Digital Commons Network^™

Ktm Health Care, Inc., A Utah Corporation, Plaintiff And Appellee/Cross-Appellant, V. Sg Nursing Home Llc, A Delaware Limited Liability Company, Doing Business As Kolob Care And Rehabilitation Of St. George, And Apex Healthcare Solutions, Llc, An Illinois Limited Liability Company, Defendants And Appellants/Cross-Appellees. : Reply Brief, Utah Court Of Appeals

Utah Court of Appeals Briefs (2007– 2019)

REPLY BRIEF OF
APPELLEE/CROSS-APPELLANT

Appeal from a Final Order of the Fifth Judicial District Court, in and for Washington
County. Trial Judge Jeffrey C. Wilcox

Gay Identity Construction Of Ten Muslim Male Undergraduates In Penang, Malaysia: A Phenomenological Qualitative Study, Mark Stephan Felix

Asia-Pacific Social Science Review

No abstract provided.

Pengembangan Media Layanan Informasi Menghadapi Perubahan Masa Pubertas Bagi Siswa Sekolah Dasar, Fitri Firdayati, Ella Faridati Zen, Elia Flurentin

Jurnal Kajian Bimbingan dan Konseling

This research aims to produce a product in the form of information service media "dealing with changes in puberty" for elementary school students. The research method used is research and development adapted from the Borg and Gall development model with the following procedures: (1) planning; (2) product development; (3) product testing; (4) final product revision. Product trial data is analyzed quantitatively and qualitatively. Based on the results of the product trial assessment, it can be concluded that the product is very appropriate, very useful, very easy and very interesting theoretically and practically, so it can be used as a medium …

Aquatic Exercise For Better Living On Land: Impact Of Shallow-Water Exercise On Older Japanese Women For Performance Of Activities Of Daily Living (Adl), Mary E. Sanders, Mohammod M. Islam, Aiko Naruse, Nobuo Takeshima, Michael E. Rogers

International Journal of Aquatic Research and Education

Twenty-six Japanese women (70.5 yr) self-selected water exercise (WEX) (n=13), or control (CON) (n=13) for 12 weeks. WEX was performed 60-minutes/day, 3 days/week with warm-up, cool-down stretch, ADL exercises, and cardiovascular/muscular endurance in 30°C water at a xiphoid level depth. CON continued their current activity/nutrition patterns. Compared to CON, WEX improved (p<.05) functional fitness and balance measures including arm curl (22%), chair stand (21%), 8-feet up & go (13%), chair sit/reach (50%), and 12-min walk (15%). No significant changes in sway velocity (SV) or limits of stability (LOS) were seen for either group. This shallow water exercise improved land-based ADL for older women but not balance. ADL tasks associated with balance did improve which may have indicated enhanced motor control.

Factors Related To Diagnosis Of Community-Acquired Pneumonia In The Elderly, Elza Febria Sari, C. Martin Rumende, Kuntjoro Harimurti

Jurnal Penyakit Dalam Indonesia

Introduction. Diagnosing community-acquired pneumonia (CAP) in the elderly remains a clinical challenge for various reasons. The clinical manifestation in the elderly is not frank and atypical manifestations, e.g. falls, decrease of functional status and food intake or urinary incontinence, may be present. These reasons may be associated with under or over diagnosis, which consequently contribute to the higher observed mortality rate in the elderly population with CAP. Study about factors related to diagnosis of CAP in the elderly was ra rely performed.

Methods. From January to October 2010, 158 elderly patients suspected of having pneumonia at RSCM were registered. Relationship …

Effects Of Foot And Ankle Devices On Balance, Gait And Falls In Adults With Sensory Perception Loss, J Paton, Al Hatton, K Rome, B Kent

School of Health Professions

No abstract provided.

Safety Culture And Fall Prevention: A Collaborative Effort, Cecilia Cortina

Seton Hall University DNP Final Projects

Patient falls in the United States (US) range from 700,000 to one million annually and one third of those falls can be prevented (Du Pree, Fritz-Campiz & Musbeno, 2014). Twenty to 30% of falls are moderate to severe (Schimke & Schimke, 2014). As of 2009, The Joint Commission’s (TJC) (2015) Sentinel Event databank held 465 reports of hospital falls with injury; deaths that resulted in those injuries were reported as 63 percent. Common denominators resulting in patient falls with injury are poor assessment, lack of communication, failure to follow protocols, insufficient training and supervision, staffing levels, unsafe environments and lack …

A Resident-Centered Dementia Care Staff Education Project To Reduce Challenging Behaviors At A Long-Term Care Facility, Margaret Huryk

Seton Hall University DNP Final Projects

Frequent use of antipsychotic medication (APM) for behavioral and psychological symptoms of dementia (BPSD) persists at high levels in long- term care (LTC) facilities despite extensive evidence of modest clinical benefits, serious adverse effects, public health advisories and a national initiative to improve dementia care. There is a gap between best-practice evidence and actual clinical practice related to pharmacological and nonpharmacological care for persons with dementia (PWD) and BPSD and/or neuropsychiatric symptoms (NPS) of dementia. The literature shows that clinicians often ignore FDA (Food and Drug Administration) warnings, CMS (the Centers for Medicare and Medicaid Services) initiatives and expert opinion …

Gaps In Pain Management In Assisted Living, Pamela G. Wisor

DNP and Student Works

Assisted living (AL) is a growing lifestyle choice option available to the ailing aged in the United States. Increases in chronic disease may predispose this population to acute and chronic pain due to increased longevity with medical advances. The elderly populations in these facilities are frail with multiple chronic illnesses and cognitive and/or functional impairment adding to the difficulty in effective pain management practices. The burden of providing pain management in AL is on the nursing assistant whose education and scope of practice may not include performing pain assessment that impact resident quality of life and outcomes. Continuing education in …

Building Age-Friendly Community: Notes From The Field, Rachel Filinson, Marianne Raimondo, Maureen Maigret

Sociology Between the Gaps: Forgotten and Neglected Topics

Building age-friendly communities is a global as well as a national concern. The purpose of this paper is to explore fundamental tensions underlying the formulation of age-friendly goals and their implementation, based on a review of age-friendly projects and reflections on the journey towards age friendliness in one state (Rhode Island). The authors conducted a comprehensive investigation of the relevant literature on previous age-friendly initiatives, which included case studies of individual projects, meta-analyses of age-friendly work, and educational toolkits for promoting age-friendly community. They also collected original data from ten focus groups with older adults, interviews with key informant service …

Self-Care Among Older Adults With Heart Failure, Sumayya Attaallah, Kay Klymko, Faith Pratt Hopp

Social Work Faculty Publications

Background: It is estimated that 5.7 million Americans are living with heart failure (HF) today. Despite the fact that HF is one of the most common reasons people aged 65 years and older are admitted into the hospital, few studies describe the self-care in this older adult population. Purpose: The purpose of the study was to review the current literature on self-care in this population to better understand the influence of selected factors on self-care and health outcomes. Methods: A literature search was completed and resulted in including 28 studies. Results: Multiple factors have been reported as barriers to self-care …

Preoperative Cognition Screening And Postoperative Delirium In Older Surgical Patients, Lucy Andrews

DNP and Student Works

People 65 years or older are having surgery later in life and are at risk of developing a major postoperative complication, delirium. The Montreal Cognitive Assessment, is a preoperative cognitive screening tool which was used to screen thirty-three older orthopedic surgical patients to reduce the incidence of this serious postoperative complication. Patients who scored below normal were identified as at risk and monitored to ascertain if identification and monitoring influenced their postoperative course. At the first postoperative visit, each patient was evaluated for falls, confusion, and the ability to follow the required postoperative home exercise program to identify an undetected …

Theory On Meaningful Retirement Through Volunteerism: An Application Among The Elderly, Johnny Yao Jr.

CNU Journal of Higher Education

Retirement is a phase in an individual’s life wherein there is withdrawal from employment and for most of the elderly, regular remuneration ceases. In spite of this, there is a growing number of retirees who continues to render work through volunteering even after retirement. This correlational study enlisted a multi-stage and purposive sample of 102 volunteer retirees in Cebu City. A 5-part instrument package was utilized to (1) describe the respondents’ demographic characteristics and (2) the nature of their volunteer work. Their reported (3) psychological well-being, (4) life satisfaction and (5) physical health were also determined using the Ryff Scales …

Changes In Mitochondrial Homeostasis And Redox Status In Astronauts Following Long Stays In Space, Hiroko P. Indo, Hideyuki J. Majima, Masahiro Terada, Shigeaki Suenaga, Kazuo Tomita, Shin Yamada, Akira Higashibata, Noriaki Ishioka, Takuro Kanekura, Ikuya Nonaka, Clare L. Hawkins, Michael J. Davies, Daret K. St Clair, Chiaki Mukai

Toxicology and Cancer Biology Faculty Publications

The effects of long-term exposure to extreme space conditions on astronauts were investigated by analyzing hair samples from ten astronauts who had spent six months on the International Space Station (ISS). Two samples were collected before, during and after their stays in the ISS; hereafter, referred to as Preflight, Inflight and Postflight, respectively. The ratios of mitochondrial (mt) to nuclear (n) DNA and mtRNA to nRNA were analyzed via quantitative PCR. The combined data of Preflight, Inflight and Postflight show a significant reduction in the mtDNA/nDNA in Inflight, and significant reductions in the mtRNA/nRNA ratios in both the Inflight and …

Like Disney For Adults: Life In Freedom Village, Janice G. Schuster

Sociology Between the Gaps: Forgotten and Neglected Topics

With an increasingly aging population, American society needs to more effectively address living options for the aging population in the present and future. Older adults have unique needs due to their age, physical and mental condition, varying needs for medical and health care and assistance with their daily activities. Freedom Village is an example of a very successful continuing care retirement community (CCRC) in Holland, Michigan. Using a case study approach and structured questions to ask two residents of Freedom Village, her aunt and uncle, over a period of several months, the author learned that they have lived very happily …

Role Of A Plausible Nuisance Contributor In The Declining Obesity-Mortality Risks Over Time., Tapan Mehta, Nicholas M. Pajewski, Scott W. Keith, Kevin Fontaine, David B. Allison

Department of Pharmacology and Experimental Therapeutics Faculty Papers

CONTEXT: Recent analyses of epidemiological data including the National Health and Nutrition Examination Survey (NHANES) have suggested that the harmful effects of obesity may have decreased over calendar time. The shifting BMI distribution over time coupled with the application of fixed broad BMI categories in these analyses could be a plausible "nuisance contributor" to this observed change in the obesity-associated mortality over calendar time.

OBJECTIVE: To evaluate the extent to which observed temporal changes in the obesity-mortality association may be due to a shifting population distribution for body mass index (BMI), coupled with analyses based on static, broad BMI categories. …

Usfh Collection Development Survey 20161214, Usf Libraries

All Assessment Data

No abstract provided.

National Institutes Of Health Stroke Scale Certification Improved Assessment And Care Of Veterans: A Quality Improvement Project, Joshua W. Baker

DNP and Student Works

This pilot project sought to fill the gap in practice that included a lack of early recognition, assessment skills and practice guidelines for the care of stroke patients, improving patient care and hand off communication. A team was formed at an 11-unit Veterans Health Administration facility. The team comprised various nursing disciplines whom were invited to discuss the current state of veteran care, and current evidence based practices of stroke recognition and care. Pre- and post- intervention tests were administered and data was collected to measure the assessment, recognition, and comfort level of registered nurses (RNs). Data revealed nine out …

Dna Methylation Signatures Of Chronic Low-Grade Inflammation Are Associated With Complex Diseases, Symen Ligthart, Carola Marzi, Stella Aslibekyan, Michael M. Mendelson, Karen N. Conneely, Toshiko Tanaka, Elena Colicino, Lindsay L. Waite, Roby Joehanes, Weihua Guan, Jennifer A. Brody, Cathy Elks, Riccardo Marioni, Min A. Jhun, Golareh Agha, Jan Bressler, Cavin K. Ward-Caviness, Brian H. Chen, Tianxiao Huan, Kelly Bakulski, Elias L. Salfati, Whi-Empc Investigators, Giovanni Fiorito, Charge Epigenetics Of Coronary Heart Disease, Simone Wahl, Katharina Schramm, Jin Sha, Dena G. Hernandez, Allan C. Just, Jennifer A. Smith, Donna K. Arnett

Epidemiology and Environmental Health Faculty Publications

Background: Chronic low-grade inflammation reflects a subclinical immune response implicated in the pathogenesis of complex diseases. Identifying genetic loci where DNA methylation is associated with chronic low-grade inflammation may reveal novel pathways or therapeutic targets for inflammation.

Results: We performed a meta-analysis of epigenome-wide association studies (EWAS) of serum C-reactive protein (CRP), which is a sensitive marker of low-grade inflammation, in a large European population (n = 8863) and trans-ethnic replication in African Americans (n = 4111). We found differential methylation at 218 CpG sites to be associated with CRP (P < 1.15 × 10^–7) in the discovery panel …

The Relationship Between Emotional Support And Health Related Self-Efficacy In Older Inmates, Deborah N. Steciak-Noujaim

Master's Theses

Inmates age 50 and older are the fastest growing segment of the prison population. Because the majority of inmates return to the community, adequate self-care is essential for managing their overall health. Studies among older community-living persons indicate that emotional support is associated with improved efficacy for managing one’s health (e.g., health related self-efficacy). Data collected from the “Physical Functioning and Mental Health of Older Prisoners” study were analyzed to determine if emotional support is associated with health-related self-efficacy among older inmates in Connecticut. Even after controlling for demographic, incarceration and clinical/behavioral factors, older inmates reporting lower levels of emotional …

Commencement Convocation Program, Sarasota - Manatee Campus, December 11, 2016, University Of South Florida

USF Graduation and Convocation Programs

Outstanding Graduate Award and Golden Bull Service and Leadership Award - Jennifer Caba; Outstanding Professor - Jean Kabongo

Commencement Convocation Program, Usf, Graduate, December 10, 2016, University Of South Florida

USF Graduation and Convocation Programs

Honorary Doctor of Business - Retired Vice Admiral Mike McConnell

Barriers And Facilitators To Service Utilization For People With Dementia And Their Caregivers, Sana M. Hasan

Honors Capstones

According to the CDC, there were 5.2 million Americans living with Alzheimer’s disease in 2013 (CDC 2013). That number is expected to nearly triple in 2050 as the baby boomer generation reaches retirement age. Underutilization of services is something experienced by many demographics and is a considerable issue for individuals with dementia. This study sought to uncover factors correlated with underutilization of services for people with dementia through both a literature review and sit-down interviews with three healthcare professionals. Results indicated that cultural, financial, attitudinal and knowledge barriers exist for PwD (people with dementia) and their caregivers and may interfere …

Qualitative Health Research Involving Indigenous Peoples: Culturally Appropriate Data Collection Methods, Amy L. Wright, Olive Wahoush, Marilyn Ballantyne, Chelsea Gabel, Susan M. Jack

The Qualitative Report

Historically, health research involving Indigenous peoples has been fraught with problems, including researchers not addressing Indigenous research priorities and then subsequently often failing to utilize culturally appropriate methods. Given this historical precedence, some Indigenous populations may be reluctant to participate in research projects. In response to these concerns, the Government of Canada has developed the Tri-Council Policy Statement (TCPS2): Research Involving the First Nations, Inuit and Métis Peoples of Canada, which stipulates the requirements for research collaborations with Indigenous communities. Utilizing this policy as an ethical standard for research practices, this paper describes, critiques and synthesizes the literature on culturally …

Commencement Convocation Program, Usf, Baccalaureates, December 9, 2016, University Of South Florida

USF Graduation and Convocation Programs

Honorary Doctor of Science - Melanie Cooper; Outstanding Graduate - Stephanie Radu; President's Global Leadership Award - Peter McPherson; King O'Neal Scholars - Lauren Alford,Khadija Bouarfa, Aaron Braley, Shane Cataract, Payton Cook, Alyssa Cooper, Eesha Hasan, Elly Kretchman, Brooks Lackmann, Corazon Marmanillo Romero, Angelina Parrino, Amanda Pitre, and Katelin Russ

The Rapture Of Being Alive: Mourning, Narrative, And Communicative Ritual In The Digital Age, Marjorie Merideth Drinan

Theses - ALL

Conversations have an afterlife. But what if the afterlife could have conversations? In that metaphorical space, the author explores how technology and design will engender new communicative rituals and tools of mourning as the semiotics of traditional gravescapes begin to diffuse. This pivot will occur in tandem with the rise of alternative forms of body disposition and growing environmental stewardship in response to increased urbanization and notions of intergenerational equity. Digital space, the postmodern hearth of an ever individualized and fractured society, will enable a plurality of mourning as the idea of legacy is deconstructed within the framework of transhumanism …

“Through My Eyes”, A New Narrative Model Using Memories As Self And Intergenerational Discovery, Rui Tang

Theses - ALL

What keeps us happy and healthy as we go through life? According to psychiatrist Robert Waldinger, the director of a 75-year-old study on adult development, a good life isn’t about wealth or fame. Instead, effective social interactions keep us, especially older adults, happier and healthier. Narrative projects like the oral history and collective memory are widely employed to invite older adults to share their memories about historical significant events. Although there were modest benefits in reducing participants’ social isolation (Bornat 16), the approaches of these projects are limited to narrative analysis, rather than narrative itself. The tension between older adults’ …

The Rapture Of Being Alive: Mourning, Narrative, And Communicative Ritual In The Digital Age, Marjorie Merideth Drinan

Theses - ALL

Conversations have an afterlife. But what if the afterlife could have conversations? In that metaphorical space, the author explores how technology and design will engender new communicative rituals and tools of mourning as the semiotics of traditional gravescapes begin to diffuse. This pivot will occur in tandem with the rise of alternative forms of body disposition and growing environmental stewardship in response to increased urbanization and notions of intergenerational equity. Digital space, the postmodern hearth of an ever individualized and fractured society, will enable a plurality of mourning as the idea of legacy is deconstructed within the framework of transhumanism …

“Through My Eyes”, A New Narrative Model Using Memories As Self And Intergenerational Discovery, Rui Tang

Theses - ALL

What keeps us happy and healthy as we go through life? According to psychiatrist Robert Waldinger, the director of a 75-year-old study on adult development, a good life isn’t about wealth or fame. Instead, effective social interactions keep us, especially older adults, happier and healthier. Narrative projects like the oral history and collective memory are widely employed to invite older adults to share their memories about historical significant events. Although there were modest benefits in reducing participants’ social isolation (Bornat 16), the approaches of these projects are limited to narrative analysis, rather than narrative itself. The tension between older adults’ …

Social Media For Senior Citizens: An Introductory Course, Cheryl Raistrick

Instructional Design Capstones Collection

The Woburn Council on Aging is a municipal, volunteer board appointed by the Mayor of Woburn. The Woburn COA operates the Woburn COA Senior Center as a resource for the community's senior citizen population. The Senior Center provides information, referrals, information, outreach, advocacy, transportation, health screening, nutrition, education, peer support, recreation, volunteer development and intergenerational programming for members of the community. Educational programs on the use of technology are offered monthly at the Woburn COA Senior Center though members have expressed interest in learning more about social media applications and how they can be used to communicate with family and …