Public Health Commons^™

Covid-19 Isolation Compliance Among Students And Employees Of A Large Public University, Nicolette Harmon

UNLV Theses, Dissertations, Professional Papers, and Capstones

Isolation has been used to prevent the spread of many infectious diseases including COVID-19. The CDC’s isolation recommendations have changed over the course of the COVID-19 pandemic, currently infected individuals must stay at home for 5 full days. The CDC cites low compliance rates as one of the reasons for the recent reduction to the number of days in isolation. However, the CDC could only cite studies from other countries due to the lack of studies on isolation compliance in the United States. This study aimed to determine what percentage of UNLV students and staff complied with the isolation guidelines …

Use Of Healthcare Utilization Records For Analyzing Trends In Clinical Toxoplasmosis: A Comparison Of Nevada And The United States, Elijah Kreutzer

UNLV Theses, Dissertations, Professional Papers, and Capstones

Toxoplasmosis, a zoonotic disease caused by the parasitic protist Toxoplasma gondii, is a ubiquitous, global public health concern with a wide variety of clinical manifestations. Surveillance for the disease is lacking even in developed countries, and what surveillance is present most often focuses on pregnant women. This research investigated trends in clinical toxoplasmosis in Nevada and nationally to address the lack of knowledge concerning how Nevada discharges compare to national discharges in cases of toxoplasmosis. Specifically, this research sought to determine what characterizes toxoplasmosis in Nevada across inpatient, outpatient, and emergency department settings, as well as how these cases differ …

Self-Reported Covid-19 Diagnosis And Severity And Its Association With Utilization Of And Delays In Needed Medical Care, Mohammad Hesam Alavi

UNLV Theses, Dissertations, Professional Papers, and Capstones

Covid-19, caused by the virus SARS-CoV-2, was declared a pandemic by the World Health Organization (WHO) on March 11, 2020. The pandemic-related disruptions and the pursuant lockdowns have adversely impacted every aspect of people’s lives including access to medical care, cancer care, preventive medicine, mental health, and dental care in an already imperfect healthcare system in the US. This study utilized the 2020 self-reported data from quarters 3 and 4 of the National Health Interview Survey, a cross-sectional interview survey by the Centers for Disease Control and Prevention, to determine the possible association of self-reported COVID diagnosis, test positivity, and …

Covid-19 Vaccine Acceptance Behavior Among Hispanics/Latinxs In Nevada: A Theory-Based Analysis, Tara Marie Naoe Tacderan Wong Nerida

UNLV Theses, Dissertations, Professional Papers, and Capstones

The COVID-19 pandemic has impacted many lives around the world, leaving negative repercussions including health effects, economic downturns, and social and physical restrictions. The pandemic has also revealed many disproportionate health impacts on vulnerable populations, especially among the Hispanic and Latinx populations. The use of the three COVID-19 vaccines in the United States has presented a form of protection against additional negative impacts. However, hesitancy toward the COVID-19 vaccine has hindered its rapid uptake, preventing the country from reaching herd immunity and ultimately ending the pandemic. Current research is minimal in understanding the intentions of receiving the COVID-19 vaccine among …

Payment Profiles: Using Payment Transaction Data To Identify And Characterize Gamblers, Kasra Ghaharian

UNLV Theses, Dissertations, Professional Papers, and Capstones

Payment providers in the gambling industry facilitate transactions, allowing customers to transfer money to and from wagering accounts. Payments transaction data is information that is captured from these transactions, including, for example, the type, amount, time, and location. How this data may be used for gambling harm minimization and prevention has garnered significant interest, particularly due to accelerated payments modernization in the wake of the COVID-19 pandemic. With this study, I explored the utility of payments transaction data to categorize subgroups of gamblers in order to identify individuals who may be at-risk of harm. I benchmarked six cluster analysis methods …

Automated Approach For The Enhancement Of Scaffolding Structure Monitoring With Strain Sensor Data, Sayan Sakhakarmi

UNLV Theses, Dissertations, Professional Papers, and Capstones

Construction researchers have made a significant effort to improve the safety of scaffolding structures, as a large proportion of workers are involved in construction activities requiring scaffolds. However, most past studies focused on design and planning aspects of scaffolds. While limited studies investigated scaffolding safety during construction, they are limited to simple cases only with limited failure modes and simple scaffolds. In response to this limitation, this study aims to develop an automated scaffold monitoring approach capable of monitoring large scaffolds. Accordingly, this study developed an automated scaffold safety monitoring framework that leverages sensor data collected from a scaffold, scaffold …

Markers Of Neuroinflammatory And Degenerative Processes In Professional Athletes With Traumatic Encephalopathy Syndrome, Brooke Conway Kleven

UNLV Theses, Dissertations, Professional Papers, and Capstones

Introduction: The clinical criteria for Traumatic encephalopathy syndrome (ccTES) were developed to improve the diagnosis of Chronic traumatic encephalopathy (CTE). This study aimed to determine whether there was an association between a clinical diagnosis of Traumatic encephalopathy syndrome (TES) and changes in serum biomarkers, balance, neuroimaging, and cognition among athletes in the Professional Athletes Brain Health Study (PABHS).Methods: Of the cohort, 130 professional fighters met age or retirement criteria and went to a consensus conference, with 52 fighters (40%) meeting the criteria for TES. A generalized linear model with generalized estimating equations was utilized to assess the odds of disease …

Awareness And Knowledge On Aging And Hiv-Associated Neurocognitive Disorder: Service User And Provider Perspectives In Southern Nevada, Brandon C. Ranuschio

UNLV Theses, Dissertations, Professional Papers, and Capstones

HIV-Associated Neurocognitive Disorder (HAND) is a condition that can affect up to 50% of people living with HIV/AIDS (PLWH) and present as a cluster of neurocognitive difficulties in domains such as attention, memory, concentration, language, information processing, decision-making, problem-solving, and even motor skills. The current study intended to identify awareness and knowledge of HAND among middle-aged and older PLWH and their healthcare or service providers in Southern Nevada. Using a Community-Based Participatory Research approach, participants from the community were recruited to complete a survey that assessed awareness and knowledge of HAND. The survey also assessed the personal experiences of PLWH …

Vaccinator Communication Interventions To Address Hpv Vaccine Hesitancy, Joann Rupiper

UNLV Theses, Dissertations, Professional Papers, and Capstones

Human papillomavirus (HPV) vaccination is an effective public health tool to decrease the rates of HPV-related cancers in our communities. Vaccine hesitancy can undermine this effort, and interventions are needed to inform and assist individuals/parents in decision-making to receive vaccines. The COVID-19 pandemic and newly developed vaccines have increased attention and made families hesitant about vaccines. Receiving a provider's strong recommendation for the vaccine is one of the strongest predictors of HPV vaccine uptake. However, not all providers have the knowledge and skills to provide the best approach for families and patients. The primary communication method has been the presumptive …

Association Between Arthritis And Yoga Among Veterans, Anupreet Arora

UNLV Theses, Dissertations, Professional Papers, and Capstones

Yoga is a state of complete mindfulness and self-realization with an inwardly drawn focus, a state of mind – body integration in which there is a harmony between form and action. Yoga can help us treat a myriad of chronic health conditions like obesity, heart diseases, diabetes, depression, gastrointestinal problems, asthma, hypertension, chronic low back pain, and arthritis to name a few. Arthritis is a frequent, debilitating chronic disease which can cripple an individual if allowed to progress unchecked. In 2021, the prevalence of arthritis in USA was around 24% with a projection of 37% by 2030. Prevalence of arthritis …

Quality Of Care: A Business Case For Us Hospitals, Iwimbong Kum Ghabowen

UNLV Theses, Dissertations, Professional Papers, and Capstones

The Patient Protection and Affordable Care Act present some threats and opportunities to many hospitals across the USA. Under the Value-Based Purchasing Program, acute care hospitals' rewards are tied to incentive payments for the quality of care provided in the inpatient hospital. In the last 20 years, growing research has examined the effects of the quality of care on the financial performance of hospitals. There is a gap in the literature, particularly exploring the relationship between quality and hospital financial performance using national samples. This dissertation investigates the association between patients' experience of care, 30-day readmission rates, and case-mix-index (CMI) …

Examining The Role Of Prosocial Tendencies And Social Anxiety In Hazardous Drinking Practices Among College Students, Helena M. Berlin

UNLV Theses, Dissertations, Professional Papers, and Capstones

Over 40% of the United States (US) population aged 18 to 25 is enrolled at postsecondary institutions, and 31.4% of college students report risky alcohol use (i.e., binge drinking). Identifying risk and protective factors for this population is a public health priority. The primary objective of this study was to examine the additive and multiplicative relationship of prosocial tendencies and social anxiety on hazardous drinking (AUDIT scores). A secondary aim was to examine whether these relationships differed by participation in college organizations (Greekaffiliation, athletic participation, both, and neither). Cross-sectional data were collected from 9,196 college students (ages 18-25) from 12 …

Increasing Human Papillomavirus Vaccination Intent And Knowledge Through An Educational Intervention, Angelica E. Musumeci

UNLV Theses, Dissertations, Professional Papers, and Capstones

Human papillomavirus (HPV) is a widely discussed topic in healthcare as it affects patients of all genders and ages who partake in sexual activity. The most significant concern it poses to those at risk is HPV-related cancer. Fortunately, a vaccination exists that targets specific strains associated with these types of cancers. Despite evidence-based research supporting the vaccination’s efficacy and safety, lack of awareness and misinformation diminish the receipt of the vaccine and drive the lack of protection. Thus, educational interventions directed at parents and caregivers, which aims to improve their understanding of HPV and the vaccination’s benefits, is key to …

Regional Health Benefits Of The Nevada Renewable Energy Initiative, Alireza Rezaee

UNLV Theses, Dissertations, Professional Papers, and Capstones

In recent years, there have been tremendous efforts to replace fossil fuels with renewable energy to mitigate emissions of greenhouse gases and air pollutants in the United States. Nevada was among the first states that established the renewable portfolio standards (RPS), requiring a certain percentage of electricity sold to the customers for consumption coming from renewable resources. The recent Nevada Senate Bill 358, signed by Nevada’s Governor in 2019, set a target that by 2030 not less than 50% of electricity sold in Nevada should come from renewable resources. This research investigates how this Bill could provide health benefits for …

The Association Between Neighborhood Social Media Use And Social Cohesion, Sense Of Community And Perceived Safety Among Adults In Clark County, Nevada, Emily Strickler

UNLV Theses, Dissertations, Professional Papers, and Capstones

Place-based health is a concept that suggests where you live has an effect on your health outcomes. Social health factors such as social cohesion, sense of community, and perceived safety are all influenced by the neighborhood environment, and positively associated with health outcomes such as self-reported minutes of physical activity and symptoms of depression. With the increasing popularity of social media sites used specifically for neighborhood purposes, more neighbors are connecting than ever before. The purpose of this study was to determine if use of neighborhood social media sites was associated with the social health factors of social cohesion, sense …

Assessment Of Oral Human Papillomavirus In Pediatric And Adult Patients Within A Multi-Ethnic Clinic Population, Melissa Kornhaber

UNLV Theses, Dissertations, Professional Papers, and Capstones

Introduction: Human papillomavirus (HPV) encompasses a large family of oncogenic viruses responsible for increasing rates of both cervical and oral cancer, particularly among minority and low-income populations. Although this represents an increasingly significant public health risk, few studies have screened for oral HPV within Nevada. Based upon this information, the primary objective of this study was to provide a temporal analysis of oral HPV screening among a primarily low-income, minority patient population.

Methods: This retrospective analysis was reviewed and approved by the Institutional Review Board (IRB). In brief, unstimulated saliva samples were previously obtained from clinical patient volunteers that provided …