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The Present and Future of Robotic Surgery in Breast Cancer and Breast Reconstruction
No full textBackground: Breast cancer is the second most common cancer in women with an improving mortality rate and a growing need for reconstruction following oncologic resection. Advancements in robotic surgery and minimally invasive techniques have offered refinement to traditional open techniques of flap harvest for reconstruction, particularly regarding improved donor site morbidity. Methods: The literature review was based on a PubMed database search using the keyword “Robotic breast reconstruction” in conjunction with the Boolean operators “Flap”, “Latissimus”, and “DIEP” to specify the search. In total, 106 results were generated, which were then manually reviewed and condensed for a comprehensive stance on the current status, technique, variations, and outcomes for robotic breast reconstruction. Results: Robotic technique has been described for the latissimus dorsi (LD) and deep inferior epigastric perforator (DIEP) flaps for breast reconstruction. For LD, robotic flap harvest reduces donor site morbidity, incisional length, and hospital length of stay, with similar complication rates for seroma/hematoma/infection, and longer operative times. Robotic LD procedures have been described in conjunction with single-site nipple-sparing mastectomy and flap elevation leading to a full minimally invasive resection and reconstruction from one lateral incision. Robotic DIEP harvest offers a considerably smaller fascial incision/rectus muscle dissection and has a comparable complication rate to traditional techniques with shorter hospital length of stay, and improved pain, at the expense of longer operating times. Data on hernia/bulge reduction from robotic techniques is limited and not yet available. Conclusions: Robotic breast reconstruction offers great potential for improving breast reconstruction in terms of donor site morbidity, length of incision, hospital length of stay at the cost of longer operating times, and increased technical skill/specialization, but it has yet to be proven on a large scale with long-term outcome data. Multi-center, prospective clinical data and trials are needed to help elucidate the potential for equivalence and superiority of the minimally invasive approach compared to standard open techniques, but the future is promising for robotic surgery in breast cancer and breast reconstruction
The Causes and Impact of Evictions in Southern Nevada
No full textAs the Southern Nevada region continues to quickly grow, evictions have become a structural feature of the region’s rental market. The region has one of the highest eviction filing rates in the country and this trend has continued to increase in the wake of the Covid-19 pandemic. This paper examines the availability of market-rate affordable housing and the expansion of subsidized affordable housing to understand how the local housing conditions contribute to the number of evictions in Southern Nevada. Additionally, the paper studies local legal processes, such as the summary eviction system and habitability procedures, to understand the relationship between those practices and the total number of evictions. Using demographic and spatial data, the paper analyzes which communities are most impacted by evictions. The analysis continues with an examination of the downstream impacts of evictions, including an elevated risk of experiencing homelessness. These outcomes are used to assess the broader social and fiscal costs of eviction, such as emand for public services, added strain on the legal system, and long-term economic impacts on individuals who experience homelessness. Furthermore, the paper examines historical eviction protections and diversion programs that have been implemented in Southern Nevada. Finally, the paper offers policy recommendations aimed at improving equity throughout the eviction process, expanding tenants\u27 access to legal information and other resources, and strengthening data compilation systems to better understand the impact of evictions
Equitable and Efficient Exams in Large Courses
No full textHow do we asses over 1,200 students six times a semester equitably and efficiently? Our program\u27s need: Assess learning equitably and efficiently in KIN 223 and 224 Human A&P I and II. Set clear expectations, minimize anxiety. Process \u3e 7,200 exams per semester. Give timely feedback quickly and progress through curriculum.https://oasis.library.unlv.edu/btp_expo/1207/thumbnail.jp
Helping Students Frame Their Educational Experiences
No full textWhat separates a good instructor from a great instructor? One crucial aspect of a great instructor is their ability to help students frame their educational experiences. This framing assistance occurs for both good and challenging student experiences. Instructors play an important role in helping students understand their educational experiences. An instructor may not recognize that they have such a role. We encourage instructors to be intentional about their role in students’ framing.https://oasis.library.unlv.edu/btp_expo/1214/thumbnail.jp
Thesis Equations: A Standard Formula to Help Craft a Thesis Statement
No full textThesis Equations is an outlining method that can be used for writing argumentative papers. It proposes a formulaic structure that acts as a base for students to craft a simple thesis. Students need to know how to make a claim. With the emergence of AI use, and the decreasing knowledge of foundational practices, utilizing proper brainstorming and outlining skills persists to be a difficult task for student writers.https://oasis.library.unlv.edu/btp_expo/1222/thumbnail.jp
Medical Debt in the Mountain West, 2022
No full textThis fact sheet presents 2022 data on the prevalence of medical debt in the five Mountain West states of Arizona, Colorado, Nevada, New Mexico and Utah. The Urban Institute report, “The Changing Medical Debt Landscape in the United States” includes data on medical debt estimates, hospital market concentration, as well as estimates of uninsured individuals, disabled adults, average household incomes, and racial compositions at the state and county level for the 50 states and Washington, DC. This fact sheet focuses on state-level differences on the prevalence of medical debt, as well as differences in the percentages of uninsured individuals and disabled adults in the five Mountain West states
The Development of Liking and Familiarity Responses to a Novel Musical Scale
No full textMusical preference is shaped by listening experience
Listeners tend to like music they’ve heard before familiarity correlates with liking (1).
As listeners acquire knowledge of how music is structured, they make better predictions about events as they unfold.
Familiarity and prediction are key drivers of musical pleasure (2,3).
Present study aims to characterize the relationship between listening experience/exposure and preferences during childhoodhttps://oasis.library.unlv.edu/durep_posters/1255/thumbnail.jp
Public Sector Employment in Mountain West Cities, 2019
No full textThis fact sheet presents data on public sector employment in 16 cities within the Mountain West states of Arizona, Colorado, Nevada, and New Mexico. The Urban Institute’s “Public Sector Employment and Its Role in Local Economic Development” report provides data on publicly driven jobs in the 100 largest U.S. cities as of 2019. This fact sheet focuses on city-level data from the largest cities in the Mountain West
Births in the Mountain West, 2023
No full textThis fact sheet details data from a National Vital Statistics report on the number of births within the Mountain West in 2023. This report, offered through the U.S. Centers for Disease Control and Prevention (CDC), includes data on the race/ethnic demographics of mothers of American Indian and Alaska Native, Asian, Black, Native Hawaiian and Pacific Islander, white, and Hispanic descent. This fact sheet explores birth data for the Mountain West states of Arizona, Colorado, Nevada, New Mexico, and Utah, by the mother’s place of residence
Unmarried, Married, and Divorced People in the Mountain West, 2023
No full textThis fact sheet presents the ratio of unmarried men to unmarried women, as well as percentage rates of single, married, and divorced people for sixteen Mountain West cities in Arizona, Colorado, Nevada, and New Mexico. The Smart Asset report, “Where Most People Are Single or Married – 2025 Study” reports data for the 119 most populous cities in the U.S. from the 2023 one-year American Community Survey conducted by U.S Census Bureau