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Continual Evolution: The Experience Over Three Semesters Of A Librarian Embedded In An Online Evidence-Based Medicine Course For Physician Assistant Students, Shannon Kealey

Staff publications, research, and presentations

This column examines the experience, over three years, of a librarian embedded in an online Epidemiology and Evidence-based Medicine course, which is a requirement for students pursing a Master of Science in Physician Assistant Studies at Pace University. Student learning outcomes were determined, a video lecture was created, and student learning was assessed via a five-point test during year one. For years two and three, the course instructor asked the librarian to be responsible for two weeks of the course instruction and a total of 15 out of 100 possible points for the course. This gave the librarian flexibility to …

Designing And Implementing Two-Way, Dual Language Programs: Issues To Consider, April Haulman, Regina Lopez

Administrative Issues Journal

With growing pressure on school administrators to close the achievement gap for English language learners, two-way immersion programs are being considered in increasing numbers across the nation. In this program design, language minority children are placed in classrooms with native English speakers and both groups of children learn and achieve in both languages. In well-designed programs the outcomes show that the program produces academic achievement across the curriculum that is equal or better than students educated in monolingual classrooms on standardized tests in English. Plus they also enjoy the benefits of becoming balanced bilinguals. This report reviews the literature on …

Brief Remarks On Some Linguistic Features Of "Empathy" And "Sympathy", Emanuel E. Garcia, Md

Jefferson Journal of Psychiatry

The use of words by an individual or culture is subject to the very same psychological forces that drive man's other activities . Hence, the history of a word's usage becomes a telling record of the mental processes of its creators and users, both conscious and unconscious. Etymology, as Freud has observed in his dreambook (1900), contributes significantly to our understanding of the deeper layers of the psyche . Let us take the word "rival," for example, and see how we may make use of etymological data. It is derived from the Latin "riva lis," I which originally meant "one …

Assessment Of Refugees’ Health In Montgomery County: A Case Study Of Refugees From Rwanda And Burundi, Jean De Dieu Mukunzi

Master of Public Health Program Student Publications

The purpose of this research study was to identify health needs and health problems experienced by a refugee/asylee population in Montgomery County. Montgomery County hosts a large number of refugees, asylees and asylum seekers from countries such as Iraq, Ethiopia, Eritrea, Soudan, Rwanda, Burundi and Congo.

A public health challenge is limited demographic data about this population. The scarce data on their health needs slows down not only their successful resettlement but also limits community organizations, health and human services agencies to improve the delivery of health care services and health promotion programs to refugees and immigrants in Montgomery County. …

Examining The Use Of Institutionally Designed Documentation Templates As A Vehicle For Changing Values And Practices In Health Care, Doris J. Ravotas

Transactions of the International Conference on Health Information Technology Advancement

Changing values and requirements are common occurrences in today’s health care settings. Institutionally designed documentation templates are often developed to demonstrate that these changes have been incorporated into clinical work. Little research has been completed to examine whether the use of these institutional templates leads to the intended change or whether the changes clash with other influences on clinical work. This paper illustrates how two qualitative methods: think aloud interviews and frame analysis can be combined to examine the use of the templates, the changing values themselves, and the influences on changes in clinical practice. An analysis of local change …

The Relation Between Children‟S Socio-Economic Status And Their Performance On The Passive Subtest Of The Diagnostic Evaluation Of Language Variation – Norm Referenced, Maggie Faulk Deville

Honors Capstones

No abstract provided.

The Development Of A Neonatal Communication Intervention Tool, Esedra Strasheim, Alta Kritzinger, Brenda Louw

ETSU Faculty Works

Neonatal communication intervention is important in South Africa, which has an increased prevalence of infants born with risks for disabilities and where the majority of infants live in poverty. Local literature showed a dearth of information on the current service delivery and roles of speech-language therapists (SLTs) and audiologists in neonatal nurseries in the South African context. SLTs have the opportunity to provide the earliest intervention, provided that intervention is well-timed in the neonatal nursery context. The aim of the research was to compile a locally relevant neonatal communication intervention instrument/tool for use by SLTs in neonatal nurseries of public …

Grammatical Morphology In School-Age Children With And Without Language Impairment: A Discriminant Function Analysis, Maura Jones Moyle, Susan Ellis Weismer, Brenda K. Gorman

Speech Pathology and Audiology Faculty Research and Publications

Purpose: The purpose of this study was to test Bedore and Leonard's (1998) proposal that a verb morpheme composite may hold promise as a clinical marker for specific language impairment (SLI) in English speakers and serve as an accurate basis for the classification of children with and without SLI beyond the preschool level.

Method: The language transcripts of 50 school-age children with SLI (M_age = 7;9 [years;months]) and 50 age-matched typically developing peers (M_age = 7;9) were analyzed. Following the Bedore and Leonard (1998) procedure, 3 variables were measured: a finite verb morpheme composite, a noun …

Psychosocial Problems Of Refugees: Understanding And Addressing Needs, Catherine Doren

Independent Study Project (ISP) Collection

Because all refugees have, by definition, left their country due to a “well-founded fear of persecution due to race, political opinion, ethnic origin, religion, or belonging to a particular social group,” it must be assumed that they have experienced trauma, making psychosocial problems ubiquitous among refugees (Bulbul, 2011; M. Carballo, personal communication, 29 September 2011). Research has shown that refugees often experience a range of psychosocial problems, yet research about the potential avenues for ameliorating these problems and their consequences is lacking and must be increased. Through a combination of interviews and a review of the field’s existing literature, it …

Temperamental Profiles Of Children With Communication Impairment., Whitney Charlena Lau

Electronic Theses and Dissertations

The temperament literature available that involves children with communication impairments is limited but promising. The purpose of this study was to investigate the temperamental profiles of children with autism spectrum disorders, primary language impairments, phonological/articulation impairments, and combined phonological and language impairments. Participants included 38 children who attended the East Tennessee State University Speech-Language-Hearing Clinic at the time of the study or in the past 10 years. Parents of eligible participants were asked to complete demographic and temperament questionnaires about their children. Results indicated that the temperamental profiles of children with communication impairments differed significantly from typically developing children in …

A Preliminary Report On Disordered Speech With Deep Brain Stimulation In Individuals With Parkinson's Disease, Christopher Dromey, Suzy Bjarnason

Faculty Publications

Deep brain stimulation (DBS) of the subthalamic nucleus (STN) has proven effective in treating the major motor symptoms of advanced Parkinson's disease (PD). The aim of this study was to learn which laryngeal and articulatory acoustic features changed in patients who were reported to have worse speech with stimulation. Six volunteers with PD who had bilateral STN electrodes were recorded with DBS turned on or off. Perceptual ratings reflected poorer speech performance with DBS on. Acoustic measures of articulation (corner vowel formants, diphthong slopes, and a spirantization index) and phonation (perturbation, long-term average spectrum) as well as verbal fluency scores …

The Efficacy Of Social Communication Intervention In Improving Emotion Inferencing For School-Aged Children With Language Impairment, Matthew Keith Frank

Theses and Dissertations

Children with language impairment (LI) have demonstrated several language problems, including receptive and expressive deficits. A growing body of research has further demonstrated emotion understanding and, more specifically, emotion inferencing deficits that negatively affect the ability of this population to use language successfully in social interactions. Consequently, the present study examines social communication intervention focused on improving emotion inferencing for children with a diagnosis of LI or Autism Spectrum Disorder (ASD), as similar social communication deficits are occasionally seen in children with these diagnoses. Study participants were identified from the caseload of a practicing certified speech-language pathologist (SLP) and qualified …

The Holistic Complementary Structure Of Western Bio-Medicine And Traditional Healing And Achieving Complete Health, Candace Gail Oubre

USF Tampa Graduate Theses and Dissertations

Achieving complete health requires a deep understanding of complementary cultural competency sensitivity between physician and patient. This may include but is not limited to access to preventative health care resources, access to health educational resources and access to cultural healing resources, for example, shamans, Ayurvedic physicians, and herbal healers. Advocates of cultural competency emphasize great importance on knowledge of the patients' cultural background; however, the transcendence of this knowledge can be explained further through complementary cultural competency sensitivity. This is when the cultures of the physician and patient complement each other in terms of understanding what is in the patients' …

Managing The Healthcare Needs Of Adolescents With Autism Spectrum Disorder: The Parents' Experience, Julie Strunk

Theses and Dissertations

The purpose of this phenomenological study was to describe the experiences of parents who manage the health needs of an adolescent with Autism Spectrum Disorder (ASD). Qualitative interviews were conducted with parents from 10 families of adolescents with ASD residing in Virginia. Data were analyzed using Clark Moustakas’ method of analysis of data in which the phenomenologist asks the following questions: What are the individual’s experiences, and in what context did they experience them? This study maximized credibility by using three strategies: prolonged engagement, peer debriefing, and member checking. “Parents needing help” emerged as the essence of the parents’ experiences. …

The Effects Of Gender And Elicitation Method On The Prosodic Cues Used By 7- To 11-Year-Old Children To Signal Sentence Type, Lacey Ann Powell

Theses and Dissertations

The purpose of this study was to examine the prosodic cues used by 7 to 11 year-old children to signal questions and declarative statements in terms of changes in fundamental frequency (F0), duration, and intensity. Additional aims were to evaluate how children's use of prosody changes as a function of gender and method of elicitation. A group of 16 children participated in three different types of elicitation tasks (imitative, reading, and naturalistic). An acoustic analysis revealed that the participants produced the different sentence types using a variety of acoustic cues. Not only do children vary the mean of F0 and …

Initial Mlu Predicts The Relative Efficacy Of Two Grammatical Treatments In Preschoolers With Specific Language Impairments, Paul J. Yoder, Dennis L. Molfese, Elizabeth Gardner

Center for Brain, Biology, and Behavior: Faculty Publications

Purpose—We sought to confirm predictions based on past findings that pre-treatment mean length of utterance (MLU) would predict which of two grammatical treatments would best facilitate generalized and maintained grammatical development in preschoolers with specific language impairment (SLI).

Method—The participants were 57 preschoolers with specific language impairment (SLI). A randomized group experiment was used. The two grammatical treatments were Broad Target Recasts (BTR) and Milieu Language Teaching (MLT). MLU was assessed at Time 1 in two conversational language samples. Growth rate of productive grammar was quantified using growth curve modeling on the Index of Productive Syntax (IPSyn) from …

Positive Emotions And Suicide Intervention Response, Crystal Rodriguez

Theses and Dissertations - UTB/UTPA

This study investigated the role of positive emotions in suicide intervention response, in an effort to inform future directions in suicide intervention strategies. Participants were 381 Hispanic college students who completed a measure of suicide intervention skill and wrote written responses to a vignette of a peer in crisis. Results indicated that communication of positive emotions and suicide intervention response skill were not related. Possible explanations and future directions are discussed.

Enhancing The Cultural Competence Of Women’S Health Nurses Via Online Continuing Education, Ella T. Heitzler

UNLV Theses, Dissertations, Professional Papers, and Capstones

By 2050, current minority groups will comprise almost half of the US population further challenging healthcare providers and nurses to deliver culturally competent care. Numerous organizations have published documents supporting cultural competence and its incorporation into nursing curricula has been encouraged since 1986. However, practicing nurses, specifically those providing care to childbearing women and families, continue to acknowledge their lack of cultural competence. This is concerning as large health disparities exist between culturally diverse women and cultural competence can lead to greater health equality and better client care. Studies have shown face-to-face education increases the cultural competence of healthcare providers; …

Factors Predicting Exercise Behavior Of Graduate Students, Bibha Gautam

Theses and Dissertations

Graduate school is often experienced as a time of increased demands/expectations resulting in heightened levels of stress due to academic work, family responsibilities, job demands, financial pressure, and other life related issues. Besides stress, graduate school also brings about significant physical inactivity due to the shift of the immediate priority to academic accomplishment. Reports of increasing prevalence of cardiovascular disease (CVD) risk factors among students highlight that this group may have particular risk not well-identified. Yet, relative risk can be reduced by lifestyle modifications, such as eating well, exercising, and stress reduction. The majority of the risk factors, to a …

Network Modulation During Complex Syntactic Processing, Dirk B. Den Ouden, Dorothee Saur, Wolfgang Mader, Björn Schelter, Sladjana Lukic, Eisha Wali, Jens Timmer, Cynthia K. Thompson

Communication Sciences and Disorders Faculty Articles and Research

Complex sentence processing is supported by a left-lateralized neural network including inferior frontal cortex and posterior superior temporal cortex. This study investigates the pattern of connectivity and information flow within this network. We used fMRI BOLD data derived from 12 healthy participants reported in an earlier study (Thompson, C. K., Den Ouden, D. B., Bonakdarpour, B., Garibaldi, K., & Parrish, T. B. (2010b). Neural plasticity and treatment-induced recovery of sentence processing in agrammatism. Neuropsychologia, 48(11), 3211–3227) to identify activation peaks associated with object-cleft over syntactically less complex subject-cleft processing. Directed Partial Correlation Analysis was conducted on time series …

The Hemispheric Specialization Of The Human Brain And Its Application To Psychoanalytic Principles, David A. Scola, M.D.

Jefferson Journal of Psychiatry

Volumes of research have been accumulated over the past decade concerning hemispheric specialization of the human brain. Likewise, over the past century, psychoanalysts have painstakingly unraveled through their clinical observation many of the mysteries of intrapsychic functions. Yet little has been written concerning attempts to integrate these seemingly divergent viewpoints.

It was Freud's hope that a neural basis for his clinical observations and psychological explanations of the human mind would eventually be established . This was not possible in his day, however, so this idea was gradually abandoned. With the advent of computers and high technology, perhaps it is time …

Epigenetic Silencing Of Nucleolar Rrna Genes In Alzheimer's Disease, Maciej Pietrzak, Grzegorz Rempala, Peter T. Nelson, Jing-Juan Zheng, Michal Hetman

Sanders-Brown Center on Aging Faculty Publications

BACKGROUND: Ribosomal deficits are documented in mild cognitive impairment (MCI), which often represents an early stage Alzheimer's disease (AD), as well as in advanced AD. The nucleolar rRNA genes (rDNA), transcription of which is critical for ribosomal biogenesis, are regulated by epigenetic silencing including promoter CpG methylation.

METHODOLOGY/PRINCIPAL FINDINGS: To assess whether CpG methylation of the rDNA promoter was dysregulated across the AD spectrum, we analyzed brain samples from 10 MCI-, 23 AD-, and, 24 age-matched control individuals using bisulfite mapping. The rDNA promoter became hypermethylated in cerebro-cortical samples from MCI and AD groups. In parietal cortex, the rDNA promoter …

Can Positive Self-Talk Alter One's Happiness?, Elizabeth Armetta

Theses and Dissertations

The purpose of this study is to explore the possibilities of positive self-talk and the effect it can have on people and their happiness level. In this study there were a total of thirteen subjects who attended classes to exam their self-talk and develop skills in using positive self-talk. The subjects took a pretest to establish the degree of their happiness and they took a posttest to see if there is an improvement in their level of happiness. Using a Paired Sample t-test the result showed a significant finding. The result suggests that people using positive self-talk can improve the …

Postpartum Depression And Help‐Seeking Behaviors In Immigrant Hispanic Women, Lynn Clark Callister, Renea Beckstrand, Cheryl A. Corbett

Faculty Publications

Objectives: To describe perceptions of immigrant Hispanic women experiencing symptoms of postpartum depression (PPD) and to identify barriers to seeking mental health services.

Design: Qualitative descriptive.

Setting: Community health clinic.

Participants: Twenty immigrant Hispanic women scoring positive for symptoms of PPD receiving health care at a community health clinic who declined mental health services participated in audiotaped interviews held in their homes.

Methods: Following Institutional Review Board approval and informed consent, interviews were conducted with study participants. Transcribed data were analyzed as appropriate for qualitative inquiry.

Results: Some of the women did not recognize and/or denied their symptoms attributing their …

Characterizing And Predicting Outcomes Of Communication Delays In Infants And Toddlers: Implications For Clinical Practice, Rhea Paul, Forma P. Roth

Communication Disorders Faculty Publications

Purpose: This article focuses on using currently available data to assist speech-language pathologists (SLPs) in making decisions regarding a child's eligibility and considerations for recommended "dosage" of early intervention (El) services. Method: Literature describing the characteristics of infants and toddlers who are likely recipients of El services was reviewed. Results: Current literature provides information that can be used to inform clinical decisions for infants and toddlers with established medical conditions, as well as those with risk factors, for oral language, communication, and subsequent literacy disabilities. This information is summarized. Conclusion: Extant literature suggests that El makes a critical difference in …

Neurosteriod Enhancement Of Glutamatergic Transmission Via Transient Receptor Potential Melastatin 3 Chanels In The Developing Cerebellum, Paula Andrea Zamudio-Bulcock

Biomedical Sciences ETDs

Neurosteroids are compounds synthesized de novo within the central nervous system and affect brain function via genomic and non-genomic mechanisms. Sulfated neurosteroids modulate synaptic neurotransmission via interactions with various membrane receptors located at pre- and/ or postsynaptic sites, including metabotropic and ionotropic neurotransmitter receptors and ion permeable channels. The interactions of sulfated neurosteroids with these types of targets can induce rapid changes in neurotransmitter release and/or in postsynaptic responses. Since the 1940's, pregnenolone sulfate (PregS), the sulfated version of the steroid precursor, pregnenolone, has been suggested to have anti-stress, anti-aging, antidepressive, neuroprotective and memory enhancing effects in the mature brain. …

Speaking Rate Effects On Normal Aspects Of Articulation: Outcomes And Issues, Jeffrey J. Berry

Speech Pathology and Audiology Faculty Research and Publications

The articulatory effects of speaking rate have been a point of focus for a substantial literature in speech science. The normal aspects of speaking rate variation have influenced theories and models of speech production and perception in the literature pertaining to both normal and disordered speech. While the body of literature pertaining to the articulatory effects of speaking rate change is reasonably large, few speaker-general outcomes have emerged. The purpose of this paper is to review outcomes of the existing literature and address problems related to the study of speaking rate that may be germane to the recurring theme that …

Developing A Conceptual (Mosaic) Transcultural Model Of Nursing Care For Use At A Pediatric Inner-City Hospital, Lani Hollenbeck

Theses and Graduate Projects

The purpose of this project is to develop a transcultural model of nursing care for use at a pediatric inner-city hospital located in the Midwestern United States. The experience and outcome for pediatric patients and their families may be negatively impacted when language and culture are different from those of the nurse. Nurses working at the hospital have expressed discomfort when providing care for patients from diverse ethnic and cultural backgrounds. They feel challenged to provide supportive nursing care without imposing their own ethnocentric viewpoints or nursing practices that may be inconsistent with desires of those from another culture. The …

Creating Community With Homeless And Marginally Housed Women, Judy Schlaefer

Theses and Graduate Projects

The purpose of this project is to create a weekly Drop-In Center where Homeless and Marginally Housed (HMH) women receive support, respite, and respect in a safe, welcoming environment. Homeless and Marginally Housed (HMH) women have unique needs due to daily struggles with disenfranchisement which include barriers to health services, battering, poor transportation, lack of recreation and education, neglect, and institutionalized poverty. The impetus for the Drop-In Center was to offer respite from the harsh environment created by the institutionalized violence against HMH women who deserve significant emotional and social support, nutrition, and respite. The transculrural nurse will be focused …

Librarians As Partners Of The Nursing Faculty In Teaching Scholarly Inquiry In Nursing To Undergraduates At Brigham Young University, Jane Lassetter, Barbara L. Mandleco, Lynn C. Callister, Elizabeth S. Hopkins, Meagan Astill

Faculty Publications

This paper describes collaboration between the nursing librarian and faculty members teaching Scholarly Inquiry in Nursing (Nursing Research), a course for baccalaureate nursing students. Workshops presented by the librarian enhanced nursing students' information literacy skills, particularly related to accessing evidence-based sources. Student perceptions of the library integration with Scholarly Inquiry in Nursing are presented, and suggest that librarians empower them with knowledge and skills that enhance their ability to integrate evidence into their nursing practice.