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Identification of Traffic Accident Causal Factors Through Dynamic Driving Behavior Analysis
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作者 王武宏 孙逢春 刘淑艳 《Journal of Beijing Institute of Technology》 EI CAS 2000年第4期472-478,共7页
The reliability expression of dynamic driving behavior is derived from the driving shaping behavioural model; and then, in accordance with the combination of computer simulation and mathematical expression of driving ... The reliability expression of dynamic driving behavior is derived from the driving shaping behavioural model; and then, in accordance with the combination of computer simulation and mathematical expression of driving reliability, an approach for assessing the effect of driving erroneous actions on the dynamic performance of the driver vehicle system is presented. The analysis of driving erroneous actions in the driver vehicle system has been performed to show that the reliability during perception with variety widely could result in the incidents and/or accidents in traffic system. 展开更多
关键词 traffic accident causal factors driving reliability driving error traffic safety
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A Workable Solution for Reducing the Large Number of Vehicle and Pedestrian Accidents Occurring on a Yellow Light
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作者 Pranav Gupta Silki Arora 《Journal of Transportation Technologies》 2024年第1期82-87,共6页
Traffic intersections are incredibly dangerous for drivers and pedestrians. Statistics from both Canada and the U.S. show a high number of fatalities and serious injuries related to crashes at intersections. In Canada... Traffic intersections are incredibly dangerous for drivers and pedestrians. Statistics from both Canada and the U.S. show a high number of fatalities and serious injuries related to crashes at intersections. In Canada, during 2019, the National Collision Database shows that 28% of traffic fatalities and 42% of serious injuries occurred at intersections. Likewise, the U.S. National Highway Traffic Administration (NHTSA) found that about 40% of the estimated 5,811,000 accidents in the U.S. during the year studied were intersection-related crashes. In fact, a major survey by the car insurance industry found that nearly 85% of drivers could not identify the correct action to take when approaching a yellow traffic light at an intersection. One major reason for these accidents is the “yellow light dilemma,” the ambiguous situation where a driver should stop or proceed forward when unexpectedly faced with a yellow light. This situation is even further exacerbated by the tendency of aggressive drivers to inappropriately speed up on the yellow just to get through the traffic light. A survey of Canadian drivers conducted by the Traffic Injury Research Foundation found that 9% of drivers admitted to speeding up to get through a traffic light. Another reason for these accidents is the increased danger of making a left-hand turn on yellow. According to the National Highway Traffic Safety Association (NHTSA), left turns occur in approximately 22.2% of collisions—as opposed to just 1.2% for right turns. Moreover, a study by CNN found left turns are three times as likely to kill pedestrians than right turns. The reason left turns are so much more likely to cause an accident is because they take a driver against traffic and in the path of oncoming cars. Additionally, most of these left turns occur at the driver’s discretion—as opposed to the distressingly brief left-hand arrow at busy intersections. Drive Safe Now proposes a workable solution for reducing the number of accidents occurring during a yellow light at intersections. We believe this fairly simple solution will save lives, prevent injuries, reduce damage to public and private property, and decrease insurance costs. 展开更多
关键词 traffic Accidents Yellow Light traffic Light Signals INTERSECTION Crashes Collision traffic Fatalities traffic Injuries Vehicles SAFETY Speed Limit Driving Pedestrians Bicyclists MOTORCYCLISTS Caution Line Yellow Light Dilemma Left Hand Turn on Yellow Distance Smart Road Technology Signs Signage Autonomous Vehicles AVs Road Safety IoT Internet of Things Infrastructure Accident Reduction Driving Habits Stop Line Red Light Jumping Pedestrian Safety Caution Light Stopping at Intersection Safety at Intersections
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Weather and traffic accidents in Hong Kong 被引量:1
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作者 Yuk Yee Yan Department of Geography Hong Kong Baptist University Kowloon Tong, Hong Kong 《Journal of Geographical Sciences》 SCIE CSCD 1998年第3期93-98,共6页
The influence of rainfall and thermal stress in accident occurrence for the period 1985 through 1994 in Hong Kong was investigated. The existence of seasonal variations and weekly cycle was also examined. Daity accide... The influence of rainfall and thermal stress in accident occurrence for the period 1985 through 1994 in Hong Kong was investigated. The existence of seasonal variations and weekly cycle was also examined. Daity accident and meteorological data were obtained from the Transport Department and the Hong Kong Observatory respectively. Utilizing regression analyses and ANOVA, it is discovered that seasonal variation was not important in contributing traffic accidents, and Saturday peak was not ascertained. A non linear relationship between accident occurrence and various rain conditions was found. Accident numbers increased till rain exceeded 50.0 mm. High traffic volume and low speed urban driving in Hong Kong can be the major cause of traffic accidents on rainy days. The impact of heat stress on accident occurrence was found to be statistically significant. 展开更多
关键词 traffic accidents RAINFALL thermal stress clo.
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Ligamentum flavum hematoma following a traffic accident:A case report 被引量:1
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作者 Dongwoo Yu Wonho Lee Min Cheol Chang 《World Journal of Clinical Cases》 SCIE 2021年第21期6125-6129,共5页
BACKGROUND Ligamentum flavum hematoma(LFH)can cause compression of the spinal cord or nerve root,which results in neurological symptoms.We report a case of lumbar radicular pain due to LFH following a traffic accident... BACKGROUND Ligamentum flavum hematoma(LFH)can cause compression of the spinal cord or nerve root,which results in neurological symptoms.We report a case of lumbar radicular pain due to LFH following a traffic accident.CASE SUMMARY A 59-year-old man complained of left buttock and lateral thigh pain that was dull in nature after a traffic accident 18 d prior to presentation.Magnetic resonance imaging(MRI),taken 17 d after the traffic accident,revealed a mass lesion at the L4-5 Level.These MRI findings suggested subacute LFH.The patient’s pain was not alleviated with conservative treatment,including oral medication and epidural steroid injection.After a partial-hemilaminectomy and removal of LFH,the patient’s pain completely disappeared.CONCLUSION Because early operation for decompression is important for a good outcome,clinicians should be able to determine LFH from MRI results and be aware of the possibility of LFH,especially in patients with a history of trauma. 展开更多
关键词 Liga-mentum flavum hematoma traffic accident Radicular pain LAMINECTOMY Magnetic resonance imaging Case report
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Improving hospital-based trauma care for road traffic injuries in Malawi 被引量:2
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作者 Linda Chokotho Wakisa Mulwafu +2 位作者 Isaac Singini Yasin Sjalale Kathryn H. Jacobsen 《World Journal of Emergency Medicine》 CAS 2017年第2期85-90,共6页
BACKGROUND: The mortality rate from road traffic injuries has increased in sub-Saharan Africa as the number of motor vehicles increase. This study examined the capacity of hospitals along Malawi's main north-south... BACKGROUND: The mortality rate from road traffic injuries has increased in sub-Saharan Africa as the number of motor vehicles increase. This study examined the capacity of hospitals along Malawi's main north-south highway to provide emergency trauma care.METHODS: Structured interviews and checklists were used to evaluate the infrastructure, personnel, supplies, and equipment at all four of Malawi's central hospitals, ten district hospitals, and one mission hospital in 2014. Most of these facilities are along the main north-south highway that spans the country.RESULTS: Between July 2013 and March 2014, more than 9 200 road traffic injuries(RTIs) and 100 RTI deaths were recorded by the participating hospitals. All of the hospitals reported staff shortages, especially during nights and weekends. Few clinicians had completed formal training in emergency trauma management, and healthcare workers reported gaps in knowledge and skills, especially at district hospitals. Most central hospitals had access to the critical supplies and medications necessary for trauma care, but district hospitals lacked some of the supplies and equipment needed for diagnosis, treatment, and personal protection.CONCLUSION: The mortality and disability burden from road traffi c injuries in Malawi(and other low-income countries in sub-Saharan Africa) can be reduced by ensuring that every central and district hospital has a dedicated trauma unit with qualified staff who have completed primary trauma care courses and have access to the equipment necessary to save lives. 展开更多
关键词 traffic accidents Emergency medical services Developing countries Road traffi c injuries Sub-Saharan Africa
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Analysis of Thorax Injuries in 112 Death Cases Caused by Traffic Accidents 被引量:2
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作者 Yanxiang Zhang Xiaolin Quan +1 位作者 Hui Tang Yuanwei Lei 《Yangtze Medicine》 2020年第2期125-131,共7页
<strong>Objective:</strong> To explore the characteristics and mechanisms of serious injuries of chest caused by road traffic accidents. <strong>Methods:</strong> Totally 112 autopsy cases with... <strong>Objective:</strong> To explore the characteristics and mechanisms of serious injuries of chest caused by road traffic accidents. <strong>Methods:</strong> Totally 112 autopsy cases with chest injuries in the urban of Jingzhou road traffic accidents were collected. Systematic review and analysis of the general information, postmortem examinations and assessments of chest injury had carried out from Feb. 2016 to Mar. 2018. <strong>Results:</strong> Average age of the victims was 52.2 years and the ratio of male to female deaths was 2.39:1. The proportion of motor-cyclists and pedestrians increased significantly. The overwhelming majority of accident vehicles were motorcycles and bicycles. Fractures of ribs and pulmonary contusion were the most common injuries. Craniocerebral and abdominal injuries were the most common associated injuries. <strong>Conclusion:</strong> Fractures of ribs and pulmonary contusion were the most common features of fatal road traffic injuries, often associated with vitreoretinal damage and serious multiple damages. These features reflect the characteristics of great violence in traffic accidents, which provides the evidence of identification of violent injuries. 展开更多
关键词 Road traffic Accidents Thorax Injuries Retrospective Analysis Forensic Pathology
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The Accuracy Analysis of Measurement Tools for Traffic Accident Investigation 被引量:1
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作者 Darja Topolsek Elvis A.Herbaj Marjan Sternad 《Journal of Transportation Technologies》 2014年第1期84-92,共9页
The objective of traffic accident reconstruction is to recreate the event, which is necessary for analyzing the collision dynamics that is used as evidence in court cases. Traffic accident reconstruction and a demonst... The objective of traffic accident reconstruction is to recreate the event, which is necessary for analyzing the collision dynamics that is used as evidence in court cases. Traffic accident reconstruction and a demonstration of the event require precise data pertaining to scene measurement. However, there are differences between the individual measuring tools and methods related to traffic accident investigation, just as there are differences between the extent of their use and measurement accuracy. The most commonly applied method is the measuring tape, followed by measurements with total stations and laser rangefinders, while photogrammetry is also becoming increasingly important. The advantages and disadvantages of individual tools and methods affect the required number of investigators, portability, measurement range, applicability depending on the amount of light and weather conditions, on the possibility of remote measurement, on data collection time, on the scope, on the option to later process, the collected data and above all on the accuracy of all gathered data. The latter is crucial for proving the guilt or innocence of traffic accident participants at court, as inaccurate data can lead to an unjust sentence. Measurement accuracy using the above mentioned tools and methods also varies depending on which ones are used, as well as on other factors. 展开更多
关键词 traffic Accident Measurement Tools Data Accuracy
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Classification of Emergency Responses to Fatal Traffic Accidents in Chinese Urban Areas
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作者 Pengfei Gong Qun Wang Junjun Zhu 《Computers, Materials & Continua》 SCIE EI 2021年第7期1389-1408,共20页
Fatal traffic accidents in urban areas can adversely affect the urban road traffic system and pose many challenges for urban traffic management.Therefore,it is necessary to first classify emergency responses to such a... Fatal traffic accidents in urban areas can adversely affect the urban road traffic system and pose many challenges for urban traffic management.Therefore,it is necessary to first classify emergency responses to such accidents and then handle them quickly and correctly.The aim of this paper is to develop an evaluation index system and to use appropriate methods to investigate emergency-response classifications to fatal traffic accidents in Chinese urban areas.This study used a multilevel hierarchical structural model to determine emergency-response classification.In the model,accident attributes,urban road network vulnerability,and institutional resilience were used as classification criteria.Each evaluation indicator was selected according to importance ranking and independence screening and was given an interpretation and a quantitative criterion.The Fuzzy Delphi Method was used to rank the importance of the evaluation indices and the combined weight of each index was calculated using the G1 method.Finally,the case of a fatal traffic accident was used to validate the model.The results showed that the multilevel hierarchical structural model,Fuzzy Delphi Method,and G1 method can effectively address the problem of emergency-response classification.Because of its simplicity and adaptability,the approach presented here could be useful for decisionmakers and practitioners for determining emergency-response classifications. 展开更多
关键词 Emergency-response classifications fatal traffic accidents Chinese urban areas fuzzy Delphi method G1 method institutional resilience evaluation
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Traffic Accident Detection Based on Deformable Frustum Proposal and Adaptive Space Segmentation
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作者 Peng Chen Weiwei Zhang +1 位作者 Ziyao Xiao Yongxiang Tian 《Computer Modeling in Engineering & Sciences》 SCIE EI 2022年第1期97-109,共13页
Road accident detection plays an important role in abnormal scene reconstruction for Intelligent Transportation Systems and abnormal events warning for autonomous driving.This paper presents a novel 3D object detector... Road accident detection plays an important role in abnormal scene reconstruction for Intelligent Transportation Systems and abnormal events warning for autonomous driving.This paper presents a novel 3D object detector and adaptive space partitioning algorithm to infer traffic accidents quantitatively.Using 2D region proposals in an RGB image,this method generates deformable frustums based on point cloud for each 2D region proposal and then frustum-wisely extracts features based on the farthest point sampling network(FPS-Net)and feature extraction network(FE-Net).Subsequently,the encoder-decoder network(ED-Net)implements 3D-oriented bounding box(OBB)regression.Meanwhile,the adaptive least square regression(ALSR)method is proposed to split 3D OBB.Finally,the reduced OBB intersection test is carried out to detect traffic accidents via separating surface theorem(SST).In the experiments of KITTI benchmark,our proposed 3D object detector outperforms other state-of-theartmethods.Meanwhile,collision detection algorithm achieves the satisfactory performance of 91.8%accuracy on our SHTA dataset. 展开更多
关键词 traffic accident detection 3D object detection deformable frustum proposal adaptive space segmentation
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Countermeasures for traffic accidents due to road conditions in China
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作者 裴玉龙 马骥 《Journal of Harbin Institute of Technology(New Series)》 EI CAS 2005年第4期358-364,共7页
Regarding the postulate of traffic infrastructure and vehicles, much attention should be given to the effect of road conditions on accidents. With large numbers of traffic accidents on Shenda Freeway, Liaoning Provinc... Regarding the postulate of traffic infrastructure and vehicles, much attention should be given to the effect of road conditions on accidents. With large numbers of traffic accidents on Shenda Freeway, Liaoning Province, Harbin City and others in P. R. China, parameters and the effect of accidents caused by horizontal alignment, vertical alignment, cross section and intersection are studied systematically The disciplinary analysis of these effects are presented in this paper. The viewpoint is acknowledged that high sub grade and steep slopes are against traffic safety, which is common and ignored in high-usage highways in China. Design parameters of the current design criteria and the corresponding countermeasures are suggested for safety on our highways. 展开更多
关键词 road conditions cause of traffic accidents COUNTERMEASURES
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On the Time Series Forecasting of Road Traffic Accidents in Ondo State of Nigeria
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作者 B. A. Afere S. A. Oyewole I. Haruna 《Journal of Statistical Science and Application》 2015年第5期153-162,共10页
This paper focuses on time series forecasting of monthly occurrence of fatal road accidents in Ondo State of Nigeria. Its aim, however, is to use time series analysis to analyze the data obtained from Federal Road Saf... This paper focuses on time series forecasting of monthly occurrence of fatal road accidents in Ondo State of Nigeria. Its aim, however, is to use time series analysis to analyze the data obtained from Federal Road Safety Corps (FRSC), Ondo State Command; which was considered in two cases: the total cases reported (TCR) and the number of deaths resulted from accidents (NOD). Various smoothing models for time series were used to analyze the two cases. Based on the models, predictions were made and the results show a steady increase as a result of long-term effects on road accidents for the two cases. It was found also that simple exponential smoothing model is the appropriate model for both TCR and NOD. 展开更多
关键词 Forecasting Time Series Ondo State Road traffic accidents Exponential smoothing.
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Disability and Related Factors among Road Traffic Accident Victims in Benin: Study from Five Public and Faith-Based Hospitals in Urban and Suburban Areas
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作者 Yolaine Glèlè-Ahanhanzo Alphonse Kpozèhouen +5 位作者 Noel Moussiliou Paraiso Patrick Makoutodé Chabi O. Alphonse Biaou Eric Remacle Edgard-Marius Ouendo Alain Levêque 《Open Journal of Epidemiology》 2018年第4期226-241,共16页
Introduction: Road traffic accidents (RTAs) are a major public health issue in developing countries, where roads tend to be built haphazardly and accidents take a heavy toll on victims—including leaving them disabled... Introduction: Road traffic accidents (RTAs) are a major public health issue in developing countries, where roads tend to be built haphazardly and accidents take a heavy toll on victims—including leaving them disabled. This study seeks to identify those factors that cause RTA victims to become disabled as a result of their injuries. Methods: This retrospective community-based study looked at RTA victims treated in five public and faith-based hospitals in Benin. Disability was evaluated using the Washington Group on Disabilities Statistics questionnaire. The independent variables were related to the victim’s socio-demographic traits, the circumstances of the accident, and post-crash response mechanisms. The proportions were compared using the chi-squared test, with a threshold of 5%. Results: The prevalence of disability among road traffic accident victims is 9.59% (CI 95%: 6.86% - 13.20%). The occurrence of disability is associated with age (p = 0.002), occupational group (p = 0.0077), the mode of transport used to transfer the victim (p p = 0.0035). The study also found that people fail to make sufficient use of post-crash response mechanisms. Conclusion: Public policy-makers should therefore focus on stepping up interventions to get more people using both protective equipment and post-crash response services. 展开更多
关键词 traffic Accident Disabled Persons Risk Factors
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The Discussion of the Compensation Ability Terms on Traffic Accident Crime
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作者 ZHAO Yingpeng 《International Journal of Technology Management》 2015年第7期127-130,共4页
In 2000, the interpretation of the specific application of law on the trial of traffic accident criminal cases was issued by the Supreme People' s court. The second article and the fourth article in the judicial inte... In 2000, the interpretation of the specific application of law on the trial of traffic accident criminal cases was issued by the Supreme People' s court. The second article and the fourth article in the judicial interpretation take the "no ability of the amount of compensation" as conviction and aggravated punishment standard after the traffic accident, causing the academic community fierce controversy. This article briefly states the publishing background, applicable conditions, defects and its positive significance of the two provisions. This paper nresents the immature modification suggestions for the two nrovisions. 展开更多
关键词 traffic accident crime Compensation ability Equality before criminal law Statutory crime Modesty principle.
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Spatial Analysis of Traffic Accidents in the City of Medina Using GIS
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作者 Mahmoud Hammas Ahmad Al-Modayan 《Journal of Geographic Information System》 2022年第5期462-477,共16页
The general objective of this research is to determine how to use the spatial analysis of traffic accidents in Medina Menorah City through geographic information systems. This research aimed to identify, locate and de... The general objective of this research is to determine how to use the spatial analysis of traffic accidents in Medina Menorah City through geographic information systems. This research aimed to identify, locate and define the sites where traffic accidents are concentrated and determine the need to apply specific safety standards to reduce accidents and identify their causes thereof. This current research applied the analytical descriptive approach for its relevance with this specific research. This research collected traffic accidents data from the Ministry of the Interior, Department of General Traffic. That data captured the hotspots accidents in Medina Menorah City. Some of the most important results of the study are as follows: many roads were selected as High Accident Location HAL, such as Central Ring Roads, King Faisal bin Abdul-Aziz Road, Prince Abdul Majid bin Abdul-Aziz Road, and King Abdulla bin Abdel-Aziz Road. The high-speed roads are heavily linked to the massive increase of traffic accident rates, and the increase in the street section length led to the soaring number of total accidents. The study recommended performing more studies and different highway safety studies to identify and locate accident patterns on road networks. Due to the fact that the accidents concentration is intensely focused on Medina City center and Prophet’s Mosque, it is a must to increase the number of public transportations to and from Prophet’s Mosque, particularly during the Hajj period, because of the fact that the visitors of Prophet’s Mosque is on the increase during the said period. This study can be applied in other cities because knowing the locations of traffic crash hotspots can provide us with valuable insights into the causes of accidents and this knowledge helps decision-makers to better assess the risk associated with accidents. 展开更多
关键词 Spatial Analysis traffic Accidents Kernel Density Hot Spot Analysis
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Analysis of Road Traffic Accident Costs in Sudan Using the Human Capital Method
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作者 Adam I. A. Mofadal Kunnawee Kanitpong 《Open Journal of Civil Engineering》 2016年第2期203-216,共14页
In this study, we used the Human Capital (HC) accident analysis method, to determine the road traffic accident costs in Sudan in two successive years (2010 and 2011) with slight modifications to the recommended and kn... In this study, we used the Human Capital (HC) accident analysis method, to determine the road traffic accident costs in Sudan in two successive years (2010 and 2011) with slight modifications to the recommended and known framework in the way it handles currently and future accident cost components. We evaluated and compared the significance and impact of the economic loss caused by road traffic accidents in Sudan using detailed information on road traffic accident casualties, classified by severity level, vehicle type, and other key parameters such as discount rates and medical and insurance information for Sudan in its entirety. The total cost of road traffic accidents in Sudan in 2010 was estimated at US $391 million, which represents 0.57% of the Gross Domestic Product (GDP), while in 2011 the cost was calculated to reach US $413 million, representing 0.62% of GDP. Findings show that the amount of accident costs is estimated to a certain extent at less than 1% of the total GDP of the country in the two estimation years, but we believe that the evaluation process used fulfilled the eligibility criteria of HC studies and that the produced values for Sudan are valid and reliable. Unit costs for each crash severity level were also estimated in the two years such as death, disability, serious injury, slight injury, and vehicle damage. Death or fatality was equal to US $38,932 and 39,508;disability was equal to US $43,113 and US $45,165;serious injury was equal to US $6963 and US $7596;slight injury was equal to US $2570 and US $3198 and vehicle damage only was equal to US $2268 and US $2579 in the assessment years 2010 and 2011, respectively. 展开更多
关键词 Road traffic Accident Accident Costs Human Capital Loss in Quality of Life SUDAN Accident Severity Level
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Clinical and epidemiological features of pelvic fractures presenting to the emergency department in a tertiary health care hospital in south India:A retrospective study
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作者 Guguloth Ramesh Babu Yagadi Srilatha 《Journal of Acute Disease》 2023年第4期163-168,共6页
Objective:To determine the clinical and epidemiological features of pelvic fracture patients presenting to the Emergency Department.Methods:This prospective observational study was conducted in a tertiary care center ... Objective:To determine the clinical and epidemiological features of pelvic fracture patients presenting to the Emergency Department.Methods:This prospective observational study was conducted in a tertiary care center in south India.Causes of injury,types of pelvic fractures,the associated injuries,and outcome at the time of discharge were recorded.Results:A total of 140 patients were included in this study.Most patients were classified as type A(n=62),followed by type B(n=48)and type C(n=30).A total of 112 patients were injured due to road traffic accidents,followed by a fall from a height(n=23)and a fall from a heavy object(n=5).Most subjects had facial injuries(n=99,70.7%),followed by head injuries(n=51,36.4%).Five percent of the patients were expired,12%left against medical advice,and 83%were discharged.Conclusions:The incidence of pelvic fractures presenting to the Emergency Department is relatively high in India.Road traffic accidents are the primary cause of pelvic fractures and associated facial and head injuries.The outcomes demonstrate the need for improved prevention strategies and comprehensive management protocols to reduce mortality. 展开更多
关键词 Pelvic fracture EMERGENCY INDIA Road traffic accidents EPIDEMIOLOGICAL
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Disability to Admit as a Change of Life after a Road Crash: Estimates and Related Factors in Benin for Prevention
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作者 Yolaine Glèlè-Ahanhanzo Alphonse Kpozèhouen +3 位作者 Donatien Daddah Bella Hounkpè-Dos Santos Lamidhi Salami Moussiliou Noël Paraïso 《Open Journal of Epidemiology》 2023年第1期83-96,共14页
Background: Disability is an underestimated issue in public health, with road crashes as leading cause. In Africa, motorcyclists disproportionately bear the burden of road crash injuries, including disability. To cont... Background: Disability is an underestimated issue in public health, with road crashes as leading cause. In Africa, motorcyclists disproportionately bear the burden of road crash injuries, including disability. To contribute to decision-making for disability prevention, this study aims to determine the prevalence and factors associated with disability at 12 months among motorcyclists involved in road crashes in Benin. Methods: This is a prospective, cross-sectional, analytical study based on 12-month follow-up data from a cohort of road crash victims set up in five hospitals in Benin. Data were collected from November 2020 to January 2021. Sample used for this analysis size was 297 motorcyclists. Disability was assessed using the Washington Group on Disabilities Statistics question set. Logistic regression analysis was used to identify risk factors for disability in victims 12 months after the crash. Results: The prevalence of disability was 12.5% 95% CI (9.2 - 16.7). Disability occurrence was associated with being over 45 years old (OR = 3.1;95% CI = 1.5 - 6.6), severity of initial injury (OR = 3.3;95% CI = 1.5 - 7.3) and hospitalisation of the victim (OR = 6.9;95% CI = 2.0 - 24). Conclusion: Age over 45 years, severity of initial injuries and hospitalisation of the victim were risk factors for the occurrence of disability among motorcyclists who were victims of road crashes in Benin. User awareness, law enforcement, holistic and early management of road crash victims could contribute to reducing the prevalence of disability among victims in Benin. 展开更多
关键词 DISABILITY MOTORCYCLISTS Road traffic Accident
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Parametric analysis of craniocerebral injury mechanism in pedestrian trafficaccidents based on finite element methods
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作者 Jin-Ming Wang Zheng-Dong Li +5 位作者 Chang-Sheng Cai Ying Fan Xin-Biao Liao Fu Zhang Jian-Hua Zhang Dong-Hua Zou 《Chinese Journal of Traumatology》 CAS CSCD 2024年第4期187-199,共13页
Purpose:The toughest challenge in pedestrian traffic accident identification lies in ascertaining injurymanners.This study aimed to systematically simulate and parameterize 3 types of craniocerebral injuryincluding im... Purpose:The toughest challenge in pedestrian traffic accident identification lies in ascertaining injurymanners.This study aimed to systematically simulate and parameterize 3 types of craniocerebral injuryincluding impact injury,fall injury,and run-over injury,to compare the injury response outcomes ofdifferent injury manners.Methods:Based on the total human model for safety(THUMS)and its enhanced human model THUMShollow structures,a total of 84 simulations with 3 injury manners,different loading directions,andloading velocities were conducted.Von Mises stress,intracranial pressure,maximum principal strain,cumulative strain damage measure,shear stress,and cranial strain were employed to analyze the injuryresponse of all areas of the brain.To examine the association between injury conditions and injuryconsequences,correlation analysis,principal component analysis,linear regression,and stepwise linearregression were utilized.Results:There is a significant correlation observed between each criterion of skull and brain injury(p<0.01 in all Pearson correlation analysis results).A 2-phase increase of cranio-cerebral stress andstrain as impact speed increases.In high-speed impact(>40 km/h),the Von Mises stress on the skull waswith a high possibility exceed the threshold for skull fracture(100 MPa).When falling and makingtemporal and occipital contact with the ground,the opposite side of the impacted area experienceshigher frequency stress concentration than contact at other conditions.Run-over injuries tend to have amore comprehensive craniocerebral injury,with greater overall deformation due to more adequate kinetic energy conduction.The mean value of maximum principal strain of brain and Von Mises stress ofcranium at run-over condition are 1.39 and 403.8 MPa,while they were 1.31,94.11 MPa and 0.64,120.5 MPa for the impact and fall conditions,respectively.The impact velocity also plays a significant rolein craniocerebral injury in impact and fall loading conditions(the p of all F-test<0.05).A regressionequation of the craniocerebral injury manners in pedestrian accidents was established.Conclusion:The study distinguished the craniocerebral injuries caused in different manners,elucidatedthe biomechanical mechanisms of craniocerebral injury,and provided a biomechanical foundation forthe identification of craniocerebral injury in legal contexts. 展开更多
关键词 Craniocerebral injury Finite element Injury mechanism traffic accident Biomechanism Forensic practice
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Risk factors and predictive model of cerebral edema after road traffic accidents-related traumatic brain injury
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作者 Di-You Chen Peng-Fei Wu +8 位作者 Xi-Yan Zhu Wen-Bing Zhao Shi-Feng Shao Jing-Ru Xie Dan-Feng Yuan Liang Zhang Kui Li Shu-Nan Wang Hui Zhao 《Chinese Journal of Traumatology》 CAS CSCD 2024年第3期153-162,共10页
Purpose:Cerebral edema(CE)is the main secondary injury following traumatic brain injury(TBI)caused by road traffic accidents(RTAs).It is challenging to be predicted timely.In this study,we aimed to develop a predictio... Purpose:Cerebral edema(CE)is the main secondary injury following traumatic brain injury(TBI)caused by road traffic accidents(RTAs).It is challenging to be predicted timely.In this study,we aimed to develop a prediction model for CE by identifying its risk factors and comparing the timing of edema occurrence in TBI patients with varying levels of injuries.Methods:This case-control study included 218 patients with TBI caused by RTAs.The cohort was divided into CE and non-CE groups,according to CT results within 7 days.Demographic data,imaging data,and clinical data were collected and analyzed.Quantitative variables that follow normal distribution were presented as mean±standard deviation,those that do not follow normal distribution were presented as median(Q1,Q3).Categorical variables were expressed as percentages.The Chi-square test and logistic regression analysis were used to identify risk factors for CE.Logistic curve fitting was performed to predict the time to secondary CE in TBI patients with different levels of injuries.The efficacy of the model was evaluated using the receiver operator characteristic curve.Results:According to the study,almost half(47.3%)of the patients were found to have CE.The risk factors associated with CE were bilateral frontal lobe contusion,unilateral frontal lobe contusion,cerebral contusion,subarachnoid hemorrhage,and abbreviated injury scale(AIS).The odds ratio values for these factors were 7.27(95%confidence interval(CI):2.08-25.42,p=0.002),2.85(95%CI:1.11-7.31,p=0.030),2.62(95%CI:1.12-6.13,p=0.027),2.44(95%CI:1.25-4.76,p=0.009),and 1.5(95%CI:1.10-2.04,p=0.009),respectively.We also observed that patients with mild/moderate TBI(AIS≤3)had a 50%probability of developing CE 19.7 h after injury(χ^(2)=13.82,adjusted R2=0.51),while patients with severe TBI(AIS>3)developed CE after 12.5 h(χ^(2)=18.48,adjusted R2=0.54).Finally,we conducted a receiver operator characteristic curve analysis of CE time,which showed an area under the curve of 0.744 and 0.672 for severe and mild/moderate TBI,respectively.Conclusion:Our study found that the onset of CE in individuals with TBI resulting from RTAs was correlated with the severity of the injury.Specifically,those with more severe injuries experienced an earlier onset of CE.These findings suggest that there is a critical time window for clinical intervention in cases of CE secondary to TBI. 展开更多
关键词 Road traffic accident Traumatic brain injury Cerebral edema Risk factors Time window
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Socio-Demographic Profile of Patients Victims of Subaxial Cervical Spine Trauma at the University Hospital of Brazzaville (Congo)
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作者 Ekouele Mbaki Hugues Brieux Loko Ruben Ange Florice +3 位作者 Tiafumu Konde Christ Arnaud Mbou Essie Darius Eryx Boukaka Kala Rel Gerald Boukassa Léon 《Open Journal of Modern Neurosurgery》 2023年第3期137-144,共8页
Introduction: Traumatic spinal cord injuries (TSCI) are a public health problem. Subaxial cervical spine trauma (SCST) is the most common. They are a source of neurological consequences that can affect the functional ... Introduction: Traumatic spinal cord injuries (TSCI) are a public health problem. Subaxial cervical spine trauma (SCST) is the most common. They are a source of neurological consequences that can affect the functional prognosis, but above all vital. The objective of this study was to describe the profile of patients with lower cervical spine trauma. Method: We carried out a cross-sectional and retrospective study over seven years, from January 1, 2015, to December 31, 2021, in the multipurpose surgery department of the University Hospital Center of Brazzaville. We included all patients hospitalized for SCST, having performed at least one radiological examination. We excluded all patients whose records were incomplete. Results: We recorded 90 cases of SCST, and 60 cases met our selection criteria. The median age was 37 years, with the extremes of 6 and 83, the sex ratio of 3.6. The level of education was secondary in 45 cases (75%), and university in 13 cases (21.7%). Road traffic accidents accounted for 68.3% of cases, followed by falls in 16.7%. Motorcyclists were the most frequent victims (46.3%). Among the 60 patients in the series, three (5%) had health insurance. Conclusion: The SCST concerns subjects in their thirties, of the male sex. Road traffic accidents are the first cause, and mainly concern motorcyclists. 展开更多
关键词 Subaxial Cervical Spine Trauma Road traffic Accidents Prevention
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