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Displaying 1 - 10 out of 464 matching injury records.

The Impact of Traumatic Brain Injuries: A Global Perspective

Submitted By Jerome Nsajju
Submitted On Wednesday, September 16th, 2009 @ 04:28:15 PDT -0700
Article Publication Year 2007
Visit Journal Web Site iospress.metapress.com
Author And
Journal Reference
Center for Injury Research & Policy, Johns Hopkins Bloomberg School of Public Health, USA
  Adnan Hyder
  Prasanthi Puvanachandra
Virginia Commonwealth University Health System and Children's Hospital, Virginia, USA
  Colleen Wunderlich
National Institute of Mental Health and Neurosciences, India
  G. Gururaj
World Health Organization Regional Office for Africa
  Olive Kobusingye

NeuroRehabilitation 2007 Vol. 22 No. 5 Pgs. 341-53
Related Countries Sub-Saharan Africa
Cause Of Injury V01-Y98
Nature Of Injury S00-S09
Abstract Traumatic brain injury (TBI), according to the World Health Organization, will surpass many diseases as the major cause of death and disability by the year 2020. With an estimated 10 million people affected annually by TBI, the burden of mortality and morbidity that this condition imposes on society, makes TBI a pressing public health and medical problem. The burden of TBI is manifest throughout the world, and is especially prominent in Low and Middle Income Countries which face a higher preponderance of risk factors for causes of TBI and have inadequately prepared health systems to address the associated health outcomes. Latin America and Sub Saharan Africa demonstrate a higher TBI-related incidence rate varying from 150–170 per 100,000 respectively due to RTIs compared to a global rate of 106 per 100,000. As highlighted in this global review of TBI, there is a large gap in data on incidence, risk factors, sequelae, financial costs, and social impact of TBI. This should be addressed through planning of comprehensive TBI prevention programs in LMICs through well-established surveillance systems. Greater resources for research and prioritized interventions are critical to promote evidence-based policy for TBI.

Pedestrian Injuries in School Attending Children: A Comparison of Injury Data Sources in Low-Income Setting

Submitted By Jerome Nsajju
Submitted On Tuesday, September 15th, 2009 @ 02:01:13 PDT -0700
Article Publication Year 2009
Visit Journal Web Site injuryprevention.bmj.com
Author And
Journal Reference
Department of Surgery, University of Toronto, Ontario, Canada
  P. Lee
  A Mihailovic
  A. Howard
Child Health Evaluative Sciences Research Program, Hospital for Sick Children, Toronto, Ontario, Canada
  L. Rothman
Injury Control Center, Kampala, Uganda
  M. Mutto
  M. Nakitto

Injury Prevention, April 2009, Vol. 15, Pgs.  100-104
Related Countries Uganda
Cause Of Injury V01-V09
Nature Of Injury S00-T19
Abstract OBJECTIVE:
To estimate and compare the rate of pedestrian injuries in primary school-attending children of urban Uganda using different data sources.

DESIGN:
Data collection from a hospital-based trauma registry, police data, teacher reports, and a cross-sectional community-based survey.

SETTING:
Kawempe, the largest urban district in the capital Kampala, Uganda.

PATIENTS OR SUBJECTS:
Primary school-attending children aged 4–12 from 39 randomly selected schools were included in the trauma registry, police data, and teacher reports. 1828 households randomly selected from the 39 schools were interviewed for the community survey.

MAIN OUTCOME MEASURE:
A pedestrian injury. For the trauma registry—defined as a pedestrian injury resulting in a visit to the hospital. For the police data—defined as a pedestrian injury reported to the police. For the teacher reports and survey—defined as a pedestrian injury resulting in at least a day off school.

RESULTS:
The estimated pedestrian injury rates per 100 000 person-years were 54.0 (95% CI 25.3 to 117.4), <53.97 (95% CI 23.8 to 125.9), 1878.8 (95% CI 1513.1 to 2322.4), and 764.0 (95% CI 523.3 to 1117.2) from the trauma registry, police data, teacher reports, and community survey, respectively.

CONCLUSIONS:
Pedestrian injury rates differed significantly between different data sources. Users must be aware of the different target populations, definitions, and limitations of the data sources before direct comparisons are made. Injury reports by volunteer teachers may be a feasible source of injury data in other low/middle-income countries.

Traumatic Arteriovenous Fistulas and Aneurysms at the Tikur Ambessa Hospital, Addis Ababa

Submitted By Netsanet Sileshi
Submitted On Thursday, August 6th, 2009 @ 05:47:05 PDT -0700
Article Publication Year 2001
Visit Journal Web Site www.bioline.org.br
View Full Article www.bioline.org.br
Author And
Journal Reference
Department of Surgery, Tikur Anbessa Hospital
Addis Ababa University, Ethiopia
  Owar Johnson
East and Central African Journal of Surgery, Vol. 6, No. 1, 2001, pp. 7-10
Related Countries Ethiopia
Cause Of Injury Y35-Y36
Nature Of Injury S00-T19
Abstract During the years 1992-1996 11 cases of arteriovenous fistula or aneurysm were reported in the Department of Surgery at Tikur Anbessa Hospital (TAH). Ten of these cases will be presented. Eight of the cases were operated upon in 1996. The mean age of the patients was 32 years (range 17-49). Nine were men. The aneurysms were located in the lower extremities in eight patients, and in the upper extremities in two. Eight of the injuries leading to aneurysms involved military personnel and there were two civilians. The mean time of operation after injury was 48.9 months (range 2-72 months). Of these, five were false aneurysms and five were arteriovenous fistulas. In all cases restoration of arterial and venous flow after excision was successful. All these cases have been followed for a minimum of four months after surgery (range 4-31 months). Results were considered excellent in one patient and good in nine.

Road Traffic Injury is an escalating burden in Africa and deserves proportionate research efforts

Submitted By Robert Taylor
Submitted On Tuesday, August 4th, 2009 @ 10:56:38 PDT -0700
Article Publication Year 2007
Visit Journal Web Site www.plosmedicine.org
View Full Article www.plosmedicine.org
Author And
Journal Reference
Public Health and Development Institute & Victor Segalen University, France
  Emmanuel Lagarde

PLOS Medecine 4(6); June 2007; page 170
Related Countries Africa
Cause Of Injury V01-V99
Nature Of Injury S00-T19
Abstract Many results on road injury prevention are available from developed countries. We now urgently need to scale up surveillance and research efforts in developing countries in order to determine how to build on these results, taking regional specificities into account. A proper surveillance system should produce reliable data handled by trained epidemiologists to issue intervention priorities. Indispensable research actions include the assessment of population knowledge, attitudes, and behaviours; identification of regional intervention priorities; effectiveness and cost-effectiveness evaluations of interventions; and evaluation of care management practices and training procedures.

In Africa, driving a car is still considered a privilege, an enviable option, not a risky task with inherent responsibilities. Unfortunately, Africa has other burning public health priorities. Documented success stories in road safety are needed to demonstrate that road traffic accidents need not be inevitable and unpredictable, but are avoidable. Changing the mindset of road users will be a challenge, but many lives are at stake.

Patterns of Injury in Children and Adolescents Presenting to a South African Township Health Centre

Submitted By Jerome Nsajju
Submitted On Tuesday, July 21st, 2009 @ 05:18:35 PDT -0700
Article Publication Year 1995
Visit Journal Web Site injuryprevention.bmj.com
Author And
Journal Reference
Department of Paediatric Epidemiology, Institute of Child Health, University of London, UK
  K. Zwi
  A. Zwi
  E. Smettanikov
  N. Söderlund
  S. Logan

Injury Prevention 1995 No. 1 Pgs. 26-30
Related Countries South Africa
Cause Of Injury V01-Y98
Nature Of Injury S00-T98
Abstract OBJECTIVES:
To describe the patterns and causes of childhood injury presenting to a South African township health centre in 1991.

DESIGN: Retrospective review of clinic held case notes.

SETTING: Typical South-African urban township within Greater Johannesburg.

SUBJECTS: 695 subjects aged 0-19 years presenting as a direct result of injury.

RESULTS: Overall rates of presentation for injury were 6297/100,000/year (95% confidence interval 5463 to 7131); 35% of injuries were caused by violence, 14% by traffic, and 51% by other unintentional causes (such as falls and sport injuries). Males had higher rates of presentation than females for violent (p < 0.001) and unintentional injuries (p < 0.01), but rates were similar for traffic injuries. The highest rates were for injuries caused by violence in 15-19 year-old males and were 9319/100,000/year.

CONCLUSIONS: Rates are lower than in more developed countries. However, they appear to represent the more severe end of the spectrum of injury severity. The rates are similar for those below age 10 years and higher for those above age 10 years compared with severe injury rates in other studies. These data are likely to underestimate true rates. The risk of injuries caused by violence increase with age and these injuries are more serious than those due to other causes. Males are at higher risk for all types of injury except traffic injury.

Ashes to Ashes: Thermal Contact Burns in Children Caused by Recreational Fires

Submitted By Jerome Nsajju
Submitted On Thursday, July 9th, 2009 @ 07:58:19 PDT -0700
Article Publication Year 2008
Visit Journal Web Site www.burnsjournal.com
Author And
Journal Reference
Division of Paediatric Surgery, Red Cross War Memorial Children's Hospital, University of Cape Town, South Africa
  T Cahill
  H Rode 
  A Millar

Burns; 2008, Vol. 34, No. 8, Pgs 1153-57
Related Countries South Africa
Cause Of Injury X00-X09
Nature Of Injury T20-T32
Abstract Recreational open fires are an important and preventable cause of burn. In contrast to adults, who often sustain flame burns, children are at higher risk of thermal contact burns caused by hot embers many hours after the fire was first lit. Cases of thermal contact injury in children due to recreational fires were reviewed and the potential of a small charcoal fire to cause burns over a prolonged period was tested.

Between 1993 and 2007, 67 children were admitted for treatment, with a median age of 1.6 years. Total burn surface area ranged from 0.5% to 19.5% (median 4%) with burns most commonly affecting the hands and feet. The average length of stay was 7 days and a total of 81 surgical procedures were carried out. Injury was most commonly sustained after falling into (40%), or accidentally crawling or walking on (30%), the remnants of an unextinguished fire. Small charcoal fires retain sufficient heat to cause injury at least 16h after lighting. Strategies for prevention of these injuries are outlined.

Pattern of Intentional Burns to Children in Ghana

Submitted By Jerome Nsajju
Submitted On Thursday, May 7th, 2009 @ 09:21:52 PDT -0700
Article Publication Year 1995
Visit Journal Web Site www.sciencedirect.com
Author And
Journal Reference
Center for Injury Research and Control, University of Pittsburgh, PA, USA
  Samuel Forjuoh

Child Abuse and Neglect; 1995, Vol. 19, No. 7, Pgs. 837-41 
Related Countries Ghana
Cause Of Injury X00-X09
X10-X19
X85-Y09
Nature Of Injury T20-T32
Abstract Intentional (inflicted) injury to children through burns has been studied and mentioned extensively in the literature, although much less so in developing countries. A community-based survey of children aged 0–5 years in the Ashanti Region of Ghana found that of 650 childhood burns, 35 (5.4%) were purposefully inflicted. The perpetrators were mostly friends (43%) and siblings (37%) of the victims, and traditional healers (6%) who inflicted these burns to children who were comatose after convulsions. Intentional burns were more likely to be inflicted by flame (OR = 3.87, 95% CI = 1.52–10.0), and contact with a hot object (OR = 1.66, 95% CI = .62–4.44) than through scalding, the most common cause of burns in this region. Other patterns of intentional burns included the absence of any adult, burns covering < 3–5% of body surface area, and increased rate of wound infection. These findings contrast with the pattern of intentional burns seen in other countries, notably developed ones. Even though these inflicted burns were minor, it is important that doctors working in this setting become aware of their presence and that traditional healers and the general public be educated about the appropriate treatment for childhood convulsion.

Burn Injuries During Pregnancy: An African Series

Submitted By Jerome Nsajju
Submitted On Thursday, May 7th, 2009 @ 08:52:22 PDT -0700
Article Publication Year 1990
Visit Journal Web Site www.ncbi.nlm.nih.gov
View Full Article www.ncbi.nlm.nih.gov
Author And
Journal Reference
Ahmadu Bello University Hospital, Zaria, Nigeria
  O. Mabogunje

Journal of the National Medical Association; 1990, Vol. 82, No. 9, Pgs. 641-44
Related Countries Nigeria
Cause Of Injury X00-X09
X10-X19
Nature Of Injury T20-T32
Abstract Seven pregnant women aged 20 to 30 years were among the burn patients treated at Ahmadu Bello University Hospital in Zaria, Nigeria. Five suffered flame burns and two were scalded. The burned surface area ranged from 4% to 80%. One patient was in the first trimester, two in the second, and four in the third. Six (86%) of the mothers and five (71%) of the fetuses survived.

Burns During Pregnancy: A Gloomy Outcome

Submitted By Jerome Nsajju
Submitted On Thursday, May 7th, 2009 @ 05:09:39 PDT -0700
Article Publication Year 1997
Visit Journal Web Site www.burnsjournal.com
Author And
Journal Reference
Faculty of Medicine, Ain-Shams University, Cairo, Egypt
  Amr Mabrouk 
  Alaa Eldin El-Feky

Burns 1997, Vol. 23, No. 7-8, Pgs. 596-600 
Related Countries Egypt
Cause Of Injury W85-W99
X00-X09
X10-X19
Nature Of Injury T20-T32
Abstract The effect of burns on fetal and maternal survival is known to be detrimental. This prospective study describes the performance of pregnant burned patients who were managed and followed up for fetal and maternal outcomes at Ain Shams University's burn unit and Maternity Hospital during the period from October 1995 to September 1996. During the 12-month period, 27 pregnant burned patients were managed. Fetal and maternal mortality correlated with the total body surface area (TBSA) burned, the mortality rate being 63 per cent for both mothers and fetuses in the 25–50 per cent TBSA group. A fetal loss of 56 per cent with no maternal loss were recorded in the 15–25 per cent TBSA group. Experience in dealing with pregnant burned patients proves that early surgical excision and skin grafting, with timely termination of pregnancy are the best lines of treatment. Prevention or minimizing the effects of the burns may be achieved by proper education and guidance of the pregnant woman.

Causes, Magnitude and Management of Burns in Under-Fives in District Hospitals in Dar Es Salaam, Tanzania

Submitted By Jerome Nsajju
Submitted On Thursday, May 7th, 2009 @ 02:51:10 PDT -0700
Article Publication Year 2008
Visit Journal Web Site www.bioline.org.br
Author And
Journal Reference
Dept of Pharmaceutics, School of Pharmacy, Muhimbili University of Health and Allied Sciences [MUHAS], Dar es Salaam, Tanzania
  M. Justin-Temu
  G. Matemu
Dept of Clinical Pharmacology, School of Medicine, MUHAS
  G. Rimoy
Dept of Parasitology, MUHAS
  Z. Premji
 
East African Journal of Public Heath, Vol. 5, No. 1, April, 2008, pp. 38-42
Related Countries Tanzania
Cause Of Injury X00-X09
X10-X19
X85-Y09
Nature Of Injury T20-T32
Abstract OBJECTIVES:
To determine the causes, magnitude and management of burns in children under five years of age who were admitted in the district hospitals of Dar es Salaam City, Tanzania.

METHODS:
In this study, a total of 204 under fives were enrolled. Questionnaires were used to elicit if the parent/caretaker had the knowledge of the cause of the burns, what was done immediately after burn injury, first aid given immediately after burn, source of the knowledge of first aid and when the child was taken to the hospital. Also the questionnaire was cited with data on the management of burns in the hospitals through observation and checking the treatment files.

RESULTS:
Forty nine percent were males while 50.5% were females.  Most of the children (54.9%) were aged between 1-2 years. 78.4 % had scalds while 21.6 % had flame burns. No children were found to have burns caused by chemicals or electricity. Most of the burns (97.5%) occurred accidentally, although some (2.5%) were intentional. 68.6 % of these burn injuries occurred in the kitchen. Immediately after burn 87.3% of the children had first aid applied on their wounds while 12.7% didn't apply anything. Of the agents used, honey was the most used (32.8%) followed by cold water (16.7%). The source of knowledge on these agents was from relatives and friends (72.5%), schools (7%), media (6%) and medical personnel (14%). The study further revealed that analgesics, intravenous fluids, antiseptics and antibiotics were the drugs used for treatment of burns in the hospital and that there was no specialized unit for burns in the hospitals.

CONCLUSIONS:
Causes of childhood burns are largely preventable requiring active social/medical education and public enlighten campaigns on the various methods of prevention. The government to see to it that hospitals have specialized units for managing burn cases and also the socio-economic status of its people be improved.
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