GENERALIZED SMARANDACHE PALINDROME

A Generalized Smarandache Palindrome is a number of the form..

When intra-partum electronic fetal monitoring becomes court business

Sadly but inevitably, the clinical fruit of all scientific research, like the profile of the Roman god Janus, presents us with two faces - one is patient benefit while the other is medico-legal vulnerability. As part of defensive medicine, there are situations where malpractice risk is minimised by actual elimination of certain high-risk procedures e.g. in the case of some neurosurgical operations. Intra-partum electronic fetal monitoring (IPEFM) is the commonest obstetric procedure in the developed world, producing valuable information of fetal well being as co-related to maternal uterine activity with a scope of guarding fetal well-being in labour. It is a prime example of the therapeutic/ legal liability duality which haunts modern Medicine.peer-reviewe

Medico-Legal Litigation : the clinical contractual nature of the Obstetric Anaesthetist-Patient relationship

Once the hand-maiden of obstetrics, obstetric anaesthesia, now a fully fledged sub-speciality today provides indispensable multi-faceted services mainly but not solely to the peripartum obstetric patient. Be it in routine as well as acute obstetric work, the speciality is an integral part of the team made up of obstetrician, midwife and neonatologist. Its input ensures modern optimal care to the parturient patient and her baby.1 The anaesthetist’s unique resusucitatoy skills and critical care experience makes him/her particularly valuable, especially in high-risk patients1 as evidenced by the struggle of units lacking such a service in overcoming numerous adminsitrative, financial and logistical problems to reach this paragon of standard of care.2 By the very nature of the acutely challenging situations it deals with, this speciality is especially vulnerable to medico-legal litigation.peer-reviewe

Medico-legal evaluation of the gynaecological consultation in cases of annulment presenting to the Ecclesiastical Tribunal of the Roman Curia in Malta

The Ecclesiastical Tribune of the Roman Curia in Malta appoints gynaecologists as medical experts to certain cases seeking annulment. These cases often essentially revolve around the confirmation or exclusion of virginity but may involve requests for other information. In this article an experienced gynaecologist and a practicing lawyer, evaluate the gynaecologist’s role, outline clinical pitfalls and offer relevant advice.peer-reviewe

L'examen des politiques monétaires d'assouplissement quantitatif

Ce travail propose l’examen des mesures d’assouplissement quantitatif qui sont l’un des grands sujets d’actualité dans le monde des politiques monétaires et des Banques Centrales. Dans un premier temps, les fondements théoriques ainsi que les risques potentiels liés à ces mesures seront décrit. De surcroît, le rôle et le mandat des Banques Centrales seront aussi évoqués. Dans un deuxième temps, cette mesure sera illustrée par l’étude de trois situations où cette dernière a été adoptée par les autorités monétaires. Finalement, ces analyses permettront de démontrer les effets positifs et négatifs de ces politiques monétaires ainsi que les différentes applications possibles

Geochemical dispersion patterns related to kimberlite intrusives in North America

Imperial Users onl

Power Corrections and Nonlocal Operators

We discuss power corrections to infrared safe cross sections and event shapes, and identify a nonperturbative function that governs 1/Q corrections to these quantities.Comment: 4 pages, to appear in Proceedings of the Fifth International Workshop on Deep Inelastic Scattering and QC

Maternal weight gain and fetal growth

Extrinsic factors such as maternal nutrition may affect fetal growth giving rise to short and long-term consequences. The present study sets out to explore the inter-relationship between antenatal weight gain, in part dependant on maternal nutrition, and fetal growth as determined by birth weight. The study population included 21573 women who delivered their singleton child at term during 1999-2006. This population was subdivided into 16 subgroups according to BMI and antenatal weight gain. The study confirms that irrespective of maternal BMI, there is a statistically significant trend towards low birth weight with decreasing antenatal weight gain and conversely macrosomia with increasing antenatal weight gain.peer-reviewe