Search Results (776)

With the rapid growth of elevator installations, conventional scheduled maintenance struggles to meet the dual demands of ensuring operational safety and cost control. This study proposes an innovative on-demand maintenance method that aligns with the Chinese policy directives on elevator maintenance reform. First, we conduct a historical fault cause analysis to identify the root causes of elevator entrapment incidents. Next, we establish an entrapment prediction model based on our historical data. Then, we design an elevator entrapment risk index report according to the prediction results. Finally, we formulate an on-demand maintenance plan that combines insights from the report with the conclusions of the cause analysis. Field implementation and comparative experiments demonstrate that the proposed on-demand maintenance method outperforms the scheduled one. The result shows significant reductions in accident and maintenance workload, justifying the practical value of this approach for the industry. Full article

Background/Objectives: Traumatic brain injury (TBI), especially mild TBI (mTBI), is frequently caused by traffic accidents, falls, or sports injuries. Although computed tomography (CT) is the gold standard for diagnosis, overuse can lead to unnecessary radiation exposure, increased healthcare costs, and emergency department saturation. Blood-based biomarkers have emerged as potential tools to optimize CT scan use. This systematic review aims to evaluate recent evidence on the role of specific blood biomarkers in guiding CT decisions in patients with mTBI. Methods: A systematic search was conducted in the PubMed, Cochrane, and CINAHL databases for studies published between 2020 and 2024. Inclusion criteria focused on adult patients with mTBI evaluated using both CT imaging and at least one of the following biomarkers: glial fibrillary acidic protein (GFAP), ubiquitin carboxy-terminal hydrolase L1 (UCH-L1), and S100 calcium-binding protein B (S100B). After screening, six studies were included in the final review. Results: All included studies reported high sensitivity and negative predictive value for the selected biomarkers in detecting clinically relevant intracranial lesions. GFAP and UCH-L1, particularly in combination, consistently identified low-risk patients who could potentially forgo CT scans. While S100B also showed high sensitivity, discrepancies in cutoff values across studies highlighted the need for harmonization. Conclusions: Blood biomarkers such as GFAP, UCH-L1, and S100B demonstrate strong potential to reduce unnecessary CT imaging in mTBI by identifying patients at low risk of significant brain injury. Future research should focus on standardizing biomarker thresholds and validating protocols to support their integration into clinical practice guidelines. Full article

Background and Clinical Significance: Traumatic dental injuries, particularly complicated crown fractures of permanent incisors, are common in adolescents, with maxillary central incisors most frequently affected due to their prominent position. These injuries, often resulting from sports or accidents, require prompt management to prevent complications such as pulp necrosis or infection, which can compromise long-term prognosis. Fragment reattachment offers a conservative, esthetically favorable approach when the fractured segment is intact, with outcomes comparable to composite restorations. This case report underscores the importance of timely intervention and advanced restorative techniques in pediatric dentistry. Case Presentation: A 16-year-old male presented with a complicated crown fracture of the upper left central incisor sustained during a soccer game. The fracture extended subgingivally with pulp exposure. The patient preserved the fragment in saline. Treatment involved fragment reattachment using a dentin bonding agent and flowable composite resin, followed by single-visit root canal therapy due to delayed presentation (48 h). A glass fiber post was placed to reinforce the restoration due to significant coronal loss. Three years of follow-up visits (1, 3, 6, 12, 24, and 36 months) revealed no clinical or radiographic complications, with the tooth remaining asymptomatic and functional. Conclusions: This case underscores the effectiveness of fragment reattachment when combined with meticulous technique and long-term monitoring. Full article

Traffic accidents pose a significant threat to public safety, resulting in numerous fatalities, injuries, and a substantial economic burden each year. The development of predictive models capable of the real-time forecasting of post-accident impact using readily available data can play a crucial role in preventing adverse outcomes and enhancing overall safety. However, existing accident predictive models encounter two main challenges: first, a reliance on either costly or non-real-time data, and second, the absence of a comprehensive metric to measure post-accident impact accurately. To address these limitations, this study proposes a deep neural network model known as the cascade model. It leverages readily available real-world data from Los Angeles County to predict post-accident impacts. The model consists of two components: Long Short-Term Memory (LSTM) and a Convolutional Neural Network (CNN). The LSTM model captures temporal patterns, while the CNN extracts patterns from the sparse accident dataset. Furthermore, an external traffic congestion dataset is incorporated to derive a new feature called the “accident impact” factor, which quantifies the influence of an accident on surrounding traffic flow. Extensive experiments were conducted to demonstrate the effectiveness of the proposed hybrid machine learning method in predicting the post-accident impact compared to state-of-the-art baselines. The results reveal a higher precision in predicting minimal impacts (i.e., cases with no reported accidents) and a higher recall in predicting more significant impacts (i.e., cases with reported accidents). Full article

The paper provides an analysis of the causes of accidents in oil and gas pipeline systems. As part of a comprehensive overview of the topic, it also presents the historical development of pipeline systems, from the first commercial oil pipelines in the United States to modern infrastructure projects, with a particular focus on the role of regulatory requirements and measures (prevention, detection, and mitigation) to improve transport efficiency and pipeline safety. The research uses historical accident data from various databases to identify the main causes of accidents and analyse trends. The focus is on factors such as corrosion, third-party interference, and natural disasters that can lead to accidents. A comparison of the various accident databases shows that there are different practises and approaches to operation and reporting. As each database differs in terms of inclusion criteria, the categories are divided into five main groups to allow systematic interpretation of the data and cross-comparison of accident causes. Regional differences in the causes of accidents involving oil and gas pipelines in Europe, the USA, and Canada are visible. However, an integrated analysis shows that the number of accidents is declining in almost all categories. The majority of all recorded accidents are in the “Human factors and Operational disruption” and “Corrosion and Material damage” groups. It is recommended to use the database as required, as each category has its own specifics. Full article

The aim of this study was to evaluate the relationship between visual functions and road traffic accidents (RTAs) by meta-analysis of observational studies. The analysis included all drivers of motor vehicles, regardless of age, and those using private or public transport. Self-reported visual outcomes were excluded. The risk of RTA in patients with reduced visual acuity was observed in commercial drivers in cross-sectional studies (PR 1.54, 95% CI 1.26–1.88), but not in private drivers in cohort (RR 1.04, 95% CI 0.74–1.46) or case–control studies (OR 1.04, 95% CI 0.78–1.40). A non-statistically significant association between colour vision defects and RTA was observed in cross-sectional studies (PR 1.50, 95% CI 0.91–2.45). No evidence was found for an increased risk of accidents in people with reduced stereopsis. In older adults with abnormal contrast sensitivity, a weak risk of RTA was observed in cohort studies. Evidence from low-quality cross-sectional studies suggests an increased risk of RTAs among commercial drivers with reduced visual acuity. The few case–control and cohort studies identified did not show an association between accident occurrence and visual function. Attention needs to be paid to this issue to facilitate the conduct of high-quality research that can support the development of road safety policies. Full article

Background/Objectives: Providing appropriate treatment for pediatric patients after traffic accidents remains a significant challenge. Furthermore, limited studies have validated the long-term effectiveness and safety of integrative Korean medicine treatment (IKMT) based on follow-up periods of 6 months or longer for pediatric patients. Methods: A retrospective chart review was conducted, focused on children aged 0–6 years who visited one of seven Korean medicine hospitals after traffic accident injuries and received IKMT between 1 January 2019 and 30 June 2023. The primary outcome was the Numeric Rating Scale (NRS) scores of chief complaints, and the secondary outcomes were quality of life, adverse events, and satisfaction with IKMT. Statistical analyses were conducted using paired t-tests and descriptive statistics, with a significance level of 5%. Results: Sixty-four participants were included in the retrospective chart review, and fifty-seven guardians responded to the surveys (mean age: 4.84 ± 1.26 years; mean duration of treatment: 19.20 ± 25.38 days). Among the immediate symptoms after the accidents, flashbacks and intrusive symptoms as well as nightmares and crying were the most common (50.9%). Following treatment, the NRS scores for flashbacks and intrusive symptoms and for nightmares and crying showed meaningful improvements from the time right after the accidents to the survey period. Follow-up confirmed that quality of life scores on all dimensions corresponded with those of healthy children. Nine adverse events were reported, and the participants fully recovered without the need for additional treatment. Furthermore, 91.2% of the survey respondents were satisfied with IKMT. Conclusions: IKMT was effective and safe for alleviating the post-accident symptoms in infants and young children aged 0–6 years involved in traffic accidents. Full article

Background: As intelligent systems increasingly operate in high-risk environments, understanding how they perceive and respond to hazards is critical for ensuring safety. Methods: In this study, we conduct a comparative analysis of 60 real-world accident reports, 30 from process control systems (PCSs) and 30 from autonomous vehicles (AVs), to examine differences in risk triggers, perception paradigms, and interaction failures between humans and artificial intelligence (AI). Results: Our findings reveal that PCS risks are predominantly internal to the system and detectable through deterministic, rule-based mechanisms, whereas AVs’ risks are externally driven and managed via probabilistic, multi-modal sensor fusion. More importantly, despite these architectural differences, both domains exhibit recurring human–AI interaction failures, including over-reliance on automation, mode confusion, and delayed intervention. In the case of PCSs, these failures are historically tied to human–automation interaction; this article extrapolates these patterns to anticipate potential human–AI interaction challenges as AI adaptation increases. Conclusions: This study highlights the need for a hybrid risk perception framework and improved human-centered design to enhance situational awareness and responsiveness. While AI has not yet been implemented in PCS incident studies, this work interprets human–automation failures in these cases as indicative of potential challenges in human–AI interaction that may arise in future AI-integrated process systems. Implications extend to developing safer intelligent systems across industrial and transportation sectors. Full article

In Italy, the law on road homicide (Law no. 41/2016) introduced specific provisions for drivers who cause severe injuries or death to a person due to the violation of the Highway Code. The use of alcohol or drugs while driving constitutes an aggravating circumstance of the offence and provides for a tightening of penalties. Our study aims to report on the analysis performed on blood samples collected between January 2018 and December 2024 from drivers convicted of road homicide and who tested positive for alcohol and/or drugs. The majority of the involved subjects were males belonging to the 18–30 and 41–50 age groups. Alcohol, cocaine and cannabinoids were the most detected substances and the most frequent polydrug combination was alcohol and cocaine. We also investigated other influencing factors in road traffic accidents as the day of the week and the time of the day in which fatal road traffic accident occurred, and the time elapsed between the road accident and the collection of biological samples. Our data, in line with the international scenario, strongly support that, in addition to the tightening of penalties, raising awareness plays a key role in preventing alcohol- and drug-related traffic accidents by increasing risk perception and encouraging safer driving behaviors. Full article

Background/Objectives: Splenic torsion is a well-known and reported clinical problem. Splenic torsions after abdominal trauma represent a small group of cases that involve surgical management. They manifest primarily as abdominal pain, and the diagnosis is made based on imaging studies—ultrasound, CT, and MRI. Methods: This work aimed to analyze traumatic splenic torsions in terms of their clinical course, symptoms, timing, involvement of imaging techniques in the diagnosis, histopathological examination, and overall outcome. We searched databases using the desk research method under the keywords “splenic torsion”, “torsion”, and “spleen”, as well as in combination with “traumatic”, finding a total of eight cases, which we included in our analysis. Results: The eight cases were analyzed, comprising four females and four males, with an average age of 16.25 years (range 5–29 years). Traffic accidents were the most frequent cause of injury (five cases), while the circumstances were unclear in the remaining three. Immediate abdominal symptoms appeared in six patients. Splenic torsion was preoperatively diagnosed in five out of seven confirmed cases. A total of seven patients underwent laparotomy with splenectomy. In one case, laparoscopy converted to laparotomy with splenopexy preserved the spleen. Histopathology, performed in only two cases, confirmed splenic infarction in one patient; infarction status could not be determined in the remaining five due to missing data. Conclusions: Post-traumatic splenic torsions are a group of atypical injuries as the primary and immediate consequence of the trauma suffered is not anatomical–structural damage to the organ, such as a rupture. Mostly affecting young people, the cases described in the professional literature involve the main spleen, which was considered to be “wandering”, suggesting that this is a key predisposing factor for splenic torsion following blunt trauma and requiring diagnostic imaging for diagnosis. Full article

The backbone of maritime transportation has always been the successful execution of ship operations. However, the human factor has proven to be a weak point in the system. To reduce and mitigate it, a regulatory framework and consequently a safety system for ship barriers were created and implemented with this goal in mind. The expected result of these measures was the creation of a resilient maritime transport system. Nevertheless, the available statistics show that most of the reported accidents and incidents occurred during ship operation, with the human factor as the main cause. Therefore, it is useful to investigate whether the regulatory framework can influence the safety system of ship barriers. Therefore, the objectives of the study are as follows: (a) to investigate and determine the regulatory safety requirements and the elements related to the ship barrier system, and (b) to investigate the influence of the regulatory safety requirements on the elements related to the ship barrier system. From the data obtained and the analyses performed, seven factors emerged. Four of them were related to the regulatory requirements and three to the shipboard barrier system, a basis for the presented models. Several important findings were obtained that have theoretical and practical implications and further highlight the importance and potential undesirable side effects of the provisions of the current regulatory framework. Full article

Modeling accident investigation reports is crucial for elucidating accident causation mechanisms, analyzing risk evolution processes, and formulating effective accident prevention strategies. However, such reports are typically long, hierarchically structured, and information-dense, posing unique challenges for existing language models. To address these domain-specific characteristics, this study proposes SAFE-Transformer, a Structure-Aware and Format-Enhanced Transformer designed for long-document modeling in the emergency safety context. SAFE-Transformer adopts a dual-stream encoding architecture to separately model symbolic section features and heading text, integrates hierarchical depth and format types into positional encodings, and introduces a dynamic gating unit to adaptively fuse headings with paragraph semantics. We evaluate the model on a multi-label accident intelligence classification task using a real-world corpus of 1632 official reports from high-risk industries. Results demonstrate that SAFE-Transformer effectively captures hierarchical semantic structure and outperforms strong long-text baselines. Further analysis reveals an inverted U-shaped performance trend across varying report lengths and highlights the role of attention sparsity and label distribution in long-text modeling. This work offers a practical solution for structurally complex safety documents and provides methodological insights for downstream applications in safety supervision and risk analysis. Full article

A young adult patient presented to the gastrointestinal outpatient department with a suspected hepatic tumor. The patient was in a traffic accident ten years ago and underwent splenectomy and distal pancreatectomy at another medical institution. The physical examination was unremarkable. The liver function tests and tumor markers were within normal limits, with the alpha-fetoprotein level at 1.38 ng/mL. Both hepatitis B surface antigen and anti-HCV were negative. Based on the clinical history, intrahepatic splenosis was suspected first. Dynamic computed tomography revealed a 2.3 cm lesion exhibiting suspicious early wash-in and early wash-out enhancement patterns. As previous studies have reported, this finding makes hepatocellular carcinoma and metastatic lesions the major differential diagnoses. For further evaluation, dynamic magnetic resonance imaging was performed, and similar enhancing features were observed, along with restricted diffusion. As hepatocellular carcinoma still could not be confidently ruled out, the patient underwent an ultrasound-guided biopsy. The diagnosis of intrahepatic splenosis was confirmed by the pathologic examination. Intrahepatic splenosis is a rare condition defined as an acquired autoimplantation of splenic tissue within the hepatic parenchyma. Diagnosis can be challenging due to its ability to mimic liver tumors in imaging studies. Therefore, in patients with a history of splenic trauma and/or splenectomy, a high index of suspicion and awareness is crucial for accurate diagnosis and for prevention of unnecessary surgeries or interventions. Full article

This study explores the use of Large Language Models (LLMs), specifically GPT, for different safety management applications in the construction industry. Many studies have explored the integration of GPT in construction safety for various applications; their primary focus has been on the feasibility of such integration, often using GPT models for specific applications rather than a thorough evaluation of GPT’s limitations and capabilities. In contrast, this study aims to provide a comprehensive assessment of GPT’s performance based on established key criteria. Using structured use cases, this study explores GPT’s strength and weaknesses in four construction safety areas: (1) delivering personalized safety training and educational content tailored to individual learner needs; (2) automatically analyzing post-accident reports to identify root causes and suggest preventive measures; (3) generating customized safety guidelines and checklists to support site compliance; and (4) providing real-time assistance for managing daily safety tasks and decision-making on construction sites. LLMs and NLP have already been employed in each of these four areas for improvement, making them suitable areas for further investigation. GPT demonstrated acceptable performance in delivering evidence-based, regulation-aligned responses, making it valuable for scaling personalized training, automating accident analyses, and developing safety protocols. Additionally, it provided real-time safety support through interactive dialogues. However, the model showed limitations in deeper critical analysis, extrapolating information, and adapting to dynamic environments. The study concludes that while GPT holds significant promise for enhancing construction safety, further refinement is necessary. This includes fine-tuning for more relevant safety-specific outcomes, integrating real-time data for contextual awareness, and developing a nuanced understanding of safety risks. These improvements, coupled with human oversight, could make GPT a robust tool for safety management. Full article

Background: Trauma-related injuries are among the most common reasons for paediatric hospital presentations and represent a substantial component of orthopaedic care. Their management poses unique challenges due to ongoing skeletal development in children. While most reported fractures occur at home or during sports, prior studies have primarily used data from urban European populations, limiting the relevance of their findings for rural and regional settings. Urban-centred research often informs public healthcare guidelines, treatment algorithms, and infrastructure planning, introducing a bias when findings are generalised outside of metropolitan populations. This study addresses that gap by analysing fracture data from two rural trauma centres in New South Wales, Australia. This study assesses paediatric fractures resulting from severe injury mechanisms in rural areas, identifying common fracture types, underlying mechanisms, and treatment approaches to highlight differences in demographics. These findings aim to cast a light on healthcare challenges that regional areas face and to improve the overall cultural safety of children who live and grow up outside of the metropolitan trauma networks. Methods: We analysed data from two major rural referral hospitals in New South Wales (NSW) for paediatric injuries presenting between 1 January 2018 and 31 December 2022. This study included 150 patients presenting with fractures following severe mechanisms of injury, triaged into Australasian Triage Scale (ATS) categories 1 and 2 upon initial presentation. Results: A total of 150 severe fractures were identified, primarily affecting the upper and lower limbs. Males presented more frequently than females, and children aged 10–14 years old were most commonly affected. High-energy trauma from motorcycle (dirt bike) accidents was the leading mechanism of injury among all patients, and accounted for >50% of injuries among 10–14-year-old patients. The most common fractures sustained in these events were upper limb fractures, notably of the clavicle (n = 26, 17.3%) and combined radius/ulna fractures (n = 26, 17.3%). Conclusions: Paediatric trauma in regional Australia presents a unique and under-reported challenge, with high-energy injuries frequently linked to unregulated underage dirt bike use. Unlike urban centres where low-energy mechanisms dominate, rural areas require targeted prevention strategies. While most cases were appropriately managed locally, some were transferred to tertiary centres. These findings lay the groundwork for multi-centre research, and support the need for region-specific policy reform in the form of improved formal injury surveillance, injury prevention initiatives, and the regulation of under-aged off-road vehicular usage. Full article