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Covid-19 Public Bulletin Saturday, 30 May 2020, Issue # 02, Aga Khan University Hospital

COVID-19 Archive Project

• The Aga Khan University Hospitals and Hospital Network is OPEN for ALL Patients, with ALL Illnesses
• Extraordinary Safety Precautions based on the Stringent Infection Control Guidelines have been taken to ensure You Feel Safe when visiting.

Twilighter Role To Support Primary Team Patient Care, Workflow Efficiency, And Physician Wellbeing, Jesse Edwards, René Daniel, Catriona Harrop

Health Equity and Quality Improvement (HEQI) Summit

Objective

Enhance patient care, process efficiency, and physician wellbeing by decompressing primary team workload and reducing the multitasking demands during critical hours of the daily workflow

Ensure Follow-Up For Functional Issues Post Covid-19, Nethra Ankam, Md, Tulasi Gude, Md, Kristofer Feeko, Do, Shannon Ames, Pt, Catherine Piersol, Ot, Tiffany Prince-Kandrakota, Pt, Erica Rao, Pt, Kristen Stout, Pt, Monina Florendo, Pt

Health Equity and Quality Improvement (HEQI) Summit

What's the Problem?

Patients post COVID-19 infection have functional limitations at home related to the multi-system effects of the infection, in addition to elevated risk for post-intensive care syndrome.

Our goals were to ensure patients had the resources they needed to safely mobilize at home, ensure referral to appropriate agencies for home care and therapies, and provide guidance on return to life activities in the setting of the stay-at-home order, need to self-quarantine, and limited outpatient therapy options.

Screening Tool To Ensure Optimal Patient Care And Function Post Covid Diagnosis, Nethra Ankam, Md, Shannon Ames, Pt, Dpt, Mba, Tiffany Prince-Kandrakota, Pt, Dpt, Ocs, Erica Rao, Pt, Dpt, Namrata Grampurohit, Phd, Otr/L, Catherine Piersol, Phd, Otr/L

Health Equity and Quality Improvement (HEQI) Summit

We developed a screening tool of questions to determine which patients would benefit from outpatient PM&R visits after discharge from the hospital/ED that included: four questions looking at function, shortness of breath and cognition. Screening questions were created so a YES response triggers a referral to PM&R to assess functional and cognitive needs for the patient.

A Telehealth Clinical Workflow For Academic Radiation Oncology Programs During The Covid19 Pandemic, Gregor Manukian, Md, Phd, Christian Fernandez, Md, Paul Forrest, Adam Dicker, Md, Phd, Mark D. Hurwitz, Md

Health Equity and Quality Improvement (HEQI) Summit

• COVID19 has resulted in drastic measures to decrease exposure risks within healthcare systems, with cancer patients at increased risk of infection and death (Liang. Lancet Oncol. 2020).
• Telehealth is the delivery of medical care via interactive audio and/or video telecommunication services.
• Telehealth was previously used sparingly within the department of radiation oncology but has suddenly become the preferred method of contact.
• In order to maintain quality of care, patient satisfaction, resident learning, and reimbursement, a robust telehealth clinical workflow is critical.
• Our department engaged various stakeholder to quickly develop a clinical workflow.

#Team-Based Approach To Sedation Management In Patients With Sars Cov-2 Aka Covid-19 In The Medical Icu, Hadiatou Barry, Md, Mph, Franklin Thelmo, Do, Atsoufi Amewuame-Kpehor, Md

Health Equity and Quality Improvement (HEQI) Summit

The COVID-19 pandemic has led to a proliferation of patients developing ARDS and requiring prolonged supportive care on mechanical ventilation. As a result, patients need elevated levels of sedation, often on multiple agents for a period greater than typically seen in an ICU population. As a result of this high sedation phenomenon, patients are developing higher rates of expected complications including severe constipation, neurocognitive delay, ICU myopathy, poor sedation weaning, and high pain control requirements. These complications lead to an increased rate of mortality in a population that is already very high and decreases the rate of successful extubation and …

Home Telemonitoring Of Covid Patients By Medical Students At The Christiana Care Virtual Practice, Thomas Marconi, Jr, Chelsea Richards

Health Equity and Quality Improvement (HEQI) Summit

SARS-Cov2 arrived in Delaware on March 11, 2020. By March 22, 2020, stay at home orders were in place1. During this time, CareVio, a subsidiary of ChristianaCare, was tasked with developing a strategy to monitor the Delaware community. CareVio repurposed Twistle – a telemonitoring application utilized to distribute symptom related surveys and conduct text message conversations for follow up. This service had the capability to act as a virtual information desk and triage patients to be seen by virtual practice providers or the emergency department. Patient monitoring via Twistle was initiated on March 18, 2020 and medical students from Sidney …

From Postmodernism To Posthumanism: Theorizing Ethos In An Age Of Pandemic, James S. Baumlin

College of Arts and Letters

This essay expands on the previous discussion, “Positioning Ethos” (Baumlin and Meyer 2018), which outlined a theory of ethos for the 21st century. There, my coauthor and I observed the dialectic between ethics and ethotics, grounding subjectivity within a sociology of rhetoric: Contemporary ethos, thus, explores the physical embodiment (with its “markers of identity”), positionality, and “cultural dress” of speakers. There as here, we looked to Heidegger for an expanded definition, one reaching beyond a speaker’s self-image to bring all aspects of our lifeworld—cultural, technological, biological, planetary—into a dynamic unity. And, there as here, we observed the dialectic between speaker …

Gwu Alumna Encourages Teachers And Students During Covid-19 Pandemic, Office Of University Communications

Gardner-Webb NewsCenter Archive

The Gardner-Webb University School of Education has alumni located across the state, serving at all levels, from superintendents to classroom teachers. When public schools closed in North Carolina on March 14, 2020, educators were asked to switch to distance education—a task most had never attempted before. Amid this current crisis, these educators have adjusted.

Racism And The Political Economy Of Covid-19: Will We Continue To Resurrect The Past?, Zinzi D. Bailey, J. Robin Moon

Publications and Research

COVID-19 is not spreading over a level playing field; structural racism is embedded within the fabric of American culture, infrastructure investments, and public policy, and fundamentally drives inequities. The same racism that has driven the systematic dismantling of the American social safety-net has also created the policy recipe for American structural vulnerability to the impacts of this and other pandemics. The Bronx provides an important case study for investigating the historical roots of structural inequities showcased by this pandemic; current lived experiences of Bronx residents are rooted in the racialized dismantling of New York City’s public infrastructure and systematic disinvestment. …

Why Monitoring Your Media Consumption During Covid-19 Is Important, Dessa Bergen-Cico

Population Health Research Brief Series

Are you spending more time consuming media (news, television, video games) than before COVID-19? Social distancing and stay-at-home orders have led to a surge in media consumption. This brief explains how too much media consumption (including the news) can affect your psychological and physiological wellbeing and provides strategies for monitoring your media consumption.

Mathematical Modeling Of Covid-19 And The Potential Effects On Eastern Washington University Student Population, Brinae Brown, Zack Wright, Tiffany Jordan

2020 Symposium Posters

Coronaviruses are a large family of viruses commonly found in people and animals and can sometimes spread from animals to humans. COVID-19 primarily spreads from person to person through contact with the mucous membranes of the eye and nose and is also found in saliva. These shared droplets are able to spread a considerable distance and can remain alive on surfaces. Currently, there is no supported treatment or cure for COVID-19. This project’s objective is to find the intervention threshold in which the spread is reduced below an effective reproductive number of 1 thereby constituting no additional spread. To test …

A Public Health Side Effect Of The Coronavirus Pandemic: Screen Time-Related Eye Strain And Eye Fatigue, Mary E. Helander, Stephanie A. Cushman, Shannon M. Monnat

Population Health Research Brief Series

Has your screen use increased since the start of COVID-19? You’re not alone. COVID-19 social distancing and stay-at-home orders have increased the time we are spending looking at screens. While these technologies help us stay connected and enable us to get the resources we need, too much screen time can lead to eye strain, headaches, and neck and back pain.

A Picture Is Worth A Thousand Words: Social Media's Approach To Comfort Food, Isabella Paul

Honors Theses - Providence Campus

My thesis essentially explores the ways social media reveals subconscious connections to food. Research indicates that there is an existing connection between food consumption and nostalgia, which transports a person back to their childhood and its association with comfort. This concept of nostalgia helps us understand how people in their everyday lives share their personal comforts with the general public, and how the general public responds. To explore this phenomenon I conduct primary research in the form of collecting and analyzing Instagram posts relating to comfort food, using the hashtags #comfortfood, #nostalgia, and #foodnostalgia. I use this research to identify …

The 2019-2020 Novel Coronavirus (Severe Acute Respiratory Syndrome Coronavirus 2) Pandemic: A Joint American College Of Academic International Medicine-World Academic Council Of Emergency Medicine Multidisciplinary Covid-19 Working Group Consensus Paper., Stanislaw P. Stawicki, Rebecca Jeanmonod, Andrew C. Miller, Lorenzo Paladino, David F. Gaieski, Anna Q. Yaffee, Annelies De Wulf, Joydeep Grover, Thomas J. Papadimos, Christina Bloem, Sagar C. Galwankar, Vivek Chauhan, Michael S. Firstenberg, Salvatore Di Somma, Donald Jeanmonod, Sona M. Garg, Veronica Tucci, Harry L. Anderson, Lateef Fatimah, Tamara J. Worlton, Siddharth P Dubhashi, Krystal S. Glaze, Sagar Sinha, Ijeoma Nnodim Opara, Vikas Yellapu, Dhanashree Kelkar, Ayman El-Menyar, Vimal Krishnan, S. Venkataramanaiah, Yan Leyfman, Hassan Ali Saoud Al Thani, Prabath Wb Nanayakkara, Sudip Nanda, Eric Cioè-Peña, Indrani Sardesai, Shruti Chandra, Aruna Munasinghe, Vibha Dutta, Silvana Teixeira Dal Ponte, Ricardo Izurieta, Juan A. Asensio, Manish Garg

Department of Emergency Medicine Faculty Papers

What started as a cluster of patients with a mysterious respiratory illness in Wuhan, China, in December 2019, was later determined to be coronavirus disease 2019 (COVID-19). The pathogen severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), a novel Betacoronavirus, was subsequently isolated as the causative agent. SARS-CoV-2 is transmitted by respiratory droplets and fomites and presents clinically with fever, fatigue, myalgias, conjunctivitis, anosmia, dysgeusia, sore throat, nasal congestion, cough, dyspnea, nausea, vomiting, and/or diarrhea. In most critical cases, symptoms can escalate into acute respiratory distress syndrome accompanied by a runaway inflammatory cytokine response and multiorgan failure. As of this …

A Call For Consistency In The Official Naming Of The Disease Caused By Severe Acute Respiratory Syndrome Coronavirus 2 In Non-English Languages, Lu Dong, Zhe Li, Isaac Fung

Biostatistics, Epidemiology & Environmental Health Sciences: Faculty Publications

We investigated the adoption of World Health Organization (WHO) naming of COVID-19 into the respective languages among the Group of Twenty (G20) countries, and the variation of COVID-19 naming in the Chinese language across different health authorities. On May 7, 2020, we identified the websites of the national health authorities of the G20 countries to identify naming of COVID-19 in their respective languages, and the websites of the health authorities in mainland China, Hong Kong, Macau, Taiwan and Singapore and identify their Chinese name for COVID-19. Among the G20 nations, Argentina, China, Italy, Japan, Mexico, Saudi Arabia and Turkey do …

Covid-19 Survey In The Municipality Of Anchorage: Highlights, Thomas Hennessy, Gabriel Garcia, Joy Mapaye, Rebecca Van Wyck, Elizabeth Snyder, Jennifer Meyer, Jenny Miller, Katie Cueva

Reports

As of May 20, 2020, 206 of the 402 identified cases of COVID-19 statewide have occurred among Anchorage residents (51%). Between May 6-10, 2020, approximately 56 days since the first case of COVID-19 in Anchorage was announced, a representative sample of 996 adults in the Municipality of Anchorage completed a cell phone survey designed to assess knowledge, attitudes, perceptions and behaviors related to the epidemic locally. This is a brief summary of highlights, and a detailed report will follow.

Symposium: Pandemics And The Constitution: Pandemic Surveillance - The New Predictive Policing, Michael Gentithes, Harold J. Krent

ConLawNOW

As the fight against the coronavirus pandemic continues, state governments are considering more invasive surveillance to determine who has been exposed to the virus and who is most likely to catch the virus in the future. Widespread efforts to test temperatures have been initiated; calls for contact tracing have increased; and plans have been revealed to allow only those testing positive for the virus’s antibodies (who presumably now are immune) to return to work and travel. Such fundamental liberties may now hinge on the mere probabilities that one may catch the disease or be immune from it.

To assess the …

One More Time: Paula Boixader, Georgia Southern University

Athletics: News & Publications

• One More Time: Paula Boixader

2020-05-20 Daily Unm Global Health Covid-19 Briefing, Christophe G. Lambert, Shawn Stoicu, Mari Anixter, Anastasiya Nestsiarovich, Praveen Kumar, Nicolas Lauve, Fiona Nguyen, Samantha Paltrow-Krulwich, Andrew Pierce, Stephen Esguerra, Allison Price, Randy Ko, Aly Raboff, Ariel Hurwitz, Alexandra Yingling, Elly Munde, Gregory Mertz, Orrin Myers, Douglas J. Perkins

HSC Covid 19 Briefings

Executive Summary:

NM Highlights: Governor’s update. NM case count. Governor’s response to republicans. Western Sky Community donation. Santa Feans using face coverings. NM Medicaid enrollment. NM colleges fall reopening. Rio Rancho partial reopening. NM Tourism Department cooking recipes. ABQ Meals on Wheels feeding more. US Highlights: Mexico influx California hospitals. Arkansas church outbreak. International Highlights: Estonia immunity passport rollout. South Korea school reopenings. Economics, Workforce, Supply Chain, PPE Highlights: Hydrogel patches for pressure injuries. Resuscitation with PPE. Journal of wound care PPE guidelines. Food supply chain protections. Epidemiology Highlights: Higher rates in Black communities. Superspreaders may explain propagation patterns. “Back-projection” …

Costing Of Actions To Safeguard Vulnerable Mexican Households With Young Children From The Consequences Of Covid-19 Social Distancing Measures, Mireya Vilar-Compte, Víctor Pérez, Graciela Teruel, Aranzazu Alonso, Rafael Pérez-Escamilla

Department of Public Health Scholarship and Creative Works

COVID-19 has imposed unprecedented challenges to society. As the pandemic evolves, the social distancing measures that have been globally enforced, while essential, are having undesirable socioeconomic side effects particularly among vulnerable populations. In Mexico, families who depend upon informal employment face increased threats to their wellbeing, and households who in addition have young children may face long-term consequences. The Mexican government has not yet taken actions, but a coalition of non-governmental organizations is advocating in partnership with academic institutions for social protection actions such as a cash transfer and basic services subsidies for families with young children, subsisting from the …

The Right To A Public Trial In The Time Of Covid-19, Stephen E. Smith

Faculty Publications

Maintaining social distance in the time of COVID-19 is a public health priority. A crowded courtroom is an environment at odds with public health needs. Accordingly, until science determines otherwise, it will be necessary for judges to manage courtroom attendance and exclude the public from trials, wholly or in part. Courtrooms may be closed to the public, despite the Sixth Amendment’s right to a public trial, when the closure is justified by a strong government interest and is narrowly tailored to further that interest. Typically, this heightened scrutiny is applied on a case-by-case basis and turns on a case’s specific …

Taxes In The Time Of Coronavirus: Is It Time To Revive The Excess Profits Tax?, Reuven S. Avi-Yonah

Law & Economics Working Papers

A recent NY Times headline summarizes one of the biggest economic impacts of the current pandemic: “Big Tech Could Emerge From Coronavirus Crisis Stronger Than Ever.” At a time when most American citizens and businesses suffer catastrophic economic damage from the Coronavirus Recession, some corporations such as Amazon, 3M, Gilead, and Zoom see their profits rise dramatically because of the pandemic. Given that most corporations are losing money but some are now earning excess profits due to the crisis, it is time to revive the wartime excess profits taxes that the US deployed in WW1 and WW2 to prevent the …

The Right To A Public Trial In The Time Of Covid-19, Stephen E. Smith

Washington and Lee Law Review Online

Maintaining social distance in the time of COVID-19 is a public health priority. A crowded courtroom is an environment at odds with public health needs. Accordingly, until science determines otherwise, it will be necessary for judges to manage courtroom attendance and exclude the public from trials, wholly or in part. Courtrooms may be closed to the public, despite the Sixth Amendment’s right to a public trial, when the closure is justified by a strong government interest and is narrowly tailored to further that interest. Typically, this heightened scrutiny is applied on a case-by-case basis and turns on a case’s specific …

2020-05-19 Daily Unm Global Health Covid-19 Briefing, Christophe G. Lambert, Shawn Stoicu, Ingrid Hendrix, Lori D. Sloane, Mari Anixter, Anastasiya Nestsiarovich, Praveen Kumar, Nicolas Lauve, Allison Price, Jenny Situ, Ariel Hurwitz, Alexandra Yingling, Perez Olewe, Cristian Bologa, Kristine Tollestrup, Orrin Myers, Douglas J. Perkins

HSC Covid 19 Briefings

Executive Summary:

NM Highlights: Navajo Nation. Reopening guidelines for employers. COVID Updates. Prison cases. Capitol budget faces $100M shortfall. Health Secretary warning to Lea County. APS Budget shortfall. Statewide testing site locations. UNM scientists work to develop vaccine. US Highlights: WHO funding suspended. International Highlights: China déjà vu lockdown. EU resolution adopted for investigation. Epidemiology: Wastewater used to detect outbreaks. Discharged COVID patients not infectious. Healthcare Policy Recommendations: Disability rights consideration. Practice Guidelines: Guidelines on safe extubation and COVID-19 –related rash classification. Testing: Sputum sample better than nasopharyngeal. Drugs, Vaccines, Therapies, Clinical Trials: NIH partners with other agencies. Low-dose HCQ …

Parametric Nasopharyngeal Swab For Sampling Covid-19 And Other Respiratory Viruses: Open Source Design, Sla 3-D Printing And Uv Curing System, Nicole Gallup, Adam Pringle, Shane Oberloier, Nagendra Gautam Tanikella, Joshua M. Pearce

Michigan Tech Publications, Part 1

Access to nasopharyngeal swabs for sampling remain a bottleneck in some regions for COVID19 testing. This study develops a distributed manufacturing solution using only an open source manufacturing tool chain consisting of two types of open source 3-D printing and batch UV curing, and provides a parametric fully free design of a nasopharyngeal swab. The swab was designed using parametric OpenSCAD in two components (a head with engineered break point and various handles), which has several advantages: i) minimizing print time on relatively slow SLA printers, ii) enabling the use of smaller print volume open source SLA printers, iii) reducing …

Phase-Adjusted Estimation Of The Covid-19 Outbreak In South Korea Under Multi-Source Data And Adjustment Measures: A Modelling Study, Xiaomei Feng, Jing Chen, Kai Wang, Lei Wang, Fengqin Zhang, Zhen Jin, Lan Zou, Xia Wang

Mathematics Faculty Articles

Based on the reported data from February 16, 2020 to March 9, 2020 in South Korea including confirmed cases, death cases and recovery cases, the control reproduction number was estimated respectively at different control measure phases using Markov chain Monte Carlo method and presented using the resulting posterior mean and 95% credible interval (C_rI). At the early phase from February 16 to February 24, we estimate the basic reproduction number R₀ of COVID-19 to be 4.79(95% C_rI 4.38 - 5.2). The estimated control reproduction number dropped rapidly to R_c ≈ 0.32(95% C_rI …

2020-05-18 Daily Unm Global Health Covid-19 Briefing, Christophe G. Lambert, Shawn Stoicu, Ingrid Hendrix, Lori D. Sloane, Mari Anixter, Anastasiya Nestsiarovich, Praveen Kumar, Nicolas Lauve, Fiona Nguyen, Ryen Ormesher, Melissa Cossé, Susie Pham, Jenny Situ, Alexandra Yingling, Cristian Bologa, Kristine Tollestup, Orrin Myers, Douglas J. Perkins

HSC Covid 19 Briefings

Executive Summary:

NM Highlights: NM COVID safety guidelines. NM case count. Navajo Nation case count. Gadsden school district kitchens closures. ABQ non-COVID patient treatment delay. NM factory shutdowns. US Highlights: Moderna Inc. vaccine shows promise. US cases exceed 1.5 million. US states reopen. NY slowly reopening. Michigan vaccines decrease. CDC antibody study. International Highlights: WHO independent review. Economics, Workforce, Supply Chain, PPE Highlights: Maxillofacial surgeries down. PPE skin damage. Epidemiology Highlights: Infections may overwhelm ICE facilities. High estimated US infections. LA antibody testing results. Super-spreader in church. Hospital staff antibody response. No effect of climate. Healthcare Policy Recommendations: Pairing assistance …

Being In The Body: A Queer, Theological Approach To The Covid-19 Crisis, Shelly Summers

Religion: Student Scholarship & Creative Works

No abstract provided.

2020-05-16/17 Daily Unm Global Health Covid-19 Briefing, Christophe G. Lambert, Shawn Stoicu, Ingrid Hendrix, Mari Anixter, Anastasiya Nestsiarovich, Praveen Kumar, Nicolas Lauve, Timothy Campbell, Alexandra Yingling, Cristian Bologa, Douglas J. Perkins

HSC Covid 19 Briefings

Executive Summary:

Only 1 case in NM state prisons. NM case count. NM travel warning. NM web-based recovery reporting system. NM Mask Madness Tournament. Face covering in ABQ. NM graduate medical program funding. ABQ Memorial Day cancellation. NM affordable housing funding. Taos farmers market drive through opening. US correctional facility cases. Social distancing works. Dogs sniffing out COVID-19. Germany's soccer league to restart. Mask effectiveness. Mask comfort w/cardboard cutout. Ammonium cleaning ineffective. CDC contact tracing guidance. Spanish immunity. CDC epidemic intelligence fellowship. Speaking transmits virus. Decontaminating workers. CDC advisory for children. Addressing ER fears. Indoor presymptomatic virus transfer. Virus transmission …