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Medico-legal Journal

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https://www.readbyqxmd.com/read/28508732/editorial
#1
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
#2
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
#3
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
#4
Edward Nally
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
#5
Catherine Dixon
No abstract text is available yet for this article.
March 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/28150540/editorial
#6
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
#7
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
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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
https://www.readbyqxmd.com/read/27608968/congenital-anomalies-following-use-of-isotretinoin-emphasis-on-its-legal-aspects
#15
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...
March 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/28766989/sixty-years-in-psychiatry
#16
John Bradley
The author, who has spent over 60 years working in a variety of mental health settings, shares his personal perspective of the way psychiatry has evolved. Treatments, both physical and psychological, have come and some have been discarded. There have been radical changes in the delivery of care, from the 2000-bed Victorian asylum to community care, and the on the whole beneficial impact of legislation such as mental health Acts and Acts dealing with suicide, abortion and sexual offences. His experience has warned him of the folly of overenthusiasm for some treatments - such as deep insulin for schizophrenia, psycho surgery, and even classical psychoanalysis which can become as addictive as any drug or a promise of salvation as convincing as a religion...
January 1, 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/28675066/inadequacy-of-self-assessment-of-vision-and-fitness-to-drive
#17
John Garfield
The author, a retired neurosurgeon then aged 81, describes his own right upper quadrantic homonymous visual field defect which did not impair any normal daily activities. His own occupation allowed him to recognise the defect. It is unlikely that such a defect would have been noticed by other elderly persons. The field defect shown by perimetry (illustrated) debarred him from driving. Self-assessment of visual acuity, and especially fields, is inadequate when applying for renewal of a driving licence. Effective steps to prevent such licensing and the damage that may follow are discussed...
January 1, 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/28657424/heroin-piracetam-mixture-suggested-mechanisms-of-action-and-risks-of-misinterpretation-for-drug-users
#18
Simone Cappelletti, Francesco Lombardo, Pasquale Vitale, Giuseppe Vallone, Costantino Ciallella
Piracetam is a positive allosteric modulator of the α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptor that has been frequently used in the treatment of cognitive disorders. Press and internet reports indicate that the use of piracetam, as a heroin adulterant, has spread rapidly in some countries, especially in Asia and Europe. Its use, as adulterant, is believed to produce more profound desirable effects, while decreasing hangover. Recent surveys demonstrated that piracetam protects neurons from heroin-induced apoptosis...
January 1, 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/28621570/forensic-science-and-forensic-pathology-quality-standards-and-risks
#19
Gillian Tully
No abstract text is available yet for this article.
January 1, 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/28548009/letter-to-editor-of-medico-legal-journal
#20
George E Fowler, Pirashanthie Vivekananda-Schmidt
No abstract text is available yet for this article.
January 1, 2017: Medico-legal Journal
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