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Articles 1 - 30 of 80
Full-Text Articles in Medicine and Health Sciences
Babywearing's Influence On Parent And Infant Heart Rates, Joo-Hee Han
Babywearing's Influence On Parent And Infant Heart Rates, Joo-Hee Han
UNLV Theses, Dissertations, Professional Papers, and Capstones
Babywearing is the practice of carrying an infant in a baby carrier close to the body. It provides an environment that allows the bodies of the parent and infant to be close together. The closeness of parent and infant improves the well-being and coregulation of the parent and infant, which could be estimated with heart rate (HR). Few studies have examined mother-infant dyads, but even fewer have examined father-infant dyads. This study examined mother-infant and father-infant dyads, especially for infants with neonatal abstinence syndrome (NAS). The significance of studying babywearing in this vulnerable population is that if babywearing is associated …
Examination Of Performance Validity And The Relationship To Cognition And Symptoms In Schizophrenia Spectrum Disorders, Erick A. Rogers
Examination Of Performance Validity And The Relationship To Cognition And Symptoms In Schizophrenia Spectrum Disorders, Erick A. Rogers
UNLV Theses, Dissertations, Professional Papers, and Capstones
Approximately one-in-five individuals with psychotic disorders (i.e., schizophrenia spectrum disorders [SSD]) fail performance validity indicators (PVIs) during neurocognitive testing. Ensuring the validity of neurocognitive test results is necessary if the test scores are to be of use for diagnostic consideration, intervention selection and planning, predicting outcomes, and following changes in cognition over time in response to intervention, spontaneous recovery, or disease progression. PVIs are designed to require only a minimum level of engagement with the evaluation, which means nearly everyone is expected to “pass,” even those with moderate to severe brain damage. Traditional interpretations of PVI failure suggest a noncredible …
Survey Of How Irregularities In The Electrical System Of The Human Heart Link To Different Heart Arrhythmias, Jazmine Boloor
Survey Of How Irregularities In The Electrical System Of The Human Heart Link To Different Heart Arrhythmias, Jazmine Boloor
UNLV Theses, Dissertations, Professional Papers, and Capstones
This thesis explores the circuital pathway that a signal takes within the heart throughout a full heartbeat and provides a timing analysis. It then surveys the different pathways that could arise in the electrical system of the heart, and the associated heart diseases linked to the location of each pathway. Common heart arrhythmias such as atrioventricular nodal reentrant tachycardia, atrioventricular reentrant tachycardia, atrial flutter, and atrial fibrillation are surveyed, and their pathways are analyzed. Electrocardiograms are presented to aid in understanding of the timing analysis associated with irregularity in heart function. Finally, this thesis explores an avenue of the heartbeat …
Promoting The Benefits Of An Occupational Therapy Health And Wellness Coaching Program For Adults Living With Chronic Illnesses And Their Self-Management, Natasha Findley
Promoting The Benefits Of An Occupational Therapy Health And Wellness Coaching Program For Adults Living With Chronic Illnesses And Their Self-Management, Natasha Findley
UNLV Theses, Dissertations, Professional Papers, and Capstones
Improved health-related outcomes for individuals 18 years or older living with a chronic condition or multiple chronic conditions can be positively impacted by health and wellness coaching. The primary purpose of this capstone project was to develop a community-based health and wellness coaching program with an occupational therapy-based approach to empower and motivate individuals in discovering their strategies, make healthier choices, and be accountable for their self-management (medication adherence, physical activity, sleep hygiene, healthy eating, stress management, and pain management). According to the American Occupational Therapy Association (2015), occupational therapy focuses on promoting health and wellness by enabling clients to …
Health Literacy And The Feasibility Of Using Video-Based Education In The Emergency Department, Jenifer Carvell
Health Literacy And The Feasibility Of Using Video-Based Education In The Emergency Department, Jenifer Carvell
UNLV Theses, Dissertations, Professional Papers, and Capstones
Background: The Department of Health and Human Services (HHS) defines health literacy as the degree to which an individual has the capacity to find, understand, and use information and services to inform health-related decisions and actions for themselves and others. In the emergency department (ED), it is estimated that the prevalence of inadequate health literacy can reach as high as 88 percent. There is a need to implement literacy-sensitive interventions in the ED. Purpose: The purpose of this project was to engineer an intervention that explored the feasibility of the use of personal technology to deliver video-based education to adult …
Acquired Brain Injury: A Vision Screening Protocol For Occupational Therapists, Sebastian Cheung
Acquired Brain Injury: A Vision Screening Protocol For Occupational Therapists, Sebastian Cheung
UNLV Theses, Dissertations, Professional Papers, and Capstones
Occupational therapists have a unique set of skills that allow them to assess individuals with an acquired brain injury who have visual impairments. However, it is frequently neglected in practice owing to a lack of confidence, knowledge, or training. There is a need for a vision screening protocol that will help occupational therapists learn more about visual impairments in adults with an acquired brain injury (ABI) and feel more confident in their ability to identify them. This quality improvement capstone project was a feasibility study and consisted of a sample size of N = 6, utilizing a one group pretest-posttest …
Oxygen Consumption In Highly Skilled Baseball Pitchers, Jesse Clingman
Oxygen Consumption In Highly Skilled Baseball Pitchers, Jesse Clingman
UNLV Theses, Dissertations, Professional Papers, and Capstones
The purpose of this study was to describe the physiological demands of highly skilled baseball pitchers during pitching, along with pitch metrics. Three junior college and three professional (n = 6) baseball pitchers participated in this study. Participants completed a graded exercise test (GXT) to volitional exhaustion to determine maximal oxygen consumption (VO2 max) and estimated body fat percentage, height, and body mass were measured on day one of testing. Next, participants faced live batters on a baseball field while wearing a portable metabolic analyzer (Cosmed K5) to measure respiratory gases including oxygen consumption (VO2) and carbon dioxide produced (VCO2) …
Evaluating Risk-Appropriate Perinatal Care In Nevada, Janice Enriquez
Evaluating Risk-Appropriate Perinatal Care In Nevada, Janice Enriquez
UNLV Theses, Dissertations, Professional Papers, and Capstones
In the United States, (U.S.) technological advancement and increased accessibility to health care resources have not deterred the increasing maternal morbidity and mortality rates (CDC, 2022). In 2019, 754 maternal deaths were reported; in 2020, 861 deaths were reported. In a span of one year, the maternal mortality rate increased by 14% (CDC,2022). American Indian/Alaska Native and Black birthing people are 2 to 3 times more likely to die from a pregnancy-related cause than White birthing people (CDC, 2019). 80% percent of all pregnancy related deaths can be prevented (CDC, 2022). Risk-appropriate care is a strategy used to improve perinatal …
Increasing Self-Perceived Competence In Performing Independent Living Skills Among Unhoused Youth And Young Adults, Stacie M. Gomez
Increasing Self-Perceived Competence In Performing Independent Living Skills Among Unhoused Youth And Young Adults, Stacie M. Gomez
UNLV Theses, Dissertations, Professional Papers, and Capstones
Purpose: The aim of this project is to determine if the development and implementation of an independent living skills workshop would improve the perceived competence of unhoused youth in performing independent living skills.Methods: The Casey Life Skills Short Assessment was used as a pre-test and post-test. It was found that unhoused young adults generally scored low on finding affordable housing, budgeting, banking skills, education training, and feeling a sense of pride in their lives. A four-week independent living skills program was designed and implemented, which included workshops focused on identified needs. The data was analyzed using a Paired Samples t-Test …
Chemotherapeutic Drug Resistance Associated With Differential Mirna Expression Of Mir-375 And Mir-27 Among Oral Cancer Cell Lines, Kieran Huni
UNLV Theses, Dissertations, Professional Papers, and Capstones
Objective: Although progress has been made towards the identification of molecular profiles that influence oral cancer growth and metastasis, recent advances have suggested that non-coding microRNAs (such as miR-21, miR-27, miR-145, miR-155, miR-365, miR-375 and miR-494) may be involved in multiple aspects of chemotherapeutic responsiveness. Based upon the paucity of information regarding this phenomenon, this project will determine whether these specific microRNAs are correlated with oral cancer responsiveness to chemotherapies, including Paclitaxel, Cisplatin and Fluorouracil (5FU).Methods: Commercially available and well-characterized oral squamous cell carcinoma cell lines (SCC4, SCC9, SCC15, SCC25 and CAL27) were used for this study. Experimental 96-well assays …
The Covid-19 Pandemic And On-Time Vaccine Completion In The Childhood Population: A Strategic Plan, Chris Elaine Mariano
The Covid-19 Pandemic And On-Time Vaccine Completion In The Childhood Population: A Strategic Plan, Chris Elaine Mariano
UNLV Theses, Dissertations, Professional Papers, and Capstones
In March 2020, the entire world was placed into lockdown due to the COVID-19 virus, which impacted everyday life, including healthcare. People were scared to leave their homes and obtain preventative services, including vaccinations from birth to adulthood. There was a significant decrease in childhood vaccinations due to the COVID-19 pandemic. A strategy mix is defined as an intervention utilized for vaccination improvement. Strategy mixes were implemented to improve vaccination administration, and ultimately, vaccination rates. However, due to the COVID-19 pandemic, these strategy mixes or interventions were placed on hold causing immunization administration to decrease which could cause vaccine-preventable diseases …
Oral Prevalence Of Akkermancia Muciniphila Among Pediatric And Adult Orthodontic And Non-Orthodontic Patients, Ching Shen
UNLV Theses, Dissertations, Professional Papers, and Capstones
Akkermansia muciniphila (AM) is one of many highly abundant intestinal microbes that influences homeostasis and metabolic disorders and may also play a role in oral disorders. However, there is little evidence regarding the oral prevalence of this organism. Based upon this lack of evidence, the primary goal of this project is to survey an existing saliva repository to determine the overall prevalence of this organism and any associations with demographic or patient characteristics (age, sex, body mass index, race/ethnicity, orthodontic therapy). Using an approved protocol, a total n = 141 pediatric samples from an existing saliva repository were screened using …
Exploring The Usefulness Of The Alert Program On Children With Developmental Delays Or Disabilities At Positively Kids, Ashley Cassandra Manabat Tolentino
Exploring The Usefulness Of The Alert Program On Children With Developmental Delays Or Disabilities At Positively Kids, Ashley Cassandra Manabat Tolentino
UNLV Theses, Dissertations, Professional Papers, and Capstones
This quality improvement project explored the implementation of the Alert Program's (AP) first and second phases within the Foundation for Positively Kids social skills program, PK Social ETC. This study focused on three staff members' perception of the Alert Program's usefulness on their clients' self-regulation skills and occupational participation when engaged in their daily social skills group. The Alert Program was delivered through weekly education sessions for the staff, followed by two groups involving the children to provide visual demonstrations for the staff over eight weeks. Data was collected through a pre- and post-survey using a Qualtrics survey to capture …
The Importance Of An Educational Occupation-Based Work Program For Young Adults With Intellectual & Developmental Disabilities, Jennifer Zielinski
The Importance Of An Educational Occupation-Based Work Program For Young Adults With Intellectual & Developmental Disabilities, Jennifer Zielinski
UNLV Theses, Dissertations, Professional Papers, and Capstones
Barriers to occupations and transitions to vocational opportunities can be difficult for adolescents and young adults with intellectual and developmental disabilities (I/DD)s to feel confident and pursue job opportunities. Some of the problems stem from the stigma related to the individual’s disability, the contexts surrounding them, and the performance of the work tasks expected. Individuals with I/DDs expressed that not having enough support in the community and the workforce creates significant obstacles to retaining a job. Occupational therapists (OT)s can play a unique role in transition and employment for individuals with an I/DD. With a focus on self-determination and successful …
The Psychometric Properties Of The Modified Fear Of Falling Avoidance Behavior Questionnaire In Parkinson’S Disease And Older Adults, Billy La, Arturo Aldaco, Ashley Haller
The Psychometric Properties Of The Modified Fear Of Falling Avoidance Behavior Questionnaire In Parkinson’S Disease And Older Adults, Billy La, Arturo Aldaco, Ashley Haller
UNLV Theses, Dissertations, Professional Papers, and Capstones
Background/purpose: The Fear of Falling Avoidance Behavior Questionnaire (FFABQ), developed in 2011 to measure fear of falling avoidance behavior, has good evidence for reliability and validity. However, a recently modified version (mFFABQ) is theorized to be easier to understand for those completing the questionnaire because the Likert responses are more logical in completing the item stem. The purpose of this study was to examine the test-retest reliability and construct validity of the mFFABQ in adults with Parkinson’s Disease (PD) and older adults aged 60-90 years. Methods: Thirty-nine participants (age 72.21 ± 9.5; 29 men, 10 women) diagnosed with PD (diagnosis …
Creating A University-Based Performing Arts Clinic: Challenges And Lessons, Carissa Limtiaco, Alan Savanapridi
Creating A University-Based Performing Arts Clinic: Challenges And Lessons, Carissa Limtiaco, Alan Savanapridi
UNLV Theses, Dissertations, Professional Papers, and Capstones
Fine artists performing at the collegiate level are at a high risk for developing performance related musculoskeletal injuries due to the unique physical demands and repetitive nature of their movements. Previous research has reported incidence rates as high as 81% and 62% for student dancers and musicians respectively. Despite the high injury rates, research has shown that student performers underreport injuries and are reluctant to seek medical management from health professionals due to unhealthy beliefs and attitudes often held by this population as well as the lack of specialized healthcare. The goal of the UNLV College of Fine Arts (CFA) …
Developing A Physical Therapy Initial Evaluation Screening Tool For A Multidisciplinary Clinic For Adults With Down Syndrome, Isabella Russell, Alvin Lacap, Francis Lacap
Developing A Physical Therapy Initial Evaluation Screening Tool For A Multidisciplinary Clinic For Adults With Down Syndrome, Isabella Russell, Alvin Lacap, Francis Lacap
UNLV Theses, Dissertations, Professional Papers, and Capstones
Purpose: Down syndrome (Ds) is a chromosomal condition that can result in intellectual disability, as well as structural or functional disorders impacting the nervous, cardiovascular, and musculoskeletal systems. As individuals with Ds age, they can have an increased number of comorbidities that impact their health. Physical therapy can play an important role in managing many of the comorbidities adults with Ds have. Therefore, there is an increased need for physical therapists to efficiently screen, evaluate and treat adults with Ds. The purpose of this work is to create an Initial Evaluation Screening Tool and Patient Intake Form for physical therapists …
Effects Of A 12-Week Remote Exercise Program On Balance In Adults With Down Syndrome, Kayla Kotake, Sherwin Cadiao, Nicole Kaes, Jayston Prudencio
Effects Of A 12-Week Remote Exercise Program On Balance In Adults With Down Syndrome, Kayla Kotake, Sherwin Cadiao, Nicole Kaes, Jayston Prudencio
UNLV Theses, Dissertations, Professional Papers, and Capstones
Purpose/Hypothesis Individuals with Down syndrome (Ds) tend to have deficits in balance and postural control, which negatively affects their ability to perform physical activities safely and independently. Previous research has shown that exercise can improve balance in people with Ds, however, most studies looked at balance in children with Ds. As the average life expectancy for people with Ds has increased, there is a need for research investigating balance in adults with Ds. Also, there is a need to increase exercise opportunities (eg, remote exercise programs) for adults with Ds, as physical inactivity and sedentary behavior are prevalent among individuals …
Acute Effects Of Post-Activation Potentiation On Increasing Bat Velocity In Competitive Baseball Players: A Case Series, Phillipp Yu, John Macdonald, Katrina Myers
Acute Effects Of Post-Activation Potentiation On Increasing Bat Velocity In Competitive Baseball Players: A Case Series, Phillipp Yu, John Macdonald, Katrina Myers
UNLV Theses, Dissertations, Professional Papers, and Capstones
Purpose/Hypothesis: Hitting a baseball is widely considered as one of the most difficult motor tasks in sports. It requires quick decision-making and coordinated activation of key muscles to produce a precise and rapid swing. Higher bat velocity has been shown to be associated with offensive performance of baseball players, as greater bat velocities permit more time to be spent analyzing a pitch and can lead to greater outcomes when a ball is hit in play. Baseball players and coaches have traditionally sought on-deck routines to temporarily enhance bat velocity before an at-bat, primarily swinging a weight bat. However, this method …
Development Of A Post-Op Transgender Care Program For Acute Occupational Therapy Practice, Marieliz Llanos
Development Of A Post-Op Transgender Care Program For Acute Occupational Therapy Practice, Marieliz Llanos
UNLV Theses, Dissertations, Professional Papers, and Capstones
Transgender people have experienced adverse health outcomes and barriers to care, ranging from the inability to provide a safe environment for inclusive and equitable care, lack of social support, and limited cultural competency and healthcare provider training. Furthermore, the scarcity of research in transgender care within the field of occupational therapy contributes to the disconnect between the needs of the transgender and gender-diverse (TGD) populations and the lack of preparedness in addressing the occupational performance deficits of transgender clients and individuals undergoing the transitioning process contribute to disparities that are reflected deeply in the experiences of these individuals. In the …
The Importance Of Educating Patients And Staff About Implementing The Neurogenic Bowel Training Program (Nbtp) For Spinal Cord Injury (Sci) In The Acute Care Phase, Silvia Lobaina
UNLV Theses, Dissertations, Professional Papers, and Capstones
According to Borsh et al. (2019), a spinal cord injury (SCI) is damage to a tight bundle of cells and nerves, the spinal cord, that send and receive signals from the brain to and from the rest of the body. A direct injury can cause damage to the spinal cord itself or to the tissues and bones that surround it, which can cause temporary or permanent changes in sensation, movement, strength, and body functions below the injury site (Borsh et al., 2019). Unfortunately, the extent of the disability depends on the severity and location of the SCI; an injury higher …
A Light Gradient Boosting Machine-Enabled Model To Predict Radiation-Induced Toxicities In Cancer Patients Receiving Chemoradiotherapy, Zirui Jiang
UNLV Theses, Dissertations, Professional Papers, and Capstones
The objective of this study was to develop a predictive model that utilizes a Light Gradient Boosting Machine (Light-GBM) to accurately assess the risk of severe radiation-induced toxicities in cancer patients undergoing chemoradiotherapy. The occurrence of these toxicities can have a substantial impact on the patients' quality of life. The Light-GBM model using clinical feature alone or integrating radiomic features extracted from computed tomography (CT) images used in treatment planning with clinical features can enhance the accuracy of early prediction.The study included 179 breast cancer patients and 223 patients with nasopharynx cancer who were treated with both radiotherapy and chemotherapy …
Assistance Dog Considerations: A Lecture For Occupational Therapy Students, Kayla Kinney
Assistance Dog Considerations: A Lecture For Occupational Therapy Students, Kayla Kinney
UNLV Theses, Dissertations, Professional Papers, and Capstones
Assistance dogs can mitigate the effects of an individual’s disability. Occupational therapists consider the whole being when providing interventions through the individual’s meaningful occupations to improve health, well-being, and quality of life. Occupational therapists can make referrals or become a valuable team member for clients who wish to explore assistance dogs as an assistive technology option to improve physical, mental, and psychosocial considerations for increased independence in their clients. Few occupational therapy practitioners are educated about the benefits and disadvantages of the partnership between assistance dog and handler. Therefore, they are unable to adequately recommend assistance dogs for their clients, …
Telehealth In Patients With Type 2 Diabetes Mellitus, Saghi Nassrouie
Telehealth In Patients With Type 2 Diabetes Mellitus, Saghi Nassrouie
UNLV Theses, Dissertations, Professional Papers, and Capstones
Description: Type 2 diabetes mellitus (DM2) is an epidemic that has many factors involved in its management to maintain control. Patients with DM2 require routine evaluations and blood work to provide comprehensive care. COVID-19 caused major shifts in traditional care which sparked an increase in the utilization of technology like telehealth. Telehealth can be an effective tool used to manage diabetes and help attain better glucose control, but its effectiveness during the COVID-19 pandemic warrants further investigation.Purpose: The purpose of this project was to determine if telehealth visits were more effective in reducing Hemoglobin A1c (HbA1c) in adult patients with …
Leveraging Simulation To Understand Nursing Student Learning In Technologically Complex Environment, Deborah Rojas
Leveraging Simulation To Understand Nursing Student Learning In Technologically Complex Environment, Deborah Rojas
UNLV Theses, Dissertations, Professional Papers, and Capstones
Introduction The adoption of simulation technologies in schools of nursing has increased significantly over the last 5 years. Results regarding the use of simulation technology have been positive. The use of simulation technologies has been developed to include complex nursing situations that resemble real clinical settings. Research has demonstrated that memory recall is better in an environment that is the same or similar to the environment in which the learning took place (Krokos et al., 2018). For this reason, educators have used simulation technologies to create realistic environments where students can learn. However, learning outcomes in simulations are affected by …
The Impact Of An Ostomy Training Workshop On Occupational Therapy Practitioners’ And Students’ Confidence In Client Education On Ostomy Management, Amanda Rae Shizue Shimabukuro
The Impact Of An Ostomy Training Workshop On Occupational Therapy Practitioners’ And Students’ Confidence In Client Education On Ostomy Management, Amanda Rae Shizue Shimabukuro
UNLV Theses, Dissertations, Professional Papers, and Capstones
The objective of this quality improvement study was to assess if an ostomy training workshop with a hands-on component would impact the confidence of occupational therapy practitioners and students in client education on ostomy management. The hypothesis is that the training workshop would improve the confidence of occupational therapy practitioners and students in client education on ostomy management. Participants were occupational therapists, occupational therapy assistants, or occupational therapy students in Henderson, Nevada; North Las Vegas, Nevada; or Las Vegas, Nevada. The study utilized a time-series design with a preand post-workshop survey that included a sample size of 30. Occupational therapy …
Exploration Of Occupational Therapy Program Development Through Nih Grant Writing, Larissa Silcox
Exploration Of Occupational Therapy Program Development Through Nih Grant Writing, Larissa Silcox
UNLV Theses, Dissertations, Professional Papers, and Capstones
There is a gap in current literature which describes the effects of yoga-based exercise on the physical health, mental health, and well-being among adults with Down syndrome (Ds). In addition, there is limited research available which describes the impact these effects may have on participation in everyday occupations. Individuals with Ds are living longer lives and will require evidence-based occupational therapy (OT) interventions to ensure healthy growth, development across the lifespan, and ability to participate in meaningful occupations as they age. The current project explores the process of writing a National Institutes of Health R03 grant application that includes a …
No Scrubs: Nursing Applicant Trajectories After Rejection, Jennifer Torgerson
No Scrubs: Nursing Applicant Trajectories After Rejection, Jennifer Torgerson
UNLV Theses, Dissertations, Professional Papers, and Capstones
There is a nursing shortage in the United States which has become even more apparent during the COVID-19 pandemic. Despite qualified applicants, thousands of students are turned away from educational programs each year as programs reach capacity limits. The rejection may have social, psychological, and economic consequences for the student. Students faced with rejection need to make decisions whether to continue their pursuit of nursing or go a different direction. This exploratory quantitative study aims to understand the trajectories of students that are not admitted into a capacity restricted nursing program at a community college in the Southwestern United States. …
Musculoskeletal Injury Concealment In The Reserve Officers’ Training Corps, Joshua D. Wooldridge
Musculoskeletal Injury Concealment In The Reserve Officers’ Training Corps, Joshua D. Wooldridge
UNLV Theses, Dissertations, Professional Papers, and Capstones
INTRODUCTION: Among service members, musculoskeletal injuries threaten military readiness and place a substantial burden on medical and financial resources. While musculoskeletal injuries (MSKIs) are a leading threat to military readiness, service members’ unwillingness to seek care constrains current prevention and surveillance efforts. A growing body of evidence shows US service members conceal a large proportion of injuries, especially in training environments. The Reserve Officers’ Training Corps is a critical training environment for future US military commissioned officers. Reserve Officers’ Training Corps (ROTC) is the largest commissioning source of new officers for the US military. ROTC cadets are college students concurrently …
An Adolescent Concussion Management Toolkit For Occupational Therapists, Coby Yoshimura
An Adolescent Concussion Management Toolkit For Occupational Therapists, Coby Yoshimura
UNLV Theses, Dissertations, Professional Papers, and Capstones
The aim of this project was to demonstrate the role occupational therapists may serve during concussion recovery, by integrating current research and findings into an instructional resource from an occupational therapy (OT) lens. An OT-based toolkit was created to prioritize the identification, assessment, and treatment of two realms of concussion management: functional cognition and vision. The development of a pre and post survey using a modified version of the Generalized Self-Efficacy (GSE) scale was used to determine occupational therapists’ perceived self-efficacy before and after reviewing the created OT-based toolkit. A related samples Wilcoxon signed rank-test was used to analyze pre …