scholarly journals A Study on the Acceptability of the Elderly Driver according to the Assistant Method

2020 ◽  
Vol 4 (5) ◽  
Author(s):  
Shun’ichi Doi

According to traffic accident reports, many of the accidents that occur at intersections are caused by elderly drivers, and development of an assistant system that can prevent non-stopping accidents (i.e., accidents that occur by not stopping when required) is currently a pressing need. To develop an anti-stopping alert, it has been assumed that an alarm that informs the driver about the impending approach of an intersection is effective. However, a uniform alarm system cannot be expected to influence the individual differences among elderly drivers. Then, audio-visual assistance systems that consist of a nudge that informs drivers about the existence of an intersection and of an approach alarm that follows the nudge, as well as of a display and a warning with sound and voice, were designed based on the timing when braking occurs and on a given elderly driver's braking behavior when approaching an intersection. In this research, considering an elderly driver's cognition, judgment capability, and individual driving abilities, and while investigating individual elderly drivers’ vision capabilities and judgment functions, a questionnaire survey on the posture and concerns about driving was conducted in advance. Subsequently, using the driving simulator of a city road, the driving behavior of an elderly driver from braking behavior to stopping performance was observed; furthermore, driving behavioral changes following the proposed driving assistance alarm were analyzed. The result of our analysis demonstrated that elderly drivers differed in their response to the assistance alarm according to their cognition and judgment capabilities, their experience, and driving style. The proposed system’s effectiveness was apparent when the alarm was adapted to each individual’s capabilities.

2020 ◽  
Author(s):  
Deokju Kim

Abstract Background: The purpose of the present study was to present evidence for driving interventions for the elderly by conducting programs that can improve visual perception and cognitive function in a driving simulator for elderly drivers and analyse their effects.Methods: Three elderly subjects who were 65 years or older, did not have physical and cognitive impairments, and were able to drive themselves participated in the present study. A total of 12 intervention sessions, of which subjects participated in 10 sessions of nine different visual perception and cognitive function programs available in a driving simulator, were conducted and pre- and post-program assessments were conducted (two assessments in total). The assessments included the evaluation of visual perception, frontal lobe function, concentration, safe driving behaviour, and self-efficacy.Results: The results showed positive effects of the driving simulator program on the visual perception, frontal lobe function, concentration, safe driving behaviour, and self-efficacy of all subjects. Changes in the simulator results showed remarkable improvement in the response evaluation, judgment evaluation, and predictive power evaluation, but showed difficulties in interference tasks and depth perception in common.Conclusions: The results showed positive effects of driving simulator training on the driving ability of the elderly, and consistent provision of such training is expected to improve the quality of life of the elderly by securing the safety of driving and actively supporting social participation.


Geriatrics ◽  
2020 ◽  
Vol 5 (4) ◽  
pp. 80
Author(s):  
Michael Falkenstein ◽  
Melanie Karthaus ◽  
Ute Brüne-Cohrs

Due to demographic changes, the number of older drivers is steadily increasing. Mobility is highly relevant for leading an independent life in the elderly. It largely depends on car driving, which is a complex task requiring a multitude of cognitive and motor skills vulnerable to age- related functional deterioration. The almost inevitable effects of senescence may be potentiated by age-related diseases, such as stroke or diabetes mellitus. Respective pharmacological treatment may cause side effects, additionally affecting driving safety. The present article reviews the impact of age-related diseases and drug treatment of these conditions on driving fitness in elderly drivers. In essence, we focus on diseases of the visual and auditory systems, diseases of the central nervous system (i.e., stroke, depression, dementia and mild cognitive disorder, and Parkinson’s disease), sleep disorders, as well as cardiovascular diseases, diabetes mellitus, musculoskeletal disorders, and frailty. We will outline the role of functional tests and the assessment of driving behavior (by a driving simulator or in real traffic), as well as the clinical interview including questions about frequency of (near) accidents, etc. in the evaluation of driving fitness of the elderly. We also address the impact of polypharmacy on driving fitness and end up with recommendations for physicians caring for older patients.


Author(s):  
Emmanuel Kidando ◽  
Ren Moses ◽  
Yassir Abdelrazig ◽  
Eren Erman

The main goal of this research was to evaluate how travel time reliability (TTR) might be associated with crashes involving elderly drivers, defined as those age 65 and above. Several TTR metrics were used to estimate their influence on elderly crash frequency and severity of the crash on freeways and arterial highways. The results suggest that TTR is statistically significant in affecting both elderly crash frequency and the severity of a crash involving an elderly driver. In particular, the analysis of risk ratios illustrates that a one-unit increase in the probability of congestion reduces the likelihood of the elderly severe crash by 22%.


Author(s):  
Sneha Chityala ◽  
John O. Sobanjo ◽  
Eren Erman Ozguven ◽  
Thobias Sando ◽  
Richard Twumasi-Boakye

Freeway merge ramps serve as one of the most challenging areas in traffic operations. This paper primarily focuses on creating a mixed traffic of conventional and connected/autonomous vehicles (CAVs) on freeways, and capturing driver behaviors both for the merging vehicle on the ramp and the freeway vehicles. The mixed distribution of vehicle headways of the freeway vehicles, developed based on various market penetration rates of the CAVs, was used to randomly generate vehicles through Monte Carlo simulation, and assigned as headways in a driving simulator. Based on perception, young drivers on the merge ramp were observed to choose critical headway gaps of 2.9 s, 1.8 s, and 1.7 s for freeway traffic of 0%, 50%, 75% penetration rates, respectively. For similar CAV penetration rates, the critical gaps observed for elderly drivers were 3.5 s, 2.0 s, and 1.9 s, respectively. When actually driving in the simulator, for the scenarios of 0% CAVs and 50% CAVs on the freeway, the values of average headway gaps accepted by young drivers were estimated as 2.36 s and 1.53 s, respectively. For the elderly drivers driving the simulator, the average headway gap values accepted were estimated as 2.72 s and 1.55 s, respectively, in the 0% and 50% penetration rates on the freeway traffic. Analyses of the speed profiles of the vehicles showed the effects of the acceleration/deceleration of merging vehicles, for both young and older drivers, on the freeway vehicles, including a few cases of collision. Overall, it was observed that the subject drivers accepted shorter headway gaps for increased CAV penetration levels.


Author(s):  
Lishengsa Yue ◽  
Mohamed Abdel-Aty ◽  
Jaeyoung Lee ◽  
Ahmed Farid

The main objective of this study is to quantify the safety impacts of signalization at Florida’s rural three-leg and four-leg stop-controlled intersections by estimating crash modification factors. The intersections are those in which stop signs are provided for the minor approaches or all-way stop-controlled intersections. The crash modification factors (CMF) are estimated using the cross-sectional method. Generalized linear models (GLM) and multivariate adaptive regression spline models (MARS) are employed with four years of Florida crash data. The K-nearest neighbor (KNN) and K-means clustering algorithms are implemented to identify the comparison sites which are sites having similar characteristics as those of the converted intersections. Furthermore, the quasi-induced exposure method is used to evaluate separately the safety effects of signalization for elderly and non-elderly drivers. According to the results, signalization contributes to an increase in property damage only (PDO) and rear-end crashes. In addition, elderly drivers are more at risk of being involved in such crashes than non-elderly drivers. In particular, at rural four-leg two-way stop-controlled intersections, signalization decreases crash severity, and a greater percentage of the decrease is observed for the elderly drivers than non-elderly especially when the intersection has a high level of major-road average annual daily traffic (AADT) and elderly driver proportion. This study also demonstrates that the MARS model shows a better model fit than the GLM model due to its strength in capturing nonlinear relationships and interaction effects among variables. This study’s findings have implications for both practitioners and researchers.


2006 ◽  
Vol 19 (1) ◽  
pp. 45-51 ◽  
Author(s):  
Myriam Juda ◽  
Mirjam Münch ◽  
Anna Wirz-Justice ◽  
Martha Merrow ◽  
Till Roenneberg

Abstract: Among many other changes, older age is characterized by advanced sleep-wake cycles, changes in the amplitude of various circadian rhythms, as well as reduced entrainment to zeitgebers. These features reveal themselves through early morning awakenings, sleep difficulties at night, and a re-emergence of daytime napping. This review summarizes the observations concerning the biological clock and sleep in the elderly and discusses the documented and theoretical considerations behind these age-related behavioral changes, especially with respect to circadian biology.


Author(s):  
Andri Setyorini ◽  
Niken Setyaningrum

Background: Elderly is the final stage of the human life cycle, that is part of the inevitable life process and will be experienced by every individual. At this stage the individual undergoes many changes both physically and mentally, especially setbacks in various functions and abilities he once had. Preliminary study in Social House Tresna Wreda Yogyakarta Budhi Luhur Units there are 16 elderly who experience physical immobilization. In the social house has done various activities for the elderly are still active, but the elderly who experienced muscle weakness is not able to follow the exercise, so it needs to do ROM (Range Of Motion) exercise.   Objective: The general purpose of this research is to know the effect of Range Of Motion (ROM) Active Assitif training to increase the range of motion of joints in elderly who experience physical immobility at Social House of Tresna Werdha Yogyakarta unit Budhi Luhur.   Methode: This study was included in the type of pre-experiment, using the One Group Pretest Posttest design in which the range of motion of the joints before (pretest) and posttest (ROM) was performed  ROM. Subjects in this study were all elderly with impaired physical mobility in Social House Tresna Wreda Yogyakarta Unit Budhi Luhur a number of 14 elderly people. Data analysis in this research use paired sample t-test statistic  Result: The result of this research shows that there is influence of ROM (Range of Motion) Active training to increase of range of motion of joints in elderly who experience physical immobility at Social House Tresna Wredha Yogyakarta Unit Budhi Luhur.  Conclusion: There is influence of ROM (Range of Motion) Active training to increase of range of motion of joints in elderly who experience physical immobility at Social House Tresna Wredha Yogyakarta Unit Budhi Luhur.


2018 ◽  
Vol 69 (8) ◽  
pp. 2306-2310
Author(s):  
Aureliana Caraiane ◽  
Razvan Leata ◽  
Veronica Toba ◽  
Doina Vesa ◽  
Luana Andreea Macovei ◽  
...  

The progress made in dentistry during the latest decades is due, conceptually, to the new, systemic vision of man, which has also taken place in this field of medicine. In this context, the link between organic and psychic is indestructible. Thus illness is understood as a drama in which the somatic process has a psychic value, and the mental one has a body value. It is known that the morphological and functional integrity of the dental system, health and vigorousness, gives the individual a state of well-being that affects his somatic and psychic health, as any disturbance at this level entails repercussions in psychological and social behavior. Such a disruption is the total edification that seriously alters not only the dental system but the whole organism, putting various biological and psychosocial problems to the practitioner. The total expression represents not only a physical disability but also a psychological one. A special importance in studying psychological changes at total edentulous presents the psychological aspects of senile involution. This is not only a theoretical but also a practical importance due to the increase in the number of elderly people. Through the researches of the present paper we intend to present the reality of the psychological manifestations in the total edentation, which is objectified on different methods of psychodiagnosis in the first part, in order for the second part to be addressed to problems of prosthetic psychotherapy.The study comprises a group of 43 patients, of whom 24 were men and 19 women with total uni or bimaxilar edentation. Total edentation can be and is responsible for somatopsychic alterations, along with other pathogens, general, local, social, which sometimes can take a dramatic form, converting, where the area is also favorable, a pure somatic disease, for those who are not in psychopathy or even psychosis, although these latter cases are extremely rare and especially in youngsters, which would disrupt not only the person�s behavior as an individual, but also their status, function and social integrity. The treatment of dental and psychological complex is mandatory for any patient, but especially for the elderly, where recovery is more difficult, with disease-specific disorders adding to those of senescence.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Katarzyna Klasa ◽  
Stephanie Galaitsi ◽  
Andrew Wister ◽  
Igor Linkov

AbstractThe care needs for aging adults are increasing burdens on health systems around the world. Efforts minimizing risk to improve quality of life and aging have proven moderately successful, but acute shocks and chronic stressors to an individual’s systemic physical and cognitive functions may accelerate their inevitable degradations. A framework for resilience to the challenges associated with aging is required to complement on-going risk reduction policies, programs and interventions. Studies measuring resilience among the elderly at the individual level have not produced a standard methodology. Moreover, resilience measurements need to incorporate external structural and system-level factors that determine the resources that adults can access while recovering from aging-related adversities. We use the National Academies of Science conceptualization of resilience for natural disasters to frame resilience for aging adults. This enables development of a generalized theory of resilience for different individual and structural contexts and populations, including a specific application to the COVID-19 pandemic.


Author(s):  
Yan Wang ◽  
Feng Hao ◽  
Yunxia Liu

Population change and environmental degradation have become two of the most pressing issues for sustainable development in the contemporary world, while the effect of population aging on pro-environmental behavior remains controversial. In this paper, we examine the effects of individual and population aging on pro-environmental behavior through multilevel analyses of cross-national data from 31 countries. Hierarchical linear models with random intercepts are employed to analyze the data. The findings reveal a positive relationship between aging and pro-environmental behavior. At the individual level, older people are more likely to participate in environmental behavior (b = 0.052, p < 0.001), and at the national level, living in a country with a greater share of older persons encourages individuals to behave sustainably (b = 0.023, p < 0.01). We also found that the elderly are more environmentally active in an aging society. The findings imply that the longevity of human beings may offer opportunities for the improvement of the natural environment.


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