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Rupture of mature cystic teratoma induced by a car accident 车祸致成熟囊性畸胎瘤破裂
Pub Date : 2016-12-28 DOI: 10.18099/IJETV.V2I02.6858
A. Morgan
Benign cystic tumors can originate from the retroperitoneum and are known to develop in adult males and females asymptomatically. Radiological diagnosis of teratomas in the retroperitoneal region is difficult and often confused with myelolipoma or other lipomatous tumors. This case report describes the incidental finding of mature cystic teratoma of the retroperitoneal region, which ruptured post motor vehicle accident (MVA) in 31years, old female patient. The patient present to the emergency department 24 hours post-accident with symptoms and signs of peritoneal inflammation. As a result of the seat belt injury, the cystic teratoma of the left retroperitoneum had ruptured. Due to anatomical location, the cyst was only partially removed. This case report has raised multiple clinical dilemmas and is the first of its kind in trauma patient management of mature cystic teratoma.
良性囊性肿瘤可起源于腹膜后,已知在成年男性和女性中无症状发展。腹膜后畸胎瘤的影像学诊断很困难,常与骨髓瘤或其他脂肪瘤性肿瘤相混淆。本病例报告描述了一例31岁女性患者在车祸后腹膜后区域偶然发现的成熟囊性畸胎瘤破裂。患者在事故发生后24小时出现腹膜炎症的症状和体征。由于安全带损伤,左侧腹膜后囊性畸胎瘤破裂。由于解剖位置的原因,囊肿仅部分切除。本病例报告提出了多个临床困境,是第一次在创伤患者管理成熟囊性畸胎瘤。
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引用次数: 0
Educate: Don’t punish 教育:不要惩罚
Pub Date : 2016-12-28 DOI: 10.18099/IJETV.V2I02.6857
Z. Chowdhary, Falak Chowdhary, Aniece Chowdhary, Aamir Chowdhary
We all have seen/ experienced incidences of corporal punishment, but most of us don’t see them as something strange/ to question, and yet it makes us feel uncomfortable. In other words; corporal punishment is just one of the wrong ways to discipline a child. In our society, it is a trend that children in school as well as at home are physically punished if they do not conform to the set social behavior. The punishment varies from physical abuse to psychological abuse. A child responds differently to the menace of corporal punishment and the uncontrolled anger of the parent/ teacher, may result in injuries or even death of the child. Children respect and admire adults whether parents/ teachers but these punishments may lead to anger and frustration which diminish the intimacy which the child has towards them and to cope up with the persistent abuse, the child indulges in self-destructive activities like alcohol abuse etc and even suicidal attempts. Chronic abuse of the child leads to a breach of the trust between the child and the parent/ teacher causing effects beyond physical/ mental trauma, there is an erosion of the self-esteem, fear of closeness and ill-conceived attempts to avoid unpleasant reminders of child abuse. The use of corporal punishment is strongly rooted in our society and is passed on through generations. However, this doesn’t mean that corporal punishment is justified. So, putting an end to corporal punishment is our ethical duty.
我们都看到/经历过体罚的事件,但我们大多数人并不认为这是奇怪的/值得质疑的,但它让我们感到不舒服。换句话说;体罚只是管教孩子的错误方式之一。在我们的社会中,如果孩子不遵守既定的社会行为,他们在学校和家里都会受到体罚,这是一种趋势。惩罚从身体虐待到心理虐待各不相同。孩子对体罚的威胁和家长/老师无法控制的愤怒的反应不同,可能导致孩子受伤甚至死亡。孩子们尊重和钦佩成年人,无论是父母还是老师,但这些惩罚可能会导致愤怒和沮丧,从而减少孩子与他们的亲密关系,并且为了应对持续的虐待,孩子沉迷于自我毁灭的活动,如酗酒等,甚至自杀企图。长期虐待儿童会破坏儿童与父母/老师之间的信任,造成身体/精神创伤之外的影响,自尊心受到侵蚀,害怕亲近,以及不明智地试图避免令人不快的虐待儿童的回忆。体罚的使用在我们的社会中根深蒂固,并代代相传。然而,这并不意味着体罚是正当的。因此,杜绝体罚是我们的道德责任。
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引用次数: 0
Stray bullet as a cardiac embolism 流弹导致心脏栓塞
Pub Date : 2016-12-28 DOI: 10.18099/IJETV.V2I02.6861
Hussein Chahrour
Bullet embolism is a relatively uncommon complication of gunshot injuries. Migration of bullets through bodily vessels presents unique clinical challenges and can lead to infection, thrombosis, ischemia, hemorrhage, and death. Potential lack of early symptoms leads to delayed or missed diagnosis and often-inadequate early management can potentially result in the loss of extremities or life. In this paper is presented an unusual case in which a stray bullet to the posterior aspect of the left side of the chest penetrated the thoracic cavity and traveled to the left femoral artery through the left ventricle, embolizing the vessel. The bullet was surgically removed from the left common femoral artery.
子弹栓塞是一种相对罕见的枪伤并发症。子弹在人体血管中的迁移带来了独特的临床挑战,并可能导致感染、血栓形成、缺血、出血和死亡。可能缺乏早期症状会导致诊断延误或漏诊,而往往不充分的早期管理可能导致四肢或生命丧失。在这篇论文中提出了一个不寻常的情况下,流弹的后侧面的左胸部穿透胸腔,并通过左心室前往左股动脉,栓塞血管。子弹是通过手术从左股总动脉取出的。
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引用次数: 1
It should not hurt to be a child: a case report 作为一个孩子不应该受到伤害:一份病例报告
Pub Date : 2016-12-28 DOI: 10.18099/IJETV.V2I02.6859
Apoorva Gupta, V. Shankar, S. Ravindra
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引用次数: 0
Bullying in schools: Epidemiology and prevention 校园欺凌:流行病学和预防
Pub Date : 2016-12-28 DOI: 10.18099/ijetv.v2i02.6853
R. K. Gorea
Bullying is seen in different spheres of life but is more worrisome in schools because deleterious effects are more pronounced in victims of bullying at schools due to the young age of the victims. Different forms of bullying are observed but their effects are mostly similar though their severity varies depending on the attitude of the bullied student. Some places in any school are more prone to incidences of bullying and these areas should be specially taken care of to prevent bullying. Various strategies are adopted depending upon research in a particular institution or state but the involvement of all stakeholders is important to reduce the incidences of bullying.
欺凌行为在生活的各个领域都有,但在学校更令人担忧,因为学校欺凌行为的受害者年龄小,其有害影响更为明显。不同形式的欺凌被观察到,但其影响大多相似,尽管其严重程度取决于被欺凌学生的态度。任何学校的一些地方都更容易发生欺凌事件,这些地方应该特别照顾,以防止欺凌。根据特定机构或州的研究采取各种策略,但所有利益攸关方的参与对于减少欺凌事件的发生至关重要。
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引用次数: 1
Occipitalization and its clinical relevance: A case report 枕化及其临床意义:1例报告
Pub Date : 2016-12-28 DOI: 10.18099/IJETV.V2I02.6860
B. Aggarwal, R. K. Gorea, Abhinav Gorea, Arshdeep Gorea
Occipitalization of the atlas or atlanto-occipital fusion is one of the osseous anomalies of the craniovertebral junction. This fusion may be partial or complete and can be due to failure in segmentation and separation of the most caudal occipital sclerotome and the first cervical sclerotome.We present a case report of complete occipitalization of the atlas which was observed during undergraduate teaching at Luxmi Bai Dental College, Patiala. Such an anomaly is of interest to anatomists, physicians, radiologists and neurologists as it can cause a variety of neurological symptoms. Occipitalization can cause sudden death and an antemortem record of such an anomaly can help in identification of the deceased. Hence, occipitalization can be of interest to the forensic investigators in establishing the identity of the deceased.
寰枕化或寰枕融合是颅椎交界处的骨异常之一。这种融合可能是部分或完全的,可能是由于最尾端枕骨硬膜和第一颈椎硬膜分割和分离失败所致。我们报告了一例在帕蒂亚拉Luxmi Bai牙科学院的本科教学中观察到的寰椎完全枕化的病例。这种异常引起解剖学家、内科医生、放射科医生和神经科医生的兴趣,因为它可以引起各种神经系统症状。枕骨化可导致猝死,对这种异常情况的死前记录有助于识别死者。因此,法医调查人员在确定死者身份时可能会对资本化感兴趣。
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引用次数: 0
Media construction of Missing White Woman Syndrome: A cultural complex of innocence 失踪白人女性综合症的媒介建构:一种纯真的文化情结
Pub Date : 2016-07-29 DOI: 10.18099/IJETV.V2I1.11130
S. Stein, Philip E. Carlan, Lisa S. Nored
This study assessed whether the media are influenced by the ‘cultural complex of innocence’ first proposed by psychoanalyst Carl Gustav Jung using content analysis. The cultural complex proposed is that Western society may be culturally conditioned to view blonde-haired (and possibly blue-eyed) Caucasian women as the archetypal image of innocence. In this study it was reviewed 53 missing persons’ cases of women across the United States between the years 2000 and 2009. The characteristics of the missing persons analyzed included age, race, hair color, eye color, socioeconomic status, prostitution history, drug history, history of mental illness, etc. Media related to each of the 533 cases was collected from Google News, CNN online, and MSNBC online. The articles were reviewed to determine frequency of keywords relating to the portrayal of the victim used by the three media outlets.
这项研究评估了媒体是否受到精神分析学家卡尔·古斯塔夫·荣格首次提出的“纯真文化情结”的影响。文化情结的提出是,西方社会可能在文化上习惯于将金发(可能还有蓝眼睛)的白人女性视为纯真的原型形象。在这项研究中,它回顾了2000年至2009年间美国各地53起女性失踪案件。分析的失踪人口特征包括年龄、种族、发色、眼色、社会经济状况、卖淫史、吸毒史、精神病史等。与533个案件相关的媒体分别从谷歌新闻、CNN在线和MSNBC在线收集。对这些文章进行了审查,以确定三家媒体使用的与受害者描述有关的关键词的频率。
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引用次数: 0
Age estimation in children using Demirjian’s technique: A retrospective study 使用Demirjian技术估计儿童年龄:一项回顾性研究
Pub Date : 2016-07-29 DOI: 10.18099/IJETV.V2I1.11131
P. Kende, A. S. Khadilkar, R. Gaikwad, Jayant S Landage
Age estimation is a sub discipline of forensic odontology which plays an important part in every identification process, especially when information related to the deceased is unavailable. The aim of this study was to evaluate the accuracy of Demirjian’s Dental Age Estimation technique, with the help of Ortho-Pantomo-Graphs (OPG) in 50 children.50 OPGs of children in the age group of 6-16 years were randomly selected and a cross-sectional retrospective study was conducted. Age estimation was done by the method given by Demirjian and two tailed test of the data was carried out.A significantly high difference was observed in the estimated and chronologic ages in the age group of 13-16 years than in 6-12 years.Demirjian's original method, using seven mandibular teeth is an accurate method of age estimation in children especially of the younger age group (6-12 years of age).
年龄估计是法医牙科学的一个分支学科,在每一个鉴定过程中都起着重要的作用,特别是在无法获得与死者有关的信息时。本研究的目的是评估Demirjian的牙齿年龄估计技术的准确性,在正位影图(OPG)的帮助下,50名儿童随机选取6 ~ 16岁的OPGs患儿进行横断面回顾性研究。采用Demirjian的方法进行年龄估计,并对数据进行双尾检验。13-16岁年龄组的估计年龄和实际年龄比6-12岁年龄组有显著性差异。Demirjian最初的方法,使用七颗下颌牙齿,是一种准确的儿童年龄估计方法,特别是年龄较小的年龄组(6-12岁)。
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引用次数: 0
Recent legal aspects of medical negligence 医疗过失的最新法律问题
Pub Date : 2016-07-29 DOI: 10.18099/IJETV.V2I1.11134
R. Bala, A. Chanana
In spite of following one of the best management strategies, by the competent doctors with best available infrastructures in patient care, undesired results harming the patient cannot be avoided. Does it mean all these undesired results causing damage to the patient are as a result of medical negligence? Nowadays, patients are more aware of their rights on account of increased literacy level, role of print, electronic and social media and above all enactment of new law i.e. Consumer Protection Act 1986.Though the question of medical negligence is decided by Courts, but Courts on their own are not trained in medical science. Their decision is based on expert’s opinion. Judges apply the basic principle of law in conjunction with the law of land to make a decision. Reasonableness and prudence are the guiding factors. This paper deals with the legal aspects of medical negligence i.e. what is negligence and its type and various judgements especially the Jacob Mathew vs. State of Punjab 2005 and Anr, Martin F.D’Souza vs. Mohd. Ishfaq 2009, V. Kishan Rao vs. Nikhil Super Specialty Hospital 2010 delivered by the Apex Court to make the law of negligence more rational and directions given to subordinate Courts, various Consumer Fora, State and investigating agencies regarding procedures to be followed before filing a complaint or registering a case of criminal negligence against the doctor.
尽管遵循最好的管理策略之一,由有能力的医生提供最好的基础设施在病人护理中,不希望的结果伤害病人是不可避免的。这是否意味着所有这些对病人造成损害的不希望的结果都是医疗疏忽的结果?如今,由于文化水平的提高,印刷、电子和社交媒体的作用,以及最重要的是新法律的颁布,即《1986年消费者保护法》,患者更加意识到自己的权利。尽管医疗过失问题由法院裁决,但法院本身并没有接受过医学方面的培训。他们的决定是以专家的意见为基础的。法官结合土地法运用法律的基本原则作出判决。合理和审慎是指导因素。本文涉及医疗过失的法律方面,即什么是疏忽及其类型和各种判决,特别是Jacob Mathew诉旁遮普邦2005和Anr, Martin F.D 'Souza诉Mohd。由最高法院提交的《2009年Ishfaq, V. Kishan Rao诉Nikhil超级专科医院》,旨在使过失法更加合理,并向下级法院、各种消费者论坛、国家和调查机构发出指示,说明在对医生提起诉讼或登记刑事过失案件之前应遵循的程序。
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引用次数: 1
Bio-medical waste-threat to environment: Management, disposal, ethical aspects and legal implications 生物医疗废物-对环境的威胁:管理、处置、伦理问题和法律影响
Pub Date : 2016-07-29 DOI: 10.18099/ijetv.v2i1.11135
Qaiser Rasool Panzoo, R. Sandhu, S. S. Sandhu, Pardeep Singh
The world health organization [WHO] in 1983 discussed bio-medical waste issue. The seriousness of improper biomedical waste management was brought to the limelight during the “beach wash-ups” during summer 1998; which was investigated by the Environment Protection Agency (EPA) of the USA; and it resulted in the passing of Medical waste tracking Act (MWTA) in November 1998. This made USA the pioneer as far as waste management is concerned (1). Most important regarding the bio-medical waste is health hazards to patient and relatives, microbiological and chemical contamination of soil and ground water (2). Every human being should live in a clean environment is one of the Fundamental Rights, and is the innovative judicial interpretations of article 21 of Constitution of India. Article 48-A and 51 of the Constitution provide to protect and improve the natural environment including forests lakes, rivers and wild life. There are number of statutes like The Water Act, The Air Act, The Environment Protection Act, Hazardous Waste (management and Handling) Rules 1980. Forests Act, the Wild Life Acts and Provision of Indian Penal court, Criminal Procedure Code and Factories Act are meant for providing pollution free environment to mankind. There are many categories of institutions which pollute the environment but recently the ignored field which produce the pollution by way of Bio-Medical waste have attracted the attention of the environmentalists are the Hospitals, Dispensaries, Medical Shops, Medical clinics of doctors and other paramedical staff (3).
世界卫生组织[世卫组织]于1983年讨论了生物医疗废物问题。在1998年夏季的"海滩清洗"期间,不适当的生物医学废物管理的严重性引起了人们的注意;经美国环境保护署(EPA)调查;并于1998年11月通过了《医疗废物追踪法》。这使美国成为废物管理方面的先驱(1)。关于生物医疗废物最重要的是对患者和亲属的健康危害,土壤和地下水的微生物和化学污染(2)。每个人都应该生活在一个清洁的环境中是基本权利之一,是印度宪法第21条的创新司法解释。宪法第48-A条和第51条规定保护和改善包括森林、湖泊、河流和野生动物在内的自然环境。有许多法规,如《水法》、《空气法》、《环境保护法》、《1980年危险废物(管理和处理)规则》。《森林法》、《野生动物法》和《印度刑事法院条款》、《刑事诉讼法》和《工厂法》旨在为人类提供无污染的环境。污染环境的机构有很多类别,但最近被忽视的由生物医疗废物产生污染的领域引起了环保主义者的注意,这些领域是医院、药房、医疗商店、医生和其他辅助医疗人员的医疗诊所(3)。
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引用次数: 0
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The International Journal of Ethics
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