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https://www.readbyqxmd.com/read/27920510/the-clock-in-the-box-a-brief-cognitive-screen-is-associated-with-failure-to-return-home-in-an-elderly-hospitalized-sample
#1
Colleen E Jackson, Laura J Grande, Kelly Doherty, Elizabeth Archambault, Brittany Kelly, Jane A Driver, William P Milberg, Regina McGlinchey, James L Rudolph
PURPOSE: Cognitive screening upon hospital admission can provide important information about the patient's ability to process information during the inpatient stay. The Clock-in-the-Box (CIB) is a rapidly administered cognitive screening measure which has been previously validated with cognitive screening and neuropsychological assessments. The purpose of this study is to demonstrate the predictive validity of the CIB for discharge location among a sample of older medical inpatients. PATIENTS AND METHODS: Hospitalized Veterans (N=218), aged 55 years and older, were recruited on the day after admission after they gave their consent...
2016: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/27909391/visual-behavior-differences-in-drivers-across-the-lifespan-a-digital-billboard-simulator-study
#2
Despina Stavrinos, Peyton R Mosley, Shannon M Wittig, Haley D Johnson, John S Decker, Virginia P Sisiopiku, Sharon C Welburn
Driver distraction is implicated in a significant portion of motor vehicle collisions; evidence has suggested that billboards can contribute to such distraction, but many knowledge gaps remain. The purpose of this study was to evaluate the effects of various types of billboards (static, 250-foot digital transition, 500-foot digital transition, and a control [no billboard] condition) and age group (teen, middle, and older) on visual behavior through the use of a driving simulator. To address gaps in the existing literature, the effects of age group and billboard type on the following visual attention variables were considered: percent of time participants looked at billboards, average glance length, number of glances, and glance pattern activity...
August 2016: Transportation Research. Part F, Traffic Psychology and Behaviour
https://www.readbyqxmd.com/read/27904234/allocation-of-rehabilitation-services-for-older-adults-in-the-ontario-home-care-system
#3
Joshua J Armstrong, Joanie Sims-Gould, Paul Stolee
Background: Physiotherapy and occupational therapy services can play a critical role in maintaining or improving the physical functioning, quality of life, and overall independence of older home care clients. Despite their importance, however, there is limited understanding of the factors that influence how rehabilitation services are allocated to older home care clients. The aim of this pilot study was to develop a preliminary understanding of the factors that influence decisions to allocate rehabilitation therapy services to older clients in the Ontario home care system, as perceived by three stakeholder groups...
2016: Physiotherapy Canada. Physiothérapie Canada
https://www.readbyqxmd.com/read/27898370/individual-differences-in-cognitive-functioning-predict-effectiveness-of-a-heads-up-lane-departure-warning-for-younger-and-older-drivers
#4
Nazan Aksan, Lauren Sager, Sarah Hacker, Benjamin Lester, Jeffrey Dawson, Matthew Rizzo, Kazutoshi Ebe, James Foley
The effectiveness of an idealized lane departure warning (LDW) was evaluated in an interactive fixed base driving simulator. Thirty-eight older (mean age=77years) and 40 younger drivers (mean age=35years) took four different drives/routes similar in road culture composition and hazards encountered with and without LDW. The four drives were administered over visits separated approximately by two weeks to examine changes in long-term effectiveness of LDW. Performance metrics were number of LDW activations and average correction time to each LDW...
November 26, 2016: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/27887824/reconstructing-a-long-term-record-of-microcystins-from-the-analysis-of-lake-sediments
#5
A Zastepa, Z E Taranu, L E Kimpe, J M Blais, I Gregory-Eaves, R W Zurawell, F R Pick
Based on an analysis of sediment cores from Baptiste Lake (Alberta, Canada), we quantified century-scale trends in cyanobacteria and cyanotoxins, and identified possible drivers of toxigenic cyanobacteria. We measured concentrations of microcystins and pigments preserved in the sediment as proxies of toxigenic cyanobacteria and phytoplankton communities, respectively, while fossil diatom assemblages were used to infer past nutrient concentrations. Microcystins were detected in older sediments (ca. 1800s), pre-dating any significant alteration to the watershed...
November 22, 2016: Science of the Total Environment
https://www.readbyqxmd.com/read/27882338/naturalistic-rapid-deceleration-data-drivers-aged-75-years-and-older
#6
Anna Chevalier, Aran John Chevalier, Elizabeth Clarke, Kristy Coxon, Julie Brown, Kris Rogers, Soufiane Boufous, Rebecca Ivers, Lisa Keay
The data presented in this article are related to the research manuscript "Predictors of older drivers' involvement in rapid deceleration events", which investigates potential predictors of older drivers' involvement in rapid deceleration events including measures of vision, cognitive function and driving confidence (A. Chevalier et al., 2016) [1]. In naturalistic driving studies such as this, when sample size is not large enough to allow crashes to be used to investigate driver safety, rapid deceleration events may be used as a surrogate safety measure...
December 2016: Data in Brief
https://www.readbyqxmd.com/read/27871102/new-risk-curves-for-nhtsa-s-brain-injury-criterion-bric-derivations-and-assessments
#7
Tony R Laituri, Scott Henry, Kevin Pline, Guosong Li, Michael Frankstein, Para Weerappuli
The National Highway Traffic Safety Administration (NHTSA) recently published a Request for Comments regarding a potential upgrade to the US New Car Assessment Program (US NCAP) - a star-rating program pertaining to vehicle crashworthiness. Therein, NHTSA (a) cited two metrics for assessing head risk: Head Injury Criterion (HIC15) and Brain Injury Criterion (BrIC), and (b) proposed to conduct risk assessment via its risk curves for those metrics, but did not prescribe a specific method for applying them. Recent studies, however, have indicated that the NHTSA risk curves for BrIC significantly overstate field-based head injury rates...
November 2016: Stapp Car Crash Journal
https://www.readbyqxmd.com/read/27871091/age-specific-injury-risk-curves-for-distributed-anterior-thoracic-loading-of-various-sizes-of-adults-based-on-sternal-deflections
#8
Harold J Mertz, Priya Prasad, Dainius J Dalmotas, Annette L Irwin
Injury Risk Curves are developed from cadaver data for sternal deflections produced by anterior, distributed chest loads for a 25, 45, 55, 65 and 75 year-old Small Female, Mid-Size Male and Large Male based on the variations of bone strengths with age. These curves show that the risk of AIS ≥ 3 thoracic injury increases with the age of the person. This observation is consistent with NASS data of frontal accidents which shows that older unbelted drivers have a higher risk of AIS ≥ 3 chest injury than younger drivers...
November 2016: Stapp Car Crash Journal
https://www.readbyqxmd.com/read/27868168/use-perceptions-and-benefits-of-automotive-technologies-among-aging-drivers
#9
REVIEW
David W Eby, Lisa J Molnar, Liang Zhang, Renée M St Louis, Nicole Zanier, Lidia P Kostyniuk, Sergiu Stanciu
Advanced in-vehicle technologies have been proposed as a potential way to keep older adults driving for as long as they can safely do so, by taking into account the common declines in functional abilities experienced by older adults. The purpose of this report was to synthesize the knowledge about older drivers and advanced in-vehicle technologies, focusing on three areas: use (how older drivers use these technologies), perception (what they think about the technologies), and outcomes (the safety and/or comfort benefits of the technologies)...
December 2016: Injury Epidemiology
https://www.readbyqxmd.com/read/27855312/age-related-differences-in-fatal-intersection-crashes-in-the-united-states
#10
David A Lombardi, William J Horrey, Theodore K Courtney
OBJECTIVE: Given the aging U.S. population and resulting number of older drivers in the coming years, it is important to understand the factors leading to their involvement in vehicle crashes and develop counter-measures to reduce their frequency and severity. This is also useful for helping older adults "age in place" in terms of accessibility, mobility, quality of life and safety. Thus, the objective of this study was to provide up-to-date data on differences in age-related risks and rates for involvement in fatal intersection motor-vehicle crashes in the US...
November 14, 2016: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/27851859/hospital-factors-associated-with-care-discontinuity-following-emergency-general-surgery
#11
Joaquim M Havens, Olubode A Olufajo, Thomas C Tsai, Wei Jiang, Alexandra B Columbus, Stephanie L Nitzschke, Zara Cooper, Ali Salim
Importance: Although there is evidence that changes in clinicians during the continuum of care (care discontinuity) are associated with higher mortality and complications among surgical patients, little is known regarding the drivers of care discontinuity among emergency general surgery (EGS) patients. Objective: To identify hospital factors associated with care discontinuity among EGS patients. Design, Setting, and Participants: We performed a retrospective analysis of the 100% Medicare inpatient claims file, from January 1, 2008, to November 30, 2011, and matched patient details to hospital information in the 2011 American Hospital Association Annual Survey database...
November 16, 2016: JAMA Surgery
https://www.readbyqxmd.com/read/27849313/hearing-difficulties-and-feelings-of-social-isolation-among-canadians-aged-45-or-older
#12
Pamela L Ramage-Morin
BACKGROUND: Social isolation is associated with reduced health-related quality of life, increased morbidity, and mortality. Social isolation can be a concern for older Canadians, especially those with conditions that interfere with making and maintaining social connections. DATA AND METHODS: The 2008/2009 Canadian Community Health Survey-Healthy Aging (CCHS-HA) collected data from a population-based sample of Canadians aged 45 or older living in private households...
November 16, 2016: Health Reports
https://www.readbyqxmd.com/read/27846993/the-interactive-effect-on-injury-severity-of-driver-vehicle-units-in-two-vehicle-crashes
#13
Qiang Zeng, Huiying Wen, Helai Huang
INTRODUCTION: This study sets out to investigate the interactive effect on injury severity of driver-vehicle units in two-vehicle crashes. METHOD: A Bayesian hierarchical ordered logit model is proposed to relate the variation and correlation of injury severity of drivers involved in two-vehicle crashes to the factors of both driver-vehicle units and the crash configurations. A total of 6417 crash records with 12,834 vehicles involved in Florida are used for model calibration...
December 2016: Journal of Safety Research
https://www.readbyqxmd.com/read/27846234/exposure-patterns-driving-ebola-transmission-in-west-africa-a-retrospective-observational-study
#14
Junerlyn Agua-Agum, Archchun Ariyarajah, Bruce Aylward, Luke Bawo, Pepe Bilivogui, Isobel M Blake, Richard J Brennan, Amy Cawthorne, Eilish Cleary, Peter Clement, Roland Conteh, Anne Cori, Foday Dafae, Benjamin Dahl, Jean-Marie Dangou, Boubacar Diallo, Christl A Donnelly, Ilaria Dorigatti, Christopher Dye, Tim Eckmanns, Mosoka Fallah, Neil M Ferguson, Lena Fiebig, Christophe Fraser, Tini Garske, Lice Gonzalez, Esther Hamblion, Nuha Hamid, Sara Hersey, Wes Hinsley, Amara Jambei, Thibaut Jombart, David Kargbo, Sakoba Keita, Michael Kinzer, Fred Kuti George, Beatrice Godefroy, Giovanna Gutierrez, Niluka Kannangarage, Harriet L Mills, Thomas Moller, Sascha Meijers, Yasmine Mohamed, Oliver Morgan, Gemma Nedjati-Gilani, Emily Newton, Pierre Nouvellet, Tolbert Nyenswah, William Perea, Devin Perkins, Steven Riley, Guenael Rodier, Marc Rondy, Maria Sagrado, Camelia Savulescu, Ilana J Schafer, Dirk Schumacher, Thomas Seyler, Anita Shah, Maria D Van Kerkhove, C Samford Wesseh, Zabulon Yoti
BACKGROUND: The ongoing West African Ebola epidemic began in December 2013 in Guinea, probably from a single zoonotic introduction. As a result of ineffective initial control efforts, an Ebola outbreak of unprecedented scale emerged. As of 4 May 2015, it had resulted in more than 19,000 probable and confirmed Ebola cases, mainly in Guinea (3,529), Liberia (5,343), and Sierra Leone (10,746). Here, we present analyses of data collected during the outbreak identifying drivers of transmission and highlighting areas where control could be improved...
November 2016: PLoS Medicine
https://www.readbyqxmd.com/read/27843646/the-nps-role-of-assessing-and-intervening-with-older-adult-drivers
#15
Tamatha Arms
As the silver tsunami continues, assessing and intervening with older adult drivers are becoming an essential aspect of the comprehensive geriatric exam. The current lack of time efficient clinical guidelines is a concern and barrier for NPs. The purpose of this study was to identify strategies currently used by NPs. The critical incident technique was used to obtain data from a convenience sample of NPs. A total of 89 incidents were collected. The perspective of the NP can provide important information for developing clinical guidelines to promote individual and community safety...
2016: Nursing Research and Practice
https://www.readbyqxmd.com/read/27833049/comorbidity-and-its-relationship-with-health-service-use-and-cost-in-community-living-older-adults-with-diabetes-a-population-based-study-in-ontario-canada
#16
Kathryn Fisher, Lauren Griffith, Andrea Gruneir, Dilzayn Panjwani, Sima Gandhi, Li Lisa Sheng, Amiram Gafni, Patterson Chris, Maureen Markle-Reid, Jenny Ploeg
AIMS: This study describes the comorbid conditions in Canadian, community-dwelling older adults with diabetes and the association between the number of comorbidities and health service use and costs. METHODS: This retrospective cohort study used multiple linked administrative data to determine 5-year health service utilization in a population-based cohort of community-living individuals aged 66 and over with a diabetes diagnosis as of April 1, 2008 (baseline). Utilization included physician visits, emergency department visits, hospitalizations, and home care services...
October 20, 2016: Diabetes Research and Clinical Practice
https://www.readbyqxmd.com/read/27821942/sensitivity-and-specificity-of-the-safe-driving-behavior-measure-and-the-driving-habits-questionnaire-for-older-self-drivers
#17
Kweon-Young Kim, Chiang-Soon Song, Hye-Sun Lee
[Purpose] To evaluate the sensitivity and specificity of the Safe Driving Behavior Measure and the Driving Habits Questionnaire in community-dwelling older self-drivers. [Subjects and Methods] Forty-five older participated in this study, to measure the Safe Driving Behavior Measure and the Driving Habits Questionnaire. Sensitivity and specificity were calculated along with cut-off values and overall accuracy of each measure as determined by the participants operating characteristic curve and the area under the curve...
October 2016: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/27810673/predictors-of-older-drivers-involvement-in-rapid-deceleration-events
#18
A Chevalier, K Coxon, A J Chevalier, E Clarke, K Rogers, J Brown, S Boufous, R Ivers, L Keay
Rapid deceleration occurs when substantial force slows the speed of a vehicle. Rapid deceleration events (RDEs) have been proposed as a surrogate safety measure. As there is concern about crash involvement of older drivers and the effect of age-related declining visual and cognitive function on driving performance, we examined the relationship between RDEs and older driver's vision, cognitive function and driving confidence, using naturalistic driving measures. Participants aged 75 to 94 years had their vehicle instrumented for 12 months...
October 31, 2016: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/27807256/truck-drivers-use-of-the-internet-a-mobile-health-lifeline
#19
Karen Heaton, Bryan Combs, Russell Griffin
Because of their social isolation, irregular and unpredictable schedules, limited access to health care, and long periods of travel, long-haul truckers may benefit from the use of mobile health applications on Internet-capable devices. The purpose of this study was to determine Internet access and usage among a sample of long-haul truck drivers. In this cross-sectional study, truck drivers completed a pencil and paper survey with questions on demographics, work and health histories, and Internet access and usage for both personal and job reasons...
November 2, 2016: Workplace Health & Safety
https://www.readbyqxmd.com/read/27793322/a-validation-study-comparing-self-reported-travel-diaries-and-objective-data-obtained-from-in-vehicle-monitoring-devices-in-older-drivers-with-bilateral-cataract
#20
Seraina Agramunt, Lynn Meuleners, Kyle Chi Chow, Jonathon Q Ng, Nigel Morlet
BACKGROUND: Advances in technology have made it possible to examine real-world driving using naturalistic data obtained from in-vehicle monitoring devices. These devices overcome the weaknesses of self-report methods and can provide comprehensive insights into driving exposure, habits and practices of older drivers. AIM: The aim of this study is to compare self-reported and objectively measured driving exposure, habits and practices using a travel diary and an in-vehicle driver monitoring device in older drivers with bilateral cataract...
October 25, 2016: Accident; Analysis and Prevention
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