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Perubahan Iklim Dan Dampaknya Terhadap Sistem Perlindungan Anak Pada Masyarakat Tradisional Di Kupang (Nusa Tenggara Timur) Dan Palu (Sulawesi Tengah), Sofyan Cholid, Santy Yanuar Pranawati, Restri Rahmawati

Jurnal Ilmu Kesejahteraan Sosial

The Facts about climate change and its impact on the ecosystem across the world has been taking greater attention from scholar, government, scientist, activist, as well as civil community. Based on IPCC report 2007, sea level rise and human development contributed to the lost of coastal wetland and mangroves as well as flooding in coastal areas. This research focused on describing the climate change impacts on children well-being in the society who strongly depend on natural resources, and what kind of the adaptation process and the changing occurred in child protection framework. The methods used include time line, tree problem, …

Peran Kelompok Rentan Dalam Penanggulangan Bencana Dan Pengurangan Resiko Bencana Di Desa Tangguh Bencana (Studi Deskriptif Satuan Tugas Desa Tangguh Bencana Di Desa Gunung Geulis, Kecamatan Sukaraja, Kabupaten Bogor, Syadza Alifa, Arif Wibowo

Jurnal Ilmu Kesejahteraan Sosial

This research discusses about the role of vulnerable groups who are being Task Force in disaster management and disaster risk reduction efforts in Gunung Geulis Village, Bogor Region. This study examine the process of formation of the Task Force, the role of vulnerable groups into the Task Force, and the supporting factors and inhibiting factors of the vulnerable groups into the Task Force. This study is a descriptive study with qualitative methods. The methods used are observation, in-depth interviews, and the study of literature. The end results show that the involvement of vulnerable groups as Task Force has been suitable …

Evaluasi Program Penguatan Perempuan Usaha Kecil (Puk) (Evaluasi Sumatif Terhadap Program Penguatan Puk Yang Dilakukan Asosiasi Pendamping Perempuan Usaha Kecil Di Solo), Agung Cahyanto, Ety Rahayu

Jurnal Ilmu Kesejahteraan Sosial

This research is a study summative evaluation PUK Strengthening Program in Solo with a quantitative approach. The goal is to measure outcome indicators and analyzes the factors that influence the achievement of outcomes based on aspects of the process and input. The analysis was done by means of univariate and bivariate with cross table, Chi Square and Kendall Tau. The results showed that the outcome indicators has not been achieved. Factors that influence the outcome of the process aspect are ability to identify and solve problems, quality of production, volume of business, business innovation, profit exhibitions, as well as participation …

Sosialisasi Program Anti Bullying Dalam Rangka Menciptakan Sekolah Damai, Djoemeliarasanti Djoekardi

Jurnal Ilmu Kesejahteraan Sosial

The phenomena of bullying, particularly in education has happened for a long time. However, for various reasons does not appear on the surface. Bullying has negative effects on its victims. It can affect undesirable traits in a child’s development in the future, especially if they are dominated by negative emotions. In association with schools, an anti- bullying program is needed in order to create a peaceful learning process at schools. This research was conducted at 3 high schools in Jakarta. Based on previous findings, it can be seen that teachers and students does not understand bullying behavior and it’s negative …

Upaya Rehabilitasi Sosial Dalam Penanganan Gelandangan Dan Pengemis Di Provinsi Dki Jakarta, Astrini Marlinda, Getar Hati

Jurnal Ilmu Kesejahteraan Sosial

This article discusses about the social rehabilitation efforts in handling the homeless and beggars in Jakarta at Panti sosial Bina Insani (PSBI BD 2) Cipayung. Researcher conducting a qualitative descriptive on this study.The findings from this research show that social rehabilitation efforts in homeshelter is not maximized so that the homeless people and beggars in Jakarta tends to return to the street after getting coaching in this homeshalter. This research provide a recommendation to the government to provide a homeshalter which focused for homeless and beggars social rehabilitation, give strict punishment to the homeless and beggars who are back on …

Disaggregating Activities Of Daily Living Limitations For Predicting Nursing Home Admission, Joelle H. Y. Fong, Olivia S. Mitchell, Benedict S. K. Koh

Research Collection Lee Kong Chian School Of Business

Objective: To examine whether disaggregated activities of daily living (ADL) limitations better predict the risk of nursing home admission compared to conventionally used ADL disability counts. Data Sources: We used panel data from the Health and Retirement Study (HRS) for years 1998–2010. The HRS is a nationally representative survey of adults older than 50 years (n = 18,801). Study Design: We fitted Cox regressions in a continuous time survival model with age at first nursing home admission as the outcome. Time-varying ADL disability types were the key explanatory variables. Principal Findings: Of the six ADL limitations, bathing difficulty emerged as …

Assessment Of The Preoperative Assessment: A Case Study, Steven James Birchenough

Nurse Anesthesia MSNA Student Capstones

The geriatric population defined as individuals 65 years of age or older is expected to increase to 20% of the total population by the year 2020. This population currently makes up one-third of the surgical population and is projected to double by 2020. The perioperative risks for this population are also increased and pose significant increases in morbidity and mortality. The need for a detailed preoperative assessment is crucial in any surgical patient. It is increasingly imperative for the geriatric surgical patient as assessment is vital for the surgical team to make decisions regarding the projected necessity, plan and desired …

Influence Of Depression, Anxiety And Stress On Cognitive Performance In Community-Dwelling Older Adults Living In Rural Ecuador: Results Of The Atahualpa Project, Oscar H. Del Brutto, Robertino M. Mera, Victor J. Del Brutto, Gladys Maestre, Hannah Gardener, Mauricio Zambrano, Clinton B. Wright

School of Medicine Publications

Aim:

To assess the relationship between cognitive status and self-reported symptoms of depression, anxiety and stress of older adults living in an underserved rural South American population.

Methods:

Community-dwelling Atahualpa residents aged ≥60 years were identified during a door-to-door census, and evaluated with the Depression Anxiety Stress Scale-21 (DASS-21) and the Montreal Cognitive Assessment (MoCA). We explored whether positivity in each of the DASS-21 axes was related to total and domain-specific MoCA performance after adjustment for age, sex and education.

Results:

A total of 280 persons (59% women; mean age, mean age 70 ± 8 years) were included. Based on …

Loma Linda Nurse - Vol. 23, No. 01, Loma Linda University School Of Nursing

Loma Linda Nurse

Contents

From the dean

2 | Elizabeth Bossert shares her thoughts

News

4 | New dean continues tradition of strong leadership at LLU School of Nursing

6 | Honoring outgoing dean Marilyn Herrmann

7 | New BS-to-DNP program to begin

8 | First class of CRNA students graduates

9 | Vision 2020 charts future of Loma Linda University Health

10 | School expands to fill West Hall and upgrades skills laboratories

Features

12 | Learning assistance program offers safety net for struggling nursing students

14 Alumni profile: Dexter Emoto honored by grateful patient

15 | Student profile: Christian Rawlon gives …

The Impact Of The Veterans Health Administration's Home Based Primary Care On Health Services Use, Expenditures, And Mortality, Melissa Castora-Binkley

USF Tampa Graduate Theses and Dissertations

Background: Among patients with multiple chronic conditions, care coordination and integration remains one of the major challenges facing the U.S. health care system. A home-based, patient-centered primary care program has been offered through the Veterans Health Administration (VHA) since the 1970s for frail veterans who have difficulty accessing VHA clinics. The VHA Home Based Primary Care (VHA HBPC) aims to integrate primary care, rehabilitation, disease management, palliative care, and coordination of care for frail individuals with complex, chronic diseases within their homes. Early research suggested that VHA HBPC was associated with positive outcomes (e.g., reduced resource use and patient satisfaction). …

The Use Of Teamstepps® In The Development And Implementation Of Staff Nurse Councils, Katreena Collette Merrill

Journal of Undergraduate Research

1. TeamSTEPPS training: As a result of this project, 395 number of students received training on TeamSTEPPS. Students created case studies and role play videos about communication in healthcare.
2. In addition to the effect on the senior undergraduate nursing students and family nurse practitioner graduate students, we were able to implement TeamSTEPPS into a new interprofessional education course STDEV 214R.
3. As a result of this project, we were contacted by the Agency for Healthcare Research Quality for an interview on how we have applied TeamSTEPPS. Results of the interview will be posted on the web site in 2015 citing Brigham Young …

H-Index Is Important For Postural Control For People With Impaired Foot Sole Sensation, Shuqi Zhang, Brad Manor, Li Li

Health Sciences & Kinesiology: Faculty Publications

Introduction: People with Peripheral Neuropathy (PN), especially those with impaired sensory inputs through the small-afferent fiber (type II afferent fibers) reflex loop (SAF), might depend more on the large-afferent fiber (type I afferent fibers) reflex loop (LAF) for postural control.

Purpose: To examine whether the function of the LAF reflex loop, reflected by the H-reflex and ankle joint proprioception, influences postural control when the SAF reflex loop is impaired, as indicated by reduced foot sole cutaneous sensation.

Methods: Thirteen participants (8 women, 5 men) diagnosed with PN and 12 age-matched controls (7 women, 5 men) completed the testing protocol. Measures …

Targeting Tumor-Initiating Cells: Eliminating Anabolic Cancer Stem Cells With Inhibitors Of Protein Synthesis Or By Mimicking Caloric Restriction., Rebecca Lamb, Hannah Harrison, Duncan L Smith, Paul A Townsend, Thomas Jackson, Bela Ozsvari, Ubaldo E. Martinez-Outshoorn, Md, Richard Pestell, Anthony Howell, Michael P. Lisanti, Federica Sotgia

Kimmel Cancer Center Faculty Papers

We have used an unbiased proteomic profiling strategy to identify new potential therapeutic targets in tumor-initiating cells (TICs), a.k.a., cancer stem cells (CSCs). Towards this end, the proteomes of mammospheres from two breast cancer cell lines were directly compared to attached monolayer cells. This allowed us to identify proteins that were highly over-expressed in CSCs and/or progenitor cells. We focused on ribosomal proteins and protein folding chaperones, since they were markedly over-expressed in mammospheres. Overall, we identified >80 molecules specifically associated with protein synthesis that were commonly upregulated in mammospheres. Most of these proteins were also transcriptionally upregulated in human …

Critical Self-Reflection Questions For Professsionals Who Work With Grandfamilies, Megan L. Dolbin-Macnab

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

One of the reasons that grandparents raising grandchildren may not receive needed services is because they perceive professionals as being judgmental or holding negative attitudes toward them. As such, it is important for human service professionals to critically examine their opinions and attitudes toward grandfamilies, within the context of larger social structures, for the purposes of identifying those views that might interfere with the delivery of high quality services. This practice brief provides an overview of critical self-reflection questions that can be used, in a variety of ways, for training purposes. By utilizing these critical self-reflection questions, professionals can discover …

Determinants Of Adherence To Living On Dialysis For Mexican Americans, Shirley A. Wells

Occupational Therapy Faculty Publications

This study explores perceptions that affect adherence behaviors among Mexican Americans living with dialysis. In-depth narrative interviews were conducted with 15 Mexican Americans with end-stage renal disease (ESRD) living on dialysis, 15 family members, and 6 health care personnel who provided care to them. Four themes emerged: (a) positive influences to adherence, (b) obstacles to adherence, (c) daily activity losses, and (d) fears about living with dialysis. From the findings, the perceptions given for non-adherence with the dialysis regimen ranged from denial of the condition, lack of pre-education, to cultural factors. Those given for adherence included prolonged life, family, and …

Improving Nurses Knowledge Of Delirium And Implementation Of The R.A.D.A.R. Screening Tool At Two Post Acute Care Facilities In The United States, Kanah Lewallen

DNP Projects

Delirium in post acute care patients is under-recognized and linked to poor patient outcomes. Nurses in the post acute care setting are currently not using a standardized tool for assessing delirium, but the literature suggests they should do this routinely. The purposes of this study were to evaluate methods for improving the management of delirium in post acute care and to evaluate the implementation of a new screening tool for delirium (Recognizing Active Delirium As Routine or R.A.D.A.R.). This quasi-experimental study was conducted at two post acute care facilities in an urban location. The study included the implementation of a …

Identifying State Resources And Support Programs On E-Government Websites For Persons With Intellectual And Developmental Disabilities, Kathleen M. Fisher, Justin D. Peterson, Jon D. Albert

Medicine Faculty Publications

This descriptive cross-sectional study identified resources and programs that are available nationwide on the Internet to support individuals and families with intellectual and developmental disabilities (I/DD), with a focus on intellectual disability. This evaluation included easily identifiable information on specific resources and highlighted unique programs found in individual states that were linked from e-government websites. Researchers documented the ease of access and available information for all 50 states and the District of Columbia. A number of disparities and areas for improvement were recorded for states and I/DD websites. The researchers conclude that a number of additional health and support services …

Hospice Home Immersion Project: Advancing Medical Education, Marilyn R. Gugliucci, Himanshu Malhotra, Andrea Gaul

Geriatric Medicine Faculty Publications

The University of New England College of Osteopathic Medicine (UNECOM) Hospice Immersion project was piloted in 2014 in southern Maine. It was designed and implemented as an experiential medical education learning model whereby medical students were “admitted” into the local Hospice Home to live there for 48 hours. Until this project, palliative and end of life care education at US Medical Schools and specifically UNECOM were accomplished through traditional medical education methods. The Hospice Immersion project utilizes qualitative ethnographic and autobiographic research designs, whereby a unique environment or “culture” (Hospice Home) is observed and life experiences of the medical student …

Stroke-Related Effects On Maximal Dynamic Hip Flexor Fatigability And Functional Implications, Henry Kuhnen, Megan M. Rybar, Tanya Onushko, Ryan E. Doyel, Sandra K. Hunter, Brian D. Schmit, Allison S. Hyngstrom

Exercise Science Faculty Research and Publications

Introduction: Stroke-related changes in maximal dynamic hip flexor muscle fatigability may be more relevant functionally than isometric hip flexor fatigability. Methods: Ten chronic stroke survivors performed 5 sets of 30 hip flexion maximal dynamic voluntary contractions (MDVC). A maximal isometric voluntary contraction (MIVC) was performed before and after completion of the dynamic contractions. Both the paretic and nonparetic legs were tested. Results: Reduction in hip flexion MDVC torque in the paretic leg (44.7%) was larger than the nonparetic leg (31.7%). The paretic leg had a larger reduction in rectus femoris EMG (28.9%) between the first and last …

Whole-Genome Sequencing To Understand The Genetic Architecture Of Common Gene Expression And Biomarker Phenotypes, Andrew R. Wood, Marcus A. Tuke, Mike Nalls, Dena Hernandez, J. Raphael Gibbs, Haoxiang Lin, Christopher S. Xu, Marcio Almeida, John Blangero, Joanne E. Curran, Harald H. H. Goring

School of Medicine Publications

Initial results from sequencing studies suggest that there are relatively few low-frequency (<5%) variants associated with large effects on common phenotypes. We performed low-pass whole-genome sequencing in 680 individuals from the InCHIANTI study to test two primary hypotheses: (i) that sequencing would detect single low-frequency–large effect variants that explained similar amounts of phenotypic variance as single common variants, and (ii) that some common variant associations could be explained by low-frequency variants. We tested two sets of disease-related common phenotypes for which we had statistical power to detect large numbers of common variant–common phenotype associations—11 132 cis-gene expression traits in 450 individuals and 93 circulating biomarkers in all 680 individuals. From a total of 11 657 229 high-quality variants of which 6 129 221 and 5 528 008 were common and low frequency (<5%), respectively, low frequency–large effect associations comprised 7% of detectable cis-gene expression traits [89 of 1314 cis-eQTLs at P < 1 × 10⁻⁰⁶ (false discovery rate ∼5%)] and one of eight biomarker associations at P < 8 × 10⁻¹⁰. Very few (30 of 1232; 2%) common variant associations were fully explained by low-frequency variants. Our data show that whole-genome sequencing can …

Framework For Classifying Compliance And Medical Immediacy Among Low-Acuity Presentations At An Urban Trauma Center, Joshua G. Behr, Rafael Diaz, Barry Knapp, Cynthia Kratzke

VMASC Publications

Background: This research offers two exploratory frameworks for medical regimen compliance and medical immediacy. The first classifies compliance awareness, compliance mitigation, and financial limitation for those patients that exhibit nonadherence with a medical regimen. The second classifies medical immediacy and characterizes avoidable utilization.

Methods: Representative sampling of adult patients presenting at an emergency department (62,000/ppy) triaged as low acuity; emergency department physician assessment of noncompliance with medical regimen for those patients with a complaint related to a chronic condition; and emergency department physician assessment of medical immediacy and avoidable utilization.

Results: Physicians report 48.3% (95% confidence interval (CI) 43.5% to …

Research Brief: "Disparities In The Consequences Of Sarcopenia: Implications For African American Veterans", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief shows why more research should be done on African American veterans who have sarcopenia. In policy and practice, African American veterans should tell their healthcare providers about their geriatric medical needs, and health professionals should inform their veteran patients about how to avoid muscle wasting that can lead to sarcopenia; the VA should provide criteria for diagnosing sarcopenia among aging veterans. Suggestions for future research include analysis of the relation between myosteatosis and diabetes, as well as focusing on understanding the effects of sarcopenia on African American veterans.

The Association Of Cognitive Endophenotypes And Risky Single Nucleotide Polymorphisms Of Alzheimer's Disease Within The Alzheimer's Disease Neuroimaging Initiative (Adni) Database, Kyle Joseph Jennette

USF Tampa Graduate Theses and Dissertations

Objective: The purpose of this study was to assess the influence of three single nucleotide polymorphisms (SNP) previously associated with Alzheimer's disease on specific domains of cognition, when controlling for Apolipoprotein E gene (APOE), in a sample of individuals with Alzheimer's disease. Methods: The data were drawn from the Alzheimer's Disease Neuroimaging Initiative database, a comprehensive, longitudinal database of controls, persons with mild cognitive impairment, and persons with mild Alzheimer's disease. Each subject has a full neuropsychological assessment, neuroimaging, genetic sequencing, and physical evaluation. For the purposes of this study, individuals were selected based on the presence of the three …

The Development Of Listen: A Novel Intervention For Loneliness, Laurie A. Theeke Phd, Jennifer A. Mallow Phd

Faculty & Staff Scholarship

Purpose: The purpose of this paper is to present the development of LISTEN (Loneliness Intervention

using Story Theory to Enhance Nursing-sensitive outcomes), a new intervention for loneliness.

Methods: LISTEN was developed using the Medical Research Council (MRC) framework for intervention

development. Extensive literature review revealed that belonging, relating, place in community,

challenges, and meanings of coping were concepts significant to loneliness. Past interventions

were limited but it was determined from a recent meta-analysis that enhanced effectiveness

may result from interventions that targeted the poorly adapted cognitive processes of loneliness.

These processes include social undesirability, stigma, and negative thoughts about self …

Access Disparity And Health Inequality Of The Elderly: Unmet Needs And Delayed Healthcare, Tetsuji Yamada, Chia-Ching Chen, Chiyoe Murata, Hiroshi Hirai, Toshiyuki Ojima, Katsunori Kondo, Joseph R. Harris

NYMC Faculty Publications

The purpose of this study is to investigate healthcare access disparity that will cause delayed and unmet healthcare needs for the elderly, and to examine health inequality and healthcare cost burden for the elderly. To produce clear policy applications, this study adapts a modified PRECEDE-PROCEED model for framing theoretical and experimental approaches. Data were collected from a large collection of the Community Tracking Study Household Survey 2003-2004 of the USA. Reliability and construct validity are examined for internal consistency and estimation of disparity and inequality are analyzed by using probit/ols regressions. The results show that predisposing factors (e.g., attitude, beliefs, …

Search Strategies Used By Older Adults In A Virtual Reality Place Learning Task, Rebecca L. Davis, Catherine Weisbeck

Peer Reviewed Articles

Purpose of the study: Older adults often have problems finding their way in novel environments such as senior living residences and hospitals. The purpose of this study was to examine the types of self-reported search strategies and cues that older adults use to find their way in a virtual maze

Design and Methods: Healthy, independently living older adults (n = 129) aged 55–96 were tested in a virtual maze task over a period of 3 days in which they had to repeatedly find their way to a specified goal. They were interviewed about their strategies on days 1 and 3. …

Anthracycline-Related Cardiotoxicity In Patients With Acute Myeloid Leukemia And Down Syndrome: A Literature Review, Erik Hefti, Javier G. Blanco

Harrisburg University Faculty Works

Pediatric patients with Down syndrome (DS) are at an increased risk of developing certain cancers. Specifically, patients with DS have a reported 10–20-fold increased risk of developing acute myeloid leukemia (AML). Anthracycline-based treatment regimens achieve good results in patients with DS and AML. It has been proposed that DS status constitutes a risk factor for the cardiotoxicity associated with the use of anthracyclines in the pediatric setting. However, published evidence pointing toward an increased risk of cardiotoxicity in patients with DS is relatively scarce and conflictive. This concise review compiles literature relating to the incidence of anthracycline-related cardiotoxicity in pediatric …

Is Race A Factor In Disparate Health Problems Associated With Violence Against Women?, Gabriel M. Garcia, Marny Rivera

Journal of Health Disparities Research and Practice

Research studies examining the health correlates of violence against women have consistently demonstrated associations between violence and poor health outcomes, but have not examined a disparate impact on racial minorities. Alaska Victimization Survey data (2010) was used to examine whether a disparate relationship between victimization and health problems exists for minority women relative to White women. The Alaska Victimization Survey (AVS) is a cross-sectional survey designed to provide baseline estimates of intimate partner and sexual violence for Alaskan women. Logistic regression was used to assess the odds of experiencing various health problems given race and exposure to violence status while …

Race And Sex Differences In Correlates Of Systolic Blood Pressure In Community-Dwelling Older Adults, Cassandra Ford Phd, Patricia Sawyer, Patricia Parmelee, Olivio J. Clay, Martha Crowther, Richard M. Allman

Journal of Health Disparities Research and Practice

Objectives: To describe correlates of measured systolic blood pressure (SBP) among community-dwelling older African American and White Medicare beneficiaries.

Methods: Participants completed an in-home assessment and factors significantly correlated with SBP were tested using multivariable models.

Results: Among the 958 participants (mean age= 75.3 [SD = 6.8]; 49% African American; 49% female; 52% rural) African Americans were more often diagnosed with hypertension, more likely on anti-hypertensives, and on more anti-hypertensive medications. SBP was 2.7 mmHg higher in African Americans than Whites (p=.03). SBP was higher in women than men. Multivariable models revealed differences in the factors associated with SBP by …

The Correlation Between Confidence And Knowledge Of Evidence-Based Practice Among Occupational Therapy Students, Kate E. Decleene Huber, Alison Nichols, Kaila Bowman, Jessica Hershberger, Jessica Marquis, Taylor Murphy, Chanlar Pierce, Chelsea Sanders

The Open Journal of Occupational Therapy

Evidence-based practice (EBP) is used throughout multiple health-care professions and includes the use of best research available, client preferences, and the practitioner’s experience. Occupational therapy educational programs are required to incorporate EBP into their curriculum. A convenience sample of occupational therapy students from a private university completed a survey designed to measure students’ knowledge and confidence in EBP. The survey consisted of the Knowledge of Research Evidence Competencies (K-REC) and the Evidence-Based Practice Confidence (EPIC) scale, as well as demographic questions. Of the respondents (n = 47), third-year students indicated higher confidence in the ability to utilize EBP and higher …