forensic implications
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Author(s):  
Petra Švábová nee Uhrová ◽  
Zuzana Caplova ◽  
Radoslav Beňuš ◽  
Mária Chovancová (nee Kondeková ◽  
Soňa Masnicová

2021 ◽  
pp. 109125
Author(s):  
Fabio De-Giorgio ◽  
Eva Bergamin ◽  
Sabrine Bilel ◽  
Micaela Tirri ◽  
Raffaella Arfè ◽  
...  

2021 ◽  
Vol 15 (8) ◽  
pp. 2169-2171
Author(s):  
Muhammad Faheem Ashraf ◽  
Tanveer Haider ◽  
Shams Munir ◽  
Muhammad Imran Khan ◽  
Uzma Zaheen ◽  
...  

Objective: To determine forensic implications of carpel tunnel syndrome in relation to neurological, radiological and orthopedic assessments. Study Design: Prospective Place and Duration of Study: Department of Forensic Medicine in collaboration with Radiology and Orthopaedic Departments, Govt. Khawaja Muhamamd Safdar Medical College Sialkot from 1st March 2020 to 28th February 2021. Methodology: One hundred and fifty patients of both genders were enrolled and age between 15-70 years. Details demographics age, sex and body mass index of all patients were recorded after taking written consent. Patients were divided into 2 groups. Group I had 75 patients with carpal tunnel syndrome and group II had 75 patients without carpal tunnel syndrome. Patients were undergone for ultrasonography and ultradiagnostic test used to diagnose the carpal tunnel syndrome. The carpal tunnel and proximal levels of the median nerve's CSA were measured, delta cross-sectional area (CSA) was determined for each wrist based on the differences between CSAc and CSAp. Sensitivity and specificity in wrists among both groups were identified. Results: There were 15 (20%) males and 60 (80%) females in group I with 90 wrists while in group II 17 (22.7%) males and 58 (77.3%) females in group II with 100 wrists. Mean age in group I was 49.68±9.66 years with mean BMI 26.47±9.54 kg/m2 and in group II mean age was 51.68±9.66 years with mean BMI 25.47±9.54 kg/m2. Mean CSAc in affected wrists group I was 17.11±6.44 greater than group II 08.17±6.58 mm2. Mean delta CSA in healthier wrists was lower 1.01±2.11 than group I 8.44±9.55 mm2. It was shown that the delta-CSA threshold of 2 mm2 had the maximum sensitivity (98.7%) and specificity (100%) in group I than control group. Conclusion: As compared to CSAc, the CSA is more accurate in diagnosing carpal tunnel syndrome. Keywords: Carpel tunnel syndrome (CTS), CSA, Wrists, Specificity, Sensitivity, Ultrasonography


2021 ◽  
Vol 2 (7) ◽  
pp. 602-603
Author(s):  
Luisetto M ◽  
Naseer Al-Mukthar

COVID-19 and the new variant are a classic example of viral and environmental toxicology link. Observing literature related spread velocity and diffusion of this respiratory virus it is clear the role played by air pollution. The high rate of this environmental pollutant produced a worsening factors that increased mortality rate also.


2021 ◽  
Vol 8 ◽  
Author(s):  
Carmelo Pirri ◽  
Carla Stecco ◽  
Andrea Porzionato ◽  
Rafael Boscolo-Berto ◽  
René H. Fortelny ◽  
...  

Anatomical education and surgical training with cadavers are usually considered an appropriate method of teaching, above all for all surgeons at various levels. Indeed, in such a way they put into practice and exercise a procedure before performing it live, reducing the learning curve in a safe environment and the risks for the patients. Really, up to now it is not clear if the nonuse of the cadavers for anatomical education and surgical training can have also forensic implications. A substantial literature research was used for this review, based on PubMed and Web of Science database. From this review, it is clear that the cadaveric training could be considered mandatory, both for surgeons and for medical students, leading to a series of questions with forensic implications. Indeed, there are many evidences that a cadaver lab can improve the learning curve of a surgeon, above all in the first part of the curve, in which frequent and severe complications are possible. Consequently, a medical responsibility for residents and surgeons which perform a procedure without adequate training could be advised, but also for hospital, that has to guarantee a sufficient training for its surgeons and other specialists through cadaver labs. Surely, this type of training could help to improve the practical skills of surgeons working in small hospitals, where some procedures are rare. Cadaver studies can permit a better evaluation of safety and efficacy of new surgical devices by surgeons, avoiding using patients as ≪guinea pigs≫. Indeed, a legal responsibility for a surgeon and other specialists could exist in the use of a new device without an apparent regulatory oversight. For a good medical practice, the surgeons should communicate to the patient the unsure procedural risks, making sure the patients' full understanding about the novelty of the procedure and that they have used this technique on few, if any, patients before. Cadaver training could represent a shortcut in the standard training process, increasing both the surgeon learning curve and patient confidence. Forensic clinical anatomy can supervise and support all these aspects of the formation and of the use of cadaver training.


Author(s):  
Guendalina Gentile ◽  
Stefano Tambuzzi ◽  
Giulio Giovanetti ◽  
Riccardo Zoja

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