Digital Commons Network^™

Human Ghrelin Mitigates Intestinal Injury And Mortality After Whole Body Irradiation In Rats, Z. M. Wang, W.L. Yang, A. Jacob, M. Aziz, P. Wang

Journal Articles

Widespread use of ionizing radiation has led to the realization of the danger associated with radiation exposure. Although studies in radiation countermeasures were initiated a half century ago, an effective therapy for a radiomitigator has not been identified. Ghrelin is a gastrointestinal hormone, and administration of ghrelin is protective in animal models of injuries including radiation combined injury. To test whether ghrelin can be protective in whole body irradiaton (WBI) alone, male Sprague Dawley (SD) rats were treated with human ghrelin (20 nmol/rat) daily for 6 days starting at either 24 h or 48 h after 10 Gray (Gy) WBI …

Subcortical Modulation In Auditory Processing And Auditory Hallucinations, T. Ikuta, P. Derosse, M. Argyelan, K. H. Karlsgodt, P. B. Kingsley, P. R. Szeszko, A. K. Malhotra

Journal Articles

Hearing perception in individuals with auditory hallucinations has not been well studied. Auditory hallucinations have previously been shown to involve primary auditory cortex activation. This activation suggests that auditory hallucinations activate the terminal of the auditory pathway as if auditory signals are submitted from the cochlea, and that a hallucinatory event is therefore perceived as hearing. The primary auditory cortex is stimulated by some unknown source that is outside of the auditory pathway. The current study aimed to assess the outcomes of stimulating the primary auditory cortex through the auditory pathway in individuals who have experienced auditory hallucinations. Sixteen patients …

2015 Equity And Diversity Report, Children's Mercy Hospital

Equity & Diversity Annual Reports

A report on equity and diversity at Children's Mercy Hospitals & Clinics, in the care it provides, the people it serves, and in its workforce. Specifically discusses the Equity & Diversity Council, The Office of Equity and Diversity,Patient-Provider Communications, Care Delivery and Support Mechanisms, Workforce Diversity and Inclusion, Education and Training, Public Accountability and Quality Improvement, Community Engagement, and Research.

Assessing Deaf Culture Awareness Of Physician Assistant Students In The Midwest, Sheryl E. Delude, Morgan, Kay Foizie

All Electronic Theses and Dissertations

Currently, there has been insufficient research to support the need for implementation of deaf awareness training into physician assistant (PA) program curriculums. To address this gap in research, PA students in the Midwest United States were surveyed in order to assess student knowledge of Deaf culture and knowledge regarding appropriate management of patients who are deaf. Survey knowledge scores were compared to previously documented knowledge scores of medical students enrolled in the Medical Students, Cancer Control, and the Deaf Community Training (DCT) program at the University of California, San Diego (UCSD). PA student scores were also compared to scores of …

Research Week 2015, Linda Gardiner, David Owerbach

Office of Research Institutional Research and Scholarship

No abstract provided.

Psychometric Properties Of The Hindi Version Of The Disabilities Of Arm, Shoulder, And Hand: A Pilot Study, Saurabh Mehta, Ramesh Tiruttani, Manraj N. Kaur, Joy Macdermid, Rania Karim

Physical Therapy Faculty Research

Objectives. To culturally adapt and translate the Disabilities of Arm, Shoulder, and Hand questionnaire into Hindi (DASH-H) and assess its reliability, validity, and responsiveness in adult patients with shoulder tendonitis.

Study Design. Descriptive methodological research, using longitudinal design.

Setting. Outpatient clinic. Participants. 30 adult patients aged 53.3 ± 6.9 y with shoulder tendonitis.

Data Analyses. DASH-H, visual analogue scales for pain (VAS-P) and disability (VAS-D), and shoulder active range of motion (AROM) were assessed at baseline, 2-3 days later, and 4-5 weeks after baseline. Intraclass correlation coefficients (ICC) assessed test-retest reliability of these scales and responsiveness …

Generational Conflicts Among Vietnamese Americans In The Health Care Decision Making Process, Georgie D. Nguyen

Journal of Health Ethics

In the U.S. there are approximately 1.3 million Vietnamese Americans. This group faced multiple problems after their immigration to the U.S. after the Fall of Saigon. While some easily acculturated within this group, others such as the older generation suffered difficulty doing so. The purpose of this article is to address concerns regarding the health care decision making process among the Vietnamese community and its importance to helping health care providers understand why there is a high mortality rate within this group.

Age And Trust In Flight Attendants: A Comparison Between Two Countries, Rian Mehta, Natasha Rao, Ethan Labonte, Stephen Rice

International Symposium on Aviation Psychology - 2015

It is important for passengers to trust their flight attendants, especially in case of an emergency. There is ongoing debate in India regarding trust and the lowering of retirement age, which is currently mandatory at 58 years in flight attendants. Some believe this is in order to acquire younger, more attractive flight attendants. The current study asked 384 Indians and Americans to rate their trust in flight attendants based on an emergency situation. Results showed that Indians trusted the younger flight attendants (25 years old) more than their older counterparts (55 years old). These findings have theoretical and practical implications …

Interpreter-Assisted Speech-Language Intervention In Poland: Needs, Possibilities And Prospects (Współpraca Polskiego Logopedy Z Tłumaczem – Potrzeby, Możliwości I Perspektywy), Katarzyna Gaweł, Henriette Langdon, Katarzyna Węsierska

Faculty Publications

Due to the constantly evolving global demographic situation, speech-language therapists (SLTs, also: speech-language pathologists – SLPs) have to deal with an increasing workload of bilingual/multilingual clients. This article presents results of a survey conducted among Polish SLTs aimed at investigating their views with regards to the possibility of collaboration with an interpreter during therapeutic intervention. The original version of the questionnaire (Gaweł & Węsierska, 2014) used in this survey was filled out by 206 respondents from different areas across Poland. The following issues were addressed in the study: the SLTs’ views on the incidence of bilingualism in Poland, their self-evaluation …

Evidence-Based Practice In Stuttering: Views From American And Polish Clinical Perspectives, Henriette W. Langdon, Pei-Tzu Tsai, Katarzyna Węsierska

Faculty Publications

In this paper the authors present the underpinnings of Evidence-Based Practice (EBP) with application to stuttering. The application of intervention practices using EBP are discussed from two different countries, the United States and Poland. Advantages, Challenges and Future Directions as well as Solutions are presented. In sum, the authors conclude that both perspectives are relatively similar and going generally in the same direction.

Cross-Continental Care: Us And Cuban Medical Internationalism In Bolivia, Madeleine Blain

Latin American Studies Honors Projects

How can something as commonplace as going to the doctor influence international politics? In Bolivia, medicine is bound in politics. The political structure of a country both influences the approach to health care, and determines how that approach is most effectively implemented internationally. Building upon a framework of conceptual difference between capitalist and socialist health systems, this paper examines “effective” models of US and Cuban international health care on both a political and individual level. Drawing on fieldwork conducted in a Bolivian hospital, interviews with doctors working internationally, and current literature, I seek to discern what defines “effective” international health …

Segregation Of Information About Emotional Arousal And Valence In Horse Whinnies, Elodie F. Briefer, Anne-Laure Maigrot, Roi Mandel, Sabrina Briefer Freymond, Iris Bachmann, Edna Hillmann

Sentience Collection

Studying vocal correlates of emotions is important to provide a better understanding of the evolution of emotion expression through cross-species comparisons. Emotions are composed of two main dimensions: emotional arousal (calm versus excited) and valence (negative versus positive). These two dimensions could be encoded in different vocal parameters (segregation of information) or in the same parameters, inducing a trade-off between cues indicating emotional arousal and valence. We investigated these two hypotheses in horses. We placed horses in five situations eliciting several arousal levels and positive as well as negative valence. Physiological and behavioral measures collected during the tests suggested the …

Descriptive Analysis Of U.S. Air Force Occupational Injuries And Illnesses, Kenneth Mackenthun

Master of Public Health Program Student Publications

Background: Occupational health is a concern in the workplace environment. Cases of occupational illness or injury could lead to lost workdays, a lower quality of life, chronic pain, and sometimes death. Air Force personnel perform unique functions that could have negative effects on their health.

Purpose: Identify the most common occupational illnesses and injuries among active duty United States Air Force (U.S.A.F.) personnel, determine rates of occupational illnesses and injuries in the Air Force by rank, and compare rates across Major Commands (MAJCOMS). Methods: A literature review was conducted on select occupational illnesses and injuries. A descriptive data analysis was …

In A Right State Of Mind: An Analysis Of Cognitive And Linguistic Function Following A Rare Case Of Atypical Language Dominance In Aphasia, Emily Manton

Undergraduate Review

As the foundation for effective communication, the power of the human brain to create and execute language derives from the ability of its structural components to remain intact. Extensive research has found that in 97% of people worldwide, language is typically carried out by the left hemisphere of the brain. Research for lesions in this area therefore, have been well documented. For the 3% of individuals who fall in the category of "atypical cerebral dominance" however, there is little in the available literature. Therefore, this empirical prospective case study sought to document the cognitive and linguistic functions of a 59 …

Educational Neuroscience, Constructivism, And The Mediation Of Learning And Creativity In The 21st Century., M. Layne Kalbfleisch

Pediatrics Faculty Publications

No abstract provided.

Communicative Behaviors Of Sibling Dyads With A Child With Autism, Ashley Marie Hodge

ETD Archive

The puropse of this study was to document the communicative behaviors exhibited by sibling dyads comprised of one typically developing child (TDC) and their sibling diagnosed with autism spectrum disorder (SibA). Six families (five families were Caucasian and one family was African American) participated in one 45-minute home observation, one semi-structured interview with the TDCs, and one semi-structured interview with the parents. Sibling dyads varied across birth order, ages, and genders. Observations revealed that the sibling dyads produced a variety of communicative behaviors. Observational data were coded to provide information on the types of communicative behaviors produced and their frequency …

Tweeting About Sexism: The Well-Being Benefits Of A Social Media Collective Action., Mindi D. Foster

Psychology Faculty Publications

Although collective action has psychological benefits in non-gendered contexts (e.g., Drury et al., 2005), the benefits for women taking action against gender discrimination are unclear. This study examined how a popular, yet unexplored potential form of collective action, namely tweeting about sexism, affects women’s well-being. Women read about sexism and were randomly assigned to tweet, or to one of three control groups. Content analyses showed tweets exhibited collective intent and action. Analyses of linguistic markers suggested public tweeters used more cognitive complexity in their language than private tweeters. Profile analyses showed that compared to controls, only public tweeters showed decreasing …

Developmental Differences In The Ability To Provide Temporal Information About Repeated Events, Kim P. Roberts, Sonja P. Brubacher, Donna M. Drohan-Jennings, Una Glisic, Martine B. Powell, William J. Friedman

Psychology Faculty Publications

Children (n = 372) aged 4 - 8 years participated in 1 or 4 occurrences of a similar event and were interviewed 1 week later. Compared to 85% of children who participated once, less than 25% with repeated experience gave the exact number of times they participated, although all knew they participated more than once. Children with repeated experience were asked additional temporal questions and there were clear developmental differences. Older children were more able than younger children to judge relative order and temporal position of the four occurrences. They also demonstrated improved temporal memory for the first and …

Neural Alterations Influencing Skilled Reading In Adhd: A Task-Based Fmri Study, Brianne Mohl

Wayne State University Dissertations

Attention-Deficit/Hyperactivity Disorder (ADHD) is a heterogeneous, neurodevelopmental disorder which co-occurs often with Reading Disability (RD). ADHD with and without RD consistently have higher inattentive ratings compared with typically developing controls, with co-occurring ADHD and RD (ADHD/+RD) also demonstrating impaired phonological processing. Accordingly, inattention has been associated with greater phonological impairment, though neither the neural correlates of the co-occurring disorders nor the association are well understood from a functional neuroimaging perspective. The goal was to assess to what extent ADHD/+RD differ from ADHD without RD (ADHD/-RD) and typically developing controls (TDC) in functional activation of attention- and reading-related areas during various …

Quality Control Measures Over 30 Years In A Multicenter Clinical Study: Results From The Diabetes Control And Complications Trial / Epidemiology Of Diabetes Interventions And Complications (Dcct/Edic) Study., Gayle M Lorenzi, Barbara H Braffett, Valerie L Arends, Ronald P Danis, Lisa Diminick, Kandace A Klumpp, Anthony D Morrison, Elsayed Z Soliman, Michael W Steffes, Patricia A Cleary

GW Biostatistics Center

No abstract provided.

Fear Of Fatherhood, Deborah Weatherspoon, Wendy Sponsler, Christopher Weatherspoon, Dorothy Campbell

Walden Faculty and Staff Publications

The fatherhood role is influenced by culture, religion, social factors, and economic norms. In Jamaica pregnancy is often treated as a female only event. Women are left to visit their clinics alone and have support from female family members. The man’s focus is providing financial support. In the past fathers were subjected to migrant labor and left their families for long periods. This tradition remained even when they were not working. Today, men are taking on more of the role of fatherhood, becoming involved and supportive and experiencing the privilege of pregnancy though of a secondary nature through their partner’s …

Motor Practice Effects And Sensorimotor Integration In Adults Who Stutter: Evidence From Visuomotor Tracking Performance., Victoria Tumanova, Patricia M. Zebrowski, Shawn S. Goodman, Richard M. Arenas

Communication Sciences and Disorders - All Scholarship

Purpose—The purpose of this study was to utilize a visuomotor tracking task, with both the jaw and hand, to add to the literature regarding non-speech motor practice and sensorimotor integration (outside of auditory-motor integration domain) in adults who do (PWS) and do not (PWNS) stutter.

Method—Participants were 15 PWS (14 males, mean age = 27.0) and 15 PWNS (14 males, mean age = 27.2). Participants tracked both predictable and unpredictable moving targets separately with their jaw and their dominant hand, and accuracy was assessed by calculating phase and amplitude difference between the participant and the target. Motor practice effect was …

Cost Effectiveness Of A Mail-Delivered Individually Tailored Physical Activity Intervention For Latinas Vs. A Mailed Contact Control, Britta Larsen, Todd Gilmer, Dori Pekmezi, Melissa A. Napolitano, Bess H. Marcus

Prevention and Community Health Faculty Publications

Background

Physical inactivity is high in Latinas, as are chronic health conditions. There is a need for physical activity (PA) interventions that are not only effective but have potential for cost-effective widespread dissemination. The purpose of this paper was to assess the costs and cost effectiveness of a Spanish-language print-based mail-delivered PA intervention that was linguistically and culturally adapted for Latinas.

Methods

Adult Latinas (N = 266) were randomly assigned to receive mail-delivered individually tailored intervention materials or wellness information mailed on the same schedule (control). PA was assessed at baseline, six months (post-intervention) and 12 months (maintenance phase) …

The Patterns Of Health Seeking Behavior Among Patients With Hepatitis C In Karachi, Pakistan, Shahina Sabz Ali Pirani, Tazeen S. Ali, Saleema Allana, Faisal Wasim Ismail

School of Nursing & Midwifery

Background: The study aimed to assess the patterns of health seeking behavior and the level satisfaction with the health care providers among hepatitis C patients in Karachi, Pakistan.
Methodology: A descriptive, cross-sectional study was conducted among 250 hepatitis C patients, who were recruited from the Aga Khan University Hospital and the Civil Hospital Karachi, Pakistan, between March and May 2013.
Results: The patterns of health seeking behavior showed that a majority of the study participants approached a medical doctor (n=359), followed by spiritual healers (n=103), and a few participants approached traditional healers (n=38) and homeopaths (n=11). The pattern …

Proud To Be Autistic: Metaphorical Construction And Salience Of Cultural And Personal Identity In #Stopcombatingme, Jessica Benham

All Graduate Theses, Dissertations, and Other Capstone Projects

Like many other autistic individuals, I struggle to find language to appropriately describe my experiences. Furthermore, within the Autistic community, debates over appropriate language use are frequent, including discussions on person-first language versus identity-first language, functioning language, and medical terminology. Through this research, I examine how rhetorical constructions of Autism gain power, focused on the role of language choice with regard to personal identity and self-advocacy and conduct a discourse analysis of the #StopCombatingMe movement on Twitter. Spearheaded by ASAN, a grassroots organization which seeks to challenge public dialogue on Autism, #StopCombatingMe sought to argue against the reauthorization of the …

Panel 2: “Excess” Pain, Hyperalgesia, And The Variability Of Subjective Experience, Amanda Pustilnik, David Seminowicz, Stephen Rigg, Joel Greenspan, Morris Hoffman, Adam Kolber, Michael Pardo

Journal of Health Care Law and Policy

No abstract provided.

The Effects Of Speech Impairment On Quality Of Life Over Time In Patients With Amyotrophic Lateral Sclerosis, Jacqueline Kelley Blessinger

PCOM Psychology Dissertations

Limited research exists on how speech impairments affect quality of life (QOL) factors over time in patients with amyotrophic lateral sclerosis (ALS). A review of the literature, including the history, disease course, and prevalence of ALS, is presented. Physical and psychosocial functioning, especially the decline of bulbar functioning’s potential impact on QOL factors and communication style, are outlined. This study is a follow-up study on a study by Duff, who found a significant difference in QOL relative to level of bulbar functioning in a cross-sectional design. The current study used a longitudinal design to look at bulbar functioning, specifically levels …

Adhd Versus Ptsd In Preschool-Aged Children: Implications For Misdiagnosis, Klaudette D. Stewart

PCOM Psychology Dissertations

Attention Deficit Hyperactivity Disorder (ADHD) has been one of the most diagnosed disorders in children since it was included in the Diagnostic and Statistical Manual of Mental Disorders−III (DSM−III) in 1980. The number of children who have been diagnosed since that time has grown significantly, raising concerns about the overwhelming number of young children being diagnosed and prescribed medication. According to the literature, young children are diagnosed at a higher rate by pediatric primary care physicians (PCPs) than clinical child psychologists (CCPs) because they are taken to a PCP’s office by a parent, rather than referred from a school environment, …

The Male Army Nurse Corps Officer Experience In The Vietnam Conflict, John P. Pelletier

MUSC Theses and Dissertations

Background: A considerable amount of research has been conducted on the wartime experiences of female nurses who served in the Vietnam conflict and as a result, much is known about their experiences and the impact that their service had on their personal and professional lives. The same, however, is not true for male nurses. Anecdotal evidence suggests that the experiences of male Army Nurse Corps (ANC) Officers may have been substantially different from that of their female colleagues, thus making the impact of the experience on them potentially different. Overall Objective: This study explores and interprets the lived experiences of …

Clinical Utility Of Pharmacogenomic Testing To Support Prescriptive Decision Making Among Anesthesia Providers: A Mixed-Method Study, Jonathan Dru Riddle

MUSC Theses and Dissertations

Anesthesia care is delivered world wide on a daily basis. Provision of anesthesia cares for surgical, obstetrical, or pain management procedures mandate a thorough understanding of physiology, pathophysiology, and pharmacology. Nearly 4 million anesthetics are delivered in the United States each year and the impact of genetics on anesthesia care is becoming greater. Anesthesia providers make prescriptive decisions based on an individual patient's disease processes, proposed surgical or therapeutic procedure, and a thorough clinical history. The age of personalized medicine is upon us and the ability to use genetic testing to help predict how a patient will respond to various …