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Medico-legal Journal

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https://www.readbyqxmd.com/read/28849697/liability-for-providing-a-prognosis-in-surgical-practice
#1
Alex de Costa, Amy Tam
The common law's development of the doctrine of informed consent has progressively imposed broader obligations on surgeons to provide patients with information about the surgical and alternative treatment choices available. Prognosis is critical because the patient cannot provide informed consent without information about the likely evolution of the physiological or pathological processes involved in the surgery under consideration. But does the duty of care that a surgeon owes a patient require a precise prognosis to be given in every case? A recent decision of the Court of Appeal considers that question...
September 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/28849696/when-a-suicide-becomes-a-forensic-enigma-the-role-of-hanging-marks-and-tools-of-suspension
#2
Santo Gratteri, Pietrantonio Ricci, Pietro Tarzia, Vittorio Fineschi, Matteo A Sacco, Isabella Aquila
Death by hanging is asphyxiation when the body is suspended by means of a ligature. Most deaths by hanging are suicides, though occasionally they are accidental or a homicidal event. The characteristics of the hanging marks depend on the ligature used, the dynamics and on the node position with respect to the neck. When the crime scene is contaminated, the hanging mark must be checked with the type of suspension and ligatures used to establish how the hangings took place. We report on 20 cases (2013-2016) where the bodies were moved at or from the crime scene...
September 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/28849695/acid%C3%A2-%C3%A2-a-despicable-and-offensive-weapon
#3
Diana Brahams
No abstract text is available yet for this article.
September 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/28443379/informed-consent-for-cord-tissue-collection-in-a-north-eastern-italy-region-a-matter-of-inadequate-health-legislation
#4
Sergio Parco
No abstract text is available yet for this article.
September 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/28368210/judicial-oversight-of-life-ending-withdrawal-of-assisted-nutrition-and-hydration-in-disorders-of-consciousness-in-the-united-kingdom-a-matter-of-life-and-death
#5
Mohamed Y Rady, Joseph L Verheijde
Mr Justice Baker delivered the Oxford Shrieval Lecture 'A Matter of Life and Death' on 11 October 2016. The lecture created public controversies about who can authorise withdrawal of assisted nutrition and hydration (ANH) in disorders of consciousness (DOC). The law requires court permission in 'best interests' decisions before ANH withdrawal only in permanent vegetative state and minimally conscious state. Some clinicians favour abandoning the need for court approval on the basis that clinicians are already empowered to withdraw ANH in other common conditions of DOC (e...
September 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/28508732/editorial
#6
Harry Zeitlin
No abstract text is available yet for this article.
June 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/28508731/submitting-medico-legal-intra-partum-ctg-i-p-ctg-monitoring-to-the-bolam-and-bolitho-principles
#7
George G Buttigieg
The article analyses some of the seeming weaknesses of the Bolam and Bolitho tests as applied to electronic foetal monitoring in labour, in the form of intra-partum CTG monitoring. Homing on to such aspects as confirmation of foetal hypoxia/acidosis, it evaluates the Bolam and Bolitho tests in the context of evidence-based medicine versus traditionally held views, which still hold their own in medical jurisprudence. Case law examples are quoted to illustrate various points. The discussion is of practical relevance both to the individual obstetrician as well as to national budgetary implications, bearing in mind, that, for example, in 2011, 'birth asphyxia' comprised 50% of the UK NHS litigation costs, and in the 2000-2010 decade, the same NHS forked out £3...
June 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/28508730/a-rare-fatality-due-to-calcified-stylohyoid-ligament-eagle-syndrome
#8
Avneesh Gupta, Anil Aggrawal, Puneet Setia
The elongation or calcification of the stylohyoid ligament that leads to pressure symptoms, or entrapment of nearby glossopharyngeal nerve or carotid artery, is known as Eagle syndrome. A PubMed search leads to finding of rare fatality among the 49 reported cases. In the present case, the deceased was a 40-year-old male who choked on his food. We hypothesise that the impaction of food in the upper respiratory tract, as well as the inability to intubate the person, were both the result of the calcified stylohyoid ligament...
June 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/28508729/disciplinary-action-against-solicitors-and-the-role-of-the-solicitors-disciplinary-tribunal
#9
Edward Nally
No abstract text is available yet for this article.
June 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/28128011/the-changing-prostate-cancer-pathway-new-challenges-new-pitfalls
#10
Mark Emberton
No abstract text is available yet for this article.
June 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/28150541/evolution-of-the-law-society
#11
Catherine Dixon
No abstract text is available yet for this article.
March 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/28150540/editorial
#12
Diana Brahams, Harry Zeitlin
No abstract text is available yet for this article.
March 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/28112026/sudden-death-by-rupture-of-a-varicose-vein-case-report-and-review-of-literature
#13
Isabella Aquila, Matteo A Sacco, Santo Gratteri, Ciro Di Nunzio, Pietrantonio Ricci
Venous disease, including varicose veins and chronic venous insufficiency, is one of the most common chronic medical conditions. Haemorrhage from rupture of varicose veins in the legs is rare and can lead to sudden death. Nevertheless, this condition is not included among the causes of sudden death. In this case, an 88-year-old man was found dead in a large pool of blood at home. Initially, investigators mistakenly assumed that it was a case of homicide. Bloodstain pattern analysis was performed. An external examination of the victim showed an ulcer on the left foot and evident varicose veins untreated on the lower limbs...
March 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/27903782/the-assessment-of-grip-strength-after-upper-limb-injuries-in-medico-legal-practice
#14
H J Belcher
Four hundred adult claimants underwent medico-legal assessment following upper limb injuries. Dynamometry was performed on each using the Jamar five handle-position test. Injury causes loss of power and there is a significant relationship between the percentage loss of power and the measured whole limb impairment. This paper presents a new approach for the analysis of the tests. The normal physiological length-tension pattern of muscle is maintained in the majority of claimants albeit with modifications due to the specific effects of injury on hand function...
March 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/27837166/an-unusual-lethal-gunshot-wound-to-the-head
#15
Elmas Shaqiri, Bledar Xhemali, Zija Ismaili, Admir Sinamati, Gentian Vyshka
Atypical gunshot wounds present a challenge for the forensic expert, and sometimes differentiating these from a blunt trauma can be difficult. A careful crime scene investigation can be helpful in finding additional evidence and clarifying the nature of the injuries. We describe a case of an unusual craniocerebral injury that was initially interpreted as a blow from a wooden object. The appearance of the wound lacked the classical characteristics of entrance and exit bullet wounds, but the investigation showed it was due to the ricocheting of a destabilized bullet...
March 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/27799444/severing-of-skull-cap-a-rare-trauma-attributed-to-transportation-of-bulldozer
#16
Parthasarathi Pramanik, Raghvendra K Vidua, Sweta Patel
Bulldozer fatalities are usually due to accidental crushing of the body at the workplace. However, severance of the skull cap simulating a chopping injury to head is rare in the literature. Medico-legal investigation may be posed with different challenges when carrying out an autopsy of a victim with this devastating head injury. The police will seek an opinion about the type of weapon responsible for the injuries, the nature of injuries produced and manner of death. In the present case, the victim was hit at dusk by a protruding part of the bulldozer blade as he crossed in front of a bulldozer that was approaching his tractor from the opposite side of the road...
March 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/27694447/glue-sniffing
#17
S H Jayanth, Basappa S Hugar, S Praveen, Y P Girish Chandra
Inhalant abuse refers to the inhalation of volatile substances for their euphoric effects. Glues and adhesives have been abused inhalants for decades and so the term "glue sniffing" attached to the habit. These days many substances used are not adhesives and the most accurate title of "solvent abuse" has been given to this widespread and dangerous habit. The various methods of inhalational abuse include huffing, bagging, dusting, glading, and sniffing. We report one such case of a 22-year-old male who was found in an unresponsive state at his residence with a plastic cover around his head and empty tubes of "Fevibond" glue beside him...
March 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/27678517/loperamide-related-deaths-in-north-carolina
#18
Xiulu Ruan, Jin J Luo, Alan D Kaye
No abstract text is available yet for this article.
March 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/27678516/medical-legal-assessments-the-educational-implications-working-with-educational-psychologists
#19
Hilary Dinham
No abstract text is available yet for this article.
March 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/27620849/suicidal-asphyxiation-by-carbon-monoxide-within-a-polythene-bag
#20
Rajanikanta Swain, C Behera, Shyam Kishore, Karthik Krishna, S K Gupta
Suicide by inhalation of carbon monoxide is not uncommon and usually involves car exhausts or burning charcoal or defective boilers. We report a case of a 25-year-old man, who committed suicide by inhaling carbon monoxide gas inside a polythene bag in a bathroom. The open carbon monoxide cylinder found inside the polythene bag was purchased online by the deceased a few days earlier. He had stated that the gas would be used for his experiment on the environment. A suicide note recovered from his trouser pocket revealed his intention for a painless death...
March 2017: Medico-legal Journal
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