scholarly journals Epidemiologic Aspects of Spinal Cord Trauma Cases among Traffic Accident Victims

10.3823/2624 ◽  
2020 ◽  
Vol 13 ◽  
Author(s):  
Maria Aparecida De Freitas Silveira ◽  
Tatiana Farias Teódulo Palitot ◽  
Alessandro Leite Cavalcanti ◽  
Gláucia De Souza Abreu ◽  
Liege Helena Freitas Fernandes ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Spinal Injury ◽  
Spinal Injuries ◽  
Bivariate Analysis ◽  
Age Group ◽  
Spinal Cord Trauma ◽  
Cross Sectional ◽  
Male Predominance

Objective: To describe and analyze characteristics of cases of spinal cord Trauma (SCT) among traffic accident victims admitted to a referral hospital. Method: Descriptive, analytical, cross-sectional study with quantitative approach, developed in the city of Campina Grande, in the state of Paraíba, Brazil. The population consists of 1,884 medical records of patients admitted to hospital after damage caused by traffic accidents from January to December 2016. Data were analyzed using descriptive and inferential statistics, adopting a significance level of 5%. Results: Among the victims of traffic accidents, there was a male predominance (85.4%). The most affected age group was 21 to 30 years (29%). Accidents involving motorcyclists were predominant (82.9%) and 43 victims (2.3%) suffered spinal injury. Among these ones, there was a prevalence of males (86%), in the age group between 21 and 30 years (35.7%). In 30 cases (69.8%), the victims had spinal injuries. The cervical level (55.8%) was dominant. In addition, 46.7% of the victims were classified as ASIA and there were 9 cases (30%) of paraplegia and 1 case (3.3%) of tetraplegia. A bivariate analysis revealed a significant association between the variable presence of SCT and type of accident (p <0.001), use of cervical collar (p <0.005), injuries in other anatomical regions (p <0.001), surgical treatment (p < 0.001) and outcome of the patient’s situation (p <0.005). Conclusions: Among the victims of traffic accidents and SCT there was a predominance of males, young individuals and motorcyclists. Keywords: Epidemiology. Traffic-accidents. Public health. Spinal injuries. Spinal cord trauma.

scholarly journals Traumatic rib head subluxation through the intervertebral foramen causing spinal cord contusive injury in a cat

2020 ◽  
Vol 6 (1) ◽  
pp. 205511692092926
Author(s):  
Natalie Lisiewicz ◽  
Matthew Green ◽  
Mike Targett ◽  
Mark Lowrie
Keyword(s):  
Spinal Cord ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Spinal Injury ◽  
Intervertebral Foramen ◽  
Case Summary ◽  
Injury Treatment ◽  
The Right ◽  
Rib Head

Case summary A 4-year-old cat involved in a road traffic accident presented with paraparesis, which was worse on the right-hand side. Neurolocalisation was to the T3–L3 spinal cord segments. Survey radiographs showed rib fractures but no definitive diagnosis for the paraparesis. CT revealed fracture of the dorsal rim and a T9 rib subluxation through the intervertebral foramen at T8–T9. This caused a contusive spinal injury. Treatment consisted of rest and analgesia. The cat recovered well, with the owner reporting no abnormalities 5 months following the injury. Relevance and novel information Road traffic accidents are a common cause of injury in the cat population, with a significant number having thoracic injuries. These include rib injures such as fractures. This is the first reported case of a traumatic rib subluxation causing a contusive injury in the spinal cord of any species. Previously reported rib subluxations have been seen in humans with spinal deformities. Conservative management in this case was sufficient.

Skull and Face Injuries and Associated Factors in Pedestrian Victims of Traffic Accidents: A Single Trauma Center Analysis

2020 ◽  
Vol 2 (1) ◽  
pp. 53-59
Author(s):  
Josimara A. de Araújo Varela ◽  
Tatiana F.T. Palitot ◽  
Smyrna L.X. de Souza ◽  
Alidianne F.C. Cavalcanti ◽  
Alessandro L. Cavalcanti
Keyword(s):  
Medical Records ◽  
Associated Factors ◽  
Traffic Accidents ◽  
Age Group ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
The Face ◽  
Chi Square Test ◽  
The City

Objective: This study aimed to analyze the presence of lesions in the skull and face and the associated factors in pedestrian victims of traffic accidents. Methods: A cross-sectional, descriptive-analytical study carried out through the analysis of medical records of pedestrian victims of traffic accidents in an emergency service in the city of Campina Grande, Brazil, during the year of 2016. Information was collected regarding gender, age group, day of the week, time of the accident, type of vehicle involved, presence of trauma to the skull and face, and outcomes. The Chi-square and Fisher's Exact tests were used, with a significance level of 5%. Results: A total of 1,884 medical records were evaluated, out of which 7.1% (n = 133) involved pedestrians. Men were the most frequent victims (68.4%), and victims of age 60 years old or over (30.5%) predominated. Almost one-third of the cases were recorded during the weekends (30.5%), and the most prevalent time was at night (52.7%). Regarding the type of vehicle involved, motorcycles predominated (47.4%). Head trauma was present in 37.6% of victims, while facial injuries corresponded to 8.2%. In 12% of cases, the victims died. The variables of gender, age group, occurrence on weekends, and trauma to the face showed a statistically significant association with the occurrence of traffic accidents (Chi-square test; p<0.05). Conclusion: Among pedestrian victims of traffic accidents, there is a predominance of men aged 65 years or over. Accidents are frequent at night, and motorcycles are the main vehicles involved. The presence of trauma to the skull and face regions is high.

scholarly journals HUBUNGAN ANTARA KEPEMILIKAN SIM C DAN KEIKUTSERTAAN DALAM TES PEMBUATAN SIM DENGAN PENGETAHUAN BERKENDARA DAN KECELAKAAN LALU LINTAS DI KABUPATEN SIDOARJO

2018 ◽  
Vol 12 (2) ◽  
pp. 167 ◽  
Author(s):  
Fadilah Andy Nastiti
Keyword(s):  
Traffic Accident ◽  
Traffic Accidents ◽  
Cross Sectional Study ◽  
School Students ◽  
Chi Square ◽  
Cross Sectional ◽  
Middle Income ◽  
Exact Test ◽  
Driving License ◽  
The World

Traffic accidents are one of the biggest causes of death in the world. WHO states that 90% of deaths that caused by traffic accident in the world occur in low and middle income countries. Indonesia is ranked first with the highest percentage of deaths that caused by traffic accident in Asia. Most t raffic accidents involve motorcyclist with an average age of 15–29 years old. The purpose of this study is to determine the correlation between ownership of driving license and participation in driving license tests with driving k nowledge and t raffic accidents in h igh school students of Xi grade in Kabupaten Sidoarjo in 2017. This research was an observational analytic with cross sectional study design. The population of this study was all senior h igh school students of XI grade in Kabupaten Sidoarjo in 2017. The number of respondents was 204 students that drawn from the population by using two stage cluster random sampling method. Results of analysis using chi square and fisher’s exact test (α = 5%) indicate that the ownership of driving license (p = 0.259; RR 1.533) and participation in driving license test (p = 1.00; RR 0.586) did not have correlation with t raffic accidents in h igh school students of XI grade in Kabupaten Sidoarjo in 2017 and the ownership of driving license (p = 1.00; RR 1.008) and participation in driving license test (p = 1,00; RR 0.983) did not have correlation too with driving k nowledge in h igh school students of XI grades in Kabupaten Sidoarjo in 2017.

Spinal cord trauma by air gun projectiles in five cats

2018 ◽  
Vol XXIII (133) ◽  
pp. 64-84
Author(s):  
Bruno Martins Araújo ◽  
Marcela Maria de Almeida Amorim ◽  
Sérgio Diego Passos Costa ◽  
Nadyne L. F. Cardoso Rocha ◽  
Thays G. Rodrigues dos Santos ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Injury ◽  
Gunshot Wounds ◽  
Spinal Cord Trauma ◽  
Aerodynamic Design ◽  
Spinal Segment ◽  
Air Gun ◽  
Injury Treatment ◽  
Unusual Occurrence ◽  
Ballistic Projectiles

Spinal cord trauma induced by ballistic projectiles is considered uncommon in domestic animals, particularly in cats. Outdoor, and indoor-outdoor cats are at greater risk of receiving gunshot wounds. Despite their small size, moderate speed and poor aerodynamic design, projectiles from compressed air guns (pellet guns) can cause severe injury. Treatment and prognosis of animals presented with gun-related injuries can vary considerably, depending on the affected spinal segment location of the lesions, and extent of tissue damage. Due to the unusual occurrence, of this type of trauma in feline patients, the goal of this report is to describe the neurologic, radiographic, and surgical findings in five cats with spinal injury secondary to air gun projectiles.

Relationship between Age and Activities of Daily Living using Modified Shah Barthel Index on Stroke Patient in Chronic Phase

2020 ◽  
Vol 70 (6) ◽  
pp. 115-120
Author(s):  
Malika Sabrina Yunifananda ◽  
Widjajalaksmi Kusumaningsih
Keyword(s):  
Barthel Index ◽  
Chronic Phase ◽  
Chronic Stroke ◽  
Daily Activities ◽  
Bivariate Analysis ◽  
Age Group ◽  
Stroke Patients ◽  
Cross Sectional ◽  
Cross Sectional Design

Background: Stroke is the chief cause of long-term disability in the world. Predominantly, the disease is known as a degenerative disease on geriatrics age group, yet several studies have proven that incidence on productive ages are also increasing.  Objective: The study aimed to know whether there are any difference in Modified Shah Barthel Index (MSBI) score in different age group, geriatric and productive age group and to know independence score in daily activities based on age. Method: The study utilized the cross-sectional design and analytical observational method. Twenty five samples of chronic stroke patients was recruited and grouped into two groups productive and geriatric age group. MSBI score was calculated and compared between two groups.   Result: Bivariate analysis proves that there is a significant association between MSBI score and age of stroke patients on chronic phase (p=0.017). Discussion.  There is a significant association between age and MSBI score on stroke patients in chronic phase. Conclusion: There was a significance difference between productive and geriatric age with daily activities using MSBI in chronic stroke patients. The productive age group has a higher Modified Shah Barthel Index score than the geriatric age group.

An observational study of benign oral lesions in central India

2017 ◽  
Vol 3 (4) ◽  
pp. 816
Author(s):  
Prashant N. Keche ◽  
Nishikant P. Gadpayle ◽  
Surendra H. Gawarle ◽  
Gaurav A. Chamania
Keyword(s):  
Oral Cavity ◽  
Malignant Tumors ◽  
Early Stage ◽  
Minor Salivary Gland ◽  
Salivary Gland Tumor ◽  
Oral Lesions ◽  
Age Group ◽  
Cross Sectional ◽  
Male Predominance ◽  
Malignant Lesions

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">The oral mucosa serves as a protective barrier against trauma, pathogens and carcinogenic agents. It can be affected by a wide variety of lesions and conditions, some of which are harmless while others may have serious complications. The appearance of benign oral soft tissue masses can occasionally resemble malignant tumors. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">Present study is an observational and cross sectional study under taken in the Department of ENT in Shri Vasant Rao Naik Government Medical College, Yavatmal. All cases of benign oral lesions were included in the study and following cases were excluded: malignant oral lesions, immunocompromised state and benign Oral lesions due to systemic diseases.  </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Present study included 235 lesions of oral cavity which were clinically or histo-pathologically found to be benign in nature.<strong> </strong>Benign oral lesions were more commonly found in males with (70.2%) than females (29.8%), and M:F ratio was 2.3:1. most common benign oral lesions were found to be Oral Sub Mucus Fibrosis (26.8%) followed by Apthous ulcers (20.4%), Leukoplakia (18.3%) and Mucocele (17.1%). Least common benign oral lesions were found to be Minor Salivary Gland Tumor (MSGT) (1.7%) followed by Squamous Papilloma (2.1%), Ranula (2.1%) and Hemangioma (2.1). There was a male predominance in oral sub mucus fibrosis with M:F ratio of 9.5:1 followed by Leukoplakia with M:F ratio of 4.4:1. OSMF was found most commonly in 21-30 years age group with (57.1%). Followed by 11-20 years with (20.6%). No cases were found in ≤10 years, 51-60 and &gt;60 years age group. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Most of the benign oral lesions have a predilection to transform into malignant lesions therefore imperative to diagnose the pre malignant lesions of oral cavity in an early stage where appropriate treatment can be given.</span></p>

scholarly journals Spinal Injuries in Canadian Ice Hockey: Documentation of Injuries Sustained from 1943-1999

2004 ◽  
Vol 31 (4) ◽  
pp. 460-466 ◽  
Author(s):  
C.H. Tator ◽  
C.F. Provvidenza ◽  
L. Lapczak ◽  
J. Carson ◽  
D. Raymond
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injuries ◽  
Spinal Injury ◽  
Spinal Injuries ◽  
Ice Hockey ◽  
Common Mechanism ◽  
Cord Injury ◽  
Hockey Players ◽  
Rules Changes ◽  
Type Of Fracture

Objectives:Study objectives were: (a) to examine the causes and incidence of major spinal cord injuries sustained by ice hockey players; and (b) to add recently reported Canadian cases to the Canadian Ice Hockey Spinal Injury Registry to determine the effectiveness of prevention efforts.Methods:The study was a review of questionnaires returned retrospectively by physicians and other sources reporting ice hockey related spinal injuries in Canada. Physicians reported on the mechanism of injury, vertebral level of injury, presence of neurologic deficit, type of event, and type of fracture.Results:Between 1943 and 1999, 271 major spinal injuries were reported in Canadian ice hockey players, of which 49.0% occurred to players 16-20 years of age. Ontario has had a disproportionately large number of injuries compared to some provinces, especially Quebec. Of the spinal cord injuries, 65.8% resulted from colliding with the boards, and 36.6% were due to players being pushed or checked from behind. The recent survey shows that there has been a decline in the number of major spinal cord injuries in Canadian ice hockey, especially those causing paralysis due to checking or pushing from behind.Conclusion:Impact of the head with the boards after being checked or pushed from behind was the most common mechanism of spinal cord injury. Injury prevention programs are becoming effective in reducing the overall number of injuries, especially those due to checking from behind. Greater awareness of the occurrence and mechanisms of injury through educational programs and rules changes by organized hockey have reduced the annual incidence of catastrophic spinal injuries in Canadian ice hockey.

scholarly journals Assessment of immunization coverage and associated factors among children in Paravur Taluk of Ernakulam district, Kerala

2019 ◽  
Vol 6 (8) ◽  
pp. 3594
Author(s):  
Anuradha Kizhatil ◽  
Reshma . ◽  
Harsha Chollankil Hariharan ◽  
Alexander John ◽  
Ann Mary Thomas ◽  
...  
Keyword(s):  
Child Protection ◽  
Associated Factors ◽  
Immunization Coverage ◽  
Cost Effective ◽  
Cross Sectional Study ◽  
Bivariate Analysis ◽  
Cluster Sampling ◽  
Age Group ◽  
Cross Sectional ◽  
Group 5

Background: Immunization is one of the most cost-effective interventions averting countless childhood deaths and protecting millions of children from disability and illness. The objective of the current study was to assess the immunization coverage and associated factors among children aged 12-23 months and 5-7 years in Paravur Taluk of Ernakulam district, Kerala.Methods: A community based cross sectional study was done. Cluster sampling method of WHO was used for evaluation of immunization coverage.300 children in the age group of 12–23 months and 300 children in the age group 5-7 years were selected from each of the 30 clusters. Crude coverage details for each vaccine were estimated using percentages. Bivariate analysis was conducted to identify independent predictors of immunization coverage.Results: Among the children 12-23 months old, eleven (3.7%) children were partially immunized, while everybody had received at least one vaccine. The proportion of children fully immunized was 96.3%. Among the children 5-7 years old 55 (18.3%) were partially immunized. Belonging to Muslim religion, fathers’ occupation i.e. who were labourers/unskilled workers, mother’s education less than 12th standard and not possessing the mother and child protection card were found to be factors associated with partial immunization.Conclusions: This study shows that full immunization has not reached all children.

scholarly journals Prevalence and clinical characteristics of otitis externa among patients attending Otorhinolaryngology Department at Muhimbili National Hospital, Tanzania

2019 ◽  
Vol 5 (4) ◽  
pp. 826
Author(s):  
Zephania Saitabau Abraham ◽  
Onesmo Tarimo ◽  
Aveline Aloyce Kahinga ◽  
Daudi Ntunaguzi ◽  
Kassim Babu Mapondella ◽  
...  
Keyword(s):  
Risk Factor ◽  
Otitis Externa ◽  
Clinical Characteristics ◽  
Public Awareness ◽  
Tertiary Hospital ◽  
Age Group ◽  
Muhimbili National Hospital ◽  
National Hospital ◽  
Cross Sectional ◽  
Male Predominance

<p class="abstract"><strong>Background:</strong> Otitis externa is among the otological diseases with significant impact on the quality of life of sufferers. Little is known in Sub Saharan countries despite being the focus of such disease. The study aimed to determine the prevalence and clinical characteristics of otitis externa at Muhimbili National Hospital, Tanzania’s largest tertiary hospital.</p><p class="abstract"><strong>Methods:</strong> This was a hospital based descriptive cross sectional study where 1200 participants were recruited from June 2016 to January 2017. Data was analyzed using SPSS program version 20.  </p><p class="abstract"><strong>Results:</strong> A total of 1200 patients were recruited in this study and majority 601(50.1%) were females. Majority 672(56%) were in age group 0–10 years. Among 1200 patients, 138 (11.5%) were diagnosed to have otitis externa and male predominance (55.1%) was found. Majority 120 (87%) had diffuse otitis externa and with 0-10 years (25.83%) being the commonly affected age group by variant. The commonest risk factor was self-ear cleansing 87(53.7%) and only 2.9% were found to have complications of otitis externa.</p><p class="abstract"><strong>Conclusions:</strong> Otitis externa was found to be prevalent and with male predominance. Self-ear cleansing was the commonest risk factor. Complications of otitis externa were found to be rare. Public awareness on otitis externa should be advocated in our country.</p>

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