Digital Commons Network^™

Prescription Of Opioids To Youth 2005-2016: An Examination Of Trends, Patient Characteristics, And Outcomes Through 12 Months, Melissa Pielech

Psychology ETDs

Data on all outpatient opioid prescriptions (N=71,647) to youth below age 21 (N=42,020) from 2005-2016 were extracted from electronic medical records within a university hospital system, including demographic characteristics, markers of morbidity, and mortality. Relative risk was calculated for markers of morbidity and mortality based on sociodemographic characteristics. The sample was primarily male (55.0%), Hispanic/Latino (50.1%), English-speaking (88.9%), and publicly insured(50.1%). Mean age was 13.54 (sd = 6.50). From 2005-2016, overall frequency of opioid prescriptions increased by 86.6% (from 2470 to 4610) with the largest increase (206.2%) observed from 2005-2008 (2470 to 7562). Patients who …

Ethnic Identity And Genetic Ancestry In New Mexicans Of Spanish-Speaking Descent, Meghan Elizabeth Healy

Anthropology ETDs

This dissertation focuses on a regional population, New Mexicans of Spanish-speaking descent (NMS), to explore the nature of identity-related substructure in admixed populations and its implications for research and policymaking. We looked at the relationship between ethnic/ethnoracial identity and genomic ancestry in NMS in two studies. In the first, we collected genomic ancestry data using 270 autosomal microsatellites in 98 New Mexicans who self-identified as Hispanic or Latino and provided more detailed information on their ethnoracial identities. We tested for genetic substructure in this sample along with 13 other admixed samples from the Americas. The New Mexican sample showed evidence …

Patterns Of Polysubstance Use Among Those With Tranquilizer Or Sedative Misuse: Predictors And Functional Consequences, Victoria R. Votaw

Psychology ETDs

The misuse of tranquilizer and sedative medications (i.e., use without a prescription or at higher doses/longer periods of time than prescribed) is associated with myriad negative sequalae, such as suicidal behaviors and increased risk of overdose. Yet, prescription tranquilizer and sedative misuse has been largely overlooked by the scientific community, clinicians, and policymakers. We addressed this gap in the literature by characterizing subgroups of individuals with tranquilizer or sedative misuse, based on their patterns of polysubstance use. The present study analyzed data from two samples of individuals with past-month tranquilizer or sedative misuse: respondents of a nationally-representative household survey (general …

Impact Of Multiple Sclerosis Project Echo (Extension For Community Healthcare Outcomes) On Provider Confidence And Clinical Practice, Kevin N Alschuler, Gary A Stobbe, Deborah P Hertz, Kurt L Johnson, Gloria Von Geldern, Annette Wundes, Piper Reynolds, Kent Unruh, John D Scott

Project ECHO Bibliography

BACKGROUND: Project ECHO (Extension for Community Healthcare Outcomes) represents a novel approach to addressing disparities in multiple sclerosis (MS) care. A primary mechanism of the program is the use of case consultations to rapidly transfer knowledge from content experts to community providers who care for individuals with MS.

METHODS: MS Project ECHO was pilot tested as a weekly 60-minute videoconference delivered to 24 clinicians across 13 practice sites over 41 weeks. Participants completed a variety of measures related to their experience in the program and answered qualitative questions via exit interview. We report on the responses to exit interview questions …

Found In Space: A Cross-Linguistic Analysis Of Second Language Learners In English Map Task Performance, Susan K. Metheny

Language, Literacy, and Sociocultural Studies ETDs

Understanding the relationship between first and second language use in the area of spatial language has broader implications for our understanding of language learning and consequences for the construction of bilingual assessment instruments for second language learners. This study shows that observing and interpreting the task of map drawing and the related behavior of explaining maps can be a way to explore the linguistic emergence of the conceptualization of spatial language (at a moment of simultaneous and synchronized incarnation). Altogether, 50 dyads (pairs) participated in the New Mexico Map Task Project; the project included native speakers of English, Russian, Japanese, …

A Systemic Functional Linguistics Analysis Of The Discourse Of English Friday Sermons, Ahmad Alenezi

Language, Literacy, and Sociocultural Studies ETDs

On every Friday, in every mosque in the world, Muslims gather for Friday sermons in answer to the call: “O you, who have believed, when [the adhan] is called for the prayer on the day of Jumu’ah [Friday], then proceed to the remembrance of Allah and leave trade. That is better for you, if you only knew” (Quran, 62:9). Typically, the Friday prayer is shortened by half to accommodate the presentation of the Friday sermon; this emphasizes the importance of the sermons. The present study is a discourse analysis that examined 12 sermons delivered on the first Friday of every …

A Microfluidics-Based Cross-Flow Filtration Platform For Rapid Processing Of Amphiphilic Biomarkers From Blood, Kiersten D. Lenz

Biomedical Engineering ETDs

Early and accurate detection of bacterial infections can help save lives, prevent the spread of disease, and decrease the overuse of antibiotics. Our team at the Los Alamos National Laboratory has developed novel assays to detect bacterial biomarkers from patient blood at the point-of-care in order to facilitate a universal diagnostic platform. However, these biomarkers are amphiphilic in nature, and this biochemical property causes them to be sequestered by high-density and low-density lipoproteins (HDL and LDL) in the host’s blood. Extraction of the bacterial biomarkers from the lipoprotein complexes is thereby required for the development and deployment of a diagnostic …

"Is There Really A Way To Prevent Cancer?": Exploring Cancer Prevention Information Seeking Among Cancer Patients And Their Caregivers, Kaitlin M. Magee

Communication ETDs

This thesis investigated cancer prevention information (CPI) seeking among cancer patients and their caregivers. Interviews that were conducted in 2011 were analyzed thematically to deconstruct perceptions and sources of CPI among 47 participants. The thematic narrative analysis of the predominantly Hispanic, low-income and low-education sample revealed differences in CPI seeking related to ways cultural practices and socioeconomic status impact information seeking. The digital divide, Spanish language and perceived high cost presented barriers to information yet created opportunities for patients and family members to emerge as health champions to share information interpersonally and intergenerationally. Understanding CPI processes of racial and ethnic …

The Identification Of Formulaic Sequences In Urdu Language And Their Pedagogical Implication For Sla (Esl/Usl), Hafiz-Muhammad Fazal E Haq

Language, Literacy, and Sociocultural Studies ETDs

In this study, an effort has been made to explore formulaicity in the Urdu language and its pedagogical implication in second language acquisition, both for English as a second language and Urdu as second language learners. It is believed that formulaic sequences or prefabs make more than fifty percent of a language. These formulaic sequences are of various kinds encompassing idioms, proverbs, collocations and sometimes, simple fillers. For the current study, data will be collected from two widely circulated Urdu newspapers. The data will consist of lexical chunks or formulas, which will be identified on the basis of eleven criteria …

Neural Foundations Of Ayres Sensory Integration, Shelly J Lane, Zoe Mailloux, Sarah Schoen, Anita Bundy, Teresa A May-Benson, L Diane Parham, Susanne Smith Roley, Roseann C Schaaf

Pediatrics Research and Scholarship

Sensory integration, now trademarked as Ayres Sensory Integration

The Impact Of Persistent Sadness And Bullying Victimization On Suicidal Thoughts And Behaviors Among Heterosexual-Identified Sexual Minority And Lgbq Adolescents, Amber L. Dukes

Psychology ETDs

Participants who identify as heterosexual comprise a proportion of those who report same-sex contact that is as large as or larger than their gay, lesbian, bisexual, and questioning peers. However, little research has explored psychosocial outcomes among heterosexuals with same- or both-sex contact, referred to herein as heterosexual-identified sexual minority (HSM) participants. This study examined the impact of persistent sadness, bullying victimization, and sexual orientation on the probability of suicidal thoughts and behaviors (STBs) in a sample of heterosexual- and LGBQ-identified adolescents. Results showed that the probability the probability of STBs was higher for bisexual and questioning participants compared with …

Situating Giving Back For Native Americans Pursuing Careers In Stem: “You Don’T Just Take, You Give Something Back”, Janet Page-Reeves, Gabriel Leroy Cortez, Yoenesha Ortiz, Mark Moffett, Kathy Deerinwater, Douglas Medin

Intersections: Critical Issues in Education

This article explores how a desire to give back influences Native Americans pursuing education and careers in science, technology, engineering and mathematics (STEM). We present analysis of data from 51 interviews with Native students and STEM professionals. Despite the compelling evidence of the core significance of a community orientation among Native Americans, insufficient attention has been given to thinking about the unique challenges faced by STEM professionals in devising ways to give back and how this relates to the continuing problem of under-representation of Native Americans in STEM. Here we propose strategies for universities and industry to honor Native ways …

Full Issue (Spring 2019)

Intersections: Critical Issues in Education

No abstract provided.

The University Of New Mexico Orthopaedics Research Journal 2019, Unm Department Of Orthopaedic Surgery

UNM Orthopaedic Research Journal

No abstract provided.

Clearing The Muddy Waters: Is Lack Of Motivational Interviewing Quality Accounting For Mixed Findings And Can Measuring Fidelity Help?, Lauren N. Rowell

Psychology ETDs

ABSTRACT

Objective: The SMART ED study was a randomized, controlled trial of 3 brief interventions in ER settings targeting high-risk substance use. Findings in the main study indicated that there was no difference in outcomes for groups receiving minimal, rather than more extensive, behavioral interventions. This secondary analysis investigated the quality of (MI) sessions in the SMART ED study to examine the hypothesis that better quality of MI would be associated with improved client outcomes.

Method: The Motivational Interviewing Treatment Integrity Code (MITI 3.0) was used to evaluate 388 sessions, yielding indicators of MI Quality including Overall Spirit (MI Spirit), …

Bilingualism And Executive Functioning In Children Born Very Low Birth Weight And Normal Birth Weight, Natalia Carr Moss, Sarah Erickson, Jean Lowe, Steven Verney, Judy Ho

Psychology ETDs

Research has documented an advantage on executive functioning in bilingual compared to monolingual children, suggesting that bilingual children may develop inhibitory control earlier than their monolingual peers. There are no known studies examining the differences between monolingual and bilingual children who were born very low birth weight (VLBW). Children born VLBW are at greater risk for difficulties with attention and inhibition. Executive functioning abilities were measured at 3-4 years and at 5-7 years. Caregivers reported sociodemographic information. Bilingualism was measured by self-report and observation of unstructured mother-child play. Executive functioning abilities were measured using the Bear Dragon (inhibition and working …

Teacher Perceptions Of Environmental Science In Rural Northwestern New Mexico Public Schools, Marie Quiahuitl Julienne

Organization, Information and Learning Sciences ETDs

In this study, I explored what teachers perceive as the factors that impact their teaching of environmental science in rural secondary level schools in northwestern New Mexico. I adapted Bronfenbrenner’s (1994) ecological systems model, based on four environmental subsystem levels (microsystem, mesosystem, exosystem, and macrosystem), as the conceptual framework to address the major research question of this study, and developed 18 interview questions to explore teachers’ perceptions of factors that influence their teaching of environmental science. I investigated the perspectives science teachers have about environmental science topics and the influences they perceive that affect how they teach environmental science, and …

(Re)Insurgent Ecologies: Dwelling Together Between Queasy Worlds, Kirsten Elizabeth Mundt

American Studies ETDs

Discourses that construct the “self” as something to be fixed, or made whole, chart a retreat from relational ecosystems back to the individual, reinforcing colonial politics rooted in bounded individualism. This project animates an ontological, relational framework that, in detaching from liberal humanist discourses of healing and “self,” makes affective links from autopoietic frameworks for healing and survival to de-colonial, sympoieitic concerns for expanded kinship. New meanings and attachments are forged within queasy border zones of incommensurability, toggling between the particular and the universal, between desires for solidarity and recognition that colonial violences continue to be unequally distributed and borne. …

Decolonizing Playwriting Through Indigenous Ceremonial Performances, Jay B. Muskett

Theatre & Dance ETDs

This dissertation attempts to express the importance of storytelling within the Indigenous Theater framework. It does so by first analyzing the progression of the writer’s unique upbringing and analyzing the influences of story upon an indigenous identity. I will also attempt to describe the aesthetics of Native Theater along two lines of methodology which includes praxis described and developed by Hanay Geiogamah and Rolland Meinholtz. I will also explain how the script 1n2ian tries to follow those concepts of Native Theater to create a ceremonial performance that uses a blending of both methodologies.

Patient-Provider Communication In Community Mental Health: How Perceptions Of Engagement In Decision-Making Influence Patient-Perceptions Of Well-Being, Elizabeth R. Stein

Psychology ETDs

Shared Decision-Making (SDM) is being increasingly advocated for in the fields of physical and mental healthcare as it provides a means for patients and providers to engage in meaningful conversation about treatment decisions. Although there are many reasons for advocating for the implementation of SDM, there is limited information on how SDM impacts patient outcomes throughout treatment and the mechanisms through which these effects occur, and this information is even more limited in the area of mental health. The current research used secondary data analyses to examine patient and provider perspectives on the occurrence of SDM and patient engagement in …

“What’S With What’S Her Name? Siri, Call So And So… Can’T You Use Your Own Hands!?” Older Adult Perspectives On The Roles Communication Technology And Physical Activity Play In Their Aging Experiences, Andrew J. West

Communication ETDs

Information and resources are needed to promote quality of life and access to health resources for older adults. Physical activity is an effective health prevention strategy that can help increase older adult life satisfaction and maintain functional ability. Communication technologies like the Internet and smartphone are also useful tools that provide older adults needed resources to stay educated and engaged in healthy aging. This study investigated older adult perceptions of aging, communication technology, and physical activity for older adults. Literature on theories of aging, physical activity strategies, behavior change, and technology use was gathered to understand how these concepts contribute …

An Erp Investigation Of Reward Signals For Differing Classes Of Reinforcing Stimuli, Darin R. Brown

Psychology ETDs

In order to successfully traverse an actively complex environment, an agent is required to learn from the consequences of their actions. For over a century, models of behavior have been developed demonstrating these consequence-based learning systems. More recently, underlying biological systems have been found to adhere to these constructs of learning. The electroencephalographic signal known as the Reward Positivity (RewP) is thought to reflect a dopamine-dependent cortical signal specific to reward receipt. Importantly, this signal has been shown to adhere to an axiomatic (rule-like) positive reward prediction error, whereby it is evoked following outcomes that are better than expected. These …

Exploration, Disruption, Diaspora: Movement Of Nuevomexicanos To Utah, 1776-1850, Linda Catherine Eleshuk Roybal

American Studies ETDs

ABSTRACT

Nuevomexicano villages of northern New Mexico have experienced disruptions throughout their existence. This dissertation is a study of what occurred in early disruptions leading to the great departure of the 1940s, during World War II and immediately following, known as the New Mexico diaspora, where a number of villagers moved out of New Mexico to other states, including Utah, most expecting to settle for a time with hopes of return to their home villages. The study asks what happened especially during the great disruption, discourses of disruption and movement, what Nuevomexicanos carried with them in movement, whether they returned …

Affecting Social Change For Transgender And Gender-Expansive Children: Exploring Advocates' Perspectives, Cortny Stark

Individual, Family, and Community Education ETDs

This interpretive case study explored the experience of advocates as they pursue social change for transgender and gender-expansive children (ages 4-12). The aim of the study is to improve current understanding of the process of advocacy for this population, as well as the context in which advocacy efforts occur. Data consisted of hour long interviews, advocacy artifacts as recommended by participants, and the researcher’s field journal. Participants included 12 advocates from a variety of backgrounds and geographic locations within the United States, to include educators, community advocates, and helping professionals. Implications of this study may include increased understanding of the …

Supporting Pre-Service Teachers With Skills From Dialectical Behavior Therapy, Almut K. Zieher

Individual, Family, and Community Education ETDs

Mindfulness trainings, which tend to include daily home meditation practice, have been found to improve in- and pre-service teachers well-being, but findings indicate that participants struggle to complete the recommended home meditation practice. A mindfulness training based on Dialectical Behavior Therapy (DBT) skills may be a more feasible training format for teachers because the home practice is informal and easily integrated into daily life. DBT skills are also discrete and easy-to-understand and directly relate to the intrapersonal and interpersonal challenges teachers face. Although DBT skills-based trainings have been used with non-clinical populations, to date no study has been identified exploring …

Determining The Pathological Effects Of Prenatal Alcohol Exposure On Peripheral Neuropathy Via Spinal And Peripheral Immune Mechanisms, Joshua J. Sanchez

Biomedical Sciences ETDs

Previous studies have suggested that children with Fetal Alcohol Spectrum Disorder (FASD) display hypersensitivity to light touch. In support of this notion, we have demonstrated that applying a chronic constriction injury (CCI) to the sciatic nerve of rats that have prenatal alcohol exposure (PAE) results in heightened sensitivity to light touch, clinically termed allodynia. These observations coincided with heightened glial activation and enhanced peripheral immune reactivity. Considering allodynia is known to be mediated by both peripheral immune responses and spinal glial activation, it is reasonable to speculate that allodynia following PAE may be mediated through an alteration of immune reactivity. …

Serotonin Syndrome And/Or Opioid Withdrawal After The First Dose Of Naltrexone Hcl/Bupropion Hcl: An Observational Study, Stefanie J. Logothetis

Pharmaceutical Sciences ETDs

In 2014, the Food and Drug Administration approved naltrexone HCl/bupropion HCl, a combination of an antidepressant and an opioid antagonist for chronic weight management therapy. Concurrent use of antidepressants and opioids has the potential to cause drug interactions involving serotonin syndrome. Our primary objective is to identify cases of serotonin syndrome and/or opioid withdrawal after initiation of naltrexone HCl/bupropion HCl. Our secondary objective is to assess which specific opioids are more likely to cause a drug interaction with naltrexone HCl/bupropion HCl. We performed an observational study by reviewing cases in the RADARS^® database from January 2014 through December 2018. …

Exploring Individual Experiences Obtaining Medication-Assisted Treatment For Opioid Use Disorder In Rural New Mexico, Krista L. Scorsone

Nursing ETDs

In the United States, more than 2.5 million people struggle with opioid use disorder. Compared to people living in urban areas, rural residents are twice as likely to overdose from opioid misuse. Reasons for this increase include excessive opioid prescribing and illegal diversion of opioids. This holds true in the rural counties of northern New Mexico, where drug overdose deaths are among the highest in the nation. Although medication-assisted treatment (MAT) with buprenorphine, methadone, or naltrexone is globally accepted as the most effective treatment, it is still accessed half as often rurally. The reasons for this imbalance are unknown, and …

Reflected Dispositions, Taylor Hedum

MFA Thesis Exhibit Catalogs

My MFA Thesis Exhibition, Reflected Dispositions, features an installation of sculptural objects and light projections in an unconventionally dark gallery setting. Spotlights shine onto the reflective sculptures, and the light is cast onto the surrounding environment. Motors or water deform the sculptures to create dynamic motion in the projections, with the cyclical changes and tempo meant to evoke a state of reflection in the audience. The percepts magnify the nuances of the material; to reveal the previously unseen.

My interest to control light stems from experiments with materials and the unexpected reflections that they produce. Since then, I have learned …

A New Theory Of Musical Semiosis, Matthew Stanley

Music ETDs

Musical semiotics is the study of the various ways in which musical structures become meaningful. This thesis is an attempt to create a logical, systematized, transformational theory of musical semiotics that can elucidate the various ways in which music conveys meaning. While the semiotic exploration of music is by no means novel, this thesis presents a unique, highly rigorous, and truly theoretical approach to musical semiotics that differs significantly from previous theories. By combining all aspects of the semiotic theory of Charles Sanders Peirce with the metaphor theories of George Lakoff, Mark Johnson, and Zoltan Kovecses, a theoretical apparatus is …