Traffic injury prevention
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Traffic injury prevention · Jan 2014
Spinal fracture-dislocations and spinal cord injuries in motor vehicle crashes.
This study estimated the annual count of spinal cord injuries (SCIs) in motor vehicles crashes by type and seat belt use using 18 years of NASS-CDS data. It determined the rate for SCI and fracture-dislocation of the spine. ⋯ Spinal cord injury occurred in one out of 1,860 front seat occupants in tow-away crashes. The rate was highest in rollover crashes and was reduced by seat belt use. Fracture-dislocation of the spine occurred about 5.3 times more often than SCIs and was also prevented by seat belt use.
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Traffic injury prevention · Jan 2014
Characterization of vertebral angle and torso depth by gender and age groups with a focus on occupant safety.
The human body changes as it becomes older. The automotive safety community has been interested in understanding the effect of age on restraint performance. Focus has been placed on characterizing the body's structural changes associated with age and gender. In this study, spine alignment and torso depth were assessed, because both variables have been shown to affect injury risk. ⋯ The changes in the vertebral angles, as well as the anterior and posterior spine-to-skin distances along the sagittal plane, were determined as a function of age and gender. The effect was greatest in the mid-thoracic area. Spine alignment and body shape differences need to be considered in human mathematical models used to develop safety countermeasures for the older population, because they may affect the loading path and lead to different seating postures or belt positioning. Supplemental materials are available for this article. Go to the publisher's online edition of Traffic Injury Prevention to view the supplemental file.
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Traffic injury prevention · Jan 2014
Randomized Controlled TrialMild to moderate dehydration combined with moderate alcohol consumption has no influence on simulated driving performance.
Many people consume alcoholic beverages following a period of physical activity that results in fluid loss through sweating (e.g., after sports, work). Adequate rehydration following physical activity may not occur, consequently resulting in the consumption of alcohol in a dehydrated state. This may have serious implications for the safety of individuals operating motor vehicles. Therefore, this study investigated the impact of mild-moderate dehydration in combination with moderate alcohol consumption on simulated driving performance. ⋯ Overall, it appears that dehydration does not exacerbate impairment in driving performance caused by mild-moderate alcohol intoxication. Further research is required to clarify the effects of alcohol and dehydration at various alcohol doses.
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Traffic injury prevention · Jan 2014
Road safety from the perspective of driver gender and age as related to the injury crash frequency and road scenario.
The objective of this research is to develop safety performance functions (SPFs) on 2-lane rural roads to predict the number of injury crashes per year per 10(8) vehicles/km on the road segment using a study on the influence of the human factors (gender, age, number of drivers) and road scenario (combination of infrastructure and environmental conditions found at the site at the time of the crash) on the effects of a crash by varying the dynamic. Countermeasures are suggested to reduce the injury crash rate and include different awareness campaigns and structural measures on the segments of road. ⋯ According to the current study, based on the network approach for the allocation of economic resources and planning of road safety strategies, calibration of injury crash rate prediction models for specific target collision type is important because of the range of harms that are caused by different collision types. From these studies it is apparent that the age and gender of drivers considered together further refines how those factors contribute to crashes. Countermeasures (structural road interventions and/or safety awareness campaigns) can be planned to reduce the highest rate of injury crash for each gender and road scenario: the awareness campaigns cannot be generalized or vague but must be organized by age and gender, because this study shows that crash dynamics alter as these factors change, with consideration for the varying psychological traits of the driver groups. Before-and-after safety evaluations can be used to check the safety benefits of improvements carried out on the roadways, within budget constraints for improvement or safety compliance investments for future operation. Supplemental materials are available for this article. Go to the publisher's online edition of Traffic Injury Prevention to view the supplemental file.
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Traffic injury prevention · Jan 2014
Comparative StudyEstimating rear-end accident probabilities at signalized intersections: a comparison study of intersections with and without green signal countdown devices.
Rear-end accidents are the most common accident type at signalized intersections, because the diversity of actions taken increases due to signal change. Green signal countdown devices (GSCDs), which have been widely installed in Asia, are thought to have the potential of improving capacity and reducing accidents, but some negative effects on intersection safety have been observed in practice; for example, an increase in rear-end accidents. ⋯ GSCDs helped shorten indecision zones and reduce rear-end collisions near the stop line during the yellow interval, but they easily resulted in risky car following behavior and much higher rear-end collision probabilities at indecision zones during both flashing green and yellow intervals. GSCDs are recommended to be cautiously installed and education on safe driving behavior should be available.