Cognitive Interventions for Older Adults: Does Approach Matter?

Assisted living (AL) is the fastest growing option for residential care that is designed to provide older adults with needed supports while promoting independence1. Nevertheless, AL residents typically experience progressive decline in cognitive ability and self-care that necessitates more intensive nursing care, and typically, most AL residents will transfer to a nursing home (NH) within one to three years1–4. Older adults require a variety of cognitive abilities to meet every day self-care challenges needed to remain in AL. Cognitive decline is key predictor of disability and NH placement for AL residents 5. Someone in the US is diagnosed with Alzheimer’s disease (AD) every 68 seconds, and the number of dementia sufferers will double by 2050, reaching 16 million6. Therefore, the development of new interventions to decrease cognitive decline is critical. Cognitive training programs are gaining popularity based on the notion that “use it or lose it” applies to cognition7,8. Research demonstrates that training in specific cognitive skills can improve memory, cognitive processing speed, spatial orientation, reasoning, and executive function in community dwelling older adults 7,9. Cognitive training can also benefit persons with dementia and mild cognitive decline. A meta-analysis of cognitive training research involving persons with early-stage AD reported overall effect sizes of 0.47 for interventions targeting learning, memory, and executive function, with improvements in activities of daily living (ADLs), problem solving, depression, and self-rated functioning10. A cognitive training intervention called Reasoning Exercises in Assisted Living (REAL) was developed to teach reasoning and problem solving skills to AL residents who are at risk for cognitive and functional decline. The intervention was modeled after the inductive reasoning skills found to improve cognition and maintain self-care over 5 years in healthy, independent older adults11. The REAL program includes six, hour-long, sessions in which providers work individually with AL residents12. The goal of this intervention is to improve older adults’ everyday problem-solving skills so they can maintain their ability to care for themselves and “age in place” in AL. REAL successfully improved problem solving scores of AL residents in a preliminary study12. Results from a subsequent cluster randomized clinical trial (reported elsewhere) also show potential for this intervention13. REAL is provided to AL residents in a one-to-one format. This approach has been successful. However, having adequate interventionists to provide REAL to individual AL residents is a challenge and is costly. Considering that cost is one predictor of successful dissemination of interventions in real-world settings, more efficient ways to provide REAL to large numbers of AL residents are needed14. Thus, the purpose of this pilot study was to examine feasibility and compare costs and outcomes for REAL provided in individual versus small group formats

The First Gynandromorph of the Neotropical Bee Megalopta Amoena (Spinola, 1853) (Halictidae) with Notes on its Circadian Rhythm

Gynandromorphy is an anomaly that results in an organism phenotypically expressing both male and female characteristics. Here we describe the first gynandromorph of the bee species Megalopta amoena (Spinola, 1853) (Halictidae, Augochlorini) and the second record of this anomaly within the genus Megalopta. Additionally, we analyzed the bee’s circadian rhythm, which has never before been quantified for a gynandromorph. The gynandromorph showed a deviant activity pattern; it was intermediate between that of the male and female M. amoena. Our results imply that the brains of bilateral gynandromorphs may have mixed sex-specific signaling. Based on four days of recording, the gynandromorph circadian rhythm was shifted earlier in the day relative to the male and female M. amoena, and it exhibited intensity similar to the female

Using Digital Technology for Sexual and Reproductive Health: Are Programs Adequately Considering Risk?

Digital technologies provide opportunities for advancing sexual and reproductive health and services but also present potential risks. We propose 4 steps to reducing potential harms: (1) consider potential harms during intervention design, (2) mitigate or minimize potential harms during the design phase, (3) measure adverse outcomes during implementation, and (4) plan how to support those reporting adverse outcomes

The Grizzly, April 20, 2023

Images of Spring Fever • New Photo Editor for Next Year! • Bears Helping Bears: UCREW\u27s No-Shame Pledge • One Last Letter From Our Editor • Meet Layla M. Halterman, EIC • Farewell for the Summer • Good Luck to Our Graduating Senior Editors • Opinions: That\u27s All, Folks!; No Crew Team? Why? • That\u27s the Game! • Let Them Place Bets • Ursinus Baseball: Stealing the Oddshttps://digitalcommons.ursinus.edu/grizzlynews/2013/thumbnail.jp

Protection and relocation of frescoes during construction at the Harvard Art Museums

This paper is published in the book ‘Subliming Surfaces: Volatile Binding Media in Heritage Conservation’, ed. Christina Rozeik (University of Cambridge Museums, 2018), pp. 141-152.Three frescoes painted in the 1930’s by social realist artists Lewis Rubenstein and Rico Lebrun needed to be consolidated, protected and moved during major renovations to the Harvard Art Museums between 2009 2 and 2014. During construction, the frescoes, measuring a total of 22.3 m , would be subject to relocation, shock and vibration, climate extremes and structural intervention. Conservators devised a cyclododecane (CDD) facing as part of a multi-layered system of protection designed to remain in place for several years. Two of the fresco walls, weighing many tons, were cut from the existing masonry and moved by crane, while one of the frescos remained in situ on the inside of an exterior wall, protected from the elements by a purpose-built housing. The project allowed comparison of two techniques for applying molten CDD on a large scale: by spraying through a gun designed for hot-melt glue, and by painting with hog hair brushes. Ultimately, brushes proved quicker and easier to use. Testing at various temperatures revealed new information about CDD’s behaviour. Though it reportedly melts at 60–71°C, it was significantly more fluid and easier to apply during testing in the 80–85°C range. Heating the CDD above 85°C using a hot glue gun resulted in samples that became tacky shortly after application. FTIR analysis revealed changes in the aliphatic stretching and bending regions of CDD in these samples. The analysis suggests that CDD can be safely heated to 80°C without causing molecular changes. The CDD facing successfully preserved the fragile fresco surfaces, remaining intact under a Marvelseal barrier film for over three years. Upon removal of this protective seal the CDD completely sublimated with the help of fans, localised heating and ventilation

The Grizzly, December 1, 2022

1000th Edition: A Brief Look at Past Eras of The Grizzly • How Important Are Our Archives? • Comments From Grizzly Alumni • Long-Running Professors • Grizzlies of Years Past • Opinions: Silly but Necessary - The Ranking of Stalls in the Myrin Women\u27s Bathroom • Check Out This Sports Column From the 90s Grizzly! • Congrats to the Football Team on Winning Their Game in the Centennial-MAC Bowl Conference Series! • The Mascot Evolutionhttps://digitalcommons.ursinus.edu/grizzlynews/2002/thumbnail.jp

word~river literary review (2009)

wordriver is a literary journal dedicated to the poetry, short fiction and creative nonfiction of adjuncts and part-time instructors teaching in our universities, colleges, and community colleges. Our premier issue was published in Spring 2009. We are always looking for work that demonstrates the creativity and craft of adjunct/part-time instructors in English and other disciplines. We reserve first publication rights and onetime anthology publication rights for all work published. We define adjunct instructors as anyone teaching part-time or full-time under a semester or yearly contract, nationwide and in any discipline. Graduate students teaching under part-time contracts during the summer or who have used up their teaching assistant time and are teaching with adjunct contracts for the remainder of their graduate program also are eligible.https://digitalscholarship.unlv.edu/word_river/1002/thumbnail.jp

The Grizzly, October 11, 2000

University Students Disappointed by Rally • Ruhe\u27s \u27Athens\u27 with Ursinus Faces is a Work of Art • Homecoming 2000: Alumni Remember Collegeville Days • Food Critics Speak up at Dining Services Meeting • New Prof. has Students all Shook up...Over Shakespeare?! • Brodbeck Residents Take it to Extreme • French Officials Approve Morning-After Pill • Should Patients\u27 Drug Use be Confidential? • Nearing Fall Break, Freshmen High on UC Experience • The Wrong-Way Geese • Best Buddies: Offering Friendship, Making a Difference • Opinions: New Breed of Grizzly at Ursinus College; Abortion Pill Provides Pause for Debate; Pro-Life Sends Wrong Message; Is Bioengineering Ethical?; Ursinus Students React to Israeli-PLO Clashes; Presidential Debate Shows Just how Mediocre Politics can be; Defending Al Gore • Battle of the Bands Rocks in Reimert • Harpoon Louie\u27s a World Away from Wismer • Poetry Slam on Campus in November • Bears Maul Blue Jays • Women\u27s Rugby Roughed Up by Hawks • Binge Drinking Growing Problem on College Campuses • Roofies: Date Rape Drug More Popular, Dangerous Than Ever • Men\u27s Soccer Downs Aggies • New Coaches Bring Promise to Programs • Matty Earns McIntyre Award • Lowell\u27s Lone Goal Leads Bears to OT win Over Davidson Coll. • Lady Bears Struggle to go on Offensive • Volleyball Stomps the Sciences; Drops two CC Matches • Annual Alumni Lacrosse Match Ends in tie • Leadership in Adventure: ESS Class Molds Leaders Through Sporthttps://digitalcommons.ursinus.edu/grizzlynews/1475/thumbnail.jp

Observations of Arp 220 using Herschel-SPIRE: An Unprecedented View of the Molecular Gas in an Extreme Star Formation Environment

We present Herschel SPIRE-FTS observations of Arp~220, a nearby ULIRG. The FTS continuously covers 190 -- 670 microns, providing a good measurement of the continuum and detection of several molecular and atomic species. We detect luminous CO (J = 4-3 to 13-12) and water ladders with comparable total luminosity; very high-J HCN absorption; OH+, H2O+, and HF in absorption; and CI and NII. Modeling of the continuum yields warm dust, with T = 66 K, and an unusually large optical depth of ~5 at 100 microns. Non-LTE modeling of the CO shows two temperature components: cold molecular gas at T ~ 50 K and warm molecular gas at T ~1350 K. The mass of the warm gas is 10% of the cold gas, but dominates the luminosity of the CO ladder. The temperature of the warm gas is in excellent agreement with H2 rotational lines. At 1350 K, H2 dominates the cooling (~20 L_sun/M_sun) in the ISM compared to CO (~0.4 L_sun/M_sun). We found that only a non-ionizing source such as the mechanical energy from supernovae and stellar winds can excite the warm gas and satisfy the energy budget of ~20 L_sun/M_sun. We detect a massive molecular outflow in Arp 220 from the analysis of strong P-Cygni line profiles observed in OH+, H2O+, and H2O. The outflow has a mass > 10^{7} M_sun and is bound to the nuclei with velocity < 250 km/s. The large column densities observed for these molecular ions strongly favor the existence of an X-ray luminous AGN (10^{44} ergs/s) in Arp 220.Comment: Accepted in ApJ on September 1, 201

Unintended consequences of mHealth interactive voice messages promoting contraceptive use after menstrual regulation in Bangladesh : intimate partner violence results from a randomized controlled trial

This study is funded by UK aid from the UK government. It was part-funded through the Strengthening Evidence for Programming on Unintended Pregnancy (STEP-UP) Research Consortium, managed by the Population Council. KR was funded by an ESRC PhD fellowship.Background: Mobile phones for health (mHealth) hold promise for delivering behavioral interventions. We evaluated the effect of automated interactive voice messages promoting contraceptive use with a focus on long-acting reversible contraceptives (LARCs) among women in Bangladesh who had undergone menstrual regulation (MR), a procedure to “regulate the menstrual cycle when menstruation is absent for a short duration.” Methods: We recruited MR clients from 41 public- and private-sector clinics immediately after MR. Eligibility criteria included having a personal mobile phone and consenting to receive messages about family planning by phone. We randomized participants remotely to an intervention group that received at least 11 voice messages about contraception over 4 months or to a control group (no messages). The primary outcome was LARC use at 4 months. Adverse events measured included experience of intimate partner violence (IPV). Researchers recruiting participants and 1 analyst were blinded to allocation groups. All analyses were intention to treat. The trial is registered with ClinicalTrials.gov (NCT02579785). Results: Between December 2015 and March 2016, 485 women were allocated to the intervention group and 484 to the control group. We completed follow-up on 389 intervention and 383 control participants. Forty-eight (12%) participants in the intervention group and 59 (15%) in the control group reported using a LARC method at 4 months (adjusted odds ratio [aOR] using multiple imputation=0.95; 95% confidence interval [CI]=0.49 to 1.83; P=.22). Reported physical IPV was higher in the intervention group: 42 (11%) intervention versus 25 (7%) control (aOR=1.97; 95% CI=1.12 to 3.46; P=.03) when measured using a closed question naming acts of violence. No violence was reported in response to an open question about effects of being in the study. Conclusions: The intervention did not increase LARC use but had an unintended consequence of increasing self-reported IPV. Researchers and health program designers should consider possible negative impacts when designing and evaluating mHealth and other reproductive health interventions. IPV must be measured using closed questions naming acts of violence.Publisher PDFPeer reviewe