Digital Commons Network^™

A Multi-Stage Process To Develop Quality Indicators For Community-Based Palliative Care Using Interrai Data, Dawn M. Guthrie, Nicole Williams, Cheryl Beach, Emma Buzath, Joachim Cohen, Anna Declercq, Kathryn Fisher, Brant E. Fries, Donna Goodridge, Kirsten Hermans, John P. Hirdes, Hsien Seow, Maria Silveira, Aynharan Sinnarajah, Susan Stevens, Peter Tanuseputro, Deanne Taylor, Christina Vadeboncoeur, Tracy Lyn Wityk Martin

Health Sciences Faculty Publications

Background: Individuals receiving palliative care (PC) are generally thought to prefer to receive care and die in their homes, yet little research has assessed the quality of home- and community-based PC. This project developed a set of valid and reliable quality indicators (QIs) that can be generated using data that are already gathered with interRAI assessments-an internationally validated set of tools commonly used in North America for home care clients. The QIs can serve as decision-support measures to assist providers and decision makers in delivering optimal care to individuals and their families.

Methods: The development efforts took part in multiple …

Association Between Non-Tea Flavonoid Intake And Risk Of Type 2 Diabetes: The Australian Diabetes, Obesity And Lifestyle Study, Mary D. Adu, Catherine P. Bondonno, Benjamin H. Parmenter, Marc Sim, Raymond J. Davey, Kevin Murray, Simone Radavelli Bagatini, Dianna J. Magliano, Robin M. Daly, Jonathan E. Shaw, Joshua R. Lewis, Jonathan M. Hodgson, Nicola P. Bondonno

Research outputs 2022 to 2026

Studies examining the association between flavonoid intake and measures of insulin resistance and β-cell dysfunction, as markers of type 2 diabetes (T2DM) across the adult lifespan, may provide insights into how flavonoids influence T2DM risk. This study examined the cross-sectional associations between flavonoid intakes, from dietary sources other than tea, and biomarkers of glucose tolerance and insulin sensitivity in adults aged 25 years and older participating in the Australian diabetes, obesity and lifestyle (AusDiab) study. Additionally, longitudinal associations between non-tea flavonoid intakes and incident T2DM over 12 years were explored. Eligible participants (n = 7675) had no previous history of …

Preventing Occupational Imbalance With Seniors Living In The Community During The Covid-19 Pandemic, Carrieanne Allegri

MOT Student Capstones

When COVID-19 shut down the world in March of 2020, nobody knew what to expect. What we discovered was seniors no longer had the opportunities to engage in social events, attend classes, or participate in the community. Understanding that engagement in leisure and social activities are important in preventing depression and isolation amongst seniors, finding alternative activities via virtual delivery and socially distanced were identified as a need. 3 An in-service was provided to senior citizens at a community center to address areas identified as a need by community center staff and members. The main objective of the in-service included …

Regulatory Aspects Of Mild Cognitive Impairment: Toward A Harmonized Perspective, Peter J. Whitehouse

Faculty Scholarship

The development of the concept of mild cognitive impairment (MCI) and its practical application have been intimately tied to attempts to produce therapeutic agents. Understanding the regulatory environment and determining the way in which it can be influenced are critical to the development of drugs and their eventual approval. In this article, we review some of the current challenges surrounding the concept of MCI relevant to drug development, summarize activities in various regions of the world, and conclude with some suggested next steps and an alternative framing for approving drugs for MCI and related conditions.

2022-2023 Summer Bulletin, University Of Mississippi Medical Center

Bulletins/Catalogs

2022-2023 Summer Bulletin

Kebijakan Pemenuhan Kebutuhan Dasar Lansia Dan Optimum Aging: Kajian Literatur, Dini Widinarsih, Departemen Ilmu Kesejahteraan Sosial, Universitas Indonesia

Jurnal Ilmu Kesejahteraan Sosial

Elderly (elderly) is someone who has reached the age of 60 years and over. The United Nations Department of Economic and Social Affairs (UNDESA, 2015) projects that the number of people aged 60 years and over will reach 2 billion by 2050, and will continue to increase to more than three times by 2100. The increasing number of elderly population makes the elderly one of the It is important to pay attention to groups so that they do not become an economic and social burden. Therefore, it is necessary to utilize the potential of the elderly and seek forms of …

Community Isolation Project, Natalie M. Danhof, Lydia Santucci, Abigail Dempsey, Nathaniel Navarro, Ivy Mills, Samantha Thompson

Nursing Leadership in Community Engagement Projects

Introduction

The authors of this summary are nursing students at Seattle Pacific University, and the project goal is focused on understanding feelings of isolation in elderly communities and whether fostering social activities, such as Bingo, would improve social interaction between residents in this community.

For the past two years, the COVID-19 pandemic has altered various aspects of social interaction. From masking to social distancing, societal norms and expectations evolved in a manner that promoted isolation and minimal interaction to inhibit the spread of Covid infection between individuals. Of the general populace, the most vulnerable and at risk for infection are …

Financial Technology In Conditional Cash Transfer Dengan Menggunakan Systematic Mapping Study, Genta Rizkiansyah

Jurnal Ilmu Kesejahteraan Sosial

This article is an initial study that seeks to explore the results of previous studies in the field of Financial Technology in the Conditional Cash Transfer Program using the Systematic Mapping Study (SMS). The purpose of this study is to determine the topic of Financial Technology in the Conditional Cash Transfer Program that has been studied. This study uses a qualitative method by using a literature study. The search was carried out in the Scopus database of 583 articles and after mapping, we found 25 articles with the publication year 2008-2020 that were published in scientific journals and entered the …

Evaluasi Program Asistensi Sosial Penyandang Disabilitas Berat, Djulaiha Sukmana, Mahasiswa Program Megister Ilmu Kesejahteraan Sosial, Fisip Universitas Padjajaran

Jurnal Ilmu Kesejahteraan Sosial

This study aims to determine the extent of the implementation of the Social Assistance Program for Persons with Disabilities (ASPD) and the impact on the fulfillment of basic needs. Individuals with severe disabilities cannot be rehabilitated and are unable to carry out daily activities such as eating, drinking, and bathing, therefore need the help of others. They are unable and do not have a steady source of income either from themselves or from others to meet basic needs. Families are their life foundation because they are unable to access key services such as health care programs and food distribution, due …

Menakar Arah Kebijakan Kesejahteraan Sosial Melalui Program Asistensi Rehabilitasi Sosial (Atensi) Bidang Lanjut Usia, Puspitasari Nurul Darojati Prayoga, Universitas Binawan Jakarta

Jurnal Ilmu Kesejahteraan Sosial

The elderly is the final stage in the human life cycle which is marked by a decrease in functional capability and balance of physiological functions. Problems experienced by the elderly in general are decreased cognitive function, decreased functional ability, namely self-care and instrumental dependence, disability, violence, depression, dementia, self-concept disorders, loneliness, poverty, and neglect. In addition, other problems experienced by the elderly are acts of violence, exploitation, and legal problems. The range of 2020-2021 is the starting point for the development of social welfare policies, especially social rehabilitation programs for the elderly, which is a national priority with a target …

Improving Use Of The Stop And Watch Tool (Interact) To Decrease Rehospitalization Of Nursing Home Residents, Sebrena Chapman-Fitzsimmons

Graduate Theses, Dissertations, and Capstones

The purpose of this clinical quality improvement project was to determine if using the Stop and Watch tool (a tool used to identify change in resident condition) would improve communication between stakeholders and nurses, resulting in fewer re-hospitalizations. The evidence-based literature behind the problem of re-hospitalization shows that improving communication among stakeholders can positively affect long term care residents’ quality of life and decrease events that could result in re-hospitalizations.

The design for this study includes process development on the use of the Stop and Watch tool (a communication component of the Intervention to Reduce Acute Care Transfers tool [INTERACT …

Providing Culturally Competent Eldercare For Asian Americans, Britney Ngo

Honors Theses

As the Asian American elderly population continues to grow, it is important to acknowledge cultural factors that may impact their behavior, attitudes, preferences, and decisions in the context of eldercare. Cultural competency acknowledges and considers these factors while providing care that includes biophysical factors of healthcare as well as non-medical dimensions of care such as language and culture.

This thesis seeks to address the applications of providing culturally competent eldercare to Asian Americans and offer future recommendations to care settings that have limited resources by utilizing a multidisciplinary review of literature accompanied by interviews with representatives from On Lok, a …

The Role Of Palmitoleic Acid In Regulating Hepatic Gluconeogenesis Through Sirt3 In Obese Mice, Xin Guo, Xiaofan Jiang, Keyun Chen, Qijian Liang, Shixiu Zhang, Juan Zheng, Xiaomin Ma, Hongmei Jiang, Hao Wu, Qiang Tong

Faculty, Staff and Students Publications

Hepatic gluconeogenesis is a crucial process to maintain glucose level during starvation. However, unabated glucose production in diabetic patients is a major contributor to hyperglycemia. Palmitoleic acid is a monounsaturated fatty acid (16:1n7) that is available from dietary sources. Palmitoleic acid exhibits health beneficial effects on diabetes, insulin resistance, inflammation, and metabolic syndrome. However, the mechanism by which palmitoleate reduces blood glucose is still unclear. SIRT3 is a key metabolism-regulating NAD+-dependent protein deacetylase. It is known that fasting elevates the expression of SIRT3 in the liver and it regulates many aspects of liver’s response to nutrient deprivation, such as fatty …

Midlife Vascular Factors And Prevalence Of Mild Cognitive Impairment In Late-Life In Mexico, Miguel Arce Renteria, Jennifer J. Manly, Jet M. J. Vonk, Silvia Mejia-Arango, Alejandra Michaels Obregon, Rafael Samper-Ternent, Rebeca Wong, Sandra Barral, Giuseppe Tosto

School of Medicine Publications

Objective: To estimate the prevalence of mild cognitive impairment (MCI) and its subtypes and investigate the impact of midlife cardiovascular risk factors on late-life MCI among the aging Mexican population.

Method: Analyses included a sample of non-demented adults over the age of 55 living in both urban and rural areas of Mexico (N = 1807). MCI diagnosis was assigned based on a comprehensive cognitive assessment assessing the domains of memory, executive functioning, language, and visuospatial ability. The normative sample was selected by means of the robust norms approach. Cognitive impairment was defined by a 1.5-SD cut-off per cognitive domain using …

Prediction Model Of 30-Days Postoperative Pneumonia In Elderly Patient Undergoing Abdominal Surgery, Noto Dwimartutie, Harini Oktadiana, Gurmeet Singh, Wifanto Saditya Jeo, Kuntjoro Harimurti

Jurnal Penyakit Dalam Indonesia

Introduction. Physiologic changes in respiratory tract in elderly increase incidence of post-operative pneumonia. Post-operative pneumonia in non-thoracic surgery was found higher in abdominal surgery. This study aimed to develop a prediction model of 30-day post-operative pneumonia in elderly patients undergoing abdominal surgery.

Methods. A retrospective cohort study was conducted using elderly patient’s medical records who underwent abdominal surgery in Cipto Mangunkusumo General Hospital. Multivariate analysis using logistic regression was used to determine Odds Ratio (OR). Model’s calibration performance was determined by Hosmer-Lameshow test and its discrimination performance was determined by calculating area under the curve (AUC).

Results. Of …

Microgreens Grow Kit: A Novel Pilot Study To Improve Nutrition Awareness, Ben Haslund-Gourley, Chris Para, Swaksha Rachuri, Sascha Enders, Rayna Marshall, Vibhuti Mishra, Simone Udeh, Jessica Nwabeke, Annette Gadegbeku

Transformative Medicine

Obesity and associated non-communicable illnesses including coronary heart disease, type 2 diabetes, and stroke have steadily increased in prevalence over the last decade. Previous studies identified the involvement of individual, family, and community support intervention strategies used to prevent and manage obesity. Additionally, education on nutrition from the early stages of development is crucial for obesity prevention and control. Therefore, new preventative methods are needed to further engage and educate individuals and communities about health-conscious diets. Microgreen cultivation utilizes a reduced cost, low-footprint, recyclable, weather-independent, and transportable method to provide less nutrition-privileged communities with exposure to healthy foods within one …

Changes In The Body Posture Of Elder Women Under The Influence Of Various Nordic Walking Training Programs, Monika Wiech, Krzysztof Prusik, Zbigniew Ossowski, Jakub Kortas

Baltic Journal of Health and Physical Activity

Background:‪One of the effects of involution is the change in the body posture. Muscles lose their flexibility and strength, causing the typical changes in body posture of the elderly. Hyperkyphosis is a typical feature of the posture, which leads to serious health problems. The aim of the study was to analyse changes in the body posture of elderly women who took part in diversified Nordic walking training.Material and methods:‪The study group comprised 90 elderly women divided into two experimental groups and control. The main method was an experiment. The tested women took part in a 6-month Nordic walking training cycle. …

Alzheimer's And Patient Caregiver Burnout: A Review Of The Literature, Madeline Hekeler

James Madison Undergraduate Research Journal (JMURJ)

The term “silent epidemic” is fitting for Alzheimer’s disease (AD), as its negative impact is widely felt but rarely discussed. Burnout among AD caregivers has become an epidemic of its own as caregivers experience an increase in health risks, stress, and financial burden. This literature review focuses on caregiver burnout and how imperative it is that caregivers are better supported in their role. Researchers have developed instruments to assess and intervene in caregiver burnout that have shown effectiveness among caregivers and their families.Nevertheless, further longitudinal research is warranted regarding more effective interventions, including stress management and social support mechanisms.

Opinions Of The Students Of The University Of The Third Age On Selected Health Behaviors And Social Support – A Comparative Analysis, Ewa Kupcewicz, Malgorzata Kusmierczyk, Barbara Wilk, Monika Opanowska, Marcin Pasek

Baltic Journal of Health and Physical Activity

Background: In the reflection on old age, the issue of activating the elderly and incorporating them into social life in order to counteract social exclusion and all forms of discrimination is clearly marked. The study aimed at getting to know the opinions of the students of the University of the Third Age on preferred health behaviors and social support. Material and methods. The study group involved 130 students of the University of the Third Age. The vast majority were women (90%, n=117), and the mean age was 65.4±5.9 years. The study used a questionnaire containing questions about sociodemographic data, selected …

Perceptive Ability Of Female Students Of The University Of The Third Age And Its Links With Physical Fitness And Mood, Joanna Piotrowska, Monika Guszkowska, Ewa Kozdron, Ewa Niedzielska, Anna Les, Bartlomiej Krynicki

Baltic Journal of Health and Physical Activity

Background: The aim of the study was to determine the speed and failures of perception and attention among female students of the University of the Third Age (U3A) and their links with physical fitness and mood. Material/Methods: The study involved 114 women aged between 50 and 88 years old (M = 68.17) participating in U3A lectures at the University of Physical Education in Warsaw. Perception ability was investigated using Ciechanowicz and Stańczak’s Attention and Perception Test. Physical fitness was assessed with the Fullerton Fitness Test and the Romberg manoeuvre to evaluate the ability to maintain balance. The participants were also …

The Role Of Physical Activity In Supporting Treatment Of Coxarthrosis Symptoms In Elderly Patients, Malgorzata Kawa, Malgorzata Kowza-Dzwonkowska, Agnieszka Schenk

Baltic Journal of Health and Physical Activity

Background: Next to degenerative changes of the spine, osteoarthritis of the hip is one of the most common diseases of the musculoskeletal system in people after the age of 65. The purpose of this study is to compare and evaluate the analgesic effectiveness treatments with exercises on a bicycle ergometer in osteoarthritis of the hip in patients. Material/Methods: The study involved 30 persons with degenerative disease of the hip referred to 10-day rehabilitation with a weekend break. In Group A 14 patients were subjected to treatments with local cryotherapy and laser therapy; in Group B 16 this treatment together exercises …

The Quality Of Life Profile Among Students Of The University Of The Third Age, Ewa Kupcewicz, Malgorzata Kusmierczyk, Barbara Wilk, Agnieszka Zajaczkowska, Aleksandra Zakrzewska

Baltic Journal of Health and Physical Activity

Background: The quality of life is determined by numerous factors, among others, social, biological and psychological ones, whereas satisfaction with life and good self-esteem related to health are one of its main measures. The purpose of the paper was to determine the quality of life of the Third Age University students. Material/Methods: The study group involved 130 students of the University of the Third Age in Kętrzyn and Szczytno. The vast majority were women (90.00%; n = 117), and their mean age was 65.4 ±5.9 years. The study used the author's questionnaire containing questions about socio-demographic data and the WHOQoL-BREF …

Hiv-Related Stigma, Sexual Identity, And Depressive Symptoms Among Msm Living With Hiv: A Moderated Mediation Modeling Analysis, Tianyue Mi, Guanghua Lan, Xueying Yang Ph.D., Xiaoming Li Ph.D., Shan Qiao Ph.D., Zhiyong Shen, Yuejiao Zhou

Faculty Publications

Depression is one of the biggest health issues among men who have sex with men (MSM) living with HIV, where sexual identity might play an intricate role. Yet, findings of the relationship between sexual identity and depression were mixed and few studies explored its underlying mechanisms. This study aimed to examine the association between sexual identity and depression, and the potential mediating role of HIV-related stigma and moderating role of age. A cross-sectional survey was conducted among 203 MSM living with HIV in Guangxi, China. Participants provided information on sexual identity, depression, HIV-related stigma, and background information. Descriptive statistics, bivariate …

The Association Between Alzheimer's Disease-Related Markers And Physical Activity In Cognitively Normal Older Adults, Steve Pedrini, Pratishtha Chatterjee, Akinori Nakamura, Michelle Tegg, Eugene Hone, Stephanie R. Rainey-Smith, Christopher C. Rowe, Vincent Dore, Victor L. Villemagne, David Ames, Naoki Kaneko, Samantha L. Gardener, Kevin Taddei, Binosha Fernando, Ian Martins, Prashant Bharadwaj, Hamid R. Sohrabi, Colin L. Masters, Belinda Brown, Ralph N. Martins, Aibl Research Group

Research outputs 2022 to 2026

Previous studies have indicated that physical activity may be beneficial in reducing the risk for Alzheimer's disease (AD), although the underlying mechanisms are not fully understood. The goal of this study was to evaluate the relationship between habitual physical activity levels and brain amyloid deposition and AD-related blood biomarkers (i.e., measured using a novel high-performance mass spectrometry-based assay), in apolipoprotein E (APOE) ε4 carriers and noncarriers. We evaluated 143 cognitively normal older adults, all of whom had brain amyloid deposition assessed using positron emission tomography and had their physical activity levels measured using the International Physical Activity Questionnaire (IPAQ). We …

Physical Activity As A Pro-Health Behaviour In The Opinion Of Adult Women, Maria Lipko, Anna Darmas

Baltic Journal of Health and Physical Activity

Background: This study aims at determining opinion of participants of strengthening and relaxation classes on health determinants and their influence on adoption of particular forms of physical activity. Material/Methods: Participants of the study were 113 women aged 40 to 55, among whom 70 participated in such strengthening and relaxation courses as yoga, Pilates and Tai Chi and 43 women were inactive (control group). A survey prepared by the authors of this paper was used. Results: According to the participants, the most crucial factors influencing health are proper nutrition, adoption of physical activity and keeping proper body weight. Active women are …

Influence Of Nordic Walking Training On Static And Dynamic Body Balance Among The Elderly, Zbigniew Ossowski, Marek Wawryniuk, Vida Janina Česnaitienė

Baltic Journal of Health and Physical Activity

Background: Regression of body balance function is one of the main risk factors in falls among the elderly. The aim of this article was to evaluate changes in static and dynamic body balance levels among people over 65 years under the influence of Nordic Walking training. Material/Methods: The research was conducted with participation of 21 people over 65 years old. The training lasted throughout a period of 6 months. Frequency of exercises was twice a week. Evaluation was conducted using 8-Foot Up-and-Go from the Senior Fitness Test and a single leg balance test from the EUROFIT test for adults. Results: …

Evidence-Based Best Practice For Discharge Planning: A Policy Review, Marissa Lewis

Student Scholarly Projects

Ineffective discharge planning produces poor patient healthcare outcomes, potential adverse events, and medical errors. A primary deterrent to successful discharge planning is communication, either within the interdisciplinary team or during handoff to the receiving transition of care facilities of home health, skilled nursing, or acute rehabilitation.

The purpose of the evaluation project was to determine if current policies, communication tools, and workflows of three healthcare organizations were based on evidence and make recommendations for policy revisions. The Johns Hopkins Evidence-Based Practice for Nurses and Healthcare Professionals Model (JHNEBP) was used with the Centers for Disease Control (CDC) Policy Process (POLARIS) …

Evaluation Of Analgesic Effectiveness Of Infrared Radiation And Interference Currents In Degenerative Diseases, Malgorzata Kawa, Ewa Muszynska, Malgorzata Kowza-Dzwonkowska

Baltic Journal of Health and Physical Activity

No abstract provided.

Motivations And Effects Of Practicing Nordic Walking By Elderly People, Andrzej Knapik, Edward Saulicz, Andrzej Mysliwiec, Mariola Saulicz, Aneta Warmuz-Wancisiewicz

Baltic Journal of Health and Physical Activity

Background: As a result of numerous advantages of Nordic Walking such as the movement simplicity, its affordability and availability for people of various ages and with different levels of fitness, this relatively young physical activity has been developing remarkably for several years. It has the potential of increasing physical activity among elderly people. Defining to what extent practicing Nordic Walking (NW) influences the general level of physical activity and the quality of life of elderly people. Material/Methods: 161 people were examined (93 women and 68 men) at the age of 60 or above. In this group 48 practised NW: 33 …

Influence Of Strength, Endurance And Concurrent Training On The Lipid Profile And Blood Testosterone And Cortisol Response In Young Male Wrestlers, Seyed Javad Mirghani, Hamid Agha Alinejad, Mohammad Ali Azarbayjani, Ahmad Mazidi, Seyed Ali Mirghani

Baltic Journal of Health and Physical Activity

Background: There is little information regarding the effects of concurrent training (endurance and resistance training) on the fat profile, blood testosterone and cortisol response. The aim of the study was to investigate the effect of eight weeks of concurrent training on the fat profile, blood testosterone and cortisol response in young male wrestlers. Material/Methods: Twenty-four young male wrestlers voluntarily participated and were randomly assigned to three groups, namely: endurance training (ET, N=8), strength training (ST, N=8) and concurrent training (CT, N=8). The groups did their training programs three sessions per week. Results: The findings of this study showed that high-density …