Background and Objective: HIV infection is a major global Public Health threat worldwide, particularly in Sub-Saharan Africa of which Benin. The level of knowledge determines the attitudes and behaviors of the populat...Background and Objective: HIV infection is a major global Public Health threat worldwide, particularly in Sub-Saharan Africa of which Benin. The level of knowledge determines the attitudes and behaviors of the populations towards this infection. The study objective was to assess knowledge, attitudes and practices related to HIV infection among motorbike taxi drivers (MTD) in Parakou in 2021. Methods: This was a descriptive cross-sectional study targeting MTD in Parakou in 2021. Participants were selected by cluster sampling. Pretested Digitized questionnaire using KoboCollect<sup>@</sup> applicationserved as a data collection tool. Knowledge, attitudes and practices variable were treated on a score scale. A knowledge score was considered to reflect a good knowledge of HIV if at least two-thirds of the knowledge statements had been correctly answered provided the subject recognized the sexual route as one of modes of HIV transmission, identified at least one preventive measure and meant the incurability of the disease. Quantitative and qualitative variables were appropriately described using the EPI Info 7.1.3.3 software. The participant was classified at positive attitude/practice for HIV prevention, when it has a score of at least 80% and suggests a good preventive measure face a risk of exposure to HIV. Results: A total of 374 subjects were recruited into the study. The mean age was 31.51 ± 7.76 years. Most participants (86.06%) had good knowledge of condom use as an HIV prevention method. The sources of information mentioned were mainly the media (77.07%), relatives or friends (63.38%), and field-workers from non-governmental organizations (37.26%). Routine HIV testing was 50.53%. Among participants, 76.10% reported at least two different sexual partners. Condom use was 59.18 % during the casual sexual intercourse. Within the client-provider relationship with female sex workers, 33.17% had had sexual intercourse with them. The sexual route was the most cited (92.99%), and 90.23% stated that HIV infection can be stabilized by medication in a health structure. Conclusion: The level of knowledge of motorbike taxi drivers in Parakou does not match their behavior with regard to HIV prevention. Appropriate strategies are needed to develop prevention skills in this population. To effectively comb at HIV, it will be necessary to strengthen the targeted HIV preventive interventions at key and bridge populations including motorbike taxi drivers in Benin.展开更多
The taxi drivers' cruising pattern was learned using GPS trajectory data collected in Shenzhen,China.By employing zero-inflated Poisson model,the impacts of land use and previous pick-up experience on cruising dec...The taxi drivers' cruising pattern was learned using GPS trajectory data collected in Shenzhen,China.By employing zero-inflated Poisson model,the impacts of land use and previous pick-up experience on cruising decision were measured.The cruising strategies of different types of drivers as well as the top one driver were examined.The results indicate that both land use and previous pick-up experience affect travel behavior with the former's influence(7.07×10-4 measured by one of the coefficients in zero-inflated Poisson model) being greater than the latter's(4.58×10-5) in general,but the comparison also varies across the types of drivers.Besides,taxi drivers' day-to-day learning feature is also proved by the results.According to comparison of the cruising behavior of the most efficient and inefficient driver,an efficient cruising strategy was proposed,that is,obeying the distribution of land use in choice of cruising area,while learning from pick-up experience in selection of detailed cruising location.By learning taxi drivers' cruising pattern,the development of measures of regulating travel behaviors is facilitated,important factor for traffic organization and planning is identified,and an efficient cruising strategy for taxi drivers is provided.展开更多
Studies conducted in many countries the world has shown that fatigued driving contributes to approximately 3%-30% of road accidents. We conducted this study to estimate the prevalence of fatigue among taxi drivers and...Studies conducted in many countries the world has shown that fatigued driving contributes to approximately 3%-30% of road accidents. We conducted this study to estimate the prevalence of fatigue among taxi drivers and to assess the determinant of fatigue among taxi drivers. In this cross-sectional study, 300 urban and rural taxi drivers from Fez, Morocco were enrolled from January to May 2013. The mean score of Pichot scale was 13.59 ± 8.23. The mean duration of sleep was 6.78 ±1.47 h per day. The mean rate of accident was 2.78 ± 1.12 per year. At the final model of the multiple linear regression we found an association statistically significant between Pichot scale and income, cardiovascular disorders, tobacco use, problems with colleagues, regularity of sleep and sleeping at the wheel. This study opened the door to many discussions about the professional drivers' conditions of work and we can argue that we should ameliorate the professional drivers conditions of work in Morocco.展开更多
Motorcycle taxi drivers are workers who use motorcycle to carry passengers. Objectives: to identify the sociodemographic profile and evaluate the physical and mental quality of life of motorcycle taxi drivers. Methods...Motorcycle taxi drivers are workers who use motorcycle to carry passengers. Objectives: to identify the sociodemographic profile and evaluate the physical and mental quality of life of motorcycle taxi drivers. Methods: Cross-sectional study, held in Campo Grande, Mato Grosso do Sul-Brazil, from May to July 2015 with 301 participants. To calculate the sample size, the margin of error was 5%, confidence level, 95%;and the drivers were randomly selected. For data collection, two instruments were used: the demographic questionnaire and the SF-36 Health Status Questionnaire. Results: Among the 301 respondents, predominance fell on males (98.7%, n = 297), married or in a stable relationship (63.5%, n = 191), with completed high school education (44.9%, n = 135). More than half felt discomfort while working (52.8%, n = 159). Of those with diagnosed disease the predominant type of disease was hypertension (55.5%, n = 30). When male and female were compared, men had lower average in the mental health aspect (63.39 ± 13.22);and women, in the emotional aspect (41.66 ± 31.91). There were significant differences in the scores of physical functioning (p = 0.002), bodily pain (0.043) and general health perceptions (p = 0.003) of the drivers reporting disease, compared to those who did not reported it. Conclusion: The studied motorcycle taxi drivers are mostly male, married, with high school education. Regarding quality of life, men had lower perception in the general mental health aspect whereas women showed lower perception in the emotional aspects. The individuals with disease had lower perceived quality of life in the physical functioning, bodily pain and general health concepts.展开更多
Many international studies found that fatigue can be a probable major cause of truck driver accidents. The primary goal of the current study was to assess the relation between sleep disorders and accidents by using Ep...Many international studies found that fatigue can be a probable major cause of truck driver accidents. The primary goal of the current study was to assess the relation between sleep disorders and accidents by using Epworth sleepiness scale. In this cross-sectional study, 300 urban and rural taxi drivers from Fez, Morocco were enrolled from January to May 2013. All participants were male and their mean age was 42.51 ± 10.81 (range 18-74) years. Their experience in driving was 8.34± 3.56 years on average; which had no significant relationship with their crash history and was not found a confounding factor in this series. The mean duration of sleep was 6.78± 1.47 h per day. The mean rate of accident was 2.78 ± 1.12 per year. The mean Epworth index was 13.23 ± 5.59. The simple linear regression showed a significant correlation between the Epworth sleepiness scale and education (P = 0.030), age (P = 0.017), marital status (P = 0.011), coffee consumption (P = 0.006), and water pipe (chicha) use (P = 0.01 ), but there was no significant correlation with history of crash in past years. The multivariate analysis (multiple linear regressions) found a significant association between Epworth scale and age (P = 0.024), coffee consumption (P = 0.023) and water pipe use (P = 0.027). In Morocco where road accidents are very frequent and number of serious injuries and death is very high. This is considered as one of the major public health problems and hence public health officials, legislators and the police should collaborate in multidisciplinary approach to have effective preventives measures. This study can be the start of many debates about the most efficient preventive measure to ameliorate professional drivers' work condition and to reduce road accident and hence save thousands of lives from the "traffic war" in Morocco.展开更多
Background: In African cities, chronic exposure to pollutants is the most common public health problem faced daily by motorcycle taxi drivers. In Benin, studies conducted on motorcycle drivers, have shown the presence...Background: In African cities, chronic exposure to pollutants is the most common public health problem faced daily by motorcycle taxi drivers. In Benin, studies conducted on motorcycle drivers, have shown the presence of nitrogen oxides, carbon monoxide, sulfur dioxide, volatile organic compounds and particulate matter in ambient air, which may affect lung function. Aims: This study aims to diagnose potential respiratory problems among 48 motorcycle taxi drivers (47.02 ± 8.75 years) compared to a control group made up of 52 people (46.38 ± 8.81 years) in Porto-Novo, Benin. Methods: A questionnaire, two exploration pulmonary function tests and two 6-minute walk tests were used to identify symptoms and changes in respiratory variables that reveal the existence of bronchospasm. Results: The frequency of respiratory symptoms noted among motorcycle taxi drivers is higher than that recorded among members of the control group. We observed that motorcycle drivers at rest and after physical effort have significantly lower respiratory variables (FVC, FEV1, PEF, FEF25-75, FEF50 and FEF25) (p < 0.05) than those recoded in control group. Conclusion: It can therefore be concluded that, because of the relatively long duration of exposure among motorcycle taxi drivers, the inhalation of automobile pollutants, may cause respiratory problems in this population.展开更多
Hypertension, obesity, smoking, dyslipidemia, and type 2 diabetes (T2D) are the major risk factors for developing cardiovascular diseases (CVD). Recent studies revealed that taxi-motorbike drivers (TMDs) in Cotonou ha...Hypertension, obesity, smoking, dyslipidemia, and type 2 diabetes (T2D) are the major risk factors for developing cardiovascular diseases (CVD). Recent studies revealed that taxi-motorbike drivers (TMDs) in Cotonou had higher rates of CVD risk factors, but their impacts on cardiovascular events have rarely been studied. The Framingham risk score (FRS) is an algorithm that considers CVD risk factors and estimates the risk of developing CVD in the next 10 years. Our objectives were to assess the 10-year CVD risk predicted by the FRS, and to examine the relationships of 10-year CVD risk with plasma iron and potassium levels among TMDs. We included 134 TMDs (22 - 59 years old) who had no prior diagnosis of CVD or T2D, and not taking medications affecting iron and potassium homeostasis. Conventional cardiovascular risk factors were used to calculate the 10-year CVD risk, which was categorized as low (20%). FRS > 2%, which corresponded to the 75th percentile of FRS distribution in our study population, was used as a cut-off value to classify participants into two groups. Plasma iron and potassium levels were segregated into tertiles and their associations with 10-year CVD risk were quantified by multivariate-adjusted logistic regression to calculate the odd ratios (ORs) to being above the 75<sup>th</sup> percentile of 10-year CVD risk with the corresponding 95% confidence intervals (CIs). We found that 62.0% of participants had at least one of cardiovascular risk factors. Approximately 97.8% of TMDs had 10-year CVD risk 4.8 mmol/L led to an 83% risk reduction of having 10-year CVD risk > 2% (OR = 0.17, 95% CI: 0.04 - 0.82, P = 0.027). In conclusion, our findings showed that high plasma potassium levels associate with reduced 10-year CVD risk among TMDs. Interventions focused on monitoring of plasma potassium, particularly in those with existing cardiovascular risk factors, may help prevent CVD.展开更多
Risky driving behavior of taxi drivers typically evaluated for full operation or sometimes sorted into occupied and empty running trips.In this paper,we simultaneously analyze aggressive driving and distracted driving...Risky driving behavior of taxi drivers typically evaluated for full operation or sometimes sorted into occupied and empty running trips.In this paper,we simultaneously analyze aggressive driving and distracted driving of taxi drivers under three different trip categories.Trip origin is considered a transition from without ride-order to with ride-order travelling or from with ride-order to occupied travelling,and a destination as a transition from occupied to without ride-order travelling and vice versa.Distracted driving is characterized by driver interference,driver mobile use and some entertainment aspects,while specific harmful and risky actions are considered for aggressive driving.High-resolution and real-time kinematic parameters of taxis were recorded by the in-vehicle recorder VBOX for overall 562 trips.The distracted driving parameters and aggressive driving actions were monitored through python data collector web application that was specially programmed for this particular research.Besides dual dash cam(i.e.,front and inside car camera),drivers’ whole day driving history from their Chinese ride-hailing Di Di smart application was used to differentiate occupied trips,unoccupied trips with ride-order and unoccupied trips without ride-order.Structural equation modeling(SEM) is practiced in this paper to understand the influence of distracted driving indicators on aggressive driving behaviors.The multi-group model analysis of SEM indicated that handling distracted risky driving could control aggressive driving behavior up to 96% and 98% inunoccupied without ride-order trips and unoccupied trips with ride-order respectively.The model has also identified the sensitive risky driving indicators for each group separately.展开更多
To explore skills of enhancing the performance of reception and publicizing World Philatelic Exhibition,Executive Committee of China 2009 World Philatelic Exhibition(China 2009)together with Transporting Management De...To explore skills of enhancing the performance of reception and publicizing World Philatelic Exhibition,Executive Committee of China 2009 World Philatelic Exhibition(China 2009)together with Transporting Management Department of Luo Yang Transportation Bureau run a training course called"Creating a Civilized City,Greeting the World Philatelic Exhibition",April 28,2008. Executives and managers from Luo Yang taxi companies attended the course.There, they were mainly equipped with展开更多
这是一则美丽的奇闻!读此奇闻,我竟然有点相信命运了!一对离别34载的父子相逢并相识于一出租车内,父开车,子乘车!文章中一表达激动话让我铭记:The blood just drained out of me when he said‘I’m your son’。作为一翻译教师,我...这是一则美丽的奇闻!读此奇闻,我竟然有点相信命运了!一对离别34载的父子相逢并相识于一出租车内,父开车,子乘车!文章中一表达激动话让我铭记:The blood just drained out of me when he said‘I’m your son’。作为一翻译教师,我的职业习惯让我思考,此话能否直译?——当他说“我是你的儿子”的时候,我的浑身的血都被抽干了!】展开更多
Insulin resistance (IR) is a well-recognized marker of increased cardiovascular diseases (CVDs) and type 2 diabetes (T2D) risk. Therefore, screening for IR predictors would help reduce the likelihood of progression fr...Insulin resistance (IR) is a well-recognized marker of increased cardiovascular diseases (CVDs) and type 2 diabetes (T2D) risk. Therefore, screening for IR predictors would help reduce the likelihood of progression from early stage of IR to T2D or CVDs. However, the knowledge of association between IR and circulating total calcium (CTCa) and phosphate levels among non-diabetic patients in Benin is lacking. We investigated whether CTCa and phosphate levels within the normal ranges are associated with IR risk among taxi-motorbike drivers (TMDs) living and working in Cotonou. We evaluated 134 non-diabetic TMDs (aged 22 - 59 years) based on CTCa, phosphate, glucose, fasting insulin, and IR levels. IR was assessed using the homeostatic model assessment-insulin resistance (HOMA-IR). IR was defined as the 75<sup>th</sup> percentile of HOMA-IR value. Cardiometabolic factors were analyzed by tertiles of CTCa and phosphate levels (low, middle, and high groups). Logistic regression models evaluated the relationships between IR and CTCa and phosphate levels. Our results showed that participants with high CTCa levels had the highest prevalence of IR, elevated total cholesterol and high-density lipoprotein cholesterol. In a fully adjusted model, the odd ratio (OR) of having IR comparing the highest (>2.50 mmol/L) to the lowest CTCa levels (1.23 mmol/L) and the lowest levels (<1.10 mmol/L) of phosphate was 0.28 (p = 0.037). In conclusion, our study demonstrates that elevated CTCa and low phosphate levels are significant predictors of IR in non-diabetic patients. Continuous monitoring of these markers may help identify earlier individuals at greatest IR risk.展开更多
High white blood cell count (WBC) and insulin resistance (IR) are interrelated events that contribute to non-communicable diseases (NCDs), including type-2 diabetes (T2D). However, associations between IR and hematolo...High white blood cell count (WBC) and insulin resistance (IR) are interrelated events that contribute to non-communicable diseases (NCDs), including type-2 diabetes (T2D). However, associations between IR and hematological parameters have never been explored in populations of Benin. The aims of this study were to determine the prevalence of IR and associated hematological parameters in taxi-motorbike drivers (TMDs) working in Cotonou. A total of 133 participants were analyzed in this cross-sectional study. Complete blood count, including WBC and platelet, as well as fasting plasma glucose and insulin, were performed by standard procedures. IR was assessed using the Homeostatic Model Assessment for Insulin Resistance (HOMA-IR). Factors associated with IR, their odds ratios (ORs) and 95% confidence intervals (CIs) were determined by logistic regression analysis. The mean age of the study participants was 39.3 years. The HOMA-IR cut-off (75th percentile) for IR was 5.9. The overall prevalence of IR was 24.1%. IR increased with the increase of exposure duration and WBC levels. Logistic regression analysis revealed that the risk of IR increased significantly with higher total WBC, with adjusted ORs (95% CI) for the second and third tertiles of 3.56 (1.10 - 11.58) and 4.01 (1.21 - 13.31), respectively. Similar patterns of associations were observed in an analysis restricted to non-drinkers, although these estimates lacked statistical significance. BMI > 24.2 kg/m<sup>2</sup> was independently associated with an increased risk of IR (OR = 3.82, 95% CI: 1.33 - 11.03, P = 0.013). In conclusion, the prevalence of IR in TMDs was 24.1%. IR was significantly associated with elevated WBC count and BMI. WBC may serve as a biomarker to identify individuals at the greatest IR risk.展开更多
Non-traditional cardiovascular risk factors such as iron and potassium may play a role in lipid metabolism. However, information on this association is lacking in populations of Benin. This study evaluated the associa...Non-traditional cardiovascular risk factors such as iron and potassium may play a role in lipid metabolism. However, information on this association is lacking in populations of Benin. This study evaluated the associations between plasma iron and potassium levels and risk of dyslipidemia among taxi-motorbike drivers (TMDs) in Cotonou. We conducted a cross-sectional study on 134 males TMDs aged ≥20 years old, of whom 39 (29.1%) had dyslipidemia. Plasma biochemistry including measurements of total cholesterol (TC), triglycerides (TG), low-density lipoprotein cholesterol (LDL-C), and high-density lipoprotein cholesterol (HDL-C), iron, and potassium were performed. Dyslipidemia was defined as any or combinations of the following: TC > 5.2 mmol/L, LDL-C > 3.4 mmol/L, TG > 1.7 mmol/L, and HDL-C 18.8 μmol/L) to the 1<sup>st</sup> tertile of plasma iron (<13.6 μmol/L) was 3.85, (95% CI: 1.20 - 12.35, p = 0.023). We observed similar patterns of association in a subgroup analysis restricted to normotensive patients, although the estimates lacked statistical significance. Our findings also revealed that the risk of dyslipidemia decreased when plasma potassium levels increased. The OR (95% CI) for dyslipidemia comparing the 2<sup>nd</sup> tertile (4.4 - 4.8 μmol/L) to the 1<sup>st</sup> tertile (<4.3 μmol/L) of potassium was 0.31 (0.11 - 0.86, p = 0.025). Interestingly, the risk of dyslipidemia decreased progressively (81% to 86%) and significantly across plasma potassium tertiles when restricting analysis to normotensive patients. The ORs (95% CI) for dyslipidemia comparing the 2<sup>nd</sup> and 3<sup>rd</sup> tertiles to the 1<sup>st</sup> tertile of plasma potassium were 0.19 (0.04 - 0.87, p = 0.032) and 0.14 (0.02 - 0.93, p = 0.043). In conclusion, our study shows that higher plasma iron and low potassium levels are significant predictors of dyslipidemia in TMDs. As such, the findings have public health implications for predicting and preventing dyslipidemia and associated cardiometabolic diseases. However, longitudinal studies are needed to determine if disturbances in iron and potassium levels, even within the normal range, are precursors or consequences of dyslipidemia.展开更多
文摘Background and Objective: HIV infection is a major global Public Health threat worldwide, particularly in Sub-Saharan Africa of which Benin. The level of knowledge determines the attitudes and behaviors of the populations towards this infection. The study objective was to assess knowledge, attitudes and practices related to HIV infection among motorbike taxi drivers (MTD) in Parakou in 2021. Methods: This was a descriptive cross-sectional study targeting MTD in Parakou in 2021. Participants were selected by cluster sampling. Pretested Digitized questionnaire using KoboCollect<sup>@</sup> applicationserved as a data collection tool. Knowledge, attitudes and practices variable were treated on a score scale. A knowledge score was considered to reflect a good knowledge of HIV if at least two-thirds of the knowledge statements had been correctly answered provided the subject recognized the sexual route as one of modes of HIV transmission, identified at least one preventive measure and meant the incurability of the disease. Quantitative and qualitative variables were appropriately described using the EPI Info 7.1.3.3 software. The participant was classified at positive attitude/practice for HIV prevention, when it has a score of at least 80% and suggests a good preventive measure face a risk of exposure to HIV. Results: A total of 374 subjects were recruited into the study. The mean age was 31.51 ± 7.76 years. Most participants (86.06%) had good knowledge of condom use as an HIV prevention method. The sources of information mentioned were mainly the media (77.07%), relatives or friends (63.38%), and field-workers from non-governmental organizations (37.26%). Routine HIV testing was 50.53%. Among participants, 76.10% reported at least two different sexual partners. Condom use was 59.18 % during the casual sexual intercourse. Within the client-provider relationship with female sex workers, 33.17% had had sexual intercourse with them. The sexual route was the most cited (92.99%), and 90.23% stated that HIV infection can be stabilized by medication in a health structure. Conclusion: The level of knowledge of motorbike taxi drivers in Parakou does not match their behavior with regard to HIV prevention. Appropriate strategies are needed to develop prevention skills in this population. To effectively comb at HIV, it will be necessary to strengthen the targeted HIV preventive interventions at key and bridge populations including motorbike taxi drivers in Benin.
基金Project(50908099)supported by the National Natural Science Foundation of ChinaProject(201104493)supported by the Doctoral Program of Higher Education of China
文摘The taxi drivers' cruising pattern was learned using GPS trajectory data collected in Shenzhen,China.By employing zero-inflated Poisson model,the impacts of land use and previous pick-up experience on cruising decision were measured.The cruising strategies of different types of drivers as well as the top one driver were examined.The results indicate that both land use and previous pick-up experience affect travel behavior with the former's influence(7.07×10-4 measured by one of the coefficients in zero-inflated Poisson model) being greater than the latter's(4.58×10-5) in general,but the comparison also varies across the types of drivers.Besides,taxi drivers' day-to-day learning feature is also proved by the results.According to comparison of the cruising behavior of the most efficient and inefficient driver,an efficient cruising strategy was proposed,that is,obeying the distribution of land use in choice of cruising area,while learning from pick-up experience in selection of detailed cruising location.By learning taxi drivers' cruising pattern,the development of measures of regulating travel behaviors is facilitated,important factor for traffic organization and planning is identified,and an efficient cruising strategy for taxi drivers is provided.
文摘Studies conducted in many countries the world has shown that fatigued driving contributes to approximately 3%-30% of road accidents. We conducted this study to estimate the prevalence of fatigue among taxi drivers and to assess the determinant of fatigue among taxi drivers. In this cross-sectional study, 300 urban and rural taxi drivers from Fez, Morocco were enrolled from January to May 2013. The mean score of Pichot scale was 13.59 ± 8.23. The mean duration of sleep was 6.78 ±1.47 h per day. The mean rate of accident was 2.78 ± 1.12 per year. At the final model of the multiple linear regression we found an association statistically significant between Pichot scale and income, cardiovascular disorders, tobacco use, problems with colleagues, regularity of sleep and sleeping at the wheel. This study opened the door to many discussions about the professional drivers' conditions of work and we can argue that we should ameliorate the professional drivers conditions of work in Morocco.
文摘Motorcycle taxi drivers are workers who use motorcycle to carry passengers. Objectives: to identify the sociodemographic profile and evaluate the physical and mental quality of life of motorcycle taxi drivers. Methods: Cross-sectional study, held in Campo Grande, Mato Grosso do Sul-Brazil, from May to July 2015 with 301 participants. To calculate the sample size, the margin of error was 5%, confidence level, 95%;and the drivers were randomly selected. For data collection, two instruments were used: the demographic questionnaire and the SF-36 Health Status Questionnaire. Results: Among the 301 respondents, predominance fell on males (98.7%, n = 297), married or in a stable relationship (63.5%, n = 191), with completed high school education (44.9%, n = 135). More than half felt discomfort while working (52.8%, n = 159). Of those with diagnosed disease the predominant type of disease was hypertension (55.5%, n = 30). When male and female were compared, men had lower average in the mental health aspect (63.39 ± 13.22);and women, in the emotional aspect (41.66 ± 31.91). There were significant differences in the scores of physical functioning (p = 0.002), bodily pain (0.043) and general health perceptions (p = 0.003) of the drivers reporting disease, compared to those who did not reported it. Conclusion: The studied motorcycle taxi drivers are mostly male, married, with high school education. Regarding quality of life, men had lower perception in the general mental health aspect whereas women showed lower perception in the emotional aspects. The individuals with disease had lower perceived quality of life in the physical functioning, bodily pain and general health concepts.
文摘Many international studies found that fatigue can be a probable major cause of truck driver accidents. The primary goal of the current study was to assess the relation between sleep disorders and accidents by using Epworth sleepiness scale. In this cross-sectional study, 300 urban and rural taxi drivers from Fez, Morocco were enrolled from January to May 2013. All participants were male and their mean age was 42.51 ± 10.81 (range 18-74) years. Their experience in driving was 8.34± 3.56 years on average; which had no significant relationship with their crash history and was not found a confounding factor in this series. The mean duration of sleep was 6.78± 1.47 h per day. The mean rate of accident was 2.78 ± 1.12 per year. The mean Epworth index was 13.23 ± 5.59. The simple linear regression showed a significant correlation between the Epworth sleepiness scale and education (P = 0.030), age (P = 0.017), marital status (P = 0.011), coffee consumption (P = 0.006), and water pipe (chicha) use (P = 0.01 ), but there was no significant correlation with history of crash in past years. The multivariate analysis (multiple linear regressions) found a significant association between Epworth scale and age (P = 0.024), coffee consumption (P = 0.023) and water pipe use (P = 0.027). In Morocco where road accidents are very frequent and number of serious injuries and death is very high. This is considered as one of the major public health problems and hence public health officials, legislators and the police should collaborate in multidisciplinary approach to have effective preventives measures. This study can be the start of many debates about the most efficient preventive measure to ameliorate professional drivers' work condition and to reduce road accident and hence save thousands of lives from the "traffic war" in Morocco.
文摘Background: In African cities, chronic exposure to pollutants is the most common public health problem faced daily by motorcycle taxi drivers. In Benin, studies conducted on motorcycle drivers, have shown the presence of nitrogen oxides, carbon monoxide, sulfur dioxide, volatile organic compounds and particulate matter in ambient air, which may affect lung function. Aims: This study aims to diagnose potential respiratory problems among 48 motorcycle taxi drivers (47.02 ± 8.75 years) compared to a control group made up of 52 people (46.38 ± 8.81 years) in Porto-Novo, Benin. Methods: A questionnaire, two exploration pulmonary function tests and two 6-minute walk tests were used to identify symptoms and changes in respiratory variables that reveal the existence of bronchospasm. Results: The frequency of respiratory symptoms noted among motorcycle taxi drivers is higher than that recorded among members of the control group. We observed that motorcycle drivers at rest and after physical effort have significantly lower respiratory variables (FVC, FEV1, PEF, FEF25-75, FEF50 and FEF25) (p < 0.05) than those recoded in control group. Conclusion: It can therefore be concluded that, because of the relatively long duration of exposure among motorcycle taxi drivers, the inhalation of automobile pollutants, may cause respiratory problems in this population.
文摘Hypertension, obesity, smoking, dyslipidemia, and type 2 diabetes (T2D) are the major risk factors for developing cardiovascular diseases (CVD). Recent studies revealed that taxi-motorbike drivers (TMDs) in Cotonou had higher rates of CVD risk factors, but their impacts on cardiovascular events have rarely been studied. The Framingham risk score (FRS) is an algorithm that considers CVD risk factors and estimates the risk of developing CVD in the next 10 years. Our objectives were to assess the 10-year CVD risk predicted by the FRS, and to examine the relationships of 10-year CVD risk with plasma iron and potassium levels among TMDs. We included 134 TMDs (22 - 59 years old) who had no prior diagnosis of CVD or T2D, and not taking medications affecting iron and potassium homeostasis. Conventional cardiovascular risk factors were used to calculate the 10-year CVD risk, which was categorized as low (20%). FRS > 2%, which corresponded to the 75th percentile of FRS distribution in our study population, was used as a cut-off value to classify participants into two groups. Plasma iron and potassium levels were segregated into tertiles and their associations with 10-year CVD risk were quantified by multivariate-adjusted logistic regression to calculate the odd ratios (ORs) to being above the 75<sup>th</sup> percentile of 10-year CVD risk with the corresponding 95% confidence intervals (CIs). We found that 62.0% of participants had at least one of cardiovascular risk factors. Approximately 97.8% of TMDs had 10-year CVD risk 4.8 mmol/L led to an 83% risk reduction of having 10-year CVD risk > 2% (OR = 0.17, 95% CI: 0.04 - 0.82, P = 0.027). In conclusion, our findings showed that high plasma potassium levels associate with reduced 10-year CVD risk among TMDs. Interventions focused on monitoring of plasma potassium, particularly in those with existing cardiovascular risk factors, may help prevent CVD.
基金supported by the National Key R&D Program of China(2018YFB1601600)。
文摘Risky driving behavior of taxi drivers typically evaluated for full operation or sometimes sorted into occupied and empty running trips.In this paper,we simultaneously analyze aggressive driving and distracted driving of taxi drivers under three different trip categories.Trip origin is considered a transition from without ride-order to with ride-order travelling or from with ride-order to occupied travelling,and a destination as a transition from occupied to without ride-order travelling and vice versa.Distracted driving is characterized by driver interference,driver mobile use and some entertainment aspects,while specific harmful and risky actions are considered for aggressive driving.High-resolution and real-time kinematic parameters of taxis were recorded by the in-vehicle recorder VBOX for overall 562 trips.The distracted driving parameters and aggressive driving actions were monitored through python data collector web application that was specially programmed for this particular research.Besides dual dash cam(i.e.,front and inside car camera),drivers’ whole day driving history from their Chinese ride-hailing Di Di smart application was used to differentiate occupied trips,unoccupied trips with ride-order and unoccupied trips without ride-order.Structural equation modeling(SEM) is practiced in this paper to understand the influence of distracted driving indicators on aggressive driving behaviors.The multi-group model analysis of SEM indicated that handling distracted risky driving could control aggressive driving behavior up to 96% and 98% inunoccupied without ride-order trips and unoccupied trips with ride-order respectively.The model has also identified the sensitive risky driving indicators for each group separately.
文摘To explore skills of enhancing the performance of reception and publicizing World Philatelic Exhibition,Executive Committee of China 2009 World Philatelic Exhibition(China 2009)together with Transporting Management Department of Luo Yang Transportation Bureau run a training course called"Creating a Civilized City,Greeting the World Philatelic Exhibition",April 28,2008. Executives and managers from Luo Yang taxi companies attended the course.There, they were mainly equipped with
文摘这是一则美丽的奇闻!读此奇闻,我竟然有点相信命运了!一对离别34载的父子相逢并相识于一出租车内,父开车,子乘车!文章中一表达激动话让我铭记:The blood just drained out of me when he said‘I’m your son’。作为一翻译教师,我的职业习惯让我思考,此话能否直译?——当他说“我是你的儿子”的时候,我的浑身的血都被抽干了!】
文摘Insulin resistance (IR) is a well-recognized marker of increased cardiovascular diseases (CVDs) and type 2 diabetes (T2D) risk. Therefore, screening for IR predictors would help reduce the likelihood of progression from early stage of IR to T2D or CVDs. However, the knowledge of association between IR and circulating total calcium (CTCa) and phosphate levels among non-diabetic patients in Benin is lacking. We investigated whether CTCa and phosphate levels within the normal ranges are associated with IR risk among taxi-motorbike drivers (TMDs) living and working in Cotonou. We evaluated 134 non-diabetic TMDs (aged 22 - 59 years) based on CTCa, phosphate, glucose, fasting insulin, and IR levels. IR was assessed using the homeostatic model assessment-insulin resistance (HOMA-IR). IR was defined as the 75<sup>th</sup> percentile of HOMA-IR value. Cardiometabolic factors were analyzed by tertiles of CTCa and phosphate levels (low, middle, and high groups). Logistic regression models evaluated the relationships between IR and CTCa and phosphate levels. Our results showed that participants with high CTCa levels had the highest prevalence of IR, elevated total cholesterol and high-density lipoprotein cholesterol. In a fully adjusted model, the odd ratio (OR) of having IR comparing the highest (>2.50 mmol/L) to the lowest CTCa levels (1.23 mmol/L) and the lowest levels (<1.10 mmol/L) of phosphate was 0.28 (p = 0.037). In conclusion, our study demonstrates that elevated CTCa and low phosphate levels are significant predictors of IR in non-diabetic patients. Continuous monitoring of these markers may help identify earlier individuals at greatest IR risk.
文摘High white blood cell count (WBC) and insulin resistance (IR) are interrelated events that contribute to non-communicable diseases (NCDs), including type-2 diabetes (T2D). However, associations between IR and hematological parameters have never been explored in populations of Benin. The aims of this study were to determine the prevalence of IR and associated hematological parameters in taxi-motorbike drivers (TMDs) working in Cotonou. A total of 133 participants were analyzed in this cross-sectional study. Complete blood count, including WBC and platelet, as well as fasting plasma glucose and insulin, were performed by standard procedures. IR was assessed using the Homeostatic Model Assessment for Insulin Resistance (HOMA-IR). Factors associated with IR, their odds ratios (ORs) and 95% confidence intervals (CIs) were determined by logistic regression analysis. The mean age of the study participants was 39.3 years. The HOMA-IR cut-off (75th percentile) for IR was 5.9. The overall prevalence of IR was 24.1%. IR increased with the increase of exposure duration and WBC levels. Logistic regression analysis revealed that the risk of IR increased significantly with higher total WBC, with adjusted ORs (95% CI) for the second and third tertiles of 3.56 (1.10 - 11.58) and 4.01 (1.21 - 13.31), respectively. Similar patterns of associations were observed in an analysis restricted to non-drinkers, although these estimates lacked statistical significance. BMI > 24.2 kg/m<sup>2</sup> was independently associated with an increased risk of IR (OR = 3.82, 95% CI: 1.33 - 11.03, P = 0.013). In conclusion, the prevalence of IR in TMDs was 24.1%. IR was significantly associated with elevated WBC count and BMI. WBC may serve as a biomarker to identify individuals at the greatest IR risk.
文摘Non-traditional cardiovascular risk factors such as iron and potassium may play a role in lipid metabolism. However, information on this association is lacking in populations of Benin. This study evaluated the associations between plasma iron and potassium levels and risk of dyslipidemia among taxi-motorbike drivers (TMDs) in Cotonou. We conducted a cross-sectional study on 134 males TMDs aged ≥20 years old, of whom 39 (29.1%) had dyslipidemia. Plasma biochemistry including measurements of total cholesterol (TC), triglycerides (TG), low-density lipoprotein cholesterol (LDL-C), and high-density lipoprotein cholesterol (HDL-C), iron, and potassium were performed. Dyslipidemia was defined as any or combinations of the following: TC > 5.2 mmol/L, LDL-C > 3.4 mmol/L, TG > 1.7 mmol/L, and HDL-C 18.8 μmol/L) to the 1<sup>st</sup> tertile of plasma iron (<13.6 μmol/L) was 3.85, (95% CI: 1.20 - 12.35, p = 0.023). We observed similar patterns of association in a subgroup analysis restricted to normotensive patients, although the estimates lacked statistical significance. Our findings also revealed that the risk of dyslipidemia decreased when plasma potassium levels increased. The OR (95% CI) for dyslipidemia comparing the 2<sup>nd</sup> tertile (4.4 - 4.8 μmol/L) to the 1<sup>st</sup> tertile (<4.3 μmol/L) of potassium was 0.31 (0.11 - 0.86, p = 0.025). Interestingly, the risk of dyslipidemia decreased progressively (81% to 86%) and significantly across plasma potassium tertiles when restricting analysis to normotensive patients. The ORs (95% CI) for dyslipidemia comparing the 2<sup>nd</sup> and 3<sup>rd</sup> tertiles to the 1<sup>st</sup> tertile of plasma potassium were 0.19 (0.04 - 0.87, p = 0.032) and 0.14 (0.02 - 0.93, p = 0.043). In conclusion, our study shows that higher plasma iron and low potassium levels are significant predictors of dyslipidemia in TMDs. As such, the findings have public health implications for predicting and preventing dyslipidemia and associated cardiometabolic diseases. However, longitudinal studies are needed to determine if disturbances in iron and potassium levels, even within the normal range, are precursors or consequences of dyslipidemia.