Digital Commons Network^™

The Power Of Voice: The Role Of Target Voice Achievement In Enhancing Quality Of Life For Transgender Individuals In Gender-Affirming Voice Management Lab, El Paso, Texas, 2016-2022, Mehjabin Alam Hridi

Open Access Theses & Dissertations

Background: Gender-affirming voice management is an essential aspect of transgender people and research shows that achieving a congruent voice can significantly improve the quality of life. The role of voice as a central aspect of gender identity and expression and achieving a desired target voice can improve mental health outcomes, social functioning, and overall well-being. Purpose: The project assesses the impact of quality of life and voice treatment completion on voice disorders among transgender people. Methods: This clinical study included records for transgender individuals attending the Gender-Affirming Voice Management Lab in El Paso, TX, from 2016 to 2022. Measures collected …

The Physiological Effects Of Acute And Ramp Hypoxic Exposure During Simulated Flight Tasks, Jasmin Renee Jenkins

Open Access Theses & Dissertations

The purpose of the present study was to examine the effects of hypoxia at simulated altitudes of FiO2 15.4% (8000’ equivalent), FiO2 13.2% (12,000’ equivalent), and a Ramp Hypoxic exposure on perceived workload, cardiovascular activity, electrodermal activity, oximetry, and flight simulator performance. A total of 17 participants (10 female & 7 males; mean ± SEM, age 24.82±1.6 yrs, BMI 25.87±1.0 who were apparently healthy, asymptomatic, and physically active performed 3 flight tasks using a video game head-mounted display (HMD) flight simulator while exposed to simulated altitudes of Normoxia, FiO2 15.4%, FiO2 13.2% and a Ramp Hypoxic Exposure (breathing at 8,000 …

Computation-Assisted Molecular Discovery For Biomedical Applications: Seeking Small Molecules And Dna Sequences With High Affinity Target Binding, Payam Kelich

Open Access Theses & Dissertations

Binding affinity between two molecules is an essential property in drug and sensor discovery. Several computational and experimental methods exist to find molecules with high binding affinities to desired target molecules. These methods are often complementary, where fast computational methods can be used for the initial screening of molecules, and experimental methods can then screen and determine the molecules of interest and sometimes define the structures of bound complexes. After these steps, computational methods, like molecular dynamics (MD) simulations, can provide detailed insights into atomic interactions and binding, and machine learning approaches can analyze experiment-derived data to discern patterns and …

Evaluation Of The Efficacy Of Synthetic Glycovaccines Against Both Murine Acute Chagas Disease And Cutaneous Leishmaniasis, Colin D. Knight

Open Access Theses & Dissertations

Chagas disease (CD) and cutaneous leishmaniasis (CL) are neglected tropical diseases caused by the protozoan trypanosomatids, Trypanosoma cruzi and Leishmania spp., respectively. There are approximately 6-8 million people infected with T. cruzi worldwide and ~300,000 people in the US. Between 700,000 and 1.2 million new cases of CL occur worldwide yearly. The approved chemotherapies for both diseases are partially effective and may cause serious adverse events, resulting in premature treatment interruption. Moreover, no effective vaccine for either disease is available. Therefore, developing a vaccine that would provide effective cross-protection against both diseases would provide a cost-effective alternative to the existing …

Sterically Encumbering Ligands For The Synthesis And Stabilization Of Iron Nitride And Iron Oxo Compounds, Asiel Mena

Open Access Theses & Dissertations

The study of iron-nitrides has been found to be very attractive due to their potential role in processes like Haber-Bosch and nitrogen fixation by nitrogenase. The role of iron-nitrides in these processes is yet not well understood, and the fact that only handful of terminal iron-nitrides have been isolated or spectroscopically detected motivates us to study this type of systems, since much remains to be learned about the electronic and structural factors that affect the chemistry of the Feâ?¡N bond. Recently in our group, by using a super-bulky guanidinate ligand (LAr*), the obtention of an iron-nitride ([LAr*]FeN(py) (LAr* = (Ar*N)2C(NCtBu2), …

Co2-Dependent Nanoscale Organization In Bulk And Interfacial Carbon Dioxide Capture Liquids Elucidated Using X-Ray Scattering, Daniel Eduardo Moran

Open Access Theses & Dissertations

The pressing need to control carbon dioxide emissions has propelled extensive research efforts employing a variety of approaches across the globe. In flue-gas recovery of CO2, the water-lean amine-based solvent N-(2-ethoxyethyl)-3-morpholinopropan-1-amine (2-EEMPA), has shown exceptional performance. Recent studies show that 2-EEMPA exhibits intermediate-range order (IRO), beyond the first nearest neighbor length scale, consisting of tetrameric clusters. In view of the need to find solutions for direct air capture (DAC) of CO2, this system may represent a critical linkage in a DAC strategy, yet structural insights on EEMPA's behavior at solid surfaces are still lacking. To this end, we applied the …

Optimizing Remote Sensing Approaches For Dryland Carbon Flux Estimation, Kamal Nyaupane

Open Access Theses & Dissertations

Dryland ecosystems account for 40% of the global land surface area and play a vital role in the global carbon cycle. Gross Primary Productivity (GPP) is crucial for carbon exchange between ecosystems and the atmosphere, serving as a fundamental determinant of the carbon balance. However, precise modeling of GPP in terrestrial ecosystems, especially drylands, remains a complex challenge. This research utilizes a decade long spectral reflectance dataset acquired with a robotic tram system to estimate GPP using Random Forest model. The research exceled in capturing the complex spatio-temporal dynamics of the study site. Notably, the RF model exhibited best performance …

Enhancing Our Understanding Of Ancient Oceans Through The Investigation Of Molybdenum Behavior Under Sulfidic Conditions, Rachel Faye Phillips

Open Access Theses & Dissertations

The most abundant trace metal in the ocean today, molybdenum (Mo), exhibits distinct behavior in oxygenated water, where it remains predominantly dissolved, compared to euxinic (i.e., oxygen-free and sulfidic) water, in which it is sequestered into the sediment. This dissimilar behavior allows us to use Mo concentrations and isotopic compositions in sediment to reconstruct marine oxygenation conditions throughout geologic history. However, Mo sequestration mechanisms under euxinic conditions remain unresolved, which limits the accuracy and precision of reconstructions made using Mo signatures in the rock record. For my doctoral research, I experimentally investigated abiotic and biotic Mo sequestration mechanisms under various …

Masculinity Crossing Borders: An Analysis Of Acting Like A Man In Chicano Culture, Victoria Rivas

Open Access Theses & Dissertations

The current thesis examines the representation of Chicano masculinity in four films: Mi Familia (1995), A Better Life (2011), End of Watch (2012), and How to be a Latin Lover (2017). It uses cultural studies as a theoretical framework and methodology to explore the evolution of Chicano masculinity enacted by Latino actors in Hollywood films. Findings indicate that although the representation of Chicano masculinity has changed over the years, it remains negative. Including Latino actors in films to portray Chicano characters does not necessarily translate to accuracy. Limitations are addressed and suggestions for future research are provided.

A Qualitative Case Study In Esl Education: Navigating Sexual Identities And Queerness In Language Learning On The Us-Mexico Border, Majd Sarah

Open Access Theses & Dissertations

The purpose of this qualitative case study is to explore the language learning experiences of community college students who self-identify as LGBTQ+ and study English as a Second Language (ESL) on the U.S.-Mexico border. In order to understand the relationship between ESL language learning and the identities of community college LGBTQ+ students on the US Mexico border, data was collected using semi-structured life-history interviews of three participants. This examination was framed in the theory of social identity and the theory of performativity. Findings were analyzed using a discourse analysis approach that highlights the meaning making of student experiences and their …

Metrics For Comparison Of Complex Networks, Clarissa Reyes

Open Access Theses & Dissertations

Heuristic network statistics are used as a preliminary approach to identify change across networks. In networks where there is known node correspondence (KNC), conventional network comparison methods include taking a norm of the difference matrix, or calculating dissimilarity measures like DeltaCon and cut distance. Since different KNC measures provide varying insight to the network comparison problem, we propose employing Rank Score Characteristic Functions (RSCFs) and the rank-score process as a method for reaching a consensus when ranking quantified change across multiple pairs of networks â?? which is particularly useful for ranking change across subpopulations or subgraphs. Additionally, we propose a …

Development Of A 3d Printed Conductive Biopolymer For Cardiac Tissue Engineering, Britanny Lizeth Stark

Open Access Theses & Dissertations

Cardiovascular disease (CVD) is the leading cause of death in the US, with approximately 859,000 deaths each year. The major contributor to CVD is Acute Myocardial Infarction (AMI), which causes the death of approximately 25% of the cardiomyocytes present in the left ventricle of the heart. After AMI, the adult human heart has a very limited regenerative capacity. Moreover, the electrical propagation of the myocardium is severely disrupted, making the heart more susceptible to failure and patient death. However, current pharmacological treatments do not address the loss of cardiomyocytes and the disruption of electrical propagation in the heart. Tissue engineering …

Neural Damage Following Francisella Tularensis Infection, Anahis Tena

Open Access Theses & Dissertations

This dissertation investigates the impact of Francisella tularensis infection on the brain, focusing on its anatomical localization, effects on synaptic health, and behavioral and cognitive consequences in mice. Employing a combination of fluorescent tagging, confocal and light sheet microscopy, the study first maps bacterial foci within the brain, anticipating a concentration in the limbic system, particularly the hippocampus. Subsequently, it examines synaptic function post-infection using calcium imaging in various neuronal cultures, expecting a decrease in calcium signaling indicative of synaptic impairment. Finally, behavioral assays like the forced swim test, object recognition test, and Morris Water Maze assess the cognitive and …

The Effect Of Stem Integrated Curriculum On Design Thinking Dispositions In Middle School: A Mixed Methods Study, Dina Thomason

Open Access Theses & Dissertations

There is an ever-increasing need for technologically literate citizens to find creative ways to solve societal problems. STEM, the integration of science, technology, engineering, and mathematics subjects continues to be a popular topic as schools grapple with how to best prepare students for an ever-evolving society. As societal and technological challenges emerge, design thinking has been lauded as a method to enable people to help tackle those challenges. The steps of the design thinking process, empathize, define, ideate, prototype and test align with engineering design and can be used as a problem-solving method in classrooms to help promote creativity, critical …

A Case Study On Promoting A Healthy School Culture To Combat Childhood Obesity And The Role Of The Principal, Nancy Torres

Open Access Theses & Dissertations

AbstractObesity is the leading cause of death worldwide. Childhood obesity has jumped to 22.4% in 2020 from 19.3% in 2019. One-third of children are overweight and obese, with an approximately 66% chance of becoming an obese adult. The costs of obesity are to overall health: financial, physical, social, and emotional. Obesity affects students at school, a point of service. Therefore, the purpose of this study was to examine what efforts has the principal undertaken to address childhood obesity in a Title I elementary school on the US-Mexico border and how these efforts helped to define and shape the schoolâ??s culture. …

Evolution Of Forest Bitis (Macrocerastes) In Africa: Phylogeography, Population Genetics, And Potential As A Model For Batesian Mimicry, Eugene Richard Vaughan

Open Access Theses & Dissertations

The major biogeographical patterns characterizing the diversification of widely distributed species in the African rainforest remain poorly understood because of the low number of well-sampled studies that are focused on this region. I examine the phylogeography and population genetics of two broadly sympatric sister lineages of large African forest vipers (genus Bitis, subgenus Macrocerastes), the rhinoceros viper (B. nasicornis) and the Gaboon vipers (B. gabonica and B. rhinoceros). Despite their close relationship, these two lineages have notably different patterns of divergence in time and space. A time-calibrated phylogeny with sequence data from five genes, and population structure and PCA analyses …

Structural Studies Of The Human Hsp60 And Bacteriophage Phiel Chaperonins, Daniel Han Von Salzen

Open Access Theses & Dissertations

Chaperonins are large protein complexes responsible for the refolding of misfoldedsubstrate. Many mechanisms of the folding process have not been completely elucidated. Here we perform biochemical and structural analysis on two chaperonins, the human mitochondrial Hsp60 and the bacteriophage EL encoded PhiEL, to better understand key structural components and their purpose to the chaperonin function. Hsp60 plays an essential role in maintaining protein within the mitochondrial matrix. Despite its importance, the detailed mechanism of ATP hydrolysis and the role of the C-terminal tail remains unresolved. Here we show that the C-terminal tail not only acts as a sensor for the …

Exploring Aging Using The Selection, Optimization, And Compensation (Soc) Framework In Conjunction With Kinematic Gait And Verbal Fluency Task Analysis In Healthy Adults, Emily Ann Chavez

Open Access Theses & Dissertations

This multi-study dissertation examined dual-task performance in young and middle-aged adults using verbal fluency tasks (VFT) during different walking scenarios (baseline, performing a VFT, walking narrowly, and performing a VFT while walking narrowly) as well as the Selection, Optimization, and Compensation (SOC) model. Thirty adults (15 young adults (YA; 19-44 years) and 15 middle-aged adults (MA; 45-65 years) participated in this study. Overall, there were no significant differences between groups when data was examined in short (means of means approach) and long-form (incorporating all data), when analyzing clustering and switching strategies, gait speed variability, or dual-task costs. Overall, these three …

Viability Of Magnetic Nanoparticles For Magnetic Hyperthermia Cancer Therapy, Marcos Adrian Garcia

Open Access Theses & Dissertations

Over the last few decades magnetic nanoparticles have gained an extraordinary amount of attention in the science community. Their versatile use in many different research areas such as medicine, engineering and technology and many other areas has made them a popular subject. In this thesis, the synthesis of different systems of magnetic nanoparticles will be explored along with the potential use of the MNP's as viable candidates for Magnetic Hyperthermia Cancer Therapy. With values of over 200 emu/g for Iron-Silver magnetic nanoparticles with particle sizes ranging from 30-70nm and their heating properties under an AC magnetic field. As well of …

Exploring The Relationship Between Diabetes, Diabetes Risk, Depressive Symptoms, Chronic Stress, And Inflammatory Markers In Mexican-American Men, Aleli Fernandez

Open Access Theses & Dissertations

Background: Individuals with depression and stress are 60% more likely to develop type 2 diabetes compared to those without (Mezuk et al., 2008). Moreover, biological pro-inflammatory markers associated with psychosocial stress are risk factors for diabetes. Examining the relationship between psychological disorders, inflammation, and diabetes risk among MAH is important as they have high rates of diabetes.

Purpose: To examine the relationship between 1) depressive symptoms, chronic stress, and inflammatory markers, 2) inflammation and diabetes risk factors and 3) depression, stress, inflammation, diabetes risk, and metabolic syndrome (MetS).

Methods: A cross-sectional study of 100 adult men from El Paso, Texas …

Synthesis And Characterization Of Acetaminophen-Derived Nanoparticles: A Novel Approach To Inhibit Fibril Formation, Hannia Elena Mendoza-Dickey

Open Access Theses & Dissertations

In the realm of nanotechnology, nanoparticles (NPs), have garnered significant notoriety in recent scientific research due to their unique physical and chemical properties, such as fluorescence emissions, nanoscale dimensions (typically <1000 nm), ease of surface modification, and biocompatibility. Nanoparticles have shown their potential across a variety of areas, including advanced industrial applications and cutting-edge biomedical research. Considering their cost-effective synthesis, they have shown promise as therapeutic agents for a variety of bioimaging and biomedical applications. This thesis describes the synthesis and detailed analysis of acetaminophen-derived nanoparticles. Techniques such as Dynamic Light Scattering (DLS), Thioflavin T (THT) assay, Attenuated Total Reflectance Infrared Spectroscopy (ATR-IR), 1H NMR spectroscopy, and Ultraviolet-Visible Spectroscopy (UV-VIS) were utilized for structural and functional assessments. Acetaminophen derived nanoparticles (ANPs) exhibit potential to hinder the amyloidogenic conversion of soluble amyloid-forming proteins into their toxic form. The novelty of this research focuses on the utilization of chemical structures capable of traversing the Blood Brain Barrier (BBB) to mitigate xenotoxicant-induced neuronal damage, a notable contributor to neurodegenerative disorders. This thesis describes the synthesis and characterization of acetaminophen derived-nanoparticles (ANPs). Our nanoparticles possess anti-amyloidogenic properties as evidenced by their ability to disrupt in the soluble-to-toxic trajectory of HEWL. The prevalence and evolution of amyloid fibrils are consistent features in the pathology of neurodegenerative diseases such as Parkinson's disease (PD), Alzheimerâ??s Disease (AD), and Huntingtonâ??s Disease (HD), as well as metabolic disorders like Type 2 diabetes (T2D). The relationship between amyloidogenic pathways and these disorders highlights the imperative for enhanced understanding and the formulation of specific therapeutic interventions.

Study Of Human Circadian Protein (Hrory) And Lipid-Protein Interaction In Giant Virus (Pbcv-1), Laila Noor

Open Access Theses & Dissertations

Project 1: Circadian rhythm is a 24-hour cycle that regulates physical and behavioral changes such as sleep-wake patterns in humans, tailoring the daily light and dark changes. Long-term disruption in circadian rhythms can cause sleep disorders such as sleep apnea, insomnia, et al. Limited research has been done on potential drugs to treat against circadian related sleep disorders. Inside the cell at molecular level, the circadian rhythm is regulated by interlocked time-delayed feedback loops, which involve positive and negative transcriptional regulators. Experimental results showed transcriptional factors Retinoic Acid Receptor-Related Orphan Receptors (RORs) improve the stability and functionality of the circadian …

Characterization Of Developmental Phenotypes In Zebrafish With Mutations In Mmachc, Briana Elise Pinales

Open Access Theses & Dissertations

Methylmalonic aciduria and homocystinuria, CblC type (cblC) syndrome (MIM 277400) is a genetic disorder resulting from a mutation in the MMACHC gene. This gene plays a crucial role as a chaperone in the conversion of vitamin B12 into its active form, which is essential for proper cellular metabolism. cblC syndrome is heterogenous by nature, primarily attributed to the extensive damage it causes across multiple bodily systems. In cases of early onset of cblC syndrome, patients may exhibit a diverse range of clinical symptoms including difficulties with feeding, dysmorphic features, microcephaly, brain abnormalities, hypotonia, developmental delays, and seizures. The study of …

The Relationship Between Balance Confidence And Center Of Pressure In Lower-Limb Prosthesis Users, Gary Guerra, John Smith, Eun-Jung Yoon

All Faculty Scholarship (Archived)

Background: Agreement between the activities-specific balance confidence scale (ABC) and center of pressure (CoP) in prosthesis users is still very much unknown. The purpose of this study was to investigate the agreement between ABC and CoP in lower-limb prosthesis users. Methods: Twenty-one individuals with lower-limb prostheses were recruited. Participants were provided with the ABC scale and performed static balance tasks during eyes opened (EO) and eyes closed (EC) conditions whilst standing on a force platform. Pearson product moment coefficients between CoP displacements and ABC scores were performed. Participants were also stratified by those who had better (≥80 on ABC scale) …

Traditional And Emerging Modifiable Lifestyle Risk Behaviors For Non-Communicable Diseases In A Sample Of Hispanic/Latino American Adolescents Living In The U.S.-Mexico Border Region, Silvia Salinas Lopez

Open Access Theses & Dissertations

Background: Non-communicable diseases (NCDs) pose a significant global health threat, with modifiable lifestyle risk behaviors (mLRBs) contributing substantially to their onset. This study examined traditional and emerging mLRBs and their distribution on cross-sectional health outcomes among Hispanic/Latino in-school adolescents living on the U.S.-Mexico border. Methods: This secondary data analysis used information from the cross-sectional 2019 El Paso YHBS obtained through online surveys. The secondary data analyzed the prevalence, clustering, and co-occurrence of mLRBs of 539 Hispanic/Latino high school students. Results were compared to mLRBs findings corresponding to Hispanic/Latino adolescents who participated in the national and state 2019 CDC YRBSS. An …

International Tuberculum Sellae Meningioma Study: Surgical Outcomes And Management Trends, Michael Mcdermott

All Publications

Background and objectives: Tuberculum sellae meningiomas (TSMs) can be resected through transcranial (TCA) or expanded endonasal approach (EEA). The objective of this study was to report TSM management trends and outcomes in a large multicenter cohort.

Methods: This is a 40-site retrospective study using standard statistical methods.

Results: In 947 cases, TCA was used 66.4% and EEA 33.6%. The median maximum diameter was 2.5 cm for TCA and 2.1 cm for EEA ( P < .0001). The median follow-up was 26 months. Gross total resection (GTR) was achieved in 70.2% and did not differ between EEA and TCA ( P = .5395). Vision was the same or better in 87.5%. Vision improved in 73.0% of EEA patients with preoperative visual deficits compared with 57.1% of TCA patients ( P < .0001). On multivariate analysis, a TCA (odds ratio [OR] 1.78, P = .0258) was associated with vision worsening, while GTR was protective (OR 0.37, P < .0001). GTR decreased with increased diameter (OR: 0.80 per cm, P = .0036) and preoperative visual deficits (OR 0.56, P = .0075). Mortality was 0.5%. Complications occurred in 23.9%. New unilateral or bilateral blindness occurred in 3.3% and 0.4%, respectively. The cerebrospinal fluid leak rate was 17.3% for EEA and 2.2% for TCA (OR 9.1, P < .0001). The recurrence rate was 10.9% (n = 103). Longer follow-up (OR 1.01 per month, P < .0001), World Health Organization II/III (OR 2.20, P = .0262), and GTR (OR: 0.33, P < .0001) were associated with recurrence. The recurrence rate after GTR was lower after EEA compared with TCA (OR 0.33, P = .0027).

Conclusion: EEA for appropriately selected TSM may lead to better visual outcomes and decreased recurrence rates after GTR, but cerebrospinal fluid leak rates are high, and …

Isotopic Ecology Of Bison And Bootherium At Big Bone Lick, Kentucky, Frances Stephenson

Electronic Theses and Dissertations

Big Bone Lick (BBL) is a late Pleistocene and Holocene fossil locality in the Ohio River valley of Kentucky. This study utilized stable isotopes (δ¹³C, δ¹⁸O, and ⁸⁷Sr/⁸⁶Sr) in tooth enamel to reconstruct mobility and diet in Bison, as well as diet in Bootherium bombifrons. Isotopic results from seven Bison and two B. bombifrons are reported. Results suggest Pleistocene Bison and Bootherium occupied different dietary niches. Although both had C3-dominated diets, Bison occupied more open environments than B. bombifrons. Two bison from the late Holocene deposit had diets that consisted …

Perceptions Of Educators On Motivational Strategies Influencing Middle School Students In Mathematics Courses, Amy Rigsby

Electronic Theses and Dissertations

This qualitative study examined educators' perceptions of motivational strategies influencing and motivating middle school students to comprehend and perform in mathematics courses. This study used interview data from 15 participants with 2 to 30 years of teaching experience. Educators may utilize this information in multiple settings within the classroom to influence and motivate students in mathematics courses.

Data collection strategies included one-on-one semi-structured middle school educator interviews. Analysis of data occurred in three phases: (a) categorization of data under the five organizational factors, (b) building the explanation in narrative form, and (c) re-examination of the data. The analysis of the …

Exosomal Tar Dna Binding Protein 43 Profile In Canine Model Of Amyotrophic Lateral Sclerosis: A Preliminary Study In Developing Vlood-Based Biomarker For Neurodegenerative Diseases, Penelope Pfeiffer, Joan R. Coates, Yajaira M. Esqueda, Andrew Kennedy, Kyleigh Getchell, Myra Mclenon, Edina Kosa, Abdulbaki Agbas

Faculty and Staff Publications

Objective: Blood-based biomarkers provide a crucial information in the progress of neurodegenerative diseases with a minimally invasive sampling method. Validated blood-based biomarker application in people with amyotrophic lateral sclerosis would derive numerous benefits. Canine degenerative myelopathy is a naturally occurring animal disease model to study the biology of human amyotrophic lateral sclerosis. Serum derived exosomes are potential carriers for cell-specific cargoes making them ideal venue to study biomarkers for a variety of diseases and biological processes. This study assessed the exosomal proteins that may be assigned as surrogate biomarker that may reflect biochemical changes in the central nervous system.

Methods: …

Lasofoxifene Versus Fulvestrant For Er+/Her2- Metastatic Breast Cancer With An Esr1 Mutation: Results From The Randomized, Phase Ii Elaine 1 Trial, Grace Wang

All Publications

Background: Acquired estrogen receptor alpha (ER/ESR1) mutations commonly cause endocrine resistance in ER+ metastatic breast cancer (mBC). Lasofoxifene, a novel selective ER modulator, stabilizes an antagonist conformation of wild-type and ESR1-mutated ER-ligand binding domains, and has antitumor activity in ESR1-mutated xenografts.

Patients and methods: In this open-label, randomized, phase II, multicenter, ELAINE 1 study (NCT03781063), we randomized women with ESR1-mutated, ER+/human epidermal growth factor receptor 2 negative (HER2-) mBC that had progressed on an aromatase inhibitor (AI) plus a cyclin-dependent kinase 4/6 inhibitor (CDK4/6i) to oral lasofoxifene 5 mg daily or IM fulvestrant 500 mg (days 1, 15, …