Digital Commons Network^™

Investigating The Role Of Glycemic Control In Cognitive Impairement Risk Among Elderly Individuals With Type 2 Diabetes: A Scoping Review, Julia Pessaia

Honors Undergraduate Theses

Type 2 diabetes mellitus (T2DM), presents a significant health burden globally, affecting millions of individuals, especially in the elderly population. While its association with cardiovascular diseases and cognitive impairments is well-documented, further research on the precise influence of glucose control on cognitive outcomes in elderly T2DM patients is necessary. This scoping review aims to address this gap by investigating the impact of HbA1c levels representing glycemic control on the risk of developing cognitive impairments in elderly patients with T2DM. A literature search was conducted on MEDLINE and eligible studies involved T2DM patients aged 60 or older, with documented cognitive function …

The Influence Of Intersectionality On Identity And Resilience, Stephanie Washburn

Honors Undergraduate Theses

Co-occurring multiple minority group membership (e.g., ethnic/racial minority and sexual/gender minority) has come to be referred as intersectionality. The purpose of this study was to explore if intersectionality is related to identity and resilience in undergraduate adults. The participant pool consisted of college students from a large metropolitan university in the Southeastern United States, (N = 340), who took an anonymous online self-report survey battery in exchange for course credit. Higher levels of resilience were associated with lower levels of identity distress. Further, identity commitment, but not identity exploration, predicted resiliency. Sexual/Gender Minority (SGM) individuals had lower resiliency than …

The Effects Of Bilingualism And Trust On Digital Scam Susceptibility, Grace M. Casanova

Honors Undergraduate Theses

Trust is an essential component of social relationships and is connected to how we make informed decisions. Humans tend to use mental shortcuts to arrive to decisions, a strategy which may be exploited by scammers. As online scams have become more common, it is critical to understand factors that can influence appraisal of potentially untrustworthy sources. The present study focused on language, in the form of self-reported bilingualism, and its relation to scam susceptibility. Language is a factor that contributes to alterations in brain structure, cognitive performance, and cognitive control systems. Bilinguals show advantages in the form of increased synaptic …

Deceptive Realities: Exploring The Nexus Of Fake News, Artificial Intelligence, And Public Perception, Victor E. Milanes

Honors Undergraduate Theses

Our research delves into two critical areas: fake news and artificial intelligence (AI). Historically, fake news predates the printing press, but its resurgence after the 2016 US Presidential Election garnered mass attention. Studies indicate its potency, with one fake article found to be as influential as a campaign ad (Allcott & Gentzkow, 2017). However, partisan media likely skews its impact on public perception.

Conversely, AI's integration has surged in recent years, sparking both excitement and concern among the public (Pew Research Center, 2022). Its ability to generate hyper-specific images, demonstrated by DALL·E 2 and Midjourney, poses challenges in distinguishing real …

Predictors Of Canadians’ Psychological Well-Being In Retirement: A Mixed Methods Approach, Jessica Miller

Theses and Dissertations (Comprehensive)

In prior decades, retirement research focused on the negative effects of the life transition—such as negative psychological well-being caused by factors such as difficulties adjusting to retirement, feelings of a role loss, or the financial effects of retirement. However, there is considerable agreement across recent research studies that post-retirement years are marked by positive psychological well-being due to a variety of factors. For example, retirees often spend more time in roles (such as volunteer positions) that provide life satisfaction. The present study uses both quantitative and qualitative methods to examine factors related to well-being in retirement among individuals living in …

Analyzing Sex Differences In Human Performance Through 3d Isotonic Resistance, Jacob M. Cunha

University of the Pacific Theses and Dissertations

Appraisal of scientific literature and understanding continues to grow in the domain of human performance. The effects of sex on concentric resistance training and power output are not well understood. Recent advancements in technology permit more precise measurements of force output and the kinematic changes elicited by training stress. A unique device in capturing kinematic performance output is Proteus Motion. The machine produces an external magnetic load through a protruding apparatus connected to a gyrosphere, which in turn captures concentric movement through all three planes of movement (sagittal, coronal, transversal). The aim of this study is to investigate power output …

Collected Essays By Simon Arzigian, Simon J. Arzigian

Texas Silver-Haired Legislature

These Collected Essays by Simon Arzigian were written in Edgewood, New Mexico, between 1998 and 2009.

Simon John Arzigian was born March 20, 1921 in Lawrence, Massachusetts, and spent most of his childhood in this New England factory town. His entire professional life was with the Department of Defense, living in the dense urban setting in Washington D.C. During World War II he served in The Army as a medic in Africa and Europe. After the war he attended Catholic University and the University of Illinois graduate school, training as a parasitologist. He moved to Edgewood New Mexico in 1995 …

Perceptions Of Acute Care Telemedicine Among Caregivers For Persons Living With Dementia: A Qualitative Study, Anita Chary, Norvin Hernandez, Ana Paulina Rivera, Vivian Ramont, Tracey Obi, Ilianna Santangelo, Christine Ritchie, Hardeep Singh, Emily Hayden, Aanand D Naik, Shan Liu, Maura Kennedy

Faculty, Staff and Student Publications

Persons living with dementia (PLWD) have high emergency department (ED) utilization. Little is known about using telemedicine with PLWD and caregivers as an alternative to ED visits for minor acute health problems. This qualitative interview-based study elicited caregivers' perspectives about the acceptability of telemedicine for acute complaints. We performed telephone interviews with 28 caregivers of PLWD from two academic EDs, one in the Northeast and another in the South. Using a combined deductive-inductive approach, we coded interview transcripts and elucidated common themes by consensus. All caregivers reported they would need to participate in the telemedicine visit to help overcome communication …

The Relationship Of Neighborhood Disadvantage, Biological Aging, And Psychosocial Risk And Resilience Factors In Heart Failure Incidence Among Black Persons: A Moderated Mediation Analysis, Ganga S Bey, James R Pike, Anthony S Zannas, Qian Xiao, Bing Yu, Amil M Shah, Priya Palta

Faculty, Staff and Student Publications

Objectives: Deprived living environments contribute to greater heart failure (HF) risk among non-Hispanic Black persons, who disproportionately occupy disadvantaged neighborhoods. The mechanisms for these effects are not fully explicated, partially attributable to an insufficient understanding of the individual factors that contribute additional risk or resilience to the impact of neighborhood disadvantage on health. The objective of this study was, therefore, to clarify the complex pathways over which such exposures act to facilitate more targeted, effective interventions. Given the evidence for a mediating role of biological age and a moderating role of individual psychosocial characteristics in the neighborhood disadvantage-HF link, we …

Fostering A Culture Of Belonging Within Women Working In A Hybrid Environment, Jam Narte Harley

Theses and Dissertations

This research discusses the opportunity presented by the post-pandemic return to work to support Diversity, Equity, Inclusion, and Belonging initiatives by creating a new belonging framework for women working in a hybrid environment. The transition to remote and hybrid work arrangements amid the pandemic highlighted the importance of leaders tackling ongoing challenges in leadership and management, such as digital transformation and remote management, which led to rapid change, anxiety, and uncertainty. The lack of daily contact has significantly impacted workplace relationships and highlighted the importance of belongingness for employees' well-being and retention. Hybrid work arrangements are likely to become a …

2024 Community-Based Care. Resident And Community Characteristics Report On Assisted Living, Residential Care, And Memory Care Communities, Ozcan Tunalilar, Sarah Dys, Yuliana Levchenko, Diana Jacoby, Minju Kim, Wafi Albalawi, Paula Carder

Institute on Aging Publications

This report marks the 10th anniversary of the Resident and Community Characteristics Report on Assisted Living (AL), Residential Care (RC), and Memory Care (MC) Communities as part of the Oregon Community Based Care project. This study includes rotating questions that focus on emerging areas of interest in the AL/RC/MC settings based on feedback from ODHS and interested parties alongside a core set of questions that are asked every year or every other year to allow comparisons over time. In this year’s study, we included information about various resident, community, and staff characteristics, including:

• Residents: sociodemographic characteristics (e.g., age, sex, …

Extracellular Free Water As An Imaging Biomarker Of Neuroinflammation, Cristina N. Pinheiro

Theses and Dissertations--Psychology

Older adults experience a chronic state of heightened immune response referred to as “inflammaging” which can be observed by detecting levels of proinflammatory cytokines in blood serum. These proinflammatory cytokines are secreted in the central nervous system and may also enter the brain through the blood brain barrier. Previous literature has suggested that extracellular free water, a magnetic resonance imaging metric, may allow us to detect alterations in the extracellular space which are thought to correlate with inflammation in the central nervous system. This study examined the correlation between two proinflammatory cytokines, IL-6 and TNFα, collected longitudinally and cross-sectionally imaged …

ความสุขของแรงงานสูงอายุไทย, ปิยะวัฒน์ เจริญศักดิ์

Chulalongkorn University Theses and Dissertations (Chula ETD)

การวิจัยเรื่อง "ความสุขของแรงงานสูงอายุไทย" ผู้วิจัยใช้รูปแบบการวิจัยแบบผสมผสาน (Mixed Method) ประกอบด้วย การวิจัยเชิงปริมาณ (Quantitative Research) ใช้ชุดข้อมูลจากการสํารวจประชากรสูงอายุในประเทศไทย พ.ศ. 2564 จำนวน 33,934 คน ใช้วิธีการวิเคราะห์แบบการประมาณค่าแบบสองขั้นตอน (Heckman selection model) ในรูปแบบของแบบจำลองโพรบิต และ การวิจัยเชิงคุณภาพ (Qualitative Research) เก็บรวบรวมข้อมูลโดยใช้การสัมภาษณ์เชิงลึก (In-depth Interview) จำนวน 30 คน ใช้วิธีการวิเคราะห์แก่นสาระ (Thematic Analysis) ผลการศึกษา มีดังต่อไปนี้ (1) แรงงานสูงอายุที่ต้องการทำงาน มีความสุขมากกว่าแรงงานสูงอายุที่ไม่ต้องการทำงาน (2) แรงงานสูงอายุที่มีชั่วโมงการทำงานตั้งแต่ 50 ชั่วโมงขึ้นไปมีความสุขมากกว่าแรงงานสูงอายุที่มีชั่วโมงการทำงานน้อยกว่า 29 ชั่วโมงต่อสัปดาห์ (3) แรงงานสูงอายุไทยมีการนิยามความสุขในชีวิต ได้แก่ รายได้และสินทรัพย์ ทัศนคติ ศาสนา ครอบครัว การเป็นตัวของตัวเอง การทำงาน การรู้จักให้ สุขภาพ และการเป็นส่วนหนึ่งของชุมชน และ (4) ตัวแบบ HAPPINESS หรือ ตัวแบบ 9 สุขสูงวัย ประกอบด้วย Health (สุขจากการมีสุขภาพกายและจิตที่ดี) Attitude (สุขจากการมีทัศนคติเชิงบวก) Participation (สุขจากการมีส่วนร่วมในชุมชนและสังคม) Planning (สุขจากการวางแผนชีวิต) Income (สุขจากการมีรายได้ที่เพียงพอ) Networking (สุขจากการมีเครือข่ายที่ดี) Employment (สุขจากการมีงานทำ) Social-Welfare (สุขจากการได้รับสวัสดิการเพื่อการดำรงชีวิต) Self-Value (สุขจากการรู้คุณค่าในตนเอง)

The Relationship Between The Working Environment And Quality Of Life Among Home Health Aides: Focusing On The Mediation Role Of Burnout, Sehyun Baek, Oejin Shin, Soobin Park, Ahra Ko, Sojung Park, Eun-Na Kang

Faculty Publications - Social Work

As South Korea’s population rapidly ages, there is an increasing demand for home aides. However, little is known about how the caregiving environment affects HHAs. Guided by the environment comfort model, we examined the association between care recipients’ home environment and HHA’s quality of life, focusing on how burnout mediates this relationship. Our data came from a national survey of home health aides in 2020 (N = 786). We conducted an exploratory factor analysis to identify six factors related to the care environment in three dimensions: physical (1. space; 2. indoor/outdoor conditions), functional (3. home appliances; 4. heating/air conditioning), and …

Childlessness And Sibling Positioning In Upward Intergenerational Support: Insights From Singapore, Dahye Kim, Christine Ho, Bussarawan Teerawichitchainan

Research Collection School Of Economics

Objective: This brief report aims to explore the role of child-lessness and its interaction with sibling positioning (i.e., birth order and gender) in upward intergenerational support within the context of Asian familial and patrilineal values. Background: Despite the increasing rates of childlessness in Asia, little is known about how childless individuals deviate from or adhere to the patrilineal gendered practices of supporting their older parents. Singapore, a rapidly aging nation that emphasises Confucian familism values and patrilineal practices in guiding its welfare policies, provides an ideal setting for this research investigation. Method: We analysed a sample of 475 Singaporeans aged …

Adverse Childhood Experiences And Cognitive Decline, Kallie Bakker

Graduate Research Papers

This study analyzes the association between ACEs and cognitive decline as well as both ACEs and cognitive declines relationship to gender. It is a secondary data analysis of the Behavioral Risk Factor Surveillance System (BRFSS) data. The BRFSS is composed of data collected from adults (individuals aged 18 and older) across the United States. The results of this study indicate that there is indeed a relationship between ACEs and cognitive decline. It was found that Adults who experienced more Adverse Childhood Experiences experience greater cognitive decline. Another significant finding is the significant relationship found between cognitive decline and gender. This …

2024 Adult Foster Home: Resident And Community Characteristics Report On Adult Foster Homes, Ozcan Tunalilar, Sarah Dys, Diana Jacoby, Wafi Albalawi, Minju Kim, Yuliana Levchenko, Paula C. Carder

Institute on Aging Publications

This year marks the 10th anniversary of the Resident and Community Characteristics Report on Adult Foster Homes as part of the Oregon Community Based Care project. The first of these reports was published in 2014 and looking back, one gets a sense of both stability and change. In this year’s report, we describe the results based on data we collected from AFHs licensed and monitored by the Aging and People with Disabilities program of the Oregon Department of Human Services (ODHS/APD). These are small residential settings that provide personal and health-related services for up to five residents. They are primarily …

Challenges And Coping Strategies In Transitioning From Caregiving To Widowhood: A Systematic Review, Abby Baumbach, M. Courtney Hughes, Yujun Liu

Faculty Articles, Papers, and Other Scholarship

Ninety-one percent of surviving spouses in the U.S. cared for their spouses before they died. This review explores the challenges of the transition from caregiving to widowhood and different coping strategies used by widowed spousal caregivers. A systematic review of literature on the transition from caregiving to widowhood was conducted using four major academic search engines. Overall, 280 articles were identified, with 22 meeting the inclusion criteria. Challenges for widowed caregivers included experiencing care burden, letting go of the caregiver role, grief, and triggers. Widowed caregivers’ coping strategies included social support and services use, filling the time gap, finding spirituality, …

Association Of Circulating Ketone Bodies With Cognitive Performance And Dementia In The Multi-Ethnic Study Of Atherosclerosis (Mesa), Parag Anilkumar Chevli, Christopher L Schaich, Alexis C Wood, Luqman A Tk, Anurag Mehta, Vardhmaan Jain, Margery Connelly, Suzanne Craft, Elad Shemesh, José A Luchsinger, Kathleen M Hayden, Bonnie Colleen Sachs, Timothy M Hughes, Michael D Shapiro

Faculty, Staff and Students Publications

Introduction

Growing interest centers on the association between circulating ketone bodies (KB) and cognitive function, notably in aging and neurodegenerative diseases.

Methods

Associations of plasma KB with incident dementia and cognitive performances were examined among Multi‐Ethnic Study of Atherosclerosis (MESA) participants. KB were measured using plasma samples collected following an overnight fasting at Exam 1 (2000–02) and detailed cognitive testing at Exam 5 (2010–2012, N = 4392), Exam 6 (2016–2018, N = 1838), and in MESA‐MIND (2019–2021, N = 2060).

Results

Over 16.7 years, a doubling of total KB was associated with a greater risk of incident dementia (hazard ratio …

A Descriptive Analysis Of Depressive Symptoms And Body Image By Race/Ethnicity And Nativity Status Among Adolescents, Radhika Prasad

Electronic Theses & Dissertations (2024 - present)

Previous research on the immigrant health paradox among children and adolescents show a mental health advantage yet it is unclear if this applies in a similar magnitude to females (Fillion et al., 2018; Zarei et al., 2023). Immigrants may be exposed to stressors related to immigration and acculturation. Some research suggests that females respond more to stress through internalizing symptoms relative to males (Hall-Lande et al., 2007; Adkins et al., 2009). Given these gender differences in stress response, female immigrants may be particularly vulnerable to the psychological consequences of immigration related stressors. The immigrant health paradox has also overlooked subjective …

Anxiety And Depression In Older Adults Post Deepwater Horizon Oil Spill, Mickaela R. Reed

Graduate Theses, Dissertations, and Problem Reports (ETD)

Research has investigated challenges that are created when one experiences a disaster within populations such as older adults and other vulnerable groups of people. However, there is little to no consideration given to how age in combination with trauma history are related to well-being after a disaster. Using two theories, socioemotional selectivity theory (SST, Carstensen, 2006) and the strength and vulnerability integration model (SAVI, Charles, 2010). I compared older adults post disaster vulnerabilty to depression and anxiety to that of younger adults with trauma history as a moderator. The 2,508 participants in the current study were from the Survey of …

Subjective Cognitive Decline: Examining The Contributions Of Adverse Childhood Experiences And Social Determinants Of Health, Amber Victoria Rusch

Graduate Theses, Dissertations, and Problem Reports (ETD)

Subjective cognitive decline is one’s awareness of their own consistent memory loss or confusion that interrupts their day-to-day activities (CDC, 2022; Roehr et al., 2017). Several risk factors for subjective cognitive decline, such as demographic social determinants of health (SDOH) and adverse childhood experiences (ACEs) have been identified through previous research (Alzheimer’s Association, 2016; Dening & Sandilyan, 2015); however, less is known about the interaction between demographic SDOH and ACEs on subjective cognitive decline. The current study sought to examine how demographic SDOH (i.e., age, sex, race, and education) (research question 1) and ACEs (i.e., physical abuse, sexual abuse, and …

The Needs Assessment As Authentic Learning For School Counselors In Training, Dr. Dianne Vargas, Dr. Steven Drouin, Dr. Karen Zandarski

Journal of Counselor Preparation and Supervision

Although school counselor educators are tasked with preparing effective school counselors, they are continually presented with the challenge of creating authentic learning experiences that enhance the development of counselors in training. This descriptive-interpretive qualitative study describes the knowledge gained by counselors in training while creating, implementing, and analyzing an authentic learning experience within a master’s counselor education course. Data for this study included needs assessments completed by participants, and findings were summarized in four major themes. The themes included participants' awareness of the relevance of needs assessments, sources of knowledge utilized in survey design, school sites as stress and validation, …

Attitudes Toward Caring For Older Adults Among Undergraduate Nursing Students At A Public University In Kuala Lumpur, Malaysia, Azera Hasra Ismail, Siti Zuhaida Hussein, Aslina Mohamed Yasi, Nurul Izzati Ishak, Nurul Nazira Mohd Yazar, Nur Syafiqah Sabri

Makara Journal of Health Research

Background: The growing number of elderly members of the population is expected to increase the demand for more dedicated nursing students committed to providing excellent care. This study aims to determine prevailing attitudes toward the care of older adults among undergraduate nursing students at a public university in Kuala Lumpur, Malaysia.

Methods: This is a quantitative cross-sectional survey of 107 undergraduate nursing students enrolled at a public university in Kuala Lumpur, Malaysia. The students were recruited using stratified random sampling. The respondents’ attitudes toward caring for older adults were measured using 14 items from the Geriatrics Attitudes Scale …

Assessment Of Deficits In Specific Cognitive Domains In Older Adults Living With Hiv., Andrea Reyes-Vega, Harideep Samanapally, Rishikesh Rijal, Stephen P. Furmanek, Christopher B. Shields, Brandon C. Dennis, Smita Ghare, Shirish Barve

Faculty and Staff Scholarship

A significant proportion of people living with HIV (PLWH) have cognitive impairment. Moreover, approximately 70% of PLWH in the United States will be ≥50 years old by 2030, raising concerns of a higher incidence of dementia as they age. Accordingly, there is a clinical need to monitor their cognitive status. The aim of this study was to delineate specific cognition areas impacted in OALWH with a clinical diagnosis of neurocognitive impairment. We used a comprehensive set of tests (paper and NIH Toolbox Cognition Battery), to assess different cognitive domains in a total of 25 OALWH ≥ 50 years. 64% were …

Food And Commensality In Non-State Armed Groups: The Case Of The Lord's Resistance Army In Northern Uganda, 1987-2008, Eunice Otuko Apio Dr

Peace and Conflict Studies

The subfield of food and eating practices has registered a significant volume of theoretical and empirical studies. However, there is very limited research targeting non-state armed groups. This article contributes to understanding the nuanced role of food and eating practices (or commensality) in conflict, and its significance in the construction and sustenance of sense of community in non-state armed groups that use particularly elaborate means of indoctrination to build a following. Drawing on the case of northern Uganda’s Lord’s Resistance Army (LRA) that thrived on mass abduction of children, youth and women between 1987 and 2008, this article argues that …

What's Going On In There? Canadian Government Policy Labs And Public Value Management, Adam Wellstead, Nora Ottenhof, Bryan Evans, Anat Gofen

Michigan Tech Publications

Government-based policy labs have established themselves across the Canadian policy landscape. This article argues these labs contribute to public value management. We begin by reviewing the public value management literature, followed by Canadian contributions to the policy lab literature. Then, our inventory of 35 current Canadian government-based policy labs is descriptively analyzed, including trends in spatial concentration, the tools and methods employed, their focus areas, the number of years in existence, and their primary role in the policy process. We randomly selected nine of these labs, provide more details of their activities, and present a preliminary public value management typology …

Is Digital Altruism The Same As Offline Altruism?: An Exploration Of Strength-Based Determinants Among Generation Z During Covid-19 Pandemic, Nair Shravya Sunil, Surekha Chukkali

Internet Journal of Allied Health Sciences and Practice

Digital altruism is a new form of altruism on social media platforms. Social media has been a vital tool for sharing and seeking information for day-to-day situations, enabling people to seek and render help. Engaging in helping behaviour could be purely out of altruism or can be traced back to their professional requirements. Social media platforms have brought out people’s altruistic side on multiple occasions. The present study looked at the altruism levels of Indian Generation-Z social media users and how it is influenced by the users’ strength-based determinants, i.e. empathy, compassion, social justice, optimism, social intelligence, and personality, compared …

Hearing Loss As A Risk Factor For Cognitive Decline In The Elderly: A Rapid Review, Natalie Large, Nannette Nicholson

Internet Journal of Allied Health Sciences and Practice

Purpose: The aim of this rapid review was to identify and evaluate evidence exploring hearing loss as a risk factor for cognitive decline in the elderly population. Methods: A literature search was performed in three databases: CINAHL, Cochrane Central, and PubMed. The PRISMA template was used to record the search and selection process. Search criteria included older adults aged 65 and up with diagnosed or self-reported hearing loss and no previous diagnosis of dementia or Alzheimer’s disease. Participants were excluded if they had been diagnosed with dementia or tested for it before the study began. Hearing loss was categorized using …

Policy Review And Recommendation For Secondary Education Np-Led Clinics In The Southeastern United States, Shiney Alex Jacob

Student Scholarly Projects

Secondary-level education involves adolescent children aged 11-12 years to 18-19 with unique healthcare needs. Their healthcare is of significant importance as they are transitioning to adulthood, and a majority of them lack access to primary healthcare needs. Advanced Practice Registered Nurses/Nurse Practitioners (APRNs/NPs) provide high-quality, cost-effective, and evidence-based care to people across the lifespan, and there is minimal utilization of their services in meeting the primary care needs of adolescents at the secondary school level. The purpose of the policy project was to determine if current policies and practices related to school health services in three southeastern states of the …