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https://www.readbyqxmd.com/read/29780757/huge-candida-albicans-normal-native-tricuspid-valve-endocarditis
#1
Massimiliano Guerriero, Francesco Colasurdo, Anna Maria Pollio
Fungal endocarditis has become an important infection associated with medical progress and the modern lifestyle. In particular, Candida spp. is a rare but important cause of infective endocarditis. We report the case of a 28-year-old woman-quadriplegic and bedridden from birth-who died after repeated episodes of pneumonia treated with different regimens of intravenous antibiotics. A medico legal autopsy was performed, which diagnosed severe Candida native valve infective endocarditis (CIE). This case report illustrates the prolonged use of antibiotic treatment as a possible risk factor for the development of CIE...
April 2018: Autopsy & Case Reports
https://www.readbyqxmd.com/read/29777982/documentation-and-analysis-of-traumatic-injuries-in-clinical-forensic-medicine-involving-structured-light-three-dimensional-surface-scanning-versus-photography
#2
Awatif Shamata, Tim Thompson
Non-contact three-dimensional (3D) surface scanning has been applied in forensic medicine and has been shown to mitigate shortcoming of traditional documentation methods. The aim of this paper is to assess the efficiency of structured light 3D surface scanning in recording traumatic injuries of live cases in clinical forensic medicine. The work was conducted in Medico-Legal Centre in Benghazi, Libya. A structured light 3D surface scanner and ordinary digital camera with close-up lens were used to record the injuries and to have 3D and two-dimensional (2D) documents of the same traumas...
May 10, 2018: Journal of Forensic and Legal Medicine
https://www.readbyqxmd.com/read/29763338/retrieval-of-an-unusually-displaced-implant-with-healing-cap-into-the-mandibular-canal
#3
Vugar Gurbanov, Damla Torul, Dilara Kazan
Accidental displacement of dental implants into the anatomical spaces is a rare complication which may accompanied by tissue damage, functional disturbance, psychological distress and medico-legal conditions. The aim of this report is to present an unusual case of dental implant which displaced into the mandibular canal, and to highlight the importance of adequate preoperative planning and surgical knowledge.
May 15, 2018: Journal of Oral Implantology
https://www.readbyqxmd.com/read/29756116/intraabdominal-gossypiboma-report-of-two-cases
#4
Ebru Oran, Gürkan Yetkin, Nurcihan Aygün, Fevzi Celayir, Mehmet Uludağ
Gossypiboma which cause medico-legal implications is a heritage of previous surgery. In this study, we present two cases of gossypiboma mimicking intraabdominal malignancy. Case 1: A 28-year-old woman presented with an epigastric mass measuring 10 cm in diameter and a history of open cholecystectomy performed three years ago. Radiological exams revealed a cystic mass at the lesser sac and suggested serous cystadenocarcinoma. Case 2: A 36-year-old female patient with a history of two caesarean sections had a mass in the left lower quadrant...
2018: Turkish Journal of Surgery
https://www.readbyqxmd.com/read/29756112/idiopathic-weight-loss-due-to-an-entero-enteric-fistula-from-a-gossypiboma-retained-for-27-years
#5
Yusuf Tanrıkulu, Ceren Şen Tanrıkulu, Gökhan Yılmaz, Ercan Bıçakcı
Gossypiboma refers to a mass formed around surgical instruments or materials left in the body postoperatively. The occurrence of gossypibomas remains an important problem, despite improvements in surgical procedures and operating room facilities. The clinical presentation of gossypiboma can vary depending on the host response. This report describes a case of abdominal gossypiboma after splenectomy. A 48-year-old man who had undergone splenectomy 27 years ago was admitted to our clinic suffering from non-specific symptoms for 2 weeks...
2018: Turkish Journal of Surgery
https://www.readbyqxmd.com/read/29754257/fatal-unexpected-death-due-to-familial-hemophagocytic-lymphohistiocytosis-type-3
#6
Jiao Mu, Chunting Jin, Zhenglian Chen, Jianfeng Li, Bin Lv, Hongmei Dong
Familial hemophagocytic lymphohistiocytosis is a rare autosomal recessive disorder of immune dysregulation associated with uncontrolled activation of cytotoxic T cells and macrophages. Herein, we report a case of a 14-month-old Chinese boy who presented with fever, abdominal distension and thrombopenia, and died within 3 days of admission to the hospital. Postmortem examination revealed pleuroperitoneal fluid, enlarged mesenteric lymph nodes and hepatosplenomegaly. Histopathological examination showed interstitial pneumonia, hepatonecrosis and hemophagocytosis...
May 12, 2018: Forensic Science, Medicine, and Pathology
https://www.readbyqxmd.com/read/29745484/-transition-from-postgraduate-training-to-independent-practice-can-we-do-better
#7
Noëlle Junod Perron, Cédric Lanier, Sanae Mazouri
Transition from postgraduate training to independent practice in primary care can be experienced as very stressful. This may be partly explained by the fact that in Switzerland, only six months training in ambulatory medicine are required as part of a five year training for the title of primary care physician. This seems largely insufficient given the diversity of tasks and skills to master. This article aims to make junior doctors aware of the medical and non medical skills they should acquire before entering in primary care independent practice (practice management, insurance, medico-legal issues)...
May 9, 2018: Revue Médicale Suisse
https://www.readbyqxmd.com/read/29736676/basic-photographic-standards-for-abdominal-contouring-procedures-and-abdominoplasty-lipectomy
#8
Marion Dietl, Peter Kompatscher
Standardized reliable medical photographic documentation should be made by every plastic surgeon for valid comparisons of preoperative and post-operative illustrations. However, photographic documentation in aesthetic surgery has also an important medico-legal impact as if not performed accurately it can result in severe legal ramifications. Therefore, we evaluated and redefined the existing photographic standards for abdominal contouring procedures and abdominoplasty/lipectomy further, to achieve consistent detailed photographs without any corresponding distortion or distraction...
May 7, 2018: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/29730877/evaluation-of-the-decision-making-capacity-of-two-cases-planning-to-undergo-uterine-evacuation
#9
Ali Ercan Altınöz, Altan Eşsizoğlu, Mustafa Sercan, Didem Yiğit, Sinan Yıldız
Psychiatric disorders in the perinatal period can lead to a deterioration in one's judgment and decision-making ability. These disorders may cause sensitive and complex legal and ethical issues relating to psychiatric, obstetric, and neonatal care. Clinicians should ethically respect the autonomy of the individual, but at the same time, they must assess the individual's decision-making process with the use of forensic psychiatric and consultation-liaison psychiatric practice. While the literature related to mental disorders in pregnancy has been increasing, there is limited information regarding the medico-legal and ethical aspects of this topic...
2018: Türk Psikiyatri Dergisi, Turkish Journal of Psychiatry
https://www.readbyqxmd.com/read/29730481/age-threshold-for-proper-definition-of-premature-coronary-artery-disease-in-males
#10
REVIEW
Hasan A Abderrahman, Imad M Al-Abdallat, Ahmed K Idhair
BACKGROUND: There is no universally accepted definition for the cut point age before which atherosclerosis is considered "premature." This is a retrospective study aimed to utilize the medico legal autopsy information for finding a proper definition of the age threshold of premature atherosclerosis in males. OBJECTIVES: This work aimed to utilize autopsy reports data that were issued at Jordan University Hospital to evaluate age-related differences in the distribution of coronary atherosclerotic and myocardial lesions and the determination of the age threshold at which such differences became apparent in male deaths...
April 30, 2018: Journal of Forensic and Legal Medicine
https://www.readbyqxmd.com/read/29725818/thoracic-trauma-in-fatal-falls-from-height-traumatic-pneumopericardium-correlates-with-height-of-fall-and-severe-injury
#11
Jakob Heimer, Dominic Gascho, Michael J Thali, Wolf Schweitzer
Pneumopericardium (PPC) describes the collection of gas in the pericardial sac. In tension Pneumopericardium (tPPC), this collection of gas may lead to cardiac tamponade. PPC following blunt trauma is considered a rare finding, as reflected by the low number of case reports on the topic. We analyzed the prevalence and pathophysiology of PPC and the associated trauma in 44 cases of falls from height. We retrospectively analyzed postmortem CT data and autopsy reports of fatal falls in the period March 2014-2017...
May 3, 2018: Forensic Science, Medicine, and Pathology
https://www.readbyqxmd.com/read/29715177/updated-review-of-postmortem-biochemical-exploration-of-hypothermia-with-a-presentation-of-standard-strategy-of-sampling-and-analyses
#12
Guillaume Rousseau, Pascal Reynier, Nathalie Jousset, Clotilde Rougé-Maillart, Cristian Palmiere
Hypothermia is defined as a core body temperature below 35°C and can be caused by environmental exposure, drug intoxication, metabolic or nervous system dysfunction. This lethal pathology with medico-legal implications is complex to diagnose because macroscopic and microscopic lesions observed at the autopsy and the histological analysis are suggestive but not pathognomonic. Postmortem biochemical explorations have been progressively developed through the study of several biomarkers to improve the diagnosis decision cluster...
May 1, 2018: Clinical Chemistry and Laboratory Medicine: CCLM
https://www.readbyqxmd.com/read/29713941/single-stab-injuries
#13
Michael P Burke, Yeliena Baber, Zoe Cheung, Mark Fitzgerald
Determining the manner of death in cases involving multiple stab injuries from a knife is generally straightforward. The medico-legal investigation of a stabbing death caused by a single stab injury from a knife comprises a smaller but potentially more problematic subset of forensic cases. We reviewed our institute's experience with single stab injuries and endeavored to identify features identified at the post-mortem examination which may aid in the differentiation between cases of homicide, suicide and accidental death...
May 1, 2018: Forensic Science, Medicine, and Pathology
https://www.readbyqxmd.com/read/29710738/medico-legal-implications-of-hypothermic-neuroprotection-in-the-newborn
#14
S M Donn, J M Fanaroff
Hypoxic-ischemic encephalopathy (HIE) continues to be a significant source of long term neurological sequelae in infants born at or near term. In the past decade, selective head or whole body cooling has shown promising benefit in ameliorating some of the brain injury from intrapartum asphyxial insults and has become standard care in most developed countries. A decision to offer neuroprotective hypothermia (NPH) may engender subsequent litigation because it presupposes an acute intrapartum injury. Conversely, failing to offer cooling may be interpreted as a violation in the standard of care...
April 24, 2018: Journal of Neonatal-perinatal Medicine
https://www.readbyqxmd.com/read/29701600/the-credibility-of-testimony-from-minors-allegedly-victims-of-abuse-within-the-italian-legislative-framework
#15
REVIEW
G Montanari Vergallo, E Marinelli, V Mastronardi, N M di Luca, S Zaami
The authors aim to analyze the key aspects related to the testimony of children who might have been victims of sexual harassment and abuse. The issue of medico-legal psychiatric assessment of minors who claim to have been sexually abused is extremely contentious and widely-debated, not only due to the growing spread of such claims, but also on account of the technical challenges it raises. For these reasons, national as well as European lawmakers have intervened by enacting new legislation, and scientific communities have established new sets of guidelines aimed at improving the overall conditions under which a child is called to testify as well as the process through which depositions are collected and evaluated, so as to ensure that any assessment of the reliability of the testimony is scientifically grounded...
January 2018: International Journal of Law and Psychiatry
https://www.readbyqxmd.com/read/29698658/a-novel-use-of-infra-red-spectroscopy-nirs-and-atr-ftir-coupled-with-variable-selection-algorithms-for-the-identification-of-insect-species-diptera-sarcophagidae-of-medico-legal-relevance
#16
Taciano M Barbosa, Leomir A S de Lima, Marfran C D Dos Santos, Simão D Vasconcelos, Renata A Gama, Kássio M G Lima
Unequivocal identification of fly specimens is an essential requirement in forensic entomology. Herein, a simple, non-destructive and rapid method based on two vibrational spectroscopy techniques [Near-Infrared Spectroscopy (NIRS) and attenuated total reflection Fourier-transform infrared (ATR-FTIR) spectroscopy] coupled with variable selection techniques such as genetic algorithm-linear discriminant analysis (GA-LDA) and successive projection algorithm-linear discriminant analysis (SPA-LDA) were applied for identifying and discriminating six species of flesh flies (Diptera: Sarcophagidae) native to Neotropical regions...
April 23, 2018: Acta Tropica
https://www.readbyqxmd.com/read/29694673/an-assessment-of-the-skeletal-fracture-patterns-resulting-from-fatal-high-%C3%AB-3-m-free-falls
#17
Samantha K Rowbotham, Soren Blau, Jacqueline Hislop-Jambrich, Victoria Francis
The injury patterns resulting from fatal high (˃3 m) free falls have previously been documented in clinical and medico-legal contexts; however, details relating specifically to the skeletal blunt force trauma (BFT) have been limited. This study aimed to augment what is known of the skeletal fracture patterns resulting from fatal high free falls. Skeletal trauma was analyzed from full-body postmortem computed tomography scans of 95 individuals who died following a high free fall. Fracture patterns were documented using the five general anatomical regions, axial and appendicular regions, and postcranial unilateral and bilateral regions...
April 25, 2018: Journal of Forensic Sciences
https://www.readbyqxmd.com/read/29684845/medico-legal-aspects-of-disabilities-due-to-orthopedic-injuries-and-compensations-in-egypt
#18
Sherien Salah Ghaleb, Dalia Abd Elwahab Hassan, Alla Mohamed Shehab, Soad Abd El-Ghafar Mohamed Hassan
Disability is a complex problem that results in detrimental effects on the victim. The number of disabled has increased considerably. The development constitutes a good reason for paying more specific attention to society's growing number of disabled. The physician's duties are not only to describe the anatomic and physiological defects present in the injured individual, but also to answer questions regarding the patient ability to perform specific economic or social function. This study aimed to clear up some of the problems or difficulties that may face the medico-legal physician or any personal that may be concerned with the process of evaluation...
April 14, 2018: Journal of Forensic and Legal Medicine
https://www.readbyqxmd.com/read/29682267/an-unusual-deceptive-delayed-of-profuse-haemorrhage-after-mandibular-implant-dentistry-risk-planning-and-medico-legal-instruction
#19
R M Gaudio, E El Haddad, G El Haddad, D Lauritano, F Carinci
Mandibular implant placement (MIP) has been accepted and widely used for decades all over the world, and has reached a very high level of therapeutic reliability. MIP is used mostly in elderly edentulous patients who lost their teeth when dentistry was not oriented to fixed or removable prosthetic. Notwithstanding this, every year cases of severe complications during MIP due to haemorrhage causing life-threatening airway's obstruction are reported. These severe complications of MIP need immediate therapy, usually with hospitalization, and may be potentially fatal...
October 2017: Oral & Implantology
https://www.readbyqxmd.com/read/29679838/medico-legal-investigation-in-an-explicable-case-of-congenital-central-hypoventilation-syndrome-due-to-a-rare-variant-of-the-phox2b-gene
#20
Francesco Ventura, Rosario Barranco, Tiziana Bachetti, Paolo Nozza, Ezio Fulcheri, Antonella Palmieri, Isabella Ceccherini
The heterozygous PHOX2B gene mutation is related to congenital central hypoventilation syndrome (CCHS). It is characterized by defective autonomous nervous system development leading to inadequate breathing response to hypoxia and hypercapnia, leading to hypoventilation especially during non-REM sleep, but also during waking in the more severe cases. Herein we report a case of sudden death in a 28-day-old child. The mother reported the infant was found lying on her own bed in the prone position. The infant was wearing a romper and lying in her crib without any blanket or other objects...
April 17, 2018: Journal of Forensic and Legal Medicine
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