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"I Just Want To Be Me, Authentically": Identity Shifting Among Racially And Ethnically Diverse Young Adults, Aerika Brittian Loyd, Dulce Wilkinson Westberg, Lenisha Williams, Marisha Humphries, Alan Meca, Julie Carmen Rodil Jan 2023

"I Just Want To Be Me, Authentically": Identity Shifting Among Racially And Ethnically Diverse Young Adults, Aerika Brittian Loyd, Dulce Wilkinson Westberg, Lenisha Williams, Marisha Humphries, Alan Meca, Julie Carmen Rodil

Psychology Faculty Publications

Identity shifting represents a common but complex social, behavioral, and cognitive phenomenon. However, some forms of identity shifting originate in response to structural, institutional, and interpersonal marginalization enacted on lower status groups, such as people of color in the United States. The current study investigated ways young adults from diverse ethnic/racial groups discussed shifting to fit in with White Americans (a dominant group) in the United States and their own ethnic/racial group (a minoritized group) and elucidated self-reported motivations for shifting. Participants consisted of 764 young adults (ages = 18–23) recruited from two large public universities in the Southeast and …


Meeting The Client Halfway: A Relational Revision To Account For Intra-Actions In Psychotherapeutic Space, Lara Pirro Jancetic Jan 2023

Meeting The Client Halfway: A Relational Revision To Account For Intra-Actions In Psychotherapeutic Space, Lara Pirro Jancetic

Antioch University Dissertations & Theses

This post-qualitative study branching from new-materialist, post-humanist epistemology and ontology examines relationality through the lens of three different theories: agential realism, John Shotter’s communication theory, and relational mindfulness. These theories each describe the dynamics involved in relationships, how they each make sense of these dynamics, and what they entail for human relations. Using a post-qualitative diffractive methodology, this study examines these theories and how they intersect to bring about new insights in our understanding of relationships and how this information can support therapy practice. The results are a series of nine principles of orientation, which were applied to marriage and …


Metaphor And Intersubjectivity: The Use Of Metaphor Within A Metaphor, Sara Jalbert Jan 2023

Metaphor And Intersubjectivity: The Use Of Metaphor Within A Metaphor, Sara Jalbert

Antioch University Dissertations & Theses

Psychotherapists experience encounters in psychotherapy that present the opportunity for metaphor and imagery to be utilized as methods of intervention that enhance attunement in the therapeutic dyad. Working within imagery, tropes, and metaphor may facilitate experiential processing and integration of information. Metaphor has been used across cultures for many years to describe abstract concepts and to apply deeper meaning to the confines of logical thought. This paper discusses the literature on metaphor as an object of shared language, enhancing the space which minds share in the therapeutic dyad, and posits that metaphor has the ability to enhance intrapsychic levels of …


From Intersubjectivity To Activism: A Case For Engaged Psychoanalytic And Psychodynamic Psychology, Abigail Bliss Jan 2023

From Intersubjectivity To Activism: A Case For Engaged Psychoanalytic And Psychodynamic Psychology, Abigail Bliss

Antioch University Dissertations & Theses

This dissertation consists of a book proposal, including a completed introduction and first chapter, in addition to detailed chapter outlines summarizing the content for the actual book. After framing this project and exploring its inspiration, which includes Freud and his free clinics (Danto, 2005), the first chapter begins with explorations of multiple theories of intersubjectivity and the analytic third, considering how contemporary sociopolitical factors might affect the intersubjective experience. To this end, I demonstrate how race, politics, the COVID-19 pandemic, and the incorporation of telehealth practices affect the intersubjective experience in psychoanalytic/psychodynamic (PA/PD) psychotherapy. I then research and review PA/PD …


An Experiential Qualitative Analysis Exploring The Sexual Identity Experiences Of Latino Caribbean Cisgender Gay Men, Starlin Astacio Jan 2023

An Experiential Qualitative Analysis Exploring The Sexual Identity Experiences Of Latino Caribbean Cisgender Gay Men, Starlin Astacio

Antioch University Dissertations & Theses

This qualitative study aims to explore the unique experiences and challenges faced by Latino Caribbean cisgender gay men within their cultural and social contexts. Using focus group and thematic analysis, the researcher examines the narratives and perspectives of a diverse sample of Latino Caribbean cisgender gay men (n = 6) to gain insights into their sexual identity process, cultural influences, family dynamics, and support systems utilizing Interpretative Phenomenological Analysis (IPA) as the methodological framework. The researcher’s findings highlight the themes of Awareness of Sexual Identity, Visibility Management, Spanish Caribbean Families' Influences, Being True to Oneself, and Positive Experiences & Role …


"I Wonder...?" The Presence And Implications Of Curiosity As A Foundational Ingredient Across Couple And Family Therapy Models, Brian Hannigan Jan 2023

"I Wonder...?" The Presence And Implications Of Curiosity As A Foundational Ingredient Across Couple And Family Therapy Models, Brian Hannigan

Antioch University Dissertations & Theses

Theoretical and anecdotal accounts highlight the power of curiosity within the therapeutic process of particular models of therapy, with specific influences noted in regard to forming, maintaining, and evolving intra- and interpersonal relationships. The mention of curiosity in the therapeutic process is not surprising given its profound and evidence-based influence on the promotion of relationships and influence on social-emotional health and well-being. What is surprising however, is the lack of comprehensive review and exploration into how exactly curiosity is being conceptually used within and across therapeutic models. Additionally, such a review is missing in terms of whether curiosity is model …


Accessibility And Comprehension Of United States Health Insurance Among International Students: A Gray Area, Queeneth C. Edwards, Stacy Smallwood Jan 2023

Accessibility And Comprehension Of United States Health Insurance Among International Students: A Gray Area, Queeneth C. Edwards, Stacy Smallwood

Eagles Talking About the Public’s Health

No abstract provided.


The Reliability And Validity Of The Turkish Version Of The Self-Administered Neck Mobility Assessment Tool (S-Rom-Neck) In Patients With Chronic Neck Pain, Fati̇h Özden, Emi̇ne Aslan Telci̇, Serbay Şekeröz, Nuray Akkaya Jan 2023

The Reliability And Validity Of The Turkish Version Of The Self-Administered Neck Mobility Assessment Tool (S-Rom-Neck) In Patients With Chronic Neck Pain, Fati̇h Özden, Emi̇ne Aslan Telci̇, Serbay Şekeröz, Nuray Akkaya

Turkish Journal of Medical Sciences

Background/aim: The self-administered neck mobility assessment tool (S-ROM-Neck) is the subjective cervical region range of motion (S-ROM) assessment scale. The study aimed to demonstrate the reliability and validity of the Turkish version of the S-ROM-Neck in patients with chronic neck pain. Materials and methods: A cross-sectional study was conducted with a total of 60 chronic neck pain patients in the Physical Therapy and Rehabilitation Clinic of Pamukkale University Hospital between January and August 2021. The mean age of the individuals was 34.1 ± 9.9 years. Patients were assessed with S-ROM-Neck twice to prove the test-retest reliability. In addition, Visual Analogue …


Impact Of Accent On Receptive Language Assessments For Bilingual Children, Katherine Stariknok Jan 2023

Impact Of Accent On Receptive Language Assessments For Bilingual Children, Katherine Stariknok

Honors Theses and Capstones

Language assessments are used to screen and diagnose children with language disorders. Many speech-language pathologists (SLP) practicing in Spanish in the United States do not speak Spanish as their first language, so they are administering these assessments in accented speech. This study aims to find what effect an SLP’s accent will have on a bilingual child’s language assessment. Initial findings show that participants were largely able to understand words in the L2 accent, with most of the errors due to several repeating consonantal features (i.e., voicing alone; place and manner of articulation). The broader impact of this work is to …


Assessing Parental Conversational Overlap In A Museum Setting And Its Correlation With Child Language Skills, Madison Gould Jan 2023

Assessing Parental Conversational Overlap In A Museum Setting And Its Correlation With Child Language Skills, Madison Gould

Honors Theses and Capstones

Research has identified the importance of quality interactions with parents, caregivers, and peers in the promotion of language acquisition. We question how certain aspects of parental language, primarily repetition, expansion, and extension, correlate with child language skills. There is limited research available regarding the impact of conversational overlap on a child’s language development at a singular time point, with most studies being longitudinal, especially when assessing conversations between children and their caregivers in different settings, such as a museum exhibit. Our findings suggest that children need less parental recasting as they age and as their language skills are bolstered.


An Updated Systematic Review Of Stroke Clinical Practice Guidelines To Inform Aphasia Management, Bridget Burton, Megan Isaacs, Emily Brogan, Kirstine Shrubsole, Monique F. Kilkenny, Emma Power, Erin Godecke, Dominique A. Cadilhac, David Copland, Sarah J. Wallace Jan 2023

An Updated Systematic Review Of Stroke Clinical Practice Guidelines To Inform Aphasia Management, Bridget Burton, Megan Isaacs, Emily Brogan, Kirstine Shrubsole, Monique F. Kilkenny, Emma Power, Erin Godecke, Dominique A. Cadilhac, David Copland, Sarah J. Wallace

Research outputs 2022 to 2026

Background: Aphasia is a common consequence of stroke, and people who live with this condition experience poor outcomes. Adherence to clinical practice guidelines can promote high-quality service delivery and optimize patient outcomes. However, there are currently no high-quality guidelines specific to post-stroke aphasia management. Aims: To identify and evaluate recommendations from high-quality stroke guidelines that can inform aphasia management. Summary of review: We conducted an updated systematic review in accordance with PRISMA guidelines to identify high-quality clinical guidelines published between January 2015 and October 2022. Primary searches were performed using electronic databases: PubMed, EMBASE, CINAHL, and Web of Science. Gray …


Methodological Considerations In Pisces 3: A Randomized, Placebo-Controlled Study Of Intracerebral Stem Cells In Subjects With Disability Following An Ischemic Stroke, Daniel T Laskowitz, Keith W Muir, Sean I Savitz, Lawrence R Wechsler, Julie G Pilitsis, Scott Y Rahimi, Richard L Beckman, Vincent Holmes, Peng R Chen, Laura Juel, Deborah Koltai, Brad J Kolls Jan 2023

Methodological Considerations In Pisces 3: A Randomized, Placebo-Controlled Study Of Intracerebral Stem Cells In Subjects With Disability Following An Ischemic Stroke, Daniel T Laskowitz, Keith W Muir, Sean I Savitz, Lawrence R Wechsler, Julie G Pilitsis, Scott Y Rahimi, Richard L Beckman, Vincent Holmes, Peng R Chen, Laura Juel, Deborah Koltai, Brad J Kolls

Faculty, Staff and Student Publications

Background and hypothesis: At present, there are no medical interventions proven to improve functional recovery in patients with subacute stroke. We hypothesize that the intraparenchymal administration of CTX0E03, a conditionally immortalized neural stem cell line, linked with a standardized rehabilitation therapy regimen for the upper limb, would improve functional outcomes in patients 6-12 months after an index ischemic stroke.

Study design: PISCES III was designed as a multicenter prospective, sham-controlled, outcome-blinded randomized clinical trial. Eligibility required a qualifying ischemic stroke 6-12 months prior to surgical intervention. Patients must be between 35 and 75 years of age and have residual moderate …


We Can Do This / Juntos Sí Podemos: A Critical Discourse Analysis Of Government-Sponsored Covid-19 Public Service Announcements (Psas) In English And Spanish, Katalina R. Peterson Jan 2023

We Can Do This / Juntos Sí Podemos: A Critical Discourse Analysis Of Government-Sponsored Covid-19 Public Service Announcements (Psas) In English And Spanish, Katalina R. Peterson

Scripps Senior Theses

Communication inequities are known to negatively impact people from socioeconomically and linguistically disadvantaged backgrounds during public health crises (Gomez-Aguinaga et al., 2021). In the United States, Hispanics—especially those who speak Spanish—have been among the communities most disproportionately affected by COVID-19 (National Center for Health Statistics, 2022). The pandemic has underscored the importance of understanding the linguistic and discursive strategies implemented by institutions entrusted with disseminating public health information to reach diverse audiences, especially the most vulnerable. This paper analyzes the linguistic practices used to create public service announcements (PSA) produced in English and Spanish by health agencies at both the …


Medical Concept Mention Identification In Social Media Posts Using A Small Number Of Sample References, Vasudevan Nedumpozhimana, Sneha Rautmare, Meegan Gower, Maja Popovic, Nishtha Jain, Patricia Buffini, John Kelleher Jan 2023

Medical Concept Mention Identification In Social Media Posts Using A Small Number Of Sample References, Vasudevan Nedumpozhimana, Sneha Rautmare, Meegan Gower, Maja Popovic, Nishtha Jain, Patricia Buffini, John Kelleher

Conference papers

Identification of mentions of medical concepts in social media text can provide useful information for caseload prediction of diseases like Covid-19 and Measles. We propose a simple model for the automatic identification of the medical concept mentions in the social media text. We validate the effectiveness of the proposed model on Twitter, Reddit, and News/Media datasets.


Strategies To Improve Healthcare Communication With Non-Native English Speakers: An Evidence To Practice Review, Skylar B. Hudgens-Wallace, Kaitlyn M. Pierce, Madison P. Whitesell, Nancy A. Uriegas, Zachary K. Winkelmann Jan 2023

Strategies To Improve Healthcare Communication With Non-Native English Speakers: An Evidence To Practice Review, Skylar B. Hudgens-Wallace, Kaitlyn M. Pierce, Madison P. Whitesell, Nancy A. Uriegas, Zachary K. Winkelmann

Clinical Practice in Athletic Training

As the number of non-native English speakers in the United States rises, the degree to which some patients understand their healthcare communication is decreasing. It is essential to recognize the areas of limited health literacy to ensure proper patient communication and education are achieved. The guiding systematic review aimed to examine different communication interventions and the reported patient experiences from those interactions. The main forms of healthcare communication interventions used in the study included in-person, telephone, and video call interpreters. Patients have been shown to respond best to in-person interpreters, but using interpreters via telephone or video call was also …


Language Development And Poverty: Considerations And Applications For Speech-Language Pathologists, Samantha Lynn Ehler Jan 2023

Language Development And Poverty: Considerations And Applications For Speech-Language Pathologists, Samantha Lynn Ehler

Honors Program Theses

Economics is one vital variable that can support or hinder the successful development and acquisition of language. A large body of research has shown that conditions of poverty often negatively impact a child’s language learning environment and brain development, resulting in poor language development and a high risk of speech and language disorders. Language development is a dynamic process that begins during the first years of life and is contingent on social interactions and safe predictable routines. A thorough examination of the relationship between familial financial standing and language development is the foundation for developing interventions that will minimize the …


Exposure, Adaptation And Expectations: How They Affect Perception Of Foreign Accented Speech, Isabella Huddleston Jan 2023

Exposure, Adaptation And Expectations: How They Affect Perception Of Foreign Accented Speech, Isabella Huddleston

Honors Program Theses

Understanding accented speech is becoming more and more prevalent in today’s society. The world is connected through technology allowing us to reach further than we ever have before. One challenge this presents is the necessity to communicate across languages. Even if an individual has learned another language proficiently, the speech they produce is influenced by their native language resulting in foreign accented speech (FAS). There now exists the need for understanding how FAS affects speech perception and uncovering ways to improve communication situations between native and nonnative communication partners.


Clinical Vaccination Education Guideline For The African American Community, Margaret Chinedum Nwoji Jan 2023

Clinical Vaccination Education Guideline For The African American Community, Margaret Chinedum Nwoji

Walden Dissertations and Doctoral Studies

AbstractVaccination hesitancy is high among African Americans and other people of color. The practice gap addressed in this project was the lack of a culturally sensitive clinical guideline for vaccination education relevant to the African American community. The practice-focused question was answered by developing an evidence-based Clinical Vaccination Education Guideline for the African American Community (CVEGAAC) that was validated by a group of four content experts using the Appraisal of Guidelines, Research, and Evaluation tool. The content experts scored each of the domains above 90%, implying that the CVEGAAC is of high quality and ready for implementation. The end users …


The Relationship Between Preterm Birth Rates, Sociodemographic Factors, And Prenatal Care, Natasha Grant Jan 2023

The Relationship Between Preterm Birth Rates, Sociodemographic Factors, And Prenatal Care, Natasha Grant

Walden Dissertations and Doctoral Studies

Reducing preterm births is a local, national, and global public health priority. Preterm birth rates continue to rise with evident racial and ethnic differences. The purpose of the quantitative study was to analyze the Mississippi Pregnancy Risk Assessment Monitoring System (PRAMS) Phase 8 data to investigate the association between preterm births, timing of prenatal care, insurance types, and marital status among 5,666 women who gave birth in Mississippi between 2016 - 2020 using logistic regression. The social-ecological model was used to explain the impact of preterm births at the individual, interpersonal, and policy levels. Marital status was shown to be …


Acoustic-To-Articulatory Speech Inversion Features For Mispronunciation Detection Of/ɹ/In Child Speech Sound Disorders, Nina R. Benway, Yashish M. Siriwardena, Jonathan L. Preston, Elaine Hitchcock, Tara Mcallister, Carol Espy-Wilson Jan 2023

Acoustic-To-Articulatory Speech Inversion Features For Mispronunciation Detection Of/ɹ/In Child Speech Sound Disorders, Nina R. Benway, Yashish M. Siriwardena, Jonathan L. Preston, Elaine Hitchcock, Tara Mcallister, Carol Espy-Wilson

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

Acoustic-to-articulatory speech inversion could enhance automated clinical mispronunciation detection to provide detailed articulatory feedback unattainable by formant-based mispronunciation detection algorithms; however, it is unclear the extent to which a speech inversion system trained on adult speech performs in the context of (1) child and (2) clinical speech. In the absence of an articulatory dataset in children with rhotic speech sound disorders, we show that classifiers trained on tract variables from acoustic-to-articulatory speech inversion meet or exceed the performance of state-of-the-art features when predicting clinician judgment of rhoticity.


Revisiting The Rainbow: Culturally Responsive Updates To A Standard Clinical Resource, Angela M. Dietsch, Richard Mocarski, Debra A. Hope, Nathan Woodruff, Miechelle Mckelvey Jan 2023

Revisiting The Rainbow: Culturally Responsive Updates To A Standard Clinical Resource, Angela M. Dietsch, Richard Mocarski, Debra A. Hope, Nathan Woodruff, Miechelle Mckelvey

Department of Special Education and Communication Disorders: Faculty Publications

Purpose

Cultural responsivity is essential for efficacious and affirming clinical relationships. This may be especially important with historically marginalized clients, such as transgender and gender-diverse (TGD) people seeking behaviorally based affirming communication services. We recommend modifications to standard tools for diagnostics and training that otherwise might undermine our efforts to create an inclusive and affirming environment.

Method

Modifications to the Rainbow Passage, a standardized paragraph utilized for eliciting speech samples in clinical settings, focused on nongendered terminology and the elimination of content with religious connotations.

Results

The recommended edits to the Rainbow Passage maintain similar length, cadence, and phonetic balance …


Accent Services: Considering The Perspectives Of Non-Native Speakers Of English For A Culturally Affirming Practice, Kristopher Kilgallon Jan 2023

Accent Services: Considering The Perspectives Of Non-Native Speakers Of English For A Culturally Affirming Practice, Kristopher Kilgallon

Master's Theses and Doctoral Dissertations

Accent “modification” is a type of service offered by speech-language pathologists (SLPs) that is intended to, among other things, help speakers improve their intelligibility in a target second language. This area of practice has been, and continues to be, a controversial topic amongst scholars and practitioners. To explore and understand the perspectives of non-native speakers of English regarding their participation in accent services, the present study employed a qualitative research design using individual, semi-structured interviews. Ten adult non-native speakers of English (female: n = 7; male: n = 3), with ages between 28 and 47 years old (M = …


The Shortfalls Of Vulnerability Indexes For Public Health Decision-Making In The Face Of Emergent Crises: The Case Of Covid-19 Vaccine Uptake In Virginia, Lydia Cleveland Sa, Erika Frydenlund Jan 2023

The Shortfalls Of Vulnerability Indexes For Public Health Decision-Making In The Face Of Emergent Crises: The Case Of Covid-19 Vaccine Uptake In Virginia, Lydia Cleveland Sa, Erika Frydenlund

VMASC Publications

Equitable and effective vaccine uptake is a key issue in addressing COVID-19. To achieve this, we must comprehensively characterize the context-specific socio-behavioral and structural determinants of vaccine uptake. However, to quickly focus public health interventions, state agencies and planners often rely on already existing indexes of "vulnerability." Many such "vulnerability indexes" exist and become benchmarks for targeting interventions in wide ranging scenarios, but they vary considerably in the factors and themes that they cover. Some are even uncritical of the use of the word "vulnerable," which should take on different meanings in different contexts. The objective of this study is …


Reshaping The Narrative, Crystal Little Owl Jan 2023

Reshaping The Narrative, Crystal Little Owl

Graduate Student Portfolios, Professional Papers, and Capstone Projects

No abstract provided.


Long-Term Stability Of Electrical Stapedial Reflex And Electrodes Impedance In Children With Med-El Cochlear Implants, Maram Mohamed Rashad Ghoniem, Ayman El-Saeed Elsharabasy, Yousef Kamel Shabana, Elshahat Ibrahem Ismail Jan 2023

Long-Term Stability Of Electrical Stapedial Reflex And Electrodes Impedance In Children With Med-El Cochlear Implants, Maram Mohamed Rashad Ghoniem, Ayman El-Saeed Elsharabasy, Yousef Kamel Shabana, Elshahat Ibrahem Ismail

Mansoura Medical Journal

Background

The purpose of this study was to investigate changes in electrical evoked stapedial reflex thresholds (ESRTs) and electrodes impedance over time in children with MED-EL cochlear implants.

Methods

In this study, 60 kids were included, while 15 kids were excluded because their cases did not fit the requirements. Patients who received MED-EL cochlear implants were monitored postoperatively over 5 years to determine whether or not their ESRT and electrode impedance remained stable.

Results

At the initial fitting, electrodes 4, 5, 6, 8, and 9 showed significantly different impedances, while electrodes 1, 2, 3, 7, 10, 11, and 12 showed …


Developing A Computer-Based Program For Language Rehabilitation Of Arabic-Speaking Aphasic Patients, Sara Elsherbeny, Ayman Amer, Hemmat Baz, Tamer Abou-Elsaad Jan 2023

Developing A Computer-Based Program For Language Rehabilitation Of Arabic-Speaking Aphasic Patients, Sara Elsherbeny, Ayman Amer, Hemmat Baz, Tamer Abou-Elsaad

Mansoura Medical Journal

Background: Aphasia is acquired selective impairment of language. Computerized aphasia therapy is useful in language therapy and offers chances for independent practice at home to maximize intensity and improve outcomes. The aim of this study was to develop a computer-based language rehabilitation program for Arabic-speaking Egyptian aphasic patients to be culturally, linguistically and socially suitable for them and to determine its effectiveness. Methods: We conducted a prospective interventional study on 20 aphasic patients in the age range 40-65 years who received rehabilitation for 3 months using a newly designed Arabic software program named “Takalam”. The program was pilot-studied on 10 …


Cross-Cultural Adaptation And Psychometric Properties Of  The Thai Version Of The Patient-Reported Outcomes Measurement Information System Short Form-Depression 8a In Individuals With Chronic Low Back Pain, Ruetaichanok Sansatan Jan 2023

Cross-Cultural Adaptation And Psychometric Properties Of  The Thai Version Of The Patient-Reported Outcomes Measurement Information System Short Form-Depression 8a In Individuals With Chronic Low Back Pain, Ruetaichanok Sansatan

Chulalongkorn University Theses and Dissertations (Chula ETD)

Purpose: To cross-culturally adapt the Patient-Reported Outcomes Measurement Information System Short Form v1.0 - Depression 8a (PROMIS SF v1.0 - Depression 8a) into Thai and evaluate its psychometric properties in individuals with chronic low back pain (CLBP).Methods: The PROMIS SF v1.0 – Depression 8a was translated and cross-culturally adapted into Thai using the Functional Assessment of Chronic Illness Therapy translation methodology. Two hundred and sixty-nine individuals with CLBP completed the Thai version of PROMIS SF v1.0 – Depression 8a (T-PROMIS-D-8a) scale and a set of measures assessing validity criterion domains. Unidimensionality, internal consistency, and test-retest reliability at a 7-day interval …


Effectiveness Of Tendingpets Application On Working Memory Among Adolescent In Phrae Province, Thailand : A Quasi-Experimental Study, Phitchasuda Detboon Jan 2023

Effectiveness Of Tendingpets Application On Working Memory Among Adolescent In Phrae Province, Thailand : A Quasi-Experimental Study, Phitchasuda Detboon

Chulalongkorn University Theses and Dissertations (Chula ETD)

Working memory performance refers to the capacity and ability of the brain to temporarily remember and process incoming information while working or solving problems. This competency is crucial for teenagers and is linked to success in learning mathematics, English language, and health-related behaviors. This quasi-experimental research, conducted with a controlled group, aims to explore the effectiveness of the "TendingPETs" application in enhancing working memory capacity and its impact on educational effectiveness and risky behavior among 99 teenagers in Phrae Province, Thailand. The participants were divided into an experimental group of 50 individuals who used the "TendingPETs" application alongside regular classroom …


การเปลี่ยนแปลงคุณภาพชีวิตในมิติสุขภาพช่องปากและในมิติสุขภาพในผู้ป่วยที่ได้รับการรักษาทางทันตกรรมประดิษฐ์, ปิยอนงค์ วรรณขาว Jan 2023

การเปลี่ยนแปลงคุณภาพชีวิตในมิติสุขภาพช่องปากและในมิติสุขภาพในผู้ป่วยที่ได้รับการรักษาทางทันตกรรมประดิษฐ์, ปิยอนงค์ วรรณขาว

Chulalongkorn University Theses and Dissertations (Chula ETD)

การศึกษานี้เป็นการศึกษาไปข้างหน้าจากเหตุไปหาผลในผู้ป่วยเข้ารับการรักษารับการรักษาทางทันตกรรรมประดิษฐ์จำนวน 87 คน ผลลัพธ์ของการศึกษาคือคุณภาพชีวิตในมิติสุขภาพช่องปากและคุณภาพชีวิตในมิติสุขภาพ โดยใช้ดัชนีประเมินผลกระทบของสุขภาพช่องปากต่อสมรรถภาพในชีวิตประจำวันและเครื่องมือวัดคุณภาพชีวิตขององค์การอนามัยโลกฉบับย่อ ตามลำดับ ตัวแปรร่วม ได้แก่ ลักษณะทั่วไป สภาวะสุขภาพและสภาวะสุขภาพช่องปาก เก็บข้อมูลโดยการสัมภาษณ์ การตรวจในช่องปากและการศึกษาจากแฟ้มประวัติ หลังการแก้ไขฟันเทียมครั้งสุดท้าย 1 เดือน เก็บข้อมูลคุณภาพชีวิตในมิติสุขภาพช่องปากและคุณภาพชีวิตในมิติสุขภาพโดยการสัมภาษณ์ทางโทรศัพท์ ใช้การทดสอบของการทดสอบวิลคอกซันวิเคราะห์การเปลี่ยนแปลงของคะเเนน OIDP และ WHOQOL-BREF เวลาก่อนและหลังการรักษา ข้อมูลทั้งหมดวิเคราะห์ที่ระดับนัยสำคัญร้อยละ 5 ผลการศึกษาแสดงว่าหลังการรักษาผู้เข้าร่วมการศึกษามีคะแนน OIDP รวมลดลงอย่างมีนัยสำคัญทางสถิติ และคะแนน WHOQOL-BREF รวมเพิ่มขึ้นอย่างมีนัยสำคัญทางสถิติ โดยที่เวลาก่อนการรักษาปัจจัยที่ส่งผลต่อคะแนน OIDP รวมคือจำนวนฟันธรรมชาติและจำนวนคู่สบฟันหลัง ในขณะที่ปัจจัยที่ส่งผลต่อคะแนน WHOQOL-BREF รวมคือสถานภาพสมรสและความเพียงพอของรายได้ จึงสรุปได้ว่าภายหลังการรักษาทางทันตกรรมประดิษฐ์ผู้ป่วยมีคุณภาพชีวิตในมิติสุขภาพช่องปากและคุณภาพชีวิตในมิติสุขภาพดีขึ้น


การศึกษาผลกระทบจากการนอนหลับผิดปกติต่อการดำเนินโรคในผู้ป่วยโรคลำไส้อักเสบเรื้อรังที่อยู่ในช่วงอาการสงบ, กานต์ธีรา ศรียุทธศักดิ์ Jan 2023

การศึกษาผลกระทบจากการนอนหลับผิดปกติต่อการดำเนินโรคในผู้ป่วยโรคลำไส้อักเสบเรื้อรังที่อยู่ในช่วงอาการสงบ, กานต์ธีรา ศรียุทธศักดิ์

Chulalongkorn University Theses and Dissertations (Chula ETD)

ที่มาของปัญหา: โรคลำไส้อักเสบเรื้อรัง (Inflammatory bowel disease; IBD) เป็นโรคเรื้อรังที่มีกำเริบเป็นระยะที่แม้ขณะโรคสงบนั้นผู้ป่วยยังมีรายงานของความเหนื่อยล้าและการนอนหลับที่ไม่ดี ความเกี่ยวข้องกันของการนอนหลับที่ไม่ดีและระบบภูมิคุ้มกันมีโอกาสทำให้เกิดโรคกำเริบได้ การศึกษานี้เพื่อศึกษาสรีรวิทยาของการนอนในผู้ป่วยโรคลำไส้อักเสบเรื้อรังที่โรคสงบโดยการใช้การตรวจการนอนหลับ (Polysomnography) และผลกระทบของการนอนหลับที่ผิดปกติต่อพยากรณ์โรคของผู้ป่วยโรคลำไส้อักเสบเรื้อรังที่โรคสงบ วิธีดำเนินการวิจัย: ผู้ป่วยโรคลำไส้อักเสบเรื้อรังที่โรคสงบในช่วงเดือนตุลาคม 2565 ถึงเดือนกันยายน 2566 ได้เข้าร่วมการศึกษาโดยตัดผู้ป่วยที่ได้รับการวินิจฉัยเป็นโรคทางเดินหายใจอุดกั้น (Obstructive sleep apnea; OSA) ออก ผู้ป่วยทุกคนได้รับการตรวจการนอนหลับและเก็บข้อมูลของโครงสร้างการนอนหลับ ร้อยละของการนอนหลับแบบ non-rapid eye movement (NREM) และ rapid eye movement (REM) รวมถึงชนิดของ OSA และติดตามการกำเริบของโรค โดยวัตถุประสงค์หลักคือ เพื่อศึกษาลักษณะ polysomnography ในผู้ป่วยโรคลำไส้อักเสบเรื้อรังที่มีอาการสงบ และวัตถุประสงค์รองคือ เพื่อศึกษาผลกระทบของความผิดปกติของการนอนหลับต่อการดำเนินโรคที่ไม่ดีในผู้ป่วยโรคลำไส้อักเสบเรื้อรังที่มีอาการสงบในระยะเวลา 6 เดือนและ 12 เดือน ผลวิจัย: จากผู้ป่วยโรคลำไส้อักเสบเรื้อรังที่อาการสงบรวม 120 คน มีผู้ที่ปฏิเสธการเข้าร่วม 31 คน มีผู้ที่อาการของโรคกำเริบระหว่างที่รอเข้ารับการตรวจ polysomnography 5 คน และมีผู้ที่ได้รับการวินิจฉัยเป็นโรคทางเดินหายใจอุดกั้นอยู่ก่อนแล้ว 2 คนจึงได้รับการคัดออกจากงานวิจัย รวมเหลือผู้ป่วยที่สามารถเข้าร่วมงานวิจัยได้ 82 คน ลักษณะพื้นฐานของประชากรดัง พบว่าจาก 47 คนจาก 82 คน (ร้อยละ 57.3) เป็นผู้ชาย อายุเฉลี่ยของผู้ป่วยทั้งหมด คือ 43 ± 13 ปี (ค่าเฉลี่ย ± ส่วนเบี่ยงเบนมาตรฐาน) พบว่าจาก 81 คนจาก 82 คน (ร้อยละ 98.8) ได้รับการวินิจฉัยเป็น Obstructive sleep apnea โดยจำแนกเป็น mild OSA 22 คน (ร้อยละ 26.8), moderate …