scholarly journals Determinants of Bicyclist Injury Severity Resulting from Crashes at Roundabouts, Crossroads, and T-Junctions

2020 ◽  
Vol 2020 ◽  
pp. 1-12
Author(s):  
Jinxing Shen ◽  
Tiantong Wang ◽  
Changjiang Zheng ◽  
Miao Yu
Keyword(s):  
Injury Severity ◽  
Explanatory Variable ◽  
Decision Makers ◽  
Contributing Factors ◽  
Crash Data ◽  
Wide Range ◽  
Generalized Ordered Logit ◽  
Severity Levels ◽  
Serious Injury ◽  
The Uk

This study explores the contributing factors that influence bicyclist injury severity at three types of intersection: roundabouts, crossroads, and T-junctions. Using bicycle-involved crash data in the UK over nine years (from 2009 to 2017), the bicyclist injury severity (with three severity levels: fatal injury, serious injury, and slight injury) was estimated using the generalized ordered logit (GOL) model and partial proportional odds (PPO) model. The marginal effects of each explanatory variable were computed to investigate the impacts on bicyclist injury severity occurring probabilities. A wide range of variables potentially affecting injury severity was considered, including bicyclist characteristics, intersection characteristics, environmental conditions, bicyclist movement and location preceding the crash, and types of collisions. Our findings show that the PPO model outperforms the GOL model for analyzing the factors that affect the bicyclist injury severity at intersections. The factors that affect cycling safety at various intersections show enormous differences. Specifically, nine variables have significant impacts on bicyclist injury severity at those three types of intersections. And there are only two variables, four variables, and eleven variables that have significant impact on bicyclist injury severity at roundabouts, crossroads, and T-junctions, respectively. The findings of this study can help decision makers better understand the spatial heterogeneity of the factors that influence the bicyclist injury severity at various intersections.

Factors Affecting Driver Injury Severity in the Wrong-Way Crash: Accounting for Potential Heterogeneity in Means and Variances of Random Parameters

2021 ◽  
pp. 036119812110098
Author(s):  
Miao Yu ◽  
Jinxing Shen ◽  
Changxi Ma
Keyword(s):  
High Speed ◽  
Injury Severity ◽  
Unobserved Heterogeneity ◽  
Research Effort ◽  
Random Parameter ◽  
Policy Implications ◽  
Contributing Factors ◽  
Severe Injuries ◽  
Data Set ◽  
Severity Levels

Because of the high percentage of fatalities and severe injuries in wrong-way driving (WWD) crashes, numerous studies have focused on identifying contributing factors to the occurrence of WWD crashes. However, a limited number of research effort has investigated the factors associated with driver injury-severity in WWD crashes. This study intends to bridge the gap using a random parameter logit model with heterogeneity in means and variances approach that can account for the unobserved heterogeneity in the data set. Police-reported crash data collected from 2014 to 2017 in North Carolina are used. Four injury-severity levels are defined: fatal injury, severe injury, possible injury, and no injury. Explanatory variables, including driver characteristics, roadway characteristics, environmental characteristics, and crash characteristics, are used. Estimation results demonstrate that factors, including the involvement of alcohol, rural area, principal arterial, high speed limit (>60 mph), dark-lighted conditions, run-off-road collision, and head-on collision, significantly increase the severity levels in WWD crashes. Several policy implications are designed and recommended based on findings.

scholarly journals Preliminary checklists for applying SERCON (System for Evaluating Rivers for Conservation) to rivers in Serbia

2012 ◽  
Vol 64 (3) ◽  
pp. 1037-1056 ◽  
Author(s):  
Snezana Radulovic ◽  
P.J. Boon ◽  
Dusanka Laketic ◽  
P. Simonovic ◽  
S. Puzovic ◽  
...  
Keyword(s):  
River Management ◽  
Biological Data ◽  
Decision Makers ◽  
Water Law ◽  
Biological Surveys ◽  
Habitat Features ◽  
Wide Range ◽  
River Quality ◽  
Species Groups ◽  
The Uk

This paper describes the first steps in gathering biological data to assess the conservation value of rivers in Serbia, using SERCON (System for Evaluating Rivers for Conservation). SERCON was developed in the UK to improve consistency in assessments of river ?quality? by using a scoring system to evaluate habitat features and species groups, catchment characteristics, and the potential impacts to which river systems may be subjected. This paper provides checklists for aquatic, semiaquatic and marginal plants, macroinvertebrates, fish and birds associated with rivers in Serbia, collated from a wide range of published and unpublished sources. These lists should be regarded as provisional because few wide-ranging biological surveys have been carried out specifically on Serbian rivers; further revisions are likely as more information becomes available in future. Ultimately, the work will benefit regulators and decision-makers with responsibility for river management under the new Water Law, and contribute to river protection and conservation in Serbia.

ESRC Review

2020 ◽  
pp. 657-698
Author(s):  
Simeon J. Yates ◽  
Jordana Blejmar
Keyword(s):  
Social Research ◽  
Social Science Research ◽  
Research Work ◽  
Science Research ◽  
Wide Range ◽  
The Us ◽  
Levels Of Automation ◽  
The Uk ◽  
Technological World ◽  
Ways Of Being

Two workshops were part of the final steps in the Economic and Social Research Council (ESRC) commissioned Ways of Being in a Digital Age project that is the basis for this Handbook. The ESRC project team coordinated one with the UK Defence Science and Technology Laboratory (ESRC-DSTL) Workshop, “The automation of future roles”; and one with the US National Science Foundation (ESRC-NSF) Workshop, “Changing work, changing lives in the new technological world.” Both workshops sought to explore the key future social science research questions arising for ever greater levels of automation, use of artificial intelligence, and the augmentation of human activity. Participants represented a wide range of disciplinary, professional, government, and nonprofit expertise. This chapter summarizes the separate and then integrated results. First, it summarizes the central social and economic context, the method and project context, and some basic definitional issues. It then identifies 11 priority areas needing further research work that emerged from the intense interactions, discussions, debates, clustering analyses, and integration activities during and after the two workshops. Throughout, it summarizes how subcategories of issues within each cluster relate to central issues (e.g., from users to global to methods) and levels of impacts (from wider social to community and organizational to individual experiences and understandings). Subsections briefly describe each of these 11 areas and their cross-cutting issues and levels. Finally, it provides a detailed Appendix of all the areas, subareas, and their specific questions.

Punk as Folk: Continuities and Tensions in the UK and Beyond

2020 ◽  
Author(s):  
Pete Dale
Keyword(s):  
Folk Music ◽  
Music Making ◽  
Collective Creativity ◽  
Living Tradition ◽  
Wide Range ◽  
The Us ◽  
The Common ◽  
The Individual ◽  
The Uk

Numerous claims have been made by a wide range of commentators that punk is somehow “a folk music” of some kind. Doubtless there are several continuities. Indeed, both tend to encourage amateur music-making, both often have affiliations with the Left, and both emerge at least partly from a collective/anti-competitive approach to music-making. However, there are also significant tensions between punk and folk as ideas/ideals and as applied in practice. Most obviously, punk makes claims to a “year zero” creativity (despite inevitably offering re-presentation of at least some existing elements in every instance), whereas folk music is supposed to carry forward a tradition (which, thankfully, is more recognized in recent decades as a subject-to-change “living tradition” than was the case in folk’s more purist periods). Politically, meanwhile, postwar folk has tended more toward a socialist and/or Marxist orientation, both in the US and UK, whereas punk has at least rhetorically claimed to be in favor of “anarchy” (in the UK, in particular). Collective creativity and competitive tendencies also differ between the two (perceived) genre areas. Although the folk scene’s “floor singer” tradition offers a dispersal of expressive opportunity comparable in some ways to the “anyone can do it” idea that gets associated with punk, the creative expectation of the individual within the group differs between the two. Punk has some similarities to folk, then, but there are tensions, too, and these are well worth examining if one is serious about testing out the common claim, in both folk and punk, that “anyone can do it.”

scholarly journals Validation of the BATT score for prehospital risk stratification of traumatic haemorrhagic death: usefulness for tranexamic acid treatment criteria

2021 ◽  
Vol 29 (1) ◽  
Author(s):  
Francois-Xavier Ageron ◽  
Timothy J. Coats ◽  
Vincent Darioli ◽  
Ian Roberts
Keyword(s):  
Tranexamic Acid ◽  
Acid Treatment ◽  
Injury Severity ◽  
External Validation ◽  
Research Network ◽  
Brier Score ◽  
Trauma Patients ◽  
Using Data ◽  
The Uk ◽  
The Impact

Abstract Background Tranexamic acid reduces surgical blood loss and reduces deaths from bleeding in trauma patients. Tranexamic acid must be given urgently, preferably by paramedics at the scene of the injury or in the ambulance. We developed a simple score (Bleeding Audit Triage Trauma score) to predict death from bleeding. Methods We conducted an external validation of the BATT score using data from the UK Trauma Audit Research Network (TARN) from 1st January 2017 to 31st December 2018. We evaluated the impact of tranexamic acid treatment thresholds in trauma patients. Results We included 104,862 trauma patients with an injury severity score of 9 or above. Tranexamic acid was administered to 9915 (9%) patients. Of these 5185 (52%) received prehospital tranexamic acid. The BATT score had good accuracy (Brier score = 6%) and good discrimination (C-statistic 0.90; 95% CI 0.89–0.91). Calibration in the large showed no substantial difference between predicted and observed death due to bleeding (1.15% versus 1.16%, P = 0.81). Pre-hospital tranexamic acid treatment of trauma patients with a BATT score of 2 or more would avoid 210 bleeding deaths by treating 61,598 patients instead of avoiding 55 deaths by treating 9915 as currently. Conclusion The BATT score identifies trauma patient at risk of significant haemorrhage. A score of 2 or more would be an appropriate threshold for pre-hospital tranexamic acid treatment.

Are Older Drivers Safe on Interchanges? Analyzing Driving Errors Causing Crashes

2021 ◽  
pp. 036119812110312
Author(s):  
Denis Elia Monyo ◽  
Henrick J. Haule ◽  
Angela E. Kitali ◽  
Thobias Sando
Keyword(s):  
Latent Class ◽  
Time Of Day ◽  
Older Drivers ◽  
Contributing Factors ◽  
Lighting Condition ◽  
Crash Data ◽  
Traffic Characteristics ◽  
Road Users ◽  
Traffic Conflicts ◽  
Penalized Logistic Regression

Older drivers are prone to driving errors that can lead to crashes. The risk of older drivers making errors increases in locations with complex roadway features and higher traffic conflicts. Interchanges are freeway locations with more driving challenges than other basic segments. Because of the growing population of older drivers, it is vital to understand driving errors that can lead to crashes on interchanges. This knowledge can assist in developing countermeasures that will ensure safety for all road users when navigating through interchanges. The goal of this study was to determine driver, environmental, roadway, and traffic characteristics that influence older drivers’ errors resulting in crashes along interchanges. The analysis was based on three years (2016–2018) of crash data from Florida. A two-step approach involving a latent class clustering analysis and the penalized logistic regression was used to investigate factors that influence driving errors made by older drivers on interchanges. This approach accounted for heterogeneity that exists in the crash data and enhanced the identification of contributing factors. The results revealed patterns that are not obvious without a two-step approach, including variables that were not significant in all crashes, but were significant in specific clusters. These factors included driver gender and interchange type. Results also showed that all other factors, including distracted driving, lighting condition, area type, speed limit, time of day, and horizontal alignment, were significant in all crashes and few specific clusters.

scholarly journals Risk factors for excessive gestational weight gain in a UK population: a biopsychosocial model approach

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
S. M. Garay ◽  
L. A. Sumption ◽  
R. M. Pearson ◽  
R. M. John
Keyword(s):  
Risk Factors ◽  
Weight Gain ◽  
Gestational Weight Gain ◽  
Biopsychosocial Model ◽  
Elective Caesarean Section ◽  
Depression Symptoms ◽  
Institute Of Medicine ◽  
Contributing Factors ◽  
Gestational Weight ◽  
The Uk

Abstract Background Gestational weight gain (GWG) can have implications for the health of both mother and child. However, the contributing factors remain unclear. Despite the advantages of using a biopsychosocial approach, this approach has not been applied to study GWG in the UK. This study aimed to investigate the risk factors of excessive GWG in a UK population, employing a biopsychosocial model. Methods This study utilised data from the longitudinal Grown in Wales (GiW) cohort, which recruited women in late pregnancy in South Wales. Specifically, data was collected from midwife recorded notes and an extensive questionnaire completed prior to an elective caesarean section (ELCS) delivery. GWG was categorised according to Institute of Medicine (IOM) guidelines. The analysis was undertaken for 275 participants. Results In this population 56.0% of women had excessive GWG. Increased prenatal depression symptoms (Exp(B)=1.10, p=.019) and an overweight (Exp(B)=4.16, p<.001) or obese (Exp(B)=4.20, p=.010) pre-pregnancy BMI, consuming alcohol in pregnancy (Exp(B)=.37, p=.005) and an income of less than £18,000 (Exp(B)=.24, p=.043) and £25–43,000 (Exp(B)=.25, p=.002) were associated with excessive GWG. Conclusion GWG is complex and influenced by a range of biopsychosocial factors, with the high prevalence of excessive weight gain in this population a cause for concern. Women in the UK may benefit from a revised approach toward GWG within the National Health Service (NHS), such as tracking weight gain throughout pregnancy. Additionally, this research provides evidence for potential targets for future interventions, and potentially at-risk populations to target, to improve GWG outcomes.

scholarly journals Zebrafish Blunt-Force TBI Induces Heterogenous Injury Pathologies That Mimic Human TBI and Responds with Sonic Hedgehog-Dependent Cell Proliferation across the Neuroaxis

Biomedicines ◽  
2021 ◽  
Vol 9 (8) ◽  
pp. 861
Author(s):  
James Hentig ◽  
Kaylee Cloghessy ◽  
Manuela Lahne ◽  
Yoo Jin Jung ◽  
Rebecca A. Petersen ◽  
...  
Keyword(s):  
Cell Proliferation ◽  
Proliferative Response ◽  
Injury Severity ◽  
Granule Cell Layer ◽  
Dependent Manner ◽  
Adult Zebrafish ◽  
Post Injury ◽  
Blunt Force ◽  
Shh Pathway ◽  
Wide Range

Blunt-force traumatic brain injury (TBI) affects an increasing number of people worldwide as the range of injury severity and heterogeneity of injury pathologies have been recognized. Most current damage models utilize non-regenerative organisms, less common TBI mechanisms (penetrating, chemical, blast), and are limited in scalability of injury severity. We describe a scalable blunt-force TBI model that exhibits a wide range of human clinical pathologies and allows for the study of both injury pathology/progression and mechanisms of regenerative recovery. We modified the Marmarou weight drop model for adult zebrafish, which delivers a scalable injury spanning mild, moderate, and severe phenotypes. Following injury, zebrafish display a wide range of severity-dependent, injury-induced pathologies, including seizures, blood–brain barrier disruption, neuroinflammation, edema, vascular injury, decreased recovery rate, neuronal cell death, sensorimotor difficulties, and cognitive deficits. Injury-induced pathologies rapidly dissipate 4–7 days post-injury as robust cell proliferation is observed across the neuroaxis. In the cerebellum, proliferating nestin:GFP-positive cells originated from the cerebellar crest by 60 h post-injury, which then infiltrated into the granule cell layer and differentiated into neurons. Shh pathway genes increased in expression shortly following injury. Injection of the Shh agonist purmorphamine in undamaged fish induced a significant proliferative response, while the proliferative response was inhibited in injured fish treated with cyclopamine, a Shh antagonist. Collectively, these data demonstrate that a scalable blunt-force TBI to adult zebrafish results in many pathologies similar to human TBI, followed by recovery, and neuronal regeneration in a Shh-dependent manner.

scholarly journals An exploration of migrant women’s perceptions of public health messages to reduce stillbirth in the UK: a qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tomasina Stacey ◽  
Melanie Haith-Cooper ◽  
Nisa Almas ◽  
Charlotte Kenyon
Keyword(s):  
Public Health ◽  
Perinatal Mortality ◽  
Health Professionals ◽  
Health Messages ◽  
Migrant Women ◽  
Global Public Health ◽  
Wide Range ◽  
Public Health Messages ◽  
Associated Risk Factors ◽  
The Uk

Abstract Background Stillbirth is a global public health priority. Within the United Kingdom, perinatal mortality disproportionately impacts Black, Asian and minority ethnic women, and in particular migrant women. Although the explanation for this remains unclear, it is thought to be multidimensional. Improving perinatal mortality is reliant upon raising awareness of stillbirth and its associated risk factors, as well as improving maternity services. The aim of this study was to explore migrant women’s awareness of health messages to reduce stillbirth risk, and how key public health messages can be made more accessible. Method Two semi-structured focus groups and 13 one to one interviews were completed with a purposive sample of 30 migrant women from 18 countries and across 4 NHS Trusts. Results Participants provided an account of their general awareness of stillbirth and recollection of the advice they had been given to reduce the risk of stillbirth both before and during pregnancy. They also suggested approaches to how key messages might be more effectively communicated to migrant women. Conclusions Our study highlights the complexity of discussing stillbirth during pregnancy. The women in this study were found to receive a wide range of advice from family and friends as well as health professionals about how to keep their baby safe in pregnancy, they recommended the development of a range of resources to provide clear and consistent messages. Health professionals, in particular midwives who have developed a trusting relationship with the women will be key to ensuring that public health messages relating to stillbirth reduction are accessible to culturally and linguistically diverse communities.

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