Displaying 141 - 150 out of 483 matching injury records.
| Submitted By | Marunga Iryne |
| Submitted On | Tuesday, January 29th, 2008 @ 23:40:33 PST -0800 |
| Article Publication Year | 1999 |
| Visit Journal Web Site | ajol.info |
| Author And Journal Reference |
Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada C. Andrews O. Kobusingye R. Lett East African Medical Journal 1999 Apr;76(4):189-94 |
| Related Countries | Uganda |
| Cause Of Injury | V01-V99 |
| Nature Of Injury | S00-T19 |
| Abstract | OBJECTIVE: To determine the circumstances related to road traffic injuries (RTIs), emergency and acute care, as well as outcomes in a hospital population. SETTING: The casualty department of a 1200-bed teaching hospital in Kampala. METHOD: Information pertaining to age, categorical crash circumstances, activity when injury sustained, crash protection used, alcohol use, transport to hospital, pre-hospital treatment, and injury time were elicited from all admitted patients presenting with injuries due to road traffic crashes. A standardised form was used. Data were linked with the hospital's trauma registry which records injury severity and event location. RESULTS: During the study period, 6432 patients were treated in the casualty department, of whom 1988 (30.9%) were injury cases. There were 697 road traffic injuries, accounting for 35.1% of all trauma, the largest single external cause. Over half of the cases required admission (351/697, 50.4%), and 10 (1.4%) died in the casualty department. Pedestrians were the largest single external cause, constituting 43.5% (157/361) of RTI. Only 3.4% (3/89) of cyclists reported wearing a helmet; no vehicle occupants reported using safety belts. Private transport to hospital was used by 78% (284/361) of the victims. Mean time from injury to treatment was 155 minutes (range 15-1440, SD +/- 224.2). Mortality two weeks after admission was 10.2% (37/361) and a further 19.1% (67/351) remained in hospital at two weeks. CONCLUSION: RTI is the largest single cause of severe injury in this population, with pedestrians, especially children and adolescents, the most affected group. Safety restraint and crash helmet use is rare. Alcohol is an important factor. Prevention and control efforts could focus on safety belt and crash helmet use; improved emergency services, trauma management training, and first-aid. |
| Submitted By | Marunga Iryne |
| Submitted On | Tuesday, January 29th, 2008 @ 23:20:59 PST -0800 |
| Article Publication Year | 2006 |
| Visit Journal Web Site | epe.lac-bac.gc.ca |
| View Full Article | epe.lac-bac.gc.ca |
| Author And Journal Reference |
Ronald Lett Olive Kobusingye Paul Ekwaru Canadian Journal of Surgery 2006 Feb;49(1):51-7 |
| Related Countries | Uganda |
| Cause Of Injury | Y35-Y36 |
| Nature Of Injury | S00-T98 |
| Abstract | BACKGROUND: War injury is a public health problem that warrants global attention. This study aims to determine the burden of injury during a complex emergency in sub-Saharan Africa. METHODS: To determine the magnitude, causes, distribution, risk factors and cumulative burden of injury in a population experiencing armed conflict in northern Uganda since 1986 and to evaluate the living conditions and access to care for injury victims, we took a multistage, stratified, random sampling from the Gulu district to determine the rates of injury from 1994 to 1999. The Gulu district is endemic for malaria, tuberculosis, HIV and malnutrition and has a high maternal death rate. It is 1 of 3 districts in northern Uganda affected by war since 1986. The study participants included 8595 people from 1475 households. Of these, 73.0% lived in temporary housing, 46.0% were internally displaced and 81.0% were under 35 years of age. Trained interviewers administered a 3-part household survey in the local language. Quantitative data on injury, household environment, health care and demography were analyzed. Qualitative data from part 3 of the survey will be reported elsewhere. A similar rural district (Mukono) not affected by war was used for comparison. We studied injury risk factors, mortality and disability rates, accumulated deaths, access to care and living conditions. RESULTS: Of the study population, 14% were injured annually: gunshot injuries were the leading cause of death. The annual death rate from war injury was 7.8/1000 (95% confidence interval [CI] 7.0-8.5) and the disability rate was 11.3/1000 (95% CI 10.4-12.2). The annual excess injury mortality was 6.85/1000. Only 4.5% of the injured were combatants. Fifty percent of the injured received first aid, but only 13.0% of those who died reached hospital. The injury mortality in Gulu was 8.35-fold greater than that for Mukono. CONCLUSIONS: The crisis in Gulu can be considered a complex political emergency. Protracted... [more] |
| Submitted By | Marunga Iryne |
| Submitted On | Tuesday, January 29th, 2008 @ 23:14:17 PST -0800 |
| Article Publication Year | 2001 |
| Visit Journal Web Site | injuryprevention.bmj.com |
| Author And Journal Reference |
Department of Surgery, Makerere University, Kampala, Uganda O. Kobusingye Clinical Epidemiology Unit, Makerere University, Kampala, Uganda D. Guwatudde Canadian Network for International Surgery, Vancouver, Canada R. Lett Injury Prevention 2001;7:46-50 |
| Related Countries | Uganda |
| Cause Of Injury | V01-Y98 |
| Nature Of Injury | S00-T98 |
| Abstract | OBJECTIVES: To describe and contrast injury patterns in rural and urban Uganda. SETTINGS: One rural and one urban community in Uganda. METHODS: Community health workers interviewed adult respondents in households selected by multistage sampling, using a standardized questionnaire. RESULTS: In the rural setting, 1673 households, with 7427 persons, were surveyed. Injuries had an annual mortality rate of 92/100 000 persons, and disabilities a prevalence proportion of 0.7%. In the urban setting 2322 households, with 10 982 people, were surveyed. Injuries had an annual mortality rate of 217/100 000, and injury disabilities a prevalence proportion of 2.8%. The total incidence of fatal, disabling, and recovered injuries was 116/1000/year. Leading causes of death were drowning in the rural setting, and road traffic in the city. CONCLUSIONS: Injuries are a substantial burden in Uganda, with much higher rates than those in most Western countries. The urban population is at a higher risk than the rural population, and the patterns of injury differ. Interventions to control injuries should be a priority in Uganda. |
| Submitted By | Marunga Iryne |
| Submitted On | Friday, January 25th, 2008 @ 00:44:20 PST -0800 |
| Article Publication Year | 2005 |
| Visit Journal Web Site | www.santetropicale.com |
| Author And Journal Reference |
Department of Preventive Dentistry, School of Dental Sciences, College of Medicine University of Lagos, Nigeria G Agbelusi S Jeboda Odonto-stomatologie tropicale = Tropical dental journal 2005 Sep;28(111):23-7 |
| Related Countries | Nigeria |
| Cause Of Injury | V01-Y98 |
| Nature Of Injury | S00-S09 |
| Abstract | INTRODUCTION: The WHO has chosen the 12year-old age group as one of the sentinel groups for the monitoring of oral health of the population. Tooth loss in 12year olds is significant because the dentition is still developing and any disruption will affect the development of the arch, occlusion and patient's aesthetic. MATERIALS AND METHODS: 1600 12-year-old secondary school pupils were examined in six local government areas of Lagos State. The WHO pathfinder methodology was used. RESULTS: In this study, more boys 86 (10.8%) had various degrees of trauma to their anterior teeth compared to 71 girls (8.9%)(M:F Ratio is 1.2:1). The overall prevalence of tooth fractures was 9.8%. The most frequent injury was class II fractures (52.2%) and there were more fractures to the maxillary teeth than mandibular teeth, the difference is statistically significant p<0.0 1. The central incisors were the teeth most frequently fractured in both sexes. DISCUSSION: The prevalence of fractured anterior teeth in this study, even though is lower than earlier studies can be said to be high for this age group because the greatest number of injuries occur at about 14 years of age. Maxillary incisors in this study have a higher prevalence of fractures. A significant finding in this study is that none of the students with fractured anterior teeth have received dental treatment for the fractures. CONCLUSION: There is a high prevalence of fractured anterior teeth in 12year- olds and this problem has not received the necessary attention of the dental profession. Oral health education with the provision of school dental services is recommended as means of solving this problem. |
| Submitted By | Marunga Iryne |
| Submitted On | Thursday, January 24th, 2008 @ 01:03:38 PST -0800 |
| Article Publication Year | 2005 |
| Visit Journal Web Site | www3.interscience.wiley.com |
| Author And Journal Reference |
Institute of Occupational and Environmental Medicine, The University of Birmingham, UK Fredrich Nsubuga Maritta Jaakkola Tropical Medicine & International Health Aug 2005 10(8) p.773-781 |
| Related Countries | Uganda |
| Cause Of Injury | W20-W49 |
| Nature Of Injury | S60-S69 |
| Abstract | OBJECTIVES Despite a heavy burden of HIV/AIDS and other blood borne infections, few studies have investigated needle stick injuries in sub-Saharan Africa. We conducted a cross-sectional study at Mulago national referral hospital in Kampala, Uganda, to assess the occurrence and risk factors of needle stick injuries among nurses and midwives. METHODS A total of 526 nurses and midwives involved in the direct day-to-day management of patients answered a questionnaire inquiring about occurrence of needle stick injuries and about potential predictors, including work experience, work load, working habits, training, and risk behaviour. RESULTS A 57% of the nurses and midwives had experienced at least one needle stick injury in the last year. Only 18% had not experienced any such injury in their entire career. The rate of needle stick injuries was 4.2 per person-year. Multiple logistic regression analysis showed that the most important risk factor for needle stick injuries was lack of training on such injuries (OR 5.72, 95% CI 3.41-9.62). Other important risk factors included working for more than 40 h/week (OR 1.90, 95% CI 1.20-3.31), recapping needles most of the time (OR 1.78, 95% CI 1.11-2.86), and not using gloves when handling needles (OR 1.91, 95% CI 1.10-3.32). CONCLUSIONS The study showed a high rate of needle stick injuries among nurses and midwives working in Uganda. The strongest predictor for needle stick injuries was lack of training. Other important risk factors were related to long working hours, working habits, and experience. |
| Submitted By | Marunga Iryne |
| Submitted On | Thursday, January 24th, 2008 @ 00:59:24 PST -0800 |
| Article Publication Year | 2005 |
| Visit Journal Web Site | www.ajol.info |
| Author And Journal Reference |
Faculty of Dental Sciences, Nairobi, Kenya M. Masiga M. Chindia H. Muriithi East African Medical Journal Vol. 82(11) 2005: 592-597 |
| Related Countries | Kenya |
| Cause Of Injury | V01-Y98 |
| Nature Of Injury | S00-S09 |
| Abstract | OBJECTIVE To determine the pattern of occurrence of dental injuries in the 0-15 year-olds. DESIGN A retrospective study. SETTING Kenyatta National Hospital, Nairobi. SUBJECTS Five hundred and five patient records with dental injuries were retrieved and analysed. RESULTS A total of 505 patient records with dental injuries were retrieved and analysed. Most of the injuries were recorded in the year 1999 (22.2%). Boys were more affected (63.0%) than girls (37.0%).The main presenting complaint recorded was pain (75.8%).The majority of the patients (69.5%) presented for treatment during the same day or the day after trauma. Falls were the leading cause of injuries (73.5%). Most injuries involved two teeth (47.1%) and the maxillary central incisors were the most affected teeth both in the primary (67.5%) and permanent (64.0%) dentitions. Luxation injuries were the most common type of dental trauma with 47.5% occurring in the permanent teeth and 77.3% in the primary teeth. The main radiographic investigation performed was intraoral periapical views (52.9%) following which dental extraction (34.4%) was the main treatment modality offered. CONCLUSION Prospective cross-sectional studies to determine the prevalence of dental injuries are needed. Furthermore improving the knowledge of dental practitioners through continuing dental education programmes would help in updating them on current trends in managing these injuries. |
| Submitted By | Marunga Iryne |
| Submitted On | Wednesday, January 23rd, 2008 @ 23:54:38 PST -0800 |
| Article Publication Year | 2006 |
| Visit Journal Web Site | www.medscilaw.com |
| Author And Journal Reference |
Department of Anatomical Pathology, University of Port Harcourt Teaching Hospital, Nigeria D. Seleye-Fubara E. Bob-Yellowe Medicine, Science and the Law 2006 Oct;46(4):342-6 |
| Related Countries | Nigeria |
| Cause Of Injury | V01-Y98 |
| Nature Of Injury | S00-T98 |
| Abstract | Accidents in the oil industry in the Niger delta region of Nigeria raise concerns about safety measures and the management of industrial sites. A total of 32 autopsies were performed after coroners' inquest forms were served on the authors by the State, which serve as consent and request. Standard procedures were adopted in all the cases and the reports were appropriately issued. Death from industrial accidents accounted for 2.5% and 6.1% of total autopsies and accidental death autopsies respectively. The youngest victim was a 19 year old male while the oldest was a 55 year old male. The age group 30-39 years was the most vulnerable. There was a male dominance; (male:female ratio = 9.7:1). The commonest accidents in their order of frequency were: falling from a height, explosion/fire, motor vehicle accidents and falling objects. Multiple injuries, head and neck trauma and drowning were the commonest cause of death at autopsy. Accidental deaths were commoner in the small-scale industries (81%) than in the large-scale industries (19%). This is the first time such a study has been carried out locally. The proportion of accidental deaths in the small scale industries relative to that of the large ones may be attributed to the poor enforcement of safety measures in the smaller industries |
| Submitted By | Marunga Iryne |
| Submitted On | Wednesday, January 23rd, 2008 @ 23:50:47 PST -0800 |
| Article Publication Year | 2006 |
| Visit Journal Web Site | www.atypon-link.com |
| View Full Article | www.atypon-link.com |
| Author And Journal Reference |
Department of Microbiology and Immunology, Muhimbili University College of Health Sciences, Dar es Salaam, Tanzania Barnabas Deogratius Matee Isaac Shubi Farrid International Dental Journal 2006 Jun;56(3):131-4 |
| Related Countries | Tanzania |
| Cause Of Injury | V01-Y98 |
| Nature Of Injury | S00-S09 |
| Abstract | BACKGROUND This study investigated the pattern, causes and management of maxillofacial fractures at the Muhimbili National Hospital in Dar es Salaam. METHODS The medical records and radiographs for patients treated for maxillofacial fractures over a 5-year period (1998-2003) were retrieved. Data on the patients' age, sex, cause and type of injury, treatment modality, and post-operative complications were reviewed. RESULTS A total of 314 patient records of 261 (83.1%) males and 53 (26.9%) females were retrieved (ratio m:f = 3:1), age range 2-70 years, with most (41.4%) in the 20-29 year age group. Most of the fractures occurred in the mandible 222 (70.7%). The distribution of maxillary fractures was Le-Fort I in 10 (66.7%). Most fractures were caused by assault 181 (57.6%) followed by falls 62 (19.7%), motor traffic accidents 43 (13.7%) and sports 25 (8%). Most of the mandibular (98.2%) and zygomatic arch fractures (62.5%) were managed by closed reduction, compared with alveolar bone fractures that were predominantly managed by open reduction. Complications occurred in 17 (5.4%) patients and were mostly infections. CONCLUSION The causes and pattern of maxillofacial fractures reflect trauma patterns within the community and, as such, can provide a guide to the design of programmes geared toward prevention and treatment. |
| Submitted By | Marunga Iryne |
| Submitted On | Wednesday, January 23rd, 2008 @ 23:35:11 PST -0800 |
| Article Publication Year | 2005 |
| Visit Journal Web Site | www.jcfmjournal.org |
| Author And Journal Reference |
Department of Forensic Medicine and Forensic Pathology Services, University of Limpopo (Polokwane Campus), South Africa B. Bhootra J. Kitinya Journal of Clinical Forensic Medicine 2005 Aug;12(4):214-7 |
| Related Countries | South Africa |
| Cause Of Injury | X10-X19 |
| Nature Of Injury | T20-T32 |
| Abstract | Death from accidental steam inhalation is quite a rare occurrence. Two cases of children who died during the inhalation of superheated steam in a closed room are reported. To our knowledge this is the first case report where children died from the injurious effects of steam while inhaling steam. At autopsy, petechial haemorrhages in brain, lungs, heart, and congestion of epiglottis, congestion and oedema of lungs were seen macroscopically. Microscopically, trachea showed swelling and oedema of mucosa and sub mucosa, focal loss of mucosal epithelium and coagulative necrosis with scanty inflammatory reaction, lungs showed congestion, oedema and haemorrhages. It is considered that these findings caused hypoxia and cause of death in these cases was accidental inhalation of superheated steam. It indicates that mucosa of respiratory tract is vulnerable to the effects of vapors of superheated steam. Moreover it would seem that fatal hypoxia occurs within a few minutes from the effects of inhalation of steam in a closed space. |
| Submitted By | Marunga Iryne |
| Submitted On | Wednesday, January 23rd, 2008 @ 23:24:59 PST -0800 |
| Article Publication Year | 2004 |
| Visit Journal Web Site | www.informaworld.com |
| Author And Journal Reference |
Department of Surgery, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria E. Komolafe O. Olateju A. Adeolu British Journal of Neurosurgery 2004 Jun;18(3):233-9 |
| Related Countries | Nigeria |
| Cause Of Injury | W20-W49 |
| Nature Of Injury | S00-S09 |
| Abstract | The objective of this study was to report the pattern of unusual accidental missile head injuries from the use of the locally-manufactured Dane gun, which presented at the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria. Six illustrative patients are presented, each with a peculiar injury. All the patients except one, who died prior to surgery, had wound debridement and elevation of associated fractures with removal of the metallic foreign body. With the exception of the patient that died prior to surgical intervention, all did well without noticeable neurological deficits. Missile injury to the head is increasing. Firearm-related death is also on the increase and our environment is not exempted. Accidental injuries from stray bullets are fairly common; however, self-inflicted injuries are usually due to the improper handling of firearms, particularly by novices, suicide attempts and faulty technology of locally made firearms. |
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