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The Identification Of Domains And Competencies For Community Practice Occupational Therapy, Lisa Anne Werner

Masters Theses

Literature shows evidence of a shift in occupational therapy from traditional institutional settings to community-based settings. As increasing numbers of new and expert occupational therapists enter community-based practice, the need for competency identification for practice, education, and reimbursement becomes paramount. This qualitative research study sought to identify domains and competencies of community-based occupational therapy practice by interviewing three expert occupational therapists using the critical incident method in which each therapist described one therapeutic intervention with a client. This method, as seen in nursing studies (Benner, 1982, 1984), serves to elicit competencies embedded in expert practice. Thirty-nine competencies were described in …

Books Received And Book Notices, The Jonathan Nāpela Center For Hawaiian And Pacific Islands Studies

Pacific Studies

Book Listing for the Vol 21, No 4 Edition of the Pacific Studies Journal

Increased Glutathione Metabolic Defense Capabilities In Cultured Alzheimer's Diseased Lymphoblast Cell Lines, Collin M. Shaw

Dissertations and Theses

The hypothesis to be tested states that the pathology of Alzheimer's disease (AD) involves elevated levels of oxidative stress, resulting in elevated levels of cellular oxidative defense mechanisms. If the premise is true, than AD pathologically afflicted cells should have a higher demand for glutathione (GSH) as an innate oxidative defense mechanism hence; greater GSH concentrations, increased GSH resynthesis capabilities, and increased levels of cystathionine gamma-lyase (CNase). Alzheimer diseased and age matched control lymphoblast cells, obtained from OHSU's Oregon Brain Aging Study, were cultured, and GSH biochemistry was subsequently evaluated. GSH was depleted by exposing cells to the GSH depleting …

1998 Scholars And Artists Bibliography, Michael Schwartz Library, Cleveland State University, Friends Of The Michael Schwartz Library

Scholars and Artists Bibliographies

This bibliography was created for the annual Friends of the Michael Schwartz Library Scholars and Artists Reception, recognizing scholarly and creative achievements of Cleveland State University faculty, staff and emeriti

Conceptual Metaphor In The Health Care Culture, Cheryl D. Glennon Dnsc, Ms, Rn

Dissertations

The conceptual metaphor has meaning only when understood within the cultural framework which gives rise to the conceptualization. The purpose of this study was to investigate the interaction of cognition (conceptual metaphor) and culture as manifest during intercultural communication in teaching-learning sessions between health care providers and patients. An ethnography of communication (Hymes, 1974; Saville-Troike, 1989) was the method employed to investigate the use of metaphor by patients, nurses and other health care professionals. Patients were viewed as a sojourner group in the health care culture; nurses and their health care partners were seen as a host group. Data were …

Nurse Practitioners’ Developmental Screening And Referral Practices For Children With Developmental Delays, Terri Chisolm Smith

MSN Research Projects

Children with developmental delays benefit from participation in early intervention programs. Yet many children are not screened for developmental delays, and many children with developmental delays are not referred to early intervention programs. Families depend on their primary health care providers for the detection of developmental delays and information about services available for their children with developmental delays. The primary care nurse practitioner is in an ideal position to screen for delays, provide necessary referrals for services, and assist the families in maximizing their self- care potentials. Orem's self-care deficit theory of nursing served as the theoretical framework for the …

Influence Of Psychiatric Diagnostic Training On Counseling Students’ Development Of A Model-For-Helping And Professional Identity, Jerry E. Mclaughlin

Dissertations

Over the years, numerous proposals have been made in the counselor education (CE) literature about what counseling philosophy can best lead the profession to a distinctive professional identity (Bauman & Waldo, 1998; Fong & Lease, 1994; Guterman, 1994). An issue in this debate is whether psychiatric diagnostic training forms a part of a counseling philosophy (i.e., model-for-helping) and professional identity that is more focused on client psychopathology than on normal developmental issues. This study explored how training and experience in psychiatric diagnostic categories (PDCs) influenced counselors’ development of their counseling philosophy and professional identity.

Focus-group interviews were held at four …

Speech Parameters Affects On Social Acceptability Ratings Of Adolescents With Repaired Cleft Lip And/Or Palate, Sarah Telkins Hoff

Dissertations and Theses

The current study explored speech social acceptability ratings of adolescents with and without orofacial clefts. The study utilized speech samples previously collected on 80 adolescents, 40 cleft and 40 noncleft, dubbed on to a stimulus tape in a random order. From an earlier study the following were available: (a) adolescent (cleft and noncleft) self-ratings of speech social acceptability, (b) objective ratings of the adolescents' speech social acceptability provided by a listener panel with no background in speech-language pathology. New data were collected by recruiting a new listener panel of 10 graduate students with training in speech-language pathology, utilizing a 7-point …

Relationships Between Posttraumatic Stress, Acculturation, And Maternal Sensitivity In Vietnamese And Hmong Mothers, Gwendolyn F. Foss Dnsc

Dissertations

The purposes of this study were to determine if posttraumatic stress (PTS), depression, and anxiety occurred in a community sample of Vietnamese and Hmong mothers and to describe relationships between PTS, depression, anxiety, acculturation and maternal sensitivity. Transition theory (Bridges, 1980), and a conceptual model of parenting in immigrant populations building on Belsky's (1984) work, provided the theoretical framework (Foss, 1996). The sample was divided evenly between Vietnamese and Hmong participants. Ages ranged from 17–43 years, time lived in the United States ranged from 3–21 years, and education ranged from no formal education to completion of college. Maternal sensitivity was …

Educational Attainment, Non-English Language Usage, And Ability To Communicate In English In 30 Massachusetts Cities/Towns, Edward C. Besozzi, Carole C. Upshur

Gastón Institute Publications

Data regarding an individual's ability, or the ability of members of a household to speak English, primary language spoken at home, educational attainment, and the level of literacy proficiency should be taken into consideration when designing and implementing policies regarding health care initiatives and the publication of health care information. This report highlights data collected from three sources: 1) The National Adult Literacy Survey; 2) The 1990 Federal Census; and 3) The Massachusetts Institute for Social and Economic Research.

The Journey Through Perspective Transformation: Learning Nursing Theory, Judith R. Heggie Dnsc, Ms, Rn

Dissertations

Through the use of grounded theory, educational methods most useful for nurses to achieve a perspective transformation, as exemplified by learning nursing theory were examined. Perspective transformation is a theory originally developed by Mezirow (1978) in a study of older women returning to college for additional education. Mezirow defined perspective transformation as the alteration or change of meaning perspectives. Perspective transformation in an individual can be compared to a paradigm change within a scientific community. Within the nursing literature on perspective transformation, most articles related to the perspective transformation needed for nurses to learn to use nursing theory as the …

Pre-Referral Portfolio Assessment For Limited English Proficient Students, Elizabeth Grayce Stevens

Undergraduate Honors Capstone Projects

What can be done to ensure that the needs are met of children who are limited in proficiency of the English language? Such is the familiar query of educators and professionals alike. In fact, one elementary school principal stated that this question often presents itself as the first item of business when administrators meet together (Marian Waterman, personal communication, October, 1997). How do we know where to place a child? How do we evaluate progress? When progress is limited, how do we know if the child requires special education services? The answers lie in appropriate assessment.

Elementary School Teachers' Recognition Of Depression In Children, Mixel Ventura, Emelinda Figueroa

Theses Digitization Project

No abstract provided.

Utilization Of Rehabilitation Services By American Indians With Disabilities, Luci Denise Green

Theses Digitization Project

No abstract provided.

Disease And Water Supply: The Case Of Cholera In 19th Century Iran, Amir A. Afkhami

Medicine Faculty Publications

This paper explores why Iran was a particularly fertile ground for repeated visitation of cholera in the 19th century. Along with certain unique Iranian cultural and religious factors, the author demonstrates how Iranian urban ecology, particularly the qanat system, contributed to the fatal spread of the epidemic. These multi-faceted conditions, the author concludes, resulted in distinct modes of disease transmission and mortality in Iran.

Phonological Awareness Training: Effects On Phonological Awareness And Reading Skills, Cassie Nelson

Masters Theses

Past research has established that phonological awareness skills are an important precursor to the development of reading (Jenkins & Bowen, 1994; Catts & Karnhi, 1986; Bradley & Bryant, 1978; Frith, 1981). Results of numerous phonological awareness training programs have been published (Ball & Blachman, 1988, 1991; Lundberg, Frost, & Petersen, 1988; Bradley & Bryant, 1983, 1985), however, none have compared the roles of professionals involved in teaching phonological awareness skills. Additionally, the effectiveness of various service delivery models has not been reported. This study was conducted to examine the effectiveness of a phonological awareness training program on kindergarten children's phonological …

A Survey Of Illinois Speech-Language Pathologists And School Psychologists Regarding Selective Mutism, Sarah Megan Toland

Masters Theses

A questionnaire was designed by the examiner to identify the views and knowledge of Illinois school psychologists and speech-language pathologists regarding selective mutism. Subjects consisted of 119 school psychologists and 106 speech-language pathologists, who completed the questionnaire.

The results of the survey revealed that both Illinois school psychologists and speech-language pathologists viewed themselves as partially responsible for the assessment and treatment of selective mutism, however, both samples indicated low levels of comfort in their ability to successfully provide those services. Additionally, very few of the respondents in either group had received formal training in the area of selective mutism.

Results …

Ethnicity And Child Mortality In Sub-Saharan Africa, Martin Brockerhoff, Paul C. Hewett

Poverty, Gender, and Youth

Analysis of recent survey data reveals large differentials in child mortality among ethnic groups in countries throughout sub-Saharan Africa. These disparities correspond with the prominence of specific ethnic groups in the national political economy. In many countries where heads of state since independence have come from one or two ethnic groups-as in Côte d’Ivoire, Kenya, and Niger-these groups have experienced levels of early child mortality at least one-third lower than those of other groups. In other countries where there have been several transitions in state control, as in Ghana and Uganda, descendants of precolonial kingdoms such as Ashanti and Buganda …

The Changing Social Environment For Adolescents In Kassena-Nankana District Of Northern Ghana: Implications For Reproductive Behavior, Barbara Mensch, Daniel Bagah, Wesley H. Clark, Fred N. Binka

Poverty, Gender, and Youth

This study reports on a primarily qualitative investigation of adolescent reproductive behavior in the Kassena-Nankana District, a rural isolated area in northern Ghana, where traditional patterns of marriage, family formation, and social organization persist. The study is based on in-depth interviews and focus groups with adolescents, parents, chiefs and traditional leaders, teachers, youth leaders, and health workers, supplemented by quantitative data from the 1996 wave of a panel survey of reproductive-aged women conducted by the Navrongo Health Research Centre. The social environment faced by adolescent boys and girls in the Kassena-Nankana District and its links to reproductive behavior are described. …

Social Networks And The Diffusion Of Fertility Control, Mark R. Montgomery, John B. Casterline

Poverty, Gender, and Youth

Theories of the fertility transition now routinely reserve a place for diffusion effects. Two fundamental behavioral mechanisms account for such effects: social learning and social influence. Social learning refers to the acquisition of information from others. The information might have to do with a new technology or with the health, social, and economic consequences of decisions. In the case of fertility, individuals might learn from others about the availability of a new contraceptive, or about health side effects of certain contraceptives, or about the apparent gains and losses from having fewer children and investing in their schooling. Social influence refers …

Health Aspects Of Native American Indians And Alaskan Natives, Beverly V. Bennett-Maine

Theses

This thesis will focus on the decline in health of Native Americans and Alaskan Natives in regards to chronic diseases due to changes in their food habits, customs, traditions, and culture.

The purpose of this study is to explore why Native Americans and Alaskans health has deteriorated in relation to diabetes, obesity, heart disease, and alcoholism.

Limitation in access to health care facilities includes geographic location, cul tural, and linguistic barriers.

The studies to be discussed include: the Inter-Tribal Heart Project (ITHP) for cardiovascular disease; the Behavioral Risk Factor Surveillance System (BRFSS) for self-reported risk factors; and the Navajo Health …

Autism : A Look Into Cause And Treatment, Sarah Chase Ferguson

Graduate Research Papers

This paper reviews the literature on the etiology and treatment of autism in an attempt to answer three questions. First, what are the main theories on the cause of autism? To answer this the theories of the psychoanalytic, behavioral, and biological perspectives are examined. Second, what treatment methods are available for children with autism? Ideas on treatment are discussed from each of. the three perspectives. In addition, UCLA's Young Autism Project and Project TEACCH are covered. Third, what is the nature of treatment? The importance of specific treatment in the areas of language, social skills and daily living skills is …

Observations From A Study Tour Of Bangladesh And Indonesia On Their Family Welfare Programme, M.E. Khan, Jayanti Tuladhar, R.B. Gupta, Ubaidur Rob, Meiwita B. Iskandar

Reproductive Health

Bangladesh has a successful family planning (FP) program and has succeeded in bringing about a demographic transition at a much faster rate than many of its neighboring countries. The contraceptive prevalence rate in Bangladesh increased from 3 percent in 1971 to 45 percent in 1993, and the fertility rate decreased from 7.0 to 3.4 births per woman during the same period. This reflects the effort that the Government of Bangladesh, with the help of international agencies, has made to educate couples about FP and increase access and choice of contraceptive methods, even in remote areas. Another predominantly Muslim country that …

Development Of Rapid Assessment Protocols For Evaluating The Mental Health Status Of Incoming Bosnian Refugees In Waterloo, Iowa, Susan Renee Dobie

Dissertations and Theses @ UNI

The purpose of this study was to develop rapid assessment protocols to evaluate the prevalence of common symptoms of clinical depression and post-traumatic stress disorder in the adult Bosnian refugee population in Waterloo, Iowa.

An extensive literature review was conducted to research (a) refugeeism around the world, (b) causes of refugeeism, (c) the refugee experience, (d) refugee health challenges, (e) post-traumatic stress disorder in refugees, (t) depression in refugees, (g) acculturation stress in refugees, (h) rapid assessment procedures in public health, (i) rapid mental health assessments, (j) the case of refugeeism in the former Yugoslavia, (k) the history of refugeeism …

The Effects Of A Five-Day Therapeutic Horseback Riding Program On The Standing And/Or Sitting Balance Of Children Ages 8-18 With A Wide Variety Of Disabling Diagnoses As Measured By The Functional Reach Test And The Modified Functional Reach Test, Richard A. Chaperon, Pamela A. Staszewski, Heather L. Vavrina

Masters Theses

The purpose of this study was to evaluate the effect that a five-day horseback riding program had on the standing and/or sitting balance of children ages eight to eighteen afflicted with a variety of disabling diagnoses. The stated hypothesis is that after participating in a five-day session of therapeutic riding, subjects will show significant improvement in standing and/or sitting balance as measured by the Functional Reach Test (FRT) and the Modified Functional Reach Test (MFRT). The 15 subjects tested using FRT and the 17 subjects tested using the MFRT were all participants of the Cheff Center riding program. Subjects were …

The Effects Of Teacher Involvement In Classroom-Based Intervention For Vocabulary Acquisition And Classroom Communication Skills, Alexis A. Paramboukas

Masters Theses

The present study investigated curricular vocabulary acquisition in children enrolled in grades kindergarten through third. A collaborative classroom-based treatment approach was compared with a classroom-based "SLP-teach" method of intervention. Children at the collaborative school received a curricular language lesson in the classroom which was team taught by the classroom teacher and speech-language pathologist. The speech-language pathologist and classroom teacher met weekly to determine curricular vocabulary words and materials for the lessons. Children at the SLP-teach school received the same curricular language lessons, however, the classroom teachers were not present during the lessons and collaborative planning did not occur between the …

A Comparison Of F2 Transitions In The Disfluent Speech Of Persistent And Recovered Preschool Children Who Stutter, Jennifer K. Niemann

Masters Theses

This study investigated second formant transition extent and direction in disfluent speech samples recorded close to stuttering onset in preschool age children. Comparisons were made among subgroups of children known to persist in stuttering, those who recovered from stuttering, and normally fluent control subjects. Twenty-eight subjects, eight persistent stutterers, eight recovered subjects, and twelve normally fluent subjects participated. These children were enrolled in the longitudinal Stuttering Research Project at the University of Illinois at Urbana. The initial consonant to vowel transition in the second formant of the repeated portion of the part-word repetition was compared to the transition in the …

Variabilidad En La Prueba De Boston Para El Diagnóstico De Las Afasias En Adultos Laboralmente Activos [Variability Of The Boston Test For The Diagnosis Of Aphasia In Active Working Adults], David Pineda, Silvia Mejia-Arango, Monica Rosselli, Alfredo Ardila, M. G. Romero, C. Perez

School of Medicine Publications

Introduction: The aim of this study was to analyze the influence of age, gender, socioeconomic status (SES), academic achievement (education), and type of occupation, on the performance of the Boston Diagnostic Aphasia Examination (BDAE) Spanish version.

Material and methods: The BDAE was administered to a group of 156, 19 to 60 years old, occupationally active normal subjects.

Results: A descriptive analysis showed that some subjects (1 to 3%) scored in the pathological range of the centiles and profiles of the BDAE. A MANOVA (p < 0.05) demonstrated a significant effect of education over most of the BDAE subtests. Females outperformed males on some reading and writing subtests. SES had an effect over body part identification and naming. Significant differences were observed between younger and middle age groups in confrontation naming, oral and word picture reading. The older group scored significantly lower than the younger group in serial writing and sentences to dictation. No differences were observed between the older and the middle groups. Only oral spelling was affected by the type of occupation but a significant interaction of occupation and level of education was found.

Conclusions: Language tests are influenced by demographic variables, particularly education. Normal variability on the BDAE should …

Intentional Classroom Humor In Nursing : A Multiple Case Study, Joan Kay Ulloth

Dissertations

Problem. The purpose of this study was to examine the perceived connections between the intentional use of humor in the nursing classroom and student learning in the cognitive and affective domains while seeking to understand student and teacher perceptions and responses to humor.

Method. This study used a case study approach and the end result is a multiple case study of three associate degree nursing instructors in the Midwest. The data collection methods included observations, interviews, and surveys. Data from the different sources were examined within and across cases for commonality or difference of experience. Connections were made between …

The Effect Of Diastema Closure On The Remediation Of Lateral /S/: A Case Study, Reta Price

Dissertations and Theses

An important morphological-marker and one of the most frequently occurring speech sounds in English, the /s/ phoneme is also one of the sounds most often in need of remediation. Often, air emission during /s/ production, a particularly stubborn, often residual production error, is not remediated through traditional treatment methods, and yet the negative effect /s/ distortions have on listeners has been well-documented.

The subject of this investigation was a forty-eightyear-old male who received treatment for a lateralized /s/ during grade-school. It was hypothesized that his exerting high anterior pressure to prevent air from escaping from a diastema between his two …