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1.
Personal Ment Health ; 2024 Sep 06.
Artículo en Inglés | MEDLINE | ID: mdl-39238448

RESUMEN

The present study examined the extent to which the currently established factor structure of the Personality Inventory for DSM-5 (PID-5; Krueger et al., 2013) generalizes to a large Persian community sample, as well as relations between the resulting PID-5 factors and two temperament measures. Cross-sectional data came from 946 adults (65% female) from western Iran. With the use of exploratory structural equation modeling (ESEM) with target rotation, we found factor loadings that showed fairly similar patterns to those found in two previous meta-analytic PID-5 studies with predominantly North American and European samples (Watters & Bagby, 2018; Somma et al., 2019). Despite slight differences in each of the target rotations, there were moderate congruence coefficients (~0.85) between loadings for the five PID-5 domains, with the weakest evidence supporting the Disinhibition factor. The resulting PID-5 factors showed meaningful associations with temperament domains assessed via the Temperament and Character Inventory (TCI; Cloninger, 1994) and Temperament Evaluation of Memphis, Pisa, Paris and San Diego-Autoquestionnaire (TEMPS-A; Akiskal et al., 2005). Overall, our findings suggest that the documented structure of personality pathology assessed by the PID-5 generalizes somewhat to this sample of Persian participants, and pathological personality traits show important overlap with temperament, although these constructs are meaningfully distinct.

2.
Res Integr Peer Rev ; 9(1): 2, 2024 Feb 16.
Artículo en Inglés | MEDLINE | ID: mdl-38360805

RESUMEN

Journal editors have a large amount of power to advance open science in their respective fields by incentivising and mandating open policies and practices at their journals. The Data PASS Journal Editors Discussion Interface (JEDI, an online community for social science journal editors: www.dpjedi.org ) has collated several resources on embedding open science in journal editing ( www.dpjedi.org/resources ). However, it can be overwhelming as an editor new to open science practices to know where to start. For this reason, we created a guide for journal editors on how to get started with open science. The guide outlines steps that editors can take to implement open policies and practices within their journal, and goes through the what, why, how, and worries of each policy and practice. This manuscript introduces and summarizes the guide (full guide: https://doi.org/10.31219/osf.io/hstcx ).

3.
J Pers Soc Psychol ; 126(1): 128-149, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-37589703

RESUMEN

School achievement has long-term consequences for occupational success, mental health, and overall psychological adjustment. The present study examined the association between temperament trajectories from late childhood through adolescence and academic outcomes during late adolescence and young adulthood. Data come from the California Families Project, a longitudinal study of 674 Mexican-origin youth assessed 12 times from Age 10 to 23, and from school records. Results from latent growth curve models indicate that higher levels of Effortful Control (EC) at Age 10 were associated with better academic achievement (i.e., higher high school grade point average and test scores, greater likelihood of high school graduation and college attendance) in late adolescence and young adulthood. Higher levels of Negative Emotionality (NEM) at Age 10 were associated with worse academic achievement, but this effect did not hold for all facets of NEM. Neither the levels nor slopes of Positive Emotionality (Surgency, Affiliation) consistently predicted school achievement. There were no main effects of the EC or NEM slopes; however, statistically significant interactions between these slopes and parental monitoring emerged. When parental monitoring was low, youth who experienced greater increases in EC (vs. flat or decreasing slopes) had better academic achievement, and youth who experienced greater increases in NEM had worse academic achievement; in contrast, when parents closely monitored their children, changes in EC and NEM were only weakly associated with achievement. Overall, these findings demonstrate that temperament in late childhood, and changes in temperament across adolescence, have important prospective effects on academic achievement. (PsycInfo Database Record (c) 2024 APA, all rights reserved).


Asunto(s)
Éxito Académico , Temperamento , Humanos , Adolescente , Niño , Adulto Joven , Adulto , Estudios Longitudinales , Instituciones Académicas , Padres
4.
J Pers Soc Psychol ; 2023 Oct 05.
Artículo en Inglés | MEDLINE | ID: mdl-37796592

RESUMEN

The time between adolescence and adulthood is a transformative period of development. During these years, youth are exploring work, relationships, and worldviews while gaining the capacities needed to take on adult roles. These social and psychological processes are reflected in how personality develops across this period. Most youth personality development research has focused on the Big Five domains, ignoring the hierarchical structure of personality and missing broader, higher order processes and more specific, lower order processes. Toward a more comprehensive account, this study examines how personality develops from adolescence into the early years of adulthood at the metatrait (stability, plasticity), domain (Big Five), and facet levels. Data come from a longitudinal study of Mexican-origin youth (N = 645) with few socioeconomic resources who were assessed 5 times from Ages 14 to 23. We used latent growth curve models to investigate mean-level change, rank-order consistency, and the maintenance of trajectories for self-reported personality metatraits, domains, and facets. We found distinct developmental processes unfolding at each level of the hierarchy, including (a) mean-level changes in the metatraits and domains indicating increases in exploratory tendencies (i.e., plasticity) and maturity (i.e., increases in agreeableness and conscientiousness, decreases in neuroticism), and divergent change patterns between facets within each domain indicating nuanced maturational processes; (b) comparable levels of rank-order consistency for metatraits, domains, and facets; and (c) evidence that deviations from youth's developmental trajectories did not persist over time. Our findings offer insights into personality development that would be impossible to glean from the domain-level alone and adds needed sociocultural diversity to the literature. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

5.
Psychol Aging ; 38(8): 749-762, 2023 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-37326565

RESUMEN

Problems with memory, executive function, and language are a significant public health concern, especially when they begin during midlife. However, there is relatively little work on risk and protective factors for cognitive function in middle adulthood. Using data from 883 Mexican-origin adults assessed up to 6 times across 12 years (Mage at Time 1 = 38.2 years; range = 27-63 years), the present study examined whether developmental trajectories (levels and slopes) of Big Five personality domains and socioeconomic factors (per capita income, economic stress) were prospectively associated with cognitive function (memory, mental status, verbal fluency) at the final assessment. We found that individuals with higher levels of, and smaller decreases in, Neuroticism had worse cognitive function 12 years later. Further, individuals with higher initial Conscientiousness had better subsequent memory, mental status, and verbal fluency, and individuals with higher Openness and Extraversion had better subsequent verbal fluency (but not memory or mental status). The trajectories of per capita income and economic stress were robustly associated with cognitive function, such that higher initial levels and greater increases in socioeconomic resources had protective associations, whereas higher levels and greater increases in economic stress had deleterious associations with cognitive function. Higher education level was associated with better cognitive function 12 years later. These findings suggest that changes in personality and socioeconomic factors across adulthood are associated with cognitive function, which may be informative for interventions to support healthier cognitive aging starting at least as early as midlife. (PsycInfo Database Record (c) 2023 APA, all rights reserved).


Asunto(s)
Envejecimiento , Personalidad , Humanos , Adulto , Estudios Longitudinales , Envejecimiento/psicología , Cognición , Factores Socioeconómicos
6.
Soc Psychol Personal Sci ; 14(1): 13-25, 2023 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-36644497

RESUMEN

Shyness, the tendency to be inhibited and uncomfortable in novel social situations, is a consequential personality trait, especially during adolescence. The present study examined the development of shyness from late childhood (age 10) through adolescence (age 16) using data from a large, longitudinal study of Mexican-origin youth (N = 674). Using both self- and mother-reports of shyness assessed via the Early Adolescent Temperament Questionnaire-Revised, we found moderate to high rank-order stabilities across two-year intervals and a mean-level decrease in shyness from age 10 to 16. Anxiety and depression were associated with higher initial levels of shyness, and anxiety was associated with greater decreases in shyness from age 10 to 16. Contrary to predictions, neither nativity (country of birth) nor language proficiency (English, Spanish) was associated with the development of shyness across adolescence. Thus, youth generally decline in shyness during adolescence, although there is substantial individual variability in shyness trajectories.

7.
J Phys Chem A ; 127(1): 57-70, 2023 Jan 12.
Artículo en Inglés | MEDLINE | ID: mdl-36549007

RESUMEN

Protein deamidation is a degradation mechanism that significantly impacts both pharmaceutical and physiological proteins. Deamidation impacts two amino acids, Asn and Gln, where the net neutral residues are converted into their acidic forms. While there are multiple similarities between the reaction mechanisms of the two residues, the impact of Gln deamidation has been noted to be most significant on physiological proteins while Asn deamidation has been linked to both pharmaceutical and physiological proteins. For this purpose, we sought to analyze the thermochemical and kinetic properties of the different reactions of Gln deamidation relative to Asn deamidation. In this study, we mapped the deamidation of Gln-X dipeptides into Glu-X dipeptides using density functional theory (DFT). Full network mapping facilitated the prediction of reaction selectivity between the two primary pathways, as well as between the two products of Gln-X deamidation as a function of solvent dielectric. To achieve this analysis, we studied a total of 77 dipeptide reactions per solvent dielectric (308 total reactions). Modeled at a neutral pH and using quantum chemical and statistical thermodynamic methods, we computed the following values: enthalpy of reaction (ΔHRXN), entropy (ΔSRXN), Gibbs free energy of reaction (ΔGRXN), activation energy (EA), and the Arrhenius preexponential factor (log(A)) for each dipeptide. Additionally, using chemical reaction principles, we generated a database of computed rate coefficients for all possible N-terminus Gln-X deamidation reactions at a neutral pH, predicted the most likely deamidation reaction mechanism for each dipeptide reaction, analyzed our results against our prior study on Asn-X deamidation, and matched our results against qualitative trends previously noted by experimental literature.


Asunto(s)
Asparagina , Dipéptidos , Asparagina/química , Aminoácidos , Preparaciones Farmacéuticas , Solventes , Amidas/química
8.
Anal Chem ; 94(26): 9242-9251, 2022 07 05.
Artículo en Inglés | MEDLINE | ID: mdl-35737979

RESUMEN

Rapid and effective differentiation and quantification of a small molecule drug, such as fentanyl, in bodily fluids are major challenges for diagnosis and personal medication. However, the current toxicology methods used to measure drug concentration and metabolites require laboratory-based testing, which is not an efficient or cost-effective way to treat patients in a timely manner. Here, we show an assay for monitoring fentanyl levels by combining the intermolecular interaction-enabled small molecule recognition (iMSR) with differential impedance analysis of conjugated polymers. The differential interactions with the designed anchor interface were transduced through the perturbance of the electric status of the flexible conducting polymer. This assay showed excellent fentanyl selectivity against common interferences, as well as in variable body fluids through either testing strips or skin patches. Directly using the patient blood, the sensor provided 1%-5% of the average deviation compared to the "gold" standard method LC-MS results in the medically relevant fentanyl range of 20-90 nM. The superior sensing properties, in conjunction with mechanical flexibility and compatibility, enabled point-of-care detection and provided a promising avenue for applications beyond the scope of biomarker detection.


Asunto(s)
Fentanilo , Pruebas en el Punto de Atención , Cromatografía Liquida/métodos , Impedancia Eléctrica , Fentanilo/análisis , Humanos , Espectrometría de Masas
9.
J Pers Soc Psychol ; 122(1): 171-186, 2022 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-33539152

RESUMEN

Suicide among young people is an increasingly prevalent and devastating public health crisis around the world. To reduce the rate of suicide, it is important to identify factors that can help us better predict suicidal ideation and behaviors. Adolescent temperament (effortful control, negative emotionality, positive emotionality) may be a source of risk and resilience for the onset of suicidal ideation, plans, and attempts. The present study uses longitudinal data from a large, community sample of Mexican-origin youth (N = 674), assessed annually from age 12 to 21, to examine how temperament is associated with the onset of suicidal ideation and behaviors during adolescence and young adulthood. Results indicate that higher levels of effortful control (activation control, inhibitory control, attention) are associated with decreased probability of experiencing the onset of suicidal ideation, plans, and attempts, whereas higher levels of negative emotionality (particularly aggression, frustration, and depressed mood) are associated with increased probability of experiencing the onset of suicidal ideation and behaviors. Positive emotionality (surgency, affiliation) was not associated with the onset of suicidal ideation and behaviors. Supplemental analyses showed conceptually similar findings for the Big Five, with Conscientiousness associated with decreased risk, Neuroticism associated with increased risk, and the other three dimensions showing largely null results. The findings did not vary significantly for boys and girls or for youth born in the U.S. versus Mexico. Overall, these findings suggest that adolescent temperament serves as both a protective factor (via effortful control/Conscientiousness) and a risk factor (via negative emotionality/Neuroticism) for suicidal ideation and behaviors in Mexican-origin youth. (PsycInfo Database Record (c) 2022 APA, all rights reserved).


Asunto(s)
Ideación Suicida , Temperamento , Adolescente , Adulto , Niño , Femenino , Humanos , Estudios Longitudinales , Masculino , México , Factores de Riesgo , Intento de Suicidio , Adulto Joven
10.
Ecol Evol ; 11(22): 15573-15584, 2021 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-34826306

RESUMEN

Meaningful conservation goals require setting baselines derived from long-term ecological records and information that is rare in many regions of the world. Historical data allow us to shift baselines back in time in order to strengthen conservation outcomes in the future.To explore how different histories of land use and development influenced coastal ecosystems in two Fijian cities (Suva and Savusavu), we compared a series of historical navigational charts. These charts recorded change in coral reef area and coastal mangrove forests, as well as expansions of hardened shorelines. We used geographic information systems (GIS) to georeference and make quantitative comparisons starting in 1,840 in Suva and 1876 in Savusavu.Our findings show that, despite increasing urbanization in the capital Suva, available coral reef habitat has not significantly changed in over 150 years, but development has hastened a nearly 50% loss of mangroves. Meanwhile, in the smaller city of Savusavu, coral habitats suffered significant loss in area and an increase in patchiness. As in Suva, shoreline hardening increased in Savusavu, but this change was not accompanied by a loss of mangroves.Nautical charts provided hitherto unavailable information on the long-term loss and alteration of coastal habitats in Fiji. Historical ecology allows scientists to combat shifting baseline syndrome and set measured standards for conservation objectives.

11.
Pers Soc Psychol Rev ; 25(4): 344-366, 2021 11.
Artículo en Inglés | MEDLINE | ID: mdl-34663112

RESUMEN

Researchers often study constructs that are conceptually and/or empirically related, but distinct (i.e., "sibling constructs"). In social-personality psychology, as well as psychology more generally, there is little guidance for how to deal with sibling constructs, which can result in researchers ignoring or mishandling them. In this article, we start by situating sibling constructs in the literature on the jingle-jangle fallacies. Then, we outline 10 conceptual and empirical criteria for determining the degree to which, and in what ways, constructs may share a sibling relationship, using self-esteem and grandiose narcissism as a running example. Finally, we discuss strategies for handling sibling constructs in a systematic and transparent way. We hope that the procedures described here will help social-personality psychologists identify sibling constructs, understand when and why they pose problems for their research, and adopt strategies that ameliorate their adverse effects.


Asunto(s)
Narcisismo , Hermanos , Humanos , Personalidad , Trastornos de la Personalidad , Autoimagen
12.
J Pers Soc Psychol ; 121(5): e19-e39, 2021 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-33539154

RESUMEN

The present study attempts to replicate and extend Snyder et al. (2015, JPSP). The original study examined the latent factor structure of the Early Adolescent Temperament Questionnaire-Revised (EATQ-R), a commonly used measure of adolescent temperament, and showed that the resulting latent factors (i.e., effortful control, negative emotionality, and positive emotionality) had theoretically meaningful concurrent associations with several measures of adolescent functioning (depression, anxiety, attention-deficit hyperactivity disorder [ADHD], relational aggression, and school performance and behavior). We performed these same analyses using data from a large sample of Mexican-origin youth (N = 674), and also examined prospective associations between the three EATQ-R factors and measures of adolescent functioning assessed two years later. We found some evidence supporting the bifactor models reported in the original study but poor replication of the correlations among latent factors. Additionally, model comparisons demonstrated that correlated factors models produced more interpretable factors than the bifactor models. In contrast, we replicated most of the concurrent correlations (and extended the findings to prospective associations) between the EATQ-R factors and measures of adolescent functioning, supporting the construct validity of the EATQ-R as a measure of adolescent temperament. Thus, these findings raise concerns about the generalizability of the factor structure identified by Snyder et al. (2015), but bolster claims about the generalizability of the concurrent and predictive validity of the EATQ-R. Overall, differences between the present findings and those of Snyder et al. (2015) highlight the importance of ongoing construct validation in youth temperament research, especially with participants from groups traditionally underrepresented in psychological research. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Asunto(s)
Trastorno por Déficit de Atención con Hiperactividad , Temperamento , Adolescente , Trastornos de Ansiedad , Humanos , Estudios Longitudinales , Encuestas y Cuestionarios
13.
J Pers Soc Psychol ; 119(2): 417-456, 2020 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-31999153

RESUMEN

The present study investigated the developmental precursors of effortful control, a temperament trait that involves the propensity to regulate one's impulses and behaviors, to motivate the self toward a goal when there are conflicting desires, and to focus and shift attention easily. Data came from the California Families Project, a multimethod longitudinal study of 674 Mexican-origin youth (and their parents), who were assessed at ages 10, 12, 14, 16, and 19. Effortful control (measured via self- and parent-reports) was moderately stable over time (r = .47 from age 10 to 19), and its developmental trajectory followed a u-shaped pattern (decreasing from age 10 to 14, before increasing from age 14 to 19). Findings from latent growth curve models showed that youth who experience more hostility from their parents, associate more with deviant peers, attend more violent schools, live in more violent neighborhoods, and experience more ethnic discrimination tend to exhibit an exacerbated dip in effortful control. In contrast, youth with parents who closely monitor their behavior and whereabouts exhibited a shallower dip in effortful control. Analyses of the facets of effortful control revealed important disparities in their trajectories; specifically inhibitory control showed linear increases, attention control showed linear decreases, and activation control showed the same u-shaped trajectory as overall effortful control. Moreover, most of the precursors of effortful control replicated for inhibitory control and attention control, but not for activation control. We discuss the broader implications of the findings for adolescent personality development and self-regulation. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Asunto(s)
Atención/fisiología , Desarrollo Humano/fisiología , Inhibición Psicológica , Autocontrol , Temperamento/fisiología , Adolescente , Adulto , Niño , Femenino , Humanos , Estudios Longitudinales , Masculino , Adulto Joven
14.
J Pers Soc Psychol ; 118(6): 1226-1246, 2020 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-30920279

RESUMEN

Many adolescents have difficulty regulating their impulses and become prone to externalizing problems (e.g., attention-deficit/hyperactivity disorder [ADHD], oppositional defiant disorder [ODD], and conduct disorder [CD]) and other adverse consequences. Using multimethod data from a longitudinal study of Mexican-origin youth (N = 674), assessed annually from age 10 to 16, we examined the relations between effortful control and ADHD, ODD, and CD symptoms over time. Bivariate latent growth curve models showed negative correlations between the trajectories of effortful control and ADHD, ODD, and CD, indicating that steeper decreases in effortful control were related to steeper increases in ADHD, ODD, and CD symptoms. Using a novel statistical technique, the factor of curves model (FOCUS), we found that ADHD, ODD, and CD share a common "externalizing" trajectory during adolescence. Although effortful control was strongly associated with this common trajectory, it had few unique associations with the individual disorder trajectories, above and beyond their shared trajectory. When we extended the FOCUS model to include the effortful control trajectory as an indicator, we found that ADHD and ODD had strong loadings, whereas effortful control and CD had comparatively weak loadings on the shared developmental trajectory. Follow-up analyses showed that a two-factor solution, with externalizing symptom trajectories on one factor and the effortful control facet trajectories on a separate factor, was a better fit to the data than a one-factor solution. Finally, parent ASPD symptoms were related to increases in CD, but had no significant influence on effortful control, ADHD, or ODD. We discuss the implications for personality and externalizing problem development. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Asunto(s)
Trastorno por Déficit de Atención con Hiperactividad/fisiopatología , Déficit de la Atención y Trastornos de Conducta Disruptiva/fisiopatología , Trastorno de la Conducta/fisiopatología , Autocontrol , Adolescente , Niño , Femenino , Humanos , Estudios Longitudinales , Masculino
15.
J Am Acad Psychiatry Law ; 47(3): 310-320, 2019 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-31186365

RESUMEN

The Americans with Disabilities Act has allowed for greater participation of individuals with disabilities across a variety of contexts, most notably in employment settings. Individuals with intellectual disability (ID) are still precluded, however, from full participation in other contexts, and they are often relegated to the forensic arena without sufficient support, including after being adjudicated incompetent to stand trial (IST). Frequently, individuals who are adjudicated IST due to ID are committed to inpatient psychiatric hospitals that are unable to meet their unique needs. We argue that the provision requiring reasonable accommodations to secure meaningful participation in state-funded restoration efforts, explicitly covered by Title II of ADA, is both relevant and imperative for this group. Further, we argue that simple modifications to the forensic assessment process, as well as the trial itself, can provide the scaffolding to facilitate individuals' full and complete participation in the process, reducing the likelihood of an inappropriate determination as IST. In our opinion, failing to appropriately modify the forensic assessment, treatment, and trial process systematically excludes and uniquely disadvantages this population because individuals with ID are often able to meet the essential functions of participation except for interference from deficits commensurate with ID.


Asunto(s)
Derecho Penal/legislación & jurisprudencia , Personas con Discapacidad/legislación & jurisprudencia , Personas con Discapacidad/psicología , Discapacidad Intelectual/psicología , Legislación como Asunto , Competencia Mental/legislación & jurisprudencia , Derechos Civiles , Comunicación , Comprensión , Humanos
16.
Pharm. pract. (Granada, Internet) ; 16(4): 0-0, oct.-dic. 2018. tab
Artículo en Inglés | IBECS | ID: ibc-180984

RESUMEN

Objectives: To determine the correlation between falls and two medication factors: the class of medications and potentially inappropriate medications (PIMs) prescribed to community-dwelling older adults aged 55 and older. Methods: Retrospective, cross-sectional study. Home health patients residing in a Texas/Mexico border community and reporting at least one fall within the past month. Medication use, medication classification, and potentially inappropriate medications (PIM) recorded by level of falls; non-fallers and recurrent fallers. Results: Of 99 participants, 13.1% reported falling once and 86.9% reported two or more falls. Participant's average number of medications used was 10.51 (SD 5.75) with 93.9% having four or more prescribed medications. Average number of PIMs prescribed per participant was 1.42 (SD 1.51) with at least one PIM prescribed to 65.6% of participants. Twenty three out of 83 identified classes of prescribed medications met criteria for the study's analyses but resulted in no significant association to falls when comparing NF to RF. Agents acting on the renin-angiotensin system and lipid modifying agents were the most frequently prescribed medication classes (N=55, 55.6%). Ibuprofen was the PIM most frequently prescribed (n=13, 13.1%). The correlation between use of a prescribed PIM and number of falls was not statistically significant (p=0.128). Conclusions: There was no correlation between classes of medication and level of falls. Recurrent fallers were more likely to have been prescribed a PIM than non-fallers (not significant). Although the analyses conducted for this study did not result in statistical significance, the high prevalence of polypharmacy and prescribed PIMs observed in these participants warrants a thorough review of medications to reduce fall risks among older adults


No disponible


Asunto(s)
Humanos , Masculino , Femenino , Anciano , Anciano de 80 o más Años , Efectos Colaterales y Reacciones Adversas Relacionados con Medicamentos/epidemiología , Accidentes por Caídas/estadística & datos numéricos , Prescripción Inadecuada/estadística & datos numéricos , Interacciones Farmacológicas , Contraindicaciones de los Medicamentos , Estudios Retrospectivos , Polifarmacia , Servicios Farmacéuticos/estadística & datos numéricos , México/epidemiología
17.
Pharm Pract (Granada) ; 16(4): 1283, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-30637029

RESUMEN

OBJECTIVES: To determine the correlation between falls and two medication factors: the class of medications and potentially inappropriate medications (PIMs) prescribed to community-dwelling older adults aged 55 and older. METHODS: Retrospective, cross-sectional study. Home health patients residing in a Texas/Mexico border community and reporting at least one fall within the past month. Medication use, medication classification, and potentially inappropriate medications (PIM) recorded by level of falls; non-fallers and recurrent fallers. RESULTS: Of 99 participants, 13.1% reported falling once and 86.9% reported two or more falls. Participant's average number of medications used was 10.51 (SD 5.75) with 93.9% having four or more prescribed medications. Average number of PIMs prescribed per participant was 1.42 (SD 1.51) with at least one PIM prescribed to 65.6% of participants. Twenty three out of 83 identified classes of prescribed medications met criteria for the study's analyses but resulted in no significant association to falls when comparing NF to RF. Agents acting on the renin-angiotensin system and lipid modifying agents were the most frequently prescribed medication classes (N=55, 55.6%). Ibuprofen was the PIM most frequently prescribed (n=13, 13.1%). The correlation between use of a prescribed PIM and number of falls was not statistically significant (p=0.128). CONCLUSIONS: There was no correlation between classes of medication and level of falls. Recurrent fallers were more likely to have been prescribed a PIM than non-fallers (not significant). Although the analyses conducted for this study did not result in statistical significance, the high prevalence of polypharmacy and prescribed PIMs observed in these participants warrants a thorough review of medications to reduce fall risks among older adults.

18.
Anat Sci Educ ; 7(6): 494-500, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-24678048

RESUMEN

Few research articles have addressed the anatomical needs of entry-level occupational therapy students. Given this paucity of empirical evidence, there is a lack of knowledge regarding anatomical education in occupational therapy. This article will primarily serve as a retrospective look at the inclusion of anatomical education in the occupational therapy curriculum. Focusing on the historical inclusion is the first step to address the gap in existing knowledge. Examining the history of anatomy in occupational therapy provides an educational context for curricular developments and helps current anatomical educators understand the evolution of occupational therapy as a profession. Exploring the educational history also offers anatomy educators an identity, as significant contributors, in the training and preparedness of entry-level professionals while focusing on the ideals of occupational therapy. However, there is a critical need for empirical evidence of best teaching practices in occupational therapy and anatomical education. This manuscript provides a foundation and a starting point for further investigation into the anatomical competencies for entry-level occupational therapists.


Asunto(s)
Anatomía/educación , Terapia Ocupacional/historia , Historia del Siglo XVIII , Historia del Siglo XIX , Historia del Siglo XX , Historia Antigua
19.
Maturitas ; 75(1): 22-8, 2013 May.
Artículo en Inglés | MEDLINE | ID: mdl-23434262

RESUMEN

Falls are a leading cause of mortality among older adults worldwide. With the increasing aging population, falls are rapidly becoming a public health concern. Numerous internal and external factors have been associated with an older adult's increased risk of falling. Most notably visual impairments are gaining recognition for their critical role in fall events, particularly related to trips, slips and falls due to environmental hazards. This review presents the issue of vision and falls from a multidisciplinary health professional perspective. Discussions include the influence of visual impairment on mobility and activities of daily living, the effects of medications on vision, visual cognitive factors on falls risk and visual training interventions. Finally, implications for multidisciplinary health professional practice and suggestions for future research are offered.


Asunto(s)
Accidentes por Caídas , Trastornos de la Visión/complicaciones , Accidentes por Caídas/prevención & control , Anciano , Humanos
20.
Matern Child Health J ; 15(7): 993-1000, 2011 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-20721611

RESUMEN

Care coordination (CC), a component of the medical home, may aid families who have children with special health care needs (CSHCN). Few data link CC to individual patient outcomes. To compare parent-reported outcomes for CSHCN receiving practice-based care coordination with those receiving standard care. This cross-sectional study examined two groups of CSHCN: one that received the services of a care coordinator for a year and one that did not. Parental surveys assessed: access to medical care, practice help and support, satisfaction with services, and parental mental and physical health. Associations between group status and parent-reported outcomes were assessed via regression analyses controlling for sociodemographic and health status variables. We also examined whether CC households who reported higher satisfaction with care had higher scores in the four domains. Parents in the care coordination group reported higher utilization of both primary care and specialist physicians, but did not report better practice help and support, better satisfaction with care, or better overall parental health. Parents in the care coordination group who reported being satisfied with their care rated their PCPs as more helpful than did the comparison families. Parents in this subgroup also reported significantly higher levels of care coordination than did parents in the comparison group. CSHCN appear to have higher PCP and specialist utilization when they receive supplemental care coordination. Additionally, those who are more satisfied with the care coordination they receive are happier with the assistance from their PCP and the overall care coordination provided.


Asunto(s)
Prestación Integrada de Atención de Salud , Niños con Discapacidad/rehabilitación , Adolescente , Niño , Preescolar , Servicios de Salud Comunitaria , Comportamiento del Consumidor , Estudios Transversales , Femenino , Encuestas de Atención de la Salud , Humanos , Lactante , Masculino , Massachusetts , Adulto Joven
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