Security and safety remain paramount concerns for both governments and individuals worldwide.In today’s context,the frequency of crimes and terrorist attacks is alarmingly increasing,becoming increasingly intolerable...Security and safety remain paramount concerns for both governments and individuals worldwide.In today’s context,the frequency of crimes and terrorist attacks is alarmingly increasing,becoming increasingly intolerable to society.Consequently,there is a pressing need for swift identification of potential threats to preemptively alert law enforcement and security forces,thereby preventing potential attacks or violent incidents.Recent advancements in big data analytics and deep learning have significantly enhanced the capabilities of computer vision in object detection,particularly in identifying firearms.This paper introduces a novel automatic firearm detection surveillance system,utilizing a one-stage detection approach named MARIE(Mechanism for Realtime Identification of Firearms).MARIE incorporates the Single Shot Multibox Detector(SSD)model,which has been specifically optimized to balance the speed-accuracy trade-off critical in firearm detection applications.The SSD model was further refined by integrating MobileNetV2 and InceptionV2 architectures for superior feature extraction capabilities.The experimental results demonstrate that this modified SSD configuration provides highly satisfactory performance,surpassing existing methods trained on the same dataset in terms of the critical speedaccuracy trade-off.Through these innovations,MARIE sets a new standard in surveillance technology,offering a robust solution to enhance public safety effectively.展开更多
BACKGROUND The coronavirus disease 2019(COVID-19)pandemic had a profound societal impact in the United States which was associated with a decrease in overall life expectancy and an increase in substance abuse and fire...BACKGROUND The coronavirus disease 2019(COVID-19)pandemic had a profound societal impact in the United States which was associated with a decrease in overall life expectancy and an increase in substance abuse and firearm injury.Our under-standing of changes in mortality trends during the pandemic and its effect on organ availability for transplantation is limited.AIM To examine the trends of substance abuse and firearm injury fatalities during COVID-19 and a potential correlation with organ transplantation.METHODS Crude rates of population-based deaths among adults(18-75 years)from firearm injury and substance abuse from the period of 2014-2021 were obtained from centers of disease control wide-ranging online data for epidemiologic research database.Crude rates of causes of donor(18-75 years)deaths from 2014-2021 were obtained from the united network for organ sharing database.RESULTS Average annual percentage change(AAPC)deaths among the United States population were 16.4%from substance abuse and 3.4%from firearm injury.AAPC in cause of death among organ donors was 10.9%from drug intoxication and 2.1%from firearm injury.There was a significant(P<0.001)and progressive increase in mortality from both causes during the pandemic(2020-2021)and significant correlation(P<0.001)between population and donor causes of death.COVID-19 exacerbated trends in substance abuse and firearm mortality with a consequent increase in organ donation from donors who died from these two causes.CONCLUSION Identifying the socioeconomic and regional disparities associated with increase in deaths from substance abuse and firearms can help guide post-pandemic healthcare policies and mitigate their impact on organ transplantation.展开更多
Objective. To study the characteristics and pathogenesis of gut barrier damage following multiple firearm injuries in a porcine model. Methods. Twenty four small pigs were divided into 4 groups: control group (n=6, gr...Objective. To study the characteristics and pathogenesis of gut barrier damage following multiple firearm injuries in a porcine model. Methods. Twenty four small pigs were divided into 4 groups: control group (n=6, group C), group H (n=6, gunshot induced tangential fracture of parietal bone), group L (n=6, gunshot induced comminuted fracture of bilateral femora) and group M (n=6, combined group H+L). Gastric intramucosal pH (pHi), plasma endotoxin levels in portal vein, and plasma D lactate levels were measured and blood samples were cultured at different intervals after trauma. The animals were sacrificed at 72 h following trauma and intestinal tissues were harvested for pathological examination and diamine oxidase (DAO) activity measurement. Results. In group M at 72 h, pHi was significantly lower than that of group H and L (P< 0.01), and plasma endotoxin level was significantly higher than that of group H (P< 0.01) and group L (P< 0.05). Simultaneously, in groupM, D lactate level was markedly higher than that of group H (P< 0.01), and incidence of positive blood culture was much higher than that of group H and L (P<0.05). Necrosis and exfoliation were revealed at ileum villus top in all traumagroups, especially in group M, in which ileum DAO activity declined most significantly as well. Conclusion. Multiple trauma is prone to cause gastrointestinal ischemia even without hemorrhagic shock. The damage of gut barrier in multiple trauma appears to be more severe than that in one site trauma, thereby promoting gut derived endotoxemia and bacterial translocation and contributing to the development of endogenous infection.SURGICAL TREATMENT OF MALIGNANTESOPHAGEAL TUMORS IN PUMC HOSPITAL Guo Huiqin,Li Zejian ,Zhang Fan1 ,Zhang Zhiyong,Xu Letian ,Li Weidong2,Wang Xiuqin2and Wu Min2Department of Thoracic Surgery, PUMC Hospital, CAMS &PUMC, Beijing 100730Key words malignant esophageal tumors; early diagnosis; FHIT geneTo study how to prolong the postoperative survival time of the patientswith malignant esophageal tumors. The clinical data of 1098 patients with malignant esophageal tumors from 1961 to 1992 were retrospectively analyzed. The deletion of fragile histamine triplet (FHIT) gene (a tumor suppressor gene) in 30 fresh esophageal samples obtained in 1996 was detected with PCR and RT PCR method. The resectability was raised gradually and the operative morbidity and mortality decreased year by year, but there was no significant improvement on the postoperative 5 year survival rate. Delayed diagnosis and irradical resection influenced the long term survival. The deletion of cDNA of FHIT gene was 64.2%in esophageal cancer and 20%in the resected margin of the cancer. We believe that high grade atypical hyperplasia in esophageal epithelium and deletion of FHIT gene in esophageal cancer and its resected margin are pathological and molecular markers for early diagnosis of esophageal cancer respectively, and the latter may be one of the molecular markers for the resection. Early diagnosis and treatment, radical resection, and postoperative nutritional support are very important for the improvement of the postoperative survival time of the patients.展开更多
For nearly two decades, the eastern Democratic Republic of Congo (DRC) has been plagued by war and abnormal movement of firearms is commonplace. The consequence of this is the increasing number of victim patients from...For nearly two decades, the eastern Democratic Republic of Congo (DRC) has been plagued by war and abnormal movement of firearms is commonplace. The consequence of this is the increasing number of victim patients from gunshot wound at the hospitals. The aim of this study is to make an assessment of fractures caused by firearms and their management in a post conflict town. This is a retrospective, descriptive, multicenter study involving 123 cases with 128 fractures by firearms recorded during a period of 24 months from 1st January 2011 to 31st December 2012. Patients were recruited from 3 major hospitals in Bukavu town having a unit of fractures management. One hundred and six (86.9%) patients were males with the modal age in the ranks from 20 to 40 years old (mean 29.9 years). Seventy-one (57.7%) were civilians and 52 (42.3%) patients were soldiers;86 (78.2%) came from countryside. The reprisal was implicated in 77 (62.6%) cases. In 62.5% of cases, fractures were localized in the lower limbs and were treated orthopedically in ?50% of cases. The gunshot fractures in eastern DRC were mainly concerning the civilian young people living in the countryside and necessarily affected the bones of low limb. A study on fracture by firearms should be carried in the area where people have been wounded. Reducing the flow of gunshot could reduce the rate of fractures by firearms.展开更多
Penetrating craniocerebral firearm injuries remains one of the most lethal of all head traumas and are common in both war and peace time. Data were reviewed for 6487 moderately, severely head injuring patients (Glasgo...Penetrating craniocerebral firearm injuries remains one of the most lethal of all head traumas and are common in both war and peace time. Data were reviewed for 6487 moderately, severely head injuring patients (Glasgow Coma Scale (GCS) scores 3 to 12) tre展开更多
Military object detection and identification is a key capability in surveillance and reconnaissance.It is a major factor in warfare effectiveness and warfighter survivability.Inexpensive,portable,and rapidly deployabl...Military object detection and identification is a key capability in surveillance and reconnaissance.It is a major factor in warfare effectiveness and warfighter survivability.Inexpensive,portable,and rapidly deployable small unmanned aerial systems(s UAS)in conjunction with powerful deep learning(DL)based object detection models are expected to play an important role for this application.To prove overall feasibility of this approach,this paper discusses some aspects of designing and testing of an automated detection system to locate and identify small firearms left at the training range or at the battlefield.Such a system is envisioned to involve an s UAS equipped with a modern electro-optical(EO)sensor and relying on a trained convolutional neural network(CNN).Previous study by the authors devoted to finding projectiles on the ground revealed certain challenges such as small object size,changes in aspect ratio and image scale,motion blur,occlusion,and camouflage.This study attempts to deal with these challenges in a realistic operational scenario and go further by not only detecting different types of firearms but also classifying them into different categories.This study used a YOLOv2CNN(Res Net-50 backbone network)to train the model with ground truth data and demonstrated a high mean average precision(m AP)of 0.97 to detect and identify not only small pistols but also partially occluded rifles.展开更多
The ubiquitous nature of the internet has made it easier for criminals to carry out illegal activities online.The sale of illegal firearms and weaponry on dark web cryptomarkets is one such example of it.To aid the la...The ubiquitous nature of the internet has made it easier for criminals to carry out illegal activities online.The sale of illegal firearms and weaponry on dark web cryptomarkets is one such example of it.To aid the law enforcement agencies in curbing the illicit trade of firearms on cryptomarkets,this paper has proposed an automated technique employing ensemble machine learning models to detect the firearms listings on cryptomarkets.In this work,we have used partof-speech(PoS)tagged features in conjunction with n-gram models to construct the feature set for the ensemble model.We studied the effectiveness of the proposed features in the performance of the classification model and the relative change in the dimensionality of the feature set.The experiments and evaluations are performed on the data belonging to the three popular cryptomarkets on the Tor dark web from a publicly available dataset.The prediction of the classification model can be utilized to identify the key vendors in the ecosystem of the illegal trade of firearms.This information can then be used by law enforcement agencies to bust firearm trafficking on the dark web.展开更多
European firearms entered China from the sixteenth century and played a significant role in the warfare of the Ming and Qing dynasties.Some Chinese military books,which include contents on European firearms,appeared i...European firearms entered China from the sixteenth century and played a significant role in the warfare of the Ming and Qing dynasties.Some Chinese military books,which include contents on European firearms,appeared in the early seventeenth century and helped to expand the weapons’influence.Certain parts in these books concerning European artilleries are highly similar,indicating that they might have been extracted from a mutual source.Bing lu兵錄(Records of military art)is a typical example of such Chinese military treatises.Its illustrations and data demonstrate that Pratica manuale di arteglieria written by Luys Collado in 1586 is an important source of the Western knowledge in certain chapters of Bing lu.展开更多
Introduction: Thoracic wounds by firearms are frequent and severe. They may involve the patient’s prognosis. Objective: To study the epidemiological, clinical, paraclinical, therapeutic and evolutionary aspects of th...Introduction: Thoracic wounds by firearms are frequent and severe. They may involve the patient’s prognosis. Objective: To study the epidemiological, clinical, paraclinical, therapeutic and evolutionary aspects of the thoracic wounds by firearms. Material and method: This was a cross-sectional, descriptive study of all patients over the age of 15 who consulted in the university hospital-YO in the department of general and digestive surgery over a period of 5 years. Results: We collected 50 cases of thoracic wounds by firearms on 183 thoracic wounds with a prevalence of 27.3%. There were 48 men (96%). The average age was 30 years. The patients came from urban areas in 66% of cases;the informal sector accounted for 44% of the cases. The pistol was the most involved firearm (46.9%). The consultation period was less than 6 hours in 78% of patients. An unstable hemodynamic state was found in 42% (n = 21). A fluid and mixed pleural effusion syndrome was found in 46% and 26% of patients, respectively. Associated lesions were diaphragm involvement, and lesions of intra-abdominal hollow organs. Thoracic drainage was performed in 24 patients (48%) and was associated with a laparotomy in 8 patients. The average hospital stay was 7.5 days. Mortality was 14%. Conclusion: the thoracic wounds by firearms are frequent in civilian practice. The thoracic CT allows mapping of the lesions and thoracic drainage constitutes the essential part of surgical treatment. The fight against the proliferation of weapons deserves to be promoted.展开更多
Fracture by firearms is a surgical emergency. The aim of our study was to report our experience in the management of open fractures by firearms and monitoring with a decline of 6 months the lesions observed in peaceti...Fracture by firearms is a surgical emergency. The aim of our study was to report our experience in the management of open fractures by firearms and monitoring with a decline of 6 months the lesions observed in peacetime. This retrospective study over 3 years (January 2007-November 2010), supplemented by a prospective (December 2010-November 2011) is based on an analysis of operative reports and clinical records of patients admitted to the Yaoundé Central Hospital. 29 cases were selected, including 35 lesions were observed. Our series consists of 27 men and 2 women, mean age 30 years. 40% of our patients were initially supported (debridement) before the 6th hour and 51.42% between the 6th and 24th hours. In terms of internal fixation, these figures were 66% between the 25th and 96th hours. The type of material was used as the external fixate (64.9%). Conversion processing by the establishment of an internal hardware, after 3 - 6 weeks and control NFS (numeration of blood count or blood count), VS (rate of sedimentation), CRP (C reactive protein). Unfortunately this has been possible only in two cases because of financial means. In 40% of cases, surgical outcome was simple, and complications to a type of osteomyelitis, shortening, suppuration in 42.7% of cases.展开更多
Introduction: Ballistic traumas of the external genitalia are rare especially in civil practice. Emergency surgical exploration is the rule. Case Report: Mr. F.Y., 29 years old, a security agent, admitted to the Urolo...Introduction: Ballistic traumas of the external genitalia are rare especially in civil practice. Emergency surgical exploration is the rule. Case Report: Mr. F.Y., 29 years old, a security agent, admitted to the Urological Emergency Unit of Yalgado Ouédraogo University Hospital of Ouagadougou for trauma of the penile and left purse by firearm. The clinical examination revealed a good hemodynamic status, bladder distension. A suprapubic catheterization was performed. We noted a transfixing and bleeding wound on the penile, and on the left purse which was edematous. The patient was admitted to the operation room 07 hours after trauma. Exploration found a total destruction of the left testicle classified grade 5 of the classification of the American Association of the Surgery of Trauma (AAST). We performed a left orchiectomy. There was a partial rupture of the ventral face of the penile urethra. We performed an end-to-end anastomosis on a Foley catheter CH 18. The Foley catheter was removed after two weeks. Urination was spontaneous without dysuria. Erections were painless and without kinking of penile. Conclusion: Open traumas of the external genitalia are rare and their treatment is an extreme surgical emergency.展开更多
BACKGROUND Firearm-associated injuries(FAIs)are among the leading causes of morbidity and mortality in children living in the United States.Most victims of such injuries survive,but may experience compromised function...BACKGROUND Firearm-associated injuries(FAIs)are among the leading causes of morbidity and mortality in children living in the United States.Most victims of such injuries survive,but may experience compromised function related to musculoskeletal injuries.Although complex firearm-associated fractures(FAFs)often require specialized orthopaedic,vascular,and plastic surgical intervention,there is minimal research describing their management and outcomes.The purpose of this study is to describe the epidemiology and presentation of pediatric FAFs,as well as evaluate the management and outcomes of these injuries.AIM To describe the epidemiology and presentation of pediatric FAFs,as well as evaluate the management and outcomes of these injuries.METHODS A retrospective chart review was performed at a major,pediatric level 1 trauma center.The study included patients aged 18 or younger who presented with FAIs between 2008-2018.Additional data was collected on patients with FAFs including demographic and clinical data such as age,sex,race,payor type,fracture location,injury severity score(ISS),and radiographic and clinical outcomes.The management of FAFs was analyzed as well as need for readmission and reoperation.Descriptive statistics were used to summarize the results and univariate analyses were performed to assess differences between groups.RESULTS Between 2008 and 2018,there were a total of 61 patients who presented with FAIs.In this cohort,21 patients(34%)sustained FAFs(25 fractures)with a mean age of 11(Range:10 mo to 18 years old)at the time of presentation.Approximately 52%(n=11)of patients with FAFs were male,76%(n=8 and n=8,respectively)identified as black or other,and 71%(n=15)had government insurance.FAFs were most commonly noted in the upper extremity(n=7)and lower extremity(n=6).In patients with FAFs,the mean ISS at presentation was 11.38(Range:2-38),and 24%of patients(n=5)were classified as having a major trauma.There were no significant differences in age,sex,race,and payor type in FAF patients that presented with and without major trauma(P>0.05).When comparing FAF and non-FAF patients,there was a statistically significant difference in ISS(11.38 vs 14.45,P=0.02).In total,33%(n=7)of patients with FAFs required orthopaedic surgical management,which was most commonly comprised of debridement(n=6/7,86%),and 14%(n=1/7)of these patients required coordinated care with plastic and/or vascular surgery.There were no significant differences in age and payor type in patients with FAFs treated with and without orthopaedic surgery.Of the patients with FAFs,52%(n=11)had a minimum 90-d follow-up,and 48%(n=10)had a minimum 2-year follow-up.Two patients were readmitted within 90-d,while one patient required a reoperation within 2-years.CONCLUSION Over 25%of FAIs in pediatric patients result in FAFs.FAFs often present to pediatric trauma centers and the majority of these injuries occur in non-Caucasian males with government insurance.Most FAFs do not need orthopaedic surgical management;14%of these injuries require subspecialty care by orthopaedic surgery,vascular surgery,or plastic surgery.Patients with FAFs also have lower ISS compared to patients who sustained FAIs without fracture.Thus,these patients should be treated at pediatric trauma centers with specialty care and additional research is needed to focus prevention efforts,understand reasons for poor follow-up,and evaluate outcomes after injury.展开更多
Heart trauma caused by a firearm projectile is the most fatal of cardiac injuries due to the great potential for death. The increase in the number of cases in recent years is observed, due to the greater urban violenc...Heart trauma caused by a firearm projectile is the most fatal of cardiac injuries due to the great potential for death. The increase in the number of cases in recent years is observed, due to the greater urban violence. We report the case of a patient, a victim of firearm perforation, who suffered a cardiac transfixing lesion, with clinical presentation and with an unusual cardiac injury, operated at our service with success.展开更多
The need for firearm identification systems by police services continues to increase with greater accessibility to weapons in the national and international contexts. The difficulties associated with traditional imagi...The need for firearm identification systems by police services continues to increase with greater accessibility to weapons in the national and international contexts. The difficulties associated with traditional imaging of ballistics specimens are numerous, and include the smallness of the samples, the nature of the surfaces and shapes for the cartridge cases and projectiles. The digital holography has been introduced to create the 3D image of the fired bullets in order to identify firearms. In digital holography a CCD camera records optically generated holograms which is then reconstructed numerically by a calculation of scalar diffraction in the Fresnel approximation. The digital photography facilitates real time transmission of the message via traditional communication methods. In this paper the principle of digital holography and its application to the 3D image encryption-decryption were reviewed. The experimental results of firearm identification recording using digital holography and their numerical reconstruction were presented.展开更多
Objective: To comparatively study the effects and mechanisms of burn-blast combined injury and burn-firearm combined injury complicated with seawater immersion on vascular endothelial cells. Methods: A total of 40 hea...Objective: To comparatively study the effects and mechanisms of burn-blast combined injury and burn-firearm combined injury complicated with seawater immersion on vascular endothelial cells. Methods: A total of 40 healthy adult hybrid dogs of both sexes, weighing 12-15 kg, were used in this study. Randomly-selected 20 dogs were established as models of burn-blast combined injury (the burn-blast injury group) and the other 20 dogs as models of burn-firearm combined injury (the burn-firearm injury group). Then the wounds of all the dogs were immediately immersed in seawater for 4 hours, and then they were taken out from the seawater. Blood samples were withdrawn from the central vein of the dogs before injury, and at 4, 7, 10, 20, and 28 hours after injury to measure the circulating endothelial cells and the von Willebrand factor. Results: Circulating endothelial cells increased significantly at 4 hours after injury in all the dogs. But they reached peak at 7 hours after injury in the burn-blast injury group and at 28 hours after injury in the burn-firearm injury group. The changes of circulating endothelial cells in the burn-blast injury group were significantly different from those in the burn-firearm injury group at 4, 7, 20, and 28 hours after injury (P<(0.01)). The von Willebrand factor reached peak at 4 hours after injury in the burn-blast injury group and at 28 hours in the burn-firearm injury group. The changes of von Willebrand factor in the burn-blast injury group were significantly different from those in the burn-firearm injury group at 4, 20, and 28 hours after injury (P<(0.01)). Conclusions: In burn-blast injury combined with seawater immersion, the vascular endothelial cells changed most significantly at 4 hours or 7 hours after injury, while burn-firearm injury combined with seawater immersion have the same at 20 hours or 28 hours after injury.展开更多
Firearm-related violence is common in our contemporary world and causes serious harm to humans as well as to the society.One of the countries in which firearm-related violence is increasing is Sweden and its most sout...Firearm-related violence is common in our contemporary world and causes serious harm to humans as well as to the society.One of the countries in which firearm-related violence is increasing is Sweden and its most southern region,Skane,in which Malmo,Sweden’s third largest city,is highly affected.If not contained and limited,Sweden risks becoming more and more violent.展开更多
Background Little is known regarding risk factors specific to pedialric upper extremity firearm injuries.The purpose of this study is to evaluate pediatric patients treated for these injuries to identify at-risk popul...Background Little is known regarding risk factors specific to pedialric upper extremity firearm injuries.The purpose of this study is to evaluate pediatric patients treated for these injuries to identify at-risk populations and recurring mechanisms of injury.Methods A 20-year retrospective review was conducted.Patients 17 years of age and younger,with upper extremity injuries related to a firearm,were included.Analysis involved Fisher's exact and Chi-square tests.Results One hundred and eighty patients were included.The mean age was 12.04±4.3 years.Most included patients were male(85%).Interestingly,females were more frequently victims of assault(P=0.03),and males were more frequently injured due to accidental discharge(P<0.001).The most affected race/ethnicity was White-not Hispanic or Latino(48%).The hand was the most frequent location injured(31%)and was more likely to be accidental than proximal injuries(P=0.003).Air rifes were the most common firearm type used(56%).Pistols were implicated in 47(26%)cases,rifles in 17(9%),and.shotguns in 10(6%).Ninety-nine(55%)patients had procedures in the operating room.The most frequent procedure was foreign body removal(55%).Conclusions Risk factors such as male sex,W hite-not Hispanic or Latino race/ethnicity,and adolescent age were attributed to increased risk for injury.Male sex was associated with increased risk of injury by accidental discharge and female sex with intentional assault.Air rifles were the most common firearm type overall,although female sex was associated with increased risk for injury by powder weapon.展开更多
Objective: To explore an early stage repair method for soft tissue defect of limbs of modern firearm wound, and to improve treating result. Methods: Defects of the hind limbs of dogs were repaired with skin, muscle an...Objective: To explore an early stage repair method for soft tissue defect of limbs of modern firearm wound, and to improve treating result. Methods: Defects of the hind limbs of dogs were repaired with skin, muscle and myocutaneous flaps. Results: Wounds healed within 2 weeks in the experimental group except one that healed in 3 weeks because of infection. Limb function was close to normal. The treatment result was better in the experimental group than the control. Conclusions: Skin, muscle and myocutaneous flaps can cover soft tissue defect at an early stage, prevent and reduce infection, promote the healing and recovery of combined injury, reduce the time of treatment and disability rate.展开更多
Swedish as well as foreign publications have reported a sharp increase in firearm-related violence in Sweden. None of these publications, however, combined official statistics from the Swedish police, the National Cou...Swedish as well as foreign publications have reported a sharp increase in firearm-related violence in Sweden. None of these publications, however, combined official statistics from the Swedish police, the National Council for Crime Prevention (NCCP), and the National Board of Health and Welfare (NBHW), to study firearm-related violence in the last 2 years:2016–2017. The results of this study show that firearm-related violence in Sweden has greatly increased compared to other Scandinavian countries, especially in recent years. This is probably the reason for the increase in the rate of deadly violence. Further, the increasing number of gangs and criminal networks, as well as the high inflow of illegal firearms to Sweden, is believed to have contributed to the disturbing increase of firearm-related vio-lence in the country. Although Sweden is one of the most democratic and freest countries in the world, and has some of the world's strictest gun laws, the country still faces signifi-cant firearm-related violence. This study not only reveals the increasing rate of firearm-related violence in Sweden, but also shows that Sweden is in dire need of additional policies to combat the illegal flow of firearms and to curb gang criminality.展开更多
Hip firearm injuries are rare injuries that could lead to serious complications,such as posttraumatic hip arthritis and coloarticular fistula.We report a case of a 25-year-old male who sustained a pelvic injury caused...Hip firearm injuries are rare injuries that could lead to serious complications,such as posttraumatic hip arthritis and coloarticular fistula.We report a case of a 25-year-old male who sustained a pelvic injury caused by a single bullet which led to a bilateral acetabular fracture,concomitant with a colon injury treated on an emergency basis by a diverting colostomy;acetabular fractures were treated conservatively by traction.After the patient recovered from the abdominal injury,he was presented with bilateral hip pain and limited motion;plain radiographs showed bilateral hip arthritis with proximal migration of the femoral head and bilateral acetabular defect classified as Paprosky type IIIA.Reconstruction of the hips was performed using the same technique:impaction bone grafting for acetabular defect reconstruction and a reversed hybrid total hip arthroplasty(THA)6 months apart.The patient presented with loosening of the left THA acetabular cup 3 years later,which was revised;then he presented with a discharging sinus from the left THA with suspicion of coloarticular fistula,which was confirmed using CT with contrast material.A temporary colostomy and fistula excision were performed,and a cement spacer was applied to the hip.After clearing the infection,a final revision THA for the left hip was performed.Treating post-firearm hip arthritis by THA is challenging,especially in the situation of neglected cases with the presence of an acetabular defect.Concomitant intestinal injury increases the risk of infection with the possibility of coloarticular fistula formation,which could present later.Working with a multidisciplinary team is paramount.展开更多
文摘Security and safety remain paramount concerns for both governments and individuals worldwide.In today’s context,the frequency of crimes and terrorist attacks is alarmingly increasing,becoming increasingly intolerable to society.Consequently,there is a pressing need for swift identification of potential threats to preemptively alert law enforcement and security forces,thereby preventing potential attacks or violent incidents.Recent advancements in big data analytics and deep learning have significantly enhanced the capabilities of computer vision in object detection,particularly in identifying firearms.This paper introduces a novel automatic firearm detection surveillance system,utilizing a one-stage detection approach named MARIE(Mechanism for Realtime Identification of Firearms).MARIE incorporates the Single Shot Multibox Detector(SSD)model,which has been specifically optimized to balance the speed-accuracy trade-off critical in firearm detection applications.The SSD model was further refined by integrating MobileNetV2 and InceptionV2 architectures for superior feature extraction capabilities.The experimental results demonstrate that this modified SSD configuration provides highly satisfactory performance,surpassing existing methods trained on the same dataset in terms of the critical speedaccuracy trade-off.Through these innovations,MARIE sets a new standard in surveillance technology,offering a robust solution to enhance public safety effectively.
文摘BACKGROUND The coronavirus disease 2019(COVID-19)pandemic had a profound societal impact in the United States which was associated with a decrease in overall life expectancy and an increase in substance abuse and firearm injury.Our under-standing of changes in mortality trends during the pandemic and its effect on organ availability for transplantation is limited.AIM To examine the trends of substance abuse and firearm injury fatalities during COVID-19 and a potential correlation with organ transplantation.METHODS Crude rates of population-based deaths among adults(18-75 years)from firearm injury and substance abuse from the period of 2014-2021 were obtained from centers of disease control wide-ranging online data for epidemiologic research database.Crude rates of causes of donor(18-75 years)deaths from 2014-2021 were obtained from the united network for organ sharing database.RESULTS Average annual percentage change(AAPC)deaths among the United States population were 16.4%from substance abuse and 3.4%from firearm injury.AAPC in cause of death among organ donors was 10.9%from drug intoxication and 2.1%from firearm injury.There was a significant(P<0.001)and progressive increase in mortality from both causes during the pandemic(2020-2021)and significant correlation(P<0.001)between population and donor causes of death.COVID-19 exacerbated trends in substance abuse and firearm mortality with a consequent increase in organ donation from donors who died from these two causes.CONCLUSION Identifying the socioeconomic and regional disparities associated with increase in deaths from substance abuse and firearms can help guide post-pandemic healthcare policies and mitigate their impact on organ transplantation.
文摘Objective. To study the characteristics and pathogenesis of gut barrier damage following multiple firearm injuries in a porcine model. Methods. Twenty four small pigs were divided into 4 groups: control group (n=6, group C), group H (n=6, gunshot induced tangential fracture of parietal bone), group L (n=6, gunshot induced comminuted fracture of bilateral femora) and group M (n=6, combined group H+L). Gastric intramucosal pH (pHi), plasma endotoxin levels in portal vein, and plasma D lactate levels were measured and blood samples were cultured at different intervals after trauma. The animals were sacrificed at 72 h following trauma and intestinal tissues were harvested for pathological examination and diamine oxidase (DAO) activity measurement. Results. In group M at 72 h, pHi was significantly lower than that of group H and L (P< 0.01), and plasma endotoxin level was significantly higher than that of group H (P< 0.01) and group L (P< 0.05). Simultaneously, in groupM, D lactate level was markedly higher than that of group H (P< 0.01), and incidence of positive blood culture was much higher than that of group H and L (P<0.05). Necrosis and exfoliation were revealed at ileum villus top in all traumagroups, especially in group M, in which ileum DAO activity declined most significantly as well. Conclusion. Multiple trauma is prone to cause gastrointestinal ischemia even without hemorrhagic shock. The damage of gut barrier in multiple trauma appears to be more severe than that in one site trauma, thereby promoting gut derived endotoxemia and bacterial translocation and contributing to the development of endogenous infection.SURGICAL TREATMENT OF MALIGNANTESOPHAGEAL TUMORS IN PUMC HOSPITAL Guo Huiqin,Li Zejian ,Zhang Fan1 ,Zhang Zhiyong,Xu Letian ,Li Weidong2,Wang Xiuqin2and Wu Min2Department of Thoracic Surgery, PUMC Hospital, CAMS &PUMC, Beijing 100730Key words malignant esophageal tumors; early diagnosis; FHIT geneTo study how to prolong the postoperative survival time of the patientswith malignant esophageal tumors. The clinical data of 1098 patients with malignant esophageal tumors from 1961 to 1992 were retrospectively analyzed. The deletion of fragile histamine triplet (FHIT) gene (a tumor suppressor gene) in 30 fresh esophageal samples obtained in 1996 was detected with PCR and RT PCR method. The resectability was raised gradually and the operative morbidity and mortality decreased year by year, but there was no significant improvement on the postoperative 5 year survival rate. Delayed diagnosis and irradical resection influenced the long term survival. The deletion of cDNA of FHIT gene was 64.2%in esophageal cancer and 20%in the resected margin of the cancer. We believe that high grade atypical hyperplasia in esophageal epithelium and deletion of FHIT gene in esophageal cancer and its resected margin are pathological and molecular markers for early diagnosis of esophageal cancer respectively, and the latter may be one of the molecular markers for the resection. Early diagnosis and treatment, radical resection, and postoperative nutritional support are very important for the improvement of the postoperative survival time of the patients.
文摘For nearly two decades, the eastern Democratic Republic of Congo (DRC) has been plagued by war and abnormal movement of firearms is commonplace. The consequence of this is the increasing number of victim patients from gunshot wound at the hospitals. The aim of this study is to make an assessment of fractures caused by firearms and their management in a post conflict town. This is a retrospective, descriptive, multicenter study involving 123 cases with 128 fractures by firearms recorded during a period of 24 months from 1st January 2011 to 31st December 2012. Patients were recruited from 3 major hospitals in Bukavu town having a unit of fractures management. One hundred and six (86.9%) patients were males with the modal age in the ranks from 20 to 40 years old (mean 29.9 years). Seventy-one (57.7%) were civilians and 52 (42.3%) patients were soldiers;86 (78.2%) came from countryside. The reprisal was implicated in 77 (62.6%) cases. In 62.5% of cases, fractures were localized in the lower limbs and were treated orthopedically in ?50% of cases. The gunshot fractures in eastern DRC were mainly concerning the civilian young people living in the countryside and necessarily affected the bones of low limb. A study on fracture by firearms should be carried in the area where people have been wounded. Reducing the flow of gunshot could reduce the rate of fractures by firearms.
文摘Penetrating craniocerebral firearm injuries remains one of the most lethal of all head traumas and are common in both war and peace time. Data were reviewed for 6487 moderately, severely head injuring patients (Glasgow Coma Scale (GCS) scores 3 to 12) tre
文摘Military object detection and identification is a key capability in surveillance and reconnaissance.It is a major factor in warfare effectiveness and warfighter survivability.Inexpensive,portable,and rapidly deployable small unmanned aerial systems(s UAS)in conjunction with powerful deep learning(DL)based object detection models are expected to play an important role for this application.To prove overall feasibility of this approach,this paper discusses some aspects of designing and testing of an automated detection system to locate and identify small firearms left at the training range or at the battlefield.Such a system is envisioned to involve an s UAS equipped with a modern electro-optical(EO)sensor and relying on a trained convolutional neural network(CNN).Previous study by the authors devoted to finding projectiles on the ground revealed certain challenges such as small object size,changes in aspect ratio and image scale,motion blur,occlusion,and camouflage.This study attempts to deal with these challenges in a realistic operational scenario and go further by not only detecting different types of firearms but also classifying them into different categories.This study used a YOLOv2CNN(Res Net-50 backbone network)to train the model with ground truth data and demonstrated a high mean average precision(m AP)of 0.97 to detect and identify not only small pistols but also partially occluded rifles.
基金Funding for this study is received from the Taif University Research Supporting Projects at Taif University,Kingdom of Saudi Arabia under Grant No.TURSP-2020/254.
文摘The ubiquitous nature of the internet has made it easier for criminals to carry out illegal activities online.The sale of illegal firearms and weaponry on dark web cryptomarkets is one such example of it.To aid the law enforcement agencies in curbing the illicit trade of firearms on cryptomarkets,this paper has proposed an automated technique employing ensemble machine learning models to detect the firearms listings on cryptomarkets.In this work,we have used partof-speech(PoS)tagged features in conjunction with n-gram models to construct the feature set for the ensemble model.We studied the effectiveness of the proposed features in the performance of the classification model and the relative change in the dimensionality of the feature set.The experiments and evaluations are performed on the data belonging to the three popular cryptomarkets on the Tor dark web from a publicly available dataset.The prediction of the classification model can be utilized to identify the key vendors in the ecosystem of the illegal trade of firearms.This information can then be used by law enforcement agencies to bust firearm trafficking on the dark web.
文摘European firearms entered China from the sixteenth century and played a significant role in the warfare of the Ming and Qing dynasties.Some Chinese military books,which include contents on European firearms,appeared in the early seventeenth century and helped to expand the weapons’influence.Certain parts in these books concerning European artilleries are highly similar,indicating that they might have been extracted from a mutual source.Bing lu兵錄(Records of military art)is a typical example of such Chinese military treatises.Its illustrations and data demonstrate that Pratica manuale di arteglieria written by Luys Collado in 1586 is an important source of the Western knowledge in certain chapters of Bing lu.
文摘Introduction: Thoracic wounds by firearms are frequent and severe. They may involve the patient’s prognosis. Objective: To study the epidemiological, clinical, paraclinical, therapeutic and evolutionary aspects of the thoracic wounds by firearms. Material and method: This was a cross-sectional, descriptive study of all patients over the age of 15 who consulted in the university hospital-YO in the department of general and digestive surgery over a period of 5 years. Results: We collected 50 cases of thoracic wounds by firearms on 183 thoracic wounds with a prevalence of 27.3%. There were 48 men (96%). The average age was 30 years. The patients came from urban areas in 66% of cases;the informal sector accounted for 44% of the cases. The pistol was the most involved firearm (46.9%). The consultation period was less than 6 hours in 78% of patients. An unstable hemodynamic state was found in 42% (n = 21). A fluid and mixed pleural effusion syndrome was found in 46% and 26% of patients, respectively. Associated lesions were diaphragm involvement, and lesions of intra-abdominal hollow organs. Thoracic drainage was performed in 24 patients (48%) and was associated with a laparotomy in 8 patients. The average hospital stay was 7.5 days. Mortality was 14%. Conclusion: the thoracic wounds by firearms are frequent in civilian practice. The thoracic CT allows mapping of the lesions and thoracic drainage constitutes the essential part of surgical treatment. The fight against the proliferation of weapons deserves to be promoted.
文摘Fracture by firearms is a surgical emergency. The aim of our study was to report our experience in the management of open fractures by firearms and monitoring with a decline of 6 months the lesions observed in peacetime. This retrospective study over 3 years (January 2007-November 2010), supplemented by a prospective (December 2010-November 2011) is based on an analysis of operative reports and clinical records of patients admitted to the Yaoundé Central Hospital. 29 cases were selected, including 35 lesions were observed. Our series consists of 27 men and 2 women, mean age 30 years. 40% of our patients were initially supported (debridement) before the 6th hour and 51.42% between the 6th and 24th hours. In terms of internal fixation, these figures were 66% between the 25th and 96th hours. The type of material was used as the external fixate (64.9%). Conversion processing by the establishment of an internal hardware, after 3 - 6 weeks and control NFS (numeration of blood count or blood count), VS (rate of sedimentation), CRP (C reactive protein). Unfortunately this has been possible only in two cases because of financial means. In 40% of cases, surgical outcome was simple, and complications to a type of osteomyelitis, shortening, suppuration in 42.7% of cases.
文摘Introduction: Ballistic traumas of the external genitalia are rare especially in civil practice. Emergency surgical exploration is the rule. Case Report: Mr. F.Y., 29 years old, a security agent, admitted to the Urological Emergency Unit of Yalgado Ouédraogo University Hospital of Ouagadougou for trauma of the penile and left purse by firearm. The clinical examination revealed a good hemodynamic status, bladder distension. A suprapubic catheterization was performed. We noted a transfixing and bleeding wound on the penile, and on the left purse which was edematous. The patient was admitted to the operation room 07 hours after trauma. Exploration found a total destruction of the left testicle classified grade 5 of the classification of the American Association of the Surgery of Trauma (AAST). We performed a left orchiectomy. There was a partial rupture of the ventral face of the penile urethra. We performed an end-to-end anastomosis on a Foley catheter CH 18. The Foley catheter was removed after two weeks. Urination was spontaneous without dysuria. Erections were painless and without kinking of penile. Conclusion: Open traumas of the external genitalia are rare and their treatment is an extreme surgical emergency.
文摘BACKGROUND Firearm-associated injuries(FAIs)are among the leading causes of morbidity and mortality in children living in the United States.Most victims of such injuries survive,but may experience compromised function related to musculoskeletal injuries.Although complex firearm-associated fractures(FAFs)often require specialized orthopaedic,vascular,and plastic surgical intervention,there is minimal research describing their management and outcomes.The purpose of this study is to describe the epidemiology and presentation of pediatric FAFs,as well as evaluate the management and outcomes of these injuries.AIM To describe the epidemiology and presentation of pediatric FAFs,as well as evaluate the management and outcomes of these injuries.METHODS A retrospective chart review was performed at a major,pediatric level 1 trauma center.The study included patients aged 18 or younger who presented with FAIs between 2008-2018.Additional data was collected on patients with FAFs including demographic and clinical data such as age,sex,race,payor type,fracture location,injury severity score(ISS),and radiographic and clinical outcomes.The management of FAFs was analyzed as well as need for readmission and reoperation.Descriptive statistics were used to summarize the results and univariate analyses were performed to assess differences between groups.RESULTS Between 2008 and 2018,there were a total of 61 patients who presented with FAIs.In this cohort,21 patients(34%)sustained FAFs(25 fractures)with a mean age of 11(Range:10 mo to 18 years old)at the time of presentation.Approximately 52%(n=11)of patients with FAFs were male,76%(n=8 and n=8,respectively)identified as black or other,and 71%(n=15)had government insurance.FAFs were most commonly noted in the upper extremity(n=7)and lower extremity(n=6).In patients with FAFs,the mean ISS at presentation was 11.38(Range:2-38),and 24%of patients(n=5)were classified as having a major trauma.There were no significant differences in age,sex,race,and payor type in FAF patients that presented with and without major trauma(P>0.05).When comparing FAF and non-FAF patients,there was a statistically significant difference in ISS(11.38 vs 14.45,P=0.02).In total,33%(n=7)of patients with FAFs required orthopaedic surgical management,which was most commonly comprised of debridement(n=6/7,86%),and 14%(n=1/7)of these patients required coordinated care with plastic and/or vascular surgery.There were no significant differences in age and payor type in patients with FAFs treated with and without orthopaedic surgery.Of the patients with FAFs,52%(n=11)had a minimum 90-d follow-up,and 48%(n=10)had a minimum 2-year follow-up.Two patients were readmitted within 90-d,while one patient required a reoperation within 2-years.CONCLUSION Over 25%of FAIs in pediatric patients result in FAFs.FAFs often present to pediatric trauma centers and the majority of these injuries occur in non-Caucasian males with government insurance.Most FAFs do not need orthopaedic surgical management;14%of these injuries require subspecialty care by orthopaedic surgery,vascular surgery,or plastic surgery.Patients with FAFs also have lower ISS compared to patients who sustained FAIs without fracture.Thus,these patients should be treated at pediatric trauma centers with specialty care and additional research is needed to focus prevention efforts,understand reasons for poor follow-up,and evaluate outcomes after injury.
文摘Heart trauma caused by a firearm projectile is the most fatal of cardiac injuries due to the great potential for death. The increase in the number of cases in recent years is observed, due to the greater urban violence. We report the case of a patient, a victim of firearm perforation, who suffered a cardiac transfixing lesion, with clinical presentation and with an unusual cardiac injury, operated at our service with success.
文摘The need for firearm identification systems by police services continues to increase with greater accessibility to weapons in the national and international contexts. The difficulties associated with traditional imaging of ballistics specimens are numerous, and include the smallness of the samples, the nature of the surfaces and shapes for the cartridge cases and projectiles. The digital holography has been introduced to create the 3D image of the fired bullets in order to identify firearms. In digital holography a CCD camera records optically generated holograms which is then reconstructed numerically by a calculation of scalar diffraction in the Fresnel approximation. The digital photography facilitates real time transmission of the message via traditional communication methods. In this paper the principle of digital holography and its application to the 3D image encryption-decryption were reviewed. The experimental results of firearm identification recording using digital holography and their numerical reconstruction were presented.
文摘Objective: To comparatively study the effects and mechanisms of burn-blast combined injury and burn-firearm combined injury complicated with seawater immersion on vascular endothelial cells. Methods: A total of 40 healthy adult hybrid dogs of both sexes, weighing 12-15 kg, were used in this study. Randomly-selected 20 dogs were established as models of burn-blast combined injury (the burn-blast injury group) and the other 20 dogs as models of burn-firearm combined injury (the burn-firearm injury group). Then the wounds of all the dogs were immediately immersed in seawater for 4 hours, and then they were taken out from the seawater. Blood samples were withdrawn from the central vein of the dogs before injury, and at 4, 7, 10, 20, and 28 hours after injury to measure the circulating endothelial cells and the von Willebrand factor. Results: Circulating endothelial cells increased significantly at 4 hours after injury in all the dogs. But they reached peak at 7 hours after injury in the burn-blast injury group and at 28 hours after injury in the burn-firearm injury group. The changes of circulating endothelial cells in the burn-blast injury group were significantly different from those in the burn-firearm injury group at 4, 7, 20, and 28 hours after injury (P<(0.01)). The von Willebrand factor reached peak at 4 hours after injury in the burn-blast injury group and at 28 hours in the burn-firearm injury group. The changes of von Willebrand factor in the burn-blast injury group were significantly different from those in the burn-firearm injury group at 4, 20, and 28 hours after injury (P<(0.01)). Conclusions: In burn-blast injury combined with seawater immersion, the vascular endothelial cells changed most significantly at 4 hours or 7 hours after injury, while burn-firearm injury combined with seawater immersion have the same at 20 hours or 28 hours after injury.
文摘Firearm-related violence is common in our contemporary world and causes serious harm to humans as well as to the society.One of the countries in which firearm-related violence is increasing is Sweden and its most southern region,Skane,in which Malmo,Sweden’s third largest city,is highly affected.If not contained and limited,Sweden risks becoming more and more violent.
文摘Background Little is known regarding risk factors specific to pedialric upper extremity firearm injuries.The purpose of this study is to evaluate pediatric patients treated for these injuries to identify at-risk populations and recurring mechanisms of injury.Methods A 20-year retrospective review was conducted.Patients 17 years of age and younger,with upper extremity injuries related to a firearm,were included.Analysis involved Fisher's exact and Chi-square tests.Results One hundred and eighty patients were included.The mean age was 12.04±4.3 years.Most included patients were male(85%).Interestingly,females were more frequently victims of assault(P=0.03),and males were more frequently injured due to accidental discharge(P<0.001).The most affected race/ethnicity was White-not Hispanic or Latino(48%).The hand was the most frequent location injured(31%)and was more likely to be accidental than proximal injuries(P=0.003).Air rifes were the most common firearm type used(56%).Pistols were implicated in 47(26%)cases,rifles in 17(9%),and.shotguns in 10(6%).Ninety-nine(55%)patients had procedures in the operating room.The most frequent procedure was foreign body removal(55%).Conclusions Risk factors such as male sex,W hite-not Hispanic or Latino race/ethnicity,and adolescent age were attributed to increased risk for injury.Male sex was associated with increased risk of injury by accidental discharge and female sex with intentional assault.Air rifles were the most common firearm type overall,although female sex was associated with increased risk for injury by powder weapon.
文摘Objective: To explore an early stage repair method for soft tissue defect of limbs of modern firearm wound, and to improve treating result. Methods: Defects of the hind limbs of dogs were repaired with skin, muscle and myocutaneous flaps. Results: Wounds healed within 2 weeks in the experimental group except one that healed in 3 weeks because of infection. Limb function was close to normal. The treatment result was better in the experimental group than the control. Conclusions: Skin, muscle and myocutaneous flaps can cover soft tissue defect at an early stage, prevent and reduce infection, promote the healing and recovery of combined injury, reduce the time of treatment and disability rate.
文摘Swedish as well as foreign publications have reported a sharp increase in firearm-related violence in Sweden. None of these publications, however, combined official statistics from the Swedish police, the National Council for Crime Prevention (NCCP), and the National Board of Health and Welfare (NBHW), to study firearm-related violence in the last 2 years:2016–2017. The results of this study show that firearm-related violence in Sweden has greatly increased compared to other Scandinavian countries, especially in recent years. This is probably the reason for the increase in the rate of deadly violence. Further, the increasing number of gangs and criminal networks, as well as the high inflow of illegal firearms to Sweden, is believed to have contributed to the disturbing increase of firearm-related vio-lence in the country. Although Sweden is one of the most democratic and freest countries in the world, and has some of the world's strictest gun laws, the country still faces signifi-cant firearm-related violence. This study not only reveals the increasing rate of firearm-related violence in Sweden, but also shows that Sweden is in dire need of additional policies to combat the illegal flow of firearms and to curb gang criminality.
文摘Hip firearm injuries are rare injuries that could lead to serious complications,such as posttraumatic hip arthritis and coloarticular fistula.We report a case of a 25-year-old male who sustained a pelvic injury caused by a single bullet which led to a bilateral acetabular fracture,concomitant with a colon injury treated on an emergency basis by a diverting colostomy;acetabular fractures were treated conservatively by traction.After the patient recovered from the abdominal injury,he was presented with bilateral hip pain and limited motion;plain radiographs showed bilateral hip arthritis with proximal migration of the femoral head and bilateral acetabular defect classified as Paprosky type IIIA.Reconstruction of the hips was performed using the same technique:impaction bone grafting for acetabular defect reconstruction and a reversed hybrid total hip arthroplasty(THA)6 months apart.The patient presented with loosening of the left THA acetabular cup 3 years later,which was revised;then he presented with a discharging sinus from the left THA with suspicion of coloarticular fistula,which was confirmed using CT with contrast material.A temporary colostomy and fistula excision were performed,and a cement spacer was applied to the hip.After clearing the infection,a final revision THA for the left hip was performed.Treating post-firearm hip arthritis by THA is challenging,especially in the situation of neglected cases with the presence of an acetabular defect.Concomitant intestinal injury increases the risk of infection with the possibility of coloarticular fistula formation,which could present later.Working with a multidisciplinary team is paramount.
