Older driver retraining: An updated systematic review of evidence of effectiveness

Problem and Objective

The number of older drivers who might benefit from driver retraining is growing. A previous review on the effectiveness of older driver retraining included intervention studies up to 2004. The objective was to perform an updated systematic review of the effectiveness of older driver retraining for improving driving-related skills and reducing crash rates.

Method

Articles published from 2004-2008 were grouped according to the intervention provided and outcome studied. Randomized clinical trials (RCTs) were appraised using the Physiotherapy Evidence Database (PEDro) Scale and scored for quality according to their internal validity. Each intervention's effectiveness was then rated and assigned a level of evidence by combining pre- and post- 2004 findings.

Results

Three RCTs and one matched-pairs cohort design met the inclusion criteria. There is strong evidence (Level 1a) that education combined with on-road training improves driving performance and moderate evidence (Level 1b) that it improves knowledge. There is moderate evidence (Level 1b) that physical retraining improves driving performance. There is moderate evidence (Level 1b) that an educational intervention curriculum alone is not effective in reducing crashes.

Summary

The updated evidence on the effectiveness of retraining aimed at older drivers is sufficiently encouraging to merit assertive health promotion actions regarding intervention and program planning.

Impact on Industry

These positive findings warrant a comprehensive plan that has both behavioral and monetary incentives encouraging older driver participation in programs aimed at driver safety.     

Chemical composition and effects of water extracts of petroleum on eggs of the sand dollar Melitta quinquiesperforata

Sperm and eggs of sand dollars, Melitta quinquiesperforata (Leske), were subjected to two petroleum oils, and effects determined. The oils chosen were Kuwait crude and No. 2 fuel oil, supplied by the American Petroleum Institute. Water-soluble extracts (WSF) from oil-sea water mixes were prepared and the major aromatic components in the WSF of the fuel oil were identified. WSF of No. 2 fuel oil depressed respiration, mobility of sperm, interfered with fertilization and cleavage, and retarded larval development. The effects were detectable at dilutions of 4% and less (about 0.6 ppm of WSF). Kuwait crude was much less toxic. There was no effect on water permeability of the egg membrane. Results are compared with similar studies on other marine organisms.     

Respiration rate and cost of swimming for Antarctic krill,<Emphasis Type="Italic"> Euphausia superba</Emphasis>, in large groups in the laboratory

Constructing realistic energy budgets for Antarctic krill, Euphausia superba, is hampered by the lack of data on the metabolic costs associated with swimming. In this study respiration rates and pleopod beating rates were measured at six current speeds. Pleopod beating rates increased linearly with current speed, reaching a maximum of 6 beats s^–1 at 17 cm s^–1. There was a concomitant linear increase in respiration rate, from 1.8 mg O₂ g_D^–1 h^–1 at 3 cm s^–1 to 8.0 mg O₂ g_D^–1 h^–1 at 17 cm s^–1. The size of the group tested (50, 100 and 300 krill) did not have a significant effect on pleopod beating rates or oxygen consumption (ANCOVA, F=0.264; P>0.05). The cost of transport reached a maximum of 75 J g^–1 km^–1 at 5 cm s^–1, and then decreased with increasing current speed to 29 J g^–1 km^–1. When considered in light of energy budgets for E. superba, these data indicate that the cost of swimming could account for up to 73% of total daily metabolic expenditure during early summer.Communicated by G.F. Humphrey, Sydney     

A first record of daytime surface swarming by Euphausia lucens in the Southern Benguela region

On 9 October, 1985 a daytime surface swarm of the euphausiid Euphausia lucens was observed and sampled in St. Helena Bay in the Southern Benguela region. The swarm was monospecific, consisted of adults in prebreeding condition and appeared to be feeding on detrital material. The swarm covered an estimated 46 ha, densities within it ranged between 4 000 and 1 500 000 individuals per cubic metre and the swarm was estimated to contain 5 000 tonnes of euphausiids. No simple explanation for the presence of the swarm was apparent.     

Validation and quantification of extractable age pigments for determining the age of Antarctic krill (<Emphasis Type="Italic">Euphausia superba</Emphasis>)

Antarctic krill, Euphausia superba, hatched from eggs and maintained for four years, were sampled periodically for age-pigment analysis. Extractable pigments from the eye and eyestalk ganglia were quantified using fluorescence intensity and standardised against protein. Three peak fluorescence intensities were detected at wavelengths of excitation 280 nm, emission 625 nm (pigment 1); excitation 355 nm, emission 510 nm (pigment 2); and excitation 463 nm, emission 620 nm (pigment 3). There was a positive correlation between the quantity of pigments 1 and 3 and the age of Antarctic krill. A model was developed to predict age from pigment 3 and to compare it with other age proxies (carapace length and eyeball diameter). The quantity of pigment 3 was the best predictor of age. The pigment method can discriminate between similar sized krill aged 12 and 36 months. Age pigments provide an improved tool for age estimation in Antarctic krill, particularly if used in conjunction with other demographic information.     

Conservation decision-making in large state spaces

When looking for the best course of management decisions to efficiently conserve metapopulation systems, a classic approach in the ecology literature is to model the optimisation problem as a Markov decision process and find an optimal control policy using exact stochastic dynamic programming techniques. Stochastic dynamic programming is an iterative procedure that seeks to optimise a value function at each timestep by evaluating the benefits of each of the actions in each state of the system defined in the Markov decision process.Although stochastic dynamic programming methods provide an optimal solution to conservation management questions in a stochastic world, their applicability in metapopulation problems has always been limited by the so-called curse of dimensionality. The curse of dimensionality is the problem that adding new state variables inevitably results in much larger (often exponential) increases in the size of the state space, which can make solving superficially small problems impossible. The high computational requirements of stochastic dynamic programming methods mean that only simple metapopulation management problems can be analysed. In this paper we overcome the complexity burden of exact stochastic dynamic programming methods and present the benefits of an on-line sparse sampling algorithm proposed by Kearns, Mansour and Ng (2002). The algorithm is particularly attractive for problems with large state spaces as the running time is independent of the size of the state space of the problem. This appealing improvement is achieved at a cost: the solutions found are no longer guaranteed to be optimal.We apply the algorithm of Kearns et al. (2002) to a hypothetical fish metapopulation problem where the management objective is to maximise the number of occupied patches over the management time horizon. Our model has multiple management options to combat the threats of water abstraction and waterhole sedimentation. We compare the performance of the optimal solution to the results of the on-line sparse sampling algorithm for a simple 3-waterhole case. We find that three look-ahead steps minimises the error between the optimal solution and the approximation algorithm. This paper introduces a new algorithm to conservation management that provides a way to avoid the effects of the curse of dimensionality. The work has the potential to allow us to approximate solutions to much more complex metapopulation management problems in the future.     

An empirical study for the direct and indirect links between trust in regulatory institutions and acceptability of hazards

Several studies have identified a significant relationship between trust in regulatory institutions and the extent of a hazard’s acceptability. Many, however, have overlooked the potential impact perceived risk and perceived benefit may have on the relationship. Our principal goal is to assess empirically the link between social trust in regulatory entities and the degree of public acceptability of hazards in view of interactions among social trust, perceived risk, perceived benefit and public acceptability. A survey was conducted in 2006 in three cities representative of central Mexico. A total of 356 participants answered the survey. Each participant assessed 30 hazards for perceived risk, perceived benefit, acceptability, social trust in regulatory entities, and personal knowledge. Our main finding was that social trust retained a direct as well as an indirect causal link with the degree of a hazard’s public acceptability, independent of hazard, the extent of knowledge, and the magnitude of the hazard’s perceived risk and benefit. The relationship encountered between perceived risk and acceptability was unexpected, as numerous studies have demonstrated empirically the influence perceived risk on how acceptable an activity or technology is. In our results the statistical significance of the perceived risk-acceptability relationship practically disappeared when controlled for institutional trust and perceived benefit. In other words, the net linear relationship between perceived risk and acceptability is mediated by the extent of social trust and the benefit perceived. Comparisons with several prior studies are conducted, and implications for regulatory entities are discussed.     

Individual and combined toxicity of some petroleum aromatics to the marine amphipod Elasmopus pectenicrus

Toxicity of 4 components of petroleum oils to the marine amphipod Elasmopus pectenicrus (Bate) has been assessed. Two ephemeral aromatic hydrocarbons, naphthalene (A) and 1, 2, 4-trimethylbenzene (B) were more toxic than two persistent aromatics, o-cresol (C) and o-toluidine (D). The acute toxicity concentrations obtained for individual aromatic compounds were always greater than the actual concentrations found in the water-soluble fractions (WSF) of fuel oils. Results from mixtures of 2 or more components indicated that the LC₅₀ levels were primarily determined by the more toxic substances, A and B. Naphthalene and 1, 2, 4-trimethylbenzene became more toxic to the E. pectenicrus when present in a mixture of more than 2 components, and the toxicity increased with increasing numbers of components present. Synergistic effects, therefore, possibly occur in the whole WSF. No antagonistic effects were observed among the 4 petroleum aromatics.University of Texas, Marine Science Institute Contribution No. 290     

氟喹诺酮污染对淡水水生环境的影响—综述

截至目前,环境中抗生素的行为及其对生态毒性的影响仍被忽视。这一课题的范畴是宽泛的,涉及到广泛的生物体,包括栖居在各种水生生态系统中的微生物,藻类,无脊椎动物和脊椎动物等。改变这种系统中任何一个组成的平衡破坏了整个系统的平衡。在人类和动物医学中,氟喹诺酮的制造和频繁使用引起了对微生物抗生素耐药性流行率增加的高度关注,而且,除此之外,通过各种途径进入环境生态系统的抗生素母体和代谢物化合物的归趋也引起了环境影响关注。相关研究集中在分析环境样品中氟喹诺酮的存留浓度,并且经常使用动物评估模型来测试急性毒性,但是仍然不清楚在水生环境中低水平慢性接触对生命形态的生态毒性影响中起什么作用。本综述的目的是评估氟喹诺酮在动物和人类医学中的使用水平,确定其传播的途径,突出在淡水环境中的生态毒理学影。
精选自Nicol Janecko, Lucie Pokludova, Jana Blahova, Zdenka Svobodova, Ivan Literak. Implications of fluoroquinolone contamination on the fresh water aquatic environment -A review. Environmental Toxicology and Chemistry: Volume 35, Issue 11, pages 2647–2656, November 2016. DOI: 10.1002/etc.3552
详情请见http://onlinelibrary.wiley.com/doi/10.1002/etc.3552/full
     

Ferulic acid supplementation for 40 days in hair ewe lambs experiencing seasonal heat stress: short-term effects on physiological responses,growth, metabolism,and hematological profile

Environmental Science and Pollution Research - Free ferulic acid (FA) is a natural compound with antioxidant properties which mitigates the negative effects of cold stress in sheep; however, its...