Digital Commons Network^™

Testing Immigrant Social Ties Explanations For Latino Health Paradoxes: The Case Of Social Support And Depression Symptoms, Edna A. Viruell-Fuentes, Flavia C. D. Andrade

Journal of Latino/Latin American Studies (JOLLAS)

We tested the immigrant social ties hypothesis for Latino health outcomes by examining whether positive social support from, and negative interactions with, spouses/partners, friends/relatives, and children accounted for the differences in depression symptoms between immigrant and U.S.-born Latinos. We analyzed data from the 2001– 2003 Chicago Community Adult Health Study. Immigrants and U.S.-born Latinos reported similar levels of positive support from spouses/partners and children, but the U.S.-born reported higher levels of positive support from friends/relatives. At the same time, U.S.-born Latinos reported higher levels of negative interactions with friends/relatives, spouses/partners, and children. For the full sample and the sample with …

A 360 Degree View Of Roles And Responsibilities Concerning Diminished Capacity: Financial Advisers’ Obligations To Clients, Lawyers Representing Clients, And Lawyers Preparing Their Practices, Elissa Germaine, Nicole G. Iannarone, Teresa Verges

Faculty Publications

(Excerpt)

Aging is inevitable and impacts everyone. The risk of a person developing cognitive impairment or some other incapacity affecting daily life increases with each passing year. While some will live long lives without suffering from cognitive decline, others will not be so fortunate. One thing is clear: seniors have the greatest risk of developing some form of impairment that will impact their ability to make their own decisions and that will put them at risk of fraud by predators or of harm by well-intentioned but ill-informed persons seeking to help them. As lawyers representing clients in FINRA proceedings, PIABA …

W423.1-026z-01 - College Of Arts And Sciences: Gerontology Program: Correspondence And Memoranda, College Of Arts And Sciences

University Archives Finding Aids

No abstract provided.

Reference Ranges And Association Of Age And Lifestyle Characteristics With Testosterone, Sex Hormone Binding Globulin, And Luteinizing Hormone Among 1166 Western Chinese Men, Xubo Shen, Ruifeng Wang, Na Yu, Yongjun Shi, Honggang Li, Chengliang Xiong, Yan Li, Ellen M. Wells, Yuanzhong Zhou

School of Health Sciences Faculty Publications

Decreased total testosterone (TT) is the recommended metric to identify age-related hypogonadism. However, average TT and the extent to which it varies by age, can vary substantially among different populations. Population-specific reference ranges are needed to understand normal versus abnormal TT levels. Therefore, the goal for this study was to describe androgen concentrations and their correlates among Western Chinese men. We completed a population-based, cross-sectional study including 227 young adults (YA) (20–39 years) and 939 older adults (OA) (40–89 years). We measured TT, sex-hormone binding globulin (SHBG), luteinizing hormone (LH), testosterone secreting index (TSI), and calculated free testosterone (cFT). Reference …

The Effects Of Individual-Level Income And Contextual-Level Income Inequality On Health, Beth Simmert

Wayne State University Dissertations

The relationship between income inequality and health is often studied at either the individual-level or contextual-level. The purpose of this research is to assess both of these levels, by simultaneously examining the individual and contextual contributions of income inequality on health. To address this research objective, I use data for 14,126 respondents from the 2006 wave of the Health and Retirement Study (HRS), a nationally representative sample of Americans over 50. For this analysis, I use multi-level modeling with fixed and random intercepts to assess the relationship between income inequality and three measures of health. This study has two main …

An Evidence Based Curriculum On Early Recognition And Prevention Of Delirium In Hospitalized Elderly, Albert Belaro

Yale School of Nursing Digital Theses

Abstract

Background: Delirium in older adults is common, but there is evidence that programs utilizing a set of non-pharmacologic interventions are effective in preventing it. Early recognition and delirium prevention programs may save lives and reduce healthcare costs.

Problem: Hospitalized older adults have special needs that can be addressed using evidence-based clinical practice. However, hospital nurses may lack the competency to care for patients at risk of developing delirium and can benefit from a delirium educational training program.

Design: The development of an Education program.

Methods: Critical content was identified, synthesized from the literature and developed into a curriculum outline. …

Early Intervention In Suspected Sepsis Patients, Timothy Richard Layman

Yale School of Nursing Digital Theses

Objectives: Inform the development and implementation of an early response algorithm for suspected sepsis patients via a rapid response team.

Background: Recent literature supports the need for early recognition and intervention of suspected sepsis patients, potentially reducing morbidity and mortality.

Methods: A clinically and professionally reviewed algorithm was developed to execute early, sepsis-specific intervention. The algorithm design was carried out in 3 steps: (1) The establishment of recognition criteria based on evidence; (2) The validation of the algorithm by a panel of clinical experts; and (3) The development of a plan to initiate inclusion of the criteria into a rapid …

Best Practices For A State Alzheimer's Disease Registry: Lessons From Georgia, Elizabeth Weeks Leonard, Rui Bu, Amanda Alexandra Brown

Scholarly Works

In May 2014, the Georgia General Assembly enacted legislation establishing the Alzheimer’s Disease Registry (“Registry”) in order to generate new data for research and policy planning. The Task Force bill followed similar federal legislation. This state action has not only drawn tremendous attention to the continued prevalence of Alzheimer’s disease among the population of Georgia but also raised a series of questions regarding the practicability, legality, and effectiveness of the Registry. The lessons learned in Georgia, as Registry implementation moves forward, will provide guidance for other states interested in collecting similar data. In Part I of this article we describe …

Ethical Challenges Of Using Law Student Interns/Externs To Expand Services To Low-Income Older Adults, Eleanor Lanier

Scholarly Works

No abstract provided.

Postactivation Potentiation: Practical Implications In The Collegiate Setting, Steven T. Banks

Graduate Student Theses, Dissertations, & Professional Papers

Banks, Steven, M.S., May 2016

Health and Human Performance, Exercise Science

POSTACTIVATION POTENTIATION PRACTICAL IMPLICATIONS IN THE COLLEGIATE SETTING

Chairperson: Matthew Bundle Ph.D.

Postactivation potentiation (PAP) induced by a voluntary conditioning activity (CA) has been shown to increase peak force and rate of force development during subsequent muscle contractions increasing performance. We examined existing PAP literature, the underlying physiological mechanisms responsible for PAP, and the various factors that affect protocols used to elicit the PAP response. Furthermore, we aimed to determine what combination of factors are optimal for eliciting a PAP response in training and competition. The proposed mechanism underlying …

Depression In Older Adults In Nursing Homes: A Review Of The Literature, Isabella Mccarthy-Zelaya

University Honors Theses

The rates of depression are high in nursing homes and often is not treated. A systematic literature review was conducted searching for research studies on depression interventions in nursing homes. Nineteen studies met selection criteria, which included being published in a peer-reviewed journal, being set in a nursing home and utilizing an experimental design. The sample sizes of the studies ranged from 21 participants to as many as 595; the lengths of the studies varied as well from 4 weeks to 24 weeks, with six studies also including follow-ups up to one year post-intervention. Studies showed that interventions involving reminiscing …

Diabetes And Physical Activity, Jameela Banu

School of Integrative Biological & Chemical Sciences (Formerly Dept. of Biology)

Diabetes has been on the rise globally. Although many factors contribute to the increasing risk and manifestation of this disease lack and decreased physical activity/ exercise stands out as one of the major factors. Treatment interventions for prediabetic and diabetic patients include diet and lifestyle changes with enhanced physical activity/ exercise. Several types of physical activity are available for these patients but, recommendations have to be made on an individual basis after giving due consideration to the comorbidities and other risks and barriers. Implementation of progressive resistance therapy may be successful in maintaining glucose homeostasis in diabetic patients.

A Qualitative Pilot Study Of Aging Women’S Physical Activity Experiences In One University Fitness And Wellness Center, Alexis Hobbs

Online Theses and Dissertations

Physical inactivity is one of the driving risk factors for developing health problems such as obesity, diabetes, and cardiovascular diseases (World Health Organization, 2003). The prevalence of these diseases increases with the aging process, which renders participation in physical activity crucial among the aging population. There is strong evidence that physical activity reduces the risk of these health disparities and disabilities (Young & Dinan, 2005), however despite these well-documented benefits, aging women still remain sedentary. This study examined the phenomenon of women 55 years of age or older and their lived experiences of participating in physical activity within a university …

The Lived Experience Of Informal Caregivers Of Chronic Stroke Patients, Ann Snider Wigginton

Online Theses and Dissertations

The purpose of this phenomenological study is to contribute to the literature surrounding stroke-survivor caregivers and to understand the caregivers’ perspective on leisure participation and quality of life. Four caregivers of clients with chronic stroke were recruited for the study via convenience sampling. Participants were audio-recorded during a semi-structured interview lasting 60-80 minutes. The interview guide was consistent across participants and included open-ended questions about the caregiver’s leisure participation and quality of life. Recorded data was transcribed and in-vivo coding was completed. Eight categories were developed from the identified codes and narrowed into primary meaning units: role shift, loss of …

Role Of Community Participation In Improving Quality Of Life In Clients With Dementia And Their Caregivers, Mridula Dhamija

Online Theses and Dissertations

Aim: The purpose of this study was to investigate the effects on quality of life for clients with dementia and their caregivers by participating in a community program, the Memory Café.

Method: In this qualitative, cross case study, the Marwit Meser Caregiver Grief Inventory (MM-CGI) was given to caregiver. Data collection was done by interviewing the participants; there was a main question with follow- up questions as needed. All the interviews were audiotaped and transcribed followed by primary and secondary coding. Shortlisting of categories resulted in emergence of themes which were common across cases and unique to each case.

Results: …

Sleep Quality And Factors Affecting Sleep In Elderly Patientswith Rheumatoid Arthritis In Turkey, Seda Pehli̇van, Ayfer Karadakovan, Yavuz Pehli̇van, Ahmet Mesut Onat

Turkish Journal of Medical Sciences

Background/aim: Sleep disorders are more common in people with rheumatoid arthritis (RA). We aimed to determine the sleep quality in adult and elderly people with RA and the factors associated with sleep disorders in each group. Materials and methods: The study was conducted with 182 patients (83 elderly and 99 adult patients) diagnosed with RA. Data were collected through a patient identification form including sociodemographic and disease characteristics. The Health Assessment Questionnaire (HAQ) and Pittsburg Sleep Quality Index (PSQI) were used to assess quality of life and sleep. Results: The mean PSQI scores of the elderly group were lower than …

Healthcare Stereotype Threat In Older Adults In The Health And Retirement Study, Adam W. Fingerhut, Cleopatra M. Abdou, James S. Jackson, Felicia Wheaton

Psychological Science Faculty Works

Introduction

Healthcare stereotype threat is the threat of being personally reduced to group stereotypes that commonly operate within the healthcare domain, including stereotypes regarding unhealthy lifestyles and inferior intelligence. The objective of this study was to assess the extent to which people fear being judged in healthcare contexts on several characteristics, including race/ethnicity and age, and to test predictions that experience of such threats would be connected with poorer health and negative perceptions of health care.

Methods

Data were collected as part of the 2012 Health and Retirement Study (HRS). A module on healthcare stereotype threat, designed by the research …

A Delphi Study Of Effective Practices For Developing Competency-Based Learning Models In Higher Education, Lisa Monica Mcintyre-Hite

Walden Dissertations and Doctoral Studies

Currently, there is an increase in competency-based education programs in higher education institutions in response to student and employer needs. However, research is lacking on effective practices for developing competencies, assessments, and learning resources for these programs. The purpose of this qualitative Delphi study was to gather expert opinions about effective practices for developing competencies, assessments, and learning resources in competency-based programs in higher education. The conceptual framework was based on principles of andragogy, critical subjectivity, and social constructivism. Ten long-term specialists in developing competency-based programs in higher education served as participants. Data from 3 rounds of interviews were coded …

Factors Impacting Older Adults' Adoption Of Mobile Technology In Emergency Communications, William A. Scerra

Walden Dissertations and Doctoral Studies

An increasing number of older adults must continue working, which requires that they maintain their competencies and work skills, including use of mobile technology (MT). However, little is known about older adult adoption of MT in relation to work. This study used Rogers's diffusion of innovation theory and Davis's technology acceptance model as a framework. The purpose of this exploratory sequential mixed methods study was to examine the experiences of older adults' who adopted MT in the emergency communications (EC) field. Participants came from an emergency services LinkedIn group. Data sources included surveys completed by 85 respondents and interviews of …

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 …

Joining Forces:Establishing A Cardio-Oncology Program, Caroline Austin-Mattison

Yale School of Nursing Digital Theses

Abstract

Patients have been surviving cancer diagnoses at a steady increasing rate over the past few decades. In spite of the encouraging decline in cancer morbidity, the cardiovascular effect of some chemotherapy medications is concerning. Moreover, even though there is extensive knowledge in regards to the pathophysiology and increased risk of cardiotoxicity, there is a lack of specific guidelines and adequate cardio-oncology programs focused on reducing cardiovascular risks or disease in patients undergoing cancer treatment. The high incidence of both cardiovascular disease (CVD) and cancer warrants the collaboration of oncology and cardiology providers to screen, treat promptly, and thereby provide …

Design Of An Evidence-Based Mentorship Program For Inpatient Nurse Practitioners, Kimberley Shamara Ennis

Yale School of Nursing Digital Theses

Abstract

Purpose: To examine the literature on mentorship from nursing and other professional disciplines in order to identify and validate key components to guide the development and implementation of a formal mentorship program for nurse practitioners (NPs) practicing in the inpatient setting.

Methods: A comprehensive review of the literature on mentorship was conducted using Cumulative Index to Nursing and Allied Health Literature (CINAHL), PUBMED, OVID, MEDLINE, EMBASE, and Google Scholar. Evidence based material was identified, extracted, and validated by a panel of five experts to determine key components for program development and implementation.

Conclusions: From the evidence reviewed, the components …

Caring In Transition: Home Care Workers’ Experiences Of Care Relationships In Shanghai, China, Liu Hong

Theses and Dissertations (Comprehensive)

This dissertation reports a qualitative study of 23 care workers in the home care program for older people in Shanghai, China. Using grounded theory methodology, a model was developed to account for care workers’ experiences of relationships with older clients. Care workers were found to resist the image of care work as demeaning labour performed by lowly migrant workers and re-construct care as valuable work for those in need accomplished by a caring self. As a mechanism of care relationship formation, care workers engage in tuning, a dynamic process of identity negotiation that shifts in between two contrasting states: …

The Effects Of External Focus Of Attention Exercise Rehabilitation On Dual Task Walking In Parkinson's Disease, Eric N. Beck

Theses and Dissertations (Comprehensive)

Parkinson’s disease impairs control of well-learned movements, and therefore, individuals with Parkinson’s disease are forced to walk with greater conscious control. This causes difficulties while walking and completing a secondary task simultaneously (dual tasking), in that distractions from conscious control of walking increase the risk of falls and injury. Although, attention-based exercise may be a potential avenue to decrease the demands associated with walking in Parkinson’s disease. For example, an external focus of attention (on manipulated objects) has been found to recruit the networks that are important for walking with little conscious control (automatic control networks). In contrast, an internal …

Assessing Postural Stability Via The Correlation Patterns Of Vertical Ground Reaction Force Components, Chih-Yuan Hong, Lan-Yuen Guo, Rong Song, Mark L. Nagurka, Jia-Li Sung, Chen-Wen Yen

Mechanical Engineering Faculty Research and Publications

Background

Many methods have been proposed to assess the stability of human postural balance by using a force plate. While most of these approaches characterize postural stability by extracting features from the trajectory of the center of pressure (COP), this work develops stability measures derived from components of the ground reaction force (GRF).

Methods

In comparison with previous GRF-based approaches that extract stability features from the GRF resultant force, this study proposes three feature sets derived from the correlation patterns among the vertical GRF (VGRF) components. The first and second feature sets quantitatively assess the strength and changing speed of …

It Takes A Village: Using Seniors To Help Divorcing Families, Forrest S. Mosten, Lara Traum

Cardozo Journal of Conflict Resolution

The wisdom of an underappreciated elderly population can offer invaluable assistance to underserved pro-se litigants facing family conflict. This Article will uncover the confluent needs of the family court system and the growing elderly population in the United States. Section II of this Article will explain the struggles of the family court system, outline the historic role of the elderly in addressing family conflict, propose the creation of an Elder Volunteer Corps to address these communal needs, and discuss the benefits of creating such a corps. Section III will suggest logistical approaches to forming an Elder Volunteer Corps, focusing on …

2016-2017 Lindenwood University Accelerated Degree Program Course Catalog, Lindenwood University

Course Catalogs

Lindenwood University Accelerated Degree Program Course Catalog

The Effect Of Nurse Dose On Breastfeeding Exclusivity - A Patient Level Analysis, Gwen Moreland

DNP Projects

Background: Breastfeeding is strongly associated with health benefits for children and their mothers. Despite this knowledge, breastfeeding rates in the United States have increased only slightly. Current research examines the relationship between nurse characteristics and patient outcomes in adult intensive care and acute care settings. To date there is very limited research examining nurse variables and outcomes in women and children, and very little knowledge regarding the characteristics of the nurse in relation to patient’s breastfeeding success.

Purpose: The purpose of this practice inquiry project was to evaluate the relationship between the attributes of nurse dose and the immediacy and …

Do Call-Backs Help Patients Post Stroke, Taylor E. Clark

DNP Projects

Aim and Objective: To determine if the implementation of a post-discharge call-back intervention for patients discharged home from the hospital after stroke was associated with a decrease in 30-day readmissions and improved patient satisfaction.

Background: Stroke is a leading cause of death and disability in the United States (American Stroke Association, 2015). Several studies have examined various post-discharge interventions, including a call to the patient and/or family after their return home, to determine the benefit to patients, if any (Zolfaghari, Mousavifar, Pedram & Haghani (2012). Understanding and anticipating patient needs and removing barriers post-stroke may decrease readmission rates …

Need Assessment For Early Identification Of Delirium In Post-Operative Patients In Intensive Care Unit, Raji Rajan

DNP Projects

Background: Delirium is an acute dysfunction of cognition, memory, and attention resulting in changes in perception, mood, and activity. Delirium is associated with increased length of hospital stay, prolonged mechanical ventilator days, increased mortality rate, and a higher number of discharge disposals to rehabilitation centers. The purpose of the study is to assess the current practice in delirium assessment and management strategies among postoperative patients in Intensive Care Units.

Methods: A retrospective medical record review was conducted in postoperative patients admitted to Norton Women’s and Kosair Children Hospital between January 2015 and December 2015. Postoperative delirium was diagnosed in compliance …