The Exley V7

VOLUME 6 SPRING 2024

THE UNIVERSITY OF TEXAS AT DALLAS UNDERGRADUATE RESEARCH JOURNAL

“I was employed at UTD from its inception until I retired in 1986. During that period I became aware that one day UTD would become a huge asset to the community if private citizens would contribute to its growth.

When I decided to rethink the content of my will two years ago, a commitment to UTD was placed at the top of the list. This resulted in designating funding for a future Elizabeth Exley Hodge Endowment. At the same time I decided to immediately begin supporting the publication of a UTD undergraduate research journal, at the suggestion of Undergraduate Dean Sheila Gutierrez de Pineres and Robert Marsh, Senior Lecturer in Biology. In March 2012 this journal, The Exley, debuted.” ­— Libby Hodge

In Memory of

THE UNIVERSITY OF TEXAS AT DALLAS

Libby Hodge

About The Exley Dear Readers, Welcome to the Sixth issue of The Exley, UT Dallas’ interdisciplinary undergraduate research journal. This issue is dedicated to Ms. Elizabeth Exley Hodge, who was a highly-valued employee at UT Dallas for nineteen years, and continued her contributions by graciously supporting this forum for undergraduate students to share their research and creative work. Please read the lovely tribute to Ms. Hodge written by Robert and Mary Marsh that is featured in this issue.

Jessica Murphy Dean of Undergraduate Education

The research and creative pieces in the Sixth issue of The Exley coalesce around the theme of growth through change, and it is our hope that you will enjoy and learn from them. Student research articles in this issue looks into potential medical interventions, such as possible treatments for Perthes disease, the importance of exercise for adolescent scoliosis patients, and the relationship between gut bacteria and certain antibiotics. They study our communities, both online communities engaging with vaccination, and local communities encountering water contamination. They also give us insights into our world through a study of the twentieth-century architect, Friedensreich Hundertwasser, and one of pure mathematics. Among the creative work here by students, you will find poetry, painting, abstract photography, animated film, and mixed media work. From exploring the growth of young adults to an investigation of knowledge, the students’ creative work will affect you intellectually and emotionally.

The works published in The Exley reflect the dedication of the authors and their faculty research mentors. As a highly selective undergraduate research journal, The Exley encourages students to work closely with faculty research mentors prior to the submission process. The works you will read here are usually the result of multiple semesters of investigation and writing by the student authors. The Exley would not be possible without the careful work of its faculty and student reviewers and editorial team. Each submission receives careful attention from the staff who help students prepare the pieces for consideration and from the faculty who review for form and content.

The Office of Undergraduate Education is very grateful for Ms. Hodge’s generosity and commitment to the University’s continued excellence in undergraduate education and research through a legacy gift that has endowed The Exley into perpetuity.

Sincerely, Jessica C. Murphy, PhD Dean

In the spring of 2011, Ms. Elizabeth Exley Hodge made a generous donation to support the publication of UT Dallas’ first interdisciplinary undergraduate research journal. Hodge’s maiden name of Exley represents the rich history of her family. The surname Exley, originally Ecclesley, dates to 1245 and means “church fields.” Her great-great-grandfather’s birthplace is now known as Exley Hall in Yorkshire, England. This journal was named The Exley to show the University’s appreciation of Hodge’s support for undergraduate research.

The Exley Name Elizabeth Exley Hodge Biography Elizabeth Exley Hodge was born in a small farming community in Worcester County, Maryland in 1920. She was one of 11 children of Lola Marie Watson and John O. Exley, rowing gold medalist at the 1900 and 1904 Olympic Games. Raised during the Depression-era, Elizabeth worked on the family’s strawberry and tomato farm with her father and brothers. Her first five years of education were in a one-room school near her home. She later attended Snow Hill High School where she became one of 43 members of the 1936 graduating class. It was during her senior year that she became “Libby” to her classmates.

After graduating high school, Libby worked for an insurance company in Philadelphia. She volunteered with the U.S. Air Corps during World War II where she met her future husband, Noble H. Hodge, from Fannin County, Texas. They married in 1942 and moved to Dallas in 1945, where Elizabeth resided after Noble’s military service in England ended.

In 1967, Libby joined the administrative offices of the Southwest Center for Advanced Studies. When the center became UT Dallas in 1969, she advanced to the Department of Biology in the School of Natural Sciences and Mathematics (NSM), where she assisted faculty members in preparing research grant applications. Up until her retirement in 1986, Libby continued to work in grants management for the School of NSM and later in the Office of Sponsored Projects.

After retiring, Libby continued to serve her community. She volunteered at Baylor Medical Center in Garland and worked in the hospital’s gift shop almost every Tuesday for nearly 30 years. She was a member of St. John’s Episcopal Church and regularly participated in their charity events. Libby lived a colorful life—one of both trials and triumph. In 1967, she survived a Cessna plane crash in Gainesville, Texas, while she and a fellow pilot participated in a flying contest sponsored by a chapter of the International Organization of Women Pilots.

Libby was an avid traveler and gardener. She transformed her yard into a personal arboretum filled with her favorite red and white flowers. An orchid hybrid was named in her honor, the Barkeria Libby Hodge. She enjoyed cooking, playing with her poodles Jabot and Jezebel, and sharing her time with others. Elizabeth "Libby" Exley Hodge passed away on January 14, 2021, at the age of 100.

Elizabeth Exley Hodge

In remembrance of

Libby Hodge Ours was a most improbable friendship: Libby Hodge was a generation older and divorced with no children. Mary and I were a young couple with pre-school children. Our political and religious views differed. She liked dogs; we had cats. How could a friendship that would last decades develop? For starters, Libby and I were enthusiastic ornamental gardeners. Then, there was the intangible bond that grew from simply enjoying one another’s company.

Libby’s friendship with us was not unique. She made and kept a large circle of friends. From high school classmates to fellow church members at St. John’s Episcopal in Dallas; from her husband’s fellow students at Baylor School of Dentistry to the people living in an adjoining apartment—who were first met through a hole in their wall-mounted, back-to-back medicine cabinets.; from neighbors along her street, to bosses and fellow employees. As the years passed, her early friendship circles grew to include friends’ children and even grandchildren.

Libby actively worked to sustain these relationships. She penciled in friends’ birthdays on her calendar every year so she wouldn’t miss sending a card. She attended her high school reunion in Maryland until only she and one other alumnus remained. Annually, she would make pounds and pounds of peanut brittle to give to friends. Although she lived modestly, she would give her postman a ham at Christmas and even gift her gardener a truck. In the end, she left endowments to around sixty individuals and charities.

At Libby’s 90th birthday party, she was surrounded by ninety friends and family from across the country. What was her secret? She once told me, “If you enjoy someone’s company and they yours, don’t hesitate to initiate a get-together even if they don’t reciprocate.”

By Robert and Mary Marsh

Special Acknowledgements The Office of Undergraduate Education recognizes contributions towards publication of The Exley, Issue Six from the following individuals:

Contents 8

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Robert Ackerman, PhD Lisa Bell, PhD Courtney Brecheen, PhD Kenneth Brewer, PhD Hillary Beauchamp Campbell Hilary Freeman Joannah Gentsch, PhD

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Julie Haworth, PhD

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P. Brandon Johnson, PhD Carie King, PhD Kim Knight, PhD Aaron Kramer, PhD Anupam Kumar Robert Marsh, PhD Sarina Mohanlal Jessica C. Murphy, PhD Bruce Novak, PhD Shikha Prashad, PhD Valerie Price, PhD

Research 8 16 28

Post-Operative Oxygen Consumption: Growing Rod Graduates vs. Adolescent Idiopathic Scoliosis Patients — by Megan Badejo

Development of an Internal Offloading/Distraction Device — by Jayant Kurvari Geochemical Fingerprinting of Intermittent Low-Flux Leachate from the Austin Chalk in North Texas — by Jackie D. Horn

Justin Raman

Creative 38 48 60

The Role of Carbon-Metabolism Pathways in Levofloxacin Resistance in Enterococcus faecalis — by Uyen Thy Nguyen, Karthik Hullahalli, Kelli L. Palmer Water into Wine: Hundertwasser in America — by Elyse Mack

Determining the Characteristic Function of Generalized Divisibility Relations — by Otto Vaughn Osterman

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Old Shoes — by Ashlyn Huang

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Entries Departed — by Hon Ho

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Summer Fruit — by Izabella Dekhtyar

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Growing Lessons — by Evelyn Alvarez

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Marbled Beings — by Christina Hong Thao Mai

Brian T. Ratchford, PhD Sanjana Ravi Amandeep Sra, PhD Alex Garcia Topete

Nelsonian Knowledge: It’s There — by Michelle Onuoha Reverie — by Lucie Bossart

Frederic Traylor Nathan Williams, PhD Magazine Layout and Design Pete Pagliaccio oue.utdallas.edu/the-exley Opinions expressed in The Exley are those of the

"The Giving P" — Delaney Conroy

authors and managing editors and do not necessarily represent the view or opinion of the UT Dallas administration or The University of Texas System Board of Regents. The Exley does not claim copyright interest for any material published herein. Copyright ownership remains with the authors or other copyright holders.

Exley Legacy Updates

Undergraduate Research Programs at UT Dallas Student Research Resources UT Dallas offers a variety of research opportunities and resources.

Engaging in research as an undergraduate has academic, personal, and professional benefits. Research activities enhance analytical and critical thinking skills, which prepare undergraduates for the rigors of their profession or graduate studies. Learning how to practically apply academic concepts, discovering how to work independently, and experiencing how to function successfully as a team member are other benefits many students attribute to participating in undergraduate research activities.

Exploring a discipline through research also allows students to make informed decisions about the career they wish to pursue. The Office of Undergraduate Education and other departments across campus, including the Hobson Wildenthal Honros College, academic schools, and the Office of Research provide a variety of research opportunities and other resources to assist both prospective and current undergraduate researchers.

To express your interest in getting connected with research resources, email: ugresearch@utdallas.edu.

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(updates provided in 2022)

These outstanding UT Dallas alumni contributed their undergraduate research submissions for publication in prior issues of The Exley. It is a privilege for the UT Dallas Office of Undergraduate Education to provide the

opportunity for students engaged in research to experience publication of their early research endeavors. Congratulations to these past contributors for their outstanding accomplishments since graduating from UT Dallas.

Aaron Dotson – Issue 4 (2015)

Karthik Hullahalli – Issue 5 (2016)

Since his Exley publication, Dr. Aaron D. Dotson graduated with a bachelor’s in neuroscience from the UT Dallas School of Behavioral and Brain Sciences in May 2015, where he also served as the commencement speaker and was recipient of the Student Leadership Award.

Karthik graduated UT Dallas with a bachelor’s in biology in December 2017. He spent much of his undergraduate career doing research in bacterial genetics with Dr. Kelli Palmer. Upon graduation, he worked in her lab as a tech for six months finishing up his research projects. As a graduate student at Harvard University, he currently studies within-host population dynamics during bacterial infection.

Dr. Dotson then went on to complete medical school at Saint Louis University (SLU) School of Medicine, and is now completing his residency training in ophthalmology at the University of Iowa. He plans to become a specialist in either cornea or oculoplastic surgery. Dr. Dotson is a strong believer in mentorship. He is an active member of the Black Men in White Coats organization, where he has been featured on NBC’s Today Show and in Forbes. Dr. Dotson plans to share his passion with the world by preserving sight and mentoring the next generation of physicians.

Cara Curley – Issue 2 (2013) Since graduating from UT Dallas with a degree in arts and technology, Cara’s work has been displayed on TV interfaces in thousands of hotels rooms across the country. She’s partnered with Rooster Teeth, Explosm, and Albino Dragon to produce graphics for board games. Cara has also developed packaging for themed playing card decks, including popular brands like Supernatural, Power Rangers, and The Princess Bride. More importantly, she's acquired the greatest gift of all—Moose, the cat. As busy as Cara is with design projects, her and Moose are two peas in a pod. Cara hopes someday her furry friend will learn to bring her caffeine.

Andrew Torck – Issue 5 (2016) Since graduating from UT Dallas, Andrew moved to the Houston area and graduated from The University of Texas Medical Branch in 2021 to pursue his dream of becoming a medical doctor. He currently works as an anesthesiology resident. When he’s not in scrubs, he takes time to enjoy the calmness of Galveston island, and indulges in his favorite hobby, pen and ink drawing. He also sells his art at local art markets. Andrew’s approach to life is simple yet profound: stay positive. “I realized that it is incredibly important to stay true to yourself and to always make time for things that make you happy, especially in times of stress. My advice to anyone reading this is to find something you enjoy doing and run with it, solely because it makes you happy; life is too short to have regrets!”

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Contributor Spotlights Contributors to The Exley represent the rich diversity of talent, interests, and engagement among the UT Dallas undergraduate population. While the Office of Undergraduate Education temporarily paused publication of The Exley after receiving submissions for the Sixth issue, the contributions of those selected for publication did not stop, even for those who graduated.

Megan graduated from the Texas A&M College of Medicine in pursuit of her lifelong dream of delivering hope to marginalized and under-resourced groups. She is currently an orthopedic surgery resident at Duke University Hospital.

Their impact on campus remains. The following highlights multiple contributors from the Sixth issue. The Office of Undergraduate Education hopes these spotlights inspire current undergraduates to embrace their own unique intersectionality of identities and abilities and ultimately pursue opportunities to have them showcased.

Megan Badejo

Elyse Mack

Megan Badejo graduated Summa Cum Laude from The University of Texas at Dallas with a bachelor’s degree in healthcare studies and a double minor in biology and psychology.

Uyen Thy Nguyen

Jayant Kurvari

Delaney Conroy

Uyen Thy Nguyen is a graduate student in the Microbiology Doctoral Training Program at the University of Wisconsin-Madison, where she is studying the human skin microbiome. She completed her degree in biochemistry at UT Dallas as a Diversity Scholars Program fellow.

Jayant Kurvari graduated with honors with a bachelor’s degree in biomedical engineering from UT Dallas in 2018.

During his time at UT Dallas, he had the opportunity to work with the Texas Scottish Rite Hospital to design and develop a hip implant. From this experience, he became passionate about producing devices that can better the quality of life for people and is currently pursuing a career in engineering and designing medical devices. He is currently working at Orthofix as a Senior Supplier Quality Engineer. Outside of work, he enjoys traveling, running, playing guitar, and spending time with family and friends. He plans to return to school to pursue his masters.

Delaney Conroy (they/she) is an alumna of UT Dallas. They received their Bachelor of Arts in emerging media & communications with a minor in psychology in spring 2020. During this time, their sound and land art capstone project, Wind Chimes for the Prairie, received an undergraduate research award. They spent the 2018-2019 academic year studying fine and contemporary art at the Marchutz School of Fine Arts at the Institute for American Universities (IAU) in Aix-enProvence of France. In 2019, they created their sculpture, Karen, located on the Marchutz studio grounds. Since graduating, Delaney has worked as a designer and artist. Their work centers on the relationships between landscapes and their people.

Her research career began at UT Dallas with Dr. Kelli Palmer as an NSF Louis Stokes Alliances for Minority Participation fellow. Her studies focused on unraveling the mechanism of antibiotic resistance using CRISPR-Cas as a tool. Outside the classroom, Thy started Pretty Hard Decisions, a podcast that covers real stories from those on the path toward their Ph.D. The podcast also educates high school and undergraduate students from areas who do not have access to research mentorship.

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While a UT Dallas student, Megan was an active member and leader of the Undergraduate Success Scholars, served as the Helmsman of the UT Dallas NCAA Women’s Basketball Team, held multiple leadership positions on the Student Athlete Advisory Committee, and served as Vice President of the Minority Association of Pre-Medical Students. Megan also served as the event coordinator for the African Student Union and in multiple leadership roles for the Black Student Alliance. In addition to working in chemistry and neuroscience labs, Megan was also a research intern at Texas Scottish Rite Hospital for Children under Dr. Amy McIntosh, studying comparisons in the metabolic oxygen consumption and functional outcomes in scoliosis patients.

Hon Ho Hon Ho graduated in 2018 from UT Dallas with Master of Science in accounting, finance, and economics. He currently works in investment banking as a Valuation Analyst. He is a Licensed CPA in Texas and has worked in several fields in business, including tax, lending, and credit ratings. Hon enjoys learning about a broad range of subjects including economics and philosophy. In his spare time, he is an amateur poet, writing about various themes in life and believes art and self-expression has a place in everyone’s life.

Elyse Mack graduated from UT Dallas in May 2018 with a Bachelor of Arts in visual and performing arts and a concentration in art history. During her time at UT Dallas, Elyse was a McDermott Scholar, the editor-inchief of AMP, and a club badminton player. In June 2020, Elyse received her Master of Art in art history at Williams College, and now serves as a research assistant in the Arts of Africa, Oceania, and the Americas at the Saint Louis Art Museum. Elyse hopes that her research on eco-criticism in the global contemporary and along wih her leadership in environmental justice will make museums more accessible and equitable places for all.

During her time at the university, Megan received the Dean’s Milestone Service Honor Award, a position on the Dean’s List, the Outstanding Undergraduate Student Award, four Academic All-Conference Recognitions, four American Southwest Conference Tournament appearances, two American Southwest Conference Tournament championships, and a National Tournament Sweet Sixteen appearance.

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Old Shoes I first began writing poems after becoming not inspired by poetry, but by song lyrics, and the complex yet concise narratives that could be contained within four minutes of choruses and verses. I couldn’t sing, so I turned to poetry to do the same. Today, I still find inspiration for poetry in music.

A lyric from Weezer’s “Undone” goes, “If you want to destroy my sweater, hold this thread as I walk away.” The mundane but vivid imagery packed into this line has shaped much of how I write today.

Using something commonplace like a sweater to symbolize something as heartbreaking as a relationship falling apart is what has kept me fascinated with poetry all these years. Many of my poems, including this one, are centered around common objects or daily routines. I like the idea of taking something ordinary like old shoes and thinking to yourself: is there more to you?

In “Old Shoes,” I wanted to focus on personal growth, so I centered the poem’s concept around a narrator outgrowing a pair of shoes.

I also wanted to capture a sense of progression and regression, so throughout the poem, the narrator is torn between feeling trapped in these shoes she loves but has outgrown, and a desire to run away.

I used imagery involving traversing through tunnels versus tiptoeing on bloodied feet to capture this feeling. Also, repetition is evident in the poem’s structure, with three phrases repeated throughout the piece and edited each time as if the narrator is reflecting and improving upon herself as the poem goes on.

My toes scrunch up like talons at the tips of my old shoes.

My layers, dead epithelium, line the insides, the pair a part of me.

I try again to fit myself inside of me.

Bad fit.

Shaking my head, my shaking hands remove one toe at a time and try again.

They asked for a better world, and got this instead.

I asked for a better world and reclined my chair, rested my head.

I asked myself to get better, and then asked myself not to be selfish.

Toeless, I tiptoe on the soles of my feet in my old shoes that fit again.

I am young again, and I pirouette through the house carelessly, infinitely, unafraid to bleed.

I wanted to come home to a poet and a dancer, conversing in bodily synchronicity and forced introspection.

Instead, I become a poet and a dancer, trapped in my own movements and words.

There is a greener patch on the other side.

There is a better breath of air beyond my lungs.

There is a light at the end of the tunnel, but I am running towards the wrong end.

They asked for a better world and got free long-distance phone calls.

I asked for a better world and called my grandparents overseas.

I asked myself to get better and then said “progress is measured in distance, not displacement.”

I yearned to be at the right end of the tunnel with the light.

Breathless, not at the distance I had traveled, but the beam passing through my body, illuminating me straight out of the heart.

I yearned for a beautiful sentence that wasn’t laced with melancholy, and when the tendrils burst through the ceramics I could feel the smile illuminating me from the inside.

There is an old shoe box in the basement, stapled indentations lining the lid like ants, and when the dust settled, I ripped open its carcass with steady hands.

They asked for a better world and self-help books became a postmodern cultural phenomenon.

I asked for a better world and got myself a copy of one.

I asked myself to get better and bought a bigger pair of shoes.

— by Ashlyn Huang

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Post-Operative Oxygen Consumption: Growing Rod Graduates vs. Adolescent Idiopathic Scoliosis Patients Early onset scoliosis (EOS) is an abnormal sideways curve or deformity of the spine, often in the shape of an “S” or a “C,” found in patients under the age of ten years. The cause of EOS is multifactorial. Sometimes, it develops in patients for an unknown reason; these patients are said to have idiopathic infantile scoliosis. Other patients could have suffered improper spinal development in utero and have a condition referred to as congenital scoliosis. A patient could also have a neuromuscular condition such as cerebral palsy, or a spinal cord injury that led to the deformity known as neuromuscular scoliosis.

— by Megan Badejo

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Introduction Syndromes like Marfans or Prader-Willi are also associated with EOS patients: these patients are said to have syndromic scoliosis. Karol et al. studied early definitive spinal fusion in which the spines of EOS patients are straightened and fused in place, and found that patients required at least 22 cm of thoracic height for adequate ventilation1. Unfortunately, early fusion of the thoracic spine led to a loss of thoracic height, totaling just 10 cm of growth in some patients.

Those patients suffered severely diminished lung functionality. To fight back against the negative consequences of early definitive fusion, Dr. Robert Campbell developed innovative treatment options. In 1988, Dr. Campbell used his vertical expandable prosthetic titanium rib (VEPTR) as a treatment for congenital forms of EOS to improve the deformity and allow for growth of the developing spine.

The VEPTR prosthesis became the first long-term adjustable implant utilized that led to “growth-friendly” surgical treatments for EOS patients2. Growth-friendly treatments include VEPTR growing rods, curved metal rods that are surgically attached to the spine, ribs or pelvis and are lengthened over a period of time. Growing rods are utilized to avoid and treat thoracic insufficiency syndrome, a condition that occurs when the chest is incapable of supporting sufficient breathing due to chest deformity. The growing rods allow for some spinal correction as the patient grows and matures. Due to these revelations, practitioners shifted to implementing procedures that delay spinal fusion.

EOS patients have varying degrees of physical impairment, such as underlying medical conditions, severity of spine curvature and chest-wall deformity that should be considered when determining interventional therapy. Patients with Adolescent Idiopathic Scoliosis (AIS) face similar issues when it comes to abnormal curvature of the spine. A major difference between EOS and AIS is that AIS does not manifest until late childhood, older than ten years of age, or adolescence. AIS appears through the onset of puberty as a child grows rapidly during this time. Much like EOS patients, the AIS population with larger curve-deformity magnitudes also has compromised pulmonary function3,4,5.

Posterior spinal fusion (PSF) is a surgical procedure that is often utilized in the treatment of AIS. This operation works in a twofold manner. It offers correction to the abnormal spine curvature, as well as prevents future spinal curve progression.

Growing Rod Graduates (GRG) are children with EOS who are ≥ 3-years post-surgical application of a growth-friendly construct with subsequent spinal fusion or are at least 1 year from their last lengthening. When evaluating the patient’s “true” outcome after spinal surgery, the patient is as9

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sessed using a specific test. Oxygen consumption during V02 submaximal testing is a method to measure the patient’s cardiopulmonary functional capacity. Pulmonary function tests (PFTs) can be used to analyze the mechanical properties of the lungs. However, according to Aaron et al., the PFTs have their own limitations6. Forced vital capacity (FVC), that amount of air a patient can force out, has an accuracy of only 60% when patients with restrictive lung disease caused by conditions like scoliosis are tested. Forced expiratory volume in one second (FEV1), the amount of air forced out in one second, is also reduced. As a result, the FEV1/FVC ratios will appear normal. In turn, this can bring about erroneous conclusions about lung function in patient populations with restrictive lung disease. When combining the results of both PFTs and VO2 submaximal oxygen consumption testing, the patients can be evaluated and judgments can be made concerning the patients’ lung functioning during routine activities of daily living and while exercising/playing. Jeans et al. demonstrated that there are some GRG patients who possess the ability to exercise and perform activities of daily living at the same level as age-matched normal controls, despite having PFT data consistent with significant pulmonary compromise7.

To reinforce the use of PFTs and gain a more accurate view of the patients, a metabolic oxygen test was performed.

Metabolic oxygen consumption via VO2 submaximal exercise testing is a reliable outcome measure that was used to assess functional ability in GRG patients with EOS rather than pulmonary function tests (PFTs) alone8.

These conditions were maintained, as the purpose of this study was to compare the metabolic oxygen consumption and functional outcomes of GRG patients to patients with AIS that underwent posterior spinal fusion (PSF) with instrumentation ≥ 2 years prior. In doing so, the aim was to evaluate where the two patient groups stood in regard to their activity levels. The hypothesis was that post-fusion AIS patients would have better functional ability with less oxygen consumption during exercise than GRG patients.

Materials and Methods: This was an Institutional Review Board-approved (IRB approval no.: 062004-059) study in which two cohorts of patients, 54 in total, with prospectively collected data were compared in a retrospective manner. Both cohorts’ data were collected at a single institution.

Cohort 1 contained 42 AIS patients (7 males, 35 females) who had undergone PSF with instrumentation ≥ 2 years prior. Their mean age at the time of surgery was 14.5 years (10.2-18.7 years) and 16.7 years (12.2-21.7 years) at the time of the testing. Exclusions from this study included patients

with index surgery only for GRG patients, those with underlying syndromes or conditions and patients with revisions and intradural processes. These patients' spinal deformities in the coronal or frontal plane were corrected from an average of 59.7 to 26.6, and, in the sagittal plane, the deformities were improved from an average of 32.9° to 23.9°. Patients were observed leaning less towards the right or left directions, and, in sideways observation, to be standing more upright than backwards or forwards.

Cohort 2 included 13 GRG patients (5 male, 8 female). Nine patients had undergone definitive spinal fusion and three had experienced lengthening and were being observed.

Their mean age was 5.3 years (1.3-8.3 years) at the time of surgery, and the mean follow-up age was 7.2 years (3.710.4 years). At the time of testing, they were a mean of 12.5 years (9-16.5 years). Patients were excluded from this study if they were less than a year from their last study. Average Cobb angle, or degree of spinal deformity, before the surgery was 85.9° and 44.2° afterwards in the frontal plane, and changed from an average of 58.9° to 52.8° in the sagittal plane.

PFTs were conducted by The Movement Science Lab. Measures included both absolute predicted values and percentages of predicted values based upon arm span of Forced Vital Capacity (FVC) and FEV1.

Metabolic testing was conducted using a COSMED K4b2 portable telemetry unit with a heart-rate monitor. The patients fasted for at least two hours prior to testing. Talking was discouraged during the testing, and hand signals were used if a participant wanted to communicate.

Oxygen consumption testing consisted of a five-minute seated rest period, followed by a 10-minute warm-up while walking at a self-selected comfortable walking speed. Following the warm-up, the patients participated in a submaximal graded exercise test on a treadmill. The treadmill protocol consisted of three-minute stages. Each stage was increased incrementally by speed and incline. Speed was determined by the individuals, and held constant when they felt as if they were “walking at a brisk pace.” The incline was increased by 3% at each stage until 85% ± 5% of age predicted maximum heart rate was achieved. At each stage, patients were asked to rate their perceived exertion (RPE) using the Borg scale from 6–209. In patients who could reach 85% ± 5% of their maximum predicted heart rate (220-age), VO2 max was predicted using the linear relationship between heart rate and VO2 rate10.

Statistical analysis was conducted using SAS, version 9.4.

Group averages were compared using the Mann-Whitney U test, and correlations between metabolic data and PFT variables were assessed with a Spearman correlation coefficient (α = 0.05).

Results: 42 AIS and 12 GRG patients participated. The primary diagnoses for the GRG patients were: congenital (6), syndromic (2), neuromuscular (1) and infantile idiopathic scoliosis (3). The average age at index surgery was 5.3 years (1.3-8.3 years), and the average follow-up age from the initial surgical application of the growth friendly spine construct was 7.1 years (3.7-10.4 years). On the day of oxygen consumption testing, the average duration since the last spine procedure was 2.3 years (1.0-3.6 years). Nine GRG patients underwent definitive spinal fusion, and three had completed lengthening and were being observed. The curve magnitude in the coronal plane was an average of 85.9° before fusion and improved to an average of 44.2° after fusion, and the sagittal plane cure magnitude improved from an average 58.9 before fusion to 52,8 in the sagittal plane.

The 42 AIS patients were an average age of 14.5 years (10.218.7 years) at the time of PSF with instrumentation and at least two years from definitive fusion. Their frontal plane was corrected from 59.7° to 26.6°, and in the sagittal plane, the deformity was improved from 23.9° to 32.9°.

PFTs were significantly better in the AIS cohort: average FVC% of 82.2 vs. 45.5 (p < 0.001). GRG patients walked at a slower speed (p = 0.45) and with a higher VO2 cost (p < 0.001). In the final stage of the treadmill test, GRG patients had a higher breathing rate, while total volume and ventilation were significantly lower compared to AIS patients (p < 0.05).

PFTs were significantly better in the AIS cohort: average FVC% 82.2 vs. 45.5 (p < 0.001). GRG patients walked at a slower speed but were not significantly different (p = 0.45), and with a higher VO2 cost (p < 0.001). 37 of 42 (88%) of AIS patients and nine out of 12 (75%) pf GRG patients were able to complete the 85% of predicted maximal protocol.

In the final stage of the treadmill test, GRG patients had a higher breathing rate, while total volume and ventilation were significantly lower compared to AIS patients (p < 0.05).

In patients who reached this goal, VO2max was predicted, and no difference existed between the AIS (39.3 + 6.1 L/ kg/min) and GRG patients (38.5 + 10.3 L/kg/min) (p = .945).

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Discussion: In a previous study by Jeans et al., it was concluded that patients with EOS who had undergone growth friendly surgical treatment were able to participate in physical activity11.

Even though EOS patients had poor PFTs (avg. = 45.5 FVC%), they could keep up with age-matched controls during activities of daily living, i.e., playground and recess activities, with slightly slower speed and with increased oxygen cost.

EOS patients commonly are given a poor prognosis, which is thought to be correlated to the variety of their comorbidities. This study was designed to determine how EOS patients who completed growth friendly surgical management compared to other pediatric spine-fusion patients who had undergone surgical treatment of AIS. The perception is that AIS patients are fairly normal children, except for the curvature in their spines. Compared with nonscoliotic controls, most patients with untreated AIS function at or near normal levels12. They often do not present with comorbidities and many times after correction, the patients can return to regular activities. This paradigm makes them particularly suitable for comparison to EOS patients when judging the effects of scoliosis correction on the body of two separate pediatric patient populations. The AIS group can function as a better contrast than a traditional control could, as a normal control would not undergo a similar surgical experience. With this study, the researchers stand to gain realistic information to share with patients and give the families feasible expectations of functionality based on children who have undergone the same procedure. As expected, this study found that PFTs were significantly better in the AIS cohort: average FVC% of 82.2 vs. 45.5 (p < 0.001).

GRG patients walked at a slower speed (p = 0.45) and with a higher VO2 cost (p < 0.001). In the final stage of the treadmill test, GRG patients had a higher breathing rate, while total volume and ventilation were significantly lower compared to AIS patients (p < 0.05).

Compared to patients who undergo spinal fusion for AIS, GRG patients have significantly slower walking speeds and decreased exercise tolerance. Although the GRG cohort was small, this data indicates significance in that these EOS patients have the capacity to perform aerobic exercise at extents similar to that of AIS patients. When compared with normative data, this EOS cohort fell in the “Fair-to-Good” classification, showing that EOS patients can achieve function equal to healthy controls who tested as Fair-to-Good13.

This is of particular importance when it comes to discussing the advancement of children and what is necessary for proper development. Experts state that children require at least an hour of moderate to vigorous exercise each day for positive health benefits14. In general, it is important to foster physical interactions in children, but for EOS patients who are susceptible to chronic diseases, it may be of greater importance, as their daily activities have the potential to reduce the incidence of chronic disease that manifest in adulthood.

Through metabolic testing, this study has provided greater understanding of the metabolic capacity of EOS patients following growth friendly treatments in relation to that of the testing performed on AIS patients. Contrary to the poor PFT results of the EOS patients after correction, it is apparent that these patients have more oxygen in reserve than previously thought.

Partaking in physical activity during and after growthfriendly treatments in EOS patients is emphasized for healthy recovery. Jeans et al.’s study has shown that EOS patients’ PFT results and pulmonary perception after growth friendly treatments are not a reason to withhold participation in activity15. It was found that 75% of the GRG cohort was able to keep up with their age-matched controls that completed 85% of the predicted maximal protocol. Our study supports this as we found that GRG patients’ performance was similar to AIS patients who had 88% of the cohort complete 85% of the predicted maximal protocol.

Additionally, it should be noted that the GRG cohort had a spinal curvature that was more prominent, even after correction. GRGs had a mean curve of 44.2 degrees in the frontal plane and 52.8 degrees in the sagittal plane, compared to the AIS cohort that held a mean curve of 26.6 degrees in the frontal plane and 32.9 degrees in the sagittal plane after correction. This suggests that the GRG cohort’s thoracic height was shorter than that of the AIS cohort, but they were still able to find success in their aerobic capabilities. This finding was further supported by Glotzbecker et al.’s work as they found that the thoracic height of the EOS patient was a very weak predictor of pulmonary function outcomes16 and as we’ve found, PFTs alone are not the best predictors of actual physical capability in EOS patients.

References 1. L. A. Karol, et al., “Pulmonary Function Following Early Thoracic Fusion in Non-Neuromuscular Scoliosis,” Journal of Bone & Joint Surgery 90, no. 6 (2008): 1272-81.

2. R.M. Campbell Jr., “VEPTR: past experience and the Future of VEPTR Principles,” European Spine Journal 22, Suppl.

2 (2013): S106-17.

3. M.G. Vitale, et al., “A Retrospective Cohort Study of Pulmonary Function, Radiographic Measures, and Quality of Life in Children with Congenital Scoliosis: An Evaluation of Patient Outcomes After Early Spinal Fusion,” Spine 33, no.

11 (2008): 1242-9.

4. P.O. Newton, et al., “Results of Preoperative Pulmonary Function Testing of Adolescents With Idiopathic Scoliosis: A Study of Six Hundred and Thirty-one Patients,” Journal of Bone & Joint Surgery 87, no. 9 (2005): 1937-46.

13. Vivian H. Heyward, “The Physical Fitness Specialist Certification Manual in Advance Fitness Assessment & Exercise Prescription (Dallas TX: The Cooper Institute for Aerobics Research 1998), 48.

14. W.B. Strong, et al., “Evidence-Based Physical Activity for School-Age Youth,” Journal of Pediatrics 146, no. 6 (2005): 732-7.

15. K.A. Jeans, “Exercise Tolerance in Children With Early Onset Scoliosis,” pg. no. 413-419.

16. M. Glotzbecker, et al., “Is There a Relationship Between Thoracic Dimensions and Pulmonary Function in Early-Onset Scoliosis?,” Spine 39, no. 19 (2014): 1590-5.

5. J. Johari, et al., “Relationship Between Pulmonary Function and Degree of Spinal Deformity, Location of Apical Vertebrae and Age Among Adolescent Idiopathic Scoliosis Patients,” Singapore Medical Journal 57. no. 1 (2016): 33-8.

6. S.D. Aaron, R.E. Dales, and P. Cardinal, “How Accurate is Spirometry at Predicting Restrictive Pulmonary Impairment?,” Chest, 115, no. 3 (1999): 869-73.

7. K.A. Jeans , et al., “Exercise Tolerance in Children With Early Onset Scoliosis: Growing Rod Treatment ‘Graduates,’”.

Spine Deformity 4. no. 6 (2016): 413-419.

8. K.A. Jeans, “Exercise Tolerance in Children With Early Onset Scoliosis,” pg. no. 413-419.

9. G.A. Borg, “Psychophysical Bases of Perceived Exertion, ” Medicine & Science in Sports Exercise 14, no. 5 (1982): 37781.

10. E.H. SK Powers, ed., Exercise Physiology: Theory and Application to Fitness and Performance. (Dubuque, IA: Brown and Benchmark, 1997), pg. no.

11. K.A. Jeans, “Exercise Tolerance in Children With Early Onset Scoliosis,” pg. no. 413-419.

12. M.A. Asher and D.C. Burton, “Adolescent Idiopathic S coliosis: Natural History and Long-Term Treatment Effects,” Scoliosis 1, no. 1 (2006): 2.

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Entries Departed Thoughts fall from the sky Still remnants of a different day I believe poetry to be a very precise form of expression in which subjects and thoughts are expressed through short terms and lines, and very little excess is allowed to prevent muddling the end meaning.

Poetry, to me, expresses this through moments, much like how we can sometimes define ourselves or our relationships with others through moments, no matter how large or small those moments are.

This writing is an example of that through a moment felt by the person in this poem.

Closing her eyes, watching old things fall Pieces of days before; written, locked away Slowly drifting towards the sunrise Memories once held by thin strings of regret Left to scatter free; fleeting effortless As fears fade away between the distance

I write mainly through prose or free verse, compared to formal rhyming poetry, because it adds a balance to this conciseness by removing restrictions on how meanings need to be expressed. My belief is that expression should be universally approachable, spoken simply and sweetly.

Someone else; still reminders of her

— by Hon Ho

Thoughts falling further inside A hand gently touching old scars

Worries of things never said Lost alongside a broken binding She imagined those moments once more

And quietly, she sat watching the horizon Past lives falling into an abyss Abandoned secrets, left for the crowd

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Development of an Internal Offloading/Distraction Device Perthes disease is an idiopathic childhood condition that occurs when the blood supply to the femoral head (Figure 1) is disrupted, leading to osteonecrosis, or bone cell death. It is one of the most common hip disorders in children, and the risk of a child developing this condition is about 1 out of every 1200 children over his or her lifetime. As the condition progresses, the femoral head gradually begins to break apart as shown in Figure 2. If left untreated, the femoral head can deform and not correctly behave as a ball-and-socket joint in the acetabulum, leading to an early onset of arthritis. This can develop into more serious conditions, such as a total hip replacement for the patient in his or her teens.

— by Jayant Kurvari

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Introduction

Figure 1. Anatomy of human hip and femur: The femur and acetabulum form a ball-and-socket joint which allows the hip to move freely about the femoral head.

or separates, the femoral head from the acetabulum, which helps restore blood flow to the femoral head, the main objective of the device. It remains attached to the patient until the femoral head returns to a ball-shape, which is usually after 6-12 months. However, there are three primary complications with this device. First, the body is exposed to the external environment, which could potentially let the body be susceptible to infections. Another problem that the external fixator presents is that, since the device is quite large, there is a large bending moment placed upon the device.

This can lead to pivoting of the screws, causing microfractures in the device. In turn, this can potentially lead to larger, more serious bone fractures. Finally, there’s only one axis of rotation for the leg – flexion/extension. This axis of motion is shown in Figure 4. This is a particularly challenging risk, as children tend to run, jump, bounce, and perform a variety of other motions with their legs.

Figure 3. Current solution - external fixator: On the left is the device currently used by Scottish Rite Hospital for Children, and the diagram on the right is a basic overview of how the device is fixed to the body for stabilization purposes.

To correct these issues, my team and I developed an internal hip offloading device that was capable of treating Perthes disease, while rectifying the problems presented by the external fixator.

Figure 2. X-ray of Perthes disease: A normal femoral head is displayed on the left and a femoral head affected by Perthes disease is displayed on the right. The femoral head on the right does not receive nutrients from the blood, resulting in bone cell death.

Current Treatment Current treatment of Perthes disease involves an external fixator, which stabilizes the bone and tissue from outside of the body as seen in Figure 3. This external fixator distracts, 17

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Figure 4. Angles of rotation of the hip: The three axes of rotation are: flexion-extension (F/E), abduction-adduction (Ab/Ad), and internal-external rotation (ER/IR). Rotation exhibited by each of these degrees of motion is limited by anatomical features.

Fabrication and Methodology The primary objective of the project as set by Scottish Rite Hospital for Children was to develop a biocompatible implant that was capable of 10 mm of distraction, or separation, between the acetabulum and the femoral head that was capable of at least one range of motion – flexion/ extension. Secondary or stretch goals set by Scottish Rite were intraoperative distraction adjustment, the ability to withstand the weight of a large child (approximately 1000 N or 225 lbs.) and all three ranges of motion – flexion/extension, internal/external rotation, and adduction/abduction.

While developing the device, my team and I worked around some constraints presented by the body. Since the device would be implanted within the body, we had to limit the size of the device for easier surgical implementation.

In addition, this would also reduce the bending moment device, reducing the chance of microfractures appearing in the bone. Furthermore, this would limit the possibility of infections significantly because the internal tissue isn’t exposed to the external environment. Further anatomical constraints presented by the body included nerves and blood vessels, and the device was designed with the idea that it should not contact or interfere with these features, as it could be detrimental to the patient’s health.

in each patient. This included, but was not limited to the length of the femoral neck and angle of the femoral neck.

To develop the proposed device, a typical femur and pelvis were used2. Another feature that was included was the addition of a modular distraction component. This would enable the distraction of the femur to be easily managed. If the physician wanted to gradually decrease the amount of distraction from the acetabulum to the femoral head, he or she could conduct a minimally invasive surgery to adjust it.

This intraoperative distraction is a secondary stretch goal provided by Scottish Rite.

Device Components Trochanter Plate The trochanter plate allowed the device to be attached to the lateral side of the femur by placing screws in at the various holes to secure the device to the bone. This allowed for the device to be secured to the body as seen in Figure 5.

With these constraints, the proposed device was fabricated using a computer-aided design program, SolidWorks, capable of achieving all three axes of rotation in a healthy femur – flexion and extension, internal and external rotation, and abduction and adduction as seen in Figure 5. However, the latter two had a more limited amount of rotation compared to flexion and extension – the main axis of rotation of the project.

The device would be constructed from medical grade stainless steel (316L) because of its remarkable biocompatibility and strength properties. It was chosen over an alloy of titanium, a metal known for its osseointegration, or bone-integrating, capabilities, because the device was not intended to stay in the body for a long period of time.

Since osteointegration occurs after several months, it was determined that the device should be made from stainless steel1.

The device needed to provide distraction from the femoral head and the acetabulum, or the ball-and-socket respectively, which was the main objective of the project. Several additional features were also implemented in the device that were not present in the external fixator. The first feature was an intraoperative adjustment through the turnbuckle in the device. This would allow for the surgeons to accommodate for the variability in anatomical features present

Figure 5. Full device: A view of the full device attached to the lateral side of the femur Spring 2024

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Flexion-Extension Component The first part of this device attached to the lateral side of the femur, where the trochanter plate is located. This component of the device allowed for rotation along the flexion and extension plane. Theoretically, this rotation can rotate a full 360o; however, due to anatomical limitations of the human body, this actual range of motion likely varies.

Internal-External Rail Clamp This component of the device will attach onto the internalexternal rail and be connected to the turnbuckle (Figure 8).

In addition, if the surgeons desire, the internal and external rotation is a full 360 and can be prevented by placing a screw through the rail clamp, fixing it to the internal-external rail.

Pelvic Plate Attachment This is the final component of the device. The pelvic reconstruction plates are attached to the lateral side of the pelvis, bending the plates as needed to secure it to the body, allowing for the device to hold more weight from the body.

These are the four parts that are sticking outside of the distraction module in Figure 9. This allows for the device to be secured to the body and accommodates for anatomical differences of patients’ pelvises.

Testing and Results To provide assurance that the device would be feasible for implantation within the body, extensive testing was conducted. All testing was conducted on the full device made from surgical grade stainless steel (SST 316L), for its impressive strength and biocompatibility properties.

Distraction Analysis Figure 8: Rail with rail clamp Internal-External Rail Figure 6. Flexion-extension component Turnbuckle The addition of this component to the device will allow for surgeons to adjust the distance between the flexion-extension component and the internal-external rail clamp as seen in Figure 7. In doing this, the device can accommodate for the anatomical differences present in patients. This device can allow for either medial and lateral adjustment, allowing a maximum of 4 mm in either direction.

This component of the device allows for rotation, and theoretically allowing for internal and external rotation 15o in either direction; however, this result is ultimately determined by anatomical characteristics and may be impeded by muscles or other surrounding support tissue.

Distraction Module This component of the device allows for surgeons to adjust the distance between the internal-external rail and the pelvic plate attachment, seen in Figure 9. In doing this, the device can accommodate for the anatomical differences present in patients. This component of the device can allow for superior or inferior adjustment, allowing for 10 mm of distraction in either direction, achieving the main objective of the project.

The next set of testing would look at the distraction of the device and whether it was adjustable. Testing this achieves the primary objective of the project – to distract the pelvis from the femur to restore normal blood flow to the femoral head. To do this, a demonstrative test was conducted. If the device could distract medially or laterally at the turnbuckle for more than 4 mm, this test would pass. This number was chosen based on the variability of subjects’ anatomical features 2. In addition, if the other distraction component, the distraction screw, could distract the device superiorly or inferiorly by 15 mm, this test would pass. This number was chosen as the optimal distance from the femoral head to the acetabulum for optimal healing as instructed by physicians at Scottish Rite.

Simulation of the kinematic analysis of the device was done with a model of the femur and pelvis to replicate how the device would function in the body. Testing went as expected – the degrees of rotation expected were achieved.

Deformational Analysis Simulated deformational analyses were performed using the finite element analysis feature in SolidWorks. A load was placed on the lateral side of the pelvis, propagating downward through the device. This would simulate the compressive force experienced by the weight of the patient. To simulate the weight of the patient, a quantity of 1000 N was chosen to reflect the research conducted by National Center of Health Statistics4. The quantity chosen was two standard deviations from the average weight of 18-year-old males, to ensure coverage of the weight of most children. To further assess the quality of the device, a 30% safety factor was implemented by increasing the compressive force to 1300 N (293 lbs.). This would allow for unexpected weight loads applied on the patient to be withstood by the device.

The results of this study demonstrated that there was very little deformation in the device, only 17.5 µm as seen in Figure 10. This value is very small, and the device should still be able to function at all the places where articulation occurs. The maximum stress that this device can handle is 1.700·108 N as seen in Figure 11. This is much more than the elasticity of bone, demonstrating that the bone will break before our device will 5.

Simulation of the distraction analysis was also done with a model of the femur and pelvis to replicate how the device would function in the body. This distraction distance from both distraction components was achieved.

Kinematic Analysis First, kinematic testing was conducted to determine if the device was functioning as it should by motions depicted in Figure 10. The most significant motion tested was flexion and extension. The device should have a minimum of 80o of flexion and a minimum of 20o of extension. Next, the internal and external rotation as tested; a minimum of 15o of rotation in both the internal and external directions was desired. Finally, there should be less than 5o of movement in the abduction and adduction plane. These measurements were similar to the values determined in research done on hip kinematics 3.

Figure 7. Turnbuckle Figure 9. Distraction module 19

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Figure 10. Deformational analysis of device (displacement) Spring 2024

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Figure 11. Deformational analysis of device (stress) From these results, it can be concluded that the device will work within the human body as intended with little risk of deformation or fracture. Of course, this was calculated using the assumption of an average acetabulum and femoral head. Due to anatomical patient variability, actual ranges of motion may be slightly different and the strength of the device may be changed.

Discussion In conclusion, the new device offers demonstrable advantages compared to the external fixator, which is used in the current treatment of Perthes disease. It allows for more axes of motion, a lower likelihood of the chance of infection, a lower likelihood that bone fractures and microfractures are caused, and adjustable distraction that can done intraoperatively. In addition, it causes less nuisance to the child while treating Perthes disease, which is the ultimate objective.

The results from the various tests conducted determined that the device is capable of functioning as it was intended, achieving various degrees of motion – internal and external rotation and flexion and extension – and the ability for adjustment to accommodate for various sizes of patients. The device can withstand expected loads with a safety factor of 30%, resulting in the capability to withstand at least 1300 N (293 lbs.). This testing was done in a vacuum – without any muscles from the patients. With the inclusion of muscles, it is assumed that the device can handle more weight more 21

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easily, since muscles may distribute the force around the body. Moreover, since Perthes disease affects many children, the device's components can be modular, to better fit different sized children. For example, it can be increased to fit an 18-year old or decreased to fit a 10-year old.

We have only developed a prototype of this device. Future studies on this device will have more extensive preclinical testing in vitro and in vivo. In addition, since Perthes disease is one of the more common hip disorders, this device could also provide suggestions toward the development of future, innovative medical devices that could be used to treat other, rarer hip disorders.

Acknowledgements I would like to thank Dr. Harry Kim, Dr. Mikhail Samchukov, Dr. Alexander Cherkashin, Brad Niese, and Dr. Orlando Auciello for their guidance that they have contributed while working on the project. I would also like to thank the UT Dallas Machining Shop and Dr. Jean-Francois Veyan for fabricating the device. Finally, I would like to thank Texas Scottish Rite Hospital for Children for providing the funding for the project.

Team Members Basil Alias Emmanuel Aykara Sarah Hassan Amreek Saini Shreyas Salvi

Figure 12. Team and Scottish Rite staff Brad Niese, Dr. Mikhail Samchukov, Meghan Wassell, Emmanuel Aykara, Jayant Kurvari, Shreyas Salvi, Basil Alias,

Amreek Saini, Sarah Hassan, Dr. Harry Kim Not shown: Dr. Alexander Cherkashin, Dr. Orlando Auciello, Dr. Jean-Francois Veyan

References [1] “Osseointegration.” Egyptian Journal of Medical Human Genetics. Accessed April 14, 2018. https://www.sciencedirect.com/topics/medicine-and-dentistry/osseointegration.

[2] Gilligan, Ian, Supichya Chandraphak, and Pasuk Mahakkanukrauh. Journal of Anatomy. August 2013. Accessed April 14, 2018. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3724207/.

[3] Roaas, Asbjørn, and Gunnar B. J. Andersson. “Normal Range of Motion of the Hip, Knee and Ankle Joints in Male Subjects, 30–40 Years of Age.” Acta Orthopaedica Scandinavica 53, no. 2 (1982): 205-08. doi:10.3109/17453678208992202.

[4] “National Center for Health Statistics.” Centers for Disease Control and Prevention. August 24, 2001. Accessed April 14, 2018. https://www.cdc.gov/growthcharts/html_ charts/wtage.htm.

[5] Young’s Modulus - Tensile and Yield Strength for Common Materials. Accessed April 14, 2018. https://www.engineeringtoolbox.com/young-modulus-d_417.html.

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Summer Fruit When I think of summer, bright, fresh fruit from the farmers’ market, sunshine and flowers come to my mind. I wanted to challenge myself to depict the feeling of warmth in summer while also experimenting with high-contrast shadows. I particularly limited my color palette to bright colors such as red, green and yellow. To get a sense of texture, I applied more pressure to the colored pencil for the waxy fruit, for a smoothing affect. For the softer textures, I allowed the blackness of the paper to show through, especially in areas of shadow.

My mentality while creating this piece was illustrating contrast in color, shape and texture. The sharp line of shadow along the windowsill leads the eye from the brightest area to the more organically shaped area in shadow. While shading, I wanted to give the illusion that the shadow wrapped around the fruit and flowers. I also used black pencil in a few areas to darken the parts in shadow even further. I included myself in the reflection of the glasses for more realism and to add dimension to the piece so that the viewer captures a part of the perspective they cannot see. I made the composition so that the objects would have heavy overlaps for further intricacy and dimension.

So far, this has been one of my favorite pieces that I’ve made, and it has inspired me to continue using high-contrast shadow and detail in the rest of my work.

— by Izabella Dekhtyar

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Growing Lessons A child runs down the street screaming: “Mama!

Mama!”

A harried-looking woman, standing under the sturdy frame of a simple home, frowns down at the boy as he skids to a stop in front of her.

When written in poetry format broken down into stanzas, personal anecdotes gain a beautiful, halting quality. Maybe it reflects how a sentence broken down into lines parallels the hesitance of recounting a story that has influenced one’s personhood. Maybe it is just the fact that it adds an immersive yet detached element to the story that prose is incapable of replicating. Whatever the case may be, the format works particularly well for this anecdote.

During a long bus ride from Nuevo Laredo to Dallas, a man and his older mother told this anecdote to the man’s daughter. The man was trying to be gentle and comforting. Perhaps his boyhood memory was supposed to be a sweet story for his daughter to fall asleep to on the late journey. In any case, the anecdote, as anecdotes are wont to do, contained a lesson or two mostly about growing plants and being kind. As if that had not been endearing enough, his mother chimed in every so often, commenting on her reasoning behind the gardening lessons she had imparted. And maybe she was still trying to impart a lesson or two to her now-grown son.

Giving a title that reflects a work so focused on the personal growth of a stranger was difficult. Ultimately, it was the last thing I wrote as I tried to condense the gardening theme, the imparting of lessons from one generation to another and the increasing bits of wisdom that wove the story into a single concept.

— by Evelyn Alvarez

Undeterred by her disapproval the boy looks up from underneath dark lashes, raises his arms, and the woman’s demeanor shifts as she looks down at what he holds cupped between two grubby hands: a plant.

Dry, droopy, and brittle looking.

The woman, used as she is to her boy’s antics, takes a moment to sigh in exasperation before putting him to work (there is much to teach you mijo).

And the poor mother frets about the cruelty of the world until, after a long and frustrating trip, she comes home to a dusty child and windowsills full of little potted plants.

And so the plant is tended to with diligence by the stubborn youth (your responsibility mijo).

See the lesson the boy had learned was not that of the futility of trying.

A pail is hefted up by thin arms to water the plant once a day (boys and flowers both need water mijo).

The little pot migrates from window to window as the boy chases after Apollo’s chariot (this one likes sunlight mijo).

And thus the little plant hangs on for days and weeks and months and years (lies are never kind mijo).

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That day the boy learns a most important lesson (not everything can be helped, not everything can be healed, a harsh yet inevitable truth mijo).

Small sun-kissed fingers, guided gently by bigger calloused ones, cautiously move the wilting plant to a little clay pot, where old dirt is mixed with new (remember that change is necessary mijo).

Soft words of encouragement are heard at all hours of the day (everything is deserving of love mijo).

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But mama, this is supposed to be a sweet little poem to encourage(be brave and be honest mijo).

This is the truth: a little boy with dirty hands and too gentle a heart finds a plant on the brink of death.

Unfortunately, despite his best efforts and tender care the plant dies (from time to time, life will break your heart mijo).

Instead, he learned to pay closer attention to the things in his path.

So he kept an eye out for scraggly souls in need of a little extra dirt, water, and sun.

(Ay mijo, now our home always smells like wet earth and the soft fragrance of tenderly loved flowers blooming).

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Geochemical Fingerprinting of Intermittent Low-Flux Leachate from the Austin Chalk in North Texas Prominent iron (Fe)-rich leachate seeping into a North Texas stream (Spring Creek) led a local homeowner association (HOA) to be concerned for the safety of the residents in the area. The seep exhibited an iridescent sheen and an unpleasant odor, which led the HOA to speculate its source was an industrial origin. The stream's proximity to a commercial sausage factory and a waste-transfer station temporarily holding municipal solid waste (MSW) motivated that speculation. The HOA contacted the Department of Geosciences at The University of Texas at Dallas and Dr. Thomas Brikowski. After consultation, they filed an anonymous complaint with the Texas Commission on Environmental Quality (TCEQ).

— by Jackie D. Horn

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Introduction In 2009, TCEQ assessed the discharge originating from the nearby MSW transfer facility. They sampled the water emerging from the stream bank and found elevated levels of arsenic (As) but determined that no major health concern were indicated as the levels were below the safe drinking limits (0.010 mg/L) established by the Environmental Protection Agencies (EPA) and the World Health Organization (WHO). Some years later, the HOA, dissatisfied with TCEQ results of 1.49 mg/L, reconnected with the university.

Dr. Tom Brikowski observed a similar discharge from Rowlett Creek (in nearby Breckenridge Park) that appeared to resemble the Spring Creek occurrence, suggesting a widespread seepage. This research study intends to quantify the composition of these seeps, and if possible, identify any potential anthropogenic contributions.

Discharge Zones The discharge zones analyzed in this study appear episodically along outcrops of Cretaceous Austin Chalk (Figure 1). The discharge zones encompass a 1- to 2-kilometer (km) exposure along the banks of Spring Creek in the North Dallas suburb of Richardson. Each area is 100-200 meters (m) in length, containing zones 3 to 10 m in length with concentrated flow. It is worth noting that the discharge is predominantly on the same bank (east) as the MSW transfer facility but oc-

Figure 1. Locality map displays the leachate zones along Spring Creek in Richardson, Texas. Blue boxes indicate the potential anthropogenic sources of leachate (Owens Sausage Farm and 29

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curs both upstream and downstream of the MSW transfer facility.

A leachate zone defines an observation in the field showing the reddish-brown discharge. Leachate is emerging at the contact between the base of soil (calcium carbonate vertisol layer) and chalk bedrock2. The lateral extent of this iron (Fe)-rich leachate zone is 100 m and can exceed 200 m. The highest concentration of discharge is contained to a 1- to 2-m zone within a large 50-m zone around the spring orifice.

In North Texas, the Austin Chalk contains abundant iron sulfide (FeS) grains. These occur predominantly as pyrite throughout the formation. Meteoric and hydrologic processes that break down the chalk into clay minerals weather these sulfide grains of marcasite (FeS2) and pyrite (FeS2) into limonite —FeO(OH)·nH2O — along exposed fractures.

The result is an orange stain on the rock outcrop marking the conduit pathway taken by the Fe-rich fluids2. When spatially concentrated, such staining and seepage can be particularly alarming to the public, who may suspect some kind of toxic spill or mining runoff. Soil microbes (Sulfur (S)-reducing bacteria) may produce volatile H2S that emit a rotten-egg odor as sulfate reduction occurs, and the byproducts of metabolic activity provide nutrients to algae and yield an iridescent sheen to the water surface.3

Waste Transfer Facility). The green boxes indicate two parks in the area. Red circles show the sampling locations for the water-quality data over a two-year period.1

Figure 2. Panoramic view of field exposure of Fe-rich seepage at Sample Site B. Dr. Ignacio Pujana, is pictured, evaluating the strong sulfurous (H2S) odor emanating from leachate zone. His feet are on the exposed Austin Chalk, Fe-staining

emerging from the calcium carbonate layer or chalk. Note iridescent sheen in center suggesting organic substance, inferred to be from algal growth from the dissolution of iron sulfide (FeS2). Photo by Dr. Tom Brikowski.

Geologic Setting

tral Texas, which coincides with the Balcones Fault Zone.

This formation is several hundred meters thick (100-120 m) and coincides with the maximum extent that the sea level rose during the Cretaceous Interior Seaway.

The Austin Chalk (Kau) unconformably overlies the Eagle Ford (Kef ) shale and has an unconformity contact by the Taylor Group (Figures 2A&B). It consists of recrystallized, fossiliferous interbedded chalks, chalky limestone and thin seams of marl. Volcanic ash layers (bentonites; aluminum phyllosilicate clay) are present in the chalk further south in Central Texas. They are assumed to be deposited by wind from distant erupting volcanoes around 86 million years ago (mya), and the presence of volcanism during deposition correlates with the Laramide orogeny (mountain building in western America). The trend of those long-ago submarine volcanoes is evident in present-day South-Cen-

The Austin Chalk is primarily calcium carbonate (CaCO3) and has a grayish-white to medium-gray color. Microfossils of Coccolithophores, foraminifera and Inoceramus shells make up the bulk of the matrix. Minerals present in the chalk range from pyrite, marcasite, iron oxides (hematite – Fe2O3, α-Fe2O3) and maghemite (Fe2O3, γ-Fe2O3), and siderite (FeCO3)5. Most of the soils that formed over this chalk are calcareous, granular and crumbly (Figures 2A&B).

Figure 2A. Top, Geologic stratigraphic column of East Texas modified from USGS survey team. Note: this study focused on the upper Austin Chalk and soil layers 4.

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had a blank of deionized water (DI), an anion and two cations (one cation not filtered). All samples were labeled and stored on ice in a cooler to keep reactions at a minimum.

Samples were refrigerated in the lab until time of testing.

Temperature (°C), total dissolved solids (TDS), pH, dissolved oxygen (DO), specific conductivity (µS/cm) and turbidity (Nephelometric Turbidity Units [NTU]; HACH Model 2100P Turbidimeter) were collected at each site to determine local conditions, as well as from the sample sites prior to collection. Devices used to collect data consisted of YSI-85, TDS and pH probes (Low range Hanna TDS/pH/ meter) (Table 1).

Fe precipitate and clay samples in the discharge zone were scanned primarily for trace elements with a handheld X-ray fluorescence (XRF) analyzer. To obtain the precipitate, two 2-liter (L) bottles were collected using the same process as described above. Samples were dried at 100 degrees Celsius for 24 hours to slowly evaporate the water from the sample. A portion of the Fe precipitate powder was crushed in a mortar and pestle to be uniform size for a laboratory XRF. Powder was placed into a petri dish with a cov-

er for storage at room temperature. Fe powder was pressed into a pellet container for a scan with XRF. The pellet was covered with a 4-µm carbon thin film and then placed into a sealed scanning apparatus. A scan of the sample’s center was run for 90 seconds (s). The sample was run at 10, 25 and 40 kiloelectron volts (keV). Clay samples were run the same way but were left to dry out at room temperature. All data recorded are shown in the spectra graph (Figures 3 and 4).

Spring Creek Stream Data YSI-85

A

B

C

DO (mg/L)

9.44

9.8

9.89

Figure 2B. Soil Horizons; O is the topsoil, which is a Houston Blackland Prairie; Ag is an Austin silty clay; Rr is a fractured chalk and R is Austin Chalk bedrock.

DO%

105.1

110.4

111.2

Specific Conduct (µS/cm)

0.618

0.613

0.369

TDS (mg/L)

402

398.4

240.2

The Taylor formation overlies Austin Chalk in the eastern part of the county. The members of this formation in the county are Taylor marl, Wolfe City sand and Pecan Gap chalk. Deep soils that formed over the chalk are in the Austin, Houston Black and Houston series6. Soil horizons are grayish in the subsoil, indicating reduction and transfer.

Loss of Fe, a process called gleying, is evident in the poorly drained soils of the county7. Some horizons have mottles of yellowish red to brown or strong brown and concretions, indicating segregation of Fe.

Temperature (Cº)

20.5

21.1

21.1

Methods This project incorporated water, soil and rock sampling to examine the nature of the discharge in the leachate zones.

Samples were collected over a period of two years (20152017) and analyzed to determine the nature of the seeps.

A handheld x-ray fluorescence analyzer (Niton XL3t) and spectrophotometer (HACH DR-1900) were used to analyze the dissolved major and minor elements present. Samples were collected using established best practices, standards, and guidelines from the United States Geological Survey (USGS), EPA and WHO. All cation containers were prepared differently from the anions. Cations are preserved with 0.5 milliliter (mL) of nitric acid (HNO3) to bring the pH to less than two, whereas anion sample containers were devoid of HNO3. Collection of each sample was obtained at the spring orifice in the leachate zone with a 60-ml syringe equipped with a 0.45-micrometer (µm) tip to filter out colloids. A new syringe was used for each sample to decrease cross-contamination. Each site 31

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Table 1. YSI data collected from Spring Creek at each sampling area Analysis of major element chemistry was via a HACH DR1900 spectrophotometer and standard methods were used for each anion or cation, with ppm precision. Anions tested for ammonia (NH3), bromine (Br) and chlorine (Cl) and cations consisted of barium (Ba), calcium (Ca), magnesium (Mg), Fe and zinc (Zn). Before measuring each sample, the sample cells (10mL) were wiped with a Kimwipe™. All test samples were allowed to reach room temperature prior to the measurements of cation and anion contents. The measurements of cation and anion contents were performed in duplicate (Table 2).

Figure 3. Composite of the data collected for the calcic vertisol clay at sample point B.

Geochemical Data for Spring Creek Discharge Anion/Cation Ammonia Bromine Chlorine Barium Calcium Magnesium Iron Zinc

A (mg/L) 0.24 1.08 32 10 0.37 0.34 0.05 0.18

B (mg/L) 0.33 1.18 35 14 0.46 0.37 0.06 0.18

B (mg/L) 0.46 0.88 58 15 0.49 0.40 0.04 0.18

Table 2. Data from the three sites collected in Spring Creek.

Data shows the average of the data for each site.

Figure 4. Composite of the Fe rich precipitate discharged from Spring Creek at sample point B. Note that Fe peak is considerably larger than calcic vertisol in Figure 3 and the presences of As. Spring 2024

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Results Various methods (XRF, HACH DR-1900, YSI), were used to determine the nature of the discharge from the Austin Chalk. The waters emerging from the stream bank exhibited moderately elevated salinity (800-1400 ppm) compared to a nearby stream (300-400 ppm), were unusually acidic (6.1-8.1) in a dominantly carbonate system (typical range 7.9-8.1), and exhibited minimal turbidity at the orifice (1.07 NTU, Table 3). Field measurements in seepage water were very similar to local stream water excluding TDS (Table 1).

The color of the discharge is due to the high levels of Fe (XRF spectra, Figure 4) that is weathering from the chalk.

Subsurface fluids are similar to typical waters (i.e., meteoric), that are in contact with the Austin Chalk and are dominantly a calcium bicarbonate water, Ca(HCO3)2. The seepage is spatially correlative with potential industrial sources (MSW, Figure 1), raising the possibility it is anthropogenic, but the major-element chemistry (Table 2), and the low concentrations of sodium chloride (NaCl), are inconsistent with contamination by industrial or municipal waste.

Very low turbidity of seepage water at the source indicates minimal contribution of hydrocarbons, again inconsistent with industrial or municipal waste contamination. Trace element chemistry (Table 2), indicates very few dissolved metals that are typical of landfill leachate or industrial processes, although arsenic exceeds state and federal limits at the orifice of the seeps8.

Clay soils show distinct Caα-β peak, expected of soil derived from weathered carbonates. Sharp Feα-β peaks clay are iron sulfides/oxides minerals in the chalk, and in precipitate, clearly shows that discharge is rich with respect to Fe. Curiously enough, spectra for Ca and Fe maximums are inverted depending on source medium (i.e., clay or precipitate; Figures 3 & 4). It is suspected that this is the reflection of Fe mobilization from clay and to precipitate, and dissolution of calcite from acidic meteoric water, respectively. Minor element peaks of As, Mn, Sr, Ni, and Zn are captured in precipitate spectra (Figure 4), likely the reason for the elevated TDS seen in spring water. In total, the Fe-rich seepage seems most consistent with a natural soil gleying process more typical of water-saturated conditions in cool northern climates such as Scotland9.

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References

Discharge Spring Field Measurements

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A

B

C

TDS (mg/L)

1072

1469

982

pH

6.9

6.1

6.4

Specific Conductance (µS cm-1)

618

825

541

Dissolved Oxygen (DO)%

110.4

117.5

116.2

Temperature (Co)

22.3

21.9

22.9

Turbidity

1.04

1.07

1.01

Table 3. Water-quality data collected from the orifice of each site.

Discussion/Conclusion We conclude that this seepage is natural, albeit unusual for this setting, based on our field observations, and as-yet incomplete chemical analyses. The Fe-rich seepage is most consistent with concentrated subsurface dissolution of sulfides. This is possible because of poor drainage clays, and fluid pathways will follow pre-existing structures. Fe transport is encouraged by the strong reducing conditions and a positive feedback loop of the decay of sulfides helps maintain the conditions.

While physical proximity to potential waste initially suggests an anthropogenic link to this seepage, details of geology and fluid chemistry indicate this is primarily a concentrated natural process. Ca and Fe are being exchanged from clay to fluids and eventual precipitate, and at this time, the XRF spectra give a good first order to understanding the processes occuring. Although a more detailed chemical analysis (ICP-MS) and microscopic inspection of chalk (EMPA/SEM) may better compliment XRF data, and lend insight to the mechanisms currently present in the chalk. Future work may determine if bacteria (S-bacteria) or buried channels (conduits pathways) from the meandering stream are contributing to this focused output of Fe. Sufficient water flow exists through the fractured bedrock to create an aerobic environment in which the subsurface microbes allow for the dissolution of iron-bearing minerals and their subsequent transport. Although this Fe seep has an unpleasant appearance and smell, and it's proximity to commercial waste storage may increase alarm, it is a natural occurrence.

1. McGowen, J. H., T. F. Hentz, D. E. Owen, M. K. Pieper, C. A. Shelby, and V. E. Barnes. “Geologic Atlas of Texas, Sherman Sheet (Walter Scott Adkins Memorial Edition).” Geologic atlas of Texas, VE Barnes, ed. Bureau of Economic Geology, University of Texas at Austin, Austin 1, no. 250,000 (1991).

2. Jamie L. DeLemos, Benjamin C. Bostick, Carl E. Renshaw, Stefan Stürup, and Xiahong Feng, “Landfill-Stimulated Iron Reduction and Arsenic Release at the Coakley Superfund Site (NH),” Environmental Science and Technology 40 no. 1 (2006): 67–73, https://doi.org/10.1021/es051054h.

8. Hamidi Abdul Aziz, Muhammad Umar, and Mohd Suffian Yusoff, “Variability of Parameters Involved in Leachate Pollution Index and Determination of LPI from Four Landfills in Malaysia,” International Journal of Chemical Engineering 2010, no. 747953 (May 2010): 1-6., https://doi. org/10.1155/2010/747953.

9. M. J. Wilson, “The Soil Clays of Great Britain: II. Scotland.” Clay Minerals 19 (5) (1984): 709–35, https://doi. org/10.1180/claymin.1984.019.5.03.

3. Lin Zhang, Guan-zhou Qiu, Yue-hua Hu, Xiao-jun Sun, Jian-hua Li, and Guo-hua Gu. “Bioleaching of Pyrite by A. Ferrooxidans and L. Ferriphilum,” Transactions of Nonferrous Metals Society of China 18 no. 6 (2008) 1415–20, https:// doi.org/10.1016/S1003-6326(09)60018-2.

3. Graham, U. M., and Hiroshi Ohmoto. “Experimental study of formation mechanisms of hydrothermal pyrite.” Geochimica et Cosmochimica Acta 58, no. 10 (1994): 21872202, https://doi.org/10.1016/0016-7037(94)90004-3.

4. U.S. Geological Survey Western Gulf Province Assessment Team - U.S. Geological Survey Western Gulf Province Assessment Team; S.M. Condon and T.S. Dyman, “Chapter 2: 2003 Geologic Assessment of Undiscovered Conventional Oil and Gas Resources in the Upper Cretaceous Navarro and Taylor Groups, Western Gulf Province, Texas,” Petroleum Systems and Geologic Assessment of Undiscovered Oil and Gas, Navarro and Taylor Groups, Western Gulf Province, Texas (2006): pg. 6.

5. Brooks B. Ellwood, William Balsam, Burke Burkart, Gary J. Long, and Margaret L. Buhl, “Anomalous Magnetic Properties in Rocks Containing the Mineral Siderite: Paleomagnetic Implications.” Journal of Geophysical Research: Solid Earth 91, no. B12 (1986): 12779-2790, https://doi. org/10.1029/jb091ib12p12779.

6. Hanson, Arthur, and Frankie F. Wheeler. "Soil Survey, Collin County, Texas". No. 2. US Soil Conservation Service, 1969.

7. F. R. Zaidel’Man, S. M. Cherkas, and N. N. Dzizenko, “Gley Formation and Sulfate Reduction as Factors Defining the Composition of Lysimetric Water from Different Soil-forming Rocks (Model Experiment),” Moscow University Soil Science Bulletin 68, no. 1 (March 2013): 1-9, https://doi. org/10.3103/s0147687413010080.

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Marbled Beings Mitochondria being labeled the “powerhouses of the cell” is an example of the disconnect between what is often learned in schools and practicality. However, the mitochondria truly is one of the most fascinating parts of a cell. It has its own genome, which is inherited maternally. With this knowledge, humans can trace their maternal lineage, and beyond being useful to understanding evolution, it provides a beautiful link to our female ancestors.

I wanted to incorporate the image of the organelle with the natural striation and patterns found within and outside the body, which are most commonly found on women. To achieve this effect, I marbled paper using spray paint. I increased movement and unity in the piece by layering and drawing with pens and markers. Similar to many filmic color palettes, the usage of blue contrasts with the orange shades of skin. Metallic colors were added to increase vibrancy and embody themes of progress and creation. I wanted the piece to be complex and nuanced, as both mitochondria and women are.

— by Christina Hong Thao Mai

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The Role of Carbon-Metabolism Pathways in Levofloxacin Resistance in Enterococcus faecalis Bacterial cells must undergo the processes of replication, transcription and translation in order to survive. During the cells’ DNA replication, the double-stranded DNA efficiently unwinds with the help of the enzyme DNA gyrase. Levofloxacin (LVX), a fluoroquinolone antibiotic, binds tightly to DNA gyrase, preventing bacterial replication and resulting in cell death.

Enterococcus faecalis is a Gram-positive bacterium that is normally found in gastrointestinal tracts. Infections by E. faecalis in hospital settings have been complicated by the rise in antibiotic resistance, leading to infections that now have limited treatment options. LVX remains a potential therapeutic strategy for many E. faecalis infections, and it is of interest to study how these organisms respond to LVX-induced stress.

— by Uyen Thy Nguyen, Karthik Hullahalli, Kelli L. Palmer

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Abstract Examining these responses will provide insight into mechanisms that allow E. faecalis to overcome the lethal effects of a clinically relevant antibiotic, which may lead to improvement in LVX therapy. Previously, RNA-sequencing analysis showed that over 600 genes are differentially regulated

by LVX-induced stress. A subset of highly induced genes involved in carbon metabolism with no known role in the context of fluoroquinolone resistance were examined to determine if they provide tolerance to LVX. By utilizing a CRISPR-Cas9 genome-editing system, genes in five major carbon metabolism pathways were deleted. Deletions were made in combinations to examine if each individual pathway was sufficient alone or in conjunction with others to provide LVX tolerance. Remarkably, the minimum inhibitory concentrations of LVX for these mutant strains remained the same relative to the wild type, indicating that these carbon-metabolism genes have no effect in LVX tolerance. This finding suggests that specific, antibiotic-induced changes in gene expression may ultimately have no role in direct tolerance to the antibiotic.

Introduction Enterococcus faecalis, a Gram-positive bacterium, natively colonizes the human gastrointestinal tract and is a problematic species associated with human diseases such as urinary tract infections, bacteremia and endocarditis. Due to increased antibiotic usage, treatment complications have arisen due to antibiotic resistance. A CRISPR-Cas genome editing system for E. faecalis was recently published.

This system makes it substantially easier to assess the roles of specific E. faecalis genes in antibiotic resistance1,2,3.

Levofloxacin (LVX) is a fluoroquinolone antibiotic that is used to treat E. faecalis infections. The antimicrobial mechanism of LVX originates in the inhibition of DNA gyrase and topoisomerase IV, which prevents bacterial replication and results in cell death. Mutations of gyrA and parC, encoding for DNA gyrase and topoisomerase IV, respectively, result in fluoroquinolone resistance4. LVX remains prevalent in hospital settings as a potential therapeutic strategy for many E. faecalis infections; therefore, it is of interest to study how these organisms respond to LVX-induced stress prior to developing resistance. By examining these responses, it provides insight into mechanisms that allow E. faecalis to overcome the lethal effects of a clinically relevant antibiotic, which may lead to improvements in LVX therapy.

A previous RNA-sequencing analysis showed that over 600 genes are differentially regulated by LVX-induced stress; these genes may allow E. faecalis to adapt to LVX, but their

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functions remain unknown5. Among these, various genes are involved in carbon metabolism that have no known role in the context of fluoroquinolone resistance (Table 1).

This study utilized CRISPR genome editing to assess the roles of carbon metabolism genes in LVX susceptibility in E. faecalis. Because of the rise in antibiotic resistance, therapeutic strategies are becoming less effective. The use of CRISPR-Cas has contributed to our understanding about antibiotic resistance in order to improve treatment outcomes.

Gene Name

Gene Product

Category

Fold Change of Gene Expression Upon LVX Exposure

mtld

Mannitol 1-phosphate 5-dehydrogenase

Carbon and energy metabolism

15.65

bkdD

Branched-chain alpha-keto acid dehydrogenase, E3 component, dihydrolipoamide dehydrogenase

Carbon and energy metabolism

EF1951

Phosphosugar-binding protein

Carbon and energy metabolism

83.41

citF

Citrate lyase subunit beta

Carbon and energy metabolism

18.76

Galactokinase

Carbon and energy metabolism

3.98

galK

155.67

Table 1. Clusters of E. faecalis genes related to carbon metabolism are differentially regulated in response to LVX exposure.

These represent a subset of genes that were upregulated in response to LVX 6.

Materials and Methods Strain Construction V200 was used as the wild type for this study, and the mutations were made from V200. V210 contained the deletion of EF1951. V220 contained the deletion of bkdD. V230 resulted from the deletion of EF1951 and bkdD. V242 contained the deletion of mtlD, citF, galK, bkdD and EF1951. All of these mutants were constructed by CRISPR editing, as described below.

CRISPR Editing and Routine Molecular Biology Procedures The E. faecalis strain V117, which overexpresses cas9, was previously reported7. EF3217 was deleted from this strain to produce strain V200, which was then used to derive the mutants described in this study. The CRISPR genome-editing protocol was essentially the same as previously reported for E. faecalis8. Primers used were generated at Sigma Aldrich. For cloning, PCR with Q5 DNA polymerase was used

to amplify the fragments of pCE-3217 (the plasmid used to delete EF3217), following the purification of these fragments using a PureLink PCR Purification Kit (Invitrogen). In order to assemble these fragments, NEBuilder® HiFi DNA Assembly Master Mix (New England Biolabs® Inc.) was used. The assembled plasmid was transformed into E. coli EC1000 using electroporation. E. coli culture was incubated in LB broth with shaking at 220 rpm at 37oC. The culture was spread onto an LB agar plate supplemented with chloramphenicol and incubated overnight at 37oC. Using Taq DNA polymerase, routine PCR was performed to screen for the assembly of the homologous recombination templates in the plasmid in E. coli. pCE-3217 was purified using the GeneJet Plasmid Purification Kit (Fisher). A restriction endonuclease reaction was performed on the purified plasmid using BstEII (New England Biolabs® Inc.), ensuring the assembly of the plasmid. Purified pCE-3217 was electrotransformed into E. faecalis C173 for conjugation.

CRISPR genome-editing constructs were transferred into E. faecalis recipient strains by conjugation, and presumptive CRISPR-edited mutants were screened by PCR as previously described9.

Phenotypic Assays In order to characterize the phenotype of the mutant strains, minimum inhibitory concentration assays were performed in 96-well plates using broth microdilution10. Kinetic growth assays were also performed in 96-well plates to determine the change in growth measured in OD600 over 24 hours with different concentrations of LVX. The two media used in these assays were brain heart infusion (BHI) and MM9YE minimal media. BHI is rich in nutrients and often supplemented with many carbon sources, allowing for bacteria to grow efficiently. Contrastingly, MM9YE is a nonrich medium composed of only M9 salts and yeast extract where different carbon sources may be added. For some experiments, media were supplemented with galactose.

unknown, was lastly deleted, resulting in a quintuple mutant (Table 1). We performed whole-genome sequencing to verify the integrity of the quintuple mutant. Expectedly, no reads mapped to the deleted genes, confirming that in the quintuple mutant, all five genes were correctly removed.

Broth Microdilution MIC Assays The minimum inhibition concentrations of the mutant strains containing the deletion of carbon metabolism genes were 1 ug/mL, which was the same as the wild-type strain (Table 2). According to these results, these carbon metabolism-related genes have no effect on LVX susceptibility.

Title

LVX MIC (ug/mL)

V200 (WT)

1

V210 (V200ΔEF1951)

1

V220 (V200ΔbkdD)

1

V230 (V200 ΔbkdDΔEF1951)

1

V242 (V200 ΔmtlDΔcitFΔgalKΔbkdD ΔEF1951

1

Table 2. LVX minimum inhibitory concentration (MIC) for E. faecalis V200 and its derivatives. The broth microdilution assay was used to determine the LVX MIC. This assay was performed in biological triplicate.

Growth Kinetic Assays in Rich Medium LVX at a concentration of 0.125 ug/mL (1/4 MIC) caused a slight growth defect in both V200 and V230 (Figure 1).

Results Genes Selected for Deletion Carbon metabolism-related genes that were upregulated in response to LVX were selected for deletion. The first gene deleted was mtlD, which is involved in mannitol metabolism and is upregulated by LVX by sixteenfold (Table 1).

A subsequent deletion in citF, which is involved in citrate metabolism and upregulated by LVX by nineteenfold, was made. Next, galK, upregulated by LVX by fourfold and involved in galactose metabolism, was deleted. Then, bkdD, involved in branched-chain α-keto acid degradation and upregulated by 156-fold in response to LVX, was deleted.

EF1951, upregulated by 84-fold by LVX, whose substrate is

Figure 1. Kinetic assay comparing growth of strains V200 and V230 in the presence and absence of LVX. The concentration of LVX used in this assay was 0.125 ug/mL. Growth was monitored by optical density at 600 nm. The experiment was performed independently twice.

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LVX at a concentration of 0.25 ug/mL (1/2 MIC) substantially inhibited growth of V200 (WT), V210 (V200 ΔEF1951), V220 (V200 ΔbkdD) and V230 (V200 ΔbkdD ΔEF1951) (Figure 2).

LVX at a concentration of 0.125 ug/mL cause no growth defect in both V200 and V242 (Figure 4).

Figure 2. Kinetic growth assay performed with E. faecalis V200 and its derivatives in the presence and absence of LVX. The experiment used inocula from logarithmic-phase cells.

The concentration of LVX used in this assay was 0.25 ug/mL. Growth was monitored by optical density at 600 nm. This experiment was performed independently twice.

Figure 4. Kinetic growth assay measuring resistivity of quintuple mutant V242 relative to wild type V200. The LVX concentration was 0.25 ug/ml. Growth was monitored by optical density at 600 nm. This assay was performed in biological triplicate.

The previous experiments were performed using inocula from logarithmic-phase cells. In separate experiments, stationary-phase cells were used as inocula (Figure 3).

In BHI, both strains grew exponentially over the 24-hour period. A significant difference was seen between the wild type and the mutant with the presence of galactose in MM9YE. For the wild type, growth occurred because it possessed galK which encodes for galactokinase, an enzyme that catalyzes the first committed step in the Leloir pathway by phosphorylating galactose11, allowing E. faecalis to convert galactose to glucose-6-phosphate, a substrate required for the entry to glycolysis. In the quintuple mutant, which lacks galK, galactose metabolism was inhibited, blocking the pathway that converts galactose to glucose. This blockage of galactose metabolism resulted in the suppression in growth of the mutant. To further test the function of galK, two additional constructs were made: V233 (ΔmtlD and ΔcitF) and V239 (ΔmtlD, ΔcitF and ΔgalK).

The absence of galK caused a significant growth defect in MM9YE and galactose (Figure 6). These results phenotypically confirm that the deletion of galK prevents the utilization of galactose.

These results are consistent with the MIC values for these strains (Table 2). Moreover, these results demonstrate that the gene deletions have no impact on LVX susceptibility.

Results show no observable difference in growth in these strains in with or without LVX, confirming that these carbon metabolism genes do not contribute to LVX susceptibility.

Discussion A subset of genes involved in carbon metabolism that has no known role in the context of fluoroquinolone resistance was examined to determine if it provides tolerance to LVX by utilizing a CRISPR-Cas9 genome-editing system and deleting genes in five major carbon metabolism pathways.

This finding reveals that the upregulated carbon metabolism genes do not directly contribute to E. faecalis LVX susceptibility. According to the genome-sequencing data of V242, the quintuple mutant strain, deletions of mtlD, citF, galK, bkdD and EF1951 were correctly obtained, ensuring there were no unforeseen duplications or suppressor mutations, which would interfere with an accurate assessment of a phenotype. By confirming these deletions in E. faecalis, we conclude that these carbon metabolism genes do not affect the adaptability of E. faecalis in LVX. It remains possible that E. faecalis relies on an altered regulation of carbon metabolism inside the gastrointestinal tract, and in vivo models should be used to assess this. Nevertheless, our findings provide insight into the regulation of carbon metabolism by antibiotics, whereby altered expression of these pathways appear to not directly contribute to antibiotic tolerance in a clinically relevant opportunistic pathogen.

Growth Kinetic Assays in Nonrich Medium Using MM9YE as nonrich media with and without galactose, the growth of V200 (WT) and V242 (quintuple mutant) was measured in OD600 over 24 hours (Figure 5).

Figure 6. Kinetic growth assay with V233 (ΔmtlD and ΔcitF) and V239 (ΔmtlD, ΔcitF and ΔgalK) in BHI and MM9YE with 25 mM of galactose. Growth was measured in optical density at 600 nm within 24 hours. This assay was performed in biological triplicate.

Phenotypic Assay on MSA

Figure 3. Kinetic growth assay performed with E. faecalis V200 and its derivatives in the presence and absence of LVX. The experiment used inocula from stationary-phase cells. The concentration of LVX used in this assay was 0.25 ug/mL. Growth was monitored by optical density at 600 nm. This experiment was performed independently twice.

Figure 5. Kinetic growth assay with wild type V200 and quintuple mutant V242 in MM9YE with and without galactose.

Growth was monitored by optical density at 600 nm over 24 hours. This experiment was performed in biological triplicate.

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A phenotypic assay was performed using the wild type and the quintuple mutant in the presence of mannitol on mannitol salt agar (MSA), comprised of D-mannitol, sodium chloride and agar with phenol red as a pH indicator.

A bright-yellow color indicates mannitol fermentation, whereas the lack of a color change (red) indicates the inability to utilize mannitol12. In the wild-type, the media changed from a red to a yellow color after incubation, demonstrating the utilization of mannitol by mannitol 1-phosphage dehydrogenase13. However, the mutant lacking mtlD gene was unable to utilize mannitol, resulting in no color change on MSA (No data shown).

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References 1. Kelli L. Palmer and Michael S. Gilmore, “Multidrug-Resistant Enterococci Lack CRISPR-cas,” mBio® 1, no. 4 (Sep-Oct, 2010): https://doi.org/10.1128/mBio.00227-10.

11. David J. Timson and Richard J. Reece. , “Sugar Recognition by Human Galactokinase,” BMC Biochemistry 4, (Nov, 2003) https://doi.org/10.1186/1471-2091-4-16.

2. Balakrishnan Meena, Lawrance Anburajan, Thadikamala Sathish, Rangamaran Vijaya Raghavan, Dilip Kumar Jha, Pitchiah Venkateshwaran, Apurba Kumar Das, et al., “Enterococcus Species Diversity and Molecular Characterization of Biomarker Genes in Enterococcus faecalis in Port Blair Bay, Andaman and Nicobar Islands, India,” Marine Pollution Bulletin 94, no. 1–2 (May 2015): https://doi.org/10.1016/J.MARPOLBUL.2015.02.027.

12. N. Mir, M. Sánchez, F. Baquero, B. López, C. Calderón, and R. Cantón, “Soft Salt-Mannitol Agar-Cloxacillin Test: A Highly Specific Bedside Screening Test for Detection of Colonization with Methicillin-Resistant Staphylococcus aureus.”

Journal of Clinical Microbiology 36, no. 4 (1998): 986–89.

3. Karthik Hullahalli, Marinelle Rodrigues, Uyen Nguyen, and Kelli Palmer,“An Attenuated CRISPR-Cas System in Enterococcus faecalis Permits DNA Acquisition,” bioRxiv, 9, no. 3 (December, 2017): https://doi.org/10.1128/mbio.00414-18.

13. Tengale Dipak Bhauso, Thankappan Radhakrishnan, Abhay Kumar, Gyan Prakash Mishra, Jentilal Ramjibhai Dobaria, Kirankumar Patel, and Manchikatla Venkat Rajam, “Overexpression of Bacterial mtlD Gene in Peanut Improves Drought Tolerance through Accumulation of Mannitol,” The Scientific World Journal (2014): https://doi. org/10.1155/2014/125967.

4. Yoshikuni Onodera, Jun Okuda, Mayumi Tanaka, and Kenichi Sato, “Inhibitory Activities of Quinolones against DNA Gyrase and Topoisomerase IV of Enterococcus faecalis” Antimicrobial Agents and Chemotherapy 46, no. 6 (June, 2002): 1800–1804, https://doi.org/10.1128/AAC.46.6.18001804.2002.

5. Hullahalli, et al. ,“An Attenuated CRISPR-Cas System in Enterococcus faecalis Permits DNA Acquisition.”

6. Hullahalli, et al. ,“An Attenuated CRISPR-Cas System in Enterococcus faecalis Permits DNA Acquisition.”

7. Hullahalli, et al. ,“An Attenuated CRISPR-Cas System in Enterococcus faecalis Permits DNA Acquisition.”

8. Hullahalli, et al. ,“An Attenuated CRISPR-Cas System in Enterococcus faecalis Permits DNA Acquisition.”

9. Hullahalli, et al. ,“An Attenuated CRISPR-Cas System in Enterococcus faecalis Permits DNA Acquisition.”

10. Pooja Bhardwaj, Elizabeth Ziegler, and Kelli L Palmer,“Chlorhexidine Induces VanA-Type Vancomycin Resistance Genes in Enterococci,” Antimicrobial Agents and Chemotherapy 60, no. 4 (March, 2016): https://doi.org/10.1128/ AAC.02595-15.

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Nelsonian Knowledge: It’s There I was first inspired to do this art piece for Linda Salisbury in my Understanding Music class when she told us we could create the composition for our final project. Although I transferred my energy from musical representation to a more visual one, I used some of the concepts to get my point across.

This is a piece on domestic violence and harassment against women in general. I was first inspired to do this when I realized one of my closest friends was in an abusive relationship. It’s something that I had missed and something that was hard for her to even admit and accept was happening. Every part of my artwork speaks to this central theme of willful ignorance and refusal to accept the truth.

This was a mixed-media project. I did all of this with a running theme of reusing materials that are not traditionally deemed as art supplies. I did this with the goal of coming off very raw or unfiltered, and giving what I used new life. These are all things I associate with abuse victims and qualities I saw in my friend as she went through her ordeal. Victims are made to feel worthless and out of place, like trash.

But, it is only after making it through that kind of tragedy that something beautiful emerges from it in the form of that person making a new life for themself.

All of the colors have meanings and speak to the experience of someone being abused in whatever relationship they find themself in. The white skin represents the innocence of a person before they are abused and suffer a traumatic experience. The pink lips are for the love they speak and they cling to towards their abusers. This is the facade they present to the world with their words of “Everything is okay,” but the glaring bruise under the eye is something that someone being abused cannot hide.

Unlike the loving words that they can manipulate as they spring from their lips, a bruise upon what was once pure is something that the world sees. Many times you find out someone is being abused not by what they tell you but by changes you see in them.

The lack of eyes is to signify a lack of clear vision about the situation. This occurs because abused individuals truly do not understand that they’re being abused or because they choose not to acknowledge the signs that they’re being abused. And lastly, the hair represents toxicity, the toxicity of the damaging things they tell themselves once they realize they’re being abused. Like hair, toxicity is something that sprouts from their mind and takes over, entangling and entrapping them.

— by Michelle Onuoha

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Water into Wine Friedensreich Hundertwasser (1928-2000) spent his career trying to convince the world that he could improve it. The foundation of his artistic practice relied on painting and writing, but he also designed tapestries, postage stamps, flags and architecture. By the turn of the 21st century, Hundertwasser was best known for his whimsical, color-laden buildings and his doctrinal beliefs regarding the relationship between humanity, creativity and the environment. Late in his life, Hundertwasser began his first, last, and only architectural project in the United States, Quixote Winery in Napa, California (completed 1997). This essay is the first to examine Hunterwasser's American project, widely discussed due to its unique location. Though the building exemplifies the artist’s aesthetics, it falls short of fully materializing his vision for environmentally sustainable architecture.

— by Elyse Mack

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Figure 1. View of the facade from the southwest of Friedensreich Hundertwasser’s Quixote Winery, built between 1992 and 1997, in Napa, California. Photo by Elyse Mack.

on the events and shared copies of the communications he had with various curators and gallerists associated with Hundertwasser.1

Several aspects of Hundertwasser’s Quixote make it unique in the artist’s oeuvre. In addition to physical location, the building’s purpose and execution in relation to Hundertwasser’s environmental philosophy are singular. Through the physical attributes of the building, as well as the theoretical underpinnings of its design, the comparison of Quixote to Hundertwasser’s writing results in an interesting kaleidoscope of architecture and theory (Figure 1).

Doumani was not a typical Hundertwasser client. The artist took on very few commercial commissions, and accepted even fewer requests that had no residential aspect to them.2 Still, all of the other plainly commercial buildings he built had either a clear environmental agenda, like the Hundertwasser Environmental Railway Station in Germany, or were intended for wide public use, such as the Altenrhein Indoor Market in Alternrhein, Switzerland.3,4 Quixote Winery stands out among these projects as a completely unique case.

Hundertwasser wrote extensively about the environment, and this writing was intended for a public audience. Like his writing on many other topics, his speeches, letters and essays relating to environmentalism tend towards the bombastic and the proclamatory. Poetic tendencies aside, Hundertwasser’s philosophy has two inextricable parts: protecting the natural world and enhancing the appearance of man-made structures.

In many respects, Quixote aligns with Hundertwasser’s dual aesthetic-environmental philosophy for architecture.

The winery is a mud-colored, single-story building nestled in the rolling hillsides of Napa, California. Carl Doumani, Napa wine mogul and proprietor of Stags’ Leap Winery, founded Quixote as a self-proclaimed quest to construct a more insouciant winery in 1988. Doumani compiled his own account of Quixote’s construction in 2006. In this single narrative document, Doumani described his thoughts 49

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The purpose of the building is threefold. First, it serves as a holding place for aging wine barrels. Second, Quixote offers by-appointment tastings in a large dining room directly beneath the signature Hundertwasser golden dome.

The room is specially designed to give visitors a view of the mountains behind the property and the back patio. Third, the space provides office areas for those running the property. Doumani originally intended for his desk to be situated under the dome,5 but today, administrative work is relegated to two smaller spaces on the other side of the building. While anyone can make an appointment to visit the property, it does not serve as a public space in the same way as a railway station or a market. The property’s distance from any major urban areas also limits significant public interaction.6

Figure. 2. View of the facade of Friedensreich Hundertwasser’s Quixote Winery in Napa, California, constructed from 1992 to 1997, from the southeast. It includes sculptural chess-piece elements above columns. Photo by Elyse Mack.

The origins of the winery, though not explicitly in line with Hundertwasser’s dogma, may have appealed to the artist’s contrarian sensibilities. Doumani, ever the salesman, proclaimed “the project came about because of our belief that the wine industry was beginning to take itself too seriously.”7 An obligation to do business in a more sustainable manner or opening up the winemaking process to the public may seem more directly analogous to the rest of Hundertwasser’s projects, but Wieland Schmied, an authority on the artist, insists that with all proposals, Hundertwasser deliberated seriously before accepting any.8 Doumani also alludes to the financial incentive provided for the project as a possible motive for Hundertwasser.9 From the proprietor’s perspective, the process of selecting the architect for Quixote was trying. Doumani’s notes recount how frustrated he was with the firm he had initially selected. He was introduced to Hundertwasser’s work when he saw a calendar featuring the artist’s most wellknown architectural work, Hundertwasserhaus (completed 1985 in Vienna), in the office of another architect he was soliciting for the project.10 In a letter to Harry Rand, then curator of painting and sculpture at the National Gallery of Art in Washington, D.C., Doumani explains that Hundertwasser’s design captured his attention for its “wonderful,

undulating, happy, whimsical, [and] human” qualities—not for his quest to create architecture more attentive to the needs of the rapidly changing climate.11 Despite a lack of obvious environmental intent, Doumani’s claim to redefining vinification as a more human venture aligns well with Hundertwasser’s support of the interconnection between humankind, creative acts and the natural world, at least on paper.12 The artist also used nature— particularly the processes of natural selection and evolution—as evidence that the world is inherently playful.13 This intention, supports Doumani’s goal of creating a winemaking enterprise that seems not to take itself so seriously.

Physical manifestations of playfulness can be seen in the sculptural elements adorning the roof of Quixote, which resemble chess pieces (Figure. 2).

Creating a building to assist in the process of winemaking itself may have seemed like a good fit to Hundertwasser as well. The cultivation of grapes for wine requires an intimate knowledge of the climate, the soil and the wildlife. The vintner must treat the land as a partner, not as a slave.14 In combination with the unconventional nature of Doumani’s intentions in relation to the wine world, creating a building in which people regularly contemplate their connection to and reliance upon the Earth, fits the bill for a Hundertwasser project well. Moreover, the building’s physical manifestation embodies this connection.

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Figure 5. Door mosaics in Friedensreich Hundertwasser’s Quixote Winery, built from 1992-1997, in Napa, California.

Photo by Elyse Mack.

Figure 3. View of the facade of Friedensreich Hundertwasser’s Quixote Winery in Napa, California, built between 1992 and 1997, from the southeast. It includes sculptural chess-piece elements above columns. Photo by Elyse Mack.

Quixote has many but not all of the signature features, both structural and ornamental, of a Hundertwasser building. In terms of whimsy and undulation, the building achieved Doumani’s original vision. The winery sits nestled against a hillside just below a reservoir beneath a Hundertwasser-fashioned living roof. This feature allows grass, shrubs and in Quixote’s case, trees to grow on top of the building itself, connecting the human use of a roof to keep out the elements of the surrounding environment in a very literal way. The roof at Quixote has a pathway by which one might wander atop the building, which Hundertwasser desired for all his living roofs, but ironically, this one has been roped off and is obstructed for general use (Figure 3).15,16 The combination of the teeming plants on the roof, the situation of the building beneath the hillside, and the main color of the exterior walls keeps Quixote obscured from view at a distance, and adds a pleasant surprise to the experience of approaching the building for the first time (Figure 4). Hundertwasser was adamant about the colors in his buildings aligning with the natural landscape, and in this regard, Quixote is an extraordinary success.17 Aesthetically, Quixote Winery also conforms to Hundertwasser’s strict enmity for regularity, affinity for bright colors and love for altering traditional grid patterns.18

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The building further demonstrates the Hundertwasser view of building cooperatively with nature through its living roof. Though primarily written as a prescription for improving the unsustainable conditions of city living, Hundertwasser wrote extensively about the need for humanity to grow plants on its horizontal spaces.21 Dogma is not merely a descriptive way to explain that Hundertwasser felt strongly about this issue—he wrote that “the relationship between man and trees must gain a religious dimension and replace the adoration of Christ or God.” 22 It is no surprise, then, that the artist included a living roof at Quixote.

Figure 4. View from the road leading up from the south to Friedensreich Hundertwasser’s Quixote Winery, created between 1992 and 1997, in Napa, California. Photo by Elyse Mack.

These features appear across the entire property. None of the doors or windows maintain the same dimensions or pane patterns. Some have delightful mosaic, while others play with the very idea of a window, using mirrors to reflect the exterior rather than to reveal what lies within (Figures 5 & 6). Irregularity was central to Hundertwasser’s work from his first major architectural project19 to the later period of his philosophical writings, where he claimed that nature provides the perfect example of irregularity, one which he advised humanity to follow.20

The list of additional elements which demonstrate irregularity at Quixote is nearly endless, from walkways across the property, to each of the mosaics adorning the walls, to the columns which support and decorate both interior and exterior spaces. Evidence of Hundertwasser’s vision of harmony between human creativity and ecological elements appears most clearly in the mosaics found all over the exterior of Quixote. Many of these mosaics—particularly the large one covering an entire wall on the back patio—resemble waterfalls and further connect the building to the reservoir it sits below (Figure 7). The effect is reinforced by the alcove shape of the patio: the mosaic is situated between the building on one side and the hillside on the other.

Figure 6. Partially mirrored door at Friedensreich Hundertwasser’s Quixote Winery, built between 1992 and 1997, Napa, California. Photo by Elyse Mack.

Other elements of the building essential to Hundertwasser’s style are the dome and the columns. Domes constitute their own works of art for Hundertwasser,23 and Doumani reports that the dome at Quixote troubled the architect.

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In addition to the demand that no two doors or windows look the same, Hundertwasser refused to make homogeneous columns. As in previous projects,27 the color and design of each column at Quixote is completely unique. In one final, subversive, dogmatic statement, Hundertwasser christened the building by taking a hammer and smashing one of the columns (Figure 8). Doumani lamented that it had been perfectly installed by the masonry team. In response, Hundertwasser declared to the proprietor that people need proof to see that it is possible to use something broken.28

(which the artist called “humus” toilets). In so many of his other designs and particularly in his writing, Hundertwasser vehemently preached and practiced these ideas. He was so particular about the tree tenants he included in his buildings, that, on at least two occasions, he wrote to the proprietors of the properties he worked on and insisted on replacing the type of trees or altering their care and placement.29 The buildings from these examples were both in more urban environments than Quixote, as are many of his buildings with tree tenants. Additionally, not all of Hundertwasser’s designs include specifications for tree tenants; however, his writing defends their benefits with a gusto that demonstrates just how vital the artist found the idea of arboreal cohabitants to be.30 Ideally, tree tenants work in tandem with humus toilets, providing fertilizer for the trees. The trees then provide oxygen, noise control and beauty for the users of the toilets (Figure 9).31

Figure 7. Waterfall mosaic on the north patio of Friedensreich Hundertwasser’s Quixote Winery, constructed between 1992 and 1997, in Napa, California. Photo by Elyse Mack. to Doumani, who contracted out the project; however, the work was not executed according to Hundertwasser’s expectations. Doumani promptly corrected the error by ordering a new dome to be constructed, one which maintained flat, individual segments rather than the convex ones that frustrated Hundertwasser so much.24 Golden onion-shaped domes feature as the key element in a number of other Hundertwasser buildings, including Hundertwasserhaus and the Forest Spiral of Darmstadt (2000), among others. At Quixote, the dome serves as the final surprise when visitors turn the corner of the winding path up to the building. Its golden aura emulates the sun-soaked hillside beyond the property.

Other visual elements of the property connect the artist’s aesthetic creation with his emphasis on environmental awareness. The columns remind visitors that for Hundertwasser, perfection and regularity do not align, and that broken things may still serve needs, if allowed to. Hundertwasser hated the prefabricated and loathed a consumer society in which everyone purchases identical goods.25,26 These feelings manifested themselves in some rather eccentric outcomes.

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Quixote has neither and Doumani’s correspondence sheds no light on the question of why tree tenants and humus toilets are not part of the winery’s design. While sketches by the artist often include tree tenants, Andrea Fürst’s catalogue raisonné,32 the only catalogue raisonné of Hundertwasser’s work, includes precious little information regarding when the artist included humus toilets in his designs.

This limited information, makes it difficult to discern how unique Quixote’s regular toilets are without traveling to each Hundertwasser building individually. Manifestos to the importance of tree tenants and the humus toilet were written by Hundertwasser, so a lack of personal conviction on the artist’s behalf seems unlikely. More likely, the idea of having one’s excrement sit in one’s basement appealed to only a small number of Hundertwasser’s clients—and perhaps to their associated local building ordinances. Despite these exclusions, Quixote has no real design anomalies in comparison to the rest of Hundertwasser’s work. It stands out as his only American building, and further deserves recognition as the only building designed by Hundertwasser to function as a place of commercial production. Little has been said regarding Quixote Winery in the extant Hundertwasser literature. Fürst’s catalogue raisonné gives the building a brief entry,33 and the project is mentioned in a few smaller publications as well, though mostly in the context of listing Hundertwasser projects during the 1990s.34 This author could find no extant critical analysis of Quixote.

Today, Quixote remains a vitally important work in the history of Hundertwasser architecture. It demonstrates the duality of his creative practice and his commitment to the balance between respecting the individual’s creative needs with the protection of the natural world, as well as the specific elements he was willing to forgo and what he was willing to fight for. Even without tree tenants and a humus toilet, the living roof, waterfall mosaics and a glorious golden dome of Quixote Winery help the building shine as the only American monument to the great Friedensreich Hundertwasser, defender of creativity, individuality and nature.

Figure 8. In Friedensreich Hundertwasser’s Quixote Winery, created from 1992-1997, in Napa, California, a detail of a smashed interior column. Photo by Elyse Mack.

Though the aesthetics of Quixote align with Hundertwasser’s oeuvre, in practice, it is not an ultimate symbol of the artist’s sustainability standards. The living roof provides a connection to the natural, but the building does not include two of the most central elements of Hundertwasser’s ecological allegiance: tree tenants and composting toilets

Figure 9. Friedensreich Hundertwasser’s First Colour Drawing for “Tree Tenants,” ink and watercolour, 33 x 21 cm, 1973. Reproduced from Andrea Christa Fürst’s Hundertwasser, 19282000: Werkverzeichnis/ Catalogue Raisonné, vol. 1. (Cologne, Germany: Taschen, 2002), 25.

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References 1. Carl Doumani, “History of Quixote Winery,” (Correspondence and commentary, July 21, 2006).

2. This author found four commercial, nonresidential projects which Hundertwasser built from scratch: Hundertwasser Environmental Railway Station, Uelzen, Germany; Altenrhein Indoor Market, Alternhein, Switzerland; Sakishima Pump Station, Osaka, Japan; and Dorint Hotel and Resorts, Tenerife, Spain. Two more were either renovations or had residential intentions. Details about these buidlings, including their locations and proprietors, may be found in Andrea Christa Fürst’s Hundertwasser, 1928-2000: Werkverzeichnis/Catalogue Raisonné, vol. 2 (Cologne: Taschen, 2002), 279, 1302-1313.

3. Hundertwasser, Fürst, 1928-2000: Werkverzeichnis/Catalogue Raisonné, ,vol. 2, 1302.

4. Hundertwasser, Fürst, 1928-2000: Werkverzeichnis/Catalogue Raisonné, vol. 2, 1306.

5. Doumani, “History of Quixote Winery,” 8.

6. The winery is impossible to reach with public transportation, and lies 20 minutes by car from the center of Napa, California. The closest urban area—San Francisco—is an hour and a half away.

7. Doumani, “History of Quixote Winery,” 1. How seriously we choose to take Doumani’s proclamations about the project must be tempered with the understanding that he is also a savvy businessman who is adept at self-promotion.

8. Hundertwasser, Fürst, 1928-2000: Werkverzeichnis/Catalogue Raisonné, vol. 2, 18.

9. Doumani, “History of Quixote Winery,” 7. This author was unable to find public records of the project’s estimated cost, but future research may find it revealing to compare various payments made to Hundertwasser for his work.

10. Doumani, “History of Quixote Winery,” i.

16. In addition to building codes, the possibility that someone might fall off the front of the building and hurt themselves, resulting in a lawsuit for the proprietor, makes this decision logical, even if it goes against Hundertwasser’s wishes.

17. Restany and Hundertwasser. Hundertwasser, 146.

18. Restany and Hundertwasser. Hundertwasser, 119-124.

19. Fürst, Hundertwasser, 1928-2000: Werkverzeichnis/Catalogue Raisonné, vol. 1, 308. Hundertwasser’s first major architectural project—the Hundertwasserhaus in Vienna— was completed in 1985.

20. Restany and Hundertwasser, Hundertwasser, 151.

21. Restany and Hundertwasser, Hundertwasser, 187.

22. Restany and Hundertwasser, Hundertwasser, 189.

23. Restany and Hundertwasser, Hundertwasser, 147.

24. Doumani, “History of Quixote Winery,” iv-v.

25. Pierre Restany and Friedensreich Hundertwasser, For a More Human Architecture in Harmony with Nature: Hundertwasser Architecture, trans. Philip Mattson, (Cologne: Taschen, 1997), 73.

26. Restany and Hundertwasser, Hundertwasser, 132.

27. Harry Rand, Hundertwasser (Cologne: Taschen, 1991), 222-223.

28. Doumani, “History of Quixote Winery,” 5.

29. Restany and Hundertwasser, For a More Human Architecture, 83-85.

30. Restany and Hundertwasser, Hundertwasser, 185.

31. Restany and Hundertwasser, Hundertwasser, 211.

11. Ibid.

32. The information was also difficult to come by in other sources, but I relied on Fürst as it is the most complete.

12. Fürst, Hundertwasser, 1928-2000: Werkverzeichnis/Catalogue Raisonné, vol. 1 (Cologne: Taschen, 2002), 24.

33. Fürst, Hundertwasser, 1928-2000: Werkverzeichnis/Catalogue Raisonné, vol. 1, 280.

13. Ibid.

34. Fürst, Hundertwasser, 1928-2000: Werkverzeichnis/Catalogue Raisonné, vol. 2, 1294, Aurora Cuito and Christina Montes, Friedensreich Hundertwasser (Barcelona: LOFT Publications, 2003), 79; and Robert Schediwy, Hundertwassers Häuser: Dokumente einer Kontroverse über zeitgemässe Architektur (Wien: Edition Tusch, 1999), 242.

14. Pierre Restany and Friedensreich Hundertwasser, Hundertwasser (New York: Parkstone Press International, 2008), 168.

15. Ibid.

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Reverie “Reverie” is an animated 3D short film created with eight other female Arts and Technology undergraduate students at The University of Texas at Dallas. This short was not completed for class credit, meaning that all the work was student driven and self-motivated.

Being able to complete a film as a team was not only a rewarding experience but is also a necessary skill for successful future work in the animation industry. Every animated movie is a team effort, so it was important for us, as students, to get a glimpse of that experience by taking on a large-scale project of our own and pushing our creative limits. All aspects of the short were done by the team, from the design and creation of the 3D world to the development of the story.

This short film begins with a young girl in a spotlight showing off some of her best ice-skating moves in an enormous rink. But once the music she’s been spinning to starts skipping, she wakes up from her daydream and finds herself at home in her kitchen. In frustration at this incident interrupting her stunning performance, she stomps over to her CD player and hits it. The music stops skipping, and she excitedly goes back to dancing. We stay in the kitchen with her, revealing that, in reality, her moves are more childlike, but still just as amazing as before, in her eyes.

To see behind-the-scenes work, please visit http://reverieshort.weebly.com/.

— by Lucie Bossart

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Determining the Characteristic Function of Generalized Divisibility Relations An integer p greater than 1 is prime if the only positive integers which divide p are 1 and p itself. The greatest common divisor of two integers, denoted (m,n), is the largest integer d which divides both m and n.

If (m,n)=1, then m and n are said to be coprime. Any integer can be decomposed uniquely into a product of primes, which is called its prime factorization. For example, 168=2 3 • 3 • 7. The divisors of any natural number form a set of integers, which will be denoted by D(n). For example, D(20)={1,2,4,5,10,20}. Other divisibility relations can be defined so that each number is assigned a subset of D(n) according to some condition.

— by Otto Vaughn Osterman

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One important example of another divisibility relation is the unitary divisors, defined to be the divisors d such that d and are coprime.1 We denote the set of unitary divisors of n by D1 (n). For example, D1 (20)={1,4,5,20}, but 2 is not a unitary divisor since 2 and =10 have a common divisor of 2. The bi-unitary divisors take this idea a step further: d bi-unitarily divides n if and only if d and have no common unitary divisors other than 1. Cohen extended this recursively to the general k-ary divisibility relations: For any positive integer k, the k-ary divisors of a natural number n, Dk (n), are the divisors d for which d and have no common (k-1)-ary divisors other than 1. In fact, for any integer n, Dk (n) stabilizes for k≥ν(n)-1, where ν(n) denotes the greatest power in the prime factorization of n.2 The infinitary divisors, which we denote by D∞ (n), are defined to be the limiting case for this infinite process. Cohen gives a simple characterization of them.2 Analogs of arithmetic functions such as the Euler totient function, the Möbius function, and the divisor sum function, as well as analytical results concerning the sum of values of these functions, have been developed for the k-ary divisors and other divisibility relations.3 Research in these analogs has led to discoveries of interesting relationships.

For example, the bi-unitary Möbius function is identical to the infinitary Möbius function.4 In fact, some researchers have used the infinitary divisors to develop an equivalence to the Riemann hypothesis, one of the most important open problems in mathematics.4 Full characterizations of the unitary, bi-unitary, and infinitary divisibility relations are known, and extensive research has been done on them. However, not much is known about the more general family of the k-ary divisibility relations. The focus of this paper is to investigate the k-ary divisors further, which may lead to better results on arithmetic and summatory functions relating to the k-ary divisors.

Background Two properties of the k-ary and infinitary divisibility relations will prove useful. First, they are multiplicative: for any two coprime integers m and n, Dk (mn)= Dk (m) • Dk (n), where the dot product of sets is the set of all possible member-wise products (for example, {1,3,7} • {1,2,8} = {1,2,3,6,7,8,14,24,56}).2 This allows computation of the k-ary divisors of any integer n by knowing only those of the prime powers in its prime factorization. Second, the pairs of integers a and b for which pb is a k-ary divisor of pa are independent of the prime p.2 Therefore, we say the k-ary divisors are homogeneous with respect to the prime powers. Due to these properties, the k-ary divisibility relation for any integer k can be represented entirely by assigning a 61

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1 or 0 to each pair of integers (a,b), indicating whether pb is a k-ary divisor of pa.5

The function T(a,b) allows the direct computation of the k-ary divisors of any prime power pa as follows:

For all k, 1 and pa must be k-ary divisors of a prime power pa.

The unitary divisors of any prime power are D1 (pa )={1,pa}.

Thus, D1(n) Dk(n) for any k. The bi-unitary divisors of a prime power, D2(pa), consist of all divisors of pa with the exception of p(a/2) if a is even.2 In fact, the k-ary divisors are ordered by inclusion by D1(n) D3(n) D5(n) ... D∞(n) ... D4(n) D2(n)D (n).5 This allows us to define an integer-valued characteristic function T(a,b) that encompasses all information for k-ary divisibility of prime powers. We call this the characteristic function. It is defined as follows, where p is any prime number:

If k is odd, then pb is a k-ary divisor of pa if b T(a,b)≤k.

V(a) AND

If k is even, then pb is a k-ary divisor of pa if b T(a,b)>k.

V(a) OR

If pb D∞(pa), then T(a,b) is the least odd integer k for which pb is a k-ary divisor of pa.

If p D∞(pa), then T(a,b) is the least even integer k for which pb is NOT a k-ary divisor of pa. b

By multiplicativity of the k-ary divisors, this result can be used to compute the k-ary divisors of any natural number n based on its prime factorization:

All of the values T(a,b) where a ≤ 4096 were computed in C++ using the above algorithm, with time complexity O(n2.585) to compute all values T(a,b) where 0≤b≤a≤n. At first, they appear to have a complicated structure, but a closed form solution does exist in many cases.

if n=p1ν1p2ν2 p3ν3…psνs, then Dk(n)=Dk( p1ν1 ) • Dk( p2ν2) • … • Dk (psνs ).

Results

For example, D5(27 )={1,22,23,24,25,27 }={1,4,8,16,32,128} and D5 (52)= {1,52 }={1,25}, so

The purpose of this paper is to develop an efficient recursive algorithm to compute T(a,b), and by extension the k-ary divisors of any integer, and to present an explicit formula for this function in many cases.

Methodology Before proceeding further, we define some functions based on the binary representation of an integer, which will later be used extensively. For any integer x: B(x) will be the set of powers of 2 whose sum is x. The uniqueness of such a set follows from the uniqueness of the binary representation, or representation of a positive integer as a sum of powers of 2. For example, 45=32+8+4+1, so B(45)={1,4,8,32}.

V(x) will be the set of all positive integers v (excluding zero) for which B(v) B(x). For example, V(45)={1,4,5,8,9,12,13,32, 33,36,37,40,41,44,45}.

Two integers x and y will be called binary independent if B(x) and B(y) contain no elements in common. This is equivalent to V(x) V(x+y). The importance of these functions is their relation to the infinitary divisors: for any two prime powers, pb is an infinitary divisor of pa if and only if b V(a).2 They will have a role in our characterization of the k-ary divisors as well.

Figure 1 shows an example for both cases of this recursive formula. For the first case, T(14,v) and T(13,v) are both odd only when v=4, 8, or 12. The maxima of these values are 7, 9, and 13 respectively, so T(27,14) = min(7,9,13)+1=8. For the second case, the value of Mx,y(v) (the minimum even value of T(17,b) and T(8,b)) is shown in the last row. The maximum of the values in this last row is 10, so T(25,17)=10+1=11.

D5(3200)=D5 (27• 52)=D5(27) • D5(52)={1,4,8,16,32,128} • {1,25} ={1,4,8,16,25,32,100,128,200,400,800,3200}.

The recursive definition of k-ary divisibility in terms of k allows the characteristic function T(a,b) to be computed recursively in terms of a and b. Specifically, the value of T(x+y,x) (we use the form T(x+y,x) as opposed to T(a,b) because it yields simpler results for the recursive algorithm) for any case where x≥y≥1 can be computed in terms of T(x,v) and T(y,v), where v ranges from 1 to y, according to the following: If x and y are binary independent, then T(x+y,x) = max { Mx,y(v) : 1≤ v ≤ y } + 1, where Mx,y(v) is the minimum even value of T(x,v) and T(y,v) (If one of these values is odd, then Mx,y(v) will be equal to the other one. It is impossible for both to be odd in this case).

If x and y are not binary independent, then T(x+y,x) is the minimum value of max { T(x,v),T(y,v) } +1 over all values v V(x) V(y) (so that T(x,v) and T(y,v) are both odd).

If y≥x, then the symmetry identity T(x+y,x)=T(x+y,y) can be used. When combined with the trivial cases T(a,0)=T(a,a)=1, this fully describes the T function recursively. Note that this recursive characterization satisfies the requirement that T(x+y,x) is odd if x and y are binary independent and even otherwise.

The results rely heavily on the binary representation of integers, which is somewhat surprising given the recursive relation by which they are derived but consistent with the characterization of the infinitary devisors and the results of Cohen.2 In presenting this result, we again replace T(a,b) with the form T(x+y,x) as it yields simpler expressions. We define a new function η as follows, where x is any positive integer, r is a power of 2, and square brackets denote the integer part of the quotient: If x is even, then η(x,r) =

+ - 1.

If x is odd, then η(x,r) =

+ r + 1.

The recurrence relation for T can be solved to yield an explicit formula for most cases. Excluding the trivial results T(x,0)=T(x,x)=1, these values are divided into five cases. The criteria for each case and corresponding values are shown in Figure 2 for any positive integers x and y where x ≥ y. The symmetry identity T(x+y,x)=T(x+y,y) can be used to produce the values for when x<y.

Cases 1 and 2 together encompass all the odd values of T, while Cases 3, 4, and 5 encompass all of the even values.

The value for Case 5 is given as an inequality, as it does not have a simple result, but in combination with Cases 1 and 2, it can be found in at most O(n) computations by a single step of the recursive relation described above.

These values can be verified by a rigorous proof involving mathematical induction and extensive casework, in which the values of T(n,v) in Cases 3 through 5 are proven from the values of T(a,b) in Cases 1 and 2 for a ≤ n-1, and the values of T(n,v) in Cases 1 and 2 are proven from the values of T(a,b) in Cases 3 through 5 for a ≤ n-1.

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Figure 3 shows the values of T(a,b) for a ≤ 31 graphically in what we call the characteristic triangle, where a is the row and b is the column. The odd values are shown as warm colors, ranging from 1 (yellow) to 31 (red). The even values are shown in varying shades of blue from 2 (lighter) to 30 (darker). The smallest value in each row is T(a,0)=T(a,a)=1, and the largest is T(a,1)=T(a,a-1)=a. The collection of odd values, indicating the infinitary divisors, form the Sierpinski triangle, a fractal structure generated by infinite repetition, consistent with Cohen’s results.2 For the odd values, Cases 1 and 2 are easily distinguishable, as the odd values alternate between small and large on the odd-numbered rows. The even values also demonstrate isolated large values, particularly in Case 3. Most values, however, occur in Cases 4 and 5, where the formula produces diamonds of various sizes with bands alternating between two consecutive even values. These diamonds become larger when examining more rows, a result of the minimizing binary component of the η function. The values where strict inequality holds in Case 5 are seen in even values near the center of the triangle where there are many irregularities, including a value of 2 at the center of every even-numbered row.

Conclusion One consequence of the results is that the k-ary divisors of the prime powers beyond a certain power for any odd value of k are identical to the unitary divisors, as there is a maximum value of a for each odd k such that T(a,b)=k for some b. The recursive definition of k implies that a similar result must also hold for the even values of k.5 The recursive relation and partial solution for the k-ary relations can be used to develop analogs of certain arithmetic functions for the k-ary divisors and better bounds for analytical results on these functions, which have applications relating to the distribution of prime numbers. The central reliance of the results on the binary representation of integers is somewhat surprising as this concept appears nowhere in the definition of k-ary divisibility. However, this is to be expected when considering the characterization of the infinitary divisors. The results presented in this paper may be used to extend the analysis of arithmetic functions and analytical results to the k-ary divisors and may lead to better error bounds on these functions and possible connections to those of other divisibility relations.

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References 1. Eckford Cohen, “Arithmetical Functions Associated with the Unitary Divisors of an Integer,” Mathematische Zeitschrift 74, no. 1 (December 1960): 66-80, https://dx.doi. org/10.1007/BF01180473.

2. Graeme L. Cohen, “On an Integer’s Infinitary Divisors.”

Mathematics of Computation 54, no. 189 (January 1990): 395-411, https://dx.doi.org/10.2307/2008701.

3. Graeme L. Cohen and Peter Hagis, Jr, “Arithmetic Functions Associated with the Infinitary Divisors of an Integer.” International Journal of Mathematics and Mathematical Sciences 16, no. 2 (1993): 373-384, https://dx.doi. org/10.1155/S0161171293000456.

4. Rasa Steuding, Jörn Steuding, and Lázló Toth, “A Modified Möbius μ-Function,” Rendiconti Circolo Matematico di Palermo 60, no. 1-2 (September 2011): 13-21, accessed April 1, 2018, https://dx.doi.org/10.1155/S0161171293000456.

5. Joseph Vade Burnett, Sam Grayson, Zachary Sullivan, Richard Van Natta, and Luke Bang. “Arithmetical Functions Associated with the k-ary Divisors of an Integer.” International Journal of Mathematics and Mathematical Sciences 2018, Article ID 9349245, https://doi.org/10.1155/2018/9349245.

“The Giving P” Made from inorganic materials, “The Giving P” strives to be so much more than just a bathroom plant. Representing the growth and beauty of feminism, as well as youthfulness is a hard task. However, it is ultimately captured in this project: a rose bush bearing pink roses, each handmade from women’s menstrual pads, nestled in a wicker basket, which is filled with free-to-take feminine hygiene products. A large plant like this is similar to one you might find in the corner of a restroom. Combining this bathroom aesthetic plus the functionality of a feminine-hygiene dispenser led to the creation of “The Giving P.” Juxtaposing menstruation with a natural object like this large plant shouldn’t be too much of a stretch, but sadly, this isn’t the way that women’s cycles are viewed. “The Giving P” also serves as a social commentary on the availability and access to proper health care and sanitary items, things largely lacking in our country.

For my final culture-jamming project, I abstracted my previous project, “The Unposter Assignment,” sculpturally to an artificial rose bush from the original bouquet of flowers.

The design was simplified to mimic its natural organic inspiration, featuring only one kind of flower, both in type and color. Handmade pink maxi-pad roses bloom from this unkempt plant. Its uniformity causes the plant to look more realistic and lifelike than one with inconsistencies in these regards. The color pink is representative of both as a natural

color for roses, as well as for women, since it is the color that society has long identified with the female gender.

The piece represents femininity, as it is blooming and full of life, alive with passion. The beauty of the roses plus their uniqueness highlights the women and the aspects of life they represent. Challenging the cultural view of menstruation is the key point of assembling the roses from maxi pads.

The juxtaposition causes slight discomfort to the viewer in that the natural beauty of a rose and the natural beauty of womanhood are rarely, if ever viewed this way.

“The Giving P” differs from its predecessors, as it bestows character and life upon the grey-scale hygiene dispensers of the past and present. Comparing this project’s subject matter to the timeline of culture jamming pegs it as being relatively New Age, but it could easily fit in earlier as well when considering the craft of assemblage. The concept of an artificial plant is not groundbreaking, but the goals of this project are to be pro-women and pro-free health care.

Fighting stigmas against women’s menstruation and their rights in general, “The Giving P” furthers feminist normalization as we approach equality. It’s hard to imagine anything that could radically change the view of so many people, but hopefully, this project will begin to chip away at the wall of social stigmas surrounding feminine existence.

— by Delaney Conroy

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