Medicine and Health Sciences Commons^™

Life And Health Outside Prison, Tiffany Amorette Young

Open Access Theses & Dissertations

This qualitative study explores the subjective understandings of formerly incarcerated individuals' experiences of health and healthcare prior to, during, and post release. The study incorporates in depth ethnographic interviews, participant observation, and life charting to formulate a holistic understanding of how incarceration has impacted the health and lives of the participants recruited for this study. All participants were incarcerated for a minimum of one year in the U.S. prison system. This interdisciplinary study contributes to the fields of sociology, criminology, and public health, and builds on the literature of race, health, and corrections in the United States.

Determinants Of Condom Use And Hiv Prevention Among East-African Immigrants In Minnesota, Mahamud Ahmed

Open Access Theses & Dissertations

your words

Language Of Intervention In Bilingual Children With Autism Spectrum Disorder, Alejandra Carrillo

Open Access Theses & Dissertations

Over the last few decades the United States has seen a heavy increase in the incidences of Autism Spectrum Disorder. Also increasing in the United States is the increase in multicultural and multilingual groups. Although both of these populations are increasing there is very limited information regarding the language abilities of bilingual individuals with Autism Spectrum Disorder, the language used for intervention, and those servicing them. A survey was developed to gather information regarding the current practice trends used by Speech-Language clinicians with bilingual children with ASD. The study was conducted in El Paso, Texas a city located on the …

Event Related Potential Changes In A Two-Stimulus Auditory Oddball Task In Concussed College Athletes: A Linguistic Component, Paola G. Sanchez

Open Access Theses & Dissertations

"Return to Play" decisions are done based on cognitive-communicative testing and clinical assessments; concussed athletes may benefit from electrophysiological testing for a more accurate representation of their recovery. The purpose of this study is to investigate the electrophysiological performance post-concussion analyzing the attentional differences using the traditional "oddball" paradigm with a CV linguistic component. Participants for this study were 6 male college athletes with a history of concussion and 10 participants with no history of concussion (controls). Athletes were evaluated using event-related potentials (ERPs) that were recorded during a consonant-vowel (CV) auditory oddball task. Both the P300a and P300b components …

Can Coping Information Enhance The Effectiveness Of A Personalized Normative Feedback Intervention, Angelee Gigi Shamaley

Open Access Theses & Dissertations

In reaction to the national health objective of reducing the proportion of college students engaging in heavy at-risk drinking, the addition of a stress and coping component to a Personalized Normative Feedback (PNF) intervention was examined. Approximately 501 college students at the University of Texas at El Paso were recruited to participate during the spring, summer, and fall 2011 semesters. The purpose of the study was to investigate if the addition of a stress and coping component to a standard PNF intervention would have a stronger impact on reducing alcohol-related problems and consumption than using standard PNF intervention. A secondary …

Treatment For Children With High Functioning Autism: A Comparison Of Social Stories To Musically Adapted Social Stories, Veronica M. Torres

Open Access Theses & Dissertations

The incorporation of music and social stories has been seldom tested, thus a study which uses a single-subject, alternating treatment design assesses the effects of standard social stories versus musically adapted social stories on the pragmatic abilities of an individual with high-functioning autism is presented. The goal of this project was to determine whether read social stories versus musically adapted social stories would be more beneficial in reducing problem behaviors in a child with high-functioning autism. Both types of social stories were implemented with the participant and the data supported the effectiveness of both treatments. Though the musically adapted social …

The Impact Of Baby Sign On The Development Of Pragmatic Skills In Typically Developing Children, Lyna Marie Sullivan

Open Access Theses & Dissertations

The purpose of this study was to determine the impact of Baby Sign on the pragmatic development of typically developing children. The participants for the study were 11 typically developing children. A one group pretest posttest case study design was used to evaluate the impact of baby sign. Prior to parents and caregivers attending a 5 week course on baby sign language, each child was administered the Developmental Assessment of Young Children (DAYC). Although, measurements were taken of the child's social, cognitive, physical, adaptive, and communication skills, standard scores of only the social subtests from the pretest to the posttest …

Primary Drug And Multidrug Resistant Tuberculosis, Of The Diagnostic Properties Of The Sputum Smear Versus Culture Method For Tuberculosis Diagnosis In An Ecuadorian Urban Public Health Facility, Sandra Luz Groeschel

Open Access Theses & Dissertations

Background: The accurate diagnosis and effective prevention and control of tuberculosis (TB) are major global public health challenges. Ecuador has among the highest documented TB incidence (59/100,000 inhabitants) and mortality rates in the Americas region (27/100,000 inhabitants). In addition, TB multi-drug resistance is becoming increasingly common. The culture method is the preferred method of choice for diagnosing TB in the United States and many other high resource countries due to its high documented sensitivity. An added benefit of the methods is that it also can be used to detect primary TB resistance. In contrast, despite its lower diagnostic sensitivity, …

Arab Muslim Immigrant Women's Experiences Of Living In The United States: A Qualitative Descriptive Study, Maissa Khatib

Open Access Theses & Dissertations

Background: Over three million Arab Muslims live in the United States, and more than half are women (Nasser-McMillan, 2003). Little is known about these women in the growing and diverse Arab American Muslim population, and there is limited information available regarding their experiences of living in the U.S. Their experiences influence multiple aspects of their lives, including functioning in mainstream culture, use of resources or agencies, and the decisions they make that shape their acculturation outcome.

Purpose: To describe the experiences of Arab Muslim immigrant women living in the U.S.

Methods: This qualitative study examined the shared experiences of immigrant …

Potential For Sylvatic Mammals And Stray Canines In Transmission Of Leishmaniasis And Trypanosoma Cruzi In Paso Del Norte Border Area, Jacqueline Alyssa Mariscal

Open Access Theses & Dissertations

Potential for sylvatic mammals and stray canines in transmission of leishmaniasis and Trypanosoma cruzi in Paso del Norte Border Area

Background. New World leishmaniasis is a zoonotic protozoal disease caused by various species of the genus Leishmania1. A number of mammalian species have been described as hosts for Leishmania2. Some of them also are considered to play important roles as disease reservoirs. Chagas' disease, also known as American trypanosomiasis, is a potentially life-threatening illness caused by the protozoan parasite, Trypanosoma cruzi, (T. cruzi)3. It is well recognized that T. cruzi is endemic in the United States, as evidenced by infections …

Stress Appraisal, Coping Response, And Acculturation Level As Predictors Of Postpartum Depression Symptoms In Women Of Mexican Origin, Rena M. Digregorio

Open Access Theses & Dissertations

Transition into motherhood may be a time of mixed emotion. Though most women embrace motherhood and are optimistic about the role, approximately 13% of all women who give birth suffer from postpartum depression (Beck, C.T., 2001; Beck, C.T., 1996; O'Hara & Swain, 1996). However, some studies report women of Mexican origin suffer postpartum depressive symptoms at much higher rates than other racial and ethnic groups (Diaz, Huynh-Nhu, Cooper, & Munoz, 2007). Understanding how and to what extent postpartum depressive symptoms affect mothers of Mexican origin remains incomplete. This 10 month prospective, repeated measures, proxy pretest study of pregnant and postpartum …

Examining Articulatory Kinematics Using Diadochokinesis In Concussed And Non-Concussed Individuals, Lindsay Deann Dolan

Open Access Theses & Dissertations

ABSTRACT

Cognitive and communicative deficits associated with traumatic brain injury are an active area of research. However, no research to date has reported on the functionality of motor speech following a concussion. A common tool used to evaluate the motor speech status of potentially impaired individuals is the measurement of the diadochokinetic speech rate. The purpose of this study is to investigate diadochokinetic speech rates in individuals who experience a sports-related concussion. Determining the nature and extent of motor speech involvement post concussion will contribute to the diagnosis, prognosis, and management of recovery. The present investigation will determine; (i) if …

A Comparison Of Performance On The Wii Basic Balance Test Between Concussed And Non-Concussed Collegiate Students, Vanessa Eileen Fernandez-Vivar

Open Access Theses & Dissertations

The Wii Board Basic Balance Test has served as a useful tool for assessing balance in concussion management. In the event that an athlete is concussed, baseline data will be useful when managing a concussion. In cases where baseline data is not available, having normative data is useful to refer to in order to make appropriate return-to-play decisions. To date, normative data on the Wii Board Basic Balance Test is not available. Purpose: This study will compare the performance of concussed and nonconcussed individuals on the Wii Basic Balance Test. Method: A between subject design between the two groups of …

The Impact Of Baby Sign On Motor Development In Typically Developing Infants And Toddlers, Melissa Garcia

Open Access Theses & Dissertations

"Baby Sign is an augmentative communication approach that teaches babies keyword signing that they can use to communicate before they talk." (Sneddon 2003). Baby sign has become popular among parents of infants as a means to communicate before the child can verbally express wants and needs. Programs and classes are now becoming available in many areas of the country to help teach parents basic signs to use with their children. This study aimed to assess the impact of baby

sign on motor development in typically developing infants. The study found that the impact of baby sign language on motor development …

Functional Data Analysis To Guide A Conditional Likelihood Regression In A Case-Crossover Study Investigating Whether Social Characteristics Modify The Health Effects Of Air Pollution, Juana Maribel Herrera Hernandez

Open Access Theses & Dissertations

In this study we are focused on exploring whether social characteristics modify the relationship between air pollution and hospitalizations due to asthma or chronic pulmonary obstructive disease (COPD) in El Paso, Tx. The case-crossover design with conditional regression analysis was used, here the controls and the case are the same subject at different

times and has the advantage of removing confounding by permanently confounding factors. Social characteristics are included in the models as interactions with the pollutants, variables included are age, sex, ethnicity and insurance status as indicator for the socio-economic status. The pollutant's lags were chosen using the historical …

The Impact Of Fear Of Falling On Functional Independence, Katherine Aileen Lawson

Open Access Theses & Dissertations

ABSTRACT

Falls are the fifth leading cause of death for persons over the age of 55 (CDC, 2010). However, not all falls result in death. In 2006, 10.5% or 2.1 million visits to the emergency room were the result of older adults falling. Non-fatal falls have long-term effects that impact a person's well-being physically, financially, and emotionally. It is estimated that health care costs of non-fatal falls is expected to reach $54.9 billion by 2020 (Englander, Hodson & Terregrossa, 1996). Intrinsic and extrinsic fall risk factors have been identified for persons over the age of 65. Intrinsic fall risk factors …

Effects Of Augmentative And Alternative Device On Echolalia In Autism, Cynthia Valenzuela

Open Access Theses & Dissertations

This study was a systematic replication of Mueller and Forbes (n.d.), which evaluated the effects of a high-tech and low-tech augmentative alternative communication (AAC) device on reducing echolalia in a verbal child with autism during conversational speech. The participant for this study was a verbal eleven-year male, who was diagnosed with autism prior to the study. A single subject alternating treatment research design was used to evaluate the effect of a high-tech speech generating AAC device (Proloquo2go) on echolalia. The participant was seen periodically twice a week for two months and periodically for one month. A functional analysis(Prizant & Rydell, …

The Role Of A Culturally Appropriate Lifestyle Intervention On Cardiovascular Disease Risk In Hispanic Adults From El Paso, Texas, Julio Ramirez

Open Access Theses & Dissertations

Cardiovascular disease (CVD) has become a worldwide epidemic in the last decade and is the leading cause of death in the U.S. population, including Hispanics. The objective of this study was to conduct secondary data analyses to assess the impact of a lifestyle intervention on clinical and behavioral measures of Hispanic participants. A 16-week culturally appropriate lifestyle intervention was part of the Health Education and Assessment Research Team - H.E.A.R.T. Project, a community-based participatory research that is framed around the socio-ecological approach and employs Community Health Workers (CHW) to address cardiovascular disease risk factors among Hispanics living in El Paso, …

Knowledge, Perceptions, Discrimination, Health Self-Efficacy, And Risky Behaviors For Hiv/Aids And Its Association With Migration Time Among Mixtec And Zapotec Men Who Migrate, 2012, Sandra Iveth Bejarano

Open Access Theses & Dissertations

BACKGROUND AND SIGNIFICANCE: Historically, there has been a transnational migration flow from Mexico to the United States. There are many reasons for which people make the decision to migrate; the most common ones are unemployment and economic hardship. Currently, Oaxaca is considered one of the states with the highest poverty levels in Mexico. As a result of extreme poverty groups of indigenous people, such as Zapotec and Mixtec, are forced to migrate out of their communities in order to find jobs. Migration has been associated with various health outcomes, including diabetes, high blood pressure, and heart disease as well as …

The Mediating Role Of Dietary Patterns On The Relation Between Acculturation, Psychosocial Factors, And Cardiovascular Disease Risk Factors In The U.S. - Mexico Border, Ximena Burgos

Open Access Theses & Dissertations

Chronic diseases affect both, developed and developing countries around the world. In the U.S., cardiovascular diseases (CVD) are the leading cause of death for all groups including Hispanics (Heron, 2009). Hispanics are disproportionally affected by CVD and experience risk factors at higher rates than non-Hispanic whites (Swenson, 2002). Although CVD are among the most expensive and widespread health problems, they are among the most preventable. Evidence shows that diet plays a very important role in the development of chronic diseases; current dietary changes are partially responsible for the increasing epidemic of chronic diseases worldwide. It is well established that the …

Phenomenology Of Blast-Induced Traumatic Brain Injury In Military Personnel, Roxana Enid Delgado

Open Access Theses & Dissertations

Blast-induced traumatic brain injury (TBI) in military personnel may have long-lasting physical, emotional and sociocultural effects. The experiences of living with TBI as a military Service Member wounded during combat operations is not well understood. In this article, we intend to describe the lived experiences of sustaining a TBI and the impact of the injury. The method of inquiry that we selected was transcendental phenomenology, applying Edmund Husserl's principles for the data analysis. The participants were all active duty military personnel, between the ages of 18-45 years old, that were wounded during combat. The findings demonstrated that sustaining a TBI …

The Association Of Vitamin D Status With Allergy And Asthma In Children: Findings From The National Health And Nutrition Examination Survey (Nhanes) 2005-2006, Silvia Flores

Open Access Theses & Dissertations

About 23 million people, including almost 10 million children, have asthma in the United States. Asthma prevalence is higher among families with lower incomes living at the US/ Mexico Border and represents the most common serious chronic diseases of childhood. It is the third-ranking cause of hospitalization among children under 15, (De Frances, 2007) as well as the cause of seven million physician visits and nearly 200,000 hospitalizations every year. An average of one out of every ten school-aged children has asthma and, 13 million school days are missed each year due to asthma symptoms (Akinbami, 2006). According to the …

Cross-Border Mobility, Access To Healthcare Through Health Coverage, And Other Correlates For Utilization Of Healthcare Services Along The U.S.-Mexico Border, Krystal Martinez

Open Access Theses & Dissertations

BACKGROUND: At the national level, Hispanics suffer from poor health coverage. This is amplified in Texas, which has the highest percent (26.3%) of uninsured individuals in the U.S., and further augmented in El Paso, TX. In some border states and counties, barriers to healthcare include medically underserved areas, low-income, and the recent immigration among the Hispanic population. Cross-border mobility has facilitated access to health services in Mexico. Despite this, there remain gaps in understanding utilization of healthcare services among Hispanics in El Paso, TX. AIMS & OBJECTIVES: The aims of this study are to: (1) describe access to healthcare through …

Factors Associated With Consistent Condom Use Among Mixtec And Zapotec Men Who Migrate, Aldo Carrasco

Open Access Theses & Dissertations

Migration has been associated with higher incidence and prevalence of illness among those who migrate when compared to the general population. One of the main concerns when referring to illness among migrant populations is HIV and other STDs. Due to several factors that present to migrant populations they have been found at higher risk for contracting these diseases. Lack of condom use has been found to be a risk factor amongst migrant populations. This study is a secondary data analysis of a previous study performed in California, Chihuahua, and Oaxaca, with Mixtec and Zapotec migrant populations. The purpose of this …

Evaluation Of Language Of Intervention On Expressive-Receptive Lexical Skills For Preschool Bilingual Children, Blanca Estela Cisneros

Open Access Theses & Dissertations

The purpose of the study was to evaluate the expressive-receptive lexical skills gained in bilingual preschool children for both their native language (L1) and second language (L2) when provided a bilingual vocabulary intervention and compared to contrasting monolingual and controlled conditions. This group study assessed four treatment conditions: monolingual English intervention, monolingual Spanish intervention, bilingual English-Spanish intervention, and a controlled intervention condition receiving math instruction. English and Spanish expressive and receptive lexical skills were the dependent variables measured at pretest and posttest. After a brief 4 week intervention block, the bilingual group achieved greater gains in Spanish expressive lexical skills …

The Effect Of Exogenous Leptin On Dendritic Cell Migration And Interactions With T Cells, Amanda L. Gonzales

Open Access Theses & Dissertations

Obesity is a complex, chronic disease that has reached epidemic proportions in the United States and shows no indication of receding. It is a state of chronic low-grade inflammation that is initiated by morphological changes in large accumulations of adipose tissue. Leptin is a pleiotropic hormone secreted by adipose tissue, presenting a possible link between obesity and inflammation. In this study, we assessed the effect of leptin on bone marrow-derived (BM) dendritic cells (DC) (BM-DC) function, antigen presenting cells vital for the activation of naí¯ve T cells. Previous data produced in our laboratory established that the addition of leptin to …

Examining The Effects Of Impression Management And Self-Deception On Self-Reports Of Alcohol Use And Alcohol Related Problems In Hispanic College Students And Municipal Firefighters, Kristen Eileen Hernandez

Open Access Theses & Dissertations

Researchers use survey methods in a variety of settings to assess health behaviors, chronic disease, and other health outcomes. Since most surveys rely on self-report from respondents, prevalence rates have been regarded with criticism on the assumption that some respondents are unwilling to divulge personal information about behaviors due to people's desires to maintain a good impression. Accordingly, the purpose of this study was to assess the extent to which self-reported drinking behavior correlates with measures of two known biases that may affect the validity of such report: Impression management and self-deception. The present study consisted of a secondary analysis …

Deprivation And Hispanic Health Paradox: Neighborhood Effects On Children's Wheezing In El Paso, Texas, Young-An Kim

Open Access Theses & Dissertations

This study examines the impact of hypothetical health determinants - including objective and relative economic deprivation, as well as foreign-born composition -at the neighborhood-level on respiratory wheezing among Hispanic children in El Paso, Texas while accounting for individual-level covariates based on hierarchical logistic modeling (HLM). Due to El Paso's majority Latino/a population, focus is placed on the so-called "Hispanic health paradox" through analysis of the impact of neighborhood foreign-born composition on Hispanic children's wheezing. Neighborhood-level variables at the census tract-level are derived from US Census data. The percent of families in poverty and the GINI coefficient for income (income inequality) …

Benefits Of Baby Sign On Cognitive Development In Infants, Clarissa Navedo

Open Access Theses & Dissertations

Research in the area of baby sign language has increased dramatically over the past several years, however there is still a lack of research regarding baby signs effects on typical infant development, specifically in the area of cognition. The hypothesis of this study was that instruction of baby sign would be correlated with a significant increase in the development of cognition and language acquisition for infant participants. This study provided a five-week instructional course on baby sign for parents/caregivers to implement with their typically developing infants (n=11). The course provided instruction of baby signs, methods of implementation and encouragement to …

Bilingual Adult Nonword Repetition Performance Patterns In English And Spanish, Gabriela Villaneda

Open Access Theses & Dissertations

Nonword repetition (NWR) is known to assess phonological working memory. During NWR, the individual listens to made-up words and repeats them back. This study evaluated NWR performance patterns, and the relationship between NWR and language recall tasks among forty English and Spanish bilingual adults. Bilingual adults' ages ranged from 18-67 years. Four language recall tasks were administered, including NWR tasks (assessed by PPC), language questionnaire to assess participants' language usage in English and Spanish, sentence repetition task (assessed by raw score), and a story retell (assessed by NDW). All recall measures were administered in a counterbalanced manner across English and …