Masters of Science - Msc (Physiotherapy)
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Browsing by Subject "Aetiology"
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Item The epidemiology of traumatic brain injury and the evaluation of the impact of in-hospital physiotherapy on morbidity at a central hospital in Cape Town, South Africa(University of the Western Cape, 2023) Fridie, Imaan; Karachi, FarhanaTraumatic brain injury (TBI) incidence is higher in sub-Saharan Africa compared to the global average. Evidence regarding TBI incidence, epidemiology, in-hospital physiotherapy management and functional outcomes of TBI cases in South Africa is minimal especially so in the Western Cape where violence and road traffic accidents are high. Aims: To determine and describe the epidemiology (incidence, aetiology, clinical outcomes, morbidity and mortality) of and the in-hospital physiotherapy management for TBI patients admitted to a central hospital in Cape Town, South Africa. To evaluate and describe the impact of the in-hospital physiotherapy management on the mortality and morbidity (documented functional outcomes at discharge) of the TBI patients. Methodology: A quantitative, descriptive, cross-sectional, retrospective hospital-based study reviewing patient records was conducted.Item Incidence and common causes of major lower limb amputation at a hospital in a sub-district of the City Cape Town municipality.(University of the Western Cape, 2024) Kaylor, Timothy; Ennion, LiezelBackground: Major lower limb amputation (LLA) is a life-changing event described as the loss of a limb at or proximal to the ankle upwards. The amputation itself is a change in body structure but has a significant influence on many activities, participation in activities and quality of life. Optimal functional outcomes for persons with a major LLA require intensive long-term rehabilitation and costly assistive devices such as prostheses. Due to the high costs associated with it, the increasing number of persons with major LLA places a burden on the resource-limited public health system. In order for the provincial department of health to plan to provide sufficient human and financial resources and procure enough assistive devices such as prostheses, the need for these devices and the incidence of major LLAs should be established. The study aims to determine the incidence and common causes of major LLAs in adults and children who underwent major lower limb amputations at Tygerberg Hospital over one year from 19 December 2019 to 20 December 2020.Item A profile of burn injuries among children aged 0-12 years at the Black Lion hospital, Addis Ababa, Ethiopia (1996-2001)(University of the Western Cape, 2003) Woldegiorgis, Worku; Marais, M.Millions of patients with burns require medical attention each year. Impairments, disabilities and handicap due to burn injuries among children are increasing. One possible reason could be that burn injury prevention were not given as much attention as infectious diseases such as leprosy, and tuberculosis (TB). The purpose of the study was to compile a profile of burn injuries among children aged 0-12 years, who were treated at the Black Lion Hospital (BLH) between 1996 and 2001 in Ethiopia. A retrospective, quantitative study design was chosen. Data was collected from the hospital records of 250 children seen with burn injuries. Clinical data, such as the cause and severity of the burn, and socio-demographic data such as the age of the child and his or her caregivers, their socio-economic status and educational levels, were captured. Descriptive and inferential statistical analyses of the data were carried out between socio-demographic variables and the burn injuries. The Chi-squared statistical test was used to identify associations and differences between selected variables. The major causes of thermal burns were hot liquids (63.4%) and flames (36.6%). The highest prevalence of burn injuries occurred in those children in the care of illiterate caregivers (p<0.01). The highest risk environment for burn accidents was identified as the kitchen (p<0.05). Most of the burns (64%) occurred in the children below the age of five years old. This finding was not statistically significant but it is of great clinical importance. Health and safety promotion programmes aimed at carers to minimize the risk of childhood disabilities due to burn injuries are recommended. Caregivers and school children have to be taught to use simple fire prevention procedures to avoid thermal burn injuries. Although the results of this study cannot be generalized, it provides a glimpse of the burn status and causes of thermal burn at BLH. However, in order to get more comprehensive information it is important to obtain information from more hospitals in the country through prospective studies.