Assessment of oral hypofunction and its association with age among Korean community-dwelling older adults.

BACKGROUND: Due to the increasing proportion of older adults in Korea and growing interest in aging, the concepts of oral aging and oral hypofunction have recently been introduced. Thus, it is necessary to investigate the age-specific oral function levels of Korean older adults and develop expert intervention methods for healthy aging. METHODS: Dysphagia, independence of daily living, and oral hypofunction were assessed in 206 older adults living in Wonju, Gangwon State, South Korea. Subjective dysphagia was assessed through self-report questionnaires using the Dysphagia Handicap Index (DHI), the Korean version of Eating Assessment Tool-10, and the Korean version of the Modified Barthel Index. In addition, the oral hypofunction assessment items included decreased chewing ability, occlusal pressure, tongue pressure, oral dryness, and oral cleanliness. RESULTS: DHI increased significantly with age, with those in their 80 s reporting the most difficulty swallowing. Oral function in terms of chewing ability (maximum occlusal pressure and number of remaining teeth), maximum occlusal pressure, and maximum tongue pressure also declined with increasing age. While there was no significant difference in oral dryness by age, those in their 80 s had dry mouth according to the criteria of the oral moisture checking device. CONCLUSIONS: In an assessment of oral function in community-dwelling, independent Korean older adults, the number of items that were assessed as oral hypofunction increased with age. The findings can be used to standardize the oral hypofunction assessment item and develop age-based individualized intervention plans for the early management of oral health and individual oral myofunctional rehabilitation in Korean community-dwelling older adults.

Validation of the Korean Academy of Geriatric Dentistry screening questionnaire and oral frailty diagnostic criteria in community-dwelling older adults.

OBJECTIVES: This study aimed to establish the validity-specifically, the sensitivity and specificity-of the screening questionnaire and diagnostic criteria for oral frailty proposed by the Korean Academy of Geriatric Dentistry (KAGD) among community-dwelling older adults. METHODS: This study enrolled 100 participants. Among various definitions of oral frailty, this study used the criteria proposed by Tanaka as the reference test. The screening questionnaire consisted of 11 items for screening physical frailty, chewing ability, swallowing difficulties, oral dryness, and tongue and lip motor function. Each question had a different scoring weight, and if the total score was 1 or higher, an oral frailty diagnostic examination proposed by the KAGD would be recommended. The diagnostic test was the oral frailty diagnostic criteria proposed by the KAGD including 6 measures: chewing ability, occlusal force, tongue pressure, oral dryness, swallowing difficulty, and oral hygiene. If a participant exhibited 2 or more positive measures, this participant was classified as "oral frail." The screening questionnaire was analyzed using a cut-off value of 1 or higher, while the diagnostic criteria utilized a cut-off of 2 or more positive measures. Sensitivity and specificity were calculated. RESULTS: The screening questionnaire showed significant power for screening oral frailty (area under the receiver operating characteristic curve, 0.783; sensitivity, 87.8%; specificity, 52.5%). The diagnostic accuracy of the newly proposed diagnostic criteria was acceptable (sensitivity, 95.1%; specificity, 42.4%). CONCLUSIONS: The newly proposed screening questionnaire and diagnostic criteria in Korea appear to be a useful tool to identify oral frailty in community-dwelling older adults.

Synergistic Effects of Hybrid Carbonaceous Fillers of Carbon Fibers and Reduced Graphene Oxides on Enhanced Heat-Dissipation Capability of Polymer Composites.

In this study, we investigated the synergistic effects of thermally conductive hybrid carbonaceous fillers of mesophase pitch-based carbon fibers (MPCFs) and reduced graphene oxides (rGOs) on the thermal conductivity of polymer matrix composites. Micro-sized MPCFs with different lengths (50 µm, 200 µm, and 6 mm) and nano-sized rGOs were used as the thermally conductive fillers used for the preparation of the heat-dissipation polymer composites. For all MPCF fillers with a different length, the thermal conductivity values of the MPCF/epoxy composites were proportional to the MPCF length and loading amount (0-50 wt%) of MPCFs. For an MPCF:rGO weight ratio of 49:1 (total loading amount of 50 wt%), the thermal conductivity values of MPCF-rGO/epoxy composites loaded with MPCFs of 50 µm, 200 µm, and 6 mm increased from 5.56 to 7.98 W/mK (approximately 44% increase), from 7.36 to 9.80 W/mK (approximately 33% increase), and from 11.53 to 12.58 W/mK (approximately 9% increase) compared to the MPCF/epoxy composites, respectively, indicating the synergistic effect on the thermal conductivity enhancement. The rGOs in the MPCF-rGO/epoxy composites acted as thermal bridges between neighboring MPCFs, resulting in the formation of effective heat transfer pathways. In contrast, the MPCF-rGO/epoxy composites with MPCF:rGO weight ratios of 48:2 and 47:3 decreased the synergistic effect more significantly compared to rGO content of 1 wt%, which is associated with the agglomeration of rGO nanoparticles. The synergistic effect was inversely proportional to the MPCF length. A theoretical approach, the modified Mori-Tanaka model, was used to estimate the thermal conductivity values of the MPCF-rGO/epoxy composites, which were in agreement with the experimentally measured values for MPCF-rGO/epoxy composites loaded with short MPCF lengths of 50 and 200 µm.

Effective Heat Transfer Pathways of Thermally Conductive Networks Formed by One-Dimensional Carbon Materials with Different Sizes.

We investigated the heat transfer behavior of thermally conductive networks with one-dimensional carbon materials to design effective heat transfer pathways for hybrid filler systems of polymer matrix composites. Nano-sized few-walled carbon nanotubes (FWCNTs) and micro-sized mesophase pitch-based carbon fibers (MPCFs) were used as the thermally conductive materials. The bulk density and thermal conductivity of the FWCNT films increased proportionally with the ultrasonication time due to the enhanced dispersibility of the FWCNTs in an ethanol solvent. The ultrasonication-induced densification of the FWCNT films led to the effective formation of filler-to-filler connections, resulting in improved thermal conductivity. The thermal conductivity of the FWCNT-MPCF hybrid films was proportional to the MPCF content (maximum thermal conductivity at an MPCF content of 60 wt %), indicating the synergistic effect on the thermal conductivity enhancement. Moreover, the MPCF-to-MPCF heat transfer pathways in the FWCNT-MPCF hybrid films were the most effective in achieving high thermal conductivity due to the smaller interfacial area and shorter heat transfer pathway of the MPCFs. The FWCNTs could act as thermal bridges between neighboring MPCFs for effective heat transfer. Furthermore, the incorporation of Ag nanoparticles of approximately 300 nm into the FWCNT-MPCF hybrid film dramatically enhanced the thermal conductivity, which was closely related to a decreased thermal interfacial resistance at the intersection points between the materials. Epoxy-based composites loaded with the FWCNTs, MPCFs, FWCNT-MPCF hybrids, and FWCNT-MPCF-Ag hybrid fillers were also fabricated. A similar trend in thermal conductivity was observed in the polymer matrix composite with carbon-based hybrid films.