{"title":"Fatal cerebral air embolism post esophageal endoscopy with dilatation: A case report.","authors":"Kimberly Hamilton, Matthew Orde, Gordon Finlayson","doi":"10.1177/00258024231212878","DOIUrl":"10.1177/00258024231212878","url":null,"abstract":"<p><p>This is a case of a patient who underwent an esophageal dilatation for benign esophageal strictures. As a consequence of the procedure, she developed an esophageal rupture and multiple cerebral and cerebellar air emboli resulting in infarction. The patient died after being placed on comfort care measures. The postmortem examination revealed focal breach of the esophageal mucosa but no sites of cardiac or vascular shunting that could account for the transit of air from the esophagus to the central nervous system. The phenomenon of vascular air entry as a consequence of upper gastrointestinal endoscopic intervention is an uncommon but very serious complication of balloon dilatation therapy. Instances of progression to intracranial arterial gas embolism are even less common, but are well described in a small number of case reports. We present a fatal case of central nervous system air embolism post-balloon dilatation therapy with associated antemortem imaging, autopsy, and microscopic images followed by a discussion of potential mechanisms of entry of air into the brain.</p>","PeriodicalId":18484,"journal":{"name":"Medicine, Science and the Law","volume":" ","pages":"245-247"},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11168012/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92155194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Karthi Vignesh Raj K, G Gokul, Abhishek Yadav, Sudhir K Gupta, Swati Tyagi, Abilash Srinivasamurthy
{"title":"Stature estimation from the scapula measurements using 3D-volume rendering technique by regression equations in the Northern Indian population.","authors":"Karthi Vignesh Raj K, G Gokul, Abhishek Yadav, Sudhir K Gupta, Swati Tyagi, Abilash Srinivasamurthy","doi":"10.1177/00258024231193585","DOIUrl":"10.1177/00258024231193585","url":null,"abstract":"<p><p>The present study assessed the correlation between the stature and scapular measurements from both sides in order to develop population-specific regression equations to estimate the stature from measurements of the scapula in a contemporary Northern Indian population individually for the left and right sides. A total of 597 cadavers underwent postmortem multidetector computed tomography and subsequent medicolegal autopsy in our department between August 2021 and August 2022. Two hundred samples (100 males and 100 females) were randomly collected based on inclusion and exclusion criteria. Six linear anthropometric measurements of the scapula from either side were measured using the 3D volume-rendered technique by an electronic cursor. Each anthropometric measurement showed a significant difference between males and females (<i>p</i> < 0.05). Regression analysis was applied to match the taken measurements against stature. The accuracy to predict stature ranged from 3.99 to 4.94 cm for males and from 4.49 to 5.27 cm for females, respectively. Left-sided measurements were better predictors of stature than the right side in both genders. The results of this study indicate that scapular measurements could be useful to estimate the stature of Northern Indian individuals, particularly in scenarios of disaster victim identification lacking long bones, which are considered to be better predictors to date.</p>","PeriodicalId":18484,"journal":{"name":"Medicine, Science and the Law","volume":" ","pages":"182-189"},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9964276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Omar Abdulqader Bamalan, Mohammed Abdulmohsen AlSharit, Khalil Ibrahim Sabbagh, Abdullah Haleem Abuzaid, Hussain Jawad Aljubran, Waleed Abdullah Alzahrani, Nader Mohammed Alosaimi, Ritesh G Menezes
{"title":"School violence in Saudi Arabia: A scoping review.","authors":"Omar Abdulqader Bamalan, Mohammed Abdulmohsen AlSharit, Khalil Ibrahim Sabbagh, Abdullah Haleem Abuzaid, Hussain Jawad Aljubran, Waleed Abdullah Alzahrani, Nader Mohammed Alosaimi, Ritesh G Menezes","doi":"10.1177/00258024231216550","DOIUrl":"10.1177/00258024231216550","url":null,"abstract":"<p><p>School violence comprises a broad spectrum of physical, psychological, and sexual acts that impact children and adolescents physically, psychologically, and academically. The aim of this article is to provide a scoping review of school violence in Saudi Arabia. The adversities of school violence and related forensic, legal, and social aspects from a Saudi Arabian perspective are discussed. The articles were extracted through the Medline, Embase, and Web of Science databases in a comprehensive criteria-based search strategy using relevant MeSH terms to identify papers related to school violence in Saudi Arabia from inception to October 6, 2022, and a total of 14 studies have been extracted and discussed. There were indicates that male students tend to engage in physical violence while females tend to engage in verbal violence. The consequences included having a significant impact on students' mental wellbeing, followed by a decrease in academic performance. Therefore, this study will identify the risk factors and present the preventive methods that can guide local institutions to establish new policies to increase awareness and implement culturally acceptable, community-based programs against school violence in Saudi Arabia.</p>","PeriodicalId":18484,"journal":{"name":"Medicine, Science and the Law","volume":" ","pages":"224-235"},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138806935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Victim-perpetrator relationship, age and method of homicide in intimate and non-intimate cases of femicide from the republic of Ireland.","authors":"Bernadette M Manifold","doi":"10.1177/00258024231196628","DOIUrl":"10.1177/00258024231196628","url":null,"abstract":"<p><p>This study presents a review of femicides over 31 years (1991-2021) from the Republic of Ireland. A total of 253 cases were located and reviewed, of those 125 were intimate partner homicides (IPH) and 128 non-intimate homicides (NIH). One hundred and ninety-nine (78%) girls and women were killed by a male known to them - intimate partner (husband, partner, boyfriend, ex-partner, ex-boyfriend) (n = 125; 48%), family members (son, grandson, brother, cousin) (<i>n</i> = 25; 10%) and/or acquaintances (<i>n</i> = 49; 19%) from adolescence to old age. Thirty-one (12%) were killed by a stranger and 23 cases remain unsolved at this time. The method of killing depended on the relationship and age of the victim and perpetrator. The majority of IPH victims were less than 45 years of age (<i>n</i> = 101). Twenty-four were over 45 years of which six were over 60 years of age. The leading method of killing in IPHs was stabbing and strangulation and this was more prevalent in those aged between 26 and 45 years. As age increases, IPH decreases with the exception of cases of IP homicide-suicide. Adolescents (13-19 years) and young women (20-25 years) were more often killed by strangulation. Strangulation was also the leading cause of death in stranger killings particularly with sexual violence. There were 20 cases of matricide, with 17 perpetrators suffering from a mental illness at the time of the killing. The leading method of homicide in non-intimate homicides was blunt force trauma.</p>","PeriodicalId":18484,"journal":{"name":"Medicine, Science and the Law","volume":" ","pages":"190-198"},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10052213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aulia Riski, Syahriyati, Fadhilah Mahanani Saputri, M. R. Wiryawan, P. N. Sari, Arina Mufrihah, Mohammad Ilham Santoso
{"title":"Book Review: Gender competent public law and policies by Marko Kostić and Svetislav Kostić","authors":"Aulia Riski, Syahriyati, Fadhilah Mahanani Saputri, M. R. Wiryawan, P. N. Sari, Arina Mufrihah, Mohammad Ilham Santoso","doi":"10.1177/00258024241254271","DOIUrl":"https://doi.org/10.1177/00258024241254271","url":null,"abstract":"","PeriodicalId":18484,"journal":{"name":"Medicine, Science and the Law","volume":"54 9","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141121705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The role of Qatar's first forensic community team in reducing recidivism and re-admission of mentally unwell offenders","authors":"Shuja Reagu, Maryam Hussain Siddiqui, Majid Abdalla, Prem Chandra, Khaja Begum Nikhat","doi":"10.1177/00258024241245863","DOIUrl":"https://doi.org/10.1177/00258024241245863","url":null,"abstract":"Introduction: Qatar established its Community Forensic Mental Health Team (CFMHT) in 2019 as part of the region's first comprehensive forensic psychiatry service. We present here the data on clinical and offending outcomes since its establishment and compare this with data from before the service was established. Objectives: To compare clinical and offending outcomes in mental health patients with criminal offending histories in Qatar before and after the establishment of CFMHT. Methods: This is a retrospective study comparing the socio-demographical characteristics, clinical outcome and recidivism measures of forensic patients, under the CFMHT for the last 2 years with data from a similar period before the services were in place. Results: Data for 85 patients under the active care of forensic community team were matched with a comparable group before the establishment of the services. The re-admission and reoffending rates after the establishment of the service over 2-year follow-up were 17.6% and 12.9%, respectively, compared with 40% and 32% before the service. Conclusions: Since its inception, the CFMHT has made a significant positive impact on quality of life, mental well-being and safety of patients under its care. Close working relationships with the criminal justice system, families and carers have helped fight stigma and promote safer communities.","PeriodicalId":18484,"journal":{"name":"Medicine, Science and the Law","volume":"20 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140569060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Identifying focal points to prevent traffic accidents in Japan and specific measures proposed: Aspects common to Japan and South Korea and suggested preventive measures","authors":"Ken Inoue, Tatsushige Fukunaga, Haruo Takeshita, Yasuyuki Fujita, Satomi Kameo, Masaharu Hoshi, Noriyuki Kawano","doi":"10.1177/00258024241245873","DOIUrl":"https://doi.org/10.1177/00258024241245873","url":null,"abstract":"","PeriodicalId":18484,"journal":{"name":"Medicine, Science and the Law","volume":"27 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140569272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eva Gil-Hernández, Irene Carrillo, Mary-Elizabeth Tumelty, Einav Srulovici, Kris Vanhaecht, Katharine Ann Wallis, Priscila Giraldo, María Pilar Astier-Peña, Massimiliano Panella, Sofia Guerra-Paiva, Sandra Buttigieg, Deborah Seys, Reinhard Strametz, Asier Urruela Mora, José Joaquín Mira
{"title":"How different countries respond to adverse events whilst patients' rights are protected.","authors":"Eva Gil-Hernández, Irene Carrillo, Mary-Elizabeth Tumelty, Einav Srulovici, Kris Vanhaecht, Katharine Ann Wallis, Priscila Giraldo, María Pilar Astier-Peña, Massimiliano Panella, Sofia Guerra-Paiva, Sandra Buttigieg, Deborah Seys, Reinhard Strametz, Asier Urruela Mora, José Joaquín Mira","doi":"10.1177/00258024231182369","DOIUrl":"10.1177/00258024231182369","url":null,"abstract":"<p><p>Patient safety is high on the policy agenda internationally. Learning from safety incidents is a core component in achieving the important goal of increasing patient safety. This study explores the legal frameworks in the countries to promote reporting, disclosure, and supporting healthcare professionals (HCPs) involved in safety incidents. A cross-sectional online survey was conducted to ascertain an overview of the legal frameworks at national level, as well as relevant policies. ERNST (The European Researchers' Network Working on Second Victims) group peer-reviewed data collected from countries was performed to validate information. Information from 27 countries was collected and analyzed, giving a response rate of 60%. A reporting system for patient safety incidents was in place in 85.2% (N = 23) of countries surveyed, though few (37%, N = 10) were focused on systems-learning. In about half of the countries (48.1%, N = 13) open disclosure depends on the initiative of HCPs. The tort liability system was common in most countries. No-fault compensation schemes and alternative forms of redress were less common. Support for HCPs involved in patient safety incidents was extremely limited, with just 11.1% (N = 3) of participating countries reporting that supports were available in all healthcare institutions. Despite progress in the patient safety movement worldwide, the findings suggest that there are considerable differences in the approach to the reporting and disclosure of patient safety incidents. Additionally, models of compensation vary limiting patients' access to redress. Finally, the results highlight the need for comprehensive support for HCPs involved in safety incidents.</p>","PeriodicalId":18484,"journal":{"name":"Medicine, Science and the Law","volume":" ","pages":"96-112"},"PeriodicalIF":1.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9743101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Fatal hyperthermia among children in school buses: Analysis of 47 cases in China.","authors":"Tianying Sun, Lijun Ge, Meichen Pan, Kang Wang, Weiwei Zhu, Hongmei Dong","doi":"10.1177/00258024231183505","DOIUrl":"10.1177/00258024231183505","url":null,"abstract":"<p><p>The school bus is an important mode of transportation for school-age children, and safety-related issues are always the focus of public concern. Fatal hyperthermia occurring in school buses is an uncommon type of school bus-related injury. An internet search using Chinese internet search engines based on various combinations of keywords including 'vehicles', 'school bus', 'children or babies', 'hyperthermia or heat stroke' and 'death' was performed. Forty-seven cases of fatal hyperthermia in children which occurred in school buses were retrieved in the study. High ambient temperature, younger age and poor management were identified as risk factors. There is a lack of consensus regarding the legal nature and liability for fatal hyperthermia occurring in school buses. Pre-employment education should be focused on awareness of the dangers of leaving children alone in a school bus. Most importantly, the relevant legislation and regulations on school buses should be implemented. An internal alarm-raising system is recommended to avoid this kind of tragedy.</p>","PeriodicalId":18484,"journal":{"name":"Medicine, Science and the Law","volume":" ","pages":"121-125"},"PeriodicalIF":1.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9717841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jack Tomlin, Sarah Markham, Ciska Wittouck, Alexander Simpson
{"title":"Procedural justice and forensic mental health: An introduction and future directions.","authors":"Jack Tomlin, Sarah Markham, Ciska Wittouck, Alexander Simpson","doi":"10.1177/00258024231206865","DOIUrl":"10.1177/00258024231206865","url":null,"abstract":"<p><p>This article advocates for integrating procedural justice principles into forensic mental health services to enhance patient engagement and autonomy. Procedural justice, broadly defined as fair decision-making processes, is introduced and key principles including voice, neutrality, respect and trustworthiness are described. Evidence suggestive of positive outcomes following procedural justice experiences, such as improved satisfaction, collaboration and reduced perceptions of coercion is outlined. Practical applications are suggested, including staff training and reflective practices using procedural justice principles. The article then calls for further research to explore patients' and staff members' experiences of procedural justice in forensic settings, develop measurement tools, undertake intervention studies and establish causal links between procedural justice and outcomes important for forensic patients.</p>","PeriodicalId":18484,"journal":{"name":"Medicine, Science and the Law","volume":" ","pages":"157-163"},"PeriodicalIF":1.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10938488/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41236706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}