scholarly journals Trends in Burn Injuries in Northern Israel During the COVID-19 Lockdown

Author(s):  
Dani Kruchevsky ◽  
Maher Arraf ◽  
Shir Levanon ◽  
Tal Capucha ◽  
Yitzchak Ramon ◽  
...  

Abstract Coronavirus disease 2019 obliged many countries to apply lockdown policies to contain the spread of infection. The restrictions in Israel included limitations on movement, reduction of working capacity, and closure of the educational system. The present study focused on patients treated at a referral center for burns in northern Israel. Their goal was to investigate temporal variations in burn injuries during this period. Data were retrospectively extracted from the medical records of burn patients treated at our hospital between March 14, 2020 and April 20, 2020 (ie, the period of aggravated lockdown). Data from this period were compared with that from paralleling periods between 2017 and 2019. During the lockdown and paralleling periods, 178 patients were treated for burn injuries, of whom 44% were under 18. Although no restrictions were enforced during the virus outbreak period with regard to seeking medical care, we noticed a decrease in the number of patients admitted to the emergency room for all reasons. Of particular interest was a 66% decrease in the number of adult burn patients (P < .0001). Meanwhile, among the pediatric population, no significant decrease was observed. Nonetheless, subgroups with higher susceptibility to burn injuries included children aged 2 to 5 years (56.3% vs 23.8%, P = .016) and female patients from all pediatric age groups (57.1% vs 25%, P = .027). These findings may be explained by the presumably busier kitchen and dining areas during the lockdown. Overall, the study results can assist with building a stronger understanding of varying burn injuries and with developing educational and preventive strategies.

2020 ◽  
pp. 1-3
Author(s):  
Kishore Kumar Sinha ◽  
Abhai Kumar Jha Suman ◽  
Alok Kumar ◽  
Debarshi Jana

Introduction: Burn injuries have major health problem because of its high, morbidity, disability andmortality in young and middle-aged people. Burn injuries also have social problems associated with it. It may be associated with accidental, suicidal or homicidal causes. Despite of such importance of burn injuries from clinical and social point of view, there is scarcity of research on burn injuries in India. Thus we tried to highlight our observations in this study which had been undertaken to find out the causes of burn and it's clinical profile and treatment outcome of burn patients in the our Institute. Material methods: This observational study was conducted from August 2016 to March 2020 in patients ofburn injury who were admitted in surgery wardsand burn ICU of Anugrah Narayan Magadh Medical College & Hospital, Gaya, Bihar. We have studied 226 burn patients who admitted in our general surgical units and burn icu of our Institute. Burns patients who are above 18 years and both sexes were including in the study. Results: A total of 226 patients had burns injuries. 162 were male and 64 female in the ratio of M: F-2.53:1.Males were mostly affected (71.68%) in comparison to females. Most of the burn patients were in the age group of 21-30 years in this studied.i.e.42.02%. Lesser patients were seen in age group 50 -75 . As regard the causes,duringthe house hold activities has maximum number of patients as shown and electricity is causing second highest cases (26.99%), less number of patients are suicidal (3.53) and unknown etiology is seen in seven cases. Conclusion: Burn injury prevention is very difficult task, but to avoid the significant morbidity andmortality following the burn injury. We have to take every measures to control its incidence. A coordinated and dedicated approach by social workers, medical and paramedical personnel and administrators can only minimize the incidence of burn injury in India.


2012 ◽  
Vol 19 (02) ◽  
pp. 187-192
Author(s):  
EJAZ HUSSAIN SIDDIQUI ◽  
SAAD SIDDIQUI ◽  
NOREEN SHAH

Objectives: To assess common presenting features and the role of Ultrasound in evaluation of Hepatobiliary diseases in ourpopulation. Design: Cross sectional study. Setting: Khyber X rays, Khyber Medical Centre, Peshawar. Period: August 2010 to December2010. Material and Methods: Data from patients presenting for evaluation of Hepatobiliary diseases was analyzed for presenting complaintsand ultrasound findings according to objectives of the study. Results: In total 197 cases were included in the study. The age wise categorizationincluded pediatric population (6.1%) adult population (87.3%) and geriatric population (6.6%). Upper abdominal pain was the most commonpresenting feature in all age groups as well as in both genders. Cholelithiasis with or without cholecystitis was the most common ultrasoundfinding in all age groups. No statistically significant difference was found between presenting features or ultrasound findings in different agegroups as well as across gender. Conclusions: Hepatobiliary diseases are among major illnesses in our region. Ultrasound is a sensitive anduseful tool for screening and evaluation of Hepatobiliary disorders.


2020 ◽  
Vol 5 (5) ◽  
pp. 242-247
Author(s):  
A. K. Khudyk ◽  

Currently, fractures of the middle face area remain a serious problem of maxillofacial traumatology because there is not only an increase in the number of injuries to the bones of the facial skull, but also the sever character of these injuries, and an increasing number of post-traumatic complications. This is due to the increase in crime, alcoholism, the proliferation of weapons among the population, the increase in traffic accidents, and injuries in the war zone. The purpose of the study was a retrospective analysis of the features of the damage to the middle face area of patients in a large industrial region. Material and methods. We conducted a retrospective analysis of the injury features of the middle face area in 416 patients who became patients of the department of head and neck surgery for the period from January 1, 2010 to December 31, 2019. Results and discussion. The study results showed that the vast majority (χ2 = 529.9; F = 0.000000; p <0.05) of patients were male. Men had by 79.3 (OR = 79.29; F = 0.000000) times higher risk of middle face injury than women. The risk of traumatic face injury in women increased with the age. Thus, in the group of women aged 61+ it was by 29.6 times higher than in the group of women aged 21-30 (OR = 29.6; F = 0.003203). The greatest number of injuries was observed in the age group of 21-30 years. Assessment of the injury risk in this age group showed that it was by 35.5 times higher than in the group of patients aged 61+ and by 2.1 times higher than in the group aged 31-40. Conclusion. The main etiological factor of injuries of the middle face area was domestic trauma, which was 369 (88.7±1.5)% of cases, which was significantly more (χ2 = 498.5; F = 0.000000; p <0.05) than other types of injuries. The risk of domestic injury was by 61.6 times higher than other types of injury. The study results proved that criminal injuries had the highest frequency among all types of injuries (50% of all types of injuries), fall injury was on second place (38%), and road accidents injuries were on third place (7%). A significant majority of the middle face injuries had men, the number of women with injuries of the middle face area increased significantly with the age. The largest number of patients (71.4%) with injuries of the middle face area occurred in the age groups 21-30 and 31-40, that is people of working age


2021 ◽  
Vol 42 (Supplement_1) ◽  
pp. S38-S39
Author(s):  
Kathleen S Romanowski ◽  
Melissa J Grigsby ◽  
Soman Sen ◽  
Tina L Palmieri ◽  
David G Greenhalgh

Abstract Introduction Recent evidence indicates that increased frailty is associated with increased mortality in patients with burn injuries over the age of 50 years old. This work found that 35.7% of burn patients over 65 years old were frail at the time of their burn admission while 19.2% of burn patients 50 to 64 years old were frail. While frailty is associated with increased age the two are separate entities suggesting that frailty may be present in much younger patients who present with burn injuries. We hypothesize that frailty exists in all age groups of patients presenting with burn injury and the prevalence increases with age. Methods Following IRB approval, a 5-year (2014–2019) retrospective chart review was conducted of all burn patients admitted to the burn center. Data collected includes age, gender, and burn size (% TBSA). Frailty was determined using the Modified Frailty Index 11 (MFI 11) from co-morbidities included in the burn registry. Patients were considered frail if they have an MFI ³ 2 and pre-frail for an MFI³1 and &lt; 2. Patients were assessed by decades for age. Statistical analysis included descriptive statistics, chi-square, and t-tests. Results A total of 2173 patients (mean age 46.1±17.3 years, 1584 males (72.8%), mean % TBSA 12.5±16.3%) were analyzed. All age groups included patients who were pre-frail (Table 1). In the under 20-year-old group, 8.5% were pre-frail. This increases with each age group to the 71-80-year-old group in which 41.7% of patients are pre-frail. The over 80-year-old group had slightly fewer pre-frail patients (35.9%). There were no frail patients in the under 20-year-old group. In the 21–30 there were 3 patients (0.7%) that had an MFI of 2 or more placing them in the frail group. Frailty was significantly different across the age groups (p&lt; 0.001). As patients age, the proportion of female patients increases (from 17.6% to 37.5%. p&lt; 0.0001). Frailty was also associated with gender with women having a higher percentage of frailty (p=0.0006). With respect to burn size, age category was not associated with burn size (p=0.12), but frail patients had smaller burns than non-frail or pre-frail patients (9.5% vs. 13.3% vs. 12.2%, p=0.0002). Conclusions Pre-frail patients were identified in all age groups. Frailty was present in all age groups except for those who are under 20 years of age. Frailty was associated with female sex and smaller burns. By not specifically looking for frailty in all burn patients admitted to the hospital we are potentially missing frail patients who may benefit from interventions to improve their outcomes.


2019 ◽  
Vol 3 (4) ◽  
pp. 218
Author(s):  
Osman Abdulle Farah ◽  
Recep Erçin Sönmez ◽  
Mohamed Yusuf Hassan ◽  
Abdurrahman Osman Fıqı ◽  
Orhan Alimoğlu

Background : Burns are among the most devastating forms of trauma, and also the most common typesof injury affecting children in home environment. There are a major cause of morbidity and mortality all over the world for both children and adults,especiallyfor developing countries like Somalia because of inadequate medical treatment.Objective: The main objective is to gain knowledge, attitude andpractice towards burn patients admitted to Madina Hospital between October 2017 and October 2018.Methods: Throughout the study,researchers utilized both quantitative and qualitativemethods of data collection which were achieved from patients included in the study. A briefintroduction was made to the respondents before distributing the questionnaires with the explanation about thesignificance of the study.Results: 404 participants had been included in the study of which were divided into two groups such as ‘case’ (n=202) and ‘control’ (n=202) groups of each having equal number of patients. Burn injuries had beenfound most frequent in children less than 4 years of age (42.6%), and secondlyingadults between 20 and 40 years of age (38.6%). The male-female ratio had been found similar. Significant risk factors regarding burn injuries were such as; low level of education (OR=2.32, 95% CI: 1.28- 4.22, p<0.005),kerosene usage for cooking (OR=1.935; 95% CI:1.303–2.874, p<0.005) and lack of knowledgeconsideringprevention andsafety (OR=1.885, 5% CI:1.559-2.279, p<0.005).Conclusion: Ways of tackling the hazards posed by fire and othercauses of burns in homes, institutions and all work places should be taught in primary, secondary and tertiary levels of education. Low level of education as a risk factor for burns is a complex issue involving communities, non-governmental organizations and government. Theministry of education should incorporatehealth education in the curriculum of primary and secondary schools.International Journal of Human and Health Sciences Vol. 03 No. 04 October’19 Page : 218-222


2020 ◽  
Vol 3 (S1) ◽  
pp. 13-15
Author(s):  
Lapina Elizaveta Yurievna ◽  
Puzyrev Viktor Gennadievich

are important, and used to be well known, human and animal pathogens.A novel coronavirus was identified at the end of 2019, as the cause of a number of pneumonia cases in city in the Hubei Province of China, Wuhan. Appeared to be a highly contagious anthroponotic infection. It rapidly caused an epidemic throughout China, hereafter an increasing number of cases in other countries throughout the world. All age groups, including children, are susceptible to the virus, but this age group is more likely to be asymptomatic. However, children may play a great epidemiological role in the spread of the virus with the absence of clinical signs of respiratory disease. Elderly people are the most severe carriers of the virus, as well as people with concomitant diseases. In February 2020, the World Health Organization (WHO) designated the disease COVID-19, which stands for coronavirus disease 2019 [4]. The virus that causes COVID-19 is designated severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2); before, it was referred to as 2019-nCoV. We conducted meta-analysis of currently available data to summarize knowledge about the current epidemic in Russia, the dynamic of spread of the infection and management of the disease. Quarantine measures, which were carried out rather quickly, avoided the rapid spread of infection and thus contributed to a gradual increase in the load on medical facilities. As a result, most hospitals had time to prepare for an increased number of patients with coronavirus infection.


2011 ◽  
Vol 18 (03) ◽  
pp. 380-385
Author(s):  
EJAZ HUSSAIN SIDDIQUI ◽  
SAAD SIDDIQUI ◽  
ABDUL MUNIM ◽  
Noreen Shah

Objectives: (1)To assess the common presenting features of urolithiasis. (2) To assess the role of Ultrasonography in its evaluation. Design: Cross sectional study. Setting: Khyber X rays, Khyber Medical Centre, Peshawar. Period: March 2010 to June 2010. Material and Methods: Data from patients presenting with urolithiasis for an ultrasound examination was analyzed for presenting complaints and ultrasound findings according to objectives of the study. Results: A total of 210 cases of urolithiasis were analyzed. The age wise categorization included pediatric population (9.5%), adult population (82.4%) and geriatric population (8.1%). Pain was the most common presenting complaint in all three age groups. Kidney was the most common site for renal calculi followed by ureter, bladder and urethra in descending order. Accompanying dysuria was present in 20% cases. Mild hydronephrosis was noted in 44.8%. Statistically significant difference was present between ultrasound findings in geriatric population and overall results. Conclusions: Urolithiasis continues to be a major cause of morbidity among population of all age groups. Overall trend of Ultrasonographic findings was applicable to pediatric and adult population. There has been significant difference of ultrasound findings among geriatric population from normal trend. 


2021 ◽  
Vol 10 (2) ◽  
pp. 247
Author(s):  
Maddalena Napolitano ◽  
Gabriella Fabbrocini ◽  
Luca Stingeni ◽  
Cataldo Patruno

Background: No data currently exist regarding the epidemiology of chronic inducible urticarias (CIndUs) in the ≥65-year-old population. Objective: The study aimed to determine the prevalence of CIndUs among elderly patients affected by chronic urticaria (CU). Methods: The medical records of all patients referred to us with a diagnosis of CU from January 2008 to September 2020 were retrospectively reviewed, and the patients with CIndUs were identified. The subjects aged 65 years or above were included in the study. Results: The number of patients aged 65 years or above was 153 out of 1970 subjects affected by CU (7.77%; 92 females (60.13%); mean age 70.96 ± 4.22). Out of 153, 26 patients (16.99%; 20 females (76.9%); mean age 71.23 ± 2.6 years) were diagnosed with CIndUs. Most subjects (25/26; 96.15%) suffered from physical urticarias. Symptomatic dermographism was the most frequent, affecting 65.38% (17/26) of our patients, followed by cold urticaria (6/26 (23.08%) cases). Conclusion: Our data seem to indicate that CIndUs may also affect the elderly, although it occurs less frequently in aging patients than in lower age groups.


2021 ◽  
Vol 4 (1) ◽  
pp. 439-441
Author(s):  
Pragya Singh Basnet ◽  
Sagun Malla ◽  
Deepa Sharma ◽  
Roshan Gautam

Introduction: Nepal is a developing country where most of the population does not have access to proper health care services and on top of that eye care services do not reach the entire population. This study aimed to determine the pattern of ocular morbidity in patients attending the ophthalmic OPD of Rapti Academy of Health Sciences. Materials and Methods: This was a prospective cross-sectional study conducted in the Department of Ophthalmology of Rapti Academy of Health Science, Dang. The study period was Poush 2077 to Chaitra 2077.  All the patients visiting the OPD of the Ophthalmology department with an ocular problem were included in the study. Results: A total of 1000 patients were examined during the study period. The patient's ages below 1 year were excluded so a total of 970 samples was selected. In which 625 (64.4%) were female and 345 (35.6%) were male. Most patients 92.9% were from Dang followed by Rolpa 4.1%, Rukum 1.4%, Pyuthan 0.9%, and Salyan 0.6%. Patients were examined from all age groups except for 1 year which was excluded. Out of the total patients, a maximum number of patients were female and the maximum number of patients were in the age group of 21- 30 years and followed by more than or equal to 60 years age group. Conclusions:  This study will help in obtaining epidemiology of Ocular disease for proper planning and management in the hospital.


Author(s):  
Elizaveta L'vovna Liberman ◽  
Andrey Aleksandrovich Chemagin

Ide Leuciscus idus (Linnaeus, 1758) belongs to Cyprinidae family and is used in commercial and recreational fishing. Ide is an intermediate host of Opisthorchis felineus . In the control catches (summer 2015, the Lower Irtysh, Uvatsky, Tobolsky and Vagaysky regions of Tyumenskaya Oblast’) there were observed species with lengths 11.9-38.1 cm, with a total weight 45-1085 g. Some species aged 9 years old and even older. The maximum rate of linear growth was registered in ide species younger than 3 years old, at this age annual growth made 5 cm. The annual growth of four-year-old females made 5.4 cm, males - 2.8 cm. Females aged 3+ exceeded males in body weight and length. Species at the age 1+…2+ years old added 204.6% in their mass; at the age 2+…3+ years old - 65.3%, at 3+…4+ years old - 29.4%. Gender and gonad maturity were determined in species older than 2+, but not in all species. Among females aged 2+…4+ there were found species with I and II stage of gonad maturity. Females aged 5+ were spawned-out species having VI-II stage of gonad maturity (48%); female species aged 6+ having IV stage of gonad maturity made 33.4%. Among males in the age groups of 2+ and 3+ there were registered species with I stage (38.5 and 20%, respectively) and II stage (61.5 and 80%, respectively) of maturation only. Fatness degree of studied species ranged from 0 to 5. Species aged 2+ had I stage (24% species); in the aged groups the proportion of such species decreased (5+ years old - 7.8%; 6+ years old - 12.1%; 8+ years old - 5.9%); species aged 2-7 had II stage of fatness; proportion of older species also decreased. Species with III and IV stage of fatness were found more often (III stage was observed in 100% of the fish species at the age of 1+). Proportion of species with V stage was minor, it increased with age. According to the analysis of the study results, nutritive base in the basin is found satisfactory for ide growth and development.


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