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EN
Background Assessment of the health state of people sentenced to the penalty of restriction of liberty makes up a significant percentage of cases annually elaborated in the Department of Forensic Medicine, Poznan University of Medical Sciences. The analysis of such cases was accomplished to point out the difficulties that expert physicians could encounter in formulating their opinions. Material and Methods The analysis involved 1051 medico-legal opinions issued in the years 2004–2013, considering the health state of people performing the duty of free, controlled social labor. The authors collected data on age, sex, type of diseases and the ability to control social work of convicted subjects. Results Among those sentenced to the penalty of restriction of liberty the men aged 51–60 were in the majority. Individuals able to work only in specified conditions were the most numerous group (56.3%). People able to work in all conditions were the smallest set (9.5%). Light work was the type of work most frequently recommended to the persons able to work only in specific conditions (58.4%). The largest group of diseases comprised spondylopathies and osteoarthropathies (51.4%). It was followed by the group of cardiac diseases and angiopathies, including hypertension (38.7%). Conclusions The number of cases concerning the ability of the sentenced persons to serve the penalty of restriction of liberty annually elaborated in the Department of Forensic Medicine, Poznan University of Medical Sciences and the number of sentences imposed on the national scale indicate that medical experts may be obliged to provide opinions of this kind. Assessment of the health state of people sentenced to the penalty of restriction of liberty in some cases can be a difficult task for the expert physicians because of frequent lack of information about a specific type of work performed by the sentenced persons having only the data about their diseases. Med Pr 2016;67(6):765–775
PL
Wstęp Ocena stanu zdrowia skazanych na karę ograniczenia wolności stanowi istotny odsetek spraw opiniowanych rocznie w Katedrze i Zakładzie Medycyny Sądowej Uniwersytetu Medycznego im. Karola Marcinkowskiego w Poznaniu. Pozwoliło to na dokonanie analizy wydanych opinii i wskazanie trudności, jakie mogą napotkać biegli lekarze. Materiał i metody Analizie poddano 1051 opinii sądowo-lekarskich dotyczących oceny stanu zdrowia skazanych na pracę na cele społeczne, wydanych w latach 2004–2013. Z opinii uzyskano dane dotyczące płci, wieku i rodzaju schorzeń skazanych oraz wniosków biegłych w zakresie zdolności do pracy społecznie użytecznej. Wyniki Wśród skazanych przeważającą większość stanowili mężczyźni w wieku 51–60 lat. Najliczniejszą grupę stanowiły osoby zdolne do pracy społecznie użytecznej po spełnieniu określonych warunków, wskazanych w opinii biegłych (56,3%), najmniej liczna była grupa osób uznanych za zdolne do wykonywania pracy bez jakichkolwiek ograniczeń (9,5%). W przypadku skazanych uznanych za zdolnych do pracy jedynie po spełnieniu wskazanych przez biegłych warunków najczęściej zalecano pracę lekką (58,4%). Najliczniejszą grupę schorzeń skazanych stanowiły choroby narządu ruchu (51,4%), drugą w kolejności – schorzenia układu krążenia (38,7%). Wnioski Liczba spraw dotyczących zdolności do odbywania kary ograniczenia wolności, opiniowanych rocznie w Katedrze i Zakładzie Medycyny Sądowej Uniwersytetu Medycznego im. Karola Marcinkowskiego w Poznaniu, oraz liczba wyroków skazujących w skali kraju wskazują, że biegli lekarze mogą otrzymać tego rodzaju sprawy do zaopiniowania. Główną trudnością w ocenie zdolności skazanego do wykonywania pracy na cele społeczne jest brak informacji, jakiego rodzaju i na jakim konkretnie stanowisku osoba skazana miałaby wykonywać pracę w ramach kary ograniczenia wolności. Med. Pr. 2016;67(6):765–775
EN
Introduction and aim. Salbutamol is a popular drug used in respiratory diseases. With the increasing prevalence of the use of this substance for therapeutic purposes and its availability on the market, the frequency of its use for other purposes has also risen due to its effects outside the respiratory system. The aim of the study was to investigate the medico-legal aspects of salbutamol. Material and methods. Medical literature databases such as PubMed, Scopus, Web of Science and Google Scholar were searched. The search was carried out in accordance with the specified purpose of the keyword research using Boolean operators. Analysis of the literature. In sports, the use of salbutamol is strictly regulated by anti-doping regulations. Recreational substance abuse and accidental overdoses, mainly among children and the elderly, are also important. Rare cases of suicide attempts associated with the use of salbutamol have also been reported. Conclusion. Salbutamol overdoses are usually not life threatening. However, one should remember about the possibility of accidental overdose, especially among the elderly and children taking the drug chronically. Currently, the use of salbutamol for recreational purposes is rare. In sports, the status of salbutamol use, especially among athletes who do not require its use for therapeutic reasons, is still a controversial issue.
EN
Electronic cigarettes are devices that produce an aerosol by heating e-liquid. Their history can be traced back to the 20th century but their popularity exponentially increased in the 21st century. Multiple generations and types of e-cigarettes are available on the market with an astounding choice of e-liquids. They gained popularity in almost all countries and among all age groups. The regulation concerning them varies drastically across the world. The health impact is still not fully understood. Although e-cigarettes contain less toxic substances compared to regular cigarettes their use is still not harmless. Some studies suggest a correlation between e-cigarettes and cardiovascular diseases and a potential cancer risk. However, the most noticeable is the effect on the respiratory system. There have been reported cases of fatal respiratory failure caused by e-cigarette use. There has been an increased interest in using e-cigarettes for recreational drug use, notably cannabinoids. E-liquids have been used in suicide attempts. They are usually ingested causing potentially lethal poisoning. Furthermore, lung biopsy and extensive medical history analysis should be the cornerstone of forensic examination of deaths involving e-cigarettes.
EN
The article presents a case of sudden death of a 56-year-old woman at the workplace, caused by a very rare primary cardiac tumor. The patient’s family reported a crime to the prosecutor’s office suggesting participation of third parties in causing the death or malpractice in physical examinations before the death. A review of clinical data concerning cardiac angiosarcoma, available in electronic databases (e.g., Web of Science, PubMed), was presented, which could be useful in the practice of occupational medicine specialists. A legal analysis of potential claims to occupational medicine specialist in the case of failure to recognize primary cardiac tumors was also included in the article.
PL
Przedstawiono przypadek nagłego zgonu w miejscu pracy 56-letniej kobiety, którego przyczyną był rzadki pierwotny guz serca. Rodzina zmarłej złożyła doniesienie do prokuratury, sugerując udział osób trzecich w spowodowaniu zgonu lub nieprawidłowości w badaniu lekarskim poprzedzającym zgon. Przedstawiono przegląd dostępnych w bazach elektronicznych (m.in. Web of Science i PubMed) informacji klinicznych dotyczących naczyniakomięsaka serca przydatnych w praktyce lekarza medycyny pracy oraz analizę prawną potencjalnych roszczeń w stosunku do lekarza medycyny pracy w przypadku nierozpoznania nowotworu.
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