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Objective: Occupant bracing behavior in pre-crash maneuvers has been previously investigated but the effect of the duration of the pre-crash maneuver on bracing is unknown. This is critical to understand as time-extended pre-crash maneuvers may emerge in cases where drivers lose control of a vehicle and in autonomous vehicles as they may take different approaches to avoid crashes than the current vehicles. Therefore, the aim of this study was to understand the effect of pre-crash maneuver duration on child and adult occupants' bracing behavior and resulting kinematics.
Methods: Forty seatbelt restrained subjects (9-40 years old) experienced sled-simulated time-extended lateral swerving maneuvers (8 s, 4 cycles, peak acceleration 0.7 g) producing an alternating motion initially out-of-the-belt, followed by into-the-belt for each cycle. In a braced condition, subjects were instructed to hold on to a laterally placed handle with their right hand before the maneuver onset, while in an unbraced condition no instructions were given. A 3D-motion capture system, electromyography (EMG), and seatbelt load cells captured head and trunk kinematics (normalized to seated height), muscle activation (normalized to maximum voluntary isometric contraction, MVIC), and seatbelt reaction forces (normalized to body weight), respectively. The effects of cycles and interaction with bracing and age on peak lateral head and trunk displacement into- and out-of-the belt were examined with Mixed-Effects Models and Tukey's post-hoc tests ( ≤ 0.05).
Results: Out-of-the-belt peak lateral head and trunk displacements were the greatest in the first cycle and the smallest in the second cycle ( < 0.01). The third and four cycles were not significantly different from one another ( > 0.8). Into-the-belt peak lateral head and trunk displacements were smaller in the first cycle than the remaining cycles ( < 0.001) and were not significantly different across the remaining cycles ( > 0.8). No interactions between cycle, age and bracing were found ( > 0.3). Right bicep, trapezius and rectus femoris activations slightly increased with increasing cycles in the unbraced condition and in the into-the-belt direction for the 9-11 year-old group. Out-of-belt seat belt loads increased with increasing cycles in the unbraced condition for all age groups.
Conclusions: Occupant kinematics as a result of their bracing behavior changed across cycles of swerving maneuvers from an exaggerated displacement in cycle 1 to an overcompensation due to bracing in cycle 2, ending with a plateau of a moderate displacement in cycle 3 and 4. Younger children (age 9-11) took longer to adapt to the oscillatory motion as they increased their muscle activation over time unlike the other age groups. These findings suggest that it may take time for occupants to find the optimal bracing strategy in time-extended maneuvers. Furthermore, children may find challenging to calibrate their bracing response overtime from a neuromotor perspective.
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http://dx.doi.org/10.1080/15389588.2025.2504629 | DOI Listing |
J Safety Res
September 2025
Unité Mixte de Recherche Epidémiologique et de Surveillance Transports, Travail, Environnement (UMRESTTE), Gustave Eiffel University, Claude Bernard Lyon 1 University, Bron, France.
Background: Traffic fatalities within Powered Two-Wheelers (PTW) users are mostly due to head and thoracic injuries. This study assesses airbag use prevalence among PTW users involved in Road Traffic Crashes (RTCs) in France and aims to estimate airbag effectiveness in protecting against fatality risk.
Methods: A cross-sectional study was conducted using French national police crash data from 1 January 2019 to 31 December 2022, including a total of 69,350 PTW users.
Int J Surg
September 2025
Department of Hepatobiliary and Pancreatic Surgery, Zhejiang The Second Affiliated Hospital, University School of Medicine, Hangzhou, China.
Background: Enucleation has the advantages of preserving function and avoiding pancreaticoduodenectomy for benign and low-grade malignant neoplasms in the pancreatic head. However, laparoscopic enucleation (LEn) of pancreatic head tumors remains challenging in terms of bleeding control and duct integrity preservation because of the complicated blood supply to the pancreatic head and the adjacent relationships of lesions with the main pancreatic duct (MPD), especially for deep-seated or broad-based lesions. Here, we developed a novel dual-arterial occlusion technique to facilitate LEn of pancreatic head tumors and evaluated its feasibility and safety.
View Article and Find Full Text PDFAnn Surg
September 2025
Department of Surgery, University of North Carolina at Chapel Hill, Chapel Hill, NC.
Objective: We hypothesized that anatomic location of metastatic melanoma is associated with the degree of therapeutic response to TVEC.
Summary: TVEC is the first FDA-approved injectable oncolytic virus to treat unresectable stage IIIB-IV metastatic melanoma patients. Previously published real-world outcomes demonstrated a 39% complete response (CR) rate to TVEC.
Aerosp Med Hum Perform
September 2025
Introduction: Military fast jet pilots face significant physical challenges, including high Gz accelerations during dynamic maneuvers. The objectives of this study were threefold: 1) to record pilot movements during real flights, 2) to quantify head and trunk movements under standardized Gz conditions and during basic fighter maneuvers (BFMs), and 3) to categorize compensatory strategies used to mitigate physical strain.
Methods: A total of 20 Eurofighter pilots (mean age: 28.
Chirurgie (Heidelb)
September 2025
Klinik für Chirurgie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Ratzeburgerallee 160, 23538, Lübeck, Deutschland.
A profound understanding of pancreatic anatomy and its vascular supply is essential for safely performing complex surgical procedures such as pancreaticoduodenectomy. Historically, anatomical exploration began with Herophilos and Ruphos of Ephesos in ancient times, evolving through major surgical innovations by Wirsung, Kausch and Whipple. The pancreas is located secondarily retroperitoneally and therefore has a close relationship of the pancreatic head to the superior mesenteric artery (SMA) and portal vein (PV) and the celiac trunc.
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