Revista Espanola de Medicina Legal最新文献_第7页

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

Valoración de la prueba de ADN en las identificaciones a gran escala de personas desaparecidas dna测试在大规模失踪人员身份鉴定中的价值

Revista Espanola de Medicina Legal Pub Date : 2022-07-01 DOI: 10.1016/j.reml.2021.08.003

Lourdes Prieto , Yarimar Ruiz , Elías Hernandis , Ángel Carracedo

{"title":"Valoración de la prueba de ADN en las identificaciones a gran escala de personas desaparecidas","authors":"Lourdes Prieto , Yarimar Ruiz , Elías Hernandis , Ángel Carracedo","doi":"10.1016/j.reml.2021.08.003","DOIUrl":"10.1016/j.reml.2021.08.003","url":null,"abstract":"<div><p>The evaluation of the DNA test in massive identification cases requires the use of Bayes' Theorem to estimate the probability of identification from <em>a priori</em> data together with probabilities obtained from the DNA test itself. To apply it, one needs to specify the prior probabilities of the hypotheses. An interdisciplinary team and an identification coordinator are key stakeholders in this process. The statistical approach can be complex, but there exists validated non-commercial software, such as Familias, which aid in estimating the likelihood ratios of the DNA test for the given hypotheses. Next, the posterior probabilities in massive identification events can be estimated using the one-to-one, PM-driven, AM-driven or Global approaches published recently by Kling et al. Which are discussed in this article. The Identification Coordinator has a key role in formulating the hypotheses of the case, in establishing the prior probabilities, the identification threshold and in consolidating the integrated identification report together with the multidisciplinary team through the reconciliation of the case.</p></div>","PeriodicalId":35705,"journal":{"name":"Revista Espanola de Medicina Legal","volume":"48 3","pages":"Pages 124-132"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48559590","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: 4

Estudio mediante técnicas moleculares del tanatomicrobioma intestinal en la estimación del intervalo post mortem temprano empleando un modelo de ratón 利用分子技术研究肠道死亡微生物组，以小鼠模型估计死后早期间隔

Revista Espanola de Medicina Legal Pub Date : 2022-07-01 DOI: 10.1016/j.reml.2021.09.004

Ángel M. Aragonés, Eduardo Martínez-Manzanares, Silvana Teresa Tapia-Paniagua

{"title":"Estudio mediante técnicas moleculares del tanatomicrobioma intestinal en la estimación del intervalo post mortem temprano empleando un modelo de ratón","authors":"Ángel M. Aragonés, Eduardo Martínez-Manzanares, Silvana Teresa Tapia-Paniagua","doi":"10.1016/j.reml.2021.09.004","DOIUrl":"https://doi.org/10.1016/j.reml.2021.09.004","url":null,"abstract":"<div><h3>Introduction</h3><p>Currently, the lack of reliable quantitative methods has led different research lines to find a model that predicts the postmortem interval (PMI). The thanatomicrobiome, present from the moment of death, has been shown to change in predictable ways, allowing a correlation with PMI.</p></div><div><h3>Materials and methods</h3><p>In this study, the shifts of the thanatomicrobiome in the region of the posterior small intestine and the ascending colon in Mus musculus during the first 24 hrs of decomposition have been analyzed experimentally. For this purpose, a molecular approach based on the analysis of the 16S ribosomal gene (16S rRNA) and a denaturing gradient gel electrophoresis (DGGE) was adopted, followed by analyses of the ecological diversity indices Alpha and beta diversity.</p></div><div><h3>Results</h3><p>The results based on the analysis of the ecological diversity indices reflected statistically significant changes before 12 hrs, and a decrease in diversity after 12 hrs postmortem, this being statistically significant in the two intestinal regions analyzed. Moreover, the comparative study of microbial communities indicated distinct and structured changes from the moment of death, with shifts in the degree of similarity from the composition detected in life (PMI 0 hrs).</p></div><div><h3>Discussion</h3><p>These results agree with other studies demonstrating a decrease in microbial diversity. However, under the conditions of the study, this decrease does not begin until 12 hrs after death.</p></div><div><h3>Conclusions</h3><p>In conclusion, by examining the dynamics of bacterial diversity our study has identified phases during decomposition that could help to improve microbial correlation models for PMI estimation.</p></div>","PeriodicalId":35705,"journal":{"name":"Revista Espanola de Medicina Legal","volume":"48 3","pages":"Pages 107-114"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137269041","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

Comparativa entre Screening Cognitive Impairment in Psychiatry (SCIP-S) y Minimental State Examination (MMSE) en psiquiatría forense. Estudio piloto 比较中心筛选精神病学认知障碍(SCIP-S)通过最低状态检查(MMSE)在psiquiatría法医。工厂化piloto

Revista Espanola de Medicina Legal Pub Date : 2022-07-01 DOI: 10.1016/j.reml.2022.01.001

Priscila Caballero Casanoves , César Jesús Correas Soto , Óscar Pino López , Judith Prió Silvestre

{"title":"Comparativa entre Screening Cognitive Impairment in Psychiatry (SCIP-S) y Minimental State Examination (MMSE) en psiquiatría forense. Estudio piloto","authors":"Priscila Caballero Casanoves , César Jesús Correas Soto , Óscar Pino López , Judith Prió Silvestre","doi":"10.1016/j.reml.2022.01.001","DOIUrl":"10.1016/j.reml.2022.01.001","url":null,"abstract":"<div><h3>Objectives</h3><p>The objective is to compare two brief cognitive screening tests, MMSE and SCIP-S, and determine their usefulness in assessing the cognitive status of subjects diagnosed with psychiatric pathology.</p></div><div><h3>Material and methods</h3><p>Pilot study of a series of 33 cases from the Institutes of Legal Medicine of Catalonia and Andorra, whose inclusion criterion was the existence of a psychiatric pathology categorized in ICD-10. In all cases, in addition, to the forensic medical interview, MMSE was administered followed by SCIP-S.</p></div><div><h3>Results</h3><p>In MMSE, 31 of the 33 interviewees obtained a total direct score ≥ 24 (normal cognitive performance). In SCIP-S, only 5 of the 33 participants were in a percentile ≥15 (normal cognitive performance). The difference between the results of both tests was statistically significant (p<0.05).</p></div><div><h3>Conclusions</h3><p>This study suggests a greater usefulness of SCIP-S compared to MMSE in detecting cognitive deficits in psychiatric patients. Therefore, the use of the former is recommended in forensic medical practice.</p></div>","PeriodicalId":35705,"journal":{"name":"Revista Espanola de Medicina Legal","volume":"48 3","pages":"Pages 92-98"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55109143","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: 1

Revisión sobre la metodología para el diseño de la estrategia de calidad en los servicios de patología forense 对法医病理学服务质量战略设计方法的回顾

Revista Espanola de Medicina Legal Pub Date : 2022-07-01 DOI: 10.1016/j.reml.2022.03.003

Luciana Miguel Alhambra, J. Zarco Rodríguez, Eduardo Andreu Tena

引用次数: 0