Identifying Fatality Risk Factors for the Commercial Vehicle Driver Population

2019 ◽  
Vol 2673 (9) ◽  
pp. 297-310 ◽  
Author(s):  
Mouyid Islam ◽  
Seckin Ozkul
Keyword(s):  
Risk Factors ◽  
Age Groups ◽  
Critical Issue ◽  
Medical Attention ◽  
Heavy Vehicles ◽  
Contributing Factors ◽  
Fatal Crash ◽  
Fatal Crashes ◽  
System Data ◽  
The U.S

Commercial/large-truck fatal crash involvement by drivers of different age groups is a critical issue for the trucking industry. Escalating safety concerns related to these heavy vehicles serving the freight economy in the U.S. have an impact national freight reliability and economic growth. This study identifies major contributing factors leading to large-truck fatal crashes for four age groups of driver: <30, 30–49, 50–65, and 65+. The analysis in this study is based on five years (2012–2016) of Fatality Analysis Reporting System data and provides an overall picture of risk factors in large-truck fatal crashes. In total, 30 variables were found to be significant in the logit models, indicating varying risks associated with large-truck drivers of these four age groups. Model results indicate different risk factors associated with driver characteristics, spatial and temporal characteristics, vehicle and vehicle maneuvering characteristics, and environmental conditions at the time of the crashes. Identifying the risk factors for different age groups of drivers is important so proper countermeasures can be implemented from the perspective of human factors (e.g., safe speed choice, fatigue), roadway engineering (e.g., design of roadside barriers, radius of ramps), enforcement (e.g., presence of law enforcement personnel at critical locations), and emergency medical attention in remote areas. Considering the aging of the truck driver population in the U.S. and around the world, the findings of this study are vital to understand better the importance of safety in relation to large-truck fatal crashes.

scholarly journals OR30-01 Real-World Minimed™ 670G System Use and Glycemic Outcomes of Pediatric and Adult Individuals Living with Type 1 Diabetes (T1D) in the United States

2020 ◽  
Vol 4 (Supplement_1) ◽  
Author(s):  
Robert Alan Vigersky ◽  
Michael Stone ◽  
Pratik Agrawal ◽  
Alex Zhong ◽  
Kevin Velado ◽  
...  
Keyword(s):  
Glycemic Control ◽  
Real World ◽  
Adult Population ◽  
Age Groups ◽  
The United States ◽  
System Use ◽  
System Data ◽  
The Mean ◽  
The Impact ◽  
The U.S

Abstract Introduction: The MiniMed™ 670G system was FDA-approved in 2016 for adults and adolescents ≥14yrs, and in 2018 for children ages 7-13yrs with T1D. Since then, use of the system has grown to over 180,000 people in the U.S. The glycemic control benefits of real-world MiniMed™ 670G system Auto Mode use in the U.S. were assessed. Methods: System data (aggregated five-minute instances of sensor glucose [SG]) uploaded from March 2017 to July 2019 by individuals (N=118,737) with T1D and ≥7yrs of age who enabled Auto Mode were analyzed to determine the mean % of overall time spent &lt;54mg/dL/&lt;70mg/dL (TBR); between 70-180mg/dL (TIR); and &gt;180mg/dL/&gt;250mg/dL (TAR). The impact of Auto Mode was further assessed in a sub-group of individuals (N=51,254) with, at least, 7 days of SG data for both Auto Mode turned ON and turned OFF. The % of TIR, TBR and TAR, and the associated glucose management indicator (GMI) were evaluated for the overall OFF (2,524,570 days) and ON (6,308,806 days) periods, and across different age groups. Results: System data TIR was 71.3%; TBR was 0.4% and 1.9%, respectively; and TAR was 26.8% and 6.2%, respectively. User-wise data of Auto Mode OFF versus ON showed a mean of 70.3% of the time spent in Auto Mode, that TIR increased from 60.9% to 69.9%; and that both TBR and TAR decreased. For those 7-13yrs (N=1,417), TIR increased from 48.7% to 61.5%; TBR increased from 0.5% to 0.6% and from 2.0% to 2.2%, respectively; and TAR decreased from 49.3% to 36.3% and from 20.5% to 13.0%, respectively. For those 14-21yrs (N=4,194), TIR increased from 51.0% to 61.5%; TBR decreased from 0.7% to 0.6% and from 2.3% to 2.0%, respectively; and TAR decreased from 46.7% to 36.5% and from 18.5% to 12.5%, respectively. For those ≥22yrs (N=45,643), TIR increased from 62.2% to 70.9%; TBR decreased from 0.7% to 0.5% and from 2.6% to 1.9%, respectively; and TAR decreased from 35.2% to 27.3% and from 9.9% to 6.3%, respectively. The mean GMI decreased by 0.23% (overall), 0.48% (7-13yrs), 0.35% (14-21yrs), and 0.22% (≥22yrs), respectively, with Auto Mode ON versus OFF. Discussion: In over 6 million days of real-world MiniMed™ 670G system Auto Mode use in the U.S., TIR of a large pediatric and adult population with T1D improved by 9% compared to when Auto Mode was OFF, which was comparable to or exceeded the TIR observed in the smaller pivotal trials. These results further support outcomes of the pivotal trials and increased glycemic control with system use.

scholarly journals A study on prevalence of hypertension and its relationship with overweight and obesity in adolescents and young adults, Nizamabad city

2019 ◽  
Vol 6 (9) ◽  
pp. 3861
Author(s):  
G. Chethan Raj ◽  
Syam Sundar Junapudi
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Young Adults ◽  
Age Groups ◽  
Overweight And Obesity ◽  
Adolescents And Young Adults ◽  
Age Group ◽  
Contributing Factors ◽  
Cross Sectional ◽  
Study Population

Background: The overall imbalance between unhealthy diet intake and physical activity leads to obesity which contributes to high blood pressure and high cholesterol. It is multi factorial disease and changes in the levels of blood pressure and blood lipids differ by age sex and race and are influenced by body fat and dietary patterns. These risk factors need to be monitored and evaluated in childhood and adolescents. So identifying and modifying the risk factors in early age reduces the incidence in adolescents and adult. Prevalence of hypertension varies across countries and states. The prevalence of hypertension in India is reported as ranging from 10 to 30.9%. The objective of the present study is to observe the prevalence hypertension among study population and to study contributing factors for hypertension among study population.Methods: A cross sectional study done on 100 adolescents and young adults of both sexes in the age group 17 to 25 years from 2 degree colleges randomly selected in Nizamabad city, Telangana, India.Results: In the present study population 52 were males and 48 were females, 22 students belongs to rural area and 78 belongs to urban area, pre-hypertension and hypertension was found 8% in both age groups. Overweight and obesity (>25) was found 7% in 17-19 age group and 9% in 20-25 age group. Pre-hypertension and hypertension was found among 10% of alcoholics.Conclusions: The result of our study concluded that there is increasing prevalence of hypertension with increase in age and is associated with overweight and obesity. 

scholarly journals Long-Term Changes of HIV/AIDS Incidence Rate in China and the U.S. Population From 1994 to 2019: A Join-Point and Age-Period-Cohort Analysis

2021 ◽  
Vol 9 ◽  
Author(s):  
Yudiyang Ma ◽  
Yiran Cui ◽  
Qian Hu ◽  
Sumaira Mubarik ◽  
Donghui Yang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Hiv Risk ◽  
Age Groups ◽  
Cohort Effect ◽  
Age Effect ◽  
Join Point ◽  
The U.S ◽  
Hiv Risk Factors ◽  
Hiv Aids

Although HIV caused one of the worst epidemics since the late twentieth century, China and the U.S. has made substantial progress to control the spread of HIV/AIDS. However, the trends of HIV/AIDS incidence remain unclear in both countries. Therefore, this study aimed to highlight the long-term trends of HIV/AIDS incidence by gender in China and the U.S. population. The data were retrieved from the Global Burden of Disease (GBD) database since it would be helpful to assess the impact/role of designed policies in the control of HIV/AIDS incidence in both countries. The age-period-cohort (APC) model and join-point regression analysis were employed to estimate the age-period-cohort effect and the average annual percentage change (AAPC) on HIV incidence. Between 1994 and 2019, we observed an oscillating trend of the age-standardized incidence rate (ASIR) in China and an increasing ASIR trend in the U.S. Despite the period effect in China declined for both genders after peaked in 2004, the age effect in China grew among the young (from 15–19 to 25–29) and the old age groups (from 65–69 to 75–79). Similarly, the cohort effect increased among those born in the early (from 1924–1928 to 1934–1938) and the latest birth groups (from 1979–1983 to 2004–2009). In the case of the U.S., the age effect declined after it peaked in the 25–29 age group. People born in recent birth groups had a higher cohort effect than those born in early groups. In both countries, women were less infected by HIV than men. Therefore, besides effective strategies and awareness essential to protect the young age groups from HIV risk factors, the Chinese government should pay attention to the elderly who lacked family support and were exposed to HIV risk factors.

Lifetime Prevalence of Upper-body Musculoskeletal Problems in a Professional-level Symphony Orchestra: Age, Gender, and Instrument-specific Results

2007 ◽  
Vol 22 (3) ◽  
pp. 97-104
Author(s):  
Antonio M Abréu-Ramos ◽  
William F Micheo
Keyword(s):  
Risk Factors ◽  
Symphony Orchestra ◽  
Age Groups ◽  
Female Gender ◽  
Upper Body ◽  
Left Shoulder ◽  
Contributing Factors ◽  
Symphonic Orchestra ◽  
Musculoskeletal Problems ◽  
History Of

Instrumentalists are at risk to develop upper-body musculoskeletal problems (MSKPs). Identified risk factors include age, gender, instrument played, joint laxity, and poor technique or posture. In this study, we established the prevalence of MSKPs that affect the ability to play an instrument in the population of a professional-level symphonic orchestra and the relation of these problems to gender, age, and instrument. The members of the Puerto Rico Symphony Orchestra were recruited voluntarily. A questionnaire was used to obtain information on demographics, instrument played, and history of MSKP severe enough to affect their playing ability. Questions also covered alleviating and aggravating factors, upper-body areas involved, type of symptoms, and type of treatment sought. After the questionnaire was completed, all players underwent a neuromusculoskeletal upper-body examination. Of the 75 musicians participating, 81.3% reported having had an MSKP that affected their ability to play. Of these, 83.6% reported their MSKP was directly associated to playing. Females were more commonly affected, 87.5% vs. 79.7% for males. Lower-body strings (cello, bass) players and percussionists (93.3% and 100%, respectively) and younger (22-29 yrs) and older (50-61 yrs) populations (83.3% and 90.9%, respectively) reported more MSKPs. These age groups played more hours per week (28.7 and 32.0 hrs, respectively). In all groups, low back pain was the most common complaint, present in 75.4% of those with MSKPs. Upper-body strings (violin, viola) players also reported neck and left shoulder problems. Contributing factors include hours of exposure and technical expertise. Female gender, age, and instrument played were found to be risk factors for developing MSKPs in this population.

Estudio Descriptivo Transversal: Factores de Riesgo de Infección del Tracto Urinario en Pacientes Hospitalizados Menores de 5 Años en el Hospital Humanitario Pablo Jaramillo, Cuenca 2014 – 2015

2020 ◽  
Vol 12 (1) ◽  
pp. 19-24
Author(s):  
Willie Jack Blacio Vidal ◽  
Veronica Irene Siranaula Arias
Keyword(s):  
Risk Factors ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Age Groups ◽  
Total Sample ◽  
Medical Attention ◽  
Age Group ◽  
Cross Sectional ◽  
Tract Infections

BACKGROUND: Urinary tract infection is the colonization and microbial replication along the urinary tract, it is a frequent cause for seeking medical attention. Its clinical presentation is often nonspecific and represents a risk of permanent kidney damage, which is higher as younger is the patient. The aim of this study was to determine the prevalence of known risk factors for urinary tract infection in hospitalized patients under the age of 5 years and older than a month of age. METhODS: A descriptive cross-sectional study was carried out in 68 patients with diagnosis of urinary tract infection (confirmed by urine culture), hospitalized at the Pediatrics department of Hospital Hu-manitario Pablo Jaramillo from January 2014 to December 2015. We measured the prevalence of the known risk factors for urinary tract infection. Data was collected in a form with the information obtained from the medical records and analyzed in SPSS V 20. Possible associations between the variables was evaluated with the Chi square test. RESUlTS: 67.6% of the sample were women and 32.4% were men. The age group with the highest prevalence of UTI was the group under 12 months (80.9%), with a higher frequency in females in all age groups. Among the risk factors, the maternal background of urinary infection represented 13.3%. Ve-sico-ureteral reflux represented 7.2% and hydronephrosis 8.8%. Phimosis was predominant in children under 12 months (11.7% of the total sample). The prolonged use of the diaper corresponded to 36.7 %. 5.9% of the patients with UTI presented constipation. CONClUSiON: UTIs are a frequent infectious disease in children under 5, with different distribution ac-cording to age and sex. The age group more frequently affected was the group under 12 months of age, and it was higher on women. Prolonged used of diaper (higher than 8 hours) was the most frequent risk factor in this study, and we found statistical significant association between this two variables. KEyWORDS: URINARY TRACT INFECTIONS, RISK FACTORS, CHILD, HOSPITALIZED, HYDRONEPHROSIS, PHYMOSIS, DIAPERS.

Elderly Pedestrian Fatal Crash-Related Contributing Factors: Applying Empirical Bayes Geometric Mean Method

2019 ◽  
Vol 2673 (8) ◽  
pp. 254-263
Author(s):  
Subasish Das ◽  
Apoorba Bibeka ◽  
Xiaoduan Sun ◽  
Hongmin “Tracy” Zhou ◽  
Mohammad Jalayer
Keyword(s):  
Empirical Bayes ◽  
Reporting System ◽  
Geometric Mean ◽  
The United States ◽  
Contributing Factors ◽  
Fatal Crash ◽  
Road Users ◽  
Fatal Crashes ◽  
Vulnerable Road Users ◽  
Pedestrian Crashes

Recent statistics show that around 20% of all pedestrian fatalities (1,002 out of 5,376) in 2015 were pedestrians over the age of 65. There is a need to identify issues associated with elderly pedestrian crashes to develop effective countermeasures. This study aimed to determine the key associations between contributing factors of elderly pedestrian crashes. The authors analyzed three years (2014 to 2016) of elderly pedestrian fatal crashes from the Fatality Analysis Reporting System in the United States by using empirical Bayes (EB) data mining. The findings of this study revealed several association patterns with high crash potential for elderly pedestrians that include backing vehicle-related crashes for female pedestrians (especially those aged 79 and above), segment-related crashes at night for 65 to 69 year-old male pedestrians, crossing an expressway at night for male pedestrians, especially the 65 to 69 year group, failure to yield while crossing at intersections, and crashes occurring in the dark with poor street lighting. The findings of this study could help authorities determine effective countermeasures for this group of vulnerable road users.

Pattern Identification from Older Bicyclist Fatal Crashes

2019 ◽  
Vol 2673 (6) ◽  
pp. 638-649 ◽  
Author(s):  
Subasish Das ◽  
Kartikeya Jha ◽  
Kay Fitzpatrick ◽  
Marcus Brewer ◽  
Tahmida Hossain Shimu
Keyword(s):  
The Elderly ◽  
Census Bureau ◽  
Complex Data ◽  
Contributing Factors ◽  
Elderly Age ◽  
Data Set ◽  
Fatal Crashes ◽  
Multiple Variables ◽  
Low Dimensional ◽  
The U.S

Estimates from the U.S. Census Bureau indicate that the elderly (age 65 and older) people represented 12% of the total population in 2005. Bicycling is becoming popular among people of all groups. In 2016, 130 elderly bicyclists were killed (20% higher than 2014) on the U.S. roadways. The sharp rise of elderly bicyclist fatal crashes calls for a rigorous study to determine the key associated factors in elderly bicyclist crashes. Graphical methods, such as joint correspondence analysis (JCA), are useful in identifying the association patterns from a complex data set with multiple variables by producing a proximity map of the variable categories in a low dimensional plane. This study used 3 years (2014 to 2016) of data on elderly bicyclist fatal crashes from the Fatality Analysis Reporting System (FARS) in the U.S. to determine the key associations between the contributing factors by using JCA. Some of the key findings include bicyclist fatal crashes on roadways with high posted speed being very random; higher crash occurrences on roadways with bicycle lane/shoulder/parking lane under dark conditions with no lighting, on two-way undivided roadways with bicyclists on the travel lane, and at signalized intersections (pedestrian/bicycle signal presence is unknown) with “motorists fail to yield” related crashes. The findings from the current study can help in refining the policies and safe design practices that explicitly recognize this issue and will better serve a growing segment of the nation’s population.

Family-, Media-, and School-Related Risk Factors of Video Game Addiction

2013 ◽  
Vol 25 (3) ◽  
pp. 118-128 ◽  
Author(s):  
Florian Rehbein ◽  
Dirk Baier
Keyword(s):  
Risk Factors ◽  
Video Game ◽  
Age Groups ◽  
Well Being ◽  
Epidemiological Studies ◽  
Prevention Measures ◽  
School Life ◽  
Video Game Addiction ◽  
Effective Prevention ◽  
Game Addiction

In recent years, a variety of epidemiological studies have provided empirical data on the prevalence of video game addiction (GA) in different age groups. However, few studies investigated the causes of GA and could explain why video game playing as a widespread phenomenon leads to a comparatively small percentage of addicted players. Additionally, the existing longitudinal studies mainly consider psychological trait variables and neglect the possible explanatory value of predictors in socialization regarding media availability, media use, and family and everyday school life. In this paper, the results of a two-wave longitudinal study comprising a sample of students from Grades 4 to 9 (N = 406) are presented. The data show that 15-year-old video game addicts had already exhibited a number of specific risk factors at the age of 10. Students from single-parent families seem to be particularly at risk, as are students with low experienced school well-being and with a weaker social integration in class. The data also indicate that problematic use of video games in childhood increases the risk of GA in adolescence. Male students are especially vulnerable for developing GA. The results of this study are an important contribution to understanding risk factors for GA in adolescents, thereby laying the groundwork for effective prevention measures.

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