Objective: Our study measured the change in head injuries and deaths among motorcycle users in Cu Chi district, a suburban district of Ho Chi Minh City.
Methods: Hospital records for road traffic injuries (RTIs) were collected from the Cu Chi Trauma Centre and motorcycle-related death records were obtained from mortality registries in commune health offices. Head injury severity was categorized using the Abbreviated Injury Score (AIS). Rate ratios (RRs) were used to compare rates pre- and post-law (2005/2006–2009/2010). Cu Chi's population, stratified by year, age, and sex, was used as the denominator.
Results: Of records identifying the transportation mode at the time of injury, motorcyclists accounted for most injuries (3,035, 87%) and deaths (238, 90%). Head injuries accounted for 70% of motorcycle-related hospitalizations. Helmet use was not recorded in any death records and not in 97% of medical records. Males accounted for most injuries (73%) and deaths (88%). The median age was 28 years and 32 years for injuries and deaths, respectively. Compared to the pre-law period, rates of motorcycle injuries (RR = 0.53; 95% confidence interval [CI], 0.49–0.58), head injuries (RR = 0.35; 95% CI, 0.31–0.39), severe head injuries (RR = 0.47; 95% CI, 0.34–0.63), and deaths (RR = 0.69; 95% CI, 0.53–0.89) significantly decreased in the post-law period.
Conclusions: Rates of head injuries and deaths among motorcycle riders decreased significantly after implementation of the mandatory helmet law in Vietnam. To further examine the impact of the motorcycle helmet law, including compliance and helmet quality, further emphasis should be placed on gathering helmet use data from injured motorcyclists. 相似文献
While soundscape is increasingly acknowledged within landscape planning and design discourse, there is little research that clarifies how soundscapes are actually dealt with in landscape architecture practice – partly owing to methodological insufficiencies. This paper, therefore, describes a model for evaluating soundscape treatment in landscape design proposals, focusing on three key aspects. With the dual aim of testing the model, and learning more about how soundscape is approached in practice, the paper spotlights a major design competition for a new cemetery in Sweden. The model proved fruitful and easy to apply. It showed that only limited attention was paid to soundscape in the competition as a whole, and was a useful means of pinpointing proposals where soundscape was fully considered as a design feature; one competition entry that did so is described in the paper. Discussions cover design practice, trends in the competition and model application. 相似文献