11 research outputs found
Unveiling the road to safety: Understanding the factors influencing motorcycle accidents among riders in rural Chiang Mai, Thailand
No full textBackground: Motorcycle accidents pose a significant threat to traffic safety in Thailand, particularly in rural areas where the severity of these accidents often results in prolonged medical treatment and a reduction in the quality of life of the affected individual. Objectives: To investigate the prevalence and the factors associated with motorcycle accidents among motorcycle riders in rural areas in Chiang Mai, Thailand. Method: A cross-sectional study was conducted from December 2022 to March 2023 via an anonymous survey in Chiang Mai, Thailand. A total of 308 participants engaged with the survey. The data about background information, motorcycle details, personal protective equipment, risky behaviors, attitude toward riding, and history of motorcycle accidents in the prior six months were collected and analyzed by binary logistic regression. Results: Of 308 participants, the mean age was 56 years old (SD = 14.2), females were 56.8 % (N = 175), 51 % had co-morbidity, and 40.6 % were active alcohol drinkers. The prevalence of individuals who experienced a motorcycle accident within the previous six months was 57.1 %. Notably, the most unsafe riding behavior was not wearing a helmet while riding, which had a prevalence of more than 80 % in both the accident and non-accident groups. The study found significant associated factors for motorcycle accidents in rural communities, including the history of alcohol consumption (aOR 1.71, 95 % CI: 1.05,2.79), changing lanes without using turn signals (aOR 1.93, 95 % CI: 1.07,3.48) and those who strongly disagree with the notion that listening to music while riding is dangerous (aOR 2.80, 95 % CI: 1.06, 7.43). Conclusion: Over half of motorcycle riders have been in accidents. These findings emphasize the need to enforce drunk-driving and traffic laws. Comprehensive motorcycle rider education and safety training are needed to encourage responsible riding
Blue-wavelength light therapy for post-traumatic brain injury sleepiness, sleep disturbance, depression, and fatigue: A systematic review and network meta-analysis.
No full textObjectiveThis review aimed to determine the efficacy of blue-wavelength light therapy (BWLT) for post-traumatic brain injury (TBI) sleepiness, sleep disturbance, depression, and fatigue.MethodsPubmed, Scopus, Web of Science, Cochrane Library, Academic Search Complete, and CINAHL. Included trials were randomized controlled trials (RCTs) of BWLT in adults with a history of TBI. Outcomes of interest included sleepiness, sleep disturbance, depression, or fatigue. Two reviewers independently screened the searched items, selected the trials, extracted the data, and rating the quality of trials. We aggregated the data using a random-effect, frequentist network meta-analysis (NMA).ResultsWe searched the databases on July 4, 2020. This review included four RCTs of 117 patients with a history of TBI who were randomized to received BWLT, amber light therapy (ALT), or no light therapy (NLT). Moderate-quality evidence revealed that: i) BWLT was significantly superior to NLT in reducing depression (SMD = 0.81, 95% CI = 0.20 to 1.43) ii) BWLT reduced fatigue at a significantly greater extent than NLT (SMD = 1.09, 95% CI = 0.41 to 1.76) and ALT (SMD = 1.00, 95% CI = 0.14 to 1.86). Low-quality evidence suggested that BWLT reduced depression at a greater extent than ALT (SMD = 0.57, 95% CI = 0.04 to 1.10). Low-quality evidence found that the dropout rates of those receiving BWLT and ALT were not significantly different (RR = 3.72, 95% CI = 0.65 to 21.34).ConclusionModerate-quality evidence suggests that BWLT may be useful for post-TBI depression and fatigue
Results of subgroup and sensitivity analyses.
No full textResults of subgroup and sensitivity analyses.</p
The certainty of BLWT treatment effects for four behavioral symptoms.
No full textThe certainty of BLWT treatment effects for four behavioral symptoms.</p
Characteristics of trials included in the systematic review and meta-analysis*<sup>,</sup><sup>†</sup>.
No full textCharacteristics of trials included in the systematic review and meta-analysis*,†.</p
PRISMA diagram showing the process of trial selection.
No full textThe systematic review and meta-analysis searched four databases, removed the duplicated records, and screened the titles and abstracts of records. After examining 14 full-text reports of relevant records, six trials were quantitatively synthesized.</p
Risk of bias in the included trials.
No full textA) Risk of bias in each domain of individual trials and B) Risk of bias across all included trials. Risk of bias were assessed using version 2 of the Cochrane risk-of-bias tool for randomized trials (RoB 2).</p
Funnel plot showing the relationships between behavioral symptoms reduced by BWLT and their precision.
No full textStandardized mean differences (SMDs) of behavioral symptom reduction indicate the effect estimates of Blue-Wavelength Light Therapy (BWLT) compared with control interventions. The standard errors of those SMDs express the precision. The outer dashed lines indicate the triangular region within which 95% of studies are expected to lie in the absence of both biases and heterogeneity. The bold dash line corresponds to no intervention effect. Control interventions included amber, red, or no light therapy.</p
