Static obstacles (tunnel sidewalls, barricades, etc.) on the side of mountainous highways change the spatial range of the road during driving, restricting the driver's freedom of driving while possibly triggering the driver's shy away effect, which poses a specific potential safety hazard. To understand the characteristics of driving behaviour in mountain highway tunnels with different tunnel lengths and lateral obstacles, nine tunnels in Chongqing were selected for real-vehicle tests, and data on driving trajectories, speeds and other metrics were collected from 40 drivers. Analyse the driver's need for lateral safety distance in different scenarios, defines the conditions and scope of the shy away effect, and establishes a multi-scenario "distance-trajectory" offset prediction model to adjust the offset under varying lateral environments by setting different facilities. The results show that drivers exhibit some avoidance behavior towards lateral static obstacles, but the extent of the shy-away effect varies based on tunnel length. By widening the lateral clearance to 0.925 m on the left side and 1.450 m on the right side of the road to meet the driver's requirements for lateral safety distances, unreasonable avoidance behaviour can be reduced. Combined with the trajectory fluctuation characteristics of drivers in different tunnels, it is proposed to set up the traffic safety facilities in a manner more aligned with driver behavioral habits, with a place set up 110 m before the entrance of the short tunnel, two places set up in the medium tunnel at L/2 - 200 m, L/2 + 100 m (where L is the length of the tunnel), and three places for long tunnels at L/2 - 400 m, L/2 m, and L/2 + 300 m. For extra-long tunnels, facilities are to be set up in cycles of 500 m, 1000 m, and 1500 m intervals. In the cross-section where different drivers are prone to apparent trajectory offsets, a driving behavior prompt sign is added to help correct the driving trajectory.
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http://dx.doi.org/10.1016/j.aap.2024.107845 | DOI Listing |
Updates Surg
January 2025
Department of Gastrointestinal Surgery, The First People's Hospital of Foshan, No. 81 Lingnan Avenue North, Foshan, China.
The surgical risk is higher for obese patients undergoing laparoscopic left hemicolectomy. To enhance the surgical safety and efficacy for obese patients, we have innovatively integrated the advantages of various surgical approaches to modify a pancreas-guided C-shaped surgical procedure. The safety and quality were assessed through a retrospective analysis.
View Article and Find Full Text PDFJ Med Imaging Radiat Sci
January 2025
Instituto Politécnico de Coimbra, ESTESC - Coimbra Health School, Medical Imaging and Radiotherapy, Rua 5 de Outubro, S. Martinho do Bispo, Coimbra 3046-854, Portugal. Electronic address:
Background: Currently, there is an increase in procedures across various clinical specialties involving the use of ionising radiation.
Objective: The primary objective of this systematic review is to analyse and compare the existing literature regarding the effectiveness of leaded glasses for healthcare professionals.
Methods: Comprehensive literature searches were conducted for relevant studies published between 2018 and 2023 using the Scopus, PubMed, and Web of Science databases according to preferred reporting items for systematic reviews and meta-analyses (PRISMA) methodology.
Musculoskelet Sci Pract
January 2025
President & Chief Executive Officer Myopain Seminars, Bethesda, MD, USA; Department of Physical Therapy and Rehabilitation Science, School of Medicine, University of Maryland, Baltimore, MD, USA.
Background: Headache disorders are prevalent often leading to disability. The rectus capitus posterior major muscle (RCPMaj) may contribute to headache symptoms via nociceptive convergence and myodural bridging.
Objectives: To establish guidelines for needle length and needle angle to mitigate risks during dry needling RCPMaj.
J Neurosurg Spine
January 2025
1Department of Orthopedics, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China.
Objective: The potential of robot-assisted (RA) single-position (SP) lateral lumbar interbody fusion (LLIF) warrants further investigation. This study aimed to assess the efficacy of RA-SP-LLIF in improving both clinical and radiographic outcomes in patients undergoing lumbar spinal fusion surgery.
Methods: A total of 59 patients underwent either RA-SP-LLIF (n = 31 cases) or traditional LLIF (n = 28 cases).
JSES Int
November 2024
NAEON Institute, São Paulo, Brazil.
Background: Surgical procedures to treat anterior shoulder instability are essentially divided into those for significant bone loss and those without relevant bone loss. However, there is a gray area between these procedures that would not require bone grafting but would benefit from improved stabilization mechanisms. This study evaluates a technique based on the triple soft tissue block, the dynamic anterior stabilization of the shoulder, using an adjustable button.
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