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https://www.readbyqxmd.com/read/27861870/iatrogenic-burns-of-the-neckline-in-a-patient-with-tetraparesis-during-tracheotomy
#1
Anna Smędra, Ewa Meissner, Maciej Barzdo, Przemysław Grabowski, Michał Kartasiński, Wojciech Krajewski, Jarosław Berent
The paper presents a case of an atypical iatrogenic complication after tracheotomy analyzed on the basis of the case dossier materials submitted to the authors by the court of justice to prepare a forensic medical opinion concerning the correctness of the medical procedure. A 37-year-old woman was brought by the ambulance service to the hospital with acute respiratory failure due to post-tracheostomy tracheal stenosis. Tracheotomy was performed on an emergency basis. The patient suffered severe burns of the chest and neck...
November 10, 2016: Journal of Forensic Sciences
https://www.readbyqxmd.com/read/27763403/ethical-challenges-in-the-care-of-the-inpatient-with-morbid-obesity
#2
Paul L Schneider, Zhaoping Li
OBJECTIVE: To provide a thorough analysis of the range of ethical concerns that may present in relation to the care of the morbidly obese inpatient over the course of several years of care. METHODS: A narrative of the patient's complex medical care is given, with particular attention to the recommendations of three separate ethics committee consultations that were sought by his health care providers. An ethical analysis of the relevant issues is given within the Principles of Biomedical Ethics framework, highlighting the principles of autonomy, beneficence, non-maleficence, and justice...
2016: Narrative Inquiry in Bioethics
https://www.readbyqxmd.com/read/27757182/reallocation-of-shafa-hospital-beds-in-kerman-using-goal-programming-model
#3
Mohammad Hossein Mehrolhasani, Sajad Khosravi, Mahya Tohidi
INTRODUCTION: In order to improve health, hospital sources such as beds and staffing should be properly allocated and used. The aim of this study is reallocation of Shafa hospital beds in Kerman using a goal-programming model. METHODS: This study was an applied cross-sectional study, which used the goal programming model and software WinQSB to optimize bed allocation. By review of the literature and interviews with experts, the constraints in beds allocation were identified, and using the collected data the desired model was designed...
August 2016: Electronic Physician
https://www.readbyqxmd.com/read/27598499/-waiting-lists-management-model-based-on-timeliness-and-justice
#4
Cristian Julio, Patricio Wolff, María Vegoña Yarza
Waiting lists for elective surgery are considered a major health policy concern in most countries of the world. The most common reason to explain this phenomenon is that demand exceeds supply. Traditionally, the management of waiting lists has been focused on timeliness of medical attention. The objective of this paper is to present a waiting lists management model that includes the concepts of timeliness and justice simultaneously. We designed a prioritization method based solely on medical criteria. We developed a computer software to register patients, to prioritize and monitor the waiting lists...
June 2016: Revista Médica de Chile
https://www.readbyqxmd.com/read/27556556/civil-liability-characterization-of-the-demand-for-lawsuits-against-dentists
#5
Alice Aquino Zanin, Lara Maria Herrera, Rodolfo Francisco Haltenhoff Melani
In light of the fact that dentists may be held civilly liable for their practice, it is important to understand the current situation of lawsuits filed against these professionals by studying current legal decisions and the literature. The objective of this study was to analyze the case law of the Court of Justice of São Paulo, Brazil, relative to the profile of patients and professionals, the most commonly involved specialties, the amounts litigated and the court decisions pertaining to civil liability lawsuits against dentists...
August 18, 2016: Brazilian Oral Research
https://www.readbyqxmd.com/read/27437314/a-prospective-study-of-the-functional-outcome-of-anterior-cervical-discectomy-with-fusion-in-single-level-degenerative-cervical-disc-prolapse
#6
Mayur M Kamani, Arjun Ballal, Vikram Shetty, H Ravindranath Rai, Deepak Hegde
INTRODUCTION: Cervical spondylotic myelo-radiculopathy is a form of spinal cord dysfunction syndrome and usually accompanies age related degeneration of the spine. AIM: To determine the functional outcome of anterior cervical discectomy with fusion and plating in single level degenerative cervical disc prolapse. MATERIALS AND METHODS: A total of 20 patients diagnosed with degenerative single level cervical disc prolapse who presented to the Department of Orthopaedic Surgery, Justice KS Hegde Charitable Hospital, Mangalore from the period of November 2012 to May 2014 were enrolled in the study...
May 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27119465/current-options-for-the-treatment-of-pathological-scarring
#7
Julian Poetschke, Gerd G Gauglitz
Scarring is the consequence of surgery, trauma or different skin diseases. Apart from fresh, immature scars,that transform into mature scars over the course of would healing and that do not require further treatment,linear hypertrophic scars, widespread hypertrophic scars, keloids and atrophic scars exist. Symptoms like pruritusand pain, stigmatization as well as functional and aesthetic impairments that are very disturbing for the affected patients can bethe basis for the desire for treatment. Today, a multitude of options for the treatment and prevention of scars exists...
May 2016: Journal der Deutschen Dermatologischen Gesellschaft, Journal of the German Society of Dermatology: JDDG
https://www.readbyqxmd.com/read/27097953/fatal-pulmonary-thromboembolism
#8
A Yakar, F Yakar, N Ziyade, M Yıldız, I Üzün
OBJECTIVE: Venous thromboembolism is a complex, multifactorial disease, involving interactions between acquired or inherited predispositions to thrombosis and various risk factors, such as trauma and surgery. This study investigated the clinical features and most important risk factors of fatal pulmonary thromboembolism (PTE). MATERIALS AND METHODS: Forensic records stored at the Council of Forensic Medicine, Ministry of Justice in Istanbul, Turkey, from January 2010 to December 2014 were screened for deaths of confirmed PTE based on autopsy or computed tomography (CT)...
April 2016: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/26464132/sudden-unexpected-death-as-a-result-of-primary-aortoduodenal-fistula-identified-with-postmortem-computed-tomography
#9
Andrew S Williams, D'Arcy L Little, Jayantha Herath
Aortoenteric fistula (AEF) is an uncommon source of upper gastrointestinal (GI) tract hemorrhage, commonly occurring in persons with previous aortic surgery. Non-surgery related AEFs (primary AEFs) may occur in association with atherosclerotic lesions, infections, malignancies, or, rarely, result from penetrating/eroding foreign bodies. Given its rarity, primary AEF is not commonly considered in the pathologist's preliminary list of differential diagnoses at the commencement of an autopsy; however, the use of postmortem cross-sectional imaging may allow for the identification of primary AEF as a reasonable differential diagnoses prior to conventional autopsy...
December 2015: Forensic Science, Medicine, and Pathology
https://www.readbyqxmd.com/read/26457655/caring-for-evidence-research-and-care-in-an-obesity-outpatient-clinic
#10
Kay Felder, Ulrike Felt, Michael Penkler
In recent years, there has been a substantial increase in bariatric surgery rates. This form of obesity treatment is often subjected to the critique that it turns patients into passive objects of medical intervention. Similarly, efforts to 'rationalize' medicine, as in evidence-based medicine, are sometimes denounced for imposing a 'one-size-fits-all' approach that neglects patient diversity. We argue that these critiques fail to do justice to the complexities of actual care situations. In our ethnographic study of a project for bariatric pre- and aftercare, we show how research protocols not only close down but also open up spaces for patient-centered care...
September 2016: Medical Anthropology
https://www.readbyqxmd.com/read/26301607/the-care-transition-in-plastic-surgery
#11
Shane D Morrison
No abstract text is available yet for this article.
December 2015: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/26254909/ethics-and-the-facial-plastic-surgeon
#12
REVIEW
Neeraj Sethi
The facial plastic surgeon potentially has a conflict of interest when confronted with the patients requesting surgery, due to the personal gain attainable by agreeing to perform surgery. The aim of this review is to discuss the potential harm the surgeon can inflict by carrying out facial plastic surgery, beyond the standard surgical complications of infection or bleeding. It will discuss the desire for self-improvement and perfection and increase in the prevalence facial plastic surgery. We address the principles of informed consent, beneficence and non-maleficence, as well as justice and equality and how the clinician who undertakes facial plastic surgery is at risk of breaching these principles without due care and diligence...
September 2016: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/26231434/-surgery-and-justice-critical-illustration-of-arbitration-cases
#13
EDITORIAL
H Dralle
No abstract text is available yet for this article.
September 2015: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/26092705/tethered-cord-syndrome-in-the-pediatric-adolescent-gynecologic-patient
#14
Catalina Granada, Meredith Loveless, Tiffany Justice, Thomas Moriarty, Ian Mutchnick, Jennifer E Dietrich, A Scott LaJoie, Paige Hertweck
STUDY OBJECTIVE: To describe how pediatric and adolescent patients present to the gynecologist when they have tethered cord syndrome (TCS). DESIGN: We conducted a retrospective chart review on all patients suspected by the gynecologist of having TCS. SETTING: Single pediatric and adolescent gynecology clinic in a mid-sized city in the midwest. PARTICIPANTS: Thirty-two patients, first seen between 2005 and 2012, suspected of having TCS and for whom follow-up information was available...
October 2015: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/26066361/ethical-precepts-for-medical-volunteerism-including-local-voices-and-values-to-guide-rhd-surgery-in-rwanda
#15
Marilyn E Coors, Thomas L Matthew, Dayna B Matthew
At the invitation of the Rwandan Government, Team Heart, a team of American healthcare professionals, performs volunteer rheumatic heart disease (RHD) surgery in Rwanda every year, and confronts ethical concerns that call for cultural sensitivity. This article describes how five standard bioethical precepts are applied in practice in medical volunteerism related to RHD surgery in Rwanda. The content for the applied precepts stems from semiscripted, transcribed conversations with the authors, two Rwandan cardiologists, a Rwandan nurse and a Rwandan premedical student...
October 2015: Journal of Medical Ethics
https://www.readbyqxmd.com/read/26033654/evaluation-of-the-medical-malpractice-cases-concluded-in-the-general-assembly-of-council-of-forensic-medicine
#16
Yüksel Aydın Yazıcı, Humman Şen, Suheyla Aliustaoğlu, Yiğit Sezer, Cengiz Haluk İnce
BACKGROUND: Malpractice is an occasion that occurs due to defective treatment in the course of providing health services. Neither all of the errors within the medical practices are medical malpractices, nor all of the medical malpractices result in harm and judicial process. Injuries occurring at the time of treatment process may result from a complication or medical malpractice. This study aims to evaluate the reports of the controversial cases brought to trial with the claim of medical malpractice, compiled by The Council of Forensic Medicine...
May 2015: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/26003870/prevalence-of-posterior-shoulder-subluxation-in-children-with-neonatal-brachial-plexus-palsy-after-early-full-passive-range-of-motion-exercises
#17
Denise Justice, Lynnette Rasmussen, Michael Di Pietro, Kate W-C Chang, Susan L Murphy, Virginia S Nelson, Lynda J-S Yang
BACKGROUND: Children with neonatal brachial plexus palsy (NBPP) are often prescribed shoulder range of motion (ROM) exercises; however, the extent and timing of exercise implementation remains controversial in the context of shoulder joint integrity. The association of ROM exercises to delayed posterior shoulder subluxation (PSS) is unknown. OBJECTIVE: To determine prevalence of PSS in children with NBPP who began full passive ROM exercises before 6 months of age, and characteristics associated with development or absence of PSS in children...
December 2015: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/25946613/surgical-justice
#18
Shane D Morrison, Jordan W Swanson
No abstract text is available yet for this article.
August 2015: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/25908704/factors-influencing-judicial-decisions-on-medical-disputes-in-plastic-surgery
#19
Dione Batista Vila-Nova da Silva, Fábio Xerfan Nahas, Lydia Masako Ferreira
BACKGROUND: Recently, more lawsuits have been filed by patients against their plastic surgeons, often leading to social and financial losses for the physicians involved. OBJECTIVES: The authors sought to determine the factors that influence judicial decisions against plastic surgeons. METHODS: Data from 98 malpractice claims filed between January 1 2000 and December 31 2008 were obtained from a state court of justice in Brazil. The authors selected 39 closed cases for this study...
May 2015: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/25714794/thirty-day-postoperative-mortality-among-individuals-with-hiv-infection-receiving-antiretroviral-therapy-and-procedure-matched-uninfected-comparators
#20
Joseph T King, Melissa F Perkal, Ronnie A Rosenthal, Adam J Gordon, Stephen Crystal, Maria C Rodriguez-Barradas, Adeel A Butt, Cynthia L Gibert, David Rimland, Michael S Simberkoff, Amy C Justice
IMPORTANCE: Antiretroviral therapy (ART) has converted human immunodeficiency virus (HIV) infection into a chronic condition, and patients now undergo a variety of surgical procedures, but current surgical outcomes are inadequately characterized. OBJECTIVE: To compare 30-day postoperative mortality in patients with HIV infection receiving ART with the rates in uninfected individuals. DESIGN, SETTING, AND PARTICIPANTS: Retrospective analysis of nationwide electronic medical record data from the US Veterans Health Administration Healthcare System, October 1, 1996, to September 30, 2010...
April 2015: JAMA Surgery
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