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Identifying Interventions To Address Triggers Of Decline In Vulnerable Older Adults, Maria Teresa Brown, Kara Williams

Aging Studies Institute

The changing landscape of health and healthcare in the United States continues to highlight certain limitations in the ability to understand the needs of vulnerable populations and provide adequate services. One of the challenges faced by researchers and service providers interested in the health and well-being of older adults is the absence of universal definitions of “vulnerability” or “frailty.” As a funder in the aging sector, in 2014 the Health Foundation for Western and Central New York (the Foundation) set out to identify working definitions to guide their work and to develop a conceptual model identifying factors with the potential …

Incidence And Management Of Polypharmacy, Zillah Mulubisha

Nursing Capstones

No abstract provided.

Associations Between Mobility, Cognition And Callosal Integrity In People With Parkinsonism, Brett W. Fling, Marian L. Dale, Carolin Curtze, Katrijn Smulders, John G. Nutt, Fay B. Horak

Journal Articles

Falls in people with parkinsonism are likely related to both motor and cognitive impairments. In addition to idiopathic Parkinson's disease (PD), some older adults have lower body parkinsonism (a frontal gait disorder), characterized by impaired lower extremity balance and gait as well as cognition, but without tremor or rigidity. Neuroimaging during virtual gait suggests that interhemispheric, prefrontal cortex communication may be involved in locomotion, but contributions of neuroanatomy connecting these regions to objective measures of gait in people with parkinsonism remains unknown. Our objectives were to compare the integrity of fiber tracts connecting prefrontal and sensorimotor cortical regions …

Bjc Today

BJC Today

No abstract provided.

An Assessment Of Intergenerational Relationship Between Youth And Parental Generation, K. K. Singh, Prashant Verma

Journal of Statistics Applications & Probability

“Intergenerational relationships are sometimes treated as a barometer of social change. Events that seem to express the willingness of adults to bring up and cherish a new generation or to care for their elders are seized on as an indicator of societal well being”(Jamieson, 2006). In this paper primary data have been analyzed using discriminant analysis to evaluate the health of the relationship between youth and parental generation among the students.We find that compared with male students, female students have better relationships with their parents. Students, living with their parents, have a better intergenerational relationship (IR) than those not living …

Socioeconomic Segregation And The Location Of Assisted Living Facilities In Wa State, Miranda M. Anderson

Symposium Of University Research and Creative Expression (SOURCE)

This research project looks at the relationships between segregation by socio-economic status, race & ethnicity, and the location of assisted living facilities in the state of Washington. We know that segregation affects a variety of living conditions and life chances and outcomes, such as employment, housing, and school success rates. We lack research, however, on the effects of segregation on the location of assisted living facilities. Are assisted living homes being located in heavily segregated neighborhoods? Assisted living homes are not subject to the standard regulations that a nursing home is, and often the residents of these homes are not …

Age And Employee Green Behaviors: A Meta-Analysis, Brenton M. Wiernik, Stephan Dilchert, Deniz S. Ones

Publications and Research

Recent economic and societal developments have led to an increasing emphasis on organizational environmental performance. At the same time, demographic trends are resulting in increasingly aging labor forces in many industrialized nations. Commonly held stereotypes suggest that older workers are less likely to be environmentally responsible than younger workers. To evaluate the degree to which such age differences are present, we meta-analyzed 132 independent correlations and 336 d-values based on 4676 professional workers from 22 samples in 11 countries. Contrary to popular stereotypes, age showed small positive relationships with pro-environmental behaviors, suggesting that older adults engaged in these workplace …

Age And Employee Green Behaviors: A Meta-Analysis, Brenton M. Wiernik, Stephan Dilchert, Deniz S. Ones

Publications and Research

Recent economic and societal developments have led to an increasing emphasis on organizational environmental performance. At the same time, demographic trends are resulting in increasingly aging labor forces in many industrialized nations. Commonly held stereotypes suggest that older workers are less likely to be environmentally responsible than younger workers. To evaluate the degree to which such age differences are present, we meta-analyzed 132 independent correlations and 336 d-values based on 4676 professional workers from 22 samples in 11 countries. Contrary to popular stereotypes, age showed small positive relationships with pro-environmental behaviors, suggesting that older adults engaged in these workplace …

Sustainability, Livelihoods, And Quality Of Life Of Older Retirees In Lagos State, Nigeria, Bola Amaike

Journal of Global Initiatives: Policy, Pedagogy, Perspective

Later life is celebrated in Africa because it is seen as a blessing from God. Therefore, older people are generally treated with dignity. But with modernization, African senior citizens suffer diverse challenges and experience difficulty in meeting their basic needs. Hence, the need for sustainable livelihoods that will address life deprivations and improve the quality of life of Nigerian elders. This article examines the sustainability of retirement livelihoods and its impact on quality of life of formal sector retirees in Nigeria. It argues that beyond the conventional survival mechanisms, Nigerian retirees require resilient and sustainable livelihoods in order to enhance …

Aging-Related Impairment Of Urine-Concentrating Mechanisms Correlates With Dysregulation Of Adrenocortical Angiotensin Type 1 Receptors In Male Fischer Rats, Hong Ji, Wei Zheng, Xie Wu, Robert C. Speth, Joseph G. Verbalis, Lauren M. Stein, Gina L.C. Yosten, Willis K. Samson, Kathryn Sandberg

Biological Sciences Faculty Research & Creative Works

To investigate age-associated impairments in fluid homeostasis, 4-mo (young) and 32-mo (old) Fischer 344/BN male rats were studied before and after a dietary sodium load. Transferring young rats from a low-sodium (LS) to a high-sodium (HS) diet increased water intake and urine volume by 1.9-and 3.0-fold, respectively, while urine osmolality and plasma aldosterone decreased by 33 and 98%. Concomitantly, adrenocortical angiotensin type 1 receptor (AT1R) density decreased by 35%, and AT1bR mRNA decreased by 39%; no changes were observed in AT1aR mRNA. In contrast, the increase in water intake (1.4-fold) was lower in the old rats, and there was no …

Emotional Confidants In Ethnic Communities: Social Network Analysis Of Korean American Older Adults, Yuri Jang Phd, Kyungmin Kim Phd, Nan Sook Park, David A. Chiriboga

Social Work Faculty Publications

Objective: Ethnic communities often serve as the primary source of emotional support for older immigrants. This study aims to identify individuals who are more likely to be nominated as emotional confidants by age peers in the ethnic community and to examine factors contributing to the likelihood of being a more frequently endorsed confidant.

Method: Data were drawn from a survey with 675 older Korean Americans. Using the name-generator approach in Social Network Analysis (SNA), participants were asked to list the names of three emotional confidants among age peers in the community.

Results: A higher level of popularity (i.e., in-degree centrality) …

Stabilization Of Microtubule-Unbound Tau Via Tau Phosphorylation At Ser262/356 By Par-1/Mark Contributes To Augmentation Of Ad-Related Phosphorylation And Aβ42-Induced Tau Toxicity., Kanae Iijima-Ando, Akiko Maruko-Otake, Yosuke Ohtake, Motoki Hayashishita, Michiko Sekiya, Koichi M Iijima

Department of Neuroscience Faculty Papers

Abnormal accumulation of the microtubule-interacting protein tau is associated with neurodegenerative diseases including Alzheimer's disease (AD). β-amyloid (Aβ) lies upstream of abnormal tau behavior, including detachment from microtubules, phosphorylation at several disease-specific sites, and self-aggregation into toxic tau species in AD brains. To prevent the cascade of events leading to neurodegeneration in AD, it is essential to elucidate the mechanisms underlying the initial events of tau mismetabolism. Currently, however, these mechanisms remain unclear. In this study, using transgenic Drosophila co-expressing human tau and Aβ, we found that tau phosphorylation at AD-related Ser262/356 stabilized microtubule-unbound tau in the early phase of …

The Future Of Aging In The Town Of Chatham: Chatham Council On Aging Needs Assessment Study, Jan E. Mutchler, Ceara Somerville, Maryam Khaniyan, Molly Evans

Center for Social and Demographic Research on Aging Publications

This report describes efforts undertaken by the Town of Chatham Council on Aging (COA), in partnership with the Center for Social and Demographic Research on Aging within the Gerontology Institute at the University of Massachusetts Boston, to investigate the needs, interests, preferences, and opinions of Chatham’s older population. The focus of this report is on two cohorts of Chatham’s residents—those aged 50 to 59, and those individuals who are currently aged 60 and over. The content of this report is intended to inform the Town of Chatham, the Chatham Council on Aging, and organizations that provide services to older residents, …

About The Contributors

Journal of Global Initiatives: Policy, Pedagogy, Perspective

No abstract provided.

Understanding The Communicative Processes Of Baby Boomer Women Adjusting To Retirement: Connecting Micro And Macro Discourses, Patricia E. Gettings

Open Access Dissertations

Baby Boomers are changing the face of retirement in the United States. For example, retirement traditionally refers to the time when an individual who has worked full-time for the majority of her life chooses to entirely and permanently exit the workforce, but now includes a range of formations (e.g., bridge employment). Baby Boomer women are most affected by this “new” retirement because they have worked a broader range of jobs for longer periods of time than ever before. Transitioning to retirement implicates processes of adjusting beyond just a change in one’s employment status as retirees potentially confront instrumental (e.g., where …

Fear Conditioning And Extinction In Youth With Obsessive-Compulsive Disorder, Joseph F. Mcguire, Scott P. Orr, Monica S. Wu, Adam B. Lewin, Brent J. Small, Vicky Phares, Tanya K. Murphy, Sabine Wilhelm, Daniel S. Pine, Daniel Geller, Eric A. Storch

Psychology Faculty Publications

BACKGROUND: Fear acquisition and extinction are central constructs in the cognitive-behavioral model of obsessive-compulsive disorder (OCD), which underlies exposure-based cognitive-behavioral therapy (CBT). Youth with OCD may have impairments in fear acquisition and extinction that carry treatment implications. We examined these processes using a differential conditioning procedure.

METHODS: Forty-one youth (19 OCD, 22 community comparisons) completed a battery of clinical interviews, rating scales, and a differential conditioning task that included habituation, acquisition, and extinction phases. Skin conductance response (SCR) served as the primary dependent measure.

RESULTS: During habituation, no difference between groups was observed. During acquisition, differential fear conditioning was observed …

Influence Of Procedural Factors On The Reliability And Performance Of The Timed Up And Go Test In Older Adults, Szu-Ping Lee, Janet S. Dufek, Robbin A. Hickman, Sue E. Schuerman

Kinesiology and Nutrition Sciences Faculty Research

“Timed up-and-go” (TUG) test is a clinical assessment commonly used to quantify functional mobility and fall risk in older adults. While the concept of the test is simple, procedural variations can significantly impact the reliability and the performance. The purpose of the study was to determine the influence of specific procedural factors on the test–retest reliability and TUG test performance in older adults.

The Effect Of Technology On Therapy Alliance, Ryan F. Birch

Doctor of Psychology (PsyD)

The therapeutic alliance is considered a demonstrably effective variable for therapy outcomes independent of treatment type, yet the extent to which it may be affected by technology is vague. Similarly, studies examining how technology alters the therapeutic relationship in a traditional face-to-face context are sparse and inconclusive. The robust association between psychotherapy alliance and therapy outcomes combined with the lack of conclusive evidence concerning how technology influences this calls for more research on the relationship between alliance and technology. The current study examines how clients’ perceptions of therapy alliance over the course of 10 sessions change with the administration of …

Techniques And Approaches To Genetic Analyses In Nephrological Disorders., Laurel K. Willig

Manuscripts, Articles, Book Chapters and Other Papers

Inherited renal disease is a leading cause of morbidity and mortality in pediatric nephrology. High throughput advancements in genomics have led to greater understanding of the biologic underpinnings of these diseases. However, the underlying genetic changes explain only part of the molecular biology that contributes to disease manifestation and progression. Other omics technologies will provide a more complete picture of these cellular processes. This review discusses these omics technologies in the context of pediatric renal disease.

Ms171: Interview With Marianne Marcus, Marianne Marcus Edd, Rn, Houston Academy Of Medicine-Texas Medical Center Library

Texas Medical Center - Women's History Project

An oral history with Marianne Marcus, Professor Emerita at the University of Texas at Houston School of Nursing. Before she retired and assumed the title of Professor Emerita in 2104, Dr. Marcus chaired the UT Nursing School’s Department of Nursing Systems, directed its Master’s of Nursing Education degree track and directed its Center for Substance Abuse Prevention, Education and Research. While at UT, she was elected to its Academy of Health Science Education and named as a Fellow of the American Academy of Nursing. She was appointed the John P. McGovern Distinguished Professor of Addiction Nursing at UT Health Science …

Ms171: Interview With Margaret Caddy, Margaret Caddy, Houston Academy Of Medicine-Texas Medical Center Library

Texas Medical Center - Women's History Project

An oral History interview with Margaret Caddy discussing her nursing and administrative career in Houston and the Texas Medical Center. Caddy worked in hospice care from 1983-2009. Part of that time, She served as the Executive Director for Houston Hospice. See more at Texas Medical Center-Women's History Project and its finding aid.

Trait Hope And Preparation For Future Care Needs Among Older Adult Primary Care Patients, Jodi L. Southerland, Deborah L. Slawson, Robert Pack, Silvia Sörensen, Jeffrey M. Lyness, Jameson K. Hirsch

ETSU Faculty Works

We examined associations between trait hope and preparation for future care needs (PFCN) among 66 older adult primary care patients in western New York. Participants completed a questionnaire assessing PFCN (awareness, information gathering, decision-making, concrete planning, and avoidance), and the Adult Trait Hope Scale. In multivariate regressions, lower hope, particularly less agency, was associated with more awareness of needing care, whereas higher hopefulness, particularly pathways thinking, was associated with increased decision-making and concrete planning. Greater hopefulness appears to be linked to goal-directed planning behaviors, although those with lower hope may actually be more aware of the need for planning. Evidence-based …

Association Between Polymorphisms Associated With Major Depression, Cognitive Function, And Stress Regulation And Telomere Length In Older Community-Dwelling Adults And In Older Competitive Athletes, Cynthia Elizabeth Perry

Theses and Dissertations

Many factors detrimental to healthy aging have been proposed including depression, stress, cognitive decline, and telomere shortening. Of specific interest are the genetic factors that may contribute to these factors and subsequently lead to accelerated telomere shortening and aging, namely the Bcl1, 5-HT, DRD2, and ApoE polymorphisms. We sought to: 1) further clarify the role of depression, stress tolerance, and cognitive decline in aging by examining the effect of associated polymorphisms (Bcl1, 5-HT, DRD2, and ApoE) on telomere length in two samples of older adults and 2) determine the difference in absolute telomere length between the two groups. We examined …

Differential Health And Social Needs Of Older Adults Waitlisted For Public Housing Or Housing Choice Vouchers, Paula C. Carder, Gretchen Luhr, Jacklyn Nicole Kohon

Institute on Aging Publications

Affordable housing is an important form of income security for low-income older persons. This article describes characteristics of older persons waitlisted for either public housing or a housing choice voucher (HCV) (previously Section 8) in Portland, Oregon. 358 persons (32% response rate) completed a mailed survey with questions about demographics, health and housing status, food insecurity, and preference for housing with services. Findings indicate that many waitlisted older persons experienced homelessness or housing instability, poor health, high hospital use, and food insecurity. Public housing applicants were significantly more likely to report lower incomes, homelessness, and food insecurity than HCV applicants. …

Significance Of Tumor Marker Ca15-3 In Metastatic Breast Cancer, Hoor Fatima, Amir Maqbool, Marium Siddiqui, Ghulam H, Habiba Sohail, Omema Saleem, Afarina Ahmed

Department of Medicine

Secondary spread of cancer to bones is commonest and frequent phenomenon and enhances the need of special care for sufferers. Bone metastases mostly are the first complication of different variety of cancers which increase the need of care and expensive facilities. Blood dissemination is another common route, might be due to the venous drainage from visceral organs directly into the axial bones. CA 15-3 is a mucinous tumor markers derived from MUC1 gene, provides better guide line about the treatment, recurrence and prognosis.

Aim: Aim of the study was to signify the role of tumor marker CA15-3 in metastatic breast …

Caring For Thai Older Persons With Long-Term Care Needs, John Knodel, Bussarawan Teerawichitchainan, Wiraporn Pothisiri

Research Collection School of Social Sciences

Thailand is experiencing more acute population aging than most developing Asian countries. Its population aged 60 and older is anticipated to grow from 10% in 2000 to 38% by 2050. Meanwhile, the oldest-old population that is most likely to require long-term care (LTC) is estimated to increase tenfold during the first half of the 21st century. Family has remained a linchpin of support for Thai elders with LTC needs. Given population aging and other demographic trends such as smaller family size, migration of adult children, and lengthening survival at older ages, policy makers are concerned how such socio-demographic changes may …

Long-Term Care Needs In The Context Of Poverty And Population Aging: The Case Of Older Persons In Myanmar, Bussarawan Puk Teerawichitchainan, John Knodel

Research Collection School of Social Sciences

Myanmar is one of the poorest and least healthy countries in Southeast Asia. Nevertheless, population aging is taking place. Myanmar's policy makers have only begun to pay attention to the implications of population aging for its economy and society, including the health system. There is virtually no official policy or program in place to provide long-term care (LTC) for older persons. Family has thus been the mainstay of financial and instrumental support for elderly with LTC needs. Myanmar's demographic transitions likely challenge the current form of family caregiving for frail older persons, especially in the coming decades. This study aims …

Structured Interviews Examining The Burden, Coping, Self-Efficacy, And Quality Of Life Among Family Caregivers Of Persons With Dementia In Singapore, Peter Kay Chai Tay, Chuen Chai Dennis Seow, Chunxiang Xiao, Hui Min Julian Lee, Helen Chiu, Sally Wai-Chi Chan

Research Collection School of Social Sciences

Dementia is a global health issue and the effects on caregivers are substantial. The study aimed to examine the associations of burden, coping, self-efficacy with quality of life among family caregivers of persons with dementia in Singapore. Structured interviews were conducted in a convenience sample of 84 family caregivers caring and seeking clinical care for the persons with dementia in an outpatient clinic of a public hospital in Singapore. The outcome measures included the Family Burden Interview Schedule, Family Crisis Oriented Personal Evaluation Scale, General Perceived Self-Efficacy Scale, and World Health Organization Quality of Life Scale – Brief Version. In …

The Effect Of A Resourcefulness Training Intervention On Relocation Adjustment And Adaptive Functioning Among Older Adults In Retirement Communities, Abir K. Bekhet, Jaclene A. Zauszniewski

College of Nursing Faculty Research and Publications

The population of older adults is increasing rapidly and is expected to reach 83.7 million by the year 2050. Previous research demonstrates that greater resourcefulness is associated with better quality of life and life satisfaction. The purpose of this pilot study was to evaluate the effects of a resourcefulness training intervention on positive cognitions, resourcefulness, relocation adjustment, and adaptive functioning among older adults who have relocated to retirement communities. Resourcefulness theory provided the theoretical framework for this study. Forty older adults who relocated to three retirement communities in Milwaukee, WI were randomly assigned to either a diversional activity group or …

Psychometric Evaluation Of The Physical Activity Enjoyment Scale In Adults With Functional Limitations, Carolyn J. Murrock, Abir K. Bekhet, Jaclene A. Zauszniewski

College of Nursing Faculty Research and Publications

Enjoyment is an important construct for understanding physical activity participation, and it has not been examined in adults with functional limitations. This secondary analysis reported the reliability and validity of the Physical Activity Enjoyment Scale (PACES) in a convenience sample of 40 adults with functional limitations. The participants completed the PACES, Center for Epidemiological Studies Depression Scale (CES-D), and the Late Life Function and Disability Instrument (LLFDI) prior to beginning a 12-week feasibility dance intervention study. Results indicated reliability as Cronbach's alpha was .95 and mean inter-item correlation was .52. To further support reliability, homogeneity of the instrument was evaluated …