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Medico-legal Journal

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https://www.readbyqxmd.com/read/28071966/the-duty-of-candour-openness-transparency-and-candour
#1
Alec Samuels
No abstract text is available yet for this article.
January 1, 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/28071152/fatal-orbito-cerebral-penetration-by-industrial-grease-viscous-rare-case-report
#2
Mohit Chauhan, Chittaranjan Behera, P C Dikshit
Assorted projectiles including shrapnel, sling shots, stones, metal and rock fragments and other missiles cause fatal penetrating skull injuries. In this case, a 34-year-old foreman suffered a fatal penetrating orbito-cerebral injury while lubricating a hydraulic rock-splitting machine with industrial grease viscous.
January 1, 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/27940655/abdominal-self-stabbing-a-case-report
#3
Alok Atreya, Dolendra Rijal, Tanuj Kanchan, Raghvendra S Shekhawat
While abdominal stabbings are frequently associated with homicides, abdominal self-stabbing is uncommon and poses a challenge for the investigators. In cases of sharp force trauma, the presence of hesitation cuts over the neck and extremities help to distinguish self-inflicted injuries from homicides. Hesitation cuts are not associated with self-inflicted sharp force injuries to the abdomen, and thus are of limited use in distinguishing suicidal from homicidal abdominal stab wounds. In this study, we present a case of self-inflicted abdominal stabbing along with a detailed review of literature to help elucidate such cases...
December 9, 2016: Medico-legal Journal
https://www.readbyqxmd.com/read/27903782/the-assessment-of-grip-strength-after-upper-limb-injuries-in-medico-legal-practice
#4
Hjcr 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...
November 30, 2016: Medico-legal Journal
https://www.readbyqxmd.com/read/27899697/sudden-death-of-a-child-due-to-pyogenic-bacterial-myocarditis
#5
Asit K Sikary, Asit R Mridha, Chittaranjan Behera
Bacterial myocarditis is an uncommon condition and only a few fatal cases in adults are reported in the scientific literature. Death from acute bacterial myocarditis in children is extremely rare. We report an unusual case of fatal bacterial myocarditis in a seven-year-old girl, who had a history of cough for a month and fever for two days. She was given symptomatic treatment by a local physician without suspecting her clinical condition. Her condition rapidly deteriorated and she was brought in dead to the hospital...
November 28, 2016: Medico-legal Journal
https://www.readbyqxmd.com/read/27837166/an-unusual-lethal-gunshot-wound-to-the-head
#6
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...
November 11, 2016: Medico-legal Journal
https://www.readbyqxmd.com/read/27837165/pattern-of-unnatural-deaths-among-children-an-autopsy-study
#7
Praveen Athani, Basappa S Hugar, S Harish, Y P Girishchandra
This study was conducted at the M. S. Ramaiah Medical College, Bangalore, between October 2007 and September 2009 to analyse the age and sex distribution of unnatural deaths in children, patterns and manner of death. Detailed information regarding the circumstances of death was sought from the relatives, friends and police. The scene of occurrence was visited, and photographs of the scene of occurrence were examined in relevant cases. Unnatural deaths in children constituted 6.62% of the total autopsies conducted...
November 11, 2016: Medico-legal Journal
https://www.readbyqxmd.com/read/27799444/severing-of-skull-cap-a-rare-trauma-attributed-to-transportation-of-bulldozer
#8
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...
October 31, 2016: Medico-legal Journal
https://www.readbyqxmd.com/read/27803261/new-president-s-editorial
#9
EDITORIAL
Daniel Haines
No abstract text is available yet for this article.
December 2016: Medico-legal Journal
https://www.readbyqxmd.com/read/27637249/financial-and-legal-decision-making-capacity-in-the-aphasic-population-a-narrative-review
#10
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...
December 2016: Medico-legal Journal
https://www.readbyqxmd.com/read/27553446/an-analysis-of-the-most-common-types-of-hand-injury-mistakes-and-their-cost-in-the-acute-setting
#11
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...
December 2016: Medico-legal Journal
https://www.readbyqxmd.com/read/27542392/fatal-ovarian-hyperstimulation-syndrome-in-an-anonymous-egg-donor
#12
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...
December 2016: Medico-legal Journal
https://www.readbyqxmd.com/read/27520526/do-not-resuscitate-lawful-or-unlawful
#13
Alec Samuels
No abstract text is available yet for this article.
December 2016: Medico-legal Journal
https://www.readbyqxmd.com/read/27514400/the-state-of-ethical-legal-oaths-in-uk-medical-practice-today-is-it-time-to-look-at-standardising
#14
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)...
December 2016: Medico-legal Journal
https://www.readbyqxmd.com/read/27510887/res-ipsa-loquitor-no-sui-generis-application-to-aesthetic-surgery
#15
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.
December 2016: Medico-legal Journal
https://www.readbyqxmd.com/read/27510886/the-law-and-medicine-one-family-s-view
#16
David Neuberger, James Neuberger
No abstract text is available yet for this article.
December 2016: Medico-legal Journal
https://www.readbyqxmd.com/read/27465314/ingestion-of-safety-razor-blade-and-delayed-hanging-in-a-complex-suicide
#17
Mohit Singh Chauhan, C Behera, Sunil Naagar, M Sreenivas
Ingestion of a foreign body is mostly accidental in children and intentional in prisoners to achieve hospitalization; however, use of this method of suicide is rare. We report a case where the victim first ingested a safety razor blade, but failed to die and then hanged himself, but failed again and finally succumbed to the complications on the sixth day. He had also attempted suicide by inflicting multiple incised wounds on his neck four days before the safety blade ingestion, but none were fatal.
December 2016: Medico-legal Journal
https://www.readbyqxmd.com/read/27465313/fatal-anaphylaxis-from-hymenoptera-stings
#18
Tanuj Kanchan, Alok Atreya, Raghvendra Singh Shekhawat
Venomous insect stings are a cause of morbidity and mortality worldwide. The sting reactions are unpredictable and vary among individuals. A case of fatal insect sting in an elderly female is presented to discuss the associated challenges during necropsy.
December 2016: Medico-legal Journal
https://www.readbyqxmd.com/read/27030506/psychological-resilience
#19
Richard Reid
No abstract text is available yet for this article.
December 2016: Medico-legal Journal
https://www.readbyqxmd.com/read/27702936/functional-and-symptomatic-assessment-of-medico-legal-claims-after-upper-limb-injuries
#20
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
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