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What Are The Relationships Between Adverse Childhood Experiences And Age Of Initiaton Of Substance Use?, Alisha Dozier 2020 California State University, San Bernardino

What Are The Relationships Between Adverse Childhood Experiences And Age Of Initiaton Of Substance Use?, Alisha Dozier

Electronic Theses, Projects, and Dissertations

ABSTRACT

Child abuse and substance abuse are significant health problems in the United States and they negatively impact the physical, emotional, and biological health of millions of individuals. It is estimated that one in four children experience child abuse, which is a risk factor for the development of substance abuse problems later in life (U.S. Department of Health and Human Services [HHS], 2018). Rates of substance abuse are increasing nationally, making the relationship between child abuse and the development of substance abuse problems important to study.

This research project analyzes the relationship between adverse childhood experiences and subsequent age ...


The Impact Of A Single Session Of Mindfulness Meditation On The Attentional Blink In Non-Meditators, Arielle L. Klopsis 2020 The Graduate Center, City University of New York

The Impact Of A Single Session Of Mindfulness Meditation On The Attentional Blink In Non-Meditators, Arielle L. Klopsis

All Dissertations, Theses, and Capstone Projects

Attentional resources are limited therefore a stimulus can go undetected if it closely follows another target by 200-500ms. This phenomenon is known as the attentional blink. Mindfulness meditation has been shown to be beneficial in target detection and in decreasing the attentional blink. Since there is no standard for the type of meditation or duration of practice that leads to attention benefits, this study compares the two most popular types of meditation in a group of non-meditators: focused attention and open monitoring meditation. This study utilized an attentional blink paradigm to measure if a single session of mindfulness meditation can ...


Factors Predicting Sustainability: A Correlational Study Of One Multi-Site Program, Meredith L. King Jensen 2020 The Graduate Center, City University of New York

Factors Predicting Sustainability: A Correlational Study Of One Multi-Site Program, Meredith L. King Jensen

All Dissertations, Theses, and Capstone Projects

Healthcare organizations invest significant economic, physical, and human resources to implement changes and expect sustained benefits for their investments in the long term. The primary aim of the study was to gain a better understanding of sustainability and five factors (champions, leadership support, policy, resources, and training and education) that might predict long-term sustainability within the context of one Safe Patient Handling and Mobility (SPHM) program implemented in a large, nationwide system more than 7 years ago. The secondary aim was to examine the number of nursing staff injuries, the most notable positive outcome of the program immediately post implementation ...


Visual Perspective Taking In Autism Spectrum Disorders, Erin L. Reilly 2020 The Graduate Center, City University of New York

Visual Perspective Taking In Autism Spectrum Disorders, Erin L. Reilly

All Dissertations, Theses, and Capstone Projects

Individuals with autism spectrum disorders (ASD) have difficulty in recognizing environmental perspectives other than their own. Perspective-taking deficits impact language use and understanding in discourse and more general social and cognitive function. Despite extensive research on perspective taking abilities in individuals with ASD, many factors have not been fully examined. This study further examined the contribution of angular disparity, anthropomorphism of an observer, and language use on visual perspective-taking.

Individuals with (ASD) demonstrate a strength in visual spatial cognition and a weakness in visual social cognition. This study examined the factors that may cause people with ASD to have difficulties ...


The Perception Of Prosody In English-Speaking Children With Cochlear Implants: A Systematic Review, Grace R. Smith 2020 The Graduate Center, City University of New York

The Perception Of Prosody In English-Speaking Children With Cochlear Implants: A Systematic Review, Grace R. Smith

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Objective: The goal of this paper was to systematically review literature in order to investigate the perception of prosody in English-speaking children with cochlear implants.

Methods: A comprehensive search utilizing various peer-reviewed databases accessible through the City University of New York (CUNY) Graduate Center Library was conducted to identify relevant studies. Inclusion criteria included studies that examined prosody perception in pre-and post-lingually deafened children with cochlear implants. Children who utilized unilateral, bilateral, and bimodal configurations of cochlear implants were therefore included in this search.

Results: 9 studies met the inclusion criteria for this systematic review. The findings demonstrated both negative ...


Outcomes Of Tinnitus Post-Cochlear Implantation In Adult Populations: A Systematic Review, Evangeline Wong 2020 The Graduate Center, City University of New York

Outcomes Of Tinnitus Post-Cochlear Implantation In Adult Populations: A Systematic Review, Evangeline Wong

All Dissertations, Theses, and Capstone Projects

The purpose of this investigation is to conduct a systematic review on the outcomes of tinnitus, in both its characteristics and psychosocial impact, post-cochlear implantation in profound bilateral and single-sided deafness (SSD) adult populations. A longitudinal case study will also be presented to show long-term effects of tinnitus outcomes in a cochlear implant recipient in a clinical setting. The investigation may, in turn, provide information regarding tinnitus in the selection criteria of which ear to implant, considerations in implantation eligibility for patients with bilateral and unilateral severe hearing loss associated with severe tinnitus, and to inform patients about the possible ...


Assistive Listening Devices: A Guide, Alexa Brody 2020 The Graduate Center, City University of New York

Assistive Listening Devices: A Guide, Alexa Brody

All Dissertations, Theses, and Capstone Projects

Objective: The purpose of this research was to develop a guide on assistive listening devices (ALDs) describing the various types of ALDs, the basic underlying concepts, their advantages and disadvantages, the instrumentation and its components, and the setup and procedures for specification/evaluation of ALDs in accordance with national standards or guidelines issued by professional organizations in our field. This guide is intended for audiologists, hearing scientists, and audiology and hearing science students.

Method: A thorough review of the previous ALD literature including national and international standards for set-up and installation, specification/evaluation and verification of ALDs; guidelines from professional ...


Speech Outcomes And Hearing Preservation In Adults With Hybrid Cochlear Implants: A Systematic Review, Victoria J. Dillon 2020 The Graduate Center, City University of New York

Speech Outcomes And Hearing Preservation In Adults With Hybrid Cochlear Implants: A Systematic Review, Victoria J. Dillon

All Dissertations, Theses, and Capstone Projects

Objective: The goal of this review is to systematically review literature in order to investigate the speech recognition and subjective performance outcomes, as well as determine the degree of hearing preservation, in adult hybrid cochlear implant patients through the utilization of electric acoustic stimulation (EAS).

Methods: A comprehensive search, utilizing various peer-reviewed databases, was conducted via the City University of New York’s (CUNY) Graduate Center Library to identify the relevant studies published. Inclusion criteria was studies that involved adult hybrid cochlear implant users which reported speech outcomes and hearing preservation, with performance outcomes obtained at least 12 months’ post-implantation ...


Controlled Observation: The Challenges Of Therapy For The Mentally Ill Incarcerated Population, Esther Tingué 2020 The Graduate Center, City University of New York

Controlled Observation: The Challenges Of Therapy For The Mentally Ill Incarcerated Population, Esther Tingué

All Dissertations, Theses, and Capstone Projects

Popular perception and objective of incarceration is confinement, brutality and in some cases inhumane conditions. But what about the incarcerated population who suffer from the additional burden of mental illness? How does confinement affect mentally ill inmates? This capstone project asks: (1) how do individuals/organizations provide rehabilitative services in this evolved culture of crime and punishment? And (2) how is therapy provided in a restricted environment? I examine these questions from the perspective of the therapist, the person who (in a restricted environment) takes on the responsibility of treating and managing the effects of mental illness for this population.


Primary Care Physician Perceptions Of Hearing Loss And Amplification: A Survey, Sophie Racine 2020 The Graduate Center, City University of New York

Primary Care Physician Perceptions Of Hearing Loss And Amplification: A Survey, Sophie Racine

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The goal of this survey is to determine primary care physicians’ (PCP) views regarding hearing loss and hearing amplification. A questionnaire was created, using TypeForm©. Factors interrogated in the survey included structural aspects of the health care delivery system, presence of stigma among providers regarding hearing amplification, PCPs’ knowledge of hearing loss, the utility of amplification, official recommendations on screening and amplification, costs of hearing aids and risks of untreated hearing loss, and practitioners’ viewpoints and practice behaviors surrounding hearing loss and amplification. The survey instrument is comprised of four domains: 1) demographics, 2) knowledge of hearing loss and amplification ...


A New Method In Subjective Tinnitus Management: The Use Of A Nutraceutical Formulation To Improve Patient Outcomes, Jade Faulkner 2020 The Graduate Center, City University of New York

A New Method In Subjective Tinnitus Management: The Use Of A Nutraceutical Formulation To Improve Patient Outcomes, Jade Faulkner

All Dissertations, Theses, and Capstone Projects

Objective: This project aims to implement an evidence-based clinical practice guideline at the International Hearing Centre (IHC) in Lagos, Nigeria for future research and data collection of their subjective tinnitus management using a nutraceutical formulation called ‘NHANCED Hearing (NH). After learning the IHC had incomplete charting in regard to tinnitus questionnaires pre- and post-administration of the NH formula, this capstone project sought to apply evidence-based guidelines for proper diagnostic evaluations and charting to assist in future research of the NH formula.

Methodology: A review and synthesis of current clinical practice guidelines in the United States, Germany, the Netherlands, Sweden, Denmark ...


Behavioral Outcomes In Children With Autism Spectrum Disorder And Cochlear Implants, Patricia K. Herz 2020 The Graduate Center, City University of New York

Behavioral Outcomes In Children With Autism Spectrum Disorder And Cochlear Implants, Patricia K. Herz

All Dissertations, Theses, and Capstone Projects

The purpose of this literature review was to establish what is currently known about behavioral outcomes of children with Autism Spectrum Disorder (ASD) and cochlear implants (CIs). Sixteen articles were included in this review. The areas investigated were behavioral changes postimplantation, as determined by subjective and objective measures, mode of communication used by children with ASD and CIs, and effects of additional comorbidities on these outcomes. Considerations for CI use for children with ASD include potential hypersensitivity to auditory stimuli, inability to complete performance measures, and markedly slower progress than their typically developing peers. Many of the studies included in ...


Maximum Sound Output Levels Of Pediatric Marketed Headphones: The Development Of Healthy Listening Habits In Children, Adrienne L. Ammirati 2020 The Graduate Center, City University of New York

Maximum Sound Output Levels Of Pediatric Marketed Headphones: The Development Of Healthy Listening Habits In Children, Adrienne L. Ammirati

All Dissertations, Theses, and Capstone Projects

Background: In recent years there has been a growing concern regarding the etiology of pediatric hearing loss. Based on cross-sectional studies of data produced by the National Health and Nutrition Examination Surveys, the incidence of hearing loss in US adolescents (age 12-19 years) has increased from 14.9 to 19.5% from 1988-2006 (Shargorodsky, Curhan, & Eavey, 2010) (Brooks & Chan, 2017). Many individuals suspect the leading contributor of this to be frequent exposure to unsafe listening conditions (Muchnik, Amir, Shabtai, & Kaplan-Neeman, 2012) (Brookhouser, Wothington, & Kelley, 1992).

Presently there are no government issued regulations on the maximum sound output levels for headphones ...


Improving Latent Tuberculosis Infection (Ltbi) Screening And Treatment In A School-Based Setting, Andrea Bell 2020 University of San Diego

Improving Latent Tuberculosis Infection (Ltbi) Screening And Treatment In A School-Based Setting, Andrea Bell

Doctor of Nursing Practice Final Manuscripts

Abstract

Background: San Diego County’s tuberculosis (TB) incidence rate is nearly double than the national rate. In 2019, there have been 5 cases of active TB in the county’s public high schools, which have demonstrated the need for prevention interventions in this setting.

Objectives: This evidence-based project is aimed to increase awareness, screening and treatment of latent TB infection (LTBI) in the school setting.

Methods: A TB risk assessment form and consent was sent in the registration packets. A one-time TB educational presentation was given to high school freshman students with a pretest and posttest. For students at-risk ...


Effects Of Standardized Self-Care Behavior Education On Self-Efficacy Outcomes In Type Ii Diabetes Mellitus, Nishita Patolia BSN, RN, DNP Student 2020 University of San Diego

Effects Of Standardized Self-Care Behavior Education On Self-Efficacy Outcomes In Type Ii Diabetes Mellitus, Nishita Patolia Bsn, Rn, Dnp Student

Doctor of Nursing Practice Final Manuscripts

An evidence-based practice (EBP) project was implemented in a primary care setting to decrease Hemoglobin A1c (HgbA1c) levels and increase self-efficacy in Type II Diabetes Mellitus (T2DM) diagnosed individuals. According to the Centers for Disease Control (CDC), 30.3 million adults have diabetes in the United States, and one in four do not know they have it (CDC, 2017). It is a disease that can be managed and reversed with standardized self-management education. Self-management interventions can improve diabetes knowledge and encourage patient participation in caring for their health (Flode, Iversen, Aarflot, & Haltbakk, 2017).

The purpose of this evidence-based project was to improve type II diabetes mellitus (T2DM) self-management through nursing education, focusing on self-efficacy and medication adherence guided by the American Association of Diabetes Educators 7 Self-Care Behaviors (AADE7). The objectives were: (a) decrease HgbA1c levels by 0.5% or more and (b) increase self-efficacy by 15% with the use of the Stanford Patient Education Resource Center’s Self-Efficacy for Diabetes questionnaire (SPSE).

Eleven participants were recruited through provider referrals, flyers, and cold calls. Inclusion criteria included a T2DM diagnosis and HgbA1c greater than or equal to 7%. It was a requirement to obtain a HgbA1c level and fill out the SPSE prior to the intervention. Each participant received personalized nurse-led education, which included healthy eating, medication adherence, exercise, healthy coping, and reducing risks.

A total of 10 participants completed the program, including obtaining HgbA1c levels three months postintervention. There was significant improvement in postintervention scores with the mean increasing from 6.16 to 7.8 (Mpre = 6.16, Mpost = 7.80 on 1 – 10 scale; t = 3.697, p < .01). HgbA1c levels decreased in ...


The Effect Of Outdoor Physical Activity On Adults With Clinical Depression, Katie Hao 2020 Eastern Washington University

The Effect Of Outdoor Physical Activity On Adults With Clinical Depression, Katie Hao

2020 Symposium Posters

Mental health is a condition in regard to the human brain and how the human brain is neurologically triggered. Millions of people are diagnosed with clinical depression every year, but are not aware of how to maintain a healthy mental status once they are diagnosed. Clinical depression is not only a condition, but also a state of mind which results in the need of being active as much as possible to prevent the feelings of loneliness and sadness. There are several medications available to treat the mental illness, however they can be costly. One cost efficient way experts have found ...


Cardiac Screening To Mitigate The Risk Of Sudden Cardiac Death In Middle Eastern And African Competitive Athletes. A Systematic Review, Yusuf Hallak 2020 College of Medicine, Mohammad Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates

Cardiac Screening To Mitigate The Risk Of Sudden Cardiac Death In Middle Eastern And African Competitive Athletes. A Systematic Review, Yusuf Hallak

Journal of the Saudi Heart Association

Objective: The study aims to review the literature regarding abnormalities predisposing to Sudden Cardiac Death (SCD) in young Middle Eastern and African competitive athletes between the years 2009e2019 and aims to assess cardiac pre-participation screening methods.

Methods: A PubMed search was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The search targeted articles that reported the prevalence of cardiac abnormalities found in Middle Eastern and African athletes, and it also focused on comparing cardiac screening methods for assessment of athletes. Results: our studies fell within the inclusion criteria and were included in the ...


The Carpentier-Edwards Classic And Physio Annuloplasty Rings In Repair Of Degenerative Mitral Valve Disease: A Retrospective Study, Abubakari I. Sidiki MD, Alexandr G. Faybushevich MD, PHD, Alexandr N. Lishchuk MD, PHD, Alexandr N. Koltunov MD, PHD, Ekaterina A. Roshchina, Jonas Atulebire Akambase 2020 People’s Friendship University of Russia (RUDN-University)

The Carpentier-Edwards Classic And Physio Annuloplasty Rings In Repair Of Degenerative Mitral Valve Disease: A Retrospective Study, Abubakari I. Sidiki Md, Alexandr G. Faybushevich Md, Phd, Alexandr N. Lishchuk Md, Phd, Alexandr N. Koltunov Md, Phd, Ekaterina A. Roshchina, Jonas Atulebire Akambase

Journal of the Saudi Heart Association

Objectives. Physio ring (SR) is considered an improved version of the Classic rigid ring (RR). Today, SR is more widely used in mitral valve (MV) repair. We sought to compare the long-term outcomes of repair with RR and SR in degenerative mitral valve disease.

Methods. In a computerized registry of our institution, 306 patients had MV repair with either RR (139 patients) or SR (167 patients) ring between 2005 and 2015. Fifteen of them had concomitant tricuspid valve repair. Ninety-two (30.1%) had Barlow’s disease and 214 (69.9%) had fibroelastic deficiency. The patients had similar demographic and echocardiographic ...


Tricuspid Valve Regurgitation After Heart Transplantation: A Single-Center 10-Year Experience, Amr A. Arafat 2020 Prince Sultan Cardiac Centre

Tricuspid Valve Regurgitation After Heart Transplantation: A Single-Center 10-Year Experience, Amr A. Arafat

Journal of the Saudi Heart Association

Background: Tricuspid valve regurgitation may affect the outcomes after heart transplantation. There is a paucity of data reporting the outcomes of heart transplants in our region. The objectives of this study were to report the occurrence of tricuspid regurgitation after heart transplantation, its course, and its effect on survival.

Methods: From 2009 to 2019, 30 patients had heart transplantation at our cardiac center. Their age was 36.73± 13.5 years, and 25 (83.33%) were males. Indications for transplantation were dilated cardiomyopathy (n= 21; 72.41%), ischemic cardiomyopathy (n= 8; 26.67%) and hypertrophic cardiomyopathy (n=1; 3.45 ...


The Trans-Septal Approach In Transcatheter Mitral Valve-In-Valve Implantation For Degenerative Bioprosthesis, Mohammed Al Otaiby, Turki A. Al Garni, Abdullah Alkhushail, Abdulrahman Almoghairi, Sondos Samargandy, Monirah Albabtain, Amr A. Arafat, Hussein Alamri 2020 Adult Interventional Cardiology Department- Prince Sultan Cardiac Center- Riyadh- KSA

The Trans-Septal Approach In Transcatheter Mitral Valve-In-Valve Implantation For Degenerative Bioprosthesis, Mohammed Al Otaiby, Turki A. Al Garni, Abdullah Alkhushail, Abdulrahman Almoghairi, Sondos Samargandy, Monirah Albabtain, Amr A. Arafat, Hussein Alamri

Journal of the Saudi Heart Association

Background: Transcatheter Mitral Valve-in-Valve Implantation (TMViVI) has recently emerged as a novel therapy for degenerated mitral valve bioprosthesis. Re-operative mitral valve surgery is associated with a substantial risk of mortality and morbidity. The objective of this study was to describe the outcomes of transcatheter mitral valve-in-valve implantations in our cardiac center.

Methods: Twenty-two patients underwent the valve-in-valve procedure because of bioprosthesis degeneration from March 2017 to October 2018. Clinical, echocardiographic, procedural details and survival at follow up were assessed.

Results: Eight patients refused re-operative cardiac surgery while others were deemed a high risk for conventional re-operative sternotomy. All patients had ...


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