The increasing growth in road users who are unfamiliar with traffic rules and regulations provides a serious safety problem for Pakistani traffic conditions. This study has two main objectives. First, it seeks to validate the reliability and applicability of the Dula Dangerous Driving Index (DDDI) in Pakistan. Second, it intends to investigate the effects of DDDI, sociodemographic characteristics, seat belt use, and driving training on the occurrence of traffic accidents. A total of 623 Pakistani individuals completed a questionnaire as part of this study. The questionnaire consists of items related to dangerous driving behaviors, sociodemographic characteristics, seat belt use, driving instruction, and accident involvement. The DDDI's accuracy was evaluated by comparing it to self-reported traffic incidents and seat belt compliance. To discover predictors within the DDDI dimensions, generalized linear models were used. A binary logistic regression analysis was also performed to evaluate the factors that influence traffic accidents. DDDI dimensions, demographic characteristics, seat belt usage, and driving training were all considered in this study. The use of seat belts while driving reduced the likelihood of an accident by 25%. On the other hand, aggressive driving and risky driving increased the chances of getting involved in traffic accidents by 36%% and 20%. Furthermore, the chances of being involved in a traffic accident decreased by 21% as the drivers age increased. The results also illustrate that Pakistani drivers are more aggressive and risk taker compared to Chinese drivers who are more disciplined. This study suggests that lack of comprehensive and standardized driving training and education programs, in consistent enforcement of traffic laws, the quality of road infrastructure and lack of public awareness campaigns can be attributed to adverse road safety situations in country.

Antiphospholipid syndrome (APS) is a group of autoimmune diseases caused by antiphospholipid antibodies (aPLs) characterized by arteriovenous thrombosis and a morbid pregnancy. We deliberated a case report of seven cases to investigate whether inhibitors of tissue necrosis factor-α could reduce pregnancy dangers caused by APS. The seven patients are with increased tumor necrosis factor, poor improvement after receiving traditional inhibitory drugs. To address these situations, the tumor necrosis factor inhibitors were prescribed after getting the patient's informed consent, and the state of illness was carefully watched for. After treatment, symptoms of contractions and abdominal pain disappeared and the B ultrasound examination showed embryo survived with good obstetric outcomes. Subsequently, maternal and neonatal health is compromised. An intervention by the administration of TNF-α inhibitors was posited to be an effective way of reducing dangerous pregnancies like preterm pregnancies, premature deliveries, abortions and miscarriages. We reviewed outcomes from seven cases in an attempt to establish how TNF- α Inhibitors could save pregnancies. We focused on key pregnancy outcomes like birth weight, gestational weeks and preterm miscarriage to tell the outcomes of TNF- α Inhibitors in pregnancy. After careful evaluation of the results surrounding these aspects, we found that TNF- α Inhibitors could prolong gestational period. Other positive outcomes include the attainment of birth weights approach the threshold, zero incidence of preterm miscarriage.

Alcohol and substance addiction is a type of brain disease that damages many areas of life of the individual and has psychological components. Since questioning alcohol use alone is not sufficient in the diagnostic evaluation process, self-awareness and the individual's long-term psychological well-being are important in the rehabilitation process. Since investigating alcohol use alone is not sufficient in the diagnostic evaluation process, self-awareness and the individual’s long-term psychological well-being are important in the rehabilitation process. Primary prevention is used to prevent disease in healthy people, and secondary prevention is used for early diagnosis to people at risk. Tertiary prevention is important to prevent recurrence of the disease in the treated person. In addiction, which is a chronic problem, a need has emerged for tertiary prevention, that is, rehabilitation standards. If people are uncertain about the harm perception and the natural result of their behavior, they easily slip into the substance. Therefore, as a positive psychotherapy technique, harm perception and result awareness levels should be clarified. For this reason, scales were developed. The inclusion of new psychology perspectives and therapy techniques, such as positive psychology, in the treatment process requires setting new standards. In this study, it was aimed to develop result awareness and harm perception scales to determine the awareness levels and rehabilitation standards of alcohol and substance addicted individuals, and to compare awareness in normal and addicted groups. The study group consisted of 1134 participants, 41 of whom were addicts. Among the two scales developed in the study, the Uskudar Result Awareness Scale (USRAS) consisting of 25 items and 6 factor, explained 58.4% of the total variance. The Uskudar Harm Perception Scale (USHPS), consisting of 36 items and 10 factors, explained 56.3% of the total variance. Confirmatory factor analysis of the two scales resulted in acceptable goodness-of-fit values. (X2/df<3; RMSEA<.08; NFI>.90; NNFI>.95; CFI>.95; GFI>.90; AGFI>.85). In the comparisons made, the result awareness of the normal group was moderate (X=3,81); whereas the addicted group had a low result awareness (X=3,20); The effect size of the difference between the two groups was found to be high (d=1,45; >0,8). In the other measure, the harm perception of the normal group was found in the low-risk group (X=3,78); the harm perception of the addicted group was found in the moderate-risk group (X=3,43). According to Cohen d calculations, the effect size of the difference between the two groups is high (d=1,43; >0,8). It has been concluded that the two scales that emerged in the research are valid and safe, can be included in the rehabilitation studies and the creation of self-awareness, and their effectiveness should be tested.

Sudden water pollution accident is a tough environmental challenge to solve due to its uncertainty, unpredictability and destructiveness. Therein, the dangerous goods transportation accidents on the cross-tributary bridges are increasing worldwide with the acceleration of industrialization and urbanization, posing threats to the water ecological environment and human health. To prevent and control the risk, this study evaluated the risk of sudden water pollution accidents associated with dangerous goods transportation on the cross-tributary bridges by using the expert judgment fuzzy language method and Bayesian network model. Baiyangdian lake as the largest freshwater shallow lake in North China was chosen as a study case. Different accident scenarios were simulated to put forward risk prevention and control measures. The results showed that the primary risk factors were divided into five categories: personnel factors, vehicle factors, tank factors, weather factors, and road environment factors. The probability of dangerous goods transportation accidents was a possible event (P=0.115), with a high risk level. Furthermore, the Baiyangdian lake would suffer from serious environmental pollution and water quality degradation without prevention and control measures by simulating the oil leakage accident. Therefore, emergency prevention and control measures are expected to be formulated and implemented before and after the occurrence of the sudden water pollution accidents. This study provides useful insights into risk prevention and control strategies for sudden water pollution accidents, and the framework can be made applicable to other rivers facing similar risk challenges worldwide.