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2014 Abstracts

Results of Interventions to Fight Anemia in Children in an Impoverished Ecuador Community

January 01, 2014 12:00 AM
Background: Since 2009 groups of professors and students from the College of Nursing have been traveling to Guayaquil, Ecuador and assessing anemia rates and nutrition among the school children there. The adverse effects of anemia can include: weakness, fatigue, shortness of breath, and poor concentration. Initial anemia rates were discovered ranging 30-50%.

Religiosity and Family Hardiness in Parents Raising a Child with a Disability

January 01, 2014 12:00 AM
Purpose/Aims: To examine religiosity and family hardiness in parents raising children with disabilities (CWD) to determine if there are differences according to parent gender and type of disability and if there is a relationship between the variables.

Asthma and Omega-3 Fatty Acids

January 01, 2014 12:00 AM
The anti-inflammatory effects of omega-3 fatty acids (n-3) and their possible role in the regulation of asthma are promising for those suffering from the disease. Omega-3 fatty acids have been linked to the reduction of eicosanoids, which are signaling molecules that regulate the inflammatory response. Inflammation in the respiratory system is one of the most widespread symptoms of asthma and therefore poses the most risk to asthmatic individuals. This two phase study will test the effectiveness of n-3 in individuals with varying severities of asthma. In both stages of this study, a placebo or n-3 in the form of a krill oil capsule containing the omega-3 fatty acids eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) will be administered, lung volumes and capacities will be measured weekly, and the frequency/severity of asthma attacks will be recorded. Phase one of the study will test whether n-3 reduces asthma symptoms with no activity modifications, while phase two will test whether n-3 is effective in reducing asthma symptoms associated with exercise. The two phases of the study will be separated in order to isolate the duration of n-3 ingestion as a variable in the experiment. As this is an ongoing experiment, results are not yet available. However, if n-3 is effective, we expect to see an increase in lung volume and a decrease in the frequency and severity of asthma attacks in individuals. These results would suggest that n-3 could be an effective and simple treatment that, when taken daily, could reduce the frequency/severity of asthma attacks and help improve quality of life for asthma sufferers.

Reproducibility of High-Frequency Ultrasonic Signals in Breast Cancer Detection

January 01, 2014 12:00 AM
The central research question of this project is to determine the reproducibility of high frequency (HF) ultrasonic signals in breast cancer detection. Previous studies on surgical specimens of breast tissue have shown that HF ultrasound (20-80 MHz) appears sensitive to a range of breast pathologies including fibroadenomas, atypical ductal hyperplasia, fibrocystic changes, and carcinomas. A measurement in the ultrasonic signal called the peak density appears most sensitive to the pathology of the breast. The reproducibility of this parameter has not been quantitatively measured in a comprehensive manner. In parallel to a clinical study being conducted at the Huntsman Cancer Institute, we are conducting a laboratory study of the reproducibility of these measurements using chicken and bovine tissue. The ability to reliably determine the pathology of breast tissue with a real-time intra-operative tool would greatly aid in the surgical removal of all malignant tissue, as well as greatly reduce the occurrences of repeat surgeries to remove margins of cancerous tissue that remained. The results of this study will reveal the degree of variability in the signals, thus supplementing previous studies as well as determining the reliability of the results from the current clinical study. The research methodology included the following. Fresh chicken breast and bovine tissue were cut into 4x3x0.5 cm and 4x3x1.5 cm cubes. The tissue was tested at room temperature (23.4oC) using HF ultrasound. Pitch-catch and pulse-echo waveforms were obtained in triplicate measurements of two types: Three measurements with the transducer not leaving the tissue, and three measurements with the transducer lifted off the tissue between measurements. A total of 640 measurements were acquired and analyzed to obtain the spectral peak densities. Preliminary results indicate that the measurements are reproducible to a statistically significant level, thus removing one possible source of uncertainty in the data.

Empathy in Nursing Students: the Impact of a Poverty Simulation

January 01, 2014 12:00 AM
Empathy is an essential characteristic in nursing. In fact, the skill of empathy, the ability to understand the feelings or situation of another, is of paramount importance to the nurse-patient relationship. Additionally, empathetic interactions often lead to increased patient satisfaction, compliance, and overall quality of life.

Social Cognitive Predictors of Residential Radon Testing and Mitigation

January 01, 2014 12:00 AM
In the U.S., exposure to radon gas (222Rn) is the second leading cause of lung cancer after tobacco smoke. 222Rn is a naturally occurring environmental carcinogen produced during the radioactive decay of uranium-238, which is found in many soils throughout the U.S. Because 222Rn is a gas, it has the ability to travel through the soil and into homes through cracks in foundation walls. Inhaled 222Rn has the potential to emit alpha radiation in the lungs, and long-term exposure is responsible for approximately 21,000 lung cancer deaths per year in the U.S. 222Rn is a colorless, odorless, and tasteless gas, so the only way to know it is in a home is to test for it. Studies show that even in areas with high radon levels, homeowners frequently do not test or mitigate their homes as recommended. This study aims to understand the psychosocial factors that influence whether Utah residents perform radon testing and mitigation. Radon-related lung cancer deaths would be significantly reduced if the psychosocial factors that influence radon testing and mitigation were better understood and used to design and implement effective interventions. To understand the psychosocial factors that influence radon testing, we will survey residents (n = 50) of the county who come to UCHD specifically to purchase a radon test kit. The survey will be based on social cognitive theory (SCT) constructs. We will administer the same survey to a comparison group (n = 50). The comparison group for the study will be individuals who visit UCHD’s office of vital records. Individuals from the study group with indoor radon levels above 4 pCi/L will be contacted by telephone 30 – 60 days after testing to complete a second survey. This survey will measure SCT factors that influence participants’ actions to reduce radon levels in their home.

High-frequency ultrasound study of tissue margins from breast conservation surgery: Preliminary results

January 01, 2014 12:00 AM
A critical issue in breast conservation surgery (lumpectomy) for breast cancer treatment is ensuring the tissue surrounding the excised tumor, the margins, are cancer-free. In collaboration with the Huntsman Cancer Institute at the University of Utah, students from Utah Valley University are using high-frequency (HF) ultrasound to test the pathology of lumpectomy surgical margins. This pre-clinical study is a blind study which will involve 80 patients, approximately 320 specimens, and use traditional pathology as the “gold standard” for measuring the HF ultrasound method’s accuracy. Ultrasonic waveforms of margins were acquired at the Huntsman Cancer Hospital in pitch-catch and pulse-echo modes using 50-MHz, 6.35-mm diameter transducers. The data were analyzed to obtain ultrasonic parameters such as wavespeed, attenuation, specimen thickness and spectral peak density (the number of peaks and valleys in a HF ultrasonic spectral band). The objective of this paper is to search for trends in the data acquired to date to provide an assessment of reliability, stability, and robustness of the study.

Female Collegiate Athletes and Body Image

January 01, 2014 12:00 AM
Research indicates that collegiate athletes may be at risk of developing disordered eating and other distorted behavioral patterns. This may be due, in part, to the aesthetic and performance demands of their sports. The purpose of this study is to discover if female athletes acquire increased negative views towards their body image and food due to the pressures of being a collegiate athlete at Southern Utah University (SUU). An anonymous survey was given to approximately 150 female athletes participating in a variety of sports inquiring about body perception and eating behaviors relative to their sport. The survey evaluates the athlete’s attitude toward food, their relationship with food, if there are outside influences that affect how they eat, and if they are satisfied with their weight. Athletic teams were chosen based on meeting two of the three following requirements: tryouts are held, scholarships are offered, and there are regular competitions or performances. Athletic teams involved in the survey include tennis, volleyball, track & field, cross country, softball, basketball, gymnastics, soccer, drill team, ballroom dance and cheer. The data will provide information regarding Southern Utah University female athlete’s body perceptions and eating behaviors. Results will be compared to a similar study conducted five years ago at SUU.

Gait Comparison Between Right and Left Legs on Below the Knee Amputees

January 01, 2014 12:00 AM
Introduction: There are millions of people in need of prosthetics worldwide and only a very small percentage currently have access to appropriate prosthetic care. As amputees are unable to afford a prosthetic, they are often incapable of maintaining many social interactions and provide for their basic needs. Utah Valley University’s Mobility Mission traveled to Guatemala to manufacture prosthetic limbs for those individuals in need. Our research can also encourage manufacturers to continue developing a better affordable prosthetic that can be donated to those amputees in need to restore quality of life to those individuals.

Identifying Medical Practices and Needed Supplies in Central America

January 01, 2014 12:00 AM
According to the World Health Organization (2012), health care systems in Central America rank in the top 50% of the 190 ranked countries in the world, yet thousands of people are in need of simple medical attention and supplies every day in these areas. Countries such as Honduras lack virtually all access to health services, with 83% of the country’s population without health insurance, and 30% with no health care access at all (Pearson et al., 2012). To address this issue, a 2013 Dixie State University study conducted by the author, an Integrated Studies major with disciplinary emphases in Spanish and Biology, interviewed fifty adult Central American immigrants at a Southern Utah health care facility with the aim to providing student groups embarking on health service projects a researched list of vitally needed medical supplies. Participants in the study were asked to provide information regarding their health care experiences in their countries of origin and draw upon their comparative experiences with health care in the United States in order to determine areas of need. The forty individuals in this study represented a total of seven Central American countries and the interviews were conducted in Spanish and translated into English. The interviews were conducted over an 8-week period of time and results suggested that diabetes, cold, flu, antibiotics, and anti diarrhea medicines and supplies are a few of the needed health care items in these neighboring countries. Although statistical significance was not a feature of this study due to the number of participants, significant consistencies in responses by former residents of a variety of Central American countries suggested that some medical needs are regionally shared and that larger scale follow-up studies may reliably identify these as key resources for student medical delegations traveling to Central America.

Learning Hand-to-Mouth Movements via Triaxial Accelerometers

January 01, 2014 12:00 AM
While there is an abundance of mobile health apps for weight management on the market today, almost all focus entirely on net caloric intake (exercise minus calories consumed). Recording daily caloric intake can be cumbersome, inefficient and inaccurate. One rising suggestion in the health field for reaching weight goals is objectively recording hand-to-mouth movements (HTMMs) during meals throughout the day. This method focuses entirely on portion control and if any improvements are to be made in this area, an effective method of activity recognition must be developed. In this paper, we report our efforts to classify HTMMs and non-HTMMs in an effort to automate counting the number of HTMMs during meals throughout the day. We also report on the performance of several base-level classifiers such as k-NN, Naive Bayes and Decision Trees as well as meta-level classifiers (Voting, Bagging and Boosting).

The Influence of Charge Nurses on Patient Safety

January 01, 2014 12:00 AM
In 2010, The Office of the Inspector General of the U.S. Department of Health and Human Services reported that adverse events during hospitalization contribute to the deaths of 180,000 patients each year! The purpose of this study is to improve patient safety in the hospital by understanding the role of the charge nurse(the 24/7 nursing supervisor in hospital units).

Rural School Employees and Vaccinations

January 01, 2014 12:00 AM
In contrast to the success of America’s vaccination rates among children, adult vaccination rates remain suboptimal. Some adults, such as school employees, are in a position where they can easily contract and spread vaccine-preventable communicable diseases, yet mandatory vaccinations are usually lacking in this population. Schools may easily become communicable disease outbreak centers, especially for highly contagious diseases such as measles and influenza. The purpose of this study was to evaluate why rural Utah school employees remain vaccinated for measles and influenza, as well as to discover the perceptions of these school employees regarding mandatory vaccination policies. Of the 835 respondents, 71.7% reported they received the measles vaccination as a child, although only 26.9% reported having a measles booster vaccine as an adult. When asked why they had not received the measles booster, 46% of participants stated they were unsure if they needed one. Other participants also reported lack of an adult measles booster vaccine because it was not required by the school district (5%) and that they did not perceive the need because they were healthy (5%). Even more concerning, over half of the school employees (51%) had not received their influenza vaccine for the current year. When questioned about their lack of influenza vaccination, 26.4% believed the vaccine was ineffective and 25.4% were noncompliant because they did not have the time to get the vaccination. When questioned about their perceptions regarding mandatory vaccine policies for school employees, four major themes emerged: 1) adults should retain agency; 2) vaccine effectiveness was not guaranteed; 3) adults do not need vaccinations; and 4) cost of vaccines. Further education is needed regarding the need for adult vaccinations, especially among school employees in rural Utah. To control the spread of communicable diseases, school districts may consider mandatory vaccination of school employees.

Subsequent Primary Malignancies in Survivors of Childhood Cancer

January 01, 2014 12:00 AM
Cancer, despite its common association with old age, is a leading cause of death for children age 1-14, second only to unintentional injuries. Improvements in diagnosis and treatment are increasing childhood cancer survival, and more research is needed on the risk of subsequent cancer following an initial diagnosis, of either the same or another site. Research on associations between childhood and secondary cancers may improve patient follow-up by providing health professionals with information about which subsequent cancers are likely to occur, which screenings to conduct and what symptoms to look for.

Glioma stem cells, hypoxia inducible factor 1 alpha, and brain tumor dynamics

January 01, 2014 12:00 AM
High-grade gliomas, especially glioblastoma (GBMs, WHO Grade IV), are the most common primary brain tumors in humans. Despite recent advances in molecular targeted therapies for cancer, there has been little progress in treatment of GBMs. Median patient survival after diagnosis is dismal: approximately 12 months. Hypoxia is a key clinical marker of GBMs, which contain pockets of necrotic and hypoxic regions within the solid tumor mass. The transcription factors in the Hypoxia Inducible Factor (HIF) family are the master regulators of the cellular response to hypoxia. Their downstream targets include compounds that promote angiogenesis, increase glycolysis, and inhibit apoptosis. Recent research has identified glioma stem cells (GSCs) surviving within the hypoxic microenvironment, and has implicated HIF1α as a potential regulator of the GSC phenotype. GSCs are thought to promote therapeutic resistance and recurrence of GBMs after surgical resection. Clarifying the role of HIF1α in glioma stem cell dynamics is important for targeting both the tumor cells and their environment in new treatment. It is expected that GSC populations with more aggressive phenotypes will express higher levels of HIF1α and have higher proliferation rates under acute hypoxia. In this study, the HIF1α levels and proliferation dynamics of multiple, unique GSC cell lines are investigated. Cell lines used include two GSC lines isolated from primary patient tumors (NSC20/23) and a stem cell enriched high-grade glioma line. Preliminary results suggest that not all populations of GSCs respond the same way to hypoxic stress, and HIF1α may play a central role in stem cell dynamics, but not in the growth of non-stem tumor cells. Probing further into this relationship will increase our understanding of how brain tumors behave, and how to more effectively target them in patients. Further data and conclusions from this project will be available at the time of presentation.

Quantitative assay of neovascularization using high-frequency ultrasonic spectroscopy

January 01, 2014 12:00 AM
The stimulation and inhibition of tissue vascularization has important applications to tissue engineering and oncology. Approaches to quantitatively evaluate neovascularization in vivo in adult animals with differentiated tissue include both invasive methods that use an implanted or injury-induced matrix in the study organism, or noninvasive small animal imaging methods such as MRI, CT, and PET. The objective of this study was to determine if ultrasonic spectra in the 10-100 MHz range could be used as an in vivo neovascularization assay. Numerical simulations and phantoms were used as model systems to test the feasibility of the approach. The simulations modeled ultrasonic scattering from microscopic vascular networks using randomly oriented cylinders to represent blood vessels and cylindrical wave functions to represent ultrasonic waves. Phantoms were fabricated from a gelatin-soluble fiber mixture and agarose gel. The agarose gel was embedded in the gelatin-fiber in order to simulate vascular tissue. Ultrasonic tests were performed using two broadband ultrasonic transducers centered at 50 MHz. Pitch-catch data were collected and analyzed by calculating the peak density of the ultrasonic frequency spectrum, which is the number of peaks and valleys in the spectrum (a measure of the spectrum’s complexity). Control specimens were tested to determine the differences in the sound wave properties between the gelatin-fiber and the agarose gel. The controls demonstrated the instrument’s ability to differentiate between the two types of material. Measurements of agarose inclusions in the gelatin-fiber showed a significantly higher peak density than those for the control gelatin-fiber. These results indicate that the agarose gel structures are scattering sound to a greater extent than the gelatin-fiber alone. The results thus far have provided a strategy for proceeding with the project in the future. The phantoms will be refined and made more realistic to produce an adequate mimic for vascular tissue.

The Effects of Social Intervention on Mortality: A Meta-analysis

January 01, 2014 12:00 AM
Previous research studies have confirmed that life-threatening illness adversely impacts psychosocial well-being, from feelings of isolation and embarrassment to the onset of psychotic episodes and suicidality. To help patients cope with chronic and/or terminal symptoms, many healthcare providers advocate the benefits of social support groups as a palliative measure, such as weekly meetings of cancer patients. The rapid proliferation of such programs, as well as associated “survivor groups,” has attracted research attention, and the number of research studies on the topic is now substantial. The field would currently benefit from a quantitative synthesis of the extant findings. To systematically quantify the effect of such intervention groups on mortality (i.e., death rates), we undertook a meta-analysis of the research literature, comparing patient survival rates as a function of social interventions. Across 27 studies examined thus far, we encountered a surprising variability of intervention success in prolonging life. Although most intervention provided demonstrated evidence of increased survival rates among participants, several studies did not. Our presentation will discuss the implications of our findings for healthcare providers and pose questions that will need to be addressed in future research.

Effects of Formalin Fixation on High-Frequency Ultrasonic Measurements of Biological Tissue

January 01, 2014 12:00 AM
Previous studies have shown high-frequency (HF) ultrasound may be sufficiently sensitive to detect and differentiate between both the histopathology and molecular subtypes of breast cancer. The goal of this study was to test the boundaries of HF ultrasonic testing methods. The parameter of interest was the effect of formalin fixation on tissue samples. Formalin has been found to stiffen tissues. Since ultrasound is sensitive to histological properties such as stiffness and adhesion factors, stiffening caused by fixation may compromise the results of the HF ultrasound analysis. This study monitored potential changes to HF measurements caused by tissue fixation. The fixation solution used was 10% neutral buffered formalin. The same formalin solution is used by hospitals after breast conserving surgery (BCS) to prepare and preserve excised tissue specimens for pathology. If no change in HF ultrasound analysis is detected in tissue samples before or after fixation, prepared tissue specimens from BCS patients may be used as viable samples for HF ultrasonic testing. Twenty tissue samples were used in this study. All samples were excised from the cortex, medulla, or ureter of a fresh cow kidney. Samples were tested with HF ultrasound. Testing conditions and procedures were identical to previous breast cancer tests. HF ultrasonic testing was completed at the zero hour mark and then repeated at five successive time intervals during fixation. Data collected from each sample was compared across all time intervals to detect any changes caused by fixation. Analysis of the data showed no significant changes in HF readings before, during, or after fixation up to 17 hours. Any variations observed were within experimental error. These findings demonstrate that formalin fixation does not affect the accuracy of HF ultrasonic testing techniques on bovine tissue samples. To reinforce the findings, this study will be repeated using different types of tissues.

Prevalence of Contraceptive Use Among Single Latter-Day Saints

January 01, 2014 12:00 AM
High risk sexual behaviors, such as having unprotected sex, are a community health concern because of the heightened susceptibility to sexually transmitted diseases. An estimated 19.7 million people are newly infected with a sexually transmitted disease annually. Young people (ages 15-24) account for nearly half of all new incidences (CDC, 2008). Considering these statistics, the author, a Dixie State University Integrated Studies undergraduate student, conducted an interdisciplinary study to determine the correlation between the degree of self-reported religious devotion of Latter Day Saint (LDS) singles and their likelihood of purchasing or using protection during premarital intercourse. Seventy five students attending Dixie State University in Saint George, Utah participated in this study. Participants completed a 15-item survey consisting of questions inquiring how religious they consider themselves and their feelings towards premarital sex. Of the non-married participants who engage in sex, only 28% (n=4) of LDS respondents reported consistent use of birth control, compared to 84% (n=16) of non-LDS individuals. These results are suggestively significant and are consistent with findings from studies conducted by Douglas Kirby (2007) and others who have demonstrated that teaching abstinence, without providing education about birth control methods other than abstinence, leaves individuals unprepared to practice safe sex if the occasion arises. The relevance of the Dixie State University study to previous more broadly conceived research will be presented along with recommendations for future research.

The Effect of RaLight on Stress in Hospice Patients

January 01, 2014 12:00 AM
Several studies (Shepley, 2012; Sherman-Bien, 2011; Walch, 2010) have found that sunlight has a stress-reducing effect on those who are exposed to it. An innovative new design of artificial lighting known as RaLight is proposed to reflect light with a color rendering index nearly identical to natural sunlight. This study will examine the relationship between exposure to RaLight (as a substitute for sunlight) and levels of stress. RaLight is predicted to decrease levels of stress in test subjects. In several hospice facilities, test subjects will consist of an estimated 100 patients both male and female with ages ranging from 65 to 85 years. This research is designed as a single subject experiment (ABA). The initial control condition will be the common indoor environment which exposes patients to standard fluorescent lighting. Replacing light fixtures with RaLight will then establish both the second phase of the experiment and the independent variable. A follow up re-installment of the initial fluorescent lighting will be conducted post-RaLight phase. Throughout each phase, questionnaires regarding the overall well-being of patients will be completed by hospice staff.

Comparative Analysis of Small Transducer and Large Transducer using High- Frequency Ultrasound on Bovine Heart Tissue

January 01, 2014 12:00 AM
High-frequency (HF) ultrasound in the 20-80 MHz range has recently been found to be sensitive to pathology in tissue margins from breast cancer surgery. In order to improve the resolution and sensitivity of this method, however, transducers need to be employed that have piezoelectric elements that are smaller than those currently in use. The purpose of this study was to determine if similar results can be obtained from small element transducers (Blatek pachyometer, 50 MHz, element diameter < 2 mm) as compared to large element immersion transducers (Olympus NDT, V358-SU, 50 MHz, 6.35-mm diameter active element). Ultrasonic tests were performed on 10 bovine heart specimens of varying surface structure (myocardium, endocardium, and epicardium). Pulse-echo and through transmission measurements using a HF square-wave pulser/receiver (UTEX, UT340) and a digital storage oscilloscope (Agilent, DSOX3104A, 1 GHz, 4 analog channels) were acquired from a total of 2 sites per bovine specimen, first testing all specimens with the large transducers then again with the small transducers. Specimens were marked with India ink for location and accuracy of testing. The density of peaks in the ultrasonic spectra of the large transducers paralleled those of small transducers. Results from HF ultrasonic measurements of bovine heart tissue obtained from large transducers compared to the small transducers indicate that they produce statistically comparable peak densities.

Observing Temperature Dependent Changes in Bovine Cell Structure With High-Frequency Ultrasound

January 01, 2014 12:00 AM
Research has shown that high-frequency (HF) ultrasound is capable of detecting structural and biomechanical property changes in tissues and cells at the microscopic level. This capability is currently being tested for the real-time identification of breast tissue pathology in surgical margins during lumpectomies. The objective of this study was to determine if structural and property changes arising in tissue from variations in temperature can be detected by using HF ultrasound. Once a tissue sample is excised from the body, the temperature of the sample decreases rapidly from body temperature to that of the surrounding room temperature. Because of the decrease in heat, the tissue can become more rigid and thus less fluid. These alterations in biomechanical properties can affect HF ultrasonic measurements such as wavespeed and attenuation. These biomechanical changes may also affect the ultrasonic signals sensitive to tissue structure such as the number of peaks in the ultrasonic spectra. The methodology of the research was as follows. Fresh samples of bovine tissue were ultrasonically tested at 3 different temperatures: 37º, 24.5º, and 15º C. Each sample was approximately 7.6 mm thick and 3.8 x 2.5 cm in size. To observe the overall effects of temperature on a sample, the tissue was slowly heated from room temperature to body temperature (37º C) and then tested with HF ultrasound. The sample was then cooled back down to room temperature (24.5º C) and tested again using HF ultrasound. Lastly, the sample was cooled further to 15º C and again tested using HF ultrasound. Ultrasonic waveforms were collected using 50-MHz pitch-catch and pulse-echo measurements. The data was then analyzed to determine changes in wavespeed, attenuation, and spectral peak density with temperature. Results from the study will be presented and discussed with respect to the improvement of HF ultrasound procedures for testing tissue samples.

Anatomy Academy: The Impact on Student Nurse Mentors

January 01, 2014 12:00 AM
Anatomy Academy (AA) is a recently developed school based educational program for fifth graders that uses college age students as small group mentor educators. This program aims to combat child obesity by improving the children’s understanding of nutrition, anatomy, exercise, and healthy behaviors. Our study specifically aimed to evaluate the impact of this mentoring opportunity on student nurses. As the largest population of healthcare workers, nurses play an essential role in patient and family education, especially in well populations. As healthcare costs increase, it will be increasingly important for nurses to actively participate in prevention efforts that empower individuals to develop healthy lifestyles. Currently, there exists a paucity of opportunities for student nurses to practice providing this health teaching to well populations and a lack of research literature on the subject. Anatomy Academy is one of these opportunities and our hypothesis is that there will be positive changes in the self-perceived abilities of the student nurses. After identifying undergraduate nursing students engaged in AA, we collected pre and post (5 scale Likert) surveys asking the nurses to rate their self-perceived ability of their skills to 1) adapt the message to the level of audience understanding, 2) communicate basic physiological concepts, 3) teach and model the link between concepts and health behaviors, 4) empower children toward healthy decisions, and 5) collaborate with organizations, like elementary schools, toward a common goal of helping children maintain healthy BMI and habits. A demographic survey and weekly reflective journals were also collected. Our results found statistically significant results in every perceived skill and we conclude that mentoring opportunities for student nurses in programs like AA improve their confidence and ability to communicate in a nursing role. We recommend that similar opportunities be included in the curriculum of all undergraduate nursing programs.

Surface roughness and air bubble effects on high-frequency ultrasonic measurements of tissue

January 01, 2014 12:00 AM
High frequency (HF) ultrasound has been investigated for the detection of breast cancer in surgical samples, and has shown correlations to histology including precursors to cancer development. It is hypothesized that the sensitivity of HF ultrasound to breast cancer is due to changes in the microscopic structure of the tissue. With this approach, better diagnosis of breast cancer can be achieved for purposes such as the assessment of surgical margins in lumpectomy procedures. The microscopic structure of the tissue affects HF waves as they pass through the tissue. These structures can therefore be recorded and distinguished by the HF ultrasound. HF ultrasound will show differentiation between healthy tissue, benign pathologies such as hyperplasia, and advanced cancerous formation. With continuing development, variables are being studied which may skew or produce artifacts in the HF ultrasound results.

Seizure Generating Zone Determination via Automated High-Frequency Oscillation Detection

January 01, 2014 12:00 AM
For patients with medically intractable epilepsy, a neurological disorder characterized by seizures that are unable to be controlled with medication, surgical resection of the seizure generating zone is necessary to obtain seizure freedom. Intracranial electroencephalography (iEEG) is used for determining areas for resection when noninvasive techniques fail to pinpoint a specific area. High frequency oscillations (HFOs), observed through iEEG, are successful biomarkers for the seizure generating zones and are more localized to the source of seizures than areas of propagation. The most common method for determining HFO occurrence lies in expert epileptologist interpretation of the iEEG data, although this method is limited to small data sets and the expertise of the doctor. This study uses the signal processing techniques of spectrogram analysis and continuous waveform transforms to find high frequency content in sampled patient data. Through the use of Friedman’s Tests, statistical difference between channels is determined and subsequent Wilcoxon signed-rank tests are performed to find the channels with statistically greater high frequency content. This allows for an unbiased, automated determination of seizure generating channels. Localization of the seizure generating area can be decided because of the 1-1 correspondence between the channel signal and macroelectrode placement on the brain. If functional mapping reveals the cost of resection of that area of the brain to be less than the benefit of reduction in seizure activity, surgery will be performed. Through the determination of the true seizure generating zone, surgical resection will lead to the best patient outcome of potential seizure freedom and improved quality of life.

A Correlation Between Learning Styles and Fields of Study at Utah Valley University

January 01, 2014 12:00 AM
PURPOSE: An Exercise Science class homework assignment revealed that a significant majority of the Exercise Science majors were Kinesthetic vs. Visual or Auditory learners. The researchers were curious what learning styles other fields of study had and if, like Exercise Science, other fields of study were dominated by one learning style or another. The purpose of this study was to identify the percentage of different learning styles of majors in various fields of study at UVU. Our hypothesis is that each field of study, by its very nature, would be lead by > 50% of the percentage points by one learning style over the others.

Mandatory cardiology consultation’s affects on number of adverse events and tests performed

January 01, 2014 12:00 AM
One of the challenges facing emergency room physicians is the number of tests and procedures to be performed on patients who present with chest pain but had negative initial findings. Since heart disease ranks as the leading cause of death in the United States, hospitals have protocols to monitor patients for a period of time before discharging them. At the University Of Utah’s Emergency Department our monitoring protocol was adjusted over a year ago to mandate consultation with a cardiologist for any and all chest pain patients being observed due to negative findings, whereas prior to the adjustment patients were monitored and consulted by normal emergency room physicians or advanced care providers.

Marital Status and Mortality: A Meta-Analysis

January 01, 2014 12:00 AM
Background

Underwater Treadmill Exercise in Adults with Osteoarthritis

January 01, 2014 12:00 AM
The purpose of this study was to quantify the efficacy of a six-week aquatic treadmill exercise program on measures of pain, balance, mobility, and muscle thickness. Three participants (age = 64.5 ± 10.2) with knee OA completed a six-week exercise training intervention. Outcome measures, collected before (pre) and after (post) the six-week intervention, included visual analog scales for pain, posturography for balance, a 10 m walk test for mobility, and ultrasound for muscle thickness. The exercise protocol included balance training and high-intensity interval training (HIT) in an aquatic treadmill using water jets to destabilize while standing and achieve high ratings of perceived exertion (14-19) while walking. Expected results include, reduced joint pain (pre = 50.3 ± 24.8 mm versus post = 15.8 ± 10.6 mm), improved balance (equilibrium pre = 66.6 ± 11.0 versus post = 73.5 ± 7.1), and mobility (walk pre = 8.6 ± 1.4 s versus post = 7.8 ± 1.1 s) after participating in the exercise protocol (p = 0.03-0.001). We expect that aquatic treadmill exercise that incorporates balance and HIT training will be well tolerated by patients with OA and may be effective at managing symptoms of OA.

Comparison of Column Chromatography Techniques For The Purification of Influenza A/NWS/33 (H1N1) Virus

January 01, 2014 12:00 AM
The gold standard in purification of influenza virus is by means of ultracentrifugation. Although effective, this process is very expensive and thus impractical for developing countries. We hypothesize that column chromatography can be a cost efficient alternative that is as effective as ultracentrifugation. If correct, this method of purification could revolutionize vaccine production in third world countries. We tested the purification ability of column chromatography by comparing two different chromatography resins. The Capto Q resin separates proteins on the basis of protein charge. The Capto 700 resin separates proteins on the basis of both size and charge. Samples following chromatography were collected, and evaluated for virus specific proteins as well as total protein content. After chromatography selected samples were evaluated by electrophoresis to determine protein separation. Although it is evident that some protein separation occurred, the results are inconclusive and suggest more testing.

The effect of evaporative coolers on indoor relative humidity and dust mite allergens in Utah homes.

January 01, 2014 12:00 AM
Exposure to the house dust mite (HDM) allergens Der p 1 and Der f 1 has been implicated in the development and exacerbation of asthma, the leading chronic disease among children in the U. S. Indoor relative humidity (RH) is the most important determinant of HDM growth in homes. HDM populations reach a maximum size at 85% RH but can survive at RH levels as low as 54 %. The RH in the commonly arid climate of the western U.S. is often below 55%, and as such, HDM exposure in these areas has not been viewed as a significant health concern. However, studies have shown that evaporative coolers, or “swamp coolers”, can increase indoor RH levels enough in arid climates to support HDM growth. In this study, we propose to evaluate the relationship between HDM allergen levels in the home and evaporative cooler use in 46 single family homes in Utah County. Homes will be recruited from among BYU employees based on the age of home as well as type of cooling system used (evaporative cooler (n = 23) vs. central air conditioning (n = 23)). Der p 1 and Der f 1 will be measured in homes by reservoir dust and area air sampling. Additionally, continuous RH measurements will be taken in the home over a 72-hour period in order to more fully characterize fluctuations in indoor humidity, and their relationship to HDM concentrations. Samples and RH measurements will be collected up to 3 times in each home over the course of 1 year. Samples will be analyzed in the laboratory using enzyme-linked immunosorbent assay (ELISA) to detect Der p 1 and Der f 1, and by polymerase chain reaction (PCR) to detect HDM DNA on air sample filters.

The Effect of Immunizations on Society

January 01, 2014 12:00 AM
In this paper I will be discussing the health impacts of immunizations and how it affects the individual, the family, the community, and society. I will present information from both sides of the argument of immunizations, as well as my own conclusion on this controversial subject. Findings from leading experts in the medical field will be cited, including Dr. Paul Offit, co-inventor of vaccines and one of the most trusted advocates for vaccine safety, as well as award-winning scientific writer Seth Mnookin. Their research on vaccines, specifically the ingredients included in vaccines, possible side effects, and the nonexistent correlation between vaccines and autism, will support my thesis of vaccine safety and the need for immunizations. I will include current scientific studies which reveal the very serious results of a vaccine-free society and discuss the desperate need to change the anti-vaccine mindset. In conclusion, I will re-state, with supporting evidence, why immunization is absolutely crucial and why it plays a key role in the health of our society and in our personal daily living.

Evaluation of a Sexual Assault Nurse Examiner (SANE) Program on Sexual Assault Criminal Case Outcomes

January 01, 2014 12:00 AM
The purpose of this study is to evaluate the effect of a community-based sexual assault nurse examiner (SANE) program on sexual assault criminal case outcomes in Salt Lake County, Utah.

Opuntia ficus indica: Red Blood Cell Viability and Agglutination Properties

January 01, 2014 12:00 AM
OPUNTIA FICUS INDICA: RED BLOOD CELL VIABILITY AND AGGLUTINATION PROPERTIES

The Current Economic Impact on Youth Sports

January 01, 2014 12:00 AM
Justification: According to many studies, low socioeconomics is positively correlated to sports participation. Little research explores the economic relationship correlated with youth sports.

Cultivation theory and video games: The effect of video games on perception

January 01, 2014 12:00 AM
With the new generations comes new forms of entertainment. Rarely is there a home without a television. The Cultivation Theory presented by George Gerbner and his colleagues states that television is so common in our society that it has an affect on our perceptions of the world. The Cultivation Theory specifically looks at violence on television and its effects on the viewer. Those that are heavy viewers of television often have what is known as mean-world syndrome. Because of the violence they watch on television, they are more likely to see the world as a violent place (Littlejohn & Foss, 2011). Along with a television often comes some type of video gaming system. Studies state that over 65% of North American households now have a video gaming system (Chiawen, Aiken & Huang, 2012). The purpose of this research is to determine if video gaming effects the perception of individuals similarly to that of television as described by George Gerbner’s Cultivation Theory.

Change, Conflict and Community in Utah’s West Desert: Industrialization in Tooele as Portrayed by Community Newspapers

January 01, 2014 12:00 AM
A newspaper is the catalog of a community’s past. I spent about three years researching the impact of industrialization on Tooele from a variety of angles, primarily by reading archived newspapers from 1905 to 1970. During this time, I also collected and scanned nearly 200 original photographs. Industrialization came to Tooele in force in 1908, with the construction on the International Smelter and the Tooele Valley Railroad. Prior to the railroad and the smelter, Tooele was a small, predominantly Mormon community with an agrarian economy. Construction of the railroad, the smelter, and several affiliated projects could have employed 72 percent of every man, woman and child living in Tooele City in the early 1900s. An influx of immigrants changed the social landscape dramatically, reshaping Tooele as one of Utah’s most diverse communities. Through the early 1900s, conflict between the original Mormon settlers and the transplants embroiled the community in something of a perpetual identity crisis. Temporarily, a sort of physical segregation solved the problem-Mormons lived west of Main Street, and the immigrants set up shop east of Main Street. But it wouldn’t be long before the Tooele newspapers came to accept the newcomers and the advertising revenue they had to offer. The Great Depression and football, of all things, finally brought the community back together, and throughout the 1940s and 1950s, the immigrant families were invited to fly their native colors at important community events that celebrated Tooele’s heritage.

Pick On This, Make A Change: Helping Prevent Youth Bullying through Grassroots Public Relations

January 01, 2014 12:00 AM
An award winning research project, this summary highlights research conducted by Communication students at Utah Valley University of a grassroots public relations campaign created to increase awareness among middle school students, parents, educators, and community leaders of the serious short and long term consequences of youth bullying. The study also demonstrates how the campaign informed audiences of the steps they should take to help prevent bullying. The goal of the research was to understand the short-and-long term effects of bullying, types of bullying, and the prominence of bullying in the surrounding community where the research was conducted. A public relations strategic communication plan was developed based on the research to change bullying behavior in the community. The campaign aimed to spread awareness of the short and long term effects of bullying and outline the steps to report and prevent bullying through the development of strategies and tactics. These steps help students, parents, educators, and community members understand bullying, recognize the signs and types, and know the appropriate authority to whom to report the behavior. This presentation will show how the research provided the students with the information needed to establish measureable objectives for the campaign, reach their key publics and provide an evaluation of the strategies and tactics used to meet campaign objectives. The document reviews the outcome and evaluation of each strategy and tactic implemented during the campaign, including media relations and social media tactics, The summary concludes with an overview of how campaign objectives of teaching key publics how to take steps to prevent bullying were achieved due to thorough research and understanding of how to effectively use messaging to generate behavior changes within the key public.

A Novel Romance: Parasocial Interaction, Attachment Style, and Jealousy in female readers’ romantic relationships

January 01, 2014 12:00 AM
Romance novels seem to be a staple in the devoted reader’s array of books and have remained an extremely popular genre throughout the centuries. Not only are the actual stories appealing to the readers, but some readers go a step further and interact with or create a relationship with characters themselves. A phenomenon called parasocial interaction. This research study seeks to discover if the parasocial interactions female romance novel readers experience relate to a practice of a particular attachment style and jealousy in their romantic relationships. These characteristics are important to the health and sustainability of people’s romantic relationships, and this study seeks to learn whether or not the quasi relationships romance novel readers create with characters influences those relationships.

Communication & Single Parent Families; Support Programs Impact Communication Between Parents and Children.

January 01, 2014 12:00 AM
With globalization and the minority population changing, it is extremely important to learn the real statistics that are out there when it comes to single parenting. The most important thing though, is to figure out is which communication styles work in healthy communication, with single parent families.

Hook-up culture: a qualitative analysis of sexual scripts within gender and religious identidies

January 01, 2014 12:00 AM
The culture of sex outside intimate relationships including dating scripts and sexual scripts has shifted to one of more ambiguity. Multiple changes in sexual scripts have occurred in the last 50 years with the diversification of types of relationships in which sex occurs, including, a greater acceptance of sex outside of relationships (Gagnon & Simon, 1987). This study is in response to the call for more research on how social identities influence perceptions of sexual interaction (Backstrom, Armstrong, and Puentes, 2012). The purpose of this study is to examine hook-up culture outside of traditional intimate relationships. This study explores the extent of the shift from traditional dating scripts to a culture of hooking up as perceived by males and females that identify with the predominant Latter-Day Saint (LDS) religious culture. Using the tenants of social exchange and scripting theories this study examined the attitudes of males and females. Transcripts from four same gender and religion focus groups and 100 open-ended survey responses provided data for analysis. The constant comparative method (Glaser and Strauss, 1967) provided the means by which to analyze data within emergent categories. One open-ended response question was reviewed to assess content theme analysis. The constant comparative method indicated distinct contrast of perceptions of sexual intimacy between males and females. Findings suggest that there are distinct differences between male and female and LDS and non-LDS attitudes about and perceptions of hook-up culture. These results are consistent with previous research indicating that hooking-up can be a functional strategy used to shift focus from traditional intimate relationships to more academic and professional goals.

The Effects of Photographic versus Computer Mediated Video Stimuli on Impression Formation

January 01, 2014 12:00 AM
As the world of online social networking has changed to accommodate public interest, online dating sites have become increasingly popular. With this new trend in social media there has been an increased awareness as to how one might present him or herself in the most favorable way possible through computer mediated stimuli. To find out if nonverbal cues played a significant role in online impression formation, we had males and females randomly assigned to one of two variables, where they viewed stimuli of a member of the opposite gender. The stimuli that was presented was either a photograph accompanied by a written autobiography about a member of the opposite gender, or a video of the person reading their own autobiography, which allowed for the presence of nonverbal cues. Participants rated the subjects in the assigned stimuli on a number of different scales ranging from trustworthiness to sexual attractiveness based on their first impressions. Results showed no significant differences between the presence of nonverbal cues in the video stimuli or the photographic stimuli, reasoning for the indifference participants had towards the nonverbal cues is discussed. However, there were significant gender differences among the first impressions formed, other findings are presented.

Micropropagation studies of Calochortus species

January 01, 2014 12:00 AM
Calochortus is a plant genus that includes approximately 60 species distributed in North America with great ornamental and ethnotobanical value. Sego lily, mariposa lily and other common names have been used to describe the different species of Calochortus. Native Americans and settlers have used the bulbs as food, either raw or ground into flour and cooked. C. nuttallii played an important role in the success of colonization of Utah. Between 1840 and 1851 the scarcity of food due to a plague of crickets led to the pioneers to dig for the bulbous roots of sego lily, ensuring the survival of the pioneer population. This research studies the effects of Gibberellic acid on the germination and elongation of these species in vivo and in vitro. Eight different species of Calochortus are being utilized for this experiment to evaluate the effect of this growth regulator on the germination of these species. Different types of media are being tested to evaluate the optimal in vitro conditions that these species require for germination and growth. In addition embryogenesis and organogenesis is being induced by using Benzyl Amino Purine and 2,4-Dichlorophenoxyacetic acid at different concentrations. Sego Lily is the State flower of Utah; micropropagating this plant will allow us to understand and research new methods and conditions to grow these species successfully, making preservation possible since some Calochortus species have been listed as endangered. In addition, other species such as Calohortus ambiguous (Doubting Mariposa Lily), which is distributed in Utah, Arizona and New Mexico, will also benefit from the system developed in this research because they are closely related to Sego Lily (C. nuttallii). The long term goal of this research is to establish an appropriate micropropagation system for a wide variety of Calochortus species.

Family Write Night

January 01, 2014 12:00 AM
A Family Write Night is an opportunity for teachers, students, and parents to come together to learn about the different stages of writing development and what writing does for the student at any level. Since writing will strengthen and enhance the student in other literacy skills and knowledge, bringing these students and families together in a friendly, casual atmosphere to provide enjoyable, non-assessed activities builds confidence in a writer’s sense of who they are, their voices as writers, as well as developing critical thinking skills. Parent and family involvement is a key component of this activity. Having families, students, and teachers working together to encourage writing at home builds strong family bonds while strengthening writing skills.

Connecting to the Community: Service-Learning Methods in an ESL Classroom

January 01, 2014 12:00 AM
High school English as a Second Language (ESL) students often feel separated from their schools and communities. These feelings of separation can lead to low engagement and low achievement despite the students’ desire to do well in school. One method used to counter low engagement in mainstream classes is service learning, but there is little research on service learning with ESL students. In this study, an existing group of 9th grade ESL students was taught and observed to determine the feasibility and effectiveness of using service-learning methods. The project endeavored to tie academic work to community involvement and therefore increase student engagement and academic confidence. Throughout the implementation of the service-learning project, students displayed increased classroom involvement and reported improvements in attitudes and self-assurance. The methods and procedures described in this study can be adapted to larger class sizes and a variety of projects in order to increase engagement and academic confidence in ESL students.

Peer Mentor Successes in a Low-performing, Upper Division Science Course

January 01, 2014 12:00 AM
How about a 20% increase in the class average on the mid-term exam compared with the previous two academic years of the same course? In this session two students share their experiences as (newly piloted) peer mentors in a low-performing, upper division genetics class. Student attitudes towards genetics improved and both mid-term and final grades increased by double-digit percentages. Not only did these peer mentors increase student success, but also experienced a personal developmental opportunity in preparation for graduate school, including this conference presentation and an anticipated peer-reviewed publication to follow.