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Program And Ward Characteristica And Cost Savings Of Public Guardianship: An Evaluation Of The Florida Public Guardianship Program, Winsor C. Schmidt, Pamela B. Teaster, Marta Mendiondo, Jennifer Marcum, Tenzin Wangmo

University of Florida Journal of Law & Public Policy

No abstract provided.

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, …

Altruism And Life Satisfaction Among Lgbt Older Adults, Boaz Kahana, Eva Kahana, Tirth Bhatta, Minzhi Ye, Jiao Yu

School of Social Work Faculty Publications

Altruistic attitudes have been found in our prior longitudinal studies to promote positive affective states and life satisfaction in late life (Kahana, Bhatta, Lovegreen, Kahana and Midlarsky 2013). Such attitudes reflect a willingness to help others and an orientation characterized by generosity of spirit. It may be anticipated that such qualities are easier to maintain for older adults who are well integrated members of society and who do not face stigma and discrimination. In this chapter, we extend our research interest in altruism and in prosocial behaviors to LGBT older adults, who had encountered adversity and lack of acceptance in …

2017-2018 Lindenwood University Accelerated Degree Program Course Catalog, Lindenwood University

Course Catalogs

Lindenwood University Accelerated Degree Program Course Catalog

Impact Of Staff Education On Geriatric Polypharmacy, Valerie Ikemefuna

Walden Dissertations and Doctoral Studies

Polypharmacy, the simultaneous use of multiple drugs to treat a single ailment or condition, is a

major health problem among the elderly population that contributes to adverse drug side events,

health risks, hospital readmissions, morbidity, and mortality. Therefore, a staff education

program geared toward reduction of such adverse drug events was implemented at a single site.

The purpose of the project was to determine if the staff education program would increase

knowledge of adverse drug events due to geriatric polypharmacy. The Orem theory provided the

theoretical support for the project, and the Iowa model guided the evidence-based practice

change process. …

Comparison Of Pain Management Modalities In The Development Of Postoperative Respiratory Failure, Amanda Carney

DNP Projects

BACKGROUND: This paper outlines the steps taken for a quality improvement study that investigated the development of postoperative respiratory failure (PORF) at University of Kentucky Chandler Medical Center (UKCMC). The first paper describes the influence of an interprofessional education (IPE) pilot program on doctoral nursing students and the experiences gained while working on a process improvement project. The second paper is a literature review on predictors for PORF. The third paper is a case control study that investigated the effects of pain management modalities on the development of PORF.

OBJECTIVES: To outline the process for developing a practice improvement project. …

Evaluation Of Oral Nutritional Supplement Use In Elderly Patients Admitted With Heart Failure, Geri L. Sipe

DNP Projects

PURPOSE: The purpose of this study is to evaluate the effects of enhanced ordering privileges among registered dieticians (RD) on oral nutritional supplement (ONS) ordering frequency and prevalence of oral nutritional supplement use among elderly patients admitted with heart failure (HF).

METHODS: This study was a single facility, retrospective pre-post implementation evaluation of the impact of expanded ONS ordering privileges among elderly patients (age ≥ 65 years old) hospitalized with heart failure at Frankfort Regional Medical Center (FRMC). The sample consisted of 105 patients for the pre-evaluation period and 259 for the post-evaluation period.

RESULTS: There were …

Incidence Rate Of Delirium After Cardiac Surgery And Feasibility Of A Delirium Prediction Rule, Kelly Bohl

DNP Projects

Delirium is an acute, temporary cognitive disorder that is characterized by a change in mental status, altered level of judgement, and changes in perception and behavior. Elderly patients who undergo open cardiac surgery are particularly at risk for developing delirium postoperatively. Although it is a temporary disorder, there are many consequences associated with delirium after cardiac surgery, including a longer length of stay in the hospital, long term functional decline, a greater use of health care resources and an increase in mortality risk. The purpose of this project was to identify the one-year incidence of postoperative delirium after cardiac surgery …

Changing Perceptions Of Loss: The Influence Of Generation Effects And Message Framing, Kaylee Brown

Senior Honors Theses and Projects

This study is a three-part survey that examines how loss can be experienced differently based on one's generation and the way a message about loss is framed. More specifically, participants of all ages read a mock article that framed loss experiences positively or negatively, and then participants answered questions regarding their own loss experiences. It was hypothesized that, due to generational variance, older vs. younger individuals may deal with loss quite differently and, as such, may react to the positively and negatively framed loss articles as a function of their ages. As hypothesized, significant relationships among article type and age …

The Socio-Political And Economic Causes Of Natural Disasters, Nicole Southard

CMC Senior Theses

To effectively prevent and mitigate the outbreak of natural disasters is a more pressing issue in the twenty-first century than ever before. The frequency and cost of natural disasters is rising globally, most especially in developing countries where the most severe effects of climate change are felt. However, while climate change is indeed a strong force impacting the severity of contemporary catastrophes, it is not directly responsible for the exorbitant cost of the damage and suffering incurred from natural disasters -- both financially and in terms of human life. Rather, the true root causes of natural disasters lie within the …

No-Place, New Places: Death And Its Rituals In Urban Asia, Lily Kong

Research Collection School of Social Sciences

In many Asian cities, particularly those that confront increasing land scarcity, the conversion from burial to cremation has been encouraged by state agencies in the last several decades. From Hong Kong to Seoul to Singapore, planning agencies have sought to reduce the use of space for the dead, in order to release land for the use of the living. More secular guiding principles regarding efficient land use in these cities had originally come up against the symbolic values invested in burial spaces, resulting in conflicts between different value systems. In more recent years, however, the shift to cremation and columbaria …

Telemedicine For The American Indian/Alaska Native Population, Janine M. Good

Senior Honors Theses

When compared to other Americans’ health, a worse health status is seen among the American Indian and Alaska Native population. American Indians and Alaska Natives are faced with numerous disparities in healthcare, such as decreased access to healthcare. Additionally, healthcare data about this group are missing. Although health beliefs and traditions can differ among tribes, there are also similarities. Telemedicine is the use of technology (i.e., phone, videoconferencing) to deliver healthcare. This healthcare service may be beneficial for this population’s healthcare needs because of telemedicine’s possible advantages. Although telemedicine also has disadvantages, a knowledge of and respect for American Indian …

Disease Prevalence And Health Determinants In Nevada, Takashi Yamashita, Roberto Millar

Social Health of Nevada Reports

In this report, we use recent data to describe the health of Nevada and update the previous report (Monnat, 2012) on health outcomes and health determinants in the Silver State. Data for this report are mainly obtained from the County Health Rankings, America’s Health Rankings, and the 2016 Center for Disease Control and Prevention’s Division of Nutrition, Physical Activity, and Obesity report.

In line with the previous report by Monnat (2012), we reference Nevada’s disease prevalence in relation to the U.S. average and other states, as well as disease distribution among counties in Nevada. We also compaire health indicators in …

Comparative Proteomic Analyses Of The Parietal Lobe From Rhesus Monkeys Fed A High-Fat/Sugar Diet With And Without Resveratrol Supplementation, Relative To A Healthy Diet: Insights Into The Roles Of Unhealthy Diets And Resveratrol On Function, Aaron M. Swomley, Judy C. Triplett, Jeriel T. Keeney, Govind Warrier, Kevin J. Pearson, Julie A. Mattison, Rafael De Cabo, Jian Cai, Jon B. Klein, D. Allan Butterfield

Chemistry Faculty Publications

A diet consisting of a high intake of saturated fat and refined sugars is characteristic of a Western-diet and has been shown to have a substantial negative effect on human health. Expression proteomics were used to investigate changes to the parietal lobe proteome of rhesus monkeys consuming either a high fat and sugar (HFS) diet, a HFS diet supplemented with resveratrol (HFS+RSV), or a healthy control diet for 2 years. Here we discuss the modifications in the levels of 12 specific proteins involved in various cellular systems including metabolism, neurotransmission, structural integrity, and general cellular signaling following a nutritional intervention. …

Distributed Leadership: Building Capacity To Maximise Collaborative Practice In A New Teaching Research Aged Care Service, Kirsty Marles

Theses

This research facilitated an approach to apply the concept of distributed leadership, as articulated in Health LEADS Australia: the Australian health leadership framework to generate the conditions required to support sustained collaborative practice. The setting for this research was ViTA South, which, at the time of the research was a newly established teaching, research aged care service located in Adelaide, South Australia. The research was concerned with developing distributed leadership amongst the staff team to engender sustained collaborative practice, critical to realising the vision for ViTA South, which requires collaboration beyond the traditional practices of an aged care workforce. This …

Improving Cognitive Predictors And Everyday Outcomes In Adults With Hiv, Shameka L. Cody

All ETDs from UAB

As adults age with HIV, they may encounter challenges with cognitive impairments. Perhaps, the neurobiological effects of HIV, subtle lifestyle changes, and the aging process may negatively influence cognitive functioning. Some cognitive impairments may interfere with everyday functioning and even compromise quality of life. In this dissertation, three articles were presented which focused on the overall theme of HIV and cognition. Article 1, a review of literature published in the Neurobiology of Disease, focused on how HIV affects the brain independently and the synergistic effects of HIV and aging on cognitive health. Also, the article closed with a section on …

Cognitive Correlates Of Driving Behavior In Older Adults With Hiv, Caitlin Northcutt Pope

All ETDs from UAB

Human immunodeficiency virus (HIV) currently affects over 1 million individuals in the United States. It is estimated that by the year 2020, up to 70% of individuals with HIV in the United States will be ages 50 and older, as these individuals live longer due to more advanced medicine and later diagnosis. Aging research suggests individuals with HIV may be at risk for accelerated or accentuated aging making age-related deficits, particularly with cognition and everyday functioning, of public concern. The current study investigated the complex associations between age, HIV disease state, cognition, health, and driving in 139 older adults (Mage …

An Examination Of The Neuropsychological Construct Executive Function And How It May Be Impacted By Cognitive And Exercise Interventions, Erica Schmidt

All ETDs from UAB

Background: There is a growing body of literature supporting the beneficial effects of cognitive training and exercise training on executive function (EF) in older adults. More recently, evidence is amassing that interventions which combine cognitive and physical activity, for example, exergames, may confer even greater cognitive benefits. Comparison of EF interventions for older adults requires more investigation and would benefit from improved operationalization of the EF construct and better understanding of factors which predict baseline EF in older adults. Methods and Results: Fifty-seven sedentary, non-gamer, community dwelling older adults were randomly assigned to one of three intervention groups (computerized cognitive …

Identifying Key Areas Of Worklife And Their Interactive Effect In Explaining Pakistani Nurses’ Burnout, Faisal Qadeer, Amnah Imtiaz, Imran Hameed

Management Faculty Publications

We examined the effect of incongruence in the areas of worklife (AWL) on burnout of nurses. Specifically, we were interested in identifying the most important AWL and interactions among AWL and psychological resilience in explaining nurses’ burnout. Incongruence in the worklife escalates burnout and resilience is a coping trait. The phenomenon needs to be studied in developing countries where entirely different health dilemmas exist. A cross sectional survey was conducted from 147 nurses. SEM through AMOS 21 and Process Macro of SPSS was used for data analysis. Two AWL namely control and reward, emerged out to be the most important …

The Unfolding Of Lgbt Lives: Key Events Associated With Health And Well-Being In Later Life, Anna M. Muraco, Karen I. Fredriksen-Goldsen, Amanda E. B. Bryan, Sarah Jen, Jayn Goldsen, Hyun-Jun Kim

Sociology Faculty Works

Purpose of the study: Life events are associated with the health and well-being of older adults. Using the Health Equity Promotion Model, this article explores historical and environmental context as it frames life experiences and adaptation of lesbian, gay, bisexual, and transgender (LGBT) older adults.

Design and methods: This was the largest study to date of LGBT older adults to identify life events related to identity development, work, and kin relationships and their associations with health and quality of life (QOL). Using latent profile analysis (LPA), clusters of life events were identified and associations between life event clusters were tested. …

Who Says I Do: The Changing Context Of Marriage And Health And Quality Of Life For Lgbt Midlife And Older Adults, Anna M. Muraco, Jayn Goldsen, Amanda E. B. Bryan, Hyun-Jun Kim, Sarah Jen, Karen I. Fredriksen-Goldsen

Sociology Faculty Works

Purpose of the study: Until recently, lesbian, gay, bisexual, and transgender (LGBT) adults were excluded from full participation in civil marriage. The purpose of this study is to examine how legal marriage and relationship status are associated with health-promoting and at-risk factors, health, and quality of life of LGBT adults aged 50 and older.

Design and methods: We utilized weighted survey data from Aging with Pride: National Health, Aging, and Sexuality/Gender Study (NHAS) participants who resided in states with legalized same-sex marriage in 2014 (N = 1,821). Multinomial logistic regression was conducted to examine differences by relationship status (legally married, …

Social Network Types And Mental Health Among Lesbian, Gay, Bisexual, And Transgender Older Adults, Anna M. Muraco, Hyun-Jun Kim, Karen I. Fredriksen-Goldsen, Amanda E. B. Bryan

Sociology Faculty Works

Purpose of the study: This study was designed to identify social network types among lesbian, gay, bisexual, and transgender (LGBT) older adults and examine the relationship between social network type and mental health.

Design and methods: We analyzed the 2014 survey data of LGBT adults aged 50 and older (N = 2,450) from Aging with Pride: National Health, Aging, and Sexuality/Gender Study. Latent profile analyses were conducted to identify clusters of social network ties based on 11 indicators. Multiple regression analysis was performed to examine the association between social network types and mental health.

Results: We found five social network …

Age Differences In Dynamic Fatigability And Variability Of Arm And Leg Muscles: Associations With Physical Function, Jonathon Senefeld, Tejin Yoon, Sandra K. Hunter

Exercise Science Faculty Research and Publications

Introduction

It is not known whether the age-related increase in fatigability of fast dynamic contractions in lower limb muscles also occurs in upper limb muscles. We compared age-related fatigability and variability of maximal-effort repeated dynamic contractions in the knee extensor and elbow flexor muscles; and determined associations between fatigability, variability of velocity between contractions and functional performance.

Methods

35 young (16 males; 21.0 ± 2.6 years) and 32 old (18 males; 71.3 ± 6.2 years) adults performed a dynamic fatiguing task involving 90 maximal-effort, fast, concentric, isotonic contractions (1 contraction/3 s) with a load equivalent to 20% maximal voluntary isometric …

A Labor Of Love: Women's Perspectives On Gender And Identity In Informal Caregiving, Kirby O'Hara Hurd

All Graduate Theses, Dissertations, and Other Capstone Projects

The elderly population (adults 65 and over) is larger than at any time in history, thanks to improved access to healthcare, advances in medical technology, and health services focused on addressing the needs of aging adults. However, support for this growing population remains insufficient; the costs of in-home and residential care are high, and consequently, family members often become providers of informal, unpaid care. Presently, there is inadequate literature regarding the academic study of family members providing informal caregiving, especially from a perspective that emphasizes sociological principles and theories. Existing studies of the family caregiver phenomenon show that middle-aged adult …

Successfully Collecting Quantitative Data From Random Samples Of Nursing Homes And Residents, Skye N. Leedahl

Human Development and Family Science Faculty Publications

This case presents a rigorous approach used to successfully recruit and collect quantitative data from nursing home staff members and residents. The study presented in this case was conducted for my dissertation research. The goal of the study was to understand the complex phenomena of social integration for nursing home residents and its relation to health and well-being outcomes. To gather data, this study utilized a two-stage multilevel sampling technique to obtain a stratified random sample of nursing homes (N = 30) and a random sample of older adult residents from each of the nursing homes (N = 140, from …

The Policy Nexus: Panhandling, Social Capital And Policy Failure, Amanda R. Tillotson, Laura Lein

The Journal of Sociology & Social Welfare

In this paper, we analyze a unique mixed methods data set based on survey responses (n=108) and intensive interviews (n=18) with panhandlers in Austin, Texas. We examine the way in which failures of primary and secondary social capital interact to create the conditions of extreme poverty and homelessness that lead to panhandling. We find that a large majority of these individuals are working-age adults who lack access to social policy supports that would allow them to weather periods of unemployment produced by health issues and other personal difficulties.

When ‘Places’ Include Pets: Broadening The Scope Of Relational Approaches To Promoting Aging-In-Place, Ann M. Toohey, Jennifer A. Hewson, Cindy L. Adams, Melanie J. Rock

The Journal of Sociology & Social Welfare

Aging-in-place is a well-established concept, but discussions rarely consider that many older adults live with pets. In a ‘pet-friendly’ city, we conducted semi-structured interviews to explore perspectives of community-based social support agencies that promote aging-in-place, and those of animal welfare agencies. Applying a relational ecology theoretical framework, we found that pets may contribute to feeling socially- situated, yet may also exacerbate constraints on autonomy experienced by some older adults. Pet-related considerations at times led to discretionary acts of more-than-human solidarity, but also created paradoxical situations for service-providers, impacting their efforts to assist older adults. A shortage of pet-friendly affordable housing …

Caspase-8, Association With Alzheimer's Disease And Functional Analysis Of Rare Variants, Jenny Lord, Carlos Cruchaga, Et Al.

Open Access Publications

No abstract provided.