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Designing A Best Possible Caregiver History To Facilitate Disposition Planning For Older Adults In Emergency Departments, Karen De Sola-Smith, Matthew Growdon, Anita N. Chary, Jennifer D. Portz, Kenneth Lam

Journal of Geriatric Emergency Medicine

Introduction and Background

Detailed information about caregivers is crucial for planning disposition from emergency departments (EDs), but it is unclear what specific information is useful for ED clinicians and how that information should be presented.

Methods

We used a Design Thinking approach to develop a standardized format—which we call a “Best Possible Caregiver History” (BPCH)—for displaying useful caregiver information to ED clinicians. The key steps of this approach are needfinding, followed by iterative cycles of ideation, rapid prototyping, and testing. For needfinding, we used semi-structured interviews of four ED clinicians on current practices for discovering and documenting caregiver information. For …

Downregulation Of Piezo2 In The Detrusor Of Men With Bladder Outlet Obstruction And Its Association With Urinary Retention And Decreased Bladder Compliance, Carlos Henrique Suzuki Bellucci, Thiago Souto Hemerly, Luisa Resende Tenório De Albuquerque, Ruan Pimenta, Vanessa Guimaraes Schreiter, Sabrina Thalita Dos Reis, Jose De Bessa Jr, Katia Ramos Moreira Leite, Alberto Antunes, Boopathi Ettickan, William C. Nahas, Cristiano Mendes Gomes

Center for Translational Medicine Faculty Papers

PURPOSE: Recent research has highlighted the mechanotransducer PIEZO2 as a crucial factor in lower urinary tract function, demonstrating associations with bladder compliance (BC), bladder wall thickening, and elevated bladder pressure. We explored the hypothesis that PIEZO2 expression may be associated with lower urinary tract dysfunction in men with bladder outlet obstruction (BOO) due to benign prostatic hyperplasia (BPH).

METHODS: The study included a consecutive series of patients undergoing open prostatectomy for BPH at our hospital between September 2014 and January 2016. All participants underwent comprehensive preoperative evaluations, including urodynamic assessments. During prostatectomy, a full-thickness fragment of the bladder wall was …

Contracture Prevention: Knowledge, Understanding, And Skills Of Community Occupational Therapists And Physiotherapists: A Survey, Jo Buck, Vincent Singh

South West Clinical School Journal

#400WORDS: KNOWLEDGE + ACTION

College Students As Participants In Our Democracy: Models For Engagement, Suzanne E. Walker-Pacheco, Otto Brown, Sarah Nash, Seth Andersen, Allison Rank

eJournal of Public Affairs

Low rates of voter engagement characteristic of the college-age demographic are determined by a host of factors. These factors vary according to geography, demographic variables, and individual inclinations. Those who strive to strengthen our democracy through increasing access to our political system confront many challenges, and there exists no “one-size-fits-all” approach. College campuses, where young voters obviously congregate in large numbers, provide a primary access point for democratic engagement efforts. Institutions of higher education are compelled to respond to the federal mandate put forth by the Higher Education Act to provide information on voter registration. Anecdotal information suggests a greatly …

Living In The Shadows: Exploring The Link Between Colonialism, Climate Change, And Women’S Vulnerability, Akash Bag, Anwesha Ghosh

Journal of International Women's Studies

The UN Intergovernmental Panel on Climate Change (IPCC) released its sixth climate change report in early 2022. For the first time in thirty years, this report acknowledged colonial domination and global exploitation as drivers of the climate issue and contributors to the vulnerability of communities and groups. Colonialism, climate change, and women’s vulnerability are rarely discussed in the available literature. A scoping review was done to determine how colonialism makes women more vulnerable to climate change and related disasters. The study examined when and how colonialism increases women’s vulnerability in the Global North and South. Through the study, it was …

Noninvasive Multi-Cancer Detection Using Blood-Based Cell-Free Micrornas, Jason Zhang, Hallgeir Rui, Hai Hu

Department of Pharmacology, Physiology, and Cancer Biology Faculty Papers

Patients diagnosed with early-stage cancers have a substantially higher chance of survival than those with late-stage diseases. However, the option for early cancer screening is limited, with most cancer types lacking an effective screening tool. Here we report a miRNA-based blood test for multi-cancer early detection based on examination of serum microRNA microarray data from cancer patients and controls. First, a large multi-cancer training set that included 1,408 patients across 7 cancer types and 1,408 age- and gender-matched non-cancer controls was used to develop a 4-microRNA diagnostic model using 10-fold cross-validation. In three independent validation sets comprising a total of …

Health Risk Factors Of Female African American Informal Caregivers For Alzheimer’S Disease Patients In Low-Income Communities, Rosaline Elaine Elliott

Walden Dissertations and Doctoral Studies

By 2050, 152 million people worldwide, primarily low-income populations, will have Alzheimer's disease (AD). African American (AA) women informal caregivers are primary caregivers in low-income neighborhoods, and they suffer from burnout and poor health, including physical and mental fatigue, despair, anxiety, hypertension, and stressors that can lead to heart attacks, strokes, or premature mortality. The Informal Caregiver Integrative Model (ICIM) theoretical framework was used to survey 120 participants using SurveyMonkey was administered to collect data for this cross-sectional quantitative study. The multiple hierarchical regression analyses revealed caregiving appraisal had no significant impact on burnout. A higher quality of the caregiver-care …

Influences Of Perceived Environment, Partner Support, And Attitudinal Familism On Physical Activity Among Mexican American Women, Neomie C. Congello

Dissertations

Healthy lifestyle behaviors such as engaging in physical activity (PA) may reduce the risk for cardiovascular disease (CVD), the number one cause of mortality among Mexican American women (MAW). Research findings show that MAW have low levels of leisure time PA and vary in the amount of overall PA. The influence of partner support has received little attention in studies examining predictors of PA. This cross sectional study investigated factors influencing PA among MAW aged 19 to 64 years old (mean = 39.4, SD = 11.1) who may be at increased risk for CVD based on hypertension, diabetes and obesity …

Comparing Costs And Predictors Of Low-Value Healthcare Service Use Among Primary Care Nurse Practitioners In The Southwest United States, Sara B. Nugent

Nursing ETDs

Low-value healthcare services (LVHSs) are unsupported by current evidence, associated with harmful patient outcomes, and equate to over $100 billion in wasteful spending annually. The aims of this descriptive, comparative study were to establish baseline prevalence and costs associated with LVHS use among primary care nurse practitioners (NPs), and to test the influence of different geographical regions and patient populations. A secondary data analysis of the Merative™ MarketScan® 2021 databases was conducted. LVHS prevalence was lower or fairly equal to that of other studies, and direct claim costs were very-low cost. Extremely high low-value lumbar radiographic imaging claim costs were …

Intersecting Inequities For Older Lgbtq+ Adults Of Color In The Advent Of Medicare Access: A Structural Vulnerability Framework, Christian D. Chan

Adultspan Journal

Although advances in Medicare legislation provide access for beneficiaries to professional counselors, older LGBTQ+ adults of Color face a litany of concerns that heighten stigma and inhibit their access to mental health services. The structural vulnerability framework identifies multiple domains that support the interface between Medicare coverage and access to care for older LGBTQ+ adults of Color. In this conceptual article, I outline (a) interdisciplinary scholarship that contextualizes the key issues facing older LGBTQ+ adults of Color; (b) the core tenets of the structural vulnerability framework; (c) implications for practice addressing structural vulnerability for older LGBTQ+ adults of Color with …

Using The Gerontological Imagination To Explore Suicide Among Older Adults: An Interdisciplinary Perspective For Professional Counselors, Mary Chase Mize, Afroze Shaikh

Adultspan Journal

Gerontology, the study of aging and older adulthood, is a vast field consisting of many intersecting disciplines, such as medicine, nutrition, public policy, psychology, social work, and professional counseling. As the older adult population rapidly increases, so too will the prevalence of mental health concerns among this population, including risk for suicide. Older adults presently comprise 16.5% of the U.S. population, yet account for 19.3% of all deaths by suicide (Drapeau & McIntosh, 2020). Professional counselors are newly eligible Medicare providers and can close gaps in healthcare access for older adults who rely on Medicare to receive mental health services, …

Providing End-Of-Life Counseling: A Narrative Inquiry, Carol Hecht, Sibyl West

Adultspan Journal

This qualitative study aimed to address the gap in the research related to end-of-life counseling by exploring the experiences of counselors working with clients at end of life. While counseling literature and education are lacking regarding end of life, many counselors will work alongside clients approaching death. The purpose of this study was twofold: (a) to better understand the nuanced experiences of counselors providing end-of-life counseling and (b) to explore the supports and preparations helpful for counselors to provide end-of-life counseling. A narrative approach, using the Listening Guide (Gilligan, 2015), was employed to analyze and present the stories of three …

Mental Health Distress And Suicide Risk Among Older Adults Who Receive Nutrition Services Programming: Implications For Licensed Professional Counselors., Brittany R. Jones-Cobb, Jihee Hong, Mary Chase Breedlove Mize, Laura Shannonhouse

Adultspan Journal

Licensed professional counselors (LPCs) are now eligible to provide mental health counseling to older adults as Medicare providers. Many older adults receive home delivered (HDM) and congregate (CM) meal services through the Aging Services Network, though their mental health impact remains under examined. This study compared the mental health and suicide risk of older adults receiving HDM or CM services. Our cross-sectional study of 221 HDM and 150 CM recipients from 2018-2020 found significant group differences in psychological distress, t(366) = 3.28, p = .001, perceived burdensomeness; t(357.31) = 2.77, p = .006, and thwarted belongingness, t(357.96) …

Considerations Of Medicare Telehealth Services With Older Adults, Sonah Kho, Amanda Dediego

Adultspan Journal

The onset of the COVID-19 pandemic set in motion a rapid expansion of mental health services offered via telehealth. With this rapid expansion came the need to examine how policy and practice should be shaped in a future where telehealth is considered common in counseling practice. For counselors to understand how to support older adult clients in using telehealth services, they must understand telehealth policy. Following the eligibility of licensed counselors to participate in Medicare, counselors need to stay abreast of regulatory changes regarding restrictions and regulations on use of telehealth for mental and behavioral health services, including video and …

Introduction To The Special Issue On Medicare Inclusion Of Counselors: Preparing The Counseling Workforce To Serve Older Adults, Matthew C. Fullen, Jordan Westcott

Adultspan Journal

Introduction to the special issue on Medicare Inclusion of Counselors: Preparing the Counseling Workforce to Serve Older Adults.

Special Issue Editors:

Matthew Fullen, Virginia Tech

Jordan Westcott, The University of Tennessee-Knoxville

How Do Older Adults Define A Good Death? A Scoping Review, Ellen L. Csikai, Quentin R. Maynard

Midwest Social Sciences Journal

A scoping literature review of the concepts of ‘good death’ and ‘dying well’ among older adults was conducted. The purpose was to identify aspects that older adults specifically considered important in defining a ‘good death’. The search revealed five articles published between 2005 and 2019 that met inclusionary criteria for the review. Primary among the views of the older adults in these studies of a ‘good death’ was the desire to avoid being a burden to families; done so by dying pain-free/peacefully (preferably in sleep) and preparing in advance by involving family in decisions and funeral/estate planning. Family support throughout …

Author Biographical Notes

Midwest Social Sciences Journal

No abstract provided.

Midweek Memo, Georgia Southern University

Midweek Memo

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Design Of A Tool Capable Of Assessing Environmental Sociocultural Physical Factors Influencing Women's Decisions On When And Where To Toilet Within Real-World Settings: Protocol For The Build And Usability Testing Of A Mobile App For Use By Community-Dwelling Women, Janis M Miller, Jean F Wyman, Lawrence An, Haitao Chu, Cynthia S Fok, Missy Lavender, Cora Elizabeth Lewis, Alayne D Markland, Leslie M Rickey, Ying Sheng, Siobhan Sutcliffe, Lisa Kane Low, Elizabeth R Mueller

2020-Current year OA Pubs

BACKGROUND: Although surveys and apps are available for women to report urination and bladder symptoms, they do not include their decisions regarding toileting. Real-world factors can interfere with toileting decisions, which may then influence bladder health. This premise lacks data per want of a robust data collection tool.

OBJECTIVE: The Prevention of Lower Urinary Tract Symptoms (PLUS) research consortium engaged a transdisciplinary team to build and test WhereIGo, a mobile data collection app for Android and iOS. The design goal was a comprehensive reporting system for capturing environmental, sociocultural, and physical factors that influence women's decisions for toileting. Aims include …

Physiological And Psychological Differences Between 20% Grade Incline-Walking And Level-Grade Jogging At Isocaloric Intensity, Motoki Sato, Taj Krieger, Alexis D. Gidley, Brianne Weaver, Craig A. Johnson, David E. Lankford

International Journal of Exercise Science

International Journal of Exercise Science 17(6): 1318-1336, 2024. High-incline walking is a relatively new trend with little comparative information. This study compared physiological and psychological differences between high-incline walking at 20% grade (HIW) and level-grade jogging (LGJ) at isocaloric intensities in young adults. Twenty-two participants (M = 11, F = 11) aged 19–31 years completed the study. Participants completed HIW and LGJ on a treadmill for twenty minutes on two separate occasions and matched at isocaloric intensities. Rating of perceived exertion (RPE), maintainability (HCM), and affective valence using the Feeling Scale (FS) were measured at minutes 2, 10, and 20. …

Why The Elderly Are Targeted For Financial Cybercrimes: A Case Of South Africa, Tanweer Hamdulay, Chimwemwe Queen Mtegha, Wallace Chigona, Zwelithini Mabhena

African Conference on Information Systems and Technology

Financial cybercrime is growing in South Africa. The elderly population are a particularly vulnerable demographic to financial cybercrime. This research explores the factors contributing to financial cybercrime vulnerabilities among elderly citizens in disadvantaged communities in South Africa. A theoretical model based on Routine Activity Theory (RAT) was constructed. Findings from in-depth interviews show that cybercriminals take advantage of the elderly’s technology inexperience, using clever social engineering tactics and deceit to access personal and financial information. The study establishes a direct connection between low technology literacy and increased exposure to financial cybercrimes in South Africa, showing a dependence on younger family …

Research Progress On Health Care Function And Fruit Wine Of Aronia Melanocarpa, Tuo Longlong, Shi Pengbao, Chai Juhua, Shen Fei

Food and Machinery

Based on recent domestic and foreign research results, the health care function and fruit wine development of Aronia melanocarpa were reviewed. The types and technology research progress of the fruit wine were emphasized, and the challenges and opportunities of current development of the fruit wine were analyzed.

Rehabilitation Impact Of Vivifrail Exercise Program Type C On The Cognitive Function Of Pre-Frail Elderly People In The Community, Sri Soenarti, Dwi Indriani Lestari, Muhammad Barlian Nugroho, Harien Lestari

Folia Medica Indonesiana

Highlights:
1. This study emphasizes the importance of providing physical exercises to pre-frail elderly individuals, especially in a community setting.
2. This study establishes a foundation for future research to explore the relationship between physical exercise, particularly the Vivifrail Type C Protocol, and cognitive function in pre-frail elderly individuals.


Abstract
Frailty is a clinical syndrome that increases vulnerability, potentially leading to disability or death. The pre-frail phase is ideal for preventing frailty and improving quality-adjusted life years, particularly through physical exercises that reduce the risk of dementia and cognitive impairment. Multicomponent exercises, such as the Vivifrail Exercise Program, may enhance …

In Memoriam: Pontus Palmgren, 1907-1993, Lars Von Haartman

The Auk

No abstract provided.

In Memoriam: Fran, Francois Vuilleumier

The Auk

No abstract provided.

In Memoriam: Ben B Coffey, Jr, 1904-1993, Jerome A. Jackson

The Auk

No abstract provided.

Old Age And Breeding Behavior In A Tropical Passerine Bird Ploceus Cucullatus Under Controlled Conditions, N. E. Collias, E. C. Collias, C. H. Jacobs, C. R. Cox, F. A. Mcalary

The Auk

No abstract provided.

Ucc Minutes 10-8-24, Angela Brock

UCC Agendas/Minutes

No abstract provided.

A Case Study: Do You Address Your Volunteers’ Well-Being Or Mental Health During The Covid-19 Pandemic? If So, How?, Daniel J. Robotham, Suzanna R. Windon, Ann E. Echols

Journal of Extension

The uncertainty caused by the COVID-19 pandemic had a profound negative impact on volunteer mental health and well-being. We surveyed local non-profit organizational leaders about their practices toward addressing volunteer well-being and mental health during the COVID-19 pandemic. Study results indicated that while over a quarter of organizations did nothing to address volunteer well-being, other organizations utilized several approaches, including one-on-one and group meetings, program implementation, office culture investment, task assignment, and information dissemination. These findings provide valuable insight for Extension educators to develop community mental health and well-being programs to assist non-profit organizations' response to future uncertainty.

Suppressing Financial Exploitation Of Older Adults: A Social Work Perspective, Anthony J. Hill

Forensic Scholars Today

Financial exploitation is a pervasive form of abuse or mistreatment of older adults. Social isolation and diminishing cognitive capacity are primary risk factors for financial exploitation among older adults. Researchers predict as the population ages, the incidents of older adults becoming victims of financial exploitation will increase. Social workers are well-poised to help suppress the crime of financial exploitation among older adults.