Blood alcohol and injury in Bhutan: targeted surveillance in a national referral hospital emergency department

Bhutan is a low-middle-income country with poor roads, rapidly increasing motor vehicle use and heavy alcohol consumption. We estimated the proportion of emergency department patients presenting with injury who had positive blood alcohol. We sought to breathalyse and interview all adult patients (≥18 years) presenting with injury at the Jigme Dorji Wangchuck National Referral Hospital in the capital city Thimphu, from April to October 2015. Breath tests and interviews were conducted with 339 (91%) of 374 eligible adult patients. A third (34%) were alcohol-positive and 22% had blood alcohol concentrations >0.08 g/dL. The highest alcohol-positive fractions were for assault (71%), falls (31%) and traffic crashes (30%). Over a third (36%) of patients had a delay of >2 h between injury and breath test. The results underestimate blood alcohol concentrations at the time of injury so the true prevalence of pre-injury alcohol impairment is greater than our estimates suggest. Countermeasures are urgently needed, particularly roadside random breath testing and alcohol controls.

Spatial coordinated medium sharing: Optimal access control management in drive-thru internet

Driven by the ever-growing expectation of ubiquitous connectivity and the widespread adoption of IEEE 802.11 networks, it is not only highly demanded but also entirely possible for in-motion vehicles to establish convenient Internet access to roadside WiFi access points (APs) than ever before, which is referred to as Drive-Thru Internet. The performance of Drive-Thru Internet, however, would suffer from the high vehicle mobility, severe channel contentions, and instinct issues of the IEEE 802.11 MAC as it was originally designed for static scenarios. As an effort to address these problems, in this paper, we develop a unified analytical framework to evaluate the performance of Drive-Thru Internet, which can accommodate various vehicular traffic flow states, and to be compatible with IEEE 802.11a/b/g networks with a distributed coordination function (DCF). We first develop the mathematical analysis to evaluate the mean saturated throughput of vehicles and the transmitted data volume of a vehicle per drive-thru. We show that the throughput performance of Drive-Thru Internet can be enhanced by selecting an optimal transmission region within an AP's coverage for the coordinated medium sharing of all vehicles. We then develop a spatial access control management approach accordingly, which ensures the airtime fairness for medium sharing and boosts the throughput performance of Drive-Thru Internet in a practical, efficient, and distributed manner. Simulation results show that our optimal access control management approach can efficiently work in IEEE 802.11b and 802.11g networks. The maximal transmitted data volume per drive-thru can be enhanced by 113.1% and 59.5% for IEEE 802.11b and IEEE 802.11g networks with a DCF, respectively, compared with the normal IEEE 802.11 medium access with a DCF.

Asymptotic throughput capacity analysis of VANETs exploiting mobility diversity

Vehicular ad hoc networks (VANETs) rely on intervehicle relay to extend the communication range of individual vehicles for message transmissions to roadside units (RSUs). With the presence of a large number of quickly moving vehicles in the network, the end-to-end transmission performance from individual vehicles to RSUs through intervehicle relaying is, however, highly unreliable due to the violative intervehicle connectivity. As an effort toward this issue, this paper develops an efficient message routing scheme that can maximize the message delivery throughput from vehicles to RSUs. Specifically, we first develop a mathematical framework to analyze the asymptotic throughput scaling of VANETs. We demonstrate that in an urban-like layout, the achievable uplink throughput per vehicle from vehicle to RSUs scales as Θ(1/ log n) when the number of RSUs scales as Θ(n/log n) with n denoting vehicle population. By noting that the network throughput is bottlenecked by the unbalanced data traffic generated by hotspots of realistic urban areas, which may overload the RSUs nearby, a novel packet-forwarding scheme is proposed to approach the optimal network throughput by exploiting the mobility diversity of vehicles to balance the data traffic across the network. Using extensive simulations based on realistic traffic traces, we demonstrate that the proposed scheme can improve the network throughput approaching the asymptotic throughput capacity.

Prospective memory while driving : comparison of time- and event-based intentions

Prospective memories can divert attentional resources from ongoing activities. However, it is unclear whether these effects and the theoretical accounts that seek to explain them will generalise to a complex real-world task such as driving. Twenty-four participants drove two simulated routes while maintaining a fixed headway with a lead vehicle. Drivers were given either event-based (e.g. arriving at a filling station) or time-based errands (e.g. on-board clock shows 3:30). In contrast to the predominant view in the literature which suggests time-based tasks are more demanding, drivers given event-based errands showed greater difficulty in mirroring lead vehicle speed changes compared to the time-based group. Results suggest that common everyday secondary tasks, such as scouting the roadside for a bank, may have a detrimental impact on driving performance. The additional finding that this cost was only evident with the event-based task highlights a potential area of both theoretical and practical interest. Practitioner Summary: Drivers were given either time- or event-based errands whilst engaged in a simulated drive. We examined the effect of errands on an ongoing vehicle follow task. In contrast to previous non-driving studies, event-based errands are more disruptive. Common everyday errands may have a detrimental impact on driving performance.

SEMD: secure and efficient message dissemination with policy enforcement in VANET

Vehicular ad hoc network (VANET) is an increasing important paradigm, which not only provides safety enhancement but also improves roadway system efficiency. However, the security issues of data confidentiality, and access control over transmitted messages in VANET have remained to be solved. In this paper, we propose a secure and efficient message dissemination scheme (SEMD) with policy enforcement in VANET, and construct an outsourcing decryption of ciphertext-policy attribute-based encryption (CP-ABE) to provide differentiated access control services, which makes the vehicles delegate most of the decryption computation to nearest roadside unit (RSU). Performance evaluation demonstrates its efficiency in terms of computational complexity, space complexity, and decryption time. Security proof shows that it is secure against replayable choosen-ciphertext attacks (RCCA) in the standard model.