Digital Commons Network^™

A Melting Pot Of Medications: Issues Regarding Over-Prescribing In Dementia Populations, Angela Gifford

UNO Student Research and Creative Activity Fair

Over-prescribing is an issue faced by many in the older population, but dementia patients statistically experience higher prescribing rates of potentially inappropriate medications compared to their peers. There are currently no FDA approved medications available for the direct treatment of dementia, but drug classes like anticholinergics and psychotropics are used for the management of behavioral symptoms associated with the disease. These drugs can cause negative side-effects in the dementia populations including gastrointestinal issues, neurological issues, increased hospitalizations, and increased mortality rates within this group. Most troubling, the benefits that are supposed to occur from taking these drugs have been show …

Path Analysis Of Education And Disease Burden In Dementia Vulnerability, Sarah Hubner, Hyeon Jung (Judith) Kim, Julie Blaskewicz Boron

UNO Student Research and Creative Activity Fair

When considering the various extrinsic variables that affect disease vulnerability, it is valuable to study temporal ordering of factors to identify areas for disease intervention. This study sought to inform improvement of networks for the purposes of education and health by attempting to better define the causal ordering of ethnicity, age, gender, education, disease burden, and dementia diagnosis with the Aging, Demographics, and Memory Study, a sub-study of the Health and Retirement Study. Participants and/or proxies self-reported total number of chronic conditions, subsequently regarded as disease burden. Assessments occurred over four waves; participants were not reassessed after dementia diagnosis. The …

To Empathize, Or Not Empathize In Educational Leadership, Mei Jiang, Shulan Lu

Journal of Organizational & Educational Leadership

In this paper, we discuss transformational leadership and propose that empathy is at the heart of transformational leadership. We review the research on empathy and discuss the implication of these insights in educational leadership. We highlight the multifaceted and interconnected nature of empathy and discuss components of empathy that are most relevant to educational leaders. Recognizing one’s constraints on the empathy scale could protect leaders from burnout and poor decision making.

Exploring Advanced Practice Nurse Personal Professional Practice Behaviors In Engaging People In Shared Decision-Making, Christine M. Galante, Helene D. Winstanley, Patrice Hood

Nursing Education Research Conference (NERC)

To explore the attitudes and perceptions of advanced practice nurses in active clinical settings about engaging patients with chronic diseases as partners in shared decision-making and self-management which may improve patient outcomes.

Early Integration Of Gerontologic Didactic And Clinical Experiences: Changing Nursing Students' Attitudes, Interest, And Knowledge, Dianne Yow Daniels, Karen Louise Valcheff, Julianne B. Page

Nursing Education Research Conference (NERC)

Nurse educators across the globe are challenged to assist students to value gerontological nursing. This study will explore whether a nursing course with integrated gerontological content and innovative clinical strategies can impact the attitudes, knowledge, and interest of first semester undergraduate nursing students toward older adults.

2020-March-03-College Of Nursing Named Among Top Most Affordable Online Dnp Programs, University Marketing And Communication, East Tennessee State University

ETSU News

JOHNSON CITY (March 3, 2020) – East Tennessee State University’s College of Nursing was listed 10^th among the most affordable online Doctor of Nursing Practice (DNP) programs in the country, according to a new ranking by BestHealthDegrees.com.

ETSU’s DNP program is a doctoral degree focused on rural clinical practice in primary care settings. The program prepares advanced practice nurses and executive nurse leaders to assess and evaluate evidence from research and translate or use the findings to affect practice change and enhance and promote quality of care.

The program is offered in an online/blended format in which students complete …

Implementing An Unfolding Case Study Throughout The Nursing Curriculum To Increase Opioid Addiction Education, Tonja M. Padgett, Barbara Derose, Shirley K. Woolf, Samantha Tielker

Nursing Education Research Conference (NERC)

It is critical to incorporate opioid addiction education into nursing school curriculum. An unfolding case study centered on a person addicted to opioids including ramifications on family was created. The scenario can be threaded throughout the undergraduate curriculum from assessment to critical care and can continue into the graduate program.

Disrupting Incivility In Healthcare Through Interprofessional Education, Jeannette M. Kates, Marybeth Pavlik, Yvonne F. Hamill

Nursing Education Research Conference (NERC)

In this session, we will describe our experiences with implementing a session on incivility during a leadership seminar with interprofessional undergraduate and graduate health sciences students.

Formulation Development And Evaluation Of Aspasomes Containing Skin Whitening Agent, Mousumi Kar, Md Saquib, Dinesh Kumar Jain

Manipal Journal of Pharmaceutical Sciences

No abstract provided.

Not Queer Enough: How Current Medical School Curriculum Is Failing The Lgbt+ Community, Vanessa C. Iroegbulem

Women's and Gender Studies: Student Scholarship & Creative Works

Lesbian, gay, bisexual and transgender (LGBT+) individuals have specific healthcare needs, and often experience barriers in accessing quality and reliable health services. Research has revealed that medical practitioners are inadequately prepared to attend to the needs of the LGBT+ community.This paper will draw on the concept of intersectionality to discuss current medical school curriculum and its lack of LGBT+ education. This paper's focus is specifically on older LGBT+ adults, specifically the ways in which the intersection of gender, sexuality, race, and even class play a role in the different experiences of older LGBT+ adults in regard to the medical care, …

Evidence That Brain-Reactive Autoantibodies Contribute To Chronic Neuronal Internalization Of Exogenous Amyloid-Β1-42 And Key Cell Surface Proteins During Alzheimer's Disease Pathogenesis, Eric L Goldwaser, Nimish K Acharya, Hao Wu, George A Godsey, Abhirup Sarkar, Cassandra A Demarshall, Mary C Kosciuk, Robert G Nagele

Rowan-Virtua School of Osteopathic Medicine Departmental Research

Blood-brain barrier (BBB) permeability is a recognized early feature of Alzheimer's disease (AD). In the present study, we examined consequences of increased BBB permeability on the development of AD-related pathology by tracking selected leaked plasma components and their interactions with neurons in vivo and in vitro. Histological sections of cortical regions of postmortem AD brains were immunostained to determine the distribution of amyloid-β1-42 (Aβ42), cathepsin D, IgG, GluR2/3, and alpha7 nicotinic acetylcholine receptor (α7nAChR). Results revealed that chronic IgG binding to pyramidal neurons coincided with internalization of Aβ42, IgG, GluR2/3, and α7nAChR as well as lysosomal compartment expansion in these …

Grad At A Glance - 03/2020, Western Michigan University

Graduate College news

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What If Granny Wants To Gamble? Balancing Autonomy And Vulnerability In The Golden Years, Mary F. Radford

ACTEC Law Journal

No abstract provided.

Me Too? The Invisible Older Victims Of Sexual Violence, Ruthy Lowenstein Lazar

Michigan Journal of Gender & Law

A review of legal research on violence against women and elder abuse reveals a disturbing picture. There is hardly any American legal research examining sexual abuse of older women and its conceptualization in legal literature and treatment in the legal system.

This Article attempts to fill the abovementioned gap and to bring the hidden issue of sexual violence against older women to light. Scholars writing on rape, violence against women, and elder abuse tend to analyze age and gendered sexual violence separately from each other, without accounting for their interplay. This Article proposes a conceptual framework of sexual abuse of …

Adolescents' Attitudes And Intentions To Use A Smartphone App To Promote Safe Driving, Caitlin N. Pope, Emre Sezgin, Simon Lin, Nichole L. Morris, Motao Zhu

Graduate Center for Gerontology Faculty Publications

Purpose

Designing effective driving safety interventions is imperative as traffic crashes are the leading cause of injury and death for adolescents. Using concepts from the Integrated Behavioral Model, we investigated adolescents' attitudes and intentions towards engaging in safe driving practices and using smartphone-based driving safety technology.

Methods

Two-hundred and seven adolescents aged 14–18 (M = 16.1, SD = 0.8) completed a safe driving survey. A path model testing the associations between individual scores of attitudes, perceived norms, and perceived behavioral control with intentions controlling for demographic covariates was conducted.

Results

Greater intentions to drive safely was associated with greater …

Does Money Buy Healthiness: An Examination Of The Effects Of Socioeconomic Indicators On Physical And Mental Health, Caleb Nigrin

Honors Program: Senior Projects (Public)

The purpose of this thesis is to examine the impact of socioeconomic status indicators on physical and mental health. This study hypothesizes that higher socioeconomic status indicators are correlated with better physical and mental health while examining the extent of these relationships. In order to determine this, previous literature regarding health and socioeconomic status will be evaluated. The results of the General Social Survey (2016) will be used to test the effects of socioeconomic status on health using regression analysis. The responses of 1418 participants were used in this analysis, controlling for age, gender, race, political ideology, and religiosity. Two …

Influencing Factors On Specialty Preference Using The Social Cognitive Career Model: A Cross-Sectional Study On Medical Students In Taiwan, Yu-Shiuan Yang, Hui-Ching Weng

Journal of Medical Education

Purpose: A decline in the number of doctors in certain specialties has been observed around the world and affects medical care for those in need. Applying social cognitive career theory, this study aims to compare career preferences among medical students in different year groups, identify the influencing factors, and examine the impacts of malpractice anxiety. Our main purpose was to measure change in specialty preference among the different year groups and identify underlying causes. Methods: In this observational study, a self-reported survey was conducted. Questionnaires included three distinct parts: demographics, future specialty preferences, and factors affecting career choice. In total, …

Inhibition Deficits Are Modulated By Age And Cgg Repeat Length In Carriers Of The Fmr1 Premutation Allele Who Are Mothers Of Children With Fragile X Syndrome, Jessica Klusek, Jinkuk Hong, Audra Sterling, Elizabeth Berry-Kravis, Marsha R. Mailick

Faculty Publications

Individuals who carry a premutation (PM) allele on the FMR1 gene may experience executive limitations associated with their genetic status, including inhibition deficits. However, poor understanding of individualized risk factors has limited clinical management of this group, particularly in mothers who carry the PM allele who have children with fragile X syndrome (FXS). The present study examined CGG repeat length and age as factors that may account for variable expressivity of inhibition deficits. Participants were 134 carriers of the PM allele who were mothers of children with FXS. Inhibition skills were measured using both self-report and direct behavioral assessments. Increased …

Fall Prevention In Cognitively Impaired Patients, Bryan Kozlowski Rn, Jennifer Dill Bsn, Rn, Kristen Bray Bsn, Rn

Vizient/ AACN Nurse Residency Program™ EBP Projects

No abstract provided.

Not Queer Enough: How Current Medical School Curriculum Is Failing The Lgbt+ Community, Vanessa C. Iroegbulem

Audre Lorde Prize

Lesbian, gay, bisexual and transgender (LGBT+) individuals have specific healthcare needs, and often experience barriers in accessing quality and reliable health services. Research has revealed that medical practitioners are inadequately prepared to attend to the needs of the LGBT+ community.This paper will draw on the concept of intersectionality to discuss current medical school curriculum and its lack of LGBT+ education. This paper's focus is specifically on older LGBT+ adults, specifically the ways in which the intersection of gender, sexuality, race, and even class play a role in the different experiences of older LGBT+ adults in regard to the medical care, …

Dementia May Reduce Likelihood Of A “Good Death” For Patients With Cancer

Saudi Medical Journal

No abstract provided.

Age-Related Deficits In Voluntary Activation: A Systematic Review And Meta-Analysis, Vianney Rozand, Christopher W. Sundberg, Sandra K. Hunter, Ashleigh E. Smith

Exercise Science Faculty Research and Publications

Whether there are age-related differences in neural drive during maximal effort contractions is not clear. This review determined the effect of age on voluntary activation during maximal voluntary isometric contractions. The literature was systematically reviewed for studies reporting voluntary activation quantified with the interpolated twitch technique (ITT) or central activation ratio (CAR) during isometric contractions in young (18–35 yr) and old adults (>60 yr; mean, ≥65 yr). Of the 2697 articles identified, 54 were eligible for inclusion in the meta-analysis. Voluntary activation was assessed with electrical stimulation and transcranial magnetic stimulation on five different muscle groups. Random-effects meta-analysis revealed …

Under Pressure: Psychological Perspectives On Letterpress, Craft And Well-Being, V Squire, Sr Homer

School of Art, Design and Architecture

Abstract Arts and crafts are widely considered to be psychologically beneficial. Letterpress, as a traditional method of printing, was made redundant by computers in the later twentieth century but has enjoyed a 'rebirth' in recent years. There are a growing number of independent presses, and universities who are recognizing its potential as a pedagogical tool. As a printing method, it is no longer a necessity, so what is its role going forward? The techniques are not lost, but their value has changed. As a craft, letterpress has several distinctive qualities, particularly when compared to digital alternatives. When working with letterpress, …

Cognitive, Social, Emotional, And Subjective Health Benefits Of Computer Use In Adults: A 9-Year Longitudinal Study From The Midlife In The United States (Midus), Andree Hartanto, Jose C. Yong, Wei Xing (Zhuo Weixing) Toh, Sean Teck Hao Lee, Yue Qi Germaine Tng, William Tov

Research Collection School of Social Sciences

Computer use has been proposed to carry a host of benefits for cognitive function and socioemotional well-beingin older adults. However, the literature on computer use remains equivocal as extant research suffers from mixedfindings as well as methodological limitations, such as overreliance on cross-sectional designs, small samplesizes, and use of narrow criterions. The current studies (NStudy 1 ¼ 3,294, NStudy 2 ¼ 2,683) sought to address theselimitations through the use of a large-scale, nationally representative, and longitudinal dataset. We found thatfrequency of computer use—over a period of approximately 9 years—longitudinally predicted positive changesin executive functioning, hedonic well-being, eudaimonic well-being, sense of …

A Self-Reliant Umbrella: Defining Successful Aging Among The Old-Old (80+) In Shanghai, Lin Chen, Minzhi Ye, Eva Kahana

School of Social Work Faculty Publications

The Chinese old-old (80+) population has steadily increased in recent years; however, limited studies have examined how this group ages. The purpose of this study is to explore how the old-old in urban China define successful aging. Guided by grounded theory, we conducted semi-structured, in-depth interviews with community-dwelling old-old participants (N = 97). Participants identified self-reliance as the goal of successful aging, which was supported by four proactive behaviors: physical activity, financial security, community connectedness, and willing acceptance of reality. In our model, we conceptualized these four proactive behaviors to constitute the ribs of an umbrella, supporting a canopy to …

The Impact Of Diabetic Foot Ulcers And Unilateral Offloading Footwear On Gait In People With Diabetes, Erica Ling, Brian Lepow, He Zhou, Ana Enriquez, Ashley Mullen, Bijan Najafi

Faculty, Staff and Students Publications

BACKGROUND: Unilateral offloading footwear prescribed to patients with diabetic foot ulcers elevates one limb relative to the other, which may lead to limp and abnormal gait. This study investigated whether the unilateral foot ulcer and offloading combination negatively impacts gait function beyond diabetic peripheral neuropathy.

METHODS: Eighty-six participants were recruited in 3 groups: 12 with diabetic peripheral neuropathy and unilateral foot ulcers wearing offloading footwear (offloading group, age = 55.6 ± 9.5 years, BMI = 30.9 ± 4.5 kg/m

FINDINGS: The offloading group exhibited deteriorated gait function compared to the non-diabetic group (p < 0.005, Cohen's effect size d = 0.90-2.61). They also had decreased gait speed (p < 0.001, d = 1.79) and stride length (p < 0.001, d = 1.76), as well as increased gait cycle time (p < 0.001, d = 1.67) and limp (p < 0.050, d = 0.72-1.49) compared to the neuropathy group. The offloading group showed increased gait unsteadiness compared to the neuropathy group, but the difference did not reach statistical significance in our samples.

INTERPRETATION: This study demonstrated that while diabetic …

Orthostatic Hypotension, Cardiovascular Outcomes, And Adverse Events: Results From Sprint, Stephen P Juraschek, Addison A Taylor, Jackson T Wright, Gregory W Evans, Edgar R Miller, Timothy B Plante, William C Cushman, Tanya R Gure, William E Haley, Imran Moinuddin, John Nord, Suzanne Oparil, Carolyn Pedley, Christianne L Roumie, Jeff Whittle, Alan Wiggers, Ciarán Finucane, Rose Anne Kenny, Lawrence J Appel, Raymond R Townsend

Faculty, Staff and Students Publications

Orthostatic hypotension (OH) is frequently observed with hypertension treatment, but its contribution to adverse outcomes is unknown. The Systolic Blood Pressure Intervention Trial (SPRINT) was a randomized trial of adults, age ≥50years at high risk for cardiovascular disease (CVD) with a seated systolic BP (SBP) of 130–180 mmHg and a standing SBP ≥110 mmHg. Participants were randomized to a SBP treatment goal of either <120 mmHg or <140 mmHg. OH was defined as a drop in SBP≥20 or diastolic BP ≥10 mmHg one minute after standing from a seated position. We used Cox models to examine the association of OH with CVD or adverse study events by randomized BP goal. During the follow-up period (median 3years), there were 1,170 (5.7%) instances of OH among those assigned a standard BP goal, and 1,057 (5.0%) among those assigned the intensive BP goal. OH was not associated with higher risk of CVD events (primary outcome: HR 1.06; 95%CI: 0.78,1.44). Moreover, OH was not associated with syncope, electrolyte abnormalities, injurious falls, or acute renal failure. OH was associated with hypotension-related hospitalizations or emergency department visits (HR 1.77; 1.11,2.82) and bradycardia (HR 1.94; 1.19,3.15), but these associations did not differ by BP treatment goal. OH was not associated with a higher risk of CVD events and BP treatment goal had no effect on OH’s association with hypotension and bradycardia. Symptomless OH during hypertension treatment should not be viewed as a reason to down-titrate therapy even in the setting of a lower BP goal.

Common Geriatric Syndromes In Elderly Patients Attending Geriatric Clinic In Medical City, Eman Jasim Mohammed Al- Akkam, Zahraa Hussam Eldin Ismaeel, Entidhar Jasim Mohammed, Eman Jasim Mohammed Al- Akkam, Zahraa Hussam Eldin Ismaeel, Entidhar Jasim Mohammed

Iraqi Postgraduate Medical Journal

ABSTRACT: BACKGROUND: Elderly people develop different kinds of health problems which are known as geriatric syndromes that have more than one cause and involve many activities of the body. The common geriatric syndromes include urinary incontinence, falls, delirium, depression, dementia, sleep problems, osteoporosis, weight loss and constipation. OBJECTIVE: The objective of this study to estimate the prevalence of common geriatric syndromes in relation to gender and to interview the working state. PATIENTS AND METHODS: This study included 300 elderly patients with age range of 60 years -84years of both genders in a cross-sectional study from March - June 2019 who …

Silver And Old: How Emtala's Outdated Appropriate Medical Screening Standard Impacts The Aging Population, Madisyn Uekawa

Seattle University Law Review

With the U.S. elder population on the brink of booming, attention to the ramifications of legal standards that affect them is a must. In 2018, the Sixth Circuit split from its sister circuits and solidified an interpretation of the Emergency Medical Treatment and Labor Act’s (EMTALA) “appropriate medical screening” standard that will adversely affect aging individuals. Since older adults are the most likely demographic to use emergency care services, laws that impact emergency care will inevitably trickle down to this group of people. To protect already vulnerable older adults, EMTALA should be modified in such a way that (1) it …

Developing Communities Of Practical Wisdom: An Exercise In The Synthesis Of Memory, Religion And Pragmatism In Religious Studies, Holly Nelson-Becker

Social Work: School of Social Work Faculty Publications and Other Works

There is an ancient tension between the values of being and doing, with, at various times, doing garnering the more important position. In truth, both are important and matter. There are reciprocity and rhythm in the cycle of being, learning, doing, and reflection where all dimensions inform the next. Hans Georg Gadamer (1982) wrote similarly that understanding, interpretation, and application were in relationship such that the individual components could not be separated. Religious Studies stands as a discipline at the juncture of both being and doing: awareness and appreciation for diverse cultural, spiritual, and value dimensions. It also poses …