749 research outputs found

    Morality and Blame

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    This thesis argues that moral wrongness, permissibility, and requirement are conceptually and metaphysically analysable in terms of moral blameworthiness. As formulated in terms of moral wrongness, the analysis I defend holds: Moral Wrongness as Moral Blameworthiness (MB): It is morally wrong for an agent to φ iff (Def) φ-ing violates standards such that, if the agent violated those standards without a moral excuse, they would be morally blameworthy for violating them, where ‘φ’ stands for an object of deontic moral assessment. Chapters 1-3 explain MB, situate it in relation to the sentimentalist tradition in meta-normative theory, and present my main positive arguments for MB. Chapters 4-6 respond to objections to MB. Finally, Chapter 7 examines the relation between moral wrongness and normative reasons in light of MB. I argue that MB supports the claim that we always have strong normative reasons not to act morally wrongly, but not any stronger claims concerning the connection between moral wrongness and normative reasons

    Longitudinal Assessment of Dementia Measures in Down Syndrome

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    Introduction: Early detection of dementia symptoms is critical in Down syndrome (DS) but complicated by clinical assessment barriers. The current study aimed to characterize cognitive and behavioral impairment using longitudinal trajectories comparing several measures of cognitive and behavioral functioning. Methods: Measures included global cognitive status (Severe Impairment Battery [SIB]), motor praxis (Brief Praxis Test [BPT]), and clinical dementia informant ratings (Dementia Questionnaire for People with Learning Disabilities [DLD]). One-year reliability was assessed using a two-way mixed effect, consistency, single measurement intraclass correlation among non-demented participants. Longitudinal assessment of SIB, BPT, and DLD was completed using linear mixed effect models. Results: One‐year reliability (n = 52; 21 male) was moderate for DLD (0.69 to 0.75) and good for SIB (0.87) and BPT (0.80). Longitudinal analysis (n = 72) revealed significant age by diagnosis interactions for SIB (F(2, 115.02) = 6.06, P = .003), BPT (F(2, 85.59) = 4.56, P = .013), and DLD (F(2, 103.56) = 4.48, P = .014). SIB progression (PR) had a faster decline in performance versus no‐dementia (ND) (t(159) = −2.87; P = .013). Dementia had a faster decline in BPT performance versus ND (t(112) = −2.46; P = .041). PR showed quickly progressing scores compared to ND (t(128) = −2.86; P = .014). Discussion: Current measures demonstrated moderate to good reliability. Longitudinal analysis revealed that SIB, BPT, and DLD changed with age depending on diagnostic progression; no change rates were dependent on baseline cognition, indicating usefulness across a variety of severity levels in DS

    Healthcare Disparities Among Incarcerated Populations: A Quality Improvement Project

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    A population that has been consistently subject to unequal treatment when receiving medical attention is the population of prisoners or jail inmates. It is essential to explore the discrepancies prisoners face and the effects it has on their health. The objective of this research was to bring to light the disparities incarcerated patients experience, and how to eliminate these. In order to develop a better understanding of the prejudiced actions incarcerated patients face in the healthcare spectrum, numerous studies have been analyzed.https://scholarworks.moreheadstate.edu/celebration_posters_2023/1014/thumbnail.jp

    Feasibility of Dual-Task Gait to Estimate Alzheimer\u27s Related Cognitive Decline in Down Syndrome

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    Introduction: The striatum and frontal lobes have been shown to have early Alzheimer\u27s disease (AD) neuropathology and are critical for motor and cognitive function. We hypothesized gait would be associated with early-stage dementia in Down syndrome (DS), a cohort at risk for AD. Methods: Twenty-eight participants with DS were enrolled in the study. Participants walked at their self-selected pace and while completing a dual task (counting, obstacle, or counting+obstacle). Results: All participants were able to complete the self-paced condition and 78.57-96.42% completed the dual-task conditions. There was a trend for greater dual-task effects on gait velocity based on dementia diagnosis. Gait velocity had stronger associations with clinical dementia assessments than age or diagnosis. Discussion: A dual-task gait paradigm is feasible to conduct with adults with DS and is associated with age and cognitive impairment. Dual-task gait may serve as an indicator of early stage dementia in DS
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