Displaying 11 - 20 out of 483 matching injury records.
| Submitted By | Jerome Nsajju |
| Submitted On | Tuesday, April 21st, 2009 @ 05:24:55 PDT -0700 |
| Article Publication Year | 2002 |
| Visit Journal Web Site | heapol.oxfordjournals.org |
| Author And Journal Reference |
Children’s Environments Research Group, City University, New York, NY, USA Sheridan Bartlett Health Policy and Planning 2002 Vol. 17, No. 1 pp. 1-13 |
| Related Countries | Africa |
| Cause Of Injury | V01-V99 W00-X59 |
| Nature Of Injury | S00-T98 |
| Abstract | Unintentional injuries are the cause of death and disability for millions of children every year in low-income countries. Challenging living conditions, heavy traffic, a lack of safe play space and an absence of child care options, together with a disproportionate vulnerability to injury, combine to put children at high risk. Inaccessible and unaffordable emergency services add to the number of resulting deaths and impairments. Yet this major public health problem receives relatively little attention. Because communicable disease and nutritional problems continue to rank higher as causes of child mortality and morbidity in most of the developing world, injury is perceived as a less serious problem. Existing research is scanty and is largely limited to hospital-based studies, which cannot present a comprehensive picture of either causes or outcomes. Development of preventive measures is hampered not only by limited health budgets, but by a tendency (not unique to low-income countries) to see injuries as random events, and hence as unpredictable and uncontrollable. There is an urgent need for more research that can contribute to effective analyses of the situation, and especially for locally-based research and record keeping, which is most likely to contribute to awareness and to practical and well-targeted prevention measures. |
| Submitted By | Jerome Nsajju |
| Submitted On | Tuesday, April 21st, 2009 @ 04:33:02 PDT -0700 |
| Article Publication Year | 2002 |
| Visit Journal Web Site | ajol.info |
| Author And Journal Reference |
Dept. of SUrgery, Ilorin Teaching Hospital, Nigeria Babatunde Solagberu West African Journal of Medicine 2002 Vol. 21, No. 3 Pgs. 230-232 |
| Related Countries | Nigeria |
| Cause Of Injury | V01-V99 W00-W19 |
| Nature Of Injury | S10-S19 S20-S29 S30-S39 |
| Abstract | BACKGROUND: Spinal Cord Injuries (SCI) usually result from road traffic accidents (RTA), falls, sports and some misadventures. This study was carried out to examine the aetiology of SCI in Ilorin, Nigeria; factors contributory to morbility and mortality and to suggest measures for reducing them. METHODS: Age, sex, mechanism of injury, complications, duration of treatment and eventual outcome of patients admitted for SCI from 1995 to 1999 were retrospectively studied. RESULTS: Thirty-nine patients, age 19 to 60 years (mean 37.3), 36 males and three females were seen. Cervical spine injuries accounted for 46.2% of the cases. Road traffic accidents caused 67% and falls 23%. Accidents involving passengers in open lories are associated with SCI when the goods fall on passengers as seen in five of the 26 RTA's (19.2%). More falls from kola-nut (44%) than from palm tree (11%) were observed. Limb paralysis and bladder dysfunction were the commonest complications. Ten patients died, 70% of them had cervical spine injuries. Nine of the ten deaths had multiple transfers of different centers before admission. CONCLUSION: This pattern of SCI in Ilorin, Nigeria showed that RTA has surpassed falls from trees, as the most common cause of SCI in Ilorin and probably in Nigeria. Indeed, the predominant tree implicated in this study has been kola nut tree unlike the palm tree in earlier reports. Imperative measures to improve morbidity and mortality include health education on passenger and load carriage, use of manual or motorized wheel barrow as against bearing heavy load on the head, principles of moving spinal injured patients thought every road traveler and establishment of spinal centers and training of specialized personnel. |
| Submitted By | Jerome Nsajju |
| Submitted On | Friday, March 20th, 2009 @ 04:37:06 PDT -0700 |
| Article Publication Year | 2005 |
| Visit Journal Web Site | www.scielosp.org |
| View Full Article | www.scielosp.org |
| Author And Journal Reference |
Department of Surgery, University of Washington, Seattle, USA Charles Mock Injury Prevention, and Rehabilitation, WHO, Regional Office for Africa, Brazzaville, Republic of the Congo Olive Kobusingye Hanoi School of Public Health, Hanoi, Viet Nam Le Vu Anh Traffic and Transport Division, Building and Road Research Institute, Kumasi, Ghana Francis Afukaar Emergency Services, and School of Medicine, Instituto Tecnologico y de Estudios Superiores, Monterrey, Mexico Carlos Arreola-Risa Bulletin of the World Health Organization Vol. 83 No. 4 Apr. 2005 Pgs. 294-300 |
| Related Countries | Botswana, Ghana |
| Cause Of Injury | V01-V99 |
| Nature Of Injury | T90-T98 |
| Abstract | The definition of the ideal numbers and distribution of human resources required for control of road traffic injury (RTI) is not as advanced as for other health problems. We can nonetheless identify functions that need to be addressed across the spectrum of injury control: surveillance; road safety (including infrastructure, vehicle design, and behaviour); and trauma care. Many low-cost strategies to improve these functions in low- or middle-income countries can be identified. For all these strategies, there is need for adequate institutional capacity, including funding, legal authority, and human resources. Several categories of human resources need to be developed: epidemiologists who can handle injury data, design surveillance systems, and undertake research; engineers and planners versed in safety aspects of road design, traffic flow, urban planning, and vehicle design; police and lawyers who understand the health impact of traffic law; clinicians who can develop cost-effective improvements in the entire system of trauma treatment; media experts to undertake effective behaviour change and social marketing; and economists to assist with cost-effectiveness evaluations. RTI control can be strengthened by enhancing such training in these disciplines, as well as encouraging retention of those who have the needed skills. Mechanisms to enhance collaboration between these different fields need to be promoted. Finally, the burden of RTI is borne disproportionately by the poor; in addition to technical issues, more profound equity issues must be addressed. This mandates that people from all professional backgrounds who work for RTI control should develop skills in advocacy and politics. |
| Submitted By | Jerome Nsajju |
| Submitted On | Friday, March 20th, 2009 @ 02:54:47 PDT -0700 |
| Article Publication Year | 1994 |
| Visit Journal Web Site | www.sciencedirect.com |
| View Full Article | www.sciencedirect.com |
| Author And Journal Reference |
Department of Surgery, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria G. Kalayi I. Muhammad Burns, Vol. 20, Iss. 4, Aug. 1994, pp. 356-359 |
| Related Countries | Nigeria |
| Cause Of Injury | X00-X09 |
| Nature Of Injury | T20-T32 |
| Abstract | From 1980 to 1989, 45 patients with clothing burn injuries were admitted into the Ahmadu Bello University Teaching Hospital, Zaria, Nigeria. Children aged 15 years and below numbered 30 and adults aged 16 years and above totalled 15. There was a female preponderance in the ratio of 1.8:1. The cumulative monthly frequency between October and February recorded the highest number of admissions (77 per cent) with a peak in January (31 per cent). The involvement of women and children especially those below the age of 5 years is noteworthy. Eighty per cent of the patients had a major injury with a total mortality of 42 per cent. The improvement in the economic standard of the populace shown by the improvement in cooking methods, the proper use of gas cookers and kerosene lanterns, the avoidance of bedside fires during the night, the guarded use of loose indigenous garments, and the use of nursery schools for the care of children below 5 years of age will help to lower the incidence of clothing burn injuries in our environment. |
| Submitted By | Jerome Nsajju |
| Submitted On | Friday, March 20th, 2009 @ 02:33:06 PDT -0700 |
| Article Publication Year | 1999 |
| Visit Journal Web Site | www.burnsjournal.com |
| Author And Journal Reference |
The Royal Preston Hospital, Lancashire, UK Ian Starley Paul Mohammed Sibinour Health Centre, The Gambia Geisela Schneider Department of Paediatric Surgery, Royal Victoria Hospital, Banjul, The Gambia Stephen Bickler Burns, 1999, Vol. 25, No. 7, Pgs. 636-39 |
| Related Countries | The Gambia |
| Cause Of Injury | W85-W99 X00-X09 X10-X19 |
| Nature Of Injury | T20-T32 |
| Abstract | Due to the limited resources for the management of burns in most regions of Africa there is a significant role for many aspects of traditional African medicine. The active component of many traditional preparations is often of plant origin and more than 25 plants have been described as useful in relations to burns and wound healing. Carica papaya is currently used in The Gambia at the Royal Victoria Hospital, Banjul in the Paediatric Unit as the major component of burns dressings, where it is well tolerated by the children. Cheap and widely available, the pulp of the papaya fruit is mashed and applied daily to full thickness and infected burns. It appears to be effective in desloughing necrotic tissue, preventing burn wound infection, and providing a granulating wound suitable for the application of a split thickness skin graft. Possible mechanisms of action include the activity of proteolytic enzymes chymopapain and papain, as well as an antimicrobial activity, although further studies are required. |
| Submitted By | Jerome Nsajju |
| Submitted On | Tuesday, March 17th, 2009 @ 03:38:01 PDT -0700 |
| Article Publication Year | 1999 |
| Visit Journal Web Site | pt.wkhealth.com |
| View Full Article | horizon.documentation.ird.fr |
| Author And Journal Reference |
Health Systems Development Unit, University of the Witwatersrand, Johannesburg, South Africa Kathleen Kahn Stephen Tollman John Gear French Centre for Population and Development, Paris, France Michel Garenne Tropical Medicine & International Health Vol. 4 No. 6 Jun 1999 Pgs. 433-441 |
| Related Countries | South Africa |
| Cause Of Injury | V01-Y98 |
| Nature Of Injury | S00-T98 |
| Abstract | Information on cause of death is essential for rational public health planning, yet mortality data in South Africa is limited. In the Agincourt subdistrict, verbal autopsies (VA) have been used to determine cause of death. A VA is conducted on all deaths recorded during annual demographic and health surveillance. Trained lay fieldworkers interview a close caregiver to elicit signs and symptoms of the terminal illness. Each questionnaire is reviewed by three medical practitioners blind to each other's assessment, who assign a 'probable cause of death' where possible. Of 1001 deaths of adults and children identified between 1992 and 1995, 932 VAs were completed. The profile of deaths reflects a mixed picture: the 'unfinished agenda' of communicable disease and malnutrition (diarrhoea and kwashiorkor predominantly) are responsible for over half of deaths in under-fives, accidents are prominent in the 5-14 age-group, while the 'emerging agenda' of violence and chronic degenerative disease (particularly circulatory disease) is pronounced among the middle-aged and elderly. This profile shows the social and demographic transition to be well underway within a rural, under-developed population. Validation of VA findings demonstrate that the cause of death profile derived from VA can be used with confidence for planning purposes. Findings of note include the high death rates from kwashiorkor and violence, emerging AIDS and pulmonary tuberculosis, and circulatory deaths in the middle-aged and young elderly. A deeper understanding of the causal factors underlying these critical health problems is needed to strengthen policy and better target interventions. |
| Submitted By | Jerome Nsajju |
| Submitted On | Tuesday, March 17th, 2009 @ 02:58:24 PDT -0700 |
| Article Publication Year | 1998 |
| Visit Journal Web Site | ajol.info |
| Author And Journal Reference |
J. Asembo M. Wekesa East African Medical Journal, 75(2):113-6 |
| Related Countries | Kenya |
| Cause Of Injury | W50-W64 |
| Nature Of Injury | S00-S09 T00-T07 |
| Abstract | Team handball is a fast, explosive sport, and injury risk is inevitable. There is need to define the risk factors in order to formulate preventive, treatment and rehabilitation measures. This study investigated the nature, aetiology, mechanism and anatomical localisation of injuries observed among male and female players during the tenth edition of the East and Central Africa Senior Clubs Championships (9th-17th April, 1995) in Nairobi, Kenya. There were nine male and five female teams from Kenya, Uganda, Tanzania and Ethiopia which played nineteen and ten matches respectively leading to 52(77.61%) and 15(22.39%) injuries. The matches were observed and the injuries recorded live by trained researchers and the result confirmed after the match. The commonest injuries were contusions (64.18%). Most injuries were caused by another person (85.07%), majority of them occurring due to collision (55.22%). The head suffered most injuries (59.24%) and many players got more injured while attacking than defending. In all, 56.7% of the injuries were observed in the second half. Generally, only 38.81% of the injuries led to a substitution of player. This pattern of injuries was the same for both male and female players. More studies of this nature are recommended in order to clearly define injury risk in team handball and, thus, preventive, treatment and rehabilitation measures. |
| Submitted By | Jerome Nsajju |
| Submitted On | Friday, March 6th, 2009 @ 03:07:21 PST -0800 |
| Article Publication Year | 1999 |
| Visit Journal Web Site | www.bioline.org.br |
| View Full Article | www.bioline.org.br |
| Author And Journal Reference |
Lacor Hospital, Gulu, Uganda D. Ogwang East and Central African Journal of Surgery, Vol. 4, No. 2, 1999, pp. 13-16 |
| Related Countries | Uganda |
| Cause Of Injury | W20-W49 Y35-Y36 |
| Nature Of Injury | S30-S39 |
| Abstract | A prospective study of 15 consecutive patients admitted with high velocity missile liver injuries of the liver was done at Lacor hospital between November 1996 and May 1997. Operative findings, treatment offered and factors influencing morbidity and mortality were noted. All patients were followed up for two months postoperatively. Fourteen patients sustained gun shot wounds while one was injured by a bomb blast fragment. Ages ranged from 2 to 33 years (mean 24.4 years). Two patients sustained liver injury alone while the rest had other associated visceral injuries as well. Grade I, II and III liver injuries were seen in 7, 5 and 2 patients respectively. One patient had a bullet perforation of the liver and could not be classified on this scale. Six patients received blood transfusion. Four patients (27%) developed complications. One had a sub-hepatic abscess while the other three had wound infections. Two patients died, one of exsanguination and the other of septic shock. High velocity missile injuries of the liver are associated with high transfusion needs and morbidity both of which can be minimized by a policy of conservative surgery. |
| Submitted By | Jerome Nsajju |
| Submitted On | Thursday, March 5th, 2009 @ 22:06:35 PST -0800 |
| Article Publication Year | 2000 |
| Visit Journal Web Site | www.bioline.org.br |
| Author And Journal Reference |
Mulago Hospital, Kampala, Uganda I. kakande A. Kidza E. Naddumba East and Central African Journal of Surgery 2000 Vol. 5 No. 2 pp. 7-10 |
| Related Countries | Uganda |
| Cause Of Injury | V01-V99 |
| Nature Of Injury | S70-S79 |
| Abstract | Eighty- eight patients with humeral shaft fractures seen at Mulago hospital, Kampala, were randomly distributed into two groups. In a Group A, 58 patients were treated conservatively using a coaptation U-splint of plaster of Paris while 30 patients in Group B were treated with a humeral brace. There were more males than females (M: F; 1.75:1). Most patients (68%) were aged 18 years or over. Road traffic accidents accounted for 64% of the fractures. Four patients had associated radial nerve damage. There was a statistically significant difference in fracture healing times between closed and open fractures but no statistically significant difference in healing was noted in those patients treated with coaptation U-splints and those with a humeral brace. Full recovery of flexion and extension of the elbow was shorter in patients treated with the humeral brace. Full recovery of flexion and extension of the elbow was shorter in patients treated with humeral brace (group B) than in U- splints ( group A) and the difference was statistically significant (p value <0.001). The functional humeral brace was found to be superior to the coaptation U-splint as regards functional results and is therefore recommended for those patients who can afford its use. |
| Submitted By | Jerome Nsajju |
| Submitted On | Wednesday, March 4th, 2009 @ 00:24:36 PST -0800 |
| Article Publication Year | 2001 |
| Visit Journal Web Site | www.bioline.org.br |
| View Full Article | www.bioline.org.br |
| Author And Journal Reference |
Nsamhya Hospital, Kampala, Uganda Geraldine Owor Makerere Clinical Epidemiology Unit, Uganda Olive Kobusingye East and Central African Journal of Surgery, Vol. 6, No. 1, 2001, pp. 57-63 |
| Related Countries | Uganda |
| Cause Of Injury | V01-Y98 |
| Nature Of Injury | T08-T14 |
| Abstract | This combined retrospective and prospective study describes trauma patients in an urban African Hospital and assesses whether use of trauma registries leads to improved clinical assesment. The Kampala Trauma Score (KTS) is assessed as an injury severity filter. The level of clinical assessment was defined by Model Rural Trauma Project (MRTP) trauma triage criteria. Trauma registries were filled out systematically for every alternate patient on arrival in the casualty department, and the patient status was recorded two weeks after admission. This retrospective study showed that 52% of the trauma patients were inadequately assessed. Amongst the deaths, 72.7% had been inadequately assessed (p value = 0.0193). Prospective data showed that injuries were most common amongst young males (72.7%), in and around the city following road traffic injuries (50.7%). The mean time between injury and arrival at the hospital was 0.363 hours (SD 0.331) and the mean hospital response time was 0.36 hours SD 0.245) The rate of inadequate assessment decreased significantly after the introduction of the registry (p value = 0.000). The case fatalities before and after the introduction of the registry was, however, not statistically significant. The KTS was found to be a reliable severity filter for injured patients, with a KTS score of less than 14 increasing the likelihood of death by at least three times. The results showed a cut off value of 12 by the ROC curve (0.8755; 95% CI = 0.8455 - 0.9055). |
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