scholarly journals Sonographic Evaluation of Fractures in Children

2017 ◽  
Vol 33 (3) ◽  
pp. 200-207 ◽  
Author(s):  
Crystal C. Wang ◽  
Kadine L. Linden ◽  
Hansel J. Otero
Keyword(s):  
Tissue Injury ◽  
Soft Tissue Injury ◽  
Contralateral Side ◽  
Cross Sectional ◽  
Nasal Bones ◽  
Fractures In Children ◽  
Common Causes ◽  
Upper And Lower Extremities ◽  
Additional Imaging ◽  
And Performance

Fractures and suspected fractures are common causes for pediatric visits to the emergency department. Initial evaluation routinely includes imaging in the form of radiographs. Additional imaging modalities including sonography and magnetic resonance are used as problem-solving tools. Sonography has been reported to perform well when compared with radiography in multiple anatomies from the skull and nasal bones to the upper and lower extremities. In addition, sonography presents unique advantages including lack of ionizing radiation, cross-sectional coverage, evaluation of soft tissue injury, and the possibility of imaging the contralateral side. This article reviews the applications, advantages, disadvantages, technique, and performance of sonography in the imaging of fractures in children.

Pattern of Injuries and Treatment Given to Victims of Rana Plaza Tragedy in a Level II Armed Forces Medical Facility in Bangladesh

2016 ◽  
Vol 11 (1) ◽  
pp. 21-24
Author(s):  
Shafiul Alam ◽  
Rabiul Alam ◽  
Manirul Islam ◽  
Amin Salek
Keyword(s):  
Soft Tissue ◽  
Tissue Injury ◽  
Soft Tissue Injury ◽  
Armed Forces ◽  
Military Hospital ◽  
Surgical Approaches ◽  
Rescue Operation ◽  
Cross Sectional ◽  
Building Collapse ◽  
Industrial Disaster

AbstractBackgroundRana Plaza building collapse is the worst industrial disaster of Bangladesh so far. The 9-storied structure collapsed suddenly on April 24, 2013, with more than 4000 people inside. Bangladesh Armed Forces played a key role in the massive rescue operations.MethodsWe conducted a cross-sectional study with 423 victims who were treated at a Combined Military Hospital to review the pattern of injuries and management provided.ResultsMiddle-aged (35±12.75 years) females (68.32%) were the majority of the victims. Among the injured, 42.35% had soft tissue injury, 22.55% had abrasions, 18.79% had fractures, 3.75% had facial injuries, and 2.5% each had head and abdominal injuries. We treated the injured with various surgical approaches, such as soft tissue debridement (38.84%), fasciotomy (18.79%), amputation (3.75%), and other procedures. We had to refer 8.27% of the patients to different advanced centers. The mortality rate was 5.91%, including 1 volunteer rescuer.ConclusionPattern of injuries and modalities of management needed in an industrial disaster is a valuable experience which can be utilized in preparing to face disasters in the future and beyond. Death of a voluntary rescuer once again warrants the necessity of using a helmet and safety gear during any rescue operation. (Disaster Med Public Health Preparedness. 2017;11:21–24)

scholarly journals A cross-sectional study of fall injuries in senior people attending emergency ward in BPKIHS, a tertiary level hospital, Dharan, eastern region of Nepal

2017 ◽  
Vol 13 (1) ◽  
pp. 77-85
Author(s):  
Bijendra Kumar Rai ◽  
R Chaudhari ◽  
A Yadav ◽  
B Rai
Keyword(s):  
Elderly Patients ◽  
Tissue Injury ◽  
Spinal Injury ◽  
Soft Tissue Injury ◽  
Cross Sectional Study ◽  
Eastern Region ◽  
Sectional Study ◽  
Emergency Ward ◽  
Cross Sectional ◽  
Fall Injuries

Background: The Senior or elderly population is rapidly growing in Nepal. They sustain injuries fall frequently which is mostly unintentional and occurs either inside or outside of house. The cost of treatment is high. The most effective fall prevention strategies are multifactorial interventions targeting identified risk factors, exercises for muscle strengthening combined with balance training and withdrawal of psychotropic medication.  Objective: To study the pattern and associated rule factors of fall injuries among elderly patients from frequenting in the emergency.Method: It is an observational cross sectional study of fall in senior people presenting in emergency ward using a semi-structured questionnaire.Result: Male and female subjects were 76 (54.3%) and 64 (45.7%) respectively. Among 140 patients, 115 (82.1%) were living with families and 25 (17.9%) were living alone. Fifty six (40%) patients sustained injuries in early morning, fifty-two (37.1%) in late evening and thirty two (22.9%) in the afternoon. Seventy-three percent subjects fell outside and 26.40% fell inside house. Sixty-five (53.6%) patients were suffering from chronic diseases. Fifty-seven (40.7%) patients were suffering from visual impairment. Fourty-seven (33.6%) patients had multiple joints problem, 20% subjects were anaemic. Hypoglyceaemia was present in fifteen (10.7%) subject. Eighteen (12.9%) subjects had a history of fall in past. Eighteen (12.9%) subject had head injury. Twelve (8.6%) subjects had chest injury. Three (2.1%) subjects had abdominal injury and 24 (17.1%) spinal injury. Seventy-three (52.1%) subjects had fracture, 30 (21.4%) had soft tissue injury, 48 (34.3%) external injury and 11 (7.9%) eye most common injury found in elderly patients in this set up. Mosy of the fall injury injuries. Of all 82 (30.7%) patients were admitted in hospital.Conclusion: Fracture of bone was the occurred outside home. Most of the patients required admission in the hospital for treatment.Health Renaissance 2015;13 (1): 

scholarly journals A Segmental Fracture of Humerus with Ipsilateral Forearm Fracture

2016 ◽  
Vol 4 (2) ◽  
pp. 108
Author(s):  
Ruban Raj Joshi
Keyword(s):  
Case Report ◽  
Open Reduction ◽  
Tissue Injury ◽  
Forearm Fracture ◽  
Soft Tissue Injury ◽  
Distal Humerus ◽  
High Energy ◽  
Multiple Fractures ◽  
Fractures In Children ◽  
Segmental Fracture

Introduction: Simultaneous segmental humerus fracture with ipsilateral forearm is an uncommon injury and scarcely mentioned in the literature.   Case report: We present a case report on such a complex injury in a 9-year old child after falling down from the first floor of his house while playing. The injury pattern consist of ipsilateral supracondylar fracture humerus with distal humerus  and ipsilateral distal forearm fracture. Open reduction and pinning of the both injuries was obtained.   Conclusion: Ipsilateral multiple fractures in children often result from high energy trauma and are associated with complications. Immediate reduction and fixation is required. If satisfactory reduction cannot be achieved by closed technique, open reduction should be considered to avert additional soft tissue injury and forthcoming complications.

Mechanical Properties of the Lateral Collateral Ligament: Effect of Cruciate Instability in the Rabbit

1988 ◽  
Vol 110 (3) ◽  
pp. 208-212 ◽  
Author(s):  
P. A. Tozilli ◽  
S. P. Arnoczky
Keyword(s):  
Mechanical Response ◽  
Tissue Injury ◽  
Soft Tissue Injury ◽  
Lateral Collateral Ligament ◽  
Clinical Problem ◽  
Biomechanical Properties ◽  
Collateral Ligament ◽  
Cross Sectional ◽  
Ligament Failure ◽  
Hexosamine Content

Concomitant soft tissue injury resulting from knee instability following cruciate rupture is a serious clinical problem. To study this injury mechanism, the biomechanical properties of the lateral collateral ligament were measured at 0, 4, 8, 12, and 16 weeks post-operatively in rabbits having the anterior and posterior cruciate ligaments sectioned. No significant changes were found in the ligament’s cross-sectional area, tensile mechanical response, or in its hexosamine content. The predominant mode of ligament failure was by bone avulsion at the insertion sites (78 percent) with 86 percent of paired limbs failing in a similar manner.

Suicidal Death Autopsy Analysis at Dhaka Medical College

1970 ◽  
Vol 40 (1) ◽  
pp. 18-21 ◽  
Author(s):  
MN Hossain ◽  
Z Rahman ◽  
S Akhter
Keyword(s):  
Forensic Medicine ◽  
Causes Of Death ◽  
Cross Sectional Study ◽  
Age Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical College ◽  
Autopsy Report ◽  
Common Causes ◽  
Suicidal Death

A cross sectional study was carried out at the department of Forensic Medicine in Dhaka Medical College during the period of January 2008 to December 2009. Data were collected from 3rd copy of the post mortem reports which were preserved in the department of Forensic Medicine with the verbal consent of the doctors who performed autopsy report. During this period total 5114 autopsies were conducted. Out of this 970 cases (19%) were suicidal in nature. It was noticed that all suicidal deaths occurred from 10 years to all age group respectively, but top amongst age group of suicidal deaths occurred in between 21 to 30 years of people. Suicidal deaths are more common in female than male. Suicidal deaths due to hanging is highest, next common causes of death due to organophosphorus compund poisoning. Suicidal deaths by hanging is more in female than male but in poisoning cases male are more lvictimised than female. Objectives of our study are to see the occurrence and methods of suicidal death. DOI: http://dx.doi.org/10.3329/bmj.v40i1.9957 BMJ 2011; 40(1): 18-21

Knowledge and Practice of Mothers Regarding the Prevention and Management of Malnutrition Among Preschool Children – A Cross Sectional Survey

2017 ◽  
Vol 9 (5) ◽  
Author(s):  
Mahfouz R. Nath ◽  
C. Kanniammal
Keyword(s):  
Preschool Children ◽  
Good Practice ◽  
Strong Association ◽  
Educational Status ◽  
Nursing Interventions ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Economic Class ◽  
Common Causes ◽  
Knowledge And Practice

Malnutrition remains one of the most common causes of morbidity and mortality among children throughout the world. Malnutrition has been responsible, directly or indirectly for 60% of the 10.9 million deaths annually among children under five. The research study was aimed to assess the knowledge and practice of mothers of preschool children regarding the prevention and management of malnutrition. The design used was descriptive cross sectional survey. The study was conducted in a coastal setting of Trivandrum district with a sample size of 115. Data collection was done by self administered structured questionnaire by conducting mothers meeting at selected Anganwadis. According to the results of the study 19.1% of mothers had good knowledge and 34.8 % of mothers had poor knowledge. Regarding practice only 24.3 % of mothers reported good practice while 36.6 % of mothers reported poor practice. There was a strong association between the knowledge and Practice of mothers and selected socio demographic variables such as educational status of mothers and socio economic class (p less than 0.01)). The study findings can be used for planning targeted nursing interventions in coastal areas for mothers of preschool children.

MODEL KUANTITATIF MANAJEMEN STRES KERJA DAN MOTIVASI UNTUK MENINGKATKAN KINERJA PETUGAS REKAM MEDIS DI RS ORTOPEDI PROF. DR. R. SOEHARSO SURAKARTA

2016 ◽  
Vol 5 (2) ◽  
pp. 150-156
Author(s):  
Laili Rahmatul Ilmi
Keyword(s):  
Stress Management ◽  
Work Stress ◽  
Work Performance ◽  
Work Motivation ◽  
Cross Sectional ◽  
Staff Performance ◽  
Bivariate Correlation ◽  
And Performance ◽  
The Relationship ◽  
Management Work

Background: Workload may indirectly cause stress. The ability to manage work stress may affect staff’s motivation and performance. The staff performance will affect decision-making in improving the service quality. Objective: This study aimed to analyze the relationship between stress management, work motivation and work performance. Method: This was an analytic observational study with a cross sectional approach. A sample of 19 medical record staff, working at Prof. Dr. R Soeharso orthopedic hospital Surakarta, were selected for this study. A set of questionnaires were developed and administered to measure stress management, work motivation and work performance. Data were then analyzed with a bivariate correlation analysis. Results: There were statistically significant correlations between work stress management, work motivation and work performance. The ability to manage stress positively increased the motivation (r= 0,56; p= 0,013), as well as the work performance (r= 0,49; p= 0,036). Moreover, a higher motivation will lead to a higher performance (r= 0,42; p= 0,071). Conclusion: There were positive relationships between work stress management, work motivation and work performance. Key words: work stress management, motivation, performance.

Frequency of Neck and Upper Extremity Musculoskeletal Disorders in Dentists

2020 ◽  
Vol 9 (3) ◽  
pp. 207-211
Author(s):  
Sidra Sarwar ◽  
Sara Khalid ◽  
Tahir Mahmood ◽  
Hadeeqa Jabeen ◽  
Shahid Imran
Keyword(s):  
Upper Extremity ◽  
Musculoskeletal Disorders ◽  
Health Care Professionals ◽  
Descriptive Analysis ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Dental Hospital ◽  
Upper Extremity Musculoskeletal Disorders ◽  
And Performance

Background: Musculoskeletal disorders are not only becoming prevalent among health care professionals in our country but are affecting their health and performance adversely. They are caused by poor ergonomics and awkward posture during work activities. The purpose of this study was to determine the frequency of neck and upper limb musculoskeletal disorders in dentists of Lahore, Pakistan. Material and Methods: This cross-sectional study was conducted during October 2017 to March 2018. The data was collected using convenient sampling technique from 162 Dentists including 52 males and 110 females of Children hospital Lahore, Punjab Dental hospital and Fatima Memorial Hospital, Lahore. Data was collected by using Mangalore Questionnaire for identification of musculoskeletal disorders. Descriptive analysis of the data was done using SPSS version 22.0. Results: Of 162 dentists, 115 (71%) suffered from musculoskeletal disorders. Shoulder was the most commonly affected region (30.9%) followed by neck (25.9%), arm (6.2%), wrist (4.3%), elbow (3.1%) and forearm (0.6%). Pain (45.7%) was found to be the most common complaint followed by muscle weakness (20.4%), paraesthesia (3.7%) and swelling (1.2%). Conclusions: It was concluded that majority of the dentists were suffering from musculoskeletal disorders with shoulder as the most affected region and pain as the most frequent complaint. Key words: Dentists, Musculoskeletal disorders, Neck pain, Upper extremity

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