Domestic Injuries Research Articles

Ocular damages inflicted by criminal injuries

Purpose: to analyze eyeball and appendage damages inflicted by criminal injuries of patients who sought assistance by the emergency ophthalmological care unit in Perm.Materials and methods. The data of the patients’register and medical histories of the ophthalmological department of the State Clinical Hospital No. 2 named after Dr. F. H. Gral of Perm for 2018–2020 were retrospectively analyzed.Results. Out of 30428 cases of domestic injuries, 847 (2.8%) were received under criminal circumstances. The victims, predominantly male (77.6%), and of working age (93.7%), were delivered by ambulance in 51.6% of cases. The majority of people sought assistance within 24 hours (90%). The injuries were inflicted by strangers (59.5%) or acquaintances of the patients. 1257 eyes were injured. The prevailing conditions were contusions (46.9%), while the most common traumatizing factor was first punch (79.6%). Combined damages to the eyeball and appendage were more common, claiming 72.6%. Visual acuity fell below 0.1 in 5.6% of cases, 0.1–0.6 in 57.6%, 0.7–1.0 in 36.8% of cases. 45.9% of all cases were represented by eye burns: mainly they were chemical burns (99.5%) of which the overwhelming type was burns caused by gas spray irritants (97.9%). In burn cases, visual acuity was below 0.1 in 1.4% of cases, 0.1–0.6 in 62.6%, 0.7–0.8 in 36% of cases. The wounds inflicted to the eye amounted to 7.2%, the damaging factors being handgun bullet, glass, metallic objects. Injuries of the eyelids and the eyeball were observed. Most of the injuries were mild (91.3%). 5.83% of the victims needed hospitalization in an ophthalmological in-patient facility.Conclusion. The eye trauma, especially one of a criminal nature, is a social problem, and its analysis is highly relevant. The data obtained illustrates the need to increase the general culture of the population, to improve sanitary and educational work, and optimize medical care for those suffered.

Травмы зрительного анализатора при различной локализации краниоорбитального повреждения

Purpose. To assess the influence of the localization of cranio-orbital injuries (COI) on the frequency and level of damage to the visual analyzer. Material and methods. In the emergency neurosurgical department of the FFRCEMC, we observed 115 patients with COP aged 18 to 70 years (men – 92, women – 23). The main causes of injuries were: traffic accidents – 46 (40 %), domestic injury 21 (18.2 %), criminal situation 34 (29.5 %). All patients studied history, performed a comprehensive ophthalmological examination: visometry (with optimal correction), refractometry, biomicroscopy, ophthalmoscopy, tonometry, perimetry. Results. Concussion was diagnosed in 51 (44.3 %) patients. Brain contusions were found in 50 (43.4 %) patients, with a predominant lesion of the frontal lobes – in 35 (30.4 %) patients. Epidural, subdural hematomas – in 31 (26.9 %) patients. Intracerebral hematomas were detected in 12 (10.4 %) patients. Conclusion. It is possible to predict the results of treatment of damage to the optic nerve only when the nature and severity are established. Severe cranioorbital damage, tear, rupture, detachment of the optic nerve, unfortunately, has a very unfavorable prognosis - from a significant degree of vision loss to complete loss of vision and the eye as an organ. Keywords: optic nerve, orbital fracture, visual analyzer contusion.

Efficacy of Conservative and Surgical Techniques in the Management of Scaphoid Fractures: A Longitudinal Study

Aim: The goal of this study was to assess the efficacy of conservative versus surgical treatment for acute scaphoid fracture. Study design: A longitudinal study Place and Duration: This study was conducted at Fauji Foundation Hospital, Rawalpindi, MMC college Mirpurkhas, BMCH Quetta, PHQ hospital Gilgit Pakistan from June 2020 to June 2021. Methodology: A total of 60 acute scaphoid fractures (within three weeks) were included in this study, regardless of location. During the clinical examinations, diagnostic tests were done. Patients were urged to have wrist radiography check if any of these tests were positive. If radiography revealed no fracture, the wrist was immobilised with a below-elbow slab, and the patient was instructed to return in 15 days. After two weeks, the identical x-ray series was repeated Results: During the study period, 60 cases of acute scaphoid fracture (< 3 weeks) were seen. The average age of patients was 36.5 years. There were n=48 (80%) male patients and n=12 (20%) female patients. A right-side fracture was found in 38 (63 %) of patients, while a left-side fracture was found in 22 (36 %). The most common type of injury was traffic accidents, but sports injuries, industrial injuries, domestic injuries, and assault injuries were also common. A total of 11 patients had poor results who were managed conservatively. Poor results were reported in 1 patient of the operatively managed patients. Conclusion: As compared to conservative management, surgical technique had more favourable outcome. There were poor results in every fourth patient that was managed conservatively, while poor results were negligible in patients who were operatively managed. Keywords: Scaphoid fracture, conservative and surgical management, treatment options

Domestic violence and injuries: prevalence and patterns—a pilot database study to identify suspected cases in a UK major trauma centre

BackgroundVictim-survivors of domestic violence and abuse (DVA) present to secondary care with isolated injuries to the head, limb or face. In the UK, there are no published studies looking at...

External genital injuries in girls

BACKGRAUND: The treatment of girls with genital trauma is an urgent problem because of the increased frequency in cases in recent years. This study examines the treatment effectiveness in girls with various types of genital trauma.
 MATERIALS AND METHODS: Case histories of 126 girls aged one to 17 years with external genital organ injuries and treated from 2016 to 2020 were studied. They included 120 (95%) patients with mechanical injuries and six (5%) girls with intravaginal electrochemical burns. The types of injuries, clinical picture, diagnostic methods, methods of surgical interventions, and treatment outcomes were studied.
 RESULTS: The data obtained as a result of the analysis showed an increase in the number of injuries of the external genital organs in girls by 2.2 times, with a predominance of victims aged two to 10 years (69%). The structure of injuries was dominated by mechanical damage (95%) due to domestic and street injuries. Most injuries were localized in the external genital area, and deeper injuries accounted for 7.9%. Massive bleeding with the development of severe posthemorrhagic anemia was noted in 4.2% of cases. Surgical treatment was performed in 80.8% of cases. In cases of combined injuries with the rectum (2%), operations were performed jointly with surgeons. Mortality and postoperative complications were not observed. In six patients, one finger and five disc batteries, which caused electrochemical burns, were found and removed from the vagina. The treatment control of these injuries was performed with dynamic vaginoscopy. For more than six months, four girls had pronounced cicatricial changes.
 CONCLUSION: Therapeutic tactics for mechanical injuries have shown effectiveness due to the absence of complications and a short hospital stay. The rehabilitation of patients with electrochemical burns requires further study since two-thirds of them have long-lasting cicatricial changes.

CHARACTERISTICS OF WOUND INFECTIONS AND METHODS OF THEIR TREATMENT USING PREPARATIONS OF BIOLOGICAL ORIGIN

Surgical wound infections are the most common patients’ complications in the postoperative period. In the modern clinic, they worsen the disease prognosis and remain the most important and acute health problem in all countries of the world. The aim of the work was to analyze current scientific data on the peculiarities of the pathogenesis of wound infections and types of their pathogens, as well as drugs of biological origin in the treatment of wound infections. The paper discusses in detail the problem of infection of wound injuries during surgery and domestic injuries of various kinds. The main pathogens of wound infections are considered. Specific pathogenicity factors for bacteria of the genera Staphylococcus, Pseudomonas, Enterobacteriaceae were analyzed. Based on the analysis of literature sources, a list of drugs of biotechnological origin that can be effectively used in combination therapy for the treatment and prevention of wound infections was determined. Conclusions. The result is the identification of those mechanisms of pathogenesis of wound infections that determine the effectiveness of the use of drugs of biological origin in this pathology treatment.

Mechanisms of low-temperature rehabilitation technologies. Sports traumatic brain injury

According to various data, sports traumatic brain injury (TBI) accounts for up to 20% of all injuries in athletes, and the number of cases of traumatization is progressively increasing year by year due to an increase in the number of people involved in sports, the growing popularity of extreme and contact sports, as well as a high level of motivation to achieve record results. The structure of sports TBI is dominated by mild TBI, which can provoke the development of a very wide range of complications and negative consequences that affect not only the result, but, most importantly, the quality of life of athletes. The pathogenesis of mild TBI has been studied, therapy and rehabilitation programs have been developed. At the same time, the features of sports TBI that significantly distinguish it from domestic, road or criminal injuries are not sufficiently taken into account: repeated frequent TBI, increased body and brain temperature, peripheral redistribution of blood flow and hypocapnia associated with physical exertion and significantly affecting cerebral blood flow. An athlete receives a TBI during the most vulnerable period for the brain. To a large extent, these features are associated with the high incidence of various kinds of neurological complications of sports TBI (cognitive disorders, memory impairment, sleep disorders, migraines, etc.). Special techniques that can prevent complications of sports TBI have not been developed. Brain injury is an independent cause of the development of cerebral hyperthermia, which significantly worsens the course and consequences of TBI. The well-known technology of craniocerebral hypothermia (CCG) allows to reduce physical general and cerebral hyperthermia, to increase the resistance of neurons of the cerebral cortex to hypoxia and trauma. However, this technology is used sporadically, which, apparently, is due to the lack of awareness of coaches and doctors of sports teams specializing in sports medicine and rehabilitation. The purpose of the review is to analyze the features of the action of selective hypothermia of the cerebral cortex, used to prevent complications of mild sports TBI.

PERIODONTAL STATUS IN PATIENTS WITH MANDIBULAR FRACTURES

Purpose: The aim of the present study was to assess the gingival and periodontal status of patients with maxillofacial trauma and to determine the need for periodontal treatment after removal of the intramaxillary fixation. Material and methods: The study included 36 patients with a fracture of the lower jaw. After the clinical and radiological examination of the patients, treatment was performed on a case-by-case basis. 30 days after fixation and removal of the wire ligatures of the patients, the oral-hygienic and periodontal status was assessed using the following indices: simplified oral hygiene index, gingival bleeding index, community periodontal index of treatment needs and evaluation of oral malodour. Results: The most common cause of fractures is a traffic accident, followed by domestic injuries. The level of oral hygiene immediately after removal of the wire ligatures and intermaxillary fixation varied between relatively good and poor, with a greater number of patients having poor hygiene (OHI-S ≥5). The periodontal status of the patients, measured by CPITN, also showed a statistically significant level of clinically established periodontal destruction. Halitosis was detected in all patients. Conclusions: The course of the healing process in the alveolar bone and the functional rehabilitation of patients with mandibular fractures depends not only on the type of surgical treatment for immobilization of the fragments but also on the maintenance of optimal oral hygiene.

The changing face of maxillofacial trauma during the 2020 COVID-19 lockdowns in Melbourne, Australia

PurposeTo compare the incidence, aetiology, and patterns of maxillofacial fracture presentations during the various stages of the 2020 Melbourne COVID-19 lockdown restrictions to periods outside lockdown in 2019 and 2020.MethodsThis is a retrospective study of 344 subjects. The patterns of facial trauma presentations to a tertiary hospital in metropolitan Melbourne during the 2020 COVID-19 restrictions were compared to periods with no restrictions over 22 months from March 2019 to December 2020.ResultsThe incidence of maxillofacial fractures decreased by 28% during lockdown (0.41 vs. 0.57 injuries/day, P = 0.0003). Falls overtook interpersonal violence as the leading cause of fractures (44% of lockdown presentations vs. 25.7% of presentations outside lockdown, P = 0.002), while sporting injuries dropped drastically (4% vs. 17.1%, P = 0.005). Lockdowns saw an increase in the proportion of female patients (40% vs. 26.8%, P = 0.03) and a fivefold increase in proportion of domestic violence-related fractures (6.7% vs. 1.1%, P = 0.006). Alcohol-related injuries decreased significantly (11% vs. 21%, P = 0.03).ConclusionsWhile restrictions reduced rates of interpersonal violence and alcohol-related maxillofacial trauma, there was a higher proportion of injuries to females, increased falls, and domestic violence-related injuries.

Surgical treatment of acetabular fractures

Background. Acetabular fractures are severe intra-articular injuries that require anatomical reposition and early function, but they are often complicated by degenerative changes in both the acetabulum and the femoral head, leading to the development of post-traumatic coxarthrosis. The purpose was to study the clinical effectiveness of surgical treatment and postoperative management of patients using autologous platelet-rich plasma in patients with fractures of the acetabulum. Materials and methods. Twenty-eight patients with acetabular fractures of various degrees were operated at the City Emergency Hospital of Zaporizhzhia and the Municipal Clinical Hospital No 9 from 2017 to 2019. Gender composition: 22 men (78.57 %), 6 women (21.43 %), average age 46.64 ± 2.21 years, with a 95% confidence interval 42.31–50.96. Nineteen victims (67.86 %) had road traffic injuries, 7 (25 %) domestic injuries, and 2 (7.14 %) had industrial injuries. Results. In the main group of patients treated with platelet-rich plasma, radiologically visible adhesion of the injured area after 8 weeks occurred in 10 people (83.4 %). In one person (8.3 %), the adhesion occurred after 12, and in another (8.3 %) — 16 weeks after surgery. In the control group, adhesions at 8th week were registered in 14 patients (60.87 %), in 8 (34.78 %) — at 16th week. Given the general recovery of the body in the main group, the activation and social adaptation of patients occurred 2–3 weeks earlier. The assessment was performed radiologically and by the criteria of functional recovery.

Injury Patterns and Treatment Outcome of Road Traffic Crash Victims at the Emergency Department of the Regional Hospital Limbe, Cameroon

Background: Traumatic injuries constitute a leading cause of mortality and morbidity worldwide with a global burden that is on the rise. The aim of this study is to analyse preliminary data of the Limbe trauma registry, to describe the injury patterns and determine the outcome of care of the injured who were treated in the emergency department of the regional hospital Limbe in Cameroon. Methodology: This was a descriptive secondary analysis of prospective data collected on injury at Limbe Regional Hospital in two years, between October 2008 and October 2010. All cases of injury presenting to the emergency department of Limbe Regional Hospital were included in a prospective trauma registry. Data was collected with a pre-tested data entry form and included the age, sex, mechanism of injury, delay before arrival to hospital, body part injured, description of lesions and outcome at the emergency. Descriptive analyses were done using STATA 14. Comparisons between groups were evaluated using Chi-squared test or Kruskal-Wallis and p-values Results: A total of 2400 cases of injury were recorded during the study period with more males (68%) than females. The ages ranged from 0 to 90 years with a peak between 20 to 39 years. Road traffic crash was the most common cause of injury representing 60.81% of the population (n = 1434); other causes were burns, falls, domestic injuries, assaults, and labour accidents. The accidents mostly involved motor cycle alone (42.03%). Concerning the outcome of care at the emergency department, 88.73% (n = 1260) were discharged. Conclusion: The burden of road traffic injuries in south west Cameroon is high. Motorcycles are mostly involved alone or with pedestrians and/or cars.

Anticipation of Dural Tear in Patients with Blunt Head Trauma

Background: Dural tears are considered among the neurosurgical challenges to be dealt with during management of head trauma patients; it’s important to anticipate such pathology pre-operatively; the purpose of this study is to discuss and analyze various predictors of dural tear as a sequala of blunt head trauma. Methods: Patients with blunt head trauma who underwent surgery during the year 2020 were analyzed; operative data were reviewed; only patients with reported dural repair as a step during surgery were included. Patients with penetrating head injury were excluded. Preoperative radiology, epidemiological and clinical details were analyzed to conclude specific criteria for dural tear. Results: Twenty-three patients were involved in the study; male predominance was evident. The most common primary injury was depressed fracture (73.9%), while the most common mode of trauma was domestic injury (43.5%), especially in pediatric group (76.9%). Two cases of growing skull fracture were involved, and both were in pediatric group. CT findings were conclusive for immediate dural tear findings, however, suggestive for patients with growing skull fractures. Mean depth of depression for depressed fracture group was 15.07 mm. Conclusion: Dural tears are not a serious complication of head trauma, however, their sequalae are life-threatening. Anticipation of dural tear is feasible radiologically pre-operatively for immediate dural repair and craniotomy fashioning; for cases of growing skull fractures, it’s difficult to anticipate the course from time of impact till time of presentation.

The Categorical Data Conundrum: Heuristics for Classification Problems—A Case Study on Domestic Fire Injuries

Machine learning is well developed amongst the scientific community in terms of theoretical foundations (statistics and algorithms) and frameworks (Tensorflow, PyTorch, H2O). However, machine learning is heavily focused on numerical data, or numerical data mixed with some categorical data. For numerical datasets, scientists and engineers can enjoy reasonable success with only a limited knowledge of theoretical foundations and the inner workings of machine learning frameworks. However, it is a different story when dealing with purely categorical datasets, which require a deeper understanding of machine learning frameworks and associated encodings and algorithms in order to achieve success. This paper addresses the issues in handling purely categorical datasets for multi-classification problems and provides a set of heuristics for dealing with purely categorical data. In particular, issues such as pre-processing, feature encoding and algorithm selection are considered. The heuristics are then demonstrated through a case study, based on a categorical data set of domestic fire injuries, covering a 10-year period. Novel contributions are made through the heuristics and the performance analysis of different encoding techniques. The case study itself also makes a novel contribution through the classification of different types of injuries, based on related features.

The Effect of COVID-19 Pandemic on the Characteristics of Pediatric Supracondylar Fracture: A Retrospective Cohort Study.

Environmental factors play a key role in the occurrence of pediatric supracondylar humerus (SH) fracture which has been widely affected by the COVID-19 pandemic and the measures taken to curb its spread. In this study, we aim to investigate the ultimate impact coronavirus pandemic has had on SH fractures in children. This retrospective cohort study compares SH fractures which occurred during the pandemic with their prepandemic counterpart in a pediatric trauma public hospital. Patient's data, submitted from February to July 2020 and 2019, were collected and divided into two groups based on fractures' time of occurrence, i.e., during or before the pandemic. There was no significant difference in terms of gender, type of fracture, injury location, and time of admission during a day between the aforementioned groups. However, in the pandemic group, patients were transferred to the operating room significantly quicker (odds ratio; 2.13 vs. 0.607, P = 0.01) and the surgery duration was shorter (40.17 ± 12.28 min vs. 49.11 ± 15.48 min, P = 0.011). It was found that the location of injury (home, school, etc.) varied between the two groups (P = 0.01) and the proportion of domestic injuries during the pandemic grew significantly (53.6% vs. 19.8%). Although the incidence of pediatric SH fractures has decreased due to the closure of schools and sports clubs during the pandemic, domestic occurrence of the same fracture type has grown disproportionately. To prevent this trend, pediatric centers should educate parents on child safety measures and fracture risks during the lockdown.

Features of temporary disability of various categories of employees

The purpose of the study was to analyze the materials of temporary disability due to illness or injury of employees engaged in various types of activities. The data is presented for two years (2018-2019). One group - employees of offices, the second group-employees of working specialties. In each group of employees, temporary disability sheets received in connection with an injury or illness for two years (2018-2019) were analyzed. A number of relative indicators that do not depend on the number of employees of these organizations are determined: the multiplicity of disability (the number of cases of disability per 1 employee with disability); the duration of disability (the number of days of disability per 1 case of disability). It is shown that the share of sick leaves for diseases and domestic injuries among employees of the office and industrial organization differs in the age groups: 20-29 years and 30-39 years: making up, respectively: 10.1% and 83.7%; 60.6% and 77.7%. The multiplicity of domestic injuries in employees of a production organization is 1.4 times higher than the corresponding indicator of office employees, equal to 1.0, and the average duration of each case of domestic injuries in employees of a production organization is shorter than in office employees by 2.3-2.6 times. The average duration of each case of the disease is longer in office employees than in employees of a production organization: 9.9 days and 6.3 days on average per year, respectively.

Epidemiology of Paediatric Orthopaedic Trauma, Before, During, and After the Outbreak of COVID-19 Pandemic: An Observational Study From a Tertiary Referral Center in Wales.

IntroductionThe outbreak of coronavirus disease 2019 (COVID-19) and the resultant lockdown has had a great impact on global healthcare. This observational study aimed to analyse the consequences of national lockdown on the epidemiology of significant paediatric orthopaedic trauma, presenting to a tertiary referral centre in Wales, during the COVID-19 pandemic in the United Kingdom.MethodsPaediatric patients presenting with orthopaedic trauma, from March 2019 to July 2019 (baseline period), March 2020 to July 2020 (lockdown period), and March 2021 to July 2021 (post lockdown period), were identified and compared. Those aged less than 16 years, presenting with a significant orthopaedic injury, defined here for the study as, those requiring either manipulation under anaesthesia or, surgical intervention were included in this study.ResultsMean age of children with significant orthopaedic injuries during the lockdown dropped significantly to 6.52 years in comparison to those during the baseline period (7.9 years), and post lockdown period (8.85 years). The incidence of outdoor injuries plummeted significantly from 64.71% in the baseline period, to 41.27% during the lockdown period, but rose to 80.65% in the post lockdown period. There was a 48% reduction in the number of children who required intervention in operating theatre during the lockdown period, in comparison to the other two study periods.ConclusionOur study reports a significant decrease in the incidence of paediatric orthopaedic trauma needing intervention in operating theatre during the lockdown period, with a significant rise in the incidence of domestic injuries, and relatively younger children sustaining these injuries. A public information campaign could help reduce the incidence of such domestic accidents during future lockdowns. We recommend improving awareness among parents, creating a safe indoor as well as outdoor environment to help reduce the incidence of fractures in the paediatric population. This will subsequently help in reducing the financial burden on an already stretched healthcare system.

Knowledge, Attitude and Practices Regarding First Aid against Domestic Injuries in Mothers of Children less than 5 Years of Age Attending Fauji Foundation Hospital Islamabad

Background: The objective is to assess the knowledge, attitude and practices regarding first aid towards home related injuries among mothers of children less than 5 years of age at tertiary care hospital of Islamabad. Methods: A questionnaire based cross sectional study was conducted in Fauji Foundation Hospital Islamabad. 400 participants were selected using convenience sampling the mother of children under 5 years of age were included and mother of children with any major co morbidity, congenital abnormalities and who didn’t give consent were excluded from the study. A pretested, structured, self-administered questionnaire was used for data collection after obtaining permission from Institutional Ethical Committee. Statistical analysis was carried using SPSS version 20. Frequencies and percentages were computed, descriptive statistical analysis was done. Chi- Square was applied for association between socio demographic variables and knowledge of mothers regarding first aid. Results: About 44% of the mothers and 63% children fall in age group of 31 and 2-5 years respectively. Half of the mothers (48%) are below intermediate level of education. About 34% of the respondents stated bleeding as most urgent and important injury requiring first aid. Regarding attitudes, 50% of the mothers strongly agree towards necessity of first aid and lack of awareness about dealing with domestic injuries. Sixty-five (65%) of the mothers had given first aid to their child. About 33%, 75%, 44% and 39% of the mothers have faced a child with difficulty in breathing; bleeding, burning and insect/sibling bite respectively. Age of mother (p=0.041), education of mother (p=0.001) and total no of children (p=0.001) were significantly associated with knowledge of first aid. Conclusion: Although home accidents are a common problem, mother’s knowledge regarding home accidents was deficient although majority of the respondents have positive attitude.

STATE AND PROBLEMS OF PRODUCTION AND HOUSEHOLD ELECTROTRAUMATISM IN UKRAINE

Technogenic development of society has caused widespread use in the system «man – production environment» and the system «man – household environment» of household electrical equipment, industrial electrical installations. Failure to comply with the regulated rules of electrical safety of electric current leads to electrical injuries. Designs of electrical installations, equipment, electrical protective measures are constantly being improved. But the level of electrical injuries in Ukraine and abroad tends to increase. This leads to social and economic losses as a result of economic costs in accidents, employee deaths, loss of working time and so on. The most objective indicator of injury is fatal. Thus, the level of fatal injuries at work per 1,000 workers in the developed world compared to the same rate in Ukraine in the UK is 10 times less, in Japan 7 times less, in the US 3 times less. This situation requires analysis and development of appropriate measures to reduce the level of electrical injuries. The analysis of statistical data revealed that the highest level of electrical injuries is observed in the following areas: - in agriculture; - service sector; - in public utilities; - in everyday life. At the same time, the tendency of its growth in the non-productive sphere and the household sector is expressed. So, at present in the general list of accidents from action of an electric current household electric injuries make the largest part – more than 46%. This is due to the insufficient level of education of the population on electrical safety, operation of electrical equipment in high-risk areas or in particularly dangerous by the degree of electric shock. At the same time, the level of domestic electrical injuries is higher in rural than in urban areas. It was also found that the greatest danger is posed by mobile and portable electrical installations, power tools and internal wiring. In addition, the housing of such electrical installations is often grounded through one of the cores of the power cable, which is unacceptable. The reasons for the high level of electrical injuries also include non-compliance with regulated organizational measures to ensure occupational safety and the so-called «human» factor. To improve the situation, it is necessary to intensify and increase the level of training of the population and employees on electrical safety, development and application of more modern switching electrical protection.

Сomputed tomography for fractures of the ankle joint in children

Introduction. Correct diagnosis is based on visualization and knowledge of fracture patterns characteristic of children. Traditionally, radiography is used to visualize bone damage. In fractures in children due to the high risk of damage to the germinal zones, it is necessary to have clear and reliable information about their condition, which cannot always be obtained by x-ray method. For these purposes and the requirements of modern surgery, CT is used, which with high diagnostic accuracy clarifies the degree of displacement of fragments, present a qualitative characteristic of fractures and reveals associated damage.Purpose: to show the capabilities of computed tomography in diagnosis of fractures of ankle joint.Materials and methods. The results of computed tomography (CT) are presented in 226 children and adolescents aged 3 to 17 years. There were 142 boys (62.8%), 84 girls (37.2%). Scanning was carried out depending on the weight and age of the patient with the minimum indicators of kV and mAS, a slice thickness of 0.75 mm.Results. Average time for seeking medical help was 32 hours from moment of injury. Among causes of injury in the first place was domestic injury (73, 8%), followed by sports injury (22, 3%) and traffic accidents (3.9%). Right-sided ankle fractures were found in 147 (65.1%), left-sided – in 79 (34.9%) children. The most common types of tibial fractures were metaepiphysiolysis of the distal tibia and metaepiphysiolysis of the distal tibia of both tibia, which together accounted for 67.7% (n = 153) of all tibial fractures.Conclusion. Computed tomography should be performed in all cases of intraarticular fractures of the ankle joint. It is especially important for evaluating fractures with damage to germ zones. Scanning must be carried out with a cutting thickness of not more than 1 mm. CT with multi-planar data reformatting is an important factor in determining whether a patient needs surgical treatment. As a result of CT, a final diagnosis was established and a decision was made on treatment tactics.

Domestic injuries among infancy: a prospective descriptive study

Background: Injuries in the form of accidents are a major cause of morbidity and mortality in children. The objective of this study was to determine the prevalence of different types and modes injuries among the infants.Methods:A prospective study data from two hundred infants who visited the pediatric OPD in a private pediatric clinic following injury was recorded. A pre-structured questionnaire was provided to the parents. Health education was imparted to the parents regarding prevention of such injuries.Results: Among 200 infants under study, most of the infants were between 8-12 months. Fall being the most common type of injury and it was mostly due to walkers. The most common site of injury was the forehead.Conclusions:Structural modifications are required to be made in the home along with parent education by pediatrician, by doing this most of the injuries can be prevented.