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2024

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Simulation Of Low-High Method In Adaptive Testing, Rukli Rukli, Noor Azeam Atan Dec 2024

Simulation Of Low-High Method In Adaptive Testing, Rukli Rukli, Noor Azeam Atan

REID (Research and Evaluation in Education)

The era of disruption significantly engineered a classic testing system into an adaptive testing system where each test taker takes a unique test. However, the carrying capacity of the adaptive testing system engineering is experiencing obstacles in terms of the method of presenting the test questions. The study aims to introduce the low-high adaptive tracking method with the item response theory approach, where the difficulty level of the questions is adapted to the test takers' abilities. The number of test questions in the question bank is 400 questions. Data analysis used the Bilog-MG program. The range of the difficulty level …


Construction Of An Instrument For Evaluating The Teaching Process In Highereducation: Content And Construct Validity, Risky Setiawan, Wagiran Wagiran, Yasir Alsamiri Dec 2024

Construction Of An Instrument For Evaluating The Teaching Process In Highereducation: Content And Construct Validity, Risky Setiawan, Wagiran Wagiran, Yasir Alsamiri

REID (Research and Evaluation in Education)

This study aims to reveal the content validity, construct validity, and reliability of the instrument for evaluating the teaching process in higher education. This research is development research applying the ADDIE model from Molenda. The indicators evaluated consist of context, inputs, processes, and products. The sample consisted of 1200 students from eight faculties, each represented by three study programs. Data analysis uses three stages: content validity test analysis using the V-Aiken method involving six panellists or experts; construct validity test using Confirmatory Factor Analysis (CFA). Quantitative descriptive analysis and interpretive qualitative analysis used the Miles and Huberman method. The results …


The Empowerment Of Consumers With Disabilities: The Role Of Self-Esteem, Accessibility, And Access To Information, Megawati Simanjuntak, Fauzia Rahmi, Santi Utami Dewi Dec 2024

The Empowerment Of Consumers With Disabilities: The Role Of Self-Esteem, Accessibility, And Access To Information, Megawati Simanjuntak, Fauzia Rahmi, Santi Utami Dewi

ASEAN Marketing Journal

Consumer empowerment in Indonesia remains relatively low, particularly for individuals with disabilities. This study investigates the roles of accessibility, self-esteem, and information access in empowering disabled consumers. A total of 100 participants with physical disabilities, aged 17 and older, were surveyed regarding their online and offline purchasing experiences. Data were collected via an online questionnaire and analyzed using SEM PLS. Results indicate that self-esteem and information accessibility significantly influence the empowerment of consumers with disabilities, with the Disabled Consumer Empowerment Index categorized as "not empowered." Notably, the knowledge dimension received the lowest scores based on a traffic-light system. These findings …


“Everybody Has A Soul”: People With Dementia And Nursing Students Co-Creating Life Stories, Beth Mastel-Smith, Michelle Kimzey, Amy Ahlbrand Robinson, Melinda Hermanns Dec 2024

“Everybody Has A Soul”: People With Dementia And Nursing Students Co-Creating Life Stories, Beth Mastel-Smith, Michelle Kimzey, Amy Ahlbrand Robinson, Melinda Hermanns

Nursing Faculty Publications and Presentations

Lack of meaning and purpose in life can increase disability, stress, mortality, and the risk of cognitive impairment. Finding meaning and purpose helps people with dementia adjust to the diagnosis and can be accomplished via expressions of identity such as life review, a formal process of systematically reviewing and reflecting on one’s lived life. Digital storytelling involves telling a story using computer technology to record and share an individual’s narrative. The purpose of this study was to understand the perceived benefits of nursing students and people with dementia (the mentors) described after digitally co-creating the mentors’ life story. Allport’s Intergroup …


Factors Associated With Healthcare Students’ Cognitive Levels Measured By The Classroom Test Of Scientific Reasoning., Alberto J. De Armendi, Amir L. Butt, Kathryn M.L Konrad, Mohanad Shukry, Edmund A. Marek Ii Dec 2024

Factors Associated With Healthcare Students’ Cognitive Levels Measured By The Classroom Test Of Scientific Reasoning., Alberto J. De Armendi, Amir L. Butt, Kathryn M.L Konrad, Mohanad Shukry, Edmund A. Marek Ii

Graduate Medical Education Research Journal

Introduction: Healthcare student acceptance into graduate and professional school is based on Grade Point Average (GPA), Graduate Record Examination (GRE) scores, interviews, and letters of recommendation, but not on cognition levels. However, educators need to understand students’ cognitive levels to facilitate constructivist learning theory and inquiry-based learning. The aim of this study is to understand the influence of cognition in healthcare students through the administration of the Classroom Test of Scientific Reasoning (CTSR).

Methods: Medical and baccalaureate nursing students were enrolled to answer demographic questions and complete the CTSR. The CTSR rubric score were used to define four operational cognitive …


Biological Aging Pathways That Underlie Life Course Socioeconomic Disparities In Physical Function And Longevity, Tara Gruenewald, Naomi Podber Dec 2024

Biological Aging Pathways That Underlie Life Course Socioeconomic Disparities In Physical Function And Longevity, Tara Gruenewald, Naomi Podber

Psychology Faculty Articles and Research

The poorer functioning and greater morbidity and mortality risk in those with greater life course socioeconomic disadvantage has led to the search for the biological processes that underlie these associations, including accelerated cellular and system aging. Our study examines whether a DNA methylation profile of the pace of biological aging (DunedinPACE) and a multi-system index of physiological dysregulation (allostatic load (AL)) mediate associations between life course socioeconomic disadvantage (SESDIS) and both physical function (gait speed, chair stand time) and survival. Data are from the Midlife in the U.S. Study (N=1,295, age 26–86, 55.4% female, 69.0% white). Measures included a multi-indicator …


Evaluating The Impact Of Staff Attitudes And Behaviours On Hospital-Associated Deconditioning, Cheryl Kent Dec 2024

Evaluating The Impact Of Staff Attitudes And Behaviours On Hospital-Associated Deconditioning, Cheryl Kent

South West Clinical School Journal

#400WORDS: CHIEF NURSING OFFICER’S RESEARCH FELLOWS EVIDENCE IMPLEMENTATION PROJECTS


Proactive Use Of Perturbation Training On Balance And Posture Control In Geriatric Rehabilitation- An Experimental Study, Reema Joshi, Kinjal Shah Dec 2024

Proactive Use Of Perturbation Training On Balance And Posture Control In Geriatric Rehabilitation- An Experimental Study, Reema Joshi, Kinjal Shah

Chulalongkorn Medical Journal

Background:

Ageing is a complex process involving a range of variables that interact to cause deterioration of various physiological functions.

Objectives:

Study attempts to find effect of Perturbation training on postural control upon Centre of Gravity (COG) sway velocity in older individuals using modified-Clinical Test of Sensory Integration on Balance (mCTSIB) component on NeuroCom Balance master® and Timed up and go(TUG) test.

Methods:

An experimental study, employing a pre-post intervention model, involved 30 individuals aged 65-85 years with mild to moderate fall risk was conducted at Tertiary Hospital, Pune from August 2022 to January 2023. Perturbation Training was given …


Health Literacy On Physical Therapy Among Senior Citizens With Physical Disability And Community Health Workers, Kriza G. Ganotisi, Faye Angelene J. Barangay, Andrew A. Galang, Wina Frances Q. Lazaro, Christopher U. Rivera, Ryan Dean T. Sucgang Dec 2024

Health Literacy On Physical Therapy Among Senior Citizens With Physical Disability And Community Health Workers, Kriza G. Ganotisi, Faye Angelene J. Barangay, Andrew A. Galang, Wina Frances Q. Lazaro, Christopher U. Rivera, Ryan Dean T. Sucgang

Philippine Journal of Physical Therapy

Introduction. This study was conducted to determine the health literacy on physical therapy (PT) among senior citizens with physical disability and community health workers (CHWs). Specifically, it identified the sociodemographic profile of the CHWs and senior citizens with physical disability, their extent of health literacy on PT as to prose, document and numeracy and how health policies, availability of PT programs, and available equipment and facilities for the rendition of PT services affect their health literacy.

Methods. This study employed a descriptive research design. The respondents of the study involved 18 CHWs and 29 senior citizens. It was conducted in …


A Survey On Attitudes Of Rehabilitation Professionals On The Use Of Immersive Gamification Technology Systems In Therapy, Anna Mae U. Consing, Maria Eliza R. Aguila Dec 2024

A Survey On Attitudes Of Rehabilitation Professionals On The Use Of Immersive Gamification Technology Systems In Therapy, Anna Mae U. Consing, Maria Eliza R. Aguila

Philippine Journal of Physical Therapy

Introduction. Immersive gamification technology systems (ImGTS) are used among patients with physical impairments in different practice settings. Studies have shown moderate evidence for the effectiveness of ImGTS in improving functional outcomes. However, studies are scarce on the use of ImGTS by rehabilitation professionals in clinical practice. Thus, this study aimed to determine attitudes of rehabilitation professionals in using ImGTS in rehabilitation.

Methods. This cross-sectional descriptive survey utilized a self-administered online questionnaire, the modified Unified Theory of Acceptance and Use of Technology (UTAUT) Questionnaire, to determine perceptions on performance expectancy, effort expectancy, social influence, and facilitating conditions on using ImGTS for …


Managing The Cost Of Services For People With Disabilities: An International Approach. Part I: Poland, Dana Pugh, Jaroslaw Richard Romaniuk Dec 2024

Managing The Cost Of Services For People With Disabilities: An International Approach. Part I: Poland, Dana Pugh, Jaroslaw Richard Romaniuk

Faculty Scholarship

Introduction: The cost of care for people with disabilities is rising, whereas all forms of support for them are decreasing. Countries and communities develop different ways to serve the disabled. We examined the comprehensive state of care from the perspective of cost management of services for individuals with disabilities in Poland. Method: This paper is based on a review of relevant international literature, with a special focus on the situation in Poland. A keyword search was completed in both Polish- and English-language databases. Results: In Poland, people with disabilities usually live with their families, and specialized services are offered outside …


Commencement [Program], December 21, 2024, University Of Northern Iowa Dec 2024

Commencement [Program], December 21, 2024, University Of Northern Iowa

UNI Commencement Programs

The program of the commencement ceremonies, including a list of institutional leadership, a list of the departments by college, awards given at the ceremonies, and a list of undergraduate and graduate degree candidates. This commencement program is not an official graduate list.

Contents:

Board of Regents --- 2
Institutional Leadership --- 2
Ceremony Symbols & Traditions --- 3
Academic Honorary Organizations --- 4
University Ambassador Organizations --- 5
University Honors Program --- 6
Graduation with Honors --- 6
Legacy Graduates --- 6
Military Science --- 7
Merchant Scholarship --- 7
Outstanding Student Leader --- 7
Commencement Student Speakers --- 7 …


Is Helping You Good For Me? Associations With Giving Capitalization Support And The Moderating Role Of Closeness, Samuel Molli Dec 2024

Is Helping You Good For Me? Associations With Giving Capitalization Support And The Moderating Role Of Closeness, Samuel Molli

Psychology Theses and Dissertations

When good things happen, people often seek to share their joy with others. This act of sharing one’s positive experience with another is termed capitalization. Receiving capitalization support has been linked to multiple positive outcomes, especially when one receives an engaged and positive response. However, the outcomes related to giving engaged and positive responses to another’s capitalization are less clear. The current study sought to understand how responding positively to a romantic partner’s capitalization event is associated with the support provider’s momentary mood and interpersonal closeness. Additionally, the current study examined how the support provider’s trait-level closeness with their …


Assessing Knowledge, Confidence, And Attitude Toward Virtual Care And Telehealth Among Graduate Nursing Students, Natasha Asante Dec 2024

Assessing Knowledge, Confidence, And Attitude Toward Virtual Care And Telehealth Among Graduate Nursing Students, Natasha Asante

Doctor of Nursing Practice Scholarly Projects

In response to the COVID-19 pandemic, telehealth and virtual healthcare modalities have become primary care delivery methods. The American Academy of Ambulatory Care Nursing (AACN) and the American Association of Nurse Practitioners (AANP) support using virtual care and telehealth technology in health care services. Although most healthcare institutions utilize telehealth to provide care, emerging research highlights the lack of telehealth training in Advanced Practice Nurse (APRN) education. However, no standard curriculum requirements mandate graduate nursing programs to train APRN students in telehealth or virtual health modalities. Due to the lack of training for APRNs, it can be very challenging for …


Understanding Widowhood Cultural Practices, Values, And Beliefs, Of Nigerian American Women: An Ethnonursing Study, Prisca Anuforo Dec 2024

Understanding Widowhood Cultural Practices, Values, And Beliefs, Of Nigerian American Women: An Ethnonursing Study, Prisca Anuforo

Electronic Theses and Dissertations

Introduction: Many widowhood cultural practices are detrimental to the health and well-being of widows in Nigeria. Little is known about the experiences of widowhood for Nigerian American women, their cultural practices, and how it affects their health.

Purpose: Understand widowhood cultural practices among Nigerian Americans and how these experiences may affect health and wellbeing.

Methods: The qualitative ethnonursing method was used to collect data from 25 Nigerian American widows. Data were analyzed using NVivo qualitative data manager software guided by Leininger’s four phases of qualitative analysis.

Results: Widowhood cultural practices are modified and undertaken to preserve health and honor the …


Chelidonic Acid Abrogates Oxidative Stress And Memory Dysfunction In Experimental Aging Rats, Feri̇de Ni̇hal Si̇nan, Emel Serdaroğlu Kaşikçi, Burcu Çevreli̇ Dec 2024

Chelidonic Acid Abrogates Oxidative Stress And Memory Dysfunction In Experimental Aging Rats, Feri̇de Ni̇hal Si̇nan, Emel Serdaroğlu Kaşikçi, Burcu Çevreli̇

Turkish Journal of Biology

Background/aim: In an aging model established in male Wistar albino rats via the administration of D-galactose (D-gal), the aim of this study was to examine the effects of chelidonic acid on cognitive functioning and the levels of glutathione (GSH), malondialdehyde (MDA), Total antioxidant status (TAS), and brain-derived neurotrophic factor (BDNF).Materials and methods: Thirty-two Wistar albino (three month old) male rats (n = 8) were used. Group 1: Control (C), Group 2: Chelidonic acid (CA) (2 mg/kg oral gavage), Group 3: D-galactose (D-gal) (150 mg/kg, s.c.), Group 4: D-gal (150 mg/kg) + CA (2 mg/kg) (DC). Following an overnight fast, the …


Self-Agency As A Strategy In Emergency Remote Learning Among Filipino Grade 10 Students, John Cris C. Tababa, Paul Andrei C. Apo, Golden Grace R. Gammaru, Audrey S. Manaay, Kathrin Anne N. Nadua, James Fhonzy Angelo S. Fontillo Dec 2024

Self-Agency As A Strategy In Emergency Remote Learning Among Filipino Grade 10 Students, John Cris C. Tababa, Paul Andrei C. Apo, Golden Grace R. Gammaru, Audrey S. Manaay, Kathrin Anne N. Nadua, James Fhonzy Angelo S. Fontillo

Sinaya: A Philippine Journal for Senior High School Teachers and Students

The Coronavirus disease 2019 pandemic significantly influences students' educational attainment as they actively find and rationalize knowledge obtained from emergency remote learning. As a response, the agency or the ability to regulate one’s learning provides the students with the ability to believe in themselves. Still, it also necessitates the deliberate consideration to create a plan of action and modify it as required to achieve one's objectives. This study obtained knowledge from emergency remote learning (ERL) experiences of Filipino Grade 10 Students in their Social Studies class. The researchers employed a phenomenological approach to understand the self-agency practices of Grade 10 …


From Margins To Mainstream: Embracing Neurodiverse Needs For An Inclusive Workplace, Ricardo Twumasi, Lewis Burton Dec 2024

From Margins To Mainstream: Embracing Neurodiverse Needs For An Inclusive Workplace, Ricardo Twumasi, Lewis Burton

Ought: The Journal of Autistic Culture

This article critically examines the dominance of neurotypical norms in contemporary workplaces and explores the potential for inclusive, neurodiverse workplaces to move from the margins to the mainstream. We offer a brief scoping review of the existing review literature on neurodivergence at work. Focusing on the more common neurominority differences such as autism spectrum, dyslexia and ADHD we apply the neurodiversity framework to challenge traditional notions of workplace "professionalism" and productivity. By synthesizing current research we propose constructive suggestions for creating truly neurodiverse work environments. Our analysis shows that the research community is calling out for long-term, scientific intervention trials …


Southern Adventist University Commencement Program Winter 2024, Southern Adventist University Dec 2024

Southern Adventist University Commencement Program Winter 2024, Southern Adventist University

Commencement Programs

Program for Southern Adventist University Winter 2024 graduation. The commencement service took place on December 19, 2024 at 7 pm in Iles Physical Education Center.


Counselors’ Lived Experiences Supporting Emerging Adults With Psychiatric Disorders Secure Competitive Employment, Cheryl Lakisha Andrews Dec 2024

Counselors’ Lived Experiences Supporting Emerging Adults With Psychiatric Disorders Secure Competitive Employment, Cheryl Lakisha Andrews

Walden Dissertations and Doctoral Studies

Transitioning from childhood to adulthood is a challenging life experience, further intensified for individuals with psychiatric disorders. While strong social support serves as a key resilience factor, emerging adults with psychiatric disorders face unique challenges in addition to those encountered by their peers. This population is at heightened risk for adverse outcomes, including difficulty securing employment, a critical milestone for adult independence. Counselors play a pivotal role in supporting these individuals but often report feelings of inadequacy and reluctance to engage with this complex developmental stage. This qualitative hermeneutic phenomenology study explores the lived experiences of counselors who assist emerging …


Counselors’ Lived Experiences Supporting Emerging Adults With Psychiatric Disorders Secure Competitive Employment, Cheryl Lakisha Andrews Dec 2024

Counselors’ Lived Experiences Supporting Emerging Adults With Psychiatric Disorders Secure Competitive Employment, Cheryl Lakisha Andrews

Walden Dissertations and Doctoral Studies

Transitioning from childhood to adulthood is a challenging life experience, further intensified for individuals with psychiatric disorders. While strong social support serves as a key resilience factor, emerging adults with psychiatric disorders face unique challenges in addition to those encountered by their peers. This population is at heightened risk for adverse outcomes, including difficulty securing employment, a critical milestone for adult independence. Counselors play a pivotal role in supporting these individuals but often report feelings of inadequacy and reluctance to engage with this complex developmental stage. This qualitative hermeneutic phenomenology study explores the lived experiences of counselors who assist emerging …


The Gestalt Effect Of Memory Poetry: A Response To The Cognitive Seriousness Of Literature, John R. Hart Dec 2024

The Gestalt Effect Of Memory Poetry: A Response To The Cognitive Seriousness Of Literature, John R. Hart

Electronic Theses and Dissertations Archive

This project challenges the Anti-Cognitivist position that literature may have plenty to say about the world within a text, yet literature cannot contribute to knowledge outside the text. Drawing on the work of Cognitivists and others, I argue that at least one subgenre of literature—memory poetry—can deepen, enrich, and broaden areas or understanding. Indeed, there are cases where understanding may be so lacking as to only allow for us recognize how much we do not know about an experience, such as the experience of a post-traumatic flashback, at a more visceral level than the DSM-V can achieve in a clinical …


A Critique On The Practice Of Filial Piety In Confucian Culture, Donghyun Kim Dec 2024

A Critique On The Practice Of Filial Piety In Confucian Culture, Donghyun Kim

Kritika Kultura

The concept of filial piety has initially served as a social ethic in order to sustain the hierarchical family relationships in Confucian culture. Filial piety has also been implemented as an ideological weapon in an attempt to inculcate broader political virtue into the minds of people in Confucian culture. In essence, the everyday practice of filial piety denotes a mode of concrete ethical life, which fundamentally binds participants’ way of thinking to a particular tradition. However, such binding is not the result of a discursive procedure that provides a rational grounding to social and political authority. Given the difficulties with …


Tailored Activity Program For Ltc Residents With Dementia, Madison Olds, Rebecca King Dec 2024

Tailored Activity Program For Ltc Residents With Dementia, Madison Olds, Rebecca King

Fall 2024 OTD Capstone Symposium

Nursing home residents with dementia diagnoses should have the opportunity to participate fully in community activities and receive the proper assistance and accommodations to do so. This project developed a tailored activity program to promote socialization, occupational justice, and quality of life for residents in an assistive living facility with various diagnoses. This program provides both environmental and activity adaptations to support full engagement for all participants regardless of any preexisting deficits.


Suicide Risk Assessment And Student Competency In Cacrep-Accredited Master's Counseling Programs, Meghan Kyle O'Meara Dec 2024

Suicide Risk Assessment And Student Competency In Cacrep-Accredited Master's Counseling Programs, Meghan Kyle O'Meara

Walden Dissertations and Doctoral Studies

Suicide remains a public health issue, demanding proficient training of future counselors in suicide risk assessment (SRA). However, concerns persist regarding the competency of counselors-in-training (CITs) in this crucial area. This study explored the predictive relationship between theory of planned behavior (TPB) constructs and students’ perceived competency in SRA. Grounded in the TPB, the research addressed how attitudes (ATT), subjective norms (SN), and perceived behavioral control (PBC) influence intentions and subsequent behavior, using a nonexperimental survey design to collect data from students in Council for Accreditation of Counseling & Related Educational Programs (CACREP)–accredited master's counseling programs via a comprehensive questionnaire. …


Aging, Fast And Slow: Gene Expression Signatures Of Physiological Age Vs. Future Lifespan In Caenorhabditis Elegans, Matthew Mosley Dec 2024

Aging, Fast And Slow: Gene Expression Signatures Of Physiological Age Vs. Future Lifespan In Caenorhabditis Elegans, Matthew Mosley

Arts & Sciences Graduate Student Theses and Dissertations

An outstanding question in the field of aging biology is the origin of variability in lifespans among members of the same species. Traditional wisdom dictates that differences in one individual’s genes or environment, “nature” and “nurture,” could predispose that individual to a long or short life. However, these explanations are radically incomplete. Even in a model system as homogenous as C. elegans, using an isogenic population in a lab-controlled environment, we observe a distribution in lifespans comparable to that seen in outbred human populations. The first part of this dissertation focuses on characterizing this non-genetic, non-environmental variability in the aging …


Suicide Risk Assessment And Student Competency In Cacrep-Accredited Master's Counseling Programs, Meghan Kyle O'Meara Dec 2024

Suicide Risk Assessment And Student Competency In Cacrep-Accredited Master's Counseling Programs, Meghan Kyle O'Meara

Walden Dissertations and Doctoral Studies

Suicide remains a public health issue, demanding proficient training of future counselors in suicide risk assessment (SRA). However, concerns persist regarding the competency of counselors-in-training (CITs) in this crucial area. This study explored the predictive relationship between theory of planned behavior (TPB) constructs and students’ perceived competency in SRA. Grounded in the TPB, the research addressed how attitudes (ATT), subjective norms (SN), and perceived behavioral control (PBC) influence intentions and subsequent behavior, using a nonexperimental survey design to collect data from students in Council for Accreditation of Counseling & Related Educational Programs (CACREP)–accredited master's counseling programs via a comprehensive questionnaire. …


Number Of Prescription Medications And Overall Survival In Metastatic Castrate-Resistant Prostate Cancer, Carley R Pickett, Daniel B Eaton, Krishny Karunanandaa, Emily Cybulla, Brendan T Heiden, Su-Hsin Chang, Yan Yan, Melanie P Subramanian, Varun Puri, Martin W Schoen Dec 2024

Number Of Prescription Medications And Overall Survival In Metastatic Castrate-Resistant Prostate Cancer, Carley R Pickett, Daniel B Eaton, Krishny Karunanandaa, Emily Cybulla, Brendan T Heiden, Su-Hsin Chang, Yan Yan, Melanie P Subramanian, Varun Puri, Martin W Schoen

2020-Current year OA Pubs

No abstract provided.


Association Between Body Mass Index, Abdominal Obesity And Menopause-Related Symptoms In Postmenopausal Women, Brianna A. Rice, Patricia Heavey Dec 2024

Association Between Body Mass Index, Abdominal Obesity And Menopause-Related Symptoms In Postmenopausal Women, Brianna A. Rice, Patricia Heavey

SURE Journal: Science Undergraduate Research Experience Journal

Abstract: Existing research demonstrates a lack of data on the relationship between body mass index (BMI) and menopause-related symptoms in postmenopausal women, particularly in Ireland. This study aimed to determine whether there is an association between BMI, general abdominal obesity and menopause-related symptoms in postmenopausal women. This should help bridge the data gap regarding postmenopausal women living in Ireland and their symptoms. Introduction: Menopause is defined as the permanent cessation of a woman's menstrual cycle. This is caused by a reduction of the secretion of oestrogen and progesterone, leading to reduced ovarian function. These changes have been attributed …


After-Hours, Severity, And Distance Are Associated With Non-Vha Emergency Department Use For Older Veterans: Insights From A Regional Health Information Exchange, Elina Kurkurina, Kimberly M. Judon, Ula Hwang, Kenneth S. Boockvar, Juan Wisnivesky, Matthew R. Augustine Dec 2024

After-Hours, Severity, And Distance Are Associated With Non-Vha Emergency Department Use For Older Veterans: Insights From A Regional Health Information Exchange, Elina Kurkurina, Kimberly M. Judon, Ula Hwang, Kenneth S. Boockvar, Juan Wisnivesky, Matthew R. Augustine

Journal of Geriatric Emergency Medicine

Background: Older adults treated in emergency departments (EDs) are at higher risk for adverse outcomes. Using multiple facilities can worsen this issue through service duplication and poor care transitions. Veterans with dual insurance coverage can access both Veterans Health Administration (VHA) and non-VHA EDs. This study aimed to identify factors associated with non-VHA ED use among veterans.

Methods: We conducted a retrospective observational study of patients aged ≥ 65 who had primary care at the James J Peters VA Medical Center and at least one VHA or non-VHA ED visit between October 2017 and February 2020. Data were collected from …