MyMedR

Thyroid rupture secondary to blunt neck trauma

Sow YL, Aziz NA, Ng KL

Am J Emerg Med, 2013 Apr;31(4):760.e3-5.

PMID: 23399341 DOI: 10.1016/j.ajem.2012.12.005

Rupture of the thyroid gland is uncommon in cases of blunt neck trauma. We report a case of thyroid rupture after a motor vehicle accident in a patient without a preexisting goiter. He presented with a painful anterior neck swelling associated with dysphagia and hoarseness of voice. Computed tomographic scans showed lacerations of the right thyroid lobe and isthmus with features suggestive of slow active bleeding. Neck exploration was subsequently performed, and a ruptured right thyroid lobe was found with ongoing venous hemorrhage. A right hemithyroidectomy was performed, and the patient recovered without complications.

Matched MeSH terms: Accidents, Traffic

Fulltext Investigation of inerter-based suspension systems for heavy vehicles

Soong MF, Ramli R, Saifizul AA, Goh KY, Long SX

PLoS One, 2023;18(1):e0280290.

PMID: 36662679 DOI: 10.1371/journal.pone.0280290

The inerter is a two-terminal component that can be added to the spring-and-damper configuration of a suspension system. It has the property that the force exerted is proportional to the relative acceleration at its terminals. Studies have demonstrated the inerter's benefit of providing superior vibration isolation when it is used in the vehicle suspension of passenger cars. However, similar benefit on another common vehicle class on the roads, namely heavy vehicles, remain to be shown, as these vehicles have vastly different parameter values than passenger cars. This study is an investigation on the performance improvement brought by an inerter in the suspension of common heavy vehicles. In the study, the parameter values of a truck and a bus were adopted in the quarter vehicle model with two different spring-damper-inerter configurations (parallel and serial inerter), and the improvements in vibration isolation and road holding capability were determined by optimization of inertance. Results show that the inerter is similarly effective in providing the said improvements when implemented on heavy vehicles instead of on passenger cars, judging from reductions in sprung mass acceleration and dynamic tire load. It is also observed that the performance benefit is associated with larger optimum inertance than that for passenger cars. Overall, the inerter has been shown to be beneficial in the parallel and serial configurations, both of which are common and can be practically implemented in the suspension of heavy vehicles.

Matched MeSH terms: Accidents, Traffic*

Analysis of developed transition road safety barrier systems

Soltani M, Moghaddam TB, Karim MR, Sulong NH

Accid Anal Prev, 2013 Oct;59:240-52.

PMID: 23820073 DOI: 10.1016/j.aap.2013.05.029

Road safety barriers protect vehicles from roadside hazards by redirecting errant vehicles in a safe manner as well as providing high levels of safety during and after impact. This paper focused on transition safety barrier systems which were located at the point of attachment between a bridge and roadside barriers. The aim of this study was to provide an overview of the behavior of transition systems located at upstream bridge rail with different designs and performance levels. Design factors such as occupant risk and vehicle trajectory for different systems were collected and compared. To achieve this aim a comprehensive database was developed using previous studies. The comparison showed that Test 3-21, which is conducted by impacting a pickup truck with speed of 100 km/h and angle of 25° to transition system, was the most severe test. Occupant impact velocity and ridedown acceleration for heavy vehicles were lower than the amounts for passenger cars and pickup trucks, and in most cases higher occupant lateral impact ridedown acceleration was observed on vehicles subjected to higher levels of damage. The best transition system was selected to give optimum performance which reduced occupant risk factors using the similar crashes in accordance with Test 3-21.

Matched MeSH terms: Accidents, Traffic/prevention & control*

Fulltext Development of physical workload and heat stress questionnaire for construction industry in Malaysia

Solehan Imran Shariffudin, Jafri Mohd. Rohani, Mohd Firdaus Mohd Taib, Roseni Abd. Aziz

Journal of Occupational Safety and Health, 2016;13(2):93-97.

MyJurnal

Geographically, Malaysia is situated in the equatorial region, thus having a climate of hot and humid throughout the
year. Effect of heat stress and physical work load at construction industry need to be investigated because of the high number of
accidents. Thus, perception of physical workload and heat stress by the construction workers in Malaysia needed to be investigated
and documented. The aim of this paper is to establish a set of questionnaires containing the item generation regarding on physical
workload and the heat stress perception of construction workers. Physical workload factors such as fatigue, risks, concentration,
work rhythm, responsibility, satisfaction, and autonomy are inserted as the items in assessing the physical workload. While heat
stress are assessed using heat risk factors such as temperature, humidity, heat radiation, air movement, workload, clothing and
acclimatisation. A questionnaire has been developed resulted from various reviewing of literatures on physical workload and heat
stress and better suited to the Malaysia working environment.

Matched MeSH terms: Accidents

Safety system for child pillion riders of underbone motorcycles in Malaysia

Sivasankar S, Karmegam K, Bahri MT, Naeini HS, Kulanthayan S

Traffic Inj Prev, 2014;15(6):564-71.

PMID: 24484430 DOI: 10.1080/15389588.2013.861596

Motorcycles are a common mode of transport for most Malaysians. Underbone motorcycles are one of the most common types of motorcycle used in Malaysia due to their affordable price and ease of use, especially in heavy traffic in the major cities. In Malaysia, it is common to see a young or child pillion rider clinging on to an adult at the front of the motorcycle. One of the main issues facing young pillion riders is that their safety is often not taken into account when they are riding on a motorcycle. This article reviews the legally available systems in child safety for underbone motorcycles in Malaysia while putting forth the need for a safety system for child pillion riders.

Matched MeSH terms: Accidents, Traffic/statistics & numerical data

Fulltext Occupational safety and health assessment in metal industry within small and medium enterprise

Siti Suhaili Shahlan, Mimi H. Hassim, Kamarizan Kidam, Haszlee Mohd Safuan, Norasikin Othman, Adnan Ripin, et al.

Journal of Occupational Safety and Health, 2015;12(1):81-84.

MyJurnal

According to annual reports from the Social Security Organization (SOCSO), between years 2009 and 2011,
metal industry has the highest reported number of accidents compared to the other manufacturing industry in small
and medium enterprises (SMEs). Therefore, the aim of this study was to investigate the actual causes of problems that
lead to the accidents involving metal industries within SMEs. In this study, a checklist through site visits was used to
collect the data. The overall results revealed that the main causes of accidents are; organization failure, human factor,
machine failure and surrounding environments.

Matched MeSH terms: Accidents

Ingested pins - A potential hazard for hijabis: A case report

Siti Soraya AR

Med J Malaysia, 2020 01;75(1):78-79.

PMID: 32008026

Accidental swallowing of objects commonly occurs among children and most of the objects pass through the gastrointestinal tract and out with the stool without any complications. However, recent reports have shown that there is an increasing occurrence of accidental ingestion of hijab pins among young hijab-wearing Muslim women or "hijabi". We highlight one such case, in which a young lady accidentally swallowed a pin that she was holding between her lips while she was styling her hijab. The pin was not successfully retrieved via endoscopy but was fortunately excreted spontaneously without any serious complications.

Matched MeSH terms: Accidents*

Fulltext A survey on safety awareness among quarry workers at East Cost Malaysia

Siti Hajar Abdul Aziz

Journal of Occupational Safety and Health, 2015;12(1):51-54.

MyJurnal

Lack of safety awareness among quarry workers caused a number of accidents in quarry industries. The objective
of this study is to gauge the awareness level towards safety among quarry workers. A questionnaire was distributed
randomly among quarry workers in Pahang, Terengganu and Kelantan. The questionnaire consists of 6 questions
regarding safety at workplace. Results revealed that 56.9% of the respondents agreed and totally agreed for the health
and safety suggestions made to be given consideration and used. As many as 79.3% respondents admitted that they
obeyed all the safety rules stated at the workplace and 86.3% respondents said that they always focused and gave
full attention while completing their task. A high percentage of 88% of the respondents agreed for all accidents
to be reported to responsible persons while 77.6% respondents agreed for all personal protective equipment to be
used suitable with the task given and 86.2% respondents answered that they performed their task following the safe
operation procedures provided by the company.

Matched MeSH terms: Accidents

The sources of the Kuznets relationship between the road deaths to road injuries ratio and economic growth

Sirajudeen AO, Law TH, Wong SV, Jakarni FM, Ng CP

J Safety Res, 2021 09;78:262-269.

PMID: 34399922 DOI: 10.1016/j.jsr.2021.06.007

INTRODUCTION: Past empirical studies indicated that there is a Kuznets or reverse U-shaped relationship between road deaths and per capita income, such that the number of road death increases at a low level of per capita reverse U-shaped relationship was observed between road injuries and per capita income. While these studies explored the impact of per capita income on road deaths and road injuries, no studies have examined the relationship between per capita income and road death to road injury ratio (DPI).

METHOD: Using a fixed effects panel regression analysis from 67 countries spanning over a period of five decades (1960-2013), the present study sought to explore the impact of per capita gross domestic product (per capita GDP) on the DPI ratio and the underlying factors responsible for the relationship.

RESULTS: Our result suggests that per capita GDP followed a reverse U-shaped relationship with DPI. Moreover, the relative improvements in higher mobility roads as compared to improvements in higher accessibility roads, motorcycle ownership to passenger car ownership ratio, percentage of population living in an urban area, infant mortality rate, and the percentage of population below 15 years of age and above 64 years of age contributed to this relationship. Practical Applications: This implies that, at lower level of economic growth where road deaths exceed road injuries, countries should implement low-cost measures to combat road deaths cases. Such measures include mandating wearing of quality helmets and daytime running headlights for motorcycles. On the other hand, at higher level of economic growth where road injuries surpass road deaths, countries are encouraged to devote more resources to improving medical technology and services to treat road injury victims, mandating seatbelt use, as well as enhancing and promoting public transportation service.

Matched MeSH terms: Accidents, Traffic*

The motorcycle deaths to passenger car deaths ratio and economic performance: A panel data analysis

Sirajudeen AO, Law TH, Wong SV, Ng CP

Accid Anal Prev, 2022 Feb;165:106533.

PMID: 34902624 DOI: 10.1016/j.aap.2021.106533

The existing literature in road safety revealed that the relationship between motorcycle deaths and per-head income follows a Kuznets or reverse U-curve pattern, whereby motorcycle deaths incline at lower income levels but decline once the per-head income has exceeded a threshold level. The same reverse U-curve relationship was also observed between per-head income and other road injury-related variables, including road deaths, road injuries, as well as road deaths to road injuries ratio. Evidence showed that motorcycles and passenger cars are the dominant vehicle modes and contributed significantly to global road deaths. The main objective of this study is to examine the relationship between the motorcycle deaths to passenger car deaths (MDC) ratio and per-head Gross Domestic Product (GDP). Examining the relationship between the MDC ratio and GDP per capita can be effective in understanding the relative change between motorcycle and passenger car deaths at different economic development stages, as well as identifying appropriate preventive measures. We apply a panel linear regression analysis on a panel of 38 countries over the period 1965-2013. Result demonstrated that there is a reverse U-curve relationship between the MDC ratio and the logarithm of GDP per capita. This implies that, at lower levels of GDP per capita, motorcycle deaths were more prevalent than passenger car deaths, whereas as the level of GDP per capita rises, passenger car deaths became relatively prevalent than motorcycle deaths. Moreover, there is a reverse U-shaped relationship between motorcycle ownership to passenger car ownership ratio (MPC) and the MDC ratio, while a U-shaped relationship exists between relative growth in higher mobility roads as compared to higher accessibility roads (MPA) and the MDC ratio. Based on our results, policies and interventions to reduce motorcycle and passenger car deaths were suggested in the conclusion of the paper.

Matched MeSH terms: Accidents, Traffic

Fulltext Successful laparoscopic management of combined traumatic diaphragmatic rupture and abdominal wall hernia: a case report

Siow SL, Wong CM, Hardin M, Sohail M

J Med Case Rep, 2016 Jan 18;10:11.

PMID: 26781191 DOI: 10.1186/s13256-015-0780-8

Traumatic diaphragmatic rupture and traumatic abdominal wall hernia are two well-described but rare clinical entities associated with blunt thoracoabdominal injuries. To the best of our knowledge, the combination of these two clinical entities as a result of a motor vehicle accident has not been previously reported.

Matched MeSH terms: Accidents, Traffic

Fulltext Abdominal flap: a reconstructive option for hand defect in rural setting

Sinnasamy, Shankari, B Mohd Shakir, Vijayashingam, Naveen, Mustaqim Afifi @ Apipi, Prakash, Doddaballapur Ramaiah

Borneo Journal of Medical Sciences, 2018;12(3):63-67.

MyJurnal

Reconstruction of hand injury is the challenge for the surgeon especially in rural settings. This case report is about a 10-year-old boy, who sustained large degloving wound of dorsum of right hand with extensor tendon injury following a road traffic accident. We performed a staged abdominal flap with tensor fascia lata graft for tendon reconstruction as microsurgery facilities was not available. Post-operatively he was subjected to physiotherapy and he has a functional right hand. This case report aimed to highlight abdominal flap as reconstructive option as compared to skin grafting which is reproducible with limited resources. Besides that, overall exposure to all surgical options is of paramount importance in the training of trainees to equip them with skills to serve in rural setting.

Matched MeSH terms: Accidents, Traffic

Preventive ophthalmology

Singh A

Med J Malaysia, 1977 Sep;32(1):45-7.

PMID: 609343

Matched MeSH terms: Accidents, Occupational/prevention & control

Review of patients with multiple injuries treated at University Hospital, Kuala Lumpur

Silva JF

J Trauma, 1984 Jun;24(6):526-31.

PMID: 6737530

This study has analyzed 260 patients with multiple injuries sustained in road accidents admitted to the University Hospital during the period July 1967 to July 1976, in relation to age, sex, and ethnic distribution. The types of injuries sustained have been discussed to highlight their effects on the community in a developing country. The extremities have been most frequently involved, while head injuries followed closely. The causative factors of multiple injury-producing accidents have been evaluated. The categories of victims most liable to multiple injuries have been discussed. The significance of understanding the mechanism of these accidents and the effect of such knowledge in minimizing diagnostic errors, thus enabling management and the urgent need for regional accident services in developing countries, have been stressed.

Matched MeSH terms: Accidents, Traffic

Planning for an airport disaster

Silva JF

Med J Malaysia, 1977 Dec;32(2):175-82.

PMID: 614489

Matched MeSH terms: Accidents, Aviation*

The organisation of accident and emergency services in a developing country

Silva JF

Med J Malaysia, 1973 Sep;28(1):19-22.

PMID: 4273776

Matched MeSH terms: Accidents*

Fulltext The relationship between management practices and safety

Siew, Lee Cheng, Florianna Lendai Michael, Hana, Hamidi, Siti Mariam, Abdullah

Journal of Cognitive Sciences & Human Development, 2018;4(1):15-27.

MyJurnal

Work-related accidents is a controversial topic in Malaysia as evidenced by the increased number of occupational accidents throughout the years. The purpose of this research is to examine the relationship between management practices and safety performance in an or-ganization. The four management practices investigated are (a) training, (b) management commitment, (c) communication and feedback, and (d) employee involvement. The most effective safety practice is also identified. The data was collected at a manufacturing com-pany located in Shah Alam, Malaysia using closed-ended questionnaire. 95 respondents from the production line were involved in this study. The result found that training had a very weak relationship to the safety performance while the management commitment, as well as the communication and feedback, revealed to have a weak impact on safety perfor-mance. On the other hand, the analysis showed that employee involvement is the most ef-fective safety practice to the safety performance, as it had a moderate impact on safety per-formance.

Matched MeSH terms: Accidents, Occupational

Lumbosacral plexus avulsion with pelvic fractures

Sidhu JS, Dhillon MK

Injury, 1991 Mar;22(2):156-8.

PMID: 2037340

Matched MeSH terms: Accidents, Traffic*

Fulltext A rare complication of tracheal intubation

Shukeri WF, Hassan WM, Nadarajan C

Indian J Crit Care Med, 2016 May;20(5):299-301.

PMID: 27275080 DOI: 10.4103/0972-5229.182209

Accidental endobronchial intubation is a frequent complication in critically ill patients requiring tracheal intubation (TI). If such complication occurs, it is more often the right main bronchus that is intubated due to anatomical reasons. Left main bronchus (LMB) intubation is rare. Here, we report a case with auscultatory, bronchoscopic, and radiographic evidence of accidental LMB intubation in a pregnant woman with dengue shock syndrome. We highlight this case to increase awareness about this possible-but-rare complication of TI.

Matched MeSH terms: Accidents

Alcohol in urine and blood

Shelton J

Journal of the Malaya Branch of the British Medical Association, 1941;4:352-55.

Matched MeSH terms: Accidents, Traffic

Displaying publications 61 - 80 of 416 in total