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Elderly Drivers with Cognitive Impairment

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61. Associations between visual, hearing, and dual sensory impairments and history of motor vehicle collision involvement of older drivers. Full Text available with Trip Pro

-Robson chart. Presence of subjective hearing loss and other health conditions were determined using a general health questionnaire. Information regarding MVCs for all participants spanning the 5 years before study enrollment was obtained from the Alabama Department of Public Safety.After adjustment for age, race, sex, number of miles driven, number of medical conditions, general cognitive status, and visual processing speed, older drivers with visual acuity and hearing impairment (rate ratio (RR (...) Associations between visual, hearing, and dual sensory impairments and history of motor vehicle collision involvement of older drivers. To examine the association between visual and hearing impairment and motor vehicle collision (MVC) involvement in older drivers.Retrospective cohort study.North central Alabama.Population-based sample of 2,000 licensed-drivers aged 70 and older.Visual acuity was measured using the Electronic Visual Acuity test. Contrast sensitivity was measured using the Pelli

2013 Journal of the American Geriatrics Society

62. How to improve the Organisation of Mental healthcare for older adults in Belgium?

changes 22 1.1.4 Specific concepts attached to older people 22 1.1.5 Mental health problems in older people in Belgium 23 1.1.6 Specific dimensions of mental health in the older people 30 1.2 OBJECTIVE 31 1.3 METHODS 31 2 LITERATURE REVIEW: CONCEPTS & MODELS APPLICABLE FOR MENTAL HEALTHCARE IN THE ELDERLY AND ITS EFFECTIVENESS 32 2.1 METHODOLOGY 32 2.1.1 Databases and search terms 32 2.1.2 Search strategy and date limits 33 2.1.3 Results of the literature search 34 2.2 GENERAL MODELS & PRIMARY CARE 34 (...) improvements 74 KCE Report 301 How to improve the Organisation of Mental healthcare for older adults in Belgium? 3 3.3 KEY MESSAGES 76 4 INTERNATIONAL COMPARISON: ANALYSIS OF MENTAL HEALTHCARE ORGANIZATION FOR THE OLDER PEOPLE 78 4.1 INTRODUCTION 78 4.2 METHOD 78 4.2.1 Selection of countries 78 4.2.2 Methodology of data collection 78 4.3 ENGLAND 79 4.3.1 Healthcare system in general 79 4.3.2 Organisation of mental healthcare 79 4.3.3 Demographics on elderly population 80 4.3.4 Burden of mental health

2018 Belgian Health Care Knowledge Centre

63. Comparison of a Virtual Older Driver Assessment with an On-Road Driving Test. (Abstract)

on the simulated assessment as during the on-road assessment (P < .001), with significant differences in the rate and type of errors between the two mediums.A low-cost simulator-based assessment is valid as a screening instrument for identifying at-risk older drivers but not as an alternative to on-road evaluation when accurate data on competence or pattern of impairment is required for licensing decisions and training programs.© 2016, Copyright the Authors Journal compilation © 2016, The American Geriatrics (...) Comparison of a Virtual Older Driver Assessment with an On-Road Driving Test. To design a low-cost simulator-based driving assessment for older adults and to compare its validity with that of an on-road driving assessment and other measures of older driver risk.Cross-sectional observational study.Canberra, Australia.Older adult drivers (N = 47; aged 65-88, mean age 75.2).Error rate on a simulated drive with environment and scoring procedure matched to those of an on-road test. Other measures

2016 Journal of the American Geriatrics Society

64. Driving with pets and motor vehicle collision involvement among older drivers: a prospective population-based study Full Text available with Trip Pro

Driving with pets and motor vehicle collision involvement among older drivers: a prospective population-based study Distracted driving is a major cause of motor vehicle collision (MVC) involvement. Pets have been identified as potential distraction to drivers, particularly in the front. This type of distraction could be worse for those with impairment in the cognitive aspects of visual processing. The purpose of this study is to evaluate the association between driving with pets and rates (...) of motor vehicle collision involvement in a cohort of older drivers.A three-year prospective study was conducted in a population-based sample of 2000 licensed drivers aged 70 years and older. At the baseline visit, a trained interviewer asked participants about pet ownership, whether they drive with pets, how frequently, and where the pet sits in the vehicle. Motor vehicle collision (MVC) involvement during the three-year study period was obtained from the Alabama Department of Public Safety. At-fault

2016 Accident; analysis and prevention

65. Electrophysiological Biomarkers of Chemotherapy-related Cognitive Impairment and Recovery

Electrophysiological Biomarkers of Chemotherapy-related Cognitive Impairment and Recovery Electrophysiological Biomarkers of Chemotherapy-related Cognitive Impairment and Recovery - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more (...) studies before adding more. Electrophysiological Biomarkers of Chemotherapy-related Cognitive Impairment and Recovery (Chemobrain) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT02767388 Recruitment Status : Recruiting

2016 Clinical Trials

66. The association between sleep and cognitive abnormalities in bipolar disorder. Full Text available with Trip Pro

sleep phenotypes.We confirm impairment in attention and processing speed in BD. Rather than sleep abnormalities exacerbating such dysfunction, the impairments were confined to bipolar abnormal sleepers, consistent with sleep disturbance being the main driver of cognitive dysfunction. (...) . Cognitive function was assessed with a range of tasks including Psychomotor Vigilance Test (PVT), Attention Network Task (ANT) and Digit Symbol Substitution Test (DSST). BD participants with normal and abnormal sleep were compared with age- and sex-matched controls.BD patients had longer response times and made more lapses (responses >500 ms) than controls on the PVT (both p < 0.001). However, patients with normal sleep patterns did not differ from controls while those with sleep abnormalities did

2019 Psychological Medicine

67. Road Test and Naturalistic Driving Performance in Healthy and Cognitively Impaired Older Adults: Does Environment Matter? Full Text available with Trip Pro

Road Test and Naturalistic Driving Performance in Healthy and Cognitively Impaired Older Adults: Does Environment Matter? To relate the standardized road test to video recordings of naturalistic driving in older adults with a range of cognitive impairment.Cross-sectional observational study.Academic medical center memory disorders clinic.One hundred three older drivers (44 healthy, 59 with cognitive impairment) who passed a road test.Error rate and global ratings of safety (pass (...) but not naturalistic driving error scores. Global cognition (Mini-Mental State Examination) was correlated with road test and naturalistic driving errors. In healthy older adults, younger age was correlated with fewer errors on the road test and more errors in naturalistic driving.Road test performance is a reasonable proxy for estimating fitness to drive in older individuals' typical driving environments, but differences between performance assessed using these two methods remain poorly understood and deserve

2012 Journal of the American Geriatrics Society

68. Geriatric Rehabilitation (Overview)

Rehabilitation Updated: Mar 19, 2019 Author: Julie A Muché, MD; Chief Editor: Stephen Kishner, MD, MHA Share Email Print Feedback Close Sections Sections Geriatric Rehabilitation Overview Overview As we age, we face many physical and emotional changes that can affect our level of function and well-being. Our baby-boomer population is aging, and people are living longer. We must maintain functional independence in the elderly and address the needs of our older generation. Rehabilitation of geriatric patients (...) in the older population if a functional loss of mobility and an inability to perform activities of daily living (ADLs) predominates. [ ] Cognitive impairment, such as delirium and dementia, can affect the patient's rehabilitation goals and outcomes. Finally, a driver's evaluation for an appropriate elderly candidate is an underutilized part of rehabilitation that has a considerable impact on society. See the images below. Driver's evaluation. Steps in testing for reaction time. Driver's evaluation

2014 eMedicine.com

69. Geriatric Rehabilitation (Follow-up)

Rehabilitation Updated: Mar 19, 2019 Author: Julie A Muché, MD; Chief Editor: Stephen Kishner, MD, MHA Share Email Print Feedback Close Sections Sections Geriatric Rehabilitation Overview Overview As we age, we face many physical and emotional changes that can affect our level of function and well-being. Our baby-boomer population is aging, and people are living longer. We must maintain functional independence in the elderly and address the needs of our older generation. Rehabilitation of geriatric patients (...) in the older population if a functional loss of mobility and an inability to perform activities of daily living (ADLs) predominates. [ ] Cognitive impairment, such as delirium and dementia, can affect the patient's rehabilitation goals and outcomes. Finally, a driver's evaluation for an appropriate elderly candidate is an underutilized part of rehabilitation that has a considerable impact on society. See the images below. Driver's evaluation. Steps in testing for reaction time. Driver's evaluation

2014 eMedicine.com

70. Geriatric Rehabilitation (Treatment)

Rehabilitation Updated: Mar 19, 2019 Author: Julie A Muché, MD; Chief Editor: Stephen Kishner, MD, MHA Share Email Print Feedback Close Sections Sections Geriatric Rehabilitation Overview Overview As we age, we face many physical and emotional changes that can affect our level of function and well-being. Our baby-boomer population is aging, and people are living longer. We must maintain functional independence in the elderly and address the needs of our older generation. Rehabilitation of geriatric patients (...) in the older population if a functional loss of mobility and an inability to perform activities of daily living (ADLs) predominates. [ ] Cognitive impairment, such as delirium and dementia, can affect the patient's rehabilitation goals and outcomes. Finally, a driver's evaluation for an appropriate elderly candidate is an underutilized part of rehabilitation that has a considerable impact on society. See the images below. Driver's evaluation. Steps in testing for reaction time. Driver's evaluation

2014 eMedicine.com

71. Geriatric Rehabilitation (Diagnosis)

Rehabilitation Updated: Mar 19, 2019 Author: Julie A Muché, MD; Chief Editor: Stephen Kishner, MD, MHA Share Email Print Feedback Close Sections Sections Geriatric Rehabilitation Overview Overview As we age, we face many physical and emotional changes that can affect our level of function and well-being. Our baby-boomer population is aging, and people are living longer. We must maintain functional independence in the elderly and address the needs of our older generation. Rehabilitation of geriatric patients (...) in the older population if a functional loss of mobility and an inability to perform activities of daily living (ADLs) predominates. [ ] Cognitive impairment, such as delirium and dementia, can affect the patient's rehabilitation goals and outcomes. Finally, a driver's evaluation for an appropriate elderly candidate is an underutilized part of rehabilitation that has a considerable impact on society. See the images below. Driver's evaluation. Steps in testing for reaction time. Driver's evaluation

2014 eMedicine.com

72. Anticipating and Tracking: Pack of Gerontological Assessment Embedded

aging" theme one of its priorities. This image of driver of innovation in this area can only be enhanced by a program like ARPEGE. Beyond the scientific and technological results expected, one can imagine the potential socio-economic benefits if this tracking solution is deployed on a large scale. Condition or disease Intervention/treatment Phase Elderly Other: evaluation of frailty Not Applicable Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial (...) Reims Study Details Study Description Go to Brief Summary: ARPEGE project fits within the general framework of maintaining functional autonomy in the frail elderly. The early identification of elderly people at risk of frailty is essential to be able to make corrective actions to maintain a quality of life desired by the person. ARPEGE offers tracking and monitoring based on a corpus mobile evaluation of frailty, that could be used in various environments (home, prevention center, office

2016 Clinical Trials

73. Seasonal plasticity of cognition and related biological measures in adults with and without Alzheimer disease: Analysis of multiple cohorts. Full Text available with Trip Pro

-based cohort studies of older persons (the Rush Memory and Aging Project [MAP], the Religious Orders Study [ROS], and the Minority Aging Research Study [MARS]) and 2 observational memory-clinic-based cohort studies (Centre de Neurologie Cognitive [CNC] study at Lariboisière Hospital and the Sunnybrook Dementia Study [SDS]). We performed neuropsychological testing and, in subsets of participants, evaluated cerebrospinal fluid AD biomarkers, standardized structured autopsy measures, and/or prefrontal (...) cohort). Average composite global cognitive function was higher in the summer and fall compared to winter and spring, with the difference equivalent in cognitive effect to 4.8 years' difference in age (95% CI 2.1-8.4, p = 0.002). Further, the odds of meeting criteria for mild cognitive impairment or dementia were higher in the winter and spring (odds ratio 1.31 [95% CI 1.10-1.57], p = 0.003). These results were robust against multiple potential confounders including depressive symptoms, sleep

2018 PLoS medicine

74. Simple Cognitive Task After Trauma

to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Layout table for eligibility information Ages Eligible for Study: 18 Years and older (Adult, Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Criteria Inclusion Criteria: Aged 18 or over Experienced or witnessed a traumatic event resulting in admission to the emergency department for example a road traffic accident (...) Simple Cognitive Task After Trauma Simple Cognitive Task After Trauma - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Simple Cognitive Task After Trauma The safety and scientific validity of this study

2018 Clinical Trials

75. Relationship between areas of cognitive functioning on the Mini-Mental State Examination and crash risk Full Text available with Trip Pro

Relationship between areas of cognitive functioning on the Mini-Mental State Examination and crash risk Previous studies have suggested that the pattern of cognitive impairment in crash involved older drivers is different from non-crash involved older drivers. This study assessed the relationship between seven areas of cognitive functioning (orientation to time, orientation to place, registration, attention and calculation, recall, language, and visual construction) on the Mini-Mental State (...) -19.86) and at-fault crash (adjusted RR=6.39, 95% CI 1.51-27.10). Impairment in the other cognitive areas was not associated with higher rates of crash or at-fault crash involvement. The findings were validated in an independent sample of high-risk older drivers and a similar pattern of results was observed. Spatial orientation impairment can help identify older drivers who are more likely to crash in the future.

2018 Geriatrics (Basel, Switzerland)

76. Common curbsides and conundrums in geriatric medicine. Full Text available with Trip Pro

care models are of great utility, these processes may not be appropriate or consistent with the health goals of many older patients with multiple chronic conditions and reduced functional capacity. This Concise Review highlights commonly encountered clinical scenarios important to the care of these older patients. The topics include diagnosis and management of mild cognitive impairment, assessment of the cognitively impaired driver, cancer screening in the older patient, and sarcopenia.Copyright © (...) Common curbsides and conundrums in geriatric medicine. Within the next 15 years, the population of adults 65 years and older in the United States will double to approximately 70 million. Physicians must be well prepared to care for this rapidly growing population. Senior adults comprise a large proportion of most primary care practices in the United States, and the unique needs of this population cannot be overstated. Although traditional preventive screening modalities and disease-specific

2013 Mayo Clinic Proceedings

77. Identifying neural drivers of benign childhood epilepsy with centrotemporal spikes Full Text available with Trip Pro

Identifying neural drivers of benign childhood epilepsy with centrotemporal spikes Epilepsy is a neurological disorder characterized by abnormal electrical discharges in a group of brain cells. Benign childhood epilepsy, which affect children under the age of 12 years, has been reported to contribute to the cognitive impairment of these children, even in the absence of structural abnormalities. Functional connectivity models have been applied to provide a deeper understanding of the processes (...) that control and regulate interictal activity of benign childhood epilepsy. These studies have shown regions of increased connectivity and activity, particularly at the epileptic zone, which is usually the central region around the sensorimotor cortex, and in the immediate regions surrounding the zone and reduced activity in distant regions, such as the frontal lobe and temporal regions. The present study was designed to identify the neural drivers involved in the initiation and propagation of epileptic

2017 NeuroImage : Clinical

78. Combined Alcohol and Cannabis Effects on Skills of Young Drivers

aged 19 to 25. Aim 2: Examine the acute effects of a moderate dose of cannabis (12.5% THC) combined with an intoxicating amount of alcohol (BAC=0.08) on driving simulator performance of young drivers. Simulated driving performance, tests of cognition, verbal memory, and mood will be measured concurrently with BAC and levels of cannabinoids in biological fluids before and after acute drug exposure in male and female drivers aged 19 to 25. BAC and biological fluids will be measured up to 5 hours (...) driving under the influence of alcohol (DUIA) and the influence of cannabis (DUIC) experienced collision risk that was nearly 4 times that of individuals who reported driving after using only one of these drugs. Recent research in the United States and Canada indicates that the prevalence of DUIC among young drivers of high school and university age, and young adults is similar to, or higher than, the prevalence of DUIA. This is a serious public health issue, since motor vehicle collisions

2017 Clinical Trials

79. The older adult driver with cognitive impairment: "It's a very frustrating life". Full Text available with Trip Pro

The older adult driver with cognitive impairment: "It's a very frustrating life". Although automobiles remain the transportation of choice for many older adults, late-life cognitive impairment and dementia often impair the ability to drive safely. However, there is no commonly used method of assessing dementia severity in relation to driving, no consensus on the assessment of older drivers with cognitive impairment, and no gold standard for determining driving fitness. Yet clinicians are called (...) to the older driver with cognitive impairment will have the best opportunity to enhance patients' social connectedness and quality of life while meeting their psychological and medical needs and maintaining personal and public safety.

2010 JAMA

80. Simulated Driving Performance, Daytime Sedation and Cognition in Healthy Volunteers Taking Gralise, Neurontin or Lyrica

the National Library of Medicine Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Layout table for eligibility information Ages Eligible for Study: 40 Years to 80 Years (Adult, Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: Yes (...) Criteria Inclusion Criteria: Between 40 and 80 years of age, inclusive. Body weight > 50 kg and BMI between 18 and 32 kg/m2, inclusive. Able to give informed consent. Licensed, experienced driver who had driven at least 3 times a week for the past 3 years and had visual acuity adequate for driving, as assessed by the investigator or designee. Able to complete a 1 hour simulated driving test and demonstrate satisfactory driving skills, as determined by the investigator or designee. Karolinska Sleep

2017 Clinical Trials

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