Medicine and Health Sciences Commons^™

Ethnicity, Stigma And Adherence To Antiretroviral Therapy (Art) Among People Living With Hiv/Aids In Guangxi, China, Yuchen Mao, Xiaoming Li Ph.D., Shan Qiao Ph.D., Yuejiao Zhou, Qun Zhao

Faculty Publications

This study examines the impact of ethnicity and multiple types of HIV-related stigma on adherence to antiretroviral therapy (ART) among 2,146 people living with HIV/AIDS (PLWHA) in Guangxi, China who had initiated ART. The results of multiple binary logistic regressions indicate that those who had experienced enacted stigma tended to report lower adherence, while better adherence was associated with older age, being women and having a job. Ethnicity had a moderator effect on the association between internalized stigma and adherence since better adherence was associated with lower internalized stigma among participants in ethnic minority groups other than Zhuang. Our findings …

Ready To Learn: The Impact Of The Morning Blast Physical Activity Intervention On Elementary School Students, Tingting Xu, Erik Jon Byker, Monica Rae Gonzales

Faculty Publications

Objective: The purpose of this study was to investigate the effects of a physical activity intervention programme, named “Morning Blast”, on elementary school students’ math learning and daily physical activity. The Morning Blast intervention programme was a 16-week cardiovascular endurance emphasized physical activity program that students voluntarily participated in before the school day. Participants that volunteered, did so for the duration of the program. Methods: This mixed-methods study included seven educators and 83 students (n=90). The students were all children who were enrolled in Grades 3, 4, and 5 in a semi-rural elementary school in the United States. …

Variations Of Emotion Dysregulation In Borderline Personality Disorder: A Latent Profile Analysis Approach With Adult Psychiatric Inpatients, Katrina A. Rufino, Thomas E. Ellis, Joshua Clapp, Catherine Pearte, J. Christopher Fowler

Faculty Publications

Background

The purpose of the present study was to identify variations in emotional dysregulation patterns among adults diagnosed with borderline personality disorder (BPD), with an eye toward implications for treatment.

Methods

Latent profile analysis (LPA) was utilized to classify 156 inpatients with BPD, based on patterns of Difficulties in Emotion Regulation Scale (DERS; Gratz and Roemer, J Psychopathol Behav Assess 26: 41-54, 2004) subscale scores.

Results

Results revealed that a three class solution best fit the sample (Low Impairment, Global Dysregulation, and Emotionally Aware). Further analysis of the classes at admission revealed that the Global Dysregulation group reported significantly higher …

End-Of-Life Training In Us Internal Medicine Residency Programs: A National Study, Derek Cegelka, Timothy R. Jordan, Jiunn-Jye Sheu, Joseph A. Dake, Ragheb Assaly

Faculty Publications

Background: End-of-life care is a required and important component of medical training for internal medicine residents; many of whom will go on to provide care for adults at the end-of-life stage. Although a body of past research suggests that physician training in end-of-life care needs significant improvement, a comprehensive national study of end-of-life education within US internal medicine residency programs has never been published.

Objective: To determine the status of end-of-life education in internal medicine residency programs in the United States.

Method: The study was a cross-sectional, observational study of all internal medicine Residency Program Directors in the US as …

Changing Hearts And Minds: Results From A Multi-Country Gender And Sexual Diversity Training, Tonia Poteat, Chulwoo Park, Diego Solares, John K. Williams, R. Cameron Wolf, Noah Metheny, Andrea Vazzano, Juan Dent, Ashley Gibbs, Bareng Aletta Sanny Nonyane, Nora Toiv

Faculty Publications

Engaging key populations, including gender and sexual minorities, is essential to meeting global targets for reducing new HIV infections and improving the HIV continuum of care. Negative attitudes toward gender and sexual minorities serve as a barrier to political will and effective programming for HIV health services. The President’s Emergency Plan for AIDS Relief (PEPFAR), established in 2003, provided Gender and Sexual Diversity Trainings for 2,825 participants including PEPFAR staff and program implementers, U.S. government staff, and local stakeholders in 38 countries. The outcomes of these one-day trainings were evaluated among a subset of participants using a mixed methods pre- …

Performance Profiles Of Collegiate And Master’S Swimmers: A Validation Study, Lyle E. Robelot Mr.

Faculty Publications

The purpose of this proposal is to link the gold standard power test on land (Wingate test) to an in-water power test. There is a lack of information on power in the water and would be beneficial in tracking swimmers progress throughout a season and between seasons. Power curves of individuals on the Wingate test will be compared to those of In-water tests to see weather this water test is valid. The experiment will follow IRB rules and regulation and the staff will adhere to the safety conditions set forth by the IRB.

Ertapenem-Induced Encephalopathy In A Patient With Normal Renal Function, S. Scott Sutton, Mark Jumper, Michael D. Wyatt

Faculty Publications

Drug-induced neurotoxicity is a rare adverse reaction associated with ertapenem. Encephalopathy is a type of neurotoxicity that is defined as a diffuse disease of the brain that alters brain function or structure. We report a patient with normal renal function who developed ertapenem-induced encephalopathy manifesting as altered mental status, hallucinations, and dystonic symptoms. The patient’s symptoms improved dramatically following ertapenem discontinuation, consistent with case reports describing ertapenem neurotoxicity in renal dysfunction. Since clinical evidence strongly suggested ertapenem causality, we utilized the Naranjo Scale to estimate the probability of an adverse drug reaction to ertapenem. Our patient received a Naranjo Scale …

Occupational Therapy Students’ Self-Efficacy, Experience Of Supervision, And Perception Of Meaningfulness Of Level Ii Fieldwork, Lynne Andonian

Faculty Publications

Background: This study explored the relationship of perceived self-efficacy to demographic and fieldwork variables for occupational therapy (OT) students. Self-efficacy is related to student and employee success and competency.Methods: OT students (n = 306) from 42 OT programs in the United States completed the Student Confidence Questionnaire and the Demographic Questionnaire and Survey addressing demographics, practice setting, students’ experience of supervision, and perceptions of the fieldwork’s personal meaning during Level II fieldwork. Correlational and regression methods examined the relationships among the variables. Analysis of variance methods tested differences between higher and lower self-efficacy student groups.Results: The degree of self-efficacy was …

The Social Validity Of Telepractice Among Spanish-Speaking Caregivers Of English Learners: An Examination Of Moderators, Lisa Fitton, Kristina N. Bustamante, Carla Wood

Faculty Publications

The purpose of the present paper was to examine the social validity of telepractice as a service delivery model for Spanish-speaking families of English learners. Quantitative survey methodology was employed to examine 79 caregivers' opinions regarding telepractice and to obtain background information about participants' home environments. Findings revealed that approximately 46% of the participant sample reported being interested in their children receiving services via telepractice. Caregivers reported limited familiarity with telepractice as an option, but were likely to express interest if their child had an identified speech or language disorder or if they were interested in increased access to Spanish …

Organizational Learning In A Cardiac Intensive Care Unit: A Learning History, Bret Lyman, Kalene M. Ethington, Carly King, Jonathan D. Jacobs, Hayley Lundeen

Faculty Publications

Introduction: Providing high-quality care to every patient is challenging, particularly in critical care units (CCUs). However, this standard can be achieved through organizational learning. Unfortunately, the process of organizational learning in CCUs is not well understood.

Objective: The objective of this study is to describe the developmental progression of a cardiac intensive care unit (CICU) to reach its current state of reliably excellent clinical performance.

Methods: The method selected for this study was a learning history. A total of 43 individuals with experience working on the CICU participated in small group interviews. Participants included nurses, surgeons, unit clerks, administrators, nursing …

Honoring Motherhood: The Meaning Of Childbirth For Tongan Women, Shelly J. Reed, Lynn Clark Callister, 'Ana Kavaefiafi, Cheryl A. Corbett, Debra Edmunds

Faculty Publications

Purpose: The purpose of this ethnographic study was to describe the meaning of childbirth for Tongan women.

Study Design and Methods: In this qualitative descriptive study, 38 Tongan women, 18 from Tonga and 20 from the United States, who had given birth in the past year were invited to share their perceptions of childbirth. Themes were generated collaboratively by the research team.

Findings: The overarching theme was honoring motherhood; other themes include using strength to facilitate an unmedicated vaginal birth, describing the spiritual dimensions of birth, adhering to cultural practices associated with childbearing, and the influence of the concept of …

Global Perinatal Nursing Research: Sustainable Development Goals Update, Lynn Clark Callister, Cheryl A. Corbett

Faculty Publications

Global health experts suggest that there is an urgent need for research supporting healthcare for childbearing women that is both respectful and evidence-based beyond “too little, too late and too much too soon.” The purpose of this editorial is to describe global perinatal research priorities, provide examples of global collaborative networking and research, identify global perinatal nursing research priorities, and describe exemplary global maternal health nursing research.

Management Of Viral Central Nervous System Infections: A Primer For Clinicians, P Brandon Bookstaver, Phillip L. Mohorn, Ansal Shah, Lauren D. Tesh, April M. Quidley, Ravish Kothari, Christopher M. Bland, Sharon Weissman

Faculty Publications

Viruses are a common cause of central nervous system (CNS) infections with many host, agent, and environmental factors influencing the expression of viral diseases. Viruses can be responsible for CNS disease through a variety of mechanisms including direct infection and replication within the CNS resulting in encephalitis, infection limited to the meninges, or immune-related processes such as acute disseminated encephalomyelitis. Common pathogens including herpes simplex virus, varicella zoster, and enterovirus are responsible for the greatest number of cases in immunocompetent hosts. Other herpes viruses (eg, cytomegalovirus, John Cunningham virus) are more common in immunocompromised hosts. Arboviruses such as Japanese encephalitis …

Back Of The Envelope Calculations Regarding Alexandrov, Et Al. 2009, F. Matthew Mihelic

Faculty Publications

The paper entitled “DNA Breathing Dynamics in the Presence of a Terahertz Field” written by Alexandrov, Gelev, Bishop, Usheva, and Rasmussen that was posted on the Physics ArXiv on October 28, 2009, dealt with the effects of terahertz electromagnetic radiation on the DNA molecule. Figure 4 of the paper indicates that a segment of DNA that is between 60 and 70 base pairs in length will develop a “bubble” (i.e. separation of the hydrogen bonds between base pairs) at a location of about 45 base pairs, when exposed to 2 THz electromagnetic radiation for a time period of at least …

Evaluating Loss To Follow-Up In Newborn Hearing Screening In A Southern State, Elizabeth L. Crouch, Janice Probst, Kevin J. Bennett, Tara Carroll

Faculty Publications

Objective: The aim of this study was to examine loss to follow-up (LTFU) for diagnostic or early intervention (EI) services for South Carolina infants screened or diagnosed with hearing loss, and the risk factors associated with LTFU.

Design: A cross sectional analysis of data from South Carolina was used to examine LTFU for the use of audiologic evaluation services after initial newborn hearing screening and receipt of EI services after confirmation of hearing loss.

Results: Three percent (3.1%) of newborns screened in the state of South Carolina did not pass their hearing screening in 2013. Nearly half (49.1%) of those …

Knowledge And Use Of E-Cigarettes And Risk Perception In Brazil: Results From A Country With Strict Regulatory Requirements, Tânia Maria Vavalcante, André Salem Szklo, Cristina De Abreu Perez, James Thrasher Phd, Moyses Szklo, Janine Ouimet, Shannon Gravely, Geoffrey T. Fong, Liz Maria De Almeida

Faculty Publications

Due to uncertainties about the impact of electronic cigarettes on health, Brazil adopted, in 2009, a regulation that prohibited the sale, importation and advertising of these products until manufacturers can demonstrate that they are safe and/or effective in smoking cessation. The objective of the study was to analyze among Brazilian smokers: (1) knowledge about the existence of electronic cigarettes, lifetime use, and recent use; (2) risk perception of e-cigarettes compared to conventional cigarettes; and (3) factors correlated with knowledge and perception of risk. This is a cross-sectional study among Brazilian smokers (≥ 18 years old) using a replacement sample from …

The Effects Of Stimulus Rate On Abr Morphology And Its Relationship To P1 Caep Responses And Auditory Speech Perception Outcomes In Children With Auditory Neuropathy Spectrum Disorder Evidence From Case Reports, Garrett Cardon, Rosemary J. Mcknight, Hannah Glick, Anu Sharma

Faculty Publications

Objective: Auditory neuropathy spectrum disorder (ANSD) affects approximately 5–15% of children with sensorineural hearing loss (SNHL). ANSD is characterized by the presence of otoacoustic emissions (OAE) and an absent or abnormal auditory brainstem response (ABR). The purpose of this study was to investigate the prognostic value of slow-rate ABR in predicting the auditory cortical development and auditory speech perception outcomes in case studies of children with ANSD. Design: ABR waveform characteristics were collected at slow stimulation rates (5.1 clicks/second) and a fast stimulation rates (>11–31.1 clicks/second, rates typically used in a clinical setting) in three case reports of children …

Effects Of Laryngeal Activity On Articulation, Christopher Dromey, Katherine M. Black

Faculty Publications

Abstract—This study examined the effects of three speech conditions (voiced, whispered, and mouthed) on global average measures of articulatory movement during sentence production. Participants were 20 adults (ten males and ten females) with no history of speech, language, or hearing disorders. They produced six target utterances in the three speaking conditions. Movements of the following articulators were recorded with an electromagnetic articulograph: Mid tongue, front of tongue, jaw, lower lip, and upper lip. The kinematic metrics were averages derived from movement strokes defined by minima in the speed record of each articulator. These measures revealed a number of significant changes …

Effects Of Voice-Sparing Cricotracheal Resection On Phonation In Women, Christopher Dromey, Kristine Tanner, Mark L. Berardi, Lisa M. Mattei, Jenny L. Pierce, Jonathan J. Wisco, Eric J. Hunter, Marshall E. Smith

Faculty Publications

Introduction: Individuals with idiopathic subglottic stenosis (SGS) are at risk for voice disorders prior to and following surgical management. This study examined the nature and severity of voice disorders in patients with SGS before and after a revised cricotracheal resection (CTR) procedure designed to minimize adverse effects on voice function. Method: Eleven women with idiopathic SGS provided presurgical and postsurgical audio recordings. Voice Handicap Index (VHI) scores were also collected. Cepstral, signal-to-noise, periodicity, and fundamental frequency (F0) analyses wereundertaken for connected speech and sustained vowel samples. Listeners made auditory-perceptual ratings of overall qualityand monotonicity.Results: Paired samples statistical analyses revealed that …

A Potential Tool For Clinicians; Evaluating A Computer-Led Dietary Assessment Method In Overweight And Obese Women During Weight Loss, Adrianne Widaman, Nancy Keim, Dustin Burnett, Beverly Miller, Megan Witbracht, Keith Widaman, Kevin Laugero

Faculty Publications

Many Americans are attempting to lose weight with the help of healthcare professionals. Clinicians can improve weight loss results by using technology. Accurate dietary assessment is crucial to effective weight loss. The aim of this study was to validate a computer-led dietary assessment method in overweight/obese women. Known dietary intake was compared to Automated Self-Administered 24-h recall (ASA24) reported intake in women (n = 45), 19–50 years, with body mass index of 27–39.9 kg/m2. Participants received nutrition education and reduced body weight by 4%–10%. Participants completed one unannounced dietary recall and their responses were compared to actual intake. Accuracy of …

Relationship Of Religiosity And Spirituality To Hazardous Drinking, Drug Use, And Depression Among Sexual Minority Women, Laurie Drabble, Cindy Veldhuis, Barth Riley, Sharon Rostosky, Tonda Hughes

Faculty Publications

Using data from Wave 3 of the Chicago Health and Life Experiences of Women (CHLEW) study (N = 699), we explored whether religiosity and spirituality were associated with risk of hazardous drinking, drug use, and depression among sexual minority women (SMW; i.e., lesbian, bisexual) and possible differences by race/ethnicity. Participants were more likely to endorse spirituality than religiosity, and endorsement of each was highest among African American SMW. We found no protective effect of religiosity or spirituality for hazardous drinking or drug use. An association initially found between identifying as very spiritual and past-year depression disappeared when controlling for help-seeking. …

Situation Awareness, Sociotechnical Systems, And Automation In Emergency Medical Services: Theory And Measurement, David Schuster, Dan Nathan-Roberts

Faculty Publications

No abstract provided.

The Meaning Of Giving Birth: Voices Of Hmong Women Living In Vietnam, Cheryl A. Corbett, Lynn Clark Callister, Jamie Peterson Gettys, Jacob R. Hickman

Faculty Publications

Increasing knowledge about the sociocultural context of birth is essential to promote culturally sensitive nursing care. This qualitative study provides an ethnographic view of the perspectives of birthing of Hmong mothers living in the highlands of Vietnam. Unique cultural beliefs exist in Hmong culture about the spiritual and physical wold as well as ritual practices associated with childbearing. This includes variations of ancestor worship, reincarnation, and healing practices by shamans. Traditionally, Hmong families take an active role in childbirth with birth frequently occurring in the home. Situated within a large collaborative anthropology project, a convenience sample of 8 Hmong women, …

Incorporating Spanish Language Instruction Into Health Sciences Programs In A Hispanic-Serving Institution, Connie Summers, Vannesa Mueller, Celia Pechak, Jeri J. Sias

Faculty Publications

Patient-provider language discordance is a growing problem in health care among Spanish-speaking patients. To produce graduates capable of linguistically competent care, three university programs are incorporating Spanish language instruction into their curricula (pharmacy, physical therapy, and speech-language pathology). We review these three models of Spanish language training and summarize the lessons learned to date. Differences in the training models reflect fundamental differences regarding the use of spoken language in the disciplines.

Vocal Fry Use In Adult Female Speakers Exposed To Two Languages, Todd A. Gibson, Connie Summers, Sydney Walls

Faculty Publications

Summary: Objective. Several studies have identified the widespread use of vocal fry among American women. Popular explanations for this phenomenon appeal to sociolinguistic purposes that likely take significant time for second language users to learn. The objective of this study was to determine if mere exposure to this vocal register, as opposed to nuanced sociolinguistic motivations, might explain its widespread use. Study Design. This study used multigroup within- and between-subjects design. Methods. Fifty-eight women from one of three language background groups (functionally monolingual in English, functionally monolingual in Spanish, and Spanish-English bilinguals) living in El Paso, Texas, repeated a list …

Perceptions Of Mentoring Slps And Clinical Fellows During The Clinical Fellowship, Maria Resendiz, Connie Summers, Roxanna Ruiz-Felter, Elizabeth Belasco, Katherine Fox

Faculty Publications

The clinical fellowship (CF) is completed by speech-language pathologists (SLPs) after graduating with a master’s degree. The clinical fellow is supervised by a mentoring SLP who meets the qualifications set forth by the American Speech-Language-Hearing Association (ASHA). The current study focused on differences and similarities in expectations during the CF by the mentoring SLP and clinical fellow. Participants were asked about knowledge and skills for which clinical fellows are evaluated at the end of the CF in the areas of assessment and treatment. Clinical fellows wanted more help with assessment and less assistance with treatment. Mentoring SLPs felt assistance was …

Language Of Intervention In Bilingual Children With Autism Spectrum Disorders, Connie Summers, Vanessa Smith, Vannesa Mueller, Victoria Alexander, Amelie Muzza

Faculty Publications

Selecting the appropriate language of intervention for bilingual children with language impairment is difficult, especially for bilingual children with autism spectrum disorders (ASD) as their families are often encouraged by professionals to select one language only for communication. The limited evidence supports the use of bilingual language interventions when working with bilingual children with ASD. The current study sought to expand this limited work by presenting preliminary data of the effects of a bilingual and monolingual treatment condition on the language skills of two bilingual children with ASD (ages 3 and 5) using an alternating treatment, single-subject design. The two …

Spiritually Oriented Psychotherapy For Trauma And Meaning Making Among Ethnically Diverse Individuals In The United States, Kawika Allen, P. Scott Richards, T. Lea

Faculty Publications

Esmeralda, a 42-year-old Latina woman from Mexico, had moved to the United States with hopes of a bright new future. Despite not knowing much English, she had worked hard, found and married her husband, and had several beautiful children. She missed her family in Mexico, but loved living in the United States. At least, she had liked it up until the day her 5-year-old son was hit and killed by a truck only a few feet from where she stood. The accident had changed everything. In an instant, Esmeralda went from being a caring and involved mother to barely being …

Racial Discrimination And Psychological Health Among Polynesians In The U.S., Kawika Allen, Hokule'a Conklin, Davis K. Kane

Faculty Publications

There is a dearth of research on the mental health of Polynesians residing in the United States. The aims of this study were to examine experiences of racial discrimination, self-esteem, trait anger, satisfaction with life, and psychological well-being among 628 Polynesians (e.g., Native Hawaiian, Tongan, Samoan, Fijian, Tahitian, Maori; 60% women (n 378) and 40% men (n 249); mean age 28.7). Method: Measures were administered through an online survey to 628 Polynesians residing in the United States. Comparison analyses between men and women, correlations, and path analyses were analyzed for this Polynesian sample. Results: Polynesian women showed higher levels of …

Racial Identity, Phenotype, And Self-Esteem Among Biracial Polynesian/White Individuals, Kawika Allen, Patton O. Garriott, Carla J. Reyes, Catherine Hsieh

Faculty Publications

This study examined racial identity, self-esteem, and phenotype among biracial Polynesian/White adults. Eighty-four Polynesian/White persons completed the Biracial Identity Attitude Scale, the Rosenberg Self-Esteem Inventory, and a Polynesian phenotype scale. Profile analyses showed participants identified more with their Polynesian parent. A mediation analysis revealed that phenotype did not mediate the relationship between biracial identity and self-esteem.