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Afterword: Horizons Of Transformation: When Age, Literacy And Scholarship Meet, Louise Wetherbee Phelps

English Faculty Publications

No abstract provided.

An Inpatient Rehabilitation Interprofessional Care Pathway For Traumatic Hip Fracture: A Pilot Quality Improvement Project, Sarah Plante

DNP Scholarly Projects

Background: Each year over 300,000 older adults are hospitalized for hip fracture. The impact of the cost of hip fracture on the US health care system is estimated to be as high as $9 billion, with the typical cost of a hip fracture episode around $30,000. Formalized pathways have been developed and successfully utilized for many patient presentations, including hip fracture, in the acute setting. Although this research is important to the comprehensive care of the elderly hip fracture patient, very little research exists that outlines evidence-based best-practice for patients in the post-acute recovery period.

Purpose: The primary aim of …

Bulletin Of Yale University School Of Nursing 2018-2019, Yale School Of Nursing

Yale School of Nursing Bulletins and Catalogues

Series 114, Number 15

September 5, 2018

Quelling The Silver Tsunami: Compassionate Release Of Elderly Offenders, Jalila Jefferson-Bullock

Law Faculty Publications

No abstract provided.

Enriching Clinical Learning Environments Through Partnerships: Academic And Practice Partnerships To Strengthen Care For Older Adults In Residential And Assisted Living Settings, Juliana Cartwright, Diana L. White

Institute on Aging Publications

This report was prepared by Oregon Health & Science University (OHSU) School of Nursing and the Institute on Aging at Portland State University to describe an academic-community partnership using the Enriching Clinical Learning Environments through Partnerships (ECLEPs) model. This two-year project was conducted with 34 students in the RN-BSN program in eight assisted living (AL) communities and ElderPlace, a PACE program serving residents in assisted living and other residential settings. Quality improvement was the focus of the project. Features of the ECLEPs model include:

• An intentional partnership between academic and clinical organizations
• Relationship-based; shared decision making
• Long-term commitment between partners …

Preventing Emergency Department Overutilization For Florida’S Seasonal Resident Population, Amanda Garcia

DNP Scholarly Projects

Background/Local Problem: Seasonal migration of elderly patients to Lee County, Florida result in overcrowding and prolonged wait times in emergency departments. Many of these seasonal residents dissociate the management of their chronic health conditions with a local provider, therefore utilizing the emergency department for non-urgent needs. Purpose: The Seasonal Resident Navigator Program was intended to enhance the coordination of primary care services for elderly seasonal residents by establishing appointments with local primary care providers (PCP) in order to reduce the overutilization of emergency services and improve patient throughput. Methods: A residency and provider assessment tool was incorporated into the Healthpark …

Aviation Outreach Model And Gap Analysis: Examining Solutions To Address Workforce Shortages, Rebecca K. Lutte

Aviation Institute Faculty Publications

The purpose of this research is to examine aviation outreach programs to identify best practices and areas for improvement in the endeavor to recruit youth to the aviation industry. The research includes creation of a model of aviation outreach and development and application of an aviation outreach gap analysis design. Three programs are analyzed, Women in Aviation Girls in Aviation Day, Experimental Aviation Association Young Eagles, and Aircraft Owners and Pilots Association High School Aviation Initiative. Each program takes a unique approach to recruiting youth and the strengths and weaknesses, based on the aviation outreach model, are discussed. Results of …

University Of Nebraska At Omaha 2018-2019 Course Catalog, University Of Nebraska At Omaha

Undergraduate Catalogs

Located in one of America’s best cities to live, work and learn, the University of Nebraska at Omaha (UNO) is Nebraska’s premier metropolitan university. With more than 15,000 students enrolled in 200-plus programs of study, UNO is recognized nationally for its online education, graduate education, military friendliness, and community engagement efforts.Founded in 1908, UNO has served learners of all backgrounds for more than 100 years and is dedicated to another century of excellence both in the classroom and in the community.

Completions 2018-19, Uno Office Of Institutional Effectiveness

IPEDS Completions

Welcome to the IPEDS Completions survey component. The Completions component is one of several IPEDS components that is conducted during the Fall data collection period. It collects the number of degrees and certificates awarded by field of study, level of award, race/ethnicity, and gender. The reporting period for the Completions component is during the 12-month time period beginning July 1 of the previous calendar year and ending June 30 of the current calendar year; therefore, for this year’s Completions component, the reporting period is between July 1, 2017 and June 30, 2018. The Completions component is also collecting the number …

Usefulness Of Medication Scanners In Clinical Practice: A Systematic Review, Laura Leonard Cure

Walden Dissertations and Doctoral Studies

Thousands of people die each year due to preventable medication errors. Barcode medication administration (BCMA) systems can reduce medication errors at the point of care, thus increasing patient safety. The purpose of the project was to gather evidence regarding BCMA usefulness in reducing medication errors. Kurt Lewin's 3-step change theory was used to guide this project. The nature of this project was a systematic review of the literature pertaining to the effectiveness of using BCMA systems to reduce medication errors in at the point of care in the hospital setting. The Johns Hopkins nursing evidence-based practice model and tool kit …

The Evaluation Of Advanced Practice Providers Practice Patterns And Delivery Of Care Models In The Specialty Practice Environment, Katherine W. Rogers

DNP Projects

Background: Advanced Practice Providers (APPs), specifically Nurse Practitioners (NP) and Physician Assistants (PA), have been utilized in healthcare for decades to improve access to care for patients. Norton Healthcare’s largest population of APPs is in specialty practices. The expansion of APPs into the medical group has been rapid and without evaluation of value and role identification.

Purpose: The purpose of this study is to evaluate Advanced Practice Provider (APP) practice patterns and care delivery models within specialty practices in a large medical group. The outcome of the study will help to identify trends in practice and areas where …

Osteohistology And Skeletochronology Of An Ontogenetic Series Of Clidastes (Squamata: Mosasauridae): Growth And Metabolism In Basal Mosasaurids, Cyrus C. Green

Master's Theses or Doctor of Nursing Practice

Clidastes was a large marine reptile from the Late Cretaceous Western Interior Seaway of North America. Though the remains of Clidastes have been found in the Cretaceous chalks and shales for over 150 years, little is known about their growth rates.

Osteohistology is a well-documented technique used to investigate growth in extinct animals. Previous histological studies of Clidastes have hypothesized higher growth rates in basal mosasaurids than varanids due to higher vascularity. These studies focused on adult specimens but did not look at ontogenetic changes in growth rates. Isotopic studies of Clidastes indicate high metabolic temperatures, leading to speculation these …

Book Reviews, Shawn P. Behan, Rabbi David J. Zucker, Bud Simon, Zachariah S. Motts, Matthew Haugen, J. R. Wright, Michael Whitcomb-Tavey

The Asbury Journal

No abstract provided.

Visual-Vestibular Integration During Self-Motion Perception In Younger And Older Adults, Robert Ramkhalawansingh, John Butler, Jennifer Campos

Articles

Younger adults integrate visual and vestibular cues to self-motion in a manner consistent with optimal integration; however, little is currently known about whether this process changes with older age. Our objective was to determine whether older adults, like younger adults, display evidence of optimal visual-vestibular integration, including reductions in bimodal variance (visual-vestibular) compared with unimodal variance (visual or vestibular alone), and reliability-based cue weighting. We used a motion simulator and a head-mounted display to introduce a 2-interval forced-choice heading estimation task. Older (65+ years) and younger adults (18–35 years) judged which of two movements was more rightward. Movements consisted of …

Screening Older Physicians For Cognitive Impairment: Justifiable Or Discriminatory?, Ilene N. Moore

Health Matrix: The Journal of Law-Medicine

In the U.S., one out of eight practicing physicians is older than sixty-five, and many practice well into their seventies. Many commentators and healthcare organizations, concerned that aging physicians are at risk for cognitive impairment, have urged, or actually instituted, cognitive "screening" for older physicians as a means to ensure patient safety. An age-based screening program, however, should not proceed unless supported by clear evidence and not prohibited by law. This article argues that neither of these conditions applies. Singling out all older physicians for cognitive testing is empirically unjustified and legally prohibited. Furthermore, there are other means to reliably …

Reflections On Life: Replication And Extension, Karen Osowski

Master's Theses

This study used an experimental methodology to examine positive affect and gratitude as mediators of the beneficial impact of an intervention in which older adults savor "life lessons" they have learned in growing older on measures of psychological well-being (i.e., positive attitudes toward aging, life satisfaction, anxiety, state self-esteem, and state hope). In the following pages, I first review the background literature on gerontology and quality of life as well as describe, in detail, the original experiment (Smith & Bryant, 2018) that formed the foundation of the proposed research. Next, I describe several extensions of this earlier study that are …

Sociodemographic Disparities In Adult Child Informal Caregiving Intensity In The United States: Results From The New National Study Of Caregiving, Sarah K. Cook, Steven A. Cohen

Kinesiology Faculty Publications

The objective of the current study was to assess socioeconomic and demographic disparities in caregiving intensity among informal caregivers. Using a randomized, nationally representative sample of 1,014 adult child informal caregivers from Medicare enrollment databases, the associations between informal caregiving intensity and age, race/ethnicity, and income were examined using binary and ordinal logistic regression. Caregiving intensity varied by demographics. Activities of daily living (ADL) caregiving was highest among Black, non-Hispanic caregivers. Instrumental ADL caregiving and number of hours spent caregiving was highest in female and non-White caregivers. Although the overall association between caregiving intensity and income was not significant, when …

Apoe Gene Polymorphism Among Jordanian Alzheimer’S Patients With Relation To Lipid Profile, Yanal A. Shafagoj, Randa G. Naffa, Mohammed S. El-Khateeb, Yazeed L. Abdulla, Aseem A. Al-Qaddoumi, Faisal A. Khatib, Yousef F. Al-Motassem, Eman M. Al-Khateeb

Neurosciences

Objectives: To investigate the frequencies of the apolipoprotein E (APOE) alleles and genotypes and study their relationship with the lipid profile in Jordanian patients with late-onset Alzheimer’s disease (AD). Methods: This case-control study was carried out on 71 Jordanian individuals: 38 patients with late-onset AD (age ≥65 years) and 33 age-matched healthy controls. All participants were recruited from senior homes and Jordan University Hospital, Amman, Jordan between January 2010 and December 2013. Each sample was examined for APOE’s 3 major isoforms (e2, e3, e4) using the polymerase chain reaction technique (PCR) followed by the sequencing technique. In addition, samples were …

Pcsk9 Inhibitor Uptake Trends By Insurance Payers At Six Months Post Fda Approval, George Thomas Vass

MUSC Theses and Dissertations

PURPOSE: Proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitors have shown superb efficacy in lowing LDL-C for patients who are not controlled by or are intolerant of first line medications such as high intensity statins and ezetimibe. Yet because of their high yearly cost of over $14,000 along with life-long cumulative costs, insurance payers have created strict guidelines to control utilization. This is an important area of research because there are no large retrospective studies that have examined the differences in utilization uptake of PCSK9 inhibitors among the major payer categories. The purpose of this study is to establish whether insurance …

Who Is Caring For The Caregiver? The Role Of Cybercoping For Dementia Caregivers, Jae-Seon Jeong, Young Kim, Myoung-Gi Chon

College of Communication Faculty Research and Publications

The purpose of this study is to investigate the relationship between dementia caregivers’ communication behaviors (information seeking and forwarding) and their outcomes (coping outcomes: e.g., dealing better with negative feelings or improved medical outcomes). A survey data set of dementia patients’ caregivers substantiates the effects of communication behaviors about dementia illness on coping outcomes, as well as the mediating role of emotion-focused and problem-focused coping processes. Using structural equation modeling (SEM), this study found positive effects of communication behaviors on outcomes through coping processes. Further, the results indicate that communication behaviors in cyberspace are crucial for caregivers to cope with …

Central Hemodynamics Measured During 5 Repetition Maximum Free Weight Resistance Exercise, Jonathan S. Howard, Cherilyn N. Mclester, Thomas W. Evans, John R. Mclester

Faculty Articles

The PhysioFlow™ is a piece of equipment that uses bioimpedance cardiography to measure central hemodynamics. The purpose of this research was to explore the novel approach of monitoring central hemodynamics during free weight resistance exercise using bioimpedance cardiography throughout a 5 repetition maximum (5RM). Thirty participants ranging from beginner to advanced lifters (16 males and 14 females) completed a 5RM for back squat, seated push press, and bicep curl while connected to the PhysioFlow™ to assess the response of heart rate (HR), stroke volume (SV), cardiac output (Q), and ejection fraction (EF). Participants were cued for form and to breathe …

Knowledge, Attitudes And Behaviors To Dietary Management Of Parkinson’S Disease, Leah Marie Hurley

Open Access Master's Theses

Background: Levodopa is the most commonly used medication to improve motor sequelae in persons with PD (PwPD). However, levodopa and dietary protein compete for absorption in the gut and blood brain barrier. Dietary proteins are essential for growth and physical functioning, which generally deteriorate with PD progression. Informal caregivers (ICG) often assist PwPD with meal and medication management, but have reported information deficits regarding dietary and medication management for PwPD.

Objective: To obtain qualitative information related to dietary knowledge and attitudes, and quantitative data on dietary behaviors from PwPD and their ICG.

Methods: Cross-sectional, mixed-methods study. A …

2018-2019 Course Catalog, University Of Montana--Missoula. Office Of The Registrar

University of Montana Course Catalogs, 1895-2024

An annual catalog of courses and course descriptions offered at the University of Montana.

Can Exercise Delay Transition To Active Therapy In Men With Low-Grade Prostate Cancer? A Multicentre Randomised Controlled Trial, Daniel A. Galvao, Dickon Hayne, Mark Frydenberg, Suzanne K. Chambers, Dennis R. Taaffe, Nigel Spry, Paul A. Scuffham, Robert S. Ware, Nicolas H. Hart, Robert U. Newton

Research outputs 2014 to 2021

Introduction

Active surveillance is a strategy for managing low-risk, localised prostate cancer, where men are observed with serial prostate-specific antigen assessments to identify signs of disease progression. Currently, there are no strategies to support active surveillance compliance nor are there interventions that can prevent or slow disease progression, ultimately delaying transition to active treatment before it is clinically required. Recently, we proposed that exercise may have a therapeutic potential in delaying the need for active treatment in men on active surveillance.

Methods and analysis

A single-blinded, two arm, multicentre randomised controlled trial will be undertaken with 168 patients randomly allocated …

The Effect Of Group Music Therapy On Alleviating Depression In Older Adults, Rebekah Gohl

Music: Student Scholarship & Creative Works

Depression and loneliness are significant psychological symptoms that often go unnoticed in older adults. Group music therapy with older adults provides an opportunity to alleviate depression through shared music making, reminiscing, and forming new connections with other individuals. This paper explores the implications of using music therapy to alleviate depression in an older adult population as found in prior research on this topic, advocating for group music therapy over individual therapy as a means to establish connections during old age.

Unwavering Gratitude: 2017-18 Report Of The President, Office Of The President, Gonzaga University

Office of the President Publications

Each year, Gonzaga University's Office of the President produces an annual Report of the President. This publication that highlights just a few of the many accomplishments over the previous academic year, and is intended to convey gratitude to our Trustees and Regents, benefactors, and many supporters.

Corporate Governance As Privately-Ordered Public Policy: A Proposal, Lynn A. Stout, Sergio Alberto Gramitto Ricci

Faculty Works

In this Article, we show how our society can use corporate governance shifts to address, if not entirely resolve, a number of currently pressing social and economic problems. These problems include: rising income inequality; demographic disparities in wealth and equity ownership; increasing poverty and income insecurity; a need for greater innovation and investment in solving problems like disease and climate change; the “externalization” of many costs of corporate activity onto third parties such as customers, employees, creditors, and the broader society; the corrosive influence of corporate money in politics; and discontent and loss of trust in the capitalist system among …

Demographic And Clinical Predictors Of Trait Impulsivity In Parkinson’S Disease Patients, Maddeson Riley, Megan Bakeberg, Michelle Byrne, Alexa Jefferson, Soumya Ghosh, Rick Stell, Frank L. Mastaglia, Dana A. Hince, Ryan S. Anderton

Health Sciences Papers and Journal Articles

Background: Impulsive behaviour has become increasingly recognised as a neuropsychiatric complication of Parkinson’s disease (PD). Thought to be a product of compromised cognitive control, the spectrum of impulsive behaviours in PD ranges from cognitive disinhibition to impulse control disorders (ICDs).

Objective: At present, there are no indicators for trait impulsivity in PD. The objective of the current study was to identify demographic and clinical predictors of susceptibility to trait impulsivity in a cohort of PD patients.

Methods: The current study assessed impulsivity using the Barratt Impulsiveness Scale 11 (BIS-11) in a cohort of 87 PD patients. General linear models (GLMs) …

Life History Of Maggie Butler, Cota/L, Justine Flattum, Katie Stewart

Oral History Posters

The life history of Maggie Butler was one of 31 life history interviews conducted as a part of a larger project of Life Histories of Individuals Who Have Been Influential in Developing Occupational Therapy (OT) in North Dakota and Wyoming. The purpose of the Life History is to gather information about the history and evolution of the OT practice from individuals like Maggie Butler who have been influential in developing OT in these two states. A life history is a powerful way to provide current and future generations of occupational therapists a view of the history of how OT practice …

Agnosia Interferes With Daily Hygiene In Patients With Dementia, Ronald C. Hamdy, Amber Kinser, Jennifer E. Culp, Tracey Kendall-Wilson, Audrey Depelteau, Rebecca Copeland, Kathleen Whalen

ETSU Faculty Works

Patients with dementia, particularly Alzheimer’s disease, may not recognize that their clothes are dirty. They may see the food stains and discoloration of the clothes and yet because of their agnosia are unable to integrate these observations and deduce that their clothes are dirty and need to be changed. They will, therefore, resist attempts to get them to change clothes, especially if these clothes happen to be their favorite ones. This often causes caregivers to become frustrated, especially, if it represents a change in the patient’s previous habits of only wearing clean clothes. In this case study, we present a …