Thursday, May 10, 2007

Proposal paper


A Helmet, The Brain’s Best Friend

When combining the fact that “Per mile traveled in 2005, a motorcyclist is approximately 34 times more likely to die than someone riding in an automobile” (NHTSA 78), along with estimates from the Crash Outcome Data Evaluation System(CODES) that “motorcycle helmets are 67 percent effective in preventing brain injuries“(Max 45) and it is clear that a mandatory helmet law is needed. Arizona does not require any person over the age of eighteen to wear a helmet when operating a motorcycle, in fact according to the Arizona Department of Transportation(ADOT) the law states:
“An operator or passenger of a motorcycle or motor driven cycle who is under eighteen years of age shall wear at all times a protective helmet on the operator's or passenger's head in an appropriate manner that is safely secured while operating or riding on the motorcycle or motor driven cycle. . .” Lawmakers have tried to pass mandatory helmet laws, however they have failed in the past. The past lawmakers strategies’ were focused at helmets and how they save lives which while very important, does not necessarily rank high with all voters especially the majority of which have never rode a motorcycle themselves. Also the fact is that the number of fatalities between helmeted and non helmeted states aren’t as staggering as most would think. in fact almost as many helmeted riders die as non helmeted riders every year because in many crashes the speed is so great that that regardless if the rider is helmeted or not the impact is too great to withstand. All in all it isn’t that the voters don’t care about human life, just that a helmet law does not rank in comparison to topics such as homeland security, education, and school safety on most state ballots. However people tend to care when there is money to be saved, and a mandatory helmet law would reduce the number of brain injuries resulting from motorcycle crashes, lower insurance premiums, and drastically reduce healthcare cost resulting from motorcycle accidents.
Helmets greatly reduce the number of brain injuries suffered in motorcycle accidents. Many who oppose a helmet law make claims similar to those stated earlier claiming that many accidents involve speeds and impacts so great that fatality was inevitable regardless if the rider was helmeted or not. However that is not always the case, in many cases where the rider is hit and survives it has been found that “motorcycle helmets are 67% effective in preventing brain injuries that an un-helmeted rider would have suffered.”( Yoganandan 16) That fact alone shows that helmets could prevent over two-thirds of all brain injuries suffered as a result of a motorcycle accident! Many groups are recognizing that these facts are alarming and are taking a stand such as the Brain Injury Association of America who will be supporting up and coming bills and holding educational events to get the information out to the voters.
While reducing brain injuries in motorcycle accidents, a mandatory helmet law, simultaneously can help reduce automobile insurance premiums in Arizona. Often times motorcycle accidents max out the insurance companies coverage’s and to compensate the insurance companies increase there rates. In a public survey it was determined that “ the government pays, with tax dollars, nearly 23 percent of inpatient charges of all motorcycle crashes…In addition, private insurance pays 63 percent of the costs. This means the public pays 86 percent of the charges for inpatient care of injured motorcyclists.” ( Max 552) Many against the law claim that no great reductions were received in states that added mandatory helmets laws but there no facts on this subject published as each individuals drivers record is different and so are individual coverage’s. There are however facts to prove that helmets reduce brain injuries and that less injuries to those in an accident results directly in less money being spent by the insurance companies of those involved. The less money the insurance companies spend, the less our rates get increased.
While the reduction in brain injuries and the possibility of saving on insurance premiums are excellent reasons to support a mandatory helmet law, the single most selling point of this bill may be the amount of money that can be saved in healthcare costs. According to CODES on average initial inpatient care costs “ was $27,000 for those who sustained a brain injury, more than twice the average $12,000 charge for non-brain injured motorcyclists.”( Langstaff 63-64) That does not include any care costs after the initial hospital stay such as rehab, therapy, and follow up appointments. The National Center for Statistics and Analysis says that a patient surviving a motorcycle crash with a head injury incurs an average of $171,000 in medical and rehab costs in the first year following the injury alone.(Max 556) We know already that the insurance companies do not cover all the expenses and the left over expenses are paid with public funds, yes that includes our tax dollars! We already have facts proving that helmets can reduce up to 67% of brain injuries resulting from motorcycle accidents and knowing that in Arizona in a conservative year there would be 150 non helmeted riders who will suffer a brain injury. If a helmet had been used a shocking 101 of these brain injuries could have been prevented. Consequently if the average savings between the brain injured and non brain injured healthcare cost is $15,000, and we multiply that by 101 injuries that could have been prevented and as a state Arizona could save over $1.5 million dollars in healthcare costs alone in one year. That does not even touch on the long term costs that would be much greater for somebody with a brain injury as opposed to those without one.
Being a motorcycle rider, I have struggled with the thought of a mandatory helmet law. A part of me feels that a mandatory helmet law is too invasive and we as a nation should have the freedom to choose; The other half of me that knows that the majority of head injuries I see working as an ortho-tech at a local trauma hospital are a result of the rider being non-helmeted. It became obvious that many people struggle with this topic and many simply choose to look the other way while the majority of people voicing their opinion on this are the minority who oppose a statewide mandatory helmet law. There is no denying that helmets can help save lives and there is even more evidence to support the fact that helmets greatly reduce head injuries and can save Arizona tax payers millions of dollars each year. The U.S. Department of Transportation in 2005 released a statement stating that in “2004 motorcycle helmet use saved $1.5 billion in economic costs” and that “from 1984 through 2004 has saved a total of $20.3 billion dollars.”(DOT HS 809 112) There is fact after supporting helmet use and in a democracy we are able to vote and make a change if something isn’t right, and now is our time. We need to have a mandatory helmet law in Arizona, and we as citizens need to stand up and take charge or we will keep paying inflated insurance premiums and continue to pay the increased medical bills of strangers who suffered injuries while riding a motorcycle without a helmet. Regardless how unfair it may seem, if we don’t vote for a mandatory helmet law we will continue to be financially responsible for those people who choose to ride un-helmeted and while they choose to ride un-helmeted, we are forced to pay and the only way to avoid paying is to take away their choice! So lets unite, enough is enough it is time for Arizona to adopt a statewide mandatory helmet law.

Thursday, April 5, 2007

Annotated Bibliography

Motorcycle Helmet Research: Annotated Bibliography Hahn, Pat. How to Ride a Motorcycle: A Rider's Guide to Strategy, Safety, and Skill Development. St. Paul, Minn: Motorbooks, 2005.
A basic overview of riding a motorcycle. This book is informative and geared towards the novice, it has a chapter dedicated to riding gear and the importance of proper gear. It is very broad as it ranges from bike size and selection to instructions on how to corner and turn more effectively.
While this book scratches the surface on helmet safety, it doesn’t provide me with the evidence based facts I am searching for. The author is knowledgeable and gives good advice, however some of the statements given as facts are questionable and not cited. This is definitely a popular reader.
Had a few facts that were cited about helmets and helmet safety but nothing I will be using in my paper as I want more evidence from research and case studied of those involved in an accident and in particular those without helmets.

Langstaff, Deborah, and Jane Christie. Trauma Care: A Team Approach. Oxford: Butterworth Heinemann, 2000.
A book geared towards those interested in Trauma care, mainly nursing. Gives a complete an in depth look at what it is like to work in the trauma setting and also how to deal with the stresses of these jobs. Also gives management advice on teamwork in the trauma setting and how to get the most out of your employees along with providing several real-life case studies.
This book has excellent information and documentation on trauma and trauma care. This book was written by an RN with an MBA along with many practicing clinicians. This book was a mix of popular and scholar but mainly scholarly.
The best part for my research was some of the evidence from a case study involving a patient who in a motorcycle accident and the effects of not wearing a helmet. While the trauma case study was somewhat helpful all in all this book wasn’t that helpful for my research paper as it focused mainly on working in the trauma department of a hospital.(which I already do)

Lee, Daniel E. Freedom Vs. Intervention: Six Tough Cases. Lanham, Md: Rowman & Littlefield Publishers, 2005.

A book that examines as the title states six tough cases. Lee tackles such issues as physician assisted suicide, motorcycle helmet law, marijuana use, abortion in addition to a couple others. This book gives good insight and views both sides of each argument.
This book deals more with the fine line between freedom and government control or intervention on these six issues. This would be considered more a popular reader than a scholarly work, a popular reader that includes some good facts and figures but more relates to peoples emotions and feelings on these controversial issues.
This was not a very helpful source for my paper as I am for a motorcycle helmet law and while I understand freedom and how having options is part of America’s greatness, however when tax paying citizens like myself are paying for the non or underinsured rider who cracks his skulls and is left with a mountain of medical bills, well in that case I am not in favor of freedom of choice.

Max, W, Stark, B., and Root, S. (1998) Putting a lid on injury costs: The economic impact of the California Motorcycle Helmet Law. Journal of Trauma, injury, infection and critical care 45, 550-557.
This is a fact filled article in a trauma journal that gives multiple facts and figures from hospitals in California proving how much money helmet laws can save states. This article shows the cost comparison and average length of stay involved between helmeted and non-helmeted riders.
This source quotes many surgeons and trauma doctors as well as provides many facts from national and state research departments. I feel that the information is reliable and also many other scholarly information sources had parallel findings.
This article, though short, was packed with useful information for my paper. Mainly the facts on the average costs of hospitalization of a helmeted compared to a non-helmeted rider. This was a specific topic that I had to do a lot of looking to find, but the evidence it provided is crucial to my paper.

NHTSA (2000). Further Analysis of Motorcycle Helmet Effectiveness. National Center for Statistics and Analysis Research Note, January 2000. Washington DC: U.S. Department of Transportation.

A report from the National Highway Traffic and Safety Administration, this is full of facts that show that helmets alone reduce the risk of rider fatalities by 37%. The whole report is based on many in depth studies.
This is the most reliable info I came across in all my research. The research was completed in the field at random selection sites and provides the best tracking of helmet use in the country. There were over 1,996 roadway test cites that collected data as motorists passed by.
This provided some data on the effectiveness of helmet use, but mostly focused on the # of riders that were helmeted vs. those not helmeted. Again this was another useful article in the battle for a helmet law.

Streano, Vince. Touching America with Two Wheels. New York: Random House, 1974.

This book is more of an overview of motorcycle riding and the overall experience. It touches on everything from rider safety to maintenance and riding tips. While the author is obviously motorcycle savvy and reliable, there is no sound research worthy material. This is mostly full of the authors real life experiences and more of a popular reader. This source was not effective in helping my research efforts. While helpful for beginners and those interested in maybe their first bike, it didn’t have anything useful for helmet law research.(It does include an out-dated list of States that Require Helmets

Merson, Michael H., Robert E. Black, and Anne Mills. International Public Health: Diseases, Programs, Systems, and Policies. Gaithersburg, MD: Aspen Publishers, 2001.


United States. Highway Safety: Motorcycle Helmet Laws Save Lives and Reduce Costs to Society : Report to Congressional Requesters. Washington, D.C.: U.S. General Accounting Office, 1999.

Full of facts and figures including such topics as average cost in hospital stay between helmeted and non-helmeted riders, number of riders who are underinsured, costs to the nation as a whole due to these unpaid medical bills and how everybody, not just motorcycle riders pay for these costs. Also go over facts from insurance companies on motorcycle accidents and costs.
This is a good source of info as it directly shows how the non-helmeted rider can end up costing a lot of people, simply by not wearing a helmet. This article is a direct comparison between the helmet and non-helmeted riders.
Probably the most useful reading I found, while I don’t need all the facts and probably will only pull two or three quotes from this article, however the overall information I gained gave me a good overview and some direction at how to offer up my proposal more effectively.

Yoganandan, Narayan. Frontiers in Head and Neck Trauma: Clinical and Biomechanical. Biomedical and health research, v. 21. Amsterdam: IOS Press, 1998.
This health research journal is full of facts and statistics related to head and neck injuries. Mainly this articles goes over case studies and show how new technological advances can help the patients. Along with techniques and this journal touches on possible ways of preventing some of these injuries.
This is a scholarly publication and written by neuro-surgeons and trauma physicians.
I got a lot of statistical information and this was exactly what I wanted for my research as it provided facts and stats on motorcycle injuries and even injuries of helmeted vs. non helmeted riders.


Evans, Leonard. Traffic Safety and the Driver. New York: Van Nostrand Reinhold, 1991.

Tuesday, April 3, 2007

Research Process.....

Ok I have 5 books and some good medical journals with case studies and alot of information on my subject, which is a mandatory helmet law for motorcycles. I am guilty of not always wearing a helmet but if there were a law I am sure I would follow it. I have spent at least 8 hours on my research(I actually got interested in a book by Daniel E Lee entitled Freedom VS. Intervention) this book goes over many issue that border leaving it to us as a freedom to decide and that almost require action to help keep citizens safe(or do they?!). I never get into books really more informative readings and technical findings on motorcycles, boats, and dirtbikes....This book has made me think though it talks of six issues such as abortion(yes the A word that starts so many heated debates), physician assisted suicide, helmet laws, and legalizing marijuana use in certain cases.
All in all this process is going good, I have 6 or 7 annotated bib's finished and am waiting for one of my books to come wed at the public library. Well good luck to all on your research and remember, ONE MONTH LEFT THIS SEMESTER!!!!!!!!!!!!!!!!!!!!!!

Tuesday, March 20, 2007

Review Paper

105, 110, 120, 130, 140, even 150, no I am not talking about our temperature on a hot summer day in Arizona, but rather the speeds reached at normal amateur motorcycle Track Day at Phoenix International Raceway(PIR). Match those speeds and our unbearable summer heat and you have a recipe for disaster or at least the perfect ingredients for overheating your bike and possibly causing electrical or even worse some internal engine problems. I have experienced this first hand, it was the last week of August in ‘06 when I was just three laps from finishing in the top three at a Track Day (it would have been my personal best) when my bike just lost all power abruptly and without warning and I was forced to pull off onto the infield. The track crew came and loaded my bike on a trailer and took into the pit area where a track tech told me he would run a quick diagnostic test for me. I couldn’t believe when he had told me that my bike had gotten so hot and before it overheated it had fried the electronic speed/throttle sensor, so my engine was receiving no signal from my throttle. On the average he told me that you want your bike to stay under 200 degrees and under 225 when racing as extended exposure over 236 can cause problems similar to what I had experienced. I knew that at 220 my bike had a cooling fan that turns on to cool it down, but according to the tech when racing in Arizona these fans are virtually worthless. I knew I had to do something to prevent from happening in the future and I also knew that since my bike was one of only two in a twenty bike field that overheated that options had to be available. I went the to local dealer where I bought my bike and was given a few options: update the cooling system for around a thousand dollars, try changing the coolant after every other race to keep it clean and free of particles, or try some after market coolant additives. Since I race maybe five times a year I chose to try changing the coolant at about twenty-two dollars each change and an hour of labor time, however instead of reusing the Honda Pro Stock coolant that I had always used and of course that the Honda shop tried to sell me I decided to switch to a breakthrough product called Engine Ice that claims to “Reduce operating temperatures by up to 50 degrees.”( 2Wheel Tuner pg.67 ) I decided to switch products for the simple facts that Engine Ice is said to help protect the cooling system while cooling, it is biodegradable, and definitely in search of it better performance and overall reduction of temperature.

According to the manufacturer Engine Ice not only cools your engine but also protects your cooling system at the same time. Engine Ice is different from other coolants in that other coolants use either “tap, bottled, distilled, or spring water in their mixture that can still contain small particles of Iron, Magnesium, Rust, or even calcium. Many of these waters also contain chemicals like chlorine, fluoride, or even chemicals.”(Sieverson 66) The problem is that these particles can cause internal scaling and scarring causing bigger pieces or slivers of metal to enter into the cooling resulting in at least the need for a high power flush that places all gaskets and seals at risk for damage due to the high pressure flush required. On the other hand Engine Ice uses deionized also spelled deionised water that is simply water that is free from ions such as iron, calcium, sodium, etc. The deionized water eliminates those impurities and unwanted particles from entering in your cooling system with your coolant. This alone could save one money in the long run by preventing damage to, and keeping the cooling system clean and free of particles.

Another nice quality in addition to keeping the cooling system clean is the fact that Engine Ice is biodegradable. Traditional coolant is made with an ingredient known as Ethylene Glycol(EG). EG is highly toxic to plants, animals, and humans. One main problem in addition to toxicity is that “EG has a sweet smell that often attracts animals and children.”(Brent 982) This is a serious issue since as little as “two ounces of Ethylene Glycol can be fatal to a pet or small child.” (Saladino 95) On the other hand Engine Ice is formulated with Propylene Glycol(PG) is far less toxic and in fact two ounces isn’t even considered to be a fatal amount to a cat. Often times at track days wrecks happen and fluid spills are very common, unlike EG the PG in Engine Ice does not contain any phosphates (phosphates kill microorganisms) and so it will not kill the grass and plant life of the infield and surrounding areas of the track. I know to many this may seem petty and not important to some, but for me this is reason enough for me personally to buy this over the standard coolant especially since it is only eight dollars more a gallon.

While keeping the cooling system clean and being biodegradable are a plus, the real reason I bought the Engine Ice was for the overall performance and engine temperature reduction. In order to see if the product worked I decided to perform my own tests. I decided to test my bike with the Honda Pro Stock coolant that it comes from the manufacturer with and then with Engine Ice and compare the engine temperature, this will be easy since my bike has a digital temperature gauge. To be fair in my comparison, I drained the old Pro Stock coolant and replaced it with new Pro Stock coolant before testing. To start I warmed up my bike for two minutes and I ran my bike along a twenty mile stretch of highway near my house and never went above third gearing keeping the rpm up high to simulate racing conditions. Upon my return my bike was right at 222 degrees, a little high for a 81 degree day. Next I let the bike cool down for just over an hour and then flushed the system and added the Engine Ice coolant. Again I let the bike warm up and then took the same twenty mile course and even rode a little harder than with the Honda Pro Stock coolant. Upon returning my gauge was reading 188!! I honestly had to ride again to make sure and it never went over 190 at anytime and I rode for over thirty five miles the second time. I can’t believe this stuff isn’t available to all riders at track days everywhere. Wow, while I didn’t get the full reduction of fifty degrees that some have experienced, truly I never expected to and the fact that I got a thirty eight degree reduction is simply amazing.

Finally after about six hours of labor and testing I have found Engine Ice to be an amazing products. This product alone will allow me to enjoy the thrills and competition of track days without the let down and disappointment of overheating and not finishing the race. At just eight dollars more a gallon Engine Ice is very cost effective compared to the new cooling system. I will recommend this product to all my friends and fellow riders that I come in contact with. Engine Ice truly is superior to normal coolants and at the same time is safe for the environment, prevents cooling system breakdown, and greatly reduces the engine temps that have a tendency to soar in the Arizona heat.




References:
Brent J. Current Management of Ethylene Glycol Poisoning. [Review] Drugs.
61(7): 979-88, 2001.
Ellenhorn MJ and Barceloux DG. Medical Toxicology: Diagnosis and Treatment of Human Poisoning. Elsevier Publishing Co., Inc., 1998. New York. Pp. 805-809.

Engine Ice.Advertisement. 2 Wheel Tuner March 2007:67-68.
Saladino R and Shannon M. Accidental and intentional poisonings with ethylene glycol in infancy: Diagnostic clues and management. Ped Emerg Care 7; 93-96, 1991.

Friday, March 16, 2007

Finally Done

Ok so much for that paper taking no time.... It went really good at first but then I got stuck and it took me a few hours to just organize my information and get my thoughts out. Well spring break has been great and the weather is great so Im not going to complain about finishing up this paper. I will be glad when this semester is over though!!!!

Thursday, March 8, 2007

Ahhhh Spring Break

Last day before spring break! Well next week is spring break and I can't wait to sleep in on Tue and Thur and I have off work Friday and Sunday so it should be nice. I am ready for some stress free days. Last night my dog, Cesar, who if you look at the early posts have his pics(b/c I couldnt just upload for some reason,prob me I hate the computer and am not very good at this blog stuff, I am anti-myspace!!!) Anyway Ces decided to knock off the candy dish and eat almost a pound of milk chocolate this week....He didn't get sick at all! Vet said milk chocolate while it isnt GOOD for dogs is not nearly as toxic as baking chocolate... Well here is another blog and Im out of thoughts and off to English class
Later

Wednesday, March 7, 2007

Wednesday 7th

I am writing a blog for today as we have a few due before tomorrow.... I am not against this or any assignment Professor Jolly gives us, I just am not big on using the internet, I maybe check my email once or twice weekly.
I am just a paragraph away from being done with the rough draft of essay two and then I will just have to clean it all up for the final draft. I did my own review so the testing part took the longest (about 4 hours total) and I have a few hours in the writing, so all in all this project has gone pretty smooth because I am dealing with facts and figures and not alot of creative writing which always gives me troubles... Well thats my blog for the day Take care to all
Im Out