scholarly journals Left Turns by Older Drivers With Vision Impairment: A Naturalistic Driving Study

2021 ◽  
Author(s):  
Thomas A Swain ◽  
Gerald McGwin ◽  
Jonathan F Antin ◽  
Joanne M Wood ◽  
Cynthia Owsley

Abstract Background and Objectives Older drivers are over-represented in collisions at intersections while making left turns across oncoming traffic. Using naturalistic driving methods, we evaluated the association between vision impairment and their left turn characteristics. Research Design and Methods In this prospective, observational study, vision impairment as defined by visual acuity, contrast sensitivity, visual processing speed, visual field sensitivity and motion perception was assessed in drivers ≥70 years old. Data acquisition systems were installed in their personal vehicles recording video and vehicle kinematics. Driving during everyday life was recorded for six months. Data analysts evaluated a temporal data window surrounding randomly selected left turns at four-way intersections. Left turn traversals and turning behavior were evaluated in terms of age-adjusted associations with vision impairment. Results The sample consisted of 151 older drivers. The number of turns studied was 473; 265 turns were rated as unsafe traversals, and 201 as problematic turning behavior. Drivers with slowed visual processing speed and visual field impairment were less likely to exhibit unsafe traversals (p< 0.05); those with worse contrast sensitivity, slowed visual processing speed, and visual field impairment were less likely to exhibit problematic turning behavior (p <0.05). Discussion and Implications Using naturalistic driving, our study suggests older drivers with vision impairment exhibit better performance in making left turns than those without deficits, which contradicts older driver studies on left turns using driving simulators and on-road driving evaluations. Our findings suggest more cautious and self-regulatory behavior which are consistent with older visually impaired drivers’ commonly expressed concerns about their driving difficulties. Translational Significance In contrast to previous older driver studies using driving simulators and on-road driving evaluations, our study suggests that in everyday life older visually-impaired drivers exercise caution in left-turn behavior across oncoming traffic as compared to those who are normally sighted.

2018 ◽  
Vol 49 (15) ◽  
pp. 2617-2625 ◽  
Author(s):  
Ann-Marie Low ◽  
Signe Vangkilde ◽  
Julijana le Sommer ◽  
Birgitte Fagerlund ◽  
Birte Glenthøj ◽  
...  

AbstractBackgroundAttention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder which frequently persists into adulthood. The primary goal of the current study was to (a) investigate attentional functions of stimulant medication-naïve adults with ADHD, and (b) investigate the effects of 6 weeks of methylphenidate treatment on these functions.MethodsThe study was a prospective, non-randomized, non-blinded, 6-week follow-up design with 42 stimulant medication-naïve adult patients with ADHD, and 42 age and parental education-matched healthy controls. Assessments included measures of visual attention, based on Bundesen's Theory of Visual Attention (TVA), which yields five precise measures of aspects of visual attention; general psychopathology; ADHD symptoms; dyslexia screening; and estimates of IQ.ResultsAt baseline, significant differences were found between patients and controls on three attentional parameters: visual short-term memory capacity, threshold of conscious perception, and to a lesser extent visual processing speed. Secondary analyses revealed no significant correlations between TVA parameter estimates and severity of ADHD symptomatology. At follow-up, significant improvements were found specifically for visual processing speed; this improvement had a large effect size, and remained when controlling for re-test effects, IQ, and dyslexia screen performance. There were no significant correlations between changes in visual processing speed and changes in ADHD symptomatology.ConclusionsADHD in adults may be associated with deficits in three distinct aspects of visual attention. Improvements after 6 weeks of medication are seen specifically in visual processing speed, which could represent an improvement in alertness. Clinical symptoms and visual attentional deficits may represent separate aspects of ADHD in adults.


2018 ◽  
Vol 70 ◽  
pp. 30-39 ◽  
Author(s):  
Marleen Haupt ◽  
Christian Sorg ◽  
Natan Napiórkowski ◽  
Kathrin Finke

Author(s):  
Elham Hassanshahi ◽  
Zahra Asadollahi ◽  
Hossein Azin ◽  
Jalal Hassanshahi ◽  
Amin Hassanshahi ◽  
...  

Multiple sclerosis (MS) is defined as an inflammatory, progressive, and autoimmune disease in the central nervous system, recognized by its subsequent demyelination and neurodegeneration. Cognitive disorders are among the most severe problems in patients with MS, affecting their personal and professional life. This study is aimed to evaluate memory and visual learning, visual processing speed, and spatial perception in MS patients based on age, gender, and level of education. This cross-sectional study was carried out on 42 MS patients (based on McDonald’s criteria). The level of disability in patients was assessed using EDSS, and cognitive performance was evaluated by the use of judgment of line orientation (JLO), symbol digit modalities test (SDMT), and revised brief visuospatial memory test (BVMT-R). In this study, patients were within the age range of 20-51 years, 73.8% of which were female, and 61.9% had academic degrees. According to the classes of independent variables (gender, education level), no significant difference was observed in the mean scores of dependent variables (JLO, SDMT, and BVMR-T scores) (P>0.05). In addition, age as a confounding variable had no impact (P>0.05). In addition, gender and level of education had no significant interaction (P>0.05). According to the results of the study, age, gender, and education level had no significant effect on memory and visual learning, visual processing speed, and spatial perception.


2007 ◽  
Vol 10 (6) ◽  
pp. 734-740 ◽  
Author(s):  
Christopher W. Robinson ◽  
Vladimir M. Sloutsky

2020 ◽  
Author(s):  
Svenja Küchenhoff ◽  
Christian Sorg ◽  
Sebastian Schneider ◽  
Oliver Kohl ◽  
Hermann J. Müller ◽  
...  

AbstractVisual information processing requires an efficient visual attention system. The neural theory of visual attention (TVA) proposes that visual processing speed depends on the coordinated activity between frontoparietal and occipital brain areas. Previous research has shown that the coordinated activity between (i.e., functional connectivity, ‘inter-FC’) cingulo-opercular (COn) and right-frontoparietal (RFPn) networks is linked to visual processing speed. However, evidence for how inter-FC of COn and RFPn with visual networks links to visual processing speed is still missing. Forty-eight healthy human adult participants (27 females) underwent resting-state (rs-)fMRI and performed a whole-report psychophysical task. To obtain inter-FC, we analyzed the entire frequency range available in our rs-fMRI data (i.e., 0.01-0.4 Hz) to avoid discarding neural information. Following previous approaches, we analyzed the data across frequency bins (Hz): Slow-5 (0.01-0.027), Slow-4 (0.027-0.073), Slow-3 (0.073-0.198), and Slow-2 (0.198-0.4). We used the mathematical TVA framework to estimate an individual, latent-level visual processing speed parameter. We found that visual processing speed was negatively associated with inter-FC between RFPn and visual networks in Slow-5 and Slow-2, with no corresponding significant association for inter-FC between COn and visual networks. These results provide first empirical evidence that links inter-FC between RFPn and visual networks with the visual processing speed parameter. These findings suggest a direct connectivity between occipital and right frontoparietal, but not frontoinsular, regions, to support visual processing speed.Significance statementAn efficient visual processing is at the core of visual cognition. Here, we provide evidence for a brain correlate of how fast individuals process visual stimuli. We used mathematical modeling of performance in a visual report task to estimate visual processing speed. A frequency-based analysis of resting-state fMRI signals revealed that functional connectivity between the right frontoparietal network and primary and dorsal occipital networks is linked to visual processing speed. This link was present in the slowest, typical frequency of the fMRI signal but also in the higher frequencies that are routinely discarded. These findings imply that the coordinated spontaneous activity between right frontoparietal and occipital regions supports the individual potential of the visual system for efficient processing.


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