Longitudinal examination of underage drinking and subsequent drinking and risky driving

INTRODUCTION: Alcohol use, alcohol misuse, and risky driving from adolescence into young adulthood were compared by drinking onset age. METHODS: Surveys were administered in Grades 5/6, 6/7, 7/8, 10, 12, and at approximately age 23. Participants were placed into Drinking Onset groups based on self-reported alcohol use frequency on the adolescent surveys. Driving records were examined in three age periods: under 21, 21-25, and 26+. RESULTS: The earliest drinking initiators reported higher alcohol use and misuse on each survey, and were more likely to have risky driving offenses before age 21 and to have alcohol driving offenses in all three age periods. DISCUSSION: The earliest drinking initiators engaged in risky drinking behavior and risky driving behavior that was consistently higher than those with later drinking initiation, beginning in adolescence and persisting well into young adulthood.     

SAFEST TO TRAVEL BY BICYCLE,CAR, OR BIG TRUCK?

This study compares highway crash incidence, injuries, and costs by vehicle type. Annual crash and injury incidence were estimated using Crashworthiness Data System (1988-1991), National Automotive Sampling System (1982-1986), General Estimates System (1992-1993), and Fatal Analysis Reporting System (1993) data. Costs were computed based on restraint use, body region, and threat-to-life severity of the injury. Costs were then allocated between vehicle types using three different methods in order to answer comparative safety questions. Motor vehicle and bicycle crash costs total $389 billion annually; 75% resulting from passenger vehicles. Motorcycles and bicycles have the highest costs per 1000 vehicle and passenger miles; costs per victim are highest for pedestrians, bicyclists, and motorcyclists. Costs per vehicle mile for heavy trucks and passenger cars are comparable but exceed costs for light trucks. Passenger vehicle occupants are safest if a crash occurs. Light truck, other single truck, and bus occupants have the lowest cost per passenger mile, but higher costs than air and rail travelers. Motorcyclists face the greatest risks. Combination trucks may not impose an excess risk to other drivers, but their drivers face large risks.     

Review: The Dynamics of Near Vertex Head Impact and its Role in Injury Prevention and the Complex Clinical Presentation of Basicranial and Cervical Spine Injury

The clinical presentation of cervical and basilar skull fractures following bead impact is often complex, particularly when multiple noncontiguous fractures are present. Based on the results of 22 human cadaver head-neck impact experiments, a biomechanical framework of spinal injury is developed in which these complex cases may be better understood. This includes the significance of head rebound, head and neck decoupling, cervical spine buckling, cervical injury mechanisms, basilar skull fractures, and cervical spine tolerance. These data also demonstrate that compliant pads significantly increase the risk for spinal injury though they also significantly reduce peak head force and the head injury criteria (p < 0.04). On the basis of these observations, we hypothesize that impact injury should be modeled as the dynamic response of two large masses, coupled by a segmented curved beam-column composed of seven small masses with interposed nonlinear viscoelastic flexibility elements.     

Footedness and Mounting—Short Review and Two Case Studies

Footedness is a personal quality like handedness. Footedness may be associated with moving ability during mounting, dismounting, and jumping movements. Occupational accidents have occurred during movement at different working levels, during the use of access and exit systems, and during the mounting of vehicles. Aging can also affect accident risk and body laterality. For example, falling accidents on stairs are common among the elderly. One reason for accidents may be that the structure of the access system or stair system is unsuitable for individual moving patterns depending partly on body laterality. Footedness and the way the feet are used may be contradictory to the demands of the moving situation, especially during uncommon or rapid situations. This contradiction may trigger disturbance during moving. The aims of this pilot study were (a) to review the literature briefly and (b) to describe the use of the dominant and nondominant foot by farmers and the elderly when mounting a tractor and stairs, respectively. The study also gives ideas for future studies based on both (a) and (b).     

Investigation of Blended Fibre Filtering Materials

Five variants of mixtures of different synthetic fibres at different area ratios were manufactured into needled nonwovens intended to be used as a filtering material for respiratory protection. Two variants were produced according to an earlier patent, and the contents of the other three was completely new. Samples of the nonwovens were tested for sodium chloride particles penetration and for breathing resistance. The results showed that one variant of a nonwoven, designated PP/PPFM, had very valuable filtering properties and that those properties were stable in time.     

Ergonomic Aspects of a Virtual Environment

A virtual environment is an interactive graphic system mediated through computer technology that allows a certain level of reality or a sense of presence to access virtual information. To create reality in a virtual environment, ergonomics issues are explored in this paper, aiming to develop the design of presentation formats with related information, that is possible to attain and to maintain user-friendly application.     

Integrated Estimation of the Effect of Physical Factors on Human Functional State During Mental Work

The purpose of this study was to develop a model for an integrated estimation of the functional state of the human organism (FSHO) and an integral estimation of physical factors (PF) for hygienic rating. Tests were performed twice with 3 men in 0.7-clo clothing during 4-hr mental work with 9 combinations of 4 PF: wideband noise (55–83 dB(A)), whole-body vibration (6 Hz, a_z = 0.2–1.8 ms^?2), air temperature (18–30 °C), and illumination (1, 3, 5 lx). Thermoregulatory, cardiovascular, and psychophysiological reactions and temporary threshold of hearing (TTS₂) shifts were studied. For the integral estimation of PF influence on FSHO the model F(y₁, y₂, ... y_m) = f(x₁, x₂, ... x_n) was used, relating both FSHO and PF sets. The most important physiological parameters in creating FSHO are defined and the contribution of individual parameters of FSHO and PF is found.