Digital Commons Network^™

Evidence-Based Approaches To Lowering Uti Rates In Skilled Nursing Facilities: A Review Of The Literature And Application To A Local Skilled Nursing Home, Hailey Griffin

Undergraduate Honors Capstone Projects

The purpose of this paper may be divided into two parts. The first part was a literature review that sought to determine the most common risk factors for developing a urinary tract infection in nursing homes, as well as to identify evidence-based practice interventions for decreasing UTI rates within that specific patient population. The second part consisted of a case study that sought to apply the principles gathered from the literature review to the UTI logs of a deidentified local nursing home. It was found that indwelling urinary catheters and age are the two most common precipitating risk factors for …

Prefrontal Activation During Inhibition Of A Balance Recovery Step, Ezinne Abugu

All Graduate Plan B and other Reports, Spring 1920 to Spring 2023

The ability to quickly step is an important strategy to avoid a fall. However, real-world settings often constrain a stepping path. Such constraints necessitate response inhibition to prevent an inappropriate step and select a new course of action to ultimately recover balance. The present study investigated neural mechanisms that underlie this ability to stop a highly automatic balance recovery step. In the field of cognitive neuroscience, response inhibition has typically been researched using focal hand reaction tasks performed by seated participants. This approach combined with neuroimaging has revealed a neural stopping network, which includes the right Inferior Frontal Gyrus (right …

The Role Of Multiracial Identity On Chronic Health Conditions In The U. S.: Evidence From The Behavioral Risk Factor Surveillance Survey, Anna Ruth Jinlong Wahls

Graduate Theses and Dissertations

Abstract Racial identity as it informs health disparities has largely been examined using monoracial groups and a binary framework. This study, informed by critical race theory and stress process theory, investigates the relationship between multiracial identity and health. Data from the 2021 Behavioral Risk Factor Surveillance Survey, a national telephone survey that collects health data on adult aged respondents, will be analyzed using a set of regression techniques. Specifically, the number of chronic health conditions reported by those identifying with more than one race will be compared to the number of conditions reported by monoracial individuals.

Effects Of A 12-Week Remote Exercise Program On Balance In Adults With Down Syndrome, Kayla Kotake, Sherwin Cadiao, Nicole Kaes, Jayston Prudencio

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose/Hypothesis Individuals with Down syndrome (Ds) tend to have deficits in balance and postural control, which negatively affects their ability to perform physical activities safely and independently. Previous research has shown that exercise can improve balance in people with Ds, however, most studies looked at balance in children with Ds. As the average life expectancy for people with Ds has increased, there is a need for research investigating balance in adults with Ds. Also, there is a need to increase exercise opportunities (eg, remote exercise programs) for adults with Ds, as physical inactivity and sedentary behavior are prevalent among individuals …

The Effects Of Telehealth On Access To Palliative Care In Rural Communities, Ryleigh Hanson

Honors Program: Senior Projects (Public)

Patients with serious and life-limiting illnesses are in need of palliative care which allows for both the patient and their family to learn how to live a relatively quality life in spite of their illness. Current access to palliative care is limited to urban areas leaving those in rural communities to face their illness without proper care. To understand why these limitations exist and to determine possible solutions, several articles were analyzed that focused on the benefits and stigmas of palliative care, why rural communities struggle to gain access to palliative care, and if telehealth is a possible solution to …

Coded Daily Communication Log Providing Client’S Health Updates, Joy Hodson

Capstone Projects and Master's Theses

Direct care staff of adults with developmental disabilities are not provided with information about changes to clients' physical and mental health. The Gateway Center of Monterey is a non-profit organization that provides a day program for adults with developmental disabilities to assist clients to live as independently as possible. Factors Contributing to this issue include time constraints, inadequate information provided to staff to adjust individual care, and staff resources being taxed to accommodate clients' changing needs. The communication deficiency led to clients’ changing needs not being met, staff needing to be equipped to accommodate changing needs, and communication breakdown between …

Asset-Rich And Cash-Poor: Which Older Adults Value Reverse Mortgages?, Joelle H. Fong, Olivia S. Mitchell, Benedict S. K. Koh

Research Collection Lee Kong Chian School Of Business

Home equity represents a substantial share of retirement wealth for many older persons, particularly in Asia where national housing policies have encouraged home-ownership. This paper explored the potential for reverse mortgages to help 'asset-rich and cash-poor' older Singaporeans unlock their home equity while ageing in place. The empirical analysis was based on a nationally representative survey of home-owners age 50+ in the 2018 Singapore Life Panel (N = 6,258). Our analyses showed that the average older home-owner holds some 60 per cent of total net wealth in housing equity, suggestive of high demand potential for reverse mortgage products. Nevertheless, actual …

Music Therapists' Perspectives On The Use Of Heavy Metal Music In Music Therapy, Jessie E. Davis

Theses & Dissertations

There is little research on heavy metal music in general, and even less research on the application of this genre in music therapy. This study collected data from 201 board certified music therapists who have experience using heavy metal music in their music therapy practice. A variety of open- and closed-ended questions were answered by these participants to gather their perspectives on this topic. Analyzation of quantitative data occurred using cross-tabulation descriptive statistics through Google Forms and qualitative data were analyzed through coding and a content analysis. Quantitative data concluded that participants would like to see an increase in the …

Discrimination And Cognitive Failures In Singapore And The Us: An Investigation Of Between- And Within-Persons Associations Through Multilevel Modelling, Nadyanna Binte Mohamed Majeed, K. T. A. Sandeeshwara Kasturiratna, Verity Y. Q. Lua, Mingyao Li, Andree Hartanto

Research Collection School of Social Sciences

Experiencing everyday discrimination can have a significant negative impact on an individual’s wellbeing. While much attention has been paid to the physical and mental health consequences of discrimination, less is known about how discrimination can affect cognitive health, and most existing work has been conducted in laboratory settings where participants recall discrimination retrospectively. Given the artificial environment and susceptibility to recall bias in such procedures, the current study utilised two daily diary studies, consisting of young adults in Singapore (Study 1; N = 484) and midlife adults from the US (Study 2; N = 3577), to examine the association between …

A Center Experience With Common Data Elements In Chronic Illness Self-Management Research, Wendy S. Bauer, Rachel F. Schiffman

College of Nursing Faculty Research and Publications

In recent decades, the use of common data elements has expanded across the health disciplines. This has included growth within programs of research focused on self-management and family nursing. Family nursing and self-management science may be expanded with the increased use of common concepts, measures, and theoretical frameworks. This article describes the experience of exploring the use of common data elements and identifying shared concepts from the perspective of one National Institute of Nursing Research funded Exploratory Center in Self-Management. Guidance offered by the Individual and Family Self-Management Theory is discussed, and implications for family research are presented.

Gender, Personality, And Cognitive Resilience Against Early-Life Disadvantage, Joseph L. Saenz, Sadaf Arefi Milani, Silvia Mejia-Arango

School of Medicine Publications

Objectives: Early-life disadvantage (ELD) relates to lower late-life cognition. However, personality factors, including having an internal locus of control (LOC) or a conscientious personality, relate to resilience and effective stress coping. We explore whether personality factors convey resilience against the negative effects of ELD on cognition, by gender, in Mexico.

Methods: Using the 2015 Mexican Health and Aging Study, we estimated expected cognition using multiple ELD markers to identify a subsample in the lowest quartile of expected cognition given ELD (n = 2,086). In this subsample, we estimated cross-sectional associations between personality and having above-median observed cognitive ability (n = …

Raps Sheet, May 2023, Retirement Association Of Portland State

RAPS Sheet: Monthly Newsletter

No abstract provided.

Genome-Wide Analysis Of Structural Variants In Parkinson Disease, Kimberley J Billingsley, Jinhui Ding, Pilar Alvarez Jerez, Anastasia Illarionova, Kristin Levine, Francis P Grenn, Mary B Makarious, Anni Moore, Daniel Vitale, Xylena Reed, Dena Hernandez, Ali Torkamani, Mina Ryten, John Hardy, Uk Brain Expression Consortium (Ukbec), Ruth Chia, Sonja W Scholz, Bryan J Traynor, Clifton L Dalgard, Debra J Ehrlich, Toshiko Tanaka, Luigi Ferrucci, Thomas G Beach, Geidy E Serrano, John P Quinn, Vivien J Bubb, Ryan L Collins, Xuefang Zhao, Mark Walker, Emma Pierce-Hoffman, Harrison Brand, Michael E Talkowski, Bradford Casey, Mark R Cookson, Androo Markham, Mike A Nalls, Medhat Mahmoud, Fritz J Sedlazeck, Cornelis Blauwendraat, J Raphael Gibbs, Andrew B Singleton

Faculty, Staff and Students Publications

OBJECTIVE: Identification of genetic risk factors for Parkinson disease (PD) has to date been primarily limited to the study of single nucleotide variants, which only represent a small fraction of the genetic variation in the human genome. Consequently, causal variants for most PD risk are not known. Here we focused on structural variants (SVs), which represent a major source of genetic variation in the human genome. We aimed to discover SVs associated with PD risk by performing the first large-scale characterization of SVs in PD.

METHODS: We leveraged a recently developed computational pipeline to detect and genotype SVs from 7,772 …

Genetic Associations Between Modifiable Risk Factors And Alzheimer Disease, Jiao Luo, Jesper Qvist Thomassen, Céline Bellenguez, Benjamin Grenier-Boley, Itziar De Rojas, Atahualpa Castillo, Kayenat Parveen, Fahri Küçükali, Aude Nicolas, Oliver Peters, Anja Schneider, Martin Dichgans, Dan Rujescu, Norbert Scherbaum, Deckert Jürgen, Steffi Riedel-Heller, Lucrezia Hausner, Laura Molina Porcel, Emrah Düzel, Timo Grimmer, Jens Wiltfang, Stefanie Heilmann-Heimbach, Susanne Moebus, Thomas Tegos, Nikolaos Scarmeas, Jordi Clarimon, Fermin Moreno, Jordi Pérez-Tur, María J Bullido, Pau Pastor, Raquel Sánchez-Valle, Victoria Álvarez, Mercè Boada, Pablo García-González, Raquel Puerta, Pablo Mir, Luis M Real, Gerard Piñol-Ripoll, Jose María García-Alberca, Jose Luís Royo, Eloy Rodriguez-Rodriguez, Hilkka Soininen, Teemu Kuulasmaa, Alexandre De Mendonça, Shima Mehrabian, Jakub Hort, Martin Vyhnalek, Sven Van Der Lee, Caroline Graff, Goran Papenberg, Vilmantas Giedraitis, Anne Boland, Delphine Bacq-Daian, Jean-François Deleuze, Gael Nicolas, Carole Dufouil, Florence Pasquier, Olivier Hanon, Stéphanie Debette, Edna Grünblatt, Julius Popp, Luisa Benussi, Daniela Galimberti, Beatrice Arosio, Patrizia Mecocci, Vincenzo Solfrizzi, Lucilla Parnetti, Alessio Squassina, Lucio Tremolizzo, Barbara Borroni, Benedetta Nacmias, Sandro Sorbi, Paolo Caffarra, Davide Seripa, Innocenzo Rainero, Antonio Daniele, Carlo Masullo, Gianfranco Spalletta, Julie Williams, Philippe Amouyel, Frank Jessen, Patrick Kehoe, Magda Tsolaki, Giacomina Rossi, Pascual Sánchez-Juan, Kristel Sleegers, Martin Ingelsson, Ole A Andreassen, Mikko Hiltunen, Cornelia Van Duijn, Rebecca Sims, Wiesje Van Der Flier, Agustín Ruiz, Alfredo Ramirez, Jean-Charles Lambert, Ruth Frikke-Schmidt

Faculty, Staff and Students Publications

IMPORTANCE: An estimated 40% of dementia is potentially preventable by modifying 12 risk factors throughout the life course. However, robust evidence for most of these risk factors is lacking. Effective interventions should target risk factors in the causal pathway to dementia.

OBJECTIVE: To comprehensively disentangle potentially causal aspects of modifiable risk factors for Alzheimer disease (AD) to inspire new drug targeting and improved prevention.

DESIGN, SETTING, AND PARTICIPANTS: This genetic association study was conducted using 2-sample univariable and multivariable mendelian randomization. Independent genetic variants associated with modifiable risk factors were selected as instrumental variables from genomic consortia. Outcome data for …

Are You Ready For Retirement? Retirement And Quality Of Life As Resources, Hyunsook Kang, Gina Causin, Mary Olle

Journal of Human Services: Training, Research, and Practice

Abstract

Retirement in later life has been considered as an important aspect of life course, because it contributes in many ways to one’s life change, social relations updates, and health declines. Although aging brings with changes and declining all aspects of life, many older adults still remain in active after their retirement. This study will address about relationships between older adults’ retirement and its’ quality-of-life resource. Retirement, itself, may be associated with a loss of professional colleagues and work-related friends (Gloria et al, 2015). By contrast, growing numbers of older adults may maintain their active participation in social networks through …

Cardiovascular Disease, Muscle Function, And Long-Term Falls Risk: The Perth Longitudinal Study Of Ageing Women, Abadi K. Gebre, Marc Sim, Jack Dalla Via, Alexander J. Rodríguez, Kun Zhu, John T. Schousboe, Jonathan M. Hodgson, Catherine P. Bondonno, Richard L. Prince, Joshua R. Lewis

Research outputs 2022 to 2026

Background: A few cross-sectional studies have highlighted inconsistent associations between cardiovascular disease (CVD) and musculoskeletal conditions. We sought to investigate the relationship between clinical CVD including subtypes, compromised muscle function, as well as incident self-reported and injurious falls in older women. Materials and methods: 1431 community-dwelling older women (mean age ± SD; 75.2 ± 2.7 years) were included in over 14.5 years of a prospective study, the Perth Longitudinal Study of Ageing in Women. CVD (up to 18-years prior to the baseline visit) and injurious fall hospitalizations over 14.5 years were obtained from linked health records. Self-reported falls for five …

Genetic Loci Of Beta-Aminoisobutyric Acid Are Associated With Aging-Related Mild Cognitive Impairment, Einat Granot-Hershkovitz, Brian Spitzer, Yunju Yang, Wassim Tarraf, Bing Yu, Eric Boerwinkle, Myriam Fornage, Thomas H Mosley, Charles Decarli, Bruce S Kristal, Hector M González, Tamar Sofer

Faculty, Staff and Student Publications

We studied the genetic associations of a previously developed Metabolomic Risk Score (MRS) for Mild Cognitive Impairment (MCI) and beta-aminoisobutyric acid metabolite (BAIBA)-the metabolite highlighted by results from a genome-wide association study (GWAS) of the MCI-MRS, and assessed their association with MCI in datasets of diverse race/ethnicities. We first performed a GWAS for the MCI-MRS and BAIBA, in Hispanic/Latino adults (n = 3890) from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). We identified ten independent genome-wide significant (p value <5 × 10-8) variants associated with MCI-MRS or BAIBA. Variants associated with the MCI-MRS are located in the Alanine-Glyoxylate Aminotransferase 2 (AGXT2 gene), which is known to be associated with BAIBA metabolism. Variants associated with BAIBA are located in the AGXT2 gene and in the SLC6A13 gene. Next, we tested the variants' association with MCI in independent datasets of n = 3178 HCHS/SOL older individuals, n = 3775 European Americans, and n = 1032 African Americans from the Atherosclerosis Risk In Communities (ARIC) study. Variants were considered associated with MCI if their p value <0.05 in the meta-analysis of the three datasets and their direction of association was consistent with expectation. Rs16899972 and rs37369 from the AGXT2 region were associated with MCI. Mediation analysis supported the mediation effect of BAIBA between the two genetic variants and MCI (p value = 0.004 for causal mediated effect). In summary, genetic variants in the AGXT2 region are associated with MCI in Hispanic/Latino, African, and European American populations in the USA, and their effect is likely mediated by changes in BAIBA levels.

Think Before You Speak: Examining The Impact Of Ageist Labels On Perceptions Of Older Adults, Samantha Cavalea, Devin Mccarthy, Nicole Badia, Nicole Alvira, Victoria M. Federico, Maria Pandolfo

Academic Festival

The goal of this proposed study is to examine how the use of different labels of older adults affect our perceptions of them.

Financial Illiteracy, Tyler Maloney

Academic Festival

No matter the socioeconomic class, people deserve sufficient resources to have opportunities for a better life. The increase of financial procarities creates a greater strain on health, building upon the problems people in poverty already face. The cycle that further cripples generations of low socioeconomic individuals and families must be fixed. In order to end this suffering, implementation of health and educational resources must become the cornerstone.

Food Related Intrusive Thoughts: A Pilot Study, Hoor Ul Ain

Honors Theses

Food related intrusive thoughts (FRITs), a type of intrusive thoughts, might be associated with greater frequency of food intake, greater anxiety and distress, and negative affect in general. However, little is known about the experience of FRITs in the moment. I hypothesized that (1) momentary food related intrusive thoughts or FRITs would be positively related to momentary negative affect and (2) that time since eating will moderate this relationship such that people with more time since eating will show a stronger positive relationship between FRITs and negative affect. These relationships were not found to be significant; however, there was a …

Understanding The Experiences Lived By Nurses Caring For Patients With Covid-19: A Hermeneutic Approach, Awatif Mansoor Alrasheeday, Ma. Venus Borja, Eddieson Pasay-An, Farhan Alshammari

Makara Journal of Health Research

Background: Nursing is highlighted among professions that value caring and is perceived as the profession’s heart and soul because of its critical role in providing and delivering high-quality patient care, especially during this coronavirus disease 2019 (COVID-19) pandemic. However, little is understood about the experiences of the frontline workers in caring for persons diagnosed with COVID-19. This study aimed to explore the experiences of nurses in caring for persons diagnosed with COVID-19 inspired by the four lived worlds of van Manen.

Methods: The hermeneutic phenomenology was used in nine nurses working in hospitals of Hail region. This study …

Sense Of Relatedness From Racial Groups Within Maltreated Youth, Jessica Castillo, Jaelin Isquith

Undergraduate Research Symposium Posters

Sense of relatedness is a crucial factor in the development of meaningful interpersonal relationships (Datu, 2017). Interpersonal relationships have demonstrated a significant impact on how individuals cope with their environment (Yulina et al., 2021). Youth in low socioeconomic environments are at higher risk of being exposed to unstable relationships which further increases this vulnerable population to learning ineffective interpersonal skills throughout their lifespan (Colman & Wisdom, 2004). Youth from marginalized groups have higher risk at experiencing negative life experiences, for example economic inequalities, heightened distress, systemic oppression, and economic inequalities (Hatch & Dohrenwend, 2007). Previous research has suggested African-American individuals …

The Project That Claire, Uh I Mean The Student Completed: Relative Clauses And Repair Disfluencies, Claire O’Shaughnessy

Honors Theses

Several areas of psycholinguistics focus on the role of memory in language processing. Two of these areas are repair disfluencies and complex syntactic structures; however, these two topics have traditionally been investigated completely separately from one another. The current experiment combines these two topics by presenting listeners with spoken sentences containing subject-extracted relative clauses (SRCs) and object-extracted relative clauses (ORCs) in which the semantic similarity between the critical noun phrases (NPs) was manipulated. In addition, the sentences could be spoken fluently, or there could be a repair disfluency in which the reparandum contained information that would be potentially helpful in …

Second April 2023 Faculty Senate Packet, University Of Nebraska At Kearney Faculty Senate

Faculty Senate Packets

No abstract provided.

Coping Among Older Adults During Covid-19 Pandemic: A Qualitative Research Study, Nicole Sperling, Vaibhavi Siddhartha, Emily Gorskie, Rebecca Barakat

Academic Festival

Previous research has discovered that as people age, their coping skills are enhanced due to different life experiences and resources accumulated over time. However, due to the severity of COVID-19, older adults were faced with hardships that resulted in them needing to cope. COVID-19 posed unique challenges such as quarantining and social distancing measures. The main objective of this current study was to determine how older adults have coped with the COVID-19 pandemic and how the pandemic has impacted their overall well-being. In this current qualitative research study, forty-one older adults were recruited to talk about their experiences during the …

The Use Of Simulation And Standardized Patients To Enhance Nursing Student Competency In Caring For Lgbtq Individuals, Laura Pittiglio

General Submissions: Presentations (Oral and Poster)

HP 2020 proposes that increasing training for health care providers in the provision of culturally competent care will improve health outcomes for this vulnerable population. Nurses are usually the first point of care for individuals seeking care. Therefore, that initial patient-provider encounter can influence decisions regarding future health care. In order to enhance nursing competencies in culturally competent care, a simulation experience using a narrative script and a high-fidelity manikin was incorporated into a undergraduate nursing course. The simulation scenario was designed to facilitate the delivery of healthcare to LGBTQ identifying individuals. A pre-simulation and post-simulation survey was administered in …

Focusing Our Attention On Socially Responsive Professional Education To Serve Ethnogeriatric Populations With Neurogenic Communication Disorders In The United States, José G. Centeno, Loraine K. Obler, Linda Collins, Gloriajean Wallace, Valarie B. Fleming, Jacqueline Guendouzi

Communication Sciences and Disorders Faculty Articles and Research

Purpose:

This viewpoint discusses a plausible framework to educate future speech-language pathologists (SLPs) as socially responsive practitioners who serve and advocate for the burgeoning vulnerable ethnogeriatric populations with neurogenic communication disorders.

Method:

We provide an overview of the demographic, epidemiological, and biopsychosocial context that supports the implementation of equity-based, population-grounded educational approaches for speech-language pathology services in ethnogeriatric neurorehabilitation caseloads and discuss a plausible perspective based on the educational social determinants of health (SDOH) framework by the National Academies of Sciences, Engineering, and Medicine.

Results:

The NASEM's three-domain SDOH educational perspective integrates education, community, and organization to create a self-reinforcing …

Co-Designing Assistive Technology With And For Persons Living With Dementia, Dympna O'Sullivan, Jonathan Turner, Siobhan O'Neill, Micheal Wilson, Julie Doyle

Conference papers

Dementia is a chronic and progressive neurodegenerative illness, which can lead to significant difficulties in a person’s capacity to perform activities of daily living (ADLs) and engage in meaningful activities. There is an acute need, which digital health technologies can potentially fulfil, to provide proactive support for persons living with dementia (PLwD) and their caregivers. However, there is limited involvement of PLwD in the design of technology that could be used to support their personal plans for independent living at home. In this paper, we describe how we are employing a co-design methodology to support engagement in an assistive technology …

Executive Committee - Minutes, 4/25/2023, Academic Senate

Academic Senate Minutes

No abstract provided.

Executive Committee - Agenda 4/25/2023, Academic Senate

Academic Senate Agendas

No abstract provided.