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https://www.readbyqxmd.com/read/29148172/quality-of-handwritten-surgical-operative-notes-from-surgical-trainees-a-noteworthy-issue
#1
Tatenda C Nzenza, Todd Manning, Simeon Ngweso, Marlon Perera, Shomik Sengupta, Damien Bolton, Nathan Lawrentschuk
BACKGROUND: Surgical operation notes are crucial for medical record keeping and information flow in continued patient care. In addition to inherent medical implications, the quality of operative notes also has important economic and medico-legal ramifications. Further, well-documented records can also be useful for audit purposes and propagation of research, facilitating the improvement of delivery of care to patients. We aimed to assess the quality of surgical operation notes written by junior doctors and trainees against a set standard, to ascertain whether these standards were met...
November 17, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29143322/certifying-death-in-the-united-states
#2
Leah Ruiz, Brianne M Posey, Melanie-Angela Neuilly, Mary K Stohr, Craig Hemmens
Accurately identifying death and its causes is integral to the compilation of mortality data and ultimately to the operation of the criminal justice and public health systems. A clear understanding of who is in charge of such processes is paramount to establishing the quality, or lack thereof, of the information provided in death certificates. Our study provides a comprehensive overview of all state statutes identifying death investigators charged with classifying and certifying death in the United States. We found that state statutes designate a broad range of individuals as responsible for the classification and certification of death...
November 16, 2017: Journal of Forensic Sciences
https://www.readbyqxmd.com/read/29129162/mesothelioma-in-australia-a-review
#3
Arthur Bill W Musk, Nicholas de Klerk, Fraser J Brims
The incidence of malignant mesothelioma in Australia is among the highest in the world as a result of widespread use of asbestos by industry and in construction throughout the 20th century. The risk of developing malignant mesothelioma after asbestos exposure is dose-related; a transient, low dose exposure confers a correspondingly very low risk of disease. Malignant mesothelioma is a heterogeneous disease, partly explaining the limited role of biomarkers in screening and diagnosis. The prognosis remains poor, and early advice on medico-legal compensation and a collaborative team approach to managing malignant mesothelioma are both essential...
November 20, 2017: Medical Journal of Australia
https://www.readbyqxmd.com/read/29127890/the-role-of-ethyl-glucuronide-in-supporting-medico-legal-investigations-analysis-of-this-biomarker-in-different-postmortem-specimens-from-21-selected-autopsy-cases
#4
Anna Laura Santunione, Patrizia Verri, Filippo Marchesi, Cecilia Rustichelli, Federica Palazzoli, Daniele Vandelli, Manuela Licata, Enrico Silingardi
Ethanol determination in postmortem blood is one of the most frequently requested analyses in legal medicine and forensic toxicology. Ethyl glucuronide is a non-oxidative ethanol metabolite. It is also a useful marker of ante-mortem alcohol ingestion when ethanol itself has been completely eliminated from the body and could be considered in autopsy cases to obtain more reliable indications. The aim of the present study was to investigate the ethyl glucuronide distribution in postmortem specimens from autopsy cases found to be positive for ethanol...
November 1, 2017: Journal of Forensic and Legal Medicine
https://www.readbyqxmd.com/read/29125998/suicides-by-hanging-and-its-association-with-meteorological-conditions-in-s%C3%A3-o-paulo
#5
Talita Zerbini, Victor Alexandre Percínio Gianvecchio, Damaris Regina, Tamy Tsujimoto, Victor Ritter, Julio M Singer
The main goal of this study was to evaluate the association between daily cases of hanging suicides and meteorological conditions in São Paulo, Brazil. We considered a retrospective observational study based on the analysis of all necroscopic medical-expert reports available in digital form from the central unit of the Instituto Médico Legal (Medical Legal Institute) of São Paulo between July 1, 2006 and June 31, 2007. The meteorological variables were combined via Principal Components Analysis. In order to explain their association with the frequency of suicides, Poisson regression models were employed...
November 7, 2017: Journal of Forensic and Legal Medicine
https://www.readbyqxmd.com/read/29119679/noise-induced-hearing-loss-an-examination-of-the-methods-of-assessment-in-a-cross-sectional-study-of-87-industrial-workers
#6
Sudip Das, Michael Mulheran, Melanie Brewster, Anil R Banerjee
OBJECTIVES: The surveillance of noise-induced hearing loss (NIHL) according to the Health & Safety Executive (HSE) differs from the medico-legal criteria used to assess NIHL. Our study compares the two systems and proposes a novel method of simplifying the medico-legal criteria and applying it to ascertain noise-induced hearing loss. DESIGN: The anonymised audiograms of a group of 87 industrial workers from a single site were analysed with both methods. RESULTS: The comparison showed approximately one-third of the workers assessed in this study had their noise-induced hearing loss underestimated by the HSE criteria...
November 9, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29118310/manifestation-of-coronary-atherosclerosis-in-klang-valley-malaysia-an-autopsy-study
#7
Razuin Rahimi, Mansharan Kaur Chainchel Singh, Norizal Mohd Noor, Effat Omar, Shahidan Md Noor, Mohd Shah Mahmood, Nurliza Abdullah, Hapizah Mohd Nawawi
AIMS: The present study aimed to determine the epidemiological aspects of medico-legal autopsies and manifestation of coronary atherosclerosis. METHODS: This was a cross sectional study involving 222 cases recruited from National Institute of Forensic Medicine (NIFM) Hospital Kuala Lumpur (HKL) and Department of Forensic Medicine Hospital Sungai Buloh (HSgB) for a period of 15 months, from December 2012 to April 2014. Sociodemographic and autopsy findings, including the cause and manner of death were documented...
November 8, 2017: Journal of Atherosclerosis and Thrombosis
https://www.readbyqxmd.com/read/29098067/radiographic-and-magnetic-resonances-contrast-agents-essentials-and-tips-for-safe-practices
#8
REVIEW
Mohamed R Nouh, Mohamed A El-Shazly
With extended and continued expansion of medical imaging utilization in modern medical practice over last decade, radiologists as well as other faculty staff dealing with radiographic and magnetic resonances contrast media (CM) have to be well oriented with their potential hypersensitivity reactions and recognize high-risk groups liable to develop it and enable early recognition. Radiologists and other medical staff involved in administration and dealing with CM have to be ready to implement prompt, practical and effective management plan to deal with these scenarios should they emerge...
September 28, 2017: World Journal of Radiology
https://www.readbyqxmd.com/read/29079913/radiation-protection-factors-influencing-compliance-to-referral-guidelines-in-minor-chest-trauma
#9
Denis Tack, Fabian Louagé, Alain Van Muylem, Nigel Howarth, Pierre Alain Gevenois
OBJECTIVES: To test the hypothesis that referral guidelines are not sufficiently known by prescribers and that medico-legal concerns could influence the prescription of radiographs in minor chest trauma. METHODS: We submitted a questionnaire including a typical clinical history and questions on reasons for prescribing radiographs of the ribs in minor chest trauma to 112 prescriptors (33 residents, 18 surgeons, 7 internists, 24 general practitioners and 30 ER physicians)...
October 27, 2017: European Radiology
https://www.readbyqxmd.com/read/29077813/death-or-near-death-in-patients-with-obstructive-sleep-apnoea-a-compendium-of-case-reports-of-critical-complications
#10
Y Subramani, M Nagappa, J Wong, J Patra, F Chung
The care of surgical patients with obstructive sleep apnoea (OSA) invokes concerns with safety and liability because of the risk that exists for perioperative death or near-death. The purpose of this review is to analyse the available literature to identify risk factors for perioperative critical complications in patients with OSA. Literature reports were screened for life threatening complications and deaths in surgical patients with OSA. The critical complications were sub-grouped as death/near-death events (death and anoxic brain damage) vs critical respiratory events (CRE)/other events and analysed for various risk factors...
November 1, 2017: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/29072080/gettemo-position-statement-on-bariatric-endoscopic-techniques-as-a-voluntary-medicine
#11
Javier Nebreda Durán, Eduard Espinet Coll
Dear Editor, We would like to clarify certain points in the article by C. Dolz et al. entitled "Informed consent in digestive endoscopy - Patient information, endoscopist protection", more specifically regarding the section "Obesity treatments". First, we want to congratulate the authors for their highly relevant yearlong research of the medico-legal aspects of Spanish endoscopy and for sharing their knowledge with endoscopists on a national level. With regard to the endoscopic management of obesity, we consider that the informed consent process should be even more comprehensive than that with other endoscopic techniques...
October 23, 2017: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/29067067/an-analysis-of-3105-medico-legal-cases-at-tertiary-care-hospital-rawalpindi
#12
Romana Malik, Iffat Atif, Farah Rashid, Maqbool Abbas
BACKGROUND AND OBJECTIVES: Medico legal cases are essential component of medical practice and comprise most important constituent of emergencies. The reporting of such cases is imperative to recognize theirsocioeconomic burden on any country. The present study was conducted to scrutinize different categories of medico legal cases and characteristics of the victims at casualty department oftertiary care hospital Rawalpindi. The objective of the study was to find out the frequency ofvarious categories of medico legal cases and major characteristics ofvictims at tertiary care hospital, Rawalpindi...
July 2017: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/29064804/-giving-medico-legal-opinions-in-cases-with-suspicion-of-medical-mistake-part-2-expert-evidence-in-cases-with-suspicion-of-medical-mistake-expectations-possibilities-threats%C3%A2
#13
Czesław Chowaniec, Małgorzata Chowaniec, Mateusz Wilk
Problems of medical mistake and therapeutic failure are inextricably linked with realization of medical services. In recent years, mostly by the media and increasing demanding attitude, a rapid increase of initiated cases opened by judicial body in conjunction with medical mistake made by medical staff is observed. Making medico-legal opinions is not easy task and often face many difficulties. These consist of lacks in medical documentation, time rigor, formal tightening and need to create team that consist of both forensic medicine specialist and clinicians, who together shall write complex medico-legal opinion...
2017: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/29049951/the-mechanics-of-dental-occlusion-and-disclusion
#14
Thomas R Katona, George J Eckert
BACKGROUND: The mechanical environment associated with occluding teeth is the foundation for a wide range of research topics, clinical practice and dogma, product development and marketing, and medico-legal issues. The purpose of this study was to experimentally examine the relationships between occlusal factors and their impact on the associated contact forces. METHODS: Matching pairs of 0°, 20°, 33° and 40° cusp first molar denture teeth were placed into Class I, II and III molar relationships...
October 10, 2017: Clinical Biomechanics
https://www.readbyqxmd.com/read/29027837/malpractice-in-paediatric-minimally-invasive-surgery-a-current-concept-results-of-an-international-survey
#15
Ciro Esposito, Maria Escolino, Marcela Bailez, Steve Rothenberg, Mark Davenport, Amulya Saxena, Anthony Caldamone, Philipp Szavay, Paul Philippe, Holger Till, Philippe Montupet, George W Holcomb Rd
This study aimed to assess malpractice in paediatric minimally invasive surgery (MIS), and attitudes, prevention strategies and mechanisms to support surgeons while they are under investigation. An observational, multicentric, questionnaire-based study was conducted. The survey questionnaire was sent via mail, and it comprised four sections. Twenty-four paediatric surgeons (average age 54.6 years), from 13 different countries, participated in this study. The majority had >15 years of experience in MIS. Three (12...
January 1, 2017: Medicine, Science, and the Law
https://www.readbyqxmd.com/read/28990246/excited-delirium-a-systematic-review
#16
Philippe Gonin, Nicolas Beysard, Bertrand Yersin, Pierre-Nicolas Carron
STUDY OBJECTIVE: We aimed to clarify the definition, epidemiology, and pathophysiology of excited delirium syndrome (ExDS) and to summarize evidence-based treatment recommendations. METHODS: We conducted a systematic literature search of MEDLINE, Ovid, Web of Knowledge, and Cochrane Library for articles published to March 18, 2017. We also searched the grey literature (Google Scholar) and official police or medical expert reports to complete specific epidemiological data...
October 9, 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/28987529/a-novel-approach-in-the-treatment-of-acute-whiplash-syndrome-ultrasound-guided-needle-percutaneous-electrolysis-a-randomized-controlled-trial
#17
J García Naranjo, S Barroso Rosa, J F Loro Ferrer, J M Limiñana Cañal, E Suarez Hernández
INTRODUCTION: Whiplash associated disorders are currently a common musculoskeletal problem. Besides the high incidence in western countries, the costs derived from prolonged treatment and medicolegal compensation, make this entity a challenging problem for clinicians and insurance companies. To date, no conservative treatment has shown clear superiority in the management of acute cases. HYPOTHESIS: Percutaneous needle electrolysis (PNE) is an effective approach for the treatment of Quebec type II acute whiplash syndrome (AWS)...
October 4, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28982884/compensation-claims-for-sub-substandard-care-of-patients-with-gastroentero-pancreatic-neuroendocrine-tumors-a-nationwide-descriptive-study-of-cases-between-2005-2016-in-norway
#18
Kari F Desserud, Ida Bukholm, Jon Arne Søreide
BACKGROUND: Management of patients with neuroendocrine tumors of the gastrointestinal tract or pancreas (GEP-NENs) poses diagnostic and therapeutic challenges. This study described the medico-legal claims reported to a national governmental system that oversees compensation to patients with GEP-NENs Materials and Methods: An electronic search of the Norwegian System of Compensation to Patients database was performed to identify claims evaluated between 2005-2016. The clinical information and the medico-legal evaluation were reviewed...
October 2017: Anticancer Research
https://www.readbyqxmd.com/read/28972355/-analysis-of-suicide-cases-in-post-mortem-examination-files-of-the-department-of-forensic-medicine-at-the-medical-university-of-bia%C3%A5-ystok-2003-to-2015
#19
Maciej Janica, Michał Szeremeta, Anna Bondar, Karolina Lomperta, Petra Drobuliakova, Anna Niemcunowicz-Janica
Aim of the study: The study presents the analysis of suicides based on the material consisting of the results of medico-legal autopsies and case files of the Department of Forensic Medicine of the Medical University of Bialystok. Material and methods: The material consisted of 6752 protocols of medico-legal autopsies carried out in the years 2003-2015 and case files, which enabled to classify cases as suicidal. The analysis included the dynamics of suicides over the years, basic demographic characteristics of victims, the ways, the time and place of suicide, the state of sobriety, the frequency of injuries in different regions of the body...
2017: Archiwum Medycyny Sa̧dowej i Kryminologii
https://www.readbyqxmd.com/read/28969171/eye-donation-awareness-and-conversion-rate-in-hospital-cornea-retrieval-programme-in-a-tertiary-hospital-of-central-india
#20
Bhavana Sharma, Ulka Shrivastava, Kavita Kumar, Rajendra Baghel, Farhana Khan, Shridhar Kulkarni
INTRODUCTION: Corneal blindness accounts for 6-8 million blinds in the world. In India, it is estimated that there are approximately 6.8 million people who have vision less than 6/60 in at least one eye due to corneal diseases. AIM: This study was done to assess the awareness about eye donation amongst attendants of critically ill and deceased patients, their willingness to donate eyes, the efficacy of grief counselling by Eye Donation Counsellors (EDC), its impact on the conversion rate and the reasons for poor donation rate...
August 2017: Journal of Clinical and Diagnostic Research: JCDR
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