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Kathleen Insel

Publications and source records attributed to Kathleen Insel.

2 recordsLinked to original sources

Executive function, working memory, and medication adherence among older adults.

The purpose of this study was to investigate the association between cognitive processes and medication adherence among community-dwelling older adults. Ninety-five participants (M = 78 years) completed a battery of cognitive assessments including measures of executive function, working memory, cued recall, and recognition memory. Medication adherence was examined over 8 weeks for one prescribed medicine by use of an electronic medication-monitoring cap. In a simultaneous regression, the composite of executive function and working memory tasks was the only significant predictor (beta =.44, p <.01). Findings suggest that assessments of executive function and working memory can be used to identify community-dwelling older adults who may be at risk for failure to take medicines as prescribed.

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The Neonatal Bowel Output Study: indicators of adequate breast milk intake in neonates.

PURPOSE: This study describes the bowel habits of neonates who were exclusively breastfed during the first 14 days following birth to determine whether bowel output (frequency and character) could be used as a proxy measure for adequate breast milk intake. STUDY DESIGN: A prospective, descriptive study was conducted. During the 14-day study period, mothers kept a log of their infants' daily naked weight, number of feedings, number of daily bowel movements, and color of all bowel movements. PARTICIPANTS: One hundred thirty-one participants were enrolled in the study; 73 participants completed the study. FINDINGS: Findings indicate that more bowel movements per day during the first 5 days following birth were significantly associated with less initial weight loss, earlier transition to yellow bowel movements, earlier return to birth weight, and heavier weight at 14 days. CONCLUSIONS: These findings suggest that scant bowel output during the first 5 days following birth, or delayed transition of bowel movements to yellow, warrant weighing the infant in a health care professional's office.

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