Health: support provided and received in advanced old age: A five-year follow-up

Abstract : While research focuses mainly on support provided to the elderly, this paper deals with the very old as a support provider to his family as much as a care recipient from both his family and a formal network. We hypothesize that elders with declining health will try to maintain the provision of services, even when they require and receive help. A total of 340 octogenarians from the Swiss Interdisciplinary Longitudinal Study on the Oldest Old (SWILSOO) were interviewed up to five times over five years (N=1225 interviews). A multilevel model was applied to assess the effects of health, controlled for socio-demographic and family network variables, on the frequency of services that the old persons provided to their family and received from their family and formal networks. Health is operationalized in three statuses: ADL-dependent, ADL-independent frail, and robust. While the recourse to the informal network increased progressively with the process of frailty, the recourse to the formal network drastically increased for ADL-dependent individuals. Being ADL-dependent seriously altered the capacity to provide services, but ADL-independent frail persons were providers with the same frequency as the robust oldest old, showing their ability to preserve a principle of reciprocity in their exchanges with their family network. This continuity of roles may help frail persons to maintain their self-esteem and well-bein

Integrating a QPSK Quantum Key Distribution Link

We present the integration of the optical and electronic subsystems of a BB84-QKD fiber link. A highspeed FPGA MODEM generates the random QPSK sequences for a fiber-optic delayed self-homodyne scheme using APD detectors.Comment: 2 pages, 4 figures, European Conference on Optical Communication 200

Decay resistance against Coriolus versicolor in Sessile oak ( Quercus petraea Liebl.): analysis of the between-tree variability and correlations with extractives, tree growth and other basic wood properties

Abstract : Weight loss due to fungus Coriolus versicolor has been measured on 614 samples according to the NF EN 113 norm. Up to eight samples were cut at breast height (two opposite radii×four radial positions in heartwood) from 82 mature sessile oaks ( Quercus petraea Liebl.) originating from contrasting regions, silvicultural schedules and site qualities in France. The following points are addressed in the paper: (i) contribution to the total variability for weight loss of the effects "tree”, "position in the tree”, as well as their interaction; (ii) percentage of wood samples and trees in each of the five classes of natural durability defined by the norm NF EN 350-2; (iii) test of the effects of region, silvicultural schedule and site quality on weight loss and evaluating their contribution to the total variation; and (iv) correlations at tree level between weight loss and several traits related to tree growth and basic wood properties (density, swelling, grain angle, multiseriate wood rays characteristics, extractives content). The results are discussed with a view to aid the forest manager as well as the log/wood user to take advantage of the high level of between-tree variability observed as natural durability against C. versicolo

Socioeconomic and living conditions are determinants of hip fracture incidence and age occurrence among community-dwelling elderly

Summary: In this prospective, 10-year study in community-dwelling elderly aged 50years and over, hip fracture incidence and accordingly age at hip fracture were inversely associated with the area-level income, independently of the geographical area. Age at hip fracture also depended of marital status but in a gender-specific way. Purpose: The purpose of this study is to investigate the impact of socioeconomic and living conditions on hip fracture incidence and age occurrence among community-dwelling elderly. Method: Between January 1991 and December 2000, 2,454 hip fractures were recorded in community-dwelling adults aged 50years and over in the Geneva University Hospital, State of Geneva, Switzerland. Median annual household income by postal code of residence (referred to as area-level income) based on the 1990 Census was used as a measure of socioeconomic condition and was stratified into tertiles (<53,170; 53,170-58,678; and ≥58,678 CHF). Hip fracture incidence and age occurrence were calculated according to area-level income categories and adjusted for confounding factors among community-dwelling elderly. Results: Independently of the geographical area (urban versus rural), community-dwelling persons residing in areas with the medium income category presented a lower hip fracture incidence [OR 0.91 (0.82-0.99), p = 0.049] compared to those from the lowest income category. Those in the highest income category had a hip fracture at a significant older age [+1.58 (0.55-2.61) year, p = 0.003] as compared to those in the lowest income category. Age at hip fracture also depended on marital status but in a gender-specific way, with married women fracturing earlier. Conclusions: These results indicate that incidence and age occurrence of hip fracture are influenced by area-level income and living conditions among community-dwelling elderly. Prevention programs may be encouraged in priority in communities with low incom

Reversal of the hip fracture secular trend is related to a decrease in the incidence in institution-dwelling elderly women

Summary: In this prospective 10-year study in elderly aged 60years and over, there was a 1.3% per year reduction in the standardized incidence of hip fracture in women but not in men. This decrease was mainly due to changes in the standardized incidence of hip fracture in institution-dwelling women. Introduction: A decrease in age-adjusted hip fracture incidence has been recently demonstrated in some countries. Since a large proportion of hip fractures occur in nursing homes, we analyzed whether this decreasing trend would be more detectable in institution-dwelling elderly compared with community-dwelling elderly. Methods: All hip fracture patients aged 60years and over were identified in a well-defined area. Incidence of hip fracture, age- and sex-adjusted to the 2000 Geneva population, was computed in community- and institution-dwelling elderly. Results: From 1991 to 2000, 1,624 (41%) hip fractures were recorded in institutionalized-dwelling elderly and 2,327 (59%) in community-dwelling elderly. The standardized fracture incidence decreased by 1.3% per year in women (p = 0.039), but remained unchanged in men (+0.5%; p = 0.686). Among institution-dwelling women, hip fracture incidence fell by 1.9% per year (p = 0.044), whereas it remained stable among community-dwelling women (+0.0%, p = 0.978). In men, no significant change in hip fracture incidence occurred among institution- or community-dwelling elderly. Conclusions: The decrease in the standardized hip fracture incidence in institution-dwelling women is responsible for the reversal in secular trend. Future research should include stratification according to the residential status to better identify the causes responsible for the trend in hip fracture incidenc

Hip fracture incidence in the elderly in Austria: An epidemiological study covering the years 1994 to 2006

Mann E, Icks A, Haastert B, Meyer G. Hip fracture incidence in the elderly in Austria: an epidemiological study covering the years 1994 to 2006. BMC Geriatrics. 2008;8(1): 35.Background: Hip fractures in the elderly are a major public health burden. Data concerning secular trends of hip fracture incidence show divergent results for age, sex and regions. In Austria, the hip fracture incidence in the elderly population and trends have not been analysed yet. Methods: Hip fractures in the population of 50 years and above were identified from 1994 to 2006 using the national hospital discharge register. Crude incidences (IR) per 100,000 person years and standardised incidences related to the European population 2006 were analysed. Estimate of age-sex-adjusted changes was determined using Poisson regression (incidence rate ratios, IRRs). Results: The number of hospital admissions due to hip fracture increased from a total number of 11,694 in 1994 to 15,987 in 2006. Crude incidences rates (IR) per 100.000 for men increased from 244.3 (95% confidence interval (CI) 234.8 to 253.7) in 1994 to IR 330.8 (95% CI 320.8 to 340.9) in 2006 and for women from 637.3 (95% CI 624.2 to 650.4) in 1994 to IR 758.7 (95% CI 745.0 to 772.4) in 2006. After adjustment for age and sex the annual hip fracture incidence increase was only small but statistically significant (IRR per year 1.01, 95% CI 1.01 to 1.01, p < 0.01). Change of IRR over the 12 years study period was 13%. It was significantly higher for men (IRR over 12 years 1.21, 95% CI 1.16 to 1.27) than for women (IRR over 12 years 1.10, 95% CI 1.06 to 1.14) (interaction: p = 0.03). Conclusion: In contrast to findings in other countries there is no levelling-off or downward trend of hip fracture incidence from 1994 to 2006 in the Austrian elderly population. Further investigations should aim to evaluate the underlying causes in order to plan effective hip fracture reduction programmes

Using Acoustic Sensors to Improve the Efficiency of the Forest Value Chain in Canada: A Case Study with Laminated Veneer Lumber

Engineered wood products for structural use must meet minimum strength and stiffness criteria. This represents a major challenge for the industry as the mechanical properties of the wood resource are inherently variable. We report on a case study that was conducted in a laminated veneer lumber (LVL) mill in order to test the potential of an acoustic sensor to predict structural properties of the wood resource prior to processing. A population of 266 recently harvested aspen logs were segregated into three sub-populations based on measurements of longitudinal acoustic speed in wood using a hand tool equipped with a resonance-based acoustic sensor. Each of the three sub-populations were peeled into veneer sheets and graded for stiffness with an ultrasonic device. The average ultrasonic propagation time (UPT) of each subpopulation was 418, 440 and 453 microseconds for the green, blue, and red populations, respectively. This resulted in contrasting proportions of structural veneer grades, indicating that the efficiency of the forest value chain could be improved using acoustic sensors. A linear regression analysis also showed that the dynamic modulus of elasticity (MOE) of LVL was strongly related to static MOE (R2 = 0.83), which suggests that acoustic tools may be used for quality control during the production process

Horizontal Side-Channel Attacks and Countermeasures on the ISW Masking Scheme

International audienceA common countermeasure against side-channel attacks consists in using the masking scheme originally introduced by Ishai, Sahai and Wagner (ISW) at Crypto 2003, and further generalized by Rivain and Prouff at CHES 2010. The countermeasure is provably secure in the probing model, and it was showed by Duc, Dziembowski and Faust at Eurocrypt 2014 that the proof can be extended to the more realistic noisy leakage model. However the extension only applies if the leakage noise σ increases at least linearly with the masking order n, which is not necessarily possible in practice. In this paper we investigate the security of an implementation when the previous condition is not satisfied, for example when the masking order n increases for a constant noise σ. We exhibit two (template) horizontal side-channel attacks against the Rivain-Prouff's secure multiplication scheme and we analyze their efficiency thanks to several simulations and experiments. Eventually, we describe a variant of Rivain-Prouff's multiplication that is still provably secure in the original ISW model, and also heuristically secure against our new attacks