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Displaying 91 - 100 out of 483 matching injury records.

Epidemiology of Work-Related Eye Injuries

Submitted By Marunga Iryne
Submitted On Wednesday, February 27th, 2008 @ 02:44:48 PST -0800
Article Publication Year 2007
Visit Journal Web Site www.tunimed.org.tn
Author And
Journal Reference
Institut Hedi Rais d'ophtalmologie de Tunis
  Imen Zghal-Mokni
  Leila Nacef
  Mourad Kaoueche
  Imen Letaief
  Hedi Bouguila
  Amel Jeddi
  Said Ayed

La Tunisie Medicale 2007 Jul;85(7):576-9 [Article is in French]
Related Countries Tunisia
Cause Of Injury W20-W49
Nature Of Injury S00-S09
Abstract BACKGROUND:
Occupational injury represents 7,7 at 69,9% of the total ocular traumatisms. They can be a major source of visuel loss and blindness. The aim is to study the epidemiology of work-related ocular injuries: objects frequencies,works most exposed.

METHODS:
We performed a prospective study that interest 78 patients having a work-related ocular traumatism during a 4 months period. They were admitted at ocular emergency All patients underwent an ophtalmologic examination completed with orbital radiography and echography. A medical and/or chirurgical appropriate treatment was institued.

RESULTS:
Occupationnal injury frequency was 9% of the whole ocular traumatisms in the same period. The mean age was 31 years. 55% of cases were under 30 years. 91% were male. Most exposed works were industrial and mecanical sectors In 70,5% of cases work-related eye injuries were caused by projectile objects. Most common lesion was corneal superficial foreign body (58%). Open globe injury was noted in 8%. 95% of patients had no eye protection at the time of the accident. 13% were blind or unilateral partially sighted (according to the OMS classification).

CONCLUSION:
The authors discussed the importance and different prevention strategies to prevent the risk of blindness and socio-economical cost of occupationnal accidents. There is a need for systematic periodic sensibilization to reduce these accidents and blindness.

Epidemiology of Transportation Related Injuries in Rural Africa

Submitted By Marunga Iryne
Submitted On Wednesday, February 27th, 2008 @ 02:23:16 PST -0800
Article Publication Year 1999
Visit Journal Web Site www.informaworld.com
Author And
Journal Reference
Kwame Nkrumak University of Science and Technology, Kumasi, Ghana
  Charles Mock 
  David Nii-Amon-Kotei 
University of Pittsburgh, Pittsburgh, PA, USA
  Samuel Forjuoh 
University of Washington, Seattle, WA, USA
  Frederick Rivara

Traffic Injury Prevention, Vol. 1, Iss. 1 Mar 1999, pgs 45-53
Related Countries Ghana
Cause Of Injury V01-V99
Nature Of Injury S00-T19
Abstract To ascertain the incidence, characteristics, and consequences of transport-related injuries in a developing rural area, we conducted an epidemiologic survey in Ghana. Among the 9442 persons surveyed, 928 injuries were reported for the preceding year. Transport-related mechanisms accounted for 10% of these, hut were more severe than other mechanisms in terms of mortality, length of disability, and economic consequences. The most common transport-related injuries were due to bicycle crashes, followed by motor vehicle crashes, which resulted in the most severe injuries and which involved commercial (83%) rather than private vehicles. Prevention strategies need to be different from those in developed nations and need to target commercial drivers more than private road users.

Mortality Due to Injuries in Maputo City, Mozambique

Submitted By Marunga Iryne
Submitted On Wednesday, February 27th, 2008 @ 01:23:37 PST -0800
Article Publication Year 2006
Visit Journal Web Site www.tandf.co.uk
Author And
Journal Reference
Departamento de Epidemiologia e Grandes Endemias, Direccaceo Nacional de Saude, Ministerio da Saude, Maputo, Mocambique
  Hanifa Nizamo
Department of Epidemiology, Institute of Public Health, University of Copenhagen, Denmark 
  Dan Meyrowitsch
Forensic Department, Faculty of Medicine, Maputo, Mozambique   
  Eugenio Zacarias
Department of International Health, University of Copenhagen, Denmark
  Flemming Konradsen

International Journal of Injury Control and Safety Promotion, Vol. 13, Iss. 1 March 2006, pgs. 1-6
Related Countries Mozambique
Cause Of Injury V01-Y98
Nature Of Injury S00-T98
Abstract Records of all registered deaths due to injuries maintained by the Legal Medicine Department in Maputo City for the period 1 January to 31 December 2000 were reviewed. Among the 1135 registered deaths, road traffic injuries accounted for the most common underlying cause of death (43.7%), followed by firearm discharge (8.7%) and burns (7.8%). For all deaths, skull fracture (21.9%), organ system injury (17.2%) and brain tissue injury (9.3%) were the most important intermediate causes of death and among the immediate causes of death acute anaemia (21.9%) was the most common followed by asphyxia (14.4%) and traumatic shock (12.0%). Overall, most cases were seen in the age group 20 - 29 years (27.0%) and comprising mainly males (male/female ratio 3.1). The most commonly reported cause for the victims to sustain injuries leading to death were accidents (59.4%), followed by homicides (19.8%), unknown causes (16.1%) and suicides (4.2%). Prevention of road traffic injuries and improved emergency care and health facility-based treatment is needed to reduce injury-related mortality. 

The Refugee Crisis in Africa and Implications for Health and Disease: A Political Ecology Approach

Submitted By Semhal Kidane
Submitted On Wednesday, February 27th, 2008 @ 01:20:19 PST -0800
Article Publication Year 1998
Visit Journal Web Site www.sciencedirect.com
Author And
Journal Reference
Department of Geography, 220 Davenport Hall, MC-150, University of Illinois at Urbana-Champaign, IL, USA
  Ezekiel Kalipenia
Department of Geography, University of North Texas, Denton, TX, USA
  Joseph Oppongb

Social Science & Medicine
Vol. 46, Iss. 12, 15 June 1998, Pages 1637-1653
Related Countries Africa
Cause Of Injury Y35-Y36
Nature Of Injury S00-T98
Abstract Political violence in civil war and ethnic conflicts has generated millions of refugees across the African continent with unbelievable pictures of suffering and unnecessary death. Using a political ecology framework, this paper examines the geographies of exile and refugee movements and the associated implications for re-emerging and newly emerging infectious diseases in great detail. It examines how the political ecologic circumstances underlying the refugee crisis influences health services delivery and the problems of disease and health in refugee camps. It has four main themes, namely, an examination of the geography of the refugee crisis; the disruption of health services due to political ecologic forces that produce refugees; the breeding of disease in refugee camps due to the prevailing desperation and destitution; and the creation of an optimal environment for emergence and spread of disease due to the chaotic nature of war and violence that produces refugees. We argue in this paper that there is great potential of something more virulent than cholera and Ebola emerging and taking a big toll before being identified and controlled. We conclude by noting that once such a disease is out in the public rapid diffusion despite political boundaries is likely, a fact that has a direct bearing on global health. The extensive evidence presented in this paper of the overriding role of political factors in the refugee health problem calls for political reform and peace accords, engagement and empowerment of Pan-African organizations, foreign policy changes by Western governments and greater vigilance of non-governmental organizations (NGOs) in the allocation and distribution of relief aid.

Speed Control in Developing Countries: Issues, Challenges and Opportunities in Reducing Road Traffic Injuries

Submitted By Semhal Kidane
Submitted On Wednesday, February 27th, 2008 @ 00:46:32 PST -0800
Article Publication Year 2003
Visit Journal Web Site www.ingentaconnect.com
Author And
Journal Reference
Building & Road Research Institute, Kumasi, Ghana   
  F. Afukaar

Injury Control and Safety Promotion, Vol. 10, Nos.  1-2/April 2003, pp. 77-81(5)
Related Countries Ghana
Cause Of Injury V01-V99
Nature Of Injury S00-T98
Abstract Speed has been determined to be one of the most common contributing factors in vehicle crashes. This study explores vehicle speed as a factor in the causation of road traffic crashes, using the example of Ghana. It examines the effectiveness of various speed control measures, based on police-reported traffic crashes in Ghana and published works on speed control measures in both industrialized and developing countries. In Ghana, pedestrians were the main victims of road traffic injuries. The dominant driver error assigned by traffic police was loss of control, with the underlying factor being excessive vehicle speeds. The 'speed factor' alone accounted for more than 50% of all Ghanaian road traffic crashes between 1998 and 2000. While the enforcement of speed limits by traffic police may not be affordable for most developing countries, rumble strips and speed humps were found to be effective on Ghanaian roads. Rumble strips installed on the main Accra-Kumasi highway reduced crashes by about 35% and fatalities by about 55%. Reducing vehicle speeds may be one of the most effective interventions to stem traffic crashes in low-income countries. However, setting lower speed limits is not an effective intervention without the traffic law enforcement resources to ensure that limits are followed. Developing countries must also look to other speed reduction measures such as speed bumps and rumble strips, roads that segregate high- and low-speed users, and technological solutions such as speed governors, as well as greater public awareness of the problem.

The Impact of Small Arms on Health in Nigeria

Submitted By Marunga Iryne
Submitted On Wednesday, February 27th, 2008 @ 00:37:26 PST -0800
Article Publication Year 2005
Visit Journal Web Site www.informaworld.com
Author And
Journal Reference
Society of Nigerian Doctors for the Welfare of Mankind, Kano, Nigeria
  Ime John
Medicine, Conflict and Survival 2005 Oct-Dec;21(4):312-4
Related Countries Nigeria
Cause Of Injury W20-W49
X85-Y09
Nature Of Injury S00-T19
Abstract Nigeria, the most populous Black country in the world, though it has contributed to the welfare of other African countries, is plagued by internal conflicts with small arms. Over a million illegal small arms circulate in Nigeria in the hands of militant groups. Over 10,000 may have died in conflicts between these groups and the government. Quality health care is unavailable in much of the country, and small arms injuries often overstretch emergency health care. A national committee has been set up to implement the ECOWAS moratorium on small arms and light weapons, but much remains to be done.

Hospital-Based Trauma Registries in Uganda

Submitted By Semhal Kidane
Submitted On Wednesday, February 27th, 2008 @ 00:37:14 PST -0800
Article Publication Year 2000
Visit Journal Web Site www.jtrauma.com
Author And
Journal Reference
Injury Control Center-Uganda, Makerere Clinical Epidemiology Unit, Kampala, Uganda
  Olive Kobusingye
Canadian Network for International Surgery, Vancouver, BC, CA
  Ronald Lett

The Journal of Trauma: Injury, Infection, and Critical Care:Volume 48(3)March 2000 pp 498-502
Related Countries Uganda
Cause Of Injury V01-Y98
Nature Of Injury S00-T98
Abstract OBJECTIVES:
Toward the establishment of an injury surveillance system in Uganda, the first step was to initiate hospital-based trauma registries that generate relevant and timely data on the causes, severity, morbidity, mortality, and outcomes of injuries at Mulago and Kawolo hospitals. This would help establish injury patterns and priorities in these hospital populations. The registries are based on a minimal data set and a new injury severity instrument, the Kampala Trauma Score (KTS). The usefulness of the registry and the qualities of the KTS are presented.

METHODS:
The Accident and Emergency Department of Mulago, an urban 1,500-bed, tertiary hospital, and the Casualty Unit of Kawolo, a 100-bed district-level hospital. Trained staff in the hospitals used a one-page, 19-item registry form to collect data on demographic, injury incident, and outcome data. The registry describes injuries based on cause, frequency, and severity. The inter-rater reliability and the predictive validity of the KTS were evaluated. Registry subjects include all injured persons that come to the above hospitals.

RESULTS:
Results are based on the first 5,210 records. Gender distribution was 27.7% female and 71.3% male. The younger than 5 years old category was 7.4%, whereas 3.9% were older than 55 years old. Admitted patients composed 37.3% of cases, and three of four injuries were unintentional. The KTS is highly predictive of need for admission or death (adults, Az = 0.95 +/- 0.01; children, Az = 0.89 +/- 0.01).

CONCLUSION:
A trauma registry and injury severity measurement are both possible and useful in sub-Saharan Africa. This minimal data set and the KTS are recommended for investigators with similar resource constraints.

Epidemiology of Paediatric Surgical Admissions to a Government Referral Hospital in the Gambia

Submitted By Semhal Kidane
Submitted On Wednesday, February 27th, 2008 @ 00:19:34 PST -0800
Article Publication Year 2000
Visit Journal Web Site www.who.int
View Full Article www.who.int
Author And
Journal Reference
Department of Surgery, Royal Victoria Hospital, Banjul, The Gambia 
  Stephen Bickler
  Boto Sanno-Duanda

Bulletin of the World Health Organization, 2000, 78: 1330–1336
Related Countries The Gambia
Cause Of Injury V01-Y98
Nature Of Injury S00-T98
Abstract INTRODUCTION:
There is a paucity of published data on the type of conditions that require surgery among children in sub-Saharan Africa. Such information is necessary for assessing the impact of such conditions on child health and for setting priorities to improve paediatric surgical care.

METHODS:
Described in the article is a 29-month prospective study of all children aged <15 years who were admitted to a government referral hospital in the Gambia from January 1996 to May 1998.

RESULTS:
A total of 1726 children were admitted with surgical problems. Surgical patients accounted for 11.3% of paediatric admissions and 34 625 total inpatient days. The most common admission diagnoses were injuries (46.9%), congenital anomalies (24.3%), and infections requiring surgery (14.5%). The diagnoses that accounted for the greatest number of inpatient days were burns (18.8%), osteomyelitis (15.4%), fractures (12.7%), soft tissue injuries (3.9%), and head injuries (3.4%). Gambian children were rarely admitted for appendicitis and never admitted for hypertrophic pyloric stenosis. The leading causes of surgical deaths were burns, congenital anomalies, and injuries other than burns.

DISCUSSION:
Prevention of childhood injuries and better trauma management, especially at the primary and secondary health care levels, should be the priorities for improving paediatric surgical care in sub-Saharan Africa. Surgical care of children should be considered an essential component of child health programmes in developing countries.

The Magnitude of Firearm Homicide in Cape Town, 2001

Submitted By Marunga Iryne
Submitted On Wednesday, February 27th, 2008 @ 00:15:31 PST -0800
Article Publication Year 2002
Visit Journal Web Site my.unisa.ac.za
View Full Article my.unisa.ac.za
Author And
Journal Reference
MRC-UNISA Crime, Violence and Injury Lead Programme, Medical Research Council, Tygerberg, South Africa
  M. Prinsloo
  R. Matzopoulos
  A. Sukhai

African Safety Promotion: A Journal of Injury and Violence Prevention Vol.1(2) 2002: 19-25
Related Countries South Africa
Cause Of Injury X85-Y09
Nature Of Injury S00-T19
Abstract Firearm-related fatalities accounted for nearly half (46.1%) of all homicides in Cape Town in 2001. Cape Town's homicide rate of 88 per 100 000 population was among the highest of five cities that had full coverage by the National Injury Mortality Surveillance System (NIMSS), and while the number of non-firearm homicides has remained fairly constant, firearm homicides have steadily increased from 36 to 40 per 100 000 population between 1999 and 2001. Cape Town homicides from the NIMSS database for 2001 were extracted and descriptive variables for firearm versus non-firearm homicides were compared. Age, sex, population group, time, scene and suburb of death data were examined for both groups in order to identify potential risk factors for firearm homicide that could assist in the development of more accurate prevention strategies. Males were more frequently the victims of homicide than females, particularly among the economically active age group of 15 to 44 years. The top seven suburbs in which homicides occurred could be characterised as low-income communities and accounted for a significantly higher percentage of firearm homicides than non-firearm homicides. The research findings highlight the importance of strategies to reduce the proliferation of firearms and to minimise gunshot injuries as an urgent public health imperative.

Rates of Public Investment for Road Safety in Developing Countries: Case Studies of Uganda and Pakistan

Submitted By Semhal Kidane
Submitted On Wednesday, February 27th, 2008 @ 00:01:47 PST -0800
Article Publication Year 2003
Visit Journal Web Site heapol.oxfordjournals.org
View Full Article heapol.oxfordjournals.org
Author And
Journal Reference
Department of Family and Population Health Sciences and the Center for Injury Research and Policy, Johns Hopkins University, Baltimore, MD, USA
  David Bishai
Department of International Health, Bloomberg School of Public Health, Johns Hopkins University
  Adnan Hyder
  Richard Morrow
Health Services Academy, Ministry of Health, Islamabad, Pakistan
  Abdul Ghaffar
Injury Control Center, Makerere University, Uganda
  Olive Kobusingye

Health Policy and Planning 2003 18(2): 232–235
Related Countries Uganda
Cause Of Injury V80-V89
Nature Of Injury T08-T14
Abstract OBJECTIVE: This paper assesses the magnitude of public investment in road safety in Uganda and Pakistan.

METHODS: The study reviewed government budgetary records on expenditure for road safety for each country, as well as World Bank estimates of bilateral and NGO assistance directed to road safety. The authors interviewed key informants in each government who would know about public or NGO activity on road safety.

RESULTS: Budgetary expenditure on road safety at all levels of government in Uganda and Pakistan is $0.09 and $0.07 per capita respectively.

DISCUSSION: The scale of public activity in road safety in Uganda and Pakistan is extremely limited. If there are diminishing returns to scale for road safety investments, this would suggest that the potential effectiveness of properly chosen safety measures could never be higher.

CONCLUSION: Large reductions in morbidity and mortality are likely if investment in road safety is expanded.
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