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https://www.readbyqxmd.com/read/28526949/antemortem-identification-by-fusion-of-mr-and-ct-of-the-paranasal-sinuses
#1
Jakob Heimer, Dominic Gascho, Simon Gentile, Gary M Hatch, Michael J Thali, Thomas D Ruder
Radiologic forensic identification is usually performed by comparing antemortem and postmortem radiographs. While computed tomography (CT) has become a valuable addition to radiologic identification, magnetic resonance (MR) imaging has only rarely been used for this purpose. In our case, identification was accomplished using fused MR- and CT images in a survivor of a gunshot injury to the head. This case supports and highlights the possibility to perform intermodality radiologic identification comparing preexisting MR imaging to subsequently aquired CT data in living (or deceased) humans as long as manual modifications of windowing, color and contrast enable differentiation of the two modalities in the fused image...
May 20, 2017: Forensic Science, Medicine, and Pathology
https://www.readbyqxmd.com/read/28523086/a-14-year-review-of-craniomaxillofacial-gunshot-wounds-in-a-resource-limited-setting
#2
Olushola Amole, Otasowie Osunde, Benjamin Akhiwu, Akinwale Efunkoya, Kelvin Omeje, Taiwo Amole, Zubairu Iliyasu
This study analyzed the prevalence, clinical characteristics, and management of civilian-type craniomaxillofacial gunshot wounds (CGSWs) seen over a 14-year period in a Northern Nigerian teaching hospital. A retrospective study of all hospital records relating to CGSWs from January 2000 to December 2013 was conducted to determine the prevalence of CGSWs. Information retrieved included site of injury, type of projectile, management protocol, as well as duration of hospitalization. A total of 46 admissions for CGSWs were recorded during the period under review from a total of 2,228 maxillofacial admissions...
June 2017: Craniomaxillofacial Trauma & Reconstruction
https://www.readbyqxmd.com/read/28516838/acute-alcohol-use-history-of-homelessness-and-intent-of-injury-among-a-sample-of-adult-emergency-department-patients
#3
Katelyn K Jetelina, Jennifer M Reingle Gonzalez, Carlos V R Brown, Michael L Foreman, Craig Field
BACKGROUND: The literature is clear that adults who are currently homeless also have higher rates of intentional injuries, such as assault and suicide attempts. No study has assessed whether intentional injuries are exacerbated because of substance use among adults with a history of homelessness. METHODS: Data were obtained from a cohort of adults admitted to 3 urban emergency departments (EDs) in Texas from 2007 to 2010 (N = 596). Logistic regression analyses were used to determine whether a history of homelessness was associated with alcohol use at time of injury in intentional violent injuries (gunshot, stabbing, or injury consistent with assault)...
May 17, 2017: Violence and Victims
https://www.readbyqxmd.com/read/28514996/post-autopsy-computed-tomography-pros-and-cons-in-a-firearm-death
#4
Sindi Visentin, Guido Pelletti, Caterina Dengo, Maria De Matteis, Massimo Montisci
Many studies have focused on the importance of post-mortem computed tomography (PMCT) prior to or in substitution of standard forensic autopsies in case of firearm death. However, due to the fact that PMCT is not routinely performed in all countries, in cases of death abroad it can happen that a CT scan is performed only after a first autopsy. A case of post-mortem re-examination, including the external examination and a post-autopsy computed tomography (PACT), of a gunshot victim of homicide in a foreign country is presented, and the pros and cons of imaging in post-autopsy setting are discussed...
May 1, 2017: Forensic Science International
https://www.readbyqxmd.com/read/28513528/complete-upper-urinary-tract-obstruction-caused-by-penetrating-pellet-injury-of-the-ureterintroduction
#5
M T Gulpinar, S K Keskin, A Yildirim, T Caskurlu
Ureteral injuries due to gunshots are tend to be misdiagnosed because of concomitant vascular and intraabdominal organ wounds. Our case is a 23-year-old man who was admitted to the hospital with multiple abdominal gunshot wounds. Laboratory findings showed worsening anemia, and the computed tomography (CT) scan showed multiple lead bullets inside the abdomen and retroperitoneum. Patient was then taken to the operation room for laparatomy. There were many intestinal injuries and also a stable retroperitoneal hematoma...
May 2017: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/28513518/firearm-injuries-received-in-emergency-room-of-a-nigerian-teaching-hospital-aanalysis-of-pattern-morbidity-and-mortality
#6
N I Omoke
BACKGROUND: The morbidity and mortality associated with civilian firearm injury in developing countries is appreciable. The increasing incidence of gunshot casualties received in hospital emergency rooms is an emerging concern. The aim of this study was to determine the pattern and outcome of firearm injuries in a civilian setting of a developing country. MATERIALS AND METHOD: This was a retrospective analysis of data on the entire patients with firearm injury received in the emergency room of Federal Teaching Hospital Abakaliki from January 2005 to December 2014...
May 2017: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/28512618/incomplete-isolated-c7-root-injury-caused-by-gunshot-wound-a-case-report
#7
Ulvi Çiftçi, Ahmet Tolgay Akıncı, Emre Delen, Doğan Güçlühan
Gunshot wounds to the spine cause severe neurological and/or internal organs damages. Although most of publications in the literature are realized on military injuries, increased civilian arming which raises civilian gunshot injuries is a new social danger causing serious health problems. In gunshot injuries to the spine; vertebral column, spinal cord and nerve roots are damaged with direct, indirect and transient cavitation related mechanisms. In this case report, we present 24 years old male patient who had severe pain and monoparesis in left upper extremity followed by gunshot injury to the spine with clinical, radiological and postoperative follow-up findings...
April 2017: Korean Journal of Neurotrauma
https://www.readbyqxmd.com/read/28500950/determining-the-effect-of-cartridge-case-coatings-on-gsr-using-post-fire-priming-cup-residue
#8
Molly Terry, Barry Fookes, Candice M Bridge
Ammunition is typically composed of a lead-based priming mixture which contributes to the characteristics most commonly used for the identification of gunshot residue (GSR). Due to the health risks often associated with lead, the use of lead-free primers in ammunitions is becoming more popular. Thus, the presence of GSR is becoming more difficult to discern based on the traditional means, i.e. the presence of lead (Pb), barium (Ba), and antimony (Sb). While research has been conducted on the differences between lead-based and lead-free muzzle discharge residue, few have researched other components of ammunition which may lead to other means of characterizing GSR...
May 1, 2017: Forensic Science International
https://www.readbyqxmd.com/read/28498136/gunshot-wound-in-an-18-year-old-woman-inflicted-with-a-hunting-weapon-through-an-obstacle-mobile-phone-reconstruction-of-events
#9
Anna Smędra, Przemysław Sidelnik, Wojciech Goryca, Jarosław Berent
The article presents a case of an 18-year-old woman wounded by a shot fired from a distance with a hunting weapon. Because the location of the entrance and exit wounds initially seemed inconsistent with the reports (both wounds were described as "large and irregular in shape") and no photographs documenting the inflicted injuries were taken, the case was referred for an opinion to the Department of Forensic Medicine in Lodz. After a review of the medical records, radiology, the victim's clothing, and performance of an experiment using the gun and ammunition, it was established that the entrance wound was located on the abdomen, and the exit wound was located on the buttock...
May 12, 2017: American Journal of Forensic Medicine and Pathology
https://www.readbyqxmd.com/read/28493355/consideration-of-difficulties-and-exit-strategies-in-a-case-of-face-allotransplantation-resulting-in-failure
#10
Özlenen Özkan, Ömer Özkan, Umuttan Doğan, Vural Taner Yılmaz, Hilmi Uysal, Levent Ündar, Ebru Apaydın Doğan, Ozan Salim, Anı Çinpolat, Atilla Ramazanoglu
We describe the first rescue procedure in a case of total face allotransplantation. The recipient was a 54-year-old man with severe disfigurement of the entire face following an accidental gunshot injury 5 years previously. The large defect included the maxilla, mandible, and mid-face. Full face procurement was performed from a multiorgan cadaveric donor and was allotransplanted to the recipient. The post-transplant induction immunosuppressive regimen included ATG combined with tacrolimus, mycophenolate mofetil, and prednisone, while maintenance was provided by the last three of these...
May 11, 2017: Microsurgery
https://www.readbyqxmd.com/read/28492406/routine-computed-tomography-after-recent-operative-exploration-for-penetrating-trauma-what-injuries-do-we-miss
#11
April E Mendoza, Christopher A Wybourn, Anthony G Charles, Andre Campbell, Bruce A Cairns, Margaret M Knudson
BACKGROUND: Patients with penetrating trauma who cannot be stabilized undergo operative intervention without preoperative imaging. In such cases, post-operative imaging may reveal additional injuries not identified during the initial operative exploration. The purpose of this study is to explore the utility of post-operative CT imaging in the setting of penetrating trauma. METHODS: This was a retrospective analysis of patients with penetrating trauma treated at an urban level 1 trauma center between 2010-2015...
May 11, 2017: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/28488619/peripheral-nerve-injuries-a-retrospective-survey-of-1124-cases
#12
João A Kouyoumdjian, Carla R Graça, Vanessa F M Ferreira
BACKGROUND: Peripheral nerve injuries (PNIs) remain an important health problem often leading to severe motor disabilities predominantly in the younger population. OBJECTIVE: To analyze our experience of clinical and electrodiagnostic evaluation (EDX) of PNIs over a 26-year period. MATERIALS AND METHODS: Between 1989 and 2014, 1124 consecutive patients with 1418 PNIs were referred for clinical as well as EDX evaluation. These PNIs involved upper and lower limbs as well as the facial nerves...
May 2017: Neurology India
https://www.readbyqxmd.com/read/28488041/malunion-of-long-bone-fractures-in-a-conflict-zone-in-the-democratic-republic-of-congo
#13
Grace Bauhahn, Harald Veen, Rigo Hoencamp, Nelson Olim, Edward C T H Tan
INTRODUCTION: Malunion is a well-recognized complication of long-bone fractures which accounts for more than 25% of injuries in conflict zones. The aim of this study was to investigate the rate of malunion sustained by casualties with penetrating gunshot wounds in an International Committee of the Red Cross (ICRC) surgical substitution project in the Democratic Republic of Congo (DRC) and compare these results with current literature. METHODS: A retrospective cohort study was performed...
May 9, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/28486324/case-report-and-review-of-management-of-penetrating-trauma-and-cardiac-pericarditis
#14
Elizabeth Thomas, Pamela Golden, Vicki Moran
Acute pericarditis is the most common form of pericardial disease worldwide and it has many potential etiologies. This case study examines a patient admitted for multiple gunshot wounds who developed acute pericarditis postpericardial drain removal. The initial penetrating abdominal trauma, along with facial injuries and a suspected myocardial infarction, led to confusion in which the initial etiology of pericarditis was missed, creating a delay in overall patient care and extended length of stay.
May 2017: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://www.readbyqxmd.com/read/28481962/the-association-between-urban-tree-cover-and-gun-assault-a-case-control-and-casecrossover-study
#15
Michelle C Kondo, Eugenia C South, Charles C Branas, Therese S Richmond, Douglas J Wiebe
Green space and vegetation may play a protective role for urban violence. We investigated whether being near urban tree cover during outdoor activities related to being assaulted with a gun. We conducted GIS-assisted interviews with 10- to 24-year old males in Philadelphia, PA including 135 patients who had been shot with a firearm and 274 community controls, between 2008-2011. Each subject reported a step-by-step mapped account of where and with whom they travelled over a full day from waking until being assaulted or going to bed...
May 6, 2017: American Journal of Epidemiology
https://www.readbyqxmd.com/read/28480576/transfer-and-distribution-of-gunshot-residue-through-glass-windows
#16
Dana Greely, Emily Weber
Research into the deposition patterns of primer gunshot residue (GSR) beyond a primary target was previously nonexistent. This study aimed to determine the deposition patterns of GSR once a bullet passed through an initial target and continued on its path into additional targets. Multiple repetitions were performed to assess the GSR deposition patterns after a bullet was shot through a closed window into either a dummy or a wall within an enclosed room. Samples were taken from both the primary and secondary target holes as well as from nontarget areas...
May 8, 2017: Journal of Forensic Sciences
https://www.readbyqxmd.com/read/28467586/an-excellent-anatomical-and-visual-recovery-after-surgical-repair-of-an-open-eye-injury-with-poor-baseline-prognostic-factors
#17
Serpil Yazgan, Orhan Ayar, Orçun Akdemir, Yaran Koban
Presently described is case of a 42-year-old woman with eye injury that was result of gunshot fired by a man at a wedding celebration. Bullet penetrated inferior quadrant of nasal sclera of left eye 7-12 mm behind limbus. Choroid and vitreous were prolapsed around bullet. Hemorrhage, vitreous prolapse and lens subluxation were present in anterior chamber. Presenting visual acuity (VA) was hand motion. Bullet 14x5 mm in size was carefully extracted from the eye. Fifteen days later, argon laser photocoagulation was performed on retina in area of bullet entry point...
March 2017: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/28462659/prevalence-management-and-outcome-of-traumatic-diaphragm-injuries-managed-by-the-pietermaritzburg-metropolitan-trauma-service
#18
N D'Souza, D Clarke, G Laing
INTRODUCTION This audit of traumatic diaphram injury (TDI) from a busy South African trauma service reviews the spectrum of disease and highlights current approaches to these injuries. METHODS The Pietermaritzburg Metropolitan Trauma Service (PMTS) has maintained an Electronic Surgical Registry (ESR) and a Hybrid Electronic Medical Record (HEMR) system since January 1(st) 2012. RESULTS A total of 105 TDIs were identified and repaired during the study period. The mean patient age was 30 years (range 15-68 years - SD 9...
May 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/28461960/radial-nerve-palsy
#19
Marko Bumbasirevic, Tomislav Palibrk, Aleksandar Lesic, Henry DE Atkinson
As a result of its proximity to the humeral shaft, as well as its long and tortuous course, the radial nerve is the most frequently injured major nerve in the upper limb, with its close proximity to the bone making it vulnerable when fractures occur.Injury is most frequently sustained during humeral fracture and gunshot injuries, but iatrogenic injuries are not unusual following surgical treatment of various other pathologies.Treatment is usually non-operative, but surgery is sometimes necessary, using a variety of often imaginative procedures...
August 2016: EFORT Open Rev
https://www.readbyqxmd.com/read/28460023/synthes%C3%A2-titanium-sternal-fixation-system-as-protection-shield-against-gunshot-the-superman-effect
#20
Viktoria Weixler, Luay Salaymeh, Heinrich Mächler, Otto Dapunt
No abstract text is available yet for this article.
April 27, 2017: European Journal of Cardio-thoracic Surgery
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