Digital Commons Network^™

Emotional Self-Regulation In Children With Autism Spectrum Disorder, Evan Moring

Capstone Projects and Master's Theses

The focus of this project is teaching 2nd and 3rd-grade children with autism spectrum disorder (ASD) how to develop emotional regulation skills. Emotion regulation is the ability to evaluate and change one’s emotional state in the moment. The problem is that these students have difficulty with emotion regulation and frequently experience emotional outbursts. An emotional outburst could be a child throwing a toy across the classroom because the teacher asked them to stay seated at their desk over three times. The child does not realize they cannot throw toys across the classroom. This happens because children with ASD cannot always …

Mental Health And The Well-Being Of Adolescents, Janeice Pamuspusan

Capstone Projects and Master's Theses

This capstone project focuses on adolescents’ mental health and well-being. Before the age of twenty-five 70% of mental health disorders start to develop which is why it’s important to teach adolescents ways to improve their mental well-being along with the signs of mental disorders (Kutcher et al., 2008). According to the World Health Organization, many of those adolescents' mental health conditions go unrecognized or untreated. Those illnesses often go unrecognized and untreated because of the stigma that follows mental health including cultural differences. Because of those differences, many adolescents will go into adulthood still struggling with their mental well-being and …

Strategies To Help Young Children Obtain Healthy Social-Emotional Development, Alma Fuerte-Jauregui

Capstone Projects and Master's Theses

The focal topic of this capstone project is the healthy social-emotional development of low-income preschool and kindergarten children. One of the school districts in East Salinas is the Alisal District, which has a 100% minority enrollment, and a little over 89% of those students are economically disadvantaged (“Overview of Alisal Union,” 2019). A focus on the social-emotional well-being of the students in this age group and community is needed because some of these children have difficulty integrating socially into the school system and struggle to express their feelings or emotions healthily and safely. Strengthening children's capacity to manage emotions and …

Implementing Anti-Bias Curriculum In The Kindergarten Classroom, Ariana Gonzalez

Capstone Projects and Master's Theses

The capstone project will be centered on teaching about diversity and inclusion to four to five-year-old children in a predominantly Latino elementary school. There is a lack of cultural, racial, and family representation in the early childhood curriculum which makes it difficult for some students to establish their identity and sense of belonging in school. The lack of diverse representations also makes it difficult to instill compassion, kindness, and empathy in multicultural and other diverse settings. To help with the problem, the installation of an anti-bias curriculum can lead to the creation of a community that supports all dimensions of …

Supporting Preschoolers Social Emotional Development, Gladiola Peinado

Capstone Projects and Master's Theses

This capstone project focuses on the social-emotional regulation of preschoolers (3–5 years old). Many preschool children are struggling to develop social emotional skills when they first enter their preschool setting. Unfortunately, children with poor social emotional learning skills are more likely to have difficulties with peer relationships and with school adjustment, because they are not able to express or recognize emotions (Ferreira et al,. 2021). When children increase their ability to regulate behavior and emotion, they are better at recognizing their own and others’ emotions and intentions, cooperating with one another, and building relationships with peers. In order to address …

Nutrition Among 5th Grade Students, Nicholas Villanueva

Capstone Projects and Master's Theses

This capstone project focuses on educating 5th grade students about nutrition. Three lessons were presented in a span of two days where students learned terms specified behind a food label. Some terms include Calorie, Carbohydrate, Proteins, Fats, and high sugar foods. Students learned about healthy portion sizes, the five different food groups, and why physical activity is important for your health. With the curriculum presented to the students I hope all students can use these lessons to make healthier decisions when it comes to their food and health. By doing so it can be a start to a healthier lifestyle.

Bullying Behaviors In Middle School Special Education Settings, Maria Teresa Reyes

Capstone Projects and Master's Theses

Middle school students with learning disabilities face a higher risk of being targets of bullying compared to their peers without learning disabilities due to challenges in developing social skills. Bullying behaviors peak at the age of 14, potentially inflicting lasting psychological harm and endangering the student's well being into adulthood. The lack of clearly defining bullying leads to uncertainty amongst students on identifying bullying behaviors thus many bullying incidents being unreported by the victims or their peers. For this study, the participants for this project consisted of middle school students aged 10 to 14 years old, grades 6 to 8, …

Developing Communication Skills In Preschool Children, Michelle Ayala

Capstone Projects and Master's Theses

The language and communication development of a preschooler was the main topic of this capstone project. To help and get children ready for kindergarten, these abilities are necessary. It has been shown that preschoolers who have difficulty developing their communication skills will probably face difficulties as they move through their education.

A Revisionist Case Study Of Women’S Capability Approach: Critiquing The U.S. Afghanistan Intervention, Helene Marie Kristensen

Capstone Projects and Master's Theses

This paper explores the impact the United States has as a superpower country with its military intervention in Afghanistan, focusing on the actions taken and the impact it had on women and their status in Afghan society. This article aims to analyse the challenges women face in Afghanistan, ranging from the traditional gender norms to the suppression faced through the Taliban laws and the conflict through enforcement of Western values through intervention. Drawing on Martha Nussbaum’s capability approach, the paper also analyses women’s agency and well-being in Afghanistan in addition to considering critiques of the capability approach in a non-Western …

The Viral Spread Of Xenophobia: Analyzing The Influence Of Far-Right Politics On Anti-Asian Sentiment Expressed On Social Media During Covid-19., Robert F. Arnold Iii

Capstone Projects and Master's Theses

Throughout history, viral outbreaks have frequently led to the emergence of biased and discriminatory attitudes, often targeting populations that deviate from Western norms. These sentiments commonly manifest as xenophobia and racism (Chen, 2020; Chou, 2021). This report serves as an in-depth analysis of the role far-right political phrasing of Covid-19 as the “Chinese Virus,” played in the proliferation of anti-Asian and xenophobic attitudes, expressed on the social media platform X (Twitter). This study also aims to better understand the various different factors that cause followers of far-right politics to engage and believe in anti-Asian sentiment online. Using Integrated Threat Theory …

Strategies For Helping Collegiate Athletes Cope With Mental Health And Financial Issues, Alexis Sanchez

Capstone Projects and Master's Theses

This capstone project focuses on collegiate athletes’ mental health and financial problems and how they can cope with them. The project is founded on the belief that there is an apparent demand for services offering practical coping mechanisms and financial guidance to collegiate students. Thus, the project includes a one-day workshop to equip student-athletes with strategies to manage mental health and financial issues. The workshops will take place on the main campus at California State University Monterey Bay (CSUMB). It was about engaging with a wide range of athletes from across campus and equipping them with convenient tools and support. …

Stabilization Of Interdomain Interactions In G Protein Α Subunits As A Determinant Of Gαi Subtype Signaling Specificity, Tyler J Lefevre, Wenyuan Wei, Elizaveta Mukhaleva, Sai Pranathi Meda Venkata, Naincy R Chandan, Saji Abraham, Yong Li, Carmen W Dessauer, Nagarajan Vaidehi, Alan V Smrcka

Faculty, Staff and Student Publications

Highly homologous members of the Gαi family, Gαi1-3, have distinct tissue distributions and physiological functions, yet their biochemical and functional properties are very similar. We recently identified PDZ-RhoGEF (PRG) as a novel Gαi1 effector that is poorly activated by Gαi2. In a proteomic proximity labeling screen we observed a strong preference for Gαi1 relative to Gαi2 with respect to engagement of a broad range of potential targets. We investigated the mechanistic basis for this selectivity using PRG as a representative target. Substitution of either the helical domain (HD) from Gαi1 into Gαi2 or substitution of a single amino acid, A230 …

A Randomized Trial Of Two Remote Health Care Delivery Models On The Uptake Of Genetic Testing And Impact On Patient-Reported Psychological Outcomes In Families With Pancreatic Cancer: The Genetic Education, Risk Assessment, And Testing (Generate) Study, Nicolette J Rodriguez, C Sloane Furniss, Matthew B Yurgelun, Chinedu Ukaegbu, Pamela E Constantinou, Ileana Fortes, Alyson Caruso, Alison N Schwartz, Jill E Stopfer, Meghan Underhill-Blazey, Barbara Kenner, Scott H Nelson, Sydney Okumura, Alicia Y Zhou, Tara B Coffin, Hajime Uno, Miki Horiguchi, Allyson J Ocean, Florencia Mcallister, Andrew M Lowy, Alison P Klein, Lisa Madlensky, Gloria M Petersen, Judy E Garber, Scott M Lippman, Michael G Goggins, Anirban Maitra, Sapna Syngal

Faculty, Staff and Student Publications

Background & aims: Genetic testing uptake for cancer susceptibility in family members of patients with cancer is suboptimal. Among relatives of patients with pancreatic ductal adenocarcinoma (PDAC), The GENetic Education, Risk Assessment, and TEsting (GENERATE) study evaluated 2 online genetic education/testing delivery models and their impact on patient-reported psychological outcomes.

Methods: Eligible participants had ≥1 first-degree relative with PDAC, or ≥1 first-/second-degree relative with PDAC with a known pathogenic germline variant in 1 of 13 PDAC predisposition genes. Participants were randomized by family, between May 8, 2019, and June 1, 2021. Arm 1 participants underwent a remote interactive telemedicine session …

Supporting Career Development For Early- And Mid-Career Professionals Working In The Bipolar Disorder Field: Key Initiatives To Be Implemented By The International Society For Bipolar Disorders Early- And Mid-Career Committee, Katie M Douglas, Sarah H Sperry, Olivia M Dean, Gabriel R Fries, Fabiano A Gomes, Joanna Jiménez Pavón, Emma Morton, Rachel H B Mitchell, Tamsyn E Van Rheenen, Norma Verdolini, Ni Xu, Georgina M Hosang, Rebekah S Huber

Faculty, Staff and Student Publications

No abstract provided.

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

UNLV Theses, Dissertations, Professional Papers, and Capstones

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

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

UNLV Theses, Dissertations, Professional Papers, and Capstones

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

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

Availability And Utilization Of Endoscopic Retrograde Cholangiopancreatography At Children's Hospitals., Sagar J. Pathak, Thomas M. Attard, Matthew Hall, Mustafa Arain, Melvin B. Heyman, Emily R. Perito

Manuscripts, Articles, Book Chapters and Other Papers

OBJECTIVES: No study has explored whether availability of endoscopic retrograde cholangiopancreatography (ERCP) is adequate and equitable across US children's hospitals. We hypothesized that ERCP availability and utilization differs by geography and patient factors.

METHODS: Healthcare encounter data from 2009 to 2019 on children with pancreatic and biliary diseases from the Pediatric Health Information System were analyzed. ERCP availability was defined as treatment at a hospital that performed pediatric ERCP during the year of service.

RESULTS: From 2009 to 2019, 37,946 children (88,420 encounters) had a potential pancreatic or biliary indication for ERCP; 7066 ERCPs were performed. The commonest pancreatic diagnoses …

Optimized Scoring Of End-To-End Dosimetry Audits For Passive Motion Management – A Simulation Study Using The Iroc Thorax Phantom, Alex Burton, Mathieu Gaudreault, Nicholas Hardcastle, Jessica Lye, Sabeena Beveridge, Stephen F Kry, Rick Franich

Faculty, Staff and Student Publications

Dosimetry audits for passive motion management require dynamically-acquired measurements in a moving phantom to be compared to statically calculated planned doses. This study aimed to characterise the relationship between planning and delivery errors, and the measured dose in the Imaging and Radiation Oncology Core (IROC) thorax phantom, to assess different audit scoring approaches. Treatment plans were created using a 4DCT scan of the IROC phantom, equipped with film and thermoluminescent dosimeters (TLDs). Plans were created on the average intensity projection from all bins. Three levels of aperture complexity were explored: dynamic conformal arcs (DCAT), low-, and high-complexity volumetric modulated arcs …

Cross-Vendor Multiparametric Mapping Of The Human Brain Using 3d-Qalas: A Multicenter And Multivendor Study, Shohei Fujita, Borjan Gagoski, Ken-Pin Hwang, Akifumi Hagiwara, Marcel Warntjes, Issei Fukunaga, Wataru Uchida, Yuya Saito, Towa Sekine, Rina Tachibana, Tomoya Muroi, Toshiya Akatsu, Akihiro Kasahara, Ryo Sato, Tsuyoshi Ueyama, Christina Andica, Koji Kamagata, Shiori Amemiya, Hidemasa Takao, Yasunobu Hoshino, Yuji Tomizawa, Kazumasa Yokoyama, Berkin Bilgic, Nobutaka Hattori, Osamu Abe, Shigeki Aoki

Faculty, Staff and Student Publications

Purpose: To evaluate a vendor-agnostic multiparametric mapping scheme based on 3D quantification using an interleaved Look-Locker acquisition sequence with a T2 preparation pulse (3D-QALAS) for whole-brain T1, T2, and proton density (PD) mapping.

Methods: This prospective, multi-institutional study was conducted between September 2021 and February 2022 using five different 3T systems from four prominent MRI vendors. The accuracy of this technique was evaluated using a standardized MRI system phantom. Intra-scanner repeatability and inter-vendor reproducibility of T1, T2, and PD values were evaluated in 10 healthy volunteers (6 men; mean age ± SD, 28.0 ± 5.6 y) who underwent scan-rescan sessions …

Deep Learning-Based Automatic Classification Of Ischemic Stroke Subtype Using Diffusion-Weighted Images, Wi-Sun Ryu, Dawid Schellingerhout, Hoyoun Lee, Keon-Joo Lee, Chi Kyung Kim, Beom Joon Kim, Jong-Won Chung, Jae-Sung Lim, Joon-Tae Kim, Dae-Hyun Kim, Jae-Kwan Cha, Leonard Sunwoo, Dongmin Kim, Sang-Il Suh, Oh Young Bang, Hee-Joon Bae, Dong-Eog Kim

Faculty, Staff and Student Publications

Background and purpose: Accurate classification of ischemic stroke subtype is important for effective secondary prevention of stroke. We used diffusion-weighted image (DWI) and atrial fibrillation (AF) data to train a deep learning algorithm to classify stroke subtype.

Methods: Model development was done in 2,988 patients with ischemic stroke from three centers by using U-net for infarct segmentation and EfficientNetV2 for subtype classification. Experienced neurologists (n=5) determined subtypes for external test datasets, while establishing a consensus for clinical trial datasets. Automatically segmented infarcts were fed into the model (DWI-only algorithm). Subsequently, another model was trained, with AF included as a categorical …

Survival Outcomes Of Patients With Her2/Neu-Positive Breast Cancer With Germline Brca Mutations, Fatma Nihan Akkoc Mustafayev, Mihir Amitabh Shukla, Amanda Lanier, Denái R Milton, Angelica M Gutierrez, Stephen K Gruschkus, John E Lewis, Rashmi K Murthy, Banu K Arun

Faculty, Staff and Student Publications

Background: Breast cancer (BC) with germline BRCA1/2 mutations and their association with triple-negative BC has been thoroughly investigated. However, some carriers of BRCA1/2 mutations have human epidermal growth factor receptor 2 (HER2/neu)-positive BC, which has a different targeted therapy approach, and data are scarce for this patient population. The authors sought to characterize the clinical characteristics and outcomes of patients with HER2/neu-positive BC who had germline BRCA1/2 mutations.

Methods: This was a retrospective analysis of data from 1099 patients diagnosed with HER2/neu-positive BC who were screened for germline BRCA mutations between 1996 and 2022. Clinicopathologic features and survival rates were …

The Constitutively Active Form Of A Key Cholesterol Synthesis Enzyme Is Lipid Droplet-Localized And Upregulated In Endometrial Cancer Tissues, Hudson W Coates, Tina B Nguyen, Ximing Du, Ellen M Olzomer, Rhonda Farrell, Frances L Byrne, Hongyuan Yang, Andrew J Brown

Faculty, Staff and Student Publications

Cholesterol is essential for both normal cell viability and cancer cell proliferation. Aberrant activity of squalene monooxygenase (SM, also known as squalene epoxidase), the rate-limiting enzyme of the committed cholesterol synthesis pathway, is accordingly implicated in a growing list of cancers. We previously reported that hypoxia triggers the truncation of SM to a constitutively active form, thus preserving sterol synthesis during oxygen shortfalls. Here, we show SM truncation is upregulated and correlates with the magnitude of hypoxia in endometrial cancer tissues, supporting the in vivo relevance of our earlier work. To further investigate the pathophysiological consequences of SM truncation, we …

Serial Cytoreductive Surgery And Survival Outcomes In Recurrent Adult-Type Ovarian Granulosa Cell Tumors, Jeffrey A How, Alejandra Flores Legarreta, Katelyn F Handley, Bryan Fellman, Katherine I Foster, Deanna Glassman, Veena K Vuttaradhi, Allison L Brodsky, Barrett Lawson, Michael Frumovitz, Shannon N Westin, Lois M Ramondetta, David M Gershenson, Anil K Sood, R Tyler Hillman

Faculty, Staff and Student Publications

BACKGROUND: Few studies have evaluated the role of cytoreductive surgery in patients with recurrent adult granulosa cell tumors of the ovary. Despite a multitude of treatment modalities in the recurrent setting, the optimal management strategy is not known. Cytoreductive surgery offers an attractive option for disease confined to the abdomen/pelvis. However, few studies have evaluated the role of surgery compared with systemic therapy alone following the first recurrence and subsequent disease progressions.

OBJECTIVE: This study aimed to determine the impact of secondary, tertiary, and quaternary cytoreductive surgery on survival outcomes in recurrent adult granulosa cell tumors of the ovary.

STUDY …

The Catalyst For Preservation: Assessing The Impact Of Historic Tax Credit Leverage On Surrounding Property Values In The State Of South Carolina, John Sutton

All Theses

The historic rehabilitation tax credit, in its many forms, is the single greatest driver of historic preservation investment in the United States. Despite this, very little research has been done regarding the secondary effects of historic tax credit leverage. The goal of this thesis is to assess the impact that substantial historic tax credit projects have had on the value of the properties that surround them in the state of South Carolina. Property tax assessment records were solicited from three different county governments within South Carolina to analyze the change in the assessed value induced by the introduction of tax …

Entropy-Infused Deep Learning Loss Function For Capturing Extreme Values In Wind Power Forecasting, Mucun Sun, Sergio Valdez, Juan M. Perez, Kevin Garcia, Gael Galvan, Cesar Cruz, Yifeng Gao, Li Zhang

Electrical and Computer Engineering Faculty Publications

Extreme scenarios in wind power generation occur with higher frequency and larger magnitude in the recent years due to the ever-increasing extreme meteorological factors. Accurate forecasting of the occurrence of extreme values in wind power generation is of great concern to ensure reliable power system operation. Recently, deep learning models have surged in popularity for wind power forecasting, with the mean squared error (MSE) loss function being commonly used. However, the MSE loss function, being sensitive to extreme values, disproportionately penalizes larger errors, cannot adequately capture the extreme values present in wind energy data, and novel loss functions have seldom …

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 …

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 …

Effectiveness Of A Virtual Simulation Program As A Novel Approach To Improve Clinical Judgment In Prelicensure Nursing Students, Monica Millard

UNLV Theses, Dissertations, Professional Papers, and Capstones

Problem: Limited clinical placement opportunities for practicing decision-making skills have widened the academic-practice gap. Research shows a disturbing decline in entry-level competency among newly graduated registered nurses. Innovative strategies like virtual patient simulation may foster decision-making skills and prepare prelicensure nursing students for practice. However, research is lacking in examining virtual patient simulation (VPS) as an effective approach for developing clinical judgment in prelicensure nursing students. The American Association for Academic Nursing has determined that clinical judgment is an essential nursing attribute. Moreover, the National Council of State Boards of Nursing developed the Next Generation National Council Licensure Exam based …

Parsing The Plains: Placing Emporia, Kansas In The Great Plains Midwest, Joseph Noce

UNLV Theses, Dissertations, Professional Papers, and Capstones

This thesis examines the formation of a region that can be called the Great Plains Midwest. It shows this formation through the city of Emporia, Kansas, which grew in tandem with the region. The thesis also examines Emporia as a case study of the cycle of birth, growth, and stagnation visible across the Great Plains between the 1850s and 1910s. This era traces Emporia from its humble beginnings to a period of population stagnation that followed the Panic of 1893. Three chapters cover Emporia’s agriculture, railroads, and colleges and universities, comparing each to the same elsewhere in both the midwestern …

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: …