Driving is a complex task that requires effective neural processing and coordination, which degrade with aging. Previous studies suggest that age-related changes in cognitive and motor functions can influence driving performance. Herein, we investigated age-related differences and differences between reactive and proactive driving in blink behavior-related potentials, and source-level functional connectivity. Seventy-six subjects participated in two experiments with reactive (19 young, 28 older) and proactive (16 young, 13 older) driving scenarios, consisting of a lane-keeping task with either varying levels of crosswind or curve road, respectively. While blink rate analysis revealed no significant age or driving condition effects, blink duration was notably longer in younger participants. Also, significant age effects were observed in blink-related potentials, mainly in the frontal N2 and occipital P0 and P2 components, with higher amplitudes in younger participants, signifying more efficient neural processing. The parietal N2 component showed significant age and interaction effects, with older individuals showing higher amplitudes in reactive conditions, potentially due to increased cognitive effort and attentional demands. Furthermore, functional connectivity analysis revealed that aging most significantly affects the visual network in the beta band. More specifically, younger participants showed an increase in the clustering coefficient and degrees of the networks, reflecting more robust neural network integration. This pattern of higher connectivity measures in younger participants was also observed in the default mode, control, and limbic networks. Conversely, the dorsal attention network in the theta band showed an increased degree and clustering coefficient in older adults, which could indicate a compensatory mechanism for maintaining cognitive demands. This study highlights the impact of aging on neural activity and connectivity characteristics during driving and emphasizes the requirement of age-tailored interventions, aimed to improve driving safety.
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http://dx.doi.org/10.1016/j.heliyon.2024.e41164 | DOI Listing |
J Psychoactive Drugs
January 2025
Center for Critical Public Health, The Institute for Scientific Analysis, Alameda, CA, USA.
This mixed-methods study investigated the role of medicinal cannabis use among younger adults who live in rural communities and experience high levels of cumulative social disadvantage (CSD). Results are based on cross-sectional surveys and online interviews with 153 younger adults (18-35-years old) in rural California. We assessed participants' levels of CSD (high, medium, and low) and examined associations with perceived general physical and mental health and with medicinal use of cannabis (MUC).
View Article and Find Full Text PDFStudy Question: Do recent changes in European Society of Human Reproduction and Embryology (ESHRE) clinical guidelines result in more comprehensive diagnosis of women with endometriosis?
Summary Answer: The latest shift in clinical guidelines results in diagnosis of more women with endometriosis but current ESHRE diagnostic criteria do not capture a sizable percentage of women with the disease.
What Is Known Already: Historically, laparoscopy was the gold standard for diagnosing endometriosis, a complex gynecological condition marked by a heterogeneous set of symptoms that vary widely among women. More recently, changes in clinical guidelines have shifted to incorporate imaging-based approaches such as transvaginal sonography and magnetic resonance imaging.
Background: Multiple sclerosis (MS) is a chronic autoimmune disease damaging the central nervous system. Diminished inflammatory disease activity (DA) as people with MS (pwMS) age motivated randomized clinical trials assessing disease-modifying therapy (DMT) discontinuation in older pwMS given the concern for risks outweighing benefits. This study aims to examine whether peripheral production of Myelin Basic Protein (MBP)-driven cytokine responses mediate the aging-associated decline in MS inflammatory DA.
View Article and Find Full Text PDFBackground: The long-term impact of opioid use disorder (OUD) on brain health has been little explored although of potentially high public health importance.
Objectives: To investigate the potential causal impact of OUD on later life brain health outcomes, including dementia, stroke and brain structure.
Methods: Observational and Mendelian randomization (MR) analyses were conducted.
Trials
January 2025
Department of Community and Behavioral Health, Colorado School of Public Health, Denver, CO, USA.
Background: Disparities in sexually transmitted infections (STI) including human immunodeficiency virus (HIV) among sexual minority boys and young men are substantial. Effective HIV and STI prevention programs that include access to pre-exposure prophylaxis (PrEP) medication do not consistently include younger sexual minority men. Text-messaging programs for HIV prevention have been associated with increases in HIV testing among sexual minority adolescent boys, but these programs have not incorporated a focus on PrEP or STIs beyond HIV.
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