safety metrics
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2021 ◽  
Vol 34 (1) ◽  
Author(s):  
Le Zhang ◽  
Tian Li ◽  
Jiye Zhang ◽  
Ronghuan Piao

AbstractUnder the influence of crosswinds, the running safety of trains will decrease sharply, so it is necessary to optimize the suspension parameters of trains. This paper studies the dynamic performance of high-speed trains under crosswind conditions, and optimizes the running safety of train. A computational fluid dynamics simulation was used to determine the aerodynamic loads and moments experienced by a train. A series of dynamic models of a train, with different dynamic parameters were constructed, and analyzed, with safety metrics for these being determined. Finally, a surrogate model was built and an optimization algorithm was used upon this surrogate model, to find the minimum possible values for: derailment coefficient, vertical wheel-rail contact force, wheel load reduction ratio, wheel lateral force and overturning coefficient. There were 9 design variables, all associated with the dynamic parameters of the bogie. When the train was running with the speed of 350 km/h, under a crosswind speed of 15 m/s, the benchmark dynamic model performed poorly. The derailment coefficient was 1.31. The vertical wheel-rail contact force was 133.30 kN. The wheel load reduction rate was 0.643. The wheel lateral force was 85.67 kN, and the overturning coefficient was 0.425. After optimization, under the same running conditions, the metrics of the train were 0.268, 100.44 kN, 0.474, 34.36 kN, and 0.421, respectively. This paper show that by combining train aerodynamics, vehicle system dynamics and many-objective optimization theory, a train’s stability can be more comprehensively analyzed, with more safety metrics being considered.


2021 ◽  
Vol 159 ◽  
pp. 106287
Author(s):  
Megan S. Ryerson ◽  
Carrie S. Long ◽  
Michael Fichman ◽  
Joshua H. Davidson ◽  
Kristen N. Scudder ◽  
...  

2021 ◽  
Author(s):  
Jennifer L Jaskiewicz ◽  
Conor B Garry ◽  
Andrew J Ernst ◽  
Jacob H Cole ◽  
Miranda L Allen ◽  
...  

ABSTRACT Objective In light of the ongoing opioid crisis, Naval Medical Center Portsmouth (NMCP) created the Long-Term Opioid Therapy Safety (LOTS) program to reduce risks and improve long-term opioid therapy outcomes. Our primary outcome was change in compliance with the recommended safety metrics. Design This is a retrospective cohort study performed at NMCP, a large military academic medical center providing comprehensive medical care to DoD beneficiaries. The NMCP LOTS program provides both patient and provider narcotic education as well as medical record auditing. The NMCP LOTS program promotes adherence to published CDC, the DVA, and DoD guidelines. Methods Anonymized data were compiled each fiscal quarter and were analyzed retrospectively. Adult patients prescribed opioids for at least 90 days without a gap of 30 days between prescriptions were included in this study. The investigators recorded and reported provider compliance with LOTS metrics over the same period. Results Compliance with the recommended safety metrics improved. We noted a decrease in the number of long-term opioid patients, concurrent benzodiazepine prescriptions, and patients prescribed greater than 90 morphine equivalents per day during the observation period. The number of naloxone prescriptions for LOTS patients also increased, reflecting improved guideline adherence. Conclusion Systematic education and feedback to providers are effective in creating a system and culture of opioid reduction, safe opioid prescribing, and system accountability. This article presents a comprehensive approach to modifying prescribing patterns of long-term opioids in a large healthcare system.


PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0248311
Author(s):  
Eleftheria Kontou ◽  
Noreen McDonald

Improving road safety and setting targets for reducing traffic-related crashes and deaths are highlighted as part of the United Nations sustainable development goals and worldwide vision zero efforts. The advent of transportation network companies and ridesourcing expands mobility options in cities and may impact road safety outcomes. We analyze the effects of ridesourcing use on road crashes, injuries, fatalities, and driving while intoxicated (DWI) offenses in Travis County, Texas. Our approach leverages real-time ridesourcing volume to explain variation in road safety outcomes. Spatial panel data models with fixed-effects are deployed to examine whether the use of ridesourcing is significantly associated with road crashes and other safety metrics. Our results suggest that for a 10% increase in ridesourcing trips, we expect a 0.12% decrease in road crashes, a 0.25% decrease in road injuries, and a 0.36% decrease in DWI offenses in Travis County. On the other hand, ridesourcing use is not significantly associated with road fatalities. This study augments existing work because it moves beyond binary indicators of ridesourcing availability and analyzes crash and ridesourcing trips patterns within an urbanized area rather than their metropolitan-level variation. Contributions include developing a data-rich approach for assessing the impacts of ridesourcing use on the transportation system’s safety, which may serve as a template for future analyses for other cities. Our findings provide feedback to policymakers by clarifying associations between ridesourcing use and traffic safety and uncover the potential to achieve safer mobility systems with transportation network companies.


Nutrients ◽  
2021 ◽  
Vol 13 (3) ◽  
pp. 854
Author(s):  
Matthew Stefan ◽  
Matthew Sharp ◽  
Raad Gheith ◽  
Ryan Lowery ◽  
Jacob Wilson

The ketogenic diet is a high-fat, very low-carbohydrate, moderate-protein diet that will induce a state of ketosis, but because of its restrictive nature, it may be difficult to adhere to, especially in adolescents. Supplementing with exogenous beta-hydroxybutyrate salts may induce a state of temporary ketosis without any undesirable side effects, thereby promoting the benefits of ketosis and minimizing adherence requirements to a ketogenic diet. To date, beta-hydroxybutyrate supplementation in healthy adolescents has not been explored. Therefore, the purpose of this study was to examine the safety of exogenous beta-hydroxybutyrate salt supplementation in a healthy adolescent population. In the present study, 22 healthy male and female adolescents consumed 3.75 g of beta-hydroxybutyrate salts or maltodextrin placebo twice daily for 90 days. Comprehensive blood safety analysis, bone densitometry, happiness and emotional intelligence surveys, and blood pressure were assessed at Pre, Day 45, and Day 90. There were no significant differences detected in subjects supplementing with beta-hydroxybutyrate salts, indicating that exogenous beta-hydroxybutyrate salts had no detrimental impact on fasting blood safety metrics, bone density, happiness, emotional intelligence, or blood pressure. We conclude that supplementing with exogenous beta-hydroxybutyrate salts is safe and well-tolerated by healthy adolescents.


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