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https://www.readbyqxmd.com/read/28521790/unintentional-drowning-role-of-medicinal-drugs-and-alcohol
#1
Tuulia Pajunen, Erkki Vuori, Frank F Vincenzi, Pirjo Lillsunde, Gordon Smith, Philippe Lunetta
BACKGROUND: Alcohol is a well-known risk factor in unintentional drownings. Whereas psychotropic drugs, like alcohol, may cause psychomotor impairment and affect cognition, no detailed studies have focused on their association with drowning. Finland provides extensive post-mortem toxicological data for studies on drowning because of its high medico-legal autopsy rates. METHODS: Drowning cases, 2000 through 2009, for which post-mortem toxicological analysis was performed, came from the database of the Toxicological Laboratory, Department of Forensic Medicine, University of Helsinki, using the ICD-10 nature-of-injury code T75...
May 19, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28511449/management-of-accidental-and-iatrogenic-foreign-body-injuries-to-heart-case-series
#2
REVIEW
Rupesh Kumar, Sandeep Singh Rana, Sanjay Kumar, Deepanwita Das, Monalisa Datta
Accidental and iatrogenic foreign body injuries to heart require immediate attention and its timely management is cornerstone to the life of an individual. We describe in detail five cases of Accidental and iatrogenic foreign body injuries to heart encountered between January 2013 and July 2016. Our series included the following: needle stick injury to the right atrium (1 case) retained catheter fragments in the distal main pulmonary artery (1 case), right ventricle injury during catheterisation study (1 case), right ventricle injury during permanent pacemaker lead placement (1 case), device migration in atrial septal defect closure (1 case)...
March 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28509940/medico-legal-assessment-of-methamphetamine-and-amphetamine-serum-concentrations-what-can-we-learn-from-survived-intoxications
#3
Marco Weber, Rüdiger Lessig, Carolin Richter, Axel P Ritter, Ilona Weiß
Medico-legal experts are increasingly enlisted to assess the methamphetamine and amphetamine serum concentrations after a criminal offense. However, since criminal users rarely provide useful information to medico-legal experts regarding the substances abused, when the substance(s) was/were used, dose of ingestion tools are needed to interpret the analytical data, which can be used as objective evidence in such cases. A comparative series of methamphetamine and amphetamine serum concentrations were used to analyze the frequency of concentrations, to determine methamphetamine/amphetamine concentration ratios, and prove them as a tool to distinguish pure methamphetamine from mixed amphetamine/methamphetamine ingestion...
May 16, 2017: International Journal of Legal Medicine
https://www.readbyqxmd.com/read/28508731/submitting-medico-legal-intra-partum-ctg-i-p-ctg-monitoring-to-the-bolam-and-bolitho-principles
#4
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/28507374/ophthalmo-genetic-analysis-of-pakistani-patients-with-nonsyndromic-oculocutaneous-albinism-through-whole-exome-sequencing
#5
Hadia Gul, Muhammad Zeeshan Ali, Ejazullah Khan, Muhammad Zubair, Muhammad Badar, Saadullah Khan, Abdul Haleem Shah, Muzammil Ahmad Khan
Oculocutaneous albinism (OCA) is a disorder of defective melanin biosynthesis that is characterized by hypo-pigmentation of skin, hair and retinal pigment epithelium. Phenotypically, OCA patients exhibit white milky skin, whitish to golden hair and deterioration of retinal cells. Until recently, genetic studies have reported seven causative genes (TYR, TYRP1, OCA2, SLC45A2, SLC24A2, C10ORF11 and MCIR) and an uncharacterized OCA5 locus. Herein we present the medico-genetic study of three Pakistani patients inheriting autosomal recessive OCA...
May 2017: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/28500353/estimation-of-postmortem-interval-by-vitreous-potassium-evaluation-with-a-novel-fluorescence-aptasensor
#6
Yanjun Ding, Xingmei Li, Yadong Guo, Weicheng Duan, Jiang Ling, Lagabaiyla Zha, Jie Yan, Ying Zou, Jifeng Cai
Estimation of postmortem interval (PMI) is a central role in medico-legal identification. Analysis of vitreous potassium ions (K(+)) concentration is frequently used by forensic workers to estimate PMI. This paper describes interdisciplinary research to introduce fluorescence sensing techniques into forensic medicine. On the basis of silver nanoclusters (AgNCs) probe stabilized by DNA, a simple and highly sensitive fluorescence aptasensor has been proposed to selectively detect K(+) ions. The linear range for K(+) ions was found to be 0...
May 12, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28495231/descriptive-study-of-the-parkinsonian-population-in-the-north-of-france-epidemiological-analysis-and-healthcare-consumption
#7
N Carriere, D Verloop, C Dupont, V Fontaine, M Tir, P Krystkowiak, A Blanchard, L Defebvre, M-M Defebvre
BACKGROUND: The "neurodegenerative diseases plan" under elaboration for the Hauts-de-France region requires better knowledge of the patient population and care pathways. In France, the prevalence of Parkinson's disease (PD) has been estimated from cohorts to be about 1-3 per 1000 inhabitants, but exhaustive data are scarce for the general population. The purpose of this study was to evaluate the prevalence of PD in the Hauts-de-France region and to assess PD-related healthcare consumption...
May 8, 2017: Revue Neurologique
https://www.readbyqxmd.com/read/28492585/-biosimilari-in-oncologia-tutti-sono-d-accordo-ma-nessuno-li-usa
#8
Bishal Gyawali
Riassunto. Ridurre il costo dei biologici è un'importante opportunità per affrontare il problema della tossicità finanziaria in oncologia, una delle questioni più rilevanti per i sistemi sanitari. Fare ricorso ai biosimilari, le alternative meno costose ai biologici, è una strategia importante per raggiungere lo scopo. Ma l'entusiasmo provato nel riuscire a sviluppare questi prodotti resta privo di significato se non si traduce in una maggiore prescrizione da parte dei medici, preoccupati dalla possibile insorgenza di reazioni avverse o di minore efficacia...
April 2017: Recenti Progressi in Medicina
https://www.readbyqxmd.com/read/28489187/teamwork-relevance-and-interdependence-of-interprofessional-education
#9
M Tamayo, A Besoaín-Saldaña, M Aguirre, J Leiva
OBJECTIVE: Determine the perception of university students regarding interprofessional and interdependent work between team members in their inclusion in primary care. METHODS: Analytical cross-sectional study. The sampling had a probabilistic, stratified random type with 95% confidence and 5% margin of error. Seven-hundred and four students of Public Universities in Santiago (Chile) answered self-administered questionnaire. RESULTS: Ninety-seven point eight of students say that interprofessional work is important; 27...
April 27, 2017: Revista de Saúde Pública
https://www.readbyqxmd.com/read/28489134/dialectics-of-a-medical-provision-policy-in-priority-areas-in-brazil
#10
César Augusto Trinta Weber
Introduction: The people living in vulnerable areas that are difficult to access in Brazil represent a portion of the population that has proven very sensitive to lack of medical and health services. The government, seeking to solve the situation urgently, implemented the More Doctors Program [Programa Mais Médicos, in the Portuguese original] in 2013. Objective: To discuss the More Doctors Program, with the purpose of contributing to the debate on the provision of medical policies in Brazil...
March 2017: Revista da Associação Médica Brasileira
https://www.readbyqxmd.com/read/28477307/quality-indicators-in-headache-care-an-implementation-study-in-six-italian-specialist-care-centres
#11
L Pellesi, S Benemei, V Favoni, C Lupi, E Mampreso, A Negro, M Paolucci, T J Steiner, M Ulivi, S Cevoli, S Guerzoni
BACKGROUND: Headache disorders are highly prevalent, and have a substantial and negative impact on health worldwide. They are largely treatable, but differences in structure, objectives, organization and delivery affect the quality of headache care. In order to recognize and remedy deficiencies in care, the Global Campaign against Headache, in collaboration with the European Headache Federation, recently developed a set of quality indicators for headache services. These require further assessment to demonstrate fitness for purpose...
December 2017: Journal of Headache and Pain
https://www.readbyqxmd.com/read/28474712/-fiftieth-anniversary-of-the-medical-movement-in-mexico-1964-1965
#12
Alejandro Treviño-Becerra, Norberto Treviño García-Manzo, Felipe Mota-Hernández, César Gutiérrez-Samperio, Fernando Cano-Valle
This Symposium highlights the recognition that this year reaches half a century of the Medical Movement (1964-1965), and 27 years of publishing the book titled, "Documental Memories and Reflections" ("Crónica Documental y Reflexiones") edited by the Faculty of Medicine of the UNAM, at that time directed by the prestigious Dr. Fernando Cano Valle. Our President Dr. Graue indicated that Dr. Alejandro Treviño-Becerra assumed the coordination of this session with the commitment to be published in the Medical Gazette of Mexico for current and future generations...
March 2017: Gaceta Médica de México
https://www.readbyqxmd.com/read/28474699/-what-can-doctors-do-to-moderate-healthcare-costs
#13
Alberto Lifshitz, Miguel Ángel Celis, Mucio Moreno, Héctor Aguirre Gas, José Halabe, Luis Jasso, Óscar Arrieta, Rubén Burgos, Carlos Campillo, Manuel de la Llata, Judith Domínguez, Sergio Islas, Ricardo Plancarte, Alejandro Reyes, Antonio Soda, Emma Verásteguio, Julio Sotelo
Los costos de la atención médica pueden alcanzar niveles tales que marginen a algunos pacientes de los beneficios del avance científico y tecnológico. Las razones de estos elevados costos son diversas y en la mayoría de los casos no está en manos de los médicos moderarlos. En este escrito se proponen algunas acciones que los médicos podemos realizar para disminuir los costos de la atención médica. La magnitud del ahorro que se puede alcanzar con estas medidas es modesta, puesto que la mayor parte de los costos no dependen de los médicos, pero se trata de ofrecer nuestra contribución...
March 2017: Gaceta Médica de México
https://www.readbyqxmd.com/read/28474698/-presentation-of-the-editor-of-gaceta-m%C3%A3-dica-de-m%C3%A3-xico
#14
Alejandro Treviño-Becerra
La Gaceta Médica de México (GMM) es nuestro órgano oficial de divulgación que muestra los valores de la Academia Nacional de Medicina de México. Sirve como identidad del médico mexicano con sus académicos y divulga los fundamentos científicos de la práctica médica nacional.
March 2017: Gaceta Médica de México
https://www.readbyqxmd.com/read/28474172/age-estimation-during-the-blow-fly-intra-puparial-period-a-qualitative-and-quantitative-approach-using-micro-computed-tomography
#15
Daniel Martín-Vega, Thomas J Simonsen, Martina Wicklein, Martin J R Hall
Minimum post-mortem interval (minPMI) estimates often rely on the use of developmental data from blow flies (Diptera: Calliphoridae), which are generally the first colonisers of cadavers and, therefore, exemplar forensic indicators. Developmental data of the intra-puparial period are of particular importance, as it can account for more than half of the developmental duration of the blow fly life cycle. During this period, the insect undergoes metamorphosis inside the opaque, barrel-shaped puparium, formed by the hardening and darkening of the third instar larval cuticle, which shows virtually no external changes until adult emergence...
May 4, 2017: International Journal of Legal Medicine
https://www.readbyqxmd.com/read/28472574/skin-biopsy-in-the-diagnosis-of-neoplastic-skin-disease
#16
Nathan Tobias Harvey, Jonathan Chan, Benjamin Andrew Wood
BACKGROUND: Biopsy for diagnostic and therapeutic purposes is a central component in the management of neoplastic skin conditions. While the technical aspects of performing biopsies are familiar to most clinicians, a number of other aspects of the skin biopsy pathway are equally important. OBJECTIVE: The objectives of this article are to provide general principles related to the biopsy of neoplastic skin conditions and offer practical advice on the approach to some common skin neoplasms...
2017: Australian Family Physician
https://www.readbyqxmd.com/read/28457743/the-information-needs-of-patients-receiving-procedural-sedation-in-a-hospital-emergency-department
#17
Sue Revell, Judy Searle, Shona Thompson
This research investigated the information needs of patients receiving ED procedural sedation to determine the best format to consistently deliver key information in a way acceptable to all involved. Of particular interest was the question concerning patients' need for receiving written information. A descriptive exploratory study gathered qualitative data through face-to-face interviews and focus groups involving patients, nurses and medical staff. Individual interviews were conducted with eight adult patients following procedural sedation...
April 27, 2017: International Emergency Nursing
https://www.readbyqxmd.com/read/28450993/cd4-cells-recovery-in-hiv-positive-patients-with-severe-immunosuppression-at-haart-initiation-at-centre-medico-social-cor-unum-kigali
#18
Nyiramana Marie Merci, Uwimana Emerence, Nzitakera Augustin, Michael Habtu, Ingabire Julie, Tuyishime Angelique, Beneyo Jessica, Akimana Cynthia, Augustin Twizerimana Penda
INTRODUCTION: Up to 30% of HIV infected patients who are receiving HAART do not exhibit a marked increase in the CD4+ T cell count. There is still a concern that immune recovery may not be complete once CD4+ T cells have decreased below 200 cells/μl. The objective is to assess CD4+ cell recovery in HIV+ patients with CD4 count below 200 cells/μl) at HAART initiation. METHODS: This was a retrospective cohort study among 110 HIV+ patients with initial CD4 count < 200 cells/μl...
2017: Pan African Medical Journal
https://www.readbyqxmd.com/read/28444091/risk-factors-for-mortality-in-ventilator-associated-tracheobronchitis-a-case-control-study
#19
Leonilda Giani Pontes, Fernando Gatti de Menezes, Priscila Gonçalves, Alexandra do Rosário Toniolo, Claudia Vallone Silva, Julia Yaeko Kawagoe, Camila Marques Dos Santos, Helena Maria Fernandes Castagna, Marinês Dalla Valle Martino, Luci Corrêa
Objective: To describe the microbiological characteristics and to assess the risk factors for mortality of ventilator-associated tracheobronchitis in a case-control study of intensive care patients. Methods: This case-control study was conducted over a 6-year period in a 40-bed medical-surgical intensive care unit in a tertiary care, private hospital in São Paulo, Brazil. Case patients were identified using the Nosocomial Infection Control Committee database. For the analysis of risk factors, matched control subjects were selected from the same institution at a 1:8...
2017: Einstein
https://www.readbyqxmd.com/read/28444089/patient-safety-knowledge-between-multiprofessional-residents
#20
João Lucas Campos de Oliveira, Simone Viana da Silva, Pamela Regina Dos Santos, Laura Misue Matsuda, Nelsi Salete Tonini, Anair Lazzari Nicola
Objective: To assess the knowledge of multiprofesional residents in health about the security of the patient theme. Methods: Cross-sectional study, quantitative, developed with graduate courses/residence specialties of health in a public university of Paraná, Brazil. Participants (n=78) answered a questionnaire containing nine objective questions related to patient safety. Data were analyzed using descriptive statistics, in proportion measures. The minimum 75% of correct answers was considered the cutoff for positive evaluation...
2017: Einstein
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