Accident; analysis and prevention
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Review Meta Analysis
Effects of acute alcohol consumption on measures of simulated driving: A systematic review and meta-analysis.
Driving simulators are used in a wide range of research settings to help develop an understanding of driver behavior in complex environments. Acute alcohol impairment is an important research topic for traffic safety and a large number of studies have indicated levels of simulated driving impairment imposed by alcohol across a range of performance outcome variables. The aim of the present study was to examine the impact of acute alcohol consumption on simulated driving performance by conducting a systematic review and meta-analysis of the available evidence. ⋯ Alcohol consumption resulted in a small significant increase in SDLP under these conditions (standardized difference in means=0.23, 95% CI: 0.06, 0.39). These results demonstrate that lateral (SDLP and LC) and longitudinal (SDSP) vehicle control measures in a driving simulator are impaired with acute alcohol consumption. However, SDLP appears to be a more sensitive indicator of driving impairment than other driving performance variables and the results of the present study support its use as a performance outcome when examining alcohol-induced simulated driving impairment.
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Walking to school could improve pupils' health condition and might also reduce the use of motorized transport modes, which leads to both traffic congestion and air pollution. The current study aims to examine the role of parental risk judgements (i.e. risk perception and worry), transport safety attitudes, transport priorities and accident experiences on pupils' walking and mode choices on school trips in Iran, a country with poor road safety records. A total of 1078 questionnaires were randomly distributed among pupils at nine public and private schools in January 2014 in Rasht, Iran. ⋯ A one percent increase in parental safety knowledge increased the walking probability by around 0.25%. A 1 unit increase in parental probability assessment and worry towards pupils' walking, decreased the probability of choosing walking mode by 0.11 and 0.05, respectively. Policy-makers who aim to promote walking to schools should improve safety and security of the walking facilities and increase parental safety knowledge.
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Clinical Trial
Interaction driver-bicyclist on rural roads: Effects of cross-sections and road geometric elements.
The interaction of motorists and bicyclists, particularly during passing maneuvers, is cited as one of the primary causes of bicyclist fatalities. This paper reports the results of a driving simulator study, which sought to analyze the effects that three cross-section configurations of a two-lane rural road and four geometric elements of the road have on driver behavior, during the interaction with a cyclist. A two-lane rural road, about 11km long, was designed and implemented in an advanced-interactive driving simulator. ⋯ This determined an excessive and risky displacement of the vehicle to the opposing lane, whose criticality was also emphasized by the high speed adopted by the driver. On the right curve, the lateral clearance was higher than that recorded on the tangents, probably due to the necessity of the driver to perform the demanding maneuver of entering in the right curve, which also determined a speed reduction compared to the cyclist absence condition. The obtained results provide suggestions for the most efficient cross-section reorganization of existing two-lane rural roads in order to improve the road safety.
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Partial ejection (PE) of the upper extremity (UE) can occur in a motor vehicle crash (MVC) resulting in complex and severe soft tissue injuries (SSTI). This study evaluated the relationship between partial ejection and UE injuries, notably SSTIs, in MVCs focusing on crash types and characteristics, and further examined the role of side curtain airbags (SCABs) in the prevention of partial ejection and reducing SSTI of the UE. ⋯ The majority of severe soft tissue injuries (SSTI) of the upper extremity (UE) involved partial ejection out the nearside window of outboard seated occupants in nearside impacts and rollover collisions. Real world case studies showed that SSTIs of the upper extremity require extensive treatment, extended hospitalization and are costly. Occupants without a side curtain airbag (SCAB) deployment had an increase in the odds of partial ejection. SCAB deployments provided protection against partial ejection and prevented SSTIs of the UE, with none occurring in nearside impacts, and a small percentage and reduction occurring in rollover collisions compared to those where SCABs were unavailable or did not deploy.
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The aim of this work is to describe pedestrian-driver encounters, communication, and decision strategies at marked but unsignalised crossings in urban areas in the Czech Republic and the ways in which the parties involved experience and handle these encounters. A mixed-methods design was used, consisting of focus groups with pedestrians and drivers regarding their subjective views of the situations, on-site observations, camera recordings, speed measurements, the measurement of car and pedestrian densities, and brief on-site interviews with pedestrians. In close correspondence with the literature, our study revealed that the most relevant predictors of pedestrians' and drivers' behaviour at crossings were the densities of car traffic and pedestrian flows and car speed. ⋯ For instance, the infrastructure near pedestrian crossings should be designed in such a way as to take proper account of pedestrians' needs to feel safe and comfortable, as well as ensuring their objective safety. Thus, improvements should include measures aimed at reducing the speed of approaching vehicles (e.g. humps, speed cushions, elevated crossings, early yield bars, and narrow lanes), as this would enhance yielding by motor vehicles. Other measures that specifically rely on the subjective perception of different situations by the parties involved include the education and training of drivers, the aim of which is to promote their understanding and appreciation of pedestrians' needs and motives.