Displaying 21 - 30 out of 483 matching injury records.
| Submitted By | Jerome Nsajju |
| Submitted On | Wednesday, March 4th, 2009 @ 00:01:04 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 |
Department of Surgery, Medical Faculty, Addis Ababa University, Ethiopia A. Adem A. Abebe M. Abdurahman East and Central African Journal of Surgery, Vol. 6, No. 1, 2001, pp. 31-34 |
| Related Countries | Ethiopia |
| Cause Of Injury | V01-Y98 |
| Nature Of Injury | S00-T98 |
| Abstract | A three-year retrospective analysis was undertaken of all surgical admissions to Tikur Anbessa Hospital (TAH) between September 1994 and August 1997. There was a total of 5,353 surgical admissions of which 3,968 (74.1%) were elective cases. The overall male to female ratio was 1.7:l. Gastrointestinal and genitourinary conditions accounted for 62% of elective cases, while for emergencies, gastrointestinal and neuro-surgical patients constituted 75.8% of admissions. The overall mortality was 8%, being higher for emergencies (21.1%) than for elective surgery (3.4%) Gastrointestinal (GI) and neurosurgical conditions accounted for 71.2% of all deaths. Neurosurgical emergencies had the highest mortality rate (36.8%). The admission pattern revealed that many of the patients had conditions that could have been treated at the secondary level hospitals and that some causes death were preventable. |
| Submitted By | Jerome Nsajju |
| Submitted On | Tuesday, March 3rd, 2009 @ 23:51:01 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 |
Department of Surgery, Tikur Anbessa Hospital, Addis Ababa, Ethiopia A. Adem R. Ilagoa E. Mekonen East and Central African Journal of Surgery, Vol. 6, No. 1, 2001, pp. 11-14 |
| Related Countries | Ethiopia |
| Cause Of Injury | Y35-Y36 |
| Nature Of Injury | S20-S29 |
| Abstract | A review of 72 patients with chest injuries admitted to Tikur Anbessa Hospital in Ethiopia between February 1996 and February 1999 was undertaken. All but one patient were treated with chest drainage. Approximately 85% of the patients were succesfully treated with chest drains leaving no residual defects. This simple, effective and affordable equipment should be made available in all hospitals. Chest drainage is a life-saving procedure for patients with chest injuries which all doctors should be confident with. |
| Submitted By | Jerome Nsajju |
| Submitted On | Tuesday, March 3rd, 2009 @ 23:33:41 PST -0800 |
| Article Publication Year | 2002 |
| Visit Journal Web Site | www.bioline.org.br |
| View Full Article | www.bioline.org.br |
| Author And Journal Reference |
Department of Otolaryngology, University of Dar es Salaam, Tanzania Ndeserua Moshi East and Central African Journal of Surgery, Vol. 7, No. 1, 2002, pp. 67-68 |
| Related Countries | Tanzania |
| Cause Of Injury | W20-W49 |
| Nature Of Injury | S00-S09 |
| Abstract | Fifty-two musicians and music employees were studied to find out the effects of noise on their hearing thresholds. Their age range was 20 -59 years with a mean age of 35.7 years. There were 47 males and 5 females. Their average threshold of hearing was 29.9 dBA. There was no significant difference in noise induced hearing loss (NIHL) among musicians playing different instruments. |
| Submitted By | Jerome Nsajju |
| Submitted On | Tuesday, March 3rd, 2009 @ 23:28:49 PST -0800 |
| Article Publication Year | 2002 |
| Visit Journal Web Site | www.bioline.org.br |
| View Full Article | www.bioline.org.br |
| Author And Journal Reference |
Department of Surgery, Mulago Hospital, Kampala, Uganda F. Kirya S. Kijjambu I. Ezati East and Central African Journal of Surgery, Vol. 7, No. 1, 2002, pp. 59-62 |
| Related Countries | Uganda |
| Cause Of Injury | V01-V99 X85-Y09 |
| Nature Of Injury | T00-T07 |
| Abstract | A prospective study of 150 patients presenting with major trauma (ISS >15) at Mulago Hospital, Kampala over a period of 11 months starting from 1st February 1998 was undertaken with the main objective of determining the trauma outcome using the TRISS methodology. Injury severity scores (ISS), Revised Trauma scores (RTS), age, sex, cause of trauma, investigations performed and treatment given were recorded. Using the TRISS methodology, and basing on the major trauma outcome study (MTOS) norms of North America, PRE-charts were constructed to determine the outcome. Patients' follow up was limited to two weeks. Autopsies were done for patients who died during the study period. The study population included 132 males and 18 females. Seventy-four percent of the patients were aged less than 40 years. The majority (86.7%) of the cases sustained blunt injuries. Road traffic injuries accounted for 75% of the cases and these were followed by assaults in 21% of the cases. The mean ISS for the survivors was 20 and 29 for non-survivors. There were 39 deaths (26% mortality rate), 25 (64.1%) of which were unexpected using the TRISS methodology. Of these 24 were deemed preventable by peer review. The following statistics were obtained: Z=6.838, W=14 and M=0.719, indicating that the performance of Mulago Hospital in trauma care was worse than expected basing our assessment on the North American standards. The leading causes of death were intracranial haematoma (46%) and haemorrhagic shock (41%). Twenty-three (59%) of the death occurred on the first day of injury. Missed injuries contributed 13 (54%) of the preventable deaths. In conclusion, major trauma outcome in Mulago Hospital is far below expectations using the MTOS trauma outcome norms. Most preventable deaths were due to missed injuries. |
| Submitted By | Jerome Nsajju |
| Submitted On | Tuesday, March 3rd, 2009 @ 03:21:07 PST -0800 |
| Article Publication Year | 2003 |
| Visit Journal Web Site | www.bioline.org.br |
| View Full Article | www.bioline.org.br |
| Author And Journal Reference |
Dodoma Hospital, Tanzania K. Mteta Oilu Hospital, China Liu Fengjun Zhi Xuting Shou Nanhai East and Central African Journal of Surgery, Vol. 8, No. 1, 2003, pp. 65-69 |
| Related Countries | Tanzania |
| Cause Of Injury | V40-V49 W20-W49 X00-X09 X85-Y09 |
| Nature Of Injury | S30-S39 |
| Abstract | BACKGROUND: Hepatic trauma is a major cause of death in abdominal injury patients. This study was aimed at investigating the outcome of management of 197 patients presenting with hepatic injuries. METHODS: This was a retrospective study of all patients treated for hepatic injuries at Oilu Hospital from January 1980 to January 1999 and at Dodoma Regional Hospital from January 1990 to January 2001.Seven patients were treated non-surgically while 188 had surgery. Conservative treatment included absolute bed rest, replacement and stabilization of the blood capacity, anti-inflammation drugs and styptic. Surgical procedures for patients with grade III and IV hepatic trauma included packing with omentum and repair of liver lacerations, debridment or irregular hepatectomy under Pringle's maneuver, perihepatic tamponade with or without selective ligation of hepatic artery and post hepatic vein repair together with T-tube and perihepatic drainage. RESULTS: There were 30 deaths (15.3% mortality rate). All the seven patients treated conservatively survived. The main cause of death was exsanguination with or without coagulopathy, multiple organ failure (MOSF) and associated injuries. CONCLUSION: The basic operative principles for liver injuries are thorough debridment and haemostasis, elimination of bile leakage and unobstructed drainage. |
| Submitted By | Jerome Nsajju |
| Submitted On | Tuesday, March 3rd, 2009 @ 03:16:32 PST -0800 |
| Article Publication Year | 2003 |
| Visit Journal Web Site | www.bioline.org.br |
| View Full Article | www.bioline.org.br |
| Author And Journal Reference |
ICRC Nairobi Regional Delegation, Nairobi-Kenya Marco Baldan ICRC Headquarters, Geneve, Switzerland Chris Paul Giannou East and Central African Journal of Surgery, Vol. 8, No. 1, 2003, pp. 35-38 |
| Related Countries | Somalia, Kenya, Sudan |
| Cause Of Injury | Y35-Y36 |
| Nature Of Injury | S00-T19 |
| Abstract | According to WHO statistics, war injuries are the first surgical cause of death and the first cause of surgical disease in the Africa Region. The International Committee of the Red Cross is an impartial, neutral and independent organization whose humanitarian mission includes the assistance to war wounded. During the last 30 years ICRC surgeons have gained a wide experience in the management of war wounded patients under difficult conditions, more than 40,000 have been registered in the ICRC surgical database. In additions, hundreds of thousands of operations for the wounded of war have been performed in ICRC supported hospitals. The authors present the basic principles for a correct understanding and treatment of war wounds. Attention is focused on ballistics, triage, pre hospital care, antibiotic prophylaxis, early physiotherapy and rehabilitation, and wound surgery: large debridements, wound left open with no unnecessary dressing changes, delayed primary closure. |
| Submitted By | Jerome Nsajju |
| Submitted On | Tuesday, March 3rd, 2009 @ 03:09:55 PST -0800 |
| Article Publication Year | 2003 |
| Visit Journal Web Site | www.bioline.org.br |
| View Full Article | www.bioline.org.br |
| Author And Journal Reference |
Department of Surgery, Keysaney Hospital, Mogadishu-Somalia Ahmed Ahmed Mohamed Riye ICRC Nairobi Regional Delegation, Nairobi- Kenya Marco Baldan East and Central African Journal of Surgery, Vol. 8, No. 1, 2003, pp. 51-54 |
| Related Countries | Somalia |
| Cause Of Injury | Y35-Y36 |
| Nature Of Injury | S20-S29 |
| Abstract | BACKGROUND: In 1991 civil war broke out in Somalia and Mogadishu was divided into two areas, occupied by different clans. No hospital facility was available in Mogadishu North to take care of the war wounded. The International Committee of the Red Cross (ICRC), together with the Somalia Red Crescent Society found a new building, 7 km North of the town, intended to be a prison: Keysaney Hospital was thus inaugurated in February 1992. It was soon established as The War Surgery Hospital in Somalia. METHODS: This was a retrospective study. From 1992 to 2001, 45,900 war-wounded patients were admitted and treated; among whom 13770 had chest injuries. Due to lack of a blood bank, insufficient number of donors, continuous need in emergency, life threatening situations and following previous positive experiences, a system was set up for immediate auto transfusion in patients with massive haemothorax from penetrating chest war wounds. To reduce the risk of the 2 major complications of sepsis and coagulopathy, each patient received antibiotic prophylaxis and only cases with a maximum delay of one hour were subjected to this form of management. RESULTS: 137 patients had this kind of auto transfusion. There were five deaths (3.6% Mortality rate) No major complications were detected in the auto-transfused patients that survived. |
| Submitted By | Jerome Nsajju |
| Submitted On | Sunday, March 1st, 2009 @ 23:50:47 PST -0800 |
| Article Publication Year | 2004 |
| Visit Journal Web Site | www.bioline.org.br |
| View Full Article | www.bioline.org.br |
| Author And Journal Reference |
Mulago Hospital, Kampala, Uganda R. Wangoda B. Watmon M. Kisige East and Central African Journal of Surgery, Vol. 9, No. 1, 2004, pp. 82-86 |
| Related Countries | Uganda |
| Cause Of Injury | W50-W64 X20-X29 |
| Nature Of Injury | T51-T65 |
| Abstract | BACKGROUND: The objective of this study was to document our experience with supportive therapy without antivenom in snakebite management. METHODS: In a prospective study undertaken at Gulu Regional Hospital, Northern Uganda from January to December 2002 the outcome of supportive therapy in management of 108 cases of snakebite was assessed. RESULTS: The lower extremity was involved in 106 patients (98.1%) and the upper extremity in the remaining two cases. Sixty-two patients (57.4 %) did not get any First Aid prior to admission. All Patients received supportive therapy. None of the patients received snake antivenom since it was unavailable at the hospital. All the 108 patients (100 %) improved and were discharged. The duration of hospital stay was 2 to 17 days with a mean of 3.8 days. CONCLUSION: Supportive therapy is simple, safe and effective treatment for snakebite without serious systemic poisoning. |
| Submitted By | Jerome Nsajju |
| Submitted On | Sunday, March 1st, 2009 @ 23:45:06 PST -0800 |
| Article Publication Year | 2004 |
| Visit Journal Web Site | www.bioline.org.br |
| View Full Article | www.bioline.org.br |
| Author And Journal Reference |
Dept. of Surgery, University of Nairobi, Kenya Vincent Mutiso East and Central African Journal of Surgery, Vol. 9, No. 1, 2004, pp. 78-81 |
| Related Countries | Kenya |
| Cause Of Injury | V01-Y98 |
| Nature Of Injury | S00-T98 |
| Abstract | In surgery, emergencies are a common occurrence. Management of surgical emergencies is a component of surgical training - although this mainly comprises the clinical aspect of it. A disaster is a large-scale emergency and thus involves many other disciplines other than medical. In the last decade, Kenya has been through many disasters such as the terrorist bombing of the American Embassy in Nairobi in 1998. |
| Submitted By | Jerome Nsajju |
| Submitted On | Thursday, February 26th, 2009 @ 05:50:19 PST -0800 |
| Article Publication Year | 2004 |
| Visit Journal Web Site | www.bioline.org.br |
| View Full Article | www.bioline.org.br |
| Author And Journal Reference |
Mulago Hosppital, Kampala, Uganda E. Naddumba East and Central African Journal of Surgery, Vol. 9, No. 1, 2004, pp. 44-47 |
| Related Countries | Uganda |
| Cause Of Injury | V01-V09 V20-V29 |
| Nature Of Injury | S00-T19 |
| Abstract | BACKGROUND: During the last 5 years, many Ugandans have resorted to use of small Motorbikes popularly known as "Boda-boda", as quick means of Transport. The Boda Bodas that have been mainly operated by the youths as a means of public transport have been responsible for many "accidents". The purpose of this paper is to highlight the Musculo -Skeletal Injuries that directly or indirectly result from Boda Boda Traffic "accidents", with a view of assisting the policy makers in their efforts of reducing Road Traffic Accidents in Uganda. METHODS: This was a cross-sectional retrospective study conducted at Mulago Hospital on the Surgical and Orthopaedics Wards. Records of patients admitted through the emergency admitting ward for the period July - September 2001 were studied. RESULTS: During the period under study, a total of 182 road traffic injuries were admitted. 46 (25%) of these were as a result of Boda Bodas. The commonest injury was Open Tibia1 Fractures (21%). The majority of the victims (20%) had poly trauma. The motorcyclists were mainly youths with an average age of 24 years. CONCLUSION: Strict legislature should urgently be put in place to curb the reckless motorcyclists as an effort to control these emerging traffic injuries. |
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