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Medical negligence OR Clinical negligence

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https://www.readbyqxmd.com/read/29767338/-beginners-operations-and-medical-specialist-standards-avoidance-of-criminal-liability-and-civil-liability
#1
REVIEW
H Schneider
BACKGROUND: In all phases, patients are entitled to receive medical treatment according to medical specialist standards. This does not mean that patients necessarily have to be treated by a medical specialist. Operations performed by "beginners", e. g. assistant physicians, are permitted. However, there are increased liability risks, both for the specialist and the assistant physician. Furthermore, there are risks of criminal responsibility for causing bodily harm by negligence or negligent manslaughter...
May 16, 2018: Der Urologe. Ausg. A
https://www.readbyqxmd.com/read/29754748/retrospective-analysis-of-postoperative-interventions-in-mandibular-fractures-a-shift-towards-outpatient-day-surgery-care
#2
Shiva Subramaniam, Anthony Febbo, James Clohessy, Alexander Bobinskas
The management of fractured mandibles typically involves admission and operation at the time of presentation. While this should involve only a short stay in hospital these patients are surgically stable, and so priority is often given to more urgent cases. We retrospectively evaluated the postoperative medical requirements of patients who were operated on at Fiona Stanley Hospital, Perth, Western Australia between 1 January 2015 and 31 December 2016. Patients were excluded if they had had multiple facial fractures, multiple injuries, had fractures that were comminuted or in edentulous mandibles, and those who had been in hospital for preoperative medical investigations and care...
May 10, 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/29753022/determinants-of-heart-rate-variability-in-the-general-population-the-lifelines-cohort-study-determinants-of-heart-rate-variability
#3
Balewgizie Sileshi Tegegne, Tengfei Man, Arie M van Roon, Harriëtte Riese, Harold Snieder
BACKGROUND: Heart rate variability (HRV) is an important marker of heart health with low values reflecting reduced vagal control of the heart rhythm. OBJECTIVE: The aim of this study was to investigate to what extent a broad range of demographic (age, sex), lifestyle (physical activity, smoking, alcohol use) and psychosocial factors (stress, social wellbeing, neuroticism) explained individual differences in HRV in the general population. METHODS: Using baseline data of 10 second electrocardiograms (ECG) from the Lifelines cohort study (n=149,205;58...
May 9, 2018: Heart Rhythm: the Official Journal of the Heart Rhythm Society
https://www.readbyqxmd.com/read/29752797/region-based-multifocus-image-fusion-for-the-precise-acquisition-of-pap-smear-images
#4
Santiago Tello-Mijares, Jesús Bescós
A multifocus image fusion method to obtain a single focused image from a sequence of microscopic high-magnification Papanicolau source (Pap smear) images is presented. These images, captured each in a different position of the microscope lens, frequently show partially focused cells or parts of cells, which makes them unpractical for the direct application of image analysis techniques. The proposed method obtains a focused image with a high preservation of original pixels information while achieving a negligible visibility of the fusion artifacts...
May 2018: Journal of Biomedical Optics
https://www.readbyqxmd.com/read/29752077/tissue-adhesive-rapid-forming-and-sprayable-ecm-hydrogel-via-recombinant-tyrosinase-crosslinking
#5
Su-Hwan Kim, Sang-Hyuk Lee, Ju-Eun Lee, Sung Jun Park, Kyungmin Kim, In Seon Kim, Yoon-Sik Lee, Nathaniel S Hwang, Byung-Gee Kim
We report on a tissue adhesive hydrogel based on novel recombinant tyrosinase mediated crosslinking. The adhesive hydrogels were fabricated by the site-directed coupling of tyramine-conjugated hyaluronic acid (HA_t, 1% w/v) and gelatin (3% w/v) (HG_gel) with novel tyrosinase derived from Streptomyces avermitilis (SA_Ty). The enzyme-based crosslinking by SA_Ty was fast, with less than 50 s for complete gelation, and the SA_Ty based crosslinking enhanced the physical properties and adhesive strength of the hydrogel significantly with the native tissue samples...
May 3, 2018: Biomaterials
https://www.readbyqxmd.com/read/29729160/-dynamics-of-staphylococcus-aureus-antibiotic-resistance-to-fluoroquinolones-in-vitro-in-patients-with-overweight
#6
Tetiana V Dukhovich, Ivan V Chopei, Kseniya I Chubirko
OBJECTIVE: Introduction:S. aureus is the main pathogen of skin, soft tissue and otorhinolaryngological infections as well as the cause of osteomyelitis, meningitis and endocarditis. In recent years the importance of S. aureus mediated infections has grown not only because of their widespread, but also due to their antibiotic resistance. Recent observations showed that the resistance is developed to each new antibacterial agent after 5 years of its intensive use. Based on the studies conducted in Ukraine, it is known that the resistance of S...
2018: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/29713811/timing-and-documentation-of-key-events-in-neonatal-resuscitation
#7
Adam Charles Heathcote, Jacqueline Jones, Paul Clarke
Only a minority of babies require extended resuscitation at birth. Resuscitations concerning babies who die or who survive with adverse outcomes are increasingly subject to medicolegal scrutiny. Our aim was to describe real-life timings of key resuscitation events observed in a historical series of newborns who required full resuscitation at birth. Twenty-seven babies born in our centre over a 10-year period had an Apgar score of 0 at 1 min and required full resuscitation. The median (95% confidence interval) postnatal age at achieving key events were commencing cardiac compressions, 2...
April 30, 2018: European Journal of Pediatrics
https://www.readbyqxmd.com/read/29712552/are-one-stop-centres-an-appropriate-model-to-deliver-services-to-sexually-abused-children-in-urban-malawi
#8
Yabwile Mulambia, Aaron J Miller, Geraldine MacDonald, Neil Kennedy
BACKGROUND: The Republic of Malawi is creating a country-wide system of 28 One-Stop Centres (known as 'Chikwanekwanes' - 'everything under one roof') to provide medical, legal and psychosocial services for survivors of child maltreatment and adult intimate partner violence. No formal evaluation of the utility of such services has ever been undertaken. This study focused on the experiences of the families served at the country's first Chikwanekwane in the large, urban city of Blantyre...
April 30, 2018: BMC Pediatrics
https://www.readbyqxmd.com/read/29699556/the-struggle-against-perceived-negligence-a-qualitative-study-of-patients-experiences-of-adverse-events-in-norwegian-hospitals
#9
Gunn Hågensen, Gudrun Nilsen, Grete Mehus, Nils Henriksen
BACKGROUND: Every year, 14 % of patients in Norwegian hospitals experience adverse events, which often have health-damaging consequences. The government, hospital management and health personnel attempt to minimize such events. Limited research on the first-hand experience of the patients affected is available. The aim of this study is to present patients' perspectives of the occurrence of, disclosure of, and healthcare organizations' responses to adverse events. Findings are discussed within a social constructivist framework and with reference to principles of open disclosure policy...
April 25, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29698342/unintentional-exposure-of-an-infant-to-synthetic-cannabinoid-bonzai-related-to-the-parent-s-use
#10
Meltem Dinleyici, Eylem Kiral, Sabiha Sahin, Kursat Bora Carman
The increase of available synthetic cannabinoids poses an emerging public health threat worldwide. Synthetic cannabinoid use has been mainly reported in adolescent cases in pediatric practices; there are few reported cases involving infants affected by unintentional use. In this case report, we present the youngest age of synthetic cannabinoid bonzai exposure in the literature, discussing a 3-month-old child affected by exposure to the parents' use of bonzai in the home environment. Because unintentional exposure to synthetic cannabinoids like bonzai might be encountered, pediatric emergency teams should be aware of this condition and child protection teams should be informed of suspicions of child negligence and abuse as a part of the medical approach...
April 24, 2018: Pediatric Emergency Care
https://www.readbyqxmd.com/read/29694937/migration-of-plasticizers-from-poly-vinyl-chloride-and-multilayer-infusion-bags-using-selective-extraction-and-gc-ms
#11
Zohra Haned, Saad Moulay, Silvia Lacorte
Flexible poly(vinyl chloride) (PVC) is widely used in the pharmaceutical industry for the manufacture of medical devices (tubes, probes, bags, primary packaging, etc.). The objective of the present study was to develop a procedure to evaluate the migration potential of nine plastic additives in aqueous infusion bags (NaCl 0.9% and glucose 5%): five phthalates, one adipate, two alkylphenols, and benzophenone. Two types of materials were analyzed: (i) new and outdated plasticized PVC (containing 40% of diethylhexyl phthalate DEHP); and (ii) tri-laminate polyethylene-polyamide-polypropylene, a multilayer material presumably exempt from DEHP...
April 12, 2018: Journal of Pharmaceutical and Biomedical Analysis
https://www.readbyqxmd.com/read/29688645/-the-effect-of-claims-about-medical-adverse-events-on-patients-safety
#12
REVIEW
Yaron Niv
In 1999 the Institute of Medicine (ION) declared that "to err in human" and that our goal is not to "blame and shame" but to investigate and establish processes that will prevent future mistakes. Shortage in manpower, physicians and nurses, may cause a disproportional burden of work and increase mistakes and adverse events. The complexity of patients requires a multidisciplinary team with many participants for achieving goals and saving lives. In the last 2 decades there was an exponential increase in the number of medical negligence claims and a similar increase in the sums given to the plaintiffs, in verdicts, mediation or compromises...
April 2018: Harefuah
https://www.readbyqxmd.com/read/29681886/importance-of-collateralization-in-patients-with-large-artery-intracranial-occlusive-disease-long-term-longitudinal-assessment-of-cerebral-hemodynamic-function
#13
Larissa McKetton, Lakshmikumar Venkatraghavan, Julien Poublanc, Olivia Sobczyk, Adrian P Crawley, Casey Rosen, Frank L Silver, James Duffin, Joseph A Fisher, David J Mikulis
Patients with large artery intracranial occlusive disease (LAICOD) are at risk for both acute ischemia and chronic hypoperfusion. Collateral circulation plays an important role in prognosis, and imaging plays an essential role in diagnosis, treatment planning, and prognosis of patients with LAICOD. In addition to standard structural imaging, assessment of cerebral hemodynamic function is important to determine the adequacy of collateral supply. Among the currently available methods of assessment of cerebral hemodynamic function, measurement of cerebrovascular reactivity (CVR) using blood oxygen level-dependent (BOLD) MRI and precisely controlled CO2 has shown to be a safe, reliable, reproducible, and clinically useful method for long-term assessment of patients...
2018: Frontiers in Neurology
https://www.readbyqxmd.com/read/29678488/medicolegal-considerations-involving-iatrogenic-lingual-nerve-damage
#14
REVIEW
Roberto Pippi, Andrea Spota, Marcello Santoro
The aim of this review is to improve risk management strategies through analysis of the anatomic, semeiotic, and medicolegal aspects that characterize iatrogenic lingual nerve damage (LND) and its legal consequences in the case of legal proceedings for a claim for compensation. In dental practice, LND can be caused by local or general anesthesia or by mechanical, chemical, or thermal mechanisms. A certain postoperative identification of LND etiopathogenesis is often very challenging because it can be difficult to show at what time the damage occurred and which mechanism actually caused it...
March 27, 2018: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29662295/should-hot-biopsy-forceps-be-abandoned-for-polypectomy-of-diminutive-colorectal-polyps
#15
Vasileios Panteris, Antonios Vezakis, J K Triantafillidis
Standardized approach to polypectomy of diminutive colorectal polyps (DCPs) is lacking since cold biopsy forceps have been associated with high levels of recurrence, hot biopsy forceps are considered inadequate and risky and cold snaring is currently under investigation for its efficacy and safety. This has led to confusion and a gap in clinical practice. This article discusses the usefulness and contemporary practical applicability of hot biopsy forceps and provides well-intentioned criticism of the new European guidelines for the treatment of DCPs...
April 14, 2018: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/29660103/submicroscopic-plasmodium-falciparum-parasitaemia-in-human-immunodeficiency-virus-infected-adults-living-in-gabon-central-africa-a-pilot-study
#16
J V Koumba Lengongo, N P M'Bondoukwé, J M Ndong Ngomo, S François, A Ndjoyi-Mbiguino, O A Mbang Nguema, M K Bouyou Akotet, D P Mawili-Mboumba
Background: Submicroscopic malaria infections contribute to malaria transmission. Describing the extent of the parasite reservoir is of importance. In people living with human immunodeficiency virus (HIV), the frequency of subpatent malaria infections is rarely reported. The aim of the present study was to determine the frequency of submicroscopic infections in people living with HIV in Gabon and its relationship with cotrimoxazole (CTX) use. Methods: A survey was conducted in two health care centres in rural areas (Koulamoutou and Oyem) and three in urban areas (Libreville) of Gabon from March 2015 to June 2016...
April 5, 2018: Transactions of the Royal Society of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/29658049/a-simple-microfluidic-platform-for-rapid-and-efficient-production-of-the-radiotracer-18-f-fallypride
#17
Xin Zhang, Fei Liu, Karla-Anne Knapp, Michael L Nickels, H Charles Manning, Leon M Bellan
Herein, we report the development of a simple, high-throughput and efficient microfluidic system for synthesizing radioactive [18F]fallypride, a PET imaging radiotracer widely used in medical research. The microfluidic chip contains all essential modules required for the synthesis and purification of radioactive fallypride. The radiochemical yield of the tracer is sufficient for multiple animal injections for preclinical imaging studies. To produce the on-chip concentration and purification columns, we employ a simple "trapping" mechanism by inserting rows of square pillars with predefined gaps near the outlet of microchannel...
April 16, 2018: Lab on a Chip
https://www.readbyqxmd.com/read/29649634/injectable-porous-biohybrid-hydrogels-incorporating-decellularized-tissue-components-for-soft-tissue-applications
#18
Yang Zhu, Sato Hideyoshi, Hongbin Jiang, Yasumoto Matsumura, Jenna L Dziki, Samuel T LoPresti, Luai Huleihel, Gabriela N F Faria, Leah C Fuhrman, Ricardo Lodono, Stephen F Badylak, William R Wagner
Biodegradable injectable hydrogels have been extensively studied and evaluated in various medical applications such as for bulking agents, drug delivery reservoirs, temporary barriers, adhesives, and cell delivery matrices. Where injectable hydrogels are intended to facilitate a healing response, it may be desirable to encourage rapid cellular infiltration into the hydrogel volume from the tissue surrounding the injection site. In this study, we developed a platform technique to rapidly form pores in a thermally responsive injectable hydrogel, poly(NIPAAm-co-VP-co-MAPLA) by using mannitol particles as porogens...
April 9, 2018: Acta Biomaterialia
https://www.readbyqxmd.com/read/29627916/necrotizing-fasciitis-case-series-and-review-of-the-literature-on-clinical-and-medico-legal-diagnostic-challenges
#19
Paolo Fais, Alessia Viero, Guido Viel, Renzo Giordano, Dario Raniero, Stefano Kusstatscher, Chiara Giraudo, Giovanni Cecchetto, Massimo Montisci
Necrotizing fasciitis (NF) is a life-threatening infection of soft tissues spreading along the fasciae to the surrounding musculature, subcutaneous fat and overlying skin areas that can rapidly lead to septic shock and death. Due to the pandemic increase of medical malpractice lawsuits, above all in Western countries, the forensic pathologist is frequently asked to investigate post-mortem cases of NF in order to determine the cause of death and to identify any related negligence and/or medical error. Herein, we review the medical literature dealing with cases of NF in a post-mortem setting, present a case series of seven NF fatalities and discuss the main ante-mortem and post-mortem diagnostic challenges of both clinical and forensic interests...
April 7, 2018: International Journal of Legal Medicine
https://www.readbyqxmd.com/read/29613902/liability-for-referrals-to-other-physicians
#20
Joseph S Kass
This article presents four hypothetical cases that demonstrate ways in which neurologists may be vulnerable to liability for how they manage patients they refer to other physicians for consultations. This article also discusses the importance of protecting neurologists from claims of negligence through documentation, which includes the rationale for ordering a consultation, deferring a consultation, or disagreeing with a consultant's recommendations. Lastly, the article discusses the importance of including patients in the decision-making process and detailing these conversations in the medical record...
April 2018: Continuum: Lifelong Learning in Neurology
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