Quantifying and recommending seat belt reminder timing using naturalistic driving video data

INTRODUCTION

To better understand the timing of when people buckle their seat belt, an analysis of a naturalistic driving study was used. The study provided a unique perspective inside of the vehicle where the entire seat belt was visible from the time the driver entered the vehicle to one minute of driving forward or 32 kph.

METHOD

Seat belt buckling behavior was identified for 30 drivers. An additional 10 drives for 13 of these drivers were identified for a seat belt sequencing, which identified the points when the vehicle was put into ignition, shifted, when vehicle movement began, and when the seat belt was buckled. The speed at belt closure was also identified. The timing from ignition to buckle and to shifting into forward gear were examined to identify the speed and appropriate timing for seat belt reminders.

RESULTS

The data show that drivers were buckled in over 92% of the 3,102 drives. In addition, in 70% of those total drives, the drivers were buckled before the vehicle began movement. Of greater interest for seat belt reminders/interlocks are those drives when drivers buckle after movement. When considering time from ignition to seat belt closure, the mean was 27.5 s. Because higher speeds are typically reached when traveling forward rather than reverse, it was important to know the time duration from shifting into drive to buckling. With this consideration, the mean to buckle dropped to 16.2 s. The mean speed at buckling when traveling forward was 15.3 kph. From the regression analysis, the input variables 'Age,' 'Sex,' 'Weight,' 'Environment,' and 'Weather' are significant contributors in predicting the log odds of a driver putting on seatbelt.

CONCLUSIONS

With the understanding that higher speeds lead to an increased risk of injury and/or death and with the results of the analysis, a recommendation of a 30 s time from forward shift and a 25 kph (6.9 m/s) threshold for reminder systems should be implemented. The regression analysis also validates that most of the predicted seat belt buckling times are within 30 s. Practical Applications: This would reduce perception of nuisance alerts and protect the driver from higher speed unbuckled crashes. The seat belt buckling time prediction model also demonstrates good potential for developing tailored buckling warning system for different drivers.

Gene co-expression networks in peripheral blood capture dimensional measures of emotional and behavioral problems from the Child Behavior Checklist (CBCL)

The U.S. National Institute of Mental Health (NIMH) introduced the research domain criteria (RDoC) initiative to promote the integration of information across multiple units of analysis (i.e., brain circuits, physiology, behavior, self-reports) to better understand the basic dimensions of behavior and cognitive functioning underlying normal and abnormal mental conditions. Along those lines, this study examined the association between peripheral blood gene expression levels and emotional and behavioral problems in school-age children. Children were chosen from two age- and sex-matched groups: those with or without parental reports of any prior or current psychiatric diagnosis. RNA-sequencing was performed on whole blood from 96 probands aged 6-12 years who were medication-free at the time of assessment. Module eigengenes were derived using weighted gene co-expression network analysis (WGCNA). Associations were tested between module eigengene expression levels and eight syndrome scales from parent ratings on the Child Behavior Checklist (CBCL). Nine out of the 36 modules were significantly associated with at least one syndrome scale measured by the CBCL (i.e., aggression, social problems, attention problems, and/or thought problems) after accounting for covariates and correcting for multiple testing. Our study demonstrates that variation in peripheral blood gene expression relates to emotional and behavioral profiles in children. If replicated and validated, our results may help in identifying problem or at-risk behavior in pediatric populations, and in elucidating the biological pathways that modulate complex human behavior.

Foot placement during error and pedal applications in naturalistic driving

Data from a naturalistic driving study was used to examine foot placement during routine foot pedal movements and possible pedal misapplications. The study included four weeks of observations from 30 drivers, where pedal responses were recorded and categorized. The foot movements associated with pedal misapplications and errors were the focus of the analyses. A random forest algorithm was used to predict the pedal application types based the video observations, foot placements, drivers' characteristics, drivers' cognitive function levels and anthropometric measurements. A repeated multinomial logit model was then used to estimate the likelihood of the foot placement given various driver characteristics and driving scenarios. The findings showed that prior foot location, the drivers' seat position, and the drive sequence were all associated with incorrect foot placement during an event. The study showed that there is a potential to develop a driver assistance system that can reduce the likelihood of a pedal error.

Modeling Types of Pedal Applications Using a Driving Simulator

OBJECTIVE

The aim of this study was to examine variations in drivers' foot behavior and identify factors associated with pedal misapplications.

BACKGROUND

Few studies have focused on the foot behavior while in the vehicle and the mishaps that a driver can encounter during a potentially hazardous situation.

METHOD

A driving simulation study was used to understand how drivers move their right foot toward the pedals. The study included data from 43 drivers as they responded to a series of rapid traffic signal phase changes. Pedal application types were classified as (a) direct hit, (b) hesitated, (c) corrected trajectory, and (d) pedal errors (incorrect trajectories, misses, slips, or pressed both pedals). A mixed-effects multinomial logit model was used to predict the likelihood of one of these pedal applications, and linear mixed models with repeated measures were used to examine the response time and pedal duration given the various experimental conditions (stimuli color and location).

RESULTS

Younger drivers had higher probabilities of direct hits when compared to other age groups. Participants tended to have more pedal errors when responding to a red signal or when the signal appeared to be closer. Traffic signal phases and locations were associated with pedal response time and duration. The response time and pedal duration affected the likelihood of being in one of the four pedal application types.

CONCLUSION AND APPLICATION

Findings from this study suggest that age-related and situational factors may play a role in pedal errors, and the stimuli locations could affect the type of pedal application.

Photoplethysmography: a simplified method for the office measurement of ankle brachial index in individuals with diabetes

OBJECTIVE

To compare the use of photoplethysmography (PPG) and Doppler techniques to measure the ankle brachial index (ABI) for the evaluation of peripheral arterial disease (PAD) in individuals with diabetes.

METHODS

Consecutive patients with diabetes (n = 103) referred for PAD evaluation had ABI measured by PPG and Doppler techniques in our diabetes center. Medical records were reviewed, and the results of the Doppler and PPG testing were compared.

RESULTS

Mean age was 60 years, 57% were female, and 79% had type 2 diabetes with an average duration of 17 years. PPG readings could not be obtained in 3 individuals. Of 200 limbs evaluated, 17 (8.5%) had noncompressible (NC) vessels by both techniques. In the remaining 183 limbs, the correlation coefficient comparing the two methods was 0.864. Mean ABI values were 1.11 ± 0.14 for Doppler and 1.12 ± 0.14 for PPG. The sensitivity of PPG compared to the Doppler technique for detection of an abnormal result was 88.2%, and the specificity was 99.4%. ABI results were classified as discordant if Doppler and PPG varied by more than 0.15, placing them in different diagnostic categories (abnormal low [≤0.9], borderline [0.91-0.99], normal [1.0-1.4], or abnormal high [>1.4 or NC vessels]). There were only 4 (2%) discordant results.

CONCLUSIONS

We found excellent concordance between PPG and the gold standard Doppler technique for ABI measurement in individuals with diabetes. PPG requires less training and takes less time to perform, making it highly suitable for use in an office setting.

Genetic architecture of transcript-level variation in humans

We report here the results of testing the pairwise association of 12,747 transcriptional gene-expression values with more than two million single-nucleotide polymorphisms (SNPs) in samples of European (CEPH from Utah; CEU) and African (Yoruba from Ibadan; YRI) ancestry. We found 4,677 and 5,125 significant associations between expression quantitative nucleotides (eQTNs) and transcript clusters in the CEU and the YRI samples, respectively. The physical distance between an eQTN and its associated transcript cluster was referred to as the intrapair distance. An association with 4 Mb or less intrapair distance was defined as local; otherwise, it was defined as distant. The enrichment analysis of functional categories shows that genes harboring the local eQTNs are enriched in the categories related to nucleosome and chromatin assembly; the genes harboring the distant eQTNs are enriched in the categories related to transmembrane signal transduction, suggesting that these biological pathways are likely to play a significant role in regulation of gene expression. We highlight in the EPHX1 gene a deleterious nonsynonymous SNP that is distantly associated with gene expression of ORMDL3, a susceptibility gene for asthma.

Identification of type 2 diabetes genes in Mexican Americans through genome-wide association studies

OBJECTIVE

The objective of this study was to identify DNA polymorphisms associated with type 2 diabetes in a Mexican-American population.

RESEARCH DESIGN AND METHODS

We genotyped 116,204 single nucleotide polymorphisms (SNPs) in 281 Mexican Americans with type 2 diabetes and 280 random Mexican Americans from Starr County, Texas, using the Affymetrix GeneChip Human Mapping 100K set. Allelic association exact tests were calculated. Our most significant SNPs were compared with results from other type 2 diabetes genome-wide association studies (GWASs). Proportions of African, European, and Asian ancestry were estimated from the HapMap samples using structure for each individual to rule out spurious association due to population substructure.

RESULTS

We observed more significant allelic associations than expected genome wide, as empirically assessed by permutation (14 below a P of 1 x 10(-4) [8.7 expected]). No significant differences were observed between the proportion of ancestry estimates in the case and random control sets, suggesting that the association results were not likely confounded by substructure. A query of our top approximately 1% of SNPs (P < 0.01) revealed SNPs in or near four genes that showed evidence for association (P < 0.05) in multiple other GWAS interrogated: rs979752 and rs10500641 near UBQLNL and OR52H1 on chromosome 11, rs2773080 and rs3922812 in or near RALGPS2 on chromosome 1, and rs1509957 near EGR2 on chromosome 10.

CONCLUSIONS

We identified several SNPs with suggestive evidence for replicated association with type 2 diabetes that merit further investigation.

Evidence for a susceptibility locus on chromosome 10p15 in early-onset obsessive-compulsive disorder

BACKGROUND

The goal of this study was to identify chromosomal regions likely to contain susceptibility loci for obsessive-compulsive disorder (OCD).

METHODS

We conducted a genome-wide linkage scan, with average marker spacing less than 10 centimorgans (cM), in 121 subjects from 26 families ascertained through probands with early-onset OCD. Best estimate lifetime psychiatric diagnoses were based on semistructured interviews and all other available sources of information. Parametric and nonparametric linkage analyses were conducted with GENEHUNTER+ and Allegro. Family-based association analyses were done using 35 single nucleotide polymorphisms (SNPs) in the 10p15 region.

RESULTS

The maximum nonparametric log of odds (NLOD) score was 2.43 on chromosome 10p15 at position 4.37. When data from our first genome scan were added to data from this scan, the maximum NLOD score in the 10p15 region was 1.79. Association was detected on 10p15 with three adjacent SNPs, including the amino acid variant rs2271275 in the 3' region of adenosine deaminase acting on RNA 3 (ADAR3) (p < .05).

CONCLUSIONS

The results provide suggestive evidence for linkage on chromosome 10p15. Evidence for association in the linkage region was found with three markers in the 3' end of ADAR3. Limitations include the lack of significant linkage and association findings when corrected for multiple testing.

Gender-specific differences in expression in human lymphoblastoid cell lines

Women and men have different risks for certain diseases and they often respond differently to treatment. These differences could be due to the sex-specific differences in the expression of genes related to primary disease susceptibility or pharmacodynamic targets. To evaluate the sex-specific pattern of gene expression, we compared gene expression levels using a publicly available microarray dataset of 233 (115 women and 118 men) lymphoblastoid cell lines. From the 4799 probes meeting a specified minimal level of expression, 10 genes (P<0.005, permutation adjusted false discovery rate less than 50%) located on autosomal chromosomes were identified using a permutation-based approach. These genes were found to be over-represented in certain gene ontology terms of biological process (cell adhesion, apoptosis, transcription and signal transduction), and molecular function (structural molecule activity, zinc ion binding, transcription factor activity and protein binding). A Kyoto Encyclopedia of Genes and Genomes pathway analysis indicated that two known pathways are over-represented: adherens junction and cytokine-cytokine receptor interaction.

Linkage of calpain 10 to type 2 diabetes: the biological rationale

The follow-up studies to the original report of association of variation at calpain 10 (CAPN10) with type 2 diabetes in the Mexican-American population of Starr County, Texas, encompass a broad range of science. There are association studies on genetic variation at CAPN10 in different human populations over a range of phenotypes related to type 2 diabetes, physiological studies on the biological functions of calpain proteases, and evolutionary studies on CAPN10 and the NIDDM1 region. We review here the studies published to date on CAPN10, as well as the latest findings from positional cloning studies on a number of other complex disorders. Collectively, these studies provide perspective on the challenges of moving from the linkage mapping and positional cloning studies on which we have been focused to an understanding of the biology shaping the relationship of genotype to phenotype at loci influencing susceptibility to complex disorders like type 2 diabetes.

The regulation of nursing practice today

The interface and complexity of licensure and scope of practice issues with professional standards of practice can be very confusing, particularly because the vary from state to state. This article provides an overview of the influences of regulatory boards, professional nursing organizations, and employers on the nursing practice. The roles of both regulatory boards and professional organizations are reviewed, including authority sources and mission differences. The employer's role is reviewed briefly, including attempts to "narrow" the licensed nurse's scope of practice.

Critical thinking and belief in the paranormal: a re-evaluation

This paper evaluates the claim that believers in the paranormal exhibit poor critical thinking ability relative to disbelievers, as manifested in their inability to evaluate the competence of experimental abstracts. It is argued that such differences reported elsewhere (Alcock & Otis, 1980; Gray & Mill, 1990) may be accountable for in terms of the action of cognitive dissonance, or as due to experimental artifacts. A study was conducted which attempted to overcome earlier methodological shortcomings, and which assessed the cognitive dissonance account of differential performance. Altogether, 117 participants were characterized as believers, neutrals or disbelievers according to a pre-measure. Subsequently, each participant was asked to evaluate an abbreviated experimental report which was either sympathetic or unsympathetic to parapsychology. No differences in assessment ratings were found, failing to replicate the claimed effect and supporting an account in terms of artifact. There was a significant tendency for those participants who received a paper which was incongruent with their a priori beliefs to rate it as less competently conducted and analysed than those who rated the congruent paper, in keeping with the cognitive dissonance account.

Statistical comparison of two ROC-curve estimates obtained from partially-paired datasets

The authors propose a new generalized method for ROC-curve fitting and statistical testing that allows researchers to utilize all of the data collected in an experimental comparison of two diagnostic modalities, even if some patients have not been studied with both modalities. Their new algorithm, ROCKIT, subsumes previous algorithms as special cases. It conducts all analyses available from previous ROC software and provides 95% confidence intervals for all estimates. ROCKIT was tested on more than half a million computer-simulated datasets of various sizes and configurations representing a range of population ROC curves. The algorithm successfully converged for more than 99.8% of all datasets studied. The type I error rates of the new algorithm's statistical test for differences in Az estimates were excellent for datasets typically encountered in practice, but diverged from alpha for datasets arising from some extreme situations.

Variance-component modeling in the analysis of receiver operating characteristic index estimates

RATIONALE AND OBJECTIVES

The authors performed this study to clarify and systematize the large number of variances and correlations observable with variance-component models of receiver operating characteristic (ROC) index estimates.

MATERIALS AND METHODS

The authors present a variance-component model for ROC index estimates (and for differences between estimates) and show correspondences between the method of experimental replication and the random components in the model. The authors introduce a notation that identifies both the method of replication and, when examining estimate differences, the estimate pairing scheme.

RESULTS

For models with three factors (modality, reader, case sample), the authors delineated four methods of replication and eight pairing schemes for generating estimate differences. For each of the resulting 32 replication-pairing combinations, the authors gave expressions for the variance of the difference and for the correlation between the two ROC index estimates.

CONCLUSION

The variance-component approach is a useful statistical tool for modeling different sources of variation that contribute to the overall variance of ROC data and index estimates derived from those data.

Dorfman-Berbaum-Metz method for statistical analysis of multireader, multimodality receiver operating characteristic data: validation with computer simulation

RATIONALE AND OBJECTIVES

The authors examined the relationship between the critical P value (alpha) and the empirical type I error rate when using the Dorfman-Berbaum-Metz (DMB) method for analysis of variance in multireader, multimodality receiver operating characteristic (ROC) data.

METHODS

The authors developed a linear mixed-effect model to generate continuous, normally distributed random decision variables containing multiple sources (components) of variation. A range of magnitudes for these variance components was used to stimulate experiments in which multiple readers (three or five) read imaged obtained with two modalities from the same set of cases with no re-reading. Three binormal population ROC curves, with areas of 0.962, 0.855, and 0.702, were included. Case-sample sizes ranged from 50 to 400, and either 50% or 10% of cases were actually positive. For each experiment, 2,000 data sets were analyzed by the computer program, and the proportion of 2,000 modality differences that was found to be statistically significant at an alpha level of .05 was tubulated.

RESULTS

The test for modality difference performed well for the low and intermediate ROC curves, even with small case samples. For the high ROC curve, the small-sample results were conservative. No relationship between observed type I error rate and the magnitude of data correlation was evident.

CONCLUSION

For typical ROC curves, the DBM method is robust in testing for modality effects in the null case, given a sufficient sample size. Instructions for obtaining a free copy of the software are given.

Portal film enhancement: technique and clinical utility

We report on the results a 3-year project which had as its goal the development of methods to enhance radiation portal films to improve their readability. We had previously reported on a portal film enhancement technique, contrast limited adaptive histogram equalization, which could enhance low contrast detail, but degraded sharply contrasted edges. A new method, unsharp masking followed by contrast limited adaptive histogram equalization, now appears to overcome this problem. A clinical trial to test whether enhanced portal films could be read more accurately than standard ones was undertaken. The trial involved 12 readers from two institutions doing 276 readings. In this trial the enhanced films were judged to be of higher quality than the non-enhanced films (p < .001) and were read more accurately (p = .026). The usefulness and difficulties of routinely performing portal film enhancement in a busy radiation therapy department are discussed.