Car drivers with dementia: Different complications due to different etiologies?

Objective: Older drivers with dementia are an at-risk group for unsafe driving. However, dementia refers to various etiologies and the question is whether dementias of different etiology have similar effects on driving ability.

Methods: The literature on the effects of dementia of various etiologies on driving ability is reviewed.

A randomized controlled evaluation study of the effects of a one-day advanced rider training course.

Unlabelled: Motorcyclists have a relative high risk of crash involvement. As a consequence there is an on-going search for safety measures to improve road safety for motorcyclists. One popular measure is motorcycle training.

Speed choice and mental workload of elderly cyclists on e-bikes in simple and complex traffic situations: a field experiment.

To study the speed choice and mental workload of elderly cyclists on electrical assisted bicycles (e-bikes) in simple and complex traffic situations compared to these on conventional bicycles, a field experiment was conducted using two instrumented bicycles. These bicycles were identical except for the electric pedal support system. Two groups were compared: elderly cyclists (65 years of age and older) and a reference group of cyclists in middle adulthood (between 30 and 45 years of age).

Nothing good ever happens after midnight: observed exposure and alcohol use during weekend nights among young male drivers carrying passengers in a late licensing country.

Similar to other countries, also in the Netherlands young male drivers (ages between 18 and 24 years) are overrepresented in crashes during weekend nights, thereby fatally injuring one or more of their passengers. This overrepresentation may be due to two contributing factors: (a) a higher exposure-to-risk because of dangerous trip condition, and (b) a higher tendency to take risks. Studies on these factors, mostly carried out in jurisdictions where youngsters are licensed at an earlier age than in Europe, suggest a strong -often negative- influence from peer-aged passengers.

An exploration of alternative intersection designs in the context of Safe System.

Fatal and serious injury crashes persist at intersections despite current efforts to address this. Little research specifically investigates the role played by existing intersection design in perpetuating serious intersection crash outcomes despite an increasing move to incorporate Safe System design on to roads. This paper identifies design principles deemed important to align intersection design with Safe System approaches, including exploring the impact of speed and angle on overall kinetic energy of a crash.

Quantifying the influence of safe road systems and legal licensing age on road mortality among young adolescents: steps towards system thinking.

Based on existing literature, a system thinking approach was used to set up a conceptual model on the interrelationships among the components influencing adolescent road mortality, distinguishing between components at the individual level and at the system level. At the individual level the role of risk behaviour (sometimes deliberate and sometimes from inexperience or other non-deliberate causes) in adolescent road mortality is well documented. However, little is known about the extent to which the 'road system' itself may also have an impact on younger adolescents' road mortality.

Latent risk and trend models for the evolution of annual fatality numbers in 30 European countries.

In this paper a unified methodology is presented for the modelling of the evolution of road safety in 30 European countries. For each country, annual data of the best available exposure indicator and of the number of fatalities were simultaneously analysed with the bivariate latent risk time series model. This model is based on the assumption that the amount of exposure and the number of fatalities are intrinsically related.

The effects of cyclists present at rural intersections on speed behavior and workload of car drivers: a driving simulator study.

Objective: The objective was to gain insight into how the number of cyclists, the cyclist's approach direction, and the cyclist's action affect the speed and mental workload of drivers approaching rural intersections. In addition, the effects of a speed-reducing measure on the interaction between cyclists and motorized traffic were examined.

Methods: An experiment was conducted in a moving-base driving simulator.

Driving under the influence of alcohol in the Netherlands by time of day and day of the week.

The purpose of this study is to provide an overview of the variation in the prevalence of alcohol in everyday traffic in the Netherlands during all days of the week and all times of day. Breath tests were taken from randomly selected car drivers and drivers of small vans in six police regions in the Netherlands between January 2007 and August 2009. A total of 28,057 drivers were included in the study.

Analyzing road design risk factors for run-off-road crashes in The Netherlands with crash prediction models.

Problem: About 50% of all road traffic fatalities and 30% of all traffic injuries in the Netherlands take place on rural roads with a speed limit of 80 km/h. About 50% of these crashes are run-off-road (ROR) crashes. To reduce the number of crashes on this road type, attention should be put on improving the safety of the infrastructure of this road type.

Five road safety education programmes for young adolescent pedestrians and cyclists: a multi-programme evaluation in a field setting.

A practical approach was developed to assess and compare the effects of five short road safety education (RSE) programmes for young adolescents that does not rely on injury or crash data but uses self reported behaviour. Questionnaires were administered just before and about one month after participation in the RSE programmes, both to youngsters who had participated in a RSE programme, the intervention group, and to a comparable reference group of youngsters who had not, the reference group. For each RSE programme, the answers to the questionnaires in the pre- and post-test were checked for internal consistency and then condensed into a single safety score using categorical principal components analysis.

Identifying contributing factors to fatal and serious injury motorcycle collisions involving children in Malaysia.

In Malaysia, motorcycle crashes constitute approximately 60 percent of all road trauma, and a substantial proportion involve children 16 years and younger. There are, however, many gaps in our knowledge on contributing factors to crashes and injury patterns amongst children killed and seriously injured in motorcycle crashes. The aim of this study was to examine fatal and serious injury motorcycle-related collisions to identify contributing factors and injury patterns amongst child motorcyclists.

A different perspective on conspicuity related motorcycle crashes.

The most common type of conflict in which a motorcyclist is injured or killed is a collision between a motorcycle and a car, often in priority situations. Many studies on motorcycle safety focus on the question why car drivers fail to give priority and on the poor conspicuity of motorcycles. The concept of 'looked-but-failed-to-see' crashes is a recurring item.

An epidemiological study of the risk of cycling in the dark: the role of visual perception, conspicuity and alcohol use.

To curtail the rising numbers of cyclists seriously injured in road crashes, more insights are needed into the factors that contribute to these crashes. For instance, darkness is known to be associated with higher injury rates, but little is known about the relative influence of factors such as poor conspicuity, impaired perception and alcohol use among cyclists. To examine these factors, the present study analyzed the epidemiological crash data for three meteorological light conditions: daylight, late evening darkness and early morning darkness; for two crash types: crashes with (M-crashes) and without motorized traffic (NM-crashes); and for different age groups.

A road safety performance indicator for vehicle fleet compatibility.

This paper discusses the development and the application of a safety performance indicator which measures the intrinsic safety of a country's vehicle fleet related to fleet composition. The indicator takes into account both the 'relative severity' of individual collisions between different vehicle types, and the share of those vehicle types within a country's fleet. The relative severity is a measure for the personal damage that can be expected from a collision between two vehicles of any type, relative to that of a collision between passenger cars.

The value of site-based observations complementary to naturalistic driving observations: a pilot study on the right turn manoeuvre.

Naturalistic driving studies are increasingly applied in different shapes and sizes. The European project PROLOGUE has investigated the value and feasibility of a large-scale naturalistic driving study in Europe. Within PROLOGUE several pilot studies have been conducted in different countries.

Studying the role of vision in cycling: critique on restricting research to fixation behaviour.

In a recent study published in Accident Analysis & Prevention, Vansteenkiste et al. (2013)--as one of the first in this field--investigated the visual control of bicycle steering. They undertook the interesting task of testing cyclists' eye fixation behaviour against Donges' two-level model of steering, i.

Crash involvement of motor vehicles in relationship to the number and severity of traffic offenses. An exploratory analysis of Dutch traffic offenses and crash data.

Objective: To establish the statistical relationship between offenses and crashes when the unit of analysis is the vehicle instead of the driver, to show the influence of the severity (e.g., minor speed offenses) on this relationship, and to research whether the form of this relationship is similar in different enforcement contexts.

Young drivers who obtained their licence after an intensive driving course report more incidents than drivers with a traditional driver education.

This paper studies the effectiveness of intensive driving courses; both in driving test success and safe driving after passing the driving test. The so-called intensive driving course (IDC) consists of a limited number of consecutive days in which the learner driver takes driving lessons all day long; and is different from traditional training in which lessons are spread out over several months and in which learners take one or two driving lessons of approximately 1 h each per week. Our study indicates that--in the first two years of their driving career--IDC drivers (n=35) reported an incident significantly more often (43%) than 351 drivers who obtained their driving licence after traditional training (26%).

A conceptual framework for road safety and mobility applied to cycling safety.

Scientific literature lacks a model which combines exposure to risk, risk, and the relationship between them. This paper presents a conceptual road safety framework comprising mutually interacting factors for exposure to risk resulting from travel behaviour (volumes, modal split, and distribution of traffic over time and space) and for risk (crash and injury risk). The framework's three determinants for travel behaviour are locations of activities; resistances (generalized transport costs); needs, opportunities, and abilities.

Changing mobility patterns and road mortality among pre-license teens in a late licensing country: an epidemiological study.

Background: Whereas the safety of teens in early licensing countries has been extensively studied, little is known about the safety of pre-license teens in late licensing countries, where these teens also may be at risk. This risk exists because of the combination of a) increasing use of travel modes with a high injury risk, such as bicycles and mopeds, b) inexperience, and c) teens' developmental stage, known to be associated with risk taking and novelty seeking, especially among males. To explore the magnitude and nature of pre-license road risk, this study analysed epidemiological data from the Netherlands, and hypothesized that in this late licensing country, 'independent travel' and the use of riskier modes of transport increase among pre-license teens 10 to 17 years of age, resulting in higher fatality rates, with 'experience' and 'gender' as risk modifying factors.

Inexperience and risky decisions of young adolescents, as pedestrians and cyclists, in interactions with lorries, and the effects of competency versus awareness education.

Background: Road injuries are a prime cause of death in early adolescence. Often road safety education (RSE) is used to target risky road behaviour in this age group. These RSE programmes are frequently based on the assumption that deliberate risk taking rather than lack of competency underlies risk behaviour.

Random and systematic errors in case-control studies calculating the injury risk of driving under the influence of psychoactive substances.

Between 2006 and 2010, six population based case-control studies were conducted as part of the European research-project DRUID (DRiving Under the Influence of Drugs, alcohol and medicines). The aim of these case-control studies was to calculate odds ratios indicating the relative risk of serious injury in car crashes. The calculated odds ratios in these studies showed large variations, despite the use of uniform guidelines for the study designs.

On statistical inference in time series analysis of the evolution of road safety.

Data collected for building a road safety observatory usually include observations made sequentially through time. Examples of such data, called time series data, include annual (or monthly) number of road traffic accidents, traffic fatalities or vehicle kilometers driven in a country, as well as the corresponding values of safety performance indicators (e.g.