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Full-Text Articles in Statistics and Probability

A Modified Maximum Likelihood Estimation Algorithm For Modeling Threshold Exceedances With The Generalized Pareto Distribution, Jeffrey Harkness May 2026

A Modified Maximum Likelihood Estimation Algorithm For Modeling Threshold Exceedances With The Generalized Pareto Distribution, Jeffrey Harkness

UNLV Theses, Dissertations, Professional Papers, and Capstones

A modified maximum likelihood estimation (MLE) algorithm is proposed for modeling threshold exceedances with the generalized Pareto distribution (GPD). The algorithm addresses multiple issues with an approach originally published in the Journal Computational Statistics and Data Analysis (Castillo and Serra, 2015). The modified algorithm is intended to be comparatively simple to understand and implement, accurate in the handling of boundary conditions, relatively fast and reliable for most data sets, and relatively easy to transfer between computer languages by leveraging existing optimization routines.

A reproducibility study of work in recent literature published in the journal Extremes (Belzile, et al., 2023) is …


Effect Of The Sava Syndemic On Hiv Viral Suppression Among People Living With Hiv In The United States: A Scoping Review And Meta-Analysis, Jacquelyn Rodriguez May 2026

Effect Of The Sava Syndemic On Hiv Viral Suppression Among People Living With Hiv In The United States: A Scoping Review And Meta-Analysis, Jacquelyn Rodriguez

UNLV Theses, Dissertations, Professional Papers, and Capstones

The SAVA syndemic highlights the interconnected and mutually reinforcing nature of substance use, violence victimization, and HIV/AIDS. The synergistic interaction of these conditions creates structural and behavioral barriers that disrupt the HIV care continuum and contribute to significant health inequities. Achieving a suppressed viral load is a critical clinical outcome for people living with HIV, while viral non-suppression can be an indicator of poor health, elevated transmission risk, and disease progression. Still, the association between SAVA factors and viral suppression/non-suppression outcomes within U.S. populations remains inconsistently characterized due to heterogeneous methodologies and variable inclusion of high-risk groups. This mixed-methods study …


Digital Literacy And Language Proficiency As Factors Of Accessible Digital Training In The Hospitality Industry: Employee Perspectives Of Training And Working In A Diverse Industry, Gillian Bowden May 2026

Digital Literacy And Language Proficiency As Factors Of Accessible Digital Training In The Hospitality Industry: Employee Perspectives Of Training And Working In A Diverse Industry, Gillian Bowden

UNLV Theses, Dissertations, Professional Papers, and Capstones

This explanatory sequential mixed methods study explored how digital literacy and language proficiency impact employees’ access to and engagement with digital training, as well as how these experiences influence their perceptions of training and the organization. In the quantitative phase, survey data were collected from hourly employees at a large foodservice corporation (n=67). Four constructs were assessed: digital literacy, language proficiency, accessibility, and engagement. Results indicated strong, statistically significant relationships with higher levels of digital literacy and language proficiency associated with greater accessibility and increased engagement with digital training materials. The large effect sizes suggest these competencies play a meaningful …


Rna’S Symphony: Harmonizing Splice Junctions And Exon Counts For A Novel Approach To Differential Splicing Analysis, Jelard Aquino Aug 2025

Rna’S Symphony: Harmonizing Splice Junctions And Exon Counts For A Novel Approach To Differential Splicing Analysis, Jelard Aquino

UNLV Theses, Dissertations, Professional Papers, and Capstones

Alternative Splicing (AS) plays a critical role in transcriptome complexity and cell-type-specific gene regulation, yet its analysis remains methodologically fragmented, especially in the context of noisy and sparse single-cell RNA sequencing (scRNA-seq) data. This dissertation addresses key computational challenges in AS detection by evaluating existing tools, developing integrative frameworks, and proposing new strategies for improving analysis accuracy in both bulk and single-cell contexts. In chapter 1, I present a comprehensive literature review of computational tools designed for detecting and quantifying AS from bulk and scRNA-seq data. This review outlines major methodological paradigms, including exon-based and splice junction-based approaches, and evaluates …


Empowering Science With The World's First High Accuracy And High Throughput Functional Assay, Christopher Giacoletto Aug 2025

Empowering Science With The World's First High Accuracy And High Throughput Functional Assay, Christopher Giacoletto

UNLV Theses, Dissertations, Professional Papers, and Capstones

Understanding the functional consequences of genetic mutations remains a central challenge in modern biology, with far-reaching implications for human health and disease. While early systematic methods like alanine scanning and phage display provided foundational insights into protein structure and function, the emergence of high-throughput approaches—such as Multiplexed Assays of Variant Effect (MAVEs)—and predictive tools powered by artificial intelligence have vastly expanded our ability to profile mutational landscapes. However, these methods are often constrained by trade-offs between accuracy, scalability, and biological relevance.This dissertation presents the development and application of the GigaAssay, the world’s first high-throughput functional assay capable of delivering both …


The Dual Impact Of Moral Injury: Links To Ptsd Symptoms And Disinhibited Externalizing In U.S. Combat Veterans, Bianca S. Islas Aug 2025

The Dual Impact Of Moral Injury: Links To Ptsd Symptoms And Disinhibited Externalizing In U.S. Combat Veterans, Bianca S. Islas

UNLV Theses, Dissertations, Professional Papers, and Capstones

Moral injury is an experience of psychological distress that occurs when a person’s morals are violated by themselves or others, including institutions and organizations. Such violations of morality can be impairing and have high rates of comorbidity with internalizing disorders (posttraumatic stress, depression, anxiety, suicidality), which may indicate that moral injury is a transdiagnostic construct. This study had four aims, which were accomplished using from a nationally representative, probability-based sample of 1,353 US military veterans. In the first aim, we created structural models of moral injury using the Moral Injury Events Scale (for which a bifactor structure with a specific …


Associations Of The Medicaid Expansion Policy With Racial/Ethnic Disparities In Breast Cancer Screening And Treatment, James Howard Smith Ii May 2025

Associations Of The Medicaid Expansion Policy With Racial/Ethnic Disparities In Breast Cancer Screening And Treatment, James Howard Smith Ii

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background and Aim. This dissertation examines Medicaid expansion’s effect on breast cancer (BC) screening and treatment disparities in two Medicaid-expanding states (MES) that passed Medicaid expansion (New Jersey and Vermont) relative to two non-expansion states (NES) (Georgia and Wisconsin). It then compares the association of Medicaid expansion to other states that did not undertake this policy on various subgroups, such as minorities by race and ethnicity, income, and age groups. Black women still bear significant BC disparities due to untimely screenings, treatments, and deaths. Therefore, it is critical to investigate how socioeconomic status influences racial/ethnic disparity gaps, given that BC …


“Do You Even Lift, Bro?”: Correlates Of Muscle Dysmorphia Symptomatology In Filipino Male University Students, Pamela Paula C. Pioquinto May 2025

“Do You Even Lift, Bro?”: Correlates Of Muscle Dysmorphia Symptomatology In Filipino Male University Students, Pamela Paula C. Pioquinto

UNLV Theses, Dissertations, Professional Papers, and Capstones

Muscle Dysmorphia (MD) is a subtype of Body Dysmorphic Disorder (BDD) and is marked by the desire to increase muscularity and reduce body fat. MD is typically more prevalent among younger male populations, and it often drives comorbid disorders, including substance abuse, eating disorders, and social anxiety. Despite the growing literature on MD, it remains understudied in certain racial/ethnic populations, such as Filipinos. Acculturation, defined as the process in which an individual adopts, acquires, and adapts to a new cultural environment as a result of immigration, influences body image by reshaping an individual’s perceptions of beauty and muscularity standards. Guided …


Using Neighborhood Information To Improve Fiber Direction Estimation From Neuroimaging Data, Anjan Mandal Dec 2024

Using Neighborhood Information To Improve Fiber Direction Estimation From Neuroimaging Data, Anjan Mandal

UNLV Theses, Dissertations, Professional Papers, and Capstones

Accurately estimating neuronal fiber directions is crucial in neuroimaging analysis. The Ball-and-Stick Model (BSM), introduced by Behrens et al. (2003), and widely used in software tools like FSL, remains one of the most popular models for this purpose. BSM analyzes each voxel individually, based solely on its signal information.In this dissertation, we propose modifications to BSM, that incorporate signal information from neighboring voxels in the estimation process, potentially improving the accuracy of the estimates. Additionally, within the estimation process, we introduce two novel proposal distributions to enhance the efficiency of the Markov chain Monte Carlo sampling procedure on the simplex …


Application Of Machine Learning Algorithms In Healthcare, Dwaipayan Mukhopadhyay Aug 2024

Application Of Machine Learning Algorithms In Healthcare, Dwaipayan Mukhopadhyay

UNLV Theses, Dissertations, Professional Papers, and Capstones

Machine Learning (ML) is a subset of artificial intelligence that has made substantial strides in predicting and identifying health emergencies, disease populations, and disease state and immune response, amongst a few fields of healthcare. Here we provide a brief overview of machine learning-based approaches and learning algorithms. Second, we discuss a general procedure of ML and review some studies presented in ML application for several healthcare fields. We also briefly discuss the risks and challenges of ML application to healthcare.This dissertation also consists of four different cases in healthcare where we have applied ML techniques on real life data sets. …


Development And Pilot Testing Of A Surface Discrimination Test For People With Lower Limb Amputation, Colin Kruger, Kyle Mcknight, Sharlene Lim, Samuel Straus May 2024

Development And Pilot Testing Of A Surface Discrimination Test For People With Lower Limb Amputation, Colin Kruger, Kyle Mcknight, Sharlene Lim, Samuel Straus

UNLV Theses, Dissertations, Professional Papers, and Capstones

Introduction: There is a lack of understanding as to how sensory loss and sensory deficits impact those with LLA. The purpose of this research is to determine the extent to which people with LLA can discriminate between surfaces underfoot, in order to better understand the relationship between people with LLA and their perception of the ground they are walking on. We developed a test to determine which qualities of surfaces may be easier to distinguish.

Methods: 10 unimpaired adults and 2 adults with LLA participated. Participants compared surfaces underfoot that consisted of ceramic, rough tile, gravel, sand, and sandpaper to …


Statistical Classification Using Selection And Ranking Methodologies With Statistical Learning, Jeong Jun Lee May 2024

Statistical Classification Using Selection And Ranking Methodologies With Statistical Learning, Jeong Jun Lee

UNLV Theses, Dissertations, Professional Papers, and Capstones

The subject of Statistical Classification is concerned with identifying and allocating future observations into one of the pre-categorized classes based on the characteristics of the objects. Typically, these decisions to classify and categorize the objects have been dependent on identifying a system of classification, and from there, determining attributes for sorting.

In past decades, from discriminant analysis, various methods have been developed for classification. In particular, the rise of artificial intelligence (AI), machine learning, and statistical learning theory has made it possible to consider improving the existing methods along with new developments and more comprehensive schemes in conjunction with data-driven …


Effect Of Asynchronous Virtual Interviews On Ethnic Minority Matriculation Into A Doctor Of Physical Therapy Program, Conner Clark, Nanea Lagasca, Gladys Miller, Jasmine Puspos May 2024

Effect Of Asynchronous Virtual Interviews On Ethnic Minority Matriculation Into A Doctor Of Physical Therapy Program, Conner Clark, Nanea Lagasca, Gladys Miller, Jasmine Puspos

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose/Methods: This study examines the impact of the use of asynchronous virtual interviews (AVIs) in the admissions process of the Doctor of Physical Therapy (DPT) program at the University of Nevada, Las Vegas (UNLV). This research aims to examine racial and ethnic subgroup differences in AVI scores, evaluate the influence of AVIs on applicant scores in the admissions process, and assess the AVI inter-rater reliability among faculty evaluators using data from the 2019-2022 admissions cycles.

Results: Significant differences were found in AVI scores among racial and ethnic groups, with Black applicants scoring highest and Asian applicants scoring lowest. Additionally, inclusion …


Identifying Disease-Related Gene-Environment Interactions Based On Method Of Moments, Linchuan Shen May 2024

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 …


Examining Covid-19 Vaccine Hesitancy Among The Nevada African American Population Using The Social-Ecological Model, Katelyn Faulk Dec 2023

Examining Covid-19 Vaccine Hesitancy Among The Nevada African American Population Using The Social-Ecological Model, Katelyn Faulk

UNLV Theses, Dissertations, Professional Papers, and Capstones

In Nevada, COVID-19 vaccines have been widely available to the general population since March 2021; however, even with the wide availability of these vaccines only 40% of the African American population in Nevada has been fully vaccinated against COVID-19 as of May 2023. This is problematic as it has been shown that the African American population is disproportionately affected by COVID-19 with higher rates of cases, hospitalizations, and deaths when compared to other races or ethnicities. Through the literature, it has also been well documented that African Americans may experience hesitancy toward these vaccinations for a multitude of reasons including …


Synergy And Antagonism In Log-Linear Models, Md Nahid Hasan Aug 2023

Synergy And Antagonism In Log-Linear Models, Md Nahid Hasan

UNLV Theses, Dissertations, Professional Papers, and Capstones

Synergy and antagonism have been extensively studied in the context of the statistical analysis of drug combinations given to treat a disease. “Synergy” (“antagonism”, resp.) in a drug combination occurs when the desirable effect of two drugs given together for treating a disease is greater than (less than, resp.) the effect of each drug given separately.

In this dissertation, however, we study “synergy” and “antagonism” in log-linear models. We also give a thorough review and extend several epidemiological definitions of synergy and antagonism for categorical data, and we connect these definitions to the definitions of synergy and antagonism in log-linear …


Benchmarking And Practical Evaluation Of Machine And Statistical Learning Methods In Credit Scoring: A Method Selection Perspective, Gwen Verbeck Aug 2023

Benchmarking And Practical Evaluation Of Machine And Statistical Learning Methods In Credit Scoring: A Method Selection Perspective, Gwen Verbeck

UNLV Theses, Dissertations, Professional Papers, and Capstones

Predictive models are important tools used in all scientific fields. Machine learning (ML) algorithms and statistical models are widely used for decision-making because of their capability to tackle intricate and unique problems. In domains where data are high-dimensional and contain irrelevant and redundant features, ML algorithms are known to have superior performance over traditional (statistical) learning methods. However, researchers and analysts are often faced with a myriad of techniques to choose from, with no clear consensus on which will perform best for their specific task. Considering resource limitations, exhaustive exploration of all available methods is impractical and often fails to …


Polygenic Risk Score Development And Validation For Early Detection And Risk Stratification Of Rheumatoid Arthritis And Osteoarthritis In Postmenopausal Women, Yingke Xu Aug 2023

Polygenic Risk Score Development And Validation For Early Detection And Risk Stratification Of Rheumatoid Arthritis And Osteoarthritis In Postmenopausal Women, Yingke Xu

UNLV Theses, Dissertations, Professional Papers, and Capstones

Introduction: Around one in four adults worldwide suffer from arthritis. There are more than one hundred different forms of arthritis; the two most common forms of arthritis are rheumatoid arthritis (RA) and osteoarthritis (OA). RA is an autoimmune disease that can cause joint inflammation. Around 1.3 million adults in the US suffer from RA, representing 0.6%–1% of the population. The RA diagnosis in its early stages is difficult since its signs and symptoms are similar to other arthritis. OA is the most common form of arthritis. In the US, around 30.8 million people are affected by this disease. However, OA …


Development Of A Metapgs For Accurate Prediction Of Osteoporotic Fracture, Xiangxue Xiao Aug 2023

Development Of A Metapgs For Accurate Prediction Of Osteoporotic Fracture, Xiangxue Xiao

UNLV Theses, Dissertations, Professional Papers, and Capstones

Introduction: Early identification of individuals at high-risk for osteoporotic fractures who may benefit from preventive intervention is essential. However, the predictive accuracy of the currently used fracture risk assessment tool remains suboptimal. The first aim of this research is to construct genome-wide polygenic scores for the femoral neck (PGS_FNBMDidpred) and total body BMD (PGS_TBBMDidpred) and to estimate their potential in identifying individuals with a high risk of osteoporotic fractures. The second aim is to validate the predictive performance of two previously established PGSs (PGS_FNBMDidpred and PGS_TBBMDidpred) in an external cohort …


A Generalized Family Of Exponentiated Composite Distributions With Applications To Insurance And Survival Data, Bowen Liu May 2023

A Generalized Family Of Exponentiated Composite Distributions With Applications To Insurance And Survival Data, Bowen Liu

UNLV Theses, Dissertations, Professional Papers, and Capstones

The concept of composite distributions was proposed in the early 2000s as a good parametric solution to model the data with heavy tails. Since the concept was proposed, it has been widely used in different areas, such as modeling insurance claim size data, predicting the risk measures in insurance data analysis, fitting survival time data, and modeling precipitation data. While a lot of the composite distributions demonstrated great performances in real applications, many commonly used composite distributions such as the inverse gamma-Pareto (IGP) or exponential-Pareto (EP), did not demonstrate great performances when fitting to several particular data sets. In order …


Estimation Of The Parameters In A Mixture Of Two Normal Distributions And The Generalized Pivotal Quantity Method, Md Faruk Hossain Dec 2022

Estimation Of The Parameters In A Mixture Of Two Normal Distributions And The Generalized Pivotal Quantity Method, Md Faruk Hossain

UNLV Theses, Dissertations, Professional Papers, and Capstones

A pivotal quantity is a random variable that is a function of both the random data and the unknown population parameters and whose probability distribution does not depend on any of the unknown parameters. The population parameters here may include nuisance parameters. Historically, pivotal quantities have been used for the construction of test statistics for hypothesis testing of some of these unknown parameters. They have also been used for the construction of confidence intervals for some of these parameters.Generalized pivotal quantities (GPQ) were introduced by Tsui and Weerahandi (1989) and Weerahandi (1993). A GPQ is a function, not only of …


Use Of Healthcare Utilization Records For Analyzing Trends In Clinical Toxoplasmosis: A Comparison Of Nevada And The United States, Elijah Kreutzer Dec 2022

Use Of Healthcare Utilization Records For Analyzing Trends In Clinical Toxoplasmosis: A Comparison Of Nevada And The United States, Elijah Kreutzer

UNLV Theses, Dissertations, Professional Papers, and Capstones

Toxoplasmosis, a zoonotic disease caused by the parasitic protist Toxoplasma gondii, is a ubiquitous, global public health concern with a wide variety of clinical manifestations. Surveillance for the disease is lacking even in developed countries, and what surveillance is present most often focuses on pregnant women. This research investigated trends in clinical toxoplasmosis in Nevada and nationally to address the lack of knowledge concerning how Nevada discharges compare to national discharges in cases of toxoplasmosis. Specifically, this research sought to determine what characterizes toxoplasmosis in Nevada across inpatient, outpatient, and emergency department settings, as well as how these cases differ …


Bayesian Nonparametric Regression Models For Insurance Claims Frequency And Severity, Mostafa Shams Esfand Abadi Dec 2022

Bayesian Nonparametric Regression Models For Insurance Claims Frequency And Severity, Mostafa Shams Esfand Abadi

UNLV Theses, Dissertations, Professional Papers, and Capstones

The prediction of future insurance claims frequency and severity is one of the most important problems in actuarial science. Such predictions help the actuary set insurance premiums based on observed risk factors, or covariates. Accuracy of these predictions is important from the point of view of both the insurance company as well as the insured customer. Typically, actuaries use parametric regression models to predict claims based on the covariate information. Such models assume the same functional form tying the response to the covariates for each data point. These models are not flexible enough and fail to accurately capture at the …


Retrospective Varying Coefficient Association Analysis Of Longitudinal Binary Traits, Gang Xu Dec 2022

Retrospective Varying Coefficient Association Analysis Of Longitudinal Binary Traits, Gang Xu

UNLV Theses, Dissertations, Professional Papers, and Capstones

Many genetic studies contain rich information on longitudinal phenotypes that require powerful analytical tools for optimal analysis. Genetic analysis of longitudinal data that incorporates temporal variation is important for understanding the genetic architecture and biological variation of complex diseases. Most of the existing methods assume that the contribution of genetic variants is constant over time and fails to capture the dynamic pattern of disease progression. However, the relative influence of genetic variants on complex traits fluctuates over time.We developed several tests to fill the gap of analyzing time-varying genetic effects in longitudinal GWAS for binary traits. First, we propose a …


Bidirectional Testing For Repairable Systems Reliability: Power Asymmetries, Panel Of Control Charts, And Reliability Graphics, Sung Keun Koo Aug 2022

Bidirectional Testing For Repairable Systems Reliability: Power Asymmetries, Panel Of Control Charts, And Reliability Graphics, Sung Keun Koo

UNLV Theses, Dissertations, Professional Papers, and Capstones

To a practitioner who chooses to be on the safe side, we offer an option between a cocktail of tests and a solo one-size-fits-all test as a needed antidote to power asymmetries. Two bidirectional tests are first established to empower a basic pair of tests as asymmetrical performances. Unsurprisingly, we’ve seen either bidirectional device championing in one alternative setting, but also being turned against the very setting altered with just one of the composed elements. Progressing by filtering out the bad and enhancing the good, we assemble a hybrid from the empowered pair to restore power symmetries that are thought …


An Empirical Investigation Into The Impact Of Automated Grading, Alex James St. Aubin May 2022

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 …


Does Social Support Moderate The Association Between Income And Food Security Status Among Seniors Living In Southern Nevada?, Adugna Teka Siweya May 2021

Does Social Support Moderate The Association Between Income And Food Security Status Among Seniors Living In Southern Nevada?, Adugna Teka Siweya

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background: Income is the strongest predictor of food insecurity among seniors, and social support also an essential factor to help mitigate the effects of food insecurity. However, little is known about the potential role that social support may play as a moderator of the association between income and food insecurity. Thus, we aim to examine social support as a moderator for the relationship between income and food insecurity among seniors. Methods: Logistic regression models were used to analyze data collected in 2019 from seniors residing in Southern Nevada. Predictors of food insecurity, sociodemographic factors, social support variables, and income and …


Food Insecurity And Adiposity Among Children And Adults Nhanes 2015-2016, Denise Vidal May 2021

Food Insecurity And Adiposity Among Children And Adults Nhanes 2015-2016, Denise Vidal

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background: Obesity is a preventable disease that has been associated with many adverse health outcomes. A possible factor that may influence adiposity development is food insecurity. Although several epidemiological studies have been conducted examining the association between food insecurity and adiposity among children and adults, results have been inconsistent. Objective: This cross-sectional study investigates the relationship between food insecurity and adiposity among children and adults using recent data from a representative sample of the US population. Methods: We examined 3,391 adults and 2,837 children from the National Health and Nutrition Examination Survey (NHANES) 2015-2016. Household food insecurity was assessed using …


Bayesian Variable Selection Methods For Genome-Wide Association Studies With Categorical Phenotypes, Benazir Rowe Dec 2020

Bayesian Variable Selection Methods For Genome-Wide Association Studies With Categorical Phenotypes, Benazir Rowe

UNLV Theses, Dissertations, Professional Papers, and Capstones

Genome-wide association studies (GWAS) attempt to find the associations between genetic markers and studied traits (phenotypes). The problem of GWAS is complex and various methods have been developed to approach it. One of such methods is Bayesian variable selection (BVS). We describe the BVS methods in detail and demonstrate the ability of BVS method Posterior Inference via Model Averaging and Subset Selection (piMASS) to improve the power of detecting phenotype-associated genetic loci, potentially leading to new discoveries from existing data without increasing the sample size.

We present several ways to improve and extend the applicability of piMASS for GWAS. The …


Gardasil Vaccine Trends Within Nevada, California, And The U.S.: A Comparative Study, Karen S. Gutierrez Dec 2020

Gardasil Vaccine Trends Within Nevada, California, And The U.S.: A Comparative Study, Karen S. Gutierrez

UNLV Theses, Dissertations, Professional Papers, and Capstones

Despite decreasing incidence in cervical cancer in the U.S., there continues to be an increase in public health concern for cervical cancer worldwide. Recent studies report that individuals are disproportionately affected based on region, sex, and race. Additionally, the human papillomavirus (HPV) attributable cancers may be reduced between 70% and 90% through the universal use of HPV-vaccines. In order to expand current knowledge and implement intervention programs in Nevada, it is critical to examine the associations among the Gardasil vaccine, cervical cancer screening, and adverse events following immunization as well as to understand the different socio-demographic subgroups affected. To our …