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Of All Professions, Prostitution Is The Oldest (Except Possibly For Teaching), Joseph Ellin

Center for the Study of Ethics in Society Papers

Response by Joseph Ellin to a paper by Michael Davis Professions "Of All Professions, Begging is the Best"

Perceptions Of Quality Of Life Of Latinos With Diabetes Living In The U.S.: Variations By Geographic Region Of Origin, Janice M. Long

Dissertations

The Latino population, the largest ethnic minority in the United States, is a diverse group originating from numerous geographic regions of Latin America. Latinos vary in the risk for type 2 diabetes, a condition that exacts a costly burden on those who suffer with it. With the Latino population diversity, diverse strategies are needed. One strategy is to improve outcomes of life quality by improving knowledge of those who deliver health services to Latinos with type 2 diabetes. Through measurement of quality of life (QOL), the more precious aspects of living, how one feels about living with diabetes, can be …

Development Of Thai Speech Audiometry Materials For Measuring Speech Recognition Thresholds, Lauren Alexandra Hart

Theses and Dissertations

Speech audiometry materials are essential for thorough audiological testing. One aspect of speech audiometry is evaluating an individual's speech recognition threshold (SRT). Recorded materials for SRT are available in many languages; however there are no widely published recorded SRT materials available in the Thai language. The goal of this study was to develop relatively psychometrically equivalent SRT materials for evaluating the hearing abilities of native speakers of the Thai language. To accomplish this, 90 commonly used bisyllabic Thai words were digitally recorded by a male and a female talker and evaluated by 20 native Thai listeners. Twenty-eight words with relatively …

Recognition Of Emotion In Facial Expressions By Children With Language Impairment, Dorthy A. Stott

Theses and Dissertations

Recent research has shown that children with language impairment (LI) have increased social difficulties. This study examined the relationship between language skills and emotion understanding through recognition of facial expressions of emotion in children with LI and their typically developing peers. It is a replication of the research of Spackman, Fujiki, Brinton, Nelson, and Allen (2005) and Atwood (2006). Participants consisted of 22 children with LI and 22 age- and gender-matched peers with typically developing language, from the age range of 7:0 to 10:11 years. They were shown photographs of faces conveying one of the following emotions: happiness, sadness …

The Effect Of A Pseudopalate On Voiceless Obstruent Production: A Spectral Evaluation Of Adaptation, Karie Lindsay Dean

Theses and Dissertations

Many studies in speech communication have provided valuable findings concerning the kinematic nature of speech articulation. This type of research often involves introducing an oral device to the vocal tract such as lingual pellets, magnets, and different forms of pseudopalates to track the movement and placement of the articulators. This study examined the effect of an electropalatography (EPG) pseudopalate on the production of five voiceless obstruents (/p, t, k, s/ and /sh/). Acoustic recordings from 20 adult speakers with typical speech production were made during three different speaking conditions: prior to pseudopalate placement, immediately after placement, and following 20 minutes …

Recognizing The Need To Dissemble Emotions In Hypothetical Social Scenarios: Differences In Children With Language Impairment, Emily Rowberry Jones

Theses and Dissertations

This study investigated the ability of children with LI to recognize the need to dissemble emotions. Participants included 22 children with LI and 22 typically developing peers, ages 7;1 to 11;0 years. Children were presented with 10 hypothetical social scenarios in which the main character experienced an emotion which should be dissembled for social purposes. The participant's responses were categorized as dissemblance or display. Children with LI reported that they would hide the experienced emotion significantly less often than their typical peers. Children in both groups reported higher levels of dissemblance when asked what their parents would want them to …

Promoting Healthy Development: Educating Somali Mothers And Children On The Importance Of Outdoor Physical Activity, Rebecca S. Wawra

Theses and Graduate Projects

This paper describes an educational program that was designed to provide education and awareness for Somali mothers and children about the importance of outdoor physical activity on healthy child development. The program is based on Margaret Newman's nursing theory of Health as Expanding Consciousness and Hartrick-Doane & Varcoe's concept of walking with. A comprehensive literature review was completed to exemplify the need for outdoor physical activity education in the immigrant population.

Evaluating Patient Compliance: Effect Of Appointment Reminder Systems On Attendance, Jacquelyn D. Phillips

Master of Public Health Program Student Publications

Currently, rising health care cost is an important topic on many agendas and platforms. In 2007, health care spending in the United States reached $2.3 trillion, and was projected to reach $3 trillion in 2011 (NCHC, 2007). Increasing health care cost is in direct relationship with the rise in the ageing population, chronic illness, and the uninsured lower socioeconomic population as well. The research on medical compliance and attendance (missed/kept appointment) behavior is an important area to explore because it is critical for all aspects of successful treatment, disease prevention, and health promotions that have direct correlation with health care …

Transformations With Tai Chi: The Experience Of Community-Dwelling Tai Chi Practitioners, Sunny Yim Alperson Phd

Dissertations

While Tai Chi practice has dramatically increased across the U.S., its mechanism is unknown, and overall understanding of the phenomenon is lacking. The purpose of this study was to explore the experience of community-dwelling Tai Chi practitioners through a qualitative study, detailing its social and personal appeal, the reasons for their continued involvement, its symbolic meanings, and its impact on their lives. Utilizing the grounded theory method and dimensional analysis, in-depth interview data from 23 practitioners, aged 49-82 were audio-recorded, transcribed, coded and analyzed to derive a grounded theory. A theoretical model, transformation with moving meditation was developed, reflecting the …

Perinatal Arterial Ischaemic Stroke: An Update With Literature Review, S. H. Ibrahim, Zafar Abdul Mueed

Department of Paediatrics and Child Health

Perinatal arterial ischaemic strokes are a major cause of morbidity in the neonatal period and leads to significant neurological morbidity. It is however under recognized as an entity and usually missed till the baby is 3-4 months of age when they first present with hemiplegia. Perinatal arterial ischaemic strokes are not reported from our country and this may be due to the fact that neurodiagnostic modalities were not available until the last few years. Even now this is not available in the smaller cities of our country. In this review we will discuss the common issues related to etiology and …

Performance On Natural Dissemblance Tasks In 7-11 Year-Old, Language-Impaired And Typically Developing Children, Noel Quist

Theses and Dissertations

Studies over the past several years have shown that children with language impairment (LI) have greater difficulty in social situations than typically developing children. More specifically, studies have shown that children with LI have more difficulty with dissemblance. This study was conducted to assess whether these children are less likely to dissemble in real-life situations. Forty-four children aged 7 to 11 years (22 LI and 22 typically developing) were presented with four situations designed to elicit dissemblance. Their reactions were scored and compared. The results of this study showed subtle differences between children with LI and typically developing children. Children …

The Effects Of Task Preference On Speech And Motor Performance Under Divided Attention Conditions, Amy Sue Leiter

Theses and Dissertations

Dual task performance and the interaction of tasks has been the subject of much research. When tasks are performed together they affect each other to varying degrees depending upon such factors as the similarity of the tasks, their difficulty, and whether one task is given preference over another. In this study, task preference was investigated under divided attention conditions in order to determine what effect preference had on task performance. Twenty young adults took part in this study and were randomly assigned into two groups. Each group was experimentally motivated to favor one of the two tasks – either speaking …

Closing The Research Gap: Enhancing Cambodian Participation In Clinical Research, Elsa C. Carlson

Theses and Graduate Projects

Obtaining proper sampling of a heterogeneous population remains a concern in research studies. Many studies have examined the low numbers of African-Americans recruited to clinical trials. Other studies have also focused on Latino-Hispanic disparity in research. However, there remains paucity in research involving Asian participation. This project aims to develop a nursing model of cultural immersion in the Cambodian community's culture that will foster deeper understanding, acceptance, and trust. In so doing, a research-friendly milieu of collaboration by the Cambodian community and the research community will be established. Madeleine Leininger's Theory of Culture Care Diversity and Universality is the theoretical …

Synthesis Of Data To Develop Cultural Competency Training For Telehealth Nurses Providing Outbound Disease Management Programs To Hispanic Patients., Barbara L. Kreinbring

Theses and Graduate Projects

Telehealth nurses deliver disease management programs to culturally diverse populations, including Hispanic patients. Disease management programs focus on chronic conditions such as diabetes, which are increasing in prevalence. The CDC predicts that the number of Hispanic people with diabetes will rise nearly six-fold by 2050. The nurses who deliver these programs via the telephone need training focused on culturally competent care. The purpose of this project is to review and synthesize information in order to develop cultural competence training for telehealth nurses providing disease management programs to Hispanic patients.

The Development Of Word Recognition Materials For Native Speakers Of Tongan, Lara Cahoon Seaver

Theses and Dissertations

The purpose of this study was to develop, digitally record, evaluate, and psychometrically equate a set of Tongan bisyllabic word lists for use in measurement of word recognition testing. Commonly used bisyllabic words were digitally recorded by male and female native talkers of Tongan. The psychometric performance of the words was measured at ten intensity levels (- 5 to 40 dB HL) in 5 dB increments by 20 listeners with normal hearing acuity. The 200 words with the highest rate of listener identification were included in four relatively psychometrically equivalent word lists of 50 words each and eight half-lists of …

Partner Communication And Factors Associated With The Decision To Obtain An Hiv Test Among Chinese/Chinese American Community College Students In Northern California, Sang Leng Trieu

Loma Linda University Electronic Theses, Dissertations & Projects

HIV testing and counseling is considered the cornerstone of a comprehensive approach to HIV prevention and education. Little is known, however, about HIV prevention, including HIV testing rates for Asian Pacific Islander (API) women, because data for this ethnic group is aggregated, thus limiting specific data for Chinese/Chinese American population or other API subgroups. This dissertation research examined factors associated with the decision to obtain an HIV test among Chinese/Chinese American community college women and explored the association among relationship status, partnership communication, and discussions of HIV testing.

Using constructs of the health belief model, an online and paper-pencil, crosssectional …

Word Recognition Materials For Native Speakers Of Taiwan Mandarin, Shawn L. Nissen, Richard W. Harris, Alycia Dukes

Faculty Publications

Purpose: To select, digitally record, evaluate, and psychometrically equate word recognition materials that can be used to measure the speech perception abilities of native speakers of Taiwan Mandarin in quiet. Method: Frequently used bisyllabic words produced by male and female talkers of Taiwan Mandarin were digitally recorded and subsequently evaluated using 20 native listeners with normal hearing at 10 intensity levels (-5 to 40 dB HL) in increments of 5 dB. Results: Using logistic regression, 200 words with the steepest psychometric slopes were divided into 4 lists and 8 half-lists that were relatively equivalent in psychometric function slope. To increase …

Acoustic Characteristics Of English Lexical Stress Produced By Native Mandarin Speakers, Shawn L. Nissen, Yanhong Zhang, Alexander L. Francis

Faculty Publications

Native speakers of Mandarin Chinese have difficulty producing native-like English stress contrasts. Acoustically, English lexical stress is multidimensional, involving manipulation of fundamental frequency (F0), duration, intensity and vowel quality. Errors in any or all of these correlates could interfere with perception of the stress contrast, but it is unknown which correlates are most problematic for Mandarin speakers. This study compares the use of these correlates in the production of lexical stress contrasts by 10 Mandarin and 10 native English speakers. Results showed that Mandarin speakers produced significantly less native-like stress patterns, although they did use all four acoustic correlates to …

The Impact Of Being Born With Cleft And Cleft Reparative Surgery On Overall Health And Speech Outcomes, Khatansuudal Evsanaa

Master's Theses

Orofacial cleft is one of the most common and treatable birth defects in the world. If left untreated, orofacial cleft can impair normal speech development, growth, and could lead to a number of health consequences later in life. The main motivation of the study is to measure the impact of being born with cleft and the cleft reparative surgery on overall speech and health cleft for teenagers in India using difference-in-differences approach along with household fixed effects method. An overall health outcome was measured using height, weight, grip strength and BMI, and the speech acceptability was measured using a “Universal …

Promoting Speech And Vocabulary Development Through Specialized Storybooks In Children With And Without Cleft Palate., Joellyn Ruth Smith

Electronic Theses and Dissertations

This study investigated changes in vocabulary and speech production in response to storybooks embedded with specialized language prompts and speech recasts. Six children received intervention, 3 with cleft palate (CLP), displaying speech-language delays, and 3 with nonclefts, each 12-24 months of age. A multiple baseline design across behaviors was implemented by a clinician. Results indicated all children increased use of target vocabulary and production of stop consonants, while reducing compensatory articulation errors. Generalization of targets to a picture-naming task, a free-play task, and to the home was observed. Effect sizes were moderate-to-high. Children with CLP required more sessions to achieve …

Screening And Assessing Immigrant And Refugee Youth In School-Based Mental Health Programs, Dina Birman, Wing-Yi Chan

Center for Health and Health Care in Schools

According to the 2000 Census, 1 of every 5 children in the United States is a child of immigrants – either a child who is an immigrant or has at least one immigrant parent. While most children who experience mental health problems have limited access to help, children who have migrated to this country, especially under difficult circumstances, face particular challenges. Providers may be unfamiliar with their culture or the way that their culture understands mental health issues; children and their caregivers may not speak English, and the tools developed to identify and treat children with mental health needs may …

The Challenges Of Bilingual Speech-Language Therapy: Perspectives From Speech-Language Pathologists, Dana Marie Roberts

Renée Crown University Honors Thesis Projects - All

In the United States, the increasing population of people who speak a language other than English, especially the Spanish-speaking population, has resulted in a greater number of linguistically diverse clients appearing on speech-language pathologists’ (SLPs’) caseloads and has also effectively increased the demand for bilingual SLPs. However, bilingual SLPs continually report a number of challenges in the field, which could explain why recruiting bilingual SLPs is difficult. This study highlighted the importance of assessing the challenges faced by bilingual SLPs through an analysis of the perspectives of four Spanish-English speaking bilingual clinicians in Central New York. The challenges the participants …

Pragmatic Assessment In Autism Spectrum Disorders: A Comparison Of A Standard Measure With Parent Report, Brian Reichow, Shawn Salamack, Rhea Paul, Fred Volkmar, Ami Klin

Communication Disorders Faculty Publications

The purpose of this study was to investigate the concurrent validity of subtests on the Comprehensive Assessment of Spoken Language (CASL) by comparing them with the assessment of communication and social skills on the Vineland Adaptive Behavior Scales (Vineland). The participants were 35 children and adolescents with higher functioning autism spectrum disorders (ASD) who had received both the CASL and the Vineland. Results of the study suggest that the Pragmatic Judgment and Inferences subtests of the CASL appeared to document the difficulties that individuals with ASD had in adaptive use of language for communication.

Integrating Rational Emotive Behavioral Therapy Into Art Therapy: Depression Treatment In Juvenile Justice Settings, Elizabeth Illig

EVMS School of Health Professions Theses & Dissertations

This single case mixed methods research study integrated Rational Emotive Behavioral Therapy (REBT) into art therapy in the treatment of incarcerated adolescents experiencing a depressed mood. The review of the literature focused on depression treatment as approached by REBT practitioners and art therapists, and revealed that an integration of these approaches had not been previously attempted. Before the study commenced the Reynolds Adolescent Depression Scale-2 was administered to both participants. Then individual REBT-enhanced art therapy sessions were conducted. After the conclusion of these sessions the RADS-2 was re-administered, an exit interview conducted, and a formal analysis of the artwork was …

Analysis Of The Proposed Rule On Designation Of Medically Underserved Populations And Health Professional Shortage Areas, Peter Shin, Leighton C. Ku, Emily Jones, Sara J. Rosenbaum

Geiger Gibson/RCHN Community Health Foundation Research Collaborative

Numerous safety net programs and health care providers depend on Medically Underserved Area and Population (MUA/P) and Health Professional Shortage (HPSA) designations to qualify for federal funding, physician subsidies and placement, and health-related investments to improve access to care for communities and populations at high risk of poor health. These resources are particularly critical for federally-qualified health centers at a time when the number of uninsured is growing and the capacity of the safety net shrinking. On February 29, 2008, the Department of Health and Human Services (HHS) released a proposed regulation to alter the way these designations are made. …

Health Policy Newsletter December 2006 Vol. 19, No. 4

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Predictors Of Re-Hospitalization For Home Healthcare Patients, Brenda Fischer Phd, Msn, Mba, Rn, Cphq

Dissertations

The overall purpose of this study was to examine the predictive capability of OASIS admission data for acute care re-hospitalization of home healthcare patients. Secondary data analysis using logistic regression was conducted on retrospective data from OASIS collected during the time period of July 1, 2006 to June 30, 2007. This study was conducted in a Medicare certified Home Health organization that is part of the largest public health system in California. The sample of 1802 patients with complete episodes of care was derived from a data set of 5,523 patients. All patients were included in the analysis and logistic …

Effects Of Dichotic Auditory Training On Children With Central Auditory Processing Disorder, Kiley Edwards Stephenson

Doctoral Dissertations

(Central) auditory processing disorder (CAPD) is a condition in which individuals with normal hearing present with difficulties often associated with hearing loss. While there are currently many tests available for the CAPD assessment, there are very few therapies for the remediation of a CAPD. A new therapy program, called Dichotic Auditory Training (DAT), aimed at improving the performance of those individuals with CAPD, was the focus of this study. Eight children between the ages of seven and twelve went through the four week training. The Staggered Spondaic Word (SSW) test, the SCAN-C/A, and a test designed after the DAT …

Efficacy Of Central Auditory Processing Case History Form Used At The Louisiana Tech University Speech And Hearing Center, Michelle L. Smith

Doctoral Dissertations

Central auditory processing disorder (CAPD) is a deficiency in processing of auditory information. Due to this deficiency, a variety of behaviors can be seen including listening difficulties in background noise, difficulties following oral instruction, and difficulties discriminating and identifying speech sounds. These behaviors result in inattention and academic difficulties. With these characteristics being present in other disorders such as attention deficit/hyperactivity disorder, language/learning deficits, and high functioning autism (i.e., Asperger's syndrome) diagnosis of CAPD becomes complicated.

The Louisiana Tech University Speech and Hearing Center uses a CAPD case history for a child that was adopted from Robert Keith in 2003. …

Tibetan Medicine: Carving A Niche In The Modern Medical And Scientific Community, Devon Marie Fitzgerald

Independent Study Project (ISP) Collection

Tibetan medicine is an ancient tradition, stretching back over one thousand years. Today, the Tibetan medical community, centered at the Men-Tsee-Khang (Tibetan Medical and Astrological Institute) in Dharamsala, India, is trying to bring Tibetan medicine into the modern world. They are doing this mainly by focusing on research, based on modern scientific methods, to produce clinical and laboratory studies demonstrating the efficacy of Tibetan medicine. This paper compiles interviews from Men-Tsee-Khang staff closest to these projects, articles about modernizing traditional medicine from both the Tibetan and Western perspectives, and a review of some of the recent studies to come out …