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Result Of Low Frequency Speech Therapy In Children With Articulation Disorder, Yu-Nan Wang, Mei-Li Cheng, Ya-Wen Li, Xiao-Jun Zhang

Rehabilitation Practice and Science

Articulation disorder refers to the mispronunciation of speech sounds by omitting, distorting, substituting, or adding sounds which make speech difficult to understand. It is not an uncommon disorder among children. The prevalence of articulation disorder in preschool and school-age children is about 10%. For children without associated condition, articulation disorder may be treatable with speech therapy. In this study, we examined 55 children with articulation disorder who received speech therapy in our hospital during the past four years. The boys to girls ratio is 2.4 to 1. Among the different types of articulation disorders, substitution is the most common type …

Ultrasonographic Examination Of Tongue Movement During Articulation In Preschool Children, I-Chun Chen, Chien-Lun Peng

Rehabilitation Practice and Science

Ultrasound imaging provides a unique and complete representation of tongue structure in almost all planes of interest and is rapid enough to record real-time tongue movement during speech. Recording tongue movement with ultrasound is non-invasive, and has not been shown to have any biologic effects in humans at diagnostic intensities. As a result, ultrasound has been widely used in speech studies to measure tongue functions in recent years. However, these previous studies are subject to inconsistent plane images caused by additionally movement of the traditional handheld transducer. The artifacts that result from depression of the submental soft tissue contacted by …

The Impact Of An Aac Device, Using The Lamp Approach, Mary Hannah Pulliam

Student Theses and Dissertations

This investigation examined both the initial and renewed impact of an augmentative and alternative communication (AAC) device, using the Language Acquisition through Motor Planning (LAMP) approach, on an individual with autism spectrum disorder (ASD). A within subject research design was utilized and consisted of a multiple baseline across behavior design in combination with a multiple baseline across device research design.This investigation included one child with ASD, and utilized an observation checklist of video recordings (Appendix A) to assess the communication behaviors of the participant. The behaviors in question were communication acts per obligatory context per minute, the percent of total …

Patient Perceptions Of Physician Empathy, Satisfaction With Physician, Interpersonal Trust, And Compliance, Mohammadreza Hojat, Daniel Z. Lewis, Kaye Maxwell, Fred Markham, Richard Wender, Joseph S. Gonnella

Department of Psychiatry and Human Behavior Faculty Papers

Objectives: This study was designed to investigate psychometric properties of the Jefferson Scale of Patient Perceptions of Physician Empathy (JSPPPE), and to examine correlations between its scores and measures of overall satisfaction with physicians, personal trust, and indicators of patient compliance.

Methods: Research participants included 535 out-patients (between 18-75 years old, 66% female). A survey was mailed to participants which included the JSPPPE (5-item), a scale for measuring overall satisfaction with the primary care physician (10-item), and demographic questions. Patients were also asked about compliance with their physician's recommendation for preventive tests (colonoscopy, mammogram, and PSA for age and gender …

The Efficacy Of A Supplementary Literacy Program For Kindergarten Children With Language Impairment, Amy E. Mckinney

Student Theses and Dissertations

The purpose of this study was to determine the efficacy of a supplemental literacy program for children with language impairment. Ten kindergarten children that qualified for language therapy at a kindergarten center were divided into treatment and non-treatment groups. Children in the treatment group participated in 10 minutes of supplemental literacy instruction at the end of each language intervention session. The non-treatment group received language therapy without the supplemental literacy intervention. Mid-term scores indicated a significant between group difference in letter-sound correspondence, but not in word decoding and sight word recognition for children in the treatment condition. Twelve week post …

The Cultivation And Practice Of Spiritual Care Expertise In An Inpatient Palliative Care Setting, Gail Elaine Pittroff

Dissertations

Caregivers involved in palliative care seek to understand problems and challenges at end of life through research to determine the best care for patients and their families. Spiritual care is a key component of quality end of life care, yet there is a paucity of research on spiritual care in inpatient settings at end of life in nursing literature. The purpose of this study was to examine the personhood and spiritual care practices of inpatient palliative nurse consultants. This study describes expert nurse’s experience of delivering spiritual care for patients and families at end of life in inpatient palliative care …

An Analysis Of Ada Title I Allegations Of Workplace Discrimination As Filed With The Eeoc By Persons With Mental Illness, Jessica E. Hurley

Theses and Dissertations

ABSTRACT AN ANALYSIS OF ADA TITLE I ALLEGATIONS OF WORKPLACE DISCRIMINATION AS FILED WITH THE EEOC BY PERSONS WITH MENTAL ILLNESS Jessica Erin Hurley A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy in Health Related Sciences—Rehabilitation Leadership Virginia Commonwealth University, 2011 Dissertation Chair: Brian T. McMahon, Ph.D., CRC This study explores employment discrimination as experienced by persons with mental illness who filed allegations under Title I (the employment provisions) of the Americans with Disabilities Act (ADA) of 1990. The entire universe of employment discrimination allegations filed under Title I of the ADA …

A Heuristic Investigation Of Intuition In Dance/Movement Therapy Practice, Jessica Melville Goodin

Creative Arts Therapies Theses

This thesis is a heuristic examination of my experience of intuition as a new dance/movement therapist. The purpose of this investigation was to provide an inceptive inroad into the little explored but recently popular subject of intuition, specifically as it relates to dance/movement therapy and the use of the dance therapist’s intuition as a therapeutic resource. Creating a journal that captured my contemplation of intuition and my experiences of intuition, both in clinical dance/movement therapy work and in creative and personal experiences, was the primary method of data collection. My journaling was augmented by interviews with two practicing dance therapists. …

Item Analysis Of The Grammar Subtests Of The Cdi: Words & Sentences For African American Children, Zainab Maqsood

Honors Capstones

No abstract provided.

The Physical Activity Patterns And Constraints Of Diverse Female College Students, Kathleen Victoria Minkel

UNLV Theses, Dissertations, Professional Papers, and Capstones

Diverse college aged females from a public university in the southwest were asked to participate in an online survey to determine their constraints to physical activity, as well as their current activity level. The groups were compared to establish the differences among the minority groups. Raymore, Crawford, and Godbey’s Hierarchical Model of Constraints was used as a framework when creating the survey. Data analysis showed only one significant difference among the racial/ethnic groups, when looking specifically at the intrapersonal, interpersonal, and structural constraints categories. Hispanic women differed significantly from Caucasian women in their perception of interpersonal constraints on their physical …

Hemispheric Differences In Specificity Effects In Talker Identification, Julio Gonza´Lez, Teresa Cervera-Crespo, Conor T. Mclennan

Psychology Faculty Publications

In the visual domain, Marsolek and colleagues (1999, 2008) have found support for two dissociable and parallel neural subsystems underlying object and shape recognition: an abstract-category subsystem that operates more effectively in the left cerebral hemisphere (LH), and a specific-exemplar subsystem that operates more effectively in the right cerebral hemisphere (RH). Evidence of this asymmetry has been observed in priming specificity for linguistic (words, pseudoword forms) and nonlinguistic (objects) stimuli. In the auditory domain, the authors previously found hemispheric asymmetries in priming effects for linguistic (spoken words) and nonlinguistic (environmental sounds) stimuli. In the present study, the same asymmetrical pattern …

The Patient Centered Medical Home: Federal, State And Local Initiatives To Transform Primary Care. The First Of An Occasional Series In Interprofessional Education And Care In The Patient-Centered Medical Home, Brooke Salzman

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

The Patient Centered Medical Home (PCMH) is rapidly emerging as one prototype for redesigning health care delivery, restructuring reimbursement, and reestablishing the critical value of primary care. The actual term “medical home” was introduced by the American Academy of Pediatrics, (AAP) in 1967, initially referring to a central location for archiving a child’s medical record. In 2002, the AAP expanded the medical home concept to include care characterized as accessible, continuous, comprehensive, patient-centered, coordinated, compassionate, and culturally effective. In 2004, the American Academy of Family Physicians (AAFP) embraced the model in its Future of Family Medicine project report, and in …

An Innovative Interprofessional Course: Cultural Humility And Competence, Nancy L. Chernett, Elaine Yuen, Susan Toth-Cohen, Robert Simmons

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

As we tackle the disproportionate burden of chronic illness and access to quality health care of an increasingly diverse population, it is critical to infuse cultural and linguistic competence in all sectors of health care training. To reach the Healthy People 2020 goal of eliminating health disparities, health and human services education must provide the knowledge and experience to understand the root causes of health disparities, as well as strategies to advance ongoing cultural and linguistic competence.

Download Entire Pdf Interprofessional Education And Care Newsletter, Vol. 1, No. 1, Winter 2009-2010

Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE)

Articles in the newsletter include:

Advanced Physical Diagnosis: An Innovative Interprofessional Approach for Teaching Clinical Skills to Senior Medical Students

An Innovative Interprofessional Course: Cultural Humility and Competence

Interprofessional Geriatric Education: Team-based Care for Chronic Conditions

Wku Scholar, Wku Office Of Sponsored Programs, Pamela Napier, Editor-In-Chief

WKU Scholar

No abstract provided.

The Lived Experience Of Hispanic New Graduate Nurses In The United States, Esther Morales

Dissertations (1934 -)

There has been a significant increase in the Hispanic population in the United States that is not mirrored by representation of Hispanic registered nurses in the United States . Hispanic new graduate nurses enter nursing practice with few Hispanic role models and their story is not found in nursing literature. A qualitative study with a phenomenological philosophy and methodology was conducted to investigate the lived experience of seven Mexican American new graduate nurses, a subgroup of Hispanic nurses. Findings of this study were the seven themes: (a) being an employee; (b) an orientation with or without preceptors; (c) a transition; …

The Primary Care Safety Net: Strained, Transitioning, Critical, Jessamyn Taylor

National Health Policy Forum

This background paper examines the primary care safety net. It describes key primary care safety net providers, including federally qualified health centers, free clinics, local health departments, and safety net hospital outpatient departments and clinics, among others. The paper also explores the changing role of the primary care safety net in a post–health reform marketplace.

The Influence Of Language Production, Comprehension, And Pragmatic Judgment On Prosocial Behavior In Children With Language Impairment, Nicole Yvette Weber

Theses and Dissertations

The purpose of this study was to examine the relationship between language skills and prosocial behavior in 37 children with language impairment (LI) and 37 typically developing peers matched for age (ranging from 6;11 to 11;1 years). The influence of gender on this relationship was also considered. Three different subtests of the Comprehensive Assessment of Spoken Language (Carrow-Woolfolk, 1999) were used to evaluate language ability in the areas of language comprehension, language production and pragmatic judgment skills. The Teacher Behavior Rating Scale (C. H. Hart & Robinson, 1996) was used to evaluate prosocial behavior. The current study replicated previous research …

Listener Reliability And Agreement Of A Brief Intelligibility Rating Task, Cai Ewing-Buck

Speech and Hearing Sciences ETDs

PURPOSE: This study addresses the development of the I-RAVN Test of Speech Intelligibility, an assessment instrument designed to identify which speech components most affect speech intelligibility. The I-RAVN consists of ratings of overall intelligibility, and ratings of four speech components: rate/rhythm/prosody, articulation, voice quality/breath support, and nasality using a rating scale technique adapted from the CAPE-V instrument for voice. This study seeks to establish that listeners can reliably rate overall intelligibility and the four speech components in speakers with dysarthria. METHODS: Twenty-two graduate students listened to recordings from 24 talkers (7 normal, 6 with Parkinson Disease, 11 with oculopharyngeal muscular …

18F-Fallypride Binding Potential In Patients With Schizophrenia Compared To Healthy Controls, Douglas S. Lehrer, Bradley T. Christian, Cemil Kirbas, Meicheng Chiang, Shawn Sidhu, Holly Short, Binquan Wang, Bingzhi Shi, King Wai Chu, Brian Merrill, Monte S. Buchsbaum

Psychiatry Faculty Publications

Background: Molecular imaging of dopaminergic parameters has contributed to the dopamine hypothesis of schizophrenia, expanding our understanding of pathophysiology, clinical phenomenology and treatment. Our aim in this study was to compare 18F-fallypride binding potential BPND in a group of patients with schizophrenia-spectrum illness vs. controls, with a particular focus on the cortex and thalamus. Methods: We acquired 18F-fallypride positron emission tomography images on 33 patients with schizophrenia spectrum disorder (28 with schizophrenia; 5 with schizoaffective disorder) and 18 normal controls. Twenty-four patients were absolutely neuroleptic naïve and nine were previously medicated, although only four had a lifetime neuroleptic exposure of …

Neural Plasticity And Treatment-Induced Recovery Of Sentence Processing In Agrammatism, Cynthia K. Thompson, Dirk B. Den Ouden, Borna Bonakdarpour, Kyla Garibaldi, Todd B. Parrish

Faculty Publications

This study examined patterns of neural activation associated with treatment-induced improvement of complex sentence production (and comprehension) in six individuals with stroke-induced agrammatic aphasia, taking into account possible alterations in blood flow often associated with stroke, including delayed time-to-peak of the hemodynamic response function (HRF) and hypoperfused tissue. Aphasic participants performed an auditory verification fMRI task, processing object cleft, subject cleft, and simple active sentences, prior to and following a course of Treatment of Underlying Forms (TUR; Thompson et al., 2003), a linguistically based approach for treating aphasic sentence deficits, which targeted objective relative clause constructions. The patients also were …

Ada News - 08/16/2010, American Dental Association, Publishing Division

ADA News

Established in 1970 as the official newspaper of the American Dental Association, the ADA News serves practicing dentists and others allied to the dental profession in the U.S. and internationally. It is the No. 1 source of news and information about the many benefits and services the ADA delivers to members daily as well as timely information on scientific, social, political and economic developments affecting dentistry and health care.

Samoan Speech Audiometry: Developing Word Recognition Materials For Native Speakers Of Samoan, Emma Lilian Kruger

Theses and Dissertations

Hearing can be evaluated through the presentation of tones or speech. Speech audiometry determines an individual's speech recognition threshold and word recognition score. Traditionally these materials were developed using familiar, frequently used, monosyllabic words. Currently, there are various types of word recognition materials including those which use word lists, short half-lists, and materials which use sentences level stimuli with competing noise. Word recognition materials were first developed in Standard American English; today, materials are now readily available in many other languages. When possible, word recognition materials are developed digitally to standardize their presentation. Currently, no recorded word recognition materials are …

Brain Mapping Of The Mismatch Negativity And The P300 Response In Speech And Nonspeech Stimulus Processing, Skylee Simmons Neff

Theses and Dissertations

Previous studies have found that behavioral and P300 responses to speech are influenced by linguistic cues in the stimuli. Research has found conflicting data regarding the influence of phonemic characteristics of stimuli in the mismatch negativity (MMN) response. The current investigation is a replication of the study designed by Tampas et al. (2005), which studied the effects of linguistic cues on the MMN response. This current study was designed to determine whether the MMN response is influenced by phonetic or purely acoustic stimuli, and to expand our knowledge of the scalp distribution of processing responses to within- and across-category speech …

The Live Experience Of Non-Degree Learners From A Time Modified Traditional Baccalaureate In Nursing Program, Stephanie S. Deboor

UNLV Theses, Dissertations, Professional Papers, and Capstones

By the year 2016, it is projected that a million new and replacement nurses will be needed throughout the United States. The traditional 4-year baccalaureate program alone cannot adequately sustain this demand. The immediacy of the current nursing shortage demands our educational systems respond by building and maintaining a workforce that is sufficient to support the health care needs of our society. In an attempt to meet this challenge, nursing schools around the country began exploring the option of creating accelerated programs for those who already possess a bachelor's degree in another field without compromising the integrity and quality of …

Tongueless: Representation Of The Mentally Disabled And The Novel, Brent Walter Cline

Dissertations

This study examines the representation of the mentally disabled in the novel for two related outcomes. The first is to prove that the representation of the mentally disabled is not merely a subset of the representation of the disabled in general. This is intended less as a political statement as it is a literary one. Acknowledging and building off the work of writers in disability studies such as David Mitchell, Sharon Snyder, and Tobin Siebers who concentrate on the body of the disabled, this study shows that attempts to represent the mentally disabled are fundamentally different than those who are …

The Elderly Somali Bantu Experience Of American Health Care: The New Way, Cathy Marie Deckys

Boise State University Theses and Dissertations

A paucity of research exists involving the emic, or insider perspective, of the elderly Somali Bantu as it pertains to their experience of health care.  The purpose of this qualitative, descriptive study is to gain insight into the factors that influence the elderly Somali Bantus’ experience of American health care in Boise, Idaho based on their perspective.  The elderly Somali Bantu refugee has experienced many changes since their resettlement to the United States from United Nations’ refugee camps in Kenya four to seven years ago.  The majority of this population is illiterate and has no native written language.  This is …

Ethics, Equity, And English-Language Learners: A Decision-Making Framework, Shelly Chabon, Julie Esparza Brown, Christina E. Gildersleeve-Neumann

Education Faculty Publications and Presentations

This articles addresses challenges related to clinical decision-making in intervention with English-language learners and their families.

An Analytic Hierarchy Process Approach To Assess Health Service Quality, Yan Li

Theses and Dissertations - UTB/UTPA

While improving quality in health care is currently at the forefront of professional, political, and managerial attention, the key dimensions constituting health-care quality have not been fully understood. Also, few valid approaches have been proposed to the measurement of health-care quality. In this research, the Analytic Hierarchy Process (AHP) approach is applied to study the structure of health-care quality and deducted relative importance weights for each of the quality elements. A statistical quality model is derived to assess medical equipment quality which is an important part constituting the general health-care quality. Finally, the application of the AHP model to assess …

Effectiveness Of Counseling For Anxiety And Depression In Mothers Of Children Ages 0-30 Months By Community Workers In Karachi, Pakistan: A Quasi Experimental Study, Niloufer Sultan Ali, Badar S. Ali, Iqbal Azam Syed, Ali Khan Khuwaja

Department of Family Medicine

Background: The prevalence of anxiety/depression is quite high during the perinatal period but unfortunately its detection and treatment have been less than satisfactory. Moreover, many women are reluctant to take pharmacotherapy for fear of excretion of drugs into their breast milk. This study assesses the effectiveness of counseling from minimally trained community health workers in reducing anxiety/depression, the rate of recurrence and the interval preceding recurrence in women during first two and a half years after childbirth.
Methods: In a quasi-experimental study, community women from two under-privileged communities were trained in data gathering, teaching healthy child-rearing practices, basic counseling skills, …