scholarly journals Urban School Area Road Safety Improvement and Assessment with a 3D Piano-Keyboard-Styled Pedestrian Crossing Approach: A Case Study of Chiang Mai University Demonstration School

2020 ◽  
Vol 12 (16) ◽  
pp. 6464
Author(s):  
Preda Pichayapan ◽  
Manop Kaewmoracharoen ◽  
Thanatchaporn Peansara ◽  
Patcharapan Nanthavisit

Traffic accidents are a major cause of death in Thailand. Thailand is ranked third in the world by the World Health Organization for traffic-related deaths. Decreasing road accidents is one of the Thailand National Strategy Goals and also the United Nations Sustainable Development Goals. Several traffic calming tools for school areas were reviewed for safety improvement. An approach of creating a three-dimensional piano-keyboard-styled pedestrian crossing was implemented. It used a one-point perspective technique to increase driver perception when approaching a pedestrian crossing. The assessment data were observed during 12 weeks of a school semester. A roadside camera was used to record vehicles during the morning peak, midday off-peak, and evening peak traffic. The vehicles’ average speeds were used to compare the pre- and post-installation safety. The results showed that after the new crossing was installed, vehicle speeds drastically decreased. After three weeks, vehicle speeds began to increase. After twelve weeks, the vehicle speeds had gradually increased toward the same level as before the installation. A z-test was performed at the 95% significance level (p-value 0.05), showing that the new crossing approach had only affected vehicle speed during the first three weeks post-installation. Driver familiarity behavior and faded paint were major factors in the results.

2018 ◽  
Vol 1 (1) ◽  
pp. 43-50
Author(s):  
Juliana Widyastuti Wahyuningsih

Childbirthis a processLabor of opening and depleting the cervix and the fetus down into the birth canal. Birth is a process in which the fetus and amniotic are pushed out through the birth canal. (Sarwono, 2008). According to the World Health Organization (WHO) estimates more than 585,000 mothers annually die during pregnancy or childbirth. Indonesia Health Demographic Survey (SDKI) Survey in 2012, Maternal Mortality Rate in Indonesia is still high at 359 per 100,000 live births. The purpose of this study is the knowledge of maternal knowledge, maternal age, and maternal parity associated with normal birth events at Palembang Bari Hospital 2017. This study used analytical survey method with cross sectional approach. The population in this study were all maternal mothers at the Palembang Bari Hospital in 2017. Sampling in the study was conducted non-randomly with the technique of "Accidental Sampling". Data analysis was done univariat and bivariate with Chi-Square statistical test with significance level α = 0,05. The result of this research shows that there is correlation between mother's knowledge with normal delivery incidence with p value 0,001, there is correlation between mother age with normal delivery incidence with p value 0,009, there is relation between mother parity with normal delivery incidence with p value 0,001. From result of this research hopes healthcare workers can improve normal delivery care services and more often to carry out maternal safety counseling.


2021 ◽  
Vol 12 ◽  
pp. 215013272110133
Author(s):  
Samar Fares ◽  
Merihan M. Elmnyer ◽  
Shimaa Sabry Mohamed ◽  
Radwa Elsayed

Introduction COVID-19 pandemic has affected the whole world, especially the frontline worriers. To get shielded through this war, the world is racing to reach and manufacture COVID-19 vaccines. Vaccination hesitancy is one of the significant obstacles to global health. Objectives This study aimed to assess the perception and attitude of healthcare workers in Egypt toward COVID-19 vaccines, acknowledge the determinants of their attitude, and the factors that could increase the acceptance of the vaccine. Methods an observational web-based anonymous survey was conducted on 385 Egyptian healthcare workers in different governorates. The questionnaire-based on Vaccine Hesitancy Survey Questions of the World Health Organization was available in Arabic and English languages and was tested for reliability. Results Regarding vaccination decision, 51% of the participants were undecided, 28% refused, and 21% accepted vaccination. Reasons for vaccine acceptance mainly were risks of COVID-19 (93%), safety (57.5%), and effectiveness (56.25%) of the vaccine. Simultaneously, the reasons for vaccine hesitancy were the absence of enough clinical trials (92.4%) and fear of side effects of the vaccine (91.4%). The leading factor that could increase vaccination acceptance among the participants was to get sufficient and accurate information about the available vaccines. The participants revealed a high mean level of concern for COVID-19 vaccines’ safety (3.8 of 5) that differs significantly among the different study groups ( P-value .002). Conclusion Despite the COVID-19 pandemic, only approximately 21% of Egyptian healthcare workers in our study accepted the COVID-19 vaccination. Vaccine hesitancy represents a major barrier to implementing vaccination programs.


2008 ◽  
Vol 21 (3) ◽  
pp. 398-403 ◽  
Author(s):  
Ana Maria Calil ◽  
Cibele Andrucioli de Mattos Pimenta

OBJECTIVE: Identifying the frequency and gravity of injuries in patients who suffered accidents in traffic and the analgesic drugs utilized. METHODS: Retrospective study, with a sample of 200 medical records of patients admitted to the emergency services of a reference hospital for trauma care. The gravity of the injuries was characterized by anatomic gravity rates and the analgesic therapy was based on the World Health Organization's Analgesic Ladder. RESULTS: The main findings pointed to injuries in limbs, head, face and outer surface as the most frequent, and, in 85% of the cases, gravity was equal or lower than 3; As for analgesia, it was verified that 46;6% of the patients received dipyrone and paracetamol. Among the opioids, meperidine was used in 10.4% of the cases. CONCLUSION: The gravity of most injuries was equal or lower to 3, indicating injuries of light, moderate and serious gravity, located especially in four body regions; regarding analgesia, dipyrone was shown to be the most commonly-used drug and a low use of opioids was verified.


2020 ◽  
Author(s):  
Victoria Oladoyin ◽  
Oluyemi Okunlola ◽  
Oluwaseyi Israel ◽  
Demilade Ibirongbe ◽  
Joy Osifo ◽  
...  

AbstractBackgroundAn understanding of willingness of people to disclose coronavirus disease 2019 (COVID-19) symptoms and take the COVID-19 test will help provide important insight for motivators towards the self-surveillance and testing strategies recommended by the World Health Organization to curtail and halt the transmission of COVID-19.ObjectivesThis study assessed willingness to disclose symptoms suggestive of COVID-19 and willingness to take COVID-19 test as well as their predictors.MethodsA cross-sectional online survey of 524 Nigerian adults, aged ≥ 18 years, residing in Nigeria and who had not taken the COVID-19 test was conducted. Information on willingness to disclose COVID-19 symptoms, take COVID-19 test and possible predictors were collected. Data were analysed using descriptive and inferential statistics evaluated at 5% significance level.ResultsMean age of respondents was 35.8 ± 10.7 years and 57.0% were males. Majority (85.8% and 86.2% respectively) were willing to disclose COVID-19 symptoms and take COVID-19 test. Self-risk perception of contracting COVID-19 predicted both willingness to disclose COVID-19 symptoms (aOR=3.236; 95%CI=1.836-5.704) and take COVID-19 test (aOR=3.174; 95%CI=1.570-6.419). Willingness to disclose COVID-19 symptoms (aOR=13.060; 95%CI= 6.253-27.276), knowledge of someone who had taken the test (aOR= 4.106; 95%CI= 1.179-14.299) and thought that it was important for people to know their COVID-19 status (aOR=3.123; 95%CI= 1.516-6.434) also predicted willingness to take COVID-19 test.ConclusionNigerians are willing to disclose symptoms suggestive of COVID-19 and take the COVID-19 test. Investment in interventions developed based on the predicting factors will help speed up the finding and testing of suspected COVID-19 cases.


2020 ◽  
Vol 2 (2) ◽  
pp. 277-282
Author(s):  
Vivi Dwi Ariyanti ◽  
Septika Yani Veronica ◽  
Feri Kameliawati

Based on the data from the World Health Organization (WHO) in 2018, the number of dysmenorrhea cases in the world is very large.  The results of a preliminary study conducted at SMA Negeri 1 Seputih Mataram, Central Lampung showed that from 10 teenage girls who experience menstrual pain, a total of 2 teenage girls complained of pain with a mild pain level, 6 teenage girls complained of pain with a moderate pain level, and 2 teenage girls complain of pain with a severe pain level.  This research aims to determine the effect of carrot juice consumption on the reduction of primary dysmenorrhea pain levels in teenage girls at SMA Negeri 1 Seputih Mataram, Central Lampung in 2020. The type of this research is a quantitative research with a pre-experimental design namely one-group pretest, one-group posttest design which is given to 20 people by using accidental sampling technique and by giving carrot juice twice a day with 4 hours interval from the first administration. The bivariate test used in this study was the Wilcoxon test. The results of the research show that there is an effect of carrot juice consumption to reduce dysmenorrhea pain (p value 0,001 less than 0.05).  It is recommended for health workers to be able to make carrot juice as one of the teenage girls reproductive health treatment programs in order to reduce dysmenorrhea pain.  It is expected that the results of this research can be used as a source of information and implementation for the students/teenage girls in an effort to reduce the levels of dysmenorrhea pain through the consumption of carrot juice.


2019 ◽  
Vol 12 (1) ◽  
pp. 68-77
Author(s):  
Ronald Fisa ◽  
Chola Nakazwe ◽  
Charles Michelo ◽  
Patrick Musonda

Background: According to the World Health Organization (WHO), 1.24 million people die annually on the world’s roads, with 20-50 million sustaining non-fatal injuries. More than 85% (1.05 million) of the global deaths due to injuries occur in the developing world. Road traffic deaths and injuries are a major but neglected public health challenge that requires concerted efforts for effective and sustainable prevention. The objectives of the study were to estimate the incidence rate of death from RTAs, to determine factors associated with serious and fatal Road Traffic Accidents (RTAs) and to determine which of the poisson models fit the count data better. Methods: Data was collected from Zambia Police (ZP), Traffic Division on accidents that occurred on the Great North Road (GNR) highway between Lusaka and Kapiri-Mposhi in Zambia from January 1, 2010 to December 31, 2016. Results from standard Poisson regression were compared to those obtained using the Negative Binomial (NB), Zero-Truncated Negative Binomial (ZTNB) and the Zero-Truncated Poisson (ZTP) regression models. Diagnostic tests were used to determine the best fit model. The data was analysed using STATA software, version 14.0 SE (Stata Corporation, College Station, TX, USA). Results: A total of 1, 023 RTAs were analysed in which 1, 212 people died. Of these deaths, 82 (7%) were Juveniles and 1, 130 (93%) were adults. Cause of accident such as pedestrians crossing the road accounted for 30% (310/1,023) while 29% (295/1,023) were as a result of driver’s excessive speed. The study revealed that driving in the early hours of the day (1AM-6AM) as compared to driving in the night (7PM-12AM) had a significant increase in the incidence rate of death from RTAs, Incidence Rate Ratio (IRR) of 2.1, (95% CI={1.01-4.41}), p-value=0.048. Results further showed that public transport as compared to private transport had an increased incidence rate of death from RTAs (IRR=5.65, 95% CI={2.97-10.73}), p-value<0.0001. The two competing models were the ZTP and the ZTNB. The ZTP had AIC=1304.55, BIC= 1336.55, whereas the ZTNB had AIC=742.25 and BIC=819.69. This indicated that the ZTNB with smaller AIC and BIC was the best fit model for the data. Conclusion: There is a reduced incidence of dying if one is using a private vehicle as compared to a public vehicle. Driving in the early hours of the day (1AM and 6AM) had an increased incidence of death from RTAs. This study suggests that when dealing with counts in which there are a few zeros observed such as in serious and fatal RTAs, ZTNB fits the data well as compared to other models.


2019 ◽  
Vol 10 (2) ◽  
pp. 46-51
Author(s):  
Peppy Octaviani

ABSTRACT Pulmonary tuberculosis (TB) is a contagious pulmonary infectious disease that is still a health problem in the world, especially developing countries. Tuberculosis has been proclaimed by WHO (World Health Organization) as Global Emergency since 1992. The purpose of this study is to find out what physical characteristics are at risk of tuberculosis in DKT Hospital Purwokerto. The research design used in this study was a descriptive study with a cross-sectional approach to determine the characteristics of pulmonary TB patients who were adherent to treatment and those who did not comply with treatment at the DKT Hospital in Purwokerto. This research was conducted at the DKT Purwokerto Hospital in May 2018. The samples studied in this study were pulmonary TB patients who were obedient to treatment and non-compliance with treatment at the DKT Purwokerto Hospital for the period of 1 January - 30 December 2017 that met the sample criteria. The results of the study have no relationship between age and the results of sputum examination at the Purwokerto DKT Hospital (p value = 0.286), there is no relationship between sex with the results of sputum examination at DKT Purwokerto Hospital (p value = 0.261).                                                                                                                           Keywords: Pulmonary TBC, Characteristics, Phlegm Examination  


Author(s):  
Ishalyadi Ishalyadi ◽  
Muhammad Iqbal Fahlevi ◽  
Susy Sriwahyuni ◽  
Yolanda Oktaria

Traffic accidents according to the World Health Organization are unexpected events that cause injury, damage, and also loss to the owner (victim) and can cause death or injuries both minor injuries and serious injuries. The number of passenger car accidents from Aceh Barat to Banda Aceh through the laneAceh Barat - Aceh Jaya crossing is high from 2018 with 62 cases (63.86%) and 2019 with 64 cases (65.92%) from January to January August. The high number of cases was influenced by driver fatigue, unsafety condition, unsafety action, Length of service and the feasibility of the driver's vehicle. This type of research is quantitative research using cross sectional. The sample method used is total sampling, that is, all populations used as research samples are 48 people.The analysis used is univariate analysis and bivariate analysis. The purpose of this study was to determine the relationship of fatigue, unsafety condition, unsafety action, years of service as well as the eligibility of vehicles with traffic accidents on the driver of passenger cars in Meulaboh type C terminal. The results showed that there was a relationship between unsafety condition and unsafety action with traffic accidents, which was P value <0.05. Hereby it is suggested to the transportation department, the traffic unit, the land transportation organization to cooperate with each other in providing information about factors relating to traffic accidents as well.


2020 ◽  
Vol 5 (2) ◽  
pp. 71-78
Author(s):  
Abdolmajid Rahmani Daranjani ◽  
◽  
Mahmoud Rezaeizadeh ◽  

Background: Road traffic accidents are currently among the most essential public health issues. According to the World Health Organization, given the rapid growth of road transport globally, road traffic accidents could be the third leading cause of death and disability in the world by 2020. This article examined the role of the human factor in road accidents during the Nowruz holidays, as a major cultural event in Iran. Materials and Methods: We explored the data of road accidents that occurred in Nowruz in 2016 and 2017 in Iran. Traffic accident data concerning the Nowruz holidays of 2016 and 2017 were collected by census method of sampling and based on the report of highway police. Additionally, the frequency of these accidents was analyzed according to travel time, accident type, gender, age, education, and vehicle type in different provinces. Results: The present study findings suggested that among human factors affecting Nowruz accidents in 2016 and 2017, the highest frequency belonged to unnecessary speeding. As in 2016 and 2017, it was the main responsible characteristic for 56.42% and 55.01% of accidents, respectively. In Nowruz 2016, the provinces of Tehran, Khorasan Razavi, Isfahan, Fars, and Khuzestan; in Nowruz 2017, the provinces of Tehran, Isfahan, Khorasan Razavi, Fars, and Gilan encountered the highest rates of accidents leading to injuries and deaths. Conclusion: To control unnecessary speeding and regulations disregard, planning for culturizing and the community-level education are suggested. Besides, increasing the quality and intelligence of vehicles and the construction of sliders, vertical lines on the road, warning signs, and billboards could help reduce the rate of accidents. Creating a working group of experts in psychology, traffic, etc., to study the pathology of dangerous behaviors, useless haste, and disregard for regulations and providing solutions could also be effective.


2014 ◽  
Vol 1 (2) ◽  
pp. 72
Author(s):  
Nining Fitrianingsih ◽  
Titih Huriah ◽  
Sri Muryati

Background: The United Nations Children's Fund (UNICEF) and the World Health Organization (WHO) in 2006 stated, pneumonia is the most important child killer. Every year, more than 2 million children die from pneumonia, means that 1 in 5 infants died in the world. Health status is not only determined by health service, but the most dominant are environment and people’s behavior. One efffort to change people’s behavior, in order to support the improvement of health is by implemented of Clean And Healthy Life Behavior Program. Aim: To know the correlation between the behavior of clean and healthy life with incident pneumonia in children in the work area of Mlati II Primary Health Center Yogyakarta. Methods: The reseach method used an analytical survey research with cross sectional survey design. Total population in this study were 2.243 childrens, while the technical sampling is done with cluster techniques obtained as 96 samples of  children. Statistical tests used chi square and than analized the relationship using Prevalence Ratio (PR). Results:Result showed p value = 0.000 and PR = 2.88 on the relationship between the incidence of pneumonia with clean and healthy life behavior. Exclusive breastfeeding variables showed p value 0.00 and PR = 3.811. Variabel wash hand shows the results p value 0.034 and PR= 1.277. Variable smoking habits of family members is p value 0.026. and PR = 9.831. Conclusion: There are relation between the behavior of clean and healthy life, exclusive breastfeeding, hand washing with soap and smoking habits of family members with the incidence of pneumonia.


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