Effects of driver familiarity and prolonged or intermittent right-side failure on level crossing safety

This paper investigates the adverse effects of familiarity and human factors issues associated with the reliability of low-cost warning devices at level crossings. The driving simulator study featured a repetitive, low workload, monotonous driving task in which there were no failures of the level crossing (control) or prolonged or intermittent right-side failures (where the device reverts to a safe failure mode). The results of the experiment provided mixed support for the familiarity hypothesis. Four of the 23 participants collided with the train when it first appeared on trial 10 but safety margins increased from the first train to the next presentation of a train (trial 12). Contrary to expectations, the safety margins decreased with repeated right-side failure only for the intermittent condition. The limited head movement data showed that participants in the prolonged failure condition were more likely to turn their head to check for trains in the right-side failure trials than in earlier trials where there was no signal and no train. Few control participants turned their head to check for trains when no signal was presented. This research highlights the need to consider repetitive tasks and workload in experimental design and accident investigation at railway level crossings.

Extracorporeal membrane oxygenation as a bridge to diagnosis in a 20-month old girl with pulmonary hypertension and right ventricular failure

A 20-month old girl with severe pulmonary hypertension and cardiomegaly was admitted to the paediatric intensive care unit with right ventricular failure of unknown origin. Only after decompression of the heart chambers under extracorporeal membrane oxygenation (ECMO), did the pathognomonic membrane of Cor triatriatum become visible on echocardiography. The patient underwent successful surgical correction and subsequently cardiac function recovered completely. Cor triatriatum remains a rare congenital cardiac disorder with a variable presentation, often including recurrent respiratory infections before right-sided heart failure occurs. This case illustrates that ECMO can serve not only as a bridge to diagnosis, but can also facilitate correct diagnosis. Given the excellent outcome after surgical treatment, it is crucial that cardiologists rule out the possibility of cor triatriatum when assessing a child with unexplained pulmonary hypertension.

A rare cause of fatal right heart failure

Microscopic pulmonary tumor embolism (MPTE) is an uncommon cause of dyspnea in patients with cancer and one of the most difficult to diagnose. MPTE is a syndrome that is pathologically characterized by the occlusion of small pulmonary arteries and arterioles by aggregates of tumor cells. Because the clinical picture resembles that of thromboembolic disease, it is rarely recognized before death. The most common clinical symptom is subacute progressive dyspnea over weeks to months. We recently observed a case of MPTE of exceptional interest as the patient was under aggressive anticoagulant treatment and developed fulminant pulmonary hypertension with fatal right heart failure.

[Rare cause of right heart failure: two cases]

Two asylum seekers (patient A, 30 year old man from Mongolia; patient B, 18 year old woman from the Sudan) were referred to our outpatient clinic because of acute and chronic deterioration of their general condition and shortness of breath. Both patients presented with a clear clinical picture of systemic venous hypertension and moderate pulmonary congestion. Patient B had a paradoxical pulse compatible to cardiac tamponade.

RSV test monitoring and data publication - Renault R20TS-to-Calspan RSV 75 degree right side impact at Renault. Final report.

National Highway Traffic Safety Administration, Washington, D.C.

Results of Minicars' RSV crash tests conducted in France - Renault R20 TS-to-Minicars' RSV 75 degrees left and right side impacts. Final report.

National Highway Traffic Safety Administration, Washington, D.C.

Pickup and van side structure baseline assessment test no. 4 - vehicle-to-vehicle 60 degree right side impact. Task 3. Final report.

National Highway Traffic Safety Administration, Washington, D.C.

Temple of Minerva, exterior sculpture, Apollo of Veii, right side: head

Veii (deserted settlement). Italy; terracotta

Portrait Head of a Ruler, right side

Sculpture, Iraq, Akkadian; H: 13-1/2 in.; copper

Tower of Babel: construction of the right side with workmen using treadwheels

Pieter Bruegel the Elder; oil on panel

Life of Tao Yuanming, section 4, right side: Tao Yuanming and a servant looking at birds in flight

Li Zai; handscroll, ink on paper

Life of Tao Yuanming, section 4, right side: detail of Tao Yuanming and a servant looking at birds in flight

Li Zai; handscroll, ink on paper

Krater, right side

Hirschfeld Workshop, attributed to; 3 ft. 6 41/64 in.x 2 ft. 4 1/2 in.; terracotta