Depression Among the Elderly: Screening Practices and Attitudes Among Nurse Practitioners

Purpose: To examine California\u27s nurse practitioners\u27 (NPs) screening practices and attitudes towards depression among the elderly using the Depression Attitude Questionnaire (DAQ) (Botega, Mann, Blizard, & Wilkinson, 1992). Data sources: One hundred and fifty NPs, selected randomly from the membership of the California Association of Nurse Practitioners (CANP), were surveyed with electronic mailed questionnaires. Seventy-five (50%) self-reported surveys were completed and analyzed. Results: The majority of NPs routinely screened for depression among the elderly. Most thought that life events were not important in the development of depression, held a positive view with pharmacological and psychological treatments of depression, and felt comfortable in caring for depressed patients. However, one third of the respondents believed that it was difficult to differentiate whether patients were presenting with unhappiness or a clinical depressive disorder and that working with depressed patients was difficult This attitude was reported predominantly in respondents who have a master\u27s degree and worked as NPs for less than one year. Implications: The findings indicate the need to offer educational programs for NPs on depression in the elderly with the aim of increasing their diagnostic and care management skills

The Good Ship Mary Ann

Photograph of Daisy Leon; Steam boat sailing in waterhttps://scholarsjunction.msstate.edu/cht-sheet-music/11451/thumbnail.jp

From Crisis to Specialty Coffee the Case of Nicaraguan Smallholder Cooperatives and Jesuit Business Education for Sustainability and Justice

Project-based service-learning has been proven to be an effective experiential learning opportunity that complements standard curricula in business schools. Seattle University (SU) has collaborated with its sister university, Universidad de Centro Americana (UCA) in Managua, Nicaragua, since 2015 on several project-based service-learning experiences focused on sustainable coffee farming practices and the implications that climate change may have on coffee farms and communities. This partnership with UCA and coffee cooperatives has its roots in the global coffee crisis of the early 2000s and has produced multiple projects that support farmers entering the specialty coffee markets. This paper as such presents the outcomes of our annual field research that took place in Penãs Blancas, Nicaragua in March 2018. Using the framework of sustainable coffee in light of environmental, social, and economic sustainability objectives, we provide evidence that many farmers in Nicaragua have been experiencing issues with their farms’ sustainability. Our findings, moreover, reveal that the direct trade model used by the SU student-run social enterprise Café Ambiental is the most effective means of ensuring the farmers’ economic sustainability, thereby allowing them to develop the environmental sustainability of their farms as well as improve their family and community health, education, and overall livelihoods for enhanced social sustainability. This social enterprise model created by SU students takes significant steps toward fulfilling the needs and improving the lives of coffee farmers in Nicaragua while preserving the land at the same time so future generations can grow quality coffee. Finally, we believe that our project has potential that is transferable to other Jesuit higher education institutions that utilize and pursue similar structures and objectives

From Crisis to Specialty Coffee the Case of Nicaraguan Smallholder Cooperatives and Jesuit Business Education for Sustainability and Justice

Project-based service-learning has been proven to be an effective experiential learning opportunity that complements standard curricula in business schools. Seattle University (SU) has collaborated with its sister university, Universidad de Centro Americana (UCA) in Managua, Nicaragua, since 2015 on several project-based service-learning experiences focused on sustainable coffee farming practices and the implications that climate change may have on coffee farms and communities. This partnership with UCA and coffee cooperatives has its roots in the global coffee crisis of the early 2000s and has produced multiple projects that support farmers entering the specialty coffee markets. This paper as such presents the outcomes of our annual field research that took place in Penãs Blancas, Nicaragua in March 2018. Using the framework of sustainable coffee in light of environmental, social, and economic sustainability objectives, we provide evidence that many farmers in Nicaragua have been experiencing issues with their farms’ sustainability. Our findings, moreover, reveal that the direct trade model used by the SU student-run social enterprise Café Ambiental is the most effective means of ensuring the farmers’ economic sustainability, thereby allowing them to develop the environmental sustainability of their farms as well as improve their family and community health, education, and overall livelihoods for enhanced social sustainability. This social enterprise model created by SU students takes significant steps toward fulfilling the needs and improving the lives of coffee farmers in Nicaragua while preserving the land at the same time so future generations can grow quality coffee. Finally, we believe that our project has potential that is transferable to other Jesuit higher education institutions that utilize and pursue similar structures and objectives

Moonlight On The Mississippi

https://digitalcommons.library.umaine.edu/mmb-vp/4005/thumbnail.jp

The Good Ship Mary Ann

https://digitalcommons.library.umaine.edu/mmb-vp/1537/thumbnail.jp

Are You Lonesome

Illustration of sailboat at sea and man and woman looking at each otherhttps://scholarsjunction.msstate.edu/cht-sheet-music/1574/thumbnail.jp

The distribution of payment for forest environmental services (PFES) in Vietnam: Research evidence to inform payment guidelines

Peer reviewe

Strategy Flexibility: choosing different systems to apply the work energy principle

An important goal of physics instruction is to help students become adaptive problem solvers so that they can approach a wide range of situations. One aspect of adaptive problem solving is strategy flexibility — knowing multiple ways to approach a problem and choosing the most appropriate approach. In this study, we examine the role of meta strategic judgements in students’ application of strategy flexibility. Specifically, we study students’ meta-strategic judgements when choosing a system with which to apply the work-energy principle to various scenarios. College students enrolled in an introductory mechanics course were interviewed about their rationales for their system choices and asked to compare different options. Preliminary results will be analyzed to determine the cues students use to make decisions and to determine whether there is evidence that students implement strategy flexibility in their problem-solving process

Tissue specific induction of p62/sqstm1 by farnesoid X receptor

Background: Farnesoid X Receptor (FXR) is a member of the nuclear receptor superfamily and is a ligand-activated transcription factor essential for maintaining liver and intestinal homeostasis. FXR is protective against carcinogenesis and inflammation in liver and intestine as demonstrated by the development of inflammation and tumors in the liver and intestine of FXR knock-out mice. However, mechanisms for the protective effects of FXR are not completely understood. This study reports a novel role of FXR in regulating expression of Sqstm1, which encodes for p62 protein. p62 plays an important role in maintaining cellular homeostasis through selective autophagy and activating signal transduction pathways, such as NF-κB to support cell survival and caspase-8 to initiate apoptosis. FXR regulation of Sqstm1 may serve as a protective mechanism. Methods and Results: This study showed that FXR bound to the Sqstm1 gene in both mouse livers and ileums as determined by chromatin immunoprecipitation. In addition, FXR activation enhanced transcriptional activation of Sqstm1 in vitro. However, wild-type mice treated with GW4064, a synthetic FXR ligand, showed that FXR activation induced mRNA and protein expression of Sqstm1/p62 in ileum, but not in liver. Interestingly, FXR-transgenic mice showed induced mRNA expression of Sqstm1 in both liver and ileum compared to wild-type mice. Conclusions: Our current study has identified a novel role of FXR in regulating the expression of p62, a key factor in protein degradation and cell signaling. Regulation of p62 by FXR indicates tissue-specific and gene-dosage effects. Furthermore, FXR-mediated induction of p62 may implicate a protective mechanism of FXR. © 2012 Williams et al