bluuebunny/crossref_metadata_2025 huggingface dataset:
Work conditions and mental demands in museum activities
Authors: Iordache Raluca Maria , Mihăilă Delia , Petreanu Viorica
Published: December 2022

The paper presents some results of an extended study on work conditions and mental demands in culture activities – especially for museum personnel. The study aimed to emphasize the occupational risks and nocivities and the mental (neuro-psychical) demands of activity. A complex methodology was used, including different techniques and instruments concerning the activity characteristics and the subjective assessment of the work demands as well.
Aspects of the earthing and short-circuit device’s safety quality
Authors: Buică Georgeta , Anca Elena Antonov , Beiu Constantin , Risteiu Mircea , Pasculescu Dragos
Published: December 2022

Earthing and short-circuit devices are part of the category of equipment and means of electric shock protection, and their purpose is to protect workers in the event of an accidental voltage in the work area while doing electrical installation work. The purpose of this study is to convey the findings of research into the level of safety that these devices must provide, not only in terms of electrodynamic and electro thermal consequences that occur during a short-circuit, but also in terms of mechanical, chemical, and environmental aspects. The study's risk analysis of safety performance provides critical information for earthing and shortcircuiting device manufacturers to ensure the safety function throughout their use, as well as for workers to pick, use, and maintain.
Inanspruchnahme der bodengebundenen Notfallrettung –
Sekundärdatenanalyse der Versichertenkohorte AOK
Sachsen-Anhalt
Authors: Buhtz Christian , Fleischer Steffen , Heinrich Stephanie , Bork Annett , Meyer Gabriele , Mikolajczyk Rafael , Lückmann SaraLena
Published: December 2022

Hintergrund Die Inanspruchnahme der Notfallversorgung unterliegt durch den
demografischen Wandel Veränderungen. Das Einsatzaufkommen zwischen den
Jahren 2000 und 2017 stieg jährlich um 4 bis 6%. Studien zeigen
den Zusammenhang der Inanspruchnahme mit Alter und regionalen Strukturen. In
dieser Querschnitt-Studie werden die Inanspruchnahme der bodengebundenen
Notfallrettung in Sachsen-Anhalt analysiert und assoziierte Faktoren
identifiziert.

Methode In Abrechnungsdaten der AOK Sachsen-Anhalt aus dem Jahr 2019,
wurden Einsätze mit bodengebundenen Rettungsmitteln bei in
Sachsen-Anhalt wohnenden Versicherten identifiziert und eingeschlossen. Zur
Berechnung der Inzidenzrate wurde die Versichertenzeit aller in Sachsen-Anhalt
wohnenden AOK-Versicherten herangezogen. Für die multivariable Analyse
der assoziierten Faktoren wurde ein Poisson-Regressionsmodell angepasst.

Ergebnisse Identifiziert wurden 112 575 Rettungseinsätze;
durchschnittlich 1,53 Einsätze je Person bzw. 149,6 je 1000
Versichertenjahre. Eine stationäre Krankenhausbehandlung erfolgte bei
53,2% der Notfallpatient*innen und ambulante
Krankenhausbehandlungen bei 37,1%. Vielfahrer*innen beanspruchen
14,6% der Einsätze. Die höchsten Inzidenzraten haben
Personen mit Pflegebedürftigkeit und hohem Alter. Auch nach Adjustierung
war zudem das Risiko für die Inanspruchnahme eines Rettungseinsatzes bei
Männern sowie in halbstädtische und städtische Regionen
(im Vergleich zu ländlichen Regionen) höher.

Schlussfolgerung Die Inanspruchnahme ist in der untersuchten Kohorte
höher, als im Vergleich mit anderen Studien. Der hohe Anteil
nicht-stationärer Krankenhausbehandlungen und Behandlungen vor Ort,
sowie der deutliche Zusammenhang der Inanspruchnahme mit
Pflegebedürftigkeit und Alter bieten mögliche
Anknüpfungspunkte für Interventionen zur Entlastung der
Rettungsdienste.
Copula-based analysis of the generalized friendship paradox in clustered networks
Authors: Jo Hang-Hyun , Lee Eun , Eom Young-Ho
Published: December 2022

A heterogeneous structure of social networks induces various intriguing phenomena. One of them is the friendship paradox, which states that on average, your friends have more friends than you do. Its generalization, called the generalized friendship paradox (GFP), states that on average, your friends have higher attributes than yours. Despite successful demonstrations of the GFP by empirical analyses and numerical simulations, analytical, rigorous understanding of the GFP has been largely unexplored. Recently, an analytical solution for the probability that the GFP holds for an individual in a network with correlated attributes was obtained using the copula method but by assuming a locally tree structure of the underlying network [Jo et al., Phys. Rev. E 104, 054301 (2021)]. Considering the abundant triangles in most social networks, we employ a vine copula method to incorporate the attribute correlation structure between neighbors of a focal individual in addition to the correlation between the focal individual and its neighbors. Our analytical approach helps us rigorously understand the GFP in more general networks, such as clustered networks and other related interesting phenomena in social networks.
Mode-coupling theory for the dynamics of dense underdamped active Brownian particle system
Authors: Feng Mengkai , Hou Zhonghuai
Published: December 2022

We present a theory to study the inertial effect on glassy dynamics of the underdamped active Brownian particle (UABP) system. Using the assumption of the nonequilibrium steady-state, we obtain an effective Fokker–Planck equation for the probability distribution function (PDF) as a function of positions and momentums. With this equation, we achieve the evolution equation of the intermediate scattering function through the Zwanzig–Mori projection operator method and the mode-coupling theory (MCT). Theoretical analysis shows that the inertia of the particle affects the memory function and corresponding glass transition by influencing the structure factor and a velocity correlation function. The theory provides theoretical support and guidance for subsequent simulation work.
An efficient electrostatic embedding QM/MM method using periodic boundary conditions based on particle-mesh Ewald sums and electrostatic potential fitted charge operators
Authors: Bonfrate Simone , Ferré Nicolas , Huix-Rotllant Miquel
Published: December 2022

Hybrid quantum mechanics/molecular mechanics (QM/MM) models are successful at describing the properties and reactivity of biological macromolecules. Combining ab initio QM/MM methods and periodic boundary conditions (PBC) is currently the optimal approach for modeling chemical processes in an infinite environment, but frequently, these models are too time-consuming for general applicability to biological systems in a solution. Here, we define a simple and efficient electrostatic embedding QM/MM model in PBC, combining the benefits of electrostatic potential fitted atomic charges and particle-mesh Ewald sums, which can efficiently treat systems of an arbitrary size at a reasonable computational cost. To illustrate this, we apply our scheme to extract the lowest singlet excitation energies from a model for Arabidopsis thaliana cryptochrome 1 containing circa 93 000 atoms, accurately reproducing the experimental absorption maximum.
The quantum dynamics of H2 on Cu(111) at a surface temperature of 925 K: Comparing state-of-the-art theory to state-of-the-art experiments 2
Authors: Smits B. , Somers M. F.
Published: December 2022

State-of-the-art 6D quantum dynamics simulations for the dissociative chemisorption of H2 on a thermally distorted Cu(111) surface, using the static corrugation model, were analyzed to produce several (experimentally available) observables. The expected error, especially important for lower reaction probabilities, was quantified using wavepackets on several different grids as well as two different analysis approaches to obtain more accurate results in the region where a slow reaction channel was experimentally shown to be dominant. The lowest reaction barrier sites for different thermally distorted surface slabs are shown to not just be energetically, but also geometrically, different between surface configurations, which can be used to explain several dynamical effects found when including surface temperature effects. Direct comparison of simulated time-of-flight spectra to those obtained from state-of-the-art desorption experiments showed much improved agreement compared to the perfect lattice BOSS approach. Agreement with experimental rotational and vibrational efficacies also somewhat improved when thermally excited surfaces were included in the theoretical model. Finally, we present clear quantum effects in the rotational quadrupole alignment parameters found for the lower rotationally excited states, which underlines the importance of careful quantum dynamical analyses of this system.
Thermoelectric transport properties of orthorhombic RbBaX (X = Sb, Bi) with strong anharmonicity
Authors: Song Xuhao , Zhao Yinchang , He Min , Ni Jun , Meng Sheng , Dai Zhenhong
Published: December 2022

The thermoelectric properties of RbBaX (X = Sb, Bi), an anisotropic material with strong anharmonicity, are systematically studied by first-principles calculations, combined with the self-consistent phonon theory and the Boltzmann transport equation. A reasonable lattice thermal conductivity κL is captured by fully handling the phonon frequency shift and four-phonon scattering caused by the quartic anharmonicity. The κL of RbBaSb and RbBaBi along the a-axis is only 0.60 and 0.36 W m−1 K−1 at 300 K, respectively, which is much lower than that of most thermoelectric materials. The low phonon group velocity resulting from the unusually weak atomic bonding strengths along the a-axis is the origin of the ultralow κL. Furthermore, the high dispersion near the conduction band minimum enables n-type doping with a higher electrical conductivity. The results show that orthorhombic RbbaBi has a ZT as high as 1.04 at 700 K along the a-axis direction, indicating its great application potential in the thermoelectric field.
Salvianolic Acid B Reduces the Inflammation of Fat Grafts by Inhibiting the NF-Kb Signalling Pathway in Macrophages
Authors: Sun Jia-Ming , Ho Chia-Kang , Gao Ya , Chong Chio-Hou , Liu Yang-Dan , Liu Yu-Xin , Zheng Dan-Ning , Zhang Yi-Fan , Yu Li
Published: December 2022

Background

Autologous fat grafting is a common method for soft tissue defect repair. However, the high absorption rate of transplanted fat is currently a bottleneck in the process. Excessive inflammation is one of the main reasons for poor fat transplantation. Salvianolic acid B (Sal-B) is a herbal medicine that shows promise for improving the effectiveness of fat transplantation.

Objective

The aim of this study was to improve fat graft survival by injecting Sal-B into fat grafts locally.

Methods

In vivo, 0.2 mL of Coleman fat was transplanted into nude mice along with Sal-B. The grafts were evaluated by histologic analysis at 2, 4, and 12 weeks posttransplantation and by microcomputed tomography at 4 weeks posttransplantation. In vitro ribonucleic acid sequencing, cell proliferation assays, anti-inflammatory activity assays, molecular docking studies, and kinase activity assays were performed in RAW264.7 cells to detect the potential mechanism.

Results

Sal-B significantly improved fat graft survival and attenuated adipose tissue fibrosis and inflammation. Sal-B also inhibited the polarization of M1 macrophages in fat grafts. In vitro, Sal-B inhibited the proliferation and activation of inflammatory pathways in RAW264.7 cells. In addition, Sal-B had an inhibitory effect on NF-κB (nuclear factor κ light polypeptide gene enhancer in B cells) signaling. This bioactivity of Sal-B may result from its selective binding to the kinase domain of the inhibitor of NF-κB kinase subunit β.

Conclusions

Sal-B could serve as a promising agent for improving the effect of fat transplantation by inhibiting the polarization of M1 macrophages through NF-κB signaling.
EXPLORING EXPERIENCES OF PAIN MANAGEMENT AMONG FAMILY CAREGIVERS OF COMMUNITY-DWELLING OLDER ADULTS WITH DEMENTIA
Authors: Zhao Hui , Kulbok Pamela , Williams Ishan , Manning Carol , Romo Rafael
Published: December 2022

Pain is often under reported and under-treated in older adults with dementia. Formal caregivers receive training and resources to develop their pain management skills; yet family caregivers (FCGs), who bear the brunt of responsibility for pain management among community-dwelling older adults with dementia have largely been omitted from research. We conducted a qualitative descriptive study to gain a deep understanding of FCGs’ experience in pain management. 25 adult FCGs of community-based older adults with dementia were living in central Virginia were interviewed. Participants were 29 to 95 years old, predominantly white, married, female, and high school graduates. Four themes emerged around exploring FCGs’ pain management experience and each theme included sub themes: 1) Values: family caregivers make values-based decisions that rely on a diverse range of beliefs towards opioids and non-pharmacological approaches. 2) Barriers: pain management was hampered by patient-related factors (comorbidity, complexity of care) and FCG-related factors (lack of training and resources). 3) Support: FCGs perceived greater competence when well supported by professional caregivers (doctors, social workers) and family members. 4) Adaptation: FCGs employed many strategies to support themselves and build a sense of self-efficacy that can either inhibit or facilitate effective pain management for their loved-ones. Adaptation and support from professional or formal caregivers greatly improved FCGs’ perception of competence in pain management, suggesting research and development of interventions targeting FCGs is warranted.
COGNABILITY: AN ECOLOGICAL THEORY OF NEIGHBORHOODS AND COGNITIVE AGING
Authors: Finlay Jessica , Michael Esposito , Langa Kenneth , Judd Suzanne , Clarke Philippa
Published: December 2022

This paper presents a new theoretical concept, Cognability, which aims to conceptualize how supportive an area is to cognitive health among aging residents. Cognability incorporates a both positive and negative neighborhood features related to physical activity, social interaction and cognitive stimulation in later life. We analyzed data from the Reasons for Geographic and Racial Differences in Stroke Study, a national sample of older Black and white US adults (n=21,151; mean age at assessment=67; data collected 2006–2017). Generalized additive multilevel models examined how cognitive function varied by neighborhood features. Access to civic and social organizations, recreation centers, fast-food and coffee establishments, arts centers, museums, and highways were significantly associated with cognitive function. Race-, gender-, and education-specific models did not yield substantial improvements to the full-model. Cognability advances ecological theories of aging through an innovative “whole neighborhood” approach. Findings may inform community interventions and policy to support healthy aging in place.
COVID-19 RECOVERY: LESSONS LEARNED AND POLICY ACTIONS FOR THE FUTURE
Authors: Mueller Christine , Corazzini Kirsten
Published: December 2022

Focusing on Covid-19 recovery, this symposium will feature a selection research studies that highlight lessons learned that are applicable across the continuum of care for older adults, their families and care partners. The collection of presentations bring perspectives from local to global. Each of the presenters will highlight implications for health and aging policy.
MEASURING GENERATIONAL DIFFERENCES IN INTERGENERATIONAL CONTACT WITH A NEWLY VALIDATED SCALE
Authors: Jarrott Shannon , Turner Shelbie , Hooker Karen
Published: December 2022

2. Intergenerational contact influences attitudes about aging, but measures vary in breadth, depth, and psychometrics. We developed and validated the Intergenerational Contact survey of key contact dimensions using online samples. Here, we address: how do young and older adults differ in location and ratings of intergenerational contact? Young (n=433) and older adults (n=286) reported intergenerational contact settings and rated 18 items regarding contact (e.g., “I have something to offer younger/older adults.”) with family and non-family members. Neighborhoods were a common setting for interacting with family and non-family members of different ages. Young adults reported higher negative contact (p<.001) and lower positive contact (p<.001) with related and unrelated older adults than older adults reporting having with younger adults. Developmental theory may partially explain these differences; we address next steps to explore how differences may affect interest in or avoidance of intergenerational contact, associated impacts, and potential interventions.
DOES DISCRIMINATION MODERATE THE RELATIONSHIP OF AGE, GENDER, AND RACE WITH HEALTH OUTCOMES IN OLDER ADULTS?
Authors: Hendricksen Meghan , Stokes Jeffrey , Forrester Sarah , Dugan Beth
Published: December 2022

Discrimination and experiences of prejudice are a social determinant of health, with potential consequences at the individual, interpersonal, and systemic levels. This study aimed to investigate the relationship between discrimination experienced by older adults and health outcomes. Data were drawn from 13,290 participants from the Health and Retirement Study, who completed the Leave Behind Questionnaire in 2012 or 2014. Logistic regressions were conducted to examine relationships between age, gender, and race/ethnicity and self-reported health (SRH), risk of stroke, and heart attack. Interaction terms were tested for everyday discrimination and age, gender, and race/ethnicity, then for health discrimination and age, gender, and race/ethnicity. Results found associations between age, gender, and race and SRH, stroke, and heart attack. Everyday discrimination moderated the association between gender and risk of heart attack, where differences in men and women’s risk of heart attack were exacerbated at higher levels of discrimination. Similarly, everyday discrimination moderated the association between race and risk of heart attack, where differences in white and non-white participant’s risk of heart attack were exacerbated at higher levels of discrimination. Experiences of discrimination in healthcare moderated associations between gender and both SRH and heart attack. Reduction in experiences of discrimination in all settings, but especially in healthcare, should be a top priority. Future work in the field of research around discrimination and health outcomes should address the mechanisms that are a product of historical systemic racism, ageism, and misogyny that impact the everyday lives of older adults, people of color, and women.
HEALTHY LEISURE: ADVANCING UNDERSTANDING OF LEISURE DECISIONS, ACTIVITIES, AND HEALTH CONSEQUENCES
Authors: Smith Claire , Lee Soomi , Bielak Allison
Published: December 2022

Leisure activities promote healthy aging, yet aging poses new challenges to engagement in active, meaningful, health-promoting leisure. This stalemate wherein people need to but struggle to engage in healthy leisure as they age calls for further research describing what healthy leisure entails, decision processes predicting it, and long-term consequences over the lifespan. This symposium brings together five rigorous studies aimed at understanding diverse aspects of leisure – how adults make daily leisure decisions, the health-promoting or demoting consequences of specific leisure activities as a person ages, and unique challenges faced by vulnerable populations. Paper 1 describes how daily energy and affect conjointly influence the types and variety of leisure activities midlife adults choose. Paper 2 identifies specific leisure activities that protect against cognitive decline in older adults, with consideration of vulnerable subgroups (illiterate, rural residents). Paper 3 investigates how seven leisure activities longitudinally predict cognitive impairment in older adults and differences by life course SES. Paper 4 identifies social interactions with friends as a key aspect of healthy leisure that longitudinally associates with cognitive function in older adults. Paper 5 focuses on a vulnerable population, older breast cancer survivors, and examines whether participating in cognitively stimulating leisure activities is associated with cognitive function (vs. non-cancer controls). These papers use different samples and datasets to describe the nature, causes, and consequences healthy leisure by specific population groups. The discussant, Dr. Allison Bielak will integrate key findings from these studies, discuss their theoretical and methodological contributions, and consider opportunities for future research.
DECISIONS, DECISIONS: CHARACTERIZING WORKERS' DAILY DECISION PROCESSES DURING LEISURE TIME
Authors: Smith Claire , Lee Soomi
Published: December 2022

Decisions during adulthood set the foundation for healthy aging, but descriptions of healthy and unhealthy decision processes are missing. We extracted latent profiles of daily decision resources (energy and affect) and linked them to daily leisure activity. Diary data was collected from working adults (N=83; Mage=37 years) over the ten workdays (N=693). We identified three daily decision profiles consistent with the Decision Triangle – (1) logical (energetic, unemotional), (2) automatic (less energetic, unemotional), and (3) visceral (unenergetic, highly emotional) – and one additional profile, (4) mild visceral (moderately unenergetic, moderately emotional). Daily logical decision-making related to more “want” leisure activities (i.e., aligned with desires/interests) and the greatest variety in leisure activities. Automatic engaged in the most chores. Visceral engaged in the fewest social activities and least variety in leisure activities. Our findings advance understanding of specific decision processes during leisure, which may have consequences for health and well-being as a person ages.
SOCIAL INTERACTION WITH FRIENDS AND COGNITIVE FUNCTION: BENEFITS OF SPENDING TIME TOGETHER AND GIVING A HELPING HAND
Authors: Han Sae Hwang , Ng Yee To , Tucker Julia
Published: December 2022

Despite the burgeoning literature linking social integration and cognitive function, studies that focus on the potential cognitive benefits associated with friendships are limited. Using eight waves of nationally representative data from the Health and Retirement Study (1998-2012), we investigated whether two distinct forms of social interaction with friends—(1) getting together for a chat/social visit and (2) providing informal helping to friends—were associated with cognitive function (assessed with a modified version of the Telephone Interview for Cognition Status) among individuals aged 50 and older (person N = 29,951) over a 14-year observation period. Multilevel models revealed robust evidence for within-person linkages between both forms of social interaction with friends and better cognitive function. The study findings are discussed in the context of declining social interaction with one’s friends reported over the past several decades in the United States, which are partly driven by increasing leisure trends characterized by in-home entertainment.
IMPACT OF TOTAL KNEE ARTHROPLASTY ON PHYSICAL ACTIVITY
Authors: Na Annalisa , Rosenstein Olivia , Chao Tony , Davenport Chad , Chapman Karen , Lindsey Ronald , Gugala Zbigniew
Published: December 2022

Knee osteoarthritis (OA) pain often challenges the physical activity necessary for managing life-threatening chronic diseases. Standard severe knee OA treatment of total knee arthroplasty (TKA) and physical therapy (PT) is effective at improving pain and function but whether such benefits translate to physical activity is unclear. We enrolled 22 participants with severe knee OA scheduled for a TKA (Age,mean±SD=69.0±5.8y, female=63.6%) and assessed pain (i.e.,Numeric Pain Rating), physical function (i.e.,Knee Osteoarthritis Outcome Score), and physical activity (i.e.,activity monitors and journals for 7-days) before and 1-month, 3-month, and 6-month after TKA. Using paired-wise ANOVA, pre-to-postTKA pain and function improved but not physical activity. Using regression analyses, outpatient PT sessions during first two months post-TKA were positively related to 3- and 6-month physical activity (r=0.51-070, P=0.003-0.029). Standard TKA and PT for severe OA improved pain and function but not physical activity. However, early post-TKA PT and physical activity relationships are promising, warranting exploration.
THE TRAJECTORY OF FAMILY FUNCTION OF STROKE SURVIVORS AND ITS IMPACT ON COGNITIVE IMPAIRMENT: A LONGITUDINAL STUDY
Authors: Li Juan , Liu Zhijian , Li Fanfan , Wang Jing , Wu Bei
Published: December 2022

This study examined the trajectory of family function of Chinese stroke survivors and its impact on cognitive impairment.We conducted a prospective longitudinal study and assessed family function of 170 stroke survivors and their family caregivers by Family Assessment Device(FAD) during acute stage and at 3, 6 months after onset via face-to-face follow-ups interview in Nanjing, China from January to October, 2020.Group-based Trajectory Model was applied to analyze trajectories of family function. Family function deteriorated with time. Four patterns of FAD trajectory (A: dysfunction-deterioration-improvement; B: severe dysfunction-stable; C: healthy function-rapid deterioration; D: approximate healthy function-stable) were identified. Healthy and stable family function was associated with better cognition and quality of life (β=-0.216,p<0.05, β=-0.159, p<0.05, respectively). Future studies are needed to further explore the reason why family function deteriorated and the linkage between family function and stroke survivors’ outcomes.
SYSTEMS BIOLOGY OF AGING
Authors: Rhoads Timothy
Published: December 2022

Program Overview: Aging is a complex process; numerous aspects of cell and animal physiology change with age and pinpointing a single causal mechanism has proven difficult. A systems-level approach, which attempts to integrate multiple perspectives of aging into a more cohesive understanding, addresses this challenge by leveraging the explosion in recent years of molecular and biological “big data.” In this session, speakers will describe their efforts using systems biology approaches to achieve a multivariate assessment of the mechanisms of aging. Dr. Gladyshev will speak on recent work to understand the systemic mechanisms that underpin lifespan control. Dr. Levine moves the focus to epigenetic measures of aging, an emerging biomarker. Dr. Kane will describe efforts to examine frailty phenotypes and their biological underpinnings, as well as sexual dimorphism during aging in mice. Dr. Rhoads will describe the broad landscape of RNA processing, a mechanism with a recently described association with aging and delayed aging by caloric restriction, in multiple organisms and tissue contexts, as well as engagement of this mechanism during different aging interventions. Together our speakers advance our understanding of the multifactorial nature of aging biology and set the stage for the development of interventions that target all aspects of the aging process.
UNDERSTANDING SPENDDOWN TO MEDICAID IN ASSISTED LIVING: SURVEY RESULTS FROM PARTICIPANTS/REPRESENTATIVES IN MINNESOTA
Authors: Baggett Sharon , Burton Ellen , Blackburn Justin
Published: December 2022

The state of Minnesota has seen substantial growth in the use of Medicaid in Assisted Living and wanted to better understand how applicants spend down to Medicaid in order to identify potential upstream interventions to prolong the spend down period. As part of a mixed methods research effort, 231 new Medicaid participants or their proxies, 167 in AL and 64 at home, completed a telephone survey on their services use prior to Medicaid application, prior planning or thinking of how to pay for services once personal resources were exhausted, and experience of spenddown once in AL. Reaching these eligible participants required a unique, multi-step outreach process; given the abilities of participants to respond, the majority of surveys were completed by proxies. Among those in AL, 40% reported planning in advance about how to pay for services once needed; 58% knew of government programs to assist and 80% reported their plan included applying to the programs at some time. Thirteen percent (13%) of those in AL reported getting help from the Medicaid waiver at the time of move in; another 25% said they paid for themselves for less than one year before getting state support. More than one-third (34%) who paid for their services for some period of time after move in said the period was shorter than expected; another 41% said about as expected, and for 25% the period was longer than expected. Open-ended comments indicate a move to memory care was a key factor in spend down to Medicaid.
UNDERSTANDING THE UNIQUE NEEDS OF VULNERABLE OLDER ADULTS IN A COMMUNITY-BASED TELEHEALTH PROGRAM
Authors: Schiaffino Melody , Zhang Zhan , Chaudhari Pratik , Huh-Yoo Jina
Published: December 2022

Vulnerable older adults benefit from community-based telehealth programs (CTP) that facilitate remote health monitoring with support from trained personnel. This study assessed acceptability with such technology as a self-reported measure of comfort among participants in an on-going CTP, the Telehealth Intervention Program for Seniors (TIPS). We analyzed data from participants across 20 sites (N=2279), 38% responded to their comfort with technology (n=866). We modeled self-reported factors to explore the association with technology acceptability. There was more comfort with technology than not (53.5% vs 46.5%). Participants under age 65, those reporting better vs poorer health (p<0.0001) and a happier mood state (p<0.0001) were more likely to be comfortable. Older adults and much older adults reported greater odds of comfort compared with those under 65. Better health status was associated with 84.5% greater odds of acceptability compared to those with poor (AOR 1.85; 95CI 1.28-2.65). Happier participants reported 56% greater odds of comfort compared with those reporting unhappiness. Though only marginally significant, non-English speaking participants reported greater odds of comfort compared to English proficient. While ethnicity was not associated, our marginal significance for language suggests a need to continue exploring. Our work demonstrates the need to address the unique needs of older adults.
THE GEROPSYCHIATRIC NURSING COLLABORATIVE: ADDRESSING BEHAVIORAL NEEDS OF PERSONS WITH DEMENTIA
Authors: Massimo Lauren , Hunt Lauren , Buckwalter Kathleen
Published: December 2022

Over the last decade, the Geropsychiatric Nursing Collaborative (GPNC) has sought to improve care of older adults with mental health needs such as those with dementia. Geropsychiatric nurses are well-poised to deliver person-centered care to address the psychosocial needs of persons with dementia, which may include behavioral expressions. In this interdisciplinary symposium, we will highlight approaches members of the GPNC are taking to address mood and behavior in persons with dementia. The first session will describe how persons with mild-cognitive impairment draw upon their inner strength after they receive a diagnosis. The second session will discuss how common behavioral expressions such as anxiety, depression and apathy contribute to difficulty with everyday functional activities in persons with Alzheimer’s disease. The third session will describe an interprofessional communication tool to improve communication of behavioral expression in the nursing home setting. The last session will share findings from a nurse practitioner-led team care management model to address cognitive vulnerability in older adults with dementia, depression, and/or delirium. Together, these presentations describe how geropsychiatric nurses are investigating mood and behavioral symptoms in persons with dementia and addressing their mental health needs with innovative person-centered interventions.
WHAT PANDEMIC RECOVERY WILL LOOK LIKE FOR OLDER, MULTICULTURAL WORKERS
Authors: Burton Cassandra , Cozad Aisha , Bridges Katherine
Published: December 2022

AARP has a long history of being an advocate for marginalized and vulnerable adults. AARP staff will discuss policy needs and what the post pandemic workplaces needs to ensure that older LGBTQ people can thrive in the workplace with dignity and respect. The 2021 AARP’s Vital Voices research will be used to showcase the economic impact the pandemic has had on older adults, African American communities, Hispanic/Latino communities, Asian Pacific Islander communities and LGBTQ communities. AARP staff will discuss strategies and tactics needed to ensure that opportunities for economic recovery for older adults. The survey gathers information to gauge opinions on a range of topics as well as breaking and current issues. Among other issues, it explores concerns about racism and experience with age discrimination and employment experience among older adults.
DISTINGUISHED FACULTY AWARD AND RISING STAR EARLY CAREER FACULTY AWARD PRESENTATIONS AND LECTURES
Authors: Dassel Kara
Published: December 2022

The Distinguished Faculty Award Lecture will feature an address by the 2022 recipient Christine A. Fruhauf, PhD, FGSA, FAGHE, of Colorado State University. The Distinguished Faculty Award recognizes persons whose teaching stands out as exemplary, innovative, of impact, or any combination thereof. The Rising Star Early-Career Faculty Award Lecture will feature an address by 2022 recipient M. Aaron Guest, PhD, MPH, MSW, of Arizona State University. The Rising Star Early-Career Faculty Award acknowledges new faculty whose teaching and leadership stand out as influential and innovative.
ASSOCIATION OF SOCIAL SUPPORT AND LONELINESS WITH FRAILTY AND FUNCTIONAL STATUS
Authors: Kyaw Kay Thwe , Flagiello Thomas , Levine Alec , Salinas Joel
Published: December 2022

Observational studies suggest psychosocial factors such as social support and loneliness are associated with vulnerability for frailty in older adults, but less is known about the generalizability of these putative psychosocial mechanisms in underrepresented groups. Thus, we evaluated whether better telecommunication social support and lower levels of loneliness were associated with decreased frailty and increased functional ability using a unique longitudinal cohort of rural South African older adults. We conducted generalized estimating equation and robust regression analyses using cross-sectional data from 347 participants in the HAALSI (Health and Aging in Africa: A Longitudinal Study of an INDEPTH Community in South Africa) Dementia Cohort. Social support via telecommunication and self-reported loneliness were measured using standard assessments and modeled as exposure variables. Outcomes were frailty (measured using Fried’s frailty phenotype) and functional status (measured by instrumental activities of daily living, IADLs). Lower level of telecommunication social support was associated with higher impairment in ability to perform IADLs. This association persisted after additional adjustments for depression (beta -0.007, 95 % CI -0.016, 0.001) and vascular risk factors (beta -0.012, 95 % CI -0.020, 0.003). No associations were observed in relating telecommunication social support and loneliness with frailty. Among rural South African Black older adults, lower telecommunication-based social support was associated with greater risk of impairment in functional ability. Although further validation is required for possible reverse causality, our findings suggest that future intervention studies focused on promoting telecommunication-based social support to preserve independent functioning may be merited.
MODELING REACTIVATED HETEROCHROMATIN USING AN AGING 3D CELL MODEL
Authors: Sidoli Simone , Stransky Stephanie , Cutler Ronald , Graff Sarah , Aguilan Jennifer
Published: December 2022

Chromatin state and dynamics is modulated by chromatin interacting proteins, in particular histones and their post-translational modifications. We investigate the chromatin-bound proteome in aging to understand how DNA readout is misregulated in senescent cells. We focus on domains of reactivated heterochromatin, i.e. chromatin domains undergoing anomalous decondensation and decorated by histones co-modified with markers of condensed heterochromatin and active transcription. We optimize our mass spectrometry methods 3D cell models, and then apply them on B-cells retrieved from Ashkenazi Jews donors. In this cohort, we particularly focus on offsprings of exceptional longevity, i.e. individuals in their 70s with projected longer lifespan due to their centenarians ancestors. Preliminary data on 60 individuals revealed the enrichment of unusual histone modifications in the OPEL group, the group we utilize as indicator of projected longer lifespan. We have then applied biochemistry techniques to identify the role of these unusual modifications on chromatin readout.
A SOCIAL CONNECTION HEALTH INTERVENTION FOR ISOLATED LATINX OLDER ADULTS AT RISK OF DEMENTIA
Authors: Díaz-Santos Mirella , Alcantar Sandy , Magana Maribel , Martinez Sujey , Varteresian Taya
Published: December 2022

COVID-19 exacerbated the “epidemic of loneliness.” Although loneliness and social isolation are social determinants of health and Alzheimer’s dementia (AD), culturally and linguistically responsive social connection interventions tailored to Spanish-Speaking community-dwelling immigrant older adults at higher risk of AD are lacking. UCLA’s Hispanic Neuropsychiatric Center of Excellence (HNCE) collaborated with Los Angeles County Department of Mental Health (LACDMH) to develop and implement a community-partnered social connection group intervention via Telehealth. All clients are homebound due to physical, psychiatric, and/or medical conditions. The main objective was to reduce feelings of loneliness by combining brain health education with skill-based exercises promoting self-efficacy, trust, belonging, and resilience by effectively communicating their needs in a psychologically safe group space. The effectiveness of the pilot intervention, however, required multiple refinements accounting for structural-social barriers, culture, language, and histories of trauma in country of origin and post-immigration to the United States.
FACTORS THAT IMPACT SUCCESSFUL AGING AMONG OLDER ADULTS LIVING WITH HIV/AIDS
Authors: Robinson Erin , Perkins Molly , Bender Alexis
Published: December 2022

The past two decades have brought significant medical advances in antiretroviral therapies (ART) for people living with HIV/AIDS (PLWHA). This has enabled PLWHA to live longer and healthier lives than ever before. In fact, nearly half of all PLWHA in the United States are age 50+ and HIV is treated as a chronic disease, instead of a terminal illness. Despite these advancements older adults living with HIV/AIDS (OALWHA) are still a highly stigmatized population who faces challenges with their health and overall well-being. This symposium will highlight recent research on factors that play a role in successful aging among OALWHA. Our first presentation leverages a quantitative dataset of OALWHA and examines the relationship between childhood sexual abuse and ART adherence, with a particular focus on substance abuse as a potential mediator. Our second presentation features a qualitative study with OALWHA that explores their conceptions of successful aging. Our third presentation includes a sample of medical case managers who serve OALWHA and examines the feasibility of using a cognitive screening tool with this population. Cognitive screening with OALWHA can help provide early indicators of cognitive decline and initiate early intervention. Finally, our fourth presentation includes a sample of older women living with HIV/AIDS and examines their support needs and resources, particularly to help understand their complex caregiving needs. Findings from these four studies advance our understanding of OALWHA and their needs to ensure continued successful aging. This symposium informs further research and direct practice with this population.
FOOD INSECURITY AMONG OLDER ADULTS WITH A HISTORY OF INCARCERATION: A MIXED METHODS STUDY
Authors: Sneed Rodlescia , Jordan Tamara
Published: December 2022

The purpose of this study was to use a mixed methods approach to describe the association between history of incarceration (HOI) and food insecurity (FI) among older adults. Quantitative data were obtained from the Health and Retirement Study, a population-based study of community-dwelling adults (n=12,702) aged >50. Qualitative data were obtained via key informant interviews with formerly incarcerated older adults and the human service providers serving them (n=15). Multiple logistic regression was used to estimate the association between HOI and FI, adjusting for demographic variables. HOI was associated with increased odds of FI (OR 1.83; 95% CI 1.52-2.21). Race/ethnicity moderated the association between history of incarceration and food insecurity, with effects observed among Non-Hispanic Blacks (OR 1.78; 95% CI 1.29-2.46) and Whites (OR 2.27; 95% CI 1.74-2.97), but not Hispanics (OR 1.11; 95% CI 0.69-1.77) or those of other racial/ethnic groups (OR 1.79; 95% CI 0.71-4.52). Explanations for the association between HOI and FI obtained from qualitative interviews included ineligibility for food assistance programs due to felony conviction, lack of safe places to store healthy food, and difficulty using technologies needed to enroll in food assistance programs. The most common barrier associated with inaccessibility to healthful foods for this population, according to interviewees, is ineligibility for food assistance programs. FI is an important issue among older adults with a HOI. Re-examination of policies and procedures for accessing food assistance programs may be needed to reduce FI in this population.
THE IMPLEMENTATION PROCESS OF AN INTERGENERATIONAL COMMUNITY RESEARCH PROJECT: A NARRATIVE REVIEW
Authors: Scrivano Rachel , Juris Jill , Jarrott Shannon
Published: December 2022

Food for a Long Life (FFLL) was a five-year USDA Children, Youth and Families at Risk intergenerational community research project that sought to increase healthy food consumption, knowledge, and access among preschoolers and older adults living in food insecure communities of Ohio and Virginia. Using the community-based participatory action research approach, community stakeholders jointly participated in all stages of the project to co-create context-specific programming to address needs within their communities with the goal of promoting program sustainability beyond the grant funding period. This presentation will provide a narrative review to explore the implementation process of FFLL by comparing initial project expectations to reality using the community-based participatory research conceptual model (Wallerstein et al., 2008; Wallerstein et al., 2018). By exploring project barriers such as COVID-19, facilitators such as flexible partner relationships, and strategies including promoting early buy-in, we provide an in-depth discussion of project successes and lessons learned.
ALASKA NATIVE SUCCESSFUL AGING IN NORTHWEST ALASKA: AGING IN A GOOD WAY STARTS WITH YOUR FAMILY
Authors: Asquith-Heinz Zayla , Lewis Jordan , Kim Steffi
Published: December 2022

Alaska Natives (AN) view aging from a holistic perspective. One of the challenges of researching with cultural groups is the lack of data, or research, on culture and aging. This research explored successful aging from an AN perspective. A community-based participatory research (CBPR) model was used to engage participants at every stage of the research process. Semi-structured interviews were conducted with 16 AN men and 25 women. Kleinman’s Explanatory Model of Illness was adapted to gain a sense of the beliefs about aging and to guide the data analysis to establish an AN understanding of successful aging or attaining “Eldership” in Northwest Alaska. The foundation of the Norton Sound southern sub-region Model of Successful Aging is family, which contributed to Elders’ feelings of emotional well-being, ability to engage in their Native Way of life, maintain their physical health, and continue spiritual practices.
AN EXPLORATION OF CULTURAL INFLUENCES ON SUBJECTIVE SUCCESSFUL AGING
Authors: Kim Steffi
Published: December 2022

Indigenous peoples worldwide face unique challenges growing old. Many of these challenges are remnants of previous colonization practices and current oppressive systems often leading to out-migration from rural to urban environments. Despite Anchorage having the highest population of Alaska Native Elders little is known about the experience of relocation. This study investigated the impact of culture on the experience of successful aging within the Alaska Native context. Twenty-five semi-structured qualitative interviews with rural (N=13) and urban Elders (N=12; ages 48-84) were conducted. The use of Gee’s discourse analysis tools provided the framework for analyzing the discourse of Elders based on location and traditional or western influences on subjective successful aging. We explored the use of language within two identified discursive patterns: cultural discourse and Elder identity discourse. Social and contextual determinants of successful aging involve aspects of minority and majority culture and self-appraisal of successful aging based on cultural assumptions.
ON THE “ACTION” OF DOING HEALTHY AGING AS OPPOSED TO “HAVING” GOOD HEALTH
Authors: Lewis Jordan
Published: December 2022

The field of successful aging continues to grow and expand as authors investigate this topic in BIPOC populations, broadening the scope of successful aging, including Indigenous communities in the Arctic. Successful aging in Alaska Native communities is still a young, but growing, field of research, and this field of study places Indigenous voices at the forefront. This presentation will present data from 11 years of interviews with 108 Alaska Native Elders from rural and urban communities across the State of Alaska and highlight how successful aging is more of an “action” of doing healthy aging as opposed to the Western notion of “having” good health. The findings of this presentation will discuss how Alaska Native Elders’ understanding, or doing, successful aging can be applied to everyday life, similarities and differences with BIPOC studies on successful aging, and serve as an act of resistance against western notions of successful aging.
SHAPING PREFERENCES FOR AGING-SPECIFIC CONTINUING EDUCATION BY LICENSED PROFESSIONAL COUNSELORS
Authors: Schmidt Nicholas , Steffen Ann
Published: December 2022

Although the prevalence of depression, like many other mental health disorders, declines with age, older adults who seek behavioral health services often present with depressive symptoms mixed with cognitive complaints. This creates challenges for generalist practitioners, who are responsible for the majority of mental health care of aging individuals. Ageism and misconceptions about older adults are theorized barriers to clinicians seeking aging-specific specialty training. This completed experimental study showed that assignment to receiving foundational information about aging, including debunking common misconceptions about cognitive aging, influenced choice of continuing education (CE) preferences of generalist Licensed Professional Counselors (LPCs). Among the randomly generated pool of LPCs (N=120), participants who received aging-specific information were more likely to choose an aging-specific CE option, F(4, 107) = 5.35, p<.001. Demographic variables, perceived competence for working with older adults, knowledge of aging, and ageist beliefs were also collected; analyses including these variables will also be presented.