scholarly journals Limited Effect of Generalized Systematic Lockdown on Urgent Orthopedic and Limb Trauma Surgery in a Geographical Area Mildly Affected by the First of SARS-CoV-2 Pandemic: A Multicentric Study (Limited Effect of Lockdown in an Area Mildly affected by the Pandemic)

2021 ◽  
Vol 5 (1) ◽  
pp. 1-8
Author(s):  
Guillaume VILLATTE
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Geographical Area ◽  
Trauma Surgery ◽  
Teaching Hospitals ◽  
Limited Effect ◽  
Multicentric Study ◽  
Health Crisis ◽  
Significant Difference ◽  
Limb Trauma

Purpose: The SARS-CoV-2 pandemic led to a systematic lockdown of populations in many countries along with the reorganization of care systems to respond to this unprecedented health crisis. This study determined (i) the number of urgent surgical operations carried out during the lockdown in a region of France mildly affected by the SARS-CoV-2 pandemic, and (ii) the types of surgery concerned (main characteristics). Methods: A retrospective, comparative, observational, multicentric study of urgent orthopedic and limb trauma surgery during lockdown was conducted. It included three reference care centers of which two were teaching hospitals. A comparison was made with data for the same period in 2019. For each patient, the following data were collected: date of surgery, age, sex, place of residence, and standardized descriptors used to classify the injury anatomically, context in which the injury occurred, and SARS-CoV-2 PCR status. Results: 1098 patients underwent surgery against 1266 over the same period in 2019, a non-significant difference of −13.3% (p = 0.11) [−39.2% in Week 13 (p = 0.02), +7.6% in Week 19 (p = 0.16)]. Except for bone injuries of the hand and wrist (+13.4%, p = 0.07), a decrease in activity was observed for all anatomic locations, and especially for the distal radius (−55.8%, p = 0.001), ankle (−40.5%, p = 0,01). The context in which the injury occurred changed, with in particular a significant decrease in the number of sport accidents (−80.0%, p < 0.001) and road traffic accidents (−41.8%, p = 0.04), and an increase in DIY and gardening accidents (+62.7%, p < 0.001). Conclusion: The decrease in emergency surgery was much less marked in this geographical area mildly affected by the pandemic. Health policy that sets ways to ensure continuity in the care needed by the population must be adapted locally when a global health crisis strikes. Level of proof: 4 – Descriptive epidemiological study.

scholarly journals TRAFFIC-RELATED MORTALITY IN MOLDOVA

2020 ◽  
pp. 140-147
Keyword(s):  
Life Expectancy ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Road Accident ◽  
Road Accidents ◽  
Continuous Increase ◽  
Risk Of Death ◽  
Significant Difference ◽  
Related Mortality

This article analyses the mortality caused by road accidents in Moldova depending on the degree of involvement of pedestrians, cyclists, motorcyclists, drivers and passengers of transport units, depending on age and sex. Results suggest that traffic-related mortality in Moldova has shown an increased incidence among the young and working-age population, where a significant difference between males and females is observed. Among the youth, traffic-related deaths register between 10-27% of the overall mortality in both sexes. The risk exposure of dying in a traffic accident decreases with age and is less significant in the retired ages. During the years 1998-2015, avoidance of trafficrelated deaths would have assured an increase in life expectancy between 0.40-0.56 years in males, and 0.09-0.23 years in females. The continuous increase in the number of transport units on public roads, as well as in the number of hours spent in traffic, influences the degree of exposure to the risk of death or injury as a result of road traffic accidents. Trauma resulting from road accidents increases the incidence of premature mortality and disability among the population, which is reflected by the decrease of healthy life expectancy. It is ascertained that the road accident mortality requires a detailed and comprehensive analysis given the multitude of factors influencing deaths and injuries related to a traffic accident among the population. Thus, in order to improve road safety and reduce mortality incidence among traffic participants, a range of actions has to be implemented by the liable actors, including through the international experience.

scholarly journals Analysis of forensic autopsies in year 2018 at forensic medicine department, Faisalabad Medical University, Faisalabad.

2020 ◽  
Vol 27 (10) ◽  
pp. 2199-2202
Author(s):  
Muhammad Qasim ◽  
Muhammad Sharjeel Khalid ◽  
Muhammad Danyal Amjad ◽  
Mobin Inam Pal
Keyword(s):  
Forensic Medicine ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Tertiary Care ◽  
Teaching Hospitals ◽  
Preventive Strategy ◽  
Post Mortem ◽  
Female Ratio ◽  
Gender Based ◽  
Medical University

Objectives: The study was aimed to audit autopsies in the year 2018 and promoting statistical approach in Forensic Medicine. Also to study the gender based distribution of cases and study shifting trends in weapon of offence. Study Design: Retrospective Study. Setting: Post Mortem Unit of the Department of Forensic Medicine & Toxicology, Faisalabad Medical University, Faisalabad. Period: From 1st January, 2018 to 31st December, 2018. Material & Methods: Autopsy was performed on 248 cases reported to Post Mortem Unit. Study Material was collected from the Post Mortem Unit of Allied Hospital and DHQ Hospital Faisalabad which are referral tertiary care teaching hospitals affiliated with Faisalabad Medical University, Faisalabad. Results: Out of a total 248 autopsies conducted 178 (71.77%) were males and 70 (28.23%) were females. The male to female ratio was 2.54:1. Most used weapon of offence was Firearm. Followed by firearm the second major cause of death was road traffic accidents which were followed by Asphyxia (12.9% of total autopsies). Conclusion: Ban on illegal possession of Firearms - educational lectures to Public and steps to raise the literacy rate along with the improvement of socioeconomic status of the society. Preventive-strategy to create an awareness of safe traveling practices especially among the groups at high risk.

scholarly journals 512 - The impact of the Health Crisis on the psychological feeling of patients during the second wave of Covid-19 in Geriatric wards.

2021 ◽  
Vol 33 (S1) ◽  
pp. 63-63
Author(s):  
S. Higuet ◽  
L. Berte ◽  
F. Kromar ◽  
C. Lelubre ◽  
JP. Praet ◽  
...  
Keyword(s):  
Nursing Home ◽  
Mental State ◽  
High Stress ◽  
Depression Scale ◽  
Psychological State ◽  
Multicentric Study ◽  
Health Crisis ◽  
Significant Difference ◽  
The Impact ◽  
At Home

ObjectivesDuring the Covid Health crisis, Belgium is one of the countries that currently counts a very high rate mortality among the elderly population.With more than 24,000 deaths, including more than 10 000 nursing home patients (for a total population of 11 million); this vulnerable population paid a heavy price during this pandemic. During the 2nd wave, we wanted to focus on the level of stress, anxiety, depression and loneliness among the Geriatric hospitalized population.MethodsThis prospective observational and multicentric study (CHU St Pierre and Hospital of Nivelles-Tubize) evaluated the psychological state of our patients hospitalized in Geriatrics from 16/11/2020 to 16/03/2021 (with a Minimal Mental State > 20/30) according to the Hospital Anxiety and Depression Scale (HAD) and to the Perceived Stress Scale(PSS).We also estimated their feeling of loneliness. We analysed their biographical, social and medical data as well as their Global Geriatric Evaluation. We will also observe if there are difference between patient living in Nursing Home (NH) or at home.ResultsThe sample (n=81) has an average age of 85 years and is predominantly female. The majority were widows with an average of 2 children living at homeAmong the 81 geriatric inpatients, 30% scored positive for anxiety, rising to 57% with questionable cases. The depression scale was found to be certain for 17%, rising to 39% if doubtful cases are taken into account.We did not observe a significant difference between the two categories for the patients living at home or in Nursing Home. For the Perceived Stressed Scale, 65% had a high stress score, 15% a moderate score and 20% a low score. It can be noted that nursing home residents also suffer more from loneliness (56%) than people living at home (35%).ConclusionThis study confirms that the pandemic has had a deleterious effect on the mental state of our elderly during the 2nd wave despite some efforts to reduce isolation. The high mortality rate could be explained by government mismanagement, a delay in action in NH, but also by a latent ageism in Belgium which it would be good to analyze after the pandemic.

scholarly journals Most Frequently Affected Body parts in Road Traffic Accidents Reporting to the Accident and Emergency Department of the Largest Tertiary Care hospital of Karachi in 2019

2021 ◽  
Author(s):  
Zaeema Ahmer ◽  
Aisha Siddiqui
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Body Parts ◽  
Road Traffic Accidents ◽  
Accident And Emergency ◽  
Significant Difference ◽  
Study Participants

Introduction Injuries sustained during Road Traffic Accidents (RTAs) amounts to a serious public health crisis. The aim of the study was to determine the body parts most likely affected in an RTA in patients brought to Accident and Emergency (A&E) department of Jinnah Postgraduate Medical Centre (JPMC), the largest tertiary care hospital of Karachi. Method A descriptive cross-sectional study was done in January-March 2019 among 371 respondents aged 15-65 years. Study participants were recruited through non-probability convenience sampling. A structured questionnaire was used to collect data on sociodemographic variables and type, severity and nature of injury. Chi Square test was used to determine the significant difference between using safety precautions with body parts affected. All analysis was performed on SPSS version 20. Results Out of 371 study participants, 64.4% (n=239) were between 15-35 years with 91.9% (n=338) males. In 77.1% (n=286) cases, emergency medical services responded in less than one hour and first aid was provided by doctor to 95.7% (n=355) at hospital. In 82.5% (n=306) cases, private vehicles were involved, with 46.1% (n=171) motorcycles. In 79.8% (n=296) cases, bone injury was prevalent, with 57.1% (n=212) leg injuries, which was the most frequently affected body part. Majority, 56.2% of the study participants who did not wear seat belts had chest area affected (p=0.006).  Conclusion It is concluded that males of 15-35 years who were motorcyclists were more prone to RTAs with lower limbs more frequently being affected. Safety precautions like wearing seatbelts provide protection against RTAs.  

scholarly journals A comparative study between dynamic hip screw and intramedullary nail fixation in trochanteric fractures

2021 ◽  
Vol 7 (4) ◽  
pp. 794
Author(s):  
Krishan Kumar ◽  
Anurag Chhabra ◽  
Ashok Kumar ◽  
Sourabh Jain ◽  
Ankush Berwal
Keyword(s):  
Blood Loss ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Common Type ◽  
Dynamic Hip Screw ◽  
Harris Hip Score ◽  
Trochanteric Fractures ◽  
Surgical Time ◽  
Significant Difference ◽  
Hip Screw

<p class="abstract"><strong>Background:</strong> The trochanteric fractures are one of the commonest fractures in elderly population. Incidence of these fractures is increasing due to better life expectancy, growing number of population, industrialization and the road traffic accidents. Variety of implants are available but still there is no consensus for single implant.</p><p class="abstract"><strong>Methods:</strong> A prospective randomized control study was conducted on total 60 patients of intertrochanteric fractures which were randomized into 2 groups of 30 each, treated with dynamic hip screw (DHS) and proximal femoral nail (PFN). All the patients were followed up for a maximum of 6 months. Outcomes were reviewed and compared such as mode of injury, complications, functional and radiological outcomes.<strong></strong></p><p class="abstract"><strong>Results:</strong> There was no significant difference between two groups of patients as regards to mean age and sex. The mode of injury by slip and fall was main cause. The most common type of fracture as per AO-orthopaedic trauma association (OTA) classification was 31-A2 (65%) and 31-A3 (5%) being the least common type. Mean surgical time of DHS group and PFN group was 125.17 minutes and 89.93 minutes respectively. Mean blood loss in DHS group and PFN group was 251.67 ml and 158.67 ml respectively. Mean radiological union time of fracture in DHS group and PFN group was 12.3 and 9.5weeks respectively. Mean Harris hip score at six month in DHS group and PFN group was 80.77 and 85.47 respectively.</p><p class="abstract"><strong>Conclusions:</strong> We conclude that though both the implants can achieve comparable union rates but PFN are better than DHS as of better Harris hip score, shorter surgical time and less intra operative blood loss.</p>

scholarly journals EVALUATION OF EFFICACY OF DIFFERENT MODALITIES IN TREATMENT OF FRACTURE METATARSAL

2021 ◽  
pp. 140-143
Author(s):  
SATYAPRATEEK KAUSHIK ◽  
VERMA RK ◽  
GUPTA SP ◽  
BHAIRWA RAJKUMAR
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Outcome Measurement ◽  
Treatment Modalities ◽  
Conservative Group ◽  
Significant Difference ◽  
Metatarsal Fractures ◽  
Group B ◽  
Gandhi Medical College ◽  
The Right

Objectives: This study mainly aims to evaluate the efficacy of three different modalities in treatment of fracture metatarsal. Methods: A hospital-based prospective comparative study was conducted in Mahatma Gandhi Medical College, Jaipur, from December 2018 to June 2020, involving 50 patients above 16 years of age presented with isolated metatarsal fractures and grade I open fractures were included in the study. Patients fulfilling the inclusion criteria were then allocated to one of three groups. Group A – Conservative management, Group B – K-wire fixation, and Group C – external Fixator. Outcome measurement was done using AOFAS MID FOOT SCALE (100 points total). Results: Majority of 29 patients belong to 35–60 years of age group followed by 18 patients in 26–35 years. Maximum number of cases is reported in male category that was 45 cases. Majority of the cases falls under the category of road traffic accidents that are 28 cases which is about 56% of the total cases. In 37 cases right foot was involved, whereas 13 cases are on the left side, suggesting the right was the dominant side. About 48% of the second metatarsal and 30% of the third metatarsal showed the maximum involvement. Maximum number of cases were designated as excellent having score between 90 and 100 that was about 38 cases which are 76% of total cases suggesting every treatment modality was good in its own right. There was a significant difference between the different treatment modalities at final follow-up p<0.05. Conclusion: All treatment modalities equally good, achieving good fracture union, decreased incidence of pain, and achieve a good range of movements, but complications rate was more in the conservative group as compared to other groups.

scholarly journals Retrospective Evaluation of Determinants of Road Traffic Injuries at a Naval Station

2021 ◽  
Vol 33 (1) ◽  
pp. 205-211
Author(s):  
Tripti Agrawal ◽  
Sandeep Kumar Sinha ◽  
Nitesh Agrawal
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Close Contact ◽  
Human Beings ◽  
Chi Square ◽  
Cross Sectional ◽  
Safe Driving ◽  
Road Traffic Injuries ◽  
Significant Difference ◽  
Vantage Points

Introduction: Several factors like globalization, industrialization, migration, access to modern ways of living, increasing income levels, easy availability of vehicles, point of use entertainment/communication gadgets, media influence and others have brought human beings in close contact with a variety of challenges to safe driving, resulting in an increased occurrence of Road Traffic injuries across the globe. Methods and Material: A cross-sectional descriptive study was conducted at naval station amongst victims of road traffic accidents who reported to emergency department of naval hospital over period of six months. Interviews on structured questionnaire to explore various determinants of road traffic injuries (RTI). Data Analysis on 156 victims was carried out for proportion of study variables of interest, Chi square test to determine significant differences between demographic variables and RTA exposure. Results: Of 156 RTA victims, more than 50% were between 21 - 40 years; 69.9% were male; 93% accidents were contributed by driving speed more than 40km/hr; 47% occurred at road junctions followed by civil roads; 27% were due to collision. 23% accidents took place on Saturdays; 36% were in morning 06 - 12 hours. 1/3 accidents were caused by two wheeler vehicles. Negligence of driver (40.4%) poor road condition (24.4%) were major causes of the accident as reported by victims. 44.2% of the victims had minor injury; 58.7% drivers who met accidents were holding valid driving license; 38% were wearing protective gears and 56% narrated that road lights/ traffic signals were available at vantage points. Exposure to accidents was found to be having statistically significant difference when related to age, gender, type of accident, common causes of accident and use of protective gears. Conclusions: The stricter application of traffic laws and safety measures are required to bring down the road traffic accident rate and related mortality.

scholarly journals Awareness and obeyance of road traffic rules among motorists in Mangaluru suburbs, India

2017 ◽  
Vol 4 (10) ◽  
pp. 3796
Author(s):  
Sudeep Kumar Shetty ◽  
Mackwin Kenwood D'mello ◽  
Jagannath Purushothama ◽  
Priyanka Dsouza Rent ◽  
V. Monisha
Keyword(s):  
Road Traffic Accident ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Statistical Tests ◽  
World Health ◽  
Health Concern ◽  
Cross Sectional ◽  
Significant Difference ◽  
Traffic Rules

Background: Road traffic accident is one amongst the “biggest killers” across the World according to World Health Organization. Though road traffic accidents are both predictable and preventable, it is witnessed that there is an alarming increase in morbidity, mortality and disability owing to road traffic accident which has become a major public health concern in India. Hence this study aims to assess the awareness and obeyance of road traffic rules among commuters in south Mangaluru suburbs. Methods: A cross sectional study was conducted among 180 motorists in south Mangaluru suburbs during August 2015, who were selected conveniently and structured questionnaire was administered for interview schedule. The data were analyzed for mean, median, frequencies, percentages, standard deviation and appropriate statistical tests were applied by using SPSS version 16. Results: More than two-thirds (67.2%) had insufficient awareness about road traffic rules and more than three fourth of the respondents (86.1%) had bad obeyance of road traffic rules. There was relationship between awareness and practice which was statistically significant (p=0.041) and there was statistical significant difference (p<0.05) in obeyance according to marital status, profession and type of vehicles used. Conclusions: Though the respondents were aware about road traffic rules to a certain extent but they were not obeying the road traffic rules wholly. This can be addressed through the strict enforcement of road traffic rulesand behavioral change communications. 

scholarly journals Causes of admission of patients 18-­30 years old in intensive care units

2019 ◽  
Vol 5 (1) ◽  
pp. 20
Author(s):  
Marina Monastirioti ◽  
Antonia Kalogianni ◽  
Georgios Vasilopoulos ◽  
Dimitrios Papageorgiou
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Traffic Accidents ◽  
Suicide Attempts ◽  
Road Traffic ◽  
Demographic Data ◽  
Adult Population ◽  
Social Characteristics ◽  
Work Related ◽  
Significant Difference

Introduction: The causes that lead to the admission of young adults into Intensive Care Units (ICUs) are a multivariable phenomenon of modern times with a variety of social extensions.Aim: The purpose of this study was to investigate the causes of admission of young adult population aged 18-30 in Intensive Care Units.Method and material: The studied population consisted of people aged 18-30 years who were hospitalized in an Intensive Care Unit of Attica, Greece during the years 2016 and 2017. A specially formatted registration form was used to collect the data, which except for the demographic data, included variables related to the reasons of admission to ICU, the duration of the hospitalization, as well as the final outcome. The SPSS 23 statistical package and the x2 method were used to analyze the data.Results: The 71.1% of the study population were male and 28.9% female. Regarding nationality, 81.1% were Greeks, while 18.9% were foreigners. As a first cause of admission to ICU was the road traffic accidents with percentage of 41.2%, followed by pathological causes with 32%, postoperative monitoring with 16.2%, suicide attempts at 4.4%, drug abuse at 3.5%, and work-related accidents at 2.6%. The statistical analysis of the results showed that men were more frequently admitted into the ICUs compared to women with a statistically significant difference p <0,000. The marital status does not seem to be related to the frequency of admission, which also applies to nationality, comparing the percentage of foreigners in the sample with the percentage of the population, there was no statistically significant difference. By studying the other social and demographic characteristics, there was a statistically significant dependence of the causes of admission both with the profession (p = 0.001) and with the place of residence (p = 0,013). The overwhelming majority (87.5%) of drug addicts and 50% of those who attempting to commit suicide were unemployed.Conclusions: It is identified that demographic and social characteristics affect to a large extent the admission of young people into the ICU. 

scholarly journals Sleep quality among a sample of Egyptian truck drivers

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
M Yosef ◽  
M A Abdelhamid ◽  
W Salaheldin ◽  
M Elhabiby ◽  
M Rady
Keyword(s):  
Sleep Quality ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Truck Drivers ◽  
Poor Sleep ◽  
Road Traffic Accidents ◽  
Poor Sleep Quality ◽  
Significant Difference ◽  
Hours Of Work ◽  
The Mean

Abstract Background “Road traffic accidents” is a major health problem and it is significantly related to the mean daily sleep hours and sleep quality. This study aims to explore the sleep quality among a group of Egyptian truck drivers. Methodology A convenience sample of 117 male truck drivers working on Cairo – Suez highway was selected. Socio-demographic and occupational history were collected using an interview questionnaire and the Pittsburgh sleep quality index (PSQI) was calculated. Results The mean age of the studied drivers was 38.7 ± 9.7 y, 82.1% were married and 79.5% were current smokers. The mean driving hours per day was 15.35 ± 4.77, the mean sleeping hours per day was 5.8 ± 2.3 and 48 drivers (41%) had poor sleep quality according to the cutoff 5 for PSQI questionnaire. There was a significant difference between drivers with good vs poor sleep quality regarding number of cigarettes smoked per day, hours of work per day and mean distance travelled per day. Multivariate logistic regression showed that hours of work per day was the only significant predictor with poor sleep quality. Among drivers with poor sleep quality 16.3% reported having accidents in the past year which was significantly higher (p = 0.016) than those who had good sleep quality (2.9%), Odds Ratio: 6.4, 95% CI; 1.3-31.8. Conclusion Poor sleep quality is associate with increased risk of road traffic accidents among the studied truck drivers and the main factor that affect sleep quality is the number of working hours per day.

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