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Ethical considerations in dermatology - musings from the city to surf. 皮肤科的伦理考量--从城市到冲浪的思考。
Q2 Medicine Pub Date : 2024-06-01 Epub Date: 2024-05-17 DOI: 10.1177/00258172241237649
Annika Smith, Cameron Stewart
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引用次数: 0
Awareness of medical cannabis regulations among UK police officers - a cross-sectional study. 英国警官对医用大麻法规的认识 - 一项横断面研究。
Q2 Medicine Pub Date : 2024-06-01 Epub Date: 2024-05-17 DOI: 10.1177/00258172241237650
Simon Erridge, Claire Wang, Lucy Troup, Mikael H Sodergren

Cannabis-based products for medicinal use were rescheduled in the UK in November 2018. The primary outcomes of this cross-sectional survey were to assess awareness of legislation governing these products among UK police officers and whether they had received appropriate training. 200 police officers completed the survey, and 57 (28.5%) respondents did not know these products were legal on prescription in the UK. 177 (88.5%) police officers believed they would benefit from more training on them and how to identify legal medical cannabis patients. Education on the legalities of cannabis-based products for medicinal use and why they are prescribed is necessary to improve knowledge among police officers.

2018 年 11 月,英国重新将大麻类药用产品列入清单。这项横断面调查的主要结果是评估英国警察对这些产品相关立法的认识,以及他们是否接受过适当的培训。200名警察完成了调查,57名(28.5%)受访者不知道这些产品在英国是合法的处方药。177名(88.5%)警官认为他们将受益于有关这些产品以及如何识别合法医用大麻患者的更多培训。有必要就医用大麻产品的合法性和处方大麻产品的原因开展教育,以提高警务人员的相关知识。
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引用次数: 0
The legal and medical consequences of child marriage. 童婚的法律和医学后果。
Q2 Medicine Pub Date : 2024-06-01 Epub Date: 2024-03-28 DOI: 10.1177/00258172231191070
Affifa Farrukh, Hamza Buttar, John F Mayberry

The Marriage and Civil Partnership (Minimum Age) Act 2022 came into force in England on 27 February 2023 and made both registered and unregistered marriages involving people under 18 illegal in England and Wales. This means that such marriages which take place outside England and Wales will not be recognised and those who organised them, including parents, will have committed a criminal offence.This review considers issues related to families where such marriages have happened, including their impact on the health of the victim and any resulting children. It touches on religious and societal issues and the need for targeted and appropriate education.

2022 年《婚姻和民事伴侣关系(最低年龄)法》于 2023 年 2 月 27 日在英格兰生效,规定在英格兰和威尔士,涉及未满 18 岁者的登记和未登记婚姻均为非法。这意味着,在英格兰和威尔士以外地区举行的此类婚姻将不被承认,组织者(包括父母)将触犯刑事法律。审查涉及宗教和社会问题以及开展有针对性的适当教育的必要性。
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引用次数: 0
Medico-legal implications of dementia following concussion in rugby football. 橄榄球运动中脑震荡后痴呆症的医疗法律影响。
Q2 Medicine Pub Date : 2024-06-01 Epub Date: 2024-02-10 DOI: 10.1177/00258172231184550
Nicholas Todd

There is litigation in respect of dementia in ex-rugby football players. The allegation is that these ex-players have suffered a traumatic encephalopathy syndrome causing dementia and other neurological problems. The syndrome is alleged to have been caused by repeated concussion during play. It is alleged that governing bodies of rugby should have been aware, and players should have been warned, of this risk. The dilemma, for both claimants and defendants, is that there is no agreed definition of the syndrome nor are there any diagnostic tests that confirm or refute this diagnosis. This paper reviews the literature of traumatic encephalopathy syndrome and when governing bodies were aware of the possibility of rugby concussion causing dementia. The legal principles are discussed and a framework for determining the probability of an ex-rugby player having the syndrome is proposed.

有诉讼涉及前橄榄球运动员的痴呆问题。据称,这些前球员患有创伤性脑病综合症,导致痴呆和其他神经系统问题。据称,这种综合症是在比赛中反复受到脑震荡造成的。据称,橄榄球管理机构本应意识到这一风险,球员也应得到警告。对于原告和被告来说,目前的困境是对该综合症没有一致的定义,也没有任何诊断测试来确认或反驳这一诊断。本文回顾了有关创伤性脑病综合症的文献,以及管理机构何时意识到橄榄球脑震荡可能导致痴呆。本文讨论了法律原则,并提出了确定前橄榄球运动员是否可能患有该综合症的框架。
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引用次数: 0
Historical evolution of the passenger ship's doctor. 客船医生的历史演变。
Q2 Medicine Pub Date : 2024-06-01 Epub Date: 2024-03-05 DOI: 10.1177/00258172231223046
Mauro Salducci, David Shaholli

The authors examine the evolution of the role of resident doctors on cruise ships dating back to the Roman and Byzantine empires, then in the Middle ages. In the past surgery was rarely performed by doctors, but by barber-surgeons, who, with their razor skills, did everything from haircuts to amputations. More recently, as in the last century, the first royal decrees were issued, pillar by pillar, forming the regulatory basis governing health care on board Italian or foreign ships travelling to and from national ports.

作者研究了游轮上常驻医生角色的演变,最早可追溯到罗马帝国和拜占庭帝国,然后是中世纪。过去,外科手术很少由医生来做,而是由理发师--外科医生来做,他们凭借剃须刀技术,从理发到截肢,无所不能。最近,也就是在上个世纪,意大利颁布了第一批皇家法令,这些法令构成了意大利或来往于本国港口的外国船只上医疗保健的法规基础。
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引用次数: 0
Extreme environmental physiology in the dock. 码头上的极端环境生理学
Q2 Medicine Pub Date : 2024-06-01 Epub Date: 2024-02-29 DOI: 10.1177/00258172231182601
Mike Tipton
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引用次数: 0
Posthumous conception in Australia - legal and ethical considerations. 澳大利亚的死后受孕——法律和伦理考虑。
Q2 Medicine Pub Date : 2024-06-01 Epub Date: 2023-11-24 DOI: 10.1177/00258172231200839
Alex Polyakov, Jacqueline Piskopos, Genia Rozen

Posthumous conception, the ability to conceive a child after the death of one partner, is increasingly prevalent due to advances in Artificial Reproduction Technology (ART). This paper considers the complexities surrounding the practice in Australia, focusing primarily on the ethical and legal dimensions. It observes that state-based regulations in Australia create disparities in accessibility: some states prohibit the procedure without the deceased's written consent, while others permit it based on guidelines or lack explicit prohibitions. Addressing the juxtaposition of Will Theory and Interest Theory, it emphasises the ongoing debate on whether rights, particularly reproductive autonomy, outlive a person's demise. Finally, the paper highlights an evident inconsistency in Australian legislation and promotes a uniform approach across states.

由于人工生殖技术(ART)的进步,死后受孕,即在伴侣一方死亡后怀上孩子的能力,越来越普遍。本文考虑了澳大利亚实践的复杂性,主要集中在道德和法律方面。委员会注意到,澳大利亚以州为基础的法规造成了可及性方面的差异:一些州禁止未经死者书面同意的手术,而另一些州则根据指导方针或缺乏明确的禁令允许这种手术。为了解决意志理论和利益理论的并置问题,它强调了正在进行的关于权利,特别是生育自主权,是否在人死后仍然存在的辩论。最后,本文强调了澳大利亚立法的明显不一致性,并促进了各州统一的做法。
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引用次数: 0
Animal attack, concocted for monetary benefits: A case report. 动物袭击,为金钱利益而编造:案例报告
Q2 Medicine Pub Date : 2024-06-01 Epub Date: 2024-05-17 DOI: 10.1177/00258172241238079
Bhoj K Sahu, Harvinder S Chhabra, Bedanta Sarma

Injuries from animal attacks usually occur when animals feel provoked, surprised or threatened. They may range from minor bruises and contusions to deep extensive injuries caused by biting, kicking or trampling, etc. The scenario differs from animal to animal and between species; by comparing the pattern of injuries it may be possible to work out the animal involved. We present a case where a story of an animal attack was conceived for monetary benefits. Determining the circumstances surrounding death may not be possible in all post-mortem cases but a medical examiner should strive to elicit as much information as possible from the dead body.

动物攻击造成的伤害通常发生在动物感到被挑衅、惊讶或受到威胁时。这些伤害可能是轻微的瘀伤和挫伤,也可能是咬伤、踢伤或踩伤等造成的深度大面积伤害。不同动物和不同物种的受伤情况各不相同;通过比较受伤模式,或许可以确定是哪种动物所为。我们介绍了一个为了金钱利益而编造动物袭击故事的案例。虽然不可能在所有验尸案例中都能确定死亡情况,但法医应努力从尸体中获取尽可能多的信息。
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引用次数: 0
Samaritan doctors - should interventions be limited to dealing with emergency situations? 撒玛利亚医生--干预是否应仅限于处理紧急情况?
Q2 Medicine Pub Date : 2024-05-17 DOI: 10.1177/00258172241236581
Eleanor Jane Turner, Diana Brahams
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引用次数: 0
Comparative evaluation of two different dental age estimation methods using tooth pulp: A CBCT study. 利用牙髓对两种不同牙龄估计方法进行比较评估:CBCT 研究。
Q2 Medicine Pub Date : 2024-05-13 DOI: 10.1177/00258172241235466
Harmi Patel, Shilpa J Parikh, Jigna S Shah

Aim: To estimate the age of an individual based on 3D radiographic evaluation of pulp width of maxillary central incisor.

Materials and methods: This study included 185 CBCT images of individuals within age range of 14-64 years. Images were evaluated for maxillary central incisors and pulp width measurements were taken from cementoenamel junction and middle third of root. Obtained data was subjected to correlation and regression analysis from which the age of an individual was predicted. Results of the present study were compared with another study by the same authors.

Results: A negative linear relationship was obtained between age and pulp width. The standard error of estimate (SEE) in sagittal section was 11.36 years and that in coronal section was 11.23 years. The coefficient of determination for sagittal section was 0.107 and for coronal section was 0.127. An obtained regression formula was highly significant. Division of samples into various age groups reduced SEE drastically.

Conclusion: It can be concluded that pulp width of maxillary central incisor is a reliable indicator of age estimation.

目的:根据上颌中切牙牙髓宽度的三维影像学评估来估计一个人的年龄:本研究包括 185 张年龄在 14-64 岁之间的 CBCT 图像。对上颌中切牙的图像进行评估,并从牙本质釉质交界处和牙根中间三分之一处测量牙髓宽度。对获得的数据进行相关性和回归分析,并据此预测个人的年龄。本研究结果与同一作者的另一项研究结果进行了比较:结果:年龄与牙髓宽度之间呈负线性关系。矢状切面的估计标准误差(SEE)为 11.36 岁,冠状切面的估计标准误差为 11.23 岁。矢状切面的决定系数为 0.107,冠状切面的决定系数为 0.127。得出的回归公式非常显著。将样本分成不同的年龄组后,SEE 大大降低:可以得出结论,上颌中切牙的牙髓宽度是估计年龄的可靠指标。
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引用次数: 0
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