Digital Commons Network^™

Health Literate Organizations: Are Clinical Trial Sites Equipped To Recruit Minority And Limited Health Literacy Patients?, Jennifer Livaudais-Toman, Nancy J. Burke, Anna Napoles, Celia P. Kaplan

Journal of Health Disparities Research and Practice

Background. Racial/ethnic minority patients are less likely than non-Latino white patients to participate in cancer clinical trials. A key barrier to participation is limited health literacy which is more common among minorities. At the organizational level, it is important that clinical trials sites become better equipped to recruit minority patients by expanding their organizational health literacy including language competency and outreach efforts. We explored the characteristics of clinical trial sites that are associated with these health literate behaviors.

Methods. We identified 353 breast clinical trials recruiting participants in 2006 from four states (California, Florida, Illinois, and New York) through the …

Innovations To Improve Access To Primary Health Care For Vulnerable Populations: Results From An Environmental Scan Using A Social Media Approach, Lauralie Richard Phd, Jane M. Gunn Mbbs, Phd Fracgp, John Furler Fracgp, Mbbs, Phd, Benjamin F. Crabtree Phd, Jeannie Haggerty Phd, Pierre Pluye Md, Phd, William L. Miller Md, Ma, Jean-Frédéric Levesque Md, Phd, Frcp, Grant M. Russell Mbbs, Phd, Fracgp

Department of Family Medicine

No abstract provided.

Patient Experience Of Care In A Student-Faculty Collaborative Practice, Rebecca A. Berman, Scott Elman, Pratyaksh Kumar Srivastava, Janine Knudsen, Laura Huppert, Kyle Dempsey, Michael Barnett, Camille Powe, Karen Donelan

Patient Experience Journal

Student Run Clinics (SRCs) are a popular means of caring for the underserved while providing valuable medical education opportunities. Reports of patient experience surveys are rare in this setting. This is troublesome because it is possible that underserved patients, who are more likely to receive care at SRCs, are not receiving the same level of care as at more traditional medical practices. The purpose of this research was to measure patient experience in a student-led medical clinic. The method included the use of patient experience surveys, which were self-administered pre-visit and self- and interviewer administered post-visit. The key results, 100% …

A Proposed Holistic Model Of Assessment For Children With Cleft Palate Within The Icf-Cy Framework, Rabia Foreman, Jamesa Ewing, Olivia Hawley, Mariana De Cassia Macedo, Naiara Rodrigues Carlota Do Nascimento, Brenda Louw, Luciana Maximino

ETSU Faculty Works

The purpose of this project is to describe a proposed model for the assessment of children with cleft palate within the framework of the ICF-CY (WHO, 2007). Suggestions for clinical application and cleft palate curricula are made, and future research needs are identified.

Structural Processes And Local Meaning: Explanatory Models, Political Economy, And Chagas Disease In Tropical Bolivia, Colin James Forsyth

USF Tampa Graduate Theses and Dissertations

This project describes and analyzes explanatory models of Chagas disease among people in a highly endemic area of eastern Bolivia, and examines the role that cultural and structural factors play in shaping explanatory models of this disease. Dressler (2001) characterizes medical anthropology as divided between two poles; the constructivist, which focuses on the "meaning and significance that events have for people," and the structuralist, which emphasizes the relationships between the components of a given society. This project endeavors to synthesize structuralist and constructivist perspectives by understanding the interaction between structural processes and explanatory models of Chagas disease.

The research took …

Word Recognition In Noise Among Young And Older Listeners: A Combined Behavioral And Electrophysiological Study, Victoria Ann Williams-Sanchez

USF Tampa Graduate Theses and Dissertations

Word recognition is based on the complex interplay of bottom up processing of acoustic input and corresponding top-down processing based on linguistic redundancies (i.e., contextual cues). Friedrich and Kotz (2007) investigated the timeline of integrating top-down and bottom-up processes among young adults with normal hearing using sentences presented in quiet. As a follow-up study, also with young adults with normal hearing (Experiment 1 of this dissertation), we used sentences embedded in multi-talker background noise and found similar results to Friedrich and Kotz (2007); but, with the use of principal component analysis (PCA) unveiled additional effects of phonological and semantic integration …

Bilingual Language Assessment: Contemporary Practice Versus Recommended Practice, Graciela Arias

Theses and Dissertations

Due to the increasing number of culturally and linguistically diverse students within American school systems, speech-language pathologists (SLPs) in school settings must be prepared to distinguish between typically developing bilingual students and those with language impairments. The purpose of this study was to identify current practices of school-based SLPs for bilingual language assessment and compare them to both American Speech-Language-Hearing Association (ASHA) best practice guidelines, and mandates of the Individuals with Disabilities Education Act (IDEA). The study was modeled to replicate Caesar and Kohler's (2007) study to include a nationally representative sample. While the survey was opened over 400 times, …

Latino Men Managing Hiv: An Appraisal Analysis Of Intersubjective Relations In The Discourse Of Five Research Interviews, Will Caston

Dissertations and Theses

Latino men, particularly those who have sex with other men, have been disproportionately affected by HIV/AIDS. Scholars have sought for nearly two decades to understand how various social and cultural factors in the Latino community exacerbate HIV risk among these men. Although following the advent of life-sustaining medications in 1996, HIV is often regarded as a manageable chronic illness, as opposed to a death sentence, scant attention has been devoted to how HIV-positive Latino men experience managing the illness. Among studies that have focused on HIV-positive persons' illness management, few Latino men have participated.

Using the Appraisal framework from Hallidayan …

Exploring Peer Learning In The Context Of Dyadic Interactions In Kindergarten Aged Children, Elisabeth A. Mlawski

Seton Hall University Dissertations and Theses (ETDs)

Kindergarten aged children are now expected to interact with peers in their classrooms for the purpose of gaining new knowledge. Since children spend a great deal of time in the company of other children, it is assumed that the children know how to learn from each other. Previously studied have been mechanisms used by adults during peer learning, but not the mechanisms used by children during unscripted peer learning interactions. Knowing the specific mechanisms used during these interactions will help to identify foundational skills necessary for successful peer learning. This study contributes to the understanding of the specific verbal and …

Developmental Differences In The Influence Of Phonological Similarity On Spoken Word Processing In Mandarin Chinese., Jeffrey G Malins, Danqi Gao, Ran Tao, James R Booth, Hua Shu, Marc F Joanisse, Li Liu, Amy S Desroches

Brain and Mind Institute Researchers' Publications

The developmental trajectory of spoken word recognition has been well established in Indo-European languages, but to date remains poorly characterized in Mandarin Chinese. In this study, typically developing children (N=17; mean age 10; 5) and adults (N=17; mean age 24) performed a picture-word matching task in Mandarin while we recorded ERPs. Mismatches diverged from expectations in different components of the Mandarin syllable; namely, word-initial phonemes, word-final phonemes, and tone. By comparing responses to different mismatch types, we uncovered evidence suggesting that both children and adults process words incrementally. However, we also observed key developmental differences in how subjects treated onset …

Mentoring An Esl Student Through A Nursing Program: A Case Study, Rebecca Retzer

Graduate Research Projects

No abstract provided.

Monitoring And Use Of Social Media In Emergncy Management In Florida, Leila Martini

USF Tampa Graduate Theses and Dissertations

The emergence of mobile technologies and social media applications has led to a shift in the emergency/disaster related communication environment. Citizens are playing an increasingly important role in providing real time information to emergency organizations. This shift has resulted in an expectation by the public that emergency management (EM) organizations monitor and respond to calls for help disseminated via these applications. The purpose of this study is to explore the extent to which Florida EM agencies have incorporated the monitoring of social media into their organizational processes.

The state of social media use in Florida is under researched. In this …

Developing An Open Educational Resource For Interprofessional Education (Ipe)., Susanne P. Boyle, Matthew Ramirez, Lynn Sheridan

JCIPE Conference

Jisc

Aims

» The development of an online, digitally rich IPE resource which supports an IPE learning experience.

» Employs family narratives, authentic voices and cultural insights to help students visualise and identify with the patient and client scenarios.

» Sharing of the IPE open educational resource (OER) via Jorum.

» Supports HEI sector efficiency and capacity building by the development of a quality IPE Open Educational Resource (OER) which may be adopted, adapted and re-purposed.

Effects Of Extreme Climate Events On Tea (Camellia Sinensis) Functional Quality Validate Indigenous Farmer Knowledge And Sensory Preferences In Tropical China, Selena Ahmed, John Richard Stepp, Colin M. Orians, Timothy S. Griffin, Corene Matyas, Albert Robbat, Sean Cash, Dayuan Xue, Chunlin Long, Uchenna Unachukwu, Sarabeth Buckley, Edward J. Kennelly

Publications and Research

Climate change is impacting agro-ecosystems, crops, and farmer livelihoods in communities worldwide. While it is well understood that more frequent and intense climate events in many areas are resulting in a decline in crop yields, the impact on crop quality is less acknowledged, yet it is critical for food systems that benefit both farmers and consumers through high-quality products. This study examines tea (Camellia sinensis; Theaceae), the world’s most widely consumed beverage after water, as a study system to measure effects of seasonal precipitation variability on crop functional quality and associated farmer knowledge, preferences, and livelihoods. Sampling was conducted in …

Brittany Bernal - Sensorimotor Adaptation Of Speech Through A Virtually Shortened Vocal Tract, Brittany A. Bernal

Ronald E. McNair Scholars Program 2014

The broad objective of this line of research is to understand how auditory feedback manipulations may be used to elicit involuntary changes in speech articulation. We examine speech sensorimotor adaptation to supplement the development of speech rehabilitation applications that benefit from this learning phenomenon. By manipulating the acoustics of one’s auditory feedback, it is possible to elicit involuntary changes in speech articulation. We seek to understand how virtually manipulating participants’ perception of vowel space affects their speech movements by assessing acoustic variables such as formant frequency changes. Participants speak through a digital audio processing device that virtually alters the perceived …

Respiratory And Laryngeal Function In Teachers Pre- And Posta 1-Hour Vocal Loading Challenge, Nicole E. Herndon

Open Access Theses

Teachers use their voice as a key part of their profession, often speaking at an increased loudness for multiple hours a day. This places teachers at a high risk for voice disorders, which costs the United States billions of dollars annually. Vocal fatigue, or worsening of the voice as the day progresses, is a common complaint from teachers. The present study investigated respiratory and laryngeal function in teachers pre and post a 1-hour vocal loading challenge. Six teachers and three student teachers (total of 9 subjects) produced four speech tasks and completed two perceptual ratings pre and post a 1-hour …

“In Light Of Real Alternatives”: Negotiations Of Fertility And Motherhood In Morocco And Oman, Victoria E. Mohr

Student Publications

Many states in the Arab world have undertaken wide-ranging family planning polices in the last two decades in an effort to curb high fertility rates. Oman and Morocco are two such countries, and their policies have had significantly different results. Morocco experienced a swift drop in fertility rates, whereas Oman’s fertility has declined much more slowly over several decades. Many point to the more conservative religious and cultural context of Oman for their high fertility rates, however economics and the state of biomedical health care often present a more compelling argument for the distinct differences between Omani and Moroccan family …

Electrophysiological Response To Omitted Stimulus In Sentence Processing, Hiroko Nakano, Mari-Anne Rosario, Yuriko Oshima-Takane, Lara Pierce, Sophie G. Tate

School of Science Faculty Works

The current study provides evidence that the absence of a syntactically expected item leads to a sustained cognitive processing demand. Event-related potentials were measured at the omission of a syntactically expected object argument in a speech sequence. English monolingual adults listened to paired sentences. The first sentence in the pair established a context. The second sentence provided a response to the first sentence that was either grammatically correct by containing an overt object argument in the form of a pronoun, or was syntactically unacceptable by omitting the expected object pronoun. Event-related potentials measured at the omission of the object argument …

Agency Of The South Sudanese: Compensating For Health Care In Mungula Refugee Settlement, Lauren Schmidt

Independent Study Project (ISP) Collection

In reaction to the endemic violence, which has forced many South Sudanese to flee their homes and seek refuge within Uganda’s borders, the researcher spent the practicum interning with the Uganda Red Cross Society (URCS) in Mungula refugee settlement, under academic advisor Steven Mawa. As the organization is the leading health provider in the settlement, the researcher gained insight into the provision of social services to the population, which allowed an extensive study on the ability of the South Sudanese to compensate for shortages in care and various complications associated with doing so.

The researcher sought to entertain these inquiries …

Interpersonal Communication In The Context Of Dementia: Examining Family Caregivers' Appraisals And Burden, Stacy Lynn Barnes

Dissertations (1934 -)

Purpose and Objectives: The purpose of this study was to explore dementia family caregivers' appraisals of communication behaviors and strategies, and their relationships to caregiver burden. Study objectives were to investigate: 1) the relationship between frequency of dementia-related communication behaviors and caregivers' appraisals of frustration; 2) the relationship between caregivers' use of communication strategies and appraisals of helpfulness; 3) the structural relationships between communication behavior appraisal, communication strategy appraisal, problem behaviors, and caregiver burden; and 4) caregiver education level as a moderating variable of the final structural model. Methods: A written, mailed questionnaire was developed to capture dementia family caregivers' …

Genetics Of The Pig Tapeworm In Madagascar Reveal A History Of Human Dispersal And Colonization, Tetsuya Yanagida, Jean-François Carod, Yasuhito Sako, Minoru Nakao, Eric P. Hoberg, Akira Ito

Harold W. Manter Laboratory of Parasitology: Faculty Publications

An intricate history of human dispersal and geographic colonization has strongly affected the distribution of human pathogens. The pig tapeworm Taenia solium occurs throughout the world as the causative agent of cysticercosis, one of the most serious neglected tropical diseases. Discrete genetic lineages of T. solium in Asia and Africa/Latin America are geographically disjunct; only in Madagascar are they sympatric. Linguistic, archaeological and genetic evidence has indicated that the people in Madagascar have mixed ancestry from Island Southeast Asia and East Africa. Hence, anthropogenic introduction of the tapeworm from Southeast Asia and Africa had been postulated. This study shows that …

Structural Factors That Increase Hiv/Sti Vulnerability Among Indigenous People In The Peruvian Amazon, E. Roberto Orellana, Isaac E. Alva, Cesar P. Cárcamo, Patricia J. García

School of Social Work Faculty Publications and Presentations

We examined structural factors—social, political, economic, and environmental—that increase vulnerability to HIV among indigenous people in the Peruvian Amazon. Indigenous adults belonging to 12 different ethnic groups were purposively recruited in four Amazonian river ports and 16 indigenous villages. Qualitative data revealed a complex set of structural factors that give rise to environments of risk where health is constantly challenged. Ferryboats that cross Amazonian rivers are settings where unprotected sex—including transactional sex between passengers and boat crew and commercial sex work—often take place. Population mobility and mixing also occurs in settings like the river docks, mining sites, and other resource …

The Status Of Neonatal Hearing Screening In Sub-Saharan Africa: A Systematic Review, David Engelman

Dissertations, Theses, and Capstone Projects

Late identification of hearing loss can lead to speech and language delays, as well as social and academic difficulties. Neonatal hearing screening has reduced the age of identification of hearing loss in many developed countries. However, the practice is limited or non-existent in much of the developing world, such as sub-Saharan Africa. This systematic review used currently available literature to determine the status of neonatal hearing screening programs in sub-Saharan Africa and to develop a model program for the region. Results suggested a lack of neonatal hearing screening services in sub-Saharan Africa, stressing the need for more pilot hearing screening …

When Less Can Be More: Dual Task Effects In Stuttering And Fluent Adults, Naomi Nechama Eichorn

Dissertations, Theses, and Capstone Projects

The present study tested the counterintuitive hypothesis that engaging cognitive resources in a secondary task while speaking could benefit aspects of speech production. Effects of dual task conditions on speech fluency, rate, and error patterns were examined in stuttering and fluent speakers based on specific predictions derived from three related theoretical frameworks. Twenty fluent adults and 19 adults with confirmed diagnoses of stuttering participated in the study. All participants completed two baseline tasks: (1) a continuous speaking task in which spontaneous speech was produced in response to given prompts; and (2) a working memory (WM) task involving manipulations of WM …

Underprivileged Children In Port-Au-Prince, Haiti: Hearing And Academic Performance Of Children In Public Schools In Port Au Prince, Talia Meisel

Dissertations, Theses, and Capstone Projects

Hearing loss is estimated to affect more than 360 million people worldwide, 32% of whom are children. Children with hearing loss tend to develop compromised communicative abilities and also have been found to perform more poorly academically than their normal hearing peers. Because of the lack of medical care, children in third world countries are expected to have more difficulty hearing and learning in a classroom setting than children in first world countries due to higher incidences of conductive pathology. The purpose of this study is to assess the hearing ability of underprivileged children in kindergarten and primary schools in …

Health Insurance Benefits Advisors: Understanding Responsibilities, Regulations, Restrictions And The Relevance To Implementing The Affordable Care Act, Alexandra M. Stewart, Marisa A. Cox, Leighton Ku

Health Policy and Management Issue Briefs

This brief describes the operational differences among six different types of benefits advisors including: 1) Commercial agents and brokers, 2) Medicaid enrollment brokers, 3) navigators, 4) non-navigator assistance personnel (or in-person assisters), 5) certified applications assisters, and 6) health center outreach and enrollment assistance workers. We will address: 1) the role of each benefits advisor 2) the health plans with which benefits advisors are authorized to work 3) training requirements, 4) compensation 5) conflict of interest requirements, and 6) the impact benefits advisors have on consumer enrollment decisions.

Autonomic Nervous System Activity Of Preschool-Age Children Who Stutter., Victoria Tumanova, Robin M. Jones, Anthony P. Buhr, Edward G. Conture, Tedra A. Walden, Stephen W. Porges

Communication Sciences and Disorders - All Scholarship

Purpose—The purpose of this study was to investigate potential differences in autonomic nervous system (ANS) activity to emotional stimuli between preschool-age children who do (CWS) and do not stutter (CWNS).

Methods—Participants were 20 preschool-age CWS (15 male) and 21 preschool-age CWNS (11 male). Participants were exposed to two emotion-inducing video clips (negative and positive) with neutral clips used to establish pre-and post-arousal baselines, and followed by age-appropriate speaking tasks. Respiratory sinus arrhythmia (RSA) – often used as an index of parasympathetic activity – and skin conductance level (SCL) – often used as an index of sympathetic activity – were measured …

Palate-Referenced Articulatory Features For Acoustic-To-Articulator Inversion, An Ji, Michael T. Johnson, Jeffrey J. Berry

Speech Pathology and Audiology Faculty Research and Publications

The selection of effective articulatory features is an important component of tasks such as acoustic-to-articulator inversion and articulatory synthesis. Although it is common to use direct articulatory sensor measurements as feature variables, this approach fails to incorporate important physiological information such as palate height and shape and thus is not as representative of vocal tract cross section as desired. We introduce a set of articulator feature variables that are palate referenced and normalized with respect to the articulatory working space in order to improve the quality of the vocal tract representation. These features include normalized horizontal positions plus the normalized …

Simpatia And Negative Interpersonal Emotions In Continuity Of Health Care, Andres Gilberto Mendez

Loma Linda University Electronic Theses, Dissertations & Projects

Past research has demonstrated that continuity of care has positive outcomes for patients. Continuous care has been shown to have positive outcomes for the patient, including increased patient satisfaction, decreased hospitalizations, decreased emergency department visits, and improved receipt of preventive services. Guided by Betancourt’s Integrative Model for the Study of Culture, Psychological Processes, and Health Behaviors, the aim of this research was to examine the role of cultural scripts and mistreatment related negative interpersonal emotions on continuity of care among Latin American (Latino) and Non-Latino White (Anglo) women. Specifically, this study examined the effect of simpatía, a cultural script that …

Consonant Context Effects On Vowel Sensorimotor Adaptation, Jeffrey J. Berry, John Jaeger Iv, Melissa Wiedenhoeft, Brittany A. Bernal, Michael T. Johnson

Speech Pathology and Audiology Faculty Research and Publications

Speech sensorimotor adaptation is the short-term learning of modified articulator movements evoked through sensory-feedback perturbations. A common experimental method manipulates acoustic parameters, such as formant frequencies, using real time resynthesis of the participant's speech to perturb auditory feedback. While some studies have examined phrases comprised of vowels, diphthongs, and semivowels, the bulk of research on auditory feedback-driven sensorimotor adaptation has focused on vowels in neutral contexts (/hVd/). The current study investigates coarticulatory influences of adjacent consonants on sensorimotor adaptation. The purpose is to evaluate differences in the adaptation effects for vowels in consonant environments that vary by place and manner …