As much as SARS-CoV-2 has altered the way humans live since the beginning of 2020, this virus's deadly nature has required clinical testing to meet 2020's demands of higher throughput, higher accuracy and higher efficiency. Information technology has allowed institutions, like Arizona State University (ASU), to make strategic and operational changes to combat the SARS-CoV-2 pandemic. At ASU, information technology was one of the six facets identified in the ongoing review of the ASU Biodesign Clinical Testing Laboratory (ABCTL) among business, communications, management/training, law, and clinical analysis. The first chapter of this manuscript covers the background of clinical laboratory automation and details the automated laboratory workflow to perform ABCTL’s COVID-19 diagnostic testing. The second chapter discusses the usability and efficiency of key information technology systems of the ABCTL. The third chapter explains the role of quality control and data management within ABCTL’s use of information technology. The fourth chapter highlights the importance of data modeling and 10 best practices when responding to future public health emergencies.

Developing a vaccine during the midst of a pandemic requires a careful balance between <br/>speed, safety, and efficacy. For the COVID-19 pandemic, the U.S. implemented Operation Warp Speed to accelerate the timeline for vaccine development. The FDA also imposed specific guidelines for granting Emergency Use Authorization (EUA). As of April 1st, 2021, Operation Warp Speed resulted in three different vaccines receiving EUA, all of which are currently being administered to the public. However, the rapid production and changes in the approval process intensified public scrutiny on the safety and efficacy of the vaccine. This thesis analyzes the differences in fast-tracking a vaccine, which consolidated the authorization process into months rather than years, and delineates the main concerns of the public regarding the COVID-19 vaccine through a media analysis. Although the EUA raised questions about the safety of the vaccine, polls indicate that most Americans would still be willing to receive the vaccine.

Chronic diseases place a financial burden on the United States and claim the lives of nearly 2 million Americans every year. Among the chronic diseases that plague American people, type 2 diabetes is particularly prevalent and injurious. Thus, action is warranted to improve prevention and management of this disease. Nutrition plays a significant role in prevention and management of type 2 diabetes and other chronic diseases. Registered dietitians, as nutrition experts, are qualified to use medical nutrition therapy as a method of prevention and treatment for chronic diseases using a nutritional approach. However, there is no consensus as to which eating pattern is the most efficacious. The aim of this review of research was to examine how plant-based eating patterns impact chronic disease conditions, with an emphasis on type 2 diabetes mellitus, as compared to omnivorous eating patterns. A literature search was conducted through the ASU Library, PubMed, and CINAHL using terms related to plant-based diets and chronic diseases, such as type 2 diabetes. The results revealed that a plant-based eating pattern may be beneficial in the prevention and treatment of certain chronic diseases, such as type 2 diabetes. Specifically, adults who have type 2 diabetes and consume a plant-based diet may exhibit enhanced glycemic control as evidenced by less insulin resistance, increased incretin and insulin secretion, greater insulin sensitivity, and improved HbA1c levels. There is sufficient evidence for registered dietitians to recommend a plant-based approach to patients with type 2 diabetes who would like to achieve enhanced glycemic control.

With the recent rise in opioid overdose and death1<br/><br/>, chronic opioid therapy (COT) programs using<br/>Center of Disease Control (CDC) guidelines have been implemented across the United States8<br/>.<br/>Primary care clinicians at Mayo Clinic initiated a COT program in September of 2017, during the<br/>use of Cerner Electronic Health Record (EHR) system. Study metrics included provider<br/>satisfaction and perceptions regarding opioid prescription. Mayo Clinic transitioned its EHR<br/>system from Cerner to Epic in October 2018. This study aims to understand if provider perceptions<br/>about COT changed after the EHR transition and the reasons underlying those perceptions.

Natural gas development in the Northern Appalachian region has skyrocketed dramatically over the past decade. Correspondingly to the unprecedented growth rate of the natural gas industry, population health risks have shifted dramatically in response to both aerial and water pollution. With energy as a key input in all sectors of Appalachian life, the Pennsylvania region serves as a fascinating case study where clusters of unconventional gas drilling wells intersect varying population densities and governing laws to create different levels of health risks. Studies have found that horizontal hydraulic fracking corresponds to an increased risk of upper respiratory symptoms (URS), low birth weights, premature births, and certain cancers (White et al., 2009). Also, zoning and local planning laws are policy tools local governments can use to directly influence community wellbeing (Diez-Roux, 2011). This study will focus on the spatial relationship between upper respiratory symptoms (URS), a key volatile health benchmark, and the zoning/planning laws that the Oil and Natural Gas Industry must adhere to. Our project seeks to provide a preliminary understanding of the interplay between different natural gas zoning laws and the resulting health implication risks that appear in the Marcellus shale region of Pennsylvania. This is necessary to appropriately regulate and monitor hydraulic fracking. To get a better understanding of this phenomenon, spatial autocorrelation and analysis of variance statistics are integrated to generate a surface-level understanding of areas impacted by natural gas development. To guide the creation of our models, we geographically process the unconventional well locations, upper respiratory symptom health utilization, and zoning law data to develop insights that policymakers can take into consideration. Regionally, natural gas has become an integrated part of the energy sector and a driver of local economic development. The patterns drawn from this assessment provide a novel way of understanding the population health risks posed by different zoning ordinance models.

The influence of exercise on cognitive function is an important topic. This study examines the effects of different interventions on executive functioning, specifically on cognitive planning, which is a sub-category of executive function, in adults with Down syndrome. Research has shown that an acute bout of Assisted Cycle Therapy improved manual motor functioning, cognitive planning, and information processing in adolescents with Down syndrome but there is a lack of research when it comes to resistance training. Fourteen adults with Down syndrome completed acute sessions of Assisted Cycle Therapy, Resistance Training, and No Training. Cognitive planning was measured by the Tower of London test. The results show that cognitive planning can be improved following Assisted Cycle Therapy. An increase in cognitive planning was also present in the No Training group which may be a result of cognitive stimulating games that were played. In conclusion, this study suggests that teachers, therapists, etc. that work with adults with DS, should be sure to include a cognitive component in all activities.

Social media is rapidly changing the way we view the world and live our lives, serving as an online space for connection, creative expression, and inspiration. However, the ever-evolving world of photo editing apps combined with popular health and fitness content on social media sites can be a dangerous combination for young women’s self esteem and body image. This thesis defense explores the ways in which young women are influenced by content that they interact with online. The goal of this project was to provide a general analysis of how fitness and diet-promoting culture on Instagram is affecting young women’s behaviors and perceptions of themselves with an emphasis on the local ASU community. A literature review was conducted as well as an informal survey in order to collect data on the topic and formulate suggestions for alleviating these issues.

Agenesis of the corpus callosum is the lack of the development of the corpus callosum. This condition can lead to impairments in language processing, epilepsy, and emotion and social functioning, but many individuals with this condition do not show any of these impairments. The present study investigated the connectivity of language and sensorimotor networks within an individual with agenesis of the corpus callosum using resting-state fMRI. The individual’s results were compared to those of neurotypical control subjects. It was hypothesized that the overall interhemispheric functional connectivity would be less than that of a control group in bilateral language networks, but the intrahemispheric connectivity, particularly within the sensorimotor network, would show greater functional connectivity. The results revealed significantly weaker functional connectivity in the individual with agenesis of the corpus callosum within the right ventral stream compared to the control group. There were no other significant inter or intrahemispheric differences in the functional connectivity of the language and sensorimotor networks. These findings lead us to conclude that the right hemisphere’s ventral stream perhaps relies upon connections with the left hemisphere’s language networks to maintain its typical functionality. The results of this study support the idea that, in the case of corpus callosum agenesis, the right language network may contribute differently to language processes than in neurotypical controls.

The purpose of this project is to explore the historical context and current state of prison hospice programs in the US. This objective was accomplished through an extensive review and synthesis of the relevant literature pertaining to prison hospice programs in the US. The historical increase of the incarceration rate beginning in America during the 1980’s has led to the development of more elderly prisoners than ever before in the US. As prisoners age in the US correctional system, they experience faster-than-average health decline. Mass incarceration has placed incredible strain on the correctional system to provide healthcare to the medically complex elderly inmate population. This project proposes that some of this systematic strain may be alleviated through the action of prison hospice programs. Prison hospices replace unnecessary industrial medical interventions with personalized comfort care measures and the unique service of inmate volunteers. This approach to medical care at the end of life has become the standard of care for the free population but is slower to emerge in the prison context. This project asserts that the dying US inmate population should be offered the right to a dignified death through equitable access to hospice services.