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Low Serum Irisin As A Risk Factor Of Sarcopenia In Elderly, I Gust Putu Suka Aryana, I.B. Putrawan, Ni Ketut Rai Purnami, R.A. Tuty Kuswardhani, I Nyoman Astika, Ketut Suastika, I Putu Gede Adiatmika, I Made Jawi, I Nyoman Wande

Jurnal Penyakit Dalam Indonesia

Introduction. Sarcopenia is a condition characterized by a decrease in muscle mass accompanied by a decrease in strength and/or function. Sarcopenia is closely related to the aging process, but the mechanism of its occurrence is still not fully understood. Skeletal muscle is the largest organ in the human body, so the myokine produced through muscle contraction opens a new paradigm regarding the central role of muscles in regulating metabolism and other organ functions. One of the myokines that are currently found to affect physical activity is Irisin. This study aims to determine the role of low Irisin levels in serum …

Music, Dhikr, And Deep Breathing Technique To Decrease Depression Level In Older Adults: Evidence-Based Practice In Depok City, Indonesia, Bahtiar Bahtiar, Junaiti Sahar, Wdiyatuti Widyatuti

ASEAN Journal of Community Engagement

Depression is a mental health problem that affects the elderly. As meeting the spiritual needs of depressed older people is important, a spiritual approach nursing intervention must be applied to reduce the level of depression in this population. This study proposed an integrated spiritual nursing approach through music therapy, dhikr, and deep breathing to improve depression levels among the elderly living in Cisalak Pasar, Depok City, in 2019. The research method used was a case study of an evidence-based practice using the Geriatric Depression Scale. The study sample consisted of 106 elderly, who were recruited by purposive sampling. The average …

Cross-Cultural Adaptation Of Indonesian Version Of Activities-Specific Balance Confidence Scale For Elderly In Surabaya, Andi Nuruzzaman, Rwahita Satyawati, Sri Mardjiati Mei Wulan

Folia Medica Indonesiana

Falling is a major health problem and is also a major cause of morbidity and mortality in the elderly. The more serious consequences of falling on the elderly are the increased risk of injury and fear of falling. Activities-Specific Balance Confidence (ABC) scale is one of the assessment instruments for fear of falling. This instrument is used to assess balance confidence in various ambulation activities. The purpose of this study was to carry out the process of adaptation of the cross cultural ABC English questionnaire to ABC Indonesian. This study was a cross sectional study with participants of five elderly …

Purpuric Lesion In A Patient With Leprosy: Was It A Lucio’S Phenomenon Or An Epiphenomenon?, Sri Linuwih Menaldi, Melani Marissa, Inadia Putri Chairista, Henry W. Lim, Rahadi Rihatmadja

Journal of General - Procedural Dermatology and Venereology Indonesia

Background: Lucio’s phenomenon (LP) is a severe necrotizing cutaneous reaction that occurs in patients with Lucio’s leprosy. The exact pathomechanism is not fully understood, but typically abundant acid-fast bacilli in the walls of blood vessels point to direct perturbation of blood supply to the epidermis. We report a case of LP where epidermal necrosis occurred in the absence of vascular invasion by mycobacteria, raising the question whether this was an epiphenomenon or a true LP.

Case Illustration: A 34-year-old male was referred for an episodic swelling of his hands and feet that persisted for two years. There were …

Training Program To Support Posbindu Cadre Knowledge And Community Health Centre Staff In The Geriatric Nutrition Service, Fatmah Fatmah

ASEAN Journal of Community Engagement

The geriatric minimal service standard (SPM) coverage in Depok has steadily decreased from 37.53% in 2013 to 11.8% in 2018. One factor affecting the problem is a lack of patient participation and the inability of posbindu (integrated service post for older people) cadres to perform their tasks. To increase the coverage of older people visiting posbindu, it is necessary to raise the knowledge and skill levels of posbindu cadres and community health centre staff in Depok. The skills include performing nutritional status assessment (NSA) and screening, early detection of dementia, independence assessment, and elderly nutrition counselling. This is a …

Analysis Of Real Costs And Ina-Cbg Of Hyperthyroidism In Hasanuddin University Hospital, Siti Saharah Abdullah, Amelia Lorensia, Suyanto

Media Kesehatan Masyarakat Indonesia

Hyperthyroid disease requires continuous treatment with not cheap medical
costs. For JKN participants, the cost of treating hyperthyroidism has been fully
covered by BPJS through the INA-CBG package. However, there is often a
mismatch between the INA-CBG package and the real hospital costs thus causing
losses for the hospital. This research is a comparative study with a hospital
perspective and the purpose of this study is analyze difference between direct
medical cost of hospitals and INA-CBG package for the treatment of JKN
outpatient hyperthyroidism patient in Hasanuddin University Hospital (RSUH)
Makassar using data from January 2017 to December 2018. Data …

Outpatient Care Utilization Among Elderly In South Sumatra Based On National Social-Economic Survey Data, Misnaniarti Misnaniarti, Fenny Etrawati

Media Kesehatan Masyarakat Indonesia

Implementation of National Health Insurance is thought to be the cause of
increasing number of visits to health facilities, especially in elderly people
who tend to be in sick. This study aims to analyze the outpatient utilization
by elderly in South Sumatera region. Study design was cross-sectional.
Samples was elderly in South Sumatra (n = 2,833 people). Study done on
2016, using data from Survei Sosial Ekonomi Nasional (Susenas) at 2015. Data
analysis used chi-square test and multiple logistic regression. Based on the
study known that outpatient utilization of elderly in all health facilities
during the past month amounted to …

Disability And Depression Among Population Aged 18-59 Years In Central Sulawesi Province: Analysis Of Riskesdas 2018, Ajeng Tias Endarti, Nydia Andriani, Eko Setyo Pambudi

Media Kesehatan Masyarakat Indonesia

The prevalence of depression among the general population in Central
Sulawesi was the highest in Indonesia (12.3%). Scholars revealed that
disability was one of the main contributing factors of depression and in Central Sulawesi almost half of population was reported having disability (42.1%). This study was intended to identify the association of disability and depression in Central Sulawesi. Cross sectional design study was conducted with utilization of secondary data collection from Riskesdas 2018. Depression, as the main outcome, was assessed by the Mini International Neuropsychiatric Interview (MINI), meanwhile, disability was assessed by the WHODAS instrument. The relationship between these two …

Hubungan Diabetes Mellitus Terhadap Kejadian Disabilitas Untuk Activities Of Daily Living (Adl) Di Indonesia, Halimah Siregar, Krisnawati Bantas

Jurnal Epidemiologi Kesehatan Indonesia

Diabetes Mellitus salah satu PTM tertinggi didunia, prevalensi global diabetes di antara orang dewasa di atas 18 tahun telah meningkat dari 4,7% pada 1980 menjadi 8,5% pada 2014. Penelitian yang dilakukan Edward ditemukan bahwa> 50% orang tua dengan diabetes melaporkan kesulitan melakukan tugas fisik sehari-hari. Hal ini sejalan dengan penelitian Rindra bahwa individu yang menderita diabetes akan berisiko 3kali (95% CI; 2.860-3.288) dibandingkan individu yang tidak menderita diabetes untuk mengalami disabilitas. Tujuan penelitian ini melihat hubungan diabetes mellitus dengan kejadian disabilitas untuk aktivitas kehidupan sehari-hari (ADL). Penelitian ini desain cross sectional data IFLS 2015, di analisis sampai multivariat menggunakan Regressi …

Analisis Faktor Socioeconomic Status (Ses) Terhadap Kesehatan Mental: Gejala Depresi Di Indonesia, Yustika Dewi, Riki Relaksana, Adiatma Y. M. Siregar

Jurnal Ekonomi Kesehatan Indonesia

According to the World Federation of Mental Health, 1 of 5 people in the world experiences a mental disorder. Several studies have mentioned that one of the primary factors that cause mental disorders is the low of socioeconomic status in developing countries. Therefore, this study was conducted to determine the influence of socioeconomic status factors on depressive symptoms as a mental disorder, in one of the developing countries, Indonesia. This study uses a quantitative method based on secondary data taken from the Indonesia Family Life Survey (IFLS) wave 5 using the CESD-R 10 questionnaire for depressive symptom variables. Depression symptom …

Scoping Review: An Anthropological Analysis Of The Beliefs Of The Elderly That Influence The Use Of Traditional/Complementary And Alternative Medicine, Le Thi Ngoc Phuc, Mark Stephan Felix

Asia-Pacific Social Science Review

The use of traditional medicines is commonplace among the elderly population. With the growth of this population, a scoping review to ascertain the beliefs that influence decisions to use traditional/complementary and alternative medicine (TCAM) was undertaken. This scoping review focused on identifying the beliefs of members of the elderly population regarding TCAM, especially in comparison with western medicine. The researchers used the methodological framework for a scoping review by Arksey and O’Malley (2005). The main steps of this scoping review included (a) searching for relevant studies, (b) selecting studies based on specific inclusion criteria, (c) extracting data into a charting …

The Effectiveness Of Behavioral Counseling As Intervention Of Abasement, Aggression, And Endurance Of High School Students, I Ketut Gading

Jurnal Kajian Bimbingan dan Konseling

This study aims to determine: (1) the effectiveness of behavioral counseling with assertive training techniques to increase the nature of abasement, (2) the effectiveness of behavioral counseling with shaping techniques to reduce the nature of aggression, and (3) the effectiveness of behavioral counseling with self-management techniques to increase the nature of endurance. This study employed an experimental study with a pre-test post-test control group. Participants involved were 37 class XI students of the Lab. School Undiksha. To recruit the participants, a purposive sampling technique was used by which the participants were students with low abasement, high aggression, and low endurance. …

Older Adults Living Alone In Thailand: Socioeconomic Inequality And Its Relation To Unmet Health Needs, Natthani Meemon, Seung Chun Paek

Asia-Pacific Social Science Review

This study aimed to investigate socioeconomic inequality and its relation to unmet health needs among older adults living alone in Thailand. Descriptive analyses with F-tests and chi-squared tests, and logistic regression analyses were conducted with the national health census 2017 data. The results indicated that older adults living alone, compared to those not living alone, had significantly low socioeconomic conditions and high unmet needs. They were more likely to be lower-income, older, female, lower-educated, unemployed, and chronically-ill people. Particularly for income, the proportion of people with income below the national poverty line among older adults living alone (38.75%) were almost …

Attitudes And Work Preferences Toward Older People Among Malay Undergraduate Nursing Students, Sharifah Munirah Syed Elias, Nor Faeziah Jaafar, Lee Siew Pien

Makara Journal of Health Research

Background: The aging population is increasing globally and requires a high demand for healthcare services in several countries. As a way of preparing future nurses in aged care, substantial incorporation of gerontology courses in the nursing program to meet future needs is required. The present study aimed to investigate the association between attitudes and work preferences toward older people among undergraduate nursing students.

Methods: A cross-sectional study was conducted involving 291 nursing students at a Malaysian public university. A set of questionnaires was used that comprised the following three parts: (1) Part A: Sociodemographic background, (2) Part B: …

Charge Nurse Orientation, Angela Zafke

Nursing Capstones

Traditional undergraduate training focuses heavily on clinical skills with minimal emphasis on leadership. In practice, a nurse with clinical prowess is often promoted to the charge nurse position. Taking on the leadership role of a charge nurse can be a stressful experience without proper training and preparation that leads to burnout and turnover. With more experienced nurses facing retirement, now is the time to prepare future nursing leaders. This starts with adequately preparing a nurse to lead within the unit in the charge nurse role. A comprehensive literature review was conducted regarding charge nurse orientation. Charge nurse competencies were not …

Role Of Sirtuins In Modulating Neurodegeneration Of The Enteric Nervous System And Central Nervous System., Pavithra Chandramowlishwaran, Anitha Vijay, Daniel Abraham, Ge Li, Simon Musyoka Mwangi, Shanthi Srinivasan

Student Papers, Posters & Projects

Neurodegeneration of the central and enteric nervous systems is a common feature of aging and aging-related diseases, and is accelerated in individuals with metabolic dysfunction including obesity and diabetes. The molecular mechanisms of neurodegeneration in both the CNS and ENS are overlapping. Sirtuins are an important family of histone deacetylases that are important for genome stability, cellular response to stress, and nutrient and hormone sensing. They are activated by calorie restriction (CR) and by the coenzyme, nicotinamide adenine dinucleotide (NAD+). Sirtuins, specifically the nuclear SIRT1 and mitochondrial SIRT3, have been shown to have predominantly neuroprotective roles in the CNS while …

University Community Mourns 'Bright Light' Jackie Certion, Edwin B. Smith

University of Mississippi News

Colleagues recall administrator's powerful presence, devoted support to student success

Brain Α-Tocopherol Concentration Is Inversely Associated With Neurofibrillary Tangle Counts In Brain Regions Affected In Earlier Braak Stages: A Cross-Sectional Finding In The Oldest Old, J. Tanprasertsuk, T.M. Scott, M.A. Johnson, L.W. Poon, P.T. Nelson, A. Davey, J.L. Woodard, R. Vishwanathan, A.K. Barbey, K. Barger, X.-D. Wang, E.J. Johnson

Department of Nutrition and Health Sciences: Faculty Publications

Objectives: Higher vitamin E status has been associated with lower risk of Alzheimer’s disease (AD). However, evidence of the association of vitamin E concentration in neural tissue with AD pathologies is limited. Design: The cross-sectional relationship between the human brain concentrations of α- and γ-tocopherol and the severity of AD pathologies – neurofibrillary tangle (NFT) and neuritic plaque (NP) – was investigated. Setting & Participants: Brains from 43 centenarians (≥ 98 years at death) enrolled in the Phase III of the Georgia Centenarian Study were collected at autopsy. Measurements: Brain α- and γ-tocopherol concentrations (previously reported) …

Mapping Routine Measles Vaccination In Low- And Middle-Income Countries, Alyssa N. Sbarra, Simon I. Hay, Stephen S. Lim, Jonathan F. Mosser, Veincent Christian F. Pepito, Local Burden Of Disease Vaccine Coverage Collaborators, 634 Co-Authors

Ateneo School of Medicine and Public Health Publications

The safe, highly effective measles vaccine has been recommended globally since 1974, yet in 2017 there were more than 17 million cases of measles and 83,400 deaths in children under 5 years old, and more than 99% of both occurred in low- and middle-income countries (LMICs). Globally comparable, annual, local estimates of routine first-dose measles-containing vaccine (MCV1) coverage are critical for understanding geographically precise immunity patterns, progress towards the targets of the Global Vaccine Action Plan (GVAP), and high-risk areas amid disruptions to vaccination programmes caused by coronavirus disease 2019 (COVID-19). Here we generated annual estimates of routine childhood MCV1 …

Risk And Protective Factors Associated With Custodial Grandparents’ Psychological Distress In Covid-19, Yanfeng Xu Ph.D., Merav Jedwab, Qi Wu, Sue Levkoff, Ling Xu

Faculty and Staff Publications

The fear and anxiety of COVID-19 and its related policy measures have increased individuals’ psychological distress. The objective of this study was to examine relationships between material hardship, parenting stress, social support, and resilience and custodial grandparents’ psychological distress during the COVID-19 pandemic and further investigate the moderating role of kinship license status. A cross-sectional survey was administered to collect data from custodial grandparents (N = 362) in the United States. T-tests, chi-square tests, and logistic regression models were conducted using STATA 15.0. Results indicated that material hardship (OR = 1.77, p < 0.001) was associated with higher odds of psychological distress, whereas custodial grandparents’ resilience (OR = 0.08, p < 0.001) and social support (OR = 0.39, p < 0.001) were associated with lower odds of experiencing psychological distress. Increased parenting stress in COVID-19 was not significantly associated with psychological distress. Kinship license status moderated the relationships between social support (OR = 0.23, p < 0.05), resilience (OR = 5.06, p < 0.05) and psychological distress. To address custodial grandparents’ psychological distress, more allocated emergency funds and tailored financial services should be provided to meet material needs, and interventions with a focus on resilience and social support are particularly needed. Although licensed custodial grandparents were more likely to experience psychological distress due to their pre-existing vulnerability than unlicensed counterparts, parallel services should be provided to all kinship caregivers.

Grip Strength Changes In Bone Marrow Transplant Patients, Adrian Cristian, Marco Ruiz Andia

All Publications

Emerging evidence that cancers survivors may experience premature aging has prompted epidemiology research aimed at the characterization of key premature aging phenotypes. Physical functioning data relevant for premature aging phenotype classification in cancer survivors, however, remain scarce. We assessed the burden of dynapenia, a key sarcopenia indicator, and muscle strength loss in the understudied population of bone marrow transplant (BMT) patients. This study involved secondary analyses of data from patients who underwent bone marrow transplant (BMT) in a cancer Institute in South Florida (June 2018-April 2019) with traditional hematopoietic cell transplantation specific comorbidity index (HCT-CI) scores and other relevant information. …

Southern Adventist University Commencement Program December 13, 2020, Southern Adventist University

Commencement Programs

Program for Southern Adventist University December graduation. The commencement service took place on December 13, 2020.

Interpreting The Data: Reflections On Asl-English Cross Language Research, Serena Johnson

The Qualitative Report

Cross language research typically ignores the role the translator and translation play in the research process. This paper adds to the literature by examining some of the challenges experienced during the translation and interpretation aspect of research. This autoethnography explores the positionality of a non-native user of American Sign Language who conducted research with native American Sign Language users. Findings indicate that translation and interpretation in research is not simply a matter of rote process and deserves more attention as an integral aspect of cross-language research.

Revisiting The Role Of Physicians In Assisted Living And Residential Care Settings, Sarah Dys, Lindsey Smith, Ozcan Tunalilar, Paula C. Carder

Institute on Aging Publications

As the United States population ages, a higher share of adults is likely to use long-term services and supports. This change increases physicians’ need for information about assisted living and residential care (AL/RC) settings, which provide supportive care and housing to older adults. Unlike skilled nursing facilities, states regulate AL/RC settings through varying licensure requirements enforced by state agencies, resulting in differences in the availability of medical and nursing services. Where some settings provide limited skilled nursing care, in others, residents rely on resident care coordinators, or their own physicians to oversee chronic conditions, medications, and treatments. The following narrative …

A Formative Evaluation Of The Family Strengthening Program In The Treasure Valley, Seung Youn Chyung Edd, Megan Miller Ms, Jennifer A. Shamsy Ms, Jaime Hansen Mpa, Sarah Leeds Mph

Journal of Family Strengths

Family Advocates, a nonprofit organization serving families in the Treasure Valley in Idaho, offers the Family Strengthening Program. This is a 20-week program providing weekly meetings for families who need to develop strong family cohesion, resilience, and parenting skills to maintain healthy families. The program uses the Strengthening Families’ approach with an emphasis on the protective factors framework and provides incentives to participants for participation. A third-party evaluation team from a local university conducted a formative evaluation of the program to help improve its quality. The evaluation team used both goal-based and goal-free, needs-based evaluation approaches, and analyzed quantitative and …

Cellphone Laws And Teens' Calling While Driving: Analysis Of Repeated Cross-Sectional Surveys In 2013, 2015, 2017, And 2019, Li Li, Caitlin N. Pope, Rebecca R. Andridge, Julie K. Bower, Guoqing Hu, Motao Zhu

Graduate Center for Gerontology Faculty Publications

BACKGROUND: Distracted driving among teens is a public health and safety concern. Most states in the U.S. have sought to restrict cellphone use while driving by enacting laws. This study examines the difference in prevalence of self-reported calling while driving (CWD) between states with different cellphone bans.

METHODS: Demographics and CWD data were extracted from state Youth Risk Behavior Surveys (YRBS) from 14 states in 2013, 2015, 2017, and 2019. The state YRBS is conducted every 2 years with a representative sample of 9th through 12th grade students attending public school. States were grouped by type of cellphone law(s): no …

Exploring Optimism And Purpose In Life As Mediators Of The Association Between Childhood Socioeconomic Status And Common Cold Susceptibility, Stephanie Munduruca, Vivian Luong, Brooke N. Jenkins

Student Scholar Symposium Abstracts and Posters

According to the U.S. National Library of Medicine, Americans suffer from 1 billion colds a year. Correspondingly, previous research has shown that lower socioeconomic status (SES) during childhood is associated with lower adult health, including decreased resistance to the common cold. This correlation between childhood SES and common cold susceptibility may be mediated by an individual's optimism and purpose in life. Of interest, several studies have found evidence that higher childhood SES is associated with a higher purpose of life and higher optimism. Furthermore, previous evidence has confirmed that higher optimism and higher purpose of life are linked to better …

Longitudinal Stress-Buffering Effects Of Social Integration For Late-Life Functional Health, Masa Toyama, Heather R. Fuller

Psychology Faculty Research

Stress can negatively affect multiple aspects of health, including functional health, among older adults, who are likely to face unique, age-related stressful experiences. Previous research has addressed the protective effects of social relations (i.e., social ties, social participation, and social integration) for physical and mental health outcomes, yet few studies have examined functional health. This study aimed to investigate the longitudinal stress-buffering effects of social integration on late-life functional health. Using three-wave data from 399 older adults (aged older than 60 years), two-level hierarchical linear modeling analysis was conducted and the results indicated that in addition to its main effect …

An Investigation Of Processes Linking Patient-Centered Communication Approaches To Favorable Impressions Of Vietnamese Physicians And Hospital Services, Christopher Mckinley, Yam Limbu, Long Pham

College of Communication and Media Scholarship and Creative Works

Strong doctor-patient relationships generate greater patient satisfaction and compliance with physician recommendations. Although prior research has explored distinct factors driving favorable patient outcomes, investigations have yet to comprehensively address the efficacy of different communication styles. Furthermore, it is critical to explore the full impact communication approaches have on perceptions of medical services. This investigation addressed two patient-centered communication approaches – empathy and nonverbal immediacy – as antecedents to Vietnamese patients’ impressions of physicians and hospital services. Results showed that these two factors were powerful, independent predictors of satisfaction and trust. Conversely, patient participation was a less robust predictor of judgments …

Soviet And Russian Masculinities: Rethinking Soviet Fatherhood After Stalin And Renewing Virility In The Russian Nation Under Putin, Amy E. Randall

History

Vladimir Putin’s macho image and his deployment of a masculinized Russian nationalism have fascinated Russians and non-Russians alike, generating considerable public and scholarly analysis. This article argues that the appeal of Putin as a powerful and hypermasculine leader over the last twenty years is best understood not just in the larger geopolitical context of Russia’s national and economic decline in the 1990s but also in terms of Soviet and post-Soviet discourses of failed manhood. In particular, this work focuses on the widespread critique of men as fathers in the 1950s and 1960s and the accompanying campaign to create a new …