海底隧道交通事故风险耦合演化机理研究

为明晰海底隧道交通系统内部风险因素之间的耦合关联和事故演化机理,从驾驶人、道路、车辆、环境和管理5方面阐释海底隧道风险因素内涵,定性分析风险因素之间的耦合作用,建立海底隧道交通事故风险演化立体网络模型,提出海底隧道风险因素量化评价标准;并构建海底隧道交通事故风险耦合尖点突变模型,深入分析海底隧道交通系统风险状态演化的主要形式;结合应用实例,对海底隧道风险因素耦合进行计算评价。结果表明：多因素耦合对海底隧道交通系统产生的风险影响大于单因素耦合,驾驶人因素风险相对最大,车辆因素风险相对最小,并从人、物2个因素方面提出针对性的事故风险预防措施。研究结果可为海底隧道交通安全管控提供理论参考和借鉴。     

浅析新疆城市声环境现状与对策

研究了新疆近五年来的城市声环境变化趋势,并对城市噪声污染现状进行综合分析评价,提出相关的治理对策与建议.从区域环境噪声状况看,噪声值呈下降趋势;从声源强度看,对城市声环境冲击最大的是交通噪声源;从道路交通噪声状况看,近五年交通噪声污染呈逐年下降趋势,但全区各年度均有超标路段,全区城市道路交通噪声仍存在污染.因此,整治城市噪声污染应贯彻"预防为主、防治结合"的方针,综合利用科技、法律手段来改善城市声环境.     

Impact of helmet use on traumatic brain injury from road traffic accidents in Cambodia

Objective: Rapid urbanization and motorization without corresponding increases in helmet usage have made traumatic brain injury due to road traffic accidents a major public health crisis in Cambodia. This analysis was conducted to quantify the impact of helmets on severity of injury, neurosurgical indication, and functional outcomes at discharge for motorcycle operators who required hospitalization for a traumatic brain injury following a road traffic accident in Cambodia.

Methods: The medical records of 491 motorcycle operators who presented to a major tertiary care center in Cambodia with traumatic brain injury were retrospectively analyzed using multivariate logistic regression.

Results: The most common injuries at presentation were contusions (47.0%), epidural hematomas (30.1%), subdural hematomas (27.9%), subarachnoid hemorrhages (12.4%), skull fractures (21.4%), and facial fractures (18.5%). Moderate-to-severe loss of consciousness was present in 36.3% of patients. Not wearing a helmet was associated with an odds ratio of 2.20 (95% confidence interval [CI], 1.15–4.22) for presenting with moderate to severe loss of consciousness compared to helmeted patients. Craniotomy or craniectomy was indicated for evacuation of hematoma in 20.0% of cases, and nonhelmeted patients had 3.21-fold higher odds of requiring neurosurgical intervention (95% CI, 1.25–8.27). Furthermore, lack of helmet usage was associated with 2.72-fold higher odds of discharge with functional deficits (95% CI, 1.14–6.49). In total, 30.1% of patients were discharged with severe functional deficits.

Conclusions: Helmets demonstrate a protective effect and may be an effective public health intervention to significantly reduce the burden of traumatic brain injury in Cambodia and other developing countries with increasing rates of motorization across the world.     

Evaluation of countermeasures for red light running by traffic simulator–based surrogate safety measures

Objective: The conflicts among motorists entering a signalized intersection with the red light indication have become a national safety issue. Because of its sensitivity, efforts have been made to investigate the possible causes and effectiveness of countermeasures using comparison sites and/or before-and-after studies. Nevertheless, these approaches are ineffective when comparison sites cannot be found, or crash data sets are not readily available or not reliable for statistical analysis. Considering the random nature of red light running (RLR) crashes, an inventive approach regardless of data availability is necessary to evaluate the effectiveness of each countermeasure face to face.

Method: The aims of this research are to (1) review erstwhile literature related to red light running and traffic safety models; (2) propose a practical methodology for evaluation of RLR countermeasures with a microscopic traffic simulation model and surrogate safety assessment model (SSAM); (3) apply the proposed methodology to actual signalized intersection in Virginia, with the most prevalent scenarios—increasing the yellow signal interval duration, installing an advance warning sign, and an RLR camera; and (4) analyze the relative effectiveness by RLR frequency and the number of conflicts (rear-end and crossing).

Results: All scenarios show a reduction in RLR frequency (?7.8, ?45.5, and ?52.4%, respectively), but only increasing the yellow signal interval duration results in a reduced total number of conflicts (?11.3%; a surrogate safety measure of possible RLR-related crashes). An RLR camera makes the greatest reduction (?60.9%) in crossing conflicts (a surrogate safety measure of possible angle crashes), whereas increasing the yellow signal interval duration results in only a 12.8% reduction of rear-end conflicts (a surrogate safety measure of possible rear-end crash).

Conclusions: Although increasing the yellow signal interval duration is advantageous because this reduces the total conflicts (a possibility of total RLR-related crashes), each countermeasure shows different effects by RLR-related conflict types that can be referred to when making a decision. Given that each intersection has different RLR crash issues, evaluated countermeasures are directly applicable to enhance the cost and time effectiveness, according to the situation of the target intersection. In addition, the proposed methodology is replicable at any site that has a dearth of crash data and/or comparison sites in order to test any other countermeasures (both engineering and enforcement countermeasures) for RLR crashes.     

Survey regarding the 0.05 blood alcohol concentration limit for driving in the United States

Background: On May 14, 2013, the National Transportation Safety Board (NTSB) proposed that states lower the blood alcohol concentration (BAC) illegal limit from 0.08 to 0.05 g/dL (also referred to as the 0.08 law and the 0.05 limit, respectively). In March 2017, this recommendation was signed into law in the State of Utah.

Objective: The objective of this survey is to investigate perceptions regarding enforcement of the 0.05 g/dL BAC limit.

Method: Opinions of law enforcement officers, prosecutors, and defense attorneys were obtained through a series of questionnaires and focus groups.

Results: Survey data were collected from 32 law enforcement officers, 20 prosecutors, and 4 defense attorneys. The participants rated the usefulness of the NHTSA's driving while intoxicated (DWI) driving cues lower for the 0.05 limit than for the 0.08 law. Some of the participants believed that training would be needed in regard to sobriety testing under the 0.05 limit. Participants also stated that adequately preparing for prosecution of drunk drivers would be more difficult under the 0.05 limit. In addition, it was believed that drunk driving cases are more likely to be withdrawn and fewer plea agreements and guilty pleas are likely under the 0.05 limit. Prosecutors were concerned that the 0.05 limit would result in poorly investigated cases and overburden the court system. Defense attorneys were concerned about the social and economic costs of a 0.05 limit.

Discussion: Overall, it appears that the 0.05 limit is viewed as enforceable and it will save lives; however, the usefulness of the NHTSA DWI Detection Guide and of the standardized field sobriety tests need to be established for lower BACs, and efforts must be made to educate people regarding the relationship between BAC and impairment and impairment and driving with the risk of injury and death.

Conclusion: Though the 0.05 limit offers promise in saving lives, the following issues associated with changing the limit to 0.05 need to be resolved prior to implementation: Validating the sobriety tests for the 0.05 limit; if needed, modifying the sobriety tests to make them effective and valid at the 0.05 limit; and training law enforcement personnel and educating the public regarding the 0.05 limit.     

Nationwide risk factors for hospital readmission for subsequent injury after motor vehicle crashes

Abstract

Objective: Some drivers involved in motor vehicle crashes across the United States may be identified as at risk of subsequent injury by a similar mechanism. The purpose of this study was to perform a national review of the risk factors for hospitalization for a new injury due to a subsequent motor vehicle crash. It was hypothesized that presenting to a different hospital after subsequent injury would result in worse patient outcomes when compared to presentation at the same hospital.

Methods: The Nationwide Readmissions Database for 2010–2014 was queried for all inpatient hospitalizations with injury related to motor vehicle traffic. The primary patient outcome of interest was subsequent motor vehicle crash–related injury within 1 year. The secondary patient outcomes were different hospital subsequent injury presentation, higher Injury Severity Score (ISS), longer length of stay (LOS), and in-hospital death after subsequent injury. The analysis of secondary patient outcomes was performed only on patients who were reinjured. Univariable analysis was performed for each outcome using all variables during the index admission. Multivariable logistic regression was performed using all significant (P < .05) variables on univariate analysis. Results were weighted for national estimates.

Results: During the study period, 1,008,991 patients were admitted for motor vehicle–related injury; 12,474 patients (1.2%) suffered a subsequent injury within 1 year. From the reinjured patients, 32.9% presented to a different hospital, 48.9% had a higher ISS, and 22.1% had a longer LOS. The in-hospital mortality rate after subsequent injury was 1.1%. Presentation to a different hospital for subsequent injury was associated with a longer LOS (odds ratio [OR]?=?1.32; 95% confidence interval [CI], 1.20–1.45; P < .01) and a higher ISS (OR?=?1.38; 95% CI, 1.27–1.49; P < .01). Motorcyclists were more likely to suffer subsequent injury (OR?=?1.39; 95% CI, 1.32–1.46; P < .01) and motorcycle passengers were more likely to present to a different hospital with a subsequent injury (OR?=?2.49; 95% CI, 1.73–3.59; P < .01). Alcohol abuse was associated with subsequent injury (OR?=?1.12; 95% CI, 1.07–1.18; P < .01).

Conclusions: Nearly a third of patients suffering subsequent motor vehicle crash–related injury after an initial motor vehicle crash in the United States present to a different hospital. These patients are more likely to suffer more severe injuries and longer hospitalizations due to their subsequent injury. Future efforts to prevent these injuries must consider the impact of this fragmentation of care and the implications for quality and cost improvements.     

地铁站台导流栏杆对人员疏散的影响研究

为研究地铁站台导流栏杆对人员疏散的影响,以某地铁车站为研究对象,采用数值模拟方法研究地铁站台导流栏杆的设置方式及长度对人员疏散的影响,为地铁车站导流栏杆的设置及优化提供参考。研究结果表明:随着固定导流栏杆长度的增加,人员疏散时间呈现增加趋势,固定导流栏杆长度为14 m时比不设导流栏杆时疏散效率降低了20.8%,人员在长度为14 m的固定导流栏杆内呈现通道型排队现象;随着可推拉导流栏杆长度的增加,人员疏散时间呈现减小趋势,可推拉导流栏杆长度为6 m时比固定导流栏杆长度为14 m时的疏散效率提高了9.7%。     

考虑街区尺寸的应急救援路径选择仿真研究

为分析街区尺寸对应急救援车辆行程时间的影响,基于小（120 m）、中（264 m）、大（440 m）3种典型街区尺寸,将救援车辆行程时间分为街区内、外2部分,以总行程时间最小为目标,构建基于背景流量水平的救援车辆路径选择仿真模型。设置4种救援场景,分别求解各救援场景在不同街区尺寸下的最短路径时间、冗余度及复杂度。结果表明:街区尺寸对街区内、外部救援时间均有影响,而前者在救援路径距离较短、街区尺寸较大的路网中占据较大比例（可达50%以上）;救援路径包含路段的流量较小时,中、大街区尺寸路网表现类似,而高流量下大尺寸具备更优的救援时间;街区尺寸越小,救援路径冗余度与复杂度均越大。     

基于文本挖掘的管制运行风险主题分析*

为充分挖掘管制运行风险信息和隐藏规律,实现数据驱动的风险管理。以某管制单位2004—2019年共269条管制原因不安全事件数据为挖掘语料,在考虑上下文语义的基础上,运用潜在狄利克雷分配（LDA）主题模型挖掘管制运行风险主题及关键词,使用Word2Vec挖掘主题之间、关键词之间的关联关系,运用社会网络分析软件UCINET、可视化工具NETDRAW构建语义网络将关联关系进行可视化并进行网络分析。结果表明:LDA主题模型可以通过运行数据实现对管制运行风险的高效提取和深层挖掘,挖掘到管制人为因素、特情处置、地空配合、班组资源管理、组织管理、运行环境、管制指挥共7个主题,其中管制人为因素主题是核心主题,与其他主题都具有较强的相互关联;Word2Vec和语义网络相结合能够更准确地挖掘风险之间的关系,确定主题的重要度排序,识别关键风险。     

超大城市昼夜交通事故严重程度致因对比分析——以深圳市为例

为研究夜间交通事故严重程度致因,基于深圳市3年3 244起交通事故数据,获取昼夜交通事故分布的时空特征;进一步选取交通事故集聚的南山区、福田区、罗湖区的1 798起交通事故,以交通事故严重程度为因变量,以事故原因、日期、事故形态等10个因素为候选自变量,构建广义有序Logit回归模型,对比分析昼夜不同严重程度交通事故的影响因素。结果表明:路口路段类型、疲劳驾驶、事故日期在夜间模型参数估计值分别为0.493,-0.363,-0.309,而在日间模型表现为不显著,道路路面材料在日间模型参数估计值为-0.232,而在夜间表现为不显著;事故原因、道路横断面渠化方式等因素在日间和夜间所引起交通事故的严重等级均存在较大差异。