Objective: Despite advances in vehicle safety systems, motor vehicle crashes continue to cause ankle fractures. This study attempts to provide insight into the mechanisms of injury and to identify the at-risk population groups.
Methods: A study was made of ankle fractures patients treated at an urban level 1 trauma center following motor vehicle crashes, with a concurrent analysis of a nationally representative crash data set. The national data set focused on ankle fractures in drivers involved in frontal crashes. Statistical analysis was applied to the national data set to identify factors associated with fracture risk.
Results: Malleolar fractures occurred most frequently in the driver's right foot due to pedal interaction. The majority of complex/open fractures occurred in the left foot due to interaction with the vehicle floor. These fractures occurred in association with a femoral fracture, but their broad injury pattern suggests a range of fracture causation mechanisms. The statistical analysis indicated that the risk of fracture increased with increasing driver body mass index (BMI) and age.
Conclusions: Efforts to reduce the risk of driver ankle injury should focus on right foot and pedal interaction. The range of injury patterns identified here suggest that efforts to minimize driver ankle fracture risk will likely need to consider injury tolerances for flexion, pronation/supination, and axial loading in order to capture the full range of injury mechanisms. In the clinical environment, physicians examining drivers after a frontal crash should consider those who are older or obese or who have severe femoral injury without concurrent head injury as highly suspicious for an ankle injury. 相似文献
In studies of occupational risks, severity, which is a component of the estimation of every risk, appears as a multifaceted entity assessable according to numerous criteria. A method of measuring the degree of severity of the consequences of potentially dangerous events would be of undeniable value to organisations seeking to improve their understanding of the complexity of such events. The need to control severity is highlighted by scientifically acquired improvements in the understanding of occupational risks, by certain new regulatory obligations in Europe, and by some requirements in the financial management of organisations. We put forward a statistical way of integrating several constituent elements of severity and hence of determining a relevant, synthetic, one-dimensional index. This is achieved by means of principal component analysis (PCA), which is used here to calculate a resultant severity, as in some physical measurements. We also investigate how severity may be statistically modelled, with the aim of contributing to the quantitative assessment of occupational risks. The choice of parametric models is detailed and illustrated by the search for a suitable model for workplace accidents in an organisational setting. The practical value of modelling severity is two-fold. First, one is able to study the distribution of the numerical values of severity over a continuum (a theoretically infinite numerical set) rather than through a limited number of arbitrarily defined categories. Second, with a generally applicable parametric model, one can estimate the law of probability of a measurement of severity in a particular situation, notably recent or new. Lastly, the statistical concept of risk curve is defined and discussed. The goal is to incorporate the severity component into the risk assessment in the form of a probability law, thus circumventing the difficulties associated with an analysis of scenarios. 相似文献
Safety assessment has a primary role in hazardous operations. Most studies on safety assessment focus on risk and accident modeling, in which safety is absent. These top-down methods are highly dependent on the occurred accidents to establish accidental scenarios, which may make the assessment approach lagging behind the evolving modern systems. Moreover, this “special to general” logic is scientifically suspect in safety assessment. There is a call for the development of safety assessment methods in the presence of system safety to complement risk-focused safety analysis. These methods should provide a framework based on a bottom-up approach to examine system safety from the operational perspective. This paper has attempted to provide a potential solution. In particular, a novel concept of safety entropy is proposed to integrate with The Functional Resonance Analysis Method (FRAM), which is used to form the qualitative understanding of a system. A formula consisted of safety entropy, functional conformability, and system complexity has been established to determine the spontaneity of the safety state-changing process. The proposed method is applied to the safety assessment of a propane feed-control system. The results show the applicability of the method. Nevertheless, the model still needs to be further improved to fulfill better support for safety-related decision problems. 相似文献
Thermal runaway hazard assessment provides the basis for comparing the hazard levels of different chemical processes. To make an overall evaluation, hazard of materials and reactions should be considered. However, most existing methods didn't take the both into account simultaneously, which may lead the assessment to a deviation from the actual hazard. Therefore, an integrated approach called Inherent Thermal-runaway Hazard Index (ITHI) was developed in this paper. Similar to Dow Fire and Explosion Index(F&EI) function, thermal runaway hazard of chemical process in ITHI was the product of material factor (MF) and risk index (RI) of reaction. MF was an indicator of material thermal hazards, which can be determined by initial reaction temperature and maximum power density. RI, which was the product of probability and severity, indicated the risk of thermal runaway during the reaction stage. Time to maximum rate under adiabatic conditions and criticality classes of scenario were used to indicate the runaway probability of the chemical process. Adiabatic temperature rise and heat of the desired reaction and secondary reaction were used to determine the severity of runaway reaction. Finally, predefined hazard classification criteria was used to classify and interpret the results obtained by this method. Moreover, the method was validated by case studies. 相似文献