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[58 people with bullet wounds in Gothenburg during 18 months. This demonstrates the need for preparedness and competence within trauma care].

https://arctichealth.org/en/permalink/ahliterature273221
Source
Lakartidningen. 2015;112
Publication Type
Article
Date
2015
Author
Björn Holmström
Sven Alhbin
David Pazooki
Hans Granhed
Source
Lakartidningen. 2015;112
Date
2015
Language
Swedish
Publication Type
Article
Keywords
Adolescent
Adult
After-Hours Care
Aged
Blood pressure
Clinical Competence
Emergency Medical Services - standards
Health Care Costs
Humans
Injury Severity Score
Length of Stay
Male
Middle Aged
Retrospective Studies
Sweden - epidemiology
Wounds, Gunshot - economics - epidemiology - mortality
Abstract
From 1 January 2013 to 30 June 2014, 58 patients sustained gunshot wounds in the city of Gothenburg. 57 were males and the median age was 26 years. The majority of injuries were musculoskeletal. Ten patients died, of these 4 patients suffered single gunshot wounds to the head, while 6 patients had wounds to mediastinal structures and large abdominal vessels. 90 % of patients presented out-of-hours. The total length of stay for the 47 patients admitted was 316 days. Direct health care costs were calculated to 6.2 MSEK.
PubMed ID
26173141 View in PubMed
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Accentuation of suicides but not homicides with rising latitudes of Greenland in the sunny months.

https://arctichealth.org/en/permalink/ahliterature89091
Source
BMC Psychiatry. 2009;9:20
Publication Type
Article
Date
2009
Author
Björkstén Karin S
Kripke Daniel F
Bjerregaard Peter
Author Affiliation
Karolinska Institutet, SLSO, Psykiatri Södra Stockholm, Sköntorpsvägen 29, 2 tr., SE-120 38 Arsta, Sweden. Karin.Sparring.Bjorksten@ki.se
Source
BMC Psychiatry. 2009;9:20
Date
2009
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Age Distribution
Aged
Alcohol Drinking - epidemiology - trends
Alcoholism - epidemiology
Cause of Death - trends
Child
Crime Victims - statistics & numerical data
Female
Forensic Medicine
Greenland - epidemiology
Homicide - statistics & numerical data - trends
Humans
Male
Middle Aged
Photoperiod
Population Surveillance
Seasons
Suicide - statistics & numerical data - trends
Wounds, Gunshot - epidemiology
Abstract
BACKGROUND: Seasonal variation in suicides has been shown in many countries. We assessed the seasonality and the variation with latitude in suicides and homicides, and the impact of alcohol on the seasonality in suicides. METHODS: Official computerized registers on causes of death in all Greenland during 1968-2002 were used. Sales data on beer from one of the major food store chains for July 2005-June 2006 were examined. Seasonal variation was assessed by Rayleigh's test for circular distributions. RESULTS: There were a total of 1351 suicides and 308 homicides. The suicides rate varied from 4.2/100 000 person-years in 1971 to 128.4/100 000 person-years in 1987. The homicide rate varied from 2.1/100000 person-years in 1969-1970 to 34.8/100 000 person-years in 1988. Out of the 1351 suicides, 80.5% were committed by men and 19.5% by women. Median age was 25 years (n = 1351; Range 11-84 years). Violent methods of suicide were used in 95% of all cases (n = 1286). Out of the 308 homicide victims, 61% were men and 39% were women, and 13% were killed in multiple homicide events.There was a significant seasonal variation with peaks in June and troughs in the winter in all suicide cases (n = 1351, r = 0.07; Z = 7.58, p
PubMed ID
19422728 View in PubMed
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Accidental firearm injury in childhood--a predictor of social and medical outcome?

https://arctichealth.org/en/permalink/ahliterature34092
Source
Eur J Emerg Med. 1997 Sep;4(3):125-9
Publication Type
Article
Date
Sep-1997
Author
S. Ponzer
B. Bergman
B. Brismar
S E Johansson
Author Affiliation
Department of Orthopaedics, Karolinska Institute, Stockholm Söder Hospital, Sweden.
Source
Eur J Emerg Med. 1997 Sep;4(3):125-9
Date
Sep-1997
Language
English
Publication Type
Article
Keywords
Accidents - psychology - statistics & numerical data
Adolescent
Case-Control Studies
Child
Child, Preschool
Comparative Study
Crime - statistics & numerical data
Firearms - legislation & jurisprudence
Follow-Up Studies
Hospitalization
Humans
Infant
Infant, Newborn
Male
Psychosocial Deprivation
Registries
Sweden - epidemiology
Wounds, Gunshot - epidemiology - prevention & control - psychology
Abstract
This paper reports register data on a consecutive series of 141 children and teenagers hospitalized due to firearm injuries during a 21-year period in a community with restrictive firearm laws. Most of the injuries were minor and hospitalization was short. Shot by an air gun resulting in an eye injury was the most frequent reason for hospitalization. The patients hospitalized due to firearm injuries were compared with a control group composed of 141 individuals matched pair-wise for sex and age. The total morbidity during the follow-up period of on average 10 years was higher among patients compared with controls concerning both somatic diseases and injuries. All cases of severe psychopathology were found in the patient group. Criminality was higher among patients compared with controls and the former were younger at the time of the first crime compared with the latter. This study indicates that, irrespective of firearm laws, young people suffering from firearm injuries, even if the injury is classified as accidental, run a higher risk of becoming psychosocially disadvantaged and criminal as adults. This makes preventative measures highly necessary not only from a societal point of view, but also to avoid individual suffering in this high-risk group of youngsters.
PubMed ID
9426991 View in PubMed
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[Actual problems of the surgical treatment of chest gunshot wounds].

https://arctichealth.org/en/permalink/ahliterature176321
Source
Voen Med Zh. 2004 Dec;325(12):22-6, 96
Publication Type
Article
Date
Dec-2004
Author
O V Kochergaev
S F Usik
M M Mutalibov
Kh I Muradov
G S Shastun
Source
Voen Med Zh. 2004 Dec;325(12):22-6, 96
Date
Dec-2004
Language
Russian
Publication Type
Article
Keywords
Adolescent
Adult
Humans
Male
Middle Aged
Military Personnel
Russia
Thoracic Injuries - surgery
Thoracic Surgical Procedures - methods
Treatment Outcome
Wounds, Gunshot - surgery
Abstract
The experience obtained during the treatment of 86 casualties with chest injuries was generalized. The authors present the scheme of diagnosis and treatment for the given patient category. To diagnose the cardiac injuries the operation (pericardium fenestration) was proposed. Application of the proposed scheme for diagnosing and treating the casualties with chest injuries allowed to reduce the number of early pleural complications from 55.1 to 22.1% and diagnostic mistakes--from 34.2 to 11.2%.
PubMed ID
15690852 View in PubMed
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Acute influence of alcohol, THC or central stimulants on violent suicide: A Swedish population study.

https://arctichealth.org/en/permalink/ahliterature258141
Source
J Forensic Sci. 2014 Mar;59(2):436-40
Publication Type
Article
Date
Mar-2014
Author
Lena Lundholm
Ingemar Thiblin
Bo Runeson
Anders Leifman
Anna Fugelstad
Source
J Forensic Sci. 2014 Mar;59(2):436-40
Date
Mar-2014
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Aged, 80 and over
Alcoholic Intoxication - epidemiology
Asphyxia - mortality
Central Nervous System Depressants - blood
Central Nervous System Stimulants - blood
Dronabinol - blood
Drowning - mortality
Ethanol - blood
Female
Forensic Psychiatry
Forensic Toxicology
Humans
Male
Middle Aged
Multivariate Analysis
Neck Injuries - mortality
Poisoning - mortality
Registries
Substance-Related Disorders - epidemiology
Suicide - psychology - statistics & numerical data
Sweden - epidemiology
Wounds, Gunshot - mortality
Wounds, Penetrating - mortality
Young Adult
Abstract
Alcohol and substance abuse in general is a risk factor for suicide, but very little is known about the acute effect in relation to suicide method. Based on information from 18,894 medico-legal death investigations, including toxicological findings and manner of death, did the present study investigate whether acute influence of alcohol, tetrahydrocannabinol (THC), or central stimulants (amphetamine and cocaine) was related to the use of a violent suicide method, in comparison with the nonviolent method self-poisoning and alcohol-/illicit drug-negative suicide decedents. Multivariate analysis was conducted, and the results revealed that acute influence of THC was related to using the violent suicide method–– jumping from a height (RR 1.62; 95% CI 1.01–2.41). Alcohol intoxication was not related to any violent method, while the central stimulant-positive suicide decedent had a higher, albeit not significant, risk of several violent methods. The study contributes with elucidating suicide methods in relation to acute intoxication.
PubMed ID
24745078 View in PubMed
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[Acute insufficiency of the gastrointestinal tract in patients with severe gunshot injury].

https://arctichealth.org/en/permalink/ahliterature191604
Source
Vestn Khir Im I I Grek. 2001;160(5):89-93
Publication Type
Article
Date
2001
Author
S V Gavrilin
G L Gerasimov
V V Boiarintsev
V F Lebedev
M G Kobiashvili
V G Fedorov
G E Ivanovskii
Source
Vestn Khir Im I I Grek. 2001;160(5):89-93
Date
2001
Language
Russian
Publication Type
Article
Keywords
Abdominal Injuries - complications - therapy
Acute Disease
Adult
Female
Gastrointestinal Diseases - etiology
Humans
Male
Multiple Organ Failure - etiology
Risk factors
Russia
War
Wounds, Gunshot - complications - therapy
Abstract
Acute insufficiency of the gastrointestinal tract (GIT) in patients with severe gunshot injuries is an important link of pathogenesis of the polyorganic insufficiency syndrome. The character of the wound, the numerical score objective assessment of the injury severity and severity of the patient's state are considered to be criteria of early diagnosis of a risk of the development of acute insufficiency of GIT. The specific feature of "general" intensive therapy of acute insufficiency of GIT in severe gunshot traumas is the necessary application of regional anesthesia, sympatholytics, anticholinesterase agents and H2-blockers. Intensive "enteral" therapy of acute insufficiency of GIT in severe gunshot wounds includes the measures resulting in improvement of microcirculation, tissue respiration in organs of GIT, decompression of the stomach, local defense of mucosa, detoxication and early enteral balanced nutrition. The described method of treatment of wounded to the stomach used at specialized medical institutions resulted in 6.2 less lethality among this category of patients.
PubMed ID
11837007 View in PubMed
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Air guns: the main cause of enucleation secondary to trauma in children and young adults in the greater Ottawa area in 1974-93.

https://arctichealth.org/en/permalink/ahliterature215060
Source
Can J Ophthalmol. 1995 Jun;30(4):187-92
Publication Type
Article
Date
Jun-1995
Author
D H Marshall
S. Brownstein
D J Addison
S G Mackenzie
D R Jordan
W N Clarke
Author Affiliation
Department of Ophthalmology, University of Ottawa, Ont.
Source
Can J Ophthalmol. 1995 Jun;30(4):187-92
Date
Jun-1995
Language
English
Publication Type
Article
Keywords
Adolescent
Blindness - epidemiology - etiology - prevention & control
Child
Child, Preschool
Eye Enucleation - statistics & numerical data
Eye Injuries, Penetrating - epidemiology - etiology - prevention & control
Female
Firearms - legislation & jurisprudence
Hospitalization
Humans
Infant
Male
Ontario - epidemiology
Patient Education as Topic
Retrospective Studies
Risk Management - statistics & numerical data
Wounds, Gunshot - complications - epidemiology - prevention & control
Abstract
To determine the proportion of enucleation procedures attributable to injuries from air guns in people aged 18 years or less and to identify the associated pathological findings.
Case series.
Ophthalmic Pathology Registry, University of Ottawa, and affiliated Children's Hospital of Eastern Ontario (Ottawa), Ottawa General Hospital and Ottawa Civic Hospital. In addition, information on air gun injuries from April 1990 to December 1993 was obtained from the Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP) database, with data from 10 pediatric and 5 general hospitals across Canada.
All patients aged 18 years or less who underwent enucleation between Jan. 1, 1974, and Dec. 31, 1993.
Eighty-five patients were identified as having undergone enucleation. Trauma accounted for 51 cases (60%), of which 13 (25%) were caused by air guns, the largest single cause of enucleation secondary to trauma. Overall, air gun injuries accounted for 15% of enucleation procedures, whereas retinoblastoma accounted for 21%. All air gun injuries were in boys (median age 14 years, range 9 to 16 years). Of the 13 eyes with air gun injuries 7 had ocular perforation and 6 had ocular penetration. In all cases the intraocular structures were severely disrupted. The CHIRPP database included 165 air gun injuries; 32 were to the eye or ocular adnexa, resulting in 26 hospital admissions.
Air guns were the largest single cause of enucleation secondary to trauma in our study. These guns are widely available in Canada and are unrestricted at muzzle velocities capable of causing death or serious injury, especially to the eye. We feel that air guns should be licensed only to people aged 16 to 18 years or older and that education in their use should be mandatory.
Notes
Comment In: Can J Ophthalmol. 1995 Jun;30(4):177-87585308
PubMed ID
7585310 View in PubMed
Less detail
Source
Can Psychiatr Assoc J. 1977 Aug;22(5):243-51
Publication Type
Article
Date
Aug-1977
Author
N. el-Guebaly
M. Lee
Source
Can Psychiatr Assoc J. 1977 Aug;22(5):243-51
Date
Aug-1977
Language
English
Publication Type
Article
Keywords
Adult
Alcoholism - complications - rehabilitation
Antisocial Personality Disorder - diagnosis
Canada
Female
Homicide
Humans
Legislation as Topic
Male
Motivation
Psychological Tests
Social Control, Formal
Substance-Related Disorders - complications
Suicide
Violence
Wounds, Gunshot - etiology
Abstract
The recurring dilemma of having to deal with an intoxicated person in possession of a gun uttering homicidal or suicidal threats along with the current debate on gun control prompted this controlled survey of the characteristics of individuals with problems arising from the joint abuse of alcohol and possession of a gun. A comparison of the data point to violence as being the most significant differentiating variable involved. This violent potential was reflected by the presence among the alcoholics involved of more past and present antisocial traits, a higher rating on the Nicol's scale of violence, more offences committed against the person and homicidal behaviour. The availability of a gun was a significant factor. No correlation was found between the severity of the drinking problem and the risk of dangerous handling of a gun. The need for more stringent gun controls is supported but their implications to the physician and especially the psychiatrist as a potential guarantor for a licence application ought to be further explored by the professional bodies involved.
PubMed ID
890644 View in PubMed
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254 records – page 1 of 26.