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Psychiatric morbidity associated with motor vehicle accidents

The primary purpose of this report was to determine the extent of psychiatric morbidity and comorbidity among a sample of recent victims of motor vehicle accidents (MVAs) in comparison to a nonaccident control population. Victims of recent MVAs (N = 158), who sought medical attention as a result of the MVA, were assessed in a University-based research clinic, 1 to 4 months after the accident for acute psychiatric and psychosocial consequences as well as for pre-MVA psychopathology using structured clinical interviews (Clinician-Administered PTSD Scale, SCID, SCID-II, LIFE Base). Age- and gender-matched controls (N = 93) who had had no MVAs in the past year served as controls. Sixty-two MVA victims (39.2%) met DSM-III-R criteria for posttraumatic stress disorder (PTSD), and 55 met DSM-IV criteria. The MVA victims who met the criteria for PTSD were more subjectively distressed and had more impairment in role function (performance at work/school/homemaking, relationships with family or friends) than the MVA victims who did not meet the PTSD criteria or the controls. A high percentage (53%) of the MVA-PTSD group also met the criteria for current major depression, with most of that developing after the MVA. A prior history of major depression appears to be a risk factor for developing PTSD after an MVA (p = .0004): 50% of MVA victims who developed PTSD had a history of previous major depression, as compared with 23% of those with a less severe reaction to the MVA. A prior history of PTSD from earlier trauma also is associated with developing PTSD or a subsyndromal form of it (25.2%) (p = .0012). Personal injury MVAs exact substantial psychosocial costs on the victims. Early intervention, especially in vulnerable populations, might prevent some of this.


NERV Overview

Welcome to the NERV Home Page

Agreement # 12024B18A0014
Current Vendor:  Enterprise Holdings Inc

The NERV BPA is not mandatory and is an option to be utilized on incidents by personnel from the NWCG agencies which include:

 Bureau of Land Management
 U.S. Fish & Wildlife Service
 The National Association of State Foresters
The NERV agreement may be utilized for:
  • ANY single resource responding to an incident who's position requires a vehicle with 4x4 high ground clearance and HD tires to meet the needs of the assignment (3/4-ton and 1-ton trucks with e-rated or 10-ply tires only).
  • ANY Single resource that is responding to an incident who needs a rental to meet the needs of the mission and is NOT self sufficient or able to procure a vehicle (such as Administratively Determined or Casual Pay employees who do not have an agency travel card).
  • Incident Pool vehicles that will be managed by a ground support, buying team, dispatch or other units and will be utilized by multiple resources or multiple incidents.
  • The vehicle is NOT for incident use.
  • The renter IS self sufficient and does NOT need a Heavy Duty (3/4-ton or 1-ton) 4x4 vehicle.
For these needs utilize the travelers agency standard travel reservation system.

Each vehicle rented through the NERV BPA MUST:
  • Be requested electronically through this site with a valid Resource Order.
  • Have a NERV Payment Cover Sheet filled out and all supporting documentation for each vehicle maintained and submitted to NERV once the vehicle has been returned, or every 30 days.
  • Ensure all required documentation of damage or accidents are filled out for the host incident and submitted with the NERV Payment Cover Sheet.

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NERV Power Recovery Brake

Imagine stopping your vehicle and recovering ALL the vehicle’s momentum energy - That is what NERV can do.

NERV is an Intent Design patented product that enhances vehicle fuel efficiency, reduces emissions and increases starting torque. NERV is a drive technology that DIRECTLY converts Stored Energy to Drive Energy and vice-versa. This technology utilizes an advanced kinetic energy recovery technology that fills the gap left by current competing hybrid technologies.

NERV is an acronym for “Nitro Electric Regenerative Vehicle”. It is a Regenerative Vehicle technology specifically Engineered for countries such as India, China, South East Asia where stop and go scenario is prevalent. It recovers the vehicle’s energy that would have been wasted during braking and stores it in the form of compressed fluid. This is then used to propel the vehicle and thereby reduce fuel consumption in stop and go situations. It boosts mileage by at least 10% and up to 40% based on heavy stop and go city driving. NERV uses displacement recovery method, whereas all other technologies in the world today use speed based recovery methods.

NERV Features:

  • NERV is 100% recyclable unlike Battery technology. It has no life limiting components that need to be discarded after certain years. This device lasts the entire lifetime of a vehicle. There are no precious metals, rare minerals, toxic fumes or gases. It has very high efficiency due to direct drive technology. There is no shelf life restrictions as well (product does not expire after some years, like batteries do).
  • NERV reduces the wear and tear on brakes (traditional brakes are untouched and still available for back up braking if desired by operator)
  • NERV increases starting torque by almost 50%.
  • NERV reduces emissions as vehicle engine pollutes the most during starting and this is avoided by boosting vehicle without engine power during takeoff.
  • NERV is 100% green with NO exhaust system or tail pipe, and costs a fraction of current hybrids and electric vehicles
  • NERV is designed to deliver 16.6% fuel savings on short cycle (50kmph max) on NEDC (standard Indian automotive baseline) and 7.3% fuel savings on full cycle (90 kmph max.)
  • NERV can be used as an after-market product on rear wheel drive vehicle and sold as a packaged kit. Front wheel drive vehicles would need to be an OEM product due to integration needs.

This technology is very specific to short, extreme stop and go situation. This is the only product focused in this area. Most technology is developed in Europe and North America and is focused on range, power and speed. There is no technology being developed for countries such as India, China, SE Asia where infrastructure is lacking and cities are congested. Since this product has no life limit, affordability becomes a big plus unlike battery technology. The technology recovers energy even in crawling traffic.

US Patent with International Coverage

  • NERV is a Global Patented technology originating from the US, with an international coverage, under patent US 20120017756 A1 Pneumato-mechanical regenerative power source.
  • Abstract: A pneumato-mechanical regenerative power source converts mechanical rotational power at an input/output shaft to stored potential energy, and vice versa, by coupling the input/output shaft to a ball screw via a planetary gear system, which translates a ball nut in cooperation therewith, which in turn translates a piston that provides for either compressing or expanding an associated energy storage gas. A first roller-clutch mechanism provides for locking the carrier of the planetary gear system when storing energy, and releasing the carrier when releasing stored energy, wherein upon release, the ball screw is coupled to the input/output shaft via an overrunning clutch, and the carrier may be locked to limit the release of stored energy.

Inspiration for NERV

  • A driving cycle is a series of data points representing the speed of a vehicle versus time.
  • Driving cycles are produced by different countries and organizations to assess the performance of vehicles in various ways, as for example fuel consumption and polluting emissions.
  • The Driving circle adopted by India is same as the European driving circle (The Urban Driving Cycle). The Urban Driving Cycle, also known as ECE R15 cycle, has been first introduced in 1970 as part of ECE vehicle regulations; the recent version is defined by ECE R83, R84 and R101. The cycle has been designed to represent typical driving conditions of busy European cities, and is characterized by low engine load, low exhaust gas temperature, and a maximum speed of 50 km/h. The cycle ends on 195 s after a theoretical distance of 1017 meters, then it repeats four consecutive times.
  • The EUDC (Extra Urban Driving Cycle), introduced by ECE R101 in 1990, has been designed to represent more aggressive, high speed driving modes. The maximum speed of the EUDC cycle is 120 km/h; low-powered vehicles are limited to 90 km/h. Total duration is 400 s (6 minutes 40 seconds) and theoretical distance is 6956 meters, with an average speed of 62.6 km/h. The NEDC is supposed to represent the typical usage of a car in Europe. It consists of four repeated ECE-15 Urban Driving Cycles (UDC) and an Extra-Urban driving cycle (EUDC).
  • ADR81TestCycle
  • Urban India drive cycle is basically adoption of first four peaks of European drive cycle. The braking intervals in European drive cycle are more from that of urban Indian driving conditions.
  • Data acquisition is the process of sampling signals that measure real world physical conditions and converting the resulting samples into digital numeric values that can be manipulated by a computer. Based on the Data Acquisition we have done on Indian roads. We got some interesting results. In 220 seconds we got about 12 braking cycles. But a European driving assumes that there are only 3 braking cycles in 200 seconds.

These results lead to the following conclusions:

  • Energy lost during braking is much higher in Emerging Market.
  • Actual fuel mileage is lower mileage than stated by the automobile companies.
  • Lot of energy is being wasted during braking.
  • It is feasible to regenerate the energy without any batteries involved.
  • Technology suited for urban India traffic conditions and should be of Low cost

  • NERV is Unlike any other brake power recovery system.
  • NERV does not use batteries
  • NERV does not use an accumulator, pump or cylinders
  • NERV does not require an engine or exhaust pipe
  • NERV Benefits
  • Increases fuel efficiency in City driving
  • Lowers emissions in start and stop traffic
  • 100% recyclability
  • Off the shelf materials
  • Low cost, fast implementation
  • Scalable for small & large vehicles
  • All in one unit

NERV Regenerative Braking System is available for licensing or purchase. For more information please contact us at 1-248-381-5930 or email [email protected]

Disaster Response Vehicle - U500 5x4

There were also such photos - behind the aisles of a disco in some trees, she was in strong arms with a dress. Pulled up under the belt and without panties. The next she was already with a bare chest which was crumpled by a bumpkin stunned with happiness. she was still kissed lying on the bench next to which lay her bra, panties and empty bottles of cognac.

Vehicle nerv

I didn't let you go. - croaked the man, when Marina, having risen, went to the exit. But she no longer heard him. And when freedom was already very close, again rough male hands grabbed her body and threw her on the floor.

Nerf War: 6 Million Subscribers

At least in bed, daddy will definitely give odds to his son. Although who said that you have to choose between them. After our "reconciliation" with my father-in-law, my family life immediately improved, the conflicts disappeared. Konstantin Antonovich now just doted on his "daughter", it is not surprising, because now we regularly fucked him.

His wife, too, did it only for the good, now she no longer had to look for excuses to refuse sex with her husband, she simply did not interest him anymore.

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We left the bathroom and began to prepare for the continuation of the holiday. Because every meeting with her is a holiday. She tried on what they bought for him, he put on a slip and stockings. She took a whip in her hands and looked at him tenderly and lustfully. She looked at him, this outfit suits him.

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