Medicine and Health Sciences Commons^™

Newbery Award Winning Books 1975–2009: How Do They Portray Disabilities?, Melissa Leininger, Tina Taylor, Mary Anne Prater, Melissa Allen Heath

Faculty Publications

Newbery books represent quality literature that has a profound social-emotional impact on its readers, yet these books have not been systematically evaluated for their portrayal of characters with disabilities. Thirty-one Newbery Award and Honor books from 1975–2009 were identified and portrayed 41 main or supporting characters with disabilities. These books were evaluated using the Rating Scale for Quality Characterizations of Individuals with Disabilities in Children’s Literature. Results indicate the representation of Newbery characters with disabilities is not proportionate to the current U.S. population of students with disabilities. Further, racial representation portrayed in these books is not representative of the diverse …

A New Life For The Care Plan?, Laura K. Heermann Langford, Ann Tinker, Marc-Aurel Martial

Faculty Publications

The current hot topic within clinical informatics is meaningful use and incentive payments defined under the Health Information Technology for Economic and Clinical Health (HITECH) Act's electronic health record (EHR) incentive program. This recent legislation calls for healthcare providers to meet a set of minimum requirements using a certified EHR. The point of this government program is to support the widespread adoption of the EHR. The program lays out an overall plan that incentivizes hospitals and providers to implement, adopt, and "meaningfully" use an EHR. The incentive program starts with basic data entry and exchange in a standardized manner, with …

The Influence Of Language Production, Comprehension, And Pragmatic Judgment On Prosocial Behavior In Children With Language Impairment, Nicole Yvette Weber

Theses and Dissertations

The purpose of this study was to examine the relationship between language skills and prosocial behavior in 37 children with language impairment (LI) and 37 typically developing peers matched for age (ranging from 6;11 to 11;1 years). The influence of gender on this relationship was also considered. Three different subtests of the Comprehensive Assessment of Spoken Language (Carrow-Woolfolk, 1999) were used to evaluate language ability in the areas of language comprehension, language production and pragmatic judgment skills. The Teacher Behavior Rating Scale (C. H. Hart & Robinson, 1996) was used to evaluate prosocial behavior. The current study replicated previous research …

Improving Immunization Rates In The Clinic And In The Community, Karlen E. (Beth) Luthy, Arlene M. Sperhac, Sandra A. Faux, Joseph K. Miner

Faculty Publications

Over the past decade, the United States haas had tremendous success in achieving very high immunization compliance rates among children, sometimes as high as 91%. However, despite progress toward controlling the spread of communicable disease through immunizations, more than 2.1 million children nationwide are not adequately immunized. Even among US children who are adequately immunized, only about half of them actually received their immunization on time.

Practical Considerations In Establishing Sustainable International Nursing Experiences, Rae Jeanne Memmott, Catherine R. Coverston, Barbara A. Heise, Mary Williams, Erin D. Maughan, James Kohl, Sheri P. Palmer

Faculty Publications

An understanding of global health and the development of cultural competence are important outcomes of today's baccalaureate nursing programs. Thoughtfully designed International experiences can provide excellent opportunities to achieve those outcomes. Based Ono 16 years of providing International experiences within a baccalaureate curriculum, components are identified that contribute to the development of a sustainable international program. Areas addressed in the article are evaluating the fit with university and college mission, establishing the program within the university operational structure, selecting faculty and students, developing sites, designing a course, and program evaluation.

Postpartum Depression And Culture: Pesado Corazon, Lynn Clark Callister, Renea L. Beckstrand, Cheryl A. Corbett

Faculty Publications

The purpose of this article is to describe what the -literature has shown about postpartum depression (PPD) in culturally diverse women. The majority of qualitative studies done with women identified as -having PPD have been conducted with Western -women, with the second largest group focusing on Chinese women. This article reviews the qualitative studies in the literature and discusses how the management of PPD in technocentric and ethnokinship cultures differs. Social support has been shown to be significantly related to fewer symptoms of PPD, and culturally prescribed practices may or may not be -cultural mediators in decreasing the incidence of …

Samoan Speech Audiometry: Developing Word Recognition Materials For Native Speakers Of Samoan, Emma Lilian Kruger

Theses and Dissertations

Hearing can be evaluated through the presentation of tones or speech. Speech audiometry determines an individual's speech recognition threshold and word recognition score. Traditionally these materials were developed using familiar, frequently used, monosyllabic words. Currently, there are various types of word recognition materials including those which use word lists, short half-lists, and materials which use sentences level stimuli with competing noise. Word recognition materials were first developed in Standard American English; today, materials are now readily available in many other languages. When possible, word recognition materials are developed digitally to standardize their presentation. Currently, no recorded word recognition materials are …

Brain Mapping Of The Mismatch Negativity And The P300 Response In Speech And Nonspeech Stimulus Processing, Skylee Simmons Neff

Theses and Dissertations

Previous studies have found that behavioral and P300 responses to speech are influenced by linguistic cues in the stimuli. Research has found conflicting data regarding the influence of phonemic characteristics of stimuli in the mismatch negativity (MMN) response. The current investigation is a replication of the study designed by Tampas et al. (2005), which studied the effects of linguistic cues on the MMN response. This current study was designed to determine whether the MMN response is influenced by phonetic or purely acoustic stimuli, and to expand our knowledge of the scalp distribution of processing responses to within- and across-category speech …

Body Image In Middle-Aged Mormon Women: A Comparative Case Study, Janette Olsen

Faculty Publications

Body image is a multifaceted construct developed from perceived experiences and personal and cultural attitudes towards the body. Women are more vulnerable than men to internal and external influences regarding negative body image. A qualitative comparative case study design was utilized to explore how 10 lifelong, middle-aged LDS women, either married (n=5) with children or single, never married (n=5), experienced body image through their perceptions of religiosity and spirituality. The participants lived along the Wasatch Front in Utah and were recruited through known LDS gatekeepers. Each participant completed three in-person interviews and three audio or paper journals, which were transcribed …

Frequency Response Of Synthetic Vocal Fold Models With Linear And Nonlinear Material Properties, Stephanie M. Shaw

Theses and Dissertations

Previous studies have shown the importance of cricothyroid muscle activation in altering fundamental frequency in the human voice. Other studies have investigated the non-linear properties of vocal fold tissue and the impact of this non-linearity on frequency response. Several physical models of the vocal folds have been made for research purposes. However, all have been isotropic in nature with linear stress-strain properties. The purpose of this study was to create a physical model with non-linear stress-strain properties to investigate the frequency response of the model as cricothyroid muscle activation was simulated (in other words, as the vocal folds were stretched …

Mild Traumatic Brain Injury: Are Emergency Department Providers Identifying Which Patients Are At Risk?, Barbara Kay Stuart

Theses and Dissertations

Objective: Identify patients with specific emergency department (ED) discharge diagnoses who later report symptoms associated with a mild traumatic brain injury (MTBI), compare frequency and severity of MTBI symptoms by discharge diagnoses, investigate the frequency of head injury education provided to ED patients with each diagnosis, and finally, to learn what type of changes have occurred in the lives of patients as a result of their injury.

Methods: Fifty-two ED patients, aged 18 to 28 who were at least two weeks post injury, spoke English and were discharged with a diagnosis of concussion/closed head injury (CHI), head laceration, motor vehicle …

The Prevalence Of Postpartum Depression In Hispanic Immigrant Women, Nissa Breann Lucero

Theses and Dissertations

Purpose: The purpose of this study was to determine the prevalence of postpartum depression among Hispanic immigrant women seeking healthcare services at a community health clinic.

Data Sources: Hispanic immigrant women were recruited. Out of 116 study participants, 96 women were in the final sample. Using the Beck PDSS-Spanish version, women were screened for symptoms of postpartum depression.

Conclusions: The prevalence rate of significant symptoms of PPD was 54.2% for the entire sample of 96 women. Nearly 66% of women who screened positive for symptoms of PPD scored above the listed cutoff score for suicidal thoughts. Women were divided into …

An Acoustic And Perceptual Investigation Of Contrastive Stress In Children, Anita Susan Dromey

Theses and Dissertations

Key aspects of prosody have been studied in adults for a number of years; however, less attention has been paid to the acoustic patterns of prosody in children. Thus, the purpose of the present study was to evaluate how a group of 20 pre-adolescent children use prosody to mark contrastive stress compared to a control group of adult speakers. It was of interest to investigate whether the children's use of prosody differed between boys and girls or the part of speech being emphasized. The prosodic patterns of contrastive stress were evaluated in terms of duration, fundamental frequency, and intensity change …

Variability Of Syntactic Complexity In Persons With And Without Multiple Sclerosis, Kristin Diane Bjorkman

Theses and Dissertations

Several recent studies have suggested that persons with multiple sclerosis (MS) have diminished syntactic complexity. A greater variability in responses to a variety of tasks has also been noted for persons with MS. However, naturalistic data on syntactic complexity and the complexity's variability in persons with MS have not been examined. In the present study, 8 volunteers with MS (age 18-70 years) and 10 adults without MS participated in both a 15-minute conversational language sample and a sentence completion task in two different sessions. No significant differences were found between groups on any measure, and variability within the groups was …

Development Of Psychometrically Equivalent Speech Recognition Threshold Materials For Native Speakers Of Samoan, Jennifer Lane Newman

Theses and Dissertations

The speech recognition threshold (SRT) is an important measure, as it validates the pure-tone average (PTA), assists in the diagnosis and prognosis of hearing impairments, and aids in the identification of non-organic hearing impairments. Research has shown that in order for SRT testing to yield valid and reliable measures, testing needs to be performed in the patient's native language. There are currently no published materials for SRT testing in the Samoan language. As a result, audiologists are testing patients with English materials or other materials not of the patient's native language. Results produced from this manner of testing are confounded …

Accuracy Of English Speakers Administering Word Recognition Score Tests In Mandarin, Kaylene Barrett Polley

Theses and Dissertations

The purpose of this study was to examine the accuracy of English-speakers in determining the word recognition score of native Taiwan Mandarin-speakers. Digitally recorded Mandarin word lists were presented to 10 native Mandarin-speakers from Taiwan (five male, five female), from whom oral and written responses were collected. Oral responses were scored by 30 native English-speakers, 15 of which had no experience with Mandarin and 15 with two to three years of college-level Mandarin courses or equivalent knowledge of Mandarin. The judges who had experience with Mandarin were able to score the WRS tests with 97% accuracy (with scores ranging from …

Understanding The Perspective Of Adolescent Siblings Of Children With Down Syndrome Who Have Multiple Health Problems, Carol Ann Graff

Theses and Dissertations

The purpose of this qualitative descriptive study was to obtain information from adolescent siblings of children with Down syndrome (CWDS) regarding their perceptions of living with a child who has Down syndrome (DS). Twenty-three adolescents between 12 and 19 years of age who lived with a child who had DS and additional health problems including cardiac, endocrine, gastrointestinal, hematological, neurological, and behavioral conditions were interviewed individually. After examining the tape recorded interviews, major themes revealed both positive and negative aspects of living with a child with DS who has major health problems. However, overall the adolescents reflected more positive experiences …

Normal Masking Level Difference Parameters For Use In The Clinical Evaluation Of Auditory Processing Disorders, Maria Noelle Burnham

Theses and Dissertations

Masking Level Difference (MLD) tests are an established component of auditory processing test batteries; however, normative data for these tests vary according to procedure. In this study, forty normal, native-English speaking adults between the ages of 18 and 26 were tested for MLD via a newly developed computer software program using both an adaptive procedure (MLDA) and a Bekesy procedure (MLDB). The results from the two procedures were analyzed for sex differences and compared with each other. For both the MLDA and MLDB, the results showed statistically significant sex differences in the masked thresholds used to obtain the MLD (NoSo …

The Relationship Between Acoustic And Kinematic Measures Of Diphthong Production, Gwi-Ok Jang

Theses and Dissertations

The purpose of this study was to examine the correlation between acoustic and kinematic measures of diphthong production in 11 individuals with multiple sclerosis (MS) and 11 neurologically healthy control speakers. The participants produced four diphthongs: /ɔɪ/, /aʊ/, /aɪ/, /eɪ/. These sounds were spoken in a sentence context. Their speech audio signal was recorded with a microphone and their tongue movements were recorded with a magnetic tracking system. The first and second formants (F1 and F2) were computed with acoustic analysis software, and these signals were time-aligned with the vertical and anteroposterior magnet movement records. Pearson correlations between F1 and …

The Elan Event-Related Potential In Children 5 To 12 Years Of Age, Melissa Crandall

Theses and Dissertations

The examination of Event Related Potentials during language processing tasks provides valuable information of how the brain processes language over time. In the current study, the development of the early left anterior negativity (ELAN) was analyzed in young children. Previous research has described the ELAN as a negative waveform elicited during syntactic processing between 200 and 500 ms post linguistic stimuli. Thirty children from 5 to 12 years of age listened to sentences that were linguistically correct, syntactically incorrect, or semantically incorrect. Sentences were presented for right monaural, left monaural, and binaural ear conditions to determine possible differences related to …

Language As A Predictor Of Reticence In Children With Language Impairment, Patricia Anne Moses

Theses and Dissertations

This study examined the relationship between language skills and reticence in 37 children with language impairment (LI) and 37 typically developing peers matched for age (ranging from 6;11 to 10;1 years) and gender. Subtests of the Comprehensive Assessment of Spoken Language (E. Carrow-Woolfolk, 1999) were used to evaluate language ability. The Teacher Behavior Rating Scale (C. H. Hart & C. C. Robinson, 1996) was used to evaluate reticence. The current study replicated previous research by documenting significantly higher levels of reticence in children with LI when compared to typical peers. Significant group differences were also found in paragraph comprehension, syntax …

The Course Council: An Example Of Student-Centered Learning, Deborah Himes, Barbara Heise

Faculty Publications

To promote student-centered learning, a course council was established in a beginning undergraduate nursing course. A student representative was selected by peers to attend a monthly course council meeting with faculty. Representatives were asked to query classmates in their section of eight students regarding opinions, questions, and concerns about the course and then bring those views to the council. In this monthly, small group, open dialogue setting, students spoke freely about experiences in the classroom, laboratory, and clinical settings. The stage was set for reflection, problem solving, and decision making involving students and faculty. Student input led to meaningful course …

Establishing Normal Psychoacoustic Parameters Using Adaptive Procedures For The Clinical Assessment Of Psychoacoustic Phenomenon, Maria Noelle Burnham

Theses and Dissertations

Masking Level Difference (MLD) tests are an established component of auditory processing test batteries; however, normative data for these tests vary according to procedure. In this study, forty normal, native-English speaking adults between the ages of 18 and 26 were tested for MLD via a newly developed computer software program using both an adaptive procedure (MLDA) and a Bekesy procedure (MLDB). The results from the two procedures were analyzed for sex differences and compared with each other. For both the MLDA and MLDB, the results showed statistically significant sex differences in the masked thresholds used to obtain the MLD (NoSo …

Nursing Students: Untapped Resource For Running Computerized Patient Simulators, Starla Aragon, Amy Kotter, Patricia K. Ravert, Suzan E. Kardong-Edgren

Faculty Publications

High-fidelity simulation (HFS) is sweeping the nation as a legitimate and exciting new resource for nursing educators. As with most new technologies, HFS is not without its difficulties. It can be a costly program to run and may also cause anxiety among the faculty required for implementation. There is a simple solution to help increase the ease of its implementation: using student workers. This article discusses how using students to help run the simulations can not only reduce overall cost and anxiety associated with this new technology but also increase learning among those participating in HFS.

The Influence Of Language Production, Comprehension, And Pragmatic Judgment On Solitary-Passive Withdrawal In Children, Rachel Johnston

Theses and Dissertations

Previous studies examining withdrawal in children with language impairment (LI) have found that these children are more socially withdrawn than their typically developing peers. It seems reasonable to assume that a causal relationship exists between language deficits and withdrawal. However, there is growing evidence that different subtypes of withdrawal have varying social consequences and language may not be closely linked to each subtype. In the present study, subtests from the Comprehensive Assessment of Spoken Language (CASL; Carrow-Woolfolk, 1999) were used to evaluate specific language skills and the Teacher Behavior Rating Scale (TBRS; Hart & Robinson, 1996) was used to evaluate …

Giving Birth: The Voices Of Ecuadorian Women, Lynn Clark Callister, Cheryl A. Corbett, Shelly Reed, Cassidy Tomao, Katie G. Thornton

Faculty Publications

Purpose: The purpose of this ethnographic study was to describe the perceptions of Ecuadorian childbearing women. Background: No studies published in English could be found documenting the perspectives of Ecuadorian childbearing women about their birth experiences. Method: Thirty-two women who had recently given birth in Guayaquil, Ecuador participated in audiotaped interviews, which were analyzed as appropriate for ethnographic inquiry. Results: “Enduring birth to obtain the gift” was the overarching theme. Supporting themes included caring for self and accessing prenatal care to have a healthy newborn; relying on God to ensure positive maternal/newborn outcomes; submission of self to healthcare providers because …

Formant Changes In Amateur Singers After Instruction In A Vowel Equalization Technique, Emily Mullins Heaton

Theses and Dissertations

Vowel equalization is a technique that can be used by singers to achieve a more balanced vocal tone. The technique balances corresponding front and back vowels, which share approximate tongue heights, and also balances high and low vowels in a more neutral or centralized lingual posture. Formants are resonance peaks that define each specific vowel. This study measured shifts in the first and second formants (F1 and F2) of the vowels /e, i, ɑ, o, u/ following training in vowel equalization. Prior to the training, the vowel formants were measured in amateur 15 college-aged singers. They sang the first two …

The N400 Event-Related Potential In Children Across Sentence Type And Ear Condition, Laurie Anne Hansen

Theses and Dissertations

This study investigated the neurophysiology of semantic language processing in children, ages 5 to 12 years. A well-established marker of semantic processing, the N400 event related potential (ERP), was analyzed within and across child age groups. Child N400s were recorded in response to correct sentences, semantically incorrect sentences, and syntactically incorrect sentences. N400s were also recorded across ear condition to examine potential processing differences. Children across all age groups consistently demonstrated N400s in the semantic error condition. N400s were also regularly observed in the syntactic error condition; especially, for younger children. Younger children also demonstrated N400s even in response to …

Bidirectional Interference Between Speech And Postural Stability In Individuals With Parkinson's Disease, Christopher Dromey, Eon Jarvis, Stuart Sondrup, Shawn Nissen, K. Bo Foreman, Leland E. Dibble

Faculty Publications

Because people frequently talk while engaged in other activities, and because Parkinson's disease (PD) is known to diminish multi-tasking performance, we examined dual task interference between speaking and postural stability in 9 individuals with PD, 7 age-matched and 10 healthy young controls. Participants repeated a target utterance and performed a rise to toes task in both single and dual task conditions. Diphthong transitions were measured from audio recordings and postural variables reflecting planning, coordination, and stability were derived from a multi-camera motion capture system and force plate recordings. Thus, sensitive measures of both control groups for the isolated postural task, …

Parent Involvement In End-Of-Life Care And Decision Making In The Newborn Intensive Care Unit: An Integrative Review, Lacey M. Eden, Lynn Clark Callister

Faculty Publications

Survival rates for very preterm and critically ill infants are increasing, raising complex ethical issues for health-care providers and parents who face the challenge of making end-of-life decisions for newborns. The purpose of this integrative literature review was to evaluate parental involvement in end-of-life care and decision making for their infant in the newborn intensive care unit. Findings revealed that establishing good relationships and clear communication between health-care providers and parents builds trust and eases stress placed on parents making decisions about the care of their infant. Palliative care programs provide support for parents and facilitate their decision making. Parents …