Driving concerns among older adults: Associations with driving skill,behaviors, and experiences

Objectives: The purpose of this investigation was to determine what older adults find most concerning about driving as they age and how these concerns are related to driving skill, behaviors, and experiences.

Methods: In partnership with the Maryland Motor Vehicle Administration, a sample of 751 older adults ages 65 and older completed an online survey between October 2017 and May 2018. A content analysis was used to code open-ended responses about driver concerns, and multivariate logistic regression models were used to analyze the associations between driving concerns and driving skill, behavior, and experiences.

Results: Eighty-four percent of participants reported at least one driving concern, with 44% concerned about others’ driving, 34% concerned about their own driving, and 24% concerned about driving conditions. The most frequently mentioned driving concerns were other drivers in general, driving at night, visual ability and awareness, and other drivers being aggressive or reckless. Being concerned with their own driving was significantly associated with decreased perceived driving skill and increased odds of experiencing negative driving experiences in the past year. Being concerned about others’ driving was associated with increased odds of wearing a seat belt (adjusted odds ratio [AOR]?=?2.67; 95% confidence interval [CI], 1.02, 7.00), having high perceived driving skills in emergency situations (AOR = 1.56; 95% CI, 1.14, 2.12), and getting in a near crash or collision in the past year (AOR = 1.50; 95% CI, 1.04, 2.18).

Conclusions: Older adult drivers are frequently concerned about their own driving as well as the driving of others. Implications for future research and health practice are discussed.     

Lower back pain and its association with whole-body vibration and manual materials handling among commercial drivers in Sabah

A cross-sectional study was undertaken to determine the prevalence of lower back pain (LBP) and its association with whole-body vibration (WBV) and manual materials handling (MMH). We studied 110 commercial vehicle drivers using a self-administered questionnaire and the VI-400Pro human vibration monitor. Prevalence of LBP was 66.4%. The percentage of drivers who had frequent manual handling of heavy loads was 45.5% and those who handled heavy loads in awkward postures accounted for 86.4%. Daily vibration A(8) averaged on the z axis was 0.25 (0.06) m·s^?2 and at vector sum was 0.29 (0.07) m·s^?2. Daily vibration exposures on the z axis, frequent manual handling of heavy loads and awkward posture during MMH were significantly associated with LBP. Drivers who are exposed to WBV and frequently handle heavy loads manually and with awkward postures probably have more LBP than drivers who are exposed to only one of these risk factors.     

Differentiated impacts of environmental policies on the Colombian Frontier: coercive conservation and containment of illicit activities in the Pacific and the Ariari region

ABSTRACT

This article, through the use of political ecology perspectives on coercive conservation, aims to explain how in two separate Colombian Natural Parks and buffer zones, environmental policies designed to (re)take control of the frontier, have produced a similar territorial differentiation in the contention of illicit activities. Los Farallones in the Colombian Pacific and La Macarena/Puerto Rico in the Ariari region have experienced different stages of the armed conflict and are at the center of this analysis. I argue that in the contexts of both conflict escalation (1998–2007) and conflict de-escalation (2008–2016), the State in its attempt to control the frontier has not only had military intervention in areas of conservation but has also reinforced environmental programs that attack illegal mining and coca, producing both a territorially differentiated containment of illicit activities and an uneven progression of the illicit frontier.     

An Environmental Domain Classification of New Zealand and Its Use as a Tool for Biodiversity Management

Abstract:   Successful biodiversity management, including the selection and subsequent management of protected areas, depends in large measure on classifications showing land areas with similar ecosystem character. In contrast to widely used, qualitative land-classification techniques, we used a numerical classification of explicit spatial layers describing aspects of New Zealand's climate and landforms. We chose input variables for their strong functional links with major physiological processes of trees and high statistical correlations with geographic distributions of individual tree species as determined from previous studies. Higher-level divisions of the resulting classification were dominated by macroclimatic variation associated with change in both latitude and orographic protection provided by New Zealand's main mountain ranges, but variation in landform became more important at finer scales of classification. Classification units showed marked variation in the proportional extent of both indigenous vegetation cover and land set aside for conservation purposes. Indigenous ecosystem remnants of the highest priority for increased protection occurred in warm, lowland domains, particularly in drier environments, where both indigenous cover and protected areas are of minimal geographic extent. Such results underline the considerable potential of an environmental classification to provide a landscape context for systematic conservation management, particularly in environments where the natural ecosystem pattern has been severely modified by human activity.     

氯气压力自动检测调节新技术在氯气系统的应用

氯碱生产中,氯气系统压力不易控制,容易发生泄漏爆炸事故。为解决这一难题,保证安全生产,金川公司化工厂于１９９６年设计并安装了一套氯气压力自动检测调节系统,经过两年的实际使用,达到了稳定氯气系统压力的良好效果。     

废水的生物脱氮除磷新工艺的设想

结合废水生物脱氮除磷机理和影响因素，在对几种典型脱氮除磷工艺氮、磷去除率进行比较的基础上，解析了一些典型工艺除氮除磷不足之处。根据重庆城市污水水质实际情况和地形的特点，设想一种新的生物脱 氮除磷工艺，从而弥补传统工艺的不足。可望提高系统的脱氮和除磷效率，达到更好的脱氮除磷的目的，减少对水体的污染。     

Concentrations and trends of benzene in ambient air over New York State during 1990–2003

Since 1990s, a systematic program to measure air toxics has been active in New York State with monitors located both in urban and rural areas. In this study we examined the spatial and temporal characteristics of benzene, a known human carcinogen that is emitted by many source categories. The analysis indicates that ambient concentration levels of benzene have decreased by as much as 60% over this period not only in the ozone non-attainment area of New York City that had the reformulated gas (RFG) requirements, but also over the rest of the state as well. Although the rate of decrease appears to have flattened out in recent years, the annual average concentration levels are found to be above the health risk threshold even at the remote location, Whiteface Mountain, suggesting the need for further reductions in benzene emissions.     

Improved recovery of repeat intoxicated drivers using fingernails and blood spots to monitor alcohol and other substance abuse

Objectives: This study reports the results of a pilot program in Kenosha County that used a combination of direct biomarkers extracted from blood spots and nails to monitor repeat intoxicated drivers for their use of alcohol and drugs with a detection window spanning from 3 weeks to several months. The objectives were to test whether the direct biomarkers phosphatidylethanol (PEth), ethylglucuronide (EtG), and 5 drug metabolites would (1) help assessors obtain a more objective evaluation of repeat offenders during the assessment interview, (2) allow for timely identification of relapses and improve classification of drivers into risk categories, and (3) predict recidivism by identifying offenders most likely to obtain a subsequent operating while intoxicated (OWI) offense within 4 years of enrollment in the program.

Methods: All (N = 261) repeat offenders were tested using PEth obtained from blood spots and EtG obtained from fingernails; 159 participants were also tested for a 5 drugs of abuse nail panel. Drivers were tested immediately after the assessment interview (baseline) and at 3, 6, 9, and 12 months after baseline. Based on biomarker results and self-reports of abstinence, offenders were classified into different risk categories and required to follow specific testing timelines based on the program's decision tree.

Results: The baseline analysis shows that 60% of drivers tested positive for alcohol biomarkers (EtG, PEth, or both) at the assessment interview, with lower detection rates (0–11%) for the 5 drug metabolites. The comparison of biomarkers results to self-reports of abstinence identified 28% of all offenders as high risk and assigned them to more frequent testing and more intense monitoring. The longitudinal analysis shows that 56% (completers) of participants completed the program successfully and the remaining 44% (noncompliant) terminated prematurely. Two thirds (68%) of the completers were able to reduce or control their drinking and one third relapsed at least one time during their mandated monitoring periods. After a brief intervention by the assessors, 79% of relapsers tested negative for biomarkers in their repeat tests. The rearrest analysis showed that offenders classified in the noncompliant and relapsers groups were 7 times more likely to receive a new OWI 4 years after enrollment compared to drivers classified as abstainers or controllers. Refractory drivers were monitored the longest and reported no subsequent rearrests.

Conclusion: These findings demonstrate the benefits of more individualized interventions with repeat OWI offenders and calls for further development of multimodal approaches in traffic medicine including those that use direct alcohol biomarkers as evidence-based practices to reduce recidivism.