With this project, researchers for the Harry Bridges Center for Labor Studies from Seattle, Tacoma, and Bothell campuses seek to gain a better understanding of the intricate relationship that exists between the UW undergraduate experience and employment, as well as inform students on existing resources and support services both on and off campus. To sufficiently measure unique student experiences, we have sought survey responses through canvassing, contacting departmental and Registered Student Organization (RSO) listervs, and visiting in-person classes. Over the course of the past 6 weeks, we have made 73 points of outreach at the Seattle campus, 62 at Bothell, and 44 at Tacoma, resulting in 430 survey responses as of February 7th, 2024. Our Qualtrics survey will run through the end of winter quarter. We will then also offer paid interviews for 15-20 students to supplement survey data through further examination of survey themes and trends. Modeling UCLA Labor Center’s Unseen Costs: The Experiences of Workers and Learners in Los Angeles County, we will then compile our survey results and interview stories into a cumulative research report about why UW students work while pursuing their undergraduate degrees, what fields they have worked in, and any associated workers’ rights violations they may have faced while in these positions. With this research, we aim to create a more supportive environment for our student workers, and to help educate our respective campuses to meet their student body needs.

Methicillin resistant Staphylococcus aureus (MRSA) is an antibiotic resistant pathogen that causes severe illness and thousands of deaths each year in the US. It spreads within the community through improper hand hygiene and is often found in hospitals and on public transport surfaces. This poses a danger to the public, specifically to vulnerable populations such as the elderly and immunocompromised. This study in Seattle, Washington compares the prevalence of the antibiotic-resistant MRSA bacterium on public transport surfaces both proximate and distant to Harborview Hospital. Swabs from bus stops and pedestrian call buttons were collected outside of Harborview Hospital and urban areas of Capitol Hill, a Seattle neighborhood approximately one mile away from any major hospitals. The swabs were streaked onto Tryptic Soy Agar plates, gram stained, and streaked on Mannitol Salt agar plates;catalase and coagulase tests were run to help further confirm the presence of Staphylococcus aureus. The resulting colonies were then screened for antibiotic resistance using the Kirby Bauer Disk Diffusion method. One instance of potential MRSA was isolated from a crosswalk button in Capitol Hill. A higher MRSA prevalence on surfaces close to hospitals could establish a link between the spread of pathogenic bacteria from hospitals to Seattle's city surfaces but was not found in this study. These results suggest that the spread of MRSA in Seattle may have more to do with foot traffic and public transportation usage. However, the presence of MRSA on urban surfaces puts sensitive populations at risk regardless of its source. Practicing good hand hygiene can help curb the spread of MRSA in the community.

Many transgender and gender diverse (TGD) people desire gender-affirming hormone treatment (GAHT) to alleviate discomfort due to the misalignment of one’s gender identity with their secondary sex characteristics, though little is known about its effects on the body. One area of interest that may be affected by GAHT is the gut microbiota (GM). GM and the sex hormones (estrogen, testosterone, and progesterone) have been shown to interact bidirectionally, referred to as the “gut microsexome.” At puberty, the commensal microbiota of males and females diverge due to circulating sex hormones. This difference is hypothesized to contribute to sexual dimorphism of disease prevalence between cisgender males and females, although little research on the effect of GAHT in the TGD population exists. Alteration of the gut microbiota, or dysbiosis, also has many adverse effects that overlap those of testosterone GAHT (THT) such as acne, weight gain, and hypercholesterolemia. Dysbiosis has also been shown to lead to intestinal and systemic inflammation by disrupting immune function. More information on the effects of THT on the gut microbiota is necessary to counsel transmasculine clients effectively. In this study, we injected mice born of the female sex biweekly with testosterone enanthate dissolved in sesame oil versus sesame oil alone. We profiled GM of mice throughout treatment using 16S rRNA sequencing and measured markers of inflammation in serum to assess the effect of THT on both the population of GM and intestinal and systemic inflammation. We expect that the mice receiving THT will have differentially abundant gut microbiota and increased concentration of inflammatory markers compared to controls. The findings of this study will serve as a basis for further studies exploring additional analysis of the gut microbiota and inflammation in both transmasculine and transfeminine people receiving GAHT.

When a cell undergoes stress conditions, such as oxidation or aging, an increase in protein instability can occur and prevent proper cell functions. Small Heat Shock Proteins (sHSPs) are molecular chaperones that work to maintain a healthy proteome by associating with misfolded “client” proteins to delay aggregation under such conditions. HSPB5, a human sHSP, is ubiquitously expressed throughout the body. HSPB5’s disease mutant, R120G, is a defective chaperone associated with cataracts and desmin-related myopathy. It is still unknown how this mutation is detrimental despite many years of research. My research aims to understand how this mutation retunes the electrostatic properties of HSPB5, affecting its chaperone activity. Residue R120 is part of an electrostatic network that helps create an important structural feature in the folded region of HSPB5, the alpha-crystallin domain (ACD). In the unmutated (WT) protein, the ACD surface is overall positively charged. Substitution of the positive R120 to glycine alters both ACD’s structure and electrostatics. I generated two mutants, R120K (retaining positive charge) and R120D (switching to negative charge) to investigate how R120 plays a role in ACD’s conformation. Using a negatively-charged molecule, ATP, as an “electrostatic” probe in 2D NMR, I observed differences between its binding affinity to my R120 variants. I found that only R120K ACD behaves similar to WT ACD, suggesting a possible correlation between charge potential and ACD’s interactions with ATP. Currently, I am investigating if charge potential affects chaperone activity through aggregation assays with a client protein, human γD-crystallin, found in the lens and implicated in cataracts. I predict that WT and R120K, with similar electrostatic properties, will have similar chaperone activity. R120G and R120D, prevalently in an “active” state, will have higher chaperone activity. Understanding how such mutations affect HSPB5’s conformations and chaperone activity is a step forward in understanding sHSPs’ chaperone mechanism.

Atherosclerosis is characterized by the accumulation of lipids, inflammatory cells, and fibrous tissue in arterial walls, forming plaques. Plaque accumulation can lead to stenosis and potentially severe outcomes such as myocardial infarction or stroke. The gut microbiome, including Collinsella aerofaciens, is believed to play a role in the prevention or development of atherosclerosis. Gut bacteria can directly influence systemic inflammation, a factor correlated with the pathogenesis of atherosclerosis, and produce metabolites that alter the disease course. This study explores the potential link between C. aerofaciens and atherosclerosis by investigating the abundance of C. aerofaciens in the gut microbiome of individuals with and without atherosclerosis. We collected 179 stool samples from participants at the Kisumu District Hospital HIV Clinic in Kenya and conducted a comprehensive analysis of their gut microbiomes. 100 participants had carotid ultrasonography, categorized as showing atherosclerosis with visible plaque or intima medial thickness ≥ 0.7 mm. We employed bacterial 16S ribosomal RNA gene sequencing to characterize the stool microbial composition and noted that the relative abundance of C. aerofaciens was 2.6-fold less in participants with atherosclerosis (p=0.006). To validate these findings, I employed a Quantitative Polymerase Chain Reaction with a cloned plasmid control for targeted quantification of C. aerofaciens. We found 6.9-fold more C. aerofaciens copies per total 16S in Kenyan adults without atherosclerosis versus with (p=0.020). This suggests a potential protective or mitigating role for this bacterium in cardiovascular health. Future work could include assessing changes in C. aerofaciens abundance over time and its association with cardiovascular disease progression. Additionally, in vitro or preclinical studies could reveal the specific mechanisms by which C. aerofaciens influences atherosclerosis development and progression. This research contributes to our understanding of the intricate interplay between the gut microbiome and atherosclerosis, offering insights that may inform future therapeutic strategies and personalized interventions for cardiovascular diseases.

During neonatal transport, specialized pediatric transport teams closely monitor the status of critically ill newborns. Hyperspectral imaging, a method of manipulating light, can be used to measure the vital signs and video the patient’s physical appearance for remote monitoring. Appropriate light intensity is critical for clear visibility of the newborn and hyperspectral imaging accuracy, but this must be balanced with safety for sensitive eyes. My previous studies have determined the minimum range of light needed to accurately view the neonate in a transport incubator. In addition, I conducted a literature review to understand the uses of hyperspectral imaging in dermatology and surgical fields and to gain knowledge of the imaging equipment and biological signal processing. The experiment was designed to use hyperspectral imaging to gather vital sign data using a near-infrared camera with the purpose of using hyperspectral imaging in a dimly lit environment like that experienced on transport. In this experimental design, physiologic data of breathing rate and blood oxygen levels were recorded using 1-minute-long videos, while blood oxygen and heart rate was collected using a pulse oximeter placed on the fingertip of the subject. Following the data collection, the experiment is designed to extract the biological signals through filtering of two different ranges, a beats per minute range for the heart rate and a blood oxygen level range for the blood oxygen levels. Data analysis aims to compare the vital sign data collected using hyperspectral imaging and that using a pulse oximeter to understand the feasibility of the hyperspectral imaging for vital sign extraction. The expected result of this study is that the heart rate and blood oxygen levels of the patient measured using light and a pulse oximeter will be similar. In conclusion, this research will demonstrate the potential application of hyperspectral imaging to neonatal transport.

Snow is an essential resource, especially in the Pacific Northwest, where it provides clean drinking water, irrigation water, and helps prevent wildfires. Despite the importance of the snowpacks in the Pacific Northwest, the composition of snow is not well documented. The ion concentrations in snow can indicate where the snow came from. I have created a dataset of the concentrations of anions found in snow throughout Washington State. Snow samples were collected primarily throughout the Cascade Mountain Range by volunteers using sterilized plastic containers. Samples were melted and then analyzed using ion chromatography to quantify the anions in each sample. Samples were found to contain concentrations of fluoride, chloride, nitrate, bromide, phosphate, nitrite, and sulfate. These anions have previously been found to be present in glaciers, clouds, and freshly fallen snow. Cataloging these anions provides an important baseline from which to observe how human and natural impacts, including climate change, are affecting the snow in the Pacific Northwest.

Small heat shock proteins (sHSP) are a family of molecular chaperones whose function is to delay the harmful aggregation of other proteins. Protein aggregation is associated with neurological disorders such as Alzheimer's disease and Parkinson's disease. In many tissues, multiple sHSPs are coexpressed and tend to assemble into hetero-oligomers. Hetero-oligomers are complexes of two or more different protein species. The extent and mechanism by which these hetero-oligomeric complexes form is yet to be fully understood. The goal of my discovery-driven research is to assess how the properties of sHSP hetero-oligomers differ from the properties of homo-oligomers. In my project, I focus on three sHSPs that are highly expressed in muscle: HSPB1, HSPB5, and HSPB6. Each of these proteins exhibit different behavior when on their own. HSPB1 and HSPB5 form a distribution of large homo-oligomers, whereas HSPB6 forms a small homo-dimer. One of the most characteristic properties of the small heat shock proteins is formation of oligomers that span different sizes. Thus I am primarily determining the sizes and composition of the sHSP hetero-oligomers. I performed a comprehensive study to characterize the sizes of the hetero-oligomers using three complementary methods: analytical size exclusion chromatography, mass photometry, and native gel electrophoresis. I have found that HSPB6 is able to readily incorporate into hetero-oligomers as the concentration of the other sHSP is increased, and that the complexes are formed in a distribution of intermediate sizes. I am currently working on assessing the ability of the hetero-oligomers to act as molecular chaperones by aggregation assays. I predict the hetero-oligomers will delay protein aggregation more efficiently than HSPB6 on its own. The findings of my project give insight into why sHSPs are coexpressed and form hetero-oligomers in cells. Understanding these hetero-oligomers sheds light into the complex pathways of sHSP function. 

Despite the extensive literature on Canada and European countries, there is relatively little research on paid maternity policies in U.S. states due to its recency. Economic theory would suggest that fertility rates would increase with a paid maternity leave policy as the cost of having a child would be effectively subsidized. A strong family leave plan could be the deciding factor for many families to have a child. However, current research is inconclusive with there being no studies on U.S. fertility rates specifically in mind. The goal of my research is to provide insight on the way in which the U.S. fertility rate may be affected by paid leave programs. To accomplish these goals, I will be studying the implementation of paid maternity leave in Washington state specifically. I will be using a difference in difference method to measure the effect of this policy. I will be using data from the National Center for Health Statistics and the American Community survey for my fertility rate estimates. My research is in progress; however, I would expect either slight or no change in fertility rates in Washington based on previous research in the field. The goal of this research is further insight to nationwide implementation of this program by analyzing a specific possible implication of this policy and to contribute to the literature of paid maternity leave on fertility rates.

Exclusionary zoning laws — which limit population densities and land uses in specific neighborhoods — are a typical feature of American municipal land use regulation. An extensive body of evidence links traffic-related air pollutant (TRAP) exposure to adverse health effects. Using zoning data and a model of TRAP levels in cities across the Seattle metropolitan area, I hypothesize that TRAP exposure will be greater on average in zones where higher-density housing is an allowed use, and lower on average in zones reserved for lower-density housing. I used the software package QGIS to spatially join zoning and air pollution data and used the software package R to perform correlation analyses between zone types (classified by maximum population density) and three common TRAPs (NO₂, black carbon, and ultra-fine particles.) This research highlights the public health implications of normative policy regimes like exclusionary zoning. These results can assist elected officials and planners in pursuing a more geographically distributive approach to increasing housing supply in the Seattle area, in order to minimize the TRAP exposure burden – and associated adverse health effects – faced by residents.

Diffusible iodine-based contrast-enhanced micro-CT (diceCT) is a technique used to image soft tissue specimens using 3D x-ray microscopy. Staining soft tissues with iodine (I2KI) solution prior to scanning improves contrast for detailed visualization of internal organs, but iodine staining is also associated with tissue shrinkage which can interfere with quantitative analysis. It has been shown that stabilizing soft tissue with hydrogel can reduce shrinkage. We adopted these protocols for our lab, but, despite using hydrogel stabilization, we observed wrinkles in the external surfaces of E15.5 mouse embryos, qualitative evidence of considerable shrinkage. To quantitatively test for shrinkage, we compared the crown rump lengths (CRL) of mouse embryos measured from photos taken prior to the scanning process and then from diceCT scans. CRLs ranged from 12.4 to 20.0 mm in photos and 11.1 to 16.8 mm in scans. An average reduction of 12% resulted from the specimen preparation process and confirmed tissue shrinkage. Furthermore, the amount of shrinkage was not uniform across the specimens, complicating quantitative analysis based on diceCT. Our first hypothesis was that the iodine solution used to prepare the specimens was too acidic. We measured the pH of this solution and found a range from 4.5 - 6.4. To examine if a neutral pH reduced tissue shrinkage, we prepared specimens with a buffered iodine solution (pH 7.2). DiceCT scans of embryos in buffered iodine solution did not show reduced shrinkage compared to controls in the original solution. Further investigations will focus on other potential sources of shrinkage including the pH of other solutions and the time specimens spend in each step of the protocol. Continuing to investigate sources of tissue shrinkage in diceCT can lead to additional methods for shrinkage reduction, supporting more accurate quantitative analysis of diceCT.

Eutrophication fuels toxic algal blooms that can harm biodiversity and human health. Phosphate is often the limiting nutrient in freshwater ecosystems and, when in excess, causes eutrophication. Our study compares urban lakes prone to algal blooms to rural lakes with fewer anthropogenic sources of pollution to better correlate nutrient dynamics of pacific northwest lakes to population density. We collected sediment and water samples from two lakes in the Seattle area and two lakes in a more remote setting, then measured phosphate uptake and release over time using ion chromatography. To determine the potential for the sediments to uptake phosphate, we placed air-dried sediment samples into a phosphate solution and measured the concentration over time. We also put the sediment in distilled water and measured the phosphate released from the sediment over a 24 hour time period. These two data sets allow us to quantify the capacity of sediment to store and release phosphate into the surrounding environment. Our research shows sediments from urban lakes release more phosphate and have a reduced ability to uptake nutrients from the water. This suggests that the lake will continue to eutrophy whereas the lakes more removed from human activity have a better ability to mitigate excess phosphates. This model for assessing the ability of sediment to store phosphate allows prediction of future eutrophication events.

Long-term neonatal intensive care unit (NICU) hospitalizations are emotionally and financially stressful for families. While family presence at the bedside and active involvement in their baby’s care have been linked to healthier outcomes, many families are unable to visit regularly. As technology continues to advance, live-streaming video platforms have been utilized in many NICUs to address the limitations of in-person presence. As the parents are able to continuously connect with their baby virtually, this allows for increased bonding with the newborn and engagement with the patient care team. The extended family and friends can interact with the infant as well. The objective of this study was to describe the utilization of the Seattle Children’s Hospital (SCH) NICU virtual visit program and its effectiveness in maintaining or increasing caregiver and patient bonding during the infant’s hospitalization. This was done through a program evaluation using mixed methodology with a parent survey and interviews. Parents and caregivers of NICU patients who used the virtual visits at least once during a patient's hospital stay were recruited using phone calls and text messages with the link to the survey. The virtual visit call frequency, time, and number of visitors were reviewed. The results showed that from July 2021 to December 2023, there were 348 virtual visits since July 2021, most of them lasting over 20 minutes (median 23.5, IQR range 3, 68.5). Most participants used the program one to two times (range min 1, max 69). Many of the calls occurred between 7 am - 7 pm with one to two attendees. In conclusion, the virtual visits program was utilized frequently and the timing of the virtual visits overlapped with the availability of the primary healthcare team which may have supported active involvement in care. The parent surveys and interviews about the program’s impact are in progress.

Down syndrome (DS), a chromosomal condition that affects 1 in 700 babies in the United States, is associated with intellectual disability and delays in motor development. Early intervention can support motor and social development and participation in children with DS. While both Partial Body Weight Support (PBWS) systems and enriched play environments have been shown to enhance development and participation in children with DS, few studies have looked at these interventions in combination. The purpose of this study was to explore the benefits of a PBWS harness system within an enriched play environment on the mobility and social exploration of infants with DS. Our team hypothesized that PWBS would lead to a greater percentage of time engaged in both mobility and social behaviors during play. We conducted a multi-site clinical trial with 15 pre-walking infants with DS. The infants and their caregivers participated in 30-minute play sessions within an enriched 9’x9’ indoor play area with standardized toys 3 times a week for 6 weeks. Children used a PBWS harness for 3 of the 6 weeks, with harness/no harness order randomized for each participant. All play sessions were recorded and a subset of 6 participants’ data were analyzed using an adapted version of the CASPER-III coding scheme. Results showed that on average, infants showed a 5.28% increase in motor activity when using the PBWS harness compared to a 4.11% increase in motor activity when not using the harness. Additionally, when using the harness, infants on average showed an 8.99% increase in social activity whereas they showed a 0.07% decrease in social activity without the harness. These results show promise in facilitating greater access to mobility and exploration opportunities for children with DS using low-tech interventions such as PWBS in enriched play environments.

The University of Washington Neonatal Intensive Care Unit (NICU) Extremely Preterm (EP) program aims to provide outstanding care to EP infants born at 22 0/7-24 6/7 weeks’ gestation. The objective of this study is to assess the feasibility of night telerounds in a level IV academic NICU for EP neonates to enhance the support for teams caring for EP patients. This was a retrospective cohort study. Through review and analysis of electronic medical records, the EP database, and telemedicine records from July 2022 to June 2023, the frequency and duration of telerounds during the night shift (8-11pm) were examined. Comparisons of EP outcomes were made between two epochs: 6 months pre- and 6 months post-telerounds implementation. Descriptive statistics, chi square and independent samples t-test were used to compare EP outcomes between epochs. There were a total of 195 telerounds encounters, with improvements noted in network connectivity over time (fewer dropped calls lasting <20 sec). In the pre-implementation period, 9 (36%) of EPs were transferred for subspecialty/surgical care, mortality before 36 weeks’ postmenstrual age (PMA) was 14 (56%) and median length of stay (LOS) for survivors to discharge was 182 days (SD 72). Post-implementation, 10 (50%) EPs were transferred with mortality before 36 weeks’ PMA of 7 (35%) and median LOS for survivors to discharge was 139 days (SD 24). In conclusion, there was a reduction in neonatal mortality before 36 weeks’ postmenstrual age and a trend towards decreased length of stay during the post-implementation period. The findings suggest that night telerounds are feasible in supporting bedside NICU teams caring for critically ill EP neonates and may facilitate care advancement. Additional chart review is in progress to characterize orders entered during night rounds in order to evaluate the impact of this intervention.

The modification of tRNA plays a significant role in the efficiency and accuracy of translation during protein synthesis. A modification that plays a direct role in reading cognate codons of mRNA in E. coli is the 5-oxyacetic acid methyl ester (mcmo5) modification. This modification occurs on the uracil base at position 34 (U34). The biosynthetic pathway of this modification is initiated via a hydroxylation reaction. Previous in vivo studies demonstrate the enzyme TrhP, tRNA hydroxylation protein, performs this hydroxylation reaction in anaerobic conditions. No in vitro work has been done to study this enzyme and its mechanistic function. TrhP is known to coordinate an iron-sulfur cluster, a metallic cofactor known to contribute to a variety of critical cellular processes, however, the necessity of an iron-sulfur cluster for a hydroxylation reaction is unique to this newly discovered protein family. The goal of this research project is to spectroscopically characterize TrhP’s iron-sulfur cluster to understand the importance of the FeS cluster. Site-directed mutagenesis is utilized to study the coordination of the iron-sulfur cluster. Changes to iron-sulfur cluster coordination are monitored via UVVIS, electron paramagnetic resonance (EPR), and colorimetric assays. These experiments determine how the loss of cysteine, a known iron-sulfur cluster ligand, impacts the iron-sulfur cluster coordination. Coordination of a [2Fe2S] cluster by 4 conserved cysteines is expected, and UVVIS data agrees with that hypothesis. Colorimetric assays show the cysteine to alanine mutants contain less iron than wild-type TrhP, indicating each cysteine has a significant role in cluster binding. Learning more about the specific coordination will establish the site of cluster-binding within TrhP and shed light on the cluster’s role in TrhP’s stability, geometry, and redox properties which all contribute to the enzyme’s modification activity.