East African medical journal
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Comparative Study
Analysis of trauma outcome at a university hospital in Zahedan, Iran using the TRISS method.
To evaluate validity of TRISS (Trauma score and injury severity score) method in trauma outcome analysis and compare trauma care at a university hospital, with the standards reported in the Major Trauma Outcome Study (MTOS). ⋯ In developing countries the same as developed countries, the TRISS methodology is an acceptable method for evaluation of the difference between predicted and observed mortality. This study shows that our mortality is significantly more than universal standards and there are weak points in our trauma care system.
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To determine the cause of morbidity and mortality in burns patients managed over a period of eight years in our hospital. ⋯ There is a need for health education to reduce incidence of burn injury. Since burn injuries are largely preventable, it is important to define clearly, the social, cultural and economic factors, which contribute to burn causation in order to combat them effectively.
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The 1998 terrorist bombing of the US-Embassy in Nairobi resulted in the highest number of civilian deaths ever recorded from a single urban terrorist bombing in global history. ⋯ The anatomical pattern of injuries and other pathological findings among fatalities from this terrorist bombing are similar to those recorded from other bombing incidents worldwide. Contributory factors to the high fatality include the collapse of a densely populated building, the TNT-equivalent force of the bomb, the confined site of detonation, and probably the lack of a proper disaster response system.
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To determine the incidence of obesity in parturients scheduled for Caesarean section, identify intra-operative complications, management and outcome. ⋯ There is a high incidence of obesity in parturients. This group of patients constitutes a high risk group in obstetric anaesthesia. The incidence of complications was higher in the obese than in the non-obese.
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To establish the pattern and results of interventions in patients with abdominal injuries requiring admission. ⋯ Abdominal injuries are a predominantly male disease with the majority in the third decade of life. As opposed to previous studies, gunshot wounds are now a significant cause of abdominal injuries in Kenyatta National Hospital (KNH). The rate-of negative laparotomies has come down by 10% over the past 15 years. The outcome of management depends on the severity and type, of injury sustained.