Injury patterns of seniors in traffic accidents: A technical and medical analysis

AIM:To investigate the actual injury situation of seniors in traffic accidents and to evaluate the different injury patterns.METHODS:Injury data,environmental circumstances and crash circumstances of accidents were collected shortly after the accident event at the scene.With these data,a technical and medical analysis was performed,including Injury Severity Score,Abbreviated Injury Scale and Maximum Abbreviated Injury Scale.The method of data collection is named the German InDepth Accident Study and can be seen as representative.RESULTS:A total of 4430 injured seniors in traffic accidents were evaluated.The incidence of sustaining severe injuries to extremities,head and maxillofacial region was significantly higher in the group of elderly people compared to a younger age(P<0.05).The number of accident-related injuries was higher in the group of seniors compared to other groups.CONCLUSION:Seniors are more likely to be involved in traffic injuries and to sustain serious to severe injuries compared to other groups.

Memory Training and Task Specificity in 90-99-Year-Old Seniors with Mild Cognitive Impairment

Managing memory deficits is a central problem among older adults with mild cognitive impairment (MCI). This study examined the effects of memory training on memory performance in an understudied “oldest-old” population ranging in age from 90 to 99 years. Eighteen mild to moderately cognitive-impaired older seniors, 90 years and older were recruited from memory clinics established in senior living communities. Treatment sessions took place, on average, twice weekly, for 55 minutes. Memory intervention included nineteen computer-based exercises customized to focus on memory loss. The specificity of memory training was very clear;memory training produced significant effects (F(3,51) = 2.81, p = 0.05) on memory performance, especially after 6 months of training, while other outcome measures showed no effects as predicted. Based on the results, it can be concluded that interventions targeting cognition and memory in the oldest-old MCI population can significantly improve memory function and reduce cognitive deficits.

Study on the Seniors' Recreation in Coastal Regions from the Perspective of Wellness Tourism: A Case Study of Hailing Island

With the increasing proportion of the middle aged and elderly people,the aging of society has become a worldwide issue.Life experience and sufficient leisure time of the elderly are treasures of families and the whole society.The study focuses on improving life value and quality of the elderly,aims at ensuring them to enjoy highquality leisure life.Taking Hailing Island for example,health tourism resources on the island were analyzed,and health tourism development strategies summarized,and the elderly’leisure was explored from the perspective of health tourism,which is a brand-new perspective concerning the seniors and development of coastal tourism destinations.

Modelling Willingness-to-Adopt an Intelligent Oven： Capturing the Seniors Perspective

Introduction： The senior population is projected to continue to increase dramatically for the foreseeable future and cognitive issues associated with aging have become a major concern as they affect people’s ability to carry on activities of daily living. One area of daily living, which has often been cited as a key problem area for seniors is the detection of risks in the home, especially in the kitchen. The kitchen is the place where most domestic accidents occur and the oven is the main source. Methods： We propose a safety kitchen solution, InOvUS, which focuses on safety and reducing the risk of fire, burn and intoxication. We present the evaluation of the soundness of the method we designed to evaluate the adoption intention and interest of a safety kitchen system from a senior user’s perspective. Results： We develop a conceptual model utilizing several existing scales such as the CAI （consumer adoption intention）, CI （consumer innovativeness）, TAM （technology acceptance model）, PEOU （perceived ease of use） and PU （perceived usefulness） scales, but specific to the senior 65＋ segment. Conclusion： The evaluation results of InOvUS through the application of our model show a clear buying intention toward InOvUS and also a clear intent to use it.

Telepsychiatry:The Evaluation and Treatment of Seniors in Rural Retirement Communities

Few studies examine the benefits from geriatric telepsychiatry in rural retirement communities.Objectives:1.To demonstrate that using telepsychiatry(a)standard approaches to psychiatric evaluation would yield diagnoses in Diagnostic and Statistical Manual of Mental Disorders(DSM-V);(b)psychotherapies and pharmacotherapy could be effectively administered.2.To examine the relationships among cognition,mood,agitation and functions at baseline and the response to treatment over time.Design:Prospective longitudinal study.Measures:Geriatric Depression scale(GDS),Mini Mental State Exam(MMSE),Barthel Index(BI),Pittsburgh Agitation Scale(PAS).Setting:Video Teleconferencing.Interventions:Psychotherapy,psychopharmacology.Participants:428 Seniors over 55,met criteria for at least one DSM-V diagnosis.Results:Treatments were administered for a full range of psychiatric diagnoses and age-related medical conditions.The most frequently prescribed pharmacological agents were:antidepressants(78%)antipsychotics(64%),memory enhancers(38%).Participants(66%)received psychotherapy:individual(31%),couple(7%),family(13%).Variation in the MMSE scores were observed:55%remained stable,11%declined,18%improved.GDS Scores improved from baseline to 26 weeks(p=0.02,d=0.99:95%CI 0.39-1.56).PAS scores declined from baseline to 52 weeks(McNemar’s S=11.27,p=0.0008,d=1.17:95%CI 0.63-1.68).Function(BI)at week 26 was not statistically significantly different from baseline(t(26)=1.66,p=0.11,d=0.65:95%CI-0.16-1.42).Participants maintained independence(64.5%)at 52 weeks(McNemar’s S=6.23,p=0.013,d=0.79:95%CI 0.19-1.36)Conclusion:This study demonstrates the feasibility and benefit of providing a full complement of services via telepsychiatry to seniors and provides a rationale for more comprehensive reimbursement plans.

Sustaining Seniors

When Li Weiping boarded the flight from New York to Beijing in April, it heralded her independence. The 75 year-old Chinese had stayed in the United States for two years after her husband died.

The Underlying Motivations for Mobile Device Use by Seniors

To date, there has been limited research carried out to better understand seniors＇ needs and purchase motivations related to mobile devices. To that end, this research enabled an exploratory assessment of the intrinsic and extrinsic needs/motives to consider in future research and development of ubiquitous mobile devices and related applications, specifically for seniors. The 65＋ population is expected to double by 2025 （WHO, 2013） from 390 million to 800 million. The results demonstrate specific needs/motives which should be considered during the development of new mobile attributes and apps for this segment. For both attributes of devices themselves and the applications found on them, three tiers of priority for development were determined.

Understanding Taiwan Seniors＇ Motivation to Consume Food-Away-From-Home

The elderly population is growing rapidly in Taiwan. Eating is an important part for this group. The purpose of this study is to adapt the push and pull theory in order to investigate what would motivate the elderly to consume food away from home. Based on the results of a literature review and an expert panel, a valid questionnaire was developed. The participants in this study were aged above 55 who live in Taichung district. A total of 265 samples were collected. Statistical Package for the Social Sciences （SPSS） and Analysis of Moment Structures （AMOS） were used to analyze the data. The findings revealed that the data fit the model moderately well. Push and pull variables had a significant influence on intention and behavior. Recommendations like marketing strategies that can attract senior citizens and restaurateurs should focus on the key factors when seniors consume food away from home.

LETTERS

I am head of human rights department at Cuba’s Foreign Affairs Ministry.Along with senior officials from 50 countries and regions,I recently visited Beijing and some cities and towns in east China’s Zhejiang Province during a one-week training program.It enabled us to learn about the central and local governments’promotion and protection of human,economic,social,cultural,and environmental rights.

An Umbrella for Unemployed Seniors

The Chinese Government recently took a significant step forward in improving its social safety net: A pension program benefiting the country’s 50 million unemployed urban residents was launched on July 1.The new program, covering unemployed urban residents above the age of 16, excluding students, will be implemented in 60 percent of the country’s cities and townships this year. Starting in 2012, it will be effective across the country.By then, the country’s pension umbrella will cover the last

SENIORS ECURITY

China’s social safety net extends to unemployed city residents With an aging population of moret han 100 million presenting unforeseen obstacles to ensure benefits for retirees,China recently implemented new measures to cover the last social group in its extensive pension system:unemployed city residents.The pilot pension program for unemployed urban residents,the State Council’s most recent initiative to improve the coun-

Research on the Influencing Factors of Gerontechnology Acceptance by Seniors:A Case Study of Beijing Elderly Citizens

Based on the framework of social cognition theory,this paper proposed a systematic gerontechnology acceptance model for older people from both environmental and personal factors.Taking the Beijing senior citizens as an example,we used questionnaire survey data analysis and structural equation modeling methods to conduct empirical research that explores the factors affecting the willingness of the Beijing senior citizens to use gerontechnology and to examine the relationships among these factors.Results show that–in terms of personal factors–self-satisfaction,perceived usefulness and cognitive ability have a significant positive impact on the elderly’s intended uptake of gerontechnology;in terms of environmental factors,social influence not only directly affects the elderly’s intended use,but these elements can also shape the proposed use by influencing personal factors.We noted that facilitating conditions have only an indirect effect on the way of older people’s plan to use gerontechnology.The results confirmed the rationality and effectiveness of applying social cognition theory to study the behavior of seniors’acceptance of gerontechnology.Based on the research results,we proposed some suggestions to promote better research and development of gerontechnology for the elderly in Beijing.

A Little Hypertension May Sharpen Seniors’ Thinking Skills

高血压,令老年人头疼,并望而生畏。想不到,高血压居然对老年人也有好处!以色列的专家经过测试认定:Mild hypertension(高血压)may ac-tually protect the cognitive(认知的)ability of people after age 70。

Seniors Should Watch Their Step

选注者言:我的父亲年事已高,去年一不小心滑倒在卫生间里,从此卧床不起。今在网上读到此文,有相见恨晚之心。我将此文推荐给贵刊,希望刊登,希望年轻读者能在“回家看看”时,将本文的信息转告老人:One of every three Americanadults 65 or older falls each year,and falls are the leading cause of injury deaths inthat age group.此外,本文提出的预防老人滑倒的很多措施也很科学周到。

Seniors in Schools Good for Everyone

[提示]文章虽短,却涉及一个重要社会现象。作为志愿者的老人到小学里去和小学生接触,对彼此都非常有利。老者-showed significant increases in theirphysical activity,strength,social networks and cognitive(认知的)activity;幼者-had marked improvements in academic achievement and behavior.老者在学校里到底干些什么,可惜文章没有细谈-fulfill a number of roles in classroomsand libraries for at least 15 hours a week.

Higher intakes of lysine,threonine and valine are inversely associated with non-alcoholic fatty liver disease risk:a community-based case-control study in the Chinese elderly

The associations of individual amino acid with non-alcoholic fatty liver disease(NAFLD)risk remained unclear.The present study aimed to investigate the associations between the two in the Chinese elderly.Methods:A community-based health check-up program was conducted in Qingdao,China.NAFLD was diagnosed by ultrasonography accompanied by epidemiological investigation.The dietary intakes of amino acids were investigated with 3-day,24-h dietary records and calculated by Nutrition Calculator software.Restricted cubic spline model was used to evaluate a nonlinear relationship between amino acid intake and NAFLD risk.Results:400 NAFLD subjects were identified,and 400 participants were randomly selected as controls and matched by gender and age(±3 years)Dose-response analysis showed that 1000 mg increment of aromatic amino acids(AAAs)was associated with reduced 16%risk of NAFLD.Dietary increments of 750 mg/d threonine,950 mg/d valine,or 1700 mg/d lysine were associated with a 20%reduction in the NAFLD risk(all P for linearity<0.05).Conclusion:The present study demonstrated that the dietary increases in milk,eggs and deep-sea fish,which are rich in the amino acids,might contribute to protecting against NAFLD in the elderly.

A Brief Introduction to Sichuan Academy of Social Sciences

Sichuan Academy of Social Sciences is the think tank for the People’s Government of Sichuan Province and the Sichuan Provincial Committee of the CPC,with full financial backing of the Party and the government.The Academy consists of 16 institutes,1 graduate school,10 departments of scientific research management services.At the end of 2023 the staff numbered 459.Among the scientific research personnel,79 employees have senior professional titles,and 147 employees have associate senior professional titles;31 employees are experts entitled to special allowances of the State Council,33 employees are provincial academic and technical leaders,20 employees are experts with outstanding contributions at provincial level;and 184 employees have doctorate degrees.

Predictive value of systemic immunity index for sepsis in low-medium risk community-acquired pneumonia

Objective:To assess the predictive value of systemic immune inflammation index(SII)for sepsis in low-and medium-risk community-acquired pneumonia.Methods:A total of 589 elderly patients with low-and medium-risk community-acquired pneumonia admitted to the Emergency Department of the Second Affiliated Hospital of Hainan Medical University from January 2020 to January 2023 were included as the research subjects,and the general information and laboratory test results of the patients were collected,and the optimal cut-off value of continuous variables for predicting sepsis in elderly patients with low-and medium-risk community-acquired pneumonia was determined by plotting the receiver work characteristic(ROC)curve,which was converted into dichotomous variables and univariate and multivariate logistic Regression analysis of the influencing factors of sepsis in elderly patients with low-and medium-risk community-acquired pneumonia.Based on this,a nomogram model is constructed to predict the risk of sepsis.The differentiation,consistency and accuracy of the model were verified by calibration curve and subject operating characteristic(ROC)curve,and the clinical utility of the model was determined by decision curve analysis.Results:A total of 589 elderly patients with low-and intermediate-risk community-acquired pneumonia were included in this study,of which 96(16.30%)developed sepsis.There were significant differences in age,diabetes mellitus and chronic obstructive pulmonary disease,Lac,PCT,SII and other indexes between sepsis and non-sepsis groups(P<0.05).Logistics regression analysis showed that age,diabetes mellitus and chronic obstructive pulmonary disease,Lac,and SII were independent risk factors for sepsis in elderly patients with low-and medium-risk community-acquired pneumonia.The nomogram prediction model was used to verify the results,and the AUC was 0.826(95%CI:0.780-0.872),and the calibration curve tended to the ideal curve with good accuracy.The decision curve shows that when the threshold of the model is between 0.10~0.78,the model has the advantage of clinical benefit.Conclusion:The nomogram prediction model constructed based on SII to predict sepsis in elderly patients with low-and medium-risk community-acquired pneumonia has good accuracy,which can predict the occurrence of sepsis early,help early identification of high-risk groups and timely intervention,and thus improve the prognosis of patients.

Frailty in People Living with Human Immunodeficiency Virus Aged 50 Years and Older: Prevalence and Predictors

Introduction: Life expectancy improvement for people living with Human Immunodeficiency Virus (HIV) is coming up against the problems associated with aging and chronic diseases. Frailty is a concern affecting a growing number of patients, particularly the elderly in this population. Our study aimed to determine the prevalence of frailty and its predictors on people living with HIV aged 50 years and older followed at the Outpatient Treatment Clinic (CTA) in Dakar. Methodology: We conducted a cross-sectional study of descriptive and analytic purposes ranging from November 2022 to August 2023, in CTA, Dakar (Senegal). We included people living with HIV aged 50 years and older under antiretroviral therapy for at least 6 months (≥6 months). Frailty was considered according to Fried criteria with a score ≥3. To identify the predictors of frailty, we performed a multivariate logistic regression analysis using STATA software version 18. Results: We included 199 patients. The median age at the moment of the study was 58 years old [50 - 91] with a sex ratio (M/F) of 0.58. The most representative age group was that of [50 - 59] years (59.3%). HIV-1 profile was most common in 89.45%. The median duration under antiretroviral therapy was 180 months [6 - 284] and 94% of patients received a Tenofovir Disoproxil Fumarate (TDF)-containing regimen with 43% of them for at least 10 years. Viral load was undetectable (≤40 copies/ml) in 98% of cases. WHO Stage III was more common at inclusion and 55.78% had nadir TCD4+ Lymphocyte counts Conclusion: Our study confirms the high prevalence of frailty among older people living with HIV. Its prevention should consider the management of comorbidities and the implementation of non-pharmacological interventions such as nutrition.

A Tale of the CPC's Foreign Relations(Excerpt from the Introduction of A Tale of Two Continents)

In 2017,China time and again captured the attention of the world.On January 17,President Xi Jinping delivered a keynote speech at Davos entitled Jointly Shoulder Responsibility of Our Times,Promote Global Growth at the opening session of the World Economic Forum Annual Meeting.Then,on May 14-15,the Belt and Road Forum for International Cooperation was convened in Bejing,attended by more than 1,500 delegates,including 29 heads of state or government,more than 70 chiefs or their deputies of international Organisations,and senior representatives from more than 110 countries.