Digital Commons Network^™

A Multi-Ancestry Genome-Wide Study Incorporating Gene-Smoking Interactions Identifies Multiple New Loci For Pulse Pressure And Mean Arterial Pressure, Yun Ju Sung, Lisa De Las Fuentes, Thomas W. Winkler, Daniel I. Chasman, Amy R. Bentley, Aldi T. Kraja, Ioanna Ntalla, Helen R. Warren, Xiuqing Guo, Karen Schwander, Alisa K. Manning, Michael R. Brown, Hugues Aschard, Mary F. Feitosa, Nora Franceschini, Yingchang Lu, Ching Yu Cheng, Xueling Sim, Dina Vojinovic, Jonathan Marten, Solomon K. Musani, Tuomas O. Kilpeläinen, Melissa A. Richard, Stella Aslibekyan, Traci M. Bartz, Rajkumar Dorajoo, Changwei Li, Yongmei Liu, Tuomo Rankinen, Albert Vernon Smith, Salman M. Tajuddin, Bamidele O. Tayo, Wei Zhao

Faculty Publications

Elevated blood pressure (BP), a leading cause of global morbidity and mortality, is influenced by both genetic and lifestyle factors. Cigarette smoking is one such lifestyle factor. Across five ancestries, we performed a genome-wide gene-smoking interaction study of mean arterial pressure (MAP) and pulse pressure (PP) in 129 913 individuals in stage 1 and follow-up analysis in 480 178 additional individuals in stage 2. We report here 136 loci significantly associated with MAP and/or PP. Of these, 61 were previously published through main-effect analysis of BP traits, 37 were recently reported by us for systolic BP and/or diastolic BP through …

The Implementation Of The Teach-Back Method In Dash Diet Education To Improve Blood Pressure Control In Patients With Hypertension And Low Health Literacy, Patrice Helen Spencer

Doctoral Dissertations and Projects

Low health literacy is closely correlated with poorly-managed chronic disease conditions. Hypertension is a common chronic disease condition which can be better controlled through compliance with the dietary approaches to stop hypertension (DASH) diet; however, patients with low health literacy may have difficulty understanding the DASH diet without proper education. The teach-back method is an evidence-based education tool which can empower patients with low health literacy to better control the management of hypertension through adherence to the DASH diet. This is an evidence-based project which purposes to reveal the effectiveness of the teach-back method in providing DASH diet education in …

Investigation Of The Effect Of Age On Regenerative Outcomes Following Treatment Of Volumetric Muscle Loss Injuries, John Taehwan Kim

Graduate Theses and Dissertations

Volumetric muscle loss (VML) is a traumatic injury in skeletal muscle resulting in the bulk loss of more than 20% of the muscle’s volume. Included in the bulk loss of muscle is the skeletal muscle niche comprised of nerve bundles, vasculature, local progenitor cells, basal lamina, and muscle fibers, overwhelming innate repair mechanisms. The hallmark of VML injury is the excessive accumulation of non-contractile, fibrotic tissue and permanent functional deficits. Though predominant in the younger demographic, the elderly population is also captured within VML injuries. There are many factors that change with aging in skeletal muscle that may further hinder …

Older Adults’ Expectations, And Knowledge Of Oral Health Issues: A Study Of Arkansas Seniors, Virginia Marie Hardgraves

Graduate Theses and Dissertations

The life expectancy of the U. S. population is increasing. The advantages of fluoridated water, dental insurance, greater awareness of preventive oral healthcare measures, and more restorative dental services, have helped this generation of adults maintain their teeth into their advanced years. The demand for oral health care services will be greater and more complex that of previous generations. Challenges for the older adult, and the healthcare system providing for them, are complex. Increasing evidence of a link between oral health and overall health underscores the need to promote public health awareness of the need for dental care to be …

The Impact Of Food Security Status On The Food Shopping Behavior And Patterns Of 2018 Brighter Bites Participants At Baseline, Sarah A. Crulcich

Dissertations and Theses (Open Access)

Households with children continue to have a greater prevalence of food insecurity compared to the national average. While the national food security rates have improved in recent years, it remains stagnant among children. The purpose of this study was to conduct a cross-sectional regression analysis on food shopping patterns and behavior among Brighter Bites participants stratified by food security status to offer more insight into how these households obtain fresh produce. We used baseline survey data from Brighter Bites participants completed during fall 2018. The results indicate that food insecure Brighter Bites households shop more frequently for produce at locations …

Examining The Mechanisms Of Religious Ecology On Population Health And Material Well-Being, Joseph Andrew Clark

LSU Doctoral Dissertations

A growing body of research has addressed the relationship between community-level religious environments and important aspects of well-being, such as mortality, crime, and social mobility. This research argues that the prevalence of specific religious traditions shapes these important outcomes through a variety of mechanisms. While there is no shortage of mechanisms proposed by authors - such as local attitudes towards public institutions, gender norms, and social networks - these mechanisms remain themselves untested. A notable critique of this literature suggests that without evidence supporting the existence of these mechanisms as described, scholars involved in this research run the risk of …

Contemporary Nursing In Rural Appalachia: A Hermeneutic Study, Evelyn Brewer

Electronic Theses and Dissertations

Nurses make up a significant source of direct care for individuals, families, and communities. The problematic distribution of nurses and the potential to lose practicing nurses emphasizes the importance of retention and support of nursing professionals, especially in rural locations. One of the best ways to discover what is important to nurses is to ask and listen to the replies.

The focus for this dissertation is the lived experience of registered nurses in a six-county area in three adjoining states in rural South Central Appalachia. The purpose of this study is to interpret and understand the lived experience of contemporary …

Comorbidity Profile Of Head And Neck Cancer Patients With And Without Depression, Michaela Frenzel

Capstone Experience: Master of Public Health

This population-based retrospective study used SEER-Medicare data from 2002-2010 to assess depression, comorbidity, and substance use in the elderly head and neck cancer population. Out of 3,533 head and neck cancer patients, 10.6% had depression diagnoses two years prior to cancer diagnosis, 8.9% were newly diagnosed with depression within one year after cancer diagnosis, and 44.5% of those with preexisting depression had an additional depression diagnosis within one year following cancer diagnosis. Comorbid conditions (p<0.0001) and substance use (p=0.0017) showed associations with depression prior to cancer diagnosis yet, no significant associations with incidence of depression in this head and neck cancer population. This study affirms the need for continual depression screenings in head and neck cancer patients and suggests the need for increased research into the burden of comorbid conditions and substance use within the head and neck cancer population.

Depression Mediates The Association Of Disordered Eating Behaviors And Sexual Function In Female Service Members And Veterans, Whitney S. Livingston

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Poor sexual function is comprised of diminished sexual desire and arousal, presence of sexual pain, inability to reach orgasm, and low satisfaction. Worse sexual function is associated with disordered eating behavior; however, the mechanism through which this association exists remains unclear. Theory of sexual function suggests that depression mediates the association of disordered eating behaviors and poor sexual function in female service members and veterans, but this has yet to be tested empirically. The purpose of the current study was to examine whether depression mediated the association of disordered eating behaviors and sexual dysfunction.

Participants (N=511) were partnered …

Development Of A Novel Bioprinting System:Bioprinter, Bioink, Characterizationand Optimization, Chandler Alan Warr

Theses and Dissertations

The use of 3D printing in biological applications is a new field of study given that 3D printing technology has become more available and user friendly. Possible uses include using existing 3D printing polymers to use in extracorporeal or in vitro devices, like Lab-on-a-Chip, and the development of new biologically derived materials to print cell-containing constructs. The latter concept is what is more commonly known as bioprinting. Our research had the goal of developing a bioprinting system including the printer, a bioink, and a feedback system for printing parameter optimization which could be done cheaply and within the reach of …

Patient-Centered Design Grounded In User And Clinical Realities Towards Valid Digital Health, Victor P. Cornet, Carly Daley, Davide Bolchini, Tammy Toscos Phd, Michael Mirro Md, Richard J. Holden

Health Services and Informatics Research

Valid design of patient-centered digital health or health information technology (IT) systems is based on a thorough and accurate understanding of both “user reality” and “clinical reality.” Type 1 Design Error (User-Reality Error) occurs when designers do not accommodate user characteristics, tasks, context of use, needs, or preferences. Type 2 Design Error (Clinical-Reality Error) occurs when designers do not accommodate the clinical reality, including biomedical knowledge, clinical workflows, and organizational requirements. Both types of errors can invalidate the design, leading to products being rejected by patient end-users or their healthcare delivery systems, product non-use or inappropriate use, and risk of …

Differences In Falls And Recovery From A Slip Based On An Individual's Lower Extremity Corrective Response, Samuel J. Wilson, Paul T. Donahue, Charles C. Williams, Christopher M. Hill, Jeffrey D. Simpson, Dwight E. Waddell, Jeremy P. Loenneke, Harish Chander, Chip Wade, John C. Garner

Faculty Publications

Background: Slips and falls account for high rates of injury and mortality in multiple populations. The corrective responses during the slip perturbation have been well documented. However, when a fall results from a slip, it is unclear which of these responses were inadequate.

Objective: The purpose of this study was to examine differences in lower extremity corrective responses of the slip recovery response between individuals who fall and those who recover.

Methodology: Sixty-four participants completed this study (32 males & 32 females). Participant’s gait kinematics and kinetics were collected during normal gait (NG) and an unexpected slip …

Let It Rest: Sleep And Health As Positive Correlates Of Forgiveness Of Others And Self-Forgiveness, Loren Toussaint, Andrew J. Gall, Alyssa Cheadle, David R. Williams

Faculty Publications

Objective: The present study examined forgiveness of others, self-forgiveness, sleep, and health in a nationally representative sample of United States adults. It was hypothesised that sleep would mediate the associations of forgiveness of others and self-forgiveness with health.

Design: A nationally representative survey of 1,423 United States adults.

Main Outcome Measures: Measures included forgiveness of others, self-forgiveness, sleep quantity, sleep quality, psychological distress, life satisfaction, and self-rated physical health.

Results: Forgiveness of others (β = .20, p < .001) and self-forgiveness (β = .11, p < .01) were associated with sleep and forgiveness of others (β = .24, p < .001) and self-forgiveness (β = .27, p < .001) were associated with health. Sleep was associated with health (β = .45, p < .001) and also acted as a mediator of the associations of forgiveness of others (β = .09, p < .01) and self-forgiveness (β = .05, p < .01) with health.

Conclusions: Forgiveness of others and self-forgiveness may attenuate emotions such as anger, regret, and rumination and provide …

Aortic Stenosis Poster, Katonya Lawson

Nursing Student Class Projects (Formerly MSN)

Aortic stenosis is the narrowing of the aortic valve secondary to calcification and fibrosis. It is the most common valve disorder and the second most frequent reason for cardiac surgery. As the elderly population increases, the number of patients presenting with aortic stenosis will increase. RNs and APRNs need to be aware of the pathophysiology and clinical manifestations of aortic stenosis because the disease can progress quickly and be fatal if mismanaged. Patients with aortic stenosis have an increased risk of morbidity and mortality during the peri-operative period during non-cardiac surgery. Therefore, CRNAs must remain vigilant when caring for this …

The Determinant Of Outpatient Health Services Utilization For Elderly Patient In Indonesia (Susenas 2017 Data Analysis), Rizki Asriani Putri, Yaslis Ilyas

Journal of Indonesian Health Policy and Administration

Indonesia has entered an aging population as showed by the number of elderly population which has reached more than 7% of the population. Basically, the increase in the elderly population will also increase the number of illnesses, because the more a person ages, the physical condition will decrease and be more susceptible to disease. This research is a quantitative study that aims to determine the determinants of outpatient health service use for Indonesian elderly in 2017. This research used secondary data from the 2017 National Socio-Economic Survey (Susenas) results with the unit of analysis is people aged ≥ 60 years …

Improving The Health And Functional Status Of Institutionalized Older Adults Through The Nurse, Caregiver And Older-Adults Partnership Model (Miradasia), Junaiti Sahar, Dwi Nuviyandari Kusuma Wati, Etty Rekawati

Jurnal Keperawatan Indonesia

Health and functional status are standard measurements in older adult’s services that showed physical and mental condition. However, institutionalized older adults with several adjustments and their limited source might cause compromised health and functional status. The quasi-experimental study aimed to investigate the effect of MiRaDaSia (nurses and caregivers joined the partnership model) on health and functional status among institutionalized older adults in Jakarta. It included 106 participants as intervention groups and 106 participants as control groups, who selected by multistage random sampling. We used the SF-12 and Barthel index to measure older-adults health and functional status. MiRaDaSia model was implemented …

Rocque To Help Inform Vulnerable Populations In Breast Cancer Decision-Making, Staff

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No abstract provided.

Minimally-Invasive Methods Of Examining Biological Changes In Response To Chronic Stress: A Scoping Review, Rebecca Elizabeth Salomon, Ashley Vaughan, Kelly R. Tan, Keely Muscatell

International Nursing Research Congress (INRC)

Nurse researchers are increasingly interested in the biological effects of chronic stress. Using minimally invasive methods to collect biological indicators may improve research access to vulnerable populations. This review maps the indicators being measured through minimally invasive methods to investigate a variety of biological changes in response to chronic stress.

A Mixed Methods Evaluation Of Interprofessional Collaborative Practice For Older Adults, Anna-Rae Montano

Doctoral Dissertations

As the population ages, healthcare systems will need to adapt to better care for older adults. New models of care will need to be created to meet the unique needs of older people. Although there is research supporting the use of interprofessional collaborative practice (IPCP), further investigation is necessary to elucidate the barriers and facilitators affecting systemic implementation of this model of care and its long term outcomes. This dissertation aimed to fill gaps in the literature base regarding IPCP and its utilization as a model of care for older adults. First, an integrative review of the barriers and facilitators …

A Comparative Study On Successful Aging Of Breast Cancer Patients And Survivors, Younghee Yun

International Nursing Research Congress (INRC)

The purpose of the study was to compare successful aging of cancer patients and cancer survivors. This was a secondary analysis study, used data from the Korea National and Health Nutrition Examination Survey. This study provide a basis for designing management programs as interventions to increase successful aging.

Acculturative Stress And Resilience Among Older Filipino Americans, Reimund Serafica

International Nursing Research Congress (INRC)

This study explored the interplay between acculturation, acculturative stress, and resilience, and their collective impact on physical and mental health self-evaluation among older Filipino Americans.

Creating Space For Nursing Research In The Fourth Industrial Age: A Serendipitous Journey Of An Emerging Nurse Researcher, Michael Joseph S. Dino

International Nursing Research Congress (INRC)

The session showcases the serendipitous journey of an Emerging Nurse Researcher 2019 honoree and shall highlight his experiences and creative thoughts and approaches on the changes, challenges, chances, and choices in juxtapositioning the theory and praxis of Nursing through research and scholarship in the Fourth Industrial Age (Nursing 4.0).

Promoting Holistic Comfort In Sexuality Of Older Adults, Barbara Suzy Diggle-Fox, Susan Glose

International Nursing Research Congress (INRC)

The purpose of this session is to critically appraise and present research findings pertaining to sexuality in older adults and to translate these findings into useful processes and tools that can be used to support comfort in sexuality and sexual well-being of older adults.

Cultural Factors Affecting Resilience Of Filipino Immigrant Women, Andrew Thomas Reyes

International Nursing Research Congress (INRC)

This presentation describes the results of a descriptive study exploring the relationship between resilience, acculturative stress, and cultural family beliefs about disclosing mental health problems among Filipino immigrant women living in the United States.

Integrating A Psychospiritual Approach Of Holistic Wellness In Treating Those With Mental Health Disorders, Anka Roberto

International Nursing Research Congress (INRC)

This session will critically appraise, synthesize, and present recent evidence based holistic psychospiritual practices that enhance comfort for those diagnosed with mental health disorders allowing for transcendence to a mentally well state of being.

Resilience: Understanding How Asian Immigrants Manage In The Face Of Chronic Pain, Jennifer Kawi, Andrew Thomas Reyes, Rogelio Arenas

International Nursing Research Congress (INRC)

Despite the prevalence of chronic pain globally that similarly impacts Asian Immigrants (AIs), there is an evident gap in the literature as to how AIs managed their chronic pain. A rigorous integrative review was conducted emphasizing resilience among AIs that strongly influenced adequate self-management of their pain.

Triplett, Evelyn, Collection, 1914-1984, Special Collections, Leonard H. Axe Library

Finding Aids

Evelyn Triplett was a dance and health professor at Pittsburg State University from 1947 to 1980, as well as several other institutions of higher learning. She was a nationally respected instructor and published numerous articles and studies over the health benefits of dance and physical education in the public schools. This collection includes correspondence, professional material, photographs, publications, and recordings. Evelyn Triplett was born on April 10, 1910 in Webb City, Missouri to Franklin and Margaret Triplett. She and her family moved to Pittsburg, Kansas when she was 11. She earned a B.S. in Health and Physical Education from Kansas …

The Comprehensive Health Education Program For Overweight And Diabetic Older Adults With Knee Osteoarthritis, Yuwadee Saraboon, Suparb Aree-Ue

International Nursing Research Congress (INRC)

To explore the effects of a comprehensive health education program on knowledge of knee osteoarthritis, self-efficacy, and expectation of treatment outcomes in overweight and diabetic older adults with knee osteoarthritis.

An Investigation On The Core Competencies Of Professional Dementia Caregivers, Huei-Ling Huang, Yea-Ing Lotus Shyu, Hsiu-Li Huang

International Nursing Research Congress (INRC)

The purpose of this study is to investigate the core competencies of professional dementia caregivers as a basis for establishing their core competencies and to provide a reference for the planning of dementia care training programs in schools and other related organizations.

A Poor Social-Support Trajectory Is Associated With Worse Health Outcomes After Hip Fracture, Yea-Ing Lotus Shyu

International Nursing Research Congress (INRC)

This presentation will describe types of trajectories in post-operative social support for hip fractured persons with DM and how these trajectory types influence the health outcomes within 2 years following the hip fracture.