Road traffic accidents are a leading cause of injuries, deaths and disabilities in India. In 2016, there were over 480,000 road accidents that resulted in over 150,000 deaths. Risk factors include speeding, drink-driving, lack of helmet or seatbelt use, and distracted driving from mobile phone use. Prevention strategies include data collection, safety education programs, promoting safety equipment, strict enforcement of traffic laws, eliminating hazardous road conditions, and improving emergency medical response. The Motor Vehicles Amendment Bill 2017 aims to improve road safety in India by increasing penalties for traffic offenses and mandating safety measures.
This presentation has the following.
1. Definitions - accidents and injuries
2. The burden of accidents and injuries
3. Epidemiology of RTA, industrial accidents, railway accidents, violence, domestic violence, drowning, burns, domestic accidents, poisoning and snakebite.
4. Prevention and control of RTA, industrial accidents, railway accidents, violence, domestic violence, drowning, burns, domestic accidents, poisoning and snake bite.
This presentation has the following.
1. Definitions - accidents and injuries
2. The burden of accidents and injuries
3. Epidemiology of RTA, industrial accidents, railway accidents, violence, domestic violence, drowning, burns, domestic accidents, poisoning and snakebite.
4. Prevention and control of RTA, industrial accidents, railway accidents, violence, domestic violence, drowning, burns, domestic accidents, poisoning and snake bite.
Accident and prevention - Types - management.Shanky Phlp
Accident and its prevention. Community Health Nursing. Prevention.
an unfortunate incident that happens unexpectedly and unintentionally, typically resulting in damage or injury. an event that happens by chance or that is without apparent or deliberate cause. An “Accident” is defined as an unplanned event that results in personal injury or property damage. An incident is defined as an unplanned event that does not result in personal injury but may result in property damage or is worthy of recording.
As we know in India road accidents plays very brutal role everyday, India lost a healthy people everyday because of silly mistakes which will not considerable. If government of India and People conscious about all road safety and improvement in traffic rules and awareness in people about road safety, we will save a valuable life's.
Ppt on train accident 1. RAIL ACCIDENT RESPONSE BY:- RANA PRATAP BHARTI, DC 11 NDRF, VARANASI 2. NATIONAL DISASTER MANAGEMENT AUTHORITY (NDMA) The prime Minister of India is the Chairman of National Disaster Management Authority, HQ New Delhi.
railway accident videos
railway accident reports
china railway accident
railway accidents ppt
Accident and prevention - Types - management.Shanky Phlp
Accident and its prevention. Community Health Nursing. Prevention.
an unfortunate incident that happens unexpectedly and unintentionally, typically resulting in damage or injury. an event that happens by chance or that is without apparent or deliberate cause. An “Accident” is defined as an unplanned event that results in personal injury or property damage. An incident is defined as an unplanned event that does not result in personal injury but may result in property damage or is worthy of recording.
As we know in India road accidents plays very brutal role everyday, India lost a healthy people everyday because of silly mistakes which will not considerable. If government of India and People conscious about all road safety and improvement in traffic rules and awareness in people about road safety, we will save a valuable life's.
Ppt on train accident 1. RAIL ACCIDENT RESPONSE BY:- RANA PRATAP BHARTI, DC 11 NDRF, VARANASI 2. NATIONAL DISASTER MANAGEMENT AUTHORITY (NDMA) The prime Minister of India is the Chairman of National Disaster Management Authority, HQ New Delhi.
railway accident videos
railway accident reports
china railway accident
railway accidents ppt
A Study to Assess the Effectiveness of Planned Teaching Program on Road Traff...ijtsrd
RTA is common cause of morbidity and mortality in all parts of the world, as an epidemiological problem, the control of the host accident victim , the agent vehicle and environmental factors involved their caution should be consider, health personnel who look after accident victim need to know the injury type and their mechanism encounter in road traffic accidents, it is useful to prevent road traffic accidents. Our research aim is to find out the effectiveness of plan teaching program regarding road traffic accident among nursing first year students. Methodology pre experimental Research Design used to describe the effectiveness of an information regarding among late adolescence student of Dr. Achal Singh Yadav Institute of nursing and paramedical science Lucknow after obtaining written consent from first year nursing students. Demographical data and structured questionnaire given to them regarding road traffic accidents to assess their knowledge. After the implementation of plan teaching program post test was done on the seven days following intervention.Objective of the study is to assess the effectiveness of plan teaching program regarding road traffic accident among nursing 1st year students and to find out the association between pre test knowledge score and selected demographic variables. Rajesh Singh | Anupam Verma | Pushpa Rathore | Kavita Verma | Swati Trivedi | Jyoti Sharma | Elizabeth Charlien Vijaya "A Study to Assess the Effectiveness of Planned Teaching Program on Road Traffic Accident among 1st Year Nursing Students of Selected Nursing College in Lucknow, U.P." Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-6 | Issue-1 , December 2021, URL: https://www.ijtsrd.com/papers/ijtsrd47908.pdf Paper URL: https://www.ijtsrd.com/medicine/nursing/47908/a-study-to-assess-the-effectiveness-of-planned-teaching-program-on-road-traffic-accident-among-1st-year-nursing-students-of-selected-nursing-college-in-lucknow-up/rajesh-singh
EVALUATION OF PARTICLE SWARM OPTIMIZATION ALGORITHM IN PREDICTION OF THE CAR ...ijcsa
Road traffic accidents are the most common accidents that annually Endangers lives of many people in the world. Our country Iran is one of the countries with highest incidence and mortality due to accidents that has been introduced. So it’s requires identification of underlay in dimensions in this field. Due to the increasing amount of car accidents in order to increase volume of information related to car accidents and needs to explore and reveal hidden dependencies and very long time among this information. So using traditional methods to discover these complex relations don't response between involved factors and we need to use new techniques. Considering that main aim of this paper is to find best relationship between volumes of information in shortest time. So, in this paper, we classify accidents in West Azerbaijan province in Iran by accident type (damage, injury, death) and we describe it by using Particle Swarm Optimization (PSO) algorithm
To Find out the Relationship between Errors, Lapses, Violations and Traffic A...inventionjournals
Background: The Manchester Driver Behaviour Questionnaire (DBQ) has been extensively used as predictor of self-reported road traffic accidents. The associations between lapses and the violation and error factors of the DBQ however, might be reporting a little bias. Aim: The current study aiming to explore the driving behaviours of cuddalore district and to investigate the relationship between error, violations, and lapses of DBQ and accident involvement. Methods: Current study is a relational study. 500 drivers Was selected randomly in cuddalore district Results: Finding indicated that significant relationship between driving error, lapses and violations, Also there are significant relations among traffic awareness of driving behaviors of participants.
45 Journal of Emerging Technologies and Innovative Research (JETIR) www.jetir.org 333
EFFECTIVENESS OF TRAINING PROGRAMME ON KNOWLEDGE AND ATTITUDE REGARDING FIRST AID MANAGEMENT ON ROAD TRAFFIC ACCIDENT AMONG AUTO RICKSHAW DRIVERS, BANGALORE.
Public Perception on Road Accidents: A Case Study of Mahasarakham City, Thailanddrboon
This study surveyed public perception on the causes of roadway accidents in Mahasarakam City area. There are 400 questionnaire respondents from different ages, occupations, and background. The majority of respondents never have an experience of confronting crash. Average perception of all respondents indicates that human is the most dominant factor causing road accidents. In addition, most respondents give high score to drunk driving as the most dangerous driving behavior. Respondents with different educational backgrounds seem to have agreeable perception on most of the items that cause street accidents.
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Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
2. What is an Accident
1.An unexpected, unplanned occurrence that may involve injury.
2. Unpremeditated event resulting in recognizable damage
(WHO Advisory Group)
3. Occurrence in a sequence of events, which usually produces
unintended injury,death or property damage.
3 April 2018 2Chengalpattu Medical College
3. Classification of Accidents
1. Road Traffic Accidents
2. Domestic Accidents-
Drowning,Burns,Falls,Poisoning,Injuries from sharp
,Bites and other injuries from animals
3. Industrial Accidents
4. Railway Accidents
5. Aircraft crash
6. Maritime accidents
7. Violence
3 April 2018 Chengalpattu Medical College 3
4. Measurement of Problems
1. Mortality
Proportional mortality rate
Number of deaths per million population
Death rate per 1000 (or 1 lakh) registered vehicles per
year.
Number of accidents or fatalities as a ratio of number of
vehicles per km or passengers per km.
Deaths of vehicles occupants per thousand vehicles per
year.
3 April 2018 4Chengalpattu Medical College
5. Cont….
2.Morbidity
Based on Abbreviated injury scale
1. Serious injuries
2. Slight injuries
3.Disability- temporary or permanent ,partial/total
International Classification of Functioning,Disability and Health
(ICF)
by WHO
3 April 2018 5Chengalpattu Medical College
6. Road Accidents : A Snapshot
Road Accidents - a leading cause of Injuries,
Deaths & Disabilities.
India : 2016
• Accidents – 4,80,652
• Deaths – 1,50,785
• Person Injured – 4,94,624
In Every Day :
1,317 Accidents /day and 413 Persons killed/day
In Every Hour:
55 Accidents /hr and 17 Persons killed /hr
Source:Government Of India Ministry Of Road
Transport & Highways Transport Research Wing ,
www.morth.nic.in
3 April 2018 6Chengalpattu Medical College
9. Source:Government Of India Ministry Of Road Transport & Highways
Transport Research Wing , www.morth.nic.in
3 April 2018 9Chengalpattu Medical College
10. Source:Government Of India Ministry Of Road Transport &
Highways Transport Research Wing , www.morth.nic.in
3 April 2018 10Chengalpattu Medical College
12. Risk Factors
1.Speed:
Pedestrians has 90% chance of surviving a car crash at
30Km/h or below.
Reducing respiratory problems associated with car
emissions
2.Drink – Driving:Blood Alcohol Concentration(BAC)of
0.05g/dl or below reducing the alcohol related crashes.
Enforcing Sobriety Check points & Random breath testing
can reduce 20%of alcohol related crashes.
3 April 2018 12Chengalpattu Medical College
13. Risk Factors Cont…
3. Motor cycle Helmets: Reduce the risk of death by 40% and risk of
severe injury by 70%
Strict Laws should be enforced
4.Seat –Belts and Child Restriants:
Reduces risk of fatality among Front seat passengers by 40-50%
Rear –seat passengers by 25-75%
5. Mobile Phone usage - 4 times the risk of crash increases
3 April 2018 13Chengalpattu Medical College
14. Risk Factors – cont....
6.Factors influencing exposure to risk:
Rapid motorization
Demographic factors
Transport, land use and road network planning
Increased need for travel
Choice of less safe forms of travel
7.Risk factors influencing crash
involvement:
Speed
Pedestrians and cyclists
Young drivers and riders
Alcohol
Medicinal and recreational drugs
Driver fatigue
Hand-held mobile telephones
3 April 2018 14Chengalpattu Medical College
15. OtheRisk Factors – cont....r Risk
Factors:
8.Risk factors influencing injury severity:
– Lack of in-vehicle crash protection
– Non-use of crash helmets by two-wheeled vehicle
users
– Non-use of seat-belts and child restraints in motor
vehicles
– Roadside objects
9.Risk factors influencing post-crash injury
outcome:
– Pre-hospital factors
– Hospital care factors
3 April 2018 15Chengalpattu Medical College
16. Reasons for more Accidents in
Developing countries
Large numbers of pedestrians and animals share the common
roadway
Large number of old , poorly maintained vehicles
Large numbers of buses often overloaded
Large number of motor cycles, scooters and mopeds
Low driving standards
Widespread disregard of traffic rules
Defective roads, poor street lighting, defective layout of cross roads
and speed breakers
Unusual behaviour of men and animals
3 April 2018 Chengalpattu Medical College 16
18. RTA: Epidemiological Triad Triad
3 April 2018 Chengalpattu Medical College 18
Agent: Vehicles
Environment:
Physical
status of
Road
Social context
Host:
Individual at
Risk
19. Age
Sex
Education
Medical Conditions
- Sudden illness
- Heart attack
- Impaired vision
Psychosocial factors
- lack of experience
- risk-taking
- impulsiveness
- defective judgements
- aggressiveness
- poor perception
- family dysfunction
Lack of body protection
- helmets
- safety belts
Relating to road
defective, narrow roads
defective lay out of cross roads and
speed breakers
poor lighting
lack of familiarity
Relating to vehicle
over speeding
bad maintenance
large numbers
overloading
low driving standards
Bad weather
Mixed traffic
H
U
M
A
N
F
A
C
T
O
R
S
E
N
V
I
R
O
N
M
E
N
T
A
L
F
A
C
T
O
R
S3 April 2018 19Chengalpattu Medical College
20. Increased vulnerability
and/or risk factors
Precipitating
factors
Emotional tension
Alcohol and drugs
Precipitating
factors
Special traffic
conditions
Social pressure
Stolen vehicles
ACCIDENT
3 April 2018 20Chengalpattu Medical College
21. Prevention of RTA Human factors Vehicle factors Environmental
factors
Pre-crash Driver experience,
fitness to drive,
driver behavior
Vehicle maintenance
& features(
electronic stability
control)
Transport systems,
road engineering,
visibility
Crash Use of protective
equipment (helmets,
seat belts, child
restraints)
Vehicle design for
impact protection
Fixed objects at
roadside, safely
barriers
Post-crash Preexisting
conditions,
emergency response
care, rehabilitation
Entrapment, fire Location, speed of
emergency response,
access to trauma
care
The Haddon matrix
3 April 2018 21Chengalpattu Medical College
25. Prevention
Data collection
Safety education
Promotion of safety measures
Alcohol and other drugs
Primary care
Elimination of causative factors
Law enforcement
Rehabilitation
Accident research
3 April 2018 25Chengalpattu Medical College
26. 1.Data collection
Basic reporting of all cases
Supplementation by national surveys
Eliciting the data about conditions and environmental
factors leading to accidents
Making Police investigation of an accident mandatory
3 April 2018 26Chengalpattu Medical College
27. 2.Safety education
‘If Accident is a disease, Education is its vaccine’
Initiated at the school level
Educate regarding risk factors, traffic rules, safety
precautions and first aid.
3 April 2018 27Chengalpattu Medical College
28. 3.Promotion of safety measures
Seat belts
Safety helmets
Safety measures for children
Others like door locks, proper vehicle design ,air bags
and so on
3 April 2018 28Chengalpattu Medical College
29. 4.Alcohol and other drugs
Abstinence from alcohol and depressant drugs before
and during driving
Barbiturates , amphetemines and Cannabis –impairs
driving ability
Education
Law enforcement
3 April 2018 29Chengalpattu Medical College
30. 5.Primary care
Planning, organization and management of
trauma and emergency care services improved
At accident site --Transportation-Hospital
Skill of the Health Care Provider
Accident Services Organization and one fully
equipped specialised trauma care hospital in all
major cities
3 April 2018 30Chengalpattu Medical College
31. 6.Elimination of Causative factors
Improve roads
Impose speed limits
Mixed Traffic
Bad weather
Mark danger zones
Improve the Vehicle Conditions
Drunk and drive
Lack of body protection
3 April 2018 31Chengalpattu Medical College
32. 7.Enforcement of laws
Driving tests
Medical fitness to drive
Speed limits
Compulsory wearing of seat belts
Compulsory wearing of helmets
Checking for blood alcohol concentration
Road side breath analyzer,
Regular and periodic inspection of vehicles,
Periodic examination of drivers above the age of 55 yrs .
3 April 2018 32Chengalpattu Medical College
33. 8.Rehabilitation services
Medical rehabilitation
Social rehabilitation
Occupational rehabilitation
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34. 9.Accident research
New field called Accidentology
1.Gathering information about Type, extent &
characteristics of accident
2.Corelating accidents with personal and environmental
factors
3.Devising measures to
alter human behaviour
make environment safe
accident control measures
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35. Government Initiatives
Multi-pronged road safety programmes and initiatives
Mass awareness/ education programmes,
Engineering measures (both road and vehicle),
Enforcement of safety laws
Emergency care to road accident victims.
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36. Recent Measures taken by
MoRTH
Road Engineering measures:
789 black spots identified of which 651 on NH and 138 on
State roads.
140 spots already rectified.
283 under process.
Road Safety Audits at different stages are integral part of
BOT and EPC road projects.
All road development projects have provision for essential
road safety furniture: like road signs, markings, delineators
etc.
Crash barriers installed in hilly areas.
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37. Recent Measures taken by MoRTH
(contd.)
Vehicular safety standards and IT enabled safety measure
Trucks prohibited from carrying protruding roads;
Anti-locking Brake System (ABS) made mandatory on
Heavy Vehicles.
Cars to have provision for fitment of at-least one child
seat.
AHO (Automatic Headlight On) made mandatory for
Two Wheelers.
Bus and truck code for safe cabins for drivers and
others.
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38. Recent Measures taken by MoRTH
(contd.)
Education and Awareness
Ministry sanctioned 24 model institutes of drivers training
and research (IDTR) for drivers.
Of which 16 functional.
Road Safety Week January 11th to 17th observed each year
for mass awareness.
To support traffic and transport rules.
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39. Recent Measures taken by MoRTH
(contd.)
Post-crash response and trauma care
“Good Samaritans” guidelines accepted by Supreme
Court – States/U.Ts requested to implement.
NHAI provide ambulances at a distance of 50-60 kms
on completed stretches of NH.
MV Amemdment Bill 2017 provide stricter penalities for
traffic offences for strengthening enforcement and
ensuring compliance:
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40. The Motor Vehicles (Amendment)
Bill 2017
• Driving under the influence of alcohol or drugs has
been increased from ₹2,000 to ₹10,000
• Rash driving, it has been increased from ₹1,000 to
₹5,000.
• People found driving without a seat belt can be fined
₹1,000
• Driving without a helmet is a fine of ₹1,000 along with
a 3-month suspension of the offender’s driving licence.
• Cashless Treatment for Road Accident Victims within
the first hour of its occurrence
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41. The Motor Vehicles (Amendment)
Bill 2017
Talking with phone while driving –Rs.5000
Aadhar card made compulsary-for getting Driving license
and vehicle registration
Driving without a licence-Rs.5000
Over speeding – Rs.2000
Specially abled people- vehicle alteration mandatory
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42. The Motor Vehicles (Amendment)
Bill 2017
Increased Compensation for The Family of the person
died by -Hit and Run - ₹2 lakh or more
Inclusion of Good Samaritan Guidelines
National Transportation Policy
Compulsory Insurance- ₹10 lakh for deaths and ₹5 lakh
for grevious injuries
Recognition of Offences Committed by Juveniles
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45. The Motor Vehicles (Amendment)
Bill 2017
Automated Fitness Training for Vehicles-computer-
monitored tests for PUC (pollution under control)
certification, speedometer calibration, brake adjustment,
suspension testing and wheel alignment.
National Registry for Licenses and Registrations
Electronic surveillance on national and state highways
and urban roads.
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46. The Motor Vehicles (Amendment)
Bill 2017
6 months time limit for application of compensation to
the claims
Time limit for renewal of driving liscence -1 month
Manufacturers for sub standard components responsible
Contractors, consultants and civic agencies responsibity
in road accidents - faulty designs and poor maintainence
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53. 4 E’s for Injury Prevention
Education
Envronmental modification
Enforcement of Laws
Engineering
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