Medicine and Health Sciences Commons^™

Chronic Subjective Dizziness (Csd) Vs. Conversion Disorder: Discussion Of Clinical Findings And Rehabilitation., Julie A. Honaker, Jane M. Gilbert, Jeffrey P. Staab

Department of Special Education and Communication Disorders: Faculty Publications

PURPOSE: Audiologists frequently encounter patients who complain of chronic dizziness or imbalance, in the absence of active vestibular or neurological deficits. Knowledge about conditions that cause this clinical presentation will allow audiologists to make important contributions to accurate diagnosis and effective management of these patients. This article reviews two such conditions, chronic subjective dizziness (CSD) and conversion disorder. METHOD: A case of CSD and another of conversion disorder are presented with a literature review of their clinical presentations, key diagnostic features, and treatment strategies. The role of the audiologist in assessing patients with these conditions and facilitating appropriate treatment referrals …

Modified Head Shake Computerized Dynamic Posturography, Julie A. Honaker, Connie M. Converse, Neil T. Shepard

Department of Special Education and Communication Disorders: Faculty Publications

PURPOSE: Recent research on head shake posturography has demonstrated a modest increase in sensitivity to identifying peripheral vestibular system asymmetry when horizontal head movements were added to portions of the standard Sensory Organization Test (SOT) battery. However, limitations with respect to the head shake protocol were outlined, and usable data for assessing performance could not be established. The purpose of this study was to test a change in protocol for use of head shake SOT to address the noted limitations.
METHOD: Forty participants ranging in age from 20 to 79 years with no history of dizziness completed Conditions 2 and …

Parental Perceptions Of Body Mass Index Referrals And Overweight School-Age Children, Misty Schwartz

Department of Educational Administration: Dissertations, Theses, and Student Research

It is well documented that there is a worldwide epidemic of obesity in children. To address obesity in children, emphasis must be on factors within family, school, and community environments. Although most parents and school officials are aware of the problem of overweight children, there is little data available to guide decision making about the acceptability of school-based Body Mass Index (BMI) screening and referral programs. As states mandate BMI screening and referral, parental insight is essential to determine the efficiency and effectiveness of BMI notification.

The purpose of this multiple case study was to explore the perceptions of parents …

Leadership Development Of Registered Dietitians, Anne Marie Bigley Hunter

Department of Nutrition and Health Sciences: Dissertations, Theses, and Student Research

This study investigated leadership development of Registered Dietitians in nationally elected or appointed leadership positions of the American Dietetic Association. An explanatory sequential mixed method design: participant selection model was used collecting qualitative data after a quantitative phase. Demographic data were collected via a mailed survey questionnaire followed by, with consent, a web based validated Sentence Completion Test International- Maturity Assessment Profile Research Version (2) (SCTi- MAP) to determine their stage of leadership development. Of the 97 participants, 86% (n=83) responded to the survey questionnaire with 92% (n=79) rating the importance of dietitians being leaders as very important; 100% (n=83) …

Modifying National Public Health Performance Standards For Local Public Health Department Accreditation, Jeffrey G. Kuhr

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Public health officials throughout the United States are currently preparing for a national accreditation initiative for local and state public health agencies. As a voluntary program, the accreditation process will measure the degree to which state, local, tribal, and territorial public health departments meet nationally recognized standards and measures. Proponents of the initiative feel that evaluating public health agencies on their capacities to achieve certain standards will lead to improved service quality, consistency of public health roles nationally, and a greater understanding of those roles among the general population. However, in planning for agency accreditation some potential barriers must be …

Fukuda Stepping Test: Sensitivity And Specificity, Julie A. Honaker, Neil T. Shepard

Department of Special Education and Communication Disorders: Faculty Publications

Background: A vestibulospinal test known as the Fukuda Stepping Test (FST) has been suggested to be a measure of asymmetrical labyrinthine function. However, an extensive review of the performance of this test to identify a peripheral vestibular lesion has not been reported.
Purpose: The purpose of this study was to evaluate the sensitivity and specificity of the standard FST and a head shaking variation for identification of a peripheral vestibular system lesion.
Research Design: In this retrospective review, we compared performance on the FST with and without a head shaking component to Electronystagmography (ENG) caloric irrigation unilateral weakness results.
Study …