Digital Commons Network^™

Development Of A Health Management Program For International Students And Scholars Using Occupational Therapy Lens, Bo Park

UNLV Theses, Dissertations, Professional Papers, and Capstones

Health management (HM) is essential to staying healthy. Many parts involve internal abilities, such as the cognitive ability to detect illness internally. However, knowing external sources is equally necessary to perform HM independently, such as knowing how to use health insurance and which healthcare services to use for specific symptoms. As HM is closely related to health and independence, occupational therapy recently expanded the practice by including the occupation of health management.

The International Students and Scholars (ISS) population has been often discouraged from performing parts of HM due to many cultural barriers and differences that exist in HM across …

Africanities In Selected Art Songs For Voice And Piano By Babi De Oliveira, Ana Elisa Portes Lima

UNLV Theses, Dissertations, Professional Papers, and Capstones

This document explores Africanities on the music and texts of selected art songs by the Brazilian composer Babi de Oliveira (1908-1993), providing the historical context of how the Brazilian Portuguese appropriated the vocabulary and culture of African people brought to the New World during the period of slavery between the 15th and 19th centuries. The purpose of this document is to provide additional background information on the Afro-Brazilian musical heritage, its relevance to the composer, and its aesthetics in the history of Brazilian music, in order to give voice students and performers, especially non-Portuguese speakers, a broader perspective on this …

A Multiple Case Study On Student-Centered Teaching And Educational Equity For Diverse Learners, Lei Ping

UNLV Theses, Dissertations, Professional Papers, and Capstones

Student-centered teaching (SCT) has been the dominant education philosophy in the U.S. K-12 education. However, the definition and practice of SCT have been rooted in western education contexts. Since students in U.S. schools become more and more diverse, it remains unclear how SCT works for diverse learners. This research delved into the perceptions and implementation of SCT by teachers in elementary charter schools, emphasizing their approach in classrooms with diverse learners. The study also aimed to uncover any disparities in how teachers perceived and applied SCT when educating diverse learners compared to non-diverse learners. Guided by critical reflection for transformative …

Dynamical Studies Of Misaligned Circumbinary Disks, Ian C. Rabago

UNLV Theses, Dissertations, Professional Papers, and Capstones

Binary stars are common outcomes of the star formation process, with nearly half of Sun-like stars forming as part of a binary pair. The presence of a second star adds additional complexity and dynamical effects to the planet formation process in the surrounding circumbinary disk. In this work, I investigate the behavior of a circumbinary disk using hydrodynamic modeling, specifically in the case where the disk is misaligned to the binary orbital plane. Around eccentric binaries, highly inclined disks can align themselves perpendicular to the binary orbital plane. These "polar disks'' can produce vortices and spiral arms when the disk …

Examining The Risks And Resilience Of Older Adults Living With Hiv/Aids: Qualitative Community-Based Participatory Research Studies In Southern Nevada, Brandon Ranuschio

UNLV Theses, Dissertations, Professional Papers, and Capstones

Since the height of the HIV pandemic in the 1980s, medical interventions have significantly increased the life expectancy of people living with HIV/AIDS (PLWH) and made HIV/AIDS a livable, chronic health condition. Because of this, PLWH have been living longer lives and thriving with the help of HIV sector healthcare and service providers. However, with their longer life expectancy, older PLWH have been experiencing other health challenges. One such challenge is the risk of developing HIV-Associated Neurocognitive Disorder (HAND), which is a condition that affects up to 50% of PLWH at some point in their lifetime, with middle-aged and older …

Tummy Time Toolkit: Incorporating Social-Emotional Strategies To Increase Caregiver Home Programming Compliance, Marsha Rattler

UNLV Theses, Dissertations, Professional Papers, and Capstones

Tummy time is a crucial developmental activity for infants. However, many infants are not receiving the recommended amount of time in prone positioning. This doctoral capstone project aims to address this gap through the implementation of an occupational therapy (OT) based tummy time educational resource titled Bonding Through Tummy Time: A Caregiver’s Guide. The resource, a tummy time toolkit, focuses on caregiver and infant interaction during the co- occupation of play using social-emotional developmental strategies as a driving force to complete more tummy time in the home environment. Recruitment of caregivers was done through purposive sampling and participants were surveyed …

Students’ Learning About Occupation In An Occupational Therapy Program, Erik Regalado

UNLV Theses, Dissertations, Professional Papers, and Capstones

Objective: Describe the learning activities that occupational therapy students found helpful for learning the concept of occupation and describe what students know about the concept of occupation.

Design: Descriptive correlational

Setting: Occupational therapy program in the U.S

Participants: Occupational therapy students

Measure: Survey

Results: These students had a general understanding of occupation and its relationship to health, however, lacked the more conceptual understanding of occupation found in occupational science. Participants reported that activities such as fieldwork, group discussion, and lecture helped them understand the concept of occupation.

Conclusion and Relevance: These students missed aspects of occupation and would benefit from …

Development Of A Cue-Based Feeding Education Program To Enhance The Self-Efficacy Of Nicu Caregivers, Jazmin Rivera

UNLV Theses, Dissertations, Professional Papers, and Capstones

In the neonatal intensive care unit (NICU), a neonate may experience feeding difficulties due to their prematurity, physiological, and neurological status. Under these circumstances, a caregiver’s role can be diminished and cause a loss of self-efficacy due to the inability to provide care and feed their infant in the NICU. After examining the literature, guided by the Model of Human Occupation and the Transformative Learning Theory framework, a cue-based feeding (CBF) program was developed and implemented at the University Medical Center (UMC) Hospital NICU department to enhance the caregiver’s self-efficacy through an occupational therapy perspective. A feasibility evaluation of the …

Plant-Plant Interaction In Early- Vs. Late-Successional Varieties Of The Hawaiian Landscape-Dominant Tree, Metrosideros Polymorpha, Tomoko Sakishima

UNLV Theses, Dissertations, Professional Papers, and Capstones

Plant-plant interactions play an important role in assembling plant communities. Interactions between neighboring plants can vary as a result of the genetic relatedness of neighbors, impacting rates of growth and patterns of resource allocation. When growing alongside close relatives, some species decrease their growth in a form of cooperation, while others grow faster through facilitation. A complication of plant interaction studies arises because decreased growth in the presence of close relatives can also be due to competition for resources, which increases with phenotypic similarity. Further complicating matters, mycorrhizal fungi, through their connections with plant roots, may strongly influence plant interactions. …

Lake Mead: A Living Museum, Marley Salveter

UNLV Theses, Dissertations, Professional Papers, and Capstones

Lake Mead, the largest man-made water project in the nation and a prolific source of electricity, irrigation, and recreation for much of the western population, is currently experiencing a drastic transformation. Amid the ongoing water crisis parching the west, the once overflowing reservoir is consistently shrinking, descending into depths historically uncharted.

While serving as a bleak demonstration of climate change’s effects, the body of water is simultaneously assuming an alternative role that may be less apparent to the public. As water levels decline, Lake Mead is actively metamorphosing into a “Living Museum”, by gradually unveiling previously submerged artifacts. As a …

Identifying Disease-Related Gene-Environment Interactions Based On Method Of Moments, Linchuan Shen

UNLV Theses, Dissertations, Professional Papers, and Capstones

Human diseases are often caused by a complex interplay of multiple factors, including genetics and environmental factors. These factors can play critical roles in the development and progression of diseases. Although genome-wide association studies (GWAS) have successfully identified many genetic variants associated with human diseases, the estimated effects of these variants are small and can explain only a relatively small portion of the heritability of the underlying diseases.

Detecting gene-environment interactions (G × E) can shed light on the biological mechanisms of diseases. However, most existing methods that investigate G × E only look at how one environmental …

Assessment Of Success Factors And Comparative Analysis Of Public Private Partnership (P3) Project Performances Against Design-Build And Design-Bid-Build Project Delivery, Bandana Shrestha

UNLV Theses, Dissertations, Professional Papers, and Capstones

Public-private partnerships (P3s) projects have gained widespread popularity in both developed and developing countries due to their ability to access new financing sources and shift specific project risks to the private sector. P3s has been an active area of research with a particular focus on the concept of Critical Success Factors (CSF). The growing interest and the diverse outcomes associated with P3s emphasize the need for a thorough investigation into the factors that contribute to successful P3 projects. This study focused on identifying the CSFs for P3 highway and building projects towards project objectives of achieving cost efficiency and schedule …

The Effects Of A Low-Intensity Aerobic Exercise Program To Enhance Occupational Performance And Quality Of Life In Diabetic Patients, Asia Suriyachottakul

UNLV Theses, Dissertations, Professional Papers, and Capstones

Globally, diabetes mellitus (DM) is a prevalent chronic condition many people encounter. DM is one of the primary causes of mortality due to individuals struggling to manage or prevent the condition. The healthcare field is also failing to provide sufficient education on DM. Individuals with this condition may begin to experience co-morbidities and depressive symptoms, which make it difficult for them to engage in meaningful occupations, in addition to decreased quality of life (QOL). This project examines the effectiveness of a low-intensity aerobic exercise (LIAE) program to enhance occupational performance (OP) and QOL in those diagnosed with the condition or …

Quaternary Ammonium Compound Resistance Of Klebsiella Pneumoniae And Klebsiella Quasipneumoniae Strains Isolated From The International Space Station, Natasha Svetlana Sushenko

UNLV Theses, Dissertations, Professional Papers, and Capstones

The International Space Station (ISS) has been continuously inhabited for twenty-three years and harbors a diverse population of microorganisms under conditions of microgravity, elevated radiation, and relative isolation, including Biosafety Level 2 (BSL-2) opportunistic pathogens. To sanitize surfaces on the ISS, astronauts use a combination of four antimicrobial quaternary ammonium compounds (QACs). As the stresses of space flight are known to stimulate virulence and antimicrobial resistance in bacteria, the frequent use of QAC disinfectants on the ISS is of concern to NASA. This not only poses risks to astronauts during future long-term space travel, but there is also a concern …

Adverse Childhood Experiences: Why Trafficking Victims End Up Running Away, Getting In Trouble, And Being Homeless, Makaylen Tadeo

UNLV Theses, Dissertations, Professional Papers, and Capstones

Sex trafficking of youth is something that requires people to think deeper as to how they ended up trading sex in the first place. Literature has shown that within adverse childhood experiences, abuse plays a significant factor. There are many types of abuse and a variety of harmful effects it can have on a child that is not only limited to physical and mental health but also to how they grow up and live in the world. Using the life course theory, this current study wanted to apply the concepts to explain how specific adverse childhood experiences in the form …

Excavating The Archives: A Re-Analysis Of Artifacts Recovered From Catclaw Cave, Emily C. Swett

UNLV Theses, Dissertations, Professional Papers, and Capstones

The purpose of this thesis research is to a) promote collaboration between archaeologists, federal agencies, and repositories, through museum-based archaeology, b) bring attention to an under-researched region of the Southwest, c) understand the use of Catclaw Cave, d) understand Patayan culture and use of the Lower Colorado River Valley, and e) identify potential trade networks between inhabitants of the Lower Colorado River Valley and other communities in the Southwest. This thesis, which focuses on habitation and lifeways prior to contact with Europeans, is guided by the hypothesis that the Colorado River served as a major trade route for people living …

Video Monitoring For Fall Prevention, Atongane Taku

UNLV Theses, Dissertations, Professional Papers, and Capstones

Patient safety is a vital aspect of healthcare. Falls and fall-related injuries continue to occur in hospitals worldwide and fall prevention is one of the top priorities in providing quality care. Fall assessment tools, bed alarms, patient rounding, patient education, physical restraints, environmental modification, bedside sitters, and remote video monitoring are some of the methods implemented to reduce falls. This project was a quasi-experimental study informed by Kotter and Cohen Model of Change. The initial purpose of this process improvement project was to educate staff on the significance of video monitoring in fall prevention and determine whether the education regarding …

Preservice Teachers' Pk-12 Educational Field Trip Experiences: Teaching Beyond The Classroom, Cecilia A. Turman

UNLV Theses, Dissertations, Professional Papers, and Capstones

The purpose of the study was to investigate preservice teachers’ (PSTs) attitudes and beliefs towards their PK-12 field trip (FT) experiences as students, their memories, influences in their lives, impact on their educational approaches and career choices, as well as how, as future teachers, they would implement FTs to their future students to provide feedback on FTs’ training for preparation programs. Rationale: Anderson et al. (2010) criticized teacher preparation programs’ lack of teacher training to implement educational FTs and contended that instructors’ FTs experiences as students may have influenced the way they plan and carry out educational FTs. John Dewey’s …

Examining The Impacts Of Unlv's Tobacco-Free Policy Pre And Post Implementation, Kacie Washburn

UNLV Theses, Dissertations, Professional Papers, and Capstones

Despite the known harmful effects of smoking and secondhand smoke, tobacco-related disease, disability, and death continue to plague the United Stated and contribute to more than 480,000 individuals dying prematurely every year. Comprehensive smoke-free and tobacco free policies strive to prohibit the use of both traditional forms of tobacco (cigarettes, cigars) and smokeless forms of tobacco (vapes). The goal of this project was to examine the impact a tobacco control policy has on prevalence rates of use and knowledge regarding said policy among faculty, staff, and students. In the Fall of 2022, UNLV adopted a comprehensive tobaccofree and smoke-free policy …

Enhancing The Relationships Between Students With Emotional And Behavioral Disorders And Their Teachers, Jack Watts

UNLV Theses, Dissertations, Professional Papers, and Capstones

Outcomes of students with emotional and behavioral disorders (EBD) have failed to meet the standards of educators and educational researchers. For several decades, such students have had worse academic and postsecondary outcomes than any other student population. This has led to emphasis on implementation of evidence-based practices to combat the negative outcomes associated with educational diagnoses of EBD (i.e., behavioral outbursts, suspension, and expulsion). Despite this increased attention, little improvement has occurred, leading to the question of whether practices implemented for students with EBD have been addressing the underlying causes of these students’ negative outcomes. Student–teacher relationships could be an …

Understanding Disk Substructures With 3d Self-Consistent Thermodynamics, Shangjia Zhang

UNLV Theses, Dissertations, Professional Papers, and Capstones

Protoplanetary disks are birthplaces of planets. The past decade witnessed a great advance- ment in disk observations by Atacama Large Millimeter Array (ALMA) and extreme adaptive optics (ExAOs). Hundreds of disks have been observed at high angular resolutions and revealed rich substructures (e.g., gaps/rings) at midplane and atmosphere, at least part of which are per- turbed by planets. Deep understanding of disk physics has a great potential to unveil more young planets from substructures and distinguish those that are not caused by planets. I worked on con- straining young planet populations using planet-disk interaction simulations and substructures and self-consistent treatment …

Biopsychosocial Occupational Therapy Interventions For Complex Regional Pain Syndrome – A Pilot Manuscript, Cinthia Hartman

UNLV Theses, Dissertations, Professional Papers, and Capstones

Occupational therapists (OTs) have an essential role in the treatment of upper extremity Complex Regional Pain Syndrome (CRPS) in outpatient therapy settings. Occupational therapy (OT) guidelines and research focus treatment on the Budapest Criteria’s biological signs and symptoms. The International Association for the Study of Pain (IASP) now recognizes CRPS as a primary chronic pain condition and not an autonomic disorder, as it was thought to be in the past. This recognition, along with the psychological and social impacts of the condition, highlight the need for updated OT treatment interventions incorporating a biopsychosocial model. Combining evidence-based CRPS OT interventions for …

The Impact Of Educating Interprofessional Healthcare Workers On The Role Of Occupational Therapy In The Cardiac Acute Care Setting, Jennifer L. Taosuvanna

UNLV Theses, Dissertations, Professional Papers, and Capstones

The acute care setting has been a vastly growing practice area for the occupational therapy profession. Occupational therapists assist clients in the acute care setting with activities of daily living retraining and functional transfer training to increase independence. Each client demonstrates a different discharge course from the acute care setting and occupational therapists play a key role in assisting the clients the most appropriate rehabilitative setting. All professionals in the acute care setting work cohesively to provide clients with the best outcome.

The doctoral project explored the importance of interprofessional healthcare worker education about occupational therapy practices in the acute …

A Comparison Of Spinal Reflex Function And Morphological Adaptations Of The Achilles Tendon Between Individuals Chronically Post-Stroke And Healthy Controls, Migi Contreras, Mira Seekins, Johanna Mendez, Trevor Diez

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose/Hypothesis: The hallmark gait deviation in individuals with post-stroke hemiparesis is slow walking speed. Reduction in gait speed after stroke is influenced by decreased propulsive forces, which may likely be related to impaired spinal circuit function and spasticity of the paretic plantarflexors. Chronic muscle tone maladaptations in paretic ankle plantarflexors can result in altered Achilles tendon (AT) morphology, therefore leading to altered mechanical properties, force transmission capabilities and subsequent insufficient propulsive forces during walking. The purpose of this study is to characterize the chronic maladaptations in both the spinal Ia afferent loop excitability and AT morphology after stroke lesions in …

The Impact Of Anatomy Academy In Underserved Las Vegas Elementary Schools, Jean Angeles, Edgar Armengual, Katrina Myers, Perceval Vollmer

UNLV Theses, Dissertations, Professional Papers, and Capstones

Anatomy Academy is an interactive, service-learning experience that allows doctoral physical therapy students to pose as educators for elementary-aged adolescents. Through instructional and activity-based learning, mentors formulated the program to encase anatomical, physiological, nutritional, and general health and wellness topics that translate into overall healthy behaviors. The experiment enveloped 7 major sectors of anatomy, including the musculoskeletal system, cardiovascular system, pulmonary system, oral cavity/nutrition, gastrointestinal system, sensory system, and central nervous system. Throughout the length of the program, the doctoral candidates reviewed the quality of the content delivered, the engagement of the students and staff, and the effects this had …

Modulating Cortical Excitability To Improve Functional Movements In Individuals With Patellofemoral Pain: A Randomized Controlled Trial, Jeno Aquino, Bryce Broadwell, Connan Wallace, Makenzie Whimple

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose/Hypothesis: Persons with patellofemoral pain (PFP) often exhibit increased knee valgus during functional tasks that is traditionally addressed by strengthening weak hip musculature. However, research related to this topic has revealed altered cortical reorganization in individuals with PFP contributes to dysfunctional movements and underscores the critical role of central neural control in this condition. Transcranial direct current stimulation (tDCS) is a neuromodulatory technique that alters cortical excitability to enhance neuroplasticity. Research using tDCS priming supports its feasibility as a possible treatment for other musculoskeletal conditions. However, its application specifically targeting the corticomotor function of the gluteal musculature in individuals with …

Effects Of Chronic Diabetes And Attentional Focus On Performance And Learning Of A Novel Stabilometer Balance Task, Rebeca Carolina Armagnac Gonzalez, Yinny H. Lee, Alicia Marie Letkiewicz, Meiko Nagano Mamauag

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background and Purpose: Chronic diabetes is a prevalent systemic disease that impairs physical functioning and often leads to increased risk of falls. Adopting an external focus of attention during motor skill practice has been shown to improve learning outcomes, however, it has not been examined in this population. We examined how attentional focus instructions (internal vs. external) affect balance performance and learning in older adults with and without diabetes.

Methods: Fifty-three older adults (27 with diabetes, 63.7±7.0 years) participated in the randomized, pre-post intervention study. The balance training involved 50 practice trials of a stabilometer task that was novel to …

Implementing Physical Therapy Services And Screenings For The Students Of The Unlv College Of Fine Arts For Health And Injury Prevention: A Service-Learning Approach, Selene Barajas, Justin Dietrich, Brenna Ganzon, Payton Mack, Katherine Metzger, Tanner Mueller

UNLV Theses, Dissertations, Professional Papers, and Capstones

Individuals who participate in Fine Arts such as orchestra, dance, and theater at high levels are predisposed to injury. Many of these injuries are preventable, and when not adequately managed, they can result in lost rehearsal time and prevent participation in performances required for degree completion. While collegiate athletes typically have access to healthcare resources such as a team physician, athletic trainer, and physical therapist, collegiate performing artists often must navigate the healthcare environment on their own. Furthermore, available healthcare providers may lack knowledge and experience working with performing artists and be less able to treat the unique healthcare needs …

Effect Of Asynchronous Virtual Interviews On Ethnic Minority Matriculation Into A Doctor Of Physical Therapy Program, Conner Clark, Nanea Lagasca, Gladys Miller, Jasmine Puspos

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose/Methods: This study examines the impact of the use of asynchronous virtual interviews (AVIs) in the admissions process of the Doctor of Physical Therapy (DPT) program at the University of Nevada, Las Vegas (UNLV). This research aims to examine racial and ethnic subgroup differences in AVI scores, evaluate the influence of AVIs on applicant scores in the admissions process, and assess the AVI inter-rater reliability among faculty evaluators using data from the 2019-2022 admissions cycles.

Results: Significant differences were found in AVI scores among racial and ethnic groups, with Black applicants scoring highest and Asian applicants scoring lowest. Additionally, inclusion …

Effects Of Exercise On Level Of Support, Mobility, And Quality Of Life In Adults With Down Syndrome, Jorge Lorza-Lopez, Jolena Sagaya, Simone Schroder, Paige Melvin Zink

UNLV Theses, Dissertations, Professional Papers, and Capstones

Down syndrome (Ds) is a genetic disorder characterized by the autosomal abnormality of a third copy of chromosome 21. Due to the physical and intellectual disabilities that many people with Ds experience, they often need support with (instrumental) activities of daily living. Since adults with Ds are living longer, it is important to determine how exercise can affect mobility and quality of life in the Ds community. The impact on more functional outcomes, such as level of support and quality of life has not been systematically investigated. Therefore, the aim was to investigate whether twelve weeks of a remote, structured …