Medicine and Health Sciences Commons^™

Framework To Secure Cloud-Based Medical Image Storage And Management System Communications, Timothy James Rostrom

Theses and Dissertations

Picture Archiving and Communication Systems (PACS) have been traditionally constrained to the premises of the healthcare provider. This has limited the availability of these systems in many parts of the world and mandated major costs in infrastructure for those who employ them. Public cloud services could be a solution that eases the cost of ownership and provides greater flexibility for PACS implementations. This could make it possible to bring medical imaging services to places where it was previously unavailable and reduce the costs associated with these services for those who utilize them. Moving these systems to public cloud infrastructure requires …

A Preliminary Report On Disordered Speech With Deep Brain Stimulation In Individuals With Parkinson's Disease, Christopher Dromey, Suzy Bjarnason

Faculty Publications

Deep brain stimulation (DBS) of the subthalamic nucleus (STN) has proven effective in treating the major motor symptoms of advanced Parkinson's disease (PD). The aim of this study was to learn which laryngeal and articulatory acoustic features changed in patients who were reported to have worse speech with stimulation. Six volunteers with PD who had bilateral STN electrodes were recorded with DBS turned on or off. Perceptual ratings reflected poorer speech performance with DBS on. Acoustic measures of articulation (corner vowel formants, diphthong slopes, and a spirantization index) and phonation (perturbation, long-term average spectrum) as well as verbal fluency scores …

The Efficacy Of Social Communication Intervention In Improving Emotion Inferencing For School-Aged Children With Language Impairment, Matthew Keith Frank

Theses and Dissertations

Children with language impairment (LI) have demonstrated several language problems, including receptive and expressive deficits. A growing body of research has further demonstrated emotion understanding and, more specifically, emotion inferencing deficits that negatively affect the ability of this population to use language successfully in social interactions. Consequently, the present study examines social communication intervention focused on improving emotion inferencing for children with a diagnosis of LI or Autism Spectrum Disorder (ASD), as similar social communication deficits are occasionally seen in children with these diagnoses. Study participants were identified from the caseload of a practicing certified speech-language pathologist (SLP) and qualified …

The Effects Of Gender And Elicitation Method On The Prosodic Cues Used By 7- To 11-Year-Old Children To Signal Sentence Type, Lacey Ann Powell

Theses and Dissertations

The purpose of this study was to examine the prosodic cues used by 7 to 11 year-old children to signal questions and declarative statements in terms of changes in fundamental frequency (F0), duration, and intensity. Additional aims were to evaluate how children's use of prosody changes as a function of gender and method of elicitation. A group of 16 children participated in three different types of elicitation tasks (imitative, reading, and naturalistic). An acoustic analysis revealed that the participants produced the different sentence types using a variety of acoustic cues. Not only do children vary the mean of F0 and …

Mild Traumatic Brain Injury: Are Ed Providers Identifying Which Patients Are At Risk?, Barbara Stuart, Barbara Mandleco, Renea L. Beckstrand, Sondra Heaston

Faculty Publications

Objective: To identify patients with specific ED discharge diagnoses reporting symptoms associated with a mild traumatic brain injury (MTBI), compare frequency/severity of MTBI symptoms by discharge diagnosis, investigate head injury education provided at ED discharge, and learn about changes made by MTBI patients after injury.

Methods: The Post Concussion Symptom Scale, a demographic questionnaire, and open-ended questions about the impact the injury had on patients' lives were completed by 52 ED patients, at least 2 weeks after injury, discharged with concussion/closed head injury, head laceration, motor vehicle crash (MVC), or whiplash/cervical strain diagnoses.

Results: Between 1 and 23 MTBI symptoms …

Emergency Nurses' Perception Of Department Design As An Obstacle To End-Of-Life Care, Ryan Jay Rasmussen

Theses and Dissertations

Introduction: Of the 119.2 million visits to the emergency department (ED) in 2006, it was estimated that about 249,000 visits resulted in the patient dying or being pronounced dead on arrival. In two national studies of emergency nurses' perceptions of end-of-life (EOL) care, ED design was identified as a large and frequent obstacle to providing EOL care. The purpose of this study was to determine the impact of ED design on EOL care as perceived by emergency nurses.

Methods: A national, geographically dispersed, random sample of 500 members of the Emergency Nurses Association were sent a 25-item questionnaire regarding ED …

Oncology Nurses' Impact Scores For Obstacles And Supportive Behaviors At The End Of Life, Joan M. Collett

Theses and Dissertations

Introduction: Oncology nurses provide end-of-life (EOL) care to their patients daily. Oncology nurses' perceptions regarding how to provide quality care to dying patients could be an important addition to the ongoing research on quality EOL care. The purpose of this study was to determine the impact of specific obstacle and supportive behaviors in EOL care as perceived by hospital-based oncology nurses. This study extended the work of Beckstrand, Moore, Callister, and Bond (2009).

Methods: A 69-item questionnaire adapted from previous studies (Beckstrand & Kirchhoff, 2005; Beckstrand, Smith, Heaston, & Bond, 2008) was sent to 1,000 nurses who were members of …

Nurse Practitioner Barriers To Reporting Child Maltreatment, Steven Lee Barlow

Theses and Dissertations

Each year approximately 1,000,000 child become the victims of abuse or neglect. The detrimental effects of child maltreatment (CM) have been well documented and create significant problems for the survivors and for society as well. All fifty states have enacted mandatory reporting laws to combat the CM epidemic. As mandated reporters, nurse practitioners and nurse midwives (APRNs) have the opportunity and responsibilities to identify and refer potential victims of CM, in this study a significant percentage choose not to report their suspicions. Respondents to the study survey identified several potential barriers to APRN reporting such as lack of education and …

The Experiences Of Families Raising Children With Type 1 Diabetes Mellitus: A Qualitative Investigation, Carol A. Loucks

Theses and Dissertations

Type 1 diabetes mellitus (T1DM), a common, chronic disease, affects the patient as well as the family. It requires daily vigilance in blood sugar monitoring, dietary management and insulin administration. Research has examined the impact of T1DM on family adaptation and relationships. However, few current data describes parents' perceptions of challenges. The purpose of this study was to identify challenges and impact on the family perceived by parents raising children with T1DM. Using a qualitative descriptive design, 21 parents raising children with T1DM participated in audio-recorded focus groups. At the time of the interviews the children ranged in age from …

The Last Frontier: Rural Emergency Nurses' Perceptions Of End-Of-Life Care, Virginia Claudia Giles

Theses and Dissertations

Introduction: Caring for dying patients is part of working in a rural emergency department. Rural emergency nurses are prepared to provide life-saving treatments but find there are barriers to providing end-of-life (EOL) care. This study was completed to discover what the size, frequency, and magnitude of obstacles were in providing EOL care in rural emergency departments as perceived by rural emergency nurses.

Methods: A 58-item questionnaire was sent to 52 rural hospitals in Idaho, Wyoming, Utah, Nevada, and Alaska. Respondents were asked to rate items on size and frequency of perceived barriers to providing EOL care in rural emergency departments. …

The Effects Of A Literature-Based Emotion Recognition Program On Teacher Report Of Sociability Withdrawal For Six Children With Social Communication Difficulties, Jennifer Lynn Harris

Theses and Dissertations

Children with language impairment (LI) often demonstrate difficulties in social communication. Although a number of general social communication interventions have been suggested, there is relatively little work done to examine the efficacy of these interventions for school-age children with LI, and none reported to target general emotional competence. The purpose of this study was to examine the effects on teacher perception of an intervention designed to improve emotion understanding. The intervention was centered on the presentation and use of children's stories to introduce and practice aspects of emotion understanding. The withdrawn and sociable subscales of the Teacher Behavior Rating Scale …

Postpartum Depression And Help‐Seeking Behaviors In Immigrant Hispanic Women, Lynn Clark Callister, Renea Beckstrand, Cheryl A. Corbett

Faculty Publications

Objectives: To describe perceptions of immigrant Hispanic women experiencing symptoms of postpartum depression (PPD) and to identify barriers to seeking mental health services.

Design: Qualitative descriptive.

Setting: Community health clinic.

Participants: Twenty immigrant Hispanic women scoring positive for symptoms of PPD receiving health care at a community health clinic who declined mental health services participated in audiotaped interviews held in their homes.

Methods: Following Institutional Review Board approval and informed consent, interviews were conducted with study participants. Transcribed data were analyzed as appropriate for qualitative inquiry.

Results: Some of the women did not recognize and/or denied their symptoms attributing their …

Code Simulations And Death: Processing Of Emotional Distress, Jane D. Leavy, Calvin J. Vanderhoff, Patricia K. Ravert

Faculty Publications

It is important for nursing students to be exposed to critical patient care scenarios because high stress clinical situations, such as patient codes, occur unexpectedly and infrequently in the clinical setting. In addition, it is important for nursing students to be exposed to the reality of patient death in order to help them overcome fears associated with death and to develop effective coping strategies. Students may or may not have an opportunity to deal with patient codes or patient death in the clinical setting, therefore simulation labs provide students with the opportunity to practice important clinical skills and discuss emotions …

Librarians As Partners Of The Nursing Faculty In Teaching Scholarly Inquiry In Nursing To Undergraduates At Brigham Young University, Jane Lassetter, Barbara L. Mandleco, Lynn C. Callister, Elizabeth S. Hopkins, Meagan Astill

Faculty Publications

This paper describes collaboration between the nursing librarian and faculty members teaching Scholarly Inquiry in Nursing (Nursing Research), a course for baccalaureate nursing students. Workshops presented by the librarian enhanced nursing students' information literacy skills, particularly related to accessing evidence-based sources. Student perceptions of the library integration with Scholarly Inquiry in Nursing are presented, and suggest that librarians empower them with knowledge and skills that enhance their ability to integrate evidence into their nursing practice.

Listeners' Ability To Identify The Gender Of Preadolescent Children Across Multiple Linguistic Contexts, Sharalee Ann Blunck

Theses and Dissertations

The purpose of this study was to determine whether 20 listeners could identify the gender of 10 preadolescent children from speech samples. An additional aim was to evaluate whether listeners identified children more accurately when listening to speech samples when more linguistic context was available. The listeners were presented with a total of 190 speech samples in four different categories of linguistic context: segments, words, sentences, and discourse. The listeners were instructed to listen to each speech sample and decide whether the speaker was a male or female. In addition, the listeners were instructed to rate their level of confidence …

The Effect Of A Treatment Program Utilizing A Humanoid Robot On Social Engagement Of Two Children With Autism Spectrum Disorder, Margaret Michele Maxfield

Theses and Dissertations

The purpose of this study was to evaluate the use of a robot (Troy) in a low-dose treatment protocol for two children with Autism Spectrum disorder. The efficacy of intervention was measured by comparing social engagement in two contexts: interactions with two adults and interaction with an unfamiliar adult. During the treatment, a robot was included in pseudo-triadic interactions with the clinician and the child. The robot was programmed to perform simple actions that imitated the actions of the clinician in an effort to engage the child. These pseudo-triadic interactions were incorporated into intervention over the course of a 16-session …

Analysis Of The Effectiveness Of Social Skills Intervention In Improving The Use Of Validating Comments Used By Children With Specific Language Impairments In Peer Group Interactions, Chelsea Pulsipher Mccleve

Theses and Dissertations

This study examined the efficacy of a social skills training program on the use of validating comments and negative comments by children with specific language impairment. The present study is an extension of a previous research project. Four children (three female, one male) with specific language impairment, ages 6 to 11, participated in a ten week social skills training program which involved direct instruction of target concepts, peer interactions with classmates, and evaluation of the use of target skills by reviewing videotaped peer interactions. The individual performance of each subject was compared to the age- and gender-matched typical peers with …

The Effects Of The Use Of A Humanoid Robot On Social Engagement In Two Children With Autism, Aersta Kayleen Acerson

Theses and Dissertations

This study examines the effects of intervention using a robot on the social interactions of two children with Autism Spectrum Disorder (ASD). Robots have been shown to facilitate human-robot interaction in children with Autism Spectrum Disorder, yet research has not fully investigated the use of robots to enhance interactions between children with ASD and human conversational partners. The purpose of this study was to investigate the ability of a low-dose intervention procedure using a robot to increase social engagement between each child and his communication partner. Although variable, results were promising and suggested that additional investigation is warranted.

The Acoustic Effects Of Vowel Equalization Training In Singers, Christopher Dromey, Emily Heaton, J. Arden Hopkin

Faculty Publications

Vowel equalization is a technique that can be used by singers to achieve a more balanced vocal resonance, or chiaroscuro, by balancing corresponding front and back vowels, which share approximate tongue heights, and also high and low vowels by means of a more neutral or centralized lingual posture. The goal of this single group study was to quantify acoustic changes in vowels following a brief training session in vowel equalization. Fifteen young adults with amateur singing experience sang a passage and sustained isolated vowels both before and after a 15 minute training session in vowel equalization. The first two …

Traditional Treatment And Altered Auditory Feedback Lead To Intelligibility Benefits In A Subset Of Speakers With Parkinson Disease, Christopher Dromey

Faculty Publications

Because relatively little evidence has been published that compares the long-term effects of different dysarthria treatments, the authors undertook a study to document changes in speech rate and intelligibility in response to two types of intervention. Rate control is taught in many speech-language pathology training programs as a means to improve speech intelligibility, and thus it was a logical choice for the present study. Likewise, AAF has been shown to impact both normal and disordered speech, in most cases resulting in reduced rate. In theory, either approach should have a positive effect on speech, since individuals with neuromotor control deficits …

Religiosity, Coping, And Psychological Well-Being Among Latter-Day Saint Polynesian In The U.S., Kawika Allen, P. Paul Heppner

Faculty Publications

There is limited knowledge about coping and psychological adjustment in Latter-Day Saint (LDS) Polynesians. This study examined religiosity, collectivistic coping, and psychological well-being among 94 LDS Polynesians residing in the Midwest. As hypothesized, religiously committed LDS Polynesians were more likely to have a healthy psychological well-being and were also likely to use collectivistic coping styles, such that high helpfulness ratings on family support and religion-spirituality coping styles were significantly correlated with a positive psychological well-being. Family support also moderated the relationship between LDS Polynesians’ religious commitment and psychological well-being. Implications are discussed in terms of religiosity, culture, coping, and psychological …

Perspectives On Nursing: Using Multimedia Interviews To Influence Career Decisions, Karen M. Lundberg, Michael C. Johnson, Cheryl A. Corbett, Michael Thompson

Faculty Publications

Students often have misconceptions regarding the reality of nursing and the opportunities available to nurses that sometimes result in poor choices related to pursuing nursing as a career. To help prenursing students make better-informed career decisions and address misunderstandings, faculty developed the DVD and Web site Perspectives on Nursing, a collection of 15 nurse interviews. The authors describe and discuss the project, the value of recorded nurses' stories, analysis of student feedback, and recommendations.