scholarly journals Penetrating Brain Trauma due to Air Gun Shot – a Case Report

Folia Medica ◽  
2021 ◽  
Vol 63 (6) ◽  
pp. 977-980
Author(s):  
Ivan Tsranchev ◽  
Pavel Timonov ◽  
Alexander Alexandrov
Keyword(s):  
Head Injury ◽  
Fatal Outcome ◽  
Severe Depression ◽  
The Body ◽  
Mental Illnesses ◽  
Skin Defect ◽  
Severe Injuries ◽  
Air Gun ◽  
Entry Wound ◽  
Gcs Score

Cases of severe injuries caused by air guns are really uncommon, but they can lead to a fatal outcome. Usually, these injuries occur in children due to their not fully developed skull bones or in adults through less resistant and thin regions of the cranium. Most of them are accidental events, followed by low percentage of suicidal attempts. In this paper, we present the case of a 68-year-old man suffering from severe depression, with self-inflicted air gun injury to the head. The patient was admitted to the hospital in a coma with a Glasgow Coma Scale (GCS) score of 8, with severe penetrating head injury manifested with brain contusion and intraventricular bleeding seen at the CT examination. Metal particles from the projectile were seen inside the brain. The entry wound had inverted margins, abraded collar and skin defect. The additional neurological examination of the patient showed symptoms of increased intracranial pressure. The treatment started with the air gun wound care. Craniotomy surgery was also done and bone fragments around the entry wound were successfully extracted with subsequent debridement and duraplasty. The patient was treated with new-generation combined antibiotics for preventing inflammatory complications. On the nineteenth day, the patient was discharged with mild hemiparesis on the left side and with GCS score of 15. Air-gun traumatic cases with head injury or with injury to other parts of the body are often mistaken for firearm accidents, because air guns are seriously underestimated devices. Nevertheless, they could lead to severe health consequences and severe disability. This case highlights the necessity of strict monitoring of air guns by the responsible government institutions which should apply the same regulations in controlling these weapons as they implement in controlling the firearm guns. Presence of severe depression, mental illnesses, and neoplasms are risk factors for committing suicide with this type of weapons and the control over the air weapons in this group of people should be stricter.

scholarly journals Association between Bodily Complaint and Anxiety

2021 ◽  
Vol 9 (9) ◽  
pp. 2229-2237
Author(s):  
Indra Awasthi
Keyword(s):  
Mental Illness ◽  
Severe Depression ◽  
Physical Illness ◽  
Social Consequences ◽  
The Body ◽  
Mental Illnesses ◽  
Major Type ◽  
Care Utilization ◽  
Physical And Mental Health ◽  
The Impact

Abstract: Both physical and mental health is intimately linked. People who have a significant mental illness are more prone to suffer from a variety of chronic physical diseases. People who have long-term medical issues, on the other hand are more than twice as likely to be depressed and anxiety as the general population. The goal of the research is to better understand the impact of mental illness on the body. This disease has social consequences in terms of diminished efficiency and increased health-care utilization. The first step is to comprehend the relationship between the mind and the body in devising treatments to reduce the occurrence of co-existing diseases and treat those who do have mental illnesses and chronic physical difficulties and . Depression can be accompanied by practically any other mental or physical ailment. Physical illness increases the likelihood of developing a major type of depression. At work, there are two separate processes. The one that stands out the most is based on psychological or cognitive issues. As a result, due to a life event or persistent struggle, the disease might be the spark for a depressive episode in a handicapped person. Second, there are more complicated relationships between depression and certain health disorders. In terms of etiology, they might be very intriguing. Stroke and coronary disease are perhaps the best examples. Finally, severe depression, but particularly minor depression, dysthymia, and depressive symptoms, which patients present to their physicians, merge with other signs of human distress. Such somatic manifestations put the traditional distinction between physical and mental illness to the test, and they are a perennial subject of debate. Keywords: depression, physical illness, somatic symptoms

Improving Children's Bike Helmets

1998 ◽  
Vol 20 (2) ◽  
pp. 34-37
Author(s):  
Bruce Bradtmiller
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Head Injury ◽  
The Body ◽  
Severe Injuries ◽  
Athletic Fields

Every day, millions of children take to the athletic fields and streets for purposes of competition, transportation, or simple enjoyment. It is likely that by day's end some of them will suffer severe injuries and a few may die. Many of these injuries will involve the head or neck, an area of the body where injuries are most likely to be serious. According to the National Head Injury Foundation, traumatic brain injury is the leading cause of disability in both children and adults.

Lymphangiomatosis of the Body Wall: A Report of Two Cases Associated with Chylothorax and Fatal Outcome

1997 ◽  
Vol 17 (4) ◽  
pp. 617-624 ◽  
Author(s):  
Philippe Moerman ◽  
Chris Van Geet ◽  
Hugo Devlieger
Keyword(s):  
Body Wall ◽  
Fatal Outcome ◽  
The Body

scholarly journals Outcome Prediction in Patients of Traumatic Brain Injury Based on Midline Shift on CT Scan of Brain

2021 ◽  
Author(s):  
Shrikant Govindrao Palekar ◽  
Manish Jaiswal ◽  
Mandar Patil ◽  
Vijay Malpathak
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Head Injury ◽  
Ct Scan ◽  
Treatment Protocol ◽  
Emergency Setting ◽  
Midline Shift ◽  
Ct Head ◽  
Clinical Tools ◽  
Gcs Score

Abstract Background Clinicians treating patients with head injury often take decisions based on their assessment of prognosis. Assessment of prognosis could help communication with a patient and the family. One of the most widely used clinical tools for such prediction is the Glasgow coma scale (GCS); however, the tool has a limitation with regard to its use in patients who are under sedation, are intubated, or under the influence of alcohol or psychoactive drugs. CT scan findings such as status of basal cistern, midline shift, associated traumatic subarachnoid hemorrhage (SAH), and intraventricular hemorrhage are useful indicators in predicting outcome and also considered as valid options for prognostication of the patients with traumatic brain injury (TBI), especially in emergency setting. Materials and Methods 108 patients of head injury were assessed at admission with clinical examination, history, and CT scan of brain. CT findings were classified according to type of lesion and midline shift correlated to GCS score at admission. All the subjects in this study were managed with an identical treatment protocol. Outcome of these patients were assessed on GCS score at discharge. Result Among patients with severe GCS, 51% had midline shift. The degree of midline shift in CT head was a statistically significant determinant of outcome (p = 0.023). Seventeen out of 48 patients (35.4%) with midline shift had poor outcome as compared with 8 out of 60 patients (13.3%) with no midline shift. Conclusion In patients with TBI, the degree of midline shift on CT scan was significantly related to the severity of head injury and resulted in poor clinical outcome.

scholarly journals Serum Concentration of Myelin Basic Protein as a Prognostic Marker in Mild-to-moderate Head Injury Patients: A Prospective Study in a Tertiary Care Center

2021 ◽  
Author(s):  
Ashvamedh Singh ◽  
Kulwant Singh ◽  
Anurag Sahu ◽  
R. S. Prasad ◽  
N. Pandey ◽  
...  
Keyword(s):  
Head Injury ◽  
Prospective Study ◽  
Myelin Basic Protein ◽  
Prognostic Marker ◽  
Outcome Prediction ◽  
Basic Protein ◽  
Care Center ◽  
Tertiary Care ◽  
Gcs Score ◽  
A Prospective Study

Abstract Objective To estimate the level of myelin basic protein (MBP) and look for its validity in outcome prediction among mild-to-moderate head injury patients. Materials and Methods It was a prospective study done at the Department of Neurosurgery, Institute of Medical Sciences, Banaras Hindu University from Jan 2018 to July 2019. All patients who presented to us within 48 hours of injury with mild-to-moderate head injury with apparently normal CT brain were include in the study. The serum sample were collected on the day of admission and 48 hours later, and patients were treated with standard protocols and observed 6 months postdischarge. Results Of the 32 patients enrolled, we observed mean MBP level was higher for severity of brain damage, but not associated with age, mode of injury, and radiological diagnosis. Mean MBP levels were not statistically associated with Glasgow coma scale (GCS) score at admission but was correlated to outcome with p < 0.05, with sensitivity of 50% and specificity 72%, that is, patients with good outcome have lower mean MBP levels. Conclusion MBP as per our analysis can be used as a prognostic marker in patients with head injury. It is not the absolute value rather a trend showing rise in serum MBP levels, which carries a significant value in outcome prediction.

scholarly journals Study of Traumatic Brain Injury Due To Recent Earthquake in Manipal Teaching Hospital

2016 ◽  
Vol 12 (2) ◽  
pp. 63-66
Author(s):  
Bal G Karmacharya ◽  
Brijesh Sathian
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Head Injury ◽  
Teaching Hospital ◽  
Brain Injuries ◽  
Injury Severity ◽  
Traumatic Brain Injuries ◽  
The Body ◽  
Mild Head Injury ◽  
Associated Injuries

The objective of this study was to review the demographics, causes injury, severity, treatment and outcome of traumatic brain injuries in victims of the April 2015 earthquake who were admitted in Manipal Teaching Hospital, Pokhara. A total of 37 patients was admitted under Neurosurgery Services. Collapse of buildings was the commonest cause of head injury. The majority of them had mild head injury. Associated injuries to other parts of the body were present in 40.54% patients.Nepal Journal of Neuroscience 12:63-66, 2015

Lymphangiomatosis of the Body Wall: A Report of Two Cases Associated with Chylothorax and Fatal Outcome

1997 ◽  
Vol 17 (4) ◽  
pp. 617-624 ◽  
Author(s):  
Philippe Moerman ◽  
Chris Van Geet ◽  
Hugo Devlieger
Keyword(s):  
Body Wall ◽  
Fatal Outcome ◽  
The Body

scholarly journals Vibration-Sensing Electronic Yarns for the Monitoring of Hand Transmitted Vibrations

Sensors ◽  
2021 ◽  
Vol 21 (8) ◽  
pp. 2780
Author(s):  
Zahra Rahemtulla ◽  
Theodore Hughes-Riley ◽  
Tilak Dias
Keyword(s):  
Monitoring System ◽  
Index Finger ◽  
Textile Yarn ◽  
The Body ◽  
Severe Injuries ◽  
The Core ◽  
Vibration Sensing ◽  
Yarn Structure ◽  
Fabric Sample ◽  
Power Tools

Overexposure to hand transmitted vibrations (HTVs) from prolonged use of vibrating power tools can result in severe injuries. By monitoring the exposure of a worker to HTVs, overexposure, and injury, can be mitigated. An ideal HTV-monitoring system would measure vibration were it enters the body, which for many power tools will be the palm and fingers, however this is difficult to achieve using conventional transducers as they will affect the comfort of the user and subsequently alter the way that the tool is held. By embedding a transducer within the core of a textile yarn, that can be used to produce a glove, vibration can be monitored close to where it enters the body without compromising the comfort of the user. This work presents a vibration-sensing electronic yarn that was created by embedding a commercially available accelerometer within the structure of a yarn. These yarns were subsequently used to produce a vibration-sensing glove. The purpose of this study is to characterize the response of the embedded accelerometer over a range of relevant frequencies and vibration amplitudes at each stage of the electronic yarn’s manufacture to understand how the yarn structure influences the sensors response. The vibration-sensing electronic yarn was subsequently incorporated into a fabric sample and characterized. Finally, four vibration-sensing electronic yarns were used to produce a vibration-sensing glove that is capable of monitoring vibration at the palm and index finger.

scholarly journals Playing-Related Musculoskeletal Disorders, Risk Factors, and Treatment Efficacy in a Large Sample of Oboists

2022 ◽  
Vol 12 ◽  
Author(s):  
Heather M. Macdonald ◽  
Stéphanie K. Lavigne ◽  
Andrew E. Reineberg ◽  
Michael H. Thaut
Keyword(s):  
Risk Factors ◽  
Musculoskeletal Disorders ◽  
Risk Groups ◽  
The Body ◽  
Upper Extremities ◽  
Online Questionnaire ◽  
Severe Injuries ◽  
Instrument Choice ◽  
Linear Relationships ◽  
The Right

ObjectivesDuring their lifetimes, a majority of musicians experience playing-related musculoskeletal disorders (PRMD). PRMD prevalence is tied to instrument choice, yet most studies examine heterogeneous groups of musicians, leaving some high-risk groups such as oboists understudied. This paper aims to (1) ascertain the prevalence and nature of PRMDs in oboists, (2) determine relevant risk factors, and (3) evaluate the efficacy of treatment methods in preventing and remedying injuries in oboe players.MethodsA 10-question online questionnaire on PRMDs and their treatments was completed by 223 oboists. PRMDs were compared across gender, weekly playing hours, career level, age, and years of playing experience.ResultsOf all respondents, 74.9% (167/223) reported having had at least one PRMD in their lifetime. A majority of these injuries (61.9% of all respondents) were of moderate to extreme severity (5 or higher on a scale of 1 to 10). Females (mean = 5.88) reported significantly more severe injuries than males. No significant effects of career level (i.e., professional vs. student vs. amateur), age, or years of playing experience were observed. We found significant non-linear relationships between weekly playing hours and PRMD prevalence and severity. Injuries were most commonly on the right side of the body, with the right thumb, wrist, hand, and forearm being most affected in frequency and severity. Of those injuries for which recovery information was provided, only 26.1% of injuries were “completely recovered.” The perceived effectiveness of a few treatments (physical therapy, rest, stretching, occupational therapy, massage) tended to be ranked more highly than others.ConclusionThe oboists in this study experienced high rates of PRMD, particularly in the right upper extremities. Females and those playing 7-9 and 16-18 h per week reported a significantly higher severity of injuries than other groups.

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