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Medico-legal Journal

Shahrokh Mehrpisheh, Farrokh Taftachi, Leila Abdolkarimi, Azadeh Memarian
Most injuries from caustics ingestion occur due to parental negligence, but other causes such as psychological tendency or childish jealousy or behaviour may be the major cause for harming. Here, we describe a case of injury in a neonate who ingested a caustic substance, probably induced by his brother, but not as a consequence of the negligence of his parents. The mother said she had fed the child toilet bleach instead of water and was very concerned about the child's condition. However, when the baby's older brother was interviewed he did not show concern and was very confused and provided contradictory responses about his knowledge of the poisoning...
October 31, 2018: Medico-legal Journal
H Zeitlin
No abstract text is available yet for this article.
September 2018: Medico-legal Journal
Alec Samuels
This article considers different approaches with a view to reducing NHS legal costs and damages for clinical failures on the basis that these are out of control and reducing resources for the treatment of current and future patients.
September 2018: Medico-legal Journal
Billy Kenber
No abstract text is available yet for this article.
September 2018: Medico-legal Journal
Philip Joseph
No abstract text is available yet for this article.
September 2018: Medico-legal Journal
(no author information available yet)
No abstract text is available yet for this article.
September 2018: Medico-legal Journal
S Zerbo, E Ventura Spagnolo, S Salerno, G Lo Re, A Guajana, A Alongi, A Argo
The commonest cause of blunt cardiac injuries is from traffic accidents followed by violent falls, sport activities, accidents or a fight but rupture of the heart is rare and lethal. The precise incidence of cardiac injury after a blunt chest trauma is unknown as rates vary greatly in the literature from between 7% and 76% of cases. Autopsy studies have shown that the right ventricle is the most frequently ruptured, followed by the left ventricle, right atrium, intraventricular septum, left atrium and interatrial septum with decreasing frequency...
September 2018: Medico-legal Journal
Emma M Szelepet
The Mental Capacity Act 2005 ('MCA') sets out a regime which governs the making of decisions for people who lack mental capacity. Acts must be carried out, and decisions made, for such an incapacitated person, based on what is in her best interests (section 4 MCA). In this paper, I consider the body of post-MCA case law which applies the MCA best interests test to decision-making for elderly people, in various contexts. Is the best interests test 'fit for purpose' for the vulnerable elderly? The key aims of Parliament in introducing the test seem to have been empowerment, protection and support - and alertness to undue influence - as well as a balance between the objective and subjective viewpoints...
September 2018: Medico-legal Journal
Gilberto Kk Leung, Gerard Porter
Acute stroke care has undergone momentous changes in recent years with the introduction of intravenous thrombolysis, mechanical thrombectomy and integrated stroke services. While these are welcome developments, they also carry unique medico-legal challenges. In 2015, a patient from Greater Manchester was awarded over £1 million in compensation after ambulance paramedics failed to admit her to a specialist unit. This paper explores the medico-legal implications of this first but over looked thrombolysis-related claim in the United Kingdom...
September 2018: Medico-legal Journal
Phillippe Charlier, Yves Coppens, Anaïs Augias, Saudamini Deo, Philippe Froesch, Isabelle Huynh-Charlier
Following a global morphological and micro-CT scan examination of the original and cast of the skeleton of Australopithecus afarensis AL 288 ('Lucy'), Kappelman et al. have recently proposed a diagnosis of a fall from a significant height (a tree) as a cause of her death. According to topographical data from the discovery site, complete re-examination of a high-quality resin cast of the whole skeleton and forensic experience, we propose that the physical process of a vertical deceleration cannot be the only cause for her observed injuries...
September 2018: Medico-legal Journal
Gian Luca Marella, Enrico De Dominicis, Giovanni Arcudi, Saverio Potenza, Silvestro Mauriello, Filippo Milano, Alessandro Feola, Luigi T Marsella
As suicide by ligature strangulation is rare, the correct medico-legal diagnosis may be difficult to establish if there is no clear supporting circumstantial evidence. We report an unusual case of suicide by strangulation with a double ligature. Investigation of the scene of death and pathological findings at autopsy are reported and discussed. We emphasise the importance of an external examination and an on-the-spot investigation.
September 2018: Medico-legal Journal
Chittaranjan Behera, Shinto Devassy, Asit R Mridha, Mohit Chauhan, Sudhir K Gupta
We report the sudden death of a 23-year-old male with hairline ankle fracture after massage of the leg by his mother. Autopsy confirmed the cause of death as pulmonary thromboembolism due to deep vein thrombosis of the leg veins which was dislodged and travelled to his lungs consequent to the leg massage. The treating doctors did not warn the patient of the risk of developing pulmonary thromboembolism.
September 2018: Medico-legal Journal
Michael J Gross, Len Doyal, Michael Swash
We describe our misgivings concerning the use of transcripts of covert recordings of medico-legal assessments made by claimants as evidence in actions for compensation for personal injury. These recordings raise issues of lack of trust between the claimant and the medical expert, leading to bias in the consultation that is hidden from the medical expert. In addition, there is a risk of widespread dissemination of the recording through social media to the detriment of the reputation of the medical expert, and likely interference with the probity of the court hearing...
August 8, 2018: Medico-legal Journal
Pooja Puri, Naresh Kumar, Dhruv Sharma, S K Shukla
In many cases of sexual assault, traces of semen are left behind on the victim's body, clothes and the area in which the assault has taken place. The positive identification of semen is instrumental in supporting such cases. There are several methods of forensic examination of semen reported in literature, but the presence of blood complicates the identification of semen stains. This paper presents one such case study where the presence of blood makes DNA profiling more challenging as the PCR amplification becomes complicated, and the absolute differential isolation is the only way to get the clear profile using identifiler kits...
August 2, 2018: Medico-legal Journal
Alok Atreya, Samata Nepal
No abstract text is available yet for this article.
July 31, 2018: Medico-legal Journal
Diana Brahams, Harry Zeitlin
No abstract text is available yet for this article.
June 2018: Medico-legal Journal
Søren Birkeland
No abstract text is available yet for this article.
June 2018: Medico-legal Journal
Gene Matthews, Nancy Williams
No abstract text is available yet for this article.
June 2018: Medico-legal Journal
Alec Samuels
Department of Health is consulting on opt-in or opt-out for organ donation for transplantation. Merits and demerits. Cooperation between doctors and the family is essential.
June 2018: Medico-legal Journal
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