scholarly journals Magnitude of ocular trauma in a tertiary care hospital of western Nepal

2013 ◽  
Vol 2 (2) ◽  
pp. 140-143 ◽  
Author(s):  
ST Godar ◽  
KR Kaini ◽  
P Amatya ◽  
K Joshi ◽  
L Singh

Background: Ocular injury is one of the major causes of monocular visual impairment and blindness worldwide, with significant socioeconomic impact. The present study was done to establish the incidence and identify the common causes of ocular trauma in a tertiary care hospital of western Nepal. Methods: This is a cross-sectional study, conducted at a teaching hospital in western Nepal from January 2012 to January 2013. All ocular trauma cases attending emergency and eye OPD were included in the study. A complete history and detailed ophthalmological evaluation was done. Results: Total number of cases was two hundred and nine. The incidence of ocular trauma was 1.74%. Average age of patients was 28.89±19.06 years. Maximum patients were from third decade of life and were males (66.5%). Majority of ocular trauma occurred in right eye and were sustained at the workplace. Only 2.4% of patients used protective agents. The cases presented to the hospital within 48 hours of injury were 71.8%. Maximum subjects didn’t use any medication before they presented to this hospital. Road traffic accident (RTA) was the commonest cause of ocular trauma followed by wood stick and fall injury. Conclusion: Males are more prone to ocular trauma. As the commonest cause is RTA and very few patients used protective devices so public awareness about eye health program and strict legislation for the use of protective devices may help to reduce the magnitude of ocular injury.   Nepal Journal of Medical Sciences | Volume 02 | Number 02 | July-December 2013 | Page 140-143 DOI: http://dx.doi.org/10.3126/njms.v2i2.8964  

2020 ◽  
Vol 58 (229) ◽  
Author(s):  
Sameer Thapa ◽  
Anup Raj Upreti ◽  
Bishow Raj Dawadi

Introduction: Injury is one of the major global public health problems causing significant number of death and disability. The study aims to study the epidemiological and clinical profile of patients presented in emergency department with injury. Methods: This was a descriptive cross-sectional study conducted in a tertiary care hospital from September 2019 to February 2020 after obtaining ethical approval from Institutional review board (reference number 007-076/077). A convenient sampling method was applied. Epidemiological factors, chronological factors, causes of injury, anatomical distribution, pattern of injury were studied. Statistical analysis was done using statistical package for the social sciences version 20. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: Out of 197 patients, 72 (36.5%) patients had fall followed by road traffic accident 57 (28.9%). Of total, 80 (40.6%) had injury at home and 80 (40.6%) had cut injury. Head and neck accounted for 66 (33.5%) of total injury followed by upper Extremities 50 (25.4%) and lower extremities 47 (23.9%). Eighty-seven (44.2%) of the patients visited emergency within 30 minutes of sustained injury. Conclusions: The top three leading causes of injuries visiting emergency department were: fall, Road Traffic Accident and physical assaults respectively. The most common mode was fall being cut as most common pattern. Head and neck was the most commonest site of injury. The common place of injury was home.


Author(s):  
Tanuja R. Brahmankar ◽  
Sachin K. Sharma

Background: Medico-legal case (MLC) can be defined as a case of injury or ailment, etc., in which investigations by the law-enforcing agencies are essential to fix the responsibility regarding the causation of the said injury or ailment. Medico-legal cases are an integral part of medical practice that is frequently encountered by medical officers working in casualty. Hence the present study is carried out to find out the frequency and pattern of medico-legal cases reported at a tertiary care hospital and to highlight the vulnerable gender, age, residence and the cause. Methods: It is a record based cross sectional study in which all the MLC cases registered in MLC record book during a period of 6 months (January 13– June 13) were included. Cases found non medico-legal were excluded. Variables considered were gender, age, residence and cause. Findings were expressed in numbers and percentages. Results: Total cases were 2350, of which 1866 (79.4%) were males and 484 (20.6%) were females. Maximum cases were from the age group of 21-30 years i.e., 828 (35.2%). 1440 (61.27%) were residents of urban area. Most of the medico-legal cases registered were due to assault (27.2%) followed by medical examination of prisoners(25.9%), road traffic accidents (19.7%), fall (6.9%), snake bite (6.6%), poisoning (4.3%), domestic injuries (4.3%), unknown bite (2.2%), unknown found at railway station (1.6%), brought dead (0.6%), burn (0.2%) & others (0.5%). Conclusions: Majority of the victims were males, young adults and urban inhabitants. Most common indication for medico-legal cases was assault followed by medical check-up of prisoners and road traffic accidents. 


2018 ◽  
Vol 10 (2) ◽  
pp. 6-10
Author(s):  
S Tuladhar ◽  
S Dhakal ◽  
S Poudel ◽  
B Poudel

Introduction: Ocular trauma is an important cause of blindness and ocular morbidity throughout the world. The present study was done to establish the common causes of ocular trauma in a Tertiary Care Hospital of Western Nepal.Methods: In this prospective study, all the patients with ocular trauma visiting eye Out Patient Department (OPD) and Emergency Department of Gandaki Medical College Teaching Hospital (GMCTH) from June 2015 to June 2016 were included. A complete history and detailed ophthalmological evaluation was done.Results: Over a period of one year, 226 patients attended to the OPD and Emergency Department of GMCTH. Mean age of patients was 30.41 ±15.7 years. Males were 70.8% and females 29.2%. About 82.5% patients had visual acuity better than 6/18 while 17.7% had visual acuity <3/60. Road traffic accident (RTA) was the most common cause followed by foreign bodies.Conclusions: Males are more prone to ocular trauma than females and majority of ocular trauma occurred at workplace. RTA is the commonest cause of ocular trauma. Very few patients used protective device. Public awareness and strict legislation for the use of personal protective devices can also help reduce the occurrence of ocular injury. J-GMC-N | Volume 11 | Issue 01 | January-June 2018, Page: 6-10


2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Saddar Rahim ◽  
Anwar ul Haq ◽  
Shahid Alam ◽  
Farooq Abdullah ◽  
Ibrar Khan ◽  
...  

Background: Pakistan is a developing country, its population comprises of more than 200 million people. Approximately more than1/3rd of Pakistan's population is composed of children. Road traffic injuries (RTIs) among children are the leading causes of deathand disability and the biggest threat to the health of Pakistani children. This study describes the risk factors involved in causation ofRTIs.Objective: To determine the various risk factors/ predisposing factors involved in causation of road traffic injuries among children.Material and Methods: A cross sectional study of 06 months duration was carried out in a tertiary care hospital. Data was collectedfrom all consecutive victims of RTIs presenting to casualty peadiatric surgery unit Lady Reading Hospital Peshawar and recordedon profoma.Results: Total 73 victims of RTIs are incuded in the study of whom 68.5% (n=50) were male. RTIs were common in the age groupof 6-12years and most of the RTIs, 42.5% (n=31) occurred between 8 AM to 2 PM. RTIs were common in pedestrians,unaccompnied children, families with many children, children from urban areas, and in the month of january. Children of illiterate,poor parents and those children whose parents were laborer were commonly found to be involved in RTIs.Conclusions: This study has confirmed that the male children of increasing age with poor and illiterate background are the mostvulnerable to road traffic injuries. Implementation of road safety meassures, education campaigns, traffic rules and regulations,road engineering and safe pedestrian areas along side the roads will help to reduce road traffic injuries among children.


2020 ◽  
Vol 4 (2) ◽  
Author(s):  
Sana Iqbal ◽  
Ayesha Aslam ◽  
Sufyan Ahmed ◽  
Nabeel Khan ◽  
Mehwash Kashif ◽  
...  

Objective: To evaluate the frequency, pattern, and etiology of mandibular fractures at a tertiary care hospital, in Karachi Study Design: Retrospective, cross-sectional study. Setting: Abbasi Shaheed Hospital, Karachi, Pakistan Methodology: The study was initiated in Outpatient Maxillofacial Surgery Department of Abbasi Shaheed Hospital Karachi. The duration of the study was 5 years and six months. Data of mandibular trauma was evaluated. In this retrospective, cross-sectional study the patients were recruited through convenience sampling and the inclusion criteria was patients from both genders suffered from mandibular trauma of mandibular region. Patients who suffered from the trauma of face other than mandible were excluded. The sample size of the study was 464.  A questionnaire was designed to enquire into the demographic details like age, sex, etiology, and site of fracture. The data was analyzed on SPSS version 17.0. Results: The majority of patients were males i.e. 384 (82.8%) while 80 (17.2%) were females. The most common type of fracture was combination fractures followed by parasymphysis i.e. 142 (30.6%) and 79 (17%) respectively. Road traffic accident was the major cause of trauma i.e. 332 (71.6%) followed by fall 96 (20.7%). Cross tabulation was done between different variables. Association of gender with etiology and type of fracture revealed non-significant p-value while the association of age with etiology revealed significant p-value. The highest number of mandibular fracture cases due to RTA were reported in the year 2019. Conclusion: It has been concluded that the frequency of mandibular trauma is quite high with male dominance. The most susceptible site of trauma is the combination and parasymphseal region and the most common etiology were road traffic accidents.


Vacunas ◽  
2020 ◽  
Vol 21 (2) ◽  
pp. 95-104 ◽  
Author(s):  
Y.M. AlGoraini ◽  
N.N. AlDujayn ◽  
M.A. AlRasheed ◽  
Y.E. Bashawri ◽  
S.S. Alsubaie ◽  
...  

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