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https://www.readbyqxmd.com/read/28544918/senior-driving-under-the-influence-a-five-year-retrospective-study-of-alcoholized-road-users-aged-70-and-over
#1
Benjamin Kirsch, Christoph G Birngruber, Reinhard Dettmeyer
The demographic development in Germany shows a steady increase to senior citizens. The driving suitability of older road-users is of large social and political concern, because awareness and reactivity can be influenced by age-related diseases and potential medication, particularly in combination with the consumption of alcohol. This study provides an overview of senior road-users under the influence of alcohol. Therefore, 404 cases of drunken-driving by road-users aged 70 and over within the purview of the Institute of Legal Medicine at Justus-Liebig-University, Giessen, from the years 2009-2013 were evaluated in retrospect...
May 10, 2017: Forensic Science International
https://www.readbyqxmd.com/read/28541798/intergenerational-care-an-exploration-of-consumefr-preferences-and-willingness-to-pay-for-care
#2
N Vecchio, K Radford, J A Fitzgerald, T Comans, P Harris, N Harris
OBJECTIVES: To identify feasible models of intergenerational care programmes, that is, care of children and older people in a shared setting, to determine consumer preferences and willingness to pay. METHOD: Feasible models were constructed in extensive consultations with a panel of experts using a Delphi technique (n = 23) and were considered based on their practical implementation within an Australian setting. This informed a survey tool that captured the preferences and willingness to pay for these models by potential consumers, when compared to the status quo...
May 25, 2017: Aging & Mental Health
https://www.readbyqxmd.com/read/28537210/demographic-characteristics-of-australian-health-consumers-who-were-early-registrants-for-opt-in-personally-controlled-electronic-health-records
#3
Emma Torrens, Sue M Walker
BACKGROUND: Differential uptake of, or access to, personal electronic health records (PEHRs) has the potential to impact on health disparities among certain social groups. In 2012, the Australian Government introduced the Personally Controlled Electronic Health Record (PCEHR), an opt-in system operated by the then National E-Health Transition Authority (NEHTA). In July 2016, the My Health Record (MyHR), an opt-out model, operated by the Australian Digital Health Agency replaced the PCEHR, providing additional support for consumers...
January 1, 2017: HIM Journal
https://www.readbyqxmd.com/read/28521367/driving-problems-in-the-elderly-and-cognitively-impaired
#4
Robert Haussmann, Maria Buthut, Markus Donix
Driving ability in the elderly and cognitively impaired is of growing demographic relevance. Driving represents a complex task for which multiple central resources are needed. In mild cognitive impairment and dementia, we need to closely monitor driving ability, as it gets irrecoverably lost in the course of the disease. In normal aging, people are often able to self-regulate driving behavior with respect to their medical conditions. Some studies demonstrated that older drivers perform well compared with younger drivers...
May 18, 2017: Pharmacopsychiatry
https://www.readbyqxmd.com/read/28514961/how-many-people-will-need-palliative-care-in-2040-past-trends-future-projections-and-implications-for-services
#5
S N Etkind, A E Bone, B Gomes, N Lovell, C J Evans, I J Higginson, F E M Murtagh
BACKGROUND: Current estimates suggest that approximately 75% of people approaching the end-of-life may benefit from palliative care. The growing numbers of older people and increasing prevalence of chronic illness in many countries mean that more people may benefit from palliative care in the future, but this has not been quantified. The present study aims to estimate future population palliative care need in two high-income countries. METHODS: We used mortality statistics for England and Wales from 2006 to 2014...
May 18, 2017: BMC Medicine
https://www.readbyqxmd.com/read/28510495/fatigue-in-younger-and-older-drivers-effectiveness-of-an-alertness-maintaining-task
#6
Woojin Song, Fu L Woon, Alice Doong, Carol Persad, Louis Tijerina, Pooja Pandit, Carol Cline, Bruno Giordani
OBJECTIVE: The aim of this study was to examine the effects of an alertness maintaining task (AMT) in older, fatigued drivers. BACKGROUND: Fatigue during driving increases crash risk, and previous research suggests that alertness and driving in younger adults may be improved using a secondary AMT during boring, fatigue-eliciting drives. However, the potential impact of an AMT on driving has not been investigated in older drivers whose ability to complete dual tasks has been shown to decline and therefore may be negatively affected with an AMT in driving...
May 1, 2017: Human Factors
https://www.readbyqxmd.com/read/28509578/the-burden-of-hepatorenal-syndrome-among-commercially-insured-and-medicare-patients-in-the-united-states
#7
J Bradford Rice, Alan G White, Philip Galebach, Kevin M Korenblat, Aneesha Wagh, Belinda Lovelace, George J Wan, Khurram Jamil
BACKGROUND: This study evaluated the characteristics healthcare resource utilization (HCRU), and costs, from the payer perspective, of hepatorenal syndrome (HRS) patients covered by commercial and Medicare insurance. Mortality was assessed as a secondary outcome. METHODS: Patients were identified from claims databases of commercially-insured (OptumHealth Care Solutions, Inc.) in 1998-2014 and Medicare beneficiaries in 2009-2013 (5% Standard Analytic Files). At the time of their first inpatient admission ("index date") with an HRS diagnosis (ICD-9 code 572...
May 16, 2017: Current Medical Research and Opinion
https://www.readbyqxmd.com/read/28504531/the-role-of-familiarity-in-correcting-inaccurate-information
#8
Briony Swire, Ullrich K H Ecker, Stephan Lewandowsky
People frequently continue to use inaccurate information in their reasoning even after a credible retraction has been presented. This phenomenon is often referred to as the continued influence effect of misinformation. The repetition of the original misconception within a retraction could contribute to this phenomenon, as it could inadvertently make the "myth" more familiar-and familiar information is more likely to be accepted as true. From a dual-process perspective, familiarity-based acceptance of myths is most likely to occur in the absence of strategic memory processes...
May 15, 2017: Journal of Experimental Psychology. Learning, Memory, and Cognition
https://www.readbyqxmd.com/read/28502577/psycho-social-influences-upon-older-women-s-decision-to-attend-cervical-screening-a-review-of-current-evidence
#9
REVIEW
Kirsty A Hope, Esther Moss, Charles W E Redman, Susan M Sherman
Cervical cancer is the fourth most common cancer in women worldwide (WHO, 2016). In many developed countries the incidence of cervical cancer has been significantly reduced by the introduction of organised screening programmes however, in the UK, a fall in screening coverage is becoming a cause for concern. Much research attention has been afforded to younger women but age stratified mortality and incidence data suggest that older women's screening attendance is also worthy of study. This paper provides a review of current evidence concerning the psycho-social influences that older women experience when deciding whether to attend cervical screening...
May 11, 2017: Preventive Medicine
https://www.readbyqxmd.com/read/28492829/inequalities-in-life-expectancy-among-us-counties-1980-to-2014-temporal-trends-and-key-drivers
#10
Laura Dwyer-Lindgren, Amelia Bertozzi-Villa, Rebecca W Stubbs, Chloe Morozoff, Johan P Mackenbach, Frank J van Lenthe, Ali H Mokdad, Christopher J L Murray
Importance: Examining life expectancy by county allows for tracking geographic disparities over time and assessing factors related to these disparities. This information is potentially useful for policy makers, clinicians, and researchers seeking to reduce disparities and increase longevity. Objective: To estimate annual life tables by county from 1980 to 2014; describe trends in geographic inequalities in life expectancy and age-specific risk of death; and assess the proportion of variation in life expectancy explained by variation in socioeconomic and race/ethnicity factors, behavioral and metabolic risk factors, and health care factors...
May 8, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28482276/counting-the-time-lived-the-time-left-or-illness-age-proximity-to-death-morbidity-and-prescribing-expenditures
#11
Patrick V Moore, Kathleen Bennett, Charles Normand
The objective is to understand what really drives prescription expenditure at the end of life in order to inform future expenditure projections and service planning. To achieve this objective an empirical analysis of public medication expenditure on the older population (individuals ≥ 70 years of age) in Ireland (n = 231,780) was undertaken. A two part model is used to analysis the individual effects of age, proximity to death (PTD) and morbidity using individual patient-level data from administrative pharmacy records for 2006-2009 covering the population of community medication users...
April 26, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28482177/-outta-my-way-individual-and-environmental-correlates-of-interactions-between-pedestrians-and-vehicles-during-street-crossings
#12
Marie-Soleil Cloutier, Ugo Lachapelle, Andrée-Anne d'Amours-Ouellet, Jacques Bergeron, Sébastien Lord, Juan Torres
Because pedestrian crash rates remain lower than other collision types, surrogate measures such as traffic interactions are now used in road safety research to complement crash history. Using naturalistic data collection, we sought to assess 1) the likelihood of occurrence of interactions between pedestrians and vehicles based on individual and crossing characteristics; and 2) differences in interaction characteristics between children, adult and senior pedestrians. Observations of pedestrian crossing behaviours (n=4687) were recorded at 278 crossings...
May 5, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/28454866/how-do-older-adult-drivers-self-regulate-characteristics-of-self-regulation-classes-defined-by-latent-class-analysis
#13
Gwen Bergen, Bethany A West, Feijun Luo, Donna C Bird, Katherine Freund, Richard H Fortinsky, Loren Staplin
PROBLEM: Motor-vehicle crashes were the second leading cause of injury death for adults aged 65-84years in 2014. Some older drivers choose to self-regulate their driving to maintain mobility while reducing driving risk, yet the process remains poorly understood. METHODS: Data from 729 older adults (aged ≥60years) who joined an older adult ride service program between April 1, 2010 and November 8, 2013 were analyzed to define and describe classes of driving self-regulation...
June 2017: Journal of Safety Research
https://www.readbyqxmd.com/read/28454863/distracting-behaviors-among-teenagers-and-young-middle-aged-and-older-adult-drivers-when-driving-without-and-with-warnings-from-an-integrated-vehicle-safety-system
#14
David G Kidd, Mary Lynn Buonarosa
INTRODUCTION: Negative reinforcement from crash warnings may reduce the likelihood that drivers engage in distracted driving. Alternatively, drivers may compensate for the perceived safety benefit of crash warnings by engaging in distractions more frequently, especially at higher speeds. The purpose of this study was to examine whether warning feedback from an integrated vehicle-based safety system affected the likelihood that various secondary behaviors were present among drivers ages 16-17, 20-30, 40-50, and 60-70...
June 2017: Journal of Safety Research
https://www.readbyqxmd.com/read/28449900/insufficient-sleep-rather-than-the-apnea-hypopnea-index-can-be-associated-with-sleepiness-related-driving-problems-of-japanese-obstructive-sleep-apnea-syndrome-patients-residing-in-metropolitan-areas
#15
Kentaro Matsui, Taeko Sasai-Sakuma, Jun Ishigooka, Yuichi Inoue
OBJECTIVE: Obstructive sleep apnea syndrome (OSAS) and insufficient sleep might increase the risk of drowsy driving and sleepiness-related vehicular accidents. This study retrospectively investigated the factors associated with these driving problems, particularly addressing OSAS severity and sleep amounts of affected drivers. METHODS: This study examined 161 patients (146 male and 15 female) with OSAS (apnea-hypopnea index [AHI] ≥ 5) who drove on a routine basis and who completed study questionnaires...
May 2017: Sleep Medicine
https://www.readbyqxmd.com/read/28448266/a-prospective-randomized-blinded-controlled-trial-comparing-transdermal-continuous-oxygen-delivery-to-moist-wound-therapy-for-the-treatment-of-diabetic-foot-ulcers
#16
Vickie R Driver, Alexander Reyzelman, Jill Kawalec, Michael French
Worldwide, diabetic foot ulcers (DFUs) continue to exact a major burden on patients and health care providers. Although hyperbaric oxygen therapy is well-known as an adjunct option, less is known about the efficacy of transdermal continuous oxygen therapy (TCOT). A prospective, randomized, blinded, multicenter, parallel study was conducted from October 2009 to November 2012 to evaluate healing time and the proportion of DFUs healed after 12 weeks of moist wound therapy (MWT) with or without TCOT. Study participants (persons with type 1 or type 2 diabetes and a nonhealing [>1-month but <1-year duration], 1 cm² to 10 cm² in area, infection-free DFU) were randomized to TCOT or a sham device (control) in addition to receiving MWT...
April 2017: Ostomy/wound Management
https://www.readbyqxmd.com/read/28441324/designing-fit-for-purpose-health-and-social-services-for-ageing-populations
#17
Jean Woo
Population ageing is occurring in all countries, regardless of the level of economic development. While the rising burden of chronic diseases and disabilities as a consequence of this demographic transition is well recognized, the increasing prevalence of geriatric syndromes as a public health issue is not as well recognized. Recently the World Health Organization's World Health and Ageing Report emphasized functional ability as an important outcome for aging populations, highlighting the concept of raising intrinsic capacity throughout the life course...
April 25, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28412166/palliative-care-development-in-european-care-homes-and-nursing-homes-application-of-a-typology-of-implementation
#18
Katherine Froggatt, Sheila Payne, Hazel Morbey, Michaela Edwards, Harriet Finne-Soveri, Giovanni Gambassi, H Roeline Pasman, Katarzyna Szczerbińska, Lieve Van den Block
BACKGROUND: The provision of institutional long-term care for older people varies across Europe reflecting different models of health care delivery. Care for dying residents requires integration of palliative care into current care work, but little is known internationally of the different ways in which palliative care is being implemented in the care home setting. OBJECTIVES: To identify and classify, using a new typology, the variety of different strategic, operational, and organizational activities related to palliative care implementation in care homes across Europe...
April 12, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28400370/the-role-of-specific-visual-subfields-in-collisions-with-oncoming-cars-during-simulated-driving-in-patients-with-advanced-glaucoma
#19
Shiho Kunimatsu-Sanuki, Aiko Iwase, Makoto Araie, Yuki Aoki, Takeshi Hara, Takeo Fukuchi, Sachiko Udagawa, Shinji Ohkubo, Kazuhisa Sugiyama, Chota Matsumoto, Toru Nakazawa, Takuhiro Yamaguchi, Hiroshi Ono
BACKGROUND/AIMS: To assess the role of specific visual subfields in collisions with oncoming cars during simulated driving in patients with advanced glaucoma. METHODS: Normal subjects and patients with glaucoma with mean deviation <-12 dB in both eyes (Humphrey Field Analyzer 24-2 SITA-S program) used a driving simulator (DS; Honda Motor, Tokyo). Two scenarios in which oncoming cars turned right crossing the driver's path were chosen. We compared the binocular integrated visual field (IVF) in the patients who were involved in collisions and those who were not...
October 17, 2016: British Journal of Ophthalmology
https://www.readbyqxmd.com/read/28394632/effects-of-rearview-cameras-and-rear-parking-sensors-on-police-reported-backing-crashes
#20
Jessica B Cicchino
OBJECTIVE: To examine the effectiveness of rearview cameras, rear parking sensors, and both systems combined in preventing police-reported backing crashes. METHODS: Negative binomial regression was used to compare rates of police-reported backing crash involvements per insured vehicle year in 22 U.S. states during 2009-2014 between passenger vehicle models with backing technologies and the same vehicle models where the optional systems were not purchased, controlling for other factors affecting crash risk...
April 10, 2017: Traffic Injury Prevention
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