Bicyclists are vulnerable road users as they are not protected during a road collision. Although numerous studies have been conducted to understand the parameters contributing to bicyclist's injury severity, most of these studies have focused on the relationship between crash severity and road, environmental, vehicle and human demographic parameters. No study has been found that investigated the relationship of bicyclist's injury severity with speed and mass of both vehicles, as well as other crash dynamics aspects. This study developed a modelling framework to investigate the effect of variables such as speed, mass and crash angle on bicyclist's injury severity in bicycle-car crashes at intersections. A combination of Newtonian Mechanics and statistical analysis was utilised to develop this theory. This modelling process followed a two-step approach. In the first step, Newtonian Mechanics was used to develop numerical models to estimate the impact force applied to the bicyclist. Variables affecting the associated impact forces were then identified. In the second step, a mixed binary logistic regression model was developed to estimate injury severity of a bicycle-vehicle crash as a function of mass of both vehicles, speed of both vehicles before and after the crash, restraint use and age of bicyclist. Transport Accident Commission (TAC) validated crash data was used to develop the model. The results of the numerical models showed that kinetic energy of the car before crash and kinetic energy of the bicycle after crash are important parameters affecting the injury severity of the cyclist in bicycle-vehicle crashes. The results of the mixed binary logistic regression model confirmed that the addition of kinetic energy of the car before crash and the kinetic energy of the bicycle post-crash had a statistically significant effect on injury severity of bicyclist. The results further showed that older bicyclists were involved in higher severity crashes and helmet-wearing reduced the injury severity of the bicyclist.
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http://dx.doi.org/10.1016/j.aap.2020.105597 | DOI Listing |
Trauma Surg Acute Care Open
January 2025
Department of Surgery, University of Washington School of Medicine, Seattle, Washington, USA.
Objectives: The goal of the current study was to assess the effectiveness of a peer integrated collaborative care intervention for postinjury outcomes.
Methods: Injury survivors ≥18 years of age were screened for post-traumatic stress disorder (PTSD) symptoms and severe postinjury concerns; screen-positive patients were randomized to the intervention versus enhanced usual care control conditions. The collaborative care intervention included peer support and care management.
Trauma Surg Acute Care Open
January 2025
Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Background: Up to 20-40% of survivors of any traumatic injury develop post-traumatic stress disorder (PTSD) or depression after injury. Firearm injury survivors may be at even higher risk for adverse outcomes. We aimed to characterize PTSD and depression risk, pain symptoms, and ongoing functional limitations in firearm injury survivors early after hospital discharge.
View Article and Find Full Text PDFTrauma Surg Acute Care Open
January 2025
Trauma and Emergency Surgery, Chang Gung Memorial Hospital Linkou, Taoyuan, Taiwan.
Introduction: Pelvic fractures often result in life-threatening bleeding and hemodynamic instability. Resuscitative endovascular balloon occlusion of the aorta (REBOA) has emerged as a promising strategy for patients with severe pelvic fractures, facilitating subsequent hemostatic interventions. Transcatheter arterial embolization (TAE) is a well-established procedure for managing pelvic fractures accompanied by hemorrhage.
View Article and Find Full Text PDFFront Immunol
January 2025
State Key Laboratory of Traditional Chinese Medicine Syndrome, Department of Neurology, Guangdong Provincial Academy of Chinese Medical Sciences, Guangdong Provincial Hospital of Chinese Medicine, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Background: A stable and reproducible experimental bacterial pneumonia model postintracerebral hemorrhage (ICH) is necessary to help investigating the pathogenesis and novel treatments of Stroke-associated pneumonia (SAP).
Aim: To establish a Gram-negative bacterial pneumonia-complicating ICH rat model and an acute lung injury (ALI)-complicating ICH rat model.
Methods: We established two standardized models of post-ICH pneumonia by nasal inoculation with () or intratracheal inoculation with lipopolysaccharide (LPS).
Surg Pract Sci
September 2023
Department of Surgery, University of KwaZulu Natal, Durban, South Africa.
Introduction: This study compares outcomes between rural and urban geriatric trauma patients at a major trauma centre in South Africa.
Materials And Methods: This retrospective cohort study from a prospectively entered data set, reviewed all patients aged 65 years or above admitted between January 2013 to December 2020 to our trauma centre at Grey's Hospital, South Africa.
Results: Over the 8-year study period, a total of 323 patients aged ≥ 65 years were included (201 males (62%), mean age: 72 years.
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