scholarly journals Epidemiology, diagnostic and management of abdominal trauma in two hospitals in the city of Douala, Cameroon

2021 ◽  
Vol 8 (6) ◽  
pp. 1686
Author(s):  
Jean Paul Engbang ◽  
Christian Beughuem Chasim ◽  
Bekolo Fouda ◽  
Mathieu Motah ◽  
Thomas Jim Kevin Moukoury ◽  
...  
Keyword(s):  
Abdominal Trauma ◽  
Single Case ◽  
Abdominal Ultrasound ◽  
Road Accidents ◽  
Operating Theater ◽  
Abdominal Ct ◽  
The Public ◽  
Abdominal Ct Scan ◽  
Male Sex ◽  
The City

Background: Abdominal trauma remains quite common in the general world and in developing countries in particular. The accidents in the public roads are the main cause and also the assumption of responsibility which remains questionable.Methods: It was a descriptive longitudinal study, carried out from 31 December 2018 to 19 April 2019, in Laquintinie and General hospital in Douala, Cameroon. Patients admitted for abdominal trauma and treatment in the emergency department, operating theater and visceral surgery were included in the study.Results: We found 21.2% (43 cases) of abdominal trauma in our series. Abdominal trauma mainly affected adults between 20 and 39 years old (27 cases, 63%) in our series. The male sex was most affected, with sex ration of 3.3. Road accidents occupy the first place with 34.9% (15 cases). Wounds in our series represented 27.9% (12 cases) and contusions 72.1% (31 cases). In fact, Abdomen without preparation was performed in 7.0% (3 cases) of cases, abdominal ultrasound in 48.8% (21 cases) and abdominal CT scan in 25.6% of patients (11 cases). The organs affected in order were the spleen, small intestine, colon, stomach and liver. We recorded postoperative complications with a morbidity of 11.6% with a single case of parietal suppuration and no death.Conclusions: In our context abdominal trauma remains quite frequent and concern particularly young people. The prevention of accidents on the public highway and the improvement of diagnostic and surveillance methods are the key for reducing this phenomenon leading to good management.

Elevated Liver Transaminase Levels in Children With Blunt Abdominal Trauma: A Predictor of Liver Injury

PEDIATRICS ◽  
1990 ◽  
Vol 86 (1) ◽  
pp. 87-90
Author(s):  
Halim M. Hennes ◽  
Douglas S. Smith ◽  
Kathleen Schneider ◽  
Mary A. Hegenbarth ◽  
Michael A. Duma ◽  
...  
Keyword(s):  
Liver Injury ◽  
Ct Scan ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Hepatic Injury ◽  
Elevated Serum ◽  
Serum Transaminase ◽  
Abdominal Ct ◽  
Elevated Serum Transaminase ◽  
Abdominal Ct Scan

The medical records of 43 hemodynamically stable children with elevated serum transaminase levels (aspartate aminotransferase [AST] and alanine aminotransferase [ALT]) who underwent abdominal computed tomographic (CT) scan for blunt abdominal trauma were reviewed. Nineteen patients (44.2%) had AST levels >450 IU/L and ALT levels >250 IU/L, and 17 of these 19 patients had hepatic injury identified on abdominal CT scan. Of the 43 patients, 25 (58.1%) had AST and ALT levels of less than 450 IU/L and 250 IU/L, respectively, and none of these patients had evidence of hepatic injury on CT scan. Elevated serum transaminase levels (AST >450 IU/L and ALT >250 IU/L) identified all of the patients with hepatic injury visible on abdominal CT scan. The sensitivity and specificity of elevated serum transaminase levels were 100% and 92.3%, respectively, for predicting hepatic injury. It is recommended that hemodynamically stable pediatric patients with blunt abdominal trauma and AST levels >450 IU/L and/or ALT levels >250 IU/L undergo abdominal CT scan to determine the presence and extent of hepatic injury. Children with serum transaminase levels below these values are at decreased risk of liver injury.

Hospitals: N.Y. Appellate Court Denies Move to Privatize Public Hospital

1999 ◽  
Vol 27 (2) ◽  
pp. 202-203
Author(s):  
Robert Chatham
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Public Health System ◽  
Municipal Hospital ◽  
The Public ◽  
Public Benefit ◽  
For Profit ◽  
Benefit Corporation ◽  
The City

The Court of Appeals of New York held, in Council of the City of New York u. Giuliani, slip op. 02634, 1999 WL 179257 (N.Y. Mar. 30, 1999), that New York City may not privatize a public city hospital without state statutory authorization. The court found invalid a sublease of a municipal hospital operated by a public benefit corporation to a private, for-profit entity. The court reasoned that the controlling statute prescribed the operation of a municipal hospital as a government function that must be fulfilled by the public benefit corporation as long as it exists, and nothing short of legislative action could put an end to the corporation's existence.In 1969, the New York State legislature enacted the Health and Hospitals Corporation Act (HHCA), establishing the New York City Health and Hospitals Corporation (HHC) as an attempt to improve the New York City public health system. Thirty years later, on a renewed perception that the public health system was once again lacking, the city administration approved a sublease of Coney Island Hospital from HHC to PHS New York, Inc. (PHS), a private, for-profit entity.

TRAUMA GINJAL

2020 ◽  
Vol 4 (1) ◽  
pp. 52-57
Author(s):  
Noflih Sulistia ◽  
Bambang Soeprijanto ◽  
Indrastuti Normahayu ◽  
Lenny Violetta
Keyword(s):  
Ct Scan ◽  
Pediatric Patients ◽  
Radiological Examination ◽  
Renal Trauma ◽  
Abdominal Ct ◽  
Abdominal Ct Scan

Renal trauma in children is more common than in adults. Clinically in pediatric patients with renal trauma do not always describe the degreeof trauma. Radiological examination, especially abdominal CT-scan with contrast, can help evaluate the damage to the kidneys so that it candetermine the degree of trauma.

Perancangan Boneka Edukasi Terinspirasi oleh Pencipta Boneka Si Unyil

2018 ◽  
Vol 1 ◽  
Author(s):  
Azhari Amri
Keyword(s):  
Design Process ◽  
Urban Culture ◽  
Urban Life ◽  
Rural Region ◽  
The Public ◽  
The Creation ◽  
The Difference ◽  
The City ◽  
Simple Materials

Film Unyil puppet comes not just part of the entertainment world that can be enjoyed by people from the side of the story, music, and dialogue. However, there is more value in it which is a manifestation of the creator that can be absorbed into the charge for the benefit of educating the children of Indonesia to the public at large. The Unyil puppet created by the father of Drs. Suyadi is one of the works that are now widely known by the whole people of Indonesia. The process of creating a puppet Unyil done with simple materials and formation of character especially adapted to the realities of the existing rural region. Through this process, this research leads to the design process is fundamentally educational puppet inspired by the creation of Si Unyil puppet. The difference is the inspiring character created in this study is on the characters that exist in urban life, especially the city of Jakarta. Thus the results of this study are the pattern of how to shape the design of products through the creation of the puppet with the approach of urban culture.

Study on the Radiation Dose of Abdominal CT Scan Using Dual Energy

2018 ◽  
Vol 20 (2) ◽  
pp. 123-132
Author(s):  
Dae-hyun Park ◽  
Young-Kyoon Kim ◽  
Jong-Ho Ahn ◽  
Kwang-Hyun Chang ◽  
Yoon-Chul Nam ◽  
...  
Keyword(s):  
Radiation Dose ◽  
Ct Scan ◽  
Dual Energy ◽  
Abdominal Ct ◽  
Abdominal Ct Scan

A Rare Case of Bilateral Incarcerated Obturator Hernias and a Right-Side Femoral Hernia

2020 ◽  
pp. 1-3
Author(s):  
Jinping Xu ◽  
Jinping Xu ◽  
Ruth Wei ◽  
Salieha Zaheer
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Femoral Hernia ◽  
Rare Case ◽  
Hernia Recurrence ◽  
High Morbidity ◽  
Diagnostic Challenge ◽  
Abdominal Ct ◽  
Abdominal Ct Scan ◽  
History Of

Obturator hernias are rare but pose a diagnostic challenge with relatively high morbidity and mortality. Our patient is an elderly, thin female with an initial evaluation concerning for gastroenteritis, and further evaluation revealed bilateral incarcerated obturator hernias, which confirmed postoperatively as well as a right femoral hernia. An 83-year-old female presented to the outpatient office initially with one-day history of diarrhea and one-week history of episodic colicky abdominal pain. She returned 4 weeks later with diarrhea resolved but worsening abdominal pain and left inner thigh pain while ambulating, without changes in appetite or nausea and vomiting. Abdominal CT scan then revealed bilateral obturator hernias. Patient then presented to the emergency department (ED) due to worsening pain, and subsequently underwent hernia repair. Intraoperatively, it was revealed that the patient had bilateral incarcerated obturator hernias and a right femoral hernia. All three hernias were repaired, and patient was discharged two days later. Patient remained well postoperatively, and 15-month CT of abdomen showed no hernia recurrence.

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