Digital Commons Network^™

Association Of Depression And Life Satisfaction With Low Resilience Among Married Women Of Karachi, Pakistan, Shireen Shehzad, Nida Zahid, Iqbal Azam Syed, Nargis Asad, Rozina Karmaliani Professor, Omrana Pasha

School of Nursing & Midwifery

Background:

The concept of resilience is very crucial in promoting positive psychological well-being. However, this construct was never looked among married women of Karachi, Pakistan. Therefore, this study aimed to assess the prevalence and the associated risk factors of resilience in Pakistan.

Methods:

It was a cross-sectional survey, using the Wagnild Resilience Scale (RS) to assess resilience, Beck Depression Inventory II (BDI-II) for measuring depression and Trait Wellbeing Inventory for determining Life Satisfaction. Systematic sampling was employed to enroll 636 participants of aged 20 to 40 years living in two urban squatter settlements of Karachi, Pakistan. Prevalence ratio was computed …

Spectrum Of Histopathological Findings In Postmenopausal Bleeding, Muhammad Usman Tariq, Romana Idress, Ahmed Raheem, Naila Kayani

Department of Pathology and Laboratory Medicine

Objective:To determine the frequencies of histopathological findings in endometrial and endocervical biopsy samples with clinical history of Postmenopausal Bleeding (PMB). Study Design:Descriptive cross-sectional study. Place and Duration of Study:Section of Histopathology, Department of Pathology and Laboratory Medicine, The Aga Khan University Hospital, Karachi, from February 2012 to January 2013. Methodology:Atotal of 157 consecutive endometrial and endocervical biopsy specimens with history of postmenopausal bleeding were included. After microscopic examination, frequencies of histological findings in different age groups were generated. Chi-square and independent sample t-tests were applied to see whether the difference was significant which was set at p < 0.05. Results:One hundred and twenty-one (77.1%) specimens showed benign pathologies while 36 (22.9%) were malignant. Endometrial polyp was seen in 67 (42.7%) cases followed by endometrial carcinomas in 25 (15.9%), endometrial hyperplasia in 21 (13.4%), cervical carcinoma in 12 (7.6%) and cervical polyps in 9 (5.7%) cases. Ahighly significant increase in the percentage of malignant and pre-malignant lesions was seen with increasing age group (p < 0.001). Mean age of patients with type-2 endometrial carcinoma was higher than type-1 endometrial carcinoma but statistical significance was not observed (70.2 ±6.5 vs. 61.8 ±9.1 years respectively, p=0.069). Conclusion:Although benign pathologies were more common in postmenopausal bleeding but the collective proportion of endometrial and cervical malignancies and pre-malignant conditions was quite high. Therefore, PMB should be urgently evaluated for cause and early commencement of treatment

Novel Loci Associated With Usual Sleep Duration: The Charge Consortium Genome-Wide Association Study, D. J. Gottlieb, K. Hek, T. H. Chen, N. F. Watson, G. Eiriksdottir, E. M. Byrne, M. Cornelis, S. C. Warby, S. Bandinelli, John Blangero

School of Medicine Publications

Usual sleep duration is a heritable trait correlated with psychiatric morbidity, cardiometabolic disease and mortality, although little is known about the genetic variants influencing this trait. A genome-wide association study (GWAS) of usual sleep duration was conducted using 18 population-based cohorts totaling 47 180 individuals of European ancestry. Genome-wide significant association was identified at two loci. The strongest is located on chromosome 2, in an intergenic region 35- to 80-kb upstream from the thyroid-specific transcription factor PAX8 (lowest P=1.1 × 10 -9). This finding was replicated in an African-American sample of 4771 individuals (lowest P=9.3 × 10 -4). The strongest …

The Role Of The Faith Community Nurse In Fostering Spirituality In Those With Alzheimer's Disease, Verna Carson Phd, Pmh/Cns-Bc

International Journal of Faith Community Nursing

Alzheimer ’s disease (AD) strips individuals of memories and abilities that have defined them as productive adults throughout their life. While the decline in memory is real and results in a ‘loss of self’ this does not equate to a ‘loss of soul.’ AD patients continue to have spiritual needs throughout their life as do the family, and/or caregivers. This article explores the spiritual needs and care of AD patients and families and the unique opportunity faith community nurses have to help the AD patient and their support system. The Reisberg Functional Assessment Staging System is used to explain the …

Ua61/3 Research Focus: Communication Sciences And Disorders Fall 2015, Jean Neils-Strunjas Department Head, Wku Communication Sciences & Disorders

Communication Sciences & Disorders Publications

No abstract provided.

What Job Can You Get Without A Diploma? Gender Discrimination Against Relapsed Ex-Sex Workers, Resna Anggria Putri, Johanna Debora Imelda

Jurnal Ilmu Kesejahteraan Sosial

This study aims at describing the subordination and marginalization of ex-commercial sex workers in Indramayu District. This qualitative research was conducted through in-depth interview and observation on 5 (five) interesting case studies whose data, then, was triangulated to ensure the valid-ity and reliability of the data. The results of the study showed that there were gender discrimination in the form of subordination and marginalization in education and employment which are applied at different periods, i.e.: before and after they worked as prostitutes. Hence, it is then caused them relapse working as prostitutes without any other opportunity to get more normative …

Health And Mental Health Of Older Asian Americans: A Comparative Study Of Chinese, Filipino, Asian Indian, And Other Asian/Pacific Islander Elders, Jing Tan

Institute for Asian American Studies Publications

Purpose: This study examined the health and mental health status among U.S. Chinese, Filipino, Asian Indian, other Asian/Pacific Islander (API), and non-Hispanic White older adults, using nationally representative data. Method: An aggregated data file from the National Health Interview Survey from 2000 to 2009 was analyzed. The sample included 848 Chinese, 823 Filipino, 337 Asian Indian, 1,488 “other API,” and 74,042 non-Hispanic White older adults aged 65 and older. Bivariate and multivariate analyses were used to compare the health and mental health status among different ethnic groups of older adults and to identify related factors. Findings: The descriptive statistics reveal …

Dinamika Program Penanggulangan Hiv Dan Aids Di Komunitas (Studi Kasus : Proses Persiapan Dan Implementasi Community Organizer Di Jakarta Utara), Edi Sugiarto, Sari Viciawati Machdum

Jurnal Ilmu Kesejahteraan Sosial

This research about community organizing heterogeneous in a geographic region on the issue of HIV and AIDS. The study was conducted for the prevention of HIV and AIDS has been made to key populations, individual and group (at the micro level). Research with qualitative approach and descriptive methods have found that it is not easy to organize geographic community with interven-tions on the mezzo level on the issue of HIV & AIDS with peculiarities in it. Community Organizer recruited not suitably qualified so the impact on their work. The role played not yet fully reflect the work processes at the …

Pemasaran Sosial Sebagai Upaya Meningkatkan Praktek Pemberian Asi Esklusif Bagi Ibu Hamil : (Studi Deskriptif Pada Pelaksanaan Program Kelompok Pendukung Ibu Kelurahan Rawa Buaya, Jakarta Barat), Amalia Reza Intani, Getar Hati

Jurnal Ilmu Kesejahteraan Sosial

This study aims to explain the social marketing of Mother Support Group Program in Rawa Buaya as the way to improve breast feeding practice for pregnant mothers and to describe the obstacle of the program. The qualitative data were collected by conducting in-depth interview and direct observation. Based on the result of this study, social marketing of Mother Support Group Program has done various social marketing steps and it is one of the way to achieve the change of pregnant mother’s behavior in order to implement breast feeding practice for the further life. This social marketing is implemented with education …

Collaborating With Businesses To Support And Sustain Research, Susan Diemert Moch, Debra A. Jansen, Rosemary A. Jadack, Phil Page, Richard Topp

College of Nursing Faculty Research and Publications

Financial assistance is necessary for sustaining research at universities. Business collaborations are a potential means for obtaining these funds. To secure funding, understanding the process for obtaining these business funds is important for nursing faculty members. Although faculty rarely request funding from businesses, they are often in a position to solicit financial support due to existing relationships with clinical agency administrators, staff, and community leaders. The economic support received from businesses provides outcomes in nursing research, research education, academic–service partnerships, and client health care. This article describes the steps and processes involved in successfully obtaining research funding from businesses. In …

The Role Of Place In Explaining Racial Heterogeneity In Cognitive Outcomes Among Older Adults, Sze Yan Liu, M Maria Glymou, Laura B. Zahodne, Christopher Weiss, Jennifer J. Manly

Department of Public Health Scholarship and Creative Works

Racially patterned disadvantage in Southern states, especially during the formative years of primary school, may contribute to enduring disparities in adult cognitive outcomes. Drawing on a lifecourse perspective, we examine whether state of school attendance affects cognitive outcomes in older adults and partially contributes to persistent racial disparities. Using data from older African American and white participants in the national Health and Retirement Study (HRS) and the New York based Washington Heights Inwood Cognitive Aging Project (WHICAP), we estimated age-and gender-adjusted multilevel models with random effects for states predicting years of education and cognitive outcomes (e.g., memory and vocabulary). We …

The Influence Of Age And Sex On Genetic Associations With Adult Body Size And Shape: A Large-Scale Genome-Wide Interaction Study, Thomas W. Winkler, Anne E. Justice, Mariaelisa Graff, Llilda Barata, Mary F. Feitosa, Su Chu, Jacek Czajkowski, Tõnu Esko, John Blangero

School of Medicine Publications

Genome-wide association studies (GWAS) have identified more than 100 genetic variants contributing to BMI, a measure of body size, or waist-to-hip ratio (adjusted for BMI, WHRadjBMI), a measure of body shape. Body size and shape change as people grow older and these changes differ substantially between men and women. To systematically screen for age- and/or sex-specific effects of genetic variants on BMI and WHRadjBMI, we performed meta-analyses of 114 studies (up to 320,485 individuals of European descent) with genome-wide chip and/or Metabochip data by the Genetic Investigation of Anthropometric Traits (GIANT) Consortium. Each study tested the association of up to …

Pelatihan Terapi Autis Metode Applied Behavior Analysis (Aba) (Studi Kasus Pada Proses Pelatihan Terapi Autis Di Lembaga Pemasyarakatan Kelas 1 Tangerang, Nofri Julimet, Sofyan Cholid

Jurnal Ilmu Kesejahteraan Sosial

Applied behavior analysis was a method of healing autistic that have not known by the Indonesian. Meanwhile, ABA was effective and efficient in reducing the behavior of disruptive which shown in autistic. Then, the benefit of ABA was taught in a systematic, structured, and measurable. This the-sis descrubed the training process of autism therapy that carried out in prison class 1 Tangerang, the instructor was inmates X. This research used qualitative approach by using depth-interview to the informants that consist of instructor, prison officers, and trainee. The is training including the three steps. Those were pre training, whils training, and …

Modal Sosial Yang Di Miliki Anggota Kelompok Kerja (Pokja) Perilaku Hidup Bersih Dan Sehat (Phbs) Dalam Upaya Penerapan Perilaku Hidup Bersih Dan Sehat : (Studi Deskriptif Di Sekolah Menengah Pertama Negeri 107 Jakarta), Annisa Sherliany, Wisni Bantarti

Jurnal Ilmu Kesejahteraan Sosial

The purpose of this research to describe the social capital that is owned by the working group members of PHBS of SMP Negeri 107 Jakarta in an effort to implement a clean and healthy living behavior. This research uses a qualitative approach and is a descriptive research through data collection techniques in-depth interviews, observation, and literature study. The results of this research shows that social capital is owned by members of the working group of PHBS of SMP Negeri 107 Jakarta can support its success in an effort to implement clean and healthy living behavior.

Resourcefulness In African American And Caucasian American Caregivers Of Persons With Dementia: Associations With Perceived Burden, Depression, Anxiety, Positive Cognitions, And Psychological Well-Being, Abir K. Bekhet

College of Nursing Faculty Research and Publications

Purpose

Providing care to persons with dementia can have negative effects on caregivers' physical and psychological well-being. This secondary analysis explored relationships among perceived burden, depression, anxiety, resourcefulness, and psychological well-being in 28 African American (AA) and 45 Caucasian American (CA) caregivers of persons with dementia.

Design and Methods

Descriptive, cross-sectional design was used to examine the hypothesized relationships in a sample of 73 caregivers.

Findings

CAs reported greater burden (t = −3.68, p < .001), more anxiety (t = −2.66, p < .01), depression (t = −2.21, p < .05), and hostility (t = −2.30, p < .05) than AAs. AAs reported higher scores than CAs on resourcefulness, positive cognitions, and psychological well-being.

Practice Implications

The study findings provided directions for the development of resourcefulness interventions …

Pengaruh Status Nutrisi Terhadap Kesintasan 30 Hari Pasien Geriatri Yang Dirawat Di Rumah Sakit, Nata Pratama Hardjo Lugito, Czeresna Heriawan Soejono, Edy Rizal Wahyudi, Esthika Dewiasty

Jurnal Penyakit Dalam Indonesia

Pendahuluan: Dengan meningkatnya jumlah populasi usia lanjut, masalah kesehatan yang dialami juga semakin banyak, salah satunya malnutrisi. Studi di luar negeri menunjukkan malnutrisi pada pasien geriatri yang dirawat di rumah sakit menurunkan kesintasan. Pasien usia lanjut di Indonesia mempunyai karakteristik yang berbeda dengan pasien usia lanjut di luar negeri. Di Indonesia belum ada studi tentang status nutrisi pasien usia lanjut yang dirawat di rumah sakit dan pengaruhnya terhadap kesintasan. Penelitian ini bertujuan mengetahui pengaruh status nutrisi terhadap kesintasan 30 hari pasien usia lanjut yang dirawat di ruang rawat akut geriatri dan ruang rawat penyakit dalam rumah sakit.

Metode: …

The Dna Structure And Sequence Preferences Of Wrn Underlie Its Function In Telomeric Recombination Events, Deanna N. Edwards, Amrita Machwe, Li Chen, Vilhelm A. Bohr, David K. Orren

Toxicology and Cancer Biology Faculty Publications

Telomeric abnormalities caused by loss of function of the RecQ helicase WRN are linked to the multiple premature ageing phenotypes that characterize Werner syndrome. Here we examine WRN's role in telomeric maintenance, by comparing its action on a variety of DNA structures without or with telomeric sequences. Our results show that WRN clearly prefers to act on strand invasion intermediates in a manner that favours strand invasion and exchange. Moreover, WRN unwinding of these recombination structures is further enhanced when the invading strand contains at least three G-rich single-stranded telomeric repeats. These selectivities are most pronounced at NaCl concentrations within …

Vitamin B12: Identification And Treatment Of Deficiencies, Max Mitchell, Donna S. Freeborn

Student Works

Vitamin B₁₂ is essential for the proper functioning of all cells. A deficiency can cause serious hematologic and neurologic damage. Groups at high risk for developing vitamin B₁₂ deficiency include the elderly, vegetarians, pregnant women, persons with pernicious anemia, and patients with a history of gastrointestinal (GI) surgery. The purpose of this article is to increase awareness of vitamin B₁₂ deficiency and discuss its pathophysiology, symptoms, diagnostic testing, and management

Medical Education Digest, Vol. 17 No. 5 (September-October 2015), Nova Southeastern University

Medical Education Digest

No abstract provided.

Mobility And Cognition In Seniors. Report From The 2008 Institute Of Aging (Cihr) Mobility And Cognition Workshop, Manuel Montero-Odasso, Louis Bherer, Stephanie Studenski, Karen Gopaul, Afua Oteng-Amoako, Sarah Woolmore-Goodwin, Paul Stoole, Jennie Wells, Timothy Doherty, Aleksandra A. Zecevic, David Galinsky, R. Jane Rylett, Jeffrey Jutai, Susan W. Muir-Hunter, Mark Speechley, Richard Camicioli

Physical Therapy Publications

Background

The annual Scientific Meeting of the Canadian Association on Gerontology was held on October 24 and 25, 2008 in London, Ontario. Prior to the annual meeting, mobility and cognition experts met on October 23, 2008 to engage in a pre-conference workshop.

Methods

Discussions during the workshop addressed novel areas of research and knowledge and research gaps pertaining to the interaction between mobility and cognition in seniors.

Results

Workshop presenters moved from the neuromuscular, biomechanics, and neurology of gait impairments, and falls through the role of cognition and mood on mobility regulation to the whole person in the environment. Research …

The Effects Of A Novel Therapeutic Intervention In Diabetic Peripheral Neuropathy Patients, Adel M. Alshahrani

Loma Linda University Electronic Theses, Dissertations & Projects

Diabetes mellitus (DM) is a common disorder affecting individuals in the United States and in the world. The prevalence of DM has increased noticeably over the last three decades with an estimated 380 million people currently diagnosed with this disease. DM is associated with numerous systemic complications that affect the retina, heart, brain, kidneys, and nerves. The most common complication of DM is diabetic peripheral neuropathy. Diabetic peripheral neuropathy causes reduced sensation, reflexes, proprioception, and strength in lower limbs that leads to balance problems. Various manual therapy techniques have not approached a pilot study for the efficacy of a manual …

The Lived Experience Of Aging: Listening To The Oldest-Old, Julia A. Pusztai

Loma Linda University Electronic Theses, Dissertations & Projects

Although embraced as desirable by most, living into very old age is largely unexplored as a distinct season of life, with increased, varied, and cumulative changes during a unique time of vulnerability and frailty. The purpose of this study was to listen to the oldest-old, and to explore their lived experience of growing old. This hermeneutic phenomenology study examines the experience of finding meaning and living with losses and gains in advanced old age. This study design included three separate interviews one month apart with participants over 85 years of age. Purposive sampling resulted in 13 participants, 5 being male …

Muscle Weakness During Aging: A Deficiency State Involving Declining Angiogenesis, Charles T. Ambrose

Microbiology, Immunology, and Molecular Genetics Faculty Publications

This essay begins by proposing that muscle weakness of old age from sarcopenia is due in large part to reduced capillary density in the muscles, as documented in 9 reports of aged persons and animals. Capillary density (CD) is determined by local levels of various angiogenic factors, which also decline in muscles with aging, as reported in 7 studies of old persons and animals. There are also numerous reports of reduced CD in the aged brain and other studies showing reduced CD in the kidney and heart of aged animals. Thus a waning angiogenesis throughout the body may be …

Depressive Symptoms Affect Working Memory In Healthy Older Adult Hispanics, Mauricio Garnier-Villarreal, Monica Salazar-Villanea, Edward Liebmann, Esteban Montenegro-Montenegro, David K. Johnson

College of Nursing Faculty Research and Publications

Objectives: Low and middle income nations will experience an unprecedented growth of the elderly population and subsequent increase in age-related neurological disorders. Worldwide prevalence and incidence of all-types of neurological disorders with serious mental health complications will increase with life expectancy across the globe. One in ten individuals over 75 has at least moderate cognitive impairment. Prevalence of cognitive impairment doubles every 5 years thereafter. Latin America’s population of older adult’s 65 years and older is growing rapidly, yet little is known about cognitive aging among healthy older Latinos. Clinically significant depressive symptomatology is common among community-dwelling older adults and …

Insights Into Alzheimer’S Disease: The Levels Of Signaling Proteins In Brain Of Control Subjects Versus Brain From Subjects With Mild Cognitive Impairment, Georgianne F. Tiu

Kaleidoscope

The purpose of this study was to measure the expression levels of key signaling proteins in brain tissue from subjects with mild cognitive impairment (MCI) compared to control subjects. MCI is considered to be the beginning phase of Alzheimer’s disease (AD). Tumor necrosis factor alpha (TNF-α), nuclear factor kappa beta (NF-κβ), phospho Bad (pBad), and ubiquitin C-terminal hydrolase-L1 (UCH-L1) are four of the proteins that were investigated. Trends of either decreases or increases in protein expression levels in MCI vs. control brain were investigated. Western blot analysis was used in order to identify these trends. These signaling protein levels are …

Use Of Smartphones To Capture Measures Of Functional Status In Frail And Non-Frail Community Dwelling Older Adults, Cassia R. Hanton

Theses & Dissertations

Numerous important health outcomes directly relate to one's ability to maintain normal gait speed. The purpose of this study is to employ ubiquitous smartphone technology, using algorithms developed and validated by our lab in a controlled setting, to continuously and noninvasively measure aspects of subject health status, including step counts, gait speed, and activity level, in a naturalistic community setting. A total of 33 ambulatory, independently dwelling older adults were recruited from Nebraska Medicine, including 22 healthy control and 11 frail individuals. Clinical performance measurements of frailty (4MW, TUG, F8W) and validated survey responses (LLFDI, SAFFE, PROMIS) were compared to …

Ethical Documentation At The End Of Life, James T. Pathoulas

Lindmark Fellowship in Ethics

Patient autonomy is a basic tenet of ethical decision making in medicine. Individuals who are unable to participate in decision making at the end of life present a unique challenge to delivering ethical patient-­centered care. To ensure patient autonomy is upheld, providers are encouraged to use healthcare directives to guide clinical decision-­making. Healthcare directives are designed to uphold patient autonomy by indicating the desired scope of care at the end of life. While a particular type of healthcare directive, the advance care directive, is widely accepted, there are two common issues concerning its use: interpretation and accessibility. Issues with advance …

Co-Construction Of Personal Narratives In Supporting Identity And Communication In Adults With Aphasia: The ‘My Story’ Project, Katie A. Strong

Dissertations

Stroke and subsequent aphasia can impact a person’s identity negatively, interfering with quality of life. Co-constructing personal narratives about stroke and other aspects of a person’s life is a promising intervention for addressing identity issues. This series of three dissertation studies explored key aspects related to identity, personal narratives, and the perceived impact of telling one’s story.

Study 1 involved a survey examining whether speech-language pathologists view themselves as having a role in supporting the reconstruction of self-identity in adults with aphasia through the use of personal narratives. Results revealed that, whereas the majority of respondents viewed themselves as having …

2015-2016 Fall Bulletin, University Of Mississippi Medical Center

Bulletins/Catalogs

2015-2016 Fall Bulletin

Sex Differences In Arm Muscle Fatigability With Cognitive Demand In Older Adults, Hugo M. Pereira, Vincent C. Spears, Bonnie Schlinder-Delap, Tejin Yoon, April L. Harkins, Kristy A. Nielson, Marie K. Hoeger Bement, Sandra K. Hunter

Physical Therapy Faculty Research and Publications

Background

Muscle fatigability can increase when a stressful, cognitively demanding task is imposed during a low-force fatiguing contraction with the arm muscles, especially in women. Whether this occurs among older adults (> 60 years) is currently unknown.

Questions/purposes

We aimed to determine if higher cognitive demands, stratified by sex, increased fatigability in older adults (> 60 years). Secondarily, we assessed if varying cognitive demand resulted in decreased steadiness and was explained by anxiety or cortisol levels.

Methods

Seventeen older women (70 ± 6 years) and 13 older men (71 ± 5 years) performed a sustained, isometric, fatiguing contraction at 20% …