bluuebunny/crossref_metadata_2025_split huggingface dataset:
Documentation of Dementia as a Cause of Death Among Mexican-American Decedents With Dementia
Authors: Downer Brian , Chou Lin-Na , Snih Soham Al , Barba Cheyanne , Kuo Yong-Fang , Raji Mukaila , Markides Kyriakos , Ottenbacher Kenneth 
Published: December 2021

Abstract
There is lack of data on the frequency and correlates of dementia being documented as a cause of death in Hispanic populations. We investigated characteristics associated with dementia as a cause of death among Mexican-American decedents diagnosed with dementia. Data came from the Hispanic Established Populations for the Epidemiologic Study of the Elderly, Medicare claims files, and the National Death Index. Of the 744 decedents diagnosed with dementia before death, 26.9% had dementia documented as a cause of death. More health comorbidities (OR=0.38, 95% CI=0.25-0.57), older age at death (OR=1.05, 95% CI=1.01-1.08), and longer dementia duration (OR=1.09, 95% CI=1.03-1.16) were associated with dementia as a cause of death. In the last year of life, any ER admission with (OR=0.56, 95% CI=0.32-0.98) or without (OR=0.31, 95% CI=0.14-0.70) a hospitalization, more physician visits (OR=0.95, 95% CI=0.92-0.98) and seeing a medical specialist (OR=0.41, 95% CI=0.24-0.70) were associated with lower odds for dementia as a cause of death. In the last 30-days of life, any hospitalization with an ICU stay (OR=0.57, 95% CI=0.37-0.88) and ER admission with (OR=0.58, 95% CI=0.40-0.84) or without (OR=0.48, 95% CI=0.25-0.94) a hospitalization were associated with lower odds for dementia as a cause of death. Receiving hospice care in the last 30-days of life was associated with 2.09 (95% CI=1.38-3.16) higher odds for dementia as a cause of death. The possible under-documentation of dementia as a cause of death on death certificates may result in underestimation of healthcare resource need of dementia care for Mexican-Americans.
Older Adults’ Perceptions of Disposition Decisions from the Emergency Department
Authors: Valcheff Karen , Nancy Hoffart 
Published: December 2021

Abstract
Patient-centered care strives to improve older adult outcomes from the emergency department (ED). Appropriate disposition decisions from the ED for older adults are becoming increasingly complex and challenging. The purpose of this study was to explore the perceptions of older adults as to their disposition from the emergency department, the decision making process, and their engagement in that process. The Three-Talk Shared Decision Making (SDM) model guided the study. A qualitative approach was used to interview seven older adults two days after being treated in the ED. Transcribed data were thematically analyzed using MAXQDA to identify codes, patterns, and themes. Analysis revealed that the Three-Talk SDM model was not being used. Participants identified only one option regarding their disposition from the ED and perceived they had little voice in decision making. They reported a variety of emotional reactions, feelings of helplessness and empathy regarding the decision making process. Three factors that participants perceived as vital to them before making a disposition decision were safety, pain relief, and a definitive diagnosis. The findings of this small sample are clinically meaningful. These older adults wanted to be heard regarding their treatment and disposition decisions. Findings indicate the need for provider education about the use of a model such as the Three -Talk SDM. Further research is needed to look at both the older adult and provider’s perception of the ED disposition decision. Additional strategies and skills are warranted to enhance shared decision making in the ED with the growing aging population.
Geographic Disparities of Alzheimer’s Disease Mortality in Females With Breast Cancer
Authors: Akushevich Igor , Yashkin Arseniy , Kravchenko Julia 
Published: December 2021

Abstract
Our estimates showed significant gaps in mortality rates between the West and East parts of the U.S. when these rates are based on death certificate data. These geographic disparities were persistent over time and could not be fully explained by differences in demographic and socioeconomic characteristics, comorbidities, and/or differences in AD coding between these regions. However, incidence and incidence-based mortality rates based on Medicare data do not reproduce these geographic disparities. Death certificate-based patterns hold for the subset of the population with breast cancer, e.g., for subpopulation for which breast cancer was listed as a secondary cause of death. Therefore, SEER-Medicare data, which contains both death-certificate records and Medicare administrative claims for the same individuals can be used to resolve this inconsistency in findings. Analysis of breast cancer patients from two SEER registries in NJ and WA states in SEER-Medicare data (2000-2013) showed that the fraction of deceased individuals with an underlying cause AD among those who had a Medicare diagnosis of AD is 2.5-3.5 times (depending on the Medicare ascertainment algorithm) higher in WA comparing to NJ (p&lt;0.0001). The odds ratio of not-having AD as an underlying cause is 1.3 for WA vs. NJ and increases with age, for non-white races, and unmarried individuals. Our findings do not support the hypothesis of higher rates of AD in WA state but show that AD is likely underrepresented in death certificate in NJ and possibly other East coast states.
Retirement Financial Planing and Life Satisfaction
Authors: Wang Mengya , Bartholomae Suzanne , Fox Jonathan 
Published: December 2021

Abstract
Abstract#8232; Retirement has been considered as a major transition in one’s life. Financial security in retirement is a major concern for many Americans. Evidence has shown that being financially#8232;prepared for retirement could has a significant, positive impact on one’s life satisfaction. Employing data from the 2012 and 2018 National Financial Capability Study (N=1023), this#8232;study analyzes the relationship between participants’ retirement planning in 2012 and their financial satisfaction in 2018. An Ordinary Least Squares regression is used in the current study.#8232;This study found relatively low retirement preparedness levels (retirement planning, retirement#8232;saving, retirement plan: employer-based or individually held, investment) among the participants#8232;in 2012. Based on the descriptive results, adults closest to retirement (ages 55 to 64) are more#8232;likely to be planning compared to the other groups, as are adults who were married, highly#8232;educated, males, and white. According to the liner regression results, this study found that adults#8232;who had a retirement savings goal, had a retirement plan (employer- based or individually held),#8232;made regular contributions to retirement plans, and owned investments in 2012 are more likely#8232;to be satisfied with their personal financial condition in 2018. As expected, individuals with#8232;higher incomes, larger net worth, and those who are older are significantly more likely to be#8232;financial satisfied. However, even after controlling for these variables, results show that planning#8232;does indeed impact the level of financial satisfaction. Our findings highlight the importance of#8232;policies and programs to support Americans with retirement planning.
Narrative Imagination: Dismantling Old Age Through The Literary Foodscape In Lore Segal's "The Arbus Factor"
Authors: Trinkaus Eva-Maria 
Published: December 2021

Abstract
Being able to take another person's perspective and understanding the Other is a crucial element of reading, understanding, and processing literature. Especially in the context of old age, many literary texts play into the culturally constructed (cf. Gullette 2004) and biased understanding of old age as decline narrative, rather than reading an old person's story as a narrative of possibility. In her short story "The Arbus Factor" which was first published in The New Yorker in 2007, Lore Segal offers a different perspective on aging. Through creating a space, coming into existence through foodways and food practices, which in my dissertation I will refer to as 'literary foodscape,' she offers a setting and backdrop for the characters to construct a discourse of possibility, creation, and new opportunities at a later stage in life. Segal wittily dismantles age-related stereotypes and opens up a discourse that goes beyond an easy categorization. This paper is going to analyze the ways in which a literary text, through the 'literary foodscape' is able to rewrite a culturally engrained perspective, and offers a different and more accurate understanding of what it means to be old. Gullette, Margaret Morganroth. Aged By Culture. The University of Chicago Press. 2004.
“Especially for People Our Age”: Exploring the Correlates of Ageism During the COVID-19 Pandemic
Authors: Sublett Jennifer , Vale Michael , Bisconti Toni 
Published: December 2021

Abstract
The COVID-19 pandemic has presented an unprecedented context for older adults where they may feel patronized, isolated, and fearful because of their greater risk of getting COVID-19 and being targets of ageism. Previous researchers have linked ageism negatively with health and well-being; although, the majority of this research has highlighted the negative, or hostile, aspects of ageism, and excluded the overaccommodative and patronizing qualities of benevolent ageism. Since the start of the pandemic, both forms of ageism have been noted to be more salient with claims of an ageism outbreak (Ayalon et al., 2020). The correlates of ageism during the COVID-19 pandemic are widely unknown, and the goal of this study was to explore whether experiences of ageism were related to different affective and health-related responses to the pandemic. In a sample of older adults (N=65) collected in September 2020, we found that benevolent ageism positively correlated with pandemic specific experiences of pity (r=.27, p&lt;.05), loneliness (r=.30, p&lt;.05), worry (r=.40, p&lt;.01), and negatively related to self-reported physical health (r=-.31, p&lt;.05) and emotional well-being (r=-.26, p&lt;.05). Hostile ageism did not relate to pity, but positively correlated with loneliness (r=.25, p&lt;.05) and worry (r=.37, p&lt;.01), and negatively related to physical health (r=-.27, p&lt;.05) and emotional well-being (r=-.38, p&lt;.01). This work provides preliminary evidence of how the lives of older adults have been influenced by COVID-19 and the resulting ageism outbreak. Future research should continue this avenue of study with more expansive and inclusive samples and approaches as the pandemic is not over.
Media Portrayals of Emerging and Older Adults during COVID-19: Perceptions of Bias Among College Students
Authors: Pestritto Taylor , Mikrut Mikala , Graham Kirsten , King Katherine 
Published: December 2021

Abstract
This study explores media consumption and perceptions of media bias against both older adults and emerging adults during the COVID-19 pandemic. As part of a larger study, 99 students with a mean age of 20.54 (SD = 2.97) completed an online survey in early 2020. Individuals whose media consumption had increased were significantly more likely to report that young adults have been portrayed worse, and older adults better, since the start of COVID-19. Qualitative responses demonstrated broad awareness of ageist and adultist themes in media portrayals of both age groups, e.g., that young adults are careless and reckless whereas older adults are vulnerable and in need of protection. Results suggest that the media is perceived to be perpetuating age-related biases and may be enhancing intergenerational discord at a time when generational unity is needed.
People Internalized More Attitudes Toward Aging During the Pandemic
Authors: Fung Helene , Tsang Hiu Ling Vivian , Mai Chunyan 
Published: December 2021

Abstract
Older adults are viewed as being vulnerable to COVID-19. Previous research revealed that individuals would internalize or dissociate with attitudes toward aging when they aged. In this study, data collected before the COVID-19 pandemic were compared with those collected during the pandemic to assess whether the pandemic might make older adults internalize or dissociate with attitudes toward aging to a greater extent.123 Hong Kong participants (50.4% females, M=60.59±13.28 years old) were recruited in a two-wave survey (wave 1 in 2018 and wave 2 in 2020) on attitudes toward aging and future self-views. After comparing the correlations between attitudes toward aging and future self-views in the two waves, we found stronger positive correlations between these 2 variables in wave 2 than in wave 1 in the personality and finance domains, but not in the family, independence, or health domains. These findings suggest that internalization of attitudes toward aging might be domain-specific. The pandemic might make older adults more likely to internalize positive personality attitudes toward aging and negative finance attitudes toward aging into their future self-views. Professionals may consider utilizing the internalization process to promote a positive attitude toward aging during the pandemic.
“Spend your spoons wisely”: Conceptualizations of time, energy and aging invisibly with Crohn’s Disease
Authors: Natale Ginny , Pai Manacy 
Published: December 2021

Abstract
An increasing number of people with chronic medical disabilities are living longer and into old age due to the growing medical and technological advancements over the past half century. We used grounded theory to examine the lived experience of aging “with” a disability in a non-elderly population. On average, participants were 37 years of age at the time of interview. The average time since diagnosis was 17 years and ranged from 3 to 34 years. Many worked full-time outside of the home and some held advanced or graduate degrees. Of the 35 participants interviewed, three-quarters expressed worries about the future and aging, specifically related to physical limitations of having CD. The other 25% talked about learning to accept the diagnosis and ‘moving forward’ with their life as they age. All participants described the difficulties of fatigue and energy limitations. Planning of life was limited to 24 hours — a direct consequence of functional limitations of a relapsing-remitting disease. The most prominent theme that emerged from participants’ narratives to explain aging invisibly with a chronic illness was quantifying energy into ‘spoons’, a way of measuring the stock of their energy on any given day. These findings translate into important insights into the process of aging for those who live and age “with” Crohn’s as their everyday lives are immersed in managing the varying whims of this illness.
C-Reactive Protein Mediates the Association Between Subjective Aging and Incident Heart Disease
Authors: Skoblow Hanamori , Proulx Christine 
Published: December 2021

Abstract
Recent studies have shown that negative perceptions of subjective aging are associated with a heightened risk of cardiovascular events (Stephan et al., 2020) and increased C-reactive protein (CRP), a biomarker associated with inflammation (Stephan et al., 2014). Because inflammation is deleterious to cardiovascular health, CRP might mediate the association between subjective aging and cardiovascular disease. The purpose of this study was to examine the association between subjective aging (i.e., negative self-perceptions of aging [SPA] and subjective age) and incident cardiovascular disease (e.g., heart attack, angina, congestive heart failure), and to determine whether CRP mediates this relation. We used up to five waves of repeated measures data from the Health and Retirement Study (HRS, 2008 - 2016) with adults aged 50 to 101 (n = 9,531). Two separate models were conducted in MPlus with bias-corrected bootstrap confidence intervals and controls for respondent age, sex, education, race, ethnicity, body mass index (BMI), diabetes, hypertension, depressive symptoms, and physical inactivity. There were significant indirect effects of both SPA and subjective age on incident cardiovascular disease through CRP (indirect effect SPA model = .02, CIs [.01, .03], p &lt; .05; indirect effect subjective age model = .05, CIs [.02, .10], p &lt; .05). In both models, CRP fully mediated the association between subjective aging and incident cardiovascular disease. Taken together, these findings underscore the importance of considering older adults’ views of aging for understanding physical health and suggest that interventions aimed at improving views on aging may reduce inflammation and promote cardiovascular health.
Daily Perceived Stress and Physical Health Symptoms: Moderation by Self-Perceptions of Aging
Authors: Witzel Dakota , Turner Shelbie , Hooker Karen 
Published: December 2021

Abstract
Research suggests increased daily perceived stress is related to worse physical health outcomes such as poor eating and exercise behavior (Li et al., 2019) and lower perceived health (Whitehead & Blaxton, 2020). While long-term implications for increased perceptions of stress on physical health are becoming clear (e.g., Rueggeberg et al., 2012), less is known about associations between daily perceptions of stress and subjective levels of physical health symptoms. Moreover, positive perceptions of one’s own aging may buffer perceived stress’s impact on physical health. Indeed, self-perceptions of aging (SPA) impact how people prepare for age-related stressors (Kornadt et al., 2015), and are associated with physical health trajectories (Luo & Li, 2020). Using a 100-day microlongitudinal study of 103 older adults, we examined the 1.) impact of both between- and within-persons associations of perceived stress on physical health symptoms and 2.) the potential moderating associations of SPA on perceived stress and physical health symptom associations. Preliminary models suggest that on days when people perceived more stress, they show a .03 increase in reporting physical health symptoms compared to days when they do not report more perceived stress (p&lt;.0001). Further, people who experience more perceived stress on average, reported .06 more physical symptoms across the study period (p &lt;.0001). While SPA did significantly predict physical health symptoms (p=.004), the association between perceived stress and physical health symptoms was not dependent on SPA (p&gt;.05). Future directions may include exploring associations between daily stressful experiences, perceptions of stress, and valence of SPA.
The Effects of a VR Teaching Tool on Understanding, Comfortability, Compassion, and Empathy of Students and Caregivers
Authors: Elzie Carrie 
Published: December 2021

Abstract
Empathetic care giving is associated with improved patient satisfaction, compliance and outcomes; clinical competence, career satisfaction, and burnout reduction; as well as diminished medical errors and litigation claims. Unfortunately, recent studies have shown erosion in empathy and compassion across the health professions. Virtual reality shows promise as a teaching tool to combat this decline as it has been dubbed the ultimate empathy machine, allowing users to vividly and viscerally experience any situation from any perspective. Embodied Labs allows users to virtually walk in the shoes of different patients, experiencing symptoms, family dynamics, support networks and various components of the health care systems. We have demonstrated that the high level of immersion and presence afforded by these virtual labs are effective pedagogical tools to increase understanding, comfortability, compassion and empathy within various populations including informal caregivers, high school students, health professional students and medical students.
Association of Obesity, Multiple Chronic Conditions, and Frailty: the National Health and Aging Trends Survey
Authors: Batsis John , Haudenschild Christian , Kahkoska Anna , Crow rebecca , Lynch David , Petersen Curtis , Lohman Matthew 
Published: December 2021

Abstract
As life expectancy increases, so does the risk of developing multiple chronic conditions (MCC). This is concerning as there is a growing obesity epidemic in older adults which is also associated with developing chronic diseases. Both obesity and MCC also increase the risk of frailty, yet the intersection of the three is not well understood. We evaluated the relationship between obesity, multimorbidity, and frailty using data from adults ≥65 years from the National Health and Aging Trends Survey. Obesity was classified using standard body mass index categories (e.g., ≥30kg/m2) and waist circumference (WC; females≥88cm; males≥102cm). MCC was classified as having ≥2 chronic conditions. Adjusted logistic regression models evaluated the association of BMI or WC categories on MCC (yes/no). An analysis limited to persons with obesity evaluated the relationship between frailty phenotypes (e.g, robust, pre-frail, frail) and MCC. Of the 4,967 participants (59.7% female), 79% resided in a private residence. The 70-79 age category was most prevalent. In those with MCC, there were 1,511 (30.4%) classified as having obesity using BMI, and 3,358 (67.6%) using WC. In those without MCC, there were 287 (17.6%) and 744 (51.7%). Compared to normal BMI, the odds of MCC was 0.71 [0.46,1.09], 1.25 [1.08,1.45] and 2.59 [2.15,3.11] in underweight, overweight and obesity. In pre-frailty and frailty, the odds of MCC were 2.52 [1.77,3.59] and 8.35 [3.7,18.85] in BMI-defined obesity. Using WC, the odds were 2.38 [1.94,2.91], and 5.89 [3.83,9.06]. Obesity using both BMI and WC are both strongly associated with multimorbidity and frailty.
Case Study - Candida auris in Skilled Nursing Facility
Authors: Vo Nancy , Tokumitsu Sayaka , Melik-Abramians Armen , John S Chen 
Published: December 2021

Abstract
Candida Auris (C. auris), is a multidrug-resistant organism, first described in Japan 2009, and now a serious, emerging global health threat1. C. auris pathogen can potentiate morbidity and mortality, i.e. lifelong contact precaution isolation, intravenous antifungal treatment, hospitalization and mortality rate of 30-60%1. Los Angeles County (LAC) developed 15 new cases in May 2020, and 73 cases in July 2020, amidst COVID-19 pandemic2. A 88 year old Black female had a positive skin test for C. auris by LAC Department of Public Health (DPH) during skilled nursing facility (SNF) admission for hip fracture in September 2020. Patient’s risk factors for C. auris included: age, kidney transplantation (1998) immunosuppression on tacrolimus, fungal infection on fluconazole, drug-drug interaction between tacrolimus-fluconazole including nephrotoxicity and neurotoxicity, malnutrition, bedbound, Stage 4 sacrococcyx pressure ulcer, osteomyelitis on broad-spectrum antibiotics, chronic indwelling catheter, and healthcare setting. Our multimorbid and frail patient remained asymptomatic with C. auris under an interdisciplinary team approach, including geriatricians, infectious disease, pharmacists, SNF team and local DPH. Our patient’s psychosocial isolation and family distress with local DPH guidelines for COVID-19 SNF visitation restrictions were compounded by multifaceted coordination of patient-centered care between SNF team and specialists via telehealth. Further research in the prevention, detection, and management of C. auris is warranted to protect our vulnerable SNF residents. 1. Centers for Disease Control and Prevention. (2020). Tracking Candida auris. https://www.cdc.gov/fungal/candida-auris/tracking-c-auris.html 2. Los Angeles County Health Alert Network. (2020). CDPH Health Advisory: Resurgence of Candida auris in Healthcare Facilities in the Setting of COVID-19. http://publichealth.lacounty.gov/eprp/lahan/alerts/CAHANCauris082020.pdf