STUDY OF PEDIATRIC INJURIES: PATTERNS AND OUTCOME

Author(s):  
Yasir. B. Elshambaty

Purpose this study aims to show the patterns and outcome of pediatric injury among those living in Albaha region in Saudi Arabia Methods this is a cross-sectional descriptive household-based study, included children between 0-17 years old both male and female. The data were collected with structured questionnaire between 20 Nov – 20 Dec 2018 and  analyzed with SPSS version 25 Results the total of participants was 257 injured child. 199(77.4%) are male and 58(22.6%) are female. About 44%of them were injured at pre-school level and 56% were traumatized at school age. The least incidence of injury occurred in those less than 2 yrs and higher incidence in those between 3-10 yrs old. The most common mechanism of injury was falling from height. The most affected group age by RTA accidents was 11-17 yrs old. Approximately 83% of the injured children required hospital management. Only one third of the injuries were  associated complications. The most common injured anatomic part was the upper limb and the least affected part was the spine. Only 5% of the injuries were associated with a disability and the common was loss of organ or part of it. Paralysis occurred in less than 1% and head injury resulted in disabilities more than 1%. Conclusion the vast majority of the injuries in our participants are not serious. The severe injuries were associated with RTA-related trauma. Most of injuries due to falling from height are not serious. We recommend not to allow the children to drive cars. Keywords: pediatric injuries; injury patterns; household.

2021 ◽  
Vol 54 (2) ◽  
pp. 167-171
Author(s):  
Romana Awan ◽  
Muhammad Faisal ◽  
Muhammad Asad Bilal Awan ◽  
Samra Khan ◽  
Kanwal Aamir ◽  
...  

Objectives: The objective of this study was to determine the level of adherence and possible barriers to secondary prophylaxis among patients with Rheumatic heart disease (RHD). Methodology: It is a cross-sectional study conducted at the largest tertiary care cardiac center of Karachi, Pakistan. We included patients with RHD, based on transthoracic echocardiography and adherence to the secondary prophylaxis and possible barriers were assessed using a structured questionnaire. Results: Among total of 195 patients 66.7% (130) were female, mean age was 32.25 ± 13.78 years. Rural residents were 51.3% (100) and 59.5% (116) of the patients were illiterate. Benzathine Penicillin injection was prescribed to 56.4% (110) patients, out of them 70.0% (77) of the patients were counseled regarding duration of secondary prophylaxis. The most common reason for non-adherence was reported to be a painful injection (19.1%). Conclusion: Majority of the RHD patients are not being prescribed and effectively counseled regarding secondary prophylaxis. Low adherence to the secondary prophylaxis was observed and the common reasons for non-adherence were painful injection, non-availability of nearby health facility, friends/family advising them otherwise, allergic reaction, and patients feeling sick and unable to take injection.


2021 ◽  
Vol 15 (1) ◽  
pp. 384-390
Author(s):  
Tina Puthen Purayil ◽  
Kalyana-Chakravarthy Pentapati ◽  
Vidya-Saraswathi Muliya ◽  
Srikanth Gadicherla ◽  
Rajasekhar Nutalapati

Objective: To evaluate the common dental emergencies reported to dental practitioners and to compare the mitigation strategies implemented during the Shelter-In-Place (SIP) warning with dental practitioners’ age and sex. Methods: We conducted a cross-sectional online survey among the dental practitioners of south India during the period of COVID-19 SIP warning. An initial pool of items was prepared to capture the mitigation strategies in managing local dental emergencies. A structured questionnaire was then prepared in English based on the inputs of four expert dentist panel. Age and sex of the practitioners were also recorded. Results: The mean age of the dental practitioners was 37.11(range: 23 - 63) years.Of 159 dental practitioners that responded to survey, 90 were male. Most dental practitioners responded that they were contacted through a phone call (n=140) and WhatsApp messaging (n=108). The common dental emergencies reported were tooth pain (100%), swelling (91.7%), a decayed tooth (81.3%), and gum pain (78.6%). A higher number of male than female dental practitioners had “scheduled the treatment immediately” (OR=3.45; P=0.002) after adjusting for age. Conclusion:The most common dental emergencies during COVID-19 SIP were tooth pain, swelling, decayed teeth, and gum pain. Males and older dental practitioners scheduled appointments immediately.


2019 ◽  
Vol 14 (1) ◽  
pp. 69-72
Author(s):  
Mohammed Sharfaraz Hyder ◽  
Farzana Zafreen ◽  
Khandaker Rokshana Akhter ◽  
Abu Noman Mohammed Moshleh Uddin ◽  
Md Abdul Wahab

Introduction: Physical training and physical fitness are required to accomplish military missions. Injuries have a great impact on the health and readiness of the military personnel than any other category of medical complaint. Objective: To find out the common types of injuries, causes of injury and place of occurrence among the Bangladesh Armed Forces personnel during their military activities. Materials and Methods: This cross-sectional descriptive study was carried out during the period of March to June 2012. A total of 101 serving Armed Forces Personnel who had injured during military activities and received indoor treatment from orthopedic, surgery, neurosurgery and officers’ ward of CMH, Dhaka were selected. Data were collected in a semi-structured questionnaire through face to face interview. Results: The mean age of the study populations were 31.69 ± 6.7 years and ranged from 18 to 45 years. Among the cases, 83.2% were Army personnel, 9.9% were Navy and 6.9% were from Air Force. Most of the affected cases (55.5%) belonged to fighting arms, 19.8% from support arms and 5.0% from services arms. Maximum (26.7%) cases suffered from knee injury followed by 23.8% vertebral column related injury and 11.9% lower leg injury. Maximum (40.6%) cases sustained injury in training ground followed by 29.7% in the sports ground and 6.9% in operation area. Conclusion: Injury is one of the major causes of morbidity among the members of Armed Forces. Careful study and analysis on training and operational activities of Armed Forces Personnel definitely will explore new dimension to prevent and combat this preventable health burden. Journal of Armed Forces Medical College Bangladesh Vol.14 (1) 2018: 69-72


2012 ◽  
Vol 68 (3) ◽  
Author(s):  
T. Pillay ◽  
J.M. Frantz

This study aimed to establish baseline data for injury prevalence,mechanism of injury, injury severity and management of injuries in netball playersin South Africa. A cross sectional descriptive design was employed to collect databy means of a questionnaire in 2010. Participants consisted of 254 netball playerswho participated in a netball tournament. Permission was obtained from all therelevant organizations and informed consent obtained from the participants. Thegeneral injury rate was 61.8% with an injury rate of 1.9 injuries per player forthe past season. The most commonly injured structures were the ankle 37.5 % andthe knee 28.6% with the most common mechanism of injury being landing, 19% and 29% respectively. Of those whosustained injuries, 86 (44%) of the injured athletes’ sustained severe injuries, 31(16%) sustained moderate injuriesand 78 (40%) sustained mild injuries. 67% of players reported they were able to continue with the game and 33%received medical assistance losing game and training time. The most common form of management accessed wasphysiotherapy, which accounted for 31%. It is evident that the ankle and knee injury rates amongst South Africannetball players are high in comparison to other netball playing nations. Injury surveillance is an integral part ofdeveloping preventative measures. The article lays a platform for developing these strategies against the backdrop ofits findings and comparison with other authors.


Author(s):  
Rutu Sanjaybhai Buch ◽  
Shailee N. Vyas ◽  
Mohua Moitra

Background: Academic examinations have been considered as one of the acute stresses experienced by students. Passing or failing has strong consequences, so examinations cause psychological stress for most students. This study designed to document stressors and anti-stressors related to exam and quantify the stress.Methods: A cross sectional study using purposive sampling was carried out involving 387 secondary and higher secondary school students. Beck Anxiety Inventory (BAI) and semi-structured questionnaire was used to collect data.Results: Among the respondents, 76.7% felt that exams should be taken. Worry (46.8%); fear of forgetting (24.3%), nervousness (14.7%) and fear (10.1%) were the common stressors. Exams were a positive opportunity to prove their mettle was shared by 23.3% students. Stress level was constant among 50.9% of participants irrespective of the level of their preparation. MCQ (51.2%) was the preferred examination pattern. In majority (74.4%) failing equated obtaining less marks. Fear of failing existed among 46.5% participants. Mean score for BAI was 10.15 with participants falling into mild (92.7%), moderate (6.5%) and severe (0.8%) stress categories. A total of 68% students felt that these stresses can be reduced. Preferred way to relax was talking to friends (55.6%), listening to music (53.5%) and watching TV (47%). Most helpful person was the mother (39%). Parental reaction to stress was generally supportive (63.6%). Professional counselling was taken by 2.6% students.Conclusions: Exams were associated with worry, nervousness and fear. Fear of failure added to this stress. However, parents were generally supportive. Mean BAI score was 10.15. 


Author(s):  
T. A. T. Salami ◽  
E. Irekpita ◽  
A. Emorinken ◽  
T. I. A. Oseni ◽  
A. A. Akinkugbe ◽  
...  

Background: The practice of inflicting cuts (incisions) on the anterior abdominal wall to treat splenomegaly of various causes is a very common one in some parts of Edo State, Nigeria. Such incisions may result in several complications including sepsis (especially in children who are the major targets); massive blood loss leading to symptomatic anemia that may require blood transfusions or lead to death and massive keloidal growth as sequelae in some of the patients. This practice is a long-term practice of the Esan people of the central part of Edo State Nigeria. This study aims to identify the factors that continue to make this practice attractive to members of the community, the common complications encountered, and how to develop an advocacy tool for health education and promote the health-seeking behavior of the populace. Methods: This was a prospective community based cross-sectional descriptive study that was conducted in all the 5 Esan speaking local government areas of Edo State where this practice is very common. The study was done between January 2017 and June 2018. Participants were interviewed using a structured questionnaire by previously trained researchers, after pretesting and validation. The questionnaire was administered on 700 adults, however, 500 were returned. The data obtained were summarized as frequencies and percentages. Results: The majority of the participants were middle-aged. Ninty-five percent (95%) of respondents were aware of the practice of abdominal scarification and 80% of them think it is effective. It was mainly carried out by herbalists in 95% of the respondents. Half of the respondents were unaware of any complications associated with the procedure. Conclusion: Abdominal scarification is a common practice among the Esan people of south-south Nigeria. They believe it's effective, affordable, and risk-free. This is despite the availability of effective alternatives in orthodox medicine. There is, therefore, a need for advocacy and health education considering the dangers and complications associated with the practice.


2014 ◽  
Vol 11 (3) ◽  
pp. 219-223
Author(s):  
SB Singh ◽  
S Bhattarai ◽  
IS Paudel ◽  
VK Khanal ◽  
A Ghimire

Background: Breastfeeding provides unique nutritional, immunological, psychological, child spacing benefits besides being cost effective. Childhood malnutrition remains the common health problem in developing countries. Koeri community, an occupational caste resides mainly in Terai region of Nepal. Adherence to breastfeeding recommendations in many areas of our country is not satisfactory. Objective: To find out breastfeeding practices among mothers in Koeri community in Inaruwa of Sunsari district. Methods: A cross-sectional study was carried out in Koeri community of Inaruwa Municipality. Total of 205 households were visited in two wards of Inaruwa Municipality to enroll 36 eligible mothers of the community in the study. Verbal consent was obtained. Data was collected by interview technique using semi structured questionnaire and observation of breast feeding. Proportion and percentage were calculated. Results: Meheta, Mahato, Khuswaha, Singh and Kamat castes constituted the Koeri community. They were occupationally involved in farming specially producing vegetables. Ninety-four percent newborns were colostrums fed. Breastfeeding was initiated within half an hour by around 30% of the mothers. Prevalence of exclusively breastfeeding mothers up to six months were 38.9%. Nearly 14% mothers initiated partial breastfeeding before their babies reached to 4 years. Attachment and positioning of babies during breastfeeding was found satisfactory among 54.2% and 29.2% of mothers respectively. Conclusion: Though colostrums feeding to babies is common among the Koeri community, partial breastfeeding is practised before the babies reach four months of age. DOI: http://dx.doi.org/10.3126/hren.v11i3.9635 Health Renaissance 2013;11(3):219-223


Author(s):  
Savita S. Patil ◽  
Jayashree S. Seeri ◽  
Narayana Swamy D. M.

Background: Free health camp is an important means to cater health services to the needy people in an underdeveloped county like India with difficult geographical terrain. The objective of this study was to assess the morbidities of patients attending the free health camp in Ramanagara District, Karnataka.Methods: A cross sectional descriptive study was conducted at free health camp in Jogaradoddi, Ramanagara District, Karnataka, by the staff and interns of department of community medicine of a medical college. All the individuals who attended the camp were included in the study. Patients who attended the health checkup camp were assessed for morbidity. Data collected by semi structured questionnaire was entered into Microsoft Excel and analyzed using SPSS version-17.0.Results: A total of 123 patients visited the health camp, among them 68(55.28%) of them were males and 55 (44.71%) were females. 41 (33.8%) were in the age group of 21-30 years. Majority were skilled workers with 30(26.1%), 18 (15.7%) were unemployed and only 1 (0.9%) were  professionals .About 47 (46.1%) had normal body mass index, 26 (25.5%) were overweight, 10 (9.8%) were obese and 19 (18.6%) were underweight. It was observed that diseases with musculoskeletal system and gastrointestinal system were reported among 35 (28.5%) and 20 (16.3%) of the attendees respectively, 9 (7.7%) individuals presented with hypertension, 6 (5.5%) with diabetes mellitus.Conclusions: The study helped identify the common diseases in the selected area, improve the health, provide counselling and create awareness at the community level.   


2016 ◽  
Vol 2 (1) ◽  
pp. 62-78
Author(s):  
. Hemraj ◽  
Raj Kumar ◽  
Sourabh Kosey ◽  
Amit Sharma ◽  
Nalini Negi

To determine the most common physical side effects experienced by local chemotherapy patients. Their perceptions of these side effects and informational needs from clinical pharmacists were also evaluated. This was a single center, observational cross-sectional study conducted at department of General Surgery, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab. A face to face interview was conducted. Information collected included chemotherapy related side effects after last chemotherapy experience, the most worrisome side effects, overlooked by healthcare professionals and the preferred method, amount and source of receiving related information. In this study, hundred patients were enrolled out of them 48 were male and 52 were female. When differential calculations was done, common side effects or adverse effects of chemotherapy in the patients of breast, lung cancer, Ovarian Cancer, Colon cancer, Prostate cancer, Lymphoma Cancer, Cervix cancer where there is much irregular medicine intake 57.4% may be due to common problem of joint pain reported by all the patients under study, with the consecutive problem of nausea and vomiting. The high prevalence of chemotherapy related side effects among local patients is a major concern and findings of their perceptions and informational needs may serve as a valuable guide for clinical pharmacists and physicians to help in side effect management. This study shows the common problems reported by the patients when they are suffering from cancer condition, according to their incidence perceptions as experienced by the patient, this will allow the physician and clinical pharmacist to effectively counsel and manage the common symptoms as reported prior to its occurrence in the patient, so that withdrawal can be checked.


Author(s):  
Amsalu Birara Melese ◽  
Alemtsehay Alemu Tesema ◽  
Amare Simegn

Abstract Background: Injuries are very common now a day and can occur at any point of time in a day to day life. Among them, injuries in school children rank a major part. The objective of this research to evaluate knowledge, attitude and practice towards first aid and factors associated among kindergarten teachers. Methods: Institutions based cross-sectional quantitative study design was employed. The study was conducted in Bahir dar town, Amhara region, Ethiopia from March to May 2017. A Pre-tested and structured questionnaire was used to collect data. Binary and multivariate logistic regression analysis was used to determine the separate and confounding effect for variables. Result: A total of 173 respondents were interviewed with a response rate of 93%. From the total respondents 97 (56.1%) scored above mean for knowledge question, In particular, subjects lacked knowledge regarding first aid for Human/animal bite (60.1%) was not answered correctly. Regarding practice out of all respondents, 128(74%) had faced the child in need of first aid. About attitude, all respondents (100%) felt good attitude towards giving and learning first aid. Service year (AOR=8.6, 95%CI0.035-0.399) and previous first aid training (AOR=2.5, 95%CI 1.138-5.570) were found to have a significant association with knowledge of first aid. Conclusion: The knowledge of kindergarten teachers towards first aid were found to be low while they have the good attitude towards giving first aid and receiving training on first aid. It remains necessary to increase their actual first aid knowledge and skills.  


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