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Medico-legal Journal

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https://www.readbyqxmd.com/read/29319407/malpractice-litigation-in-acute-stroke-care-where-are-we-now
#1
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...
January 1, 2018: Medico-legal Journal
https://www.readbyqxmd.com/read/29313438/is-the-recreational-use-of-3-4-methylenedioxy-methamphetamine-safe
#2
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.
January 1, 2018: Medico-legal Journal
https://www.readbyqxmd.com/read/29313437/mudslide-and-or-animal-attack-are-more-plausible-causes-and-circumstances-of-death-for-al-288-lucy-a-forensic-anthropology-analysis
#3
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...
January 1, 2018: Medico-legal Journal
https://www.readbyqxmd.com/read/29308972/balancing-public-protection-with-fairness-to-doctors
#4
Anna Rowland
No abstract text is available yet for this article.
January 1, 2018: Medico-legal Journal
https://www.readbyqxmd.com/read/29303408/forensic-tools-for-the-diagnosis-of-electrocution-death-case-study-and-literature-review
#5
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...
January 1, 2018: Medico-legal Journal
https://www.readbyqxmd.com/read/29299947/an-unusual-case-of-suicidal-double-ligature-strangulation
#6
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.
January 1, 2018: Medico-legal Journal
https://www.readbyqxmd.com/read/29210340/homicidal-methanol-poisoning-in-filicide-suicide
#7
Asit K Sikary, C Behera
Most methanol poisonings are accidental. We present a rare case of filicide-suicide, where a youth was killed by methanol poisoning and his parents then committed suicide by jumping in front of a running train. The father's suicide note explains the crime.
December 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/29210339/gender-identity-dysphoria-and-change
#8
Harry Zeitlin, Diana Brahams
No abstract text is available yet for this article.
December 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/29210338/what-would-the-patient-have-wanted
#9
Alec Samuels
No abstract text is available yet for this article.
December 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/29210337/death-following-ceftazidime-induced-kounis-syndrome
#10
Idg Kitulwatte, S Gangahawatte, Ulms Perera, Pas Edirisinghe
Kounis syndrome, also known as allergic myocardial infarction or allergic angina syndrome, coincides with chest pain and allergic reactions. It involves the activation of interrelated inflammatory cells following allergic, anaphylactic or anaphylactoid insults. We report a case of Kounis syndrome complicated by an injection of ceftazidime. A 52-year-old man developed shortness of breath and hypotension, leading to immediate unconsciousness, after a ceftazidime injection. Despite intensive care management, he showed no improvement and died approximately 19 h after ceftazidime administration...
December 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/28849697/liability-for-providing-a-prognosis-in-surgical-practice
#11
Alex de Costa, Amy Tam
The common law's development of the doctrine of informed consent has progressively imposed broader obligations on surgeons to provide patients with information about the surgical and alternative treatment choices available. Prognosis is critical because the patient cannot provide informed consent without information about the likely evolution of the physiological or pathological processes involved in the surgery under consideration. But does the duty of care that a surgeon owes a patient require a precise prognosis to be given in every case? A recent decision of the Court of Appeal considers that question...
September 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/28849696/when-a-suicide-becomes-a-forensic-enigma-the-role-of-hanging-marks-and-tools-of-suspension
#12
Santo Gratteri, Pietrantonio Ricci, Pietro Tarzia, Vittorio Fineschi, Matteo A Sacco, Isabella Aquila
Death by hanging is asphyxiation when the body is suspended by means of a ligature. Most deaths by hanging are suicides, though occasionally they are accidental or a homicidal event. The characteristics of the hanging marks depend on the ligature used, the dynamics and on the node position with respect to the neck. When the crime scene is contaminated, the hanging mark must be checked with the type of suspension and ligatures used to establish how the hangings took place. We report on 20 cases (2013-2016) where the bodies were moved at or from the crime scene...
September 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/28849695/acid%C3%A2-%C3%A2-a-despicable-and-offensive-weapon
#13
Diana Brahams
No abstract text is available yet for this article.
September 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/28443379/informed-consent-for-cord-tissue-collection-in-a-north-eastern-italy-region-a-matter-of-inadequate-health-legislation
#14
Sergio Parco
No abstract text is available yet for this article.
September 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/28368210/judicial-oversight-of-life-ending-withdrawal-of-assisted-nutrition-and-hydration-in-disorders-of-consciousness-in-the-united-kingdom-a-matter-of-life-and-death
#15
Mohamed Y Rady, Joseph L Verheijde
Mr Justice Baker delivered the Oxford Shrieval Lecture 'A Matter of Life and Death' on 11 October 2016. The lecture created public controversies about who can authorise withdrawal of assisted nutrition and hydration (ANH) in disorders of consciousness (DOC). The law requires court permission in 'best interests' decisions before ANH withdrawal only in permanent vegetative state and minimally conscious state. Some clinicians favour abandoning the need for court approval on the basis that clinicians are already empowered to withdraw ANH in other common conditions of DOC (e...
September 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/28508732/editorial
#16
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
#17
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
#18
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
#19
Edward Nally
No abstract text is available yet for this article.
June 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/28128011/the-changing-prostate-cancer-pathway-new-challenges-new-pitfalls
#20
Mark Emberton
No abstract text is available yet for this article.
June 2017: Medico-legal Journal
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