In view of the suddenness, complexity and high-risk potential of bus crashes, the injury severity and its influencing factors have increasingly became the research focus in urban transportation safety management. The purpose of this study is to analyze the core elements of bus crash injury severity and its interaction mechanism, in order to provide a scientific basis for improving the bus operation safety. In this study, 283 crashes occurred in a Chongqing bus company from January to June 2022 were taken as samples around the dimensions of drivers' educational background, driving characteristics, weather, and corporate management strategies. PLS-SEM, CoMe index, MICOM, and permutation-based MGA are comprehensively applied to deeply analyze the direct and indirect effects among variables and reveal the conditional mediation effect. The study found crash injury severity effects ranked in order of crash liability, work intensity, weather conditions, violation tendency, education, and driving experience. Bus driver's crash liability plays a fully mediating role between several factors and injury severity, while improving education and increasing rest gap time are effective in reducing bus driver's crash liability. Notably, bad weather flat peaks and good weather peak periods are prone to more severe bus crashes. In addition, the mediating effect of driving experience on liability level through violation tendency was significant only in bus driver groups with moderate to high sense of work responsibility. This study deepens our understanding of bus crash injury severity and its interaction mechanism, guiding targeted safety measures for bus corporation and boosting overall public transportation safety.
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http://dx.doi.org/10.1016/j.heliyon.2024.e39959 | DOI Listing |
Ir J Med Sci
December 2024
Amsterdam UMC location University of Amsterdam, Department of Orthopedic Surgery and Sports Medicine, Meibergdreef 9, Amsterdam, The Netherlands.
Background: Knee injuries are common among elite intercounty Gaelic games players (collectively GAA players).
Aims: The primary aim was to examine knee pain, function, and quality of life in retired elite male GAA players. Secondary objectives were to (i) report the incidence of previous knee surgery and total knee replacement, (ii) assess medication usage, and (iii) investigate any associations between a history of knee injury and/or knee surgery and knee pain, function, and quality of life among retired elite male GAA players.
Arch Orthop Trauma Surg
December 2024
Department of Surgery, University Medical Center Utrecht, PO Box 85500, 3508 GA, Utrecht, The Netherlands.
Background: Nosocomial pneumonia is common in trauma patients and associated with an adverse prognosis. We recently externally validated and recalibrated an existing formula to predict nosocomial pneumonia risk. Identifying more potential predictors could aid in a more accurate prediction of nosocomial pneumonia risk in level-1 trauma patients.
View Article and Find Full Text PDFNeurol Int
December 2024
Department of Obstetrics, Gynecology and Reproductive Sciences, School of Medicine, University of Miami Miller, Miami, FL 33136, USA.
Neurosyphilis-induced dementia represents a severe manifestation of tertiary syphilis, characterized by cognitive and neuropsychiatric impairments. This condition arises from the progression of syphilis to the central nervous system, where the spirochete causes damage through invasion, chronic inflammation, and neurodegeneration. The pathophysiology involves chronic inflammatory responses, direct bacterial damage, and proteinopathies.
View Article and Find Full Text PDFJ Funct Morphol Kinesiol
December 2024
Department of Exercise Science, Thomas Jefferson University, Philadelphia, PA 19144, USA.
Collision-sport athletes, such as rugby players, are at risk of sport-related concussion (SRC). Women are known to be at higher risk of SRC and may experience more severe and chronic symptomology than men. Knowledge of the factors that affect a player's disclosure of their concussive symptoms could help to inform strategies to improve compliance with reporting and management of head injuries.
View Article and Find Full Text PDFJ Imaging
December 2024
Radiology Department, Medical College of Wisconsin, Milwaukee, WI 53226, USA.
This study investigates radiomic efficacy in post-surgical traumatic spinal cord injury (SCI), overcoming MRI limitations from metal artifacts to enhance diagnosis, severity assessment, and lesion characterization or prognosis and therapy guidance. Traumatic spinal cord injury (SCI) causes severe neurological deficits. While MRI allows qualitative injury evaluation, standard imaging alone has limitations for precise SCI diagnosis, severity stratification, and pathology characterization, which are needed to guide prognosis and therapy.
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