Digital Commons Network^™

Exploring Staff Nurses’ Perceptions Of Nursing Student Enculturation Within Clinical Teaching: A Focused Ethnography, Larizza Limjuco Woodruff

UNLV Theses, Dissertations, Professional Papers, and Capstones

The traditional clinical education model in nursing has utilized on-site learning experiences in clinical settings with patient encounters. With the growing complexity and demands of contemporary nursing care today, it is imperative to question the principal assumptions that guide the design and use of traditional clinical teaching experiences. Staff nurses working with nursing students can illuminate the impact of sociocultural workplace factors on clinical teaching and learning when preparing students for practice. Yet there is little known about staff nurses’ perspectives of nursing culture and how enculturation prepares nursing students for the profession. By understanding the perceptions of enculturation among …

Peer Led Learning Curriculum On Sexual Education, Hannah Harris

UNLV Theses, Dissertations, Professional Papers, and Capstones

Sexual education is a necessary course that teaches students about health and safety. There have been many obstacles that educators have faced in implementing into schools. This has led to a statewide division in how the topic is taught. Because of this, gaps in students' knowledge can lead to harmful practices or actions. A comprehensive sex ed, or CSE, needs to be utilized across the United States as this curriculum focuses on empirically based evidence and facts. Having an unbiased curriculum will improve student’s knowledge and help prevent parent backlash. However, sex ed needs to embrace peer-led learning as many …

Using Neighborhood Information To Improve Fiber Direction Estimation From Neuroimaging Data, Anjan Mandal

UNLV Theses, Dissertations, Professional Papers, and Capstones

Accurately estimating neuronal fiber directions is crucial in neuroimaging analysis. The Ball-and-Stick Model (BSM), introduced by Behrens et al. (2003), and widely used in software tools like FSL, remains one of the most popular models for this purpose. BSM analyzes each voxel individually, based solely on its signal information.In this dissertation, we propose modifications to BSM, that incorporate signal information from neighboring voxels in the estimation process, potentially improving the accuracy of the estimates. Additionally, within the estimation process, we introduce two novel proposal distributions to enhance the efficiency of the Markov chain Monte Carlo sampling procedure on the simplex …

Self-Regulated Learning Through Self-Concordant Goals, Social Modeling And Sustainability Focus, Oana Mandrutiu-Iancu

UNLV Theses, Dissertations, Professional Papers, and Capstones

Research has shown that when students spend time reflecting and autonomously selecting their college goals, they show high intrinsic motivation, low extrinsic motivation and improvement in emotional and social adjustment over the first several months of college. Despite of this, it is estimated that 77% of first- and second-year students are undecided on their major and many remain undecided as they transition into their junior and senior year. Moreover, in education settings the primary emphasis is on academic success, but focusing solely on academic goals is limiting. As learning is inherently social, academic and social domains cannot be separated, while …

How Couples Navigate Interethnic Differences In Asian American Population: A Grounded Theory Approach, Michelle Nakaula

UNLV Theses, Dissertations, Professional Papers, and Capstones

Several studies have discussed the impact of cultural factors in Asian American families. Previous research has demonstrated useful strategies used in dealing with distress and relationship dissatisfaction regarding cultural differences. There is limited data or studies that explore additional challenges faced by interethnic couples, rather than interracial couples and the impact of family dynamics on these relationships. Each partner’s identity development process was influenced by their understanding of different cultural traditions and customs. These unique experiences shaped their understanding of roles and expectations within their relationship and parenting styles. Additionally, these family relationships and cultural backgrounds play a role in …

Development And Testing The Predictability Of An Instrument Based On The Multi- Theory Model (Mtm) Of Health Behavior Change For Pre-Exposure Prophylaxis (Prep) Uptake Among People Of Color, Siddharth Raich

UNLV Theses, Dissertations, Professional Papers, and Capstones

HIV/AIDS continues to be a significant public health problem in the US and globally. In the US, it disproportionately affects people of color. In 2012, Pre-exposure Prophylaxis (PrEP) was approved by the FDA for HIV prevention. PrEP reduces the chances of acquiring HIV by 99% among people at high risk. However, PrEP uptake among people of color remains low. Therefore, this study aimed to develop and test the predictability of an instrument to describe the intent to initiate and sustain PrEP use among people of color. This research utilized an exploratory sequential mixed methods design based on the fourth-generation, multi-theory …

Developing A Remote Gamma Spectra Collection System For Radiation Sciences At The University Of Nevada, Las Vegas, Haven Searcy

UNLV Theses, Dissertations, Professional Papers, and Capstones

Educational institutions of all levels have been significantly impacted by the COVID-19 epidemic with none more so than higher education. The challenges faced by researchers are numerous while performing a study and have only increased since the pandemic. Many colleges or universities have halted research to cut off unnecessary contact in order to protect study participants and research personnel. In the Department of Health Physics and Diagnostic Sciences (DHPDS) at the University of Nevada Las Vegas, a solution was developed that would allow scientists and students alike to be able to analyze already prepared samples either in the lab or …

Cultivating Nursing Student Competency Through Serious Gaming Simulation-Enhanced Prebriefing, Shopha M. Tserotas

UNLV Theses, Dissertations, Professional Papers, and Capstones

Problem: Simulation is an effective teaching strategy for undergraduate nursing students, providing a safe environment for learning in a low-risk setting. However, students are not fully prepared to take full advantage of high-fidelity simulation activities. The purpose of this study was to examine the impact of serious gaming simulation-enhanced prebriefing on student competency and simulation effectiveness. Methodology: The study employed a quantitative, cross-sectional, quasi-experimental design using secondary data. Participants included undergraduate nursing students in a southern private university. The students were enrolled in the prelicensure nursing program and the obstetric or the transition to practice course. The control group received …

Alteration Of Peripheral Cytokines In Alzheimer’S Disease, Zhengshi Yang

UNLV Theses, Dissertations, Professional Papers, and Capstones

Alzheimer’s disease (AD) is a progressive neurodegenerative disease with the clinical symptoms of gradual cognitive decline and memory loss. Biologically, abnormal accumulation of Aβ (Aβ) plaque and tau tangles in the brain are the core pathological hallmarks in AD. Although inflammatory response is not specific to AD, emerging evidence suggests that the disrupted innate immune system within the central nervous system, particularly microglial activation, might act as the bridge linking Aβ aggregation to pathological phosphorylation and aggregation of tau. The inflammatory response was suggested to initially have a neuroprotective role of attempting to clear Aβ plaques, and then become neurotoxic …

Delineating Genetic Influences On Neurodegenerative Disorders And Infectious Diseases Through Advanced Computational Methods, Xiaowei Zhuang

UNLV Theses, Dissertations, Professional Papers, and Capstones

Genetics plays a critical role in understanding the molecular mechanisms underlying neurodegenerative disorders and pathogen evolution in infectious diseases. For example, identifying genetic variants associated with a disease phenotype uncovers functional pathways that could lead to potential drug targets and therapeutic interventions. In addition, tracking the genetic evolution of pathogens enables early detection and warning of infectious disease outbreaks. In both applications, given the large amount of genetic data, advanced computational methods, including longitudinal and multivariate models, could significantly boost the statistical power and capture interrelationships among traits, environmental factors and genetic influences. This dissertation focuses on four applications of …

The Effects Of First Responder Stress & Trauma On Spouses And Romantic Partners, Eden Thiess

UNLV Theses, Dissertations, Professional Papers, and Capstones

First responder jobs pose unique difficulties due to the sheer number of traumatic events that they witness and personally experience. Research has demonstrated some effects of stress and trauma on family relationships, but the literature lacks an understanding of the ways that first responder trauma and stress affects their marriages and romantic relationships. The current study’s purpose was to investigate the experiences of first responder spouses and partners within the Las Vegas area in regards to stress, trauma, and relationship dynamics as influenced by the first responder role. In this study, 11 participants who were in a marriage or romantic …

Before Ministry, Education Is Important (Bmei): A Comprehensive Enquiry About The Impact Of Education On Ministry, Mcclintock Acsmhour

Electronic Theses and Dissertations

Ministry has a variety of fields ranging from churches, social nonprofit organizations, and government ministries in agriculture, health, education, lands, and many more. While this study did not focus on other ministries apart from Christian non profit ministries like church, to some extent, all leaders in these ministries avow that one requires some level of education to be in leading positions in these ministries. In other words, the qualified individual must have been trained in a particular field within the ministry of interest. This indicates the importance of education in ministry. Therefore, this study was conducted to uncover the impact …

Distribution Through Taxation Versus Legal Rules, And The Epistemic Limits Of Law-And-Economics, Erick J. Sam

Utah Law Review

This Article develops an epistemic critique of the view, widely held in law-and-economics, that legal rules should always be chosen for efficiency and that redistribution to produce a fair distribution should be conducted solely through the tax-and-transfer system. In place of this orthodox view, I develop an alternative distributive theory.

The canonical ‘double distortion’ argument for the orthodox position, formulated by Kaplow and Shavell (1994), claims that opting for efficient legal rules minimizes economic distortions and maximizes aggregate social wealth, some of which can then be redistributed via the tax-and-transfer system to those who would have been better off under …

Draft Final 2022 Insufficiently Reclaimed Sites Sampling Bres No. 37 – Josephine Shaft Site Evaluation Summary Report, Pioneer Technical Services, Inc.

Silver Bow Creek/Butte Area Superfund Site

No abstract provided.

Alternatives To Dental Opioid Prescribing After Tooth Extraction (Adopt), Douglas R. Oyler, Philip M. Westgate, Sharon L. Walsh, Jennifer Dolly Prothro, Craig S. Miller, Monica F. Roberts, Patricia R. Freeman, Hannah K. Knudsen, Maggie Lang, Enif Dominguez-Fernandez, Marcia V. Rojas-Ramirez

Biostatistics Faculty Publications

Background: Dentists and oral surgeons are leading prescribers of opioids to adolescents and young adults (AYA), who are at high risk for developing problematic opioid use after an initial exposure. Most opioids are prescribed after tooth extraction, but non-opioid analgesics provide similar analgesia and are recommended by multiple professional organizations. Methods: This multi-site stepped wedge cluster-randomized trial will assess whether a multicomponent behavioral intervention can influence opioid prescribing behavior among dentists and oral surgeons compared to usual practice. Across up to 12 clinical practices (clusters), up to 33 dentists/oral surgeons (provider participants) who perform tooth extractions for individuals 12–25 years …

Assembly And Characterization Of 10 Cm × 10 Cm Cold Atmospheric Pressure Plasma Device, Sumona S. Islam

Boise State University Theses and Dissertations

The primary purpose of this thesis is to assemble, demonstrate, and characterize a Cold Atmospheric Pressure dielectric barrier discharge plasma array of large active plasma discharge region (10 cm × 10 cm). The array is fabricated using the Low Temperature Co-Fired Ceramic (LTCC) dielectric material system and silver paste in printing electrodes. It is important to find the optimal operating parameters of the device to achieve uniform emission and to achieve the best response out of the device, which is the main focus of this thesis. The device is assembled from 43 linear discharge elements. Several I-V sweep measurements, capacitance …

Students’ Performance And Perceptions Of Mock Trials As A Teaching And Assessment Activity Over Three Years At Two Institutions, Ettie Rosenberg, Shih-Ying H. Hsu, Hoai-An Truong, Reza Taheri

Pharmacy Faculty Articles and Research

Background: This study aimed to evaluate students’ performance and perception of a mock-trial teaching, learning, and assessment activity over three years at two institutions.

Methods: A mock trial (courtroom-style debate) implemented over three years (2017-2019) in a first professional year (P1) course at two institutions offered active learning in literature critique and evaluation, critical thinking, communication, teamwork, professionalism, and self-awareness. Student teams researched, prepared, and debated controversial topics as counsels, witnesses, or jurors for alternate mock trials. Descriptive analyses evaluated judge and juror trial scores and the 2019 Technology Acceptance Model (TAM) survey.

Results: The mock trials involved 319 student …

Opioid Knowledge And Experiences In Nebraska College Students, Natalie Holding

Theses/Capstones/Creative Projects

This study investigated opioid-related knowledge and experiences among 83 Nebraska college students, with an emphasis on awareness, perceived risks, and educational needs regarding opioids and the overdose-reversing drug, naloxone. For participants who have used opioids outside of a doctor’s orders, questions were asked regarding motivations, comorbidities, coping mechanisms, and treatment experiences. Data were collected via an anonymous survey featuring closed- and open-ended questions. Results showed that 41% of participants reported feeling moderately knowledgeable about opioid risks, while 34% felt only slightly knowledgeable. Although 80.7% of participants were aware of naloxone, most were uncertain either about (22.9%) or did not know …

Keeping Mental Health Professionals In Nebraska: How Nebraska Recruits And Retains Working And Prospective Providers, Beckett Allen

Theses/Capstones/Creative Projects

For my capstone effort, I wanted to focus on the recruitment and retention of mental health professionals in Nebraska. Having familiarity with the status of mental healthcare itself in rural Nebraska, my goal was to focus on what is being done to recruit and retain mental healthcare providers in the state.

For this study, interviews were conducted with professionals with experience in examining and addressing provider recruitment and retainment related to mental health.

Federal and state agencies such as the Area Health Education Center (AHEC) and the Behavioral Health Education Center of Nebraska (BHECN) have been formed to address shortages …

Employing Raman Spectroscopy And Machine Learning For The Identification Of Breast Cancer, Ya Zhang, Zheng Li, Zhongqiang Li, Huaizhi Wang, Dinkar Regmi, Jian Zhang, Jiming Feng, Shaomian Yao, Jian Xu

Faculty Publications

Background: Breast cancer poses a significant health risk to women worldwide, with approximately 30% being diagnosed annually in the United States. The identification of cancerous mammary tissues from non-cancerous ones during surgery is crucial for the complete removal of tumors. Results: Our study innovatively utilized machine learning techniques (Random Forest (RF), Support Vector Machine (SVM), and Convolutional Neural Network (CNN)) alongside Raman spectroscopy to streamline and hasten the differentiation of normal and late-stage cancerous mammary tissues in mice. The classification accuracy rates achieved by these models were 94.47% for RF, 96.76% for SVM, and 97.58% for CNN, respectively. To our …

Cmos-Based Rotational Spectroscopy: Massive Spectral Fingerprint Generation And Molecular Detection With Deep Learning, Yasamin Fozouni

Computer Science and Engineering Theses and Dissertations

Rotational Spectroscopy is a powerful spectral fingerprinting approach that can be used for identifying different gas molecules in a sample. Gas molecules are free to rotate, with inertia, in fixed states of quantized energy. In Rotational Spectroscopy, radiative beams are shown onto a sample to cause an energy-based transition between quantized rotational states. By sweeping the frequency of the radiative beams and monitoring the absorption with a sensor, one can profile the different rotational states, monitoring for energy based transitions. These transitions are dependent on unique properties of the molecules, thus presenting a unique molecular identification fingerprint (in the form …

Power At Sea Oscillating Water Column, Nate Hempstead, Max Wong, Ned Eyre Eyre, Luke Wierl

Mechanical Engineering

Current Autonomous Underwater Vehicles (AUVs) are predominantly powered by batteries or other energy sources that require frequent maintenance and human intervention. To increase the deployment times and efficiencies of AUVs, there is a need to develop improved wave energy conversion systems that harness renewable energy from waves and tides for power generation and storage. This approach aims to reduce or eliminate the need for manual maintenance or battery replacements, while also minimizing the environmental impact on marine wildlife and the surrounding ecosystem.

The Waterbug: Adaptive Paddle Board Frame, Remy James Elio Lacchia, Katie Kellum, Madeline Evenson, Shelbi Sullaway

Mechanical Engineering

People with disabilities, particularly wheelchair users, face limitations in participating in outdoor activities like paddleboarding. Central Cal Adaptive, a nonprofit organization, aims to bridge this gap by offering adapted paddleboarding experiences. However, their current paddleboard presents challenges such as portability, range of motion, stability, and safety. Our team, comprising Madeline Evenson, Remy Lacchia, Katie Kellum, and Shelbi Sullaway, has collaborated with Central Cal Adaptive to refine the existing paddleboard design. The team’s goal is to enhance the paddleboard's functionality to better cater to wheelchair users' needs, ensuring lightweight, portable, and safe features for an improved outdoor experience.

Our paddleboard concept …

Piston Crown Design, Kurt L. Lippmann, Liam T. Janssen, Alex Rangel, Larry J. Davis

Mechanical Engineering

This project investigates the effects of dimpling a piston crown, and its impact on engine combustion dynamics. Through computational methods, the effects of piston crown dimpling on flow characteristics were evaluated. Theoretical results were verified with experimental methods. Experimental methods included characterization of exhaust gas content, engine horsepower and torque, and exhaust opacity.

Chronic Illness Education 2024: Tackling Childhood Obesity Using The Chronic Care Model, Avan Chu, Bassem Chamma, Katiya Barkho, Ryan Li, Sabrina Pakula, Zoe Raphael

Patient Education Projects

No abstract provided.

Chronic Illness Education 2024: Educational Resources For Families To Improve Childhood Obesity, Arianna Arcenas, Colton Clymer, Henry Li, Jonathan Albrecht, Kathleen Girdler, Saleh Ahmed

Patient Education Projects

No abstract provided.

Chronic Illness Education 2024: Addressing Anxiety And Depressive Disorders In The Adult Population, Alexandra Thompson, Andrew Wu, Lauren Kim, Meghana Jalagam, Rahul Bodapati, Tyler White

Patient Education Projects

No abstract provided.

Labor And Employment Law, W. Jonathan Martin Ii, Alyssa K. Peters, David S. Cromer

Mercer Law Review

This Article reviews changes to the Official Code of Georgia Annotated (O.C.G.A.) and court decisions interpreting Georgia law that impact labor and employment relations for Georgia employers, covering the period from June 1, 2023, to May 31, 2024.

Legal Ethics, Patrick Emery Longan

Mercer Law Review

This Survey covers the period from June 1, 2023 to May 31, 2024. The Article discusses developments with respect to lawyer discipline, bar admission and reinstatement, malpractice, ineffective assistance of counsel, disqualification of counsel, judicial misconduct and recusal, attorney’s fees and liens, contempt and other sanctions, unauthorized practice of law, suits against the State Bar of Georgia, attorney-client privilege, amendments to the Georgia Rules of Professional Conduct, formal advisory opinions, and one miscellaneous matter.

Torts, Scott Key

Mercer Law Review

2023—2024 brought significant changes to the law of torts in the Supreme Court of Georgia, the Court of Appeals of Georgia, and the Georgia General Assembly. The most significant changes involve precedent loosening the reasonable foreseeability standard in negligence cases and the end of direct actions against insurers in motor carrier cases. This was a busy year in tort law, with sweeping changes from the courts and the legislature.