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Medico-legal Journal

Hjcr Belcher
A consecutive group of 250 patients underwent medico-legal assessment at a mean of 24 (±13) months following upper limb injuries. Each had completed questionnaires to assess function (Quick-DASH) and cold intolerance (CIQ36) before clinical assessment following which their whole limb impairment percentage was calculated. The mean(±SD) whole limb impairment, QDASH and CIQ36 scores were 9(±14)%, 43(±24) and 17(±10), respectively. There was a significant correlation between whole limb impairment and QDASH, although some patients reported surprisingly high disability levels despite minimal or no objective functional impairment...
October 4, 2016: Medico-legal Journal
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...
September 30, 2016: Medico-legal Journal
Xiulu Ruan, Jin J Luo, Alan D Kaye
No abstract text is available yet for this article.
September 27, 2016: Medico-legal Journal
Hilary Dinham
No abstract text is available yet for this article.
September 27, 2016: Medico-legal Journal
Anand B Mugadlimath, Mandar Ramchandra Sane, Kailash U Zine, Rekha M Hiremath
We describe an unusual case of drowning in fluid other than water in an industrial setting. A 26-year-old man was working in an industry which performs surface treatment of mechanical steel parts with quenching oil. He fell into the quenching oil (which was hot due to immersion of red hot metal parts), and as he was working alone in the particular section, there was a fatal outcome. A medico-legal autopsy was performed. The causes of death were found to be multiple, with the association of drowning, extensive superficial burns and asphyxia due to laryngeal oedema...
September 26, 2016: Medico-legal Journal
Frances Carr
INTRODUCTION: Capacity is assumed to be present unless proven otherwise. Assessments of specific decision-making capacity for financial and legal decisions, although challenging in the general population, becomes almost impossible for individuals with language disorders (i.e. aphasia) in the absence of appropriate communication aids. Several capacity aids exist for the general population; however, it is unclear whether any communication aids exist specifically for the aphasic population to assist assessment of financial and legal decision-making capacity...
September 16, 2016: Medico-legal Journal
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...
September 12, 2016: Medico-legal Journal
Naimeh Farhidnia, Azadeh Memarian
We described a neonate with severe and multiple abnormalities following use of isotretinoin, in spite of the mother's previous knowledge of drug complications. Initial physical examination after delivery showed congenital absence of both eyes and both auricles as well as anal atresia and a cleft palate. Due to severe respiratory distress and atresia of the anus, the neonate was admitted to a neonatal intensive care unit and underwent reconstructive surgery. The drug should not have been used during pregnancy...
September 8, 2016: Medico-legal Journal
Alexander Ej Trevatt, Oliver J Smith, Jacqueline Needleman, Ashis Banerjee
This study aimed to explore the most common hand injury errors occurring in Emergency Departments in England. A Freedom of Information request was made to the NHS Litigation Authority for claims data related to hand injuries in English Emergency Departments from 2004 to 2014. All successful hand injury claims against an individual DGH ED were also analysed. Two hundred and eighteen successful claims were made, costing a total of £6,273,688.22. Diagnosis error was the most common successful claim (97). Four successful claims were brought against the Emergency Department...
August 23, 2016: Medico-legal Journal
Shashank Pooniya, C Behera, A R Mridha, D N Bhardwaj, Tabin Millo
Ovarian hyperstimulation syndrome is a rare, but potentially life-threatening iatrogenic disorder arising from ovulation induction or ovarian hyperstimulation for assisted reproduction techniques. We report a case of a 26-year-old multiparous woman, an anonymous egg donor, who died a few hours after undergoing a procedure to donate eggs at an in vitro fertilization clinic. Her husband alleged that medical negligence had led to her death. The autopsy confirmed death due to ovarian hyperstimulation syndrome...
August 19, 2016: Medico-legal Journal
Alec Samuels
No abstract text is available yet for this article.
August 12, 2016: Medico-legal Journal
R L Atenstaedt
The taking of an ethical-legal oath is a "rite of passage" for many medical practitioners. A 1997 paper noted that half of medical schools in the UK administer an oath. I performed a survey of UK medical schools to see whether these are still used today. An electronic survey was sent to 31 UK medical schools, asking them whether the Hippocratic Oath (in any version) was taken by their medical students; non-respondents were followed up by telephone. Information was obtained from 21 UK medical schools, giving a response rate of 68% (21/31)...
August 11, 2016: Medico-legal Journal
Alex de Costa, Chris Lutterodt
The doctrine of res ipsa loquitor can allow a plaintiff to raise an inference of negligence which a defendant is then compelled to refute. However, the doctrine has rarely been applied in clinical negligence contexts because courts have been reluctant to require doctors to refute an inference of responsibility for pathophysiological outcomes. But does that imperative apply equally to aesthetic surgery? A recent case shows that it does.
August 10, 2016: Medico-legal Journal
David Neuberger, James Neuberger
No abstract text is available yet for this article.
August 10, 2016: Medico-legal Journal
Diana Brahams
No abstract text is available yet for this article.
September 2016: Medico-legal Journal
Ajay Kumar S, Vinay Kumar Ms, Yp Raghavendra Babu, Mahadeshwara Prasad
Cut-throats can be of homicidal, suicidal or accidental origin. In cases of death from a cut-throat, distinguishing the cause is one of the important functions in crime investigation. The features that differentiate suicidal and homicidal cut-throat injuries are the presence of hesitation cuts, depth of wound, signs of struggle, edges of the wound, etc. In the case of a suicidal cut-throat, it is not uncommon to find hesitation cuts but in a homicidal cut-throat, it is uncommon. We present a case of a homicidal cut-throat injury but with hesitation cuts and tailing over the neck, unlike the classical description of homicidal cut-throat injury...
September 2016: Medico-legal Journal
Alec Samuels
No abstract text is available yet for this article.
September 2016: Medico-legal Journal
(no author information available yet)
No abstract text is available yet for this article.
September 2016: Medico-legal Journal
John Pearn
The history of our current law dates from Palaeolithic times. The first written laws were codified by the rulers of Mesopotamian kingdoms, from the beginning of the second millennium B.C.E. This history, and those of the medico-legal specialties in particular, trace their origins to Hammurabi's Code. Hammurabi (ruled 1792-1750 B.C.E.) was the sixth King of the First Dynasty of ancient Babylon, today an archaeological site in modern-day Iraq. Hammurabi's Laws (c.1760 B.C.E.), inscribed on at least one diorite stele, were set up in public places in Babylon, towards the end of the King's 43-year reign...
September 2016: Medico-legal Journal
Alec Samuels
No abstract text is available yet for this article.
September 2016: Medico-legal Journal
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