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- Creators: School of Life Sciences
- Creators: Arizona State University
Description
Background: During the Coronavirus disease (COVID-19) pandemic, nurses experienced increased workloads which affected their compassion fatigue (CF). High levels of CF affect quality of care. However, little is known about what factors are associated with CF among nurses during the pandemic. Aim: This study aims to examine the factors associated with CF using the socio-ecological model (SEM).
Methods: This study is a cross-sectional correlational study which targeted nurses who are actively practicing and can speak English, Korean, Japanese, or French. Online websites for the recruitment including the study description and survey link were provided in each country. Survey data were collected from July 1, 2020 to January 25, 2021.
CF, consisting of burnout and secondary traumatic stress (STS), was measured using Professional Quality of Life scale (ProQOL). Factors based on each level of the SEM were measured: intrapersonal factors (demographic factors, resilience), fear of infection, intention to leave their job, care of COVID-19 patients, developing policies, being asked to work at higher acuity levels, received training about COVID-19, and any COVID-19 test results); interpersonal factors (fear of bringing COVID-19 to family); organizational factors (provision of personal protective equipment [PPE] or masks, organizational support to prevent COVID-19, type of organization, and accommodational support); community factors (country of practice and incidence rate); and policy factor (mask policy). These data were analyzed using multiple regression using maximum likelihood estimation with robust standard errors.
Results: Intrapersonal factors (resilience, age, being bedside staff, fear of infection, intention to leave their job, being asked to work at higher acuity levels, and receiving the positive COVID-19 results), organizational factors (provision of PPE, organizational support for COVID-19, and accommodational support), community factors (incidence rate when the mask policy was not in effect, and country of practice), and policy factor (mask policy under a high incidence rate) were the associated factors. The interaction between incidence rate and mask policy was significant.
Conclusion: To prepare for future emerging infectious disease crises, organizational support with proper PPE supplies, continuing education on emerging infectious diseases, and providing interventions to increase resilience are suggested.
ContributorsJo, Soo Jung (Author) / Reifsnider, Elizabeth (Thesis advisor) / Bennett, Jo Anne (Committee member) / Pituch, Keenan (Committee member) / Singh, Komal (Committee member) / Arizona State University (Publisher)
Created2021
Description
In the early part of 2020, musicians faced an unprecedented challenge. A novel coronavirus emerged, spreading throughout the world and creating a pandemic. To control the spread of this virus, local governing officials suspended large gatherings in public spaces, which meant that all live music performances were cancelled for the foreseeable future. As a response to these cancellations, many musicians turned to live streaming, sharing transmissions of live performances over the internet. However, as life under COVID-19-related restrictions continued, the internet quickly became oversaturated with live stream music performances. This led musicians to discover innovative ways to adapt their creative practices for virtual settings. Through the process of commissioning, premiering, and recording new works, this research project explores how music practitioners can create music that is designed specifically for the imposed restrictions on the performing arts that accompanied the COVID-19 pandemic. To complete this project, I commissioned new works for clarinet and bass clarinet intended for performance under shelter-in-place conditions. The pieces included in this project are Two Flights for B-Flat Clarinet by Bill Clay (2020), 8 Months by Jessi Harvey (2020), R....v...rs....m oooiiiiii by Gabo Champagne (2021) and Od-ieu by Kim Farris-Manning (2021). I presented these works in two virtual formats: (1) I staged a virtual concert of their premieres from my home studio space, and (2) released studio-quality recordings of them paired with extra-musical video footage. This document offers an account of the virtual concert, a description of the process of the video production component, and performance guides for each commissioned piece. An audio/video recording of the virtual concert is included as a supplemental media file to this document, as are all music videos.
ContributorsLougheed, Julia Lynn (Author) / Spring, Robert (Thesis advisor) / Gardner, Joshua (Thesis advisor) / Knowles, Kristina (Committee member) / Wells, Christi Jay (Committee member) / Caslor, Jason (Committee member) / Arizona State University (Publisher)
Created2021
Description
Contact tracing has been shown to be effective in limiting the rate of spread of infectious diseases like COVID-19. Several solutions based on the exchange of random, anonymous tokens between users’ mobile devices via Bluetooth, or using users’ location traces have been proposed and deployed. These solutions require the user device to download the tokens (or traces) of infected users from the server. The user tokens are matched with infected users’ tokens to determine an exposure event. These solutions are vulnerable to a range of security and privacy issues, and require large downloads, thus warranting the need for an efficient protocol with strong privacy guarantees. Moreover, these solutions are based solely on proximity between user devices, while COVID-19 can spread from common surfaces as well. Knowledge of areas with a large number of visits by infected users (hotspots) can help inform users to avoid those areas and thereby reduce surface transmission. This thesis proposes a strong secure system for contact tracing and hotspots histogram computation. The contact tracing protocol uses a combination of Bluetooth Low Energy and Global Positioning System (GPS) location data. A novel and deployment-friendly Delegated Private Set Intersection Cardinality protocol is proposed for efficient and secure server aided matching of tokens. Secure aggregation techniques are used to allow the server to learn areas of high risk from location traces of diagnosed users, without revealing any individual user’s location history.
ContributorsSurana, Chetan (Author) / Trieu, Ni (Thesis advisor) / Sankar, Lalitha (Committee member) / Berisha, Visar (Committee member) / Zhao, Ming (Committee member) / Arizona State University (Publisher)
Created2021
Description
The health benefits of sufficient moderate-to-vigorous physical activity (MVPA) and sleep arewell-supported, with established links to decreased cancer risk, cardiometabolic health, all-cause mortality, and psychiatric symptomatology—including stress-related phenomena—for those who engage in 150 min MVPA/week and get at least 7 hours sleep/night. The latter outcome has rapidly become a major public health concern as our nation grapples with the impact of prolonged COVID-19 pandemic stress, which has triggered an onslaught of depression, anxiety, and PTSD throughout the population. Thus, while strategies to decrease stress are desperately needed, many Americans fall short of the very MVPA and sleep recommendations that have been shown to increase their capacity to cope. The purpose of the present study was to explore time-varying associations of MVPA and sleep with momentary perceived stress in adults forced to work from home due to the COVID-19 pandemic. Thirty remote-working adults (86.7% women; mean age 37.5 years, SD = 10.4 years) wore GENEActiv accelerometers on the wrist to capture MVPA and sleep data, and answered four Ecological Momentary Assessments (EMAs) per day regarding perceived stress, for fourteen days straight. Between- and within-person variations in MVPA, sleep quality rating (SQR), total sleep time (TST), and sleep efficiency (SE) were analyzed via multilevel models to determine whether certain changes in these parameters might lead to decreased perceived momentary stress. Between-person models revealed a significant negative effect of SQR on perceived stress levels the next day, beta= -.651, SE= .303, P= .04. Mean MVPA, TST, and SE were not significant inter-individual predictors of momentary stress. However, within persons, higher than normal MVPA (beta= -.005, SE= .002, P= .015), SQR (beta= -.277, SE= .071, P <.001), TST (beta= -.001, SE= .000, P = .004), and SE (beta= -.524, SE= .242, P = .031) were all associated with significant decreases in momentary stress, with individuals experiencing incremental benefits with each additional minute of MVPA and TST. In conclusion, daily fluctuations in MVPA and sleep habits correlate more strongly with momentary stress than do typical levels of these behaviors; this presents an attainable strategy for individuals to enhance their capacity to cope.
ContributorsLyons, Rachel Crosley (Author) / Buman, Matthew P (Thesis advisor) / Der Ananian, Cheryl (Committee member) / McCracken, Kasondra (Committee member) / Arizona State University (Publisher)
Created2021
Description
Contaminated aerosols and micro droplets are easily generated by infected hosts through sneezing, coughing, speaking and breathing1-3 and harm humans’ health and the global economy. While most of the efforts are usually targeted towards protecting individuals from getting infected,4 eliminating transmissions from infection sources is also important to prevent disease transmission. Supportive therapies for Severe Acute Respiratory Syndrome Coronavirus 2 (SARS CoV-2) pneumonia such as oxygen supplementation, nebulizers and non-invasive mechanical ventilation all carry an increased risk for viral transmission via aerosol to healthcare workers.5-9 In this work, I study the efficacy of five methods for self-containing aerosols emitted from infected subjects undergoing nebulization therapies with a diverse spectrum on Non-Invasive Positive Pressure Ventilator (NIPPV) with oxygen delivery therapies. The work includes five study cases: Case I: Use of a Full-Face Mask with biofilter in bilevel positive airway pressure device (BiPAP) therapy, Case II: Use of surgical mask in High Flow Nasal Cannula (HFNC) therapy, Case III: Use of a modified silicone disposable mask in a HFNC therapy, Case IV: Use of a modified silicone disposable mask with a regular nebulizer and normal breathing, Case V: Use of a mitigation box with biofilter in a BiPAP. We demonstrate that while cases I, III and IV showed efficacies of 98-100%; cases II and V, which are the most commonly used, resulted with significantly lower efficacies of 10-24% to mitigate the dispersion of nebulization aerosols. Therefore, implementing cases I, III and IV in health care facilities may help battle the contaminations and infections via aerosol transmission during a pandemic.
ContributorsShyamala Pandian, Adithya (Author) / Forzani, Erica (Thesis advisor) / Patel, Bhavesh (Committee member) / Xian, Xiaojun (Committee member) / Arizona State University (Publisher)
Created2021
Description
Given the severity of risks that accompany the current COVID-19 pandemic, many are experiencing negative psychological effects, such as increased symptoms of depression and anxiety (i.e., mental health distress). As the COVID-19 pandemic continues to impress upon society, it is pertinent to assess the ways in which COVID-19 may be impacting first responders; many of which who are responsible for tending to the safety and wellbeing of communities during this time. However, little is known about how medical first responders may be experiencing COVID-19 related stress, whether this impacts their experience with symptoms of mental health distress, and furthermore whether this stress is different for those in different countries. As such, the present study sought to assess the association between COVID-19 related stress and symptoms of mental health distress in medical first responders for those living in Australia and the United States. Further, given the positive effects romantic relationships have on an individual’s interpersonal functioning, the potential moderating effect of perceived relationship commitment was examined. A total number of 79 participants completed the study. Contrary to hypotheses, results showed that there was no significant association between COVID-19 related stress and symptoms of distress, nor was relationship commitment found to moderate symptoms of distress. Implications of this study have the potential to guide mental health professionals working with medical first responders who are experiencing symptoms of distress, particularly in times of crises similar to that of COVID-19.
ContributorsEvers, Jessie Marie (Author) / Randall, Ashley K. (Thesis advisor) / Pereira, Jennifer (Committee member) / Warner, Cheryl (Committee member) / Arizona State University (Publisher)
Created2021
Description
For our thesis, we analyzed a set of data from the on-going longitudinal study, “Aging In the Time of COVID-19” (Guest et al., ongoing) from the Center for Innovation in Healthy and Resilient Aging at Arizona State University. This study researched how COVID-19 and the resulting physical/social distancing impacted aging individuals' health, wellbeing, and quality-of-life. The survey collected data regarding over 1400 participants’ social connections, health, and experiences during COVID-19. This study gathered information about participants’ comorbid conditions, age, sex, location, etc. We presented this work in the form of a website including the traditional elements of an Honors Thesis as well as a visual essay with the data analysis portion coded with the JavaScript library D3 and a list of resources for our target audience, older adults who are experiencing social isolation and/or loneliness.
ContributorsHarelson, Haley (Author) / Pishko, Claire (Co-author) / Doebbeling, Bradley (Thesis director) / Mejía, Mauricio (Thesis director) / Guest, Aaron (Committee member) / Barrett, The Honors College (Contributor) / School of Life Sciences (Contributor) / School of Mathematical and Statistical Sciences (Contributor)
Created2021-12