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Comparing Suicide Risk, Acquired Capability, Distress Tolerance, And Reasons For Living In Those With Non-Suicidal Self-Injury Or Disordered Eating, Brooke Beck May 2019

Comparing Suicide Risk, Acquired Capability, Distress Tolerance, And Reasons For Living In Those With Non-Suicidal Self-Injury Or Disordered Eating, Brooke Beck

Student/Alumni Personal Papers

Acquired Capability has been a longstanding measure used to predict the likelihood that one may attempt suicide. However, does it hold true in every scenario? Are there other measures that would prove more accurate? This research evaluated these questions, examining archival data of two identified risk groups: those participating in Non-Suicidal Self-Injury (NSSI) and Disordered Eating (DE).

When measured using the Acquired Capability for Suicide Scale (ACSS), both groups have similar results in survey data as well as when measuring Distress Tolerance. This would imply that both are at the same risk of attempting suicide. However, when the groups were …


The Importance Of Multiple Narrative Spirituality In Child Development Of Morality In A Pluralistic Society, Jamie Mckeithen May 2019

The Importance Of Multiple Narrative Spirituality In Child Development Of Morality In A Pluralistic Society, Jamie Mckeithen

Senior Theses

With the assumption that humans are innately spiritual, I investigate research regarding the development of spirituality that takes place from childhood to adulthood. Over the past 30 years, James Fowler has called upon Erikson’s and Piaget’s cognitive developmental stages of children, in order to understand their spiritual development phases. When reading the myths and origin stories of spiritual belief systems, the commonality found within all of these narratives is the persistent focus on underlying morality. When utilizing stories as a way to teach spiritual morality, children are easily able to recognize and go back to these basic narratives, using their …


Self-Rated Health, Healthcare Satisfaction, Healthcare Adherence, And Medical Mistrust: The Moderating Role Of Rurality, Stephanie Alu May 2019

Self-Rated Health, Healthcare Satisfaction, Healthcare Adherence, And Medical Mistrust: The Moderating Role Of Rurality, Stephanie Alu

Undergraduate Honors Theses

The current study is part of a broader study called the Women’s Reproductive Health Survey (WRHS) which aimed to examine various aspects of women’s life experiences. This study examined the moderating effect of rurality on several factors of healthcare in a sample of women between the ages of 18 and 50. Self-rated health (SRH) was hypothesized to predict healthcare satisfaction, healthcare adherence, and medical mistrust. Furthermore, rurality was hypothesized to weaken the relationships between SRH and healthcare satisfaction and adherence; it was further hypothesized to exacerbate the relationship between SRH and medical mistrust. A survey containing a single-item measure of …


Developmental Changes In Reasoning About Cross-Classified Individuals., Catherine H. Mcdermott May 2019

Developmental Changes In Reasoning About Cross-Classified Individuals., Catherine H. Mcdermott

Electronic Theses and Dissertations

Social categories allow children to make inferences about novel situations, which can then guide their interactions with others. However, this process can be complicated because individuals often belong to many different, sometimes interrelated, social categories. Four experiments examine whether children and adults differ in their willingness to classify a person as holding two social roles (e.g., a mother and a daughter), and how this influences their reasoning. Specifically, this work will examine the influence of cross-classification on inductive inferences, trust in testimony, and knowledge evaluations. The aim of these experiments is to investigate whether children privilege certain roles when reasoning …


Grandma Got Passed Over By A Manager: The Intersection Of Age And Gender In Hiring, Alyssa Perez May 2019

Grandma Got Passed Over By A Manager: The Intersection Of Age And Gender In Hiring, Alyssa Perez

Electronic Theses and Dissertations

Research has demonstrated how age stereotypes influence judgment and decision making at work, but older workers are more than just older. All individuals are members of multiple demographic categories, yet we know surprisingly little about how multiple category membership affects judgments and decision making at work. Competing models have been suggested, such as the category activation and inhibition model (Kulik et al., 2007) and the intersectional salience of ageism at work model (Marcus & Fritzsche, 2015). However, empirical tests of these models are scarce. In the present study, the age and gender of job applicants were manipulated in a mock …


The Prevalence Of Practicing Safety Professionals’ Knowledge, Involvement, And Competency Associated With Workplace Wellness Programs: Gauging The Safety Profession’S Engagement With The Total Worker Health Initiative, Jennifer C. Laine May 2019

The Prevalence Of Practicing Safety Professionals’ Knowledge, Involvement, And Competency Associated With Workplace Wellness Programs: Gauging The Safety Profession’S Engagement With The Total Worker Health Initiative, Jennifer C. Laine

Dissertations and Theses (Open Access)

The morbidity and mortality burden of occupational injuries and illnesses in the United States became such a public health concern that in 1970 the Occupational Safety and Health Act was signed into law. This law requires employers to provide workplaces “free from recognized hazards” and spurred the development of specific regulations along with the creation of academic and professional training programs to educate individuals about the safety sciences and careers in safety fields. Today there are an estimated 26,000 professionally trained and board certified safety professionals supporting workplace programs across the country, alongside numerous non-certified, but degreed, practicing safety professionals. …


Predictors Of On-Treatment Mortality Of Patients Undergoing Palliative Radiation Therapy: Improving The Quality Of End-Oflife Cancer Care, Matthew Stephen Ning May 2019

Predictors Of On-Treatment Mortality Of Patients Undergoing Palliative Radiation Therapy: Improving The Quality Of End-Oflife Cancer Care, Matthew Stephen Ning

Dissertations and Theses (Open Access)

PURPOSE: Excessive medical treatment at end-of-life is an indicator of poor quality care. While radiation therapy (RT) is effective for palliation, some patients die shortly after or even during treatment. Any treatment that requires terminal patients to spend significant time in the hospital setting contradicts palliative goals. This study investigates patterns of end-of-life RT to inform quality improvement initiatives.

METHODS: All patients who died within 6 months of starting RT at a single large academic cancer center between 2015 through 2018 were identified through our institutional databases on an Institutional Review Board-approved protocol. Clinical factors including age, treatment service, number …


Model Minority Myth: Minority Status Intersectionality, Simone Porter May 2019

Model Minority Myth: Minority Status Intersectionality, Simone Porter

Honors Program Theses and Projects

This study investigated the priming effects of the model minority stereotype on 52 clinicians in training regarding their diagnostic accuracy of a transgender Japanese American male (female to male) compared to a cisgender Japanese American male patient with identical symptoms qualifying for persistent depressive disorder (PDD). It was hypothesized that clinicians in training would be more likely to perceive the primed transgender vignette as low functioning with more time needed for recovery compared to perceiving the cisgender vignette as high functioning with less time needed for recovery. The results showed a main effect for gender for the symptom inattention to …


The Effects Of Two Novel Anti-Inflammatory Compounds On Prepulse Inhibition And Neural Microglia Cell Activation In A Rodent Model Of Schizophrenia, Heath W. Shelton May 2019

The Effects Of Two Novel Anti-Inflammatory Compounds On Prepulse Inhibition And Neural Microglia Cell Activation In A Rodent Model Of Schizophrenia, Heath W. Shelton

Electronic Theses and Dissertations

Recent studies have shown elevated neuroinflammation in a large subset of individuals diagnosed with schizophrenia. A pro-inflammatory cytokine, tumor necrosis factor-alpha (TNFα), has been directly linked to this neuroinflammation. This study examined the effects of two TNFα modulators (PD2024 and PD340) produced by our collaborators at P2D Bioscience, Inc., to alleviate auditory sensorimotor gating deficits and reduce microglial cell activation present in the polyinosinic:polycytidylic (Poly I:C) rodent model of schizophrenia. Auditory sensorimotor gating was assessed using prepulse inhibition and microglial activation was examined and quantified using immunohistochemistry and confocal microscopy, respectively. Both PD2024 and PD340 alleviated auditory sensorimotor gating deficits …


Integration Of Mindfulness-Based Approaches In The Treatment Of Eating Disorders: A Review Of The Literature, Kimberly Hubinger May 2019

Integration Of Mindfulness-Based Approaches In The Treatment Of Eating Disorders: A Review Of The Literature, Kimberly Hubinger

Dissertations

In this literature review, mindfulness-based approaches and the effects mindfulness-based approaches have on the treatment of eating disorders was discussed. Professionals are continually seeking ways to enhance the treatment and improve outcomes when working with individuals suffering from eating disorders, and this literature review could help enhance the understanding of incorporating mindfulness techniques. The findings of this paper are meant to benefit clinicians working with patients diagnosed or struggling with an eating disorder.


Impact Of Opioid Overdose Photos On Addiction Stigma, Explicit Bias, Willingness To Help, And Support For Policy Items, Anne C. Parent May 2019

Impact Of Opioid Overdose Photos On Addiction Stigma, Explicit Bias, Willingness To Help, And Support For Policy Items, Anne C. Parent

USC Aiken Psychology Theses

Objective: Opioids, commonly used in hospitals and pain management centers for treating pain, are becoming increasingly abused. Prescription opioids and synthetic opioids are found frequently on the streets, highlighting the rampant spread of these drugs in the black market. Rates of opioid overdose have also dramatically increased in the past few years. Police departments have publicly posted photos of individuals who have overdosed on drugs in order to generate awareness of the issue to the community. Current research has not scientifically measured the impact of these social media campaigns designed to combat the opioid crisis. The present study used …


Cultural Work In Addressing Conflicts And Violence In Traumatized Communities, Eugen Koh May 2019

Cultural Work In Addressing Conflicts And Violence In Traumatized Communities, Eugen Koh

New England Journal of Public Policy

There is a growing appreciation that conflict and violence in many communities have their origins in a history of traumatic experiences. Why this link exists and how it comes about is still unclear. We have no unified psychology of traumatized communities, and little is known about how to address these traumatic origins collectively in these communities. This article proposes a psychodynamic model of collective trauma and a psychoanalytically informed approach to working with traumatized communities to address their issues of conflict and violence. It highlights the impact of collective trauma on the culture of a community, which is its collective …


Relations Between Subclinical Narcissism, Effortful Control, And Well-Being In Emerging Adulthood, Beth M. Rachlin May 2019

Relations Between Subclinical Narcissism, Effortful Control, And Well-Being In Emerging Adulthood, Beth M. Rachlin

Honors Theses

The present study evaluates relations between subclinical grandiose narcissism, facets of effortful control, and hedonic well-being in a sample of emerging adults. The goal of this study was threefold. First, to assess the relation between subclinical grandiose narcissism and hedonic well-being. Correlational analyses provided support for increased grandiose narcissistic tendencies being associated with increased hedonic well-being. Second, the study sought to examine the relation between effortful control and hedonic well-being. Regression analyses revealed a lack of support for this relationship; however, this could be due to lurking variables such as self-esteem. Last, the study aimed to explore whether there is …


The Need To Believe: Belief In Science & Religious Belief Examined As More General Components Of Positive Psychological Functioning, Jordan Madrigal May 2019

The Need To Believe: Belief In Science & Religious Belief Examined As More General Components Of Positive Psychological Functioning, Jordan Madrigal

Honors Theses

Furthered by the spectacular innovations of technological advancement over the recent centuries, empirical science has yielded a depth of knowledge about the universe that early naturalistic philosophers could not imagine. Present-day scientists seem to have a much stronger motivation to espouse naturalistic worldviews than do early philosophers – the explanatory power of science appears to render null the need for explanations via numinous religious beliefs. Why do so many people maintain religious beliefs, then? A large body of literature suggests that religious belief is strongly associated with positive psychological functioning. However, other research suggests that religious belief is sometimes associated …


Reducing The Risk: Psychological And Technological Approaches For Improving Handwashing Practices In The Foodservice Industry, Jeffrey Allan Clark May 2019

Reducing The Risk: Psychological And Technological Approaches For Improving Handwashing Practices In The Foodservice Industry, Jeffrey Allan Clark

Graduate Theses and Dissertations

As Americans are spending greater portions of their dollar on food consumed outside the home, the foodservice industry plays more of an integral part of daily existence compared to previous generations. Given the numerous annual foodborne illness outbreaks that threaten human lives while undermining confidence in the food supply, food safety is a pertinent issue for industry stakeholders, government regulators, and consumers. Food worker handwashing reduces the risk of foodborne illness transmission, yet compliance with this simple behavior is a complex problem. This dissertation addresses, predominantly, the issue of sub-optimal handwashing practices through applying psychology and technology, including wearable computers …


Music, Language, And Rhythmic Timing, Rhimmon Simchy-Gross May 2019

Music, Language, And Rhythmic Timing, Rhimmon Simchy-Gross

Graduate Theses and Dissertations

Neural, perceptual, and cognitive oscillations synchronize with rhythmic events in both speech (Luo & Poeppel, 2007) and music (Snyder & Large, 2005). This synchronization decreases perceptual thresholds to temporally predictable events (Lawrance et al., 2014), improves task performance (Ellis & Jones, 2010), and enables speech intelligibility (Peelle & Davis, 2012). Despite implications of music-language transfer effects for improving language outcomes (Gordon et al., 2015), proposals that shared neural and cognitive resources underlie music and speech rhythm perception (e.g., Tierney & Kraus, 2014) are not yet substantiated. The present research aimed to explore this potential overlap by testing whether music-induced oscillations …


Emotion Regulation And The Experience Of Racial Microaggressions., Broderick Sawyer May 2019

Emotion Regulation And The Experience Of Racial Microaggressions., Broderick Sawyer

Electronic Theses and Dissertations

Racial microaggressions are defined as subtle racial insults or slights that racial minorities may encounter daily, communicating negative messages to victims. Perceiving discrimination has been associated with negative outcomes in racial minorities such as symptoms of depression, anxiety, trauma, and low self-esteem. Previous research has suggested emotion regulation and psychological symptoms as playing significant roles in the experience of discrimination. Research has yet to identify specific emotion regulation tactics that might offset the harm of racial microaggressions. Mindfulness and self-compassion have been found to buffer the negative emotional impact of chronic stressors that are similar to racial microaggressions. The current …


Effects Of Conjoint Behavioral Consultation On Student-Teacher Interactions, Sonya A. Bhatia May 2019

Effects Of Conjoint Behavioral Consultation On Student-Teacher Interactions, Sonya A. Bhatia

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Young children with disruptive classroom behaviors are at-risk for negative interactions with their teachers (Nelson & Roberts, 2000), which put children at increased risk for long-term negative social, academic, and behavioral outcomes (Sutherland & Oswald, 2005). Conjoint Behavioral Consultation (CBC) is an evidence-based family-school partnership intervention focused on strengthening relationships and promoting continuity and consistency between children’s key environments (Sheridan & Kratochwill, 2008). The efficacy of CBC on child outcomes and parent-teacher relationships has been demonstrated (Sheridan et al., 2017); however, no research has determined whether CBC improves student-teacher interactions.

This study examined CBC’s effect on student-teacher interactions using a …


Using Self-Regulation To Predict Preschoolers' Symptomology Of Disruptive Behavior Disorders, Andrew White May 2019

Using Self-Regulation To Predict Preschoolers' Symptomology Of Disruptive Behavior Disorders, Andrew White

College of Education and Human Sciences: Dissertations, Theses, and Student Research

The use of brief rating forms completed by caregivers to identify children at-risk for developing behavioral disorders is common (Lane et al., 2009). However, identifying a behavioral measure assessing child-level variables (i.e., temperamental traits) which predict later behavioral concerns has potential to improve universal screening practices in the context of a multi-tiered systems of support (MTSS) framework. Self-regulation (Rothbart & Bates, 2006) is a trait that is related to externalizing problem behaviors (e.g., Espy et al., 2011), and may be useful as a means to predict young children at risk for developing behavioral disorders. The purpose of this study is …


Exploring Associations Between Student Academic Achievement, Worry, Personality, And Parental Warmth And Control, Katherine G. Kaufling May 2019

Exploring Associations Between Student Academic Achievement, Worry, Personality, And Parental Warmth And Control, Katherine G. Kaufling

Undergraduate Theses

This correlational study evaluates the relationships between academic achievement, worry, personality, and parental warmth and control. Results add to the existing literature surrounding what behaviors parents may or may not practice when raising their children and what connections these behaviors may have to their children succeeding academically and/or experiencing worrisome thoughts when they’re college-aged. Additionally, the role of student personality in parenting behaviors, academic achievement, and worry is evaluated. Multiple correlational hypotheses are offered and evaluated along with a moderation model (personality and worry as moderators of the relationship between parenting and academic achievement). 273 college students completed an online …


Assessing The Impact Of Environmental Factors On Sedentary Behavior, Brandy Baker May 2019

Assessing The Impact Of Environmental Factors On Sedentary Behavior, Brandy Baker

Dissertations and Theses (Open Access)

Objectives Mexican Americans are burdened with many of the same noncommunicable diseases present in sedentary populations. Those living on the Texas/Mexico border have higher rates of obesity and diabetes than others in the nation. Sedentary behavior and perceptions of the environment have not been well studied among Mexican Americans, especially when examining education, gender and age. Study Design Sample was drawn from the Cameron County Hispanic Cohort (CCHC) where participants were randomly selected and completed a survey to report sedentary behavior and perceptions of the environment among other examinations. The participants’ initial visit with the CCHC was included in the …


Understanding The Similarity And Diveristy Of The Accessory Gene Regulator Quorum Sensing Systems In The Genus Clostridium, Rotem Magal May 2019

Understanding The Similarity And Diveristy Of The Accessory Gene Regulator Quorum Sensing Systems In The Genus Clostridium, Rotem Magal

Dissertations and Theses (Open Access)

The Accessory Gene Regulator (Agr) quorum sensing system is a cell-cell communication system that is involved in regulating various bacterial processes such as toxin production, antibiotic production, biofilm formation, and other biomolecules. Despite the importance of the Agr system to Clostridia, the similarity and diversity of the system have been overshadowed by phylum-wide investigations of individual Agr components. To determine the variability of the Agr system within and between Clostridium species, we compared the sequences of its components within and between species using bioinformatics and phylogenetic tools. Putative Agr operons were found in over 50 Clostridia species, including undescribed components …


Predictors Of On-Treatment Mortality Of Patients Undergoing Palliative Radiation Therapy: Improving The Quality Of End-Of-Life Cancer Care, Matthew Stephen Ning May 2019

Predictors Of On-Treatment Mortality Of Patients Undergoing Palliative Radiation Therapy: Improving The Quality Of End-Of-Life Cancer Care, Matthew Stephen Ning

Dissertations and Theses (Open Access)

PURPOSE: Excessive medical treatment at end-of-life is an indicator of poor quality care. While radiation therapy (RT) is effective for palliation, some patients die shortly after or even during treatment. Any treatment that requires terminal patients to spend significant time in the hospital setting contradicts palliative goals. This study investigates patterns of end-of-life RT to inform quality improvement initiatives. METHODS: All patients who died within 6 months of starting RT at a single large academic cancer center between 2015 through 2018 were identified through our institutional databases on an Institutional Review Board-approved protocol. Clinical factors including age, treatment service, number …


Failed Initial Tumor Necrosis Inhibitor (Tnfi) Therapy – What Next For Rheumatoid Arthritis Patients?, Aliza Matusevich May 2019

Failed Initial Tumor Necrosis Inhibitor (Tnfi) Therapy – What Next For Rheumatoid Arthritis Patients?, Aliza Matusevich

Dissertations and Theses (Open Access)

Rheumatoid arthritis (RA) is a chronic inflammatory disease of the joints affecting over 1.3 million Americans with annual societal costs estimated at $39.2 billion, rising faster than medical inflation. Therapy with tumor necrosis factor inhibitors (TNFi) has greatly improved the management of patients with rheumatoid RA; however, substantial numbers of patients do not experience an adequate response to these drugs, necessitating a change in treatment regimen. There are two basic approaches for TNFi failure: cycling (switching to a second TNFi) or swapping (to a drug with another mechanism of action) but the choice is controversial due to questions of comparative …


The Association Between Sleep Duration And Dementia: A Meta-Analysis, Sherri Hong May 2019

The Association Between Sleep Duration And Dementia: A Meta-Analysis, Sherri Hong

Dissertations and Theses (Open Access)

In the United States, the current cases of Alzheimer’s disease will double by 2050. Therefore, it is important to study risk factors associated with dementia such as sleep duration. This meta-analysis was conducted to understand the discrepancy in study results since some demonstrated a V shaped association between duration of sleep and dementia while others found no association. If there truly is an association then sleep duration could be targeted to decrease the burdens caused by dementia. A meta-analysis of published studies was conducted to assess the association between sleep duration and the different forms of dementia. The articles were …


A Mendelian Randomization Study Of Circulating Gamma Prime Fibrinogen And Total Fibrinogen Levels On Venous Thromboembolism And Ischemic Stroke Subtypes, Jillian Maners May 2019

A Mendelian Randomization Study Of Circulating Gamma Prime Fibrinogen And Total Fibrinogen Levels On Venous Thromboembolism And Ischemic Stroke Subtypes, Jillian Maners

Dissertations and Theses (Open Access)

Introduction: Fibrinogen is a key component of the coagulation cascade, and variation in its circulating levels may contribute to thrombotic diseases, such as venous thromboembolism (VTE) and ischemic stroke. Gamma prime (γ′) fibrinogen is an isoform of fibrinogen and has anticoagulant properties, including inhibiting thrombin and slowing platelet aggregation, that may affect clot formation.

Methods: Two-sample Mendelian randomization (MR) was applied to estimate the causal effect of total circulating fibrinogen and its isoform, γ′ fibrinogen, on risk of VTE and ischemic stroke subtypes using summary statistics from published genome-wide association studies of fibrinogen, VTE, and ischemic stroke, and an unpublished …


Failed Initial Tumor Necrosis Inhibitor (Tnfi) Therapy – What Next For Rheumatoid Arthritis Patients?, Aliza Matusevich May 2019

Failed Initial Tumor Necrosis Inhibitor (Tnfi) Therapy – What Next For Rheumatoid Arthritis Patients?, Aliza Matusevich

Dissertations and Theses (Open Access)

Rheumatoid arthritis (RA) is a chronic inflammatory disease of the joints affecting over 1.3 million Americans with annual societal costs estimated at $39.2 billion, rising faster than medical inflation. Therapy with tumor necrosis factor inhibitors (TNFi) has greatly improved the management of patients with rheumatoid RA; however, substantial numbers of patients do not experience an adequate response to these drugs, necessitating a change in treatment regimen. There are two basic approaches for TNFi failure: cycling (switching to a second TNFi) or swapping (to a drug with another mechanism of action) but the choice is controversial due to questions of comparative …


Big Tobacco. Big Marijuana? Longitudinal Trends And Multi-Directional Tobacco And Marijuana Use Among Youth And Young Adults In Texas, Shannon Rogers May 2019

Big Tobacco. Big Marijuana? Longitudinal Trends And Multi-Directional Tobacco And Marijuana Use Among Youth And Young Adults In Texas, Shannon Rogers

Dissertations and Theses (Open Access)

Due to the pace of legal changes in marijuana policy, shifting trends in marijuana use, and emerging products in the tobacco product marketplace (e.g., ecigarettes), the cycle of risk between marijuana and tobacco use is not currently wellunderstood. I used longitudinal data from two parallel rapid response surveillance studies of youth (aged 12-19 years) and young adults (aged 18-25 years) living in the five counties (Bexar, Dallas, Harris, Tarrant, and Travis) that surround the four largest cities in Texas (Austin, Houston, San Antonio, and Dallas/Fort Worth). I used Generalized Linear Mixed Models (GLMMs) and six-panel cross-lagged regression models to analyze …


Assessing The Relationship Between University Environmental Health And Safety Program Resourcing And Ultimate Outcomes, Jason R. Shyu May 2019

Assessing The Relationship Between University Environmental Health And Safety Program Resourcing And Ultimate Outcomes, Jason R. Shyu

Dissertations and Theses (Open Access)

College and university campuses contain a diverse set of potential health and safety risks mixed with a population that is equally varied. Such a combination requires effective risk management programs adapted to address these challenges. Methods currently exist to predict risk financing premiums and institutional risk control resources (inputs), but there are no models addressing relationships to final Environment Health & Safety (EHS) program outcomes (outcomes such as injuries or illnesses). Publicly available data obtained from the University of Texas System Office of Risk Management describing their 14 campuses was combined with publicly available data from the National Science Foundation …


The Use Of Neoadjuvant Brachytherapy In Endometrial Cancer, Alison Yoder May 2019

The Use Of Neoadjuvant Brachytherapy In Endometrial Cancer, Alison Yoder

Dissertations and Theses (Open Access)

Uterine cancer is the most common gynecologic malignancy in the United States with almost 62,000 cases expected in 2019. In general, treatment consists of primary surgery possibly followed by adjuvant radiation and/or chemotherapy. However, in cases with cervical involvement or when the patient is a non-surgical candidate, neoadjuvant treatment can be employed; specifically, neoadjuvant radiation with or without brachytherapy and/or chemotherapy. There have not been any large-scale studies looking at the addition of brachytherapy to external beam radiation in the neoadjuvant setting and whether or not its addition improves outcomes. In order to analyze this, the National Cancer Database was …