Medicine and Health Sciences Commons^™

How Long Does It Take For A Voice To Become Familiar? Speech Intelligibility And Voice Recognition Are Differentially Sensitive To Voice Training, Emma Holmes, Grace To, Ingrid S. Johnsrude

Communication Sciences and Disorders Publications

When people listen to speech in noisy places, they can understand more words spoken by someone familiar, such as a friend or partner, than someone unfamiliar. Yet we know little about how voice familiarity develops over time. We exposed participants (N = 50) to three voices for different lengths of time (speaking 88, 166, or 478 sentences during familiarization and training). These previously heard voices were recognizable and more intelligible when presented with a competing talker than novel voices—even the voice previously heard for the shortest duration. However, recognition and intelligibility improved at different rates with longer exposures. Whereas recognition …

Implementing Evidence-Based Assessment Practices For The Monitoring Of Spoken Language Outcomes In Children Who Are Deaf Or Hard Of Hearing In A Large Community Program, Barbara Jane Cunningham, Janis Oram Cardy, Olivia Daub University Of Western Ontario

PRECISe Preschool Speech and Language Publications

The purpose of this quality improvement pilot was to evaluate the effectiveness of an online learning module for (a) changing speech-language pathologists’ perceptions about outcome monitoring and assessment protocols for children who are deaf or hard of hearing and (b) supporting speech-language pathologists’ understanding of evidence-based protocols to be implemented in their community-based program. Using principles of integrated knowledge translation and the Ottawa Model of Research Use, an online learning module was designed to support the implementation of evidence-based assessment protocols for these children in a large publicly funded program in Ontario, Canada. A pre–post study was then conducted with …

Developing A Spoken Language Outcome Monitoring Procedure For A Canadian Early Hearing Detection And Intervention Program: Process And Recommendations, Janis Oram Cardy, Olivia Daub University Of Western Ontario

PRECISe Preschool Speech and Language Publications

Abstract

Purpose: Routine spoken language outcome monitoring is one component of Early Hearing Detection and Intervention (EHDI) programs for children who are hard of hearing and learning a spoken language. However, there is no peerreviewed research that documents how spoken language outcome monitoring may be achieved, or what processes EHDI programs can use to develop these procedures. The present article describes the process used by a Canadian EHDI program and the final recommendations that were developed from this process.

Methodology: Through consultation with the program’s stakeholders, consideration of the Joint Committee on Infant Hearing’s recommendations, and drawing on our own …

Exploring Speech And Language Intervention For Preschoolers Who Are Deaf And Hard Of Hearing: A Scoping Review, Janis Oram Cardy, Hillary Ganek

PRECISe Preschool Speech and Language Publications

Purpose: The objective of this study was to summarize the extant literature on the effectiveness of speech and spoken language interventions for young children who are deaf or hard of hearing (DHH) to determine which types of speechlanguage interventions might be most effective, for which hearing levels and types of hearing losses, and at which dosage.

Methods: Using a scoping review methodology, a database search identified 10,360 studies of which 16 met the requirements for inclusion. Data was extracted from each for analysis.

Results: Due to the limited number of studies available, high variability in the nature of the studies, …

Assessing Communicative Participation In Preschool Children With The Focus On The Outcomes Of Communication Under Six: A Scoping Review, Barbara Jane Cunningham, Nancy Thomas-Stonell, Peter Rosenbaum

PRECISe Preschool Speech and Language Publications

Aim: To describe uses of the Focus on the Outcomes of Communication Under Six (FOCUS) in research since its publication in 2010. Method: Six databases were searched for the term ‘Focus on the Outcomes of Communication Under Six’. With additional searches we ascertained 70 articles, of which 25 met inclusion criteria for full review and data extraction. Results: The FOCUS has been used in research across multiple countries, purposes, populations, contexts, and versions. Evaluative studies have described the development of children’s communicative participation skills and factors that impact development of communicative participation; the impact of specific interventions …

The Effect Of Dual-Task Testing On Balance And Gait Performance In Adults With Type 1 Or Type 2 Diabetes Mellitus: A Systematic Review, Humberto Omana, Edward Madou, Manuel Montero-Odasso, Michael Payne, Ricardo Viana, Susan W. Hunter

Physical Therapy Publications

BACKGROUND: Individuals with diabetes mellitus (DM) are susceptible to balance, gait and cognitive impairments. Importantly, diabetes affects executive function, a set of cognitive processes critical to everyday cortical function and mobility. Reduced executive function is a risk factor for falls in people with DM. Dual-task testing, the completion of two tasks at once, enables the examination of the cognitive-mobility relationship. A synthesis of the literature on the effects of dual- task testing on the balance and gait of individuals with DM has not been performed.

OBJECTIVE: To systematically review the literature on the effect of dual-task testing on balance and …

The Effect Of Perturbation-Based Balance Training And Conventional Intensive Balance Training On Reactive Stepping Ability In Individuals With Incomplete Spinal Cord Injury Or Disease: A Randomized Clinical Trial, Janelle Unger, Katherine Chan, Jae W Lee, B Catharine Craven, Avril Mansfield, Mohammad Alavinia, Kei Masani, Kristin E Musselman

Physical Therapy Publications

Introduction: Impaired balance leads to falls in individuals with motor incomplete spinal cord injury or disease (iSCI/D). Reactive stepping is a strategy used to prevent falls and Perturbation-based Balance Training (PBT) can improve this ability.

Objective: The objective of this study was to determine if PBT results in greater improvements in reactive stepping ability than frequency-matched Conventional Intensive Balance Training (CIBT) in adults with iSCI/D.

Design: Randomized clinical trial.

Setting: Tertiary SCI/D rehabilitation center.

Participants: Twenty-one adults with chronic (>1 year) iSCI/D were randomized. Due to one drop out 20 participants completed the study.

Methods: Participants were randomly allocated …

Impacts Of The Pandemic In Nonmetropolitan Nebraska: 2021 Nebraska Rural Poll Results, Rebecca J. Vogt, Heather Akin, Cheryl A. Burkhart-Kriesel, Bradley Lubben, L. J. Mcelravy, Timothy Meyer, Steven A. Schulz

Nebraska Rural Poll

Most rural Nebraskans felt various impacts from the pandemic. While many rural Nebraskans had someone in their household that quarantined because of possible coronavirus exposure or who contracted COVID-19, most have friends or family in their community that quarantined or contracted the virus. Many rural Nebraskans also have friends or family both inside and outside their community who were hospitalized as a result of COVID-19 or who died as a result of it.

Most rural Nebraskans say the following were affected a fair amount or a great deal by the pandemic: their socialization with others, their life overall, and their …

Open Neuroscience Initiative, Austin Lim

College of Science and Health Full Text Publications

The Open Neuroscience Initiative is a free-to-use textbook

This project began as a means to overcoming the financial burden that face undergraduate neuroscience students when buying textbooks. By compiling and writing a completely free-to-access textbook that covers the foundations of a typical college introduction to neuroscience course, students would have one less obstacle to overcome in their educational career, allowing them to focus their valuable time and attention on learning rather than finances. To make this project a reality, I began with a humble tweet in May 2019 that managed to gain a tiny bit of traction among the neuroscience …

Satisfaction Of Telehealth For The 55+ Population, Cynthia Schweizer

Doctor of Nursing Practice Projects

There is a primary care need for the 55+-year-old population related to the increasing aging population, physician shortages, and, more recently, Coronavirus Disease 2019 (COVID-19) to implement Telehealth care. The Telehealth project will include the 55+ population to provide more participants for the project at an internal medicine clinic. Telehealth's contribution and interventions will affect causal factors such as moderating or mediating factors of health problems. Some of those factors include insufficient primary care coverage due to decreasing numbers of primary care providers (PCP), the increasing older population, complex health issues that come with aging, the need for frequent follow-up …

Human Trafficking: Empowering Healthcare Providers And Community Partners As Advocates For Victims, Marielle A. Combs

Doctor of Nursing Practice Projects

Human trafficking (HT) is a public health crisis and the need for education is dire. Healthcare providers lack confidence in victim recognition and aid provision all while encountering victims in their practice. The project leader aimed to empower healthcare providers in recognizing signs of HT and making appropriate referrals. Ten community volunteers, including registered nurses, who assist with a mobile medical unit and spiritual 12-step program, participated in a Human Trafficking 101 training. The application of holistic nursing core principles and Human Caring Science was integrated as vital in victim identification. A pretest posttest design was utilized to administer the …

Donut Hole Summer 2021, Medicare Donations & Design Committee

Donut Hole Newsletter

No abstract provided.

Donut Hole Fall 2021, Medicare Donations & Design Committee

Donut Hole Newsletter

No abstract provided.

Covid-19 Related Physical And Mental Health Stressors In Families Using A Social Determinants Lens., Elizabeth Vasquez, Erin Bell, Melissa Tracy

Understanding and eliminating minority health disparities in a 21st-century pandemic: A White Paper Collection

Racial and ethnic minorities, those of lower socioeconomic status (SES), and older adults have experienced higher rates of infection, severity of illness, and mortality from COVID-19 than other groups. These populations are also disproportionately affected by financial and social disruptions caused by the pandemic, including job loss, reduction in community services, and disconnection from supportive networks critically important for the health and well-being of families. Further, these same populations often live in multi- generational households and rely on a family-dependent caregiver model. The aim of this project is to beta test an online questionnaire to identify individual and household risk …

Covid-19 Mortality In New York City Across Neighborhoods By Race, Ethnicity, And Nativity Status, Samantha Friedman, Tabassum Insaf, Jin-Wook Lee, Temilayo Adeyeye

Understanding and eliminating minority health disparities in a 21st-century pandemic: A White Paper Collection

New York City has lost more lives from COVID-19 than any other American city. Our paper examines variation in COVID-19 deaths across neighborhoods as it relates to the spatial variation in the racial, ethnic, and nativity-status composition of neighborhoods. This topic has received little scholarly attention and is imperative to explore, given the absence of racial and ethnic specific COVID-19 mortality rates by neighborhood. New York City is a racially and ethnically segregated city and a longstanding destination of immigrants, making some neighborhoods more susceptible to greater levels of COVID-19 mortality than others. Using ZCTA-level data on COVID-19 deaths and …

Cervical Collar Clearance: Using Ebp To Decrease Pressure Injuries, Christoph Lecznar

VCU Health Nursing

Purpose: The purpose of this evidence-based practice (EBP) project was to decrease medical device pressure injury (MDPI) related to Cervical Collar (C-collar) clearance in adult blunt trauma patients. PICO: In the adult obtunded blunt trauma patient, should a c-collar be cleared with a negative CT, compared to a negative CT with adjunct imaging to reduce adverse events such as MDRPI?

Background: Our unit observed an incidence in C-collar MDRPI of 3 in 2019 and 3 in 2020 based on the date of the survey. C-collar clearance in the blunt trauma patient is a crucial step to avoid MDRPI. There are …

Cauti: What Are We Testing?, Christoph Lecznar

VCU Health Nursing

Purpose: The purpose of this evidence-based practice (EBP) project was to identify and implement evidence-based practice to reduce Catheter-Associated Urinary Tract Infections (CAUTI).

Background: CAUTIs are deemed never events by Centers for Medicaid and Medicare and are tied to financial reimbursements. CDC states 17-69% of CAUTIs are preventable with recommended infection control measures. UTIs are the most common type of Hospital-acquired infection, with an estimated of occurrence of 9.5% reported by acute care hospitals. Every day a catheter is in place, the risk of CAUTI increases by 3-7%. Current recommendations for reduction in CAUTI rates include educational strategies, catheter avoidance, …

Literature Review: Covid-19'S Impact On Violence, Jean Cheek, Laura Ashworth

VCU Health Nursing

Violence has been exacerbated by the pandemic, resulting in a plethora of research that can be complementary and contradictory. A preliminary thematic literature search was performed using keywords such as human trafficking, IPV, sexual assault, pandemic, covid, and child abuse. This resulted in over 100 articles between 2019 and 2021. The literature review revealed common themes such as pandemics and natural disasters increase the risk for violence in women, children, and marginalized populations. Stay-at-home orders put vulnerable populations in closer proximity to the abuser. A low socioeconomic standing increases the propensity to abuse and be abused. Calls to human trafficking …

Crippling Rapid Evolution Of Metastasis And Drug Resistance In A549 Non-Small Cell Lung Cancer Cells With The Clinically Relevant Hsp90 Inhibitor Auy922, Nickolas Anthony Bacon

Theses, Dissertations and Capstones

The ability for species to evolve new features in response to changing circumstances in order to survive and propagate is a ubiquitous observation on both the macroscopic and microscopic levels of living systems. It should be no surprise, then, that diseases such as cancer utilize their own forms of adaptation to perpetuate themselves when exposed to external threats. Indeed, concepts drawn from Darwinian evolution are now widely accepted to help explain certain aspects of carcinogenesis and malignant progression, the sum of which have come to be known as the theory of tumor evolution. Since metastasis and drug resistance are features …

Virginia Dental Journal (Vol. 98, No. 4, 2021)

Virginia Dental Journal

No abstract provided.

Lay Down Your Arms: Does A Novel Avian Schistosome Cause Swimmer’S Itch?, Nathan Anderson, Randall Dejong

Summer Research

Cercarial dermatitis, or swimmer’s itch (SI), is a highly irritating rash that humans can get after swimming in inland lakes and ponds. The rash is caused by the immune response to certain blood flukes, within the family Schistosomatidae, penetrating and dying within the skin. Earlier this year, researchers announced the discovery of a new avian schistosome that might also contribute to the SI nuisance. The schistosome, hereafter referred to as HAS (Helisoma Avian Schistosome), was discovered in a Helisoma snail and later in the fecal matter of a Canada goose. To test human reactivity to HAS, we designed three experiments …

Environmental Contaminants And Bacterial Infection During Pregnancy: Pilot Study Of Pregnant Murine Co-Exposure To Trichloroethylene (Tce) And Group B Streptococcus (Gbs), Eleanor Scheeres, Emily Schellenboom, Sean Harris, Erica Boldenow

Summer Research

• TCE is a volatile organic solvent used in industrial processes and a known human carcinogen.
• GBS is a common bacteria in the vaginal flora but can lead to complications such as preterm birth during pregnancy.
• Co-treatment (GBS+DCVC) in placental membranes lead to inhibition of pathogen stimulated cytokine secretion
• We hypothesized that along with cytokine secretion, GBS+DCVC co-exposure would have impacts on MMP-9 (a protein involved in gestational membrane degradation) 4 and prostaglandin E2 (a hormone involved in cervical ripening and labor induction) 5, two important proteins in pregnancy and labor

Covid-19 Worship Study: Survey Of American Churches’ Adaptations To The Needs Presented By The Covid-19 Pandemic, Christina Romano, Kelly Dubois, Erica Boldenow

Summer Research

No abstract provided.

Low-Dose Computed Tomography & Lung Cancer Screening, Brandon Kessler

Medical Imaging Senior Posters

Lung cancer is the most common cancer in the world, and could have devastating effects to one’s health if not caught early enough. In order to combat this, the implementation of low-dose computed tomography (LDCT) lung cancer screenings can be used to help detect the cancer early. Questionnaires are used in order to determine if people are high-risk for developing lung cancer and qualify for this scan. Physicians have been reported to believe in these screenings and feel they help improve survival rates and early diagnosis of lung cancer. Although there are many positives with LDCT, there are also some …

Doubly Burdened: Race-Ethnic Disparities In The Effects Of Covid-19 And Covid-19 Mitigation Strategies, Ashley Fox, Yongjin Choi

Understanding and eliminating minority health disparities in a 21st-century pandemic: A White Paper Collection

Black and Hispanic populations across New York State and around the United States have been disproportionately impacted by COVID-19 both in terms of COVID-19 associated morbidity and mortality but also bearing a larger burden of the economic impacts. Race-ethnic minorities also experience more longstanding and justified distrust of the medical community, which could serve to prolong the pandemic effects in the most vulnerable communities by contributing to reduced vaccine uptake. This paper reports the results of a survey fielded in November 2020 with an oversampling of Non-Hispanic Black and Hispanic respondents across New York State concerning the impacts of the …

An Emergent Legionnaires' Disease Syndemic: Water Supply Systems, Infrastructural Violence, And Afflicted Lives In The South Bronx, Ny, Eduardo Piqueiras

Wayne State University Dissertations

This dissertation examines how contemporary approaches to Legionnaires’ disease (LD) narrowly view it as a biomedical entity that obscures critical moral, temporal, and contextual dimensions creating gaps in how LD “cases” are defined and mitigated. Those who receive an LD diagnosis experience many unique challenges (e.g., personal, existential, community-based, and environmental) yet little is known about how this group of individuals experience recovery and attach meaning to their individual experiences. Using an anthropological lens of illness and recovery and a syndemics view of infrastructural violence this study examines those inadequately addressed multiple dimensions which limit our ability to confront the …

Exploring The Association Of Health Belief And Spiritual Coping With The Use Of Complementary Medicine By Parents Of Children And Adolescents With Cancer In Saudi Arabia, Logayn Hussamaldin

Wayne State University Dissertations

ABSTRACTExploring the Association of Health Belief and Spiritual Coping with the Use of Complementary Medicine by Parents of Children and Adolescents with Cancer in Saudi Arabia

byLOGAYN HUSSAMALDIN 2021 Advisor: Hossein N. Yarandi Major: Nursing Degree: Doctor of Philosophy Complementary and alternative medicine (CAM) is a term applied to treatments that are not part of conventional medicine, and in some cases, they may be used instead of conventional medicine. One national study and several international studies have identified the frequency of CM use in pediatric populations. The overall frequency of CM use among children in Saudi Arabia reached 87.8%-95% in …

Alterations In Gene Expression Of Renin-Angiotensin System Components And Related Proteins In Colorectal Cancer, Danial Mehranfard, Gabriela Perez, Andres Rodriguez, Julia M. Ladna, Christopher T. Neagra, Benjamin Goldstein, Timothy Carroll, Alice Tran, Malav Trivedi, Robert C. Speth

HPD Articles

MATERIALS AND METHODS: Quantitative expression of the RNA of these 17 genes in normal and cancerous tissues obtained using chip arrays from the public functional genomics data repository, Gene Expression Omnibus (GEO) application, was compared statistically. RESULTS: Expression of four genes, (angiotensinogen), (aminopeptidase A) (neprilysin), and (prolyl endopeptidase), was significantly upregulated in CRC specimens. Expression of (renin), (thimet oligopeptidase), (neurolysin), (prolyl carboxypeptidase), (aminopeptidase N), and (Mas receptor) was downregulated in CRC specimens. CONCLUSIONS: Presuming gene expression parallel protein expression, these results suggest that increased production of the angiotensinogen precursor of angiotensin (ANG) peptides, with the reduction of the enzymes that …

A Solution For Breaking The Impasse Of Burnout Measurement, Renzo Bianchi, Irvin Sam Schonfeld

Publications and Research

In view of the profound problems affecting burnout’s conceptualization and measurement and because there is now robust evidence that burnout is a depressive condition, we recommend that occupational health specialists shift their focus from burnout to depression. A measure of job-related depressive symptoms, the Occupational Depression Inventory (ODI), has recently been developed. Advantageously, the ODI resolves many of the persistent problems linked to burnout while being consistent with burnout researchers’ original aim of assessing a work-attributed form of distress. The ODI includes a diagnostic algorithm that allows investigators to estimate the prevalence of depressive disorders that individuals specifically ascribe to …

Shu Altop News Issue #2, Spring, Dr. Susan L. Davis, Rn & Richard J. Henley College Of Nursing

News, Magazines and Reports

Updates from the Davis & Henley College of Nursing Sacred Heart University Alternatives to Opioids for Pain Grant.

Alternatives to Opioids for Pain (ALTOP) is a HRSA funded project to help combat the opioid epidemic in Connecticut.