A 24-year-old man was admitted with pain and swelling in the left forearm. He admitted introducing several long screws in his forearm, manually one by one, the previous night. The shafts of the screws were buried deep into the muscles of the forearm though their heads were still visible from the surface. This patient has been found to exhibit features of SHAFT syndrome on numerous occasions in ...

Shaken baby syndrome is a serious brain injury, resulting from forcefully shaking an infant or toddler. It’s also known as abusive head trauma, shaken impact syndrome, inflicted injury whiplash syndrome. A descriptive design was used for this study. 100 samples were selected by purposive sampling method. Data collected the structured questionnaire which designed to assess knowledge regarding Th...

BACKGROUND Scientific and courtroom debate exists regarding the timing of onset of symptoms and the mechanism of injury in infants and children with inflicted traumatic brain injury (ITBI). OBJECTIVES To determine the time interval between ITBI and the onset of symptoms and to explore the mechanism of ITBI. DESIGN, SETTING, AND PATIENTS Retrospective review of all cases of pediatric ITBI ad...

Because of the widely acknowledged controversy in nonaccidental injury, the radiologist involved in such cases must be thoroughly familiar with the imaging, clinical, surgical, pathological, biomechanical, and forensic literature from all perspectives and with the principles of evidence-based medicine. Children with suspected nonaccidental injury versus accidental injury must not only receive p...

INTRODUCTION The purpose of this paper is to describe the trends and patterns of self-inflicted injuries, available from Canadian administrative data between 1979 and 2014/15, in order to inform and improve suicide prevention efforts. METHODS Suicide mortality and hospital separation data were retrieved from the Public Health Agency of Canada (PHAC) holdings of Statistics Canada's Canadian Vi...

OBJECTIVE This double-blind study examined whether olanzapine augments the efficacy of dialectical behavior therapy (DBT) in reducing anger and hostility in borderline personality disorder patients. METHOD Twenty-four women with borderline personality disorder (DSM-IV criteria) and high levels of irritability and anger received 6 months of DBT. Subjects were randomly assigned to receive eithe...

The hippocampus is vital for functions such as mood and memory. Hippocampal injury typically leads to mood and memory impairments associated with reduced and aberrant neurogenesis in the dentate gyrus. We examined whether neural stem cell (NSC) grafting after hippocampal injury would counteract impairments in mood, memory, and neurogenesis. We expanded NSCs from the anterior subventricular zone...

In this article, we report on the long-term follow-up of a microvascular penile replantation resulting from self-inflicted amputation in a schizophrenic patient. An interdisciplinary approach with the involvement of urology, plastic surgery, endocrinology, and psychiatry is imperative for optimal treatment of these catastrophic injuries.