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Preparing Occupational Therapy Students In A Role-Emerging Private School-Based Setting, Jerome Amigo

UNLV Theses, Dissertations, Professional Papers, and Capstones

This capstone project occurred in collaboration with Cornerstone Christian Academy in Las Vegas, Nevada. As a role-emerging area of practice, occupational therapy must focus on integrating services in private schools just as much as public schools. The need for resources to support future fieldwork students at Cornerstone Christian Academy makes it difficult for occupational therapy students to enhance their experiential learning opportunities and serve an underserved population of primary and middle school students.

The capstone project consisted of daily engagement with Cornerstone Christian Academy’s educational personnel, attending students, and the parents of the students for 14 weeks to ensure all …

A Low Dose Of Electro-Psychedelic Treatment Increases Neuronal Dendritic Arborization And Filopodic Spine Density, Elaine Aquino Vasquez

UNLV Theses, Dissertations, Professional Papers, and Capstones

Neuropsychiatric disorders remain a formidable challenge to the global healthcare system, necessitating innovative treatments to address their complex pathophysiology. Alternative therapeutic approaches, including electroconvulsive treatment (ECT) and psychedelics, have gained attention for their capacity to relieve a broad range of symptoms. ECT is a long-standing effective therapy for patients, especially treatment-resistant ones. Psychedelics, like psilocybin, can induce profound and sustained therapeutic effects. The limited understanding of their mechanisms of action, compounded by the negative stigma surrounding ECT and psilocybin, prevents them from being used as adjunct agents. ECT and psilocybin promote synaptic plasticity and modulate neural remodeling, yet their comparative …

Pediatric Trauma-Informed Care And Implications For Occupational Therapy Practitioners, Quaneka Hoskin-Chase

UNLV Theses, Dissertations, Professional Papers, and Capstones

Occupational therapy practitioners are provided a wealth of knowledge through school and professional fieldwork experiences to understand and skillfully address the needs of children who have been exposed to trauma. Therapists are competently prepared to provide holistic and client-centered care that is dedicated to meaningful and volitional engagement (Lynch et al., 2021). However, many therapists still lack the confidence and awareness of their role related to trauma-informed care in the pediatric environment (Piller, 2022). Trauma compromises each domain of occupation (Lynch et al., 2021). As early intervention specialists, the lack of responsiveness to children’s trauma can have devastating and enduring …

Introduction Of The Anatomy Academy Program To Children In A Rural Elementary School, Rox Aurelio, Madison Dobbs, Nicole Horn, Gianni Terrana

UNLV Theses, Dissertations, Professional Papers, and Capstones

Children in rural communities experience health and education disparities. Early exposure to health promoting habits can positively impact future health habits. Healthcare providers who grew up in rural areas are more likely to practice in rural areas. Doctor of physical therapy students and physical therapists implemented Anatomy Academy, a service-learning program aimed at promoting healthy living and introducing healthcare occupations, to elementary students in a rural area as this program had previously only been implemented in urban areas. The Biomedical Institutional Review Board at the University of Nevada, Las Vegas approved this study. A 40-minute lesson was delivered weekly for …

Implementation Of Evidence-Based Practices To Improve Treatment For Patients With Neck Pain: A Pilot Study, Kristine David, Sarah Kaderka, Christoffer-Judd Villarias

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose: To determine physical therapists’ barriers to implementation and subsequent maintenance of evidence-based practices (EBPs) for treating neck pain from the American Physical Therapy Association (APTA) neck pain Clinical Practice Guideline (CPG) over the course of six months.

Materials and Methods: Participating physical therapists were trained on the EBPs of treating neck pain through a live 90-minute webinar followed by a hands-on, in-person 90-minute session. Clinics were supplied with all necessary equipment and reference guides. Assessment of participant maintenance to neck pain EBPs included data collection from a baseline Knowledge Check survey prior to educational sessions, an Implementation survey at …

Factors Shaping Charter School Leaders’ Student Recruitment Practices In Southern Nevada, John E. Aydogdu

UNLV Theses, Dissertations, Professional Papers, and Capstones

Charter schools have witnessed significant growth in the United States, accompanied by increased diversity among student populations. However, Southern Nevada charter schools diverge from national trends, enrolling a less racially and socioeconomically diverse student population. This study examined factors that shape charter school leaders’ student recruitment practices in Southern Nevada. In addition to addressing the lack of literature coverage on Southern Nevada charter schools’ demographics, this study also introduced new research regarding the predicament of charter school demographics in Southern Nevada. Using a case study approach, data from 16 charter school leaders and staff members across four identified charter schools …

Cost Benefit Analysis Of Anesthesia Providers Within Gastroenterology Outpatient Practices, Jennifer Buffum Brown

UNLV Theses, Dissertations, Professional Papers, and Capstones

Anesthesia delivery in ambulatory and office-based settings has seen significant growth in the last 25 years. The advances in effective short-acting anesthetic drugs, combined with the rise in demand for minimally invasive surgery, allows for an increase in the number of surgical procedures to be achieved outside the hospital setting. Ambulatory anesthesia promotes patient health by reducing recovery times. It also contributes to sustainability by lowering costs otherwise associated with overnight hospital stays. Patient preferences for minimally invasive outpatient surgery, and faster recovery times have spurred an increased demand for business relationships between modern medical practices and anesthesia providers. Certified …

Study Of Plan Of The Day Adaptive Radiation Therapy Validity, Zane W. Burnett

UNLV Theses, Dissertations, Professional Papers, and Capstones

Radiation therapy is the use of radiation sources or generators to treat patients. The most common usage is in the treatment of cancers. Adaptive radiation therapy (ART) is the use of either multiple radiation therapy plans or adjusting a radiation therapy plan for daily anatomical changes. Soft tissue in the lower abdomen and pelvis can be greatly displaced depending on a variety of factors, especially bladder and rectum fill. This paper focuses on the creation of multiple plans prior to treatment to have options each day. Depending on the alignment and anatomical changes, clinicians can choose which one is most …

Characterizing The Molecular And Cellular Changes Of Senescent Cells Induced By Diverse Stressors In 2d And 3d Microenvironments, Apoorva Chauhan

UNLV Theses, Dissertations, Professional Papers, and Capstones

Aging is a risk factor for myriad diseases and is often associated with the accumulation of senescent cells. Cellular senescence, a process of irreversible cell cycle arrest, is associated with various changes in cellular morphology and function. While senescence will occur naturally in a time-dependent manner, it can be prematurely induced by various extrinsic and intrinsic factors. Most senescence studies model cell behavior in two-dimensional (2D) microenvironments; however, these models are not physiologically relevant. In this study, the effects of naturally occurring reactive oxygen species (ROS) hydrogen peroxide (H2O2) and commonly used chemotherapy drugs, doxorubicin and palbociclib, on cellular senescence …

Understanding Stress And Coping Among Adults In The United States During The Covid-19 Pandemic, Jocy-Anna Chevalier

UNLV Theses, Dissertations, Professional Papers, and Capstones

Since the COVID-19 pandemic started, individuals in the United States (U.S.) and across the globe have experienced unprecedented levels of stress. The purpose of this study is to understand the stress experienced among adults in the U.S. and which coping processes affect their overall emotional well-being. Guided by Lazarus and Folkman’s (1987) Transactional Model of Stress and Coping (TMSC), this study conducted a secondary data analysis (n=404) of adults across the U.S who completed an online survey examining their experiences with stress and coping. A Pearson correlation was utilized to explore the relationship between stress and depressive symptoms. Paired samples …

Using Student Voices To Inform Educational Reform: Exploring High School Educational Desires To Improve Curricular Decisions, Anna Colquitt

UNLV Theses, Dissertations, Professional Papers, and Capstones

In the education system, the integration of student perspectives into effective pedagogical strategies is gaining momentum. This dissertation delves into the concept of 'Student Voice' and its role in shaping educational frameworks. Recognizing the growing gap in soft skill proficiency among newly recruited employees, contrasted with the emphasis on hard skills within current educational standards, this study analyzes what those skill gaps are in the education and what skills students perceive are necessary to integrate into a high school education to better prepare students for life, the workforce, and higher education. Focused on recent high school graduates in Nevada, the …

“Sex Is Fun”: A Study Of Hook Up Behaviors And Experiences Of Post-College And Middle-Aged Adults, Joshua Corum

UNLV Theses, Dissertations, Professional Papers, and Capstones

This research is a qualitative study of the hook up and casual sex behaviors and experiences of those in full adulthood, focusing on their motivations to hook up and the subsequent outcomes of those casual sex activities. Most of the existing scholarship on hooking up and casual sex primarily investigates the behaviors, attitudes, and experiences of college students within emerging adulthood. Little consideration is made for the ways in which adults negotiate hooking up and casual sex in other stages over the life course and after major life transitions. In this dissertation, I asked three questions: 1) How do adults …

Remote Detection Of Leaks In High Level Waste Storage Tanks, Hunter Frey

UNLV Theses, Dissertations, Professional Papers, and Capstones

The purpose of this research was to characterize three devices potentially capable of remotely detecting signatures of a leak from high-level waste (HLW) storage tanks, specifically ones found at the Savannah River Site and the Hanford Site. The hazard HLW found within these tanks include ¹³⁷Cs, a gamma-ray emitter, and ⁹⁰Sr, an electron emitter leading to heat generation. These pose health risks to the personnel and maintenance problems and environmental safety issues if released to the environment. Additionally, pinpointing the location of a leak is a task that could lead to the mitigation of excess waste leaking from …

Regulation Of Embryonic Eye Regrowth In Xenopus Laevis, Dylan Guerin

UNLV Theses, Dissertations, Professional Papers, and Capstones

Regrowth of lost organs and tissues is an amazing ability that some animals possess. For regrowth to be considered full, the organism must regrow the organ or tissue to a state that is structurally and functionally similar to that which was lost. The ability of an organism to regrow lost or damaged tissue varies among animals, both in the mechanisms utilized to achieve regrowth, and in what body parts can be regrown. Potentially even closely related species can vary wildly in regenerative ability. Therefore, regenerative research can look to other tissues and organisms for direction in elucidating the mechanisms through …

Linking Scholarly Learning Activities And Professional Identity In Otd Students, Andrew Loc Ho

UNLV Theses, Dissertations, Professional Papers, and Capstones

Professional identity formation is a critical aspect of education, training, and becoming an occupational therapist in Occupational Therapy Doctorate (OTD) programs. This capstone study explores the potential influences of learning activities related to research and scholarly writing professional identity development amongst OTD students using a cross-sectional descriptive design. This research study involved 32 OTD students across six cohorts participating in focus groups from the University of Nevada, Las Vegas (UNLV), and Kansas University Medical Center (KUMC). Through convenience sampling and latent content analysis managed with ATLAS.ti, the study identified categories underpinned by the Kawa Model to describe the dynamic interplay …

Increasing Self-Efficacy With Menstrual Management For Young Adults Experiencing Homelessness Using The Inclusive “U N Me” Education Program, Edellene Ignacio

UNLV Theses, Dissertations, Professional Papers, and Capstones

The purpose of the study was to increase self-efficacy with the occupation of menstrual management in young adults experiencing homelessness using the "Understanding and Navigating Menstrual Experience" or "U N ME" program. The objectives of this study were a reported increase in self-efficacy with menstrual management, the development of the U N ME program, and to promote the spread of accurate information to other menstruators in the community.

This study was a convergent parallel mixed-method study rooted in a phenomenological approach. The intervention featured four weekly workshops featuring education, group discussion, and an activity to tie the topic of the …

Osteoarthritis In The Temporomandibular Joint And Knee Joint: A Macroscopic Study Of Cadaver Specimens, Jeremy James

UNLV Theses, Dissertations, Professional Papers, and Capstones

In this study, thirty-one TMJs and twenty-eight knee joints were dissected from seventeen cadaveric subjects aged 69 to 95. Degenerative/osteoarthritic changes on the mandibular condyles, mandibular fossae, and femoral condyles were evaluated macroscopically and assigned a score on a disease severity scale (DSS) from 0 signifying “normal cartilage” to 4 signifying “severe OA”. Osteoarthritic changes were found in all TMJ and knee specimens. The average mandibular condyle DSS score was 2.68 ± 0.96, while the average mandibular fossa score was 2.90 ± 0.76; this difference in scores was significant (P = 0.035). Additionally, the mandibular fossa was equally or more …

Promoting Positive Dementia Attitudes Through Occupational Engagement: The Development Of A Dementia Awareness Program For Community Older Adults, Cynthia Lee

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose: This capstone project explored the effects of adding occupational engagement into a dementia awareness program on attitudes toward dementia among community-dwelling older adults, aiming to challenge dementia myths and promote an inclusive environment through occupational therapy perspectives. Methods: This project used a pre-test, post-test design with convenience sampling to develop and assess a dementia awareness program based on insights from Silverado Red Rock Memory Care Community and participation from members of the Osher Lifelong Learning Institute (OLLI) at the University of Nevada, Las Vegas in the program. Changes in positive attitudes toward dementia were measured using the Dementia Attitudes …

Voices Of Change: Oral Histories Of Ethnic Studies Leaders In Racialized Organizations, Bucket Manyweather

UNLV Theses, Dissertations, Professional Papers, and Capstones

This study of implementing California Assembly Bill 1460, or mandatory Ethnic Studies (ES) in the California State University System (CSU), investigates the leadership decisions made within a set of self-governing campuses with varied institutional resources and responsibilities. This research uses an Oral History methodology, which situates personal experiences in history to illustrate how Ethnic Studies staff, faculty, and administrators navigate a racialized organization as they institutionalize a critical race curriculum and mandate within the context of individual campus histories, cultures and governances.

I reviewed the literature and documented the history of the first College of Ethnic Studies, the movement's impact, …

Seated Athletes' Motivation For Participation In Wheelchair Sports: A Qualitative Study, Audrey Lynn Miller

UNLV Theses, Dissertations, Professional Papers, and Capstones

The purpose for this phenomenological design qualitative analysis was to gain an understanding of the perspectives of seated athletes’ motivation for participation in adapted athletics and argues that there is a component of seating that affects motivation. Occupational therapists build client interventions using meaningful occupations. This study aimed to increase awareness of adapted athletics impact on occupational performance. There was a gap in the literature for qualitative research exploring the lens of adapted sports participation through the perspective of seated athletes. This study utilized one-time individual semi-structured interviews with five participants that currently participate on a wheelchair court sports team …

Feasibility Of An Occupation-Based Intervention Manual For Outpatient Hand Clinics, Mia Moralez

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose

The purpose of this quality improvement study was to determine the usefulness of an Occupation-based Intervention Manual (OBI) for hand therapists in Southern Nevada and if the utilization of the OBI manual supported client-centered outcomes regardless of diagnosis, age, or population.

Methods

Convenience sampling was used, and five participants met the inclusion criteria in the twelve-week study. Pre-interview questionnaire responses from the therapists were used to develop the OBI manual content and corresponding Utilization Tracker. Post-interview questionnaire responses were used to determine the application and outcomes of the OBI manual. Descriptive statistics, frequency distribution, and thematic analysis were used …

Understanding The Role Of First Year Experience Courses In The Persistence, Retention, And Completion Of Latinx Hsi Community College Students, Luis Ortega

UNLV Theses, Dissertations, Professional Papers, and Capstones

The purpose of this single phenomenological case study was to examine the importance of an FYE or College 101 seminar and why this topic matters to Latinx students’ success. The research took place in a two-year Hispanic Serving Institution (HSI) located in the Southwest part of the United States. The overarching question was: How can First-Year Experiences (FYEs) or college seminars bridge the gap of retention, persistence, servingness and completion for Latinx students in higher education?

A total of 18 Latinx students were interviewed and provided valuable information about their experiences to assert the study findings. Four major themes were …

Effectiveness Of An Occupational Therapy-Focused Stroke Transitional Care Program In An Inpatient Rehabilitation Facility, Danniel Tapat

UNLV Theses, Dissertations, Professional Papers, and Capstones

Introduction: As a global health issue, stroke is one of the most common causes of disability for individuals around the world. The American Heart Association (2024) mentions that stroke is the fifth-highest cause of mortality and the top cause of disability in the United States. Objective: This project aimed to assess the change in the perceived readiness of individuals after implementing an occupational therapy (OT)-focused transitional care program for patients with stroke and their caregivers before returning home. Methods: The recruitment process for participants involved purposive sampling methods. The study utilized both the Readiness for Hospital Discharge Scale-Short Form (RHDS-SF) …

Mixed Methods Approach To Assess ‘Placental Opioid-Enhancing Factor’ Activity Within ‘Alternative’ Health Contexts Of Human Maternal Placentophagy, Jacob C. White

UNLV Theses, Dissertations, Professional Papers, and Capstones

Rats with elevated opioid levels experience an even greater increase in pain threshold after placenta or amniotic fluid consumption via placental opioid-enhancing factor (POEF) in the afterbirth. POEF only enhances opioid hypoalgesia; it cannot produce hypoalgesia alone. Although the POEF molecule remains unidentified and its efficacy in humans is unknown, it could be a safe, novel pain treatment. People who consume placenta as an alternative postpartum health practice are ideal for testing POEF bioactivity. Though rat models show that bioactive POEF is highly sensitive, some forms of the practice in humans may conserve POEF.

This project is the first attempt …

An Educational Toolkit For Addressing Women’S Sexual Health And Activity: Preparation For Occupational Therapists, Brittan Wright

UNLV Theses, Dissertations, Professional Papers, and Capstones

Despite being an activity of daily living within the scope of Occupational Therapy, issues and concerns related to sexual health are infrequently addressed within practice. This gap is especially prevalent as it relates to women's sexual health and sexual activity specifically. This capstone project evaluated Occupational Therapists' level of knowledge and comfort when discussing sexual activity and women's sexual health. It measured the effectiveness of creating an online educational toolkit to increase knowledge and confidence. The project used a quality improvement approach with pre-and post-test surveys to determine the effectiveness of the educational toolkit to enhance knowledge and confidence in …

Cellular Mechanisms Of Embryonic Eye Regrowth In Xenopus Laevis, Randolph L. Grell

UNLV Theses, Dissertations, Professional Papers, and Capstones

The African Clawed Frog, Xenopus laevis, has been an indispensable model organism for over 100 years in the study of embryogenesis and development. In recent years, this vertebrate model has emerged as a robust tool for deciphering the cellular and molecular mechanisms underlying various modes of tissue, limb, and organ regeneration. In the context of eye repair, Xenopus offers a unique model, where the adult frog eye has limited regenerative capacity compared to its pre-metamorphic embryonic and tadpole forms, which exhibit a robust capacity for regrowth. Understanding the intricate molecular mechanisms that underlie this developmental shift in regrowth ability …

Promoting Situational Interest In Computer Science Classroom: A Utility Intervention Approach, Mustafa Gunozu

UNLV Theses, Dissertations, Professional Papers, and Capstones

Mastery of computer science and computational reasoning emerges as an essential skill for every student. Experts recommend increasing the focus on computer science studies due to their crucial role in the future, recognizing its pivotal role in early learning. The present study aimed to evaluate the impact of a utility-based intervention on enhancing middle school students' interest in computer science. This study adopted a utility value intervention method to improve students' situational interest in computer science within a formal setting. The study investigated how a utility intervention changes students' interests in the content, employing a pretest-posttest control group design. For …

Mindfulness For Middle School Students Receiving Adapted Physical Education Services: Quality Improvement Program, Kaila Mangrum

UNLV Theses, Dissertations, Professional Papers, and Capstones

Middle school students with disabilities are often isolated from their peers with decreased opportunities for participation, struggle with social emotional regulation, and self-efficacy. This has been evident among students with various disabilities who are from various age groups receiving special education services including adapted physical education (APE). Research has shown mindfulness amplifies learning and promotes a positive environment that supports children’s overall wellbeing. This quality improvement project focused on developing an occupational therapy centered mindfulness program to enhance social participation, self-efficacy, and social-emotional regulation. Data collection occurred pre and post program from specialized program teacher assistants (SPTAs) using the School …

The Effects Of Implementing An Early Childhood Education Health And Wellness Program In Underserved Elementary Schools In Las Vegas On Student Mentors And Elementary Staff: Anatomy Academy, Alexa Blazek, Amber Berumen Baker, Kevin Chan Shum, Alexander Young

UNLV Theses, Dissertations, Professional Papers, and Capstones

Academy (AA) is a seven/eight-week program implemented by select University of Nevada, Las Vegas Doctorate of Physical Therapy (DPT) students to promote health and wellness at a Title I elementary school and help bridge the health education gap that underserved youth populations may be facing. We aimed to assess and improve the overall satisfaction of both the faculty members at the elementary school and the physical therapy students who participated in the program, while enhancing the health education of 5th grade students. Our aim was centered on stakeholders (elementary school administrators) and student mentors (DPT students) having the desire to …

Implementation Of An Evidence-Based Program To Reduce Fall Risk Of Older Adults In Nevada, Hanna Brunty, Jordynn Cowan, Taylor Derose, Kanosha Gray, Kerry Margolin

UNLV Theses, Dissertations, Professional Papers, and Capstones

As Doctor of Physical Therapy (DPT) students from the University of Nevada, Las Vegas, we completed a service-learning project to deliver a free evidence-based fall prevention program to senior residents of Nevada. “Stepping On” is a 7-week fall prevention program from the Wisconsin Institute for Healthy Aging that is designed for older adults who are at risk or fearful of falling or for those who want to increase their awareness of fall prevention strategies. The program includes learning balance and strengthening exercises, discussing fall prevention strategies, and collaborating with community partners and healthcare professionals. The first objective of this service-learning …