The history and the cause of death.
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Biomedical subjects
Publications and source records attributed to B Knight.
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During the 30-year period 1955-1984, 9 cases of paratesticular rhabdomyosarcoma were seen in the pathology departments of the University of Cape Town, including the Red Cross War Memorial Children's Hospital. Three of these patients were lost to follow-up; 2 were alive at 6 months and 6 years after presentation. Two patients absconded with clinical disease and are presumed dead and 2 died of disease 6 and 18 months after presentation. Although rhabdomyosarcoma is known to be a disease of the young, none of the patients in this series was in the first decade of life and only 3 were below 20 years of age.
In view of recent public anxiety concerning possible inadequacies in the field of legal medicine and ethics, a questionnaire survey was made of medical students, newly qualified housemen, medical school deans, coroners and medical defence and protection organizations. The results indicate that the teaching of legal medicine and ethics is insufficient, and a recommendation is made for an increase in such teaching.
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The problem of underservice to the elderly in mental health settings has been conceptionalized in terms of client variables, therapist variables, and systems variables. This investigation of management variables as a type of system level variable reveals that number of staff assigned to work with the elderly is strongly related to outpatient service use and that number of elders on the advisory board is an inverse predictor of inpatient use. It is recommended that future work on the underservice problem focus on system level analysis and intervention.
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Like any branch of medicine, radiology has an interface with the law. This has two main facets: first the technical applications of radiology to forensic problems and secondly the legal aspects of radiological practice.
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In summary, unless the more sophisticated methods listed in the references are repeated and more success obtained with a series of bone samples of known date, no physico-chemical or morphological techniques have yet been devised that will determine date independently of environmental deterioration. The only exception is the radiocarbon estimation in bones of greater antiquity than those of medico-legal interest. The best mentor in the examination of skeletal remains is experience. Unfortunately, the majority of samples brought to the medical examiner remain of unknown provenance, and this prevents the doctor from checking his expertise against the true facts of identity and dating. The main point to bear in mind is that the tendency toward overinterpretation and dogmatic opinion should be avoided where the available data do not merit such a degree of certainty. There is no advantage in offering unfounded opinions to the investigators, since this might merely mislead them and perhaps cause them to exclude a class of possible identities because the doctor has unwisely told them to look only within a certain bracket of date and identifiable factors. As in any branch of forensic medicine, it is dangerous to speculate where the facts cannot firmly support the opinion.
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