scholarly journals Knowledge, Attitude and Practice Towards Burn Patients Admitted in Madina Hospital Mogadishu Somalia

2019 ◽  
Vol 3 (4) ◽  
pp. 218
Author(s):  
Osman Abdulle Farah ◽  
Recep Erçin Sönmez ◽  
Mohamed Yusuf Hassan ◽  
Abdurrahman Osman Fıqı ◽  
Orhan Alimoğlu
Keyword(s):  
Significant Risk ◽  
Burn Injuries ◽  
Burn Patients ◽  
Female Ratio ◽  
Level Of Education ◽  
Low Level ◽  
Governmental Organizations ◽  
Non Governmental Organizations ◽  
Number Of Patients ◽  
Male Female Ratio

Background : Burns are among the most devastating forms of trauma, and also the most common typesof injury affecting children in home environment. There are a major cause of morbidity and mortality all over the world for both children and adults,especiallyfor developing countries like Somalia because of inadequate medical treatment.Objective: The main objective is to gain knowledge, attitude andpractice towards burn patients admitted to Madina Hospital between October 2017 and October 2018.Methods: Throughout the study,researchers utilized both quantitative and qualitativemethods of data collection which were achieved from patients included in the study. A briefintroduction was made to the respondents before distributing the questionnaires with the explanation about thesignificance of the study.Results: 404 participants had been included in the study of which were divided into two groups such as ‘case’ (n=202) and ‘control’ (n=202) groups of each having equal number of patients. Burn injuries had beenfound most frequent in children less than 4 years of age (42.6%), and secondlyingadults between 20 and 40 years of age (38.6%). The male-female ratio had been found similar. Significant risk factors regarding burn injuries were such as; low level of education (OR=2.32, 95% CI: 1.28- 4.22, p<0.005),kerosene usage for cooking (OR=1.935; 95% CI:1.303–2.874, p<0.005) and lack of knowledgeconsideringprevention andsafety (OR=1.885, 5% CI:1.559-2.279, p<0.005).Conclusion: Ways of tackling the hazards posed by fire and othercauses of burns in homes, institutions and all work places should be taught in primary, secondary and tertiary levels of education. Low level of education as a risk factor for burns is a complex issue involving communities, non-governmental organizations and government. Theministry of education should incorporatehealth education in the curriculum of primary and secondary schools.International Journal of Human and Health Sciences Vol. 03 No. 04 October’19 Page : 218-222

Dealing With Burn Patients in War Zones

2020 ◽  
pp. 1-5
Author(s):  
Antonios Koutras ◽  
Athanasios Syllaios ◽  
Ioannis Tsilikis ◽  
Georgios Kalinterakis ◽  
Prokopis-Andreas Zotos ◽  
...  
Keyword(s):  
Literature Search ◽  
Medical Personnel ◽  
Burn Injuries ◽  
Human Suffering ◽  
Burn Patients ◽  
Scientific Journals ◽  
Governmental Organizations ◽  
Non Governmental Organizations ◽  
War Zones ◽  
Over Time

ABSTRACT Objective: Treating burn patients in the battlefield is one of the biggest challenges that military doctors and medical personnel can face. Wound patterns have been changed over time due to the introduction of new weapons, and many different aspects play a major role in the management of those burns nowadays. There is a potential gap in care of burn patients in war zones. Methods: A thorough literature search in PubMed, scientific journals, and Internet sites was conducted in regard to burn patients and trauma in war zones. Results: It is crucial for military surgeons to be able to stabilize burn patients during wartime conflicts, especially those patients who suffer from extreme burn injuries, as specialized treatment should be given. Medical personnel should be aware of all medication types used, the ways to minimize the risk of bacterial infection, and the ways to keep the injured safe. Conclusions: Injured civilians with burn trauma in the field of battle are deserving care, and special recognition should be given to the non-governmental organizations (NGOs) that strive to ease human suffering in war zones. Proper management of burn patients in war zones is crucial, and military medical staff and NGOs can play a key role in that purpose.

scholarly journals Kawasaki syndrome: the Iranian experience

2001 ◽  
Vol 7 (1-2) ◽  
pp. 16-25 ◽  
Author(s):  
E. Sadeghi ◽  
R. Amin ◽  
G. H. Ajamee
Keyword(s):  
Clinical Evidence ◽  
Significant Risk ◽  
Kawasaki Syndrome ◽  
C Reactive Protein ◽  
Female Ratio ◽  
Reactive Protein ◽  
Male Female Ratio ◽  
Infection And Inflammation ◽  
Islamic Republic Of Iran ◽  
Artery Disease

Experience with 50 cases of Kawasaki syndrome in the Islamic Republic of Iran is presented. The syndrome occurred mostly in winter and spring with a 2.1: 1 male: female ratio. In 72% of cases, the disease occurred between 1 and 5 years of age, and 80% had an antecedent viral or bacterial illness. Eight patients [16%] had microbiological evidence of infection and 19 [38%] had clinical evidence. Five patients had clinical and radiological evidence of sinusitis. Leukocytosis, neutrophilia, bandaemia, elevated erythrocyte sedimentation rate, positive C-reactive protein, reversed albumin/globulin ratio and increased antistreptolysin O titre were other indications of infection and inflammation. Male gender, prolonged fever, white blood cell count > 15, 000/mm3 and absolute granulocyte count > 10, 000/mm3 were significant risk factors for the development of coronary artery disease [10 patients].

scholarly journals Trends in Burn Injuries in Northern Israel During the COVID-19 Lockdown

2020 ◽  
Author(s):  
Dani Kruchevsky ◽  
Maher Arraf ◽  
Shir Levanon ◽  
Tal Capucha ◽  
Yitzchak Ramon ◽  
...  
Keyword(s):  
Pediatric Population ◽  
Age Groups ◽  
Temporal Variations ◽  
Burn Injuries ◽  
Burn Patients ◽  
Outbreak Period ◽  
Number Of Patients ◽  
Study Results ◽  
Period Data ◽  
Spread Of Infection

Abstract Coronavirus disease 2019 obliged many countries to apply lockdown policies to contain the spread of infection. The restrictions in Israel included limitations on movement, reduction of working capacity, and closure of the educational system. The present study focused on patients treated at a referral center for burns in northern Israel. Their goal was to investigate temporal variations in burn injuries during this period. Data were retrospectively extracted from the medical records of burn patients treated at our hospital between March 14, 2020 and April 20, 2020 (ie, the period of aggravated lockdown). Data from this period were compared with that from paralleling periods between 2017 and 2019. During the lockdown and paralleling periods, 178 patients were treated for burn injuries, of whom 44% were under 18. Although no restrictions were enforced during the virus outbreak period with regard to seeking medical care, we noticed a decrease in the number of patients admitted to the emergency room for all reasons. Of particular interest was a 66% decrease in the number of adult burn patients (P &lt; .0001). Meanwhile, among the pediatric population, no significant decrease was observed. Nonetheless, subgroups with higher susceptibility to burn injuries included children aged 2 to 5 years (56.3% vs 23.8%, P = .016) and female patients from all pediatric age groups (57.1% vs 25%, P = .027). These findings may be explained by the presumably busier kitchen and dining areas during the lockdown. Overall, the study results can assist with building a stronger understanding of varying burn injuries and with developing educational and preventive strategies.

Preliminary Investigation into the Role of Physiotherapists in Disaster Response

2007 ◽  
Vol 22 (5) ◽  
pp. 462-465 ◽  
Author(s):  
Rosalind M. Harrison
Keyword(s):  
Disaster Response ◽  
Potential Role ◽  
Preliminary Investigation ◽  
The United States ◽  
Multiple Roles ◽  
Burn Patients ◽  
Telephone Interviews ◽  
Governmental Organizations ◽  
Non Governmental Organizations

AbstractIntroduction:Increasingly, disasters and disaster response have become prominent issues in recent years. Despite their involvement, there have been almost no investigations into the roles of physiotherapists in emergency disaster responses.Additionally, physiotherapists are not employed in emergency disaster response by many of the principal non-governmental organizations supplying such care, although they are included in military responses in the United States and United Kingdom, and in Disaster Medical Assistance Teams in the US.This paper, based on a small qualitative study, focuses on the potential role and nature of input of physiotherapists in disaster response.Methods:A qualitative approach was chosen due to the emergent nature of the phenomenon. Four physiotherapists, all of whom had been involved in some type of disaster response, agreed to participate. Semi-structured telephone interviews were used to explore participants' experiences following disaster response, and to gain ideas about future roles for physiotherapists. Interviews were recorded, transcribed, and later analyzed using coding and categorization of data.Results:Four main themes emerged: (1) descriptions of disasters; (2) current roles of the physiotherapist; (3) future roles of physiotherapists; and (4) overcoming barriers. Although all four physiotherapists had been ill-prepared for disaster response, they took on multiple roles, primarily in organization and treatment. However, participants identified several barriers to future involvement, including organizational and professional barriers, and gave suggestions for overcoming these.Conclusions:The participants had participated in disaster response, but in ill-defined roles, indicating a need for a greater understanding of disaster response among the physiotherapy community and by organizations supplying such care. The findings of this study have implications for such organizations in terms of employing skilled physiotherapists in order to improve disaster response. In future disasters, physiotherapy will be of benefit in treating and preventing rescue worker injury and treating musculoskeletal, critical, respiratory, and burn patients.

scholarly journals Outcome of Injection Sclerotherapy for First Degree and Second Degree Haemorrhoids– A Study of 50 Cases

2016 ◽  
Vol 12 (2) ◽  
pp. 98-101
Author(s):  
Md Ershad Ul Quadir ◽  
Md Mahbubur Rahman ◽  
Md Tanvirul Islam ◽  
SM Shakhawat Hosssain
Keyword(s):  
Symptomatic Relief ◽  
Digital Rectal Examination ◽  
Cost Effective ◽  
Armed Forces ◽  
Injection Sclerotherapy ◽  
Female Ratio ◽  
Medical College ◽  
Number Of Patients ◽  
Male Female Ratio ◽  
Second Degree

Introduction: Haemorrhoid is the frequent problem in clinical practice of general surgery. Haemorrhoids are dilatation and tortuosity of rectal veins affecting almost 4.5% of the population. Various operative and non operative therapeutic options are in practice to treat haemorrhoids, yet none has been proven cent percent effective. Sclerotherapy is a simple, safe and cost effective procedure that is widely practiced globally to treat haemorrhoids. Many sclerosants are being used with variable efficacies. Objective: To evaluate the outcome of injection Sclerotherapy in first degree and second degree haemorrhoids. Materials and Methods: Fifty patients of both gender having haemorrhoids who attended Outpatient Department (OPD) at BNS Patenga from September 2013 to August 2014 were included in this study. On the basis of history, patients were selected for Digital Rectal Examination (DRE) and proctoscopic examination to confirm the diagnosis. Sclerotherapy was repeated at interval of 6 weeks till symptomatic relief was achieved. Maximum 3 sittings of sclerotherapy were given. Patients were followed up at 3 months interval for 1 year. Results: This prospective study was conducted on 50 cases of first degree and second degree Haemorrhoids. The highest number of patients 21(42%) were in the age group of 21-30 years with majority 38(76%) being male. Male female ratio was 3.16: 1. All the patients presented with painless per-rectal bleeding. Satisfactory results were observed in 29(58%) patients of whom 20(40%) patients were having first degree haemorrhoids and 9(18%) patients were having second degree haemorrhoids. Sclerotherapy was more effective in first degree compared to second degree haemorrhoids patients. Conclusion: Injecting Sclerotherapy is a suitable office procedure for treatment of haemorrhoids. The method is easy, convenient, cheap, well accepted and comfortable for patient. More or less there are no complications and the result is also satisfactory. Journal of Armed Forces Medical College Bangladesh Vol.12(2) 2016: 98-101

PREVALENCE OF CARCINOMA GALLBLADDER IN PATIENTS OF CHOLELITHIASIS

2021 ◽  
pp. 1-3
Author(s):  
Mishra Braja Mohan ◽  
Mishra Sandeep ◽  
Bedbak Biswajeet
Keyword(s):  
Open Surgery ◽  
Histopathological Examination ◽  
Gall Stone ◽  
P Value ◽  
Age Group ◽  
Female Ratio ◽  
Carcinoma Gallbladder ◽  
Number Of Patients ◽  
Male Female Ratio ◽  
Surgery Department

Gall stone is the most common risk factor for carcinoma gall bladder. The aim of this study nds out the prevalence of malignancy in patients with Cholelithiasis. All the radiologically diagnosed cased of cholelithiasis underwent surgery were taken into consideration. All the cases of cholelithiasis operated of in General Surgery Department of VSSIMSAR, Burla were considered for study. The diagnosis conrmed by Ultrasonography /MRCP in Department of Radio diagnosis. Total numbers of patients operated are 347, out of which 279 undergone laparoscopic surgery, 58 cases undergone open surgery and 10 cases converted from laparoscopic to open surgery. Most number of patients belongs to age group 31-40, consisting of 32.85% of total number, followed by age group 41-50, and consisting of 25.07%. A female patient constitutes about 77.81 % of total number. Male: female ratio is 1: 3.5. The mean age of the patients of study group is 41 .71. Mean age of female patients is 41.09 and male is 43.88, p value 0.072 (no signicant deference between mean of female and male). The excised specimens sent for histopathological examination in Department of Pathology, VSSIMSAR, Burla. Out of 347 cases nine cases found to have carcinoma specically adenocarcinoma of gallbladder.

Epidemiologic Pictures of Kawasaki Disease in Japan: From the Nationwide Incidence Survey in 1991 and 1992

PEDIATRICS ◽  
1995 ◽  
Vol 95 (4) ◽  
pp. 475-479 ◽  
Author(s):  
Hiroshi Yanagawa ◽  
Mayumi Yashiro ◽  
Yosikazu Nakamura ◽  
Tomisaku Kawasaki ◽  
Hirohisa Kato
Keyword(s):  
Kawasaki Disease ◽  
Disease Onset ◽  
Incidence Rates ◽  
Descriptive Epidemiology ◽  
Female Ratio ◽  
Number Of Patients ◽  
Yearly Incidence ◽  
Male Female Ratio ◽  
History Of ◽  
Questionnaire Form

Objective. Since 1970, twelve nationwide epidemiologic surveys of Kawasaki disease (KD) have been conducted throughout Japan every two years to describe KD in Japan. By the end of 1992, a total of 116 848 cases were reported. This paper summarizes the statistical analysis of the latest survey for the 2-year period from January 1991 through December 1992. Method. A questionnaire form and diagnostic guidelines for KD were sent to all pediatric departments of hospitals with 100 or more beds throughout Japan and information was obtained on patients with KD diagnosed during the 2-year period from January 1991 through December 1992. Results. The summary of the results is: 1) the number of patients reported was 11 221 (6604 males and 4617 females; male/female ratio = 1.43) with a yearly incidence rate of 90 per 100 000 children &lt;5 years old; 2) the monthly number of patients was higher in winter and summer, although the monthly difference was not marked; 3) age-specific incidence rates showed a unimodal peak at 1 year of age; 4) the proportion of patients with a family history of KD in a sibling was 1%; 5) the proportion of recurrent patients was 3%; 6) the proportion of patients with cardiac sequelae 1 month after disease onset was 13%; and 7) the number of patients who died was 9, which conforms to 0.08% of total patients. Conclusion. The incidence rates of KD in Japan are ten times higher than those reported in western countries and almost constant over 6 years. The descriptive epidemiology of the disease, which supports the infection theory, does not change for years.

scholarly journals Prevalence of IgG4-Related Disease in Japan Based on Nationwide Survey in 2009

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Kazushige Uchida ◽  
Atsushi Masamune ◽  
Tooru Shimosegawa ◽  
Kazuichi Okazaki
Keyword(s):  
Confidence Interval ◽  
Autoimmune Pancreatitis ◽  
Retroperitoneal Fibrosis ◽  
Disease Onset ◽  
Nationwide Survey ◽  
Female Ratio ◽  
Related Disease ◽  
Igg4 Related Disease ◽  
Number Of Patients ◽  
Male Female Ratio

The number of patients with autoimmune pancreatitis who visited hospitals in Japan in 2007 was approximately 2709 (95% confidence interval; range 2540–3040). Because IgG4-related disease is a new clinical entity, there are no data with regard to its prevalence. To estimate the number of patients with IgG4-related disease in Japan, we randomly selected hospitals using stratification and asked them how many patients they had with IgG4-related disease in 2009. The number of patients with Mikulicz’s disease, IgG4-related retroperitoneal fibrosis, IgG4-related renal disease, IgG4-related pulmonary disease, and IgG4-related lymphadenopathy who visited hospitals in Japan in 2009 was approximately 4304 (95% confidence interval; range 3360–5048), 272 (95% confidence interval; range 264–306), 57 (95% confidence interval; range 47–66), 354 (95% confidence interval; range 283–424), and 203 (95% confidence interval; range 187–240), respectively. The total number of patients with IgG4-related disease without autoimmune pancreatitis in Japan was approximately 5190 (95% confidence interval; range 4141–6084). The male : female ratio was 1 : 0.77, and the average of age of disease onset was 58.8 years. The total number of patients with IgG4-related disease in Japan in 2009, including autoimmune pancreatitis, was approximately 8000.

scholarly journals Etiology and Outcome of Burns in Tabriz, Iran an Analysis of 2963 Cases

2005 ◽  
Vol 94 (1) ◽  
pp. 77-81 ◽  
Author(s):  
H. Maghsoudi ◽  
A. Pourzand ◽  
G. Azarmir
Keyword(s):  
Incidence Rates ◽  
Inhalation Injury ◽  
Burn Injuries ◽  
High Rate ◽  
Female Ratio ◽  
Burn Victims ◽  
Burn Center ◽  
Major Burn ◽  
Male Female Ratio ◽  
The Mean

Background and aims: Burn injuries still produce a significant morbidity and mortality in Iran. A 3-year retrospective review of burn victims hospitalized at a major burn center was conducted to determine the etiology and outcome of patients in Tabriz. Material and Methods: Two thousand nine hundred sixty + three patients were iden tified and stratified by age, sex, burn size, presence or absence of inhalation injury, cause of burn. There is one burn center in the East Azarbygan province serving 3.3 million people over an area of 47,830 sq.km. Results: The overall incidence rates of hospitalization and death were 30.5 % and 5.6 % per 100000 person years. The mean patient age was 22 years, and the male: female ratio was 1.275. There were 555 deaths altogether (18.7 %). The highest incidence of burns was in the 1–9 age group (29.2 %). Patients with less than 40 percent of burned surface constituted 79.8 % of injuries. The most common cause of burns was kerosene accident in adults and scald injuries in children. The mean length of hospitalization was 13 days. The mean body surface area burned was larger with higher mortality in females than in males (p < 0.001). Inhalation injuries were strongly associated with large burns and were present in all flame-burn fatalities. Conclusion: In our opinion, social factors are the main drive leading to an unacceptably high rate of burn injuries in our societies. Most of the burn injuries were caused by domestic accidents and were, therefore, preventable; educational programs might reduce the incidence of burn injuries.

scholarly journals Surgical Outcome of Isolated Extradural Hematomas Operated in a Teaching Hospital in Western Nepal

2019 ◽  
Vol 16 (1) ◽  
pp. 21-24
Author(s):  
Balgopal Karmacharya ◽  
Nikunja Yogi ◽  
Benju Pun
Keyword(s):  
Head Injury ◽  
Teaching Hospital ◽  
Injury Severity ◽  
Motor Vehicle ◽  
Age Groups ◽  
Female Ratio ◽  
Vehicle Accidents ◽  
Time Period ◽  
Number Of Patients ◽  
Male Female Ratio

The aim of this determine the causes, frequency, location of isolated extradural hematomas in patients presenting with head injury and to find out the outcome of surgery in such patients. This is prospective observational study was conducted in the Neurosurgery Unit of Manipal Teaching Hospital from January 2012 to January 2017. All patients who presented with headinjury and had isolated extradural hematomas were included in the study. Total number of patients admitted with diagnosis of extradural hematomas during that time period was 169 among which 94 patients underwent surgical treatment. Descriptive statistics data including age, gender, causes of injury, severity of head injury and Glasgow outcome scale were studied. Results in proportion and percentages were calculated by using Microsoft Excel 2013. There were 169 patients who had isolated extradural hematomas. Among them, 75 patients were managed conservatively and 94 underwent craniotomy for evacuation of hematoma. This group of 94 patients who operative treatment was taken for this study. Male: female ratio was 1.6:1. Mean age was 23 years. Most of patients were in 20-40 age groups. Causes of extradural hematomas included motor vehicle accidents, falls and assaults. Mild and moderate head injury was present in 53 (56.38%) and 32 (34.0%) patients. Seventy nine patients (84.05%) of patients had good recovery while 3 (3.19%) patients expired.

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