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Articles 7381 - 7410 of 7413
Full-Text Articles in Medicine and Health Sciences
Mapping Misinformation In The Coronavirus Outbreak, Ana Santos Rutschman
Mapping Misinformation In The Coronavirus Outbreak, Ana Santos Rutschman
All Faculty Scholarship
The coronavirus outbreak has sent ripples of fear and confusion across the world. These sentiments—and our collective responses to the outbreak—are made worse by rampant misinformation surrounding the new strain of the virus, COVID-2019. In this post, I survey some of the most pervasive areas of tentacular coronavirus-related misinformation that has proliferated online -- as well as the responses of social media companies like YouTube, Facebook, Pinterest and TikTok that may ultimately prove inadequate given the magnitude of the problem.
The Reemergence Of Vaccine Nationalism, Ana Santos Rutschman
The Reemergence Of Vaccine Nationalism, Ana Santos Rutschman
All Faculty Scholarship
This short essay explores the reemergence of vaccine nationalism during the COVID-19 pandemic. The essay traces the pre-COVID origins of vaccine nationalism and explains how it can have detrimental effects on equitable access to newly developed vaccines.
Substance Use Disorder, Discrimination, And The Cares Act: Using Disability Law To Strengthen New Protections, Kelly K. Dineen, Elizabeth Pendo
Substance Use Disorder, Discrimination, And The Cares Act: Using Disability Law To Strengthen New Protections, Kelly K. Dineen, Elizabeth Pendo
All Faculty Scholarship
The COVID-19 pandemic is having devastating consequences for people with substance use disorders (SUD). SUD is a chronic health condition—like people with other chronic health conditions, people with SUD experience periods of remission and periods of exacerbation and relapse. Unlike people with most other chronic conditions, people with SUD who experience a relapse may face criminal charges and incarceration. They are chronically disadvantaged by pervasive social stigma, discrimination, and structural inequities. People with SUD are also at higher risk for both contracting the SARS-CoV-19 virus and experiencing poorer outcomes. Meanwhile, there are early indications that pandemic conditions have led to …
Protecting The Rights Of People With Disabilities, Elizabeth Pendo
Protecting The Rights Of People With Disabilities, Elizabeth Pendo
All Faculty Scholarship
One in four Americans — a diverse group of 61 million people — experience some form of disability (Okoro, 2018). On average, people with disabilities experience significant disparities in education, employment, poverty, access to health care, food security, housing, transportation, and exposure to crime and domestic violence (Pendo & Iezzoni, 2019). Intersections with demographic characteristics such as race, ethnicity, gender, and LGBT status, may intensify certain inequities. For example, women with disability experience greater disparities in income, education, and employment (Nosek, 2016), and members of under-served racial and ethnic groups with disabilities experience greater disparities in health status and access …
Medicaid's Vital Role In Addressing Health And Economic Emergencies, Nicole Huberfeld, Sidney Watson
Medicaid's Vital Role In Addressing Health And Economic Emergencies, Nicole Huberfeld, Sidney Watson
All Faculty Scholarship
Medicaid plays an essential role in helping states respond to crises. Medicaid guarantees federal matching funds to states, which helps with unanticipated costs associated with public health emergencies, like COVID-19, and increases in enrollment that inevitably occur during times of economic downturn. Medicaid’s joint federal/state structure, called cooperative federalism, gives states significant flexibility within federal rules that allows states to streamline eligibility and expand benefits, which is especially important during emergencies. Federal emergency declarations give the secretary of Health and Human Services temporary authority to exercise regulatory flexibility to ensure that sufficient health care is available to meet the needs …
'Terroristic Threats' And Covid-19: A Guide For The Perplexed, Chad Flanders, Courtney Federico, Eric Harmon, Lucas Klein
'Terroristic Threats' And Covid-19: A Guide For The Perplexed, Chad Flanders, Courtney Federico, Eric Harmon, Lucas Klein
All Faculty Scholarship
The first few months of the COVID-19 outbreak in the United States saw the rise of a troubling sort of behavior: people would cough or spit on people or otherwise threaten to spread the COVID-19 virus, resulting in panic and sometimes thousands of dollars’ worth of damages to businesses. Those who have been caught doing this — or have filmed themselves doing it — have been charged under so-called “terroristic threat” statutes. But what is a terroristic threat, and is it an appropriate charge in these cases? Surprisingly little has been written about these statutes given their long history and …
The Mosaic Of Coronavirus Vaccine Development: Systemic Failures In Vaccine Innovation, Ana Santos Rutschman
The Mosaic Of Coronavirus Vaccine Development: Systemic Failures In Vaccine Innovation, Ana Santos Rutschman
All Faculty Scholarship
Scientists are racing to develop vaccines against the novel coronavirus. While some vaccine candidates may enter the market in record time, the current vaccine innovation ecosystem exposes governance lacunas at both the international and domestic levels.
Possible Role Of Tryptophan And Melatonin In Covid-19, Musthafa Mohamed Essa, Hamdan Hamdan, Saravana Babu Chidambaram, Buthainah Al-Balushi, Gilles J. Guillemin, David M. Ojcius, M. Walid Qoronfleh
Possible Role Of Tryptophan And Melatonin In Covid-19, Musthafa Mohamed Essa, Hamdan Hamdan, Saravana Babu Chidambaram, Buthainah Al-Balushi, Gilles J. Guillemin, David M. Ojcius, M. Walid Qoronfleh
All Dugoni School of Dentistry Faculty Articles
No abstract provided.
Covid-19 And Dermatology, Ülker Gül
Covid-19 And Dermatology, Ülker Gül
Turkish Journal of Medical Sciences
Background/aim: Sars-CoV-2 virus infection (COVID-19) was observed in China in the last months of 2019. In the period following, this infection spread all over the world. In March 2020 the World Health Organization announced the existence of a pandemic. The aim of this manuscript is to investigate skin diseases associated with COVID-19 under three main headings: skin problems related to personal protective equipment and personal hygiene measures, skin findings observed in SARS-CoV-2 virus infections, and skin findings due to COVID-19 treatment agents. Materials and methods: In PubMed, Google Scholar databases, skin lesions related to personal protective equipment and personal hygiene …
Covid-19 Outbreak Control, Example Of Ministry Of Health Of Turkey, Yasemi̇n Demi̇rbi̇lek, Gülen Pehli̇vantürk, Zeynep Özge Özgüler, Emi̇ne Alp Meşe
Covid-19 Outbreak Control, Example Of Ministry Of Health Of Turkey, Yasemi̇n Demi̇rbi̇lek, Gülen Pehli̇vantürk, Zeynep Özge Özgüler, Emi̇ne Alp Meşe
Turkish Journal of Medical Sciences
Our first COVID-19 case in Turkey was a 44-year-old male who referred to the hospital on March 9, 2020. The first related death occurred on March 17, 2020. Preparedness for the pandemic has been ongoing before the first case was detected. The National Pandemic Plan was published in 2006. The Pandemic Influenza National Preparedness Plan was available after being updated in light of experiences gained during the 2009 Influenza A pandemic. Accordingly, Pandemic Coordination Boards and Operation Centers have been established on the national and provincial levels. This was an adaptable plan to the Novel Coronavirus Disease (COVID-19). We formed …
Covid-19: Prevention And Control Measures In Community, Hati̇ce Rahmet Güner, İmran Hasanoğlu, Fi̇rdevs Aktaş
Covid-19: Prevention And Control Measures In Community, Hati̇ce Rahmet Güner, İmran Hasanoğlu, Fi̇rdevs Aktaş
Turkish Journal of Medical Sciences
On January 30, 2020, the WHO declared the COVID-19 outbreak a public health emergency of international concern and, in March 2020, began to characterize it as a pandemic in order to emphasize the gravity of the situation and urge all countries to take action in detecting infection and preventing spread. Unfortunately, there is no medication that has been approved by the FDA, gone through controlled studies and demonstrated an effect on the virus for this global pandemic. Although there are cures for illnesses and developments made by leaps and bounds in our day, the strongest and most effective weapon that …
Covid-19: Pathogenesis, Genetic Polymorphism, Clinical Features And Laboratory Findings, Recep Öztürk
Covid-19: Pathogenesis, Genetic Polymorphism, Clinical Features And Laboratory Findings, Recep Öztürk
Turkish Journal of Medical Sciences
COVID-19 caused by a novel agent SARS-CoV-2 progressed to a pandemic condition and resulted in a major public health concern worldwide, leading to social and economic issues at the same time. The pathogenesis of COVID-19 starts with the bonding of the virus to ACE2 receptors expressed in many tissues, and the triggered excessive immune response plays a critical role in the course of the disease. The cytokine storm that occurs upon excessive production of pro-inflammatory cytokines is considered responsible for the severe progression of the disease and the organ damage. However, the accurate pathophysiological mechanism of the disease, which progresses …
Welcome To Cordell Perspectives, Neil M. Richards, Jonathan W. Heusel
Welcome To Cordell Perspectives, Neil M. Richards, Jonathan W. Heusel
Scholarship@WashULaw
The world around us is changing. Let’s talk about it together. Introducing a series of articles and opinions by the world’s leading experts concerning COVID-19 as it relates to precision medicine and data privacy: Welcome to Cordell Perspectives.
Management Of Patients With Hematologic Malignancies During The Covid-19 Pandemic: Practical Considerations And Lessons To Be Learned, Alessandro Isidori, Laurence De Leval, Usama Gergis, Pellegrino Musto, Pierluigi Porcu
Management Of Patients With Hematologic Malignancies During The Covid-19 Pandemic: Practical Considerations And Lessons To Be Learned, Alessandro Isidori, Laurence De Leval, Usama Gergis, Pellegrino Musto, Pierluigi Porcu
Department of Medical Oncology Faculty Papers
The COVID-19 pandemic has created unprecedented hurdles to the delivery of care to patients with cancer. Patients with hematologic malignancies appear to have a greater risk of SARS-CoV-2 infection and severe disease due to myelosuppression and lymphopenia. The first challenge, therefore, is how to continue to deliver effective, curative therapy to vulnerable patients and at the same time avoid exposing them, and their health care teams (HCT), to SARS-CoV-2. An additional challenge is the timely completion of the diagnostic and staging studies required to formulate appropriate treatment plans. Deferred procedures and avoidance of multiple trips to the surgical, diagnostic, and …
Health Information Seeking Among General Public In India During Covid 19 Outbreak: Exploring Healthcare Practices, Information Needs, Preferred Information Sources And Problems, Nida Nafees, Daud Khan
Health Information Seeking Among General Public In India During Covid 19 Outbreak: Exploring Healthcare Practices, Information Needs, Preferred Information Sources And Problems, Nida Nafees, Daud Khan
Library Philosophy and Practice (e-journal)
Background: As of October 1, 2020, World Health Organization (WHO) reports that COVID-19 has spread in 216 countries or territories or areas which results into throwing billions of lives under lockdown as healthcare services struggle to cope. Therefore, timely access to healthcare information during COVID-19 crisis is mandatory to restrain its spread.
Objectives: To comprehend the information needs and seeking behaviour of general public during COVID-19 outbreak in India.
Methods: A national survey through an online questionnaire was conducted in India and 1310 respondents participated in the study through snowball sampling technique.
Results: The most decisive information needs of majority …
Assessment Of Eating Habits And Lifestyle During Coronavirus Pandemic In The Mena Region: A Cross-Sectional Study, Leila Cheikh Ismail, Tareq M. Osaili, Maysm N. Mohamad, Amina Al Marzouqi, Amjad H. Jarrar, Antonis Zampelas, Carla Habib-Mourad, Dima Omar Abu Jamous, Habiba I. Ali, Haleama Al Sabbah, Hayder Hasan, Latifa Mohammed Rashid Almarzooqi, Lily Stojanovska, Mona Hashim, Reyad R.Shaker Obaid, Samar Elfeky, Sheima T. Saleh, Zahieh A.M. Shawar, Ayesha S. Al Dhaheri
Assessment Of Eating Habits And Lifestyle During Coronavirus Pandemic In The Mena Region: A Cross-Sectional Study, Leila Cheikh Ismail, Tareq M. Osaili, Maysm N. Mohamad, Amina Al Marzouqi, Amjad H. Jarrar, Antonis Zampelas, Carla Habib-Mourad, Dima Omar Abu Jamous, Habiba I. Ali, Haleama Al Sabbah, Hayder Hasan, Latifa Mohammed Rashid Almarzooqi, Lily Stojanovska, Mona Hashim, Reyad R.Shaker Obaid, Samar Elfeky, Sheima T. Saleh, Zahieh A.M. Shawar, Ayesha S. Al Dhaheri
All Works
© The Authors 2020. The coronavirus disease (COVID-19) has rapidly spread globally, forcing countries to apply lockdowns and strict social distancing measures. The aim of this study was to assess eating habits and lifestyle behaviors among residents of the Middle East and North Africa (MENA) region during the lockdown. A cross-sectional study among adult residents of the MENA region was conducted using an online questionnaire designed on Google Forms during April 2020. A total of 2970 participants from 18 countries participated in the current study. During the pandemic, over 30% reported weight gain, 6.2% consumed five or more meals per …
Sars-Cov-2 Updates In A West African Population And Precautionary Measures For Sustaining Quality Antenatal Care Delivery, Emmanuel Komla Senanu Morhe, Enoch Odame Anto, David Anthony Coall, Eric Adua, Alexander Yaw Debrah, Otchere Addai-Mensah, Michael Owusu, William K.B.A. Owiredu, Christian Obirikorang, Emmanuel Akomanin Asiamah, Emmanuel Acheampong, Evan Adu Asamoah, Lydia Abradu, Agartha Odame Anto, Youxin Wang, Haifeng Hou, Wei Wang
Sars-Cov-2 Updates In A West African Population And Precautionary Measures For Sustaining Quality Antenatal Care Delivery, Emmanuel Komla Senanu Morhe, Enoch Odame Anto, David Anthony Coall, Eric Adua, Alexander Yaw Debrah, Otchere Addai-Mensah, Michael Owusu, William K.B.A. Owiredu, Christian Obirikorang, Emmanuel Akomanin Asiamah, Emmanuel Acheampong, Evan Adu Asamoah, Lydia Abradu, Agartha Odame Anto, Youxin Wang, Haifeng Hou, Wei Wang
Research outputs 2014 to 2021
No abstract provided.
Our Covid-19 Artwork: Children From Around The World Share Their Experiences, Bernie Carter, Mandie Foster, Therese O'Sullivan, Angela A. Quaye, The International Network For Child And Family Centered Care
Our Covid-19 Artwork: Children From Around The World Share Their Experiences, Bernie Carter, Mandie Foster, Therese O'Sullivan, Angela A. Quaye, The International Network For Child And Family Centered Care
Research outputs 2014 to 2021
We gave children the opportunity to share a piece of artwork that
reflected something about their experience of life during COVID-19
restrictions (March-May 2020). The descriptions, stories and poems
presented in this e-book have been transferred verbatim from the
original submissions.
For each submission, we asked about the level of COVID-19
restrictions experienced by the child at the time of their entry. These
levels consisted of:
* None (no change to normal living routine)
* Minimal (e.g. still attending school, but not allowed to play with
friends after school)
* Some (e.g. still attending school, but not allowed to play …
Correlations Between Covid-19 Case Growth And Mental Health-Related Internet Search: An Unexpected Finding, Tenghao (Nick) Zhang
Correlations Between Covid-19 Case Growth And Mental Health-Related Internet Search: An Unexpected Finding, Tenghao (Nick) Zhang
Research outputs 2014 to 2021
At the time of writing, the number of global con-firmed COVID-19 cases has topped 18.8 million with over 707,000 deaths (1). The Internet plays a pivotal role during this unprecedented pandemic (2,3) in the way that people predominantly use the Internet to contact each other and acquire information due to sweeping stay-at-home orders and strict lockdown restrictions imposed by au-thorities around the world. Health-related mental health issues could lead to spikes in online infor-mation search (4, 5). Therefore, this letter aims to investigate whether the rise of regional COVID cases is correlated with the increase in residents’ online searches of …
Can Exercise Adaptations Be Maintained In Men With Prostate Cancer Following Supervised Programmes? Implications To The Covid-19 Landscape Of Urology And Clinical Exercise, Pedro Lopez, Dennis R. Taaffe, Robert U. Newton, Nigel Spry, Tom Shannon, Mark Frydenberg, Fred Saad, Daniel A. Galvão
Can Exercise Adaptations Be Maintained In Men With Prostate Cancer Following Supervised Programmes? Implications To The Covid-19 Landscape Of Urology And Clinical Exercise, Pedro Lopez, Dennis R. Taaffe, Robert U. Newton, Nigel Spry, Tom Shannon, Mark Frydenberg, Fred Saad, Daniel A. Galvão
Research outputs 2014 to 2021
© 2020 The Author(s) In this brief correspondence, we evaluate the potential impact of pivoting from face-to-face supervised to unsupervised home-based exercise programmes to contextualise the coronavirus disease 2019 (COVID-19) pandemic in prostate cancer patients. A meta-analysis was undertaken in fatigue, quality of life, and lean and fat mass outcomes in the four studies included. Our analysis indicates that unsupervised home-based exercise maintains patient-reported outcomes, except for fat mass. In summary, changing to unsupervised exercise is unlikely to provide further benefits on patient-reported and body composition outcomes, but may help maintain initial gains during physical distancing restrictions. Patient summary: We …
Combination Of Ct And Rt-Pcr In The Screening Or Diagnosis Of Covid-19, Youxin Wang, Haifeng Hou, Wenrui Wang, Wei Wang
Combination Of Ct And Rt-Pcr In The Screening Or Diagnosis Of Covid-19, Youxin Wang, Haifeng Hou, Wenrui Wang, Wei Wang
Research outputs 2014 to 2021
[No abstract available]
I Don’T Want To Go Back: Examining The Return To Physical Workspaces During Covid-19, Zihan Liu, Drake Van Egdom, Rhona Flin, Omolola Adepoju, Ramanari Krishnamoorti
I Don’T Want To Go Back: Examining The Return To Physical Workspaces During Covid-19, Zihan Liu, Drake Van Egdom, Rhona Flin, Omolola Adepoju, Ramanari Krishnamoorti
Research Collection Lee Kong Chian School Of Business
Objective: We study employee perspectives on return to physical workspaces to ultimately inform employers' and policy makers' decision making around the return to work during COVID-19. Methods: We tested the three-component conceptual model using survey data collected in the United States in May 2020 from samples of energy workers (N = 333). Results: Women, non-Caucasians, and employees living in multi-generational households were less willing to return. Concerns about childcare were negatively related to willingness to return, whereas organizational strategies for mitigating COVID-19 transmission at work were positively related to willingness to return. COVID-19 infections in an employees' network were also …
Unf Covid-19 Education Program, Center For Professional Development And Training
Unf Covid-19 Education Program, Center For Professional Development And Training
UNF COVID-19 Response
No abstract provided.
The Fms21 (Pila)-Fms20 Locus Encoding One Of Four Distinct Pili Of Enterococcus Faecium Is Harboured On A Large Transferable Plasmid Associated With Gut Colonization And Virulence, Louis Maximilian Buja, Dwayne A Wolf, Bihong Zhao, Bindu Akkanti, Michelle Mcdonald, Laura Lelenwa, Noah Reilly, Giulia Ottaviani, M Tarek Elghetany, Daniel Ocazionez Trujillo, Gabriel M Aisenberg, Mohammad Madjid, Biswajit Kar
The Fms21 (Pila)-Fms20 Locus Encoding One Of Four Distinct Pili Of Enterococcus Faecium Is Harboured On A Large Transferable Plasmid Associated With Gut Colonization And Virulence, Louis Maximilian Buja, Dwayne A Wolf, Bihong Zhao, Bindu Akkanti, Michelle Mcdonald, Laura Lelenwa, Noah Reilly, Giulia Ottaviani, M Tarek Elghetany, Daniel Ocazionez Trujillo, Gabriel M Aisenberg, Mohammad Madjid, Biswajit Kar
Faculty, Staff and Student Publications
This paper collates the pathological findings from initial published autopsy reports on 23 patients with coronavirus disease 2019 (COVID-19) from 5 centers in the United States of America, including 3 cases from Houston, Texas. Findings confirm that COVID-19 is a systemic disease with major involvement of the lungs and heart. Acute COVID-19 pneumonia has features of a distinctive acute interstitial pneumonia with a diffuse alveolar damage component, coupled with microvascular involvement with intra- and extravascular fibrin deposition and intravascular trapping of neutrophils, and, frequently, with formation of microthombi in arterioles. Major pulmonary thromboemboli with pulmonary infarcts and/or hemorrhage occurred in …
Three Cases Of Covid-19 Pneumonia That Responded To Icosapent Ethyl Supportive Treatment, Winston Suh, Ivan Urits, Omar Viswanath, Alan D. Kaye, Haresh Patel, Wade Hall, Jonathan P. Eskander
Three Cases Of Covid-19 Pneumonia That Responded To Icosapent Ethyl Supportive Treatment, Winston Suh, Ivan Urits, Omar Viswanath, Alan D. Kaye, Haresh Patel, Wade Hall, Jonathan P. Eskander
Ellmer School of Nursing Faculty Publications
BACKGROUND Icosapent ethyl, a form of eicosapentaenoic acid with anti-inflammatory activity, has been approved as an adjunctive treatment with statins in patients with hypertriglyceridemia. Icosapent ethyl is currently undergoing clinical trials to determine its anti-inflammatory effects in patients with coronavirus disease 2019 (COVID-19). This report describes 3 intensive care unit (ICU) patients with moderate to severe COVID-19 pneumonia treated with icosapent ethyl as part of their supportive care who had favorable outcomes.
CASE REPORT Case 1 was a 75-year-old man with a past medical history of hyperlipidemia, hypertension, type 2 diabetes mellitus, obesity, and benign prostatic hyperplasia. Case 2 was …
Covid-19 Sampling From The Middle Ear And Mastoid: A Case Report, George B Wanna, Zachary G Schwam, Vivian F Kaul, Maura K Cosetti, Enrique Perez, Peter Filip, Waleed Javaid, Avi Kandel, Alberto Paniz-Mondolfi, Satish Govindaraj, Eric M Genden
Covid-19 Sampling From The Middle Ear And Mastoid: A Case Report, George B Wanna, Zachary G Schwam, Vivian F Kaul, Maura K Cosetti, Enrique Perez, Peter Filip, Waleed Javaid, Avi Kandel, Alberto Paniz-Mondolfi, Satish Govindaraj, Eric M Genden
Faculty, Staff and Student Publications
No abstract provided.
Pennsylvania’S Covid-19 Response Vs. Homeland Security Frameworks And Research: Masking The Whole Community, Alexander Siedschlag
Pennsylvania’S Covid-19 Response Vs. Homeland Security Frameworks And Research: Masking The Whole Community, Alexander Siedschlag
Publications
This essay offers an intermediate discussion of select policy, strategic, operational, and tactical issues that demonstrate where and how the Commonwealth of Pennsylvania’s novel coronavirus response on the one hand, and homeland security frameworks and research on the other, converge or—more often so—diverge, and how to narrow this gap. Although typically framed as a pandemic owned by the public health sector, the COVID-19 response falls directly within the homeland security mission space, whose core missions include “Ensuring Resilience to Disasters.” In some respects, Pennsylvania’s response exemplifies best practices suggested by research. In other dimensions, it is neither in line with …
Covid-19: A Simple Curve Approximation Tool, Jane Courtney
Covid-19: A Simple Curve Approximation Tool, Jane Courtney
Articles
In the current COVID-19 pandemic, much focus is put on ‘flattening the curve’. This ‘curve’ refers to the cases versus time graph, which shows the rise of a disease to its peak before descending. The aim in a pandemic is to flatten this curve by reducing the peak and spreading out the timeline. However, the models used to predict this curve are often not clearly outlined, no model parameters are given, and models are not tested against real data. This lack of detail makes it difficult to recreate the curve from these models. What is much needed is a simple …
Covid-19 Risk Among Temporary Protected Status Beneficiaries, Diana Estefania Estrada Alamo
Covid-19 Risk Among Temporary Protected Status Beneficiaries, Diana Estefania Estrada Alamo
Public Health Theses
The current federal response of the United States to the COVID-19 pandemic has created conditions and resulted in unintended consequences that may be disproportionately increasing the risk of COVID-19 infection and sequelae for immigrant populations. This investigative thesis explores whether states with a greater percentage of Temporary Protected Status beneficiaries experience more COVID-19 related deaths as compared to the rest of the United States. Using a multiple linear regression model for statistical analysis, covariates under consideration include the number of COVID-19 confirmed cases, tests performed, hospitalizations reported, as well as the population density of each state and the proportion of …
Ua82 Response To Wku Covid-19 Testing Plan, Wku American Association Of University Professors
Ua82 Response To Wku Covid-19 Testing Plan, Wku American Association Of University Professors
University Organizations
Statement issued by WKU American Association of University Professors regarding COVID-19 testing plan implemented by WKU.