Using the results of psychophysical and biomechanical experiments, NIOSH (National Institute for Occupational Safety and Health) Recommended Weight Limit (RWL), the Lifting Index (LI), the form of the asymmetry multiplier, and the criterion for compression force were investigated. Analysis of the results indicated a significant difference between the NIOSH RWL and the reported Maximum Acceptable Weight of Lift (MAWL). Contrary to the NIOSH lifting equation, the form of the asymmetry multiplier was found to be non-linear. The overall average of peak compression force on the L5/S1 was 3685 N. Fifty-eight percent of all compression forces reported in the biomechanical experiment were found to exceed the suggested 3400 N set by NIOSH guidelines. These results support previous research findings on the validity of NIOSH guidelines. 相似文献
Objective: We assessed obesity trends in U.S. drivers involved in fatal crashes since 1999 and distinguished whether crash risk factors were different between obese and nonobese drivers.
Methods: We included only drivers of passenger cars involved in fatal traffic crashes between January 1, 1999, and December 31, 2012. Obesity was classified according to the World Health Organization guidelines and profiled between 1999 and 2012 using the adjusted prevalence ratio (aPR) from log-binomial regression models. Differences in crash risks (e.g., driver's fatality, drunk driving, seat belt nonuse) between obese and nonobese drivers were estimated as adjusted odds ratios (aORs) using logistic regression models.
Results: A total of 753,024 U.S. drivers were involved in fatal crashes, for which obesity information was available for 534,887. About 56% (n = 299,078) were driving passenger cars. The prevalence of class I obesity increased from 10% in 1999 to 14% in 2012 (aPR = 1.50, 95% confidence interval [CI], 1.42–1.58), class II obesity from 3 to 5% (aPR = 2.22, 95% CI, 2.05–3.01), and class III obesity from 1 to 2% (aPR = 2.65; 95% CI, 2.27–3.10). Compared to nonobese controls, obese drivers had significantly higher risks for fatality (1.10 ≤ aOR ≤ 1.47), seat belt nonuse (1.00 ≤ aOR ≤ 1.21), need for extrication (1.01 ≤ aOR ≤ 1.23), and ambulance transport time ≥30 min (1.01 ≤ aOR ≤ 1.28). Compared to nonobese controls, obese drivers were less likely to drink drive (0.41 ≤ aOR ≤ 0.72) or speed >65 mph (0.78 ≤ aOR ≤ 0.93).
Conclusion: The rising national prevalence of obesity extends to U.S. drivers involved in fatal crashes and indicates the need to improve seat belt use, vehicle design, and postcrash care for this vulnerable population. 相似文献
Introduction: Highway-rail at-grade crossings (HRGCs) are critical locations where a railway and a roadway intersect with one another. Crashes at those locations often result in fatalities and economic and social damages due to the impacts on both road and rail users. The main purpose of countermeasures at HRGCs is to permit safe and efficient rail and highway operations. Method: Countermeasures at highway-rail grade crossings (HRGCs) considered in this study include all traffic control devices and other warning and barrier devices at or on approaches to crossings. In general, active devices are commonly accepted as more effective countermeasures than passive devices. However, many of the previous effectiveness studies are either at the project level or were conducted without considering the before-improvement condition. This study focuses on the network-level marginal effectiveness of countermeasures on crash rate and severity levels during the 29-year study period from 1990 to 2018 by fully considering before-improvement control levels. A competing risk model (CRM) is able to accommodate the competing nature of crash severities as multiple outcomes from the same event of interest, which is crash occurrence in this study. Subsequently, CRM is used in this study as an integrated one-step estimation approach that investigates both crash frequency and severity likelihood over time. Results: The study findings indicate that adding audible devices to crossings already equipped with gates will result in a considerable annual decline in crash occurrence likelihood (0.25%). The same device installed at crossings already controlled by gates and flashing lights results in less reduction in crash occurrence likelihood of 0.14%. Moreover, adding a stop sign to the active crossing controls of gates, standard flashing lights, and audible devices will lead to a decrease in the probability of crash occurrence and severe crashes (injury and fatal). However, adding stop signs to crossings equipped only with crossbucks will increase the crash occurrence. 相似文献
