Digital Commons Network^™

Increasing Human Papillomavirus Vaccination Intent And Knowledge Through An Educational Intervention, Angelica E. Musumeci

UNLV Theses, Dissertations, Professional Papers, and Capstones

Human papillomavirus (HPV) is a widely discussed topic in healthcare as it affects patients of all genders and ages who partake in sexual activity. The most significant concern it poses to those at risk is HPV-related cancer. Fortunately, a vaccination exists that targets specific strains associated with these types of cancers. Despite evidence-based research supporting the vaccination’s efficacy and safety, lack of awareness and misinformation diminish the receipt of the vaccine and drive the lack of protection. Thus, educational interventions directed at parents and caregivers, which aims to improve their understanding of HPV and the vaccination’s benefits, is key to …

The Effects Of Transcranial Direct Current Stimulation On Motor Learning In Complex Motor Tasks, Milan Pantovic

UNLV Theses, Dissertations, Professional Papers, and Capstones

Transcranial direct current stimulation (tDCS) is a non-invasive brain stimulation technique that has emerged over the past 10-12 years as safe, affordable, portable, easy to use, and potentially efficacious adjuvant training intervention in several aspects of human performance. tDCS has been shown to be able to improve both cognitive and motor function in a wide variety of populations such as young adults, older adults, stroke, Parkinson’s disease, and many others. However, the majority of tDCS research has been conducted in the motor system of healthy young adults, which will also be the focus of this dissertation.The basic effects of tDCS …

Neo Development Of The Workplace Environment In Response To Evolutionary Social Changes, Dafne Odette

UNLV Theses, Dissertations, Professional Papers, and Capstones

This study is to identify the needs and wants of remote workers to support their health and well-being in response to evolutionary social changes. Many workers were once tethered to live in the city where their job office resided. Additionally, economic forces have long been a deciding factor in where one lives. The COVID-19 virus of 2020 provided an opportunity for many people to work remotely to control the virus (Latham, Higgins, & Judish, 2020). This has allowed people to retain higher salaries while living in rural areas where the cost of living may be lower. In 2021, some businesses …

Identifying Gaps In Social Determinants Of Health Among Patients 65 Years And Older With Congestive Heart Failure: A Secondary Data Analysis, Sandra Pierre-Louis

UNLV Theses, Dissertations, Professional Papers, and Capstones

Congestive heart failure (CHF) is one of the most common healthcare problems for older adults. Because of its high and rising prevalence in this population and its significant influence on healthcare costs and quality of life, CHF is becoming a serious public health issue in the United States. More effective strategies for preventing and managing CHF in older people are desperately needed (Rich, 2015). The disease accounts for 3% of hospital admissions in the United States and affects more than 6.5 million Americans (White-Williams et al., 2020). Further, CHF is exacerbated by adverse social determinants of health (SDOH). This study …

Development Of Uav-Based Rail Track Geometry Irregularity Monitoring And Measuring Platform Empowered By Artificial Intelligence, Lihao Qiu

UNLV Theses, Dissertations, Professional Papers, and Capstones

Rail tracks need to be consistently monitored and inspected for problems associated with rust, deformation, and cracks that, at their worst, can cause catastrophic train derailments. Many non-destructive testing approaches have been explored and extensively utilized to help inspect rails’ health, but most of them require intensive human power and/or heavy sensor systems (e.g. total stations, manual/car-mounted trolly, etc.) that are not efficient or convenient to cover a long range of rails and may interfere with the normal operation of trains.In light of the rapid development of unmanned aerial systems/vehicles (UAS’s/UAVs) and high definition photographic and optical distance measuring sensors, …

In The Image Of… Towards A Trans Talmud, Laurence Myers Reese

UNLV Theses, Dissertations, Professional Papers, and Capstones

In the Image of... (towards a Trans Talmud) is a body of work by artist Laurence Myers Reese that works to examine Jewish paradigms of gender through the transgender lens. Reading the archive diagonally, he examines historical Jewish writings, from poet and Rabbi Kalonymous Ben Kalonymous to “false Messiah” Shabbatai Tzvi. Contextualizing contemporary Jewish with notable exhibitions from the Jewish Museum New York and Spertus Museum, Chicago, In the Image of… draws from artists, writers, and Rabbis who use a gendered lens to interrogate Judaism. These include Yael Kanarek, who has worked to re-gender the entire Torah, Rena Yehuda Newman, …

Characterization Of Physical And Dosimetric Aspects Of Srs Hyperarc Treatment Technique, Emma S. Rickels

UNLV Theses, Dissertations, Professional Papers, and Capstones

HyperArc is a radiation therapy planning technique using stereotactic radiosurgical doses delivered via single isocenter volumetric modulated arcs (VMAT) for multi-lesion brain cancer. Due to the nature of these types of treatments it is imperative that the proper quality assurance is completed to ensure the safety of the patient. Geometric limits were assessed using a dose volume histogram (DVH) and known rotational errors of theoretical lesions of different dimensions and lengths from the isocenter. Dosimetric comparisons were evaluated using an ion chamber and Gafchromic EBT-XD film and portal dosimetry. The conclusions from these investigations were that patient rotation will result …

Evidence-Based Intervention To Improve Health Literacy Among Older Adults With Newly Diagnosed Atrial Fibrillation, Johana Rowe

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background and Significance: Atrial fibrillation (AFib) is the most common arrhythmia encountered in the healthcare setting. As of 2018, approximately 6.1 million people in the United States were living with AFib which is projected to increase to 12.1 million by 2030. Older adults are at higher risk of developing AFib and its complications. AFib is a chronic condition that requires targeted patient education by healthcare providers in different healthcare settings. Patient’s low health literacy regarding the condition is a significant barrier to therapy adherence. Given the high rate of poor health literacy among individuals newly diagnosed with AFib and the …

Predicting And Mitigating Reactance Impact On Attitude And Behavioral Intention, Matthew Ryan

UNLV Theses, Dissertations, Professional Papers, and Capstones

At times messaging may be of an instructive nature that can be perceived as an attempt to threaten or limit an individual’s freedom. This freedom limitation can range from individual choice to physical requirements. How a message is framed, or positioned, is very important. In certain instances, even when the message has the best intentions, if framed incorrectly can have the opposite, or boomerang, effect on people. This state is known as psychological reactance. When invoked, consumers will act in a way that eliminates the threat of freedom to restore balance. Such a state can also lead to negative implications …

An Integrative Variable And Person-Centered Approach To Representing Teachers' Self-Efficacy: A Cross-Cultural Perspective, Ana Paula Santos Loures Elias

UNLV Theses, Dissertations, Professional Papers, and Capstones

There has been substantial scholarly attention given to teachers’ functioning over the past two decades. Much of this attention has been precipitated by accounts of increasing teacher burnout and attrition from the profession. Central to this scholarly focus has been the construct of teacher self-efficacy, which has been shown to be a predictor of important teacher outcomes. However, there remain several unresolved issues in the teacher self-efficacy literature that limit the utility of the construct for understanding teachers’ effective functioning. First, there is little clarity about the dimensional structure of teachers’ self-efficacy data. Second, little empirical work has been conducted …

Consumers Of Sex, Romance And The Spectacle: An Ethnographic Study Of Female Tourists In Bangkok’S Adult Entertainment Zones, Jason H. Scott

UNLV Theses, Dissertations, Professional Papers, and Capstones

This research is an ethnographic study of female sex tourism in Bangkok, Thailand and explores how women, as consumers, participate in activities and spaces that were historically reserved for male tourists. Much of the existing scholarly literature investigates the way men from the global North participate in sex tourism practices. Very little attention, however, has been given to the way female tourists engage as consumers in the global sex tourism industry. Studies conducted in the Caribbean suggest that sexual consumption practices among female tourists are dichotomously different from men because of traditional gender roles and sexual scripts. To guide this …

Attentional Focus And The Development Of Skilled Performance, Harjiv Singh

UNLV Theses, Dissertations, Professional Papers, and Capstones

A central question in the development of skilled movement is: how a performer should focus their attention while preparing for the execution of a motor skill? Considerable evidence has shown that directing attention towards an intended movement effect (i.e., external focus) results in performance benefits relative to focusing on body movements (i.e., internal focus). While most of the previous research has emphasized the effects of internal versus external foci, evidence also suggests that external foci located at greater distances from the body (distal foci) are more effective than external foci located in greater proximity to the body (proximal foci) and …

An Empirical Investigation Into The Impact Of Automated Grading, Alex James St. Aubin

UNLV Theses, Dissertations, Professional Papers, and Capstones

Context: Computer Science enrollment has seen increases in recent years. At the University of Nevada, Las Vegas we have seen an average year to year growth rate of 17.33% in the spring and 13.71% in the fall over the past 10 years in our entry level programming course. These enrollment increases have led to considerable additional costs for grading course material.Objective: The goal of this study is to determine the impact of automatic grading systems on students. If automatic grading is at least as effective as manual grading in practice, it may reduce cost under the context of at least …

The Association Between Neighborhood Social Media Use And Social Cohesion, Sense Of Community And Perceived Safety Among Adults In Clark County, Nevada, Emily Strickler

UNLV Theses, Dissertations, Professional Papers, and Capstones

Place-based health is a concept that suggests where you live has an effect on your health outcomes. Social health factors such as social cohesion, sense of community, and perceived safety are all influenced by the neighborhood environment, and positively associated with health outcomes such as self-reported minutes of physical activity and symptoms of depression. With the increasing popularity of social media sites used specifically for neighborhood purposes, more neighbors are connecting than ever before. The purpose of this study was to determine if use of neighborhood social media sites was associated with the social health factors of social cohesion, sense …

Food Insecurity And Dietary Intake In Adults With Type 2 Diabetes In Southern Nevada, Elizabeth Torres

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background Type 2 diabetes is a major public health issue and food insecurity can affect diabetes management. Food insecurity can contribute to disrupted dietary eating patterns and decreased consumptions of a variety of foods. The aim of this observational study was to determine the difference in dietary intake between food insecure and food secure individuals with type 2 diabetes, as well as by glycemic control. Methods In this cross-sectional study, 55 participants were recruited from an academic endocrinology clinic. Participants completed a 7-day food diary, a household food security questionnaire, and assessment of blood biomarkers (HbA1c). To determine the differences …

Predicting The Progression Of Diabetes Mellitus Using Dynamic Plantar Pressure Parameters, Mathew Sunil Varre

UNLV Theses, Dissertations, Professional Papers, and Capstones

Introduction: Diabetic peripheral neuropathy is one of the common complications of type-2 diabetes mellitus (DM). Changes in the intrinsic plantar tissue coupled with repetitive mechanical loads and loss of sensation may lead to foot related complications (skin break down, ulcerations, and amputations) in persons with neuropathy if left untreated. The purpose of this dissertation was to stratify individuals with pre-diabetes, diabetes with and without neuropathy using dynamic plantar pressure parameters during walking, using machine learning algorithms.Methods: Plantar pressure data was collected from one hundred participants during walking with pressure measuring insoles fixed between the feet and thin socks. Simultaneously high-definition …

Promoting Paradise: The Recruitment Of Volga German Immigrants To The American Midwest, 1870-1900, Kassidy N. Whetstone

UNLV Theses, Dissertations, Professional Papers, and Capstones

In 1762 and 1763, Russian tsarina Catherine II issued manifestos encouraging foreign immigration throughout Russia, and received an overwhelming response from German farmers. These farmers, who would later be known as Russian Germans, Mennonites, or Volga Germans, quickly gained a reputation for their successful farming skills. As a result, following the Homestead Act of 1862, United States recruiters used promotional land advertisements to entice the farmers to migrate to the Midwest. The posters often depicted “open,” abundant lands in paradise. Upon arrival, however, the Volga Germans faced a reality starkly different from what the advertisements had promoted. This paper analyzes …

Comparative Effects Of High-Intensity Interval Warm-Up Exercise And Bronchodilator On Exercise-Induced Bronchoconstriction In Children With Mild Asthma, Michael Wong

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose: The troubling link between obesity and asthma in children, along with greater associated detrimental health effects, warrants investigation to better understand the mechanisms driving this relationship as well as its consequences, especially during exercise. Bronchodilators and interval warm-up exercises are recommended by the American Thoracic Society to prevent exercise-induced bronchoconstriction (EIB). Whether interval warm-up exercise can prevent EIB to the same extent as bronchodilators in asthmatic children is unknown but clinically important. Therefore, the first purpose of this study is to investigate the effects of obesity on pulmonary function, exercise tolerance, and exercise-induced bronchoconstriction in asthmatic children. The second …

Development Of A Model For Affordable Senior Living Community, Nyx Wenlin Zhu

UNLV Theses, Dissertations, Professional Papers, and Capstones

Objective

An affordable senior living community model must be developed to support the needs of our growing elderly population. Health, safety, and wellbeing depend on equal physical health, social health, and mental or psychological health provisions. As we look at each of these aspects, we must filter physical, social, and mental health based on the abilities of the older population.

Background

The aging population in western societies is one of the biggest challenges of the 21st century and has multiple implications for society, the economy, and other aspects of the community. Aging people who lack family support often require the …

Some Graph Laplacians And Variational Methods Applied To Partial Differential Equations On Graphs, Daniel Anthony Corral

UNLV Theses, Dissertations, Professional Papers, and Capstones

In this dissertation we will be examining partial differential equations on graphs. We start by presenting some basic graph theory topics and graph Laplacians with some minor original results. We move on to computing original Jost graph Laplacians of friendly labelings of various finite graphs. We then continue on to a host of original variational problems on a finite graph. The first variational problem is an original basic minimization problem. Next, we use the Lagrange multiplier approach to the Kazdan-Warner equation on a finite graph, our original results generalize those of Dr. Grigor’yan, Dr. Yang, and Dr. Lin. Then we …

Measuring Perceptions Of Safety Among Staff And Women Clients In A Prison Substance Abuse Program, Jaclyn Parker Keen

UNLV Theses, Dissertations, Professional Papers, and Capstones

Women who are involved in the criminal justice system have unique pathways to criminality. Prevailing themes of dysfunctional and traumatic relationships, addiction, mental illness, poverty, and having limited human and social capital dominate the women’s pathways perspective. A large body of existing research focuses on how these unique risk factors require unique treatment options for women while they are incarcerated in jail or prison settings. Entering prison can be an overwhelming experience and prison is an environment that has a high potential for conflict and violence. In order to be safe in prison it requires that women both feel protected …

Increasing Utilization Of Otago Fall Prevention Program By Nevada Physical Therapists: A Service-Learning Project, Jared Apostol, Erica Mooy Brown, Danielle Uptain

UNLV Theses, Dissertations, Professional Papers, and Capstones

Otago is an evidence-based program that is designed to reduce falls in community dwelling older adults by individualizing an exercise program with three key components: strength, balance, and a walking program. Unfortunately, Nevada clinicians do not utilize the program frequently or entirely with patients in outpatient and/or home health physical therapy. Evidence shows it reduces fall risk, but it has barriers to implementation in the United States. The barriers to integration are primarily due to the plan of care that stems from a 12-month timeframe and several phone call appointments which does not fit well in the American healthcare system. …

Effects Of A 12-Week Telehealth Exercise Intervention On Gait Speed And Gait Deviations In Adults With Down Syndrome, Robert Lum, Taylor Souza, Christopher Roys, Daniel Stopka

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background: Down syndrome (Ds) is associated with impairments affecting overall motor development including gait pattern and speed. Research on the effects of exercise on adults with Ds is lacking. The purpose of this study is to evaluate the effects of a 12-week telehealth exercise program on gait impairments in adults with Ds.

Methods: Twenty participants performed a 12-week telehealth exercise program based upon a diagnosis-specific procedure developed by Sarah Mann, PT, DPT. Gait deviations were assessed with the Ranchos Los Amigos Observational Gait Analysis. Comfortable gait speed was evaluated with the 4-meter walk test.

Results: Improvements in comfortable gait speed …

The Road Ahead: An Occupational Therapy Manual To Infant Development For Parents In The Nicu, Nicole Suzuki-Uyeno

UNLV Theses, Dissertations, Professional Papers, and Capstones

Occupational therapists have been collaborating with the parents of our tiniest patients in the neonatal intensive care unit (NICU) for quite some time. They have a wealth of information and expertise in the area on infant development and parent education. Admitting a baby to the NICU is a shock for most parents and can take a toll on a family. The role of the occupational therapist is to help educate the family and to provide the tools to safely take care of their baby and to smoothen the transition from the hospital to home.

In the NICU, the OT has …

Development Of Online Modules To Introduce Prospective Students To The Profession Of Occupational Therapy, Hosia Towery

UNLV Theses, Dissertations, Professional Papers, and Capstones

Prospective students interested in Occupational Therapy academic programs are subject to the admission criteria of each educational institution, including experiential learning, clinical observation hours, volunteer experiences, or similar prerequisites. There are no standardized criteria established for these prerequisite requirements b the accreditation agency, as it is within the scope of Higher Education. There is no accountability at the regional or local level to ensure educational opportunities for prospective students interested in higher education, creating a gap as highlighted in the recent global pandemic, where student access to education was further challenged. Students are reliant on a variable set of requirements …

The Occupational Therapy Approach To Pain Treatment: A Pain Curriculum, Rosalee Howell

UNLV Theses, Dissertations, Professional Papers, and Capstones

It is within the scope of the occupational therapy profession to treat patients experiencing pain. The holistic approach used to assess and treat patients to improve functional performance is vital in treating pain. The focus is to decrease the detrimental impact of pain on the patient’s mental health, enhancing their ability to function in social and vocational roles. However, education is not adequately addressed in occupational therapy programs and is vital in preparing clinicians to meet the patient’s needs effectively.

This Doctoral Capstone was developed to highlight the importance and the benefit of education in preparing clinicians to treat patients …

Association Between Arthritis And Yoga Among Veterans, Anupreet Arora

UNLV Theses, Dissertations, Professional Papers, and Capstones

Yoga is a state of complete mindfulness and self-realization with an inwardly drawn focus, a state of mind – body integration in which there is a harmony between form and action. Yoga can help us treat a myriad of chronic health conditions like obesity, heart diseases, diabetes, depression, gastrointestinal problems, asthma, hypertension, chronic low back pain, and arthritis to name a few. Arthritis is a frequent, debilitating chronic disease which can cripple an individual if allowed to progress unchecked. In 2021, the prevalence of arthritis in USA was around 24% with a projection of 37% by 2030. Prevalence of arthritis …

A Parent-Mediated Intervention To Teach A Generalized Repertoire Of Auditory Tacts To A Child With Autism, Hazim Aal Ismail

UNLV Theses, Dissertations, Professional Papers, and Capstones

Tact is the most important verbal operant (Skinner, 1957) due to the uniqueness of stimulus control and its role in facilitating acquisition of another verbal (e.g., mands, intraverbals) and nonverbal (i.e., listener) operants (Sundberg, 2015). Teaching tacts to children with ASD and the research on this area, however, are largely focused on visual stimuli. Teaching tacts of auditory stimuli to children with ASD is important as they constantly experience various auditory stimuli (e.g., vehicles, pets, machines, music) in the natural environment. Adding auditory and other nonvisual tacts to tact repertoire increases its effectiveness (Sundberg & Partington, 1998). Furthermore, teaching auditory …

“Failure Is Not An Option”: Sub-Saharan African International Graduate Students’ Experiences In U.S. Higher Education Institutions, Alfred Acquah

UNLV Theses, Dissertations, Professional Papers, and Capstones

The rapid growth of international students, particularly from Sub-Saharan Africa, in U.S. higher education institutions calls for more critical research to understand their nuanced experiences in these institutions. So often, international students are homogenized and put under one umbrella, which shadows their unique experiences, especially those from developing countries and regions like Sub-Saharan Africa. Moreover, the paucity of literature on these students makes it even harder to hear their voices. Therefore, there is the need to disaggregate international students to become aware of some of their subtle challenges. This study aims to explore the experiences and community cultural wealth (CCW) …

Diurnal Regulation Of Exercise-Induced Myocardial Signaling And Transcription, Charli Aguilar

UNLV Theses, Dissertations, Professional Papers, and Capstones

Introduction: Exercise is well known for its many benefits on the body and most notably the heart. Recent emphasis, and significant resources, have been dedicated to elucidating the molecular mechanisms through which exercise exerts its pluripotent beneficial effects on health and the prevention of disease. A continuous evolution in this field has sought to modulate and optimize exercise in various ways to maximize the benefits. In recent years, a growing appreciation for the impact of circadian rhythms has gained traction and their influence on many essential biological functions have been integrated into exercise physiology (i.e. - chrono-exercise), as well as …