DANIEL JOSEPH COX

..001). While this data is limited, lacking a non-diabetic control group and randomized sample, it does suggest that driving and adolescent type 1 diabetes deserve further attention and investigation...

..Specifically, methylphenidate improved safety in routine driving while reducing ADHD symptoms with minimal adverse effects...

..This study investigated whether a once-daily, long-acting, osmotic, controlled-release MPH formulation improves the driving performance of ADHD adolescents while driving their own car on an actual road segment...

..This study prospectively and objectively assessed the effects of hyperglycemia on cognitive-motor functioning in subjects' natural environment...

..These findings suggest that a structured, specialized psycho-educational treatment program (HAATT) can be highly effective in managing hypoglycemia...

..This study tests the hypotheses that manual transmission, compared to automatic transmission, would be associated with better attention and performance on a driving simulator...

..Studies have demonstrated that stimulants improve driving performance. This study compared 2 long-acting stimulant medications during daytime and evening driving evaluations...

..Prevention of severe hypoglycemia (SH) is premised partially on the ability to accurately anticipate its occurrence. This study prospectively tests methods for predicting SH using blood glucose meter readings...

..04), suggesting possible rebound. During both late simulator and on-road testing, driving performance variance was approximately 300% greater during the se-AMPH ER compared to the OROS MPH condition...

..Although outcome studies using BGAT are significant, limitations include the requirement of eight weekly meetings and limited professionals trained to deliver BGAT...

..This increased risk appears to be attributable to a subgroup of drivers with type 1 diabetes. The hypothesis tested is that this vulnerable subgroup is more at risk for hypoglycemia and its disruptive effects on driving...

..5 hours post-dose. However, little is known about the effects of different MPH delivery profiles on driving performance throughout the day...

..Conversely, symptoms caused by the stress of driving may be confused with hypoglycemia and lead to false alarms. This study examined the metabolic demand and the physiological stress of driving on type 1 diabetes mellitus (T1DM) drivers...

..To evaluate the clinical/research utility of the biopsycho-behavioral model of severe hypoglycemia in differentiating patients with and without a history of severe hypoglycemia and in predicting occurrence of future severe hypoglycemia...

..This study evaluated the blood glucose (BG) levels at which driving was impaired, impairment was detected, and corrective action was taken by subjects, along with the mechanisms underlying these three issues...

..Drivers with Type 1 Diabetes Mellitus (T1DM) who did and did not engage in self-treatment during experimental hypoglycemia driving are compared physiologically and psychologically...

..We present the first prospective data documenting the occurrence of apparent neuroglycopenia-related driving performance impairments...

..To validate a theoretical model of encopresis in terms of psychological factors that differentiates children with and without chronic encopresis and to identify scales that demonstrate these differences...

..This study investigated whether diabetes is associated with increased risk of driving mishaps and correlates of such a relationship...

..To investigate whether parental worry about their children's health predicts usage of a pediatric Internet intervention for encopresis...

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..To compare short- and long-term effectiveness of three additive treatment protocols in children experiencing chronic encopresis...

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..The Internet is a significant source of medical information and is now being shown to be an important conduit for delivering various health-related interventions...

..This finding suggests that the efficacy and tolerability of extended-release stimulant medications is equivalent for male and female adolescents with ADHD...

..In the present study, variability parameters were used to assess effects of exenatide and insulin glargine on risk of acute blood glucose extremes...

..To date, however, many of these interventions have not been grounded in theory or developed from behavior change models, and no overarching model to explain behavior change in Internet interventions has yet been published...

..0001). SMBG data allow for computing and frequent updating of various idiosyncratic diabetes characteristics and risk factors. The use of such computations may assist in optimizing patients' glycemic control...

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..Internet interventions may be an effective way of delivering sophisticated behavioral interventions to a large and dispersed population in a convenient format...

..As with any health care intervention, patients' lack of compliance is a barrier to the effectiveness of Web-based information prescriptions (WebIPs). WebIPs cannot be helpful if patients do not review the information prescribed for them...

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..SMBG data allow for accurate estimation of the two most important markers of metabolic control in T1DM and T2DM - HbA(1c) and risk for hypoglycemia...

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..With this study, we prospectively examined which treatments primary care physicians prescribe to children who present for the first time with constipation and how effective those treatments are...

..Mothers were significantly more discerning than children. CONCLUSION: The VECAT is a reliable, valid, discriminating, and sensitive test. Bowel-specific problems appear to best differentiate children with and without encopresis...

..These finding suggest that the simple and low-cost intervention of erecting signs to prompt safety belt use has persistent benefits that affect driver and passenger behavior alike...

..To investigate the feasibility of virtual reality driving simulation rehabilitation training (VRDSRT) with military personnel recovering from traumatic brain injury (TBI)...

..Parents should be counseled to be attentive to such experiences and taught to intervene quickly to lessen the risk that their child will develop persistent constipation or fecal soiling...

..These results suggest that Concerta impacts not only symptomatic behaviors but also cognitive functioning, which has implications for both academic performance and daily functioning...

..004), and this effect was not predicted by hunger ratings. CONCLUSIONS: Our data provide new evidence that during hypoglycemia, attention is directed selectively to food-relevant stimuli. The results are discussed in terms of adaptation...

..This study is intended to assist in identifying these high risk T1DM drivers and then to successfully rehabilitate them so that their risk of future driving mishaps is no greater than that of the general public. ..

..The additive design will evaluate the relative cost-effectiveness of the three treatment components and will provide additional information about the mechanisms and consequences of pediatric constipation and encopresis...

..We are proposing a one-year grant to complete this critical long term follow up study of HAATT, to analyze and write up our findings on the short term effects of HAATT and to formulate our long term research plans. ..

..Not only will this research represent the first prospective description and evaluation of PCP routine care, but it also represents the first experimental treatment outcome study of early childhood constipation encopresis. ..

..After 5 years we will have documented basic elements and dissemination patters of web-based pediatric behavior change programs generally, and, in particular Enhanced Toilet Training. ..

..Ultimately, this research may enhance driving safety for people with T1DM. ..

..An 18-month post-BGAT followup will provide a test of both short- and long-term effects of BGAT on ability to estimate BG, metabolic control and hypoglycemia-induced automobile accidents and hospitalizations...

..This study is intended to assist in identifying these high risk T1DM drivers and then to successfully rehabilitate them so that their risk of future driving mishaps is no greater than that of the general public. ..