Short report: correlates of functional disability with disease activity in elderly patients with rheumatoid arthritis

Rheumatoid arthritis (RA) prevalence increases with age and old people are special patient population. The recognition of functional disability related to RA could be challenging in elderly patients because aging itself and potential co-morbid disease may also cause functional disability. In this study, we aimed to look at the correlation between disease activity and functional disability in elderly RA patients. Elderly RA patients, ≥65 years old at their routine visits were included in the study. The composite ‘disease activity score’ in 28 joints (DAS-28) was used to determine disease activity groups. Health assessment questionnaire (HAQ) scores were calculated to describe the functional disability and compared across the disease activity groups. Two hundred and fifty-eight RA patients with the mean age of 71 ± 5 (65–90) and a total disease duration of 8.4 ± 8.5 (.5–50) years were recruited. The proportion of patients with high and moderate disease activity was 70%. HAQ scores were significantly correlated with disease activity (p < .05). Functional disability estimated by HAQ was correlated with disease activity in elderly patients with RA     

Representing time in language and memory: The role of similarity structure

Every day we read about or watch events in the world and can easily understand or remember how long they last. What aspects of an event are retained in memory? And how do we extract temporal information from our memory representations? These issues are central to human cognition, as they underlie a fundamental aspect of our mental life, namely our representation of time. This paper reviews previous language studies and reports a visual learning study indicating that properties of the events encoded in memory shape the representation of their duration. The evidence indicates that for a given event, the extent to which its associated properties or sub-components differ from one another modulates our representation of its duration. These properties include the similarity between sub-events and the similarity between the situational contexts in which an event occurs. We suggest that the diversity of representations that we associate with events in memory plays an important role in remembering and estimating the duration of experienced or described events.     

Correspondence between resident- and staff-report on the QABF: Do justice-involved youth agree with residential staff?

Residents in juvenile residential treatment facilities (JRTFs) often display various emotional, behavioral, and educational needs. Researchers have recently developed behavioral interventions to increase residents' appropriate behavior such as cooperation with facility staff instructions, accepting feedback from facility staff, and tolerating unpleasant events. However, there is not a generally accepted tool for assessing the operant function of residents' problem behavior in JRTFs. For various logistical reasons, indirect functional assessments may be more appropriate in a JRTF than manipulating either antecedent or consequent events. This study obtained scores on the Questions About Behavior Function (QABF) assessment for 17 residents from two dormitory staff members for each resident. To increase the number of respondents, each resident completed a QABF for their own behavior. Results revealed moderate to high correspondence (i.e., agreement) for highest and lowest potential operant function of problem behavior between combinations of JRTF staff and residents. These preliminary findings suggest additional research with the QABF in JRTFs is warranted.     

Assessing the potential impacts of connected vehicle systems on Driver’s situation awareness and driving performance

Vehicles equipped with connected vehicle technologies are able to communicate with each other and with infrastructures. Compared to Advanced Driving Assistance Systems (ADAS) using camera systems and sensor technologies, the Connected Vehicle Systems (CVS) leverage the wireless communication networks to detect hazards with a greater range, alert drivers of hazards much earlier, and therefore enhance driving safety. However, drivers’ reliance on the CVS to detect critical situations could negatively affect them maintaining situation awareness (SA) in noncritical situations when no warning is issued by the CVS. The present study conducted a driving simulator experiment with 40 participants to investigate the effect of connected vehicle systems on driver SA in normal, noncritical driving scenarios after they were exposed to the CVS with different designs of collision warning lead time (3 s, 6 s, and no warnings). After drivers experienced the CVS-supported warnings with the assigned design of lead time in critical situations, driver SA was measured in normal driving conditions using the freeze probe technique. Results revealed that drivers who experienced the CVS with early warnings (6 s) showed lower SA for normal driving events compared to those who experienced the CVS with late warnings (3 s) or no warnings. Although early warnings of CVS brought more safety benefits to drivers in critical situations, the degraded driver SA due to drivers’ reliance on such warning systems could endanger drivers when a system failure occurred. These findings highlight the importance of balancing the effects of warning lead time on driver SA and driving performance in designing connected vehicle systems.