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Recognizing Elder Mistreatment: A Guide For Courts, Laura Mosqueda, Theresa Sivers-Teixeira, Stacey Hirst

Court Review: Journal of the American Judges Association

The crime of elder abuse takes many forms: financial, emotional, sexual, and physical abuse, as well as neglect. In many (perhaps most) circumstances, multiple forms coexist and this is referred to as poly victimization. As in child abuse and domestic violence, people who are victimized tend to be vulnerable for a variety of reasons that span from physical to cognitive to psychological domains. This article outlines several aspects of age-related physical changes and highlights those features of aging that can make an older adult susceptible to elder abuse and neglect. We will go on to describe physical manifestations and laboratory …

Court Review 53:2 (2017) - Whole Issue

Court Review: Journal of the American Judges Association

ARTICLES

53 Introduction to Special Issue.

54 Recognizing Elder Mistreatment: A Guide for Courts.

62 Elder Protection Courts: Responding to the Now, Anticipating the Future.

64 Whom Do You Represent?: The Role of Attorneys Representing Individuals with Surrogate Decision Makers.

70 Prosecuting Elder Abuse: A First-Hand Account.

74 Tales from a Supportive Guardianship.

DEPARTMENTS

46 Editor’s Note.

47 President’s Column.

48 Thoughts from Canada.

86 Crossword.

88 The Resource Page.

Reliability And Minimum Detectable Change For Common Clinical Physical Function Tests In Sarcopenic Men And Women, Nathaniel D.M. Jenkins, Joel T. Cramer

Department of Nutrition and Health Sciences: Faculty Publications

Objectives: To determine the test–retest reliability and minimum detectable change scores for seven common clinical measurements of muscle strength and physical function in a multiethnic sample of sarcopenic, malnourished men and women.

Design: Each participant visited the laboratory seven times over 25 to 26 weeks. Reliability was assessed for each measurement from Familiarization 1 to Familiarization 2 (R1), Familiarization 2 to baseline testing (R2), Familiarization 3 to 12-week testing (R3), and Familiarization 4 to 24-week testing (R4).

Setting: Data were collected during a clinical trial at 23 sites in the United States, Belgium, Italy, Mexico, Poland, Spain, Switzerland, and the …

Aging And Disability Among Hispanics In The United States: Current Knowledge And Future Directions, Marc A. Garcia, Brian Downer, Michael Crowe, Kyriakos S. Markides

Department of Sociology: Faculty Publications

Background and Objectives: Hispanics are the most rapidly aging minority population in the United States. Our objective is to provide a summary of current knowledge regarding disability among Hispanics, and to propose an agenda for future research.

Research Design and Methods: A literature review was conducted to identify major areas of research. A life course perspective and the Hispanic Paradox were used as frameworks for the literature review and for identifying future areas of research.

Results: Four research areas were identified: (1) Ethnic disparities in disability; (2) Heterogeneity of the U.S. older Hispanic population; (3) Risk factors for disability; and …

‘Why I Sent My Child Away’: Culturally Structured Motivations For Long-Distance Parenting, Deepa Srivastava, Maria Rosario De Guzman

Department of Child, Youth, and Family Studies: Faculty Publications

Although long-distance parenting is often depicted as a response to crisis (e.g., economic) or other stressful life events, it is sometimes undertaken in various culturally normative situations. This current study explores the motivations of South Asian Indian immigrant parents for sending their young children to India to live temporarily with their grandparents. This qualitative study involves in-depth interviews with first generation immigrant parents about their experiences and motivations for sending their children to India. Analysis of the data revealed five themes, namely, (a) contextual and daily challenges in caring for their children in the United States, (b) parents’ concern around …

Higher C-Reactive Protein Levels Predict Postoperative Delirium In Older Patients Undergoing Major Elective Surgery: A Longitudinal Nested Case-Control Study, Simon T. Dillon, Sarinnapha M. Vasunilashorn, Long Ngo, Hasan H. Otu, Sharon K. Inouye, Richard N. Jones, David C. Alsop, George A. Kuchel, Eran D. Metzger, Steven E. Arnold, Edward R. Marcantonio, Towia A. Libermann

Department of Electrical and Computer Engineering: Faculty Publications

Background—Delirium is a common, morbid, and costly postoperative complication.. We aimed to identify blood-based postoperative delirium markers in a nested case control study of older surgical patients using a proteomics approach followed by enzyme-linked immunosorbent assay (ELISA) validation.

Methods and Materials—The Successful Aging after Elective Surgery Study enrolled dementia-free adults age ≥70 undergoing major scheduled non-cardiac surgery (N=566; 24% delirium). Plasma was collected at 4 timepoints: preoperatively (PREOP), post-anesthesia care unit (PACU), postoperative day 2 (POD2) and 1 month follow-up (PO1MO). Matched pairs were selected for the independent discovery (39 pairs) and replication cohorts (36 pairs), which were …

Healthy Eating: How Do We Define It And Measure It? What’S The Evidence?, Christy C. Tangney, Beth A. Staffileno, Heather Rasmussen

Department of Nutrition and Health Sciences: Faculty Publications

A healthy diet can be defined in many ways, including defining one’s food intake by a dietary pattern. As described in the Dietary Guidelines for Americans Committee report, there are several defined dietary patterns associated with lower rates of chronic diseases. These include the Healthy Eating Index, Dietary Approach to Stop Hypertension, and those based on the Mediterranean diet. This review will focus on guiding health care professionals, including nurse practitioners, how a healthy diet pattern is defined, how it is measured, and a summary of recent evidence supporting the healthfulness of these dietary patterns.

Using Pentosidine And Hydroxyproline To Predict Age And Sex In An Avian Species, Brian S. Dorr, Randal S. Stahl, Katie C. Hanson-Dorr, Carol A. Furcolow

United States Department of Agriculture Wildlife Services: Staff Publications

All living organisms are subject to senescence accompanied by progressive and irreversible physiological changes. The error damage and cross-linking theories suggest that cells and tissues are damaged by an accumulation of cross-linked proteins, slowing down bodily processes and resulting in aging. A major category of these cross-linked proteins are compounds called advanced glycation end products (AGEs). We investigated the relationship between accumulation of the AGE, pentosidine (Ps), and hydroxyproline (HYP) a post-translationally modified amino acid, with age, sex, and breeding status (breeder/ nonbreeder) from skin samples of known age (i.e., banded as fledglings), free-ranging Double-crested Cormorants (Phalacrocorax auritus, …

Age Of Migration Life Expectancy With Functional Limitations And Morbidity Among Mexican Americans, Marc A. Garcia, Luis M. Valderrama-Hinds, Chi-Tsun Chiu, Miriam S. Mutambudzi, Nai-Wei Chen, Mukaila Raji

Department of Sociology: Faculty Publications

The U.S. Mexican American population enjoys longer life expectancies relative to other racial/ethnic groups but is disproportionately affected by chronic conditions and functional limitations. Studying the impact of heterogeneity in age, time and other characteristics of migration among older Mexican Americans can inform our understanding of health disparities and health care needs in later-life. This research employed 20 years of data from the Hispanic Established Populations for the Epidemiologic Study of the Elderly to assess the proportion of life spent with functional limitations and one or more morbidity (by age of migration and gender) in the United States Mexican American …

Period And Cohort Changes In Americans’ Support For Marijuana Legalization: Convergence And Divergence Across Social Groups, Philip Schwadel, Christopher G. Ellison

Department of Sociology: Faculty Publications

We cast fresh light on how and why Americans’ views on marijuana legalization shifted between 1973 and 2014. Results from age-period-cohort models show a strong negative effect of age and relatively high levels of support for legalization among baby boom cohorts. Despite the baby boom effect, the large increase in support for marijuana legalization is predominantly a broad, period-based change in the population. Additional analyses demonstrate that differences in support for legalization by education, region, and religion decline, that differences by political party increase, and that differences between whites and African Americans reverse direction. We conclude by discussing the implications …

Contextualization Of Survey Data: What Do We Gain And Does It Matter?, Lindsay R. Wilkinson,, Kenneth F. Ferraro, Blakelee R. Kemp

Department of Sociology: Faculty Publications

Survey research designs that integrate contextual data have become more prevalent in recent decades, presumably to enable a more refined focus on the person as the unit of analysis and a greater emphasis on interindividual differences due to social forces and contextual conditions. This article reviews varied approaches to contextualizing survey data and examines the value of linking two data sources to respondent information: interviewer ratings and neighborhood information (measured via census tracts). The utility of an integrative approach is illustrated with data from the Health and Retirement Study. The results reveal modest gains by using a contextualized approach but …

Wellbeing And Data Quality In The American Time Use Survey (Atus) From A Total Survey Error Perspective, Ana Lucía Córdova Cazar

Survey Research and Methodology Program: Dissertations, Theses, and Student Research

In this dissertation, I seek to develop a tool for the enhancement of time-use and wellbeing measures from a total survey error perspective. In particular, I evaluate the quality of the time use data produced in the American Time Use Survey (ATUS), by exploring its indicators and identifying its main predictors, including interview rapport. Results from these analyses are then used to evaluate the extent to which certain variables correlate, as predicted, with expected levels of wellbeing.

The first specific objective was to investigate the data quality of the 2010 ATUS by constructing a data quality index. In my dissertation, …

Examining The Interplay Between Spousal And Non-Spousal Social Support And Strain On Trajectories Of Functional Limitations Among Married Older Adults, Scott A. Adams

Department of Sociology: Dissertations, Theses, and Student Research

Marriage is a key social status related to the distribution of later life disablement. One factor within the marital relationship thought to be consequential for disablement is social support from the spouse. Nonetheless, marriage is not inherently supportive and may also be a source of chronic strain. According to the social support/stress model spousal social support is expected to result in better functional health outcomes while spousal strain is hypothesized to produce poorer functional health in later life. Beyond spousal support and strain, marriage is also embedded in a broader web of emotionally close non-spousal ties that are also likely …

Nebraska Libraries - Volume 4, Number 3 (August 2016)

Nebraska Libraries

Editor's letter -- Willa Bitney-Garay

Student spotlights -- Rachel Kenny, Dana Still, and Kristine Woods

La Vista Public Library & Sarpy Center: Serving students and the community -- Rose Barcal

Arbor Day 2016 — Morton-James on Main: Transforming Nebraska City's library for a day -- Tom Boeche and Denise Davis

Technical Services Round Table: Technical services competencies and library science education -- Emily Dust Nimsakont

The Knee Bone's connected to the ...: Educational games from the National Library of Medicine -- Christian Minter

Differing Perspectives On Older Adult Caregiving, Eve M. Brank, Lindsey E. Wylie

Department of Psychology: Faculty Publications

Informal older adult caregiving allows older adults to stay in their homes or live with loved ones, but decisions surrounding older adult care are fraught with complexities. Related research and case law suggest that an older adult’s need for and refusal of help are important considerations; the current study is the first to examine these factors experimentally. Two samples (potential caregivers and care recipients) provided responses regarding anticipated emotions, caregiver abilities, and allocation of daily caregiving decision making based on a vignette portraying an older adult who had a high or low level of autonomy and who accepted or refused …

The Impact Of The Timing Of The Intergenerational Farm Transfer Initiation On The Terminal Wealth In The Business: Simulation Model, Iuliia Protopop

Department of Agricultural Economics: Dissertations, Theses, and Student Research

This study presents a conceptual framework and empirical farm-level model of wealth creation and accumulation of the farm business and incorporates the changes in life-cycle patterns in farmer productivity and consumption of the older and younger generation. This method provides a vehicle to analyze the timing of farm transfer initiation and its impact on the terminal wealth in the business and the likelihood of the firm’s future continuity.

The results of a representative large grain farm (more than $250,000 in gross sales, and $4 million in real estate) in Iowa confirm that the timing of a transfer is determined by …

Aging Converts Innate B1a Cells Into Potent Cd8+ T Cell Inducers, Catalina Lee-Chang, Monica Bodogai, Kanako Moritoh, Xin Chen, Robert Wersto, Ranjan Sen, Howard A. Young, Michael Croft, Luigi Ferrucci, Arya Biragyn

United States Public Health Resources

B cell dysregulation in aging is thought to mostly occur in conventional B2 cells without affecting innate B1 cells. Elderly humans and mice also accumulate 4-1BBL+ MHC class-IHi CD86Hi B cells of unknown origin. In this article, we report that these cells, termed 4BL cells, are activated murine and possibly human B1a cells. The activation is mediated by aging human monocytes and murine peritoneal macrophages. They induce expression and activation of 4-1BBL and IFN-gR1 on B1a cells to subsequently upregulate membrane TNF-α and CD86. As a result, activated B1a/4BL cells induce expression of granzyme B in CD8+ T cells by …

Methylome-Wide Analysis Of Chronic Hiv Infection Reveals Five-Year Increase In Biological Age And Epigenetic Targeting Of Hla, Andrew M. Gross, Philipp A. Jaeger, Jason F. Kreisberg, Katherine Licon, Kristen L. Jepsen, Mahdieh Khosroheidari, Brenda M. Morsey, Susan Swindells, Hui Shen, Cherie T. Ng, Ken Flagg, Daniel Chen, Kang Zhang, Howard S. Fox, Trey Ideker

United States Department of Veterans Affairs: Publications

HIV-infected individuals are living longer on antiretro-viral therapy, but many patients display signs that in some ways resemble premature aging. To investigate and quantify the impact of chronic HIV infection on aging, we report a global analysis of the whole-blood DNA methylomes of 137 HIV+ individuals under sustained therapy along with 44 matched HIV- individuals. First,we develop and validate epigenetic models of aging that are independent of blood cell composition. Using these models, we find that both chronic and recent HIV infection lead to an average aging advancement of 4.9 years, increasing expected mortality risk by 19%. In addition, sustained …

2016-17 Unopa Executive Board Minutes

UNOPA: Minutes

No abstract provided.

Comparison Between Direct And Reverse Electroporation Of Cells In Situ: A Simulation Study, Leila Towhidi, Delaram Khodadadi, Nataly Maimari, Ryan M. Pedrigi, Henry Ip, Zoltan Kis, Brenda R. Kwak, Tatiana W. Petrova, Mauro Delorenzi, Rob Krams

Department of Mechanical and Materials Engineering: Faculty Publications

The discovery of the human genome has unveiled new fields of genomics, transcriptomics, and proteomics, which has produced paradigm shifts on how to study disease mechanisms, wherein a current central focus is the understanding of how gene signatures and gene networks interact within cells. These gene function studies require manipulating genes either through activation or inhibition, which can be achieved by temporarily permeabilizing the cell membrane through transfection to deliver cDNA or RNAi. An efficient transfection technique is electroporation, which applies an optimized electric pulse to permeabilize the cells of interest. When the molecules are applied on top of seeded …

2016-17 Unopa General Meeting Minutes

UNOPA: Minutes

No abstract provided.

Alterations Of The Volatile Metabolome In Mouse Models Of Alzheimer’S Disease, Bruce A. Kimball, Donald A. Wilson, Daniel W. Weason

United States Department of Agriculture Wildlife Services: Staff Publications

In the present study, we tested whether the volatile metabolome was altered by mutations of the Alzheimer’s disease (AD)-implicated amyloid precursor protein gene (APP) and comprehensively examined urinary volatiles that may potentially serve as candidate biomarkers of AD. Establishing additional biomarkers in screening populations for AD will provide enhanced diagnostic specificity and will be critical in evaluating disease-modifying therapies. Having strong evidence of gross changes in the volatile metabolome of one line of APP mice, we utilized three unique mouse lines which over-express human mutations of the APP gene and their respective non-transgenic litter-mates (NTg). Head-space gas chromatography/mass spectrometry (GC/MS) …

Judicial Wisdom: An Introductory Empirical Account, Jeremy A. Blumenthal, Daria A. Bakina

Court Review: Journal of the American Judges Association

For millennia, the notion of “wisdom” has been the purview of philosophers or religious scholars. Philosophers literally loved and sought wisdom; biblical scholars lionized King Solomon, wisest man of all.1 More recently, however, psychologists have begun to investigate the concept of wisdom empirically. Beginning in the mid-1970s and proceeding apace,2 social scientists have studied wisdom from a variety of perspectives, falling under two headings of implicit and explicit theories.3

IMPLICIT THEORIES OF WISDOM

At least three different approaches have been taken to the development of implicit theories of wisdom. One thread of research, probably the most common, uses a three-step …

Measuring Older Adult Confidence In The Courts And Law Enforcement, Joseph A. Hamm, Lindsey E. Wylie, Eve M. Brank

Department of Psychology: Faculty Publications

Older adults are an increasingly relevant subpopulation for criminal justice policy but, as yet, are largely neglected in the relevant research. The current research addresses this by reporting on a psychometric evaluation of a measure of older adults’ Confidence in Legal Institutions (CLI). Confirmatory factor analysis (CFA) provided support for the unidimensionality and reliability of the measures. In addition, participants’ CLI was related to cynicism, trust in government, dispositional trust, age, and education, but not income or gender. The results provide support for the measures of confidence in the courts and law enforcement, so we present the scale as a …

All In The First Glance: First Fixation Predicts Individual Differences In Valence Bias, Maital Neta, Tien T. Tong, Monica L. Rosen, Alex Enersen, M. Justin Kim, Michael D. Dodd

Department of Psychology: Faculty Publications

Surprised expressions are interpreted as negative by some people, and as positive by others. When compared to fearful expressions, which are consistently rated as negative, surprise and fear share similar morphological structure (e.g., widened eyes), but these similarities are primarily in the upper part of the face (eyes). We hypothesized, then, that individuals would be more likely to interpret surprise positively when fixating faster to the lower part of the face (mouth). Participants rated surprised and fearful faces as either positive or negative while eye movements were recorded. Positive ratings of surprise were associated with longer fixation on the mouth …

Functional Status In Older Women Diagnosed With Pelvic Organ Prolapse, Tatiana V.D. Sanses, Nicholas K. Schiltz, Bruna M. Couri, Sangeeta T. Mahajan, Holly E. Richter, David F. Warner, Jack Guralnik, Siran M. Koroukian

Department of Sociology: Faculty Publications

Background—Functional status plays an important role in the comprehensive characterization of older adults. Functional limitations are associated with an increased risk of adverse treatment outcomes, but there is limited data on the prevalence of functional limitations in older women with pelvic floor disorders.

Objective—The aim of the study was to describe the prevalence of functional limitations based on health status in older women with pelvic organ prolapse.

Study Design—This pooled, cross-sectional study utilized data from the linked Health and Retirement Study and Medicare files between 1992 and 2008. The analysis included 890 women ≥65 years with pelvic organ prolapse. We …

Relationship Between Concentrations Of Lutein And Stard3 Among Pediatric And Geriatric Human Brain Tissue, Jirayu Tanprasertsuk, Binxing Li, Paul S. Bernstein, Rohini Vishwanathan, Mary Ann Johnson, Leonard Poon, Elizabeth J. Johnson

Department of Nutrition and Health Sciences: Faculty Publications

Lutein, a dietary carotenoid, selectively accumulates in human retina and brain. While many epidemiological studies show evidence of a relationship between lutein status and cognitive health, lutein’s selective uptake in human brain tissue and its potential function in early neural development and cognitive health have been poorly evaluated at a molecular level. The objective of this study was to evaluate the cross-sectional relationship between concentrations of brain lutein and StARD3 (identified as its binding protein in retinal tissue) among three age groups: infants (1–4 months, n = 10), older adults (55–86 years, n = 8), and centenarians (98–105 years, n …

Monograph Costing Tool: A User’S Guide, Nancy Maron, Kim Schmelzinger

Copyright, Fair Use, Scholarly Communication, etc.

This tool is designed to help presses of all sizes determine the full costs of publishing monographs. It may be useful if you are preparing to apply for a subvention to publish a monograph and need an itemized cost statement. Or, it might just be information you need to have in order to better assess and run your business. The process described below will be easiest if centrally coordinated, whether by the press director, business manager, or the Chief Financial Officer. It will almost certainly require some time for departmental heads. Whether or not you choose to involve more staff …

Physical Disability And Increased Loneliness Among Married Older Adults: The Role Of Changing Social Relations, David F. Warner, Scott A. Adams

Department of Sociology: Faculty Publications

Examining the social context of disablement, we investigated how changes in social relations affect loneliness among married older men and women. With longitudinal data on 914 married persons from the National Social Life, Health, and Aging Project (NSHAP), we found that changes in the quality of marital and nonmarital relations moderate the effect of disability on loneliness in unexpected ways. Increases in negative marital quality buffer the effect of physical disability, while increases in nonmarital support exacerbate it. Although not predicted by existing theory, these findings are consistent with some prior work suggesting that health-related stressors, like physical disability, condition …

Birth Weight, Early Life Course Bmi, And Body Size Change: Chains Of Risk To Adult Inflammation?, Bridget J. Goosby, Jacob Cheadle, Thomas Mcdade

Department of Sociology: Faculty Publications

This paper examines how body size changes over the early life course predict high-sensitivity C-reactive protein in a U.S. based sample. Using three waves of the National Longitudinal Study of Adolescent Health (Add Health), we test the chronic disease epidemiological models of fetal origins, sensitive periods, and chains of risk from birth into adulthood. Few studies link birth weight and changes in obesity status over adolescence and early adulthood to adult obesity and inflammation. Consistent with fetal origins and sensitive periods hypotheses, body size and obesity status at each developmental period, along with increasing body size between periods, are highly …