Accident; analysis and prevention
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While belt usage among rear-seat passengers is disproportionately lower than their front-seat counterpart, this may have serious consequences in the event of a crash not only for the unbelted rear-seat passenger but also for the front-seat passengers as well. To quantify that effect, the objective of the study is to evaluate the increased likelihood of driver fatality in the presence of unrestrained rear-seat passengers in a severe frontal collision. U. ⋯ Results using multivariate logistic regression analysis indicated that the odds of a belt restrained driver sustaining a fatal injury was 137% (95% CI=95%, 189%) higher when the passenger behind the driver was unbelted in comparison to a belted case while the effects of driver age, sex, speed limit, vehicle body type, airbag deployment and driver ejection were controlled in the model. The likelihood of driver fatality due to an unrestrained rear left passenger increased further (119-197%) in the presence of additional unrestrained rear seat passengers in the rear middle or right seats. The results from the study highlight the fact that future advances to front row passive safety systems (e.g. multi-stage airbag deployment) must be adapted to take into account the effect of unrestrained rear-seat passengers.
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The number of pedestrians who have died as a result of being hit by vehicles has increased in recent years, in addition to vehicle passenger deaths. Many pedestrians who were involved in road traffic accident died as a result of the driver leaving the pedestrian who was struck unattended at the scene of the accident. ⋯ The results from the estimated model indicate that fatal accidents, unclear weather, nighttime conditions, and straight and flat road sections without medians and junctions significantly increase the likelihood that the vehicle driver will leave the scene after hitting a pedestrian. Thus, integrating median separation and speed humps into road design and construction and installing street lights will help to curb the problem of pedestrian hit-and-run accidents in Ghana.
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Multicenter Study
Self-efficacy of first aid for home accidents among parents with 0- to 4-year-old children at a metropolitan community health center in Taiwan.
Although accidental injury is the main factor involved in the death of young children in many countries, few studies have focused on parents' competence with regard to self-efficacy of first aid for their children following injuries occurring at home. The purpose of this cross-sectional study was to investigate parental self-sufficiency of first aid for home accidents in children aged 0-4 years. The study is a cross-sectional designed. ⋯ Knowledge of first aid is also a partly mediator between participants' attending first aid program, participants' first aid information obtained from health personnel and self-efficacy of first aid. Our findings suggest that medical services should provide first aid resources to help manage accidental injuries involving children, particularly information on how to deal with choking and CPR. With an appropriate program provided by health professionals, parents' self-efficacy of first aid for home accidents will be positively enhanced.
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This article presents the results of an evaluation of the speed camera program implemented in France in November 2003. The effects of this program on traffic casualties were estimated using interrupted time-series analyses. ⋯ Results of the study reveal significant decreases in both fatal and non-fatal traffic injuries on the whole road network following deployment of the speed camera program. The fatality rate per 100,000 vehicles fell by 21% whereas the decrease in non-fatal traffic injuries displayed a decay function: a 26.2% reduction was recorded in the first month but dropped to 0.8% for the last observation of the series.
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Bicycles held an important position in transportation of China and other developing countries. As accidents rate involving electronic and regular bicycles is increasing, the severity of the bicycle safety problem should be paid more attention to. The current research explored the effect of sunshields (a kind of affordable traffic facility built on stop line of non-motor vehicle lanes (According to National Standard in China, e-bikes share the non-motor vehicle lane with regular bikes.) which was undertaken to avoid riders suffering from sunlight and high temperature) on diminishing red light running behavior of cyclists and e-bike riders. ⋯ To sum up, it is concluded that sunshields installed at intersections can reduce the likelihood of red light infringement of cyclists and e-bike riders on both sunny and cloudy days. For those areas or countries with a torrid climate, sunshield might be a recommended facility which offers an affordable way to improve the safety of cyclists and e-bike riders at intersections. Limitations of the current sunshield design and current study are also discussed.