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https://www.readbyqxmd.com/read/29776783/epidemiology-of-pedestrian-motor-vehicle-fatalities-and-injuries-2006-2015
#1
Shu-Ling Chong, Li-Wei Chiang, John Carson Allen, Eric William Fleegler, Lois Kaye Lee
INTRODUCTION: Pedestrian road safety remains a public health priority. The objective of this study is to describe trends in fatalities and injuries after pedestrian-motor vehicle collisions in the U.S. and identify associated risk factors for pedestrian fatalities. METHODS: This is a cross-sectional study of U.S. pedestrian-motor vehicle collisions from 2006 to 2015 (performed in 2017). Pedestrian fatality and injury data were obtained from the National Highway Traffic Safety Administration's Fatality Analysis Reporting System and National Automotive Sampling System General Estimates System...
May 15, 2018: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/29776519/how-many-crashes-are-caused-by-driver-interaction-with-passengers-a-meta-analysis-approach
#2
Athanasios Theofilatos, Apostolos Ziakopoulos, Eleonora Papadimitriou, George Yannis
INTRODUCTION: Conversation and other interactions with passengers while driving induce a level of distraction to the person driving. METHOD: This paper conducts a qualitative literature review on the effect of passenger interaction on road safety and then extends it by using meta-analysis techniques. RESULTS: The literature review indicates that the distraction due to passengers is a very frequent risk factor, with detrimental effects to various driving behavior and safety measures (e...
June 2018: Journal of Safety Research
https://www.readbyqxmd.com/read/29748189/pacemaker-cybersecurity-local-experience-with-a-firmware-upgrade
#3
Adrian Baranchuk, Bryce Alexander, Debra Campbell, Sohaib Haseeb, Damian Redfearn, Chris Simpson, Ben Glover
In August 2016, Muddy Waters LLC released a short-sell report outlining potential cybersecurity vulnerabilities in several St. Jude Medical (now Abbott) pacemaker models following a demonstration of a "crash attack" and a "battery drain attack" by vulnerability research firm MedSec.1 The motivation behind the release of this report does not appear to have been focused on patient safety; rather than inform Abbott or the US Food and Drug Administration (FDA) directly, the information was released to the public sector...
May 10, 2018: Circulation
https://www.readbyqxmd.com/read/29715627/why-do-drivers-become-safer-over-the-first-three-months-of-driving-a-longitudinal-qualitative-study
#4
Marianne R Day, Andrew R Thompson, Damian R Poulter, Christopher B Stride, Richard Rowe
Drivers are at high crash risk when they begin independent driving, with liability decreasing steeply over the first three months. Their behavioural development, and other changes underlying improved safety are not well understood. We adopted an innovative longitudinal qualitative design, with thirteen newly qualified drivers completing a total of 36 semi-structured interviews, one, two and three months after acquiring a full UK driving license. The interviews probed high-risk factors for new drivers, as well as allowing space for generating novel road safety issues...
April 28, 2018: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/29706226/school-start-times-and-teenage-driver-motor-vehicle-crashes
#5
Robert D Foss, Richard L Smith, Natalie P O'Brien
INTRODUCTION: Shifting school start times to 8:30 am or later has been found to improve academic performance and reduce behavior problems. Limited research suggests this may also reduce adolescent driver motor vehicle crashes. A change in the school start time from 7:30 am to 8:45 am for all public high schools in one North Carolina county presented the opportunity to address this question with greater methodologic rigor. METHOD: We conducted ARIMA interrupted time-series analyses to examine motor vehicle crash rates of high school age drivers in the intervention county and 3 similar comparison counties with comparable urban-rural population distribution...
April 26, 2018: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/29702333/an-exploratory-study-of-long-haul-truck-drivers-secondary-tasks-and-reasons-for-performing-them
#6
Tobias Iseland, Emma Johansson, Siri Skoog, Anna M Dåderman
Research on drivers has shown how certain visual-manual secondary tasks, unrelated to driving, increase the risk of being involved in crashes. The purpose of the study was to investigate (1) if long-haul truck drivers in Sweden engage in secondary tasks while driving, what tasks are performed and how frequently, (2) the drivers' self-perceived reason/s for performing them, and (3) if psychological factors might reveal reasons for their engaging in secondary tasks. The study comprised 13 long-haul truck drivers and was conducted through observations, interviews, and questionnaires...
April 24, 2018: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/29689423/evaluating-the-effectiveness-of-behavior-based-safety-education-methods-for-commercial-vehicle-drivers
#7
Xuesong Wang, Yilun Xing, Lian Luo, Rongjie Yu
Risky driving behavior is one of the main causes of commercial vehicle related crashes. In order to achieve safer vehicle operation, safety education for drivers is often provided. However, the education programs vary in quality and may not always be successful in reducing crash rates. Behavior-Based Safety (BBS) education is a popular approach found effective by numerous studies, but even this approach varies as to the combination of frequency, mode and content used by different education providers. This study therefore evaluates and compares the effectiveness of BBS education methods...
April 21, 2018: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/29684736/effects-of-truck-traffic-on-crash-injury-severity-on-rural-highways-in-wyoming-using-bayesian-binary-logit-models
#8
Mohamed M Ahmed, Rebecca Franke, Khaled Ksaibati, Debbie S Shinstine
Roadway safety is an integral part of a functioning infrastructure. A major use of the highway system is the transport of goods. The United States has experienced constant growth in the amount of freight transported by truck in the last few years. Wyoming is experiencing a large increase in truck traffic on its local and county roads due to an increase in oil and gas production. This study explores the involvement of heavy trucks in crashes and their significance as a predictor of crash severity and addresses the effect that large truck traffic is having on the safety of roadways for various road classifications...
April 20, 2018: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/29683858/the-effect-of-booster-seat-use-on-pediatric-injuries-in-motor-vehicle-frontal-crashes
#9
Sean Caskey, Joshua Hammond, Jeffery Peck, Matthew Sardelli, Theresa Atkinson
BACKGROUND: Motor vehicle crashes are a significant source of pediatric mortality and morbidity. Studies indicate that booster seats significantly improve seat belt fit for children who have not attained a height of 145 cm (4' 9"). This study examined injuries occurring in booster age children up to age 12, as the majority of children do not attain 145 cm until this age. The purpose of the study was to identify differences in injuries due to the type of restraint used, with attention to musculoskeletal injuries...
April 20, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29677411/shift-in-drug-vs-alcohol-prevalence-in-milwaukee-county-motor-vehicle-decedents-2010-2016
#10
Kiran A Faryar Faryarka Ucmail Uc Edu, Sara A Kohlbeck, Sara J Schreiber
OBJECTIVE: The purpose of this study is to examine the prevalence of alcohol and nonalcohol drugs in motor vehicle crash (MVC) decedents in Milwaukee County, Wisconsin. METHODS: A retrospective review of MVC decedents in Milwaukee County from 2010 to 2016 was performed. Substances were divided into 5 categories based on chemical composition and clinical effects: alcohol, cocaine and its metabolite benzoylecgonine, opioids, cannabinoids, amphetamines and methamphetamines...
March 2018: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/29672873/space-time-analyses-of-alcohol-outlets-and-related-motor-vehicle-crashes-associations-at-city-and-census-block-group-levels
#11
Robert Lipton, William R Ponicki, Paul J Gruenewald, Andrew Gaidus
OBJECTIVES: Past research has linked alcohol outlet densities to drinking, drunken driving and alcohol-related motor vehicle crashes (MVCs). Because impaired drivers travel some distances from drinking places to crash locations, spatial relationships between outlets and crashes are complex. We investigate these relationships at three geographic levels: Census block groups (CBGs), adjacent (nearby) areas, and whole cities. METHODS: We examined risks for all injury MVCs as well as 'had been drinking' (HBD) and single-vehicle nighttime (SVN) subgroups using data from the Statewide Integrated Traffic Records System (SWITRS) across CBGs among 50 California cities from 2001 to 2008...
April 19, 2018: Alcoholism, Clinical and Experimental Research
https://www.readbyqxmd.com/read/29644298/use-of-idarucizumab-for-dabigatran-reversal-emergency-department-experience-in-two-cases-with-subdural-haematoma
#12
Gail Edwards, Cristina Roman, Rondhir Jithoo, Biswadev Mitra
Introduction: Idarucizumab is the first effective humanized monoclonal antibody fragment developed specifically as a reversal agent for dabigatran, a Direct Oral Anticoagulant. Despite recent trials demonstrating reversal of clinically relevant bleeding, there is a paucity of data on use outside the trial setting. This manuscript describes the use of Idarucizumab to reverse dabigatran in two patients presenting to the emergency department of a major tertiary hospital with acute traumatic subdural haematomas (SDH)...
February 2018: Trauma Case Reports
https://www.readbyqxmd.com/read/29627710/crash-sequence-based-risk-matrix-for-motorcycle-crashes
#13
Kun-Feng Wu, Lekshmi Sasidharan, Craig P Thor, Sheng-Yin Chen
Considerable research has been conducted related to motorcycle and other powered-two-wheeler (PTW) crashes; however, it always has been controversial among practitioners concerning with types of crashes should be first targeted and how to prioritize resources for the implementation of mitigating actions. Therefore, there is a need to identify types of motorcycle crashes that constitute the greatest safety risk to riders - most frequent and most severe crashes. This pilot study seeks exhibit the efficacy of a new approach for prioritizing PTW crash causation sequences as they relate to injury severity to better inform the application of mitigating countermeasures...
April 5, 2018: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/29603787/intraoperative-use-of-indocyanine-green-angiography-for-selecting-the-more-reliable-perforator-of-the-anterolateral-thigh-flap-a-comparison-study
#14
Simone La Padula, Barbara Hersant, Jean Paul Meningaud
INTRODUCTION: Anatomical variability of anterolateral thigh flap (ALT) perforators has been reported. The aim of this study is to assess if the use of intraoperative indocyanine green angiography (iICGA) can help surgeons to choose the ALT flap best perforator to be preserved. PATIENTS AND METHODS: A retrospective study was conducted in 28 patients with open tibial fracture, following a road traffic crash, who had undergone ALT flap. Patients were classified into two groups: ICGA group (iICGA was used to select the more reliable perforator) and control group...
March 30, 2018: Microsurgery
https://www.readbyqxmd.com/read/29590411/wartime-soft-tissue-coverage-techniques-for-the-deployed-surgeon
#15
Vilas Saldanha, Nathan Tiedeken, Brandon Godfrey, Nichole Ingalls
Background: Since the start of the conflict in the Middle East in 2001, military orthopedic surgeons have faced complex orthopedic injuries including high-energy soft tissue wounds, traumatic amputations, and open fractures. Although orthopedic surgeons are well trained in the management of osseous injuries, the treatment of soft tissue injuries can be technically challenging and unfamiliar. Early washout, debridement of devitalized tissue, external fixation of bony injuries, and antibiotic therapy remain the foundation of early wound management...
March 26, 2018: Military Medicine
https://www.readbyqxmd.com/read/29584508/understanding-fatal-older-road-user-crash-circumstances-and-risk-factors
#16
Sjaan Koppel, Lyndal Bugeja, Daisy Smith, Ashne Lamb, Jeremy Dwyer, Michael Fitzharris, Stuart Newstead, Angelo D'Elia, Judith Charlton
OBJECTIVE: This study used medicolegal data to investigate fatal older road user (ORU) crash circumstances and risk factors relating to four key components of the Safe System approach (e.g., roads and roadsides, vehicles, road users, and speeds) to identify areas of priority for targeted prevention activity. METHODS: The Coroners Court of Victoria's Surveillance Database was searched to identify coronial records with at least one deceased ORU in the state of Victoria, Australia, for 2013-2014...
February 28, 2018: Traffic Injury Prevention
https://www.readbyqxmd.com/read/29584502/an-insight-of-world-health-organization-who-accident-database-by-cluster-analysis-with-self-organizing-map-som
#17
Chinmoy Pal, Shigeru Hirayama, Sangolla Narahari, Manoharan Jeyabharath, Gopinath Prakash, Vimalathithan Kulothungan
OBJECTIVE: Road crashes are increasing every year in low- and middle-income countries compared to high-income countries, which show decreasing trends. One theory may be because of differences in enforcement of laws, vehicle safety, road standards, and many other factors. A detailed review was made of 5 death trends (total number of deaths/100,000 population and percentages of 4-wheeler, pedestrian, motorized 2/3-wheeler, bicyclist) and the underlying patterns in different countries and regions across the world...
February 28, 2018: Traffic Injury Prevention
https://www.readbyqxmd.com/read/29584497/initial-analysis-of-archived-non-human-primate-frontal-and-rear-impact-data-from-the-biodynamics-data-resource
#18
Ardyn V Olszko, Christine M Beltran, Kimberly B Vasquez, James S McGhee, Valeta C Chancey, Narayan Yoganandan, Frank A Pintar, Jamie L Baisden
OBJECTIVE: The research objective was to conduct an initial analysis of non-human primate (NHP) data from frontal and rear impact events archived in the Biodynamics Data Resource (BDR) records of the Naval Biodynamics Laboratory (NBDL). These rare data, collected between 1973 and 1989, will inform the safety community of upper-end tolerance limits of NHP and may be related to severe crash scenarios. METHODS: Data from frontal and rear acceleration tests to 93 macaque NHP were examined...
February 28, 2018: Traffic Injury Prevention
https://www.readbyqxmd.com/read/29584494/frontal-and-oblique-crash-tests-of-hiii-6-year-old-child-atd-using-real-world-observed-child-passenger-postures
#19
Katarina Bohman, Kristy B Arbogast, Helen Loeb, Judith L Charlton, Sjaan Koppel, Suzanne L Cross
OBJECTIVE: The aim of this study was to evaluate the consequences of frontal and oblique crashes when positioning a Hybrid III (HIII) 6-year-old child anthropometric test device (ATD) using observed child passenger postures from a naturalistic driving study (NDS). METHODS: Five positions for booster-seated children aged 4-7 years were selected, including one reference position according to the FMVSS 213 ATD seating protocol and 4 based on real-world observed child passenger postures from an NDS including 2 user positions with forward tilting torso and 2 that combined both forward and lateral inboard tilting of the torso...
February 28, 2018: Traffic Injury Prevention
https://www.readbyqxmd.com/read/29584491/active-muscle-response-contributes-to-increased-injury-risk-of-lower-extremity-in-occupant-knee-airbag-interaction
#20
Bingbing Nie, Deepak Sathyanarayan, Xin Ye, Jeff R Crandall, Matthew B Panzer
OBJECTIVE: Recent field data analysis has demonstrated that knee airbags (KABs) can reduce occupant femur and pelvis injuries but may be insufficient to decrease leg injuries in motor vehicle crashes. An enhanced understanding of the associated injury mechanisms requires accurate assessment of physiological-based occupant parameters, some of which are difficult or impossible to obtain from experiments. This study sought to explore how active muscle response can influence the injury risk of lower extremities during KAB deployment using computational biomechanical analysis...
February 28, 2018: Traffic Injury Prevention
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