Driving self-regulation and ride service utilization in a multicommunity,multistate sample of U.S. older adults

Objectives: This study examined a multicommunity alternative transportation program available 24 hours a day, 7 days a week, for any purpose, offering door-through-door service in private automobiles to members who either do not drive or are transitioning away from driving. Specific aims were to describe the characteristics of members by driving status and ride service usage of these members.

Methods: Data came from administrative records maintained by a nonprofit ride service program and include 2,661 individuals aged 65+ residing in 14 states who joined the program between April 1, 2010, and November 8, 2013. Latent class analysis was used to group current drivers into 3 classes of driving status of low, medium, and high self-regulation, based on their self-reported avoidance of certain driving situations and weekly driving frequency. Demographics and ride service use rate for rides taken through March 31, 2014, by type of ride (e.g., medical, social, etc.) were calculated for nondrivers and drivers in each driving status class.

Results: The majority of ride service users were female (77%) and aged 65–74 years (82%). The primary method of getting around when enrolling for the transportation service was by riding with a friend or family member (60%). Among the 67,883 rides given, nondrivers took the majority (69%) of rides. Medical rides were the most common, accounting for 40% of all rides.

Conclusions: Reported ride usage suggests that older adults are willing to use such ride services for a variety of trips when these services are not limited to specific types (e.g., medical). Further research can help tailor strategies to encourage both nondrivers and drivers to make better use of alternative transportation that meets the special needs of older people.     

An empirical examination of personal learning within the context of teams

Using a sample of 588 employees in 59 work teams, we tested a model that situates personal learning within the context of teams, viewing it as a joint function of teams' leadership climate (i.e., transformational leadership) and task characteristics (i.e., task routineness and task interdependence). Consistent with our hypotheses, we found that the positive relationships between transformational leadership climate and the two dimensions of personal learning (relational job learning and personal skill development) were moderated by the nature of the teams' tasks. Specifically, transformational leadership climate was more strongly associated with personal learning for members of teams working on tasks that were less routine, rather than more routine. However, no significant moderation was found for leadership climate and task interdependence. Our findings underscore the importance of taking into account the contextual conditions within which leadership influence occurs while also demonstrating the potential role that leaders can play in promoting employees' personal learning. Overall, our study bolsters theories that conceptualize adult learning as a transaction between people and their social environments and points to a practical need to match leadership styles with team task characteristics to unleash transformational leadership effects. Copyright © 2015 John Wiley & Sons, Ltd.     

BPA暴露对本体和子代胰岛β细胞转录组差异对比分析

双酚A(BPA)作为一种典型的环境内分泌干扰物,与二型糖尿病和肥胖症等代谢类疾病密切相关.在这项研究中,旨在探讨BPA直接暴露以及围产期暴露对本体和子代胰岛β细胞影响的差异,从而实现对不同易感人群的精准预防与治疗.通过对GEO数据库中GSE126297和GSE82175两个数据集进行分析,共筛选出108个共有的差异基因,其中28个表达趋势一致,而另外80个表达趋势相反.随后对本体和子代单独的差异基因,以及共有差异基因进行了GO和KEGG对比分析.此外,利用String数据库和Cytoscape分析PPI网络中的紧密联系的基因,并将其可视化,进一步从28个表达趋势一致的基因中筛选出相互作用最为紧密的基因集1(Iqgap2,Igf2r和Rab18);从80个表达趋势相反的基因中筛选出相互作用紧密的基因集2(Polr2f,Ccnt2,Polr2e,Kdm7a,Fbl)和基因集3(Atp5g2,Atp5o和Ndufa6).最后,通过GEPIA在线验证上述基因在胰腺癌样本中的表达,研究发现Rab18,Polr2f,Polr2e,Fbl,Atp5g2,Atp5o和Ndufa6在胰腺癌病例中的表达均显著上升.同时,上述基因在本体中呈现显著上升趋势,而对于子代,只有Rab18显著上升,其他基因则呈下降趋势.综上,BPA对本体和子代的影响有一定的关联,其中关联的关键基因的异常表达可能会增加本体罹患胰腺癌的风险,而对于子代则会影响代谢过程和细胞结构.     

新生鼠PFOS低剂量慢暴露对成年后神经行为的影响

为观察新生鼠全氟辛烷磺酸(PFOS)低剂量慢暴露对其成年后神经行为和海马组织影响,选取出生后5-7 d雄性SD幼鼠80只,按体重随机分为4组,分别为对照组(Con)、低剂量组(P5)、中剂量组(P10)、高剂量组(P20),每组各20只。从PND7开始染毒,共染毒12周,动态记录体重,并进行水迷宫、旷场实验、滚轮实验观察神经行为变化,同时取材进行HE染色,观察海马形态学改变。结果显示与Con组比较,P20组染毒8 d后出现体重增长减缓(P0.05),4周时P10和P20组死亡率明显升高;并且P10、P20组在4周,P5组在8周时,水迷宫实验逃逸潜伏期延长,目标象限停留时间缩短;P10、P20组大鼠在4周,P5组在8周时,旷场实验中央格停留时间延长,站立次数减少,行走总距离缩短;滚轮试验中,对照组和P5组肢体运动协调能力无显著性差异。P5组在染毒12周时出现海马神经元排列紊乱,胞核固缩及胞体胀大,CA1区细胞和齿状回闩区神经前体细胞数量明显少于Con组(P0.01)。上述结果表明,大鼠幼年PFOS低剂量慢暴露可损害其成年后空间学习记忆及自主探究能力,这种损害可能与海马神经元发生不足有关     

Adult respiratory distress syndrome in human organophosphate poisoning cases

Adult respiratory distress syndrome (ARDS) is a clinical syndrome which occurs due to various direct or indirect noxious agents and pyhsical mechanisms. One of the etiological factors is ingested chemicals (e.g. paraquat, ethylene glycol). The organophosphorous (OP) insecticides are the most toxic and frequently encountered chemicals that produce poisoning in humans. Studies were undertaken to investigate whether OP insecticides may produce ARDS. Fifteen autopsy cases due to suicidal OP insecticide poisoning were investigated. Toxicological analyses were performed with a gas chromatography-nitrogen phosphorous detector (GC-NPD). Methamidophos, dimefox and dichlorvos were the detected OP. Lungs were examined macroscopically. Two cases showed features compatible with ARDS in which the only cause of death was OP poisoning. Due to the severity of ARDS it is important to assess insecticidal exposure in an attempt to enhance survival patterns following OP poisoning in patients in order to initiate therapy.     

应用蝶啶荧光分析法推断巨尾阿丽蝇成虫日龄

为探明蝶啶荧光分析法在尸食性蝇类成虫日龄推断中的应用潜力,采用荧光分光光度计对4种恒温和自然变温下巨尾阿丽蝇(Aldrichina grahami)雌雄成虫头壳蝶啶含量与日龄的关系进行了研究.结果表明,性别、温度和日龄对成虫蝶啶含量均有显著影响,其中日龄为最主要的影响因子.在16℃、20℃、24℃和28℃下,雌雄成虫头壳蝶啶含量与日龄均呈显著的线性关系(P<0.01,R2>0.90).蝶啶积累速率与温度也呈显著的线性关系.应用蝶啶荧光分析法对自然变温下巨尾阿丽蝇雌雄成虫日龄的估计表明,估计日龄与实际日龄呈显著的线性关系,其中雌成虫日龄估计误差平均为2.68d,雄成虫为±1.56d.以上研究结果表明,蝶啶荧光分析法在巨尾阿丽蝇成虫尤其是雄成虫日龄的推断中具有较大的应用价值.图4表2参19     

Evaluation of a responsible beverage service and enforcement program: Effects on bar patron intoxication and potential impaired driving by young adults

Objective: Studies of alcohol-related harm (violence, injury, illness) suggest that the most significant risk factors are the amount of alcohol consumed and whether obviously intoxicated patrons continue to be served. This study's objective was to investigate the effects of a responsible beverage service (RBS)/enhanced alcohol enforcement intervention on bars, bar patrons, and impaired driving.

Method: Two communities—Monroe County, New York, and Cleveland, Ohio—participated in a demonstration program and evaluation. The intervention applied RBS training, targeted enforcement, and corrective actions by law enforcement to a random sample of 10 identified problem bars in each community compared to 10 matched nonintervention problem bars. Data were collected over 3 waves on bar serving practices, bar patron intoxication, drinking and driving, and other alcohol-related harm from intervention and control bars and treatment and comparison communities.

Results: In Monroe County, New York, of the 14 outcome measures analyzed, 7 measures showed statistically significant differences from pre- to postintervention. Six of those measures indicated changes in the desired or positive direction and 2 measures were in the undesired or negative direction. Of note in the positive direction, the percentage of intervention bar patrons who were intoxicated decreased from 44 to 27% and the average blood alcohol concentration of patrons decreased from 0.097 to 0.059 g/dL pre- to postintervention. In Cleveland, Ohio, 6 of the 14 measures showed statistically significant changes pre- to postintervention with 6 in the positive direction and 4 in the negative direction. Of note, the percentage of pseudo-intoxicated patrons denied service in intervention bars increased from 6 to 29%.

Conclusions: Of the 14 outcome measures that were analyzed in each community, most indicated positive changes associated with the intervention, but others showed negative associations. About half of the measures showed no significance, the sample sizes were too small, or the data were unavailable. Therefore, at best, the results of these demonstration programs were mixed. There were, however, some positive indications from the intervention. It appears that when bar managers and owners are aware of the program and its enforcement and when servers are properly trained in RBS, fewer patrons may become intoxicated and greater efforts may be made to deny service to obviously intoxicated patrons. Given that about half of arrested impaired drivers had their last drink at a licensed establishment, widespread implementation of this strategy has the potential to help reduce impaired driving.     

Conflict and engagement: An empirical study of a farmer-extension partnership in a sustainable agriculture program

Stakeholder engagement is a crucial concept of extension education. Engagement expresses democratic values of the land-grant mission by providing opportunities for stakeholders to influence program planning, including setting the agenda and negotiating resource allocations. In practice, the concept of engagement guides the formation of partnerships among extension, communities, industry, and government. In the area of sustainable agriculture, however, stakeholders may conflict, presenting challenges to the engagement process. Results from a study of a Canadian sustainable agriculture program, produced using cultural anthropology and participatory action research, detail challenges of the engagement process that led to reconstruction of a farmer-extension partnership. Notable in the early phase of the reconstruction process were critical reflection, stakeholder forums, exclusion through caucusing, and coalition building. An argument for a neopragmatist view provides a theoretical basis for understanding counterintuitive dimensions of engagement revealed by the study.     

Driving self-restriction in high-risk conditions: how do older drivers compare to others?

Introduction

Many older drivers self-restrict or avoid driving under high-risk conditions. Little is known about the onset of driving self-restrictions or how widespread self-restrictions are among drivers of all ages.

Methods

The Second Injury Control and Risk Survey (ICARIS-2) was a nationwide cross-sectional, list-assisted random-digit-dial telephone survey from 2001 to 2003. National prevalence estimates and weighted percentages of those reporting driving self-restrictions were calculated. Multivariable logistic regression was used to explore associations between specific self-restrictions and age group, adjusting for other personal characteristics.

Results

More than half of all drivers reported at least one driving self-restriction. The most commonly reported restriction was avoidance of driving in bad weather (47.5%), followed by at night (27.9%) and on highways or high-speed roads (19%). A greater percentage of young adult women (18-24 years) reported self-restricting in bad weather compared to women in other age groups, and the percentage of drivers self-restricting at night, in bad weather, and on highways or high-speed roads increased steeply after age 64. We found that women, those in low income groups, and those who had driven low annual mileage were more likely to self-restrict.

Conclusions

In addition to assessing self-restrictions among older drivers, a new finding from our study is that self-restrictions are also quite prevalent among younger age groups. Driving self-restrictions may be better understood as a spectrum across ages in which drivers’ reasons for restriction change.

Impact on industry

Future research on the ability of driving self-restrictions to reduce actual crash risk and prevent injuries is needed.