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A Time Study Of Audiological Practice Patterns And The Impact Of Reimbursement Changes From Third Part Payers, Melody A. Tucker

USF Tampa Graduate Theses and Dissertations

The primary objective of the project was to survey audiologists in clinical practice setting to determine the amount of time taken to perform various audiologic tests using Current Procedural Terminology, (CPT) codes to define these tests and if these CPT codes were felt to be adequate. Audiologists were also asked to respond regarding possible impact and reimbursement changes in their clinical practices related to managed care. Responses of audiologists were analyzed to determine: a) adequacy of CPT codes; b)average time to perform various audiologic tests; c) impact managed care onclinical practice; and d) changes in reimbursement as a result of …

Clinical Proficiency Levels Expected At The End Of The Second And Third Years In An Au.D. Program, Karen Janine Richardson

USF Tampa Graduate Theses and Dissertations

This is a retrospective study utilizing data complied over the past two years during the formative assessment process by the University of South Florida (USF) Department of Communication Sciences and Disorders (CSD) in the development of the new audiology clinical doctoral (Au.D.) program. Final adoption of the new certification standards in audiology was received in 1997 and several Au.D. programs have been implemented since that time. This study responds to the requirements of appropriate assessment and documentation of clinical skill acquisition across the academic and clinical training program.

The purpose of this review was to complete a qualitative analysis of …

A Prototypical Computer Museum, Eric Otto Ryder

USF Tampa Graduate Theses and Dissertations

Civilization seems barely able to keep up with the new information technology. Therefore, I propose a place where the technologies of the future may be interacted with like the comfortable knowledge of the past. I propose a place where technology may be interacted on as in the realm of the past with the doors of the future ahead. The Museum of Science and Industry, where the grasp of our technological history is displayed, would be an ideal site for the creation of a Prototypical Computer Museum. With its close proximity to the University of South Florida, resources and participants would …

Evaluation And Treatment Of Tinnitus, Renee Lokenberg

USF Tampa Graduate Theses and Dissertations

Tinnitus is defined as an auditory stimulus that is unrelated to external stimulation. There are many theories as to what causes tinnitus, therefore, there are many treatment options for tinnitus. This paper attempts to increase the audiologist's knowledge of the etiology, as well as, the most appropriate treatment for tinnitus.

There are two types of tinnitus, objective and subjective. Subjective tinnitus is more common, although it is more difficult to treat than objective tinnitus. There are many theories as to what causes tinnitus. Several disorders that have tinnitus as a symptom, such as, Meniere's disease, acoustic neuroma, and dysfunction of …

Difference In Hearing Screening Failure Rates As A Function Of Ethnicity In Well Newborns Screened At Tampa General Hospital, Sybil N. Prewitt

USF Tampa Graduate Theses and Dissertations

The difference in otoacoustic emission (OAE) hearing screening failure rates as a function of ethnic category was investigated in a population of newborns at Tampa General Hospital, Tampa, Florida. Clinical observation led to a concern that due to a higher incidence of outer and middle ear dysfunction in Hispanic newborns and children, screening could result in disparate failure rates, with a larger number of these infants requiring further testing. This result would warrant changes in current protocols, as well as screener training,and parent counseling practices.

Between January and July of 2000, 1407 newborns were tested utilizing distortion product otoacoustic emission …

Survey Of Auditory Brainstem Response Referral Criteria, Shannon N. Felder

USF Tampa Graduate Theses and Dissertations

The primary objective of the project was to survey recognized “experts” in the field of neurodiagnostic audiology and practicing audiologists regarding their referral criteria and referral patterns for administering an auditory brainstem response test (ABR). For purposes of this study, “expert” was defined as any recognized audiologist with at least two or more publications and/or seminars in the field of auditory evoked potentials. Responses of experts and practicing audiologists were compared and contrasted to establish: a) if there was a standard referral pattern; b) what, if any, were the apparent critical components of referral patterns; and, c) whether or not …

Incidence Of Unilateral, High Frequency, Sensorineural Hearing Loss In Shunt Treated Hydrocephalic Children Ipsilateral To Shunt Placement, Susan E. Spirakis

USF Tampa Graduate Theses and Dissertations

The purpose of this study was to investigate further the characteristics of hearing loss in ventriculoperitoneal (VP) shunted hydrocephalus. Twelve (VP) shunt treated hydrocephalus children participated in this study. The etiology of the hydrocephalus was either intraventricular hemorrhage or spina bifida. A recent neurological examination reported the shunt to be patent in each child. Audiometric examination included pure tone air conduction thresholds, tympanometry, contralateral and ipsilateral acoustic reflex thresholds and distortion product otoacoustic emissions (DPOAEʹs). A unilateral, high frequency, sensorineural hearing loss was found in the ear ipsilateral to shunt placement in 10 (83%) of the 12 shunt treated hydrocephalic …

The Role Of Audiology Technicians In The Va System, John Terry Berardino

USF Tampa Graduate Theses and Dissertations

Eligibility reform in the VA and the resulting increased caseloads have brought about unacceptable wait times for new audiology appointments. Mandates to decrease wait times without increased resources have brought new demands on audiology clinics. One proposed solution is the addition of audiology technicians to VA audiology clinic practice.

The first purpose of this study was to survey the attitudes of VA audiologists and service chiefs regarding the use of technicians. The second purpose was to ask the survey respondents to assign as generally appropriate or inappropriate, job duties which might be accomplished by an audiology technician. Following a pre-survey …

Modeling Community Risk And Vulnerability To Multiple Natural Hazards: Hillsborough County, Florida, Christopher T. Emrich

USF Tampa Graduate Theses and Dissertations

Multiple hazard risk and vulnerability are two topics that are at the forefront of hazards research that looks at the hazardousness ofplace. However, no definitive framework that encapsulates measures o f both risk and vulnerability into hazards theory has been developed. Indeed, risk and vulnerability have been used interchangeably. Consequently, populations often encounter high risk environments with little understandingofwaystolimitvulnerability. Thesituationisaggravatedbyincreasing populations and concomitant development ofhigh risk areas. Hillsborough County, Florida, is perhaps the archetype ofthis problem, having experienced rapid urban growth while giving scant attention to the hazardousness ofthe environment.

This research, therefore, looks at the hazardousness of place, focusing …

Women, Environment And Development: Sub-Saharan Africa And Latin America, Evaline Tiondi

USF Tampa Graduate Theses and Dissertations

Issues related to women, environment and development constitute a major global concern today. Women's roles as agents of change in the environment has increasingly become the focus of both research and policy concerns. Environmental resource management is directly linked to development, and this makes it crucial to examine the activities of women more closely. Women's role in the management of natural resources assumes a multidimensional nature. Unfortunately, the central and crucial role that women play is often both overlooked and unappreciated, rendering them invisible and greatly diminishing their contribution as both producers and active agents in sustainable development. One of …

The Effects Of Silviculture And Prescribed Burning On Herpetofauna In Florida Sand-Pine Scrub, Stig Ravdal

USF Tampa Graduate Theses and Dissertations

Florida sand pine scrub is among the most endangered habitats in the United States and much of the remaining scrub is heavily influenced by management for timber production. In this study the effects of timber management practices on herpetofaunal community diversity and composition were investigated on experimentally manipulated plots near Orlando, Florida. Plots at three sites were either harvested, burned, or treated as a control (unmanipulated). Herpetofauna were trapped using pit-fall drift-fence trapping arrays. Animals were counted, measured, marked and released from March 1996 to June 1998. During this time period 1489 reptiles and amphibians were caught from 31 different …

Use Of The Client Oriented Scale Of Improvement As A Clinical Outcome Measure In The Veterans Affairs National Hearing Aid Program, Robert F. Zelski

USF Tampa Graduate Theses and Dissertations

In the present health care environment, there is an increased demand for audiologists to measure the outcomes of hearing aid intervention. In addition to the more traditional objective outcome measures, many subjective outcome measures have been developed in the last 20 years. Two such subjective outcome measures are the Abbreviated Profile of Hearing Aid Benefit (APHAB) and the Hearing Handicap Inventory for the Elderly (HHIE). These instruments consist of a series of pre-selected questions that may or may not be applicable to an individual. An alternative to the pre-selected question format is an open format design that allows the person …

Literacy, Technology, And Change: The Gates Of Hell, Janice R. Walker

USF Tampa Graduate Theses and Dissertations

In this dissertation, I first briefly examine the history of technology as it impacts on literacy practices, and especially the history of resistance to technological developments in the humanities. In so doing, I also briefly examine some of the possible ideological underpinnings of this resistance, including looking at some of the arguments proposed to counter it. More specifically, I consider how literacy practices, pedagogical practices, and assessment and gatekeeping practices in the field of composition studies impact on and are impacted by the intersection of computer technologies and our field. Finally, I offer some suggestions for ways in which our …

Differential Expression Of Homing-Associated Cell Adhesion Molecule, Very Late Antigen-4 And L-Selectin In Hematopoietic Progenitor Cell Trafficking Between The Marrow And Blood, Caroline Brigitte Fultz

USF Tampa Graduate Theses and Dissertations

This study addresses the hypothesis that the following cell adhesion molecules (CAMs): homing-associated cell adhesion molecule (HCAM), very late antigen-4 (VLA-4) and L-selectin play a role in the trafficking of hematopoietic progenitor cells (HPCs) between the bone marrow microenvironment and the peripheral circulation. In order to ascertain differences in CAM expression based on physiologic compartment, the expression of HCAM, VLA-4 or L-selectin per CD34⁺ myeloid progenitor cell was assessed between paired samples of blood and marrow. CAM expression was flow cytometrically quantitated in paired samples obtained from patients treated with mobilizing doses of granulocyte-colony stimulating factor (G-CSF) or from …

Acoustic And Perceptual Comparisons Of Imitative Prosody In Kindergartners With And Without Speech Disorders, Robin Harwell Rodriguez

USF Tampa Graduate Theses and Dissertations

This study investigated the affiliation of prosody with childhood articulation disorders. The Tennessee Test of Rhythm and Intonation Patterns, T-TRIP (Koike & Asp, 1981), was used to determine if kindergartners with linguistic (i.e. phonological) speech disorders, oral-motor speech disorders, or normal speech performed differently on imitative prosody tasks. Performance was assessed perceptually with T-TRIP overall and subtest scores, and acoustically with measurements of individual prosodic variables (amplitude, duration, and fundamental frequency) on selected items from the rhythm and intonation subtests. Perceptual and acoustic data were examined for characteristic patterns of performance by individual subjects and by groups.

A Kruskal-Wallis …

Florida Red Tides From A Scientific And Public Information Perspective, Kristen M. Kusek

USF Tampa Graduate Theses and Dissertations

This thesis consists of a comprehensive historical review and evaluation of Florida red tide research and a multifaceted analysis of red tide coverage by the St. Petersburg Times from 1953 to 1997. Red tides caused by Gymnodinium breve along the Florida Gulf coast are riddled with complexity; scientists have been asking many of the same questions for nearly 50 years. Red tides also attract considerable media publicity. This thesis addressed the following: 1. What have scientists learned about Florida red tides since G. breve was identified in 1948?, and 2. How well was the issue covered by the newspaper media? …

An Application Of Artificial Neural Networks In Freeway Incident Detection, Sujeeva A. Weerasuriya

USF Tampa Graduate Theses and Dissertations

Non-recurring congestion caused by incidents is a major source of traffic delay in freeway systems. With the objective of reducing these traffic delays, traffic operation managers are focusing on detecting incident conditions and dispatching emergency management teams to the scene quickly. During the past few decades, a few number of conventional algorithms and artificial neural network models were proposed to automate the process of detecting incident conditions on freeways. These algorithms and models, known as automatic incident detection methods (AIDM), have experienced a varying degree of detection capability.

Of these AIDMs, artificial neural network-based approaches have illustrated better detection performance …

The Geometry Of James Joyce's Ulysses: From Pythagoras To Poincaré: Joyce's Use Of Geometry For Structure, Metaphor, And Theme, Susan Sutliff Brown

USF Tampa Graduate Theses and Dissertations

The extensive, previously unrecognized, use James Joyce made of contemporaneous geometric concepts for structure, metaphor, and theme in Ulysses provides new keys to how Joyce, following the model of his predecessors and contemporaries in Cubism, responded to the revolutions in aesthetics and physics which marked his intellectual milieu. As an examination of pre-publication materials reveals, during the six months before February 2, 1922, Joyce manipulated the pagination of the Ulysses placards and page proofs to impose geometric aesthetic proportions on the overall text and within individual episodes. Most significantly, Joyce aesthetically proportioned the pagination of the disparate eleven "initial style" …

Automatic Translation Of Extended Concurrent Pascal To C: A Tool In Support Of Efficient Development Of Lan Software Through Rapid Prototyping, Heng-Fu Tseng

USF Tampa Graduate Theses and Dissertations

Concurrent Pascal is a higher-level and more abstract language than most other high-level concurrent programming languages. Programs written in Concurrent Pascal (C-Pascal) are relatively easy to analyze. However, the interpretive approach used in execution of Concurrent Pascal programs leads to relatively poor execution efficiency. To rewrite the C-Pascal compiler for generating native code will lose the portability of programs written in this language. Another approach to improve execution efficiency is by translating C-Pascal programs to other high-level languages which can be compiled into native code. The programming language C is one of these attractive target languages, especially because of the …

Geophysical And Hydrogeological Effects Of Astorm-Water Retention Pond On The Floridan Aquifer, Hillsborough County, Florida, Abdullah M. Alamri

USF Tampa Graduate Theses and Dissertations

An integrated geologic, hydrologic, and geophysical investigation was conducted to determine the effect of a storm-water retention pond on the Floridan aquifer. Surface DC resistivity surveys were used to delineate the hydrostratigraphy. There are four distinct geoelectric layers: (1) Layer 1, high resistivity, 3 meters thick, fine to very fine unsaturated sand; (2) Layer 2, moderate resistivity, 1 to 2.5 meters thick, saturated sands and silts; (3) Layer 3, lower resistivity, 4 to 10 meters thick, silt and clay; (4) Layer 4, moderate resistivity, argillaceous limestone. Two fracture zones are defined by resistivity lows and marked by deep, V-shaped depressions …

Demography, Movements, Activity, Habitat Utilization And Marking Behavior Of A Bobcat (Lynx Rufus) Population In South-Central Florida, Douglas A. Wassmer

USF Tampa Graduate Theses and Dissertations

Eighteen (6 male and 7 female adults, 5 juveniles) radio-collared bobcats (Lynx rufus) were monitored on the Archbold Biofogical Station and vicinity during 1979-1982. Mean density was 0.06 males, 0.11 females, and 0.19 juveniles per 100 ha. Mean sex and age ratios were 0.6 adult males per adult female and 1.22 juveniles per adult. Breeding occurred from September to March. Mean size of 13 mobile litters was 2.5 (range 1-4). Nine (50%) of 18 collared cats died. Nine additional individuals were found dead or reported killed. Known causes of 16 deaths were: road-killed 8, feline panleukopenia or notoedric …