Medicine and Health Sciences Commons^™

Dichotic Listening Test Performance In Children, Kairn Stetler Kelley

Graduate College Dissertations and Theses

Dichotic tests evaluate binaural integration through simultaneous presentation of different stimuli to each ear of a listener who has normal hearing sensitivity in both ears. Dichotic listening deficits may lead to problems with language, communication, reading, or academic performance. If accurately identified, dichotic deficits may be treatable with listening training or managed with accommodation. However, it is not clear which of several commercially-available dichotic test recordings are best for audiologists to use when assessing binaural integration in children. Literature review revealed limited evidence of reliability, accuracy, usefulness, or value for dichotic tests applied to children. Of 11 dichotic tests identified, …

How Burroughs Plays With The Brain, Or Ritornellos As A Means To Produce Déjà-Vu, Antonio José Bonome

CLCWeb: Comparative Literature and Culture

In his article "How Burroughs Plays with the Brain, or Ritornellos as a Means to Produce Déjà-Vu" Antonio José Bonome discusses how the recurrence and significance of one of William S. Burroughs's most potent refrains, "dim jerky faraway," was inspired by its source text, Paul Bowles's second novel Let It Come Down (1952), where Tangiers-Interzone fuels the unwholesome descent of a US-American expatriate not unlike Bowles or Burroughs himself. "Dim jerky faraway" was used by Burroughs during more than two decades in different contexts, and its textual variations have sparked a mélange of colors, sounds, smells, and feelings oscillating in …

Interprofessional Collaboration With Aphasic Patients: A Survey Based Study On Implementation And Benefits, Emily Foster, Alexa Wagner

Graduate Independent Studies - Communication Sciences and Disorders

Interprofessional practice (IPP), collaboration of professionals from different backgrounds working together to provide services, is of growing importance in speech-language pathology and across other disciplines in the vast health field (WHO, 2010). The American Speech and Hearing Association (ASHA) stresses the importance of communicating roles and responsibilities of health professionals to provide the best quality care for patients (Dixon & Oandasan, 2015). In order to understand the roles and responsibilities across disciplines, health care professionals and students need to be provided with the necessary education. Currently, an initiative for interprofessional competency is being constructed to provide more involved education for …

Language Assessment In A Snap: Monitoring Progress Up To 36 Months, Jill Gilkerson, Jeffrey A. Richards, Charles R. Greenwood, Judy K. Montgomery

Communication Sciences and Disorders Faculty Articles and Research

This article describes the development and validation of the Developmental Snapshot, a 52-item parent questionnaire on child language and vocal communication development that can be administered monthly and scored automatically. The Snapshot was created to provide an easily administered monthly progress monitoring tool that enables parents to better recognize language milestones and offers professionals prompt information to fine-tune intervention strategies. Initial items were piloted by 15 families; refinement and further development of the instrument was conducted with parents of 308 typically developing children. Reliability and criterion validity metrics were examined on subsets of approximately 60 children who completed the Snapshot …

The Perceptions Of Stereotypes Of People Who Stutter In Hispanic University Students, Ruth Crutchfield, Xiaohui Wang

Communication Sciences & Disorders Faculty Publications and Presentations

The purpose of this study was to obtain data regarding how stutterers are perceived in Hispanic populations in order to identify whether stereotypes exist across cultures. This investigation was completed in order to repeat and amplify previously completed research projects that have used the Bipolar Semantic Scale and have revealed correlations between the presence of stuttering and negative feelings and reactions. University students were surveyed utilizing the Bipolar Semantic Scale which provides information regarding how stutterers are perceived. When comparing the findings of this project that deals primarily with Hispanic population to the previous studies that were completed on non-Hispanic …

Interprofessional Collaboration With Aphasic Patients, Maxwel Doman

Graduate Independent Studies - Communication Sciences and Disorders

No abstract provided.

Physiological And Behavioral Evidence Of Auditory Processing Deficit In Children Suspected Of Auditory Processing Disorder, Sangamanatha Ankmnal Veeranna

Electronic Thesis and Dissertation Repository

A series of studies were carried out to examine the neural and behavioral processing of acoustic stimuli in children with suspected auditory processing disorder (sAPD).

The click-evoked auditory brainstem responses recorded from children with sAPD and adults were analyzed using traditional clinical measures and detailed analysis seeking to explore the separate contributions of axonal conduction and synaptic transmission. Clinical measures revealed significant prolongation of absolute latencies and interwave intervals in children with sAPD compared to adults. Examination of responses delineating axonal vs. synaptic transmission showed frequent delays in synaptic factors and fewer instances of delays related to axonal conduction in …

The Effect Of Chronic Obstructive Pulmonary Disease On Swallowing, Jessica R. Torres

Senior Honors Projects, 2010-2019

This work is composed of a literature review, research review, and self-reflective essay. The anatomy and physiology of normal swallowing and respiration are reviewed. Additionally, the effect of chronic obstructive pulmonary disease (COPD) on these processes is discussed. The research goal was to determine how lung volume changes adapt the physiology of swallowing in individuals with COPD. The research project was designed and conducted by Teresa Drulia, M.S., CCC-SLP. COPD participants (n=9, mean age=72, 6 male) were compared to older healthy individuals (n=10, mean age= 59, 3 male). Participants completed swallows of 20cc of water at four lung volume conditions: …

The Effects Of Lung Volume On Swallowing In Chronic Obstructive Pulmonary Disease, Teresa C. Drulia

Dissertations, 2014-2019

Chronic Obstructive Pulmonary Disease (COPD), a respiratory disease that leads to reduced airflow, may result in difficulty swallowing with disease progression. The coordination between the respiratory and swallowing systems decouple and they may experience increased risk of aspiration. This study aimed to determine the effects of lung volume on swallowing in individuals with COPD compared with older healthy. Specifically, the study examined if altering lung volume at the time of the swallow changed swallowing timing, specifically pharyngeal swallow duration, and impacted the respiratory-swallow pattern in individuals with COPD. Measurement of estimated lung volume (ELV), pharyngeal swallow duration, and respiratory-swallow patterning …

Teacher Candidates: Vocal Health, Sarah J. Pilkington

Honors Projects

Classroom teachers are at high risk for developing voice problems and may experience positive benefits from vocal health education. Less is known about the experiences of student teachers. The objective of the study was to determine if vocal hygiene education affects the student teachers’ vocal knowledge, vocal habits, voice quality, and their self-perception of their voice. Eight female education students who were student teaching the semester of the study were randomized into either the Experimental Group (who received vocal health information before their student teaching semester) or the Control Group. Both groups were assessed using a battery of qualitative and …

Video Modeling For Social Communication In Adults With Asd, Haley Ann Altman

Honors Projects

Individuals with autism spectrum disorder (ASD) can experience significant difficulty and psychosocial toll as a result of their impairments in social communication. Specifically for adults, this can have a negative effect on relationships and vocational stability. However, there is a lack of effective intervention for adults with ASD to assist in learning these social conventions. Video modeling is an intervention that has potential to help these individuals learn to be successful in social problem-solving situations. A pilot feasibility study (Hewitt & Kelliher, n.d.) was conducted to investigate the intervention of video modeling for adults with ASD. Coding was then necessary …

Voice And Communication Therapy For The Transgender Or Transsexual Client: Service Delivery And Treatment Options, Carly J. Clark

Graduate Independent Studies - Communication Sciences and Disorders

TG/TS individuals often face discrimination when seeking health care services such as provider judgment. Further, TG/TS individuals may be unaware of culturally competent service providers or the range of services that exist to aid them in their transition. Through extensive review of the literature, these issues will be highlighted in the coming pages to help future clients and clinicians gain the information necessary to obtain and provide effective interventions, respectively.

Multipoint Genome-Wide Linkage Scan For Nonword Repetition In A Multigenerational Family Further Supports Chromosome 13q As A Locus For Verbal Trait Disorders, D. T. Truong, L. D. Shriberg, S. D. Smith, K. L. Chapman, A. R. Scheer-Cohen, M. M.C. Demille, A. K. Adams, Alejandro Q. Nato Jr., E. M. Wijsman, J. D. Eicher, J. R. Gruen

Biochemistry and Microbiology

Verbal trait disorders encompass a wide range of conditions and are marked by deficits in five domains that impair a person’s ability to communicate: speech, language, reading, spelling, and writing. Nonword repetition is a robust endophenotype for verbal trait disorders that is sensitive to cognitive processes critical to verbal development, including auditory processing, phonological working memory, and motor planning and programming. In the present study, we present a six-generation extended pedigree with a history of verbal trait disorders. Using genome-wide multipoint variance component linkage analysis of nonword repetition, we identified a region spanning chromosome 13q14–q21 with LOD = 4.45 between …

Using The Assessment Process To Improve Evidence-Based Information Gathering Skills For Future Audiologists, Mickel Paris, Jiong Hu, Veronica Koo, Susanna Marshall, Gabriella Musacchia

University Libraries Librarian and Staff Articles and Papers

Success of students in Doctor of Audiology programs depends on the ability of the learner to find and evaluate scholarly evidence. The objective of this study is to determine if an information literacy training session on evidence-based information gathering will increase four student measures: (1) Attitudes toward gathering and evaluating scholarly evidence, (2) Knowledge about evidence-base information gathering practices, (3) Perceived value of the training regarding evidence-based searching methods, and (4) Ability to gather evidence for clinical research questions. 23 first-year audiology doctoral students (AuD) at the University of the Pacific in San Francisco participated in this study. Pre- and …

Preventing Vocal Fold Dehydration Using Aerosolized Salinein An Excised Porcine Model, Mallory Lynn Hansen

Theses and Dissertations

Vocal fold hydration is important for efficient oscillation during voice production. Dehydration of the vocal fold surface is believed to produce adverse effects on the voice. Specifically, low environmental humidity, mouth breathing, and certain medical conditions may contribute to laryngeal and vocal fold dehydration. This dehydration effect may be quantified using the observed pressure and flow at the onset of phonation, operationally defined as phonation threshold pressure (PTP) and phonation threshold flow (PTF), respectively. Previous research has documented that nebulized isotonic saline (0.9% Na+Cl-) can reduce PTP. Additionally, the topical application of liquid saline increases vocal fold hydration in excised …

Development Of Psychometrically Equivalent Speech Recognition Threshold Materials For Native Cebuano Speakers, Melissa Dawn Anderson

Theses and Dissertations

While there is a clear and immediate need for reliable speech audiometry materials to evaluate the speech recognition threshold (SRT), these recorded materials are not available in Cebuano, a language of the Philippines with 15.8 million speakers. The purpose of this study was to develop, digitally record, evaluate, and psychometrically equate a set of Cebuano trisyllabic words for use in measuring the SRT. To create the SRT materials, common Cebuano trisyllabic words were digitally recorded by a male talker of Cebuano and presented for evaluation to 20 native speakers of Cebuano with normal hearing. Based on psychometric performance, a set …

The Effect Of Frequency Resolution On Intelligibility Sentence And Its Relevance To Cochlear Implant Design, Seth H. Roy

Department of Computer Science and Engineering: Dissertations, Theses, and Student Research

The purpose of this study is to understand how electrical stimulation (as opposed to acoustical stimulation) of the auditory nerve is used in cochlear implants. Speech is a complex signal that changes rapidly in time and frequency domains. Since phonemes (the smallest unit of speech that distinguishes words) depend on nuanced differences in frequency patterns, it would be expected that a signal with drastically reduced frequency information would be of limited value for conveying speech. Such a frequency-poor signal is the object to be investigated in the present work. It is also the basis of the way speech is represented …

Topic Manipulation In Five Children With Language Impairment In Response To Topic Probes, Kimberly Kasey Baker

Theses and Dissertations

This study describes a series of case studies on topic management patterns of five children (ages 5 to 10 years) with language impairment. The children participated in semi-structured topic tasks that assessed conversational abilities on topics that were verbally introduced and topics that were introduced both verbally and with an object. Although there was considerable variability among participants, the children generally responded to most introductions by acknowledging and maintaining the topic. With the exception of one child, however, the children in this study demonstrated immature topic manipulation patterns that could be expected to have negative social ramifications.

The Ability Of Six Children With Language Impairment To Generate Stories From Pictured Stimuli: A Pilot Study, Molly Roxanne Alldredge

Theses and Dissertations

Narrative production and comprehension is a difficult task for children with language impairment (LI). Their stories are typically shorter and contain more grammatical errors than the stories of typically developing age-matched peers. This pilot study describes the abilities of six children with LI to produce stories from pictured stimuli. Stories were elicited from each child during a 10-week period. Stimulus pictures and coding procedures from the Edmonton Narrative Norms Instrument were employed to analyze the participants' story grammar (SG). Eight SG elements were assessed including character introduction, setting, initiating event (IE), internal response (IR), internal plan (IP), attempt, and outcome. …

Schools Of Public Health In Low And Middle-Income Countries: An Imperative Investment For Improving The Health Of Populations?, Fauziah Rabbani, Leah Shipton, Franklin White, Iman Nuwayhid, Leslie London, Abdul Ghaffar, Bui Thi Thu Ha, Rajiv Rimal, Anwar Islam, Amirhossein Takian, Samuel Wong, Shehla Zaidi, Kausar S. Khan, Rozina Karmaliani, Imran Naeem Abbasi, Farhat Abbas

Community Health Sciences

BACKGROUND:

Public health has multicultural origins. By the close of the nineteenth century, Schools of Public Health (SPHs) began to emerge in western countries in response to major contemporary public health challenges. The Flexner Report (1910) emphasized the centrality of preventive medicine, sanitation, and public health measures in health professional education. The Alma Ata Declaration on Primary Health Care (PHC) in 1978 was a critical milestone, especially for low and middle-income countries (LMICs), conceptualizing a close working relationship between PHC and public health measures. The Commission on Social Determinants of Health (2005-2008) strengthened the case for SPHs in LMICs as …

Auditory/Vestibular/Tbi Mini-Series: Effects Of Tbi On Auditory Processing, Vestibular Function, And Tinnitus, Frederick Gallum, Paula Myers, Faith W. Akin

ETSU Faculty Works

This session is developed by, and presenters invited by, Hearing, Balance, Tinnitus – Assessment and Intervention: Adult. This combined mini-series will present both clinical and research findings addressing the auditory and vestibular consequences of traumatic brain injury (TBI). Presenters will elucidate TBI’s effect on auditory processing, vestibular function, and tinnitus with case studies to illustrate management strategies relevant for each of the patient groups.

An International Comparison Of Intervention Practices For Children With Speech Sound Disorder, Eleanor Sugden, Elise Baker, Natalie Munro, A. Lynn Williams, Carol Trivette

ETSU Faculty Works

Two-hundred and seven speech-language pathologists (SLPs) from the US and 335 SLPs from Australia were surveyed about the intervention, service delivery models and intensity of intervention that they provide to children with speech sound disorder. Differences in practices, and implications for evidence-based practice and clinical outcomes, are discussed.

Identification Of Speech-Language Disorders In Toddlers, A. Lynn Williams, Carol Stoel-Gammon

ETSU Faculty Works

This session is developed by, and presenters invited by, Speech Sound Disorders in Children and Language in Infants Toddlers and Preschoolers. This invited session provides an overview of early speech/language development with a focus on identifying delay/disorders in toddlers. Types of speech/language behaviors in prelinguistic/ early linguistic development that serve as “red flags” for possible disorders will be discussed. The need for developmentally appropriate assessments will be highlighted.

See, I’Ve Grown: A Service Delivery Model For Young Adults With Cleft/Lip Palate, Brenda Louw, Linda Vallino

ETSU Faculty Works

We compare the health needs between children and young adults with CL/P. Patient-reported experiences about the impact of a cleft are described. A service delivery model integrating quality of life into the ICF framework is presented. Lastly, transition of care for the young adult with CL/P is highlighted.

Enhancing Phd Preparation Through Shared Ideas Across Csd Program, Elizabeth Crais, Ruth Bentler, Lynne Hewitt, Jennifer Lister, Jennifer Simpson, Ronald Gillam, Barbara Cone, A. Lynn Williams, Glen Tellis

ETSU Faculty Works

Shortages of PhD graduates to fill CSD faculty positions have been a concern for over 15 years. The ASHA AAB (collaborating with CAPCSD) completed interviews of Coordinators of almost all 76 CSD PhD Programs. Results and successful aspects of the programs will be highlighted to stimulate discussion among participants.

Nutrition Students’ Perception Of The Role Of The Slps In Treating People Living With Hiv/Aids, Stephanie Bare, Natalie Dubin, Haley Hawks, Kathleen Quinn, Brittany Ratliff, Brenda Louw

ETSU Faculty Works

This project explores nutrition students’ perceptions of SLPs' and Nutritionists’ role in healthcare needs of PLWHA through survey research. The results will describe participants’ perceptions of the SLPs' and Nutritionists’ roles in the healthcare needs of PLWHA. Recommendations are made regarding interprofessional training curricula for SLP and Nutrition students.

The Icf-Cy As Framework For International Collaboration To Improve Services For Children With Communication Disorders, Brenda Louw, Juan Bornman

ETSU Faculty Works

The purpose of this presentation is to describe the application of The International Classification of Functioning, Disability and Health-Children and Youth Version (ICF-CY) (WHO, 2007) as a framework for international collaboration with the aim of translating an outcomes measure and to field test the clinical applicability and cultural validity thereof.

Maximize How You Supervise: Report Of The 2016 Asha Ad Hoc Committee On Supervision Training, Vicki Mccready, Kevin Mcnamara, Nancy Nelson, Samantha Procaccini, Stephanie Adamovich, Karleung Cheung, Carol Dudding, Natalie Lenzen, Loretta Nunez, A. Lynn Williams

ETSU Faculty Works

The success of existing and future audiologists and speech-language pathologists is dependent on skilled supervision. This session presents the findings of the ASHA Ad Hoc Committee on Supervision Training, including resources to enhance supervisor/preceptor skills and strategies for growing a culture of expectation for such training.

Hormone Replacement Therapy (Hrt) Modulates Peripheral And Central Auditory System Processing With Aging, Tanika Williamson

USF Tampa Graduate Theses and Dissertations

After the findings were reported for the Women’s Health Initiative (WHI) study in the past decade, there has been a significant decline in the overall use of hormone replacement therapy (HRT) among women. However, there are still millions of middle-aged, menopausal women in the U.S. who are currently undergoing hormone therapy. Their reasons for continuing treatment include relief of severe menopausal symptoms, aid in the management of osteoporosis and reduction in the risk of colon cancer (Ness et al., 2005). The purpose of the following investigation was to evaluate the impact of HRT on the central and peripheral auditory systems …

A Review Of Internet Resources Related To Spoken Language Intervention For Spanish-Speaking Parents Of Children Who Are Deaf Or Hard Of Hearing, Karen F. Munoz, Lauri H. Nelson Phd, Brittan Barker

Journal of Early Hearing Detection and Intervention

Objective: The purpose of this study was to identify website information related to hearing loss, hearing technology, and spoken language development available to Spanish-speaking parents of children who are deaf or hard of hearing (DHH).

Design: An exploratory, descriptive design was used to determine the presence or absence of parent education information on a variety of websites.

Study Sample: The study explored Internet resources provided by national, state, and parent support organizations in the United States.

Results: A total of 53 organization websites were identified that had information for parents of DHH children learning spoken language, eight of which were …