Digital Commons Network^™

Interaction And Cognitive Engagement In Online Discussions In Professional Development Leadership And Management Course At A Private Nursing Institution, Nimira Asif, Samina Vertejee, Sharifa Bashir Lalani

School of Nursing & Midwifery

In the Post RN BScN curriculum, one of the courses “Professional Development and Leadership (PDLM)” was offered as blended mode for the first time. In order to explore the students’ interactions and Cognitive Engagement (CE) in Online Discussion Forums (ODFs), the research team conducted a retrospective study for the first time at a private nursing institution of Karachi-Pakistan. The study was conducted by utilizing the retrospective qualitative paradigm of discourse analysis to understand student’s CE in ODFs. The study has addressed the following one main and three subsidiary research questions: How do threaded discussions (in the part of online forums) …

A Clinical Case Study Exploring The Impact Of Bilingual Support In Speech-Language Intervention For A Child With Autism, Zaynab Taei

Theses and Dissertations--Communication Sciences and Disorders

Managing language choice in speech-language intervention is increasingly an issue for speech-pathologists treating bilingual children. Frequently L2 approaches only are implemented, resulting in negative effects on L1 acquisition, familial ties, and cultural transmission. This study examined the impact of a bilingual intervention on a school-aged child and her family. Providing intervention and therapy activities in the L1 resulted in increased parental engagement, increased L1 use by the child, and increased awareness of strategies for treating bilingual children among SLPs at the study site.

‘We Need Priority Please’ Mitigated Speech In The Crash Of Avianca Flight 052, Simon Cookson

International Symposium on Aviation Psychology - 2015

On 25 January 1990, Avianca Flight 052 was flying from Columbia to the United States when it crashed after a missed approach to JFK Airport in New York. The direct cause of the accident was fuel exhaustion but the NTSB investigation identified multiple causal factors. The Avianca captain, who was flying the aircraft, repeatedly instructed the first officer to notify ATC about the fuel emergency. The first officer, however, did not use the word ‘emergency’ but instead requested ‘priority’ and told ATC that the airplane was ‘running out of fuel’. Why did the first officer mitigate the captain’s instructions? This …

A Culturally Appropriate Cognitive Assessment Screening For Bhutanese Refugees, Holly Milligan

Master's Theses and Capstones

Background: As the incidence of cognitive impairment continues to rise, timely and accuratediagnoses are essential. Aim: The aim of this quality improvement project was to evaluate the standard cognitiveassessment screening for Bhutanese refugees in a medical home, and compare an alternative,validated, and potentially more culturally appropriate tool. Also, an assessment of provider,nurse and interpreter satisfaction with the two tools was performed. Method: Mixed methods including qualitative observations and quantitative satisfaction surveysrelated to the implementation of a culturally appropriate cognitive assessment tool. Results: When assessed with the standard tool, all 10 people screened positive for cognitiveimpairment. However, when using the alternative …

The Effects Of Sign On Speech Segmentation In Infants, Alma Rosa Acosta

Open Access Theses & Dissertations

Introduction: The ability to extract words from fluent speech (speech segmentation), perhaps one of the greatest obscure achievements for the purpose of learning language, is dependent upon imperceptible endeavors. Remarkably, infants are active participants from the moment they are born, using auditory and visual information to assist them segmenting speech. As motivated parents attempt to use baby sign to bridge communication gaps, visual information in the form of baby sign may benefit children in extracting words from speech. To examine the effects of baby sign on speech segmentation, a systematic replication of the Hollich et al. (2005) study, a within-subject …

A Novel Algorithm For Analyzing Drug-Drug Interactions From Medline Literature, Yin Lu, Dan Shen, Maxwell Pietsch, Chetan Nagar, Zayd Fadli, Hong Huang, Yi-Cheng Tu, Feng Chen

School of Information Faculty Publications

Drug-drug interaction (DDI) is becoming a serious clinical safety issue as the use of multiple medications becomes more common. Searching the MEDLINE database for journal articles related to DDI produces over 330,000 results. It is impossible to read and summarize these references manually. As the volume of biomedical reference in the MEDLINE database continues to expand at a rapid pace, automatic identification of DDIs from literature is becoming increasingly important. In this article, we present a random-sampling-based statistical algorithm to identify possible DDIs and the underlying mechanism from the substances field of MEDLINE records. The substances terms are essentially carriers …

Social And Pragmatic Language In Autistic Children, Hannah Li

A with Honors Projects

Two research studies, one pinpointing difference in areas of the brain used in pragmatic language activities between neurotypical and autistic children, and the other examining pragmatic language development in children with autism over time are summarized and compared.

Metaphoric Generative Genograms: A Journey To Bring Genograms To Life Through Metaphorical Components, Elisa Garcia

Department of Family Therapy Dissertations and Applied Clinical Projects

The purpose of this dissertation is to offer a greater understanding of the potential of genograms through my clinical work from a Bowen Family Systems lens. I account for how I processed and effectively blended metaphorical components, by examining six cases from my two-year journal entries, of bringing genograms to life in sessions. I also explain how I created a useful tool, the Metaphoric Generative Genogram, that can benefit other clinicians working with children and families in the foster care community.

High-Definition Tdcs Of Noun And Verb Retrieval In Naming And Lexical Decision, Svetlana Malyutina, Dirk B. Den Ouden

Communication Sciences and Disorders Faculty Articles and Research

High-definition transcranial direct current stimulation (HD-tDCS) is a novel brain stimulation method that has high potential for use in language therapy for speakers with aphasia, due to its safety and focality. This study aimed to obtain foundational data on using HD-tDCS to modulate language processing in healthy speakers. Participants received stimulation either of left Broca’s area or of angular gyrus (20 minutes of anodal, cathodal and sham stimulation on separate days), followed by naming and lexical decision tasks with single-word verb and noun stimuli. We found that cathodal stimulation over both Broca’s area and left angular gyrus increased naming speed …

Exploratory Study Of Breast Cancer Survivors' Lived Experience : Activity Engagement During And After Breast Cancer Treatment, Anne Fleischer

Occupational Therapy Program Student Theses, Dissertations and Capstones

The aim of this study is to describe breast cancer survivors' experiences and the associated meanings participating in their important activities during and after breast cancer treatment and the relationship among the survivor, environment, occupation, and performance, using a concurrent mixed method design. Ten survivors between the ages of 45 and 64 with Stage I, II, or III breast cancer who had been treated consecutively with surgery, chemotherapy, and radiation therapy were recruited for the study. Each survivor completed the Activity Card Sort-modified scoring system (ACSm) during the first and last week of radiation therapy and 3 and 6 months …

Employment Needs Of The Age 21 And Over Id Population In South Florida : An Occupational Therapy Perspective, Ingris Treminio

Occupational Therapy Program Student Theses, Dissertations and Capstones

A review in the literature makes it evident that employment needs of the age 21 and over ID population are not being met; the employment rate for this population continues to be less than half of the employment rate of the general population (Siperstein et al., 2013). There is evidence that occupational therapy has the potential to meet the employment needs of this population, however, practice guidelines for occupational therapists working with this population are limited. This study recruited seven participants and interviewed them using a needs assessment approach to investigate the employment needs of the age 21 and over …

Women’S Health Priorities And Interventions, Marleen Temmerman, Rajat Khosla, Laura Laski, Zoe Mathews, Lale Say

Obstetrics and Gynaecology, East Africa

Over the past decades, governments have taken steps towards improving women’s health in line with commitments made in key international summits. Progress has been made in reducing maternal mortality,1 which accelerated with the launch of the United Nations secretary general’s Global Strategy for Women’s and Children’s Health in 2010. Use of maternal healthcare and family planning has increased in some countries.2 Progress has also been seen on two determinants of women’s health—school enrolment rates for girls and political participation of women—but not for others such as gender based violence.3

However, societies are still failing women in relation to health, especially …

College Students’ Use Of Social Media To Communicate About Alcohol And Drinking Behaviors, Jenna E. Reno

Theses and Dissertations--Communication

Social networking sites (SNSs) are an increasingly popular channel for communication among college students. Often students disclose more freely via social networking sites than they would in other situations. These disclosures commonly include information about engaging in risky health behaviors (e.g., binge drinking). Study 1 examined students’ impression management goals and self-presentation tactics specifically related to self-disclosures of drinking behavior on SNSs. Findings suggest that students use differing self-presentation tactics across various SNSs in order to achieve their impression management goals and to avoid consequences associated with disclosing about risky health behaviors to certain audiences. Study 2 sought to develop …

Pedagogy And Culture: An Educational Initiative In Supporting Uae Nursing Graduates Prepare For A High-Stakes Nurse Licensing Examination, Sharon Brownie, Ged Williams, Kate Barnewall, Suzanne Bishaw, Jennifer L. Cooper, Walter Robb, Neima Younis, Dawn Kuzemski

School of Nursing & Midwifery, East Africa

Graduates of an Abu Dhabi transnational nursing degree struggled with the mandatory national licensing examination. Poor pass rates undermine graduate career futures and impact on the workforce capacity building contributions of the partnering transnational educational providers. This paper describes how the design and delivery of an intensive examination preparation program dramatically reversed this trend. The objectives of this educational initiative involved the design, delivery and evaluation of a program that would align with cultural learning preferences and which improve the success rates of graduates attempting the national nurse licensing examination. To achieve these objectives, the program combined a range of …

The Impact Of Performance-Based Assessment On University Esl Learners' Motivation, Kadidja Koné

All Graduate Theses, Dissertations, and Other Capstone Projects

This thesis examines the impact of performance-based assessment on university ESL learners' motivation. To reach this aim, data were collected from 21 international ESL students taking an intensive oracy course for non-native speakers. Online motivation questionnaires were used in order to find out how these learners responded emotionally and motivationally to performance-based assessment, specifically an oral presentation project both before and after the project. The results revealed that the students responded positively to this type of project. However, their motivational and emotional states varied across time depending on their experience with the oral presentation, their performance, and the cohesion of …

Transition: A Concept Of Significance To Nursing And Health Care Professionals, Nabeel Al-Yateem, Charles Docherty

Centre for Innovation in Medical Education

The concept of transition has growing significance within the healthcare settings. Healthcare professionals’ encounters with patients and family during periods of health-illness transitions in addition to other transitions (e.g., developmental) can be significant. Therefore healthcare professionals should be aware of the meaning and the process of transition, to ensure efficient and competent provision of care. This paper will explore the concept of transition in the context of healthcare, and will suggest strategies to enable professionals to manage transition effectively.

Visual Analog Rating Of Mood By People With Aphasia, Tyson G. Harmon, Katarina L. Haley, Jennifer L. Womack, Sharon W. Williams

Faculty Publications

Background:

Considerable attention has been given to the identification of depression in stroke survivors with aphasia, but there is more limited information about other mood states. Visual analog scales are often used to collect subjective information from people with aphasia. However, the validity of these methods for communicating about mood has not been established in people with moderately to severely impaired language.

Objective:

The dual purposes of this study were to characterize the relative endorsement of negative and positive mood states in people with chronic aphasia after stroke and to examine congruent validity for visual analog rating methods for people …

The Specialist Breast Care Nurse's Role In The Indentification And Minimisation Of Distress In A Members' Only, Breast Cancer Focused Online Support Community, Cynthia Witney, Joyce M. Hendricks Phd, Vicki C. Cope Ms

Research outputs 2014 to 2021

Objectives: To show how a specialist breast care nurse (SBCN) can use the distress thermometer to determine an online community member’s distress level and then use the information in their posts and blogs to identify the cause(s) and deal with them appropriately. To highlight the use of a structured written emotional expression (SWEE) format online, as a way of minimising distress. Method: A survey of online community members together with analysis of the content of members’ posts and blogs to determine whether their distress thermometer score had decreased since the SBCN had been online to deal with member distress. Results: …

How Should We Prepare Rehabilitation Sciences Students To Work With Low English-Proficient Spanish-Speaking Patients?, Connie Summers, Eugenia Gonzalez, Celia Pechak

Faculty Publications

Misinterpretations or lack of compliance with national standards established to guide health professionals working with low-English-proficient (LEP) patients continue to negatively impact patient care. Most of the literature on training health professionals to work with interpreters focuses on physicians. We reviewed this current literature and propose an interprofessional educational module to extend the interpreter training to other health professions. Our module trains rehabilitation science students from different health disciplines (physical therapy, occupational therapy, and speech-language pathology) using strategies from the literature. The educational module is tailored to student’s bilingual proficiency, suggests relevant outcomes measures, and highlights unanswered questions and areas …

Nebulized Isotonic Saline Improves Voice Production In Sjögren's Syndrome, Shawn L. Nissen, Kristine Tanner, Ray M. Merrill, Alison Miner, Ron W. Channell, Karla L. Miller, Mark Elstad, Katherine A. Kendall, Nelson Roy

Faculty Publications

Objective: This study examined the effects of a topical vocal fold hydration treatment on voice production over time. Study Design: Prospective, longitudinal, within-subjects A (baseline), B (treatment), A (withdrawal/reversal), B (treatment) experimental design. Methods: Eight individuals with primary Sjogren’s syndrome (SS), an autoimmune disease causing laryngeal dryness, € completed an 8-week A-B-A-B experiment. Participants performed twice-daily audio recordings of connected speech and sustained vowels and then rated vocal effort, mouth dryness, and throat dryness. Two-week treatment phases introduced twicedaily 9-mL doses of nebulized isotonic saline (0.9% Na1Cl2). Voice handicap and patient-based measures of SS disease severity were collected before and …

Psycholinguistics In Fluency Disorders: Prearticulatory Speech Planning In Stuttering And Cluttering, Emily O’Dell Garnett

Theses and Dissertations

The Covert Repair Hypothesis (CRH) is an account for speech errors in normally fluent speakers, and also hypothesizes errors in the phonological encoding stage in people who stutter (PWS). Previous research has shown that PWS exhibit poorer performance compared to typically fluent adults (TFA) on linguistic tasks designed to tap into the level of phonological encoding, such as phoneme monitoring. Stuttering and cluttering often co-occur, thus the field can benefit from extending this methodology to study people who clutter (PWC). Experiment 1 in Chapter 2 used phoneme monitoring to study phonological encoding in PWS and PWC, with three conclusions: (1) …

Relactation In Emergencies, Ashley N. Franz

Master of Public Health Program Student Publications

Disaster situations in the United States are unique entities that require solutions which are well thought out, appropriate for the population and planned well in advance. Infant and young child feeding in emergencies is no exception. While in peacetime infants may be safely nourished with both breastmilk and infant formula, disaster situations often add a level of complexity to feeding with infant formula, including lack of access to potable water and ability to effectively sterilize feeding items. Such complexities, along with the important and undeniable fact that breastmilk is the ideal form of food for all babies (and especially in …

Decompression Illness In United States Air Force: High Risk Occupations, Jaime Rojas

Master of Public Health Program Student Publications

Introduction: Although the physics of decompression sickness (DCS) is well understood, an individual’s unique response to the bubble formation places the United States Air Force’s (USAF) Airmen and missions at risk. We identified 123 decompression sickness diagnoses in the USAF between the years 2005-2010. From these cases we attempted to identify an association between the disease and the two occupations that are routinely performing high-altitude duties, the U2 pilot and the hypobaric chamber technician. Methods: A Chi-squared analysis was performed to identify if DCS was associated with the high-altitude occupations, tobacco, or alcohol. Results: There association between DCS and U2 …

Perception And Use Of Communication Care Plans By Certified Nursing Assistants In Nursing Homes: The Role Of Professional Support, Christen G. Page

Theses and Dissertations--Rehabilitation Sciences

The majority of individuals in nursing homes have cognitive-communication impairments which impact quality of care because direct care providers, certified nursing assistants, (CNAs) are unsure how to respond to resident’s communication behaviors. One intervention that facilitates staff-resident communication in nursing homes is communication plans; however, the research to date about communication plans has not specifically involved CNAs.

The purpose of this study, using a grounded theory qualitative approach, was to describe development, implementation and evaluation of communication care plans (CCPs) for residents with cognitive-communication impairments in nursing homes by CNAs who did and did not receive professional support. Communication care …

Helping Mothers Defend Their Decision To Breastfeed, Kandis Natoli

Electronic Theses and Dissertations

The United States has established breastfeeding as an important health indicator within the Healthy People agenda. Healthy People target goals for breastfeeding initiation, duration, and exclusivity remain unmet. The US Surgeon General's Office reports that lack of knowledge and widespread misinformation about breastfeeding are barriers to meeting Healthy People goals. Breastfeeding mothers are vulnerable to messages that cast doubt on their ability to breastfeed. Very little research has examined specific approaches to help people resist negative messages about health beliefs and behaviors. The objective of this quasi-experimental study was to test an intervention designed to help mothers defend their breastfeeding …

Comparison Of Acoustic Measures In Discriminating Between Those With Friedreich's Ataxia And Neurologically Normal Peers, Sophia Luna-Webb

HIM 1990-2015

Background: Technological advancements in speech acoustic analysis have led to the development of spectral/cepstral analyses due to questions regarding the validity of traditional time-based measures (i.e., Jitter, Shimmer, and Harmonics-to-Noise-Ratio) in objectifying perturbations in dysphonic voices. Aim: This study investigated the validity of time-based measures in discriminating those with Friedreich’s ataxia (FA) from normal voiced (NV) peers when compared to cepstral-spectral measures. Method: A total of 120 sustained vowel phonations from an existing database of 40 participants (20 FA; 20 NV) of the vowels /ɑ/, /i/, and /o/ were analyzed to determine which set of variables (i.e., time-based vs. cepstral-spectral) …

Rural Health Clinic Readiness For Patient-Centered Medical Home Recognition: Preparing For The Evolving Healthcare Marketplace [Policy Brief], John A. Gale Ms, Zachariah T. Croll Mph, David Hartley Phd, Mha, Andrew F. Coburn Phd

Rural Health Clinics

The patient-centered medical home (PCMH) model reaffirms traditional primary care values including continuity of care, connection with an identified personal clinician, provision of same day- and after-hours access, and positions providers to participate in accountable care and other financing and delivery system models. However, little is known about the readiness of the over 4,000 Rural Health Clinics (RHCs) to meet the PCMH Recognition standards established by the National Council for Quality Assurance (NCQA). The authors present findings from a survey of RHCs that examined their capacity to meet the NCQA PCMH requirements, and discuss the implications of the findings for …

Rural Health Clinic Readiness For Patient-Centered Medical Home Recognition: Preparing For The Evolving Healthcare Marketplace [Working Paper], John A. Gale Ms, Zachariah T. Croll Mph, David Hartley Phd, Mha

Rural Health Clinics

The patient-centered medical home (PCMH) model reaffirms traditional primary care values including continuity of care, connection with an identified personal clinician, provision of same day- and after-hours access, and positions providers to participate in accountable care and other financing and delivery system models. However, little is known about the readiness of the over 4,000 Rural Health Clinics (RHCs) to meet the PCMH Recognition standards established by the National Council for Quality Assurance (NCQA). The authors present findings from a survey of RHCs that examined their capacity to meet the NCQA PCMH requirements, and discuss the implications of the findings for …

Keeping The Peace: Playback Theatre With Adolescents, Timothy J. Reagan

Expressive Therapies Dissertations

The purpose of this research was to understand the experience of a Playback Theatre (Playback) program for adolescents addressing themes of bullying perpetration and victimization. The guiding question for the study was: What was the phenomenological experience for homeless youth participating in Keep the Peace Leadership Program, a Playback program at Manhattanville College in Purchase, NY? The sample consisted of 11 youth residing at the Coachman Family Center in White Plains, NY, 11 Manhattanville students, and four adults from Big Apple Playback Theatre in NY. Participants completed the forms of bullying scale (FBS) so the researcher could measure bullying climates …

Rocky Mountain Alba Emoting Training For Creative Arts Therapists, Brant P. Wadsworth

Expressive Therapies Dissertations

This dissertation research explored what experiences and influences Rocky Mountain Alba Emoting (RMAE) training generated for creative arts therapists in both their personal and professional lives. RMAE builds upon the effector patterns of Alba EmotingTM which uses innate physiological processes to induce, experience, and cease six genuine basic emotions. RMAE uses the process of learning these patterns as a means of enhancing emotional expression, awareness, and balance. With emotions and emotional regulation playing an increasing role in psychotherapy, a therapist’s emotional life and ability to work with emotions have become more important. RMAE shares some characteristics with the practices of …