Rising fuel prices can affect driver behavior and thus the number of accidents, which is a key road safety issue. The aim of this paper was to assess and quantify the relationship between fuel prices (FP) and the number of road accidents in Europe. Content analysis of statistics from the countries was used to collect data, which were examined using Ramsey resets and Poisson distributions and then processed using negative binomial regression (NB), cluster analysis and visualization using contour plots. The results show that in Germany and Poland there is a statistically significant low negative correlation between fuel price and the number of traffic accidents, while in the Czech Republic and Denmark the relationship is weaker and statistically insignificant. In Iceland, no significant correlation was found. The contribution of this paper is to provide important insights that can be used in the development of transport policies and regulations to improve road safety. The main limitations include the difficulty of data collection, as many countries do not publish detailed statistics, and the low number of accidents in Iceland, which makes it impossible to perform a robust analysis for this country and may cause generalization of the results.

This research investigates the safety status of water transport in Lake Towuti, South Sulawesi, employing the MICMAC and MACTOR methodologies to discern the factors that affect navigation safety and the interactions among the relevant stakeholders. The MICMAC analysis reveals that the effectiveness of sustainable transportation in Lake Towuti is significantly dependent on technical elements such as vessel certification, maintenance practices, and safety monitoring, alongside robust relationships among key entities like The South Sulawesi Class II Land Transportation Management Center (BPTD), The East Luwu District Transportation Office (Dishub), and the Timampu Port Service Unit (Satpel). When implementing the MICMAC-MACTOR model, it is essential to consider the technical implications of the proposed recommendations from the perspectives of social justice, environmental sustainability, and economic feasibility. The outcomes derived from the MICMAC and MACTOR assessments in Lake Towuti provide critical insights that can be utilized in other lakes across Indonesia, especially those that exhibit deficiencies in safety measures and adherence to inland water transport safety regulations.

Noise pollution in construction sites is a significant concern, impacting worker health, safety, communication, and productivity. The current study aims to assess the paramount consequences of ambient noise pollution on construction activities and workers’ productivity in Peshawar, Pakistan. Noise measurements have been recorded at four different construction sites in Peshawar at different times of the day. Statistical analysis and Relative Importance Index (RII) are employed to evaluate the data Risk variables, such as equipment maintenance, noise control, increased workload, material handling challenges, quality control issues, and client satisfaction. The results indicated that noise levels often exceeded permissible limits, particularly in the afternoon, posing significant worker risks. In addition, RII analysis identified communication difficulties, safety hazards, and decreased productivity as significant issues. The results show that noise pollution is directly linked with safety risks, decreased performance, and client dissatisfaction and needs immediate attention by authorities. This paper proposes a strategic policy framework, recommending uniform hand signals and visual communication methods without noise for workers, worker training about safety, and using wearable devices in noisy settings. Communication training for teams and crane operators, proactive quality control, and customer-oriented project schedules are also proposed. These recommendations aim to mitigate the adverse effects of noise pollution, enhance construction industry resilience, and improve overall operational efficiency, worker safety, and client satisfaction in the construction sector of Peshawar, aligning with policy and sustainable development objectives.

Introduction: In Central Europe, in Hungary, the state guarantees access to health care and basic health services partly through the Semmelweis Plan adopted in 2011. The primary objectives of the Semmelweis Plan include the optimisation and transformation of the health care system, starting with the integration of hospitals and the state control of previously municipally owned hospitals. The transformation of the health care system can have an impact on health services and thus on meeting the needs of the population. In addition to reducing health inequalities and costs, the relevant benefits include improving patients’ chances of recovery and increasing patient safety. The speciality under study is decubitus care. Our hypothesis is that integration will improve the chances of recovery for decubitus patients through access to smart dressings to promote patient safety. Objective: to investigate and demonstrate the effectiveness of integration in improving the chances of recovery for decubitus ulcer patients. Material and methods: The research compared two time periods in the municipality of Kalocsa, Bács-Kiskun County, Southern Hungary. We collected the number of decubitus patients arriving and leaving the hospital from the nursing records and compared the pre-integration period when decubitus patients were provided with conventional dressings (01.01.2006–2012.12.31) and the post-integration period, which entailed the introduction of smart dressings in decubitus care (01.01.2013–2012.12.31). The target population of the study was men and women aged 0–99 years who had developed some degree of decubitus. The sample size of the study was 4456. Independent samples t-test, Chow test and linear trend statistics were used to evaluate the results. Based on the empirical evidence, a SWOT analysis was conducted to further examine the effectiveness of integration. Results: The independent samples t-test model used was significant (for Phase I: t (166) = −16.872, p < 0.001; for Phase II: t (166) = −19.928, p < 0.001; for Phase III: t (166) = −19.928, p < 0.001; for Phase III: t (166) = −16.872, p < 0.001). For stage III: t (166) = −10.078, p < 0.001; for stage IV: t (166) = −10.078, p < 0.001; for stage III: t (166) = −10.078, p < 0.001). for stage III: t (166) = −14.066, p < 0.001). For the Chow test, the p-values were highly significant, indicating a structural break. Although the explanatory power of the regression models was variable (R-squared values ranged from 0.007 to 0.617), they generally supported the change in patient dynamics after integration. Both statistical analyses and SWOT analysis supported our hypothesis and showed that integration through access to smart dressings improves patients’ chances of recovery. Conclusions: Although only one segment of the evidence on the effectiveness of hospital integration was examined in this study, integration in the study area had a positive impact on the effective care of patients with decubitus ulcers, reduced inequalities in care and supported patient safety. In the context of the results obtained, these trends may reflect different systemic changes in patient management strategies in addition to efficient allocation of resources and quality of care.

With the rapid increase in electric bicycle (e-bikes) use, the rate of associated traffic accidents has also escalated. Prior studies have extensively examined e-bike riders’ injury risks, yet there is a limited understanding of how their behavior contributes to these accidents. This study aims to explore the relationship between e-bike riders’ risk-taking behaviors and the incidence of traffic accidents, and to propose targeted safety measures based on these insights. Utilizing a mixed-methods approach, this research integrates quantitative data from traffic accident reports and qualitative observations from naturalistic studies. The study employs a binary logistic regression model to analyze risk factors and uses observational data to substantiate the model findings. The analysis reveals that assertive driving behaviors among e-bike riders, such as running red lights and speeding, significantly contribute to the high rate of accidents. Moreover, the lack of protective gear and inadequate safety training are identified as critical factors increasing the risk of severe injuries. The study concludes that comprehensive policy interventions, including stricter enforcement of traffic laws and mandatory safety training for e-bike riders, are essential to mitigate the risks associated with e-bike use. The findings advocate for an integrated approach to urban traffic management that enhances the safety of all road users, particularly vulnerable e-bike riders.

This research focuses on addressing critical driving safety issues on university campuses, particularly vehicular congestion, inadequate parking, and hazards arising from the interaction between vehicles and pedestrians. These challenges are common across campuses and demand effective solutions to ensure safe and efficient mobility. To address these issues, the study developed detailed microsimulation models tailored to the Victor Levi Sasso campus of the Technological University of Panama. The primary function of these models is to evaluate the effectiveness of various safety interventions, such as speed reducers and parking reorganization, by simulating their impact on traffic flow and accident risk. The models provide calculations of traffic parameters, including speed and travel time, under different safety scenarios, allowing for a comprehensive assessment of potential improvements. The results demonstrate that the proposed measures significantly enhance safety and traffic efficiency, proving the model’s effectiveness in optimizing campus mobility. Although the model is designed to tackle specific safety concerns, it also offers broader applicability for addressing general driving safety issues on university campuses. This versatility makes it a valuable tool for campus planners and administrators seeking to create safer and more efficient traffic environments. Future research could expand the model’s application to include a wider range of safety concerns, further enhancing its utility in promoting safer campus mobility.