Medicine and Health Sciences Commons^™

Sound Quality Effects Of An Adaptive Nonlinear Frequency Compression Processor With Normal-Hearing And Hearing-Impaired Listeners, Danielle Glista, Marianne Hawkins, Jonathan M. Vaisberg, Nazanin Pourmand, Vijay Parsa, Susan Scollie

Communication Sciences and Disorders Publications

© 2019 American Academy of Audiology. All rights reserved. Background: Frequency lowering (FL) technology offers a means of improving audibility of high-frequency sounds. For some listeners, the benefit of such technology can be accompanied by a perceived degradation in sound quality, depending on the strength of the FL setting. Purpose: The studies presented in this article investigate the effect of a new type of FL signal processing for hearing aids, adaptive nonlinear frequency compression (ANFC), on subjective speech quality. Research Design: Listener ratings of sound quality were collected for speech stimuli processed with systematically varied fitting parameters. Study Sample: Study …

Auditory Brainstem Responses In Children With Auditory Processing Disorder, Sangamanatha Ankmnal-Veeranna, Chris Allan, Prudence Allen

Communication Sciences and Disorders Publications

Background: The ASHA recommends including electrophysiological measures in an auditory processing disorder (APD) assessment battery, but few audiologists do so, potentially because of limited published evidence for its utility. Purpose: This study compared the auditory brainstem responses (ABRs) of children with APD with age-matched children and adults. Study Sample: This study retrospectively examined the records of 108 children suspected of APD (sAPD) who had click-evoked ABRs recorded as part of their clinical assessment. Twenty adults and 22 typically developing (TD) children were recruited as controls. Data collection and Analysis: Click-evoked ABRs were recorded at slow (13.3 clicks/sec) and faster (57.7 …

The Medial Olivocochlear Reflex Is Unlikely To Play A Role In Listening Difficulties In Children, Sriram Boothalingam, Chris Allan, Prudence Allen, David W. Purcell

Communication Sciences and Disorders Publications

The medial olivocochlear reflex (MOCR) has been implicated in several auditory processes. The putative role of the MOCR in improving speech perception in noise is particularly relevant for children who complain of listening difficulties (LiD). The hypothesis that the MOCR may be impaired in individuals with LiD or auditory processing disorder has led to several investigations but without consensus. In two related studies, we compared the MOCR functioning of children with LiD and typically developing (TD) children in the same age range (7–17 years). In Study 1, we investigated ipsilateral, contralateral, and bilateral MOCR using forward-masked click-evoked otoacoustic emissions (CEOAEs; …

Maternal Protein Restriction During Perinatal Life Affects Lung Mechanics And The Surfactant System During Early Postnatal Life In Female Rats., Reza Khazaee, Lynda A Mccaig, Cory Yamashita, Daniel B Hardy, Ruud A W Veldhuizen

Physiology and Pharmacology Publications

Limited information is available on how fetal growth retardation (FGR) affects the lung in the neonatal period in males and females. This led us to test the hypothesis that FGR alters lung mechanics and the surfactant system during the neonatal period. To test this hypothesis a model of FGR was utilized in which pregnant rat dams were fed a low protein diet during both the gestation and lactation period. We subsequently analyzed lung mechanics using a FlexiVent ventilator in male and female pups at postnatal day 7 and 21. Lung lavage material was obtained at postnatal day 1, 7 and …

Developmental Trajectories And Reference Percentiles For The 6-Minute Walk Test For Children With Cerebral Palsy., Alyssa Laforme Fiss, Lynn Jeffries, Kristie Bjornson, Lisa Avery, Steven Hanna, Sarah Westcott Mccoy

Physical Therapy Publications

PURPOSE: The purposes of this study were to document longitudinal developmental trajectories in 6-minute walk test (6MWT) distances and to develop age-specific reference percentiles for children across different Gross Motor Function Classification System (GMFCS) levels.

METHODS: A TOTAL OF: 456 children with cerebral palsy ages 3 to 12 years of, GMFCS levels I to III participated. Children's motor function was classified on the GMFCS, and children completed the 6MWT 2 to 5 times in 2 years.

RESULTS: Longitudinal developmental trajectories support that 6MWT distances increase with age followed by a tapering, as children approach their functional limit relative to their …

Cognition Predicts Mobility Change In Lower Extremity Amputees Between Discharge From Rehabilitation And 4-Month Follow-Up: A Prospective Cohort Study., Susan W. Hunter, Pavlos Bobos, Courtney Frengopoulos, Austin Macpherson, Ricardo Viana, Michael W Payne

Physical Therapy Publications

OBJECTIVES: To assess (1) the effect of task (single and dual task), time (discharge and 4mo), and their interaction for mobility; (2) task prioritization during dual-task testing; and (3) the association between cognition on change in mobility between discharge from rehabilitation and 4 months' follow-up.

DESIGN: Prospective cohort study.

SETTING: Rehabilitation hospital.

PARTICIPANTS: People with lower extremity amputations (N=22) were consecutively recruited at discharge from an inpatient prosthetic rehabilitation program.

INTERVENTIONS: Not applicable.

MAIN OUTCOME MEASURES: Gait velocity and the L Test of Functional Mobility, single and dual task (serial subtractions by 3), were the primary outcomes. Montreal Cognitive Assessment …

Reliability, Validity, And Agreement Of The Short-Form Activities-Specific Balance Confidence Scale In People With Lower Extremity Amputations., Katherine Fuller, Humberto Adolfo Omaña Moreno, Courtney Frengopoulos, Michael W Payne, Ricardo Viana, Susan W. Hunter

Physical Therapy Publications

BACKGROUND: Clinicians use the Activities-specific Balance Confidence Scale to understand balance confidence. A short-form Activities-specific Balance Confidence scale, was developed using the six most difficult tasks from the original Activities-specific Balance Confidence scale; however, short-form the short-form scale psychometrics and agreement with the original scale have yet to be explored in people with lower extremity amputations.

OBJECTIVE: To determine the relative and absolute reliability, construct validity, and agreement of the short-form Activities-specific Balance Confidence scale.

STUDY DESIGN: Test-retest with a 2-week interval.

METHODS: Analysis for relative reliability and internal consistency was intraclass correlation coefficient and Cronbach's

RESULTS: The short-form Activities-specific …

Relationship Between Body Image And Physical Functioning Following Rehabilitation For Lower-Limb Amputation, Jessica Desrochers, Courtney Frengopoulos, Michael W.C. Payne, Ricardo Viana, Susan W. Hunter

Physical Therapy Publications

The aim of the present study was to evaluate change in body image and the association between body image at discharge and mobility 4 months after rehabilitation. A prospective cohort comprising adults older than or equal to 50 years of age undergoing rehabilitation for first major lower-limb amputation at an inpatient prosthetic rehabilitation program were assessed at discharge and 4 months after rehabilitation. Paired t-tests compared total Amputee Body Image Scale (ABIS), gait velocity, and L-test scores between discharge (T1) and 4 months (T2). Multivariable linear regression assessed relationship between ABIS scores and mobility. Nineteen participants completed assessments …

Effect Of Learning To Use A Mobility Aid On Gait And Cognitive Demands In People With Mild To Moderate Alzheimer's Disease: Part Ii - 4-Wheeled Walker., Susan W. Hunter, Alison Divine, Humberto Omana, Walter Wittich, Keith D Hill, Andrew M Johnson, Jeffrey D Holmes

Physical Therapy Publications

BACKGROUND: Cognitive deficits and gait problems are common and progressive in Alzheimer's disease (AD). Prescription of a 4-wheeled walker is a common intervention to improve stability and independence, yet can be associated with an increased falls risk.

OBJECTIVES: 1) To examine changes in spatial-temporal gait parameters while using a 4-wheeled walker under different walking conditions, and 2) to determine the cognitive and gait task costs of walking with the aid in adults with AD and healthy older adults.

METHODS: Twenty participants with AD (age 79.1±7.1 years) and 22 controls (age 68.5±10.7 years) walked using a 4-wheeled walker in a straight …

Physiotherapy Students’ Attitudes Toward Working With People With Dementia: A Cross-Sectional Survey, Susan W. Hunter, Jessica Armstrong, Mark Silva, Alison Devine

Physical Therapy Publications

Aims: To understand personal, educational and clinical experiences and the attitudes of physiotherapy students towards people with dementia.

Methods: Online survey questionnaire. Physiotherapy students in the last year of a two-year Masters of Physical Therapy (MPT) entry-to-practice degree program (n = 59) were surveyed. Descriptive statistics were used to analyze the data.

Results: Fifty-five students participated (93%). The majority of students (n = 52/55, 77%) had at least one clinical placement working with people with dementia. Overall, 53% (n = 29/55) felt their academic training was sufficient to effectively work with people with dementia. Moreover, …

Multimodal Analgesia In Orthopaedic Surgery And Presentation Of A Comprehensive Postoperative Pain Protocol: A Review, Christopher L. Shultz, Benjamin D. Packard, Kathryn C. Helmig, Christopher Kurnik, Benjamin S. Albertson, Nathan E. Huff, Gehron P. Treme

UNM Orthopaedic Research Journal

Rising opioid use in the United States has now been termed an epidemic. Opioid use is associated with considerable morbidity, mortality, and cost to the healthcare system. Orthopaedic surgeons play a key role in the opioid epidemic by prescribing postoperative narcotics. Although our understanding of the quantity of narcotics to prescribe postoperatively for analgesia is progressing, there is still a paucity of data focused on routine postoperative pain protocols. The purpose of this article is to review the current options for both opioid and non-opioid analgesia and put forth a multisubspecialty orthopaedic protocol of postoperative pain. On the basis of …

Letter From The Chief Of The Division Of Physical Therapy, Unm Department Of Orthopaedic Surgery

UNM Orthopaedic Research Journal

No abstract provided.

Recruiting And Retaining People With Disabilities For Qualitative Health Research: Challenges And Solutions, Jennifer R. Banas, Susan Magasi, Kim The, David E. Victorson

Health Sciences and Physical Education Faculty Publications

There are 56.7 million people with disabilities (PWD) living in the United States; yet, PWD are significantly underrepresented in health research. Even when researchers purposively seek to include PWD in studies, challenges emerge related to recruitment and retention, leading to inadequate representation and surface understandings of this population. This in turn contributes to the perpetuation of implicit and explicit health disparities that are already experienced by this population. Grounded within a qualitative, community-based participatory health research framework, we highlight challenges associated with recruiting and retaining PWD in health research, including a critical analysis of the research enterprise structure, how this …

Donut Hole Summer 2019, Medicare Donations & Design Committee

Donut Hole Newsletter

No abstract provided.

Donut Hole Summer 2019, Medicare Donations & Design Committee

Donut Hole Newsletter

No abstract provided.

Usability Engineering Of A Privacy-Aware Compliance Tracking System, Parameswara Reddy Annapureddy

ETD Archive

Software is useful when it is able to provide useful information to the end user with minimum effort. This thesis is about usability improvements to a privacy-aware human motion tracking system for healthcare professionals. The original system has a number of usability issues: (1) Users need to wear a smartwatch, which will be used to connect to the system; (2) Data are stored in XML, comma-separated-value format which is very difficult to analyze; (3) Data are available only at the local computer and there is no easy way to access them remotely via a Web or mobile interface; (4) Analysis …

The Effect Of Electronic Nicotine Delivery Systems On The Vocal Folds, Hilary Gayle Sample

ETD Archive

Electronic Nicotine Delivery Systems (ENDS) are non-combustible tobacco products that are rapidly gaining in popularity worldwide. ENDS are marketed as safer alternatives to cigarettes; however, very little research is available to support or deny these claims. ENDS aerosol is inhaled over the vocal folds and into the lungs consistent with cigarette smoke. The larynx is among the primary locations affected by smoking; therefore, it is necessary to evaluate the effect, if any, of ENDS on the larynx. The goal of the present study was to evaluate the laryngeal appearance and function of seven ENDS users as compared to four cigarette …

The Critical Review Of Overuse Of Medication In The Geriatric Population, Sophia A. Allwood

All Electronic Theses and Dissertations

Background: The overuse of medications is of concern among the geriatric population, especially in various settings including in-home and community-based (assisted living and independent living). This review found that older individuals take nine or more medications daily. The overuse of medications has an increased tendency to cause problems for older patients and creates adverse consequences. The adverse consequences cause problems and injuries, such as broken bones, head trauma, and death. Purpose: The purpose of this critical review of the literature is to investigate the issues related to the overuse of medication in the geriatric population and the negative impact of …

Nutrition Education For The Underserved Youth Within The Greater Twin Cities Area Through The Insports Foundation, Paige D. Deters, Allison Kaper, Maura Romanshek

All Electronic Theses and Dissertations

It has been examined that poor access to nutritious foods and limited opportunities for physical activity is prevalent among children from underserved families. These deficiencies contribute to increasing childhood obesity rates and emphasize the need for early interventions. Establishing nutritional literacy and understanding the importance of an active lifestyle in early childhood can lead to long-term health benefits and reduction in chronic disease later in life (HHS & USDA, 2015; Tsai et al., 2011; Wang et al., 2011). The InSports Foundation serves as a comprehensive non-profit organization that addresses many of these issues by providing children from underserved families with …

Prevalence Of Mental Health Stigma Among Practicing Pas In Regard To Personal Experience And Patient Exposure, Bailey J. Hanson, Allison Hoy, Madeline Lieberson

All Electronic Theses and Dissertations

Stigmatizing attitudes can be destructive to both the emotional and physical wellbeing of individuals living with mental illness. In fact, individuals with a mental illness are more likely to be seen as responsible for their illness and more likely to be falsely accused of a violent crime (Rüsch, Angermeyer, & Corrigan, 2005). Current research on mental health stigma in healthcare has involved a variety of occupations, but published research has yet to examine stigma held by physician assistants (PAs). This research study attempted to answer the following question: What effect, if any, does personal experience with a family member, friend, …

Improvement Academy Annual Report Fy2019, Children's Mercy Kansas City

Improvement Academy Reports and Papers

Children's Mercy Improvement Academy's annual covering the fiscal year 2019 (July 2018-June 2019)

Virginia Dental Journal (Vol. 96, No. 2, 2019)

Virginia Dental Journal

No abstract provided.

Preparation Of A Novel Trifluoroborate Reagent And Initial Investigations Into Its Use In Suzuki-Miyaura Cross-Coupling Reactions., Kangjin Lee, Michael Barbachyn

Summer Research

No abstract provided.

The Role Of Endoplasmic Reticulum Morphology In Protein Trafficking, Katherine Koning, Molly Vander Werp, Laura M. Westrate

Summer Research

Considering the structural diversity of the ER, we aim to establish a quantitative relationship between the complex morphology and protein sorting functions of the ER. We are specifically interested in understanding how proteins move as a function of the ER morphological constraints. In collaboration with the Koslover lab at the University of California San Diego, we aim to use our images to build a quantitative mathematical model describing protein distribution in the ER.

Oral Saline Consumption And The Exercise Pressor Reflex, John J. Del Vecchio, Evan L. Matthews Dr., Peter A. Hosick Dr.

Research Data

The Volume Pilot Study data represents information from participants' health history questionnaire and measurements of changes in blood pressure, heart rate, hemoglobin, hematocrit, serum sodium, and plasma volume during blood draws taken every 30 minutes for 3 hours.

The HG and CPT information was taken in the second part of the study. This data includes participant demographics and various cardiovascular measurements taken during baseline (5min), handgrip exercise (2min), post-exercise ischemia (2min), and recovery (2min). It also includes cardiovascular measurements taken during the cold pressor test which includes baseline (2min), cold pressor test (2min), and recovery (2min)

Role Of Dyslipidemia On Lipid Metabolism In Maintenance Hemodialysis Patients, Eno Latifi

Wayne State University Dissertations

Maintenance hemodialysis (MHD) patients experience various abnormalities such as systemic inflammation (SI), oxidative stress (OS), and dyslipidemia (D). Defined as an imbalance of plasma lipids, lipoproteins, and lipid metabolism enzymes, D has been associated with a rise in morbidity and mortality within ESRD patients due to cardiovascular disease (CVD). However, the contribution of each of these parameters to D is poorly understood; moreover, the impact of the following parameters on dyslipidemia in different ethnicities is unknown. Hence, the objective of this study was to characterize D in a multi-ethnic cohort of ESRD patients. We hypothesized that the degree of dyslipidemia …

Role Of Religion For Christian Couples Who Successfully Cope With Trauma, Bernadette Collins

Graduate Research Theses & Dissertations

Most of the research concerning couples focuses on either couples and trauma or religion and couples. The current research investigated what role religion plays when Christian couples effectively navigated a trauma. Interviews were conducted with five Christian couples who experienced joint trauma more than eight years prior to the study. Interviews of the couples consisted of questions concerning what their trauma was, religious coping strategies utilized during and after their trauma, and the effect religious coping had on the couples’ ability to effectively navigate the traumatic event. Qualitative analysis found several major themes which included meaning making of the traumatic …

Body Image Dissatisfaction And Disordered Eating Behaviors Among Niu Students, Sara Mattillion

Graduate Research Theses & Dissertations

The purpose of this study was to determine if there was a significant difference in the presence of body image dissatisfaction and disordered eating among NIU college students.

The objectives of the study included: determining if there was a significant difference in the presence of body image dissatisfaction among NIU college students, determine if there was a significant difference in the presence of disordered eating among NIU college students, and to determine if there is a relationship between body image dissatisfaction and disordered eating among NIU college students.

The transition into college and graduate school is challenging and can induce …

A Secondary Analysis Of Insurance Claims Data To Determine The Association Between Provider Type And Treatment Escalation In Musculoskeletal Disorders, Brian Anderson

Graduate Research Theses & Dissertations

This research study has two primary objectives: first, to examine the association between provider type, along with a variety of other predictor variables, on treatment escalation in the management of musculoskeletal disorders, and second, to examine the association between provider type, along with a variety of other predictor variables, on the use of opioid medications for musculoskeletal disorders. The methodology used to investigate both objectives involved secondary analysis of an insurance claims database from a privately insured Fortune-500 company in the southwest United States. Given the extreme costs and generally equivocal results of treatment interventions, the aim of this line …

Multiple Dimensions And Correlates Of Fatigue In Individuals On Hemodialysis: A Quantitative Study, Bincy Joshwa

Wayne State University Dissertations

Background: Fatigue is present in individuals on Hemodialysis (HD). Evidence on fatigue in HD are limited by focus on unidimensional aspect of fatigue, flawed unidimensional tools, lack of objective measures, and variability in the correlates of fatigue. Purpose: To examine severity and trajectory pattern of fatigue; delineate influencing physiological and situational factors pre-dialysis and post-dialysis. Theoretical Framework: The Theory of Unpleasant Symptoms was used to guide the study. Methodology: A descriptive, correlational, before-after design was utilized. Measures were Piper Fatigue Scale (PFS)-12, Patient Reported Outcomes Measurement Information Systems (PROMIS)-Fatigue, Charlson Comorbidity Index and six-minute walk test (6MWT). Adults, cognitively intact …