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1.
BMC Med Educ ; 24(1): 792, 2024 Jul 24.
Artículo en Inglés | MEDLINE | ID: mdl-39049034

RESUMEN

BACKGROUND: The undergraduate tutorial system (UTS) is a crucial measure in China for adhering to the principle of prioritizing foundational education, innovating the undergraduate talent training mode, and building a powerful country of higher education. This study investigated undergraduate students' satisfaction with UTS and the influencing factors, aiming to promote the healthy and sustainable development of UTS and provide practical implications and suggestions for universities. METHODS: Based on relevant theories, we conducted a survey study and leveraged structural equation modeling to assess students' satisfaction with UTS and explore the influencing factors. RESULTS: Our Pearson correlation analysis showed that students' satisfaction with mentors was positively correlated with dimensions such as humanistic care (r = 0.844, P < 0.05), mentor assistance (r = 0.906, P < 0.05), and mentor-student communication (r = 0.908, P < 0.05). Path analysis showed that mentor-student communication (ß = 0.486, P < 0.01), mentor assistance (ß = 0.228, P < 0.05), humanistic care (ß = 0.105, P < 0.05) were positive factors affecting students' satisfaction with mentors, while satisfaction with mentors (ß = 0.923, P < 0.01) had a positive impact on students' satisfaction with UTS. Students' satisfaction with mentors explained 73.4% of the variation in students' satisfaction with UTS, indicating that satisfaction with mentors was an important intermediary variable of UTS students. CONCLUSION: The sustainable implementation of UTS requires the effort to improve student satisfaction, and the breakthrough of strengthening the targeted mentorship in "transmitting wisdom, imparting knowledge, and resolving doubts" for students. Efforts should also be devoted to fostering students' comprehensive skills and better serving the cultivation of talents in the new era.


Asunto(s)
Educación de Pregrado en Medicina , Satisfacción Personal , Humanos , Femenino , Masculino , China , Mentores , Estudiantes de Medicina/psicología , Encuestas y Cuestionarios , Análisis de Clases Latentes , Adulto Joven
2.
Traffic Inj Prev ; 25(6): 788-794, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38860880

RESUMEN

OBJECTIVE: Distracted driving is a leading cause of motor vehicle crashes, and cell phone use is a major source of in-vehicle distraction. Many states in the United States have enacted cell phone use laws to regulate drivers' cell phone use behavior to enhance traffic safety. Numerous studies have examined the effects of such laws on drivers' cell phone use behavior based on self-reported and roadside observational data. However, little was known about who actually violated the laws at the enforcement level. This study sought to uncover the demographic characteristics of drivers cited for cell phone use while driving and whether these characteristics changed over time since the enactment of cell phone laws. METHODS: We acquired useable traffic citation data for 7 states in the United States from 2010 to 2020 and performed descriptive and regression analyses. RESULTS: Male drivers were cited more for cell phone use while driving. Handheld and texting bans were associated with a greater proportion of cited drivers aged 40 and above, compared to texting-only bans. Trends in the citations issued based on drivers' age group following the enactment of different cell phone laws were also uncovered. The proportion of citations issued to drivers aged 60 and above increased over time but the temporal trend remained insignificant when population effect was considered. CONCLUSIONS: This study examined the demographic characteristics of drivers cited for cell phone use while driving in selected states with texting-only bans or handheld and texting bans. The results reveal policy-based differences in trends in the proportion of citations issued to drivers in different age groups.


Asunto(s)
Uso del Teléfono Celular , Conducción Distraída , Humanos , Estados Unidos , Masculino , Adulto , Uso del Teléfono Celular/estadística & datos numéricos , Uso del Teléfono Celular/tendencias , Persona de Mediana Edad , Femenino , Adulto Joven , Conducción Distraída/estadística & datos numéricos , Conducción Distraída/tendencias , Adolescente , Anciano , Conducción de Automóvil/legislación & jurisprudencia , Conducción de Automóvil/estadística & datos numéricos , Accidentes de Tránsito/estadística & datos numéricos , Accidentes de Tránsito/tendencias , Teléfono Celular/estadística & datos numéricos , Teléfono Celular/tendencias
3.
JMIR Form Res ; 8: e58465, 2024 Jun 26.
Artículo en Inglés | MEDLINE | ID: mdl-38922681

RESUMEN

BACKGROUND: Age-related vision changes significantly contribute to fatal crashes at night among older drivers. However, the effects of lighting conditions on age-related vision changes and associated driving performance remain unclear. OBJECTIVE: This pilot study examined the associations between visual function and driving performance assessed by a high-fidelity driving simulator among drivers 60 and older across 3 lighting conditions: daytime (photopic), nighttime (mesopic), and nighttime with glare. METHODS: Active drivers aged 60 years or older participated in visual function assessments and simulated driving on a high-fidelity driving simulator. Visual acuity (VA), contrast sensitivity function (CSF), and visual field map (VFM) were measured using quantitative VA, quantitative CSF, and quantitative VFM procedures under photopic and mesopic conditions. VA and CSF were also obtained in the presence of glare in the mesopic condition. Two summary metrics, the area under the log CSF (AULCSF) and volume under the surface of VFM (VUSVFM), quantified CSF and VFM. Driving performance measures (average speed, SD of speed [SDspeed], SD of lane position (SDLP), and reaction time) were assessed under daytime, nighttime, and nighttime with glare conditions. Pearson correlations determined the associations between visual function and driving performance across the 3 lighting conditions. RESULTS: Of the 20 drivers included, the average age was 70.3 years; 55% were male. Poor photopic VA was significantly correlated with greater SDspeed (r=0.26; P<.001) and greater SDLP (r=0.31; P<.001). Poor photopic AULCSF was correlated with greater SDLP (r=-0.22; P=.01). Poor mesopic VUSFVM was significantly correlated with slower average speed (r=-0.24; P=.007), larger SDspeed (r=-0.19; P=.04), greater SDLP (r=-0.22; P=.007), and longer reaction times (r=-0.22; P=.04) while driving at night. For functional vision in the mesopic condition with glare, poor VA was significantly correlated with longer reaction times (r=0.21; P=.046) while driving at night with glare; poor AULCSF was significantly correlated with slower speed (r=-0.32; P<.001), greater SDLP (r=-0.26; P=.001) and longer reaction times (r=-0.2; P=.04) while driving at night with glare. No other significant correlations were observed between visual function and driving performance under the same lighting conditions. CONCLUSIONS: Visual functions differentially affect driving performance in different lighting conditions among older drivers, with more substantial impacts on driving during nighttime, especially in glare. Additional research with larger sample sizes is needed to confirm these results.

4.
Accid Anal Prev ; 203: 107644, 2024 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-38788433

RESUMEN

Modern vehicles are vulnerable to cyberattacks and the consequences can be severe. While technological efforts have attempted to address the problem, the role of human drivers is understudied. This study aims to assess the effectiveness of training and warning systems on drivers' response behavior to vehicle cyberattacks. Thirty-two participants completed a driving simulator study to assess the effectiveness of training and warning system according to their velocity, deceleration events, and count of cautionary behaviors. Participants, who held a valid United States driving license and had a mean age of 20.4 years old, were equally assigned to one of four groups: control (n = 8), training-only (n = 8), warning-only (n = 8), training and warning groups (n = 8). For each drive, mixed ANOVAs were implemented on the velocity variables and Poisson regression was conducted on the normalized time with large deceleration events and cautionary behavior variables. Overall, the results suggest that drivers' response behaviors were moderately affected by the training programs and the warning messages. Most drivers who received training or warning messages responded safely and appropriately to cyberattacks, e.g., by slowing down, pulling over, or performing cautionary behaviors, but only in specific cyberattack events. Training programs show promise in improving drivers' responses toward vehicle cyberattacks, and warning messages show rather moderate improvement but can be further refined to yield consistent behavior.


Asunto(s)
Conducción de Automóvil , Simulación por Computador , Desaceleración , Humanos , Conducción de Automóvil/educación , Conducción de Automóvil/psicología , Masculino , Femenino , Adulto Joven , Accidentes de Tránsito/prevención & control , Adulto , Adolescente , Tiempo de Reacción , Equipos de Seguridad , Seguridad
5.
Inj Epidemiol ; 11(1): 10, 2024 Mar 13.
Artículo en Inglés | MEDLINE | ID: mdl-38481266

RESUMEN

BACKGROUND: Mild traumatic brain injury (mTBI) and traffic-related injuries are two major public health problems disproportionately affecting young people. Young drivers, whose driving skills are still developing, are particularly vulnerable to impaired driving due to brain injuries. Despite this, there is a paucity of research on how mTBI impacts driving and when it is safe to return to drive after an mTBI. This paper describes the protocol of the study, R2DRV, Longitudinal Assessment of Driving After Mild TBI in Young Drivers, which examines the trajectory of simulated driving performance and self-reported driving behaviors from acutely post-injury to symptom resolution among young drivers with mTBI compared to matched healthy drivers. Additionally, this study investigates the associations of acute post-injury neurocognitive function and cognitive load with driving among young drivers with and without mTBI. METHODS: A total of 200 young drivers (ages 16 to 24) are enrolled from two study sites, including 100 (50 per site) with a physician-confirmed isolated mTBI, along with 100 (50 per site) healthy drivers without a history of TBI matched 1:1 for age, sex, driving experience, and athlete status. The study assesses primary driving outcomes using two approaches: (1) high-fidelity driving simulators to evaluate driving performance across four experimental study conditions at multiple time points (within 96 h of injury and weekly until symptom resolution or 8 weeks post-injury); (2) daily self-report surveys on real-world driving behaviors completed by all participants. DISCUSSION: This study will fill critical knowledge gaps by longitudinally assessing driving performance and behaviors in young drivers with mTBI, as compared to matched healthy drivers, from acutely post-injury to symptom resolution. The research strategy enables evaluating how increased cognitive load may exacerbate the effects of mTBI on driving, and how post-mTBI neurocognitive deficits may impact the driving ability of young drivers. Findings will be shared through scientific conferences, peer-reviewed journals, and media outreach to care providers and the public.

6.
Accid Anal Prev ; 190: 107130, 2023 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-37336048

RESUMEN

Advanced Driver Assistance Systems (ADAS) support drivers with some driving tasks. However, drivers may lack appropriate knowledge about ADAS resulting in inadequate mental models. This may result in drivers misusing ADAS, or mistrusting the technologies, especially after encountering edge-case events (situations beyond the capability of an ADAS where the system may malfunction or fail) and may also adversely affect driver workload. Literature suggests mental models could be improved through exposure to ADAS-related driving situations, especially those related to ADAS capabilities and limitations. The objective of this study was to examine the impact of frequency and quality of exposure on drivers' understanding of Adaptive Cruise Control (ACC), their trust, and their workload after driving with ACC. Sixteen novice ACC users were recruited for this longitudinal driving simulator study. Drivers were randomly assigned to one of two groups - the 'Regular Exposure' group encountering 'routine' edge-case events, and the 'Enhanced Exposure' group encountering 'routine' and 'rare' events. Each participant undertook four different simulator sessions, each separated by about a week. Each session comprised a simulator drive featuring five edge-case scenarios. The study followed a mixed-subject design, with exposure frequency as the within-subject variable, and quality of exposure (defined by two groups) as the between-subject variable. Surveys measured drivers' trust, workload, and mental models. The results from the analyses using linear regression models revealed that drivers' mental models about ACC improve with frequency of exposure to ACC and associated edge-case driving situations. This was more the case for drivers who experienced 'rare' ACC edge cases. The findings also indicate that for those who encountered 'rare' edge cases, workload was higher and trust was lower than those who did not. These findings are significant since they underline the importance of experience and familiarity with ADAS for safe operation. While these findings indicate that drivers benefit from increased exposure to ACC and edge cases in terms of appropriate use of ADAS, and ultimately promise crash reductions and injury prevention, a challenge remains regarding how to provide drivers with appropriate exposure in a safe manner.


Asunto(s)
Conducción de Automóvil , Humanos , Accidentes de Tránsito/prevención & control , Equipos de Seguridad , Confianza , Carga de Trabajo
7.
Traffic Inj Prev ; 24(2): 109-113, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-36648298

RESUMEN

OBJECTIVE: To investigate how the percentage of unknown drug test results among drug-tested drivers in the Fatality Analysis Reporting System (FARS) has trended over the past 2 decades and to evaluate factors that may affect a drug-tested driver having unknown test results in FARS. METHODS: The percentage of unknown test results among fatally injured drivers who were tested for drugs in FARS was assessed from 2000 to 2020. Trends in annual FARS drug testing data were compared with those for alcohol testing. In addition, the percentage of unknown drug test results was regressed on several factors that have been shown to be associated with higher risk of drug-involved crash fatalities. RESULTS: The percentage of unknown drug test results in FARS has decreased drastically over the past 2 decades, and the percentage of unknown drug test data gradually matched that of alcohol data over the study period. Multiple factors such as the fatally injured drivers' age and whether the crash occurred in an urban/rural area were found to be statistically significantly associated with the percentage of unknown drug test results in FARS. CONCLUSIONS: The percentage of unknown test results in FARS drug data is decreasing, and the significant associated factors found in this study may help identify additional strategies for reducing unknown drug test results. Future research should focus on continued improvement of FARS data, given the importance of FARS in understanding fatal crashes and informing strategies for prevention of crash-related injuries and fatalities in the United States.


Asunto(s)
Accidentes de Tránsito , Etanol , Humanos , Estados Unidos/epidemiología , Detección de Abuso de Sustancias , Población Rural
8.
Accid Anal Prev ; 179: 106883, 2023 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-36356510

RESUMEN

In-vehicle voice-based interfaces have been massively embedded in modern vehicles as a countermeasure to visual-manual distractions. However, limited data are available regarding the actual visual demands imposed on the driver when interacting with such an interface. How those factors that are associated with the drivers themselves affect their visual behavior when interacting with an in-vehicle voice-based interface remains understudied. This study focused on investigating factors affecting drivers' off-road visual behavior while interacting with a voice-based interface. A secondary data analysis leveraging structural equation modeling was performed based on data collected from a large-scale field experiment wherein participants drove a vehicle on the highway and performed a series of tasks using an in-vehicle voice interface. The results indicate that while voice-based interfaces are designed to help reduce drivers' visual demands, drivers can still direct their eyes off the road for a prolonged period of time during the interaction and exhibit potentially risky visual behavior. In addition, individual-level factors can exert influence on drivers' off-road visual behavior in such a way that older drivers and drivers with higher trust in technologies are associated with more long eyes-off-road glances when interacting with a voice-based interface. To promote the general public's adoption of in-vehicle voice interfaces and support safe interactions, we recommend relevant research and system design consider drivers' trust in, perceptions, and previous usage of similar technologies, as well as their individual characteristics such as age.


Asunto(s)
Conducción de Automóvil , Movimientos Oculares , Interfaz Usuario-Computador , Humanos , Accidentes de Tránsito/prevención & control
9.
Hum Factors ; 65(7): 1306-1322, 2023 11.
Artículo en Inglés | MEDLINE | ID: mdl-35466736

RESUMEN

OBJECTIVE: To explore how passenger presence and the degree of association between young driver and passenger influences young drivers' eye glance behavior when they are subjected to distraction. BACKGROUND: Young drivers (18-20 years old) are at an elevated crash risk when subjected to distraction. They are likely to be distracted even further when they drive with passengers. However, the eye glance behavior of these drivers when driving with passengers has not been explored. METHOD: Eye glance data of 34 young drivers between the ages of 18 and 20 years were collected. Participants drove with and without a passenger while subjected to three distracting tasks (visual-manual, cognitive, or visual-cognitive) and driving scenarios that required driver attention. RESULTS: Visual-cognitive as well as visual-manual states of distraction result in higher mean and standard deviation of glance duration, along with higher number of glances away from road. Passenger presence is found to negatively influence young drivers' eye glance behavior. The degree of association between the young driver and the passenger may help reduce the deviation of eye glances towards the task-related objects. CONCLUSION: In addition to distraction, passengers have a negative influence on the eye glance behavior of young drivers. However, a high degree of association between driver and passenger may mitigate the negative impact of distraction on the eye glance behavior of young drivers. APPLICATION (NON-THEORETICAL WORKS): This research may aid in the design of interventions that improve young drivers' eye glance behavior when they drive with their peers.


Asunto(s)
Conducción de Automóvil , Humanos , Adolescente , Adulto Joven , Adulto , Conducción de Automóvil/psicología , Atención , Accidentes de Tránsito
10.
Molecules ; 27(15)2022 Jul 27.
Artículo en Inglés | MEDLINE | ID: mdl-35897969

RESUMEN

In order to explore a rapid identification method for the anti-counterfeit of commercial high value collections, a three-step infrared spectrum method was used for the pterocarpus collection identification to confirm whether a commercial pterocarpus bracelet (PB) was made from the precious species of Pterocarpus santalinus (P. santalinus). In the first step, undertaken by Fourier transform infrared spectroscopy (FTIR) spectrum, the absorption peaks intensity of PB was slightly higher than that of P. santalinus only at 1594 cm-1, 1205 cm-1, 1155 cm-1 and 836 cm-1. In the next step of second derivative IR spectra (SDIR), the FTIR features of the tested samples were further amplified, and the peaks at 1600 cm-1, 1171 cm-1 and 1152 cm-1 become clearly defined in PB. Finally, by means of two-dimensional correlation infrared (2DIR) spectrum, it revealed that the response of holocellulose to thermal perturbation was stronger in P. santalinus than that in PB mainly at 977 cm-1, 1008 cm-1, 1100 cm-1, 1057 cm-1, 1190 cm-1 and 1214 cm-1, while the aromatic functional groups of PB were much more sensitive to the thermal perturbation than those of P. santalinus mainly at 1456 cm-1, 1467 cm-1, 1518 cm-1, 1558 cm-1, 1576 cm-1 and 1605 cm-1. In addition, fluorescence microscopy was used to verify the effectiveness of the above method for wood identification and the results showed good consistency. This study demonstrated that the three-step IR method could provide a rapid and effective way for the anti-counterfeit of pterocarpus collections.


Asunto(s)
Pterocarpus , Pterocarpus/química , Espectrofotometría Infrarroja , Espectroscopía Infrarroja por Transformada de Fourier/métodos , Madera
11.
Traffic Inj Prev ; 22(6): 455-459, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34251927

RESUMEN

OBJECTIVE: To compare the effectiveness of the Risk Awareness and Perception Training (RAPT) program among teens of various socioeconomic status (SES). METHODS: A secondary analysis was undertaken of data collected from 5036 teen participants for a study in 2011. They were randomly assigned to either receive RAPT or a placebo training. The total number of crashes (property damage only and injury) within the first 12 months after licensure was recorded. A Poisson regression model was employed to investigate the effectiveness of RAPT in terms of crash frequency among teens in different levels of SES, as measured by SES level (high or low) or poverty rate. RESULTS: Poverty rate was significantly associated with participants' crash frequency within the first 12 months after licensure such that when poverty rate increased, the crash frequency increased. The interacting effect of poverty rate and training was also significant. When compared to participants who did not receive RAPT, participants who received RAPT had fewer crashes when poverty rate increased. CONCLUSION: The RAPT program attenuated the negative effect of teen drivers' SES on crashes. No significant effect of sex or age was found, indicating that in terms of crashes, regardless of age or sex, RAPT is equally effective at reducing crashes for lower SES teens.


Asunto(s)
Accidentes de Tránsito , Conducción de Automóvil , Concienciación , Clase Social , Accidentes de Tránsito/prevención & control , Adolescente , Conducción de Automóvil/educación , Conducción de Automóvil/psicología , Femenino , Humanos , Concesión de Licencias/estadística & datos numéricos , Masculino , Evaluación de Programas y Proyectos de Salud
12.
Accid Anal Prev ; 132: 105246, 2019 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-31421453

RESUMEN

Both passengers and driver distraction can have negative effects on young driver behavior. However, it is not known how these two concepts interact to influence driver behavior. The objective of this study was to examine the effect of passenger presence and driver distraction on young drivers' behavior. Forty-eight participants aged 18-20 participated in a driving simulator study. Participants completed three distracting tasks (visual, cognitive, or combined) while navigating a highway scenario. Results indicated that passenger presence interacted with driver distraction to have an effect on elevated g-force events in curves. Separately, distraction affected driving performance differently according to whether the task was visual, cognitive or combined. Having a close friendship resulted in less speeding and male drivers tended to maintain a better lane position compared to females. The results have implications for licensing laws as well as intervention programs aimed at improving young driver behavior.


Asunto(s)
Conducción Distraída/psicología , Adolescente , Femenino , Amigos/psicología , Humanos , Masculino , Adulto Joven
13.
Materials (Basel) ; 9(10)2016 Oct 07.
Artículo en Inglés | MEDLINE | ID: mdl-28773943

RESUMEN

Soda lignin does not have thermal flowing characteristics and it is impossible for it to be further thermally molded. To achieve the fusibility of soda lignin for fiber preparation by melt-spinning, an effective method for soda lignin modification was conducted by cooking it with polyethylene glycol (PEG) 400 at various ratios. The higher the ratio of PEG that was used, the more PEG molecular chains were grafted at the alpha carbon of the soda lignin through ether bonds, resulting in lower thermal transition temperatures and more excellent fusibility. The modified soda lignin with a weight ratio of lignin to PEG of 1:4 exhibited a relative thermal stability of molten viscosity at selected temperatures. Thereafter, the resultant fusible soda lignin was successfully melt-spun into filaments with an average diameter of 33 ± 5 µm, which is smaller than that of some industrial lignins. Accordingly, it is possible to utilize soda lignin to produce fibrous carbonaceous materials.

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