Digital Commons Network^™

Compliance And Efficacy Of Orthodontic Medicaid In Southern Nevada: A Retrospective Study, Troy Mccartney

UNLV Theses, Dissertations, Professional Papers, and Capstones

Objective: The study’s main objective is to evaluate efficacy and compliance in Medicaid orthodontic patients compared to private insurance and cash (self-pay) patients in Southern Nevada. In addition, the paper will study the trends in approval selection such gender, age, race/ethnicity, and case type. This information will be used to discuss the barriers that Medicaid patients face and offer solutions for the issues found in the orthodontic Medicaid system.

Introduction: Medicaid coverage was brought forward by the Federal Social Security Act in July of 1965. Since then, there have been many discussions on how orthodontic treatment should be covered under …

Symphony No. 7 “Leningrad” By Dimitri Shistakovich: A Wind Band Transcription Of The Final Movement With Historical Context And A Description Of The Transcription Process, Scott Patrick Mcglasson

UNLV Theses, Dissertations, Professional Papers, and Capstones

This document includes a wind band transcription of the final movement of Dimitri Shostakovich’s “Symphony No. 7” known as the Leningrad Symphony. It contains an overview of the composer's life leading up to the creation of this work as well as a description of the historical context during which this work was composed. This document also contains a detailed description of the transcription and editing process that led to the completed work contained at the end of this document. The transcription process included examining other wind band transcriptions of Shostakovich’s music as well as other wind transcriptions of orchestral works.

Age, Gender, And Sexual Orientation And Their Effects On Online Dating Motivations, Jenna Leigh Mcpherson

UNLV Theses, Dissertations, Professional Papers, and Capstones

Online dating and dating apps are becoming more common as a means to meet a romantic or sexual partner (e.g. Rosenfeld, Thomas, & Hausen, 2019). Previous literature on the motivations for why people use dating apps and how they differ among participants of varying age, gender, and sexual orientation has not allowed for comparisons across these groups, or shows conflicting findings. In order to consolidate existing literature and further explore the topic, I conducted both a meta-analysis and meta-synthesis. The meta-analysis demonstrated a gender difference in the motivation of casual sex, such that men scored higher than women. The meta-synthesis …

Behavioral Health, Mental Health, And Overall Well-Being Of Informal Caregivers Before And After The Covid-19 Pandemic, Zahra Mojtahedi

UNLV Theses, Dissertations, Professional Papers, and Capstones

Informal caregivers, such as relatives or close friends, are vital for maintaining the welfare of the individuals they provide care for. However, caregiving can be difficult and stressful that adversely impacts caregivers’ health. The extra stress brought on by the COVID-19 pandemic can potentially aggravate health problems, particularly mental health. The current research aimed to nationally analyze whether the COVID-19 pandemic was significantly associated with behavioral health (physical activity and smoking), mental health (worrying, nervousness, hopelessness, little interest, and psychological distress score), and the perception of overall well-being among informal caregivers in the United States. Whether behavioral health could mediate …

Voices From The Field: Black Women Who Have Successfully Transcended The Leadership Pipeline Into Superintendency, Brione A. Minor-Mitchell

UNLV Theses, Dissertations, Professional Papers, and Capstones

Black women have a distinct journey within the realm of education, one that can only be fully comprehended and articulated by Black women themselves. However, even with their insights, not all readers will grasp the intense scrutiny Black women face when they strive for leadership roles, particularly in superintendency. This study aims to delve into the experiences of Black women who have risen to superintendency, examining the challenges they've encountered. It seeks to address four key questions through the lenses of Critical Race Feminism and Black Feminist Thought: What barriers do Black aspiring women leaders confront as they ascend to …

Dismantling The Stigma Of "Strong Black Girl" & "Strong Black Boy:" Cultural And Gender Differences In Trauma And Suicidality Among Black Adolescents, Tiffany Mosier-Hunter

UNLV Theses, Dissertations, Professional Papers, and Capstones

Trauma exposure has been linked to a plethora of negative outcomes, including suicidality. Despite the abundance of research on the effects of trauma, little is known about its relationship with suicidality among adolescents. Moreover, even less research examines cultural and gender specific risk factors among Black adolescents. This study was founded on the cultural model of suicide, and the gendering of suicide theory, suggesting that suicidality in minority populations is influenced by cultural experiences (i.e., traumas) and perceptions of suicide, as well as gender differences that dictate where Black adolescents fall on the suicide spectrum. Using archival data (e.g., YRBSS) …

Occupational Therapy-Led Development Of Life Skills Coaching Course On Resources For Educational Attainment To Foster Independent Living Among Youth Aging Out Of Foster Care, Joana Naguit

UNLV Theses, Dissertations, Professional Papers, and Capstones

This capstone project focused on addressing the competence of foster youth in their independent living skills, particularly, educational attainment skills. Delivered in a blended learning format, a life skills coaching course focused on educational attainment resources was proposed to address the long-term challenge of poor educational attainment among foster youth at Bamboo Sunrise, a specialized foster care agency in Henderson, NV. Participants completed brief didactic work in the form of video and PowerPoint lectures followed by the evaluation of their comprehension and skills through questionnaires and competencies. Competency evaluations simulated hands-on workshops structured weekly to promote skill mastery and application …

The Operatic Innovation And Musical Language Of Rodion Shchedrin's Choral Opera Boyarina Morozova, Valeria Ore

UNLV Theses, Dissertations, Professional Papers, and Capstones

Rodion Shchedrin is an outstanding composer who uses the deep tradition of Russian musical culture in his compositions. Shchedrin’s style is very individual and consists of the universality of world perception and originality of musical language, which encompasses a sensitive assimilation of a new, careful, and respectful approach to Russian traditions. By reasonably and fragmentarily using the elements of dodecaphony, sonorics, and aleatoric music, he developed his own musical language. Thus, the purpose of this work is to explore Shchedrin’s compositional style and to discover his innovation and individual style in the opera Boyarina Morozova. Shchedrin’s compositions are unusual: …

“Everyone’S Favorite Dead Girl”: Historical Crime Fiction And Postwar Policing In James Ellroy’S The Black Dahlia, Mauricio Ortiz Zaragoza

UNLV Theses, Dissertations, Professional Papers, and Capstones

This thesis argues for the importance of crime fiction as a major literary genre with global reach. Taken as a whole, crime fiction acts as a vehicle for exploring macro-level questions of social structures, political-economic processes and power relations. Within that genre, I claim that James Ellroy is a key figure who writes at the intersection of the historical novel and literary noir. As the first work in his L.A. Quartet (1987-1992), The Black Dahlia fictionalizes the investigation of the city’s most famous unsolved homicide—the gruesome murder and mutilation of Elizabeth Short. The novel, however, uses the investigation as a …

Investigations Into The Relationship Between Menopause And Alzheimer’S Disease Pathology In A Mouse Model With Ovarian Follicle Depletion, Amanda M. Leisgang Osse

UNLV Theses, Dissertations, Professional Papers, and Capstones

Alzheimer’s Disease (AD) currently affects about 6.9 million Americans, with over two-thirds of those individuals being women. Interestingly, changes in the brain indicative of AD coincide with the onset of menopause. Post-menopausal women have significantly higher levels of AD pathologies, including amyloid beta and hyperphosphorylated tau, than pre-menopausal women. To investigate the relationship between AD pathologies and menopause, we induced menopause-like state in an AD mouse model, APP/PS1, by treatment with 4-vinylcyclohexene diepoxide (VCD) to accelerate ovarian follicle depletion. To monitor the transition to menopause, vaginal lavages and cytology was performed to determine if mice reached anestrous. Both female APP/PS1 …

A Sensory Room Protocol For Snf Staff To Improve Confidence With Emotional Regulation In Adults With Cognitive Challenges: Through An Occupational Therapy Perspective, Marisa Pagan

UNLV Theses, Dissertations, Professional Papers, and Capstones

Adult sensory rooms are an emerging area of practice for occupational therapy, as this holistic approach uses sensory tools for input to one or more of the five senses, which promotes emotional regulation in individuals seeking calming and alerting outcomes. This sensory protocol proposal was created to assist healthcare workers within a skilled nursing facility and provide a tool that could be utilized in various settings to increase awareness of adult sensory rooms.

Methodology This quality improvement protocol project was conducted at Henderson Health and Rehabilitation to determine the need for and develop a protocol for an adult sensory room …

Increasing Swim Instructors' Perceived Knowledge Of Sensory-Based Strategies When Coaching Children Who May Have Sensory Differences, Gabrielle Palmer

UNLV Theses, Dissertations, Professional Papers, and Capstones

Although swim instructors are solely taught water safety regulations and correct swimming techniques, they are nonetheless viewed as mentors by the kids they work with. They are required to finish both their basic swim instructor (BSI) course and their cardiopulmonary resuscitation (CPR) certification, which primarily covers the fundamentals (American Red Cross Training Services, 2023; Kraft & Leblanc, 2018). However, neither provides a method of teaching swimming to children who might have sensory processing differences. This lack of education may affect both the child's participation and the swim instructor's capacity to impart knowledge. Research revealed that swim instructors are not very …

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 …

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 …

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 …

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 …

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 …

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 …

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 …

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 …

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 …

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 …

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 …

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 …