scholarly journals The Effect of Ethyl Alcohol upon Pedestrian Trauma Sustained in Traffic Crashes

Author(s):  
Witold Pawłowski ◽  
Dorota Lasota ◽  
Mariusz Goniewicz ◽  
Patryk Rzońca ◽  
Krzysztof Goniewicz ◽  
...  

Introduction: Every year more than 1.2 million people worldwide die due to trauma sustained in road crashes, with an additional number of people injured exceeding 50 million. To a large extent, this applies to so called “unprotected road users”, including pedestrians. The risk involved in a traffic crash for pedestrians can result from many factors, one of which is participation in road traffic when under the influence of alcohol. The aim of this study was to analyze the impact of alcohol use among pedestrians as unprotected road traffic participants, and the consequences of them being struck by motor vehicles. Material and methods: The source of data was the medical documentation of the Department of Forensic Medicine at the Medical University of Warsaw. The sample for this research consisted of 313 pedestrians who were victims of fatal road crashes resulting from a collision with a mechanical vehicle. The obtained results were subjected to statistical analysis using the STATISTICA version 12.5 program (StatSoft Polska, Cracow, Poland). Results: Male fatalities constituted the majority of the study sample. Nearly half of the fatal pedestrian victims were found to be under the influence of alcohol. The statistical analysis demonstrated a significant relationship between the gender and age of the victims, as well as between the place of the event, the place of death, the mechanism of the event, and the presence of alcohol in pedestrians. Conclusions: Among pedestrians, victims of road crashes who were under the influence of alcohol were predominantly drunk young males. Victims under the influence of alcohol were more likely to become fatalities in crashes where the mechanism of the incident was being struck by a passenger car, and when the place of the incident was a rural area, in these cases the rates of death directly at the scene were much more frequent. The eradication of alcohol consumption by all road users should be the overriding objective of all measures aimed at reducing the number of road crashes.

2019 ◽  
Vol 11 (11) ◽  
pp. 3176 ◽  
Author(s):  
António Lobo ◽  
Sara Ferreira ◽  
Isabel Iglesias ◽  
António Couto

Most previous studies show that inclement weather increases the risk of road users being involved in a traffic crash. However, some authors have demonstrated a little or even an opposite effect, observed both on crash frequency and severity. In urban roads, where a greater number of conflict points and heavier traffic represent a higher exposure to risk, the potential increase of crash risk caused by adverse weather deserves a special attention. This study investigates the impact of meteorological conditions on the frequency of road crashes in urban environment, using the city of Porto, Portugal as a case study. The weather effects were analyzed for different types of crashes: single-vehicle, multi-vehicle, property-damage-only, and injury crashes. The methodology is based on negative binomial and Poisson models with random parameters, considering the influence of daily precipitation and mean temperature, as well as the lagged effects of the precipitation accumulated during the previous month. The results show that rainy days are more prone to the occurrence of road crashes, although the past precipitation may attenuate such effect. Temperatures below 10 °C are associated with higher crash frequencies, complying with the impacts of precipitation in the context of the Portuguese climate characteristics.


2016 ◽  
Vol 26 (5) ◽  
pp. 13-19
Author(s):  
Birutė Strukčinskienė ◽  
Robert Bauer ◽  
Sigitas Griškonis ◽  
Vaiva Strukčinskaitė

The aim of the study was to examine the long-term trends in pedestrian mortality for children (aged 0 to 14 years) and young people (aged 15 to 19 years) over four decades in transitional Lithuania. Methods. Road traffic fatality data were obtained from Statistics Lithuania and the Archives of Health Information Centre. Trends were analysed by linear regression using “Independence” as a slopechanging intervention in 1991 and population as a further explanatory factor in structural time series models. Results. The impact of the interventions, along with the reforms and changes related with the Independence, on pedestrian fatality trends in our time series model was found highly statistically significant for children 0 to 14 years (p<0.001) and still significant for young people 15 to 19 years (p<0.05). No significant impact on the trend of road traffic deaths was found for the “control-groups” of non-pedestrian road users in the age group 0 to 14 years and adult pedestrians (over 19 years of age). For the age group 15 to 19 years the effect of reforms was also significant for non-pedestrians (p<0.05). These results indicate that the effect of measures and changes used in the post-independence period was more specific in children that participated in road traffic as pedestrians than in adult pedestrians, or in nonpedestrian road users. Conclusions. Pedestrian deaths in Lithuania fell significantly in the age groups 0-14 and 15-19 years. A declining trend was found in road traffic fatalities and in pedestrian deaths in transitional Lithuania in the post-independence period. Socioeconomic and political transformations, systematic reforms in healthcare along with sustainable preventive measures may have contributed to this decrease. Targeted road safety measures were road traffic regulations, pedestrian education and environmentally based prevention measures. As child pedestrians are the most vulnerable group of road users, continued road safety education and promotion are recommended in order to maintain this trend, and to involve adult pedestrians in this development.


2002 ◽  
Vol 17 (3) ◽  
pp. 134-141 ◽  
Author(s):  
Eva M. Larsson ◽  
Niklas L. Mártensson ◽  
Kristina A.E. Alexanderson

AbstractIntroduction:Traffic crashes constitute a major, worldwide public-health problem that cause disabilities, life-long suffering, and huge economic losses. When a person is injured in a traffic crash, actions taken by bystanders often are of crucial importance. To perform first-aid actions in a correct manner, bystanders, often lay persons, need both the courage and the knowledge to do so. For preventive purposes, society spends large resources to inform and educate the public in order to enhance people's ability to take correct actions. However, there only is little information on the rate in a population of persons who have had first-aid training, have been bystanders at a traffic crash, on the actions taken by such persons, and on effects of first-aid training on patient care.Objective:The aim of this study was to acquire knowledge about: (1) the prevalence of first-aid training; (2) the incidence of being a bystander and of the first aid provided at traffic crashes and other emergencies; and (3) the impact of first-aid training on the risks people take in road traffic.Methods:A questionnaire was administered to 2,800 randomly selected persons aged 18–74 years.Results:The response rate was 67.5%. During the previous five years, 39% of the population had received first-aid training, with a higher rate among younger individuals and those with a higher education. After training, 30% of the respondents had used their skills, and 41% took fewer risks in traffic, particularly those who were older or had a lower level of education. Fourteen percent of those with training (significantly more men) had been bystanders at a traffic crash. At 20% of the crashes, a bystander had administered first aid, and one-third of those who provided such assistance had had use of their training. Conclusion: Intensified first-aid training of the general public could lead to citizens who are more cautious in traffic and to bystanders who provide more immediate and adequate first aid at traffic crashes and other emergencies.


2018 ◽  
Vol 9 (2) ◽  
pp. 46-56
Author(s):  
Funsho Idowu Obakemi

Abstract Road traffic safety among socioeconomic issues has become the major concern across the globe due to rise in road crashes attributed largely to human factor. This study tends to address attitudinal behavior of road users towards road ethics in Ilorin metropolis-Nigeria; covering both driver and motorcyclists and perception of motorists on road traffic enforcement agent. Questionnaire was employed as survey tools. Ordered logistic model were used to analyse the data on attitude of motorists and road traffic laws enforcement agents. About 87% of the 440 administered questionnaire were returned valid. A 3-model analysis was carried out and the findings showed that the attitude of the motorists, road traffic law enforcement agents and demographical index (gender, age and education) correlated with, and influence compliance with road traffic laws.


2019 ◽  
Vol 1 (2) ◽  
pp. 119
Author(s):  
Firman Widyaputra*

The condition of transportation as one of the pillars of the movement of people from one place to another safely, comfortably, quickly, cheaply in accordance with the environment, with the increasing growth rate of motor vehicles (four-wheeled and two-wheeled) is not balanced with the physical road, so that more dense road transportation, especially in the city, with the socio-economic development of the community will affect parents who provide concessions to their children who have not met the age of driving a motor vehicle, especially two wheels. Thus it will affect the road traffic and will result in the occurrence of violations and accidents. The approach to be used is a normative juridical approach or statutory approach, namely research that examines laws relating to road traffic and transportation in accordance with Law No. 22/2009 concerning Traffic and Road Transportation. In addition to this approach, the authors also carried out a sociological approach which can empirically be known symptoms of changes in  community behavior towards social development in society related  to road users in Malang. Existence in legislation relating to road users in traffic  can  be obeyed  and minimize the occurrence  of violations, crime, safety and comfort, and accidents. Thus the violation of the law will be reduced and order will be well realized. 


2021 ◽  
Vol 10 (4) ◽  
pp. 127-132
Author(s):  
V.V. Shapovalov (Jr.) ◽  
V.A. Shapovalova ◽  
V.V. Shapovalov

Background. Around the world, drug-related road traffic accidents are one of the leading causes of injury and death among road users. Traffic safety is a system that includes the following components: a person – a person's health condition – the use of dangerous drugs of different classification and legal groups – adverse drug reactions – a vehicle – a road. The share of road traffic accidents under the influence of drugs is more than 75 %, they are also the most socially dangerous, because they have grave consequences, cause irreparable harm to the health and death of the victims. The purpose of the study was to analyze the achievements of forensic and pharmaceutical researches in Ukraine on the impact of drugs on the safety, life and health of road users within the framework of the organization of pharmaceutical business, drug technology, pharmaceutical and medical law in a retrospective aspect. Materials and methods. The materials of the imperative research were legislative, regulatory and legal documents; materials of the formation of the scientific school of forensic pharmacy; scientific publications on the topic of the article; Internet resources, sources of scientific literature. To achieve the set goals, the methods of forensic and pharmaceutical, regulatory, documentary, bibliographic, comparative, historical and graphic analysis were used. Results. The experience of the countries of the world in the prophylaxis and prevention of road traffic accidents under the influence of drugs was analyzed. The causes and conditions for the occurrence and consequences of road traffic accidents are multifactorial in nature and are associated with the victims (driver - pedestrian), vehicle, road conditions, and the use of psychoactive drugs. A system of organizational, regulatory and preventive measures has been developed to provide first medical aid to victims of a road traffic accident. Shown that there is a need for scientifically grounded organizational and legal, clinical and pharmacological, forensic pharmaceutical and socio-economic studies on causal relationships between adverse reactions due to the use of drugs of various classification and legal groups, traffic safety and road traffic accidents. For the first time in Ukraine, a mathematical model was proposed to establish the effect of psychoactive drugs on the driver's condition when driving a vehicle, depending on the calculation of the stopping path of the car in accordance with the selected speed and a decrease in the driver's response. The structure of road traffic accidents under the influence of psychoactive drugs has been investigated. Conclusions. A classification of first-aid kits for providing first medical aid to victims of road traffic accidents was proposed, which made it possible to substantiate the need to improve them both in qualitative and quantitative composition, depending on the type of vehicle and the likelihood of an accident with serious consequences. Recommendations were proposed for providing information on the possibility of obtaining medical care and the signal-calling system on the roads, marking the packages of psychoactive drugs with a special mark in the form of a red triangle. The need for further forensic pharmaceutical research has been proven.


Author(s):  
Dorota Lasota ◽  
Ahmed Al-Wathinani ◽  
Paweł Krajewski ◽  
Krzysztof Goniewicz ◽  
Witold Pawłowski

According to the World Health Organization (WHO), more than half of all road fatalities involve vulnerable road users, i.e., pedestrians, cyclists, and motorcyclists. Poland is classified as one of the European Union (EU) countries marked by low road safety, with a higher frequency of accidents involving pedestrians compared to other EU countries (31% of all fatalities). Among unprotected road users, a significant group of victims are pedestrians, who are often under the influence of alcohol. This study aims to analyze the impact of alcohol on the risk of occurrence and consequences of road accidents among pedestrians. The source of data was the medical documentation of the Department of Forensic Medicine of the Medical University of Warsaw. In more than half of pedestrian deaths, the presence of alcohol was found; regardless of the place of the event and the place of death, among the victims under the influence of alcohol, males dominated; the average age of the victims under the influence of alcohol was significantly lower compared to the average age of sober victims, with younger victims being significantly more likely to die at the scene of the accident, especially in rural areas; significantly higher alcohol concentrations were found in males, in victims who died at the scene of the accident, and with victims of accidents in rural areas. Among pedestrian traffic accident fatalities, the most numerous group comprised young men under the influence of alcohol. In rural areas, a higher percentage of pedestrian victims died at the scene as a result of excessive alcohol consumption. These areas should be subject to intensive preventive measures to increase the safety of pedestrians as unprotected road users.


Author(s):  
Гюльнар Нуру Гаджиева

The purpose is to study the impact of motor vehicles passing through the city on human health and the environment and to develop an action plan to prevent negative processes in the city of Sumgait. Materials and methods. The negative impact of motor vehicles on the environment was studied using GIS technologies, historical and geographical, mathematical-statistical, comparative, observation, systematic analysis and other methods. Results and discussion. The article calculates the length of existing roads in Sumgait, the number of motor vehicles (cars, trucks and buses) passing through the city during the year, the amount of waste each of them emits to the surrounding areas, especially to the atmosphere. In addition, their impact on soil and vegetation, as well as on human health, has been studied. The results were analysed and compared with the established sanitary standards for their exceedance. Statistical characteristics of the level of pollution have been calculated. The analysis of the data obtained from the measurements led to conclusions about the insufficient effectiveness of structures that reduce the level of pollution only at distances of 100 and 150 m from the sources. Conclusion. In the considered areas, it is necessary to take measures to protect the population from road traffic pollution. In these measures, special attention was paid to creating favourable conditions for people to live in a cleaner environment.


Author(s):  
Alexander Kolin ◽  
S. E. Silantyev ◽  
Petr Rogov ◽  
M. E. Gnenik

The paper presents the results of using the simulation model estimating the fuel consumption of a light commercial vehicle in road traffic cycles; virtual tests are performed. The impact analysis of the motor vehicle design parameters on fuel consumption in NEDC and WLTC cycles is conducted. Numerical values of average fuel consumption are obtained for variation of the main parameters of the structure in NEDC and WLTC cycles. Energy distribution is shown during the motion of category N1 light commercial vehicle.


2018 ◽  
Vol 47 (3) ◽  
pp. 49-78 ◽  
Author(s):  
Nurul Hidayah Binti Muslim ◽  
Arezou Shafaghat ◽  
Ali Keyvanfar ◽  
Mohammad Ismail

Interactions between road users, motor vehicles, and environment affect to driver’s travel behavior; however, frailer of proper interaction may lead to ever-increasing road crashes, injuries and fatalities. The current study has generated the green driver concept to evaluate the incorporation of green driver to negative outcomes reduction of road transportation. The study aimed to identify the green driver’s behaviors affecting safe traveling by engaging two research phases. Phase one was to identify the safe driving behaviors using Systematic literature review and Content Analysis methods. Phase one identified twenty-four (24) sub-factors under reckless driving behaviors cluster, and nineteen (19) sub-factors under safe driving practice cluster. Second phase was to establish the actual weight value of the sub-factors using Grounded Group Decision Making (GGDM) and Value Assignment (VA) methods, in order to determine the value impact of each sub-factor to green driving. Phase two resulted that sub-factors Exceeding speed limits (DB f2.2.) and Driver’s cognitive and motor skills (SD f1.2.2.) have received highest actual values, 0.64 and 0.49, respectively; ranked as the High contributor grade. Contrary, the sub-factors Age cognitive decline (DB f1.2.) and Competitive attitude (DB f1.2.), and Avoid gear snatching (SD f1.1.4.) have the lowest actual values; and ranked in low-contribution grade. The rest of the sub-factors have ranked in medium-contribution grade. The research also found out drivers’ personalities (included, physical and psychological characteristics) remains unaccountable and non-measureable yet in driver travel behavior assessment models. The study outputs would be used in development of Green Driver Index Assessment Model.


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