2013 Abstracts

Paige McAllister, Brigham Young University Psychology Negative body image among younger women has grave ramifications including eating disorders, depression, anxiety, and low self-esteem. In order to more accurately detect negative body image among women, we created the Body Image and Social Comparison Survey (BISCS). The BISCS is a 10 item self-report measure using a 4-point Likert scale. Our two domains were attitudes about personal body image and social comparisons. We took a convenience sample of 115 women between the ages of 18 and 30 and administered our survey to establish psychometrics for the BISCS. It was discovered that the BISCS has high internal consistency, and 43 out of 45 of the Pearson correlations between items were significant. Factor analysis revealed two primary factors. All questions loaded onto the factors we expected them to except there was one question that loaded onto both factors. Content validity ratios ranged from .48 to .81. Future applications and improvements for the BISCS are discussed.

Sasha Trae, Dixie State University Communication This research critiques prevailing economic, political, and social discourses that create or uphold disadvantage, inequity, and oppression against women. Using multiple Critical Discourse Analysis tools, such as, lexical suppression and absence and representational strategies, this researcher will examine activist, political, and socio-cultural discourse, including Take Back The Night, to expose underlying ideology. This paper analyzes ideological functions of these and other constructions identified in the discourse. This researcher will illustrate how the analyzed discourse shapes our reality that the ownership of women’s equality and safety are in the hands of men. Additionally, this researcher will unveil the ideological suppression and absence of the perpetrator; consequently, twenty-first century public discourse places the responsibility in the hands of women to prevent and address violence against women, the victims. Further, this researcher will demonstrate how the revealed ideologies indicate that violence against women is random or unstoppable; thus, setting up women to continue being integrated into a system that is hostile to them. Moreover, the breadth of this ideology indicates that every society within the nations of our world declare that women are a subset of humanity, and that it is men who get to resist relinquishing this equality while women expend their efforts to obtain it. This paper concludes that violence against women is part of an economic and political system that has been codified and written into the laws of nations; therefore, creating and perpetuating the very structures responsible for the violent climate that we fear and live in.

Marlee Olsen, Snow College Psychology This study focuses on how college students interpret and understand new knowledge. Participants will be answering a number of questions via survey about their personal beliefs such as religion, reliable sources of knowledge, and other possible mitigating factors. After reviewing existing research, we found studies being done over long-term acceptance of beliefs, and also studies of the affects on understanding and acceptance of new beliefs after exposure to relative information. However as we reviewed the literature we found lacking information specifically regarding whether college students, when exposed to new concepts, accept the information before understanding it, or postpone acceptance until further understanding. The survey will be given out to students in different geographic regions across the nation to obtain various religious backgrounds, race, gender, and geographic background. We project to find a correlation between religiosity and the rate of acceptance of new beliefs before understanding. Other mitigating factors such as ratings for source of knowledge and geographic background are expected to also have affects. Results will be discussed.

Laura Steffen, Brigham Young University Psychology There is a wide spectrum of opinion on female gender roles, or what behaviors are appropriate for women. Attitudes towards gender roles can hypothetically be influenced by a variety of factors, including religion. Sexist views have been found to be held by members of many faiths, including Catholics, Muslims, and Evangelical Christians (Glick, Lameiras, & Castro, 2002; Maltby, Hall, Anderson & Edwards, 2010; Tasdemir & Sakalli-Ugarlu, 2010). To our knowledge, this phenomenon had not yet been studied among members of the Church of Jesus Christ of Latter-day Saints (LDS). Our measure, the LDS Attitudes Towards Female Gender Roles Scale, (LDS-AFGR) was created in the hopes of accurately assessing opinions of female gender roles among the LDS population, in regards to both religious social contexts. All questions on the LDS-AFGR yielded superior to moderate content validity, and two components were yielded by factor analysis. This suggests that our scale has initial promise, and could be further revised to obtain more accurate data about opinions on female gender roles among LDS church members.

Adrianne Miller, Brigham Young University Psychology Recent studies in rhesus macaques suggest that social competence and sociality, as measured by ease of forming new relationships, is modulated by genetic and behavioral factors. In research centers that study primates, pairing unfamiliar subjects is the most costly and difficult problem that researchers face. We investigated several factors believed to influence social competence: rearing condition, serotonin transporter genotype (5HTT), temperament, and stress responsiveness, as measured by infant plasma cortisol levels. We assessed 354 pairings from subjects housed at the California National Primate Research Center (n=177 male and n=177 female adult pairings). Temperament and plasma cortisol was assessed at three to four months of age. Analyses showed that males were more difficult to pair than females. High cortisol, nursery rearing, and temperament ratings for high emotionality during infancy was predictive of adult pairing failures. Intriguingly, our data showed that the high risk 5HTT genotype was also predictive pairing failures, and that 5HTT genotype interacted with sex, with pairs of males where one or more of the subjects in a pair possessed the high risk 5HTT allele were more likely to be unsuccessful in their pairings. To the extent that our results generalize to humans, our data suggest that early temperament, perhaps modulated by the serotonin transporter genotype, as well as sex and early experiences lead to social competence and success in social relationships.

Jordin Kirkham, Snow College Psychology The purpose of this study is to observe, and analyze how average college students perceive professors in the media and if these perceptions have an effect on our own personal behaviors in the setting of a classroom, the influence of grades, and other factors. Based upon the review of literature, we have discovered that many of the studies regarding professors in the media have barley skimmed the surface, not providing much detail. We plan on going into more depth in our personal observation-analysis studies, seeing how we mainly perceive professors in movies, television, books, newspapers, etc. Results will be discussed.

Jyssica Seebeck, Brigham Young University Psychology Until recently, there were very few meta-analytic comparisons between individual and group formats to determine if reliable outcomes were produced. However, Burlingame, Strauss, and Joyce (2013) recently identified a dozen diagnosis specific meta-analyses (bipolar disorder, schizophrenia, etc.) and twenty-three new studies published over the last decade that test for differential format efficacy/effectiveness. This meta-analysis builds upon these by selecting the most rigorous studies drawn from these meta-analyses. More specifically we selected studies that tested equivalent treatments enabling us to make strong causal conclusions about differential efficacy/effectiveness. We began with published meta-analyses that tested for format differences, went to each and determined whether individual studies summarized in these meta-analyses compared treatments that were equivalent. If they did, the study was included herein. We also conducted a literature search to identify studies that tested individual and group treatments not included in the aforementioned meta-analyses. Computed effect sizes tested differential outcomes (group versus individual) and also estimated the effectiveness of format compared to waitlist controls. Moderator variables of outcomes, such as group type and theoretical orientation were also tested. Results are reviewed with reference to treatment recommendations, feasibility of implementation, and evidence based recommendations.

Nickolal Mullen, Brigham Young University Psychology Previous studies have shown that the monoamines are related to risk for alcoholism, and that both are affected by early rearing experiences. This study builds on previous research in examining the effect of alcohol on monoamine neurotransmitter systems, by exposing macaques to a set dose of alcohol and measuring CNS monoamine metabolites. We explored

Ryan Woodbury, Brigham Young University Psychology Ample evidence suggests that religiousness can serve as a protective factor against risk behaviors (Regnerus, 2007), and can be an important context for positive youth development (Lerner, Roeser, Phelps, & Benson, 2008). Many correlates of religiousness have been identified, but our understanding of underlying mechanism is still nascent (Regnerus, 2007). Building on the notion of religion as a source of social control, one potential mediator may be religious norms (Cochran, Chamlin, Beeghley, & Fenwick, 2004), or perceptions of the behaviors proscribed and prescribed by religions. Unfortunately, research on religious norms is scarce. Thus, the purpose of the present study was to identify adolescent and parent perceptions of religious norms, examine individual differences in these perceived religious norms, and assess links between perceived norms and adolescent behaviors. Adolescents (N = 419; age range 15-18) and one of their parents (N = 313) completed online surveys. Qualitative questions asked participants to name three behaviors their religion most encouraged adolescents to do and three behaviors their religion most discouraged adolescents to not do. Quantitative measures consisted of ratings of 18 perceived religious norms and frequency of 18 adolescent behaviors. We investigated the following research questions (RQ):RQ 1: What religious norms do adolescents and their parents perceive? Three coders, using grounded theory, placed qualitative responses into themes. Seven themes emerged from adolescents’ and eight themes emerged for parents (see Table 1).RQs 2 and 3: To what extent and in what ways do these religious norms differ by adolescent and parent gender? And, how do these religious norms differ by adolescent and parent religious affiliation? Two MANOVAs (one comparing gender, the other comparing religious affiliation) were run to indicate respective differences. Both qualitative and quantitative religious norms differed between certain religions (not between adolescent gender; see Table 1).RQ 4: To what extent and in what ways do adolescent and parent perceived religious norms correlate? Bivariate correlations between adolescent and parent perceptions of religious norms for negative behaviors ranged from .07 – .51 (M = .26, SD = .09), and for positive behaviors they ranged from -.01 – .53 (M = .31, SD = .10).

Trenton Simmons, Brigham Young University Psychology Endogenous opioids are believed to modulate social sensitivity and aggression. The mu-opioid receptor gene in rhesus macaques has two common variants thought to be orthologous to human variants: C77G (CG) and C77C (CC). Based on previous studies, we predicted that rhesus macaques with the CG variant would exhibit higher rates of antisocial and aggressive behavior during social challenge. To test this hypothesis, we subjected mother-reared (MR) and nursery-reared (NR) subjects to an intruder challenge. 130 subjects were genotyped for the mu-opioid receptor gene variant. Behaviors were recorded after an unfamiliar intruder of the same sex and age was placed adjacent to the subjects’ home cage. CG, MR males received more non-contact aggression from group members than any other condition (p range<0.012), instigated more contact aggression than any other condition (p range<0.018), and received more contact aggression from the intruder than all other conditions except CC, NR males. In contrast to high rates of aggression, male, CG, MR subjects exhibited the lowest time in social affiliation when compared to all other genotype, sex or rearing conditions (p<0.026) except for CG, NR females. Our findings suggest that the mu-opioid receptor gene modulates aggression and antisocial behavior but only in the context of rearing and sex. These findings suggest one potential pathway for antisocial aggressive behavior development in men.

Jenna Jackson, Brigham Young University Psychology We examined the effect of social separation stress and serotonin transporter genotype (5HTT) on behavior during mother-infant (MI) reunions using infant rhesus macaques. Based on previous studies, we predicted that infants and mothers who posses the less efficient short (s) allele would display more anxious and aggressive behaviors in both their relationship and also within the larger social group. MI behaviors were recorded during a reunion period after being separated for five days from their mothers. Subjects were 140 rhesus macaques that were tested in one of two separation conditions: mother removed from the social group with the infant left behind, or the mother and infant were each housed alone in single cages. Time spent in behaviors that characterize MI and peer relationships were recorded as dependent variables, while genotype was used as the independent variable. Results showed that MI interactions were especially affected if both the mother and the infant possessed the Ls genotype. Moreover, infants with the Ls genotype also displayed less social contact with other group members, and higher rates of aggression with their peers. Our findings suggest that when both the mother and the infant possess the 5HTT short allele, the MI relationship is strained, showing higher levels of stress and that peer bonds are also affected negatively by the Ls genotype. To the extent that our findings generalize to the human condition, they suggest that the 5HTT genotype influences environmental conditions to influence the mother-infant bond and other social interactions.

Casey Kidman, Snow College Psychology Many people these days are using emoticons in electronic communication. Our topic of research is how people interpret and define these emoticons. This research will include both high school and college students as well as other individuals. We will have students fill out a survey in which they view an emoticon and then write a one-word or brief description of it. We also will evaluate the false consensus effect by asking them on the survey what percentage of people they believe would agree with the way they define the emoticon. Research thus far has not looked into how emoticons are defined, while there is research on how often they are used and what gender uses them more frequently. There are holes in the current research and we are laying the ground work in answering the question of if and how emoticons are universally defined. We expect the very basic emoticons such as “:)” and “:(“ to be generally defined the same; however, as emoticons get more complex we believe the definitions will vary significantly.

Brian Redford, Brigham Young University Psychology Small group treatment is a well-recognized as an effective intervention for persons diagnosed with schizophrenia. The most frequently used and efficacious types of small group treatment include psychoeducational, multifamily and skills groups. These groups are second only to psychopharmacology and frequency of use (Burlingame, Strauss & Joyce, 2013). Using the following search terms (group psychotherapy OR group counseling OR group treatment AND schizophrenia from 1990-2000) 62 studies were identified that used the aforementioned small group treatments. Of these, 29 were excluded based on strict inclusion criteria (i.e., sample size, study design, statistical methodology). 26 studies produced active group comparisons with controls, 3 studies produced single group pre-post comparisons and 5 studies produced waiting list control comparisons studying 2,248 patients. We conducted a meta-analysis using several descriptive (e.g. setting, ethnicity) and moderator (e.g. age of onset, group type) variables examining outcomes on key dimensions (e.g. relapse, hospitalization, medication adherence). Effect sizes estimated treatment effects (pre to post) and if these effects were maintained (post to follow up). Findings are examined in reference to treatment recommendations, feasibility of implementation and evidence based recommendations with respect to illness, protective, mechanisms of action and risk factors.

Jennifer Campbell, Utah State University Psychology Eating disorders are pervasive mental illnesses that overwhelm the lives of individuals who struggle with them. For individuals with anorexia nervosa or bulimia nervosa who do not respond to other treatments, Acceptance and Commitment Therapy has the potential to be effective. This presentation looks to orient researchers to Acceptance and Commitment Therapy while supplying a potentially useful treatment option for those who struggle with clinical anorexia nervosa or bulimia nervosa. The current literature comes together to support the effectiveness of Acceptance and Commitment Therapy for the treatment of eating disorders, specifically anorexia. This presentation focuses on the symptomatology and physical effects of anorexia and bulimia, as well as core principles and processes of Acceptance and Commitment Therapy. Future directions regarding the effectiveness of Acceptance and Commitment Therapy can be broadened to include adolescents as well as other types of eating disorders, such as binge eating disorder and eating disorders not otherwise specified.

Lauren Miller, Utah State University Psychology Affective disorders such as depression, phobias, schizophrenia, and post-traumatic stress disorder impairs the ability to time in the seconds-to-minutes range, i.e., interval timing. We investigated the effect of chronic administration of selective serotonin reuptake inhibitor fluoxetine (FLX) when anxiety-inducing task-irrelevant distracters are presented during an interval timing task. Given that some anti-depressants have beneficial effects on attention and working memory, e.g., decreasing emotional response to negative events, we hypothesized that FLX would decrease activation of amygdala and increase activation of prefrontal cortex. Our results revealed differential activation of amygdala and prefrontal cortex in FLX and vehicle treated rats corresponding to the expected changes in behavior. Results are discussed in relation to the brain circuits involved in interval timing and emotional processing, and the pharmacological management of affective disorders.

Jordan Roberts, University of Utah Political Science I explore the tragic collision between individual self-determination and collective self-determination. While the conflict between these two ideals exists in many forms throughout political life, I focus on an international manifestation of this collision: the conflict between national sovereignty (predicated on collective self-determination) and international human rights (predicated on individual self-determination). There are perhaps no two international values more acclaimed, and no two values that clash as intensely; to allow for sovereignty means to allow for human rights abuses and to intervene in the name of human rights means to deny sovereignty. Eschewing traditional political lenses, I employ a tragic framework that 1) allows fuller engagement with the conflict and 2) avoids the pitfalls of the traditional lenses, including one-sidedness (which fuels the continuation of the conflict) and detachment (which allows for inaction). I draw on Sophocles’ Antigone, interpreting the title character as an embodiment of individual self-determination and Creon as an embodiment of collective self-determination. Furthermore, I argue that prominent attempts at finding a compromise between the two forces caught in this tragic collision, exemplified by the emerging international norm of Responsibility to Protect (R2P), are blind to the collision’s inherently tragic nature, and thus subvert one or both of the values at stake. I also address how this tragic blindness of notable theorists working on questions concerning human rights and sovereignty reproduces the blindness of another Sophoclean character: Oedipus. While tragic conflicts do not lend themselves to neat and tidy outcomes, a tragic framework embraces the conflict, instead of sidestepping it, and works towards an ambiguous, unhappy solution.

Kevin Korous, University of Utah Psychology The goal of this study was to explore if participation in different types of activities was related to the development of an internal locus of control in middle childhood. It was hypothesized that children who participated in more activities would have more of an internal locus of control than children who participated in fewer activities. Participants consisted of 45 adolescent boys and 99 adolescent girls (M = 10, SD = 1.34). Parents were asked to tell us about the activities their child participated in. The listed activities were grouped into four categories based on prior research: 1) sports based activities; 2) school based activities; 3) arts based activities; and community based activities (Barber, Abbott, Blomfield, & Eccles, 2009). To measure locus of control, participants were asked to tell us why a situation involving conflict with a peer occurred and what he/she would do. Then the narratives were coded for locus of control using a five-point scale. There was a significant difference in locus of control by story, Wilk’s A = .348, F(2, 143) = 37.64, p < .01, partial eta2 =.348. Participants were significantly more likely to report that the act of overt aggression was an event s/he had control over and could resolve independently whereas participants reported that the act of relational aggression was more externally driven resulting in less control over the situation, t(141) = -4.59, p < .01, mean difference = .123. Additionally, the participants reported a lower sense of control over the breaking of a social norm by a peer than they did in response to the acts of overt and relational aggression, t(141) = -4.093, p < .01, mean difference = .108 and t(141) = -8.672, p < .01, mean difference = .115, respectively. There was only one significant correlation among the different types of activities and the participants’ scores on locus of control. Children who participated in more arts based activities demonstrated more of an internal locus of control in response to a peer violating a social norm than children who participated in fewer arts based activities, r(142) = -.234, p < .01.

Yoon Lee, Utah State University Family, Consumer, and Human Development Drug abuse in America is a major problem that has been well documented throughout history. Marijuana use has increased among most age levels and is the most abused illicit drug in America. Cocaine use has also increased over the past decade. Possibly the most alarming trend is the fact that hospital visits due to drug abuse of any kind are dramatically increasing each year. Using data from the National Survey on Drug Use and Health (2010), this study explored to what extent adolescents and young adults were involved with Marijuana or Cocaine abuse and to investigate factors associated with their use of such illicit drugs. For the data analyses, the total sample included 37,926 individuals between the ages of 12 and 25; the sub-sample of this study consisted of Adolescents between the ages of 12 and 17 (n=18,622) and young adults between the ages of 18-25 (n=19,304). The descriptive statistics suggested that among the study sample, 35.3 percent reported they ever used marijuana, while 7.5 percent reported they ever used cocaine. The results of logistic regression analyses show that all else being equal, age, health, gender, race, county size, and illicit drug addiction are statistically significant in predicting the likelihood of reporting marijuana experience among young adults between ages of 12-25. Similarly, the results of logistic regression analyses show that all else being equal, age, health, gender, education, race, county size, and illicit drug addiction are statistically significant in predicting the likelihood of reporting marijuana experience among young adults between ages of 12-25.

Kevin Lawanto, Utah State University Psychology Mice are excellent models for studying aggressive behaviors and the neural circuits underlying aggression. They identify their conspecifics through olfactory communication within the animal group (emission scent marking and detection of volatile and nonvolatile chemicals, such as pheromones). Anomalies in the perception and processing of olfactory cues may induce abnormal social behavior, anxiety or aggression. We performed a behavioral assessment of male NrCAM knockout mice and wild-type littermates. We found that NrCAM-deficient male mice exhibit increased aggression towards unknown conspecifics. Using cFos immunostaining, we revealed differences in neuronal activation between NrCAM knockout mice and wildtype littermates in a circuit relevant to processing of olfactory cues and male-specific behaviors (olfactory bulb, amygdala, bed nucleus of the stria terminalis and hypothalamus). These differences may be the result of misrepresentation of olfactory cues due to abnormal neuronal connectivity in the olfactory system. Our studies may be relevant to pathophysiological mechanisms responsible for abnormal social behaviors, aggression and anxiety.

Elizabeth Payne, Utah State University Anthropology This paper is an exploratory ethnographic research project designed to collect stories of health care experiences of childbirth in Cache Valley, Utah. By interviewing women who have given birth in Cache Valley, key themes have been identified as being significant to the childbirth community, these are; the Biomedicalization of childbirth; Tensions between the biomedical and holistic out-of-hospital approaches to births; Out-of-control pitocin use; and the Beliefs and Attitudes associated with giving birth. I compare the results with my own experiences as well as in the literature. The discussions raises issues of concern and an applied suggested course of action is offered to policy makers.

Eric Hastings, Utah State University Psychology Does building a new school facility change the quality of the school learning environment? If so, how enduring are these effects? Research shows some correlation between the physical environment of a school and student outcomes to. However, research fails to demonstrate that drastic changes to the environment through reconstruction influence those same outcomes. To investigate this relationship a group of newly built/reconstructed schools was identified and looked at longitudinally to measure the quality of the school’s learning environment two years before construction and four years after construction. To measure the school’s learning environment this research used the Indicators of School Quality survey (ISQ); a comprehensive survey system for school administrators to evaluate and monitor school improvement and accreditation efforts which provides information on the status of the schools learning environment, year to year progress and details about the conditions for learning produced in the classrooms. ISQ does this by measuring parent, teacher, and student perceptions of things such as parent support, teacher excellence, student commitment, school leadership, instructional quality, resource management, and school safety. In addition to the impact of school construction on a school’s learning environment, this analysis was extended to student attendance, safety, and student academic achievement. Data collected to this point supports the argument that school construction only has short term effects on a school’s learning environment, but no long lasting effect. Instead of investing in new facilities, schools and districts would be wise to first consider giving more attention to maintaining student and teacher relationships.

Karen Yu, University of Utah Psychology Objective

Tida Blackburn, University of Utah Psychology Previous work has shown that our perception of height is influenced by ones eye height. We further investigate this phenomenon by extending this research to virtual reality. Virtual reality can give the appearance of eyeheight change, which cannot be done otherwise. We changed participants’ eye height by adjusting the height at which participants viewed their environment. Effective eye heights were both 0.08 cm lower and higher than the participants’ normal eye height. The virtual reality environment was a classroom with two vertical poles and a horizontal pole that create a horizontal barrier for participants to walk under. In the first experiment, participants were instructed to walk under the barrier as naturally as possible and to duck when needed. The height of the barrier was altered across trials. In the second experiment, we manipulated eye height further using physical objects, namely shoe inserts. The second experiment followed the design of the first experiment. Data was collected using cameras and a tracking program to record the participants’ ducking behavior. The previous study found that manipulating a person’s height influences their judgment of how high the horizontal barrier appears and whether they could pass under it without ducking. We hypothesized that people will change their ducking behavior depending on their eye height, because they are rescaling their body to their new viewpoint.

Bret Wayman, University of Utah Sociology The purpose of this study is to examine the motivations that drive non-traditional students to return to complete a degree and the challenges that returning students face while attempting to earn that degree that might be different than those of a traditional student. The study assumes that there are differences between non-traditional and traditional students in regards to motivation and challenges faced along the path to earning a degree. By examining these differences, the study aims to see if there are ways to better serve a non-traditional student’s needs in order to increase graduation rates among the non-traditional student group. The primary data for this study consists of essays written by the attendants of a seminar, “Life after the NFL (and other life-changing experiences): A discussion of the challenges and rewards of returning to college,” presented by Dr. Julie Stewart which was sponsored by the University of Utah Department of Sociology and the Sociology Student Advisory Committee and interviews with selected non-traditional students, faculty, and staff. The essays were originally intended for curriculum rather than research purposes and consist of the thoughts of students who attended the seminars about the challenges faced by returning students and the motivations that drive non-traditional students to return to the complete a degree. The seminar attendees consisted of both traditional and non-traditional students. Interviews will be conducted with students who qualify as non-traditional students due to several demographic qualities, and with faculty/staff that are familiar with the challenges that non-traditional students face in returning to school. The students selected will be picked using the strategic method snowball sampling to ensure that those sampled are in the desired demographic. As more non-traditional students enter academia areas of concern need to be identified to help those students to better function and achieve similar results to more traditional students. The proposed study intends to find those areas of concern.

Andrew Chol, University of Utah Psychology Motivation is a critical factor in academic performance and must be self-regulated over time (Sansone & Thoman, 2005). Self-regulation becomes more significant online due to the lack of schedule and supervision characteristic of traditional in-class courses (Artino & Stephens, 2009). That is, online students must address both opportunities for supplemental learning (i.e. videos) and possible distractions that may redirect focus (i.e., social media) (Sansone, et al. in press). An initial examination (Sansone, Butner, et al., 2011) of the Regulation of Motivation and Performance Online (RMAPO) project indicated that students given reasons to value learning basic HTML skills in an online lesson (value-added) spent more time on-task and off-task prior to submitting an assignment; this time spent was furthermore associated with greater interest. Given this counterintuitive pattern, our study aimed to identify and analyze the nature of off-task website access, and whether certain sites or patterns were more beneficial for interest and performance. Websites were coded into the following categories: on-task, non-lesson websites related to HTML coding, indirectly lesson-related websites (i.e., alternative image examples), off-task social communication, off-task personal interests, and other. Statistical analysis (i.e., Chi-square, ANOVA) revealed that patterns of off-task behavior varied by category as a function of condition (control or value-added). Specifically, value-added groups accessed indirectly lesson-related websites and off-task personal interests to a significantly higher degree relative to the control. Access to these websites was further significantly related to higher degrees of interest and performance (quiz scores). The findings suggest that students given reasons to value learning may use off-task behavior as strategy to 1) seek additional information related to their developing interest on a topic, and 2) rejuvenate diminished resources through creation of interest. Addition of utility value may thus motivate students to reconfigure their learning process in service of having a more interesting experience using both on and off-task means (Sansone & Thoman, 2005).

Heather Sheffer, Utah State University Family Consumer and Human Development Background:

Austin LaBau, Utah State University History and Sociology At the beginning of the 19th century, there was only one public insane asylum in the United States. Together, this facility and a handful of private hospitals housed only a few hundred patients. By 1890, more than 74,000 Americans lived in mental institutions. A wealth of literature exists on the rise of the American insane asylum during this period; the evolution of modern psychiatry; and the philosophical, political, social, and ethical implications of the two. But what the literature lacks is a perspective on the rise of the asylum that recognizes its place in the developing urban environment. This project addresses that shortcoming by exploring a small group of institutions within the context of a single urban center; New York. In 1890, one-in-twenty-five Americans lived in what would soon become New York City’s five boroughs, alongside nearly one-in-ten of the country’s institutionalized insane. Upon opening, NYC’s massive insane asylums became a source of pride for city’s elites. Far from being hidden away, most of the asylums were built on islands in the East River—at the time, one of the busiest waterways in the world. Nestled between Brooklyn and Manhattan, the imposing structures and their residents lived in clear view of thousands of daily commuters, and inspired numerous poems, novels, and songs. However, it was not their largess that attracted international visitors like Charles Dickens and Alexis de Tocqueville, but the unique circumstances in which they operated. Throughout the 19th century, the intimate nature of NYC, where masses of impoverished immigrants lived only blocks from some of the richest and most powerful men in the world, helped make the city the site of violent class warfare, as well as a testing ground for social reform. Insane asylums were only a portion of NYC’s sprawling public welfare system, consisting of nearly a hundred public and private charitable institutions inn Manhattan alone. To explain how the insane asylum affected New York City, I examine essays, and photographs written and taken by doctors, patients, reporters, and reformers illustrate the significance of the insane asylum on New York City life.

Esther Kim, University of Utah Political Science In 1961, student activists from across the United States challenged socially segregated public transit in the South by enforcing desegregation laws. The activists, known as Freedom Riders, were met with resistance, violence and jail. On its 50th anniversary in May 2011, the Freedom Riders were met with much media recognition: a documentary screening at Sundance, an episode on Oprah and a commemorative retracing of the original ride sponsored by PBS American Experience, which involved student activists from across the country to get on the bus. The Civil Rights Movement as a historical memory has become highly celebrated and widely understood as racial justice realized, but commemoration works to historicize and isolate these acts of resistance from modern day struggle for social equity. As a participant of the student freedom rides, I witnessed a complicated mapping of how we live with history, memory, race, power, place, the everyday lives of people that are still affected by events that shaped the nation and corporations seeking to benefit from the blind acceptance of commemoration. Using Cultural Studies theories of encoding and decoding, this research is an examination of the tensions among the actions and rhetoric of the Freedom Riders movement and how they are validated, co-opted, re-formed and understood. This research is an attempt to pull the acts of the Freedom Riders out of a historical framework, contextualizing the way we understand how the events of the Civil Rights Movement have played out and affect the ways we engage social activism and justice now.

Madeleine Oritt, University of Utah International Studies This research examines the impact of the Agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPS) on accessibility to HIV/AIDS medications for populations in resource-limited countries. This World Trade Organization agreement created provisions by which these countries can obtain or manufacture HIV/AIDS drugs at reduced prices, but also affirmed the intellectual property rights of pharmaceutical companies over their drugs. To achieve a thorough understanding of its impact, several other factors that affect accessibility to HIV/AIDS medications, beneficially or detrimentally, were analyzed and compared to the TRIPS agreement; these factors include foreign aid, drug pricing inequality, patent pools, independent actions of drug companies, and political pressure. Research was conducted through literary review, using primary sources including academic articles, news and magazine articles and information from governmental organizations like the World Trade Organization and the World Health Organization. This research recognizes the detrimental effect of the TRIPS agreement on accessibility of HIV/AIDS medications globally. However, the analysis of the aforementioned factors illuminates the positive effects of multiple other actors and organizations, which may negate, partially or fully, the ramifications of the TRIPS agreement. Thus, this research concludes fundamental factors, including physical obstacles like a lack of infrastructure and dispersal of HIV/AIDS-affected populations in rural areas, social obstacles like ethnic fractionalization and stigma, and political obstacles like government corruption, inefficiency and lack of economic prosperity, have the most deleterious effect upon HIV/AIDS drug accessibility. Instead of focusing on the TRIPS agreement as a singular determinant, these deep-rooted issues must take precedence and will require more time, cooperation and political will to change on a national and global level. Until the affected countries are willing to assume responsibility for drug accessibility and the fundamental issues that affect it, it will be impossible to realize widespread progress toward treating HIV/AIDS in resource-limited populations.

Stephanie Lawanto, Utah State University Psychology Mice are excellent models for studying social behavior. Anomalies in the perception and processing of social cues may induce abnormal social approach or sexual behaviors. We performed an assessment of social behavior in NrCAM knockout female mice and wild-type littermates. We found that NrCAM knockout mice exhibit social behavioral deficits (reduced interaction with unknown conspecifics). Analysis of neuronal activation in a circuit relevant to processing and response to olfactory cues (olfactory bulb, amygdala, bed nucleus of the stria terminalis, hypothalamus), using cFos immunostaining, revealed differences in neuronal activation between NrCAM knockout mice and wild type littermates exposed to unknown conspecifics. These differences may be the result of anomalies in neuronal connectivity in the olfactory systems in NrCAM knockouts. These studies have the potential to generate a new understanding of pathophysiological mechanisms responsible for abnormal social behaviors, and to identify new treatment strategies to reduce social deficits in autism spectrum disease patients.

Amanda Stouffer, Snow College Psychology There have been many studies on the topic of magazine covers, whether it is the contents of the magazine or specifically what is depicted on the cover of the magazine. Such studies typically look at the ethnicity, gender, and age of the people shown on magazines’ covers. They also study what trends exist with these different factors. For example the number of women shown on covers is going up. These studies have been done on many magazines including Rolling Stone, Sports Illustrated, Playboy, and Cosmopolitan. These extensive studies have also found an increasing amount of sexual objectification, especially of women. The magazine Psychology Today has not been studied in-depth, but as psychology is a supposedly progressive field that uncovers and empirically studies inequalities one might guess Psychology Today breaks that stigma. However it does not. Through the study of the cover photos of Psychology Today the present study will look at: perceived age, sex, ethnicity, amount of clothing, passive vs. active scene, body parts shown, arousing vs. disturbing picture, whether the overall message is positive

Chance Christensen, Utah State University Psychology Affective disorders such as depression, phobias, schizophrenia, and post-traumatic stress disorder impairs the ability to time in the seconds-to-minutes range, i.e., interval timing. We investigated the effect of chronic administration of selective serotonin reuptake inhibitor fluoxetine(FLX) when anxiety-inducing task-irrelevant distracters are presented during an interval timing task. According to the Relative Time-Sharing (RTS) model, presentation of task-irrelevant distracters during a timing task results in a delay in responding suggesting a failure to maintain subjective time in working memory, possibly due to attentional and working memory resources being diverted away from timing. Given that some anti-depressants have beneficial effects on attention and working memory, e.g., decreasing emotional response to negative events, we hypothesized that FLX would improve maintenance of information in working memory in trials with distracters, resulting in a decrease of the disruptive effect of emotional events on the timekeeping abilities. Our results revealed independent effects of FLX on timing and resource allocation. Acute administration of FLX delayed timing, but this effect was eliminated after chronic administration. FLX reduced the detrimental effect of the distracters only when the distracters were anxiety-inducing, but not when they were neutral. Results are discussed in relation to the brain circuits involved in RTS of resources, and the pharmacological management of affective disorders.

Justine Larsen, Utah State University Political Science In recent years, the aggressive barred owl’s invasion of northern spotted owl territory has led to significant declines in spotted owl populations along the Pacific Northwest. In response to the owl’s waning population, the Fish and Wildlife Service (FWS) has implemented a plan under the Endangered Species Act (ESA) to kill the barred owl in a radical attempt to save the spotted owl. Applauded as revolutionary legislation, critical in protecting the Earth’s species from extinction, the ESA is decidedly far from the miracle bill its proponents laud it to be. A mere one percent of species protected under the ESA have successfully recovered enough to be delisted, and the ESA had little to do with these rare recoveries (Scheer & Moss, 2012). Observation and analysis of the spotted owl’s turbulent decline, reveals fundamental flaws specifically in basic theories on which the legislation was based. Particularly, the theory that nature, if left alone, will return to a natural state of balance (balance of nature theory) is a primary concept that has led the ESA astray numerous times, as evidenced by the FWS’ paradoxical plan to capture and kill one species in order to maintain a balance in the other species. This study reviews the balance of nature theory, providing research examining the effectiveness of the ESA and contributing to efforts to determine an appropriate and successful solution to species decline.

Arlene Johnston, Brigham Young University Nursing Description:

Edie Kieu-Mi Nguyen and Cassandra Nguyen, University of Utah Nursing Home hospice care is a growing area within the health care system. However, because of the difficulty in gaining access to these patients and caregivers in the home, research findings have been slow to keep pace with this growth. While hospice has been at the forefront of family-centered care, explicitly stating that the unit of care is the family, there has been little empirical research to show who is actually involved in this care in the home on a regular basis. Hypothesis: Our goal of this project was to describe who is present at the nurse home visit with the patient. Research Method: This research, part of a larger intervention study, involved reviewing audio recordings of home hospice visits to set up a coding system for future communication coding. During this review, we also identified and documented those present during the visit. Results: In our sample of 115 home hospice visits, 12 nurses caring for 13 patients spent an average of XXX minutes each (SD=XXX) in the home. We have found that caregivers are present 80% of the time. Our data shows that a spouse is present in 28% of visits. In 58.3% of visits, a daughter is present, while sons are present in only 3.1% of visits. Implications: It is important to know who is present at the visit and how long they spent with the patient to increase our understanding of what goes on in home hospice care. This research has implications for improving patient care. For example, in order to promote a more family orientated home care; more family members should participate in nurse visits. This descriptive research can be used in practice for hospices to know who to expect during patient home visits, as well as to incorporate the family members better into the patient care plan.

Xin Wan, University of Utah College of Health, and Department of Endocrinology, Metabolism, and Diabetes We hypothesized that PP2A activation is required for lipid-induced, ceramide-mediated arterial dysfunction. Mice haploinsufficient for dihydroceramide desaturase (des1+/-) and their wild-type littermates (des1+/+) were infused (iv) for 6 h with lard-oil (LO) or vehicle (veh). Subgroups of LO and veh mice were treated (1.5 mg/kg IP) for 3 days prior to infusion with the PP2A inhibitor LB1 (Lixte Biotechnology, NY). LO increased ceramide accrual in arteries from des1+/+ but not des1+/mice. Palmitate (3 h x 500 uM) increased (p<0.05) PP2A activity, and impaired (p<0.05) insulin-stimulated p-eNOS(S) 1177 to eNOS in endothelial cells, and these responses were negated by LB1 (4 uM; n=5-8). Endothelium-dependent and -independent relaxation of femoral arteries (~ 150 um i.d.) was assessed using acetylcholine (ACh) and sodium nitroprusside (SNP), respectively (n=3 mice / group, 3 vessels / mouse). ACh-mediated (2×10-8, 3×10-8, and 6×10-8 M) relaxation (%) was less (p<0.05) in LO des1+/+ (30±2, 41±3, and 61±4, respectively) vs. veh des1+/+ mice (48±4, 67±6, and 73±6, respectively). Endothelial dysfunction observed in LO des1+/+ mice was less severe when ceramide accrual (i.e. LO des1+/mice) or PP2A activation (i.e., LB1 +LO des1+/+ mice) were prevented. SNP-evoked vasorelaxation was intact among groups. LO-induced ceramide accumulation induces endothelial dysfunction that is dependent upon PP2A activation. ADA1-12-BS-208, 2R15HL091493

Nicole Kelbert, University of Utah Nursing Introduction:

Darien Shapiro, University of Utah Pharmacology and Toxicology Exposure to wood smoke particulate matter (WSPM) has been linked to exacerbation of asthma, development of chronic obstructive pulmonary disease (COPD), and premature death. Combustion-derived PM (cdPM) such as cigarette smoke (CS), diesel exhaust (DEP), and WSPM, activate transient receptor potential ankyrin-1 (TRPA1) which promotes neurogenic inflammation/edema and airway irritation/cough. The mechanism of TRPA1 activation by DEP and CS involves the electrophilic/oxidant binding (3CK) and menthol-binding (ST) sites, and a novel mechanosensitive site. We hypothesized that WSPM would activate TRPA1 through one or more of these sites similar to other cdPM. Pine and mesquite PM were generated in the laboratory. Both types of WSPM particles activated TRPA1 in human TRPA1 over-expressing HEK-293 and primary mouse trigeminal (TG) neurons. WSPM also activated TRPA1 in A549 cells, a human alveolar adenocarcinoma cell line, which has recently been shown to express TRPA1. HC030031, a TRPA1 specific antagonist, attenuated the calcium flux due to WSPM treatment in both human A459 cells and mouse primary TG neurons. Differential activation of TRPA1, as a function of particle size, demonstrated that PM2.5 m were most potent. Several known chemical components of WSPM, including 3,5-ditert-butylphenol and agathic acid were TRPA1 agonists. Both WSPM and agathic acid activated TRPA1 primarily via binding the 3CK site, based on inhibition of calcium flux by glutathione and mutation of the 3CK site. Conversely, 3,5-ditert-butylphenol activated TRPA1 through the ST site. This study established the mechanism by which WSPM and associated chemical components activated TRPA1 which may help tailor effective therapeutic treatments for WSPM pneumotoxicity. Support: NIEHS ES017431 and the University of Utah Undergraduate Research Opportunities Program.

Elizabeth Johnson, University of Utah College of Health, and Division of Endocrinology, Metabolism, and Diabetes Constant-flow left ventricular assist devices (LVAD) are implanted in heart failure patients to assist the heart in pumping blood through the body either temporarily as a “bridge” mechanism until a heart transplant or permanently as a destination therapy. The blood flows constantly with an LVAD contrary to the natural pulsatile flow of the human heart. We wanted to determine if this constant flow attenuated the function of the arteries. A transmural biopsy was taken from seven male patients (52±6 years old) when the LVAD was implanted (pre) and again 142±2 days later upon LVAD explant (post). Arteries were obtained from the pre and post tissue biopsies. Vessel function was assessed using isometric tension techniques. After Lmax tension was determined for each vessel, the contraction-response curve of each vessel was tested using potassium chloride (KCl, 10-100 mM). Next the vessels were pre-contracted to ~65% maximal tension and treated with bradykinin (BK, 10-6 to 10-10 M) and sodium nitroprusside (SNP, 10-4 to 10-9 M) to determine, respectively, endothelium-dependent and -independent vasorelaxation. Maximal KCl-evoked contraction (0.99±0.22 and 0.69±0.14 mg tension development / μm vessel length), maximal BK-evoked vasorelaxation (64±13% and 80±7%), and maximal SNP-evoked vasorelaxation (92±3% and 92±4%), was similar in arteries obtained from pre (n=13 arteries, 206±40 μm i.d.) and post (n=14 arteries, 288±24 μm i.d.) transmural biopsy samples, respectively. These preliminary data indicate that coronary vascular function is not attenuated by LVAD implantation.

Israel Worthington, Utah Valley University Science and Health The Nation and world’s dependency on fuels has steadily grown over the last several decades. The world’s consumption of oil dramatically increases in the United States and peaks at approximately 20 million barrels of oil each day. Predictions of decreasing fuel reserves and increasing costs have made the development of a renewable fuel source increasingly appropriate. Much research has been done using the fermentative process to produce biofuels as an alternative fuel source, but the research attempting to utilize photosynthetic bacteria as a producer of alternative fuels is relatively undeveloped. In this research, it was attempted to transform cyanobacteria with the gene necessary to produce the enzyme methyl-butenol synthase, which catalyzes the production of the biofuel methyl-butenol. The gene for methyl-butenol was successfully transformed into cyanobacteria on a plasmid, and production of the enzyme methyl-butenol synthase was successfully detected via western blotting. The production of an alternative fuel source using photosynthetic bacteria could create a cheap, renewable, and more environmentally friendly source of fuel.

Mikaelyn Miles, University of Utah Pediatrics Altering myocardial growth interferes with hemodynamic parameters such as blood flow or pressure, and subsequently alters vascular development. We hypothesized that experimentally increasing hemodynamic stress by conotruncal banding during early heart development would result in a remodeling of the arterial wall. The outflow tract of a stage-21 (3_-d) chick embryo was constricted with an overhand knot of a 10-0 nylon suture, and the embryo was returned to the incubator. Normal embryo was not operated. We harvested the embryo at stage-34 (8-d), and fixed the heart in diastole with 0.025 μg/Kg diltiazem in 4% paraformaldehyde. Transverse sections of the carotid artery were stained with H&E staining, and the dorsal aorta was treated with rhodamin-phalloidin-smooth muscle antibody staining. En face sections of the aorta were examined under confocal microscopy. Morphometric analysis was quantitated using customized MatLab software for filament-actin alignment and density. Data are presented as mean±SEM, and analyzed by Student’s t test and ANOVA with statistical significance defined as a p value of less than 5%. Both right and left carotid arteries in the conotruncal banded heart had a thinner vessel wall when compared to the arteries of the normal embryos. Some vessels in the conotruncal banded hearts displayed dilation and variation in size between the right and left coronary arteries. The overall filament length in the dorsal aorta between the normal and banded hearts (39.8±4.3 vs. 29.6±2.7 μm, respectively) was statistically different (p<0.05). The filaments were also widely spaced in the conotruncal banded hearts. Altered growth in the developing heart caused by altering the hemodynamics results in secondary abnormalities in development due to abnormal vascular architecture. These factors may be important in the understanding of myocardial development with defects such

Samantha Webber, Brigham Young University Nursing Background: In November of 2012, a small group from BYU’s College of Nursing returned to Guayaquil, Ecuador to measure anemia indicators post interventions in school age children. In May of 2012 a larger group, including students, from BYU’s College of Nursing had visited Guayaquil for the fourth consecutive year to assess malnutrition and anemia rates in school age children. This multi-phase research project which began in May of 2009 found that nearly 41% of the children in this area suffered from anemia (below 11g/dl as per WHO guidelines). The adverse effects of anemia for these children can include: weakness, fatigue, shortness of breath, and poor concentration. Anemia may result from deficiencies of iron, B12, folic acid, and may also be the result of intestinal parasites. A nutrition survey conducted among these same school children showed that daily intake of iron, B12, and folic acid were below recommended levels. Intervention: In May of 2009 Hogar de Cristo (HDC), a non-profit organization, began distributing 6 to 8 ounce bottles of soy milk as a school snack for each school-aged child at a few of the schools in the area. A local pharmaceutical company who supplied vitamin and iron supplements during the first year of the soy milk distribution, reassessed anemia rates in those children in November of 2009. The BYU College of Nursing continued to assess school- aged children for measures of anemia and growth and development in 2010 and 2011 as directed by Hogar de Cristo. After 2011 it was difficult to correlate anemia and soy milk because of changes in the sample from year to year. In May of 2012 the BYU College of Nursing shifted their focus to four interventions with the aim of determining which one would best lower anemia rates. The study focused on students at four schools in the perimetral area, each school received one of the interventions as an adjunct to soy milk: vitamin supplements, antiparasites, vitamins and antiparasites, and a control group (soy milk only). Growth and development measures along with rates of anemia were reassessed in November 2012. Results: In May of 2012 the BYU College of Nursing tested 1041 school-ages children for growth and development and anemia. growth and development rate results spanning the four years of testing, and a comparison of anemia rates between intervention groups and control groups.

Ashlee Manwaring, Brigham Young University Nursing Purpose: To examine how the new policy of Medicare/Medicaid reimbursement being based on HCAHPS scores affects nursing care. Rationale: The Patient Protection and Affordable Care Act (PPACA) mandates that Medicare and Medicaid reimbursement be based on hospital performance and patient satisfaction. Patient satisfaction is measured nationally through the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. The HCAHPS survey was development in the early 2000’s to create a uniform measure for patient perspectives regarding their inpatient stay; however, with the HCAHPS scores being related to Medicare and Medicaid reimbursement, hospitals are required to reevaluate their quality of care from the patient, not medical, perspective. Van Empel et al. (2011) found that physicians and nurses primarily value medical outcomes of treatment. While, at the same time, patient’s value patient-centeredness, even if it means decreasing the desired outcome of treatment. Undertaking: A literature review was completed by searching in CINAHL and Medline. Preliminary research used HCAHPS and Medicare reimbursement as key words. Second, a search was completed using HCAHPS and nursing as key words. All results were published between 2008 and 2012. Outcomes: Kutney-Lee et al. (2009) reported that patient satisfaction was primarily linked with nurse-to-patient ratio, interdisciplinary collaboration and work environment. Research by Robinson and Watters (2010) found the main factor in patient dissatisfaction was feeling like the nurses were short staffed, task-oriented and rushed, leaving the patient lacking adequately communication to understand their situation. Van Empel et al. (2011) reported patients’ willingness to change providers and facilities to received patient-centered care. Conclusion: Nurses have the greatest potential to effect patient satisfaction. Therefore, with the new regulation of Medicare and Medicaid reimbursement based on patient satisfaction surveys, nurses have a greater responsibility to ensure patient satisfaction. From the research presented, the main nursing implication is to help each patient feel like their care is centered on what is important to that individual. This can most easily be accomplished by the nurse opening a line of communication with the patient, and then advocating for the patient’s wishes.

Austin Stevens, University of Utah Pediatrics Neurofibromatosis type 1 (NF1) is a common autosomal dominant genetic disorder. It affects 1/3500 individuals worldwide (Friedman, 2002). It is classically characterized as a neurocutaneous disorder, but osseous and spinal abnormalities are clearly associated with NF1. These complications are not well understood and rarely emphasized, even though as high as 38% have been reported to have osseous manifestations (Crawford and Schorry, 1999). In particular, the medical management of scoliosis in NF1 is problematic with no consensus on preferred treatment strategies. More information on the natural history and health-related quality of life are needed before effective therapies can be designed as assessment of treatment efficacy is complex and outcome measures difficult to define. Dr. Stevenson and Dr. Viskochil are part of an NF Consortium focused on developing clinical trials in NF1. However, specific outcome measures are needed for these clinical trials. In particular changes in quality of life are an essential part of clinical trials. Our objective is to determine if specific quality of life instruments can be utilized in the NF1 population for the skeletal manifestations. A battery of these instruments were used given that it was not known which instrument would be most appropriate for the various manifestations of NF1. A total of 129 patients were enrolled in this study, and the relevant questionnaires were administered and recorded. Categorical data of health status will be summarized as frequency distributions and differences among groups will be assessed using chi-square tests of proportions. Frequency distributions for interval-scale variables of health status (e.g., HUI single-attribute utility scores) and HRQL (e.g., HUI multi-attribute utility and PedsQL4.0 summary scores) will be summarized as mean, standard deviation, 95% confidence bounds, median, minimum and maximum. T-tests and analysis of variance techniques (including repeated-measures models) will be used to test differences in means between groups.

Deborah Nelson, University of Utah Pediatrics Families of pediatric cancer patients are presented with significant emotional, social, and financial challenges. Most children with cancer are treated in pediatric oncology centers located in urban areas and many must travel great distances for therapy. This study aims to evaluate the burden of care associated with pediatric cancer care and to determine the impact of the location of patients’ residence on those burdens. We administered a n=310 (48-item, English) and n=46 (72-item, Spanish) survey to the primary caregiver of patients, ages 0-18 years, diagnosed with a cancer between three to six months prior to the survey. Survey domains included measures of rurality, time from first symptoms to diagnosis, financial burden (travel costs and time, missed work, relocation) and missed school. Survey analysis suggests rural families and those traveling >2 hours to a pediatric oncology center took longer to obtain diagnosis, missed more work days, paid more in travel expenses and relocated more often than families living closer. Of the respondents, 18% were considered “rural” with 38% reporting greater than one-hour travel time and 25% reporting greater than two-hour travel time. Mean onset of initial symptoms to diagnosis was 11.4 weeks for rural and 7.6 weeks for urban patients. Mean out of pocket costs per clinic visit for rural were over three times that of urban patients. Twenty-nine percent (n=102) moved since diagnosis; of that 33% reported moving was directly due to cancer. Fifty-six percent of school-aged patients discontinued school; of those 28% were unable to “keep up” and 10% repeated a grade. Caring for a child with cancer places a significant number of burdens on the patient’s family. This burden appears greater for patients living in rural and distant areas and could effect patient care and access to treatment.

Jennifer Nhan, University of Utah College of Health, Division of Endocrinology, Metabolism, and Diabetes The overall goal of our laboratory is to elucidate mechanisms whereby endothelial nitric oxide (NO) synthase (eNOS) enzyme function and NO bioavailability are impaired in individuals with diet-induced obesity (DIO), type 2 diabetes (T2DM), and insulin resistance. This is a clinically relevant issue because all of these conditions are associated with poor vascular function that might be precipitated by disrupted eNOS enzyme function and NO bioavailability. To study this issue we use model systems including cell culture, isolated arteries, and rodents. It is important to have an accurate, reproducible, and sensitive method to detect NO in each of these systems. The purpose of my work was to optimize the technique of electron paramagnetic resonance spectroscopy (EPR) to assess NO in bovine aortic endothelial cells (BAECs). NO contains an unpaired electron. This structural feature facilitates the measurement of NO via EPR. NO is detected with a spin trap of FeSO4 and diethyldithiocarbamate trihydrate (DETC). In the presence of NO, the spin trap forms a NO-Fe(DETC) complex which is detected by EPR. BAECs were grown to 70-80% confluency in six-well plates, and treated with: (i) vehicle (buffer only), (ii) 600 uM of insulin (an NO agonist), (iii) 10 uM of NG-monomethyl-L-arginine acetate salt [LNMMA, an NO synthase (NOS) inhibitor], and (iv) three doses (1, 10, 100 uM) of diethylammonium (DEA) NONOate (an NO donor) to serve as a positive control. All treatments contained L-arginine [the substrate for endothelial NOS (eNOS)] and FeSO4 (the spin trap). After a 60-min incubation with treatments (i) (iv), cells were dislodged from each plate, collected, frozen in liquid nitrogen, and NO was detected using EPR. Relative to vehicle treatment, 1uM, 10uM, and 100uM DEA NONOate increased NO production by 50±8%, 150±2%, and 700±26% (p<0.05) respectively. Insulin increased (p<0.05) NO production by 73±4% vs. vehicle, and this response was prevented in cells treated with insulin + LNMMA. These results indicate EPR is a suitable method to detect cellular NO production. My next project is to optimize this technique for use in isolated arteries from experimental animal models.

Cami Schiel, Brigham Young University Nursing 65 French hospital nurses in Avignon, France were surveyed about their opinions about healthcare. Survey results identified and described French nurses’ perceptions of their health care system as well as other systems. Access to care was a positive aspect of their healthcare system that was identified by a majority of the respondents. Abuse or lack of oversight, and budget deficit were major themes identified as negative aspects of the French healthcare system. The French nurses’ opinions about different countries’ health care systems were compared to World Health Organization [WHO] (2000) rankings. French nurses overwhelmingly ranked France’s healthcare system as number one, which matched the WHO (2000) ranking. 73% of respondents prioritized preventative care over acute treatment. Work and other professional peers were identified as the main sources of influence on French nurses’ perceptions of health- care both French and internationally. Nurses’ opinions heavily influenced other nurses in the workplace. An implication from this study is that nurses can have a powerful impact on others’ viewpoints about healthcare. They are also a valuable resource for identifying strengths and weaknesses of a healthcare system, given their lived experience working in the healthcare system.

Kara Vickers, University of Utah Nursing Symptoms related to cancer and its treatments are a significant source of distress for children and adolescents with cancer. Although children and adolescents may receive interventions aimed at alleviating symptoms, the hospital care environment itself may be one that adds to the overall symptom burden. The purpose of this study is to investigate relationships between symptoms experienced by hospitalized children and adolescents with cancer and the care environment on an inpatient pediatric oncology unit. This prospective, descriptive study uses use a repeated measure, within-group design to identify relationships between symptoms and the nursing care environment that can be used to guide future interventions. Participants are 50 children and adolescents (7 to 18 years of age) with cancer. Data collection is occurring over a 3-day and 3-night period. Children and adolescents’ symptoms are measured each shift using the Memorial Symptom Assessment Scale for patients aged 7-12 years. Participants also answer two open-ended questions about what has bothered them about the hospital environment and what they perceive could improve the hospital environment. Sound and light levels are measured continuously using a sound pressure level meter and data logger placed approximately 48 inches from the child’s bedside. Nursing care activities are measured through counts of care activities occurring during room entries by nursing staff. Room entries are identified using an Axis pan-tilt-zoom (PTZ) dome camera. A member of the research team reviews the child’s nursing flow sheet, medication administration record, acuity level, laboratory values, and medical orders each day. Data is presently being collected and will be analyzed using hierarchical mixed effects statistical models. Long-term goals of this project include improving symptom management in the inpatient setting, minimizing modifiable factors in the care environment that cause greater symptom burden, and lastly use the findings to inform hypotheses for a larger intervention studies. Hopefully these studies will target structuring the hospital care environment to minimize the symptom burden experienced by hospitalized children and adolescents with cancer and, ultimately, promote their quality of life.

Jordyn Whiting, Brigham Young University Nursing Purpose: To demonstrate use of a guide to help nursing students increase cultural competency gained during study abroad programs.Background/significance: In a world of increasing globalization, nurses are more likely to care for patients of a cultural background different from their own. To care for increasingly diverse patients, nurses need greater cultural competence to provide the safest and highest quality of care possible. Study abroad programs have been shown to be an excellent way to provide cultural education for students. The number of students choosing to participate in these programs has more than doubled in the last ten years. However, no research is available from a student perspective on how to plan for an optimum learning experience during study abroad. A research-based guide, from a student perspective, will help students take better advantage of experiences abroad to increase cultural competency. Methods: A literature review using online databases (including CINAHL and MEDLINE) was conducted using search terms such as nursing student, student, cultural competency, cultural sensitivity, cultural awareness, study abroad, international experience, and exchange program. Articles from the online search were used to compile a student guide. The guide includes competence-enhancing activities, formulated using brief anecdotal summaries and trending study abroad outcomes found in the articles. The guide’s framework came from Josepha Campinha-Bacote’s 2002 article, “The Process of Cultural Competence in the Delivery of Healthcare Services: A Model of Care,” and its subsequently updated versions (2007 and 2011). With the original version of the guide, there were 16 activities in four categories: cultural awareness, cultural knowledge, cultural skill, and cultural desire. The guide also included 16 blank squares where students could create their own activities. The guide contains a small reflective writing portion where students can think about their experiences as a whole and how they can implement what they learned into practice. A total of 12 students, including the author, used the guide in two different study abroad programs, first while participating in a Global Health and Human Diversity program with the College of Nursing in Tonga in May 2012.

Laura Gilpin, Brigham Young University Nursing Purpose/Aims: The purpose of this pilot study was (1) to examine nursing students’ perceptions of their first experience with death in the clinical setting and (2) to determine if curricular changes are necessary to better prepare nursing students effectively cope with their first death experience as a nurse. Background: Death, particularly the unexpected death of a patient, is an emotionally charged, high-stress situation for any nurse. Nursing students encounter scenarios involving death and dying in simulation laboratories, as well as in the clinical setting. In simulation settings debriefing is routinely accomplished and is seen as a critical component of the learning experience. However, Leavy and colleagues (2011) found that even during formal simulation debriefing sessions nursing students were not able to fully process their emotions In real-life clinical settings, the stakes are even higher as nursing students must be able to effectively cope with the death of a patient. Unfortunately, research on students’ first experience with death is limited. Huang and colleagues (2010) found students may not receive adequate support from clinical nursing instructors during the dying process and after a patient’s death. Methods: This was a descriptive mixed methods pilot study. An online anonymous survey was sent to students in the Brigham Young University College of Nursing regarding their first experience with death in the clinical setting (N=306). Students were e-mailed a brief description of the research project and an invitation to participate in the study only if they had experienced the death of a patient. Completion of the online questionnaire implied consent. The participants answered 5 demographic questions and 11 survey questions with the estimated time commitment for each participant being 15 minutes. Results: The online questionnaire was sent to 306 BSN nursing students Approximately 10% initially responded (N=33). A smaller group (N=25) completed the entire survey. Qualitative comments from nursing students who experienced the death of their patient included feeling sad, shocked and uncomfortable. Fifty percent of the nursing students did not receive any debriefing from their clinical instructor following the event.