Francis C. Dane

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Twenty-one 10th graders selected as opinion leaders by their peers in a rural county in a southern state participated in a 36-hour peer-educator training program Students Together Against Negative Decisions (STAND) based on diffusion of innovations theory and the transtheoretical model. Comparison subjects received either a 22-hour leadership training(More)
The main objective of this study was to detect fatigue-induced clinical symptoms of immune suppression in medical residents. Samples were collected from the subjects at rest, following the first night (low-stress), and the last night (high-stress) of night float. Computerized reaction tests, Epworth Sleepiness Scale, and Wellness Profile questionnaires were(More)
PURPOSE Over 25 reports have found outpatient frequency of sudden cardiac death peaks between 6 am and noon; few studies, with inconsistent results, have examined circadian variation of death in hospitalized patients. This study assesses circadian variation in cardiopulmonary arrest of in-hospital patients across patient, hospital, and event variables and(More)
CONTEXT No data have been published on the relationship between advanced cardiac life support (ACLS) training of the individual who initiates resuscitation efforts and survival to discharge. OBJECTIVE To determine whether patients whose arrests were discovered by nurses trained in ACLS had survival rates different from those discovered by nurses not(More)
OBJECTIVE Assess the frequency and outcome of inhospital resuscitation and determine the relationship between patient age and survival and whether it is affected by initial rhythm. DESIGN Retrospective, single-institution, registry study of inhospital resuscitation. SETTING A 550-bed, tertiary-care, teaching hospital in Macon, GA. PATIENTS All(More)
CONTEXT Most patients undergoing in-hospital cardiac resuscitation do not survive to hospital discharge. In a previous study, we developed a clinical decision aid for identifying all patients undergoing resuscitation who survived to hospital discharge. OBJECTIVE To validate our previously derived clinical decision aid. DESIGN, SETTING, AND PARTICIPANTS(More)
BACKGROUND Programs for research and practice in resuscitation have focused on identification and reversal of ventricular fibrillation (VF). While substantial progress has been achieved, evidence is accumulating that clinical death is less likely to be caused by fibrillation now than in the 1960s and 1970s. Pulseless electrical activity (PEA) has emerged as(More)
Hoff and colleagues have conducted what could have been an important study regarding nurses' abilities to predict volemic status among patients [1]. Unfortunately, they collected and analyzed their data in a manner inconsistent with accepted statistical procedures. Hoff and colleagues did not incorporate the extent to which the observations for each(More)
OBJECTIVE determine the frequency of initial rhythms in in-hospital resuscitation and examine its relationship to survival. Assess changes in outcome over time. METHODS retrospective cohort (registry) including all admissions to the Medical Center of Central Georgia in which a resuscitation was attempted between 1 January, 1987 and 31 December, 1996. (More)