Correction to "One thought too few: An adaptive rationale for punishing negligence" by Sarin and Cushman (2024).

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Reports an error in "One thought too few: An adaptive rationale for punishing negligence" by Arunima Sarin and Fiery Cushman (Psychological Review, 2024[Apr], Vol 131[3], 812-824). In the original article, the copyright attribution was incorrectly listed, and the Creative Commons CC BY license disclaimer was incorrectly omitted from the author note. The correct copyright is "© 2024 The Author(s)," and the omitted disclaimer is present as: Open Access funding provided by University College London: This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0; http://creativecommons.org/li censes/by/4.0). This license permits copying and redistributing the work in any medium or format, as well as adapting the material for any purpose, even commercially. (The following abstract of the original article appeared in record 2024-74001-001). Why do we punish negligence? Some current accounts raise the possibility that it can be explained by the kinds of processes that lead us to punish ordinary harmful acts, such as outcome bias, character inference, or antecedent deliberative choices. Although they capture many important cases, these explanations fail to account for others. We argue that, in addition to these phenomena, there is something unique to the punishment of negligence itself: People hold others directly responsible for the basic fact of failing to bring to mind information that would help them to avoid important risks. In other words, we propose that at its heart negligence is a failure of thought. Drawing on the current literature in moral psychology, we suggest that people find it natural to punish such failures, even when they do not arise from conscious, volitional choice. This raises a question: Why punish somebody for a mental event they did not exercise deliberative control over? Drawing on the literature on how thoughts come to mind, we argue that punishing a person for such failures will help prevent their future occurrence, even without the involvement of volitional choice. This provides new insight on the structure and function of our tendency to punish negligent actions. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

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Correction to "A grain of truth in the grain size effect: Retrieval practice is more effective when interspersed during learning" by Don et al. (2024).
  • Jan 13, 2025
  • Journal of experimental psychology. Learning, memory, and cognition

Reports an error in "A grain of truth in the grain size effect: Retrieval practice is more effective when interspersed during learning" by Hilary J. Don, Shaun Boustani, Chunliang Yang and David R. Shanks (Journal of Experimental Psychology: Learning, Memory, and Cognition, 2024[Nov], Vol 50[11], 1791-1810). In the article, the copyright attribution was incorrectly listed, and the Creative Commons CC BY license disclaimer was incorrectly omitted from the author note. The correct copyright is "2024 The Author(s)," and the omitted disclaimer is present as: Open Access funding provided by University College London: This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0; https://creativecommons .org/licenses/by/4.0). This license permits copying and redistributing the work in any medium or format, as well as adapting the material for any purpose, even commercially. (The following abstract of the original article appeared in record 2025-46535-001). Retrieval practice is a powerful method for consolidating long-term learning. When learning takes place over an extended period, how should tests be scheduled to obtain the maximal benefit? In an end-test schedule, all material is studied prior to a large practice test on all studied material, whereas in an interim test schedule, learning is divided into multiple study/test cycles in which each test is smaller and only assesses material from the preceding study block. Past investigations have generally found a difference between these schedules during practice but not during a final assessment, although they may have been underpowered. Five experiments confirmed that final assessment performance was better in students taught using interim than end tests in list (Experiments 1, 2, and 5) and paired associate (Experiments 3 and 4) learning, with a meta-analysis of all available studies (k = 19) yielding a small- to medium-sized effect, g = 0.25, 95% confidence interval [0.09, 0.42]. Experiment 5 finds that the higher level of practice retrieval success in interim tests contributes to the grain size effect, but the effect is eliminated if these tests are too easy. Additional analyses also suggest that the forward testing effect, in which tests promote subsequent learning, may be a major cause of the grain size effect. The practical and theoretical implications of these demonstrations of robust grain size effects are discussed. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

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  • 10.1037/met0000705
Correction to "Comparing theories with the Ising model of explanatory coherence" by Maier et al. (2023).
  • Jun 1, 2024
  • Psychological methods

Reports an error in "Comparing theories with the Ising model of explanatory coherence" by Maximilian Maier, Noah van Dongen and Denny Borsboom (Psychological Methods, Advanced Online Publication, Mar 02, 2023, np). In the article, the copyright attribution was incorrectly listed, and the Creative Commons CC BY 4.0 license disclaimer was incorrectly omitted from the author note. The correct copyright is "© 2023 The Author(s)," and the omitted disclaimer is below: Open Access funding provided by University College London: This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0; https://creativecommons.org/licenses/by/ 4.0). This license permits copying and redistributing the work in any medium or format, as well as adapting the material for any purpose, even commercially. (The following abstract of the original article appeared in record 2023-50323-001.) Theories are among the most important tools of science. Lewin (1943) already noted "There is nothing as practical as a good theory." Although psychologists discussed problems of theory in their discipline for a long time, weak theories are still widespread in most subfields. One possible reason for this is that psychologists lack the tools to systematically assess the quality of their theories. Thagard (1989) developed a computational model for formal theory evaluation based on the concept of explanatory coherence. However, there are possible improvements to Thagard's (1989) model and it is not available in software that psychologists typically use. Therefore, we developed a new implementation of explanatory coherence based on the Ising model. We demonstrate the capabilities of this new Ising model of Explanatory Coherence (IMEC) on several examples from psychology and other sciences. In addition, we implemented it in the R-package IMEC to assist scientists in evaluating the quality of their theories in practice. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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One thought too few: An adaptive rationale for punishing negligence.
  • Apr 1, 2024
  • Psychological review
  • Arunima Sarin + 1 more

Why do we punish negligence? Some current accounts raise the possibility that it can be explained by the kinds of processes that lead us to punish ordinary harmful acts, such as outcome bias, character inference, or antecedent deliberative choices. Although they capture many important cases, these explanations fail to account for others. We argue that, in addition to these phenomena, there is something unique to the punishment of negligence itself: People hold others directly responsible for the basic fact of failing to bring to mind information that would help them to avoid important risks. In other words, we propose that at its heart negligence is a failure of thought. Drawing on the current literature in moral psychology, we suggest that people find it natural to punish such failures, even when they do not arise from conscious, volitional choice. This raises a question: Why punish somebody for a mental event they did not exercise deliberative control over? Drawing on the literature on how thoughts come to mind, we argue that punishing a person for such failures will help prevent their future occurrence, even without the involvement of volitional choice. This provides new insight on the structure and function of our tendency to punish negligent actions. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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Policy Change from 2018
  • Jan 1, 2017
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  • Tetsuya Takemi

Scientific Online Letters on the Atmosphere (SOLA) is going to implement new policy changes starting from 2018 in order to comply with a fully Open Access policy under the terms of the Creative Commons Attribution 4.0 International (CC BY 4.0) License. This license permits users to adapt, distribute, and reproduce the articles of SOLA in any medium, even commercially, provided that the users give appropriate credit to the original author(s) and the original source, provide a link to the license, and indicate if changes were made, without obtaining permission from the Meteorological Society of Japan (MSJ). The copyright of articles will be retained by the authors. Authors will be required to sign a License to Publish form in order to give the MSJ permission to reproduce the article in SOLA under the Creative Commons Attribution 4.0 International (CC BY 4.0) license. Another change is to employ Article Processing Charge (APC) in order to cover the publication cost such as copy editing, typesetting, and online procedures under the Open Access policy with the CC BY license, shifting from the current page charge. Author(s) or their institution(s) are requested to pay an APC to the MSJ with the amount of 80,000 Japanese Yen for members of the MSJ and 100,000 Japanese Yen for non-members of the MSJ (both with consumption tax if applicable). There will be a transition period for the articles that have been submitted in 2017 and will appear in early 2018; either the current page charge or the APC, a lower amount, will be asked to pay. I believe that this policy change would further enhance the status of SOLA in the international community.

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Open access policies of leading medical journals: a cross-sectional study
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Plain Language Summary of Publication articles: helping disseminate published scientific articles to patients.
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Physical activity and fitness measures in healthy older adults and hip osteoarthritis patients
  • Apr 17, 2025
  • Manne Godhe

<p dir="ltr">Background</p><p dir="ltr">Physical inactivity and functional decline represent significant challenges for aging populations, warranting effective intervention strategies and reliable assessment methodologies. This thesis investigated test-retest reliability of physical activity and fitness measurements in older adults, examined effects of structured exercise, and assessed longitudinal recovery trajectories in hip osteoarthritis patients following total hip arthroplasty (THA).</p><p dir="ltr">Methods</p><p dir="ltr">Four studies were conducted. Study I (n=78, age 70.9+4.7 years) evaluated accelerometer measurement reliability and monitored physical activity changes following an 8-week exercise intervention (twice-weekly, 60-minute combined training). Study II (n=1,407, age 65-84 years) assessed test-retest reliability of a comprehensive field-based fitness test battery and post an 8-week exercise period across multiple age groups. Study III (n=265, age 71.4+4.7 years) examined sustained and cumulative effects of identical 8-week exercise programs performed in consecutive years. Study IV (n=78, age 74.0+4.5 years) investigated physical fitness and activity patterns in hip osteoarthritis patients undergoing THA, with two assessments pre-operative, 4 months, and 1-year post-surgery.</p><p dir="ltr">Results</p><p dir="ltr">Physical activity parameters demonstrated good to excellent test-retest reliability. Similarly, field-based fitness tests generally showed good reliability across age and sex strata. The 8-week exercise intervention produced significant improvements in physical activity pattens and multiple physical fitness tests. Most fitness test parameters remained stable during the 9-month inter-intervention period, with declines observed in trunk strength endurance. Hip osteoarthritis patients exhibited pre-operative deficits compared to healthy controls in several fitness tests and in moderate- to vigorous physical activity, whereas post-operative improvements at 1-year follow-up were observed for a multitude of physical fitness parameters and exceeding the recommended physical activity levels.</p><p dir="ltr">Conclusions</p><p dir="ltr">This thesis established good test-retest reliability of accelerometer-measured physical activity and most included fitness assessments for monitoring older adults. Structured exercise generated physical activity and fitness benefits in healthy older adults. Moreover, substantial functional and activity improvements were seen following total hip arthroplasty without structured post-operative intervention. These findings underscore the importance of exercise engagement and appropriate surgical intervention to improve both functional capacity and physical activity in older adult populations.</p><h3>List of scientific papers</h3><p dir="ltr">This thesis includes four papers, these will be referenced using their Roman numerals listed below:</p><p dir="ltr">I. <b>Manne Godhe</b>, Marjan Pontén, Johnny Nilsson, Lena Kallings & Eva Andersson. Reliability of the accelerometer to control the effects of physical activity in older adults. Plos One, 17(9), e0274442. (2022). <br><a href="https://doi.org/10.1371/journal.pone.0274442">https://doi.org/10.1371/journal.pone.0274442</a><br><br></p><p dir="ltr">II. <b>Manne Godhe</b>, Gustaf Rönquist, Johnny Nilsson, Örjan Ekblom, Lillemor Nyberg, Gustav Edman, & Eva Andersson Reliability in Novel Field-Based Fitness Measurements and Postexercise Scores from a Physical Fitness Test Battery in Older Adults. Gerontology, 70(6), 639-660. (2024). https://doi.org/10.1159/000538446<br><a href="https://doi.org/10.1159/000538446">https://doi.org/10.1159/000538446</a><br><br></p><p dir="ltr">III. <b>Manne Godhe</b>, Johnny Nilsson, & Eva Andersson. Short-and Long-Term Effects on Physical Fitness in Older Adults: Results from an 8-Week Exercise Program Repeated in Two Consecutive Years. Geriatrics, 10(1), 15. (2025). https://doi.org/10.3390/geriatrics10010015<br><a href="https://doi.org/10.3390/geriatrics10010015">https://doi.org/10.3390/geriatrics10010015</a><br><br></p><p dir="ltr">IV. <b>Manne Godhe</b>, Anders Stålman, Johnny Nilsson & Eva Andersson. Physical fitness Improvements and Achievement of Recommended Physical Activity Levels One Year After Total Hip Arthroplasty: A Longitudinal Study of Physical Function and Activity Patterns [Manuscript]</p><p dir="ltr">Papers I & III were published under Creative Commons CC BY license. Paper II is reproduced in this thesis with permission from Karger Publishers. Paper IV is in manuscript form.</p>

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An Anechoic Dataset Of Loudspeaker to B-Format Impulse Responses In The Horizontal Plane
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  • Jacob Hollebon

A dataset of B-format impulse responses, measured in the large anechoic chamber at the ISVR, University of Southampton. The impulses responses are measurements of a loudspeaker (Genelec 8020C), positioned in the horizontal plane of a fourth order Ambisonic microphone array (Eigenmike EM32) in steps of 1 degree resolution. This was repeated for three different loudspeaker radii of 1 metres, 2 metres and 3 metres. The data has been processed to give the impulse response from each given source position to the corresponding B-format channels. Full details of the measurement procedure may be found in the README file and the accompanying paper. The dataset is made freely available under a Creative Commons CC BY license. Citation: Hollebon, J. And Fazi, Filippo Maria: “Experimental Study of Various Methods for Low Frequency Spatial Audio Reproduction Over Loudspeakers” Immersive and 3D Audio (I3DA) International Conference, 2021

  • Preprint Article
  • 10.69622/28369040.v1
Physical activity and fitness measures in healthy older adults and hip osteoarthritis patients
  • Apr 17, 2025
  • Manne Godhe

<p dir="ltr">Background</p><p dir="ltr">Physical inactivity and functional decline represent significant challenges for aging populations, warranting effective intervention strategies and reliable assessment methodologies. This thesis investigated test-retest reliability of physical activity and fitness measurements in older adults, examined effects of structured exercise, and assessed longitudinal recovery trajectories in hip osteoarthritis patients following total hip arthroplasty (THA).</p><p dir="ltr">Methods</p><p dir="ltr">Four studies were conducted. Study I (n=78, age 70.9+4.7 years) evaluated accelerometer measurement reliability and monitored physical activity changes following an 8-week exercise intervention (twice-weekly, 60-minute combined training). Study II (n=1,407, age 65-84 years) assessed test-retest reliability of a comprehensive field-based fitness test battery and post an 8-week exercise period across multiple age groups. Study III (n=265, age 71.4+4.7 years) examined sustained and cumulative effects of identical 8-week exercise programs performed in consecutive years. Study IV (n=78, age 74.0+4.5 years) investigated physical fitness and activity patterns in hip osteoarthritis patients undergoing THA, with two assessments pre-operative, 4 months, and 1-year post-surgery.</p><p dir="ltr">Results</p><p dir="ltr">Physical activity parameters demonstrated good to excellent test-retest reliability. Similarly, field-based fitness tests generally showed good reliability across age and sex strata. The 8-week exercise intervention produced significant improvements in physical activity pattens and multiple physical fitness tests. Most fitness test parameters remained stable during the 9-month inter-intervention period, with declines observed in trunk strength endurance. Hip osteoarthritis patients exhibited pre-operative deficits compared to healthy controls in several fitness tests and in moderate- to vigorous physical activity, whereas post-operative improvements at 1-year follow-up were observed for a multitude of physical fitness parameters and exceeding the recommended physical activity levels.</p><p dir="ltr">Conclusions</p><p dir="ltr">This thesis established good test-retest reliability of accelerometer-measured physical activity and most included fitness assessments for monitoring older adults. Structured exercise generated physical activity and fitness benefits in healthy older adults. Moreover, substantial functional and activity improvements were seen following total hip arthroplasty without structured post-operative intervention. These findings underscore the importance of exercise engagement and appropriate surgical intervention to improve both functional capacity and physical activity in older adult populations.</p><h3>List of scientific papers</h3><p dir="ltr">This thesis includes four papers, these will be referenced using their Roman numerals listed below:</p><p dir="ltr">I. <b>Manne Godhe</b>, Marjan Pontén, Johnny Nilsson, Lena Kallings & Eva Andersson. Reliability of the accelerometer to control the effects of physical activity in older adults. Plos One, 17(9), e0274442. (2022). <br><a href="https://doi.org/10.1371/journal.pone.0274442">https://doi.org/10.1371/journal.pone.0274442</a><br><br></p><p dir="ltr">II. <b>Manne Godhe</b>, Gustaf Rönquist, Johnny Nilsson, Örjan Ekblom, Lillemor Nyberg, Gustav Edman, & Eva Andersson Reliability in Novel Field-Based Fitness Measurements and Postexercise Scores from a Physical Fitness Test Battery in Older Adults. Gerontology, 70(6), 639-660. (2024). https://doi.org/10.1159/000538446<br><a href="https://doi.org/10.1159/000538446">https://doi.org/10.1159/000538446</a><br><br></p><p dir="ltr">III. <b>Manne Godhe</b>, Johnny Nilsson, & Eva Andersson. Short-and Long-Term Effects on Physical Fitness in Older Adults: Results from an 8-Week Exercise Program Repeated in Two Consecutive Years. Geriatrics, 10(1), 15. (2025). https://doi.org/10.3390/geriatrics10010015<br><a href="https://doi.org/10.3390/geriatrics10010015">https://doi.org/10.3390/geriatrics10010015</a><br><br></p><p dir="ltr">IV. <b>Manne Godhe</b>, Anders Stålman, Johnny Nilsson & Eva Andersson. Physical fitness Improvements and Achievement of Recommended Physical Activity Levels One Year After Total Hip Arthroplasty: A Longitudinal Study of Physical Function and Activity Patterns [Manuscript]</p><p dir="ltr">Papers I & III were published under Creative Commons CC BY license. Paper II is reproduced in this thesis with permission from Karger Publishers. Paper IV is in manuscript form.</p>

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  • Cite Count Icon 2
  • 10.1629/uksg.556
The Plan S Rights Retention Strategy is an administrative and legal burden, not a sustainable open access solution
  • Oct 6, 2021
  • Insights the UKSG journal
  • Shaun Yon-Seng Khoo

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  • Supplementary Content
  • Cite Count Icon 14
  • 10.1093/jxb/eraa308
TB1: from domestication gene to tool for many trades
  • Aug 6, 2020
  • Journal of Experimental Botany
  • Ernesto Igartua + 2 more

This article comments on:Dixon LE, Pasquariello M, Boden SA. 2020. TEOSINTE BRANCHED1 regulates height and stem internode length in bread wheat. Journal of Experimental Botany 71, 4742–4750.

  • Preprint Article
  • 10.69622/29279933
Vascular trauma and haemorrhage after firearm injuries
  • Sep 16, 2025
  • Karolina Karlsson Nyberger

<p dir="ltr">Firearm injuries are an increasing global health problem resulting in deaths and disabilities among its victims as well as an immense burden both for the society as well as the health care system. Vascular injuries and haemorrhage are particularly lethal after gun violence. The aim of this thesis was to investigate management strategies and patient outcomes of vascular injuries and haemorrhage after firearm injuries.</p><p dir="ltr">Paper I was a systematic review characterising injuries and mortality after CPMSs focusing on in-hospital management of haemorrhage and vascular injuries. The paper showed an overall high mortality after CPMSs with injuries mainly located to the extremities (35%), abdomen (20%) and thorax (19%) with approximately one quarter of deaths being related to haemorrhage involving central large vessel injuries. 47% (97/206) of all hospitalised patients required a surgical procedure.</p><p dir="ltr">Paper II was a retrospective nationwide epidemiological study including all patients with firearm injuries between 2011 and 2019 (n=1010). The most common injury location was lower extremity (30%) followed by upper extremity (14%), abdomen (14%), and thorax (13%). The head was the most severely injured body region. It showed an annual increase of firearm-related injuries and fatalities (P <0.001) and 17% succumbed from their injuries within 30-days with most deaths occurring within 24-hours of admission. It also showed an association between 24-hour mortality and NISS, SBP <90 mmHg and head injury with AIS ≥ 3.</p><p dir="ltr">Paper III was also a retrospective nationwide epidemiological study from 2011 and 2019 (n=162), showing that firearm-related vascular injuries increased annually (P<0.005). The lower extremity (42%) was the most common injury location followed by abdomen (19%) and thorax (19%), with vascular injuries to thorax and abdomen being most lethal. Most deaths (80%) were within 24-hours of injury and there was an association between 24-hour mortality and vascular injury to thorax, abdomen, thoracic aorta or femoral artery.</p><p dir="ltr">Paper IV was a retrospective nationwide observational study investigating pre-hospital and hospital mortality after firearm injuries between 2012 and 2023 (n=519). There was an annual increase in deaths (P<0.001). Fifty-eight percent of all deaths occurred pre-hospital and 42% in-hospital. Haemorrhage was the most common cause of in-hospital death (49%) but constituted only of 24% in the pre-hospital setting. 50% of all patients had vascular injuries. Injury to head (OR 1.75, 95% CI 1.28-2.40, P=0.001), neck (OR 3.30, 95% CI 1.75-6.23, P<0.001) and thorax (OR 2.87, 95% CI 1.93-4.26, P<0.001) were associated with an earlier death as well as injury to thoracic aorta (OR 2.45, 95% CI 1.52–3.97, P<0.001) and the pulmonary artery (OR 2.39, 95% CI 1.11–5.13, P=0.026).</p><p dir="ltr">In conclusion, this thesis showed that firearm injuries increased in Sweden and that firearm-related vascular injuries and haemorrhage caused significant morbidity and mortality. It underscores the need for early haemorrhage control strategies and better preparedness in the health care system to improve outcomes following future incidents of gun violence.</p><h3>List of scientific papers</h3><p dir="ltr">This thesis is based on the following papers, which are referred to in the text by their Roman numerals.</p><p dir="ltr">I. <b>Nyberger K</b>, Strömmer L, Wahlgren CM. A systematic review of haemorrhage and vascular injuries in civilian public mass shootings. Scand J Trauma Resusc Emerg Med. 2023 Jun 19;31(1):30. <a href="https://doi.org/10.1186/s13049-023-01093-x" rel="noreferrer" target="_blank">https://doi.org/10.1186/s13049-023-01093-x</a></p><p dir="ltr">II. <b>Nyberger K</b>, Caragounis EC, Djerf P, Wahlgren CM. Epidemiology of firearm injuries in Sweden. Eur J Trauma Emerg Surg. 2022 Jun;48(3):2349-2357. <a href="https://doi.org/10.1007/s00068-021-01735-8" rel="noreferrer" target="_blank">https://doi.org/10.1007/s00068-021-01735-8</a></p><p dir="ltr">III. <b>Nyberger K</b>, Caragounis EC, Djerf P, Wahlgren CM. Management and outcomes of firearm-related vascular injuries. Scand J Trauma Resusc Emerg Med. 2023 Jul 7;31(1):35. <a href="https://doi.org/10.1186/s13049-023-01098-6" rel="noreferrer" target="_blank">https://doi.org/10.1186/s13049-023-01098-6</a></p><p dir="ltr">IV. <b>Nyberger K</b>, Kahn L, Rezaie A, Strömmer L, Wahlgren CM. Injury patterns in fatal gun violence - time to death and cause of death. [Submitted]</p><p dir="ltr">All previously published papers were reproduced under the terms of the Creative Commons CC BY license.</p>

  • Preprint Article
  • 10.69622/29279933.v1
Vascular trauma and haemorrhage after firearm injuries
  • Sep 16, 2025
  • Karolina Karlsson Nyberger

<p dir="ltr">Firearm injuries are an increasing global health problem resulting in deaths and disabilities among its victims as well as an immense burden both for the society as well as the health care system. Vascular injuries and haemorrhage are particularly lethal after gun violence. The aim of this thesis was to investigate management strategies and patient outcomes of vascular injuries and haemorrhage after firearm injuries.</p><p dir="ltr">Paper I was a systematic review characterising injuries and mortality after CPMSs focusing on in-hospital management of haemorrhage and vascular injuries. The paper showed an overall high mortality after CPMSs with injuries mainly located to the extremities (35%), abdomen (20%) and thorax (19%) with approximately one quarter of deaths being related to haemorrhage involving central large vessel injuries. 47% (97/206) of all hospitalised patients required a surgical procedure.</p><p dir="ltr">Paper II was a retrospective nationwide epidemiological study including all patients with firearm injuries between 2011 and 2019 (n=1010). The most common injury location was lower extremity (30%) followed by upper extremity (14%), abdomen (14%), and thorax (13%). The head was the most severely injured body region. It showed an annual increase of firearm-related injuries and fatalities (P <0.001) and 17% succumbed from their injuries within 30-days with most deaths occurring within 24-hours of admission. It also showed an association between 24-hour mortality and NISS, SBP <90 mmHg and head injury with AIS ≥ 3.</p><p dir="ltr">Paper III was also a retrospective nationwide epidemiological study from 2011 and 2019 (n=162), showing that firearm-related vascular injuries increased annually (P<0.005). The lower extremity (42%) was the most common injury location followed by abdomen (19%) and thorax (19%), with vascular injuries to thorax and abdomen being most lethal. Most deaths (80%) were within 24-hours of injury and there was an association between 24-hour mortality and vascular injury to thorax, abdomen, thoracic aorta or femoral artery.</p><p dir="ltr">Paper IV was a retrospective nationwide observational study investigating pre-hospital and hospital mortality after firearm injuries between 2012 and 2023 (n=519). There was an annual increase in deaths (P<0.001). Fifty-eight percent of all deaths occurred pre-hospital and 42% in-hospital. Haemorrhage was the most common cause of in-hospital death (49%) but constituted only of 24% in the pre-hospital setting. 50% of all patients had vascular injuries. Injury to head (OR 1.75, 95% CI 1.28-2.40, P=0.001), neck (OR 3.30, 95% CI 1.75-6.23, P<0.001) and thorax (OR 2.87, 95% CI 1.93-4.26, P<0.001) were associated with an earlier death as well as injury to thoracic aorta (OR 2.45, 95% CI 1.52–3.97, P<0.001) and the pulmonary artery (OR 2.39, 95% CI 1.11–5.13, P=0.026).</p><p dir="ltr">In conclusion, this thesis showed that firearm injuries increased in Sweden and that firearm-related vascular injuries and haemorrhage caused significant morbidity and mortality. It underscores the need for early haemorrhage control strategies and better preparedness in the health care system to improve outcomes following future incidents of gun violence.</p><h3>List of scientific papers</h3><p dir="ltr">This thesis is based on the following papers, which are referred to in the text by their Roman numerals.</p><p dir="ltr">I. <b>Nyberger K</b>, Strömmer L, Wahlgren CM. A systematic review of haemorrhage and vascular injuries in civilian public mass shootings. Scand J Trauma Resusc Emerg Med. 2023 Jun 19;31(1):30. <a href="https://doi.org/10.1186/s13049-023-01093-x" rel="noreferrer" target="_blank">https://doi.org/10.1186/s13049-023-01093-x</a></p><p dir="ltr">II. <b>Nyberger K</b>, Caragounis EC, Djerf P, Wahlgren CM. Epidemiology of firearm injuries in Sweden. Eur J Trauma Emerg Surg. 2022 Jun;48(3):2349-2357. <a href="https://doi.org/10.1007/s00068-021-01735-8" rel="noreferrer" target="_blank">https://doi.org/10.1007/s00068-021-01735-8</a></p><p dir="ltr">III. <b>Nyberger K</b>, Caragounis EC, Djerf P, Wahlgren CM. Management and outcomes of firearm-related vascular injuries. Scand J Trauma Resusc Emerg Med. 2023 Jul 7;31(1):35. <a href="https://doi.org/10.1186/s13049-023-01098-6" rel="noreferrer" target="_blank">https://doi.org/10.1186/s13049-023-01098-6</a></p><p dir="ltr">IV. <b>Nyberger K</b>, Kahn L, Rezaie A, Strömmer L, Wahlgren CM. Injury patterns in fatal gun violence - time to death and cause of death. [Submitted]</p><p dir="ltr">All previously published papers were reproduced under the terms of the Creative Commons CC BY license.</p>

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