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Full-Text Articles in Medicine and Health Sciences

Does Increasing Flow To A High Flow Nasal Cannula Affect Mean Airway Pressure In An In Vitro Model?, Robert Brent Murray Dec 2009

Does Increasing Flow To A High Flow Nasal Cannula Affect Mean Airway Pressure In An In Vitro Model?, Robert Brent Murray

Respiratory Therapy Theses

DOES INCREASING FLOW TO A HIGH FLOW NASAL CANNULA AFFECT MEAN AIRWAY PRESSURE IN AN IN VITRO MODEL? Introduction: High-flow nasal cannulas (HFNC) have become popular with many institutions for administration of oxygen (O2). HFNCs are also being used in pediatric and neonatal populations for administration of continuous positive airway pressure (CPAP) as a treatment for respiratory distress. Adult patients are being treated with HFNCs in a effort to provide a high percentage of O2 and correct hypoxemia and other related conditions. The purpose of this study was to examine the effect of increasing flow via a HFNC to an …


Assessment And Comparison Of Behavior Risk Factor Surveillance Systems For The U.S., Canada, And Italy., Carolina Arana Nov 2009

Assessment And Comparison Of Behavior Risk Factor Surveillance Systems For The U.S., Canada, And Italy., Carolina Arana

Public Health Theses

Behavior risk factors include health risk factors that increase a person's chances of developing a disease, such as having a high blood pressure, high blood cholesterol, tobacco smoke, physical inactivity, obesity or overweight, diabetes, poor nutrition, lack of sex education and car safety. They can be classified as: Background risk factors, such as age, sex, level of education and genetic compositions; Behavioral risk factors, such as smoking, unhealthy diet and physical inactivity; and Intermediate risk factors, such a serum cholesterol levels, diabetes, hypertension and obesity/overweight. This study describes a comparison and assessment of Behavior Risk Factor Surveillance Systems for the …


Child Sexual And Physical Abuse As Precursors For Homelessness In Adolescence, Jacqueline Nicole Rion Nov 2009

Child Sexual And Physical Abuse As Precursors For Homelessness In Adolescence, Jacqueline Nicole Rion

Public Health Theses

Introduction: Homelessness is a living condition associated with a number of adverse health outcomes. Unaccompanied homeless youth are at risk for many of the same health outcomes as other homeless persons, but these youth are especially vulnerable because they are young and without the protection or support of an adult caregiver. Aim: The purpose of this capstone project is to present a basic overview of the topic as well as to highlight what more needs to be done to address this issue. Methods: This project involved a review of the literature related to homeless youth, child sexual or physical abuse, …


Using Iphones To Enhance And Reduce Face-To-Face Home Safety Sessions, Julie Jabaley Nov 2009

Using Iphones To Enhance And Reduce Face-To-Face Home Safety Sessions, Julie Jabaley

Public Health Theses

Innovative handheld technologies are changing the possibilities for delivering public health interventions. The present research describes a preliminary examination of the effects of iPhone™ both as an assessment tool for data collection and as an enhancement to an in-home child safety intervention. Three families with children under age seven were trained to use an iPhone to video targeted rooms in their homes following SafeCare® safety module intervention implementation during which rooms were secured for accessible safety and health hazards. The iPhone was used to communicate feedback, logistical information, and clarification of safety content. The effectiveness of iPhone and iPhone video …


A Spatial Analysis Of The Relationship Between Pedestrian Crash Events And Features Of The Built Environment In Downtown Atlanta, Emily Palmer Taquechel Nov 2009

A Spatial Analysis Of The Relationship Between Pedestrian Crash Events And Features Of The Built Environment In Downtown Atlanta, Emily Palmer Taquechel

Public Health Theses

Pedestrian injuries and fatalities due to motor vehicle crashes are a significant public health concern, and the urban campus of Georgia State University poses unique challenges to pedestrian safety issues. Previous studies of the built environment have link several features to increased pedestrian crash occurrences. Once identified, these features can be modified to create a healthier environment for pedestrians. This study examines the relationship between specific features of the built environment and pedestrian crash events. Environmental audits were conducted to collect information about the built environment around Georgia State campus, and pedestrian crash data was obtained from GDOT. Geographic Information …


A Survey Of Water Storage Practices And Beliefs In Households In Bonao, Dominican Republic In 2005, Shelley Holt Nov 2009

A Survey Of Water Storage Practices And Beliefs In Households In Bonao, Dominican Republic In 2005, Shelley Holt

Public Health Theses

INTRODUCTION: More than 2.2 million people die each year from diarrheal disease. Most cases of diarrheal disease can be linked with a lack of access to clean water and sanitation. The proper usage of sanitation, hygiene and safe drinking water are all mechanisms by which to prevent or limit fecal contamination, and in turn, reduce the risk of diarrheal disease. As a result, it is imperative to examine and understand risk factors for fecal contamination of drinking water in the home. One way to assess fecal contamination is to use indicator bacteria such as E. coli. These bacteria can be …


Baseline Knowledge Assessment Of Cobb County Safe Kids Inspection Station Participants, Laurie Elizabeth Whorton Nov 2009

Baseline Knowledge Assessment Of Cobb County Safe Kids Inspection Station Participants, Laurie Elizabeth Whorton

Public Health Theses

INTRODUCTION: The leading cause of injury and death among children in the United States is motor vehicle crashes. Even though laws have been amended and public awareness campaigns and education has increased, many children are still improperly restrained or not restrained at all. When correctly used, child restraints significantly reduce risk of injury or death in a motor vehicle crash. AIM: The purpose of the questions is to exhibit the baseline knowledge of participants before receiving car seat education from certified technicians. METHODS: Over an eight week period, Safe Kids Cobb County Car Seat Technicians distributed a 16-item survey, with …


Invisible Motherhood: A Heideggerain Hermeneutical Analysis Of Motherhood Among Three Generations Of African American Women, Katherine Ferrell Fouquier Oct 2009

Invisible Motherhood: A Heideggerain Hermeneutical Analysis Of Motherhood Among Three Generations Of African American Women, Katherine Ferrell Fouquier

Nursing Dissertations (PhD)

The mothering role of African American women has largely been ignored in the literature. Contemporary research on the construct of becoming a mother has focused on upper middle class, White women who are partnered. When African American women are included in research, they are often poor, single, teenage mothers and their experiences have not been described within the context of the African American worldview. Hermeneutic phenomenology from an afrocentric feminist perspective is the methodological approach used in this study to provide insight, analysis, and understanding of the experiences of three generations of African American women in the transition to motherhood. …


Nurses' Experiences With The Disclosure Of Errors To Patients, Debbie Greene Sep 2009

Nurses' Experiences With The Disclosure Of Errors To Patients, Debbie Greene

Nursing Dissertations (PhD)

The 1999 Institute of Medicine report, To Err is Human, raised awareness about the multitude of errors that occur in healthcare. Frequently, errors are not disclosed to patients or their families. While several studies have examined patient and physician perspectives on disclosure, limited research on nurse perspectives exist. In hospitals, nurses are often the last line of defense before errors reach the patient. Because nurses are often present when errors occur, nurses’ experiences with disclosure are integral to understanding the issues that surround the disclosure of errors. The purpose of this study was to gain an understanding of nurse experiences …


Correlational Study For Predictor Variables Affecting Duration On Bubble Cpap, Alison Louise Stoeri Sep 2009

Correlational Study For Predictor Variables Affecting Duration On Bubble Cpap, Alison Louise Stoeri

Respiratory Therapy Theses

Bubble CPAP (BCPAP) is used in the neonatal intensive care unit (NICU) as a form of non-invasive ventilation and is commonly employed in neonates demonstrating respiratory distress. BCPAP may be used to avoid the need for intubation and mechanical ventilation thereby reducing lung injury and other morbidities as well as decrease hospital stay. PURPOSE: The purpose of this study is to retrospectively investigate the length of stay on bubble CPAP (BCPAP) considering gestational age, birth weight, and surfactant delivery in the neonatal population born at an urban tertiary high load level three (NICU). METHODS: A retrospective study using existing data …


The Effect Of Compliance Changes On Delivered Volumes In An Adult Patient Ventilated With High Frequency Oscillatory Ventilation: A Bench Model, John England Sep 2009

The Effect Of Compliance Changes On Delivered Volumes In An Adult Patient Ventilated With High Frequency Oscillatory Ventilation: A Bench Model, John England

Respiratory Therapy Theses

Clinical concerns exist regarding the delivered tidal volume (Vt) during high-frequency oscillatory ventilation (HFOV). HFOV is increasingly being used as a lung protective mode of ventilation for patients with Adult Respiratory Distress Syndrome (ARDS), but caution must be utilized. The purpose of this study was to investigate the effect of airway compliance on Vt delivered by HFOV to the adult patient. Method: An in vitro model was used to simulate an adult passive patient with ARDS, using a high fidelity breathing simulator (ASL 5000, IngMar Medical). The simulation included independent lung ventilation with a fixed resistance and adjustable compliance for …


The Effects Of Aerosol Drug Delivery On Airway Resistance Through Heat-Moisutre Exchangers, Matthew Thomas Hart Sep 2009

The Effects Of Aerosol Drug Delivery On Airway Resistance Through Heat-Moisutre Exchangers, Matthew Thomas Hart

Respiratory Therapy Theses

Introduction: The use of heat moisture exchangers (HMEs) is becoming more popular with many institutions delivering aerosolized medications between the HME and the endotracheal tube of patients being mechanically ventilated. When HMEs become saturated resistance can increase which can cause changes that can lead to patient-ventilator dysnchrony, development of intrinsic PEEP, and weaning difficulty. The purpose of this study was to determine the effects of aerosol drug delivery on resistance through heat-moisture exchangers. Method: An in-vitro model to simulate exhaled heat and humidity from a patient’s lungs was developed by connecting the test lung to a cascade humidifier that was …


The Relationship Betwen Perceived Wellness And Stages Of Change For Exercise Among Rural African American Women, Imani Carolyn Goodwin Aug 2009

The Relationship Betwen Perceived Wellness And Stages Of Change For Exercise Among Rural African American Women, Imani Carolyn Goodwin

Nursing Dissertations (PhD)

Cardiovascular disease (CVD) is the leading cause of death among women in the US, and African American women (AAW) have a disproportionately high rate of deaths from CVD. Physical inactivity plays a major role in CVD development. It has been reported that some rural women have low rates of physical activity; 39% of White women and 57% of women of color are reported to be physically inactive. Rural AAW have a high mortality and morbidity rate related to CVD and a high rate of physical inactivity. The purpose of this study was to describe rural AAW’s perception of wellness in …


Investigating The Association Of White Male Lung Cancer Mortality And State Of Residence, Thomas Jeffrey Doker Jul 2009

Investigating The Association Of White Male Lung Cancer Mortality And State Of Residence, Thomas Jeffrey Doker

Public Health Theses

Lung cancer is the most common cause of cancer-related death. Most lung cancer is the result of a preventable cause, smoking. Nevertheless, U.S. tobacco production remains the fourth highest globally. This study examined the spatial aspects of U.S. White male lung cancer mortality and the associated risk factors of tobacco acreage, rural residence, smoking, poverty, lack of health insurance, and radon exposure. White male lung cancer mortality was significantly correlated with tobacco acreage (r = .455), rural residence (r = .389), and smoking (r = .475). Tobacco acreage (p = .005), rural residence (p = .011), and smoking (p = …


Does Educational Intervention Reduce The Number Of Food Violations., Karen Koechlin M. Koechlin Jul 2009

Does Educational Intervention Reduce The Number Of Food Violations., Karen Koechlin M. Koechlin

Public Health Theses

The objective of this study was to examine the educational intervention that restaurant employees received to see if it reduced the number of food violations in Orange County, California, U.S.. The class, which began in 2007, is known as the Food Employee Education and Sanitation Training (FEEST). This study revealed that the post-test results from FEEST demonstrated a significant improvement in food safety knowledge, and almost all of the participants showed a significant improvement in food safety knowledge. A comparison of inspection reports immediately before and after participation in FEEST showed that food establishments greatly reduced the number of major …


A Spatial Analysis Of Demographic Factors Of West Nile Virus In Georgia, Sarah Bryant Boos May 2009

A Spatial Analysis Of Demographic Factors Of West Nile Virus In Georgia, Sarah Bryant Boos

Public Health Theses

Background: West Nile Virus (WNV) is a serious mosquito-borne disease that can potentially lead to death. The purpose of this study is to spatially examine known risk factors for WNV within Georgia at the county level. The study produces maps that relate known WNV cases to high, medium, and low risk factor areas for additional analyses. Methodology: Cartographic visualization and statistical analysis software was used to examine the relationships between: the geographical distribution of age, race, gender, urbanicity, and population density of Georgians in relation to WNV cases by county. Chi-square analysis and odds rations were calculated to determine whether …


Factors Associated With The Illegal Sales Of Alcohol To Underage Persons In Georgia, Jonathan A. Powell Apr 2009

Factors Associated With The Illegal Sales Of Alcohol To Underage Persons In Georgia, Jonathan A. Powell

Public Health Theses

Despite the minimum legal drinking age of 21, many underage persons regularly purchase alcohol from licensed alcohol establishments. The purpose of this study was to determine the establishment, geographic, and community economic and demographic characteristics that are associated with illegal sales of alcohol to underage persons in Georgia. Multivariate logistic regression analysis was used to determine factors that were associated with illegal sales of alcohol to underage persons of Georgia. Statistical adjustments were made for ownership type (e.g., corporate owned), region (e.g., southeast Georgia, metro-Atlanta), rural vs. urban area, and many community economic and demographic variables (e.g., unemployment rate, minority …


Evaluation Of Diabetes Education For Latinos Living In A Metropolitan Area, Anna Rockett Potter Apr 2009

Evaluation Of Diabetes Education For Latinos Living In A Metropolitan Area, Anna Rockett Potter

Public Health Theses

Diabetes is a worldwide epidemic, especially as the prevalence of Type 2 diabetes has increased in recent years. Minorities are disproportionately affected by the disease and, at the same time, often have less access to resources including medication and education. The Emory Latino Diabetes Education Program (ELDEP) is a culturally component diabetes education program aimed at promoting increased knowledge about diabetes disease management within the Latino population of metropolitan Atlanta. The program considers cultural competence and acculturation theory in its learning structure. The purpose of this study was to evaluate ELDEP’s effectiveness in increasing knowledge of diabetes, healthy behaviors, and …


Trends In Toxin Profiles Of Human Shiga Toxin-Producing Escherichia Coli (Stec) O157 Strains, United States, 1996-2008, Molly Maitland Leeper Apr 2009

Trends In Toxin Profiles Of Human Shiga Toxin-Producing Escherichia Coli (Stec) O157 Strains, United States, 1996-2008, Molly Maitland Leeper

Public Health Theses

Shiga toxin-producing E. coli (STEC) cause diarrhea, hemorrhagic colitis, and hemolytic uremic syndrome (HUS). All STEC produce one or both of two Shiga toxins, Stx1 and Stx2. STEC strains that produce Stx2 are more strongly associated with HUS than strains that produce Stx1 or both Stx1 and Stx2. Epidemiologic evidence indicates a recent increase in the rate of HUS among STEC outbreaks. The increasing rate of HUS could be explained by a shift in the toxin profiles of STEC strains. The purpose of this study was to examine trends in toxin profiles of human STEC O157 isolates from 1996 to …


Do Variations In State Mandatory Child Abuse And Neglect Report Laws Affect Report Rates Among Medical Personnel?, Amanda Ellen Faulkner Apr 2009

Do Variations In State Mandatory Child Abuse And Neglect Report Laws Affect Report Rates Among Medical Personnel?, Amanda Ellen Faulkner

Public Health Theses

Each state and territory within the United States is required by the Child Abuse Prevention and Treatment Act [42 U.S.C. 5101 et seq.] to maintain a mandatory suspected child abuse and neglect reporting law, requiring certain professionals who regularly see children to report any suspicions of child maltreatment to child protective services. It is well documented that mandatory reporters fail to report each case of suspected child maltreatment they witness. This study sought to determine whether differences in three specific variables within the mandatory report laws had an effect on the frequency with which medical personnel report suspected child abuse …


State Medicaid Agencies Approaches To Quality Improvement: Implications For Policy, Practice And Health Outcomes, Dev Nair Apr 2009

State Medicaid Agencies Approaches To Quality Improvement: Implications For Policy, Practice And Health Outcomes, Dev Nair

Public Health Theses

Medicaid provides coverage to approximately 60 million individuals and is the largest single payer of healthcare for children. Given this scope of the program and the concentration of low-income and minority recipients, improvements to the quality of care delivered to Medicaid members represents a significant opportunity to reduce health care disparities and improve the overall delivery and quality of healthcare within the U.S. The current study sought to evaluate the various approaches that state Medicaid agencies are taking to assess and improve the quality of care to their managed care enrollees and the degree to which they have implemented recommendations …


Race/Ethnicity: Is It An Outcome Predictor In Patients With Heart Failure?, Digant V. Bhatt Jan 2009

Race/Ethnicity: Is It An Outcome Predictor In Patients With Heart Failure?, Digant V. Bhatt

Public Health Theses

Objective: The aim of this study was to determine the role of race as a significant risk factor for prediction of outcomes in heart failure (HF). Methods: The data was collected on demographics, detailed history of HF, family history, vital signs, medication and laboratory profile for 585 patients from Heart failure Treatment Center of Emory University after year of 2000. Outcome of HF was defined as combination of death, placement of left ventricular assisted devise, heart transplant or emergency transplant. The independent relationship between race and outcomes of HF was evaluated by univariate and multivariate logistic regression analyses. The survival …


How Does Alteration Of Airway Resistance Affect Delivered Tidal Volume In Adult Patients Receiving High-Frequency Oscillatory Ventilation?, Essam Ali Aljamhan Jan 2009

How Does Alteration Of Airway Resistance Affect Delivered Tidal Volume In Adult Patients Receiving High-Frequency Oscillatory Ventilation?, Essam Ali Aljamhan

Respiratory Therapy Theses

Concerns exist regarding the ability of HFOV to provide the needed lung protective ventilation for adult patients with ARDS. HFOV is increasingly being used as a lung protecting ventilation mode even if some of its protective attributes may be lost as the airway resistance (Raw) increases or decreases. In fact, in cases of shifting air resistance, HFOV may have caused lung injury. PURPOSE: The purpose of this study was to investigate the effect of airway resistance on tidal volume (Vt) delivered by HFOV to adult patients. Also, the study intended to determine direction for volume change when resistance increases or …