Objective: India has been slow in implementing a central emergency medical services (EMS) system across the country. “108 services” is one of the most popular services that is functional under the public–private partnership model. Limited available literature shows that despite access to services, many traffic crash victims are transported using private vehicles. The objective of this study is to understand the effectiveness of 108 services from a traffic safety perspective.
Method: A questionnaire survey is conducted to understand the awareness of EMS and their function. Using traffic-related fatalities as the dependent variable, a fixed effect panel data model is developed to analyze the effectiveness of the 108 services in improving the traffic safety.
Results: The results from the survey show that, in general, people are not aware of the 108 services. A majority of the population prefers taking victims to the hospital using their personal vehicles or any other vehicles available compared to calling an ambulance. Results from panel data analysis show that despite having an efficient system, these services failed to make significant improvement in the safety of road users in the states in which their services were subscribed.
Discussion: The lack of awareness of an important safety service is alarming. This could be a major reason for lower utilization of 108 services for transporting victims of traffic crashes. This article shows the importance of having efficient awareness campaigns to improve the efficiency of any similar programs that are aimed to enhance the safety of a region. 相似文献
With the onset of social life, humans have considered waste disposal as essential, and they have been able to repel it through brick and clay channels. Checking sewage pipes for energy consumption and a longer lifetime than other sewage system components is important. Climate change and exploitation of industrial resources have made environmental impacts, which are important factors in decision making. The purpose of this study was to introduce the most suitable type of sewage pipe considering environmental protection. Therefore, we applied the environmental life cycle assessment (LCA) method, using Sima Pro 8.2.3 software for the one-kilometer length of concrete pipes (300 mm in diameter), Polyvinyl chloride (PVC), and polyethylene (PE) (315 mm in diameter). Also, the BEES method and sensitivity analysis were used to validate the results. The comparison between three types of municipal wastewater pipes indicated that PE pipes are a more environmentally friendly option than PVC, and concrete pipes in pipe recycling, reducing extraction from untapped resources, and inefficient extraction of resources. Electricity, diesel fuel, and sulfate resistance cement consumption for concrete production are the most pollution elements in the LCA of concrete pipes. Usage of PVC granular, sanitary landfill of PVC pipes, and using hydraulic drill in LCA of PVC pipes are the most elements of generating pollution. The usage of PE granules, PE pipes landfilling, hydraulic excavator, and electricity consumption in the LCA of the PE pipes are the greatest polluting parameters. 相似文献
