Medico-Legal Journal最新文献_第2页

Injury pattern(s) in electric iron-related fatal electrocutions in the home. 家庭中与电铁相关的致命触电的伤害模式。

Medico-Legal Journal Pub Date : 2025-09-01 Epub Date: 2025-03-26 DOI: 10.1177/00258172241288019

Sangram S Yadav, Mohit Chauhan

引用次数: 0

Medico-Legal Journal Pub Date : 2025-09-01 Epub Date: 2025-03-27 DOI: 10.1177/00258172241304558

Mathias E Kant

{"title":"Pendulums in medical practice.","authors":"Mathias E Kant","doi":"10.1177/00258172241304558","DOIUrl":"10.1177/00258172241304558","url":null,"abstract":"Medicine is taught as a science, but in reality, as with other areas that undergo much public scrutiny, it is often more of an art than a science. Particularly when dealing with controversial areas, physicians often attempt to employ the \"standard of care\" as a guide to practising medicine, and to protect themselves. However, the standard of care itself is often a reactive and temporary construct. A number of practices serve as good examples of accepted patient care that has swung completely from one extreme to another. The history of opiate prescribing in this country exemplifies a complete swing in practice fundamentals among US physicians, where opiates have been repeatedly embraced, and then vilified. Numerous other practices demonstrating this phenomenon can be cited, including the use of electroconvulsive therapy for depression, and hormone replacement for postmenopausal women. Research funding itself has been subject to pendulum swings, such as occurred during the recent pandemic. Currently, there are a number of similar, very active issues of debate, such as marijuana for widespread medical use, and the employment of hallucinogens for addiction and other mental health disorders. Considerable harm has occurred to some patients when extremes of these pendulum swings have impacted their medical care. It is urged that in practising medicine, physicians consider the entire body of medical evidence accumulated during these pendulum swings, and then have the courage and wisdom to represent the best interests of their patients.","PeriodicalId":35529,"journal":{"name":"Medico-Legal Journal","volume":" ","pages":"124-129"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721710","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 cost of coexistence: Human fatalities from wild Asiatic elephant attacks. 共存的代价：野生亚洲象袭击造成人类死亡。

Medico-Legal Journal Pub Date : 2025-08-19 DOI: 10.1177/00258172251329211

Nirmal Nagar, Yatiraj Singi, Dipen Dabhi, Binaya Kumar Bastia, Kirti Nagar, Himanshu Nagar

引用次数: 0

Artificial intelligence in intensive care unit: Current ethical dilemmas. 重症监护病房中的人工智能：当前的伦理困境。

Medico-Legal Journal Pub Date : 2025-08-19 DOI: 10.1177/00258172251332485

Francisco Zarra, Marcos Rolando, Rubén Páramo Cardona, Walter Videtta

引用次数: 0

Fatal cade oil poisoning: Three Cases. 致命油类中毒3例。

Medico-Legal Journal Pub Date : 2025-08-19 DOI: 10.1177/00258172251333595

Mohammed Ouali, Azeddine Essadi, Badreddine Zarhouni, Rabi'a Benyoussef, Elias Mbuyi Numbi, Jihad Aarab, Samir Nya

引用次数: 0

Adverse reaction to metal debris in a case series of hip arthroplasty: A future scenario for the allocation of liability between manufacturer and medical personnel. 髋关节置换术系列病例中金属碎片的不良反应：制造商和医务人员之间责任分配的未来情景

Medico-Legal Journal Pub Date : 2025-08-18 DOI: 10.1177/00258172251318470

Sossio Del Prete, Emanuela Asunis, Letizia Sorace, Tommaso Berloco, Marco Albore, Giorgio Bolino

{"title":"Adverse reaction to metal debris in a case series of hip arthroplasty: A future scenario for the allocation of liability between manufacturer and medical personnel.","authors":"Sossio Del Prete, Emanuela Asunis, Letizia Sorace, Tommaso Berloco, Marco Albore, Giorgio Bolino","doi":"10.1177/00258172251318470","DOIUrl":"10.1177/00258172251318470","url":null,"abstract":"Adverse reactions to metal debris are inflammatory-necrotic changes that can occur in individuals with joint prostheses, particularly hips. They are triggered by the release of metal debris at both the periprosthetic tissue level and systemically. This was internationally recognised by 2012: several recommendations followed. Patients were advised to undergo careful clinical, laboratory and radiological follow-up with the potential need for prosthetic revision surgery. Concurrently, the primary manufacturers issued safety notifications and began recalling some prosthetic devices from the market. Notwithstanding, prosthetic implants with metal components continue to be widely used due to their favourable risk-benefit profile. We examined the cases of three patients whose hip arthroplasty had metal-type implants. Following the development of adverse reactions to metal debris, they underwent early prosthetic revision and even surgery to remove the prosthesis and clean up metal debris. Consequently, the patients requested a medico-legal evaluation to obtain compensation for the damage suffered. The investigations conducted in these three cases resulted in different allocations of liability: one to the manufacturing company, one to the healthcare professionals who treated the patients, one shared by both. This illustrates that, even after the risk has been identified, it remains a pertinent issue and provides insight into potential future scenarios regarding professional liability cases of a similar nature.","PeriodicalId":35529,"journal":{"name":"Medico-Legal Journal","volume":" ","pages":"258172251318470"},"PeriodicalIF":0.0,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144875595","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

Geriatric suicides and the burden of chronic diseases - a retrospective evaluation of suicides in a specific, well-described population. 老年自杀和慢性病负担——对特定、描述良好的人群中自杀的回顾性评估。

Medico-Legal Journal Pub Date : 2025-08-16 DOI: 10.1177/00258172251328808

Eduard P Drima, Camelia D Vrabie

{"title":"Geriatric suicides and the burden of chronic diseases - a retrospective evaluation of suicides in a specific, well-described population.","authors":"Eduard P Drima, Camelia D Vrabie","doi":"10.1177/00258172251328808","DOIUrl":"https://doi.org/10.1177/00258172251328808","url":null,"abstract":"Geriatric suicide has specific characteristics that are not always clear. Our objective was to assess the characteristics of geriatric suicides at a precise moment in time, in a well-described population living in a particular geographic area (year 2003, Galatzi county, Romania).A unique, significant increase in all-ages suicide rates was observed in 2003. Geriatric suicide rates followed a different pattern. The local rate was significantly higher than the national one for two consecutive years (2003 and 2004). The difference between years was not significant. All suicide scenes were fully investigated by forensic teams. Medical history, chronic use of medication, heavy alcohol consumption, chronic pain, frailty and recent grief were mentioned in the history of most of the cases. The post-mortem histopathology findings were typical for the method of suicide used and similar for both analysed years. 75% of cases had a high burden of chronic diseases (≥3 histopathological diagnoses per subject). Only 32% of cases had a clear psychiatric diagnosis. The low number of cases (71) and the absence of a control group precluded us from drawing more specific assumptions.Our findings support the idea that, in geriatric competent subjects, the proportion of subjects bearing a heavy burden of chronic diseases will impact the suicide rate more than psychiatric conditions even for elderly people living in an area where there is a strong culture against suicide.","PeriodicalId":35529,"journal":{"name":"Medico-Legal Journal","volume":" ","pages":"258172251328808"},"PeriodicalIF":0.0,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144859702","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

Lethal kite threads: Near-decapitation of a motorcyclist. 致命的风筝线：一个摩托车手差点被斩首。

Medico-Legal Journal Pub Date : 2025-08-09 DOI: 10.1177/00258172251325093

Gokul G, Mahalakshmi N Babu, Sudhir K Gupta, Chittaranjan Behera

引用次数: 0

Postmortem diagnosis of human rabies viral encephalitis: Insights into pathogenesis through the vigilant lens of the forensic pathologist! 人狂犬病病毒性脑炎的死后诊断：通过法医病理学家警惕的镜头了解发病机制！

Medico-Legal Journal Pub Date : 2025-08-09 DOI: 10.1177/00258172251328963

Ravi H Phulware, Akash Dhiman, Yashpal Sindhu, Ravi P Meshram, Salu Chandran, Arvind Kumar

{"title":"Postmortem diagnosis of human rabies viral encephalitis: Insights into pathogenesis through the vigilant lens of the forensic pathologist!","authors":"Ravi H Phulware, Akash Dhiman, Yashpal Sindhu, Ravi P Meshram, Salu Chandran, Arvind Kumar","doi":"10.1177/00258172251328963","DOIUrl":"https://doi.org/10.1177/00258172251328963","url":null,"abstract":"Rabies, a lethal zoonotic viral disease, continues to pose a significant public health threat worldwide. Caused by lyssaviruses, primarily transmitted through the bite of infected animals, rabies manifests as an acute encephalitis with a nearly universal fatality rate once clinical symptoms appear. The hallmark of rabies infection is its unique neurotropism, targeting the central nervous system and inducing characteristic neurological signs and symptoms. Early diagnosis and prompt administration of post-exposure prophylaxis remain crucial for preventing disease progression and mitigating the risk of transmission. Despite the availability of effective vaccines and immunoglobulins, rabies remains endemic in many regions, particularly in low-resource settings where access to healthcare services is limited. This case provides a comprehensive overview of rabies epidemiology, pathogenesis, clinical manifestations, diagnostic modalities, and current prevention and control strategies. Additionally, it highlights the ongoing challenges in rabies elimination and the importance of interdisciplinary approaches to combat this deadly disease.","PeriodicalId":35529,"journal":{"name":"Medico-Legal Journal","volume":" ","pages":"258172251328963"},"PeriodicalIF":0.0,"publicationDate":"2025-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805014","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

Incidentally detected cavernous haemangioma of the liver on autopsy of a middle-aged male. 在一名中年男性的尸检中偶然发现了肝脏海绵状血管瘤。

Medico-Legal Journal Pub Date : 2025-08-09 DOI: 10.1177/00258172251323742

Erna Ahsan, Ravi H Phulware, Gayathri Saravanan, B Bhartendu, Arvind Kumar

{"title":"Incidentally detected cavernous haemangioma of the liver on autopsy of a middle-aged male.","authors":"Erna Ahsan, Ravi H Phulware, Gayathri Saravanan, B Bhartendu, Arvind Kumar","doi":"10.1177/00258172251323742","DOIUrl":"https://doi.org/10.1177/00258172251323742","url":null,"abstract":"Cavernous haemangioma of the liver is a common benign vascular lesion, frequently asymptomatic and identified incidentally through imaging techniques. However, its identification during autopsy is uncommon. This report describes a 33-year-old male diagnosed with an incidental cavernous haemangioma of the liver identified during a post-mortem examination. The patient exhibited no previous history of liver disease or symptoms indicative of hepatic pathology. The gross examination identified an ill-defined, dark red, spongy lesion in the hepatic parenchyma. Histopathological analysis confirmed the diagnosis, revealing dilated vascular channels lined by endothelial cells, with no indications of malignancy. The clinical significance of hepatic haemangiomas is associated with potential complications, including rupture, haemorrhage and Kasabach-Merritt syndrome, even though most cases remain asymptomatic. This case emphasises the significance of identifying incidental hepatic haemangiomas in post-mortem examinations and recognising their benign characteristics to prevent unnecessary interventions during life.","PeriodicalId":35529,"journal":{"name":"Medico-Legal Journal","volume":" ","pages":"258172251323742"},"PeriodicalIF":0.0,"publicationDate":"2025-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805012","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