Digital Commons Network^™

Biological Risk Profiles Among Latino Subgroups In The Health And Retirement Study, Catherine García, Jennifer A. Ailshire

Department of Sociology: Faculty Publications

Background and Objectives: Latinos residing in the United States exhibit an increased risk for cardiovascular and metabolic diseases compared to non-Latino whites. This elevated risk contributes to a significantly higher prevalence of diabetes and hypertension among Latino adults. Examining biological risk profiles of older Latinos as a “pan-ethnic group” and by Latino subpopulations may help to explain the increased burden of disease in later life among this population. The objective of this study is to document biological risk profiles among a nationally representative sample of older U.S. Latinos by nativity and country of origin.

Research Design and Methods: We use …

Physical Performance Trajectories And Mortality Among Older Mexican Americans, Miriam Mutambudzi, Nai-Wei Chen, Bret Howrey, Marc A. Garcia, Kyriakos S. Markides

Department of Sociology: Faculty Publications

Background: We sought to identify distinct trajectory classes of physical performance in Mexican Americans aged 75 years and older and to examine whether these trajectories predict mortality.

Methods: We used four waves of Hispanic Established Populations for Epidemiologic Studies of the Elderly (H-EPESE) data for adults 75 years and older from 2004–2005 to 2013. Latent growth curve analysis was used to identify distinct trajectory classes. Multinomial logistic regression analysis was used to examine the association between baseline characteristics and the newly constructed trajectories. Cox proportional hazards regression models examined the hazard of mortality as a function of Short Physical Performance …

Low Albumin And Mortality, Judith L. Dedeker

DNP Research Projects

Sepsis is a major epidemic worldwide and is a large unmet medical need in this country. Annual costs for the treatment of sepsis are over $3.4 billion dollars, and over 1.7 million people die each year from sepsis. Effective treatment of sepsis has two major obstacles: failure to recognize the early stages of sepsis and misjudging the severity of the disease. Identifying patients who are at higher risk for mortality and morbidity related to sepsis would be beneficial in keeping the numbers of deaths down, as well as decreasing the overall cost to the hospitals, as well as to the …

Evaluation Of An Online Lgbtq Patient Care Education Module For Primary Care Providers, Anthony C. Carney

DNP Projects

PURPOSE:

The purpose of this pilot study was to evaluate the effectiveness of an online educational module about LGBTQ healthcare topics for primary care providers in Kentucky. The study focused on the changes in knowledge, attitudes and self-efficacy in topics related to LGBTQ patients.

METHODS:

This study was a one-group pre/post intervention design to evaluate the knowledge, attitudes and self- efficacy of providers regarding primary care topics for the LGBTQ community before and after completing a training module on LGBTQ healthcare topics. Subjects were recruited via the KCNPNM Listserv over a 2-week period to participate in the interactive, online audio/visual …

Staff Perception Of Workplace Violence In The Ed: Implementing Egress Education And Cue Recognition, Kelsey Jobe

DNP Projects

Purpose: The purpose of this DNP project was to examine staff perception of workplace violence before and after an educational intervention provided to bedside staff members in the ED of a Level-1 trauma center. The project focused on assessing the impact of an educational intervention on staff perception of WPV related to safety and overall awareness.

Methods: This project was a single site project designed to examine the impact of an educational intervention using egress education and cue recognition in the ED setting using a pre- and post-survey. The survey examined staff perception of safety related to WPV before and …

The Effects Of Screening Tool Of Older Persons’ Prescriptions On Potentially Inappropriate Prescribing In Elderly Inpatients, Jamie Leigh Edmiston Franks

DNP Projects

Objective: The purpose of this project is to educate providers and implement the use of the Screening Tool of Older Persons’ Prescriptions (STOPP) on patients 65 and older admitted as inpatients at Owensboro Health and reduce potentially inappropriate medications (PIMs).

Background: Polypharmacy, the use of multiple medications or medications that are not medically necessary, is a persistent and growing problem for elderly patients in the United States. Polypharmacy has become synonymous with medications that are considered potentially inappropriate in individuals 65 or older. PIMs may be medications that, in the elderly, have deleterious effects, no indication, are used for treatment …

ตัวแบบนวัตกรรมบริการเพื่อคุณภาพชีวิตผู้สูงอายุ: บริการแนะนำงานตามวิถีชีวิตผู้สูงอายุ, ณิชามน สิทธิพลพร

Chulalongkorn University Theses and Dissertations (Chula ETD)

งานวิจัยนี้มีวัตถุประสงค์ในการพัฒนาตัวแบบนวัตกรรมบริการแนะนำงานตามวิถีชีวิตเพื่อคุณภาพชีวิตผู้สูงอายุ งานวิจัยนี้ใช้วิธีการวิจัยผสมเพื่อศึกษาวิถีชีวิตผู้สูงอายุและการออกแบบบริการแนะนำงาน พัฒนาและทดสอบตัวแบบนวัตกรรมบริการแนะนำงานตามวิถีชีวิตเพื่อคุณภาพชีวิตผู้สูงอายุ และศึกษาการยอมรับและแนวโน้มความเป็นไปได้ในเชิงพาณิชย์ของนวัตกรรมบริการแนะนำงานนี้ มีการศึกษาเชิงคุณภาพปริมาณโดยการสัมภาษณ์เชิงลึกผู้เชี่ยวชาญด้านต่างๆ และมีการวิจัยเชิงสำรวจเพื่อสร้างตัวแบบด้วยเทคนิคการเรียนรู้ของเครื่องจักร โดยเก็บข้อมูลด้วยแบบสอบถามจากกลุ่มตัวอย่าง 632 คน พบว่ากลุ่มตัวอย่างมีวิถีชีวิตแตกต่างกัน 6 ประเภท คือ เข้าสังคม รักสุขภาพ รักบ้าน พึ่งพาตนเอง ทันสมัย และเก็บตัว งานวิจัยนี้ใช้โปรแกรม R ในการสร้างตัวแบบวิเคราะห์ความถดถอยโลจิสติคแบบไบนารีทั้งหมด 12 ตัวแบบเพื่อให้การทำนาย 12 ประเภทงาน (งานสอน งานขายสินค้า งานที่ปรึกษา งานคหกรรมหรือหัตถกรรม งานบริการ งานเกษตรกรรม งานรับจ้างทั่วไป ธุรกิจส่วนตัว งานอาสาสมัคร งานบำเพ็ญประโยชน์ งานมูลนิธิ/ที่ปรึกษาหน่วยงาน/การกุศล งานที่ได้ใช้ความรู้ประสบการณ์การทำงาน) มีความแม่นยำสูงสุด ตัวแบบบริการแนะนำงานตามวิถีชีวิตนี้สามารถทำนายได้ถูกต้องถึงร้อยละ 91.20 นอกจากนี้ยังพบว่าข้อมูลประชากรศาสตร์เป็นปัจจัยสำคัญในการแนะนำงาน แต่หากผนวกกับข้อมูลด้านจิตวิทยาจะช่วยเพิ่มประสิทธิภาพได้ดียิ่งขึ้น การศึกษาความเป็นไปได้ในเชิงพาณิชย์ของนวัตกรรมบริการแนะนำงานพบว่าทางเลือกที่น่าสนใจลงทุน คือการอนุญาตให้ใช้สิทธิแต่เพียงผู้เดียว ระยะเวลา 5 ปี (อัตราผลตอบแทนภายในร้อยละ 82, มูลค่าปัจจุบันสุทธิ 132,095 บาท, ระยะเวลาคืนทุน 0.6 ปี)

ปัจจัยที่จําแนกระหว่างผู้ทํางานอาสาสมัครกับผู้ไม่ทํางานอาสาสมัครในกลุ่มนิสิตนักศึกษาเขตกรุงเทพมหานครและปริมณฑล, ดวงธรรม โชคชุลีกร

Chulalongkorn University Theses and Dissertations (Chula ETD)

การวิจัยครั้งนี้มีวัตถุประสงค์เพื่อศึกษาปัจจัยที่จําแนกระหว่างผู้ทํางานอาสาสมัครกับผู้ไม่ทํางานอาสาสมัครในกลุ่มนิสิตนักศึกษาเขตกรุงเทพมหานครและปริมณฑล กลุ่มตัวอย่างในการวิจัยครั้งนี้เป็นนิสิตนักศึกษาทุกระดับชั้นที่มีอายุระหว่าง 19-30 ปี (M = 22.13 ปี, SD = 3.37) จำแนกตามการทำกิจกรรมอาสาสมัครออกเป็น 2 กลุ่ม ได้แก่ ผู้ทำกิจกรรมอาสาสมัครในช่วง 6 เดือนที่ผ่านมา 142 คน และผู้ไม่ทำกิจกรรมอาสาสมัครในช่วง 6 เดือนที่ผ่านมา 120 คน ตัวแปรที่ศึกษาในการวิจัยประกอบด้วย การมีจุดมุ่งหมายในชีวิต ความเชื่อมั่นในศาสนา การจัดการความรู้สึกด้านลบ การสร้างคุณค่าให้กับสังคม การพัฒนาตนเองด้านการทำงาน การพัฒนาตนเองด้านการเรียนรู้และเข้าใจ การเห็นคุณค่าในตนเอง การพัฒนาตนเองด้านความสัมพันธ์ในสังคม และการมีต้นแบบจากพ่อ แม่ หรือเพื่อน ตัวแปรตามคือการเป็นอาสาสมัคร เครื่องมือที่ใช้ในการวิจัย คือแบบสอบถามข้อมูลทั่วไป แบบสอบถามความเชื่อมั่นในศาสนา แบบสอบถามการมีต้นแบบจากพ่อ แม่ หรือเพื่อนเป็นอาสาสมัคร แบบวัดแรงจูงใจในการทำกิจกรรมอาสาสมัคร และแบบวัดการมีจุดมุ่งหมายในชีวิต ใช้การวิเคราะห์ข้อมูลด้วยวิธีถดถอยโลจิสติก ผลการวิจัยสามารถอธิบายความแปรปรวนของการเป็นอาสาสมัครได้ร้อยละ 17.8 โดยมีปัจจัยที่สามารถจำแนกการเป็นอาสาสมัครได้อย่างมีนัยสำคัญทางสถิติ (p< .05) 3 ประการได้แก่ ความเชื่อมั่นในศาสนา การมีต้นแบบจากพ่อ แม่ หรือเพื่อน และการมีจุดมุ่งหมายในชีวิต ทั้งนี้สมการถดถอยโลจิสติกสามารถทำนายการเป็นอาสาสมัครได้ร้อยละ 65.6

Case Study In The Emotional And Social Benefits Of Joining A Women's Organization In Cedar Falls, Iowa, Hailey Lorenzen

Honors Program Theses

This research seeks to explore the main factors women in Cedar Falls become members of the Cedar Fall Woman’s Club and what benefits they have gained in respect to their social and emotional health through this organization. The Cedar Falls Woman’s Club has had an important presence in the community for over a hundred years and has been an active partner of both Sartori Hospital and the University of Northern Iowa. However, in recent years it has seen a decline in new members and a lack of participation from the current members. With other philanthropic organizations shutting down their chapters …

Attachment Security And Psychological Health In Adult Child Caregivers And Their Parents With Alzheimer’S Disease And Related Dementias, Wei Aiko Chang

Public Health Theses

Objective: Attachment theory is a helpful framework for examining one of the most fundamental needs in parent-child dyads across the lifespan and how attachment security might protect both dyad members’ psychological health, especially in times of crisis. In this study of adult child caregivers and their parents with early stage Alzheimer’s disease and related dementias (ADRD), we examined the associations between both dyad members’ attachment security, the adult child’s depressive symptoms, and quality of life of the parent with ADRD.

Method: Thirty-four individuals (parents) with ADRD and their 34 adult-child caregivers each completed the 12-item Experiences in Close Relationship Scale …

Older Adult Spouses’ Emotional Responses To Reminiscing About Their First Encounter: Associations With Mental Health, Marital Satisfaction, And Cardiovascular Reactivity, Hanzhen Lan

Public Health Theses

Objectives: While there has been growing interest in how close relationships affect older adults’ health, not much research has examined how emotional experiences in older married couples’ positive interactions relate to individual and relational well-being and physical health. The present study hypothesizes that positive emotional responses to older couples reminiscing about first encounter are associated with each spouse’s higher marital satisfaction, fewer depressive symptoms, and healthier cardiovascular reactivity (blood pressure and heart rate variability).

Method: One hundred and one couples completed a background questionnaire at home and then participated in a laboratory session in which they discussed how they first …

The Mileage Of The Weary Father: Harrison Ford As Aging Screen Action Icon, Bahnt G. Freiberger

Graduate Research Theses & Dissertations

This thesis explores how fatherhood guides cinematic narratives of aging masculinity through a star study of the late-stage career of Harrison Ford. It bridges fundamental cultural studies of masculinity, such as those by Raewyn Connell and Michael Kimmel, with film studies to provide key insights into cultural narratives of maleness related to vulnerability, heroism, and most significantly, fatherhood. By focusing on Ford’s late-career reprisal of his iconic characters, I explore how the development of his image provides a postmillennial recontextualization of twentieth century masculine iconography. This study covers three cinematic texts: Indiana Jones and the Kingdom of the Crystal Skull …

Growth And Survival Of Wild And Head-Started Blanding’S Turtles (Emydoidea Blandingii), Callie Klatt Golba

Graduate Research Theses & Dissertations

Blanding’s Turtles (IUCN Endangered) are long-lived reptiles with delayed sexual maturity. Anthropogenic landscape changes have increased threats to juvenile turtles, resulting in unnaturally low recruitment. Head-starting has become a popular conservation strategy that aims to increase juvenile recruitment by avoiding the increased predation of the vulnerable nest and hatchling age-class. However, there is still debate about whether or not it is an effective management tool. Assessments of head-starting are becoming more prevalent, but long-term studies are needed to critically evaluate the success of such interventions. In particular, information is needed on how head-starts fare compared to wild-born turtles. The Lake …

The Mental And Emotional Impact Of Loneliness Through Advanced Age And "The Reach", Noah Virgile

Honors College Theses

No abstract provided.

Television Viewing And Markers Of Physical Fitness And Body Composition In College-Aged Students, James Peterson

Graduate Research Theses & Dissertations

Television viewing is one of the most popular sedentary activities in America. Sedentary behavior has been linked to increased risk of obesity, hypertension, cardiovascular disease, and all-cause mortalities. While many studies have focused on associations in children and middle aged to older adults, there is a dearth of literature regarding young college aged students. PURPOSE: The purpose of this study was to examine the association between daily television screen time viewing and markers of physical fitness and body composition in young college aged students. METHODS: The sample population consisted of 141 Northern Illinois University young college aged students. Subjects completed …

18th And 19th Tshl Legislative Sessions Supporting Documents 2019-2023, Texas Silver Haired Legislature Foundation

Texas Silver-Haired Legislature

Supporting documents from the 18th and 19th Texas Silver-Haired Legislature legislative sessions from 2019-2023.

Social Support And Self-Care Efficacy As Mediators Of Racial Disparities In Diabetes Health In Older Adults, Wesley Browning

All ETDs from UAB

Diabetes is a health problem that affects millions of Americans annually, and Black Americans have a higher prevalence with more complications than White Americans. A disparity exists between Black and White older adults living with diabetes in distress related to symptoms, treatment, and complications associated with the disease. Additionally, there are differences in levels of performing diabetes self-care behaviors between Blacks and Whites. One series of factors that may predict better diabetes self-care and diabetes distress in older adults are self-care efficacy and components of social support. This study used linear regression models to predict racial differences between Blacks and …

Vagal Mediated Heart Rate Variability And Cognitive Impairments In Hiv-Seropositive Women, William C. Nicholson

All ETDs from UAB

Regardless of sufficient viral suppression, HIV exerts an ongoing inflammatory process that promotes chronic autonomic nervous system (ANS) dysfunction, accelerates physiological aging, and increases the risk of developing a spectrum of cognitive disorders (known as HIV-associated neurocognitive disorders [HAND]). Given this, identifying pathological mediators of this inflammatory response could provide insight into the mechanisms driving HAND. The vagus nerve (indexed by vagal-mediated heart rate variability [vmHRV]) could provide such a mediator as it regulates ANS activity via reciprocal cardio-neural pathways, which regulate inflammation and homeostasis. Vagal dysfunction is associated with persistent inflammatory signaling (e.g., stress or inflammatory-based disorders [such as …

Motivational Factors And Barriers Affecting Seniors' Decision To Relocate To A Senior Living Facility, Suja Chaulagain

Electronic Theses and Dissertations

This study aimed to explore factors affecting seniors' intention to relocate to a senior living facility. More specifically, the purpose of this study was to examine the influence of push and pull motivational factors and perceived barriers on seniors' intention to relocate to a senior living facility (SLF). In addition, the mediating role of perceived barriers on the relationships between push motivational factors and intention to relocate and pull motivational factors and intention to relocate were explored. The data of the study was collected from 363 seniors. Structural equation modeling (SEM) analysis was conducted to test the study hypotheses. The …

Undergraduate Catalog, Georgia Southern University

Undergraduate & Graduate Catalogs

No abstract provided.

Certified Nursing Assistant Turnover & Impacts On Rural Skilled Nursing Facilities A Qualitative Study & Recommendations For Practitioners, Marisa E. Hansen

All Graduate Theses, Dissertations, and Other Capstone Projects

The cumulative growth in the aging population in the U.S. calls for a high demand for long-term care (LTC) facilities. Furthermore, the LTC (e.g., nursing homes and assisted living facilities, etc.) consumers have become widely diverse (i.e., not just limited to older groups but now included children and adults with disabilities); demand for wide range of needs and support services. In coping with this changing environment, the LTCs, especially operating in rural settings, are faced with multifaceted challenges related to direct care staffing and turnover. In response to this outlook, the present study explores a research question to understand, how …

Multiplicative Advantages Of Hispanic Men Living In Hispanic Enclaves: Intersectionality In Colon Cancer Care, Keren M. Escobar, Mollie Sivaram, Kevin M. Gorey

The Journal of Sociology & Social Welfare

We examined Hispanic enclave paradoxical effects on cancer care among socioeconomically vulnerable people in pre-Obamacare California. We conducted a secondary analysis of a historical cohort of 511 Hispanic and 1,753 non-Hispanic white people with colon cancer. Hispanic enclaves were neighborhoods where 40% or more of the residents were Hispanic, mostly first-generation Mexican American immigrants. An interaction of ethnicity, gender and Hispanic enclave status was observed such that the protective effects of living in a Hispanic enclave were larger for Hispanic men, particularly married Hispanic men, than women. Risks were also exposed among other study groups: the poor, the inadequately insured, …

U.S. Adolescent And Adult Women's Experiences Accessing And Using Toilets In Schools, Workplaces, And Public Spaces: A Multi-Site Focus Group Study To Inform Future Research In Bladder Health, Deepa R Camenga, Sonya S Brady, Cecilia T Hardacker, Beverly R Williams, Jeni Hebert-Beirne, Aimee S James, Kathryn Burgio, Jesse Nodora, Jean F Wyman, Amanda Berry, Lisa K Low, Prevention Of Lower Urinary Tract Symptoms (Plus) Research Consortium

Open Access Publications

The World Health Organization recognizes access to clean and safe toilets as crucial for public health. This study explored U.S. adolescent and adult cisgender women's lived experiences accessing toilets in schools, workplaces, and public spaces. As part of the Prevention of Lower Urinary Tract Symptoms (PLUS) Research Consortium, we conducted 44 focus groups with female participants (n = 360; ages 11-93). Focus groups were stratified by age (11-14, 15-17, 18-25, 26-44, 45-64, 65+) and conducted across 7 geographically diverse U.S. sites from July 2017-April 2018. Using a transdisciplinary approach, we conducted conventional qualitative coding informed by our PLUS conceptual framework …

Type-2-Diabetes Alters Csf But Not Plasma Metabolomic And Ad Risk Profiles In Vervet Monkeys, Kylie Kavanagh, Stephen M. Day, Morgan C. Pait, William R. Mortiz, Christopher B. Newgard, Olga Ilkayeva, Donald A. Mcclain, Shannon L. Macauley

Open Access Publications

No abstract provided.

The Relationship Between Cognitive Dysfunction And Symptom Dimensions Across Schizophrenia, Bipolar Disorder, And Major Depressive Disorder, Fay Y. Womer, Et Al

Open Access Publications

No abstract provided.

Influence Of Environmental Factors On Social Participation Post-Stroke, Erin L. Foley, Marjorie L. Nicholas, Carolyn M. Baum, Lisa Tabor Connor

Open Access Publications

No abstract provided.

Neurocognitive Superaging In Older Adults Living With Hiv: Demographic, Neuromedical And Everyday Functioning Correlates, David B. Clifford, Et Al

Open Access Publications

No abstract provided.

Hyperadrenocorticism Of Calorie Restriction Contributes To Its Anti‐Inflammatory Action In Mice, Brian D. Allen, Chen-Yu Liao, Jianhua Shu, Louis J. Muglia, Joseph A. Majzoub, Vivian Diaz, James F. Nelson

Open Access Publications

No abstract provided.

A Clinical Trial Using Methylation Age To Evaluate Current Antiaging Practices, Josh Mitteldorf

Open Access Publications

No abstract provided.

Neuroinflammation And Myelin Status In Alzheimer’S Disease, Parkinson’S Disease, And Normal Aging Brains: A Small Sample Study, Fei Han, Richard J. Perrin, Qing Wang, Yong Wang, Joel S. Perlmutter, John C. Morris, Tammie L. S. Benzinger, Jinbin Xu

Open Access Publications

No abstract provided.