#231
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Shimano Headset
On Wednesday, May 17, 2017 at 1:25:02 PM UTC-7, Emanuel Berg wrote:
Don't tell me - you live in a large city. You think that most of the hospitals in this country are on the web so that they can release personal information from a virus attack. Say what? I haven't worked in a hospital but my impression is they are understaffed. However this kind of study does not require hundreds of people or tons of number-crunching machines. But even if it did - so what? It appears to be a relevant field of study, don't you think? Why would you talk about this if you haven't ANY idea what is involved and how statistical measurements are made? "Impressions" mean nothing. |
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#232
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Shimano Headset
On Wednesday, May 17, 2017 at 2:02:23 PM UTC-7, Frank Krygowski wrote:
- Frank Krygowski You're just an idealist. |
#234
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Shimano Headset
On Thursday, May 18, 2017 at 1:46:59 AM UTC-7, John B. wrote:
On Thu, 18 May 2017 07:30:21 +0200, Emanuel Berg wrote: John B. writes: I'm not so sure that will provide accurate information. [...] If you have 100 people that have an accident with their bike and 50 of them go to the hospital and 25 have head injuries then do you report that 50% of bicycle accidents are head injuries? Only the injuries reported would be studied with an emphasis on helmet use and its impact on the damage. That is my exactly my point. You and I crash and hit our head on the ground. You elect to visit a clinic where they clean the wound and apply a bandage and record the treatment. I elect to go home, my wife cleans the wound and applies a bandage. If only the reported injury is considered then apparently 100% of bike crashes result in head injuries requiring medical attention. The problem, of course, is that incomplete data results in erroneous conclusions. How would one provide more accurate information than to study it first hand? hospitals have enough to do without worrying about keeping statistics for someone else. Not true, at least in most countries there are rather extensive reporting agencies that do keep track of hospital treatments. (I didn't write that.) But yes, no matter who deviced and/or financed the undertaking it would have to be done with the approval of the hospitals. Not so, in the U.S., at least. One recent study I read was done by the Harvard Medical School in conjunction with a major insurance company and also referenced studies done by the Communicable Disease Center (CDC) which is a government agency (I believe). OK, and where do they get the data, if the hospitals and/or emergency services do not approve to share them? They are required to supply the data. By public law in the case of the U.S. Communicable Disease Center. Most small country hospitals do nothing of the sort. |
#235
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Shimano Headset
Frank Krygowski writes:
On 5/17/2017 9:50 PM, Radey Shouman wrote: Emanuel Berg writes: Radey Shouman wrote: By requiring a head injury, you exclude the cases where helmets actually prevented head injury (or where helmets caused a head injury that would otherwise not have happened). By requiring an accident, you exclude the cases where a helmeted rider took more risk than she otherwise would have, and had a crash she would have avoided without a helmet. By comparing bikers with and without helmets, you risk comparing two populations that are quite different, in ability, in age, in their tendency to follow traffic rules or to seek medical attention, in economic status, and many other factors. Still, it is bikes, helmets, accidents, and head injuries, as opposed to pedestrians, MCs, etc. All of us are pedestrians at some point, so head injuries to pedestrians should have some personal interest. Similarly most of us are drivers, and almost all are passengers in motor vehicles at least some of the time. And who never uses a ladder? It's reasonable to ask whether wearing a bike helmet reduces ones chances of suffering a brain injury, today, this year, or over a lifetime. But it's also reasonable to ask, if you're a health researcher, what the best way of minimizing brain injuries over a whole population, many of whom may not ever ride a bicycle. Frank seems to think it was purely mercenary, but I suspect that the original question in the minds of those who started the bike helmet thing was: In what activity with a non-trivial risk of brain injury can we actually change human behavior, to use the protective equipment that surely will fix the problem? That might be a possible explanation if the promotions weren't kick started almost entirely by Bell Inc. The very first article I read touting bike helmets was talking about Bell Biker helmets, when they first arrived on the market. (There was one tiny manufacturer, Skid-Lid, before Bell. I don't recall anything but its own ads promoting it.) Bell soon became a sponsor of Safe Kids Inc. Safe Kids began lobbying for mandatory helmets, and we were off to the races, as they say. Also, note that the entire industry started in the U.S., a country where bicycling has always been comparatively rare, thus easy to portray as dangerous. If public health people were really at the root of the promotion, why would it not have happened in those European countries where there is lots of cycling, so lots more (purported) benefit? Because such a promotion would have succeeded just like driving helmets would in the US. Extra hassle for activities seen as ordinary and obligatory is hard to sell. -- |
#236
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#237
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Shimano Headset
Emanuel Berg writes:
Radey Shouman writes: All of us are pedestrians at some point, so head injuries to pedestrians should have some personal interest. Similarly most of us are drivers, and almost all are passengers in motor vehicles at least some of the time. And who never uses a ladder? It's reasonable to ask whether wearing a bike helmet reduces ones chances of suffering a brain injury, today, this year, or over a lifetime. But it's also reasonable to ask, if you're a health researcher, what the best way of minimizing brain injuries over a whole population, many of whom may not ever ride a bicycle. Frank seems to think it was purely mercenary, but I suspect that the original question in the minds of those who started the bike helmet thing was: In what activity with a non-trivial risk of brain injury can we actually change human behavior, to use the protective equipment that surely will fix the problem? And they chose well. Biking in the USA, and in other countries where helmets have become popular, is frequently done by children (think of the children!), or for sport (with rules). For most it's an optional recreational activity, for which a little inconvenience in the name of safety hardly seems unreasonable. The reason walking or driving helmets never got off the ground is not that they make less sense than biking helmets, it's just that few would accept them for ordinary daily activities. A few years ago there was a push by doctors in the UK to ban pointy knives. They said that chefs didn't actually need points, and could work without; points are only good for stabbing others. That one didn't take hold either. If one would make a serious investigation into this, there would be no mention whatsoever of ladders, knives, chefs in the UK, etc., and the only time cars and MCs would be mentioned is whenever a bike has been hit by or collided into such a vehicle and this is the cause of the accident. I'm sorry the question drifts from "how effective are bike helmets?" to "how can we reduce TBI?". We drifted into helmets in the first place, as usual. -- |
#238
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sms writes:
On 5/16/2017 12:24 PM, Radey Shouman wrote: By requiring an accident, you exclude the cases where a helmeted rider took more risk than she otherwise would have, and had a crash she would have avoided without a helmet. And you have all the crashes that are not reported at all because the helmet prevented a trip to the emergency room. Helmet effectiveness is vastly under-estimated because there's no way to determine how many people don't seek treatment because they have no injury because of the helmet. I think that was my first point, which you snipped. Not that I agree that helmet effectiveness is under-estimated. -- |
#239
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John B. writes:
On Wed, 17 May 2017 12:26:03 -0400, Frank Krygowski wrote: On 5/17/2017 6:05 AM, Duane wrote: wrote: On Tue, 16 May 2017 15:45:02 -0400, Frank Krygowski wrote: On 5/16/2017 1:06 PM, Duane wrote: On 16/05/2017 12:54 PM, jbeattie wrote: IMO, the fact that helmets are proven to prevent certain injuries does not justify mandating helmet use. It does justify the personal choice to wear a helmet, particularly for those people who ride dirt trails, wet descents, in snow, etc. Or apparently those who ride with a group containing a member trying to channel Chris Froome. As I've written in articles for our club's newsletter, I think it's important to stay well away from certain riders. I've seen bad riders take out good riders. I'm sure you've seen what you would have considered good riders, up untill the incident, take out other good and not so good riders too. Right. Only bad riders have accidents. Like Chris Froome. Ridiculous. What I've written about is avoiding riders who don't hold a steady line; or riders who pass close without warning, especially on one's blind side; or riders who take unnecessary risks, like taking corners at extreme speeds; or riders who flout traffic laws. Having said that, we had one r.b.tech denizen who claimed one could not be a good rider unless he crashed a lot. I think that's total nonsense. I claim that almost every crash is an indication of a rider mistake. To me, "There was gravel in that corner!" translates as "I didn't think to look for gravel in that corner." To me, "That driver right hooked me" translates as "I was going straight, but I put myself to the right of a right turning car." To me, "She opened her car door right in front of me!" translates as "I was dumb enough to ride in the door zone." I can visualize a few motorist moves that a cyclist could not prevent. I can visualize a few crash types caused by unpredictable component failure. But I think almost every bike crash indicates a mistake at some point by the bike rider. But who am I to talk? I have so little experience with crashing. I've had only two moving on-road falls since beginning adult riding in 1972. Way back in the dim and distant past my high school offered an optional course called a "Driving Class" which taught a technique that they referred to as "defensive driving". This course was, of course, oriented toward automobile driving but the techniques certainly applied to bicyclists also. The basic theory was "drive so you don't have an accident". But I suppose that these ancient ideas are now as passee as the buggy whip. We have electronic devices that do that for us today. Soon we won't have to do a thing. I have no real evidence, but believe that early experience riding in the streets tends to make one a better driver later on, being a keener observer of driver behavior. -- |
#240
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Shimano Headset
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