Developing a Comprehensive Technique for Investigating Hazmat Transport Accidents

Author(s):  
Iraj Mohammadfam ◽  
Media Noori Abdullah ◽  
Kamran Gholamizadeh
Keyword(s):  
Addiction ◽  
2013 ◽  
Vol 108 (12) ◽  
pp. 2112-2118 ◽  
Author(s):  
William Alex Pridemore ◽  
Mitchell B. Chamlin ◽  
Maria T. Kaylen ◽  
Evgeny Andreev

2021 ◽  
Vol 30 ◽  
Author(s):  
Yi-Chun Liu ◽  
Vincent Chin-Hung Chen ◽  
Yao-Hsu Yang ◽  
Yi-Lung Chen ◽  
Michael Gossop

Abstract Aims Although the relationship between attention-deficit/hyperactivity disorder (ADHD) and transport accidents has been shown, there is limited information on the relationship between medication and dose–response effects and transport accident risk. This study aims to determine whether young people with ADHD, including adolescents, are more prone to transport accidents than those without, and the extent to which methylphenidate (MPH) prescription in these patients reduces the risk. Methods We identified 114 486 patients diagnosed with ADHD from Taiwan's National Health Insurance Research Database from 1997 to 2013. Using a Cox regression model, we compared the risk of transport accidents between ADHD and non-ADHD groups and estimated the effect of MPH on accidents. Furthermore, we applied a self-control case-series analysis to compare the risk of accidents during the medication periods with the same patients' non-medication periods. Results Male ADHD patients had a higher risk of transport accidents than non-ADHD individuals (adjusted hazard ratio [aHR] = 1.24, [95% confidence interval (CI) 1.10–1.39]), especially for those comorbid with epilepsy, oppositional defiant disorder/conduct disorder (ODD/CD), and intellectual disabilities (ID). Female ADHD patients showed no relationship, except for comorbid with autism spectrum disorder (ASD) or ID. We found a reduced risk of transport accidents in patients with ADHD with MPH medication than those without MPH, with a plausible dose–response relationship (aHR of 0.23 to 0.07). A similar pattern was found in self-controlled case-series analysis. Conclusions Male patients with ADHD, especially those comorbid with epilepsy, ODD/CD, or ID, were at high risk of transport accidents. Female patients, when comorbid with ASD or ID, also exhibited a higher risk of accidents. MPH treatment lowered the accident risk with a dose–response relationship.


Folia Medica ◽  
2020 ◽  
Vol 62 (1) ◽  
pp. 105-111 ◽  
Author(s):  
Alexandrina Nikova ◽  
Ivaylo Dimitrov ◽  
Theodossios Birbilis ◽  
Lora Zaharieva

Objective: Traumatic brain injury (TBI) due to transport accidents is a serious cause of death and disability. In every case, however, quick response and a proper health care are required.   Materials and methods: We collected 10-year data retrospectively from the laboratory of forensic science and toxicology in Montana, Bulgaria with the intention to show the importance of neurosurgical care in the traumatology and its connection to mortality rate.   Results: 124 cadavers were included with significant male predominance. The data analysis shows that the mortality rate at the hospitals without neurosurgical facilities and the mortality at the scene of the accident is the same for traffic brain injuries. Furthermore, we found that the age has no correlation with the mortality rate.   Conclusion: Road injuries are the most common type of brain injury. We believe that the outcome of these TBIs depends on the availability of a neurosurgical unit.


2021 ◽  
Vol 9 (4) ◽  
pp. 378-398
Author(s):  
Chunhua Chen ◽  
Haohua Liu ◽  
Lijun Tang ◽  
Jianwei Ren

Abstract DEA (data envelopment analysis) models can be divided into two groups: Radial DEA and non-radial DEA, and the latter has higher discriminatory power than the former. The range adjusted measure (RAM) is an effective and widely used non-radial DEA approach. However, to the best of our knowledge, there is no literature on the integer-valued super-efficiency RAM-DEA model, especially when undesirable outputs are included. We first propose an integer-valued RAM-DEA model with undesirable outputs and then extend this model to an integer-valued super-efficiency RAM-DEA model with undesirable outputs. Compared with other DEA models, the two novel models have many advantages: 1) They are non-oriented and non-radial DEA models, which enable decision makers to simultaneously and non-proportionally improve inputs and outputs; 2) They can handle integer-valued variables and undesirable outputs, so the results obtained are more reliable; 3) The results can be easily obtained as it is based on linear programming; 4) The integer-valued super-efficiency RAM-DEA model with undesirable outputs can be used to accurately rank efficient DMUs. The proposed models are applied to evaluate the efficiency of China’s regional transportation systems (RTSs) considering the number of transport accidents (an undesirable output). The results help decision makers improve the performance of inefficient RTSs and analyze the strengths of efficient RTSs.


Author(s):  
David Mataix‐Cols ◽  
Gustaf Brander ◽  
Zheng Chang ◽  
Henrik Larsson ◽  
Brian M. D'Onofrio ◽  
...  

2014 ◽  
Vol 71 (3) ◽  
pp. 319 ◽  
Author(s):  
Zheng Chang ◽  
Paul Lichtenstein ◽  
Brian M. D’Onofrio ◽  
Arvid Sjölander ◽  
Henrik Larsson

2020 ◽  
Vol 6 ◽  
pp. 237796082091963
Author(s):  
Neiliane M. Alencar ◽  
Daiane S. Mota ◽  
Flávia Emília Cavalcante Valença Fernandes ◽  
Rachel Mola

Objective The aim is to evaluate the trajectory of the victims of ground transportation accidents from the prehospital care to the hospital. Methods The sample consisted of 1,264 patients collected from the prehospital care, from June 2015 to June 2016. The trajectory was analyzed by the difference in the average time elapsed between the call and the hospital entrance. The Mann–Whitney and Kruskal–Wallis tests were used, adopting a significance level of 5% and 95% confidence. Results Patients had a mean age of 31.2 years, Glasgow Coma Scale of 14.8 points, and 24.8 days of hospitalization. It is characterized predominantly masculine, conductive of the vehicle, being the motorcycle prevalent; most of them wore a helmet/seat belt and no alcohol. The association between the average time of care and the characteristics related to the victim was significant: the use of the belt/helmet, alcoholism, and type of discharge and relative to the accident: area of occurrence, period of the week, shift of occurrence, type of prehospital care, and other party involved. Conclusion The characteristics related to ground transportation accident interfere in the time of prehospital care to the hospital, which can influence the prognosis.


There are good statistics for deaths in transport accidents, fires, and from accidents in the home in Great Britain, and considerable (but less comprehensive) information about injuries and material damage. Information about the causes of these events is much more scanty, and little is known about the long-term effects of accidental injury. The available data are reviewed and the nature, magnitude and frequency of various kinds of risks are analysed for different age groups and in relation to environmental and other factors. The contribution of ‘volun­tary’ actions (notably alcohol and smoking) is assessed. Finally, the extent to which both actual and perceived risk can be modified by education, engineering (modifying the design of roads, vehicles, aircraft, homes and fittings), and the enforcement of regulations and control systems is evaluated. While costs cannot easily be measured, false perceptions of risk can lead to wasteful investment, and education and information are essential if resources are to be deployed where they will do most good.


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