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https://www.readbyqxmd.com/read/27908672/forensic-age-estimation-in-anti-piracy-trials-in-seychelles-experiences-and-challenges-faced
#1
S A Gunawardena, U A Liyanage, J B Weeratna, N D N A Mendis, H J M Perera, R W Jayasekara, R Fernando
Forensic age estimation (FAE) was conducted using a multifactorial method on thirteen Somali detainees claiming juvenile status during the anti-piracy trials of the Seychelles Supreme Court in 2014/2015. A multidisciplinary team, comprising of four of the authors covering specialties in forensic medicine, forensic odontology and radiology, conducted the FAE using a five-stage protocol. Each detainee was interviewed with an interpreter and examined for disorders affecting dental/skeletal development and for assessment of genital development through Tanner staging...
November 14, 2016: Forensic Science International
https://www.readbyqxmd.com/read/27904854/legal-issues-related-to-postoperative-pulmonary-thromboembolism-in-korea
#2
Bo Young Park, Min Ji Kim, So Ra Kang, Seung Eun Hong
PURPOSE: Currently, development of pulmonary thromboembolism (PTE) after surgery is frequently being followed by legal action in Korea, as consequences may be fatal. In the current study, we assessed possible countermeasures that medical teams can take when faced with conflicting opinions on responsibility for PTE. METHODS: A retrospective analysis of claims handled by the Supreme Court and subordinate courts, from 1999 to 2015, was performed. We analyzed the type of procedure, associated complications, and critical legal points from the recorded judgments along with any liability limitations on surgeons...
December 2016: Annals of Surgical Treatment and Research
https://www.readbyqxmd.com/read/27901205/six-month-color-change-and-water-sorption-of-9-new-generation-flowable-composites-in-6-staining-solutions
#3
Maria Arregui, Luis Giner, Marco Ferrari, Marta Vallés, Montserrat Mercadé
Color match and water sorption are two factors that affect restorative materials. Discoloration is essential in the lifespan of restorations. The aim of this study was to evaluate color change and water sorption of nine flowable composites at multiple time points over 6 months. 60 samples of each composite were divided into two groups (Color Change and Water Sorption/Solubility). Each Color Change group was divided into six subgroups, which were immersed in distilled water (DW), coffee (CF), Coca-Cola (CC), red wine (RW), tea (TE) and orange juice (OJ)...
November 28, 2016: Brazilian Oral Research
https://www.readbyqxmd.com/read/27893860/blocking-synthesis-of-the-variant-surface-glycoprotein-coat-in-trypanosoma-brucei-leads-to-an-increase-in-macrophage-phagocytosis-due-to-reduced-clearance-of-surface-coat-antibodies
#4
Jackie L Y Cheung, Nadina V Wand, Cher-Pheng Ooi, Sophie Ridewood, Richard J Wheeler, Gloria Rudenko
The extracellular bloodstream form parasite Trypanosoma brucei is supremely adapted to escape the host innate and adaptive immune system. Evasion is mediated through an antigenically variable Variant Surface Glycoprotein (VSG) coat, which is recycled at extraordinarily high rates. Blocking VSG synthesis triggers a precytokinesis arrest where stalled cells persist for days in vitro with superficially intact VSG coats, but are rapidly cleared within hours in mice. We therefore investigated the role of VSG synthesis in trypanosome phagocytosis by activated mouse macrophages...
November 2016: PLoS Pathogens
https://www.readbyqxmd.com/read/27891021/progress-in-medicine-compensation-and-medical-negligence-in-india-does-the-system-need-a-quick-fix-or-an-overhaul
#5
REVIEW
Meghana S Chandra, Suresh Bada Math
In a recent judgment on medical negligence, the Supreme Court awarded compensation amounting to Rs. 11 crore to a victim, which was to be paid by the doctors and the private hospital deemed responsible for the wrongful death of a patient. This landmark decision was by far the largest compensation award in the history of Indian medical negligence litigation. Hence, the process of calculating compensation for medical negligence has received great attention and debate, largely due to the impact that it is going to have on the practice of medicine within the country, in the near future...
October 2016: Annals of Indian Academy of Neurology
https://www.readbyqxmd.com/read/27890107/an-analysis-of-causative-factors-in-closed-criminal-medical-malpractice-cases-of-the-taiwan-supreme-court-2000-2014
#6
Kuan-Han Wu, Shih-Yu Cheng, Yung-Lin Yen, Chien-Hung Wu, Ming-Ta Tsai, Fu-Jen Cheng
Most medical malpractice in Taiwan leads to criminal prosecution. This study examined the epidemiologic factors and clinical errors that led to medical malpractice convictions in Taiwanese criminal prosecutions. A retrospective, 15-year population-based review of criminal Supreme Court judgments pertaining to medical malpractice against physicians and nurses was conducted. Eighty-four cases were reviewed, yielding data that included the number and specialty involved, accused hospitals, the diagnosis, the time interval between incidents to closure, result of adjudication, the origin of cases (private vs...
November 2016: Legal Medicine
https://www.readbyqxmd.com/read/27889843/a-randomized-comparison-of-the-ambu-auragain-versus-the-lma-supreme-in-patients-undergoing-gynaecologic-laparoscopic-surgery
#7
Ana M Lopez, Merce Agusti, Pedro Gambus, Montserrat Pons, Teresa Anglada, Ricard Valero
Second generation supraglottic airway devices providing high seal airway pressures are suitable for patients undergoing gynecologic laparoscopy. We compared the seal pressure achieved by the new Ambu AuraGain™ versus LMA Supreme™ following pneumoperitoneum in the Trendelenburg position. Sixty female patients were randomly allocated to ventilation with either the AuraGain or the Supreme. A target-controlled system was used to administer total intravenous anesthesia. Intracuff pressure was maintained below 60 cm H2O...
November 26, 2016: Journal of Clinical Monitoring and Computing
https://www.readbyqxmd.com/read/27883221/alcohol-exposure-causes-overexpression-of-heart-development-related-genes-by-affecting-the-histone-h3-acetylation-via-bmp-signaling-pathway-in-cardiomyoblast-cells
#8
Jin Shi, Weian Zhao, Bo Pan, Min Zheng, Lina Si, Jing Zhu, Lingjuan Liu, Jie Tian
BACKGROUND: Abusive alcohol utilization of pregnant woman may cause congenital heart disease (CHD) of fetus, where alcohol ignites histone H3 hyperacetylation leading to abnormal development of heart morphogenesis and associated genes. Knowledge about the regularized upstream genes is little, but bone morphogenetic protein (BMP) signaling may actively and prominently take part in alteration in acetylation of histone H3. The supreme objective of this study was to unearth the involvement of BMP signaling pathway in alcohol-driven hyperacetylation of histone H3 in cardiomyoblast cells...
November 24, 2016: Alcoholism, Clinical and Experimental Research
https://www.readbyqxmd.com/read/27875642/international-perspectives-on-physician-assistance-in-dying
#9
David Orentlicher
When the Supreme Court of Canada recognized a constitutional right to "medical assistance in dying" last year-and the nation's Parliament enacted legislation to implement the right earlier this year-Canadian lawmakers could look to two different models for guidance. The Netherlands and Belgium recognize a broad right to assistance in dying, while Oregon and elsewhere in the United States have a narrow right. In some ways, assistance in dying in Canada follows the Dutch-Belgian approach, while, in other ways, it seems more American...
November 2016: Hastings Center Report
https://www.readbyqxmd.com/read/27847515/the-ambu%C3%A2-aura-i%C3%A2-laryngeal-mask-and-lma-supreme%C3%A2-a-randomized-trial-of-clinical-performance-and-fibreoptic-positioning-in-unparalysed-anaesthetised-patients-by-novices
#10
Zanahriah Yahaya, Wendy H Teoh, Nora A Dintan, Ravi Agrawal
Introduction. Manikin studies' data cannot accurately be extrapolated to real-life scenarios and inherent differences in design and materials of newer products may affect their clinical performance. Methods. Hence, we compared the AMBU® Aura-i™ and LMA Supreme™ in this randomized trial involving 100 ASA 1-2 unparalysed anaesthetised patients undergoing minor gynaecological surgery. Investigators had <20 Aura-i insertions. Primary outcome was time to achieve effective ventilation and secondarily insertion parameters, oropharyngeal leak pressures (OLP), fibreoptic positioning, and pharyngeal morbidity...
2016: Anesthesiology Research and Practice
https://www.readbyqxmd.com/read/27836148/volumetric-shrinkage-and-film-thickness-of-cementation-materials-for-veneers-an-in%C3%A2-vitro-3d-microcomputed-tomography-analysis
#11
Camila S Sampaio, João Malta Barbosa, Eduardo Cáceres, Lindiane C Rigo, Paulo G Coelho, Estevam A Bonfante, Ronaldo Hirata
STATEMENT OF PROBLEM: Few studies have investigated the volumetric polymerization shrinkage and film thickness of the different cementation techniques used to cement veneers. PURPOSE: The purpose of this in vitro study was to evaluate the volumetric polymerization shrinkage (VS) and film thickness (FT) of various cementation techniques through 3-dimensional (3D) microcomputed tomography (μCT). MATERIAL AND METHODS: Forty-eight artificial plastic maxillary central incisors with standard preparations for veneers were provided by a mannequin manufacturer (P-Oclusal) and used as testing models with the manufacturer's plastic veneers...
November 8, 2016: Journal of Prosthetic Dentistry
https://www.readbyqxmd.com/read/27833835/comparison-of-pharmaceutical-pricing-and-reimbursement-systems-in-turkey-and-certain-eu-countries
#12
Enver Kagan Atikeler, Gulbin Özçelikay
Recently, the need for health care services has increased gradually and the limitations in sources allocated for this area have been recognized. Moving from this fact, it has gained a supreme importance to determine what health programs or technologies will be given priority. According to Danzon (Reference pricing: theory and evidence, reference pricing and pharmaceutical policy: perspectives on economics and innovation, springer, New York, pp 86-126, 2001), arrangements towards controlling the expenses through price and profit controls, reimbursement methods and incentives have recently gained wide currency...
2016: SpringerPlus
https://www.readbyqxmd.com/read/27820692/filler-content-surface-microhardness-and-rheological-properties-of-various-flowable-resin-composites
#13
S Jager, R Balthazard, A Dahoun, E Mortier
OBJECTIVES: The objectives of this study were to determine the filler content, the surface microhardness (at baseline and after immersion in water for 2 years), and the rheological properties of various flowable resin composites. METHODS: Three flowable resin composites (Grandioso Heavy Flow [GHF], Grandio Flow [GRF], Filtek Supreme XTE Flow [XTE]), one pit and fissure sealant resin composite (ClinPro [CLI]), and three experimental flowable resin composites with the same matrix and a variable filler content (EXPA, EXPB, EXPC) were tested...
November 2016: Operative Dentistry
https://www.readbyqxmd.com/read/27818232/the-genetics-of-exceptional-longevity-identifies-new-druggable-targets-for-vascular-protection-and-repair
#14
REVIEW
Annibale A Puca, Gaia Spinetti, Rosa Vono, Carmine Vecchione, Paolo Madeddu
Therapeutic angiogenesis is a relatively new medical strategy in the field of cardiovascular diseases. The underpinning concept is that angiogenic growth factors or proangiogenic cells could be exploited therapeutically in cardiovascular patients to enhance native revascularization responses to an ischemic insult, thereby accelerating tissue healing. The initial enthusiasm generated by preclinical studies has been tempered by the modest success of clinical trials assessing therapeutic angiogenesis. Similarly, proangiogenic cell therapy has so far not maintained the original promises...
November 3, 2016: Pharmacological Research: the Official Journal of the Italian Pharmacological Society
https://www.readbyqxmd.com/read/27803215/the-three-legged-stool-a-system-for-spinal-informed-consent
#15
EDITORIAL
J M Powell, A Rai, M Foy, A Casey, H Dabke, A Gibson, M Hutton
Many hospitals do not have a structured process of consent, the attainment of which can often be rather 'last-minute' and somewhat chaotic. This is a surprising state of affairs as spinal surgery is a high-risk surgical specialty with potential for expensive litigation claims. More recently, the Montgomery ruling by the United Kingdom Supreme Court has placed the subject of informed consent into the spotlight. There is a paucity of practical guidance on how a consent process can be achieved in a busy clinical setting...
November 2016: Bone & Joint Journal
https://www.readbyqxmd.com/read/27802122/shear-bond-strength-and-tooth-composite-interaction-with-self-adhering-flowable-composites
#16
C Brueckner, H Schneider, R Haak
PURPOSE: To evaluate the tooth-composite interaction (A) and shear bond strength (SBS; B) of self-adhering flowables. METHODS AND MATERIALS: (A) Thirty-two human molars with one Class V cavity were restored with Vertise Flow (VF), Fusio Liquid Dentin (FLD), an experimental self-adhering flowable (EF), or Adper Prompt-L-Pop/Filtek Supreme XT Flowable (PLP). Teeth were prepared according to laboratory standard and stored in water (24 hours, 37°C). Microleakage (ML; percentage interface length at enamel [E]/dentin [D]) and tooth-composite interaction were investigated...
November 1, 2016: Operative Dentistry
https://www.readbyqxmd.com/read/27800680/highly-efficient-air-desulfurization-on-self-assembled-bundles-of-copper-hydroxide-nanorods
#17
Dimitrios A Giannakoudakis, Mingyung Jiang, Teresa J Bandosz
Copper hydroxide and copper hydroxyl nitrate were successfully synthesized from copper nitrate. A slight alteration of a base addition pathway led to entirely different chemical and crystal structures. Structural, morphological and surface chemical features were analyzed using various physical and chemical methods. The copper hydroxide texture consists of self-assembled bundles of nanorods with a diameter between 15 and 40 nm. They are stack together forming platelet-like particles. In the case of the copper hydroxyl nitrate, platelet-like particles with smooth surface were detected...
November 1, 2016: ACS Applied Materials & Interfaces
https://www.readbyqxmd.com/read/27793790/in-vitro-and-in-vivo-assessment-of-edta-modified-silica-nano-spheres-with-supreme-capacity-of-iron-capture-as-a-novel-antidote-agent
#18
Fatemeh Farjadian, Sahar Ghasemi, Reza Heidari, Soliman Mohammadi-Samani
Mesoporous silica nanoparticles having structure of MCM-41 category with amine and EDTA functional groups in the pores were prepared using a co-condensation reaction. The synthetic steps eventuated in the mesoporous silica nanoparticles with spherical sizes lower than 50nm supposed to have high surface area. The nanoparticles' structure and functionality were characterized by FTIR spectroscopy and CHN analysis and the topography were examined by SEM and TEM and hydrodynamic sizes were demonstrated by DLS. The crystallinity and mesoporous pattern were figured out by XRD technique...
October 25, 2016: Nanomedicine: Nanotechnology, Biology, and Medicine
https://www.readbyqxmd.com/read/27793239/ethical-and-legal-duty-of-anesthesiologists-regarding-jehovah-s-witness-patient-care-protocol
#19
Augusto Key Karazawa Takaschima, Thiago Mamôru Sakae, Alexandre Karazawa Takaschima, Renata Dos Santos Teodoro Takaschima, Breno José Santiago Bezerra de Lima, Roberto Henrique Benedetti
BACKGROUND AND OBJECTIVES: Jehovah's Witnesses patients refuse blood transfusions for religious reasons. Anesthesiologists must master specific legal knowledge to provide care to these patients. Understanding how the Law and the Federal Council of Medicine treat this issue is critical to know how to act in this context. The aim of this paper was to establish a treatment protocol for the Jehovah's Witness patient with emphasis on ethical and legal duty of the anesthesiologist. CONTENT: The article analyzes the Constitution, Criminal Code, resolutions of the Federal Council of Medicine, opinions, and jurisprudence to understand the limits of the conflict between the autonomy of will of Jehovah's Witnesses to refuse transfusion and the physician's duty to provide the transfusion...
November 2016: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/27775009/deep-submicron-graphene-field-effect-transistors-with-state-of-art-fmax
#20
Hongming Lyu, Qi Lu, Jinbiao Liu, Xiaoming Wu, Jinyu Zhang, Junfeng Li, Jiebin Niu, Zhiping Yu, Huaqiang Wu, He Qian
In order to conquer the short-channel effects that limit conventional ultra-scale semiconductor devices, two-dimensional materials, as an option of ultimate thin channels, receive wide attention. Graphene, in particular, bears great expectations because of its supreme carrier mobility and saturation velocity. However, its main disadvantage, the lack of bandgap, has not been satisfactorily solved. As a result, maximum oscillation frequency (fmax) which indicates transistors' power amplification ability has been disappointing...
October 24, 2016: Scientific Reports
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