Fetal goitrous hypothyroidism is a rare condition in euthyroid pregnant women. Complications such as tracheal and esophageal compression with resultant polyhydramnios, as well as the possibility of neurodevelopmental effects of hypothyroidism, have prompted prenatal treatment with intra-amniotic L-thyroxine. We report a case of this condition and its in utero management. ...

BACKGROUNDA recent study suggested a markedly increased risk of hepatoblastoma (HB) among children conceived with treatment for infertility. However, it is not clear whether this finding is confounded by the association between HB and low birthweight (LBW).METHODSAssociations between parental infertility and its treatment and HB were examined using data from ...

  Porokeratotic eccrine ostial and dermal duct nevus (PEODDN) is a rare, benign, cutaneous hamartoma. Approximately 45 cases of PEODDN have been reported, with little information regarding treatment. We report a patient with PEODDN treated successfully using an ultrapulse carbon dioxide laser.

A case of Valsalva retinopathy is presented, with a discussion of treatment options.

To report an unusual case of endogenous fungal endophthalmitis due to Candida dubliniensis. Interventional case report of a 27-year-old immunocompetent male with loss of vision, dense vitritis, and chorioretinal infiltrates, who underwent a diagnostic pars plana vitrectomy. Microbiology cultures obtained by a diagnostic vitrectomy were positive for the growth of ...

ABSTRACT: BACKGROUND: Carinal hooks increases difficulty at endotracheal intubation. Amputation of the carinal hook during passage and malpositioning of the tube to the hook are some of the potential problems related with left-sided Carlens double lumen tube (DLT). This article reports an amputation of the hook during a difficult selective ...

OBJECTIVE: To identify risk factors for loss to cardiology follow-up among children and young adults with congenital heart disease. METHODS: We used a matched case-control design. Cases were born before January, 2001 with moderate or complex congenital heart disease and were previously followed up in the paediatric or adult cardiology ...

This case report describes the partial pulpotomy treatment of complicated crown fractures of two cases by using white mineral trioxide aggregate (WMTA) with long-term follow-up. In the cases presented here, to injured incisor teeth were open apices and the pulp exposure site was large, so it was decided to perform ...

Granuloma faciale (GF) is an uncommon, benign form of chronic leukocytoclastic vasculitis, which predominantly affects the face and which is notoriously resistant to several therapies. Besides a range of therapeutic modalities, tacrolimus has been recently reported in the successful treatment of GF. Herein we describe the clinical, dermoscopic and histopathological ...

PURPOSE:: To examine the feasibility of monocanalicular intubation in external dacryocystorhinostomy (EX-DCR). METHODS:: Monocanalicular intubation using the mini-Monoka tube (S1-1500u, FCI Ophthalmics, Marshfield Hills, MA, U.S.A.) was performed in 18 patients undergoing EX-DCR. The tube was placed at the superior canaliculus in 16 cases and at the inferior canaliculus in ...

Several overseas studies have suggested that opportunities for anaesthesia trainees to learn and practise endotracheal intubation have decreased over time. We analysed the operating theatre data collection system at a large Australian metropolitan teaching hospital from 1998 to 2008 to determine if numbers for trainees' caseloads in general, and endotracheal ...

Hair casts or pseudonits are thin, elongated, cylindrical concretions that encircle the hair shaft and can be easily dislodged. A case of pseudonits in a 9-year-old girl is reported. Though not unusual, false diagnoses are common.

The present report is the first to describe a case of hemoptysis caused by an endocardial pacemaker lead. In addition, the patient presented with endocarditis and tricuspid valve stenosis. Aggressive treatment consisted of surgical extraction of two pacemaker leads and one pacemaker battery, replacement of the tricuspid valve and implantation ...

This paper demonstrates that accounting for the moral harm of selecting for deafness is not as simple or obvious as the widespread negative response from the hearing community would suggest. The central questions addressed by the paper are whether our moral disquiet with regard to selecting for deafness can be ...

The issue of false allegations in rape cases cannot be understood without reference to the ways in which rape law and its interpretation has historically problematized "the words of a woman" when what they were speaking about was sexual violation. Whilst the letter of the law has been reformed in ...

Previous studies have demonstrated the presence of an outcome bias in medical decision making, which can be represented by a tendency to overweight outcome information when evaluating the quality of a decision. This study investigates whether the outcome of a previous decision on a medical case affects a later decision ...

Actinic lichen planus (ALP) is a photosensitive variant of lichen planus, affecting mainly young adults of Middle Eastern descent. We report a case of ALP in a 9-year-old Colombian girl with an excellent response to hydroxychloroquine and photoprotection.

With courtyards' therapeutic effects and potential positive impact on patient recovery well-documented in a number of studies, Mark Barker of Archial Architects details some successful examples of their use in healthcare and other buildings, and presents a personal view on how users can optimise their design.

BACKGROUND: Little is known about expert psychiatric and psychological evidence in appeal cases. AIMS: To review the frequency, nature and impact of expert psychiatric and psychological evidence in the Supreme Court in Iceland over a 7-year period where all appeals in Iceland are heard. METHOD: All cases listed on the ...

In Australia, the current guidelines for evaluation of noise-induced hearing loss suggest that, in cases of asymmetrical loss, 'the worse ear be equated to the better ear' for purposes of compensation. This study aimed to establish that such a method was prejudicial to the worker (i.e. the plaintiff). In consideration ...

OBJECTIVES: In 2005, in response to the shooting death of a police officer by a paranoid man, Indiana passed a law authorizing police to seize firearms without a warrant if they believe the person owning the firearm is dangerous because the person has a mental illness and is noncompliant with ...

An independent medical examination (IME) is a critical process for awarding reparation for injury. However, conducting an IME in pain medicine is very difficult, not only because pain is a subjective symptom, but also because there are no proper objective methods to demonstrate it. This study was conducted to compare ...

The case of Hannah Jones hit the national news in the U.K. with headlines proclaiming that a young girl had been allowed to make an end of life decision. The case raises the question of whether someone of Hannah's age should be allowed to make decisions about end of life ...

Emergency response planning in case of a major accident (hazardous material event, nuclear accident) is very important for the protection of the public and workers' safety and health. In this context, several protective actions can be performed, such as, evacuation of an area; protection of the population in buildings; and ...

OBJECTIVES: To study the reported medical practice of euthanasia in Belgium since implementation of the euthanasia law. RESEARCH DESIGN: Analysis of the anonymous database of all euthanasia cases reported to the Federal Control and Evaluation Committee Euthanasia. SUBJECTS: All euthanasia cases reported by physicians for review between implementation of the ...

This article examines the legal regulation of active voluntary euthanasia and assisted suicide in Australia. The Dying with Dignity Bill 2009 (Tas), which was recently defeated by the Tasmanian Parliament, is discussed, as well as other jurisdictions' past and present legislative developments in this context. The recent case law is ...

Our case highlights an uncommon complication of nasogastric tube insertion. Enteral feeding plays an essential role in recovery from critical illness. Benefits include increasing blood flow...

In this article, a brief history of patent law is presented, along with recent changes in its interpretation that are relevant in securing patents in the current landscape. Specific patent examples are presented to illustrate key issues. For example, the case of KSR International Co. v. Teleflex, Inc. is an ...

Copyright laws are intended to protect the rights of authors in their literary, scientific, and artistic works. The recent controversy about the standardized version of the Asthma Quality of Life Questionnaire between Elizabeth Juniper and Eirini Grammatopoulou et al. is an example of the difficulties inherent to copyright faced by ...

The law concerning assisted conception is particularly challenged when there is a breakdown in the relationship between a couple who has embarked on treatment and the treatment has already reached the stage of producing embryos ready for transplantation. The right of either party to use or to destroy the embryos ...

Being named in a malpractice case may be one of the most stressful events in a physician's career and participating in a trial is likely to be remembered for a lifetime. Despite the climate of tort reform, it is a system that is unlikely to change anytime soon. By understanding ...

This study classifies and analyzes Spanish court rulings on responsibility for ski accidents(1) occurring within ski resort boundaries, and refers to court cases to propose guidelines aimed at assisting skiers and ski resort managers. Six main trends emerged from the study: (a) Spanish courts resolved lawsuits arising from four clearly ...

OBJECTIVE: To determine the frequency and background of conflicts about neonatal end-of-life (EoL) decisions. METHODS: We reviewed the medical files of 359 newborns who had died during 1 year in the 10 Dutch NICUs and identified 150 deaths that were preceded by an EoL decision on the basis of the ...

The difficulty in discovering a difference between killing and letting die has led many philosophers to deny the distinction. This paper seeks to develop an argument defending the distinction between killing and letting die. In relation to Rachels' cases, the argument is that (a) even accepting that Smith and Jones ...

Industrial accidents related to warning audibility may be adjudicated in the worker compensation environment or in state courts. One factor that may determine whether the incident becomes a compensation case or a tort is if the employer could reasonably expect the situation to require an audible warning. The second factor ...

Kyukei is the prosecutor's suggestion of punishment for the accused in the closing argument in the Japanese criminal court. It is rumored that the court sentence is foreseeable in 8 out of 10 of Kyukei. In this study, the ratio of the average sentence against the Kyukei for Oyako-shinju cases ...

Folie a plusieurs is a syndrome in which two or more individuals share symptoms (e.g., delusions). This paper uses archival material to present and discuss forensic psychiatric cases of folie a plusieurs from nineteenth-century Ireland. The cases of three brothers who all 'became insane at the same time' and killed ...

Payments by the NHS Litigation Authority continue to rise each year, and reflect an increase in successful claims for negligence against NHS Trusts. Information about the reasons for which Trusts are sued in the field of trauma and orthopaedic surgery is scarce. We analysed 130 consecutive cases of alleged clinical ...

The Gomez Paquiyauri Brothers case, before the Inter-American Court of Human Rights, was the first international case concerning the protection of children in the context of armed conflict where an international court stated the law concerning the duties of States towards children even in the context of war, and provided ...

Scientific networks are often credited with bringing about institutional change and professional advancement, but less attention has been paid to their instability and occasional failures. In the 1970s optimism among academic women was high as changing US policies on sex discrimination in the workplace, including higher education, seemed to promise ...

A case of a 61-year-old patient with advancing cancer is presented. His care was confounded by his wife challenging the care being delivered. The case report is followed by commentaries on the case from three scholarly perspectives, medicine, philosophy, and law.

As in the case of Victoria Climbi?, the case of Baby P triggered national outrage and widespread reforms to the child protection system in England. But the Baby P case is unique in several key ways. The context and differentiating elements of the Baby P case are explored, as is ...

BACKGROUND: Conflicting perspectives about the diagnosis and prognosis of the persistent vegetative state (PVS) as well as end-of-life (EOL) decision-making were disseminated in the Terri Schiavo case. This study examined print media coverage of these features of the case. METHODS: We retrieved print media coverage of the Schiavo case from ...

In 2006, the Supreme Court paved the way for the sacramental use of a hallucinogen, hoasca, to be imported, distributed and ingested by a religious group. This case has broad implications for religious freedom for using sacramental psychotropics and how such cases might be decided in the future. This article ...

Previous research has examined factors that influence felony case prosecution in domestic violence cases, but few have analyzed how victim participation, or lack thereof, may affect the defendant's case outcome in misdemeanors. This study used 384 municipal cases from a specialized domestic violence court to examine the role of the ...

This paper discusses the Brazilian Supreme Court ruling on the case of anencephaly. In Brazil, abortion is a crime against the life of a fetus, and selective abortion of non-viable fetuses is prohibited. Following a paradigmatic case discussed by the Brazilian Supreme Court in 2004, the use of abortion was ...

The purpose of this study was to inform the Government of the Northwest Territories legislative development process with regards to protected areas. Specifically, the objectives were to: select a jurisdiction in Canada which had a broad suite of protected areas options as a case study; to evaluate the strength of ...

The death penalty remains an intensely divisive topic in American society. Recently, there has been a series of cases, first involving defendants with mental retardation and more recently involving juveniles, in which the U.S. Supreme Court has ruled by a five-to-four margin that the death penalty in both these classes ...

The conflict surrounding Terri Schiavo, whom Florida's courts had determined wished not to be kept alive in a persistent vegetative state, played out on a national stage. The dispute between Schiavo's husband and parents engulfed America's legislative, executive, and judicial systems, raising profound questions about the laws and policies that ...

In October 2005, the Kansas Supreme Court struck down a law that would impose harsher penalties for same-sex statutory rape cases than for heterosexual cases. In arriving at its conclusion that the distinction had no rational basis, the Court noted that gay teenage sex is no more likely than adult ...