An investigation of cyclist passing distances in the Australian Capital Territory.

In Australia, cycling hospitalisations are increasing and the cycling participation rate is stagnating. In an effort to improve cyclist safety, many Australian jurisdictions have mandated a minimum passing distance that vehicles much provide when overtaking a cyclist on a public road, including the Australian Capital Territory (ACT). However, it is not currently clear how vehicle-cyclist passing distances are affected by various parameters such as the road environment, the vehicles involved, or the speed limit. This naturalistic bicycle riding study examined data from passing distance measurement devices that were installed on the bicycles of volunteer cyclists who ride in the ACT, to explore how passing distances and compliance with the minimum passing distance were affected by several parameters. Over a four-week period, 23 volunteer cyclist participants undertook 465 journeys and travelled 6531 km over a total period of 271 h. There were 10,959 passing events identified on roads zoned greater than 60 km/h (high speed roads) of which 1349 (12.3 %) were non-compliant. On roads zoned 60 km/h or less (low speed roads) there were 5517 passing events of which 153 (2.8 %) were non-compliant. Regression analyses showed that differences in passing distance and non-compliance with the minimum passing distance were associated with road classification, bike lane presence, and speed limit. The results were mixed but, in general, passing distances were greater on roads with a lower (hierarchy) classification and on motorways as well as on roads with higher speed limits. An exception to this was roads with a speed limit of 50 km/h where passing distances were closer in comparison to roads with a speed limit of 60 km/h. Bike lanes were generally associated with an increase in passing distance except on 'trunk' classified roads, where a bike lane resulted in closer passing events. This suggests that on trunk roads, which are assumed to carry large amounts of traffic, bike lanes may be insufficient to offer protection to cyclists and additional measures may be required.

Biomechanical studies in an ovine model of non-accidental head injury.

This paper presents the head kinematics of a novel ovine model of non-accidental head injury (NAHI) that consists only of a naturalistic oscillating insult. Nine, 7-to-10-day-old anesthetized and ventilated lambs were subjected to manual shaking. Two six-axis motion sensors tracked the position of the head and torso, and a triaxial accelerometer measured head acceleration. Animals experienced 10 episodes of shaking over 30 min, and then remained under anesthesia for 6h until killed by perfusion fixation of the brain. Each shaking episode lasted for 20s resulting in about 40 cycles per episode. Each cycle typically consisted of three impulsive events that corresponded to specific phases of the head's motion; the most substantial of these were interactions typically with the lamb's own torso, and these generated accelerations of 30-70 g. Impulsive loading was not considered severe. Other kinematic parameters recorded included estimates of head power transfer, head-torso flexion, and rate of flexion. Several styles of shaking were also identified across episodes and subjects. Axonal injury, neuronal reaction and albumin extravasation were widely distributed in the hemispheric white matter, brainstem and at the craniocervical junction and to a much greater magnitude in lower body weight lambs that died. This is the first biomechanical description of a large animal model of NAHI in which repetitive naturalistic insults were applied, and that reproduced a spectrum of injury associated with NAHI.

Neuropathological changes in a lamb model of non-accidental head injury (the shaken baby syndrome).

Non-accidental head injury (NAHI), also termed the "shaken baby syndrome", is a major cause of death and severe neurological dysfunction in children under three years of age, but it is debated whether shaking alone is sufficient to produce brain injury and mortality or whether an additional head impact is required. In an attempt to resolve this question, we used a lamb model of NAHI since these animals have a relatively large gyrencephalic brain and weak neck muscles resembling those of a human infant. Three anaesthetised lambs of lower body weight than others in the experimental group died unexpectedly after being shaken, proving that shaking alone can be lethal. In these lambs, axonal injury, neuronal reaction and albumin extravasation were widely distributed in the hemispheric white matter, brainstem and at the craniocervical junction, and of much greater magnitude than in higher body weight lambs which did not die. Moreover, in the eyes of these shaken lambs, there was damage to retinal inner nuclear layer neurons, mild, patchy ganglion cell axonal injury, widespread Muller glial reaction, and uveal albumin extravasation. This study proved that shaking of a subset of lambs can result in death, without an additional head impact being required.