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African Injury DataBase


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Displaying 81 - 90 out of 483 matching injury records.

Landmine Injury [Letter to the Editor]

Submitted By Semhal Kidane
Submitted On Tuesday, March 18th, 2008 @ 04:30:12 PDT -0700
Article Publication Year 1998
Visit Journal Web Site www.pubmedcentral.nih.gov
View Full Article www.pubmedcentral.nih.gov
Author And
Journal Reference
Department of Ophthalmology, University of British Columbia, St Paul's Hospital, Vancouver BC, Canada
  Paul Courtright
Community Eye Health 1998; 11(25): 16
Related Countries Mozambique
Cause Of Injury Y35-Y36
Nature Of Injury S00-S09
Abstract Mr Hernando Fabiao, a farmer from a village next to Inharrime (Inhambane Province, Mozambique), had to have his right eye enucleated by the ophthalmic assistant after injuries sustained to his eye when he stepped on a mine, on August 27, 1997. Hernando'sleft eye has sympathetic uveitis which hopefully will resolve - his current vision is finger counting at 2 metres. Luckily, Hernando did not lose his leg; but he had injuries to his chest and arms.

Household Survey of Injuries in a Kenyan District

Submitted By Semhal Kidane
Submitted On Tuesday, March 18th, 2008 @ 01:23:57 PDT -0700
Article Publication Year 2000
Visit Journal Web Site www.ajol.info
Author And
Journal Reference
  E. Nordberg 
  V. Kimani 
  V. Diwan

East African Medical Journal 2000 May;77(5):240-4
Related Countries Kenya
Cause Of Injury V01-Y98
Nature Of Injury S00-T98
Abstract OBJECTIVE:
To determine the pattern and burden of injuries, their causes and action taken in a rural and urban community in Kenya.

DESIGN:
Household interview survey and focus group discussions.

SETTING:
Four rural villages and five urban clusters in Kiambu District, Kenya.

SUBJECTS:
A total of 1,980 members of 200 rural and 230 urban households.

RESULTS:
The number of reported injuries was 495, corresponding to 300,000 injuries per 100,000 people per year. Most common were cut or piercing (38.4%), followed by fall (16.2%), burn or scald (14.3%), animal bite or kick (10.1%), hit by moving object (5.9%) and road traffic accident (3.6%). Poisoning, sub-mersion/drowning and explosion were uncommon, each below three per cent. Of all reported injuries, 149 (30.1%) sought care from traditional healers, 91 (18.4%) were subject to self-care, 76 (15.4%) obtained service from drug shops, 22 (4.4%) were brought to a health facility for attention and 17 (3.4%) took no action at all. Additional information was obtained through focus group discussions with students, teachers and members of women groups. These generated detailed information about cases of sexual assault within and outside households which had not been captured during the previous household interviews.

CONCLUSION:
Injuries are very common but most of them are mild, prompting only home care or no action at all. Only one out of 25 injuries were brought to a health facility for attention. Some types of injury, such as domestic violence and sexual assault, are more likely to be captured through focus group discussions than during household interviews. A combination of methods is likely to best reflect the pattern of injury at community level.

Ureteric Injuries During Gynaecological Surgery

Submitted By Semhal Kidane
Submitted On Monday, March 17th, 2008 @ 07:32:27 PDT -0700
Article Publication Year 1994
Visit Journal Web Site www.springerlink.com
Author And
Journal Reference
Department of Surgery, Faculty of Medicine,
Khartoum, Sudan
  A. Sharfi
  F. Ibrahim

International Urology and Nephrology Vol. 26 No. 3, May 1994, pgs. 277-281

Related Countries Sudan
Cause Of Injury Y40-Y84
Nature Of Injury S30-S39
Abstract Thirty-two patients with 35 ureteric injuries encountered during gynaecological surgery are presented. Their mean age was 41 years. Eight ureteric injuries were recognized during surgery, the nature and sites of injury were diagnosed peroperatively using an illuminated size 5 F ureteric probe (Storz) passed through a cystoscope. Three ureteric injuries were diagnosed during convalescence as continuous drainage of urine or urinoma collection, while three patients developed total anuria due to ligation of both ureters. Eighteen patients presented with late urinary fistulae, being uretero-uterine in 8 and ureterovaginal in 10.
The ureteric injury occurred during emergency Caesarean section in 15 patients, the indication for Caesarean section being obstructed prolonged labour in 70% of them. Twelve urinary fistulae followed hysterectomy.
Intravenous urography, antegrade and retrograde ureterography were useful methods of locating the sites of the fistulae.
Ureteroneocystostomy was performed in 18 patients, utilizing a Boari flap in 3 and a bladder psoas hitch in 2. Other methods of treatment are discussed. The mean follow-up was 3 years.

Superior Laryngeal Nerve Preservation in Peri-apical Surgery by Mobilization of the Viscerovertebral Angle

Submitted By Semhal Kidane
Submitted On Monday, March 17th, 2008 @ 06:44:59 PDT -0700
Article Publication Year 2000
Visit Journal Web Site journals.cambridge.org
Author And
Journal Reference
A. El-Guindy 
M. Abdel-Aziz

The Journal of Laryngology & Otology  (2000), 114: pgs. 268-273
Related Countries Egypt
Cause Of Injury Y40-Y84
Nature Of Injury S10-S19
Abstract Iatrogenic lesions of the superior laryngeal nerve (SLN) are much more common than is generally recognized. Since injury to this nerve may cause transient or even persistent changes either in quality of voice or in deglutition, an attempt should be made to localize and identify the nerve during surgery. This study included 74 patients who underwent surgical dissection near the thyroid apex in the neck. Effective prevention of SLN injury during surgery was achieved by anatomical localization of the nerve in the viscerovertebral angle and its functional identification with the nerve stimulator. Post-operative analysis consisted of subjective interview, rigid laryngoscopy, acoustic analysis, laryngeal videostroboscopy and cricothyroid electromyography. Four patients complained of post-operative voice changes; two were diagnosed as SLN injury (2.4 per cent), one as reflux laryngitis and the fourth as intubation granuloma. Surgical access to the SLN in the periapical area may be achieved through mobilization of the viscerovertebral angle. The use of a nerve stimulator during difficult situations should keep SLN injury at a minimum.

How Safe is Anaesthesia in Libya?

Submitted By Semhal Kidane
Submitted On Monday, March 17th, 2008 @ 05:31:22 PDT -0700
Article Publication Year 2005
Visit Journal Web Site www.ispub.com
View Full Article www.ispub.com
Author And
Journal Reference
Central Hospital, Tripoli, Libya
  Husni Ajaj
  Evan Pansalovich

The Internet Journal of Health 2005 Vol. 4 No. 2
Related Countries Libya
Cause Of Injury Y40-Y84
Nature Of Injury T80-T88
Abstract During the study period (January 1, 2004 to December 31, 2004) 17 326 anesthetics were performed. 16313 anesthetic procedures or 94. 2 % of total anesthetics were performed.
9 anaesthesia intraoperative and early postoperative (24 hours) mortalities were identified. It gave the overall mortality rate of 1 per 1925 operated patients.
Despite the small number of anaesthetics that have been investigated, this study gives some insight into the incidence of perioperative mortality and major morbidity associated and not associated with anaesthesia in Libya. Our current data suggest an overall perioperative mortality rate of approximately 1/ 1925 anesthetics.
One fatal outcome intraoperatively (airway difficulties) was directly related to anaesthetic management ( 1 per 17 326) , two mortalities ( intraoperative hemorrage and postoperative MI ) were partially attributable to anaesthesia ( 1 per 8663) and 6 perioperative mortalities were probably not attributable directly to anaesthetic management. Patient disease or other environmental factors have always been felt to be contributory. In 2-3 of 9 expired patients the deaths were considered to have been avoidable. Inadequate preparation and assessment of the patient contributed to 2 of the anaesthesia-related deaths. Mortality was greater for emergency than for elective operations as 6 to 3.
We conclude main factors determined the mortality rate were the physical status of the patient and the skill and judgment of the anaesthesiologists . Anaesthesia in Libya appears safer than ever. Nevertheless, things still go wrong and may cause significant patient harm. Anesthetic mortality is the tip of the iceberg of mortality attributable to patients condition and extent of surgery. A non-punitive approach to registration an analysis of mortality may improve safety of anaesthesia.

The Epidemiology of Childhood Burn Injuries in South Africa: A Review of the Evidence

Submitted By Semhal Kidane
Submitted On Wednesday, March 12th, 2008 @ 23:22:40 PDT -0700
Article Publication Year 2004
Visit Journal Web Site www.ajol.info
Author And
Journal Reference
MRC-UNISA Crime, Violence & Injury Lead Programme, Medical Research Council, University of South Africa, Cape Town, SA
  Ashley van Niekerk
African Safety Promotion 2004 Vol. 2 No. 1 Pgs. 16-26
Related Countries South Africa
Cause Of Injury X00-X09
X10-X19
X85-Y09
Nature Of Injury T20-T32
Abstract In the last decade, a steady stream of medical, epidemiological and psychological research on childhood injuries in South Africa has emerged. However, this body of research is marked by a paucity of comprehensive epidemiological information on burn injuries, information that is considered necessary for the development of prevention practices and policies. Accordingly, this paper examines South African childhood burn injury data housed in the National Injury Mortality Surveillance System (NIMSS, 2001 data), and the Red Cross Children's Hospital (1999-2000 data). These two data systems provide routine information about the who, what, where and when of childhood burn injuries in South Africa, and indicate that toddlers and infants are at a high risk for burn injuries and so a priority for prevention initiatives. Univariate analyses of gender, population and season show that males (on aggregate), and African children are at high risk for burn injuries, which are most pronounced in winter. In addition, the analyses yielded four burn injury patterns: infant scalding, toddler scalding, injuries among older children with an over-representation of flame-related burns and other causes of burns sustained to the head and neck region. The identified patterns indicate the need for further research into the household products and environmental factors that may contribute to childhood burn injuries.

Injuries as a Public Health Problem in sub-Saharan Africa: Epidemiology and Prospects for Control

Submitted By Marunga Iryne
Submitted On Monday, March 3rd, 2008 @ 05:46:31 PST -0800
Article Publication Year 2000
Visit Journal Web Site www.ajol.info
Author And
Journal Reference
African Medical and Research Foundation, Nairobi, Kenya
  E. Nordberg

East African Medical Journal 2000 Dec; 77(12 Suppl):S1-43
Related Countries Sub-Saharan Africa
Cause Of Injury V01-Y98
Nature Of Injury S00-T98
Abstract Injuries are common and on increase in most developing countries, including sub-Saharan Africa. A large proportion of the injuries are caused by road traffic accidents, falls, burns, assaults, bites, stings and other animal-related injuries, poisonings, drownings/near-drownings and suicide. Globally, injuries are responsible for about five per cent of the total mortality, and the overall global annual costs were estimated in the late 1980s at around 500 billion US dollars. The burden and pattern of injuries in Africa and other developing areas are poorly known and not well studied. The incidence is on the increase, partly due to rapid growth of motorised transport and to expansion of industrial production without adequate safety precautions. This is a review of data on various kinds of injuries in developing countries with a focus on sub-Saharan Africa. A computerised search of the relevant literature published between 1985 and 1998 was conducted and a manual search of journals publishing texts on health in low-income countries and in tropical environments was also done. A few studies on injury prevention policy and on research related to injury epidemiology and prevention have also been identified and included. It is concluded that in a relatively typical East African area with a total mortality rate of 1,300/100,000/year, injuries are likely to cause around 100 of these deaths. The corresponding total rate of significant injuries is estimated at 40,000/100,000/year with a breakdown as tabulated below. [table: see text] Although a few surveys and other investigations of injuries have been conducted over the years, injury epidemiology and control remain under-researched and relatively neglected subject areas. Much needs to be done. Collection and analysis of injury data need to be standardised, for example regarding age groups, gender disaggregation and severity. Injuries and accidents should be subdivided in at least road traffic injury, fall, burn, assault, poisoning,... [more]

Pediatric Trauma at a Government Referral Hospital in the Gambia

Submitted By Marunga Iryne
Submitted On Monday, March 3rd, 2008 @ 02:28:25 PST -0800
Article Publication Year 2003
Visit Journal Web Site www.ajol.info
Author And
Journal Reference
Division of Paediatric Surgery, University of California, San Diego Medical Center, CA, USA
  C. Shen
  B. Sanno-Duanda
  S. Bickler

West African Journal of Medicine, 2003 Vol. 22 No. 4 pgs. 287-290
Related Countries The Gambia
Cause Of Injury V01-Y98
Nature Of Injury S00-T98
Abstract OBJECTIVE:
To determine the pattern of childhood injuries at a government referral hospital in sub-Saharan Africa.

METHODS:
29 month hospital based study at the Royal Victoria Hospital (RVH) in Banjul, The Gambia. Children with injuries were identified from a prospectively recorded paediatric surgery database. Rate of paediatric trauma presenting to RVH was calculated for an urban population of 270 540 (32.3% aged 0-14 years) living within 25 km of the hospital.

RESULTS:
From January 1996 to June 1998, 798 children aged 0-14 years were admitted for treatment of injuries. Injuries accounted for 4.8% of all paediatric admissions. Burns (38.7%), fractures (20.9%), head injuries (16.2%) and soft tissue injuries (9.4%) were the most common injuries - together responsible for 85% of admissions and 74% of total hospital days. Average length of stay was 20.6 days, with injuries accounting for 16 696 total hospital days. 17% of injured children required a surgical procedure. The most common surgical procedures were burn contracture release (20%), reduction of fracture and dislocations (20%) and skin grafts (18.7%). In hospital mortality was 5.5%, with 71% of deaths related to burns. The annual cases of trauma presenting to RVH from the Greater Banjul Area was 181 admissions, 3317 hospital days, 28 surgical procedures and 7 deaths per 100 000 children aged 0-14 years.

CONCLUSION:
Childhood injuries, particularly burns place a significant burden on in-patient services. While accounting for a small fraction of paediatric admissions, injuries account for long hospital stays and surgical procedures.

Incidence and Patterns of Childhood Burn Injuries in the Western Cape, South Africa

Submitted By Marunga Iryne
Submitted On Sunday, March 2nd, 2008 @ 22:38:12 PST -0800
Article Publication Year 2004
Visit Journal Web Site www.journals.elsevierhealth.com
Author And
Journal Reference
Crime, Violence and Injury Lead Programme, Medical Research Council, Tygerberg, Cape Town, South Africa
  Ashley Van Niekerk
Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden
  L. Laflamme
Paediatric Surgery, Red Cross Children's Hospital, University of Cape Town, Rondebosch, South Africa
  H. Rode 

Burns Vol. 30, Iss. 4, Jun 2004, Pgs. 341-347
Related Countries South Africa
Cause Of Injury X00-X09
X10-X19
Nature Of Injury T20-T32
Abstract The current study describes the epidemiology and patterns of moderate to severe childhood burn injuries in the Western Cape province in South Africa. Burn injuries sustained by children aged 12 years and younger and registered over January 1999 to December 2000 at the Red Cross Children's Hospital in the Western Cape are analysed (n=1201). Differences in risk distribution between different segments of the population are measured and typical injury patterns are identified. The results show that burn injury incidence is particularly high for toddlers (15.8/10 000 child-years/c-y) and infants (14.6/10 000 c-y) for boys (7.0/10 000 c-y), and for African children (11.4/10 000 c-y). Burn injury incidence is highest in winter (1.7/10 000 c-y) but only significantly greater than the rate in summer (1.3/10 000 c-y). Further, four burn injury patterns are identified, and labeled "infant scalding", "toddler scalding", "injuries among older children with an over-representation of flame-related burns" and "other causes of burns sustained to the head and neck region." In sum, the risk of burn injury is higher in younger children. Differences between genders were more pronounced among younger and older age groups. Differences between population groups are more important in magnitude than in nature. The patterns identified can stimulate further research and development into the household product and environmental contributors to childhood burn injury.

Disability in Somaliland

Submitted By Semhal Kidane
Submitted On Wednesday, February 27th, 2008 @ 04:02:10 PST -0800
Article Publication Year 2003
Visit Journal Web Site www.ingentaconnect.com
Author And
Journal Reference
Department of Educational Studies, University of Oxford, Oxford, UK and Africa
Educational Trust, Hargeisa, Somaliland
  Sally Tomlinson
  Osman Ahmed Abdi

Disability & Society, Vol. 18, No. 7, Dec 2003, pgs. 911-920
Related Countries Somalia
Cause Of Injury Y35-Y36
Nature Of Injury T90-T98
Abstract Civil war lasting into the 1990s destroyed much of Somalia's economic,
political and social structures, and conflict still continues in the southern areas of the
country. In 1991, the northwest region declared itself the Independent Republic of Somaliland,
established a government in Hargeisa and is struggling to rebuild an infrastructure.
It is one of the poorest countries in the world, ranking high on the UN hunger index, and
is the third most heavily land-mined country. One of the most disadvantaged groups of
people are the disabled, although there is little general information about numbers and kinds
of disability, and few social and medical services. This article presents some limited
information about the extent of the nature of disability, and local efforts to improve the lives
of disabled children and adults. It reports projects funded by non-government organisations,
and concentrates on a seminar held in early 2002 attended by a group of disabled people
who made their voices heard.
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