Digital Commons Network^™

Concerns Over The Cost Of Living Among Older Adults In Singapore, Rachel Ngu, Micah Tan, Paulin T. Straughan, Seonghoon Kim, William Tov, Grace Cheong, Xiaoyan Zhang

ROSA Research Briefs

A post-National Day Rally survey conducted in August 2022 found that the rising cost of living and health-related issues were ranked among the top concerns of Singaporeans (Baharudin, 2022). This comes as no surprise as global crises such as the ongoing COVID-19 pandemic and the Russo-Ukrainian conflict, has resulted in global and domestic inflation (Gov.sg, 2022). In May 2022, Singapore reported a 13-year high core inflation of 3.6% (Channel News Asia, 2022), while in September 2022, Singapore’s core inflation had risen to 5.3% (Ang, 2022). Additionally, the government announced that Singapore residents will see a goods and services tax (GST) …

Impact Of Emr/Ehr And Computer Decision Support Systems On Nursing Homes And Long-Term Care, Wendy Trzyna, Brian Cox, Alberto Coustasse

Management Faculty Research

Long-Term Care (LTCs) facilities and nursing homes have been an essential part of the healthcare industry to meet the needs of older adults. However, Electronic Medical Records (EMRs/ EHR within LTC facilities and nursing homes have lagged more than in other healthcare sectors. This research analyzed the impact of implementing EMR/EHR and Computerized Decision Support Systems within LTC facilities and nursing homes. In nursing homes and LTC facilities where EMR/EHR has been implemented, patient outcomes improved by reduced pressure ulcers and increased identification of patients at risk for malnutrition and falls. Integration of CDSSs with EMR/EHR improved documentation and prescribing …

Geriatric Emergency Departments As Laboratories For Innovation, Brian W. Patterson, Manish N. Shah

Journal of Geriatric Emergency Medicine

n/a for editorial

Faculty Readiness And Learning Needs For Incorporating Virtual Healthcare Into The Curriculum, Kelley Connor, Jason Blomquist, Darci Mccall, Cara Gallegos, Janet Reis

Nursing Faculty Publications and Presentations

Objective: Virtual healthcare technologies are becoming increasingly acceptable and available to patients and providers to deliver care. Although common in practice settings, many nursing schools have not integrated virtual care concepts into the curriculum. One reason may be because faculty are not prepared to teach these concepts. The purpose of this study was to assess the virtual healthcare learning needs of faculty.

Methods: An exploratory, descriptive study design was used to evaluate faculty receptiveness and readiness to teach virtual nursing care concepts. Thirty-seven full time faculty members were asked to complete an anonymous survey consisting of demographic, open-ended, and Likert …

Interprofessional Collaborative Attitudes: Comparing Social Work Learners To Their Medicine And Nursing Peers, Joseph Bartholomew, Marcia Mount French, Hea-Won Kim

Florida Public Health Review

Interprofessional learning activities in higher education aim to unite healthcare professionals in their future practice, thus reducing duplication and fragmentation of services. This study uses a social learning perspective to examine advanced practice medicine, nursing, and social work learners’ attitudes toward interprofessional education and collaborative practice activities within their university programs. The authors used a cross-sectional design to administer a questionnaire that included the Interprofessional Attitudes Scale (IPAS) to 151 advanced practice health care learners (internal medicine residents, nurse practitioner students, master’s-level social work students). Findings indicated significant differences in three subsections of the IPAS. Social work learners possessed a …

The Social Well-Being Of Older Adults In Singapore, Micah Tan, Paulin T. Straughan, Grace Cheong, Wensi Lim

ROSA Research Briefs

The concept of social well-being has been of interest especially when studying older adult well-being given that problems of social isolation and loneliness are more prevalent and have greater consequences for older adults (Waite 2018). However, much is still to be understood about the social well-being of older adults with most research being conducted on social predictors of health, rather than on social well-being as a specific “component of health” (Waite 2018:100). As such, the current research brief provides a preliminary examination of social well-being among middle-aged and older adults in Singapore based on Keyes’ social well-being framework (Keyes 1998). …

Key Finding Of The 2022 Nebraska End-Of-Life Survey: A Report For Nebraska Hospice And Palliative Care Association, Julie L. Masters, Amanda Kirkpatrick, Mariya Kovaleva, Harlan Sayles, Patrick Josh

Gerontology Faculty Publications

The 2022 End-of-Life survey is a continuation by the Nebraska Hospice and Palliative Care Association (NHPCA) to understand the knowledge, beliefs, and actions of Nebraskans and their end-of-life (EOL) wishes. Previous surveys conducted in 2003, 2006, 2010, and 2017 helped to inform the 2022 survey. Results of previous surveys can be found on the NHPCA website. The University of Nebraska-Lincoln Bureau of Sociological Research contracted with NHPCA to prepare, distribute, and enter survey data for a random sample of Nebraskans 19 years of age and older. Survey invitations were sent to 3,000 Nebraskans 19 years of age and older in …

Exposure To Pcb126 During The Nursing Period Reversibly Impacts Early-Life Glucose Tolerance, Brittany Breon Rice, Keegan W. Sammons, Sara Y. Ngo Tenlep, Madeline T. Weltzer, Leryn J. Reynolds, Cetewayo S. Rashid, Hollie I. Swanson, Kevin J. Pearson

Markey Cancer Center Faculty Publications

Polychlorinated biphenyls (PCBs) are persistent environmental organic pollutants known to have detrimental health effects. Using a mouse model, we previously demonstrated that PCB126 exposure before and during pregnancy and throughout the perinatal period adversely affected offspring glucose tolerance and/or body composition profiles. The purpose of this study was to investigate the glucose tolerance and body composition of offspring born to dams exposed to PCB126 during the nursing period only. Female ICR mice were bred, and half of the dams were exposed to either vehicle (safflower oil) or 1 μmole PCB126 per kg of body weight via oral gavage on postnatal …

Epigenome-Wide Association Study Reveals Cpg Sites Associated With Thyroid Function And Regulatory Effects On Klf9, Antoine Weihs, Layal Chaker, Tiphaine C Martin, Kim V E Braun, Purdey J Campbell, Simon R Cox, Myriam Fornage, Christian Gieger, Hans J Grabe, Harald Grallert, Sarah E Harris, Brigitte Kühnel, Riccardo E Marioni, Nicholas G Martin, Daniel L Mccartney, Allan F Mcrae, Christa Meisinger, Joyce B J Van Meurs, Jana Nano, Matthias Nauck, Annette Peters, Holger Prokisch, Michael Roden, Elizabeth Selvin, Marian Beekman, Diana Van Heemst, Eline P Slagboom, Brenton R Swenson, Adrienne Tin, Pei-Chien Tsai, Andre Uitterlinden, W Edward Visser, Henry Völzke, Melanie Waldenberger, John P Walsh, Anna Köttgen, Scott G Wilson, Robin P Peeters, Jordana T Bell, Marco Medici, Alexander Teumer

Faculty, Staff and Student Publications

Background:

Thyroid hormones play a key role in differentiation and metabolism and are known regulators of gene expression through both genomic and epigenetic processes including DNA methylation. The aim of this study was to examine associations between thyroid hormones and DNA methylation.

Methods:

We carried out a fixed-effect meta-analysis of epigenome-wide association study (EWAS) of blood DNA methylation sites from 8 cohorts from the ThyroidOmics Consortium, incorporating up to 7073 participants of both European and African ancestry, implementing a discovery and replication stage. Statistical analyses were conducted using normalized beta CpG values as dependent and log-transformed thyrotropin (TSH), free thyroxine, …

High Pulse Pressure Impairs Cerebral Artery Endothelial Function In Young, But Not Old, Mice, Nick R Winder, Emily H Reeve, Elise K Kronquist, Aleena Khurana, Byron Lee, Thuan Nguyen, Grant D Henson, Ashley E Walker

Faculty, Staff and Student Publications

One of the hallmarks of vascular aging is increased pulse pressure. This elevated pulse pressure is associated with deleterious effects on cerebral vascular function; however, it is unknown if age modulates the susceptibility to high pulse pressure. To examine the effects of age on the cerebral artery response to pulse pressure, we studied isolated cerebral arteries collected from young (6.1 ± 0.2 mo) and old (26.7 ± 0.5 mo) male C57BL/6 mice. Isolated cerebral arteries were exposed ex vivo to static pressure, low pulse pressure (25 mmHg), and high pulse pressure (50 mmHg). In cerebral arteries from young mice, endothelium-dependent …

Effects Of Hope Intervention On Hope And Quality Of Life In Senior People Who Live Alone, Sophia Abraham

Doctor of Nursing Practice Projects

Background

In the United States, there is a growing number of seniors who frequently present with increased risk for reduced hope and quality of life (QOL). Quality of life in the senior population is a world-wide concern and it is believed to be directly associated with their well-being. Senior people living alone experience a higher degree of depression, reduced hope, isolation, falls, and increased mortality. The literature indicates that there is a significant relationship between the level of hope and QOL. Hope is an inner source that plays a vital part in how an individual think and behaves. Hope shapes …

Dyadic Positive And Negative Religious Coping Among Older Singaporean Couples And Marital Satisfaction, Gloria J. Lai, Kenneth Tan, Micah Tan, Grace Cheong, Cheng Cheng, Mathews Mathew

Research Collection School of Social Sciences

Difficulties faced in life can affect marital relationships and such troubles may be dealt with in a multitude of ways, including coping religiously. The present study examined how religious coping, either in a positive or negative manner, may have an impact on marital satisfaction. Importantly, this association was studied dyadically in a sample of religiously diverse (Buddhists, 32.3%; Taoists, 17.6%; protestant Christians, 14.1%; and others who did not identify with a specific religion, 19.1%), married older Singaporean adults (N = 1928; 964 couples). Using actor-partner interdependence modeling, we found significant actor, partner, and combined actor-partner effects for positive and negative …

Driving Impairment In Movement Disorders, Karim Makhoul, Joseph Jankovic

Faculty, Staff and Students Publications

BACKGROUND: Driving may be adversely affected by any movement disorder, but has been mostly studied in Parkinson's disease (PD). Few studies have addressed driving impairment in patients with Huntington's disease (HD); driving in other movement disorders such as dystonia, blepharospasm and Tourette syndrome (TS) has not been adequately evaluated.

OBJECTIVES: The aim of this review is to summarize the findings of driving impairment in movement disorders and evaluate the usefulness of clinical tools in guiding clinicians whether to refer patients for driving assessment.

METHODS: A review of literature was performed on PubMed and articles on driving and movement disorders were …

Developing A Parsimonious Frailty Index For Older, Multimorbid Adults With Heart Failure Using Machine Learning, Javad Razjouyan, Molly J Horstman, Ariela R Orkaby, Salim S Virani, Orna Intrator, Parag Goyal, Christopher I Amos, Aanand D Naik

Faculty, Staff and Student Publications

Frailty is associated with adverse outcomes in heart failure (HF). A parsimonious frailty index (FI) that predicts outcomes of older, multimorbid patients with HF could be a useful resource for clinicians. A retrospective study of veterans hospitalized from October 2015 to October 2018 with HF, aged ≥50 years, and discharged home developed a 10-item parsimonious FI using machine learning from diagnostic codes, laboratory results, vital signs, and ejection fraction (EF) from outpatient encounters. An unsupervised clustering technique identified 5 FI strata: severely frail, moderately frail, mildly frail, prefrail, and robust. We report hazard ratios (HRs) of mortality, adjusting for age, …

Academic Senate - Agenda, 2/28/2023, Academic Senate

Academic Senate Agendas

No abstract provided.

University Of Northern Iowa Faculty Senate Meeting Minutes, February 27, 2023, University Of Northern Iowa. Faculty Senate.

Documents - Faculty Senate

Meeting minutes from the Faculty Senate of the University of Northern Iowa.

Ii.Vii.A; 02-03 Michigan Society Of Gerontology 1978 - 1979 Board Of Directors Michael Chappell, Betty L. Brown-Chappell Phd

Personal & Family Papers [Series II]

Family/Michael J. Chappell

V.Viii.D; 31-06 Emu - Gerontology Program Course Offering - Winter 2012, Betty L. Brown-Chappell Phd

Program and Teaching Materials [Series V]

EMU - Gerontology Program Course Offering - Winter 2012

Overprotected But Unrepresented: An Argument For Mandatory Appointment Of Counsel And Against Automatic General Conservatorships In California, Maria De Los Angeles Reyes Olmedo

Loyola of Los Angeles Law Review

Conservatorships are restrictive arrangements that must be reserved for people with severe intellectual and/or developmental disabilities. However, California probate courts unnecessarily impose conservatorships and forego less restrictive alternatives for the sake of administrative convenience. While AB 1194 will ameliorate California’s paternalistic conservatorship system, this Note advocates for requiring courts to appoint counsel to all conservatees and proposed conservatees in every conservatorship proceeding, and to enact conservatorships only after proving less restrictive methods are insufficient. Humans—regardless of their dis/ability—deserve to age with dignity in a conservatee-centric system that does not violate their constitutional, federal, and state rights.

Family Caregivers Of Older Adults With Physical Disabilities In Rural Thailand, Denis Tuttle, Jiranan Griffiths, Anuchart Kaunnil

The Qualitative Report

Thailand is one of many countries experiencing changes in the demographics of its population. People are living longer and having fewer children resulting in an increasing percentage of older adults in the general population. This presents a challenge in providing care for older adults, especially in countries where there is a culture of family caregiving. This study aims to investigate the experience of family caregivers, exploring the problems of caring for older people with physical disabilities and the needs of family caregivers. This is done to better understand ways to support caregivers. Using a descriptive qualitative approach, 15 family caregivers …

Social Relationships And Onset Of Functional Limitation Among Older Adults With Chronic Conditions: Does Gender Matter?, Dandan Jiao, Kumi W. Miura, Yuko Sawada, Munenori Matsumoto, Ammara Ajmal, Emiko Tanaka, Taeko Watanabe, Yuka Sugisawa, Sumio Ito, Rika Okumura, Yuriko Kawasaki, Tokie Anme

Sultan Qaboos University Medical Journal

Objectives: This study aimed to examine the longitudinal association between social relationships and physical functioning among community-dwelling older adults with chronic conditions. Methods: Self-reported questionnaires were distributed and collected between 2014 and 2017 from participants ≥65 years old. The Index of Social Interaction was used to evaluate social relationships and the instrumental activities of daily living (IADL) subscale of the Tokyo Metropolitan Institute of Gerontology Index of Competence was used to examine functional status. Results: A total of 422 participants (190 males and 232 females) were included in the final analysis. High social relationships demonstrated significant adverse effects (odds ratio …

The Relationship Of Future Anxiety With Life Quality Among A Sample Of Widows In Irbid Governorat, Amna Hekmat Khasawneh

Hebron University Research Journal-B (Humanities) - (مجلة جامعة الخليل للبحوث- ب (العلوم الانسانيه

The study aimed to reveal the level of both future anxiety and quality of life, and the relationship between them among a sample of widows in Irbid Governorate. To achieve the objectives of the study, the researcher used the future anxiety scale consisted of (32) items in five domains (psychological, healthy, social, family, economic), and the quality of life scale consisted of (27) items. The study sample consisted of (377) registered widows in community services centres, family and women's protection and support centres located in various districts in Irbid Governorate. The results of the study showed that the level of …

Maternal And Infant Outcomes Of Syrian And Palestinian Refugees, Lebanese And Migrant Women Giving Birth In A Tertiary Public Hospital In Lebanon: A Secondary Analysis Of An Obstetric Database, Stephen J. Mccall, Tanya C. El Khoury, Hala Ghattas Ph.D., Shady Elbassuoni, Mhd Hussein Murtada, Zeina Jamaluddine, Christine Haddad, Aya Hussein, Amina Krounbi, Jocelyn Dejong, Janoub Khazaal, Rabih Chahine

Faculty Publications

Objectives This study aims to assess whether the characteristics, management and outcomes of women varied between Syrian and Palestinian refugees, migrant women of other nationalities and Lebanese women giving birth at a public tertiary centre in Beirut, Lebanon.

Methods This was a secondary data analysis of routinely collected data from the public Rafik Hariri University Hospital (RHUH) between January 2011 and July 2018. Data were extracted from medical notes using text mining machine learning methods. Nationality was categorised into Lebanese, Syrian, Palestinian and migrant women of other nationalities. The main outcomes were diabetes, pre-eclampsia, placenta accreta spectrum, hysterectomy, uterine rupture, …

State Covid-19 Policies That Restricted In-Person Interaction And Provided Economic Support Saved Lives During The First Year Of The Pandemic, Yue Sun, Erin Bisesti

Population Health Research Brief Series

States varied dramatically in their implementation of policies to mitigate coronavirus spread and provide financial safety nets to residents who may have been struggling with the pandemic’s economic fallout. These differences may have contributed to variations in COVID-19 mortality rates between states. This brief summarizes the results of a recent study examining how U.S. states’ COVID-19 policies were related to COVID-19 mortality rates from April to December 2020. The findings show that states that enacted policies restricting in-person interaction and providing economic support to residents had lower COVID-19 death rates than states without these policies. Over 29,000 lives could have …

Research Progress On The Mechanism Of Dietary Fiber In Regulating Blood Sugar Of Type 2 Diabetes, Yan-Feng Wang, Xi-Hong Yang, Jun-Han Cao, Chang-Feng Qu, Li-Ping Zhang, Jin-Lai Miao, Wan-Cui Xie

Food and Machinery

This article mainly reviews the hypoglycemic effect of dietary fiber on type 2 diabetes-including improving insulin resistance, regulating glucose and lipid metabolism disorders, improving oxidative stress, regulating intestinal flora and stabilizing postprandial blood glucose-delaying glucose absorption and inhibition The digestive enzyme activity was systematically analyzed and summarized from the level of action mechanism, with a view to providing more theoretical basis and reference for the application of dietary fiber in reducing and stabilizing blood glucose of type 2 diabetes.

Board Of Trustees Minutes, Feb. 17 2023, Indiana State University Board Of Trustees

Board of Trustees

No abstract provided.

Board Of Trustees Agenda, Feb. 17 2023, Indiana State University Board Of Trustees

Board of Trustees

No abstract provided.

Touching The Third Rail Doesn’T Have To Hurt: A Holistic Approach To Social Security’S Insolvency Crisis, Austin Hord

University of Memphis Law Review

No abstract provided.

Gc Minutes Feb 16, 2023, Graduate Council

Graduate Council Minutes

No abstract provided.

Virtuous Dialogues: A Study On Wisdom And Quiet Ego In Church Settings, Jeffrey A. Dunkerley Ii

Doctor of Psychology (PsyD)

An individual’s ability to balance the identity of self with the identity of the other, Quiet Ego, consider situations from various perspectives (Reflective Wisdom) and reflect on emotional reactivity (Affective Wisdom) are influential components to engaging in dialogue. The context for dialogue within the United States is increasingly impacted by the backdrop of polarization and defensiveness, impacting one’s ability to develop and maintain the characteristics above. The Christian Church in the United States is not immune to the shifts in dialogue and are experiencing similar difficulties with dialogue seen in the broader society. Virtuous Dialogues is a training curriculum that …