Objectives: Truck vehicles (TVs) have a different structure and stiffness than non-TVs and are used commercially for transporting goods. This study aimed to analyze whether truck occupants have a greater risk of serious injury than those of other types of vehicles.
Methods: Crash data were obtained from the Korean In-Depth Data Analysis Study (KIDAS) for calendar years 2011–2016. Vehicles involved in frontal crash were included and classified into TVs and non-TVs (passenger cars and sports utility vehicles). We compared the demographic characteristics and serious injuries by body region between the 2 groups and analyzed factors that contributed to the serious injury severity from frontal crashes.
Results: The analysis was based on 884 occupants; 177 (20.0%) were in TVs and 707 (80.0%) were in non-TVs. Non-TVs had more frontal airbags deployments than TVs (50.9% vs. 3.4%, P <.01). TV occupants were 4.8 times more likely to have a serious lower extremity (LE) injury (adjusted odds ratio [AOR] = 4.820; 95% confidence interval [CI], 2.407–9.653) and 2.5 times to have a serious abdominal injury (AOR = 2.465; 95% CI, 1.108–5.487) compared to non-TV occupants.
Conclusions: Truck occupants had more serious LE and abdominal injuries than those of other types of vehicles in frontal crashes. Structural improvement and legislative efforts to develop safety systems are necessary to improve the safety of truck occupants. 相似文献
Introduction: Cycling is one of the main forms of transportation in Denmark. However, while the number of traffic crash fatalities in the country has decreased over the past decade, the frequency of cyclists killed or seriously injured has increased. The high rate of serious injuries and fatalities associated with cycling emphasizes the increasing need for mitigating the severity of such crashes. Method: This study conducted an in-depth analysis of cyclist injury severity resulting from single and multiparty bicycle-involved crashes. Detailed information was collected using self-reporting data undertaken in Denmark for a 12-month period between 1 November 2012 and 31 October 2013. Separate multilevel logistic (MLL) regression models were applied to estimate cyclist injury severity for single and multiparty crashes. The goodness-of-fit measures favored the MLL models over the standard logistic models, capturing the intercorrelation among bicycle crashes that occurred in the same geographical area. Results: The results also showed that single bicycle-involved crashes resulted in more serious outcomes when compared to multiparty crashes. For both single and multiparty bicycle crash categories, non-urban areas were associated with more serious injury outcomes. For the single crashes, wet surface condition, autumn and summer seasons, evening and night periods, non-adverse weather conditions, cyclists aged between 45 and 64 years, male sex, riding for the purpose of work or educational activities, and bicycles with light turned-off were associated with severe injuries. For the multiparty crashes, intersections, bicycle paths, non-winter season, not being employed or retired, lower personal car ownership, and race bicycles were directly related to severe injury consequences. Practical Applications: The findings of this study demonstrated that the best way to promote cycling safety is the combination of improving the design and maintenance of cycling facilities, encouraging safe cycling behavior, and intensifying enforcement efforts. 相似文献
Problem: The rollover crash is a serious crash type that often causes higher injury severities. Moreover, factors that contribute to the injury severities of rollover crashes may show instabilities in different vehicle types and time periods, which requires further investigations. This study utilizes the rollover crash data in North Carolina from Highway Safety Information System (HSIS) to study the effect instabilities of factors in vehicle type and time periods in rollover crashes. Methods: The injury severities of drivers are estimated using the random parameters logit (RPL) model with heterogeneity in means and variances. Available factors in HSIS have been categorized into three groups, which are drivers, road, and environment, respectively. This study also justifies the segmentations through transferability tests. The effects of identified significant factors are evaluated using marginal effects. Results: Factors such as FWP (farm, wood, and pasture areas), unhealthy physical condition, impaired physical condition, road adverse, and so forth have shown instabilities in marginal effects among vehicle types and time periods. Practical Applications: The finding of this research could provide important references for policy makers and automobile manufactures to help mitigate the injury severity of rollover crashes. 相似文献
Objective: This study examined the time trends and age distribution patterns of estimated road traffic fatalities (RTFs) in China over the period 2002–2012. Methods: Data on age-, sex-, and region-specific RTF rates were provided by the Chinese Ministry of Health. The crude rates were standardized and the Mann-Kendall test was used to test the significance of time trends. Annual number of RTFs was calculated. To minimize the effect of yearly variations, magnitude of changes in and age distribution patterns of the RTFs were examined using mean values of 2 years. Results: RTFs increased significantly in China during the study period. Several features were identified for the RTFs in China. First, RTF rates skyrocketed in rural areas including towns and counties. Second, a significant increase in RTFs was also observed in cities even though the change in RTF rates was not statistically significant there. Third, individuals aged 20–24, 40–49, and 55–64, especially in rural areas, were particularly at risk for RTFs in recent years. Finally, RTFs became more common among middle-aged and older adults than young Chinese, with roughly 57% of all RTFs occurring among individuals aged 45 and above during 2011–2012. Conclusions: RTFs increased dramatically in China during the past decade, especially in rural areas. Age distribution patterns of RTFs have changed there. Community-based public health education and intervention programs are warranted. 相似文献
Summary. An evolutionary scenario incorporating recent advances in phylogenetic research begins with an opisthobranch-pulmonate common
ancestor that was herbivorous and had some diet-derived chemical defense. The Nudibranchia and their closest relatives, the
Notaspidea, form a lineage the ancestors of which had switched to feeding upon sponges and deriving protection from metabolites
contained in them. Subsequently there have been repeated shifts in food and defensive metabolites, and trends are evident
in the ability to detoxify, sequester and utilize metabolites from food, as well as to synthesize defensive compounds de novo. The Notaspidea display a minor adaptive radiation that foreshadows a more extensive one in the various lineages of nudibranchs.
This review emphasizes changes that have occurred within the Holohepatica, or dorid nudibranchs (order Doridacea). Their sister-group,
the Cladohepatica, consists of three other orders, Dendronotacea, Arminacea, and Aeolidiacea, in which there has been a shift
from sponges to Cnidaria as food. The Dendronotacea often feed upon Octocorallia, which combine spicules, chemical defense,
and stinging capsules and thereby suggest a transition from feeding on sponges. A previous diet of Octocorallia is suggested
by the defensive use of prostaglandins in the dendronotacean Tethys fimbria, which eats crustaceans. A shift to bryozoans in some Arminacea is accompanied by use of different metabolites. Dorid nudibranchs
evidently began as sponge-feeders, but some lineages have shifted to a variety of other food organisms, and others have specialized
in the kind of sponges they feed on and how they do it. There have been shifts to bryozoans (Ectoprocta) and ascidians (Chordata:
Urochordata) that track metabolites rather than the taxonomy of the food. There is a crude correlation between the genealogy
and the defensive metabolites of the sponge-feeding dorids. De novo synthesis is well documented in this order and the metabolites are appropriately positioned so as to have an adaptive effect.
The hypothesis that the capacity for de novo synthesis was acquired by gene transfer across lineages is rejected, partly on the basis of different chirality of metabolites
in the nudibranchs and their food organisms. Instead it is proposed that there has been a preadaptive phase followed by evolution
in a retrosynthetic mode, with selection favoring enzymes that enhance the yield of end products that are already present
in the food.
Received 5 February 1999; accepted 26 July 1999 相似文献
We analyzed 13 years of hourly measurements of SO2, NOx, and O3, at forest ecosystem research sites in SE Germany. A quasi-continuous data record was obtained by combining data sets from
two locations. Before interpreting trends in the combined data set, we analyzed if the change of location introduced a systematic
bias. We employed autocorrelation functions, Hurst statistics, complexity analysis, and recurrence quantification and found
that the partial data sets exhibited no indication of the presence of any bias. For SO2, we also compared the data from the forest sites with data obtained in nearby cities and also found no indications for any
systematic effects. Applying nonparametric trend statistics we found a significant decrease of the SO2. Most of the observed decrease is due to the reductions of SO2 emissions in eastern Germany, but reductions in western Germany and the Czech Republic also played important roles. For O3, we observed a significant increase, the causes of which are unclear from our data alone. No trend was identified for NOx. 相似文献
Several attempts have been made to test the suitability of protective measures for the handling of explosives. We investigated the suitability of safety gloves and a combined safety helmet and face shield. In the presented studies, three different experimental setups were used to simulate the effects of an explosion of a primary explosive in a glass flask on the glove or helmet protected body. Depending on the experimental setup, the fragment effects were evaluated and compared. Furthermore, the fragment distribution of an explosion inside a glass flask was investigated. The explosion of 1 g of lead azide in a 10 mL flask yielded approximately 14,000 glass fragments. However, most of the shards were accelerated down- and side-wards and only few upwards. Holding a flask on its neck (instead of its bottom) is therefore a simple but effective way of diminishing the risk of injury, when handling explosives. The safety helmet/face shield performed very well, by shielding the face from all fragments. Furthermore, it could be proven that DIN and EN standard testing procedures for gloves are unsuitable to simulate the effects of a respective explosion.In this article, the progress in the development of realistic testing procedures for the testing of gloves for the protection against fragmentation effects of glassware in situations involving explosions is reported and the results and methods of previous tests are summarized. 相似文献
This study compares construction industry groups in Washington State by injury severity and cost, and ranks industry groups according to potential for prevention.
Methods
All Washington State workers' compensation compensable claims with date of injury between 2003 and 2007 were classified into North American Industrial Classification System (NAICS) industry groups. Claims were then aggregated by injury type and industry groups were ranked according to a prevention index (PI). The PI is the average of the rank orders of the claim count and the claim incidence rate. A lower PI indicates a higher need for prevention activities. The severity rate was calculated as the number of days of time loss per 10,000 full-time equivalents (FTEs).
Results
For all injury types, construction industry groups occupy 7 of the top 15 PI ranks in Washington State. The severity rate among construction industry groups was twice that for non-construction groups for all injury types. Foundation, structure, and building exterior contractors (NAICS 2381) ranked highest in prevention potential and severity among construction industry groups for most common injury types including falls from elevation, fall on same level, struck by/against, and musculo-skeletal disorders of the neck, back, and upper extremity (WMSDs). Median claim costs by injury type were generally higher among construction industry groups.
Conclusions
The construction industry in Washington State has a high severity rate and potential for prevention. The methods used for characterizing these industry groups can be adapted for comparison within and between other industries and states.
Impact on Industry
These data can be used by industry groups and employers to identify higher cost and higher severity injury types. Knowledge about the relative frequencies and costs associated with different injury types will help employers and construction industry associations make better informed decisions about where prevention efforts are most needed and may have the greatest impact. The results of this study can also be used by industry stakeholders to cooperatively focus on high cost and high severity injuries and explore best practices, interventions, and solutions as demonstrated by efforts to prevent musculoskeletal disorders in masonry (Entzel, Albers, & Welch, 2007). Initiating construction industry groups to focus on high cost and high severity injuries may also help prevent other types of injuries. 相似文献