Digital Commons Network^™

Understanding Primary Care Physician Perspectives On The Diagnosis And Management Of Non-Alcoholic Fatty Liver Disease: A Qualitative Study, Natalia I Heredia, Jemima C John, Sonia Singh, Jessica P Hwang, Larkin L Strong, Maya Balakrishnan, Lorna H Mcneill

Faculty, Staff and Students Publications

Primary care physicians (PCPs) are well suited to manage patients with non-alcoholic fatty liver disease (NAFLD), but the limited, existing research suggests inadequate knowledge about the natural history, diagnostic methods, and management of NAFLD. The purpose of this qualitative study is to further understand the knowledge and practices for the diagnosis and management of NAFLD among PCPs. We conducted in-depth interviews with PCPs in the Greater Houston area, addressing current clinical practices used for diagnosing and managing NAFLD, as well as the perceptions of the PCPs regarding the burden of NAFLD on patients. We recorded interviews, transcribed them, coded transcripts, …

Applications In Harnessing The Power Of Behavioral Nudge Theory, Ayesha Tasnim

Agribusiness and Applied Economics

This research encompasses two experimental studies aimed at exploring the potential of behavioral nudges to instigate positive change. The first experiment evaluates the use of visual cues, such as posters and footprints, to nudge individuals towards choosing stairs over elevators, promoting physical activity. The second delves into the psychological impact of personalized praise on college students' motivation, efficacy, and confidence, correlating these factors with academic performance. By integrating quantitative and qualitative research methods, the studies intend to assess the effectiveness of these behavioral nudges in directing behavior toward desirable outcomes. Contributing to the expanding discourse on behavioral economics and nudge …

Federal And State Management Of Reservoir Recreation, Md Mahadi Hasan

Agribusiness and Applied Economics

Reservoirs serve multiple purposes, including recreation, flood control, and hydroelectricity production. In the United States, these reservoirs are typically managed by federal or state agencies. This thesis assesses the effectiveness of federal versus state management in enhancing the recreational use of these reservoirs. The study utilized panel data from 85 reservoirs across the United States, spanning from 2014 to 2021 and including 680 observations. The analysis focused on comparing visitation rates under different management regimes. The central finding of this study is that the type of management agency, whether federal or state, does not significantly affect visitation rates. However, factors …

Training, Practice, And Career Considerations In Forensic Psychology: Results From A Field Survey Of Clinical And Non-Clinical Professionals In The United States, Casey Laduke, David Dematteo, Eve M. Brank, Antoinette Kavanaugh

Publications and Research

The current field survey describes the identities, training, practices, and careers of 351 U.S. forensic psychologists. Findings are presented for clinical forensic psychologists (n = 323) with additional consideration for those working in institutions (n = 119), private practice (n = 107), or both (n = 90), and separately for non-clinical forensic psychologists (n = 35). The sample was predominantly middle-aged, White, and female. Participants reported various training paths to the field, and professional settings and activities in the field. Student loan debt was common and significant in clinical Forensic psychologists. Income was generally high, …

Prosocial Behavior And Workplace Safety: Analysis Of The Role Of Emotional Intelligence And Perceived Organizational Support In Two Uk And Us Samples, Giacomo Moserle, Giulia Foti, Georgia Libera Finstad, Andrea Bazzoli, Matteo Curcuruto, Jim Morgan

Publications and Research

Prosocial safety behavior (PSB) is a critical element of workforce participation in the promotion of safety in the workplace. This study aims to examine the influence of various antecedents on PSB. Based on an analysis of the existing literature on prosocial behaviors, we investigate whether emotional intelligence (EI) and perceived organizational support (POS) significantly influence PSB. Furthermore, we analyze the mediating role of employees’ intrinsic motivation (IM) and affective commitment (AC) in these relationships. The research was conducted by administering an online questionnaire to a large sample of 488 workers employed in safety-critical industries based in the United States and …

Engaging Sexual Minority Adolescents In Nationwide At-Home Hiv Prevention Research In The U.S, Ali J. Talan, Carly Wolfer, Nicola Tavella, Cynthia Cabral, Ricardo Despradel, H. Jonathon Rendina

Publications and Research

Objectives: This study examined research-related privacy and confidentiality concerns among adolescent sexual minority males (ASMM) and provides lessons learned to inform recruitment and enrollment strategies for this population.

Methods: Participants were a 2017-2018 internet-based U.S. national sample of sexual minority adolescents who responded to self-report measures of privacy and confidentiality concerns. Results: Bivariate chi-square tests were used to identify participants’ mean differences in worry and likelihood of privacy breach occurrences. Many participants reported privacy-related concerns within remote HIV prevention research.

Conclusions: Study protocols were designed to ensure participants felt safe participating in online HIV prevention research. However, there are challenges …

A Definition Of A Heywood Case In Item Response Theory Based On Fisher Information, Jay Verkuilen, Peter J. Johnson

Publications and Research

Heywood cases and other improper solutions occur frequently in latent variable models, e.g., factor analysis, item response theory, latent class analysis, multilevel models, or structural equation models, all of which are models with response variables taken from an exponential family. They have important consequences for scoring with the latent variable model and are indicative of issues in a model, such as poor identification or model misspecification. In the context of the 2PL and 3PL models in IRT, they are more frequently known as Guttman items and are identified by having a discrimination parameter that is deemed excessively large. Other IRT …

A Tai Chi And Qigong Mind-Body Program For Low Back Pain: A Virtually Delivered Randomized Control Trial, Yang Yang, Sydne Mccluskey, Mohamad Bydon, Jaspal Ricky Singh, Robert D. Sheeler, Karim Rizwan Nathani, Ana C. Krieger, Neel D. Mehta, Joshua Weaver, Libin Jia, Sharo Decelle, Robert C. Schlagal, Jay Ayar, Sahar Abduljawad, Steven D. Stovitz, Ravindra Ganesh, Jay Verkuilen, Kenneth A. Knapp, Lin Yang, Roger Härtl

Publications and Research

Background: Mind-body treatments have the potential to manage pain, yet their effectiveness when delivered online for the treatment of low back pain (LBP) is unknown. We sought to evaluate whether a virtually delivered mind-body program integrating tai chi, qigong, and meditation (VDTQM) is effective for treating LBP.

Methods: This randomized controlled trial compared VDTQM (n=175) to waitlist control (n=175). Eligible participants were at least 18 years old, had LBP for at least 6 weeks, were not pregnant, had not previously taken tai chi classes, and had not undergone spine surgery within 6 months. The treatment group received a 12-week VDTQM …

Sociodemographic Correlates Of Low Health Literacy Skills Among Cancer Survivors: National Findings From Brfss 2016 And Implications For Precision Survivorship Care, Qi Chen, John Moore, Lailea Noel, Kirk Von Sternberg, Barbara Jones

Publications and Research

Purpose: This study aimed to explore associations of sociodemographic factors with difficulties in three health literacy (HL) skills and the severity of low HL skills.

Design: Cross-sectional secondary data analysis. Subjects: Data came from 17,834 adults who responded to the HL module with a response rate of 47% in the 2016 Behavioral Risk Factor Surveillance System.

Measures: Independent variables included sex, age, race/ethnicity, education, employment and income. Dependent variables are three HL skills: obtaining, understanding oral, and understanding written health information.

Analysis: We conducted weighted Chi-square tests and multinominal logistic regressions.

Results: Cancer survivors younger than 65 (aged 18-39: AOR=4.46, …

Physical Violence And Aggression In Parkinson's Disease: A Systematic Review, Melissa B Jones, Lakeshia Gibson, Malena Gimenez-Zapiola, Ana Guerra, Gursimrat Bhatti, Dakota Broadway, Juliann Tea, Aksa Prasad, Rachel Gates, Elizabeth Hinton, Ricardo E Jorge, Laura Marsh

Faculty, Staff and Students Publications

Background: Physical violence and aggression (PVA), defined as behaviors with the potential to cause bodily injury, are unfortunate risks in the management of all-cause neurodegenerative dementias. While dementia in Parkinson's disease (PD) may not be evident for many years after clinical onset, neuropsychiatric disturbances occur at all stages of the disease. At issue is whether PVA in PD is associated with clinical factors that can be targets for prevention and management in the absence of a prevailing dementia syndrome.

Objective: This systematic review examined the extent to which PVA in PD without dementia is a clinically significant concern and whether …

Sharing Stories Of Hope And Transformation In U.S. Higher Education: An Ereader By Portland State University Students, Óscar Fernández, David Peterson Del Mar

PDXOpen: Open Educational Resources

This eReader showcases stories of hope and transformation written by diverse students enrolled in University Studies courses at Portland State University. The goal is to motivate first-year and transfer students to see that, in higher education, they are not alone in their personal, familial, and academic struggles—and personal, familial, and educational achievements.

Raps Sheet, January 2024, Retirement Association Of Portland State

RAPS Sheet: Monthly Newsletter

No abstract provided.

Patient Perspectives On Chronic Rhinosinusitis In Cystic Fibrosis: Symptom Prioritization In The Era Of Highly Effective Modulator Therapy, Christine Liu, Ethan J. Han, Jakob L. Fischer, Jess C. Mace, Jose L. Mattos, Karolin Markarian, Jeremiah Alt, Todd Bodner, Naweed I. Chowdhury, Multiple Additional Authors

Psychology Faculty Publications and Presentations

Background

Chronic rhinosinusitis (CRS) is common in people with cystic fibrosis (PwCF). Rhinologic symptom prioritization and areas that influence CRS treatment choices, including pursuing endoscopic sinus surgery (ESS), remain understudied.

Methods

Adult PwCF + CRS were enrolled at eight centers into a prospective, observational study (2019–2023). Participants were administered the 22-SinoNasal Outcome Test (SNOT-22) survey and a modified SNOT-22 instrument examining symptom importance. We determined importance rankings for individual symptoms and SNOT-22 symptom importance subdomains in two sets of subgroups—those pursuing ESS versus continuing medical management (CMT), and those on elexacaftor/tezacaftor/ivacaftor (ETI) versus not on ETI.

Results

Among 69 participants, …

Welcoming 2024: Supporting Students' Well-Being, Eric A Storch, Rick Yang

Faculty, Staff and Students Publications

No abstract provided.

Fight, Flight, Freeze: How Access To Support Shapes Tenant Responses To Eviction In Multnomah County, Natalie J. Cholula, Lisa K. Bates, Alex Farrington, Marisa Zapata, Colleen Carroll, Jacen Greene, Hadley Bates

Urban Studies and Planning Faculty Publications and Presentations

Facing eviction is a traumatic event that forces tenants into a fight, flight or freeze response. Our focus groups with Multnomah County tenants reveal that their responses to eviction are directly shaped by their access to support. Many tenants are unable to access formal support and therefore respond to eviction by freezing up or fleeing their home. Conversely, tenants who can access formal support—including rental assistance or legal assistance—exhibit a fight response, leveraging external support to challenge or avoid their eviction.

Shame And History, Bennett B. Gilbert

University Studies Faculty Publications and Presentations

If history—our past, the sum of our thoughts, passions, and deeds—is so pervasive, influential, and meaningful, why then do we lose sight of it? Why do we not gain good values from it? And if it is part of our existential core, why then do we so often fail to ravel it into our deliberations?

I propose that very often and to a great degree it is shame that separates us from history. Shame: garrulous, compulsive, intense, omnivorous. A shamed person pushes away the experiences that shame her, thus cutting off the past.

Subito 2024, Portland State University. School Of Music & Theater

Subito: Student Voices from Portland State University School of Music & Theater

Issue 7, Spring 2024

The central theme for this year's journal is the body and wellness of the musician. The journal also includes a faculty spotlight with School of Music & Theater Director of the Coordinate Movement Program Lisa Marsh, research articles, an album review and so much more!

Impacts Of Sex Work Criminalization On Sex Workers In Oregon: A Pilot Study, Stephanie Wahab, Katie Shammel

School of Social Work Faculty Publications and Presentations

Executive Summary

Context for the Study
In July, 2023, Oregon legislators voted to fund research exploring the impacts of the criminalization of sex work in Oregon. Unfortunately, the Governor vetoed the budget item, stating that the private sector should fund this type of public health research and noting the need for additional public discussion about the issue. To date, there have been no attempts to study the impacts of prostitution laws on the people most impacted by them in Oregon. The research presented in this report seeks to address this gap.

This qualitative pilot study was designed to better understand …

Including Voices And Mitigating Bias: Evaluative Practices For Final Interviews, Xan Arch, José Velazco

Library Faculty and Staff Publications and Presentations

The chapter discusses the preparation of non-search committee members to participate in an interview process and provide feedback on candidates. Increasingly, as our institutions strive for more inclusive search processes, we are incorporating equitable hiring practices such as implicit bias training for search committee members, rubrics for evaluating candidate applications, and behavior-based interview questions. However, for final interviews, we often throw the door open for general evaluation of candidates by a broad group of people who agree to attend a meeting, presentation, or meal. The feedback we gain from these final interview events may truly be germane to the candidates’ …

Looking At The Past To Change The Future: Showcasing Featured Collections, Building Communities, And Co-Creating, Sherry Buchanan

Library Faculty and Staff Publications and Presentations

Academic libraries have the opportunity and the responsibility to promote and advance content that creates transformative and iterative learning opportunities. To that end, and in an effort to build communities and facilitate co-creation, Portland State University showcases three main Featured Collections in our open access repository, PDXScholar: Climate Justice, COVID-19, and Racial and Gender Equity, with a fourth pilot collection—Student Work: An Open Showcase of Outstanding Student-Created Research & Creative Work—under development. The collections include a broad range of audiovisual materials, such as podcasts and webinar series, as well as sustainability and equity work, student-created content, and numerous future-focused multidisciplinary …

A Profile Of Freshman Inquiry Students Fall 2024, Rowanna L. Carpenter

University Studies Assessment Research

In order to better understand the students enrolled in Freshman Inquiry (FRINQ) courses and identify areas where they may need support, University Studies (UNST) began collecting and compiling data on these students. This report presents a profile of FRINQ students from Fall 2024. It presents an overview of all students enrolled in FRINQ during Fall 2024 and then summarizes information from the Prior Learning Survey.

Developmental Change In English-Learning Children’S Interpretations Of Salient Pitch Contours In Word Learning, Carolyn M. Quam, Daniel Swingley

Speech and Hearing Sciences Faculty Publications and Presentations

To efficiently recognize words, children learning an intonational language like English should avoid interpreting pitch-contour variation as signaling lexical contrast, despite the relevance of pitch at other levels of structure. Thus far, the developmental time-course with which English-learning children rule out pitch as a contrastive feature has been incompletely characterized. Prior studies have tested diverse lexical contrasts and have not tested beyond 30 months. To specify the developmental trajectory over a broader age range, we extended a prior study (Quam & Swingley, 2010), in which 30-month-olds and adults disregarded pitch changes, but attended to vowel changes, in newly learned words. …

The Intrusive State: Restrictions On Gender-Affirming Healthcare For Minors, Exceptions To The Doctrine Of Parental Consent, And Reliance On Science And Medical Expertise, Lois A. Weithorn

Faculty Scholarship

The provision of gender-affirming medical care to transgender or gender diverse (“TGD”) youth is currently the subject of substantial controversy despite an overwhelming consensus in the healthcare community as to the safety and potential benefits of recommended treatments. Much of the debate is fueled by misinformation and inaccurate characterization of research and practice. Against this backdrop, twenty-three states enacted restrictions or complete prohibitions on access to gender-affirming medical care for adolescents between 2021 and the time of this writing in early 2024. The policies typically place healthcare practitioners who provide such services at risk of license revocation. Some statutes create …

“Legally Magic” Words: An Empirical Study Of The Accessibility Of Fifth Amendment Rights, Kate Weisburd, Roseanna Sommers

Faculty Scholarship

Fifth Amendment case law (including Miranda v. Arizona) requires that individuals assert their right to counsel or silence using “explicit,” “clear,” and “unambiguous” statements—or, as some dissenting judges have lamented, using “legally magic” words. Through a survey of 1,718 members of the U.S. public, we investigate what ordinary people believe it takes to assert the right to counsel and the right to silence. We then compare their perceptions against prevailing legal standards governing invocation.

With respect to the right to counsel, the survey results indicate that members of the public have a uniformly lower threshold for invocation than do courts. …

Mass Surveillance As Racialized Control, Prithika Balakrishnan

Faculty Scholarship

This Article examines how the expanded use of pretrial GPS surveillance is radically changing the presumption of innocence by implicating punitive measures absent constitutional protections and amplifying the racial disparities in our criminal justice system. Largely viewed as a substitution for physical detention and therefore a less onerous intrusion on a defendant’s liberty, pretrial GPS surveillance erodes fundamental liberties under the guise of criminal justice regulation. These highly racialized but invisible repercussions include harms to physical and psychological health, freedom of movement, privacy, and future economic self-determination. I argue that, in light of these substantial harms, courts must examine how …

Case Rounds Redefined: Multidisciplinary Perspectives In Reflective Practice, Nira Geevargis

Faculty Scholarship

This article describes the rounds process used in clinic and externship seminars and considers how adjustments to the structure can address different needs or goals. The authors draw on teaching methods found in similar professional education programs to identify options for faculty facilitating rounds. Ultimately, the authors use externship rounds to highlight lawyering skills, including developing curiosity, withholding judgment, and generating options. The authors posit that rounds facilitate deeper self-reflection and foster a sense of community by encouraging law students to work collaboratively to consider lessons learned in fieldwork. The rounds structure overview can be assigned to students before class …

Disability, Race, And Health Beyond The Carceral State, Benjamin Barsky, Craig Konnoth, Michael A. Stein

Faculty Scholarship

No abstract provided.

Internet Drug Prohibition And The Opioid Overdose Crisis, Benjamin Barsky

Faculty Scholarship

The Ryan Haight Online Pharmacy Consumer Protection Act (Ryan Haight Act) prohibits controlled substance tele-prescribing when it occurs without a preliminary in-person medical evaluation. This Article details the Ryan Haight Act’s consequences for the practice of telemedicine in general and opioid addiction treatment in particular. In doing so, it builds on literature exploring the tension between the federal criminal regulation of controlled substance prescribing and the management of large-scale public health crises, particularly the opioid overdose crisis.

By restricting the tele-prescription of certain controlled substances used for opioid addiction treatment, the Ryan Haight Act limits access to care for a …

Psychic Income & Democratized Investing, Abraham J.B. Cable

Faculty Scholarship

No abstract provided.

Hierarchies Of Discrimination In Baby Making? A Response To Professor Carroll, Radhika Rao

Faculty Scholarship

No abstract provided.