Medicine and Health Sciences Commons^™

Stillbirth: A Phenomenological Exploration Of The Clinical Encounter For Couples, Michael Q. King

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

With approximately 65 stillbirths occurring each day in the United States, a significant number of parents are left to navigate a difficult grieving process. An event like stillbirth presents many individual and relational challenges. For this study, researchers focused on the hospital experience for couples following notification of stillbirth. Interviews were held with 8 couples that had experienced stillbirth within the past 10 years. Researchers wanted to know what similarities and differences existed in how mothers and fathers described the clinical encounter.

The data for this study were collected through interviews. Couples were encouraged to share as much or as …

Contributors To Wisconsin’S Persistent Black-White Gap In Life Expectancy, Max T. Roberts

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

For decades, blacks have faced shorter life expectancy than their white counterparts. This persistent disparity has led to a gap in life expectancy between the two groups. Nationally, this gap has decreased over the last 40 years. However, this is not the case at the state-level as some states have experienced little or no improvement in the life expectancy gap. Such is the case in Wisconsin, where the life expectancy gap is the largest in the nation for males, and the gap actually has grown for females over the last two decades. This study seeks to examine this persistent gap …

Development Of An Animal Model For Enterovirus For Evaluation D68 For Screening Of Antiviral Therapies, W. Joseph Evans

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Enterovirus D68 (EV-D68) virus has become more prevalent over the last 15 to 20 years. EV-D68 attacks the respiratory system and can cause severe disease in individuals who have underlying respiratory problems. There have also been reports of individuals with EV-D68 showing signs of neurological system problems and acute flaccid paralysis. Because of the increase in patients with EV-D68 and also the potential for neurological disease, an animal model is needed to study the disease and to evaluate experimental therapies for EV-D68 infection.

To develop the animal model, 4-week old AG129 mice that lack alpha and beta interferon receptors, making …

Emotional Experience During Couple Support Interactions: The Role Of Attachment Anxiety And Avoidance, E. Megan Lachmar

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

The Marriage and Family Therapy clinic at Utah State University conducted a study called the Relationship Checkup in which couple data was collected in an initial 2-hour session and feedback was provided for them in a follow-up 1-hour session. This checkup included completing self-report surveys, having an in-person interview, as well as couple interactions. The current study was carried out within the context of this broader relationship checkup, focusing on the couple support interactions, in which partners discussed a personal issue they would like to change about themselves.

Although a substantial amount of attention has been given to the role …

Some Permanent Hearing Loss Is Missed When "Switched Ear" Passes Are Used To Determine Screening Results, Beverly G. Lim, Maria Perez-Abalo, Jillian Gerstenberger, Shauna Morales Flowers

Journal of Early Hearing Detection and Intervention

A common practice in Universal Newborn Hearing Screen (UNHS) programs is rolling up non-simultaneous passing results in each ear (SW_EAR) from repeat automated screens into a bilateral pass. This study aims to provide evidence-based criteria for best practices regarding SW_EAR screens. From January 2010 to May 2013, infants with SW_EARs results were prospectively monitored by MEDNAX-Pediatrix’s nationwide UNHS program, which combine inpatient/outpatient screens utilizing automated auditory brainstem response (AABR). The tracked audiologic evaluations of 16,129 refer infants (2,334 due to SW_EAR) out of the total infant population screened (2,492,314) were analyzed retrospectively. A high proportion of hearing loss (354/2334, 15%) …

Measuring Nurses' Knowledge And Understanding Of Universal Newborn Hearing Screenings, Caitlyn Roberts, Alisha L. Jones

Journal of Early Hearing Detection and Intervention

The present study was conducted to investigate the knowledge and understanding of Universal Newborn Hearing Screening (UNHS) in nursing professionals. A group of 15 adult, licensed nurses with varied professional experience participated in the study. Participants completed both objective and subjective measurements to evaluate their current knowledge of training procedures. A free online UNHS training program offered through the National Center for Hearing Assessment and Management (NCHAM) served as both the objective measure and training module. Participants completed pre- and post-surveys as the subjective measure of their UNHS training. Results of these surveys were compared across the participants to determine …

Parental Satisfaction And Objective Test Measurements Associated With Post-Partum Versus Nursery Newborn Hearing Screening, Jennifer E. Bentley, Wenyang Mao, Wendy Timpson, Jane Stewart

Journal of Early Hearing Detection and Intervention

Beth Israel Deaconess Medical Center (BIDMC; Boston, MA) initiated a change to the newborn hearing screening program in 2013 to encourage increased parental presence at the time of screening and support a more family centered hospital environment. Newborn hearing screening program technicians were encouraged to conduct all hearing screens in the parent’s post-partum rooms instead of in the nursery. To measure the effect of this change on the families and screening measures, satisfaction surveys and retrospective data was collected over a 2 year period and compared. Newborn hearing screening program technicians and mother-baby nursing staff were surveyed to determine influence …

Scheduling Hearing Appointments Prior To Hospital Discharge Improves Follow-Up After Failed Newborn Screening, Tri Tran, Lili Schindelar, Terri Ibieta, Jeanette Webb, Wendy Jumonville, Melinda Peat, Susan Berry

Journal of Early Hearing Detection and Intervention

The study aimed to identify if there was a relationship between a follow-up hearing appointment scheduled prior to hospital discharge (hospital scheduled appointment) and follow-up status, including loss to follow-up or loss to documentation (LTF/LTD); early follow-up initiation; and early completion of audiological diagnosis. The study included 4,597 children who were born between January 2015 and June 2016 in Louisiana birthing hospitals and failed newborn hearing screening (NHS) prior to hospital discharge. Of the study population, 56.1% of children were scheduled for a follow-up hearing appointment prior to hospital discharge. Among children without a hospital scheduled appointment, the rate of …

Are Audiologists Directly Referring Children With Hearing Loss To Early Intervention?, Natalie Loyola, Bridget Shanahan, Cailin Shanahan, Kosuke Kawai, Derek J. Stiles

Journal of Early Hearing Detection and Intervention

This article describes the ways that pediatric audiologists are directing infants into Early Intervention, and the related barriers and facilitators. Over one hundred pediatric audiologists responded to an online survey including questions on how audiologists provide direct and indirect referrals to Early Intervention for those infants that are diagnosed with hearing loss. Most respondents agreed that audiologists are the best person to provide this referral, but many audiologists did not make the direct referral. Barriers to direct referral included time constraints and resistance from parents. Opportunities identified to improve referral included online referral systems and national guidelines for what qualifies …

Effectiveness Of Dexmedetomidine For Sedation In Auditory Brainstem Response Testing, Laura Sherry, Eric Levey, Carolyn Gillen, Joseph P. Pillion

Journal of Early Hearing Detection and Intervention

Sedation is widely used for auditory brainstem response (ABR) testing for infants or young children who are unable to sleep or remain adequately quiet for testing. Because chloral hydrate is no longer readily available, dexmedetomidine has been proposed as an alternative medicinal agent to achieve moderate levels of sedation without risk of respiratory depression. The purpose of the study was to assess the effectiveness of dexmedetomidine in terms of the completeness of the audiologic data obtained in achieving moderate levels of sedation for auditory brainstem response testing. A retrospective chart review was conducted on ninety-nine patients at Kennedy Krieger Institute. …

Using Data To Improve Services For Infants With Hearing Loss: Linking Newborn Hearing Screening Records With Early Intervention Records, Maria Gonzalez, Lori Iarossi, Yan Wu, Ying Huang, Kirsten Siegenthaler

Journal of Early Hearing Detection and Intervention

The purpose of this study was to match records of infants with permanent hearing loss from the New York Early Hearing Detection and Intervention Information System (NYEHDI-IS) to records of infants with permanent hearing loss receiving early intervention services from the New York State Early Intervention Program (NYSEIP) to identify areas in the state where hearing screening, diagnostic evaluations and referrals to the NYSEIP were not being made or documented in a timely manner. Data from 2014-2016 NYEHDI-IS and NYEIS information systems were matched using The Link King. There were 274 infants documented in NYEIS Information System as receiving early …

Linkage, Whole Genome Sequence, And Biological Data Implicate Variants In Rab10 In Alzheimer’S Disease Resilience, Perry G. Ridge, Celeste M. Karch, Simon Hsu, Ivan Arano, Craig C. Teerlink, Mark T. W. Ebbert, Josue D. Gonzalez Murcia, James M. Farnham, Anna R. Damato, Mariet Allen, Xue Wang, Oscar Harari, Victoria M. Fernandez, Rita Guerreiro, Jose Bras, John Hardy, Ronald G. Munger, Maria Norton, Celeste Sassi, Andrew Singleton, Steven G. Younkin, Dennis W. Dickson, Todd E. Golde, Nathan D. Price, Nilüfer Ertekin-Taner, Carlos Cruchaga, Alison M. Goate, Chris D. Corcoran, Joann T. Tschanz, Lisa A. Cannon-Albright, John S. Kauwe, Alzheimer’S Disease Neuroimaging Initative

Nutrition, Dietetics, and Food Sciences Faculty Publications

Background

While age and the APOE ε4 allele are major risk factors for Alzheimer’s disease (AD), a small percentage of individuals with these risk factors exhibit AD resilience by living well beyond 75 years of age without any clinical symptoms of cognitive decline.

Methods

We used over 200 “AD resilient” individuals and an innovative, pedigree-based approach to identify genetic variants that segregate with AD resilience. First, we performed linkage analyses in pedigrees with resilient individuals and a statistical excess of AD deaths. Second, we used whole genome sequences to identify candidate SNPs in significant linkage regions. Third, we replicated SNPs …

Mnemonic Mechanisms For Making Memories, Thayne L. Sweeten

Journal on Empowering Teaching Excellence

In many classes, students are faced with the daunting task of remembering a lot of terms or structures in a relatively short period of time. Though there is much to memorize, students may not be aware of the many mnemonic mechanisms that can help them make quick and lasting memories. This article describes three such mechanisms: word associations, visual images, and stories. Examples of how these mechanisms can be applied, either individually or in combination, are provided in the context of teaching human anatomy. Whether used by teacher or student, these mechanisms can be incorporated into a class, providing fun …

Rock Climbing And Acute Emotion Regulation In Patients With Major Depressive Disorder In The Context Of A Psychological Inpatient Treatment: A Controlled Pilot Trial, Maria Kleinstäuber, Merle Reuter, Norbert Doll, Andreas J. Fallgatter

Psychology Faculty Publications

Background: Major depressive disorder is characterized by deficits in emotion regulation. This study examined associations between rock climbing and acute emotion regulating effects in patients with major depression. Patients and methods: In a nonrandomized, controlled study, 40 major depressive disorder inpatients were assigned to either a climbing session (n=20) or a relaxation session (n=20). Positive and negative affect, depressiveness, and coping emotions were assessed immediately before and after the session. Results: Mixed analyses of variance and covariance revealed significant time × group interaction effects for all assessed outcomes (p≤0.012): positive affect and coping emotions significantly increased and negative affect and …

Strength-Based Physiological Profiles Of Ncaa Division I Womens Basketball And Gymnastics Athletes: Implications For Injury Risk Assessment, Curtis Cazier

All Graduate Plan B and other Reports, Spring 1920 to Spring 2023

The purpose of this study was to provide a comprehensive strength-based physiological profile of women’s collegiate basketball and gymnastic athletes; and to make sport-specific comparisons for various isokinetic and maximal and rapid isometric strength characteristics of the knee flexor and extensor muscles. A focus on antagonist muscle balance (hamstrings to quadriceps ratios, H:Q) will help elucidate particular vulnerabilities in these at-risk female athletes. Fourteen Division I collegiate level women’s basketball and 13 women’s gymnastics athletes performed isokinetic and isometric strength testing of the knee extensors and flexors. Outcome measures included absolute and body mass normalized (relative) isokinetic and isometric peak …

Comparison Of Chikungunya Virus Strains In Disease Severity And Susceptibility To T-705 (Favipiravir), In Vitro And In Vivo, Makda Gebre

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Chikungunya is a mosquito-transmitted disease caused by Chikungunya virus (CHIKV). Symptoms of Chikungunya include debilitating joint pain and swelling, fever and rash. CHIKV was first discovered in 1953 in Tanzania, and has since caused periodic outbreaks of disease. The virus reemerged recently in 2004 and has since spread around the world affecting more than 3 million people. The different strains of CHIKV have been grouped into three phylogenetic clades: West African, Asian and East/Central/South African (ECSA). There are no FDA approved medicines or vaccines used to treat or prevent CHIKV infection. The antiviral drug, T-705 (commercially known as Favipiravir), has …

Implementing A Two Class System For Monitoring Risk Indicators For Delayed-Onset Hearing Loss, Jessica Renee Stich-Hennen, Gabriel Anne Bargen

Journal of Early Hearing Detection and Intervention

Purpose: This manuscript discusses the importance of establishing risk indicator monitoring guidelines for state Early Hearing Detection and Intervention programs.

Method: Idaho Sound Beginnings (ISB) implemented a guideline which divided risk indicators associated with delayed-onset hearing loss into two classes (Class A and Class B). From 2012-2013, the incidence of delayed-onset hearing loss in the presence of Class A and Class B risk indicators were evaluated. For Class B risk indicators, ototoxic medication exposure and family history were analyzed.

Results: Of the 10,634 infants born, 1,175 were found to have passed the newborn hearing screening and have at least one …

Hearing And Vision Screening In Pediatric Primary Care And The Sharing Of Results With Early Care And Education Programs, Susan J. Macary, Lisa Honigfeld, Margaret W. Berry, Dorothy B. Wakefield

Journal of Early Hearing Detection and Intervention

This study explores the extent to which pediatric primary care (PPC) providers share hearing and vision screening results with early care and education (ECE) programs and report being unable to assess hearing and vision among pre-kindergarten children. Reports of hearing and vision screening are assessed to explore whether national support for early hearing detection and intervention has similarly promoted vision screening in PPC. We evaluated the reporting of hearing and vision screening data from 4,119 Early Childhood Health Assessment records, which were obtained from licensed ECE programs in Connecticut. Records were stratified by age group into younger or older per …

Information Given To Parents Of Neonatal-Intensive Care Unit Graduates On Hearing, Cydney E. Gehring, Alisha L. Jones

Journal of Early Hearing Detection and Intervention

Preterm infants and neonatal intensive care unit (NICU) graduates are more likely to have risk factors associated with hearing loss than their full-term, healthy peers, making them more prone to experience hearing loss (Behrman & Butler, 2007). This study examined information presented to parents during and after the newborn hearing screening (NBHS). A 22 question survey was posted on NICU and preemie support websites for parents to access and participate in anonymously. Results of the survey were analyzed for respondents indicating that their child was born in the year 2007 to the present. Thirty-nine percent of responding parents were unaware …

Audiology Students’ Perception Of Hybrid Simulation Experiences: Qualitative Evaluation Of Debriefing Sessions, Ahmad A. Alanazi, Nannette Nicholson, Samuel R. Atcherson, Clifford A. Franklin, Naveen K. Nagaraj, Michael Anders, Laura Smith-Olinde

Journal of Early Hearing Detection and Intervention

Simulation-based research is still new in the audiology field and requires more research to better understand students’ perspectives on standardized patients/parents (SPs) and manikins use. There is also limited research about debriefing practices in audiology. This qualitative study used a baby simulator and SPs to evaluate audiology students’ reflection during three debriefing sessions conducted at the University of Arkansas for Medical Science (UAMS) Simulation Center. Seventeen Doctor of Audiology (AuD) students participated in the simulation event, and the data were collected using the transcripts of videotaped debriefing sessions. The qualitative content analysis of the transcripts revealed eight sub-themes: support, compassion, …

Changes In Creep Behaviour And Microstructure Of Model Mozzarella Cheese During Working, Prateek Sharma, Peter A. Munro, Graeme Gillies, Peter G. Wiles, Tzvetelin T. Dessev

Nutrition, Dietetics, and Food Sciences Faculty Publications

The effect of shear work input on the microstructure, fat particle size and creep behavior of model Mozzarella type cheeses was studied. Cheese samples were prepared in a twin screw cooker at 70 °C by mixing protein and fat phases together with different amounts of shear work input. Major changes in cheese structure were observed while working at 150 rpm and 250 rpm screw speeds. Confocal microstructures plus macroscopic observations showed systematic changes in structure with increased shear work inputs with unmixed buttery liquid observed at kg−1, typical Mozzarella type microstructures (elongated fat-serum channels) at 6–15 kJ kg−1 and homogeneously …

Long-Term Trajectories Of Subjectively-And Polysomnographically-Assessed Sleep Patterns As Predictors Of Neuroendocrine Dysfunction And Weight Gain In Adults., Eric Reither

Funded Research Records

No abstract provided.

Comparison Of Land And Aquatic Loaded Countermovement Jump Landings In Female Ncaa Division I Collegiate Athletes, Samantha L. Nielson

All Graduate Plan B and other Reports, Spring 1920 to Spring 2023

The purpose of this study was to investigate alterations in lower extremity kinematics during the landing phase of a countermovement jump when performed in different environments and under multiple external loads. Twenty-four NCAA Divison I collegiate female athletes performed 12 countermovement jumps on land and 12 jumps in water, submerged to the xiphoid process, for a total of 24 jumps. Within each environmental condition, four loading conditions of three jumps each were performed using a weighted vest: Unloaded, 10%, 20%, or 30% of body mass. The hip, knee, and ankle angles were measured as the smallest angles between the major …

Evaluation Of Long-Term Effects Of Mild Traumatic Brain Injury On Visual Motor Control Of Ncaa Division I Football Athletes, Kathryn Delost

All Graduate Plan B and other Reports, Spring 1920 to Spring 2023

Context: Current concussion evaluation assessments rely largely on static measures that may not detect subtle changes in behavior. Dynamic evaluation, such as visual-motor tracking tasks, may reveal subtle and meaningful changes in motor behavior post-concussion. Objective: This study compared measurements of performance regularity over a time series (approximate entropy; ApEn), which was derived from a visual-motor tracking task performed before concussion, post concussion, and at one month, three months, and six months post concussion. ApEn values were compared for number of previous concussions and playing position groups. Design: ApEn values were collected from the visual-motor tracking task, and history of …

Training Parents In Descriptive Assessment And Function Identification, Makenzie Sip

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

It is often difficult for parents to address their child’s problem behavior. Children with special needs can display more frequent and intense problem behavior. Therefore, professionals need to help parents of children with special needs identify how to decrease their child’s problem behavior. Professionals help to decrease problem behavior by performing assessments called descriptive assessments to identify why the problem behavior is happening, and then using these assessments to create an appropriate plan of how to prevent and respond to the problem behavior. We examined if parents could be taught the skills necessary to perform descriptive assessments and then use …

Pitch Perception In Preschool-Age Children Who Are Deaf Or Hard Of Hearing, Megan Lambert

All Graduate Plan B and other Reports, Spring 1920 to Spring 2023

This research thesis will 1) provide an overview of the psychoacoustics of music perception, particularly as related to the properties of pitch perception in young children and 2) describe the methods and outcomes of an exploratory study to evaluate the efficacy of obtaining pitch perception data from preschool age children with hearing loss. Each child completed a series of three tasks, including coaching and practice, single note perception, and pitch contrasts. All of the children readily understood the single-note pitch perception task. Pitch contrast performance across participants ranged from 50% to 96% correct for the first data collection period and …

Physico-Chemical And Microbiological Quality Changes In Cocoa And Whey Protein Enriched Functional Dairy Drink During Storage, H. R. Gupta, S. K. Kanawjia, M. K. Salooja, Prateek Sharma, Anil Kumar

Nutrition, Dietetics, and Food Sciences Faculty Publications

Cocoa and whey protein enriched functional dairy drink was subjected to storage studies at refrigeration temperature 4±1°C in the present study. The samples were studied for microbial and physicochemical tests during storage. The results in this study suggest that the product can be stored upto 18 days at 4±1°C. A decrease in pH from 7.01 to 6.49 for whey protein enriched product and from 6.94 to 6.41 in case of cocoa & whey protein enriched product was observed at the end of shelf life. The FFA increased from 0.72 to 1.46 meq./ml at the end of shelf life of 18 …

A Deeper Look Into The Vastus Medialis: A Stabilizer For The Knee, Connie Nicole Barnes

Undergraduate Honors Capstone Projects

Anterior cruciate ligament tears are one of the most common injuries that occur, especially in female athletes. It requires surgery and months of physical therapy to get these athletes back in playing condition. The angle of women’s hips and lack of strength of inner quadriceps muscles enhances the risk of injuries to the knees. One specific muscle that is known for being a stabilizer of the knee and may help in preventing ACL tears is the vastus medialis. By understanding what exercises activate this muscle the most, conditioning plans and preventative workouts need to be created to help female athletes …

The Effects Of Previous Concussions On The Physiological Complexity Of Motor Output During A Continuous Isometric Visual-Motor Tracking Task, Adam C. Raikes

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

The long-term ramifications of single and multiple concussions are unclear, though they exist in the forefront of present social and scientific inquiry. While suicides linked to concussion histories by prominent current and former athletes sensationalize the issue, questions abound as to the safe and timely return to work, sport, and active military duty following a concussive event in addition to the link between concussion history and neurological disorders. As such, identifying lingering or persistent alterations in function following concussion is essential.

Nonlinear characteristics of visual-motor task performance, including the complexity of the performance, provide an avenue for quantifying visual processing, …

Examining Effects Of Technology Level And Reinforcer Arrangements On Preference And Efficacy, Audrey N. Hoffman

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Applied behavior analysts use reinforcement to enact socially meaningful outcomes with the individuals that they work with. Identifying the ways in which reinforcers function optimally is an important consideration for behavioral research. Preference for reinforcers, and how effective reinforcers are, may change depending upon several factors. Two important factors to consider are how reinforcers are arranged and the technology level of the reinforcers used. Reinforcers can be delivered following every response in a distributed manner or they can be delivered following several responses in an accumulated manner. Additionally, leisure items used as reinforcers can be classified according to technology level, …