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Discover MARQUETTE UNIVERSITY RESEARCH AND SCHOLARSHIP 2012 The science of making friends Helping teens with autism

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Every spring DISCOVER: Marquette University Research and Scholarship showcases some of the most interesting research happening on Marquette's campus. Learn more through the links below.

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Page 1: Discover 2012

DiscoverMARQUETTE UNIVERSITY RESEARCH AND SCHOLARSHIP 2012

The science of making friendsHelping teens with autism

Page 2: Discover 2012

Welcome to the 2012 edition of Discover magazine, highlighting some

of the exciting research and scholarship of Marquette University’s talented

faculty, ranging from fundamental work in individual disciplines to innovative,

and often interdisciplinary, approaches to solving some of the most critical

issues of our time.

Marquette has a strong tradition of scholarship in the humanities. Civil

War historian James Marten, winner of Marquette’s 2010 Haggerty Award for

Research Excellence, examines issues faced by Civil War veterans in his

most recent book, published during the sesquicentennial of the Civil War.

Margaret Urban Walker, recently recruited to Marquette as the Donald J.

Schuenke Chair in Philosophy, explores reparative justice and the social and

political conditions of moral accountability.

Marquette scientists are also making impressive advances in their fields,

including Chung Hoon Lee’s pioneering work in nanotechnology. Another

interdisciplinary strength at Marquette is in health-related research. Robert

Wheeler’s state-of-the-art research in basic neuroscience is providing a

better understanding of how neural regulation of emotion exerts control

over adaptive and maladaptive behavior, while Amy Van Hecke’s work with

autistic children and teens takes an innovative approach to evaluating the

impact of the PEERS intervention on the brain. Marianne Weiss, along with

her Marquette collaborators Kathleen Bobay and Olga Yakusheva, provides

insight into how factors such as nurse staffing and overtime hours affect

readmission rates and emergency room visits. Due to the work of these

scholars and others on campus, Marquette is well poised to take a leadership

role in the emerging regional consortium designed to improve health care

access and delivery through a focus on economics and innovation.

The featured scholars described above provide a glimpse of some of the

important work being done at Marquette today; additional short features

and the bookshelf section provide other great examples. I invite you to also

explore marquette.edu/research for more examples of Marquette research

and scholarship.

Dr. Jeanne M. Hossenlopp

Vice Provost for Research

Page 3: Discover 2012

DiscoverMARQUETTE UNIVERSITY RESEARCH AND SCHOLARSHIP 2012

2 The science of making friendsAn innovative program for teenagers with autism is changing lives —

and the brain.

6 Coming homeDr. James Marten explores the postwar lives of Civil War veterans in

his new book.

8 Architect of the infinitesimalDr. Chung Hoon Lee’s nanostructures are helping to electrify and

illuminate science’s tiniest frontier.

12 The tragedy of addictionDr. Robert Wheeler is trying to solve the mysteries of motivation in

cocaine addicts.

14 In search of justiceIn a world still plagued with war and political violence, what is the

role of reparative justice?

16 Go home, stay homeNew research examines the connection between nursing workload

and patients’ readmission rates.

IN BRIEF

18 Speak for yourself

19 Awake for genes

A new look for school counseling

20 Fighting pollution, one molecule at a time

The philosophy of art

21 The ethics of pinkwashing

What’s the value of a legal brief?

22 On a mission to improve refugee dental care

23 Poking holes in the golden parachute

Engineering safer roads

24 Marquette bookshelf

25 Research and scholarship at Marquette

Discover: Marquette University Research and Scholarship is published annually by the Office of Marketing and Communication.Editor: Nicole Sweeney Etter, [email protected]: Joan Holcomb, [email protected] Contributing writers: Jessie Bazan, April Beane, Andrew Brodzeller, Tim Cigelske, Stephen Filmanowicz, Becky Dubin Jenkins, Brigid Miller, Charles Nevsimal, Christopher Stolarski and Kate Venne Cover illustration: Stephanie Dalton Cowan Photography: Dan Johnson, Ben Smidt Stock images: iStockphoto.com, Jupiterimages.com, Stock Illustration Source

Page 4: Discover 2012

Discover2

Page 5: Discover 2012

Marquette University 3

Fifteen-year-old Nick Sansone, who has autism, has always struggled

to make and keep friends. But after the 14-week PEERS program at

Marquette, the Highland, Ind., teen started high school with a new set of

tools: how to start a conversation. How to exit gracefully when it’s not going

well. How to find his niche.

“Before I started doing this group, I didn’t have any friends and wasn’t

involved with anybody or anything at my school. But now, I have switched

schools and have been talking to kids there and slowly building friend-

ships,” says Nick, who is now active in his school’s book club, film society

and theatre program, even landing a small role in It’s a Wonderful Life.

Until now, most autism research has focused on what children with

autism can’t do. Dr. Amy Van Hecke, assistant professor of psychology at

Marquette, is setting out to show what autistic kids can do. First devel-

oped at UCLA, the research-based PEERS (Program for the Enrichment and

Education of Relational Skills) teaches autistic teens how to make friends.

Marquette’s PEERS program, the only one in the Midwest, has quickly

become a sought-after resource.

How an innovative program for teenagers with autism is changing lives — and the brain

By Nicole Sweeney Etter

The science of making friends

Illustration by Stephanie Dalton Cowan

Page 6: Discover 2012

Discover4

Students who participate show external

measures of progress, including more

friends and get-togethers and improved

social skills that help them navigate

the tricky social waters of middle and

high school.

But Van Hecke is the first to examine

whether the PEERS intervention changes

kids’ brains. And, indeed, it does. Using

electroencephalography to compare

teens’ brain activity before and after the

14-week program, she has seen signifi-

cant changes in the parietal-temporal

lobe, which is related to social behaviors,

and in the frontal lobe, the “executive,”

decision-making part of the brain.

“Even though autism is considered a

brain-based disorder, no intervention to

date, anywhere, for any age group, has

ever looked at dynamic change in the

autistic brain due to intervention,” Van

Hecke says.

The focus on what autistic kids can

do has never been more important.

“Autism rates are increasing at an expo-

nential rate. We went from 1 in 10,000

in the 1980s, and now we’re down to

1 in 110. The rate of increase is alarm-

ing, and the autism research community

is very focused on understanding why.

However, it’s also crucial to help people

with autism lead satisfying lives now,”

Van Hecke says.

Marquette’s PEERS program started

in fall 2010, and 35 students have gone

through it so far. Though Van Hecke is

still gathering more data — using kids on

the program’s waiting list as the control

group — she plans to present her early

findings at the International Meeting for

Autism Research in Toronto in May.

With funding from the Autism Society

of Southeast Wisconsin, Marquette is

able to offer PEERS to families for free.

Families from as far as Montana and

Pennsylvania have asked to participate,

and some drive for hours to attend

the weekly sessions.

Van Hecke first became interested

in autistic brain activity while studying

the neurological and physiological

responses in children with autism to

people they know and people they

don’t know.

“Much of the research is ‘They

don’t do this, and they don’t do that,

and they lack this.’ And what I’ve

seen is that children with autism will

do much more with someone who is

familiar to them,” she says. “It’s when we

bring this unfamiliar tester in the room

that they shut down.”

Sure enough, she found that autistic

children had the same neurological

responses as children without autism

when reading a story with their care-

giver — but their heart rate sped up in

the presence of the nonparent. “So really

the heart of autism is a mobilization or

a flight or fight response to unfamiliar

people. It’s not all people,” she says.

But that fear of others can cause

problems as the child enters school and

becomes increasingly isolated. About half

of autistic kids have average or high IQs,

and it’s only their social interactions that

reveal that anything’s wrong, she says.

“You’ll say, ‘Oh, Johnny is interested

in video games, and you’re interested

in video games. What could you do if

you hung out together?’ And they’ll have

no idea. You have to make that leap

for them,” she says. “The shy kid will

still know what to do, but the action is

impaired. In autism, it’s both the knowing

and the action. They may want to make

friends, but they don’t understand how.”

Figure 1: Pre-intervention alpha EEG activity in

participants with autism. Red indicates more activity,

white indicates moderate to low activity and blue

shading indicates even lower activity. Activity shown is

in the alpha frequency band, which is inverse to overall

brain activity. This image depicts low activity

in temporal-parietal areas responsible for social

information processing.

Figure 2: Post-intervention alpha EEG activity.

White shading shows a decrease in alpha band

activity. This image shows increased neural activity

in temporal-parietal areas responsible for social

information processing.

Figure 3: Pre-intervention gamma EEG activity. Activity

shown is in the gamma frequency band. This image

depicts low-moderate activity in frontal areas responsible

for social decision-making.

Figure 4: Post-intervention gamma EEG activity. This

image shows increased neural activity in frontal areas

responsible for social decision-making.

Amy Van Hecke

Figure 3

Figure 1 Figure 2

Figure 4

Page 7: Discover 2012

Marquette University 5

But PEERS isn’t just about improving a

teen’s social life. Numerous studies have

shown the detrimental effect social

isolation can have on physical and

mental health, including increasing one’s

risk of depression, anxiety and suicide.

“Having at least one good relationship

— it’s quality, not quantity — is protec-

tive. And these kids who are isolated

— if we don’t ameliorate that, they’re

just continuing on a path of negative

outcomes. The areas of the brain that

respond to social stimulation may atrophy,

and once they atrophy, there’s not a lot

we can do,” she says.

Marquette’s program targets students

11–16 because Wisconsin only provides

intensive intervention until age 11, though

the program will expand to autistic young

adults this fall.

“We’re really trying to fill a gap in the

community,” says Van Hecke.

But puberty is also a critical intervention

point because preadolescent brains are

especially plastic, making it the perfect

time to forge new pathways.

For an hour and a half each week, the

teens meet with a trained facilitator while

their parents meet separately. PEERS

breaks down the social instincts that

many take for granted. For example, to

break into a circle of people talking, you

first eavesdrop to find a natural opening,

then wait for a pause before interjecting.

If the circle doesn’t let you in, you feign

an excuse and slip away.

“We all know what to do when things

get awkward. But kids with autism don’t,”

she says. “So we teach them how to get

out of a situation and keep their cool.”

Another session focuses on cliques

and crowds so that teens can figure

out which group they might fit in with

best. And there’s homework, too: Make

a phone call. Invite a classmate to hang

out. Parents are assigned to help their

kids find a new extracurricular that could

give them a fresh social platform.

Other autism research at MarquetteDr. Norah Johnson, assistant professor of nursing, is developing

interventions to decrease challenging behaviors and anxiety in children

with autism during health care encounters. She is testing an iPad

application to see if preparing families in advance can reduce parent and

child anxiety and speed up procedure time during X-rays.

Dr. Abir Bekhet, assistant professor of nursing, studies the effects

of positive cognitions, resourcefulness, and resilience in overcoming

stress and adversity in vulnerable populations. Bekhet, with funding from

the American Psychiatric Nurses Foundation, is working with Johnson to

examine how nurses can help promote the health and functioning of

caregivers of those with autism spectrum disorders.

Dr. Robert Scheidt, associate professor of biomedical engineering,

studies motor control in children with autism. His lab’s overall focus is on

how the brain uses sensory information to guide learning of movements

with the body. “Autistic children are an important population to study

because these children often have sensory deficits as well as motor

coordination deficits, and yet little is known of the etiology of these

deficits or their learning deficits in general,” he says. Doctoral student

Nicole Salowitz examined visuospatial processing differences between

children with autism and a control group, thought to be a significant

contributor to autistic children’s movement problems.

Wendy Krueger, clinical instructor with the Marquette University

Speech and Hearing Clinic, is incorporating music into speech-language

therapy sessions with young children with autism to see if it leads to a

significant increase in skills. An early pilot showed that music can be

used to calm or energize a child and keep him or her focused on therapy.

“Perhaps most exciting, however, has been the increased engagement,

awareness of others and verbal output that we have seen when

clinicians communicate with the child via singing rather than speaking,”

Krueger says.

One of the post-program measures is

how often the teens are invited out by

others. Data from UCLA’s program, which

has been around longer, shows that the

program’s influence lasts even three and

five years later.

“It’s like we’re teaching these kids to

fish socially … once they get that kick,

that boost, they’re on a different path,”

Van Hecke says.

For the Sansones, PEERS was worth

the four-hour round-trip drive every

week, even if Nick’s progress is slow

but steady.

“He definitely puts himself out there

more. He hasn’t made any great friends

yet, but he’s building a nice base of

acquaintances,” Michael Sansone says of

his son. “He likes school for the first time

in years, so that’s a big step, and we’re

confident friends will come in time.”²

Page 8: Discover 2012

F rom the decisive battle at Gettysburg to the bloody battle of Antietam,

America’s Civil War was filled with some of the most unforgettable clashes

in our country’s history. Northern and Southern soldiers alike entered each

new conflict with a strong sense of pride and commitment to the present strug-

gle. But what happened to these men after the final gunshots? Dr. James Marten,

Marquette professor and chair of the Department of History, explores the post-

war lives of these veterans in his new book, Sing Not War: The Lives of Union &

Confederate Veterans in Gilded Age America.

By Jessie Bazan

Cominghome

Dr. James Marten explores the postwar lives of Civil War veterans

As a child growing up in South

Dakota, backyard games of “Army” and

Kurt Russell action movies sparked

Marten’s fascination with the Civil War

at a young age. The allure of America’s

deadliest internal struggle followed

Marten into adulthood and to Marquette,

where he has spent his time researching,

teaching and writing about everything

from the war’s effect on children to

displaced soldiers on the edges of

society. In his latest book, Sing Not War,

Marten examines the struggles Civil War

soldiers faced while reintegrating into

society after combat — a topic few

historians previously tackled.

“If they do fine, they’re not very

interesting to historians,” says Marten,

who received Marquette’s 2010 Lawrence

G. Haggerty Faculty Award for Research

Excellence. “We know about them. It’s

the other ones we don’t know much

about.” So Marten delved deeper into

the veterans’ lives.

Marten researched the book off and

on over 16 years. For firsthand accounts

and stories from veterans, he searched

out 19th-century veterans’ newspapers

like the American Tribune and the

Confederate Veteran. He found a particu-

larly unusual, if small, set of sources at

the Veterans Affairs hospital library

in Milwaukee.

“For some reason, left behind some-

where was a big ledger with disciplinary

actions against the men, health records

and a few other little things,” says Marten.

Inside these records, Marten found

stories of marginalized veterans stuck in

rambunctious group homes, away from

their families and former communities.

While only a small percentage of return-

ing soldiers ended up in homes, their

stories of rejection and struggle reflected

those of the larger veteran population.

Northern and Southern soldiers alike

faced tremendous obstacles as they tried

to acclimate to postwar life.

“You’re worn out. Even if you didn’t

get wounded or didn’t miss a day, you’re

just not well quite often,” Marten says

of the men who spent their 20s at war

Discover6

Page 9: Discover 2012

instead of gaining ground at home, as

some successful businessmen did. “They

feel like they lost out on the best years.”

Along with the economic burdens and

emotional hardships, needy Northern

soldiers also faced a harsh social stigma

when they returned home. Unlike their

rural Southern counterparts, whose

poverty was accepted as the normal plight

of postwar adjustment, soldiers in the city-

driven North were often condemned for

their economic problems.

“In the North, as the century goes on,

veterans who can’t keep up and don’t

get a good job lapse into low-level

poverty, and they’re blamed for it. That’s

the American work ethic — if you’re

poor, it’s your fault,” explains Marten.

Southerners, on the other hand, had

a straightforward admiration for their

veterans. “In the South during the Civil

War, you were a soldier. It’s a less

complicated approach,” says Marten.

“They had the same problems going

on as Union soldiers, and economically,

it was much worse. The South was

devastated by the war … but they’re

perceived very differently.”

In the end, the Civil War was challenging

for all involved. Like today’s soldiers, many

of whom serve in National Guard or

Reserve units, Civil War soldiers came from

communities, and Marten sees similarities

between past and present veterans.

“If they had a bad day at battle, that

town had a bad day,” Marten says of Civil

War combat units, which were organized

by region. Today’s veterans have a

similar connection to their hometowns.

According to Marten, “The link between

the community and individual unit is

very close … because they are our

neighbors, bosses and teachers.”

So while more than a century has

passed since Civil War veterans returned

home, some of the themes of Sing Not War

are still relevant today. Says Marten, “I

hope I’ve captured ways in which soldiers

adapted or failed to adapt to peacetime

and the attitudes toward veterans of the

people who stayed behind.”²

Marquette University 7

Home Again: Circa-1866 lithograph by Fabronius; painted by Trevor McClurg. Courtesy of the Library of Congress.

Page 10: Discover 2012
Page 11: Discover 2012

Marquette University 9

ARCHITECT OF THE INFINITESIMAL

By Stephen Filmanowicz

Dr. Chung Hoon Lee’s nanostructures are helping to electrify and illuminate science’s tiniest frontier

Illustration by Christiane Beauregard

Page 12: Discover 2012

Discover10

something, it really helps to understand

it as a molecule. That’s the single build-

ing block.” Further fueling interest is

the awareness that tiny particles of

certain substances can prove particularly

sensitive to heat or electric and magnetic

fields, opening up exciting applications

for them in sensors, transistors or

other nanodevices.

Captivating as it is, nanoscale electronics

is not for the faint of heart. About a

half-dozen years ago, the only way to

electrify a tiny particle was to isolate it

within a massive ensemble, to spend

hours or even days searching for it with

a high-powered microscope and then

to perform the even harder task of

positioning electrodes just right to make

a connection. The difficulty level was off

the charts — like finding a snowflake on

a hockey rink and positioning a Zamboni

to touch it without crushing it. “It was

almost impossible,” says Lee. “And if you

were lucky enough to do it once, you

had to start all over again. It was very

difficult to replicate your work.”

Lee was among a few in the field who

began approaching the problem from the

opposite direction. If you could build a

nanostructure with tiny electrode arms,

you could use mists to drop desired

particles into place. Then you’d know

exactly where to look for them — right

in the gap between the

electrodes, ready to

be electrified.

Since coming to

Marquette in 2008

from California State

University at Fresno,

Lee has developed the ability to build

these very nanostructures out of metal-

coated silicon, tens of thousands of them,

on campus. It’s his contribution to an

effort involving collaborators at Cornell

University and Department of Defense

grant support.

In the past year, Lee has passed some

exciting milestones. He has bridged his

gap of between two to 10 nanometers

(about 1/10,000th the diameter of a

“THROUGH CREATIVITY AND DESIGN,

I’M ABLE TO MAKE SOMETHING LIKE

NO ONE ELSE HAS BEEN ABLE TO MAKE IT.”

Marquette assistant professor of

electrical and computer engineering Dr.

Chung Hoon Lee is going boldly where

few have gone before. But it’s not the

far reaches of interstellar space. In his

fourth-floor lab in Haggerty Hall, he and

student assistants explore the microscopic

frontier of molecular electronics, honing

their ability to apply electric current to

particles as small as a single molecule.

This corner of nanotechnology is

seeing a flurry of

research interest

these days — in part,

Lee says, because

oversized insights

tend to emerge

from the study of

substances in their smallest form. The

advances are akin to what occurred

when biologists began to understand

human cellular structure in the 19th century.

“You can try to understand the human

body as a single object or you can look

closer. ... You can see how liver cells

differ from heart cells and how they

function differently,” he explains. “The

same principle applies with nano-

technology. If you want to understand

Typical human hair

Nanogap

Page 13: Discover 2012

Marquette University 11

human hair) with zinc oxide molecules

that glow when electrified, creating one

of the world’s smallest LED light sources.

Tests at Cornell will soon determine

whether he also has been able to bridge

the gap with thin layers of graphene,

a lattice-like arrangement of carbon

atoms generating intense buzz in

nanotechnology circles.

But his biggest strides may be in

design and fabrication itself. Unlike

predecessors, Lee’s nanostructures have

arms that are suspended, rather than

resting on the base layer, or substrate.

Interference is avoided. Perhaps most

remarkable has been his resourcefulness.

Whereas pioneering peers created

somewhat similar nanostructures with

an etching process involving $5 million

electron-beam lithography equipment,

Lee didn’t have that luxury. So he

originated an approach involving an

everyday optical lithography exposer that

was manufactured before he was born

and was gathering dust in a New Jersey

laboratory before he snatched it up for

$7,000. The high-end electron-beam

equipment is a logical choice for tackling

precise work at the nanoscale. His old

warhorse, not so much.

“It’s like deciding not to drive a car

from Milwaukee to Madison but riding a

bike instead,” he explains. “But through

creativity and design, I’m able to make

something like no one else has been

able to make it. I’m really proud of that.

And the optical lithography equipment

is actually very common in industry. If

this proves useful, there will be no big

technical breakthrough required to

move from the design level to the

manufacturing level.”²

Other nanotechnology projects at Marquette

Dr. Chieu Tran, Pfletschinger-Habermann Professor of

Analytical Chemistry, is focused on gaining insight into

complex chemical and biochemical systems and processes,

as well as developing green methods to synthesize novel,

high-performance supramolecular composite materials for

use in water purification and chemical and biosensors.

Dr. Rajendra Rathore, professor of organic chemistry,

researches the design and synthesis of novel electroactive

molecular wires and organic materials that hold potential

for the construction of modern photovoltaic devices and for

applications in the emerging field of nanotechnology, as well

as in biomaterial applications.

Dr. Fabian Josse, professor of electrical and computer

engineering and director of the Microsensors Research

Laboratory, studies solid state sensors and microelectro-

mechanical systems devices for liquid-phase chemical and

biochemical sensor applications.

Dr. Jeanne Hossenlopp, professor of chemistry and vice

provost of research, studies factors that control the structure

and reactivity of layered metal hydroxides with nanodimen-

sional interlayer galleries, as well as the development and

characterization of these materials for chemical sensor, fire

retardancy and water quality applications.

Dr. James Gardinier, associate professor of chemistry,

examines ways to manipulate electron or energy flow in

supramolecular assemblies with the purpose of designing

new molecular wires, fluorescent dyes and/or light-

harvesting antennae.

Dr. Krassimira Hristova, assistant professor of biological

sciences, specializes in molecular and environmental

microbiology to develop nanoparticle-based molecular

assays for environmental monitoring and to study

nanoparticles’ toxicity to bacteria, yeast and plants.

Page 14: Discover 2012

Discover12

The tragedy of addiction Dr. Robert Wheeler is trying to solve the mysteries of motivation in cocaine addicts

By Christopher Stolarski

Page 15: Discover 2012

Marquette University 13

The tragedy of addiction F or the most part, human motivation is intuitive. From

the anxiety of a looming deadline to the enticement

of a cash bonus, positive and negative scenarios are

powerful and obvious motivators that dictate how

we respond to a given situation. Behaviorists, like the noted B.F.

Skinner, have long studied the ways in which positive reinforce-

ment affects human behavior and cognition.

Dr. Robert Wheeler, an assistant professor of biomedical

sciences at Marquette, is interested in negative affective states,

those “bad feelings,” which he posits impact life the most.

And his research has uncovered a counterintuitive relationship

between positive and negative reinforcement in cocaine addicts.

“Positive reinforcement is the best way for us to learn. However,

the negative has a profound influence on life,” Wheeler says. “But

we don’t have a good neuroscientific understanding of it.”

Wheeler focuses his research on what he calls “the tragedy

of addiction,” a disease marked by a cycle of abstinence and

relapse. The relapse, he says, is normal human behavior; how-

ever, it’s also the most tragic part of the disease.

“As addicts use more and more, they stop doing things they

enjoy,” Wheeler says. “They are pushed in one direction at the

exclusion of everything else they used to love.”

This study of reward-seeking behavior, known as “hedonics,”

is helpful in understanding the behavior of those addicted to

cocaine and other narcotics. More important, he says, it can

help unravel the intricate neurological circuitries and chemical

signals that cause these behaviors. And better understanding the

neurophysiology of addiction could lead to improved clinical

treatment options.

To measure hedonics, Wheeler turned to the same subject

that Skinner did: the rat. As a baseline, he first examined how

the animals reacted to something they enjoy — in this case,

Kool-Aid. The saccharine-infused water garnered positive facial

expressions and mouth movements, which Wheeler says are

relatively universal among mammals. On the other hand,

giving the rats quinine, a bitter liquid, resulted in decidedly

unfavorable expressions.

Needing more than mere facial reactions, Wheeler also

measured fluctuations in dopamine, a key neurotransmitter

in the brain responsible for a wide variety of behavioral and

cognitive functions, including reward and motivation. Using a

technique known as fast-scan cyclic voltammetry, Wheeler was

able to measure dopamine concentrations, in real time, in one

of the brain’s reward centers known as the nucleus accumbens.

Not surprisingly, the rats’ dopamine levels spiked significantly

immediately after the Kool-Aid treat. Turning back to addiction,

Wheeler then wondered: How would the animals react to the

Kool-Aid when paired with an infusion of cocaine?

Taking a prompt from the Pavlovian playbook, Wheeler

taught the rats that they would receive cocaine (something they

enjoy) immediately after the Kool-Aid (something else they

enjoy). Over time, the rats’ dopamine levels measured incredibly

low after the administration of the sugary drink. Further, they

showed decreased reward sensitivity and displayed visually

aversive behaviors, such as negative facial expressions.

The rats were also given a differently flavored, but similarly

sweet, concoction, which resulted in increased dopamine and

favorable behaviors. Only the Kool-Aid, which they now associated

with cocaine, caused a negative reaction.

“It seems counterintuitive, but essentially the cocaine changes

the way the rats feel about the Kool-Aid,” Wheeler says. “What

they once loved, they now have no taste for.”

Wheeler’s findings, published in 2011 in Biological

Psychiatry, counter previous research contending that a stimulus

associated with cocaine causes an increase in dopamine and a

pleasurable feeling in rats, suggesting that the positive feelings

promoted drug seeking. “This is important for recognizing and

hopefully avoiding the complex psychological forces that cause

relapse in cocaine addicts,” Wheeler notes.

But the significance of his work extends beyond combating

addiction. Associations are environmental influences that

infiltrate everyone’s lives, and Wheeler suggests that negative

emotional influences promote other undesired behaviors, such

as compulsive overeating and gambling. “We examine decreased

dopamine release, reward insensitivity, and drug-seeking behav-

iors as a way to understand how our environment changes our

emotional state and our behavior,” he says. “The next step will

be figuring out what we can do about it.”

Wheeler adds, “The true value of this work, we hope, is

that it contributes to a more complete understanding of the

human condition.”²

Page 16: Discover 2012

Discover14

At the outset of the American Civil

War, 4 million Africans, denied of any

personal freedom and liberties, toiled in

fields picking cash crops for plantation

owners. By the end of World War II,

6 million Jews in Europe were system-

atically murdered in gas chambers and

concentration camps. In 1994, in just 100

days, roughly 500,000 Rwandans were

killed and countless women were the

victims of brutal rape.

In such cases, where torture and

brutality were systematically carried out,

is justice possible? What does it look

like, and how is it achieved? Dr. Margaret

Urban Walker, the Donald J. Schuenke

Chair of Philosophy at Marquette and

author of Moral Repair: Reconstructing

Moral Relations After Wrongdoing, has

made it her life’s work to better understand

what justice means and how to achieve

it. “All through history, when it was over,

it was just over,” Walker reflects. “We

cannot just turn the page. Instead, we

need to look at issues and rebuild trust

and hope.”

Walker says the past 50 years have

brought a historical shift in our under-

standing of justice, a time in which

international systems of norms for the

basic protection and recognition of

individuals have taken hold. Germany’s

payments to Jewish survivors of the

Holocaust started what has become a

growing international emphasis on the

human right to individual reparation. As

a moral philosopher, these developments

allow Walker to not only think about

the nature of moral rules and shared

norms but to witness how human beings

progress morally and come to new

convictions and understandings.

The author of several books, Walker

has also taken an active role to help

define and articulate this new concept

of justice. Twice she has worked with

As significant as this progress is,

it is an ongoing and difficult process.

Victims and offenders must be prepared

and open to face past transgressions,

and in some cases, one or both sides

might not be ready. Walker points to the

failure of the Japanese government to

properly acknowledge that thousands of

women, mostly Korean, were coerced

or kidnapped into sexual enslavement

international teams of human rights

scholars and practitioners with the

International Center for Transitional

Justice. The first project was to help

make reparations after political violence

and repression more sensitive and just to

both genders. The second project was a

study of how various measures — such

as criminal trials, truth commissions and

memorial sites — actually work. Walker

IN SEARCH OF JUSTICEfocused on how truth commissions

function and can be effective.

“It has been an extraordinary and

exciting experience both to learn from

scholars and practitioners worldwide

and to contribute to one of the most

remarkable phenomena of our times —

the systematic pursuit of justice in the

aftermath of massive political violence,”

she says.

This progress has moved the idea of

justice from exclusively one of retribution,

which focuses on punishment of the

offender, to one that includes reparation.

This form of justice is meant to help

release victims from the disgrace,

dishonor and contempt of the wrong

they’ve witnessed or endured, while

offenders or countries admit to and

apologize for the crimes committed.

Reparative justice, according to Walker,

helps exemplify and establish mutual

accountability as moral partners in a

shared future. Reparative justice can take

many forms, including public apologies,

monetary or material amends, creation of

memorials, the exhumation and proper

reburial of human remains, and access to

medical services.

in Japanese Army brothels during World

War II or the Lakota Sioux’s refusal to

accept a monetary settlement from the

U.S. government for the theft of the

Black Hills.

Though it can be disheartening to

think about continued transgressions

worldwide, Walker thinks incredible

strides have been made in recent genera-

tions and that there is hope for a better

future. “Through all the history of the

world, most human beings have had to

hope for luck or mercy rather than justice

when they have been terribly wronged,”

she says. “But now there is a glimmer of

hope that some justice, however small

and undependable, is within reach. That

is, humanly, incredibly moving.”²

By Andrew Brodzeller

Page 17: Discover 2012

IN SEARCH OF JUSTICE

In a world still plagued with war and political

violence, what is the role of reparative

justice?

Illustration by Paul Schulenburg Stock Illustration Source

Page 18: Discover 2012

Discover16

Go home, stay home!How nurses can help reduce the rotating door of hospital readmissions

By Charles Nevsimal

Page 19: Discover 2012

Marquette University 17Marquette University 17

A trip to the hospital is rarely

a pleasant experience — all

jokes about hospital food

notwithstanding. There’s the

stress of undergoing a procedure, however

major or minor it may be, the talk about

risks involved and hypothetical worst-

case scenarios. There’s the pain of the

procedure itself, the pain of recovery, of

rehabilitation — and then there’s the bill.

All things considered, however, the

cost a patient incurs is minimal compared

with the overall cost of admission. And

when it comes to the cost of readmission?

Generally, those costs can be avoided —

certainly not all the time, but some of the

time — with greater nurse/patient interac-

tion and better discharge teaching.

Such was the hunch, anyway, of an

interdisciplinary team of researchers at

Marquette that included Drs. Marianne

Weiss, Olga Yakusheva and Kathleen

Bobay. The three joined forces in 2008 for

a study that looked at 16 nursing units in

four Midwestern hospitals and included

information collected firsthand from 1,892

medical/surgical patients.

“Our research was something we

could do together but not alone,” says

Weiss who, along with Bobay, is an

associate professor in the College of

Nursing. Yakusheva is an assistant

professor of economics in the College of

Business Administration (currently doing a

post-doc at Yale School of Public Health).

The team collected data from electronic

hospital data systems and from patients

themselves, looking at staffing data as

it related to registered nurses and the

quality of discharge teaching patients

received. They also researched readmission

data within hospital databases.

What did they find? They found their

hunch to be dead-on.

“When nurse staffing is higher,” says

Yakusheva, “patients feel the quality of

care they receive is better and thus feel

more prepared at the time they leave

the hospital. Additionally, having fewer

overtime nursing hours leads to a drop in

emergency room visits after discharge.”

According to their findings, just 45

minutes of extra nursing care per patient

per day can reduce the patient readmis-

sion rate by 44 percent. That 45-minute

increase in non-overtime nursing care

could also save the 16 nursing units in

the study more than $11 million a year.

So why aren’t hospitals doing back

flips over these findings?

The problem is health care’s current

payment methodologies. They don’t

provide any advantage for hospitals to

increase the number of nurses per shift.

Further, payer savings from reduced

readmissions aren’t applied to offset the

costs of increased staffing.

“Here’s the dilemma with what we

found,” says Weiss. “Essentially, if you

increase staffing a little bit, readmissions

decrease. That’s what the data shows.

The problem is hospitals accrue the cost

of staffing, but they don’t see the benefit

on the readmission side. The payers see

the greater benefit. So it’s an

interesting dance to figure

out how you make those upstream changes

when there’s no benefit to doing so.”

Though some health care reform leg-

islation does change the payment model

to incentivize preventing readmissions,

it’s not an overnight process.

Nevertheless, Weiss and her team have

made three recommendations based on

their findings: 1.) Keep staffing levels

more stable and avoid understaffing;

2.) Implement a standardized protocol for

assessing the quality of discharge teaching

and a patient’s readiness for discharge;

3.) Support the transition in health care

financing at the national level toward the

bundling of payments for hospital and

post-discharge care and incentivizing of

appropriate staffing levels to achieve the

best possible patient outcomes.

“I think what our research does more

than anything,” says Weiss, “is highlight

what we already know about nurses.

Namely, that RNs make a difference. The

number of total hours an RN spends in

direct contact with a patient every day

makes a difference.”²

Drs. Kathleen Bobay, Olga Yakusheva and Marianne Weiss

Page 20: Discover 2012

Discover18

Marquette Research IN BRIEF

SPEAK FOR YOURSELF

Speech language pathologists often give clients with severe speech

disorders alternative communication tools — in other words, machines

that do the talking for them. But Dr. Jeff Berry, a Marquette assistant

professor of speech pathology and audiology, thinks we can do better. He

wants to help survivors of traumatic brain injuries regain their own voice.

“A lot of this arose from working with people who have severe

motor speech disorders who were just dissatisfied with the idea of using,

for example, a speech-generating device for the rest of their lives,”

says Berry, who directs Marquette’s Speech and Swallowing Lab in the

College of Health Sciences.

Berry thinks the path to better rehabilitation could start with a

portable electromagnetic tracking system called the Wave. Last year,

he published the first accuracy study with the Wave in the Journal of

Speech, Language and Hearing Research and, with help from Marquette

engineering students, designed software that makes the commercial

device even more useful. “It’s the only software in the world that I’m

aware of that takes movements of the tongue, lips and jaw and converts them into real-time

speech,” he explains. “We can take somebody who is unable to consistently and reliably

produce voicing on their own but can move their mouth and, essentially, when they

move their mouth, the system will provide the voice.”

Most speech synthesis devices are text-to-speech systems in which the user types

what he or she wants to say. But Berry’s innovation is more than just another way to

create a robotic voice that speaks for you. “We want to be able to understand and trigger

in people with motor disabilities some of the preserved reflexive abilities of the motor

system in order to use that reflexive response to modify their speech,” he says. “By

changing how the acoustics are occurring in real time, we can trick you into modifying

how you’re articulating.”

That could mean tricking people into pronouncing a vowel a different way or, in the

case of people with severe motor speech disorders, adjusting tongue height to achieve

the correct sound.

Berry’s speech synthesis software is critical because, until now, researchers could

only manipulate acoustics for healthy speakers who could produce a high-quality

acoustic signal. Now involuntary adaptations can be studied in survivors of traumatic

brain injuries.

But first, Berry, who has funding from the American Speech and Hearing Foundation,

is refining the technology. After developing a baseline using healthy young adults, he

expanded the study to survivors of traumatic brain injury and stroke and presented the

results at the Conference of Motor Speech in February.

“It’s a technically challenging line of research and a conceptually challenging line of

research,” he says, “but we’re making good progress.” — NSE

“By changing how the acoustics are occurring in real time, we can trick you into modifying how you’re articulating.”

Page 21: Discover 2012

Marquette University 19

AWAKE FOR GENES

Your body is a clock. It knows inherently when to wake and when to rest independent

of zeitgebers, the scientific term for external cues (sunrise, sunset, your 6 a.m. wakeup

call). It has its own cycle. It’s called circadian rhythm.

“The circadian system actually starts deep inside your brain,” says Dr. Stephen Munroe,

a professor of biological sciences whose current research plays in the circadian arena.

“There’s a particular visual pathway that conducts light to a small region near the hypo-

thalamus. Here rests something that seems to be a master clock. This master clock triggers

the hypothalamus, which in turn signals the pituitary gland to help coordinate all the

clocks in your body.”

But Munroe isn’t so much interested in circadian rhythm, per se, as he is interested in

a very specific gene that affects circadian rhythms: Rev-erbα, a regulatory receptor protein

that shows dramatic daily variations in the liver of many mammals. Hence his rather

unusual research subjects: the cells of a small opossum, a rat kangaroo and the platypus,

a unique egg-laying mammal found only in Australia.

“We were stunned to discover,” says Munroe, “that in our hands we can see what is

approximately a 250-fold difference between Rev-erbα at its peak time and at its lowest.”

In other words, it varies widely, ranging from less than 1 percent to 100 percent at its

maximum — every day. Such range is thought to exist in humans as well, though we

typically function during the day, while opossums and rats are nocturnal.

When Rev-erbα gene was first discovered, it was found to overlap the gene for a variant

form of the receptor protein that binds thyroid hormone. And it was the idea of the

overlap between two genes encoded on different strands of DNA that originally inspired

Munroe and guided his early research using antisense RNA to probe requirements for

mRNA splicing. In fact, it’s what guides his research today.

“There are important questions here,” Munroe says. “We don’t really understand how

splicing is regulated. And now we know the vast majority of genes in complex organisms

(i.e., humans) undergo splicing. We also now know both strands of DNA are often copied

into RNA, but only one strand codes for a given protein. How this affects gene activity

and the expression of proteins is another important question.”

Though it won’t explain what makes one either

a morning person or a night owl, Munroe’s

research involving the sequence elements

within the thyroid hormone gene

that controls splicing will help us

understand alternative splicing and

how gene regulation is controlled

in a broad sense. It’s research that

occasionally disrupts Munroe’s own

circadian rhythm (he has been

known to return to his lab while

the rest of the Marquette campus

sleeps — at 1 a.m. and 5 a.m. —

to conduct a circadian collection on

rats with a couple of eager students).

Because for Munroe, it’s research

important enough to lose

sleep over. — CN

A NEW LOOK FOR SCHOOL COUNSELING

Debates about educational achievement

gaps often focus on the roles of teachers,

administrators and even politicians.

What can get overlooked is the importance

of a comprehensive school counseling

program, according to Dr. Alan Burkard,

chair of Marquette’s Department of Counselor

Education and Counseling Psychology.

Burkard also serves as president of the

American School Counselors Association.

“School counseling has changed,” Burkard

says. “Today’s counselors are taking a close

look at the data of what schools need and

creating programs with accountability to

promote student achievement.”

Burkard says this new model of school

counseling is a departure from what many

associate from experience, which is often a

primary focus on the mental health of students.

“In the past, school counselors focused on

topic areas that they enjoyed,” Burkard says.

“The problem was they didn’t have data to

prove that this is what schools always needed.”

Current programs first require an inves-

tigation of a particular school’s challenges,

then work to narrow achievement gaps from

a multitude of angles. Some areas that call

for attention include preventing bullying and

violence, providing expertise for career and

post-secondary questions, building relationships

with families, and reinforcing positive behaviors

to increase attendance.

Results of research from Burkard and others

indicate that fully implemented comprehensive

school counseling programs reduce truancy

and suspensions, increase graduation rates,

and boost performance rates on state math

and reading exams compared with high

schools without similar services.

“You have to show that you’re having an

impact because of your program,” Burkard

says. “That’s how we know school counseling

is important to attain academic and personal

success for all students.” — TC

Page 22: Discover 2012

Marquette Research IN BRIEF

Discover20

THE PHILOSOPHY OF ART

For thousands of years, Chinese art remained uniquely untouched by Western

influences. Now Dr. Curtis Carter, a Marquette professor of philosophy and expert in

aesthetics, is studying how the East and West have influenced each other.

“After Mao, there was more of an opening of ideas,” Carter explains. “By the 1980s,

Chinese artists began to explore a wider range of Western-influenced modern and

contemporary art including a form of pop art inspired by, but different from, Western

pop art. At that time, China had no commercial culture, so its pop artists used art as a

critique of Western pop art and their own Chinese political culture.”

Carter has had ample opportunity to examine the evolution of Chinese art up

close. Last fall, he was invited by leaders in the Chinese art world to speak at several

events in Beijing. He was one of three Americans to present at the National Academy

of Painting’s 30th Anniversary Symposium at the National Museum. While in Beijing,

he spoke at the Sunshine International Museum, for which he is an honorary curator,

during the opening ceremonies for an exhibition of contemporary Chinese artists.

Carter also gave a lecture to graduate students at Beijing Normal University.

And last summer, he hosted a first-of-its-kind East Meets West conference between

Western and Eastern philosophers and artists at Marquette. The conference’s goal was

to build a bridge between Western aesthetics and art and Chinese aesthetics and art.

It’s a fascinating time to study Chinese art, says Carter. Although all Western influences

were cut off during the cultural revolution, there is now more freedom for artists to

explore almost any subject except for the critique of the government.

“Artists in China are trying to assess how their current practices are related to

traditional Chinese art and culture,” Carter says. “Contemporary ink and brush

paintings are part of this effort. The latest movement is to find ways to reinsert

‘Chineseness’ into the practices of contemporary art while also maintaining their

place in the international global art world.”

Understanding Chinese art is even more important in today’s global society, he says.

“As Americans expand political and economic engagements with Chinese colleagues,

it is essential to comprehend the role art and philosophy have held in Chinese society

throughout its history and continues to hold today,” says Carter. “Philosophy and art

are at the roots of cultural understanding.” — KV

FIGHTING POLLUTION, ONE MOLECULE AT A TIME

In a lot of ways, for Dr. Adam Fiedler, the job

of a chemist is tantamount to that of a cabinet-

maker. The nature of craft is essential. Attention

to detail is pivotal. And the end product is a

molecule that may have never before existed.

“The whole idea that we can make molecules

that have never been made

before,” Fiedler says, “that’s

what interests me about

chemistry. The process

of designing, constructing

and analyzing.”

And those tiny molecules

could have a big impact. Fiedler,

an assistant professor of chemistry, studies the

role certain molecules called metalloenzymes

play in naturally breaking down environmental

pollutants. The work won him a Faculty Early

Career Development Award — and five-year

grant — from the National Science Foundation.

About 40 percent of all the enzymes in our

body are metalloenzymes — enzymes that

require a metal ion to perform their biological

function. For example, when we breathe in

dioxygen (O2) molecules, they bind to the iron

center in hemoglobin proteins, which transport

dioxygen to all the cells that need it. Other

metalloenzymes use O2 to carry out oxidations

within metabolic pathways. Fiedler studies a

class of iron-containing enzymes called dioxy-

genases, which incorporate both atoms of O2

into the product of the reaction.

“We’re trying to understand at a very funda-

mental, atomic level how specific iron-containing

enzymes operate,” says Fiedler. “We want to

know how these enzymes work in certain

bacteria to help degrade common pollutants like

PCBs, dioxins and aromatic hydrocarbons.”

His findings may ultimately prove useful in

practical applications down the road.

“By designing and synthesizing certain

complexes that mimic the function of these metal-

loenzymes, we’re getting to the bottom of how

these dioxygenases truly work,” he says. — CN

Carter, left, at an art museum in China.

Page 23: Discover 2012

Marquette University 21

But not all pink products — which signify

breast cancer awareness — carry an

equal benefit.

Specifically, Berg’s research critically

analyzed the marketing ethics of Mike’s

Hard Pink Lemonade and KitchenAid Cook

for the Cure. Berg’s methods applied a test

that measures the marketing campaign’s

fulfillment of truthfulness, authenticity,

respect, equity and social responsibility.

“The persuasive communication used in

these campaigns fail to meet the five prin-

ciples of the test,” Berg says. “We argue that

consumers are particularly vulnerable.”

In one example, Mike’s Hard Lemonade

failed to disclose on its packaging that its

donation to the Breast Cancer Awareness

Foundation was not tied in any way to

consumer purchase or action — which may

have encouraged fewer sales.

“Their message is deceptive because the

packaging does not explicitly state that the

WHAT’S THE VALUE IN A LEGAL BRIEF?

donation is not tied to product sales,”

Berg says.

Unfortunately, most charities are reluc-

tant to speak up against a business that

donates money to them, Berg says. As a

result, she recommends that communication

practitioners and industry leaders should

take a stand for universal standards for

cause-related marketing.

And in the meantime? Consumers

should be wary.

“Think before you pink,” she says. — TC

As a practicing attorney, Chad Oldfather

often wondered how fully judges engaged

with the briefs he submitted on behalf of

his clients.

Now a professor at Marquette University

Law School, Oldfather has devoted much of

his scholarly attention to exploring just how

focused on input from litigants judges should

be. Most recently, he used computational

methods to assess whether decisions issued

by the court actually reflected the briefs sub-

mitted by the litigants in a particular case.

“Legal scholarship has historically taken

on faith that judicial opinions accurately

reflect the facts of the cases they discuss

because there was no alternative,” he

continues. “This work can help us assess

whether that is true.” It might also help

inform practicing attorneys about whether

certain features of briefs tend to resonate

more with the court.

In developing his methodology,

Oldfather and his research partners, who

include University of Wisconsin–Milwaukee

computer science professor Dr. Joseph

Bockhorst, employed three ways of analyz-

ing a group of cases decided by the U.S.

Court of Appeals for the First Circuit. Two

of the analyses involved computational

methods, which allowed researchers to

“read” large numbers of documents in a

short period of time. The first, in effect,

treated the briefs and opinion in each case

as a collection of words and assessed the

overlap among them. The second measured

the overlap in authorities cited, such as

statutes and prior cases, in the opinions

and briefs. The third used a structured

reading of the three documents, includ-

ing a series of human judgments about the

extent to which the opinions responded to

the briefs.

What he found in the preliminary data

is, first, enough of a correlation between

the computational and human assessments

to support the conclusion that the compu-

tational methods are getting at what they

are intended to measure. There was also

a “relatively surprising lack of correspon-

dence between opinions and briefs,” says

Oldfather — suggesting that judges weren’t

strongly influenced by the briefs that

attorneys labored over. As the methodol-

ogy becomes more sophisticated, it has the

potential to provide payoffs to academics

and practitioners alike.

“We are trying to develop another way

of assessing how courts behave, which may

in turn be useful for assessing if they’re

behaving as we want them to, and thinking

about how we might respond if they are

not,” concludes Oldfather. — BOM

THE ETHICS OF PINKWASHING: Is pink the new black?

From shoes to fried chicken and cars

to toasters, consumers may notice more

product packaging increasingly turning

shades of pink. The hue has less to do with

fashion than with marketers aligning with

breast cancer awareness. But is this always

a good thing?

Dr. Kati Tusinski Berg, assistant professor

of public relations, found in her research

that some brands may be engaging in

a process known as “pinkwashing,” or

marketing that has more to do with the

business bottom line than giving back.

“Some companies take advantage of

consumers’ concern about breast cancer,”

Berg says. “In reality, they’re profiting from

marketing pink products while donating

little or nothing to the cause.”

Berg noted a dramatic increase in the

last decade for cause-related marketing,

which attempts to gain customers by tying

purchases of goods or services to charity.

Page 24: Discover 2012

Discover22

IN BRIEFMarquette Research IN BRIEF

ON A MISSION TO IMPROVE REFUGEE DENTAL CARE

When Dr. Toni Roucka first arrived at

the Tanzanian refugee camp, she found

a 1920s dental chair in the corner of a

dark room. There was no running water,

no dental X-ray equipment and very little

space to set up instruments. The floor was

a muddy mess.

More than 50,000 refugees living in the

Mtabila and Nyarugusu camps in the Kigoma

region of Tanzania receive dental treatment

— primarily tooth extractions — in these

conditions, typically delivered by health care

providers with no formal dental training.

“When you look at the big picture —

food, safety, shelter — dental care is a low

priority, but it is a quality of life issue,” says

Roucka, an assistant professor of general

dentistry in Marquette’s School of Dentistry

whose research on refugee dental care was

published last year in the International

Dental Journal.

Improving dental care for underserved

populations is a passion for Roucka. She

first traveled to Tanzania with three other

dentists in 2007 to establish small dental

clinics at the refugee camps and to provide

a two-week training course in emergency

dental care and health promotion to 12

refugee health care workers.

Through lectures and clinical training,

the dentists taught refugee workers how

to do basic exams and triage procedures,

administer anesthesia, manage infections,

and prioritize treatments while also stress-

ing the importance of patient management

and oral health education.

This model for providing access to

dental care in refugee camps is the first of

its kind, according to Roucka.

The focus of the trip was training.

Roucka’s research looked at whether this

kind of training was self-sustaining, portable

and repeatable. She returned to the camps

in 2008 to evaluate the progress of the

health care workers since the first training

and to provide a two-week refresher

course. In 2009, she returned once more to

evaluate the program’s success.

“The biggest concern we had was that

many patients might return to the dental

clinic with post-operative complications

after treatment,” she says. “What we found

was the students followed our instructions

to the T.”

In fact, of the nearly 2,000 patient visits

recorded at the clinics from November 2007

to August 2009, fewer than one percent

returned with pain, swelling or bleeding —

proving to Roucka that the model works.

Next, she hopes to return to Tanzania to

monitor the long-term progress of the pro-

gram and then introduce it with a camp

population in another cultural environment.

She will also continue to provide care

in the Dominican Republic and other

nations through Compassionate Dental

Care International, a nonprofit agency she

founded in 2005 to deliver dental care to

those in need. — ALB

Tanzanian refugees receive dental education from a camp health care worker.

Page 25: Discover 2012

Marquette University 23

POKING HOLES IN THE GOLDEN PARACHUTE

Protesters in the so-called Occupy Wall

Street movement took to the streets of

lower Manhattan in 2011, in part to lambast

corporate CEOs for purported greed. Their

argument: These chief executives are

overpaid, blessed with “golden parachute”

clauses and devoid of transparency.

Dr. Qianhua “Q” Ling, assistant professor

of accounting at Marquette, has been study-

ing the interplay among CEO severance

packages, salary and transparency. And her

findings could help shape how corporate

boards approach these compensation and

governance issues.

In a paper slated to be published

in 2012 by the Journal of Accounting,

Auditing and Finance, Ling examines the

association between pre-negotiated (or ex

ante) severance agreements and the timely

disclosure of bad news to governing boards

and shareholders. She looked at “single-

trigger” and “double-trigger” severance

packages. According to Ling, the former

entitles a CEO to compensation if employment

is terminated without cause or the CEO

ENGINEERING SAFER ROADS

There are more than 11,000 miles of state roads in Wisconsin,

and Dr. Alex Drakopoulos has studied all of them.

It’s all part of the research the associate professor of civil,

construction and environmental engineering has guided during his

19-plus years at Marquette, hoping his findings help federal and

state transportation agencies implement safety changes for roads.

His latest work includes a federal grant to analyze the effect of

trucks on congestion.

“A truck accelerates much slower than a passenger car. So as the

speeds drop when you have congestion — perhaps it’s a work zone

or peak-hour traffic — you’re going to have the trucks create a lot

of gaps ahead of them,” he says. “This certainly is going to impact

congestion.”

And when there’s congestion, there’s driver frustration. When

there’s driver frustration, there are accidents. Drakopoulos hopes his

data will provide new information about how to make congested

highways that carry a lot of trucks operate more safely and efficiently.

Drakopoulos also conducted research on the national standards

that govern traffic signal indications and road markings. Results

from this research, with additional findings from other investigators,

are now included in the Manual on Uniform Traffic Control Devices,

a publication that sets nationwide standards for traffic agencies.

Another one of his projects was the first U.S. installation of

special pavement markings that were used in Japan to slow down

drivers before dangerous turns. These markings, installed by

special permission from the Federal Highway Administration

at a Milwaukee freeway location, are now widely used across

the country.

Even though he says his research “focuses on things that people

don’t ordinarily notice on a daily basis” — a blinking red light

bulb in a traffic signal or lines etched on the pavement surface, for

instance — he knows small findings can mean big change.

“If you have the chance to improve policy because of your findings,

it is a great help to people who need it,” Drakopoulos says. — BDJ

resigns with good reason. The double-

trigger, or golden parachute, package occurs

within a certain period of time after the sale

or acquisition of a company. The executive

receives compensation for the same reasons

outlined above.

“Those ‘causes’ or ‘reasons’ are different

from company to company and often

poorly defined,” Ling says. “The perception,

and often the reality, is the CEO benefits

greatly from these agreements.”

Ling’s research found that CEOs who

have single-trigger severance packages

are more prone to conservative financial

reporting and they tend to disclose bad

news sooner. From the boards’ perspective,

Ling says, this is the silver lining of having a

severance agreement. “This association

remains positive in the CEO’s last year of

tenure where performance is poor,” she

adds. “And the association is stronger among

CEOs with a highly variable pay structure.”

Ling suggests that if boards want to

capitalize on the impact severance agree-

ments have on the early disclosure of bad

news, they should

pair a single-

trigger severance

agreement with a

highly variable CEO

pay structure.

In view of the very

public criticisms of

CEO compensa-

tion, severance

and transparency,

these findings highlight

important strategies that corporate boards

can use to more ethically guide their

organizations, Ling says.

“Quite simply,” she says, “I’m interested

in how governance affects information and

how information affects decisions.”

Ling’s next project is no exception.

She’s now examining the link between

chief executive compensation and

financial performance of nonprofit

human services organizations. — CS

Page 26: Discover 2012

Discover24

MARQUETTE BOOKSHELFLooking for new reading material? Check out some of the latest works written and edited by Marquette faculty.

Global Perspectives on Re-entryBy Dr. Richard Jones, associate professor of

social and cultural sciences

An international perspective on the

challenges facing ex-prisoners as they

attempt to return to society after serving

time in prison.

Enlightened Monks: The German Benedictines 1740–1803By Dr. Ulrich Lehner, assistant professor

of theology

Addresses the social, cultural, philosophical

and theological challenges the German

Benedictines faced between 1740 and 1803

and how the Enlightenment influenced the

self-understanding and lifestyle of those

religious communities.

The Creolizing Subject: Race, Reason and the Politics of PurityBy Dr. Michael Monahan, associate professor

of philosophy

A philosophical study of race and the

challenges it offers, arguing that race should

be understood as an ambiguous and

indeterminate process of social negotiation.

Censored on Final ApproachBy Phyllis Ravel, artistic associate professor

of performing arts

A play chronicling four Women Air Service

Pilots who gather to reminisce about their

challenges and successes during World

War II.

The Eighteenth-Century NovelEdited by Dr. Albert J. Rivero, professor of

English, and George Justice

Contains 10 critical essays and 10 book

reviews spanning the 18th century, including

Aubin, Defoe, Edgeworth and Austen.

Confronting the Climate Crisis — Catholic Theological PerspectivesEdited by Dr. Jame Schaefer, associate

professor of theology

A collection of essays by members of the

Catholic Theological Society of America’s

Interest Group on Global Warming that

demonstrate ways to approach the climate

crisis from a Catholic, theological perspective.

Imagination and the Contemporary NovelBy Dr. John Su, associate professor of English

An examination of the preoccupation with

the imagination among literary authors in

contemporary Anglophone literature and a

restatement of what the imagination is and

what it means for contemporary culture.

Abuse of Power: How Cold War Surveillance and Secrecy Policy Shaped the Response to 9/11By Dr. Alan Theoharis, professor emeritus

of history

Describes the U.S. government’s secret

activities and policies during periods of

“unprecedented crisis,” recounting how

presidents and FBI officials exploited

concerns about foreign-based internal

security threats.

American BoyBy Larry Watson, visiting professor of English

A novel about a young man coming of age

in Willow Falls, Minn., during the 1960s.

Right Here I See My Own Books: The Woman’s Building Library at the World’s Columbian ExpositionBy Dr. Sarah Wadsworth, associate professor

of English, and Wayne A. Wiegand

Examines the progress, content and

significance of this historic first effort to

assemble a comprehensive library of

women’s texts.

Page 27: Discover 2012

Marquette University 25

• Infiscalyear2011,Marquettefacultyreceived$26.5millionin

award dollars for research, instruction and other projects.

• MarquettecontinuestoplayacriticalroleintheClinicaland

Translational Science Institute of Southeastern Wisconsin, a

collaborative effort between eight major institutions that is

supported by a $20 million grant from the National Institutes

of Health.

• Theuniversitysupportsresearchthroughseveralprograms:

three-year Way Klingler fellowships, sabbaticals for junior

faculty and the Lawrence G. Haggerty Faculty Award for

Research Excellence.

• Marquettefacultyeditanumberofscholarlyjournals,fromthe

Journal of Orthopaedic and Sports Physical Therapy to the

International Journal of Systematic Theology.

• TheDepartmentofSpecialCollectionsandUniversity

Archives houses more than 17,000 cubic feet of archival

material and 11,000 volumes, including approximately

7,000 titles in the rare book collection. The J.R.R. Tolkien

Collection features many of the author’s original manu-

scripts, including The Hobbit and The Lord of the Rings.

• Marquettehasmorethan20academiccentersandinstitutes

that foster research in the areas of end-of-life care, ethics,

neuroscience, rehabilitation engineering, transnational justice,

water quality, sports law and other areas.

For more, go to marquette.edu/research.

RESEARCH AND SCHOLARSHIP AT MARQUETTE

Page 28: Discover 2012

Office of the ProvostZilber Hall, Suite 448

P.O. Box 1881Milwaukee, WI 53201-1881

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MARQUETTE UNIVERSITY RESEARCH AND SCHOLARSHIP 2012Discover