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Statin Discontinuation In Nursing Home Residents With Advanced Dementia, Jennifer Tjia, Sarah Cutrona, Daniel Peterson, George Reed, Susan Andrade, Susan Mitchell 2015 University of Massachusetts Medical School

Statin Discontinuation In Nursing Home Residents With Advanced Dementia, Jennifer Tjia, Sarah Cutrona, Daniel Peterson, George Reed, Susan Andrade, Susan Mitchell

Jennifer Tjia

OBJECTIVES: To describe patterns of, and factors associated with, statin use and discontinuation in nursing home (NH) residents progressing to advanced dementia and followed for at least 90 days.

DESIGN: Retrospective inception cohort using a dataset linking 2007 to 2008 Minimum Data Set (MDS) to Medicare denominator and Part D files.

SETTING: All NHs in five states (Minnesota, Massachusetts, Pennsylvania, California, Florida).

PARTICIPANTS: NH residents with dementia.

MEASUREMENTS: Residents who developed advanced dementia were observed from baseline (date of progression to very severe cognitive impairment with eating problems) and followed for at least 90 days to statin discontinuation or death ...


Rationales That Providers And Family Members Cited For The Use Of Antipsychotic Medications In Nursing Home Residents With Dementia, Alice Bonner, Terry Field, Celeste Lemay, Kathleen Mazor, Daniel Andersen, Christina Compher, Jennifer Tjia, Jerry Gurwitz 2015 Northeastern University

Rationales That Providers And Family Members Cited For The Use Of Antipsychotic Medications In Nursing Home Residents With Dementia, Alice Bonner, Terry Field, Celeste Lemay, Kathleen Mazor, Daniel Andersen, Christina Compher, Jennifer Tjia, Jerry Gurwitz

Kathleen M. Mazor

OBJECTIVES: To describe the rationales that providers and family members cite for the use of antipsychotic medications in people with dementia living in nursing homes (NHs). DESIGN: Qualitative, descriptive study. SETTING: Twenty-six medium-sized and large facilities in five Centers for Medicare and Medicaid Services regions. PARTICIPANTS: Individuals diagnosed with dementia who received an antipsychotic medication. MEASUREMENTS: Data were collected from medical record abstraction and interviews with prescribers, administrators, direct care providers, and family members. Textual data from medical record abstraction and responses to open-ended interview questions were analyzed using directed content analysis techniques. A coding scheme was developed, and coded ...


Rationales That Providers And Family Members Cited For The Use Of Antipsychotic Medications In Nursing Home Residents With Dementia, Alice Bonner, Terry Field, Celeste Lemay, Kathleen Mazor, Daniel Andersen, Christina Compher, Jennifer Tjia, Jerry Gurwitz 2015 Northeastern University

Rationales That Providers And Family Members Cited For The Use Of Antipsychotic Medications In Nursing Home Residents With Dementia, Alice Bonner, Terry Field, Celeste Lemay, Kathleen Mazor, Daniel Andersen, Christina Compher, Jennifer Tjia, Jerry Gurwitz

Celeste A. Lemay

OBJECTIVES: To describe the rationales that providers and family members cite for the use of antipsychotic medications in people with dementia living in nursing homes (NHs). DESIGN: Qualitative, descriptive study. SETTING: Twenty-six medium-sized and large facilities in five Centers for Medicare and Medicaid Services regions. PARTICIPANTS: Individuals diagnosed with dementia who received an antipsychotic medication. MEASUREMENTS: Data were collected from medical record abstraction and interviews with prescribers, administrators, direct care providers, and family members. Textual data from medical record abstraction and responses to open-ended interview questions were analyzed using directed content analysis techniques. A coding scheme was developed, and coded ...


Rationales That Providers And Family Members Cited For The Use Of Antipsychotic Medications In Nursing Home Residents With Dementia, Alice Bonner, Terry Field, Celeste Lemay, Kathleen Mazor, Daniel Andersen, Christina Compher, Jennifer Tjia, Jerry Gurwitz 2015 Northeastern University

Rationales That Providers And Family Members Cited For The Use Of Antipsychotic Medications In Nursing Home Residents With Dementia, Alice Bonner, Terry Field, Celeste Lemay, Kathleen Mazor, Daniel Andersen, Christina Compher, Jennifer Tjia, Jerry Gurwitz

Jerry H. Gurwitz

OBJECTIVES: To describe the rationales that providers and family members cite for the use of antipsychotic medications in people with dementia living in nursing homes (NHs). DESIGN: Qualitative, descriptive study. SETTING: Twenty-six medium-sized and large facilities in five Centers for Medicare and Medicaid Services regions. PARTICIPANTS: Individuals diagnosed with dementia who received an antipsychotic medication. MEASUREMENTS: Data were collected from medical record abstraction and interviews with prescribers, administrators, direct care providers, and family members. Textual data from medical record abstraction and responses to open-ended interview questions were analyzed using directed content analysis techniques. A coding scheme was developed, and coded ...


Rationales That Providers And Family Members Cited For The Use Of Antipsychotic Medications In Nursing Home Residents With Dementia, Alice Bonner, Terry Field, Celeste Lemay, Kathleen Mazor, Daniel Andersen, Christina Compher, Jennifer Tjia, Jerry Gurwitz 2015 Northeastern University

Rationales That Providers And Family Members Cited For The Use Of Antipsychotic Medications In Nursing Home Residents With Dementia, Alice Bonner, Terry Field, Celeste Lemay, Kathleen Mazor, Daniel Andersen, Christina Compher, Jennifer Tjia, Jerry Gurwitz

Terry S. Field

OBJECTIVES: To describe the rationales that providers and family members cite for the use of antipsychotic medications in people with dementia living in nursing homes (NHs). DESIGN: Qualitative, descriptive study. SETTING: Twenty-six medium-sized and large facilities in five Centers for Medicare and Medicaid Services regions. PARTICIPANTS: Individuals diagnosed with dementia who received an antipsychotic medication. MEASUREMENTS: Data were collected from medical record abstraction and interviews with prescribers, administrators, direct care providers, and family members. Textual data from medical record abstraction and responses to open-ended interview questions were analyzed using directed content analysis techniques. A coding scheme was developed, and coded ...


Antidepressant Use And Cognitive Decline: The Health And Retirement Study, Jane Saczynski, Allison Rosen, Ryan McCammon, Kara Zivin, Susan Andrade, Kenneth Langa, Sandeep Vijan, Paul Pirraglia, Becky Briesacher 2015 University of Massachusetts Medical School

Antidepressant Use And Cognitive Decline: The Health And Retirement Study, Jane Saczynski, Allison Rosen, Ryan Mccammon, Kara Zivin, Susan Andrade, Kenneth Langa, Sandeep Vijan, Paul Pirraglia, Becky Briesacher

Susan E. Andrade

BACKGROUND: Depression is associated with cognitive impairment and dementia, but whether treatment for depression with antidepressants reduces the risk for cognitive decline is unclear. We assessed the association between antidepressant use and cognitive decline over 6 years.

METHODS: Participants were 3,714 adults aged 50 or older enrolled in the nationally-representative Health and Retirement Study (HRS) and with self-reported antidepressant use. Depressive symptoms were assessed using the 8-item Center for Epidemiologic Studies Depression Scale. Cognitive function was assessed at four time-points (2004, 2006, 2008, 2010) through using a validated 27-point scale. Change in cognitive function over the 6-year follow-up period ...


Statin Discontinuation In Nursing Home Residents With Advanced Dementia, Jennifer Tjia, Sarah Cutrona, Daniel Peterson, George Reed, Susan Andrade, Susan Mitchell 2015 University of Massachusetts Medical School

Statin Discontinuation In Nursing Home Residents With Advanced Dementia, Jennifer Tjia, Sarah Cutrona, Daniel Peterson, George Reed, Susan Andrade, Susan Mitchell

Susan E. Andrade

OBJECTIVES: To describe patterns of, and factors associated with, statin use and discontinuation in nursing home (NH) residents progressing to advanced dementia and followed for at least 90 days.

DESIGN: Retrospective inception cohort using a dataset linking 2007 to 2008 Minimum Data Set (MDS) to Medicare denominator and Part D files.

SETTING: All NHs in five states (Minnesota, Massachusetts, Pennsylvania, California, Florida).

PARTICIPANTS: NH residents with dementia.

MEASUREMENTS: Residents who developed advanced dementia were observed from baseline (date of progression to very severe cognitive impairment with eating problems) and followed for at least 90 days to statin discontinuation or death ...


Statin Discontinuation In Nursing Home Residents With Advanced Dementia, Jennifer Tjia, Sarah Cutrona, Daniel Peterson, George Reed, Susan Andrade, Susan Mitchell 2015 University of Massachusetts Medical School

Statin Discontinuation In Nursing Home Residents With Advanced Dementia, Jennifer Tjia, Sarah Cutrona, Daniel Peterson, George Reed, Susan Andrade, Susan Mitchell

Sarah L. Cutrona

OBJECTIVES: To describe patterns of, and factors associated with, statin use and discontinuation in nursing home (NH) residents progressing to advanced dementia and followed for at least 90 days.

DESIGN: Retrospective inception cohort using a dataset linking 2007 to 2008 Minimum Data Set (MDS) to Medicare denominator and Part D files.

SETTING: All NHs in five states (Minnesota, Massachusetts, Pennsylvania, California, Florida).

PARTICIPANTS: NH residents with dementia.

MEASUREMENTS: Residents who developed advanced dementia were observed from baseline (date of progression to very severe cognitive impairment with eating problems) and followed for at least 90 days to statin discontinuation or death ...


Nonsuicidal Self-Injury, Suicidal Thoughts And Suicide Attempts Among Sexual Minority Youth In Ireland During Their Emerging Adult Years., Emmet Power, Helen Coughlan, Mary Clarke, Ian Kelleher, Fionnuala Lynch, Dearbhla Connor, Carol Fitzpatrick, Michelle Harley, Mary Cannon 2015 Royal College of Surgeons in Ireland

Nonsuicidal Self-Injury, Suicidal Thoughts And Suicide Attempts Among Sexual Minority Youth In Ireland During Their Emerging Adult Years., Emmet Power, Helen Coughlan, Mary Clarke, Ian Kelleher, Fionnuala Lynch, Dearbhla Connor, Carol Fitzpatrick, Michelle Harley, Mary Cannon

Psychiatry Articles

AIM: This study aimed to examine whether or not sexual minority youth constitute an at-risk group for nonsuicidal self-injury, suicidal ideation or suicide attempts during their emerging adult years.

METHODS: Using data from the Challenging Times Study, a population-based study of psychopathology and suicide in Ireland, analyses were conducted to test the associations between sexual minority status and the odds of any lifetime experience of nonsuicidal self-injury, suicidal thoughts or suicide attempts among Irish youth aged 19-24 years.

RESULTS: Sexual minority youth had 6.6-fold (95% CI 1.7-24.7) increased risk of nonsuicidal self-injury, a 5.0-fold (95% CI ...


How Are Therapeutic Professionals Interpreting Ethics In Practice With Migrant Clients?, Madeline A. Brenner 2015 Southern Illinois University Edwardsville

How Are Therapeutic Professionals Interpreting Ethics In Practice With Migrant Clients?, Madeline A. Brenner

Art Therapy Counseling Final Research Projects

The research study aimed to understand the praxis of mental health professionals working with immigrant and refugee populations in relation to ethical guidelines and agency protocols. Through practice-led inquiry, seven mental health professionals were interviewed from differing therapeutic backgrounds and orientations; including Marriage and Family Therapy, Clinical Social Work, Counseling, and Art Therapy. The researcher sought to identify how theory of therapeutic professionals differ, where professionals are engaging in culturally competent practice and what impact this has on the therapeutic relationship. Participants identified the key components of a positive therapeutic relationship include trust, cultural competency, approach, presence, as well as ...


Examining Post-Traumatic Stress Disorder And The Plight Of Vietnam Veterans, Joe L. Stein 2015 University of Iowa

Examining Post-Traumatic Stress Disorder And The Plight Of Vietnam Veterans, Joe L. Stein

Iowa Historical Review

No abstract provided.


The Influence Of Emotional Intelligence On Leadership Emergence And Leadership Styles, Grace E. McCullough 2015 Western Kentucky University

The Influence Of Emotional Intelligence On Leadership Emergence And Leadership Styles, Grace E. Mccullough

Honors College Capstone Experience/Thesis Projects

The aim of the current study was to determine the relationship between emotional intelligence and leadership emergence and transformational, transactional, and passive-avoidant leadership styles. Prior research has indicated that emotional intelligence is positively correlated with leader effectiveness. However, the relationship between emotional intelligence and additional aspects of leadership and leadership styles has not been thoroughly investigated. The current study hypothesized that emotional intelligence would be positively correlated with leadership emergence, and transformational and transactional leadership styles, and negatively correlated with a passive-avoidant leadership style. Additionally, it was hypothesized that leadership emergence would be positively correlated with transformational and transactional leadership ...


Dolphin-Assisted Therapy: More Flawed Data And More Flawed Conclusions, Lori Marino, Scott Lilienfeld 2015 Emory University

Dolphin-Assisted Therapy: More Flawed Data And More Flawed Conclusions, Lori Marino, Scott Lilienfeld

Lori Marino, Ph.D.

Dolphin-Assisted Therapy (DAT) is an increasingly popular choice of treatment for illness and developmental disabilities by providing participants with the opportunity to swim or interact with live captive dolphins. Two reviews of DAT (Marino and Lilienfeld [1998] and Humphries [2003]) concluded that there is no credible scientific evidence for the effectiveness of this intervention. In this paper, we offer an update of the methodological status of DAT by reviewing five peer-reviewed DAT studies published in the last eight years. We found that all five studies were methodologically flawed and plagued by several threats to both internal and construct validity. We ...


Construct Validity Of Animal-Assisted Therapy And Activities: How Important Is The Animal In Aat?, Lori Marino 2015 Emory University

Construct Validity Of Animal-Assisted Therapy And Activities: How Important Is The Animal In Aat?, Lori Marino

Lori Marino, Ph.D.

Animal-assisted therapy and animal-assisted activities involve a nonhuman animal as a key therapeutic agent in some kind of intervention that may range from highly specified, as in AAT, to more casual, as in AAA. In this review I address the question: How important is the animal in animal therapy? In other words, does the recent literature strongly support the notion that a live animal, as opposed to another novel stimulating component, is specifically necessary for therapeutic success. Two meta-analyses and 28 single empirical studies were reviewed in order to address this issue. I conclude that the effects of AAT and ...


Is Younger Really Better? Age Differences In Emotion Perception, Kaitlyn Snyder 2015 Western Kentucky University

Is Younger Really Better? Age Differences In Emotion Perception, Kaitlyn Snyder

Honors College Capstone Experience/Thesis Projects

Previous research suggests that younger adults outperform older adults on emotion-matching tasks because emotion recognition ability declines with age. These studies involved tasks in which participants identified a target emotion by selecting from multiple verbal labels. The use of multiple verbal labels placed great cognitive demand on participants, influencing the results that were found in such studies. In the present study, a computer emotion-matching task was used to determine differences between younger and older adults when presented with a target stimulus expressing one of five emotions (anger, fear, disgust, happiness, and sadness) and asked to match the target emotion to ...


A Critical Evaluation Of Selective Attention Measures, Hannah K. Wilson 2015 Western Kentucky University

A Critical Evaluation Of Selective Attention Measures, Hannah K. Wilson

Honors College Capstone Experience/Thesis Projects

Selective attention is comprised of two simultaneous processes—the inhibition of distractors and the focus of attention on target stimuli; yet, many existing selective attention measures only measure one aspect of selective attention. This leads to a high possibility of Type I errors as high interference control or high working memory capacity may be mistaken for high selective attention. This paper proposes several criteria for high construct validity and external validity in selective attention measures.

Concerning construct validity, the test must allow participants to exercise selective attention, adequately measure the level of attention to the distractor stimuli, and adequately measure ...


Antipsychotic Polypharmacy At Admission Predicts Extended Length Of Stay Among State Hospital Inpatients, Jeffrey Lacasse 2015 Florida State University

Antipsychotic Polypharmacy At Admission Predicts Extended Length Of Stay Among State Hospital Inpatients, Jeffrey Lacasse

Jeffrey R Lacasse

No abstract provided.


The New York Times And The Adhd Epidemic, Jonathan Leo, Jeffrey Lacasse 2015 Lincoln Memorial University

The New York Times And The Adhd Epidemic, Jonathan Leo, Jeffrey Lacasse

Jeffrey R Lacasse

No abstract provided.


An Overview Of Assessment: Demonstrating Effective Teaching And Learning, Dana Dunn, Suzanne Baker, Chandra Mehrotra, R. Landrum, Maureen McCarthy 2015 Moravian College

An Overview Of Assessment: Demonstrating Effective Teaching And Learning, Dana Dunn, Suzanne Baker, Chandra Mehrotra, R. Landrum, Maureen Mccarthy

R. Eric Landrum

Assessment—the effective measurement of teaching influences on student learning—is now a fact of life on most college and university campuses. Faculty members as well as administrators are being compelled to demonstrate that the educational experiences offered on their campuses (and increasingly in online course offerings) are meeting publicly expressed standards and learning goals. Students and their families, and perhaps their future employers, also want a sense that an institution's touted values routinely translate into acquired and verifiable knowledge and demonstrable skills.


Interactions Between Sleep Habits And Self-Control, June J. Pilcher, Drew M. Morris, Janet Donnelly, Hayley B. Feigl 2015 Clemson University

Interactions Between Sleep Habits And Self-Control, June J. Pilcher, Drew M. Morris, Janet Donnelly, Hayley B. Feigl

Publications

Good sleep habits and effective self-control are important components of successful functioning. Unfortunately chronic sleep loss and impaired self-control are common occurrences for many individuals which can lead to difficulty with daily self-control issues such as resisting impulses and maintaining attentive behavior. Understanding how self-control is depleted and how good sleep habits may help replenish and maintain the capacity for self-control is an important issue. A sleep-deprived individual who has expended the necessary resources for self-control is at an increased risk for succumbing to impulsive desires, poor attentional capacity, and compromised decision making. To date, few studies have investigated how ...


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