scholarly journals Veitrafikkulykker knyttet til forskrivning av legemidler:En registerbasert kohortstudie,

2009 ◽  
Vol 18 (2) ◽  
Author(s):  
Anders Engeland ◽  
Jørgen G. Bramness ◽  
Jørg Mørland ◽  
Svetlana Skurtveit

Purpose: The aim of this study was to examine the risk of being involved in road traffic accidents as drivers among persons using prescribed medicines by utilizing data from population-based registries. The aim of the present paper was to focus on the methodology used in the study. Methods: All Norwegians aged 18-69 in April 2004 to September 2006 (3.1 million), were included in the study. Information on prescriptions, road accidents and emigrations/deaths was obtained from three different population-based registries. A total of 22,000 accidents were observed. The incidence of accidents in exposed and unexposed person-time was compared, by the standardized incidence ratio (SIR). Results: The risk of being involved in an accident was increased in persons exposed for prescribed medicines. The risk was markedly increased in persons exposed for natural opium alkaloids, benzodiazepine tranquillizers, benzodiazepine hypnotics and carisoprodol. A marginal increase or unchanged SIRs were found for NSAIDs, selective beta-2-adrenoreceptor agonists (anti-asthmatics), calcium receptor antagonists and penicillin. Conclusions: We have tested a method using different reference groups and different exposure periods to explore the association between drug use and involvement in traffic accidents. Using these methods, we have shown that exposure for prescribed opiates, benzodiazepines and carisoprodol increased the risk of being involved in an accident as driver. The findings confirm results from other studies. Further steps should be taken to reduce car driving under the influence of these drugs.

2018 ◽  
Vol 880 ◽  
pp. 177-182 ◽  
Author(s):  
Oana Victoria Oţăt ◽  
Ilie Dumitru ◽  
Victor Oţăt ◽  
Lucian Matei

The ever-growing demand for transportation and the need to carry both people and goods has led to increased congestions of road traffic networks. Subsequently, the main negative effect is the multiplication of serious road accidents. Of the total number of serious road accidents, a significant increase has been registered among cyclists, with 13.9% in 2014 of total vehicles involved in traffic accidents, compared to 6.6% in 2010. The present paper underpins a close analysis of the kinematic and dynamic parameters in the event of a vehicle - bicycle – cyclist assembly – collision type. To study the vehicle-bicycle-collision type, we carried out a comparative analysis with regard to the distance the cyclist is thrown away following the collision, the speed variation of the vehicle and of the bicycle, and the speed variation in the cyclist’s head area, as well as the variation of the acceleration recorded on the vehicle, the bicycle and the cyclist’s head area. Hence, we modelled and simulated the vehicle – bicycle collision for two distinct instances, i.e. a frontal vehicle – rear bicycle collision and a frontal vehicle - frontal bicycle collision.


Author(s):  
Olasunkanmi Oriola Akinyemi ◽  
Hezekiah O Adeyemi ◽  
Olusegun Jinadu

Abstract Analysis of road traffic accidents revealed that most accidents are as a result of drivers’ errors. Over the years, active safety systems (ASS) were devised in vehicle to reduce the high level of road accidents, caused by human errors, leading to death and injuries. This study however evaluated the impacts of ASS inclusions into vehicles in Nigeria road transportation network. The objectives was to measure how ASS contributed to making driving safer and enhanced transport safety. Road accident data were collected, for a period of eleven years, from Lagos State Ministry of Economic Planning and Budget, Central Office of Statistics. Quantitative analysis of the retrospective accident was conducted by computing the proportion of yearly number of vehicles involved in road accident to the total number of vehicles for each year. Results of the analysis showed that the proportion of vehicles involved in road accidents decreased from 16 in 1996 to 0.89 in 2006, the injured persons reduced from 15.58 in 1998 to 0.3 in 2006 and the death rate diminished from 4.45 in 1998 to 0.1 in 2006. These represented 94.4 %, 95 % and 95 % improvement respectively on road traffic safety. It can therefore be concluded that the inclusions of ASS into design of modern vehicles had improved road safety in Nigeria automotive industry.


2020 ◽  
pp. 140-147

This article analyses the mortality caused by road accidents in Moldova depending on the degree of involvement of pedestrians, cyclists, motorcyclists, drivers and passengers of transport units, depending on age and sex. Results suggest that traffic-related mortality in Moldova has shown an increased incidence among the young and working-age population, where a significant difference between males and females is observed. Among the youth, traffic-related deaths register between 10-27% of the overall mortality in both sexes. The risk exposure of dying in a traffic accident decreases with age and is less significant in the retired ages. During the years 1998-2015, avoidance of trafficrelated deaths would have assured an increase in life expectancy between 0.40-0.56 years in males, and 0.09-0.23 years in females. The continuous increase in the number of transport units on public roads, as well as in the number of hours spent in traffic, influences the degree of exposure to the risk of death or injury as a result of road traffic accidents. Trauma resulting from road accidents increases the incidence of premature mortality and disability among the population, which is reflected by the decrease of healthy life expectancy. It is ascertained that the road accident mortality requires a detailed and comprehensive analysis given the multitude of factors influencing deaths and injuries related to a traffic accident among the population. Thus, in order to improve road safety and reduce mortality incidence among traffic participants, a range of actions has to be implemented by the liable actors, including through the international experience.


2018 ◽  
Vol 10 (4) ◽  
pp. 723-730
Author(s):  
Enayatollah Homaie Rad ◽  
Shahrokh Yousefzadeh-Chabok ◽  
Zahra Mohtasham-Amiri ◽  
Naeima Khodadadi-Hasankiadeh ◽  
Ali Davoudi-Kiakalayeh ◽  
...  

Abstract Driving in rain is very dangerous, and drivers seem not to drive properly whenever it rains. In such situations, the risk of driving increases on rainy days, especially after a prolonged dry period. This would be a problem for drivers steering on slippery roads. In this study, the effect of dry spells on road traffic accidents and resulting mortality in Rasht, Iran, located in the southern margin of the Caspian Sea, in a 3-yr period from 21 March 2014 to 19 March 2017 was examined using time series patterns. The results of the study showed that the first day after a dry spell had the greatest impact on road accidents and resulting injuries and deaths. It was also found that with increased length of a dry spell, the risk of accidents and related deaths and injuries rises.


2012 ◽  
Vol 7 (1) ◽  
pp. 6-9
Author(s):  
ASMJ Chowdhury ◽  
MS Alam ◽  
SK Biswas ◽  
RK Saha ◽  
AR Mondal ◽  
...  

Road traffic accidents in Bangladesh have been rapidly increasing with huge mortality through road accidents each year. There are many causes of road accidents in recent years; one important cause is running of locally made improvised three wheelers (flat bed tricycle) in the urban areas and also on the highways, popularly known as 'Nasimon' and 'Karimon'. This prospective study was carried out in Faridpur Medical College Hospital from January through June 2011, to study the accident patients caused by 'Nasimon' and 'Karimon'. Fifty six (12%) patients were of RTA by 'Nasimon' and 'Karimon' out of a total of 468 patients admitted into our hospital during this period. Most patients (41, 73.21%) were male, highest accidents (24, 42.86%) were observed among 21-30 years age group and most victims (33, 58.93%) were belonged to low socioeconomic status. Commonest (31, 55.36%) victims were passengers of 'Nasimon' and 'Karimon' while maximum number of accidents (46, 82.14%) took place in the urban areas and on the highways. Injury pattern of victims were similar to that found in any other road accident patients. These three wheelers 'Nasimon' and 'Karimon' are run in violating of Bangladesh Motor Vehicles Act (1983) as they are totally unfit for plying on the highways. Strict surveillance against these illegal and risky vehicles on the highways and in the urban areas by law enforcing agencies is required as a measure to reduce the burden of road accidents in our country.DOI: http://dx.doi.org/10.3329/fmcj.v7i1.10289Faridpur Med. Coll. J. 2012;7(1): 06-09


2019 ◽  
Vol 109 (4) ◽  
pp. 328-335
Author(s):  
B. K. Johannesdottir ◽  
U. Johannesdottir ◽  
T. Jonsson ◽  
S. H. Lund ◽  
B. Mogensen ◽  
...  

Background and Aims: Injuries involving major arteries are an important cause of mortality and morbidity, most often from road traffic accidents. Our aim was to study the outcome of major vascular trauma from traffic accidents in an entire population, including patients who die at the scene and those who reach hospital alive. Materials and Methods: This was a retrospective analysis of all patients who sustained major vascular trauma in traffic accidents in Iceland from 2000 to 2011. Patient demographics, mechanism, and location of vascular injury and treatment were registered. Injury scores were calculated and overall survival estimated. Results: There were 62 individuals (mean age 44 years, 79% males) with 95 major vascular traumas, giving an incidence of 1.69/100,000 inhabitants (95% confidence interval: 1.27–2.21). A total of 33 died at the scene and 8 during transportation to hospital but 21 (34%) reached hospital alive. Most patients who succumbed had thoracic major vascular traumas (76%) or abdominal major vascular traumas (23%). Mean new injury severity score for the 21 admitted patients was 44. A total of 18 were operated with vascular repair, 3 with endovascular stent graft insertion. The mean hospital stay for discharged patients was 34 days. Altogether, 15 of the 62 patients (24%) survived to discharge from hospital, with a 5-year survival of 86% for discharged patients. Conclusion: Every other patient with major vascular trauma following traffic accidents died at the scene and a further 13% died during transportation to hospital, most of whom sustained major vascular trauma to the thoracic aorta. However, one-third of the patients reached hospital alive and 71% of them survived to discharge, with excellent long-term survival.


2020 ◽  
Vol 9 (3) ◽  
pp. 417-421
Author(s):  
A. V. Baranov

Relevance. Most of the victims of road accidents die prior to the arrival of medical staff, therefore, providing first aid to injured people in the first minutes after receiving injuries is very important for saving human life and health. Timely and skillful provision of first aid to victims of road accidents prevents further deterioration of the state of the human body and can positively affect the entire process of its further treatment and rehabilitation.Aim of study. To characterize the delivery of first aid to victims of road traffic accidents at the present stage and to outline possible ways for its improvement.Material and methods. To achieve this goal, an analysis was made of the results of domestic and foreign scientific research and regulatory legal acts on the issue of providing first aid to victims of road accidents. The literature search was carried out in specialized scientific search engines eLibrary, PubMed, Scopus using the keywords: first aid, prehospital stage, road traffic injuries, road traffic accidents. For the analysis, scientific articles published between 1980 and 2020 were selected. Resources with outdated or inaccurate information were excluded, some scientific papers were found by links to articles. The state of the problem of providing first aid to victims of road traffic injuries, for the most part, reflects scientific publications over the past ten years.


2018 ◽  
Vol 35 (2) ◽  
pp. 107-111
Author(s):  
Shirin Saeidi

Driving Culture in Iran creatively explores the relationship between legalculture and citizenry formation in post-revolutionary Iran. Banakar focusseson driving customs and explanations for citizens’ disregard of trafficlaws, demonstrating that the exceptionally high rates of road accidents andlack of law abidance is due to the complex cultural and political climate. Themonograph argues that the state’s propaganda machine promotes revolutionaryzeal but in a context where people are penalized if they dissent (3). Consequently, dissension becomes a tool for control, setting into motionmultiple forms of internal conflict which are reflected in the way Iraniansrelate to one another as well as in increasing rates of road traffic accidents(4). The originality of the study rests in its exploration of political life atthe juncture of law and culture. Through his analysis of the unintendedcultural outcomes of the legal structure in Iran, Banakar contributes to ourunderstanding of citizenship formation in hybrid and religiously chargedregimes. In particular, the book illustrates how citizens’ distrust of the statecan have deadly consequences on Iran’s roads. The monograph will be ofinterest to academics and other professionals working on the Middle East,Islam, and from a multitude of disciplinary perspectives ...


Author(s):  
G. Janani ◽  
N. Ramya Devi

Road Traffic Accidents (RTAs) are a major public concern, resulting in an estimated 1.2 million deaths and 50 million injuries worldwide each year. In the developing world, RTAs are among the leading cause of death and injury. Most of the analysis of road accident uses data mining techniques which provide productive results. The analysis of the accident locations can help in identifying certain road accident features that make a road accident to occur frequently in the locations. Association rule mining is one of the popular data mining techniques that identify the correlation in various attributes of road accident. Data analysis has the capability to identify different reasons behind road accidents. In the existing system, k-means algorithm is applied to group the accident locations into three clusters. Then the association rule mining is used to characterize the locations. Most state of the art traffic management and information systems focus on data analysis and very few have been done in the sense of classification. So, the proposed system uses classification technique to predict the severity of the accident which will bring out the factors behind road accidents that occurred and a predictive model is constructed using fuzzy logic to predict the location wise accident frequency.


2019 ◽  
Vol 72 (4) ◽  
pp. 1013-1019
Author(s):  
Fernanda Penido Matozinhos ◽  
Ingrid Raiana Silverio ◽  
Juliana Guilherme Boaventura ◽  
Thaís Moreira Oliveira ◽  
Thales Philipe Rodrigues da Silva ◽  
...  

ABSTRACT Objective: to analyze the care flow for women victims of Road Traffic Accidents (RTA). Method: a descriptive study with 782 women victims of RAT, classified by the Manchester Triage System (MTS) between 2015 and 2016. The sociodemographic profile and the time between the stages of care were analyzed, as well as care place and outcomes. Results: of the women in the study, 65.47% were young adults, 80.44% lived without a partner and 62.28% lived in the city of Belo Horizonte. Regarding the time between recording and risk classification, the mean was 7.7 minutes (SD: 9.9). The prevalent flowchart was “Great Trauma” (62.92%). 53.07% had “Red/Orange” priority level and the most prevalent outcome was “Discharge after consultation/medication”. Conclusion: the study shows that the hospital partially fulfills the times recommended by the MTS. Analyzing the flow of women victims of RAT contributed to optimize the quality and efficiency of care.


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