Publications by authors named "N J Klinedinst"

Article Synopsis
  • - This study examines the link between participating in meaningful activities and behavioral and psychological symptoms of dementia (BPSD) like agitation, apathy, irritability, and depression in 71 residents of assisted living facilities with moderate to severe dementia.
  • - Using data from a previous randomized controlled trial, researchers measured residents' engagement in meaningful activities and their BPSD symptoms through specific questionnaires and logistic regression analysis.
  • - Findings indicate that those who engaged more in meaningful activities had lower odds of experiencing agitation, but no significant correlation was found for apathy, depression, or irritability, suggesting that meaningful activities may specifically help reduce agitation in assisted living residents.
View Article and Find Full Text PDF
Article Synopsis
  • Fatigue is a common symptom in heart failure (HF) patients, but its underlying causes are not well understood, particularly the role of fluid volume and serum osmolality.
  • Researchers aimed to investigate the connection between serum osmolality levels and fatigue in HF patients by analyzing data from the National Health and Nutrition Examination Survey.
  • The study found that HF patients who reported fatigue had significantly lower serum osmolality levels, and higher serum osmolality was linked to lower odds of experiencing fatigue, suggesting that low serum osmolality may relate to fluid overload and neurohormonal activity contributing to fatigue.
View Article and Find Full Text PDF

Background: Excessive daytime sleepiness is a prevalent and sustained symptom that contributes to untoward physiological and psychological outcomes among stroke survivors. Mechanisms of excessive daytime sleepiness poststroke are not fully understood. Chronic systemic inflammation may contribute to impaired mitochondrial functioning and thereby reduce cellular energy metabolism, which may contribute to symptoms of excessive daytime sleepiness in stroke survivors.

View Article and Find Full Text PDF

Purpose: The purpose of this study was to describe the first 4 months of implementation of the University of Maryland Interdisciplinary Wellness Clinic (UM-IWC). The UM-IWC provided health care services that are difficult for older adults in low-income senior housing communities to access.

Design: This was a descriptive study including four low-income communities.

View Article and Find Full Text PDF

The purpose of this study was to describe the feasibility of implementing interdisciplinary senior housing clinics. Feasibility was based on evidence of resident participation, services provided, improvement in clinical outcomes and sustaining clinics over time. Data were collected prospectively in four senior housing communities which included approximately 375 residents 60 years of age and older.

View Article and Find Full Text PDF