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Elderly Drivers with Cognitive Impairment

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1. Interventions to Prevent Age-Related Cognitive Decline, Mild Cognitive Impairment, and Clinical Alzheimer's-Type Dementia

Studies 13 Data Synthesis 13 Assessing the Strength of Evidence for Major Comparisons and Outcomes 14 Assessing Applicability 15 Peer Review and Public Commentary 15 Chapter 3. Search Results 16 Chapter 4A. Results: Cognitive Training 18 Key Messages 18 Eligible Studies 18 Advanced Cognitive Training for Independent and Vital Elderly (ACTIVE) Trial 18 Other Studies 24 Effect of Training on Adults With Normal Cognition 25 Effect of Training on People With Mild Cognitive Impairment 30 Interpreting (...) studies used multidomain interventions, and potentially none have explored the possibility of cumulative or synergistic effects. Timing and measurement choices affect cognitive decline prevention studies. Researchers can recruit participants at any point along the cognitive continuum. Various proposed strategies target young and middle-aged adults with no evidence of cognitive decline, older adults worried about age-related changes, people with documented MCI, and those with major neurocognitive

2017 Effective Health Care Program (AHRQ)

2. Interventions to Prevent Age-Related Cognitive Decline, Mild Cognitive Impairment, and Clinical Alzheimer's-Type Dementia

Studies 13 Data Synthesis 13 Assessing the Strength of Evidence for Major Comparisons and Outcomes 14 Assessing Applicability 15 Peer Review and Public Commentary 15 Chapter 3. Search Results 16 Chapter 4A. Results: Cognitive Training 18 Key Messages 18 Eligible Studies 18 Advanced Cognitive Training for Independent and Vital Elderly (ACTIVE) Trial 18 Other Studies 24 Effect of Training on Adults With Normal Cognition 25 Effect of Training on People With Mild Cognitive Impairment 30 Interpreting (...) studies used multidomain interventions, and potentially none have explored the possibility of cumulative or synergistic effects. Timing and measurement choices affect cognitive decline prevention studies. Researchers can recruit participants at any point along the cognitive continuum. Various proposed strategies target young and middle-aged adults with no evidence of cognitive decline, older adults worried about age-related changes, people with documented MCI, and those with major neurocognitive

2017 Effective Health Care Program (AHRQ)

3. Substance Use and Cognitive Function as Drivers of Condomless Anal Sex Among HIV-Positive Gay, Bisexual, and Other Men Who Have Sex with Men Aged 50 and Older: The Gold Studies Full Text available with Trip Pro

Substance Use and Cognitive Function as Drivers of Condomless Anal Sex Among HIV-Positive Gay, Bisexual, and Other Men Who Have Sex with Men Aged 50 and Older: The Gold Studies Substance use has been linked to the sexual transmission of HIV among gay, bisexual, and other men who have sex with men (MSM) across the lifespan. Among older, HIV-positive, MSM populations, cognitive dysfunction associated with age and HIV disease progression also may play a role in sexual risk-taking. People aged 50 (...) years and older represent a growing proportion of the overall HIV-positive population. This study aimed to explore relationships between substance use and cognitive function, and their impact on condomless anal sex (CAS) among HIV-positive gay, bisexual, and other MSM aged 50 years and older.Data from a cross-sectional study of HIV-positive MSM, aged 50 and older (N = 169) were gathered using a computer-assisted survey, researcher-administered behavioral and neurocognitive measures.More than 50

2017 LGBT health

4. Development of a curriculum and roadside screening tool for Law enforcement identification of medical impairment in aging drivers Full Text available with Trip Pro

Development of a curriculum and roadside screening tool for Law enforcement identification of medical impairment in aging drivers An estimated one in five drivers will be over 65 by 2030. Compared with their younger counterparts, older adults are more likely to experience health and functional impairments, including cognitive dysfunction, which may interfere with their ability to drive safely. Law enforcement officers, as part of the public safety community, need help in developing (...) of persons with dementia compared to cognitively normal controls, and deployed in the training. A total of 2,018 police officers received instruction at 103 training sessions.At baseline, prior to training, only 26 % of officers had reported drivers to the Department of Motor Vehicles in the previous 6 months. After training, 96 % stated they were likely to use their standard reporting forms, and 90 % reported they were likely to use the roadside screening tool.The certified training and tool were well

2016 Injury epidemiology

5. Passive Assessment of Routine Driving with Unobtrusive Sensors: A New Approach for Identifying and Monitoring Functional Level in Normal Aging and Mild Cognitive Impairment Full Text available with Trip Pro

Passive Assessment of Routine Driving with Unobtrusive Sensors: A New Approach for Identifying and Monitoring Functional Level in Normal Aging and Mild Cognitive Impairment Driving is a key functional activity for many older adults, and changes in routine driving may be associated with emerging cognitive decline due to early neurodegenerative disease. Current methods for assessing driving such as self-report are inadequate for identifying and monitoring subtle changes in driving patterns (...) of routine driving monitoring were examined in older adults with intact cognition (n = 21) and MCI (n = 7) who were enrolled in the Oregon Center for Aging and Technology (ORCATECH) longitudinal assessment program.Unobtrusive continuous monitoring of older adults' routine driving using a driving sensor was feasible and well accepted. MCI participants drove fewer miles and spent less time on the highway per day than cognitively intact participants. MCI drivers showed less day-to-day fluctuations

2017 Journal of Alzheimer's disease : JAD

6. Video Feedback Intervention to Enhance the Safety of Older Drivers With Cognitive Impairment Full Text available with Trip Pro

Video Feedback Intervention to Enhance the Safety of Older Drivers With Cognitive Impairment To demonstrate that g-force technology can be used to help older adults with cognitive impairment improve their driving safety as part of an in-car video feedback intervention.Unsafe driving events triggered g-forces leading to capture of video clips. The program included 3 mo of monitoring without intervention, 3 mo of intervention (weekly written progress reports, a DVD of unsafe driving events (...) , and weekly telephone contacts), and 3 mo of postintervention monitoring.Mean total unsafe driving events per 1,000 miles were reduced from baseline by 38% for 9 of 12 participants during the intervention and by 55% for 7 participants during postintervention monitoring. Mean total unsafe driving severity scores per 1,000 miles were reduced from baseline by 43% during the intervention and by 56% during postintervention monitoring.Preliminary results suggest that driving safety among older drivers

2017 The American Journal of Occupational Therapy

7. The effects of age and cognitive load on peripheral-detection performance. Full Text available with Trip Pro

The effects of age and cognitive load on peripheral-detection performance. Age-related declines in both peripheral vision and cognitive resources could contribute to the increased crash risk of older drivers. However, it is unclear whether increases in age and cognitive load result in equal detriments to detection rates across all peripheral target eccentricities (general interference effect) or whether these detriments become greater with increasing eccentricity (tunnel effect). In the current (...) in a general interference effect. These findings suggest that tunnel and general interference effects can co-occur and that the predominant effect varies with the level of demand placed on participants' resources. High cognitive load had a general interference effect in both age groups, but the effect attenuated at large target eccentricities (opposite of a tunnel effect). Low cognitive load had a general interference effect in the older but not the younger group, impairing detection of motorcycle targets

2019 Journal of vision

8. Elderly Drivers with Cognitive Impairment

to department of motor vehicles VII. Resources American Occupation Therapy Association American Medical Association NTSA Injury Prevention in Older Road Users VIII. References Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Elderly Drivers with Cognitive Impairment." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Related Topics in Geriatric Medicine About (...) Elderly Drivers with Cognitive Impairment Elderly Drivers with Cognitive Impairment Aka: Elderly Drivers with Cognitive Impairment , Dementia Evaluation in Older Adult Drivers II. Epidemiology doubles crash risk (esp. fatal crashes) Drivers license active in 30% with III. History suggestive of unsafe driving Crashes, near-crashes, or dents in the car body Disoriented in familiar neighborhoods Missed or misinterpreted street signs Lack of awareness of surrounding traffic Misjudging speed, distance

2018 FP Notebook

9. Healthy Ageing in Scotland: the pilot survey

. Financial Literacy David Bell, Elaine Douglas, Mirko Moro and Tanya Wilson, University of Stirling 10. Cognitive Function & Personality Chloe Fawns-Ritchie and Ian J Deary, University of Edinburgh 11. Physical Activity and Health Behaviours in an Ageing Scottish Population Stuart Galloway, Colin Moran and Naomi Brooks, University of Stirling 12. Physical Activity and Health Status in Older Scots Rachel Crockett, University of Stirling 13. Subjective Life Expectancy in HAGIS David Bell, University (...) in Older Age in Scotland Volunteering Participation Volunteering Intensity Volunteering and Expectations of Longevity Volunteers are more connected to those around them Volunteering Participation and Enthusiasm About HAGIS Volunteering Participation and Survey Incentives Volunteering Participation and Data Linkage Consents 6. Time and Risk Preferences in Older Persons in Scotland Number of responses 9. Financial Literacy Regression Analyses of Financial Literacy Score and Population Characteristics

2018 Health Economics Research Unit

10. Cognitive performance in survivors of breast cancer and markers of biological aging. Full Text available with Trip Pro

Cognitive performance in survivors of breast cancer and markers of biological aging. Biological aging pathways accelerated by cancer treatments may be a mechanism for cognitive impairment in cancer survivors. The goal of the current study was to examine whether indicators of biological aging, namely elevated levels of DNA damage, reduced telomerase enzymatic activity, and shorter peripheral blood mononuclear cell (PBMC) telomere length (TL) would be related to cognitive function in a cohort (...) found to be unrelated to any of the neurocognitive domains.The results of the current study suggest a significant association between measures of biological aging and objective measures of cognitive performance in survivors of breast cancer. Future prospective studies are needed to confirm a causal role of biological aging as a driver of declines in cognitive function after cancer treatment.© 2018 American Cancer Society.

2018 Cancer

11. AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Blood Cholesterol

Assistants (AAPA), Association of Black Cardiologists (ABC), American College of Preventive Medicine (ACPM), American Diabetes Association (ADA), American Geriatrics Society (AGS), American Pharmacists Association (APhA), American Society for Preventive Cardiology (ASPC), National Lipid Association (NLA), and Preventive Cardiovascular Nurses Association (PCNA). Appendix 1 of the present document lists writing committee members’ relevant relationships with industry and other entities. For the purposes (...) recommendations are summarized in Online Data Supplement 1. COR LOE Recommendations I B-NR 1. In adults who are 20 years of age or older and not on lipid-lowering therapy, measurement of either a fasting or a nonfasting plasma lipid profile is effective in estimating ASCVD risk and documenting baseline LDL-C (S2.2-1– S2.2-6). I B-NR 2. In adults who are 20 years of age or older and in whom an initial nonfasting lipid profile reveals a triglycerides level of 400 mg/dL (=4.5 mmol/L) or higher, a repeat lipid

2018 American College of Cardiology

12. Improving Quality of Life: Substance Use and Aging

of substance use in older adults has proven to be difficult for a number of reasons. Too often, the symptoms of impairment are dismissed by clinicians as the symptoms of old age. The social isolation experienced by many older adults results in fewer opportunities for monitoring by friends and family. As their social networks continue to grow smaller, many older adults are hesitant to even broach the topic of substance use with family or caregivers, not wanting to bring conflict into their few remaining (...) services. This chapter provides an overview of some of the harmful consequences of substance use among the aging population, including hospitalization, falls, vehicular accidents, cognitive impairment, depression, substance withdrawal and death, including by suicide. Mortality rates are much higher among older adults who have substance use disorders. Because the use of alcohol and medication, whether prescribed or misused, causes greater harm in older adults than illicit drugs, this chapter focuses

2018 Canadian Centre on Substance Abuse

13. Effects of Driving Skill Training on Safe Driving in Older Adults with Mild Cognitive Impairment. (Abstract)

program consisting of classroom and on-road training could enhance driving performance of older drivers with cognitive impairment in Japan.A total of 160 community-living older drivers participated in the randomized controlled trial with blinded endpoint assessment. Participants randomized to intervention underwent 10 1-h classroom sessions and 10 1-h on-road sessions focused on common problem areas of older drivers. Controls received 1 classroom education. On-road driving performance was assessed (...) ) indicating benefits of the intervention over time. Although there were no significant group × time interactions in cognitive tests, dynamic vision showed group × time interactions (p < 0.01).The driving skill program significantly improved safe driving performance in older adults with cognitive impairment who were at a potentially high risk of a car accident.© 2018 S. Karger AG, Basel.

2019 Gerontology Controlled trial quality: uncertain

14. The Alabama VIP older driver study rationale and design: examining the relationship between vision impairment and driving using naturalistic driving techniques. Full Text available with Trip Pro

The Alabama VIP older driver study rationale and design: examining the relationship between vision impairment and driving using naturalistic driving techniques. Older drivers aged ≥70 years old have among the highest rates of motor vehicle collisions (MVC) compared to other age groups. Driving is a highly visual task, and older adults have a high prevalence of vision impairment compared to other ages. Most studies addressing visual risk factors for MVCs by older drivers utilize vehicle accident (...) and a previous population-based study of older drivers, with the goal of recruiting persons with wide ranging visual function. Target samples size is 195 drivers. At a baseline visit, the DAS is installed in the participant's vehicle and a battery of health and functional assessments are administered to the driver including visual-sensory and visual-cognitive tests. The DAS remains installed in the vehicle for six months while the participant goes about his/her normal driving with no imposed study

2018 BMC Ophthalmology

15. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults

. Racial and Ethnic Differences in Treatment e61 10.2. Sex-Related Issues e61 10.2.1. Women e62 10.2.2. Pregnancy e62 10.3. Age-Related Issues e63 10.3.1. Older Persons e63 10.3.2. Children and Adolescents e64 11. Other Considerations e64 11.1. Resistant Hypertension e64 11.2. Hypertensive Crises—Emergencies and Urgencies e65 11.3. Cognitive Decline and Dementia e68 11.4. Sexual Dysfunction and Hypertension e69 11.5. Patients Undergoing Surgical Procedures e69 12. Strategies to Improve Hypertension (...) , American Academy of Physician Assistants (AAPA), Association of Black Cardiologists (ABC), American College of Preventive Medicine (ACPM), American Geriatrics Society (AGS), American Pharmacists Association (APhA), American Society of Hypertension (ASH), American Society for Preventive Cardiology (ASPC), National Medical Association (NMA), and Preventive Cardiovascular Nurses Association (PCNA). 1.3. Document Review and Approval This document was reviewed by 2 official reviewers nominated by the ACC

2017 American Heart Association

16. Visual Sensory and Visual-Cognitive Function and Rate of Crash and Near-Crash Involvement Among Older Drivers Using Naturalistic Driving Data. Full Text available with Trip Pro

Visual Sensory and Visual-Cognitive Function and Rate of Crash and Near-Crash Involvement Among Older Drivers Using Naturalistic Driving Data. An innovative methodology using naturalistic driving data was used to examine the association between visual sensory and visual-cognitive function and rates of future crash or near-crash involvement among older drivers.The Strategic Highway Research Program (SHRP2) Naturalistic Driving Study was used for this prospective analysis. The sample consisted (...) elevate the rates of crash involvement, and impaired visual processing speed elevates rates of near-crash involvement among older drivers. Naturalistic driving data may ultimately be critical for understanding the relationship between vision and driving safety.

2017 Investigative Ophthalmology & Visual Science

17. Influencing the trajectories of ageing

6 The state of play in ageing research 8 The biology of intrinsic ageing 8 The clinical perspective of geriatrics and functional decline 10 Multimorbidity and frailty 11 Socioeconomic determinants of ageing 12 Psychological factors and cognition 13 What are the implications for predicting longevity and health? 16 How can we use the science to better understand longevity trends and manage longevity uncertainty? 16 Panel discussion 1: what are the implications for predicting longevity and health (...) with longevity in a Japanese population, as demonstrated in the following paper: Zarse K, et al. (2011). Low-dose lithium uptake promotes longevity in humans and metazoans. Eur J Nutr. 50(5), 387–389. 14 Moore AZ, et al. (2014). Difference in muscle quality over the adult life span and biological correlates in the Baltimore Longitudinal Study of Aging. J Am Geriatr Soc. 62(2), 230–236. The Academy of Medical Sciences 11 distinctive differences in the levels of certain metabolites in the bloodstream of people

2016 Academy of Medical Sciences

18. An update to the Greig Health Record: Preventive health care visits for children and adolescents aged 6 to 17 years ? Technical report

for sexual activity In Canada, the criminal code defines the age of consent for sexual activity as 16 years for non-exploitative activity and as 18 years for situations involving prostitution, pornography or in relationships where there is a difference in authority or dependence. There are close-in-age exceptions. For 14- or 15- year-olds, the relationship must be non-exploitative and the partner must be < 5 years older. For 12- and 13-year-olds, the partner must be < 2 years older. For details, see (...) . The quality of nutrition may influence the timing of puberty by several months even in the absence of obesity. A review of observational studies shows a delay of puberty onset in young girls with higher intakes of vegetable protein and lower intakes of animal protein. Nutrition and anemia In Canada, an estimated 3% of primary school-aged children are anemic. More are iron deficient. Iron deficiency has been associated with impaired cognitive and physical development. The supplementary pages in the Greig

2016 Canadian Paediatric Society

19. The Older Driver with Cognitive Impairment: Perceptions of Driving Ability and Results of a Behind the Wheel Test Full Text available with Trip Pro

The Older Driver with Cognitive Impairment: Perceptions of Driving Ability and Results of a Behind the Wheel Test Older adult drivers with cognitive impairment pose a potential safety risk to themselves and others. Providers are often uncertain about when to request a formal evaluation of driving ability, leaving subjective reports of concerns by the patient or family as common initiators of objective driving evaluation referral. This observational study evaluated the correspondence of patient (...) and caregiver report of driving concerns relative to objective behind-the-wheel (BTW) testing. Data were analyzed from occupational therapy driving evaluations of older adult U.S. Veterans referred from cognitive disorder specialty clinics between 2005 and 2015 (n = 151). Driving ability was evaluated with a pre-testing interview of the patient and a knowledgeable caregiver, followed by objective BTW testing. Patients referred had a mean age of 77.6 (SD = 8.1) years, were 97% male, and 98% white. Results

2016 Geriatrics (Basel, Switzerland)

20. Medical Faculty Beliefs: Self-Rated Importance and Confidence in Teaching Geriatrics Primary Care. (Abstract)

areas were being able to explain details about patient's condition and taking medication clearly, followed by taking age-appropriate history. The three largest gaps were: "evaluating sensory impairment," "identifying and counseling at-risk drivers," and "evaluating cognition." The three smallest gaps were: "explaining prescribed medications," "explaining health conditions in easy-to-understand language," and "taking an age-appropriate patient history and performing a physical assessment."Medical (...) Medical Faculty Beliefs: Self-Rated Importance and Confidence in Teaching Geriatrics Primary Care. To evaluate and contrast 25 content areas essential to the primary care of older adults by medical faculty, thus identifying faculty beliefs and areas of possible improvement.Using measures from the Healthcare Effectiveness Data and Information Set, the Consumer Assessment of Healthcare Providers and Systems, and Healthy People 2020, nine practicing clinical faculty identified 25 content areas

2019 Journal of the American Geriatrics Society

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