bluuebunny/crossref_metadata_2025_split huggingface dataset:
Developing a Reablement Program Aimed at Preventing Unnecessary Care Transitions After Geriatric Rehabilitation
Authors: Mouchaers Ines , Verbeek Hilde , Kempen Gertrudis , van Haastregt Jolanda , Vlaeyen Ellen , Goderis Geert , Metzelthin Silke 
Published: December 2021

Abstract
Patients returning home after geriatric rehabilitation may encounter several challenges related to daily functioning, which only manifest after returned home due to the large difference in environment and amount of support provided in both settings. This study aimed to develop an intervention preventing transitional care. A co-creation design was used, including literature research, observations, interviews, and working groups including a variety of stakeholders (n=13), including care professionals, policymakers of the municipality, client representatives, and an expert in the field of geriatric rehabilitation. Results indicated four main causes for transitional care problems: lack of communication between patients and professionals, coordination and continuity of care, patients’ limited self-management skills, and insufficient preparation. To solve these problems, an intervention was developed consisting of six intervention components aiming to increase self-management during meaningful daily activities, narrow the gap between the rehabilitation and home setting, and enhance communication and coordination.
Aging With Intellectual and Developmental Disabilities: A Critical Examination of Supports for Healthy Aging
Authors: van Heumen Lieke , Munly Kelly , Heyn Patricia 
Published: December 2021

Abstract
The number of older adults with intellectual and developmental disabilities (IDD) in the U.S. is expected to double and potentially triple by 2030. Despite this demographic urgency, there continues to be a lack of research directly addressing aging of people with IDD. Individuals with IDD have on average twice as many health problems than others without IDD, experience earlier age-related declines in health and function than the general population and are more likely to develop secondary conditions as they age. The increase in the number of people aging with IDD and the challenges experienced by this population have demanded new directions for research, practice and policy that promote social justice and improve this population’s health and well-being. This symposium brings together research that critically examines and calls for a “new normal” of supports for healthy aging provided to the population aging with IDD. The first presentation consists of a systematic review of healthy aging interventions for adults with IDD. The authors conclude that such interventions for adults with IDD remain scarce, incipient and sporadic. The second presentation critically reviews an interprofessional education model aimed to address the complex and unique needs of older adults with IDD and dementia. The authors provide recommendations for the future development of interprofessional education in this field. In the third and final presentation the authors offer further transformation toward a new normal as they outline future directions for research on aging with IDD that is informed by positive psychology and disability studies theory.
Are Persons With Intellectual and Developmental Disabilities Being Embraced in Healthy Aging Interventions?
Authors: Santos Flavia , Zurek Johanna , Janicki Matthew 
Published: December 2021

Abstract
We carried out a systematic review of healthy ageing interventions for adults with IDD. Twenty-three prospective studies including 2,398 men and women [average age: 44.3 years old] were found worldwide. Among them were only five RCTs. The designs usually were within or between subjects involving small sample sizes (ranging from 8 to 379 participants), mostly non-randomised or without follow up. We identified four thematic areas: Physical activity - nutrition and health (n = 10); Health education and health exams (n = 6); Social inclusion and community participation (n = 3); and Multi-components (n = 4). Overall, studies found effective outcomes, such as loss of body weight and improvement in nutritional habits, despite a few negative findings. We conclude that healthy ageing initiatives for people with IDD continue to be scarce, incipient, and sporadic. More research should embrace health promotion in people with IDD as a programme practice and public policy.
Factors Related to COVID-19 Vaccine Uptake in Black American Communities
Authors: Johnson Julene , Harris Orlando , Hill Carl V , Lichtenberg Peter , Keiser Sahru , Tran Thi , Perry Tam , Portacolone Elena 
Published: December 2021

Abstract
Black/African Americans represent 13% of the population, yet account for more than 24% of COVID-19 deaths. Emerging evidence indicates that Black Americans are receiving COVID-19 vaccines at lower rates than whites. However, there is minimal information about why vaccination rates are lower. To address this gap, we examined the effects of the COVID-19 pandemic among Black Americans, with an emphasis on understanding trust and vaccine uptake. Data were collected between July and September 2020 using 8 virtual focus groups in Detroit, MI and San Francisco Bay Area, CA with 33 older Black Americans and 11 caregivers of older Black Americans with cognitive impairment. Inductive/deductive content analysis was used to identify themes. The first theme pointed to a sense of feeling abandoned by healthcare providers and the government at local and state levels, which exacerbated uncertainty and fear about the vaccine and in general. The second theme emphasized a sense of deep distrust towards healthcare providers and the government, especially during the pandemic. The third theme pointed to a reluctance in receiving the vaccine because of distrust of pharmaceutical companies and the government, as well as misinformation and the rapid speed of vaccine development. These findings suggest that underlying systemic issues need to be addressed immediately to accelerate vaccine uptake among older Black Americans. New initiatives are needed to foster trust and address abandonment by healthcare and government systems. In addition, public health campaigns with reliable information about the COVID-19 vaccine are needed.
Implementing a Personalized Music Intervention for Persons Living With Dementia in Nursing Facilities
Authors: Inoue Megumi , Li Meng-Hao , Ihara Emily , Tompkins Catherine , Clark Christi , Layman Shannon 
Published: December 2021

Abstract
The Mason Music & Memory Initiative (M3I) team has implemented a personalized music intervention in nursing facilities across Virginia aiming to improve behavioral and psychological symptoms of persons living with dementia. This person-centered intervention uses a unique music playlist comprising songs, artists, and preferred musical genres. The preliminary findings from a randomized controlled trial will be reported, the purpose of which was to examine the intervention impact on nursing home residents’ mood and behavior. Based on the findings from 16 facilities with 158 residents who have completed the study, both quantitative and qualitative data indicate the positive effects on residents, including improved sleep and mood, as well as reduced agitation. The challenges in implementing intervention research in nursing facilities during the COVID-19 pandemic and the principles of telehealth and virtual support for facilities that were used to address those challenges will also be discussed.
Instrumental Activities of Daily Living Difficulties Predict Cognitive Decline in Older Puerto Rican Adults
Authors: Pope Caitlin , Bell Tyler , Downer Brian , Milani Sadaf , Roach Lauren , Crowe Michael 
Published: December 2021

Abstract
Given the hypothesized bidirectional association between functional and cognitive decline, further characterization of the temporal association between the two is needed, especially in Latinx samples as they are the most rapidly growing demographic in the United States and at greater risk for Alzheimer’s disease. This study assessed bidirectional associations between instrumental activities of daily living (IADL) difficulty and cognition in older Puerto Rican adults. Participants included 2,840 community-dwelling adults (60+ years) without cognitive impairment who completed baseline and a four-year follow-up in the Puerto Rican Elderly: Health Conditions (PREHCO) project. At each wave, cognition (using the Mini-Mental Cabán) and self-reported IADL difficulty (a sum score of 10 everyday tasks) were measured. Covariates included age, gender, education, comorbidities, and depressive symptoms. Bidirectional associations were tested using a path model with concurrent and cross-lagged paths between cognition and IADL difficulty adjusting for covariates. Lower baseline cognition related to more baseline IADL difficulty (B=-0.08, SE=0.02, p&lt;.001). Cognitive decline at follow-up related to greater IADL difficulty at follow-up (B=-0.06, SE=0.02, p=.012). Looking at cross-lagged associations, greater baseline IADL difficulty associated with more cognitive decline at follow-up (B=-0.10, SE=0.04, p=.012). However, baseline cognition was not significantly associated with change in IADL difficulty at follow-up (B=-0.003, SE=0.02, p=.869). Findings support the growing body of literature that IADL difficulties can predict future cognitive decline in samples of community-dwelling older adults. More research into both functional and cognitive decline in Latinx samples will provide a more generalizable view of aging.
The Relationship Between Loneliness and the COVID-19 Pandemic on Cognition and Well-Being in Older Adults
Authors: Rhodus Elizabeth , Barber Justin , Gibson Allison , Bardach Shoshana , Parsons Kelly , Johnson Julia , Jicha Gregory 
Published: December 2021

Abstract
Social distancing is necessary to limit the spread of Covid-19. However, many older adults are predisposed to isolation and loneliness despite calls to socially distance. The current study examined loneliness during Covid-19 in relation to cognition and wellbeing in older adults. Data were extracted from a U.S. ADRC longitudinal study of aging database. Cognition was assessed using the NACC UDS 3.0 battery. Measures of well-being include: Short Form Health Survey, Subjective Memory Assessment, and Geriatric Depression Scale. Measurement of loneliness was selected from the NIH ADRC Covid-19 questionnaire. Data were from 115 older adults with normal cognition or MCI with a visit ≤18 months before research stoppage in March 2020 and after resumption in late-June 2020. Cognition and wellbeing are compared before and after onset of pandemic. Isolation due to Covid-19 may have long-term implications. Results of this study will highlight the need for acute assessments and psychosocial interventions.
Experienced Family Caregiver Perspectives on Advance Care Planning for African Americans Living With Dementia
Authors: Moss Karen , Wright Kathy , Hurst Laurel Myers , Grieff Abigail , Rose Karen , Monroe Todd , Willis Celia 
Published: December 2021

Abstract
Most existing advance care planning (ACP) programs do not meet the needs of lower socioeconomic status (SES) African American (AA) older adults living with dementia. The perspectives of experienced family caregivers are integral to achieving appropriate ACP tailoring. The purpose of this study is to describe experienced family caregiver perceptions about needs and preferences for tailoring ACP for family caregivers of lower SES AA older adults living with dementia. This qualitative, descriptive, cross-sectional study is embedded within a larger community-based participatory study aimed at intervention development. Caregivers are completing up to two interviews. Preliminary data describes themes involving Caregiver Stress and suggestions for Service Improvements addressing grief and loss pre- and post-death. Caregiver findings and other stakeholder data from healthcare providers and community leaders will guide the design of a “new normal” enhanced, preference-consistent ACP intervention to improve end-of-life care during a global pandemic that is amplifying pre-existing healthcare disparities.
The Effects of Gender and Marital Status on Accrued Debt in Retirement Planning
Authors: Zurlo Karen , Chen Zibei 
Published: December 2021

Abstract
The effects of gender and marital status on accrued debt in retirement planning becomes an urgent concern because unmarried women face greater financial challenges in retirement than their counterparts. This study used data from the National Financial Capability Study (NFCS), designed by FINRA. We identified debt that influences retirement planning among a sample of pre-retirees, aged 51 to 61 years, and consider the associations of gender, marital status, debt, and retirement planning. Our results indicated that mortgage debt and credit card debt were negatively associated with retirement planning for women. Having a retirement account is positively associated with retirement planning and it also mediates the relationship between credit card debt and retirement planning. We urge women and financial planning executives to take time during the pre-retirement years to assess their various forms of debt and determine how it affects retirement planning objectives given current marital status.
Examining the Relationship Between Preference for Solitude and Subjective Well-Being Among Japanese Older Adults
Authors: Toyoshima Aya , Kusumi Takashi 
Published: December 2021

AbstractBackground and ObjectivesFocusing on the fact that older adults with positive emotions tend to spend time alone, this study aimed to examine the relationship between preference for solitude and subjective well-being among older adults. In Study 1, we developed a revised version of the Preference for Solitude Scale with a 3-factor structure, unlike the single-factor structure of the original scale. In Study 2, we examined the relationship between preference for solitude and subjective well-being using the revised scale.Research Design and MethodsWe conducted an Internet survey with 210 older adults in Study 1 to develop a revised Japanese scale. In Study 2, to address the possible research method bias in Study 1, we conducted a mail survey with 276 older adults. We examined the replicability of Study 1, confirming metric invariance through multigroup analysis and hypothesis model through path analysis.ResultsThe results of the path analysis indicated that “Productivity during solitude” (Factor 3) was positively related with positive affect and life satisfaction, and “Enjoyment of solitude” (Factor 2) was negatively related with negative affect. However, the results of the mediation analysis suggested that preference for solitude was also related to loneliness, and the indirect effect of preference for solitude on well-being was negative.Discussion and Implications“Enjoyment of solitude” and “Productivity during solitude” were related to maintaining subjective well-being among older adults, although the effects were marginal. The impact of preference for solitude was mixed in enhancing and decreasing subjective well-being.
Composition and Stability of the Vaginal Microbiota of Pregnant Women With Inflammatory Bowel Disease
Authors: Hill Janet E , Peña-Sánchez Juan-Nicolás , Fernando Champika , Freitas Aline C , Withana Gamage Niradha , Fowler Sharyle 
Published: December 2021

Abstract

Background
Inflammatory bowel disease (IBD) is common in women of childbearing years, and active IBD during pregnancy is associated with increased rates of preterm delivery and low-birth-weight newborns. Changes in the vaginal microbiome have been associated with preterm delivery. We aimed to determine the taxonomic composition of the vaginal microbiota at 3 time points during pregnancy in a population of women with IBD.

Methods
Participants were recruited from the patient registry of the Preconception and Pregnancy IBD Clinic at Royal University Hospital in Saskatoon, Canada. Self-collected vaginal swabs were obtained from patients at each trimester. Microbiota profiles were created by cpn60 amplicon sequencing.

Results
We characterized the vaginal microbiota of 32 pregnant participants with IBD (33 pregnancies) during each trimester. A total of 32 of 33 pregnancies resulted in a live birth with 43.8% (n = 14 of 32, 2 missing) by caesarean section; 2 of 32 were preterm. Microbiota compositions corresponded to previously described community state types, with most participants having microbiota dominated by Lactobacillus crispatus. In 25 of 29 participants in which samples were available for more than 1 time point, there was no change in the community state type over time. Prevalence of Mollicutes (Mycoplasma and/or Ureaplasma) was significantly higher in pregnant participants with IBD than in a previously profiled cohort of 172 pregnant women without IBD who delivered at term.

Conclusions
The vaginal microbiome of participants with IBD was stable throughout pregnancy. Prevalence of Mollicutes, which has been associated with preterm delivery, warrants further study in this patient group.
Intake, ruminal fermentation parameters, and apparent total-tract digestibility by beef steers consuming Pensacola bahiagrass hay treated with calcium oxide
Authors: Ciriaco Francine M , Henry Darren D , Schulmeister Tessa M , Sanford Carla D , Canal Luara B , Fontes Pedro L P , Oosthuizen Nicola , Dubeux Jose C B , Lamb G Cliff , DiLorenzo Nicolas 
Published: December 2021

Abstract
To determine the effect of CaO-treated Pensacola bahiagrass (Paspalum notatum) hay on intake, ruminal fermentation parameters, and apparent total-tract digestibility of nutrients, nine ruminally cannulated Angus-crossbred steers were used in a triplicated 3 × 3 Latin square design. Steers had ad libitum access to either 1) untreated dry hay (DH; n = 8); 2) hay at 50% DM treated with 8.9% CaCO3 (dry matter [DM] basis; CC; n = 9); or 3) hay at 50% DM treated with 5% CaO (DM basis; CO; n = 8). Water was added to reach 50% DM in the CC and CO diets. Ruminal fluid and blood samples were collected every 3 h for 24 h. Ruminal fluid was analyzed for pH, volatile fatty acids (VFA), and ammonia-nitrogen (NH3-N). Blood was analyzed for plasma urea nitrogen (PUN). Hay and fecal samples were collected for 4 d, four times daily for hay and twice daily for feces, to determine apparent total-tract digestibility of nutrients. The hay provided to steers during the digestibility period was analyzed for in vitro organic matter digestibility (IVOMD) for 48 h. Data were analyzed as repeated measures for blood and ruminal fermentation parameters. Total DM intake was not affected (P ≥ 0.674) by treatment. A treatment effect (P &lt; 0.001) was observed for average ruminal pH, where steers consuming CO had the greatest pH (P &lt; 0.001). Ruminal concentration of NH3-N tended (P = 0.059) to be reduced in steers consuming CO. There was a treatment × time interaction (P = 0.023) on concentrations of PUN, where at 3 h DH and CO were lesser than CC (P ≤ 0.050) and at 21 h DH was lesser than CC (P = 0.020). Total VFA, acetate, propionate, butyrate, branched-chain VFA, and valerate concentrations were affected by treatment (P ≤ 0.035), where a reduction (P ≤ 0.034) occurred in steers consuming CO. No treatment differences were observed for total-tract digestibility of DM (P = 0.186), organic matter (P = 0.169), or crude protein (P = 0.152); however, steers consuming DH had greater neutral detergent fiber (P = 0.038) than CC and tended to be greater than CO (P = 0.082). The CO hay had greater (P = 0.005) IVOMD compared with DH and tended (P = 0.100) to be greater than CC. Bahiagrass hay treated with CaO may reduce ruminal fermentation, as indicated by decreased total VFA concentration without altering DM intake. The addition of CaO did not improve the digestibility of bahiagrass hay in vivo; however, in vitro results are contradictory and warrant further elucidation.
Development of Azalea Lace Bug, Stephanitis pyrioides, on Susceptible and Resistant Rhododendron species in Western Washington
Authors: Garrison Ryan R , Tobin Patrick C 
Published: December 2021

Abstract
The invasive azalea lace bug, Stephanitis pyrioides (Scott) (Tingidae: Hemiptera), is an important pest of Rhododendron (L.) (Ericales: Ericaceae). Feeding by nymphs and adults removes chlorophyll, reduces rates of photosynthesis and transpiration, and causes leaf stippling, which reduces the aesthetic value of infested plants. Rhododendron spp. are a major component of landscapes in the Pacific Northwest. Previous studies on the seasonality of S. pyrioides in North America are largely from the southeastern United States, which could have limited applicability in the Pacific Northwest. To quantify S. pyrioides seasonality in western Washington, we sampled ~200 leaves from 18 Rhododendron plants 1–2 times per wk from April to October over 2 yr, and microscopically counted the number of eggs, early instars, late instars, and adults. We developed a degree-day model for first generation S. pyrioides, which we used to estimate that S. pyrioides undergoes two full and a partial third generation in western Washington. Our model estimates 5 and 50% early instar occurrence, after hatching from overwintering eggs, at 69 and 171 accumulated degree-days from 1 January, respectively, when using a base threshold of 10.2°, which can be used to optimize the timing of management decisions. We also observed faster development and adult emergence when S. pyrioides nymphs feed on susceptible host plants relative to more resistant host plants, which may influence the timing of management decisions and potentially increase the probability of a full third generation. This research enhances our knowledge of an emerging invasive species in the Pacific Northwest.
Integrative analysis ofMazama temama(Artiodactyla: Cervidae) and designation of a neotype for the species
Authors: Sandoval Eluzai Dinai Pinto , Rola Luciana Diniz , Morales-Donoso Jorge Alfonso , Gallina Sonia , Reyna-Hurtado Rafael , Duarte José Maurício Barbanti 
Published: December 2021

AbstractMazama temama is the smallest red deer in Central America. It was one of the first species described for the genus, and until the end of the last century many authors considered it as a subspecies of Mazama americana due to morphological similarities. Cytogenetic studies of animals in captivity have shown different karyotypes that led to its recognition as a unique species, and phylogenetic studies sustained the monophyly of the species, with some inconsistencies due to its wide geographical distribution. The objectives of the study were to characterize a topotype of Veracruz and three other specimens from a Campeche locality, to complement the description of M. temama and to propose a neotype for the species. We described this species morphologically (cranial measurements, skin color, and body biometry), and obtained karyorypes from wild animals with known origins for cytogenetic analyses (C band, G band, Ag-NOR, and Giemsa staining). We also performed phylogenetic analyses of Cytb, D-loop, COI, and ND5 mitochondrial genes. The morphometric results separated M. temama from M. americana but not from the other small Mazama species. The phylogenetic trees of mitochondrial genes Cytb, COI, and ND5 corroborated the monophyly of the species with 100% of posterior probability. The topotype’s karyotype is significantly different from the one previously described for the species, and the other specimens from Campeche have karyotype variants whose chromosomal rearrangements are possibly the beginning of a reproductive isolation mechanism. We discussed the possibility to have more than one species of red brocket deer in Mexico and Central America.