Digital Commons Network^™

Impact Of Housing On Mentally Ill Unhoused Veterans’ Readmissions To Veterans Affairs (Va) Inpatient Psychiatric Services, Maryse-Noelle Nguyen

UNLV Theses, Dissertations, Professional Papers, and Capstones

Unhouseness, also known as homelessness, coupled with mental illness, causes health problems for some veterans; financial difficulties, unemployment, and lack of affordable housing are factors contributing to veteran unhouseness (Tsai & Rosenheck, 2015). Approximately nine percent of the entire unhoused population in the United States are veterans (United States Interagency Council on Homelessness, 2020). Unhoused veterans experience negative health outcomes impacted by environmental and socioeconomic harshness, which are also factors of subsequent psychiatric hospital readmissions (Mascayano et al., 2022). The average cost per United States Veterans Affairs (VA) hospitalization was $30,282 in FY 2019 and $40,763 in FY 2020 (Wagner, …

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 …

“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 …

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: …

Needs Assessment For Implementation Of A Dedicated Admission And Discharge Nurse Position, Connie Ngo

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background: Patient turnover refers to when patients are admitted, discharged, or transferred to or from a clinical unit or another facility. Rapid patient turnover compels nurses to provide care in an environment where clinical demands exceed nursing care capacity. The excess of clinical demands can lead to rationing of nursing care and culminate in nursing stress and dissatisfaction. These negative effects on the nursing workforce subsequently have undesirable implications for patient and hospital outcomes. Implementation of a dedicated admission and discharge nurse (ADN) position can optimize patient flow, improve nursing satisfaction, and ultimately promote positive patient outcomes. Purpose: The purpose …

Adapting Traditional Flamenco Music For The Modern Marimba Artist, Gabriela Ordoñez Villalobos

UNLV Theses, Dissertations, Professional Papers, and Capstones

This document is a compilation of information and exercises for the percussionist to learn how to play Traditional Flamenco on marimba. The document contains a brief history of flamenco and the explanation of the elements of four different palos flamencos (subgenres) to introduce the marimbist to the basic musical elements and structure of each palos flamencos. It also includes musical exercises written specifically for marimba. These exercises are traditional components of authentic Flamenco music and can be used in performances as a soloist or as part of a Flamenco ensamble.

Flamenco music has three main elements: El cante, el toque, …

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 …

Development Of A Health Management Program For International Students And Scholars Using Occupational Therapy Lens, Bo Park

UNLV Theses, Dissertations, Professional Papers, and Capstones

Health management (HM) is essential to staying healthy. Many parts involve internal abilities, such as the cognitive ability to detect illness internally. However, knowing external sources is equally necessary to perform HM independently, such as knowing how to use health insurance and which healthcare services to use for specific symptoms. As HM is closely related to health and independence, occupational therapy recently expanded the practice by including the occupation of health management.

The International Students and Scholars (ISS) population has been often discouraged from performing parts of HM due to many cultural barriers and differences that exist in HM across …

Computational Study For Tissue-Specific Dosimetric Quantities Of Secondary Radiation For Mars Exploration, Sungmin Pak

UNLV Theses, Dissertations, Professional Papers, and Capstones

The two main sources of primary space radiation, Galactic Cosmic Rays (GCRs) and Solar Particle Events (SPEs), encompass a spectrum of ions, ranging from protons (Z=1) to nickel ions (Z=28), with energies spanning from less than 1 keV to exceeding a few TeV. While SPEs represent sporadic events primarily comprised of a high flux of low- to intermediate-energy protons, GCRs are characterized by continuous low flux of diverse ions with higher energies, peaking in intensity near the solar minimum. During a Mars mission, astronauts will encounter primary particles of high energy from GCR and SPE spectra, capable of penetrating spacecraft …

Boron-Doped Diamond As A Resilient Electrode Material In Molten Salts, Hannah Katherine Patenaude

UNLV Theses, Dissertations, Professional Papers, and Capstones

Molten salt chemistry has a range of applications within nuclear technology, including for the Molten Salt Reactors (MSRs) and pyroprocessing to recover valuable actinides for energy and national security needs. However, the high-temperature, corrosive nature of molten salts makes them particularly challenging to deploy on an industrial scale and study in benchtop measurements. Material accountability and corrosion monitoring of MSR fuels are essential components to the successful deployment of MSRs, and electroanalytical techniques like cyclic voltammetry (CV) and spectroelectrochemistry (SEC) can provide a wealth of information to describe salt systems in situ. To perform such measurements, it is imperative to …

Africanities In Selected Art Songs For Voice And Piano By Babi De Oliveira, Ana Elisa Portes Lima

UNLV Theses, Dissertations, Professional Papers, and Capstones

This document explores Africanities on the music and texts of selected art songs by the Brazilian composer Babi de Oliveira (1908-1993), providing the historical context of how the Brazilian Portuguese appropriated the vocabulary and culture of African people brought to the New World during the period of slavery between the 15th and 19th centuries. The purpose of this document is to provide additional background information on the Afro-Brazilian musical heritage, its relevance to the composer, and its aesthetics in the history of Brazilian music, in order to give voice students and performers, especially non-Portuguese speakers, a broader perspective on this …

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 …

Dynamical Studies Of Misaligned Circumbinary Disks, Ian C. Rabago

UNLV Theses, Dissertations, Professional Papers, and Capstones

Binary stars are common outcomes of the star formation process, with nearly half of Sun-like stars forming as part of a binary pair. The presence of a second star adds additional complexity and dynamical effects to the planet formation process in the surrounding circumbinary disk. In this work, I investigate the behavior of a circumbinary disk using hydrodynamic modeling, specifically in the case where the disk is misaligned to the binary orbital plane. Around eccentric binaries, highly inclined disks can align themselves perpendicular to the binary orbital plane. These "polar disks'' can produce vortices and spiral arms when the disk …

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 …

Students’ Learning About Occupation In An Occupational Therapy Program, Erik Regalado

UNLV Theses, Dissertations, Professional Papers, and Capstones

Objective: Describe the learning activities that occupational therapy students found helpful for learning the concept of occupation and describe what students know about the concept of occupation.

Design: Descriptive correlational

Setting: Occupational therapy program in the U.S

Participants: Occupational therapy students

Measure: Survey

Results: These students had a general understanding of occupation and its relationship to health, however, lacked the more conceptual understanding of occupation found in occupational science. Participants reported that activities such as fieldwork, group discussion, and lecture helped them understand the concept of occupation.

Conclusion and Relevance: These students missed aspects of occupation and would benefit from …

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 …

The Effects Of Nicotine On Growth, Surface Marker Expression, And Osteogenic Capacity Of Stem Cells From Human Exfoliated Deciduous Teeth (Shed) And Dental Pulp Stem Cells (Dpsc), Kaileen Rodriguez

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background: The gaining popularity of electronic nicotine delivery systems (ENDS) and inhaling aerosols (“vaping”) among young people have exposed them to unprecedented amounts of nicotine. Fourth generation ENDS manufacturers attract the adolescent demographic with a smooth vaping experience with enticing flavors such as “Piña Colada” or “Peppermint Blast.” Components of e-liquids in cartridges of ENDS combine protonated nicotine, also referred as nicotine salts, with flavors in a propylene glycol or vegetable glycerin solvent. Unregulated, high amounts of nicotine in ENDS products have been associated with increased levels of nicotine in the circulating blood of users with an average concentration of …

Plant-Plant Interaction In Early- Vs. Late-Successional Varieties Of The Hawaiian Landscape-Dominant Tree, Metrosideros Polymorpha, Tomoko Sakishima

UNLV Theses, Dissertations, Professional Papers, and Capstones

Plant-plant interactions play an important role in assembling plant communities. Interactions between neighboring plants can vary as a result of the genetic relatedness of neighbors, impacting rates of growth and patterns of resource allocation. When growing alongside close relatives, some species decrease their growth in a form of cooperation, while others grow faster through facilitation. A complication of plant interaction studies arises because decreased growth in the presence of close relatives can also be due to competition for resources, which increases with phenotypic similarity. Further complicating matters, mycorrhizal fungi, through their connections with plant roots, may strongly influence plant interactions. …

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 …

Assessment Of Success Factors And Comparative Analysis Of Public Private Partnership (P3) Project Performances Against Design-Build And Design-Bid-Build Project Delivery, Bandana Shrestha

UNLV Theses, Dissertations, Professional Papers, and Capstones

Public-private partnerships (P3s) projects have gained widespread popularity in both developed and developing countries due to their ability to access new financing sources and shift specific project risks to the private sector. P3s has been an active area of research with a particular focus on the concept of Critical Success Factors (CSF). The growing interest and the diverse outcomes associated with P3s emphasize the need for a thorough investigation into the factors that contribute to successful P3 projects. This study focused on identifying the CSFs for P3 highway and building projects towards project objectives of achieving cost efficiency and schedule …

Evaluation Of The Extent Of Floods In 2022 In Different Land Cover And Land Use Classes In Sindh Province, Pakistan Using Sentinel-1 And Sentinel-2 Imageries, Alina Shrestha

UNLV Theses, Dissertations, Professional Papers, and Capstones

Floods are one of the most frequent and most devastating natural disasters, which cause widespread destruction and pose significant risks to human life, infrastructure, and the environment. Advancement in remote sensing technologies and methodologies have demonstrated their efficacy in disaster-related applications, such as the detection, monitoring, and analysis of floods. This study explores the utilization of Synthetic Aperture Radar (SAR) and optical imagery for flood extent mapping and studying the extent of flood over various land cover and land use classes in Pakistan's Sindh province, utilizing the cloud computing power of Google Earth Engine. The change detection method identified extensive …

Hunnenschlacht By Franz Liszt: A Transcription For Wind Orchestra With Accompanying Historical Context And Transcription Techniques, Dean Snavely

UNLV Theses, Dissertations, Professional Papers, and Capstones

This document includes a transcription of Liszt’s symphonic poem Hunnenschlacht. An overview of the work's historical context and a detailed explanation of the techniques used in transcribing the work for wind orchestra are included.

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 …

Quaternary Ammonium Compound Resistance Of Klebsiella Pneumoniae And Klebsiella Quasipneumoniae Strains Isolated From The International Space Station, Natasha Svetlana Sushenko

UNLV Theses, Dissertations, Professional Papers, and Capstones

The International Space Station (ISS) has been continuously inhabited for twenty-three years and harbors a diverse population of microorganisms under conditions of microgravity, elevated radiation, and relative isolation, including Biosafety Level 2 (BSL-2) opportunistic pathogens. To sanitize surfaces on the ISS, astronauts use a combination of four antimicrobial quaternary ammonium compounds (QACs). As the stresses of space flight are known to stimulate virulence and antimicrobial resistance in bacteria, the frequent use of QAC disinfectants on the ISS is of concern to NASA. This not only poses risks to astronauts during future long-term space travel, but there is also a concern …

Excavating The Archives: A Re-Analysis Of Artifacts Recovered From Catclaw Cave, Emily C. Swett

UNLV Theses, Dissertations, Professional Papers, and Capstones

The purpose of this thesis research is to a) promote collaboration between archaeologists, federal agencies, and repositories, through museum-based archaeology, b) bring attention to an under-researched region of the Southwest, c) understand the use of Catclaw Cave, d) understand Patayan culture and use of the Lower Colorado River Valley, and e) identify potential trade networks between inhabitants of the Lower Colorado River Valley and other communities in the Southwest. This thesis, which focuses on habitation and lifeways prior to contact with Europeans, is guided by the hypothesis that the Colorado River served as a major trade route for people living …

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 …

Effectiveness Of An Occupational Therapy-Focused Stroke Transitional Care Program In An Inpatient Rehabilitation Facility, Danniel Tapat

UNLV Theses, Dissertations, Professional Papers, and Capstones

Introduction: As a global health issue, stroke is one of the most common causes of disability for individuals around the world. The American Heart Association (2024) mentions that stroke is the fifth-highest cause of mortality and the top cause of disability in the United States. Objective: This project aimed to assess the change in the perceived readiness of individuals after implementing an occupational therapy (OT)-focused transitional care program for patients with stroke and their caregivers before returning home. Methods: The recruitment process for participants involved purposive sampling methods. The study utilized both the Readiness for Hospital Discharge Scale-Short Form (RHDS-SF) …

Online Learning For Acid-Fast Bacilli Detection In Histopathological Images, Shizhao Wang

UNLV Theses, Dissertations, Professional Papers, and Capstones

The acid-fast stain is frequently used for laboratory diagnosis of tuberculosis. It is a labor intensive task requiring thorough examination of extremely high-resolution images to pinpoint the presence of the mycobacteria. This paper presents a machine learning assisted slide image analysis tool with the aim of aiding histopathology professionals in the accurate diagnosis of tuberculosis in patients through the analysis of microscopic imagery. The proposed tool combines a digital whole slide image viewer with an online learning framework. We also conducted a survey of different state-of-the-art online learning methods, and found that MIR with pre-training has the best performance on …

Improving Occupational Therapy Student Utilization Through A Community Engagement Program For Individuals With Dementia, Andrew Stevenson

UNLV Theses, Dissertations, Professional Papers, and Capstones

The contents of this doctoral project include an introduction to some of the difficulties people with dementia face in regard to engaging in the community, and how that may impact their health. It goes on to support how occupational therapists (OTs) have the skills to provide treatment addressing this issue but have faced difficulty entering settings such as memory care. A literature review demonstrates some of the positive benefits that can result from providing people with dementia opportunities for community engagement and reveals some of the difficulties associated with providing quality dementia care. This helps to explain the purpose of …