Breast augmentation in transgender women and the lack of adherence amongst plastic surgeons to professional standards of care

Computer fire modeling can be a two-edged tool in forensic fire engineering investigations. Professional standards of care recommend that fire modeling’s primary use is in examining multiple hypotheses for a fire as opposed to determining its origin. This paper covers the current acceptable benefits of computer fire models, historical and pending legal case law, and methods to use modeling results within expert reports and testimony. Particular issues reviewed are the use of animations versus simulations, evidentiary guidelines, and authentication using verification and validation studies.

Download Full-text

P-266 Designing a framework to proactively support nurses through their revalidation process, ensuring excellent and professional standards of care are maintained

10.1136/bmjspcare-2016-001245.285 ◽

2016 ◽

Author(s):

Leigh Marrs

Keyword(s):

Professional Standards ◽

Standards Of Care

Download Full-text

An Investigation into the Current Practice of Tooth Whitening in a Southern English City in the Context of Associated Legal Issues

Primary Dental Care ◽

10.1308/135576110791654892 ◽

2010 ◽

Vol os17 (3) ◽

pp. 127-135

Author(s):

Heather A Beckett

Keyword(s):

Criminal Law ◽

Current Practice ◽

Legal Issues ◽

Professional Standards ◽

Standards Of Care ◽

Cosmetic Products ◽

Tooth Whitening ◽

Safety Regulations ◽

Beauty Salons ◽

The Law

Aims This investigation examined the current practice of tooth whitening carried out by a sample of dentists and beauty therapists from Portsmouth in the context of the relevant law. Methods A random sample of dentists and all beauty salons in Portsmouth were invited to respond to two postal questionnaires, one for dentists and one for beauty salons. These questionnaires were used to assess whether tooth-whitening services were offered and if so, details of products and techniques employed. The findings were analysed and compared with the current United Kingdom law on tooth whitening. Results One hundred and seventy-nine dentists (88%) and 76 (75%) beauty salons responded. One hundred and nineteen (66%) of the responding dentists and eight (11%) responding beauty salons provided in-house and/or take-home tooth-whitening services. The vast majority employed whitening agents containing or releasing hydrogen peroxide at a concentration greater than that permitted by the Cosmetic Products (Safety) Regulations 2008. Conclusions The current practice of tooth whitening by the dentists and beauty salons surveyed in this study is at odds with the criminal law that has been developed in order to safeguard consumers in relation to the products employed and the individuals carrying out the practice of dentistry. The practice also raises civil law issues, and compensation may be necessary in the event of injury. A change in the law, based on a scientific background and professional standards of care, is required at both European and domestic levels in order to align reasonable practice with the law, while upholding patient safety.

Download Full-text

Update on Gender-Affirming Treatment for the Transgender Woman

Seminars in Reproductive Medicine ◽

10.1055/s-0037-1604454 ◽

2017 ◽

Vol 35 (05) ◽

pp. 442-447 ◽

Cited By ~ 2

Author(s):

Cecile Unger

Keyword(s):

Health Care Providers ◽

Preoperative Evaluation ◽

Postoperative Management ◽

Transgender Women ◽

Standards Of Care ◽

Care Providers ◽

Advantages And Disadvantages ◽

Individual Assessment ◽

Term Data

AbstractTransgender women often transition with cross-sex hormone therapy and some opt to further affirm themselves with breast augmentation, facial feminization procedures, and/or vaginoplasty surgery. When considering medical and surgical transition for the transgender woman, careful preoperative evaluation and individual assessment is imperative and the World Professional Association for Transgender Health (WPATH) Standards of Care provide the framework from which health care providers and surgeons may assess eligibility for affirming treatments. Vaginoplasty for the transgender woman may be performed by a variety of techniques, mainly penile inversion vaginoplasty or intestinal segment vaginoplasty. Surgical outcomes vary according to technique, and the unique risks, advantages, and disadvantages must be considered. Outcomes appear to be satisfactory following vaginoplasty surgery, but prospective, long-term data are still lacking. Providers should be aware of the peri- and postoperative management of the transgender women after genital surgery, as many women require ongoing care and management after surgery.

Download Full-text