Uncovering the temporal trend in crash counts provides a good understanding of the context for pedestrian safety. With a rareness of pedestrian crashes it is impossible to investigate monthly temporal effects with an individual segment/intersection level data, thus the time dependence should be derived from the aggregated level data. Most previous studies have used annual data to investigate the differences in pedestrian crashes between different regions or countries in a given year, and/or to look at time trends of fatal pedestrian injuries annually. Use of annual data unfortunately does not provide sufficient information on patterns in time trends or seasonal effects. This paper describes statistical methods uncovering patterns in monthly pedestrian crashes aggregated on urban roads in Connecticut from January 1995 to December 2009. We investigate the temporal behavior of injury severity levels, including fatal (K), severe injury (A), evident minor injury (B), and non-evident possible injury and property damage only (C and O), as proportions of all pedestrian crashes in each month, taking into consideration effects of time trend, seasonal variations and VMT (vehicle miles traveled). This type of dependent multivariate data is characterized by positive components which sum to one, and occurs in several applications in science and engineering. We describe a dynamic framework with vector autoregressions (VAR) for modeling and predicting compositional time series. Combining these predictions with predictions from a univariate statistical model for total crash counts will then enable us to predict pedestrian crash counts with the different injury severity levels. We compare these predictions with those obtained from fitting separate univariate models to time series of crash counts at each injury severity level. We also show that the dynamic models perform better than the corresponding static models. We implement the Integrated Nested Laplace Approximation (INLA) approach to enable fast Bayesian posterior computation. Taking CO injury severity level as a baseline for the compositional analysis, we conclude that there was a noticeable shift in the proportion of pedestrian crashes from injury severity A to B, while the increase for injury severity K was extremely small over time. This shift to the less severe injury level (from A to B) suggests that the overall safety on urban roads in Connecticut is improving. In January and February, there was some increase in the proportions for levels A and B over the baseline, indicating a seasonal effect. We found evidence that an increase in VMT would result in a decrease of proportions over the baseline for all injury severity levels. Our dynamic model uncovered a decreasing trend in all pedestrian crash counts before April 2005, followed by a noticeable increase and a flattening out until the end of the fitting period. This appears to be largely due to the behavior of injury severity level A pedestrian crashes.
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http://dx.doi.org/10.1016/j.aap.2013.11.006 | DOI Listing |
J Vis Exp
January 2025
Department of Cardiac Surgery, the First Affiliated Hospital of Xinjiang Medical University;
The objective of this study was to investigate the cardioprotective effects of Munziq on abnormal body fluid myocardial ischemia-reperfusion injury (MIRI) and its underlying mechanism.Normal rats and rats with abnormal body fluid (ABF) were pre-treated with Munziq for 21 days. Following this, MIRI models were established.
View Article and Find Full Text PDFAging Clin Exp Res
January 2025
Department of Physical Medicine and Rehabilitation, Kansai Medical University, Osaka, Japan.
Background: Falls on stairs are a major cause of severe injuries among older adults, with stair descent posing significantly greater risks than ascent. Variations in stair descent phenotypes may reflect differences in physical function and biomechanical stability, and their identification may prevent falls.
Aims: This study aims to classify stair descent phenotypes in older adults and investigate the biomechanical and physical functional differences between these phenotypes using hierarchical cluster analysis.
Torture
January 2025
MD. Private practice, Zurich, Switzerland. Correspondence to
Dear Editor-in-chief: Thank you for focussing on this troubling subject in your issue 1/2024. It confirms that many of the difficulties involved are similar worldwide. Countries that use less-lethal weapons include Switzerland, the only Western European democracy besides France to employ multiple kinetic impact projectiles.
View Article and Find Full Text PDFCNS Neurol Disord Drug Targets
January 2025
Biosciences and Bioengineering PhD Program, American University of Sharjah, UAE.
Neurological conditions resulting from severe spinal cord injuries, brain injuries, and other traumatic incidents often lead to the loss of essential bodily functions, including sensory and motor capabilities. Traditional prosthetic devices, though standard, have limitations in delivering the required dexterity and functionality. The advent of neuroprosthetics marks a paradigm shift, aiming to bridge the gap between prosthetic devices and the human nervous system.
View Article and Find Full Text PDFCureus
December 2024
Orthopaedic Surgery, Ng Teng Fong General Hospital, Singapore, SGP.
This case report describes a 70-year-old male presenting with limb weakness, urinary retention and tandem cervical and lumbar spinal stenosis with complicating white cord syndrome, a rare reperfusion injury post decompression surgery. Initially admitted following an unwitnessed fall, the patient's neurological examination indicated that progressive weakness of the limbs and sensory loss etiology is cervical and lumbar spondylosis with severe spinal canal stenosis, confirmed by imaging. Due to rapid deterioration, he underwent C5 corpectomy, cervical decompression and fusion.
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