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1.
PLoS Comput Biol ; 20(3): e1011956, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38547311

RESUMO

SARS-CoV-2 transmission in indoor spaces, where most infection events occur, depends on the types and duration of human interactions, among others. Understanding how these human behaviours interface with virus characteristics to drive pathogen transmission and dictate the outcomes of non-pharmaceutical interventions is important for the informed and safe use of indoor spaces. To better understand these complex interactions, we developed the Pedestrian Dynamics-Virus Spread model (PeDViS), an individual-based model that combines pedestrian behaviour models with virus spread models incorporating direct and indirect transmission routes. We explored the relationships between virus exposure and the duration, distance, respiratory behaviour, and environment in which interactions between infected and uninfected individuals took place and compared this to benchmark 'at risk' interactions (1.5 metres for 15 minutes). When considering aerosol transmission, individuals adhering to distancing measures may be at risk due to the buildup of airborne virus in the environment when infected individuals spend prolonged time indoors. In our restaurant case, guests seated at tables near infected individuals were at limited risk of infection but could, particularly in poorly ventilated places, experience risks that surpass that of benchmark interactions. Combining interventions that target different transmission routes can aid in accumulating impact, for instance by combining ventilation with face masks. The impact of such combined interventions depends on the relative importance of transmission routes, which is hard to disentangle and highly context dependent. This uncertainty should be considered when assessing transmission risks upon different types of human interactions in indoor spaces. We illustrated the multi-dimensionality of indoor SARS-CoV-2 transmission that emerges from the interplay of human behaviour and the spread of respiratory viruses. A modelling strategy that incorporates this in risk assessments can help inform policy makers and citizens on the safe use of indoor spaces with varying inter-human interactions.


Assuntos
COVID-19 , Pedestres , Humanos , SARS-CoV-2 , COVID-19/prevenção & controle , Aerossóis e Gotículas Respiratórios , Ventilação
2.
MMWR Morb Mortal Wkly Rep ; 73(17): 387-392, 2024 May 02.
Artigo em Inglês | MEDLINE | ID: mdl-38696330

RESUMO

Traffic-related pedestrian deaths in the United States reached a 40-year high in 2021. Each year, pedestrians also suffer nonfatal traffic-related injuries requiring medical treatment. Near real-time emergency department visit data from CDC's National Syndromic Surveillance Program during January 2021-December 2023 indicated that among approximately 301 million visits identified, 137,325 involved a pedestrian injury (overall visit proportion = 45.62 per 100,000 visits). The proportions of visits for pedestrian injury were 1.53-2.47 times as high among six racial and ethnic minority groups as that among non-Hispanic White persons. Compared with persons aged ≥65 years, proportions among those aged 15-24 and 25-34 years were 2.83 and 2.61 times as high, respectively. The visit proportion was 1.93 times as high among males as among females, and 1.21 times as high during September-November as during June-August. Timely pedestrian injury data can help collaborating federal, state, and local partners rapidly monitor trends, identify disparities, and implement strategies supporting the Safe System approach, a framework for preventing traffic injuries among all road users.


Assuntos
Acidentes de Trânsito , Serviço Hospitalar de Emergência , Pedestres , Ferimentos e Lesões , Adolescente , Adulto , Idoso , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Adulto Jovem , Acidentes de Trânsito/estatística & dados numéricos , Distribuição por Idade , Visitas ao Pronto Socorro , Serviço Hospitalar de Emergência/estatística & dados numéricos , Pedestres/estatística & dados numéricos , Estados Unidos/epidemiologia , Ferimentos e Lesões/epidemiologia , Etnicidade/estatística & dados numéricos , Grupos Raciais/estatística & dados numéricos
3.
J Surg Res ; 296: 281-290, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38301297

RESUMO

INTRODUCTION: Transportation databases have limited data regarding injury severity of pedestrian versus automobile patients. To identify opportunities to reduce injury severity, transportation and trauma databases were integrated to examine the differences in pedestrian injury severity at street crossings that were signalized crossings (SCs) versus nonsignalized crossings (NSCs). It was hypothesized that trauma database integration would enhance safety analysis and pedestrians struck at NSC would have greater injury severity. METHODS: Single-center retrospective review of all pedestrian versus automobile patients treated at a level 1 trauma center from 2014 to 2018 was performed. Patients were matched to the transportation database by name, gender, and crash date. Google Earth Pro satellite imagery was used to identify SC versus NSC. Injury severity of pedestrians struck at SC was compared to NSC. RESULTS: A total of 512 patients were matched (median age = 41 y [Q1 = 26, Q3 = 55], 74% male). Pedestrians struck at SC (n = 206) had a lower injury severity score (ISS) (median = 9 [4, 14] versus 17 [9, 26], P < 0.001), hospital length of stay (median = 3 [0, 7] versus 6 [1, 15] days, P < 0.001), and mortality (21 [10%] versus 52 [17%], P = 0.04), as compared to those struck at NSC (n = 306). The transportation database had a sensitivity of 63.4% (55.8%-70.4%) and specificity of 63.4% (57.7%-68.9%) for classifying severe injuries (ISS >15). CONCLUSIONS: Pedestrians struck at SC were correlated with a lower ISS and mortality compared to those at NSC. Linkage with the trauma database could increase the transportation database's accuracy of injury severity assessment for nonfatal injuries. Database integration can be used for evidence-based action plans to reduce pedestrian morbidity, such as increasing the number of SC.


Assuntos
Pedestres , Ferimentos e Lesões , Humanos , Masculino , Adulto , Feminino , Acidentes de Trânsito/prevenção & controle , Meios de Transporte , Centros de Traumatologia , Bases de Dados Factuais , Ferimentos e Lesões/diagnóstico , Ferimentos e Lesões/epidemiologia
4.
J Urban Health ; 101(1): 181-192, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38236430

RESUMO

Pedestrian injuries from falls are an understudied cause of morbidity. Here, we compare the burden of pedestrian injuries from falls occurring on streets and sidewalks with that from motor vehicle collisions. Data on injurious falls on streets and sidewalks, and pedestrian-motor vehicle collisions, to which Emergency Medical Services responded, along with pedestrian and incident characteristics, were identified in the 2019 National Emergency Medical Services Information System database. In total, 118,520 injurious pedestrian falls and 33,915 pedestrians-motor vehicle collisions were identified, with 89% of the incidents occurring in urban areas. Thirty-two percent of pedestrians struck by motor vehicles were coded as Emergent or Critical by Emergency Medical Services, while 19% of pedestrians injured by falls were similarly coded. However, the number of pedestrians whose acuity was coded as Emergent or Critical was 2.1 times as high for injurious falls as compared with pedestrians-motor vehicle collisions. This ratio was 3.9 for individuals 50 years and older and 6.1 for those 65 years and older. In conclusion, there has been substantial and appropriate policy attention given to preventing pedestrian injuries from motor vehicles, but disproportionately little to pedestrian falls. However, the population burden of injurious pedestrian falls is significantly greater and justifies an increased focus on outdoor falls prevention, in addition to urban design, policy, and built environment interventions to reduce injurious falls on streets and sidewalks, than currently exists across the USA.


Assuntos
Pedestres , Ferimentos e Lesões , Humanos , Caminhada , Acidentes de Trânsito , Veículos Automotores , Ambiente Construído , Ferimentos e Lesões/epidemiologia
5.
J Urban Health ; 101(4): 815-826, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-38589673

RESUMO

Nine in 10 road traffic deaths occur in low- and middle-income countries (LMICs). Despite this disproportionate burden, few studies have examined built environment correlates of road traffic injury in these settings, including in Latin America. We examined road traffic collisions in Bogotá, Colombia, occurring between 2015 and 2019, and assessed the association between neighborhood-level built environment features and pedestrian injury and death. We used descriptive statistics to characterize all police-reported road traffic collisions that occurred in Bogotá between 2015 and 2019. Cluster detection was used to identify spatial clustering of pedestrian collisions. Adjusted multivariate Poisson regression models were fit to examine associations between several neighborhood-built environment features and rate of pedestrian road traffic injury and death. A total of 173,443 police-reported traffic collisions occurred in Bogotá between 2015 and 2019. Pedestrians made up about 25% of road traffic injuries and 50% of road traffic deaths in Bogotá between 2015 and 2019. Pedestrian collisions were spatially clustered in the southwestern region of Bogotá. Neighborhoods with more street trees (RR, 0.90; 95% CI, 0.82-0.98), traffic signals (0.89, 0.81-0.99), and bus stops (0.89, 0.82-0.97) were associated with lower pedestrian road traffic deaths. Neighborhoods with greater density of large roads were associated with higher pedestrian injury. Our findings highlight the potential for pedestrian-friendly infrastructure to promote safer interactions between pedestrians and motorists in Bogotá and in similar urban contexts globally.


Assuntos
Acidentes de Trânsito , Ambiente Construído , Pedestres , Características de Residência , Ferimentos e Lesões , Humanos , Colômbia/epidemiologia , Acidentes de Trânsito/estatística & dados numéricos , Acidentes de Trânsito/mortalidade , Estudos Transversais , Adulto , Masculino , Feminino , Pedestres/estatística & dados numéricos , Adulto Jovem , Pessoa de Meia-Idade , Ferimentos e Lesões/epidemiologia , Adolescente , Características de Residência/estatística & dados numéricos , Criança , Pré-Escolar , Idoso , Planejamento Ambiental
6.
Health Econ ; 33(5): 929-951, 2024 05.
Artigo em Inglês | MEDLINE | ID: mdl-38278781

RESUMO

Using a representative survey with 1317 individuals and 12,815 moral decisions, we elicit Swedish citizens' preferences on how algorithms for self-driving cars should be programmed in cases of unavoidable harm to humans. Participants' choices in different dilemma situations (treatments) show that, at the margin, the average respondent values the lives of passengers and pedestrians equally when both groups are homogeneous and no group is to blame for the dilemma. In comparison, the respondent values the lives of passengers more when the pedestrians violate a social norm, and less when the pedestrians are children. Furthermore, we explain why the average respondent in the control treatment needs to be compensated with two to six passengers spared in order to sacrifice the first pedestrian, even though she values the lives of passengers and pedestrians equally at the margin. We conclude that respondents' choices are highly contextual and consider the age of the persons involved and whether these persons have complied with social norms.


Assuntos
Automóveis , Pedestres , Feminino , Criança , Humanos , Acidentes de Trânsito , Princípios Morais , Inquéritos e Questionários
7.
Nature ; 563(7729): 59-64, 2018 11.
Artigo em Inglês | MEDLINE | ID: mdl-30356211

RESUMO

With the rapid development of artificial intelligence have come concerns about how machines will make moral decisions, and the major challenge of quantifying societal expectations about the ethical principles that should guide machine behaviour. To address this challenge, we deployed the Moral Machine, an online experimental platform designed to explore the moral dilemmas faced by autonomous vehicles. This platform gathered 40 million decisions in ten languages from millions of people in 233 countries and territories. Here we describe the results of this experiment. First, we summarize global moral preferences. Second, we document individual variations in preferences, based on respondents' demographics. Third, we report cross-cultural ethical variation, and uncover three major clusters of countries. Fourth, we show that these differences correlate with modern institutions and deep cultural traits. We discuss how these preferences can contribute to developing global, socially acceptable principles for machine ethics. All data used in this article are publicly available.


Assuntos
Acidentes de Trânsito , Inteligência Artificial/ética , Redução do Dano , Internet , Princípios Morais , Veículos Automotores , Opinião Pública , Robótica/ética , Coleta de Dados , Tomada de Decisões , Feminino , Humanos , Internacionalidade , Masculino , Veículos Automotores/ética , Pedestres , Robótica/métodos , Tradução
8.
J Pediatr Psychol ; 49(4): 290-297, 2024 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-37952220

RESUMO

OBJECTIVE: Injury as pedestrians is a leading contributor to childhood deaths. This study evaluated the effectiveness of Safe Peds, a fully immersive virtual reality training program to teach children when to cross street safely, with the focus on a number of foundational skills and practicing these in traffic situations of varying complexity. METHODS: Children 7-10 years old were randomly assigned to a control (N = 31) or intervention (N = 26) group. Eligibility criteria included English speaking and typically developing. Testing took place on campus. All children completed pre- and post-testing measures, with those in the intervention group receiving training in between. Training comprised 1 session with 3 phases for a total of up to 1.5 hr and was tailored to each child's performance over trials. On each trial, children decided when to cross and fully executed this crossing, with measures automatically taken by the system as they did so. RESULTS: Negative binomial regression and analysis of covariance tests were applied, predicting post-test scores while controlling for pre-test scores, age, and sex. The intervention was effective in improving children's street crossing skills, including stopping and checking skills (stop at the curb, look left/right/left, check for traffic before crossing the yellow line), and choosing safe inter-vehicle gaps. Children in the control group did not show significant improvements in any crossing skills. CONCLUSIONS: The Safe Peds program effectively teaches children skills to support their deciding when to safely cross in a variety of traffic situations. Implications for pedestrian injury are discussed.


Assuntos
Pedestres , Realidade Virtual , Criança , Humanos , Segurança , Estudos de Viabilidade , Acidentes de Trânsito/prevenção & controle , Caminhada/educação , Pedestres/educação
9.
J Pediatr Psychol ; 49(6): 405-412, 2024 Jun 13.
Artigo em Inglês | MEDLINE | ID: mdl-38637283

RESUMO

OBJECTIVE: To evaluate whether child pedestrian safety training in a smartphone-based virtual reality (VR) environment is not inferior to training in a large, semi-immersive VR environment with demonstrated effectiveness. METHODS: Five hundred 7- and 8-year-old children participated; 479 were randomized to one of two conditions: Learning to cross streets in a smartphone-based VR or learning in a semi-immersive kiosk VR. The systems used identical virtual environments and scenarios. At baseline, children's pedestrian skills were assessed in both VR systems and through a vehicle approach estimation task (judging speed/distance of oncoming traffic on monitor). Training in both conditions comprised at least six 30-min sessions in the randomly assigned VR platform and continued for up to 25 visits until adult-level proficiency was obtained. Following training and again 6 months later, children completed pedestrian safety assessments identical to baseline. Three outcomes were considered from assessments in each VR platform: Unsafe crossings (collisions plus close calls), time to contact (shortest time between child and oncoming simulated traffic), and missed opportunities (unselected safe opportunities to cross). RESULTS: Participants achieved adult-level street-crossing skill through VR training. Training in a smartphone-based VR system was generally not inferior to training in a large semi-immersive VR system. There were no adverse effects. CONCLUSIONS: Seven- and 8-year-old children can learn pedestrian safety through VR-based training, including training in a smartphone-based VR system. Combined with recent meta-analytic results, the present findings support broad implementation and dissemination of child pedestrian safety training through VR, including smartphone-based VR systems.


Assuntos
Pedestres , Segurança , Smartphone , Realidade Virtual , Humanos , Criança , Masculino , Feminino , Acidentes de Trânsito/prevenção & controle , Caminhada
10.
Inj Prev ; 30(2): 161-166, 2024 Mar 20.
Artigo em Inglês | MEDLINE | ID: mdl-38195658

RESUMO

INTRODUCTION: Pedestrian and cyclist injuries represent a preventable burden to Canadians. Police-reported collision data include information on where such collisions occur but under-report the number of collisions. The primary objective of this study was to compare the number of police-reported collisions with emergency department (ED) visits and hospitalisations in Toronto, Canada. METHODS: Police-reported collisions were provided by Toronto Police Services (TPS). Data included the location of the collision, approximate victim age and whether the pedestrian or cyclist was killed or seriously injured. Health services data included ED visits in the National Ambulatory Care Reporting System and hospitalisations from the Discharge Abstract Database using ICD-10 codes for pedestrian and cycling injuries. Data were compared from 2016 to 2021. RESULTS: Injuries reported in the health service data were higher than those reported in the TPS for cyclists and pedestrians. The discrepancy was the largest for cyclists treated in the ED, with TPS capturing 7.9% of all cycling injuries. Cyclist injuries not involving a motor vehicle have increased since the start of the pandemic (from 3629 in 2019 to 5459 in 2020 for ED visits and from 251 in 2019 to 430 for hospital admissions). IMPLICATIONS: While police-reported data are important, it under-reports the burden. There have been increases in cyclist collisions not involving motor vehicles and decreases in pedestrian injuries since the start of the pandemic. The results suggest that using police data alone when planning for road safety is inadequate, and that linkage with other health service data is essential.


Assuntos
População Norte-Americana , Pedestres , Ferimentos e Lesões , Humanos , Acidentes de Trânsito/prevenção & controle , Canadá/epidemiologia , Polícia , Ciclismo/lesões , Ferimentos e Lesões/epidemiologia
11.
BMC Public Health ; 24(1): 722, 2024 Mar 06.
Artigo em Inglês | MEDLINE | ID: mdl-38448838

RESUMO

BACKGROUND: Active commuting to school can be a meaningful contributor to overall physical activity in children. To inform better micro-level urban design near schools that can support active commuting to school, there is a need for measures that capture these elements. This paper describes the adaptation of an observational instrument for use in assessing micro-scale environments around urban elementary schools in the United States. METHODS: The Micro-scale Audit of Pedestrian Streetscapes for Safe Routes to School (MAPS-SRTS) was developed from existing audit instruments not designed for school travel environments and modifications for the MAPS-SRTS instrument include the structure of the audit tool sections, the content, the observation route, and addition of new subscales. Subscales were analyzed for inter-rater reliability in a sample of 36 schools in Austin, TX. To assess reliability for each subscale, one-way random effects single-measure intraclass correlation coefficients (ICC) were used. RESULTS: Compared to the 30 original subscales, the adapted MAPS-SRTS included 26 (86.6%) subscales with revised scoring algorithms. Most MAPS-SRTS subscales had acceptable inter-rater reliability, with an ICC of 0.97 for the revised audit tool. CONCLUSIONS: The MAPS-SRTS audit tool is a reliable instrument for measuring the school travel environment for research and evaluation purposes, such as assessing human-scale determinants of active commuting to school behavior and documenting built environment changes from infrastructure interventions.


Assuntos
Pedestres , Criança , Humanos , Reprodutibilidade dos Testes , Algoritmos , Ambiente Construído , Instituições Acadêmicas
12.
BMC Public Health ; 24(1): 2010, 2024 07 27.
Artigo em Inglês | MEDLINE | ID: mdl-39068394

RESUMO

BACKGROUND: Weather and season are determinants of physical activity. Therefore, it is important to ensure built environments are designed to mitigate negative impacts of weather and season on pedestrians to prevent these losses. This scoping review aims to identify built environment audits of pedestrian environments developed for use during a specific weather condition or season. Secondly, this review aims to investigate gaps in the inclusion of relevant weather mitigating built environment features in pedestrian environment audit tools. METHODS: Following a standard protocol, a systematic search was executed in CINAHL, Medline and Web of Science to identify built environment audit tools of pedestrian spaces. These databases were chosen since they are well-known to comprehensively cover health as well as multi-disciplinary research publications relevant to health. Studies were screened, and data were extracted from selected documents by two independent reviewers (e.g., psychometric properties and audit items included). Audit items were screened for the inclusion of weather mitigating built environment features, and the tool's capacity to measure temperature, precipitation, seasonal and sustainability impacts on pedestrians was calculated. RESULTS: The search returned 2823 documents. After screening and full text review, 27 articles were included. No tool was found that was developed specifically for use during a specific weather condition or season. Additionally, gaps in the inclusion of weather mitigating items were found for all review dimensions (thermal comfort, precipitation, seasonal, and sustainability items). Poorly covered items were: (1) thermal comfort related (arctic entry presence, materials, textures, and colours of buildings, roads, sidewalk and furniture, and green design features); (2) precipitation related (drain presence, ditch presence, hazards, and snow removal features); (3) seasonal features (amenities, pedestrian scale lighting, and winter destinations and aesthetics); and (4) sustainability features (electric vehicle charging stations, renewable energy, car share, and bike share facilities). CONCLUSIONS: Current built environment audit tools do not adequately include weather / season mitigating items. This is a limitation as it is important to investigate if the inclusion of these items in pedestrian spaces can promote physical activity during adverse weather conditions. Because climate change is causing increased extreme weather events, a need exists for the development of a new built environment audit tool that includes relevant weather mitigating features.


Assuntos
Ambiente Construído , Pedestres , Tempo (Meteorologia) , Humanos , Estações do Ano , Caminhada/estatística & dados numéricos , Planejamento Ambiental
13.
BMC Public Health ; 24(1): 241, 2024 01 20.
Artigo em Inglês | MEDLINE | ID: mdl-38245693

RESUMO

BACKGROUND: Multiple distraction indicators have been applied to measure street-crossing distraction but their validities in predicting pedestrian safety are poorly understood. METHODS: Based on a video-based observational study, we compared the validity of four commonly used distraction indicators (total duration of distraction while crossing a street, proportion of distracted time over total street-crossing time, duration of the longest distraction time, and total number of distractions) in predicting three pedestrian safety outcomes (near-crash incidence, frequency of looking left and right, and speed crossing the street) across three types of distraction (mobile phone use, talking to other pedestrians, eating/drinking/smoking). Change in Harrell's C statistic was calculated to assess the validity of each distraction indicator based on multivariable regression models including only covariates and including both covariates and the distraction indicator. RESULTS: Heterogeneous capacities in predicting the three safety outcomes across the four distraction indicators were observed: 1) duration of the longest distraction time was most predictive for the occurrence of near-crashes and looks left and right among pedestrians with all three types of distraction combined and talking with other pedestrians (Harrell's C statistic changes ranged from 0.0310 to 0.0335, P < 0.05), and for the occurrence of near-crashes for pedestrians involving mobile phone use (Harrell's C statistic change: 0.0053); 2) total duration of distraction was most predictive for speed crossing the street among pedestrians with the combination and each of the three types of distraction (Harrell's C statistic changes ranged from 0.0037 to 0.0111, P < 0.05), frequency of looking left and right among pedestrians distracted by mobile phone use (Harrell's C statistic change: 0.0115), and the occurrence of near-crash among pedestrians eating, drinking, or smoking (Harrell's C statistic change: 0.0119); and 3) the total number of distractions was the most predictive indicator of frequency of looking left and right among pedestrians eating, drinking, or smoking (Harrell's C statistic change: 0.0013). Sensitivity analyses showed the results were robust to change in grouping criteria of the four distraction indicators. CONCLUSIONS: Future research should consider the pedestrian safety outcomes and type of distractions to select the best distraction indicator.


Assuntos
Pedestres , Segurança , Humanos , Acidentes de Trânsito , Assunção de Riscos , Envio de Mensagens de Texto , Caminhada , Estudos Observacionais como Assunto , Gravação em Vídeo
14.
BMC Public Health ; 24(1): 1110, 2024 Apr 22.
Artigo em Inglês | MEDLINE | ID: mdl-38649846

RESUMO

INTRODUCTION: Pedestrians are considered the most vulnerable and complex road users as human behavior constitutes one of the fundamental reasons for traffic-related incidents involving pedestrians. However, the role of health literacy as a predictor of Pedestrian safety behavior remains underexplored. Therefore, the current study was designed to examine the level of health literacy and its association with the safety behavior of adult pedestrians in the city of Tabriz. METHODS: This cross-sectional analytical study was conducted among individuals aged 18 to 65 years in the metropolitan area of Tabriz from January to April 2023. Data were collected using the HELIA standard questionnaire (Health Literacy Instrument for adults), comprising 33 items across 5 domains (access, reading, understanding, appraisal, decision-making and behavior), as well as the Pedestrian Behavior Questionnaire (PBQ) consisting of 29 items. Data were analyzed using descriptive and analytical statistics (independent t-tests, ANOVA, and Pearson correlation coefficient) via SPSS-22 software. RESULTS: Based on the results, 94% (376 individuals) had excellent health literacy levels, and their safety behavior scores were at a good level. Health literacy and safety behavior were higher among the age group of 31 to 45 years, women, married individuals, those who read books, and individuals with higher education. However, safety behavior showed no significant association with education level (P > 0.05). There was a significant and positive relationship between health literacy and all its domains and pedestrian safety behavior (r = 0.369, P < 0.001). CONCLUSION: This study underscores the significant impact of health literacy on pedestrians' safety behavior. The findings reveal that higher levels of health literacy are associated with better safety behavior among individuals aged 18 to 63. Demographic factors such as age, gender, marital status, and education level also play a role in shaping both health literacy and safety behavior. By recognizing these relationships, interventions can be tailored to improve health literacy levels and promote safer pedestrian practices, ultimately contributing to a healthier and safer community in Tabriz city.


Assuntos
Letramento em Saúde , Pedestres , Segurança , Humanos , Estudos Transversais , Adulto , Feminino , Masculino , Pessoa de Meia-Idade , Letramento em Saúde/estatística & dados numéricos , Pedestres/psicologia , Pedestres/estatística & dados numéricos , Adulto Jovem , Adolescente , Idoso , Inquéritos e Questionários , Irã (Geográfico) , Acidentes de Trânsito/prevenção & controle , Acidentes de Trânsito/estatística & dados numéricos
15.
Optom Vis Sci ; 101(8): 514-522, 2024 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-39163120

RESUMO

SIGNIFICANCE: People with peripheral field loss report colliding with other pedestrians on their blind side(s). We show that, in dyadic collision scenarios between persons, one with field loss, such as homonymous hemianopia, and the other normally sighted pedestrian, collisions occur only if the persons with homonymous hemianopia are overtaking the pedestrians, and the collision risk is concentrated at farther bearing angles than previously suggested. PURPOSE: Prior work computed the risk of collision while simulating both pedestrians as points and did not consider the ability of the other pedestrian's normal vision to avoid the collision. We extended the model to better characterize the open space collision risk posed for persons with homonymous hemianopia by normally sighted pedestrians where both have volume. METHODS: We computed the risk of collision with approaching pedestrians using a model that simulates approaching pedestrians as volumetric entities without vision, volumetric entities with vision, and as points for comparison with the prior work. Collision risk of approaching pedestrians is characterized for all three conditions through spatial collision risk maps and collision risk densities as a function of bearing and radial distances. RESULTS: The collision risk for volumetric pedestrians is slightly different from that of point pedestrians. For volumetric pedestrians simulated with normal vision, the risk of collision was reduced substantially, as the other pedestrians could detect and avoid most impending collisions. The remaining collision risk is from pedestrians approaching at higher bearing angles (>50°) and from shorter radial distances (<2 m). Thus, collisions occurred when the pedestrians started in front of the person with homonymous hemianopia that was overtaking the pedestrian. CONCLUSIONS: The probability of collisions between pedestrians and the person with peripheral field loss is low and occurs only when the person with peripheral field loss is walking from behind the pedestrian at faster speed, thereby overtaking them. Such collisions occur with pedestrians at higher bearing angles, which should be monitored by assistive aids to avoid collisions. The same collision risk applies not only in homonymous hemianopia but also in other peripheral field loss such as monocular vision loss or concentric field loss, as common in retinitis pigmentosa and glaucoma.


Assuntos
Acidentes de Trânsito , Hemianopsia , Pedestres , Campos Visuais , Humanos , Campos Visuais/fisiologia , Hemianopsia/fisiopatologia , Hemianopsia/etiologia , Simulação por Computador , Caminhada/fisiologia , Medição de Risco/métodos , Fatores de Risco
16.
Optom Vis Sci ; 101(6): 408-416, 2024 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-38990239

RESUMO

SIGNIFICANCE: Performance-based outcome measures are crucial for clinical trials of field expansion devices. We implemented a test simulating a real-world mobility situation, focusing on detection of a colliding pedestrian among multiple noncolliding pedestrians, suitable for measuring the effects of homonymous hemianopia and assistive devices in clinical trials. PURPOSE: In preparation for deploying the test in a multisite clinical trial, we conducted a pilot study to gather preliminary data on blind-side collision detection performance with multiperiscopic peripheral prisms compared with Fresnel peripheral prisms. We tested the hypothesis that detection rates for colliding pedestrians approaching on a 40° bearing angle (close to the highest collision risk when walking) would be higher with 100Δ oblique multiperiscopic (≈42° expansion) than 65Δ oblique Fresnel peripheral prisms (≈32° expansion). METHODS: Six participants with homonymous hemianopia completed the test with and without each type of prism glasses, after using them in daily mobility for a minimum of 4 weeks. The test, presented as a video on a large screen, simulated walking through a busy shopping mall. Colliding pedestrians approached from the left or the right on a bearing angle of 20 or 40°. RESULTS: Overall, blind-side detection was only 23% without prisms but improved to 73% with prisms. For multiperiscopic prisms, blind-side detection was significantly higher with than without prisms at 40° (88 vs. 0%) and 20° (75 vs. 0%). For Fresnel peripheral prisms, blind-side detection rates were not significantly higher with than without prisms at 40° (38 vs. 0%) but were significantly higher with prisms at 20° (94 vs. 56%). At 40°, detection rates were significantly higher with multiperiscopic than Fresnel prisms (88 vs. 38%). CONCLUSIONS: The collision detection test is suitable for evaluating the effects of hemianopia and prism glasses on collision detection, confirming its readiness to serve as the primary outcome measure in the upcoming clinical trial.


Assuntos
Hemianopsia , Pedestres , Humanos , Projetos Piloto , Hemianopsia/diagnóstico , Hemianopsia/fisiopatologia , Hemianopsia/etiologia , Masculino , Feminino , Pessoa de Meia-Idade , Adulto , Acidentes de Trânsito , Óculos , Campos Visuais/fisiologia , Idoso , Caminhada/fisiologia
17.
Int J Biometeorol ; 68(1): 17-31, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-37924391

RESUMO

Since pedestrians are impacted by solar radiation differently, urban designers must evaluate solar radiation exposure of pedestrian paths adopting an inclusive approach. This paper proposes a maximum threshold of direct solar radiation exposure for pedestrians based on activity, user profile and environmental conditions, defined as the difference between the energy consumption before feeling exhausted and the energy cost of walking. Two users of diverse walking abilities, a young adult and an elderly person with mobility impairment, were characterised by metabolic activity, walking speed and maximum energy capacity. Based on the theoretical framework, the energy budget of young adults to cope with thermal stress was set as three times higher than for the elderly. This framework was used to quantify the contribution of direct solar radiation to energy balance and then classify walkability during clear-sky summer hours; the term 'walkable' referred to environmental conditions allowing users to walk without feeling exhausted. The methodology was tested on an open area and an urban canyon in Milan; applicability by urban designers was key in developing a simplified way to evaluate shading needs. This approach could be applied to evaluate solar radiation exposure of pedestrian paths adopting diverse user experiences as an evaluation criterion.


Assuntos
Pedestres , Exposição à Radiação , Luz Solar , Idoso , Humanos , Adulto Jovem , Estações do Ano , Caminhada
18.
Int J Biometeorol ; 68(4): 675-690, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38180571

RESUMO

This study aims to evaluate agreement among subjective thermal comfort, thermal sensation, thermal perception, and thermal tolerance indices, according to pedestrians in downtown Santa Maria, southern Brazil, which has a humid subtropical climate (Cfa). Between August 2015 and July 2016 (three periods), 1728 questionnaires were applied. Evaluation of the dependence of statistical variables was based on gender and age, at three periods of time: August 2015 (864 respondents), January 2016 (432 respondents), and July 2016 (432 respondents). Statistical evaluation was based on Pearson's chi-square test using RStudio software, and a significance level (α) of 5% for thermal comfort, thermal sensation, thermal preference, and thermal tolerance was used. Results indicated that age and gender affect the relationship between the variables. Thermal comfort and thermal tolerance presented the best correlation and coherence, regardless of age or gender. This study contributes to knowledge on the local microclimate and can contribute to urban planning to implement strategies that improve pedestrians' thermal comfort.


Assuntos
Pedestres , Humanos , Clima , Microclima , Sensação Térmica , Percepção , Cidades
19.
Int J Biometeorol ; 68(5): 909-925, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38363363

RESUMO

Intensive urban development has resulted in the degradation of the urban thermal environment in most regions. There is a growing consensus on the need to enhance urban thermal comfort through well-designed forms, especially in open spaces like urban canyons. To address this, our study focuses on Xi'an's commercial pedestrian streets, employing K-means clustering analysis to create 32 representative models based on actual scenes, capturing their textural characteristics. Simultaneously, 11 geometric indicators (2D/3D) were chosen to quantify the canyon's geometric form. We assessed the spatial and temporal distribution differences in the thermal environment across these models using Envi-met simulation. Finally, Spearman correlation analysis was employed to examine the correlation and significance of the two sets of indicators, culminating in formulating an ideal model. The findings reveal that (1) wind conditions are predominantly influenced by the canyon's geometric form, followed by solar radiation and temperature, with the lowest relative humidity change amplitude among the assessed thermal parameters. (2) Among the 11 geometric form indicators, 3D indicators correlate more significantly with thermal environment parameters than 2D indicators. Specifically, street orientation significantly impacts the thermal environment, Build-To-Line Rat holds greater significance than interface density, and both building shape coefficient and block surface ratio are significantly correlated with air temperature and wind speed, with a weaker correlation to solar radiation. (3) In the Xi'an region, courtyards oriented north-south demonstrate a more favorable trend in the thermal environment.


Assuntos
Cidades , Pedestres , Estações do Ano , Humanos , China , Temperatura , Modelos Teóricos , Ambiente Construído , Vento , Sensação Térmica , Umidade , Análise por Conglomerados
20.
Int J Biometeorol ; 68(6): 1081-1092, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38430247

RESUMO

As populations and temperatures of urban areas swell, more people face extreme heat and are at increasing risk of adverse health outcomes. Radiation accounts for much of human heat exposure but is rarely used as heat metric due to a lack of cost-effective and accurate sensors. To this end, we fuse the concepts of a three-globe radiometer-anemometer with a cylindrical human body shape representation, which is more realistic than a spherical representation. Using cost-effective and readily available materials, we fabricated two combinations of three cylinders with varying surface properties. These simple devices measure the convection coefficient and the shortwave and longwave radiative fluxes. We tested the devices in a wind tunnel and at fourteen outdoor sites during July 2023's record-setting heat wave in Tempe, Arizona. The average difference between pedestrian-level mean radiant temperature (MRT) measured using research-grade 3-way net radiometers and the three-cylinder setup was 0.4 ± 3.0 °C ( ±  1 SD). At most, we observed a 10 °C MRT difference on a white roof site with extreme MRT values (70 °C to 80 °C), which will be addressed through discussed design changes to the system. The measured heat transfer coefficient can be used to calculate wind speed below 2 m·s-1; thus, the three cylinders combined also serve as a low-speed anemometer. The novel setup could be used in affordable biometeorological stations and deployed across urban landscapes to build human-relevant heat sensing networks.


Assuntos
Calor Extremo , Radiometria , Humanos , Radiometria/instrumentação , Radiometria/métodos , Arizona , Vento , Pedestres
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