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https://www.readbyqxmd.com/read/28423747/establishment-of-requirements-and-methodology-for-the-development-and-implementation-of-greymatters-a-memory-clinic-information-system
#1
Archana Tapuria, Matt Evans, Vasa Curcin, Tony Austin, Nathan Lea, Dipak Kalra
INTRODUCTION: The aim of the paper is to establish the requirements and methodology for the development process of GreyMatters, a memory clinic system, outlining the conceptual, practical, technical and ethical challenges, and the experiences of capturing clinical and research oriented data along with the implementation of the system. METHODS: The methodology for development of the information system involved phases of requirements gathering, modeling and prototype creation, and 'bench testing' the prototype with experts...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28420294/smart-recognising-the-value-of-existing-practice-and-introducing-recent-developments-leaving-no-stone-unturned-in-the-assessment-and-treatment-of-the-pdoc-patient
#2
H Gill-Thwaites, K E Elliott, R Munday
Over the last 25 years there have been a number of papers highlighting the issues of high rates of misdiagnosis in prolonged disorders of consciousness (PDOC) (Andrews, K., Murphy, L., Munday, R., & Littlewood, C. (1996). Misdiagnosis of the vegetative state: Retrospective study in a rehabilitation unit. BMJ, 313(7048), 13-16; Childs, N. L., Mercer, W. N., & Childs, H. W. (1993). Accuracy of diagnosis of persistent vegetative state. Neurology, 43(8), 1465-1467). Surprisingly, these rates still remain at the same level despite defined criteria for diagnosis (Schnakers, C...
April 18, 2017: Neuropsychological Rehabilitation
https://www.readbyqxmd.com/read/28418341/the-knowledge-level-and-opinions-of-physicians-about-the-medical-and-legal-procedures-related-to-physical-child-abuse
#3
Sema Demirçin, Akın Tütüncüler, Fatmagül Aslan, Sevtap Velipaşaoğlu Güney, Mehmet Atılgan, Hakan Gülkesen
BACKGROUND: In order to diagnose child abuse, physicians need to consider the possibility of abuse in every child they encounter, have sufficient information about the topic and manage the cases according to current law. AIMS: To determine the knowledge level of physicians on child abuse and to learn their opinions about the procedures when they suspect child abuse. STUDY DESIGN: A questionnaire (cross-sectional) study. METHODS: A detailed questionnaire was applied to 390 physicians of whom 233 were general practitioners...
April 5, 2017: Balkan Medical Journal
https://www.readbyqxmd.com/read/28407560/genital-and-anal-injuries-a-cross-sectional-australian-study-of-1266-women-alleging-recent-sexual-assault
#4
Renate R Zilkens, Debbie A Smith, Maureen A Phillips, S Aqif Mukhtar, James B Semmens, Maire C Kelly
OBJECTIVES: To describe the frequency of genital and anal injury and associated demographic and assault characteristics in women alleging sexual assault. DESIGN: Cross-sectional study. SETTING: Sexual Assault Resource Centre (SARC), Western Australia. PARTICIPANTS: Total of 1266 women attending SARC from Jan-2009 to Mar-2015. METHODS: Women underwent a standardised data collection procedure by forensically trained doctors...
March 29, 2017: Forensic Science International
https://www.readbyqxmd.com/read/28400041/heart-attack-guidance-for-physicians-when-to-suspect-how-to-diagnose-what-to-do
#5
EDITORIAL
K K Aggarwal, Sundeep Mishra
Lack of awareness among the first contact physicians is one of the major causes for delay in reperfusion therapy in India. Physicians need not only clear-cut guidance about when to perform an ECG and when to refer a patient but also need to understand the mortality advantage of early intervention as well as medico-legal aspects of this condition.
April 2017: Indian Heart Journal
https://www.readbyqxmd.com/read/28399467/ultrasound-assisted-low-density-solvent-dispersive-liquid-liquid-microextraction-for-the-determination-of-4-designer-benzodiazepines-in-urine-samples-by-gas-chromatography-triple-quadrupole-mass-spectrometry
#6
Liang Meng, Binling Zhu, Kefang Zheng, Shanlin Fu
A novel microextraction technique based on ultrasound-assisted low-density solvent dispersive liquid-liquid microextraction (UA-LDS-DLLME) had been applied for the determination of 4 designer benzodiazepines (phenazepam, diclazepam, flubromazepam and etizolam) in urine samples by gas chromatography- triple quadrupole mass spectrometry (GC-QQQ-MS). Ethyl acetate (168μL) was added into the urine samples after adjusting pH to 11.3. The samples were sonicated in an ultrasonic bath for 5.5min to form a cloudy suspension...
April 4, 2017: Journal of Chromatography. B, Analytical Technologies in the Biomedical and Life Sciences
https://www.readbyqxmd.com/read/28399461/measurement-of-open-apices-in-tooth-roots-in-colombian-children-as-a-tool-for-human-identification-in-asylum-and-criminal-proceedings
#7
REVIEW
Marcela Rivera, Stefano De Luca, Lina Aguilar, Luz Andrea Velandia Palacio, Ivan Galić, Roberto Cameriere
Dental age estimation was recognized as an imperative issue in clinical and medico-legal practice. However, very few studies on dental age estimation in children have been published in Colombia. This study evaluated the accuracy of Cameriere's method of measurement of open apices on tooth roots in a sample of 526 digital panoramic radiographs (OPTs) of children (274 boys and 252 girls), aged between 6 and 14 years, from Bogotá, Valle del Cauca, Buga and Villavicencio, in Southwest Colombia. Only first seven permanent lower teeth, except third molar, from the left side of mandible were studied...
April 6, 2017: Journal of Forensic and Legal Medicine
https://www.readbyqxmd.com/read/28390329/child-sexual-abuse-presenting-to-district-general-hospital-chilaw
#8
M D Chandrasiri, D K Wijewardena, S D Lanerolle, S E Chandrasiri, K P Wijewardena, R T Cooray
Introduction: Incidence of child sexual abuse is increasing worldwide. There is little data on child sexual abuse in the North Western Province of Sri Lanka. Objectives: To describe the demographic and medico-legal findings of victims of sexual abuse aged less than 16 years and to identify factors associated with positive findings on medical-legal examination. Methods: This cross-sectional analytical study, analysed 132 victims, referred by authorities to General Hospital,Chilaw, from 2012 to 2014...
March 31, 2017: Ceylon Medical Journal
https://www.readbyqxmd.com/read/28390027/insects-associated-with-pig-carrion-in-two-environments-of-the-brazilian-savanna
#9
L S de Faria, M L Paseto, M S Couri, C A Mello-Patiu, J Mendes
Studies of carrion fauna have increased in Brazil and have contributed to the knowledge of this fauna in the national territory. Brazil has continental dimensions and presents various biomes in its territorial area. Most of the carrion fauna have seldom been studied, and this is especially true for the Savanna or "Cerrado." The present research examined the fauna visiting carrion in two environments and two seasons in a rural area situated in a region of Cerrado in southeastern Brazil. The two environments studied were a pasture and a fragment of semi-deciduous forest...
April 8, 2017: Neotropical Entomology
https://www.readbyqxmd.com/read/28383622/the-conscientious-objection-debate-on-emergency-contraception
#10
G Montanari Vergallo, S Zaami, N M Di Luca, E Marinelli
The authors discuss the emergency contraception (EC) topic, assessing scientific and ethical aspects. The almost totality of the studies carried out tends to report on the use of drugs as an emergency measure to prevent pregnancy. However, it is not yet completely excluded that emergency contraceptives can induce medical abortion. The debate on side effects of EC continues to be a highly emotional and controversial issue both for advocates who believe they will lower considerably the number of unintended pregnancies and abortions, and for opponents who believe that using emergency contraception amounts to an abortion...
March 2017: La Clinica Terapeutica
https://www.readbyqxmd.com/read/28377022/use-of-a-mock-deposition-program-to-improve-resident-understanding-of-the-importance-of-documentation
#11
Mina Guerges, Eliza Slama, Yacoub Zayadin, Alicia Kieninger
INTRODUCTION: It has been estimated that the probability of a physician being involved in a medical litigation by 65 years of age ranges from 76 to 98% depending on specialty. We hypothesized that a mock deposition held by a medico-legal expert attorney could effectively increase awareness of the importance of accurate and complete medical documentation. METHODS: Pre and post-lecture and mock deposition surveys were analyzed and the contents evaluated. Residents and attendings from the surgical, medical and OB-GYN departments participated...
March 22, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28372714/recognizing-and-caring-for-the-intoxicated-patient-in-an-outpatient-clinic
#12
REVIEW
Joseph H Donroe, Jeanette M Tetrault
Recognizing an intoxication syndrome in patients presenting to an outpatient clinical practice with behavior or mental status change requires initial consideration of a broad differential diagnosis. After a thorough evaluation, management may include treatment of the presenting concern, triage to a higher level of care, and management substance withdrawal. Providers should be aware of the medico-legal aspects of caring for intoxicated patients related to privacy, informed consent, and risk of harm to self and others upon leaving clinic...
May 2017: Medical Clinics of North America
https://www.readbyqxmd.com/read/28359979/variation-in-selection-criteria-and-approaches-to-surgery-for-lumbar-spinal-stenosis-among-patients-treated-in-boston-and-norway
#13
Greger Lønne, Andrew J Schoenfeld, Thomas D Cha, Øystein P Nygaard, John Anker H Zwart, Tore Solberg
OBJECTIVES: There are no uniform guidelines regarding when to operate or the ideal surgical intervention in Lumbar Spinal Stenosis (LSS). Understanding the presence of practice-based variation between different localities is critical. We sought to compare patient-reported pre-operative pain, disability, and health-related quality of life as indications for surgery between Boston and Norway, and the use of decompression alone vs. decompression and arthrodesis. PATIENTS AND METHODS: This study included 3826 patients; 1886 from Boston and 1940 from Norway...
March 21, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28352989/electric-fences-and-accidental-death
#14
Michael Burke, Morris Odell, Heinrich Bouwer, Adam Murdoch
Deaths which occur in association with agricultural electric fences are very rare. In fact, electric fences have undoubtedly saved numerous human and animal lives by safely and reliably keeping livestock confined to their fields and enclosures and thus preventing motor vehicle incidents when livestock get onto roads and highways. Accidental and intentional human contact with electric fences occurs regularly and causes little more than transient discomfort, however, on exceptional occasions, contact with electric fences appears to be directly related to the death of the individual...
March 28, 2017: Forensic Science, Medicine, and Pathology
https://www.readbyqxmd.com/read/28339816/post-mortem-toxicology-in-young-sudden-cardiac-death-victims-a-nationwide-cohort-study
#15
Thea Bjune, Bjarke Risgaard, Line Kruckow, Charlotte Glinge, Ole Ingemann-Hansen, Peter Mygind Leth, Kristian Linnet, Jytte Banner, Bo Gregers Winkel, Jacob Tfelt-Hansen
Aims: Several drugs increase the risk of ventricular fibrillation and sudden cardiac death (SCD). We aimed to investigate in detail the toxicological findings of all young SCD throughout Denmark. Methods and results: Deaths in persons aged 1-49 years were included over a 10-year period. Death certificates and autopsy reports were retrieved and read to identify cases of sudden death and establish cause of death. All medico-legal autopsied SCD were included and toxicological reports collected...
February 27, 2017: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://www.readbyqxmd.com/read/28330550/-the-type-of-traumatic-sensorineural-hearing-loss-affects-diagnostic-and-medico-legal-assessment
#16
Steen Gimsing
Traumatic sensorineural hearing loss (TSHN) is mostly a high-frequency loss resembling noise-induced hearing loss (NIHL). However, approx. 25% of TSHN audiograms differ from NIHL in being of the slope, flat or low-frequency type. The physical properties of the trauma influence the audiogram shape, and the great individual variation of susceptibility to TSHN indicates the importance of genetic factors as well. As TSHN, like NIHL, predominantly is of a metabolic rather than a mechanical nature, its magnitude and configuration may change considerably during the first weeks after the causative incident...
March 20, 2017: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/28324800/breast-textiloma-an-unending-medico-legal-issue-about-a-case-report
#17
Marwa Boussaid, Med Amin Mesrati, Rania Jouirou, Nouha Abdejlil, Abdelfeteh Zakhama, Ali Chadly, Abir Aissaoui
INTRODUCTION: Textiloma is a mass composed of retained surgical textile foreign body. It is a rare iatrogenic complication that can engage the doctor's responsibility. The aim of this manuscript is to report an unusual case of breast Textiloma mimicking a recurrent tumor and to highlight its medico-legal implications. PRESENTATION OF CASE: A 47-year-old lady, without past medical history, was diagnosed with a breast infiltring intraductal carcinoma. She was treated with mastectomy...
2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28318666/temporary-removal-cardiac-sympathetic-denervation-100-years-later-jonnesco-would-have-never-believed-it
#18
Peter J Schwartz, Gaetano M De Ferrari, Luigi Pugliese
The publisher regrets that this article has been temporarily removed. A replacement will appear as soon as possible in which the reason for the removal of the article will be specified, or the article will be reinstated. The full Elsevier Policy on Article Withdrawal can be found at http://www.elsevier.com/locate/withdrawalpolicy.
March 8, 2017: International Journal of Cardiology
https://www.readbyqxmd.com/read/28306390/study-of-cases-of-child-sexual-abuse-referred-for-medico-legal-examination-in-cairo-and-giza-egypt-2007-2011
#19
Amany E Abd El Rahman, Sonya M S Azab, Mohamed Ramadan
Child sexual abuse is a complex problem that results in detrimental effects on its victims. This study aimed to investigate the pattern of child sexual abuse in cases referred for medico-legal examination in Cairo and Giza governorates in the period between 2007-2011. The study included 813 cases of child sexual abuse. Female gender was more predominant than male gender (52.8%, 4.29 cases), and adolescents were the most frequent age group identified as victims of sexual abuse (43.8%, 356 cases). All perpetrators were male and most of them were persons outside the victims' families (89...
March 17, 2017: Journal of Child Sexual Abuse
https://www.readbyqxmd.com/read/28304357/clinical-prediction-of-suicide-and-undetermined-death-a-pseudo-prospective-clinical-and-medico-legal-study-of-substance-abusers
#20
Louise Brådvik, Mats Berglund, Arne Frank, Peter Löwenhielm
This study examines aspects of prediction of suicide and death of undetermined intent. We investigated all consecutive, autopsied patients between 1993 and 1997 who had been in contact with the Addiction Centre in Malmö from 1968 onwards. The staff was asked, shortly after autopsy but before they knew of the manner of death, if they thought the patient had committed suicide. The case records were blindly evaluated, and toxicological autopsy findings for alcohol in blood samples investigated. The specificity of prediction was 83% and significantly more often correct than the sensitivity, which was only 45% for suicide and for suicide/death of undetermined intent (93% versus 39%)...
March 17, 2017: International Journal of Environmental Research and Public Health
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