International journal of environmental research and public health
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Int J Environ Res Public Health · Aug 2020
Comparative StudyA Comparative Study of Accident Risk Related to Speech-Based and Handheld Texting during a Sudden Braking Event in Urban Road Environments.
The use of mobile phones while driving is a very common phenomenon that has become one of the main causes of traffic accidents. Many studies on the effects of mobile phone use on accident risk have focused on conversation and texting; however, few studies have directly compared the impacts of speech-based texting and handheld texting on accident risk, especially during sudden braking events. This study aims to statistically model and quantify the effects of potential factors on accident risk associated with a sudden braking event in terms of the driving behavior characteristics of young drivers, the behavior of the lead vehicle (LV), and mobile phone distraction tasks (i.e., both speech-based and handheld texting). ⋯ The rear-end accident probability respectively increased by 2.41 and 2.77 times in the presence of simple and complex handheld texting while driving. Surprisingly, the effects of speech-based texting tasks were not significant, but the accident risk increased if drivers drove the vehicle with a shorter initial time headway or a higher LV deceleration rate. In summary, these findings suggest that the effects of mobile phone distraction tasks, driving behavior characteristics, and the behavior of the LV should be taken into consideration when developing algorithms for forward collision warning systems.
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Int J Environ Res Public Health · Aug 2020
Comparative StudyAn Examination on the Transmission of COVID-19 and the Effect of Response Strategies: A Comparative Analysis.
The major purpose of this paper was to examine the transmission of COVID-19 and the associated factors that affect the transmission. A qualitative analysis was conducted by comparing the COVID-19 transmission of six countries: China, Korea, Japan, Italy, the USA, and Brazil. This paper attempted to examine the mitigation effectiveness for the transmission of COVID-19 and the pandemic severity. ⋯ Based on the mitigation effectiveness, the pandemic severity, and the mortality rate, the six sample countries were categorized into four types: high mitigation effectiveness vs. low pandemic severity, middle mitigation effectiveness vs. low pandemic severity, high mitigation effectiveness vs. high pandemic severity, and low mitigation effectiveness vs. high pandemic severity. The results found that Korea and China had relatively higher mitigation effectiveness and lower pandemic severity, while the USA and Brazil had the opposite. This paper suggests that viral testing together with contacts tracing, strict implementation of lockdown, and public cooperation play important roles in achieving a reduction in COVID-19 transmission.
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Int J Environ Res Public Health · Aug 2020
Multicenter StudyThe Burnout Syndrome in Medical Academia: Psychometric Properties of the Serbian Version of the Maslach Burnout Inventory-Educators Survey.
The aim of this study was to assess the psychometric properties of the Maslach Burnout Inventory-Educators Survey (MBI-ES). The presence of burnout syndrome, its relationship with personality traits, intention to change career and work abroad were assessed in a cross-sectional multi-center trial conducted among educators at three medical faculties in the Western Balkans during 2019. Translation and cultural adaptation were made based on internationally accepted principles. ⋯ Emotional exhaustion and depersonalization in a multivariate regression model were significantly associated with intentions to change career and work abroad (p < 0.05). The present study provided evidence for the appropriate metric properties of the Serbian version of MBI-ES. Presence of burnout syndrome, which was identified as a common problem in medical academia, and directly linked to personality traits, affected intention to career change and work abroad.
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Int J Environ Res Public Health · Aug 2020
Excess Deaths and Hospital Admissions for COVID-19 Due to a Late Implementation of the Lockdown in Italy.
In Italy, the COVID-19 epidemic curve started to flatten when the health system had already exceeded its capacity, raising concerns that the lockdown was indeed delayed. The aim of this study was to evaluate the health effects of late implementation of the lockdown in Italy. Using national data on the daily number of COVID-19 cases, we first estimated the effect of the lockdown, employing an interrupted time series analysis. ⋯ Finally, we compared results under the actual and counterfactual scenarios. An early implementation of the lockdown would have avoided about 126,000 COVID-19 cases, 54,700 non-ICU admissions, 15,600 ICU admissions, and 12,800 deaths, corresponding to 60% (95%CI: 55% to 64%), 52% (95%CI: 46% to 57%), 48% (95%CI: 42% to 53%), and 44% (95%CI: 38% to 50%) reduction, respectively. We found that the late implementation of the lockdown in Italy was responsible for a substantial proportion of hospital admissions and deaths associated with the COVID-19 pandemic.
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Int J Environ Res Public Health · Aug 2020
ReviewWinter Is Coming: A Southern Hemisphere Perspective of the Environmental Drivers of SARS-CoV-2 and the Potential Seasonality of COVID-19.
SARS-CoV-2 virus infections in humans were first reported in December 2019, the boreal winter. The resulting COVID-19 pandemic was declared by the WHO in March 2020. By July 2020, COVID-19 was present in 213 countries and territories, with over 12 million confirmed cases and over half a million attributed deaths. ⋯ We explore why research to date has failed to show convincing evidence for environmental modulation of COVID-19, and discuss directions for future research. We conclude that the evidence thus far suggests a weak modulation effect, currently overwhelmed by the scale and rate of the spread of COVID-19. Seasonally modulated transmission, if it exists, will be more evident in 2021 and subsequent years.