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Home > The Impact of Introduction of the Canadian Ct – Head Rule on the Use of Ct-Scan on Minor Head Injury Patients at Aga Khan University Hospital, Nairobi

The Impact of Introduction of the Canadian Ct – Head Rule on the Use of Ct-Scan on Minor Head Injury Patients at Aga Khan University Hospital, Nairobi

Thesis Info

Author

Ramadhani Omari Abdalla

Department

General Surgery (East Africa)

Program

MMed

Institute

Aga Khan University

Institute Type

Private

City

Karachi

Province

Sindh

Country

Pakistan

Thesis Completing Year

2013

Thesis Completion Status

Completed

Subject

Medicine

Language

English

Added

2021-02-17 19:49:13

Modified

2024-03-24 20:25:49

ARI ID

1676728071767

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Background: Head injury is a common traumatic condition seen in Kenya. Among the head injury patients seen at the Aga Khan University Hospital Nairobi, minor head injury patients are the highest proportion of non–fatal trauma patients. Minor head injury is described as witnessed loss on consciousness, definite amnesia or witnessed disorientation in a patient with a GCS score of 13–15 who has suffered a traumatic event. There has been considerable disagreement about the indication for a Computed Axial Tomography Scan of the Head (CT-head) in the large number of patients clinically classified as minor. The Canadian CT Head Rule was derived as a sensitive decision rule on the use of CT with the aim to standardize and improve the management of patients with minor head injury. The rule comprised of five high risk factors and two moderate risk factors(Appendix 1). At the Aga Khan University Hospital Nairobi, there are no protocols that guide the decision making by physicians on when to do a CT-head for patients who have suffered a minor head injury. According to a pilot study done, approximately 96% of patients with minor head injury have a CT–head done. Objective: To determine the change in proportion of CT-scan done in patients with minor head injury after introduction of the Canadian CT Head Rule Guide at the Aga Khan University Hospital Nairobi. Secondary objectives were to determine the proportion of patients with minor head injury and moderate risk factors according to the Canadian CT Head rule for whom CT was ordered, probability of neurosurgical intervention in patients with minor head injury and their outcomes on follow up. Study design: A Before - After study Method: A total of 84 eligible patients diagnosed with minor head injury were recruited at the Accident and Emergency Department. Forty - two patients were assessed and data on high risk factors and moderate risk factors of the CCHR, Glasgow coma scale, age, management plan and the Glasgow outcome score on follow-up collected with data collection form 1 (see appendix 2) in the 'before' group, thereafter the Canadian CT Head Rule (CCHR) was introduced and another forty-two patients were assessed according to data collection form 2 (see appendix 3). Results: The proportions of CT scans done in the 'before' and 'after' groups were 95.2% and 21.4% respectively. The difference of 73.8% between the two groups was statistically significant (CI 0.55 to 0.84).The proportion of patients
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پروفیسردُنٹ

پروفیسر دُنٹ

            ماہ گزشتہ کا ایک اہم علمی حادثہ جرمنی کے نامور پروفیسر دُنٹ کی وفات ہے، پروفیسر موصوف فن نفسیات (سائیکولوجی) میں اس وقت استاذ الاساتذہ کا مرتبہ رکھتے تھے، ان کے زمانہ سے پیشتر نفسیات کو عام فلسفہ کی ایک شاخ سمجھا جاتا تھا، دنٹ ہی نے سب سے پہلے یہ بتایا کہ نفسیات بذات خود ایک مستقل فن ہے، جس کے نتائج کی بنیاد قیاس و استدلال پر نہیں بلکہ تجربات و اخبارت پر ہے، چنانچہ سب سے اول انہیں نے نفسیات کے لیے معمل (تجربہ گاہ) قائم کیا، جس میں مادی علوم کے معلموں کی طرح سارا کام تجربات کی مدد سے انجام پانے لگا اور ایک جدید فن نفسیات طبیعی (سائیکو فزکس) کی بنا ڈالی، اس کے علاوہ فلسفہ و اخلاق، منطق وغیرہ پر بھی ان کی گراں پایہ و ضخیم تصانیف ہیں، ابتداً وہ وجود روح کے منکر اور مادیت کے پیرو تھے، لیکن رفتہ رفتہ روح کے قائل اور بالآخر سخت مذہبی آدمی ہوگئے تھے، وفات کے بعد ان کی عمر ۸۸ سال سے متجاوز تھی۔ (سید سليمان ندوی،اکتوبر ۱۹۲۰ء)

 

مغرب کا نظریہ ملکیت اور اسلام تقابلی جائزہ

Islam recognizes the right of individual ownership of material things in this world. A person can hold all kinds of Halal material things in his individual possession. However, Islamic Shari'a doesn't allow such a concept of individual ownership which is given in Capitalism and as adopted by Western world. The Western world's concept about individual ownership is very liberal and without any restrictions. While, Islam doesn't give full liberty to any individual but rather instructs them to own and possess Halal material things via legitimate sources, and also instructs the right usage of these material things in the light of Qur'an and Sunnah. The benefit of this Islamic law is that disqualified individuals, such as an insane person or children, have no right on disposing his or her individual property. Similarly, in the eyes of Islam, an individual person is not allowed to dispose his or her property in such a way which causes trouble and inconvenience to others, for example a person cannot dig a well on his own land which causes trouble and inconvenience to others. Islam prohibits such disposing of an individual's property.

Constraint’S Analysis of Agricultural Credit Use: Implications for Poverty Reduction in Pakistan

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