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Biomedical subjects

A Haertig

Publications and source records attributed to A Haertig.

17 recordsLinked to original sources
PubMed1991

[Role of dental panorama in identification procedures].

Identifying the bodies of victims of terrorism or major catastrophies is a difficult task. When the regular procedures of forensic medicine are insufficient, either because the bodies have become putrefied or were burned, the coroner often has to rely on dental identification. The precision of the different dental records written during the life of the victim is not always adequate. Panoramic dental radiography is the only regularly updated and truly reliable identification card. Films taken earlier can be compared to films of the unidentified body. This method could concern members of the armed forces serving abroad as well as airline personnel. The radiogram would be taken at the same time as chest films during medical check-ups. This document would provide a reliable basis for legal identification when needed.

Forensic Dentistry↗
PubMed1989

[Urologic surgery and risks of complaints in medical responsibility].

The card-index study of specialized insurance companies allowed the analysis of 82 cases concerning urological surgical procedures. Forty-two cases went to the Civil Court, 10 to the Penal Court and 5 to the Administrative Tribunal, while 5 cases were simply declared to insurance companies without judiciary consequences. Sixty-two cases concerned private plaintiffs surgeons and 34 cases concerned non specialist urologic surgeons. Sixteen plaintiffs were compensated, 9 after a conciliatory agreement and 7 after trial. There were no penal condemnations (one case on the waiting list). Impotence was the most frequent cause for complaint which was compensated. Next, came incontinence generally secondary to endoscopic resection. Retrospectively, 19 cases seemed to be unwarranted due to the dishonesty of patients (3 patients were prosecuted for unwarranted procedures). On the other hand, 32 cases seemed to be due to a lack of information given to the patients themselves or to their families, either before of after the incriminated act. The risk of prosecution is relatively low in urology. It could be decreased by careful management of the medical chart, by rapid analysis of complications and by a constant effort to inform the patient and his family.

France↗
PubMed1989

[Urology facing the courts. The basis of professional responsibility].

The liability of the urologist can be involved according to 3 procedures: The civil procedure is that of the Tribunal de Grande Instance (High Court) then the Cour d'Appel (Court of Appeal). Financial compensations are claimed from the surgeon for not respecting the medical contact. This contract is tacit, oral and carries obligations for the surgeon. The administrative procedure is that of the Tribunal Administratif (Administrative Court) then the Conseil d'Etat (Council of State). This only concerns the salaried surgeon in his salaried activities. The penal procedure is that of the Tribunal Correctionnel (Criminal Court) then the Cour d'Appel (Court of Appeal). The surgeon is then charged with a crime, usually unintensional injuries or through negligence. Although the harlm is easy to prove, the reality of the fault of the surgeon and the relation between fault and damage are far less so. It is the plaintiff (Civil Course, Administrative Cours) or the State Prosecutor (Penal Course) who must prove the fault and causality by the help of an expert's report. So, the responsibility of the surgeon can be committed. However, the development of the insurance system has allowed more widespread compensation without any fault found on the surgeon's part and increasingly frequent conciliatory procedures.

France↗
PubMed1986

[The medicolegal identification of victims of major disasters].

The medical identification of victims of major catastrophes is based upon a strict methodological approach at the actual site of the catastrophe when victims are found and in mortuaries. In the majority of cases, police identification can be pronounced. It is only in much more difficult cases where there are calcination or putrefaction processes that medicolegal identification is requested. This identification is based upon the results of medicolegal autopsy itself and on examination of the dental system which remains of capital importance. In the absence of data which can be used to compare the dental system of the victim with this of missing it is possible using single teeth to assess dental age and determine blood group, thereby providing the legal authorities with a group of additional arguments which can be used for presumptive identification.

Age Determination by Teeth↗
PubMed1985

[Medicolegal identification by the dental system].

Bodies found in acts of war or natural disasters are sometimes impossible to identify for police or legal purposes, notably because of calcination or putrefaction. Teeth, which are particularly resistant to destruction by fire, bacteria or other agents, can be used to evaluate the victim's dental age by the Gustafson method with a margin of error of plus or minus 4,6 years. Blood group has also been established with more than 85% concordant results by determination of the A. B. O antigens which are present in dental tissue and pulp. These techniques were tested on 257 teeth from subjects of known dental age and blood group. They provide additional evidence of the identity of deceased persons.

Accidents, Aviation↗
PubMed1980

[Medicolegal identification : teeth and blood groups (author's transl)].

The absorption-elution technique may be used to give adequate grouping in 85% of cases of ABO groups from dental tissue, the results being specific for amounts of 20 to 100 mg of fine powder. ABO antigens are better preserved in the tooth itself, dried, but also to a lesser extent (83% of positive results) in Bouin's fluid whilst formol destroys the ABO antigens of the tooth. Antigenic substances are progressively broken down in relation to the duration and method of preservation. These parameters must therefore be borne in mind for the group O (false "O"). The dental pulp has the same ABO specificities as the tooth and dry or moist preservation better preserves the characteristics. By contrast, areas of caries or damaged teeth result in a high number of errors due to foreign antigens borne by bacteria. With the identification factors which may be provided by study of the odontogram and dental are by Gustafson's method on the one hand, and studies of blood group using powdered tooth or even old dental pulp, the expert may make a medicolegal identification in more than 90% of cases.

ABO Blood-Group System↗