …

Optimizing Telehealth Utilization During Covid-19: Enhancing Efficiency And Equity Through Data Envelopment Analysis And Machine Learning, Ying Chih Sun, Ozlem Cosgun, Raj Sharman

Department of Information Management and Business Analytics Faculty Scholarship and Creative Works

This study investigates the efficiency of telehealth utilization across U.S. counties during the COVID-19 pandemic, with a focus on identifying the key drivers of efficiency, especially in rural and underserved areas. The primary research goal is to assess the efficiency of telehealth utilization and examine patterns of resource misallocation. A hybrid methodological framework integrates Data Envelopment Analysis to measure county-level efficiency scores and Machine Learning techniques to uncover the most influential predictors of those scores, revealing patterns in resource distribution and infrastructure that contribute to disparities in telehealth performance. Using secondary data from CMS’s 5% Medicare Fee-For-Service claims and various …

Emergency Lending By The Federal Reserve, Kathryn Judge, Richard Clarida

Faculty Scholarship

The Federal Reserve established an array of innovative emergency lending facilities during the Great Financial Crisis and expanded the scope of its emergency lending yet further in response to the Covid-19 pandemic. This Article provides a retrospective of how the Federal Reserve used its emergency lending authority across these two episodes, identifying patterns and revealing some differences. It sheds light on the conditions that enabled the Federal Reserve to establish the facilities that it did, including the roles played by Congress and Treasury in providing the equity funding that made certain facilities possible. It shows how in each episode, the …

A Study Of Preferred Modality Of Education And Perceptions Of Academic Success Of Post 9/11 Student Veterans, Jason R. Wakefield

Theses and Dissertations

Veterans are pursuing higher education at increasing rates due to the benefits available upon separation or retirement from military service. Many choose online programs for flexibility, while others prefer traditional, in-person instruction. Regardless of modality, student veterans often face significant challenges completing their degrees. “When student veterans first enter college, they must transition to the overwhelming, independent, and fast-paced lifestyle of a college student” (Semer & Harmening, 2015). While online learning may contribute to these difficulties, other factors also hinder success.

Colleges and universities continue to explore why student veterans struggle to complete their programs, yet underlying issues may distort …

The Impact Of The Covid-19 Pandemic On National Hockey League Fan Attendance, Ramon E. Rivera

Electronic Theses, Projects, and Dissertations

The COVID-19 pandemic struck swiftly around the world, causing several societal functions and normalcies to adapt or shut down completely. This culminating project explores the effects of COVID-19 on arena fan attendance of the National Hockey League (NHL). This project was guided by the following three research questions: Q1 – How did the NHL arena closures affect fan attendance during the COVID-19 pandemic? Q2 – What factors influenced NHL fan arena attendance before the start of the COVID-19 pandemic? Q3 – What factors impacted the NHL arena fan attendance after the conclusion of the COVID-19 pandemic? An empirical model developed …

Assessing Post-Pandemic Engagement In The Supplemental Nutrition Program For Women, Infants, And Children (Wic) In Northeast Tennessee, Christen Minnick

Electronic Theses and Dissertations

Since 1974, the federal Supplemental Nutrition Program for Women, Infants, and Children (WIC) has provided healthy food resources, nutrition education, and provider referrals for families at risk for poor nutrition. Public health professionals have consistently presented evidence that WIC engagement reduces premature births and infant mortality, improves child health and development, and increases specialized care access for participants. While average monthly participation in WIC has increased since the program’s inception, trends indicate that only around half of eligible families have consistently engaged with the program since 2011. Research has linked declining WIC participation to administrative burden, citing learning, psychological, compliance, …

Barriers And Facilitating Factors For Covid-19 Vaccination In Rural Appalachia, Kathryn M. Cardarelli, Rachel Gillespie, Anna Goodman Hoover, Diane B. Francis, Marc T. Kiviniemi

Epidemiology and Environmental Health Faculty Publications

Background: Since the onset of the pandemic, COVID-19 mortality has disproportionately impacted populations impacted by health inequities. This study aimed to identify the barriers and facilitators to COVID-19 vaccination uptake in Appalachian Kentucky as a first step to developing vaccination interventions. Methods: Key informant interviews were conducted with 36 community leaders in 14 Appalachian Kentucky counties from January-June 2023. Interviews focused on leaders’ perspectives about their community’s COVID-19 experiences, community impacts of the pandemic, and vaccine facilitators and barriers in their communities. Iterative inductive-deductive coding was used to characterize responses. Results: There were barriers and facilitators at multiple levels of …

Public Health Trade-Offs During A Pandemic: Mobility Decline And Hypertension Risk In India, Arpita Khanna, Tomoki Fujii

Research Collection School Of Economics

The Covid pandemic dramatically altered patterns of daily life, particularly through widespread declines in mobility due to lockdowns and social distancing measures. While the economic and epidemiological effects of these restrictions have been widely studied, their broader health implications remain underexplored. This paper investigates the relationship between mobility decline during the Covid pandemic and hypertension outcomes in India. Leveraging district-level variation in mobility from Google Community Mobility Reports and health data from the 2019–2021 Indian Demographic and Health Survey (DHS), we find that a 1 percentage point reduction in mobility over the 30 days prior to interview is associated with …