scholarly journals Demographic profile of facial fractures in the Punjab population: a pilot study

2020 ◽  
Vol 7 (9) ◽  
pp. 3538
Author(s):  
Manish Munjal ◽  
Sonika Kanotra ◽  
Parth Chopra ◽  
Shubham Munjal ◽  
Hemant Chopra ◽  
...  
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Tertiary Care ◽  
High Rate ◽  
Facial Fractures ◽  
Facial Skeleton ◽  
Medical College ◽  
The North ◽  
Indian State ◽  
Tertiary Care Centers

Background: Trauma units of tertiary care centers of the north Indian state of Punjab are occupied with young individuals with a passion for driving on full acceleration. There is therefore a high rate of road traffic accidents with and fractures of the facial skeleton are frequently noted .This is noted more so in the male gender.Methods: A retrospective study of the records of 61 subjects admitted under Otolaryngology and Maxillofacial trauma units, during a period of 2 years (August 2013-August 2015) at Dayanand Medical College and hospital were analysed.Results: Males outnumbered the females in the ratio of 5:1. Maximum, 54% were seen in the age group 21-30 years and minimum at the extremes of age. The commonest cause of fracture was road-side accidents which was observed in 72% of patients. In 15% these were due to assaults, in 8% due to falls and only in 3.2% due to sports injury.Conclusions: Facial fractures are recorded more in middle aged males with vehicular trauma being the main aetiology.

scholarly journals Male genital injuries attending a tertiary hospital in a western region of Nepal: A two-year snapshot.

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 337
Author(s):  
Alok Atreya ◽  
Suman Baral ◽  
Ritesh G Menezes ◽  
Samata Nepal
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Hospital ◽  
Medical College ◽  
Medical Issues ◽  
Clinical Scenarios ◽  
Male Genital ◽  
Genital Injuries

Background: Male genital injuries are urological emergencies which if not promptly treated with correct therapeutic intervention may lead to chances of loss of fertility due to infections and anatomical disruption of normalcy. This study highlights the clinical scenarios, etiology and outcome of male genital injury cases that were managed at a tertiary care center in Nepal. Such injuries are not frequently encountered as lack of reporting by patients means cases are rare. The present study is the first from Nepal which depicts a comprehensive report on male genital injuries.   Methods: A retrospective analysis of discharge summaries was carried out and the cases of male genital injuries were reviewed during June 2020. All the treated cases during the two-year period from April 2018 to April 2020 at Lumbini Medical College, Nepal were included in the study.  Results: There were eight cases of genital trauma admitted and treated during the study period. All the patients were males and age ranged from six to 71 years with a mean age of 33 ± 21.45 years. Fall injury and road traffic accidents (RTA) were observed to be the primary cause in the majority of cases.  Conclusion: Superficial injuries to the penis and scrotum do not require surgical exploration and could be managed conservatively. However, deeper and complicated injuries, testicular preservation, the functionality of the part and cosmetic issues are taken into consideration which might require a multi-disciplinary approach. Apart from the medical issues pertaining to genital injuries, there are legal and psychological aspects of such events too which should not be ignored.

scholarly journals Male genital injuries treated at a tertiary hospital in the western region of Nepal: A two-year snapshot.

F1000Research ◽  
2022 ◽  
Vol 10 ◽  
pp. 337
Author(s):  
Alok Atreya ◽  
Suman Baral ◽  
Ritesh G Menezes ◽  
Samata Nepal
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Hospital ◽  
Medical College ◽  
Medical Issues ◽  
Clinical Scenarios ◽  
Male Genital ◽  
Genital Injuries

Background: Male genital injuries are urological emergencies which if not promptly treated with correct therapeutic intervention may lead to loss of fertility due to infections and anatomical disruption of normalcy. This study highlights the clinical scenarios, etiology and outcome of male genital injury cases that were managed at a tertiary care center in Nepal. Such injuries are not frequently encountered as patients are hesitant to report such injuries. The present study is the first from Nepal which depicts a comprehensive report on male genital injuries.   Methods: A retrospective analysis of discharge summaries of the cases of male genital injuries was reviewed during June 2020. All the treated cases during the two-year period from April 2018 to April 2020 at Lumbini Medical College, Nepal were included in the study.  Results: There were eight cases of genital trauma admitted and treated during the study period. All the patients were males and age ranged from six to 71 years with a mean age of 33 ± 21.45 years. Fall injury and road traffic accidents (RTA) were observed to be the primary cause in the majority of cases.  Conclusion: Superficial injuries to the penis and scrotum do not require surgical exploration and could be managed conservatively. However, deeper and complicated injuries, testicular preservation, the functionality of the part and cosmetic issues are taken into consideration which might require a multi-disciplinary approach. Apart from the medical issues pertaining to genital injuries, there are legal and psychological aspects of such events too which should not be ignored.

scholarly journals Open reduction and internal fixation of mandibular left parasymphyseal fracture and conservative management of bilateral condylar fracture in a pillion rider- “Rules should be followed not ignored’

2020 ◽  
Vol 5 (2) ◽  
pp. 62-65
Author(s):  
S Karthik ◽  
◽  
S Kumaravel ◽  
K Velavan ◽  
RN Mukundan ◽  
...  
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Traffic Signals ◽  
Road Traffic Accidents ◽  
Facial Fractures ◽  
Facial Skeleton ◽  
Condylar Fracture ◽  
Safety Measures ◽  
Subcondylar Fracture ◽  
Full Face

Maxillofacial injuries sustained through Road traffic accidents (RTAs) is one of the leading causes of hospitalization in India. Numerous factors such as ever increasing amount of two wheelers, assault conditions, lack of safety measures such as helmets, seat belts and lack of strict implementation of such rules, prevailing socioeconomic, cultural and environmental factors results in a substantial number of facial fractures from RTAs. By 2020, RTA injuries will rise as the 6th major cause of death worldwide. One of the most commonly employed means to thwart such RTAs include the use of helmet, following speed limits, obeying stop signs and traffic signals. Among two wheelers, the use of Helmets plays a crucial role in protecting the cranial vault and potentially the facial skeleton if a full face helmet is used. 25% of the RTAs are caused due to two wheelers rather than four wheelers. Pillion rider, who ride passenger behind the rider on a two wheelers more suspectible to morbid injuries due to lack of safety measures like not wearing a helmet, improper sitting patterns especially by females in India. A study showed injuries such as contusion and skull fractures are common when riding pillion. Here we report a case of mandibular symphysis fracture along with bilateral subcondylar fracture with medial displacement of the fractured segment sustained via RTA while riding pillion.

scholarly journals Seasonal trends in oto-rhino-laryngology outpatient clinics in the North Indian state of Punjab: a 3 year pilot study

2020 ◽  
Vol 7 (10) ◽  
pp. 3907
Author(s):  
Manish Munjal ◽  
Japneet Kaur ◽  
Porshia Rishi ◽  
Nitika Tuli ◽  
Harjinder Sidhu ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Epidemiological Data ◽  
North India ◽  
Outpatient Clinics ◽  
Care Hospital ◽  
Female Ratio ◽  
Medical College ◽  
The North ◽  
Number Of Patients ◽  
Indian State

Background: Otorhinolaryngological disorders are amongst the common reason for seeking medical advice in health care setup. This study was conducted in a tertiary care hospital and medical college in North India. The monthly records of 93438 patients were analysed over a period of 3 years from January 2016 to December 2019. All monthly outpatient visits for ear nose throat (ENT) ailments, in the state with extremes of weather were recorded. No such epidemiological data about the attendance rates of patients to outpatient department (OPD) with respect to changing seasonal patterns is available. The aim of this study was to identify the various trends in the attendance pattern of ENT outpatient clinics with respect to the changes in the seasons.Methods: The monthly record of 93438 patients attending the general and speciality outpatient clinics of Dayanand Medical College, Ludhiana were studied. The study period was from January 2017 to December 2019).Results: A total of 93438 patients attended ENT OPD in three years from 2017 to 2019. Male: female ratio as 1.22:190. 1 percent of the patients belonged to 3rd and 4th decade of life , 9.9 percent of the patients were children. Patients from rural background comprised (63.1%) of the total number of patients The summer months of July, September have shown the maximum attendance during the year. The winter months of February and December have shown minimum attendance.Conclusions: Maximum patient visits were recorded in the month of July and minimum during the winter months of November to February. 

scholarly journals Clinical Profile and Practices of Safety Measures of Patients Who Have Attended Outpatient Unit of a Tertiary Care Teaching Hospital in South India during National Lockdown Period

2021 ◽  
Vol 8 (01) ◽  
pp. 43-47
Author(s):  
Sindhu B.S. ◽  
Sujatha S ◽  
Soumya Alex ◽  
Gadha Lakshmi Rajendran
Keyword(s):  
Road Traffic ◽  
Tertiary Care ◽  
Clinical Profile ◽  
High Rate ◽  
Outpatient Department ◽  
Government Medical College ◽  
Safety Measures ◽  
Old Patients ◽  
Safety Practices ◽  
Medical College

BACKGROUND Government Medical College, Thiruvananthapuram, was converted to a Covid hospital but there was no shutdown or restriction of functioning of routine nonCovid treatment services. Objectives were to study the clinical profile of patients visiting ENT outpatient department during national lockdown period, evaluate the usage of safety practices by patients to protect from Covid-19 infection and determine the proportion of patients using teleconsultation services. METHODS This is a descriptive study. All patients, who attended and / or given dates to visit the ENT outpatient department during study period were included in the study. Data collected was analysed using SPSS software version 25. RESULTS Among patients who visited the outpatient department, 54.3 % were males. Majority belonged to age group of above 40 years. 82 % of old patients on followup could not attend outpatient because of lack of transportation. Majority of new cases were road traffic accidents and acute infections of ear and nose. Although majority had access to treatment from hospitals in their locality, they did not utilise the option. 98 % were aware of COVID-19 infection and were practicing safety precautions. Only 13 patients out of 219 were using the facility of teleconsultation. CONCLUSIONS This study reveals a wide gap in the present method of implementation of referrals to tertiary care. E medicine and teleconsultation services should be encouraged and used effectively. High rate of adoption of the safety measures among the public was another highlight obtained from this study. KEYWORDS Clinical Profile, COVID-19, Government Medical College, National Lockdown, Safety Practices

scholarly journals Incidence of Ocular, Adnexal and Orbital Trauma at Different Tertiary Care Centers of Karachi.

2021 ◽  
Author(s):  
Nazia Qidwai ◽  
Saba Alkhairy ◽  
Nausheen Masood
Keyword(s):  
Traffic Accidents ◽  
Ocular Trauma ◽  
Road Traffic ◽  
Tertiary Care ◽  
Orbital Trauma ◽  
Male Predominance ◽  
Grade 5 ◽  
Trauma Scoring ◽  
Foreign Body Impaction ◽  
Tertiary Care Centers

Abstract Purpose:To assess the incidence of ocular trauma resulting from various inciting agents presenting at three large centers of Karachi, Pakistan.Method:Patients with ocular trauma were recruited at the three centers over a period of three months, in this study. Any other ocular disease was excluded. After informed consent, history and examination was done. A proforma was filled for every patient. The various inciting agents were identified and incidence of the different types of ocular damage found. Trauma scoring was also done according to the Ocular Trauma Score.Results:A total of 343 patients with trauma presenting at different tertiary centres including DIMC 38 (11%), JPMC 150 (44%) and IPIO 155 (45%). Male predominance was found overall. Patients presented with different forms of injuries at the three centers. Commonest presentation at IPIO was of keratitis, at JPMC of road traffic accidents and at DIMC of corneal and conjunctival foreign body impaction. Most of the patients fell at grade 5 of Ocular Trauma Score.Conclusion:This study showed that the type of inciting agents were different at the three centers respective to their location, surrounding workplaces and the authority of the hospital to attend to medicolegal cases.

scholarly journals ANALYSIS OF BLUNT ABDOMINAL TRAUMA CASES AT TERTIARY CARE HOSPITAL BIKANER (RAJASTHAN)

2021 ◽  
Vol 5 (6) ◽  
Author(s):  
Deepak Singh Panwar ◽  
Ashok Kumar
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Tertiary Care ◽  
Operative Management ◽  
Care Hospital ◽  
Young Males ◽  
Medical College ◽  
Blunt Abdominal Injury

Background: In view of increasing number of vehicles and consequently road traffic accidents, this dissertation has been chosen to study the cases of blunt abdominal trauma with reference to the patients presenting at P.B.M. hospital, attached to S.P. Medical College, Bikaner. Methods: Prospective hospital-based study was conducted on all the patients of blunt abdominal injury admitted in the department of surgery, S.P. Medical College and P.B.M. Hospital, Bikaner. Results: Majority of the patients presented with abdominal pain (86%) and abdominal tenderness (81%). Conclusion: We concluded that young Males are predominantly affected.  Road traffic accident forms the most common mode of injury.  Though conservative management is successful in carefully selected patients, operative management remains the main stay of treatment. Keywords: Blunt trauma, Age, Sex

scholarly journals Study on pattern of medicolegal cases in casualty of government medical college KolhapurMaharashtra

2021 ◽  
Vol 6 (3) ◽  
pp. 74-76
Author(s):  
Manoj B Patekar ◽  
Nikhil Jagtap
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Tertiary Care ◽  
Care Hospital ◽  
Law Enforcement Agencies ◽  
Legal Cases ◽  
Medical Practitioners ◽  
Medical College ◽  
Legal Case ◽  
Time Period

Medico-legal case is any quite case where the accompanying registered medical practitioners (RMP), after obtaining a detail history and examining the patient, thinks that some investigation or procedure by law enforcement agencies is required to establish and the responsibility for the case in accordance with the law or legal ground. This study is run to hunt out the frequency and pattern of medico-legal cases reported at a tertiary care hospital and to spotlight the vulnerable gender, age, residence and the cause. This is often retrospective study during which all the MLC cases registered in MLC record during a period of two years (1 January 2018– 31 December 2020) were included. Non medico-legal were excluded. Variables such as gender, age, time period between injury and reporting to casualty, were considered Findings were expressed in numbers and percentages. The total 2450 cases were registered as “medico-legal” out of which 1866 (79.4%) were males and 484 (20.6%) were females. Maximum cases were from the age bracket of 21-30 years i.e., 905 (36.93%). Most of the medico-legal cases registered were because of road traffic accidents 1154 (47.10%), fall (41.5%), and assault (6.73%) snake bite (6.4%), poisoning (14.81%)

Profile of Road Traffic Accident Injuries in a Tertiary Care Teaching Hospital – An Institution Based Cross Sectional Observational Study in Velammal Medical College Hospital and Research Institute, Tamil Nadu

2021 ◽  
Vol 8 (14) ◽  
pp. 904-908
Author(s):  
Kumaran R ◽  
Yogaraj S
Keyword(s):  
Observational Study ◽  
Teaching Hospital ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Tertiary Care ◽  
Road Traffic Accidents ◽  
Abdominal Injuries ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College

BACKGROUND Road traffic accidents (RTA) account for most of the injury patients encountered in the department of emergency resulting in significant death and morbidity. The current research was conducted to analyse the demographic, clinical and radiological profile of patients presenting with RTA to a tertiary care teaching hospital (Velammal Medical College Hospital and Research Institute). METHODS This cross-sectional observational study was done among 68 subjects presenting with RTA to the department of emergency medicine. Detailed history taking, clinical & radiological investigations including plain radiographs, ultrasound and computed tomography (CT) were done. Site of injury was considered as primary outcome of the study. The data was analysed statistically by deriving mean and standard deviation. International Business Machines Statistical Package for the Social Sciences (IBM SPSS) version 22 was used for statistical analysis. RESULTS Among the study population, the mean age was 36.18 ± 13.73 years. 83.82 % were males. Individuals aged less than 40 years of age were greatly involved in RTA. Majority (77.9 %) had abdominal injuries followed by 36.7 % with craniofacial trauma, 25 % had thoracic trauma, 17.6 % had spinal trauma, and 10.2 % had extremity and pelvic bone injuries. In abdominal trauma, spleen (26.4 %) was the commonly affected organ. Liver (25 %) and renal injuries (16.17 %) were next commonly observed. A significant difference (P-value < 0.05) was found in abdominal injuries due to different types of vehicles. CONCLUSIONS RTIs are common in the younger population. The predominance of the male population was seen. The most common organ to be injured was spleen. Proper understanding of the pattern of trauma may help in improving the outcome. Early diagnosis, aggressive resuscitation and timely surgical intervention were essential in improving the outcome in trauma patients. KEYWORDS Road Traffic Accidents, Road Traffic Injuries, Head Injury, Blunt Abdominal Trauma, CT Scan

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