Digital Commons Network^™

Factors Affecting Inpatient Mortality In Elderly People With Acute Kidney Injury, Muhammad Abdul Mabood Khalil, Safia Awan, Rabeea Azmat, Muhammad Ullah Khalil, Nazish Naseer, Jackson Tan

Section of Nephrology

Background: Acute Kidney Injury (AKI) is common in elderly people (EP). There is paucity of data on predictor of mortality in EP with AKI.
Objective: This study was done to know more about factors associated with inpatient mortality in EP with AKI.
Methods: We retrospectively reviewed medical records of patients aged 65 years or above hospitalized with a diagnosis of AKI at Aga Khan University Hospital, Karachi, between January 2005 and December 2010. Binary logistic regression models were constructed to identify factors associated with mortality in EP with AKI.
Results: 431 patients had AKI, with 341 (79.1%) having stage I …

Changes In Hepatic Extracellular Matrix During The Development Of Cancer-Cachexia In Mice, Kyle Turner

Health, Human Performance and Recreation Undergraduate Honors Theses

CHANGES IN HEPATIC EXTRACELLULAR MATRIX DURING THE DEVELOPMENT OF CANCER-CACHEXIA IN MICE

Turner K.W.¹, Rosa-Caldwell M.E.¹, Brown J.L.¹, Lee D.E.¹, Perry R.A.¹, Haynie W.A.¹ Washington T.A.¹, Wiggs M.P.², Greene N.P.¹: ¹University of Arkansas, Fayetteville, Arkansas; ²Univeristy of Texas at Tyler, Tyler, Texas

BACKGROUND: Cancer is one of the most widespread and deadly diseases in recent history. Cancer-cachexia is a systemic, metabolic disorder that greatly disrupts the patient’s energy balance, causing uncontrollable weight and, specifically, skeletal muscle loss. This cancer-induced cachexia is …

Trunk Motion Visual Feedback During Walking Improves Dynamic Balance In Older Adults: Assessor Blinded Randomized Controlled Trial., Eric Anson, Lei Ma, Tippawan Meetam, Elizabeth Thompson, Roshita Rathore, Victoria Dean, John Jeka

Department of Physical Therapy Faculty Papers

BACKGROUND: Virtual reality and augmented feedback have become more prevalent as training methods to improve balance. Few reports exist on the benefits of providing trunk motion visual feedback (VFB) during treadmill walking, and most of those reports only describe within session changes.

RESEARCH QUESTION: To determine whether trunk motion VFB treadmill walking would improve over-ground balance for older adults with self-reported balance problems.

METHODS: 40 adults (75.8 years (SD 6.5)) with self-reported balance difficulties or a history of falling were randomized to a control or experimental group. Everyone walked on a treadmill at a comfortable speed 3×/week for 4 weeks …

Skeletal Muscle Oxidative Capacity In The Elderly, Susie Chung

Kinesiology Theses - Archive

Age is the greatest risk factor for chronic disease and is associated with a marked decline in functional capacity and quality of life, with loss of skeletal muscle function regarded as a key contributing factor. While the exact mechanism(s) for the loss of skeletal muscle function remains incompletely understood, age-related mitochondrial dysfunction is thought to play a major role. To explore this question further, we studied 15 independently-living seniors (age: 72 ± 5 yrs; m/f: 4/11; BMI: 27.6 ± 5.9) and 17 young volunteers (age: 25 ± 4 years; m/f: 8/9; BMI: 24.0 ± 3.3). Skeletal muscle oxidative function was …

The Effect Of Long Work Hours On Workers' Health In Korea, Sang In Jung

All Theses

This study examines the association between long work hours and health status of Korean workers. Korea has atypically long weekly working hours, which raises concerns about workers’ health. To explore the impact of long work hours, I analyzed data from the 4th Korean Working Conditions Survey (KWCS) conducted by Korean Occupational Safety and Health Agency (KOSHA) in 2014. This survey collected data on various characteristics of a nationally representative sample of 50,000 economically active workers. KWCS aimed to estimate several parameters of the working population in Korea, including demographic characteristics, exposure to hazards, and health problems among workers aged 15 …

Evaluating The Effect Ofsnap-Ed On Household Food Securitystatus And Dietary Intake Of Snap-Ed-Eligible Participants In Indiana., Rebecca Lynn-Anne Rivera

Open Access Dissertations

High prevalence of food insecurity and poor diet quality characterize the US low-income population qualifyingfor the Supplemental Nutrition Assistance Program (SNAP) when compared with higher income populations. The Supplemental Nutrition Assistance Program-Education (SNAP-Ed) is a federal nutrition education program available at no cost to the income-eligible population with the goal to improve diet qualitybypromoting adherence to the DietaryGuidelines for Americans (DGA) through nutrition education while also supporting the goal of SNAP to improve food security. Limited evidence suggests that SNAP-Ed improves diet-related outcomes such as food security, intake of fruits and vegetables, and other targeted positive health behaviors over short-term …

The Effect Of Hearing Aid Use On Cognition In Older Adults With Adult Onset Hearing Loss: A Systematic Review, Jona Cano

Dissertations, Theses, and Capstone Projects

The goal of this paper was to systematically review literature in order to investigate whether the use of amplification in the form of hearing aids by older adults positively impacts cognitive status. If the results of this review uncover a positive association between hearing-aid use and cognition, then hearing aids can be recommended as an intervention method for the mitigation of cognitive decline. The eight studies included in this paper were reviewed based on the research design and the cognitive outcome measures employed. Additionally, the secondary measures of health utilized by study investigators were also evaluated. Of the eight studies …

Aging In Beverly, Massachusetts: A Community Needs Assessment, Caitlin Coyle, Claire Wickersham, Jan Mutchler

Center for Social and Demographic Research on Aging Publications

This report describes research undertaken by the Center for Social & Demographic Research on Aging within the Gerontology Institute at the University of Massachusetts Boston, on behalf of the Beverly Council on Aging and Senior Community Center (hereto referred to as the Beverly Senior Center), to investigate the needs, interests, preferences, and opinions of Beverly’s population of residents who are age 60 and older. The contents of this report are meant to inform the Beverly Senior Center, and organizations that work with and on behalf of older residents of Beverly, for the purposes of planning and coordination of services, but …

The Comparison Of Effective Education Methods To Increase Knowledge About Alzheimer's Disease., Lillian M. Kopsolias

College of Arts & Sciences Senior Theses

Alzheimer’s disease (AD) is a disease most people recognize, but have many misconceptions about. One way to decrease the amount of misconceptions about AD is to educate the general public on the disease. Many educational methods, such as person-centered care education, have been researched, but none have focused on the general public. Therefore, the purpose of this study is to compare two educational methods used today, reading a passage from a reliable online source (traditional educational method) and watching documentaries (person-centered care educational method), to find if a specific way of presenting them will prove efficient for Alzheimer’s education. The …

The Socio-Cultural Implications Of The Aging Population In Japan, Jacqueline Banas

Capstone Projects and Master's Theses

This capstone research looks at how Japan, as a nation, is dealing with aging populations as a society, what problems and solutions work for the Japanese, and how future studies and research on Japan’s elderly population could help lead for possible solutions for the global elderly. Through this capstone, I wanted to bring awareness to the Japanese elderly as well as generate light on the topic.

Implementation Of Emergency Preparedness In Long Term Care And Rogers' Diffusion Of Innovation Theory., Elizabeth M. Shiels

Electronic Theses and Dissertations

Kentucky is one of the top ten states in the U.S. in the number of Presidential Declarations of Disaster (PDD) over the past ten years. This is due to its geology and weather patterns. The far western portion of Kentucky lies on the New Madrid Seismic Zone, one of the most dangerous fault lines in the United States; and natural hazards such as tornadoes, earthquakes, flash floods, severe storms offer only minutes or even seconds of advance notice. These “no-notice” emergencies with no timely warnings are the most common hazards experienced in Kentucky. In these events, individual long term care …

The Relationship Between Community Dwelling Older Adult’S Fall Risk And Beliefs Of Risk For Falling In Northwest Arkansas And Bolgatanga, Ghana., Natalie Gohman

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Title: The Relationship Between Community Dwelling Older Adult’s Fall Risk and Beliefs of Risk for Falling in Northwest Arkansas and Bolgatanga, Ghana.

Gohman, N., Patton, S., Smith-Blair, N., Agana, C.: University of Arkansas, Fayetteville, AR

Background: Older adults worldwide live with comorbidities, physical and psychological changes associated with aging. Statistically, however, older adults are more likely to die as a result of falling. As the worldwide population of individuals over 65 rises, so will the possibility for injuries from falls. Much research has been published concerning fall risk prevention, but minimal research surrounding protocols and practices for protecting against falls …

Transitioning Out Of Sport: Perspectives Of Student-Athlete Support Or Development Services, Alison Ohashi

Boise State University Theses and Dissertations

Introduction: Despite the substantial amount of literature on career transitions in sport, there is insufficient research examining the social support system within college athletics as it is an important resource for student-athletes, especially for their success later in life. Likewise, there are currently no studies exploring athletic retirement from the perspective of student-athlete support or development services, a section of athletic departments that provides programming for the success of their student-athletes. Purpose: The purpose of this study was to explore the implications of athletic retirement from the perspective of directors and/or associate directors of student-athlete support or development services of …

Drinking Behaviors And Health In Old Age, Kaleigh Knapp

Master's Theses and Capstones

Alcohol abuse among the elderly population is rapidly becoming a widespread public health concern. As it goes undetected and undiagnosed in many within this age cohort, there is an increased need to further examine the effects of alcohol consumption on physical and mental health. This study investigated how and to what extent drinking behaviors affect physical and mental health in older people. Data came from the 2012 and 2014 Health and Retirement study, a nationally representative survey of Americans aged 51 and older. Our sample was restricted to people who participated in both waves of the survey from 2012 and …

The Effect Of An Aging Suit On Young And Middle-Aged Adults’ Attitudes Toward Older Adults, Kelly Allen

Health, Human Performance and Recreation Undergraduate Honors Theses

Background: Ageism, a type of discrimination based on a person’s age, can lead to negative attitudes, intolerance, and judgment towards older adults. With the increase of older adults in society, understanding the correlates of negative attitudes becomes increasingly important. The use of aging simulation (the action of imitating or pretending to be an older adult) is one largely unexplored intervention for reducing ageist attitudes. Purpose: The purpose of this study was to examine the effects of an aging suit on the attitudes of young and middle-aged adults toward older adults. We hypothesized that after performing senior fitness tests in an …

University Of Central Florida Graduate Catalog, 2018 - 2019, University Of Central Florida

UCF Catalogs

No abstract provided.

Resilience And Protective Factors In Older Adults, Jessica Mcclain, Katelyn Gullatt, Caroline Lee

Dissertations, Masters Theses, Capstones, and Culminating Projects

Evidence suggests resilience promotes successful aging in place and protective factors promote resilience. This study sought to investigate whether or not the combination of three protective factors, physical health, social support, and self-efficacy are all of equal importance in predicting resilience among Marin County older adults, or if some individual protective factors have a greater impact on resilience than the others. Fifty-eight participants ages 62 and higher were recruited from senior community programs and personal contacts. Four self-report questionnaires were completed by the participants in this exploratory, cross-sectional, quantitative design. SPSS was used for a descriptive and multivariate analyses to …

Impact Of Prolonged Sitting On Cognitive Function: Implications For Cardio-Metabolic Risk, Sabina Miller

Master's Theses

Purpose: To determine if prolonged sitting negatively impacts cognitive function, cerebral perfusion, and central cardiovascular hemodynamics; and secondly, to test whether weight or physical activity status alters this response. Methods: Participants (N=20, age=26±7; BMI=30±7 kg/m²; 7 female) were taken through 3 hrs of sitting followed by a 10-min walk (treadmill). Cognitive function was assessed during sitting (10, 60, 120, and 180 mins) and following the walk using a color/word Stroop test. Cerebral perfusion was measured via near infrared spectroscopy (total hemoglobin—tHb). Central cardiovascular hemodynamics and aortic stiffness (pulse wave velocity—PWV) were measured using the SphygmoCor XCEL device before, …

Spinal Cord Injuries: The Life After, Woo Jeon

Scientific Kenyon: The Neuroscience Edition

No abstract provided.

May 2018 Commencement Program, Bowling Green State University

Commencement Programs

No abstract provided.

Mobile Personal Health Monitoring For Automated Classification Of Electrocardiogram Signals In Elderly, Luis J. Mena, Vanessa G. Felix, Alberto Ochoa, Rodolfo Ostos, Eduardo Gonzalez, Javier Aspuru, Pablo Velarde, Gladys E. Maestre

School of Medicine Publications

Mobile electrocardiogram (ECG) monitoring is an emerging area that has received increasing attention in recent years, but still real-life validation for elderly residing in low and middle-income countries is scarce. We developed a wearable ECG monitor that is integrated with a self-designed wireless sensor for ECG signal acquisition. It is used with a native purposely designed smartphone application, based on machine learning techniques, for automated classification of captured ECG beats from aged people. When tested on 100 older adults, the monitoring system discriminated normal and abnormal ECG signals with a high degree of accuracy (97%), sensitivity (100%), and specificity (96.6%). …

Association Between Toxoplasma Gondii Seropositivity And Memory Function In Non-Demented Older Adults, Cynthia Elizabeth Wyman, Shawn D. Gale, Ariana Hedges-Muncy, Lance D. Erickson, Eric Wilson, Dawson W. Hedges

Faculty Publications

Toxoplasma gondii (T. gondii) seropositivity may be associated with decreased memory in older adults. To further investigate the association between T. gondii seropositivity and memory in nondemented older adults, we obtained serum samples from 114 non-demented older adults evaluated by the Alzheimer’s Disease and Research Center at Washington University in St. Louis Missouri, USA. We determined T. gondii seropositivity and anti-T. gondii IgG antibody titer and examined associations with memory function while controlling for socioeconomic status, education level, age, and apolipoprotein E4 status. There were few associations between T. gondii seropositivity or anti-T. gondii IgG antibodies and memory, although there …

Inside The Osborne Association’S Prepare Program, Victor St. John, Kathleen A. Tomberg

Publications and Research

The Research and Evaluation Center at John Jay College of Criminal Justice partnered with the Osborne Association as the local evaluator of the Prepare program. This project brief provides an overview of Osborne’s reentry program launched in 2016 called Prepare for fathers and father figures returning from prison. This brief provides background and context about the program and facilitation of the workshops.

Technology And The Marginalization Of Older Adults: How Politeness Theory And Stereotype Embodiment Interact In Older Adults' Technology Use, Keefe Watson

Honors Projects

Marginalization of older adults is a long-time and pervasive fact of society. Technology use can make older adults feel less marginalized by connecting them socially, such as with communication technologies. However, older adults on average are less technology literate than younger adults; this can add to feelings of marginalization. In this study, I analyzed structured open-ended interviews and found unexpected instances of marginalization towards older adults related to technology; for example, older adults are most likely to withstand marginalized comments from their own adult children and family members. I applied politeness theory and the stereotype embodiment model to the coded …

Employing Participatory Methods To Engage An Under-Researched Group: Opportunities And Challenges, Clare Pettinger, Gayle Letherby, Julie M. Parsons, Lyndsey Withers, Miranda Cunningham, Andrew Whiteford, G D'Aprano, Richard Ayres, Carole Sutton

School of Health Professions

No abstract provided.

The Effect Of My Health Companion© On Self-Management And Quality Of Life In Persons With End Stage Renal Disease: A Multiple Case Study Approach, Julie D. Leming

Nursing Theses and Dissertations

End stage renal disease (ESRD) is the fifth and final stage of chronic kidney disease. Persons with ESRD face significant challenges to quality of life when undergoing renal replacement therapy with hemodialysis. Complex medical regimens accompanied by severe physical discomforts related to both ESRD and dialysis can take a serious emotional toll. Two manuscripts presented in this dissertation portfolio explore the issues facing this population. First, a comparative concept analysis explores three potential psychosocial responses for which nurses are uniquely positioned to intervene. A second manuscript details a multiple-case study with embedded units of analysis that aimed to test the …

Curricular Report No. 2017-18-9 From The Graduate Council To The Faculty Senate: Curricular Changes, University Of Rhode Island Faculty Senate

Faculty Senate Bills

No abstract provided.

Patients Are Our Teachers, Robert E. Becker, Mary V. Seeman

Journal of Patient-Centered Research and Reviews

In the patient-physician encounter, physicians hone their skills while alleviating the patient’s suffering. Both benefit. Leaning on the work of Hippocrates, Darwin, and William Osler, the authors sketch out the case for honoring patients as indispensable teachers of the art and science of medicine. They argue that this tradition of Hippocratic medicine both anticipates modern precision medicine and reawakens a focus on public health medicine, each a benefit to the patients and communities served by physicians. A community that compromises the learning relationship of physician to patient and population undermines quality of care.

Homeless And Marginally Housed Veteran Perspectives On Participating In A Photo-Elicitation Research Study, Keri L. Rodriguez, Daniel O. Hedayati, Lauren M. Broyles, Melissa E. Wieland, Michael A. Mitchell, James W. Conley, Shaddy K. Saba, Adam J. Gordon

Patient Experience Journal

Photo-elicitation interviewing (PEI) seems a valuable tool for engaging marginalized populations in research despite documented challenges. Given limited data on acceptability of PEI among homeless and marginally housed Veterans, this evaluation aimed to characterize their research experience. Veterans took photographs about health, health behaviors, and health care which facilitated semi-structured interviews. Their research study experience was assessed via a modified Reactions to Research Participation Questionnaire-Revised (RRPQ-R), along with additional survey and open-ended questions. Of the 20 participants who consented and participated, 16 (80%) completed the exit surveys. Most participants (>88%) indicated favorable experiences and limited drawbacks. Respondents disagreed that …

What Are The Most Important Dimensions Of Quality For Addiction And Mental Health Services From The Perspective Of Its Users?, Priscilla Liu, Shawn Currie, Jassandre Adamyk-Simpson

Patient Experience Journal

There is a need to better engage service users in improving their experience with the care received in Addiction and Mental Health (A&MH). Dimensions of patient experience that are most salient to A&MH service users still remain to be properly defined from the patient perspective. This research focuses on identifying key domains of service experience important to patients of Addiction and Mental Health using patient focus groups. In addition, through a patient and family advisory committee, patients were also engaged as co-partners of the research team. The patient advisors had a major role in overseeing the research project, assisting with …