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Extreme heat and kidney-related emergency room use in Nevada

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TitleInfo
Title
Extreme heat and kidney-related emergency room use in Nevada
Name (type = personal)
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Stephens
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Allison
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1980
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Stephens, Allison, 1980-
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author
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Srinivasan
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Shankar
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Shankar Srinivasan
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Advisory Committee
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chair
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Frederick
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Frederick Coffman
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internal member
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Becker
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Bryan
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Bryan Becker
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Advisory Committee
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outside member
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Wells
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Stephens
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Stephens Wells
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outside member
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Wells
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Stephen
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Stephen Wells
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Advisory Committee
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outside member
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Rutgers University
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degree grantor
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School of Health Professions
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theses
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2020
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2020-08
Language
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English
Abstract
Since Nevada experiences extreme heat all over the state, this study examined whether there was a correlation between emergency department visits for kidney-related illnesses and increasing temperature as signified by the wet bulb globe temperature (WBGT) for the January 1, 2016- December 31, 2019 period.

Public health institutions at international and federal levels have identified anthropogenic climate change as a public health threat, particularly for vulnerable populations. One result of climate change that impacts health is extreme heat. Research shows that extreme heat may lead to negative health outcomes for kidney health.

The primary methodologies were a correlation analysis and linear regression. Additionally, a geospatial analysis was conducted using a heatmap to identify the geographic areas where Nevadans are at the highest level of risk for kidney-related illness as temperatures rise. Based on the literature review, a public policy analysis focused on whether climate-health adaptation including kidney-related illnesses are addressing the human health risks adequately. One limitation of the study was that there was no weather data available for Storey County. There also were limitations on the granularity of data due to the HIPAA minimum cell size standard.

The results of the analyses showed a strong relationship between the WBGT and emergency department visits for kidney-related illness, that urban areas of Nevada are most at-risk, and that public policy does not address the risk sufficiently today. In conclusion, this research indicates that Nevada should focus climate-adaptation and mitigation policies for kidney-related illness on Clark County and Washoe County. Future studies should incorporate geospatial analyses using smaller geographic subdivisions such as census tracts.
Subject (authority = local)
Topic
Climate change and health
Subject (authority = RUETD)
Topic
Biomedical Informatics
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Rutgers University Electronic Theses and Dissertations
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ETD
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School of Health Professions ETD Collection
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ETD_11089
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doi:10.7282/t3-fysw-xv96
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1 online resource (iii, 72 pages)
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Ph.D.
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Includes bibliographical references
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ETD doctoral
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Rights

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The author owns the copyright to this work.
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Stephens
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Allison
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Permission or license
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2020-08-18 14:18:44
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Allison Stephens
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Rutgers University. School of Health Professions
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I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
Copyright
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Copyright protected
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Open
Reason
Permission or license
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Technical

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2020-08-19T22:06:13
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2020-08-19T22:06:13
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