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https://www.readbyqxmd.com/read/28934087/high-risk-behaviours-for-the-f%C3%A5-tus-in-pregnant-women-the-medicolegal-and-judicial-aspects
#1
P Desaunay, A Cerf-Hollender, G Andro, P Gerardin, M Dreyfus, F Guenole
Pregnancy is a period of psychological change which may lead to difficulties of adaptation and psychological suffering and give rise to high-risk behaviours for the fœtus in pregnant women. These risk behaviours, which are defined by certain authors as a form of "maltreatment" of the fœtus, usually spring from the psychological distress of the pregnant woman but are not recognised as a specific medical disorder. We illustrate the difficulties encountered in the identification of, and the specific intervention in, these situations through the clinical case of a pregnant drugs-dependent patient subjected to several stress factors who, in addition to consuming substances, developed high-risk behaviours for herself and her pregnancy: self-endangerment under the influence of substances, falls or refusals of treatment...
May 2017: Journal of gynecology obstetrics and human reproduction
https://www.readbyqxmd.com/read/28931151/global-trends-in-center-accreditation-by-the-joint-commission-international-growing-patient-implications-for-international-medical-and-surgical-care
#2
Ambar Mehta, Seth D Goldstein, Martin A Makary
Millions of patients travel internationally for medical and surgical care. We found that the annual number of centers accredited by the Joint Commission International increased from one center in 1999 to 132 centers in 2016; there are currently 939 accredited centers across 66 countries. Public health and medicolegal implications related to medical travel deserve attention.
September 1, 2017: Journal of Travel Medicine
https://www.readbyqxmd.com/read/28916405/love-death-a-retrospective-and-prospective-follow-up-mortality-study-over-45-years
#3
Lena Lange, Barbra Zedler, Marcel A Verhoff, Markus Parzeller
BACKGROUND: Although sexual activity can cause moderate stress, it can cause natural death in individuals with pre-existing illness. The aim of this study was to identify additional pre-existing health problems, sexual practices, and potential circumstances that may trigger fatal events. METHODS: This medicolegal postmortem, retrospective, and prospective study is based on data of autopsies performed at the Institute of Legal Medicine of the University hospital, Goethe-University, Frankfurt/Main, Germany...
September 12, 2017: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/28894775/pregnancy-screening-before-diagnostic-radiography-in-emergency-department-an-educational-review
#4
REVIEW
Abdelrahman Ibrahim Abushouk, Morteza Sanei Taheri, Parichehr Pooransari, Sahar Mirbaha, Alaleh Rouhipour, Alireza Baratloo
In modern medical practice, there is an increasing dependence on imaging techniques in most medical specialties. Radiation exposure during pregnancy may have serious teratogenic effects to the fetus. Therefore, checking the pregnancy status before imaging women of child bearing age can protect against these effects. Lack of international regulations and standard protocols exposes the patient to unexpected fetal radiation effects and the health professionals to medicolegal suits. Recently, the American Academy of Radiology and the European community of Medical Ionizing Radiation Protection released national guidelines regarding pregnancy screening before imaging potentially pregnant females...
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/28891358/defensive-medicine-among-obstetricians-and-gynaecologists-in-turkey
#5
Mert Küçük
In recent years, there has been a remarkable increase in medical malpractice litigations against OB/GYNs in Turkey and globally. This high litigation atmosphere may have changed attitudes, behaviour and practice of OB/GYNs. In the current study, opinions and attitudes of OB/GYNs regarding defensive medicine and to what extent they practice it were investigated. One hundred and eight OB/GYNs participated in the study. All participants found obstetrics and gynaecology riskier when compared with other medical branches and reported that they were increasingly practising defensive medicine...
September 11, 2017: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28889860/improving-uncertainty-in-widmark-equation-calculations-alcohol-volume-strength-and-density
#6
Peter D Maskell, R Alex Speers, Dawn L Maskell
The Widmark equation is probably the most commonly used calculation for medicolegal purposes. Recently the National Research Council (USA) and the Forensic Science Regulator (UK) have called for the uncertainty of all results to be given with all forensic measurements and calculations. To improve the uncertainty of measurement of results from Widmark calculations we have concentrated on the uncertainties of measurement involved in the calculation of amount of alcohol, that of the volume of alcohol, the concentration of alcohol and the density of alcohol as previous studies have investigated some of the other factors involved...
September 2017: Science & Justice: Journal of the Forensic Science Society
https://www.readbyqxmd.com/read/28889480/why-do-surgeons-receive-more-complaints-than-their-physician-peers
#7
Holly M Tibble, Nigel S Broughton, David M Studdert, Matthew J Spittal, Nicola Hill, Jennifer M Morris, Marie M Bismark
BACKGROUND: Compared with other doctors, surgeons are at an increased risk of medicolegal events, including patient complaints and negligence claims. This retrospective study aimed to describe the frequency and nature of complaints involving surgeons compared with physicians. METHODS: We assembled a national data set of complaints about surgeons and physicians lodged with medical regulators in Australia from 2011 to 2016. We classified the complaints into 19 issues across four domains: treatment and procedures, other performance, professional conduct and health...
September 9, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/28884238/medicolegal-sidebar-mis-informed-consent-in-medical-negligence-lawsuits
#8
Wendy Z W Teo, Lawrence H Brenner, B Sonny Bal
No abstract text is available yet for this article.
September 7, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28883743/medical-decision-making-and-risky-choices-psychological-and-medicolegal-consequences-of-hiv-and-hcv-contamination-of-blood-products
#9
S Riva, S Del Sordo, U Genovese, G Pravettoni
AIMS: The overall goal of this article is to make a scientific comment about the psycho-social consequences of hemophilia patients affected by human immunodeficiency virus (HIV) and/or hepatitis C virus (HCV) and to point out the related medicolegal issues. METHODS: This commentary takes into account some published evidences about the current scenario of hemophilia patients infected by HIV and/or HCV who received contaminated blood products in the late 1970s through 1985...
2017: HIV/AIDS: Research and Palliative Care
https://www.readbyqxmd.com/read/28883688/a-controversial-medicolegal-issue-timing-the-onset-of-perinatal-hypoxic-ischemic-brain-injury
#10
REVIEW
Vittorio Fineschi, Rocco Valerio Viola, Raffaele La Russa, Alessandro Santurro, Paola Frati
Perinatal hypoxic-ischemic brain injury, as a result of chronic, subacute, and acute insults, represents the pathological consequence of fetal distress and birth or perinatal asphyxia, that is, "nonreassuring fetal status." Hypoxic-ischemic injury (HII) is typically characterized by an early phase of damage, followed by a delayed inflammatory local response, in an apoptosis-necrosis continuum. In the early phase, the cytotoxic edema and eventual acute lysis take place; with reperfusion, additional damage should be assigned to excitotoxicity and oxidative stress...
2017: Mediators of Inflammation
https://www.readbyqxmd.com/read/28881494/pituitary-and-skull-base-lesions-and-the-litigious-patient
#11
Alan C Wang, Spencer Darlin, Wanda Lai, Peter F Svider, Jeffrey T Jacob, James K Liu, Jean Anderson Eloy, Adam J Folbe
BACKGROUND: The objective of this research was to evaluate litigation relating to the diagnosis and management of pituitary and ventral skull base lesions and delineate allegations involved in the decision to pursue medicolegal proceedings. METHODS: Publically available federal and court records were accessed via the Westlaw Next database. Jury verdict and settlement reports relevant to pituitary and anterior skull-base lesions were accessed, and litigation was reviewed for alleged injuries, defendant specialty, patient demographics, and other factors raised in proceedings...
September 7, 2017: International Forum of Allergy & Rhinology
https://www.readbyqxmd.com/read/28875384/rare-cause-of-delirium-and-hypoxemia-after-coronary-bypass-surgery-transdermal-lidocaine-patch-associated-methemoglobinemia
#12
Fidel A Acevedo, Esther J Kim, David A Chyatte, Vance G Nielsen
We present a case of a patient administered parasternal transdermal lidocaine patch therapy as part of a multimodal analgesic regime designed to diminish opioid-associated delirium after coronary bypass surgery. The patient presented with delirium and severe methemoglobinemia (41%) that responded to discontinuation of lidocaine therapy, oxygen administration, and methylene blue administration. The clinical contributors and medicolegal implications of this degree of lidocaine-associated methemoglobin-mediated delirium are presented in the hope of avoiding similar complications in the postoperative setting after coronary bypass surgery...
September 5, 2017: International Journal of Legal Medicine
https://www.readbyqxmd.com/read/28872536/improved-safety-and-cost-savings-from-reductions-in-cast-saw-burns-after-simulation-based-education-for-orthopaedic-surgery-residents
#13
Donald S Bae, Hayley Lynch, Katherine Jamieson, C Winnie Yu-Moe, Christopher Roussin
BACKGROUND: The purpose of this investigation was to characterize the clinical efficacy and cost-effectiveness of simulation training aimed at reducing cast-saw injuries. METHODS: Third-year orthopaedic residents underwent simulation-based instruction on distal radial fracture reduction, casting, and cast removal using an oscillating saw. The analysis compared incidences of cast-saw injuries and associated costs before and after the implementation of the simulation curriculum...
September 6, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28863125/ethical-considerations-on-disclosure-when-medical-error-is-discovered-during-medicolegal-death-investigation
#14
Dwayne A Wolf, Stacy A Drake, Francine K Snow
In the course of fulfilling their statutory role, physicians performing medicolegal investigations may recognize clinical colleagues' medical errors. If the error is found to have led directly to the patient's death (missed diagnosis or incorrect diagnosis, for example), then the forensic pathologist has a professional responsibility to include the information in the autopsy report and make sure that the family is appropriately informed. When the error is significant but did not lead directly to the patient's demise, ethical questions may arise regarding the obligations of the medical examiner to disclose the error to the clinicians or to the family...
August 31, 2017: American Journal of Forensic Medicine and Pathology
https://www.readbyqxmd.com/read/28859613/clinical-care-given-to-victims-of-sexual-assault-at-kadoma-general-hospital-zimbabwe-a-secondary-data-analysis-2016
#15
Stanley Tapesana, Daniel Chirundu, Gerald Shambira, Notion Tafara Gombe, Tsitsi Patience Juru, Tshimanga Mufuta
BACKGROUND: Despite the guidelines for managing sexual assault being in place, victims of sexual assault attended to at Kadoma General Hospital consistently raised complaints related to the quality of care offered. Medicolegal data for sexual assault has been collected at the hospital since 2012. However, no analysis had been done regardless of complaints having been raised. We analysed the dataset to determine the quality of clinical care offered to sexual assault victims. METHODS: A retrospective cross-sectional study based on secondary data was conducted...
August 31, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28857337/evidence-based-injury-prediction-data-for-the-water-temperature-and-duration-of-exposure-for-clinically-relevant-deep-dermal-scald-injuries
#16
Christine J Andrews, Roy Kimble, Margit Kempf, Leila Cuttle
Deep dermal burn injuries require extensive medical care, however, the water temperatures and durations of exposure that result in a severe scald injury are unknown. This study used a porcine burn model to investigate the time and temperature threshold for clinically relevant deep dermal injuries for both immersion (long duration) and spill/splash (short duration) scald events. Scald wounds were created on the flanks of anaesthetised juvenile Large White pigs (27kgs). Acute tissue injury evaluations performed at 1 hour and days 1, 3 and 7 post-burn (16 pigs) included: wound examination, biopsies and Laser Doppler Imaging...
August 30, 2017: Wound Repair and Regeneration
https://www.readbyqxmd.com/read/28852790/informed-consent-checklists-for-midurethral-slings-a-common-sense-approach
#17
G Alessandro Digesu, Steven Swift, Victoria Handley
INTRODUCTION AND HYPOTHESIS: Following the US Food and Drug Administration's (FDA's) warning about the use of transvaginal mesh to treat pelvic organ prolapse (POP) and the use of single-incision slings to treat incontinence, the number of lawsuits for medical negligence regarding the use of any polypropylene mesh in the vagina has increased tremendously. METHODS: This same FDA document did not question the use of polypropylene midurethral slings and polypropylene for sacrocolpopexies...
August 29, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28851096/quantifying-macrophages-and-hemosiderin-in-pediatric-dura-mater
#18
Alison Krywanczyk, Elizabeth A Bundock
Determining the age of a subdural hematoma at autopsy is of great interest for medicolegal purposes. The appearance of pigment-laden macrophages is often referenced as evidence that the subdural hematoma is 3-4 days old. However, understanding the significance of macrophages and hemosiderin requires understanding the histology of infant dura. Samples of grossly unremarkable dura taken from 17 pediatric autopsies were identified and histologically confirmed to lack subdural neomembrane. CD68 immunostaining and Prussian blue staining was performed...
August 29, 2017: Journal of Forensic Sciences
https://www.readbyqxmd.com/read/28847978/pediatric-integrative-medicine
#19
Hilary McClafferty, Sunita Vohra, Michelle Bailey, Melanie Brown, Anna Esparham, Dana Gerstbacher, Brenda Golianu, Anna-Kaisa Niemi, Erica Sibinga, Joy Weydert, Ann Ming Yeh
The American Academy of Pediatrics is dedicated to optimizing the well-being of children and advancing family-centered health care. Related to this mission, the American Academy of Pediatrics recognizes the increasing use of complementary and integrative therapies for children and the subsequent need to provide reliable information and high-quality clinical resources to support pediatricians. This Clinical Report serves as an update to the original 2008 statement on complementary medicine. The range of complementary therapies is both extensive and diverse...
September 2017: Pediatrics
https://www.readbyqxmd.com/read/28845205/medicolegal-death-scene-investigations-after-natural-disaster-and-weather-related-events-a-review-of-the-literature
#20
Luciana A Rocha, Catharine Q Fromknecht, Sarah Davis Redman, Joanne E Brady, Sarah E Hodge, Rebecca S Noe
BACKGROUND: The number of disaster-related deaths recorded by vital statistics departments often differs from that reported by other agencies, including the National Oceanic and Atmospheric Administration-National Weather Service storm database and the American Red Cross. The Centers for Disease Control and Prevention (CDC) has launched an effort to improve disaster-related death scene investigation reporting practices to make data more comparable across jurisdictions, improve accuracy of reporting disaster-related deaths, and enhance identification of risk and protective factors...
June 1, 2017: Acad Forensic Pathol
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