Background: dentin hypersensitivity (DH) is a painful condition that is highly prevalent in the world’s adultpopulation.Aim: The aim of this study was to compare the efficacy of fluoride varnish (5% sodium fluoride)irradiationwith diode laser in the treatment of dentin hypersensitivity in non caries cervical lesion(NCCL) patients.Materials and Methods: Twenty patients with 90 teeth were divided into two groups: Group 1, teeth treatedwith diode laser with5 J/cm2 energy density;Group 2, teeth treated with NaF irradiated with diode laser withsame previous diameter.Results: The two treatments were applied to the buccalcervical region with three follow up intervals 30minutes,2 weeks and one month. The response of the patient to thermal-evaporative stimuli was rated on aSchiff cold air sensitivity scale. The results showed a reduction of hypersensitivity in response to thermalevaporativestimulation at the end of treatment in both groups.Conclusion: dentine hypersensitivity treatment withNaF+diode laser was found to be more effective thanlow-level laser radiationimmediately
{"title":"Evaluation of the Effectiveness of 5% Sodium Fluoride (NAF) with Diode Laser 976nm for Treatment of Dentine Hypersensitivity","authors":"IbtehalAtiaHabeeb, M. Mahmood","doi":"10.37506/mlu.v21i4.3151","DOIUrl":"https://doi.org/10.37506/mlu.v21i4.3151","url":null,"abstract":"Background: dentin hypersensitivity (DH) is a painful condition that is highly prevalent in the world’s adultpopulation.Aim: The aim of this study was to compare the efficacy of fluoride varnish (5% sodium fluoride)irradiationwith diode laser in the treatment of dentin hypersensitivity in non caries cervical lesion(NCCL) patients.Materials and Methods: Twenty patients with 90 teeth were divided into two groups: Group 1, teeth treatedwith diode laser with5 J/cm2 energy density;Group 2, teeth treated with NaF irradiated with diode laser withsame previous diameter.Results: The two treatments were applied to the buccalcervical region with three follow up intervals 30minutes,2 weeks and one month. The response of the patient to thermal-evaporative stimuli was rated on aSchiff cold air sensitivity scale. The results showed a reduction of hypersensitivity in response to thermalevaporativestimulation at the end of treatment in both groups.Conclusion: dentine hypersensitivity treatment withNaF+diode laser was found to be more effective thanlow-level laser radiationimmediately","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73368655","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}
Back Ground:- Audit of transfusion practices in pediatric patients was performed to study indications ,clinical profile and whether transfusions were in accordance to guidelines.Objective:- to perform audit of transfusion practices , in order to study appropriate and inappropriate usageof different blood components in pediatric population.Results:- In present study it was observed that out of 62 packed red cells transfusions 35(56.45%) transfusionswere found to be inappropriate. Among FFP transfusions out of 55 transfusions 11(20%) transfusions wereobserved as inappropriate . Most of inappropriate transfusions had bleeds but normal coagulogram.Among Platelet transfusions , three (16.6%) platelet transfusions, out of 18 transfusions were inappropriateand transfused mainly to raise the platelet count.Conclusion:-Most frequently transfused blood components are red cells in pediatrics . Inappropriatetransfusion of blood components hinders the utility of this valuable resource , Thus it becomes necessary toconduct regular audit of blood component transfusion for optimum utilization.
{"title":"Comprehensive Analysis of Blood Transfusion in Paediatrics Patients admitted at Dhiraj Hospital","authors":"Ashu Dogra","doi":"10.37506/mlu.v21i4.3093","DOIUrl":"https://doi.org/10.37506/mlu.v21i4.3093","url":null,"abstract":"Back Ground:- Audit of transfusion practices in pediatric patients was performed to study indications ,clinical profile and whether transfusions were in accordance to guidelines.Objective:- to perform audit of transfusion practices , in order to study appropriate and inappropriate usageof different blood components in pediatric population.Results:- In present study it was observed that out of 62 packed red cells transfusions 35(56.45%) transfusionswere found to be inappropriate. Among FFP transfusions out of 55 transfusions 11(20%) transfusions wereobserved as inappropriate . Most of inappropriate transfusions had bleeds but normal coagulogram.Among Platelet transfusions , three (16.6%) platelet transfusions, out of 18 transfusions were inappropriateand transfused mainly to raise the platelet count.Conclusion:-Most frequently transfused blood components are red cells in pediatrics . Inappropriatetransfusion of blood components hinders the utility of this valuable resource , Thus it becomes necessary toconduct regular audit of blood component transfusion for optimum utilization.","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72761944","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}
Hyunsoo Kim, J. Park, Kwang-Hwan Kim, S. Bae, Ju-Dong Jang, Moo-Sik Lee
Background: Out-of-hospital cardiac arrest (OHCA) affects more than 25,000 cases each year in Korea.The rate of survival and neurological recovery tend to increase in Korea, but less than other developedcountries. Despite the increase in bystander cardiopulmonary resuscitation (CPR), the number of patientswho have an automated external defibrillator (AED) applied by a bystander remains low. We studied theeffect of bystander CPR on survival of OHCA in Korea. Methods: This study was conducted using the‘Sudden Cardiac Arrest (SCA) Survey’ of Korea Centers for Disease Control & Prevention (KCDC) in 2009to 2018. A total of 45,719 cases of OHCA patients were analyzed. We used a chi-square test, log-rank test,multivariable logistic regression and cox-regression analysis to determine the effect of bystander CPR onsurvival of OHCA, depending on various factors. Results: The rate of survival of OHCA was significantlyaffected by age, past medical history, initial cardiac rhythm, pre-hospital CPR and defibrillation, transporttime and a type of bystander CPR. The survival rate of patients who received bystander CPR was 44.3%,compare with those who did not (43.4%). In cases where bystander CPR was received, the survival rate ofpatients with AED (63.1%) was higher than patients with only chest compression (44.2%). Conclusions:With the increase in bystander CPR rates, it is difficult to expect the effect of intervention of bystanders inKorea. Even though the education on AED and the devices itself has been spread throughout the countrysince 2008, the use of AED remains low. Nevertheless, the use of AED has a positive effect on the survivalof OHCA. Improvements on the rate of AED use by bystander in Korea needs to be further elaborated on.
{"title":"Factors Associated with Survival of Out-of-Hospital Cardiac Arrest by Cardiopulmonary Resuscitation of Bystander in Korea","authors":"Hyunsoo Kim, J. Park, Kwang-Hwan Kim, S. Bae, Ju-Dong Jang, Moo-Sik Lee","doi":"10.37506/mlu.v21i4.3132","DOIUrl":"https://doi.org/10.37506/mlu.v21i4.3132","url":null,"abstract":"Background: Out-of-hospital cardiac arrest (OHCA) affects more than 25,000 cases each year in Korea.The rate of survival and neurological recovery tend to increase in Korea, but less than other developedcountries. Despite the increase in bystander cardiopulmonary resuscitation (CPR), the number of patientswho have an automated external defibrillator (AED) applied by a bystander remains low. We studied theeffect of bystander CPR on survival of OHCA in Korea. Methods: This study was conducted using the‘Sudden Cardiac Arrest (SCA) Survey’ of Korea Centers for Disease Control & Prevention (KCDC) in 2009to 2018. A total of 45,719 cases of OHCA patients were analyzed. We used a chi-square test, log-rank test,multivariable logistic regression and cox-regression analysis to determine the effect of bystander CPR onsurvival of OHCA, depending on various factors. Results: The rate of survival of OHCA was significantlyaffected by age, past medical history, initial cardiac rhythm, pre-hospital CPR and defibrillation, transporttime and a type of bystander CPR. The survival rate of patients who received bystander CPR was 44.3%,compare with those who did not (43.4%). In cases where bystander CPR was received, the survival rate ofpatients with AED (63.1%) was higher than patients with only chest compression (44.2%). Conclusions:With the increase in bystander CPR rates, it is difficult to expect the effect of intervention of bystanders inKorea. Even though the education on AED and the devices itself has been spread throughout the countrysince 2008, the use of AED remains low. Nevertheless, the use of AED has a positive effect on the survivalof OHCA. Improvements on the rate of AED use by bystander in Korea needs to be further elaborated on.","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":"86 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83060217","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}
Devy Trianne Putri, Isnu Pradjoko, A. Widyoningroem
Objective: This study aimed to analysis the associated of serum vitamin D levels and response therapyin advanced lung adenocarcinoma patient after used TKIs. Methods: This study was an observationalanalytic study. The subjects where patient with advanced lung adenocarcinoma who received tyrosine kinaseinhibitors (TKIs) for 3 months at Dr. Soetomo general hospital Surabaya from July to March 2021 who metthe inclusion and exclusion criterias. The independent variable in this study are the serum levels of vitaminD and response therapy objective (RECIST criteria) as the dependent variable. Results: The results ofstastitical analysis showed that there was no significant associated of serum vitamin D levels and responsetherapy (p>0.05). Patient insufficiency with partial response had a greater number than patient sufficiencywith partial response. The mean of vitamin D levels in patient with progressive disease was the highest.Conclusion: Although the serum levels of vitamin D in lung cancer was lower but in this study showed thatthere was no significant associated of serum vitamin D levels and response therapy in patient advanced lungadenocarcinoma with tyrosine kinase inhibitors.
{"title":"Association of Serum Vitamin D Levels on Response Therapy in Patient Lung Adenocarcinoma Advanced with Targeted Therapy","authors":"Devy Trianne Putri, Isnu Pradjoko, A. Widyoningroem","doi":"10.37506/mlu.v21i4.3114","DOIUrl":"https://doi.org/10.37506/mlu.v21i4.3114","url":null,"abstract":"Objective: This study aimed to analysis the associated of serum vitamin D levels and response therapyin advanced lung adenocarcinoma patient after used TKIs. Methods: This study was an observationalanalytic study. The subjects where patient with advanced lung adenocarcinoma who received tyrosine kinaseinhibitors (TKIs) for 3 months at Dr. Soetomo general hospital Surabaya from July to March 2021 who metthe inclusion and exclusion criterias. The independent variable in this study are the serum levels of vitaminD and response therapy objective (RECIST criteria) as the dependent variable. Results: The results ofstastitical analysis showed that there was no significant associated of serum vitamin D levels and responsetherapy (p>0.05). Patient insufficiency with partial response had a greater number than patient sufficiencywith partial response. The mean of vitamin D levels in patient with progressive disease was the highest.Conclusion: Although the serum levels of vitamin D in lung cancer was lower but in this study showed thatthere was no significant associated of serum vitamin D levels and response therapy in patient advanced lungadenocarcinoma with tyrosine kinase inhibitors.","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":"673 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84331492","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}
This study is intended to analyze the bodies of suspect Covid-19 patients in the Covid-19 Protocol and theresponsibilities of the perpetrators of forcibly taking the bodies of Suspect or Probable patients in criminallaw. This research is a juridical normative research, which is focused on studying the application of normsin positive law by combining legal materials which are secondary and primary legal materials. The approachtaken is a statue and a conceptual approach. Based on the results of this study it can be concluded that thepatient’s body is a suspect Covid-19 body, it must be treated like the Covid-19 body until there is a resultfrom the swab test to fulfill the rights of the body, the responsibility of the perpetrator of forced taking of thesuspect / probable patient’s body in criminal law, among others sentenced to a criminal sentence on the basisof Article 5 of Law No. 4 of 1984 concerning Outbreaks of Infectious Diseases with the threat of one yearin prison or a fine of up to Rp. 100,000,000 (One Hundred Million Rupiah).
{"title":"Administrative Sanctions for Hospitals Which Grant Permission for Forced Taking the Corpse of Suspect Covid-19 Patients","authors":"Asmuni","doi":"10.37506/mlu.v21i4.3112","DOIUrl":"https://doi.org/10.37506/mlu.v21i4.3112","url":null,"abstract":"This study is intended to analyze the bodies of suspect Covid-19 patients in the Covid-19 Protocol and theresponsibilities of the perpetrators of forcibly taking the bodies of Suspect or Probable patients in criminallaw. This research is a juridical normative research, which is focused on studying the application of normsin positive law by combining legal materials which are secondary and primary legal materials. The approachtaken is a statue and a conceptual approach. Based on the results of this study it can be concluded that thepatient’s body is a suspect Covid-19 body, it must be treated like the Covid-19 body until there is a resultfrom the swab test to fulfill the rights of the body, the responsibility of the perpetrator of forced taking of thesuspect / probable patient’s body in criminal law, among others sentenced to a criminal sentence on the basisof Article 5 of Law No. 4 of 1984 concerning Outbreaks of Infectious Diseases with the threat of one yearin prison or a fine of up to Rp. 100,000,000 (One Hundred Million Rupiah).","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74541467","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}
Brain metastasis is one of the most common diagnoses encountered by neurologists, neurosurgeons,radiologists, and oncologists. The aim of this article is to review imaging modalities used in the diagnosis andfollow-up of brain metastases. Through the use of various imaging techniques more accurate preoperativediagnosis and more precise intraoperative planning can be made. Post-treatment evaluation can also berefined through the use of these imaging techniques. MRI without and with contrast is the imaging modalityof choice in evaluating patients with suspected metastases.28 Head CT is often performed at the initialscreening or in an emergency setting to exclude hemorrhage. MRI, however, is superior to CT either withoutor with contrast in the detection and evaluation of metastases. Metastatic lesions can generally be evaluatedwith routine contrast MRI studies. Higher dosing of contrast agents, magnetization transfer technique, andhigher field strength magnets increase sensitivity.Typical characteristics of metastases, including multiplicity, location, and signal characteristics, togetherwith clinical history, are often sufficient to suggest the diagnosis of metastatic intracranial disease. In thesetting of more complex cases or solitary brain metastases, advanced MRI techniques and PET will aid inreaching a diagnosis
{"title":"Diagnostic Accuracy of Mri Compared to Cct in Patients with Brain Metastases","authors":"Firas Salim Daoud Karomy","doi":"10.37506/mlu.v21i4.3118","DOIUrl":"https://doi.org/10.37506/mlu.v21i4.3118","url":null,"abstract":"Brain metastasis is one of the most common diagnoses encountered by neurologists, neurosurgeons,radiologists, and oncologists. The aim of this article is to review imaging modalities used in the diagnosis andfollow-up of brain metastases. Through the use of various imaging techniques more accurate preoperativediagnosis and more precise intraoperative planning can be made. Post-treatment evaluation can also berefined through the use of these imaging techniques. MRI without and with contrast is the imaging modalityof choice in evaluating patients with suspected metastases.28 Head CT is often performed at the initialscreening or in an emergency setting to exclude hemorrhage. MRI, however, is superior to CT either withoutor with contrast in the detection and evaluation of metastases. Metastatic lesions can generally be evaluatedwith routine contrast MRI studies. Higher dosing of contrast agents, magnetization transfer technique, andhigher field strength magnets increase sensitivity.Typical characteristics of metastases, including multiplicity, location, and signal characteristics, togetherwith clinical history, are often sufficient to suggest the diagnosis of metastatic intracranial disease. In thesetting of more complex cases or solitary brain metastases, advanced MRI techniques and PET will aid inreaching a diagnosis","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76314313","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}
Abdominal pseudocyst is a rare complication reported of VP shunt surgery. Here, we report a 10-monthsoldboy with abdominal distension following cystoperitoneal (CP) shunt procedure for the fossa posteriorarrachnoid cyst. The diagnosis was based on the clinical symptoms and abdominal USG. Infection andallergic reaction was considered as the underlying cause. The CP shunt was removed to atrioventricularshunt and it resulted in a good response. Abdominal pseudocyst should be considered whenever there isabdominal distension following VP/CP shunt.
{"title":"Unusual Complication of Abdominal Pseudocyst Following Cystoperitoneal Shunt in Posterior Cranial Fossa Arrachnoid Cyst","authors":"P. Gunawan, R. Susilo","doi":"10.37506/mlu.v21i4.3144","DOIUrl":"https://doi.org/10.37506/mlu.v21i4.3144","url":null,"abstract":"Abdominal pseudocyst is a rare complication reported of VP shunt surgery. Here, we report a 10-monthsoldboy with abdominal distension following cystoperitoneal (CP) shunt procedure for the fossa posteriorarrachnoid cyst. The diagnosis was based on the clinical symptoms and abdominal USG. Infection andallergic reaction was considered as the underlying cause. The CP shunt was removed to atrioventricularshunt and it resulted in a good response. Abdominal pseudocyst should be considered whenever there isabdominal distension following VP/CP shunt.","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75907719","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}
Background: Tuberculosis is a direct infectious disease caused by TB germs (Mycobacterium Tuberculosis).Indonesia is ranked third in the world, with the largest incidence of tuberculosis after China and India, with845,000 cases or 315/100,000 in 2019. The study was intended to analyze the coverage of treatment of allcases, the percentage of poor people by province and the ratio of public health centre per sub-district in theprovince to the success of tuberculosis treatment in all provinces in Indonesia in 2019.Methods: The ecological approach is carried out using secondary data from the Ministry of Health of theRepublic of Indonesia in the form of Health Profile of the Republic of Indonesia in 2019 and Data andInformation: Health Profile of Indonesia in 2019. Data from 34 provinces in Indonesia related to the successrate of TB treatment, the coverage of treatment of all TB cases, the percentage of poor people by provinceand the ratio of public health centre per sub-district in the province using cross tabulation.Results: The results showed that the success rate of TB treatment in Indonesia in 2019 was in the moderatecategory in line with the coverage of all TB cases, the percentage of poor people by province and the ratio ofpuclic health centre per sub-district in the province which is also in the moderate category.Conclusion: Efforts to monitor and record cases and treatment of TB patients need to be improved toimprove TB treatment coverage. Improving the economy of the community and equalizing the availabilityof public health centre are also very important to improve the success of TB treatment.
{"title":"Ecological Analysis of Success of TB Treatment and Its Related Factors in Indonesia in 2019","authors":"Alfons Deristo Lega, H. Megatsari, S. R. Devy","doi":"10.37506/mlu.v21i4.3107","DOIUrl":"https://doi.org/10.37506/mlu.v21i4.3107","url":null,"abstract":"Background: Tuberculosis is a direct infectious disease caused by TB germs (Mycobacterium Tuberculosis).Indonesia is ranked third in the world, with the largest incidence of tuberculosis after China and India, with845,000 cases or 315/100,000 in 2019. The study was intended to analyze the coverage of treatment of allcases, the percentage of poor people by province and the ratio of public health centre per sub-district in theprovince to the success of tuberculosis treatment in all provinces in Indonesia in 2019.Methods: The ecological approach is carried out using secondary data from the Ministry of Health of theRepublic of Indonesia in the form of Health Profile of the Republic of Indonesia in 2019 and Data andInformation: Health Profile of Indonesia in 2019. Data from 34 provinces in Indonesia related to the successrate of TB treatment, the coverage of treatment of all TB cases, the percentage of poor people by provinceand the ratio of public health centre per sub-district in the province using cross tabulation.Results: The results showed that the success rate of TB treatment in Indonesia in 2019 was in the moderatecategory in line with the coverage of all TB cases, the percentage of poor people by province and the ratio ofpuclic health centre per sub-district in the province which is also in the moderate category.Conclusion: Efforts to monitor and record cases and treatment of TB patients need to be improved toimprove TB treatment coverage. Improving the economy of the community and equalizing the availabilityof public health centre are also very important to improve the success of TB treatment.","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84003422","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}
Casualty department of any hospital is an important area, because most of the medical emergencies andalmost all medico legal cases report first to causality of hospital. The prime duty of doctor is to treat andsave the life of patient, however once stabilizedthe same doctor has to carry out exhaustive documentationof medico legal cases. This puts on extra burden on duty Doctor. The present study is carried out with a viewto understand the pattern and magnitude of Medico legal cases in this region. Two years retrospective datawas collectedbetween 1st January 2018 to 31st December 2019 from the casualty, Basaveshwara MedicalCollege, Chitradurga. Study revealed that Poisoning (40.04%) constituted majority of medico legal casesfollowed by road traffic accidents (31.12%) with male preponderance (3.32:1); majority of victims werebetween 21-30 years (32.5%); large number of victims were urban inhabitants (57.4%); most of the caseswere from Hindu community (90.4%); majority of cases (58.9%) reported to casualty within 1 hour fromthe time of incidence;maximum number of cases (40.50%) were reported between 6 pm - 12 am of the day;maximum number of cases was treated on the IPD basis (64.30%);more number of MLC was reported inmonth of August (48 cases).
{"title":"Retrospective Study of Profile of Medico-legal Cases at Basaveshwara Medical College, Chitradurga","authors":"Shreedhar N.C, K. ShreekrishnaH","doi":"10.37506/mlu.v21i4.3156","DOIUrl":"https://doi.org/10.37506/mlu.v21i4.3156","url":null,"abstract":"Casualty department of any hospital is an important area, because most of the medical emergencies andalmost all medico legal cases report first to causality of hospital. The prime duty of doctor is to treat andsave the life of patient, however once stabilizedthe same doctor has to carry out exhaustive documentationof medico legal cases. This puts on extra burden on duty Doctor. The present study is carried out with a viewto understand the pattern and magnitude of Medico legal cases in this region. Two years retrospective datawas collectedbetween 1st January 2018 to 31st December 2019 from the casualty, Basaveshwara MedicalCollege, Chitradurga. Study revealed that Poisoning (40.04%) constituted majority of medico legal casesfollowed by road traffic accidents (31.12%) with male preponderance (3.32:1); majority of victims werebetween 21-30 years (32.5%); large number of victims were urban inhabitants (57.4%); most of the caseswere from Hindu community (90.4%); majority of cases (58.9%) reported to casualty within 1 hour fromthe time of incidence;maximum number of cases (40.50%) were reported between 6 pm - 12 am of the day;maximum number of cases was treated on the IPD basis (64.30%);more number of MLC was reported inmonth of August (48 cases).","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":"109 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87672839","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}
Background: Total hip arthroplasty (THA) is commonly performed procedure internationally, and patientsmay expect an excellent prognosis. Risks associated with the procedure may lead to patient dissatisfactionand litigation. International data suggests orthopaedic surgery is particularly prone to high litigation rates,third to only obstetrics and general surgery in this regard. In Australia, there is currently no body whichaccurately collates litigation data following surgery.Methods: We performed a systematic search of several Australian legal databases to find cases of litigationfollowing THA, and supplemented this with data provided by the Health Care Complaints Commission,National Joint Replacement Registry and medical indemnity insurers. We also performed a review of thecurrent literature in the field.Conclusions: 11 cases were found and analysed. 28% of cases were successfully litigated. Approximately1/3 of litigation was for leg length discrepancy. Other causes for litigation included infection, nerve injuryand dislocation. Remuneration following successful litigation varied between $25, 000 and $265, 000,corrected for inflation. The Australian data is in keeping with that of similar studies from USA and UK. Thedissemination and accessibility of this data is important for surgeons in improving the informed consentprocess for their patients.
{"title":"Litigation Following Total Hip Arthroplasty","authors":"Aneesh Dave, T. Matthews, Sanjeeva Gupta","doi":"10.37506/mlu.v21i4.3108","DOIUrl":"https://doi.org/10.37506/mlu.v21i4.3108","url":null,"abstract":"Background: Total hip arthroplasty (THA) is commonly performed procedure internationally, and patientsmay expect an excellent prognosis. Risks associated with the procedure may lead to patient dissatisfactionand litigation. International data suggests orthopaedic surgery is particularly prone to high litigation rates,third to only obstetrics and general surgery in this regard. In Australia, there is currently no body whichaccurately collates litigation data following surgery.Methods: We performed a systematic search of several Australian legal databases to find cases of litigationfollowing THA, and supplemented this with data provided by the Health Care Complaints Commission,National Joint Replacement Registry and medical indemnity insurers. We also performed a review of thecurrent literature in the field.Conclusions: 11 cases were found and analysed. 28% of cases were successfully litigated. Approximately1/3 of litigation was for leg length discrepancy. Other causes for litigation included infection, nerve injuryand dislocation. Remuneration following successful litigation varied between $25, 000 and $265, 000,corrected for inflation. The Australian data is in keeping with that of similar studies from USA and UK. Thedissemination and accessibility of this data is important for surgeons in improving the informed consentprocess for their patients.","PeriodicalId":18400,"journal":{"name":"Medico-Legal Update","volume":"61 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83179702","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}
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