Most of the previous studies that investigated the factors increasing the severity of rear-end collisions were based on analyzing collision reports from multiple years and combining them into a single dataset for analysis. Analyzing pooled data from multiple years carries the risk of introducing aggregation bias in the analysis. Those aggregated models might be structurally unstable, and the significance of the risk factors identified using those aggregated models might change over time due to the ongoing changes in vehicle technologies, law-enforcement technologies, and drivers' attitudes. This study demonstrates the importance of testing the temporal stability of pooled data by utilizing logistic regression modeling to analyze all rear-end collisions that occurred in North Carolina for the period from January 1, 2004 to December 31, 2015. Separate models were developed for each year to model injury severity of striking and struck drivers. The year-wise models were compared together to identify the most temporally stable factors, and it was found that older and female drivers are usually more severely injured, but they do not increase injury severity of the drivers they collide with. It was also found that compared to other light-duty vehicles, passenger cars are usually associated with increased injury severity to their drivers and reduced injury severity to the drivers of the vehicles they collide with. The increased age of a vehicle was found to increase the injury severity of its driver as well as the driver of the vehicle it collides with. Dark conditions were found to increase drivers' injury severity, but adverse weather conditions have no similar effect. For comparison, aggregated models were also developed by pooling data from all analysis years (from 2004 to 2015) and were found to return significant factors that were found by the year-wise models to be temporally unstable. Chow tests were performed on the data, and it was found that pooling data for four years or more generally returned structurally unstable models.
Download full-text PDF |
Source |
---|---|
http://dx.doi.org/10.1016/j.aap.2020.105562 | DOI Listing |
Langenbecks Arch Surg
January 2025
Department of Trauma Surgery, University Hospital Zurich, Rämistrasse 100, CH - 8091, Zurich, Switzerland.
Introduction: Blunt traumatic aortic injury (TAI) is a critical condition and a leading cause of mortality in trauma patients, often resulting from high-speed accidents. Thoracic endovascular aortic repair (TEVAR) has developed into the preferred therapeutic approach due to its minimally invasive nature and promising outcomes. This study evaluates the safety and efficacy of TEVAR for managing TAI over a 10-year period at a Level-1 trauma center.
View Article and Find Full Text PDFBackground/aims: Bruise is the extravasation of blood that may be mild or severe. Bone marrow mesenchymal stem cells (BM-MSCs) are one of the most promising cells used in regenerative medicine for treating many disorders. We aimed to evaluate the efficiency of BM-MSCs in treating cutaneous bruises.
View Article and Find Full Text PDFFASEB J
January 2025
Department of Cardiovascular Surgery, The First Affiliated Hospital of Harbin Medical University, Harbin, China.
Sepsis-induced acute lung injury (ALI) is a common acute and severe reason of death in the intensive care unit. Although the pathogenesis is complicated and multifactorial, elevated inflammation and oxidative stress are considered as fundamental mechanisms for the progression of ALI. Anemonin is a natural compound with diverse biological properties including anti-inflammatory and anti-oxidative effects.
View Article and Find Full Text PDFZhongguo Dang Dai Er Ke Za Zhi
January 2025
Department of Neurology, Children's Hospital of Soochow University, Suzhou, Jiangsu 215025, China.
Objectives: To investigate the clinical characteristics and prognosis of infants and young children with basal ganglia infarction after minor head trauma (BGIMHT).
Methods: A retrospective analysis was conducted on the clinical data and follow-up results of children aged 28 days to 3 years with BGIMHT who were hospitalized at Children's Hospital of Soochow University from January 2011 to January 2022.
Results: A total of 45 cases of BGIMHT were included, with the most common symptom being limb movement disorders (96%, 43/45), followed by facioplegia (56%, 25/45).
Zhongguo Dang Dai Er Ke Za Zhi
January 2025
Department of Pediatrics, Jinling Hospital, Medical School of Nanjing University, Nanjing 210000, China.
Objectives: To study the significance of serum 25-hydroxyvitamin D [25-(OH)D] level in the clinicopathological characteristics and prognosis of children with immunoglobulin A vasculitis nephritis (IgAVN).
Methods: A retrospective analysis was conducted on the clinical data of children with IgAVN who underwent renal biopsy at Suzhou Hospital Affiliated to Anhui Medical University and Jinling Hospital of the Medical School of Nanjing University from June 2015 to June 2020. Based on serum 25-(OH)D level, the patients were divided into a normal group and a lower group.
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!