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Medical Liability Insurance Data Analytics
Published in Salvatore Volpe, Health Informatics, 2022
Since patients began suing health care practitioners, medical and legal data has been collected in methods and combinations peculiar to the process of defending the practitioner. While rules of procedure and evidence can differ from jurisdiction to jurisdiction, all medical malpractice lawsuits require a plaintiff to identify, with specificity, their allegations of how and when the defendant provider deviated from the standard of care, the nature and extent of injury, and how this damage is causally connected to the deviation. The defense is entitled to discovery testimony of the plaintiff patient which, along with other things, can identify the patient’s specific demographic, personal and familial health history, treatment history and specific, current health/injury status. This deposition testimony takes place after collection of all pertinent medical records from each potentially relevant provider, reviewed by the defendant practitioner’s attorney and, ideally, medical providers of the appropriate specialty. All this information is collected and stored, in some format, in a medical malpractice insurer’s claim file.
What Destroys Joy
Published in Eve Shapiro, Joy in Medicine?, 2020
I have been sued in a case that went to trial. The whole process took many, many months. There were many months of preparation and deposition and getting ready for it, and then the trial went on for more than a week. It was a verdict for the defense, which means we won. It was a really awful experience. And it is for most doctors who go through it. It was my own patient who sued me. When people sue, they feel they’ve been harmed and they want recognition that they’ve been harmed, with financial compensation. When this was going on, I felt sure I hadn’t done anything wrong. My self-confidence was not shaken. But because I saw the way the legal system works, that wasn’t enough to guarantee that things were going to go my way.
Trial Preparation and the Trial Process
Published in Julie Dickinson, Anne Meyer, Karen J. Huff, Deborah A. Wipf, Elizabeth K. Zorn, Kathy G. Ferrell, Lisa Mancuso, Marjorie Berg Pugatch, Joanne Walker, Karen Wilkinson, Legal Nurse Consulting Principles and Practices, 2019
A deposition is testimony given under oath outside of court and is part of the discovery process. It is a formal interview conducted by attorneys for all parties in the lawsuit and recorded by a court reporter using stenography and increasingly by videotape. After the deposition, the court reporter prepares a transcript of the testimony (questions and answers), and the deponent can make corrections in a signed statement listing the changes and the reasons the changes were made. (See Chapter 5 for more information on depositions.)
The functional role and the clinical application of periostin in chronic rhinosinusitis
Published in Expert Review of Clinical Immunology, 2023
Kenji Izuhara, Shigeharu Fujieda, Nobuo Ohta
It is very reproducible that periostin is highly deposited in the subepithelial areas of nasal polyps in CRS patients [38,40,42]. A systematic review recently published also showed that periostin is consistently and significantly higher in CRSwNP than CRSsNP and controls at both protein and mRNA levels [45]. However, it has been pointed out that the deposition levels are diverse, differing among individuals [40,42]. Since the pathological backgrounds of CRS patients are thought to be heterogenous [5,10,11], this is a reasonable finding. Shiono et al. have proposed three types of periostin deposition in nasal polyps – negative, superficial, and diffuse [42]. In the superficial type, periostin is detected only in the subepithelial portion beneath the basement membrane, whereas in the diffuse type, periostin is expressed throughout the lamina propria (Figure 2).
An Examination of the Synergy of Age and PTSD on Narrative Coherence in Child Sexual Abuse Testimony
Published in Journal of Child Sexual Abuse, 2022
Sarah Miragoli, Elena Camisasca
Forensic interviews were conducted in criminal proceedings, concluding in the conviction of the accused at the Criminal Court of Milan (Italy) by skilled personnel trained in child sexual abuse. In line with the literature (Miragoli et al., 2020, 2016), each deposition was collected through a semi-structured interview divided into four phases (relationship building, free narrative, questioning, and closure), audio-recorded, and transcribed verbatim. The abuse incident was explored as much as possible using non-suggestive and open-ended prompts and invitations. Each deposition has been codified considering only the contents referring to sexual abuse (e.g., severity and duration of abuse, actions and interactions with the perpetrator, place and time, child’s thoughts and feelings about the traumatic experience).
Kidney-limited AL amyloidosis: a case report and review of the literature
Published in Journal of Community Hospital Internal Medicine Perspectives, 2021
Sara Velayati, Alexander Belkin, Gurwinder Sidhu Kumar, Zubin J Tharayil, Neeru Kumar, Samir Patel
AL systemic amyloidosis occurs as a result of abnormal light chain protein deposition, of which 80% are associated with the Lambda (λ) chain and involve almost all vital organs. The heart and kidneys, with 82% and 68% of cases reported, respectively, are the most common sites of deposition. Additionally, the liver, nervous system, and gastrointestinal tract are often involved, and multiple organ systems are frequently affected [5]. Localized amyloidosis is rare but has been reported in the upper airways, orbits, urinary tracts, skin, and nails; this almost never progresses to systemic disease. Amyloidosis can also be accompanied by other plasma cell dyscrasias such as multiple myeloma (MM) or monoclonal gammopathy of undetermined significance (MGUS); these should be evaluated and excluded at the time of diagnosis. As noted, systemic disease commonly involves multiple organs, and there is a predilection for one organ to be affected more than others. The kidneys are frequently involved in systemic amyloidosis, but it is extremely rare for the kidneys to be the sole organ involved in the disease process [6].