Digital Commons Network^™

Non-Tnfi Biologic And Targeted Synthetic Dmards In Rheumatoid Arthritis-Associated Interstitial Lung Disease: A Comparative, Propensity Score-Matched Study Using National Veterans Affairs Data, Halie E. Frideres

Capstone Experience: Master of Public Health

Background/Objectives: There is a paucity of evidence on the safety and effectiveness of non- TNFi biologic therapies in RA-ILD, this study aimed to compare treatment outcomes in RA-ILD between rituximab, abatacept, IL-6i, and JAKi using the Target Trial Emulation Framework.

Methods: We emulated 3 trials comparing abatacept, IL-6i, and JAKi with rituximab (reference). Patients fulfilling validated RA-ILD algorithms initiating one of these non-TNFi b/tsDMARDs were propensity score (PS)-matched (1:1) using national Veterans Affairs (VA) data from 2006 to 2020. PS models included demographics, comorbidities, general health status indicators, and RA- and ILD-related severity measures. Study outcomes were death and respiratory-related …

A Medical Perspective On Policy Prohibiting Gender-Affirming Care For Missouri Minors: A Policy Review, Hayley Lange

Capstone Experience: Master of Public Health

The Save Adolescents from Experimentation (SAFE) Act is a law enacted in August of 2023 that bans gender-affirming medical care for individuals under eighteen years old in Missouri and states any medical provider who gives medical gender-affirming care to a minor will have their professional medical license revoked. The impact of medical professionals withholding proven gender-affirming care is a clear concern for the medical community, advocates, and other care professionals.
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/="/">PURPOSE: The purpose of this policy review is to compare the content of the Missouri Save Adolescents from Experimentation (SAFE) Act with states with similar policies and standard-of-care …

Evaluating The Association Of Influenza Vaccination On Long-Term Covid-19 Symptoms In U.S. Adults, Ratnakar Pingili

Capstone Experience: Master of Public Health

Objective. To evaluate the association of influenza vaccination in the past 12 months with Long COVID effects and clinical and sociodemographic factors.

Methods. Cross-sectional study with data from the 2022 Behavioral Risk Factor Surveillance System (BRFSS), covering 415,132 non-institutionalized U.S. adults with a confirmed COVID-19 diagnosis and influenza vaccination reported within the last 12 months. Logistic regression was conducted between influenza vaccination (exposure) and Long COVID (outcome), controlling for demographic variables, pre-existing health conditions, and socioeconomic status.

Results. Of 120,603 participants, 21.89% reported Long COVID symptoms and 42.04% had received an influenza vaccine. Findings indicate a statistically significant 13% reduction …

Association Between Depression And Coronary Heart Disease: A Cross-Sectional Study Using Behavioral Risk Factor Surveillance System (Brfss), 2022, Juliana Monono

Capstone Experience: Master of Public Health

Objectives: To examine the association of depression and coronary heart disease in U.S. adults.

Methods: This cross-sectional study uses the Behavioral Risk Factor Surveillance System (BRFSS), 2022 data for non-institutionalized U.S adults aged 18 and older. The exposure variable is depression, the outcome is coronary heart disease (CHD), and covariates are age, race, education, and physical activity. Performed univariate, bivariate, and multivariate analyses to assess the association between depression and CHD.

Results: The analytical sample size consisted of 427,217 individuals. A total of 88,841(20.7%) of the population reported having coronary heart disease, while 338,376(70.3%) reported having no …

Association Between Long Covid-19 And Insurance Status Using The Behavioral Risk Factor Surveillance System (2022), Elizabeth E. Osbourn

Capstone Experience: Master of Public Health

Objective. To determine if insurance status can directly predict self-diagnosed Long COVID and what sociodemographic factors are significantly associated with a self-diagnosis of Long COVID among those who tested positive for COVID-19.

Methods. This cross-sectional study uses data from the 2022 Behavioral Risk Factor Surveillance System to conduct a multivariate logistic regression model analysis. Out of 445,132 participants, 110,402 participants were identified to be used in this study.

Results. After testing positive for COVID-19, 21.7% of individuals were self-diagnosed with Long COVID. After controlling for confounders, insurance status wasn't significant (p-value: 0.8458). However, in crude analysis, individuals with Medicaid (cPOR:1.44; …

Exploring The Impact Of A History Of Depression On Physical Activity In The United States: A Cross-Sectional Study, Behavioral Risk Factor Surveillance System (Brfss), 2022, Maxime Kwizera

Capstone Experience: Master of Public Health

Objective: To determine the association between a history of depression and engagement in physical activity among U.S. adults.

Method: Data were from the 2022 Behavioral Risk Factor Surveillance System survey (N=441,348). Univariate and bivariate analyses were performed to determine the distribution of sample characteristics and crude prevalence odds ratios. Weighted multivariate logistic regression stratified by age group assessed the relationship between physical activity engagement and covariates.

Results: In our sample, 20.63% had a history of depression, and 23.89% of adults reported not exercising within the past 30 days. Adults with a history of depression had 1.42 times the odds …

Reynolds Revisited: The Original Meaning Of Reynolds V. United States And Free Exercise After Fulton, Clark B. Lombardi

Articles

This Article calls for a profound reevaluation of the stories that are being told today about the Supreme Court’s free exercise jurisprudence starting with the Court’s seminal 1879 decision in Reynolds v. United States and proceeding up to the present day. Scholars and judges today agree that the Supreme Court in Reynolds interpreted the Free Exercise Clause of the First Amendment to protect only religious belief and not religiously motivated action. All casebooks today embrace this interpretation of the case, and the Supreme Court has regularly endorsed it over the past twenty years, most recently in 2022. However, this Article …

Sexism, Religion, And Politics: An Examination Of Rape Myth Acceptance, Danielle E. Wetuski

All Dissertations

The literature is inconclusive about the relationship between religion, politics, sexism, rape myth acceptance, and the behavioral implications of the latter. Therefore, the goal of this study was to develop an understanding of the relationship between religion, political affiliation, sexism, and rape myth acceptance. The study utilized primary data collection through surveys of youth using MTurk. The survey involved the administration of the Faith Activities Scale, Moral Foundations Scale, Religious Fundamentalism Scale, Modern Sexism Scale, Ambivalent Sexism Scale, Gender Stereotypes Scale, and the Gender Inclusive Rape Myth Acceptance Scale. Data were analyzed through structural equation modeling to indicate which political …

Clinical Differences In Isolated Post-Capillary Pulmonary Hypertension And Combined Pre- And Postcapillary Pulmonary Hypertension, Emily Schneider, Bhavinkumar D. Dalal

Posters

PULMONARY HYPERTENSION (PH) = RESTING MEAN PULMONARY ARTERY PRESSURE (MPAP) > 20 MMHG.

The World Health Organization recognizes five groups of pulmonary hypertensions:

• • Estimated that > 50% of patients with left heart disease are also affected by pulmonary hypertension.1
• 1 in 4 Americans will develop heart failure in their lifetime.
• Gold standard for diagnosis of PH is a right heart catheterization (RHC).3
• Global burden of PH remains unknown as this illness is poorly surveilled and cases remain underestimated.4,5

Hay: A Hedonic Study, Chester R. Broadbent

All Graduate Reports and Creative Projects, Fall 2023 to Present

Hedonic price theory posits that the price of a product is influenced by the values consumers assign to its individual attributes. Hay is a versatile commodity with variation across several attributes helping to cater to diverse needs of consumers. A detailed analysis using hedonic regression techniques within hay pricing can help producers, stakeholders, and educators more fully understand the marginal values consumers place on diverse hay attributes. Previous studies focused on limited scopes within the hay industry or other sectors, allowing room for broader investigation. This study examines qualitative attributes impacting hay pricing, revealing significant influences from factors like location, …

A Comprehensive Examination Of Age-Related Lower Limb Muscle Function Asymmetries Across A Variety Of Muscle Contraction Types, Kylee Heap

All Graduate Reports and Creative Projects, Fall 2023 to Present

Previous research has found that lower limb muscle asymmetries increase with age and are linked to fall and injury risks. However, past studies lacked a wide variety of muscle function modes and measures as well as comparison to a comparable young aged group. The purpose of this study was to examine age-related lower limb muscle function asymmetries across a variety of muscle contraction types and velocities in young and old adults. Lower limb muscle balance, strength, power, and velocity were evaluated with concentric, isometric, isotonic, and eccentric muscle actions during a single-leg stance test and on single- and multi-joint dynamometers …

Elementary Science Essential Elements Curriculum Map & Progress Monitoring With Evidence-Based Teaching Strategies, Tasha Jenkins

All Graduate Reports and Creative Projects, Fall 2023 to Present

Little research has explored the field of science instruction tailored to students with significant disabilities. However, research studies have begun to emerge that suggest, with specific instructional strategies, these students can be successful in learning science curriculum. This project evaluated literature to find evidence-based instructional strategies for teaching science to students with significant cognitive disabilities. Six strategies were consistently found across multiple studies. The six strategies include (1) time delay, (2) systematic instruction, (3) multiple exemplar training, (4) task analysis, (5) graphic organizers, and (6) guided inquiry-based learning. These strategies were shared with a team of nine special education teachers …

Characterization Of Carbonaceous Fault Rocks, Pioneer Fault Zone, South-Central Idaho, Genna Baldassarre

All Graduate Reports and Creative Projects, Fall 2023 to Present

Differing crystallinities of carbonaceous material are common in fault rocks across a range of geologic settings and spatial scales and may provide constraints on strain rate, the nature of fault slip, fluid-rock interactions, and temperature variations over the earthquake cycle. The Pioneer fault at Little Fall Creek in south-central Idaho provides an excellent opportunity to study nanostructure changes of carbonaceous matter as a function of fault deformation. At this location, the Pioneer Fault exhibits a well-defined principal slip zone (PSZ) composed of multi-layered white siliceous mineralization and black carbon to graphite with a continuously exposed adjacent damage zone that includes …

Evaluating The Intersection Of Continuous Growth And Assessment In The Field Of English As A Second Language, Madison Johnson

All Graduate Reports and Creative Projects, Fall 2023 to Present

This teaching portfolio contains a compilation of the author’s personal teaching experiences and research interests while in the Master of Second Language Teaching (MSLT) program at Utah State University (USU). The sections of this portfolio highlight collaboration with current USU professors in the field of teaching English as a second language and the author’s personal experiences working in a second-grade elementary school classroom as well as teaching English in a community education setting. Much of the mentioned research focuses on the subfield of second language assessment. This is an area of interest to the author as an area for personal …

The Function Of Humility In St. Teresa Of Avila's Autobiography: A Literature Review, Jennifer Sanchez

All Graduate Reports and Creative Projects, Fall 2023 to Present

In the Carmelite nun St. Teresa of Ávila’s (1515-1582) autobiography, The Life of Saint Teresa of Ávila by Herself (1588), the author repeatedly asserts her unworthiness. Contemporary scholarship has explored the function of Teresa’s rhetoric of humility in this text. Scholars from the 1990s have largely argued that Teresa’s humility is a carefully crafted, defensive method to meet the demands of the patriarchal culture in which she wrote. Twenty-first-century scholars take a (slightly) different approach. To them, Teresa’s humility is not solely rhetorical; they suggest that Teresa’s humility is also a consequence and tool of her spiritual journey. In this …

Teleios, Sandra Edwards

All Graduate Reports and Creative Projects, Fall 2023 to Present

This thesis is a collection of poetry that mixes formal and free verse in order to convey the speaker’s spiritual journey in content as well as form. The work introduces a speaker who is deeply religious and who expresses her spirituality in the form of formal poetry such as sonnets as she adheres to certain principles of faith. The use of form in the thesis represents her adherence to those principles, while breaking form is symbolic of her breaking away from those principles. Through the work, the speaker experiences a shift from frustration with the world and its apparent obfuscation …

Efficacy Of Depth Jump Parameters As A Recovery Monitoring Tool, Lane Johnson

All Graduate Reports and Creative Projects, Fall 2023 to Present

Background: Fatigue monitoring is an important aspect for athletic coaches to monitor the level of readiness of an athlete. Monitoring of an athlete’s fatigue status helps identify the need to adjust one’s training program, identify injury risk, and help attain an athlete’s peak performance when it is most advantageous for them. More research is warranted that examines the effects of a comprehensive set of jump parameters to track recovery from muscle impairing exercise. This study focused on the onset of muscle soreness through eccentric resistance exercise. Purpose: The purpose of this project was to examine the efficacy of force plate …

Using The History Of Statistics To Teach Introductory Statistics, Melissa Hansen

All Graduate Reports and Creative Projects, Fall 2023 to Present

While often taught in high school and required as part of a college degree, statistics classes are sometimes viewed by students as an obstacle rather than a support for their overall goals. One way to increase student engagement in a statistics course is to use the history of statistics. Within the literature review, the advantages to using the history of statistics are discussed as well as the more extensive research on using the history of mathematics in mathematics courses. Included are instructional strategies for using the context around the development of mathematical ideas in math classrooms which can be extended …

Tasks For Learning Trigonometry, Sydnee Andreasen

All Graduate Reports and Creative Projects, Fall 2023 to Present

Many studies have been done using task-based learning within different mathematics courses. Within the field of trigonometry, task-based learning is lacking. The following research aimed to create engaging, mathematically rich tasks that meet the standards for the current trigonometry course at Utah State University and align with the State of Utah Core Standards for 7th through 12th grades. Four lessons were selected and developed based on the alignment of standards, the relevance to the remainder of the trigonometry course, and the relevance to courses beyond trigonometry. The four lessons that were chosen and developed were related to trigonometric ratios, graphing …

Examining The Effects Of Sketch And Speak Intervention On Expository Discourse Utilizing Salt’S Ess For Adolescents With Language-Related Learning Disabilities, Camryn Lettich

All Graduate Reports and Creative Projects, Fall 2023 to Present

Purpose: The purpose of the current study was twofold: (a) to determine the distal effects of Sketch and Speak intervention on the use of taught note-taking strategies on a distal standardized expository task for adolescents with LLD when compared to pre-treatment; and (b) to determine the effect of Sketch and Speak intervention on the quality of oral performance on that distal expository task for adolescents with LLD when compared to pre-treatment. Oral rehearsal was not a formal research question, but independent use of this taught strategy was also examined. Method: Planning notes and oral explanations were obtained as …

Building And Using A Hydrology Experiment For Place-Based Learning With Native American Students, Michaela Shallue

All Graduate Theses and Dissertations, Fall 2023 to Present

Geoscience has a known diversity problem, specifically a participation gap of ethnic minority representation, and it is especially severe regarding Native American representation. To address this participation gap, an identity gap needs to be addressed first. Native students need to visualize themselves as geoscientists before they can commit to geoscience programs and careers. This project uses a hands-on, place-based learning activity as an opportunity for Native students to better see themselves as geoscientists.

A portable rainfall simulator was constructed, calibrated, and refined for use in teaching concepts about rainfall, runoff, and erosion. It was employed in place-based learning exercises with …

Comparison Of Private And Public Lab Fertilizer Recommendation Impacts On Field Crop Production And Soil Test Results, Megan Baker

All Graduate Theses and Dissertations, Fall 2023 to Present

There are many sources that farmers utilize to determine fertilizer needs for crops such as private and public labs, crop advisors, and fertilizer dealers. In many cases, these sources provide recommendations for a specific crop that can vary greatly, which can lead to large differences in cost. An experiment was established in 2021 with 12 sites across the state of Utah in alfalfa, small grains, and corn to test and compare fertilizer recommendations from five labs. The recommendations tested were from two public labs (Utah State University and the University of Idaho) and three commercial labs located in the Western …

The Relationship Between Blame, Maladaptive Guilt/ Shame, Couple Communication, And Relationship Satisfaction In Pornography Users, Joshua K. Otani

All Graduate Theses and Dissertations, Fall 2023 to Present

In this master’s thesis, I conducted a quantitative study using data from 190 individuals in a committed couple relationship where at least one partner is dealing with problematic pornography use to better understand the relationship of blame and maladaptive guilt/ shame with couple communication patterns and couple satisfaction. All 190 individuals independently completed an online anonymous questionnaire consisting of various quantitative assessments measuring my study variables (e.g., blame, maladaptive guilt/ shame, couple communication, couple satisfaction, problematic pornography use).

I used an individual data analysis to examine how study variables related to individual outcomes. The first analysis revealed that general blame …

Channel Response To Flow Augmentation: Diamond Fork River, Ut, Diane E. Wagner

All Graduate Theses and Dissertations, Fall 2023 to Present

A river’s physical features and channel dimensions are determined by the water and sediment supplied to it. The Diamond Fork River, located in central Utah—received large trans-basin diversion flows from 1915-2003, providing an exceptional opportunity to explore the response of a river to a large increase in flow.

Our project goals were to describe 1) channel response to this large and long artificial flow augmentation and 2) how the channel recovered after the removal of the diversion flows. The objective of this thesis is to document the channel condition throughout the 20^th century to present day as a basis …

Do Poor Countries Catch Up To Rich Countries? Structural Change In The World-Economy, 1816-1916, Jared Walker

All Graduate Theses and Dissertations, Fall 2023 to Present

Do poor countries catch up to rich countries? To answer that question, countries were divided into upper class (core), middle class (semi-periphery), and lower class (periphery) based on degree of industrialization as indicated by primary energy consumption data. Findings indicated twenty-three upward transitions and five downward transitions during the period examined. Asymmetrical upward mobility was understood in the context of geographic expansion of the system. This sufficiently increased the population of the lower class (periphery) to support larger populations in the middle class (semi-periphery) and upper class (core). Nevertheless, probability analysis indicated a stable system characterized by high levels of …

The Effects Of Ammonia On The Functionality Of Bovine Granulosa Cells, Micah Henrie

All Graduate Theses and Dissertations, Fall 2023 to Present

It is common practice in the livestock animal production industries to feed high levels of protein to maximize the yield of each animal in production. However, diets high in protein can cause decreased reproductive success within these animals. The causes behind this decrease are not fully understood. Increased dietary protein leads to increased levels of both ammonia and urea in the blood of the animal. These increased metabolite levels may be a possible explanation for the decline in reproductive success. The goal of this study is to identify how various levels of ammonia affect the function of bovine granulosa cells …

Development And Testing Of An 8-Bit Digitally Throttled Hybrid Rocket Motor, Trevor W. Coombs

All Graduate Theses and Dissertations, Fall 2023 to Present

Hybrid rocket motors that use a solid fuel grain and liquid oxidizer are low-cost and safer alternatives to traditional rocket motors. Another benefit of hybrid rocket motors is that during a burn, the amount of oxidizer into the combustion chamber can be changed, this capability is called throttling. To take advantage of the throttling ability of hybrid rocket motors, a throttling valve made up of 8 individually controlled valves is designed, developed, and tested, which is documented in this thesis. The results of the testing campaign show that the 8-bit digital throttling valve technology is an effective throttling technology and …

Teaching Function-Based Assessment And Intervention Skills To Behavior Support Staff Using An Interactive Computer Training, Megan E. Graul

All Graduate Theses and Dissertations, Fall 2023 to Present

Behavior support staff (BSS), including paraprofessionals, behavior technicians, and other entry-level school staff that support students with challenging behavior, play an essential role in public education settings, especially in special education classrooms. With the increasing number of students requiring intensive behavioral supports, it is imperative to identify cost-efficient strategies to provide adequate training to expand the behavioral skills of these individuals. For instance, training BSS to implement empirically supported behavioral strategies, such as functional behavior assessment and function-based intervention selection, may have benefits for both staff and students alike. Therefore, the purpose of this project was to develop an interactive …

The Effects Of Aboveground Herbivory On Root Traits And Root Decomposition, Emily A. Chavez

All Graduate Theses and Dissertations, Fall 2023 to Present

Soil holds more carbon (C) than the Earth's atmosphere and vegetation combined. Soil loses carbon through soil respiration and releases CO₂ from the soil. The soil respiration rate can vary based on the chemistry of the plant litter inputs and physical factors, such as soil temperature and nutrient content. In Alaska's Yukon-Kuskokwim (YK) Delta, grazing by geese affects the chemistry of plants and the soil's physical qualities, thus altering the rate of soil respiration. Although we know that goose herbivory leads to changes in the rate of soil respiration, we know very little about how goose herbivory affects the …

Field Flow Measurements For Pipe Installations With Non-Ideal Conditions, Jake Douglas

All Graduate Theses and Dissertations, Fall 2023 to Present

Accurate flow measurement data is necessary to effectively manage water resources. The purpose of this research is to investigate options to improve field flow measurement by investigating alternatives for calibrating flow meters installed in non-ideal piping. Typically, to accurately measure a flow rate using most types of flow meters, it is recommended that a straight section of pipe be installed immediately upstream and downstream of the flow meter to avoid flow fluctuations at the meter location. However, in many cases, flow disturbances upstream of the meter are unavoidable.

The performance of field flow measurements in non-ideal piping scenarios were studied …