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2024

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Aging Well In The Heart Of America: Optimizing Housing Options For Older Adults In Kansas City, Missouri Through Policy Reform, Lana Mckinney Nov 2024

Aging Well In The Heart Of America: Optimizing Housing Options For Older Adults In Kansas City, Missouri Through Policy Reform, Lana Mckinney

Gerontology Theses, Dissertations, and Student Creative Activity

This dissertation investigates the growing housing availability and affordability challenges facing older adults in Kansas City, Missouri. Using the capability approach and the rational comprehensive model as theoretical frameworks, the study analyzes the current state of housing and proposes improvements to address availability and affordability concerns for older adults. A qualitative research design was employed, involving semi-structured interviews with 15 participants, including public officials, experts, and community members. Thematic analysis was used to analyze the interview transcripts, identifying recurring patterns and themes related to the participants' perspectives on housing concepts, policies, and recommendations for improvement. The analysis revealed four key …


The Role Of Sociability In Mental Health In Mid To Late Life During Covid-19, Katherine L. Fiori, Amy Rauer, Christina M. Marini, Amna Khan, Christine So Nov 2024

The Role Of Sociability In Mental Health In Mid To Late Life During Covid-19, Katherine L. Fiori, Amy Rauer, Christina M. Marini, Amna Khan, Christine So

Journal of Social, Behavioral, and Health Sciences

Some adults in mid and late life may have been particularly sensitive to the negative effects of social disruptions due to COVID-19 restrictions. The current study explored whether sociability moderated links between disrupted contact with friends and family and multiple indicators of mental health. We collected quantitative data via an online survey from a community sample of 136 adults in mid to late life (M age = 67.77, range 50–91; 69.3% females; 92.7% White). We conducted a series of hierarchical linear regressions to test for moderation. Controlling for age, gender, and marital status, sociability moderated the associations between disruptions …


Staff Education Project To Train Providers On The Use Of The Sbar Communication Tool To Improve Reimbursement Rates, Teona Natoya Eririogu Nov 2024

Staff Education Project To Train Providers On The Use Of The Sbar Communication Tool To Improve Reimbursement Rates, Teona Natoya Eririogu

Walden Dissertations and Doctoral Studies

In this doctoral project, I focused on educating healthcare staff on using the situation-background-assessment-recommendation (SBAR) communication tool to improve documentation practices and reimbursement rates from Medicare, Medicaid, and private insurance companies. My goal for the project was to determine if training on the SBAR tool would improve healthcare providers' knowledge of how to use it for documentation. The facility had experienced significant financial losses, exceeding $1 million in the last two quarters of 2023, due to inadequate documentation. Inaccurate or incomplete documentation, particularly in medical records, hinders the ability to bill appropriately for services rendered, impacting patient care and financial …


Integrating Geriatric House Call Practice Into Paramedic Education: A Novel Educational Approach On Attitudes And Acceptance, Phillip D. Magidson, Mariah L. Robertson, Robby May, Mattan Schuchman, Eric Garfinkel, Matthew J. Levy Nov 2024

Integrating Geriatric House Call Practice Into Paramedic Education: A Novel Educational Approach On Attitudes And Acceptance, Phillip D. Magidson, Mariah L. Robertson, Robby May, Mattan Schuchman, Eric Garfinkel, Matthew J. Levy

Journal of Geriatric Emergency Medicine

Objective: This study aimed to assess the feasibility and acceptance of integrating geriatric house call practice clinical exposure into paramedic education and to explore the impact on attitudes towards older adults among paramedic students.

Methods: Paramedic students from a fire department training program participated in a geriatric house call practice in collaboration with an academic health system. Pre- and post-program surveys were conducted to evaluate changes in attitudes towards older adults using the Ageing Semantic Differential (ASD) scale. Patient feedback on paramedic involvement was collected through post-visit surveys.

Results: Six paramedic students completed 25 house call visits over eight weeks. …


Staff Education Project To Train Providers On The Use Of The Sbar Communication Tool To Improve Reimbursement Rates, Teona Natoya Eririogu Nov 2024

Staff Education Project To Train Providers On The Use Of The Sbar Communication Tool To Improve Reimbursement Rates, Teona Natoya Eririogu

Walden Dissertations and Doctoral Studies

In this doctoral project, I focused on educating healthcare staff on using the situation-background-assessment-recommendation (SBAR) communication tool to improve documentation practices and reimbursement rates from Medicare, Medicaid, and private insurance companies. My goal for the project was to determine if training on the SBAR tool would improve healthcare providers' knowledge of how to use it for documentation. The facility had experienced significant financial losses, exceeding $1 million in the last two quarters of 2023, due to inadequate documentation. Inaccurate or incomplete documentation, particularly in medical records, hinders the ability to bill appropriately for services rendered, impacting patient care and financial …


Staff Education Project To Train Providers On The Use Of The Sbar Communication Tool To Improve Reimbursement Rates, Teona Natoya Eririogu Nov 2024

Staff Education Project To Train Providers On The Use Of The Sbar Communication Tool To Improve Reimbursement Rates, Teona Natoya Eririogu

Walden Dissertations and Doctoral Studies

In this doctoral project, I focused on educating healthcare staff on using the situation-background-assessment-recommendation (SBAR) communication tool to improve documentation practices and reimbursement rates from Medicare, Medicaid, and private insurance companies. My goal for the project was to determine if training on the SBAR tool would improve healthcare providers' knowledge of how to use it for documentation. The facility had experienced significant financial losses, exceeding $1 million in the last two quarters of 2023, due to inadequate documentation. Inaccurate or incomplete documentation, particularly in medical records, hinders the ability to bill appropriately for services rendered, impacting patient care and financial …


Age-Related Decline In Blood-Brain Barrier Function Is More Pronounced In Males Than Females In Parietal And Temporal Regions, Xingfeng Shao, Qinyang Shou, Kimberly Felix, Brandon Ojogho, Xuejuan Jiang, Brian T Gold, Megan M Herting, Eric L Goldwaser, Peter Kochunov, Elliot Hong, Ioannis Pappas, Meredith Braskie, Hosung Kim, Steven Cen, Kay Jann, Danny J J Wang Nov 2024

Age-Related Decline In Blood-Brain Barrier Function Is More Pronounced In Males Than Females In Parietal And Temporal Regions, Xingfeng Shao, Qinyang Shou, Kimberly Felix, Brandon Ojogho, Xuejuan Jiang, Brian T Gold, Megan M Herting, Eric L Goldwaser, Peter Kochunov, Elliot Hong, Ioannis Pappas, Meredith Braskie, Hosung Kim, Steven Cen, Kay Jann, Danny J J Wang

Faculty, Staff and Student Publications

The blood-brain barrier (BBB) plays a pivotal role in protecting the central nervous system (CNS), and shielding it from potential harmful entities. A natural decline of BBB function with aging has been reported in both animal and human studies, which may contribute to cognitive decline and neurodegenerative disorders. Limited data also suggest that being female may be associated with protective effects on BBB function. Here, we investigated age and sex-dependent trajectories of perfusion and BBB water exchange rate (kw) across the lifespan in 186 cognitively normal participants spanning the ages of 8-92 years old, using a non-invasive diffusion-prepared pseudo-continuous arterial …


Predictors Of Wellbeing For Women With Disabilities In The United Arab Emirates, Tatiana Karabchuk, Osman Antwi-Boateng Nov 2024

Predictors Of Wellbeing For Women With Disabilities In The United Arab Emirates, Tatiana Karabchuk, Osman Antwi-Boateng

Journal of International Women's Studies

Women with disabilities in the United Arab Emirates (UAE) face unique challenges due to traditional gender roles and societal expectations. Despite these challenges, recent social policies in the UAE aimed at supporting people with disabilities have significantly improved their life satisfaction. This study explores the determinants of happiness for women with disabilities compared disabled men using data from the 2017 National Survey for Happiness and Positivity. Contrary to expectations, women with disabilities in the UAE have highest happiness scores compared to women without disabilities and men with/without disabilities. Furthermore, both women with and without disabilities consistently over score men with/without …


Disability, Urban Influence, And Covid-19 Financial Hardships: Findings From A Predominantly Rural Sample, Mackenzie Brewer, Jodien Johnson, Kyra Davidson, Carson Mencken Nov 2024

Disability, Urban Influence, And Covid-19 Financial Hardships: Findings From A Predominantly Rural Sample, Mackenzie Brewer, Jodien Johnson, Kyra Davidson, Carson Mencken

Journal of Rural Social Sciences

This study examined the financial impacts of the early COVID-19 pandemic among households with children and compared outcomes based on disability status and urban influence. Survey data were collected in fall 2020 by the Urban Institute from mostly rural households participating in the Meals-to-You program, which delivered food to eligible households with children in the U.S. due to school closures. Relative risk contingency analysis and multivariate logistic regression were used to assess financial hardship from the pandemic. Sampled households reporting at least one member with a disability had greater odds of food insecurity, delaying purchases, depleting savings, and difficulty paying …


Ascende Altius: Issue 3, Cynthia Haynes Nov 2024

Ascende Altius: Issue 3, Cynthia Haynes

Ascende Altius

Welcome to the UofM Graduate School newsletter Ascende Altius! The name of the UofM’s new strategic plan is Ascend. The word “ascend” means to climb, to move upward. It is fitting, then, that the Graduate School’s newsletter be named Ascende Altius! —a Latin phrase meaning “Climb higher!” With over 20 doctoral programs, 40 master’s programs, and a variety of graduate certificates, the University of Memphis graduate school can help you continue your educational journey and reach new heights. We encourage you to explore our flexible and affordable programs.

In this newsletter, you will read about our amazing alumni and students …


Disparities In Cognitive Decline Along The Texas-Mexico Border: Insights From The 2021 Brfss, Bianca D. Valenzuela Nov 2024

Disparities In Cognitive Decline Along The Texas-Mexico Border: Insights From The 2021 Brfss, Bianca D. Valenzuela

Health and Kinesiology Theses

The aging global population has brought increased attention to cognitive health and early detection of cognitive decline. Subjective Cognitive Decline (SCD), defined as self-reported memory or thinking problems, is an early marker of neurodegenerative diseases. Despite growing research, gaps remain in understanding how geographic disparities influence SCD prevalence and contributing factors. The Texas-Mexico border region, predominantly Hispanic and facing unique socioeconomic and health care challenges, offers a unique context to explore these influences. The purpose of this study was to examine the prevalence of SCD and related functional limitations in Texas-Mexico border counties versus non-border counties, using 2021 Behavioral Risk …


Active Ageing : Pension System And Older Workers Policies In Hong Kong And Japan, Hin Yau Tsang Nov 2024

Active Ageing : Pension System And Older Workers Policies In Hong Kong And Japan, Hin Yau Tsang

SOC 605 Comparative Social Policy Research Project - Student Works

Since the growing trend of aging is now a threat around the globe, there is more and more attention being devoted to the right of the elderly to participate and engage in the workplace. In order to provide policy recommendations for government departments to expedite the work environment for older people and support their integration into or return to the workplace, this paper investigates the difference of the pension system and older workers policies present in Hong Kong and Japan by secondary research methods. Currently, there are multiple investigations on the older workers’ working reasons and challenges, however, there are …


Unl Emeriti And Retirees Association Newsletter, November 2024 Nov 2024

Unl Emeriti And Retirees Association Newsletter, November 2024

UNL Emeriti and Retirees Association: Newsletters and Other Materials

University of Nebraska-Lincoln Emeriti and Retirees Association Newsletter, November 2024


Aging In Hanover: A Community Needs Assessment, Caitlin E. Coyle, Beth Rouleau, Ceara Somerville Nov 2024

Aging In Hanover: A Community Needs Assessment, Caitlin E. Coyle, Beth Rouleau, Ceara Somerville

Center for Social and Demographic Research on Aging Publications

This report describes research undertaken by the Center for Social & Demographic Research on Aging (CSDRA), within the Gerontology Institute at the University of Massachusetts Boston, on behalf of the Town of Hanover. The report supports the Council on Aging’s objective to identify and serve the needs of residents age 55 and older. The contents of this report are meant to inform the Town of Hanover, the Hanover Council on Aging (COA), the Senior Center, and organizations that work with and on behalf of older residents of Hanover for the purposes of COA mission fulfillment alongside planning and coordination of …


Dementia Risk Reduction In The African Context: Multi-National Implementation Of Multimodal Strategies To Promote Healthy Brain Aging In Africa (The Africa-Fingers Project), Chinedu Momoh, Rachel Maina, Lukoye Atwoli, Karen Blackmon, Edna Bosire, Gloria Chemutai, Linda Khakali, Sylvia Mbugua, Zul Merali, Olivera Nesic Taylor,, Anthony Ngugi, Cyprian Mostert, Eunice Muthoni, Roselyter Riang’A, Mansoor Saleh, Shahin Sayed, Jasmit Shah Nov 2024

Dementia Risk Reduction In The African Context: Multi-National Implementation Of Multimodal Strategies To Promote Healthy Brain Aging In Africa (The Africa-Fingers Project), Chinedu Momoh, Rachel Maina, Lukoye Atwoli, Karen Blackmon, Edna Bosire, Gloria Chemutai, Linda Khakali, Sylvia Mbugua, Zul Merali, Olivera Nesic Taylor,, Anthony Ngugi, Cyprian Mostert, Eunice Muthoni, Roselyter Riang’A, Mansoor Saleh, Shahin Sayed, Jasmit Shah

Brain and Mind Institute

Dementia prevention in Africa is critically underexplored, despite the continent's high prevalence of modifiable risk factors. With a predominantly young and middle-aged population, Africa presents a prime opportunity to implement evidence-based strategies that could significantly reduce future dementia cases and mitigate its economic impact. The multinational Africa-FINGERS program offers an innovative solution, pioneering culturally sensitive, multidomain interventions tailored to the unique challenges of the region. Leveraging insights from landmark global studies such as Worldwide-FINGERS and Alzheimer's Disease Neuroimaging Initiative, the program employs a multideterminant precision prevention framework, grounded in community based systems dynamics. Africa-FINGERS further integrates cutting-edge state-of-the-art multimodal biomarker …


Genomic Analysis Of Intracranial And Subcortical Brain Volumes Yields Polygenic Scores Accounting For Variation Across Ancestries, Luis M García-Marín, Adrian I Campos, Santiago Diaz-Torres, Jill A Rabinowitz, Zuriel Ceja, Brittany L Mitchell, Katrina L Grasby, Jackson G Thorp, Ingrid Agartz, Saud Alhusaini, David Ames, Philippe Amouyel, Ole A Andreassen, Konstantinos Arfanakis, Alejandro Arias-Vasquez, Nicola J Armstrong, Lavinia Athanasiu, Mark E Bastin, Alexa S Beiser, David A Bennett, Joshua C Bis, Marco P M Boks, Dorret I Boomsma, Henry Brodaty, Rachel M Brouwer, Jan K Buitelaar, Ralph Burkhardt, Wiepke Cahn, Vince D Calhoun, Owen T Carmichael, Mallar Chakravarty, Qiang Chen, Christopher R K Ching, Sven Cichon, Benedicto Crespo-Facorro, Fabrice Crivello, Anders M Dale, George Davey Smith, Eco J C De Geus, Philip L De Jager, Greig I De Zubicaray, Stéphanie Debette, Charles Decarli, Chantal Depondt, Sylvane Desrivières, Srdjan Djurovic, Stefan Ehrlich, Susanne Erk, Thomas Espeseth, Guillén Fernández, Irina Filippi, Simon E Fisher, Debra A Fleischman, Evan Fletcher, Myriam Fornage, Andreas J Forstner, Clyde Francks, Barbara Franke, Tian Ge, Aaron L Goldman, Hans J Grabe, Robert C Green, Oliver Grimm, Nynke A Groenewold, Oliver Gruber, Vilmundur Gudnason, Asta K Håberg, Unn K Haukvik, Andreas Heinz, Derrek P Hibar, Saima Hilal, Jayandra J Himali, Beng-Choon Ho, David F Hoehn, Pieter J Hoekstra, Edith Hofer, Wolfgang Hoffmann, Avram J Holmes, Georg Homuth, Norbert Hosten, M Kamran Ikram, Jonathan C Ipser, Clifford R Jack, Neda Jahanshad, Erik G Jönsson, Rene S Kahn, Ryota Kanai, Marieke Klein, Maria J Knol, Lenore J Launer, Stephen M Lawrie, Stephanie Le Hellard, Phil H Lee, Hervé Lemaître, Shuo Li, David C M Liewald, Honghuang Lin, W T Longstreth, Oscar L Lopez, Michelle Luciano, Pauline Maillard, Andre F Marquand, Nicholas G Martin, Jean-Luc Martinot, Karen A Mather, Venkata S Mattay, Katie L Mcmahon, Patrizia Mecocci, Ingrid Melle, Andreas Meyer-Lindenberg, Nazanin Mirza-Schreiber, Yuri Milaneschi, Thomas H Mosley, Thomas W Mühleisen, Bertram Müller-Myhsok, Susana Muñoz Maniega, Matthias Nauck, Kwangsik Nho, Wiro J Niessen, Markus M Nöthen, Paul A Nyquist, Jaap Oosterlaan, Massimo Pandolfo, Tomas Paus, Zdenka Pausova, Brenda W J H Penninx, G Bruce Pike, Bruce M Psaty, Benno Pütz, Simone Reppermund, Marcella D Rietschel, Shannon L Risacher, Nina Romanczuk-Seiferth, Rafael Romero-Garcia, Gennady V Roshchupkin, Jerome I Rotter, Perminder S Sachdev, Philipp G Sämann, Arvin Saremi, Muralidharan Sargurupremraj, Andrew J Saykin, Lianne Schmaal, Helena Schmidt, Reinhold Schmidt, Peter R Schofield, Markus Scholz, Gunter Schumann, Emanuel Schwarz, Li Shen, Jean Shin, Sanjay M Sisodiya, Albert V Smith, Jordan W Smoller, Hilkka S Soininen, Vidar M Steen, Dan J Stein, Jason L Stein, Sophia I Thomopoulos, Arthur W Toga, Diana Tordesillas-Gutiérrez, Julian N Trollor, Maria C Valdes-Hernandez, Dennis Van T Ent, Hans Van Bokhoven, Dennis Van Der Meer, Nic J A Van Der Wee, Javier Vázquez-Bourgon, Dick J Veltman, Meike W Vernooij, Arno Villringer, Louis N Vinke, Henry Völzke, Henrik Walter, Joanna M Wardlaw, Daniel R Weinberger, Michael W Weiner, Wei Wen, Lars T Westlye, Eric Westman, Tonya White, A Veronica Witte, Christiane Wolf, Jingyun Yang, Marcel P Zwiers, M Arfan Ikram, Sudha Seshadri, Paul M Thompson, Claudia L Satizabal, Sarah E Medland, Miguel E Rentería Nov 2024

Genomic Analysis Of Intracranial And Subcortical Brain Volumes Yields Polygenic Scores Accounting For Variation Across Ancestries, Luis M García-Marín, Adrian I Campos, Santiago Diaz-Torres, Jill A Rabinowitz, Zuriel Ceja, Brittany L Mitchell, Katrina L Grasby, Jackson G Thorp, Ingrid Agartz, Saud Alhusaini, David Ames, Philippe Amouyel, Ole A Andreassen, Konstantinos Arfanakis, Alejandro Arias-Vasquez, Nicola J Armstrong, Lavinia Athanasiu, Mark E Bastin, Alexa S Beiser, David A Bennett, Joshua C Bis, Marco P M Boks, Dorret I Boomsma, Henry Brodaty, Rachel M Brouwer, Jan K Buitelaar, Ralph Burkhardt, Wiepke Cahn, Vince D Calhoun, Owen T Carmichael, Mallar Chakravarty, Qiang Chen, Christopher R K Ching, Sven Cichon, Benedicto Crespo-Facorro, Fabrice Crivello, Anders M Dale, George Davey Smith, Eco J C De Geus, Philip L De Jager, Greig I De Zubicaray, Stéphanie Debette, Charles Decarli, Chantal Depondt, Sylvane Desrivières, Srdjan Djurovic, Stefan Ehrlich, Susanne Erk, Thomas Espeseth, Guillén Fernández, Irina Filippi, Simon E Fisher, Debra A Fleischman, Evan Fletcher, Myriam Fornage, Andreas J Forstner, Clyde Francks, Barbara Franke, Tian Ge, Aaron L Goldman, Hans J Grabe, Robert C Green, Oliver Grimm, Nynke A Groenewold, Oliver Gruber, Vilmundur Gudnason, Asta K Håberg, Unn K Haukvik, Andreas Heinz, Derrek P Hibar, Saima Hilal, Jayandra J Himali, Beng-Choon Ho, David F Hoehn, Pieter J Hoekstra, Edith Hofer, Wolfgang Hoffmann, Avram J Holmes, Georg Homuth, Norbert Hosten, M Kamran Ikram, Jonathan C Ipser, Clifford R Jack, Neda Jahanshad, Erik G Jönsson, Rene S Kahn, Ryota Kanai, Marieke Klein, Maria J Knol, Lenore J Launer, Stephen M Lawrie, Stephanie Le Hellard, Phil H Lee, Hervé Lemaître, Shuo Li, David C M Liewald, Honghuang Lin, W T Longstreth, Oscar L Lopez, Michelle Luciano, Pauline Maillard, Andre F Marquand, Nicholas G Martin, Jean-Luc Martinot, Karen A Mather, Venkata S Mattay, Katie L Mcmahon, Patrizia Mecocci, Ingrid Melle, Andreas Meyer-Lindenberg, Nazanin Mirza-Schreiber, Yuri Milaneschi, Thomas H Mosley, Thomas W Mühleisen, Bertram Müller-Myhsok, Susana Muñoz Maniega, Matthias Nauck, Kwangsik Nho, Wiro J Niessen, Markus M Nöthen, Paul A Nyquist, Jaap Oosterlaan, Massimo Pandolfo, Tomas Paus, Zdenka Pausova, Brenda W J H Penninx, G Bruce Pike, Bruce M Psaty, Benno Pütz, Simone Reppermund, Marcella D Rietschel, Shannon L Risacher, Nina Romanczuk-Seiferth, Rafael Romero-Garcia, Gennady V Roshchupkin, Jerome I Rotter, Perminder S Sachdev, Philipp G Sämann, Arvin Saremi, Muralidharan Sargurupremraj, Andrew J Saykin, Lianne Schmaal, Helena Schmidt, Reinhold Schmidt, Peter R Schofield, Markus Scholz, Gunter Schumann, Emanuel Schwarz, Li Shen, Jean Shin, Sanjay M Sisodiya, Albert V Smith, Jordan W Smoller, Hilkka S Soininen, Vidar M Steen, Dan J Stein, Jason L Stein, Sophia I Thomopoulos, Arthur W Toga, Diana Tordesillas-Gutiérrez, Julian N Trollor, Maria C Valdes-Hernandez, Dennis Van T Ent, Hans Van Bokhoven, Dennis Van Der Meer, Nic J A Van Der Wee, Javier Vázquez-Bourgon, Dick J Veltman, Meike W Vernooij, Arno Villringer, Louis N Vinke, Henry Völzke, Henrik Walter, Joanna M Wardlaw, Daniel R Weinberger, Michael W Weiner, Wei Wen, Lars T Westlye, Eric Westman, Tonya White, A Veronica Witte, Christiane Wolf, Jingyun Yang, Marcel P Zwiers, M Arfan Ikram, Sudha Seshadri, Paul M Thompson, Claudia L Satizabal, Sarah E Medland, Miguel E Rentería

Faculty, Staff and Student Publications

Subcortical brain structures are involved in developmental, psychiatric and neurological disorders. Here we performed genome-wide association studies meta-analyses of intracranial and nine subcortical brain volumes (brainstem, caudate nucleus, putamen, hippocampus, globus pallidus, thalamus, nucleus accumbens, amygdala and the ventral diencephalon) in 74,898 participants of European ancestry. We identified 254 independent loci associated with these brain volumes, explaining up to 35% of phenotypic variance. We observed gene expression in specific neural cell types across differentiation time points, including genes involved in intracellular signaling and brain aging-related processes. Polygenic scores for brain volumes showed predictive ability when applied to individuals of diverse …


Sex Differences In Hypertension And Its Management Throughout Life, Wan-Jin Yeo, Rahul Abraham, Aditya L Surapaneni, Pascal Schlosser, Shoshana H Ballew, Bige Ozkan, Carina M Flaherty, Bing Yu, Joseph V Bonventre, Chirag R Parikh, Paul L Kimmel, Ramachandran S Vasan, Josef Coresh, Morgan E Grams Nov 2024

Sex Differences In Hypertension And Its Management Throughout Life, Wan-Jin Yeo, Rahul Abraham, Aditya L Surapaneni, Pascal Schlosser, Shoshana H Ballew, Bige Ozkan, Carina M Flaherty, Bing Yu, Joseph V Bonventre, Chirag R Parikh, Paul L Kimmel, Ramachandran S Vasan, Josef Coresh, Morgan E Grams

Faculty, Staff and Student Publications

Background: The prevalence of hypertension and uncontrolled hypertension may differ by age and sex.

Methods: We included participants in the Atherosclerosis Risk in Communities study at seven study visits over 33 years (visit 1: 15 636 participants; mean age, 54 years; 55% women), estimating sex differences in prevalence of hypertension (systolic blood pressure ≥130 mm Hg; diastolic blood pressure ≥80 mm Hg; or self-reported antihypertension medication use) and uncontrolled hypertension (systolic blood pressure ≥140 mm Hg or diastolic blood pressure ≥90 mm Hg) using unadjusted and comorbidity-adjusted models.

Results: The prevalence of hypertension increased with age from 40% (ages, 43-46 …


低收入年長照顧者面對的挑戰研究報告, Chak Kwan, Dickon Chan, Ka Chung, Tom Kwong, Meng Soi, Florence Fong, Sheung Wan, Wanda Wong, Chi Ho Liu, Shuk Yan Yuen, Wai Tung Ng Nov 2024

低收入年長照顧者面對的挑戰研究報告, Chak Kwan, Dickon Chan, Ka Chung, Tom Kwong, Meng Soi, Florence Fong, Sheung Wan, Wanda Wong, Chi Ho Liu, Shuk Yan Yuen, Wai Tung Ng

APIAS Research Report 研究報告

研究目的
隨著人口老化、壽命延長,以及長期病患數目的增加,更多人需要非正規照顧。香港缺乏針對年長及低收入照顧者的文獻,本研究旨在瞭解他們照顧家人的經歷、面對之困難,以及現有支援服務對他們有否幫助。

研究方法
本研究於2024年3月至6月期間,採用深度訪談 (in-depth interview) 方式,訪問了30位60歲以上,正接受政府財政援助計劃的低收入照顧者。收集的訪問數據,以主題分析方法 (thematic analysis) 處理。

研究結果

  • 九成被訪者的平均每月收入為$5,000或以下。低收入年長照顧者年齡中位數為72歲,平均患有2種長期疾病。每周照顧時數中位數為42小時,照顧年期中位數為8.5年。
  • 被照顧者年齡中位數為78歲,全部都有長期病或癌症,平均患有2種疾病。
  • 被訪者提供多方面的照顧工作,包括膳食 (97%)、陪診 (37%)、家居清潔 (33%) 和協助如廁 (27%)。
  • 被訪照顧者面對多方面的壓力。經濟方面,由於被照顧的家人體弱,需要乘坐的士覆診,亦要自費購買特定藥物和保健品,財政壓力大。
  • 被照顧者自理能力低,情緒不穩定,照顧者經常要處理厭惡性清潔工作,身心俱疲,出現焦慮和失眠。
  • 八成被訪者要獨力照顧家人,支援網絡薄弱。
  • 照顧者使用服務遇上數方面困難,包括不懂得使用電子預約平台、社區缺乏緊急和突發需要的暫托服務、服務質素差和收費過高。

政策建議

  • 放寬照顧者津貼門檻,低收入家庭即使正在領取其它社會保障津貼及受照顧人沒有輪候院舍服務,亦可領取。
  • 推行更具彈性和設置24小時緊急支援服務,應付照顧者即時及突發需要。
  • 簡化暫托服務程序和提供接送支援,並且發展「長者社區保姆」服務。
  • 加強外展接觸有需要照顧者,盡快設立照顧者資料庫,以識別高危照顧者。
  • 立法制定照顧者政策 (Carers’ Policy),推行「照顧者統一評估」,並根據評估結果提供合適服務。


Impact Of Diabetes Self-Management Education On Hemoglobin A1c Levels In The Rural Patient Population, Barbara Adomakomensah Sarpong Nov 2024

Impact Of Diabetes Self-Management Education On Hemoglobin A1c Levels In The Rural Patient Population, Barbara Adomakomensah Sarpong

Electronic Theses and Dissertations

The global prevalence of type 2 diabetes is one of the greatest health threats in society, especially in the rural population. Rural healthcare data analysis has proved a need for type 2 diabetes control education. Despite the existence of helpful diabetes control interventions, rural diabetes patients still struggle to maintain healthy behaviors, with about 60% of the patients recording hemoglobin A1c levels above 9. Many suffer severe conditions (e.g., stroke, kidney failure, and heart attacks) because of poor management of the condition. The project examined the impact of diabetes self-management education on hemoglobin A1c levels in the rural patient population. …


Association Analysis Of Mitochondrial Dna Heteroplasmic Variants: Methods And Application, Xianbang Sun, Katia Bulekova, Jian Yang, Meng Lai, Achilleas N Pitsillides, Xue Liu, Yuankai Zhang, Xiuqing Guo, Qian Yong, Laura M Raffield, Jerome I Rotter, Stephen S Rich, Goncalo Abecasis, April P Carson, Ramachandran S Vasan, Joshua C Bis, Bruce M Psaty, Eric Boerwinkle, Annette L Fitzpatrick, Claudia L Satizabal, Dan E Arking, Jun Ding, Daniel Levy, Chunyu Liu Nov 2024

Association Analysis Of Mitochondrial Dna Heteroplasmic Variants: Methods And Application, Xianbang Sun, Katia Bulekova, Jian Yang, Meng Lai, Achilleas N Pitsillides, Xue Liu, Yuankai Zhang, Xiuqing Guo, Qian Yong, Laura M Raffield, Jerome I Rotter, Stephen S Rich, Goncalo Abecasis, April P Carson, Ramachandran S Vasan, Joshua C Bis, Bruce M Psaty, Eric Boerwinkle, Annette L Fitzpatrick, Claudia L Satizabal, Dan E Arking, Jun Ding, Daniel Levy, Chunyu Liu

Faculty, Staff and Student Publications

We rigorously assessed a comprehensive association testing framework for heteroplasmy, employing both simulated and real-world data. This framework employed a variant allele fraction (VAF) threshold and harnessed multiple gene-based tests for robust identification and association testing of heteroplasmy. Our simulation studies demonstrated that gene-based tests maintained an appropriate type I error rate at α = 0.001. Notably, when 5 % or more heteroplasmic variants within a target region were linked to an outcome, burden-extension tests (including the adaptive burden test, variable threshold burden test, and z-score weighting burden test) outperformed the sequence kernel association test (SKAT) and the original burden …


Senescence Biomarkers And Trajectories Of Frailty And Physical Function After Kidney Transplantation, Elizabeth C Lorenz, Byron H Smith, Hani M Wadei, Girish Mour, Cassie C Kennedy, Carrie A Schinstock, Walter K Kremers, Andrea L Cheville, Latonya J Hickson, Elizabeth J Atkinson, Thomas A White, Andrew D Rule, Nathan K Lebrasseur Nov 2024

Senescence Biomarkers And Trajectories Of Frailty And Physical Function After Kidney Transplantation, Elizabeth C Lorenz, Byron H Smith, Hani M Wadei, Girish Mour, Cassie C Kennedy, Carrie A Schinstock, Walter K Kremers, Andrea L Cheville, Latonya J Hickson, Elizabeth J Atkinson, Thomas A White, Andrew D Rule, Nathan K Lebrasseur

Faculty, Staff and Students Publications

Cellular senescence is a biological mechanism of aging and age-related diseases. The aim of this study was to examine whether senescence biomarkers are associated with frailty and physical function trajectories in patients undergoing kidney transplantation (KT). We also discussed the relationship between senescence biomarkers and KT function. In this multicenter study, we prospectively assessed plasma levels of senescence biomarkers, frailty as measured by the Physical Frailty Phenotype, and physical function as measured by the Short Physical Performance Battery prior to KT. Frailty, physical function, and KT function were also measured 1 year after KT. Variable associations were assessed using Cox …


Iglon5 Frequency In Idiopathic Rem Sleep Behavior Disorder: A Multicenter Study, Ronald Postuma, Jennifer Mcleland, Albert A. Davis, Yo-El S. Ju, Et Al. Nov 2024

Iglon5 Frequency In Idiopathic Rem Sleep Behavior Disorder: A Multicenter Study, Ronald Postuma, Jennifer Mcleland, Albert A. Davis, Yo-El S. Ju, Et Al.

2020-Current year OA Pubs

BACKGROUND AND OBJECTIVES: Idiopathic/isolated REM sleep behavior disorder (iRBD) has been strongly linked to neurodegenerative synucleinopathies such as Parkinson disease, dementia with Lewy bodies, and multiple system atrophy. However, there have been increasing reports of RBD as a presenting feature of serious and treatable autoimmune syndromes, particularly IGLON5. This study's objective was to investigate the frequency of autoantibodies in a large cohort of participants with iRBD.

METHODS: Participants were enrolled in the North American Prodromal Synucleinopathy cohort with polysomnography-confirmed iRBD, free of parkinsonism and dementia. Plasma samples were systematically screened for the autoantibodies IGLON5, DPPX, LGI1, and CASPR2 using plasma …


2024-2025 Academic Catalog, The University Of Alabama In Huntsville Oct 2024

2024-2025 Academic Catalog, The University Of Alabama In Huntsville

Course Catalogs

No abstract provided.


Examining Technology Of Senior Citizens In Rural Areas, Bob D. Lee Oct 2024

Examining Technology Of Senior Citizens In Rural Areas, Bob D. Lee

Visions in Leisure and Business

The needs of the rural senior population are quite different than other groups because of their geographic location. This is especially true because of the technology needs of the seniors. This article is an examination of some of the critical issues that influence how technology is currently used and what improvements should be made to improve their quality of life. An important aspect of the purpose is to examine these issues from a future perspective.


Direction, Yawei Wang Oct 2024

Direction, Yawei Wang

Visions in Leisure and Business

No abstract provided.


Technology And Its Influence In Program Development For Seniors, Sandy Gaietto Oct 2024

Technology And Its Influence In Program Development For Seniors, Sandy Gaietto

Visions in Leisure and Business

Programs are the primary contact level that influences the lifestyle of seniors. There is a great diversity of programs and it is important that the proper program be applied to have a maximum influence upon the individual. It is essential that there be a critical needs assessment in order to select the best programs. This also requires a continuous evaluation to assess the impacts of the selected programs. Technology is advancing so rapidly that the appropriate platform also has an influence. The pedagogical approach is very important in the senior adapting to these new technologies. One of the most influential …


Perspective Annotation, Yu Liu Oct 2024

Perspective Annotation, Yu Liu

Visions in Leisure and Business

A critical review of selected sources helped develop a better perspective about successful models and points the direction to the needed future of technology for older adults. The diversity of selected approaches was identified in the different literature sources. There is not a consistent position on technology, but there is agreement that it must be individualized and progressively applied through pedagogical friendly approaches. This will greatly aid any technology now and in the future.


Promoting E-Inclusion To Improve Quality Of Life For Older Adults: Challenges, Opportunities, And Solutions, Brian Kibet, Yawei Wang Oct 2024

Promoting E-Inclusion To Improve Quality Of Life For Older Adults: Challenges, Opportunities, And Solutions, Brian Kibet, Yawei Wang

Visions in Leisure and Business

This paper aims to uncover the interlinkage between older adults and technology, focusing on the use of technology to enrich the lives of this group of people while also acknowledging the dynamic nature of this demographic. Modern technology is developing at a breakneck pace, and this brings several advantages by improving the lives of older adults, such as efficiently managing their health through tele-rehabilitation, connecting with their family and friends through social networks and games, and online classes. However, such benefits come hand in hand with challenges like physical and mental health issues, technology phobia and illiteracy, and perceived redundancy …


Strategies And Best Practices To Improve Job Satisfaction And Determine Optimum Workload For Nurses In Texas Long-Term Care Facilities, Oluwayomi Toyin Olatunde Oct 2024

Strategies And Best Practices To Improve Job Satisfaction And Determine Optimum Workload For Nurses In Texas Long-Term Care Facilities, Oluwayomi Toyin Olatunde

Walden Dissertations and Doctoral Studies

Long-term care facilities have experienced a workforce crisis for years. This workforce primarily encompasses direct care workers that include registered nurses (RNs), licensed practical nurses (LPNs), and certified nursing assistants (CNAs). This integrative review searched empirical and non empirical literature within the past five years related to long-term care facilities nurses’ perceptions of the impact of workload on job satisfaction. The study employed the Job Demand-Control (JDC) framework to determine the demand and control measures influencing LTC nurse job satisfaction. The literature search revealed five main themes which included: reduced workload, improved workplace environment, organizational support, development opportunities, and CNA …


Midweek Memo, Georgia Southern University Oct 2024

Midweek Memo, Georgia Southern University

Midweek Memo

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