Fine Arts

Authors: Alex Jarvis, Brooklyn Flowers, June Oaks, Sadie North. Mentors: Tyson Harmon. Insitution: Brigham Young University. Background: Dual tasks have been found to negatively affect language production for people with and without aphasia (Harmon et al., 2023). For people with aphasia (PWA) specifically, previous research suggests that limited working memory or attentional capacity contributes to their difficulty with language tasks (Harmon et al., 2019; Pompon et al., 2015; King & Karen 1996; Obermeyer et al., 2020). One common situation in which communication occurs within a dual task environment is talking while driving. Investigating how talking while driving impacts spoken language could help us better understand how to facilitate both safer driving behaviors and improved communication among friends and family while driving. Longer-term, this understanding can springboard further research addressing assessment and intervention practices in aphasia, which better reflect communication in daily life. Original findings related to speech acoustics revealed that talking while driving led to increased speech intensity and decreased speech time ratios (Glenn, 2017; Simmons, 2016). The potential impact of these driving tasks on spoken language, however, has not been investigated. For the present study, we will conduct a secondary analysis of language samples produced across the aforementioned conditions to understand how they impact spoken language production. Method: Data for the present study was collected for a larger project with initial aims of investigating the impact of driving on speech acoustics (e.g., frequency, intensity). This project also investigated bidirectional interference between speech acoustics and driving as well as the effects of different conversational modalities (e.g., talking on the phone, in person, or through Bluetooth). Forty healthy adults who reported no speech, language, or hearing impairment participated in the study. Participants completed seven tasks, which were presented in a random order: driving without speaking, speaking on a hand-held cell phone, speaking on a hands-free phone, talking to a person next to them speaking on a hand-held cell phone while driving, speaking on a hands-free phone while driving, and talking to a person next to them while driving. Within each of these conditions, participants discussed a topic they selected from a list while completing these tasks. To analyze spoken language, we will first transcribe samples orthographically. These transcriptions will then be coded for lexical-phonological, morphosyntactic, and macro-linguistic errors. Parametric statistical analysis will be used to compare across different age groups. Anticipated Results: We hypothesize that participants will demonstrate increased errors in conditions that involve talking while driving (i.e., dual task conditions) than in conditions that involve talking alone (i.e., single task conditions). Previous research suggests dual-tasking has a negative effect on language including lexical and phonological errors even in non-aphasic participants (Harmon et al., 2023). In this study, we would expect more lexical-phonological (e.g., fillers, revisions, repetitions) and macro-linguistic (e.g., aposiopesis) errors during dual task conditions. For future studies involving PWA’s, we would expect more impaired language in dual-task activities than those without aphasia.

Authors: ANNA EDLER, RYAN KUNKLER, CASEY WEBB, JACOB MANNING, MARCUS M LAWRENCE. Mentors: Marcus Lawrence. Insitution: Southern Utah University. Climbing (sport and bouldering) has become a very popular hobby for people all over the globe.Now that climbing is an Olympic sport the need for understanding best training practices through evidence, not anecdotal experience, has grown. Using the International Rock Climbing Research Association (IRCRA) individual grading scale based on route completion difficulty,some research has shown that upper limb strength is important for individuals to progress from recreational/intermediate to more advanced/elite levels. However, many studies use non-sportspecific measurements (i.e., hand dynamometer versus a finger climbing hold) and none have assessed rate of force development (RFD) or lower body strength contributions. PURPOSE: To test the hypothesis that compared to recreational/intermediate climbers advanced climbers would have greater dominant and non-dominant upper-body strength and finger RFD as well as lower body compound strength. METHODS: Nineteen subjects (n=8 female and n=11 male;age: 24.7±7.5 yrs; height: 177.6±7.8 cm; mass: 76.0±14.9 kg; IRCRA Sport Grade: 14.1±6.7; n=10 intermediate, n=9 advanced) completed this study. During a single session, following a standardized 3-5 min. warm-up all participants dominant and non-dominant finger strength andRFD (using a Tindeq dynamometer load cell attached via static rope to a 20mm edge) as well as shoulder strength (using the same Tindeq load cell with a static rope attached to an olympic ring), and lower-body compound strength (isometric mid-thigh pull using G-strengthdynamometer load cell attached to a straight bar with a static rope) were assessed. Three trials were done on each measurement with 1 min. between trials and 3-5 min. between tests. Unpaired t-tests determined differences, p<0.05. RESULTS: Across every measurementadvanced climbers had significantly (p<0.05) higher values for absolute and relative (normalized to body weight, BW) measurements. As absolute and non-dominant results were similar we onlyreport dominant relative results, where appropriate. Indeed, compared to intermediate climbers advanced climbers had significantly higher relative dominant finger RFD (9.9±3.7 vs 20.8±9.4N/s*BW -1 ), finger strength (0.5±0.1 vs 0.7±0.3 kg/BW), shoulder strength (0.7±0.2 vs 0.9±0.2 kg/BW), as well as relative compound strength (1.8±0.4 vs 2.6±0.7 kg/BW, respectively). CONCLUSION: Advanced climbers have larger absolute and relative RFD in their fingers,stronger dominant and non-dominant fingers and shoulders, as well as stronger lower body compound strength. Thus, individuals looking to progress from recreational/intermediate climbing grades to advanced/elite should focus on improving total body absolute and relative strength as well as finger RFD.

Authors: Anna Norman, Chloe Houghton, Macall Walker, Audrey Saunders. Mentors: Tyson Harmon. Insitution: Brigham Young University. Face it! How reliable is emotional facial expression coding within and across raters? Background Emotion, described as “physiological forces, located within individuals, that bolster our sense of uniqueness....” (Katriel, 2015, p. 57) is a critical aspect of day-to-day communication. For people with acquired language disorders post-stroke (i.e., aphasia), this interaction is particularly important due to relatively spared emotional processing, which has the potential to either facilitate or interfere with language processing (see e.g., Harmon et al., 2022; Ramsberger, 1996). The present study is part of a larger project, which seeks to determine whether people with aphasia exhibit more emotional facial expressions during personal narrative discourse than adults who do not have aphasia and whether these expressions are more emotionally arousing. The present study specifically seeks to investigate the reliability of facial coding by comparing average frequency and intensity of emotional facial expressions both within and across undergraduate student coders. Methods In order to quantify emotional facial expression frequency and intensity, undergraduate research assistants are trained to code facial expressions using a modified FACES protocol (Kring and Sloan, 2007). The modified protocol will be used to code emotional facial expressions of video footage that was obtained from participants while they told personal narratives (e.g., talking about an illness they experienced or an important life event). First, research assistants identify the baseline facial expression for each participant. Next, research assistants code transitions from a neutral expression to an emotional facial expression for valence (positive/negative) and intensity. Intensity ratings are scaled from 1 to 4 depending on how many units of the face are involved within the corresponding facial expression. Using this protocol, research assistants will begin facial coding after they are trained and demonstrate mastery by attaining 80% agreement with a master code. Upon completing initial data coding, research assistants will be assigned to recode 10% of previously completed video samples as well as 10% of samples that were previously coded by other coders. This secondary coding will be used to measure intra- and inter-rater reliability across dependent variables: frequency of emotional facial expressions, intensity of positive facial expressions, and intensity of negative facial expressions. Average frequency of emotional facial expressions will be calculated as the number of facial expressions produced per minute within a given sample. Intensity of positive and negative facial expressions will be calculated as the mean intensity within each valence respectively. The average frequency and intensity of initial and reliability codes will then be compared using Pearson’s correlation coefficient. Anticipated Results We anticipate that intra- and inter-rater reliability will be above 0.8. Through a strict training process, research assistants will calibrate their coding to achieve 80% agreement with the master code. We anticipate this training process to produce effective intra- and inter-rater reliability. Findings will be important for determining the reliability of facial coding procedures and trustworthiness of data for answering questions related to the longer-term project. References Harmon, T.G., Jacks, A., Haley, K. L., & Bailliard, A. (2020). How responsiveness from a communication partner affects story retell in aphasia: Quantitative and qualitative findings. American Journal of Speech-Language Pathology, 29(1), 142-156. https://doi.org/10.1044/2019_AJSLP-19-0091 Harmon, T.G., Nielsen, C., Loveridge, C., Williams, C. (2022). Effects of positive and negative emotion on picture naming for people with mild to moderate aphasia: A prelimariny investigation. Journal of Speech, Language, and Hearing Research, 64(3), 1025-1043. https://doi.org/10.1044/2021_JSLHR-21-00190 Katriel, T. (2015). Exploring emotion discourse. In H. Flam & J. Kleres (eds.), Methods of exploring emotions (1st ed., pp.57-66). Taylor & Francis Group. Kring, A.M., & Sloan, D.M. (2007). The facial expression coding system (FACES): Development, validation, and utility. Psychological Assessment, 19(2), 210-224. https://doi.org/10/1037/1040-3590/19.2.120

Authors: Leila Moore, Marin Farnsworth. Mentors: Tyson Harmon. Insitution: Brigham Young University. Background:Facial expressions are crucial for understanding human emotions in communication. Coding and quantifying these expressions, however, have often been subjective, leading to issues with reliability and consistency (Kring and Sloan, 2007). To address this, we have modified the Facial Expression Coding System (FACES) protocol (Kring and Sloan, 2007), which traditionally relies on subjective interpretation. Our modified protocol employs a more objective approach by quantifying facial expressions based on the counting of facial units (e.g., eyes, corners of the mouth, eyebrows, and teeth). Each intensity rating corresponds to a certain number of facial units. For example, an expression involving one facial unit would receive an intensity rating of one whereas an expression involving two units would receive an intensity rating of two. Multiple studies have found that women are more emotionally expressive than men overall when considering gestures, body language, facial expressions, and tone of voice (Ashmore, 1990; Brody & Hall, 1993; Hall, 1984). Rather than focusing on overall emotional expressiveness, though, the present study aims to understand how gender impacts the production of emotional facial expressions specifically. Method:The proposed study aims to compare the frequency and intensity of facial expressions produced by men versus women when recounting personal narratives. Participants. Video footage from participants with and without aphasia producing personal narrative discourse will be obtained for equal numbers of male and female participants. Samples will include two personal narratives in response to prompts from the interviewer. The first prompt is to speak of an experience the participant has had with illness/injury/stroke, and the second prompt is to talk about an important event that has happened in their life. Procedure. A modified FACES protocol will be used to code facial expressions in videos obtained from AphasiaBank. The coding process is conducted with the audio muted to help eliminate distractions. The modified FACES protocol includes specific, operationalized criteria for what qualifies as a facial expression. This protocol does not include coding non-facial gestures or eye movements. However, we do take into account the narrowing and widening of eyes in addition to instances when the eyes are opened or closed with intention. A critical question we ask during coding is whether the facial expression conveys emotional content. We have established standards for intensity ratings and will outline how we arrived at these standards, as well as the distinctions between intensity ratings one, two, three, and four. The analysis process includes establishing a baseline expression for each participant and coding for 20 minutes before taking a break to maintain energy and productivity and to ensure accuracy in data collection. Additionally, secondary coding and a final pass for gestalt ratings are performed to ensure comprehensive analysis.Data Analysis. To address our research questions, we will conduct a comprehensive analysis, focusing on our participants' facial expressiveness during personal narrative storytelling. The analysis will involve quantifying the frequency of facial expressions exhibited by the participants. Additionally, we will consider the valence of these expressions, distinguishing between positive and negative emotional content. We will also assess the intensity of facial expressions by counting the number of facial units engaged during each expression. This examination of facial data will allow us to discern not only the prevalence of expressions but also emotional content and intensity, ultimately providing a more in-depth understanding of the gender differences in non-verbal communication during personal narratives.Anticipated Results:Our study aims to explore if there is a statistically significant difference in the quantity, valence, and intensity of facial expressions between men and women. By using a standardized approach for measuring emotional facial expression production, we hope to shed light on the nuances of non-verbal communication during personal narratives and contribute to a better understanding of gender differences in emotional expression. Consistent with previous research, we anticipate that females will produce more frequent and intense emotional facial expressions than males (Ashmore, 1990; Brody & Hall, 1993; Hall, 1984).References:Ashmore, R. D. (1990). Sex, gender, and the individual. In L. A. Pervin (Ed.), Handbook of personality: Theory and research (pp. 486-526). New York: Guilford Press.Brody, L. R., & Hall, J. A. (1993). Gender and emotion. In M. Lewis & J. M. Haviland (Eds.), Handbook of emotions (pp. 447-460). New York: Guilford Press.Hall, J. A. (1984). Nonverbal sex differences: Communication accuracy and expressive style. Baltimore: Johns Hopkins University Press.Kring, A. M., & Sloan, D. M. (2007). The facial expression coding system (FACES): Development, validation, and utility. Psychological Assessment, 19(2), 210–224. https://doi.org/10.1037/1040-3590.19.2.210.

Authors: Logan McMaster, Joshua Sponbeck, Malorie Wilwand, A. Wayne Johnson. Mentors: A Wayne Johnson. Insitution: Brigham Young University. In the dynamic game of professional football, where split-second decisions and explosive movements often determine the outcome, players train all year round for optimal athletic performance. Paramount to this performance are the hamstring muscles including the semimembranosus (SM), semitendinosus (ST), and both the long and short head of the biceps femoris (BFLH and BFSH). They play pivotal roles in sprints, agility, jumping, and overall lower-body strength. Because of the critical nature of the hamstrings during functional activity, this study sought to determine which of these three muscles contributes the most to eccentric hamstring strength. Recognizing the correlation between muscle volume and muscle strength, this study compared maximal eccentric hamstring strength with the proportion of each isolated hamstring muscle's volume relative to the total hamstring muscle group volume. Doing so would identify which specific muscle contributes the most to eccentric hamstring strength. This study incorporated 74 male, collegiate football players representing all positions on the team. Maximal strength was assessed through Nordic hamstring curls and overall muscle volume was quantified using magnetic resonance imaging (MRI). Our results show no correlation (R^2<0.2) between maximal force output and proportional muscle volume for the ST, and the BFSH. Additionally, the correlations for these muscles were not statistically significant (P>0.05). The SM muscles had a weak negative correlation (R^2= -0.25) with eccentric hamstring strength that was statistically significant (P = 0.03). The BFLH proportional volume was positively weakly correlated (R^2= 0.22) with eccentric hamstring strength. This correlation was statistically non-significant (P = 0.06). This information shows that no hamstring muscle contributes more to eccentric hamstring strength than any other. Knowledge of this can be invaluable for clinicians and researchers to design comprehensive strength training programs that enhance the collective strength of the entire hamstring muscle group, ultimately optimizing the performance of football players.

Authors: Lizzie Stewart, Hayden Underwood, Dallas Goolsby, Spencer Sears. Mentors: Camilla Hodge. Insitution: Brigham Young University. Social connection is critical to understanding how individuals interact with one another and form social bonds in groups. Our research evaluates the effects on social connection based on the Ecology of Family Experiences framework, which considers the interplay between three domains: family, activity, and time. We believe that the EFE is a transferable framework that will have important social implications for understanding interpersonal relationships and designing experiences intended to increase social connection. In this study, we examine the relationship between social connection and two variables: 1) social interaction, or the behavior between two or more people crossing paths. Social interaction considers joint or parallel interaction styles between people; 2) self-disclosure, or interaction where one intends to willfully and deliberately divulge something personal to another. We hypothesize that social interaction and self-disclosure influence social connections outside the family context. We seek to shed light on the mechanisms that shape and alter the quality and depth of interpersonal connection. In our experiment, we used a 2x2 quasi-experimental design. Participants were assigned to one of four conditions varying in self-disclosure (high vs. low) and social interaction (joint vs. parallel). Self-disclosure questions asked participants to answer prescribed questions, including highly personalized questions (high disclosure) and non-personalized information (low disclosure). Participants either interacted with a partner (joint) or wrote responses next to a partner without verbal communication (parallel). Social connection was measured using the Inclusion of Others and Self Scale. The sample consisted of 148 university students. The average participant was a white, unmarried, 20-year-old from a middle- to high-class economic background. Data analysis was conducted using mixed model techniques that took into account the unique dyadic relationship of each pairing. Results suggested a significant interaction between self-disclosure and social interaction (t = 2.354, p < 0.05). With high self-disclosure and joint activity having a mean of 4.54, high self-disclosure and parallel activity having a mean of 2.33, low self-disclosure and joint activity having a mean of 3.47, and low disclosure parallel activity having a mean of 2.01. These findings highlight the importance of self-disclosure and social interaction styles in influencing social connection, extending the applicability of the EFE framework beyond the family unit.

Authors: Ramon Zabriskie, Erica Miller, Felicia Korth, Anna Taylor. Mentors: Ramon Zabriskie. Insitution: Brigham Young University. Implicit bias occurs automatically and unintentionally based on a person’s lifetime experience and cultural history (National Institutes of Health, 2022; Handelsman & Sakraney, 2015). In this study, implicit bias is evaluated through the lens of a transformative diversity, equity, inclusion, and belonging business course. DEIB originated in the 1960s in response to equal employment and affirmative action laws (Sarrett, 2022). Studies show that Millennials and Gen Z generations are the most diverse populations ever in the United States (Stamps & Foley, 2023). Benefits of DEIB include the creation of a more unified, diverse, and successful workplace, less biases in hiring, team development, promotions, and who companies do business with (El-Amin, 2022). This study’s theoretical framework is based on the transformative learning theory which seeks to understand and promote human development through learning. Transformation is more than "knowing more" through time; when a learner is transformed by education they undergo a shift in perspective, and after that shift, they cannot go back to see the world the way they once did, at least in some small way (Wichita State University). The class was designed with experiential learning approaches and introduces a variety of DEIB concepts such as privilege, unconscious bias, assumptions, and intersectionality. Students interacted with a variety of experiential components such as DEIB events, panels, and interviews which addressed various minority groups. At the beginning of the DEIB course, students completed an IAT test focused on racial bias. The IAT test is known as the Implicit Association Test that uses positive and negative connotative words in association with pictures of minority groups to measure automatic reactions targeting an individual's level of implicit bias towards one minority group versus another. After students completed the racial IAT test, scores were recorded representing the level of implicit racial bias students held towards white people vs. black people. At the conclusion of the 14-week-long course, students completed the same IAT test on racial bias. Scores were recorded once again, comparative with previous IAT scores, to evaluate whether the amount of racial implicit bias had changed as a result of participating in the DEIB course and its curriculum. Data was then analyzed visually comparing the means from the pre to post test results. The data was analyzed using this method because the sample size was not large enough to return what the researchers considered to be reliable results. More data is available for this study, but has not been cleaned and matched, this process is currently taking place. Once the data is available, the researchers will use paired sample T-tests to conduct a full analysis. Additionally, descriptive analysis will be represented in the form of histograms of pre and post test scores observing the progression towards less implicit bias. The mean for the pre-test was .78 (sdv=1.34, n=171) and the post-test was .63 (std=1.38, n=144). Our sample size was 181 participants with 25 that chose not to answer. Demographics of participants consisted of 66% Caucasian, 3% Hispanic, 2% Asian, 2% Native Hawaiian, 1% other, and 26% who chose not to respond. The average age of participants was 21. Gender of participants consisted of 121 females and 34 males. Visual examinations of the means suggest there was migration toward 0, which would represent little to no bias and the class was making a difference in participants’ implicit bias scores. This study underscores the utility of DEIB instruction in promoting changes in bias. The impact of changes in implicit bias through this learning coupled with DEIB principles in a transformative way will greatly influence the workforce for generations to come.

Authors: Amanda Carlson. Mentors: Bradford Berges. Insitution: Brigham Young University. Human Immunodeficiency Virus (HIV) causes AIDS and is one of the most studied viruses in history. HIV is a retrovirus that has two copies of a single stranded RNA genome. While there is in-depth understanding of the virus and its pathogenesis, no completely effective treatment or vaccine exists. One potential target for therapeutic treatment of HIV is Viral Protein R (Vpr). Vpr is a multi-functional accessory protein encoded by the HIV genome. While HIV is a quickly mutating virus, the vpr gene remains relatively conserved. Mutations in this protein dramatically impact the rate of AIDS progression compared to the wild type (WT) version of Vpr. The Vpr polymorphism R77Q is associated with the Long Term Non Progressor (LTNP) phenotype. Regular AIDS onset is 5-7 years for WT virus and 10 or more years for R77Q. These differences in AIDS progression have been observed in vivo by following people with HIV over time. We have successfully shown that R77Q activates G2 cell cycle arrest more efficiently than WT followed by apoptosis, a death mechanism with less inflammation compared to necrosis. While the molecular mechanism of Vpr-induced apoptosis is known, it is not yet determined why point mutations in Vpr are changing levels of apoptosis. With further experimentation, we have shown that R77Q has decreased expression of pro-inflammatory cytokines compared to WT virus, which may explain why it is associated with the LTNP phenotype. The functions of Vpr come from binding and modifying cellular proteins and enzymes. The focus of our research is to determine what molecular interactions change between Vpr mutants to better understand the shifts in apoptotic levels. Vpr can be found intracellularly in the nucleus, cytoplasm, and mitochondria and extracellularly in secreted proteins and within virions. We will determine Vpr concentration in these various locations for both WT Vpr and the R77Q mutant, starting by measuring extracellular Vpr. To quantify virion-associated Vpr, we have designed a research plan. We will use WT-Vpr plasmids tagged by GFP to create GFP-tagged plasmids with either WT, R77Q or null mutations using site-directed mutagenesis. We will use Sanger sequencing for confirmation of the proper Vpr mutations tagged by GFP. We will then digest the plasmid DNA, leaving only the Vpr-GFP component and use PCR to amplify the sequences. We will transfect null virus plasmid (NL4-3) and Vpr-GFP plasmids into HEK cells to package the null virus and Vpr-GFP plasmids together to create active HIV particles. Using these virus particles, we will infect Hut-78 cells for a short time to allow the virion to enter the cells. We will then measure GFP fluorescence via flow cytometry, allowing us to quantify virion Vpr. This will be run alongside a mock infection as a control. We hypothesize that differences in virion Vpr concentrations exist among Vpr mutants. Through these experiments, we aim to discover more about the role Vpr plays in cell death by apoptosis and contribute to the existing literature exploring the importance of Vpr in HIV-1.

Authors: Maddy Howard, Brooke Dension, Shanna Groesbeck. Mentors: Sandy Wilson. Insitution: Utah Valley University. AbstractThere are many systemic diseases that are linked to oral health. This literature review specifically examines different studies and academic journals that have studied the relationship between oral health, obesity, heart disease, and diabetes. Obesity is linked to the patient's oral health in many ways. When patients are consuming large quantities of food more often than normal, this results in a more acidic environment along with energy for bacteria to grow. One study found a correlation between obesity and risk factors such as “frequency of brushing teeth, smoking, tooth loss, gingivitis, and dental caries (Yilmax & Somay, 2021). This article discusses the strong correlation between oral health and heart disease. Several studies emphasize the importance of dental hygienists educating their patients about the link between their oral and cardiovascular health. The articles conclude that treating periodontal disease more effectively and aggressively could lead to a marked reduction in coronary heart disease rates and vice versa.Diabetes and periodontal disease is also examined at length in this literature review. Diabetes and periodontitis is described as a ‘two-way relationship’. Evidence shows that individuals with diabetes, type 1 or type 2, are 34% more likely to develop periodontal disease. On the other hand, individuals experiencing periodontal disease are 53% more likely to develop diabetes (Wu, et al., 2020). This literature review will explore the importance of oral health in keeping your entire body healthy.ReferencesArora, A., Rana, K., Manohar, N., Li, L., Bhole, S., & Chimoriya, R. (2022). Perceptions and practices of oral health care professionals in preventing and managing childhood obesity. Nutrients, 14(9), 1809. 10.3390/nu14091809.Batty, G. D., Jung, K. J., Mok, Y., Lee, S. J., Back, J. H., Lee, S., & Jee, S. H. (2018). Oral health and later coronary heart disease: Cohort study of one million people. European Journal of Preventive Cardiology, 25(6), 598-605. 10.1177/2047487318759112Centers for Disease Control and Prevention. (2022). Defining adult overweight & obesity. Centers for Disease Control and Prevention. Deraz, O., Rangé, H., Boutouyrie, P., Chatzopoulou, E., Asselin, A., Guibout, C., Van Sloten, T., Bougouin, W., Andrieu, M., Vedie, B., Thomas, F., Danchin, N., Jouven, X., Bouchard, P., & Empana, J. P. (2022). Oral condition and incident coronary heart disease: A clustering analysis. Journal of Dental Research, 101(5), 526-533. 10.1177/00220345211052507Sanchez, P., Everett, B., Salamonson, Y., Ajwani, S., Bhole, S., Bishop, J., Lintern, K., Nolan, S., Rajaratnam, R., Redfern, J., Sheehan, M., Skarligos, F., Spencer, L., Srinivas, R., & George, A. (2017). Perceptions of cardiac care providers towards oral health promotion in Australia. Collegian, 25(5), 471-478. https://doi.org/10.1016/j.colegn.2017.11.006Preshaw, P. M., Alba, A. L., Herrera, D., Jepsen, S., Konstantinidis, A., Makrilakis, K., & Taylor, R. (2012). Periodontitis and diabetes: A two-way relationship. Diabetologia, 55(1), 21-31. 10.1007/s00125-011-2342-yWu, C.-Z., Yuan, Y.-H., Liu, H.-H., Li, S.-S., Zhang, B.-W., Chen, W., An, Z.-J., Chen, S.-Y., Wu, Y.-Z., Han, B., Li, C.-J., & Li, L.-J. (2020). Epidemiologic relationship between periodontitis and type 2 diabetes mellitus. BMC oral health, 20, 204. 10.1186/s12903-020-01180-wYilmax, Busra. & Somay, Efsun. (2021). Is obesity a problem that threatens oral health in adults? Cukurova Medical Journal, 46(3), 1215-1221. DOI: 10.17826/cumj.950243

Authors: Danielle Terry, Seth Helton, Michael Creer. Mentors: Austin M Green. Insitution: University of Utah. With anthropogenic influence increasing worldwide, it is important to understand how wildlife behavior changes in response to urbanized landscapes. Urban ecosystems represent relatively novel landscapes with unique threats and opportunities that can completely restructure species’ population composition and dynamics. Mule deer (Odocoileus hemionus) have been shown to alter their temporal activity in response to urbanization across their range of the Intermountain West of the United States. In this study, we will investigate the effects of anthropogenic influence on mule deer temporal activity behavior across two distinct life stages: fawning and non-fawning. Data for this study will come from the citizen science camera trapping project, Wasatch Wildlife Watch. The full project area is separated into two study sites: “Rural” and “Urban”. This study will be based around the wild-to-urban interface of the Central Wasatch Mountain Range and the Bear River Mountain Range, which composes some of the most highly recreated portions of the Uinta-Wasatch-Cache National Forest, receiving approximately 9,000,000 visitors annually (U.S Forest Service). We will investigate the proposed differential effects of anthropogenic influence and urbanization on mule deer diel activity patterns in the fawning vs. non-fawning life stages. Also, we will inquire whether intraspecific responses in mule deer diel activity alter interspecific interactions, especially with fawning predators, and how these responses might interact with environmental factors. We predict that anthropogenic influence and urbanization alter the diel activity patterns of fawning mule deer more than non-fawning deer and that the presence and activity of fawn predators (e.g., coyote [Canis latrans]) would have a stronger effect on fawning deer activity than non-fawning deer activity.

Authors: Marie Gibb. Mentors: Francine Jensen. Insitution: Utah Valley University. Maternal mortality, also known as maternal death, is defined as the death of a woman during pregnancy and up to one year postpartum. (MacDorman et al., 2021; Spelke & Werner, 2018). The United States is the only developed nation where the rates of maternal mortality are rising, and they have been rising for twenty years (Simpson, 2019; Spelke & Werner, 2018). This incidence represents a maternal health crisis in the United States. On average, 700 women in the United States die each year from pregnancy-related complications. This equates to 17.2 maternal deaths for every 100,000 live births (Simpson, 2019). Currently, the maternal mortality rate for Utah is higher than the national average at 21.5 maternal deaths per 100,000 live births (Utah Department of Health and Human Services, 2023). According to More than 60% of these deaths are preventable (MacDorman et al., 2021; Simpson, 2019).The leading causes of maternal death in the United States are hemorrhage, preeclampsia, eclampsia, hypertension, embolisms, and cardiomyopathy, which often lead to cardiovascular disorders (MacDorman et al., 2021; Simpson, 2019). The Utah Health and Human Services (2023) reported that increases in heart disease, hypertension, diabetes, mental health disorders, and other chronic conditions complicate pregnancies and are contributing to maternal mortality in Utah. The American Heart Association has cautioned that pregnancy complications like preeclampsia, gestational diabetes, and preterm delivery are linked to maternal heart disease later in life (Parikh et al., 2021). Research suggests that each episode has a cumulative effect (Marill, 2021), meaning, the more pregnancies women have, and the more complications women have during pregnancy, the more elevated their risks are in general for cardiovascular disorders as they age. A qualitative survey was sent out using snowball sampling to women over the age of 18 in Utah asking about their understanding of cardiovascular risk factors and current health conditions. Findings showed that women were unaware of their potential cardiovascular risks associated with pregnancy. Raising awareness regarding these cardiovascular risks may be the number one preventative strategy, as women are the ones who bear the personal and physical risks. If pregnant women are aware of their cardiovascular risk factors, they can be empowered to raise concerns when necessary. Future interventions may include educating all women of childbearing years about cardiovascular risks prior to pregnancy, as well as more frequent screening of women during and after delivery (Marill, 2021). ReferencesMacDorman, M. F., Thoma, M., Declcerq, E., & Howell, E. A. (2021). Racial and ethnic disparities in maternal mortality in the United States using enhanced vital records, 2016‒2017. American Journal of Public Health, 111(9), 1673–1681. https://doi.org/10.2105/ajph.2021.306375Marill, M. C. (2021). Getting to the heart of America's maternal mortality crisis. Health Affairs, 40(12), 1824-1829. https://doi.org/10.1377/hlthaff.2021.01702Parikh, N. I., Gonzalez, J. M., Anderson, C. A. M., Judd, S. E., Rexrode, K. M., Hlatky, M. A., Gunderson, E. P., Stuart, J. J., & Vaidya, D. (2021, May 4). Adverse pregnancy outcomes and cardiovascular disease risk: Unique opportunities for cardiovascular disease prevention in women: A scientific statement from the American Heart Association. Circulation, 143(18), e902-e916. https://www.ahajournals.org/doi/10.1161/CIR.0000000000000961Simpson, K. (2019). Maternal mortality in the United States. MCN, The American Journal of Maternal/Child Nursing, 44 (5), 249-249. doi: 10.1097/NMC.0000000000000560.Spelke, B., & Werner, E. (2018). The fourth trimester of pregnancy: Committing to maternal health and well-being postpartum. Rhode Island Medical Journal (2013), 101(8), 30–33.Utah Department of Health and Human Services. (2023, March 16). Complete health indicator report of maternal mortality. Retrieved Sat, 09 September 2023 from the Utah Department of Health and Human Services, Indicator-Based Information System for Public Health website: http://ibis.health.utah.gov. https://ibis.health.utah.gov/ibisph-view/indicator/complete_profile/MatMort.html

Authors: Isaac Gillins, Zoe Thompson. Mentors: . Insitution: Utah Valley University. The pro-opiomelanocortin (POMC) gene is expressed in the hypothalamus and pituitary and is cleaved into several peptide hormones. One of these is melanocyte-stimulating hormone (MSH), which is involved in food intake and energy expenditure. A mutation in the POMC gene can result in a rare condition in which the subject displays early-onset obesity characterized by severe hyperphagia (i.e. excess hunger). Affected subjects may also show a lack of pubertal development. In this experiment, we will study mice with a mutation in the POMC gene. They show some of the same symptoms as humans with a POMC mutation, including hyperphagia, obesity & infertility. Specifically, we will investigate the estrous cycle in female mice to determine if they are cycling normally. The estrous cycle, similar to the menstrual cycle in humans, is characterized by changes in reproductive hormones, and can be divided into four stages: proestrus, estrus, metestrus, and diestrus. Cells lining the surface of the vagina have been previously collected using a pipette smear technique. Each stage can be characterized by the proportion of three cell types: epithelial cells, cornified cells, and leukocytes. These cells correspond to the fluctuating hormone levels during the estrous cycle. Images of these samples will be assessed for the composition of cells to determine the stage of the estrus cycle, and whether or not the cycle displays normal patterning. Because POMC-deficient mice are infertile, we hypothesize their estrous cycles may be atypical. For example, the estrous cycle of the POMC-deficient mice may appear in irregular order or with one stage being predominant over the rest. If the estrous cycle is atypical, then we will measure the hormones directly to confirm that the infertility is caused by changes in hormonal regulation. This will help us to understand more about how the POMC gene affects reproductive function.

Authors: Ishmael Elliott Molina-Zepeda, Brandt Jones, Myke Madsen, Douglas Sborov, Brian Avery, Nicola J. Camp . Mentors: Nicola J. Camp. Insitution: University of Utah. Multiple Myeloma (MM) is a malignancy of plasma cells and one of the more common hematological malignancies (6.3/100,000 new cases/year). Although treatments have improved, most patients fail their first line of treatment and ultimately do not survive beyond 5 years. Identifying patients at high risk of failing treatment early is a critical need. SPECTRA is a statistical technique developed by the Camp Lab to characterize global gene expression (the transcriptome) by representing it as multiple quantitative tumor variables. Spectra variables allow gene expression to be incorporated into predictive modeling to identify high-risk groups.Transcriptome data for myeloma cells was available from 768 patients in the international CoMMpass study where 39 spectra variables were derived. Each patient has a value for each of the 39 variables (their spectra “barcode”); patients can be compared for each bar in the barcode. Predictive modeling using spectra variables was successful in identifying risk groups for time to treatment failure, such that a patient’s tumor transcriptome can be used to predict whether they are at high risk of having their treatment fail earlier.To replicate the CoMMpass data findings, we collect and process local biological samples from MM patients at the Huntsman Cancer Institute (HCI). We collect bone marrow samples, which are then cell-sorted to identify tumor (CD138+) cells. RNA is extracted from these cells and sequenced to generate transcriptome data. Then the spectra barcode is calculated.Utilizing the SPECTRA technique provides a more complete understanding of MM by better characterizing the tumor. Each spectra is a tumor characteristic. Our future research includes an investigation of whether inherited variations (in normal DNA from saliva or whole blood) are associated with the transcriptome risk score. We are also pursuing the SPECTRA technique in several other cancers.

Authors: Sofia Denise Flowers. Mentors: Lauri Linder. Insitution: University of Utah. Background and Purpose: In the year 2023, roughly 9,000 children will be diagnosed with cancer each year in the United States. Dealing with a potentially fatal diagnosis is already difficult for many grown adults, let alone a young child. The aim of this project is to describe caregiving experiences of parents and children with cancer as related through feedback comments within written and oral feedback to proposed items to measure self-efficacy for managing their child’s symptoms and behaviors used to manage their child’s symptoms.Methods: This project involved a secondary analysis of qualitative data from 21 parents (19 mothers; mean age 38 years) of school-age children with cancer who participated in a study to establish the content validity of instruments to measure aspects of symptom management. Data consisted of interview transcripts and free responses to the content review surveys. The data were then uploaded to Dedoose. My mentor and I worked independently to identify statements pertaining to parents’ experiences in managing their child’s symptoms and responding to the child’s cancer diagnosis. We then met together to reconcile content and then organize parents’ statements into categories and subcategories. Results: 101 excerpts were extracted from the transcripts and included for the secondary analysis. Excerpts were grouped into four main categories: informational resources, social support, emotional support, and medication management Within these four main categories, subthemes of professional staff support, managing child attitude and mood changes, and balancing between being a parent and their child’s medical advocate were present. Conclusion: The insights gained from this project can guide the information healthcare providers need to provide better care to the child and additional support to parents. This can allow professional staff to get a stronger understanding of not just the family’s medical needs but their informational, social, and emotional needs as well.

Authors: Quinn Gerber, Lucas Carpenter, Jacob Clemons, Cindy Kin. Mentors: Cindy Kin. Insitution: Brigham Young University. Introduction: It is vital that patients are adequately prepared for surgical intervention. To meet this need, many medical centers have adopted prehabilitation protocols. The aim of this study was to establish an in-depth comprehension of the attitudes towards surgery and barriersand preferences to prehabilitation for patients identifying as Latino, in order to develop a preliminary framework for adapting prehab programs to best meet the needs of this specific patient population.Methods: We conducted qualitative semi-structured in-person one-on-one interviews with Latino patients who had recently undergone major abdominal surgery. The interviews, conducted at an academic medical center, were audio-recorded, transcribed verbatim, translated into English (as needed), iteratively coded, and discussed by four researchers to reach consensus. We used thematic analysis to identify shared attitudes held by patients and common barriers to the adoption of prehabilitation programs. Analysis of these attitudes and barriers, along with stated patient preferences, led to the development of several ideas that physicians can implement to increase prehab adoption among Latino patients.Results: We interviewed 16 patients, at which point we reached thematic saturation. The patients were on average 52 years old (range 20 to 79) and 50% were women. Our pooled kappa score was .92, indicating a very high degree of concordance among the coding researchers. We identified five common attitudes held by Latino patients regarding surgery: anxiety associated with hospitalizations and surgical procedures, deep trust in physicians, reliance on positivity, tight-knit families/communities, and prominent religious and cultural beliefs. A lack of understanding, physical limitations, a reactive/delayed approach to healthcare, dietary barriers, and mental barriers emerged as obstacles to prehabilitation adoption. These attitudes and barriers, along with direct patient feedback, led us to identify several programmatic priorities that may increase adherence to prehab. These components consist of face-to-face interaction, increased communication, patient and physician collaboration in program development, and family/support group engagement in surgical preparation.Conclusion: Our study provides physicians preliminary insight into customizing prehabilitation programs to best meet the needs and customs of the Latino community, including anxiety associated with hospitalizations, strong social support, and a dominant role of religious faith in coping with illness. We identified several critical components that may make prehab more culturally competent and thus more likely to be adopted by patients. These include in-person coaching, increased information about the upcoming operation and recovery, and engagement of family members. We recommend that healthcare teams committed to prehabilitation consider these needs to make their programs more attractive and accessible to their Latino patients.

Authors: Brock Sheehan, Bryson Edwards, Ivanna Soto, Justice Vance, Tyler Haywood, Jefferey Goddard, Logan Seegmiller, Mohammed A. El Saidi, Wissam R Zaidan , Asmahan El-Ezzi , Dr. Ruhul Kuddus. Mentors: Dr. Ruhul Kuddus. Insitution: Utah Valley University. Association of Cyclooxygenase 1 (COX-1) rs4648298 and Cyclooxygenase 2 (COX-2) rs20417 Polymorphisms and Prostatic diseases Among Lebanese MalesBrock J Sheehan1*, Bryson Edwards1, Ivanna Soto Medrano1, Justin Vance1, Tyler Haywood1, Jeffrey Goddard1, Logan Seegmiller1, Mohammed A. El Saidi2, Wissam R. Zaidan3, Asmahan A. El-Ezzi3, 4, Ruhul Kuddus11Department of Biology, 2Department of Strategic Management and Operations, Utah Valley University, Orem UT; 3Radioimmunoassay Laboratory, Lebanese Atomic Energy Commission, Beirut Lebanon; 4Department of Chemistry and Biochemistry, Lebanese University, Hadath, Lebanon. *- presenting author.Background: COX-1 and COX-2 genes encode prostaglandin-endoperoxide synthases (PTGS) isoenzymes, involved in inflammation and possibly neoplasms. The genes are expressed in the prostate gland. Both genes have several polymorphisms. Here we examine the association of rs4648298 (A-G transition) and rs20417 (G-C transversion) polymorphisms and prostatic diseases. This research was approved by the Utah Valley University IRB.Materials and Methods: DNA was extracted from a blood sample of 56 healthy volunteers, 51 volunteers with benign prostate hyperplasia (BPH), and 61 volunteers with clinical prostate cancer (PCa). Genotyping was conducted through PCR-RFLP analyses. The restriction enzymes used were BaeGI (for rs4648298) and AciI (rs20417), respectively. Alleles with the restriction site were considered recessive. The association was inferred through statistical analyses of the distribution of the genotypes (BB, Bb, and bb or AA, Aa and aa), and allele frequencies among the controls and the affected groups. A p-value of ≤0.05 was considered significant.Results: The distribution of the genotypes is in Hardy-Weinberg equilibrium for all three groups. The b allele of the COX-1 gene is extremely rare (less than 3%), and no significant association between the B or b allele or BB, Bb, and bb genotypes and prostatic disease was observed. The a allele of the COX-2 gene is more common in the BPH group (p=0.011), but not the PCa group (p= 0.472) or the combined affected group (p=0.068) compared to the control group.Conclusions: There is no association between the rs4648298 polymorphisms of the COX-1 gene and prostatic diseases. The a allele of the rs20417 polymorphisms of the COX-2 gene is associated with higher risks of BPH and possibly PCa. The small sample size, sampling from one ethnic group, and the low distribution of the b allele in the Lebanese population are limitations of this study.

Authors: Aljexi Olsen, Hali Lukacs. Mentors: Eddy Cadet. Insitution: Utah Valley University. Utah Lake is the third-largest freshwater body west of the Mississippi River and serves as a vital resource for just over 600,000 Utah Valley residents through agriculture, residential and recreational purposes. In addition to its utility, Utah Lake provides a haven for biodiversity for numerous species within its wetlands. Despite its utility and importance, the lake faces two significant challenges in the form of Trace Metal (TM) pollution and the encroachment of invasive plant species known as Phragmites australis (P. australis). Despite considerable investments of time, money, and resources by various state agencies to address these concerns, their success has been limited due to the agency’s isolated efforts for these large multifaceted issues. TM, though naturally occurring in the environment, has been found to be toxic to both people and the ecosystem when at elevated levels. P. australis, is a robust and fast-growing macrophyte, possessing remarkable adaptability to and tolerance for poor soils, enabling it to rapidly outcompete native species. Due to P. australis resilience and aggressive nature, many colonies have grown around the lake regardless of soil conditions. Studies have shown that P. australis has been utilized for remediation purposes around water bodies by extracting TMs from sediment. While P. australis must be addressed, can it be used as part of the solution by identifying TM polluted areas? This study aims to discern the variety in TM absorption by P. australis in both unpolluted and polluted sites in the wetlands surrounding the hyper-eutrophic Utah Lake. We selected nine sites around Utah Lake, considering their land use and proximity to pollution sources. At each site, three replicate samples encompassing P. australis, soil, and water were collected. These samples underwent a meticulous process, including washing, weighing, grounding, sieving, acid digesting using a CEM MARS 6, and analysis for TM content within an ICP-MS. Our preliminary findings reveal that in both unpolluted and polluted sites, soil concentrations of As and Cd exceeded background levels (11.73, 1.53 in unpolluted sites, and 27.47, 6.63 in polluted sites, respectively). Notably, in select polluted sites, such as UVU, P. australis displayed a remarkable capacity to hyper-accumulate As, with a transfer factor of 167.14% compared to the lowest unpolluted sites, like Lindon, which showed a rate of about 10%. Across all sites, the accumulation of Cr was relatively consistent (ranging from 17.13 to 19.7 ppm), irrespective of biomass. The examination of TM concentrations, transfer factor rates, and TM accumulation based on biomass suggests that P. australis may serve as a valuable biomarker for identifying TM-polluted sites. This research holds significant relevance, as it could offer state agencies a swift and effective means to pinpoint TM-polluted areas. Moreover, the areas where P. australis is thriving may be leveraged for phytoremediation efforts in TM-contaminated sites, providing an environmentally friendly solution to address this pressing concern.

Authors: Drew Allred, Vern Hart. Mentors: Vern Hart. Insitution: Utah Valley University. Surgery remains one of the most common and effective treatments for a variety of cancers, especially those that form solid, localized tumors such as breast and colorectal cancers. During these treatments, the palpable lesion is surgically resected with the assumption that cancerous cells have metastasized to nearby tissues. As such, surgeons will excise a tissue margin surrounding the tumor in hopes of removing any additional cancer, thus preventing further spread of the disease. However, this process is time-consuming and requires specialized expertise from a trained pathologist to verify that all cancer has been removed. Furthermore, if the pathology report indicates that not all cancerous cells have been extracted, additional follow-up visits and surgeries are typically required. In recent years a number of non-invasive technologies have been developed which seek to map cancerous cells in whole tissues. Training and validating these methods still requires a reliable ground truth, typically provided by an annotated pathology report. We propose a simpler model in which two cell species were co-cultured to provide a heterogeneous training sample. One of these species (PANC-1) was transfected with a vector coding for a fluorescent marker to represent healthy tissue, while the other species (COS-7) remained untreated, representing cancerous cells. An experiment was then conducted using a coherent diffraction imaging (CDI) system, in which laser light incident on the cells was used to quantify phase shifts produced by each cell type. Fluorescent microscopy was then used to create a map of transfected and non-transfected cells for comparison. Results will be presented demonstrating a correlation between the phase shifts produced by the two cell types and the corresponding fluorescent images, potentially facilitating optical cell identification without the need for pathology.

Authors: Jacob Armstrong, Tyler Standifird. Mentors: Tyler Standifird. Insitution: Utah Valley University. Lower Limb Asymmetries in Unilateral Jump Mechanics as Possible Risk Factor for Injury in Collegiate WrestlersJacob Armstrong and Tyler Standifird 1Utah Valley University, Orem, Ut. Injuries impose a multi-faceted burden on athletes, coaches, and sporting organizations, encompassing physical, financial, and psychological ramifications. Determining risk factors and identifying them in athletes has been a widespread goal amongst researchers and practitioners in attempts to reduce injuries. Investigating Limb asymmetries, or limb imbalances, has been a common approach in identifying such factors but has shown inconsistent correlations with injuries (Melony, 2018). Moreover, much of the current research investigates asymmetries of outward limb performance (i.e., Strength, flexibility, jump performance etc.) and not asymmetries of internal joint mechanics. Identifying relationships between internal joint asymmetries and lower limb injuries can further aid coaches, practitioners and sporting organizations in effectively identifying injury risks. Purpose: The purpose of this study was to investigate internal joint asymmetries of the lower limbs during unilateral jump testing and their association with injuries in collegiate wrestlers. Methods: 23 healthy Division 1 NCAA collegiate wrestlers performed single leg depth jumps from a 12-inch platform unto force plates (Bertec Inc 1000 hz). Additionally, markerless motion capture technology was used to collect video data using Qualisys Mocap cameras (Qualisys North America, Inc. Buffalo Grove, Ill). Imagery was then processed in Theia (Theia Markerless, Inc. Kingston, Ontario) to produce 3d joint locations for all the joints of the lower extremity. Each wrestler performed 3 jumps with the left leg and then 3 with the right leg for a total of 6 jump attempts. 7 total variables were calculated and recorded in Visual 3D software (Dolomite Enterprises, LLC. Tallahassee, FL) for each wrestler and leg: drop max vertical force, vertical loading rate on drop, peak knee adduction angle, peak knee abduction moment, peak knee adduction moment, peak knee flexion angle, peak knee extension moment. Averages, standard deviations and percent differences were also calculated and compared between limbs. Injury history data was also collected from each participant from the year 2021 - present day.Results: Averaging found asymmetries in peak knee adduction angle with the left knee being greater than the right by 4.9 degrees (p=0.001), peak knee abduction moment with the right knee being greater than the left by .95 newton meters (p=0.001), and peak knee adduction moment with the left knee being greater than the right by .44 newton meters (p=0.001). All significant asymmetries were found in the frontal plane. No significant asymmetries were found in the sagittal plane. Injury history report found a total of 24 seperate lower limb injuries within the described timeframe. 16 associated with the right limb and 8 associated with the left. A total of 5 ACL injuries, 8 MCL injuries, 5 LCL Injuries, 3 meniscus injuries, and 3 ankle injuries. Conclusion: Asymmetry trends in collegiate wrestlers potentially indicate that internal joint asymmetry is specific to sport or activity. Also, internal joint asymmetry could be a potential indicator for training protocols for overall better movement and health within the studied population. Asymmetrical values of the peak knee adduction angle, peak knee abduction moment, and peak knee adduction moment combined with the frequency of knee injuries of the participants indicate possible positive correlations between the magnitude of asymmetry discovered and injury risk.

Authors: Michaela Lovejoy, Rylee Udom, Lindsey Fry, Hailey Roubidoux, Makayla Dunbar, Kali Hunt, Mandy Gibbs, Lisa Welch. Mentors: Lisa Welch. Insitution: Utah Tech University. Traditional dental radiography education necessitates the exposure of both clinician and patients to radiation to build clinician skill. Virtual reality (VR) may enable practitioners to learn valuable hands on skills without the use of expensive equipment and without patient or operator exposure to radiation. The purpose of the research is to determine if access to practice in virtual reality (VR) using a specifically designed application, builds skill competency in dental radiology compared with traditional practice methods. A convenience sample of 24 first year dental hygiene students at Utah Tech University were recruited and randomly assigned to the test and control groups. Test group participants were given access to a VR headset with a dental radiology skill practice application installed. Control group participants were given access to traditional dental radiography skill practice methods. To encourage participation, an incentive of a $10 Amazon gift card upon completion of the study was offered. Data will be collected via skill competency evaluation at two-months, mid-term grade scores and final grade scores from the participants’ dental radiology laboratory course. To increase internal validity and reliability, investigators responsible for skill competency evaluation will be blinded and undergo both intra and inter-rater reliability testing to 95% agreement. Upon completion of the Fall semester 2023, data will be analyzed using ANOVA repeated measures between factors accounting for the two independent variables of traditional practice and practice in VR and the dependent variables of competency assessment scores, mid-term and final clinical course grades. Alpha will be set at 0.05. Should it be determined that practice in VR contributes to student learning, VR may enable students to practice additional health science skills in a safe, low stakes environment; thus, increasing student experiential learning and contributing to increased student and patient safety.

Authors: Britt Wyatt, Alyssa Habel, Jess Cusick, Heath Ogden, Josh Premo. Mentors: Dr.Britt Wyatt. Insitution: Utah Valley University. Vaccines are crucial to maintaining healthy communities as they provide immunological protection against a variety of infections (Geoghegan, S. et al. 2020). By providing immunity, vaccines prevent serious illnesses, reduce disease severity, and protect communities. However, in 2019 the World Health Organization (WHO) declared vaccine hesitancy (resistance to getting vaccinated) as one of the top 10 dangers to global health (Dubé, Ève, et al. 2021). Previous studies have shown that certain communities are more vaccine hesitant than others. For example, individuals who are religious, conservative, Black, and women have been found to be more vaccine hesitant than other individuals (Savoia, E. et al., 2021) (Gowda C. & Dempsey, A., 2013). Therefore, we wanted to investigate vaccine hesitancy at an open enrollment institution that serves a unique student population where ~70% of students are members of The Church of Jesus Christ of Latter-day Saints and ~30% are non-traditional (over the age of 24) (UVU IR, 2023). Compared to the overall 1.6% of individuals in the United States who are members of The Church of Jesus Christ of Latter-day Saints (Pew Research Center, 2023), the identities of the students attending the open enrollment institution are vastly underrepresented in education research that has been conducted at other institutions. To investigate vaccine hesitancy, a survey was given to 1,444 students in the beginning of the Fall 2023 semester asking questions around vaccine safety and support. Preliminary results indicate that 70% of non-religious students will choose to be vaccinated against known and new diseases compared to 37% of religious students. 53% of non-religious students think that vaccine mandates are appropriate compared to 25% of religious students. These results indicate more vaccine hesitancy with religious students compared to non-religious students. As religious students make up most of the student population, results can help inform instructors and/or other stakeholders on scientific literacy topics to support in the academic setting. Lastly, further investigation on the intersectionality of identities will be explored such as gender and religion as women make roughly 80% of health-related decisions in their family unit. If religious women are more likely to be vaccine hesitant, development of strategies to support those students in making evidence-based decisions could be a future aim.

Authors: Kade Robison, David Britt, Elizabeth Vargis. Mentors: David Britt. Insitution: Utah State University. Cytomegalovirus (CMV) is the leading cause of sensorineural hearing loss, the most prevalent form of permanent hearing loss, worldwide. CMV treatment requires long term administration of nucleoside analog antivirals such as ganciclovir (GCV). Although ganciclovir effectively inhibits CMV, it also inhibits neutrophils, an essential component of the immune system, reducing optimal treatment duration. Previous studies have demonstrated that ganciclovir toxicity can be reduced while maintaining effective CMV inhibition by combining subtherapeutic doses of ganciclovir with quercetin, an FDA approved hydrophobic flavonoid with antiviral properties, solubilized with a mitochondria-targeting drug delivery vehicle, Poloxamer 188 (P188). Further efforts have been made to optimize the combinatorial ganciclovir with quercetin encapsulated in P188 (GCV-QP188) treatment by exploring the potential benefits of adding antioxidant vitamins to the GCV-QP188 treatment. One of the pathways by which CMV induces hearing loss is the generation of excess reactive oxygen species, specifically in the mitochondria. Current literature suggests that the toxic effects of the reactive oxygen species produced by CMV in the could be reduced via natural vitamin antioxidant treatments. Ascorbic acid, also known as vitamin C, was the first antioxidant vitamin investigated due to its synergistic antiviral properties when paired with quercetin to treat SARS-CoV-2. Yet, the addition of ascorbic acid into the combinatorial treatment was more toxic than the existing GCV-QP188 treatment. Current efforts are concentrated on assessing the effect of selectively delivering hydrophobic antioxidants to the mitochondria of CMV infected mouse fibroblast cells as targeted antioxidant delivery will require lower antioxidant concentrations, reducing associated toxicity. The addition of hydrophobic antioxidants retinol and alpha-tocopherol, vitamins A and E respectively, delivered via mitochondria-targeting P188 to the existing GCV-QP188 treatment is being investigated to determine if it will significantly improve GCV-QP188 treatment efficacy.

Authors: Anya Weglarz. Mentors: Melissa Watt. Insitution: University of Utah. AbstractBackgroundWomen living with HIV (WLHIV) commonly experience internalized HIV stigma, which refers to how they feel about themselves as a person living with HIV. Internalized stigma interferes with HIV care seeking behavior and may be particularly heightened during the pregnancy and postpartum periods. This thesis aimed to describe internalized HIV stigma among WLHIV giving birth, identify factors associated with internalized HIV stigma, and examine qualitatively the impacts of internalized HIV stigma on the childbirth experience.MethodsPostpartum WLHIV (n=103) were enrolled in the study between March and July 2022 at six clinics in the Kilimanjaro Region, Tanzania. Participants completed a survey within 48 hours after birth, prior to being discharged. The survey included a 13-item measure of HIV-related shame, which assessed levels of internalized HIV stigma (Range: 0-52). Univariable and multivariable regression models examined factors associated with internalized HIV stigma. Qualitative in-depth interviews were conducted with pregnant WLHIV (n=12) and postpartum WLHIV (n=12). Thematic analysis, including memo writing, coding, and synthesis, was employed to analyze the qualitative data.ResultsThe survey sample had a mean age of 29.1 (SD = 5.7), and 52% were diagnosed with HIV during the current pregnancy. Nearly all participants (98%) endorsed at least one item reflecting internalized HIV stigma, with an average endorsement of 9 items (IQR = 6). The most commonly endorsed items were: “I hide my HIV status from others” (87%), “When others find out I have HIV, I expect them to reject me” (78%), and “When I tell others I have HIV, I expect them to think less of me” (75%). In the univariable model, internalized stigma was associated with two demographic characteristics: being Muslim vs. Christian (ß = 7.123; 95%CI: 1.435, 12.811), and being in the poorest/middle national wealth quintiles (ß = 5.266; 95%CI: -0.437, 10.969). Internalized stigma was associated with two birth characteristics: having first birth vs. having had previous births (ß = 4.742; 95%CI: -0.609, 10.093), and attending less than four antenatal care appointments (ß = 5.113; 95%CI: -0.573, 10.798). Internalized stigma was associated with two HIV experiences: being diagnosed with HIV during the current pregnancy vs. diagnosis in a prior pregnancy (ß = 5.969; 95%CI: -1.196, 10.742), and reporting experiences of HIV stigma in the health system (ß = 0.582; 95%CI: 0.134, 1.030). In the final multivariable model, internalized stigma was significantly associated with being Muslim vs. Christian (ß = 6.80; 95%CI: 1.51, 12.09), attending less than four antenatal care appointments (ß = 5.30; 95%CI: 0.04, 10.55), and reporting experiences of HIV stigma in the health system (ß = 0.69; 95%CI: 0.27, 1.12). Qualitative discussions revealed three key themes regarding the impact of internalized HIV stigma on the childbirth experience: reluctance to disclose HIV status, suboptimal adherence to care, and the influence on social support networks.ConclusionWLHIV giving birth in this sample experience high rates of internalized HIV stigma. This stigma was significantly associated with being Muslim, as opposed to being Christian, attending less than four ANC appointments, and reporting experiences of HIV stigma in the healthcare setting. Other factors that were correlated to higher levels of internalized stigma were socioeconomic status, parity, and timing of HIV diagnosis, all of which can impact access to and engagement in healthcare services during the intrapartum and postpartum periods. Internalized HIV stigma impacts the childbirth experience for WLHIV, making the labor and delivery setting an important site for intervention and support.