Chinese adoptees have played a significant role in the makeup of transnational adoption in the United States. Due to the intense measures of China's One Child Policy from the 1980's to early 2000's, a large influx of Chinese adoptees were brought to the US and became part of many multiracial families. From this, a unique population of Americans today engage in difficult conversations to clarify and defend their own identity in a multiracial family. These conversations can lead to negative psychological and behavioral outcomes that qualitative investigation can aid in addressing. This study aims to investigate how Chinese American adoptees respond and process these comments and conversations that question their legitimacy as a member of their family.  Methods used for research include qualitative interviews and thematic analysis. Analysis will focus on common patterns in adoptees' responses and types of interactions described during the interviews, grounded in the Communication Theory of Resilience. Communication Theory of Reslieience is the interpretive method that highlights the communicative processes by which people reconstruct a new normal after facing adversity. Results will inform us how Chinese American adoptees choose to respond to these comments, and/or how they would like to respond and construct these conversations in a form of resilience to disruptive narratives around adoption. By understanding how adoptees respond to and handle these conversations, we hope to provide insight for other Chinese American adoptees and their social networks in how to navigate these situations and best support adoptees in communicating their story. 

The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) causes COVID-19 and can result in preterm birth or severe disease or death in the mother. The research objective was to quantify the SARS-CoV-2 viral load in placental tissue and evaluate whether the placenta mounts an antiviral innate immune response. Furthermore, the study seeks to understand whether the timing of a COVID-19 infection during pregnancy correlates with viral load at the time of delivery and placental pathology. I, along with the two research technicians I am working closely with, hypothesize that a SARS-CoV-2 infection modulates the placental innate immune pathway in pregnant women and result in high viral loads in the context of placental pathology. The virus may amplify or dampen the innate immune response, significantly impacting viral clearance and potentially inducing substantial injury to maternal and fetal tissue. In the study, I helped extract RNA from two tissue types in the placenta, chorionic villous tissue and chorioamniotic membranes, from pregnant women with and without COVID-19 at different trimesters. I have begun to extract RNA, synthesize complementary DNA (cDNA), and perform quantitative polymerase chain reaction (qPCR) to quantify the viral load of SARS-CoV-2 per mg of tissue. In SARS-CoV-2 positive samples, I have also begun to quantify the relative gene expression of ifnb, mxa, ifit1, and il6, which will allow my team and I to evaluate the innate immune response. Our preliminary results indicate a low, but significant frequency of SARS-CoV-2 in placental tissues with rare high viral loads associated with a significant IL-6 response. I will help analyze our data through visual graphs and statistical analysis once the data is uploaded to the lab’s database. This project will not only improve our understanding of pregnancy pathologies, but also make significant strides in what is known about SARS-CoV-2’s impact on pregnancy health.

Some environments hinder microbes from gaining the nutrients they need for a chemical reaction. Species in this circumstance collaborate to produce energy by clearing toxic substrates or providing nutrients. This is mutualism, where two species benefit from each other’s fitness. Previously, Desulfovibrio vulgaris and Methanococcus maripaludis were forced to rely on mutualism for survival over time. D. vulgaris catabolizes lactate, producing hydrogen as a byproduct. Hydrogen is inhibiting at high concentrations. M. maripuladis consumes this hydrogen and uses it for energy, producing methane as a byproduct. To learn how these microbes adapted to mutualism over time, 22 communities were propagated for 5000 generations. Each species was also propagated alone in environments that were as similar as possible to the mutualistic evolution environment. The whole genomes of the entire population of D. vulgaris or M. maripaludis were sequenced for the first 1000 generations using Illumina sequencing. This was done from 8 mutualism-evolved and 8 solitary-evolved cultures. Our research goal is to identify alleles that were substituted because they had a beneficial effect on mutualism fitness instead of other generic features of the environment. We can rule out generic adaptations in the population data by comparing mutations in community versus solitary-evolved clones. Clones were collected from each population that had been stored at –80 °C by streaking them on plates. Plates were also used to test if the clones could grow on sulfate. The DNA of these clones will be sequenced to confirm the presence and determine linkage of alleles that are beneficial to mutualism. It is anticipated that the mutation frequency of catabolic proteins will increase within D. vulgaris solitary clones in comparison with community D. vulgaris clones. This experiment has greater implications for mutualistic interactions between microbes, specifically in terms of the methane greenhouse gas that microbes produce.

Merkel cell carcinoma (MCC) is a rare, aggressive skin cancer with a recurrence risk of ~40%; however, prognosis for low-risk, stage I disease is excellent with primary surgical management. The role of post-operative radiation therapy (PORT) is controversial as it can cause significant and acute long-term side effects. Here, we assess the efficacy of PORT on local recurrence (LR) rates in patients with pathological stage I MCC with primary tumors on the head/neck (HN) vs. non-head and neck (Non-HN) sites. One hundred forty-seven MCC patients treated from 2006-2020 were identified from an IRB-approved prospective registry who had ‘low-risk’ disease: pathological T1 primary tumor resected with negative margins, negative pathologic node status, and no immunosuppression. LR was defined as tumor recurrence within 2 cm of the primary surgical bed. I led compilation of the cohort, and contributed to discussion of results, and development of the figures and manuscript. Seventy-nine patients received PORT (30 HN, 49 Non-HN), and 68 patients were treated with surgery alone (30 HN, 38 Non-HN). Addition of PORT was associated with a decreased risk of LR across the entire cohort (5-year rate: 9.5% vs. 0%, p=0.004), with 6 LRs in the surgery alone group. The addition of PORT significantly reduced LR rates among HN patients (21% vs. 0%, p=0.034). Conversely, no LRs were observed in Non-HN patients. No significant MCC-specific survival differences were observed. For low-risk MCC of the extremities and trunk, excellent outcomes were achieved with surgery alone. However, HN MCC was a risk factor for LR that was significantly reduced with PORT. Overall, this study demonstrates the importance of primary tumor site location for prognosis and treatment of MCC to determine patients that would benefit from PORT and those that can be spared the toxic side effects of radiotherapy.