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[PMID]:29351355
[Au] Autor:Kuehn BM
[Ti] Título:Physicians Join Frontline Efforts to Curb Gun Injuries, Deaths.
[So] Source:JAMA;319(5):428-430, 2018 Feb 06.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Armas de Fogo/legislação & jurisprudência
Manobras Políticas
Papel do Médico
Médicos
Suicídio/prevenção & controle
Ferimentos por Arma de Fogo/prevenção & controle
[Mh] Termos MeSH secundário: Chicago
Seres Humanos
Governo Estadual
Estados Unidos
Ferimentos por Arma de Fogo/mortalidade
[Pt] Tipo de publicação:NEWS
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180215
[Lr] Data última revisão:
180215
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180120
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2017.18072


  2 / 13250 MEDLINE  
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[PMID]:29320540
[Au] Autor:Rockett IRH; Caine ED; Connery HS; D'Onofrio G; Gunnell DJ; Miller TR; Nolte KB; Kaplan MS; Kapusta ND; Lilly CL; Nelson LS; Putnam SL; Stack S; Värnik P; Webster LR; Jia H
[Ad] Endereço:Department of Epidemiology, West Virginia University, Morgantown, West Virginia, United States of America.
[Ti] Título:Discerning suicide in drug intoxication deaths: Paucity and primacy of suicide notes and psychiatric history.
[So] Source:PLoS One;13(1):e0190200, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: A paucity of corroborative psychological and psychiatric evidence may be inhibiting detection of drug intoxication suicides in the United States. We evaluated the relative importance of suicide notes and psychiatric history in the classification of suicide by drug intoxication versus firearm (gunshot wound) plus hanging/suffocation-the other two major, but overtly violent methods. METHODS: This observational multilevel (individual/county), multivariable study employed a generalized linear mixed model (GLMM) to analyze pooled suicides and undetermined intent deaths, as possible suicides, among the population aged 15 years and older in the 17 states participating in the National Violent Death Reporting System throughout 2011-2013. The outcome measure was relative odds of suicide versus undetermined classification, adjusted for demographics, precipitating circumstances, and investigation characteristics. RESULTS: A suicide note, prior suicide attempt, or affective disorder was documented in less than one-third of suicides and one-quarter of undetermined deaths. The prevalence gaps were larger among drug intoxication cases than gunshot/hanging cases. The latter were more likely than intoxication cases to be classified as suicide versus undetermined manner of death (adjusted odds ratio [OR], 41.14; 95% CI, 34.43-49.15), as were cases documenting a suicide note (OR, 33.90; 95% CI, 26.11-44.05), prior suicide attempt (OR, 2.42; 95% CI, 2.11-2.77), or depression (OR, 1.61; 95% CI, 1.38 to 1.88), or bipolar disorder (OR, 1.41; 95% CI, 1.10-1.81). Stratification by mechanism/cause intensified the association between a note and suicide classification for intoxication cases (OR, 45.43; 95% CI, 31.06-66.58). Prior suicide attempt (OR, 2.64; 95% CI, 2.19-3.18) and depression (OR, 1.48; 95% CI, 1.17-1.87) were associated with suicide classification in intoxication but not gunshot/hanging cases. CONCLUSIONS: Without psychological/psychiatric evidence contributing to manner of death classification, suicide by drug intoxication in the US is likely profoundly under-reported. Findings harbor adverse implications for surveillance, etiologic understanding, and prevention of suicides and drug deaths.
[Mh] Termos MeSH primário: Overdose de Drogas/psicologia
Intenção
Suicídio/psicologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Asfixia
Causas de Morte
Depressão/epidemiologia
Feminino
Seres Humanos
Masculino
Registros Médicos
Métodos
Meia-Idade
Transtornos do Humor/epidemiologia
Vigilância da População
Recidiva
Tentativa de Suicídio
Ferimentos por Arma de Fogo
Redação
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; MULTICENTER STUDY; OBSERVATIONAL STUDY; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180214
[Lr] Data última revisão:
180214
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180111
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0190200


  3 / 13250 MEDLINE  
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[PMID]:29328616
[Au] Autor:Malivukovic A; Novakovic N; Lepic M; Minic L; Stepic N; Dordevic B; Rasulic L
[Ti] Título:Cranial reconstruction with prefabricated 3D implant after a gunshot injury: A case report.
[So] Source:Vojnosanit Pregl;73(8):783-7, 2016 Aug.
[Is] ISSN:0042-8450
[Cp] País de publicação:Serbia
[La] Idioma:eng
[Ab] Resumo:Introduction: Complex defects of skull bones with different etiology, still present the challenge in reconstructive surgery. The goldstandard for cranioplasty is the autologous calvarial bone graft removed during surgery which cannot be always applied, especially in gunshot wounds for sometimes complete bone destruction. Autologous reconstruction with split calvarial, rib bones or iliac bone graft is also possible. Materials routinely used for reconstructions like titanium mesh, polymethyl metacrylate (PMMA), and other have numerous disadvantages and limitations. Case report: We presented a patient with gunshot injury to the head with residual large bone defect in the frontal region, with involvement of the skull base, and open frontal sinus. After conservative treatment, six months after the injury, reconstruction of the residual bone defect was performed. The chosen material was computerdesigned PEEK-OPTIMA® implant, manufactured on the basis of MSCT scan. This material has not been used in this region so far. The postoperative and follow-up period of the next 12 months passed without surgical complications, neurological deficit, with satisfactory functional and aesthetic results. Conclusion: Implanted bone replacement was designed and manufactured precisely according to the skull defect, and we found it suitable for the treatment of complex defects of the cranium. Early results are in favor of this cranioplasty method over standardized materials. Therefore, this material is expected to become a method of choice for reconstructive surgery of bony defects of the face and skull especially in complex cases.
[Mh] Termos MeSH primário: Projeto Auxiliado por Computador
Próteses e Implantes
Procedimentos Cirúrgicos Reconstrutivos/métodos
Crânio/lesões
Crânio/cirurgia
Ferimentos por Arma de Fogo/cirurgia
[Mh] Termos MeSH secundário: Materiais Biocompatíveis
Estética
Seres Humanos
Cetonas
Masculino
Polietilenoglicóis
Procedimentos Cirúrgicos Reconstrutivos/instrumentação
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Biocompatible Materials); 0 (Ketones); 30IQX730WE (Polyethylene Glycols); 31694-16-3 (polyetheretherketone)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180213
[Lr] Data última revisão:
180213
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180113
[St] Status:MEDLINE
[do] DOI:10.2298/VSP150310043M


  4 / 13250 MEDLINE  
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[PMID]:28467586
[Au] Autor:Yazgan S; Ayar O; Akdemir O; Koban Y
[Ti] Título:An excellent anatomical and visual recovery after surgical repair of an open eye injury with poor baseline prognostic factors.
[So] Source:Ulus Travma Acil Cerrahi Derg;23(2):167-169, 2017 Mar.
[Is] ISSN:1306-696X
[Cp] País de publicação:Turkey
[La] Idioma:eng
[Ab] Resumo: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. VA was 20/25 (Snellen) at final visit. In this case, although foreign body was large, area of penetration was Zone III, and initial VA was poor, early and appropriate surgical repair achieved integrity of the globe and good vision prognosis.
[Mh] Termos MeSH primário: Ferimentos Oculares Penetrantes
Ferimentos por Arma de Fogo
[Mh] Termos MeSH secundário: Adulto
Ferimentos Oculares Penetrantes/diagnóstico
Ferimentos Oculares Penetrantes/fisiopatologia
Ferimentos Oculares Penetrantes/cirurgia
Feminino
Seres Humanos
Fotocoagulação
Prognóstico
Acuidade Visual
Ferimentos por Arma de Fogo/diagnóstico
Ferimentos por Arma de Fogo/fisiopatologia
Ferimentos por Arma de Fogo/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180209
[Lr] Data última revisão:
180209
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE
[do] DOI:10.5505/tjtes.2016.23790


  5 / 13250 MEDLINE  
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[PMID]:29211414
[Au] Autor:Albert E; Bullard T
[Ti] Título:Training, Drills Pivotal in Mounting Response to Orlando Shooting.
[So] Source:ED Manag;28(8):85-9, 2016 Aug.
[Is] ISSN:1044-9167
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Emergency providers at Orlando Regional Medical Center in Orlando. FL, faced multiple challenges in responding to the worst mass shooting in U.S. history. As the scene of the shooting was only three blocks away from the hospital, there was little time to prepare when notified that victims would begin arriving shortly after 2 a.m. on June 12. Also, fears of a gunman near the hospital briefly put the ED on lock down. However, using the incident command system, the hospital was able to mobilize quickly, receiving 44 patients, nine of whom died shortly after arrival. Administrators note that recent training exercises geared toward a mass shooting event facilitated the response and probably saved lives. Patients arrived at the hospital in two waves, with the initial surge occurring right after the hooting took place around 2 a.m., and the second surge occurring about three hours later. At one point, more than 90 patients were in the ED, more than half for reasons unrelated to the shooting. Clinicians contended with a much higher than usual noise level while treating patients, making it hard to hear reports from EMS personnel. Also, treatment had to commence prior to identification for some patients who arrived unconscious or unable to speak. While surgeons and other key specialists were called into the hospital to address identified needs, administrators actually called hospital personnel to tell them not to come in unless they were notified. This prevented added management hurdles.
[Mh] Termos MeSH primário: Planejamento em Desastres
Incidentes com Feridos em Massa
Treinamento por Simulação
Centros de Traumatologia/organização & administração
Ferimentos por Arma de Fogo/terapia
[Mh] Termos MeSH secundário: Aglomeração
Florida
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180108
[Lr] Data última revisão:
180108
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:171207
[St] Status:MEDLINE


  6 / 13250 MEDLINE  
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[PMID]:29190056
[Au] Autor:Barner-Rasmussen I; Frisk O; Handolin L; Tukiainen E
[Ti] Título:Gunshot wounds in Finland.
[So] Source:Duodecim;132(22):2080-6, 2016.
[Is] ISSN:0012-7183
[Cp] País de publicação:Finland
[La] Idioma:eng
[Ab] Resumo:On average 200 gunshot wounds are treated in Finland annually. Half of them are caused by firearm accidents, whereas the great majority of fatal wounds are self-inflicted. Physicians treating trauma patients should be familiar with the basics of ballistics. In practice, however, a distinction between gunshot wounds caused by handguns and those caused by rifles or shotguns is generally sufficient. Generally accepted guidelines for treating trauma patients are followed, and imaging is used for nearly all patients. Removal of bullets is generally not necessary. Most patients require operative treatment, but in certain cases a non-operative approach may be considered. In severe gunshot wounds rapidly administered antibiotics and a sufficiently radical debridement remain the mainstays of treatment.
[Mh] Termos MeSH primário: Ferimentos por Arma de Fogo/epidemiologia
[Mh] Termos MeSH secundário: Acidentes/estatística & dados numéricos
Finlândia/epidemiologia
Fidelidade a Diretrizes
Seres Humanos
Suicídio/estatística & dados numéricos
Ferimentos por Arma de Fogo/diagnóstico por imagem
Ferimentos por Arma de Fogo/mortalidade
Ferimentos por Arma de Fogo/terapia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180108
[Lr] Data última revisão:
180108
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171201
[St] Status:MEDLINE


  7 / 13250 MEDLINE  
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[PMID]:29185681
[Au] Autor:Huntington SA; Huntington MK
[Ti] Título:Heady Mystery: Intoxicated patient's misplaced memory hides undiscovered trauma.
[So] Source:JEMS;41(10):16-9, 2016 10.
[Is] ISSN:0197-2510
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Intoxicação Alcoólica
Traumatismos Craniocerebrais/diagnóstico
Tentativa de Suicídio
Ferimentos por Arma de Fogo/diagnóstico
[Mh] Termos MeSH secundário: Acidentes por Quedas
Traumatismos Craniocerebrais/etiologia
Diagnóstico Diferencial
Seres Humanos
Masculino
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180108
[Lr] Data última revisão:
180108
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:171201
[St] Status:MEDLINE


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[PMID]:29273706
[Au] Autor:Taqi KM; Nassr MM; Al Jufaili JS; Abu-Qasida AI; Mathew J; Al-Qadhi H
[Ad] Endereço:Department of General Surgery, Sultan Qaboos University Hospital, Muscat, Oman.
[Ti] Título:Delayed Diagnosis of Ureteral Injury Following Penetrating Abdominal Trauma: A Case Report and Review of the Literature.
[So] Source:Am J Case Rep;18:1377-1381, 2017 Dec 23.
[Is] ISSN:1941-5923
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND Ureteral injuries are considered to be uncommon in cases of trauma. The possibility of damage to the ureters may not be considered in the setting of acute trauma when life-threatening injuries take clinical management priority. A case of acute ureteral injury is described in a patient with acute penetrating gunshot abdominal injury that had a delay in diagnosis, with a review of the literature. CASE REPORT A 29-year-old woman presented to our hospital with a missed ureteral injury following a self-inflicted gunshot injury to the abdomen. She underwent abdominal computed tomography (CT) imaging and a retrograde pyelogram, which showed complete transection of the left upper ureter with contrast extravasation and the formation of a large urinoma. She underwent a percutaneous nephrostomy and drainage of the urinoma. An end-to-end ureteric anastomosis with excision of the intervening injured ureter, or ureteroureterostomy, was performed three weeks following the diagnosis. CONCLUSIONS Ureteral injuries following trauma are rare, but a delay in diagnosis can be associated with clinical morbidity. A high index of clinical suspicion is important for early identification of ureteral injury in cases of acute abdominal trauma.
[Mh] Termos MeSH primário: Traumatismos Abdominais/complicações
Ureter/lesões
Ferimentos por Arma de Fogo/complicações
[Mh] Termos MeSH secundário: Adulto
Diagnóstico Tardio
Feminino
Seres Humanos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180105
[Lr] Data última revisão:
180105
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171224
[St] Status:MEDLINE


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[PMID]:28462426
[Au] Autor:Webster DW
[Ad] Endereço:From The Johns Hopkins Center for Gun Policy, Baltimore, Maryland.
[Ti] Título:The True Effect of Mass Shootings on Americans.
[So] Source:Ann Intern Med;166(10):749-750, 2017 05 16.
[Is] ISSN:1539-3704
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Armas de Fogo
Ferimentos por Arma de Fogo
[Mh] Termos MeSH secundário: Seres Humanos
Estados Unidos
Violência
[Pt] Tipo de publicação:JOURNAL ARTICLE; COMMENT
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171208
[Lr] Data última revisão:
171208
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170503
[St] Status:MEDLINE
[do] DOI:10.7326/M17-0943


  10 / 13250 MEDLINE  
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[PMID]:29048964
[Au] Autor:Siegel M; Xuan Z; Ross CS; Galea S; Kalesan B; Fleegler E; Goss KA
[Ad] Endereço:Michael Siegel, Ziming Xuan, Craig S. Ross, and Sandro Galea are with the Boston University School of Public Health, Boston, MA. Bindu Kalesan is with the Boston University School of Medicine. Eric Fleegler is with Children's Hospital Boston. Kristin A. Goss is with the Sanford School of Public Poli
[Ti] Título:Easiness of Legal Access to Concealed Firearm Permits and Homicide Rates in the United States.
[So] Source:Am J Public Health;107(12):1923-1929, 2017 Dec.
[Is] ISSN:1541-0048
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To examine the relation of "shall-issue" laws, in which permits must be issued if requisite criteria are met; "may-issue" laws, which give law enforcement officials wide discretion over whether to issue concealed firearm carry permits or not; and homicide rates. METHODS: We compared homicide rates in shall-issue and may-issue states and total, firearm, nonfirearm, handgun, and long-gun homicide rates in all 50 states during the 25-year period of 1991 to 2015. We included year and state fixed effects and numerous state-level factors in the analysis. RESULTS: Shall-issue laws were significantly associated with 6.5% higher total homicide rates, 8.6% higher firearm homicide rates, and 10.6% higher handgun homicide rates, but were not significantly associated with long-gun or nonfirearm homicide. CONCLUSIONS: Shall-issue laws are associated with significantly higher rates of total, firearm-related, and handgun-related homicide.
[Mh] Termos MeSH primário: Armas de Fogo/legislação & jurisprudência
Homicídio/estatística & dados numéricos
Ferimentos por Arma de Fogo/mortalidade
[Mh] Termos MeSH secundário: Distribuição por Idade
Seres Humanos
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171020
[St] Status:MEDLINE
[do] DOI:10.2105/AJPH.2017.304057



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