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https://www.readbyqxmd.com/read/27909568/implementation-of-minimal-invasive-gynaecological-surgery-certification-will-challenge-gynaecologists-with-new-legal-and-ethical-issues
#1
V Tanos, R Socolov, P Demetriou, M Kyprianou, A Watrelot, Y Van Belle, R Campo
The introduction of a certification / diploma program in Minimal Invasive Surgery (MIS) is expected to improve surgical performance, patient's safety and outcome. The Gynaecological Endoscopic Surgical Education and Assessment programme (GESEA) and the ESHRE Certification for Reproductive Endoscopic Surgery (ECRES) provides a structured learning path, recognising different pillars of competence. In order to achieve a high level of competence a two steps validation is necessary: (a) the individual should be certified of having the appropriate theoretical knowledge and (b) the endoscopic psychomotor skills before entering in the diploma programme reflecting the surgical competence...
June 27, 2016: Facts, Views & Vision in ObGyn
https://www.readbyqxmd.com/read/27891018/legal-challenges-in-neurological-practice
#2
REVIEW
Sita Jayalakshmi, Sudhindra Vooturi
Clinical neuroscience has made tremendous advances over the last century. Neurology as a discipline is still considered challenging and at times risky due to the natural history and progressive course of few of the neurological diseases. Encouragingly, the patient and their caregivers are now increasingly willing to be actively involved in making decisions. The patients' relationship with the doctor is a reflection of the society. A society that is orienting itself toward "rating" and "feedback" has made this doctor-patient relationship, a consumer-service provider relationship...
October 2016: Annals of Indian Academy of Neurology
https://www.readbyqxmd.com/read/27891016/special-issue-on-medicolegal-issues-in-neurology
#3
EDITORIAL
Subhash Kaul, Suvarna Alladi
No abstract text is available yet for this article.
October 2016: Annals of Indian Academy of Neurology
https://www.readbyqxmd.com/read/27890105/use-of-postmortem-computed-tomography-angiography-to-detect-vascular-injuries-accompanying-skull-base-fracture
#4
Hikaru Kuninaka, Yoichiro Takahashi, Rie Sano, Keiko Takahashi, Rieko Kubo, Yoshihiko Kominato, Hiroyuki Takei, Susumu Kobayashi, Takehiro Shimada, Hiroyuki Tokue, Sachiko Awata, Satoshi Hirasawa
A 58-year-old woman who had presented for upper gastrointestinal barium examination accidently slipped from the movable bed, and her head became compressed between the end of the bed and the side wall. She suffered massive bleeding from her nose and ear followed by cardiac arrest, and subsequent attempts at cardiopulmonary resuscitation failed. A medicolegal autopsy was performed to reveal the cause of death, as part of the investigation of the accident. During the autopsy, postmortem cerebral CT angiography was carried out by injection of 5% gelatin-barium emulsion as a radiopaque contrast medium into the bilateral common carotid arteries, demonstrating transudation of the contrast medium into the right acoustic meatus and the sphenoidal sinus cavity...
November 2016: Legal Medicine
https://www.readbyqxmd.com/read/27890099/potential-use-of-pericardial-ctni-mg-2-and-ca-2-in-the-forensic-investigation-of-seawater-drowning-in-greece-an-initial-assessment
#5
Aspasia Deliligka, Nikolaos Raikos, Fotios Chatzinikolaou, Ioannis Venizelos, Kyriakos Chatzopoulos, Antonis Goulas
The investigation of drowning constitutes one of the biggest problems in forensic practice. Elevated cardiac troponin I (cTnI) levels in biological fluids have been associated with myocardial damage, whereas increased Mg(2+) and Ca(2+) levels were found in cases of seawater drowning. The aim of this study was to examine the diagnostic utility of postmortem determination of cTnI, Mg(2+) and Ca(2+) in the pericardial fluid, in differentiating between cases of seawater drowning related to myocardial injury and those brought about by other causes...
November 2016: Legal Medicine
https://www.readbyqxmd.com/read/27889367/use-or-abuse-a-qualitative-study-of-emergency-physicians-views-on-use-of-observation-stays-at-three-hospitals-in-the-united-states-and-england
#6
Graham P Martin, Brad Wright, Azeemuddin Ahmed, Jay Banerjee, Suzanne Mason, Damian Roland
STUDY OBJECTIVE: Accumulating evidence has shown increasing use of observation stays for patients presenting to emergency departments and requiring diagnostic evaluation or time-limited treatment plans, but critics suggest that this expansion arises from hospitals' concerns to maximize revenue and shifts costs to patients. Perspectives of physicians making decisions to admit, observe, or discharge have been absent from the debate. We examine the views of emergency physicians in the United States and England on observation stays, and what influences their decisions to use observation services...
November 23, 2016: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/27879497/the-differential-diagnosis-between-natural-death-and-homicide-an-everlasting-challenge-for-the-forensic-pathologist-an-exemplar-case-report
#7
Alessandro di Luca, Valentino de Matteis, Antonio Marcelli, Matteo Polacco, Vincenzo L Pascali, Antonio Oliva
Most of the work performed by the forensic expert is to find proof for different plausible hypotheses that may be used in a trial to serve justice purposes when the "identity" of a case is already unveiled. Yet the previous phase of the investigation is also of great importance, and sometimes (like in the presented case), it represents the core element of the entire investigation. The appropriate determination of the differential diagnosis between a natural death and a death of forensic interest (ie, homicide) is the first and crucial step in the classification of a case...
November 23, 2016: American Journal of Forensic Medicine and Pathology
https://www.readbyqxmd.com/read/27874913/metal-on-metal-total-hip-arthroplasty-quality-of-online-patient-information
#8
Geoff Crozier-Shaw, Joseph M Queally, John F Quinlan
Metal-on-metal total hip arthroplasty (THA) has generated much attention in the media because of early failure of certain implant systems. This study assessed the quality, accuracy, and readability of online information on metal-on-metal THA. The search terms "metal-on-metal hip replacement" and "metal hip replacement" were entered into the 3 most popular search engines. Information quality was assessed with the DISCERN score and a specific metal-on-metal THA content score. Accuracy of information was assessed with a customized score...
November 22, 2016: Orthopedics
https://www.readbyqxmd.com/read/27872398/five-year-study-of-unidentified-unclaimed-and-unknown-deaths-brought-for-medicolegal-autopsy-at-premier-hospital-in-new-delhi-india
#9
Abhishek Yadav, Adarsh Kumar, Rajanikanta Swain, Sudhir Kumar Gupta
Delhi is the second largest city of the world both in terms of population and area, as well as being the capital of India. Every year, thousands of people from different states throng to the capital in search of a job in order to earn a living. When these people die and their bodies are found without any identifying documentation, it is very difficult for the police to establish their identities. These bodies are labelled as unidentified/unclaimed or unknown, and are sent for usually sent for medicolegal autopsy...
November 21, 2016: Medicine, Science, and the Law
https://www.readbyqxmd.com/read/27857815/the-role-of-the-iron-stain-in-assessing-intracranial-hemorrhage
#10
Rudy J Castellani, Gruschenka Mojica, George Perry
The timing of the breakdown of red blood cells and organization of hemorrhage has significance in the catabolism of heme and the processing of iron, but also has a practical application in terms of assigning, or attempting to assign, a time course with respect to traumatic events (e.g. contusions and hemorrhages). Attempts to date contusions, however, have generally been unsuccessful by macroscopic observation, whereas the microscopic observations provide broad data but are also anatomically imprecise as a function of time...
2016: Open Neurology Journal
https://www.readbyqxmd.com/read/27846775/red-flags-in-the-clinical-interview-may-forecast-invalid-neuropsychological-testing
#11
Michael E Keesler, Kirstie McClung, Tawny Meredith-Duliba, Kelli Williams, Thomas Swirsky-Sacchetti
OBJECTIVE: Evaluating assessment validity is expected in neuropsychological evaluation, particularly in cases with identified secondary gain, where malingering or somatization may be present. Assessed with standalone measures and embedded indices, all within the testing portion of the examination, research on validity of self-report in the clinical interview is limited. Based on experience with litigation-involved examinees recovering from mild traumatic brain injury (mTBI), it was hypothesized that inconsistently reported date of injury (DOI) and/or loss of consciousness (LOC) might predict invalid performance on neurocognitive testing...
November 16, 2016: Clinical Neuropsychologist
https://www.readbyqxmd.com/read/27843680/non-neurological-major-complications-of-extreme-lateral-and-related-lumbar-interbody-fusion-techniques
#12
Nancy E Epstein
BACKGROUND: Complications exclusive of new neurological deficits/injuries that follow extreme lateral interbody fusion (XLIF) and related lateral lumbar interbody techniques should be better recognized to determine the safety of these procedures. Unfortunately, a review of the XLIF literature did not accurately reflect the frequency of these "other complications" as few US surgeons publish such adverse events that may lead to medicolegal suits. METHODS: Major complications occurring with XLIF included sympathectomy, major vascular injuries, bowel perforations, sterile seromas, and instrumentation failures...
2016: Surgical Neurology International
https://www.readbyqxmd.com/read/27833489/perioperative-death-its-implications-and-management
#13
REVIEW
J P Attri, R Makhni, V Chatrath, N Bala, R Kumar, P Jain
Death to most people is a major life event. Nothing in this world prepares us to face and manage the perioperative death although the majority of anesthesiologists will be involved in an intraoperative death during the course of their careers. Whether death on the table was expected or occurred when least expected or may be even later, the anesthesiologist is most likely to be affected emotionally, physically in his personal life, and as well as will have an influence on his professional career. Anesthesiologists as perioperative physicians are likely to experience death on the operating table at some time in their careers...
October 2016: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/27826651/do-we-still-need-autopsy-in-times-of-modern-multislice-computed-tomography-missed-diagnoses-in-the-emergency-room
#14
S A Euler, T Kastenberger, R Attal, M Rieger, M Blauth, M Petri
INTRODUCTION: In spite of increasing quality of emergency room (ER) assessment in trauma patients and improved accuracy of modern multislice computed tomography (MSCT), the number of potentially missed diagnoses is still controversial. The aim of this study was to compare the initial findings of ER assessment and MSCT to the findings during autopsy in trauma patients not surviving the first 48 h after admission. We hypothesized that autopsy was more accurate than MSCT in diagnosing potentially fatal diagnoses...
November 8, 2016: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/27825046/talin-a-potential-protein-biomarker-in-postmortem-investigations
#15
Zahra K Campell, Insu Kwon, Sheree J Finley, Youngil Lee, Gulnaz T Javan
The determination of the postmortem interval is of utmost importance in medicolegal death investigations. There are a number of ways to estimate the postmortem interval; however, the current established methods are susceptible to numerous biotic and abiotic factors. Previously published studies state that protein concentrations in postmortem brain tissues can detect protein changes via immunoblotting and densitometry techniques. The objective of the current study was to determine if there is a correlation between protein expression in cadaver tissues and postmortem interval...
November 2, 2016: Journal of Forensic and Legal Medicine
https://www.readbyqxmd.com/read/27824634/the-differential-diagnosis-and-treatment-of-catatonia-in-children-and-adolescents
#16
Aaron J Hauptman, Sheldon Benjamin
LEARNING OBJECTIVES: After participating in this activity, learners should be better able to:• Assess the etiologies associated with catatonia in children and adolescents• Evaluate the differential diagnosis of pediatric catatonia• Interpret the literature regarding the treatment of children and adolescents with catatonia OBJECTIVE: Pediatric catatonia is associated with many medical and psychiatric conditions. Mortality is high, and proper treatment can be lifesaving. Catatonia is increasingly recognized in pediatric populations, in which about 20% of cases are related to underlying medical conditions...
November 2016: Harvard Review of Psychiatry
https://www.readbyqxmd.com/read/27824482/medicolegal-malpractice-and-ethical-issues-in-radiology
#17
Leonard Berlin
No abstract text is available yet for this article.
November 8, 2016: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/27807203/characteristics-of-brazilian-offenders-and-victims-of-interpersonal-violence-an-exploratory-study
#18
Sérgio d'Avila, Ana Cristina Campos, Ítalo de Macedo Bernardino, Gigliana Maria Sobral Cavalcante, Lorena Marques da Nóbrega, Efigênia Ferreira E Ferreira
The aim of this study was to characterize the profile of Brazilian offenders and victims of interpersonal violence, following a medicolegal and forensic perspective. A cross-sectional and exploratory study was performed in a Center of Forensic Medicine and Dentistry. The sample was made up of 1,704 victims of nonlethal interpersonal violence with some type of trauma. The victims were subject to forensic examinations by a criminal investigative team that identified and recorded the extent of the injuries. For data collection, a specific form was designed consisting of four parts according to the information provided in the medicolegal and social records: sociodemographic data of the victims, offender's characteristics, aggression characteristics, and types of injuries...
November 1, 2016: Journal of Interpersonal Violence
https://www.readbyqxmd.com/read/27797348/telemedicine-and-telepsychology-a-medicolegal-dilemma-clarifying-standard-of-care-for-the-physicians-emergency-certificate-a-case-report
#19
Lynn W Aurich
Physicians and psychologists are often the front-line professionals who examine and treat individuals who are in suicidal crisis. Murphy comments "the clinical conditions that predispose to suicide frequently occasion visits to physicians, mostly nonpsychiatrists." When suicide appears imminent, physicians and psychologists take the necessary steps to hospitalize the patient to ensure their safety. If the patient refuses to voluntarily submit to examination and hospitalization, La.R.S.28:53 provides the legal means for effecting examination and treatment...
September 2016: Journal of the Louisiana State Medical Society: Official Organ of the Louisiana State Medical Society
https://www.readbyqxmd.com/read/27789047/self-induced-illegal-abortion-with-rivanol-%C3%A2-a-medicolegal-toxicological-case-report
#20
Sarah C Koelzer, Hannelore Held, Stefan W Toennes, Marcel A Verhoff, Cora Wunder
Approximately during the 30th week of pregnancy, a woman gave birth to a still-born child in a hospital. After first citing an extraneous cause for the premature still-birth, the woman later admitted to having self-induced the abortion by injecting the antiseptic Rivanol(®) (active agent: ethacridine lactate) through her abdominal wall into the amniotic cavity. The investigating authorities ordered an autopsy of the fetus along with additional toxicological investigations. To the naked eye, no obvious cause of death was apparent...
August 27, 2016: Forensic Science International
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