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Predicting Mammography Screening And Breast Self-Examination Among Hispanic And Non-Hispanic White Women In Orange County, California, Sanam Kazemi

Loma Linda University Electronic Theses, Dissertations & Projects

Background and Purpose. Breast cancer is the second leading cause of cancer deaths among Hispanic/Latina women who are one of the fastest growing ethnic groups in the United States. Although Hispanic women have a lower incidence of breast cancer when compared to non-Hispanic White women, they are more likely to develop breast cancer at an advanced stage. In California, Hispanic women have the lowest rate of insurance coverage compared to other ethnic groups.

Method. The study was a cross-sectional observational study among Hispanic/Latino and non-Hispanic White women, ages 30-64 years. I examined intention to obtain a mammogram or breast self-exam …

Motivational Interviewing With Patient Education To Promote A Safe Sleep Environment For Lakota Infants, Kari Johnson

Theses and Graduate Projects

Sudden Infant Death Syndrome (SIDS) has preventable risk factors; the sleep environment of the infant is one of those risk factors. SIDS is the leading cause of infant deaths in the Aberdeen Area of Indian Health Service, accounting for more than one fourth of the infant deaths. The project proposed utilizes Madeline Leininger's Culture Care Theory combined with an education model incorporating motivational interviewing with the current patient education used by the Public Health Nursing Department at the Pine Ridge Indian Health Service Hospital promoting a safe sleep environment.

New Graduate Nurse Orientation Program, Darcie L. Thies

Theses and Graduate Projects

The purpose of this project is to create a new nurse orientation program. The project provides socialization, mentorship, organizational context, and information that is crucial for a new graduate nurse to successfully integrate into the IHS healthcare team. It is critical for all new graduate nurses to be socialized and acculturated into their practice environments. This is particularly true when a nurse is hired to work in an environment that has a very specific cultural context, such as Pine Ridge Hospital, located on the Pine Ridge lndian Reservation in South Dakota. lnformation for this project was gathered through a literature …

The Effect Of Test Revision: Comparing The Performance Of Preschool Children With Sli And Typical Controls On The Ppvt-Iii And The Ppvt-Iv, Sabrina E. Jara

Master's Theses

Purpose: This study compared the performance of preschool children with SLI and controls on the PPVT-III and PPVT-IV to determine the effect of test revision on identification of language impairment.

Method: Twenty preschool children with SLI and 20 typically developing controls served as the exploratory group. The confirmatory group consisted of 5 children with SLI and 20 controls. Children were administered both test versions in counterbalanced order.

Results: As expected, children with SLI performed significantly worse than their TD peers on both test versions. The discriminate analyses identified an optimal cut-off of 103 for both tests. Using this cut-off, sensitivity …

The Post Deployment Lived Experience Of U.S. Military Troops After Combat-Related Blast Exposure, Shirely A. Jett Phd

Dissertations

Blast-induced neurotrauma (BINT) is a newly emerging re-occurrence of an old combat-related injury in U.S. military troops returning from deployment in Afghanistan and Iraq. BINT is leading to a silent epidemic of symptomatic troops who face barriers to accessing healthcare and suffer debilitating symptoms in silence. The purpose of this hermeneutic phenomenological study was to discover the meaning of the lived experience of U.S. troops returning from Afghanistan and Iraq after combat-related blast exposure. Eleven service members and veterans ranging in age from 21 to over 30 years old participated in semi-structured face to face interviews. These service members and …

College Student Mental Health: The Relationship Between Depression And Emotional Intelligence Using The Student Relationships Assessment, Andre George Broquard

Graduate Theses and Dissertations

The purpose for conducting this study was to investigate the relationship between emotional relational intelligence (ERQ) and depression in college students. The significance of this study is based on the additional support that can be provided to students with increased information and understanding of emotional relational intelligence and depression. In an effort to help college students achieve their educational goals and aspirations, the researcher suggests that emotional relational intelligence can be beneficial. The relationship between depression and emotional relational intelligence may provide insight on how to support and care for college students who are struggling with depressive symptomology. The results …

Perceptual And Acoustical Comparisons Of Motor Speech Practice Options For Children With Childhood Apraxia Of Speech, Amy Nordness

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Children with childhood apraxia of speech (CAS) need intensive and accurate practice to establish an accurate motor plan and improve their speech production. Computer-led practice led to a greater quantity of practice and was preferred over parent-led practice. Further knowledge regarding children’s accuracy of speech during independent practice is needed to determine if computer-led practice is a viable practice tool. Twelve children diagnosed with CAS, between 3-0 and 7-11 years of age, participated in speech practice during computer-led, parent-led, and clinician-led practice. Comparisons of perceptual accuracy of consonants and vowels, acoustical accuracy of stops, vowels, and fricatives, and variability of …

Reassessing The Architecture Of The Health Beliefs Models In Low-Income Diverse Families, Krista B. Highland

Department of Psychology: Dissertations, Theses, and Student Research

Health beliefs contribute to health outcomes. These health beliefs extend to include health beliefs parents have regarding their children’s health. However, the role of parental health beliefs remains unexplored among a low-income population. This study aims to assess these beliefs and the effects they have on child health. Furthermore, this study aims to delineate potential belief differences between socioecological-level groups (e.g. population density, Latino identification, and insurance coverage).  The long-term goal is to understand the relationships among various personal health beliefs and parental health beliefs, psychosocial factors, community factors, cultural factors, organizational factors, and healthcare perceptions among this at-risk population. …

Enhancing Communication Through The Use Of Augmentative And Alternative Communication In Patients Status Post Traumatic Brain Injury, Reanna Greene

HIM 1990-2015

Patients who suffer from traumatic brain injury often face communication deficits during their hospital stay. This thesis intended to examine approaches the nurse can use to facilitate communication in collaboration with the speech-language pathologist. A review of literature was conducted to examine current research on the most effective devices used to facilitate communication in this patient population. Research revealed that low-technology devices were the most effective means of communicating in the hospital setting. Barriers to effective communication were identified as lack of time, education and access to the devices. Recommendations for future research include developing a documentation component that emphasizes …

A Cross-National Analysis Of The Nutrition Habits Of Hispanic Mothers And Daughters, Monica N. Ramirez

Nursing Theses and Dissertations

The rates of obesity in Hispanic women increased significantly between 1994 and 2008 from 35.3% to 45.1% (National Center for Health Statistics, 2010). Poor nutritional habits and obesity have longterm negative health ramifications that warrant targeted efforts to stem this growing epidemic. Two articles are included in this portfolio. The first article discusses the state of the science in relation to cultural aspects of nutrition choices of Hispanic women. The aim of this article is to set the context for the cross-national study which is the focus of the second article. This study examines current eating habits, weight history, health …

Out Of The Mouths Of Babes: Vocal Production In Infant Siblings Of Children With Asd, Rhea Paul, Yael Fuerst, Gordon Ramsay, Kasia Chawarska, Ami Klin

Communication Disorders Faculty Publications

Background: Younger siblings of children with autism spectrum disorders (ASD) are at higher risk for acquiring these disorders than the general population. Language development is usually delayed in children with ASD. The present study examines the development of pre-speech vocal behavior in infants at risk for ASD due to the presence of an older sibling with the disorder. Methods: Infants at high risk (HR) for ASD and those at low risk, without a diagnosed sibling (LR), were seen at 6, 9, and 12 months as part of a larger prospective study of risk for ASD in infant siblings. Standard clinical …

Infants At Risk For Asd Show Aberrant Preferences For Speech At Six To Nine Months, Rhea Paul, Gerald Mcroberts, Katyrzyna Chawarska

Communication Disorders Faculty Publications

Purpose: To examine auditory preferences for speech stimuli in infants at risk for Autism Spectrum Disorder due to the presence of a diagnosed sibling.

The Association Between Body Mass Index And Dental Caries In Hispanic Elementary School Children, Mary Creske

Loma Linda University Electronic Theses, Dissertations & Projects

Background: Dental caries is the most common chronic disease of children ages 6 to 11. According to the U.S. Department of Health and Human Services, 41% of the children in this age group experience decay in their primary teeth. Since 1980 the number of overweight children ages 6 to 11 has doubled. Childhood obesity is currently the most prevalent nutritional condition of children in the U.S.

Purpose: The purpose of this observational study was to determine if there is an association between childhood dental caries and childhood obesity. The study also explored the effects of diet and other covariates.

Method: …

Youth At The Nexus: Ideology In Hiv Prevention In Nairobi, Kenya, Zohra Ahmed

Scholarly Works

In the fight against HIV/AIDS, the Behavior Change Communication (BCC) model stands as international best practice in preventive education. Ideally, a BCC intervention aims to changes behaviors and attitudes by facilitating group negotiation and introspection, with a resultant improvement in health. However, introducing this best practice model to a group of youth in Nairobi resulted in suboptimal outcomes: they were unaccustomed to expressing themselves in the ways prescribed by the class. To explain this failure, I examine how local discourses produced by parents and teachers communicate agency, sexuality and health, and highlight the diverging practices invoked at home, school and …

Temporal And Aerodynamic Aspects Of Velopharyngeal Coarticulation: Effects Of Age, Gender And Vowel Height, Fadwa Khwaileh

Theses and Dissertations (ETD)

Previous studies on the normal patterns of velopharyngeal coarticulation did not provide a multidimensional description of the phenomenon. The primary objective of this study was to determine the effects of age, gender and vowel height on the temporal and aerodynamic aspects of nasal airflow segments related to velar coarticulation in the normal speech of children and adults. A secondary objective was to determine the within speaker variability of the segments.

Speakers consisted of 20 children between the ages of 5 and 7 years, 20 children between 9 and 11 years and 20 adult speakers 18 years or older. Nasal and …

Comparison Of Two Approaches To Improving Cognitive Academic Language Proficiency For School-Aged, English Language Learners: Two-Group, Pretest/Posttest Design, Tanja A. Dalton

All Graduate Plan B and other Reports, Spring 1920 to Spring 2023

This preliminary study was designed to examine which of two interventions (standard practice or narrative based) was associated with better improvement in cognitive academic language proficiency, or literate language, for school-age children learning as a second language(English Language Learners; ELLs). We hypothesized that narrative-based intervention would yield better outcomes than the standard practice intervention because it provided children with contextual cues, redundancy, and predictability, which should promote learning and generalization.

We employed a pre/post test design and included 18 children (ELLs) who were at-risk for language and learning problems to test the hypothesis that narrative-based language intervention would yield better …

Spanish/English Language Definitions For Applied Behavior Analysis Terminology, Claudia Arteaga

Theses and Dissertations - UTB/UTPA

Experimental analysis of behavior has grown enormously within recent years. Mexico is one of the main centers of this growth and therefore, as a result, specific Spanish terminology has developed. This thesis offers a list of suggested Spanish translations for terms and definitions in the field of Applied Behavior Analysis (ABA) as a resource in support of bilingual students in the area of experimental analysis of behavior. The first and second chapters explain the origins and history of ABA and its development in the world and specifically in Mexico. The third chapter provides details about the methodology. A book entitled …

Listeners' Ability To Identify The Gender Of Preadolescent Children Across Multiple Linguistic Contexts, Sharalee Ann Blunck

Theses and Dissertations

The purpose of this study was to determine whether 20 listeners could identify the gender of 10 preadolescent children from speech samples. An additional aim was to evaluate whether listeners identified children more accurately when listening to speech samples when more linguistic context was available. The listeners were presented with a total of 190 speech samples in four different categories of linguistic context: segments, words, sentences, and discourse. The listeners were instructed to listen to each speech sample and decide whether the speaker was a male or female. In addition, the listeners were instructed to rate their level of confidence …

The Medical Essay As An Invitation For Interdisciplinary Exploration, Edwin Stieve

Quadrivium: A Journal of Multidisciplinary Scholarship

No abstract provided.

The College Of Health & Human Services [Annual Report], Wku College Of Health & Human Services, Dr. John Bonaguro, Dean

College of Health & Human Services Publications

No abstract provided.

The Clinical Application Of Progressive Filtering In Normal And Disordered Populations, Sarah M. Johnson

Doctoral Dissertations

The present study examined the effect of progressive filter testing in children with normal auditory processing skills and children with (central) auditory processing disorders [(C)APD]. The primary purpose of this study was to determine if a new screening procedure designed by the investigator called Progressive Filtering would differentiate between a control group (i.e. children with normal auditory processing skills) and an experimental group [children with (C)APD]. Twenty subjects (age 6 to 14 years) participated in the study. All subjects received an audiological examination, an auditory processing test battery, and the Progressive Filtering screening tool. Results indicated that the investigator-designed Progressive …

Vulnerability, Risk Perception, And Health Profile Of Marginalized People Exposed To Multiple Built-Environment Stressors In Worcester, Massachusetts: A Pilot Project, Timothy Downs, Laurie Ross, Robert Goble, Rajendra Subedi, Sara Greenberg, Octavia Taylor

Sustainability and Social Justice

Millions of low-income people of diverse ethnicities inhabit stressful old urban industrial neighborhoods. Yet we know little about the health impacts of built-environment stressors and risk perceptions in such settings; we lack even basic health profiles. Difficult access is one reason (it took us 30 months to survey 80 households); the lack of multifaceted survey tools is another. We designed and implemented a pilot vulnerability assessment tool in Worcester, Massachusetts. We answer: (1) How can we assess vulnerability to multiple stressors? (2) What is the nature of complex vulnerability-including risk perceptions and health profiles? (3) How can findings be used …

The Hypothesis Of Apraxia Of Speech In Children With Autism Spectrum Disorder, Lawrence D. Shriberg, Rhea Paul, Lois M. Black, Jan P. Van Santen

Communication Disorders Faculty Publications

In a sample of 46 children aged 4-7 years with Autism Spectrum Disorder (ASD) and intelligible speech, there was no statistical support for the hypothesis of concomitant Childhood Apraxia of Speech (CAS). Perceptual and acoustic measures of participants' speech, prosody, and voice were compared with data from 40 typically-developing children, 13 preschool children with Speech Delay, and 15 participants aged 5-49 years with CAS in neurogenetic disorders. Speech Delay and Speech Errors, respectively, were modestly and substantially more prevalent in participants with ASD than reported population estimates. Double dissociations in speech, prosody, and voice impairments in ASD were interpreted as …

Creative And Stylistic Devices Employed By Children During A Storybook Narrative Task: A Cross-Cultural Study, Brenda K. Gorman, Christine Fiestas, Elizabeth Peña, Maya Reynolds Clark

Speech Pathology and Audiology Faculty Research and Publications

Purpose: The purpose of this study was to analyze the effects of culture on the creative and stylistic features children employ when producing narratives based on wordless picture books.

Method: Participants included 60 first- and second-grade African American, Latino American, and Caucasian children. A subset of narratives based on wordless picture books collected as part of a larger study was coded and analyzed for the following creative and stylistic conventions: organizational style (topic centered, linear, cyclical), dialogue (direct, indirect), reference to character relationships (nature, naming, conduct), embellishment (fantasy, suspense, conflict), and paralinguistic devices (expressive sounds, exclamatory utterances).

Results …

The P53 Inhibitor Mdm2 Facilitates Sonic Hedgehog- Mediated Tumorigenesis And Influences Cerebellar Foliation, Reem Malek, Jennifer Matta, Natalie Taylor, Mary Ellen Perry, Susan Mendrysa

Department of Basic Medical Sciences Faculty Publications

Disruption of cerebellar granular neuronal precursor (GNP) maturation can result in defects in motor coordination and learning, or in medulloblastoma, the most common childhood brain tumor. The Sonic Hedgehog (Shh) pathway is important for GNP proliferation; however, the factors regulating the extent and timing of GNP proliferation, as well as GNP differentiation and migration are poorly understood. The p53 tumor suppressor has been shown to negatively regulate the activity of the Shh effector, Gli1, in neural stem cells; however, the contribution of p53 to the regulation of Shh signaling in GNPs during cerebellar development has not been determined. Here, we …

Neuromagnetic Measures Of Word Processing In Bilinguals And Monolinguals, Yingying Wang, Jing Xiang, Jennifer Vannest, Tom Holroyd, Daria Narmoneva, Paul Horn, Yinhong Liu, Douglas Rose, Ton Degrauw, Scott Holland

Center for Brain, Biology, and Behavior: Faculty Publications

Objective: This study aimed to use magnetoencephalography (MEG) to examine the question of whether Mandarin-English bilingual speakers recruit the same cortical areas or develop distinct language-specific networks without overlaps for word processing.

Methods: Eight healthy Mandarin-English bilingual adults and eight healthy English monolingual adults were scanned while single-word paradigms were audio-visually presented.

Results: Our results showed significantly stronger beta-band power suppression in the right inferior parietal lobe (IPL) covering the supramarginal gyrus (BA 40) and angular gyrus (BA 39) for bilinguals when processing Mandarin versus English. Moreover, there were no significant differences between bilinguals and monolinguals in the left inferior …

Analysis Of The Effectiveness Of Social Skills Intervention In Improving The Use Of Validating Comments Used By Children With Specific Language Impairments In Peer Group Interactions, Chelsea Pulsipher Mccleve

Theses and Dissertations

This study examined the efficacy of a social skills training program on the use of validating comments and negative comments by children with specific language impairment. The present study is an extension of a previous research project. Four children (three female, one male) with specific language impairment, ages 6 to 11, participated in a ten week social skills training program which involved direct instruction of target concepts, peer interactions with classmates, and evaluation of the use of target skills by reviewing videotaped peer interactions. The individual performance of each subject was compared to the age- and gender-matched typical peers with …

Mapping Cortical Morphology In Youth With Velocardiofacial (22q11.2 Deletion) Syndrome, Wendy R. Kates, Ravi Bansal, Wanda Fremont, Xuejun Hao, Anne Marie Higgins, Jun Liu, Robert J. Shprintzen, Bradley S. Peterson

Communication Disorders Faculty Publications

Objective: Velo-cardio-facial syndrome (VCFS; 22q11.2 deletion syndrome) represents one of the highest known risk factors for schizophrenia. Insofar as up to thirty percent of individuals with this genetic disorder develop schizophrenia, VCFS constitutes a unique, etiologically homogeneous model for understanding the pathogenesis of schizophrenia.

Method: Using a longitudinal, case-control design, we acquired anatomic magnetic resonance images to investigate both cross-sectional and longitudinal alterations in surface cortical morphology in a cohort of adolescents with VCFS and age-matched typical controls. All participants were scanned at two time points.

Results: Relative to controls, youth with VCFS exhibited alterations in inferior frontal, dorsal frontal, …

Salud Y Saludos: The E-Newsletter Of The College Of Health Sciences, College Of Health Sciences

College of Health Sciences

Monthly e-newsletter of the College of Health Sciences.

Fuzzy Logic: A “Simple” Solution For Complexities In Neurosciences?, Saniya Siraj Godil, Muhammad Shahzad Shamim, Ather Enam, Uvais Qidwai

Medical College Documents

Background: Fuzzy logic is a multi-valued logic which is similar to human thinking and interpretation. It has the potential of combining human heuristics into computer-assisted decision making, which is applicable to individual patients as it takes into account all the factors and complexities of individuals. Fuzzy logic has been applied in all disciplines of medicine in some form and recently its applicability in neurosciences has also gained momentum.
Methods: This review focuses on the use of this concept in various branches of neurosciences including basic neuroscience, neurology, neurosurgery, psychiatry and psychology.
Results: The applicability of fuzzy logic is not limited …