Digital Commons Network^™

2020-04-23 Daily Unm Global Health Covid-19 Briefing, Christophe G. Lambert, Shawn Stoicu, Ingrid Hendrix, Lori D. Sloane, Anastasiya Nestsiarovich, Praveen Kumar, Nicolas Lauve, Rachel D. King, Jenny Situ, Lauren Tagliaferro Epler, Cleoshia Williams, Ariel Hurwitz, Ryen Ormesher, Kathryn Foos, Alexandra Yingling, Elly Munde, Evans Raballah, Cristian Bologa, Kristine Tollestrup, Douglas J. Perkins

HSC Covid 19 Briefings

Executive Summary:

NM health order extension. NM and Navajo nation numbers. Pueblo relief. NM curve flattens. Economic recovery council. Businesses push to reopen. Police enforcement tough. Out-of-network healthcare billing. 3700 NM medical volunteers. Rising US deaths. Meat processor shortages. WHO malaria deaths warning. Europe: ½ of deaths nursing homes. British household testing. EU rescue package. Cybercrime 5X. NM PPE spending. PPE waste. Nylon + cloth masks. H2O2 PPE sterilization. NY 13.9% antibodies. NY risk factors. Children clinical features. Italian town infection “census”. Monitoring excess deaths. COVID-NET summary. Exit strategies. Outpatient screening. Hospital stress management. Practice guidance on: home anaphylaxis management, …

Increasing Advanced Directives In Primary Care, Jenny Niblock, Christine Hober

SACAD: Scholarly Activities

Most patients want to maintain complete control of their choice in their healthcare decisions to the very end of life. However, according to Bern-Klug and Byram’s (2017) study, less than 25% of Americans complete advanced directives. Despite legislation that mandates healthcare providers ask patients if they have an advanced directive, most healthcare providers do not have advanced directive discussions with their patients (Spoelhof & Elliott, 2012). The purpose of this project was to develop multifocal interventions that would increase the number of conversations healthcare providers have with their patients over the age of 18 in the primary care setting and …

Diverse Aging And Health Inequality By Race And Ethnicity, Kenneth F. Ferraro, Blakelee R. Kemp, Monica M. Williams

Department of Sociology: Faculty Publications

Although gerontologists have long embraced the concept of heterogeneity in theories and models of aging, recent research reveals the importance of racial and ethnic diversity on life course processes leading to health inequality. This article examines research on health inequality by race and ethnicity and identifies theoretical and methodological innovations that are transforming the study of health disparities. Drawing from cumulative inequality theory, we propose greater use of life course analysis, more attention to variability within racial and ethnic groups, and better integration of environmental context into the study of accumulation processes leading to health disparities.

The Effect Of Volunteering On Stress Hormone Levels Of Graduate Student Volunteers, Kyra Valovick, Kelsey Swegle

Virtual 2020 Spring Student Showcase for Research and Creative Inquiry

The purpose of this presentation is to set up methods for a long-term study using graduate students in the Speech Pathology graduate program at Longwood University. Previous studies have shown that levels of stress hormones, cortisol and alpha-amylase, decrease after a volunteering activity. In this study, we aim to replicate those results by taking saliva samples from graduate students who are volunteering with disabled children at a local therapeutic barn, Heartland Horse Heroes. From those samples, we will measure levels of cortisol, alpha-amylase, and DHEA, a hormone measuring resistance. We expect to see a decrease in cortisol and alpha-amylase and …

Measuring The ‘Dose’ Of Person-Centred Care In Aged Care: Development Of Staff And Family Questionnaires, Davina Porock, Junxin Li, Yu-Ping Chang

Research outputs 2014 to 2021

Aims: To develop a theoretically and psychometrically sound instrument to measure the ‘dose’ of person-centred care practice in long-term care.

Background: Although person-centred care has been adopted for long-term care across the world, there is a lack of theory-based instruments to measure its impact. Two questionnaires were developed to measure person-centred care from the perspectives of staff and family based on current person-centred care frameworks: Kitwood, Nolan, and Eden Alternative.

Methods: Phase I: literature review and focus groups identified potential items for the questionnaires. Phase II: academic experts, local staff, and family members of residents assessed content validity. Phase III: …

Amending California Law To Incentivize Preceptors, Marina Nguyen

Culminating Project Papers (DNP)

Clinical preceptorship training is a unique component in medical doctors, physician assistant, and nurse practitioner's academic curriculum. Preceptors are licensed clinicians, mentor student(s) during their regular hours of employment without additional compensation. California is currently experiencing a primary care shortage crisis, and with the push to train more health care professionals to meet these shortages, there has been an increase in schools, but not enough preceptors to train new students. This shortage in preceptors is widespread throughout the United States, with many programs having difficulty securing a preceptor site to educate students (Association of American Medical Colleges, 2018).

The culminating …

Executive Function As A Mediating Factor Between Visual Acuity And Postural Stability In Cognitively Healthy Adults And Adults With Alzheimer's Dementia, Susan W. Hunter, Alison Divine, Edward Madou, Humberto Omana, Keith D Hill, Andrew M Johnson, Jeffrey D Holmes, Walter Wittich

Physical Therapy Publications

BACKGROUND: Falls in older adults, notably those with Alzheimer's dementia (AD), are prevalent. Vision and balance impairments are prominent falls risk factors in older adults. However, recent literature in the cognitively impaired suggests that executive function (EF) is important for falls risk assessments. The study objectives were to: 1) to compare balance among people with AD, healthy older adults (OA), and healthy young adults (YA) and 2) to quantify the interaction of visual acuity and EF on postural stability.

METHODS: We recruited 165 individuals (51 YA, 48 OA, and 66 AD). Trail Making Tests (A and B) quantified EF and …

Hourly Rounding: The Effects On Fall Rates In Adult Population In Acute Care Setting, Sheyla J. Pellicier Mercucci

MSN Capstone Projects

Falls are one of fourteen categories of hospital-acquired conditions (HACs) listed by the Centers for Medicare and Medicaid Services (2020). Falls are costly and stressful for everyone involved; patients, families, nursing staff and physicians. According to the United States Department of Health and Human Services (2019), about seven hundred thousand to one million hospital admitted patients fall every year. The estimated cost of a fall is about fourteen thousand fifty-six dollars if an injury occurs and can extend patient’s hospital length of stay (LOS) to up to 6.3 more days (Joint Commission Center for Transforming Healthcare, 2019).

When a patient …

Examining The Impact Of A Positive Psychology Intervention With Latina Survivors Of Intimate Partner Violence, Eunice Lerma, Autumn Wright, James Ikonomopoulos, Yvette Hinojosa, Javier Cavazos

Journal of Counseling Research and Practice

We implemented a small series (N = 3) single-case research design to assess the effectiveness of a nine-session positive psychology treatment program for Latina survivors of intimate partner violence. Analysis of participants’ scores on life satisfaction and depression scales using the percentage of non-overlapping data point’s procedure yielded treatment effects indicating that a positive psychology treatment program may be effective for improving life satisfaction for Latina survivors of intimate partner violence. Implications for counselors and researchers are provided.

Natural Disasters: Implications For Counselors And Counselor Educators, Michael Bobbitt

Journal of Counseling Research and Practice

Natural disasters often strike with little to no warning and have devastating effects. The impact of natural disasters can include loss of property, loss of a job, or impairment of psychological functioning for survivors of natural disasters. Counselors are called to understand natural disasters, the impact of natural disasters, and interventions for working with natural disaster survivors. Therefore, the purpose of this paper is to examine the impact of natural disasters on clients, counseling practices for working with survivors of natural disaster, and the impact of natural disasters on counselors. Additionally, implications for counselors and counselor education are discussed.

Canine Cognitive Dysfunction (Ccd), Alzheimer’S Disease (Ad), And Β-Amyloid Accumulation: Using Ccd As A Reference For The Development Of Ad Treatments And Therapies, Isabel Gibbs

Virginias Collegiate Honors Council Conference

I researched the similarities and differences between Canine Cognitive Dysfunction (CCD)—a disease with symptoms and progression pattern that parallels Alzheimer’s Disease (AD)—and AD. I studied how β-amyloid accumulates in various brain regions—such as the prefrontal, occipital, entorhinal and parietal cortices—in canines to determine how β-amyloid accumulation is associated with the development of behaviors signifying cognitive decline observed in CCD and AD—such as changes in the sleep-wake cycle, social interaction, housetraining, and general orientation—in order to understand how neuroscientists may be able to derive new understandings from a canine model with CCD, and apply them to humans with AD to develop …

Supporting Older Adults Through Aging In Place And Capable Programs, Laura Compton

OTD Capstone Projects

This experiential component or doctoral capstone project involved a partnership with Habitat for Humanity of Greater Memphis. Through this agency, projects were completed based on identified needs of the Aging in Place and CAPABLE programs. The Aging in Place (AIP) program provides critical home repairs to low-income adults aged 60 years and older. The CAPABLE program provides the same critical home repairs along with a select number of visits from a registered nurse and an occupational therapist to help the older adults age in place safely.

Social Media As Occupation: Implications For Occupational Therapy Practice, Sheryl Eckberg Zylstra, Kimberly Erler, Wendell Nakamura, Brenda Kennell

The Open Journal of Occupational Therapy

No abstract provided.

Assessing Unmet Needs Of Caregivers After Stroke: Occupational Therapist Practices And Perspectives, Deborah R. Clymer, Hadley A. Fields, Kathy Kniepmann

The Open Journal of Occupational Therapy

Background: Family caregivers of stroke survivors often feel unprepared and overwhelmed post discharge with numerous unmet needs. Occupational therapists can play an integral role in addressing family caregivers’ needs. Limited research exists on assessment practices of occupational therapists in identifying caregivers’ needs poststroke. This study explores the practices and perspectives of occupational therapists in assessing unmet caregivers’ needs.

Method: A cross-sectional, mixed methods research design was used to electronically survey 15 occupational therapists. Part 1 of the survey explored participant methods for identifying caregivers’ needs and their views on using formal caregiver assessment tools. Part 2 gathered participant perspectives on …

Exploring How Older People Living At Home Alone Occupy Their Time – A Time-Geographic Study, Alison Wicks, Megan Blanchard, Ingeborg Nilsson

The Open Journal of Occupational Therapy

Background: Knowing what older people choose to do with their time informs occupational therapists in their everyday practice. This study explored how sixteen older Australians living at home alone without support occupied their time.

Method: People aged 70 years and older living alone in one’s home and receiving no support services were voluntary recruited. The participants completed time-use diaries for 5 days and recorded how, with whom, and where they spent time. Data were coded and analyzed using the software program Vardagen.

Results: The participants reported 217 different daily activities. While patterns of daily participation varied, all …

Mental Health Inpatient Hospitalization: What Nursing Can Learn From "Sensory Rooms.", Haley Wilson

Honors Theses

The purpose of this undergraduate thesis is to explore the use of sensory rooms in the psychiatric inpatient care setting. Mental illness is a serious issue, affecting millions each year. In 2018 the Substance Abuse and Mental Health Services Administration (SAMHSA) reported that one in five, or 19.6% of U.S. adults experienced some form of mental illness. Inpatient hospitalization is limited to those individuals posing a risk for serious harm to themselves or others. A census conducted by SAMHSA on April 30th, 2018, indicated 129,115 patients in the U.S. were receiving mental health care treatment in the inpatient setting. An …

Hypochondria And Interpersonal Relationships, Cynthia Kmety

2020 Awards for Excellence in Student Research and Creative Activity

Interpersonal relationships are important parts of our everyday lives, that can affect how we interact with others and can affect health status. This view on interpersonal relationships is often overlooked, however. This study was conducted with the goal of analyzing how the presence of hypochondria affects interpersonal relationships. It was hypothesized that those who have hypochondria will experience more negative interpersonal relationships. The researcher conducted a study using a survey that was administered to sixty-nine people. Results of the research and survey found that there were strained interpersonal relationship between people who have connections to hypochondria. Further research needs to …

"With Age Comes Wisdom:" A Qualitative Review Of Elder Perspectives On Healthy Aging In The Circumpolar North., Britteny M. Howell, Jennifer R. Peterson

Articles

No abstract provided.

Citizen Engagement In Aquatics Equity: The Case Of Winston Waterworks, Steven N. Waller Phd, James H. Bemiller Jd, Emliy J. Johnson, Chermaine D. Cole, Jason Scott Phd, Angela Wozencroft, Phd

International Journal of Aquatic Research and Education

Historically, swimming pools have been a source of inequity when it comes to the distribution of recreation services in the United States. Many of the problems that correlate with the inequitable allocation of recreation resources including public swimming pools began with ideas about race, geography, poor planning practices and faulty policymaking (Rothstein, 2017). Moreover, one of the primary outcomes of engaged, inclusive planning is equity in the provision of recreation programs and facilities. In this essay, we offer a summary of key legal cases that help address questions related resource allocation related to public swimming pools. Finally, we present a …

High Supervised Resistance Training In Elderly Women: The Role Of Supervision Ratio, Denis Cesar Leite Vieira, Dahan Da Cunha Nascimento, Vitor Tajra, Tatiane Gomes Teixeira, Darlan Lopes De Farias, Ramires Tibana, Alessandro Oliveira Silva, Thiago Santos Rosa, Milton Rocha Moraes, Fabrício Azevedo Voltarelli, James W. Navalta, Jonato Prestes

International Journal of Exercise Science

International Journal of Exercise Science 13(3): 597-606, 2020. The objective of this study was to compare the effects of very high supervision (VHS-RT) versus high supervision (HS-RT) ratio resistance training (RT) on irisin, brain-derived neurotrophic factor (BNDF), muscle strength, functional capacity, and body composition in elderly women. Participants performed daily undulating periodized RT over 16 weeks with two different supervision ratios: VHS-RT at 1:2 (supervisor/subject) or HS-RT at 1:5. Serum was used to analyze brain derived neurotropic factor (BDNF) and irisin by enzyme-linked immunosorbent assay (ELISA). Body composition was evaluated by dual-energy X-ray absorptiometry, while functional capacity was evaluated using …

High Supervised Resistance Training In Elderly Women: The Role Of Supervision Ratio, Denis Cesar Leite Vieira, Dahan Da Cunha Nascimento, Vitor Tajra, Tatiane Gomes Teixeira, Darlan Lopes De Farias, Ramires Tibana, Alessandro Oliveira Silva, Thiago Santos Rosa, Milton Rocha Moraes, Fabrício Azevedo Voltarelli, James W. Navalta, Jonato Prestes

Kinesiology and Nutrition Sciences Faculty Research

The objective of this study was to compare the effects of very high supervision (VHS-RT) versus high supervision (HS-RT) ratio resistance training (RT) on irisin, brain-derived neurotrophic factor (BNDF), muscle strength, functional capacity, and body composition in elderly women. Participants performed daily undulating periodized RT over 16 weeks with two different supervision ratios: VHS-RT at 1:2 (supervisor/subject) or HS-RT at 1:5. Serum was used to analyze brain derived neurotropic factor (BDNF) and irisin by enzyme-linked immunosorbent assay (ELISA). Body composition was evaluated by dual-energy X-ray absorptiometry, while functional capacity was evaluated using the Six-minute walk test, and Timed Up and …

Priviledge And Place: An Exploratory Study About Healthcare Bypass Behavior, Jorden Elizabeth Jackson

Theses and Dissertations

Bypass, or utilizing healthcare outside of one’s community rather than local healthcare, can have serious consequences on rural healthcare availability, quality, and outcomes. Previous studies of the likelihood of healthcare bypass used various individual and community characteristics. This study includes measures for individuals and communities, as well as place-based characteristics. We introduce the social vulnerability of place index (SoVI)—a well-established measure in disaster literature—into healthcare studies to further explain the impact of place on healthcare selection behavior. Additionally, with the use of qualitative data, this study explains why people choose to bypass. By including each of these measures, this study …

The Influence Of Education On Health: An Empirical Assessment Of Oecd Countries For The Period 1995–2015, Viju Raghupathi, Wullianallur Raghupathi

Publications and Research

Background: A clear understanding of the macro-level contexts in which education impacts health is integral to improving national health administration and policy. In this research, we use a visual analytic approach to explore the association between education and health over a 20-year period for countries around the world.

Method: Using empirical data from the OECD and the World Bank for 26 OECD countries for the years 1995–2015, we identify patterns/associations between education and health indicators. By incorporating pre- and post- educational attainment indicators, we highlight the dual role of education as both a driver of opportunity as well as of …

Tips For Communicating With Older Adults About Covid-19, Claire Pendergrast

Population Health Research Brief Series

Given the severe health risks coronavirus presents for older adults, it is critical to effectively communicate the risk. This brief describes strategies on how to effectively communicate with this population while keeping their comfort and safety in mind.

Cardiovascular Surgery Practice Remodel: Increasing Job Satisfaction And Reducing Turnover Rates Of Advanced Practice Providers, Christian Brooks

Doctor of Nursing Practice Scholarly Project

Cardiovascular Surgery Practice Remodel: Increasing Job Satisfaction and Reducing Turnover Rates of Advanced Practice Providers

Background: The CVS practice in a Midwestern state had a shift in morale and job satisfaction in their advanced practice providers (APPs). This shift lead to the high turnover rate of 35% in 2018. In an effort to bring a halt to the high turnover rate, and to continue the excellent patient care for which the hospital is known, hospital administration became involved and set up a committee to guide the development of a new CVS APP practice model. The goal was to develop …

Warty Carcinoma Of Uterine Cervix - Review Of The Literature And Case Report, Octavian Gabriel Olaru, Catalina Monica Pena, Oana Denisa Balalau, Anca Daniela Stanescu

Journal of Mind and Medical Sciences

Introduction. The Histological Classification of Epithelial Tumors of the Uterine Cervix of the World Health Organization includes inter alia warty carcinoma as a variant of squamous cell carcinoma. Until now several case reports and studies have shown that this particular cancer is associated with human papillomavirus/ HPV infection.

Case presentation. A 58-year-old woman presented with a vegetant cervical tumour. Biopsy samples were collected from the tumour, and the histological exam successively confirmed the warty cell carcinoma. Additional tests revealed the presence of single human papillomavirus/ type-45. An immunohistochemistry exam was performed in order to confirm the diagnosis, and …

Foot Muscle Activation In Resting, Barefoot, And Shod Walking Conditions - A Pilot Study, Lolita Chamberlain, Taryn Corey, Clint Frandsen, A. Wayne Johnson Pt, Phd, Sarah Ridge Phd

Library/Life Sciences Undergraduate Poster Competition 2020

Video Presentation 1st Place Award Winner/Poster 3rd Place Award Winner

Purpose: To compare differences in foot muscle activation while resting, barefoot, and shod to determine which condition requires the highest level of activation. Hypothesis: It is expected that percent increase in muscle activation will be highest for barefoot walking followed by shod walking, and will be lowest after resting.

Rural Caregivers: Identification Of Informational Needs Through Telemedicine Questions, Shoshana H. Bardach, Allison Gibson, Kelly Parsons, April Stauffer, Gregory A. Jicha

Sanders-Brown Center on Aging Faculty Publications

OBJECTIVES: The prevalence of Alzheimer's disease and associated disorders is increasing. Rural residents in the United States have less access to memory care specialists and educational and community resources than in other areas of the country. Over a decade ago, we initiated an interdisciplinary rural caregiving telemedicine program to reach Kentucky residents in areas of the state where resources for supporting individuals with dementia are limited. Telemedicine programs involve a short informational presentation followed by a question and answer session; programs are offered 4 times a year. The purpose of this study was to explore questions asked over 1 year …

Altruism, Egoism, Or Something Else: Rewarding Volunteers Effectively And Affordably, Laura Phillips, Mark Phillips

Southern Business Review (Archived)

Laura Phillips, PhD, is an assistant professor of management sciences at Abilene Christian University, Abilene, Texas, 79699.

Mark Phillips, PhD, is an associate professor of management sciences at Abilene Christian University, Abilene, Texas, 79699.

Gw Nursing, Spring 2020, George Washington University, School Of Nursing

GW Nursing Magazine

No abstract provided.