Objective: U.S. pedestrian fatalities increased by 25% between 2010 and 2015. Risk factors include distractions, the built environment, urbanization, economic variables, and weather conditions. Of interest is the role of alcohol and drugs in premature death among pedestrians. This study sought to explore the prevalence of substance use screenings among pedestrian fatalities in the United States between 2014 and 2016.
Methods: Data were collected from the Fatality Analysis Reporting System provided by the NHTSA. Pedestrian crash variables included demographics as well as information regarding alcohol or drug testing status. Frequency and cross-tabulation tables were constructed to assess the prevalence of screening by person, place, and time. Log-linear analyses were completed to explore age, race, and sex differences. A 3-year examination period was used to control for yearly fluctuations and to incorporate an increasing trend in cases.
Results: Pedestrian fatalities accounted for 84% of all deaths among vulnerable road users during the examination period. Those most at risk were white males between the ages of 45 and 64. Over all states, 74.7% of fatalities were tested for alcohol and 67.1% were tested for drugs; further, 66.5% of cases were tested for both alcohol and drugs and 24.8% were tested for neither substance. Cases screened for both alcohol and drugs ranged from 2.9% in North Carolina to 95.7% in Nevada and those testing for neither substance ranged from a high of 68.9% in Indiana to a low of 1.1% in Maryland. Log-linear regression revealed significant differences in alcohol screening by age and race but not by sex. Differences in drug screening were not identified for any demographic variable. Fatalities tested for alcohol were significantly more likely to be tested for drugs; only 8.2% were screened solely for alcohol and 0.05% were screened for drugs alone.
Conclusions: Preventive strategies become more important as pedestrian crashes and fatalities increase. Risk reduction in the form of policy change, alterations to the built environment, or interdisciplinary approaches to injury prevention is dependent upon best evidence supported in part by more deliberate and consistent screening. 相似文献
This study investigated the levels, sources and ecological risks of 16 polycyclic aromatic hydrocarbons (PAHs) in two sediment cores that were collected along the Huaxi Reservoir. The spatial distributions and residue levels of the 16 priority PAHs in the sediments from the Huaxi Reservoir were analyzed for their potential ecological risk, source apportionment and contribution to the total PAH residue. The concentration level of the total PAHs (TPAHs) was in the range 1805 ng·g?1 to 20023 ng·g?1 based on dry weight, and the content of PAHs in the Huaxi Reservoir exhibited a gradual upward trend. The PAH congener ratios fluoranthene/(fluoranthene + pyrene) and indeno[1, 2, 3-cd]pyrene/(indeno[1, 2, 3-cd]pyrene + benzo[g, h, i]perylene) were used to identify the source. The main source of the low molecular weight PAHs was wood and coal combustion, whereas the high molecular weight PAHs were primarily from petroleum combustion sources. The results of an ecological risk assessment demonstrated that ACE poses a potential ecological risk, while FLU, NAP, ANT, BaP, DBA, PHEN and PYR can have serious ecological risks. 相似文献
Former methods used in the U.S. to assess hazardous and explosible coal dust date back to the 1950s. As mining technologies advanced, so too have the hazards. Given the results of the recent coal dust particle size survey and full-scale experimental mine explosion tests, the National Institute for Occupational Safety and Health (NIOSH) recommended a new minimum standard, in the absence of background methane, of 80% total incombustible content (TIC) be required in the intake airways of bituminous coal mines, replacing the previous 65% TIC requirement. Most important to monitoring and maintaining the 80% TIC is the ability to effectively collect and analyze representative dust samples that would likely disperse and participate in dust explosion propagation. Research has shown that dust suspended on elevated surfaces is usually finer, more reactive, and more readily dispersible while floor deposits of dust are generally coarser and more difficult to disperse given the same blast of air. The roof, rib, and floor portions of the dust samples were collected and analyzed for incombustible content separately and the results were compared to a band sample of the roof, rib, and floor components. Results indicate that the roof and rib dust samples should be kept separate from floor dust samples and considered individually for analyses. The various experimental collection methods are detailed along with preferred sampling approaches that improve the detectability of potentially hazardous accumulations of explosible dust. 相似文献
Objective: A novel anthropomorphic test device (ATD) representative of the 50th percentile male soldier is being developed to predict injuries to a vehicle occupant during an underbody blast (UBB). The main objective of this study was to develop and validate a finite element (FE) model of the ATD lower limb outfitted with a military combat boot and to insert the validated lower limb into a model of the full ATD and simulate vertical loading experiments.
Methods: A Belleville desert combat boot model was assigned contacts and material properties based on previous experiments. The boot model was fit to a previously developed model of the barefoot ATD. Validation was performed through 6 matched pair component tests conducted on the Vertically Accelerated Loads Transfer System (VALTS). The load transfer capabilities of the FE model were assessed along with the force-mitigating properties of the boot. The booted lower limb subassembly was then incorporated into a whole-body model of the ATD. Two whole-body VALTS experiments were simulated to evaluate lower limb performance in the whole body.
Results: The lower limb model accurately predicted axial loads measured at heel, tibia, and knee load cells during matched pair component tests. Forces in booted simulations were compared to unbooted simulations and an amount of mitigation similar to that of experiments was observed. In a whole-body loading environment, the model kinematics match those recorded in experiments. The shape and magnitude of experimental force–time curves were accurately predicted by the model. Correlation between the experiments and simulations was backed up by high objective rating scores for all experiments.
Conclusion: The booted lower limb model is accurate in its ability to articulate and transfer loads similar to the physical dummy in simulated underbody loading experiments. The performance of the model leads to the recommendation to use it appropriately as an alternative to costly ATD experiments. 相似文献
Objective: This study evaluated the effectiveness of a series of 1-year multifaceted school-based programs aimed at increasing booster seat use among urban children 4–7 years of age in economically disadvantaged areas.
Methods: During 4 consecutive school years, 2011–2015, the Give Kids a Boost (GKB) program was implemented in a total of 8 schools with similar demographics in Dallas County. Observational surveys were conducted at project schools before project implementation (P0), 1–4 weeks after the completion of project implementation (P1), and 4–5 months later (P2). Changes in booster seat use for the 3 time periods were compared for the 8 project and 14 comparison schools that received no intervention using a nonrandomized trial process.
The intervention included (1) train-the-trainer sessions with teachers and parents; (2) presentations about booster seat safety; (3) tailored communication to parents; (4) distribution of fact sheets/resources; (5) walk-around education; and (6) booster seat inspections.
The association between the GKB intervention and proper booster seat use was determined initially using univariate analysis. The association was also estimated using a generalized linear mixed model predicting a binomial outcome (booster seat use) for those aged 4 to 7 years, adjusted for child-level variables (age, sex, race/ethnicity) and car-level variables (vehicle type). The model incorporated the effects of clustering by site and by collection date to account for the possibility of repeated sampling.
Results: In the 8 project schools, booster seat use for children 4–7 years of age increased an average of 20.9 percentage points between P0 and P1 (P0 = 4.8%, P1 = 25.7%; odds ratio [OR] = 6.9; 95% confidence interval [CI], 5.5, 8.7; P < .001) and remained at that level in the P2 time period (P2 = 25.7%; P < .001, for P0 vs. P2) in the univariate analysis. The 14 comparison schools had minimal change in booster seat use. The multivariable model showed that children at the project schools were significantly more likely to be properly restrained in a booster seat after the intervention (OR = 2.7; 95% CI, 2.2, 3.3) compared to the P0 time period and compared to the comparison schools.
Conclusion: Despite study limitations, the GKB program was positively associated with an increase in proper booster seat use for children 4–7 years of age in school settings among diverse populations in economically disadvantaged areas. These increases persisted into the following school year in a majority of the project schools. The GKB model may be a replicable strategy to increase booster seat use among school-age children in similar urban settings. 相似文献
Reducing accident occurrence in petrochemical plants is crucial, thus appropriately allocating management resources to safety investment is a vital issue for corporate management as international competition intensifies. Understanding the priority of safety investment in a rational way helps achieve this objective.In this study, we targeted an acrylonitrile plant. First, Dow Chemical's Fire and Explosion Index (F&EI) identified the reaction process as having the greatest physical risk. We evaluated the severity of accidents in the reaction process using the Process Safety Metrics advocated by the Center for Chemical Process Safety (CCPS); however, this index does not express damages a company actually experience. To solve this problem, we proposed a new metric that adds indirect cost to CCPS metrics. We adopted fault tree analysis (FTA) as a risk assessment method. In identifying top events and basic events, we attempted to improve the completeness of risk identification by considering accidents from the past, actual plant operation and equipment characteristics, natural disasters, and cyber-attacks and terrorist attacks. Consequently, we identified the top events with high priority in handling because of serious accidents as fire/explosion outside the reactor, fire/explosion inside the reactor, and reactor destruction. The new CCPS evaluation index proposed in this study found that fire and explosion outside the reactor has the highest severity. We considered the creation of the fault tree (FT) diagram of the top event, estimating the occurrence probability, and identifying the risk reduction part and capital investment aimed at risk reduction. As an economically feasible selection method for risk reduction investment, using the difference in loss amounts before and after safety investments indicated investment priority. 相似文献
A stochastic approach for evaluating the risk of vapor cloud explosions is proposed in this work. The proposed methodology aims to incorporate the effect of uncertainty into the risk analysis to produce a better overall view for the risk. Some stochastic variables are used to estimate the probability of vapor cloud explosions: frequency of the release, the probability of not having an immediate ignition, the probability of delayed ignition and the probability of a vapor cloud explosion given a delayed ignition, as well as different possible meteorological conditions. These stochastic variables are represented with probability distribution curves. Different curves for the frequencies of releases from process equipment types (steel process pipes, flanges, manual valves, actuated valves, etc.), different equipment diameters and different leak sizes are also used in this analysis. Monte Carlo simulation is performed to obtain the risk as a probability distribution using the Analytic Solver Platform. Then the risk distribution curve obtained by Monte Carlo simulation is used to estimate the probability of satisfying the risk tolerance criterion. 相似文献
Quantitative Risk Assessment (QRA) is commonly used in the chemical industry to support decision-making. Common practices are based on standard methods, such as fault tree, event tree, etc.; in this frame, risk is a function of frequency of events (probability) and associated consequences (negative outcomes), but relevant uncertainties often are not properly taken into account in the derived results. This paper presents the application of an extended risk analysis of loss of containments for a case-study with the following aims: firstly, the uncertainties related to the results of the analysis, which derive from assumption in the application of the standard models, are qualitatively assessed; secondly the application allows evaluating the impact of the uncertainties on the trustworthiness of the results and, finally, commenting about their use in the risk prevention and mitigation. 相似文献