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Cognitive Status In Patients Hospitalized With Acute Decompensated Heart Failure, Seth Levin, Alexandra Hajduk, David McManus, Chad Darling, Jerry Gurwitz, Frederick Spencer, Robert Goldberg, Jane Saczynski 2015 University of Massachusetts Medical School

Cognitive Status In Patients Hospitalized With Acute Decompensated Heart Failure, Seth Levin, Alexandra Hajduk, David Mcmanus, Chad Darling, Jerry Gurwitz, Frederick Spencer, Robert Goldberg, Jane Saczynski

Jerry H. Gurwitz

BACKGROUND: Cognitive impairment is highly prevalent in patients with heart failure and is associated with adverse outcomes. However, whether specific cognitive abilities (eg, memory vs executive function) are impaired in heart failure has not been fully examined. We investigated the prevalence of impairment in 3 cognitive domains in patients hospitalized with acute decompensated heart failure (ADHF) and the associations of impairment with demographic and clinical characteristics. METHODS: The sample included 744 patients hospitalized with ADHF (mean age 72 years, 46% female) at 5 medical centers. Impairment was assessed in 3 cognitive domains (memory, processing speed, executive function) using standardized measures ...


Cognitive Status In Patients Hospitalized With Acute Decompensated Heart Failure, Seth Levin, Alexandra Hajduk, David McManus, Chad Darling, Jerry Gurwitz, Frederick Spencer, Robert Goldberg, Jane Saczynski 2015 University of Massachusetts Medical School

Cognitive Status In Patients Hospitalized With Acute Decompensated Heart Failure, Seth Levin, Alexandra Hajduk, David Mcmanus, Chad Darling, Jerry Gurwitz, Frederick Spencer, Robert Goldberg, Jane Saczynski

David D. McManus

BACKGROUND: Cognitive impairment is highly prevalent in patients with heart failure and is associated with adverse outcomes. However, whether specific cognitive abilities (eg, memory vs executive function) are impaired in heart failure has not been fully examined. We investigated the prevalence of impairment in 3 cognitive domains in patients hospitalized with acute decompensated heart failure (ADHF) and the associations of impairment with demographic and clinical characteristics. METHODS: The sample included 744 patients hospitalized with ADHF (mean age 72 years, 46% female) at 5 medical centers. Impairment was assessed in 3 cognitive domains (memory, processing speed, executive function) using standardized measures ...


Alcohol Screening And Brief Intervention Program In A University Health Service, Teresa Conklin 2015 Seton Hall University

Alcohol Screening And Brief Intervention Program In A University Health Service, Teresa Conklin

Seton Hall University DNP Final Projects

Alcohol misuse in the United States is a public health concern. Inappropriate alcohol consumption poses an enormous threat to the physical, social, and economic well-being of the American public. Young adults, specifically college students, are at particularly high risk for alcohol misuse. National organizations have endorsed efforts to identify and advise individuals who engage in risky drinking behaviors. Students who visit Seton Hall University Health Services for routine health care are an ideal group to engage in alcohol screening and education. The purpose of this project is to introduce and evaluate an alcohol screening and brief intervention program in a ...


Distress In Relation To Attenuated Psychotic Symptoms In The Ultra-High-Risk Population Is Not Associated With Increased Risk Of Psychotic Disorder., Lucy Power, Andrea R. Polari, Alison R. Yung, Patrick D. McGorry, Barnaby Nelson 2015 Royal College of Surgeons in Ireland

Distress In Relation To Attenuated Psychotic Symptoms In The Ultra-High-Risk Population Is Not Associated With Increased Risk Of Psychotic Disorder., Lucy Power, Andrea R. Polari, Alison R. Yung, Patrick D. Mcgorry, Barnaby Nelson

Psychiatry Articles

AIM: The 'ultra-high-risk' criteria identify a clinical population at substantially increased risk for progressing to schizophrenia and other psychotic disorders. Although a number of clinical variables predictive of transition to psychotic disorder have been identified within this population, the predictive value of the level of distress associated with attenuated psychotic symptoms has not yet been examined. This was the aim of the present study.

METHOD: The level of distress (0-100) associated with attenuated psychotic symptoms was recorded for 70 ultra-high-risk (UHR) patients using the Comprehensive Assessment of At-Risk Mental State (CAARMS). Transition to psychosis was assessed over a 16-month follow-up ...


Otra Vez El Mar Y La Psicología De Carl Gustav Jung, Ángela Martín Pérez 2015 University of Connecticut - Storrs

Otra Vez El Mar Y La Psicología De Carl Gustav Jung, Ángela Martín Pérez

The Quiet Corner Interdisciplinary Journal

Poco antes de su muerte, el profesor Carl Gustav Jung aceptó realizar un trabajo de divulgación de sus ideas que se publicó bajo el nombre de El hombre y sus símbolos. En esta obra, el psicólogo ruso recupera su estudio de la estructura de la personalidad, que él entendía compuesta por cinco elementos conceptualizados por el Ego, la Persona, la Sombra, el Anima o Animus y el Sí Mismo. En el proceso de desarrollo del sí mismo, el sujeto se rodea de ciertas circunstancias en las que descubre su Persona, se enfrenta con la Sombra y se encuentra con el ...


The Phenomenology Of Intersubjectivity In Jaspers And Husserl: On The Capacities And Limits Of Empathy And Communication In Psychiatric Praxis, Sebastian Luft, J. Schlimme 2015 Marquette University

The Phenomenology Of Intersubjectivity In Jaspers And Husserl: On The Capacities And Limits Of Empathy And Communication In Psychiatric Praxis, Sebastian Luft, J. Schlimme

Sebastian Luft

In this article, we present two accounts of intersubjectivity in Jaspers and Husserl, respectively. We argue that both can be brought together for a more satisfying account of empathy and communication in the context of psychiatric praxis. But while we restrict ourselves for the most part to this praxis, we also indicate the larger agenda that drives Jaspers and Husserl, despite all disagreement. Here we spell out, in particular, how a phenomenologically inspired account of empathy and intersubjectivity can have larger ramifications for a theory of social life and interaction. Finally, we argue for a ‘relaxed' view concerning the relation ...


Obesity Of Mentally Retarded Individuals: Prevalence, Characteristics, And Intervention, Jennifer Burkhart, Robert Fox, Anthony Rotatori 2015 University of Pittsburgh School of Medicine

Obesity Of Mentally Retarded Individuals: Prevalence, Characteristics, And Intervention, Jennifer Burkhart, Robert Fox, Anthony Rotatori

Robert Fox

Research on the prevalence, characteristics, and treatment of obesity of mentally retarded individuals within the context of research findings with the obese nonretarded population was selectively reviewed. According to the available literature, obesity is a prevalent problem in the retarded population, and there is a greater incidence among females than males. The literature also suggests that obese retarded subjects as a group can be distinguished from their nonobese peers by their physical condition, but not by their eating style or personality characteristics. Behavioral self-control strategies have been found to be effective in producing weight loss in obese retarded children and ...


Educating Dental Health Professionals About People With Intellectual And Developmental Disabilities, Christine J. Clifford, Alexandra Bonardi, Matthew Holder 2015 University of Massachusetts Medical School

Educating Dental Health Professionals About People With Intellectual And Developmental Disabilities, Christine J. Clifford, Alexandra Bonardi, Matthew Holder

Shriver Center Publications and Presentations

Dental schools and dental hygiene programs are required to incorporate specialized training in their programs to serve people with special needs, however people with intellectual and developmental disability (I/DD) continue to experience poor oral health outcomes. Access to clinicians with the desire and skill to care for people with I/DD remains a challenge. There is a need to understand the best approaches to improve access, and to reduce disparity in oral health, for this vulnerable population representing approximately 1-3% of the general population. Researchers are systematically investigating the literature to uncover evidence of effective approaches to improve access ...


Cognitive Testing For Dementia Is Adversely Affected By Administration In A Foreign Location, Cynthia Bechtel, Ruth Remington, Bruce A. Barton, Constance Barysauskas, Thomas B. Shea 2015 Framingham State University

Cognitive Testing For Dementia Is Adversely Affected By Administration In A Foreign Location, Cynthia Bechtel, Ruth Remington, Bruce A. Barton, Constance Barysauskas, Thomas B. Shea

Open Access Articles

BACKGROUND: It is colloquially considered that cognitive tests can be adversely affected by administration in a foreign location. However, a definitive demonstration of this is lacking in the literature. To determine whether or not this is the case, we compared the results of cognitive testing in a familiar versus foreign environment by single test administrator of individuals diagnosed with Alzheimer's disease randomized to placebo in a multi-site clinical study.

FINDINGS: Cognitive tests were administered to 6 long-term residents of an assisted living facility at their residence (the "Familiar" cohort). The identical tests were administered to a newly admitted resident ...


The Association Between Dietary Inflammatory Index And Risk Of Colorectal Cancer Among Postmenopausal Women: Results From The Women's Health Initiative, Fred Tabung, Susan Steck, Yunsheng Ma, Angela Liese, Jiajia Zhang, Bette Caan, Lifang Hou, Karen Johnson, Yasmin Mossavar-Rahmani, Nitin Shivappa, Jean Wactawski-Wende, Judith Ockene, James Hebert 2015 University of South Carolina - Columbia

The Association Between Dietary Inflammatory Index And Risk Of Colorectal Cancer Among Postmenopausal Women: Results From The Women's Health Initiative, Fred Tabung, Susan Steck, Yunsheng Ma, Angela Liese, Jiajia Zhang, Bette Caan, Lifang Hou, Karen Johnson, Yasmin Mossavar-Rahmani, Nitin Shivappa, Jean Wactawski-Wende, Judith Ockene, James Hebert

Judith K. Ockene

PURPOSE: Inflammation is a process central to carcinogenesis and in particular to colorectal cancer (CRC). Previously, we developed a dietary inflammatory index (DII) from extensive literature review to assess the inflammatory potential of diet. In the current study, we utilized this novel index in the Women's Health Initiative to prospectively evaluate its association with risk of CRC in postmenopausal women. METHODS: The DII was calculated from baseline food frequency questionnaires administered to 152,536 women aged 50-79 years without CRC at baseline between 1993 and 1998 and followed through 30 September 2010. Incident CRC cases were ascertained through a ...


Access To Healthy Food Stores Modifies Effect Of A Dietary Intervention, Nicole Wedick, Yunsheng Ma, Barbara Olendzki, Elizabeth Procter-Gray, Jie Cheng, Kevin Kane, Ira Ockene, Sherry Pagoto, Thomas Land, Wenjun Li 2015 University of Massachusetts Medical School

Access To Healthy Food Stores Modifies Effect Of A Dietary Intervention, Nicole Wedick, Yunsheng Ma, Barbara Olendzki, Elizabeth Procter-Gray, Jie Cheng, Kevin Kane, Ira Ockene, Sherry Pagoto, Thomas Land, Wenjun Li

Sherry L. Pagoto

BACKGROUND: Recent evidence suggests that opening a grocery store in a food desert does not translate to better diet quality among community residents. PURPOSE: This study evaluated the influence of proximity to a healthy food store on the effect of a dietary behavioral intervention on diet among obese adults randomized to either a high fiber or American Heart Association diet intervention. METHODS: Participants were recruited from Worcester County, Massachusetts, between June 2009 and January 2012. Dietary data were collected via 24-hour recalls at baseline and 3, 6, and 12 months post-intervention. Based on in-store inspection data, a store was considered ...


Single-Component Versus Multicomponent Dietary Goals For The Metabolic Syndrome: A Randomized Trial, Yunsheng Ma, Barbara Olendzki, Jinsong Wang, Gioia Persuitte, Wenjun Li, Hua Fang, Philip Merriam, Nicole Wedick, Ira Ockene, Annie Culver, Kristin Schneider, Gin-Fei Olendzki, James Carmody, Tingjian Ge, Zhiying Zhang, Sherry Pagoto 2015 University of Massachusetts Medical School

Single-Component Versus Multicomponent Dietary Goals For The Metabolic Syndrome: A Randomized Trial, Yunsheng Ma, Barbara Olendzki, Jinsong Wang, Gioia Persuitte, Wenjun Li, Hua Fang, Philip Merriam, Nicole Wedick, Ira Ockene, Annie Culver, Kristin Schneider, Gin-Fei Olendzki, James Carmody, Tingjian Ge, Zhiying Zhang, Sherry Pagoto

Sherry L. Pagoto

BACKGROUND: Few studies have compared diets to determine whether a program focused on 1 dietary change results in collateral effects on other untargeted healthy diet components. OBJECTIVE: To evaluate a diet focused on increased fiber consumption versus the multicomponent American Heart Association (AHA) dietary guidelines. DESIGN: Randomized, controlled trial from June 2009 to January 2014. (ClinicalTrials.gov: NCT00911885). SETTING: Worcester, Massachusetts. PARTICIPANTS: 240 adults with the metabolic syndrome. INTERVENTION: Participants engaged in individual and group sessions. MEASUREMENTS: Primary outcome was weight change at 12 months. RESULTS: At 12 months, mean change in weight was -2.1 kg (95% CI, -2 ...


Decrease In Glycemic Index Associated With Improved Glycemic Control Among Latinos With Type 2 Diabetes, Monica Wang, Lauren Gellar, Brian Nathanson, Lori Pbert, Yunsheng Ma, Ira Ockene, Milagros Rosal 2015 Boston University

Decrease In Glycemic Index Associated With Improved Glycemic Control Among Latinos With Type 2 Diabetes, Monica Wang, Lauren Gellar, Brian Nathanson, Lori Pbert, Yunsheng Ma, Ira Ockene, Milagros Rosal

Milagros C. Rosal

BACKGROUND: Glycemic index and glycemic load are used to facilitate glucose control among adults with type 2 diabetes, with a low glycemic index diet associated with improved glycemic control. OBJECTIVE: To examine long-term longitudinal associations between changes in glycemic index and glycemic load with glycemic and metabolic control among Latino adults with diabetes. DESIGN: Secondary data from intervention and comparison participants in the Latinos en Control trial (2006 to 2008) were analyzed. PARTICIPANTS/SETTING: Data on dietary intake and metabolic characteristics were from low-income, Latino adults (N = 238; 87.7% Puerto Rican) with type 2 diabetes. INTERVENTION: The Latinos en ...


Access To Healthy Food Stores Modifies Effect Of A Dietary Intervention, Nicole Wedick, Yunsheng Ma, Barbara Olendzki, Elizabeth Procter-Gray, Jie Cheng, Kevin Kane, Ira Ockene, Sherry Pagoto, Thomas Land, Wenjun Li 2015 University of Massachusetts Medical School

Access To Healthy Food Stores Modifies Effect Of A Dietary Intervention, Nicole Wedick, Yunsheng Ma, Barbara Olendzki, Elizabeth Procter-Gray, Jie Cheng, Kevin Kane, Ira Ockene, Sherry Pagoto, Thomas Land, Wenjun Li

Barbara C. Olendzki

BACKGROUND: Recent evidence suggests that opening a grocery store in a food desert does not translate to better diet quality among community residents. PURPOSE: This study evaluated the influence of proximity to a healthy food store on the effect of a dietary behavioral intervention on diet among obese adults randomized to either a high fiber or American Heart Association diet intervention. METHODS: Participants were recruited from Worcester County, Massachusetts, between June 2009 and January 2012. Dietary data were collected via 24-hour recalls at baseline and 3, 6, and 12 months post-intervention. Based on in-store inspection data, a store was considered ...


Single-Component Versus Multicomponent Dietary Goals For The Metabolic Syndrome: A Randomized Trial, Yunsheng Ma, Barbara Olendzki, Jinsong Wang, Gioia Persuitte, Wenjun Li, Hua Fang, Philip Merriam, Nicole Wedick, Ira Ockene, Annie Culver, Kristin Schneider, Gin-Fei Olendzki, James Carmody, Tingjian Ge, Zhiying Zhang, Sherry Pagoto 2015 University of Massachusetts Medical School

Single-Component Versus Multicomponent Dietary Goals For The Metabolic Syndrome: A Randomized Trial, Yunsheng Ma, Barbara Olendzki, Jinsong Wang, Gioia Persuitte, Wenjun Li, Hua Fang, Philip Merriam, Nicole Wedick, Ira Ockene, Annie Culver, Kristin Schneider, Gin-Fei Olendzki, James Carmody, Tingjian Ge, Zhiying Zhang, Sherry Pagoto

Barbara C. Olendzki

BACKGROUND: Few studies have compared diets to determine whether a program focused on 1 dietary change results in collateral effects on other untargeted healthy diet components. OBJECTIVE: To evaluate a diet focused on increased fiber consumption versus the multicomponent American Heart Association (AHA) dietary guidelines. DESIGN: Randomized, controlled trial from June 2009 to January 2014. (ClinicalTrials.gov: NCT00911885). SETTING: Worcester, Massachusetts. PARTICIPANTS: 240 adults with the metabolic syndrome. INTERVENTION: Participants engaged in individual and group sessions. MEASUREMENTS: Primary outcome was weight change at 12 months. RESULTS: At 12 months, mean change in weight was -2.1 kg (95% CI, -2 ...


Decrease In Glycemic Index Associated With Improved Glycemic Control Among Latinos With Type 2 Diabetes, Monica Wang, Lauren Gellar, Brian Nathanson, Lori Pbert, Yunsheng Ma, Ira Ockene, Milagros Rosal 2015 Boston University

Decrease In Glycemic Index Associated With Improved Glycemic Control Among Latinos With Type 2 Diabetes, Monica Wang, Lauren Gellar, Brian Nathanson, Lori Pbert, Yunsheng Ma, Ira Ockene, Milagros Rosal

Lori Pbert

BACKGROUND: Glycemic index and glycemic load are used to facilitate glucose control among adults with type 2 diabetes, with a low glycemic index diet associated with improved glycemic control. OBJECTIVE: To examine long-term longitudinal associations between changes in glycemic index and glycemic load with glycemic and metabolic control among Latino adults with diabetes. DESIGN: Secondary data from intervention and comparison participants in the Latinos en Control trial (2006 to 2008) were analyzed. PARTICIPANTS/SETTING: Data on dietary intake and metabolic characteristics were from low-income, Latino adults (N = 238; 87.7% Puerto Rican) with type 2 diabetes. INTERVENTION: The Latinos en ...


Access To Healthy Food Stores Modifies Effect Of A Dietary Intervention, Nicole Wedick, Yunsheng Ma, Barbara Olendzki, Elizabeth Procter-Gray, Jie Cheng, Kevin Kane, Ira Ockene, Sherry Pagoto, Thomas Land, Wenjun Li 2015 University of Massachusetts Medical School

Access To Healthy Food Stores Modifies Effect Of A Dietary Intervention, Nicole Wedick, Yunsheng Ma, Barbara Olendzki, Elizabeth Procter-Gray, Jie Cheng, Kevin Kane, Ira Ockene, Sherry Pagoto, Thomas Land, Wenjun Li

Wenjun Li

BACKGROUND: Recent evidence suggests that opening a grocery store in a food desert does not translate to better diet quality among community residents. PURPOSE: This study evaluated the influence of proximity to a healthy food store on the effect of a dietary behavioral intervention on diet among obese adults randomized to either a high fiber or American Heart Association diet intervention. METHODS: Participants were recruited from Worcester County, Massachusetts, between June 2009 and January 2012. Dietary data were collected via 24-hour recalls at baseline and 3, 6, and 12 months post-intervention. Based on in-store inspection data, a store was considered ...


Single-Component Versus Multicomponent Dietary Goals For The Metabolic Syndrome: A Randomized Trial, Yunsheng Ma, Barbara Olendzki, Jinsong Wang, Gioia Persuitte, Wenjun Li, Hua Fang, Philip Merriam, Nicole Wedick, Ira Ockene, Annie Culver, Kristin Schneider, Gin-Fei Olendzki, James Carmody, Tingjian Ge, Zhiying Zhang, Sherry Pagoto 2015 University of Massachusetts Medical School

Single-Component Versus Multicomponent Dietary Goals For The Metabolic Syndrome: A Randomized Trial, Yunsheng Ma, Barbara Olendzki, Jinsong Wang, Gioia Persuitte, Wenjun Li, Hua Fang, Philip Merriam, Nicole Wedick, Ira Ockene, Annie Culver, Kristin Schneider, Gin-Fei Olendzki, James Carmody, Tingjian Ge, Zhiying Zhang, Sherry Pagoto

Wenjun Li

BACKGROUND: Few studies have compared diets to determine whether a program focused on 1 dietary change results in collateral effects on other untargeted healthy diet components. OBJECTIVE: To evaluate a diet focused on increased fiber consumption versus the multicomponent American Heart Association (AHA) dietary guidelines. DESIGN: Randomized, controlled trial from June 2009 to January 2014. (ClinicalTrials.gov: NCT00911885). SETTING: Worcester, Massachusetts. PARTICIPANTS: 240 adults with the metabolic syndrome. INTERVENTION: Participants engaged in individual and group sessions. MEASUREMENTS: Primary outcome was weight change at 12 months. RESULTS: At 12 months, mean change in weight was -2.1 kg (95% CI, -2 ...


Single-Component Versus Multicomponent Dietary Goals For The Metabolic Syndrome: A Randomized Trial, Yunsheng Ma, Barbara Olendzki, Jinsong Wang, Gioia Persuitte, Wenjun Li, Hua Fang, Philip Merriam, Nicole Wedick, Ira Ockene, Annie Culver, Kristin Schneider, Gin-Fei Olendzki, James Carmody, Tingjian Ge, Zhiying Zhang, Sherry Pagoto 2015 University of Massachusetts Medical School

Single-Component Versus Multicomponent Dietary Goals For The Metabolic Syndrome: A Randomized Trial, Yunsheng Ma, Barbara Olendzki, Jinsong Wang, Gioia Persuitte, Wenjun Li, Hua Fang, Philip Merriam, Nicole Wedick, Ira Ockene, Annie Culver, Kristin Schneider, Gin-Fei Olendzki, James Carmody, Tingjian Ge, Zhiying Zhang, Sherry Pagoto

Hua Julia Fang

BACKGROUND: Few studies have compared diets to determine whether a program focused on 1 dietary change results in collateral effects on other untargeted healthy diet components. OBJECTIVE: To evaluate a diet focused on increased fiber consumption versus the multicomponent American Heart Association (AHA) dietary guidelines. DESIGN: Randomized, controlled trial from June 2009 to January 2014. (ClinicalTrials.gov: NCT00911885). SETTING: Worcester, Massachusetts. PARTICIPANTS: 240 adults with the metabolic syndrome. INTERVENTION: Participants engaged in individual and group sessions. MEASUREMENTS: Primary outcome was weight change at 12 months. RESULTS: At 12 months, mean change in weight was -2.1 kg (95% CI, -2 ...


Can We Early Diagnose Metabolic Syndrome Using Brachial-Ankle Pulse Wave Velocity In Community Population, Xin Li, Liang Zheng, Juanli Wu, Yunsheng Ma, Munakata Masanori, Jessica Oleski, Lijuan Zhang, Da Wo, Jingsong Wang, Qiaoyu Jiang, Liling Zou, Xuebo Liu, Jue Li 2015 Tongji University

Can We Early Diagnose Metabolic Syndrome Using Brachial-Ankle Pulse Wave Velocity In Community Population, Xin Li, Liang Zheng, Juanli Wu, Yunsheng Ma, Munakata Masanori, Jessica Oleski, Lijuan Zhang, Da Wo, Jingsong Wang, Qiaoyu Jiang, Liling Zou, Xuebo Liu, Jue Li

Yunsheng Ma

BACKGROUND: The prevalence of metabolic syndrome (MetS) increased recently and there was still not a screening index to predict MetS. The aim of this study was to estimate whether brachial-ankle pulse wave velocity (baPWV), a novel marker for systemic arterial stiffness, could predict MetS in Chinese community population. METHODS: A total of 2 191 participants were recruited and underwent medical examination including 1 455 men and 756 women from June 2011 to January 2012. MetS was diagnosed according to the criteria of the International Diabetes Federation (IDF). Multiple Logistic regressions were conducted to explore the risk factors of MetS. Receiver ...


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