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[Risk factors in traffic accidents].

Traffic accidents, which influence to every age group people, are an important public health. This study to determine which condition it has happened more, which days, months and years it has happened, what things have caused to happen traffic accidents. The study was made in Erciyes University Medical School Emergency Department. 31,550 patients applied to emergency department in a period of twelve months in 1998. 7098 (22%) cases of these were traffic accidents. It has done on 710 patients who have been brought to emergency by traffic accidents, and 10% systematic sampling of 7098 people. 504 (71%) of patients were male, 206 (29%) of them were female, the average age was 26.0 (min-max: 1-85). It was observed that traffic accidents occurred during peak times 1200-1800 p.m. The number of traffic accidents was higher during the weekends and in may and June than other times. All the accidents occurred in the same way both within and outside urban area. But the drivers hit the pedestrians more in the urban area. Although it has been seen 'the cars' in the accidents the most. The most mortality has been occurred in bus, minibus and motorbike accidents. The first treatment place of the casualties of 80.5% was at university emergency department. 619 all of the casualties who were admitted the university emergency department was simple injured. They all left the hospital with cure. 52 of casualties lost their life. As a result, some risk factors increase incidence of traffic accidents. Considering these risk factors in taking measures is of great importance in prevention of traffic accidents. Morbidity and mortality are affected by place where accidents occur, time of accident, properties of motor vehicles, and quality of medical care performed following the incident.

Accidents, Traffic↗

[Thoracic injuries in traffic accidents and non-traffic accidents].

Traffic accidents differ from non-traffic accidents where the injuries are concerned. With the males two thirds of the thoracic injuries happened in non-traffic accidents and one third in road accidents; with the females, the relation was reversed. In thirteen per cent of the traffic accidents and in twenty-five per cent of the non-traffic accidents there were only thoracic injuries, in the other cases there were multiple injuries. Blunt damages of the thorax occurred in the majority of both kinds of accidents, penetrating injuries were less common. Closed rib fractures happened twice as often in traffic accidents as in accidents at work. Compound fractures of the ribs were three times as frequent in non-traffic accidents as in traffic accidents. In thirty-five per cent of road accidents and in twenty-two per cent of non-traffic accidents the injuries were of an intrathoracal kind. Of all the three hundred and thirty thorax injured patients thirty-four did not survive their injuries, twenty-nine due to traffic accidents, and five due to non-traffic accidents.

Accidents, Occupational↗

Weather types and traffic accidents.

Traffic accident data for the Zagreb area for the 1981-1982 period were analyzed to investigate possible relationships between the daily number of accidents and the weather conditions that occurred for the 5 consecutive days, starting two days before the particular day. In the statistical analysis of low accident days weather type classification developed by Poje was used. For the high accident days a detailed analyses of surface and radiosonde data were performed in order to identify possible front passages. A test for independence by contingency table confirmed that conditional probability of the day with small number of accidents is the highest, provided that one day after it "N" or "NW" weather types occur, while it is the smallest for "N1" and "Bc" types. For the remaining 4 days of the examined periods dependence was not statistically confirmed. However, northern ("N", "NE" and "NW") and anticyclonic ("Vc", "V4", "V3", "V2" and "mv") weather types predominated during 5-days intervals related to the days with small number of accidents. On the contrary, the weather types with cyclonic characteristics ("N1", "N2", "N3", "Bc", "Dol1" and "Dol"), that are generally accompanied by fronts, were the rarest. For 85% days with large number of accidents, which had not been caused by objective circumstances (such as poor visibility, damaged or slippery road etc.), at least one front passage was recorded during the 3-days period, starting one day before the day with large number of accidents.

Accidents, Traffic↗

[Health education as a factor in decreasing traffic accidents].

Traffic security in post-war Bosnia and Herzegovina is getting worse. Use of motor vehicles and frequency of roads are in constant increase. Import of cars of different types, models, ages and quality caused that we are among the countries with insufficiently developed traffic security. Critical group of the traffic participants consists of young people and children. Their behaviour in traffic depends on their knowledge and attitude gained at home and school. Goal of this paper is to point out the importance of health-education activities in traffic security development. Evaluation was performed among the school children in a transit area in Bosnia and Herzegovina. Results show that school children have no enough knowledge about traffic rules; 13.4% of them don't know a single traffic sign. Even 19.9% of them got injured in traffic accidents, out of which 41.4% got injured while riding a bicycle and 22.4% as pedestrians. These initial results show that level of children's traffic culture can be raised only through systematic and permanent education within regular curriculum. Topics on traffic security should be an integral part of education programme, and presented through various subjects.

Accidents, Traffic↗

[Role of drugs in traffic accidents. A pilot study of traffic accident offenders in Switzerland (Bern region)].

Toxicological analyses of blood and/or urine specimens collected between 1980 and 1981 revealed that 34.7% of all traffic accident victims (n = 144) had measurable concentrations of drugs. Analyses of blood samples taken from traffic offenders (n = 250) in 1979, on the other hand, showed 22.4% to have consumed drugs with or without alcohol. This percentage is comparable with values reported in other studies. Our results indicate that the widespread use of drugs represents a hazard for traffic safety in Switzerland. Road safety is additionally jeopardized by the often concomitant consumption of alcohol.

Accidents, Traffic↗

Emergency medical service accessibility and outcome from road traffic accidents.

Road traffic accidents cause several thousand deaths each year in England and Wales. One approach to reducing this toll is to ensure that services are planned to achieve early response of ambulances to accident victims and their rapid conveyance to a hospital with good accident and emergency facilities. In order to undertake medical care of the highest quality, there has been a policy of concentrating such facilities in large units. Unfortunately, this has the disadvantage that distances and travel times from some accident sites to these centres can be considerable, particularly in rural areas. The county of Norfolk is a generally rural area which has a high death rate from road traffic accidents, and it has been suggested that access to accident and emergency facilities may be a factor. Data on serious and fatal road accidents from police accident records were analysed for the period 1987 to 1991. The time taken for an ambulance to reach each accident and to convey the victim to the nearest hospital accident and emergency department was estimated using a geographical information system. Regression analysis was used to analyse the factors affecting the odds of death versus serious injury for each individual. An elevated probability of death was found among the old, pedestrians, casualties involved in multiple accidents, and casualties on roads with higher speed limits. However, no relationship was found between outcome and the estimated time taken to reach victims and to convey them to hospital, either before or after adjustment for other factors.(ABSTRACT TRUNCATED AT 250 WORDS)

Accidents, Traffic↗