{"id":"https://openalex.org/W4388487556","doi":"https://doi.org/10.1016/j.toxrep.2023.11.004","title":"\u201cHeavy Metal\u201d: Management of lead toxicity following a gunshot injury with retained lead fragments, a case report","display_name":"\u201cHeavy Metal\u201d: Management of lead toxicity following a gunshot injury with retained lead fragments, a case report","publication_year":2023,"publication_date":"2023-11-08","ids":{"openalex":"https://openalex.org/W4388487556","doi":"https://doi.org/10.1016/j.toxrep.2023.11.004","pmid":"https://pubmed.ncbi.nlm.nih.gov/38021473","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/10665592"},"language":"en","primary_location":{"id":"doi:10.1016/j.toxrep.2023.11.004","doi":"https://doi.org/10.1016/j.toxrep.2023.11.004","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.toxrep.2023.11.004","pdf_url":null,"source":{"id":"https://openalex.org/S2764757124","display_name":"Toxicology Reports","issn_l":"2214-7500","issn":["2214-7500"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","norway-1","oarl","poland-20","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Toxicology Reports","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1016/j.toxrep.2023.11.004","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5101877476","display_name":"Ilaria Costantini","orcid":"https://orcid.org/0009-0001-9633-6566","observed_orcids":["https://orcid.org/0009-0001-9633-6566"]},"institutions":[{"id":"https://openalex.org/I4210094363","display_name":"Azienda Ospedaliera Universitaria Integrata Verona","ror":"https://ror.org/00sm8k518","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210094363"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Ilaria Costantini","raw_affiliation_strings":["USD Poison Control Center, Azienda Ospedaliera Universitaria integrata, Verona, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"USD Poison Control Center, Azienda Ospedaliera Universitaria integrata, Verona, Italy","institution_ids":["https://openalex.org/I4210094363"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5037927439","display_name":"Massimo Carollo","orcid":"https://orcid.org/0000-0002-6523-6036","observed_orcids":["https://orcid.org/0000-0002-6523-6036"]},"institutions":[{"id":"https://openalex.org/I119439378","display_name":"University of Verona","ror":"https://ror.org/039bp8j42","country_code":"IT","type":"education","lineage":["https://openalex.org/I119439378"]}],"countries":["IT"],"is_corresponding":true,"raw_author_name":"Massimo Carollo","raw_affiliation_strings":["Department of Diagnostics and Public Health, University of Verona, Verona, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Diagnostics and Public Health, University of Verona, Verona, Italy","institution_ids":["https://openalex.org/I119439378"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5014014337","display_name":"Lorenzo Losso","orcid":"https://orcid.org/0000-0002-8740-8089","observed_orcids":["https://orcid.org/0000-0002-8740-8089"]},"institutions":[{"id":"https://openalex.org/I45084792","display_name":"University of Florence","ror":"https://ror.org/04jr1s763","country_code":"IT","type":"education","lineage":["https://openalex.org/I45084792"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Lorenzo Losso","raw_affiliation_strings":["Department of Medical Toxicology Unit and Poison Control Centre, University of Florence, Florence, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medical Toxicology Unit and Poison Control Centre, University of Florence, Florence, Italy","institution_ids":["https://openalex.org/I45084792"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5093105505","display_name":"Elia Morando","orcid":"https://orcid.org/0000-0002-3361-1938","observed_orcids":["https://orcid.org/0000-0002-3361-1938"]},"institutions":[{"id":"https://openalex.org/I4210094363","display_name":"Azienda Ospedaliera Universitaria Integrata Verona","ror":"https://ror.org/00sm8k518","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210094363"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Elia Morando","raw_affiliation_strings":["USD Poison Control Center, Azienda Ospedaliera Universitaria integrata, Verona, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"USD Poison Control Center, Azienda Ospedaliera Universitaria integrata, Verona, Italy","institution_ids":["https://openalex.org/I4210094363"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5069748164","display_name":"Matilde Bacchion","orcid":"https://orcid.org/0000-0001-6857-026X","observed_orcids":["https://orcid.org/0000-0001-6857-026X"]},"institutions":[{"id":"https://openalex.org/I4210094363","display_name":"Azienda Ospedaliera Universitaria Integrata Verona","ror":"https://ror.org/00sm8k518","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210094363"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Matilde Bacchion","raw_affiliation_strings":["USD Poison Control Center, Azienda Ospedaliera Universitaria integrata, Verona, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"USD Poison Control Center, Azienda Ospedaliera Universitaria integrata, Verona, Italy","institution_ids":["https://openalex.org/I4210094363"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5093105503","display_name":"Giovanni Mantelli","orcid":"https://orcid.org/0009-0003-8081-6439","observed_orcids":["https://orcid.org/0009-0003-8081-6439"]},"institutions":[{"id":"https://openalex.org/I4210094363","display_name":"Azienda Ospedaliera Universitaria Integrata Verona","ror":"https://ror.org/00sm8k518","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210094363"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Giovanni Mantelli","raw_affiliation_strings":["USD Poison Control Center, Azienda Ospedaliera Universitaria integrata, Verona, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"USD Poison Control Center, Azienda Ospedaliera Universitaria integrata, Verona, Italy","institution_ids":["https://openalex.org/I4210094363"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111071086","display_name":"Mauro Pizzuto","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I119439378","display_name":"University of Verona","ror":"https://ror.org/039bp8j42","country_code":"IT","type":"education","lineage":["https://openalex.org/I119439378"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Mauro Pizzuto","raw_affiliation_strings":["Department of Medicine, University of Verona, Verona, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, University of Verona, Verona, Italy","institution_ids":["https://openalex.org/I119439378"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5093105506","display_name":"Letizia Spagnuolo","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I119439378","display_name":"University of Verona","ror":"https://ror.org/039bp8j42","country_code":"IT","type":"education","lineage":["https://openalex.org/I119439378"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Letizia Spagnuolo","raw_affiliation_strings":["Department of Medicine, University of Verona, Verona, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, University of Verona, Verona, Italy","institution_ids":["https://openalex.org/I119439378"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5104195031","display_name":"Maria Vittoria Ventura","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I119439378","display_name":"University of Verona","ror":"https://ror.org/039bp8j42","country_code":"IT","type":"education","lineage":["https://openalex.org/I119439378"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Maria Vittoria Ventura","raw_affiliation_strings":["Department of Medicine, University of Verona, Verona, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, University of Verona, Verona, Italy","institution_ids":["https://openalex.org/I119439378"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5025569166","display_name":"Giorgio Ricci","orcid":"https://orcid.org/0000-0003-0369-6800","observed_orcids":["https://orcid.org/0000-0003-0369-6800","https://orcid.org/0000-0002-4665-7644"]},"institutions":[{"id":"https://openalex.org/I4210094363","display_name":"Azienda Ospedaliera Universitaria Integrata Verona","ror":"https://ror.org/00sm8k518","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210094363"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Giorgio Ricci","raw_affiliation_strings":["USD Poison Control Center, Azienda Ospedaliera Universitaria integrata, Verona, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"USD Poison Control Center, Azienda Ospedaliera Universitaria integrata, Verona, Italy","institution_ids":["https://openalex.org/I4210094363"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5037927439"],"corresponding_institution_ids":["https://openalex.org/I119439378"],"apc_list":{"value":2090,"currency":"USD","value_usd":2090},"apc_paid":{"value":2090,"currency":"USD","value_usd":2090},"fwci":0.6326,"has_fulltext":true,"cited_by_count":6,"citation_normalized_percentile":{"value":0.55090547,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":95,"max":97},"biblio":{"volume":"11","issue":null,"first_page":"444","last_page":"448"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10790","display_name":"Heavy Metal Exposure and Toxicity","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2307","display_name":"Health, Toxicology and Mutagenesis"},"field":{"id":"https://openalex.org/fields/23","display_name":"Environmental Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},"topics":[{"id":"https://openalex.org/T10790","display_name":"Heavy Metal Exposure and Toxicity","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2307","display_name":"Health, Toxicology and Mutagenesis"},"field":{"id":"https://openalex.org/fields/23","display_name":"Environmental Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T11635","display_name":"Poisoning and overdose treatments","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10139","display_name":"Heavy metals in environment","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2310","display_name":"Pollution"},"field":{"id":"https://openalex.org/fields/23","display_name":"Environmental Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/lead-toxicity","display_name":"lead toxicity","score":0.7789999842643738},{"id":"https://openalex.org/keywords/gunshot-wounds","display_name":"gunshot wounds","score":0.8799999952316284},{"id":"https://openalex.org/keywords/chronic-lead-exposure","display_name":"chronic lead exposure","score":0.8989999890327454},{"id":"https://openalex.org/keywords/fragment-removal","display_name":"fragment removal","score":0.8240000009536743},{"id":"https://openalex.org/keywords/elderly-patients","display_name":"elderly patients","score":0.8569999933242798},{"id":"https://openalex.org/keywords/patient-autonomy","display_name":"patient autonomy","score":0.8270000219345093},{"id":"https://openalex.org/keywords/multidisciplinary-decision-making","display_name":"multidisciplinary decision-making","score":0.8550000190734863},{"id":"https://openalex.org/keywords/heavy-metal-toxicity","display_name":"heavy metal toxicity","score":0.5730000138282776}],"concepts":[{"id":"https://openalex.org/C2777093003","wikidata":"https://www.wikidata.org/wiki/Q6508345","display_name":"Lead (geology)","level":2,"score":0.8178426027297974},{"id":"https://openalex.org/C2781037878","wikidata":"https://www.wikidata.org/wiki/Q110315","display_name":"Lead poisoning","level":2,"score":0.5791714787483215},{"id":"https://openalex.org/C2780913535","wikidata":"https://www.wikidata.org/wiki/Q2140674","display_name":"Gunshot wound","level":2,"score":0.5641202926635742},{"id":"https://openalex.org/C2910209844","wikidata":"https://www.wikidata.org/wiki/Q2140674","display_name":"GUNSHOT INJURY","level":2,"score":0.4933394491672516},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.48122644424438477},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.43538451194763184},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.3015711009502411},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.08162397146224976},{"id":"https://openalex.org/C151730666","wikidata":"https://www.wikidata.org/wiki/Q7205","display_name":"Paleontology","level":1,"score":0.0},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.0}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1016/j.toxrep.2023.11.004","doi":"https://doi.org/10.1016/j.toxrep.2023.11.004","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.toxrep.2023.11.004","pdf_url":null,"source":{"id":"https://openalex.org/S2764757124","display_name":"Toxicology Reports","issn_l":"2214-7500","issn":["2214-7500"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","norway-1","oarl","poland-20","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Toxicology Reports","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:10665592","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10665592","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10665592/pdf/main.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Toxicol Rep","raw_type":"Text"},{"id":"pmid:38021473","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/38021473","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Toxicology reports","raw_type":"Case Reports"},{"id":"pmh:oai:doaj.org/article:b7731ca35cfd4553a1ac3a8286fbedf7","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/b7731ca35cfd4553a1ac3a8286fbedf7","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Toxicology Reports, Vol 11, Iss , Pp 444-448 (2023)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1016/j.toxrep.2023.11.004","doi":"https://doi.org/10.1016/j.toxrep.2023.11.004","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.toxrep.2023.11.004","pdf_url":null,"source":{"id":"https://openalex.org/S2764757124","display_name":"Toxicology Reports","issn_l":"2214-7500","issn":["2214-7500"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","norway-1","oarl","poland-20","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Toxicology Reports","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9391000270843506,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4388487556.pdf","grobid_xml":"https://content.openalex.org/works/W4388487556.grobid-xml"},"referenced_works_count":10,"referenced_works":["https://openalex.org/W1993063592","https://openalex.org/W2522138202","https://openalex.org/W2530844825","https://openalex.org/W2593361627","https://openalex.org/W2896204825","https://openalex.org/W2934959835","https://openalex.org/W3027963558","https://openalex.org/W3163606851","https://openalex.org/W4294992703","https://openalex.org/W4312066186"],"related_works":["https://openalex.org/W3163606851","https://openalex.org/W1980765237","https://openalex.org/W4407095277","https://openalex.org/W2432875933","https://openalex.org/W2276618052","https://openalex.org/W2322568491","https://openalex.org/W1920837948","https://openalex.org/W7099186985","https://openalex.org/W2529529728","https://openalex.org/W2123549288"],"abstract_inverted_index":{"There":[0],"is":[1,66],"limited":[2],"literature":[3],"on":[4],"managing":[5,58],"chronic":[6,59],"lead":[7,14,47,60],"exposure":[8,61],"from":[9],"non-removable":[10],"sources":[11],"such":[12,84],"as":[13],"fragments.":[15,48],"In":[16],"this":[17],"case":[18,50],"report,":[19],"we":[20],"present":[21],"the":[22,52,71],"complexities":[23],"and":[24],"clinical":[25,86],"considerations":[26],"involved":[27],"in":[28,83],"treating":[29],"an":[30],"elderly":[31],"patient":[32,81],"who":[33],"sustained":[34],"a":[35,41,74],"comminuted":[36],"knee":[37],"fracture":[38],"due":[39],"to":[40,77],"gunshot":[42],"wound,":[43],"complicated":[44],"by":[45],"retained":[46],"This":[49],"highlights":[51],"absence":[53],"of":[54,73],"comprehensive":[55],"guidelines":[56],"for":[57],"when":[62],"complete":[63],"fragment":[64],"removal":[65],"impractical.":[67],"It":[68],"also":[69],"emphasizes":[70],"importance":[72],"multidisciplinary":[75],"approach":[76],"decision-making,":[78],"while":[79],"considering":[80],"autonomy":[82],"unique":[85],"scenarios.":[87]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":4}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2023-11-09T00:00:00"}