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
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
<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
Motor vehicle accidents (MVAs) are serious social issues worldwide and driver illness is an important cause of MVAs. Minimal hepatic encephalopathy (MHE) is a com- plex cognitive dysfunction with attention deficit, wh...Motor vehicle accidents (MVAs) are serious social issues worldwide and driver illness is an important cause of MVAs. Minimal hepatic encephalopathy (MHE) is a com- plex cognitive dysfunction with attention deficit, which frequently occurs in cirrhotic patients independent of severity of liver disease. Although MHE is known as a risk factor for MVAs, the impact of diagnosis and treatment of MHE on MVA-related societal costs is largely unknown. Recently, Bajaj et al demonstrated valuable findings that the diagnosis of MHE by rapid screening using the inhibitory control test (ICT), and subsequent treatment with lactulose could substantially reduce the societal costs by preventing MVAs. Besides the ICT and lactulose, there are various diagnostic tools and therapeutic strategies for MHE. In this commentary, we discussed a current issue of diagnostic tools for MHE, including neuropsychological tests. We also discussed the advantages of the other therapeutic strategies for MHE, such as intake of a regular breakfast and coffee, and supplementation with zinc and branched chain amino acids, on the MVA-related societal costs.展开更多
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
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
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
Usually, data on road traffic accidents in Algeria are not available to researchers. Fortunately, MICS4mthe Multiple Indicator Cluster Survey conducted by UNICEF during 2012-2013 has introduced a module on accidents a...Usually, data on road traffic accidents in Algeria are not available to researchers. Fortunately, MICS4mthe Multiple Indicator Cluster Survey conducted by UNICEF during 2012-2013 has introduced a module on accidents among children less than 15 years. In Algeria, the MICS4 survey targeted a sample of 28,000 households distributed over the national territory. These are the main results of polynomial logistic regression: Children in the richest quintile (B = .562, p 〈 .05), are much less exposed than children in the poorest quintile. The odd ratio is 1.75. Compared to children aged 12 to 14, the younger children of 0-2 years (B = -1.059, p 〈 .05), are three times less exposed (odd ratio = .347) to road traffic accidents; and children of 9-11 years (B = .520, p 〈 .05), are most exposed with an odd ratio of 1.68. For territorial planning areas, with the South being taken as a reference category, the risk of traffic accidents for a child is the lowest in the West Highlanders (B = -1.257, p 〈 .05), followed by the North Center (B = -1.163, p 〈 .05), the East Highlands (B = -1.053, p 〈 .05), the Northwest (B = -1.034, p 〈 .05), and the Northeast (B = -.805, p 〈 .05). Odd ratio values are respectively .29, .313, .349, .356, and .447.展开更多
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
Aims: The aims of the study were to assess the degree of knowledge and adherence to the recommended safe practice for driving and the risk of road traffic accidents among people with diabetes mellitus in Armenia. Meth...Aims: The aims of the study were to assess the degree of knowledge and adherence to the recommended safe practice for driving and the risk of road traffic accidents among people with diabetes mellitus in Armenia. Methods: A total of 628 respondents, including 200 drivers, out of 641 consecutive attendees at six diabetes clinics, participated in the survey. A modified British questionnaire on driving and diabetes was used to obtain the relevant data. The information from all 103 drivers treated with insulin and 73 taking sulfonylureas was reviewed. Results: The study revealed that of 176 insulin and sulfonylurea-treated drivers, 161 (91.5%) had never received any advice about safe driving practices. Among the drivers, 156 (88.6%) never measured their blood glucose before, or during driving. The survey revealed that 86 (51.2%) of 168 patients had a history of at least one motor vehicle accident within the previous 5 years. The average road traffic accident rate per person/year was 0.21. Conclusions: The study revealed a lack of knowledge among drivers with diabetes treated with insulin or sulfonylureas concerning recommended safe practices for driving. This was associated with significant hypoglycemia while driving and an elevated rate of road traffic accidents.展开更多
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
The tire mark is the important legacy information left at the accident scene. Based on the vehicle collision dynamics model, this study provided an optimized algorithm with vehicle final location and other related inf...The tire mark is the important legacy information left at the accident scene. Based on the vehicle collision dynamics model, this study provided an optimized algorithm with vehicle final location and other related information for the tire marks. When the tire marks simulation results fit the real one well, the state of vehicle can be understood as the real state in the accident. Based on above, the vehicle velocity and direction are decided. According to the velocity and direction of the vehicle, the complete accident process can be simulated. With the help of the Pc-Crash software, the method has been applied in typical collision accident cases analysis. The reconstruction results will provide the scientific and numerical references for vehicle collision accidents analyzing and appraising.展开更多
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
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
This paper presents a description and analysis of the most important models to predict each of the Road User Costs components (Vehicle Operating Costs, Accident Costs and Value of Time) and proposes a model for esti...This paper presents a description and analysis of the most important models to predict each of the Road User Costs components (Vehicle Operating Costs, Accident Costs and Value of Time) and proposes a model for estimating RUC components suitable for the Portuguese road network. These results are part of a research which aimed to obtain a Road User Cost Model to be used as a tool in road management systems. This model is different from other models by the fact that it includes a simple formulation that allows calibration and calculation of cost parameters, for any year, in a simple and fast way, providing trustworthy results. The required data is already available in Portuguese institutions, allowing periodic revision of cost parameters to insure accuracy.展开更多
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
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
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
This paper presents the results of darkness adaptationtest for drivers. It is shown that there is a significant difference ( p <0.05)in their darkness adaptation ability between the drivers in accident group and ...This paper presents the results of darkness adaptationtest for drivers. It is shown that there is a significant difference ( p <0.05)in their darkness adaptation ability between the drivers in accident group and non-accident group. It is further revealed that the accident rate of the drivers with darkness adaptation time ≤10 s is 2.6%, while that with darkness adaptation time >10 s is 7.3%, implying that the high accident rate of the drivers in accident group might be caused by their longer darkness adaptation time.展开更多
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
文摘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.
文摘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.
文摘<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.
文摘Motor vehicle accidents (MVAs) are serious social issues worldwide and driver illness is an important cause of MVAs. Minimal hepatic encephalopathy (MHE) is a com- plex cognitive dysfunction with attention deficit, which frequently occurs in cirrhotic patients independent of severity of liver disease. Although MHE is known as a risk factor for MVAs, the impact of diagnosis and treatment of MHE on MVA-related societal costs is largely unknown. Recently, Bajaj et al demonstrated valuable findings that the diagnosis of MHE by rapid screening using the inhibitory control test (ICT), and subsequent treatment with lactulose could substantially reduce the societal costs by preventing MVAs. Besides the ICT and lactulose, there are various diagnostic tools and therapeutic strategies for MHE. In this commentary, we discussed a current issue of diagnostic tools for MHE, including neuropsychological tests. We also discussed the advantages of the other therapeutic strategies for MHE, such as intake of a regular breakfast and coffee, and supplementation with zinc and branched chain amino acids, on the MVA-related societal costs.
基金supported by the Fifth 333 High-Level Talents Project of Jiangsu Province under Grant BRA2017443the Key Research Base of Jiangsu University Philosophy and Social Science under Grant 2018ZDJD-B007.
文摘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.
文摘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.
文摘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.
文摘Usually, data on road traffic accidents in Algeria are not available to researchers. Fortunately, MICS4mthe Multiple Indicator Cluster Survey conducted by UNICEF during 2012-2013 has introduced a module on accidents among children less than 15 years. In Algeria, the MICS4 survey targeted a sample of 28,000 households distributed over the national territory. These are the main results of polynomial logistic regression: Children in the richest quintile (B = .562, p 〈 .05), are much less exposed than children in the poorest quintile. The odd ratio is 1.75. Compared to children aged 12 to 14, the younger children of 0-2 years (B = -1.059, p 〈 .05), are three times less exposed (odd ratio = .347) to road traffic accidents; and children of 9-11 years (B = .520, p 〈 .05), are most exposed with an odd ratio of 1.68. For territorial planning areas, with the South being taken as a reference category, the risk of traffic accidents for a child is the lowest in the West Highlanders (B = -1.257, p 〈 .05), followed by the North Center (B = -1.163, p 〈 .05), the East Highlands (B = -1.053, p 〈 .05), the Northwest (B = -1.034, p 〈 .05), and the Northeast (B = -.805, p 〈 .05). Odd ratio values are respectively .29, .313, .349, .356, and .447.
文摘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.
文摘Aims: The aims of the study were to assess the degree of knowledge and adherence to the recommended safe practice for driving and the risk of road traffic accidents among people with diabetes mellitus in Armenia. Methods: A total of 628 respondents, including 200 drivers, out of 641 consecutive attendees at six diabetes clinics, participated in the survey. A modified British questionnaire on driving and diabetes was used to obtain the relevant data. The information from all 103 drivers treated with insulin and 73 taking sulfonylureas was reviewed. Results: The study revealed that of 176 insulin and sulfonylurea-treated drivers, 161 (91.5%) had never received any advice about safe driving practices. Among the drivers, 156 (88.6%) never measured their blood glucose before, or during driving. The survey revealed that 86 (51.2%) of 168 patients had a history of at least one motor vehicle accident within the previous 5 years. The average road traffic accident rate per person/year was 0.21. Conclusions: The study revealed a lack of knowledge among drivers with diabetes treated with insulin or sulfonylureas concerning recommended safe practices for driving. This was associated with significant hypoglycemia while driving and an elevated rate of road traffic accidents.
文摘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.
基金Sponsored by the National Natural Science Foundation of China (Grant No.60174023)the National High Technology Research and Development Program of China(Grant No.863 -2007AA11Z234).
文摘The tire mark is the important legacy information left at the accident scene. Based on the vehicle collision dynamics model, this study provided an optimized algorithm with vehicle final location and other related information for the tire marks. When the tire marks simulation results fit the real one well, the state of vehicle can be understood as the real state in the accident. Based on above, the vehicle velocity and direction are decided. According to the velocity and direction of the vehicle, the complete accident process can be simulated. With the help of the Pc-Crash software, the method has been applied in typical collision accident cases analysis. The reconstruction results will provide the scientific and numerical references for vehicle collision accidents analyzing and appraising.
基金Supported by the National Research Foundation of Korea Grant funded by the Korean government,No.NRF-2021R1A2C1013073.
文摘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.
文摘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.
文摘This paper presents a description and analysis of the most important models to predict each of the Road User Costs components (Vehicle Operating Costs, Accident Costs and Value of Time) and proposes a model for estimating RUC components suitable for the Portuguese road network. These results are part of a research which aimed to obtain a Road User Cost Model to be used as a tool in road management systems. This model is different from other models by the fact that it includes a simple formulation that allows calibration and calculation of cost parameters, for any year, in a simple and fast way, providing trustworthy results. The required data is already available in Portuguese institutions, allowing periodic revision of cost parameters to insure accuracy.
文摘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.
基金National Natural Science Foundation of China(No.51805312)in part by Shanghai Sailing Program(No.18YF1409400)+4 种基金in part by Training and Funding Program of Shanghai College young teachers(No.ZZGCD15102)in part by Scientific Research Project of Shanghai University of Engineering Science(No.2016-19)in part by Science and Technology Commission of Shanghai Municipality(No.19030501100)in part by the Shanghai University of Engineering Science Innovation Fund for Graduate Students(No.18KY0613)in part by National Key R&D Program of China(No.2016YFC0802900).
文摘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.
文摘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.
文摘This paper presents the results of darkness adaptationtest for drivers. It is shown that there is a significant difference ( p <0.05)in their darkness adaptation ability between the drivers in accident group and non-accident group. It is further revealed that the accident rate of the drivers with darkness adaptation time ≤10 s is 2.6%, while that with darkness adaptation time >10 s is 7.3%, implying that the high accident rate of the drivers in accident group might be caused by their longer darkness adaptation time.
文摘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.