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A Young Adult With Multisystem Inflammatory Syndrome In Adults With Concomitant Mycoplasma Infection: A Case Report, Punya Hari Dahal, Ojbindra Kc, Manisha Koirala, Afua Duker Ntem-Mensah

Journal of Community Hospital Internal Medicine Perspectives

Several cases of Multisystem Inflammatory Syndrome in Adults (MIS-A) have been reported in adults since June 2020 after COVID-19 was first reported in December 2019. It was initially reported in children as MIS-C with Kawasaki-like disease, but a similar condition has been well recognized in adults. Although Mycoplasma co-infection has been reported with COVID-19, to our knowledge, concomitant Mycoplasma pneumoniae infection has not been reported together with MIS-A. We present a case of MIS-A with concomitant Mycoplasma pneumoniae infection. It is unclear if concomitant Mycoplasma infection resulted in increased severity of the patient’s illness or if it resulted in inciting …

Evaluation Of Glycemic Control And Predictors Of Severe Illness And Death In Patients With Diabetes Hospitalized With Covid-19, Jovan Milosavljevic, Navya Reddy Perkit, Sakshi Jhawar, Melbin Thomas, Justin Ling, Samuel Amankwah, Asha Mary Thomas

Journal of Community Hospital Internal Medicine Perspectives

Objectives: To identify risk factors for severe disease and death among patients with diabetes and coronavirus disease 2019 (COVID-19) infection.

Methods: This retrospective cohort study conducted at three hospitals included 733 consecutive patients with DM admitted with confirmed COVID-19 (March 1 - December 31, 2020). Multivariable logistic regression was performed to identify predictors of severe disease and death.

Results: The mean age was 67.4 ± 14.3 years, 46.9% were males and 61.5% were African American. Among all patients, 116 (15.8%) died in the hospital. A total of 317 (43.2%) patients developed severe disease, 183 (25%) were admitted to an ICU …

2022-11-09_Michiganoverview_Covidvaccinestats, Michigan Department Of Health & Human Services

Michigan COVID-19 Vaccine Data

The COVID Vaccine Dashboard page was obtained from Michigan's main COVID-19 page: https://www.michigan.gov/coronavirus/resources/covid-19-vaccine/covid-19-dashboard.

First-dose tracker above is for entire Michigan Population. Coverage maps below are for age 5+.

Previously reported numbers of administered vaccine doses may change as new data are received. A possible lag in reporting vaccine doses will result in increases in numbers previously reported.

This report is created by the Michigan Department of Health and Human Services Division of Immunization from data reported to the Michigan Care Improvement Registry (MCIR).

The dashboard contained the tabs Primary Series Doses Administered, Primary Series Doses by Vaccine, …

2022-11-09_Michiganoverview_Covidbedppe, Michigan Department Of Health & Human Services

Michigan COVID-19 Hospital Data

Contains the tables Statewide Hospital Capacity Report for COVID-19, COVID-19 Metrics, Statewide Hospital Available PPE Tracking for COVID-19, as well as the tables PPE Days On Hand and Patient Census.

2022-11-09_Michiganoverview_Covidstats, Michigan Department Of Health & Human Services

Cumulative Michigan COVID-19 Data

The COVID Overview page was obtained from Michigan's main COVID-19 page: https://www.michigan.gov/coronavirus/stats.

The State of Michigan is working around the clock to test and treat COVID-19 patients. Below is the most recent data healthcare experts across the state have compiled. COVID case and testing data will be posted once a week on Tuesdays.

This report is provisional and subject to change. City of Detroit and Wayne County are reported separately. MDHHS began tracking probable cases April 5, 2020. FCI indicates federal correctional institute. MDOC indicates Michigan Department of Corrections. Diagnostic tests, including nucleic acid amplification/real-time polymerase chain reaction (NAAT/RT-PCR) …

2022-11-09_Michiganoverview_Covidsymptoms, Michigan Department Of Health & Human Services

Michigan COVID-19 Syndromic Surveillance System Data

The Syndromic Surveillance System Data report was obtained from Michigan's COVID-19 dashboard, from under the link "​Coronavirus Symptoms": https://www.michigan.gov/coronavirus/stats/coronavirus-symptoms. Data was compiled by the Michigan Department of Health and Human Services (MDHHS). The information was updated twice a week on Mondays and Thursdays.

Syndromic Surveillance System data is obtained from approximately 216 facilities participating in syndromic surveillance (139 Emergency Departments (ED), 77 Urgent Cares) across the State of Michigan. The reporting is based on individuals who present at EDs and may not be representative of the overall population. The coronavirus-like symptoms query searches visit free-text (chief complaint, triage notes, …

The Psychological Effects Of Covid-19 On Pediatric Frontline Nurses, Marsha Walker, Wendy Tuzik Micek

Nursing

Background: COVID-19 affected children with lower rates of infections. However, the uncertainties pediatric nurses faced were similar and yet different from nurses caring exclusively for adults.

Purpose:

1) Describe the characteristics, work experiences, coping strategies and psychological effects experienced by nurses during the initial COVID-19 outbreak.

2) Identify factors associated with negative psychological effects in nurses.

Method: This study was a descriptive cross-sectional examination of nurses practicing in two pediatric campuses. Nurse participants were recruited via an e-mail message including a link to the electronic survey. A revised self-reported 96-item Health Care Worker Impact survey measuring seven domains was chosen …

Functional Data Analysis Of Covid-19, Nichole L. Fluke

Mathematics & Statistics ETDs

This thesis deals with Functional Data Analysis (FDA) on COVID data. The Data involves counts for new COVID cases, hospitalized COVID patients, and new COVID deaths. The data used is for all the states and regions in the United States. The data starts in March 1^st, 2020 and goes through March 31^st, 2021. The FDA smooths the data and looks to see if there are similarities or differences between the states and regions in the data. The data also shows which states and regions stand out from the others and which ones are similar. Also shown …

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Overcoming Challenges In Conducting Mobillity Research During A Pandemic, Sheri Martin, Mathew Tritz, Sarah Glowinski, Mary Hook

Nursing

Background: Older adults are at risk for losing their ability to ambulate independently during hospitalization due to multiple barriers that limit walking. “MOVIN” (Mobilizing Older adult patients Via a systems-based INtervention), a mobility intervention, achieved promising pilot results and funded as a clinical trial at the start of the COVID-19 pandemic.

Study Aim: To implement the multicomponent nurse-led MOVIN intervention and monitor for change in nursing unit behavior/culture and outcomes before, during and after a 14-week intervention period.

Methodology: A cluster randomized controlled trial design was used to test the impact of MOVIN by sequentially implementing the intervention on …

Self-Proning In Non-Intubated Patients With Covid-19: A Strategy To Avoid Intubation, Jan Powers Phd, Rn, Ccns, Ccrn, Ne-Bc, Fccm, Sue Chubinski Phd, Rn, Npd-Bc, Cmsrn, Michele Kadenko-Monirian Msn Rn Ccrn Cnrn Accns-Ag Agcns-Bc, Stephani Schultz Bsn, Rn, Cmsrn, Christina Lung Msn, Rn, Cmsrn, Tammy Carman Ad, Rn

Nursing Publications, Posters, & Presentations

Poster presented at Nursing Research Symposium 2022.

Prone positioning improves oxygenation in patients experiencing respiratory distress. It is used to decrease mortality in mechanically ventilated patients diagnosed with acute respiratory distress syndrome. However, very little evidence has addressed use of prone positioning in nonintubated patients. The purpose of this study was to assess the impact of early self-proning on oxygenation in patients who had or were suspected of having coronavirus disease (COVID-19).

The goal was to improve oxygenation to avoid escalation to the intensive care unit (ICU) and the need for invasive mechanical ventilation

Covid-19 Pandemic And Special Education Teacher Voices, Rama Cousik

The Qualitative Report

The pandemic caused by COVID-19 created havoc in schools across the world as it necessitated school closures and lockdowns, and/or a sudden switch to an online mode of learning. Although all children and teachers were adversely affected, children with disabilities faced additional problems. Special education teachers bore the burden of having to continue providing high quality special education in the face of these challenges. In this paper, I present findings from a survey of special education teachers through use of qualitative and arts-based research technics.

Sars-Cov-2 Incubation Period According To Vaccination Status During The Fifth Covid-19 Wave In A Tertiary-Care Center In Spain: A Cohort Study, Jordi Cortés Martínez, Daewoo Pak, Gabriela Abelenda-Alonso, Klaus Langohr, Jing Ning, Alexander Rombauts, Mireia Colom, Yu Shen, Guadalupe Gómez Melis

Faculty, Staff and Student Publications

Background: The incubation period of an infectious disease is defined as the elapsed time between the exposure to the pathogen and the onset of symptoms. Although both the mRNA-based and the adenoviral vector-based vaccines have shown to be effective, there have been raising concerns regarding possible decreases in vaccine effectiveness for new variants and variations in the incubation period.

Methods: We conducted a unicentric observational study at the Hospital Universitari de Bellvitge, Barcelona, using a structured telephone survey performed by trained interviewers to estimate the incubation period of the SARS-CoV-2 Delta variant in a cohort of Spanish hospitalized patients. The …

The 4r'S Resiliency Strategy: An Interprofessional Collaboration Between A Cns And A Staff Chaplain, Kathleen Mahoney, Polly Safranski

Nursing

Background/Introduction: Nurses at a large urban hospital experienced frequent patient deaths during the COVID-19 epidemic. Leaders recognized nurses struggled with grief after patient deaths and with continued resiliency.

Purpose: Leaders reached out to a Clinical Nurse Specialist in Education asking for resources to help nurses grieve in a healthy way and experience ongoing resiliency.

Method: The Clinical Nurse Specialist collaborated with a Chaplain who created a resiliency process called “The 4-R’s” (Mahoney, 2021) for nurses grieving patient deaths. The process steps are: 1) recognize, 2) reflect, 3) ritualize, and 4) reorient. Nurses who participated in one-hour education offerings to …

Covid-19 Impact On Admissions For Acute Congestive Heart Failure Patients, Orretta Dejonge, Jocelyn Williams, Trina Maxey

Nursing

Background: Congestive heart failure (CHF) is costly to treat because many patients are readmitted within 30 days of discharge. In the U.S. before the pandemic, approximately 25% of heart failure patients were readmitted within 30 days.

Local Problem: Pre-pandemic patient education and cardiac consultation on admission allowed for more efficient care coordination, enabling the patients to manage their CHF at home. Our hospital had a pre-pandemic readmission rate of 12.4%. During the pandemic CHF patients decreased the rate of admission because of social distancing and fear of exposure. This resulted in patients not receiving the care needed, including proper medication …

Implementation Of A Veno Venous Ecmo Nurse Run Program, Erin Nutley

Nursing

Background/Introduction: ALGH expressed an interest in offering VenoVenous (VV) ECMO therapy but faced many challenges that prevented this from occurring. During the COVID-19 pandemic, evidence showed that conventional treatment measures failed however, VV ECMO therapy was proven to benefit this patient population. Globally, healthcare experienced overcrowding in the ICUs accompanied by bed shortages. Given the limited resources and support services available in addition to the knowledge that VV ECMO improved patient outcomes, ALGH decided to develop a formal ECMO program.

Local Problem: The challenge of implementing an ECMO program before COVID-19 was the lack of physician support and ownership of …

Changes In Prenatal Testing During The Covid-19 Pandemic, Sara C Handley, Rachel Ledyard, Lisbet S Lundsberg, Molly Passarella, Nancy Yang, Moeun Son, Kathryn Mckenney, Jay S. Greenspan, Kevin Dysart, Jennifer F Culhane, Heather H Burris

Department of Pediatrics Faculty Papers

Objective: The coronavirus disease 2019 (COVID-19) pandemic disrupted healthcare delivery, including prenatal care. The study objective was to assess if timing of routine prenatal testing changed during the COVID-19 pandemic.

Methods: Retrospective observational cohort study using claims data from a regional insurer (Highmark) and electronic health record data from two academic health systems (Penn Medicine and Yale New Haven) to compare prenatal testing timing in the pre-pandemic (03/10/2018-12/31/2018 and 03/10/2019-12/31/2019) and early COVID-19 pandemic (03/10/2020-12/31/2020) periods. Primary outcomes were second trimester fetal anatomy ultrasounds and gestational diabetes (GDM) testing. A secondary analysis examined first trimester ultrasounds.

Results: The three datasets …

Creating A Delivery Method For Covid-19: Monoclonal Antibody Therapy, Ashley Deford, Annette Coates

Nursing

Introduction: Monoclonal antibody therapy provided a treatment method for community members diagnosed with mild-to-moderate COVID-19 disease with comorbid conditions at risk of progression to severe morbidity. Nursing leadership, pharmacy and clinical informatics collaborated to implement an outpatient infusion therapy program.

Rationale: Establishing an outpatient COVID-19 infusion department provided patients with quick access to treatment while diminishing the need for hospitalization.

Method: Clinical informatics collaborated with nursing leadership, pharmacy, and patient access to create the applicable orders, appointments, education, and tip sheets. The Advocate Aurora Northern Illinois leadership team located a physical space and obtained the appropriate staff necessary to operate …

Impact Of Covid-19 Vaccines On Inr, Ashley Green, Jennifer Martinez

Nursing

Introduction:The FDA issued emergency use authorization (EUA) for the Pfizer-BioNTech COVID-19 vaccine, followed by the Moderna COVID-19 vaccine in December 2020. At the time, not much was known about these vaccines and how they would impact a patient’s warfarin therapy or INR levels.

Rationale:Other vaccines, such as the Influenza vaccine have been shown to increase INRs. Anecdotal patient observations prompted the anticoagulation nurses to further assess for the interaction between warfarin and the vaccines.

Method:Anticoagulation Clinic nurses developed and implemented an Epic SmartPhrase for patients that have a COVID-19 vaccine since their last INR. The Epic SmartPhrase …

Nascar Model: Racing To Meet Labor Needs During Covid, Michelle Young, Katherine Leistico

Nursing

Background: Due to severe national staffing shortages, system and site labor pools were created to support hospital front-line staff during a critical time

Local Problem: Ancillary and clinical departments at the site had significant staffing challenges due to Covid-19 and increased turnover. System labor pool solicited corporate and non-corporate team members to volunteer for open shifts. Site labor pool leaders had independent oversight of labor pool operations

Method: The site sought to provide a comprehensive, supportive approach to engage team members. Based on site needs, two role types were created. Clinical roles supported inpatient departments and non-clinical roles focused on …

It’S Your Turn, Are You Ready To Get Vaccinated? Towards An Exploration Of Vaccine Hesitancy Using Sentiment Analysis Of Instagram Posts, Mohammed Talha Alam, Shahab Saquib Sohail, Syed Ubaid, Shakil, Zafar Ali, Mohammad Hijji, Abdul Khader Jilani Saudagar, Khan Muhammad

Computer Vision Faculty Publications

The deadly threat caused by the rapid spread of COVID-19 has been restricted by virtue of vaccines. However, there is misinformation regarding the certainty and positives outcome of getting vaccinated; hence, many people are reluctant to opt for it. Therefore, in this paper, we identified public sentiments and hesitancy toward the COVID-19 vaccines based on Instagram posts as part of intelligent surveillance. We first retrieved more than 10k publicly available comments and captions posted under different vaccine hashtags (namely, covaxin, covishield, and sputnik). Next, we translated the extracted comments into a common language (English), followed by the calculation of the …

2022-11-08_Michiganoverview_Covidlongtermcare, Michigan Department Of Health & Human Services

Michigan COVID-19 Long Term Care Data

The COVID Long Term Care Facilities page was obtained from Michigan's COVID-19 data page: https://www.michigan.gov/coronavirus/stats/data-about-places/long-term-care-data.

This report is created by the Michigan Department of Health & Human Services from data self-reported by long-term care facilities into EMResource. Data for all reporting facilities is posted weekly each Monday.

The information below represents COVID-19 data reported directly to MDHHS by licensed and operating Skilled Nursing, Home for the Aged and Adult Foster Care facilities (licensed to serve 13 or more individuals) in Michigan from January 1, 2020. All long-term care facilities additionally have an obligation to report COVID-positive residents and/or staff …

Conducting A Supportive Oncology Clinical Trial During The Covid-19 Pandemic: Challenges And Strategies, Jie Deng, John N. Lukens, Joy C. Cohn, Erin Mcmenamin, Barbara Murphy, Bryan A. Spinelli, Niya Murphy, Alicia K. Steinmetz, Megan A. Landriau, Alexander Lin

Department of Physical Therapy Faculty Papers

The coronavirus disease 2019 (COVID-19) pandemic resulted in severe interruptions to clinical research worldwide. This global public health crisis required investigators and researchers to rapidly develop and implement new strategies and solutions to mitigate its negative impact on the progress of clinical trials. In this paper, we describe the challenges, strategies, and lessons learned regarding the continuation of a supportive oncology clinical trial during the pandemic. We hope to provide insight into the implementation of clinical trials during a public health emergency to be better prepared for future instances.

Trial registration: ClinicalTrials.gov, a service of the US National Institute of …

James Cason, Oral History Interview, 2022, Jaquan Brown

COVID-19 Oral Histories

In October and November of 2022, You Li's Journalism 313 students conducted oral history interviews with one another to document the student experience of the COVID-19 pandemic. In this interview, EMU undergraduate James Cason describes being a member of the Peace Corps during COVID, and his experiences travelling.

Jaquan Brown, Oral History Interview, 2022, James Cason

COVID-19 Oral Histories

In October and November of 2022, You Li's Journalism 313 students conducted oral history interviews with one another to document the student experience of the COVID-19 pandemic. In this interview, EMU undergraduate JaQuan Brown describes moving back in with his family, and job hunting during the early days of COVID.

A High-Resolution 3d Atlas Of The Spectrum Of Tuberculous Andcovid-19 Lung Lesions, Gordon Wells, Joel N Glasgow, Kievershen Nargan, Kapongo Lumamba, Rajhmun Madansein, Kameel Maharaj, Leon Y Perumal, Malcolm Matthew, Robert L Hunter, Hayden Pacl, Jacelyn E Peabody Lever, Denise D Stanford, Satinder P Singh, Prachi Bajpai, Upender Manne, Paul V Benson, Steven M Rowe, Stephan Le Roux, Alex Sigal, Muofhe Tshibalanganda, Carlyn Wells, Anton Du Plessis, Mpumelelo Msimang, Threnesan Naidoo, Adrie J C Steyn

Faculty, Staff and Student Publications

Our current understanding of the spectrum of TB and COVID-19 lesions in the human lung is limited by a reliance on low-resolution imaging platforms that cannot provide accurate 3D representations of lesion types within the context of the whole lung. To characterize TB and COVID-19 lesions in 3D, we applied micro/nanocomputed tomography to surgically resected, postmortem, and paraffin-embedded human lung tissue. We define a spectrum of TB pathologies, including cavitary lesions, calcium deposits outside and inside necrotic granulomas and mycetomas, and vascular rearrangement. We identified an unusual spatial arrangement of vasculature within an entire COVID-19 lobe, and 3D segmentation of …

2022-11-07_Michiganoverview_Covidbedppe, Michigan Department Of Health & Human Services

Michigan COVID-19 Hospital Data

Contains the tables Statewide Hospital Capacity Report for COVID-19, COVID-19 Metrics, Statewide Hospital Available PPE Tracking for COVID-19, as well as the tables PPE Days On Hand and Patient Census.

Understanding The Mental Health Impact And Needs Of Public Healthcare Professionals During Covid-19 In Pakistan : A Qualitative Study, Waqas Hameed, Anam Shahil Feroz, Bilal Iqbal Avan, Bushra Khan, Zafar Fatmi, Noreen Afzal, Hussain Jafri, Mansoor Ali Wassan, Sameen Siddiqi

Community Health Sciences

Objectives: A dearth of qualitative studies constrains in-depth understanding of health service providers' perspectives and experiences regarding the impact of COVID-19 on their mental health. This study explored the mental health impact and needs of of public sector healthcare workers during COVID-19 who working in secondary-level and tertiary-level healthcare settings of Pakistan.
Design: An exploratory qualitative study.
Setting: Twenty-five secondary-level and eight tertiary-level public hospitals of Sindh and Punjab provinces of Pakistan.
Participants: In-depth interviews were conducted with 16 health service providers and 40 administrative personnel. Study data were analysed on NVivo V.11 using the conventional content analysis technique.
Results: …

Keeping The Lights On: The Impact Of The Covid-19 Pandemic On Elective Total Joint Arthroplasty Utilization In The United States, Matthew W. Cole, Lacee K. Collins, Garrett H. Williams, Olivia C. Lee, William F. Sherman

School of Medicine Faculty Publications

Background: It was estimated that up to 30,000 primary total hip arthroplasty (THA) and total knee arthroplasty (TKA) procedures would be cancelled each week during the moratorium on elective surgeries in the United States. The purpose of this study was to analyze the impact of the COVID-19 pandemic on elective total joint arthroplasty utilization in the United States. Methods: A retrospective study was conducted using the PearlDiver database. Patients who underwent primary elective THAs and TKAs were identified and filtered by state and month from January through September of both 2019 and 2020. The volume of these procedures immediately following …

Prognostic Performance Of Cystatin C In Covid-19: A Systematic Review And Meta-Analysis, Michal Matuszewski, Yurii Reznikov, Michal Pruc, Frank W Peacock, Alla Navolokina, Raúl Júarez-Vela, Lukasz Jankowski, Zubaid Rafique, Lukasz Szarpak

Faculty, Staff and Students Publications

Cystatin C is a specific biomarker of kidney function. We perform this meta-analysis to determine the association of Cystatin C with the COVID-19 severity. In this systematic review and meta-analysis, we searched PubMed, EMBASE, Cochrane library, and Web of Science for studies published until 2nd September 2022 that reported associations between Cystatin C levels and COVID-19 severity. The analysis was performed using a random-effects model to calculate pooled standard mean difference (SMD). Twenty-five studies were included in the meta-analysis. Pooled analysis showed statistically significant differences of Cystatin C levels among survive vs. decreased patients (0.998 ± 0.225 vs. 1.328 ± …