scholarly journals University of the Witwatersrand physiotherapy undergraduate curriculum alignment to medical conditions of patients within Gauteng state health facilities

2017 ◽  
Vol 73 (1) ◽  
Author(s):  
Mokgobadibe V. Ntsiea ◽  
Witness Mudzi ◽  
Nicolette Comley-White ◽  
Heleen Van Aswegen ◽  
Benita Olivier ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Lower Limb ◽  
Soft Tissue Injuries ◽  
Health Facilities ◽  
Medical Conditions ◽  
State Health ◽  
Icu Patients ◽  
Lower Limb Fractures ◽  
Tissue Injuries ◽  
Limb Fractures

Background: The healthcare sector requires graduates with the ability to confidently assess and manage the majority of the medical conditions seen in hospitals.Objective: To establish whether the most prevalent medical conditions treated by physiotherapists in Gauteng (South Africa) state health facilities align with the University of the Witwatersrand (Wits) physiotherapy curriculum.Methods: This was a retrospective review of condition-related statistics from physiotherapy departments within the Gauteng province state health facilities. Data from all Gauteng government hospitals that had submitted at least 75% of their physiotherapy condition–related statistics to the provincial statistics coordinator from January 2012 to December 2014 were considered and compared to medical conditions covered in the Wits 2015 physiotherapy curriculum to check if all conditions listed in the Gauteng statistics appeared within the Wits curriculum document. The number of teaching hours for the common conditions was noted to check the emphasis given to these conditions in the curriculum.Results: Eighty-three per cent of the hospitals submitted 75% of their monthly statistics. Overall, the most common conditions treated were lower limb fractures (13%) followed by stroke (7.6%) (n = 705 597). Within the neuro-musculoskeletal category, the most common conditions after lower limb fractures were soft tissue injuries (15.1%) (n = 330 511). The most common cardiopulmonary conditions were tuberculosis (24.9%), followed by pneumonia (13.8%) (n = 94 895). The most common neurological conditions were stroke (30.9%) followed by cerebral palsy (17%) (n = 174 024). Within the non-specified categories, the number of intensive care unit (ICU) patients was the highest (23%), followed by sputum induction (21%) (n = 138 187). The most common conditions that were emphasised within the Wits curriculum as indicated by the teaching hours: fractures, 14.5 (66%) of 22 third-year orthopaedics hours; stroke, 30 (73%) of 41 third-year neurology hours; soft tissue injuries, 18 (38%) of 48 fourth-year neuro-musculoskeletal hours; back lesions, 24 (50%) of 48 fourth-year neuro-musculoskeletal hours; and ICU patients, 30 (79%) of 38 fourth-year cardiopulmonary hours.Conclusion: The Wits physiotherapy curriculum covers all medical conditions treated by physiotherapists within the Gauteng state health facilities, and overall, the curriculum prepares the students to practise in a variety of situations.

The October 2005 Earthquake in Northern Pakistan: Pattern of Injuries in Victims Brought to the Emergency Relief Hospital, Doraha, Mansehra

2009 ◽  
Vol 24 (6) ◽  
pp. 535-539 ◽  
Author(s):  
Fahad Sami ◽  
Fahad Ali ◽  
Syed Habib Haider Zaidi ◽  
Hiba Rehman ◽  
Tashfeen Ahmad ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Lower Limb ◽  
Soft Tissue Injuries ◽  
The Body ◽  
Northern Pakistan ◽  
Cross Sectional ◽  
Emergency Relief ◽  
Medical Needs ◽  
Bone Injury ◽  
Tissue Injuries

AbstractObjective:Knowledge of injuries of earthquake victims is important to plan relief efforts. This cross-sectional study was conducted following the 08 October 2005 earthquake in Northern Pakistan to determine the pattern of injuries sustained and their relationship with age and gender in order to identify the medical needs in an earthquake-affected zone.Methods:The study was conducted between 13 October and 23 October 2005 at the Emergency Relief Hospital, Doraha, Mansehra. From the 1,700 patients registered in the hospital, 310 were sampled randomly for the study. Demography and details of the patients' injuries were noted by history and physical examination. Twelve cases were omitted due to incomplete data.Results:Of the cases, 54% were female. Children ≤10 years old formed the largest age group. Isolated bone injuries were present in 41%, soft tissue injuries in 36%, and mixed injuries in 23% of the patients.The most common bone injury was lower limb fracture (52%), while the most common non-bone injury was non-infected, soft tissue wounds on the limbs (33%). Among patients with soft tissue injuries, gangrenous wounds were present in 9%, and grossly infected wounds in 30% (20% on limbs and 10% on rest of the body).Conclusions:The population injured during the earthquake showed a higher proportion of females and children ≤10 years old, and lower limb bone injuries. The data highlight the need to address orthopedic, pediatric, and women's health issues, and for logistic arrangement of relevant diagnostic and therapeutic facilities at the initial stages of relief activities after earthquakes.

scholarly journals The Effectiveness of Physical Agents for Lower-Limb Soft Tissue Injuries: A Systematic Review

2016 ◽  
Vol 46 (7) ◽  
pp. 523-554 ◽  
Author(s):  
Hainan Yu ◽  
Kristi Randhawa ◽  
Pierre Côté ◽  
Optima Collaboration
Keyword(s):  
Systematic Review ◽  
Soft Tissue ◽  
Lower Limb ◽  
Soft Tissue Injuries ◽  
Tissue Injuries

scholarly journals Update on the Management of Open Lower Limb Fractures

2012 ◽  
Vol 6 (1) ◽  
pp. 571-577 ◽  
Author(s):  
M Griffin ◽  
M Malahias ◽  
W Khan ◽  
S Hindocha
Keyword(s):  
Soft Tissue ◽  
Lower Limb ◽  
Team Work ◽  
Current Evidence ◽  
Optimal Time ◽  
Soft Tissue Coverage ◽  
Current Recommendation ◽  
Lower Limb Fractures ◽  
Vascular Compromise ◽  
Limb Fractures

Open lower limb fractures pose a significant challenging pathology for orthopaedic and plastic surgeons to manage due to the combined soft tissue damage, bone loss and potential vascular compromise. These fracture require extensive team-work and expertise between several surgical specialties and the advice of non-surgical specialties to ensure good clinical outcomes. Extensive research has improved the outcomes of open lower limb fractures and current recommendation on the optimal management is always being updated to enhance patient outcomes. This review serves to provide an overview of the management of open tibial fractures using current evidence and recently updated UK guidelines. The optimal time for surgical debridement, surgical intervention, providing antibiotics and soft tissue coverage will be outlined as well as the indications for amputation.

scholarly journals Update on the Management of Compound Lower Limb Fractures

2012 ◽  
Vol 6 (1) ◽  
pp. 518-524 ◽  
Author(s):  
M Griffin ◽  
M Malahias ◽  
S Hindocha ◽  
W Khan
Keyword(s):  
Soft Tissue ◽  
Lower Limb ◽  
Team Work ◽  
Current Evidence ◽  
Optimal Time ◽  
Soft Tissue Coverage ◽  
Current Recommendation ◽  
Lower Limb Fractures ◽  
Bone Injury ◽  
Limb Fractures

Compound lower limb fractures pose a significant challenging pathology for orthopaedic and plastic surgeons to manage due to the combined soft tissue damage, bone injury and potential vascular compromise. These fractures require extensive team-work and expertise between several surgical specialties and the advice of non-surgical specialties, to ensure good clinical outcomes. Extensive research has improved the outcomes of compound lower limb fractures and current recommendation on the optimal management is always being updated to enhance patient outcomes. This review serves to provide an overview of the management of compound tibial fractures using current evidence and recently updated UK guidelines. The optimal time for surgical debridement, surgical intervention, antibiotic regime and soft tissue coverage will be outlined as well as the indications for amputation.

scholarly journals Motorcyclists and pillion passengers with open lower-limb fractures: a study using TARN data 2007–2014

2018 ◽  
Vol 100 (3) ◽  
pp. 203-208 ◽  
Author(s):  
AGC Hay-David ◽  
T Stacey ◽  
I Pallister ◽  
Keyword(s):  
Soft Tissue ◽  
Lower Limb ◽  
Research Network ◽  
Soft Tissue Coverage ◽  
Patient Movement ◽  
Lower Limb Fractures ◽  
Number Of Patients ◽  
Limb Fractures ◽  
The Impact ◽  
Time From Injury

Introduction We aimed to identify population demographics of motorcyclists and pillion passengers with isolated open lower-limb fractures, to ascertain the impact of the revised 2009 British Orthopaedic Association/British Association of Plastic Reconstructive and Aesthetic Surgeons joint standards for the management of open fractures of the lower limb (BOAST 4), in terms of time to skeletal stabilisation and soft-tissue coverage, and to observe any impact on patient movement. Methods Retrospective cohort data was collected by the Trauma Audit and Research Network (TARN). A longitudinal analysis was performed between two timeframes in England (pre-and post-BOAST 4 revision): 2007–2009 and 2010–2014. Results A total of 1564 motorcyclists and 64 pillion passengers were identified. Of these, 93% (1521/1628) were male. The median age for males was 30.5 years and 36.7 years for females. There was a statistically significant difference in the number of patients who underwent skeletal stabilisation (49% vs 65%, P < 0.0001), the time from injury to skeletal stabilisation (7.33 hours vs 14.3 hours, P < 0.0001) and the proportion receiving soft-tissue coverage (26% vs 43%, P < 0.0001). There was no difference in the time from injury to soft-tissue coverage (62.3 hours vs 63.7 hours, P = 0.726). The number of patients taken directly to a major trauma centre (or its equivalent) increased between the two timeframes (12.5% vs, 41%, P < 0.001). Conclusions Since the 2009 BOAST 4 revision, there has been no difference in the time taken from injury to soft-tissue coverage but the time from injury to skeletal stabilisation is longer. There has also been an increase in patient movement to centres offering joint orthopaedic and plastic care.

scholarly journals Clinical profile of patients with below knee soft tissue injuries

2018 ◽  
Vol 5 (2) ◽  
pp. 478
Author(s):  
Gurvansh S. Sachdev ◽  
Manu Rajan ◽  
Sanjay Dvivedi ◽  
Saurabh Agrawal ◽  
Kinnari A. V. Rawat
Keyword(s):  
Soft Tissue ◽  
Lower Limb ◽  
Soft Tissue Injuries ◽  
Clinical Profile ◽  
Complication Rates ◽  
Lower Limb Injuries ◽  
Lower Limb Injury ◽  
Number Of Patients ◽  
Limb Injuries ◽  
Tissue Injuries

Background: In the recent era of trauma majority of people suffer from lower limb injuries, which cause functional disabilities and psychosocial consequences. Lower limb injury specially below knee generally involves young and productive people so it is the prime responsibility of the society to prevent such incidents. Our aim is to study clinical profile of various below knee soft tissue injuries to develop better prediction models for defining the most important target for prevention and to reduce morbidities and disabilities.Methods: The study was conducted in the Department of Surgery, Himalayan Institute of Medical Sciences (HIMS), Swami Ram Nagar, Dehradun, over a period of 12 months. Subjects were recruited from patients presenting in Emergency/Surgery OPD, HIMS, Dehradun with a primary diagnosis of below knee soft tissue injuries. A total of 64 patients were included in the study.Results: Maximum number of patients were in the age group of 20-40 years (46.88%), and were predominantly males (84.38%). The commonest mode of injury was RTA (75%) primarily involving 2 wheelers (72.91%). Most patients (42.18%) had late presentation to the hospital i.e. after 72 hours of injury which was found to be associated with contamination of wound in 66.6% of patients.Conclusions: The study emphasizes the need for preventive strategies and protection mechanisms for lower limb injuries. Late presenting contaminated wounds leads to higher complication rates hence there is need for efficient ambulance services for ensuring timely intervention.

scholarly journals The Use of Vacuum Closure-assisted Device in the Management of Compound Lower Limb Fractures with Massive Soft Tissue Damage

Cureus ◽  
2019 ◽  
Author(s):  
Stavros Angelis ◽  
Alexandros P Apostolopoulos ◽  
Lefteris Kosmas ◽  
Theodore Balfousias ◽  
Athanasios Papanikolaou
Keyword(s):  
Soft Tissue ◽  
Tissue Damage ◽  
Lower Limb ◽  
Soft Tissue Damage ◽  
Lower Limb Fractures ◽  
Limb Fractures
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