000000645 001__ 645 000000645 005__ 20260219122743.0 000000645 0247_ $$2DOI$$a10.6083/M4HT2M90 000000645 037__ $$aETD 000000645 245__ $$aInference of physiologic processes using otoacoustic emissions 000000645 260__ $$bOregon Health and Science University 000000645 269__ $$a2010 000000645 336__ $$aDissertation 000000645 502__ $$bPh.D. 000000645 520__ $$aThis dissertation develops noninvasive methods for inferring physiologic processes using features of otoacoustic emissions (OAEs). Studies demonstrate that stimulus‑frequency OAEs and medial olivocochlear (MOC)–related changes correlate with blood glucose levels, leading to a proposed mechanism linking glucose‑dependent cochlear metabolism to OAE behavior. A new prediction method, Hyperglycemic Risk Analysis, achieved strong accuracy for detecting elevated glucose. Additional experiments show that focused auditory attention increases MOC inhibition, and age‑related changes in SF OAE amplitude and latency can predict auditory decline. Together, these findings expand the clinical and diagnostic potential of OAE‑based physiologic monitoring. 000000645 540__ $$fCC BY 000000645 542__ $$fIn copyright - single owner 000000645 650__ $$aAging$$014358 000000645 650__ $$aBlood Glucose$$015661 000000645 650__ $$aEfferent Pathways$$018246 000000645 650__ $$aROC Curve$$025585 000000645 650__ $$aPsychoacoustics$$024824 000000645 650__ $$aHair Cells, Auditory, Outer$$030480 000000645 650__ $$aHearing$$019916 000000645 650__ $$aAcoustics$$014161 000000645 650__ $$aBlood Glucose Self-Monitoring$$028204 000000645 6531_ $$aotoacoustic emissions 000000645 6531_ $$amedial olivocochlear 000000645 6531_ $$aacoustic emission 000000645 6531_ $$aauditory attention 000000645 691__ $$aSchool of Medicine$$041369 000000645 692__ $$aDepartment of Biomedical Engineering$$041397 000000645 7001_ $$aGordon Jacobs, Peter$$uOregon Health and Science University$$041354 000000645 7201_ $$aWan, Eric$$uOregon Health and Science University$$041354$$7Personal$$eAdvisor 000000645 8564_ $$90155b419-96f6-4ba7-a014-33acc58d79c6$$s2423576$$uhttps://digitalcollections.ohsu.edu/record/645/files/646_etd.pdf$$ePublic$$2f27a1842bb93372234cb15c0268b3418$$31 000000645 905__ $$a/rest/prod/z0/29/p4/76/z029p4761 000000645 909CO $$ooai:digitalcollections.ohsu.edu:645$$pstudent-work 000000645 956__ $$aGet Accessible Copy$$uhttps://ohsu.libwizard.com/f/requestaccessibledocument 000000645 980__ $$aTheses and Dissertations