scholarly journals EPIDEMIOLOGY OF FRACTURES AND DISLOCATIONS IN CHILDREN

2017 ◽  
Vol 53 (1) ◽  
pp. 81
Author(s):  
Hans Kristian Nugraha ◽  
Agus Adiantono

Fracture is quite a common occurrence in the age group of children, with a fairly wide variety of epidemiology throughout the world, hence it could be considered as a major health problem. A retrospective study of all pediatric fractures presenting to Dr. Soegiri General Hospital Lamongan, Indonesiain 2015 was undertaken. It showed that 79.5% of children’s fractures occurred in males and that 86.76% presented as a single fracture, whileelbow dislocation is the most prevalent dislocation in this study.Analysis of pediatric fractures shows that there is a trimodal distribution of single fracture with age, withdistal radius/ulna fracture as the most prevalent single fracture.The commonest cause of single fracture are road traffic accident, and the majority involve the upper limb. Those suggested that there should be more concern about road safety program in Indonesia.

2021 ◽  
Vol 8 (15) ◽  
pp. 945-949
Author(s):  
Sirshak Dutta ◽  
Debasis Sarkar ◽  
Nazrul Mallick

BACKGROUND A road traffic accident (RTA) is any injury due to crashes originating from, terminating with or involving a vehicle partially or fully on a public road. Increased mechanisation and improved socio-economic condition of the people in developing countries like India leads to increased use of motor vehicles, disproportionate to the increase in the number of roads. We wanted to assess the socio-demographic profile of road traffic accident victims and study the antecedent factors influencing the road traffic accidents. METHODS This is an institution based descriptive, cross-sectional study, conducted among 114 patients. RESULTS Maximum numbers of the victims, 33.32 % (N = 38) were in the age group of 21-30 years followed by 26.31 % (N =30) in the age group of up to 20 years, mean age of the victims was 29.53 ± 13.85. Majority of the victims, 70.05 % (N = 80) were on motorcycles, and 26.32 % (N =30) of the victims were alcoholic at the time of accident. Majority of the victims, 92.86 % (78 out of 84), among the motor-cycle riders, four-wheeler drivers, and front seat passengers had not used any safety measures at the time of accident. CONCLUSIONS Road traffic accidents emerged as the major epidemic of non-communicable disease, holding a major share of mortality and morbidity data all over the world, majorly among the young productive portion of the population. It was evident from the study that the majority of victims were young adults, from lower socioeconomic background, and rural residents. So, lack of proper information and consciousness regarding road safety rules and measures are definitely the important aetiology behind this epidemic. Almost two third of the cases were among the bikers in the present study, which is pointing out the need of focusing on the road safety rules related to bikers by the road traffic authority. KEYWORDS Alcoholic Intoxication, Motor Vehicle, Road Traffic Accidents, Tertiary Care Centre


2020 ◽  
Vol 15 (2) ◽  
pp. 213-217
Author(s):  
Md Moshiur Rahman ◽  
Farzana Zafreen ◽  
Abu Noman Mohammed Mosleh Uddin

Introduction: Road traffic accidents (RTA) are the eighth leading cause of death globally, and the leading cause of death in Bangladesh. The road safety situation in Bangladesh has been deteriorating with increasing number of road accident deaths, largely as direct consequences of rapid growth in population, motorization, urbanization and lack of investment in road safety. Objectives: To describe the injury characteristics of road traffic accidents cases that reported at Combined Military Hospital (CMH), Dhaka. Materials and Methods: This descriptive cross-sectional hospital based study was conducted on all the RTA cases reported to medical inspection room CMH, Dhaka from 01 March to 30 June 2010. A total of 126 RTA victims irrespective of age and sex were included, data were collected by face to face interview using a pre-tested questionnaire. Results: A total of 126 road traffic accident victims both sexes were studied. The majority of the study subjects were men 103 (81.7%) and most of them were in 31-40 years group (27%), Muslims (98.41%) were the majority. In our study regarding educational qualification of RTA victims most of them were SSC qualified (44’4%) and primary level (15.1%). Military services holder (45.2%) was the majority of road traffic crash victims. Bus/Minibus (32.5%) was responsible for the majority of road traffic crashes and motor vehicle passengers (42.9%) were main victims. Laceration & cut injury were (38.1%) and multiple injury (18.3%) were the most common injury. Main roads (49.2%) were the commonest site of the accidents.  Regarding place of occurrence main roads 62 (49.2%) was the most common site and noon 41 (32.5%) was the most common time of occurrence of accidents. Conclusion: Road traffic crashes constitute a major public health problem in our setting and contribute significantly to unacceptably high morbidity and mortality. Urgent preventive measures targeting at reducing the occurrence of road traffic crashes is necessary to reduce the morbidity and mortality resulting from these injuries. Early recognition and prompt treatment of road traffic injuries is essential for optimal patient outcome. JAFMC Bangladesh. Vol 15, No 2 (December) 2019: 213-217


2020 ◽  
Vol 6 (12) ◽  
pp. 2448-2456
Author(s):  
Asad Iqbal ◽  
Zia Ur Rehman ◽  
Shahid Ali ◽  
Kaleem Ullah ◽  
Usman Ghani

Road safety is the main problem in developing countries. Every year, millions of people die in road traffic accidents, resulting in huge losses of humankind and the economy. This study focuses on the road traffic accident analysis and identification of black spots on the Lahore-Islamabad Highway M-2. Official data of road traffic accidents were collected from National Highway and Highway Police (NH & MP) Pakistan. The data was digitized on MS Excel and Origin Pro. The accident Point weightage (APW) method was employed to identify the black spots and rank of the top ten black spots. The analysis shows that the trend of road traffic accidents on M-2 was characterized by a high rate of fatal accidents of 35.3%. Human errors account for 66.8% as the major contributing factors in road traffic accidents, while vehicle errors (25.6%) and environmental factors (7.6%) were secondary and tertiary contributing factors. The main causes of road traffic accidents were the dozing on the wheel (27.9%), the careless driving (24.6%), tyre burst (11.7%), and the brakes failure (7.4%). Kallar Kahar (Salt Range) was identified as a black spot (223 km, 224 km, 225 km, 229 km, and 234 km) due to vehicle brake failure. The human error was a major contributory factor in road traffic accidents, therefore public awareness campaign on road safety is inevitable and use of the dozen alarm to overcome dozing on the wheel. Doi: 10.28991/cej-2020-03091629 Full Text: PDF


Author(s):  
El-Said Mamdouh Mahmoud Zahran ◽  
Soon Jiann Tan ◽  
Eng Hie Angel Tan ◽  
Nurul Amirah 'Atiqah Binti Mohamad 'Asri Putra ◽  
Yok Hoe Yap ◽  
...  

Author(s):  
Rajesh Neeluri ◽  
Venkata Suresh Anga

Background: As per global status report on road safety 2015, 1.25 million road traffic deaths occurred every year. Most common cause of death among those aged 15-29 years was road traffic accidents. The objectives of the study were to study the socio-demographic profile of the victims of road traffic accidents, to identify the risk factors responsible for road traffic accidents and to identify the various presenting injuries of road traffic accident victims.Methods: It was a Hospital based cross sectional study. Victims of road traffic accidents attending casualty during July 2011 – June 2012 were studied. A pretested semi structured questionnaire was administered. A total of 280 road traffic accident victims were interviewed during the study period. Data was entered in Microsoft excel sheet and analyzed using Statistical Package for Social Sciences (SPSS) version 20. Results were expressed as proportions for different study variables.Results: Out of the 280 victims, majority 206 (73.57%) of study participants were males. The highest numbers of victims (34.20%) were between 21-30 years of age group. 40.71% were using two wheelers. Most of the accidents took place in the evening (6 pm to 12 am) i.e. 39.10%. Most common site of presenting injury was lower limb (40.71%). In this study 22.5% were under influence of alcohol while driving.Conclusions: Road traffic accidents were more in young age groups and in males. Road safety education should be promoted.


2016 ◽  
Vol 5 (4) ◽  
pp. 111 ◽  
Author(s):  
Christian A. Hesse ◽  
John B. Ofosu ◽  
Samuel K. Darkwah

In this paper, data on road traffic casualties by age groups, from 2009 to 2013, will be used. Using published road traffic casualty statistics from the National Road Safety Commission of Ghana, a 2 ´ 8 contingency table is used to determine whether road traffic casualty and age group are independent. A one factor analysis of variance tests shall be used to conduct a comparative analysis of the rate of road traffic fatalities per 100 casualties across the various age groups in Ghana. A multiple comparison test, using the Fisher least significance difference (LSD) method, shall be conducted to determine which pairs of age groups are significantly different.The study will show that road traffic casualty is not independent of age group. The analysis of variance will show that there are significant differences in road traffic fatality indices (fatality per 100 casualties) among various age groups in Ghana. The risks of dying in a road traffic accident among children under 6 years and older population who are over 65 years are both significantly higher than those of other age groups. This points to the fact that, although smaller number of children under 6 years and older population who are over 65 years die in road traffic accidents each year, more and more people as a proportion of the recorded number of casualties, are being killed through road traffic accidents among these two categories of age groups. Thus, the probability of being killed in a fatal road traffic accident is significantly high in each of these two age groups.


2016 ◽  
Vol 55 (203) ◽  
pp. 01-06 ◽  
Author(s):  
Ling Huang ◽  
Krishna P Adhikary ◽  
Bishnu P Choulagai ◽  
Nanping Wang ◽  
Amod K Poudyal ◽  
...  

Introduction: Road traffic accident is alarming in Nepal. The objective of this research is to find out the characteristics of RTA in central part of Nepal.Methods: A prospective descriptive study was taken from 1 August 2014 to 31 July 2015. Data were collected from postmortem department and nine hospitals in Kathmandu Valley. Inventory sheets with targeted variables for secondary sources were created.Results: A total of 3461 morbidity cases from hospitals and 265 mortality cases from postmortem department were included in this study. The ratio of male victim to female was 2.3:1. Around 75% of victims were between 15-49 years old. Pedestrians were the most vulnerable (33%) followed by riders of motorized 2-3 wheelers. Two wheeler motorized vehicles were most frequently (67.2%)involved in RTAs. More RTA occurred on daytime, Saturdays, July and November. Around half of the victims did not arrive in hospitals in one hour. The most common injury type was soft tissue injury (37.6%), followed by open wound (20.9%), fracture (18%) and traumatic brain injuries (12.7%).Conclusions: According to the characteristic of RTA found in this study, following preventive measures are recommended Helmet was necessary for two wheeled backseat riders. Road safety education towards age group of 15-49 was compulsory. Precaution should neither be omitted regarding road safety on weekends, holidays, nor in rainy and festival season. Future studies could be focused on estimation of burden of disease caused by RTA and its determinants in Nepal.Keywords: injury; Nepal; road traffic accident; road safety. | PubMed


2021 ◽  
Vol 3 (1) ◽  
pp. 037-040
Author(s):  
Omar Fadili ◽  
Yassir El Andaloussi ◽  
Mustapha Fadili

Road Traffic Accident (RTA) are a major health problem in Morocco. Those involving rear cargo tricycles for passenger transport or mixed transport use require special attention. An 18-month continuous retrospective study was performed. It included all victims of RTA involving at least one tricycle, admitted to emergency department with a documented traumatic injury. The data collected was analyzed by statistical software (SPSS v18.0). The aim of this study was to assess the epidemiological, lesional and therapeutic characteristics of stroke’s victims involving tricycles in the region of Grand Casablanca in Morocco. It also highlights the frequency and severity of injuries related to motorized tricycles accidents and the interest of regulatory enforcement to reduce the incidence of these accidents.


2012 ◽  
Vol 22 (3) ◽  
pp. 215-244 ◽  
Author(s):  
Tibebe Beshah ◽  
Dejene Ejigu ◽  
Ajith Abraham ◽  
Pavel Krömer ◽  
Václav Snášel

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