Digital Commons Network^™

Poor Clinical Outcomes Associated With Suboptimal Antibiotic Treatment Among Older Long-Term Care Facility Residents With Urinary Tract Infection: A Retrospective Cohort Study, Haley J. Appaneal, I. Shireman, Vrishali V. Lopes, Vincent Mor, David M. Dosa, Kerry L. Laplante, Aisling R. Caffrey

Pharmacy Practice and Clinical Research Faculty Publications

Background: Antibiotic use is associated with several antibiotic-related harms in vulnerable, older long-term care (LTC) residents. Suboptimal antibiotic use may also be associated with harms but has not yet been investigated. The aim of this work was to compare rates of poor clinical outcomes among LTC residents with UTI receiving suboptimal versus optimal antibiotic treatment.

Methods: We conducted a retrospective cohort study among residents with an incident urinary tract infection (UTI) treated in Veterans Affairs LTC units (2013–2018). Potentially suboptimal antibiotic treatment was defined as use of a suboptimal initial antibiotic drug choice, dose frequency, and/or excessive treatment duration. The …

Validity, Reliability, And Measurement Error Of A Sit-To-Stand Power Test In Older Adults: A Pre-Registered Study, Anoop T. Balachandran

Publications and Research

Objectives: Lower body power declines with age and is associated with decreased physical function in older adults. However, the majority of the tools available to measure power are expensive and require considerable space and expertise to operate. The purpose of this study was to assess the validity, reliability, and measurement error of a sit-to-stand power test (STSp) to assess lower body power. Methods: 51 community-dwelling adults, 65 years or older, completed a power test using a pneumatic leg press (LP), the Short Physical Performance Battery (SPPB) that includes a test of balance, usual walking speed, and chair stand tests; Timed …

Increasing Nurse Knowledge Of The Underutilization Of Hospice Services For African Americans, Vicki Schmidt

Walden Dissertations and Doctoral Studies

The focus of this doctoral project was increasing knowledge of underutilization ofhospice services for African Americans (AAs) and the need to increase cultural competence among nurses regarding this issue. The identified gap in practice was nurses’ lack of cultural competence and knowledge regarding the underutilization of hospice specific to AAs. The practice-focused question focused on whether a staff educational intervention increased nurses’ knowledge of the cultural implications regarding the introduction of hospice services for AAs. The education was guided by the Purnell model for culturally competent health care, Healthy People 2030, and the National Hospice and Palliative Care Organizations AA …

Graduate Catalog, Georgia Southern University

Graduate Catalogs

No abstract provided.

Associations Among Anxiety Sensitivity, Gender, And Pain Sensitivity In College Student Hazardous Drinkers, Kyla Reitzel

Renée Crown University Honors Thesis Projects - All

No abstract provided.

Improving Physiatry Consultation For Ischemic Stroke Patients Admitted By The Lvhn Hospital Medicine And Neurology Services, Artish Patel, Wayne E. Dubov Md

USF-LVHN SELECT

No abstract provided.

Resident Centered Behavioral Health: A Program Evaluation, Anna Olinger

All Graduate Theses, Dissertations, and Other Capstone Projects

Behavioral health concerns, such as depression and behavioral symptoms, impact older adults at significant rates. These concerns impact an individual’s quality of life, health status, and mortality. When behavioral health concerns cannot be effectively managed in the community by the individual or their caregivers, a skilled-nursing facility is often the next step. Unfortunately, those caring for older adults in these settings have not always had access to the training they need to care for individuals with depression or behavioral symptoms. The Resident Centered Behavioral Health program set out to change this. The program implemented an interactive, behavioral health training program …

Equality Of Autonomy? Physician Aid In Dying And Supported Decision Making, Megan S. Wright

Faculty Scholarship

The legalization of physician aid in dying (“PAID”) has been spreading across the United States and is currently legal in ten jurisdictions. Meant to respect autonomy at the end of life, PAID legislation is modeled after the Oregon Death with Dignity Act, which permits only terminally ill adults with contemporaneous decisional capacity to choose to hasten death with PAID. Right-to-die advocates and legal scholars have critiqued the strict eligibility requirements, which although meant to function as safeguards against mistakes and abuse, can be autonomy thwarting. Advocates and scholars have thus proposed using advance directives for PAID to expand access to …

Chapter 1: Introduction: Toward A New Era Of Human Rights, Lihua Huang

Books and Contributions to Books

Using the human rights approach, this chapter attempts to fundamentally understand more diverse, healthy, active, and unequal older Americans. It explores genesis of ageism and calls professionals to recognize and combat pervasive ageism in their own attitudes, emotion, beliefs, and behaviors as in the society and professional practice.

Knee Extension Rate Of Torque Development Deficit Is Not Captured By Standard Functional Performance Measures Post- Anterior Cruciate Ligament Reconstruction, Michael Jeanfavre, Matthew Klein, Darragh Lynch, Luke Esquerra, Jonathan Dickey, Jessica Mena

Faculty Publications - College of Physical Therapy

Background

Criteria for full recovery following anterior cruciate ligament reconstruction (ACL-R) include the ability to achieve >90% limb symmetry in maximal quadriceps strength (QI) and functional hop tests. Additionally, knee extension rate of torque development (RTD) is an important performance metric post-ACL-R. This study investigated the rate of recovery of these performance metrics in a recreationally athletic population.

Purpose

To investigate RTD at 30% (RTD30), 50% (RTD50), and 90% (RTD90) of maximal voluntary isometric contraction (MVIC) recovery rate compared to knee extension peak torque and hop test performance post ACL-R.

Study Design

Descriptive, prospective, cross-sectional single-cohort study.

Methods

Subjects between …

Comparison Of The Effects Of Land Use / Land Cover On Water Quality And The Intertidal Marine Macroalgae Communities At The Fluvial Outflows Of The Dingle Peninsula, Cassandra Lew

Theses

The Milltown, Feohanagh, and Owenmore river basins located on the Dingle Peninsula in Ireland were studied to see how variation in land use and land cover (LU/LC) affected water quality and the macroalgal communities at each river’s respective fluvial outflow. Abundance and composition of macroalgae in river and coastal water bodies have been designated as an indicator of water quality according to the Water Framework Directive 2000. The results of this study found that the Feohanagh’s macroalgal community had the highest species richness for most months while the Milltown had the highest Shannon Diversity Index. The Owenmore’s community was consistently …

Effectiveness Of An Educational Intervention To Reduce Ageism In Undergraduate Students In An Entry-Level Nutrition Class, Ann Irvin Armstrong

Electronic Theses and Dissertations

Although the older adult population continues to increase, ageism remains an issue in the healthcare system and is prevalent among nutrition-related professionals. The aim of our study is to is determine the effectiveness of an educational intervention to reduce ageism among pre-healthcare professionals including Nutrition major students. Undergraduate students enrolled in an entry-level nutrition class were recruited and randomized into an intervention (INT) group (n=30) and a control (CON) group (n=29). The online educational intervention consisted of pre-recorded lectures and videos regarding ageism and myths regarding aging for the INT group, and on cultural competency and biases (other than ageism) …

The Influence Of Emotion Regulation And Family Involvement On Diabetes Distress Among Adults With Type 2 Diabetes, Patric Justin Leukel

Electronic Theses and Dissertations

Adults with diabetes frequently experience diabetes related distress which is associated with negative health outcomes. Family members are commonly involved in patients’ diabetes self-management. However, family involvement can have harmful and/or helpful effects on patients’ diabetes outcomes. Difficulties in regulating emotions may play a role in patients’ interactions with family members and experience of diabetes distress. This study examined the role of emotion regulation and type of family involvement in diabetes distress among 370 adults with type 2 diabetes. Two separate three-step sequential linear regression models were used to test the main and interactive effects of harmful and helpful family …

An Evaluation Of Injurious Falls And Fall-Risk-Increasing-Drug (Frid) Prescribing Behaviors In A Nationally Representative Sample & The Pharmacist’S Role In Fall Prevention, Taylor Elliott, Susan Westneat, Shama Karanth, Erin Abner, Anna Kucharska-Newton, Daniela C. Moga

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Background: Falls are a major public health problem affecting millions of older adults each year. Little is known about FRID prescribing behaviors after injurious falls occur.

Objective(s): The primary objective of this study was to investigate whether an injurious fall impacts the odds of being prescribed a new FRID.

Methods: We conducted a cross-sectional analysis using data from the 2016 National Ambulatory Medical Care Survey to investigate whether an injurious fall impacts the odds of being prescribed a new FRID. We included patients age >/= 65 years and classified visits based on presence of an injurious fall. The outcome of …

Structual Analysis Of The Cl-Par-4 Tumor Suppressor As A Function Of Ionic Environment, Krishna K. Raut, Komala Ponniah, Steven M. Pascal

Chemistry & Biochemistry Faculty Publications

Prostate apoptosis response-4 (Par-4) is a proapoptotic tumor suppressor protein that has been linked to a large number of cancers. This 38 kilodalton (kDa) protein has been shown to be predominantly intrinsically disordered in vitro. In vivo, Par-4 is cleaved by caspase-3 at Asp-131 to generate the 25 kDa functionally active cleaved Par-4 protein (cl-Par-4) that inhibits NF-κB-mediated cell survival pathways and causes selective apoptosis in tumor cells. Here, we have employed circular dichroism (CD) spectroscopy and dynamic light scattering (DLS) to assess the effects of various monovalent and divalent salts upon the conformation of cl-Par-4 in vitro. We have …

Association Between Anthropometric Factors And Balance Among Elderly Fallers And Non-Fallers: A Cross-Sectional Study, Pothiraj Pitchai, Reshma Gurav, Srishti Kuldeep Chauhan

Internet Journal of Allied Health Sciences and Practice

Purpose: Falls are an emerging public health problem causing a cascade of medical, functional, and socio-economic consequences. Apart from other widely explored risk factors affecting balance, anthropometric factors are also known to have an impact on balance. However, this relationship hasn’t been studied extensively in older adults. This study aimed to evaluate the relationship between the anthropometric factors such as Body Mass Index (BMI), Body Fat Mass (BFM), Waist-Hip Ratio (WHR), Lower Limb Length (LLL), Foot Length (FL) and balance in the elderly among fallers and non-fallers. Method: This cross-sectional study was performed on 100 fallers and 100 non-fallers, aged …

Lessons From My Grandmother’S Garden: Intergenerational Learning And Managing Type 2 Diabetes, Jasmin Tahmaseb-Mcconatha, Melina Mcconatha, Nikki Degregorio

Psychology Faculty Publications

Type 2 diabetes is one of the major health crises of the 21st century; the number of people struggling with this debilitating illness is skyrocketing. Diabetes is the 7th leading cause of death in the United States [1]. There are many causes of type 2 diabetes; however, food intake plays a crucial role in the development and management of the illness. Although the role of grandmother has been well documented over time and across cultures, one important contemporary contribution of grandmothers that has not been fully explored is related to intergenerational sharing of gardening practices, growing and cooking healthy organic …

Public Opinion On Age Stereotypes During The Covid-19 Pandemic, Gabriella Sandstig

International Crisis and Risk Communication Conference

The news media can both mirror age stereotypes held by the public, as well as contribute to constructing or amplifying them. The first risk group identified in the pandemic was older adults. They are generally not so visible in the media, but during the pandemic, they were in focus. This study analyses to what extent the public agrees with age stereotypes during the COVID-19 pandemic and what characterizes the groups that hold them. Survey data from 04/14/20-06/28/20 on a national sample (6000) of the population of Sweden is used. The results, contrary to the expectation that stereotypes of older adults …

Bulletin Of Yale University School Of Nursing 2021-2022, Yale School Of Nursing

Yale School of Nursing Bulletins and Catalogues

Series 117, Number 15

September 5, 2021

A Patient-Facing Dashboard To Promote Shingrix™ Vaccination In A Continuing Care Retirement Community: A Quality Improvement Project, Emily S. Stewart

DNP Scholarly Projects

BACKGROUND: Shingles is considered one of the most significant vaccine-preventable diseases of older adults based on its morbidity and public health burden, which increase drastically with age. Adult vaccine awareness and promotion programs are undervalued in the U.S.; in particular, educational programs targeting older adults are needed. Older adults have increasing rates of adoption of health information technology (HIT) to seek guidance and support for their medical needs. Leveraging HIT in the form of clinical dashboards is an option for providing reliable, safe and cost-effective vaccine education to older adults at high risk of vaccine-preventable disease.

METHODS: The specific aims …

Fact Book, Academic Year 2020, Uno Office Of Institutional Effectiveness

Fact Book

The Fact Book presents important campus information in data tables and charts. Included are details regarding students, faculty, staff, and alumni. Generally, data are broken out by college, rank, level, gender, age and ethnicity for both spring and fall semesters, past to present. There are a few academic year tables that include information on tuition & fees, student credit hours by program, and degrees conferred. We wish to thank the many individuals and departments at the University for their contributions to the Fact Book.

University Of Nebraska At Omaha 2021-2022 Course Catalog, University Of Nebraska At Omaha

Undergraduate Catalogs

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

Dimension Reduction Techniques In Regression, Pei Wang

Theses and Dissertations--Statistics

Because of the advances of modern technology, the size of the collected data nowadays is larger and the structure is more complex. To deal with such kinds of data, sufficient dimension reduction (SDR) and reduced rank (RR) regression are two powerful tools. This dissertation focuses on these two tools and it is composed of three projects. In the first project, we introduce a new SDR method through a novel approach of feature filter to recover the central mean subspace exhaustively along with a method to determine the dimension, two variable selection methods, and extensions to multivariate response and large p …

Enhancing Evidence-Based Tobacco Treatment Services For Clients With Mental Illnesses, Janet Otachi

Theses and Dissertations--Social Work

Tobacco users with mental illnesses (MI) have continued to experience disparate rates of tobacco use, related illnesses and mortality. Despite higher rates of tobacco use among clients with MI, few providers in mental health settings deliver evidence based tobacco treatment. If tobacco use is not addressed, clients with MI will continue to experience disproportionate rates of tobacco use and related burden. Utilizing the theory of planned behavior (TPB), this study examined factors associated with provider intentions to deliver tobacco treatment, and their tobacco treatment delivery practices. Based on the main constructs of the TPB, providers’ attitudes about tobacco treatment delivery, …

Muscle Mass And Immune Function In The Senior Horse, Alisa Christina Herbst

Theses and Dissertations--Veterinary Science

Senior horses (≥ 15 years) represent up to one-third of the global equine population, and the proportion of old horses (≥ 20 years) in the U.S. has been steadily increasing. Aging is associated with a loss of skeletal muscle mass in horses, and while age-related muscle loss is comparingly well characterized in humans, little is currently known concerning underlying mechanisms, adverse outcomes, or the prevalence of low muscle mass in senior horses. One factor proposed to play a role in the development of age-related muscle atrophy in humans is inflamm-aging, a low-grade inflammation that affects elderly people and that has …

Loneliness, Sense Of Control, And Risk Of Dementia In Healthy Older Adults: A Moderated Mediation Analysis, Hwajin Yang, Germaine Tng, Wee Qin Ng, Sujin Yang

Research Collection School of Social Sciences

Objectives: Despite the rising prevalence of dementia, little research has been conducted to identify modifiable psychological factors that alleviate the risk of dementia in older adults and the underlying mechanisms. Given that loneliness is, in part, concomitant with a weakened sense of control, we examined whether sense of control would mediate the relation between loneliness and dementia risk. Further, considering that working -memory capacity is a critical cognitive resource that serves as a buffer against age-related cognitive decline, we examined a second-order moderated mediational model whereby working-memory capacity moderates the relation between control beliefs and dementia risk in older adults. …

Nsu Abraham S. Fischler College Of Education And School Of Criminal Justice (Fce&Scj) Graduate Catalog And Student Handbook 2021–2022, Nova Southeastern University

Abraham S. Fischler College of Education and School of Criminal Justice College Archive

No abstract provided.

Engaging Field And Faculty To Inform The Msw Curriculum, Amie Thurber, Susan Halverson

School of Social Work Faculty Publications and Presentations

The central purpose of this project is to assess the degree of alignment between the MSW curriculum and the needs of field partners, and, if applicable, to identify ways to enhance that alignment through upcoming curriculum revisions. This report draws on three sources of data: an electronic survey distributed in June 2020 to all people who served as field instructors and/or task supervisors (N: 135 respondents), interviews with a sample of 20 field instructors (N:20), and an electronic survey distributed in October 2020 by the MSW Program Director to all MSW instructors (N:38). Findings from this report are intended to …

The Effect Of The Pura Vida Lifestyle On Mental Health In Costa Rica, Gabrielle Sledge

Mahurin Honors College Capstone Experience/Thesis Projects

Costa Rica’s unofficial slogan “Pura Vida” (“Pure Life”) encapsulates how its people, Ticos, live. Ticos are known as a peaceful, homogenous people but a lack of mental health research limits assessment of Tico mental health status. The purpose of this study is to evaluate Ticos’ personal experiences and opinions to understand better how Costa Rica’s “Pura Vida” culture affects Ticos’ mental health and wellness compared to the United States. A 33-question survey addressing mental health experiences and perceptions was administered to a Costa Rican sample (n = 56) and a United States sample (n = 331). Additionally, 6 interviews were …

Open Arms: Adult Faith-Based Volunteers: Expectations And Needs To Work With Youth With Disabilities, Merritt B. Vise

Honors Theses

Religious organizations can offer many benefits to society at large such as extended social groups, opportunities for physical activity and service, and emotional support. People with disabilities are often in need of these opportunities most because of the social pressures, rejection, and isolation many experience at school or home. This study was designed to assess the experiences and needs of adult religious volunteers who work with students with disabilities in order to determine expectations and knowledge needs of these volunteers. This study examined the published research about the benefits of religious organizations to students with disabilities, the rate of involvement …