Impact of the geometric field of view on drivers’ speed perception and lateral position in driving simulators

Driving simulators have become an effective tool in road safety research. In recent years, the validity of simulators raised debates concerning the extant to which driving in the simulator resembles driving in the reality. Different types of driving simulators with different characteristics have been developed to study driver behavior, however, the fidelity and reliability of such systems are questionable if no proper validation is conducted. Regarding the visual aspect, the fidelity of the simulators can be assessed based on the field of view of the simulator screens. Drivers’ speed perception and lateral position were compared for two different geometric field of view (GFOV) angles (i.e., 60 and 135 degrees). Results from the ANOVA tests showed that drivers highly underestimate their driving speed while driving for the condition with 60 degrees of GFOV compared to the condition with 135 degrees of GFOV. Furthermore, drivers drove closer to the real-world situations in the condition with 135 degree of GFOV compared to the condition with 60 degree. Results of this study suggest that, using incorrect GFOV for any simulator would generate biased results in speed and lateral position. Therefore, a proper calibration criterion of the GFOV for the simulators is essential. This study recommends using a scale factor (GFOV/FOV) of 1.00 for virtual environment offered by the simulation scenarios such as GFOV of 135 degree for simulators having three screens with 135 degree of field of view (FOV)

Empirical evaluation of drivers’ start-up behavior at signalized intersection using driving simulator

Start-up behavior at signalized intersection mainly depends on perception reaction time of drivers to the green phase. This study investigated the start-up behavior at signalized intersections by considering reaction time, acceleration and jerk (the rate of change of acceleration) of drivers in the state of Qatar. Distributions for reaction time, acceleration and jerk were plotted and the mean and 50th percentile values were presented. Three demographic factors (i.e., gender, ethnicity and age) were analyzed using two-tailed/unpaired t-tests. The relationships between acceleration and reaction time, and jerk and reaction time were investigated by linear regression analyses. Descriptive analysis showed that drivers had a mean reaction time of 2.91 s. Furthermore, Arab drivers had significantly lower reaction time than non-Arab drivers. Regarding the jerk maneuvers, young drivers (below 30 years) displayed significantly higher jerk than drivers of 30 years or above. Results from linear regressions showed significant negative correlations in both models (i.e., reaction time on acceleration, reaction time on jerk). As this study targeted multi-cultural drivers’ population, the results of reaction time and jerk distributions could be used as inputs in simulation models which are developed for evaluating driver behavior and safety at signalized intersections in regions with multi-cultural driving population

Promoting cycling activities in the State of Qatar: Challenges and potential treatments

In the last few decades, cycling has received an increased attention due to its health, social, and economical benefits. Many countries are adopting different policies to encourage cycling as a daily mode of transport. In this paper, the main barriers and motivators to cycling and their relation to demographic factors were investigated. In addition, main trip purposes of cycling and the effect of seasonal variation on trips duration were studied in the State of Qatar. Data was obtained through questionnaire by interviewing 272 respondents. Descriptive statistics and correlations were conducted to investigate the causal relationships. Most of the respondents reported that they cycle for exercise/leisure purpose. Due to weather conditions, cyclists are willing to cycle more in the winter season compared to summer for all trip purposes. Results also revealed a significant relation between different barriers/motivators and demographic factors such as gender, age and ethnicity. The results of this study could be beneficial to policymakers in identifying the main barriers and motivators for the public in order to promote cycling.Qatar University Student Grant [QUST-1-CENG-2022-384

Driving simulation sickness and the sense of presence: Correlation and contributing factors

Driving simulators are useful and effective tools for conducting studies in the field of traffic safety. Simulation sickness (SS) and the sense of presence (SP) are two well-known factors that could affect the results of the driving simulator experiments. This study investigated the relationship between SP and SS in a medium-fidelity driving simulator. Additionally, the impact of the road environment (urban arterials or rural expressways) on these subscales was investigated. Data was collected by means of self-reported questionnaires, which were conducted after the participants have driven the simulation scenarios in a fixed-base medium-fidelity driving simulator. A total of 125 drivers participated in this study. Results showed that females reported significantly higher SS scores than males. An increasing trend in the SS was observed with the increase of age. Importantly, designing buildings that replicate a real-world environment could increase SP and decrease SS. Moreover, designing high quality and resolution scenarios could also increase SP, thus decreasing the severity of SS symptoms. The results of this study can help researchers using medium-fidelity driving simulators to know the influencing factors for each subscale of SP on SS. Adjustments in the driving simulator and scenario settings as well as additional training exercises for higher speed scenarios can be beneficial in reducing the severity of SS.The NPRP award [NPRP11S-1228-170143] from the Qatar National Research Fund (a member of Qatar Foundation). Open Access funding provided by the Qatar National Library

Analysis of gap parameters for the estimation of single lane roundabouts' capacity in the State of Qatar

Entry capacity is an important parameter for evaluating the roundabout performance. In general, entry capacity is influenced by three gap parameters: critical gap, follow-up time and minimum headway of circulating vehicles. These gap parameters certainly are correlated with the driving behavior as well as the roundabout characteristics. In this paper, video records of two single roundabouts in the state of Qatar were used to estimate the gap parameters. In addition, the entry capacity of both roundabouts was estimated and compared through different methodologies. Results showed that the entry capacity is directly related with the inscribed circle diameter (ICD) until 400 vph of circulating flow. However, it is inversely related with ICD if the circulating flow exceeds 400 vph. Moreover, we found that the entry capacity has a negative relation with the gap parameters. Estimated entry capacities with the calibrated Highway Capacity Manual 6th Edition model (HCM, 2016) were significantly higher than estimated ones through the proposed approach by Qatar Highway Design Manual (QHDM, 2015). Interestingly, the entry capacity was underestimated in both approaches if default gap parameter values are used compared to the calibrated models using the observed gap parameters (36.7% less for HCM, and 19.4% less for QHDM). Thus, the utilization of realistic gap parameter values representing local traffic condition is essential for traffic planners to accurately estimate the entry capacity and accordingly ensure feasible design of different types of roundabouts

Autonomous vehicles between anticipation and apprehension: Investigations through safety and security perceptions

Due to the ongoing enormous infrastructural developments and car ownership culture in Qatar, it could be one of those countries to introduce Autonomous Vehicles (AV) technology at the early stages. Therefore, this study surveyed a number of residents at the State of Qatar to improve our understandings of their perceptions regarding overall safety of AV (General_safety), safety due to the fact that AV could eliminate human errors (Human_errors), safety due to the interactions between Human-Driven Vehicles (HDV) and AV (HDV-AV_interactions), performance in harsh environmental conditions, security, comfort level, travel time, congestion and operational costs. In addition, the study uncovered the relationships of public perceptions towards AV and some other contextual factors with the willingness to adopt it in the future. To study these relations, we relied on a Structural Equation Modeling. Overall, the results showed that respondents had higher and positive perceptions regarding “General_safety” and “Human_errors”, however, they were more concerned about “HDV-AV_interactions” and its security. In addition, individuals’ preference to shift to AV in the future was positively correlated with their perception level of “General_safety”, “Human_errors”, Comfort and Travel_time. Regarding ethnicity of the respondents, non-Arabs reported higher concerns regarding AV security, compared to Arabs. Furthermore, interestingly the results revealed that individuals having higher knowledge about AV technology had more concerns on “General_safety” and “HDV-AV_interactions”, while they had positive perceptions that AV could eliminate human errors. The findings from this study are anticipated to allow AV manufacturers and other relevant authorities to enhance public confidence towards AV technology by targeting different sub-groups through particular safety or security awareness campaigns.The Qatar–Japan Research Collaboration Application Award [M-QJRC-2020-8] from Qatar University. Open Access funding provided by the Qatar National Library

Road safety status during COVID-19 pandemic: exploring public and road safety expert’s opinions

The main objective of this study is to investigate the status of traffic safety and the public perception of traffic safety during the during COVID-19 pandemic. Three different data sets are used in this study: road crash and traffic violation data from Qatar, and two separate questionnaire surveys (from general public and road safety experts). Results showed that during COVID-19 period, the total number of crashes in Qatar significantly reduced during the pandemic compared with the previous 5 years. However, the rates of serious and fatal injuries significantly increased. Regarding the general public perceptions, more than 80% reported that roads became safer while driving behaviours improved during the pandemic. On the other hand, more than 50% of the experts disagreed that roads became safer, 55% disagreed that driving behaviours improved and 70% agreed that less attention from governments was directed toward road safety during the pandemic. The findings from this study could help policy makers to understand the road safety status during the pandemic to make appropriate adjustments in the traffic laws and regulations on a temporary basis. This could help in reducing crash-related injuries and as a result reduce pressure on health and other emergency services.Open Access funding provided by the Qatar National Library. This publication was made possible by the Collaborative Grant [QUCG-CENG-21/22-2] from the Qatar University

Laparoscopy in management of appendicitis in high-, middle-, and low-income countries: a multicenter, prospective, cohort study.

BACKGROUND: Appendicitis is the most common abdominal surgical emergency worldwide. Differences between high- and low-income settings in the availability of laparoscopic appendectomy, alternative management choices, and outcomes are poorly described. The aim was to identify variation in surgical management and outcomes of appendicitis within low-, middle-, and high-Human Development Index (HDI) countries worldwide. METHODS: This is a multicenter, international prospective cohort study. Consecutive sampling of patients undergoing emergency appendectomy over 6 months was conducted. Follow-up lasted 30 days. RESULTS: 4546 patients from 52 countries underwent appendectomy (2499 high-, 1540 middle-, and 507 low-HDI groups). Surgical site infection (SSI) rates were higher in low-HDI (OR 2.57, 95% CI 1.33-4.99, p = 0.005) but not middle-HDI countries (OR 1.38, 95% CI 0.76-2.52, p = 0.291), compared with high-HDI countries after adjustment. A laparoscopic approach was common in high-HDI countries (1693/2499, 67.7%), but infrequent in low-HDI (41/507, 8.1%) and middle-HDI (132/1540, 8.6%) groups. After accounting for case-mix, laparoscopy was still associated with fewer overall complications (OR 0.55, 95% CI 0.42-0.71, p < 0.001) and SSIs (OR 0.22, 95% CI 0.14-0.33, p < 0.001). In propensity-score matched groups within low-/middle-HDI countries, laparoscopy was still associated with fewer overall complications (OR 0.23 95% CI 0.11-0.44) and SSI (OR 0.21 95% CI 0.09-0.45). CONCLUSION: A laparoscopic approach is associated with better outcomes and availability appears to differ by country HDI. Despite the profound clinical, operational, and financial barriers to its widespread introduction, laparoscopy could significantly improve outcomes for patients in low-resource environments. TRIAL REGISTRATION: NCT02179112

Global economic burden of unmet surgical need for appendicitis

Background: There is a substantial gap in provision of adequate surgical care in many low-and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods: Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results: Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion: For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially

Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy

Background The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aim of this study was to evaluate reported checklist use in emergency settings and examine the relationship with perioperative mortality in patients who had emergency laparotomy. Methods In two multinational cohort studies, adults undergoing emergency laparotomy were compared with those having elective gastrointestinal surgery. Relationships between reported checklist use and mortality were determined using multivariable logistic regression and bootstrapped simulation. Results Of 12 296 patients included from 76 countries, 4843 underwent emergency laparotomy. After adjusting for patient and disease factors, checklist use before emergency laparotomy was more common in countries with a high Human Development Index (HDI) (2455 of 2741, 89.6 per cent) compared with that in countries with a middle (753 of 1242, 60.6 per cent; odds ratio (OR) 0.17, 95 per cent c.i. 0.14 to 0.21, P <0001) or low (363 of 860, 422 per cent; OR 008, 007 to 010, P <0.001) HDI. Checklist use was less common in elective surgery than for emergency laparotomy in high-HDI countries (risk difference -94 (95 per cent c.i. -11.9 to -6.9) per cent; P <0001), but the relationship was reversed in low-HDI countries (+121 (+7.0 to +173) per cent; P <0001). In multivariable models, checklist use was associated with a lower 30-day perioperative mortality (OR 0.60, 0.50 to 073; P <0.001). The greatest absolute benefit was seen for emergency surgery in low- and middle-HDI countries. Conclusion Checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality rate. Checklist use in low-HDI countries was half that in high-HDI countries.Peer reviewe