Displaying 41 - 50 out of 483 matching injury records.
| Submitted By | Jerome Nsajju |
| Submitted On | Thursday, February 19th, 2009 @ 07:18:43 PST -0800 |
| Article Publication Year | 2006 |
| Visit Journal Web Site | www.bioline.org.br |
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| Author And Journal Reference |
Menilic II Hospital, Addis Ababa, Ethiopia Asfaw Ayele East and Central African Journal of Surgery, Vol. 11, No. 1, Apr/May 2006, pp. 108-109 |
| Related Countries | Ethiopia |
| Cause Of Injury | V01-Y98 |
| Nature Of Injury | S00-T98 |
| Abstract | BACKGROUND: In the third world countries like Ethiopia the majority of Hospitals have difficulties in harvesting split thickness skin for graft because the proper Humby knife may not be available and where available may be too old and out of use. In order to circumvent such a problem the author had to use the easily available and cheap instrument, the razorblade. The aim of this study was to evaluate the outcome split thickness skin graft harvested using sterile razor blade in an areas of scarcity. METHODS: A retrograde study of 108 patients who had split thickness skin graft done using a razorblade as harvester from August 1999 to March 2005 at Menilik ii Hospital. Fifty-one (47%) of patients were male and 57 (53%) were female giving a Male: Female ratio of 1:1.12. The ages ranged from 9 to 80 years with a mean age of 30.82 years. All patients had split thickness skin graft done by using a razorblade as harvester. RESULTS: The harvests were adequate in quantity and quality to cover the desired areas to be covered. The grafts were well taken by the recipient areas and technically there was no danger of deep bite. CONCLUSION: Split thickness skin can be harvested using sterile razorblade in areas of scarcity. |
| Submitted By | Jerome Nsajju |
| Submitted On | Thursday, February 19th, 2009 @ 07:14:06 PST -0800 |
| Article Publication Year | 2006 |
| Visit Journal Web Site | www.bioline.org.br |
| View Full Article | www.bioline.org.br |
| Author And Journal Reference |
Mbuya General Military Hospital, Kampala, Uganda Aldar Borissov Mulago Hospital, Kampala, Uganda Konstantin Borissov East and Central African Journal of Surgery, Vol. 11, No. 1, Apr/May 2006, pp. 75-80 |
| Related Countries | Uganda |
| Cause Of Injury | V01-Y98 |
| Nature Of Injury | S10-S19 S20-S29 S30-S39 |
| Abstract | BACKGROUND: The purpose of the report is to show potential of the operative treatment with instrumentation for correction of traumatic and non-traumatic spinal deformities. METHODS: Between 2001 and 2005 total of 95 patients with spinal disorders were operated on, including 50 surgeries facilitated with posterior instrumentation. The age of the patients ranged from 2 to 66 years. Forty patients had neurological deficit. Transpedicular fixation (TPF) was used in 40, and wiring in 10 cases. Results: Complete reduction of deformity was achieved in fracture-dislocations, and adequate decompression in burst fractures via bilateral transpedicular or postero-lateral approach. Low back pain resolved completely in 5 of 7 patients with degenerative lumbar spine. Early complications were recorded in 11 cases. CONCLUSION: TPF is the method of choice in fracture-dislocations and burst fractures of thoracic and lumbar spine. Superior reposition and rigid fixation can provide best conditions for rehabilitation of the patients with severe neurological deficit. Wiring is adequate in stabilizing cervical dislocations. Short internal fixation of lumbar spine spares healthy mobile segments in fusion of the degenerated vertebras. Every patient is to get differential approach depending on type, localization of the disorder and neurological status. |
| Submitted By | Jerome Nsajju |
| Submitted On | Thursday, February 19th, 2009 @ 06:42:15 PST -0800 |
| Article Publication Year | 2006 |
| Visit Journal Web Site | www.bioline.org.br |
| View Full Article | www.bioline.org.br |
| Author And Journal Reference |
Department of Radiology, Faculty of Medicine - Makerere University, Kampala, Uganda E. Kiguli-Malwadde P. Ddungu Matovu M. Kawooya Mulago Hospital, Kampala, Uganda R. Byanyima East and Central African Journal of Surgery, Vol. 11, No. 1, 2006, pp. 49-51 |
| Related Countries | Uganda |
| Cause Of Injury | W85-W99 |
| Nature Of Injury | T66-T78 |
| Abstract | BACKGROUND: All x-ray utilization in human medicine leads to exposure of the patient and personnel to radiation. Although the quantity is low in diagnostic examinations, special attention should be given to this fact in order to minimize unnecessary exposure for both groups. Exposure to ionizing radiation cannot be avoided in a medical imaging facility. Twenty-two radiation workers and fifty patients responded. The main objective of the study was to determine the level of radiation safety awareness among radiation workers (Personnel) and clientele at Mulago hospital. METHODS: Subjects were interviewed using two different questionnaires each one tailored to the radiation workers and the patient (clientele). Fifty patients and twenty-two radiation workers responded. Their views were assessed using structured questionnaires. The data was analysed using SSPS package. RESULTS: Fifteen (68.2%) reported that they had had a sensitization introduction about radiation safety before they started working with radiation. . 18 (81.8%) thought that the radiation safety measures taken at the work place were inadequate. It was noted that radiation workers were well informed about radiation safety, but that the patients expressed ignorance on the subject and many were convinced that x-rays were dangerous. CONCLUSION: There is need for sensitization of the public on radiation safety and to allay their fears about radiation. The radiation workers should do this before patients are worked on. This requires good communication skills on the part of the radiation workers. There is also need for radiation workers to have introductory seminars on radiation safety before they start working with radiation. They also need continuous education and update on radiation safety. |
| Submitted By | Jerome Nsajju |
| Submitted On | Wednesday, February 18th, 2009 @ 07:44:29 PST -0800 |
| Article Publication Year | 2007 |
| Visit Journal Web Site | www.bioline.org.br |
| View Full Article | www.bioline.org.br |
| Author And Journal Reference |
Department of Surgery, Nnamdi Azikiwe University Teaching Hospital, Anambra State, Nigeria J. Emejulu Institute of Neurological Sciences, University College Hospital, Ibadan, OyoState, Nigeria M. Shokunbi A. Malomo A. Adeloye East and Central African Journal of Surgery, Vol. 12, No. 2, Nov/Dec 2007, pp. 116-122 |
| Related Countries | Nigeria |
| Cause Of Injury | V01-Y98 |
| Nature Of Injury | S00-S09 |
| Abstract | BACKGROUND: Calvarial fractures may be linear, depressed or ping-pong, and each can be compound (open) or simple (closed). When depressed fractures become compound, they cause contamination, resulting in intracranial sepsis. All depressed fractures with scalp breach are considered compound, whether or not the breach is contiguous with the fracture. They, therefore, become almost an absolute indication for operative treatment by elevation and debridement, to avert intracranial sepsis. Definitive treatment should be within 72 hours or else it would be unsafe to preserve the bone fragments. METHOD: This was a retrospective study in which a review of the outcome from management of compound depressed skull fractures (CDSF) in the Institute of Neurological Sciences, University College Hospital, UCH, Ibadan Nigeria referral Centre for neurological diseases was undertaken from November 1997 to October 2002. Data was retrieved from ward, theatre and out-patient records and subsequently analyzed for the time interval between time of injury treatment and the cause of delays in surgery, if any. RESULTS: Of the 75 cases treated for CDSF with a Male: Female ratio of 11.5:1, only 54 had complete records and all were treated by elevation, debridement and craniectomy, resulting in cranial defects. There was delayed treatment in most of the cases at various stages from the time of injury, with most of them arising after presentation in our Centre. CONCLUSION: Delayed treatment, was our major source of morbidity and most of the delay was traceable to our hospital processes. Scalp suturing before definitive treatment did not contribute to delay. Non-specialist care givers should be encouraged to refer patients without delay. |
| Submitted By | Jerome Nsajju |
| Submitted On | Wednesday, February 18th, 2009 @ 07:39:11 PST -0800 |
| Article Publication Year | 2007 |
| Visit Journal Web Site | www.bioline.org.br |
| View Full Article | www.bioline.org.br |
| Author And Journal Reference |
Kalafong Hospital, Pretoria, South Africa N. Motsitsi East and Central African Journal of Surgery Vol. 12 No. 2 Nov/Dec 2007, pp. 72-76 |
| Related Countries | South Africa |
| Cause Of Injury | V01-Y98 |
| Nature Of Injury | S80-S89 |
| Abstract | Segmental tibial fractures are uncommon injuries that occur in about 12.8% of tibialfractures. They are commonly caused by high-energy trauma. It is estimated thatalmost 50% of these fractures are open. They are often part of multiple injuries. They are challenging to manage and have a significant complication rate. Literature search retrieved very few articles (10) on the management of segmental tibial fractures. There has been a significant change in the management of these injuries. This has been made possible by the development of new Orthopaedic implants. Three currently favored methods of treatment are intramedullary locking nail , external Fixators (with their different constructs and versatility) and Plaster of Paris. It is important to note that more than two-thirds of segmental tibial fractures will require more than one surgical intervention. The surgeon therefore, needs to plan ahead to make subsequent surgical interventions possible. There are no clear therapeutically- relevant guidelines regarding classification of segmental tibial fractures, treatment approaches and evaluation of functional outcome using validated scales. These are the crucial issues or challenges facing future clinical research studies. |
| Submitted By | Jerome Nsajju |
| Submitted On | Wednesday, February 18th, 2009 @ 07:33:04 PST -0800 |
| Article Publication Year | 2007 |
| Visit Journal Web Site | www.bioline.org.br |
| View Full Article | www.bioline.org.br |
| Author And Journal Reference |
Menilik ll Hospital, Addis Ababa, Ethiopia Asfaw Ayele East and Central African Journal of Surgery, Vol. 12, No. 2, 2007, pp. 59-61 |
| Related Countries | Ethiopia |
| Cause Of Injury | V01-Y98 |
| Nature Of Injury | S00-T19 |
| Abstract | BACKGROUND: In the third world countries like Ethiopia most patients reach fracture clinic delayed often loosing the golden time. The objective of this study is to analyze the factors causing delays of patients from reaching to fracture clinic early for treatment. METHOD: A cross sectional study of 198 patients seen at the Fracture Clinic of Menilik II Hospital between 19/8/06-8/2/06. Only those which were delayed for more than three days were included. RESULTS: Of the 198 patients interviewed, 144 (72.7%), were males and 54 (27.3%) were females. Their age ranged from 8 to 86 years with a mean age of 38.7. Delay time ranged from 3 days to 365 days with a mean delay time of 25 days. The causes of delays were analyzed. The leading cause of delays was spending more time at traditional bone setter accounting for sixty cases(30%),hospital bureaucracy fifty- five cases(28%),Geographical distance forty-six cases(25%),self neglect eleven cases (6%),helplessness eleven cases(6%),privet clinic seven cases(3,5%),financial problems seven cases(3.5%). CONCLUSION: The two leading causes of delay of patients to fracture clinic were traditional bone setters and Hospital bureaucracy. Traditional bone setters luck basic knowledge of how to handle injured parts and impending sign of ischemia. Hospitals have poor registration system and poor filling system. Recommendations: There is a need for sustained health education to discourage patronage of traditional bonesetters and advertisement of their service on print and electronic media. The medical regulatory bodies should design program that can give basic training to traditional bone setters for safe application of splint and easily identification of sign of ischemia. Improve the working conditions of hospitals by computerizing the registration and filling system. |
| Submitted By | Jerome Nsajju |
| Submitted On | Wednesday, February 18th, 2009 @ 07:21:58 PST -0800 |
| Article Publication Year | 2007 |
| Visit Journal Web Site | www.bioline.org.br |
| View Full Article | www.bioline.org.br |
| Author And Journal Reference |
Nchanga South Hospital, Chingola, Zambia D. Mugala D. Imataa East and Central African Journal of Surgery, Vol. 12, No. 1, 2007, pp. 68-73 |
| Related Countries | Zambia |
| Cause Of Injury | X85-Y09 |
| Nature Of Injury | S00-T98 |
| Abstract | BACKGROUND: Violence is a social disease that plagues all societies. Each society has its own form of violence. No doubt Chingola which is a growing mining town of over 200,000 people has its own pattern of violence and here is presented the pattern of physical violence in our town. This was a prospective study aimed at studying the prevalence and pattern of serious physical violence in Chingola. METHODS: All patients who presented to Nchanga North Hospital and were admitted after violence were included in the study. Those patients who visited the hospital's OPD as a result of violence but were not admitted were not included in the study. The study started in March 1999 and ended in March 2000. RESULTS: There were 64 patients admitted for physical violence during time of study, 44 males and 20 females (M: F=2:1). Their ages ranged from eleven months to 62 years with the mean age being 30.1 years. There were 5000 admissions to the hospital during the year (The prevalence was 1.28%). 62.5% of the victims lived in houses with poor sanitary conditions which were also over crowded. Most of the victims were assaulted at home (53.1%). In women domestic violence was responsible for 85.0% of the admissions. More than 50% of domestic violence occurred before 21 hours. Alcohol was involved in 65.6% of the cases and it was the perpetrator of the violence who was often under the influence of alcohol. Domestic conflicts comprised 46.9% of the reason for the violence. The next common reason for the violence was thievery. Among the males 50% of the injuries were serious compared to 40% in females. |
| Submitted By | Jerome Nsajju |
| Submitted On | Wednesday, February 18th, 2009 @ 07:12:18 PST -0800 |
| Article Publication Year | 2007 |
| Visit Journal Web Site | www.bioline.org.br |
| View Full Article | www.bioline.org.br |
| Author And Journal Reference |
Plastic and Burns Unit, Mulago Hospital, Kampala – Uganda E. Kalanzi R. Ssentongo R. Alenyo R. Zeeman East and Central African Journal of Surgery, Vol. 12, No. 1, 2007, pp. 58-62 |
| Related Countries | Uganda |
| Cause Of Injury | X85-Y09 Y35-Y36 |
| Nature Of Injury | S00-T19 |
| Abstract | BACKGROUND: Aid groups estimate that since 1086 when the war conflicts in Northern Uganda started, over 30,000 people have died in the insurgency and over 20,000 people have remained maimed. Arising from the conflict, innocent civilians have had their limbs, lips, eyes, ears, noses, breasts, fingers and toes cut off. PATIENTS AND METHODS: Between 2004 and 2005, a total of 34 victims of the Northern Uganda war, underwent reconstructive surgery. Most of the patients were treated from the local hospitals of Lira, Gulu and Kitgum. RESULTS: Between 2004 and 2006, the Plastic Surgery team of Mulago hospital rehabilitated 34 victims of the northern war. Of these 23 were females and 11 were males. Most of these people had suffered severe disfigurements which necessitated multiple staged reconstructive procedures on them. The majority of the reconstructive operations were on the lips despite the fact that many victims had also suffered from mutilation of other body parts. CONCLUSION: Effects of the insurgency on individuals, families and communities included: -Increased burden on health care delivery -Hospital capacity overwhelmed with few doctors and nurses available -Increased number of traumatised people -Increased number of war causalities -Population maimed with body parts cut off -Increased dependency of local population on hand outs from government and relief agencies. Hence the need to strive for peaceful resolution of the Northern Uganda war conflict. |
| Submitted By | Jerome Nsajju |
| Submitted On | Tuesday, February 17th, 2009 @ 06:56:18 PST -0800 |
| Article Publication Year | 2008 |
| Visit Journal Web Site | www.bioline.org.br |
| View Full Article | www.bioline.org.br |
| Author And Journal Reference |
Addis Ababa City Administration Health Bureau, Ethiopia A. Wolde K. Abdella E. Ahmed F. Tsegaye O. A. Babaniyi O. Kobusingye K. Bartolomeos East and Central African Journal of Surgery, Vol. 13, No. 2, Aug/Sept 2008, pp. 14-22 |
| Related Countries | Ethiopia |
| Cause Of Injury | V01-Y98 |
| Nature Of Injury | S00-T98 |
| Abstract | BACKGROUND: Globally, trauma is recognized as one of the most life threatening public health problems. Traumatic injuries account for 12% of the global burden of diseases and are the third most important cause of overall mortality. This study was aimed at assessing the burden of injuries in Addis Ababa, Ethiopia. METHODS: A one-year (July 2005-June 2006) retrospective descriptive audit of injuries in a public health facility of Addis Ababa using external causes of injury codes on district health information system. RESULTS: During the study period there were 40,752 out-patient department visits, of which 956 were hospitalizations with 35 deaths occurring as a results of injury which accounted for 27% of all emergency and 3% of all regular visits, 5% of all hospitalizations and 3% of deaths. The patients were predominantly young males. Even though falls were the commonest causes of unintentional injury, road traffic injuries were the main burden of the health facility being the commonest cause among young male and also accounted for 61% of injury related admission, 52% of injury related death, and leading cause of repeated visits. A total of 44% of unintentional injuries were categorized under 'other accidental causes', only 6 deaths were reported in the out patient department, and the conditions of one third of the patients at discharge were not recorded. CONCLUSION: The injury, especially road traffic injury, is the burden for health facility; there is a need for improving the way injuries are recorded and compiled. |
| Submitted By | Jerome Nsajju |
| Submitted On | Tuesday, February 17th, 2009 @ 06:50:39 PST -0800 |
| Article Publication Year | 2008 |
| Visit Journal Web Site | www.bioline.org.br |
| View Full Article | www.bioline.org.br |
| Author And Journal Reference |
Addis Ababa University, Medical Faculty (AAU-MF), Ethiopia L. Biruk D. Admassie A. Banchiamlak East and Central African Journal of Surgery, Vol. 13, No. 2, Aug/Sept 2008, pp. 23-28 |
| Related Countries | Ethiopia |
| Cause Of Injury | V01-V99 W00-W19 |
| Nature Of Injury | S50-S59 |
| Abstract | BACKGROUND: This was a one-year prospective study aimed at evaluating the clinical and radiological patterns of the paediatric elbow fractures and determining the magnitude of the problem. The clinical and radiological pitfalls in managing such fractures were also studied and addressed. The setting was in Addis Ababa University, Medical Faculty, Department of Radiology, Tikur-Anbessa Referral/teaching Hospital. METHODS: This was a prospective study of paediatric elbow fractures that were seen at our University Hospital from January 2005 to January 2006. The study population consisted of all children aged less than 16 years who sustained trauma and had a fracture around their elbow. After thorough history and clinical examination routine PA & Lateral plain radiographs were taken. Both Orthopedic Surgeons and Radiologists discussed the findings and these were recorded using the prepared format. More X-ray views, contra lateral elbow X-rays and discussions were conducted on doubtful cases. A total of 223 elbows with fracture were followed up, 72 children with elbow trauma but without fractures were excluded from the study. RESULTS: Males accounted for 168 (75.5 %) of cases. A total of 214 (96%) of the injuries resulted from falls. Only in 7 children reported having been 'Hit by car' as cause of fracture and all these were males. The left side was involved in 147 (66%) of instances. The commonest fracture type was supracondylar in 154/223 (69.1%), followed by Capitallar in 31 (13.9%) and medial Epicondylar fracture in 11 (5%). Posterior displacement was the commonest direction of displacement for supracondylar fractures (44.8%). There were no radial neck and isolated medial humeral condyle fractures encountered. Trochlear fracture was of higher incidence than comparable studies. Posterior fat pad radiological sign was present in 77% of elbows. Two children were found evidently abused. Diagnosis of fracture pattern was difficult/ 'disputable' in 22 elbows and in... [more] |
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