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21 pages, 7716 KiB  
Article
Resplace of the Car–Driver–Passenger System in a Frontal Crash Using a Water Impact Attenuator
by Claudiu Nedelescu, Calin Itu, Anghel Chiru, Sorin Vlase and Bogdan Cornel Benea
Vehicles 2025, 7(3), 74; https://doi.org/10.3390/vehicles7030074 - 16 Jul 2025
Viewed by 312
Abstract
Passenger safety remains a primary goal in vehicle engineering, requiring the development of advanced passive safety systems to reduce injuries during collisions. Impact attenuators (particularly for race cars) are a crucial component for the safety of the driver. The impact of the impact [...] Read more.
Passenger safety remains a primary goal in vehicle engineering, requiring the development of advanced passive safety systems to reduce injuries during collisions. Impact attenuators (particularly for race cars) are a crucial component for the safety of the driver. The impact of the impact attenuator (IA) is demonstrated by the behavior of a seat-belted dummy in a frontal collision with a rigid wall. The aim of this paper is to confirm the qualities of water as a damping agent in the manufacturing of the IA. To reach a conclusion, a theoretical model is used and experimental tests are performed. Once the loads operating on the dummy have been identified, it is confirmed that they fall within the range that the existing requirements recommend. The car is viewed as a structure with a seat-belt-fastened dummy and an impact attenuator. Research is being conducted on a new water-based impact attenuator technology. A frontal collision of the car–dummy assembly was taken into consideration when analyzing the dummy’s behavior in accordance with the criteria. A simulation program was used to calculate the accelerations at various points on the mannequin’s body as well as the force that manifested on the seat belts. So, the good qualities of IAs using water are revealed and support designers in their efforts to obtain better shock behavior. In the simulation, the variation of internal energy accumulated by the vehicle, displacements and velocities of various points on the chassis, as well as the accelerations of the vehicle and the occupant were determined. In the experiment, the vehicle velocities for both test cases were established and used in the simulation, and the accelerations of the vehicle and dummy were measured. The assessment was carried out by comparing experimental and simulation data, focusing on acceleration values recorded on both the dummy and the vehicle. Evaluation criteria such as HIC and ThAC were applied to determine the severity of the impact and the effectiveness of the proposed water-based attenuator. Full article
(This article belongs to the Topic Vehicle Dynamics and Control, 2nd Edition)
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38 pages, 4152 KiB  
Review
A Review of Seatbelt Technologies and Their Role in Vehicle Safety
by Adrian Soica and Carmen Gheorghe
Appl. Sci. 2025, 15(10), 5303; https://doi.org/10.3390/app15105303 - 9 May 2025
Viewed by 1418
Abstract
Seatbelts are critical components of vehicle safety, continuously evolving through technological advancements and regulatory updates. Traditionally designed to secure occupants during collisions, seatbelt innovations, such as retractors, pretensioners, and load limiters, have significantly enhanced comfort and effectiveness. With the advent of autonomous vehicles, [...] Read more.
Seatbelts are critical components of vehicle safety, continuously evolving through technological advancements and regulatory updates. Traditionally designed to secure occupants during collisions, seatbelt innovations, such as retractors, pretensioners, and load limiters, have significantly enhanced comfort and effectiveness. With the advent of autonomous vehicles, seatbelt systems must adapt to new safety challenges, including real-time tension adjustment through active seatbelt systems. These systems, integrated with active safety technologies like automatic emergency braking, offer a more comprehensive safety solution. Furthermore, seatbelt technology must address the diverse needs of different passenger categories. Quantitative data highlight the role of seatbelts for various passenger categories. Children are 55% more likely to be injured by rear structure intrusion and 27% more likely to suffer from compression into the front seat during rear impacts. Pregnant women generally experience milder injuries but are more prone to abdominal injuries. Older adults, who account for 17% of crash fatalities, are more likely to suffer thoracic injuries and fractures due to increased bone fragility. This review explores the integration of traditional and modern seatbelt systems, focusing on passenger-specific adaptations and the future role of seatbelts in autonomous vehicles. This study is based on a thorough literature review, analyzing data from the Web of Science, Scopus, and SAE databases, where available, to assess the contributions and impact of these innovations. Full article
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18 pages, 9445 KiB  
Review
The Role of Autopsy in Diagnosing Fatal Chest Injuries in Road Traffic Accidents: A Literature Review
by Matteo Antonio Sacco, Maria Cristina Verrina, Saverio Gualtieri, Agostinho Santos, Bárbara Ferreira Mendes, Alessandro Pasquale Tarallo, Aurora Princi, Stefano Lombardo, Pietrantonio Ricci and Isabella Aquila
Diagnostics 2025, 15(6), 778; https://doi.org/10.3390/diagnostics15060778 - 19 Mar 2025
Viewed by 1080
Abstract
Road accidents are one of the leading causes of death worldwide, with significant repercussions on public health and the global economy. Fatal accidents can cause injuries in various anatomical areas with different dynamics. The thorax is one of the main sites involved in [...] Read more.
Road accidents are one of the leading causes of death worldwide, with significant repercussions on public health and the global economy. Fatal accidents can cause injuries in various anatomical areas with different dynamics. The thorax is one of the main sites involved in fatal accidents, due to the presence of vital organs such as the heart and lungs. Protective devices, such as seatbelts and airbags, also play a fundamental role in preventing chest injuries. However, external examination is often insufficient to determine the extent of internal trauma, resulting in significant difficulties in reconstructing the accident dynamics. In particular, in the absence of an autopsy, it is difficult to determine whether the driver or passengers were wearing protective devices, such as seatbelts, at the time of the accident. Diagnosing injuries secondary to protective devices, such as airbags, can also be complex without this assessment. Through a review of the literature, this work analyzes the different types of thoracic trauma that can be found at autopsy, providing indications to the forensic pathologist for the examination of these injuries. This review highlights the importance of the autopsy examination as a gold-standard investigation in the analysis of thoracic trauma from road accidents, in order to evaluate with certainty the injuries that caused death, and to facilitate the reconstruction of the dynamics for judicial purposes. Finally, an analysis of postmortem radiological investigations and of the role of protective measures in these events, such as the seatbelt and airbag, is provided. Full article
(This article belongs to the Special Issue Advances in Forensic Medical Diagnosis)
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15 pages, 12251 KiB  
Review
The Role of Autopsy in the Forensic and Clinical Evaluation of Head Trauma and Traumatic Brain Injury in Road Traffic Accidents: A Review of the Literature
by Matteo Antonio Sacco, Maria Cristina Verrina, Roberto Raffaele, Saverio Gualtieri, Alessandro Pasquale Tarallo, Santo Gratteri and Isabella Aquila
Diagnostics 2025, 15(4), 442; https://doi.org/10.3390/diagnostics15040442 - 12 Feb 2025
Viewed by 2926
Abstract
Road traffic accidents (RTAs) are a leading cause of morbidity and mortality worldwide, frequently resulting in traumatic brain injuries (TBIs), skull fractures, and spinal injuries. This manuscript examines the forensic aspects of head trauma caused by RTAs, focusing on the role of autopsy [...] Read more.
Road traffic accidents (RTAs) are a leading cause of morbidity and mortality worldwide, frequently resulting in traumatic brain injuries (TBIs), skull fractures, and spinal injuries. This manuscript examines the forensic aspects of head trauma caused by RTAs, focusing on the role of autopsy and imaging in diagnosing and characterizing injuries. Through a systematic review of the literature, the study highlights the mechanisms of injury, including high-speed collisions, whiplash, and pedestrian impacts, and explores their pathological consequences, such as subarachnoid hemorrhage, intracranial hemorrhage, and diffuse axonal injury. The differentiation between traumatic and non-traumatic conditions, such as aneurysmal subarachnoid hemorrhage, is emphasized to ensure accurate clinical and forensic assessments. Advances in imaging technologies, particularly virtopsy, are discussed for their potential in non-invasive documentation and analysis of head injuries, while limitations of this approach are acknowledged. Furthermore, the manuscript underscores the importance of preventive measures, including helmet and seatbelt use, vehicle safety innovations, and improved road design, in reducing the incidence and severity of RTAs. By integrating clinical, forensic, and preventive perspectives, this study provides a comprehensive framework for understanding and addressing the burden of head trauma related to RTAs. Full article
(This article belongs to the Special Issue Advances in Forensic Medical Diagnosis)
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24 pages, 7924 KiB  
Article
Finite Element Analysis of Occupant Risk in Vehicular Impacts into Cluster Mailboxes
by Emre Palta, Lukasz Pachocki, Dawid Bruski, Qian Wang, Christopher Jaus and Howie Fang
Computation 2025, 13(1), 12; https://doi.org/10.3390/computation13010012 - 8 Jan 2025
Viewed by 878
Abstract
The deployment of cluster mailboxes (CMs) in the U.S. has raised safety concerns for passengers in potential vehicular crashes involving CMs. This study investigated the crashworthiness of two types of CMs through nonlinear finite element simulations. Two configurations of CM arrangements were considered: [...] Read more.
The deployment of cluster mailboxes (CMs) in the U.S. has raised safety concerns for passengers in potential vehicular crashes involving CMs. This study investigated the crashworthiness of two types of CMs through nonlinear finite element simulations. Two configurations of CM arrangements were considered: a single- and a dual-unit setup. These CM designs were tested on flat-road conditions with and without a curb. A 2010 Toyota Yaris and a 2006 Ford F250, both in compliance with the Manual for Assessing Safety Hardware (MASH), were employed in the analysis. The simulations incorporated airbag models, seatbelt restraint systems, and a Hybrid III 50th percentile adult male dummy. The investigations focused on evaluating the safety of vehicle occupants in 32 impact scenarios and under MASH Test Level 1 conditions (with an impact speed of 50 km/h). The simulation results provided insights into occupant risk and determined the primary failure mode of the CMs. No components of the mailboxes were found intruding into the vehicle’s occupant compartment. For all considered cases, the safety factors remained within allowable limits, indicating only a marginal risk of potential injury to occupants posed by the considered CMs. Full article
(This article belongs to the Special Issue Advances in Crash Simulations: Modeling, Analysis, and Applications)
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18 pages, 16918 KiB  
Article
Advancing Road Safety: A Comprehensive Evaluation of Object Detection Models for Commercial Driver Monitoring Systems
by Huma Zia, Imtiaz ul Hassan, Muhammad Khurram, Nicholas Harris, Fatima Shah and Nimra Imran
Future Transp. 2025, 5(1), 2; https://doi.org/10.3390/futuretransp5010002 - 1 Jan 2025
Cited by 2 | Viewed by 1837
Abstract
This paper addresses the critical issue of road safety in the indispensable role of transportation for societal well-being and economic growth. Despite global initiatives like Vision Zero, traffic accidents persist, largely influenced by driver behavior. Advanced driver monitoring systems (ADMSs) utilizing computer vision [...] Read more.
This paper addresses the critical issue of road safety in the indispensable role of transportation for societal well-being and economic growth. Despite global initiatives like Vision Zero, traffic accidents persist, largely influenced by driver behavior. Advanced driver monitoring systems (ADMSs) utilizing computer vision have emerged to mitigate this issue, but existing systems are often costly and inaccessible, particularly for bus companies. This study introduces a lightweight, deep-learning-based ADMS tailored for real-time driver behavior monitoring, addressing practical barriers to enhance safety measures. A meticulously curated dataset, encompassing diverse demographics and lighting conditions, captures 4966 images depicting five key driver behaviors: eye closure, yawning, smoking, mobile phone usage, and seatbelt compliance. Three object detection models—Faster R-CNN, RetinaNet, and YOLOv5—were evaluated using critical performance metrics. YOLOv5 demonstrated exceptional efficiency, achieving an FPS of 125, a compact model size of 42 MB, and an mAP@IoU 50% of 93.6%. Its performance highlights a favorable trade-off between speed, model size, and prediction accuracy, making it ideal for real-time applications. Faster R-CNN achieved an FPS of 8.56, a model size of 835 MB, and an mAP@IoU 50% of 89.93%, while RetinaNet recorded an FPS of 16.24, a model size of 442 MB, and an mAP@IoU 50% of 87.63%. The practical deployment of the ADMS on a mini CPU demonstrated cost-effectiveness and high performance, enhancing accessibility in real-world settings. By elucidating the strengths and limitations of different object detection models, this research contributes to advancing road safety through affordable, efficient, and reliable technology solutions. Full article
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26 pages, 10263 KiB  
Article
Innovative Seatbelt-Integrated Metasurface Radar for Enhanced In-Car Healthcare Monitoring
by Rifa Atul Izza Asyari, Roy B. V. B. Simorangkir and Daniel Teichmann
Sensors 2024, 24(23), 7494; https://doi.org/10.3390/s24237494 - 24 Nov 2024
Cited by 1 | Viewed by 2743
Abstract
This study introduces a novel seatbelt-integrated, non-invasive, beam-focusing metamaterial sensing system characterized by its thinness and flexibility. The system comprises a flexible transmitarray lens and an FMCW radar sensor, enabling the accurate detection and analysis of seatbelt usage and positioning through human tissue. [...] Read more.
This study introduces a novel seatbelt-integrated, non-invasive, beam-focusing metamaterial sensing system characterized by its thinness and flexibility. The system comprises a flexible transmitarray lens and an FMCW radar sensor, enabling the accurate detection and analysis of seatbelt usage and positioning through human tissue. The metasurface design remains effective even when subjected to different bending angles. Our system closely tracks heart rate and respiration, validated against standard reference methods, highlighting its potential for enhancing in-car healthcare monitoring. Experimental results demonstrate the system’s reliability in monitoring physiological signals within dynamic vehicular environments. Full article
(This article belongs to the Special Issue Electromagnetic Sensors for Remote Patient Monitoring)
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20 pages, 11683 KiB  
Article
Responses of Vehicular Occupants During Emergency Braking and Aggressive Lane-Change Maneuvers
by Hyeonho Hwang and Taewung Kim
Sensors 2024, 24(20), 6727; https://doi.org/10.3390/s24206727 - 19 Oct 2024
Viewed by 1448
Abstract
To validate active human body models for investigating occupant safety in autonomous cars, it is crucial to comprehend the responses of vehicle occupants during evasive maneuvers. This study sought to quantify the behavior of midsize male and small female passenger seat occupants in [...] Read more.
To validate active human body models for investigating occupant safety in autonomous cars, it is crucial to comprehend the responses of vehicle occupants during evasive maneuvers. This study sought to quantify the behavior of midsize male and small female passenger seat occupants in both upright and reclined postures during three types of vehicle maneuvers. Volunteer tests were conducted using a minivan, where vehicle kinematics were measured with a DGPS sensor and occupant kinematics were captured with a stereo-vision motion capture system. Seatbelt loads, belt pull-out, and footrest reaction forces were also documented. The interior of the vehicle was 3D-scanned for modeling purposes. Results indicated that seatback angles significantly affected occupant kinematics, with small female volunteers displaying reduced head and torso movements, except during emergency braking with a upright posture seatback. Lane-change maneuvers revealed that maximum lateral head excursions varied depending on the maneuver’s direction. The study concluded that seatback angles were crucial in determining the extent of occupant movement, with notable variations in head and torso excursions observed. The collected data assist in understanding occupant behavior during evasive maneuvers and contribute to the validation of human body models, offering essential insights for enhancing safety systems in autonomous vehicles. Full article
(This article belongs to the Special Issue Sensing Human Cognitive Factors)
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11 pages, 5288 KiB  
Technical Note
Topology Optimization of an Automotive Seatbelt Bracket Considering Fatigue
by Ali Abdelhafeez Hassan and Bikram Biswas
Designs 2024, 8(5), 99; https://doi.org/10.3390/designs8050099 - 3 Oct 2024
Cited by 1 | Viewed by 2215
Abstract
Technological progress is leading to the incorporation of digital twinning and artificial intelligence, causing engineering design and scientific procedures to transition into an AI-driven age. Digital twinning and modeling have been increasingly included into engineering design optimization, particularly via processes like topology optimization [...] Read more.
Technological progress is leading to the incorporation of digital twinning and artificial intelligence, causing engineering design and scientific procedures to transition into an AI-driven age. Digital twinning and modeling have been increasingly included into engineering design optimization, particularly via processes like topology optimization and generative design, to provide modern design solutions efficiently. The integration of topology optimization with additive manufacturing is revolutionizing the design optimization process in the automotive industry, where there is a pressing demand for lightweight design and improving production efficiency. A design optimization methodology has been developed to optimize an Automotive Seatbelt Bracket subjected to dynamic load and fatigue. The innovative design is lighter and consolidates the entire assembly into a single body that can be manufactured using additive manufacturing. Full article
(This article belongs to the Special Issue Design and Manufacture of Electric Vehicles)
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12 pages, 1373 KiB  
Article
Exploration of the Characteristics of Elderly-Driver-Involved Single-Vehicle Hit-Fixed-Object Crashes in Pennsylvania, USA
by Xuerui Hou, Zihao Zhang, Xue Su and Chenhui Liu
Appl. Sci. 2024, 14(19), 8625; https://doi.org/10.3390/app14198625 - 25 Sep 2024
Cited by 2 | Viewed by 1488
Abstract
With the acceleration of population aging, the elderly driving safety issue is increasingly prominent. Method: With the crash data of Pennsylvania from 2010 to 2019, this study exclusively discusses features of single-vehicle hit-fixed-object crashes (SVHFOCs), one of the most common and deadliest crash [...] Read more.
With the acceleration of population aging, the elderly driving safety issue is increasingly prominent. Method: With the crash data of Pennsylvania from 2010 to 2019, this study exclusively discusses features of single-vehicle hit-fixed-object crashes (SVHFOCs), one of the most common and deadliest crash types for elderly drivers. Results: Firstly, we demonstrate that elderly drivers are much more likely to be injured and killed than young drivers in SVHFOCs by checking crash consequences. The descriptive analysis indicates that elderly drivers have very different crash features from young drivers. They are found to drive with more caution in many aspects, such as more low-speed local travels, fewer illegal behaviors, fewer nighttime travels, etc. Then, a logistic regression model is built to find the factors significantly influencing the severity of SVHFOCs from driver, vehicle, roadway, and environment. The estimation results indicate that female sex, not wearing a seatbelt, DUI, rural area, and SUV involvement tend to be associated with more severe SVHFOCs. Additionally, illumination, weather, and road type could also significantly affect crash severity. Especially, SVHFOCs in adverse weather, in dark conditions, and at intersections are found to be less severe, which implies that elderly drivers might drive more carefully in complex environments. Practical Applications: These findings are expected to provide new insights for agencies in formulating customized measures to prevent elderly drivers from being involved in SVHFOCs. Full article
(This article belongs to the Special Issue Vehicle Safety and Crash Avoidance)
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12 pages, 1844 KiB  
Article
Comfortable Seatbelts for Pregnant Women with Twins in Japan: A Cross-Sectional Observational Study on Seatbelt Usage
by Sachi Tsuchikawa, Yui Miyajima, Yumiko Tateoka and Masahito Hitosugi
Healthcare 2024, 12(16), 1590; https://doi.org/10.3390/healthcare12161590 - 9 Aug 2024
Cited by 1 | Viewed by 1508
Abstract
Optimal seatbelt practices for pregnant women with twins at different gestational ages remain uncertain. To offer recommendations for a comfortable seatbelt system, this cross-sectional observational study explored seatbelt usage and driving habits among women with twins across various pregnancy stages through an online [...] Read more.
Optimal seatbelt practices for pregnant women with twins at different gestational ages remain uncertain. To offer recommendations for a comfortable seatbelt system, this cross-sectional observational study explored seatbelt usage and driving habits among women with twins across various pregnancy stages through an online survey that explored driving conditions and comfortable seatbelts at different stages of pregnancy. Women who drove daily before their pregnancy with twins decreased their driving frequency as the pregnancy progressed. Correct seatbelt usage was lower and no seatbelt usage was higher among pregnant women with twins than those with singleton pregnancies. They adapted their seatbelt-wearing techniques to minimise pressure on the chest in the first and third trimesters and the abdomen from the second trimester onwards. The comfortable seatbelts were those that could alleviate belt pressure, featuring waist belts to reduce pressure, wider belts to avoid localised pressure, and shoulder belts resembling a backpack type. When wearing a seatbelt, avoiding pressure on the thorax and abdomen is key for pregnant women with twins. This study suggests that the suitability of driving for pregnant women with twins in their last trimester and the reliability of seatbelts designed for such women should be further examined and validated. Full article
(This article belongs to the Special Issue Midwifery Care: Improvement of Maternal and Newborn Health)
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13 pages, 5770 KiB  
Article
Prediction of Placental Abruption of Pregnant Women Drivers with Various Collision Velocities, Seatbelt Positions and Placental Positions—Analysis with Novel Pregnant Occupant Model
by Tomohiro Izumiyama, Atsuno Tsuji, Katsunori Tanaka, Yumiko Tateoka, Ryusuke Asahi, Hiroshi Hamano, Masahito Hitosugi and Shigeru Sugimoto
Int. J. Environ. Res. Public Health 2024, 21(7), 827; https://doi.org/10.3390/ijerph21070827 - 25 Jun 2024
Cited by 1 | Viewed by 2111
Abstract
The aims of this study were as follows: the (a) creation of a pregnant occupant finite element model based on pregnant uterine data from sonography, (b) development of the evaluation method for placental abruption using this model and (c) analysis of the effects [...] Read more.
The aims of this study were as follows: the (a) creation of a pregnant occupant finite element model based on pregnant uterine data from sonography, (b) development of the evaluation method for placental abruption using this model and (c) analysis of the effects of three factors (collision speed, seatbelt position and placental position) on the severity of placental abruption in simulations of vehicle collisions. The 30-week pregnant occupant model was developed with the uterine model including the placenta, uterine–placental interface, fetus, amniotic fluid and surrounding ligaments. A method for evaluating the severity of placental abruption on this pregnant model was established, and the effects of these factors on the severity of the injury were analyzed. As a result, a higher risk of placental abruption was observed in high collision speeds, seatbelt position over the abdomen and anterior-fundal placenta. Lower collision speeds and seatbelt position on the iliac wings prevented severe placental abruption regardless of placental positions. These results suggested that safe driving and keeping seatbelt position on the iliac wings were essential to decrease the severity of this injury. From the analysis of the mechanism for placental abruption, the following hypothesis was proposed: a shear at adhesive sites between the uterus and placenta due to direct seatbelt loading to the uterus. Full article
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15 pages, 6992 KiB  
Article
Numerical Dolly Rollover Evaluation Using a Damping-Harmonic System with a Low Back Booster to Reduce Injuries in a Six-Year-Old Child
by Ivan Lenin Cruz-Jaramillo, José Luis Torres-Ariza, Mario Alberto Grave-Capistrán, Elliot Alonso Alcántara-Arreola, Carlos Alberto Espinoza-Garcés and Christopher René Torres-SanMiguel
Safety 2024, 10(2), 53; https://doi.org/10.3390/safety10020053 - 18 Jun 2024
Cited by 1 | Viewed by 1151
Abstract
This study examined injuries sustained by a six-year-old child dummy in a numerical dolly rollover crash using a Toyota Yaris 2010. A harmonic dynamic system (HDS) composed of spring, dampers, and masses with a Low Back Booster (LBB) is denominated as HDS-LBB model. [...] Read more.
This study examined injuries sustained by a six-year-old child dummy in a numerical dolly rollover crash using a Toyota Yaris 2010. A harmonic dynamic system (HDS) composed of spring, dampers, and masses with a Low Back Booster (LBB) is denominated as HDS-LBB model. The HDS-LBB was designed to allow damping movements along three Cartesian axes (X, Y, Z) to reduce the energy transferred to the child by a motor vehicle accident and avoid a high injury risk. The HDS-LBB incorporates springs into the vertical axis to decrease the vertical movement during the rollover. The numerical analysis was conducted using LS-Dyna® R12.1 version during an interval of 1 s, and the boundary conditions were set by the Federal Motor Vehicle Safety Standard (FMVSS) 213 for child restraint recommendations and the FMVSS 208 for a dolly rollover procedure. Data on head and thorax decelerations, neck flexion-extension, and thoracic deflection were acquired at a rate of 1 ms. The injury values obtained by the HDS-LBB were compared with the injury values by another configuration denominated LBB-ISOFIX to assess the effectiveness of the model proposed. The results show a higher peak injury value in the neck and thorax because of seatbelt displacement across the child’s shoulder. Nevertheless, despite this seatbelt behavior, the injuries sustained remained below the Injury Assessment Reference Values (IARVS). Full article
(This article belongs to the Special Issue Worldwide Accidents: Trends, Investigation and Prevention)
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7 pages, 192 KiB  
Article
Evaluation of Adolescents’ Awareness of Seat Belt Use and the Relationship with Risky Behaviors
by Hatice Topal, Sadettin Burak Açıkel, Hülya Şirin, Emine Polat, Harun Terin, Mehmet Mustafa Yılmaz and Saliha Şenel
Children 2024, 11(6), 656; https://doi.org/10.3390/children11060656 - 28 May 2024
Cited by 3 | Viewed by 1468
Abstract
The one of the leading causes of adolescent morbidity and mortality worldwide is motor vehicle accidents (MVA). The use of seat belts significantly lowers MVA fatalities and injuries. The aim of this study is to investigate adolescent seat belt usage patterns and relation [...] Read more.
The one of the leading causes of adolescent morbidity and mortality worldwide is motor vehicle accidents (MVA). The use of seat belts significantly lowers MVA fatalities and injuries. The aim of this study is to investigate adolescent seat belt usage patterns and relation with risky behaviors. The study conducted at two medical institutions with non-immigrant and literate adolescents aged 12–18. Demographics, seat belt use, and risk-taking behavior were collected through questionnaires. 726 teenagers (422 girls and 304 boys) with an average age of 176.7 ± 23.37 months participated in the study. Parents’ educational levels and front-seat belt use have been found to be correlated. Comparatively to non-users, seat belt users demonstrated lower risk scores (total, traffic, substance, and social). The use of seat belts was significantly predicted by traffic risk, according to logistic regression. The frequency of seatbelt use was higher among participants from cities with higher socioeconomic status. As a result, it was found that adolescents who exhibited more risky behaviors had a lower frequency of seat belt use and seat belt use was associated with socioeconomic level and parental education level. It is thought that population-based studies to be conducted on this subject are important. Full article
(This article belongs to the Section Pediatric Mental Health)
15 pages, 742 KiB  
Article
Risk and Protective Factors for Injury in Adult Front- and Rear-Seated Motor Vehicle Occupants in New York State
by Laura Zhang, Emilia Pawlowski, Leah M. Hines, Michael J. Bauer and Joyce C. Pressley
Int. J. Environ. Res. Public Health 2024, 21(6), 663; https://doi.org/10.3390/ijerph21060663 - 22 May 2024
Cited by 2 | Viewed by 1480
Abstract
Although seatbelt use is known to reduce motor vehicle occupant crash injury and death, rear-seated adult occupants are less likely to use restraints. This study examines risk and protective factors associated with injury severity in front- and rear-seated adults involved in a motor [...] Read more.
Although seatbelt use is known to reduce motor vehicle occupant crash injury and death, rear-seated adult occupants are less likely to use restraints. This study examines risk and protective factors associated with injury severity in front- and rear-seated adults involved in a motor vehicle crash in New York State. The Crash Outcome Data Evaluation System (CODES) (2016–2017) was used to examine injury severity in front- and rear-seated occupants aged 18 years or older (N = 958,704) involved in a motor vehicle crash. CODES uses probabilistic linkage of New York State hospitalization, emergency department, and police and motorist crash reports. Multivariable logistic regression models with MI analyze employed SAS 9.4. Odds ratios are reported as OR with 95% CI. The mortality rate was approximately 1.5 times higher for rear-seated than front-seated occupants (136.60 vs. 92.45 per 100,000), with rear-seated occupants more frequently unrestrained than front-seated occupants (15.28% vs. 1.70%, p < 0.0001). In adjusted analyses that did not include restraint status, serious injury/death was higher in rear-seated compared to front-seated occupants (OR:1.272, 1.146–1.412), but lower once restraint use was added (OR: 0.851, 0.771–0.939). Unrestrained rear-seated occupants exhibited higher serious injury/death than restrained front-seated occupants. Unrestrained teens aged 18–19 years old exhibit mortality per 100,000 occupants that is more similar to that of the oldest two age groups than to other young and middle-aged adults. Speeding, a drinking driver, and older vehicles were among the independent predictors of serious injury/death. Unrestrained rear-seated adult occupants exhibit higher severe injury/death than restrained front-seated occupants. When restrained, rear-seated occupants are less likely to be seriously injured than restrained front-seated occupants. Full article
(This article belongs to the Special Issue Road Traffic Risk Assessment: Control and Prevention of Collisions)
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