Revista Espanola de Medicina Legal最新文献_第10页

Estudio médico legal de la Ley Orgánica de Regulación de la Eutanasia en España en comparación con el resto de los países que regulan la eutanasia y/o el suicidio asistido 对西班牙管理安乐死的组织法与其他管理安乐死和/或协助自杀的国家的法律医学研究

Revista Espanola de Medicina Legal Pub Date : 2022-10-01 DOI: 10.1016/j.reml.2022.01.003

Mercedes Martínez-León, Jorge Feijoo Velaz, Daniel Queipo Burón, Camino Martínez-León

引用次数: 0

La necesidad del intercambio transfronterizo de datos genéticos con fines de investigación criminal en América Latina: retos para su implementación 拉丁美洲为刑事调查目的跨界交换遗传数据的必要性:实施的挑战

Revista Espanola de Medicina Legal Pub Date : 2022-10-01 DOI: 10.1016/j.reml.2022.03.001

Silvia Cristina Triverio , Manuel Crespillo Márquez

引用次数: 0

Tesis doctorales en psicología forense en España 西班牙法医心理学博士论文

Revista Espanola de Medicina Legal Pub Date : 2022-10-01 DOI: 10.1016/j.reml.2022.05.002

Aina M. Gassó , Carles Martin-Fumadó , Esperanza L. Gómez-Durán

引用次数: 0

Judicialización en cardiología y cirugía cardiovascular: estudio observacional transversal en materia de responsabilidad patrimonial en la sanidad pública española 心脏病学和心血管外科的司法化:西班牙公共卫生世袭责任问题的横断面观察研究

Revista Espanola de Medicina Legal Pub Date : 2022-10-01 DOI: 10.1016/j.reml.2022.03.002

Mónica Hernández-Herrero , Joaquin Cayón-De Las Cuevas

{"title":"Judicialización en cardiología y cirugía cardiovascular: estudio observacional transversal en materia de responsabilidad patrimonial en la sanidad pública española","authors":"Mónica Hernández-Herrero , Joaquin Cayón-De Las Cuevas","doi":"10.1016/j.reml.2022.03.002","DOIUrl":"10.1016/j.reml.2022.03.002","url":null,"abstract":"<div><p>Introduction: The overestimation by physicians of the risk of a lawsuit has, among other consequences, the stepped-up of defensive medicine. To analyze the characteristics of medical liability rulings in Spain in public health care in the specialties of cardiology and cardiovascular surgery.</p><p>Materials and methods: Cross-sectional observational study analyzing the rulings handed down in the contentious-administrative jurisdiction by the High Courts of Justice in the period 2008-2020, in the specialties of cardiology and cardiovascular surgery. The variables were administrative, clinical, judicial, and compensatory.</p><p>Results: A total of 1015 rulings were analyzed; 47 (4.63%) involved to the specialties of cardiology and cardiovascular surgery. Both obtained similar frequency percentages, cardiology 22 (2.2%) and cardiovascular surgery 25 (2.5 %). A total of 74.1 % of the rulings were dismissed in the first instance and 75% in the second instance. The two grounds for finding against the defendent were loss of chance 6 (42.85%) and diagnostic and/or therapeutic malpractice 5 (35.71%). Damages were usually claimed: death 21 (44.68%) and sequelae 26 (55.32%). The median award was 30,000 euros.</p><p>Conclusions: The low frequency of claims in cardiology and cardiovascular surgery indicates that these are “low risk” specialties for litigation. The vast majority of the rulings are, moreover, dismissive of the patients' claims. The data help to structure the role of lawsuits and to increase professionals' knowledge of the medical-legal dimension of health care.</p></div>","PeriodicalId":35705,"journal":{"name":"Revista Espanola de Medicina Legal","volume":"48 4","pages":"Pages 136-143"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55109603","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: 2

Estado de la información médica y el consentimiento del paciente en cirugía ortopédica y traumatología en el Hospital Universitario de Burgos (periodo 2017-2018) 布尔戈斯大学医院骨科手术和创伤的医疗信息和患者同意状况(2017-2018年期间)

Revista Espanola de Medicina Legal Pub Date : 2022-10-01 DOI: 10.1016/j.reml.2022.01.002

Jacobo Salvat Dávila , Juan Salvat Puig , Jesús María Gonçalves Estella , Secundino Vicente González

{"title":"Estado de la información médica y el consentimiento del paciente en cirugía ortopédica y traumatología en el Hospital Universitario de Burgos (periodo 2017-2018)","authors":"Jacobo Salvat Dávila , Juan Salvat Puig , Jesús María Gonçalves Estella , Secundino Vicente González","doi":"10.1016/j.reml.2022.01.002","DOIUrl":"10.1016/j.reml.2022.01.002","url":null,"abstract":"<div><h3>Introduction</h3><p>The principle of autonomy is the basis of the informed consent concept. Informed consent is a patient´s right consisting in prior to the medical intervention being carried out on his body, he must express his agreement that it must be preceded by the proper information that allows him to decide according to his interests. In this work, our objective was to know the status of medical information and informed consent of the patient in the Traumatology and Orthopedic Surgery Service of the University Hospital of Burgos.</p></div><div><h3>Material and methods</h3><p>An anonymous questionnaire was prepared and distributed among 647 orthopedic surgery and trauma patients at the University Hospital of Burgos. Subsequently, a descriptive, cross-sectional, observational quantitative study was carried out. The association of sociodemographic variables with the responses to the questionnaire items was studied.</p></div><div><h3>Results</h3><p>Only 28.9% of the patients know that information is a right, but the majority (97.3%) expressed the need to receive information on risks and complications of the treatment and consider that the information does not increase fear or anxiety (63.4%). The majority stated that they were informed about the care performance (98.1%), understanding the explanations received (98.0%). The time used was sufficient (73.7%). In general, the information received was rated as sufficient (89.8%).</p></div><div><h3>Conclusions</h3><p>Most of the patients felt informed and considered that the time that the doctor had had for this was sufficient.</p></div>","PeriodicalId":35705,"journal":{"name":"Revista Espanola de Medicina Legal","volume":"48 4","pages":"Pages 144-150"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48880345","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

Conocimiento sobre odontología legal y la normativa sanitaria por parte de los odontólogos y estomatólogos de la Comunidad Valenciana 瓦伦西亚社区牙医和口腔医生关于法律牙科和卫生条例的知识

Revista Espanola de Medicina Legal Pub Date : 2022-10-01 DOI: 10.1016/j.reml.2021.09.005

Martina Sánchez Gisbert , Marina Gisbert Grifo , Chirag C. Sheth

{"title":"Conocimiento sobre odontología legal y la normativa sanitaria por parte de los odontólogos y estomatólogos de la Comunidad Valenciana","authors":"Martina Sánchez Gisbert , Marina Gisbert Grifo , Chirag C. Sheth","doi":"10.1016/j.reml.2021.09.005","DOIUrl":"10.1016/j.reml.2021.09.005","url":null,"abstract":"<div><h3>Objectives</h3><p>The main objective of this study is to analyze the knowledge of the dentists and stomatologists registered in Alicante, Castellón and Valencia, the three provinces that make up the Valencian Community, in Spain, with regard to legal dentistry and the current health legislation and regulations, and to quantify the relationship between level of training, specialization, work experience, position and workplace with the degree of knowledge.</p></div><div><h3>Material and methods</h3><p>An anonymous survey was designed and validated, consisting of thirty-three multiple-choice questions. The survey included questions regarding their professional profile and key questions regarding current dental law, forensic science and expertise.</p></div><div><h3>Results</h3><p>The level of knowledge is moderate, with only 63% of the questions answered correctly. Neither their level of training nor work experience correlates significantly with their degree of knowledge. Dentists specialized in General and Aesthetics Dentistry were found to be more knowledgeable about ethical issues. Regarding the workplace, those working as university teachers tended to stand out from the other professionals in terms of legal and ethical knowledge whilst self-employed and employee dentists show a lower level of knowledge than the rest of the sample.</p></div><div><h3>Conclusions</h3><p>The conclusions obtained from this study highlight the need for dentists to complete and update their knowledge of legal dentistry and current health legislation, as having proper knowledge is a means of avoiding possible legal problems, which not only means better legal protection for the dentist but is also a means of guaranteeing adequate patient care.</p></div>","PeriodicalId":35705,"journal":{"name":"Revista Espanola de Medicina Legal","volume":"48 4","pages":"Pages 151-157"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55109107","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

Los derechos humanos y la medicina forense 人权与法医学

Revista Espanola de Medicina Legal Pub Date : 2022-10-01 DOI: 10.1016/j.reml.2022.11.001

Josep Arimany-Manso , Amadeo Pujol-Robinat , Eneko Barbería

引用次数: 0

Muerte materna asociada a una malformación arteriovenosa uterina 子宫动静脉畸形导致的产妇死亡

Revista Espanola de Medicina Legal Pub Date : 2022-07-01 DOI: 10.1016/j.reml.2022.05.001

Rebeca Jiménez Herrera, María Urbelina Fernández Vázquez, Ariadna Hernández y Ballinas, María De Lourdes Palmer Marquez, Efren Durand Aguilar

引用次数: 0

Variabilidad interobservador del baremo de tráfico (Ley 35/2015) y utilidad de las pruebas biomecánicas en la valoración de las secuelas 交通比额表观察者间变异性(第35/2015号法律)和生物力学测试在评估后遗症方面的有用性

Revista Espanola de Medicina Legal Pub Date : 2022-07-01 DOI: 10.1016/j.reml.2021.12.002

Cristina Herrera Ligero , María José Vivas Broseta , Carmen Ferrer Gómez , Helios de Rosario Martínez , Elvira Garrido-Lestache López-Belmonte , Ignacio Bermejo Bosch

{"title":"Variabilidad interobservador del baremo de tráfico (Ley 35/2015) y utilidad de las pruebas biomecánicas en la valoración de las secuelas","authors":"Cristina Herrera Ligero , María José Vivas Broseta , Carmen Ferrer Gómez , Helios de Rosario Martínez , Elvira Garrido-Lestache López-Belmonte , Ignacio Bermejo Bosch","doi":"10.1016/j.reml.2021.12.002","DOIUrl":"10.1016/j.reml.2021.12.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Law 35/2015 assesses damages in traffic accidents and tries to guarantee an equal response to identical situations. Biomechanical functional assessment (BFA) is a complementary medical test that provides objectivity in the evaluation of post-traumatic neck pain. This study analyzes the interobserver variability of the assessment system defined by Law 35/2015 and studies the effect of having BFA tests and the profile of the evaluator in determining sequelae.</p></div><div><h3>Materials and methods</h3><p>To do this, 49 professionals in the assessment of bodily injury evaluated 5 clinical cases of accident victims with post-traumatic neck pain; a month later, 35 of them assessed the same cases including a BFA report.</p></div><div><h3>Results</h3><p>The results show high variability in determining the days of personal injury (Kappa coefficients between 0.04 and 0.073) with or without BFA; high interobserver variability in the assessment of sequelae in cases without BFA (Kappa coefficients between 0.022 and 0.044), which slightly improves with BFA (Kappa coefficients between 0.128 and 0.26), even showing weak concordance. The BFA has an influence on the determination of sequelae (p < 0.01), but the profile of the evaluator does not. More than 79.4% of the evaluators found the BFA tests useful to reveal or to confirm symptoms, recovery, or simulation.</p></div><div><h3>Conclusions</h3><p>There is variability in the application of Law 35/2015 for the assessment of traffic accidents among professionals of bodily injury. The BFA is useful for evaluators and influences the determination of sequelae<strong>.</strong></p></div>","PeriodicalId":35705,"journal":{"name":"Revista Espanola de Medicina Legal","volume":"48 3","pages":"Pages 99-106"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0377473222000013/pdfft?md5=073b7510cd397ba04d7519606a525336&pid=1-s2.0-S0377473222000013-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47482491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

El inicio de la residencia de la especialidad de medicina legal y forense en España 西班牙法律和法医专业住院医师的开始

Revista Espanola de Medicina Legal Pub Date : 2022-07-01 DOI: 10.1016/j.reml.2022.07.002

Marta Grijalba-Mazo , Josep Arimany-Manso

引用次数: 0