Displaying 121 - 130 out of 483 matching injury records.
| Submitted By | Marunga Iryne |
| Submitted On | Tuesday, February 19th, 2008 @ 04:33:19 PST -0800 |
| Article Publication Year | 2003 |
| Visit Journal Web Site | ethiopianmedicalassociation.com |
| Author And Journal Reference |
Department of Surgery, Tikur Anbessa Hospital, Addis Ababa, Ethiopia Taye Mulat Munie Tadios Ethiopian Medial Journal 2003 Jul;41(3):221-6 |
| Related Countries | Ethiopia |
| Cause Of Injury | V01-Y98 |
| Nature Of Injury | S00-T98 |
| Abstract | A simplified trauma registry was tested in Tikur anbessa hospital, with the aim of obtaining preliminary data on the patterns and magnitude of injuries and establishing the basis towards surveillance system. All injured patients presented to the surgical and pediatric emergency department between January 1, 1999 and June 31, 1999 were included. Interns completed the registry forms, which include demographic, injury event specific, severity and outcome data. The severity was assessed by new scoring system, Kampla Trauma Score (KTS). Among the 3822 injured patients 2869(75%) were males and 953(25%) were females and 80% were below the age of 40 years. 77% of the injuries were unintentional and motor vehicle injuries accounted for 41% of all causes among which 93% of them were pedestrians. Accidental fall and interpersonal assault accounted for 21% and 20% respectively. Admitted cases were 11.6%, while 20 (.5%) died at the outpatient department with the overall mortality of 1.47%. Though burn and gunshot accounted only for 6%, the case fatality rate was highest (4%) accounting for 20% of all deaths. The magnitude of fatal injuries is underestimated and the pattern of injuries may only reflect the situation in the big cities. Motor vehicle injuries, especially pedestrian injuries are serious problem in Addis as seen in patients in Tikur Anbessa hospital and require further situational studies and urgent intervention. Establishing hospital based simplified injury surveillance system is possible in Ethiopia and it is essential to asses the magnitude of the problem and identify priority area for injury prevention and control. |
| Submitted By | Semhal Kidane |
| Submitted On | Sunday, February 17th, 2008 @ 21:36:26 PST -0800 |
| Article Publication Year | 2005 |
| Visit Journal Web Site | jbs.sagepub.com |
| Author And Journal Reference |
Johns Hopkins University Anne Outwater South Africa Medical Research Council Naeema Abrahams Johns Hopkins University Jacquelyn C. Campbell Journal of Black Studies, 2005 Vol. 35, No. 4, 135-154 |
| Related Countries | South Africa |
| Cause Of Injury | X85-Y09 |
| Nature Of Injury | S00-T98 |
| Abstract | South Africa is experiencing the turbulent aftermath of apartheid and the ravages of HIV/AIDS. Levels of violence are extremely high. In South Africa, violence has become normative and, to a large extent, accepted rather than challenged. Unusual for sub-Saharan Africa, there is a strong national research institute and rigorous data-based scientific literature describing the situation. Much of the research has focused on violence against women. This article reviews the intersection of HIV/AIDS and violence in the lives of women in South Africa. The evidence for the need for positive change is solid. The potential for positive change in South Africa is also very strong. There are suggestions that an African renaissance based on the principle of ubuntu has already begun on national, community, family, and individual levels. If so, it can lead the way to a society with decreased levels of violence and decreased levels of HIV transmission. |
| Submitted By | Semhal Kidane |
| Submitted On | Sunday, February 17th, 2008 @ 21:29:36 PST -0800 |
| Article Publication Year | 2001 |
| Visit Journal Web Site | www.bmj.com |
| Author And Journal Reference |
Medicolegal Services, Western Cape Provincial Government, Cape Town, South Africa David Bass British Medical Journal Sept 2001;323:754 |
| Related Countries | South Africa |
| Cause Of Injury | V10-V19 |
| Nature Of Injury | S30-S39 |
| Abstract | Editor - Closed duodenal injury is a good topic to highlight as a lesson of the week. Surgical injuries to the upper abdomen are a fairly rare childhood injury, and few doctors will diagnose them with the necessary speed.1 Lam et al remind us to examine the paediatric abdomen carefully and frequently after blunt trauma and not to rely too heavily on imaging. One other type of intra-abdominal damage caused by handlebar injury is not highlighted in this paper. The first and third parts of the duodenum may be crushed between the handlebar and the lumbar spine, causing rupture of the subserosal blood vessels and resulting in a slowly expanding intramural haematoma.2 The child may be relatively free of symptoms until the haematoma causes complete obstruction of the duodenal lumen; as a result, the diagnosis is often delayed. Important clues to the diagnosis include the history of upper abdominal trauma, persistent vomiting, and air-fluid levels in both the stomach and duodenum (the so called double bubble) in a plain erect abdominal x ray film. If doubt still exists, contrast study of the upper gastrointestinal tract will show partial to complete obstruction of the duodenum, with a "stacked coins" or "coiled spring" appearance caused by oedematous mucosal folds proximal and distal to the point of maximum obstruction. Perhaps the most important reason to confirm this diagnosis is that, as an isolated injury, duodenal haematoma does not require laparotomy. Patients can be successfully managed with free nasogastric drainage and parenteral nutrition, and duodenal patency should return within 10-14 days. Clinical deterioration at any stage, or failure of the condition to resolve with this conservative regimen, should raise suspicion of a misdiagnosis or other concomitant injury. Road traffic injury was the commonest cause of duodenal haematoma in the small series of nine cases in South Africa that Voss and I reported,2 but bicycle injury predominated in a larger... [more] |
| Submitted By | Semhal Kidane |
| Submitted On | Sunday, February 17th, 2008 @ 21:25:40 PST -0800 |
| Article Publication Year | 2002 |
| Visit Journal Web Site | www.bmj.com |
| Author And Journal Reference |
London, England Wendy Moore British Medical Journal 2002;324:260 |
| Related Countries | Africa |
| Cause Of Injury | V01-Y98 |
| Nature Of Injury | S00-T98 |
| Abstract | Experts from more than 50 countries have combined forces to produce guidelines that will help healthcare staff in developing countries to set up systems to monitor the toll of death and disability from injuries. The manual, which is published by the World Health Organization and the Centers for Disease Control and Prevention in the United States, is designed to help planners and front line clinical staff produce systematic data on injuries, whether they are working in a computerised city hospital or a remote first aid clinic. The information that the systems generate will help target action to cut injury rates. Injuries, whether intentional or unintentional, have been seen as the "Cinderella" of the public health movement. Prevention has been neglected until recently largely because, the WHO has argued, injuries were viewed as accidents or random events. Now that the role of prevention from seat belts to fire safety is better understood, public health efforts are still hampered by lack of information on numbers, types, and circumstances of injuries. Monitoring systems are least developed in poorer countries, where the toll of deaths and disability is often highest. Although the guidelines are designed as a practical aid to setting up data collection systems in all settings, they are meant to be particularly useful in countries with severe restraints on resources. They explain how to set up simple, cheap but effective systems for collecting, coding, and processing data in places where there may be little or no electronic equipment, inadequate electricity supplies, few staff, and no research expertise. The manual reproduces model forms used in hospitals in South Africa, Jamaica, and Nicaragua. More than five million people die worldwide from injuries each year, and many more have permanent or short term disabilities, according to WHO figures. Road traffic collisions are the leading cause of injury related deaths in men, and self inflicted harm is the... [more] |
| Submitted By | Semhal Kidane |
| Submitted On | Thursday, February 14th, 2008 @ 21:23:21 PST -0800 |
| Article Publication Year | 2008 |
| Visit Journal Web Site | www.bvsde.paho.org |
| View Full Article | www.bvsde.paho.org |
| Author And Journal Reference |
Department of Public Health, Moi University, Eldoret, Kenya Wilson Odero Department of Geography, Kenyatta University, Nairobi, Kenya Meleckidzedeck Khayesi Nairobi Hospital and Parklands Ambulatory Surgical Centre, Nairobi, Kenya P. Heda Injury Control and Safety Promotion 2003 Vol. 10 No 1-2, Pgs. 53-61 |
| Related Countries | Kenya |
| Cause Of Injury | V01-V99 |
| Nature Of Injury | S00-T98 |
| Abstract | Road traffic crashes exert a huge burden on Kenya's economy and health care services. Current interventions are sporadic, uncoordinated and ineffective. This report offers a descriptive analysis of secondary data obtained from a variety of published literature and unpublished reports. Over three thousand people are killed annually on Kenyan roads. A fourfold increase in road fatalities has been experienced over the last 30 years. More than 75% of road traffic casualties are economically productive young adults. Pedestrians and passengers are the most vulnerable; they account for 80% of the deaths. Buses and matatus * Matatus are small-scale public transport vehicles in Kenya. These vehicles are important in public transport but they flagrantly violate traffic rules. are the vehicles most frequently involved in fatal crashes. Characteristics of crashes vary considerably between urban and rural settings: pedestrians are more likely to be killed in urban areas, whereas passengers are the majority killed on intercity highways that transverse rural settings. Road safety interventions have not made any measurable impact in reducing the numbers, rates and consequences of road crashes. Despite the marked increase in road crashes in Kenya, little effort has been made to develop and implement effective interventions. Impediments to road traffic injury prevention and control include ineffective coordination, inadequate resources and qualified personnel, and limited capacity to implement and monitor interventions. There is need to improve the collection and availability of accurate data to help in recognising traffic injury as a priority public health problem, raising awareness of policymakers on existing effective countermeasures and mobilizing resources for implementation. Establishment of an effective lead agency and development of stakeholder coalitions to address the problem are desirable. |
| Submitted By | Semhal Kidane |
| Submitted On | Thursday, February 14th, 2008 @ 00:59:58 PST -0800 |
| Article Publication Year | 2008 |
| Visit Journal Web Site | www.ippnw.org |
| View Full Article | www.ippnw.org |
| Author And Journal Reference |
Department of Public Health Sciences, Division of Social Medicine, Karolinska Institutet, Stockholm, Sweden Ime John Aminu Mohammed Andrew Pinto Celestine Nkanta Journal of Public Health Policy, Vol. 28, No. 4, 2007, Pgs. 420-431 |
| Related Countries | Nigeria |
| Cause Of Injury | X85-Y09 |
| Nature Of Injury | S00-T19 |
| Abstract | We investigated small arms and light weapons (SALW) in Africa by reviewing the situation in Nigeria and conducting a small study in one hospital in the country's north. Published reports about SALW in Nigeria suggest that several social, economic, and political factors have caused a marked increase in gun-related violence, including ethno-religious tensions, the response of security forces to criminal activity, and growing economic disparity. In Kano, a northern city that has been the focal point of communal riots between Christians and Muslims, we found that firearm injuries were linked to these riots. We recommend increased outreach to disenfranchised youth, addressing the use of firearms by security forces, and addressing the political and economic disparity between ethnic and religious groups. |
| Submitted By | Semhal Kidane |
| Submitted On | Thursday, February 14th, 2008 @ 00:40:27 PST -0800 |
| Article Publication Year | 2007 |
| Visit Journal Web Site | www.ippnw.org |
| View Full Article | www.ippnw.org |
| Author And Journal Reference |
Ponce School of Medicine, Ponce, Puerto Rico Diego Zavala Simon Bokongo Ime John Senoga Mpanga Robert Mtonga Zakari Aminu Walter Odhiambo Peter Olupot-Olupot Journal of Public Health Policy (2007) 28, 432 |
| Related Countries | Africa |
| Cause Of Injury | V01-Y98 |
| Nature Of Injury | S00-T98 |
| Abstract | This paper describes the development of a pilot project to test the implementation of an epidemiological surveillance system for intentional (violent) and non-intentional injuries, at emergency departments in selected hospitals in five African countries applying the World Health Organization's guidelines. We outline obstacles and opportunities encountered during the process. By definition, a surveillance system systematically collects, reviews, and evaluates information to understand the context in which specific injuries occur. Implementation in diverse sociocultural environments in Zambia, Uganda, Democratic Republic of the Congo, Nigeria, and Kenya has provided an opportunity to gather reliable data on injuries for comparisons between these countries. Analysis of the detailed information may permit researchers to generate evidence-based recommendations. Addressed to public authorities, and health authorities in particular, they can help address injury incidence in their communities from a public health perspective. |
| Submitted By | Semhal Kidane |
| Submitted On | Thursday, February 14th, 2008 @ 00:33:40 PST -0800 |
| Article Publication Year | 2007 |
| Visit Journal Web Site | www.palgrave-journals.com |
| Author And Journal Reference |
Department of Oral and Maxillofacial Surgery, College of Health Sciences, University of Nairobi, Kenya Walter Anjango Florian Hugenberg Angela Mwita Dedan Opondo Journal of Public Health Policy, Vol. 28, No 4, 2007, Pgs. 410-419 |
| Related Countries | Kenya |
| Cause Of Injury | X85-Y09 |
| Nature Of Injury | S00-T19 |
| Abstract | Because firearm injuries affect the health and social fabric of Kenya, we investigated the problem in collaboration with Kenya's affiliate of International Physicians for the Prevention of Nuclear War. This public health problem has its roots in the civil strife and prevalence of small arms and light weapons in the Horn of Africa. We studied persons with firearm injuries who reached Kenyatta National Hospital in Nairobi during a 6-month period in 2006. We describe their demographic characteristics and speculate that many people injured with guns die before they reach the hospital. The people of Nairobi would benefit from better pre-hospital care, including ambulance transportation, and a public health insurance system to redistribute the burden of medical services. |
| Submitted By | Marunga Iryne |
| Submitted On | Friday, February 8th, 2008 @ 01:04:47 PST -0800 |
| Article Publication Year | 2005 |
| Visit Journal Web Site | ajol.info |
| View Full Article | ajol.info |
| Author And Journal Reference |
Department of Orthopaedics and Traumatology, College of Medicine, Ambrose Alli University, Ekpoma, Nigeria J. Onuminya Department of Orthopaedics and Traumatology, Irrua Specialist Teaching Hospital, Nigeria E. Ohwowhiagbese South African Journal of Surgery 2005 Nov;43(4):170-2 |
| Related Countries | Nigeria |
| Cause Of Injury | X85-Y09 |
| Nature Of Injury | S00-T19 |
| Abstract | This retrospective review of 76 patients with gunshot wounds was undertaken to evaluate the pattern and outcome of civilian gunshot injuries in our region. The extremities were the most commonly affected site (51.5% of all gunshot wounds). Gunshot injuries were most common among young males in the third decade of life, and armed robbery was the cause of gunshot trauma in 69.7% of cases. Time from injury to arrival at hospital was less than 6 hours in 64.4% of cases. Wound exploration and debridement were the mode of treatment in the majority of cases. Hypovolaemia resulting from acute haemorrhage accounted for 52.9% of complications. The mortality rate was 5.3%. It is pertinent to observe that inefficient firearm control is a major factor contributing to civilian gunshot injuries in our region. In addition, high rates of unemployment and poverty in our society may be contributing to the increasing incidence of youth restiveness, armed robbery and associated gunshot injuries. Strong government legislation is required to provide adequate security for the teeming civilian population. The national government should embark on a poverty eradication strategy and engage the youth in gainful employment to reduce the incidence of youth restiveness, armed robbery and firearm-related violence. |
| Submitted By | Marunga Iryne |
| Submitted On | Friday, February 8th, 2008 @ 00:54:45 PST -0800 |
| Article Publication Year | 2007 |
| Visit Journal Web Site | www.biomedcentral.com |
| View Full Article | www.biomedcentral.com |
| Author And Journal Reference |
Department of Surgery, Irrua Specialist Teaching Hospital, Nigeria Andrew Dongo Eshobo Irekpita Lilian Oseghale Charles Ogbebor Christopher Iyamu John Onuminya BMC Health Services Research 2007 Oct 23;7:171. |
| Related Countries | Nigeria |
| Cause Of Injury | X00-X09 X10-X19 |
| Nature Of Injury | T20-T32 |
| Abstract | BACKGROUND: The management of burns remains a challenge in developing countries. Few data exist to document the extent of the problem. This study provides data from a suburban setting by documenting the epidemiology of burn injury and ascertaining outcome of management. This will help in planning strategies for prevention of burns and reducing severity of complications. METHODS: A total of 72 patients admitted for burns between January 1st, 2002 and December 31st, 2006 at the Irrua specialist teaching hospital were studied retrospectively. Sources of information were the case notes and operation registers. Data extracted included demographics as well as treatment methods and outcome. RESULTS: The results revealed male to female ratio of 2.1:1. Over 50% of the injuries occurred at home. There was a seasonal variation with over 40% of injuries occurring between November and January. The commonest etiologic agent was flame burn from kerosene explosion. There were 7 deaths in the series. CONCLUSION: Burns are preventable. We recommend adequate supply of unadulterated petroleum products and establishment of burn centers. |
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