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Theoretical Substruction Illustrated By The Theory Of Learned Resourcefulness (Article), Abir K. Bekhet, Jaclene A. Zauszniewski

College of Nursing Faculty Research and Publications

This article describes the process of theoretical substruction and uses this process to examine the significance of Rosenbaum's resourcefulness theory for nursing research and practice. The article discusses relocation as a phenomenon of interest to gero-psychiatric nurses working with elders who have relocated to retirement communities, illustrated by the theory of learned resourcefulness. The literature was reviewed to assess the congruence between the theoretical and operational systems suggested by Rosenbaum's resourcefulness theory. A model of learned resourcefulness is presented that includes middle-range concepts, relational statements, and propositions derived from the research literature. Theoretical substruction provides a mechanism for testing middle-range …

Aging Effects On The Transcription Of Differentially Impaired Dysarthric Speech, Molly Anne Duggan

Dissertations and Theses @ UNI

Thirty participants transcribed 60 words and 30 sentences spoken by persons with dysarthria. Participants, all aged 65 and older were divided into three age groups: Young-Old, Middle-Old, and Old-Old. Each group was comprised of 10 participants. Stimuli were recorded by two male speakers with differing severity levels of dysarthria. Results suggested age did affect the transcription scores, as the Young-Old participants were able to transcribe words and sentences with greater accuracy than the Old-Old participants. The severity of the dysarthric speaker also affected the accuracy of participants in transcribing their words and sentences. Utterances produced by the speaker with mild …

Dyadic Relationship Scale: A Measure Of The Impact Of The Provision And Receipt Of Family Care, Margaret Sebern, Carol J. Whitlatch

College of Nursing Faculty Research and Publications

Purpose: This study evaluated the psychometric properties of the Dyadic Relationship Scale (DRS), which measures negative and positive dyadic interactions from the perspective of both the patient and the family caregiver. An important aspect of evaluating the DRS was that it be statistically sound and meaningful for both members of the dyad. Design and Methods: The study used a cross-sectional design. Survey packages were mailed to home health care patients and their family caregivers. The unit of analysis was the dyad, and exploratory and confirmatory factor analyses were conducted. We examined the reliability, discriminant, and concurrent validities of the instrument. …

Depression In The Elderly: Does Family System Play A Role? A Cross-Sectional Study, Ather M. Taqui, Ahmed Itrat, Waris Qidwai, Zeeshan Qadri

Department of Family Medicine

Background

The most common geriatric psychiatric disorder is depression. The role of family systems in depression among the elderly has not been studied extensively. It has been suggested that urbanization promotes nucleation of family systems and a decrease in care and support for the elderly. We conducted this study in Karachi, a large urban city of Pakistan, to determine the relationship between the type of family system and depression. We also determined the prevalence of depression in the elderly, as well as correlation of depression with other important socio-demographic variables.

Methods

A cross-sectional study was carried out in the premises …

Diagnostic Classifications And Resource Utilization Of Decedents Served By The Department Of Veterans Affairs, Sonia A. Duffy, Laurel Copeland, Faith Hopp, Robert J. Zalenski

Social Work Faculty Publications

Background: Given the volume and cost of inpatient care during the last year of life, there is a critical need to identify patterns of dying as a means of planning end-of-life care services, especially for the growing number of older persons who receive services from the Veterans Health Administration (VHA).

Methods: A retrospective computerized record review was conducted of 20,933 VHA patients who died as inpatients between October 1, 2001 and September 30, 2002. Diagnoses were aggregated into one of five classification patterns of death and analyzed in terms of health care resource utilization (mean number of inpatient days and …

Effects Of Participation In An Aging Game Simulation Activity On The Attitudes Of Allied Health Students Toward Older Adults, Beverly W. Henry, Carolinda Douglass, Irene M. Kostiwa

Internet Journal of Allied Health Sciences and Practice

The Aging Game simulation activity was designed to improve medical students’ attitudes toward older adults. This study was conducted to determine if the Aging Game, adapted for use with allied health students, could yield positive results in the students’ levels of anxiety about aging and attitudes toward aging. The modified Aging Game was implemented at a large Midwestern university with 156 students from three allied health areas – nutrition and dietetics, physical therapy, and long-term care administration. All students actively engaged in the simulation activity and completed pre- and posttest questionnaires containing the Anxiety about Aging Scale (AAS) and the …

Clinical Educators' Reactions To Ageing, Anne Mandy, Kevin Lucas, Lisa Hodgson

Internet Journal of Allied Health Sciences and Practice

Ageism and negative attitudes towards ageing have been identified within the literature as a cause for concern. Reactions to ageing are known to be strongly positively correlated with attitudes towards older people in general. Moreover, the link between ageist practice and quality of care is also established, but implications for education and training have not been explored. The aim of this study was to investigate the reactions to ageing of clinical and fieldwork educators of undergraduate students. Clinical and field work educators are largely responsible for all the clinical education received by these students and thus have the potential to …

Functional Balance Assessment Of Older Community Dwelling Adults: A Systematic Review Of The Literature, Felicity Anne Langley, Shylie F. H. Mackintosh

Internet Journal of Allied Health Sciences and Practice

Background: For allied health professionals wishing to assess the functional balance of older adults living in the community, the vast number of functional balance tests available makes it difficult to decide which assessment is most appropriate. Objective: To identify the reliability, concurrent validity and clinical practicality of functional balance tests with community dwelling older adults. Methods: A systematic review of published literature relevant to 17 functional balance tests was undertaken. The 17 functional balance tests were identified by a preliminary literature search and through consultation with an expert in the field of functional balance assessment. Studies published in English before …

Medical Education Digest, Vol. 9 No. 5 (September/October 2007), Nova Southeastern University

Medical Education Digest

No abstract provided.

The Influence Of Ambient Lighting Levels On Postural Sway In Healthy Children Ages 9 To 11, Yvette Blanchard, Rebecca Mcveigh, Megan Graham, Melissa Cadet, Kabulo Mwilambwe, Christi Scott

All PTHMS Faculty Publications

The purpose of this study was to determine whether postural sway in healthy children varied in different levels of ambient lighting. Twelve boys and 26 girls with a mean age of 118 months stood on a force platform under three conditions: eyes closed, eyes opened in regular light (200 lx) and eyes opened in dim light (3 lx). Analysis of variance and pairwise comparisons revealed significantly more postural sway with the eyes closed condition compared to the regular and dim light conditions but no differences between the regular and dim light conditions. While our results on postural sway during the …

Physical Activity And Public Health In Older Adults: Recommendation From The American College Of Sports Medicine And The American Heart Association, Miriam E. Nelson, W. Jack Rejeski, Steven N. Blair, Pamela W. Duncan, James O. Judge, Abby C. King, Carol A. Macera, Carmen Castaneda-Sceppa

Faculty Publications

Objective - To issue a recommendation on the types and amounts of physical activity needed to improve and maintain health in older adults.

Participants - A panel of scientists with expertise in public health, behavioral science, epidemiology, exercise science, medicine, and gerontology.

Evidence - The expert panel reviewed existing consensus statements and relevant evidence from primary research articles and reviews of the literature. Process: After drafting a recommendation for the older adult population and reviewing drafts of the Updated Recommendation from the American College of Sports Medicine (ACSM) and the American Heart Association (AHA) for Adults, the panel issued a …

Community-Based Long-Term Care: Wisconsin Stays Ahead, Judith D. Moore, Carol O'Shaughnessy, Lisa Sprague

National Health Policy Forum

This report describes a site visit to Wisconsin in August 2007 that focused on the use of home and community-based services, both public and private, to delay or avoid the need for institutional care. Wisconsin was chosen because it has long been a leader among states in developing such services for the elderly and persons with disabilities. At the time of the visit, a managed long-term care program, Family Care, was operating on a pilot basis in five counties. The Partnership Program, a four-site demonstration integrating acute and long-term care for the dual eligible population (both frail elderly and younger …

Defective Dna Base Excision Repair In Brain From Individuals With Alzheimer's Disease And Amnestic Mild Cognitive Impairment, Lior Weissman, Dong-Gyu Jo, Martin M. Sørensen, Nadja C. De Souza-Pinto, William R. Markesbery, Mark P. Mattson, Vilhelm A. Bohr

Pathology and Laboratory Medicine Faculty Publications

Oxidative stress is thought to play a role in the pathogenesis of Alzheimer's disease (AD) and increased oxidative DNA damage has been observed in brain tissue from AD patients. Base excision repair (BER) is the primary DNA repair pathway for small base modifications such as alkylation, deamination and oxidation. In this study, we have investigated alterations in the BER capacity in brains of AD patients. We employed a set of functional assays to measure BER activities in brain tissue from short post-mortem interval autopsies of 10 sporadic AD patients and 10 age-matched controls. BER activities were also measured in brain …

Comeback Of Appalachian Female Stroke Survivors: The Interrelationships Of Cognition, Function, Self-Concept, Interpersonal, And Social Relationships., Patricia Mckenzie Vanhook

Electronic Theses and Dissertations

The purpose of this descriptive correlational study was to examine the comeback phase of the Trajectory of Chronic Illness Management for Appalachian women stroke survivors. This study predicted comeback as a relationship between physical healing, biographical reengagement, and psychological coming to terms that was mediated by rehabilitation.

The concepts were evaluated through investigation of function and cognitive abilities, self-assessment of recovery, health rating, ability to control life, relationship changes, physical and mental health, and limitations of activities due to poor physical or mental health. Data were collected using, the Stroke Impact Scale (3.0) (Duncan, Bode, Lia, & Perera, 2003), the …

Interdisciplinary Education In Emergency Preparedness: Assuring The Safety Of Aging Populations, Linda L. Strong, Dori Taylor Sullivan

Nursing Faculty Publications

Aging is a global phenomenon. It impacts unequally, with this inequality attributable to such factors as gender, culture, education, socioeconomic status and access to primary and preventive care. Access to care and the quality of that care are significantly impacted by governmental support and regulations. Most elderly live in developed countries; however, for a significant number life is not free of stress and struggle to meet basic needs. Elders in developing countries face even more challenges. Natural and man-made disasters increase the vulnerability of these populations through potential disruption of critical services. Currently there is a paucity of health and …

For Falls Sake: Older Carers' Perceptions Of Falls And Falls Risk Factors, Shylie Mackintosh, Caroline Fryer, Michele Sutherland

Internet Journal of Allied Health Sciences and Practice

Purpose: Older carers play an important role in falls prevention through their influence over their dependent’s actions and by their own behaviour. This study aimed to determine the perceptions of falls and fall-related risk factors by older carers in an Australian metropolitan community to inform the development of effective falls prevention strategies in this population. Method: A questionnaire was mailed to all members of a carers group in January 2003 and responses from carers aged 60 years or above were included in the study (n=121). Results: The majority of older carers (85%) understood that falls are a problem for their …

Effects Of Two Parkinson’S Disease Patient Education Models On Disease Self-Management And Quality Of Life, Lorraine Pearl-Kraus

Dissertations

Purpose. To compare the effects of Parkinson's Disease Collaborative Care (PDCC) and Parkinson's Disease Information Training (PDIT) patient education disease-management models on patients' (a) perceived self-efficacy in PD self-management, and (b) self-reported perceived PD-Health Related Quality of Life.

Methods. 41 middle-stage (Hoehn & Yahr Stages 2 & 3) patients (24 males & 17 females; age range 48-78; mean 67.59 years) were randomized to the PDCC (n = 21) or PDIT (n = 20) group. Prior to inception, 3 withdrew; after the first session, 3 more withdrew. Participants in both groups attended three consecutive weekly, 2-hour patient education sessions with presenters …

A Trade-Off Proposal For Funding Long-Term Care, Yung-Ping Chen

Gerontology Institute Publications

Long-term care can be a depressing subject. Most of us tend not to think about it. However, we cannot long avoid it as the 76 million baby boomers begin reaching older ages in a few short years. According to projections, in 40 years, those aged 65 to 84 (numbering 31.6 million in 2005) will more than double, and those 85 plus (about 5.1 million in 2005), who are more at risk of dependency, will more than triple (U.S. Census Bureau, 2004 and 2006). Heavy reliance on Medicaid, already the second largest budget item in most states, would not appear viable. …

9th Annual Pacific Research Day Abstracts, University Of The Pacific

Excellence Day

No abstract provided.

Transition To Nursing Home Of Korean-American Elders, Myungja Kim Hahm Phd

Dissertations

The purpose of this study was to explore factors affecting Korean-American (KA) elders during the transition to nursing homes in the first month following admission. The three aims of this proposed study were (1) to explore culture specific factors that affect KA elders' perspectives during the transitional period to a nursing home, (2) to identify thoughts and feelings of KA elders about their admission into a nursing home, (3) to describe the adjustment process associated with admission to a nursing home. A grounded theory design was utilized to explore KA elders' perceptions/experiences associated with adjustment to a nursing home. Open-ended, …

A Review Of The Association Between Congestive Heart Failure And Cognitive Impairment., Michael B. Cohen, Paul J. Mather

Division of Cardiology Faculty Papers

Heart failure is a growing epidemic with an estimated 5 million Americans suffering from this condition. Several clinical trials have demonstrated a high correlation between congestive heart failure (CHF) and cognitive impairment. The severity of cognitive impairment correlates positively with the degree of CHF. The underlying mechanism for cognitive impairment remains unclear but appears to be related to cerebral hypoperfusion and impaired cerebral reactivity with selective impairment of verbal memory and attention domains. Furthermore, cognitive dysfunction represents one aspect of frailty, a novel concept that encompasses a range of clinical conditions that results in functional impairment in patients with heart …

Low-Income Minority Mothers’ Reports Of Infant Health Care Utilisation Compared With Medical Records, Kennan D. Murray, Ayman El-Mohandes, M. Nabil El-Khorazaty, Michele Kiely

Publications and Research

This study aimed to investigate mothers’ reporting of the nature, location, frequency and content of health care visits for their infants, as compared with data abstracted from the infants’ medical records. It was part of a community-based parenting intervention designed to improve preventive health care utilisation among minority mothers in Washington, DC. Mothers 18 years old with newborn infants and with poor or no prenatal care were enrolled in the study. A total of 160 mother–infant dyads completed the 12-month study. Mothers were interviewed when the infants were 4, 8 and 12 months old, and were asked to recall infant …

Introduction Of An Emerging Technology Device Through Powerpoint® Training, Rebecca I. Estes, Jimmy H. Ishee

Internet Journal of Allied Health Sciences and Practice

Successful inclusion of assistive technology in intervention is limited by training and the level of comfort with technology of treating occupational therapists. Experienced and new therapists need exposure and training on high technology assistive devices newly introduced on the market. The purpose of the study was to identify the effect of a PowerPoint presentation to introduce an emerging high technology device on two groups: 30 licensed occupational therapists and 27 students in an entry level master of occupational therapy program. The PowerPoint developed introduced and educated participants on the Assistive Dining Device. Participants completed a demographic form, the Survey of …

Upaya Meningkatkan Kualitas Derajat Kesehatan Lingkungan Melalui Perubahan Perilaku Kesehatan, Wiriasto Herry Septiadi

Jurnal Ilmu Kesejahteraan Sosial

The change sanitation behaviour is one efford to increase the healthy quality of the environment. The hygiene disposal excreta is one activities to develop quality for healthy environment. Disposal excreta have relatation with human behaviour/habits. The bad sanitation behavior and unsaniter condition from sanitation services could make environment polution. Based on that condition, one efford to enhance the quality of the environment is by changing sanitation behaviour.

Peran Pesantren Dalam Penghapusan Kekerasan Terhadap Perempuan, Bunda Sri Sugiri

Jurnal Ilmu Kesejahteraan Sosial

Pesantren is one of educational institution which base on religion. Program Interagency Network for Prevention of Violence against Women (VAW) is an innovation to increase the function of Pesantren as a service institution for woman violence victim. The main focus of this program is designing a center of Perlindungan bagi Wanita (Puspita), a women's crises center base on Pesantren. Pesantren set as a center of advocating for woman, because Pesantren has a very strategist task in doing various change in society. However we realized that Pesantren has no distribution yet and also in effort for preventing violation on woman, especially …

Pendidikan Seksualitas Untuk Anak Melalui Pemasaran Sosial Sebagai Salah Satu Upaya Pencegahan Child Sexual Abuse, Sari Viciawati

Jurnal Ilmu Kesejahteraan Sosial

Children empowerment through sex education can prevent children from sexual abuse. Sex education absolutely can be more efective for children if it is given earlier by parents. The problem is their parents often do not know what the importance of sex education. Although parents know that sex education is important, they do not want to do it because they still feel embarrassed. To fulfill the needs of parents to deliver knowledge about sex education is one of the effort to prevent child sexual abuse, a seminar had been held in this action research. After joining the seminar, there were many …

New Directions In Dementia Care At Home, Tracey Vause-Earland, E. Adel Herge, Catherine Verrier Piersol, Laura N. Gitlin, Janice Burke

Center for Applied Research on Aging and Health Research Papers

No abstract provided.

Forty Years Of Transplantation At Loma Linda, Loma Linda University

Scope

In this issue . . .

2 | Transplantation at Loma Linda
It’s been 40 years since the first kidney transplant at Loma Linda

7 | Remembering Baby Fae
Leonard L. Bailey, MD, tells the story of Baby Fae

12 | Everyday heroes
The pediatric trauma team exists to save young lives

16 | Same family, different sides
Circumstances put classmates on opposite sides of a grim 1943 battle

20 | Telehealth: miles away but face to face
Health care professionals and educators use telehealth technologies to serve outlying communities

24 | Newscope
News about Loma Linda...

Penindasan (Bullying) Di Sekolah, Dwi Amalia Chandra Sekar

Jurnal Ilmu Kesejahteraan Sosial

The aim of this article is to give some information and attempt to raise awareness about behavior problem among children in or around the school in terms of abuse or intimidation (bullying). School as intitution, gives knowlege and skill to develop positive self-potential for students cannot be completedly reached. For the children who became the victim, schools are no longer can give them feeling secure and hapiness. School bullying occured long time, but there is only small attention from school, parents, communities, because they considered it as a normal behavior dan become tradition in school. Bullying can bring fear and …

Down-Regulation Of Natural Killer Cell Activation In Response To Influenza Virus In Older Adults, Yu Jing

Theses and Dissertations in Biomedical Sciences

Immune senescence contributes to influenza-associated high mortality and morbidity and reduced vaccine efficacy in elderly people. Type I T cell (Thl)-mediated immunity plays a significant role in Immune responses to influenza infection and vaccination. Natural killer (NK) cells secrete significant amount of IFN-7 , a hallmark Thl cytokine, in response to influenza infection. How aging influences human NK cell IFN-7 production in response to influenza virus has not been well documented. In this study we employed human peripheral blood mononuclear cells (PBMC) and performed intracellular cytokine staining and flow cytometry primarily to investigate how aging influences NK cell activation with …