Medicine and Health Sciences Commons^™

Design And Development Of An Mph Program For Online Delivery, Steven R. Hawks, Julie A. Gast

Journal on Empowering Teaching Excellence

The Master of Public Health (MPH) degree is growing in popularity and is now delivered fully online by a large number of highly respected, fully accredited universities. This paper offers an overview of program design and development strategies that promote successful online delivery of MPH programs. Design and development challenges are discussed in terms of new accreditation standards, student demand, faculty development, user needs, course content, and plan of study. The development of an online MPH program at Utah State University with a concentration in health education and promotion is used to highlight and consider various aspects of this important …

Exploring The Moderating Effect Of Cognitive Autonomy On The Relationship Between Cognitive Distortions And Youth’S Externalizing Behaviors, Liam J. Fischback

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Scholars have connected cognitive distortions to adolescents’ externalizing behaviors. Other scholars have offered that higher levels of cognitive autonomy, which develops during adolescence, may be a protective factor for problem behaviors in adolescence. To date, no studies have explored how these two cognitive processes function and potentially interact to predict adolescent problem behaviors. This study’s purpose was to see if cognitive autonomy affected the relationship between cognitive distortions and externalizing behaviors in a clinical population of adolescents. Past research has suggested that cognitive distortions are greater and more prevalent in clinical populations. Because of this, the processes of cognitive autonomy …

An Examination Of Entrainment In Typically Developing Children, Kiersten A. Pope

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

Purpose: Conversational entrainment describes the tendency for individuals to align their behavior with their communication partners and is essential for successful interaction. Evidence of entrainment in adults is robust, yet research regarding its development is sparse. Here, we investigate the effectiveness of a quasi-conversational paradigm for the purpose of identifying the speech rate entrainment abilities of children.

Method: Data were collected from a total of 50 typically developing children from 5-14 years old. Participants completed an entrainment task to identify the presence of speech rate modification depending on the presence of “fast” or “slow” stimuli. The entrainment task utilized a …

Training Non-Board Certified Behavior Analyst (Bcba) Behavior Specialists To Conduct Trial-Based Functional Analyses In Residential Settings, Devon S. Millington

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

This study investigated a process for identifying the reasons why a person with an intellectual disability has problem behaviors. This process is called a trial-based functional analysis (TBFA). The researchers wanted to know if a person who was not an expert behavior analyst could be trained to perform the TBFA and if the results obtained from the TBFA could be used to create a program to reduce the problem behavior of a person with an intellectual disability living in a community-based group home for persons with disabilities. The results of this study show that a person who is not an …

Winds Of Change – Predicting Water-Based Recreationists' Support And Opposition For Offshore Wind Energy Development In The Great Lakes, Michael D. Ferguson, Samantha L. Powers, Nate E. Trauntvein, Jeffrey B. Jacquet, Alan R. Graefe, Andrew J. Mowen

Kinesiology and Health Science Faculty Publications

This study examined the factors influencing water-based recreationists' perceptions of support and opposition towards off-shore wind energy development (OWD) on Lake Erie. Much of the proposed or future Lake Erie OWD infrastructure may either be within or adjacent to public lands, waters, and protected areas, raising concerns about the potential environmental and social impacts upon recreation stakeholders. The limited body of OWD research within the United States has suggested there are numerous factors that may influence overall perceptions of support and opposition such as political orientation and beliefs in climate change. Moreover, recent research has proposed that the perceived recreation …

Use Of Hearing Protection In Neonatal Intensive Care Unit Patients: A Systematic Review Of The Evidence, Nathalie Chouery, Kathleen T. Dunckley

Journal of Early Hearing Detection and Intervention

Neonatal intensive care unit (NICU) settings present neonates with many environmental hazards, including exposure to dangerous sound intensity levels. Noise levels in NICUs worldwide overwhelmingly exceed the recommendations for safe exposure by the American Academy of Pediatrics. Environmental modifications and staff behavioral changes have proved ineffective to sufficiently reduce infant noise exposure. A systematic review of the literature was undertaken to answer if earmuffs improves physiologic stability, behavioral response, and sleep behavior, which are markers of stress response in NICU patients. Seven databases were searched for pertinent records using a specific search protocol. Seven studies met the review’s inclusion criteria …

Hispanic Parents’ Beliefs, Attitudes And Perceptions Toward Pediatric Hearing Loss: A Comprehensive Literature Review, Ana Caballero, Karen F. Munoz, Jared Schultz, Laurel Graham, Alex Meibos

Journal of Early Hearing Detection and Intervention

Objective: The purpose of this review was two-fold: (a) to understand research findings about Hispanic parents’ beliefs, attitudes, and perceptions related to hearing loss after having children who are deaf or hard of hearing, and (b) to inform future research needs that could expand audiologists’ ability to provide patient-centered care with this population.

Design: A comprehensive review of the literature was used to identify relevant articles for the review.

Study Sample: Five research articles met the inclusion criteria.

Results: Three primary themes emerged: (1) deafness causality, parents tended to describe the cause of the hearing loss in terms of religion …

Progress In Documented Early Identification And Intervention For Deaf And Hard Of Hearing Infants – Cdc’S Hearing Screening And Follow-Up Survey, United States, 2006–2016, Krishnaveni Subbiah, Craig A. Mason, Marcus Gaffney, Scott D. Grosse

Journal of Early Hearing Detection and Intervention

The national EHDI 1-3-6 goals state that all infants should be screened for hearing loss before 1 month of age; with diagnostic testing before 3 months of age for those who do not pass screening; and early intervention (EI) services before 6 months of age for those with permanent hearing loss. This report updates previous summaries of progress on these goals by U.S. states and territories. Data are based on the Hearing Screening and Follow-up Survey (HSFS) conducted annually by the Centers for Disease Control and Prevention for the years 2006–2016. Trends were assessed using 3-year moving averages, with rates …

Teaching Counseling Skills In Audiology Graduate Programs: Clinical Supervisors’ Perceptions And Practices, Karen F. Muñoz, Trenton J. Landon, Kim Corbin-Lewis

Communicative Disorders and Deaf Education Faculty Publications

Background: Counseling is a critical component within audiological service delivery. Partnering with patients to support them in learning to effectively cope with their hearing challenges is a key component in achieving desired outcomes. Even though there is agreement on the foundational role counseling plays in audiology service delivery, counseling instruction varies among audiology training programs.

Purpose: The purpose of this study was to investigate the perspectives and practices of supervisors in audiology graduate training programs related to mentoring students in the acquisition of counseling skills.

Research Design: A cross-sectional design was used; participants completed a self-report survey.

Study Sample: The …

Forecast Or Fall: Prediction's Importance To Postural Control, Chris J. Dakin, David A.E. Bolton

Kinesiology and Health Science Faculty Publications

To interact successfully with an uncertain environment, organisms must be able to respond to both unanticipated and anticipated events. For unanticipated events, organisms have evolved stereotyped motor behaviors mapped to the statistical regularities of the environment, which can be trigged by specific sensory stimuli. These 'reflexive' responses are more or less hardwired to prevent falls and represent, maybe, the best available solution to maintaining posture given limited available time and information. With the gift of foresight, however, motor behaviors can be tuned or prepared in advance, improving the ability of the organism to compensate for, and interact with, the changing …

Alpha-Amino-Beta-Carboxy-Muconate-Semialdehyde Decarboxylase Controls Dietary Niacin Requirements For Nad+ Synthesis, Laura Palzer, Jessica J. Bader, Frances Angel, Megan Witzel, Sydney Blaser, Alexis Mcneil, Miles K. Wandersee, N. Adrian Leu, Christopher J. Lengner, Clara E. Cho, Kevin D. Welch, James B. Kirkland, Ralph G. Meyer, Mirella L. Meyer-Ficca

Animal, Dairy, and Veterinary Science Faculty Publications

NAD⁺ is essential for redox reactions in energy metabolism and necessary for DNA repair and epigenetic modification. Humans require sufficient amounts of dietary niacin (nicotinic acid, nicotinamide, and nicotinamide riboside) for adequate NAD⁺ synthesis. In contrast, mice easily generate sufficient NAD⁺ solely from tryptophan through the kynurenine pathway. We show that transgenic mice with inducible expression of human alpha-amino-beta-carboxy-muconate-semialdehyde decarboxylase (ACMSD) become niacin dependent similar to humans when ACMSD expression is high. On niacin-free diets, these acquired niacin dependency (ANDY) mice developed reversible, mild-to-severe NAD⁺ deficiency, depending on the nutrient composition of the diet. NAD deficiency …

Hidden Cost Of Disease In A Free-Ranging Ungulate: Brucellosis Reduces Mid-Winter Pregnancy In Elk, Gavin C. Cotterill, Paul C. Cross, Arthur D. Middleton, Jared D. Rogerson, Brandon M. Scurlock, Johan T. Du Toit

Wildland Resources Faculty Publications

Demonstrating disease impacts on the vital rates of free‐ranging mammalian hosts typically requires intensive, long‐term study. Evidence for chronic pathogens affecting reproduction but not survival is rare, but has the potential for wide‐ranging effects. Accurately quantifying disease‐associated reductions in fecundity is important for advancing theory, generating accurate predictive models, and achieving effective management. We investigated the impacts of brucellosis (Brucella abortus) on elk (Cervus canadensis) productivity using serological data from over 6,000 captures since 1990 in the Greater Yellowstone Ecosystem, USA. Over 1,000 of these records included known age and pregnancy status. Using Bayesian multilevel models, …

Health Effects Of Late-Career Unemployment, Maren Wright Voss, Lori L. Wadsworth, Wendy Birmingham, M. Beth Merryman, Lisa Crabtree, Kathy Subasic, Man Hung

Extension Research

Objective: Job loss has a demonstrated negative impact on physical and mental health. Involuntary retirement has also been linked to poorer physical and mental health outcomes. This study examined whether late-career unemployment is related to involuntary retirement and health declines postretirement. Method: Analysis was conducted using the 2000-2012 U.S. Health and Retirement Study (HRS) survey data with unemployment months regressed with demographic and baseline health measures on physical and mental health. Results: Individuals with late-career unemployment reported more involuntary retirement timing (47.0%) compared with those reporting no unemployment (27.9%). Late-career unemployment had no significant effect on self-reported physical health (β …

Dietary Docosahexaenoic Acid Prevents Silica-Induced Development Of Pulmonary Ectopic Germinal Centers And Glomerulonephritis In The Lupus-Prone Nzbwf1 Mouse, Melissa A. Bates, Peyman Akbari, Kristen N. Gilley, James G. Wagner, Ning Li, Anna K. Kopec, Kathryn A. Wierenga, Daven Jackson-Humbles, Christina Brandenberger, Andrij Holian, Abby D. Benninghoff, Jack R. Harkema, James J. Pestka

Animal, Dairy, and Veterinary Science Faculty Publications

Ectopic lymphoid structures (ELS) consist of B-cell and T-cell aggregates that are initiated de novo in inflamed tissues outside of secondary lymphoid organs. When organized within follicular dendritic cell (FDC) networks, ELS contain functional germinal centers that can yield autoantibody-secreting plasma cells and promote autoimmune disease. Intranasal instillation of lupus-prone mice with crystalline silica (cSiO₂), a respirable particle linked to human lupus, triggers ELS formation in the lung, systemic autoantibodies, and early onset of glomerulonephritis. Here we tested the hypothesis that consumption of docosahexaenoic acid (DHA), an ω-3 polyunsaturated fatty acid with anti-inflammatory properties, influences the temporal profile …

Comparison Of Motor Skill Learning, Grip Strength And Memory Recall On Land And In Chest-Deep Water, Eadric Bressel, Michiel N. Vakula, Youngwook Kim, David A.E. Bolton, Chris J. Dakin

Kinesiology and Health Science Faculty Publications

Immersion in chest-deep water may augment explicit memory in healthy adults however, there is limited information on how this environment might affect implicit memory or motor learning. The purpose of this study was to compare the speed and accuracy for learning a motor skill on land and in chest-deep water. Verbal word recall and grip strength were included to gain a more complete understanding of the intervention. Sixty-two younger adults (age = 23.3 ± 3.59 yrs.) were randomly assigned to either a water group immersed to the xiphoid or a land group. Participants in both groups completed the same eight …

Functional Genomics And Immunologic Tools: The Impact Of Viral And Host Genetic Variations On The Outcome Of Zika Virus Infection, Sang-Im Yun, Byung-Hak Song, Jordan C. Frank, Justin G. Julander, Aaron L. Olsen, Irina A. Polejaeva, Christopher J. Davies, Kenneth L. White, Young-Min Lee

Animal, Dairy, and Veterinary Science Faculty Publications

Zika virus (ZIKV) causes no-to-mild symptoms or severe neurological disorders. To investigate the importance of viral and host genetic variations in determining ZIKV infection outcomes, we created three full-length infectious cDNA clones as bacterial artificial chromosomes for each of three spatiotemporally distinct and genetically divergent ZIKVs: MR-766 (Uganda, 1947), P6-740 (Malaysia, 1966), and PRVABC-59 (Puerto Rico, 2015). Using the three molecularly cloned ZIKVs, together with 13 ZIKV region-specific polyclonal antibodies covering nearly the entire viral protein-coding region, we made three conceptual advances: (i) We created a comprehensive genome-wide portrait of ZIKV gene products and their related species, with several previously …

Changing Delay Discounting: Identification And Evaluation Of Ecologically Valid Methods For Reducing Impulsive Choice, Jillian M. Rung

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Impulsivity takes many forms, one of which is termed impulsive choice. Impulsive choice entails preference for an outcome due to its immediacy relative to more optimal outcomes that take longer to come to fruition. For example, one may wish to have another serving of a decadent dessert after dinner—but doing so may undermine a longer-term goal of improved health and nutrition. If having the extra serving becomes a habit, the consequences of that choice compound and may lead to, for example, obesity. A high degree of impulsive choice such as this is indeed related to issues such as obesity, …

Impact Of Basal Diet On Obesity Phenotype Of Recipient Mice Following Fecal Microbiome Transfer From Obese Or Lean Human Donors, Daphne Michelle Rodriguez Jimenez

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

The composition of the gut microbiome can be affected by environmental factors, such as diet. The Western dietary pattern is associated with microbiome dysbiosis and adverse health outcomes, including obesity and metabolic disorders. The objective of this study was to examine the effect of gut microbiota from lean or obese human donors on metabolism and weight gain in recipient mice fed one of three basal diets: 1) the standard AIN93G diet, which promotes rodent health; 2) the total Western diet (TWD), which mimics the American dietary pattern and promotes inflammation-associated colorectal carcinogenesis; and 3) a 45% high fat diet-induced obesity …

Development And Characterization Of Reporter-Expressing Zika Viruses, Michael E. Woolley

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

In recent years, Zika virus (ZIKV) has garnered worldwide attention due to its epidemic spread throughout the Americas and due to the newly recognized link between ZIKV infection and neurological diseases, including microcephaly and Guillain-Barré syndrome. ZIKV is a mosquito-borne member of the genus Flavivirus, which includes the other prominent human pathogens Japanese encephalitis virus, West Nile virus, dengue virus, and yellow fever virus. Many questions about the biology of ZIKV and how it causes disease remain unanswered. Furthermore, there currently are no vaccines or licensed antiviral drugs available to treat ZIKV infection. The goal of this study was to …

Chronic Migraines And Couples: A Grounded Theory Of Adaptation To Chronic Migraines For Patients And Their Partners, Douglas P. Mcphee

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

This study was completed to better understand and treat couples wherein one partner suffers from chronic migraines. I interviewed eight couples about their experiences in dealing with migraines as a patient, as a partner, and together. The interviews were transcribed and analyzed by a team of seven researchers. We developed a theory that can be used to understand how patients and their partners adapt to chronic migraines. The theory was grounded in the experiences of the patients and partners who were interviewed. We found that patients and partners alike dealt with burdens and costs associated with chronic migraines. Coping, healthcare, …

Evaluation Of Therapeutics For An Enterovirus 71 Infection In An Ag129 Mouse Model, Christopher Peterson

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Discovered in 1969 in California, enterovirus 71 (EV-71) is a serious cause of disease in young children. It is one of the major causative agents of hand, food, and mouth disease (HFMD), and can produce neurological complications, such as meningitis, encephalitis, and an acute flaccid paralysis. For serious cases, the fatality rate can be up to 26%, almost exclusively in young children.

While the virus was initially discovered in the United States, it was soon detected in the Eastern hemisphere, causing outbreaks in Europe and Asia. The largest outbreak occurred in Taiwan in 2008, with approximately 490,000 cases and 128 …

Pull The Andon Rope On Working Memory Capacity Interventions Until We Know More, Sandra Laing Gillam, Sarai S. Holbrook, Jamie Mecham, Daylene Weller

Communicative Disorders and Deaf Education Faculty Publications

Purpose: The purpose of this article is to discuss the current state of interventions for improving working memory (WM) capacity language, and academic skills and to provide suggestions for speech language pathologists working with students who have WM capacity limitations.

Method: Meta-analyses, systematic reviews, randomized controlled trials and non-randomized comparison studies investigating the role of WM interventions for improving WM capacity language, and academic skills are reviewed. Strategies for improving WM are discussed.

Results: The use of interventions designed to improve WM capacity and other cognitive skills is currently not supported by the research. Direct working memory interventions should be …

Restructuring Data Reported From State Early Hearing Detection And Intervention (Ehdi) Programs: A Pilot Study, Suhana Alam, Tammy O'Hollearn, Jim Beavers, Alyssa K. Rex, Rebekah F. Cunningham, Winnie Chung, Xidong Deng, Thuyquynh N. Do

Journal of Early Hearing Detection and Intervention

Objective: To assess the feasibility, benefits, and challenges surrounding individual-level versus aggregate data reporting by jurisdictional EHDI programs to the Centers for Disease Control and Prevention (CDC).

Methods: Using data reported to CDC by three jurisdictions in 2011, descriptive statistics were used to assess the feasibility of collecting and reporting individual-level data. Comparisons were made on what can be learned from individual-level data as opposed to CDC’s aggregate survey data.

Results: Individual-level data provided a detailed overview of the population served, services received, and variations across jurisdictions in data collection, reporting, and quality monitoring practices. Several challenges and areas needing …

The Past, Present And Future Of Universal Newborn Hearing Screening In Taiwan, Lin Hung-Ching, Hsiu-Wen Chang, Wen-Hui Hsieh

Journal of Early Hearing Detection and Intervention

In Taiwan, the Taipei Mackay Memorial Hospital, in collaboration with the Children’s Hearing Foundation, initiated a free newborn hearing screening program using transient evoked otoacoustic emissions (TEOAE) in 1998. During 2003-2013, there were four major phases of implementation and promotion of universal newborn hearing screening program (UNHS) in Taiwan initiated by the government’s Bureau of Health Promotion. These included (1) establishment of “2004 Taiwan Guidance of Newborn Hearing Screening Program” ; (2) completion of “2008 Taiwan Consensus Statement on Newborn Hearing Screening”; (3) implementation of national government-funded UNHS program in 2012; (4)“2014 Taiwan UNHS revised guidelines”. In summary, in 2016, …

Where Do We Go From Here? The Need For Genetic Referrals In Patients Who Are Deaf Or Hard Of Hearing: Findings From A Regional Survey, Tyson S. Barrett, Amanda Wylie, Beth Vogel, Kunal Sanghavi, Melissa Raspa, Kathryn P. Aveni, Kathryn Tullis, Michele Caggana, Karl R. White, Joann Bodurtha

Journal of Early Hearing Detection and Intervention

Purpose: The purpose of this study was to assess primary health care providers’ knowledge and use of genetic services for children whose hearing screening indicates they may be deaf/hard of hearing (D/HH) and identify areas in which health care providers can be supported to increase family education and referral of families for genetic consultation.

Methodology: A survey was developed on current practices, knowledge, and perceived beliefs regarding genetic education and referrals for deafness. The surveys were distributed to pediatricians, family medicine physicians, nurse practitioners, and physician assistants in DC, DE, MD, NJ, NY, PA, VA, and WV.

Results: Among 266 …

Identification Of Oral Clefts As A Risk Factor For Hearing Loss During Newborn Hearing Screening, Patricia L. Purcell, Kathleen Cy Sie, Todd C. Edwards, Debra Lochner Doyle, Karin Neidt

Journal of Early Hearing Detection and Intervention

Objective: This study assessed whether children with oral clefts are appropriately classified as at-risk for hearing loss at the time of newborn hearing screening and describes their screening and diagnostic results.

Design: Birth certificates were used to identify children with cleft lip and palate or isolated cleft palate born in Washington State from 2008–2013. These were cross-referenced with the state’s Early Hearing Detection, Diagnosis and Intervention (EHDDI) database. Multivariate logistic regression was used to examine associations.

Results: Birth records identified 235 children with cleft lip and palate and 116 with isolated cleft palate. Six children were listed as having both …

Pediatric Hearing Device Management: Professional Practices For Monitoring Aided Audibility, Karen F. Munoz, Lauri Nelson, Kacy Herald

Journal of Early Hearing Detection and Intervention

Objective: The purpose of this study was to explore professional practices for monitoring aided audibility for children who are deaf or hard of hearing (DHH).

Design: A cross-sectional survey design was used to identify providers’ self-reported practice patterns for monitoring aided audibility for children who use hearing aids, cochlear implants, and bone-conduction hearing aids. Three surveys were used.

Study Sample: Practicing audiologists, speech-language pathologists, and deaf educators providing services to children birth to six years of age who use hearing technology were recruited to participate. A total of 184 surveys were included in the analysis (96 hearing aid; 47 cochlear …

Motor Affordance For Grasping A Safety Handle, Douglas W. Mcdannald, Manhoud Mansour, Garrett Rydalch, David A.E. Bolton

Kinesiology and Health Science Faculty Publications

Mere observation of objects in our surroundings can potentiate movement, a fact reflected by visually-primed activation of motor cortical networks. This mechanism holds potential value for reactive balance control where recovery actions of the arms or legs must be targeted to a new support base to avoid a fall. The present study was conducted to test if viewing a wall-mounted safety handle – the type of handle commonly used to regain balance – results in activation of motor cortical networks. We hypothesized that the hand area of the primary motor cortex would be facilitated shortly after visual access to a …

Understanding Dysrhythmic Speech: When Rhythm Does Not Matter And Learning Does Not Happen, Stephanie A. Borrie, Kaitlin L. Lansford, Tyson S. Barrett

Communicative Disorders and Deaf Education Faculty Publications

A positive relationship between rhythm perception and improved understanding of a naturally dysrhythmic speech signal, ataxic dysarthria, has been previously reported [Borrie, Lansford, and Barrett. (2017). J. Speech Lang. Hear. Res. 60, 3110–3117]. The current follow-on investigation suggests that this relationship depends on the nature of the dysrhythmia. When the corrupted rhythm cues are relatively predictable, affording some learnable acoustic regularity, the relationship is replicated. However, this relationship is nonexistent, along with any intelligibility improvements, when the corrupted rhythm cues are unpredictable. Findings highlight a key role for rhythm perception and distributional regularities in adaptation to dysrhythmic speech.

Confirmatory Factor Analysis Of The Causal Illness Attribution Scale In Chinese Patients With Multiple Somatic Symptoms, Ling Zhang, Jeanine Schwarz, Maria Kleinstäuber, Kurt Fritzsche, Wiebke Hannig, Jing Wei, Jianzhong Yang, Lan Zhang

Psychology Faculty Publications

Causal illness attributions influence how individuals cope with somatic symptoms and illnesses. Dimensions of causal symptom attributions have been examined in Western cultures with the subscale ‘causes’ of the revised Illness Perception Questionnaire (IPQ-R). Some previous studies have identified a stronger somatic attribution style in Asian patients. In this study it was examined if the factorial structure of causal attributions identified in Western populations can be identified in a large Chinese sample of patients presenting with somatic symptoms. We recruited 665 patients aged at least 18 who were visiting the hospital for reasons of treatment from departments of traditional Chinese …