What is being done to promote cultural sensitivity in healthcare settings? To find answers and solutions to the widespread deficit of cultural competence in the health care industry, this case study interviews a varied sample of five physicians consisting of three men and two women in clinical, academic, and administrative positions. The hypothesis was physicians do not receive cultural sensitivity training in medical school and as a result, they have to find other ways to learn about the cultures of their patients. None of the participants had received formal cultural competency training in medical school and all of them found methods to improve their cultural literacy. The study uncovered the cultural training physicians do receive is sporadic and inconsistent, which can cause some disconnect between education and real-life clinical practice. Many solutions to improve cultural competency in health care delivery are presented. The results of this exploratory research should be used to inspire future conversations about cultural competency in health care as well as the creation of support and educational services and materials to medical students and health care workers on improving cultural sensitivity in clinical practice.

Much of Nepal lacks access to clean drinking water, and many water sources are contaminated with arsenic at concentrations above both World Health Organization and local Nepalese guidelines. While many water treatment technologies exist, it is necessary to identify those that are easily implementable in developing areas. One simple treatment that has gained popularity is biochar—a porous, carbon-based substance produced through pyrolysis of biomass in an oxygen-free environment. Arizona State University’s Engineering Projects in Community Service (EPICS) has partnered with communities in Nepal in an attempt to increase biochar production in the area, as it has several valuable applications including water treatment. Biochar’s arsenic adsorption capability will be investigated in this project with the goal of using the biochar that Nepalese communities produce to remove water contaminants. It has been found in scientific literature that biochar is effective in removing heavy metal contaminants from water with the addition of iron through surface activation. Thus, the specific goal of this research was to compare the arsenic adsorption disparity between raw biochar and iron-impregnated biochar. It was hypothesized that after numerous bed volumes pass through a water treatment column, iron from the source water will accumulate on the surface of raw biochar, mimicking the intentionally iron-impregnated biochar and further increasing contaminant uptake. It is thus an additional goal of this project to compare biochar loaded with iron through an iron-spiked water column and biochar impregnated with iron through surface oxidation. For this investigation, the biochar was crushed and sieved to a size between 90 and 100 micrometers. Two samples were prepared: raw biochar and oxidized biochar. The oxidized biochar was impregnated with iron through surface oxidation with potassium permanganate and iron loading. Then, X-ray fluorescence was used to compare the composition of the oxidized biochar with its raw counterpart, indicating approximately 0.5% iron in the raw and 1% iron in the oxidized biochar. The biochar samples were then added to batches of arsenic-spiked water at iron to arsenic concentration ratios of 20 mg/L:1 mg/L and 50 mg/L:1 mg/L to determine adsorption efficiency. Inductively coupled plasma mass spectrometry (ICP-MS) analysis indicated an 86% removal of arsenic using a 50:1 ratio of iron to arsenic (1.25 g biochar required in 40 mL solution), and 75% removal with a 20:1 ratio (0.5 g biochar required in 40 mL solution). Additional samples were then inserted into a column process apparatus for further adsorption analysis. Again, ICP-MS analysis was performed and the results showed that while both raw and treated biochars were capable of adsorbing arsenic, they were exhausted after less than 70 bed volumes (234 mL), with raw biochar lasting 60 bed volumes (201 mL) and oxidized about 70 bed volumes (234 mL). Further research should be conducted to investigate more affordable and less laboratory-intensive processes to prepare biochar for water treatment.

This project analyzes the diversity of the various Chinese languages present in the Phoenix metropolitan area. The diversity and presence of these languages can be used to make inferences about different aspects of the Chinese American community in the Phoenix area, and therefore the dialects and compared to other aspects of the Chinese American immigration experience, such as where immigrants are from, what areas of Phoenix they reside, and the Chinese language skills of both the participants and their children. The data is then presented with historical context of the Phoenix Chinese community as well as a brief discussion on the current Chinese community in Phoenix as well as the acculturation of Chinese American children.

This thesis explores the investigation of the project “Designing for a Post-Diesel Engine World”, a collaborative experiment between organizations within Arizona State University and an undisclosed company. This investigation includes the analysis of various renewable energy technologies and their potential to replace industrial diesel engines as used in the company’s business. In order to be competitive with diesel engines, the technology should match or exceed diesel in power output, have reduced environmental impact, and meet other criteria standards as determined by the company. The team defined the final selection criteria as: low environmental impact, high efficiency, high power, and high technology readiness level. I served as the lead Hydrogen Fuel Cell Researcher and originally hypothesized that PEM fuel cells would be the most viable solution. Results of the analysis led to PEM fuel cells and Li-ion batteries being top contenders, and the team developed a hybrid solution incorporating both of these technologies in a technical and strategic solution. The resulting solution design from this project has the potential to be modified and implemented in various industries and reduce overall anthropogenic emissions from industrial processes.

The social determinants of health (SDOH) represent factors that impact the health and effectiveness/compliance of a treatment plan for a patient. The SDOH include such factors as economic stability, education, home and community context, access to healthcare, neighborhood and built environment, and personal behavior. The purpose of this study is to determine the extent of collection and integration of SDOH into clinical practice, and the usefulness of this information in medical decision making. Following a thorough literature review, an online survey was deployed to physicians and administrators around the country, with the aim of answering the following questions: 1) Do provider practices collect information on a patient's social determinants of health? 2) If yes, how is that information being used, if at all? 3) If not, what is preventing them from doing so? 4) Do the answers to questions 1-3 differ based on the type of payment model (Fee-for-Service or Capitation) to which the practice is subject? The results of the study suggest that fee-for-service payment environments present less incentive to use a patient's SDOH in medical decision making.

The ongoing Global Coronavirus Pandemic has been upheving social norms for over a year at this point. For countless people, our lives look very different at this point in time than they did before the pandemic began. Quarantine, Shelter in Place, Work from Home, and Online classes have led global populations to become less active leading to an increase in sedentary lifestyles. The final impact of this consequence is unknown, but emerging studies have led to concrete evidence of decreased physical and mental wellbeing, particularly in children. VirusFreeSports was the brainchild of three ASU Honors students who sought to remedy these devastating consequences by creating environments where children can participate in sports and exercise safely, free of the threat COVID-19 or other transmissible illnesses. The ultimate goal for the project team was to build traction for their idea, which culminated in a video pitch sent to potential investors. Although largely created as an exercise and we did not create a full certification course, merely a prototype through a website with sample questions to gauge interest, the project was a success as a large target market for this product was identified that showed great promise. Our team believes that early entrance to the market, as well as the lack of any other competitors would give the team a tremendous advantage in creating an impactful and influential service.

Lithium ion batteries are quintessential components of modern life. They are used to power smart devices — phones, tablets, laptops, and are rapidly becoming major elements in the automotive industry. Demand projections for lithium are skyrocketing with production struggling to keep up pace. This drive is due mostly to the rapid adoption of electric vehicles; sales of electric vehicles in 2020 are more than double what they were only a year prior. With such staggering growth it is important to understand how lithium is sourced and what that means for the environment. Will production even be capable of meeting the demand as more industries make use of this valuable element? How will the environmental impact of lithium affect growth? This thesis attempts to answer these questions as the world looks to a decade of rapid growth for lithium ion batteries.

The increased shift towards environmentalism has brought notable attention to a universal excessive plastic consumption and subsequent plastic overload in landfills. Among these plastics, polyethylene terephthalate, more commonly known as PET, constitutes a large percentage of the waste that ends up in landfills. Material and chemical/thermal methods for recycling are both costly, and inefficient, which necessitates a more sustainable and cheaper alternative. The current study aims at fulfilling that role through genetic engineering of Bacillus subtilis with integration of genes from LCC, Ideonella sakaiensis, and Bacillus subtilis. The plasmid construction was done through restriction cloning. A recombinant plasmid for the expression of LCC was constructed, and transformed into Escherichia coli. Future experiments for this study should include redesigning of primers, with possible combination of signal peptides with genes during construct design, and more advanced assays for effective outcomes.