Can We Predict the On-Road Performance of Older Drivers?

A study of drivers aged 50-90 was carried out to assess which, if any, of a range of measures were useful in predicting on-road performance. The study had three phases. In Phase One almost 2000 drivers completed an extensive self-report questionnaire, the Aging Driver Questionnaire, or ADQ. In the ADQ they described their personal and driving history, their driving behaviour and their attitudes and opinions on a variety of driving issues. Measures of general health, personality and intelligence were also taken. In Phase Two a subsample of those completing the ADQ (N=600) completed an extensive battery of laboratory tests of their cognitive and physiological capacities. In Phase Three 200 of this laboratory test sample completed two assessed on-road drives. The key results were that a) scores on the Manchester Driver Behavior Questionnaire (DBQ) showed that relatively high levels of errors and lapses behind the wheel were predictive of involvement in active accidents, while passive accident involvement was associated with a relatively high number of lapses, b) lapses were also associated with some indices of onroad performance, c) in general, performance on the cognitive and physiological laboratory tests was not associated with on-road performance and c) the best predictor of on-road performance was a relatively good score on a multiple choice test of driving knowledge, an assessment of driving knowledge offered in multiple choice format

Pharmacists subjected to disciplinary action: Characteristics and risk factors

Abstract Objective To establish whether there are any characteristics of pharmacists that predict their likelihood of being subjected to disciplinary action. Methods The setting was the Royal Pharmaceutical Society of Great Britain's Disciplinary Committee. One hundred and seventeen pharmacists, all of whom had been referred to the Disciplinary Committee, were matched with a quota sample of 580 pharmacists who had not been subjected to disciplinary action but that matched the disciplined pharmacists on a set of demographic factors (gender, country of residence, year of registration). Frequency analysis and regression analysis were used to compare the two groups of pharmacists in terms of sector of work, ethnicity, age and country of training. Descriptive statistics were also obtained from the disciplined pharmacists to further explore characteristics of disciplinary cases and those pharmacists who undergo them. Key findings While a number of characteristics appeared to increase the likelihood of a pharmacist being referred to the disciplinary committee, only one of these – working in a community pharmacy – was statistically significant. Professional misconduct accounted for a greater proportion of referrals than did clinical malpractice, and approximately one-fifth of pharmacists who went before the Disciplinary Committee had previously been disciplined by the Society. Conclusions This study provides initial evidence of pharmacist characteristics that are associated with an increased risk of being disciplined, based upon the data currently available. It is recommended that follow-up work is carried out using a more extensive dataset in order to confirm the statistical trends identified here. </jats:sec

Interventions early in school as a means to improve higher education outcomes for disadvantaged (particularly low SES) students

This document performs two functions. It provides a synopsis or abridged version of the research, Interventions early in school as a means to improve higher education outcomes for disadvantaged (particularly low SES) students, with emphasis on reviewing its major findings. It also provides an extension to the research, extrapolating from it through a meta‐analysis of the data to conceive of a matrix for designing and evaluating early interventions. The research was funded by the Australian Government Department of Education, Employment and Workplace Relations (DEEWR) and undertaken from August 2008 to July 2009 by the Australian National Centre for Student Equity in Higher Education (NCSEHE). The research was prompted by concerns about the long‐term under‐representation of some population groups (particularly those of low socioeconomic status) within Australian higher education and by a growing conviction that, if they are to be successful, interventions to redress this situation need to be implemented earlier in schooling rather than later

Interventions early in school as a means to improve higher education outcomes for disadvantaged students

No abstract available

Associations between a Universal Free Breakfast Policy and School Breakfast Program Participation, School Attendance, and Weight Status: A District-Wide Analysis

Breakfast consumption among youth is associated with improved diet quality, weight, cognition, and behavior. However, not all youth in the United States consume breakfast. Participation in the School Breakfast Program (SBP) is also low relative to the lunch program. Universal free breakfast (UFB) policies have been implemented to increase breakfast participation by reducing cost and stigma associated with the SBP. This study examined whether a UFB policy implemented in a school district in the Southeast US was associated with changes in breakfast participation, school attendance, and student weight. A longitudinal study of secondary data was conducted, and a mixed modeling approach was used to assess patterns of change in SBP participation. General linear models were used to assess attendance and student weight change. On average, across schools in the district, there was an increase in breakfast participation of 4.1 percentage points following the implementation of the policy. The change in breakfast participation in schools differed by the percent of students in the school who received school meals for free or at a reduced price, the percent of students of color, and the grade level of the school. Increases in SBP participation were not associated with significant changes in attendance or weight. UFB policies may be effective in increasing participation in the SBP

Medication safety in community pharmacy: a qualitative study of the sociotechnical context

<p>Abstract</p> <p>Background</p> <p>While much research has been conducted on medication safety, few of these studies have addressed primary care, despite the high volume of prescribing and dispensing of medicines that occurs in this setting. Those studies that have examined primary care dispensing emphasised the need to understand the role of sociotechnical factors (that is, the interactions between people, tasks, equipment and organisational structures) in promoting or preventing medication incidents. The aim of this study was to identify sociotechnical factors that community pharmacy staff encounter in practice, and suggest how these factors might impact on medication safety.</p> <p>Methods</p> <p>Sixty-seven practitioners, working in the North West of England, took part in ten focus groups on risk management in community pharmacy. The data obtained from these groups was subjected to a qualitative analysis to identify recurrent themes pertaining to sociotechnical aspects of medication safety.</p> <p>Results</p> <p>The findings indicated several characteristics of participants' work settings that were potentially related to medication safety. These were broadly classified as relationships involving the pharmacist, demands on the pharmacist and management and governance of pharmacists.</p> <p>Conclusion</p> <p>It is recommended that the issues raised in this study be considered in future work examining medication safety in primary care.</p

Parasitism as a Driver of Trophic Niche Specialisation.

The population trophic niche of free-living species can be subdivided into smaller niches comprising individuals specialising on specific food items. The roles of parasites in creating these specialised subgroups remain unclear. Intrapopulation differences in parasite infections can develop from specialist individuals within populations. Their differences in morphology and habitat can increase their exposure to intermediate hosts via infected prey, altering their parasite fauna. However, we also suggest that parasite infections can drive this niche specialisation. Through mechanisms including parasite manipulation, altered host phenotypes, and/ or parasite-mediated competition, parasites can alter the resource availability of their hosts, altering their trophic niches. Thus, trophic niche specialisations could result from parasitism via varying influences on host traits, raising questions for future research

Structure−Property Relationships for Two-Photon Absorbing Chromophores: Bis-Donor Diphenylpolyene and Bis(styryl)benzene Derivatives

The two-photon absorption properties of a series of bis dialkylamino- or diarylamino-substituted diphenylpolyenes and bis(styryl)benzenes have been investigated. Two-photon absorption cross sections, δ, as large as 1420 × 10^(-50) cm^4 s/photon-molecule have been observed for molecules with this general bis-donor structure. The effect of the type and length of the conjugated chain and of dialkylamino or diarylamino substitution on the position and magnitude of the peak two-photon absorptivity is reported. The transition dipole moments for the transitions between the ground state and the first excited singlet state (M_(ge)) and between the first and second excited singlet states (M_(ee‘)) have been estimated using experimental data from the one- and two-photon spectra. It was found that increases in chain length result mainly in an increase in M_(ge), whereas the addition of donor end groups or going from diphenylpolyene- to phenylene-vinylene-type bridges leads primarily to an increase in Mee‘. The trends in the energy of the lowest excited singlet states and in the transition moments for the diphenylpolyene series as a function of chain length are in agreement with those calculated by quantum mechanical methods. These results furnish a link between structural features in these classes of molecules and the electronic dipole couplings and state energies that control the strength of the two-photon absorption. In bis(aminophenyl)polyenes containing up to four double bonds (m) the lowest excited singlet state is a B_u state, as opposed to the case of simple polyenes and diphenylpolyenes, for which it is an A_g state for m > 2. The relationship of the state ordering in these systems with the observed values of the radiative and nonradiative decay rates is also discussed

Development and validation of the Diabetes Numeracy Test (DNT)

<p>Abstract</p> <p>Background</p> <p>Low literacy and numeracy skills are common. Adequate numeracy skills are crucial in the management of diabetes. Diabetes patients use numeracy skills to interpret glucose meters, administer medications, follow dietary guidelines and other tasks. Existing literacy scales may not be adequate to assess numeracy skills. This paper describes the development and psychometric properties of the Diabetes Numeracy Test (DNT), the first scale to specifically measure numeracy skills used in diabetes.</p> <p>Methods</p> <p>The items of the DNT were developed by an expert panel and refined using cognitive response interviews with potential respondents. The final version of the DNT (43 items) and other relevant measures were administered to a convenience sample of 398 patients with diabetes. Internal reliability was determined by the Kuder-Richardson coefficient (KR-20). An <it>a priori </it>hypothetical model was developed to determine construct validity. A shortened 15-item version, the DNT15, was created through split sample analysis.</p> <p>Results</p> <p>The DNT had excellent internal reliability (KR-20 = 0.95). The DNT was significantly correlated (p < 0.05) with education, income, literacy and math skills, and diabetes knowledge, supporting excellent construct validity. The mean score on the DNT was 61% and took an average of 33 minutes to complete. The DNT15 also had good internal reliability (KR-20 = 0.90 and 0.89). In split sample analysis, correlations of the DNT-15 with the full DNT in both sub-samples was high (rho = 0.96 and 0.97, respectively).</p> <p>Conclusion</p> <p>The DNT is a reliable and valid measure of diabetes related numeracy skills. An equally adequate but more time-efficient version of the DNT, the DNT15, can be used for research and clinical purposes to evaluate diabetes related numeracy.</p