East African medical journal
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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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Many burns are preventable but there is no published local prospective data on the epidemiological pattern of burns that would form the basis of care and formulation of burn prevention strategies. ⋯ The pattern of burns noted resembles other reported series but the role of accelerants and assault appears enhanced in this study. Public education campaigns aimed at burns reduction could be tailored to the educational level of target population.
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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.