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.

Haddon matrix analysis of medical preparedness for mass gathering music festivals

Beginning in the 1960s as a tool to disaggregate complicated auto injuries, the Haddon matrix has evolved into a modern method of analyzing complex public health challenges. Throughout the United States and internationally, music festivals have become a rapidly growing and increasingly complex area of mass gathering medicine. Given the austere environment and inherent challenges of providing medical care during a music festival, we utilized a modified Haddon matrix. The objective is to assess the relevant human, physical, and sociocultural factors that impact these festivals throughout the pre-event, event, and post-event time periods. This will ensure an all-hazards preparedness approach to the historically high incidence of traumatic injuries and polysubstance abuse, coupled with modern challenges such as infectious diseases and acts of intentional violence.

Controls at the starting point for preventing accidents in the road transport of dangerous products / Controles no ponto de partida para prevenção de acidentes no transporte rodoviário de produtos perigosos

This article discusses activities related to the prevention of road accidents with dangerous products that precede trips by tank truck drivers. The Brazilian normative framework (laws, decrees, and norms), the Haddon Matrix as a systemic prevention model, and the premises of the Olho Vivo nas Estradas Program of the Brazilian Chemical Industry Association constitute the conceptual bases of the research. The empirical approach consists of semi-structured interviews with drivers of a fuel distributor who travel along the BR-116. The results indicate that the company has training practices and disclosure of recent accidents. The workgroup dominates the normative knowledge and preventive procedures, being the main concern of the interviewees with the carelessness practiced by drivers who travel the roads in all types of vehicles (trucks, automobiles, motorcycles).

Improvement of the traffic safety system

Increase of the road safety is the main goal in the sphere of transport management. Authors state that the decision-making process should be based on the analysis of statistical data on the violations, traffic reasons of accidents and problem areas. Official statistics of the State Traffic Safety Inspectorate is used as an initial information. As a method to determine factors influencing the traffic safety, the so-called Haddon matrix was used. Efficiency of the proposed recommendations is analyzed from the viewpoint of their role in the process of ensuring safety and sustainability of the city transport system.

Improving road safety in small towns based on a systematic approach

Currently improving road safety is the priority task in the field of transport management. In our opinion, making management decisions to reduce the road accidents number and injuries rate should be based on a systematic approach to identifying the accidents’ causes and severity. This can be achieved using, among other things, the analysis of statistical data on violations and accidents in dynamics. A model so-called the Haddon Matrix was used as a method of preliminary identification of influencing factors and possible measures for their elimination. The statistical analysis results are presented a particular settlement. It was revealed that the city specifics, namely the residents’ number, motorization rate and the road network and infrastructure characteristics, are reflected in the factors affecting the level of accidents rate and, as a consequence, on the measures necessary to reduce it.

Phonogenic Voice Problems among Speech-Language Pathologists in Synchronous Telepractice: An Overview and Recommendations

Many speech-language pathologists (SLPs) recently adopted a live, synchronous online distribution of clinical services due to physical distancing measures aimed at bringing the coronavirus disease 2019 (COVID-19) outbreak under control. Few SLPs had received training in telepractice to prepare them for changes from an in-person service delivery model to synchronous telepractice. The new telepractice environment may alter vocal behaviors and communication interactions in such a way that negatively impacts voice production. Thus, delivering synchronous online clinical services may require that SLPs adopt novel prevention strategies for avoiding phonogenic voice problems. Guided by two complementary injury frameworks, the Haddon Matrix and the Haddon Countermeasures, this article provides an overview of potential factors associated with phonogenic voice problems among SLPs in telepractice and proposes possible prevention strategies to maintain optimal vocal health and function with synchronous modes of online clinical practice.