scholarly journals Need for improving the health system preparedness for road traffic injuries in Nepal

2018 ◽  
Vol 8 (3) ◽  
pp. 735-737
Author(s):  
Brijesh Sathian ◽  
Puspa Raj Pant ◽  
Edwin Van Teijlingen ◽  
Indrajit Banerjee ◽  
Bedanta Roy
Keyword(s):  
Air Pollution ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Mass Transportation ◽  
Road Traffic Accidents ◽  
Traffic Crashes ◽  
Middle Income ◽  
Road Traffic Crashes ◽  
Middle Income Countries ◽  
Economic Progress

The growth of motorised and mass transportation has improved the lives and lifestyles of many. This economic progress has major drawbacks including: increased air pollution, road traffic crashes/injuries (RTCs/RTIs). Some papers may refer to Road Traffic Accidents or RTAs, but experts recommend the more appropriate to use RTIs. In recent decades the proportion of RTI to all deaths has declined in high-income countries whereas it has risen in many low- and middle-income countries.

scholarly journals Characteristics of Road Traffic Accident Cases Reported in a Tertiary Military Hospital

2020 ◽  
Vol 15 (2) ◽  
pp. 213-217
Author(s):  
Md Moshiur Rahman ◽  
Farzana Zafreen ◽  
Abu Noman Mohammed Mosleh Uddin
Keyword(s):  
Cause Of Death ◽  
Road Safety ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Military Hospital ◽  
Road Traffic Accidents ◽  
Traffic Crashes ◽  
Road Traffic Crashes

Introduction: Road traffic accidents (RTA) are the eighth leading cause of death globally, and the leading cause of death in Bangladesh. The road safety situation in Bangladesh has been deteriorating with increasing number of road accident deaths, largely as direct consequences of rapid growth in population, motorization, urbanization and lack of investment in road safety. Objectives: To describe the injury characteristics of road traffic accidents cases that reported at Combined Military Hospital (CMH), Dhaka. Materials and Methods: This descriptive cross-sectional hospital based study was conducted on all the RTA cases reported to medical inspection room CMH, Dhaka from 01 March to 30 June 2010. A total of 126 RTA victims irrespective of age and sex were included, data were collected by face to face interview using a pre-tested questionnaire. Results: A total of 126 road traffic accident victims both sexes were studied. The majority of the study subjects were men 103 (81.7%) and most of them were in 31-40 years group (27%), Muslims (98.41%) were the majority. In our study regarding educational qualification of RTA victims most of them were SSC qualified (44’4%) and primary level (15.1%). Military services holder (45.2%) was the majority of road traffic crash victims. Bus/Minibus (32.5%) was responsible for the majority of road traffic crashes and motor vehicle passengers (42.9%) were main victims. Laceration & cut injury were (38.1%) and multiple injury (18.3%) were the most common injury. Main roads (49.2%) were the commonest site of the accidents.  Regarding place of occurrence main roads 62 (49.2%) was the most common site and noon 41 (32.5%) was the most common time of occurrence of accidents. Conclusion: Road traffic crashes constitute a major public health problem in our setting and contribute significantly to unacceptably high morbidity and mortality. Urgent preventive measures targeting at reducing the occurrence of road traffic crashes is necessary to reduce the morbidity and mortality resulting from these injuries. Early recognition and prompt treatment of road traffic injuries is essential for optimal patient outcome. JAFMC Bangladesh. Vol 15, No 2 (December) 2019: 213-217

244 Traumatic Brain Injury Related Paediatric Mortality and Morbidity in Low- And Middle-Income Countries: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
S Bandyopadhyay ◽  
M Kawka ◽  
K Marks ◽  
G Richards ◽  
E Taylor ◽  
...  
Keyword(s):  
Systematic Review ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Meta Analysis ◽  
Road Traffic Accidents ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

Abstract Aim Three million cases of paediatric traumatic brain injury (pTBI) occur annually, the majority of which occur in low-and-middle-income countries (LMICs). However, there is a paucity of data on the outcomes of pTBI available. We aimed to systematically review and synthesise the reported morbidity and mortality from pTBI in the published literature about LMICs. Method A systematic review and meta-analysis were conducted. MEDLINE, EMBASE, Global Health, and Global Index Medicus were searched for relevant articles from January 2000 to May 2020. Observational or experimental studies on pTBI (individuals between the ages of 0 to 16 years) in LMICs were included. Morbidity data were descriptively analysed, and a random-effects model was used to pool mortality rates. PROSPERO ID: CRD42020171276. Results We included 145 studies from 38 countries representing 174073 patients with pTBI. Males were twice (95% CI: 1.6 – 2.4) as likely to have a pTBI than females. Where available, mild TBI represented ≥ 60% of all pTBI cases in most reports (n = 24/43, 56%). The commonest cited cause of pTBI was road traffic accidents (n = 16643/43083, 39%), followed by falls (n = 10927/43083, 25%). 4385 patients (n = 4385/18092, 24%) had a reduction from normal function on discharge. On average, there were 6.7 deaths per 100 cases of pTBI. Conclusions Only 38 LMICs have published data on the volume and burden of pTBI in their country. Limited data available suggests that young male children are at a high-risk of pTBIs in LMICs, particularly from road traffic accidents.

scholarly journals Assessment of Fatal Road Traffic Crashes in Turkey

2020 ◽  
Vol 10 (6) ◽  
pp. 733-737
Author(s):  
Ghassan Suleiman ◽  
Ahmad M. Dahamsheh ◽  
Murat Ergun
Keyword(s):  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Decision Makers ◽  
Coefficient Of Determination ◽  
Road Traffic Accidents ◽  
Heavy Vehicles ◽  
Traffic Crashes ◽  
Road Traffic Crashes ◽  
Right Of Way

In Turkey, thousands of people die in road traffic accidents and hundreds of thousands are injured every year. This study aims to quantify the fatal traffic accident problem in Turkey. Quantifying the scale of the problem will direct the attention of decision-makers and related authorities in Turkey to tackle the traffic accidents’ problem. To accomplish these objectives, accidents’ data from 2009 through 2019 were used. The characteristics of fatal traffic accidents were investigated and models were developed. The accuracy of the model’s performance was evaluated using Root Mean Square Error and the Coefficient of Determination. The results showed that about (9%) of total accidents have resulted in human casualties. The analysis revealed that mistakes of drivers and pedestrians caused 88% and 8% of the total accidents respectively. Drivers' mistakes included violations of the speed limit, right of way and maneuvering rules. The developed models showed a strong correlation between the numbers of injuries and vehicles’ km/year (R2 = 0.84). Finally, the number of casualties in the last two years, showed a decrease as a result of a drop in the mobility rate of heavy vehicles in addition to a slowdown in the growth rate of registered vehicles.

scholarly journals CHARACTERISTICS OF ROAD TRAFFIC ACCIDENTS CAUSES, INJURIES AND OUTCOMES ENCOUNTERED IN FAISALABAD BETWEEN 2016-2019

2020 ◽  
Vol 11 (4) ◽  
pp. 1-6
Author(s):  
Nazim Hayat ◽  
Samia Rasool Tabassum ◽  
Yasir Riaz Gillani ◽  
Nadia Bano ◽  
Irshad Ahmed ◽  
...  
Keyword(s):  
Emergency Medical Services ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Morbidity And Mortality ◽  
Medical Services ◽  
High Morbidity ◽  
Road Traffic Accidents ◽  
Traffic Crashes ◽  
Road Traffic Crashes ◽  
Emergency Medical

ABSTRACT BACKGROUND & OBJECTIVE: Road traffic accidents are the ninth leading cause of death worldwide, contributing significantly to global disease burden. Emergency Medical services(EMS) play a role in minimizing the morbidity and mortality. Our objective was to determine the characteristics of injury pattern and causes encountered in Road Traffic crashes (RTCs) managed by 1122 in Faisalabad Pakistan andto access the outcome of these accidents.  METHODOLOGY: All Road Traffic crashes and victims in Faisalabad city of Pakistan which were initially managed by Rescue 1122 between 2016 to 2019 were included in the study. Total sample size was 101995. It is descriptive cross-sectional study which includes patients of different ages, sex and motor-vehicles accidents having different injury sites. RESULTS: During the study period there were total 101995 RTCs victims to whom emergency medical services (EMS) were provided. Gender wise 80.73% male victims and 19.27% female victims. Major age groups were between 21-30 years (25.917%). The major risk factors of accidents were over-speeding (56.8%) followed by carelessness (18.32%), wrong turn (8.69%) , u-turn(5.84%) , one wheeling(0.008%), tyre burst (0.117%) and others(10.14%). The injuries frequently encountered are minor which accounts for (44.68%), Single fracture (23.25%), Multiple fracture (16.62%), Head injury (12.40%) and Spinal injury(3.03%). Outcome of RTCs in our study was alive & unstable (54.47%), alive & stable (44.7%) and dead (0.83%). CONCLUSION: This study showed that Road Traffic Accident are the major public health problem in our society and contributes markedly to high morbidity and mortality. Urgent Preventive measures including community education should be established to reduce the risk of their outcome.

scholarly journals The Epidemiology of Traumatic Brain Injury Due to Traffic Accidents in Latin America: A Narrative Review

2020 ◽  
Vol 11 (02) ◽  
pp. 287-290
Author(s):  
Jack Dunne ◽  
Gabriel Alexander Quiñones-Ossa ◽  
Ethne Grey Still ◽  
María N. Suarez ◽  
José A. González-Soto ◽  
...  
Keyword(s):  
Latin America ◽  
Traffic Accidents ◽  
Brain Injuries ◽  
Road Traffic ◽  
Narrative Review ◽  
Motor Vehicles ◽  
Road Traffic Accidents ◽  
Exclusion Criteria ◽  
Middle Income ◽  
Middle Income Countries

Abstract Objective Traumatic brain injuries (TBIs) are devastating injuries and represent a major cause of morbidity and mortality worldwide. Traffic accidents are one of the main causes, especially in low- and middle-income countries. The epidemiology of TBI due to road traffic in Latin America is not clearly documented. Methods A narrative review was conducted using PubMed, SCOPUS, and Google Scholar, looking for TBI studies in Latin America published between 2000 and 2018. Seventeen studies were found that met the inclusion and exclusion criteria. Results  It was found that TBI due to road traffic accidents (RTAs) is more frequent in males between the ages of 15 and 35 years, and patients in motor vehicles accounted for most cases, followed by pedestrians, motorcyclists, and cyclists. Conclusion Road traffic accidents is a common cause of TBI in Latin America. More studies and registries are needed to properly document the epidemiological profiles of TBI related to RTAs.

Positive Aspects of COVID 19 Pandemic: A Blessing in Disguis

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 187-191
Author(s):  
Anjankar Ashish P ◽  
Anjankar Vaibhav P ◽  
Anjankar Anil J ◽  
Kanyal Lata
Keyword(s):  
Air Pollution ◽  
Heart Attack ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Community Action ◽  
Crime Rates ◽  
Road Traffic Accidents ◽  
Positive Effects ◽  
Positive Side ◽  
The World

COVID 19 is undeniably one of the deadliest diseases that humanity has ever seen. It continues to affect the lives and livelihood of people appallingly across the world. Maximum discussions focus towards the apprehension of catching the infection, dwelling in homes, overpopulated nursing homes and shut down of all kinds. But, here let’s discuss the positive side of COVID 19 pandemic.As COVID 19 has spread its influence all over the world, affected countries have either announced lockdown or have implemented severe restrictions in their respective countries. Because of this, everyone dwells in their homes. Thus, exercising social distancing and functioning from home. All of the above is directed at restricting the transmission of coronavirus and expectantly ostracising the fatality from COVID 19. These transformations have also brought about some unanticipated emanations; some good things have come out of the pandemic as well. Positive effects of COVID 19 are seen on reduced road traffic, and road traffic accidents lowered levels of air pollution which has to lead to lowered heart attack rates and rejuvenating environment. Crime rates have fallen, and expenses are reduced in most places. Community action, communication amongst families, behaviour, sanitation, hygiene, online and distance education has positively impacted by COVID 19 pandemic. COVID 19 despite a bane for humans, can be thought of a boon for living beings. The habitats and elements have been purified with the stringent use of petrochemical products. To breathe fresh air and to consume purified water is a boon by itself. Now, it is time for humans to lead a caring life to every bounty bestowed on them by Nature. This thoughtful and considerate life will give hope for a healthy, stress-free life.

scholarly journals ASSESSMENT OF INJURIES IN ROAD TRAFFIC ACCIDENTS ADMITTED TO EMERGENCY DEPARTMENT OF GMCH, BETTIAH, WEST CHAMPARAN, BIHAR

2020 ◽  
Vol 4 (5) ◽  
Author(s):  
Arun Kumar Singh
Keyword(s):  
Emergency Department ◽  
Low Income ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Head Injuries ◽  
Health Sector ◽  
Road Traffic Accidents ◽  
Road Traffic Crashes ◽  
Pattern Of Injury ◽  
Traffic Rules

Majority of the world's fatalities on the roads occur in low-income and middle-income countries, even though these countries have approximately half of the world's vehicles. India is no exception and data showed that more than 1.3 lakh people died on Indian roads, giving India the dubious honour of topping the global list of fatalities from road crashes. Road traffic injuries have been neglected from the global health agenda for many years, despite being predictable and largely preventable. Evidence from many countries shows that dramatic successes in preventing road traffic crashes can be achieved through concerted efforts that involve, but are not limited to, the health sector. Hence based on above findings the present study was planned for Assessment of Injuries in Road Traffic Accidents Admitted to Emergency Department of GMCH, Bettiah, West Champaran, Bihar. The present study was planned in Department of Forensic Medicine, Government Medical College, Bettiah, West Champaran, Bihar, India from jan 2018 to Dec 2018.In the present study 20 cases suffered from the road traffic accidents were evaluated for the pattern of injury. A predesigned and pretested questionnaire especially designed for this purpose was used for interviewing the accident victims, either in the emergency itself or in the wards. In India, there are ample risk factors for RTAs to occur because of lack of proper infrastructural facilities, poor designs of roads, improper implementation of traffic rules and a high load of variety of vehicles on the roads.  Road traffic accidents with head injuries are much more common in young working males as compared to females and that to in those who were pedestrians and motor cyclists. The rate of incidence is higher in India because of bad traffic patterns and possibly the lack of awareness about traffic rules and also lack of good hospital services to our victims of RTAs. Keywords: Injuries, Road Traffic Accidents, Emergency Department, GMCH, Bettiah, West Champaran, Bihar, etc.  

scholarly journals Prevalence and Pattern of Road Traffic Accidents among Commercial Motorcyclists in the Central Tongu District, Ghana

2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Kennedy Diema Konlan ◽  
Abdul Razak Doat ◽  
Iddrisu Mohammed ◽  
Roberta Mensima Amoah ◽  
Joel Afram Saah ◽  
...  
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Head Injuries ◽  
World Health Organisation ◽  
Cross Sectional Study ◽  
World Health ◽  
Chi Square ◽  
Cross Sectional ◽  
Traffic Crashes ◽  
Road Traffic Crashes

Background. The World Health Organisation estimates that 1.35 million people die as a result of road traffic crashes. Motorcycles as a means of transport are increasingly becoming the preferred and easiest means of transportation for most people in developing countries despite the associated risk. This study determined the prevalence and pattern of motorcycle crashes in Adidome among commercial motorcyclists. Methods. A descriptive, cross-sectional study design was used as 114 commercial motorcyclists were recruited to respond to a pretested research questionnaire in the Adidome district of the Volta Region. Data were analyzed using SPSS, version 22.0. Data were presented as simple descriptive statistics. A chi-square relationship was determined using the demographic variables, and the history of accident at a 95% confidence interval with 0.05 was considered as statistically significant. Results. The prevalence of road traffic crashes at Adidome was 64.0%. Motorcyclists (74.0%) were reported to have been involved in crashes in the past one year prior to the study. Motorcyclists attributed the last accident to excessive speeding (31.5%) and bad roads (23.3%), this accident as a result of colliding with another motorcycle (50.7%), and slippery surfaces (24.7%). The majority (63.0%) of the respondents had an accident once. The consumption of alcohol was associated with the occurrence of an accident as 34.2% occurred among cyclists who drank alcohol, compared with 29.8% who did not (p<0.05). Conclusion. There should be strict implementation of current road traffic regulations of Ghana by the MTTD of the Ghana Police Service, and penalties should be awarded against anybody caught riding a motorcycle under the influence of alcohol. Helmet and other protective devices must be made compulsory for motorcycle riders to prevent injuries, especially head injuries, if an accident occurs.

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