scholarly journals Evaluation of maxillofacial injury in the central part of Nepal

2012 ◽  
Vol 7 (3) ◽  
pp. 11-16 ◽  
Author(s):  
G Biswari ◽  
A Khanal ◽  
P Gupta ◽  
P Bansal
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Physical Assault ◽  
Trauma Patients ◽  
Medical Sciences ◽  
Type Site ◽  
Dental Injuries ◽  
The Relationship ◽  
Animal Attack ◽  
Gender Type

An evaluation of dental and maxillofacial trauma in College of Medical Sciences, Teaching Hospital, Bharatpur, Nepal was carried out to assess the causes of trauma and the relationship between the injuries to the Patient's Age, Gender, Type, Site of injury and the Influence of Alcohol from June 1, 2008 to May 31, 2011. Files of 1986 trauma patients were reviewed. Maxillofacial or dental injuries were observed in 269 (13.54%) of the trauma patients, caused by road traffic accidents 173 (64.3%), fall injury 43 (16.0%), physical assault 25 (9.3%), animal attack 9 (3.3%) and sport injury 19 (7.1%) Men were hospitalized almost three times more than women, most common site of injury was dentoalveolar fracture 79(29.37%) young people were at greater risk. The most frequent age of trauma was 15-29 years (51.7%). DOI: http://dx.doi.org/10.3126/jcmsn.v7i3.6702 Journal of College of Medical Sciences-Nepal, 2011, Vol-7, No-3, 11-16  

scholarly journals Pattern Of Hand Injuries in a Teaching Hospital of a Developing Country

2018 ◽  
Vol 5 (1) ◽  
pp. 29-32
Author(s):  
Kishor Man Shrestha ◽  
A Pandey ◽  
B Shrestha
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Sports Injury ◽  
Hand Injury ◽  
Hand Injuries ◽  
Physical Assault ◽  
Road Traffic Accidents ◽  
Medical Sciences ◽  
Pattern Of Injury ◽  
The Right

INTRODUCTION: Hand injuries are common and are responsible for a significant hospital emergency visit and most of which are seen by non hand specialists. The pattern of the injuries varies from place to place. It is pertinent that those who may come across the patients understand this pattern. MATERIALS & METHODS: A retrospective review of records of patients presenting with hand injuries to the emergency unit and in OPD unit over two year period was carried out highlighting the pattern of the injury.RESULTS: The common cause of hand injury in these patients was fodder cutter machines which is 53 patients (30.6%) followed by industrial machines injury in 36 patients (20.8%), road traffic accidents in 30 patients (17.3%), physical assault  in 19 patients (10.9%), threshing machines in 13 patients (7.5%), fall in 9 patients (5.2%), falling objects in 8 patients (4.6%), door injury  in 2 patients (1.15%) and sports injury  in 1 patient (0.5%). The injury was more common in young adults between 15 to 34 years of age with the mean age of 24.5 years. Most of the injury occurred during work by fodder cutter machine and industrial machines or other causes as road traffic accidents. In the present study, 17.3% cases had injury on Saturday comprising 80.9% of males and 53.1% of cases had fractures with high incidence of injury of the Right hand which was 53.7%. Most of the cases having fractures were of Gustilo II variety (28.2%) and 94.2% of cases were of minor to moderate grades of severity of hand injury on grading by HISS grading.CONCLUSION:  Understanding the pattern of injury can impart positively on the management of hand injuries and for its preventive measures.Journal of Universal College of Medical Sciences (2017) Vol.05 No.01 Issue 15, page: 29-32

scholarly journals P014: Incidental findings in trauma whole-body CT scans: a systematic review

CJEM ◽  
2020 ◽  
Vol 22 (S1) ◽  
pp. S69-S69
Author(s):  
V. Tsang ◽  
K. Bao ◽  
J. Taylor
Keyword(s):  
Systematic Review ◽  
Incidental Findings ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Subsequent Treatment ◽  
Whole Body ◽  
Trauma Patients ◽  
Patient Demographics ◽  
Study Results

Introduction: Whole-body computed tomography scans (WBCT) are a mainstay in the work-up of polytrauma or multiple trauma patients in the emergency department. While incredibly useful for identifying traumatic injuries, WBCTs also reveal incidental findings in patients, some of which require further diagnostic testing and subsequent treatment. Although the presence of incidental findings in WBCTs have been well documented, there has been no systematic review conducted to organize and interpret findings, determine IF prevalence, and document strategies for best management. Methods: A systematic review was conducted using MEDLINE, PUBMED, and EMBASE. Specific journals and reference lists were hand-mined, and Google Scholar was used to find any additional papers. Data synthesis was performed to gather information on patient demographics, prevalence and type of incidental findings (IFs), and follow-up management was collected. All documents were independently assessed by the two reviewers for inclusion and any disagreements were resolved by consensus. Results: 1231 study results were identified, 59 abstracts, and 12 included in final review. A mean of 53.9% of patients had at least one IF identified, 31.5% had major findings, and 68.5% had minor findings. A mean of 2.7 IFs per patient was reported for articles that included number of total IFs. The mean age of patients included in the studies were 44 years old with IFs more common in older patients and men with more IFs than women. IFs were most commonly found in the abdominal/pelvic region followed by kidneys. Frequency of follow-up documentation was poor. The most common reported mechanisms of injury for patients included in the study were MVA and road traffic accidents (60.0%) followed by falls from >3m (23.2%). Conclusion: Although there is good documentation on the mechanism of injury, patient demographics, and type of IF, follow-up for IFs following acute trauma admission lacks documentation and follow-up and is an identified issue in patient management. There is great need for systematic protocols to address management of IFs in polytrauma patients.

Thoracic trauma in small animals: road traffic accidents

2021 ◽  
Vol 12 (1) ◽  
pp. 15-19
Author(s):  
Kate Sheard
Keyword(s):  
Traffic Accidents ◽  
Thoracic Trauma ◽  
Road Traffic ◽  
Positive Outcome ◽  
Multiple Organ ◽  
Trauma Patients ◽  
Small Animals ◽  
Road Traffic Accidents ◽  
Blunt Force Trauma ◽  
Organ Systems

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.

INFLUENCE OF PSYCHOPHYSIOLOGICAL CHARACTERISTICS OF PERSONS UNDER THE AGE OF EIGHTEEN ON DRIVING A VEHICLE

2021 ◽  
pp. 97-100
Author(s):  
Н.М. Кузнецова
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Statistical Information ◽  
The State ◽  
Road Traffic Accidents ◽  
Traffic Violations ◽  
The Relationship

В статье отражены статистические сведения, характеризующие состояние дорожно-транспортной аварийности, в том числе из-за нарушения правил дорожного движения водителями в возрасте 16-19 лет, рассмотрены взаимосвязь и влияние психофизиологических особенностей на управление транспортным средством у лиц, не достигших 18-летнеговозраста. The article reflects statistical information characterizing the state of road traffic accidents including those due to traffic violations by drivers aged 16-19 years, traced the relationship and influence of psychophysiological characteristics on driving a vehicle in persons under 18 years of age.

Children and Terror Casualties Receive Preference in ICU Admissions

2012 ◽  
Vol 6 (1) ◽  
pp. 14-19 ◽  
Author(s):  
Kobi Peleg ◽  
Michael Rozenfeld ◽  
Eran Dolev ◽  
Keyword(s):  
Traffic Accidents ◽  
Injury Severity ◽  
Road Traffic ◽  
Age Groups ◽  
Trauma Patients ◽  
Trauma Centers ◽  
Severe Injuries ◽  
Level I ◽  
Hospital Emergency Departments ◽  
Trauma Type

ABSTRACTObjective: Trauma casualties caused by terror-related events and children injured as a result of trauma may be given preference in hospital emergency departments (EDs) due to their perceived importance. We investigated whether there are differences in the treatment and hospitalization of terror-related casualties compared to other types of injury events and between children and adults injured in terror-related events.Methods: Retrospective study of 121 608 trauma patients from the Israel Trauma Registry during the period of October 2000-December 2005. Of the 10 hospitals included in the registry, 6 were level I trauma centers and 4 were regional trauma centers. Patients who were hospitalized or died in the ED or were transferred between hospitals were included in the registry.Results: All analyses were controlled for Injury Severity Score (ISS). All patients with ISS 1-24 terror casualties had the highest frequency of intensive care unit (ICU) admissions when compared with patients after road traffic accidents (RTA) and other trauma. Among patients with terror-related casualties, children were admitted to ICU disproportionally to the severity of their injury. Logistic regression adjusted for injury severity and trauma type showed that both terror casualties and children have a higher probability of being admitted to the ICU.Conclusions: Injured children are admitted to ICU more often than other age groups. Also, terror-related casualties are more frequently admitted to the ICU compared to those from other types of injury events. These differences were not directly related to a higher proportion of severe injuries among the preferred groups.(Disaster Med Public Health Preparedness. 2012;6:14–19)

Mandible fractures and dental injuries related to road traffic accidents over a 12‐year period—Retrospective multicentre study

2020 ◽  
Author(s):  
Shinnosuke Nogami ◽  
Kensuke Yamauchi ◽  
Hiromitsu Morishima ◽  
Yoshio Otake ◽  
Atsumu Kouketsu ◽  
...  
Keyword(s):  
Multicentre Study ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Road Traffic Accidents ◽  
Mandible Fractures ◽  
Dental Injuries

scholarly journals Profile of thoracic injury at College of Medical Sciences Teaching Hospital

2014 ◽  
Vol 9 (1) ◽  
pp. 30-39
Author(s):  
D Chapagain ◽  
D Jayapal Reddy ◽  
S Shah ◽  
KG Shrestha
Keyword(s):  
Prospective Study ◽  
Hospital Stay ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Flail Chest ◽  
Length Of Hospital Stay ◽  
Thoracic Injury ◽  
Road Traffic Accidents ◽  
Medical Sciences ◽  
Night Time

Objectives: Thoracic injury is a challenge to the thoracic surgeon practicing in developing countries. This prospective study was conducted to see the mode of injury, injury types and overall outcome of thoracic injury in our settings. Materials and methods: This prospective study was conducted in 100 thoracic injury patients between December 2011 to June 2012. The demographic features, type of the trauma, radiological assessment, associated organ injuries, management of the injury, surgical interventions, morbidity, mortality, length of hospital stay were analysed. Results: In this study the ages ranged from 7 to 84 years. There were 73 (73%) males and 27 (27%) females. The majority of patients (83%) were injured during the evening and night time. The majority of patients 92(92%) sustained blunt chest injuries. The mechanism of injury was not significantly associated with length of hospital stay (P > 0.05) and mortality (P > 0.05).Road traffic accident was the most common cause of injuries affecting 68(68%) of patients followed by fall injury of 19(19%). Rib fractures, haemothorax, pneumothorax and lung contusion were the most common type of injuries accounting for 83.0%, 57%,34% and 33% respectively. Associated extra-thoracic injuries were noted in 64.0% of patients. 45(45%) of the cases of haemothorax, pneumotharax and haemopneumothorax were treated by tube thoracotomy. Four patients (04%) had undergone thoracotomy. There were 09(09%) patients of flail chest and treated conservatively. Fourty six patients (46%) were admitted in the ICU. Eleven (11%) patients were treated with ventilator support. Seventeen (17%) patients had complication. The overall length of hospital stay ranged from 0 to 25 days. Conclusion: Road traffic accidents and fall from height are the major public health problems. Preventive measures at reducing road traffic accidents and timely management with closed tube thoracotomy are the main factors to be considered in the thoracic injury. Journal of College of Medical Sciences-Nepal, 2013, Vol-9, No-1, 30-39 DOI: http://dx.doi.org/10.3126/jcmsn.v9i1.9671

Accidents and travel

1982 ◽  
Vol 82 (1-2) ◽  
pp. 63-71
Author(s):  
J. K. Mason
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Carbon Monoxide Poisoning ◽  
Air Travel ◽  
Fear Of Flying ◽  
Aircraft Accidents ◽  
Travel Abroad ◽  
Aircraft Accident ◽  
Relationship Of ◽  
The Relationship

SynopsisThis paper considers the hazards of getting to and from one's destination; the subject of accidents occurring as part of a holiday is too broad for present consideration.The symposium is mainh concerned with travel abroad but, since one has to reach the definitive means of travel, the epidemiology of road traffic accidents is first considered. An unusually optimistic view is taken of the current position as regards fatalities. Emphasis is placed on the importance of recent legislation in the prevention of injury. Overall, the chances of being killed on the roads are now not much greater than those of suffering an accidental death in the home. The effect of alcohol and common drugs on the holiday motorist are discussed and mention is made of the hazards of carbon monoxide poisoning.Death and injury due to travel by boat or train is so unusual as to eliminate them from useful discussion and most interest probably centres on the accidental hazards of air travel.The major anomaly here is that, on a passenger-mile basis, the worldwide chances of being killed in an accident involving a scheduled air carrier are about the same as for travelling on British Rail. The relationship of aircraft accidents to fatalities is discussed and reasons advanced for the remarkable improvement in both. Potentially survivable accidents are commonest at take off and landing. It is in such accidents that the hazard of fire is of maximal importance though adequate restraint is also highly significant. Suggestions are made for increased safety.The wholly fatal accident is commonly associated with a catastrope in flight and some of the dangers of exposure to high altitude are considered. There is considerable public interest in sabotage as a cause of aircraft accident and its incidence is briefly considered. The overall message is that air travel is quite remarkably safe and that the unduly widespread fear of flying is related, in the main, to the publicity which inevitably surrounds the occasional disaster.

scholarly journals Driving Culture in Iran

2018 ◽  
Vol 35 (2) ◽  
pp. 107-111
Author(s):  
Shirin Saeidi
Keyword(s):  
Middle East ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Political Life ◽  
Internal Conflict ◽  
Road Traffic Accidents ◽  
Road Accidents ◽  
Political Climate ◽  
Legal Structure ◽  
The Relationship

Driving Culture in Iran creatively explores the relationship between legalculture and citizenry formation in post-revolutionary Iran. Banakar focusseson driving customs and explanations for citizens’ disregard of trafficlaws, demonstrating that the exceptionally high rates of road accidents andlack of law abidance is due to the complex cultural and political climate. Themonograph argues that the state’s propaganda machine promotes revolutionaryzeal but in a context where people are penalized if they dissent (3). Consequently, dissension becomes a tool for control, setting into motionmultiple forms of internal conflict which are reflected in the way Iraniansrelate to one another as well as in increasing rates of road traffic accidents(4). The originality of the study rests in its exploration of political life atthe juncture of law and culture. Through his analysis of the unintendedcultural outcomes of the legal structure in Iran, Banakar contributes to ourunderstanding of citizenship formation in hybrid and religiously chargedregimes. In particular, the book illustrates how citizens’ distrust of the statecan have deadly consequences on Iran’s roads. The monograph will be ofinterest to academics and other professionals working on the Middle East,Islam, and from a multitude of disciplinary perspectives ...

scholarly journals The alcoholic individual and facial trauma: a 3 years survey

2020 ◽  
Vol 7 (12) ◽  
pp. 4003
Author(s):  
Manish Munjal ◽  
Sonika Kanotra ◽  
Shubham Munjal ◽  
Parth Chopra ◽  
Tullika Saggar ◽  
...  
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Health Care Facilities ◽  
Facial Trauma ◽  
Trauma Patients ◽  
Injury Incidence ◽  
Le Fort ◽  
Medical College ◽  
Drunken Driving ◽  
Le Fort I

Background: Road traffic accidents, under the influence of alcohol constitute a majority of patients in the emergency trauma services in tertiary health care facilities. The incidence of the same and the region predominantly involved was analysed.Methods: 61 subjects in the Otorhinolaryngology and Maxillofacial trauma services were studied, during a period of 2 years, at Dayanand medical college, Ludhiana, Punjab. In this prospective study the admission records were analysed in context to alcohol intake prior to the trauma.Results: The incidence of facial fractures, attributed to road-side accidents was the highest i.e. 72%. Other antecedent events were, assaults in 15%, fall from heights in 8% and due to sport injuries in 3.2%. 34% of our patients were under the influence of alcohol at the time of injury. Incidence of facial fracture in our series were fracture mandible, 39.3%, zygomatic 23.5%, Le Fort II 17.9% and nasoethmoid 12.3%. One case of Le Fort I, orbital and alveolar fracture was seen.Conclusions: Drunken driving in Punjab was behind one third i.e. 34% of the trauma patients in our casualty services.

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