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2013 Abstracts

Family Caregivers in Home Hospice

January 01, 2013 12:00 AM
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.

PP2A Activation is Required for Lipid-Induced Arterial Dysfunction in Mice

January 01, 2013 12:00 AM
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

Procedural Violations That Could Cause Hospital Acquired Infections

January 01, 2013 12:00 AM
Nicole Kelbert, University of Utah Nursing Introduction:

Activation of Transient Receptor Potential Ankyrin-1 by Wood Smoke Particulate Material

January 01, 2013 12:00 AM
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.

Production of Biofuel Methyl-butenol in Cyanobacteria

January 01, 2013 12:00 AM
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.

Dynamics of Vascular Development with Conotruncal Banded Heart in Chick Embryo

January 01, 2013 12:00 AM
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

Quality of Life in Children and Adolescents with Neurofibromatosis type 1 and Scoliosis

January 01, 2013 12:00 AM
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.

The Impact of Geography on the Burden of Care for Pediatric Oncology Patients and Their Families

January 01, 2013 12:00 AM
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.

Measuring Nitric Oxide Production by Endothelial Cells Using Electron Paramagnetic Resonance Spectroscopy

January 01, 2013 12:00 AM
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.

Relationships Between Symptoms and the Hospital Care Environment in Children and Adolescents with Cancer

January 01, 2013 12:00 AM
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.

A Retrospective Analysis of Vehicular Accidents Involving Emergency Medical Service and Fire Vehicles

January 01, 2013 12:00 AM
Jacqueline Rodriguez, University of Utah Health Promotion and Education This is the second phase of an anticipated multistage research study. The first phase was completed Spring of 2012 and data showed that drivers of personal vehicles were having a difficult time hearing Emergency Medical Service (EMS) vehicles when driving with their radio on or while operating a hands-free cell phone which may be a leading factor in many of the estimated 9,000 EMS accidents a year. Information will be collected from accident reports and personal interviews will be conducted with EMS personnel who have been involved in a vehicular accident while driving an EMS vehicle. Similarities found in the interviews and accident reports that may explain why vehicular accidents involving EMS occur will be recorded. The accident reports which will be analyzed will have occurred in the past five years and will have transpired within the State of Utah. One-on-one interviews will be conducted about the accident in the State of Utah and with EMS personnel that have been in a vehicular accident in the past 5 years while driving an EMS vehicle. It is hypothesized that many of the vehicular accidents involving EMS drivers occur due to drivers in personal vehicles not noticing EMS vehicles in enough time to clear the way. It is believe the results gathered from the interview and accident reports will show that drivers do not see/hear EMS vehicles very well when distracted. In the cases where the EMS driver was found at fault for the accident, it may be due to having to resort to unsafe driving practices because they are responding to an emergency and the drivers in personal vehicles are not moving out of the way in a timely manner or simply not at all. It is anticipated that the results of this study should be available late December.

What Should Nursing Students Know About Quality and Safety?

January 01, 2013 12:00 AM
Arlene Johnston, Brigham Young University Nursing Description:

Continuous-Flow Left Ventricular Assist Device does not Impair Coronary Arterial Function After Implantation

January 01, 2013 12:00 AM
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.

Results of Interventions Among Anemic and Malnourished Children in an Impoverished Ecuador Community

January 01, 2013 12:00 AM
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.

How HCAHPS Scores and Medicare/Medicaid Reimbursement Affect Nursing Care

January 01, 2013 12:00 AM
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.

French Nurses’ Perception of Healthcare Around the World

January 01, 2013 12:00 AM
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.

Ways and Means to Get the Most Out of a Study Abroad Experience

January 01, 2013 12:00 AM
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.

Nursing Students’ First Clinical Experience with Death: A Pilot Study

January 01, 2013 12:00 AM
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.

Complementary and Alternative Medicine

January 01, 2013 12:00 AM
Heather Peatross, Southern Utah University Agriculture and Nutrition Sciences Complementary and Alternative Medicine (CAM) is defined as any ingestible herb, supplement, or other substance used to increase one’s health or well-being both physically and mentally. National studies have examined the usage of CAM. In 2007, the latest year surveyed by the National Center for Complementary and Alternative Medicine (NCCAM), approximately 38% of adults in the U.S. were using some form of CAM with the greatest usage among women and persons with higher education and income levels. Non-vitamin/mineral natural products are the most commonly used CAM therapies. Americans spent $33.9 billion out-of-pocket on CAM over the previous 12 months. Little information regarding CAM use and knowledge in a rural college-age population is available. The purpose of this study is to examine the knowledge Southern Utah University (SUU) students have of CAM, usage by this population, and the reasons for using these products. Do SUU students typically use CAM therapies in their daily lives? Do SUU students use CAM primarily when ill? Are SUU students using CAM as a replacement for traditional (western) medicine? What types of CAM are being used (particularly herbal or dietary supplements)? It is hypothesized that the majority (>50%) of CAM users do not discuss their alternative therapies with a health care physician. Additionally it is hypothesized that students that have been diagnosed, or have a family member that has been diagnosed, with cancer are more knowledgeable/more likely to have used CAM therapies. Four hundred and eighty students were surveyed in a convenience sample of fourteen general education classes at SUU. The survey asked about usage of CAM therapies (including for health or sport performance), overall experience with CAM products used, sources of health advice, and any discussion with their medical physician regarding CAM use. Study results and conclusions are pending.

Measuring Impact Forces during Figure Skating Jumps

January 01, 2013 12:00 AM
Jacob Robinson, Brigham Young University Mechanical Engineering Figure skating is a competitive sport that requires athletes to practice up to 5 days a week year round performing 50 to 100 jumps per day. This results in high, repetitive impact forces on the skater’s body which may lead to overuse injuries. While the negative effects of figure skating are well documented, the cause of these injuries is still unclear because the complexity of artistic figure skating limits current instrumentation from accurately measuring impact forces. This project has sought to fill this void by developing a force measurement system that will allow the figure skater to perform their jumps without any hindrance while accurately measuring the magnitude of the impact forces in the vertical and horizontal directions. Using strain gauges attached to the stanchions of the ice skate combined with a data collection system that attaches to the bottom of the boot, we have developed a prototype that accurately measures the forces produced in the ice skate. This will lead to a fully developed ice skate measurement system which will be used by researchers to investigate the impact forces generated in figure skating jumps and landings.

Multiple Peaks in SABER Hydroxyl Mesospheric Airglow Altitude Profiles

January 01, 2013 12:00 AM
Connor George, Utah State University Electrical and Computer Engineering The SABER instrument, aboard the TIMED satellite, measures optical data regarding parameters of the Earth’s atmosphere with respect to altitude. Approximately once per minute, SABER performs a limb-scan measurement on the Earth’s atmosphere from which altitude emission profiles of key atmospheric gasses, including hydroxyl at wavelengths of 1.6 μm and 2.0 μm, are derived. Most hydroxyl profiles within the SABER dataset contain a single peak in the airglow altitude profile centered near an altitude of 87 km, but a significant portion of the profiles display two or more local maxima. MATLAB code was written to analyze the geophysical and temporal global distribution of the multiple-peak profiles. Graphs have been created which display relationships between the percentage of multiple-peak profiles and the local time, the cardinal orientation of the SABER device, and the latitude and longitude at which the atmospheric profile was measured. Patterns have been observed in multiple-peak profile distribution with respect to these variables. Possible causes of the multiple-peak occurrences in the hydroxyl altitude profiles include waves, geometrical effects of the SABER instrument, and/or chemistry of the atmosphere. In addition to graphing software, analysis software was written which counts the number of peaks present in any given altitude profile, and which ascertained the percentage of profiles displaying multiple-peak characteristics. A small (<1%) portion of hydroxyl altitude profiles were found to have abnormal distributions due to erroneous or noisy data collected by SABER. Software has also been written to remove such exceptions from the dataset. Additional investigation into the relationship between multiple-peak occurrences and cardinal direction orientation of the SABER device is required in order to further identify the causes for multiple peak profiles. An investigation into seasonal patterns for multiple-peak profiles is to be conducted. As the dataset grows, exception software will be updated to identify invalid altitude profiles. Also, ozone has been found to have multiple-peak altitude profiles similar to those of hydroxyl, and studies complementary to those performed on hydroxyl altitude profiles will be performed on ozone.

Shape Analysis of the Left Atrial Appendage to Assess Risk of Stroke in Patients with Atrial Fibrillation

January 01, 2013 12:00 AM
Derek Chang, University of Utah Bioengineering Atrial fibrillation (AF), the most common cardiac arrhythmia, is a rapid, irregular heart beat arising from uncontrolled and asynchronized electrical activation in the atria. This disruption of the normal electrical signaling hinders the contraction of the heart, leading to decreased blood flow, possible clot (thrombus) formation, and an increased risk of stroke. The left atrial appendage (LAA) is a small muscular pouch of highly variable anatomy within the left atrium. The LAA plays a prominent role in thrombus formation in patients with AF because of decreased blood flow within this structure. Thus, we hypothesized that the shape of the left atrial appendage is different in AF patients with a documented history of stroke. We used statistical shape analysis to determine which LAA shape variations contribute to stroke based on a cohort of AF patients who had both MRI and CT scans and a documented history of stroke. We manually delineated the boundaries of the LAA from each patient’s CT and MRI scans to analyze the resulting LAA segmentations for shape variations across imaging modalities and history of stroke. The results showed that patients who have AF and a history of stroke have an LAA with a narrower insertion site into the left atrium and are larger in size. In contrast, patients who have AF, but no history of stroke, have an LAA with a wider insertion site, which are smaller in size. By isolating specific LAA shape variants indicative of an underlying risk of stroke, we can use this shape classification scheme to better tailor AF therapies to each individual patient.

Wrist Forces and Torques during Activities of Daily Living

January 01, 2013 12:00 AM
Autumn Pando, Brigham Young University Mechanical Engineering The wrist is one of the most common sites for joint injury. Over two-thirds of 75,000 annual repetitive joint injuries occur at the wrist. Excessive or abnormal wrist forces are thought to be one of the main contributing factors, yet no characterization of normal wrist forces exists. The purpose of this research is to fill this lack by creating a systematic, quantitative characterization of wrist forces and torques experienced in daily life. This database will aid further research in developing better and more personalized treatments as well as improving design considerations for human-machine interfaces. Ten healthy subjects participated in the experiment. Subjects performed 25 activities representative of daily life (e.g. hygiene maintenance, food preparation, using technology). Electromyographic (EMG) sensors recorded wrist muscle activity and electromagnetic motion sensors recorded wrist kinematics. Each subject performed a calibration task prior to the experimental protocol to determine the proportionality constant between EMG activity and torque. Wrist force and torque were determined from EMG activity using a constant of proportionality (identified by calibration), muscle length, and muscle velocity. Co-contraction was computed from torque. Wrist muscle usage, forces, torque magnitudes, torque angles, and percentage of co-contraction at varying levels of contraction were characterized. The results indicate muscle use, forces, and torques are unevenly distributed.

Decreasing Flooding Risk at Millsite Reservoir

January 01, 2013 12:00 AM
Mitchell Dabling, Utah State University Civil and Environmental Engineering Water management and flood control are essential elements of civilization. Linear weirs (e.g. ogee crest, sharp crested, and broad crested weirs) are often used in irrigation channels or reservoir spillways to regulate the discharge and upstream water level during flood flows. As hydrologic data sets increase in size and accuracy, the highest probable maximum flood (PMF) discharge is becoming increasingly more accurate, and in many cases much larger than previous estimates. Because of this, an older weir may need to be rehabilitated to ensure it can pass the updated PMF discharge safely without upstream flooding. A nonlinear weir (e.g. labyrinth or piano key weir) can replace a linear weir in a channel or spillway to pass significantly more discharge without requiring increased channel width. The Utah Water Research Laboratory at Utah State University, with the help of Utah Mineral Lease Funds, has developed and published design data for multiple configurations of nonlinear weirs. In 2012, the Utah Division of Water Resources used this data to design a labyrinth-style nonlinear weir that will replace the spillway currently in use at Millsite Reservoir in Emery County. This rehabilitation project will significantly decrease the flooding potential of the surrounding area.

Sarrus-Based Passive Mechanism for Robotic Perching

January 01, 2013 12:00 AM
Kay (Beau) Freckleton, University of Utah Mechanical Engineering Current quad-rotors provide excellent maneuverability and opportunity for data collection in large scale areas such as agriculture, but lack the capability to maintain flight for an extended period of time. This is due primarily to a lack of energy supply, requiring operators to replace the battery source before the quad-rotor completes its designated purpose [1]. In this paper, we introduce a mechanism to enable flying robotic rotorcraft, such as quadrotors and helicopters which utilize vertical takeoff and landing, to perch similar to a bird. The mechanism is passive, using only the weight of the rotorcraft for actuation. Such a mechanism will dispel the need for multiple batteries by allowing the quadrotor to perch amid its designated flight course, recharge using solar energy, and complete data collection over large scale areas in less time. In previous research to this same end, biomimetic approaches were pursued, resulting in designs that looked similar to the legs and feet of birds. The design in this paper utilizes a Sarrus mechanism to convert rotorcraft weight into perch grip. We began by designing the mechanism for a range of cylindrical perch sizes. Using MATLAB, we developed a program to optimize the various mechanism dimensions needed to perch within this range while also maximizing the mechanical advantage of grip force. Using SolidWorks, a 3-dimensional model was created and manufactured with these dimensions. In testing, the mechanism successfully allowed a small RC helicopter to perch on a 4cm diameter rod with some resistance to external forces. However, in crash tests, the mechanism was unable to withstand certain moment forces and developed large fractures. Further research will focus on decreasing these moment forces’ ability to weaken the mechanism while optimizing perching capability.

The Cell Cycle Regulation of PDCD4 Interaction with PRMT5

January 01, 2013 12:00 AM
Kimberly Uchida, University of Utah Bioengineering and Oncological Sciences Programmed cell death 4 (PDCD4) loses its function as a tumor suppressor when co-expressed with a specific binding partner, protein arginine methyltransferase-5 (PRMT5). A better understanding of the regulation of PDCD4-PRMT5 interaction may lead to cancer therapies targeted at restoring the tumor suppressive function of PDCD4. Using Xenopus laevis (frog) eggs to generate extract trapped in either interphase or mitosis, we found that PDCD4-PRMT5 interaction is regulated by the cell cycle. Full-length PDCD4 bound PRMT5 more robustly in interphase than in mitosis. However, a truncated version of PDCD4, that retained the PRMT5 binding site, bound PRMT5 equally in interphase and mitosis. These results indicate that there may be a component of full-length PDCD4 that occludes the PRMT5 binding site in mitosis. Furthermore, we found that both full-length and the truncated PDCD4 are preferentially phosphorylated in mitosis, but preferentially methylated in interphase. From these results we speculate that phosphorylation of PDCD4 in mitosis allows PDCD4 to fold upon itself and effectively block the PRMT5 binding site. Additionally, phosphorylation may prevent methylation even when PRMT5 can bind PDCD4, explaining the lack of PDCD4 methylation in mitosis. Such an inhibitory mechanism may be useful in therapeutically restoring the tumor suppressive function of PDCD4. Future research will be aimed towards completing our understanding of PDCD4-PRMT5 interaction in the cell cycle, such as proving our model in human cells.

Freedom of Inquiry in Higher Education Performance Studies: Can we share the frame?

January 01, 2013 12:00 AM
Rodolfo Rafael, Weber State University Performing Arts In preparation for choreographic projects for my degree, I attended the world-class Ririe-Woodbury Dance Company workshop on an undergraduate grant. The workshop included various subjects, but the most valuable and challenging approach was the emphasis on the “frame” of a work of art and how by changing the frame, the meaning and impact of art is affected. I became interested in the artistic and societal frame of marriage, and decided to use this frame for my student choreographic project. Since it was in an academic setting, I presented the idea in an open-ended manner, one that allowed the students to express their concerns. I was intent not so much on the outcome of the piece, but that the subject of marriage be questioned. I started by having a discussion with the students. I solicited and noted their boundaries. After finding an agreed upon point of compromise on how to approach this issue, we decided to move forward. Unfortunately, some never came back. In fear of losing more students, I changed directions. This experience brought me to a new issue. How much academic freedom do students have? Is higher education supposed to provide a platform where students are free to explore open inquiries? What if others aren’t willing to deal with social issues? Should students change the subject matter of their research to avoid offending others? How do we encourage others to discuss issues they don’t agree on? Is there a way we can find common ground and share the frame?

Northern Utah Youth Center

January 01, 2013 12:00 AM
Kelsey Spaulding, Weber State University Interior Design Research states that the youth in almost any setting, will always need attention and assistance in navigating life. Pre-teen and teen years can be a time when children need attention, guidance, and direction while developing into mature citizens of their community and world (Larson, Positive Development in a Disorderly World, 2011). Within schools, adolescents are taught only a few of the fundamental ideas and practices that would help them to better navigate in an ambiguous world. In a study done by the New York State Afterschool Network, learning opportunities outside of the classroom help to increase the application of lessons and give adolescents a higher probability for achievement (Network, 2012). Outside of school, adolescent youth need to be able to interact with each other and gain an understanding of themselves and others in relation to the world. Without an interaction with other youth and different aspects of society, adolescents may become apathetic and lack an understanding of the effect they may have on others and their community (Balsano, 2005). In Ogden, Utah, there are a variety of cultures and backgrounds from which adolescent youth come (Bureau, 2012). It is important during the age of adolescence to interact in a personal, societal, and healthy environment during the time when their brains and personalities develop most (Larson, Adolescents’ Development of Skills for Agency in Youth Programs: Learning to Think Strategically, 2011). When given the proper tools, guidance, and opportunities to work with others and their community, adolescents become better leaders of the future. In turn they benefit society as a whole by creating a culture of understanding and willingness to work for an improved future (Network, 2012).In downtown Ogden a building has been proposed as a gathering place for youth between the ages of 14 and 18. The name of the building would be The Northern Utah Youth Center. The proposed design of the building has been created to accommodate a unique style of learning. It will provide a creative environment where youth are allowed to explore and experiment through the application of hands on learning. Utilizing the use of appropriate lighting, color and architectural design will allow for the youth to feel more at ease, creative, and constructive (Saxton, 2012). Within the two floors of the building, multipurpose rooms may be divided with partitions to maximize the use of space.

Maple Leaf Training Center

January 01, 2013 12:00 AM
Kinsley Oates, Weber State University Interior Design Research shows that athletics help pave the wave for student to pay for college and obtain an education. (Proposition 48, N.C.A.A 2010) Proposition 48 supports this cause by focusing on the output of graduating students, rather than the input of entrance standards. The N.C.A.A studies show, “The persistence of low-achieving students in college have suggested that participation in athletics is frequently the catalyst for student who have not performed well in high school to study more diligently and, ultimately, to graduate.” Steve Kendall wrote that for many at-risk students, athletics is the only reason they go to school. He states, “These at-risk students who have no other reason to attend school other than athletics benefit from this policy. They are in classes and participating in the activities and exercises happening in the classrooms.” Jerry Tarkanian a coach at UNLV defends his stance on trying to help underprivileged players deserve a shot at straightening out their lives. The Maple Leaf Training Center located in Spanish Fork Utah, will provide at-risk student who attend high school a privilege to obtain scholarships and a chance of going to a college or university. Students who live in poverty and low income home do not have an option to get into colleges or universities. This 23,000 square foot facility will help 1st generations college students train and obtain scholarships, both academic and athletic for them to continue on to a college or university to pursue their future.

Prominence Residential Depression Treatment Center

January 01, 2013 12:00 AM
Kristina Hess, Weber State University Interior Design Technology According to USA Today & Thompson Healthcare Center for Health Statistics and Bureau of Census Data, Utah is has the highest rate of depression in the nation. Research shows that girls become more likely to experience depression than boys in adolescents (NIMH)Prominence Residential Depression Treatment Center for adolescent girls will house the staff needed to perform program duties and will house the in-patient care residents. The facility requires an accredited high school, patient and staff housing, food preparation area, a cafeteria, a nursing station, therapy rooms, admin room, a homework room, and a free time room. Daylighting strategies will be needed for the treatment process. The program at Prominence will incorporate the research from Nedley (2011). The study concluded that part of depression is caused from not getting enough vitamin D that the sun produces. In addition, Prominence wants to promote safety and security for patients and as well as provide a family atmosphere. An appropriate color scheme to facilitate healing as well as accessibility will need to be taken into consideration and planned for accordingly.

Senior Project Abstract

January 01, 2013 12:00 AM
Jessica Corey, Weber State University Interior Design Research has shown that senior citizens, due to the aging eye, need special accommodations in their daily activities and living (Moller, 2008). “The purpose of [the International Building] codes is to establish the minimum requirements to safeguard the public health, safety and general welfare through structural strength, means of egress facilities, stability, sanitation, adequate light and ventilation, energy conservation, and safety to life and property from fire and other hazards attributed to the built environment and to provide safety to fire fighters and emergency responders during emergency operations” (IBC 101.3 Intent). The independent senior living facility, Riley Court is being renovated to cater to the elderly. In addition to implementing universal design concepts, research on the aging eye, community-dwelling for elders, and functional limitations will enhance their ability to be independent. Moller’s research showed that visual impairment is one of the top four reasons for a loss of independence among seniors. The study suggested that lighting, color, and accessories have a high priority of focus when designing for older individuals. Riley Court, a 15,000 square foot independent senior living facility, located in Bountiful, Utah will feature a fully accessible facility and finishes that reflect the research from Moller’s study. In addition, adequate lighting will be provided as well as a home-like atmosphere for residents.

Theatre Uninhibited By Language

January 01, 2013 12:00 AM
Brook Owen, Dixie State University Theatre My theory is that theatre can portray emotion and convey a story without verbal communication. As an actor, I struggled to portray emotion while using a memorized script. As I worked through my theatrical training, I was introduced to exercises that took away language. I found artistic freedom in these exercises and formulated a research project to understand what would happen if actors were given freedom from language completely. This research is founded in the works of artists such as mime John Weaver and absurdist Samuel Beckett. One of the most prominent movement artists of our time is Anne Bogart. Her movement technique, called Viewpoints, focuses on the physical aspects of portraying emotion and kinesthetic response. This is where my physical research started. In rehearsal, actors experiment with Bogart’s viewpoints, while responding to different styles of music. Then I begin to move away from Bogart’s research. While allowing them to maintain their own organic choices, I give my actors more specific acting objectives with which to work. For example, “Imagine that your character wants to purpose.” Once completed, the actors talk to me about how the exercise expanded their physical toolbox. One comment from an actor symbolizes the heart of this research. “When the music starts, you think of an emotion, and then you start responding to that emotion. That’s when the character starts to form. And the next thing you know, you have a little story around it.” Repetition of this process will culminate in a narrative movement piece.

Turquiose, Rhodite, Hematite, Sunrise, Tiger’s Eye

January 01, 2013 12:00 AM
Jennifer Sumsion, Utah Valley University Art I am influenced by natural elements, the combination of shapes, colors and textures are what interest me. The commonplace, banal and unnoticed aspects of nature draws my focus and inspires me capture images to my vision and transform them onto paper and canvas. The constant change in rocks, leaves, skies, trees and water continue to focus my attention and are reflected back into my images. The balance of lines, colors and tones adds patterns energy and new life when mixed together. Nature can look foreign when viewed close-up, intensifying the smallest detail. Unnatural influence on the environment has added a unique aspect to nature. It can create extraordinary patterns and encourage new images that are beautiful in themselves. I enjoy the way leaves fall on a sidewalk, the patterns of melted water and salt on the road after a snowstorm, the ice crystals that form on tree limbs when pollution levels are high and the light and shapes reflected in shoveled snow when it begins to melt. I use cool and warm colors together to create a bounce off of each other. I enjoy using oil paints, ink charcoal, acrylic, and nupastels in my work.

The Living Apostle: Paschal I and Concordia Apostolorum

January 01, 2013 12:00 AM
Thomas Skousen, Dixie State University Art Concordia apostolorum, the union of apostles, is found in literature, art, and even the topography of Rome. Rome is unique in the fact that it unites Peter and Paul. Early Christians revered these saints and dedicated two of the most important churches in the city to them. Their deaths in Rome were a crucial factor in identifying Rome as the principal capital of Christendom. As Christianity spread and was accepted throughout the empire, different Christian centers arose, aside from Jerusalem and Rome. In order to maintain its place at the top tier of the Christian hierarchy, the Roman Popes used the idea of concordia apostolorum to not only speak to Roman citizens, but also to pilgrims who visited the city. The use of concordia apostolorum extended into the ninth century with Pope Paschal I’s (817-824) mosaics at Santa Prassede. These have historically been categorized into the Carolingian Renaissance. However, Paschal and earlier popes were trying to create a uniquely Roman Renaissance, and Peter and Paul’s place in art is crucial to their propaganda. The apse mosaic in Santa Prassede employs concordia apostolorum to promote the primacy of Rome. Louis the Pious inherited the empire from his father Charlemagne and surrounded himself with bishops and scholars who questioned the authority of the pope, thus igniting a struggle between the pope and the Carolingians. This paper will show that Paschal I commissioned art that emphasized his role in carrying out the ministerial work of Peter and Paul. In art and in life, Paschal sought to become not only the principal figure in Christianity, a living apostle, but also a chief player in Europe’s political structure.

“Hope Against Hope” Veteran Support Home

January 01, 2013 12:00 AM
Krista Brown, Weber State University Interior Design Research has shown that through January 2007, the wounded-to-fatality counts of Operation Iraqi Freedom is higher (about 7.6) than during earlier U.S. military conflicts, such as the ratio of 5.2 for Vietnam (Goldberg, 2010). This means that more soldiers are dying more from hostile combat rather than sickness or non-battle injuries. The Salt Lake area is not currently set up to accommodate the needs of these returning military personnel who have been inflicted with a war injury. Rooms are not adequate and not all necessary areas such as burn rehabilitation are addressed. The government has allowed for a veteran support home to be put into an existing building in Salt Lake City, UT. The objective of the veteran’s support home, “Hope Against Hope,” is to create a facility approximately 15,000 square feet that creates an area for veterans to heal and adapt to their new life style. Currently there is a lack of facilities in Utah that can fulfill all of the needs the “Hope Against Hope Veteran Support Home,” plans to accommodate. This support home will be located in Salt Lake City near the University of Utah hospital. This area was chosen because of the close proximity to the airport, the local medical support and emergency services, as well as the beauty of the surrounding area. Among the needs for the “Hope Against Hope,” center include future expansion, comfort, and should reflect universal design principles. In addition day lighting principles will be a focus. Research has shown that people in institutional areas don’t receive adequate exposure to natural light needed to synchronize sleeping patterns (Brawley, 2009). An advantage of the current location of the center is the close proximity to the Wasatch Mountain Range which provides spectacular views. This advantage will be used to promote healing as well as giving patients a sense of night and day in a home like setting. Color, common rooms, and a flowing floor plan will also provide a new life and hope for injured veterans as they recover from injuries sustained in military service.

Hotel Viridi: First Eco-tourism Hotel in Utah

January 01, 2013 12:00 AM
Kyra Marie Bell, Weber State University Interior Design The negative impacts that tourists can have on the environment is a major reason that so many pristine natural habitats are off limits to travelers. With so many tourists around the world, the effects of carbon emissions from transportation, excessive waste, and harm to delicate ecosystems, these restricted areas seem to be growing (Center for Ecotourism and Sustainable Development (CESD), 2009) As a result, ecotourism has started to gain popularity, as it focuses on minimizing ecological and socio-cultural impacts (TIES, 2012). With the emergence of LEED certification, builders and designers are now provided with a way to implement green building design throughout the entire building process (USGBC, 2011). This makes it possible to not only construct a hotel built in sustainable ways, but to continually have a lower impact on the environment and educate people on ways they can lessen their own footprint. However, less than 100 hotels world-wide have achieved LEED certification, and as of 2010 there is only one such hotel in Utah (HKS, 2011). In Southern Utah, where many of the states national parks are located, lodging that meets the needs of ecotourism by limiting its impact on the environment is nearly non-existent. In order to visit the beautiful, undisturbed environments available in these regions, tourists need a place where they can stay that they know focuses on sustainability and limited impact on the environment as much as the tourists do. Having an ecotourism hotel in Southern Utah would encourage “tourism that seeks to minimize ecological and socio-cultural impacts while providing economic benefits to local communities” (TIES, 2012).In order to meet these needs, The Hotel Viridi will be built as a 15,000 square foot eco-tourism hotel in Southern Utah that meets all the LEED certification requirements as well as the 12 Aims of Sustainable Tourism (Center for Ecotourism and Sustainable Development (CESD), 2009). These needs will be met through the use of an adaptive re-use building, in which the hotel will incorporate four different aspects of design; hospitality design as found in all public areas of the hotel, a residential area for hotel guests to stay, healthcare design in the form of an onsite gym, and commercial design where the offices and lecture hall are located.

Spiriti Forti Rebuild and Recovery Center

January 01, 2013 12:00 AM
Sarah Breinholt, Weber State University Interior Design Spiriti Forti Rebuild and Recovery Center is a facility that heals the psychological and body issues for individuals with eating disorders. Research has shown that long-term stay care facilities should contain a “home-like” atmosphere that reflects the site’s surroundings. In a study by Schneider (2008) explains the importance for the patient to feel comfortable and relaxed in order to achieve maximum recovery. In addition, a study by Kaya (2009) explores the effect that color has on individual’s emotions and health. A study that was completed on a group of individuals of all ages and all nationalities shows that overall; people have very similar reactions to the same colors in spite of age or race. The colors blue and green have been recognized to reduce anxiety and promote calmness and well-being. Because of this reason, this color palette will be implemented in the design of this recovery center. A former historic train station in St. George, Utah has been acquired by Spiriti Forti Rebuild and Recovery Center to be renovated to accommodate a getaway for patients to escape the world and rebuild their body image and self-esteem. Among the features of the care center will cafeteria/kitchen that focuses on education and nutrition, rooms for long-term stay, as well as spaces for multiple activities for individual and group building exercises. This facility should become a place that provides all the necessary components for patients to make a full recovery of their psychological and image disorders.

Transition: An Original Contemporary Ballet Work

January 01, 2013 12:00 AM
Hilary Wolfley, Brigham Young University Dance The purpose of this project is to enhance the caliber and reputation of ballet in higher education-specifically contemporary ballet at BYU-while strengthening my own choreographic abilities under the guidance and coaching of my mentor, Shani Robison, Associate Professor. I have choreographed an original contemporary ballet entitled “Transition” that explores the ways in which we react to the challenges of change in our lives. Through exploring this theme, creating innovative movement, and rehearsing with talented dancers, I am working closely with my mentor to fulfill UCUR’s mission to creatively contribute to the discipline of contemporary ballet. I recently completed this project as the culmination of my undergraduate work at BYU as a dance major. This is the link to my project as performed last week at the BYU Ballet Showcase: http://youtu.be/j1t0MPcLUyw (DVD available upon request). The BYU Ballet Program has selected me as the only ballet student from BYU this year to represent undergraduate student creative work by presenting my project at the American College Dance Festival Northwest Region at Southern Utah University March 11-15, 2013 (ACDF). During this festival, my piece will be viewed by collegiate dance students and educators from across the country and adjudicated by internationally renowned experts in the dance field.

Spencer Weight Loss

January 01, 2013 12:00 AM
Brittany Brown, Weber State University Interior Design According to the article Contributions of Built Environment 68% of the adult population is considered obese. (Rahman, 2011) The article also states that childhood obesity is on a steady rise. The research provides evidence that obesity shortens Americans life expectancy by 2 to 5 years on average. The study by Rahman recommends that adults engage in at least 150 minutes of moderate-intensity aerobic activity weekly and at least 60 minutes every day. The Spencer Weight Loss Retreat is a 18,000 square foot facility located in Meridian, Mississippi. The weight loss retreat will provide weight loss training and medical attention for those residents of Meridian who are considered obese and want treatment to gain back their lives. The weight loss center will provide each patient with a personal trainer who will guide in their weight loss. The facility will provide the patients access to their gym where they can use treadmills, bikes, weights, outdoor routines, and other activities to meet the 150 minute workouts a week. The Spencer Weight Loss Retreat will provide a classroom to educate the patients in nutrition and other life skills.

Theatre Methods in the English Classroom: Assessing the Possible Efficacy of “The Living Literature Project”

January 01, 2013 12:00 AM
Machaela Burt, Utah State University Theatre Arts This research study explores the efficacy of the “Living Literature Project”, a program that teaches traditional English curriculum in high school classrooms using theatre-based strategies to enhance understanding of Shakespearean texts. The study was piloted with two control classes and two intervention classes in 2012 with strategies such as viewing performances by experienced actors during class and paraphrasing texts into modern speech to assess the impact on learning through the use of teacher-administered pre and post project surveys assessing student attitudes towards Shakespeare as well as content quizzes. The results of the pilot study suggested that students who participated in the project achieved higher quiz scores, but their attitudes about Shakespeare were not changed. The pilot study informed further developments of the teaching strategies and led to further curriculum development. The project is currently in session for the 12-13 school year. The study is being expanded to include a larger number of classes that will also assess teacher satisfaction with the academic progress made by the students involved. The results will be assessed through revised surveys and quizzes as well as focus groups with the students. Results are anticipated in April 2013. The pilot study suggested that arts integration and the building of cross-curricular relationships have a positive effect on student learning. The current study hopes to reinforce these results with more accurate assessments and to see increased topical interest, measured through focus groups.

Synthesizing Gold Nanorods for Enhanced Detection

January 01, 2013 12:00 AM
Stevie Norcross, Westminster College Chemistry Gold nanostructures exhibit tunable optical properties that depend on a nanomaterial’s composition, shape, and size. These optical properties arise from a phenomenon known as the localized surface plasmon resonance (LSPR), which contributes to surface enhanced Raman scattering (SERS) spectra. SERS enhances detection by up to 9 orders of magnitude vs. normal Raman scattering thereby routinely improving detection limits of target molecules to nM μM concentrations. In this study, gold nanorods, which exhibit tunable LSPR properties from the visible to near-IR regions, were synthesized using a solution phase seed-mediated growth method. LSPR tunability was achieved by varying gold nanorod growth temperature, silver ion concentration, or reducing agent (ascorbic acid) concentration. Systematically varying these parameters yielded gold nanorods with LSPR wavelength maximums ranging from 692 to 763 nm. By increasing the concentration of ascorbic acid from 0.54 mM to 0.63 mM, gold nanorods with an average LSPR wavelength maximum of 755 ± 8 nm were synthesized. Following the synthesis, the gold nanorods were used for the direct and enhanced detection of the anti-cancer drug, 6-mercaptopurine and one of its metabolites, 6-thiouric acid. It was observed that as molecular concentrations were increased signal intensities systematically increased; therefore, the identification and quantification of each molecule individually as well as in a mixture of the molecules in buffer was achieved.

The Importance of Arachnids in the Trophic Transfer and Biomagnification of Mercury in the Terrestrial Ecosystem of the Great Salt Lake

January 01, 2013 12:00 AM
Jim Goodman, Westminster College Chemistry Mercury is a toxic element that adversely impacts the health of wildlife and ecosystems worldwide. While all forms of mercury are toxic, methylmercury is the only form of mercury that is biomagnified, and thus organisms with the highest mercury concentrations and most at risk to mercury toxicity are typically the top predators in an ecosystem. To evaluate if arachnids, a top predator in the insect realm, are bioaccumulating mercury a spatial and temporal study of mercury bioaccumulation in arachnids and terrestrial invertebrates was conducted at the Great Salt Lake. Total mercury (HgT) and methylmercury (MMHg) concentrations were measured in arachnids collected once each month from two different sites on Antelope Island in the Great Salt Lake, and at a control site at Utah Lake, a fresh water lake to the south where mercury concentrations in the water column are substantially lower. Average concentrations of HgT and MMHg in arachnids from Antelope Island were 2600 ± 497 ppb and 1690 ± 169 ppb, respectively. These were significantly higher than the HgT and MMHg concentrations in arachnids at Utah Lake, where they are only 72 ± 54 ppb and 42 ± 30 ppb, respectively. Substantial spatial variation in HgT and MMHg concentrations in arachnids at the two sites on Antelope Island was also documented, and may be due to differences in the abundance of brine fly prey at the different locations.

Nano-optical Imaging using Scattering Scanning Near-field Optical Microscopy

January 01, 2013 12:00 AM
Fehmi Yasin, Westminster College Physics It has long been a goal to achieve higher spatial resolution in optical imaging and spectroscopy. Recently, a concept emerged that merges optical microscopy with scanning probe microscopy, increasing the spatial resolution of optical imaging beyond the diffraction limit. The scanning probe tip’s optical antenna properties and the local near-field coupling between its apex and the sample allows for few nanometer optical spatial resolution (Atkin, Berweger, Jones, and Raschke 2012). We investigate a nano-imaging technique, known as scattering scanning near-field optical microscopy (s-SNOM) and image several different materials using said technique. We report our data and provide potential paths for future work.

Neural Correlates of Gender Differences in Distinguishing Malware Warnings and Legitimate Websites: A NeurolS

January 01, 2013 12:00 AM
Dixon Brown, Brigham Young University Information Systems Despite being a problem for more than two decades, malicious software (or malware) remains a serious threat to the information security of organizations. Increasingly, attackers target the computers of end users to gain a beachhead from which the network of a user’s organization can be surveilled and exploited. Given the growing threat of malware to end users and their or- ganizations, there is a need to understand how malware warnings can be made more effective to alert end users of potential threats. We address this need by performing a NeuroIS study to examine whether men and women process malware warnings in the brain differently (or whether men process them at all?). We conducted a laboratory study that employed electroencephalography (EEG), a proven method of measuring neurological activity in temporally sensitive tasks. We found that the amplitude of the P300, an ERP event-related potentialcomponent indicative of decision making ability, was higher for all participants when viewing malware warning screenshots relative to legitimate website shots. Additionally, we found that the P300 was greater for women than for men, indicating that women exhibit higher brain activity than men when viewing malware warnings. Our results demonstrate the value of applying NeuroIS methods to the domain of information security and point to several promising avenues for future research.

Differential Equations for the Construction of Novel Kernels in Machine Learning

January 01, 2013 12:00 AM
Alexandra Pasi, Brigham Young University Mathematics Significant research in Machine Learning has been directed at the application and implementation of kernel-based learning methods. However, few studies have focused on the problem of kernel construction. This paper introduces a novel method for generating new kernels by solving differential equations for kernel functions. We examine specific kernels generated using this method. These kernels are applied to various data sets and compared against state-of-the-art kernels.

Effects of a Blood Fixing Agent on Bluestar Enhanced Blood Stains

January 01, 2013 12:00 AM
Chelsie Greer, Weber State University Chemistry Luminol with its chemiluminescense properties can be used at crime scenes to develop and document bloodstains. By itself, luminol cannot be used because it destroys the blood stain pattern details. Using a fixing agent before applying luminol will chemically fix the detail of the bloodstain, preserving the pattern for analysis. 5-Sulfosalicylic acid (5-SSA) is used as a fixing agent and can be applied to bloodstains before the luminol to adhere the blood to the surface, but it interferes with the luminosity. We investigated the degradation effects of luminol and 5-SSA to develop a better method to use both chemicals together. Blood patterns were placed onto glass, systematically treated with a series of Bluestar (a commercial, luminol-based, blood detection reagent), 5-SSA and/or buffered rinse solutions then, photographed immediately. The luminol intensity was measured by processing digital photographs of the luminescent blood stain through Image J to examine the individual pixels of the photographs. The effect of the treatment on the pattern fastness was measured by making fingerprint impression in blood, and having fingerprint analyst score the treated prints on their second level detail quality. Results will be presented to show if an intermediate rinse between the application of the blood fixing reagent and the application of luminol can mitigate some of the negative effects of this procedure.

Space Travel with Ultrarelativistic

January 01, 2013 12:00 AM
Jeremy Redd, Utah Valley University Physics Future space propulsion systems will likely use annihilation of matter and antimatter in propulsion system. Annihilation of matter and antimatter is not only the energy source of ultimate density 9×10^16 J/kg but also allows to utilize ultimate exhaust speed the speed of light c thus potentially allows to accelerate a payload to ultrarelativistic velocities. Such velocities make interstellar and even intergalactic travel possible in the lifetime of one generation only (20-30 years). In our presentation we discuss advantages and disadvantages of interstellar travel with relativistic and ultra-relativistic velocities. Using relativistic Tsiolkovsky rocket equation we also discuss the feasibility of achieving relativistic velocities with annihilation powered photon engine and technical challenges to build such engine.

High-Frequency Ultrasound of Breat Tissue Phantoms Containing Microscopic Heterogeneities

January 01, 2013 12:00 AM
Joseph Roring, Utah Valley University Physics Removal of all cancerous tissue in breast conservation surgery (BCS) is critical to prevent local recurrence. Unfortunately, 30-50% of patients require additional surgery due to failure to resect all the necessary tissue. A real-time method for detecting infected tissue is therefore desirable. Previous studies have shown that the complexity of high-frequency (50 MHz) ultrasonic spectra can be correlated to a range of breast pathologies in BCS. However, the mechanism behind this correlation is still not very well understood. The purpose of this research is to explore the connection between tissue micro-heterogeneity and ultrasonic spectral complexity using breast tissue phantoms, i.e. materials that mimic breast tissue properties and microstructure. A physical basis can then be determined that links ultrasonic measurements to breast tissue pathology. Phantoms were made from a Knox® gelatin base and soluble fiber (Metamucil®). Heterogeneities simulating lobular and ductal components of mammary glands were created through the addition of polyethylene microspheres and nylon fibers. Pitch-catch and pulse-echo waveforms were acquired from the samples using high-frequency ultrasound. The data were analyzed by measuring the number of peaks (the peak density) in the first-order spectrum (Fourier transform of the time-domain waveform) and the slope of the second-order spectrum (two consecutive Fourier transforms of the time-domain waveform). The phantom specimens displayed first-order peak densities that were significantly greater and second-order spectral slopes that were significantly lower than homogeneous control samples. Phantoms with large fibers (250 micrometer diameter) showed the highest peak densities with values greater than 3x those of the controls. The peak density trend of the phantom samples with increased microscopic heterogeneity was consistent with data of breast tissue specimens. These results provide a physical mechanism for the use of these parameters in the imaging of breast tissues with atypical and malignant pathologies.

Gas Chromatography Analysis of Fatty Acid Methyl Esters from Chlorella vulgaris Algae

January 01, 2013 12:00 AM
Justin Nybo, Weber State University Chemistry Finding a source of energy to supply the demands of energy consumption globally is one of the biggest problems facing society today. With fuel for transportation, heating, and manufacturing representing 70% of energy demands, an efficient fuel source must be used to supply the world’s energy needs (Gouveia and Oliveira, 2009). Algae represent an abundant source of biomass that could be used as a source to make biodiesel. Over the past several years, microalgae have become a logical potential candidate for producing biofuel in large masses. This is mainly due to the fact that they are more efficient at photosynthetic processes than traditional crops grown on the land (Vasudevan, 2008). Another feature of algae that make it suitable as a source for biodiesel is the fact that it can survive in harsh environments, such as salty water or compromised water where crops would not be able to grow (Mata et al., 2010). For my project, I researched and tested the effect of varying light frequency and intensity on the lipid production of Chlorella vulgaris algae. I along with Dr. Herzog and Abram Bernard, set up an array involving 40 flasks that were split into 8 rows and 5 columns. Each row had a unique frequency of light that came from a combination of red, green or blue LEDs. Each column varied the light intensity by changing the distance of the flask from the light source. The goal of our research was to show that algae of the species Chlorella vulgaris could be grown in this system and that algae growth rates were dependent on light frequency and intensity. This was accomplished by converting the lipids produced by the algae into fatty acid methyl esters (FAME) and then analyzing the FAMEs using a gas chromatograph (GC). In order for this analysis to be effective in terms of accuracy and precision, a quantitative method was developed and verified to quantify the lipid production of the algae under different light conditions. The light intensity and the number of photons of light emitted in each column were monitored by Chandler Greenwell, a fellow Chemistry student. The correlation between light intensity and the quantity of algae was noted during this project.

Effects of Wavelength on Algae Fatty Acid Production

January 01, 2013 12:00 AM
Abram Bernard, Weber State University Chemistry Alternative energy sources are becoming more important in today’s society. Algae provide a potential source of fuel that can is currently under study by many in the scientific community. The fats that algae can produce can be used as biofuel. Algae is a good candidate as a biofuel source because it can be grown in many conditions that crops, such as corn, cannot. Certain algae have very high percentages of fat that can be used for biofuel and it can be grown in large quantities. To add to the knowledge of algae and its potential as a fuel source, we have researched the effects of varying light conditions on the algae’s fat production. Working with faculty in the chemistry and microbiology departments at Weber State University, we set up an experiment to discover the effects of different wavelengths of light on fat production in algae. 40 samples of Chlorella Vulgaris were grown in different light environments. Our apparatus separated the algae into 8 different colored lights at 5 different. The intensity of light was quantified to allow us to map the changes. We extracted the fat from these samples using a transesterification method previously used on meat and analyzed them using a gas chromatography method we developed. Currently we are analyzing the correlations between the quantified light data, the mass of algae grown, and the amount of fats present in these samples. We hope to be able to draw conclusions from this data about the effects of varying light wavelengths and intensities on the fat production of algae. From these conclusions, we would be able to contribute to the research of algae as a source of biofuel. We have also approached this project as a way of developing interdisciplinary research here at Weber State University. Our work has not only provided us with data on this project but has also been involved in developing methods for future research by other undergraduates.