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Medico-legal Journal

Jsrg Saran, Jagadish R Padubidri
The concept of brain death has been a very intriguing topic and has taken many forms over the years. Brain stem death is a complex state of inactivity defined by the loss of reflexes of the pathways that pass through the brain stem, the 'shaft' of the brain which links the spinal cord to the cerebral cortex and the cerebellum where there is apnoea, loss of eye movement and pain sensation. There are many criteria, based on which a person can be said to be brain dead. The best recognised of these are the Harvard, Minnesota and Philadelphia criteria...
February 20, 2019: Medico-legal Journal
Puneet Puri, Sudhir Kumar Shukla, Rajinder Kumar Sarin, Biswa Prakash Nayak, Himanshu Khajuria
Firearms are extensively used in shooting incidents, functions or for recreational purposes around the world. However, illegal modifications to a firearm can pose a major challenge to the forensic community, as their examination and subsequent individualisation are not always easy when compared to standard firearms due to the non-availability of standard comparison material and the damage caused to the firearm during test firing. We present a case report of unusual firing by an improvised firearm adapted to produce a loud noise during a marriage party...
February 19, 2019: Medico-legal Journal
N Zorlu, R Nash, R Srinivasan
NHS Resolution provides indemnity cover for legal claims against the NHS, assists the NHS with risk management and aims to share lessons from claims in order to improve safety. The study aimed to investigate the financial costs of litigation against English Health Trusts in otolaryngology over a 10-year period, to see if any lessons have been learned and identify trends that may lead to a potential reduction in costs and improve patient safety. A Freedom of Information request was made to NHS Resolution for information regarding claims made to otolaryngology departments over the last 10 years...
February 1, 2019: Medico-legal Journal
Alec Samuels
This article considers situations where treatment is refused and whether this is reasonable taking into account statutory duties, efficacy of treatment, the role and advice of NICE, local and general resources. What should be the priorities for treatment? Eligibility for treatment, the economic case for an early intervention and/or preventative medicine, caesarean sections, human rights, examples from the cases.
February 1, 2019: Medico-legal Journal
Pooja Puri, S K Shukla, I Haque
Teeth may provide useful forensic evidence owing to features like uniqueness, stability and comparability. Moreover, the human dentition is heterodont, i.e. all the teeth have different morphology - incisors, canines, premolars and molars. There are sometimes deviations from normal morphology, such as the presence of extra teeth, variation in their shape and size eg the presence of an extra cusp, fractured crown/root, Carabelli's cusp, peg laterals, transpositions, fusion, etc. These differences can help forensic personnel identify bodies, especially where other methods of identification like facial features, fingerprints or DNA typing cannot yield satisfactory results as in cases of badly decomposed bodies, burnt remains, mass disasters, etc...
January 3, 2019: Medico-legal Journal
Mabel Ijeoma Ezeuko
No abstract text is available yet for this article.
January 2, 2019: Medico-legal Journal
Jatin Bodwal, Asit Kumar Sikary, Mohit Chauhan, Chittaranjan Behera
This case is of a suicide victim who purchased various drugs online using forged prescriptions after detailed research about the drugs to commit suicide. He left a suicide note giving details of his suicide methods and the reasons for it. He also denied any treatment and asked for euthanasia if he survived and remained in a vegetative state.
November 29, 2018: Medico-legal Journal
S H Jayanth, Girish Chandra, S Praveen
A 26-year-old unmarried female with a history of acute abdominal pain and bleeding per vagina was brought unresponsive to the hospital. She was in shock on arrival and could not be resuscitated. Death was registered as a medico-legal case. Further investigation by the police revealed that she had amenorrhoea for eight weeks and had tested positive for pregnancy. She had consumed abortion pills purchased from a local pharmacist without consulting a doctor and had developed acute abdominal pain after 48 h. Autopsy revealed a ruptured ectopic pregnancy (tubal type)...
November 29, 2018: Medico-legal Journal
Azadeh Memarian, Seyed Hossein Moosavinezhad Baboli, Nahid Dadashzadeh Asl
Head trauma may occur during delivery and can lead to a number of conditions. When an infant is injured during birth, the cause of injury is generally due to mechanical forces, such as compression, excessive or abnormal traction during delivery, and the use of forceps. A 39-year-old woman who was a primagravida (first pregnancy) with a gestational age of 26 weeks premature pregnancy was referred to a hospital in Tehran due to premature rupture of membranes (PROM) and fever. She arrived 2 h after rupture (noting that the rupture lasted for one week and then the baby was delivered)...
November 22, 2018: Medico-legal Journal
Shahrokh Mehrpisheh, Farrokh Taftachi, Leila Abdolkarimi, Azadeh Memarian
Most injuries from caustics ingestion occur due to parental negligence, but other causes such as psychological tendency or childish jealousy or behaviour may be the major cause for harming. Here, we describe a case of injury in a neonate who ingested a caustic substance, probably induced by his brother, but not as a consequence of the negligence of his parents. The mother said she had fed the child toilet bleach instead of water and was very concerned about the child's condition. However, when the baby's older brother was interviewed he did not show concern and was very confused and provided contradictory responses about his knowledge of the poisoning...
October 31, 2018: Medico-legal Journal
H Zeitlin
No abstract text is available yet for this article.
September 2018: Medico-legal Journal
Alec Samuels
This article considers different approaches with a view to reducing NHS legal costs and damages for clinical failures on the basis that these are out of control and reducing resources for the treatment of current and future patients.
September 2018: Medico-legal Journal
Billy Kenber
No abstract text is available yet for this article.
September 2018: Medico-legal Journal
Philip Joseph
No abstract text is available yet for this article.
September 2018: Medico-legal Journal
(no author information available yet)
No abstract text is available yet for this article.
September 2018: Medico-legal Journal
S Zerbo, E Ventura Spagnolo, S Salerno, G Lo Re, A Guajana, A Alongi, A Argo
The commonest cause of blunt cardiac injuries is from traffic accidents followed by violent falls, sport activities, accidents or a fight but rupture of the heart is rare and lethal. The precise incidence of cardiac injury after a blunt chest trauma is unknown as rates vary greatly in the literature from between 7% and 76% of cases. Autopsy studies have shown that the right ventricle is the most frequently ruptured, followed by the left ventricle, right atrium, intraventricular septum, left atrium and interatrial septum with decreasing frequency...
September 2018: Medico-legal Journal
Emma M Szelepet
The Mental Capacity Act 2005 ('MCA') sets out a regime which governs the making of decisions for people who lack mental capacity. Acts must be carried out, and decisions made, for such an incapacitated person, based on what is in her best interests (section 4 MCA). In this paper, I consider the body of post-MCA case law which applies the MCA best interests test to decision-making for elderly people, in various contexts. Is the best interests test 'fit for purpose' for the vulnerable elderly? The key aims of Parliament in introducing the test seem to have been empowerment, protection and support - and alertness to undue influence - as well as a balance between the objective and subjective viewpoints...
September 2018: Medico-legal Journal
Gilberto Kk Leung, Gerard Porter
Acute stroke care has undergone momentous changes in recent years with the introduction of intravenous thrombolysis, mechanical thrombectomy and integrated stroke services. While these are welcome developments, they also carry unique medico-legal challenges. In 2015, a patient from Greater Manchester was awarded over £1 million in compensation after ambulance paramedics failed to admit her to a specialist unit. This paper explores the medico-legal implications of this first but over looked thrombolysis-related claim in the United Kingdom...
September 2018: Medico-legal Journal
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