Digital Commons Network^™

Correlation Between History Of Fall And Timed Up And Go Test In Geriatric, Mifta Nurmalasari, Novira Widajanti, Rwahita Satyawati Dharmanta

Jurnal Penyakit Dalam Indonesia

Introduction. Fall is the global major problem in geriatrics as it causes physical and physicological impairment, even leads to mortality. Timed up and go test (TUG) is the screening method which commonly used in medical practice as standard examination to assess mobility, balance, and fall risk.This study aimed to determine the correlation between TUG and history of falls in geriatric patients at General Hospital Dr. Soetomo Surabaya, Indonesia. Methods. A cross-sectional study was conducted among geriatric patients in Dr. Soetomo hospital with criteria ≥ 60 years old, mini mental state examination (MMSE) score ≥ 17, did not suffer from hemiplegic …

Pengembangan Model Aquarobic Exercise Untuk Pembakaran Lemak Pada Overweight, Rahmat Sanusi, Widiyanto Widiyanto

Jurnal Keolahragaan

Penelitian ini bertujuan menghasilkan model latihan alternatif yang layak untuk pembakaran lemak dan sebagai latihan non-traumatic untuk orang dengan overweight. Penelitian ini merupakan penelitian pengembangan (research and development) yang mengacu pada langkah yang dikembangkan Borg & Gall melalui tahapan: pengembangan draf awal, model awal, model, uji coba produk, evaluasi dan revisi. Subjek uji coba terbatas sebanyak 3 orang dan subjek uji coba lapangan sebanyak 6 orang dengan kriteria mengalami masalah kelebihan berat badan (overweight). Pengumpulan data melalui uji pelaksanaan, penilaian ahli dengan lembar kuisioner, tes pengukuran denyut nadi dan pengukuran penurunan persentase lemak. Teknik analisis data menggunakan analisis deskriptif. Hasil …

Elevated Homeostatic Model Assessment Of Insulin Resistance Level Increases The Risk Of Acne, Stefani Nurhadi, Igaa Praharsini, Aagp Wiraguna

Journal of General - Procedural Dermatology and Venereology Indonesia

Background: Insulin resistance and high carbohydrate diets are currently considered to be influential in acne aetiology. Insulin is a hormone that does not only regulate the concentration of blood glucose but also affects the production of sebum and through the Insulin Growth Factor-1 (IGF-1) receptor stimulates androgen synthesis which will increase the proliferation of keratinocytes duct and the production of sebum in acne of the pilosebaceous.

Methods: This is a cross sectional observational analytic study involving 38 acne patients and 38 controls. This study aims to determine whether the increase in Homeostatic Model Assessment of Insulin Resistance …

A Systematic Reviewarticle Of Turning Difficulties In Individuals With Stroke, Pei-Yi Chou, Shu-Chun Lee

Rehabilitation Practice and Science

Introduction: Making turn is a challenging task that is reported as one of the activities that most frequently leads to fall in stroke patients. Among community-dwelling older adults, hip fractures are eight times more likely to result from falls while making turns than from falls while walking straight. The stroke patients have asymmetric posture and movements due to hemiparesis, thus their turning performance may varied depending on the direction of the turn. Therefore, the purpose of this systematic reviewarticle was to summarize the characteristics of turning after stroke and discuss the possible neuromuscular mechanisms of turning difficulties. Methods: Searches of …

The Welfare Of Elderly People In Rural West Java: Economy, Health And Vernacular Care, Kosuke Mizuno, Ekawati Sri Wahyuni, Taizo Wada, Kozo Matsubayashi

Journal of Environmental Science and Sustainable Development

The universal health social security program in Indonesia began in 2014, and as of the present day, many people are now covered by it. However, many weaknesses in the system have been pointed out. Significantly, many people do not possess the necessary health cards to take advantage of the program due to the complicated process one must go through in order to obtain them. Even now, 60 million people have not joined the program. Many people do not rely solely on the universal social security program but may be supported primarily or additionally by the vernacular care system, whereby support …

Immersive Virtual Reality For The Management Of Pain In Community-Dwelling Older Adults., Sara Benham, Minhee Kang, Namrata Grampurohit

Department of Occupational Therapy Faculty Papers

Immersive virtual reality (VR) can provide a high level of engagement and distraction analgesia to address pain. However, community-based applications of this technology for older adults have not been studied. The objective of this study was to examine the applicability and effectiveness of an immersive VR intervention for pain, depression, and quality of life (QOL) in older adults. This pretest–posttest, mixed-methods design included senior center members (n = 12) with pain that interfered with daily functioning. The outcomes included the Numeric Pain Rating Scale, Patient-Reported Outcomes Measurement Information System (PROMIS^®) depression scale, World Health Organization Quality of Life …

Effects Of Microwave On Free Radical Production And Oxidative Properties Of Model Protein, Wang Tingting, Yuan Jiangfeng, Wang Lunji, Zhang Bin, Qiu Zhijun, Gong Minggui, Yin Qihang

Food and Machinery

Bovine Serum Albumin (BSA), a model protein, was used to study the relationship between the free radical production and oxidative properties in the microwave field. Electron paramagnetic resonance (EPR) trapping with 5,5-dimethyl-l-pyrrolin N-oxide (DMPO) was used for the detection of free radical produced by BSA under different microwave treatment conditions. The signal intensity of free radicals arose from BSA solution via the increasing of power, temperature, and time after microwave irradiation. By measuring the carbonyl, thiol and surface hydrophobic oxidative properties of BSA under different microwave temperatures. It was showed that the carbonyl content increased, the thiol content decreased, and …

Obit - Harold Malehorn, Journal-Gazette Times-Courier

EIU in the News

No abstract provided.

Non-Pharmacological Solutions To Sleep And Circadian Rhythm Disruption: Voiced Bedside Experiences Of Hospice And End-Oflife Staff Caregivers, Rana Sagha Zadeh, Elizabeth Capezuti, Paul Eshelman, Nicole Woody, Jennifer Tiffany, Ana C. Krieger

Publications and Research

Background: Sleep disturbance is a significant issue, particularly for patients with advanced terminal illness. Currently, there are no practice-based recommended approaches for managing sleep and circadian disruptions in this population. To address this gap, a cross-sectional focus group study was performed engaging 32 staff members at four hospices/end-of-life programs in three demographically diverse counties in New York State.

Methods: Participants responded to structured open-ended questions. Responses were transcribed and subjected to qualitative content analysis. The themes and recommendations for improved practice that emerged were tabulated using Atlas TI qualitative software.

Results: This report details the experiences of hospice and end-of-life …

Hepatitis C And The Social Hierarchy: How Stigma Is Built In Rural Communities, Charley D. Henderson, Atsuko Kawakami

The Qualitative Report

Although Hepatitis C has profound impacts on individuals living in communities, most research has been conducted in a hospital or laboratory setting. Additionally, there is a lack of research exploring the social effects of Hepatitis C in rural communities. In this qualitative study, we focus on perceptions on Hepatitis C within a rural community, describe how the local residents perceive social hierarchy within their community, and explore the process of stigma building. Informed by a grounded theory approach, we employed a snowball sampling strategy in a southern rural area to conduct in-depth, open-ended interviews. In our findings we describe how …

Policy And Practice Recommendations For Nurse Practitioner-Led Medicare Annualwellness Visits, Vicki Simpson

School of Nursing Faculty Publications

Reasons for underutilization are related to personal, organizational, structural, and system barriers and challenges for beneficiaries and providers. Beneficiaries are often unaware of the availability of this visit (or the fact that it is free). They may not understand the value of nor attach strong importance to a visit solely focused upon prevention. Providers report being confused and overwhelmed regarding AWV requirements and guidelines, leading to ambivalence concerning visit implementation (Bluestein, Diduk-Smith, Jordan, Persaud, & Hughes, 2017, Cuenca, Lozoya-Flores, et al., 2012, Simpson, Edwards et al., 2018). Most practices lack an efficient and effective workflow to support implementation of AWVs, …

Perception Of Risk For Older Adults: Differences In Evaluations For Self Vs. Others And Across Risk Domains, J Rolison, Y Hanoch, A Freund

School of Psychology

Background and Objectives: Proxy decision-making may be flawed by inaccurate perceptions of risk. This may be particularly true when older adults are the targets of the decisions, given the pervasive negative stereotypes about older adults. Methods: In study 1, individuals aged 18- to 87 years (as target persons) as well as one of their close social partners (as informants) reported on the risks they perceived for the target person in various life domains. Study 2 additionally explored potential differences in how people make risky decisions on behalf of younger and older adult targets. Younger (age 18–35 years) and older (age …

An Evaluation Of The Impact Of Medication On Behavioral Intervention Effectiveness For Adults With Traumatic Brain Injury, Sulay Martinez

Capstone Projects

A systematic search of the literature was conducted to identify articles implementing both pharmacological and behavioral interventions with subjects with traumatic brain injury (TBI). Limitations of pharmacological interventions were evaluated and compared to the implications for behavioral interventions for adults with TBI. Results of this study indicate further research is necessary to adequately evaluate the effects of medication on behavioral intervention effectiveness for adults with TBI.

Reducing Polypharmacy, Gladys A. Ndege

Nursing Capstones

No abstract provided.

Proteomic Profile Of Carbonylated Proteins Screen Regulation Of Apoptosis Via Camk Signaling In Response To Regular Aerobic Exercise, Wenfeng Liu, Li Li, Heyu Kuang, Yan Xia, Zhiyuan Wang, Shaopeng Liu, Dazhong Yin

Health Sciences & Kinesiology: Faculty Publications

To research carbonylated proteins and screen molecular targets in the rat striatum on regular aerobic exercise, male SpragueDawley rats (13 months old, n = 24) were randomly divided into middle-aged sedentary control (M-SED) and aerobic exercise (M-EX) groups (n = 12 each). Maximum oxygen consumption (VO2max) gradually increased from 50%–55% to 65%–70% for a total of 10 weeks. A total of 36 carbonylated proteins with modifed oxidative sites were identifed by Electrospray IonizationQuadrupole-Time of Flight-Mass Spectrometer (ESI-Q-TOF-MS), including 17 carbonylated proteins unique to the M-SED group, calcium/calmodulin-dependent protein kinase type II subunit beta (CaMKII�), and heterogeneous nuclear ribonucleoprotein A2/B1 (Hnrnpa2b1), …

Up Against The Wall, Carole Garrison

Hail We Akron!

No abstract provided.

Support For Family Caregiver Burden In Home Care On Providing Urination Care, Sachiko Teraoka, Hiroko Iba, Chiaki Otsuka

International Nursing Research Congress (INRC)

The care burden of family care providers who provide care to the elderly at home is high. Therefore, focusing on "urination care", which is said to have a large nursing-care burden, identifying the type of burden and proposing improvement of the burden on care providers.

The Life Experiences Of Community Older Adults With Mental Illness In Taiwan, Jiin-Ru Rong, Su-Jung Jr. Liao, Wen Kuei Sr. Liao, Chiahan Wu

International Nursing Research Congress (INRC)

This study was to explore the subjective living experiences of elderly people with mental illness in Taiwan community. The continuation enhances strength to survive for coping with the aging and mental health problem was identified as the core category of the life experiences in the older adults in this study.

The Relationship Of Caregiver's Stress And Satisfaction Of The Care Needs Among Icu Family Caregiver, Pei-Shan Hung, Nai-Wen Chang

International Nursing Research Congress (INRC)

The results of 107 primary caregivers collected from May, 27. to June, 27, 2014 showed that the biggest stress perceived by caregiver was the patients' disease characteristics. If the clinical staff provided the information of the disease and treatment timely, the caregivers were satisfied with the domain of care needs.

An Exploration Of Spiritual Care Of Home Visiting Nurses For Patients With Advanced Cancer, Chizuru Nagata, Aiko Tanaka, Rosanna Mcmaster

International Nursing Research Congress (INRC)

The spiritual care process of home visiting nurses for patients with terminal phase of advanced cancer was explored and it was revealed that home visiting nurses provided spiritual care by clinical reasoning based on end-of-life total care.

Do Community Clinic Patients Have Needed Internet Access And Experience To Use The Patient Portal?, Ruth A. Bush, Halsey Barlow, Alexa Perez, Bianca Vazquez, Jonathan Mack, Cynthia D. Connelly

International Nursing Research Congress (INRC)

This study quantified whether patients attending a community clinic in southern California had the technology and internet experience to access the patient portal. There was no association between income and portal use. Computer portal access was associated with likely future use. Computers may permit better internet access and record viewing.

Shining Light On Hibernator Genomes: Using Radiation To Reveal Dna Damage And Repair Dynamics In Arctic Ground Squirrels, Krysta L. Yancey

Biological Sciences

Mammalian hibernation is characterized by dynamic changes in metabolism and body temperature; it may be sustained for up to nine months in some species. The majority of hibernation is spent in torpor, a dormant state, which is regularly interrupted by brief periods of activity referred to as interbout arousal. Upon arousal thermogenesis begins in vascularized fat and ends with whole-body shivering until the animal reaches a body temperature around 36-37 °C. Interbout arousal is usually less than a day long and is commonly thought to be necessary for maintenance and repair of tissues, in addition to the cycling and replenishment …

Awareness Of Supporting Elderly Parents By Family Caregivers In Households With Home-Bound Elderly With Dementia, Keiko Matsumoto, Misae Ito, Claudia Kam Yuk Lai, Daphne Cheung, Siok Bee Tan, Yasuyo Kametaka, Yoshimi Tsunekuni, Sadao Katayama, Masafumi Kirino

International Nursing Research Congress (INRC)

This research aims to investigate the relevancy between the attributes of caregivers and their awareness of supporting their elderly parents. This research investigated the relevancy between caregivers' attributes and their awareness of supporting their elderly parents.

Development Of Protocol Of Urinary Catheter Bundle Care In Hospitalized Elderly Using Modified Delphi Method, Jin-Hua Pan, Chun-Yin Yeh, Fang-Wen Hu

International Nursing Research Congress (INRC)

The aim of this study is to establish clinical consensus for the protocol of urinary catheter bundle care in hospitalized elderly patient by using the modified Delphi method. It will help to standardize the urinary catheter bundle care in hospitalized elderly patient, and assist in clinical decision-making for all healthcare professionals.

Mismatch Between Older Adults’ Expectation And Smartphone User Interface, Chui Yin Wong, Rahimah Ibrahim, Tengku Aizan Hamid, Evi Indriasari Mansor

Malaysian Journal of Computing (MJoC)

Smartphones have become ubiquitous communication tools for everybody, including older adults to stay connected with their family and access to information. However, mobile operators and developers mainly target the youngster cohort in mobile industry. With the rising ageing population, smartphone user interface and some mobile apps are not designed to cater the needs of older adults. This could hinder them from fully utilizing the smartphone functions and its services. A mobile-user interaction study using mixed-methods (questionnaire, interview and observation) was conducted to examine usability and user interface design issues of smartphone and mobile apps among 80 older adults in Malaysia. …

Evaluating The Legality Of Age-Based Criteria In Health Care: From Nondiscrimination And Discretion To Distributive Justice, Govind Persad

Sturm College of Law: Faculty Scholarship

Recent disputes over whether older people should pay more for health insurance, or receive lower priority for transplantable organs, highlight broader disagreements regarding the legality of using age-based criteria in health care. These debates will likely intensify given the changing age structure of the American population and the turmoil surrounding the financing of American health care. This Article provides a comprehensive examination of the legality and normative desirability of age-based criteria. In the Article, I defend a distributive justice approach to age-based criteria. Rather than viewing age as a personal characteristic akin to race or religion, the distributive justice approach …

Improving Infection Management Of The Institutionalized Elderly, Jovel Angela Viloria Broqueza

Doctor of Nursing Practice Projects

Abstract

As the elderly population rapidly grows in the United States, the burden of managing infection in long-term care facilities (LTCF) escalates. The use of evidence-based infection identification algorithms for early recognition and treatment of pneumonia, urinary tract infections (UTI) and skin and soft tissue infections (SSTI) was evaluated at a Midwest suburban 110-bed long-term care facility. Focus group sessions were conducted at the facility with four nurse practitioners, the medical director, eight nurses and certified nursing assistants (CNAs) prior to an educational in-service which was provided to all staff at the facility. As criteria of infection were reported, nurses …

The Manzano Movement Method (M3): Development Of A Dance/Movement Therapy-Influenced Seated Ballroom Dance Program For Adult Day Services For Persons With Dementia, Joshua Reese "Zano" Manzano

Creative Arts Therapies Theses

The purpose of this thesis was to develop a dance/movement therapy (DMT)-influenced seated ballroom dance program for adult day services for persons with dementia. This program development project, named the Manzano Movement Method (M3), aims to support quality of life by encouraging creative expression, reminiscence and socialization. M3 explored how seated ballroom dance can support the quality of life for this population via six different lessons of the following dances: waltz, cha cha, rumba, tango, foxtrot and swing. It also explored how the program can be utilized by care providers that are not dance/movement therapists. With collaborator help—stakeholders at an …

Effects Of A Robotic Cat On Agitation And Quality Of Life In Individuals With Dementia In A Long-Term Care Facility, Jillian Nicole Marsilio, Samantha Virginia Mckittrick, Lisa Renee Umbell, Melissa Ann Garner, Sharon Maiewski, Jeanne Wenos

Physician Assistant Capstones, 2016 to 2019

Study Objective: The purpose of this study is to determine whether introducing a robotic companion cat into a long term care facility may improve affect and, subsequently, increase participation for residents with dementia, and to determine potential benefits for caregiver roles and relationships with individuals with dementia.

Background: The number of people with dementia is growing, and the behavioral and psychological side effects are negatively affecting the quality of life for these people as well as their caregivers. Additional research is needed to help develop and confirm the use of nonpharmacological treatment for dementia with therapeutic robots.

Study Subjects: Research …

Health-Related Perception And Responsibility Behavior Among Individuals With And Without Chronic Illness, Danielle Dohrmann

Theses & Dissertations

Few studies have examined perceptions of responsibility attribution and well-being, and health responsibility behaviors in individuals with none, one, and multiple chronic illnesses. Adults (N = 421) in medical clinics completed questionnaires for this cross-sectional descriptive study. The Revised Causal Dimensional Scale measured responsibility attribution whereas sub-sections of the Chronic Disease Self-Management Program evaluation measured well-being perception and the health responsibility behavior of communication associated with a clinic visit. Chi-square, Wilcoxon-Mann-Whitney U, and Kruskal-Wallace tests were used to examine demographic characteristics and group differences. Individuals with multiple morbidities and of advanced age perceived their illnesses as more stable and rated …