scholarly journals Road Traffic Accident and its Characteristics in Kathmandu Valley

2016 ◽  
Vol 55 (203) ◽  
pp. 01-06 ◽  
Author(s):  
Ling Huang ◽  
Krishna P Adhikary ◽  
Bishnu P Choulagai ◽  
Nanping Wang ◽  
Amod K Poudyal ◽  
...  
Keyword(s):  
Road Safety ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Brain Injuries ◽  
Road Traffic ◽  
Tissue Injury ◽  
Soft Tissue Injury ◽  
Kathmandu Valley ◽  
Male Victim ◽  
Secondary Sources

Introduction: Road traffic accident is alarming in Nepal. The objective of this research is to find out the characteristics of RTA in central part of Nepal.Methods: A prospective descriptive study was taken from 1 August 2014 to 31 July 2015. Data were collected from postmortem department and nine hospitals in Kathmandu Valley. Inventory sheets with targeted variables for secondary sources were created.Results: A total of 3461 morbidity cases from hospitals and 265 mortality cases from postmortem department were included in this study. The ratio of male victim to female was 2.3:1. Around 75% of victims were between 15-49 years old. Pedestrians were the most vulnerable (33%) followed by riders of motorized 2-3 wheelers. Two wheeler motorized vehicles were most frequently (67.2%)involved in RTAs. More RTA occurred on daytime, Saturdays, July and November. Around half of the victims did not arrive in hospitals in one hour. The most common injury type was soft tissue injury (37.6%), followed by open wound (20.9%), fracture (18%) and traumatic brain injuries (12.7%).Conclusions: According to the characteristic of RTA found in this study, following preventive measures are recommended Helmet was necessary for two wheeled backseat riders. Road safety education towards age group of 15-49 was compulsory. Precaution should neither be omitted regarding road safety on weekends, holidays, nor in rainy and festival season. Future studies could be focused on estimation of burden of disease caused by RTA and its determinants in Nepal.Keywords: injury; Nepal; road traffic accident; road safety. | PubMed

Epidemiology of Blindness From Facial Trauma: A Multi-Centre Nigerian Study

2021 ◽  
pp. 194338752110609
Author(s):  
Bamidele A. Famurewa ◽  
Fadekemi Olufunmilayo Oginni ◽  
Bolajoko A. Adewara ◽  
Benjamin Fomete ◽  
Chukwudi Aniagor ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Tissue Injury ◽  
Soft Tissue Injury ◽  
Facial Trauma ◽  
Globe Rupture ◽  
Tertiary Hospitals ◽  
Mechanism Of Trauma

Study Design This is a multi-centre retrospective study. Objective To determine the prevalence of blindness and pattern of facial trauma associated with blindness among Nigerians. Methods A multi-centre retrospective study of all patients with facial trauma resulting in blindness, that were co-managed by maxillofacial surgeons and ophthalmologists in 4 Nigerian public tertiary hospitals between January 2010 and December 2019 was undertaken. Data was analysed by IBM SPSS Statistics (version 21.0 for windows, IBM© Inc, Chicago, IL). Results Of 2070 patients who presented with major facial injuries during the study period, 61 eyes of 56 (2.7%) patients were blind. Blindness was bilateral and unilateral in 5 (8.9%) and 51 (92.1%) patients, respectively. The mean age (SD) at presentation was 36.2 (16.6) years, and 47 (83.9%) of these patients were males. Road traffic accident (n = 27; 48%) was the commonest mechanism of facial trauma, the cheek (n = 18; 40.9%) was the commonest site of associated soft tissue injury and zygomatic complex fracture (n = 19; 24.1%) was the commonest related fracture. Globe rupture (n = 34; 55.7%) was the leading cause of blindness. Enucleation (n = 7; 13.2%) and evisceration (n = 22; 41.5%) were performed on 29 eyes of which 12 (41.4%) patients had ocular prosthesis post-operatively. Conclusion Blindness was recorded in 2.7% of Nigerians with facial trauma. The commonest mechanism of trauma and cause of blindness in at least one eye were road traffic accident and globe rupture, respectively. Eye removal surgery was necessary in about half of the blind eyes.

scholarly journals EVALUATION OF RESULTS OF INTERNAL FIXATION OF CLOSED, DISPLACED, RECENT FRACTURE SHAFT OF HUMERUS BY MIPPO TECHNIQUE

2019 ◽  
Vol 3 (6) ◽  
Author(s):  
Alok Sobhan Datta ◽  
S. Velagada ◽  
A. Haque
Keyword(s):  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Tissue Injury ◽  
Soft Tissue Injury ◽  
High Energy ◽  
Time Interval ◽  
Shaft Fractures ◽  
Recent Fracture ◽  
Humerus Shaft

BACKGROUND: The humerus shaft fracture is the second most common fracture of the upper extremity. The predominant causes of humerus shaft fractures include low energy trauma such as fall from a standing height in older population, while in the younger population it is caused by high energy trauma. Aims and Objectives - To investigate the effectiveness of economical MIPPO technique and to determine the radiological and functional significance of MIPPO technique in the patients undergoing treatment for recent fracture shaft of humerus. MATERIALS AND METHODS: A prospective study had been carried out from December 2012 to August 2014 in the Orthopaedics Department of SSKM Hospital, Kolkata, West Bengal, India. Thirty three patients, who presented with fracture shaft of humerus and underwent fixation of humeral shaft fractures by MIPPO technique were included in this study. Complete history was taken and full clinical examination was carried out. RESULTS: The average age group in our study is 35.3 years. Of them 85% are male and 15% are female. In majority cases, mode of injury was road traffic accident. 85% cases had middle 1/3rd fracture shaft of humerus and the average time interval between the injury and surgery was 8.54 days. CONCLUSION: The results obtained in this study have shown that the MIPPO technique is safe, convenient and effective, since there was minimal soft tissue injury with no major complications. KEYWORDS: Minimally Invasive Percutaneous Plate Osteosynthesis (MIPPO); Road Traffic Accident (RTA).

scholarly journals Standard cross leg flap, still a work horse for compound fracture leg bones with extensive soft tissue damage: a case report

2016 ◽  
Vol 2 (3) ◽  
pp. 198
Author(s):  
Rajneesh Galwa ◽  
Pookhraj Choudhary ◽  
Ramratan Yadav
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Tissue Injury ◽  
Soft Tissue Injury ◽  
Compound Fracture ◽  
The Right ◽  
Leg Bones

<p><span lang="EN-IN">This case report presents a 32 year old male patient with h/o road traffic accident resulting in compound fracture of the right tibia and fibula with extensive soft tissue injury and exposed tibia of 12×5 cm. The fractures were stabilized with ext. fixator and exposed tibia was covered by a medially based standard Cross Leg flap of dimensions 16×12 cm, though the largest dimensions described for standard cross leg is 22×10 cm.</span></p>

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

scholarly journals Road Traffic Accident Analysis and Identification of Black Spot Locations on Highway

2020 ◽  
Vol 6 (12) ◽  
pp. 2448-2456
Author(s):  
Asad Iqbal ◽  
Zia Ur Rehman ◽  
Shahid Ali ◽  
Kaleem Ullah ◽  
Usman Ghani
Keyword(s):  
Road Safety ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Black Spot ◽  
Accident Analysis ◽  
Road Traffic Accidents ◽  
Contributing Factors ◽  
Black Spots

Road safety is the main problem in developing countries. Every year, millions of people die in road traffic accidents, resulting in huge losses of humankind and the economy. This study focuses on the road traffic accident analysis and identification of black spots on the Lahore-Islamabad Highway M-2. Official data of road traffic accidents were collected from National Highway and Highway Police (NH & MP) Pakistan. The data was digitized on MS Excel and Origin Pro. The accident Point weightage (APW) method was employed to identify the black spots and rank of the top ten black spots. The analysis shows that the trend of road traffic accidents on M-2 was characterized by a high rate of fatal accidents of 35.3%. Human errors account for 66.8% as the major contributing factors in road traffic accidents, while vehicle errors (25.6%) and environmental factors (7.6%) were secondary and tertiary contributing factors. The main causes of road traffic accidents were the dozing on the wheel (27.9%), the careless driving (24.6%), tyre burst (11.7%), and the brakes failure (7.4%). Kallar Kahar (Salt Range) was identified as a black spot (223 km, 224 km, 225 km, 229 km, and 234 km) due to vehicle brake failure. The human error was a major contributory factor in road traffic accidents, therefore public awareness campaign on road safety is inevitable and use of the dozen alarm to overcome dozing on the wheel. Doi: 10.28991/cej-2020-03091629 Full Text: PDF

Spatial analysis of road traffic accident hotspots: evaluation and validation of recent approaches using road safety audit

2019 ◽  
pp. 1-30 ◽  
Author(s):  
El-Said Mamdouh Mahmoud Zahran ◽  
Soon Jiann Tan ◽  
Eng Hie Angel Tan ◽  
Nurul Amirah 'Atiqah Binti Mohamad 'Asri Putra ◽  
Yok Hoe Yap ◽  
...  
Keyword(s):  
Spatial Analysis ◽  
Road Safety ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Road Safety Audit

scholarly journals A study on victims of road traffic accidents attending casualty in a tertiary care hospital, Khammam

2018 ◽  
Vol 5 (7) ◽  
pp. 3034 ◽  
Author(s):  
Rajesh Neeluri ◽  
Venkata Suresh Anga
Keyword(s):  
Road Safety ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Tertiary Care ◽  
Status Report ◽  
Care Hospital ◽  
Road Traffic Accidents ◽  
Cross Sectional

Background: As per global status report on road safety 2015, 1.25 million road traffic deaths occurred every year. Most common cause of death among those aged 15-29 years was road traffic accidents. The objectives of the study were to study the socio-demographic profile of the victims of road traffic accidents, to identify the risk factors responsible for road traffic accidents and to identify the various presenting injuries of road traffic accident victims.Methods: It was a Hospital based cross sectional study. Victims of road traffic accidents attending casualty during July 2011 – June 2012 were studied. A pretested semi structured questionnaire was administered. A total of 280 road traffic accident victims were interviewed during the study period. Data was entered in Microsoft excel sheet and analyzed using Statistical Package for Social Sciences (SPSS) version 20. Results were expressed as proportions for different study variables.Results: Out of the 280 victims, majority 206 (73.57%) of study participants were males. The highest numbers of victims (34.20%) were between 21-30 years of age group. 40.71% were using two wheelers. Most of the accidents took place in the evening (6 pm to 12 am) i.e. 39.10%. Most common site of presenting injury was lower limb (40.71%). In this study 22.5% were under influence of alcohol while driving.Conclusions: Road traffic accidents were more in young age groups and in males. Road safety education should be promoted.

scholarly journals KNOWLEDGE DISCOVERY FROM ROAD TRAFFIC ACCIDENT DATA IN ETHIOPIA: DATA QUALITY, ENSEMBLING AND TREND ANALYSIS FOR IMPROVING ROAD SAFETY

2012 ◽  
Vol 22 (3) ◽  
pp. 215-244 ◽  
Author(s):  
Tibebe Beshah ◽  
Dejene Ejigu ◽  
Ajith Abraham ◽  
Pavel Krömer ◽  
Václav Snášel
Keyword(s):  
Data Quality ◽  
Knowledge Discovery ◽  
Trend Analysis ◽  
Road Safety ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Accident Data

scholarly journals Evaluation of various GIS-based methods for the analysis of road traffic accident hotspot

2019 ◽  
Vol 258 ◽  
pp. 03008 ◽  
Author(s):  
M. M. ZahranEl-Said ◽  
Tan Soon Jiann ◽  
Nurul Amirah ’Atiqah Binti Mohamad ’Asri Putra ◽  
Eng Hie Angel Tan ◽  
Yok Hoe Yap ◽  
...  
Keyword(s):  
Density Estimation ◽  
Road Safety ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Kernel Density ◽  
Hotspot Analysis ◽  
The West ◽  
The Comparative Study ◽  
Road Safety Audits

In order to establish objective criteria for road traffic accident (RTA) hotspots, this paper examines the application of three different hotspot analysis methods to both identify and rank the RTA hotspots. The three methods selected are the network Kernel Density Estimation (KDE+) method, the Getis-Ord GI* method, and a recently proposed risk-based method that accounts for RTA frequency, severity and socioeconomic costs - STAA method. The study road, Jalan Tutong, is a major dual-carriageway connecting major residential and commercial areas from the west of Brunei-Muara district and beyond to the capital, Bandar Seri Begawan. The RTA data consists of cases reported to the police during a 5-year period from 2012 to 2016. The RTA data were digitised and prepared, before being imported into ESRI ArcGIS 10.2 software for analysis using each of these methods. The outcomes, particularly the location, extent and priority of the RTA hotspots, are subsequently compared to results from road safety audits, in order to determine the relative merits and drawbacks of each method. The findings from the comparative study would be useful to recommend the most suitable method to identify and rank the RTA hotspots for the study road.

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