Forecasting of Road Accident in Kerala: A Case Study

2018 ◽  
Author(s):  
Christine Maria Sunny ◽  
S. Nithya ◽  
K.S. Sinshi ◽  
Vidya Vinodini M.D. ◽  
Aiswaria Lakshmi K.G. ◽  
...  
Keyword(s):  
Road Accident

Inveterate (42-year-old) Hip Dislocation Treated with Arthroplasty. A Case Study

2017 ◽  
Vol 19 (2) ◽  
pp. 175-182
Author(s):  
Tomasz Pitera ◽  
Grzegorz Guzik ◽  
Piotr Biega
Keyword(s):  
Hip Dislocation ◽  
Treatment Method ◽  
High Energy ◽  
Road Accident ◽  
Computed Tomography Images ◽  
Appropriate Treatment ◽  
Diagnostic Work ◽  
The Right ◽  
Work Up

Dislocation of the hip usually results from a high-energy injury sustained during a road accident. Inveterate dislocations persisting for many months or years are extremely rare. Selection of an appropriate treatment method is not easy and is always associated with the risk of serious complications. The present authors hope that a description of the course of diagnostic work-up and treatment of a patient in whom a hip dislocation persisted for 42 years will prove interesting and helpful for orthopaedists who may encounter such a case in their practice. The patient sustained a dislocation of the right hip in 1974. He did not agree to undergo reduction immediately after the injury. Initially, he experienced extremely severe pain and difficulty walking, but gradually learned to walk without crutches and even took up a job. The limb was considerably shortened with only minimal movement in the hip joint. The pelvic geometry was altered and spinal scoliosis developed. In the last several years, the patient experienced a significant increase in pain and a decrease in function that prevented him from walking unassisted. Following a thorough physical examination, and based on computed tomography images, the patient was qualified for hip arthroplasty. An analysis of the available literature prompted the present authors to use a cemented implant and not to use bone grafts. Early treatment outcomes are good.

scholarly journals Physiotherapeutic management of a patient after craniocerebral trauma in the intensive care unit - case study.

2020 ◽  
Vol 13 (4) ◽  
pp. 1-13
Author(s):  
Antonina Kaczorowska ◽  
Klaudia Kałuża
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Craniocerebral Trauma ◽  
Respiratory Muscles ◽  
Lung Ventilation ◽  
Road Accident ◽  
Craniocerebral Injuries ◽  
Comprehensive Therapy ◽  
Trauma Case

Introduction Craniocerebral injuries are one of the most common causes of mortality and disability in Poland. The treatment of patients who are in an intensive care unit is based primarily on stabilizing the patient’s general condition as well as basic duties according to the patient’s functioning. Aim The aim of this study is to demonstrate the importance of early rehabilitation and the role of physiotherapy in recovery after craniocerebral trauma. Case study The subject was an 18-year-old patient who suffered craniocerebral trauma as a result of a road accident. After losing consciousness, he was in the intensive care unit, where he was placed on a medical ventilator. A properly selected physiotherapeutic procedure was performed. Passive exercises, contracture correction and appropriate positioning were used. To prevent pressure sores, anti-bedsore prophylaxis was implemented. Respiratory therapy played a key role. The goal of respiratory physiotherapy was to improve respiratory function by maintaining proper lung ventilation, increasing chest and diaphragm mobility along with maintaining the efficiency of respiratory muscles, as well as stimulating effective coughing and evacuation of secretions. The NDT-Bobath concept was used as therapy for spastic tension. The goal of the therapy was to get rid of pathological movement patterns and replace them with physiological patterns. The PNF method, classical and lymphatic massage, polysensory stimulation and music therapy were also used. Conclusions Early and comprehensive rehabilitation in a patient after craniocerebral trauma is extremely important and determines therapeutic effectiveness. Comprehensive therapy and care are able to prevent a number of complications that threaten the patient as a result of immobilization.

USERS PREFERENCE AND PERCEPTION ON THE PEDESTRIAN CROSSING IN MALAYSIA: THE CASE OF AMPANG ROAD, KUALA LUMPUR

2013 ◽  
Vol 11 ◽  
Author(s):  
Oliver Ling Hoon Leh ◽  
Zamila Zamri ◽  
Mohd Zamreen Mohd Amin ◽  
Marlyana Azyyati Marzukhi
Keyword(s):  
Statistical Analysis ◽  
Elderly People ◽  
Questionnaire Survey ◽  
Road Accident ◽  
Kuala Lumpur ◽  
The Public ◽  
The Media ◽  
Pedestrian Crossing

The issue of road accident among pedestrian is highly emotional and raising a very strong interest within the public, and the media, mainly due to the victims are often children and elderly people. However, most of the pedestrians are lack in interest of using the pedestrian crossing. Thus, a study on the perception and preference of the pedestrian on the pedestrian crossing was being carried out in Ampang Road, Kuala Lumpur as a case study. The objectives of the study are to analyze pedestrians’ preference and perception on the various types of pedestrian crossing and to conclude findings and construct strategic recommendation based on the findings. The study has been carried out on three (3) types of pedestrian crossing in Ampang Road which are overhead crossing, underpass crossing and signalised crossing. This study involved with questionnaire survey on the total of 92 respondents, and on-site observation by researcher. Statistical analysis has been carried out, i.e. the frequency, mean and percentage. There are three (3) major findings in this study. The most chosen type of pedestrian crossing is the overhead crossing. However, the underpass crossing was given the best score in term of the quality of the pedestrian crossing (based on the respondents’ perception). Meanwhile, the signalised crossing is the most preferable type of crossing. The reasons and the explanation were discussed in the paper. The study is concluded with strategic recommendation for pedestrian crossing planning.

Safety Assessment of Two-Lane Highway using a Combined Proactive and Reactive Approach: Case Study from Indian National Highways

2019 ◽  
Vol 2673 (7) ◽  
pp. 709-721 ◽  
Author(s):  
Sudipa Chatterjee ◽  
Sudeshna Mitra
Keyword(s):  
Risk Factors ◽  
Road Safety ◽  
Safety Assessment ◽  
Safety Management ◽  
Road Accident ◽  
Risk Matrix ◽  
The Government ◽  
Road Safety Audit ◽  
Proactive Safety

In India, approximately 30% of road accident fatalities occur on two-lane rural roads. Thus research focused on identifying risk factors on this road type is of immense interest to most of the road agencies. Although these highways are more hazardous and account for more severe crashes, there is a lack of scientific safety assessment of such highways compared with multi-lane highways. Proactive approaches, such as road safety audit, have been widely adopted by the government of India to reduce crash frequency and severity on highways. However, an effective road safety management program should exercise an optimal balance between reactive and proactive strategies to identify potential hazards and treat already existing hazardous sites. Through a case study on two two-lane highways, several risk factors were identified using the principles of road safety audit, and were mapped with the available crash data analysis to develop a risk matrix. This risk matrix was found to be helpful in the selection of countermeasure design in a more scientific way, targeting the frequent crash types and severities expected to result at the high crash sites. Finally, it was observed that integrating the findings from reactive analysis with proactive safety management is more beneficial, since they are methodically proven with historical crash records and provide the knowledge of plausible safety hazards at sites where similar features exist. The proposed methodology could be adopted by road agencies in India and other developing countries for effective proactive safety planning.

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