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Profile measurements of structures with a high aspect ratio and subwavelength features (HARSW) can be achieved using transmission electron microscopy and tilted scanning electron microscopy. Although electron microscopy can provide accurate HARSW measurements, it is laborious and destructive. In this paper, nondestructive and labor-saving methods were proposed to measure the dimensions of HARSW structures. The optical reflection spectrum, along with an artificial neural network (ANN) model, was adopted for interpolation with the simulation database to retrieve the dimensions of HARSW structures. To generate the ANN model, the experimental and simulated reflection spectra were adopted as the input and output variables for the training data, respectively. This ANN model can learn the discrepancy between simulation and experimental reflections. The finite-difference time-domain method was also adopted to calculate the simulated reflection spectra of HARSW structures with various dimensions, which can be used as a database. Once the experimental reflection of a HARSW structure with unknown dimensions was obtained, the ANN model could generate a simulation-like reflection spectrum. Linear regression was used to determine the correlation coefficients of the simulation-like reflection spectra in the database. The accurate dimensions of HARSW structures can be determined using a higher correlation coefficient. This methodology can be a prominent method for the process monitoring of HARSW structures.
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BACKGROUND: Social detachment includes the subjective aspect "loneliness" and the objective aspect "social isolation," but tools to assess both dimensions are limited. This study aims to develop a questionnaire, the Social Detachment Questionnaire for Older Population (SDQO), that considers multiple dimensions of social detachment simultaneously. METHODS: The study collected 600 valid samples from individuals aged 55 and above to examine the psychometric properties of the developed SDQO. Item analysis was conducted to assess the performance of each item, and exploratory factor analysis (EFA) was employed to analyze its initial structure and eliminate less ideal items. Subsequently, confirmatory factor analysis (CFA) was used to examine the model fit of the suggested structure by EFA, using different subsamples. Internal consistency, concurrent validity, and other analyses were also performed. RESULTS: The original 27-item SDQO was reduced to 17 items after removing 4 questions in item analysis and 6 questions in EFA. The Cronbach's alpha for the 17-item version of SDQO was 0.80. Both EFA and CFA supported its 6-factor structure, with factors identified as community activities, loneliness, personal resources, leisure activities, friendship, and family resources. SDQO also demonstrated expected performance in concurrent validity. CONCLUSION: The 17-item version of SDQO exhibited good reliability and validity, measuring various aspects of social detachment behavior, feelings, and resources. It holds value for future research applications.
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OBJECTIVES: This study investigated the impact of social activities on cognitive functioning and psychopathological symptoms. METHODS: Participants aged 55 or older were enrolled through communities. Initial measures assessed demographic data, neuropsychological functioning, psychopathological state, and happiness. Social activities were evaluated using a modified 12-item tool, with 3-4 activities as the cutoff. Follow-up after 6-9 months included Mini-Mental State Examination (MMSE), Beck Depression Inventory - II (BDI-II), Beck Anxiety Inventory (BAI), Health Assessment Questionnaire (HAQ), and Patient Health Questionnaire-15 (PHQ-15) measurements. Predictive models for psychiatric and cognitive statuses were built using multiple linear regression, adjusting for baseline conditions. RESULTS: Initially, 516 older individuals enrolled, with 403 undergoing follow-up. During follow-up, the low participation group reported lower MMSE scores, higher BAI scores, and increased PHQ-15 risk. Negative correlations between social activity numbers and PHQ-15 results were found. Engagement in social clubs correlated positively with higher MMSE scores, while regular interactions with one's adult child(ren) were linked to decreased BAI scores. CONCLUSIONS: The quantity of social activities was associated with lower somatic distress. Social club engagement positively influenced cognition, and regular interactions with one's adult child(ren) mitigated anxiety among older individuals. CLINICAL IMPLICATIONS: Enough types of social activities, participating in social clubs, and adequate interactions with children protected against psychopathologies.
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Focal position control of vortex beams has tremendous applications in optical field. Herein, non-classical Archimedean arrays were proposed for optical devices with bifocal length and polarization-switchable focal length. The Archimedean arrays were constructed by rotational elliptical holes in a silver film, which were followed by two one-turned Archimedean trajectories. The elliptical holes in this Archimedean array provide the freedom of polarization control for the optical performance by their rotation status. The rotation of elliptical hole can provide additional phase to affect the shape of vortex beam (converged or diverged) under the illumination of circular polarization. The geometric phase of Archimedes trajectory will also determine the focal position of vortex beam. This Archimedean array can produce a converged vortex beam at the specific focal plane according to the handedness of the incident circular polarization and geometrical arrangement of array. The Archimedean array was also demonstrated by experiment and numerical simulation for its exotic optical performance.
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INTRODUCTION: Social participation activities have a close association with health aging. However, the clinical significance of numbers of social participation activities and its cutoff value has not been defined. METHODS: We recruited 516 people aged ≥55 years. Twelve social participation behaviors modified according to Taiwanese culture were investigated, and the adequacy of cutoff number was determined by the area under the receiver operating characteristic curve (AUC) according to the results of cluster analysis of individual activities and scores of the Brief Symptom Rating Scale-5 (BSRS-5) and the Chinese Happiness Inventory (CHI). Demographic, BSRS-5 and CHI data were then compared according to the candidate cutoff numbers. RESULTS: The distribution of the numbers of social activities suggested that the highest partition of numbers of social activities was 3 in women and 4 in men. The AUC regarding the cluster of activity types was 0.917, with the highest Youden's J value located between 3 and 4. The AUC regarding the cluster of activity types and scores of the BSRS-5 and the CHI was 0.929, with similar cutoffs. If 3 and 4 were used as cutoffs, the between-group differences of both the CHI and the BSRS-5 were significant. More types of social activities had a different engaging frequency with the 3 and 4 cutoffs. CONCLUSION: Our findings found an adequate cutoff with better differential power in the psychopathology and happiness of older people that provided a basis for application in intervention and policy formation.
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Participação Social , Masculino , Humanos , Feminino , Idoso , Curva ROCRESUMO
BACKGROUND: Although previous studies indicated the association between peripheral biomarkers and psychological conditions, a higher prevalence of cardiovascular diseases (CVD) among geriatric populations may hinder the applicability of the biomarkers. The objective of this study was to assess the adequacy of the application of biomarkers to evaluate psychological conditions among geriatric populations. METHOD: We collected information on the demographics and history of CVD in all participants. All participants completed the Brief Symptom Rating Scale (BSRS-5) and the Chinese Happiness Inventory (CHI), which are the measurement of negative and positive psychological conditions, respectively. Four indicators of the peripheral biomarkers, including the standard deviation of normal to normal RR intervals (SDNN), finger temperature, skin conductance, and electromyogram were collected for each participant during a 5-min resting state. Multiple linear regression models were conducted to evaluate the association between the biomarkers and the psychological measurements (BSRS-5, CHI) with and without the inclusion of the participants with CVD. RESULTS: A total of 233 participants without CVD (non-CVD group) and 283 participants with CVD (CVD group) were included. The CVD group was older and with higher body mass index compared to the non-CVD group. In the multiple linear regression model with all participants, only BSRS-5 scores had a positive association with electromyogram. After the exclusion of the CVD group, the association between the BSRS-5 scores and electromyogram was more relevant, while CHI scores became positively associated with SDNN. CONCLUSIONS: A single measurement of the peripheral biomarker may be insufficient to depict psychological conditions among geriatric populations.
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Doenças Cardiovasculares , Coração , Humanos , Idoso , Biomarcadores , Doenças Cardiovasculares/epidemiologia , Análise Multivariada , Fatores de RiscoRESUMO
BACKGROUND/PURPOSE: With an increasing geriatric population, the need for effective management of chronic conditions and medication use in the elderly is growing. Medication use in the elderly presents significant challenges due to changes in pharmacodynamic and pharmacokinetic profiles. We aimed to examine the impact of a collaborative physician-pharmacist medication therapy management (MTM) program for polypharmacy elderly patients. METHODS: Elderly patients with multiple chronic conditions on polypharmacy were enrolled in this prospective, randomized, and controlled study over 16 months of implementation. The intervention group consisted of patients randomized to a collaborative pharmacist-physician MTM program. They were monitored continuously by a clinical pharmacist, while patients in the control group received only usual care with follow-up assessment. Primary outcome was economic differences, measured in total medical expenditure. Secondary outcomes of clinical and humanistic effects were compared between the two groups. RESULTS: The total number of enrolled patients was 87 and 91 in the MTM and usual groups, respectively. The difference-in-difference estimate on medical expenditure during the 16-month implementation period was $3,758,373 New Taiwan Dollars ($127,015 US Dollars) less than the usually care group. Impact was also seen in humanistic outcomes while lipid profiles and mortality trended toward improvement. CONCLUSION: The pharmacist-physician collaborative MTM program for polypharmacy elderly had significant cost savings and improvement in humanistic measures, demonstrating the importance of clinical pharmacists and MTM programs for elderly patients in Taiwan. The results suggest the possibility of clinical benefits, but the study was not substantially powered to find a statistical difference.
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Conduta do Tratamento Medicamentoso , Farmacêuticos , Médicos , Polimedicação , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Colaboração Intersetorial , Masculino , Estudos ProspectivosRESUMO
OBJECTIVES: To compare muscle strength and physical performance among subjects with and without sarcopenia of different definitions. DESIGN: A population-based cross-sectional study. PARTICIPANTS: 857 community residents aged 65 years or older. METHODS: Sarcopenia was defined according to the European Working Group of Sarcopenia in Older People consensus criteria. Dual-energy X-ray absorptiometry measured lean soft tissue mass. Sarcopenic participants with low height-adjusted or weight-adjusted skeletal muscle index (SMI) were classified as having h-sarcopenia or w-sarcopenia, respectively. Combined sarcopenia (c-sarcopenia) was defined as having either h- or w-sarcopenia. The participants underwent six physical performance tests: walking speed, timed up-and-go, six-minute walk, single-leg stance, timed chair stands, and flexibility test. The strength of five muscle groups was measured. RESULTS: Participants with h-sarcopenia had lower weight, body mass index (BMI), fat mass, and absolute muscle strength (p ≤ .001); those with w-sarcopenia had higher weight, BMI, fat mass (p < .001), and low relative muscle strength (p ≤ .003). Participants with c-sarcopenia had poorer performance in all physical performance tests, whereas h-sarcopenia and w-sarcopenia were associated with poor performance in four tests. CONCLUSION: Subjects with h- and w-sarcopenia differ significantly in terms of obesity indicators. Combining height- and weight-adjusted SMIs can be a feasible method to define sarcopenia.
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Avaliação Geriátrica/métodos , Força Muscular/fisiologia , Músculo Esquelético/fisiopatologia , Sarcopenia/classificação , Absorciometria de Fóton , Idoso , Estatura , Índice de Massa Corporal , Peso Corporal , Estudos Transversais , Feminino , Idoso Fragilizado , Humanos , Masculino , Prevalência , Sarcopenia/epidemiologia , Sarcopenia/fisiopatologia , Taiwan/epidemiologiaRESUMO
BACKGROUND: Successful aging in old age is important. However, the determinants of successful aging vary across populations due to cultural differences, and only a limited number of studies have addressed these determinants in Taiwan population. This study aimed to evaluate successful aging via better physical and mental functions as well as to explore associated determinants in an elderly Taiwan population that had no impaired cognitive function. METHODS: A community-based cross-sectional survey was conducted in January 2009 in Taichung, Taiwan. A total of 903 elderly persons (≥65 years) without impaired cognitive function were enrolled. Those with physical and mental component scores in the top tertile of the Short-Form 36 were considered to be aging successfully. All participants completed a structured questionnaire and the comprehensive geriatric assessment measurements of the five components of frailty defined by Fried et al. Crude and adjusted odds ratios (ORs) with 95% confidence intervals (CIs) were calculated to evaluate the relationship between associated factors and successful aging using logistic regression analysis. RESULTS: The prevalence of successful aging was 10.4% in elders. A higher proportion of successful aging was found in non-frail (16.9%) and pre-frail elders (7.2%) than in frail elders (0.9%). Multivariate logistic regression showed pre-frail elders to be associated with lower prevalence of successful aging relative to non-frail elders (OR: 0.45; 95% CI: 0.24-0.84). Relative to those aged ≤70 years, elders aged 71-75 years were associated with a lower prevalence of successful aging (OR: 0.27; 95% CI: 0.13-0.58). Successful aging was also more likely among those able to visit relatives and friends (OR: 3.86, 95% CI: 1.09-13.61) and among those without a history of falling (OR: 4.95; 95% CI: 1.79-13.74), pain (OR: 4.04; 95% CI: 2.18-7.50), or sleep disorders (OR: 2.36; 95% CI: 1.30-4.27). CONCLUSION: Successful aging was associated with age, frail status, chronic health-related problems and psychosocial support. However, whether or not these associations are causal requires further exploration.
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Envelhecimento/fisiologia , Envelhecimento/psicologia , Nível de Saúde , Saúde Mental , Qualidade de Vida , Idoso , Idoso de 80 Anos ou mais , Doença Crônica , Estudos Transversais , Feminino , Idoso Fragilizado/psicologia , Avaliação Geriátrica , Humanos , Modelos Logísticos , Masculino , Razão de Chances , Prevalência , Apoio Social , Fatores Socioeconômicos , Inquéritos e Questionários , TaiwanRESUMO
Using a femtosecond laser incident to an oxide-metal-oxide film engraved with a subwavelength annular aperture (SAA) structure, we generated a Bessel-like beam to ablate silicon. Experimental results show that the silicon can be ablated with a 0.05 J/cm(2) input ablation threshold at 120 fs pulse duration. We obtained a surface hole possessing a diameter less than 1 µm. Optical performance, including depth-of-focus and focal spot of the SAA structure, were simulated using finite-different time-domain calculations. We found that a far-field laser beam propagating through a SAA structure possesses a submicrometer focal spot and high focus intensity. Our method can be easily adopted for surface machining in microfabrication applications.
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We integrated a piezoelectric sensing layer lamina containing liquid crystals (LC) and spiropyran (SP) in a LC/SP mixture to create an optically reconfigurable modal sensor for a cantilever beam. The impedance of this LC/SP lamina was decreased by UV irradiation which constituted the underlying mechanism to modulate the voltage externally applied to the piezoelectric actuating layer. Illuminating a specific pattern onto the LC/SP lamina provided us with a way to spatially modulate the piezoelectric vibration signal. We showed that if an UV illuminated pattern matches the strain distribution of a specific mode, a piezoelectric modal sensor can be created. Since UV illumination can be changed in situ in real-time, our results confirm for the first time since the inception of smart sensors, that an optically tailored modal sensor can be created. Some potential applications of this type of sensor include energy harvesting devices, bio-chips, vibration sensing and actuating devices.
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Benzopiranos/química , Eletricidade , Eletroquímica/instrumentação , Indóis/química , Cristais Líquidos/química , Nitrocompostos/química , Fenômenos Ópticos , Eletrodos , Compostos de Estanho/química , Raios Ultravioleta , VibraçãoRESUMO
Gratings were successfully fabricated by photolithography by using a particular reactive cholesteric liquid crystal at two different temperatures. The reflection band of the grating was found to be wider than that of a film having a single helical order, because the grating exhibited a binary helical order. Moreover, the surface topography of the grating was regulated by using photomasks with different pitches. The optical reflection spectrum of this grating structure spans two reflection spectra of cholesteric liquid crystal films that were prepared by UV curing at two heating temperatures. Experimental results reveal that the method proposed in this study can be used to produce broadband circular polarizing films.
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BACKGROUND: This study aimed to investigate the effects of supervised and home-based exercise programs on older people with frailty or pre-frailty. METHODS: A total of 146 community-dwelling participants aged 65 and older who were prefrail or frail were randomly allocated into supervised exercise (Nâ=â74) and home exercise (Nâ=â72) groups. The 3-month supervised exercise training consisted of 3 exercise sessions per week, was performed at a hospital and supervised by a physical therapist. Home exercise participants took instructions on exercise and illustrated exercise handouts. The baseline and 3-month follow-up measurements included body composition, strength of selected upper and lower limb muscle groups, grip and leg press strengths, and five physical performance tests. Mixed-model repeated-measures analysis was applied to determine whether two groups differ in terms of changes before and after the intervention and to compare within-group improvements. RESULTS: After 3 months of supervised or home-based exercise, the average number of frailty criteria met and fat percentage decreased significantly. Strength of knee extensors, knee flexors and leg press improved significantly in supervised exercise group. In home-based exercise group, the strength of all muscle groups tested improved significantly, except for leg press strength. Walking speed improved in both groups, and timed-up-and-go and timed chair rise tests improved significantly only in supervised exercise group. CONCLUSIONS: Three-month supervised or home-based exercise improved walking speed and strength of the limb muscles. Supervised group showed more improvements in the physical performance tests compared with home-based exercise group.
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Exercício Físico/fisiologia , Fragilidade/fisiopatologia , Treinamento Resistido/normas , Idoso , Idoso de 80 Anos ou mais , Composição Corporal , Feminino , Fragilidade/terapia , Humanos , Masculino , Treinamento Resistido/métodos , Treinamento Resistido/estatística & dados numéricosRESUMO
[This corrects the article DOI: 10.1039/C7RA05474B.].
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We propose a direct experimental set-up to observe the directional beaming effect of surface plasmon. A single diffracted beam from an asymmetric-sided surface corrugation is demonstrated. A single subwavelength slit with an asymmetric structure was fabricated using a focused ion beam (FIB) onto a metal surface with a glass substrate. By means of surface plasmon (SP) diffraction, the directionality of the light can be changed by the period of the metallic gratings. We show corresponding numerical simulations achieved by a Rigorous Coupled-Wave Analysis (RCWA) method and a Finite-Difference Time-Domain (FDTD) method. The simulation results were in agreement with the experimental data.
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The first observation of the photothermoelectric effect in a nanoporous silicon (NPSi) device indicates that the photocurrent is dependent on the position of light-induced local heating from illumination at the Au-electrode/NPSi interface.
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AIM: The present population-based, cross-sectional study was carried out in communities in Taichung, Taiwan, to identify the prevalence of and the factors associated with sarcopenia, using the diagnostic criteria of the European Working Group on Sarcopenia in Older People, which requires the presence of low muscle mass and low muscle function. METHODS: We recruited 771 participants aged 65 years or older. Lean soft tissue mass was determined by dual-energy X-ray absorptiometry. Skeletal muscle index was calculated by dividing limb muscle mass by the square of height or weight. Low muscle mass was defined as having a skeletal muscle index two standard deviations or more below the gender-specific means of 506 healthy young adults. Sarcopenic obesity was defined as having sarcopenia and a body mass index over 25. RESULTS: The prevalence of height- and weight-adjusted sarcopenia was 5.7% and 9.7%, respectively. The prevalence of height-adjusted sarcopenic obesity was 0.13%, much lower than that of weight-adjusted sarcopenic obesity (7.1%). Multivariate logistic regression analyses showed that higher urinary albumin-to-creatinine ratio was associated with both height- and weight-adjusted sarcopenia. Height-adjusted sarcopenia was also associated with male gender, lower body mass index and lower diastolic blood pressure. Weight-adjusted sarcopenia was also associated with older age, female gender, higher body mass index, gout, lack of regular exercise and a history of accidental falls. CONCLUSIONS: The weight-adjusted skeletal muscle index is more capable of showing the effect of increased age on the prevalence of sarcopenia and identifying subjects with sarcopenic obesity among our study population.