Volume 1 Issue 2
Investigating Expert Witness Uncertainty: A Single Case Study Approach
Koch HCH1, Carleton R.N2, Cosway R3
Research has been carried out into the construct of Intolerance of Uncertainty in the context of civil claims and the practice of expert witness psychologists. Specific examples of what psychologists find problematic or variable in their work as an expert witness is interpreted using a single case study model. Implications for training and continuous professional development are discussed.
Primary Intraventricular Haemorrhage Following Treatment with Rivaroxaban Clinical Case and Brief Review of the Literature
Rubin Stoianov1, Vesselin Karabinov2*
We describe a case of primary intraventricular hemorrhage following treatment with novel oral anticoagulant. The patient presents with headaches, nausea and vomiting, with minimal neurological symptoms. The patient has a history of arterial hypertension and concomitant atrial fibrillation on rivaroxaban therapy. Administration of oral anticoagulants is associated with an increased risk of bleeding in patients. Until recently, the only medication was warfarin. Recently, new oral anticoagulants are increasingly entering clinical practice. It is therefore important to know them, as bleeding may be life-threatening, resulting in disability and economic loss.
Existence of Linearity in Soft to Hard Tissue Changes Following Orthognathic Surgery
Ramdas Balakrishna1*, Tanmoy Nath2
Profile prediction is crucial to planning prior to orthognathic surgery. Today computerized simulation softwares have replaced acetate tracings, which are based upon mean ratios of soft tissue change following skeletal movements linearly. The aim of this study is to evaluate the soft tissue changes with skeletal movements following orthognathic surgery.
An Anatomic Study of the Types of Glenoid Notch and Their Distribution among the Genders
Alexandar Iliev1, Georgi P. Georgiev2*, Dimo Dimitrov1, Paoleta Yordanova1, Boycho Landzhov1
The presence of the glenoid notch in the scapula is noted quite often. We observed the prevalence of the notch in the glenoid cavity of 150 scapulae (72 female and 78 male). The notch is found in 92% of the male specimens and in 50% of the female ones. The present study revealed a significant difference in the presence of the observed structure in males and females. The importance of the glenoid notch consists of the fact that if it is present the glenoid labrum is not attached to the bone at the notch, forming a recess, and becomes liable to be shared off. In addition, the observed structure plays a key role in the possibility of improvement of the total shoulder arthroplasty as it requires a compatible fit between the glenoid component and underlying bone.
Spontaneous Cholecysto-Cutaneous Fistula: a Rare Complication of Cholelithiasis
Amir Mari1*, Abdel-Rauf Zeina2, Stanislav Bezobchuk3, Dani Feldman1, Fadi Abu-Backer1, Yael Kopelman1
Spontaneous cholecystocutaneous fistula is a rare complication of calculus biliary disease that has become increasingly rare because of prompt diagnosis and surgical intervention for gallstones. A seventy years old lady, with no significant medical history, complains of serous /bloody discharge from a mass on her abdominal wall, for the last six months. The patient denies any pain, fever, jaundice or other symptoms except weight loss. Spontaneous cholecystocutaneous fistula was diagnosed be Computed Tomography (CT) and was later confirmed by magnetic resonance imaging cholangiopancreatography (MRCP). Stones were removed from the fistula and common bile duct via endoscopic retrograde cholangiopancreatography (ERCP) procedure.