Objective: Although electric bicycle-related injuries have become the most common reason for hospitalization due to a road crash in China, no study has comprehensively investigated electric bicycle collisions and their impact on orthopedic injuries; such a study may provide evidence to support a new road safety policy.
Methods: A retrospective review of orthopedic injuries from electric bicycle collisions was performed in an urban trauma center. We collected variables including age, gender, location of fracture, presence of open or closed fractures, concomitant vascular, and neurologic injuries.
Results: A total of 2,044 cases were involved in electric bicycle collisions. The orthopedic injury victims were predominantly male and middle aged. The most common orthopedic injury was a femur fracture. Open fractures frequently involved the forearm and tibia/fibula. Male patients were more likely to suffer from multiple fractures and associated injuries than female patients. Fewer patients age 60 years old or older wore helmets at the time of the accident compared to those in other age groups.
Conclusions: Orthopedic injuries from electric bicycle-related accidents cause patients substantial suffering that could lead to serious social consequences. Helmet use and protective clothing or similar safety gear, especially for electric bicycle users, should be required to provide greater protection. 相似文献
Objective: European car design regulations and New Car Assessment Program (NCAP) ratings have led to reductions in pedestrian injuries. The aim of this study was to evaluate the impact of improving vehicle front design on mortality and morbidity due to pedestrian injuries in a European country (Germany) and 2 countries (the United States and India) that do not have pedestrian-focused NCAP testing or design regulations.
Methods: We used data from the International Road Traffic and Accident Database and the Global Burden of Disease project to estimate baseline pedestrian deaths and nonfatal injuries in each country in 2013. The effect of improved passenger car star ratings on probability of pedestrian injury was based on recent evaluations of pedestrian crash data from Germany. The effect of improved heavy motor vehicle (HMV) front end design on pedestrian injuries was based on estimates reported by simulation studies. We used burden of disease methods to estimate population health loss by combining the burden of morbidity and mortality in disability-adjusted life years (DALYs) lost.
Results: Extrapolating from evaluations in Germany suggests that improving front end design of cars can potentially reduce the burden of pedestrian injuries due to cars by up to 24% in the United States and 41% in India. In Germany, where cars comply with the United Nations regulation on pedestrian safety, additional improvements would have led to a 1% reduction. Similarly, improved HMV design would reduce DALYs lost by pedestrian victims hit by HMVs by 20% in each country. Overall, improved vehicle design would reduce DALYs lost to road traffic injuries (RTIs) by 0.8% in Germany, 4.1% in the United States, and 6.7% in India.
Conclusions: Recent evaluations show a strong correlation between Euro NCAP pedestrian scores and real-life pedestrian injuries, suggesting that improved car front end design in Europe has led to substantial reductions in pedestrian injuries. Although the United States has fewer pedestrian crashes, it would nevertheless benefit substantially by adopting similar regulations and instituting pedestrian NCAP testing. The maximum benefit would be realized in low- and middle-income countries like India that have a high proportion of pedestrian crashes. Though crash avoidance technologies are being developed to protect pedestrians, supplemental protection through design regulations may significantly improve injury countermeasures for vulnerable road users. 相似文献
Objectives: Public transport vehicles (PTVs) play a decisive role in development of the urban economy. However, the safety of PTVs is threatened by the man-released chemical or arson attack. It was found that indoor air safety can be greatly improved by employing air-rain ventilation instead of the common ventilation in a PTV.Methods: Numerical simulations and experiments have been done to prove the effectiveness of the air-rain flow against chemical attack or arson in PTVs.Results: The research shows that, during a chemical attack, an air-rain flow of 0.1 m/s can constrain the spread of a chemical agent in a very limited zone near its source, which is far away from the passengers’ breathing area in the PTV. During an arson attack, at an air-rain flow of 0.3 m/s, most of the area in the PTV maintains a low temperature for at least 60?s during a fire, which is long enough for passenger evacuation.Conclusion: Compared to common ventilation, the key characteristic of air-rain ventilation is its resistance to the blending effect of the air. Because of this, the spread of chemical agents, hot gas/combustion products during a fire, and fuel aerosol is constrained to a limited area in a PTV. Passengers are then protected from chemical attack, explosion of fuel aerosols, and high temperatures and smoke. Thus, we can say that this new ventilation mode increases passenger safety in buses. 相似文献
The aim was to investigate occupational exposure to electric and magnetic fields during tasks at ground or floor level at 110?kV substations in Finland and to compare the measured values to Directive 2013/35/EU. Altogether, 347 electric field measurements and 100 magnetic field measurements were performed. The average value of all electric fields was 2.3?kV/m (maximum 6.4?kV/m) and that of magnetic fields was 5.8?µT (maximum 51.0?µT). It can be concluded that the electric and magnetic field exposure at ground or floor level is typically below the low action levels of Directive 2013/35/EU. The transposition of the directive will not create new needs to modify the work practice of the evaluated tasks, which can continue to be performed as before. However, for workers with medical implants, the exposure may be high enough to cause interference. 相似文献