scholarly journals Crooked nose correction: an institutional experience

Author(s):  
Anandita Das

<p class="abstract"><strong>Background:</strong> Crooked noses pose a particular challenge in nasal reconstruction, even for the most experienced of surgeons, as there is inevitably a combination of functional and aesthetic abnormalities which need to be addressed. Crooked nose deformity is a common presentation in the ENT clinic due to raise in the road traffic accidents.</p><p class="abstract"><strong>Methods:</strong> This was a prospective study conducted in the Department of ENT, GMCH. All the cases of crooked noses presenting to our department was included in the study. The patients were subjected to a proper history and thorough physical examination. Preoperative nasal analysis was done using photography and nasal endoscopy. The type of intervention for each patient and their outcome was analyzed.  </p><p class="abstract"><strong>Results:</strong> The majority of the crooked nose was due to blunt force trauma sustained during road traffic accidents (RTA) or during physical violence. In all crooked nose with an external deformity, there is an underlying septal deformity. The aim of the surgery is to achieve an aesthetically pleasing and a physiologically functioning nose.</p><p><strong>Conclusions:</strong> From the present study, we can conclude that the majority of the crooked nose was due to blunt force trauma sustained during road traffic accidents or due to physical violence. Besides having a considerable external deformity, majority of the cases also had functional problems too and this two aspects could be addressed properly by doing a septorhinoplasty. </p>

2021 ◽  
Vol 12 (1) ◽  
pp. 15-19
Author(s):  
Kate Sheard

Thoracic trauma is common in small animals and can be caused by a variety of insults from penetrating wounds to blunt force trauma. Patients that have sustained any form of thoracic trauma require immediate attention and intensive nursing care in order to have a positive outcome for the patient. These cases can prove challenging as multiple organ systems can be affected and surgery is often required. However, combined with the appropriate medical care, the outcome can be successful.


2018 ◽  
Vol 40 ◽  
pp. 01004 ◽  
Author(s):  
A. Bukova-Zideluna ◽  
A. Villerusa ◽  
A. Lama

Latvian national road accident statistics shows that for the vulnerable road users’ situation is critical, since pedestrians are involved in more than a quarter of road traffic accidents. This paper gives an analysis on pedestrians involved in road traffic accidents based on the road safety accident database in Latvia for the years 2010–2014. The total number of cases does not change significantly, however there has been an increase in pedestrian fatality rates over the period. From the total number of traffic accidents with pedestrians involved 92.4% had injuries, 6.8% were lethal cases and others didn't suffer from injuries. Out of 342 fatalities 37.7% occurred during the winter period, 56.1% in adverse weather (overcast, fog, rain or snow), 69.9% during twilight or darkness and 26.9% on weekends. Out of all accidents 55.3% occurred in the capital city Riga, but fatality rate was higher on main state roads. 8.1% of the total number of pedestrians involved in road traffic accidents was found to have alcohol in their blood right after the road traffic accident. Fatality rate was higher for those with exceeded BAC. Pedestrian injury risk analysis was associated with demographical and traffic-related factors, urbanization, visibility and seasonal patterns.


Author(s):  
Faris Ahmed Abdulfatah Elturki ◽  
Shaban Ismael Albrka Ali

Incessant of transportation demand growth in developing countries in latest years has led to several traffic issues in city areas, among the most challenging ones are vehicular emission, traffic congestion, and accidents. The growth of transportation demand has great influences, and very unfortunate impact on the society regarding crashes, death, and injuries from road accidents have reached epidemic proportions worldwide. The variation increased in speeds and vehicle density resulted in high exposure to accidents which lead loss of life and permanent disability, injury, and damage to property. This paper classified and investigate the most critical factors affect road traffic accidents (RTAs) in Tripoli the capital city of Libya. Four main categories were chosen to build the questionnaire, namely; human factors, road factors, vehicle factors and environmental factors. Moreover, a quantitative method was used to collect the data from the field, 400 respondents include; drivers, pedestrian and passengers were the sample size of the questionnaire and relative importance index (RII) were used for classification of one group and among all groups. The results show that more than 84%of respondents considered the over speeding as the most significant factor cusses of RTAs among all groups, while 81% considered the disobedience to driving code such as children who are playing with the car on the road as the most influential factor in human factors group. Also, nearly 74% of respondents seeing that poor brakes or brake failure factor has a high and considerable impact on the RTAs among the vehicle factors. Regarding the road factors group, 79% of the respondents ranked poor or no street lighting factor as one of the most effective factors on RTAs in road factors and third effecting factor concerning all factors, on the other hand, the environmental factors have the slights impacts compared with other factors.


2010 ◽  
Vol 1 (1) ◽  
pp. 14-15
Author(s):  
Anish Sam George ◽  
Murali Poduval

Objectives: A retrospective study was carried out to analyse the two wheeler accidents that presented over a one year period to a single institution and to study the pattern of limb injuries according to zones assigned to the limb. The mode of injury in the two wheeler accidents and the differences in limb injuries between the driver and the pillion riding passenger were also studied.Methods: All the road traffic accidents that could be attributed to two wheelers were obtained with the help of trauma records and the nominal registers and ward records. Limb injuries were then assigned to various anatomical zones that were created for the purpose of the study. The upper limb and lower limb injuries were separately analysed for differences between the driver and the pillion rider.Results: There were 242 two wheeler accidents seen between 1st jan 2008 to 31st dec 2008, of these 110 had limb injuries. 96 cases were eventually included and of these 67 were drivers. The most common mode of injury was a skid and fall of the vehicle ( 42%). Pillion riders were injured more often in collisions between two and four wheelers. The commonest injury in drivers was in wrist and hand regions of the upper limb and the tibia and ankle regions of the lower limb. In the pillion rider, lower limb injuries were commonest in the tibia and ankle whereas in the upper limb shoulder and wrist injuries predominated.Conclusion: Two wheeler accidents cause significant morbidity in both the driver and pillion rider, the tibia and ankle are commonly injured in both the populations whereas minor differences in upper limb injury are seen between the two groups.Keywords: Road traffic accidents; epidemiology; pattern of injuries.DOI: 10.3126/ajms.v1i1.2794Asian Journal of Medical Sciences Vol.1(1) 2010 p.14-15


Author(s):  
Lakshmi R. Kalbandkeri ◽  
Boramma G. ◽  
Shreeshail Ghooli

Background: Road traffic injuries claim more than 1.25 million lives each year and have a huge impact on health and development. They are the leading cause of death among young people aged between 15 and 29 years globally. In the South East Asian region of the World Health Organization, India alone accounted for 73 percent of these Road traffic accidents (RTA) burden. The importance of road safety measures needs to be emphasized in the prevention of the road traffic accidents. The objectives of the study were to assess the knowledge and practice of road safety measures among undergraduate medical students.Methods: A cross-sectional study was conducted among 310 medical undergraduates of M.R. Medical College from 1st September to 1st October 2016. Data was collected using pre-tested, semi-structured, self-administered questionnaire. The data collected was analyzed using SPSS version 16. Statistical analysis was done using relevant statistical tests.Results: Out of the 310 students 54.19% were males and 45.81% were females. 90.9% of the participants had driving licence, 32.1% of the students had taken training for driving the car and 66% of the students did not wear helmet. Female students had high knowledge of the road safety measures when compared to male students.Conclusions: The overall knowledge of road safety measures was high among the study participants. Regarding practice behaviours they were not desirable like practice of wearing helmet and exceeding speed limit. Undertaking proper road safety measures are the best available interventions to curb the epidemic of RTA.


Author(s):  
S. S. Aleksanin ◽  
S. V. Shport

Relevance. The paper is devoted to problems of ensuring road traffic safety in Russia, which is the public task of great importance involving the implementation of the policy for protecting people's health, life, and property.Intention. To look for ways of optimizing and implementing the measures aimed at preventing the technogenic emergencies.Methodology. To analyze the indicators of road traffic accidents in the Russian Federation over five years as well as the federal laws in the field of road traffic safety.Results and Discussion. Risk factors of traffic accidents include: alcohol intoxication, speed limit exceeded, overtaking in the wrong place, driver talking, smoking while driving, driver fatigue. In the Russian Federation, there is a persistent downward trend in the number of accidents. In 2019, 164,358 traffic accidents (-2.2 %; all comparisons vs 2018) occurred, 16,981 (-6.8 %) persons died, 210,877 (-1.9 %) persons were injured. According to the Ministry of Internal Affairs, the number of accidents due violation of the Road Rules by drivers was 146,688 (-1 %); 14,420 (-5.7 %) persons died and 195,037 (-0.8 %) persons were injured. In 2019, road traffic accidents caused by drunk drivers tended to decrease (12,040; -3.5 %); 11,510 (-4 %) persons died and 160,725 (-0.4 %) persons were injured.Conclusion. Drivers' health is directly related to road traffic safety; health promotion would contribute to decreasing the number of road traffic accidents and traffic-related injuries.


2016 ◽  
Vol 4 (2) ◽  
pp. 163
Author(s):  
MSc. Halim Kuliqi

Taking into account the fact that in the world the road traffic accidents happen very often and go up to very large numbers, which often are also very disturbing, then there is an indispensable need to study this problem, because without identifying the problem and its causes then it can neither be fought nor prevented.The significance of this paper lays on the presentation of some data regarding the number of accidents and their victims, the ways of compensation for the damage and the presentation of some measures in order to protect the victims of accidents from secondary victimization.This paper fills a scientific gap for victims of accidents and their way of compensation, which until now for the case of Kosovo has been not addressed significantly in terms of theory and practice also. For the presentation and the development of this issue have been used statistical method, comparative method and among others also the case study methods.In other words, the main purpose of this paper is to present data that expose the difficulties for the realization of the right of victims after suffering accidents and also to propose some norms that would protect the victims from secondary victimization, as victims after suffering a traffic accident may be hurt again until the realization of their demand for compensation according to the law.


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