Traffic injury prevention
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Traffic injury prevention · Jan 2015
Randomized Controlled TrialThe influence of drinking, texting, and eating on simulated driving performance.
Driving is a complex task and distractions such as using a mobile phone for the purpose of text messaging are known to have a significant impact on driving. Eating and drinking are common forms of distraction that have received less attention in relation to their impact on driving. The aim of this study was to further explore and compare the effects of a variety of distraction tasks (i.e., text messaging, eating, drinking) on simulated driving. ⋯ Distracting behaviors such as eating and texting while driving appear to negatively impact driving measures of lane position control and reaction time. These findings may have direct implications for motorists that engage in these types of distracting behaviors behind the wheel and for the safety of other road users.
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Vehicle change in velocity (delta-v) is a widely used crash severity metric used to estimate occupant injury risk. Despite its widespread use, delta-v has several limitations. Of most concern, delta-v is a vehicle-based metric which does not consider the crash pulse or the performance of occupant restraints, e.g. seatbelts and airbags. Such criticisms have prompted the search for alternative impact severity metrics based upon vehicle kinematics. The purpose of this study was to assess the ability of the occupant impact velocity (OIV), acceleration severity index (ASI), vehicle pulse index (VPI), and maximum delta-v (delta-v) to predict serious injury in real world crashes. ⋯ The broad findings of this study suggest it is feasible to improve injury prediction if we consider adding restraint performance to classic measures, e.g. delta-v. Applications, such as advanced automatic crash notification, should consider the use of different metrics for belted versus unbelted occupants.
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Traffic injury prevention · Jan 2015
Lumbar Bone Mineral Density Phantomless Computed Tomography Measurements and Correlation with Age and Fracture Incidence.
Low bone quality is a contributing factor to motor vehicle crash (MVC) injury. Quantification of occupant bone mineral density (BMD) is important from an injury causation standpoint. The first aim of this study was to validate a technique for measuring lumbar volumetric BMD (vBMD) from phantomless computed tomography (CT) scans. The second aim was to apply the validated phantomless technique to quantify lumbar vBMD in Crash Injury Research and Engineering Network (CIREN) occupants for correlation with age, fracture incidence, and osteopenia/osteoporosis diagnoses. ⋯ Because lumbar vBMD was estimated from phantomless CT scans with accuracy similar to qCT, the phantomless technique can be broadly applied to both prospectively and retrospectively assess patient bone quality for research and clinical studies related to MVCs, falls, and aging.
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Traffic injury prevention · Jan 2015
Finite element model prediction of pulmonary contusion in vehicle-to-vehicle simulations of real-world crashes.
Pulmonary contusion (PC) is a common chest injury following motor vehicle crash (MVC). Because this injury has an inflammatory component, studying PC in living subjects is essential. Medical and vehicle data from the Crash Injury Research and Engineering Network (CIREN) database were utilized to examine pulmonary contusion in case occupants with known crash parameters. ⋯ A preliminary threshold for maximum crush was calculated to predict a clinically significant volume of pulmonary contusion.
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Traffic injury prevention · Jan 2015
Comparative StudyEffectiveness of motorcycle antilock braking systems (ABS) in reducing crashes, the first cross-national study.
This study set out to evaluate the effectiveness of motorcycle antilock braking systems (ABS) in reducing real-life crashes. Since the European Parliament has voted on legislation making ABS mandatory on all new motorcycles over 125 cc from 2016, the fitment rate in Europe is likely to increase in the coming years. Though previous research has focused on mostly large displacement motorcycles, this study used police reports from Spain (2006-2009), Italy (2009), and Sweden (2003-2012) in order to analyze a wide range of motorcycles, including scooters, and compare countries with different motorcycling habits. ⋯ At this stage, there is more than sufficient scientific-based evidence to support the implementation of ABS on all motorcycles, even light ones. Further research should aim at understanding the injury mitigating effects of motorcycle ABS, possibly in combination with combined braking systems.