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71.
Objective: This article aims to describe seat belt wearing patterns and quality of seat belt fit among drivers aged 75 years and older. A secondary aim is to explore associations between body shape, comfort, and seat belt use patterns.

Methods: This is an observation and survey study of a cohort of 380 drivers aged 75 years and over. During home visits, photographs were taken of the drivers in their vehicles for later analysis of belt fit and a short survey was also administered to collect demographic data and information about seat belt use and comfort. Seat belt fit and use of belt and seat accessories were analyzed from the photographs.

Results: Data from 367 participants with photographs were analyzed. Whereas 97% reported using a seat belt and 90% reported their seat belt to be comfortable, 21% reported repositioning their seat belt to improve comfort. Good sash and lap belt fit were achieved in 53 and 59% of participants, respectively, but only 35% achieved overall good fit. Both poor sash and lap belt fit were observed in 23% of participants. Drivers who were in the obese category had over twice the odds (95% confidence interval [CI], 1.2–4.1) of having a poor lap belt fit than those in the normal body mass index [BMI] range, and drivers who were overweight had 1.8 times the odds (95% CI, 1.1–2.9) of having poor lap belt fit. Older females also had twice the odds (95% CI, 1.3–3.5) of poor lap belt fit compared to older males, regardless of BMI. Sash belt fit did not vary significantly by BMI, stature, or gender. However older drivers who reported that they had not made any adjustments to the D-ring height had 1.7 times the odds of having poor sash belt fit than those who made adjustments (1.2–2.9). Females were 7.3 times more likely to report comfort problems than males (95% CI, 3.2, 16.3) but there was no association between reported comfort and BMI or seat belt fit. Drivers who reported comfort problems had 6 times the odds (3.2–13.6) of also reporting active repositioning of the belt.

Conclusions: The results suggest that older drivers face challenges in achieving comfortable and correct seat belt fit. This may have a negative impact on crash protection. Belt fit problems appear to be associated with body shape, particularly high BMI and gender. There is a need for further investigation of comfort accessories; in the interim, older drivers and occupants should be encouraged to use features such as D-ring adjusters to improve sash belt fit.  相似文献   

72.
This review article discusses prenatal screening and diagnosis of neural tube defects (NTD). High detection rates occur in countries operating ultrasound screening programmes because classical two-dimensional ultrasound cranial signs (lemon shaped head, banana cerebellum, ventriculomegaly) are important diagnostic clues to the presence of spina bifida. Careful evaluation of both the spine and a search for other abnormalities is warranted. Important prognostic information for spina bifida relates to the lesion level, with a “watershed” between L3 and L4 marking a very high chance of being wheelchair bound with the higher lesions. Three-dimensional ultrasound using multiplanar views can achieve diagnostic accuracy within one vertebral body in around 80% of patients. There are high rates of pregnancy termination for spina bifida in many European countries, but the use of new imagining techniques allow better prediction of outcome, and consequently a refinement of prenatal counselling. Copyright © 2009 John Wiley & Sons, Ltd.  相似文献   
73.
Poultry litter is known to be an excellent organic fertilizer, but the common practice of spreading litter on the surface of pastures has raised serious water-quality concerns and may limit potential benefits of litter applications. Because surface-applied litter is completely exposed to the atmosphere, runoff can transport nutrients into nearby streams and lakes, and much of the ammonium nitrogen volatilizes before it can enter the soil. Our previous research showed that a manual knifing technique to apply dry litter under a perennial pasture surface effectively prevented about 90% of nutrient loss with runoff from surface-applied litter, and tended to increase forage yield. However, this technique (known as subsurface banding) cannot become a practical management option for producers until it is mechanized. To begin that process, we tested an experimental single-shank, tractor-drawn implement designed to apply poultry litter in subsurface bands. Our objective was to compare this mechanized subsurface-banding method against conventional surface application to determine effects on nutrient loss with runoff from a perennial grassland treated with dry poultry litter. Early in the growing season, broiler litter was applied (6.7 dry-weight Mg ha−1) to each plot (except three control plots) using one of two application methods: surface broadcast manually or subsurface banded using the tractor-drawn implement. Simulated rainfall (5 cm h−1) generated 20 min of runoff from each plot for volume and analytical measurements. Results showed that subsurface-banded litter increased forage yield while decreasing nutrient (e.g. N and P) loss in runoff by at least 90% compared to surface-broadcast litter.  相似文献   
74.
Volunteering has long been known for its positive effects on the individual and the community. However, no research to date has examined the safety of individuals when volunteering their services. The safety of individuals when driving a vehicle is particularly a concern in the nonprofit sector as volunteers is leaving organizations due to fear of public liability. As such, this paper aims to identify the internal motivational factors influencing the safety of volunteers when driving a vehicle (n = 73). Utilizing Clary’s et al. [Clary, E.G., Snyder, M., Ridge, R.D., Copeland, J., Stukas, A.A., Haugen, J., Miene, P., 1998. Understanding and assessing the motivations of volunteers: a functional approach. Journal of Personality and Social Psychology 74, 1516–1530] scale of the motivational functions served by volunteering, we found that individuals who volunteer their services for ego-related functioning (protective) were more likely to report higher self-reported driving speeds, while individuals who volunteer their services for altruistic purposes (values) were more likely to report lower self-reported driving speeds. In turn, higher self-reported driving speeds were found to be associated with a greater number of self-reported crashes in the past two years. These results have important implications for volunteer driving organizations, as these results suggest that some motivations are associated with poorer driving performance.  相似文献   
75.
Governmental and non-governmental organizations, social movements, and academics have called for reductions in meat consumption due to the environmental, animal welfare, and public health consequences of industrial animal agribusiness. An impactful move toward plant-based diets would require changes in public policy. First, we assess if there are different social and structural factors that influence support for policies that promote plant-based diets. We look at four categories of policies (action frames) that will likely reduce meat consumption: environmental, animal welfare, public health, and direct meat reduction. Second, we use a manipulation rhetorical frame to see if support can be altered by providing individuals with information about meat reduction, framing the issue in terms of environmental protection, animal welfare, or public health. Different social and structural factors predict support for different policy groupings, meaning that it matters how policies are enclosed in action frames. However, providing information to individuals about a particular impact (rhetorical frame) has limited influence on policy support.  相似文献   
76.
The HOMINIDS ABM is a new Agent Based Model that simulates the actions of two species of proto-human agents defined by a few, simple parameters. These proto-human agents attempt to subsist by foraging and nesting on dynamic, spatially explicit landscapes. The landscapes are described with a number of parameters based on empirical field data collected in habitats in East Africa. The results of three separate scenarios with 1 year model runs repeated 30 times each, for a total of 90 simulations, are presented and discussed to illustrate both the capacity and flexibility of our ABM modeling environment. The simulations show that the model food preferences and anatomy ascribed to Australopithecus boisei resulted in different expressions of foraging behaviors and subsistence strategies in two distinct ecological settings, and that adding tubers to the diet significantly increases the chances of the hominid agents meeting their daily caloric requirements year-round. In addition, this paper provides links to the open-source implementation code, along with the user documentation, design document, java API, and all datasets required to replicate the simulations.  相似文献   
77.
Friction measurements were conducted to study the effects of shoe sole, floor, contamination, and inclined angle of the floor surface on friction coefficient. The shoe sole samples included composite rubber outsole samples with and without V-shaped tread design. Unglazed ceramic tiles of both flat and tiles with molded profile design were tested. The contamination conditions included dry, wet, and glycerol-contaminated conditions. The inclined angles included 0°, 5°, and 10°. A Brungraber Mark II slipmeter was used. The results showed that all the four factors affected friction coefficient significantly (p < 0.0001). Flat rubber soles had higher friction coefficients than the soling samples with V-shaped tread design on all tested floors and inclined angles under wet conditions. Flat soles, however, had extremely low friction when tested on flat floors under glycerol-contaminated conditions. The floors with molded grooves perpendicular to friction measurement direction had the highest friction coefficients than all other floor conditions under both the wet and glycerol-contaminated conditions except the wet/flat sole/10° condition. A regression model with a cosine function was established to describe the relationship between friction coefficient and inclined angle of the floor under the experimental conditions. This model is statistically significant at p < 0.0001 with an R2 of 0.97.  相似文献   
78.
To reduce human casualties associated with explosive ordnance disposal, a wide range of protective wear has been designed to shield against the blast effects of improvised explosive devices and munitions. In this study, 4 commercially available bomb suits, representing a range of materials and armor masses, were evaluated against 0.227 and 0.567 kg of spherical C-4 explosives to determine the level of protection offered to the head, neck, and thorax.

A Hybrid III dummy, an instrumented human surrogate [1], was tested with and without protection from the 4 commercially available bomb suits. 20 tests with the dummy torso mounted to simulate a kneeling position were performed to confirm repeatability and robustness of the dummies, as well as to evaluate the 4 suits. Correlations between injury risk assessments based on past human or animal injury model data and various parameters such as bomb suit mass, projected area, and dummy coverage area were drawn.  相似文献   
79.
80.
The effect of edible oil emulsion treatment on enhanced reductive dechlorination was evaluated in a 14 month laboratory column study. Experimental treatments included: (1) emulsified soybean oil and dilute HCl to inhibit biological activity; (2) emulsified oil only; (3) emulsified oil and anaerobic digester sludge; and (4) continuously feeding soluble substrate. A single application of emulsified oil was effective in generating strongly reducing, anaerobic conditions for over 14 months. PCE was rapidly reduced to cis-DCE in all three live columns. Bioaugmentation with a halorespiring enrichment culture resulted in complete dechlorination of PCE to ethene in the soluble substrate column (yeast extract and lactate). However, an additional treatment with a pulse of yeast extract and bioaugmentation culture was required to stimulate complete dechlorination in the emulsion treated columns. Once the dechlorinating population was established, the emulsion only column degraded PCE from 90-120 microM to below detection with concurrent ethene production in a 33 day contact time. The lower biodegradation rates in the emulsion treated columns compared to the soluble substrate column suggest that emulsified oil barriers may require a somewhat longer contact time for effective treatment. In the HCl inhibited column, partitioning of PCE to the retained oil substantially delayed PCE breakthrough. However, reduction of PCE to more soluble degradation products (cis-DCE, VC and ethene) greatly reduced the impact of oil-water partitioning in live columns. There was only a small decline in the hydraulic conductivity (K) of column #1 (low pH+emulsion, K(final)/K(initial)=0.57) and column #2 (live+emulsion, K(final)/K(initial)=0.73) indicating emulsion injection did not result in appreciable clogging of the clayey sand. However, K loss was greater in column #3 (sludge+emulsion, K(final)/K(initial)=0.12) and column #4 (soluble substrate, K(final)/K(initial)=0.03) indicating clogging due to biomass and/or gas production can be significant.  相似文献   
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