Digital Commons Network^™

The Association Of Hobbies And Leisure Activities With Physician Burnout And Disengagement, Yan Li, Cindy Y. Lai, Bill Friedrich, Chenxing Liu, Joel H. Popkin

Journal of Wellness

Introduction: Burnout among physicians is a worldwide burden. While many causes of physician stress have been reported, we have found few quantitative studies of associations between burnout and participation in hobbies and interests outside of medicine. Our objective was to determine if health care professional burnout/disengagement could be mitigated by incorporating leisure interests and to characterize which specific interests, if any, are most significantly related.

Methods: We conducted an online survey of 2,563 US-based physicians and 512 residents/fellows and queried their participation in a list of 117 individual hobbies, which we then further categorized into three perceived levels …

Implementing A Bedside Rounding Tool To Reduce Inpatient Falls, Steven W. Garcia

Master's Projects and Capstones

Problem: Each year, thousands of patients sustain falls while hospitalized, resulting in an increase in serious injuries or death. In a Neuroscience Step Down Unit (NSDU), fall rates in 2022 were higher than the NDNQI benchmark. Despite a thorough fall prevention policy, nurses inconsistently implemented preventative interventions, resulting in increased falls.

Context: The NSDU is a 15-bed inpatient unit providing intermediate-level care for patients with neurological and neurosurgical diagnoses. The unit is part of a 459-bed academic medical center and safety net hospital providing tertiary and quaternary care in southern California.

Interventions: A bedside safety rounds checklist for charge nurses …

Commencement Convocation Program, Usf, August 8, 2023, University Of South Florida

USF Graduation and Convocation Programs

King O'Neal Scholars - Emma Grace Atherton, Alisa Bakieva, Ginelle Renae Lauryn Brown, Tatyana Soribel Butler, Carter E. Casko, Carli Lilibeth Cohoon, Sarah Lou Shalom Dasent Shuler, Carlos Manuel Figueroa Palomino, Lanette Gonzalez-Lewis, Grace Angelique Heeke, Daniel Thomas Kortenhaus, Emily Margaret Logan, Makayla Long, Abigail Clariece McCurter, Elijah Callaway Mceuen, Sofia Elizabeth Mejia-Naccarato, Rachel Yvonne Stanton, Edward B. Williams, and Parisa Yazdankhah Kenary; Global Citizens Award - Sarah Bagnasco, Sydney Black, Carly Burton, Gladys D. Cantu, Sara Chaj, Lauren Flannery, Emily Hernandez, Anagha Hesaraghatta, Faith Pinamang, Katie Sarnelli, Natalie Spanhake, Kenya A. Sanchez Torres, and Neha Vemuri

Rounding With A Purpose: Reducing Falls In Geriatrics Residing In A Community Living Center, Ashley Wesson

Student Scholarly Projects

Practice Problem: Falls among geriatrics continue to be a significant concern for healthcare organizations and one of the costliest healthcare problems attributed to increased morbidity and mortality rates. Falls rates in residential dwellings such as nursing homes and community living centers (CLCs) continue to rise despite fall prevention efforts.

PICOT: The PICOT question that guided this project was In geriatrics, age 65 or older, who reside in the Community Living Center (P), how does one-hour purposeful rounding (I), compared to rounding without structured set time intervals (C), affect fall reduction rates (O), within eight weeks (T)?

Evidence: In fifteen high-quality …

A Multi-Stakeholder Perspective On Quality Of Care Among Residents, Family Members And Nursing Staff In Nursing Homes: A Balanced Centricity Approach, Sil Aarts, Erica De Vries, Hilde Verbeek, Gaby Odekerken, Katya Y. J. Sion

Patient Experience Journal

The objective of this study was to use a Balanced Centricity (BC) approach to describe how personal values related to experienced quality of care are defined for residents, family and nursing staff in nursing homes. Capturing the values from a multi-stakeholder perspective, a qualitative approach was conducted in which the stakeholders’ (e.g., residents, family members of residents and nursing staff; a triad) experiences, opinions and values were explored. Participants were recruited from ten nursing homes within the Living Lab in Ageing & Long-Term Care Limburg, the Netherlands. The audio recording of every interview was transcribed verbatim. The analysis made use …

Caregiver Burden: Support Needed For Those Who Support Others And The National Health Service, Michael Stephanou

Patient Experience Journal

This literature review focuses on the complexities and inequalities of informal caregiving in the UK and was inspired by the story of the following individual: EL is a 68-year-old Caucasian lady who attended Movement Disorder Clinic and was diagnosed with Parkinson's Disease Dementia following many years of symptoms. The diagnosis came as a big relief to EL and her daughter (SL) who were eager to get treatment started as soon as possible. EL lives alone with SL and solely relies on her for care and support. SL does not have children and devotes her daily routine to looking after her …

The Individualized Multidisciplinary Immediate Fall Response Program, Adenike Y. Awotundun

Creating Healthy Work Environments (CHWE)

Utilizing a five-step process that included the use of the AHRQ's Tracking Record for Improving Patient Safety (TRIPS), aimed at improving fall care processes and reducing falls in older nursing home residents.

The Role Of Occupational Therapy Practitioners In The Care Of Pets And Animals: A Guide To Aging In Place With Pets And Animals, Blake Randell, Mary Jan Greer, Sherry Pidgeon

Summer 2023 Virtual OTD Capstone Symposium

This capstone project explored the role of occupational therapy practitioners in the care of pets and animals among older adults which has been referred to as the forgotten instrumental activity of daily living (or IADL) for this population. A needs assessment was conducted to determine how to provide facilitators and remove barriers or hindrances to occupational performance in the care of pets and animals among a group of older adults (with a variety of disability- and non-disability-related needs) in independent living communities. This needs assessment identified compounding health disparities of physical and/or cognitive impairments and lack of financial and necessary …

The Impact Of Social Determinants Of Health And Acculturation On Quality Of Life In Older Chinese American Adults With Chronic Pain: A Quantitative Study, Chi Lam

Dissertations

Despite a rapid increase in the older Chinese American adult population, there are very few research studies examining the impact of social determinants of health and acculturation on the quality of life in older Chinese American adults. The purpose of the study was to determine the impact of social determinants of health and acculturation on quality of life in older Chinese American adults with chronic pain. This quantitative, descriptive correlational study utilized Madeleine Leininger’s Transcultural Theory as its theoretical framework. Two research questions guided this study: (1) Was there a difference in the quality of life in older Chinese American …

Nonparametric Analysis In Educational Test Development - A Mokken Scale Approach To Evaluating Efl Vocabulary Proficiency, Ali Jahanaray, Akram Faravani

Publications

Mokken Scale Analysis (MSA) can offer a more flexible approach to common Item Response Theories (IRT) as a non-parametric method for evaluating educational tests with ordinal data. This study applied MSA on a Vocabulary Levels Test (VLT) originally developed with IRT methods among 234 English as a Foreign Language (EFL) students to test the assumptions of MSA, including unidimensionality, monotonicity, local independence, and invariant item ordering (IIO) with mokken package in R. MSA assumptions successfully met with the VLT validated with validating the VLT being a unidimensional test with Automated Item Selection Procedures (AISP) and Genetic Algorithm (GA) methods utilized. …

Lessons Learned Adapting And Implementing Another Organization’S Program To Promote Healthy Aging, Erin Jewell, Theresa Serio, Karen Basinger, Jennifer Dixon Cravens, Lisa Mccoy, Mona Habibi, Shauna C. Henley

Journal of Human Sciences and Extension

Programming which promotes healthy aging may be lacking in states where nutrition and health interventions are directed earlier in life. Due to Maryland’s increasing aging population, a team of 10 University of Maryland Extension Family and Consumer Sciences educators received permission to adapt and implement the Iowa Department of Public Health’s, in partnership with the Iowa Department of Human Services and Department on Aging, Fresh Conversations program to fit the needs of Maryland’s older adults. The purpose of this manuscript is not to discuss research findings but rather to share our challenges, successes, and recommendations for adapting and implementing another …

Women Baby Boomers’ Experiences Of Personal Growth Through Later-Life Divorce After A Long-Term Marriage, Lisa Silva Mchale

Theses, Dissertations and Culminating Projects

Later-Life divorce, occurring at age 50 or older, also referred to as gray divorce, has become increasingly common as the population ages (Brown & Lin, 2012; 2022). With gray divorce comes experiences that may differ from those faced by younger divorcees. The research demonstrates that divorce in laterlife brings unique challenges, especially for those who divorce after a long-term marriage (20 or more years, Sommerville, 2017). Few researchers have examined divorce in later life after a long-term marriage, and fewer yet when combined with a particular generational cohort. Additionally, there has been a lack of research exploring positive experiences and …

Glymphatic Transport Is Reduced In Rats With Spontaneous Pituitary Tumor, Lian Li, Guangliang Ding, Li Zhang, Hao Luo, Esmaeil Davoodi-Bojd, Qingjiang Li, Michael Chopp, Zhenggang Zhang, Quan Jiang

Neurology Articles

BACKGROUND AND OBJECTIVE: Pituitary tumor in patients induces adverse alterations in the brain, accompanied by cognitive deficits. Dysfunction of glymphatic waste clearance results in accumulation of neurotoxic products within the brain, leading to cognitive impairment. However, the status of glymphatic function in the brain with pituitary tumor is unknown. Using magnetic resonance imaging (MRI) and an advanced mathematical modeling, we investigated the changes of glymphatic transport in the rats carrying spontaneous pituitary tumor.

METHODS: Rats (22-24 months, female, Wistar) with and without pituitary tumor (n = 7/per group) underwent the identical experimental protocol. MRI measurements, including T2-weighted imaging and dynamic …

University Of Central Florida Graduate Catalog, 2023 - 2024, University Of Central Florida

UCF Catalogs

No abstract provided.

2023-2024 Graduate Catalog, The University Of Alabama In Huntsville

Course Catalogs

No abstract provided.

Neighbourhood Satisfaction And Networks Among Older Adults In Singapore, Rachel Ngu, Micah Tan, William Tov

ROSA Research Briefs

The built and social environment surrounding one’s place of residence is an important factor that shapes well-being and quality of life. This is especially so for older adults as their sphere of mobility decreases and their functional capacity may decline as they age, making their immediate environment more vital in shaping their lives. Studies have established the importance and impact of the physical environment on health and well-being of older adults across various communities (Addae-Dapaah 2008; Alidoust and Bosman 2015; Gale et al. 2011; Oswald et al. 2007). A study on older adults in Singapore found that living environment and …

Key Determinants Of Life Satisfaction In Older Adults, Barry Nuqoba, Yi Wen Tan, Yen Cong Wong, Wensi Lim

ROSA Research Briefs

Life satisfaction constitutes a fundamental facet of wellbeing, exerting an influence on an individual's mental and emotional state (Zissi & Barry, 2006). Among older adults, elevated levels of life satisfaction are frequently linked to a more optimistic outlook, contributing to improved health and resilience (Khodabakhsh, 2022; Zheng, Huang, & Fu, 2020). This in turn enhances societal involvement, both in the professional and social domains (Khodabakhsh, 2022). It is also vital to acknowledge that life satisfaction is a multifaceted construct, intricately influenced by an array of external and internal determinants. Life satisfaction is essentially a subjective judgement and assessment of one’s …

Leisure Activity And Place Requirement For A Better Life In Slow City Ahlat, Selin Kama, Nurullah C. Agbay

University of South Florida (USF) M3 Publishing

In this study, the types of activities and places that contribute to the improvement of the living conditions analysed within the example of the residents living in a slow city. The population of the study consists of the local people living in Ahlat (Bitlis, Turkiye), which was declared as a slow city in 2019. The data of the research were collected between 30 May and 15 June 2022. Three questions were asked to the participants about the kinds of activities the residents were engaged in, the activities they dreamed of doing and the kind of recreational places they needed to. …

Services Provided To Aging Individuals With Intellectual Disabilities: Survey Of Speech Language Pathologists, Claire H. Gatewood

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Purpose: The present study explored current speech-language pathology service provision for aging individuals with intellectual disabilities in the United States, including areas and domains of services, factors restricting service provision, and reported knowledge and confidence of individuals within the field of speech-language pathology in providing services, to identify possible gaps of service and needed improvement.

Methods: Participants (n = 272) from across the United States completed an online survey to gather descriptive information about current speech-language pathology service provision for aging individuals with intellectual disabilities. Participants were recruited through state speech-language hearing associations and universities with speech-language pathology clinics …

University Of Central Florida Undergraduate Catalog, 2023 - 2024, University Of Central Florida

UCF Catalogs

No abstract provided.

Cancer-Related Cognitive Impairment: Examining The Perspectives Of Survivors And Speech-Language Pathologists, Patricia Lynn Geels

Dissertations

Scientific advancements have led to significant improvements in cancer treatment and increased survival rates. However, cancer survivors often experience long-term effects, including cognitive impairments known as cancer-related cognitive impairment (CRCI). CRCI is a common and distressing side effect that affects affected individuals’ quality of life. The discipline of speech-language pathology (SLP) is well-positioned to assess and treat CRCI. Still, there is a gap in determining the most effective support for cancer survivors with CRCI. This mixed methods, three-paper dissertation implements exploratory, cross-sectional survey design to examine how speech-language pathologists and survivors view CRCI symptoms, its impact on daily functioning, and …

Implementing An Alzheimer’S And Dementia Library Outreach Program: A Partnership Between The Nebraska Chapter Of The Alzheimer’S Association And Nebraska Libraries, Casey Wilkinson

Theses/Capstones/Creative Projects

This paper focuses on the establishment of an Alzheimer’s and dementia library outreach program in Nebraska, initiated by the Nebraska Chapter of the Alzheimer’s Association. The program aims to address the lack of community resources and support for individuals affected by dementia-related diseases in Nebraska. Extensive research, including interviews with successful library outreach programs globally, informed the program's foundation. A survey distributed to Nebraska libraries had a stellar response rate, with 57 libraries expressing interest in collaborating. An in-depth guide was created and distributed to the interested libraries, outlining program components such as educational programming, support groups, and a designated …

Application Of Teaching Regarding Injury Appearance In Darker Pigmented Skin Patients: A Quality Improvement Project, Tiffany Akiba

DNP Projects

Significance and Background: The skin is the largest organ of our body, and skin injury prevention begins with accurately inspecting skin. Current practices stress on looking for any signs of redness which often signify that the skin is possibly injured or compromised. However, darker skin tones do not appear red when injured. Assessing for redness is a practice that is suited better for lighter skin tones.

Purpose: Provide education to providers on current skin assessment practices of darker skin tones.

Methods: The IHI Model of Improvement was used for this project, and the Plan-Do-Study-Act cycle was used to test for …

Does Cognitive Reflection Support Children's Math Learning?, Diana A. Sanchez

University Honors Program Senior Projects

A basic knowledge of mathematics is required for many social and economic opportunities. Thus, understanding the variables related to children’s math learning is of utmost importance. This study explores the role of cognitive reflection on children’s mathematics learning. Cognitive reflection is the tendency to reflect on and override an inaccurate gut response. Only recently has a measure of cognitive reflection been available for use with school-aged children. Young and Shtulman (2020b) found children’s cognitive reflection was an excellent predictor of children’s mathematical equivalence understanding (i.e., knowing the equal sign means “the same as”). Research has not yet established whether cognitive …

Investigating The Localization Of Foxo4 Transcription Factor In U87mg Glioblastoma Cell Line, Millat Jahan

Theses and Dissertations

FOXO transcription factors perform diverse functions that have effects on significant biological processes like stem cell homeostasis, cell cycle, apoptosis, and cell fate determination. This research focuses on FOXO4 that is differentially localized in U87MG glioblastoma cells where FOXO4 is targeted to the nucleus. This research is aimed at investigating the mechanism and localization of FOXO4 in U87MG cell lines. Using chimeric fusion construct, we have mapped regions within FOXO factors that can determine specific cellular localization patterns. Finding the mechanism behind specific nuclear localization of FOXO4 can produce innovative data to better understand the distinctive subcellular localization patterns in …

Association Of Socioeconomic Status And Mental Health Characteristics And Participant Attrition In A Cohort Study, Mathews Thampi

Capstone Experience: Master of Public Health

The cohort study is an essential design for investigating associations between a variety of risk factors or exposures and a plethora of health outcomes. However, one of their biggest weaknesses is participant attrition, which can introduce bias and impact validity. Understanding whether this attrition is related to exposure and outcome is a critical aspect of assessing the potential for selection bias. The Women and Their Children's Health (WaTCH) study is a prospective cohort study designed initially to examine the health impacts of exposure to the Deepwater Horizon oil spill. The study has undergone two waves of data collection and is …

Perspectives Of Hispanic/Latina Women Ages 60 And Over On The Impact Of Single Motherhood And Their Long-Term Financial Well-Being, Tess Juno Anselm

Graduate Doctoral Dissertations

Unmarried women over the age of 60 continue to experience disproportionate rates of adult poverty in the United States, while families headed by single mothers experience the highest poverty rates. This study explores the long-term impact of single motherhood on financial wellness through the perspective of Hispanic/Latina women ages 60 and over who have experienced single motherhood in Massachusetts. A transdisciplinary study, it utilizes intersectionality as a theoretical framework, employs feminist standpoint informed inquiry methods to document lived experiences through in-depth interviews, and engages diffraction as a mode of praxis as it intra-acts with narratives and explores the systems and …

Household Environments And Functional Decline Among Middle-Aged And Older Adults In China, Dandan Zhao

All Theses

This thesis investigates the associations between household social, economic, and physical environment conditions and the trajectory of self-reported functional limitations over time among middle-aged and older adults in China. Despite the increasing interest in the impact of household environments on functional decline, most existing studies are cross-sectional or concern changes in functioning observed in two waves of surveys, and they primarily focus on the influence of one condition. This thesis explores how the trajectory of functional decline is influenced jointly by multiple household factors, including living arrangement, annual living expenditure per capita, indoor air pollution resulting from solid fuels, and …

Evaluating Mitochondrial Dynamics And Bioenergetics In Patient-Derived Human Induced Pluripotent Stem Cells And Differentiated Derivatives Modeling Leigh Syndrome, Fibi Meshrkey

Graduate Theses and Dissertations

Mitochondrial disorders are complex diseases that involve multiple systems and result from mutations and deletions in the mitochondrial genome. Leigh syndrome (LS) is a rare and devastating primary mitochondrial disorder characterized by progressive neuromuscular degeneration. Despite its severe consequences, the clinical genotype pathophysiological underlying LS remains elusive, posing significant challenges for the development of effective therapies. The current study aims to advance our understanding of the pathology and phenotype correlation of LS by evaluating mitochondrial dynamics and bioenergetics in patient-derived human induced pluripotent stem cells (hiPSCs) and their differentiated derivatives, which serve as a reliable model of the disease. Key …

「社交媒體、視訊會議平台和樂齡產品在長者院舍的應用情況」研究簡報, Chak Kwan, Dickon Chan, Sheung Wan, Wanda Wong, Meng Soi, Florence Fong, Le Gao

APIAS Research Report 研究報告

香港的老年人口增長迅速，從1988年至2018年間，老年人口由46萬增加到127萬（政府經濟顧問辦公室, 2019）。隨著人口老化，長期護理服務需求也相對增加。資助安老院舍的平均等待時間長達20個月（香港政府, 2021）。在2017至2018年間，有40,000人在輪候資助安老院舍，其中6,600人在等候期間去世（香港政府, 2018）。安老服務業一直面臨人力短缺的問題，2017年的相關職位空缺率為15-20%（香港政府, 2017）。2013年的研究統計發現超過一半的安老服務前線員工超過50歲（勞工及福利局, 2019）。隨著退休潮的來臨，人力短缺的問題會進一步加劇。因此，科技與安老服務的結合被視爲減輕人手壓力的方向。結合科技和院舍服務不僅可以減輕工作量，還能提高服務質量和效率。社交媒體和視訊會議平台可以減少在訊息傳遞上的時間和人力成本。樂齡科技產品，諸如可穿戴設備和遠程監控傳感器，可以讓護理人員更快捷和系統化地掌握服務對象的狀態，從而減少親自監測的次數（Chen, 2020）。因此，自2017年起，香港政府與各部門積極推廣樂齡科技，並於2018年設立樂齡及康復創科應用基金，幫助合資格的安老及康復服務單位購置、租借和試用科技產品。香港政府於2022年更將此計劃擴展至其他非資助的私營或自負盈虧的安老院舍及殘疾人士院舍。在過去三年的新冠疫情影響下，大部分安老院舍因為防疫工作量的增加而面臨更嚴重的人手短缺，不少院舍開始將科技融入服務，以應對疫情衍生的需求和改善現有服務質素。然而，香港院舍對於如何應用社交媒體、會議平台和樂齡科技產品的研究甚少。在此背景下，本研究旨在瞭解院舍應用相關科技的情況，並提供應對有關障礙的政策建議。