Evaluation of military helmets and roof padding on head injury potential from vertical impacts

Objective: Soldiers in military vehicles subjected to underbelly blasts can sustain traumatic head and neck injuries due to a head impact with the roof. The severity of head and neck trauma can be influenced by the amount of head clearance available to the occupant as well as factors such as wearing a military helmet or the presence of padding on the interior roof. The aim of the current study was to examine the interaction between a Hybrid III headform, the helmet system, and the interior roof of the vehicle under vertical loading.

Methods: Using a head impact machine and a Hybrid III headform, tests were conducted on a rigid steel plate in a number of different configurations and velocities to assess helmet shell and padding performance, to evaluate different vehicle roof padding materials, and to determine the relative injury mitigating contributions of both the helmet and the roof padding. The resultant translational head acceleration was measured and the head injury criterion (HIC) was calculated for each impact.

Results: For impacts with a helmeted headform hitting the steel plate only, which represented a common scenario in an underbelly blast event, velocities of ≤6 m/s resulted in HIC values below the FMVSS 201U threshold of 1,000, and a velocity of 7 m/s resulted in HIC values well over the threshold. Roof padding was found to reduce the peak translational head acceleration and the HIC, with rigid IMPAXX foams performing better than semirigid ethylene vinyl acetate (EVA) foam. However, the head injury potential was reduced considerably more by wearing a helmet than by the addition of roof padding.

Conclusions: The results of this study provide initial quantitative findings that provide a better understanding of helmet–roof interactions in vertical impacts and the contributions of the military helmet and roof padding to mitigating head injury potential. Findings from this study will be used to inform further testing with the future aim of developing a new minimum head clearance standard for occupants of light armored vehicles.     

Analysis of risk factors affecting driver injury and crash injury with drivers under the influence of alcohol (DUI) and non-DUI

Objective: The objective of this research was to study risk factors that significantly influence the severity of crashes for drivers both under and not under the influence of alcohol.

Methods: Ordinal logistic regression was applied to analyze a crash data set involving drivers under and not under the influence of alcohol in China from January 2011 to December 2014.

Results: Four risk factors were found to be significantly associated with the severity of driver injury, including crash partner and intersection type. Age group was found to be significantly associated with the severity of crashes involving drivers under the influence of alcohol. Crash partner, intersection type, lighting conditions, gender, and time of day were found to be significantly associated with severe driver injuries, the last of which was also significantly associated with severe crashes involving drivers not under the influence of alcohol.

Conclusions: This study found that pedestrian involvement decreases the odds of severe driver injury when a driver is under the influence of alcohol, with a relative risk of 0.05 compared to the vehicle-to-vehicle group. The odds of severe driver injury at T-intersections were higher than those for traveling along straight roads. Age was shown to be an important factor, with drivers 50–60 years of age having higher odds of being involved in severe crashes compared to 20- to 30-year-olds when the driver was under the influence of alcohol.

When the driver was not under the influence of alcohol, drivers suffered more severe injuries between midnight and early morning compared to early nighttime. The vehicle-to-motorcycle and vehicle-to-pedestrian groups experienced less severe driver injuries, and vehicle collisions with fixed objects exhibited higher odds of severe driver injury than did vehicle-to-vehicle impacts. The odds of severe driver injury at cross intersections were 0.29 compared to travel along straight roads. The odds of severe driver injury when street lighting was not available at night were 3.20 compared to daylight. The study indicated that female drivers are more likely to experience severe injury than male drivers when not under the influence of alcohol. Crashes between midnight and early morning exhibited higher odds of severe injury compared to those occurring at other times of day.

The identification of risk factors and a discussion on the odds ratio between levels of the impact of the driver injury and crash severity may benefit road safety stakeholders when developing initiatives to reduce the severity of crashes.     

Restraint use in the Eastern Province of the Kingdom of Saudi Arabia

Objectives: This study set out to examine seat belt and child restraint use in the Dammam Municipality of the Kingdom of Saudi Arabia, based on the premise that an increase in seat belt use would significantly reduce personal injury in traffic crashes. It was expected that local data would help identify intervention strategies necessary to improve seat belt use in the region.

Methods: The research involved 2 methodologies. First, 1,389 face-to-face interviews were conducted with male and female adults in regional shopping plazas regarding their own and their children's restraint use in their vehicles and reasons for these attitudes and beliefs. Second, 2 on-road observation studies of adult and child restraint use were conducted by trained observers. Occupants of approximately 5,000 passenger vehicles were observed while stopped at representative signalized traffic intersections.

Results: The findings showed front seat belt use rates of between 43 and 47% for drivers and 26 to 30% for front seat passengers; rear seat belt use rates were lower. While there seemed to be some knowledge about the purpose and reasons for restraining both adults and children in suitable restraints, this failed to be confirmed in the on-road observations.

Conclusions: Reasons for these rates and findings are discussed fully, and recommendations for improving seat belt use in the Dammam Municipality are included.     

Undercounting of large trucks in federal and state crash databases: Extent of problem and how to improve accuracy of truck classifications

Objective: Prior research suggested that single-unit trucks are undercounted when using vehicle body codes in the Fatality Analysis Reporting System (FARS). This study explored the extent of the misclassification and undercounting problem for crashes in FARS and state crash databases.

Methods: Truck misclassifications for fatal crashes were explored by comparing the Trucks Involved in Fatal Accidents (TIFA) database with FARS. TIFA used vehicle identification numbers (VINs) and survey information to classify large trucks. This study used VINs to improve the accuracy of large truck classifications in state crash databases from 5 states (Delaware, Maryland, Minnesota, Nebraska, and Utah).

Results: The vehicle body type codes resulted in a 19% undercount of single-unit trucks in FARS and a 23% undercount of single-unit trucks in state databases. Tractor-trailers were misclassified less often. Misclassifications occurred most frequently among single-unit trucks in the weight classes of 10,001–14,000 pounds.

Conclusions: The amount of misclassification of large trucks is large enough to potentially affect federal and state decisions on traffic safety. Using information from VINs results in more complete and accurate counts of large trucks involved in crashes. The National Transportation Safety Board recommended actions to improve federal and state crash data.     

Risk factors affecting the severity of traffic accidents at Shanghai river-crossing tunnel

Objective: With increasing traffic volume and urban development, increasing numbers of underground tunnels have been constructed to relieve conflict between strained land and heavy traffic. However, as more long tunnels are constructed, tunnel traffic safety is becoming increasingly serious. Thus, it is necessary to acquire their implications and impacts. This study examined 4,539 traffic accidents that have occurred in 14 Shanghai river-crossing tunnels for the period 2011–2012 and analyze the correlation between potential factors and accident injury severity.

Methods: An ordered logit model was developed to examine the correlation between potential factors and accident injury severity.

Results: Results show that increased injury severity is associated with male drivers, drivers aged 65 years or older, accident time from midnight to dawn, weekends, wet road surface, goods vehicles, 3 or more vehicles, 4 or more lanes, middle speed limits (50–79 km/h), zone 3, extra-long tunnels (over 3,000 m), and maximum longitudinal gradient.

Conclusions: This article aims to provide useful information for engineers to develop interventions and countermeasures to improve tunnel safety in China.     

矿井瓦斯爆炸高速气流的破坏和伤害特性研究

针对煤矿瓦斯爆炸事故频发现状,基于爆炸动力学、流体动力学理论对巷道受限空间瓦斯爆炸冲击波波阵面后高速气流的传播特性进行分析,建立高速气流压力和速度关系的数学模型。结合在实验巷道中瓦斯爆炸高速气流压力实验数据,拟合瓦斯爆炸高速气流速度和传播距离的计算公式,其结果表明,井下瓦斯爆炸事故高速气流的传播速度随传播距离的增加而减小。依据我国陆地地面风力等级划分标准比照可得瓦斯爆炸高速气流的等级为飓风级,对井下人员伤害巨大。该研究成果为控制和预防瓦斯爆炸破坏和伤害事故扩大及事故应急救援提供了理论依据。     

Effects of cimetidine and N-acetylcysteine on paraquat-induced acute lung injury in rats: a preliminary study

Abstract

Lung injury in rats challenged with paraquat at 20?mg kg^?1 body weight was histopathologically evident by inflammation, hemorrhage, and vascular congestion. Increased levels of reactive oxygen species and lipid peroxidation, decreased glutathione content, and lower tissue antioxidant capacity was found. The effects of N-acetylcysteine and cimetidine, a well-known potent inhibitor for organic cation transport, were examined. Lung injury was attenuated by N-acetylcysteine but not by cimetidine. The findings are consistent with the assumption that beneficial effects of N-acetylcysteine administration in paraquat-challenged animals might be linked to its ability for preserving the cellular redox environment and preventing oxidative stress, while cimetidine might even hasten paraquat-induced lung injury. On the other hand, the effects of cimetidine on paraquat-induced lung injury underline the importance of future studies on the role of transporters in this complication.     

A 6-year survey of road traffic accidents in Southwest China: Emphasis on traumatic brain injury

Background: The objective of this study is to provide an up-to-date overview of the patterns of injuries, especially traumatic brain injury (TBI) caused by RTAs and to discuss some of the public health consequences. Methods: A scientific team was established to collect road traffic accidents occurring between 2013 and 2018 in Chongqing, Southwest China. For each accident, the environment-, vehicle-, and person- variables were analyzed and determined. The overall injury distribution and TBI patterns of four types of road users (driver, passenger, motorcyclist and pedestrian) were compared. The environmental and time distribution of accidents with TBI were shown by bar and pie chart. The risks of severe brain injury whether motorcyclist wearing helmets or not were compared and the risk factors of severe TBI in pedestrian were determined by odds ratio analysis. Results: This study enrolled 2131 accidents with 2741 persons of all kind of traffic participants, 1149 of them suffered AIS1+ head injury and 1598(58%) died in 7 days. The most common cause of deaths is due to head injury with 714(85%) and 1266(79%) persons died within 2 hours. Among 423 persons suffered both skull fracture and intracranial injury, 102 (24.1%) have an intracranial injury but no skull fractures, while none of the skull fractures without intracranial injury was found. Besides, motorcyclists without a helmet were at higher risks for all the brain injury categories. The risk of pedestrian suffering severe TBI at an impact speed of more than 70 km/h is 100 times higher than that with an impact speed of less than 40 km/h. Conclusion: It is urgently needed to develop a more reliable brain injury evaluation criterion for better protection of the road users. We believe that strengthening the emergency care to head injury at the scene is the most effective way to reduce traffic fatality.     

建筑施工中临边高处坠落危险源影响空间建模

将建筑施工中临边坠落的特性模型化,对于预防建筑施工中伤亡事故具有重要的意义。在分析人或物临边高处坠落事故特点的基础上,给出施工工作面内外2种危险源影响空间范围的定义及其数学表达函数,构建相应的危险源影响空间中危害能量分布的数学模型,提出它对人体不同部位伤害程度的评估分析思路,并在大面积碰撞和小面积碰撞2种情况下,建立该危害能量对人体头枕部伤害程度的评估分析方法。通过上海某个6层框架结构教学楼案例,对上述数学模型和评估分析方法进行验证。这为在进行施工计划安排时,考虑危险源影响空间的影响,降低安全事故发生的可能性创造条件,也为安全事故事前预防提供新思路。