The management of respiratory failure in patients with Guillain-Barré syndrome.
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Biomedical subjects
Publications and source records attributed to B Knight.
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In general, the examination of alleged sexual offences is a combination of perception and experience in history taking and observation, of clinical skill in examination and of meticulous retention of material for forensic science examination. It is not a task to be undertaken lightly, especially as the doctor's actions and opinions may well become the subject of intensive cross-examination at any later court proceedings. The frequency with which unfounded allegations of rape or indecent assault are made by girls makes it all the more important to help separate the genuine from the spurious cases and medical evidence frequently plays a vital role in this direction.
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In summary, asphyxial deaths and deaths due to pressure on the neck form a considerable proportion of homicides in Britain, as well as many suicides and some accidents, as in infancy and in masochistic practices. Although the detailed examination of fatal asphyxia is the province of the coroner's pathologist, the general practitioner and the casualty officer are usually the first medical men to have the opportunity of detecting the external signs of such cases. Unfortunately, very many instances in the past have revealed that the clinician's examination of dead persons is so superficial that numerous cases of trauma to the neck (and even florid asphyxia) have gone unnoticed. A rapid examination of the skin, conjunctivae and neck takes but a few seconds and, if done routinely, would save subsequent embarrassment to the doctors concerned.
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