Displaying 151 - 160 out of 483 matching injury records.
| Submitted By | Marunga Iryne |
| Submitted On | Wednesday, January 23rd, 2008 @ 23:15:06 PST -0800 |
| Article Publication Year | 1998 |
| Visit Journal Web Site | www.springerlink.com |
| Author And Journal Reference |
Department of Surgery, University of Science and Technology, Kumasi, Ghana F. Abantanga Department of Surgery, University of Washington, Seattle, WA, U.S.A C. Mock Pediatric Surgery International 1998 Sep;13(7):515-8 |
| Related Countries | Ghana |
| Cause Of Injury | V01-Y98 |
| Nature Of Injury | S00-T98 |
| Abstract | To the best of our knowledge, there has not been any recent available study of trauma-related hospitalisation of paediatric patients in an urban area of the sub-Saharan countries. Accidental injury, especially among children, has become one of the most serious major health problems facing developing countries, including those in sub-Saharan Africa. We reviewed 677 children admitted to the Komfo Anokye Teaching Hospital in Kumasi, Ghana, from August 1995 to July 1996 to elicit the incidence of various injuries, causes, rates of injury, and survival of children aged 0 to 14 years who had sustained trauma during this period. The most common mechanisms of injury were pedestrian knockdowns (40.0%), falls (27. 2%), and burns (17.6%). The annual rate of injury was 230/100000 children. Boys sustained higher injury rates in all age groups than girls, with an overall rate of, 136/100000 children as compared to 92/100000 for girls. Rates of injury were higher for children over 5 years of age in six of the seven specific causes of injury studied. When analysing the region of principal injury, for severe injuries (abbreviated injury scale 3-5) the extremities suffered most, followed by the skin and head. There was increased mortality for patients with an injury severity score >20. The overall mortality for this study was 5.5%. There is, therefore, a need to establish prevention priorities and to design effective prevention strategies for children of school-going age, who are most at risk of sustaining trauma. |
| Submitted By | Marunga Iryne |
| Submitted On | Wednesday, January 23rd, 2008 @ 23:05:49 PST -0800 |
| Article Publication Year | 2002 |
| Visit Journal Web Site | www.afrijmed.org.ng |
| Author And Journal Reference |
Cardiothoracic Unit of the Department of Surgery, University College Hospital, Ibadan, Nigeria V. Adegboye J. Ladipo O. Adebo A. Brimmo African Journal of Medicine and Medical Sciences 2002;31(2):149-53 |
| Related Countries | Nigeria |
| Cause Of Injury | V01-Y98 |
| Nature Of Injury | S20-S29 S30-S39 |
| Abstract | This study seeks to define the clinical presentation, the usefulness of diagnostic tests, surgical management approach and outcome of treatment among patients with diaphragmatic injuries. One hundred and sixteen patients with diaphragmatic injuries were treated. This was 6.5% of 1,778 chest trauma patients. Eighty-four of these patients (6.8%) were among 1230 patients who had blunt chest injury and the remaining 32 patients (5.8%) were among 548 patients who had penetrating chest injury. The commonest mechanisms of injury were motor vehicle accidents (48.8%) for blunt and gunshot wounds (56.3%) for penetrating diaphragmatic injuries. The left diaphragm was most commonly involved (86.9% for blunt, 59.4% for penetration), 12.5% of the patients with penetrating chest injury had bilateral diaphragmatic injuries. There were no bilateral diaphragmatic injuries amongst the patients with blunt chest injury. Chest radiographs gave a highly positive yield in the diagnosis of blunt diaphragmatic hernias (67.9%) while nonspecific chest radiological findings (59.4%) were more common among those with penetrating injuries. In 57 patients (49.1%) out of 116, preoperative diagnosis of diaphragmatic hernia was certain. In the remaining 59 patients (50.9%), diagnosis was intraoperative (40 patients), or at postmortem (19 patients). Surgery was emergent in 69 patients (71.1%), semi emergent in 21 patients (21.6%) and elective in 7 patients (7.2%). Surgical approaches were mainly thoracotomy (57 patients), laparotomy (17 patients), laparotomy and thoracotomy (20 patients). In seventy seven patients (79.4%) the diaphragmatic injuries were left sided and in 20 patients (20.6%), the diaphragmatic injuries were right sided. There were 19 preoperative and 21 postoperative deaths. The overall mortality was 34.5%. Associated abdominal and thoracic injuries were the commonest causes of mortality among the patients with diaphragmatic injuries in this study. We conclude that diaphragmatic injury should... [more] |
| Submitted By | Marunga Iryne |
| Submitted On | Wednesday, January 23rd, 2008 @ 22:53:44 PST -0800 |
| Article Publication Year | 2003 |
| Visit Journal Web Site | www.tunimed.org.tn |
| Author And Journal Reference |
Service de Paedopsychiatrie CHU Haedi Chaker Sfax, Tunisie F. Ghribi F. Ouali H. Bouchaala La Tunisie Medicale 2003 Feb;81(2):86-93 [Article in French] |
| Related Countries | Tunisia |
| Cause Of Injury | V01-Y98 |
| Nature Of Injury | S00-T98 |
| Abstract | The child's accidents constitute a problem of public health. The purpose of our work is to study the epidemiological factors and peculiarities of the accident at the child in a farming locality (locality of Jbeniana). The survey is made to the service of Emergencies of the Regional hospital of Jbeniana on one year (of May 2000 to April 2001). 324 cases of accidents at children of lower or equal age to 14 years have been counted. Our set is constituted of 246 boys (76%) and 78 girls (24%). In 1/3 of cases age is included between 2 and 5 years, in_of cases between 6 and 10 years. The domestic accident represents the most frequent circumstance (72% of cases), follow-up of circulation accidents (12.9%), falls represents the most frequent domestic accident mechanism (38%). In 57% of circulation accidents, the child is a passenger or driver of two-wheeled vehicle. Lesion balance shows that in 47.2% of cases the child presents superficial lesions. A badly adapted environment is found in 31.4% of cases. A failing of the setting is noted in 44% of cases. The prevention to be efficient should take into account of the inherent measurements to the accident (environment, cultural and psychological factors). |
| Submitted By | Marunga Iryne |
| Submitted On | Wednesday, January 23rd, 2008 @ 22:36:41 PST -0800 |
| Article Publication Year | 2003 |
| Visit Journal Web Site | www.labmeeting.com |
| Author And Journal Reference |
Service de Paediatrie, Hopital Principal de Dakar, BP 3006, Dakar, Senegal A. Ka P. Imbert I. Diagne M. Seye P. Gerardin P. Guyon J. Debonne Medecine Tropicale: Revue du Corps de Sante Colonial Mar 2003;63(4-5):533-8 [Article in French] |
| Related Countries | Senegal |
| Cause Of Injury | V01-V99 W00-X59 |
| Nature Of Injury | S00-T98 |
| Abstract | The impact of accidental injury on childhood morbidity and mortality in Africa is underestimated. The frequency and severity of accidents is high. This retrospective study includes 381 children (3% of admission) between the ages of 0 and 15 years hospitalized for accidental injury at the Principal Hospital in Dakar, Senegal, between January 1, 1997 and December 31, 2000. The annual incidence of childhood injury doubled over the 4-year study period. Mean age was 48 months and the M/F sex ratio was 1.7. The causes were trauma (n = 184) due to domestic accidents (n = 109 including 91 falls) or road accidents (n = 75), poisoning (n = 129 including 38 caustic soda burns), foreign body aspiration or ingestion (n = 30), burns (n = 18), and miscellaneous accidents (n = 20). Most fatalities (9%) were due to road accidents and falls. Rapid uncontrolled urbanization and problems of displaced rural populations in adapting to city living may account for the high frequency of falls from high buildings and road accidents. As in industrialized countries road accidents, though not the most frequent, are the most lethal. Lack of emergency services accounts for severity. Vigorous information campaigns and prevention action will be needed to lower the high morbidity and mortality of childhood injury in developing countries. |
| Submitted By | Marunga Iryne |
| Submitted On | Wednesday, January 23rd, 2008 @ 22:28:49 PST -0800 |
| Article Publication Year | 2003 |
| Visit Journal Web Site | www.ajol.info |
| Author And Journal Reference |
Department of Anatomical Pathology, University of Port Harcourt Teaching Hospital, Nigeria S. Seleye-Fubara A. Ekere East African Medical Journal 2003 Dec;80(12):622-6 |
| Related Countries | Nigeria |
| Cause Of Injury | W00-X59 |
| Nature Of Injury | S00-T98 |
| Abstract | BACKGROUND Domestic accidental deaths constitute a public health burden in the Niger Delta Region of Nigeria. This study is aimed at highlighting this public health burden. OBJECTIVE This is study is aimed at highlighting this public health burden. DESIGN A six year retrospective study using mortuary records. SETTING University of Port Harcourt Teaching Hospital, Port Harcout, Nigeria. PATIENTS AND METHODS Coroner's forms data were used from University of Port Harcourt Teaching Hospital, Anatomical Pathology Department, which is the foremost health institution in the region serving a core population of about six million people. RESULTS Eighty three domestic accidental deaths seen at the University of Port Harcourt Teaching Hospital in the Niger Delta Region of Nigeria between January 1995 and December 2001 were analysed. The 83 deaths occurred in 63 males and 20 females, giving a ratio of 3:1, between the ages of six months and 86 years. There was a bimodal age distribution, with 20 cases (24.1%) occurring in preschool age children, and 22 cases (26.5%) occurring in the elderly over 70 years. Fifty one deaths (61.4%) occurred in the urban areas, while 32 cases (36.8%) occurred in the rural areas. Seventeen cases (20.5%) occurred from falls from height or same level, thereby, constituting the commonest mechanism of injuries that lead to death in the elderly. In children, the commonest mechanism of injuries leading to death was poisoning. The yearly incidence of these deaths is decreasing with the peak of 26.5% in 1995, and 6.0% in 1999. CONCLUSION Enforceable legislation by government coupled with public education to reduce occurrence should be encouraged. Safety at home must be taken very seriously. |
| Submitted By | Marunga Iryne |
| Submitted On | Tuesday, January 22nd, 2008 @ 00:50:39 PST -0800 |
| Article Publication Year | 2005 |
| Visit Journal Web Site | www.ispub.com |
| View Full Article | www.ispub.com |
| Author And Journal Reference |
Department of Paediatrics and Child Health Obafemi Awolowo University (OAU) Ile-Ife, Nigeria John Okeniyi Oyeku Oyelami Gabriel Oyedeji Department of Orthopaedics and Traumatology Ladoke Akintola University Teaching Hospital Osogbo, Nigeria Kehinde Oluwadiya Department of Paediatrics, Wesley Guild Hospital Ilesa, Nigeria Tinuade Ogunlesi Olusola Oyedeji Department of Surgery, Obafemi Awolowo University (OAU) Ile-Ife, Nigeria Abdul Rashid Adesunkanmi The Internet Journal of Third World Medicine 2005 Volume 2 Number 2 |
| Related Countries | Nigeria |
| Cause Of Injury | V01-V99 |
| Nature Of Injury | S00-T19 |
| Abstract | BACKGROUND In Africa, road traffic injuries (RTI) have become significant causes of childhood morbidity and mortality. Nevertheless, trauma severity scoring is rarely applied in the management. OBJECTIVES To evaluate the severity of childhood RTI using the Pediatric Trauma Score (PTS) in Ilesa; a semi-urban community in Southwest Nigeria. METHODOLOGY A 12-month prospective study of consecutive children with RTI seen at the Children Emergency Room (CHER) of the Wesley Guild Hospital. Information was obtained and analysed regarding the pattern of RTI, the PTS and outcome. Results: A total of 263 children had RTI representing 8.0 percent of all CHER attendances. Pedestrians accounted for 60.8 percent cases. The mean PTS was 8.59 (plus or minus 2.85). Majority (63.5 percent) of the children sustained minor trauma (high PTS > 9). Statistically significant higher percentages of children who sustained major trauma (low PTS less than or equal to 8) were pedestrians, motorcycle victims, presented late, had penetrating, or multiple injuries, head injury, lost consciousness or convulsed. All 26 (9.9 percent) children who died following RTI (representing 17.6 percent of all CHER deaths) had low PTS (2.65 plus or minus 3.02). All deaths were within 24 hours of RTI with no late deaths. Conclusions: RTI pose significant health hazard to children in the community studied. The PTS showed good relationship to RTI outcome. Because of its simplicity and reliability in assessing trauma severity and prognosis, we advocate its use for the evaluation of childhood RTI. |
| Submitted By | Marunga Iryne |
| Submitted On | Thursday, January 17th, 2008 @ 01:55:42 PST -0800 |
| Article Publication Year | 1998 |
| Visit Journal Web Site | www.epha.eg.net |
| Author And Journal Reference |
Department of Public Health, Faculty of Medicine, Alexandria University M. Kamel R. Youssef N. Teleb H. Atta Journal of the Egyptian Public Health Association 1998; 73(5-6):667-90 |
| Related Countries | Egypt |
| Cause Of Injury | V01-V99 W00-X59 X85-Y09 |
| Nature Of Injury | S00-T98 |
| Abstract | This study was conducted to reveal the magnitude of school injuries in Alexandria, their epidemiological patterns and outcomes. All pupils attending the casualty department of Alexandria Students' Hospital during the scholastic year 1996-1997 with school injuries were included in this study. An interview questionnaire and a transfer sheet were used to collect relevant information. Data were analyzed and the 5% level was taken to judge the significance of the obtained results. During the study period, 3422 pupils sustained school injuries yielding a rate of 4.25 per 1000. This rate was significantly higher among boys (6.43 per 1000) as well as in secondary schools (8.11 per 1000). Most of these injuries occurred inside the school (72.0%). In relation to school activity, injuries occurred more frequently during breaks (28.1%), school trips (27.8%) and teaching sessions (25.6%). Falls were responsible for 52.3% of the injuries followed by struck by or against (25.2%), while 11.9% were due to road traffic accidents. The most commonly affected sites were the upper (46.2%) and lower (32.1%) limbs as well as the head and neck (16.6%). High proportions of the resulting injuries were minor, however, severe injuries namely, fractures (23.2%) and brain concussions (2.8%) were encountered. Significant differences were observed in this respect in relation to the pupils' gender and educational stage. Only 12.5% of the cases were hospitalized. All recovered completely except four cases of leg amputation and no deaths were recorded. School injuries appear to be a priority area for primary preventive activities. School personnel should receive safety rounds to recognize the potential environmental hazards. Stringent supervision is required in areas and during activities with high frequency of injuries. Moreover, safety education should be incorporated in the curriculum and activities involving school children. |
| Submitted By | Marunga Iryne |
| Submitted On | Thursday, January 17th, 2008 @ 01:31:38 PST -0800 |
| Article Publication Year | 2007 |
| Visit Journal Web Site | www3.interscience.wiley.com |
| Author And Journal Reference |
Department of Archaeology, University of Calgary, Alberta, Canada Michele Buzon Department of Anthropology, University of California, Santa Barbara, California, USA Rebecca Richman American Journal of Physical Anthropology 2007 Vol. 133 No. 2 pgs. 783-791 |
| Related Countries | Egypt |
| Cause Of Injury | V01-Y98 |
| Nature Of Injury | S00-T98 |
| Abstract | As circumstances of conquest change, leaders of empires must adapt their colonial strategies in order to be successful. One example of such modification in approach is the shift from Middle Kingdom to New Kingdom Egyptian colonial activities in Nubia. During the Middle Kingdom (2050-1650 BC) Egypt used aggressive military campaigns to subdue the strong Nubian polity at Kerma, resulting in the construction of fortresses and many victory stelae. In the subsequent New Kingdom period (1550-1050 BC) during which the Egyptian administration succeeded in occupying nearly all of Nubia, changes were necessary in conquest strategies. Diplomacy and cooperation may have replaced military action as mechanisms of control. This article investigates changes in imperial policy through the examination of traumatic injuries in human skeletal remains. Patterns of injuries in a sample from the site of Tombos, an Egyptian colonial cemetery in Nubia dating to the New Kingdom period, are compared with data on the patterns of injuries from Kerma, a cemetery dating to the Middle Kingdom period, published by Judd (2004). Analysis indicates a decrease in the level of traumatic injuries from Kerma to Tombos supporting the idea that through time the Egyptian administration modified their colonial strategy toward more nonviolent means. This article presents data on differences in the patterns of injury at Tombos and Kerma and explores possible explanations for this variation. |
| Submitted By | Marunga Iryne |
| Submitted On | Thursday, January 17th, 2008 @ 01:19:40 PST -0800 |
| Article Publication Year | 2006 |
| Visit Journal Web Site | indexmedicus.afro.who.int |
| Author And Journal Reference |
Department of Public & Family Health, Jimma University, Ethiopia A. Mariam M. Sadik J. Gutema Ethiopian Medical Journal 2006 Oct; 44(4):339-45 |
| Related Countries | Ethiopia |
| Cause Of Injury | V01-Y98 |
| Nature Of Injury | S00-T98 |
| Abstract | BACKGROUND Accidents are now becoming the leading causes of morbidity and mortality after the first year of life; hence the need to analyze the pattern in prospective manner will help plan preventive measures as well as indicate the magnitude of the problem. OBJECTIVE To assess the pattern of childhood accidents among children under 15 years of age. METHODS A cross-sectional analysis was undertaken in and out patient service settings of Jimma University specialized hospital, from July 2003 to June 2004. The information was collected using structured and pre-tested questionnaire, on factors related to socio-demographic and economic variables as well as on the nature and type of accident and analysed by SPSS Version 12.0. RESULTS Of the total 452 cases of accidents 79 (17.5%), 271 (60.0%) and 102(22.6%) of the subjects were within age group of 0-4, 5-9, and 10-14 years, respectively. The predominant observed accidents among all age groups were laceration wounds, 304 (67.3%) and soft tissues contusions, 111 (24.6%). Traumatic injury other than car accident accounted for 82.38%, burn 15.0%, poisoning 1.3% and car accident 1.3%. Burn was common among children 5 - 9 years. There was statitically significant association between age and type of accident and nature of injury (p <0.05). Two hudred eight one of the accident occurred at home (62.2%), followed by school (14.8%), high way (16.8%) and in sport fields (6.2%). One hundred twenty four (27.4%), 76(16.8%) and 252(55.8%) ended with complete recovery, recovery with major and minor sequelae respectively. CONCLUSION The study has tried to indicate that accidents are becoming a public health problem in the area which needs designing a local as well as a national strategy on child accident prevention, control and management. |
| Submitted By | Marunga Iryne |
| Submitted On | Thursday, January 17th, 2008 @ 00:17:05 PST -0800 |
| Article Publication Year | 2003 |
| Visit Journal Web Site | www.samj.org.za |
| View Full Article | www.samj.org.za |
| Author And Journal Reference |
Department of Surgery, University of the Witwatersrand, Johannesburg, South Africa Frank Plani Douglas Bowley Jacques Goosen South African Medical Journal 2003 Nov;93(11):851-3 |
| Related Countries | South Africa |
| Cause Of Injury | V01-V99 W00-X59 X60-X84 X85-Y09 |
| Nature Of Injury | S00-T19 |
| Abstract | OBJECTIVES Sections of contemporary South African society are characterised by high levels of crime and interpersonal conflict. The South African Police Service (SAPS) is in the front line, with many deaths and injuries occuring among serving officers in recent years. The circumstances and nature of the injuries sustained by these officers have received little attention in the medical literature. DESIGN A retrospective review of all injured SAPS members was undertaken at a single level one trauma centre in Johannesburg between June 1993 and June 2002. The following factors were recorded: demographics, mechanism and anatomical site of injury, mode of transportation to hospital, whether personal protection had been used, mortality, and return to work. RESULTS One hundred and thirty-four SAPS personnel were admitted over a 9-year period. The majority (95%) were male and the median age was 31 years. One hundred and thirty-two were on duty and two were in transit to a place of duty when injured. Ninety-two (69%) were injured by gunshot, (including 3 attempted suicides and 9 injuries due to negligent discharge), 2 members were stabbed, 31 were involved in motor vehicle accidents, 2 in motorbike accidents, 1 member was struck by a car while directing traffic, 3 officers were injured by falls from a height, 2 members were injured in helicopter crashes, and 1 member required treatment for gas inhalation. Documentation on whether some form of personal protection was worn at the time of injury was only available for 43 of the 92 cases of gunshot wounds (47%); of these, only 15 (35%) were wearing a bulletproof vest. Use or non-use of a seat belt was documented by hospital staff for only 6 of the 31 officers (19%) injured in motor vehicle accidents. None of the 6 officers had been restrained by a seatbelt. Nineteen SAPS personnel (14%) died of their injuries, but the majority of surviving members returned to duty. CONCLUSION There is an unacceptably high level of... [more] |
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