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2013 Abstracts

Illicit Drug Use among Adolescents and Young Adults

January 01, 2013 12:00 AM
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.

Assessment of Neuronal Activity in a Circuit Underlying Inter-Male Aggression in NrCAM Knockout Mice

January 01, 2013 12:00 AM
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.

Biomedicalization of Childbirth: Experiences in Cache Valley, Utah

January 01, 2013 12:00 AM
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.

Reconstructing Views on School Facilities

January 01, 2013 12:00 AM
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.

The Role of Peer Support and Conformity in Type 1 Diabetes Management During Adolescence

January 01, 2013 12:00 AM
Karen Yu, University of Utah Psychology Objective

Ducking Under

January 01, 2013 12:00 AM
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.

Understanding the Motives and Challenges of Returning Students at the University of Utah

January 01, 2013 12:00 AM
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.

Examining Off-Task Behaviors as Regulatory Mediators of Long-Term Interest and Performance in Online Learning

January 01, 2013 12:00 AM
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).

Comparing Family Conflict and Additional Care Responsibilities across Spouse and Adult Offspring Caregivers of Persons with Dementia

January 01, 2013 12:00 AM
Heather Sheffer, Utah State University Family Consumer and Human Development Background:

Magnates and Madmen: The Endurance of the Madhouse in 19th Century New York

January 01, 2013 12:00 AM
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.

Recreational Re-Creating: A Cultural Critique of the 50th Anniversary of the Freedom Rides

January 01, 2013 12:00 AM
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.

Accessibility to HIV/AIDS Medications in Resource-Limited Countries

January 01, 2013 12:00 AM
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.

Assessment of Neuronal Activity During Social Interaction in NrCAM Knockout Mice

January 01, 2013 12:00 AM
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.

Psychologists Should Know Better

January 01, 2013 12:00 AM
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

Chronic Administration of Selective Serotonin Reuptake Inhibitor Fluoxetine Reduces the Effect of Anxiety-Inducing Distractors on Interval Timing

January 01, 2013 12:00 AM
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.

“The Paradox of the Balance of Nature”: Effectiveness of the Endangered Species Act

January 01, 2013 12:00 AM
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.

Listen to the Kids: Tailoring a Bullying Prevention Program with Youth Input

January 01, 2013 12:00 AM
Carolina Silva, Jasmin Alves, Katrina England, Courtney Hammond, and Ethel Tackle-Yarbol; Westminster College Psychology Bullying among adolescents is a common problem that deserves attention. Youth City, a multi-site after school youth program in the Salt Lake City area catering to youths ages 8-13, expressed an interest in learning more about bullying experiences in their attendees with the aim of developing a program for intervention and prevention. We partnered with Youth City to develop the current project, the goals of which were twofold: (1) to measure the prevalence and types of bullying experienced by 53 youths attending one Youth City site (our participants) and, (2) to work with the youth and the site coordinator to develop a bullying intervention and prevention program. Participants completed a modified version of the Olweus Bully Victim Questionnaire, in which 31 behaviors of bullying were assessed. Behaviors included examples of physical bullying, relational bullying, cyber bullying, and bullying due to one’s ethnicity or sexuality. Participants were asked to report whether each behavior had ever been done to them (victim role), done by them to another (bully role), or witnessed by them in the role of bystander. Results showed that the participants had experienced many of the behaviors as either victims, bullies, or bystanders. The second step was to conduct focus groups in which participants were asked more about their bullying experiences and what they felt could be done to more effectively intervene and prevent bullying. Transcripts from the focus groups were analyzed for emergent themes. These themes, combined with input from staff and information gleaned from research into other programs, were used to draft a bullying intervention and prevention plan to be implemented at one Youth City site in the coming school year.

The Regulation of Electric Utilities and Prudence Review: Legal and Economic Relationships

January 01, 2013 12:00 AM
Dani Willis, Utah State University Political Science In this era of increasing complex electric utility corporate restructurings, prudence review is an important analytical tool that should be applied by state regulatory commissions in an informed and reasonable manner to address and balance risk sharing between electric utility investors and utility ratepayers. The payer examines the legal and economic considerations concerning the development and application of the analytical tool of prudence review by state regulatory commissions concerning the revenue requirement regulation of electric utilities.

Femicide in Guatemala; Challenges and Change

January 01, 2013 12:00 AM
Noreen Barnes, Weber State University Political Science Many women in Guatemala suffer poverty and repression their entire lives. This situation is not unique to countries in Central America, but what is unique is the level of violence that is perpetrated in Guatemala compared with neighboring countries, the lack of engagement by law enforcement, and the complicity of the media. The Guatemalan civil war helped to create an atmosphere riddled with violence and alcohol. There is only a two percent conviction rate for murder. The majority of media outlets report on Femicide as if it were the woman’s fault she was killed; they portray her as a prostitute when there is no evidence to support the conclusion. In 2000 there were 213 femicides in Guatemala, by 2009 that number had jumped to 708 (Guatemalan Human Rights Commission 2010). My research has come from peer reviewed articles in both English and Spanish, Guatemalan government figures, personal experiences and international sources such as the World Health Organization. How do these details combine to create the perfect storm of increasing Femicide in Guatemala, and what can be done to help stop this tide of violence? There are women who have taken steps to improve their lives despite the many challenges they face. Micro-credit, small loans given to women to help them start or expand a business, have helped women who have a desire to flee abusive situations by giving them self-esteem as well as the financial means to accomplish their desires. There is a movement amongst women to convince their husbands to join Evangelical Christian churches that do not permit drinking in an effort to control rampant alcoholism. It will take time to alter the prevailing attitudes of machismo, prejudice, and lack of tolerance that threatens to drown the wonderful of Guatemala, but it can be done.

Sexting: Its Effects, a Description of Who Does It, and Why

January 01, 2013 12:00 AM
Scott Ploharz, Weber State University Psychology A pilot study conducted in spring of 2012 by the same researchers, suggested that sexting, or the sending of text or picture messages containing sexual content is common among young adults ages 18-30. This pilot research suggests that there were differences in personality and relationship satisfaction among those who engaged in sexting and those who did not. This current study further examines the effect of sexting on individuals and their relationships, as well as the reasons individuals may choose to engage in sexting. This study examines personality traits that may be related to engaging in sexting using both the Big 5 personality inventory and the Narcissistic Personality Inventory (NPI). The relationship between engaging sexting and relationship satisfaction is measured using the Revised Dyadic Assessment Scale(RDAS). To measure the effect on the individual, along with providing a possible explanation for sexting, self-esteem will be measured using Rosenberg’s RSE. Previous research suggests adult attachment style as a possible method of explanation as to who engages in sexting and the reasons for the behavior. Attachment style is measured using the Experiences in Close Relationships Revised (ECR-R) and the Experiences in Close Relationships Revised Structures (ECR-RS). Analysis of the data is expected to be completed by January 31st 2013. Results are expected to show that those with an Anxious or Anxious/Avoidant attachment style are more likely to sext. It is also expected that there will be a small positive correlation between the personality trait extroversion and sexting. It is also expected that specific domains of narcissism and lower self-esteem scores, will relate to engaging in sexting. There is also expected to be a negative correlation between sexting and relationship satisfaction.

How Effective is the Layton Youth Court

January 01, 2013 12:00 AM
Scott Ploharz and Britaini Delbo, Weber State University Psychology Youth or Peer Courts are diversionary programs designed to lower recidivism and re-offense rates among youth offenders. These programs focus on lowering risk factors and enhancing protective factors among the youth they serve. This study will look specifically at the Youth Court based in Layton Utah. Using a projected sample of 280 youth offenders over a 4 year period, the efficacy of this program will be evaluated. Efficacy will be measured by the rate of re-offense compared to youth in the traditional juvenile justice systems who have committed similar offenses. Analysis will also be performed using participant surveys, to determine which risk and protective factors are associated with re-offending. We anticipate completing this project by January 1st 2013.

Dissociation of Effects of SSRI Fluoxetine on Temporal Processing

January 01, 2013 12:00 AM
Alysha Waters, Utah State University Psychology Emotional distracters impair cognitive function. Emotional processing is dysregulated in affective disorders such as depression, phobias, schizophrenia, and post-traumatic stress disorder. Among the processes impaired by emotional distracters, and whose dysregulation is documented in affective disorders, is the ability to time in the seconds-to-minutes range, i.e., interval timing. 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, as proposed by the Relative Time-Sharing (RTS) model. We investigated the role of the prelimbic cortex (PrL) in the detrimental effect of anxiety-inducing task-irrelevant distracters on the cognitive ability to keep track of time, using local infusions of selective serotonin reuptake inhibitor fluoxetine (FLX). 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 a dissociation of the effects of FLX infusion in PrL between interval timing and resource allocation, and between neutral and anxiety-inducing distraction. FLX was effective only during trials with distracters, but not during trials without distracters. 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.

The National Alliance on Mental Illness’s Peer-to-Peer Class and Its Effect on Mental Health Literacy

January 01, 2013 12:00 AM
Ariel Hargrave, Weber State University Psychology A review of the literature surrounding mental health literacy has suggested that there are many misconceptions about those with a mental illness. These misconceptions effect help-seeking, treatment, mental health policies, early intervention and social support. The National Alliance on Mental Illness (NAMI) offers a peer-to-peer taught class called Building Recovery of Individual Dreams and Goals through Education and Support (BRIDGES). This class addresses these misconceptions and aims to educate those suffering with mental illness on how to self-advocate. Research suggests that a peer-to-peer approach has been found useful in a consumer’s recovery process. Support and education are crucial in society’s understanding of mental illness and aids in their ability to strive towards a stigma free environment. The objective of this study is to measure the effectiveness of this class by conducting a pre and post assessment at the beginning of the class before material is presented and at the end of the class. A population of approximately 100 participants over the age of 18 diagnosed with a mental illness will be used. The assessment includes eleven total questions that identify key factors to recovery and mental health literacy. A five point likert scale will be used to measure participant’s responses. Data will be collected starting in January of 2013 and will be completed in March of 2013. Data will then be analyzed using a T-test in SPSS.

Is our Job Getting Harder? A Look at Several Years of Client Mental Health Trends at UVU’s Counseling Center

January 01, 2013 12:00 AM
Zachary Cook, Utah Valley University Behavioral Science A Trend analysis of counseling visits to Utah Valley Universities (UVU) student health center was carried out between the months of January to October of 2012. During this time intake forms from students were examined in alphabetical order by HIPPA trained researchers and assessed for the frequency of the client’s visits along with their chief complaint as determined by the therapists. High frequencies of complaints such as depression, anxiety, and educational issues were reported from students attending the university in past studies beginning in 1999 at UVU’s health center. Researchers at Kansas State University used an instrument known as the Case Descriptor List to measure a therapist’s assessment of a client’s problems based on nineteen categories including items such as depression, anxiety, and educational/vocational issues (Benton, Robertson, Tseng, Newton, & Benton, 2003, p. 69). The basis of the present study was formulated by collapsing the nineteen categories into fourteen constructs for simplicity in order to determine the trend found between the years of 2006 to 2011. During this time 1,974 individuals obtained counseling services from UVU’s student health center. The research found that 56% of clients sought therapy for depression, 38.1% for anxiety, and 39.9% for educational assistance based on the stated categories. An increase in issues such as depression and anxiety has demonstrated the need for an increase in the number of trained therapists as it relates to the complexity of issues and co-morbidity. It has also shown the need for improved intake procedures, focusing on accurate diagnosis which the counseling center has recently adopted.

Belief in a Just World, Transphobia, and the Blaming of Innocent Victims

January 01, 2013 12:00 AM
Dexter Thomas, Westminster College Psychology When someone is the victim of a beating, rape, or murder, one might expect that most individuals would recognize the innocence of the victim. Surprisingly, research suggests many people assign blame to innocent victims (Dalbert, 2009; Lerner & Simmons, 1966). The “Just World” hypothesis proposes a possible explanation for this puzzling phenomenon. Belief in a Just World implies that good things happen to good people and bad things happen to bad people. Previous research has found a relationship between belief in a just world, victim blaming, and other beliefs such as homophobia (Glennon & Joseph, 1993; Anderson, 1992). The present experiment extends upon this area of research. We examine transphobia, belief in a just world, and victim blaming. Three hundred and forty-two participants ages 18-72 were recruited from within the United States. Participants read a scenario in which an individual was the innocent victim of a beating. Participants were randomly assigned to one of two conditions; in one condition, the victim was transgender, in the other condition, the victim was not. Participants then completed questionnaires measuring victim blame, transphobia, and belief in a just world. Results showed that transphobia positively correlated with belief in a just world. Additionally, a positive correlation was found between victim blaming and transphobia for all victims, transgender and non-transgender. However, when controlling for levels of transphobia, belief in a just world was no longer correlated with victim blaming. These results suggest that transphobia is related to belief in a just world and that transphobia, separate from belief in a just world, is related to increased victim blaming even for victims who are not transgender.

Quality of Information Influences Professor Selection

January 01, 2013 12:00 AM
Antoinette Kingsford, Weber State University Psychology The type of professor a student selects for a college course can impact the quality of learning and success in the course. Information about the traits and qualities of professors is limited to word of mouth and Internet sites that allow for biased ratings of professors. The validity and quality of information obtained via online professor rating websites, like RateMyProfessor.com (RMP), is often called into question in academia. A study to assess the validity of RMP was conducted with 127 Weber State University students from introductory psychology classes. The participants completed an online survey using the RMP rating scale for professors, and they also completed the College of Social Sciences professor evaluation survey. They were also asked questions regarding RMP usage, professor traits, and sources they used to find information about professors. The findings of the study indicated that students were using RMP more frequently than word of mouth from friends to obtain useful information about professors. The most meaningful traits in professor selection were Clarity and Overall Quality, not necessarily Easiness and Attractiveness. Also, there were no significant differences between gender and professor trait importance, and the validity of RMP was highly correlated to the Student Evaluation of Weber State Psych 1010 Professors.

Experimental Archaeology and the Costs of Fremont Irrigation

January 01, 2013 12:00 AM
Dallin Webb, Utah State University Sociology, Social Work, and Anthropology Recent rediscovery of an ancient Fremont irrigation system in central Utah presents the opportunity to model the economics of Fremont irrigation agriculture. A significant cost of irrigation farming is the construction of a ditch to bring water from a natural source to the fields. We use an experimental approach to investigate the costs of ditch construction. Mountain mahogany digging sticks were employed to construct ditches under different sediment conditions, as well as a stream diversion into a ditch take-out. The experiments reveal a range of costs incurred for constructing different elements of the system.

Effects of Natural Stimuli on Attention in Children

January 01, 2013 12:00 AM
Amanda Snow, Utah State University Psychology Past studies investigating attention have found that exposure to natural scenes have a restorative effect on attention in adults, allowing for the occurrence of effortless, involuntary attention. This is in contrast to exposure to urban scenes which do not show the same restorative effect on attention (Berto et al., 2005, 2008). The present study investigates the potentially restorative effects on childhood attention of exposure to natural scenes. In this study, 58 children ages 4 to 11 participated in a task which was attentionally taxing. Next, they were instructed to attend to pictures belonging to one of three conditions: “high fascination” (natural scenes), “low fascination” (urban scenes), or a control group (geometric shapes). Finally, the participants performed the initial attentionally taxing task once again. While accuracy remained constant across conditions, children demonstrated a greater decreased reaction time when exposed to high fascination natural scenes as opposed to low fascination urban scenes or the geometric shapes of the control group. Between the pre and post tests, mean differences of 37.7 milliseconds for the natural condition, 24.4 milliseconds for the urban condition, and 22.7 milliseconds for the control group was found. This suggests that exposure to high fascination natural scenes has a restorative effect on attention in children as it does in adults. This finding is important because it provides a mechanism by which the attentional capacities of children may be improved.

Sleep Quality and Sleep Quantity and Their Effects on Autistic Behaviors

January 01, 2013 12:00 AM
Trevor Hicks-Collins, Weber State University Psychology Austistic Spectrum Disorder (ASD) is an increasingly prevalent disorder, with approximately 1 of every 88 children in the United States diagnosed with the disorder. Several factors can exacerbate autistic symptoms in ASD children, including environment, diet, and sleep. Sleep problems in children with ASD’s occur more frequently than in non-ASD children, and their effects could be even more detrimental. The sleep literature in non-ASD children is clear about how sleep deficits adversely affect behavior and cognition, but there is little research to indicate the effects of sleep deficits on ASD children. This study was designed to assess the effect of sleep quality and quantity on ASD symptoms. The participants were children, ages 5-8, who were rated on the autistic spectrum. The children’s sleep was assessed using Actigraph monitors, which provided an objective measure of sleep quality and quantity. The children wore the monitors each night for one week. Also, parents and teachers kept daily records of the children’s sleep quantity and autistic behaviors, reporting both good and bad behaviors. A MANOVA was used to assess the effect of REM sleep, duration of sleep, and number of interruptions on autistic symptoms reported by parents and teachers. Results indicate that the amount and quality of REM sleep (both short-term and long-term) affects the frequency of autistic symptomology in children. In addition, results demonstrate that parents’ perceptions of sleep duration in their children is greatly distorted. Parents believe that their children are getting much more sleep than they actually are. Helping parents and teachers understand how important sleep is in affecting autistic symptomology can help modify behaviors. Studies like this are instrumental to providing us with information to better understand one of the fastest growing disorders affecting children today.

The Effects of Managerial Psychological Well-Being on Employee Productivity: A Longitudinal Correlation Study

January 01, 2013 12:00 AM
Nicholas Gailey, Westminster College Psychology For over seven decades organizational scientists have extensively studied the happy-productive worker thesis, which assumes that a happy worker is a productive worker. Previous research in the field has focused on the relationship of a worker’s own happiness with their productivity. However, uncertainty remains today as to the link between managerial psychological well-being and their employees’ productivity. The purpose of the current study is to find a correlation between managerial psychological well-being and employee productivity. Thirty managers from two manufacturing facilities participated in the study and responded to two different measures of psychological well-being. Productivity data from one hundred employees underneath the managers were also collected daily over a period of three weeks. Results, strengths, and limitations of the study will be discussed along with its implication for future research and practice in the field of industrial/organizational psychology.

Utah Residents’ Attitudes Toward the Death Penalty

January 01, 2013 12:00 AM
Zachary Cook, Elizabeth Hanna, Harmony Jovey, Joseph Ammon Martin, Tyler McDonald, Shelby Randquist, George Rivera, Amy Sachs; Utah Valley University Sociology and Criminology National data concerning citizens’ opinions toward the death penalty is already available, but this data has a serious limitation because only 35 states allow for use of the death penalty (called retentionist states), and each of them uses it differently, so it makes little sense to look at national trends and attitudes and try to apply them to a particular state. It appears that the best method is to explore the attitudes within each retentionist jurisdiction (state) with the goal of obtaining data that will en- able attitudes to be compared and contrasted based on defined variables. This study explores the attitudes of Utah residents in two phases. In the first phase, 6,000 postal surveys were sent to a random sample of Utah residents in six purposively chosen cities (based on representative demographics). This instrument contained questions used in existing instruments and addition- al questions designed to address attitudes specific to the death penalty. The second phase consists of in-depth interviews with survey-respondents who strongly support the death penalty and strongly oppose the death penalty. They will be asked to elaborate on their responses to the postal survey questions and to describe which factors most influence their opinions concerning the death penalty.

What Should Nursing Students Know About Quality and Safety?

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

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.

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.

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

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.

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.

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.

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.

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.

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.

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.