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https://www.readbyqxmd.com/read/28239012/neighborhood-trauma-due-to-violence-a-multilevel-analysis
#1
Sandra D Lane, Robert A Rubinstein, Dessa Bergen-Cico, Timothy Jennings-Bey, Linda Stone Fish, David A Larsen, Mindy Thompson Fullilove, Tracey Reichert Schimpff, Kishi Animashaun Ducre, Jonnell Allen Robinson
In Syracuse, New York the social determinants of trauma from neighborhood violence are rooted in historical processes, including urban renewal, the Rockefeller drug laws, and de-industrialization. These contributed to destabilizing Syracuse communities of color, resulting in disproportionate incarceration, family disruption, and economic devastation. Community violence, clustering in densely populated neighborhoods, creates unmanageable stress for the families who live in them. A map of gunshots and gun fatalities (2009 to 2014) illustrates the continuing onslaught of bullets being fired, often in close proximity to elementary schools...
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/28238300/penetrating-abdominal-injuries-during-the-syrian-war-patterns-and-factors-affecting-mortality-rates
#2
Shawqi Arafat, Mhd Belal Alsabek, Mousa Ahmad, Iman Hamo, Eskander Munder
BACKGROUND: A large number of innocent Syrians were injured or killed during the years of war. This retrospective study investigates the differences in patterns of injury and factors affecting the mortality rate in 324 patients coming to Damascus Hospital with penetrating abdominal trauma, and illustrates the difficulties of diagnosis and decision making in crisis situations. METHODS: A retrospective study was registered from patient's records between October 2012 and June 2013 in Damascus Hospital...
February 14, 2017: Injury
https://www.readbyqxmd.com/read/28237760/differentiating-suicide-decedents-who-died-using-firearms-from-those-who-died-using-other-methods
#3
Michael D Anestis, Lauren R Khazem, Joye C Anestis
Studies have documented a link between gun ownership and suicide, but little is known about characteristics of those most likely to use a gun in a suicide attempt rather than alternative methods. We examined which factors differentiate suicide decedents who died using a gun from those who died by other methods. We further examined whether such findings are consistent within the subcomponent of our larger sample comprised entirely of gun owning suicide decedents. Data reflect 267 suicide decedents, with data provided by individuals who identified as having lost someone to suicide (loss survivors)...
February 22, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28230577/suicide-and-suicide-attempts-on-hospital-grounds-and-clinic-areas
#4
Peter D Mills, Bradley V Watts, Robin R Hemphill
OBJECTIVES: The goal of this study was to describe suicide and suicide attempts that occurred while the patient was on hospital grounds, common spaces, and clinic areas using root cause analysis (RCA) reports of these events in a national health care organization in the United States. METHOD: This is an observational review of all RCA reports of suicide and suicide attempts on hospital grounds, common spaces, and clinic areas in our system between December 1, 1999, and December 31, 2014...
February 22, 2017: Journal of Patient Safety
https://www.readbyqxmd.com/read/28230571/infection-and-complications-following-low-velocity-intra-articular-gunshot-injuries
#5
Mai P Nguyen, Michael S Reich, Jeffrey A O'Donnell, Jonathan C Savakus, Nicholas F Prayson, Joseph F Golob, Amy A McDonald, John J Como, Heather A Vallier
OBJECTIVES: The purpose of this study is to characterize the demographics, interventions, infection rates, and other complications following intra-articular gunshot wounds. DESIGN: Retrospective review. SETTING: Level I trauma center. PATIENTS/PARTICIPANTS: Fifty-three patients with 55 civilian low-velocity intra-articular gunshot injuries with a minimum of four weeks follow-up were included in the study. Seven patients had associated vascular injuries...
February 20, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28228473/violence-related-ambulance-call-outs-in-the-north-west-of-england-a-cross-sectional-analysis-of-nature-extent-and-relationships-to-temporal-celebratory-and-sporting-events
#6
Zara Quigg, Ciara McGee, Karen Hughes, Simon Russell, Mark A Bellis
OBJECTIVE: The aim of this study was to explore the potential of ambulance call-out data in understanding violence to inform about prevention activity. METHOD: This cross-sectional (2013-2015) study examined the nature, extent and characteristics of violence-related ambulance call-outs (n=15 687) across North West England and relationships with temporal, celebratory and sporting events. RESULTS: The majority of call-outs were for men, with a mean age of 33 years...
February 21, 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/28217834/case-report-of-a-migrating-bullet-an-unusual-cause-of-postmortem-confusion
#7
Dennis J Chute, Kia Newman, Robert J Bready, Eric D Benjamin
Migrating bullets are rare sequelae of penetrating gunshot wounds. Such cases have been described in the neurosurgical literature because they can produce complications in the management of patients such as decline in neurologic status, delays in rehabilitation, and difficulties in bullet removal. In contrast, few postmortem reports have described this phenomenon. We report a case of a gunshot wound in which the projectile entered the left side of the head and traversed to the right frontal area as documented by CT scan on hospital admission...
February 20, 2017: Journal of Forensic Sciences
https://www.readbyqxmd.com/read/28185256/quantitative-differentiation-of-bloodstain-patterns-resulting-from-gunshot-and-blunt-force-impacts
#8
Sonya Siu, Jennifer Pender, Faye Springer, Frederic Tulleners, William Ristenpart
Bloodstain pattern analysis (BPA) provides significant evidentiary value in crime scene interpretation and reconstruction. In this work, we develop a quantitative methodology using digital image analysis techniques to differentiate impact bloodstain patterns. The bloodstain patterns were digitally imaged and analyzed using image analysis algorithms. Our analysis of 72 unique bloodstain patterns, comprising more than 490,000 individual droplet stains, indicates that the mean drop size in a gunshot spatter pattern is at most 30% smaller than the mean drop stain size in blunt instrument patterns...
February 10, 2017: Journal of Forensic Sciences
https://www.readbyqxmd.com/read/28182606/elevated-blood-lead-levels-associated-with-retained-bullet-fragments-united-states-2003-2012
#9
Debora Weiss, Carrie D Tomasallo, Jon G Meiman, Walter Alarcon, Nathan M Graber, Kristine M Bisgard, Henry A Anderson
An estimated 115,000 firearm injuries occur annually in the United States, and approximately 70% are nonfatal (1). Retained bullet fragments (RBFs) are an infrequently reported, but important, cause of lead toxicity; symptoms are often nonspecific and can appear years after suffering a gunshot wound (2,3). Adult blood lead level (BLL) screening is most commonly indicated for monitoring of occupational lead exposure; routine testing of adults with RBFs is infrequent (3). States collaborate with CDC's National Institute for Occupational Safety and Health (NIOSH) to monitor elevated BLLs through the Adult Blood Lead Epidemiology and Surveillance (ABLES) program (4,5)...
February 10, 2017: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/28179710/retrograde-bullet-migration-from-inferior-vena-cava-into-right-common-iliac-vein-following-gunshot-a-case-report
#10
Ibrahim Zahid, Hamza Abdur Rahim Khan, Omar Irfan, Benish Fatima, Maha Tahir, Muhammad Tariq, Fazal Wahab Khan, Saulat Fatimi
Bullet embolization cases are rare and even rarer are its retrograde migration in the veins. We report the case of a 14 year old male with a gunshot wound to the left side of his chest. CT scan revealed bilateral haemothorax and foreign body in the right common iliac vein. The patient was immediately taken to the operating theatre and median sternotomy performed. Bullet entry tear was found in the inferior vena cava however, the bullet was found lodged in the right common iliac vein and slipped down against the flow of blood...
December 2016: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/28178967/geo-demographics-of-gunshot-wound-injuries-in-miami-dade-county-2002-2012
#11
Laura Zebib, Justin Stoler, Tanya L Zakrison
BACKGROUND: We evaluated correlates of gunshot wound (GSW) injuries in Miami-Dade County, Florida. Firearm-related injury has previously been linked to socio- and geo-demographic indicators such as occupation, income, neighborhood and race in other metropolitan areas, but remains understudied in Miami. METHODS: We reviewed 4,547 cases from a Level I trauma center's patient registry involving an intentional firearm-related injury occurring from 2002 to 2012. During this eleven-year study period, this trauma center was the only one in Miami-Dade County, and thus representative of countywide injuries...
February 8, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28173921/gunshot-wounds-resulting-in-hospitalization-in-the-united-states-2004-2013
#12
Alan Cook, Turner Osler, David Hosmer, Laurent Glance, Frederick Rogers, Brian Gross, Pamela Garcia-Filion, Ajai Malhotra
INTRODUCTION: The United States (US) leads all high income countries in gunshot wound (GSW) deaths. However, as a result of two decades of reduced federal support, study of GSW has been largely neglected. In this paper we describe the current state of GSW hospitalizations in the US using population-based data. PATIENTS AND METHODS: We conducted an observational study of patients hospitalized for GSW in the National (Nationwide) Inpatient Sample (NIS) 2004 -2013...
January 30, 2017: Injury
https://www.readbyqxmd.com/read/28166168/evaluation-of-intra-articular-fracture-extension-following-gunshot-wounds-to-the-lower-extremity-plain-radiographs-versus-computer-tomography
#13
John S Hwang, Kenneth L Koury, George Gorgy, Michael S Sirkin, Mark C Reilly, Valdis Lelkes, Mark R Adams
OBJECTIVE: This study was to compare the use of computer tomography to plain radiographs for the evaluation of intra-articular extension of long bone fractures in the lower extremity following low-energy gunshot wounds. DESIGN: Retrospective chart and radiographic review SETTING:: Level 1 Trauma CenterPatients/Participants: Data was collected from a single institution from 2000 to 2014. Inclusion criteria consisted of patients aged greater than 17 years, low-velocity gunshot injuries causing fracture of the femur or tibia, plain radiographs with adequate films and CT imaging of the fracture...
January 24, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28165691/de-escalate-tense-talk-five-simple-strategies-to-help-keep-things-cool
#14
Ann M Garrido
The tensions of the wider world all too frequently erupt in our nation's emergency rooms in the form of gunshot wounds and domestic battery, gang brawls and road rage accidents. As health care professionals, you generally are called into action after things have taken a turn toward violence. Even as you suture and bandage and console frightened family members, I imagine you sigh: "Why did things have to go this far?"
July 2016: Health Progress
https://www.readbyqxmd.com/read/28164046/treatment-of-the-bullet-traversing-femoral-neck-lodged-in-hip-joint-initial-arthroscopic-removal-and-subsequent-cartilage-repair
#15
Mehmet Faruk Çatma, Serhan Ünlü, Önder Ersan, Alper Öztürk
INTRODUCTION: There have been several reports on arthroscopically assisted removal of the bullet imbedded in hip joint in the literature. Similarly, in this case, a bullet lodged in acetabulum was extracted with arthroscopic technique. What makes this case unique in the literature is that the bullet removed from the acetabulum traversed the femoral neck. CASE REPORT: Male patient aged 32 years with a low-velocity gunshot wound was referred to the emergency room on August 28, 2012...
September 2016: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/28161564/management-of-vascular-trauma-during-the-paris-terrorist-attack-of-november-13-2015
#16
Philippe Tresson, Joseph Touma, Julien Gaudric, Quentin Pellenc, Marielle Le Roux, Charles Pierret, Hicham Kobeiter, Pierre Julia, Olivier Goeau-Brissonniere, Pascal Desgranges, Fabien Koskas, Yves Castier
BACKGROUND: On November 13, 2015, Paris and Saint-Denis were the targets of terrorist attacks. The Public Hospitals of Paris Organization and the Percy Armed Forces Instruction Hospitals were mobilized to face the mass casualty situation. The objective of this study is to analyze the management of the victims presenting with a nonthoracic vascular trauma (NTVT). METHODS: All the data relating to the victims of NTVT who required a specific vascular open or endovascular treatment were analyzed retrospectively...
February 2, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28154922/experimental-measurement-of-breath-exit-velocity-and-expirated-bloodstain-patterns-produced-under-different-exhalation-mechanisms
#17
P H Geoghegan, A M Laffra, N K Hoogendorp, M C Taylor, M C Jermy
In an attempt to obtain a deeper understanding of the factors which determine the characteristics of expirated bloodstain patterns, the mechanism of formation of airborne droplets was studied. Hot wire anemometry measured air velocity, 25 mm from the lips, for 31 individuals spitting, coughing and blowing. Expirated stains were produced by the same mechanisms performed by one individual with different volumes of a synthetic blood substitute in their mouth. The atomization of the liquid at the lips was captured with high-speed video, and the resulting stain patterns were captured on paper targets...
February 2, 2017: International Journal of Legal Medicine
https://www.readbyqxmd.com/read/28151803/sex-differences-in-civilian-injury-in-baghdad-from-2003-to-2014-results-of-a-randomized-household-cluster-survey
#18
Kyle Shaak, Riyadh Lafta, Barclay T Stewart, Thomas R Fowler, Sahar A Esa Al-Shatari, Gilbert Burnham, Megan Cherewick, Sherry M Wren, Reinou S Groen, Adam L Kushner
OBJECTIVE: To examine sex differences in injury mechanisms, injury-related death, injury-related disability, and associated financial consequences in Baghdad since the 2003 invasion of Iraq to inform prevention initiatives, health policy, and relief planning. BACKGROUND: Reliable estimates of injury burden among civilians during conflict are lacking, particularly among vulnerable subpopulations, such as women. METHODS: A 2-stage, cluster randomized, community-based household survey was conducted in May 2014 to determine the civilian burden of injury in Baghdad since 2003...
February 1, 2017: Annals of Surgery
https://www.readbyqxmd.com/read/28144599/mandibular-fractures-and-associated-factors-at-a-tertiary-care-hospital
#19
Srikanth Gadicherla, Prem Sasikumar, Satpal Singh Gill, Manish Bhagania, Abhay Taranath Kamath, Kalyana Chakravarthy Pentapati
OBJECTIVES: The aim of this study was to evaluate the distribution, etiology and type of mandibular fractures in subjects referred to our institution. METHODS: A retrospective study of 689 subjects, during the period from May 2010 to September 2013 with mandibular fractures was conducted. Information on age, gender, mechanism of injury and sites of trauma was obtained from the trauma registry. Data were tabulated and analyzed statistically. RESULTS: A total of 653 subjects had mandibular fractures, out of which 574 were males...
December 2016: Archives of Trauma Research
https://www.readbyqxmd.com/read/28134675/firearm-related-musculoskeletal-injuries-in-children-and-adolescents
#20
Cordelia W Carter, Melinda S Sharkey, Felicity Fishman
Firearm injuries are a major cause of morbidity and mortality among children and adolescents in the United States and take financial and emotional tolls on the affected children, their families, and society as a whole. Musculoskeletal injuries resulting from firearms are common and may involve bones, joints, and neurovascular structures and other soft tissues. Child-specific factors that must be considered in the setting of gunshot injuries include physeal arrest and lead toxicity. Understanding the ballistics associated with various types of weaponry is useful for guiding orthopaedic surgical treatment...
March 2017: Journal of the American Academy of Orthopaedic Surgeons
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