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Background: Acute blast or gunshot wounds have a negative effect on the patients' health related quality of life (HRQoL). No validated instrument exists to assess the HRQoL of patients with such wounds. Therefore, we aimed to test and validate a subscale of an existing HRQoL instrument among patients with acute blast or gunshot wounds.
Methods: We used data from a randomized controlled trial comparing negative pressure wound therapy with standard treatment of civilian adults with acute extremity blast or gunshot wounds. We evaluated the reliability (internal consistency, stability) and validity of the body subscale of the Wound QoL instrument using the World Health Organisation 20 question self-reporting questionnaire as gold standard.
Results: A total of 152 participants were included in the study. The participants were predominantly (93.4%) male, and median age was 29.0 years (IQR 21.0-34.0). The internal consistency was acceptable while a test-retest analysis indicated instability in the Wound QoL instrument. The content validity of the instrument was considered satisfactory; however, the criterion validity was found to be insufficient.
Conclusions: Our results indicate that Wound QoL is a promising instrument for the assessment of wound specific HRQoL among patients with acute blast or gunshot wounds. Further testing and validation is needed.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9621402 | PMC |
http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0277094 | PLOS |
Injury
August 2025
Sheba Medical Center, Israel; James Cook University, Queensland, Australia; Department of Medicine, University of Melbourne, Australia.
Introduction: Mass casualty incidents (MCIs) involving extensive ballistic and explosive injuries place considerable pressure on healthcare resources. This study aimed to evaluate the rehabilitation resources required for individuals who sustained blast and ballistic injuries during an MCI.
Methods: A retrospective review was conducted using Electronic Medical Records (EMRs) of patients admitted to Sheba Medical Center (SMC), Israel, following an MCI on 7 October 2023.
J Emerg Med
July 2025
Department of Emergency Medicine, Hadassah University Hospital- Ein Kerem, Jerusalem, Israel; Faculty of Medicine, Hebrew University School of Medicine, Jerusalem, Israel.
Background: On October 7, 2023, approximately 2,500 Hamas terrorists infiltrated southern Israel from Gaza. Over 1,200 people were killed and 1600 were injured in the largest mass casualty incident (MCI) in Israel's history. Emergency departments (EDs) throughout the country were overwhelmed with patients and working under missile fire.
View Article and Find Full Text PDFHum Reprod
September 2025
Institute for the Study of Fertility, Lis Maternity Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Study Question: What are the clinical and logistical predictors of sperm viability in posthumous sperm retrieval (PHSR), and how do post-mortem interval (PMI), body refrigeration, and mechanism of death affect outcomes?
Summary Answer: Shorter PMI and body refrigeration significantly enhance post-mortem sperm viability, with the mechanism of death modulating viability patterns in a time-dependent manner.
What Is Known Already: PHSR has gained increasing prominence in reproductive medicine, yet technical aspects remain under-researched. Key questions regarding optimal timing, storage conditions, and cause of death effects on sperm quality lack systematic investigation.
Zh Vopr Neirokhir Im N N Burdenko
August 2025
National Medical Research Center for Neurosurgery named after Academician N.N. Burdenko, Moscow, Russia.
Unlabelled: Combat injuries to the spine and spinal cord refer to rare, but some of the most severe. Currently, there is a need to improve the treatment and rehabilitation of patients with injuries to the spine and spinal cord. However, the complicated course of the wound infection can become a critical factor influencing the treatment outcome.
View Article and Find Full Text PDFUnfallchirurgie (Heidelb)
September 2025
Klinik für Allgemein‑, Viszeral- und Thoraxchirurgie, Bundeswehrzentralkrankenhaus Koblenz, Koblenz, Deutschland.
In-hospital disaster medicine demands a structured, pragmatic and resource-efficient approach in the surgical treatment of patients under extreme conditions. The Surgical Working Group for Military and Emergency Surgery (CAMIN) of the German Society of General and Visceral Surgery (DGAV) has developed guideline-based recommendations for making decisions, prioritization and management in disaster scenarios. The guidelines address the special challenges of atypical trauma patterns, as can be found in terrorist attacks or situations with mass casualties, such as gunshot or blast injuries.
View Article and Find Full Text PDF