Digital Commons Network^™

The Hamate: An Unexpected Fracture, Jackson Bagby

Graduate Medical Education Research Journal

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Temporal Trends Of Obesity Among Nebraska Adults: Emr Data Shows A More Rapid Increase Than Projected, Elizabeth Gibson

Graduate Medical Education Research Journal

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An Atypical Cause Of Headache In An Athlete, Brittany Weaver

Graduate Medical Education Research Journal

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Cold Truths Exposed: An Uncommon Culprit Of Neonatal Hypothermia, Stephanie Radil

Graduate Medical Education Research Journal

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Age-Friendly Care And Mobility In Hospitalized Older Adults With Cognitive Impairment: A Feasibility Quality Improvement Initiative, Jasmine K. Vickers, Richard E. Kennedy, Shari Harrell, David H. James, Katrina Booth, Emily Simmons, Cynthia J. Brown, Kellie L. Flood

School of Medicine Faculty Publications

BACKGROUND: Hospitalized older adults with cognitive impairment (CI) have an increased risk for adverse outcomes. Acute Care for Elders (ACE) Units were developed to reduce functional decline in hospitalized older adults. INTERVENTION: We developed a quality improvement (QI) initiative to disseminate ACE care processes to non-ACE units, converting them into "Virtual ACE" units. The aim of this evaluation is to examine the impact of this intervention on the mobilization of patients with CI. POPULATION: Older adults with CI admitted to a study unit (ACE Unit or seven Virtual ACE units). METHODS: We conducted a pre/post-intervention evaluation of the proportion of …

Lifestyle Activities That Contribute To The Risk Of Stroke In Indonesia: Smoking, Consuming Fatty Foods And Soft Drinks, Janu Purwono, Irwan Budiono, Oktia Woro Kasmini Handayani

Media Kesehatan Masyarakat Indonesia

Stroke is the leading cause of death and disability in Indonesia, with a high prevalence reported in the Indonesian Health Survey (IHS) 2023. Smoking, consumption of fatty foods, and intake of soft drinks are major risk factors contributing to the increasing incidence of both ischemic and hemorrhagic stroke. This study aims to analyze the effects of smoking habits, fatty food consump-tion, and soft drink intake on stroke incidence in Indonesia using secondary data from IHS 2023. A quantitative design was applied, with chi-square test analysis performed using SPSS. The study population comprised all individuals recorded in the IHS 2023, which …

Determining Falls Risk In People With Parkinson's Disease Using Wearable Sensors: A Systematic Review, Maeve Bradley, Sarah O'Loughlin, Eoghan Donlon, Amy Gallagher, Clodagh O'Keeffe, John Inocentes, Federica Ruggieri, Richard B Reilly, Richard Walsh, Tim Lynch, Daniel G Di Luca, Conor Fearon

2020-Current year OA Pubs

A prior history of falls remains the strongest predictor of future falls in individuals with Parkinson's disease (PD). There are limited biomarkers available to identify falls risk before falls begin to occur. The aim of this review is to investigate if features associated with falls risk may be detected by wearable sensors in patients with PD. A systematic search of the MEDLINE, EMBASE, Cochrane, and Cinahl databases was performed. Key quality criteria include sample size adequacy, data collection procedures, and the clarity of statistical analyses. The data from each included study were extracted into defined data extraction spreadsheets. Results were …

Daily Movement Activities Are Associated With Within-Person Instability Of Cognitive Function In Older Adults: Evidence From An Ambulatory Assessment Study, Chih-Hsiang Yang, Donald Hedeker, Jongwon Lee, Halle Prine, Donna Coffman, Jingkai Wei, Jonathan George Hakun

Faculty Publications

Background and Objectives

Physical inactivity and excessive sedentary time (ST) are associated with poor cognitive health in older adults. However, current literature largely relies on cross-sectional designs or in-lab cognitive assessments, which do not adequately reflect cognitive function in naturalistic settings. Further, existing studies have largely overlooked the variability or the instability in daily cognitive function, which represents a critical marker of cognitive decline. This ambulatory assessment study examined the temporal associations of daily movement behaviors with the mean levels and the variability of cognition among older adults at risk of dementia. Research Design and Methods

96 older adults from …

The Role Of Faith-Based Health Interventions In Managing Mental Health Among Seventh-Day Adventist Youth, Oloo Stephen Nyanjwa Jr

Adventist Human-Subject Researchers Association

Participants reported moderate levels of anxiety, depression, and stress, with excessive worry and difficulty concentrating being prominent. Faith-based practices were frequently used and viewed as effective for mental well-being. While comfort in seeking church-based support was moderate, professional help-seeking was low. Most participants were recent members, reflecting shifting church demographics.

Physical Activity And Functional Mobility In Adults With Hearing Loss: A Series Of Embedded Studies Within A 6-Month Clinical Trial With Hearing Aids, Sarah L. Bochat

USF Tampa Graduate Theses and Dissertations

Adults with hearing loss engage in low levels of physical activity and demonstrate poor performance on measures of functional mobility. The impact of hearing rehabilitation on these outcomes is not fully understood. Previous investigations were largely quantitative and focused on older adults ≥ 65 years of age who may respond differently to hearing intervention than relatively younger adults. They also tended to focus on exercise rather than global engagement in physical activities and did not report hours of hearing aid use, an important indicator of intervention success. One purpose of this dissertation was to determine the feasibility of collecting accelerometry-assessed …

Thai Elderly’S Working Needs During 2007–2021: Empirical Findings On Aging Health Status And Impact From Thai Elderly Financial Support Policy, Ratchaphon Amsuk

Asia-Pacific Social Science Review

Thailand has implemented many initiatives in response to the growing older population. One of the objectives was to increase revenue through employment. This study examines the employment demands of the elderly population by considering their health status, eyesight, and hearing capacity, with the aim of improving the provision of employment support for the elderly. The data from the survey of older persons during 2007–2021 were examined. The results revealed that the Thai elderly’s working needs are likely to continually increase. However, their health status, eyesight capability, and hearing ability significantly affected the elderly’s working opportunities. One intriguing discovery pertained to …

Dynamics Of Development Of The Main Areas Of Cooperation Between Kazakhstan And Japan: Comparative Analysis And Assessment Of Prospects, Laila Nurseitova, Zhanar Ashinova, Shioya Akifumi, Aliya Rymbekova

Asia-Pacific Social Science Review

The importance of the study is defined by the need for a complete assessment of the existing situation and the potential for further growth of major sectors of cooperation between Kazakhstan and Japan in the context of increasing global instability. The purpose of the study is to assess the current state and outline prospects for further intensification of political dialogue, trade, economic ties, and humanitarian contacts, considering the national interests of the parties. Historical-genetic and comparative-historical methods, methods of typologisation, analysis, and comparative and statistical analysis are used to assess the dynamics of the development of bilateral relations. The steady …

Letter To Congress From Harvey A. Friedman Center For Aging, June 24, 2025, Ernest Gonzales, Cal J. Halvorsen, Nancy Morrow-Howell

Harvey A. Friedman Center for Aging

Letter to Members of Congress: We are gerontological social work researchers with expertise in productive aging; that is, activities that produce goods or services for society, whether paid for or not. We mainly focus on risk and protective factors to employment, caregiving, and volunteering in later life, and the many health, economic, and social outcomes.

Attached are peer reviewed scientific journal articles and policy briefs that underscore the importance of social policies that enable older adults to contribute to society through productive aging. In simple terms, increasing opportunities for older adults to remain productively engaged through work, volunteering, and caregiving …

No Longer At War With My Words: Finding Healing Through Therapeutic Writing, Marlo Degaetano Kreitzinger

Theses and Dissertations

While living in Dallas, Texas, I had the incredible opportunity to work with women transitioning out of homelessness, addiction, prison, or other life traumas. During my four years of facilitating life skills and job readiness classes, I witnessed a desperate need for healing. Many of the women I served were stuck in the repetitive cycle of their unprocessed emotional trauma. These women were often victims of the unprecedented mental health crisis plaguing our world and had little to no access to mental health resources. My initial introduction into therapeutic writing helped me to accept my own mental health crisis and …

Evaluating Shrub-Based Bio-Subsoiling In A Polyculture System For Medicinal Plants In Bacoor, Cavite: Meristematic Analysis Of Basil (Ocimum Basilicum) Using Indole-3-Acetic Acid (Iaa) As A Growth Indicator, Stephen Evan M. Salugsugan, Aria Melle Liz P. Alquiroz

DLSU Senior High School Research Congress

Despite the Philippines having great agricultural potential, monoculture cultivation continues to prevent the realization of this, through poor resource utilization, particularly in the underutilized sector of medicinal-plant-focused agriculture. This study explores the effects of shrubbing, a biological subsoiling method using santan (Ixora coccinea) as the main deep-rooted shrub, on the growth of basil (Ocimum basilicum) under two cultivation systems, focusing on the presence and absence of the added shrub species: traditional monoculture and polyculture. The study, conducted in a controlled 30 m greenhouse in Bacoor, Cavite, aims to assess the effectiveness of shrubbing in improving crop …

“I Think I Failed Them Again”: Exploring Perceived Signs Of Parental Disappointment And Its Impact On Adolescents’ Emotional Well-Being, Ixchel Rain V. Atienza, Jimmy Stephen A. Asuero, Szarina Anne S. De Guzman, Renee Mai R. Hartshorne

DLSU Senior High School Research Congress

Parental expectations significantly shape adolescents' emotional well-being and self-perception, especially in Philippine culture, where family honor and obligations are expected. Perceived parental disappointment can lead to emotional distress, anxiety, and self-doubt, affecting self-esteem and personal development. While much of the existing research focuses on parental perspectives, there is little research and understanding of how adolescents internalize these experiences. This study examines the narratives of Filipino adolescents on perceived parental disappointment, highlighting its emotional and psychological effects. This study utilized interviews in order to collect the lived experiences of Filipino adolescents aged 18-19, residing in Binan and Sta. Rosa, Laguna. Through …

Resveratrol And Il-6 Modulation Of Cxcl1 Expression And Viability In Human Breast Cancer Cell Lines, Entkhab M. A. Alanisi, Aida H. Alobaidi, Khalid Alyodawi

AUIQ Complementary Biological System

This study aims to investigate, through in vitro methods, the molecular, immunofluorescent, and immunohistochemical effects of resveratrol and IL-6 on CXCL1 gene/protein expression in human breast cancer cells (MCF-7). MCF-7 and MCF-10A cell lines were cultured and divided into four groups: control, IL-6-treated, resveratrol-treated, and a combination-treated group. CXCL1 gene expression was assessed by real-time PCR (RT-PCR), while CXCL1 protein levels were analyzed using immunofluorescence and immunohistochemistry. Cell viability was quantified by MTS assay using ELISA. CXCL1 gene/protein was overexpressed in MCF-7 cells, especially in the IL-6-treated group, but reduced in both resveratrol and combination-treated groups. MTS assay showed increased …

Comparison Of Ageing-Friendly Supporting Facilities Between Self-Financed And Government-Subsidized Residential Care Homes: Evidence From China, Yueran Li, Mei-Yung Leung

CIB Conferences

Ageing-friendly supporting facilities are commonly implemented in residential care homes for older people. These facilities not only support the daily activities of older people but also affect their physical and psychological health. However, the development of ageing-friendly supporting facilities usually varies among homes due to differences in construction and operational funding. In order to better accommodate older residents, it is essential to compare the ageing-friendly supporting facilities across different residential care homes and identify the key variances. A total of 69 samples were collected from two primary categories of residential care homes in China, namely self-financed homes and government-subsidized homes. …

Improving User Experience Through Bedroom Lighting Services For Older People Living In Personal Houses, Mei-Yung Leung, Yueran Li

CIB Conferences

The global ageing tendency underscores the necessity for indoor building services to accommodate the needs of older adults. Bedroom lighting services encompass both natural and electric lighting as well as supporting facilities such as light control, shading devices, and anti-reflection finishes. It facilitates visual interactions between occupants and their living environment. The user experience of older people reflects the extent to which current bedroom lighting services address their needs, which significantly influences their well-being in later years. Key aspects valued by older users can be divided into the sufficiency of task lighting, evenness during movement, navigation in the room, convenience, …

Population Mobility Network Characteristics And Its Influencing Factors Under The Influence Of Typhoon Bebinca—— A Case Study Of The Yangtze River Delta Region, Yicheng Huang, Ying Lu, Hongzhe Yue

CIB Conferences

With the increasing frequency of extreme weather events such as typhoons, the stability and resilience of the inter-city population mobility network is facing serious challenges. However, existing studies have failed to comprehensively reveal the dynamics of the overall regional network, especially the changes in network structure and drivers under disaster situations. Therefore, based on the Pressure-State-Response (PSR) framework and the complex network model, this paper constructs an assessment model for the characteristics of the population mobility network in the Yangtze River Delta (YRD) region under the influence of Typhoon Bebinca, in order to analyze the impact of the typhoon on …

A Two-Year Study On Dual-Task Interventions: Advancing Elderly Care In Community Settings, Kameliya Konstantinova, Emerick Kaitell

International Symposium of Adapted Physical Activity and International Symposium on Physical Activity and Visual Impairment and Deafblindness

Cognitive and physical decline among older adults presents a critical global challenge, with over 14% of UK seniors experiencing cognitive disorders. This decline significantly impacts daily functioning, mental health, and social well-being, necessitating innovative interventions. This study examines the effectiveness of dual-task physical exercises, which integrate cognitive challenges, in improving cognitive performance and social outcomes among older adults.

A two-year longitudinal study was conducted with 45 participants aged 65–104 across three London boroughs. The program featured one-hour, chair-based sessions twice weekly, combining balance exercises with tasks requiring memory recall and problem-solving. Data were gathered through structured observations, caregiver feedback, and …

Views From The Cheap Seats: Understanding The Key Motivators Behind Sport Volunteering, Nicholas Paul Smith, Tiberio Garza

The COSMA Journal

Sport volunteers are imperative to the success of sport mega events. Knowing why volunteers continue to help events was the purpose of this study. This study aimed to investigate the motivations of sport volunteers post Covid-19. Data were collected from 30 volunteers at the 2023 NCAA College World Series. Inductive qualitative analysis and descriptive statistics found that community support was the reason the respondents were most glad to volunteer. The findings offered insight into how communication factors between supervisors, law enforcement, and other volunteers affected volunteer motivation. The theoretical and practical implications of these results are discussed in more detail …

Exploring The Association Between Self-Esteem And Blood Pressure: A Cross-Sectional And Longitudinal Investigation, Bijou C. Allard, Julia K. Boehm

Psychology Faculty Articles and Research

High self-esteem is linked to favorable outcomes including better mental health and relationships, however, its impact on cardiovascular health is less understood. This study examined the relationship between self-esteem and blood pressure levels using data from the Midlife in the United States (MIDUS) study (M_age = 54.53; 57% women; 20% non-White). We hypothesized that higher self-esteem would be associated with lower systolic and diastolic blood pressure concurrently and 10 years later. Self-esteem was measured with the Rosenberg Self-Esteem Scale, and blood pressure was clinically assessed. Cross-sectional analyses included 1194 participants; longitudinal analyses included 566 participants. Contrary to expectations, …

Progressive Strength And Balance Training Enhances Physical Functioning In Older Adults With Decreased Functional Capacity, Saila Hänninen Msc (Health Science), Katja Borodulin Phd, Msc In Sport Sc, Adjunct Professor,

International Symposium of Adapted Physical Activity and International Symposium on Physical Activity and Visual Impairment and Deafblindness

Progressive strength and balance training enhances physical function in older adults with decreased functional capacity

Introduction
In Finland, one third of people aged 70 and over fall each year. Each hip fracture costs approximately €30 000 (Kannus et al. 2018, Sotkanet 2025, Finnish Medical Society Duodecim 2017). Strength and balance training (SBT) improves muscle strength, functional capacity, and quality of life, and can prevent half of fall-related fractures (Sherrington et al. 2019, Levy et al. 2020, Oberholster et al. 2020, Wang et al. 2020). However, the implementation of fall prevention is still incomplete (Reis et al. 2016). Our aim was …

The Social Standing Versus The Mind Standing Of Older Adults In Egypt: Cross-Sectional Analysis Of The Relationship Between Social Capital And Cognitive Functions, Shaza H. Shinaishen Dr

Theses and Dissertations

Introduction: Egypt's population, much like that of other countries, is expected to age considerably over the course of the coming decades. Although biological and socioeconomic predictors of cognitive function have been studied widely, personal level social capital remains unexplored, especially in LMICs.

Purpose: This study primarily investigates the relationship between individual social capital and cognitive functioning among older adults aged 65 years and older in Egypt using the structural and cognitive components of social capital, including group membership, civic engagements, and caregiving roles.

Methods: A cross-sectional survey on 363 older individuals in different geographical and demographic segments of Egypt using …

Heightened Risk: Childhood Trauma And Anticipatory Grief Exacerbate The Impact Of Loneliness On Depressive Symptoms And Lps-Stimulated Cytokines In Dementia Caregivers, Kelly N. Brice, Jensine Paoletti-Hatcher, E Lydia Wu-Chung, Vincent D. Lai, Daniel L. Argueta, Michelle A. Chen, Itee Mahant, Bryan T. Denny, Charles Green, Luis D. Medina, Multiple Additional Authors

Psychology Faculty Publications and Presentations

Dementia spousal caregivers are at a disproportionate risk for adverse mental and physical health outcomes. Loneliness is associated with depressive symptoms and proinflammatory cytokine production among caregivers. Additionally, childhood trauma, anticipatory grief, and poor sleep quality are all associated with enhanced stress reactivity. This study used a cross-sectional design to investigate whether loneliness is associated with proinflammatory cytokine production and depressive symptoms in caregivers, and whether these relationships are strongest among caregivers who report high levels of childhood trauma, high amounts of anticipatory grief, or poor sleep quality. A sample of 111 dementia spousal caregivers provided blood samples and completed …

Beliefs And Experiences Of Latina Mothers Of Individuals With Developmental Disabilities Toward Dance As Physical Activity: A Qualitative Study, Nicole M. Montanez-Alicea, Luis Columna Phd

International Symposium of Adapted Physical Activity and International Symposium on Physical Activity and Visual Impairment and Deafblindness

Introduction

Regular physical activity, including dance, is known to improve overall health and well-being, particularly for caregivers of individuals with disabilities (Champagne, 2024; Piercy et al., 2018). However, mothers of individuals with developmental disabilities often face challenges incorporating structured dance into their routines. This study aimed to explore Latina mothers' beliefs and experiences with dance, barriers and facilitators to dance participation, and their preferences for dance to help develop culturally tailored interventions.

Methodology

Situated within the theory of planned behavior (Ajzen, 1991), this descriptive-qualitative study recruited Latina mothers (N = 12) of individuals with Developmental Disabilities through disability advocacy groups. …

Psychometric Evaluation Of The Thai Version Of Emotional Labor Scale (T-Els) In Thai Nurses, Vachira Posai, Wisarut Srisintorn, Paramee Thongsuksai, Chanokporn Jitpanya

Journal of Health Research

Background: Nurses often face emotional strain due to emotional labor (EL), which involves concealing or modifying genuine feelings to meet their job requirements. This response can lead to physical, psychological, and behavioral issues. The Emotional Labor Scale (ELS), originally in English, has not been translated into Thai, leaving its psychometric properties unexamined in the Thai context. This study aimed to translate the ELS into Thai and evaluate its psychometric properties among Thai nurses.

Methods: A cross-sectional study design was used. The 14-item scale, which includes surface acting, deep acting, and expression of naturally felt emotions dimensions, was translated using forward …

Predicting Hospitalisation In Older Patients Attended In The Emergency Department Using Classical And Artificial Intelligence Mathematical Strategies, Nere Larrea Aguirre, Susana García Gutiérrez, Oscar Miro, Javier Jacob, Pere Llorens, Guillermo Burillo-Putze, Cesáreo Fernández, Aitor Alquezar-Arbé, Sira Aguiló, Francisco Javier Montero Pérez, José J. Noceda Bermejo, María Teresa Maza Vera, Ángel García García, Patxi Ezponda, Juan González Del Castillo

Journal of Health Research

Background: The ageing population poses a significant challenge for health and social care systems. Emergency Departments (EDs) frequently experience overcrowding due to the high volume of patients and the limited availability of hospital beds. From the perspective of bed management planners, knowing the likelihood of a patient's admission at the earliest stage of care can be highly beneficial for effective resource planning. The goal of our study was to develop a prediction model to identify patients with a high probability of being admitted to the hospital.

Methods: We included all patients aged 65 or older who were treated over …

Exploration On Hypoglycemic Mechanism Of Components In Guangdong Finger Citron Based On Network Pharmacology And Molecular Docking, Ma Wencong, Wu Yuxiao, Zhong Cheng, Zhou Aimei

Food and Machinery

［Objective］ To study the potential targets of hypoglycemic effects of components in Guangdong Finger Citron (GFC ) based on network pharmacology.［Methods］ Genes associated with type 2 diabetes mellitus (T2DM) and hyperglycemia are screened using the TTD,DrugBank,OMIM,and DisGeNET databases.Active components of GFC are collected from literature,and potential targets are predicted using the Swiss database.Based on this,key proteins are then identified through the STRING database,and a "disease -active -component -target -pathway" network was constructed using Cytoscape 3.7.1.Functional annotation is further carried out by performing gene ontology (GO) enrichment and Kyoto Encyclopedia of Genes and Genomes (KEGG ) pathway enrichment analyses through the …