Digital Commons Network^™

Ethnic And Racial Differences In Self-Reported Symptoms, Health Status, Activity Level, And Missed Work At 3 And 6 Months Following Sars-Cov-2 Infection, Kelli N O'Laughlin, Robin E Klabbers, Imtiaz Ebna Mannan, Nicole L Gentile, Rachel E Geyer, Zihan Zheng, Huihui Yu, Shu-Xia Li, Kwun C G Chan, Erica S Spatz, Ralph C Wang, Michelle L'Hommedieu, Robert A Weinstein, Ian D Plumb, Michael Gottlieb, Ryan M Huebinger, Melissa Hagen, Joann G Elmore, Mandy J Hill, Morgan Kelly, Samuel Mcdonald, Kristin L Rising, Robert M Rodriguez, Arjun Venkatesh, Ahamed H Idris, Michelle Santangelo, Katherine Koo, Sharon Saydah, Graham Nichol, Kari A Stephens

Faculty, Staff and Student Publications

INTRODUCTION: Data on ethnic and racial differences in symptoms and health-related impacts following SARS-CoV-2 infection are limited. We aimed to estimate the ethnic and racial differences in symptoms and health-related impacts 3 and 6 months after the first SARS-CoV-2 infection.

METHODS: Participants included adults with SARS-CoV-2 infection enrolled in a prospective multicenter US study between 12/11/2020 and 7/4/2022 as the primary cohort of interest, as well as a SARS-CoV-2-negative cohort to account for non-SARS-CoV-2-infection impacts, who completed enrollment and 3-month surveys (

RESULTS: Following SARS-CoV-2 infection, the majority of symptoms were similar over time between ethnic and racial groups. At …

Risk Of Depression In A Suburban Primary Care Setting Before And During The Covid-19 Pandemic, Carman H Whiting, Pouran Yousefi, Jude K A Des Bordes, Nahid J Rianon

Faculty, Staff and Student Publications

INTRODUCTION: Major depression is a common disorder affecting millions of adults each year. Many population-based surveys showed an increase in the number people with symptoms of depression at the onset of the COVID-19 pandemic. Our aim was to determine and compare the prevalence of depression risk in a primary care setting before and during the COVID-19 pandemic.

METHODS: We conducted a cross-sectional study based on retrospective review of medical records from a large suburban primary care clinic. Records of adults 18 years and older, seen between January 1, 2019 and December 31, 2020 and who had also been screened for …

Timing Of Invasive Mechanical Ventilation And Death In Critically Ill Adults With Covid-19: A Multicenter Cohort Study, Adam Green, Jean-Sebastien Rachoin, Christa Schorr, Phil Dellinger, Jonathan D Casey, Isabel Park, Shruti Gupta, Rebecca M Baron, Shahzad Shaefi, Krystal Hunter, David E Leaf

Faculty, Staff and Student Publications

PURPOSE: To investigate if the timing of initiation of invasive mechanical ventilation (IMV) for critically ill patients with COVID-19 is associated with mortality.

MATERIALS AND METHODS: The data for this study were derived from a multicenter cohort study of critically ill adults with COVID-19 admitted to ICUs at 68 hospitals across the US from March 1 to July 1, 2020. We examined the association between early (ICU days 1-2) versus late (ICU days 3-7) initiation of IMV and time-to-death. Patients were followed until the first of hospital discharge, death, or 90 days. We adjusted for confounding using a multivariable Cox …

Population-Based Linked Longitudinal Surveillance Of Pregnant People And Their Infants: A Critical Resource For Emerging, Re-Emerging, And Persistent Threats, Van T Tong, Kate R Woodworth, Erin Blau, Neha Shinde, Amanda Akosa, Suzanne M Gilboa, Dana Meaney-Delman

Faculty, Staff and Student Publications

Public health emergencies, from Zika to COVID-19, have underscored the importance of addressing the needs of pregnant people and their infants. Recent events have underlined the critical role of mother-infant-linked longitudinal surveillance to characterize and assess the impacts of emerging, re-emerging, and persistent threats, including infectious diseases, on these populations. In partnership with state, local, and territorial health departments, CDC's National Center on Birth Defects and Developmental Disabilities activated the Surveillance for Emerging Threats to Mothers and Babies Network (SET-NET) to capture information about pregnant people with laboratory-confirmed infection with SARS-CoV-2 (the virus that causes COVID-19) and their infants. SET-NET …

Prevalence Of Depressive Symptoms And Correlates Among Individuals Who Self-Reported Sars-Cov-2 Infection After Optimizing The Covid-19 Response In China, Liangjia Wei, Jiao Qin, Zhifeng Lin, Xinju Huang, Jinfeng He, Dee Yu, Fei Zhang, Sisi Li, Ping Cen, Mu Li, Tong Luo, Rongjing Zhang, Shanmei Zhong, Cai Qin, Zeyu Li, Yuan Yang, Huiqi Pan, Mengdi Zhao, Xiaoqiong Wu, Junjun Jiang, Hao Liang, Li Ye, Bingyu Liang

Faculty, Staff and Student Publications

BACKGROUND: The burden of depression symptoms has increased among individuals infected with SARS-CoV-2 during COVID-19 pandemic. However, the prevalence and associated factors of depressive symptoms among individuals infected with SARS-CoV-2 remain uncertain after optimizing the COVID-19 response in China.

METHODS: An online cross-sectional survey was conducted among the public from January 6 to 30, 2023, using a convenience sampling method. Sociodemographic and COVID-19 pandemic-related factors were collected. The depression symptoms were assessed using the Patient Health Questionnaire-9 (PHQ-9). Logistic regression analysis was performed to explore the associated factors with depressive symptoms.

RESULTS: A total of 2,726 participants completed the survey. …

Evaluating Healthcare Student Learning Performance During The Initial Year Of The Covid-19 Pandemic: A Case Study, Maria D. Garcia-Villarreal

Human Resource Development Theses and Dissertations

The COVID-19 pandemic caused a mass interruption to daily life lasting almost an entire academic year. Return to normalcy was hard won and phased over the following academic year. Neither time-period offered “traditional” learning experiences in academic institutions. The extent to which the operational shut-down affected academic institutions and their learners is just now beginning to be elucidated. Human resource development (HRD) is uniquely positioned to apply established and newly developed theories and applications to the study of this phenomenon. One particular case lends itself to observation. A major academic medical center launched a technology-driven state-of-the-art simulation education center mere …

Parens Patriae After The Pandemic, Meredith Johnson Harbach

Law Faculty Publications

The COVID-19 pandemic prompted extraordinary state action to protect American children. Acting in its longstanding role as parens patriae, the state stepped in to protect children and their families from the ravages of the pandemic as well as from the dramatic upheaval it precipitated. This Article will evaluate the state’s pandemic response vis-à-vis children and their families, mining the experience for lessons learned and possible ways forward. Specifically, this project will argue that the state’s pandemic response represented a departure from the state’s conventional approach to parens patriae. Conventional practice prior to the pandemic was characterized by a state model …

In Silico Drug Discovery For Sars-Cov-2 Papain-Like Protease, Olivia Haskin

Wayne State University Theses

SARS-CoV-2 Papain-like protease is an essential viral protein for viral replication. In our lab, we hypothesize that successful inhibition of this protease will stop viral replication and allow for clearance of the infection by the host. The work described here aimed to design and execute an in silico drug discovery workflow for successfully selecting PLpro inhibitors from the Mcule purchasable compound database. This work reports such a workflow and nine potential compounds for in vitro testing. This work also describes structural activity relationship analysis of a proprietary set of PLpro inhibitors synthesized by medicinal chemistry collaborators and makes recommendations for …

Adolescent Loneliness During The Covid-19 Pandemic: The Role Of Pre-Pandemic Risk Factors, Hena Thakur, Morgan Stutts, Jae Wan Choi, Jeff R Temple, Joseph R Cohen

Faculty, Staff and Student Publications

The COVID-19 pandemic is a global mental health crisis that disproportionately impacts adolescents. Loneliness is a particularly salient pandemic psychosocial outcome to understand; however, research to date on this outcome is sparse and largely cross-sectional. In response, we examined pre-pandemic risk factors for pandemic loneliness. Further, we examined how risk may differ based on key demographics, and whether mediation or moderation models best explained potential disparities in experiencing loneliness. Self-reported, pre-pandemic mental health, trauma exposure, and family conflict survey data were collected at Wave 1 in a diverse sample of 369 adolescents (54.5% female, 45.5% male; 30.1% White; 30.9% Black; …

Are Trauma Surgeons Prepared? A Survey Of Trauma Surgeons’ Disaster Preparedness Before And During The Covid-19 Pandemic, Jay Doucet, David V Shatz, Lewis J Kaplan, Eileen M Bulger, Jeannette Capella, Deborah A Kuhls, Mary Fallat, Kyle N Remick, Christopher Newton, Adam Fox, Randeep Jawa, John A Harvin, David P Blake, Marko Bukur, Jonathan Gates, James Ficke, Mark L Gestring, The American Association For Surgery Of Trauma Disaster Committee

Faculty, Staff and Student Publications

OBJECTIVE: US trauma centers (TCs) must remain prepared for mass casualty incidents (MCIs). However, trauma surgeons may lack formal MCI training. The recent COVID-19 pandemic drove multiple patient surges, overloaded Emergency Medical Services (EMS) agencies, and stressed TCs. This survey assessed trauma surgeons' MCI training, experience, and system and personal preparedness before the pandemic compared with the pandemic's third year.

METHODS: Survey invitations were emailed to all 1544 members of the American Association for the Surgery of Trauma in 2019, and then resent in 2022 to 1575 members with additional questions regarding the pandemic. Questions assessed practice type, TC characteristics, …

Adapting The Digital Pulpit : A Study Of The Transition To Online Preaching, Robert Mike Bankston

ATS Dissertations

No abstract provided.

Panel 1 - Towards Effective Governmental Intervention: Ending Discrimination In The Workplace, Rebecca Salawdeh, Patrick Patterson, Victoria Lipnic, Carol Miaskoff, Hnin Khaing

American University Journal of Gender, Social Policy & the Law

FACILITATOR: Good morning, everyone and welcome to the “Enhancing Antidiscrimination Laws in Education and Employment Symposium”, hosted by the American University Journal of Gender, Social Policy & the Law, the American, and the National Institute for Workers’ Rights (“Institute”). And without further ado, let me pass it off to the Institute’s board president, Rebecca Salawdeh

Exemplary Legal Writing 2020: Four Recommendations, Jed S. Rakoff, Lev Menand

Faculty Scholarship

For some years, John Coffee of the Columbia Law School, one of the country’s leading experts on corporate and securities law, has been critical of the government’s failure to effectively prosecute corporate crime. In this book, Coffee both propounds a general theory of why such criminality is rarely prosecuted in a meaningful way, and also offers some creative solutions to such underenforcement.

Black Mental Health Clinicians' Experiences And Lessons From The Intersecting Crises Of Black Mental Health, Covid-19, And Racial Trauma: An Interpretive Phenomenological Study, Chanté Meadows

Antioch University Dissertations & Theses

This study explored the experiences of African American mental health clinicians’ during the intersecting crises of the Black mental health crisis, the highly publicized racial tension tied to extrajudicial violence and over-policing of Black Americans, and the COVID-19 pandemic. The pandemic started a global crisis that affected millions of people’s physical and mental health and overall well-being. Shared trauma explores the duality of mental health clinicians’ personal and professional experiences. Grounded in critical race theory and models of trauma, this study explores Black mental health clinicians’ lived experiences and lessons. This is an interpretive phenomenological study with narrative interviews of …

How Government Organizations Can Sustain Remote Work Post Covid-19, Chikwendu Pius Nweke

Walden Dissertations and Doctoral Studies

AbstractGovernment organizations are unprepared to sustain remote work post-COVID-19. Even though COVID-19 seems to be under control, organizations are still struggling with the aftermath of the pandemic and the need to sustain remote work. Challenges include lack of necessary information technology tools, software, technological skills, strategies for remote work, leadership skills, real-time communication; activity planning and program implementation, scheduling meetings, organizing child care, managing caseloads, fostering team work, and effective supervision. A conceptual framework based on organizational adaptation theory was used to guide this qualitative case study. Since the study was to ascertain how government organizations can sustain remote work …

Impact Of Covid-19 Relief Packages On U.S. Household Food Security And Food Expenditure, Bridget Yeboah Bafowaa

Electronic Theses and Dissertations

The COVID-19 pandemic led to changes in consumer shopping habits, including food expenditures. The pandemic induced changes in food expenditure patterns, food accessibility, and declining household income contributed to increased food insecurity during the pandemic. The objective of this study is to examine the impact of COVID-19- related relief packages on food security and food expenditures. The effect of Economic Impact Payments, P-EBT, SNAP, and free food will be considered. Using data from the Household Pulse Survey (HPS), a total sample of 1,899,929 households were analyzed in this study. The HPS is a nationally representative survey structured to produce data …

Resilience, Crisis Management And Continuous Improvement Against The Impact Of Covid-19 On Employees’ Engagement And Emotions. Insights From A Cypriot Sme, Christina Nizamidou

All Works

COVID-19 forced governments and organizations to navigate unchartered waters and shift to remote work to prevent its spreading, aiming to be resilient and maintain their sustainability. Recent research showed that COVID-19 impacted employees’ engagement and emotions. As every crisis is unique and every organization experiences a crisis differently, this study adopts the single-case study research method to understand better how a Cypriot SME in the financial service dealt with COVID-19 and its aftermath. By interviewing multiple employees from all hierarchical levels, it assesses the company’s level of resilience. Moreover, it demonstrates the company’s challenges to preserve its commitment to continuous …

3d Indoor Modeling And Game Theory Based Navigation For Pre And Post Covid-19 Situation, Jaiteg Singh, Noopur Tyagi, Saravjeet Singh, Babar Shah, Farman Ali, Ahmad Ali Alzubi, Abdulrhman Alkhanifer

All Works

The COVID-19 pandemic has greatly affected human behavior, creating a need for individuals to be more cautious about health and safety protocols. People are becoming more aware of their surroundings and the importance of minimizing the risk of exposure to potential sources of infection. This shift in mindset is particularly important in indoor environments, especially hospitals, where there is a greater risk of virus transmission. The implementation of route planning in these areas, aimed at minimizing interaction and exposure, is crucial for positively influencing individual behavior. Accurate maps of buildings help provide location-based services, prepare for emergencies, and manage infrastructural …

Factors Associated With The Quality Of Life Of Nursing Home Residents During The Covid-19 Pandemic: A Cross-Sectional Study, Matthias Hoben, Emily Dymchuk, Kyle Corbett, Rashmi Devkota, Shovana Shrestha, Jenny Lam, Sube Banerjee, Stephanie A. Chamberlain, Greta G. Cummings, Malcolm B. Doupe, Yinfei Duan, Janice Keefe, Hannah M. O'Rourke, Seyedehtanaz Saeidzadeh, Yuting Song, Carole A. Estabrooks

More Faculty of Health Research

Objectives: Quality of life (QoL) of nursing home (NH) residents is critical, yet understudied, particularly during the COVID-19 pandemic. Our objective was to examine whether COVID-19 outbreaks, lack of access to geriatric professionals, and care aide burnout were associated with NH residents' QoL. Design: Cross-sectional study (July to December 2021). Setting and Participants: We purposefully selected 9 NHs in Alberta, Canada, based on their COVID-19 exposure (no or minor/short outbreaks vs repeated or extensive outbreaks). We included data for 689 residents from 18 care units. Methods: We used the DEMQOL-CH to assess resident QoL through video-based care aide interviews. Independent …

Identifying Resilience Strategies For Disruption Management In The Healthcare Supply Chain During Covid-19 By Digital Innovations: A Systematic Literature Review, Goli Arji, Hossein Ahmadi, Pejman Avazpoor, Morteza Hemmat

School of Nursing and Midwifery

The worldwide spread of the COVID-19 disease has had a catastrophic effect on healthcare supply chains. The current manuscript systematically analyzes existing studies mitigating strategies for disruption management in the healthcare supply chain during COVID-19. Using a systematic approach, we recognized 35 related papers. Artificial intelligence (AI), block chain, big data analytics, and simulation are the most important technologies employed in supply chain management in healthcare. The findings reveal that the published research has concentrated mainly on generating resilience plans for the management of COVID-19 impacts. Furthermore, the vulnerability of healthcare supply chains and the necessity of establishing better resilience …

Of Stances, Themes, And Anomalies In Covid-19 Mask-Wearing Tweets, Jwen Fai Low, Benjamin C.M. Fung, Farkhund Iqbal, Ebrahim Bagheri

All Works

COVID-19 is an opportunity to study public acceptance of a ‘‘new’’ healthcare intervention, universal masking, which unlike vaccination, is mostly alien to the Anglosphere public despite being practiced in ages past. Using a collection of over two million tweets, we studied the ways in which proponents and opponents of masking vied for influence as well as the themes driving the discourse. Pro-mask tweets encouraging others to mask up dominated Twitter early in the pandemic though its continued dominance has been eroded by anti-mask tweets criticizing others for their masking behavior. Engagement, represented by the counts of likes, retweets, and replies, …

Want To Feel Better, Share What You Know, Catherine Prentice, Susan Zeidan, Mai Nguyen

All Works

In view of the mental health issues associated with the COVID-19 pandemic, this study draws on the theories of proactive coping and altruism to examine how knowledge sharing can be used to address employee performance and mental wellbeing. Emotional intelligence is modelled as a moderator in these relationships. Two studies were conducted in Australia and Vietnam to validate the proposed relationships. The results show that only knowledge donating has a positive effect on employee performance, whereas both types of knowledge sharing are significantly related to positive mental wellbeing. Emotional intelligence exerted significant moderation effects between knowledge donating and positive mental …

Mechanistic Insight Into The Role Of Vitamin D And Zinc In Modulating Immunity Against Covid-19: A View From An Immunological Standpoint, Nuzhat Ahsan, Mohammad Imran, Yousuf Mohammed, Fatme Al Anouti, Mohammad Idreesh Khan, Tanushree Banerjee, Mohd Adnan, Fauzia Ashfaq, Marek Kieliszek, Syed Amir Ashraf, Afrozul Haq

All Works

The pathophysiology of coronavirus disease-19 (COVID-19) is characterized by worsened inflammation because of weakened immunity, causing the infiltration of immune cells, followed by necrosis. Consequently, these pathophysiological changes may lead to a life-threatening decline in perfusion due to hyperplasia of the lungs, instigating severe pneumonia, and causing fatalities. Additionally, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection can cause mortality due to viral septic shock, resulting from unrestrained and backfiring immune reactions to the pathogen. Sepsis can cause premature organ failure in COVID-19 patients, as well. Notably, vitamin D and its derivatives and minerals, such as zinc and magnesium, have …

Covid-19 Pandemic And The Cyberthreat Landscape: Research Challenges And Opportunities, Heba Saleous, Muhusina Ismail, Saleh H. Aldaajeh, Nisha Madathil, Saed Alrabaee, Kim Kwang Raymond Choo, Nabeel Al-Qirim

All Works

Although cyber technologies benefit our society, there are also some related cybersecurity risks. For example, cybercriminals may exploit vulnerabilities in people, processes, and technologies during trying times, such as the ongoing COVID-19 pandemic, to identify opportunities that target vulnerable individuals, organizations (e.g., medical facilities), and systems. In this paper, we examine the various cyberthreats associated with the COVID-19 pandemic. We also determine the attack vectors and surfaces of cyberthreats. Finally, we will discuss and analyze the insights and suggestions generated by different cyberattacks against individuals, organizations, and systems.

Sanitation: Reducing The Administrative State’S Control Over Public Health, Lauren R. Roth

Scholarly Works

On April 18, 2022, in Health Freedom Defense Fund, Inc. v. Biden, United States District Judge Kathryn Kimball Mizelle vacated the mask mandate issued by the Centers for Disease Control and Prevention. Following a framework laid out in other decisions restricting CDC actions in response to COVID-19, the court found that the agency lacked statutory authority to protect the public from the virus by requiring mask wearing during travel and at transit hubs because Congress did not intend such a broad grant of power. Countering decades of public health jurisprudence, the federal district court failed to defer to experts and …

States Of Emergency: Covid-19 And Separation Of Powers In The States, Richard Briffault

Faculty Scholarship

No event in recent years has shone a brighter spotlight on state separation of powers than the COVID-19 pandemic. Over a more than two-year period, governors exercised unprecedented authority through suspending laws and regulations, limiting business activities and gatherings, restricting individual movement, and imposing public health requirements. Many state legislatures endorsed these measures or were content to let governors take the lead, but in some states the legislature pushed back, particularly — albeit not only—where the governor and legislative majorities were of different political parties. Some of these conflicts wound up in state supreme courts.

This Essay examines the states’ …

I Am Queer And Asian: The Crossroad Of Race And Lgbtqia+ Identity Among Queer Asian Canadian Youth And The Impacts Of The Covid-19 Pandemic, Kenny Chee

Theses and Dissertations (Comprehensive)

LGBTQIA+ Asian youth face unique challenges due to their intersecting identities. Utilizing Asian Critical Race Theory and the Integration Model of Stress and Trauma in LGBTQIA+ Asians, LGBTQIA+ Asian youth are likely to experience detrimental mental health outcomes due to the stigmatization within their Asian culture and racial discrimination from the LGBTQIA+ communities. Moreover, the COVID-19 pandemic exacerbated existing challenges because of the closure of community spaces and increased hate crimes against Asians. Nonetheless, research on the intersectional experiences of LGBTQIA+ Asians in Canada, especially in the context of the COVID-19 pandemic is sparse. Thus, to address this gap, I …

Price Gouging In A Pandemic, Christopher Buccafusco, Daniel Hemel, Eric L. Talley

Faculty Scholarship

The COVID-19 pandemic led to acute supply shortages across the country as well as concerns over price increases amid surging demand. In the process, it reawakened a debate about whether and how to regulate “price gouging” — a controversy that continues as inflation has accelerated even as the pandemic abates. Animating this debate is a longstanding conflict between laissez-faire economics, which champions price fluctuations as a means to allocate scarce goods, and perceived norms of consumer fairness, which are thought to cut strongly against sharp price hikes amid shortages.

This Article provides a new, empirically grounded perspective on the price …

Lived Experiences Of Emergency Remote Teaching Use By High School Mathematics Teachers During The Covid-19 Pandemic, Glenn E. Gonzalez

Theses and Dissertations

This qualitative study aims to understand further the lived experiences of high school mathematics teachers who underwent a sudden transformation into emergency remote teaching due to the COVID-19 pandemic. The study used a qualitative approach, specifically an interpretative phenomenological analysis. Emergency remote teaching has been a new phenomenon that has presented itself worldwide.

This study used two methods for data collection. The first method used was the general participant demographic information survey, a demographic tool collection instrument created by the researcher. The second method for data collection included responses from one-on-one semi-structured interviews. A total of 13 participants completed the …

Perceptions Of Florida Victim Advocates During The Covid-19 Pandemic, Katarina Renee Hamburg

Theses and Dissertations

In December of 2019, a new virus known as COVID-19 emerged out of Wuhan, China. COVID-19 is a respiratory virus which is highly contagious and, in some cases, lethal. By January 20th, 2020, the United States reported its first case of COVID-19. Between January and December of 2020 there were 18.7 million cases and 329,000 deaths in the United States alone. Globally, during that time frame, there were 79.8 million cases and 1.75 million deaths. Due to the highly contagious and dangerous nature of COVID-19, countries across the world have attempted to promote public health by enacting social distancing measures. …