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.     

Focus on mission success: Process safety for the Atychiphobist

Modern process plants are complex engineering systems. While thorough reviews of system safeguards are performed, catastrophic events continue to occur, often unfolding in unforeseen ways. Success in process safety demands safe processes, and understanding rare, high consequence events is central to the traditional process safety approach. This philosophy is common to all high-hazard industries, offering the potential for sharing approaches, experience, and lessons learned. The problem, however, is that people (and organizations and entire industries) who fear failure (atychiphobia) sometimes obsess about failure so much that they miss opportunities to succeed.This paper examines selected risk management practices in the power generation and aerospace industries and how those practices have led to improved performance. Risk informed decision making (RIDM) has had widespread application in the nuclear and aerospace industries, and is undergoing enhancements to become a key framework for risk management. Additionally, rather than focusing on avoidance of loss, there are emerging approaches supporting achievement of success. This approach provides a more direct link of risk to business and operational objectives, but does challenge conventional risk approaches founded in a loss prevention-centric view. The paper reflects upon risk informed decision making and success modeling, and suggests how these methods may be applied in the field of process safety. Specific examples are drawn from the defense in depth approach from the nuclear power industry and mission success concepts developed for NASA.     

2014, The “year without a summer” in Italy: news media coverage and implications for the climate change debate

In 2014, there was virtually no summer in northern and central-southern Italy. Storm after storm battered the peninsula, triggering floods and landslides from Veneto to Puglia. We studied the coverage of “the year without a summer” in Italy by analyzing the content of 171 news articles from two influential online newspapers. Our software-based analysis enabled us to observe that the two newspapers hardly ever mentioned climate change in their coverage of the weather anomaly that affected Italy in the summer of 2014. This type of coverage is in line with climate science, according to which there is no evidence of a climate change-related influence on summer precipitation patterns in Southern Europe—whereas such influence has been documented for northern Europe. We compared our results with a recent paper, which documented that the same online dailies chose to represent the particularly hot summer of 2012 in Italy as a direct consequence of climate change. We corroborated this comparison also on the basis of a preliminary analysis we performed on the media coverage of the exceptionally hot and arid summer of 2015 in Italy.     

Arsenic and other trace elements in groundwater and human urine in Ha Nam province,the Northern Vietnam: contamination characteristics and risk assessment

The contamination characteristics of arsenic and other trace elements in groundwater and the potential risks of arsenic from the groundwater were investigated. Elevated contamination of arsenic, barium and manganese was observed in tube-well water of two villages (Chuyen Ngoai and Chau Giang) in Ha Nam province in the Northern Vietnam. Concentrations of As in the groundwater ranged from 12.8 to 884 µg/L with mean values in Chuyen Ngoai and Chau Giang were 614.7 and 160.1 µg/L, respectively. About 83 % of these samples contained As concentrations exceeding WHO drinking water guideline of 10 μg/L. The mean values of Mn and Ba in groundwater from Chuyen Ngoai and Chau Giang were 300 and 657 μg/L and 650 and 468 μg/L, respectively. The mean value of Ba concentration in groundwater in both Chuyen Ngoai and Chau Giang was about 22 % of the samples exceeded the WHO guideline (700 µg/L). Arsenic concentrations in human urine of residents from Chuyen Ngoai and Chau Giang were the range from 8.6 to 458 µg/L. The mean values of Mn and Ba in human urine of local people from Chuyen Ngoai were 46.9 and 62.8 μg/L, respectively, while those in people from Chau Giang were 25.9 and 45.9 μg/L, respectively. The average daily dose from ingesting arsenic for consuming both untreated and treated groundwater is from 0.02 to 11.5 and 0.003 to 1.6 μg/kg day, respectively. Approximately, 57 % of the families using treated groundwater and 64 % of the families using untreated groundwater could be affected by elevated arsenic exposure.     

双酚A及其类似物对斑马鱼胚胎及幼鱼的毒性效应

为探讨双酚A及其类似物对鱼类早期生长发育的毒性效应,研究了双酚A及其7种类似物对斑马鱼胚胎及仔鱼的毒性效应。通过对胚胎的孵化率、心率、仔鱼体长等指标进行测定分析,结果显示:(1)双酚A及其7种类似物都可使斑马鱼胚胎出现心包水肿、卵黄囊肿、脊柱弯曲和尾部弯曲等症状。(2)综合考虑斑马鱼78 hpf胚胎心率、120 hpf胚胎孵化率及7 dpf仔鱼体长抑制率等指标,8种受试物中双酚P(BPP)的毒性最大,其次是双酚AP(BPAP)、双酚AF(BPAF)、双酚Z(BPZ),然后是双酚A(BPA)、双酚B(BPB)、双酚F(BPF),双酚S(BPS)的毒性最小,每种受试物的浓度与受精卵的孵化率、仔鱼心率呈明显负相关关系,与体长抑制率呈明显正相关关系。8种受试物毒性与辛醇-水分配系数(log K_(OW))呈正相关关系,log K_(OW)越大毒性则越大。     

7种农药对管氏肿腿蜂的毒性及初级风险评价

为评估农药对寄生类自然天敌昆虫的安全性,选择管氏肿腿蜂(Scleroderma guani Xiao et Wu)作为受试生物,采用管测药膜法测定了3种杀虫剂、2种除草剂、2种杀菌剂对其致死效应,并根据田间推荐剂量计算暴露量,采用风险商值HQ对杀虫剂进行风险评估。结果显示,与空白对照比较,3种杀虫剂均具明显毒性作用,其中丁硫克百威、吡虫啉和呋虫胺对管氏肿腿蜂的24 h半致死量(24 h-LR50)分别为5.11、2.92和0.06 g a.i.·ha-1,农田内风险商值分别为60.23、16.64和3 105。除草剂和杀菌剂在3倍最大田间推荐剂量作用下,24 h管氏肿腿蜂死亡率均小于50%。上述结果表明,在田间推荐用量下,3种杀虫剂对管氏肿腿蜂的初级风险评价为存在高风险,建议进一步开展高级阶段风险评估或者采取合理的风险管理措施来降低风险;除草剂和杀菌剂对管氏肿腿蜂的风险可接受。     

Accounting for monogastric livestock as a driver in global land use and cover change assessments

Land systems are described based on various characteristics, including land cover composition and agricultural production. However, it is uncertain to what extent livestock, particularly monogastric livestock, determines land systems. We included monogastrics in a land system classification, and statistically analyzed the land cover composition and agricultural production of otherwise similar land systems with and without monogastric livestock. The results indicate that land systems with monogastrics are statistically different from their counterparts in the classification without monogastrics in terms of grassland area and crop yields, but are less different in terms of tree area, crop area, and ruminant livestock production. We then used a land systems map that includes monogastrics in the classification and a similar map that does not include monogastrics to project future changes in a novel manner that integrates livestock as a determinant of land systems. The results show that including monogastrics in otherwise similar projections yields less cropland intensification and more cropland expansion in several world regions, including Northern Africa and the Middle East. Other regions, such as Europe and Australia, were characterized by less decrease or more increase in tree area in the application with monogastrics, mainly due to the occurrence of open forests with monogastrics. This study prompts a call for improved characterization of land systems for land use and cover change (LUCC) assessments in order to better represent LUCC driven by monogastric livestock.     

Pesticide residue removal in classic domestic processing of tomato and its effects on product quality

This study was undertaken to evaluate the effectiveness of several household practices (washing with water or acidic, alkaline, and oxidizing solutions, and peeling) in minimizing pesticide residue contamination of tomatoes, as well as the impact on the quality of the treated fruit. Tests were performed using two systemic fungicides (azoxystrobin and difenoconazole) and one contact fungicide (chlorothalonil). Solid-liquid extraction with low temperature partition (SLE/LTP) and liquid-liquid extraction with low temperature partition (LLE/LTP) were used to prepare the samples for pesticides determination by gas chromatography. Washing the tomatoes with water removed approximately 44% of chlorothalonil, 26% of difenoconazole, and 17% of azoxystrobin. Sodium bicarbonate (5%) and acetic acid (5%) solutions were more efficient, removing between 32 and 83% of the residues, while peeling removed from 68 to 88% of the pesticides. The washing solutions altered some fruit quality parameters, including acidity and chroma, and also caused weight loss. Acetic acid (0.15 and 5%) and hypochlorite (1%) solutions had the greatest effect on these parameters.     

Bringing together raptor collections in Europe for contaminant research and monitoring in relation to chemicals regulations

Raptors are good sentinels of environmental contamination and there is good capability for raptor biomonitoring in Europe. Raptor biomonitoring can benefit from natural history museums (NHMs), environmental specimen banks (ESBs) and other collections (e.g. specialist raptor specimen collections). Europe’s NHMs, ESBs and other collections hold large numbers of raptor specimens and samples, covering long periods of time. These collections are potentially a valuable resource for contaminant studies over time and space. There are strong needs to monitor contaminants in the environment to support EU and national chemical management. However, data on raptor specimens in NHMs, ESBs and other collections are dispersed, few are digitised, and they are thus not easy to access. Specimen coverage is patchy in terms of species, space and time. Contaminant research with raptors would be facilitated by creating a framework to link relevant collections, digitising all collections, developing a searchable meta-database covering all existing collections, making them more visible and accessible for contaminant research. This would also help identify gaps in coverage and stimulate specimen collection to fill gaps in support of prioritised contaminant monitoring. Collections can further support raptor biomonitoring by making samples available for analysis on request.     

Pollution characteristics and potential ecological risk assessment of metals in the sediments of Xiaoqing River,Jinan

Environmental Science and Pollution Research - The spatial–temporal changing characteristics and potential ecological risk combined with local policies and industrial status were analyzed....