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Open Access. Powered by Scholars. Published by Universities.®

2013

Brigham Young University

Articles 1 - 30 of 47

Full-Text Articles in Medicine and Health Sciences

Outcomes Of An Emotion Word Intervention For Children With Social Communication Impairments, Rebecca Cloward Mansfield Dec 2013

Outcomes Of An Emotion Word Intervention For Children With Social Communication Impairments, Rebecca Cloward Mansfield

Theses and Dissertations

Children with social communication disorders have been found to exhibit deficits in emotional intelligence, including the ability to identify emotions attributed to facial expressions. The purpose of this thesis was to examine the efficacy of a social communication intervention program designed to increase the accuracy of emotion based word use in three elementary school-aged participants with social communication disorders. The participants took part in a multiple-baseline, 20-session treatment including story enactment, journaling procedures, and supplementary activities. The story enactment portion of the intervention centered on Mercer Mayer's A Boy, A Dog, and A Frog (1967) wordless picture book series. Participants' …

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Brain Mapping Of The Mismatch Negativity Response To Vowel Variances Of Natural And Synthetic Phonemes, Lyndsy Marie Smith Nov 2013

Brain Mapping Of The Mismatch Negativity Response To Vowel Variances Of Natural And Synthetic Phonemes, Lyndsy Marie Smith

Theses and Dissertations

The mismatch negativity (MMN) is a specific event-related potential (ERP) component used frequently in the observation of auditory processing. The MMN is elicited by a deviant stimulus randomly presented in the presence of repeating stimuli. The current study utilized the MMN response in order to determine the temporal (timing) and linguistic processing of natural and synthetic vowel stimuli. It was hypothesized that a significant MMN response would be elicited by natural and synthetic vowel stimuli. Brain mapping of the MMN response was hypothesized to yield temporal resolution information, which would provide detail regarding the sequential processing differences between natural and …

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A Boot Camp Approach To Remediating Interdental /S/ In A School-Aged Child, Melanie Ellen Peris Nov 2013

A Boot Camp Approach To Remediating Interdental /S/ In A School-Aged Child, Melanie Ellen Peris

Theses and Dissertations

The relationship between speech articulation therapy dose (frequency, intensity, duration) and treatment outcomes are poorly understood. Identifying optimal therapy doses for specific articulation disorders is essential to providing efficient clinical care. Recent research indicates that intensive speech therapy doses-known as boot camps-may promote rapid improvement and generalization for certain speech disorders. Therefore the present investigation examined the effects of a boot camp speech therapy approach to remediate interdental /s/ production in an 8-year-old male. The boot camp included two days of speech therapy involving visual, tactile, and auditory feedback approaches. Therapy was administered 5.5 hours per day across morning and …

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Intraosseous Vascular Access For Alert Patients, Stacie Hunsaker Nov 2013

Intraosseous Vascular Access For Alert Patients, Stacie Hunsaker

Faculty Publications

Nurses are often faced with the challenge of starting an IV line in a patient who is dehydrated, has suffered trauma, or is in shock. Even the efforts of the most skilled clinician may fail, while valuable time is lost. Intraosseous access is a rapid, safe, and effective route for delivering fluids and medications, and is recommended by numerous professional and specialty organizations for both pediatric and adult patients. Yet many clinicians remain unaware of the procedure. This article outlines the procedure and devices used, describes support for use in the literature, and discusses various considerations and nursing implications.

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Intraosseous Vascular Access For Alert Patients, Stacie Hunsaker Nov 2013

Intraosseous Vascular Access For Alert Patients, Stacie Hunsaker

Faculty Publications

Nurses are often faced with the challenge of starting an IV line in a patient who is dehydrated, has suffered trauma, or is in shock. Even the efforts of the most skilled clinician may fail, while valuable time is lost. Intraosseous access is a rapid, safe, and effective route for delivering fluids and medications, and is recommended by numerous professional and specialty organizations for both pediatric and adult patients. Yet many clinicians remain unaware of the procedure. This article outlines the procedure and devices used, describes support for use in the literature, and discusses various considerations and nursing implications.

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Femoroacetabular Impingement: A Guide To Diagnosis In Primary Care, Alec Rimmasch Jr., Patricia K. Ravert Sep 2013

Femoroacetabular Impingement: A Guide To Diagnosis In Primary Care, Alec Rimmasch Jr., Patricia K. Ravert

Faculty Publications

Femoroacetabular impingement (FAI) has been a diagnosis for approximately a decade in the medical field. Although FAI was once considered uncommon, it is now documented as 1 of the most common hip disorders. FAI is a variance or overgrowth within the femoral head neck space, acetabular ring, labrum, or cartilage. Patients with FAI frequently present in a general practice setting and endure months of pain and physical therapy before a correct diagnosis is ascertained. Understanding FAI and appropriate treatment and diagnostic procedures will facilitate early diagnosis in the primary care setting, providing the best chance for patient recovery.

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Predictors Of Cooperative And Externalizing Behaviors In Siblings Of Children With Disabilities, Christine Rae Platt Sep 2013

Predictors Of Cooperative And Externalizing Behaviors In Siblings Of Children With Disabilities, Christine Rae Platt

Theses and Dissertations

Objective: To examine whether caregiver burden, parenting style, and sibling relationships in families raising a child with a disability (CWD) predict cooperative and externalizing behaviors in typically-developing sibling (TDS). Methods: This correlational study included 189 families raising both a CWD and a TDS. Mothers and fathers completed self-report questionnaires on caregiver burden, sibling relationships, parenting style, and TDS cooperative and externalizing behaviors. Results: Authoritative parenting was positively associated with cooperative behaviors, whereas authoritarian parenting was positively associated with externalizing behaviors. Hierarchical regression revealed caregiver burden was a significant predictor of cooperative and externalizing behaviors; however, when parenting style was added …

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Study Abroad Programs: Using Alumni And Graduate Students As Affiliate Faculty, Sheri Palmer, Debra Wing, Leslie Miles, Sondra Heaston, Karen H. De La Cruz Sep 2013

Study Abroad Programs: Using Alumni And Graduate Students As Affiliate Faculty, Sheri Palmer, Debra Wing, Leslie Miles, Sondra Heaston, Karen H. De La Cruz

Faculty Publications

To expand student appreciation of global health and diversity, many schools of nursing offer study abroad programs. However, this type of labor-intensive program can be difficult in light of faculty shortages and constrained resources. The authors discuss how these issues were addressed using alumni and graduate students as affiliate teachers in 3 clinical study abroad settings.

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Underutilization Of Primary Care Providers In Treating Opiate Addiction, Jennifer Jenkinson, Patricia K. Ravert Aug 2013

Underutilization Of Primary Care Providers In Treating Opiate Addiction, Jennifer Jenkinson, Patricia K. Ravert

Faculty Publications

There are inadequate numbers of care providers or treatment programs to treat opioid abuse. Although many primary care nurse practitioners care for patients who are dependent on or abuse opioids, they are not allowed to prescribe the schedule 3 medications to treat them. This option is available to primary care physicians with additional training. This article discusses the effectiveness of opioid substitution therapy in a primary care setting, the patient populations, patient satisfaction, and barriers preventing primary care providers from providing treatment to opioid patients. Nurse practitioners can help overcome some of these barriers and improve access to this underserved …

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Nln/Jeffries Simulation Framework: State Of The Science Summary, Patricia K. Ravert, Julie Mcafoees Jul 2013

Nln/Jeffries Simulation Framework: State Of The Science Summary, Patricia K. Ravert, Julie Mcafoees

Faculty Publications

In summer 2011, a research task force from the International Association of Clinical Simulation and Learning (INACSL), in consultation with Dr. Pamela Jeffries, invited international nursing researchers and educators to participate in a project to evaluate state-of-the-science and existing research regarding the simulation model/framework (Jeffries, 2005, Jeffries, 2007). The model/framework was developed to define simulation education variables and provide an organized guide. The 21 researchers and educators worked on one of five teams, one for each of the five existing major model/framework constructs (Teacher, Student, Educational Practices, Outcomes, and Simulation Design Characteristics).

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Examining Parents' Interactions With Their Children During Literacy Activities, Kerianne Frodsham Allsop Jul 2013

Examining Parents' Interactions With Their Children During Literacy Activities, Kerianne Frodsham Allsop

Theses and Dissertations

The purpose of this study was to examine the nature of conversational interactions between parents and their children during early literacy instructional activities. Parents engaged their children in interactions within hands-on activities designed to teach specific literacy skills as part of a kindergarten project entitled Systematic and Engaging Early Literacy (SEEL). Data for this study were extracted from audio and video recordings of parent-child interactions during three targeted literacy activities. Specialized software (LENA Pro) was used to analyze the interactions regarding adult and child use of targeted words (word count) and turn taking. To gain additional information about the exchanges, …

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Maximization Of Hydraulic Flow Through Small Flexible Polymer Tubes By The Optimization Of Tubing Stiffness And Wall Thickness, Christopher L. Chipman Jul 2013

Maximization Of Hydraulic Flow Through Small Flexible Polymer Tubes By The Optimization Of Tubing Stiffness And Wall Thickness, Christopher L. Chipman

Theses and Dissertations

As illness becomes increasingly more common in the United States and across the globe, the need for better and faster medical treatment is greater than ever. The purpose of this work is to evaluate advanced polymers and polymer composites that will provide for increased fluid flow while maintaining outer dimensional, stiffness, and burst resistance characteristics when compared to a currently used material. A polymer configuration consisting of a proprietary formulation that has a durometer approximately 10% higher than the current material with an outer wall thickness of approximately .020" passed a series of tests involving tensile strength, stiffness, flexural fatigue …

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The Effectiveness Of Systematic And Engaging Early Literacy (Seel) Intervention On Word Reading In Kindergarten Students Receiving Tier 3 Services, Christina Haley Cole Jul 2013

The Effectiveness Of Systematic And Engaging Early Literacy (Seel) Intervention On Word Reading In Kindergarten Students Receiving Tier 3 Services, Christina Haley Cole

Theses and Dissertations

This study evaluated the effectiveness of the Systematic and Engaging Early Literacy (SEEL) intervention method to improve consonant-vowel-consonant (CVC) reading in four students receiving Tier 3 services. The SEEL intervention method was also combined with the use of digital books on an iPad to investigate the effects of using technology in reading intervention sessions. Previous research indicates effectiveness for the foundational principles of SEEL, which include instruction in engaging, meaningful contexts that provide frequent and intense opportunities to practice. This research involved 4 kindergarten students who qualified for Tier 3 services based on their performance on an index of difficulty …

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Social Networks Of Children With Language Impairment, Serena Marita Louisa Mickelson Jul 2013

Social Networks Of Children With Language Impairment, Serena Marita Louisa Mickelson

Theses and Dissertations

Children with language impairment (LI) often exhibit social difficulties along with language issues that can affect their friendships with peers. This study sought to identify the self-reported social networks of children with LI and compare them to the self-reported social networks of children with typical language development. Sixteen children with LI (9 girls and 7 boys) between the ages of 5-11 years, and sixteen children with typical language development matched for age and gender were studied. Children were asked to name interactants in four social circles (Blackstone & Hunt Berg, 2003): family, friends, acquaintances, and paid interactants. A parent also …

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Family Implicit Rules, Shame, And Adolescent Prosocial And Antisocial Behaviors, Jeffrey Paul Crane Jul 2013

Family Implicit Rules, Shame, And Adolescent Prosocial And Antisocial Behaviors, Jeffrey Paul Crane

Theses and Dissertations

This exploratory cross-sectional study examined the relationship between implicit family process rules and adolescent prosocial and antisocial communication behaviors. Data came from two-parent families in wave 5 of the Flourishing Families project which consisted of 322 families (fathers, mothers and children ages 13-17). Both observational and questionnaire data were used in data collection. Prosocial and antisocial behaviors were assessed using observational codes from the Iowa Family Interaction Rating Scales (Melby, et al., 1998). Each of the family members' perceptions were used to assess constraining family rules and facilitative family rules. Findings showed a direct positive relationship between facilitative family process …

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Raising Children With Type 1 Diabetes And Celiac Disease: Parental Experiences, Kerri Louise Erickson Jul 2013

Raising Children With Type 1 Diabetes And Celiac Disease: Parental Experiences, Kerri Louise Erickson

Theses and Dissertations

The purpose of this qualitative descriptive study was to examine parental experiences and challenges raising children with both T1DM and CD. Twenty-six families, including 30 parents (25 mothers, 4 fathers, and one custodial grandmother), participated in a 30-60 minute audio-recorded interview designed to explore parental experiences raising children with both T1DM and CD. Participants were asked IRB approved open-ended questions about their experiences raising a child with both diseases. Direct quotations best representing categories/sub-categories were identified through selective coding. Analysis revealed seven main themes: Six themes parents are concerned about, including (a) their child's health complications, b) the challenges of …

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Psychological Control, Parental Support, Adolescent Grades And School Engagement, David Brian Thompson Jul 2013

Psychological Control, Parental Support, Adolescent Grades And School Engagement, David Brian Thompson

Theses and Dissertations

As we examined research on the effects of parental psychological control and support on adolescents, we noted that these variables have not been widely studied in relation to academic achievement. Using Flourishing Families data, we examined a subsample of females and males who reported parental psychological control and support as well as school engagement variables from adolescents, fathers and mothers. We also used observed variables of grade point average (GPA). Structural equation modeling was used to determine whether parental psychological control and support would negatively or positively relate with academic achievement outcomes of GPA and school engagement. Psychological control and …

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The Cost Effectiveness Of Collaborative Mental Health Services In Outpatient Psychotherapy Care, Ashley Ann Maag Jul 2013

The Cost Effectiveness Of Collaborative Mental Health Services In Outpatient Psychotherapy Care, Ashley Ann Maag

Theses and Dissertations

This study compared the differences in treatment length, cost, cost effectiveness, dropout, and recidivism between a biomedical, talk therapy, and a collaborative mental health model for outpatient psychotherapy insurance claims. A biomedical model was the most cost effective with fewer sessions, but had a significantly higher dropout rate. Collaborative care had the least dropout, but also had higher costs and recidivism rates. Within collaborative care, differences between modality type, diagnosis, and provider type combinations were also examined. Within collaborative models, mixed modes of therapy had the lowest dropout, but at significantly higher costs and recidivism rates. Family therapy had the …

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Intrinsic Religiosity And Adolescent Depression And Anxiety: The Mediating Role Of Components Of Self-Regulation, Brent Charles Black Jul 2013

Intrinsic Religiosity And Adolescent Depression And Anxiety: The Mediating Role Of Components Of Self-Regulation, Brent Charles Black

Theses and Dissertations

This study examined the possible mediating role of the emotional, behavioral, and cognitive components of self-regulation as they relate to adolescent intrinsic religiosity and the internalizing problems of teen depression and anxiety. The sample included 459 adolescent respondents from one wave of the Flourishing Families Project, an ongoing longitudinal study. Through the use of Structural Equation Modeling, results showed that cognitive self-regulation partially mediated the relationship between intrinsic religiosity and adolescent depression. Additionally, emotional self-regulation, but not behavioral self-regulation was found to be negatively linked with both depression and anxiety. These findings provide clinicians with greater direction when working with …

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Metabolic Syndrome And Depression: A Systematic Review Of The Association, Michael S. Robinson Jun 2013

Metabolic Syndrome And Depression: A Systematic Review Of The Association, Michael S. Robinson

Student Works

Purpose: To explore whether there is an association between metabolic syndrome (MetS) and depression, the nature of the relationship, and implications for practicing health care professionals. Data Sources: Peer reviewed articles obtained through electronic database search in: CINAHL, The Cochrane Library, MEDLINE, and PsychINFO between the years of 2006 and 2013. Results: MetS and depression have a bidirectional association; MetS leads to depression and vice-versa. More severe depression has a stronger association with MetS. Increased waist circumference (AKA: abdominal obesity, body mass index [BMI]), elevated triglycerides, and low HDL cholesterol are the MetS components most commonly/strongly associated depression. Though not …

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The Relationship Between Romantic Relationship Initiation Processes Of Single Lds Emerging Adults And Change In Attachment Working Models With Implications For Practice, Matthew Lloyd Call Jun 2013

The Relationship Between Romantic Relationship Initiation Processes Of Single Lds Emerging Adults And Change In Attachment Working Models With Implications For Practice, Matthew Lloyd Call

Theses and Dissertations

Relationship initiation is an integral part of romantic relationship development and a key developmental task of emerging adulthood (Arnett, 2004). In addition, relationship initiation practices (such as dating) have the capacity to impact the fluctuating levels of attachment insecurity (whether anxiety or avoidance) that an individual experiences over the course of emerging adulthood (Mikulincer & Shaver, 2007). In the present study, I utilized latent growth curve modeling to examine whether certain dating variables (first dates, second or more dates, relationship breakups, dateless weeks) compiled over a 32 week dating history, as well as age and gender could predict change in …

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The Effect Of Age On Speech Motor Performance During Divided Attention, Dallin J. Bailey Jun 2013

The Effect Of Age On Speech Motor Performance During Divided Attention, Dallin J. Bailey

Theses and Dissertations

The present study examined the divided attention effects of three non-speech tasks on concurrent speech motor performance. These tasks targeted linguistic, cognitive, and manual motor activity. Participants included 60 healthy adults separated into three different age groups of twenty participants each: college-age (20s), middle-aged (40s), and older adults (60s). Each participant completed a speech task once in isolation and once concurrently with each of the three non-speech tasks: a semantic decision task, a quantitative comparison task, and a manual motor task. The non-speech tasks were also performed in isolation. The speech task involved repeating a target phrase each time a …

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The Effect Of Using Low Dose Exposure To A Humanoid Robot To Elicit Social Engagement Behaviors In Children With Autism Interacting With A Familiar Adult, Cambrie Nicole Roueche Jun 2013

The Effect Of Using Low Dose Exposure To A Humanoid Robot To Elicit Social Engagement Behaviors In Children With Autism Interacting With A Familiar Adult, Cambrie Nicole Roueche

Theses and Dissertations

This study examined the effects of low dose exposure to a humanoid robot on the social engagement skills of four children with autism during select activities with a familiar adult. Participants included two males and two females who ranged in age from four to nine at the commencement of the study. The current study was part of a larger investigation focused on the effect of exposure to a robot on social engagement with a variety of social partners and situations. Children participated in variable multiple baseline sessions followed by a varied number of sessions of traditional treatment. After traditional treatment, …

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Automated Identification Of Relative Clauses In Child Language Samples, Erika E. Ehlert Jun 2013

Automated Identification Of Relative Clauses In Child Language Samples, Erika E. Ehlert

Theses and Dissertations

Relative clauses are grammatical constructions that are of relevance in both typical and impaired language development. Thus, the accurate identification of these structures in child language samples is clinically important. In recent years, computer software has been used to assist in the automated analysis of clinical language samples. However, this software has had only limited success when attempting to identify relative clauses. The present study explores the development and clinical importance of relative clauses and investigates the accuracy of the software used for automated identification of these structures. Two separate collections of language samples were used. The first collection included …

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The Effects Of Emotion On Acoustic Characteristics Of Vocal Vibrato In Trained Singers, Sharee Oakes Holmes Jun 2013

The Effects Of Emotion On Acoustic Characteristics Of Vocal Vibrato In Trained Singers, Sharee Oakes Holmes

Theses and Dissertations

The purpose of this study was to investigate the effects of emotion on several key acoustic features of vibrato including vibrato rate, extent, and steadiness (measured by FM rate COV and FM extent COV). We hypothesized that intensity of emotion would have a significant effect on vibrato rate, extent, and periodicity, although the direction of these changes was undetermined. There were 10 participants, including eight females and two males, who were graduate student singers with high competency ratings. Each participant completed a series of tasks including sustained vowels at several pitch and loudness levels, an assigned song that was determined …

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Brain Imaging Of Event Related Potentials In Children With Language Impairment, Hillary Ann Benton Jun 2013

Brain Imaging Of Event Related Potentials In Children With Language Impairment, Hillary Ann Benton

Theses and Dissertations

Event related potentials (ERPs) may provide specific information about how particular aspects of language are processed by the brain over time. This study investigated the electrophysiology of language processing in two children with language impairment (LI) when compared to five typically developing children. The N400, P600, and the early left anterior negativity (ELAN) were analyzed after participants listened to linguistically correct, syntactically incorrect, and semantically incorrect sentences. Participants were instructed to indicate whether the sentences were correct or incorrect. Latency and amplitude of the ERP components were compared between the two groups of participants and sentence types. Results from the …

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The Effectiveness Of Using Electropalatography To Remediate A Developmental Speech Sound Disorder In A School-Aged Child With Hearing Impairment, Kristina Lynne Pickett Jun 2013

The Effectiveness Of Using Electropalatography To Remediate A Developmental Speech Sound Disorder In A School-Aged Child With Hearing Impairment, Kristina Lynne Pickett

Theses and Dissertations

Advances in instrumentation and computer technology such as electropalatography (EPG) have offered additional types of feedback to more traditional therapy for individuals with speech disorders, specifically those with hearing impairment. The purpose of this study was to document whether therapeutic integration of EPG visual feedback in combination with traditional articulation therapy for a school-aged child with an articulation disorder secondary to hearing impairment was more effective than traditional therapy alone. One participant received five sessions of each therapy approach. Six adult listeners rated the quality of the participant's production of /r/ in words recorded during the therapy sessions. The EPG …

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Vitamin D Deficiency And Acute Lower Respiratory Infections In Children Under 5 Years Of Age: A Systematic Review, Allison Larkin Jun 2013

Vitamin D Deficiency And Acute Lower Respiratory Infections In Children Under 5 Years Of Age: A Systematic Review, Allison Larkin

Student Works

Introduction: Acute lower respiratory infection (ALRI) is the leading cause of mortality in children 5 years and younger. The purposes of this literature review were to examine vitamin D deficiency (VDD) and ALRI in children 5 years and younger and make recommendations regarding vitamin D to prevent ALRI. Method: Databases were searched for studies investigating VDD and ALRI in children 5 years and younger. Two independent reviewers assessed internal validity using the U.S. Preventive Services Task Force grading criteria. Results: Eighteen studies met inclusion criteria. VDD was associated with increased risk or increased severity of ALRI in 13 studies, but …

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The Effects Of Practice On The Concurrent Performance Of A Speech And Postural Task In Persons With Parkinson Disease And Healthy Controls, K. Bo Foreman, Stuart Sondrup, Christopher Dromey, Eon Jarvis, Shawn Nissen, Leland E. Dibble May 2013

The Effects Of Practice On The Concurrent Performance Of A Speech And Postural Task In Persons With Parkinson Disease And Healthy Controls, K. Bo Foreman, Stuart Sondrup, Christopher Dromey, Eon Jarvis, Shawn Nissen, Leland E. Dibble

Faculty Publications

Purpose. Persons with Parkinson disease (PD) demonstrate deficits in motor learning as well as bidirectional interference (the performance of one task concurrently interferes with the performance of another task) during dual-task performance. Few studies have examined the practice dosages necessary for behavioral change in rehabilitation relevant tasks. Therefore, to compare the effects of age and PD on motor learning during dual-task performance, this pilot study examined persons with PD as well as neurologically healthy participants during concurrent performance of postural and speaking tasks. Methods. Seven persons with PD and 7 healthy age-matched and 10 healthy young control subjects …

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Cultural Aspects Of Latino Early Childhood Obesity, Lauren Clark, Susan L. Johnson, Mary E. O'Connor, Jane H. Lassetter May 2013

Cultural Aspects Of Latino Early Childhood Obesity, Lauren Clark, Susan L. Johnson, Mary E. O'Connor, Jane H. Lassetter

Faculty Publications

The problem of Latino childhood obesity is well known, and experts agree that the sooner it is addressed in a child’s life, the better. Strong evidence from nationwide studies suggests that obesity begins in infancy for Mexican Americans. National data demonstrate the dramatic increase in weight-for-recumbent length above the 95th percentile (using the NCHS growth chart) among Mexican American children between National Health and Nutrition Examination Survey (NHANES) and the Third National Health and Nutrition Examination Survey (NHANES III) (Ogden et al., 2006). High rates of childhood obesity affect the long-term health potential of children, since childhood obesity tracks into …

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