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"healthcare_distance_km": 47.2, "transportation_mode": "bicycle", "income_level": "low", "insurance_status": "none", "family_size": 6, "primary_language": "French" }, "clinical_text": { "patient_id": "78600213-f5f6-4ca7-be56-b761678fd8d5", "fracture_type": "Pathological fracture", "mechanism_of_injury": "workplace_injury", "chief_complaint": { "text": "Un objet lourd est tombé sur moi au travail", "language": "French", "cultural_expressions": [ "Ça me fait très mal", "Je ne peux pas travailler" ] }, "pain_description": { "intensity": 7, "quality": "aigu", "location": "localized to injury site", "triggers": [ "movement", "touch", "weight bearing" ], "cultural_expression": "très mal" }, "traditional_medicine_history": { "used_traditional_medicine": true, "type": "massage", "timing": "after_hospital", "effectiveness": "made_worse" }, "primary_language": "French", "cultural_context": { "family_involvement": "high", "decision_maker": "spouse", "cultural_beliefs_about_injury": "bad_luck", 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"Hairline Fracture", "original_metadata": { "original_filename": "640px-Cropped_version_of_Jonesfracture_jpg.r40958b7c85972169a63197313018.jpg", "fracture_type": "Hairline Fracture", "split": "Test", "source": "original_dataset" }, "demographics": { "patient_id": "488468d0-fff7-428c-ae3f-ec8931411310", "age": 16, "gender": "male", "country": "Ghana", "region_type": "rural", "occupation": "teacher", "education_level": "none", "healthcare_distance_km": 22.1, "transportation_mode": "public_transport", "income_level": "low", "insurance_status": "none", "family_size": 6, "primary_language": "English" }, "clinical_text": { "patient_id": "488468d0-fff7-428c-ae3f-ec8931411310", "fracture_type": "Fracture Dislocation", "mechanism_of_injury": "fall_from_height", "chief_complaint": { "text": "I fell from a tree/building and cannot move my hand properly", "language": "English", "cultural_expressions": [ "It pains me too much", "I cannot do my work", "My family is worried" ] }, "pain_description": 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"My family is worried" ] }, "pain_description": { "intensity": 4, "quality": "sharp", "location": "localized to injury site", "triggers": [ "movement", "touch", "weight bearing" ], "cultural_expression": "sharp pain" }, "traditional_medicine_history": { "used_traditional_medicine": true, "type": "spiritual_healing", "timing": "after_hospital", "effectiveness": "helpful" }, "primary_language": "Yoruba", "cultural_context": { "family_involvement": "low", "decision_maker": "parent", "cultural_beliefs_about_injury": "punishment", "preferred_treatment_approach": "combined_approach" } }, "environmental_context": { "patient_id": "dfa32c10-9a02-4d5d-978e-8d8d4473b15e", "season": "dry_season", "injury_time": "afternoon", "day_of_week": "weekend", "environmental_hazards": [], "weather_conditions": { "precipitation": "none", "visibility": "clear", "road_conditions": "dry_good" }, "geographic_risk_factors": [ "remote_location", "limited_emergency_services", "poor_road_access", 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"fracture_type": "Avulsion fracture", "mechanism_of_injury": "road_traffic_accident", "chief_complaint": { "text": "J'ai été frappé par une moto et mon bras me fait très mal", "language": "French", "cultural_expressions": [ "Ça me fait très mal", "Je ne peux pas travailler" ] }, "pain_description": { "intensity": 6, "quality": "sourd", "location": "localized to injury site", "triggers": [ "movement", "touch", "weight bearing" ], "cultural_expression": "très mal" }, "traditional_medicine_history": { "used_traditional_medicine": true, "type": "spiritual_healing", "timing": "concurrent", "effectiveness": "no_change" }, "primary_language": "French", "cultural_context": { "family_involvement": "medium", "decision_maker": "family_elder", "cultural_beliefs_about_injury": "natural_cause", "preferred_treatment_approach": "combined_approach" } }, "environmental_context": { "patient_id": "23a00bb9-bfee-4057-8b7f-dfb253e8ff3d", "season": "dry_season", "injury_time": "night", "day_of_week": 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"income_level": "low", "insurance_status": "government", "family_size": 4, "primary_language": "Arabic" }, "clinical_text": { "patient_id": "3d3504ed-e251-4f57-887d-a63540e6ea4f", "fracture_type": "Spiral Fracture", "mechanism_of_injury": "fall_from_height", "chief_complaint": { "text": "I fell from a tree/building and cannot move my hand properly", "language": "Arabic", "cultural_expressions": [ "It pains me too much", "I cannot do my work", "My family is worried" ] }, "pain_description": { "intensity": 8, "quality": "dull", "location": "localized to injury site", "triggers": [ "movement", "touch", "weight bearing" ], "cultural_expression": "sharp pain" }, "traditional_medicine_history": { "used_traditional_medicine": true, "type": "spiritual_healing", "timing": "concurrent", "effectiveness": "helpful" }, "primary_language": "Arabic", "cultural_context": { "family_involvement": "medium", "decision_maker": "parent", "cultural_beliefs_about_injury": "bad_luck", 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"height_cm": 160.7, "weight_kg": 71.9, "bmi": 27.8, "arm_circumference_cm": 26.3 }, "pain_assessment": { "pain_scale_1_10": 6, "pain_location": "injury_site", "pain_radiation": true, "pain_on_movement": true, "pain_at_rest": true, "cultural_pain_expression": "sharp pain" }, "nutritional_status": "overweight" }, "mobile_health_data": { "patient_id": "a12712cb-346c-407b-838f-ec27808932f6", "phone_ownership": { "owns_phone": true, "phone_type": "feature_phone", "internet_access": false }, "gps_data": { "injury_location_type": "road", "distance_from_home_km": 8.457756180332334, "travel_time_to_hospital_hours": 6.982802750812653, "transport_delays": false }, "followup_patterns": { "preferred_contact_method": "sms", "response_rate": 0.764541482844812, "language_preference": "English", "family_involvement_in_followup": false }, "digital_literacy": "low" } }, { "record_id": "afr_med_000151", "patient_id": "b696c5fb-399e-400b-ba74-4face556fd00", "image_path": "images/original/images19_jpg.rf.b3a1fe6ed706798a6d940ca596de86aa.jpg", "fracture_type": "Fracture Dislocation", "original_metadata": { "original_filename": "images19_jpg.rf.b3a1fe6ed706798a6d940ca596de86aa.jpg", "fracture_type": "Fracture Dislocation", "split": "Train", "source": "original_dataset" }, "demographics": { "patient_id": "b696c5fb-399e-400b-ba74-4face556fd00", "age": 35, "gender": "female", "country": "Zimbabwe", "region_type": "rural", "occupation": "farmer", "education_level": "primary", "healthcare_distance_km": 9.2, "transportation_mode": "motorcycle", "income_level": "very_low", "insurance_status": "none", "family_size": 8, "primary_language": "English" }, "clinical_text": { "patient_id": "b696c5fb-399e-400b-ba74-4face556fd00", "fracture_type": "Comminuted fracture", "mechanism_of_injury": "sports_injury", "chief_complaint": { "text": "I have pain and cannot move properly", "language": "English", "cultural_expressions": [ "It pains me too much", "I cannot do my work", "My family is worried" ] }, "pain_description": { "intensity": 8, "quality": "throbbing", "location": "localized to injury site", "triggers": [ "movement", "touch", "weight bearing" ], "cultural_expression": "cannot sleep" }, "traditional_medicine_history": { "used_traditional_medicine": true, "type": "spiritual_healing", "timing": "after_hospital", "effectiveness": "made_worse" }, "primary_language": "English", "cultural_context": { "family_involvement": "high", "decision_maker": "parent", "cultural_beliefs_about_injury": "punishment", "preferred_treatment_approach": "modern_medicine" } }, "environmental_context": { "patient_id": "b696c5fb-399e-400b-ba74-4face556fd00", "season": "wet_season", "injury_time": "afternoon", "day_of_week": "weekend", "environmental_hazards": [ "uneven_terrain", "pesticide_exposure", "poor_road_conditions" ], "weather_conditions": { "precipitation": "heavy_rain", "visibility": "poor", "road_conditions": "muddy_slippery" }, "geographic_risk_factors": [ 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8, "primary_language": "Wolof" }, "clinical_text": { "patient_id": "31ff2887-1374-4500-b783-fc2fe6593417", "fracture_type": "Oblique fracture", "mechanism_of_injury": "fall_from_height", "chief_complaint": { "text": "I fell from a tree/building and cannot move my hand properly", "language": "Wolof", "cultural_expressions": [ "It pains me too much", "I cannot do my work", "My family is worried" ] }, "pain_description": { "intensity": 9, "quality": "burning", "location": "localized to injury site", "triggers": [ "movement", "touch", "weight bearing" ], "cultural_expression": "cannot sleep" }, "traditional_medicine_history": { "used_traditional_medicine": true, "type": "bone_setting", "timing": "before_hospital", "effectiveness": "no_change" }, "primary_language": "Wolof", "cultural_context": { "family_involvement": "medium", "decision_maker": "family_elder", "cultural_beliefs_about_injury": "bad_luck", "preferred_treatment_approach": "modern_medicine" } }, "environmental_context": { 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"demographics": { "patient_id": "c156d6bc-0d36-41d5-bcd7-c6b53f203e3c", "age": 28, "gender": "male", "country": "Senegal", "region_type": "rural", "occupation": "farmer", "education_level": "none", "healthcare_distance_km": 33.0, "transportation_mode": "walking", "income_level": "very_low", "insurance_status": "private", "family_size": 8, "primary_language": "Wolof" }, "clinical_text": { "patient_id": "c156d6bc-0d36-41d5-bcd7-c6b53f203e3c", "fracture_type": "Hairline Fracture", "mechanism_of_injury": "sports_injury", "chief_complaint": { "text": "I have pain and cannot move properly", "language": "Wolof", "cultural_expressions": [ "It pains me too much", "I cannot do my work", "My family is worried" ] }, "pain_description": { "intensity": 8, "quality": "burning", "location": "localized to injury site", "triggers": [ "movement", "touch", "weight bearing" ], "cultural_expression": "cannot sleep" }, "traditional_medicine_history": { "used_traditional_medicine": false }, 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"healthcare_distance_km": 22.3, "transportation_mode": "motorcycle", "income_level": "high", "insurance_status": "private", "family_size": 4, "primary_language": "Afrikaans" }, "clinical_text": { "patient_id": "6a28a981-eda3-4cf2-8063-32ba8ad57fd1", "fracture_type": "Pathological fracture", "mechanism_of_injury": "animal_attack", "chief_complaint": { "text": "I have pain and cannot move properly", "language": "Afrikaans", "cultural_expressions": [ "It pains me too much", "I cannot do my work", "My family is worried" ] }, "pain_description": { "intensity": 7, "quality": "burning", "location": "localized to injury site", "triggers": [ "movement", "touch", "weight bearing" ], "cultural_expression": "cannot sleep" }, "traditional_medicine_history": { "used_traditional_medicine": true, "type": "bone_setting", "timing": "after_hospital", "effectiveness": "made_worse" }, "primary_language": "Afrikaans", "cultural_context": { "family_involvement": "high", "decision_maker": "patient", 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"patient_id": "435356ff-b550-46a4-8a79-6ec7ed7cb740", "fracture_type": "Impacted fracture", "mechanism_of_injury": "road_traffic_accident", "chief_complaint": { "text": "Nilipigwa na pikipiki na mkono wangu unauma sana", "language": "Swahili", "cultural_expressions": [ "Inauma sana", "Siwezi kufanya kazi", "Familia yangu inahuzunika" ] }, "pain_description": { "intensity": 6, "quality": "inaumiza sana", "location": "localized to injury site", "triggers": [ "movement", "touch", "weight bearing" ], "cultural_expression": "kama moto" }, "traditional_medicine_history": { "used_traditional_medicine": true, "type": "spiritual_healing", "timing": "concurrent", "effectiveness": "made_worse" }, "primary_language": "Swahili", "cultural_context": { "family_involvement": "medium", "decision_maker": "family_elder", "cultural_beliefs_about_injury": "bad_luck", "preferred_treatment_approach": "modern_medicine" } }, "environmental_context": { "patient_id": "435356ff-b550-46a4-8a79-6ec7ed7cb740", 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"51d3e4f6-e084-4c72-898e-ff689752aa7c", "image_path": "images/original/image24_jpeg.rf.a60562fafe2b1f49d77d026.jpg", "fracture_type": "Fracture Dislocation", "original_metadata": { "original_filename": "image24_jpeg.rf.a60562fafe2b1f49d77d026.jpg", "fracture_type": "Fracture Dislocation", "split": "Train", "source": "original_dataset" }, "demographics": { "patient_id": "51d3e4f6-e084-4c72-898e-ff689752aa7c", "age": 55, "gender": "male", "country": "South Africa", "region_type": "rural", "occupation": "artisan", "education_level": "tertiary", "healthcare_distance_km": 27.1, "transportation_mode": "walking", "income_level": "low", "insurance_status": "government", "family_size": 6, "primary_language": "Afrikaans" }, "clinical_text": { "patient_id": "51d3e4f6-e084-4c72-898e-ff689752aa7c", "fracture_type": "Oblique fracture", "mechanism_of_injury": "assault", "chief_complaint": { "text": "I have pain and cannot move properly", "language": "Afrikaans", "cultural_expressions": [ "It pains me 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"healthcare_distance_km": 8.3, "transportation_mode": "walking", "income_level": "very_low", "insurance_status": "none", "family_size": 6, "primary_language": "English" }, "clinical_text": { "patient_id": "038add43-cc83-4230-8c90-d69fd5a8ac0d", "fracture_type": "Greenstick fracture", "mechanism_of_injury": "workplace_injury", "chief_complaint": { "text": "Heavy object fell on me at work site", "language": "English", "cultural_expressions": [ "It pains me too much", "I cannot do my work", "My family is worried" ] }, "pain_description": { "intensity": 8, "quality": "shooting", "location": "localized to injury site", "triggers": [ "movement", "touch", "weight bearing" ], "cultural_expression": "unbearable pain" }, "traditional_medicine_history": { "used_traditional_medicine": true, "type": "massage", "timing": "after_hospital", "effectiveness": "made_worse" }, "primary_language": "English", "cultural_context": { "family_involvement": "medium", "decision_maker": "spouse", 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"original_metadata": { "original_filename": "1-s2-0-S1877056815003461-gr1_jpg.rf.ecdb5a0a245d628f490c02ba81171284.jpg", "fracture_type": "Pathological fracture", "split": "Test", "source": "original_dataset" }, "demographics": { "patient_id": "39e1c511-cec8-4f2e-965e-ca7fd321bfef", "age": 17, "gender": "female", "country": "Uganda", "region_type": "urban", "occupation": "teacher", "education_level": "primary", "healthcare_distance_km": 4.9, "transportation_mode": "public_transport", "income_level": "very_low", "insurance_status": "none", "family_size": 4, "primary_language": "Swahili" }, "clinical_text": { "patient_id": "39e1c511-cec8-4f2e-965e-ca7fd321bfef", "fracture_type": "Comminuted fracture", "mechanism_of_injury": "domestic_accident", "chief_complaint": { "text": "I have pain and cannot move properly", "language": "Swahili", "cultural_expressions": [ "Inauma sana", "Siwezi kufanya kazi", "Familia yangu inahuzunika" ] }, "pain_description": { "intensity": 9, "quality": "inaumiza 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"income_level": "very_low", "insurance_status": "none", "family_size": 3, "primary_language": "English" }, "clinical_text": { "patient_id": "4b823cd7-d78d-4406-a1ce-8ad88a98cb16", "fracture_type": "Fracture Dislocation", "mechanism_of_injury": "road_traffic_accident", "chief_complaint": { "text": "I was hit by a motorcycle/car and my arm/leg is paining me", "language": "English", "cultural_expressions": [ "It pains me too much", "I cannot do my work", "My family is worried" ] }, "pain_description": { "intensity": 4, "quality": "sharp", "location": "localized to injury site", "triggers": [ "movement", "touch", "weight bearing" ], "cultural_expression": "sharp pain" }, "traditional_medicine_history": { "used_traditional_medicine": true, "type": "bone_setting", "timing": "after_hospital", "effectiveness": "no_change" }, "primary_language": "English", "cultural_context": { "family_involvement": "low", "decision_maker": "parent", "cultural_beliefs_about_injury": "bad_luck", 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"transportation_mode": "motorcycle", "income_level": "very_low", "insurance_status": "government", "family_size": 8, "primary_language": "English" }, "clinical_text": { "patient_id": "42a31fc2-b795-411f-aaac-d859e2b7d9e0", "fracture_type": "Hairline Fracture", "mechanism_of_injury": "fall_from_height", "chief_complaint": { "text": "I fell from a tree/building and cannot move my hand properly", "language": "English", "cultural_expressions": [ "It pains me too much", "I cannot do my work", "My family is worried" ] }, "pain_description": { "intensity": 5, "quality": "throbbing", "location": "localized to injury site", "triggers": [ "movement", "touch", "weight bearing" ], "cultural_expression": "cannot sleep" }, "traditional_medicine_history": { "used_traditional_medicine": true, "type": "massage", "timing": "after_hospital", "effectiveness": "helpful" }, "primary_language": "English", "cultural_context": { "family_involvement": "low", "decision_maker": "patient", 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"preferred_contact_method": "voice_call", "response_rate": 0.8632012568129052, "language_preference": "Twi", "family_involvement_in_followup": false }, "digital_literacy": "medium" } }, { "record_id": "afr_med_000440", "patient_id": "cd42ee51-3001-499c-a045-56b9c03eb867", "image_path": "images/original/image4_jpeg.rf.57c321cb137c23b0b3f2ac946a92b069.jpg", "fracture_type": "Greenstick fracture", "original_metadata": { "original_filename": "image4_jpeg.rf.57c321cb137c23b0b3f2ac946a92b069.jpg", "fracture_type": "Greenstick fracture", "split": "Train", "source": "original_dataset" }, "demographics": { "patient_id": "cd42ee51-3001-499c-a045-56b9c03eb867", "age": 31, "gender": "male", "country": "Zambia", "region_type": "rural", "occupation": "housewife", "education_level": "tertiary", "healthcare_distance_km": 42.7, "transportation_mode": "motorcycle", "income_level": "low", "insurance_status": "none", "family_size": 6, "primary_language": "English" }, "clinical_text": { "patient_id": 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"age": 9, "gender": "male", "country": "Zambia", "region_type": "peri_urban", "occupation": "student", "education_level": "primary", "healthcare_distance_km": 6.5, "transportation_mode": "public_transport", "income_level": "very_low", "insurance_status": "government", "family_size": 6, "primary_language": "English" }, "clinical_text": { "patient_id": "1bca6ec7-6e10-4c9d-97ce-cedfd4020cee", "fracture_type": "Avulsion fracture", "mechanism_of_injury": "fall_from_height", "chief_complaint": { "text": "I fell from a tree/building and cannot move my hand properly", "language": "English", "cultural_expressions": [ "It pains me too much", "I cannot do my work", "My family is worried" ] }, "pain_description": { "intensity": 6, "quality": "throbbing", "location": "localized to injury site", "triggers": [ "movement", "touch", "weight bearing" ], "cultural_expression": "unbearable pain" }, "traditional_medicine_history": { "used_traditional_medicine": false }, "primary_language": "English", 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"transportation_mode": "public_transport", "income_level": "high", "insurance_status": "government", "family_size": 3, "primary_language": "French" }, "clinical_text": { "patient_id": "0abb9f57-7759-491f-96fe-f19fedf69b9c", "fracture_type": "Spiral Fracture", "mechanism_of_injury": "road_traffic_accident", "chief_complaint": { "text": "J'ai été frappé par une moto et mon bras me fait très mal", "language": "French", "cultural_expressions": [ "Ça me fait très mal", "Je ne peux pas travailler" ] }, "pain_description": { "intensity": 9, "quality": "sourd", "location": "localized to injury site", "triggers": [ "movement", "touch", "weight bearing" ], "cultural_expression": "comme le feu" }, "traditional_medicine_history": { "used_traditional_medicine": false }, "primary_language": "French", "cultural_context": { "family_involvement": "high", "decision_maker": "parent", "cultural_beliefs_about_injury": "natural_cause", "preferred_treatment_approach": "modern_medicine" } }, 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"healthcare_distance_km": 19.2, "transportation_mode": "walking", "income_level": "low", "insurance_status": "none", "family_size": 7, "primary_language": "English" }, "clinical_text": { "patient_id": "784baf1d-3138-418a-929c-0cfaf8e4d84b", "fracture_type": "Comminuted fracture", "mechanism_of_injury": "road_traffic_accident", "chief_complaint": { "text": "I was hit by a motorcycle/car and my arm/leg is paining me", "language": "English", "cultural_expressions": [ "It pains me too much", "I cannot do my work", "My family is worried" ] }, "pain_description": { "intensity": 9, "quality": "sharp", "location": "localized to injury site", "triggers": [ "movement", "touch", "weight bearing" ], "cultural_expression": "sharp pain" }, "traditional_medicine_history": { "used_traditional_medicine": true, "type": "bone_setting", "timing": "before_hospital", "effectiveness": "no_change" }, "primary_language": "English", "cultural_context": { "family_involvement": "medium", "decision_maker": 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"secondary", "healthcare_distance_km": 8.6, "transportation_mode": "motorcycle", "income_level": "very_low", "insurance_status": "none", "family_size": 3, "primary_language": "English" }, "clinical_text": { "patient_id": "d417a9e5-1488-4cab-adb6-490f5df08ad4", "fracture_type": "Spiral Fracture", "mechanism_of_injury": "fall_from_height", "chief_complaint": { "text": "I fell from a tree/building and cannot move my hand properly", "language": "English", "cultural_expressions": [ "It pains me too much", "I cannot do my work", "My family is worried" ] }, "pain_description": { "intensity": 8, "quality": "shooting", "location": "localized to injury site", "triggers": [ "movement", "touch", "weight bearing" ], "cultural_expression": "cannot sleep" }, "traditional_medicine_history": { "used_traditional_medicine": false }, "primary_language": "English", "cultural_context": { "family_involvement": "medium", "decision_maker": "spouse", "cultural_beliefs_about_injury": "bad_luck", 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"43cce821-da72-4991-95fc-c033ed8ac901", "age": 29, "gender": "male", "country": "Uganda", "region_type": "rural", "occupation": "trader", "education_level": "primary", "healthcare_distance_km": 40.9, "transportation_mode": "walking", "income_level": "very_low", "insurance_status": "none", "family_size": 7, "primary_language": "English" }, "clinical_text": { "patient_id": "43cce821-da72-4991-95fc-c033ed8ac901", "fracture_type": "Hairline Fracture", "mechanism_of_injury": "workplace_injury", "chief_complaint": { "text": "Heavy object fell on me at work site", "language": "English", "cultural_expressions": [ "It pains me too much", "I cannot do my work", "My family is worried" ] }, "pain_description": { "intensity": 7, "quality": "throbbing", "location": "localized to injury site", "triggers": [ "movement", "touch", "weight bearing" ], "cultural_expression": "unbearable pain" }, "traditional_medicine_history": { "used_traditional_medicine": false }, "primary_language": "English", 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"insurance_status": "none", "family_size": 6, "primary_language": "French" }, "clinical_text": { "patient_id": "78600213-f5f6-4ca7-be56-b761678fd8d5", "fracture_type": "Pathological fracture", "mechanism_of_injury": "workplace_injury", "chief_complaint": { "text": "Un objet lourd est tombé sur moi au travail", "language": "French", "cultural_expressions": [ "Ça me fait très mal", "Je ne peux pas travailler" ] }, "pain_description": { "intensity": 7, "quality": "aigu", "location": "localized to injury site", "triggers": [ "movement", "touch", "weight bearing" ], "cultural_expression": "très mal" }, "traditional_medicine_history": { "used_traditional_medicine": true, "type": "massage", "timing": "after_hospital", "effectiveness": "made_worse" }, "primary_language": "French", "cultural_context": { "family_involvement": "high", "decision_maker": "spouse", "cultural_beliefs_about_injury": "bad_luck", "preferred_treatment_approach": "combined_approach" } }, "environmental_context": { 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0.7075273501374385, "language_preference": "English", "family_involvement_in_followup": true }, "digital_literacy": "medium" } }, { "record_id": "afr_med_000508", "patient_id": "5bc07b3c-d8dc-410c-b3a2-e74b25c1dbe0", "image_path": "images/original/image2_jpeg.rf.b5926a4a085c19ad61a2ff577c113958.jpg", "fracture_type": "Greenstick fracture", "original_metadata": { "original_filename": "image2_jpeg.rf.b5926a4a085c19ad61a2ff577c113958.jpg", "fracture_type": "Greenstick fracture", "split": "Train", "source": "original_dataset" }, "demographics": { "patient_id": "5bc07b3c-d8dc-410c-b3a2-e74b25c1dbe0", "age": 53, "gender": "male", "country": "Kenya", "region_type": "rural", "occupation": "farmer", "education_level": "secondary", "healthcare_distance_km": 20.0, "transportation_mode": "motorcycle", "income_level": "very_low", "insurance_status": "government", "family_size": 7, "primary_language": "English" }, "clinical_text": { "patient_id": "5bc07b3c-d8dc-410c-b3a2-e74b25c1dbe0", 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"demographics": { "patient_id": "23ae59a0-3842-45f0-b51f-fca23f537ddc", "age": 11, "gender": "male", "country": "Zambia", "region_type": "urban", "occupation": "student", "education_level": "secondary", "healthcare_distance_km": 8.4, "transportation_mode": "public_transport", "income_level": "very_low", "insurance_status": "government", "family_size": 6, "primary_language": "English" }, "clinical_text": { "patient_id": "23ae59a0-3842-45f0-b51f-fca23f537ddc", "fracture_type": "Avulsion fracture", "mechanism_of_injury": "road_traffic_accident", "chief_complaint": { "text": "I was hit by a motorcycle/car and my arm/leg is paining me", "language": "English", "cultural_expressions": [ "It pains me too much", "I cannot do my work", "My family is worried" ] }, "pain_description": { "intensity": 6, "quality": "dull", "location": "localized to injury site", "triggers": [ "movement", "touch", "weight bearing" ], "cultural_expression": "unbearable pain" }, "traditional_medicine_history": { 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}, "clinical_text": { "patient_id": "cd9ca1ea-5e2b-40d0-a418-8410921d20c4", "fracture_type": "Comminuted fracture", "mechanism_of_injury": "fall_from_height", "chief_complaint": { "text": "I fell from a tree/building and cannot move my hand properly", "language": "Afrikaans", "cultural_expressions": [ "It pains me too much", "I cannot do my work", "My family is worried" ] }, "pain_description": { "intensity": 9, "quality": "sharp", "location": "localized to injury site", "triggers": [ "movement", "touch", "weight bearing" ], "cultural_expression": "unbearable pain" }, "traditional_medicine_history": { "used_traditional_medicine": false }, "primary_language": "Afrikaans", "cultural_context": { "family_involvement": "high", "decision_maker": "spouse", "cultural_beliefs_about_injury": "bad_luck", "preferred_treatment_approach": "traditional_first" } }, "environmental_context": { "patient_id": "cd9ca1ea-5e2b-40d0-a418-8410921d20c4", "season": "wet_season", "injury_time": "night", 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"healthcare_distance_km": 40.3, "transportation_mode": "bicycle", "income_level": "very_low", "insurance_status": "government", "family_size": 4, "primary_language": "Afrikaans" }, "clinical_text": { "patient_id": "86029eab-d8fc-43d1-a810-ad8b5307749f", "fracture_type": "Comminuted fracture", "mechanism_of_injury": "fall_from_height", "chief_complaint": { "text": "I fell from a tree/building and cannot move my hand properly", "language": "Afrikaans", "cultural_expressions": [ "It pains me too much", "I cannot do my work", "My family is worried" ] }, "pain_description": { "intensity": 9, "quality": "burning", "location": "localized to injury site", "triggers": [ "movement", "touch", "weight bearing" ], "cultural_expression": "unbearable pain" }, "traditional_medicine_history": { "used_traditional_medicine": true, "type": "herbal_medicine", "timing": "after_hospital", "effectiveness": "helpful" }, "primary_language": "Afrikaans", "cultural_context": { "family_involvement": "low", 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"response_rate": 0.9179915897606364, "language_preference": "English", "family_involvement_in_followup": false }, "digital_literacy": "medium" } }, { "record_id": "afr_med_000626", "patient_id": "e3e40e32-1623-4344-a729-8c5b17bcd73a", "image_path": "images/original/images14_jpg.rf.33adaf5937db9b9c32e665094c7dfd67.jpg", "fracture_type": "Impacted fracture", "original_metadata": { "original_filename": "images14_jpg.rf.33adaf5937db9b9c32e665094c7dfd67.jpg", "fracture_type": "Impacted fracture", "split": "Train", "source": "original_dataset" }, "demographics": { "patient_id": "e3e40e32-1623-4344-a729-8c5b17bcd73a", "age": 14, "gender": "female", "country": "Uganda", "region_type": "peri_urban", "occupation": "student", "education_level": "none", "healthcare_distance_km": 4.7, "transportation_mode": "private_car", "income_level": "low", "insurance_status": "none", "family_size": 5, "primary_language": "Swahili" }, "clinical_text": { "patient_id": "e3e40e32-1623-4344-a729-8c5b17bcd73a", "fracture_type": "Oblique fracture", "mechanism_of_injury": "fall_from_height", "chief_complaint": { "text": "Nilianguka kutoka juu na siwezi kutembea vizuri", "language": "Swahili", "cultural_expressions": [ "Inauma sana", "Siwezi kufanya kazi", "Familia yangu inahuzunika" ] }, "pain_description": { "intensity": 8, "quality": "inachoma", "location": "localized to injury site", "triggers": [ "movement", "touch", "weight bearing" ], "cultural_expression": "maumivu makubwa" }, "traditional_medicine_history": { "used_traditional_medicine": false }, "primary_language": "Swahili", "cultural_context": { "family_involvement": "high", "decision_maker": "patient", "cultural_beliefs_about_injury": "spiritual_cause", "preferred_treatment_approach": "traditional_first" } }, "environmental_context": { "patient_id": "e3e40e32-1623-4344-a729-8c5b17bcd73a", "season": "harmattan", "injury_time": "evening", "day_of_week": "weekday", "environmental_hazards": [], "weather_conditions": { "precipitation": 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"transportation_mode": "taxi", "income_level": "very_low", "insurance_status": "none", "family_size": 5, "primary_language": "French" }, "clinical_text": { "patient_id": "d62e04c8-eded-44f1-970a-49334e9646b1", "fracture_type": "Oblique fracture", "mechanism_of_injury": "fall_from_height", "chief_complaint": { "text": "I have pain and cannot move properly", "language": "French", "cultural_expressions": [ "Ça me fait très mal", "Je ne peux pas travailler" ] }, "pain_description": { "intensity": 8, "quality": "sourd", "location": "localized to injury site", "triggers": [ "movement", "touch", "weight bearing" ], "cultural_expression": "très mal" }, "traditional_medicine_history": { "used_traditional_medicine": false }, "primary_language": "French", "cultural_context": { "family_involvement": "low", "decision_maker": "parent", "cultural_beliefs_about_injury": "bad_luck", "preferred_treatment_approach": "modern_medicine" } }, "environmental_context": { "patient_id": 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"occupation": "trader", "education_level": "none", "healthcare_distance_km": 44.8, "transportation_mode": "bicycle", "income_level": "very_low", "insurance_status": "government", "family_size": 4, "primary_language": "Arabic" }, "clinical_text": { "patient_id": "b2a57379-4912-4eae-8cf2-5803c44dfce0", "fracture_type": "Hairline Fracture", "mechanism_of_injury": "workplace_injury", "chief_complaint": { "text": "Heavy object fell on me at work site", "language": "Arabic", "cultural_expressions": [ "It pains me too much", "I cannot do my work", "My family is worried" ] }, "pain_description": { "intensity": 6, "quality": "dull", "location": "localized to injury site", "triggers": [ "movement", "touch", "weight bearing" ], "cultural_expression": "sharp pain" }, "traditional_medicine_history": { "used_traditional_medicine": false }, "primary_language": "Arabic", "cultural_context": { "family_involvement": "low", "decision_maker": "spouse", "cultural_beliefs_about_injury": "bad_luck", "preferred_treatment_approach": "traditional_first" } }, "environmental_context": { "patient_id": "b2a57379-4912-4eae-8cf2-5803c44dfce0", "season": "dry_season", "injury_time": "evening", "day_of_week": "weekend", "environmental_hazards": [], "weather_conditions": { "precipitation": "none", "visibility": "clear", "road_conditions": "dry_good" }, "geographic_risk_factors": [ "remote_location", "limited_emergency_services", "poor_road_access" ] }, "clinical_measurements": { "patient_id": "b2a57379-4912-4eae-8cf2-5803c44dfce0", "vital_signs": { "heart_rate": 107, "blood_pressure_systolic": 136, "blood_pressure_diastolic": 63, "temperature": 36.9, "respiratory_rate": 21, "oxygen_saturation": 95 }, "anthropometric": { "height_cm": 152.3, "weight_kg": 53.7, "bmi": 23.2, "arm_circumference_cm": 25.0 }, "pain_assessment": { "pain_scale_1_10": 9, "pain_location": "injury_site", "pain_radiation": true, "pain_on_movement": true, "pain_at_rest": false, "cultural_pain_expression": "unbearable pain" }, "nutritional_status": "normal" }, "mobile_health_data": { "patient_id": "b2a57379-4912-4eae-8cf2-5803c44dfce0", "phone_ownership": { "owns_phone": true, "phone_type": "smartphone", "internet_access": false }, "gps_data": { "injury_location_type": "public_place", "distance_from_home_km": 17.85483963972684, "travel_time_to_hospital_hours": 5.220389043692601, "transport_delays": true }, "followup_patterns": { "preferred_contact_method": "in_person", "response_rate": 0.6818094001798124, "language_preference": "Arabic", "family_involvement_in_followup": false }, "digital_literacy": "medium" } }, { "record_id": "afr_med_000900", "patient_id": "a3493d1a-166e-499a-a302-4b14d747ffac", "image_path": "images/original/gr_1ab_jpg.rf.6e84e35069fb5edb9eca6ffa8c4609.jpg", "fracture_type": "Longitudinal fracture", "original_metadata": { "original_filename": "gr_1ab_jpg.rf.6e84e35069fb5edb9eca6ffa8c4609.jpg", "fracture_type": "Longitudinal fracture", "split": "Train", "source": "original_dataset" }, "demographics": { "patient_id": "a3493d1a-166e-499a-a302-4b14d747ffac", "age": 3, "gender": "female", "country": "Tanzania", "region_type": "urban", "occupation": "student", "education_level": "secondary", "healthcare_distance_km": 9.3, "transportation_mode": "motorcycle", "income_level": "middle", "insurance_status": "none", "family_size": 5, "primary_language": "English" }, "clinical_text": { "patient_id": "a3493d1a-166e-499a-a302-4b14d747ffac", "fracture_type": "Fracture Dislocation", "mechanism_of_injury": "assault", "chief_complaint": { "text": "I have pain and cannot move properly", "language": "English", "cultural_expressions": [ "It pains me too much", "I cannot do my work", "My family is worried" ] }, "pain_description": { "intensity": 9, "quality": "throbbing", "location": "localized to injury site", "triggers": [ "movement", "touch", "weight bearing" ], "cultural_expression": "sharp pain" }, "traditional_medicine_history": { "used_traditional_medicine": true, "type": 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"pain_assessment": { "pain_scale_1_10": 8, "pain_location": "injury_site", "pain_radiation": true, "pain_on_movement": true, "pain_at_rest": true, "cultural_pain_expression": "cannot sleep" }, "nutritional_status": "normal" }, "mobile_health_data": { "patient_id": "a3493d1a-166e-499a-a302-4b14d747ffac", "phone_ownership": { "owns_phone": false }, "gps_data": { "injury_location_type": "home", "distance_from_home_km": 18.40927567787137, "travel_time_to_hospital_hours": 2.899272846175439, "transport_delays": true }, "followup_patterns": { "preferred_contact_method": "sms", "response_rate": 0.7939223328222423, "language_preference": "English", "family_involvement_in_followup": false }, "digital_literacy": "high" } }, { "record_id": "afr_med_000901", "patient_id": "77de7354-ea69-4f37-8769-f398a3472c69", "image_path": "images/original/phalanx_jpg.rf.6b2f188001afe10883af86f78a022b3f.jpg", "fracture_type": "Longitudinal fracture", "original_metadata": { "original_filename": 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0.7242237912649213, "language_preference": "English", "family_involvement_in_followup": true }, "digital_literacy": "medium" } }, { "record_id": "afr_med_000902", "patient_id": "d8a832f4-8607-4cec-92a1-b1fefd013df6", "image_path": "images/original/Inkedimage26_jpeg.rf.e399914b4d15_LI.jpg", "fracture_type": "Longitudinal fracture", "original_metadata": { "original_filename": "Inkedimage26_jpeg.rf.e399914b4d15_LI.jpg", "fracture_type": "Longitudinal fracture", "split": "Train", "source": "original_dataset" }, "demographics": { "patient_id": "d8a832f4-8607-4cec-92a1-b1fefd013df6", "age": 29, "gender": "female", "country": "Zambia", "region_type": "peri_urban", "occupation": "construction_worker", "education_level": "primary", "healthcare_distance_km": 8.8, "transportation_mode": "walking", "income_level": "low", "insurance_status": "none", "family_size": 6, "primary_language": "English" }, "clinical_text": { "patient_id": "d8a832f4-8607-4cec-92a1-b1fefd013df6", "fracture_type": "Avulsion 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"healthcare_distance_km": 8.7, "transportation_mode": "public_transport", "income_level": "middle", "insurance_status": "none", "family_size": 4, "primary_language": "Wolof" }, "clinical_text": { "patient_id": "961a885b-d3b8-4c58-b767-40e7a34b58e5", "fracture_type": "Spiral Fracture", "mechanism_of_injury": "workplace_injury", "chief_complaint": { "text": "Heavy object fell on me at work site", "language": "Wolof", "cultural_expressions": [ "It pains me too much", "I cannot do my work", "My family is worried" ] }, "pain_description": { "intensity": 6, "quality": "burning", "location": "localized to injury site", "triggers": [ "movement", "touch", "weight bearing" ], "cultural_expression": "sharp pain" }, "traditional_medicine_history": { "used_traditional_medicine": true, "type": "bone_setting", "timing": "after_hospital", "effectiveness": "helpful" }, "primary_language": "Wolof", "cultural_context": { "family_involvement": "low", "decision_maker": "family_elder", "cultural_beliefs_about_injury": "punishment", "preferred_treatment_approach": "traditional_first" } }, "environmental_context": { "patient_id": "961a885b-d3b8-4c58-b767-40e7a34b58e5", "season": "dry_season", "injury_time": "evening", "day_of_week": "weekday", "environmental_hazards": [ "road_conditions" ], "weather_conditions": { "precipitation": "none", "visibility": "clear", "road_conditions": "dry_good" }, "geographic_risk_factors": [] }, "clinical_measurements": { "patient_id": "961a885b-d3b8-4c58-b767-40e7a34b58e5", "vital_signs": { "heart_rate": 125, "blood_pressure_systolic": 150, "blood_pressure_diastolic": 62, "temperature": 37.3, "respiratory_rate": 16, "oxygen_saturation": 100 }, "anthropometric": { "height_cm": 169.1, "weight_kg": 54.8, "bmi": 19.2, "arm_circumference_cm": 24.6 }, "pain_assessment": { "pain_scale_1_10": 9, "pain_location": "injury_site", "pain_radiation": true, "pain_on_movement": true, "pain_at_rest": false, "cultural_pain_expression": "unbearable pain" }, "nutritional_status": "normal" }, "mobile_health_data": { "patient_id": "961a885b-d3b8-4c58-b767-40e7a34b58e5", "phone_ownership": { "owns_phone": true, "phone_type": "smartphone", "internet_access": false }, "gps_data": { "injury_location_type": "public_place", "distance_from_home_km": 15.878085059206215, "travel_time_to_hospital_hours": 7.274041235620098, "transport_delays": false }, "followup_patterns": { "preferred_contact_method": "family_member", "response_rate": 0.82722495010018, "language_preference": "Wolof", "family_involvement_in_followup": true }, "digital_literacy": "medium" } }, { "record_id": "afr_med_000904", "patient_id": "ca268690-3628-41b8-81bc-a844847e8387", "image_path": "images/original/5081d92848d45_jpg.rf.1e2a0baa221d9049fe04927ae77c1aaa.jpg", "fracture_type": "Longitudinal fracture", "original_metadata": { "original_filename": "5081d92848d45_jpg.rf.1e2a0baa221d9049fe04927ae77c1aaa.jpg", "fracture_type": "Longitudinal fracture", "split": "Train", "source": 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"images/original/image28_jpeg.rf.29e91e4205b95131ef277cfb61f886da.jpg", "fracture_type": "Longitudinal fracture", "original_metadata": { "original_filename": "image28_jpeg.rf.29e91e4205b95131ef277cfb61f886da.jpg", "fracture_type": "Longitudinal fracture", "split": "Train", "source": "original_dataset" }, "demographics": { "patient_id": "ef75668b-e223-45ae-b672-f2b976fd249b", "age": 22, "gender": "female", "country": "South Africa", "region_type": "urban", "occupation": "artisan", "education_level": "secondary", "healthcare_distance_km": 1.4, "transportation_mode": "public_transport", "income_level": "very_low", "insurance_status": "government", "family_size": 8, "primary_language": "English" }, "clinical_text": { "patient_id": "ef75668b-e223-45ae-b672-f2b976fd249b", "fracture_type": "Greenstick fracture", "mechanism_of_injury": "workplace_injury", "chief_complaint": { "text": "Heavy object fell on me at work site", "language": "English", "cultural_expressions": [ "It pains me too 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"image_path": "images/original/image2_jpeg.rf.ec95dc5f2c7fdd358100b39408b45f9f.jpg", "fracture_type": "Oblique fracture", "original_metadata": { "original_filename": "image2_jpeg.rf.ec95dc5f2c7fdd358100b39408b45f9f.jpg", "fracture_type": "Oblique fracture", "split": "Train", "source": "original_dataset" }, "demographics": { "patient_id": "5fa634be-df4b-47e3-b4de-82d7d349c46d", "age": 18, "gender": "female", "country": "Nigeria", "region_type": "rural", "occupation": "artisan", "education_level": "none", "healthcare_distance_km": 42.8, "transportation_mode": "motorcycle", "income_level": "low", "insurance_status": "none", "family_size": 7, "primary_language": "Hausa" }, "clinical_text": { "patient_id": "5fa634be-df4b-47e3-b4de-82d7d349c46d", "fracture_type": "Impacted fracture", "mechanism_of_injury": "road_traffic_accident", "chief_complaint": { "text": "I was hit by a motorcycle/car and my arm/leg is paining me", "language": "Hausa", "cultural_expressions": [ "It pains me too much", 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"insurance_status": "none", "family_size": 5, "primary_language": "English" }, "clinical_text": { "patient_id": "c51070c2-7f30-4113-b900-2ad4836b26ad", "fracture_type": "Greenstick fracture", "mechanism_of_injury": "fall_from_height", "chief_complaint": { "text": "I fell from a tree/building and cannot move my hand properly", "language": "English", "cultural_expressions": [ "It pains me too much", "I cannot do my work", "My family is worried" ] }, "pain_description": { "intensity": 6, "quality": "burning", "location": "localized to injury site", "triggers": [ "movement", "touch", "weight bearing" ], "cultural_expression": "unbearable pain" }, "traditional_medicine_history": { "used_traditional_medicine": true, "type": "herbal_medicine", "timing": "concurrent", "effectiveness": "no_change" }, "primary_language": "English", "cultural_context": { "family_involvement": "low", "decision_maker": "family_elder", "cultural_beliefs_about_injury": "punishment", "preferred_treatment_approach": 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"XRAY20-20Obturator20Oblique20-20Posterior20wall20fx_moved_jpg.rf.d80991ac87370262d0290e03af5817e2.jpg", "fracture_type": "Oblique fracture", "split": "Train", "source": "original_dataset" }, "demographics": { "patient_id": "841c5411-0c46-489e-a5d9-4962978a9e16", "age": 28, "gender": "male", "country": "Morocco", "region_type": "urban", "occupation": "farmer", "education_level": "secondary", "healthcare_distance_km": 7.5, "transportation_mode": "private_car", "income_level": "very_low", "insurance_status": "government", "family_size": 8, "primary_language": "Arabic" }, "clinical_text": { "patient_id": "841c5411-0c46-489e-a5d9-4962978a9e16", "fracture_type": "Greenstick fracture", "mechanism_of_injury": "domestic_accident", "chief_complaint": { "text": "I slipped in the compound and hurt my leg", "language": "Arabic", "cultural_expressions": [ "It pains me too much", "I cannot do my work", "My family is worried" ] }, "pain_description": { "intensity": 6, "quality": "shooting", 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"fracture_type": "Avulsion fracture", "mechanism_of_injury": "fall_from_height", "chief_complaint": { "text": "I have pain and cannot move properly", "language": "French", "cultural_expressions": [ "Ça me fait très mal", "Je ne peux pas travailler" ] }, "pain_description": { "intensity": 9, "quality": "lancinant", "location": "localized to injury site", "triggers": [ "movement", "touch", "weight bearing" ], "cultural_expression": "comme le feu" }, "traditional_medicine_history": { "used_traditional_medicine": true, "type": "bone_setting", "timing": "after_hospital", "effectiveness": "helpful" }, "primary_language": "French", "cultural_context": { "family_involvement": "high", "decision_maker": "family_elder", "cultural_beliefs_about_injury": "bad_luck", "preferred_treatment_approach": "modern_medicine" } }, "environmental_context": { "patient_id": "b257d0da-8c86-4afe-8306-5a616ef71e6f", "season": "dry_season", "injury_time": "morning", "day_of_week": "weekend", "environmental_hazards": 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"Longitudinal fracture", "mechanism_of_injury": "traditional_medicine_complication", "chief_complaint": { "text": "I have pain and cannot move properly", "language": "Twi", "cultural_expressions": [ "It pains me too much", "I cannot do my work", "My family is worried" ] }, "pain_description": { "intensity": 9, "quality": "dull", "location": "localized to injury site", "triggers": [ "movement", "touch", "weight bearing" ], "cultural_expression": "unbearable pain" }, "traditional_medicine_history": { "used_traditional_medicine": true, "type": "spiritual_healing", "timing": "concurrent", "effectiveness": "made_worse" }, "primary_language": "Twi", "cultural_context": { "family_involvement": "low", "decision_maker": "family_elder", "cultural_beliefs_about_injury": "spiritual_cause", "preferred_treatment_approach": "modern_medicine" } }, "environmental_context": { "patient_id": "606ccaf4-1ce7-4119-9749-11f4efd82565", "season": "wet_season", "injury_time": "night", "day_of_week": "weekday", 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"fracture_type": "Impacted fracture", "mechanism_of_injury": "road_traffic_accident", "chief_complaint": { "text": "I was hit by a motorcycle/car and my arm/leg is paining me", "language": "Twi", "cultural_expressions": [ "It pains me too much", "I cannot do my work", "My family is worried" ] }, "pain_description": { "intensity": 6, "quality": "burning", "location": "localized to injury site", "triggers": [ "movement", "touch", "weight bearing" ], "cultural_expression": "unbearable pain" }, "traditional_medicine_history": { "used_traditional_medicine": true, "type": "massage", "timing": "before_hospital", "effectiveness": "made_worse" }, "primary_language": "Twi", "cultural_context": { "family_involvement": "medium", "decision_maker": "parent", "cultural_beliefs_about_injury": "punishment", "preferred_treatment_approach": "modern_medicine" } }, "environmental_context": { "patient_id": "a35bedcb-93d3-4e23-9382-2c200ed820ce", "season": "dry_season", "injury_time": "evening", 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"image32_jpeg.rf.d32f38806678d55406a21627433e5.jpg", "fracture_type": "Oblique fracture", "split": "Train", "source": "original_dataset" }, "demographics": { "patient_id": "d417a9e5-1488-4cab-adb6-490f5df08ad4", "age": 9, "gender": "female", "country": "Tanzania", "region_type": "urban", "occupation": "student", "education_level": "secondary", "healthcare_distance_km": 8.6, "transportation_mode": "motorcycle", "income_level": "very_low", "insurance_status": "none", "family_size": 3, "primary_language": "English" }, "clinical_text": { "patient_id": "d417a9e5-1488-4cab-adb6-490f5df08ad4", "fracture_type": "Spiral Fracture", "mechanism_of_injury": "fall_from_height", "chief_complaint": { "text": "I fell from a tree/building and cannot move my hand properly", "language": "English", "cultural_expressions": [ "It pains me too much", "I cannot do my work", "My family is worried" ] }, "pain_description": { "intensity": 8, "quality": "shooting", "location": "localized to injury site", 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"transportation_mode": "bicycle", "income_level": "middle", "insurance_status": "community", "family_size": 7, "primary_language": "Hausa" }, "clinical_text": { "patient_id": "c5721c1e-83cc-4ab4-a84f-d6749087e2d4", "fracture_type": "Avulsion fracture", "mechanism_of_injury": "road_traffic_accident", "chief_complaint": { "text": "I was hit by a motorcycle/car and my arm/leg is paining me", "language": "Hausa", "cultural_expressions": [ "It pains me too much", "I cannot do my work", "My family is worried" ] }, "pain_description": { "intensity": 4, "quality": "dull", "location": "localized to injury site", "triggers": [ "movement", "touch", "weight bearing" ], "cultural_expression": "cannot sleep" }, "traditional_medicine_history": { "used_traditional_medicine": false }, "primary_language": "Hausa", "cultural_context": { "family_involvement": "high", "decision_maker": "parent", "cultural_beliefs_about_injury": "punishment", "preferred_treatment_approach": "modern_medicine" } }, 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"insurance_status": "government", "family_size": 4, "primary_language": "Afrikaans" }, "clinical_text": { "patient_id": "db38757e-7438-41f0-90e7-b15fb044dbe6", "fracture_type": "Spiral Fracture", "mechanism_of_injury": "road_traffic_accident", "chief_complaint": { "text": "I was hit by a motorcycle/car and my arm/leg is paining me", "language": "Afrikaans", "cultural_expressions": [ "It pains me too much", "I cannot do my work", "My family is worried" ] }, "pain_description": { "intensity": 5, "quality": "sharp", "location": "localized to injury site", "triggers": [ "movement", "touch", "weight bearing" ], "cultural_expression": "sharp pain" }, "traditional_medicine_history": { "used_traditional_medicine": false }, "primary_language": "Afrikaans", "cultural_context": { "family_involvement": "medium", "decision_maker": "family_elder", "cultural_beliefs_about_injury": "spiritual_cause", "preferred_treatment_approach": "modern_medicine" } }, "environmental_context": { "patient_id": 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6, "primary_language": "Swahili" }, "clinical_text": { "patient_id": "cd5c67f5-ddc2-437f-857c-d7fda9c4179d", "fracture_type": "Impacted fracture", "mechanism_of_injury": "animal_attack", "chief_complaint": { "text": "I have pain and cannot move properly", "language": "Swahili", "cultural_expressions": [ "Inauma sana", "Siwezi kufanya kazi", "Familia yangu inahuzunika" ] }, "pain_description": { "intensity": 4, "quality": "kali", "location": "localized to injury site", "triggers": [ "movement", "touch", "weight bearing" ], "cultural_expression": "kama moto" }, "traditional_medicine_history": { "used_traditional_medicine": false }, "primary_language": "Swahili", "cultural_context": { "family_involvement": "high", "decision_maker": "spouse", "cultural_beliefs_about_injury": "punishment", "preferred_treatment_approach": "combined_approach" } }, "environmental_context": { "patient_id": "cd5c67f5-ddc2-437f-857c-d7fda9c4179d", "season": "harmattan", "injury_time": "afternoon", "day_of_week": 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"healthcare_distance_km": 1.4, "transportation_mode": "public_transport", "income_level": "low", "insurance_status": "government", "family_size": 5, "primary_language": "Twi" }, "clinical_text": { "patient_id": "499580d3-1bc5-4c7e-b3b6-b601e79a56cb", "fracture_type": "Avulsion fracture", "mechanism_of_injury": "traditional_medicine_complication", "chief_complaint": { "text": "I have pain and cannot move properly", "language": "Twi", "cultural_expressions": [ "It pains me too much", "I cannot do my work", "My family is worried" ] }, "pain_description": { "intensity": 5, "quality": "throbbing", "location": "localized to injury site", "triggers": [ "movement", "touch", "weight bearing" ], "cultural_expression": "unbearable pain" }, "traditional_medicine_history": { "used_traditional_medicine": true, "type": "spiritual_healing", "timing": "after_hospital", "effectiveness": "no_change" }, "primary_language": "Twi", "cultural_context": { "family_involvement": "medium", "decision_maker": 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true }, "digital_literacy": "high" } }, { "record_id": "afr_med_001028", "patient_id": "bf37dbdf-b70e-4289-b3c5-9544c7024a09", "image_path": "images/original/image31_jpeg.rf.c31b74efca3394ab54c71a1e5ac50306.jpg", "fracture_type": "Avulsion fracture", "original_metadata": { "original_filename": "image31_jpeg.rf.c31b74efca3394ab54c71a1e5ac50306.jpg", "fracture_type": "Avulsion fracture", "split": "Train", "source": "original_dataset" }, "demographics": { "patient_id": "bf37dbdf-b70e-4289-b3c5-9544c7024a09", "age": 12, "gender": "male", "country": "Tanzania", "region_type": "rural", "occupation": "student", "education_level": "none", "healthcare_distance_km": 24.0, "transportation_mode": "walking", "income_level": "low", "insurance_status": "government", "family_size": 3, "primary_language": "Swahili" }, "clinical_text": { "patient_id": "bf37dbdf-b70e-4289-b3c5-9544c7024a09", "fracture_type": "Greenstick fracture", "mechanism_of_injury": "sports_injury", "chief_complaint": { "text": "I 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7.3, "transportation_mode": "public_transport", "income_level": "low", "insurance_status": "government", "family_size": 6, "primary_language": "English" }, "clinical_text": { "patient_id": "d82cfe41-86f8-45fe-b622-f092e99a8df3", "fracture_type": "Spiral Fracture", "mechanism_of_injury": "fall_from_height", "chief_complaint": { "text": "I fell from a tree/building and cannot move my hand properly", "language": "English", "cultural_expressions": [ "It pains me too much", "I cannot do my work", "My family is worried" ] }, "pain_description": { "intensity": 9, "quality": "dull", "location": "localized to injury site", "triggers": [ "movement", "touch", "weight bearing" ], "cultural_expression": "cannot sleep" }, "traditional_medicine_history": { "used_traditional_medicine": false }, "primary_language": "English", "cultural_context": { "family_involvement": "high", "decision_maker": "parent", "cultural_beliefs_about_injury": "spiritual_cause", "preferred_treatment_approach": 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}, "clinical_text": { "patient_id": "9500de34-bc43-4973-ac7e-66e2cf3b811e", "fracture_type": "Greenstick fracture", "mechanism_of_injury": "road_traffic_accident", "chief_complaint": { "text": "I was hit by a motorcycle/car and my arm/leg is paining me", "language": "Arabic", "cultural_expressions": [ "It pains me too much", "I cannot do my work", "My family is worried" ] }, "pain_description": { "intensity": 6, "quality": "shooting", "location": "localized to injury site", "triggers": [ "movement", "touch", "weight bearing" ], "cultural_expression": "sharp pain" }, "traditional_medicine_history": { "used_traditional_medicine": true, "type": "bone_setting", "timing": "after_hospital", "effectiveness": "helpful" }, "primary_language": "Arabic", "cultural_context": { "family_involvement": "low", "decision_maker": "parent", "cultural_beliefs_about_injury": "natural_cause", "preferred_treatment_approach": "traditional_first" } }, "environmental_context": { "patient_id": 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"fracture_type": "Avulsion fracture", "original_metadata": { "original_filename": "images16_jpg.rf.d505cf1bdaa5e3f74e3c3f6bd2145185.jpg", "fracture_type": "Avulsion fracture", "split": "Train", "source": "original_dataset" }, "demographics": { "patient_id": "cadb81cf-9eae-4ac7-bd60-b35f30643af6", "age": 14, "gender": "female", "country": "Burkina Faso", "region_type": "urban", "occupation": "student", "education_level": "primary", "healthcare_distance_km": 1.5, "transportation_mode": "private_car", "income_level": "very_low", "insurance_status": "government", "family_size": 7, "primary_language": "French" }, "clinical_text": { "patient_id": "cadb81cf-9eae-4ac7-bd60-b35f30643af6", "fracture_type": "Hairline Fracture", "mechanism_of_injury": "road_traffic_accident", "chief_complaint": { "text": "J'ai été frappé par une moto et mon bras me fait très mal", "language": "French", "cultural_expressions": [ "Ça me fait très mal", "Je ne peux pas travailler" ] }, "pain_description": { 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"healthcare_distance_km": 36.6, "transportation_mode": "bicycle", "income_level": "very_low", "insurance_status": "none", "family_size": 3, "primary_language": "English" }, "clinical_text": { "patient_id": "c3072c5b-f2ed-477a-b5d0-19ec39a2cb38", "fracture_type": "Greenstick fracture", "mechanism_of_injury": "road_traffic_accident", "chief_complaint": { "text": "I was hit by a motorcycle/car and my arm/leg is paining me", "language": "English", "cultural_expressions": [ "It pains me too much", "I cannot do my work", "My family is worried" ] }, "pain_description": { "intensity": 9, "quality": "sharp", "location": "localized to injury site", "triggers": [ "movement", "touch", "weight bearing" ], "cultural_expression": "cannot sleep" }, "traditional_medicine_history": { "used_traditional_medicine": true, "type": "bone_setting", "timing": "concurrent", "effectiveness": "made_worse" }, "primary_language": "English", "cultural_context": { "family_involvement": "high", "decision_maker": 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"decision_maker": "patient", "cultural_beliefs_about_injury": "spiritual_cause", "preferred_treatment_approach": "traditional_first" } }, "environmental_context": { "patient_id": "e3e40e32-1623-4344-a729-8c5b17bcd73a", "season": "harmattan", "injury_time": "evening", "day_of_week": "weekday", "environmental_hazards": [], "weather_conditions": { "precipitation": "none", "visibility": "dusty_hazy", "road_conditions": "dusty_dry" }, "geographic_risk_factors": [] }, "clinical_measurements": { "patient_id": "e3e40e32-1623-4344-a729-8c5b17bcd73a", "vital_signs": { "heart_rate": 129, "blood_pressure_systolic": 131, "blood_pressure_diastolic": 64, "temperature": 37.1, "respiratory_rate": 23, "oxygen_saturation": 97 }, "anthropometric": { "height_cm": 168.1, "weight_kg": 64.0, "bmi": 22.6, "arm_circumference_cm": 26.7 }, "pain_assessment": { "pain_scale_1_10": 8, "pain_location": "injury_site", "pain_radiation": false, "pain_on_movement": true, "pain_at_rest": false, "cultural_pain_expression": 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}, "digital_literacy": "medium" } } ]