Since 1996, 16 states and the District of Columbia in the United States have enacted legislation to decriminalize marijuana for medical use. Although marijuana is the most commonly detected nonalcohol drug in drivers, its role in crash causation remains unsettled. To assess the association between marijuana use and crash risk, the authors performed a meta-analysis of 9 epidemiologic studies pub...

The motor car is a ubiquitous feature of modern life, and most of us spend significant amounts of time in a car, behind the wheel. Driving a vehicle requires complex coordination of cognitive, motor, and sensory skills. All of these aspects can be affected adversely by diabetes per se, with hypoglycemia being the main concern for people with diabetes who drive. Here we introduce the concept of ...

CONTEXT There is an increased awareness of the problem of rollover crashes, but few data on children involved in rollover crashes in the United States. OBJECTIVE To determine: (1) the rates of rollover crashes involving children and the incidence of fatal injury; (2) the characteristics of crashes involving children; (3) the risk factors for children being in a rollover compared with a non-ro...

INTRODUCTION Nonoperative and minimally invasive management techniques for both blunt and penetrating renal trauma have become standard of care over the past decades. We sought to examine the modern epidemiology of renal trauma over the past decade. METHODS A systematic review of PubMed from the past decade was conducted to examine adult and pediatric renal trauma. A total of 605 articles wer...

The influence that injury and hospitalization from alcohol-related motor vehicle crashes may have on subsequent prosecution for drunk driving was studied utilizing concurrent controls consisting of three cohorts of drivers. The cohorts were drunk and injured drivers, drunk and not injured drivers, and sober and injured drivers. Even though the majority of intoxicated drivers were identified by ...

Studies that examine spatial character-istics of urban unemployment are oftenbased on some simplistic and problematicmeasures of employment accessibility. Thispaper presents a refined methodologicalframework for measuring accessibility,which enables the researcher to (1) improvethe measurement by accounting for job com-petition among workers commuting by dif-...

BACKGROUND The purpose of this study was to: 1) evaluate the quality of promotional pedometers widely distributed through cereal boxes at the time of the 2004 Canada on the Move campaign; and 2) establish a battery of testing protocols to provide direction for future consensus on industry standards for pedometer quality. METHODS Fifteen Kellogg's* Special K* Step Counters (K pedometers or K; ...

The European Commission is proposing legislation aimed at reducing the severity of injuries sustained by pedestrians in the event of an impact with the front-end of a motor vehicle. One aspect of this proposed legislation is reducing the pedestrian's leg injuries due to contact with the bumper and frontal surfaces of a vehicle, assessed using a 'pedestrian leg impact device,' or 'leg-form.' Thi...

We thank Schimek for his thoughtful letter. We agree that the American Association of State Highway and Transportation Officials (AASHTO) encourages bike paths; however, AASHTO’s definition of a bike path is a shared use path for pedestrians, skaters, wheelchair users, joggers, and other nonmotorized users. AASHTO discourages bicycle-only cycle tracks because, as noted by Schimek, AASHTO discou...

BACKGROUND Most studies of rear-seated occupants have focused on or included pediatric occupants which may not translate to adults. This study examines passenger, driver, vehicle and crash characteristics for rear-seated adult occupants involved in side crashes. METHODS The National Automotive Sampling System General Estimates System (NASS/GES) for calendar years 2011-2014 was used with accom...