Digital Commons Network^™

Covid-19 Scientific Publications From Turkey, Rafi̇ye Çi̇ftçi̇ler, İbrahi̇m Celaletti̇n Haznedaroğlu, Abdurrahman Tufan, Mehmet Aki̇f Öztürk

Turkish Journal of Medical Sciences

No abstract provided.

Assessment Of Psychometric Properties, Cross-Cultural Adaptation, And Translation Of Theturkish Version Of The Icu Mobility Scale, İsmai̇l Özsoy, Buse Özcan Kahraman, Turhan Kahraman, Ayli̇n Tanriverdi̇, Serap Acar, Ebru Özpeli̇t, Bi̇hter Şentürk, Bahri̇ Akdeniz, Sema Savci

Turkish Journal of Medical Sciences

Background/aim: The aim of the study was to carry out the cultural adaptation and translation of the ICU mobility scale (IMS) into Turkish and research the psychometric properties. Materials and methods: This study was based on methodological design. The IMS was translated from English to the Turkish through a regularised translation process. Two physiotherapists assessed patients independently in the coronary intensive care unit. The measures such as construct validity, intra and interrater reliability, and internal consistency of the IMS Turkish version were assessed. Results: A total of 70 intensive care patients were included in the study. The intrarater and interrater …

Wnt Signaling Pathway Activities May Be Altered In Primary Sjogren's Syndrome, Ahmet Karataş, Zühal Ömerci̇koğlu, Burak Öz, Adi̇le Ferda Dağli, Onur Çatak, Fazi̇let Erman, Kazim Şahi̇n, Nevzat Gözel, Süleyman Serdar Koca

Turkish Journal of Medical Sciences

Background/aim: Sjögren's syndrome (SS) is an autoimmune disease and its pathogenesis is still not completely clear. The wingless (Wnt)/ß-catenin pathway has recently been shown to play an important role in inflammation. This study aims to determine the serum and saliva levels of Dickkopf (DKK)1 and sclerostin and to evaluate Wnt-1 and Wnt-3a expression in the salivary gland in patients with primary SS. Materials and methods: This study included 30 patients diagnosed with SS, 30 patients diagnosed with systemic lupus erythematosus (SLE), and 29 healthy controls. Serum and saliva levels of DKK1 and sclerostin were measured and the expressions of Wnt1 …

Effect Of Targeted Transcranial Magnetic Stimulation On Hippocampal-Dependent Declarative Memory In Older Adults, Carly Faller, Ran Jing, Nicholas Christopher-Hayes, Anthony Rangel, Connor J. Phipps, Vaishali Phatak, Daniel L. Murman, David E. Warren

EMET Projects

No abstract provided.

Dementia Care Excellence: Promoting Autonomy Through Person-Centered Care, Alexa Adams

OTD DEx Reports - College of Pharmacy and Health Sciences

"Dementia care excellence is dementia care practice recommendations that promote quality care practices based on a comprehensive review of current evidence, best practices recommendations, and expert opinion, to better define quality care across all care settings, and throughout the disease course. Dementia is a general term used to describe a progressive decline in memory and cognition that results in impaired independence of daily functioning. Dementia care is comprised of medical and social needs, which consistently change through various stages of the disease."

Reducing Behavioral And Psychological Symptoms Of Dementia And Supporting Memory Care: A Multi-Sensory Approach, Olivia Bernas

OTD DEx Reports - College of Pharmacy and Health Sciences

"Dementia is a progressive disease that encompasses a multitude of changes in the body and mind. Individuals with Alzheimer’s disease and related dementias (ADRD) may face changes affecting their ability to engage in familiar roles, routines, activities of daily living, leisure, and community engagement. As individuals with ADRD progress throughout each of the stages of dementia, communication may become increasingly difficult, which can subsequently lead to frustration, agitation, depression and other forms of behavioral and psychological symptoms of dementia (BPSD)."

Addressing The Needs Of Individuals With Upper Limb Loss/Difference(S) By Proposing Global Expansion Of A Virtual Support Group, Maccabee Gabay

OTD DEx Reports - College of Pharmacy and Health Sciences

"Unlimbited Wellness, which was developed by Dr. Debra Latour is a program designed to link individuals with upper limb absence as peers. Dr. Latour used telehealth (TH) to address the unmet needs of adults with upper limb absence through this program. The Unlimbited Wellness program successfully used TH to meet the specific needs of individuals with upper-limb absence to better their quality of life and empower them."

Evidenced-Based Program Adaptation For Individuals With Dementia In A Memory Care, Kaley Kennedy

OTD DEx Reports - College of Pharmacy and Health Sciences

"Dementia is an umbrella term utilized to encompass memory loss and a group of symptoms which can interfere with overall quality of life and activities of daily living. Early signs and symptoms of dementia include but are not limited to short-term and long-term memory difficulties, increasing confusion, changes in personality, decreased cognitive function, decreased ability to care for oneself, and increased difficulties with communication and language. With the prevalence of dementia diagnoses on the rise – projected to increase tremendously by 2025, there is a need for specialized care in memory care units. The purpose of this doctoral experiential was …

Feeling Good: Happiness And Health In Dutch Older Adults, Joshua Ray Tanzer

Open Access Dissertations

Statement of the problem: Positive psychology research has sought to identify cost efficient and intuitive ways to increase subjective happiness, with broad implications to personal health and overall quality of life (Lee Duckworth, Steen, & Seligman, 2005; Rashid, 2009; Seligman, 2008; Seligman, Ernst, Gillham, Reivich, & Linkins, 2009; Seligman, Rashid, & Parks, 2006). A complication in this research has been conflicting findings in the longitudinal stability of happiness (Easterlin, 2006). This analysis examines age related changes in happiness and physiological immune responsiveness to clarify the implications of positive health interventions.

Methods: Pretest-posttest structural equation modeling is employed to examine longitudinal …

Is There A Role For Ct Pan-Scans In The Initial Work-Up Of Fragility Fracture Patients?, Eric Lepkowsky, Trevor Simcox, Hunter Rogoff, Shahidul Islam, Omid Barzideh

Stony Brook Orthopaedic and Musculoskeletal Journal

Background: CT pan-scans have become increasingly commonplace as part of the initial diagnostic work-up for patients sustaining traumatic injuries. They have proven effective in improving diagnostic accuracy in those with high energy mechanisms of injury. However, the utility of pan-scans in the geriatric population sustaining low energy traumatic injuries remains unproven. There is no study that assesses the usefulness of CT pan-scans in patients who sustain injuries related to osteoporosis, also known as fragility fractures.

Methods: A retrospective review was conducted of patients who sustained a fragility fracture at a Level 1 trauma center over a 15-month period. Patients underwent …

Exercise Shifts Hypothetical Food Choices Toward Greater Amounts And More Immediate Consumption, Karsten Koehler, Safiya E. Beckford, Elise Thayer, Alexandra R. Martin, Julie B. Boron, Jeffrey R. Stevens

Jeffrey Stevens Publications

Although exercise modulates appetite regulation and food intake, it remains poorly understood how exercise impacts decision-making about food. The purpose of the present study was to assess the impact of an acute exercise bout on hypothetical choices related to the amount and timing of food intake. Forty-one healthy participants (22.0 ± 2.6 years; 23.7 ± 2.5 kg/m 2 , 56% female) completed 45 min of aerobic exercise and a resting control condition in randomized order. Food amount preferences and intertemporal food preferences (preference for immediate vs. delayed consumption) were assessed using electronic questionnaires with visual food cues. Compared to rest, …

A Global Collaboration To Study Intimate Partner Violence-Related Head Trauma: The Enigma Consortium Ipv Working Group, Carrie Esopenko, Jessica Meyer, Elisabeth A. Wilde, Amy D. Marshall, David F. Tate, Alexander P. Lin, Inga K. Koerte, Kimberly B. Werner, Emily L. Dennis, Ashley L. Ware, Nicola L. De Souza, Deleene S. Menefee, Kristen Dams-O’Connor, Dan J. Stein, Erin D. Bigler, Martha E. Shenton, Kathy S. Chiou, Judy L. Postmus, Kathleen Monahan, Brenda Eagan-Johnson, Paul Van Donkelaar, Tricia L. Merkley, Carmen Velez, Cooper B. Hodges, Hannah M. Lindsey, Paula Johnson, Andrei Irimia, Matthew Spruiell, Esther R. Bennett, Ashley Bridwell, Glynnis Zieman, Frank G. Hillary

Department of Psychology: Faculty Publications

Intimate partner violence includes psychological aggression, physical violence, sexual violence, and stalking from a current or former intimate partner. Past research suggests that exposure to intimate partner violence can impact cognitive and psychological functioning, as well as neurological outcomes. These seem to be compounded in those who suffer a brain injury as a result of trauma to the head, neck or body due to physical and/or sexual violence. However, our understanding of the neurobehavioral and neurobiological effects of head trauma in this population is limited due to factors including difficulty in accessing/recruiting participants, heterogeneity of samples, and premorbid and comorbid …

From Bedside To Mountainside: Preparing New Nurse Practitioners For Advanced Clinical Skills In Remote Settings Using A Novel Training Program, Benjamin Woodard

Yale School of Nursing Digital Theses

The purpose of this doctoral project was to develop and pilot an expert-panel validated training program specifically for nurse practitioners (NPs) in remote settings, and to evaluate how new remote NPs rate their self-efficacy (a measure of confidence) in performing specific advanced clinical skills and procedures (ACSPs) before and after completing this program. The practice of primary care in remote regions requires expanded clinical skills for high acuity scenarios given the isolation. With more new primary care NPs practicing in more remote locales, their preparation for performing ACSPs, (including in complex and high-acuity cases) is critical for safe and effective …

Effects Of Exercise On Tests Measuring Attention And Executive Function In Younger And Older Adults, Angela N. Burda, Jennifer Baldwin, Johanna Cravatta, Jody Heetland, Kayla Jacobs, Hannah Merfeld, Jaden Rausch, Mallory Rinnels, Regan Zollman

Faculty Publications

Purpose: This study investigated whether or not performance differed between Young and Older Exercisers and between Young and Older Non-exercisers on the Attention Processing Training-Test (APT-Test), Behavioral Assessment of Dysexecutive Syndrome (BADS), and Functional Assessment of Verbal Reasoning and Executive Strategies (FAVRES). Methods: A total of 119 participants were divided into the following groups: 46 Young Exercisers: (aged 18-40 years), 45 Older Exercisers (aged 60 and older), fourteen Young Non-exercisers, and fourteen Older Non-exercisers. Participants completed the APT-Test, BADS, and FAVRES in a counterbalanced manner. Independent sample t-tests were used to calculate outcomes. Results: Young Exercisers had significantly higher scores …

การศึกษาประสิทธิภาพการใช้สัญญาณเตือนภาวะวิกฤตระบบ Search Out Severity และ National Early Warning Score ต่อภาวะใส่ท่อช่วยหายใจหรือการเข้ารับการรักษาในหอผู้ป่วยหนักโดยไม่ได้วางแผนของผู้ป่วยสูงอายุ ในหอผู้ป่วยอายุรกรรม, สุณี สุวรรณพสุ, วีรภัทรา ประภาพักตร์, สุกัญญา พูลทรัพย์

Journal of Nursing Research, Innovation, and Health

วัตถุประสงค์: เพื่อศึกษาประสิทธิภาพของระบบการให้คะแนนสัญญาณเตือนภาวะวิกฤตของระบบ Search out severity (SOS) และ National Early Warning Score (NEWS) ในการทำนายภาวะใส่ท่อช่วยหายใจหรือการเข้ารับการรักษาในหอผู้ป่วยหนักโดยไม่ได้วางแผนของผู้ป่วยสูงอายุ

แบบแผนงานวิจัย: การศึกษาเชิงวิเคราะห์ไปข้างหน้า

วิธีดำเนินการวิจัย: กลุ่มตัวอย่าง คือ ผู้ป่วยอายุตั้งแต่ 60 ปีขึ้นไป ที่เข้ารับการรักษาในหอผู้ป่วยอายุร กรรม โรงพยาบาลจุฬาลงกรณ์ ตั้งแต่วันที่ 1 พฤศจิกายน พ.ศ. 2562 ถึง วันที่ 31 กรกฎาคม พ.ศ. 2563 การเลือกกลุ่มตัวอย่างแบบเจาะจงตามคุณสมบัติที่กำหนด ได้กลุ่มตัวอย่างจำนวน  85 ราย เก็บข้อมูลโดยใช้แบบประเมินสัญญาณเตือนภาวะวิกฤตตามระบบ NEWS และระบบ SOS นำข้อมูลมาคำนวณหาค่าความไว ความจำเพาะ และความแม่นยำ และทดสอบประสิทธิภาพโดยใช้พื้นที่ใต้กราฟ (Area under the curve: AUC)

ผลการวิจัย: ระบบ NEWS และ SOS ณ ที่ 4 ชั่วโมงก่อนเหตุการณ์มีประสิทธิภาพสูงสุด โดยค่า cut-off ของ NEWS > 7 และ SOS > 4 ให้ผลถูกต้องตามความจริงดีที่สุด (ความไว 71.4%,  64.3% ความจำเพาะ 98.2%, 98.2% ตามลำดับ) โดยมีพื้นที่ใต้กราฟ (AUC) เท่ากับ 0.90 (95%CI 0.81-0.99) และ 0.86 (95%CI 0.75 -0.97) ตามลำดับ และพบว่าประสิทธิภาพในการทำนายลดลงเมื่อเวลาก่อนที่เหตุการณ์ไม่พึ่งประสงค์เพิ่มขึ้น อย่างไรก็ตาม ณ ที่ 8, 12, 24 ชั่วโมงก่อนเกิดเหตุการณ์ก็ยังคงให้ผลถูกต้องตามความจริงในระดับดี-พอใช้ (AUC 0.82, 0.82, …

2021-2022 Lindenwood University Undergraduate Course Catalog, Lindenwood University

Course Catalogs

Lindenwood University Undergraduate Course Catalog

Impact Of A Novel Application In Electrocardiogram Interpretation Confidence And Performance In Nurse Practitioner Students, Hailey Bobin Cole

Doctor of Nursing Practice Projects

For the last hundred years and to this day, one of the most important diagnostic tools in medicine has been the electrocardiogram (EKG or ECG). The decision to pursue a life-saving intervention, or not, may be heavily based on the interpretation of the results of a diagnostic test. With the weight of impacts to outcomes, one would think there would be ample, if not excessive, time and effort given to teaching practitioners how to interpret an ECG. Unfortunately, with each graduating class of physicians, nurse practitioners, and physician assistants, all of whom have within their scope of practice to interpret …

Nutritional Approach For Increasing Public Health During Pandemic Of Covid-19: A Comprehensive Review Of Antiviral Nutrients And Nutraceuticals, Vahideh Ebrahimzadeh-Attari, Ghodratollah Panahi, James R. Hébert Scd, Alireza Ostadrahimi, Maryam Saghafi-Asl, Neda Lotfi-Yaghin, Behzad Baradaran

Faculty Publications

Background: The novel coronavirus (COVID-19) is considered as the most life-threatening pandemic disease during the last decade. The individual nutritional status, though usually ignored in the management of COVID-19, plays a critical role in the immune function and pathogenesis of infection. Accordingly, the present review article aimed to report the effects of nutrients and nutraceuticals on respiratory viral infections including COVID-19, with a focus on their mechanisms of action.

Methods: Studies were identified via systematic searches of the databases including PubMed/ MEDLINE, ScienceDirect, Scopus, and Google Scholar from 2000 until April 2020, using keywords. All relevant clinical and experimental studies …

"It All Just Ends": Death Attitudes Across Age, Gender, And Religion, Bekah Bass

Honors Program Theses

Death is a social and biological reality that affects everyone.However,the effects of death are not uniform. Data for this study were collected from a convenience sample (N=322) through an online survey distributed through social media and email (January and February 2021). The survey utilizes the Death Attitudes Profile –Revised by Wong, Reker, and Gesser (1994) to investigate differences in death attitudes across different demographics including age, gender, and religion. Results show correlations between positive, neutral, and negative death attitudes and the age of respondents, suggesting that negative death attitudes decrease as one ages, and certain types of positive attitudes increase. …

Literature Review: Improving End-Of-Life Care And Creating A Good Death, Erna Smlatic

Honors Program Theses

The need for quality end-of-life care has increased drastically around the world in the last few centuries due to a surge in life expectancy. As people are living much longer, they are developing and succumbing to chronic progressive diseases which can significantly decrease quality of life. But what exactly does it mean to care for the aging population who are nearing death? Defining quality care at the end-of-life is important but also differs for individuals based on a variety of factors including age, culture, and life experiences. End-of-life care does not come as “one size fits all” and it challenges …

Health Care Utilization And Costs For Dementia Patients In China, Fang Ba

Public Health Theses

The number of people in the world living with Alzheimer’s Disease and related dementias (ADRD) continues to rise rapidly, which places a substantial burden on people with dementia (PWD), their families, and the society. Such a burden has been rising faster in low-income and middle-income countries (LMIC) where around two-thirds of PWD live. While prior research documents dementia prevalence in China and indicates its large geographic disparities, no study to date has documented the national pattern of health care utilization, quality and costs in China. The absence of knowledge would largely impede the effective allocation of resources for combating dementia …

“We Are Left Alone”: A Qualitative Study Of Life Satisfaction Of Older Adults In Rural Nepal, Anna Elisabeth Schwartz

Public Health Theses

Considering that the aging population in the Southeast Asian region is rapidly growing, there is an increasing need to promote the subjective well-being of older adults. However, few studies have investigated mechanisms of life satisfaction in developing countries in the Southeast Asian region. This research gap needs to be addressed, since aging and life satisfaction are complex processes that are experienced differently in various sociocultural contexts. The purpose of this study is to understand meanings of life satisfaction and experiences of aging through the perspectives of older adults who live in Jumla, Nepal. We conducted semi-structured, in-depth interviews with twenty …

Prioritising Design Features For Companion Robots Aimed At Older Adults: Stakeholder Survey Ranking Results, Hannah Bradwell, Rhona Winnington, Serge Thill, Ray B. Jones

School of Nursing and Midwifery

No abstract provided.

Exploring Therapeutic Nurse-Patient Communication: Techniques And Barriers, Pierina Rossini

Senior Honors Theses

Effective nurse-patient communication, also described as therapeutic communication, is essential for providing high quality nursing care. It increases patient satisfaction and health, decreases patient anxiety and disease symptoms, and increases patient cooperation and compliance to treatment. Some therapeutic communication techniques include attentive listening, empathy, silence, focusing, open-ended questions, clarification, exploring, clarifying, and summarizing. Unfortunately, there are barriers to therapeutic communication that have been identified. Research regarding nurse-patient therapeutic communication, consisting of secondary, qualitative, descriptive data, points to several barriers to therapeutic communication. Some of the barriers to therapeutic communication include nurse-patient gender difference; patient physical discomfort; nurse-patient language, culture, and …

Role Of Frailty In Prediction Of Hospitalized Older Adult Patient's Outcomes: A Prospective Study, Maryam Chehrehgosha, Reza Fadaye Vatan, Mahtab Alizadeh Khoei, Farshad Sharifi, Reyhaneh Aminalroaya, Zahra Vahabi, Abolfazl Zendedel, Hamidreza Hekmat

Turkish Journal of Medical Sciences

Background/aim: Frailty is associated with an increased risk of negative short-term and long-term hospital outcomes. This study aimed to evaluate the role of frailty in predicting readmission, length of stay, and quality of life in the hospitalized older adults. Materials and methods: This observational study was conducted at Ziaiyan Hospital, Tehran, Iran. In total, 304 participants (65-85 years), were enrolled through the inclusion criteria from August to December 2019. The frailty index (FI) was assessed by the minimum data set-home care. Readmission was obtained through telephone interviews. The length of stay was gathered by the patient's hospital records, and the …

Effects Of Resistance Training On Muscle Quality Index, Muscle Strength, Functional Capacity, And Serum Immunoglobulin Levels Between Obese And Non-Obese Older Women, Paulo Roberto Silva Junior, Dahan Da Cunha Nascimento, Ivo Vieira De Sousa Neto, Silvana Schwerz Funghetto, Ramires Alsamir Tibana, James W. Navalta, Fabiani Lage Rodrigues Beal, Jonato Prestes

Kinesiology and Nutrition Sciences Faculty Research

International Journal of Exercise Science 14(7): 707-726, 2021. Considering the negative impact of obesity on neuromuscular and immune systems, we sought to compare the effects of a 10-week resistance training (RT) program on muscle quality index (MQI), muscle strength, functional capacity, and immunoglobulins in older women with and without obesity. Thirty-nine older women participated in the present study (age: 69.02 ± 6.16, fat (%): 38.80% ± 6.28) and underwent a linear RT program performed on two non-consecutive days of the week. Body composition, functional tests, immunoglobulins, muscle quality of upper and lower limbs and absolute muscular strength of the upper …

Mitigating Risks And Building Resilience To Hiv/Aids: Perspectives Of Hiv-Negative, Middle-Aged And Older Men Who Have Sex With Men, Renato M. Liboro, Brandon Ranuschio, Sherry Bell, Tammy Yates, Lianne Barnes, Charles Fehr, George Da Silva, Jenna Despres, Francisco Ibañez-Carrasco, Andrew Eaton, Aruna Sedere, Trinity Puno, Paul A. Shuper, Lori E. Ross

Psychology Faculty Research

Purpose: Although ample research has been conducted on resilience to HIV/AIDS, most studies have utilized quantitative methods and focused almost exclusively on people living with HIV/AIDS. A relatively untapped source of knowledge is the perspectives of HIV-negative, middle-aged and older men who have sex with men (MSM) who have been navigating risks and building resilience to HIV/AIDS since the 1980s. Our qualitative, community-based participatory research study examined the perspectives of HIV-negative, middle-aged and older MSM on factors that helped mitigate the risks of and build resilience to HIV/AIDS. Methods: In collaboration with community-based organizations, fourteen participants were recruited for in-depth …

Handicraft Art Leisure Activities And Cognitive Reserve, Genna Mashinchi

Graduate Student Theses, Dissertations, & Professional Papers

With increasing age, older individuals face a higher likelihood of developing dementia. The rate of cognitive decline resulting from dementia is not equivalent for all, as some patients with dementia are able to function independently longer than others, despite having similar disease burden. The cognitive reserve (CR) theory provides one explanation for the differing rate of decline. CR suggests that there are factors — most notably, educational and occupational attainment — that can protect against the cognitive decline that is a hallmark of dementia. Although the beneficial effects of these notable CR factors are clear, they may not be modifiable. …

Perceived Neighborhood Characteristics And Parental Role In Physical Activity Of African American Youth, Kashica Webber-Ritchey, Elizabeth A. Moxley, Sungsoon Hwang, Desale Habtzghi, Sai Yalla

Faculty Articles, Papers, and Other Scholarship

Introduction: Lack of physical activity (PA) serves as one of the contributing factors to pediatric obesity in African American (AA) youth.

Objective: Further examination of the Social Ecological Model [SEM] influences on PA in AA youth is vital. The purpose of this pilot study is to explore environmental factors, built environment (BE) and parental role, in PA promotion.

Methods: Using mixed method data collection, a convenience sample of 28 AA parents/caregivers of school-aged children (6-12 years) enrolled in Chicago Youth Programs (CYP) completed an online survey. Parents/caregivers along with their child participated in focus group sessions (n=18 parent/child dyads). …

Hospice Response To Covid-19: Promoting Sustainable Inclusion Strategies For Racial And Ethnic Minorities, M. Courtney Hughes, Erin Vernon

Faculty Articles, Papers, and Other Scholarship

There is a disproportionate burden of illness and death among racial/ethnic minorities related to COVID-19. The importance of reaching groups suffering the most with resources such as advance directive guidance, telehealth, and culturally sensitive education materials is vital to providing quality, inclusive care. A crisis presents an opportunity to unite and problem-solve to help avoid the dire consequences facing inaction. In this way, inclusive responses by hospices, social workers, other community partners during the COVID-19 pandemic can help reach and alleviate the pain of those groups most afflicted. We offer hospice inclusion strategies that align with general pandemic response trends …