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Barriers Influencing Minority Clients’ Access To Speech Language Pathology Services. Poster, Nidhi Mahendra, Katie Schoneman, Nisha Engineer

Faculty Publications

No abstract provided.

Health Insurance Patterns Among Latinos In Comparative Perspective, 2004 — 2007, Rachael Varra

Center for Latin American, Caribbean, and Latino Studies

Introduction: This report examines the rates at which the four major racial/ethnic groups in the United States — Latinos, non-Hispanic Whites, non-Hispanic Blacks and Asians — lacked health insurance from 2004- 2006 in the U.S. overall and in the ten states with the largest Latino populations: California, Texas, Florida, New York, Illinois, Arizona, New Jersey, Colorado, New Mexico and Georgia.

Methods: The “lack of insurance data” in this report were derived from Health Statistics Data obtained by the Center for Disease Control from 2004 to 2006. In September 2008 these data became available by race, age and ethnicity/race on a …

Post Partum Anxiety And Depression In Peri-Urban Communities Of Karachi, Pakistan: A Quasi-Experimental Study, Niloufer Sultan Ali, Badar S. Ali, Iqbal Azam Syed

Department of Family Medicine

Background: Postpartum anxiety and depression is a major public health concern because of its adverse effects on the cognitive and social development of the infant. Globally postpartum depression has been widely investigated but as anxiety is a more prominent feature of postpartum depression we assessed the prevalence of anxiety and depression and their associated factors in post partum women.
Methods: A quasi-experimental study investigating the impact of postpartum anxiety and depression on child growth and development was conducted in two peri-urban, multiethnic, communities of Karachi, a mega city of Pakistan. A house to house questionnaire based survey was done by …

Santa Clara Magazine, Volume 51 Number 2, Fall 2009, Santa Clara University

Santa Clara Magazine

16 - POLITICS AND RELIGION: STILL ON A COLLISION COURSE? An interview with Avraham Burg, former speaker of the Israeli Knesset. Plus excerpts from talks by E.J. Dionne Jr., Lisa Sowle Cahill '70, and Michael Eric Dyson.

20 - THE GULF OF WONDER By Emily Elrod '05. With a movie, Patrick McVeigh '78 offers investors a unique opportunity: Wake up the citizens of America and help them save one of the Seven Natural Wonders of the World. Plus, a 30 percent return.

24 - SEASON PREMIERE: "RESURRECTION" By Karen Crocker Snell. Forensic investigator Horatio Caine lies facedown in a pool …

Quality Health Information On The Internet: Developing A Diabetes Pathfinder For The Chinese Population, Ana D. Cleveland, Jodi Philbrick, Xuequn Pan, Xinyu Yu, Jiangping Chen, Marty O'Neill, Lisa Smith

Faculty Publications

A Web-based bilingual diabetes information pathfinder was created to help the Chinese population access quality health information on the Internet as part of a collaborative outreach project in the Dallas-Fort Worth area. A survey was conducted to identify the demographics, Internet usage, health information needs, and preferences for training sessions of the Chinese population. Breast cancer, diabetes, and hepatitis B were the top three diseases of interest. The process of developing the pathfinder is described from start to finish, and it can serve as a model for the development of others. Pathfinder training sessions also were held. Taylor & Francis …

Obesity And Cancer, Rickie Brawer, Phd, Mph, Nancy Brisbon, Md, James Plumb, Md

Department of Family & Community Medicine Faculty Papers

Obesity has become the second leading preventable cause of disease and death in the United States, trailing only tobacco use. Weight control, dietary choices, and levels of physical activity are important modifiable determinants of cancer risk. If multi-factorial approaches to prevention and management are not implemented, obesity will likely become the leading modifiable cause of death in the coming years. Physicians have a key role in integrating these approaches into clinical care and advocating for systemic prevention efforts. This article provides: 1) an introduction to the epidemiology and magnitude of childhood and adult obesity; 2) the relationship of overweight/obesity to …

Acoustic And Spectral Patterns In Young Children's Stop Consonant Productions, Shawn L. Nissen, Robert Allen Fox

Faculty Publications

The aim of this study was to examine the acoustic and spectral patterns of stop articulation in the speech of pre-pubescent children. A set of voiceless stop consonants, /ptk/, produced by a group of adults and typically developing children 3-5 years of age were examined in terms of multiple acoustic and spectral parameters. Findings indicated that, with the exception of spectral kurtosis, the acoustic and spectral characteristics of the stop productions varied significantly as a function of place of articulation and vowel context. Sex-specific differences in spectral slope, mean, and skewness were found for the 5-year-old and adult speakers. Such …

Automated Identification Of Noun Clauses In Clinical Language Samples, Britney Richey Manning

Theses and Dissertations

The identification of complex grammatical structures including noun clauses is of clinical importance because differences in the use of these structures have been found between individuals with and without language impairment. In recent years, computer software has been used to assist in analyzing clinical language samples. However, this software has been unable to accurately identify complex syntactic structures such as noun clauses. The present study investigated the accuracy of new software, called Cx, in identifying finite wh- and that-noun clauses. Two sets of language samples were used. One set included 10 children with language impairment, 10 age-matched peers, …

Health Center Data Warehouses: Opportunities And Challenges For Quality Improvement, A. Seiji Hayashi, Emily Jones, David M. Stevens, Peter Shin, Brad Finnegan, Sara J. Rosenbaum

Geiger Gibson/RCHN Community Health Foundation Research Collaborative

This Policy Research Brief reports on a pilot effort to leverage the growing presence of health center data warehouses to advance health care quality improvement through data sharing and exchange. This project builds on a partnership between the Michigan Primary Care Association and The George Washington University's Geiger Gibson/RCHN Community Health Foundation Research Collaborative that centers on developing approaches to using existing health center data for quality improvement.

Development Of Psychometrically Equivalent Speech Audiometry Materials For Testing Children In Mongolian, Meghan Elizabeth Caldwell

Theses and Dissertations

The purpose of this study was to develop, digitally record, evaluate, and equate Mongolian monosyllabic and bisyllabic child-appropriate words which can be used in the measurement of word recognition scores and speech-reception threshold (SRT) in children who are native speakers of Mongolian. Based on data collected from a survey of Mongolian child language professionals, a subset of child-appropriate materials was adapted from a set of materials developed for Mongolian adults. Two lists of 50 monosyllabic words and four half-lists of 25 words each were developed for testing the word recognition abilities of Mongolian children. The developed lists and half-lists were …

Patterns Of Vowel Production In Speakers Of American English From The State Of Utah, Larkin Hopkins Reeves

Theses and Dissertations

The English spoken in the United States has traditionally been divided into six dialect regions: New England, Mid-Atlantic, Southern, Midland, Northern, and Western. The acoustic properties of American English spoken in the Southern and Northern dialect regions have been the subject of intense research, but the acoustic properties of the Western dialect region have not been analyzed as thoroughly. The umbrella term, Western American English, includes the English spoken in a large geographic area that stretches from Montana, Wyoming, Colorado, and New Mexico to the Pacific coast. Research that has focused on the Western dialect has included participants from several …

The Withdrawn And Sociable Behaviors Of Children With Specific And Nonspecific Language Impairment, Heather Haskin

Theses and Dissertations

Recently researchers have identified a group of children with language impairment (LI) whose IQ scores are below the typical IQ cutoff of 85 for specific language impairment (SLI) but above the IQ cutoff of 70 for intellectual disability (Weismer et al., 2000). This group is referred to as having nonspecific language impairment (NLI). Eleven children with NLI, eleven same-age peers with SLI, and eleven same-age typical peers were compared on withdrawn and sociable behaviors demonstrated in the classroom setting using the Teacher Behavior Rating Scale (Hart & Robinson, 1996). Three subtypes of withdrawal (solitary-active, solitary-passive, reticent) and two subtypes of …

Social Networks, Social Identities, And Mindset Of At-Risk College Students, Troy A. Romero

Department of Psychology: Dissertations, Theses, and Student Research

Success in higher education is typically measured by retention and graduation, and traditionally the students who are least likely to succeed are at-risk students. At-risk students are characterized by one or more of the following: being from underrepresented ethnicities and cultures, having low socioeconomic status, being educated in poorly funded primary and secondary education systems, being first-generation college students, or being otherwise marginalized in society. This study was designed to test how at-risk students differ from other students in terms of the size of their academic social networks, the strength of their academic identities, and their mindset, and to what …

The Assessment And Treatment Of Prosodic Disorders And Neurological Theories Of Prosody, Joshua J. Diehl, Rhea Paul

Communication Disorders Faculty Publications

In this article, we comment on specific aspects of Peppe´ (Peppe´ , 2009). In particular, we address the assessment and treatment of prosody in clinical settings and discuss current theory on neurological models of prosody. We argue that in order for prosodic assessment instruments and treatment programs to be clinical effective, we need assessment instruments that: (1) have a representative normative comparison sample and strong psychometric properties; (2) are based on empirical information regarding the typical sequence of prosodic acquisition and are sensitive to developmental change; (3) meaningfully subcategorize various aspects of prosody; (4) use tasks that have ecological validity; …

Phonological Accuracy And Intelligibility In Connected Speech Of Boys With Fragile X Syndrome Or Down Syndrome, Elizabeth Barnes, Joanne Roberts, Steven Long, Gary E. Martin, Mary C. Berni, Kerry C. Mandulak, John Sideris

Speech Pathology and Audiology Faculty Research and Publications

Purpose: To compare the phonological accuracy and speech intelligibility of boys with fragile X syndrome with autism spectrum disorder (FXS-ASD), fragile X syndrome only (FXS-O), Down syndrome (DS), and typically developing (TD) boys.

Method: Participants were 32 boys with FXS-O (3–14 years), 31 with FXS-ASD (5–15 years), 34 with DS (4–16 years), and 45 TD boys of similar nonverbal mental age. We used connected speech samples to compute measures of phonological accuracy, phonological process occurrence, and intelligibility.

Results: The boys with FXS, regardless of autism status, did not differ from TD boys on phonological accuracy and phonological …

Nursing Faculty Experiences And Perceptions Of The Implementation Process To A Learner-Centered Teaching Philosophy: A Case Study, Sharon L. Colley

Dissertations

This study explores nursing faculty's experiences with and perceptions of, their school of nursing's change to a learner-centered teaching philosophy. The primary research goals are to determine faculty perceptions of what learner-centered approaches they are utilizing in their classes, what change conditions they perceive as significant to the implementation process, and how they perceive the overall faculty progress and unity toward the goal of adopting a learner-centered teaching philosophy. Using the theoretical frameworks of Carl Rogers and Donald Ely, a case study approach is used to examine the faculties' use of five key concepts associated with the learner-centered philosophy, as …

Hp Newsletter June 2009 Download Full Pdf

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

The Patient Navigator Outreach And Chronic Disease Prevention Act Of 2005: A Bipartisan Approach To Improving Access To Care And Addressing Health Disparities, Natalia M. Urrea

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Syntactic Complexity In Persons With Multiple Sclerosis, Katherine A. King

Theses and Dissertations

Several studies using standardized tests have provided evidence for the presence of language disorders in persons with Multiple Sclerosis (MS) and have suggested that persons with MS may have language that is less complex. One aspect not thoroughly studied is that of syntactic complexity in naturalistic, conversational settings. The present study collected language samples from 10 adults with MS and 10 age-matched controls and compared scores on five quantitative measures derived from those samples. No significant differences were found between groups on any measure. This finding suggests that in mild cases of MS or during periods of remission, individuals may …

The Variability In Children With Specific Language Impairment Compared To Children With Typical Language Development, Heather Michelle Wilde

Theses and Dissertations

The purpose of this study was to determine whether children with specific language impairment (SLI) are more or less variable than children with typically developing language. In addition, the within child variability for children with SLI was analyzed to consider how heterogeneity influenced identification of areas of linguistic strengths and weaknesses in this population. Fifty seven children with SLI, 7:0–11:0, and fifty seven of their peers with typically developing language were assessed using five subtests and a composite language score from the Comprehensive Assessment of Spoken Language (CASL) (Carrow-Woolfolk, 1999). The children with typically developing language were significantly more variable …

National Health Reform: How Will Medically Underserved Communities Fare?, Sara J. Rosenbaum, Emily Jones, Peter Shin, Leighton C. Ku

Geiger Gibson/RCHN Community Health Foundation Research Collaborative

This brief examines the factors underlying medical underservice. It finds that the number of Americans living in communities at risk for medical underservice is more than double the number of persons who are uninsured. The report notes that even with health insurance reform, these communities and providers that serve them will continue to be affected by elevated numbers of low income uninsured persons, as well as persons who may be seriously under-insured because of poorer health status and lower family income.

Describing health insurance expansion as the single most important strategy to alleviate medical underservice, the Brief also identifies a …

Asset-Based Approaches For Lesbian, Gay, Bisexual, Transgender, Questioning, Intersex, And Two-Spirit (Lgbtqi2-S) Youth And Families In Systems Of Care, Peter E. Gamache, Katherine J. Lazear, Research And Training Center For Children's Mental Health

FMHI Publications

No abstract provided.

Translation And Alternate Forms Reliability Of The Visual Analogue Scale In The Three Major Nigerian Languages, Adesola C. Odole, Aderonke O. Akinpelu

Internet Journal of Allied Health Sciences and Practice

Purpose: Our aims were to translate the anchors on the Visual Analogue Scale (VAS) into the three major Nigerian Languages and determine the adequacy of the alternate forms reliability of the VAS in these translations. Methods: The anchors on the VAS were translated into Yoruba, Igbo, and Hausa languages by linguistic experts and taken through back translation, clinical committee review, and pre–testing. Sixty–seven Hausa, 54 Igbo, and 165 Yoruba Knee/Hip OA patients were assessed on the original and translated versions of VAS. Scores on each translated anchor of the VAS were correlated with scores on the original VAS (anchors in …

The Effect Of Fatigue On Acoustic Measures Of Diphthongs In Individuals With Multiple Sclerosis, Kristi Lee Hollis

Theses and Dissertations

Although recent literature suggests that fatigue influences the communication of people with multiple sclerosis (MS), its relationship to acoustic measures of speech, specifically formant transitions during diphthongs, has not been explored. In the present study, 11 participants diagnosed with MS, two of whom were perceptually dysarthric, and 12 control subjects were recorded as they performed selected speech tasks in both the morning and the afternoon. Before each recording session, participants rated their fatigue level. The participants with MS gave significantly higher ratings of fatigue than the control group. The speakers with MS had longer diphthong durations in a non-fatigued state, …

Finish-A-Rhyme-Story: A Rhyme Cloze Assessment For Preschool Children, Kimberly Jeanne Condie

Theses and Dissertations

Educators need measurement tools to determine phonological awareness in young children. This study investigated the appropriateness of rhyme cloze tasks, referred to as Finish-a-Rhyme-Story items, which were designed to measure preschool and kindergarten children's early rhyme development. The rhyme cloze tasks required children to verbally complete a sentence by filling in a final rhyming word that matched a rhyme pattern highlighted in a short story that was read aloud to them. The task required rhyme awareness as well as comprehension of the language in the story. Twenty-four items were individually administered to preschool (n = 207) and kindergarten (n = …

Psychotherapy As A Treatment Modality For Psychiatric Disorders: Perceptions Of General Public Of Karachi, Pakistan, Abdul Mueed Zafar, Ali Jawaid, Hiba Ashraf, Ambreena Fatima, Rubina Anjum, Salah U. Qureshi

Department of Psychiatry

Background: Psychiatric disorders affect about 450 million individuals worldwide. A number of treatment modalities such as psychotropic medications, psychotherapy and electroconvulsive therapy can be used to treat these disorders. Attitudes of general public play a pivotal role in effective utilization of mental health services. We explored the perceptions of general public of Karachi, Pakistan regarding psychotherapy. Methods: A cross-sectional study was conducted in Karachi, Pakistan during July-August, 2008. A three-step sampling strategy and a structured questionnaire were employed to survey knowledge and perceptions of adult general public about psychotherapy. Descriptive statistics were used for baseline characteristics. Logistic regression models were …

War And Hiv In Latin America, Shawn Smallman

International & Global Studies Faculty Publications and Presentations

Conflict has shaped the HIV pandemic from its inception, from the spread of HIV-1 in Central Africa, to the diffusion of HIV-2 from Portuguese Africa to the globe. At the same time, the relationship between HIV and conflict has been non-linear and poorly understood. Nancy Mock and her colleagues have been almost the only scholars to propose a model to understand this relationship. Their work suggests that several key variables (such as the time scale of the conflict, the characteristics of the parties involved, and the geographic scale of the fighting) explain wide variations in how warfare appears to have …

Validity Of Seven Syntactic Analyses Performed By The Computerized Profiling Software, Stacy Lynn Minch

Theses and Dissertations

The Computerized Profiling (CP) software extracts several quantitative measures from a transcribed sample of a client's language. These analyses include the Mean Length of Utterance in Words (MLU-W) and in Morphemes (MLU-M), the Mean Syntactic Length (MSL), the Syntactic Complexity Score (SCS), Developmental Sentence Scoring (DSS), the Index of Productive Syntax (IPSyn), and the Picture-Elicited Screening Procedure for LARSP (PSL). The validity of these measures was examined by comparing them to the number of finite nominal, adverbial, and relative clauses contained in samples from 54 first-, 48 third-, and 48 fifth-grade students and 24 young adults. The DSS and SCS …

Ethnicity Matters: The Socioeconomic Gradient In Health Among Asian Americans, Emily S. Ihara

The Journal of Sociology & Social Welfare

This study examines the relationship between socioeconomic indicators and health status among Asian Americans using data from the 2001 California Health Interview Survey (CHIS), a population-based random-digit-dial survey with race-ethnic supplemental samples. Multivariate logistic regression analyses show that the inverse relationship between socioeconomic position and health status is similar for Asian Americans when measured as an aggregate group compared to Whites. However, when specific Asian American ethnic groups are examined, the relationship varies greatly. For example, among Chinese Americans and Vietnamese Americans, education is a significant predictor of poor health status, but household income is more significant among Korean Americans. …

Psychometrically Equivalent Monosyllabic Words For Word Recognition Testing In Mongolian., Valarie Nicole Haslam

Theses and Dissertations

The purpose of this study was to record a set of Mongolian monosyllabic word lists that could be used to obtain a word recognition score. A word list was developed of 190 frequently used monosyllabic words which had been selected by a group of raters. Native male and female Mongolian talkers were utilized to make digital recordings. The 190 words were divided into 10 lists of 19 words. The lists were presented to 20 normally hearing subjects at 10 different intensity levels ranging from -5 to 40 dB HL in 5 dB increments. An S-curve distribution was used to divide …