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Comparing cerebral palsy costs: Private healthcare vs medico-legal claims in South Africa. 比较脑瘫的费用：南非的私人医疗保健与医疗法律索赔。
Medico-Legal Journal Pub Date : 2025-09-01 Epub Date: 2025-03-13 DOI: 10.1177/00258172241287654
Gregory Whittaker
{"title":"Comparing cerebral palsy costs: Private healthcare vs medico-legal claims in South Africa.","authors":"Gregory Whittaker","doi":"10.1177/00258172241287654","DOIUrl":"10.1177/00258172241287654","url":null,"abstract":"<p><p>This study compares the costs of cerebral palsy healthcare in South Africa's private healthcare system with the lump sum compensation typically awarded in medico-legal claims. The analysis reveals that private healthcare costs for cerebral palsy, particularly within high-coverage benefit options, are significantly lower than the capitalised values awarded by South African courts. This suggests that the projections used in medico-legal claims may overestimate the true financial requirements for cerebral palsy care. The study advocates for evidence-based methodologies in medical expert witness assessments to ensure accurate and fair cost estimations, reducing discrepancies between private healthcare costs and medico-legal compensation.</p>","PeriodicalId":35529,"journal":{"name":"Medico-Legal Journal","volume":" ","pages":"118-123"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fatal choking due to aspiration of roundworm during laparoscopic cholecystectomy. 腹腔镜胆囊切除术中吸入蛔虫导致致命窒息。
Medico-Legal Journal Pub Date : 2025-09-01 Epub Date: 2025-03-28 DOI: 10.1177/00258172241304737
Shinto Devassy, Ravi Rautji, Asit R Mridha, Chittaranjan Behera
{"title":"Fatal choking due to aspiration of roundworm during laparoscopic cholecystectomy.","authors":"Shinto Devassy, Ravi Rautji, Asit R Mridha, Chittaranjan Behera","doi":"10.1177/00258172241304737","DOIUrl":"10.1177/00258172241304737","url":null,"abstract":"<p><p>Ascariasis is one of the most common parasitic infections in the world. The route of infection is faeco-oral and most occurs in areas with poor hygiene and sanitation. The most common helminth is <i>Ascaris lumbricoides</i>. In our case a 40-year-old female with ascariasis infection underwent an exploratory laparotomy in consequence of post-operative bleeding following a laparoscopic cholecystectomy. Post extubation patient suffered cardiac arrest. At autopsy multiple roundworms were found in the oropharynx region, blocking the respiratory passage.</p>","PeriodicalId":35529,"journal":{"name":"Medico-Legal Journal","volume":" ","pages":"166-168"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sudden death in a newborn from cerebral venous sinus thrombosis resulting from meningitis. 新生儿因脑膜炎导致脑静脉窦血栓形成而猝死。
Medico-Legal Journal Pub Date : 2025-09-01 Epub Date: 2024-07-29 DOI: 10.1177/00258172241250193
Francesco Ventura, Martina Drommi, Rosario Barranco, Valerio G Vellone
{"title":"Sudden death in a newborn from cerebral venous sinus thrombosis resulting from meningitis.","authors":"Francesco Ventura, Martina Drommi, Rosario Barranco, Valerio G Vellone","doi":"10.1177/00258172241250193","DOIUrl":"10.1177/00258172241250193","url":null,"abstract":"<p><p>Septic cerebral venous sinus thrombosis is a rare but often fatal complication caused by bacterial meningitis and paranasal sinusitis.We report a particular case of the sudden and unexpected death of a six-day-old infant from unrecognised acute meningitis that caused a thrombotic occlusion of the venous sinuses (with the particular involvement of the torcular Herophili at the confluence of sinuses) resulting in subdural haemorrhage.This case report alerts paediatricians and neonatologists to the importance of promptly considering a possible diagnosis of meningitis without delay to avoid the fatal complications described here. As in all cases of sudden infant death our case study underlines the need for a thorough autopsy, accompanied by histological analysis, in order to identify the causes of the underlying pathological mechanisms causing death and to ensure an adequate differential diagnosis.</p>","PeriodicalId":35529,"journal":{"name":"Medico-Legal Journal","volume":" ","pages":"147-152"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141793708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Who should be an expert in endoscopy? 谁应该是内窥镜专家？
Medico-Legal Journal Pub Date : 2025-09-01 Epub Date: 2025-03-27 DOI: 10.1177/00258172241311344
John F Mayberry, Affifa Farrukh
{"title":"Who should be an expert in endoscopy?","authors":"John F Mayberry, Affifa Farrukh","doi":"10.1177/00258172241311344","DOIUrl":"10.1177/00258172241311344","url":null,"abstract":"<p><p>This paper addresses the fundamental legal question as to who can act as an expert witness when procedures are performed by a range of clinical professionals. Endoscopies are performed by gastroenterologists, surgeons, radiologists, nurses and physician associates. There is a growing tendency for defence teams to seek the court's approval for assessment by an expert from the same background. Such an approach needs to be rigorously rejected. All endoscopists undergo a common training program and their practice is monitored by the same body. To suggest that different standards should apply to different professional groups would seriously undermine the current training standards and the confidence of patients undergoing endoscopic procedures.</p>","PeriodicalId":35529,"journal":{"name":"Medico-Legal Journal","volume":" ","pages":"130-132"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Knife crime in adolescents in the United Kingdom. 英国青少年的持刀犯罪。
Medico-Legal Journal Pub Date : 2025-09-01 Epub Date: 2025-08-19 DOI: 10.1177/00258172251348305
Eleanor Jane Turner, Diana Brahams
{"title":"Knife crime in adolescents in the United Kingdom.","authors":"Eleanor Jane Turner, Diana Brahams","doi":"10.1177/00258172251348305","DOIUrl":"10.1177/00258172251348305","url":null,"abstract":"","PeriodicalId":35529,"journal":{"name":"Medico-Legal Journal","volume":" ","pages":"115-117"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144883821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The interrelation of medical science and law in the administration and prevention of sexual offences. 医学和法律在性犯罪管理和预防中的相互关系。
Medico-Legal Journal Pub Date : 2025-09-01 Epub Date: 2025-05-16 DOI: 10.1177/00258172251321248
Amit Bhaskar, G V Desikan
{"title":"The interrelation of medical science and law in the administration and prevention of sexual offences.","authors":"Amit Bhaskar, G V Desikan","doi":"10.1177/00258172251321248","DOIUrl":"10.1177/00258172251321248","url":null,"abstract":"<p><p>Sexual harassment has plagued humanity for centuries. Legal scholars, philosophers, and social scientists who attempt to address the problem need the support of medical, forensic and psychiatric professionals. Law and medicine must combine to deal effectively with sexual offenders and scientific evidence may help prevent sexual offences and recidivism. This article reviews the benefits of medical and forensic science, castration laws and pharmacological interventions, and analyses their interrelation with the law, globally.</p>","PeriodicalId":35529,"journal":{"name":"Medico-Legal Journal","volume":" ","pages":"133-136"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fatal entrapment under a lift-up storage bed: Accidental death from positional asphyxia. 致命困在升降式储物床下：因体位性窒息而意外死亡。
Medico-Legal Journal Pub Date : 2025-09-01 Epub Date: 2025-03-24 DOI: 10.1177/00258172241288010
Camilla Cecannecchia, Stefania De Simone, Simona Vittorio, Benedetta Baldari, Luigi Cipolloni, Andrea Cioffi
{"title":"Fatal entrapment under a lift-up storage bed: Accidental death from positional asphyxia.","authors":"Camilla Cecannecchia, Stefania De Simone, Simona Vittorio, Benedetta Baldari, Luigi Cipolloni, Andrea Cioffi","doi":"10.1177/00258172241288010","DOIUrl":"10.1177/00258172241288010","url":null,"abstract":"<p><p>Positional or postural asphyxia results in a violent asphyxial death when the body (e.g. neck and/or chest) suffers kinking of the airway and obstructed normal gas exchange. Accidental deaths from positional asphyxia are poorly described in the literature. They are more common in infants unable to break free from the restraint position. We present a case of an 85-year-old woman discovered trapped with her neck compressed under a lift-up bed storage. The death scene investigation, the medical history of the subject, and the post-mortem findings enabled the cause of the death to be ascribed to accidental positional mechanical asphyxia.</p>","PeriodicalId":35529,"journal":{"name":"Medico-Legal Journal","volume":" ","pages":"157-161"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Undiagnosed rheumatic carditis causing sudden death in a young adult: A case report and review. 未确诊的风湿性心脏病导致一名年轻成人猝死：病例报告与回顾
Medico-Legal Journal Pub Date : 2025-09-01 Epub Date: 2024-05-01 DOI: 10.1177/00258172241230207
Bajrang K Singh, Jitendra S Tomar, Ravi Jain, Surya Prakash, Suyasha Narayan
{"title":"Undiagnosed rheumatic carditis causing sudden death in a young adult: A case report and review.","authors":"Bajrang K Singh, Jitendra S Tomar, Ravi Jain, Surya Prakash, Suyasha Narayan","doi":"10.1177/00258172241230207","DOIUrl":"10.1177/00258172241230207","url":null,"abstract":"<p><p>Acute rheumatic fever-related acquired heart disease in children and young adults is a worldwide issue, but it poses a serious public health threat in developing nations like India. We present a case report of a young adult who collapsed suddenly during a routine walk and was declared dead in an emergency ward on arrival. There was no significant past medical history. On autopsy, massive cardiomegaly and a \"butter and bread\" appearance of the pericardium, along with findings suggestive of mitral stenosis and aortic regurgitation, raised suspicion about rheumatic heart disease. Rheumatic carditis was confirmed by a microscopic examination that showed Aschoff bodies in the left ventricle, mitral valve and interventricular septum, in addition to uncommon Anitschkow cells in the left ventricle. A sudden death due to undiagnosed rheumatic carditis causing such massive cardiomegaly is rare. This case highlights the need to keep rheumatic carditis as a cause of sudden death.</p>","PeriodicalId":35529,"journal":{"name":"Medico-Legal Journal","volume":" ","pages":"143-146"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140869678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Distal femoral metaphyseal fractures in children: A systematic review and meta-analysis of their significance in the context of child abuse. 儿童股骨远端干骺端骨折：系统回顾和荟萃分析其在儿童虐待背景下的意义。
Medico-Legal Journal Pub Date : 2025-09-01 Epub Date: 2025-03-27 DOI: 10.1177/00258172241293885
Shrayash Khare
{"title":"Distal femoral metaphyseal fractures in children: A systematic review and meta-analysis of their significance in the context of child abuse.","authors":"Shrayash Khare","doi":"10.1177/00258172241293885","DOIUrl":"10.1177/00258172241293885","url":null,"abstract":"<p><p>BackgroundDistal femoral metaphyseal fractures in children pose diagnostic challenges due to potential accidental and non-accidental aetiologies. This review aims to critically analyse the evidence on the association between distal femoral metaphyseal fractures and child abuse, as well as fracture patterns aiding in distinguishing inflicted injuries from accidental injuries.MethodsA systematic review of studies involving children with distal femoral metaphyseal fractures was conducted, examining the reported associations with child abuse, fracture patterns and proposed mechanisms.ResultsThe review revealed a significant association between distal femoral metaphyseal fractures and child abuse, particularly in non-ambulatory infants. However, some fractures may occur accidentally, often from short falls with direct impact on the knee. Certain fracture patterns, such as transverse or oblique configurations, suggest abuse, while spiral or buckle patterns are more likely accidental. Case series and retrospective studies reported varying findings, with some studies supporting a strong association with abuse and others highlighting the potential for accidental mechanisms.ConclusionsA comprehensive evaluation, including history, physical examination, skeletal survey and multidisciplinary collaboration, is crucial for accurate diagnosis and management. Healthcare professionals should maintain a high index of suspicion for child abuse while recognising accidental mechanisms. Specific recommendations for healthcare professionals and future research directions are provided.</p>","PeriodicalId":35529,"journal":{"name":"Medico-Legal Journal","volume":" ","pages":"137-142"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143731967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Suicide contagion and psychosocial risks among Nepali youth through a near-hanging case study. 通过近乎上吊的案例研究尼泊尔青年的自杀传染和社会心理风险。
Medico-Legal Journal Pub Date : 2025-09-01 Epub Date: 2024-06-13 DOI: 10.1177/00258172241243169
Alok Atreya, Tanya Mahato, Samata Nepal, Sharad Paudel, Bhaskkar Sharma, Bishnu Acharya, Dikshya Bashyal
{"title":"Suicide contagion and psychosocial risks among Nepali youth through a near-hanging case study.","authors":"Alok Atreya, Tanya Mahato, Samata Nepal, Sharad Paudel, Bhaskkar Sharma, Bishnu Acharya, Dikshya Bashyal","doi":"10.1177/00258172241243169","DOIUrl":"10.1177/00258172241243169","url":null,"abstract":"<p><p>The phenomenon of suicide contagion: some individuals, especially vulnerable young people, exhibit increased susceptibility to suicidal ideation when exposed to the suicide of other people. Significant research suggests that exposure to media portrayals, suicide groups and peer suicides may lead to suicide contagion. Prevalent psychosocial and cultural factors in Nepal such as interpersonal conflict, domestic violence, gender inequity and social exclusion probably contribute to suicidal behaviour. This case study investigates a high school student in a rural mountainous community in Nepal, who attempted suicide by hanging following his girlfriend's suicide, and demonstrates how peer suicide exposure prompts imitative behaviour in a vulnerable young person and confirms suicide grief as an underrepresented risk factor. Prompt, supportive interventions for high-risk grievers and societal prevention strategies tailored to adolescents are essential to curb imitative deaths.</p>","PeriodicalId":35529,"journal":{"name":"Medico-Legal Journal","volume":" ","pages":"153-156"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141318516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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