Digital Commons Network^™

Assessment Of The Utilization Of Healthcare Services Specific To Pregnancy-Related Complications In Rural And Medically Underserved Georgia, Diana L. Aguirre

College of Graduate Studies: Theses & Dissertations

Maternal mortality is a continuing issue, with rates for the state of Georgia (3.7 per 100,000 live births) are higher than that of the US rates (2.9 per 100,000 per live births) (Centers for Disease Control and Prevention, National Center for Health Statistics, n.d., 2023). However, maternal mortality may not account for health disparity factors, apart from access to quality care and physiological issues, which is a factor in pregnancy-related deaths, Pregnancy-related death, as defined by the US Centers for Disease and Control (CDC), is a death of a woman that occurs during or within one year of pregnancy that …

Campus Safety Data Gathering, Classification, And Ranking Based On Clery-Act Reports, Walaa F. Abo Elenin

College of Graduate Studies: Theses & Dissertations

Most existing campus safety rankings are based on criminal incident history with minimal or no consideration of campus security conditions and standard safety measures. Campus safety information published by universities/colleges is usually conceptual/qualitative and not quantitative and are based-on criminal records of these campuses. Thus, no explicit and trusted ranking method for these campuses considers the level of compliance with the standard safety measures. A quantitative safety measure is important to compare different campuses easily and to learn about specific campus safety conditions.

In this thesis, we utilize Clery-Act reports of campuses to automatically analyze their safety conditions and generate …

Decision Making Related To Situations When Sexual Violence Might Occur, Shakeia Salem

College of Graduate Studies: Theses & Dissertations

The definition of sexual violence has changed over the years to include all unconsented sexual contact. Sexual violence is a global issue targeting young, college-aged adults. We used hypothetical scenarios to determine the discounting rates of participants in situations where sexual violence might occur. Undergraduate students (n = 146; mean age 20.18 years) from Georgia Southern University participated in our study. The sample of participants included 116 (79.45%) females and 30 (20.55%) males, identifying as White (n = 85; 58.22%), Hispanic (n = 5; 3.42%), Black (n = 28; 19.18%), Asian (n = 1; .68%), …

The Effect Of Tempo On Prone Hamstring Exercise - An Exploration Of Unilateral Bias, Derick A. Anglin

College of Graduate Studies: Theses & Dissertations

Hamstring injuries are common muscle-skeletal injuries with a high recurrence rate. While unmodifiable risk factors (e.g., previous injury) vary, recent evidence has questioned the utility of eccentric exercise in preventing hamstring strains. Furthermore, whether eccentric exercise can transfer to sprinting’s kinetic and kinematic requirements is of question. Therefore, this investigation examines exercise tempo (fast vs. slow eccentric phase), movement strategy (bilateral vs. unilateral), and external load characteristics (coupled vs. independent) bias concentric (CON) and eccentric (ECC) biceps femoris (BF) mean electromyography (mEMG). METHODS: Twenty college-aged students aged 18 – 33 (M = 23.4, SD = 3.12 years) with …

Using Machine Learning Classification And Esa Sentinel 2 Multispectral Imager Data To Delineate Marsh Vegetation And Measure Ecotone Movement In Coastal Georgia, Thomas A. Pudil

College of Graduate Studies: Theses & Dissertations

Tidal marshes are unique communities that are subjected to environmental stressors including sea level rise, salinity change, and drought, resulting in constant change. It is important to monitor these changing areas because of the ecosystem services they provide to us, such as protection from storms and carbon sequestration. The proposed work for this thesis project is focused on the study of tidal marshes and the dynamics between the vegetation species within them. The aim of this project is to use geospatial technology and analyses, along with machine learning classification methods, to monitor change in these valuable ecosystems. The Georgia coast …

Supports And Services To Improve Academic Success Of High School Student Athletes, Samuel G. Nichols

College of Graduate Studies: Theses & Dissertations

The purpose of this study was to determine whether supports and services offered in various study hall programs (Traditional, Objective Based, and/or Objective Based +) at the high school level to help student athletes be academically successful in terms of achieving a minimum GPA of 2.0 or above. Basketball programs were used for this study because it is a major sport in the school district in which the data were collected. Data were sought via questionnaires of chosen participants via convenience sampling from eight eligible high school athletic directors in one school district in Georgia. This study called for the …

Loggerhead Sea Turtle (Caretta Caretta) Nesting Experience, Seasonal Variation, And Hatching Success On A Georgia Barrier Island, Luke Sundquist

College of Graduate Studies: Theses & Dissertations

Loggerhead sea turtles nest commonly on the Georgia barrier islands and serve critical roles in human cultures, coastal economies, and multiple ecosystems. However, their global populations are declining and dependent on conservation efforts and informed management of natural and anthropogenic threats. Nesting offers a unique opportunity to research and protect this valuable marine species in terrestrial habitats. Microsatellite DNA sampling from eggshells can consistently identify nesting females from eggshells, allowing tracking of nesting behaviors for large populations over multiple years. Using this novel technology, we compared maternal investment and nest site-selection between first-time nesting neophytes and experienced remigrants. We sampled …

Medical Providers' Use Of Maternal Mental Health Screening Tools During Prenatal Appointments In Southeast Georgia, Andreka Ewing

College of Graduate Studies: Theses & Dissertations

In the United States, maternal mental health disorders are the most common comorbidities experienced during pregnancy and after childbirth. In particular, the state of Georgia reports that 1 in 7 Georgian mothers experience depression, anxiety, obsessive-compulsive disorders, or psychosis related to these disorders. Research suggests that untreated maternal mental health can have adverse effects on the mother and unborn child. Conditions such as autism, mixed handedness, reduced cognitive ability, and affective disorders can develop while the child is in the womb of a depressed mother. Routine maternal mental health screening using a validated screening tool has been recommended to help …

Middle Savannah River: An A/R/Tographic Ecopedagogical Ethnography Experimenting With Rhizomatic Perspectives, Lisa Augustine-Chizmar

College of Graduate Studies: Theses & Dissertations

This research is an experiment in perspective. Using the four commonplaces (Schwab, 1978), I practiced letting the Savannah River teach me what there is to know about the water, the land, the people, and the other entities that depend on ki through artistic, ethnographic, and ecopedagogical lenses. The ethnographic findings describe the social actors that depend on ki and give a voice to the River. The a/r/tographic findings display the River on a canvas map through two hundred years using paint, clay, photography, video, abstract acrylics, and fabric. Together, these methods contribute to a unique ecopedagogical journey. This word cloud …

Methods On Implementing Radar And Antenna Solutions To Defense And Biomedical Problems, Jalexis E. Vanga Guzman

College of Graduate Studies: Theses & Dissertations

Growing developments in antenna and radio frequency systems have created a strong incentive for researchers to study and apply electromagnetic (EM)-based solutions to modern defense and biomedical problems. The ability to transmit and receive EM waves using antenna systems has not only increased global connectivity, but also increased the need for innovation in antenna size reduction and development of radar systems.

Size reduction techniques have been extensively studied for antennas after the development of electrically small antennas (ESAs) which follow Chu’s limit. ESAs allow the implementation of antennas with much smaller foot-size than traditional full-sized designed while keeping the same …

The Relationship Between Age, Sport, And Years Coaching On Knowledge, Confidence, Preparedness, And Intention To Intervene With Youth Athletes Experiencing Mental Health Challenges, Allyson P. Looby

College of Graduate Studies: Theses & Dissertations

Introduction: Mental disorders can affect all ages and populations, but there is an increasingly high prevalence in the pediatric population. It is estimated that 1 in 5 youth between the ages of 9-17 experiences some degree of impairment from a diagnosable mental health disorder (Merikangas et al., 2010). Youth are often not equipped to seek professional support; making parents, teachers, and coaches key to detection and referral to professional help (Ng et al., 2021). The environment youth sports creates gives coaches the opportunity to have a greater impact on youth mental health (Das et al., 2016). Purpose: Determine if age, …

Emergency Preparedness And Response: Examining Rural Hospitals (Rhs) Communication Systems Before, During, And After A Natural Disaster, Geremy D. Lloyd

College of Graduate Studies: Theses & Dissertations

Introduction: Rural Hospitals (RHs) have distinctive characteristics that constitute unparalleled challenges. One of those challenges is the ability to communicate effectively in a disaster, impacting the various effects on the affected society. Research has shown that effective emergency preparedness and response (EPR) communication is paramount when communicating informed details about emergent events. Despite the evolving complexities of communication and the technology associated with disaster communication, very few studies have successfully investigated RHs communication systems before, during, and after a natural disaster. The purpose of this study was to examine and assess RHs communication systems and to highlight the strengths, identify …

Investigating Salinity Intrusion Effects On Sapelo Island, Georgia Using Benthic Macroinvertebrate Bioindicators, Raymond Paul Kidder Ii

College of Graduate Studies: Theses & Dissertations

Coastal wetlands are threatened by the compounding effects of sea level rise and historical land modification. Historically, much of Sapelo Island, Georgia was deforested and drained using a series of ditches and canals to create arable land fit for agriculture and to provide drainage to the inhabited parts of the island. Today, this network of artificial channels is believed to be facilitating the movement of saltwater from the nearby estuary into freshwater areas on the interior of the island. This study aimed to better understand the frequency and magnitude of salinity intrusion events along with their resulting impacts to the …

Promoting The Positive: A Case Study Of The Influence Of School Climate On One Turnaround School From 2016-2022, Cynthia Gunner

College of Graduate Studies: Theses & Dissertations

Schools across the country are finding various means to address the social realities that often exist in high poverty schools. School climate is one of those social realities. While there is research related to school climate in high poverty schools, there are limited case studies related to this subject. This qualitative case study examined how one elementary school was transformed by creating a positive school climate between 2016-2022. This study also explored the impact that the pandemic and subsequent school lockdown had on the newly established school climate. Findings from this study indicated that PF Elementary School established a positive …

Exploring Relationship Among Programmatic Expertise, Work Engagement, And Turnover Intentions Across Different Generation Cohorts In State And Local Governmental Public Health Agencies, Stephanie L. Irvin

College of Graduate Studies: Theses & Dissertations

This study examined the relationship among public health programmatic competencies, work engagement, and turnover intentions among state and local public health workers. It also explored the moderating role of generational cohorts in these relationships. It employed a quantitative secondary data analysis using the 2021 PHWINS survey, a collaboration between the de Beaumont Foundation and The Association of State and Territorial Health Officials. The study's principal findings shed light on critical relationships within the public health workforce: Firstly, an increase in programmatic expertise among public health professionals is linked to increased work engagement, particularly notable within the Millennial cohort. Secondly, a …

Mapping Landcover Change And Population Displacement Of Lakshmipur District, Bangladesh Due To Riverbank Erosion From 2001-2021: A Geospatial Approach, Israt Jahan

College of Graduate Studies: Theses & Dissertations

Due to the geographical setting, the Lakshmipur district of Bangladesh experiences adverse effects of global climate change that include but are not limited to natural disasters such as tropical cyclones, storm surges, coastal flooding, and riverbank erosion. While riverbank erosion is an implicit impact of climate change, it directly affects human settlements, agricultural activity, and the overall livelihoods of people in this area. Examining the spatiotemporal changes in land cover and population due to riverbank erosion in this region could help us better understand the dynamics of human-environmental relations. This study aimed to classify land cover for every five years …

Using The Cipp Model Of Evaluation On A Health Disparities Curriculum Delivered To Medical Residents In 12 Residency Programs, Gauri K. Shevatekar

College of Graduate Studies: Theses & Dissertations

Background: Although the Accreditation Council for Graduate Medical Education (ACGME) has provided educational directives on health disparities education during residency program for the medical residents, there is paucity of curricula focused on disparities education within the graduate medical education.

Objective: The purpose of this study was to evaluate a Health Disparities Curriculum (HDC) that was delivered to twelve residency programs at a College of Medicine.

Methodology: The study employed a cross-sectional study design. Stufflebeam’s Context-Input-Process-Product (CIPP) model was utilized as theoretical framework to assess whether the curriculum achieved its stated goals and objectives, the teaching and learning processes, and the …

Child Sexual Abuse Cases In The Catholic Church Vs. Secular Groups: A Media Content Analysis, Hannah G. Adkison

College of Graduate Studies: Theses & Dissertations

Child sexual abuse (CSA) is a serious public health problem in the United States, with estimates suggesting that approximately 8% of males and 20% of females experience some form of sexual violence before adulthood (Pereda et al., 2009). Adult acquaintance victim-offender relationships account for 83% of all cases (Ullman, 2001). And while the acquaintance of victim- offender relationships is facilitated by a range of social institutions, perhaps none have received as much media attention as those occurring in the context of the Catholic Church (Formicola, 2014). Although child sexual assault is recognized as a serious punishable charge in all 50 …

Blockchain Securities Issues: Decentralized Identity System With Key Management Perspective, Olalekan O. Adaramola

College of Graduate Studies: Theses & Dissertations

Blockchain was created many years ago to solve the problems of data transfer Integrity, several years later the issues persist. Blockchain securities are one of the most important considerations to be investigated, and data integrity is about ensuring the accuracy and validity of messages such that when they are read, they are the same as when they were first written. It is of the opinion that passing information across from one person to another cannot be the same as it was first said at the onset. Our work investigated Blockchain security issues, studying Integrity emanating from transactions across the blocks …

Examining The Oxidative Stress Effects In Rats Exposed To 2-Aminoanthracene In Utero And High Fat Diet Three Months After, Brianna A. Lanoix

Honors College Theses

Polycyclic aromatic hydrocarbons are organic compounds that are created synthetically or found in partially burned oil, gasoline, and coal. 2-aminoanthracene (2AA) is a common example of a PAH and can affect lipid and carbohydrate metabolism and resulting in inflammatory problems and oxidative stress. The objective of the research project is to investigate oxidative stress in relation to diabetes in rats exposed to 2AA in utero and a high fat diet later in life. Pregnant dams were separated into treatment groups based on their dosages of 2AA; 0 mg/kg (control), 50 mg/kg (low), 100 mg/kg (high). During the gestation -postpartum period, …

The Financial And Environmental Returns In Green Banking, Julia C. White

Honors College Theses

With dire climate circumstances looming, simply recycling aluminum cans and driving EV cars is not enough to offset the past consequences our planet has withstood. Large initiatives have to be set in motion to combat and ward off future problems, which takes the amount of money that is afforded by dedicated investments. Private and public sectors are putting their money into green banking, which is proving to provide impressive returns. This paper examines the progress that has been made due to green investments and how the planet can be the recipient of groundbreaking and impactful initiatives. I will focus mostly …

Eating Disorders: Barriers To Peer And Self Recognition And The Ability To Seek Or Give Help, Savannah Mcvey

Honors College Theses

A lack of knowledge concerning eating disorders has been found to play a major role in self-recognition, peer recognition, and barriers to seeking treatment at all. More specifically, straight men were more often not able to identify these issues in themselves or others. Theories that have been presented involve the image of eating disorders being a “woman’s issue” and a possible obsession with weight lifting and changing one’s body to take on a more masculine build. Combatting this issue needs to begin in the form of basic education on college campuses due to the prevalence in this particular age group. …

“I Tell My Brothers That It Can Be Done”: Indigenous Males Navigating Elite Australian Higher Education, Garth Stahl, James A. Smith, Andrew Harvey, Braden Hill, Himanshu Gupta, Sam Moore, Jianing Wang

Research outputs 2022 to 2026

As Australian higher education grapples with its colonial history, there has been significant attention to recruiting Indigenous students. However, while we have seen increases in Indigenous participation, males lag significantly behind. Very few Indigenous males enter university and even fewer enter the upper echelons of the stratified higher education sector. In this paper, we investigate the experiences of four Indigenous young men who attended an elite Australian higher education institution. Central to our analysis is how their identities are realised in relation to their sense of Indigeneity and Western ways of knowing, being and doing. In capturing the complex identity …

Models Of Clinical Supervision Of Relevance To Remote Area Nursing & Primary Health Care: A Scoping Review, Fiona Hildebrand, Michelle Gray, Kylie Mccullough

Research outputs 2022 to 2026

Introduction: Nurses in remote primary health care settings work in difficult conditions, in isolated and disadvantaged communities, and often must work beyond their scope to provide advanced assessments and treatments to support the community. Therefore, remote area nurses require support to develop their skills and knowledge to work safely within their full scope of practice. Clinical supervision is widely used in health professions for this purpose; however, models of supervision for nursing have not been implemented or evaluated within remote primary health care settings. Objective: The purpose of this study was to search the literature to source suitable clinical supervision …

Driving With Retinitis Pigmentosa, Rachael C. Heath Jeffery, Johnny Lo, Jennifer A. Thompson, Tina M. Lamey, Terri L. Mclaren, John N. Deroach, Miguel S. Kabilio, Fred K. Chen

Research outputs 2022 to 2026

Background: To establish the proportion of patients with retinitis pigmentosa (RP) meeting the Australian fitness to drive (FTD) visual standards. Methodology: A prospective consecutive case series of patients with a clinical or genetic diagnosis of RP. Data on age at symptom onset, current driving status, inheritance pattern, better eye visual acuity (BEVA), binocular Esterman visual field (BEVF) parameters, genotype and ability to meet the driving standards based on BEVA and BEVF were collected. Outcome measures included the proportion of RP patients overall meeting the standards and clinical predictors for passing. A sub-analysis was performed on those RP patients who reported …

It Helps And It Doesn’T Help: Maternal Perspectives On How The Use Of Smartphones And Tablet Computers Influences Parent-Infant Attachment, Rebecca Hood, Juliana Zabatiero, Desiree Silva, Stephen R. Zubrick, Leon Straker

Research outputs 2022 to 2026

As families increase their use of mobile touch screen devices (smartphones and tablet computers), there is potential for this use to influence parent-child interactions required to form a secure attachment during infancy, and thus future child developmental outcomes. Thirty families of infants (aged 9–15 months) were interviewed to explore how parents and infants use these devices, and how device use influenced parents’ thoughts, feelings and behaviours towards their infant and other family interactions. Two-thirds of infants were routinely involved in family video calls and one-third used devices for other purposes. Parent and/or child device use served to both enhance connection …

Using Telemedicine And Telehealth To Extend Services In Hiv Care, Jeffery Dockery Mr., Heather G. Peebles Ms.

Georgia Public Health Association Annual Meeting & Conference

Background

The COVID-19 pandemic posed many barriers to healthcare but especially for HIV Public Health clients who struggle to meet basic socioeconomic needs. Southeast Health District (SEHD) Ryan White clients are immunocompromised increasing isolation and fear. In addition to client barriers, the pandemic resulted in a staffing shortage. The shortages were due to COVID diagnosis and subsequent isolation, staffing turnover, and unfillable vacancies.

Method

A dedicated schedule is utilized for Telehealth/Telemedicine. A patient is scheduled at a remote site and connected with a practitioner at another location. The SEHD Ryan White Program currently has 4 clinics located in Bulloch, Coffee, …

The Learning Agenda 2.0: An Approach To Facilitate Systems Change, Laura M. Lloyd, Melissa Alperin

Georgia Public Health Association Annual Meeting & Conference

Background: The public health (PH) workforce is currently facing many complex challenges that stand at the root of community health issues (e.g., racism, poverty, mental health). Existing PH workforce development models focus largely on improving individual competency, but individual competency alone cannot address these complex challenges at the individual, organizational, community, and systems levels. Developing the necessary cross-cutting skills (e.g., systems thinking, persuasive communication, problem solving) requires a new approach to training and learning.

Method: The Public Health Learning Agenda for Systems Change (PHLASC) helps public health organizations and their partners use transformative, collective learning as a driver for systems …

The Negative Relationships Between Employee Resilience And Ambiguity, Complexity, And Inter-Agency Collaboration, Geoff Plimmer, Joana Kuntz, Evan Berman, Sanna Malinen, Katharina Näswall, Esme Franken

Research outputs 2022 to 2026

Employee resilience (ER) is often needed to face demands inherent in public sector work. Some types of demands, however, may hinder its development, rather than provide the type of challenging adversity from which resilience can develop. Public sector job demands have been a long-standing issue for public workplaces and employees but are also growing in salience as organisations face an increasingly variable, uncertain, complex, and ambiguous environment. Drawing on the Job Demands–Resources model and the challenge/hindrance stress literature, this multi-level study of Aotearoa New Zealand civil servants (n = 11,533) in 65 public sector organisations shows that ER is negatively …

Unmasking Microaggressions On The Homefront: Exploring Faculty And Staff Perceptions After Attending An Online Workshop On Microaggressions In Higher Education, Andrea N. Crenshaw, Natasha N. Ramsay-Jordan, Allyson Deskins

Georgia Educational Researcher

Microaggressions are brief and everyday slights, insults, indignities, and denigrating messages sent to people of color and/or marginalized groups (women, LGBTQ+, etc.) by well-intentioned [people] who are unaware of the hidden messages being communicated (Sue et al., 2007). Microaggressions are connected to broader conceptualizations of the impact of implicit bias and systems of inequity. Specifically, in K-12 and higher education, microaggressions impact the physical, social, and emotional well-being of those who experience them. Growing research posits the need for more discussions in education about racism, sexism, and other bias prevalent in the field of education (Bergerson, 2003). As such, some …