Objective: Suffering a stroke might lead to permanent cognitive and/or physical impairment. It has been shown that these impairments could have an impact on an individual's fitness to drive. In Sweden, as in many other countries, there are regulations on driving cessation post-stroke. Information on driving cessation should be given to all patients and noted in the journal. The present study sought to determine physician's compliance to driving regulations post-stroke as well as follow-up and gender aspects.
Method: A retrospective study of medical records on stroke patients was carried out. The study covered all of the medical records on stroke incidents (n = 342) during a year at a typical medium to large-sized hospital in Sweden.
Results: A journal entry on driving cessation post-stroke was missing in 81% of the medical records. Only 2% of the patients were scheduled for a follow-up meeting specifically concerning fitness to drive. Significantly more men than women had an entry on driving in the journal.
Conclusions: We conclude that the Swedish regulations on driving cessation post-stroke were not followed at the participating hospital. It is crucial that all stroke patients receive information on driving cessation because their condition might affect fitness to drive. Analysis of follow-up records showed that there was no consistent method for assessment of a patient's fitness to drive. There was also a gender difference in the material, which warrants further investigation. 相似文献
Previous research has suggested that parental condition may affect offspring mortality patterns by affecting offspring testosterone levels. Accordingly, we hypothesized that there is a relationship between offspring testosterone concentration and survival during the early nestling period, and that both are influenced by parent age/experience and by prey availability. We tested our hypothesis on tawny owls Strix aluco in their first and third known breeding seasons, when they bred either in adverse or mild weather conditions, in Duna-Ipoly National Park, Hungary. Plasma testosterone concentrations of the nestlings were analyzed and related to parental condition, hatching order and nestling mortality. Inexperienced parents breeding in all weather conditions and experienced parents breeding in adverse conditions were both in poor condition compared to experienced parents breeding in mild conditions. Parents in poor condition produced broods with large between-sibling differences in testosterone concentrations and their later-hatched nestlings (which had low testosterone levels) died during the early nestling period, whereas parents in good condition produced broods with lower variation in offspring testosterone concentrations and all offspring survived the early nestling period. We discuss environmental influences on the amount of testosterone deposited in eggs, and also how maternal testosterone might induce those mechanisms producing testosterone in the nestlings.Communicated by M. Webster, T. Czeschlik 相似文献
Since their official eradication from the US in 1943, the cattle-tick species Boophilus microplus and Boophilus annulatus, vectors of bovine babesiosis, frequently have penetrated a quarantine zone established along the Texas–Mexico border designed to exclude them. Inspection and quarantine procedures have eradicated reinfestations successfully within the US, but increasing acaricide resistance in Mexican B. microplus populations poses a threat to future eradication efforts. Better understanding of interrelationships among Boophilus populations, their hosts, and vegetation communities in south Texas could improve prediction of the behavior of reintroduced Boophilus populations and increase management options. To this end, we constructed a simulation model to evaluate how microclimate, habitat (i.e. vegetation) heterogeneity, and within-pasture cattle movement may influence dynamics of Boophilus ticks in south Texas. Unlike previous Boophilus tick models, this model simulates dynamics at an hourly time-step, calculates all off-host dynamics as functions of temperature and relative humidity, and runs with ground-level microclimate data collected bi-hourly in three different habitat types. Sensitivity analysis of the model showed that temperatures and relative humidities created by habitat type, as well as engorged female mass, influenced tick population dynamics most strongly. Host habitat selection, initial number of larvae per cow, and the number of cells into which the simulated pasture was divided also had a strong influence. Population dynamics appeared moderately sensitive to the proportion of Bos indicus in cattle genotypes and the larval attachment rate, while appearing relatively insensitive to factors such as mortality rate of engorged females. When used to simulate laboratory experiments from the literature, the model predicted most observed life-history characteristics fairly well; however, it tended to underestimate oviposition duration, incubation duration, and egg mortality and overestimate larval longevity, especially at low temperatures and high humidities. Use of the model to predict Boophilus population dynamics in hypothetical south Texas pastures showed that it reasonably generated qualitative patterns of stage-wise abundances but tended to overestimate on-host tick burdens. Collection and incorporation of data that appear not to exist for Boophilus ticks, such as larval lipid content and lipid-use rates, may improve model accuracy. Though this model needs refinements such as a smaller spatial resolution, it provides insight into responses of B. microplus or B. annulatus populations to specific weather patterns, habitat heterogeneity, and host movement. 相似文献
Younger individuals are often less successful in reproduction than older ones. This might be because of improving breeding skills with age or because the genetic quality of young or early maternal effects on them vary with parental age. However, no attempt has been made to experimentally separate these processes in vertebrates. We conducted a cross-fostering experiment in collared flycatchers (Ficedula albicollis) in three breeding seasons to disentangle origin- and rearing-related effects of paternal age on chick growth, while controlling for date-specific environmental conditions as well as differences in clutch and brood size. The age of the male at the nest of origin, but not that of the rearing male, had a year-dependent effect on nestling body mass and tarsus length. In two seasons, young of subadult males grew slower in the early linear phase of growth than young of adult males. There was no compensatory growth in the final asymptotic phase, so both body mass and tarsus length before fledging reflected the differential early development. In the remaining year, the age of the male at the nest of origin had no significant effect on chick growth. The environment-dependent origin effect we detected was unexplained by incubation times, hatching asynchrony, chick masses at swapping or previously described age-dependent egg quality patterns. Our results therefore suggest a genotype × environment interaction on the relative development of offspring sired by subadult and adult males. Our results also raise the possibility that female birds may gain genetic benefits by mating with older males. Further studies should identify general patterns of male age-dependent female mate choice and offspring quality in different environmental conditions. 相似文献