Association between road safety habits and risky health behaviours in Latvian adult population

The study examined the road safety habits of the adult population of Latvia in relation to risky health behaviours (smoking, excessive alcohol consumption, no regular health check-ups at the family doctor). Data of Health Behaviour among the Latvian Adult Population for five consecutive surveys for the years 2010–2018 were analysed. Results: The use of seat belts has increased slightly – from 93.5% to 95.6% in the front seat of the vehicle, from 52.4% to 56.3% in the rear seat of the vehicle (p < 0,001). Of the 10,731 respondents, 30.8% (N = 3309; 95% CI 30.0–31.7) were daily smokers, 14.8% (N = 1593; 95% CI 14.2–15.5) had excessive alcohol consumption habits, 25.9% (N = 2779; 95% CI 25.1–26.7) had not visited their family doctor during the last year. Higher odds for seat belt use were observed among respondents without excessive alcohol consumption (OR = 2.1), non-smokers (OR = 1.5–1.8), and those, who had visited their family doctor last year (OR = 1.2–1.3). Multivariate regression analysis showed risky behaviour is an independent factor associated with road safety habits.

Electronic Systems Design for Driver Alertness

Automotive systems are getting more responsive and giving feedback to the driver and passengers with the help of electronic systems ensuring safety. As seen the growth towards electric mobility engineers are more indulged in electronic systems and presenting innovative ideas for future developments. The presented simulation model of an electronic system combines the engine coolant temperature sensor, oxygen sensor, and seat belt warning system. The system is proposed using TINKERCAD software and the software is designed through Arduino. The driver will be able to see the temperature of the coolant and also can find out whether the air and the fuel mixture is rich or lean as well as be alerted for wearing a seatbelt. Keywords: Engine Coolant Temperature Sensor, Oxygen Sensor, Seat Belt Warning System, Electronics System for Vehicle, Arduino, Software Design using Arduino, Passive Safety System.

Seat belt syndrome: a case report

Seat belt syndrome happens when a car meets an accident and person sitting in the car with seat belt on gets abdominal injuries typically, seat belt mark with intestinal injuries and factures of ribs and lumber spine. The abdominal injuries are usually intestinal perforations. Doctor seeing the motor vehicle accident must keep in mind seat belt syndrome while examining. As the traffic rules are getting enforced strictly in developing countries we are seeing seat belt syndrome cases in these countries more and more. We presented here a case of seat belt syndrome in 35 years old women.

Compulsory vaccination: Public benefit or individual’s right limitation

Mass vaccination and its controversial assessments have become key issues under the covid-19 pandemic. Outbreaks of diseases and popularity of anti-vaccination movements require a study of legal foundations for medical interventions and freedom restrictions which are considered as the result of serious risks to health and sanitary-epidemiological well-being of the population. The question is what should be prioritized - paternalistic powers of the state or individual rights and freedoms to decide what risks to take. In terms of responsibility distribution, people often consider vaccines as more dangerous than infectious diseases [17], which makes compulsory vaccination a legal phenomenon of particular importance. In the contemporary legislation, there are various national approaches to the individual autonomy and freedoms. In some countries, vaccination is directly linked to the possibility to study (USA), in others it is associated with public health (Australia), financial sanctions (Poland) or freedoms limitations (Pakistan). In terms of public health ethics, vaccination is similar to the use of seat-belts in cars, and compulsory vaccination policy is ethically justified by the same reasons as mandatory seat-belt laws [8]: at first, they were met with great opposition; later the use of seat belts acquired the significance of not only a legal but also a social norm precisely because it was made mandatory [1]. The similar approach is applicable to vaccination: the policy of compulsory vaccination can make it a social norm. However, in the legal perspective, compulsory vaccination is a compulsory medical intervention which raises the question about whether it is possible to limit individual rights and freedoms in the name of public health safety. The article considers contradictory issues in the state policy of compulsory vaccination and its legal support. The author presents a definition of compulsory vaccination, identifies its types, describes the specifics of its national legal regulation and sanctions for the refusal to be vaccinated, and explains its social necessity and expediency as a public good.

Identification of Factors Affecting Road Traffic Injuries Incidence and Severity in Southern Thailand Based on Accident Investigation Reports

Thailand has the second-highest rates of road traffic mortality globally. Detailed information on the combination of human, vehicle, and environmental risks giving rise to each incident is important for addressing risk factors holistically. This paper presents the result of forensic road traffic investigation reports in Thailand and determines risk factor patterns for road traffic injuries. Detailed forensic reports were extracted for 25 serious traffic accident events. The Haddon matrix was used to analyze risk factors in three phases stratified by four agents. The 25 events analyzed involved 407 victims and 47 vehicles. A total of 65.8% of victims were injured, including 14.5% who died. The majority (66.1%) of deaths occurred at the scene. Human-error-related factors included speeding and drowsiness. Passenger risks included not using the seat belt, sitting in the cargo area and the cab of pickups. Overloaded vehicles, unsafe car modifications, no occupant safety equipment and having unfixed seats were vehicular risks. Environmental risks included fixed objects on the roadside, no traffic lights, no guard rails, no traffic signs, and road accident black spots. At present, traffic accidents cause much avoidable severe injury and death. The outcome of this paper identifies a number of preventable risk factors for traffic injury, and importantly examines them in conjunction. Road traffic safety measures need to consider how human, vehicle, and environmental risks intersect to influence injury likelihood and severity. The Haddon matrix is useful in identifying these pre- and post-accident risk factors. Furthermore, the sustainable preventions of road traffic injury need to address these risks together with active law enforcement.

Knowledge and practices towards road safety measures among intern and resident doctors: a cross-sectional study

Background: In spite of ongoing commitment and efforts, road traffic accidents continue to be a leading cause of death and disabilities in India. Adequate knowledge on road safety measures among budding doctors can create awareness and provide preventive counselling to their clients. An attempt was made to assess the knowledge and practices about road safety measures among intern and resident doctors working in tertiary care setting.Methods: An institution based cross-sectional study was conducted among 168 young doctors of Jorhat Medical College, Jorhat, Assam.Results: Among the enrolled study participants 54% were intern and 46% were resident doctors. More than half of the participants were male. Knowledge on different, road signs among the young doctors ranges in between 68% to 99%. The dangerous effects of alcohol consumption while driving/riding were known to 93% of the participants. While riding two wheels, only 58% always use helmet with belt and 33% sometimes use mobile phone. Regarding exceed in speed limit in two wheels, 11 (17%) participants informed that they surpass the speed limit and among them 10 (26%) were males which was found to be statistically significant. Among four-wheelers, 48% always use seat belt and 49% sometimes use mobile phone while driving. During four-wheel driving, 21% participants were involved in occasional drinking/smoking and it was found significantly higher in males.Conclusions: The study revealed that in spite of having adequate knowledge about road safety measures, intern and resident doctors are poor in practicing which warrant motivational and counselling intervention.