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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
Toby Boote
3,4-methylenedioxy-methamphetamine is taken recreationally by thousands of people, especially the young, across the globe. It is highly associated with electronic music and its use in the UK remains high at around 4.5% of 16-24 year olds. This review discusses both the short- and long-term effects of 3,4-methylenedioxy-methamphetamine including methods by which some of these adverse effects can be prevented or even reversed to increase the safety of the commonly used drug.
June 2018: Medico-legal Journal
Anna Rowland
No abstract text is available yet for this article.
June 2018: Medico-legal Journal
Cristina Mondello, Antonio Micali, Luigi Cardia, Antonina Argo, Stefania Zerbo, Elvira Ventura Spagnolo
Diagnosis of death by electrocution may be difficult when electric marking is not visible or unclear. Accordingly, the body of a man who appeared to have died from accidental electrocution was carefully forensically analysed. Macroscopic and microscopic analysis of the current mark was carried out using a variable-pressure scanning electron microscope equipped with energy dispersive X-ray microanalyser to highlight skin metallisation, indicating the presence of iron and zinc. The histological findings of electrocution myocardial damage were supported by the results of biochemical analysis which demonstrated the creatine kinase-MB and cardiac troponin I elevation...
June 2018: Medico-legal Journal
Isabella Aquila, Santo Gratteri, Claudio Amirante, Vittorio Fineschi, Paola Frati, Pietrantonio Ricci
Analysis of wounds is crucial in forensic medicine to prove how an injury was caused. In many cases, microscopic analysis may be decisive. It is often difficult to distinguish macroscopic skin lesions resulting from electrical, mechanical and from thermal trauma where these occur simultaneously and to formulate a correct differential diagnosis. We report two cases in which the injuries found on the bodies and the manner of death raised uncertainty. An autopsy was performed. External examination of the bodies showed skin injuries that needed histopathological analysis to reconstruct the dynamics and the manner of death which has an important role in doubtful cases...
June 2018: Medico-legal Journal
Alok Atreya, Milan Shrestha, Jenash Acharya
Discrimination on cultural and ethnic grounds is a crime in Nepal. [Caste Based Discrimination and Untouchability (Offence and Punishment) Act, 2068 (2011) * * There are two different dates which reflect the Bikram Sambat which is the official Hindu calendar in Nepal. This calendar is 57 years ahead of Gregorian calendar. For example, 19 August 2017 AD is 03 Bhadra 2074 Bikram Sambat. Thus, the date 2068 is in Bikram Sambat, 2011 is per Gregorian calendar which is unofficial so kept in parenthesis. This text is available online from: http://www...
June 2018: Medico-legal Journal
Elmas Shaqiri, Granit Shahu, Bledar Xhemali, Gentian Vyshka
The issue of sexual abuse, assault, rape and unwanted pregnancies among mentally disabled women is largely under-reported for many reasons. Several myths prevail including that mentally disabled women offer little interest to sexual predators, together with a negative public attitude and this contributes to the problem. We report the case of a single centre in Albania, where repetitive sexual assaults were perpetrated against three mentally disabled women. Three unwanted pregnancies followed. The issue gained public attention after three criminal abortions were performed secretly with the aim of covering up the story...
June 2018: Medico-legal Journal
Alok Atreya, Tanuj Kanchan, Rajeev K Shah
Intravenous substance abuse is often associated with physical and psychological harm, and often requires urgent medical attention. We report a case of a young male who presented with life-threatening complications of intravenous drug abuse, but refused to give details or agree to the proposed treatment, raising concerns for the team of doctors. A compos mentis patient has a right to decide what should be done to his body. Medical management or surgical interventions cannot be initiated without the patient's consent even if these are lifesaving procedures, or a procedure meant to benefit the patient...
June 2018: Medico-legal Journal
Harry Zeitlin
No abstract text is available yet for this article.
March 2018: Medico-legal Journal
Audrey Laur
Deaf patients are too often overlooked in our society despite requiring in-depth attention to their specific communication needs. If they are not able to communicate with healthcare professionals, they may be unable to access and receive appropriate care. Yet, medical providers who fail to address patients' linguistic difficulties breach their ethical and professional duties, and face potential malpractice lawsuits. This article aims to highlight the unequal access of medical care by deaf patients and the impact of language barriers...
March 2018: Medico-legal Journal
M Chauhan, M Pradhan, C Behera, A Aggrawal, S Naagar, T D Dogra
This case of sexually motivated homicide combined the perpetrator's obliteration of his victim's identity along with his attempt at concealment of the corpse and sexual gratification following ligature strangulation of a young unidentified female from a minority Indian state. Sexual bondage was evident with characteristic body tying in a typical posture to fuel the killer's sexual arousal and gratification before, during and then after strangling his victim with a scarf. The victim's body was left in a sack packed with vegetables and transported from the crime site and found abandoned in a park...
March 2018: Medico-legal Journal
Daphne K Sharpe, Jasmine K Hall, Sochima Ochije, Rahn K Bailey
In 2000, the Institute of Medicine stunned many professionals with their published report that noted the vast number of deaths that occur each year in hospitals across the United States which reach as many as 98,000. Therefore, it comes as no surprise that the healthcare arena faces litigious issues regularly, with some specialties budgets being significantly impacted by the cost of maintaining liability insurance. Legal Nurse Consultants and forensic physicians working in tandem but who work independently from treating clinicians can carry out forensic independent medical examinations (IME)...
March 2018: Medico-legal Journal
Siddhartha Das, Ritesh G Menezes
Road traffic accidents are a major cause of fatalities around the world, and a number of deaths are caused by moving traffic on public roads. Deaths from vehicles that are off the highway may be called non-traffic fatalities which can be due to a vehicle reversing, carbon monoxide poisoning, weather-induced over-heating inside the vehicle and electric windows. Children (and animals) are the usual victims. We report a case from India where a man was found lying dead by the roadside with a lorry nearby. The autopsy findings indicated that he had been run over, but as there was no history of a vehicular collision and with no eyewitnesses, the investigators were unsure of the probable sequence of events that led to his death...
March 2018: Medico-legal Journal
Bhanuka Senasinghe
In England and Wales, detained psychiatric inpatients are treated under section 63 of the Mental Health Act 1983. This paper critically analyses the relevant law and considers the arbitrary distinctions between consent for treatments for mental illnesses and physical conditions, which may disempower patients with mental illness. Section 63 states that (for detained psychiatric patients) consent for medical treatment for patients' mental disorder is not required. The treating clinician responsible for a patient decides what this medical treatment entails...
March 2018: Medico-legal Journal
Colin Morgan
No abstract text is available yet for this article.
March 2018: Medico-legal Journal
John F Mayberry
The development of statutory regulation of healthcare professionals first emerged in the 15th century in the UK. However, it was not until the 20th century that statutory regulation of complementary therapies emerged with the Osteopath and Chiropractors Acts. However, during that period, acupuncture failed to gain statutory regulation but was rather subject to the equivalent of trading standards. This review explores the background to this failure and the present need for statutory regulation. It draws comparisons with the need for regulation of hijama, another invasive therapy, for which there is at present no regulation...
March 2018: Medico-legal Journal
I Aquila, F Pepe, M Manno, P Frati, S Gratteri, V Fineschi, P Ricci
Scuba diving is an increasingly common recreational activity. We describe the physiopathology of barotrauma in two cases where death was caused by pulmonary barotrauma while diving. An inspection and autopsy were carried out in both cases. The autopsy data were supported by post-mortem radiological investigation. Histological and toxicological analyses were also carried out, and dive computer and tank manometer analysis performed. In both cases, the cause of death was attributable to arterial gas embolism, resulting from pulmonary barotrauma subsequent to pulmonary over-distension...
March 2018: Medico-legal Journal
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