Digital Commons Network^™

Group Videoconferencing To Reduce Fear Of Falling, A Randomized Non-Inferiority Trial, Alan Vlieg

Yale School of Medicine Physician Associate Program Theses

A fear of falling has a significant impact on the life of an elderly person. Over half of people over the age of sixty-five admit to a fear of falling, which is an independent risk factor for falling and several other poor health outcomes. Interventions have been successful in reducing fear of falling among participants, however there are significant barriers to participation among an older population. Delivering the intervention at home would reduce several barriers. Teleconferencing has been an effective tool among an elderly population and delivery of an established intervention through videoconferencing has been shown to be comparable to …

Healthcare Access Barriers In Rural America, Lakyn E. Jolly

Kentucky Journal of Undergraduate Scholarship

• In rural America, the path to accessing healthcare is met with many challenges. These challenges can present geographically and structurally within rural healthcare systems, as well as larger healthcare delivery entities. Due to these access barriers, rural Americans are at higher risk for developing poor health outcomes, as compared to their urban counterparts. Among these are higher mortality and morbidity rates, higher instances of chronic conditions, and higher rates of childhood obesity. Because rural communities are at risk for adverse health outcomes, it is vital that research and policy be geared toward reducing barriers to accessing healthcare within this population. …

Older Parents’ Coresidence With Adult Daughters In Contemporary China: The Role Of Individual And Community Characteristics, Melanie Sereny Brasher

Sociology and Anthropology Faculty Publications

No abstract provided.

The University Of New Mexico Orthopaedics Research Journal 2019, Unm Department Of Orthopaedic Surgery

UNM Orthopaedic Research Journal

No abstract provided.

Effects Of Igf-1 Isoforms On Muscle Growth And Sarcopenia., Francesca Ascenzi, Laura Barberi, Gabriella Dobrowolny, Aline Villa Nova Bacurau, Carmine Nicoletti, Emanuele Rizzuto, Nadia Rosenthal, Bianca Maria Scicchitano, Antonio Musarò

Faculty Research 2019

The decline in skeletal muscle mass and strength occurring in aging, referred as sarcopenia, is the result of many factors including an imbalance between protein synthesis and degradation, changes in metabolic/hormonal status, and in circulating levels of inflammatory mediators. Thus, factors that increase muscle mass and promote anabolic pathways might be of therapeutic benefit to counteract sarcopenia. Among these, the insulin-like growth factor-1 (IGF-1) has been implicated in many anabolic pathways in skeletal muscle. IGF-1 exists in different isoforms that might exert different role in skeletal muscle. Here we study the effects of two full propeptides IGF-1Ea and IGF-1Eb in …

Glycine Supplementation Extends Lifespan Of Male And Female Mice., Richard A Miller, David E Harrison, Clinton Michael Astle, Molly A. Bogue, Joel Brind, Elizabeth Fernandez, Kevin Flurkey, Martin Javors, Warren Ladiges, Christiaan Leeuwenburgh, Francesca Macchiarini, James Nelson, Alexey G Ryazanov, Jessica Snyder, Timothy M Stearns, Douglas E Vaughan, Randy Strong

Faculty Research 2019

Diets low in methionine extend lifespan of rodents, though through unknown mechanisms. Glycine can mitigate methionine toxicity, and a small prior study has suggested that supplemental glycine could extend lifespan of Fischer 344 rats. We therefore evaluated the effects of an 8% glycine diet on lifespan and pathology of genetically heterogeneous mice in the context of the Interventions Testing Program. Elevated glycine led to a small (4%-6%) but statistically significant lifespan increase, as well as an increase in maximum lifespan, in both males (p = 0.002) and females (p < 0.001). Pooling across sex, glycine increased lifespan at each of the three independent sites, with significance at p = 0.01, 0.053, and 0.03, respectively. Glycine-supplemented females were lighter than controls, but there was no effect on weight in males. End-of-life necropsies suggested that glycine-treated mice were less likely than controls to die of pulmonary adenocarcinoma (p = 0.03). Of the 40 varieties of incidental pathology evaluated in these mice, none were increased to a significant degree by the glycine-supplemented diet. In parallel analyses of the same cohort, we found no benefits from TM5441 (an inhibitor of PAI-1, the primary inhibitor of tissue and urokinase plasminogen activators), inulin (a source of soluble fiber), or aspirin at either of two doses. Our glycine results strengthen the idea that modulation of dietary amino acid levels can increase healthy lifespan in mice, and provide a foundation for further investigation of dietary effects on aging and late-life diseases.

Knowledge, Attitudes, And Perceptions Of Nurse Practitioners About Antibiotic Stewardship, Robert M. Hamilton

Theses and Dissertations

Background: Antibiotic stewardship (ABS) is a set of strategies to optimize the use of antibiotics with the goal of reducing antibiotic resistance, improving patient outcomes and decreasing unnecessary costs. ABS affects all venues of patient care, including outpatient, inpatient, and long-term care. While many strategies for ABS exist and best practice continues to evolve, successful ABS programs utilize a multidisciplinary approach. Nurse practitioners (NPs) play an essential role in health care education and represent a valuable potential resource for ABS efforts. The purpose of this study is to describe the knowledge, attitudes, and perceptions of NPs towards ABS.Methods: A convenience …

Mismatch Negativity Event Related Potential Elicited By Speech Stimuli In Geriatric Patients, Dana Lynn Pierce

Theses and Dissertations

Hearing loss, as a result of old age, has been linked to a decline in speech perception despite the use of additional listening devices. Even though the relationship between hearing loss and decreased speech perception has been well established, research in this area has often focused on the behavioral aspects of language and not on the functionality of the brain itself. In the present study, the mismatch negativity, an event related potential, was examined in order to determine the differences in speech perception between young adult participants, geriatric normal hearing participants, and geriatric hearing-impaired participants. It was hypothesized that a …

2019-2020 Fall Bulletin, University Of Mississippi Medical Center

Bulletins/Catalogs

2019-2020 Fall Bulletin

Und Today: June 2019, University Of North Dakota

UND Today Archive

No abstract provided.

Saving Inventory – Revised: Psychometric Performance Across The Lifespan, Kirstie Kellman-Mcfarlane, Brent Stewart, Sheila Woody, Catherine Ayers, Mary Dozier, Randy O. Frost, Jessica Grisham, Simone Isemann, Gail Steketee, David F. Tolin, Alison Welsted

Psychology: Faculty Publications

Background: The Saving Inventory – Revised (SI-R) is the most widely used self-report measure of hoarding symptom severity. The goal of this study is to establish a firm empirical basis for a cutoff score on the SI-R and to examine the functioning of the SI-R as a screening tool and indicator of hoarding symptom severity across the lifespan. Methods: This study used archival data from 1,116 participants diagnosed with a clinical interview in 14 studies conducted by research groups who focus on hoarding. We used receiver operating characteristic (ROC) analysis and the Youden's J statistic to determine optimal cutoff scores …

Gray For A Day: Implementing A Curriculum To Promote Empathy For Older Adults, Erin Yelland, Jessie Piper

Journal of Extension

Gray for a Day educates participants on age-related sensory and functional challenges through simulations that reflect daily routines, simple tasks, and social activities. Participants are introduced to healthful living concepts and means for promoting optimal aging and challenged to adopt healthful and empathic practices that will improve sensory, functional, and emotional wellness. The curriculum has been successfully pilot tested with a wide variety of Extension audiences, including 4-H youths, students, those who work with older adults, and intergenerational groups. A rationale for the program and a description of the curriculum and its materials are provided.

Limbic-Predominant Age-Related Tdp-43 Encephalopathy (Late): Consensus Working Group Report, Peter T. Nelson, Dennis W. Dickson, John Q. Trojanowski, Clifford R. Jack, Patricia A. Boyle, Konstantinos Arfanakis, Rosa Rademakers, Irina Alafuzoff, Johannes Attems, Carol Brayne, Ian T. S. Coyle-Gilchrist, Helena C. Chui, David W. Fardo, Margaret E. Flanagan, Glenda Halliday, Suvi R. K. Hokkanen, Sally Hunter, Gregory A. Jicha, Yuriko Katsumata, Claudia H. Kawas, C. Dirk Keene, Gabor G. Kovacs, Walter A. Kukull, Allan I. Levey, Nazanin Makkinejad, Thomas J. Montine, Shigeo Murayama, Melissa E. Murray, Sukriti Nag, Robert A. Rissman, William W. Seeley, Reisa A. Sperling, Charles L. White Iii, Lei Yu, Julie A. Schneider

Sanders-Brown Center on Aging Faculty Publications

We describe a recently recognized disease entity, limbic-predominant age-related TDP-43 encephalopathy (LATE). LATE neuropathological change (LATE-NC) is defined by a stereotypical TDP-43 proteinopathy in older adults, with or without coexisting hippocampal sclerosis pathology. LATE-NC is a common TDP-43 proteinopathy, associated with an amnestic dementia syndrome that mimicked Alzheimer’s-type dementia in retrospective autopsy studies. LATE is distinguished from frontotemporal lobar degeneration with TDP-43 pathology based on its epidemiology (LATE generally affects older subjects), and relatively restricted neuroanatomical distribution of TDP-43 proteinopathy. In community-based autopsy cohorts, ∼25% of brains had sufficient burden of LATE-NC to be associated with discernible cognitive impairment. Many …

Relationship Between Balance And Physical Activity In Subjects With Non-Specific Chronic Low Back Pain, Muhsen B. Alsufiany

Loma Linda University Electronic Theses, Dissertations & Projects

Most research on sedentary lifestyle has focused on pain and disability outcomes, while neuromuscular outcomes (postural control and strength) have received less attention. The objective of the present study was to determine whether low level of physical activity is negatively associated with measures of lower body muscular strength and postural control in subjects with and without non-specific chronic low back pain (NSCLBP). Twenty-four subjects with NSCLBP (28.8±5.9 years) and 24 age, gender, and Body Mass Index (BMI) matched healthy controls participated in the study. Subjects were sub-classified into four subgroups based on their level of physical activity using the International …

Factors Associated With Geriatric Morbidity And Impairment In A Megacity Of Pakistan, Saniya Sabzwari, Romaina Iqbal, Zafar Fatmi, Iqbal Azam Syed

Department of Family Medicine

Background: The elderly population is increasing globally. In Pakistan, the elderly comprise 6% of the population that is predicted to triple by 2050. Non-communicable diseases are common health problems of the elderly in Pakistan, however, resulting geriatric impairments and disability are unknown. This study was conducted to determine geriatric impairments and identify associated socio-demographic factors and comorbidities among community dwelling elderly in Karachi, Pakistan.
Methods: A cross-sectional study was conducted during 2013-2014. Community clusters were selected from all sub-districts of Karachi, the largest city of Pakistan. Data was collected from systematically selected households within these clusters from individuals, aged ≥60 …

Malnutrition In The Elderly, Clodagh Corcoran, Craig Murphy, Eamonn P. Culligan, Janette Walton, Roy D. Sleator

Department of Biological Sciences Publications

Changes that occur naturally throughout the ageing process place the elderly population at greater risk of malnourishment. This review discusses the significance, causes, consequences and assessment of malnutrition in the elderly.

Prevalence Of Sarcopenia And Related Factors In Community-Dwelling Elderly Individuals, Hatice Simsek, Reci Meseri, Sevnaz Sahin, Asli Kilavuz, Derya H. Bicakli, Mehmet Uyar, Sumru Savas, Fulden Sarac, Fehmi Akcicek

Saudi Medical Journal

Objectives: To determine the prevalence of sarcopenia and related factors in individuals aged ≥65 years living in the Bornova district of Izmir, Turkey. Sarcopenia is one of the most serious health problems among elderly individuals. Methods: This cross-sectional study was conducted in the Bornova district of Izmir, Turkey, between February-July 2015. This study participants were comprised of 909 individuals aged ≥65 years. The dependent variable was the presence of sarcopenia and the European Working Group on Sarcopenia in Older People (EWGSOP) approach was used for determining sarcopenia. The independent variables were socio-demographic and economic characteristics, healthy life behaviors and health …

Racial/Ethnic Differences In Multimorbidity Development And Chronic Disease Accumulation For Middle-Aged Adults, Ana R. Quiñones, Anda Botoseneanu, Sheila Markwardt, Corey L. Nagel, Jason T. Newsom, David A. Dorr, Heather G. Allore

Psychology Faculty Publications and Presentations

Multimorbidity–having two or more coexisting chronic conditions–is highly prevalent, costly, and disabling to older adults. Questions remain regarding chronic diseases accumulation over time and whether this differs by racial and ethnic background. Answering this knowledge gap, this study identifies differences in rates of chronic disease accumulation and multimorbidity development among non-Hispanic white, non-Hispanic black, and Hispanic study participants starting in middle-age and followed up to 16 years.

We analyzed data from the Health and Retirement Study (HRS), a biennial, ongoing, publicly- available, longitudinal nationally-representative study of middle-aged and older adults in the United States. We assessed the change in chronic …

Closing The Gap In Hospice Utilization For The Minority Medicare Population, M. Courtney Hughes, Erin Vernon

Faculty Articles, Papers, and Other Scholarship

Background: Medicare spends about 20% more on the last year of life for Black and Hispanic people than White people. With lower hospice utilization rates, racial/ethnic minorities receive fewer hospice-related benefits such as lesser symptoms, lower costs, and improved quality of life. For-profit hospices have higher dropout rates than nonprofit hospices, yet target racial/ethnic minority communities more through community outreach. This analysis examined the relationship between hospice utilization and for-profit hospice status and conducted an economic analysis of racial/ethnic minority utilization. Method: Cross-sectional analysis of 2014 Centers for Medicare & Medicaid Services (CMS), U.S. Census, and Hospice Analytics data. Measures …

Adverse Childhood Experiences And Coping Methods For Social Work Students, Treyveon Parks, Alex Hernandez

Electronic Theses, Projects, and Dissertations

The purpose of the following study was to explore and examine the prevalence of Adverse Childhood Experiences (ACE) and coping methods among social work students at a Southern California university. The literature on ACE scores suggests that higher levels of ACE can impact well-being and functioning in adults, yet, provides limited information relating to social work.

A quantitative survey instrument constructed by Felitti and colleagues (1998) and two additional questions relating to coping methods and strategies were constructed by the researchers were used to gather data for the purpose of this study. Data for the following study was collected through …

Perceptions On The Aging Population: Disparities Among Graduate Social Work Students, Ashlee Taylor Crosson, Kelsey Marie Goodwin

Electronic Theses, Projects, and Dissertations

Social workers are needed to meet the needs of the growing aging population. Yet, there is a shortage of social work students entering the field of gerontology as opposed to child welfare, school social work, or family services. The proposed study used a qualitative research design to explore why social work students are underrepresented in areas that serve older people. A sample of 58 graduate social work students from several universities in Southern California completed open-ended questions on a scale (N = 58). Thematic analysis of the data revealed four major factors that account for the underrepresentation of social work …

Functional Exercise Improves Mobility Performance In Older Adults With Type 2 Diabetes: A Randomized Controlled Trial, Kimberlee A. Gretebeck, Caroline S. Blaum, Tisha Moore, Roger Brown, Andrzej Galecki, Debra Strasburg, Shu Chen, Neil B. Alexander

College of Nursing Faculty Research and Publications

Background: Diabetes-related disability occurs in approximately two-thirds of older adults with diabetes and is associated with loss of independence, increased health care resource utilization, and sedentary lifestyle. The objective of this randomized controlled trial was to determine the effect of a center-based functional circuit exercise training intervention followed by a 10-week customized home-based program in improving mobility function in sedentary older adults with diabetes.

Methods: Participants (n = 111; mean age 70.5 [7.1] y; mean body mass index 32.7 [5.9] kg/m²) were randomized to either a moderate-intensity functional circuit training (FCT) plus 10-week home program to …

Life-Space Mobility: How Transportation And Policy Can Support Aging In Place For Older Adults, Ivis Garcia Zambrana, Alan Kenneth Delatorre

TREC Project Briefs

Research on older adults frequently explores the notion of "aging in place"—providing older adults the opportunity to continue to live in their own homes and communities. However one’s ability to stay or leave, particularly in old age, often depends on the built environment. An accessible neighborhood that prioritizes mobility affords the ability to meet basic needs like goods, services, and social activities.

This life-space mobility is rarely applied in the field of urban planning and architecture. A NITC project led by Ivis Garcia Zambrana of the University of Utah and Alan DeLaTorre of Portland State University sought to operationalize this …

The Aging Of A Young Nation: Population Aging In Singapore, Rahul Malhotra, Andre M. Muller, Su Aw, Gerald Choon Huat Koh, Yin-Leng Theng, Stephen James Hoskins, Chek Hooi Wong, Chunyan Miao, Wee-Shiong Lim, Chetna Malhotra, Angelique Chan

Research Collection School Of Economics

The juxtaposition of a young city-state showing relative maturity as a rapidly aging society suffuses the population aging narrative in Singapore and places the “little red dot” on the spotlight of international aging. We first describe population aging in Singapore, including the characteristic events that shaped this demographic transition. We then detail the health care and socioeconomic ramifications of the rapid and significant shift to an aging society, followed by an overview of the main aging research areas in Singapore, including selected population-based data sets and the main thrust of leading aging research centers/institutes. After presenting established aging policies and …

Implementing Behavior Analysis And Intervention For Individuals With Cognitive Impairments In Skilled Nursing Facilities: Summary Of Results, Janet S. Hahn, Jonathan C. Baker, Sandra Wagner, Andrea Perez, Minyoung Kim, Sydney Bulock

Center for Gerontology Reports and Publications

Summary of Purpose

The purpose of the project was to provide behavioral consultation and services to aging persons with cognitive impairment at skilled nursing facilities in Michigan. The goal was to use empirically supported non-pharmacological approaches to reduce behavioral and psychological symptoms of dementia (BPSD; wandering, agitation, disruptive vocalizations, etc.) and help slow down or remediate lost skills, reduce the use of medication to manage BPSD, to improve staff knowledge and abilities, and to develop modules that can be adopted and used by other skilled nursing facilities.The project was led by Dr. Janet Hahn, a social gerontologist with extensive experience …

Life-Space Mobility And Aging In Place, Ivis Garcia Zambrana, Alan Kenneth Delatorre, Ja Young Kim, Julianne Reno, Keith Diaz Moore, Jordan Pieper, Jason Wheeler, Nicole Zinnanti, Brenda Jose

TREC Final Reports

Research on older adults explores the notion of “aging in place”—providing older adults the opportunity to continue to occupy familiar surroundings, to live in their own homes and communities. But oftentimes one’s ability to stay or leave, particularly in old age, depends on the built environment. Mobility is the ability to meet the basic needs to access goods, activities, services, and social interactions as they relate to quality of life. Thus, mobility is essential to older adults due to their limited, or gradually reducing, physical and cognitive abilities. In transportation research, mobility is often regarded in terms of travel behavior …

Computer Self-Efficacy As Determinant To The Use Of Online Public Access Catalogue: A Case Study Of Selected Universities In Niger Delta Region, Rachael Ejovwokoghene Eserada, Stanley Efe Okolo, Peace Nkemdilim Ideh

Library Philosophy and Practice (e-journal)

The research surveyed computer self-efficacy as determinants to the use of online public access catalogue. Based on a detailed literature review, a total of three research questions were raised: What are the available access points for the use of OPAC by the library users? What are the various search methods/technique used by users to locate needed materials through the OPAC? And what is the level of the user’s computer self-efficacy? The study adopted the descriptive survey design. The population of the study is made up of 18,332 registered under -graduate library users and the sampling size of 920. The findings …

The Effect Of The Strategy Of Guided Writing (Swh) On Meta-Memory Among Fifth-Grade Science And Biology Students, Ihsan Hamid Abdul, Qusay Mohammed Abbas

Uruk Journal of Human Sciences

The objective of the research was to identify the effect of the SWH strategy in the metamemory of the fifth grade students. To achieve the objective of the research, the zero hypothesis was formulated: “There is no statistically significant difference at the level of significance (0.05) between the mean grade of the students of the experimental group and the mean grade of control group students in Metamemory,” the research limits:

Turning Lament: Insight(S) From Engaging Lamentations 5, Dalinda Reese

Consensus

No abstract provided.

Using A Stress Process Model To Examine Longitudinal Racial Differences In Well-Being And Health: Results From A Population-Based Study Of Caregiving, Adrian N. S. Badana

USF Tampa Graduate Theses and Dissertations

As the older adult population of the United States increases over the next decade, many family caregivers will be needed to provide care for aging loved ones. The growing diversity of the population may also mean that more racial/ethnic minority caregivers will be providing care to older family members. Most of the studies examining race and caregiving have focused on racial differences in stress, coping, well-being and health among White and Black family caregivers. However, previous research examining racial differences in caregiving has often been limited to smaller convenience samples of caregivers, which limit generalizability of study findings. In this …