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Inadequate situation awareness and response are increasingly recognized as prevalent critical errors that lead to young driver crashes. To identify and assess key indicators of young driver performance (including situation awareness), we previously developed and validated a Simulated Driving Assessment (SDA) in which drivers are safely and reproducibly exposed to a set of common and potentially serious crash scenarios. Many of the standardized safety measures can be calculated in near real-time from simulator variables. Assessment of situation awareness, however, largely relies on time-consuming data reduction and video coding. Therefore, the objective of this research was to develop a near real-time automated method for analyzing general direction and location of driver's gaze in order to assess situation awareness.

A finite element model of cerebral contusion in the rat was developed and compared to experimental injury maps demonstrating blood-brain barrier (BBB) breakdown. The model was exercised at the nine unique loading conditions used experimentally. Logistic regressions of four variables, maximum principal logarithmic strain (LEP), maximum principal stress (SP), strain energy density (SEN), and von Mises stress (MIS) demonstrated highly significant confidence in the prediction of the 50th percentile values (chi-squared, p<0.00001). However, only values for LEP were invariant across loading conditions. These results suggest that the BBB is most sensitive to LEP, and that breakdown occurs above a strain of 0.188 +/- 0.0324.

Finite element (FE) models are commonly used for automotive crashworthiness design. However, even with increasing speed of computers, the FE-based simulation is still too time-consuming when simulating the complex dynamic process such as vehicle crashworthiness. To improve the computational efficiency, the response surface model, as the surrogate of FE model, has been widely used for crashworthiness optimization design. Before introducing the surrogate model into the design optimization, the surrogate should satisfy the accuracy requirements. However, the bias of surrogate model is introduced inevitably. Meanwhile, it is also very difficult to decide how many samples are needed when building the high fidelity surrogate model for the system with strong nonlinearity. In order to solve the aforementioned problems, the application of a kind of surrogate optimization method called Efficient Global Optimization (EGO) is proposed to conduct the crashworthiness design optimization.

Experimental tests using porcine brainstem samples were performed on a custom designed stress relaxation shear device. Tests were performed dynamically at strain rates >1 s−1, to three levels of peak strain (2.5%-7.5%). The directional dependence of the material properties was investigated by shearing both parallel and transverse to the predominant direction of the axonal fibers. Quasi-linear viscoelastic theory was used to describe the reduced relaxation response and the instantaneous elastic function. The time constants of the reduced relaxation function demonstrate no directional dependence; however, the relative magnitude of the exponential functions and the parameter representing the final limiting value are significantly different for each direction. The elastic function qualitatively demonstrates a dependence on direction. These results suggest that the brainstem is an anisotropic material.

Autonomous and/or automated vehicles offer a host of future opportunities but leave many questions unanswered regarding their impact on crash avoidance or the ability of drivers to effectively scan and re-engage from self-driving mode when necessary to avoid crash scenarios. Considering a 16-year-old is several times more likely to die in an automobile crash than other licensed drivers, it was crucial to test both teenage drivers and adults to determine head-on collision avoidance abilities when subjected to a failing autopilot in a simulated autonomous vehicle. In this study, eight teenagers ages 16-19 and four experienced adults underwent four simulated drives (one manual practice drive and three simulated autonomous drives) using a hi-fidelity, Real Time Technologies SimDriver Simulator to represent being in a self-driving vehicle.

Driving simulators offer a safe alternative to on-road driving for the evaluation of performance. In addition, simulated drives allow for controlled manipulations of traffic situations producing a more consistent and objective assessment experience and outcome measure of crash risk. Yet, few simulator protocols have been validated for their ability to assess driving performance under conditions that result in actual collisions. This paper presents results from a new Simulated Driving Assessment (SDA), a 35- to-40-minute simulated assessment delivered on a Real-Time® simulator. The SDA was developed to represent typical scenarios in which teens crash, based on analyses from the National Motor Vehicle Crash Causation Survey (NMVCCS). A new metric, failure to brake, was calculated for the 7 potential rear-end scenarios included in the SDA and examined according two constructs: experience and skill.

This report discusses the development of brain injury tolerance criteria based on the study of three model systems: the primate, inanimate physical surrogates, and isolated tissue elements. Although we are equally concerned with the neural and neurovascular tissue components of the brain, the report will focus on the former and, in particular, the axonal elements. Under conditions of distributed, impulsive, angularacceleration loading, the primate model exhibits a pathophysiological response ranging from mild cerebral concussion to massive, diffuse white matter damage with prolonged coma. When physical models are subjected to identical loading conditions it becomes possible to map the displacements and calculate the associated strains and stresses within the field simulating the brain. Correlating these experimental models leads to predictive levels of tissue element deformation that may be considered as a threshold for specific mechanisms of injury.

Motor vehicle crashes remain the leading cause of death for children. Traditionally, restraint design has focused on the crash phase of the impact with an optimally seated occupant. In order to optimize restrain design for real-world scenarios, research has recently expanded its focus to non-traditional loading conditions including pre-crash positioning and lower speed impacts. The goal of this study was to evaluate the biofidelity of the large omni-directional child (LODC) ATD in non-traditional loading conditions by comparing its response to pediatric volunteer data in low-speed sled tests. Low-speed (2-4 g, 1.9-3.0 m/s) frontal (0°), far-side oblique (60°), and far-side lateral (90°) sled tests, as well as lateral swerving (0.72 g, 0.5 Hz) tests, were conducted using the LODC. The LODC was restrained using a 3-point-belt with an electromechanical motorized seat belt retractor, or pre-pretensioner. Motion capture markers were placed on the head, torso, and belt.

Both traumatic and slow-onset disc herniation can directly compress and/or chemically irritate cervical nerve roots, and both types of root injury elicit pain in animal models of radiculopathy. This study investigated the relative contributions of mechanical compression and chemical irritation of the nerve root to spinal regulation of neuronal activity using several outcomes. Modifications of two proteins known to regulate neurotransmission in the spinal cord, the neuropeptide calcitonin gene-related peptide (CGRP) and glutamate transporter 1 (GLT-1), were assessed in a rat model after painful cervical nerve root injuries using a mechanical compression, chemical irritation or their combination of injury. Only injuries with compression induced sustained behavioral hypersensitivity (p≤0.05) for two weeks and significant decreases (p<0.037) in CGRP and GLT-1 immunoreactivity to nearly half that of sham levels in the superficial dorsal horn.

Head injury is the most common cause of death and acquired disability in childhood. We seek to determine the influence of brain mechanical properties on inertial pediatric brain injury. Large deformation material properties of porcine pediatric and adult brain tissue were measured and represented by a first-order Ogden hyperelastic viscoelastic constitutive model. A 3-D finite element mesh was created of a mid-coronal slice of the brain and skull of a human adult and child (2 weeks old). Three finite element models were constructed: (1) a pediatric mesh with pediatric brain properties, (2) a pediatric mesh with adult tissue properties, and (3) an adult mesh with adult tissue properties. The skull was modeled as a rigid solid and an angular acceleration was applied in the coronal plane with center at C4/C5. The brain is assumed to be homogeneous and isotropic.

In vivo, tissue-level, mechanical thresholds for axonal injury in the guinea pig optic nerve were determined by comparing morphological injury to estimated in vivo tissue strain. The right optic nerve of adult male guinea pigs was stretched to one of seven ocular displacement levels. Morphological injury was detected three days post-stretch with neurofilament immunohistochemical staining (NF68). A companion set of in situ experiments was used to determine the empirical relationship between ocular displacement and optic nerve stretch. Logistics regression analysis, combined with sensitivity and specificity measures and receiver operating characteristic (ROC) curves were then used to predict strain thresholds for axonal injury. From this analysis, we determined three Lagrangian strain- based thresholds for morphological damage to the guinea pig white matter.

Validating a traumatic brain injury finite element model is often limited by a lack of extensive animal injury data that may be used to examine the conditions under which the model is accurate. Given that most published reports specify only general descriptions of injury, this study examined potential evaluation strategies and assessed the ability of a finite element model to simulate the general descriptions of injury in an animal model. The results of this study showed that 1) the results from a simplified finite element model could estimate trends that were similar to the injury patterns observed in a set of animal experiments, 2) a parameter (Z parameter), which quantified the comparison process between computational and animal data, estimated trends that would help in the model evaluation process, and 3) a more complete evaluation process would occur if multiple testing methods were included in the evaluation procedure.

Rapid neck motions can load cervical nerve roots and produce persistent pain. This study investigated the cellular basis of radicular pain and mechanical implications of tissue loading rate. A range of peak loads was applied in an in vivo rat model of dorsal root compression, and mechanical allodynia (i.e., pain) was measured. Axonal damage and nociceptive mediators were assessed in the axons and cell bodies of compressed dorsal roots in separate groups of rats at days 1 and 7 after injury. In the day 7 group, damage in the compressed axons, evaluated by decreased heavy chain neurofilament immunoreactivity, was increased for compressions above a load of 34.08 mN, which is similar to the load-threshold for producing persistent pain in that model.

Cervical nerve roots are susceptible to compression injuries of various durations. The duration of an applied compression has been shown to contribute to both the onset of persistent pain and also the degree of spinal cellular and molecular responses related to nociception. This study investigated the relationship between peripherally evoked activity in spinal cord neurons during a root compression and the resulting development of axonal damage. Electrically evoked spikes were measured in the spinal cord as a function of time during and after (post-compression) a 15 minute compression of the C7 nerve root. Compression to the root significantly (p=0.035) reduced the number of spikes that were evoked over time relative to sham. The critical time for compression to maximally reduce evoked spikes was 6.6±3.0 minutes. A second study measured the post-compression evoked neuronal activity following compression applied for a shorter, sub-threshold time (three minutes).

Little is known about the mechanism of pelvic injury in the pediatric population, an age range over which the pelvis undergoes tremendous structural change. We hypothesize that these structural changes influence pelvic fracture injury mechanisms. A probability sample of children under age 16 years in crashes were enrolled in an on-going crash surveillance system which links insurance claims data to telephone survey and crash investigation data. 15,725 children in side impact collisions were studied. Risk of pelvic fracture in side impact collisions was estimated and factors associated with these injuries were identified. Eight cases were examined using in-depth investigation to identify the injury mechanisms. Of our study sample, 0.10% of children suffered a pelvic fracture. The typical child with a pelvic fracture was a 12-15 year old female front row occupant of a passenger car involved in a struck side collision with intrusion.

While extensive research points to mechanical injury of the cervical facet joint as a mechanism of whiplash injury, findings remain speculative regarding its potential for causing pain. The purpose of this study was to examine the relationship between facet joint distraction, capsular ligament strain, cellular nociceptive responses, and pain. A novel rat model of in vivo facet joint injury was used to impose C6/C7 joint distraction in separate studies of subcatastrophic and physiologic vertebral distraction, as well as sham procedures. A common clinical measure of behavioral hypersensitivity (allodynia) was measured for 14 days after injury, as quantification of resulting pain symptoms. Also, on day 14, spinal activation of microglia and astrocytes was quantified to examine the potential role of glial activation as a physiologic mechanism of facet-mediated painful injury. Vertebral distractions of 0.90±0.53 mm across the rat facet joint reliably produced symptoms of persistent pain.