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January 6, 2010

So you’ve decided to buy a car, minivan, SUV, or pickup.
Now the question is, which one? If you factor safety into your choice
(most people do), then you probably want to know, what’s the safest vehicle to buy? Safety has numerous aspects, so there’s no direct answer, although it’s clear that some vehicles are safer than others. You can find safer vehicles in various
price and style groups
Start by recognizing that safety involves AVOIDING CRASHES to begin with and then
PROTECTING YOU if and when a crash occurs.

CRASH AVOIDANCE
All vehicles have basic features to reduce crash likelihood — lights so other motorists can see you, brakes to stop, etc. New technology is being added to help
avoid crashes in the first place. These features alert you if you stray from your
lane or get too close to a car in front of you. Most of the new features haven’t been
scientifically evaluated yet, but some show promise and one already is proving effective:
ELECTRONIC STABILITY CONTROL.
You’ll find it by various trade names (StabiliTrak, Stability Assist, etc.), but the
systems are basically the same. They’re extensions of antilock brake technology that help drivers maintain control in the worst situation — loss of control at high speed. These systems engage automatically to help bring a vehicle back in the intended line of travel. Electronic stability control lowers the risk of a fatal
single-vehicle crash by about half. It lowers the risk of a fatal rollover crash by as much as 80 percent. To see if a vehicle you’re thinking of buying has electronic stability control,
go to iihs.org/ratings/esc/esc.aspx.

DON’T COUNT ON AVOIDING CRASHES.

Despite everyone’s best efforts, millions of crashes occur each year. Tens of thousands of them involve deaths. So the most important aspect of shopping for safety is to choose a crashworthy vehicle — one that reduces death and injury risk during a crash.

TOP SAFETY PICKS CRASHWORTHINESS
The first crashworthiness attributes to consider are vehicle size and weight. Small, light vehicles generally offer less protection than larger, heavier ones. There’s
less structure to absorb crash energy, so deaths and injuries are more likely to occur in both single- and multiplevehicle crashes. If safety is one of your major considerations PASS UP VERY SMALL, LIGHT VEHICLES. This doesn’t mean you have to buy the heaviest vehicle you can find. It wouldn’t necessarily be safer because those weighing more than about 4,500 pounds afford only small injury risk reductions.
At the same time, they increase the injury risk for people riding
in other vehicles with which they collide.

BIGGER GENERALLY IS SAFER
DRIVER DEATHS PER MILLION REGISTERED vehicles
Note: Rates are adjusted to account for some differences in driver age and sex within and between vehicle types. Remaining differences in vehicle use patterns and driver demographics may account for some of the death rate differences. While the risk of death generally is higher in smaller and lighter cars, SUVs, and pickups, vehicle size and weight don’t tell the whole story. There are safety differences among vehicles that are similar in size and weight. Some light car models,
for example, are safer than others. Some midweight SUVs
are safer than others. And so on. This is because some
models have MORE CRASHWORTHY DESIGNS than others. You can’t tell the difference by looking at the vehicles. You need to compare their crash test results.
Most popular vehicles have been tested, so buy one with GOOD CRASHWORTHINESS RATINGS in front, side, rollover, and rear-end crashes.

To find and compare safety ratings for hundreds of vehicles, go to iihs.org/ratings
AND safercar.gov

December 17, 2009

Filed under: deberard, drug recall, drug safety, falls, senior safety — admin @ 10:24 am

Many drugs can increase seniors’ risk of falling
www.PeoplesPharmacy.com

If you watch the evening news on television, you are likely to see commercials for osteoporosis drugs. Sally Field will tell you that Boniva builds strong, healthy bones to help prevent fractures.

Strong bones are desirable, but preventing fractures also means preventing falls. When you see a child or teenager in a cast, ask how that bone got broken. It was almost always broken in a fall.

Elderly people often fear falling, and justifiably so. Falls account for more than four-fifths of the injuries that result in hospitalization and two-fifths of nursing- home admissions.

The complications of falls are a leading cause of death among the elderly in industrialized countries. Can they be prevented?

For older people, avoiding drugs that increase the likelihood of falling may be just as important as taking drugs that can make bones stronger.

A met-analysis published in the Archives of Internal Medicine (Nov. 23, 2009) demonstrates that certain medications significantly increase the risk of falling among people older than 60.

Careful statistical analysis of 22 studies showed that sedatives and sleeping pills increased the risk of falls by almost 50 percent. Benzodiazepines are prescribed to ease anxiety and help people sleep.

They include medications such as Ativan (lorazepam), Dalmane (flurazepam), Halcion (triazolam), Klonopin (clonazepam), Librium (chlordiazepoxide), Restoril (temazepam), Valium (diazepam) and Xanax (alprazolam).

This type of medicine was associated with a 57 percent increased risk of falls.

Other drugs that put older people at risk of falling include antidepressants (68 percent), antipsychotic medications (59 percent) and, surprisingly, NSAIDs, aka nonsteroidal antiinflammatory drugs (21 percent).

NSAIDs include over-thecounter drugs like ibuprofen and naproxen, as well as popular prescriptions like diclofenac and meloxicam.

Such pain relievers are among the most commonly used medications for alleviating arthritis and other painful inflammation so common among the elderly.

Most providers focus on the stomach upset that is common with NSAIDs. Probably few are warning patients about the possibility that these drugs also could pose a risk of falling.

Some people experience drowsiness, dizziness, lightheadedness or vertigo when taking this kind of medicine.

People who care for older relatives must be especially vigilant about preventing falls. When an elderly person breaks a hip, it can change everybody’s life.

Reduced mobility and severe pain can lead to nursing-home admission. Serious complications, such as blood clots in the lungs, can even cause death.

For more information on drugs that can pose problems for seniors, we offer our Guide to Drugs and Older People.

Anyone who would like a copy, please send $2 in check or money order with a long (No. 10), stamped (61 cents), self-addressed envelope to: Graedons’ People’s Pharmacy, No. O-85, P.O. Box 52027, Durham, NC 277172027.

It also can be downloaded for $2 from our Web site: www.peoplespharmacy. com.

Physicians who prescribe bone-building drugs such as Actonel, Boniva and Fosamax also should be cautious about prescribing medications that might increase the risk of falls.

Write to Joe and Teresa Graedon in care of this newspaper or e-mail them via their Web site: www.PeoplesPharmacy.com.

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