Digital Commons Network^™

Plotting A Future For Integrated Care, Christina Principe

Student Works

No abstract provided.

Aging In Hamilton: Planning For The Future, A Community Needs Assessment, Caitlin Coyle, Mary Krebs, Shayna Gleason, Nidya Velasco Roldan

Center for Social and Demographic Research on Aging Publications

Like many communities across Massachusetts, the population in the Town of Hamilton is aging. According to projections created by the Donahue Institute at the University of Massachusetts, a trend toward an older population is expected. Donahue Institute vintage projections suggest that by 2035, more than one out of each three Hamilton residents will be age 60 or older—32% of the Town’s population will be between the ages of 60 and 79, with an additional 9% age 80 and older. As the demographics of Hamilton shift toward a population that is older and living longer, the demand for programs and services …

Human And Social Services Direct Service Professionals' Perception Of Late-Life Cumulative Grief And Loss, Deanna Robinson

Walden Dissertations and Doctoral Studies

Globally, the adult population 65 and older is anticipated to grow, signaling the necessity of awareness of late-life issues and concerns. Although research has shown that losses and changes in late life are anticipated, there is very little empirical evidence of how HSPs direct care professionals understand, assess, or perceive the complexities of cumulative grief and loss in their 65 and older clients. Charmaz’s constructivist grounded theory (CGT) (2014) was used as the conceptual framework a qualitative methodology to explore the understanding, assessment, and perception of the complexities of late-life cumulative grief and loss of HSPs working with adults 65 …

Annual Report Of The Registrar 2021/2022, University Of Northern Iowa

Institutional Effectiveness & Planning Documents

Contents:

--Definitions
--Some Comparisons
--Annual Report Data
--Summary of Attendance
--Attendance by Session
--Degrees Granted 2021/22
--Degree Summary 2021/22
--Program Certificates 2021/22
--Miscellaneous Enrollment Information
--Degrees Granted by College, Degree and Racial/Ethnic Classification

Psychological Resilience And Cognitive Function Among Older Military Veterans., Justin T Mcdaniel, Erin R Hascup, Kevin N Hascup, Mehul Trivedi, Harvey Henson, Robert Rados, Mary York, David L Albright, Taryn Weatherly, Kaitlyn Frick

Articles

The purpose of this study was to explore the association between psychological resilience and cognitive function in military veterans. We obtained public-use data from the Health and Retirement Study (HRS) for this cross-sectional study of military veterans aged 52 to 101 years (n = 150). We estimated a multivariable linear regression model in which cognitive function served as the dependent variable and psychological resilience served as the independent variable. After controlling for demographics, health conditions, and health behaviors, veterans who had higher psychological resilience scores had better cognitive function (b = 0.22, p = 0.03). Our findings suggest that psychological …

University Of San Diego Graduate Course Catalog 2022-2023, University Of San Diego

Graduate Course Catalogs (1971-)

334 pages

The Differential Influence Of Maltreatment Subtype And Age Of Exposure On Empathy, Kate L. Senich

Legacy Theses & Dissertations (2009 - 2024)

The capacity for empathy may be shaped by interpersonal interactions throughout development. Research shows that detrimental interactions, such as maltreatment, lead to aberrant levels of empathy. However, different subtypes of abuse and neglect as well as age of exposure complicate the relationship between maltreatment and empathy. The current study aims to elucidate the contributions of maltreatment subtypes and age of exposure in predicting state and trait empathy. Participants (N=94, M age=19.12 years, 45.7% male) self-reported their age of exposure to eight subscales of maltreatment from caregivers. Next, participants self-reported their trait empathy and completed a vignette measure aimed to assess …

Growth: 21 (2022) Full Issue

Growth: The Journal of the Association for Christians in Student Development

The full issue of the twenty-first edition of Growth: The Journal of the Association for Christians in Student Development.

Classical Heart Rate Variability And Non-Linear Heart Rate Analysis In Mice Under Na-Pentobarbital And Ketamine/Xylazine Anesthesia., Hasan Kazdağli, Hasan Fehmi̇ Özel, Mustafa Özbek, Şüheda Alpay, Mürüvvet Alenbey

Turkish Journal of Medical Sciences

No abstract provided.

Board Of Regents Meeting Materials, April 21, 2022, Eastern Michigan University

Board of Regents Meeting Materials

No abstract provided.

Clinical Nurse Specialist Job Description Assignment, Diane R. Maydick Youngberg

Open Educational Resources

The Clinical Nurse Specialist (CNS) is an advanced practice registered nurse with expertise in assessment, diagnosis, and treatment of specialty patient populations. In addition to direct care, the CNS role expands to other areas including research, education, quality improvement, and inter professional teamwork. Creating a detailed CNS Job description helps to clarify the role.

Repetition And Retracing In Aphasia Across Discourse Types, Emily Anna Culbertson

Electronic Theses and Dissertations

Purpose: Fluency is an important criterion to classify subtypes of aphasia. Previous studies have discussed the factors of fluency using various speech-language aspects. However, limited research investigated how much lexical hesitations (i.e., repetitions and retraces) are produced in people with aphasia. Lexical hesitations are important indicators of word finding difficulty and self-error detection skills which may be mediated by cognitive-linguistic demands across different discourse tasks. Therefore, the purpose of this study was to examine the lexical hesitations production in people with fluent and non-fluent aphasia compared to neurologically intact adults in various discourse tasks.Method: Three groups of people with fluent …

Increasing Nurses’ Knowledge Of Richmond-Agitation Sedation Score Assessment And Documentation Through Education, Kara Jeanne Beaulieu

Walden Dissertations and Doctoral Studies

Patients in the intensive care unit (ICU) are critically ill and faced with numerous physical and psychological stressors that often require a multidisciplinary approach to improve outcomes and relieve suffering. Patients are given sedation to tolerate invasive treatments and procedures. Using the Richmond-Agitation Sedation Score (RASS), nurses assess objective findings and the level of sedation a patient is experiencing, and titrate sedation according to an ordered RASS score. Ineffective and inaccurate use of the RASS score leads to patients being oversedated and demonstrates a lack of understanding of how to appropriately use the RASS score assessment tool. The purpose of …

The Case For Reparations For The Color Of Covid, José E. Alvarez

Faculty Articles

This Article surveys the data demonstrating that COVID-19, far from being the great equalizer, has generated starkly skewed adverse outcomes, including grossly disproportionate deaths, among persons of color in the U.S., Brazil, and India, and in all likelihood globally. The “color of COVID” results from governmental actions and inactions that, when combined with long-standing socio-economic vulnerabilities, produce deadly results for certain groups. Global health reformers are not addressing these injustices. Like those who resist reparations for African-Americans, for the global victims of slavery, colonialism and its legacies, or for all of the current pandemic’s victims, those seeking to reform the …

How The Senior Community Service Employment Program Influences Participant Well-Being: A Participatory Research Approach With Program Recommendations, Cal J. Halvorsen, Kelsey Werner, Elizabeth Mccolloch, Olga Yulikova

Harvey A. Friedman Center for Aging

The federal Senior Community Service Employment Program (SCSEP) provides on-the-job training to people 55 years and older with incomes at or below 125% of the federal poverty level with multiple barriers to employment. This study examined the processes by which SCSEP may influence participant financial, physical, and mental well-being. We engaged 15 SCSEP participants and case managers over four virtual and one telephone session using a participatory research method called community-based system dynamics. Activities included identifying key problem trends, variable elicitation, developing a causal map, and identifying changes to the system to increase participant well-being. Respondents identified how individual, organizational, …

Aging In Nigeria: A Growing Population Of Older Adults Requires The Implementation Of National Aging Policies, Kingsley Chima Mbam, Cal J. Halvorsen, Uzoma Odera Okoye

Harvey A. Friedman Center for Aging

While the continent of Africa currently has the lowest share of adults aged 60 and older in its population among all world regions, the total number of older Africans is projected to triple between 2020 and 2050. Nigeria—Africa’s leading economy and most populated country—has the highest number of older people in the continent and the 19th highest across the globe, with the population of Nigerians aged 65 and older projected to nearly triple by 2050. However, the increase in older Nigerians is occurring against the backdrop of extreme poverty, unsolved development problems, socioeconomic inequality, the HIV/AIDS epidemic, and a decline …

The Influence Of Menopause And Cardiorespiratory Fitness On Lipoprotein Particles In Midlife Women, Corinna Serviente, Melody Chalvin, Sarah Witkowski

Exercise and Sport Studies: Faculty Publications

Lipoprotein particles may provide better information about cardiovascular risk than standard cholesterol measures for women. Whether lipoprotein subclasses change with menopausal stage is unclear. Given the high prevalence of low cardiorespiratory fitness in midlife women and benefit of cardiovascular disease risk, it is also important to understand the effect of fitness on lipoprotein profiles. This study evaluated the influence of menopausal status and fitness on lipoprotein particles in healthy midlife women. Lipoprotein particles were measured in high-(n = 25) and low-(n = 13) fit perimenopausal and late postmenopausal women, and in high-fit premenopausal (n = 10), perimenopausal (n = 12), …

Development Of A Grant Proposal To Support Public Housing Community Health, Arti D. Kakklar

MUSC Theses and Dissertations

There is a high percentage of seniors living in public housing that fall under the federal poverty guidelines. These senior residents in public housing live with chronic health issues exacerbated by aging. These health issues are compounded by sub-standard living conditions, poverty, lack of healthy nutrition, and all-inclusive healthcare services. This project aims to develop a comprehensive primary care program for seniors in public housing that enables them to age in place and enhances their quality of life. The chief goal of the project is to bring healthcare services to the seniors through collaboration with public housing agencies that enable …

Annual Report 2020-2021: Student Life & Development, Denise Mcdowell

Annual Reports

Student Life and Development (SLD) professionals at Winona State University (WSU) deliver programs, services, and activities that support students' academic achievement, social development, and well-being in the timely pursuit of their educational goals. The 2020-2021 SLD Annual Report provides information from the following departments: Admissions, Community Engagement, Conduct & Citizenship, Counseling and Wellness Services, Dean of Students, Equity & Inclusion Excellence, Health & Wellness Services, Housing & Residence Life, Integrative Wellness, Student Union & Activities, TRIO Student Support Services, the Warrior Hub, and the Warrior Success Center.

Thai Folk Theatre’S Contribution To Wellness Support: A Case Study Of Likay Performance For Hypertension Education, Anukoon Rotjanasuksomboona, Pithi Chanvorachote

Journal of Urban Culture Research

This work demonstrates the employment of Likay, a folk theatre performance, as an educational tool for promoting the awareness of hypertension in elderly Thais. Utilizing interdisciplinary approaches across the academic fields of health science and the performing arts, this project created a Likay production dealing with the topic of hypertension and related medical information. Fifty elderly people from the Ta Ma Prang subdistrict, Kaeng Khoi district of Saraburi province, Thailand, were included in this study. A survey questionnaire was distributed prior to and after the performance to monitor the improvement of understanding as well as the awareness of hypertension …

A Proposed Method To Verify Physician Visual Estimation Of Intraoperative Corneal Edema From Refractive Measurement Images During Cataract Surgery, Karalee Corley

CMC Senior Theses

A patient’s resultant vision quality in a restorative Femtosecond Laser Assisted Cataract Surgery (FLACS) can be fine tuned via an intraoperative measurement of refractive power and axis of astigmatism in the aphakic state. Standard preoperative measurements often disagree with intraoperative measurements (Optiwave Refractive Analysis; Alcon, Inc.) on account of the inclusion or exclusion of posterior corneal curvature, leaving the ultimate lens selection to physician discretion. One additional suggested cause of disagreement is swelling at the corneal incision site (Corley and Carmack 2020).The following proposes a method to verify visual estimation of intraoperative corneal swelling from 2D gray-scale images collected during …

Resuciating Consent, Megan S. Wright

Faculty Scholarship

The scholarly focus on autonomy in healthcare decision making largely has been on information about, rather than consent to, medical treatment. There is an assumption that if a patient has complete information and understanding about a proposed medical intervention, then they will choose the treatment their physician thinks is best. True respect for patient autonomy means that treatment refusal, whether informed or not, should always be an option. But there is evidence that healthcare providers sometimes ignore treatment refusals and resort to force to treat patients over their contemporaneous objection, which may be facilitated by the incapacity exception to informed …

Nursing Student Self-Efficacy In Clinical Skills, Levels Of Anxiety, And Utilization Of Alternative Education Experiences During The Covid-19 Pandemic, David Hart

Honors Theses and Capstones

Background: Higher education students, especially those studying nursing, faced many challenges during the COVID-19 pandemic. Many higher education institutions decided to transition their clinical experiences into a virtual, e-learning format (Chandratre, 2020). As an area of study with high levels of stress and anxiety to begin with, these emotions may have been exacerbated during the pandemic for those studying nursing. Sudden changes in clinical format caused increased anxiety levels in senior nursing students (García-Gonzalez et al., 2021). Graduating students are entering a workforce of healthcare workers who have battled the COVID-19 illness and exposed themselves and their families to this …

A Nationally Representative Dataset Of 1,549 Americans Aged 18 To 94 On Interest In, Experience With, And Barriers To Cogeneration, Defined As Working With Older And Younger People For Social Good, Cal J. Halvorsen, Bruce Kelley, Jim Emerman, Stefanie Weiss, David Gleicher, Jacob Stolmeier, Mark Lush

Harvey A. Friedman Center for Aging

This dataset focuses on Americans’ interest in, experience with, and perceived barriers to working with members of other generations to improve the world around them. It includes responses from a March 2022 survey of 1,549 people between the ages of 18 and 94 who lived in the U.S. using the NORC at the University of Chicago AmeriSpeak® Panel. To increase the representativeness of the sample, the survey was offered both online and by phone. The sample is drawn from a probability-based panel designed to be representative of the U.S. household population. Questions focused on respondents’ efforts (paid or volunteer) to …

Sex Based Differences In Muscle Quality Recovery Following One Week Of Lower Limb Immobilization And Subsequent Retraining, Ryan Girts

Electronic Theses and Dissertations, 2020-2023

The present project represents the second part of a two-phase clinical trial designed to comprehensively examine the effects of knee joint immobilization and recovery on skeletal muscle size, strength, and central nervous system plasticity in healthy males and females. The purpose of this study was to examine differences between sexes in the recovery of muscle quality, size, and strength in response to a resistance training-based rehabilitation program following one week of knee joint immobilization. Twenty-seven participants (males: n = 16, age = 22 ± 3 years, BM = 81.3 ± 14.8 kg, BMI = 25.0 ± 3.4 kg/cm2; females: n …

พฤติกรรมสุขอนามัยฟันเทียมของผู้ป่วยฟันเทียมทั้งปากถอดได้และประสิทธิผลของวิธีการให้สุขอนามัยฟันเทียมต่อความสะอาดของฟันเทียมทั้งปากถอดได้, ปวิชญา พึ่งชื่น

Chulalongkorn University Theses and Dissertations (Chula ETD)

จากการศึกษาที่ผ่านมาพบว่า ผู้ที่ใส่ฟันเทียมถอดได้มีพฤติกรรมสุขอนามัยฟันเทียมที่ไม่เหมาะสมและมีค่าความสะอาดฟันเทียมไม่ดีซึ่งส่งผลต่อสุขอนามัยช่องปากและการใช้งานของฟันเทียม การศึกษานี้จึงมีวัตถุประสงค์เพื่อศึกษาพฤติกรรมสุขอนามัยฟันเทียมของผู้ป่วยและผลของการให้สุขอนามัยฟันเทียมด้วยวิธีที่แตกต่างกันต่อค่าความสะอาดของฟันเทียมทั้งปากถอดได้ โดยทำการสัมภาษณ์ข้อมูลทั่วไปและพฤติกรรมสุขอนามัยฟันเทียมผู้ป่วยทั้งหมด 53 คนที่เข้ามารับการรักษาโดยการทำฟันเทียมทั้งปากถอดได้ที่คณะทันตแพทยศาสตร์จุฬาลงกรณ์มหาวิทยาลัย หลังจากนั้นผู้ป่วยจะถูกสุ่มแบ่งเป็น 2 กลุ่มตามวิธีการได้รับสุขอนามัยฟันเทียมดังนี้ กลุ่มที่ได้รับสุขอนามัยฟันเทียมโดยวิธีบอกปากเปล่าและกลุ่มที่ได้รับสุขอนามัยฟันเทียมโดยวิธีสาธิต ตรวจค่าความสะอาดฟันเทียม (ทั้งหมดจำนวน 64 ชิ้น) 2 ครั้งในขั้นตอนการติดตามและแก้ไขและขั้นตอนการตรวจตามระยะ 6 เดือน โดยย้อมสีฟันเทียมด้านเนื่อเยื่อด้วย 6% อีรีโทรซินเพื่อให้เห็นคราบจุลลินทรีย์ชัดเจนและประเมินความสะอาดฟันเทียมโดยใช้เกณฑ์ของ Schubert and Schubert ใช้สถิติทดสอบทีอิสระในการเปรียบเทียบวิธีการให้สุขอนามัยฟันเทียมที่แตกต่างกันกับค่าความสะอาดฟันเทียมที่เปลี่ยนแปลงไป ผลการศึกษาพบว่า ผู้ป่วยส่วนใหญ่แปรงฟันเทียมด้วยแปรงสีฟันและยาสีฟัน มีเพียงบางส่วนใช้เม็ดฟู่ทำความสะอาดฟันเทียม ส่วนใหญ่ไม่ได้ใส่ฟันเทียมนอนและไม่ตระหนักถึงความสำคัญของการมาตรวจสภาพฟันเทียมเป็นประจำ วิธีการให้สุขอนามัยโดยวิธีสาธิตมีค่าความสะอาดฟันเทียมที่เปลี่ยนแปลงไปน้อยกว่ากลุ่มบอกปากเปล่าแต่ไม่พบนัยสำคัญทางสถิติและพบว่าบางตำแหน่งของฟันเทียมมีการติดสีมากกว่าที่อื่น จากผลการศึกษา ผู้ป่วยยังมีความเข้าใจผิดในเรื่องสุขอนามัยฟันเทียมและมักไม่ได้ตระหนักถึงความสำคัญ ดังนั้นทันตแพทย์ควรจะให้ความสำคัญในการให้สุขอนามัยฟันเทียมและเลือกวิธีให้สุขอนามัยฟันเทียมให้เหมาะสมกับผู้ป่วยเพื่อให้ผู้ป่วยเข้าใจและสามารถดูแลฟันเทียมของตัวเองได้ตลอดการใช้งาน

Safety, Feasibility And Initial Efficacy Of An App-Facilitated Telerehabilitation (After) Programme For Covid-19 Survivors: A Pilot Randomised Study, Jacob J. Capin, Sarah Jolley, Mary Morrow, Meghan Connors, Kristine Hare, Samantha Mawhinney, Amy Nordon-Craft, Michelle R. Rauzi, Sheryl Flynn, Jennifer Stevens-Lapsley, Kristine M. Erlandson

Physical Therapy Faculty Research and Publications

Objectives Determine the safety, feasibility and initial efficacy of a multicomponent telerehabilitation programme for COVID-19 survivors.

Design Pilot randomised feasibility study.

Setting In-home telerehabilitation.

Participants 44 participants (21 female, mean age 52 years) discharged home following hospitalisation with COVID-19 (with and without intensive care unit (ICU) stay).

Interventions Participants were block randomised 2:1 to receive 12 individual biobehaviourally informed, app-facilitated, multicomponent telerehabilitation sessions with a licenced physical therapist (n=29) or to a control group (n=15) consisting of education on exercise and COVID-19 recovery trajectory, physical activity and vitals monitoring, and weekly check-ins with study staff. Interventions were 100% remote and …

The Direct Care Workforce Crisis: Factors Affecting Employee Retention And Turnover Amidst A Pandemic, Rebecca Green

SPNHA Review

The purpose of this research paper is to explore the crisis currently affecting the stability of the direct care workforce within the healthcare industry of the United States. Direct care workers provide personal care assistance to individuals in nursing facilities, home health settings, community-based programs, and to persons with intellectual or developmental disabilities. The purpose of this role and the demographics of these types of employees will be explored. The history of this profession, as well as its growing demand, as they contribute to the workforce crisis will be examined. Factors contributing to employee retention and turnover will also be …

Age-Related Microaggressions: A Descriptive Study, Luke J. Gietzen

All Graduate Theses, Dissertations, and Other Capstone Projects

The aim of this study was to expand the literature on ageism and microaggressions by defining a novel concept called an age-related microaggression. Participants (n = 51) were presented with explanations of gender and racially charged microaggressions and then were asked whether they had ever had an experience like that but related to their age. Participants described experiences of age-related microaggressions and were further guided through a series of questions via an online survey to determine the topography of the age-related microaggressions, emotional and behavioral reactions to being victimized, perpetrators and settings of the attacks, and perceived intent. A thematic …

Teaching Anti-Racism Practices To White Social Work Students And Community Members, Dennis Cornell

DSW Capstone Projects

Racism continues to plague the United States and White people hold a key element to ending racism by adopting anti-racism practices in their professional and personal lives. This capstone on the findings of a comprehensive systematic literature review, examines empirically-based anti-racism interventions and practices that social work teachers and community educators can utilize in anti-racism courses and workshops for White students and community members. The final results yielded 29 peer-reviewed, qualitative/quantitative research studies within the years of 2003-2021 that can be broken down into six anti-racism intervention categories: class/educational groups, teaching methods, Implicit Association Test (IAT) usage, pro-Black stories/perspectives, interracial …