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Abstracts From The 2023 Health Care Systems Research Network (Hcsrn) Annual Conference, Denver, Colorado

Journal of Patient-Centered Research and Reviews

The Health Care Systems Research Network (HCSRN) is comprised of 20 learning health systems with embedded population-based research units. The network’s annual conference serves as a forum for research teams from member institutions to disseminate project findings, explore scientific collaborations, and share insights about conducting research in real-world care delivery settings. Abstracts presented at HCSRN 2023 are published in this issue supplement of Journal of Patient-Centered Research and Reviews, the journal of record for HCSRN’s annual conference proceedings.

Management Of Severe Acute Respiratory Distress Syndrome: A Primer, John C Grotberg, Daniel Reynolds, Bryan D Kraft

2020-Current year OA Pubs

This narrative review explores the physiology and evidence-based management of patients with severe acute respiratory distress syndrome (ARDS) and refractory hypoxemia, with a focus on mechanical ventilation, adjunctive therapies, and veno-venous extracorporeal membrane oxygenation (V-V ECMO). Severe ARDS cases increased dramatically worldwide during the Covid-19 pandemic and carry a high mortality. The mainstay of treatment to improve survival and ventilator-free days is proning, conservative fluid management, and lung protective ventilation. Ventilator settings should be individualized when possible to improve patient-ventilator synchrony and reduce ventilator-induced lung injury (VILI). Positive end-expiratory pressure can be individualized by titrating to best respiratory system compliance, …

Psychosocial Impacts Of The Covid-19 Pandemic On Women With Spinal Cord Injury, Susan Robinson-Whelen

Faculty, Staff and Student Publications

This study represents the first known research addressing the impact of the COVID-19 pandemic on women with spinal cord injury (SCI) in the United States. Women in this population face unique barriers that put them at elevated risk for compromised quality of life, risk that was magnified by physical and social restrictions imposed during the pandemic. This qualitative study examined the perceptions of women with SCI and the effect of the pandemic on their lives. The predominantly White and relatively well-educated sample of 105 women with traumatic SCI was diverse in age, injury characteristics, and geographic representation. Recruited across the …

Did Covid Change Everything Or Nothing At All? Canadian Family Life During The Covid-19 Pandemic, Carlee Guenther Dynes

Theses and Dissertations

In March of 2020, Canada, along with the rest of the world, declared the COVID-19 pandemic a national emergency and responded with society-wide lockdowns, granting exceptions only for essential workers. Canadians across all demographic categories were significantly impacted, and many parents of children under 18 faced the difficult task of caring for their children while simultaneously meeting their work obligations. Using novel in-depth interview data from 30 Canadian parents (in 15 couples) collected between April 2022 and May 2023, I explore three main changes to family life resulting from the COVID-19 pandemic: expanded family-friendly work practices, increased time with nuclear …

Detecting Mental Distresses Using Social Behavior Analysis In The Context Of Covid-19: A Survey, Sahraoui Dhelim, Liming Chen, Sajal K. Das, Huansheng Ning, Chris Nugent, Gerard Leavey, Dirk Pesch, Eleanor Bantry-White, Devin Michael Burns

Computer Science Faculty Research & Creative Works

Online social media provides a channel for monitoring people's social behaviors from which to infer and detect their mental distresses. During the COVID-19 pandemic, online social networks were increasingly used to express opinions, views, and moods due to the restrictions on physical activities and in-person meetings, leading to a significant amount of diverse user-generated social media content. This offers a unique opportunity to examine how COVID-19 changed global behaviors regarding its ramifications on mental well-being. In this article, we surveyed the literature on social media analysis for the detection of mental distress, with a special emphasis on the studies published …

Toward An Equity-Driven Conceptual Model Of Covid-19 Vaccine Decision-Making For People With Idd, Lydia Ocasio-Stoutenburg, Reese Triana, Shelly Baer, Jairo Arana, Ana C. Sale, Douglene Jackson, Michelle Schladant, Nastasia Boulos, Grace Dima, Jeffrey Brosco

Developmental Disabilities Network Journal

COVID-19 presented a public health emergency in the U.S., resulting in severe illness, hospitalizations, high mortality rates, and long-term adverse health care conditions. Several studies examined the disparities in transmission rates, barriers to care, and negative health outcomes for persons with disabilities, particularly people with intellectual and developmental disabilities (I/DD). While data revealed similar trends among Black, Hispanic or Latino/a/x/e, Native, Indigenous, and Asian people, outcomes are compounded for people of color with I/DD. Several historical, pervasive, systemic, structural, and attitudinal barriers have constrained healthcare access and adequate treatment, instigating feelings of distrust among those in systems of care. Although …

Health And Quality Of Life Among People With Intellectual And Developmental Disabilities And Direct Support Professionals During The Early United States Covid-19 Pandemic, Erin Vinoski Thomas, Bridgette M. Schram, Sombal Bari, Rachel Odunlami, Kristina M. Ormond, Sydnie E. Smith

Developmental Disabilities Network Journal

People with intellectual and developmental disabilities (IDD) and the direct support professionals (DSPs) who support them have faced unique risks to their health and quality of life (QoL) throughout the COVID-19 pandemic. We sought to understand how COVID-19 has influenced QoL and overall well-being among these populations. We conducted a Rapid Qualitative Inquiry study with a sample of people with IDD and DSPs (n = 18) to gain deeper perspectives about QoL and well-being during the pandemic. Participants described that changes in QoL were typically negative and influenced primarily by reduced socialization and impacts on health and independence; however, …

The Impact Of Covid-19 On The Financial Performance Of Largest Teaching Hospitals, Tiffany Champagne-Langabeer, James R Langabeer

Faculty, Staff and Student Publications

The COVID-19 pandemic disrupted hospital operations. Anecdotal evidence suggests financial performance likewise suffered, yet little empirical research supports this claim. This study aimed to explore the impact of the pandemic on the financial performance of the most prominent academic hospitals in the United States. Data from the 115 largest major teaching hospitals in the United States were extracted from the American Hospital Directory for three years (2019-2021). We hypothesized that the year and region would moderate the relationship between a hospital's return on assets (financial performance) and specific operational variables. We found evidence through descriptive statistics and multivariate moderated regressions …

Real-Time Environmental Surveillance Of Sars-Cov-2 Aerosols, Joseph V Puthussery, Kevin R Mcbrearty, Brookelyn M Doherty, Woodrow D Gardiner, Jordan P Magrecki, Traci L Bricker, Adrianus C M Boon, Carla M Yuede, John R Cirrito, Et Al.

2020-Current year OA Pubs

Real-time surveillance of airborne SARS-CoV-2 virus is a technological gap that has eluded the scientific community since the beginning of the COVID-19 pandemic. Offline air sampling techniques for SARS-CoV-2 detection suffer from longer turnaround times and require skilled labor. Here, we present a proof-of-concept pathogen Air Quality (pAQ) monitor for real-time (5 min time resolution) direct detection of SARS-CoV-2 aerosols. The system synergistically integrates a high flow (~1000 lpm) wet cyclone air sampler and a nanobody-based ultrasensitive micro-immunoelectrode biosensor. The wet cyclone showed comparable or better virus sampling performance than commercially available samplers. Laboratory experiments demonstrate a device sensitivity of …

Negative Impact Of Chronic Pandemic-Specific Financial Stress On Food Security Among College Students, Julia N. Soulakova,, Lisa J. Crockett, Mary Schmidt-Owens, Eric W. Schrimshaw

Department of Psychology: Faculty Publications

Since the pandemic started, food insecurity has become a more serious issue for U.S. college students. The study goals were to evaluate whether pandemic-specific stress contributes to current food insecurity (as of February–March of 2022) and to determine which student characteristics are associated with food insecurity. We used the 2022 Spring American College Health Association— National College Health Assessment data (n = 620) collected at a public university. We estimated two multiple logistic regression models. The odds of having very low food security (OR = 8.65, 95% CI = 4.84:15.43) and low food security (OR = 2.87, 95% CI …

Ankita M. Kumar, Oral History Interview, 2023, You Li

Collective Memory of Women Journalists in COVID-19

Ankita M. Kumar is a journalist, analyst, and product manager. During COVID, she covered several high-profile investigative stories on the pandemic in India for Deutsche Welle, Germany's international broadcaster. In 2020, she received a grant from the National Geographic Society's COVID-19 emergency fund to complete a written report on equal access to health care for women in the current Gurugram's urban slums. Kumar was relocated to the United States in 2021, and graduated with a master's degree from Northwestern University, specializing in media innovation and content strategy.

Kumar published several investigative stories that focused on underrepresented groups during the pandemic, …

Effects Of Protection Motivation And Travel Anxiety On Staycation Intention: A Cross-Country Examination, Songshan Huang, Xuequn Wang, Jian Xu, Jin Wang

Research outputs 2022 to 2026

Staycation became an alternative tourism form in the history after the global financial crisis in 2008/2009. Given the impact of the COVID-19 pandemic and the possible economic downturn after the pandemic, staycation becomes important to individual wellbeing and the tourism industry’s sustainable development in the post-COVID era. In this study, we applied protection motivation theory and stimulus-organism-response (SOR) framework to develop and empirically test a theoretical model examining the relationships between protection motivation/travel anxiety and staycation intention in the COVID-19 context. A cross-country survey design was applied to collect data from Australia and China. PLS-SEM analyses revealed that perceived pandemic …

Long Covid Clinical Phenotypes Up To 6 Months After Infection Identified By Latent Class Analysis Of Self-Reported Symptoms, Michael Gottlieb, Erica S. Spatz, Huihui Yu, Lauren E Wisk, Joann G. Elmore, Nicole L. Gentile, Mandy Hill, Ryan M. Huebinger, Ahamed H. Idris, Efrat M. Kean, Katherine Koo, Shu-Xia Li, Samuel Mcdonald, Juan Carlos C Montoy, Graham Nichol, Kelli N. O'Laughlin, Ian D. Plumb, Kristin L. Rising, Michelle Santangelo, Sharon Saydah, Ralph C. Wang, Arjun Venkatesh, Kari A. Stephens, Robert A. Weinstein

Department of Emergency Medicine Faculty Papers

BACKGROUND: The prevalence, incidence, and interrelationships of persistent symptoms after severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection vary. There are limited data on specific phenotypes of persistent symptoms. Using latent class analysis (LCA) modeling, we sought to identify whether specific phenotypes of COVID-19 were present 3 months and 6 months post-infection.

METHODS: This was a multicenter study of symptomatic adults tested for SARS-CoV-2 with prospectively collected data on general symptoms and fatigue-related symptoms up to 6 months postdiagnosis. Using LCA, we identified symptomatically homogenous groups among COVID-positive and COVID-negative participants at each time period for both general and fatigue-related …

An Analysis Of The Rising Xenophobia Against Asian Americans In The U.S. And Higher Education Regarding The Effects Of The Covid-19 Pandemic, Shiqian Zheng

The Scholarship Without Borders Journal

This paper analyzes the cause of anti-Asian hate, the rising xenophobia against people with Asian origins, as well as the vaccine distribution and governmental leadership. By conducting a short case study on universities’ leadership during the COVID-19 Pandemic in the United States, this paper contributes to the literature regarding Asian Americans overall, as well as to the literature on approaches to a public crisis on hate crime in higher education in the United States.

Korean Immigrants’ Perceptions Of Library Services And Library Multicultural Programs For Asian Communities Before And During Covid-19, Yanghee Kim, Hyun Chu Leah Kim, Jihye Kim

Faculty Articles

This study explored 141 Korean immigrant parents’ use of local libraries to enhance their families’ social and cultural capital and adjust to the host country. We searched resources in Korean, and multicultural programs planned for the public and immigrants, Asian immigrants in particular, at two libraries before and during COVID-19. Parents reported dissatisfaction with library services because of language barriers (38%) and the lack of Korean resources (38%) and cultural programs (25%). Except for 18 books and 24 e-resources, no library resources in Korean were published after 2008. Before COVID-19, one multicultural program was offered for children. At Branches B …

The Experiences Of Co-Teachers Who Co-Taught Virtually During Covid-19: A Qualitative Hermeneutic Phenomenological Study, Carmean Deona Matthews

Doctoral Dissertations and Projects

This hermeneutic phenomenological study aimed to describe and understand the experiences of online co-teaching through the perspectives of general education and special education co-teachers at the middle school level during the COVID-19 pandemic. This study followed Bandura’s social cognitive theory, emphasizing self-efficacy and reciprocal determinism as it explains how people think, feel, motivate themselves, and behave. The study answered the following overarching research question: How do co-teachers perceive their ability to implement all-online learning during the COVID-19 pandemic? The school setting for this study is Sunny County Public Schools (pseudonym), a suburban public school district in East Georgia. The researcher …

Unmet Needs And Coping Strategies Of Older Underserved Veterans During The Covid-19 Pandemic, Trenton M. Haltom, Joyce Tiong, Tracy L. Evans, Nipa Kamdar, Gala True, Mark E. Kunik

School of Medicine Faculty Publications

Introduction: The COVID-19 pandemic has had profound impacts on people with diabetes, a group with high morbidity and mortality. Factors like race, age, income, Veteran-status, and limited or interrupted resources early in the COVID-19 pandemic compounded risks for negative health outcomes. Our objective was to characterize the experiences and needs of under-resourced Veterans with type 2 diabetes during the COVID-19 pandemic. Methods: We conducted semi-structured qualitative interviews (March through September 2021) with U.S. military Veterans with diabetes. Transcripts were analyzed using a team-based, iterative process of summarizing and coding to identify key themes. Participants included Veterans (n = 25) who …

Why Judges Should Use 18 U.S.C. § 3553 To Assess Prison Sentences Qualitatively In The Context Of Collateral Relief, Luke Doughty

Indiana Journal of Law and Social Equality

No abstract provided.

Multiple Sterile Withdrawals From Iohexol Bottles Does Not Increase Contamination Risk, Caroline Purtill, Manraj Dhesi, Daniel Haber, Nicholas D'Antonio, Noreen J. Hickok, Jeremy I. Simon

Department of Orthopaedic Surgery Faculty Papers

BACKGROUND: There is a global shortage of iohexol contrast media, commonly used in epidural injections, as a result of lockdown and decreased production due to COVID-19. Iohexol bottles are designated for single use, which, depending on the vials available, often leads to wasting up to 95% of this limited resource. However, avoiding multiple withdrawals may be unnecessary if withdrawing multiple times using sterile technique does not increase the risk for contamination.

OBJECTIVES: The purpose of our study is to determine whether multiple withdrawals from iohexol injection bottles using a sterile technique poses a greater risk of introducing contaminants than a …

Effects Of Covid-19 On The Autonomic Cardiovascular System: Heart Rate Variability And Turbulence In Recovered Patients, Sedat Taş, Ümmü Taş

The Texas Heart Institute Journal

BACKGROUND: COVID-19 may be a risk factor for developing cardiovascular autonomic dysfunction. Data are limited, however, on the association between heart rate variability, heart rate turbulence, and COVID-19. The aims of this study were to evaluate the effect of COVID-19 on the cardiovascular autonomic system in patients with persistent symptoms after recovering from COVID-19 and to determine whether these patients showed changes in ambulatory electrocardiography monitoring.

METHODS: Fifty-one adults who had confirmed SARS-CoV-2 infection and presented with persistent symptoms to the cardiology outpatient clinic after clinical recovery between April and June 2021 were included. Patients were prospectively followed for 6 …

Parenting During A Pandemic: Understanding The Impact Of Covid-19 On Early Childhood Development, Jessica A. Manes

Senior Theses

The early years of a child's life are crucial for their development, shaping their ability to process information, communicate, and form their identity. However, the COVID-19 pandemic disrupted essential elements necessary for optimal early childhood development, including quality education, nurturing environments, and social stimulation. This study explored how parents in South Carolina perceived the pandemic's impact on their children's development. Five themes emerged from the study. Firstly, remote work due to pandemic protocols significantly affected the parent-child relationship. Secondly, the family's socioeconomic status influenced their ability to cope with and protect their children from the pandemic's impact. Thirdly, isolation resulting …

Association Between Sars-Cov-2 Variants And Frequency Of Acute Symptoms: Analysis Of A Multi-Institutional Prospective Cohort Study-December 20, 2020-June 20, 2022., Ralph C, Wang, Michael Gottlieb, Juan Carlos C. Montoy, Robert M. Rodriguez, Huihui Yu, Erica S. Spatz, Christopher W. Chandler, Joann G. Elmore, Paavali A. Hannikainen, Anna Marie Chang, Mandy Hill, Ryan M. Huebinger, Ahamed H. Idris, Katherine Koo, Shu-Xia Li, Samuel Mcdonald, Graham Nichol, Kelli N. O'Laughlin, Ian D. Plumb, Michelle Santangelo, Sharon Saydah, Kari A. Stephens, Arjun K. Venkatesh, Robert A. Weinstein

Department of Emergency Medicine Faculty Papers

Background: While prior work examining severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants of concern focused on hospitalization and death, less is known about differences in clinical presentation. We compared the prevalence of acute symptoms across pre-Delta, Delta, and Omicron.

Methods: We conducted an analysis of the Innovative Support for Patients with SARS-CoV-2 Infections Registry (INSPIRE), a cohort study enrolling symptomatic SARS-CoV-2-positive participants. We determined the association between the pre-Delta, Delta, and Omicron time periods and the prevalence of 21 coronavirus disease 2019 (COVID-19) acute symptoms.

Results: We enrolled 4113 participants from December 2020 to June 2022. Pre-Delta vs Delta …

Artificial Intelligence Tool For The Study Of Covid-19 Microdroplet Spread Across The Human Diameter And Airborne Space, Hesham H. Alsaadi, Monther Aldwairi, Faten Yasin, Sandra C.P. Cachinho, Abdullah Hussein

All Works

The 2019 novel coronavirus (SARS-CoV-2 / COVID-19), with a point of origin in Wuhan, China, has spread rapidly all over the world. It turned into a raging pandemic wrecking havoc on health care facilities, world economy and affecting everyone’s life to date. With every new variant, rate of transmission, spread of infections and the number of cases continues to rise at an international level and scale. There are limited reliable researches that study microdroplets spread and transmissions from human sneeze or cough in the airborne space. In this paper, we propose an intelligent technique to visualize, detect, measure the distance …

The Impact Of Covid-19 On Psychosocial Services And Perceived Supports For Pediatric Patients, Samantha Martinez

Theses and Dissertations

In March 2020, the World Health Organization named severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) a global pandemic. While the physiological damage of COVID-19 on individuals and communities is itself immeasurable, both because variants continue to spread and because of the unpredictable nature of “long COVID,” we know even less about the long-term psychological impacts on individuals. Lockdown procedures, including school closures, were necessary to prevent transmission of the virus and to protect the most vulnerable bodies (namely, the elderly and immuno-compromised). However, the effect of the closures disproportionately resulted in psychological damage to children and adolescents. Previous studies have …

Patient Experiences And Disparities In Telehealth Hiv Care During The Covid-19 Pandemic: Study Results From The Southern United States, Valerie Yelverton

Theses and Dissertations

Background: To maintain HIV care continuity during the COVID-19 pandemic, most HIV care facilities in the United States adopted telehealth. However, not everyone was participating in telehealth equally. This dissertation seeks to understand experiences with and the use of telehealth in HIV care, and decision processes guiding the selection of visit type during the COVID-19 pandemic.

Methods: Qualitative interviews explored people living with HIV’s (PWH) and HIV care provider’s experiences with telehealth HIV care and visit type decision processes. Quantitative analyses of electronic health record (EHR) data characterized patterns of and disparities in telehealth HIV care during the COVID-19 pandemic. …

Exploring Bhutanese Primary School Teachers’ Technological Knowledge, Sonam Dhendup, Kezang Sherab

Journal of Global Education and Research

The COVID-19 pandemic has disrupted the normal functions of schools globally. Online learning is a new concept in Bhutan. Nonetheless, classes have begun using various online learning platforms to continue their operations during the pandemic. This study examined primary school teachers’ perceived information technology knowledge and proficiency. The participants of this study consisted of 124 primary teachers from two western districts of Bhutan. Data were collected using an online survey. The study’s findings suggested that although the majority of participants (98.2%) had access to personal digital devices, slow internet connection and high internet data subscription charges (60.7%) were cited as …

How Post-Immunization Covid-19 Context Affected Residents’ Evacuation Behavior During Hurricane Ida, Amy Polen, Jennifer Collins, Elizabeth Dunn, Stephen Murphy, Isabelle Jernigan, Killian Mcsweeney, Yi Jie Zhu

School of Geosciences Faculty and Staff Publications

Since the onset of the COVID-19 pandemic, decision-making during disasters fundamentally changed to accommodate the combined risks of hurricanes and infectious diseases. Prior research conducted in 2020 by Collins et al. examined how individuals changed their intended evacuation decision-making during the pandemic or their actual evacuation decisions during Hurricanes Laura and Sally. Hurricane Ida provided further data on evacuation decision-making when vaccinations and masks were widely available. A digital survey was disseminated to individuals affected by Hurricane Ida in 2021. Respondents provided information about their actual evacuation choices and perceptions of public shelters and COVID-19 risks. In comparison with the …

Institute For Global Health And Development : Issue 5 - July 2023, Institute For Global Health And Development

IGHD Newsletters

• Research Highlights
• Key Publications
• IGHD in the News
• Webinars, Academics & Conferences
• ‘Choice’ Programme - Technical Advisory Group
• Welcome New Team Members
• Mark your Calendars: Upcoming Event
• Congratulations Team IGHD
• Collaborate With Us

Vaccine Contracts In The Context Of Pandemics And Epidemics, Ana Santos Rutschman

Faculty Publications

This article explores the contractual architecture of vaccine contracts, as well as the allocation of resulting vaccines in preparation for, and in response to, pandemics and large-scale epidemics. Drawing on contracts predominantly related to COVID-19 vaccines collected through publicly available databases, the work begins by providing an overview of the relationships between the parties entering into these agreements, the bargaining processes adopted, their timeline relative to market demand for vaccines, and the substantive obligations imposed by these contracts.

The essay then briefly considers the effects of this contractual architecture on the manufacturing and distribution of vaccines across the globe, highlighting …

The Impact Of The Covid-19 Pandemic On The Physical And Mental Health Of School-Aged Children, Syed Azlan Abbas, Sufia Athar, Nadeem Zafar Jilani

HCA Healthcare Journal of Medicine

The SARS-CoV-2 (COVID-19) pandemic caused a deleterious impact on global health. School-aged children were significantly impacted by the pandemic. These impacts may be attributed to the fact that this age group is at a vulnerable developmental stage and is susceptible to profound effects. We conducted a thorough literature review using PubMed, Medline, and Science Direct electronic database searches between 2020-2022. We retrieved 757 studies, 25 of which were included in our review. We considered the impact of the COVID-19 pandemic on the physical and mental health of school-aged children (5-18 years), and the results were analyzed and included in our …