Digital Commons Network^™

Services Provided To Aging Individuals With Intellectual Disabilities: Survey Of Speech Language Pathologists, Claire H. Gatewood

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Purpose: The present study explored current speech-language pathology service provision for aging individuals with intellectual disabilities in the United States, including areas and domains of services, factors restricting service provision, and reported knowledge and confidence of individuals within the field of speech-language pathology in providing services, to identify possible gaps of service and needed improvement.

Methods: Participants (n = 272) from across the United States completed an online survey to gather descriptive information about current speech-language pathology service provision for aging individuals with intellectual disabilities. Participants were recruited through state speech-language hearing associations and universities with speech-language pathology clinics …

University Of Central Florida Undergraduate Catalog, 2023 - 2024, University Of Central Florida

UCF Catalogs

No abstract provided.

Cancer-Related Cognitive Impairment: Examining The Perspectives Of Survivors And Speech-Language Pathologists, Patricia Lynn Geels

Dissertations

Scientific advancements have led to significant improvements in cancer treatment and increased survival rates. However, cancer survivors often experience long-term effects, including cognitive impairments known as cancer-related cognitive impairment (CRCI). CRCI is a common and distressing side effect that affects affected individuals’ quality of life. The discipline of speech-language pathology (SLP) is well-positioned to assess and treat CRCI. Still, there is a gap in determining the most effective support for cancer survivors with CRCI. This mixed methods, three-paper dissertation implements exploratory, cross-sectional survey design to examine how speech-language pathologists and survivors view CRCI symptoms, its impact on daily functioning, and …

Implementing An Alzheimer’S And Dementia Library Outreach Program: A Partnership Between The Nebraska Chapter Of The Alzheimer’S Association And Nebraska Libraries, Casey Wilkinson

Theses/Capstones/Creative Projects

This paper focuses on the establishment of an Alzheimer’s and dementia library outreach program in Nebraska, initiated by the Nebraska Chapter of the Alzheimer’s Association. The program aims to address the lack of community resources and support for individuals affected by dementia-related diseases in Nebraska. Extensive research, including interviews with successful library outreach programs globally, informed the program's foundation. A survey distributed to Nebraska libraries had a stellar response rate, with 57 libraries expressing interest in collaborating. An in-depth guide was created and distributed to the interested libraries, outlining program components such as educational programming, support groups, and a designated …

Application Of Teaching Regarding Injury Appearance In Darker Pigmented Skin Patients: A Quality Improvement Project, Tiffany Akiba

DNP Projects

Significance and Background: The skin is the largest organ of our body, and skin injury prevention begins with accurately inspecting skin. Current practices stress on looking for any signs of redness which often signify that the skin is possibly injured or compromised. However, darker skin tones do not appear red when injured. Assessing for redness is a practice that is suited better for lighter skin tones.

Purpose: Provide education to providers on current skin assessment practices of darker skin tones.

Methods: The IHI Model of Improvement was used for this project, and the Plan-Do-Study-Act cycle was used to test for …

Does Cognitive Reflection Support Children's Math Learning?, Diana A. Sanchez

University Honors Program Senior Projects

A basic knowledge of mathematics is required for many social and economic opportunities. Thus, understanding the variables related to children’s math learning is of utmost importance. This study explores the role of cognitive reflection on children’s mathematics learning. Cognitive reflection is the tendency to reflect on and override an inaccurate gut response. Only recently has a measure of cognitive reflection been available for use with school-aged children. Young and Shtulman (2020b) found children’s cognitive reflection was an excellent predictor of children’s mathematical equivalence understanding (i.e., knowing the equal sign means “the same as”). Research has not yet established whether cognitive …

Investigating The Localization Of Foxo4 Transcription Factor In U87mg Glioblastoma Cell Line, Millat Jahan

Theses and Dissertations

FOXO transcription factors perform diverse functions that have effects on significant biological processes like stem cell homeostasis, cell cycle, apoptosis, and cell fate determination. This research focuses on FOXO4 that is differentially localized in U87MG glioblastoma cells where FOXO4 is targeted to the nucleus. This research is aimed at investigating the mechanism and localization of FOXO4 in U87MG cell lines. Using chimeric fusion construct, we have mapped regions within FOXO factors that can determine specific cellular localization patterns. Finding the mechanism behind specific nuclear localization of FOXO4 can produce innovative data to better understand the distinctive subcellular localization patterns in …

Association Of Socioeconomic Status And Mental Health Characteristics And Participant Attrition In A Cohort Study, Mathews Thampi

Capstone Experience: Master of Public Health

The cohort study is an essential design for investigating associations between a variety of risk factors or exposures and a plethora of health outcomes. However, one of their biggest weaknesses is participant attrition, which can introduce bias and impact validity. Understanding whether this attrition is related to exposure and outcome is a critical aspect of assessing the potential for selection bias. The Women and Their Children's Health (WaTCH) study is a prospective cohort study designed initially to examine the health impacts of exposure to the Deepwater Horizon oil spill. The study has undergone two waves of data collection and is …

Perspectives Of Hispanic/Latina Women Ages 60 And Over On The Impact Of Single Motherhood And Their Long-Term Financial Well-Being, Tess Juno Anselm

Graduate Doctoral Dissertations

Unmarried women over the age of 60 continue to experience disproportionate rates of adult poverty in the United States, while families headed by single mothers experience the highest poverty rates. This study explores the long-term impact of single motherhood on financial wellness through the perspective of Hispanic/Latina women ages 60 and over who have experienced single motherhood in Massachusetts. A transdisciplinary study, it utilizes intersectionality as a theoretical framework, employs feminist standpoint informed inquiry methods to document lived experiences through in-depth interviews, and engages diffraction as a mode of praxis as it intra-acts with narratives and explores the systems and …

Household Environments And Functional Decline Among Middle-Aged And Older Adults In China, Dandan Zhao

All Theses

This thesis investigates the associations between household social, economic, and physical environment conditions and the trajectory of self-reported functional limitations over time among middle-aged and older adults in China. Despite the increasing interest in the impact of household environments on functional decline, most existing studies are cross-sectional or concern changes in functioning observed in two waves of surveys, and they primarily focus on the influence of one condition. This thesis explores how the trajectory of functional decline is influenced jointly by multiple household factors, including living arrangement, annual living expenditure per capita, indoor air pollution resulting from solid fuels, and …

Evaluating Mitochondrial Dynamics And Bioenergetics In Patient-Derived Human Induced Pluripotent Stem Cells And Differentiated Derivatives Modeling Leigh Syndrome, Fibi Meshrkey

Graduate Theses and Dissertations

Mitochondrial disorders are complex diseases that involve multiple systems and result from mutations and deletions in the mitochondrial genome. Leigh syndrome (LS) is a rare and devastating primary mitochondrial disorder characterized by progressive neuromuscular degeneration. Despite its severe consequences, the clinical genotype pathophysiological underlying LS remains elusive, posing significant challenges for the development of effective therapies. The current study aims to advance our understanding of the pathology and phenotype correlation of LS by evaluating mitochondrial dynamics and bioenergetics in patient-derived human induced pluripotent stem cells (hiPSCs) and their differentiated derivatives, which serve as a reliable model of the disease. Key …

「社交媒體、視訊會議平台和樂齡產品在長者院舍的應用情況」研究簡報, Chak Kwan, Dickon Chan, Sheung Wan, Wanda Wong, Meng Soi, Florence Fong, Le Gao

APIAS Research Report 研究報告

香港的老年人口增長迅速，從1988年至2018年間，老年人口由46萬增加到127萬（政府經濟顧問辦公室, 2019）。隨著人口老化，長期護理服務需求也相對增加。資助安老院舍的平均等待時間長達20個月（香港政府, 2021）。在2017至2018年間，有40,000人在輪候資助安老院舍，其中6,600人在等候期間去世（香港政府, 2018）。安老服務業一直面臨人力短缺的問題，2017年的相關職位空缺率為15-20%（香港政府, 2017）。2013年的研究統計發現超過一半的安老服務前線員工超過50歲（勞工及福利局, 2019）。隨著退休潮的來臨，人力短缺的問題會進一步加劇。因此，科技與安老服務的結合被視爲減輕人手壓力的方向。結合科技和院舍服務不僅可以減輕工作量，還能提高服務質量和效率。社交媒體和視訊會議平台可以減少在訊息傳遞上的時間和人力成本。樂齡科技產品，諸如可穿戴設備和遠程監控傳感器，可以讓護理人員更快捷和系統化地掌握服務對象的狀態，從而減少親自監測的次數（Chen, 2020）。因此，自2017年起，香港政府與各部門積極推廣樂齡科技，並於2018年設立樂齡及康復創科應用基金，幫助合資格的安老及康復服務單位購置、租借和試用科技產品。香港政府於2022年更將此計劃擴展至其他非資助的私營或自負盈虧的安老院舍及殘疾人士院舍。在過去三年的新冠疫情影響下，大部分安老院舍因為防疫工作量的增加而面臨更嚴重的人手短缺，不少院舍開始將科技融入服務，以應對疫情衍生的需求和改善現有服務質素。然而，香港院舍對於如何應用社交媒體、會議平台和樂齡科技產品的研究甚少。在此背景下，本研究旨在瞭解院舍應用相關科技的情況，並提供應對有關障礙的政策建議。

Development And Validation Of An Automated Image-Based Deep Learning Platform For Sarcopenia Assessment In Head And Neck Cancer, Zezhong Ye, Anurag Saraf, Yashwanth Ravipati, Frank Hoebers, Paul J Catalano, Yining Zha, Anna Zapaishchykova, Jirapat Likitlersuang, Christian Guthier, Roy B Tishler, Jonathan D Schoenfeld, Danielle N Margalit, Robert I Haddad, Raymond H Mak, Mohamed Naser, Kareem A Wahid, Jaakko Sahlsten, Joel Jaskari, Kimmo Kaski, Antti A Mäkitie, Clifton D Fuller, Hugo J W L Aerts, Benjamin H Kann

Faculty, Staff and Student Publications

Importance: Sarcopenia is an established prognostic factor in patients with head and neck squamous cell carcinoma (HNSCC); the quantification of sarcopenia assessed by imaging is typically achieved through the skeletal muscle index (SMI), which can be derived from cervical skeletal muscle segmentation and cross-sectional area. However, manual muscle segmentation is labor intensive, prone to interobserver variability, and impractical for large-scale clinical use.

Objective: To develop and externally validate a fully automated image-based deep learning platform for cervical vertebral muscle segmentation and SMI calculation and evaluate associations with survival and treatment toxicity outcomes.

Design, setting, and participants: For this prognostic study, …

Perspectives Of Home Care Nurses On Frailty And Resilience In Older Adults Living At Home, Lisa Foley

Seton Hall University Dissertations and Theses (ETDs)

The population of older adults is growing rapidly in the United States. As more people are living to an advanced age, they are often managing a multitude of chronic illnesses and disabilities while continuing to live at home. Frailty is a common condition that affects how one ages and the condition is associated with dependency and poor health outcomes. Resilience is considered to be a protective factor against health stressors that lead to frailty in older adults. Perspectives of home care nurses were obtained by semi-structured interviews which described how older adults live at home with frailty and demonstrate resilience. …

Cerebrospinal Fluid Proteomics Define The Natural History Of Autosomal Dominant Alzheimer’S Disease, Erik C. B. Johnson, Shijia Bian, Rafi U. Haque, E. Kathleen Carter, Caroline M. Watson, Brian A. Gordon, Lingyan Ping, Duc M. Duong, Michael P. Epstein, Eric Mcdade, Nicolas R. Barthélemy, Celeste M. Karch, Chengjie Xiong, Carlos Cruchaga, Richard J. Perrin, Aliza P. Wingo, Thomas S. Wingo, Jasmeer P. Chhatwal, Gregory S. Day, James M. Noble, Sarah B. Berman, Ralph Martins, Neill R. Graff-Radford, Peter R. Schofield, Takeshi Ikeuchi, Hiroshi Mori, Johannes Levin, Martin Farlow, James J. Lah, Christian Haass, Mathias Jucker, John C. Morris, Tammie L. S. Benzinger, Blaine R. Roberts, Randall J. Bateman, Anne M. Fagan, Nicholas T. Seyfried, Allan I. Levey, Dominantly Inherited Alzheimer Network

Research outputs 2022 to 2026

Alzheimer’s disease (AD) pathology develops many years before the onset of cognitive symptoms. Two pathological processes—aggregation of the amyloid- (A ) peptide into plaques and the microtubule protein tau into neurofibrillary tangles (NFTs)—are hallmarks of the disease. However, other pathological brain processes are thought to be key disease mediators of A plaque and NFT pathology. How these additional pathologies evolve over the course of the disease is currently unknown. Here we show that proteomic measurements in autosomal dominant AD cerebrospinal fluid (CSF) linked to brain protein coexpression can be used to characterize the evolution of AD pathology over a timescale …

Does Fertility Matter For Middle Aged And Older Adults’ Risk Attitudes?, Christine Ho, Bussarawan Teerawichitchainan, Joanne Tan, Eugene Rui Le Tan

Research Collection School Of Economics

Given that risk attitudes influence many decisions, it is important to understand the factors that shape such attitudes in late adulthood, when individuals face important risky decisions. While research finds that parenthood tends to correlate with lower risk tolerance in western countries, there is a lacuna on whether such associations persist in late adulthood, and are applicable to the Asian context, where children are conventionally considered a linchpin of old age support. Data for middle aged and older individuals come from the nationwide Singapore Life Panel (N = 6,740). Multivariate statistical analyses are employed to estimate the associations between willingness …

Equal Access To All: Under Usage Of Adult Day Care Services For Adults With Alzheimer's And Related Dementias In The Hispanic/Latino Community, Jezabel Galvan

Master's Projects and Capstones

The goal for many older adults suffering from Alzheimer's Disease (AD) and related dementias, is to be able to age in the comfort of their own home and with familiar faces. One of the services many older adults suffering from AD and their families opt for to make this possible are Adult Day Care Programs (ADCP). ADCP offer support to caregivers and are a good alternative to long-term care placement. ADCP provides clients with health monitoring by health professionals, as well as socialization opportunities and assistance with activities of daily living (ADLs) (Oliver et. al., 2013). Although ADCP are a …

Musculoskeletal Pain, A Possible Indicator Of Central Sensitization, Is Positively Associated With Lower Urinary Tract Symptom Progression In Community-Dwelling Older Men, Angela Senders, Scott Bauer, Yiyi Chen, Barry Oken, Howard A. Fink, Nancy E. Lane, Kamran P. Sajadi, Lynn M. Marshall

OHSU-PSU School of Public Health Faculty Publications and Presentations

Background

Musculoskeletal pain, a possible marker of central sensitization, is associated with higher prevalence of lower urinary tract symptoms (LUTS) among older men. We investigated whether musculoskeletal pain is associated with LUTS progression.

Methods

Participants were 5 569 men age ≥65 years enrolled in the prospective, multicenter Osteoporotic Fractures in Men (MrOS) Study. Self-reported musculoskeletal pain within 12 months before baseline was categorized as any pain and multilocation pain. Pain interference within 4 weeks of baseline was assessed with the SF-12 questionnaire. LUTS were assessed repeatedly with the American Urological Association Symptom Index (AUA-SI). Men with severe LUTS at baseline …

Cerebrospinal Fluid Proteomics Define The Natural History Of Autosomal Dominant Alzheimer's Disease, Erik C B Johnson, Brian A Gordon, Eric Mcdade, Nicolas R Barthélemy, Celeste M Karch, Chengjie Xiong, Carlos Cruchaga, Richard J Perrin, John C Morris, Tammie L S Benzinger, Randall J Bateman, Anne M Fagan, Et Al.

2020-Current year OA Pubs

Alzheimer's disease (AD) pathology develops many years before the onset of cognitive symptoms. Two pathological processes-aggregation of the amyloid-β (Aβ) peptide into plaques and the microtubule protein tau into neurofibrillary tangles (NFTs)-are hallmarks of the disease. However, other pathological brain processes are thought to be key disease mediators of Aβ plaque and NFT pathology. How these additional pathologies evolve over the course of the disease is currently unknown. Here we show that proteomic measurements in autosomal dominant AD cerebrospinal fluid (CSF) linked to brain protein coexpression can be used to characterize the evolution of AD pathology over a timescale spanning …

The Influence And Feasibility Of Therapeutic Exercise Videos At Home On The Functional Status Of Post-Covid-19 Hospitalization, Luh Karunia Wahyuni, Melinda Harini, Peggy Sunarjo, Mellisya Ramadhany, Ika Fitriana, Octaviany Hidemi, Indri Wijayanti, Boya Nugraha, Deddy Tedjasukmana, Tirza Z Tamin

Kesmas

The COVID-19 pandemic pushed physicians to modify conventional practices to reduce the exposure and risk of infection among patients and health workers. Telemedicine is one of the safest methods, and telerehabilitation could prevent the sequelae of COVID-19. A quasi-experimental study with randomized sampling without masking/blinding was conducted. The study was conducted from August 2021 to March 2022 at Hospital A in Pekanbaru, Hospital B in Jayapura, and Hospital C in Jakarta, Indonesia. A total of 27 patients were recruited and divided into control and intervention groups. The control group was given conventional education on therapeutic exercise at home, while the …

Gerontology In Bryony Lavery’S A Wedding Story (2000) And Sebastian Barry’S Hinterland (2002), Rania M Rafik Khalil

English Language and Literature

Old age is perceived as a narrative of decline, recently, an alternative perspective was introduced known as positive aging or Gerotranscendance. This paper examines ageing in Bryony Lavery’s A Wedding Story (2000) and Sebastian Barry’s Hinterland (2002) through the theory of gerontology. Gerontology in British and Irish modern theatre, according to Giovanna Tallone (2020) and Heather Ingman (2018), is a new category in literary studies and theory. The paper aims to examine the challenges of retaining agency in old age in comparison to the notion of aging as a process of inner harmony further proving that despite the process of …

Anxiety, Depression, Loneliness, Spirituality, And Social Support In Older People During The Covid-19 Pandemic, Esti Widiani, Nurul Hidayah, Abdul Hanan

Jurnal Keperawatan Indonesia

The COVID-19 pandemic has resulted in the threat of death. Some older people feel they are not ready to face the end of their lives, so psychosocial problems arise, such as loneliness, anxiety, and depression. This research study aims to explore some psychosocial aspects, namely spirituality, social support, depression, anxiety, and loneliness in the elderly during the pandemic. The research design was cross-sectional. The total sample was 142 people selected using the purposive sampling method. Data collection used various scales to look at spirituality, depression, anxiety, and loneliness. The results showed that median spirituality and social support scores were high. …

Reshaping Healthcare: A Bibliometric Analysis Of Lessons Learned In Post-Covid-19 Health Policy, Azliyana Azizan, Khairul Hafezad Abdullah, Sri Ratna Rahayu, Nadia Safirah Rusli, Nornajehah Tarmidzi

Kesmas

The COVID-19 pandemic has profoundly impacted health policy globally, leading to heightened concern and urgency. However, previous studies have been hampered by limited resources and insufficient discussions on the long-term implications for health policies following multiple COVID-19 waves. Thus, this study examined the evolution of international studies on post-COVID-19 health policy. A comprehensive analysis used well-known literature databases Scopus and Web of Science to explore parameters including publication growth, participating countries, areas of interest, and keyword analysis of topics such as"COVID-19" and "Health Policy." The United States emerged as an active participant, focusing on "Computer science." Key themes included "COVID-19 …

How Geriatric Courses Affect Bachelor Of Science In Nursing Students’ Attitudes And Intentions To Work With Older Adults: A Mixed Methods Study, Nina C. Hoskins

Doctoral Dissertations and Projects

The purpose of this explanatory sequential mixed methods study was to determine if and how the completion of a didactic geriatric course influenced nursing students’ attitudes toward older people, and nursing students’ intentions to work with older adults among bachelor’s degree nursing programs in the Midwest region of the United States of America. An explanatory sequential design allowed the researcher to utilize qualitative data to explain the quantitative results, especially surprising or contradictory findings. To collect data from a convenience sample of 17 nursing students, the researcher used two psychometrically validated self-report instruments (Kogan's Attitudes towards Older People Scale and …

Improving Disaster Preparedness Services For People With Disabilities, Istiarsyah Istiarsyah, Kamarullah Kamarullah, Robiansyah Setiawan, Amir Hasan Dawi

Journal of ICSAR

Lack of disaster preparedness has contributed to many disaster victims, especially people with disabilities, who are often neglected in making disaster risk reduction plans. In light of the recent World Conference on Disaster Risk Reduction (WCDRR) in Sendai, Japan, and the Sendai Framework for Disaster Risk Reduction (SFDRR) 2015-2030, which establishes new priorities for disaster risk reduction over the next 15 years, this issue has become a hot topic since then. This paper aims to contribute ideas to the Indonesian government in reforming and improving disaster preparedness services for people with disabilities based on successful theories, research, and practices developed …

Associations Between Parenting Strategies And Bmi Percentile Among Latino Children And Youth With Intellectual And Developmental Disabilities, Sandy Magaña, Vanessa L. Errisuriz, Amy Pei-Lung Yu, Nazanin M. Heydarian, Weiwen Zeng, Mansha Mirza, Sandra Vanegas, Stephany Brown, Deborah Parra-Medina, Yolanda Suarez-Balcazar

School of Social Work Faculty Publications

Introduction: Maintaining healthy weight is a challenge for all children, and particularly for children with IDD compared to nondisabled children and for Latino children compared to non-Latino White children. Parenting practices related to food intake and physical activity have been found to be important in maintaining children's weight. In this study, we describe the prevalence of overweight and obesity status among Latino children with IDD and their maternal caregivers and determine the relationship between food and physical activity parenting practices and childhood obesity among Latino children with IDD.

Methods: We interviewed 94 Latino parent/child dyads and collected information about parenting …

Psychophysical Load During The Multistage Marathon Des Sables: A Case Study, Leonidas G. Ioannou, Lydia Tsoutsoubi, Georgios I. Tsianos, Andreas D. Flouris

Journal of Human Performance in Extreme Environments

Introduction: This study investigated the impact of the multistage ultra-marathon event ‘‘Marathon des Sables’’ (MdS) performed in the Sahara Desert on the psychophysical capacity of an athlete. Methods: We collected and analyzed environmental, physiological, and behavioral data from a 39-year-old athlete who participated in the MdS. Specifically, we collected environmental temperature (T_env), upper inguinal skin temperature (T_sk), heart rate, and running speed data. Also, we recorded blood glucose and lactate, thermal comfort, total body water, perceived exertion, and cognitive function at the start, middle, and the end of each race stage. Results: We found significant detrimental …

School-Based Mental Health Telecounseling In Elementary Schools: Potential Advantages And Challenges, Kathryn Babb, Galaxina Wright, Glenn Lambie

Journal of Technology in Counselor Education and Supervision

School-based mental health counseling interventions (SBMHCI) address youths' presenting problems in diverse elementary schools. Schools with Title I status face unique challenges for face-to-face therapeutic interventions due to transportation and other issues confronting many families living in poverty (Bornheimer et al., 2018). We implemented telecounseling services with youth from three Title 1 elementary schools in response to the transition to remote learning due to the COVID-19 pandemic. We anticipated that the transition from face-to-face counseling to telecounseling would increase participation as telecounseling eliminates some barriers to service delivery. However, we found a 46% decrease in the number of youths participating …

Training Counselors Using Virtual Reality, Courtney M. Holmes, Fatima Tariq, Karena Heyward, Denise Hall

Journal of Technology in Counselor Education and Supervision

Virtual reality (VR) has the potential to expand experiential learning opportunities in counselor education. This article discusses how semi- and immersive VR can provide students a diverse range of experiences to increase both counseling skill and empathy development for clients with a myriad of identities, diagnoses, and presenting counseling issues. Suggestions and implications for counselor education are discussed.

The Impact Of Culture On Health Perceptions And Help-Seeking Behaviors Among Older Latinos With Co-Occurring Diabetes And Depression: A Literature Review, Alejandra M. Aguirre

McNair Research Journal SJSU

Diabetes is one of the most common health disparities in the United States today and disproportionately affects older Latino populations. Increased recognition of the bidirectional relationship between diabetes and mental health has led to more awareness and treatments for diabetes and depression. Despite high prevalence rates, diabetes and depression are commonly undiagnosed and untreated in older Latinos. Existing literature reports that factors including genetic and behavioral factors, low socioeconomic status (SES), limited healthcare access, and language barriers may prevent this population from seeking professional treatment. Prior research also suggests that culturally based stigma toward these conditions can negatively impact health …