RESUMEN
This study describes how many detainees have been referred to emergency departments for further evaluation or emergency care while in police custody in Amsterdam (years 2012/2013). It provides insights into the diagnoses assigned by forensic doctors and hospital specialists and the appropriateness of the referrals. We made use of the electronic registration system of the Forensic Medicine Department of the Public Health Service Amsterdam. This department is in charge of the medical care for detainees in the Amsterdam region. Hospital diagnoses were obtained through collaboration with several Amsterdam-based hospitals. According to our results, in 1.5% of all consultations performed, the detainee was referred to hospital. The most frequent reasons for referral were injuries (66%), intoxication/withdrawal (11%) and cardiac problems (7%). In 18% of all referrals, hospital admission (defined as at least one night in the hospital) was the consequence. After review of hospital files, the indication for referral as stated by the forensic physician was confirmed in 77% of all cases. A minority of referrals was considered unnecessary (7%). The identified cases allow for a discussion of cases of over-referral. Future research should focus on the problem of under-referral and associated health risks.
Asunto(s)
Prisioneros , Derivación y Consulta/estadística & datos numéricos , Adulto , Femenino , Cardiopatías/epidemiología , Humanos , Masculino , Países Bajos/epidemiología , Admisión del Paciente/estadística & datos numéricos , Policia , Trastornos Relacionados con Sustancias/epidemiología , Heridas y Lesiones/epidemiologíaRESUMEN
In this study, the data of 7208 victims (children and adults) of domestic and public violence were analysed after they reported this to the police in Amsterdam, the Netherlands. In this analysis the characteristics of these intentional injuries were collected and compared. Despite some significant differences, there is no clear, specific way to distinguish between public and domestic violence. Therefore, it is more efficient for doctors to limit their focus to the differences between accidental and intentional injuries.
Asunto(s)
Víctimas de Crimen/estadística & datos numéricos , Violencia Doméstica/estadística & datos numéricos , Violencia/estadística & datos numéricos , Adolescente , Adulto , Distribución por Edad , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Países Bajos/epidemiología , Policia , Distribución por Sexo , Heridas y Lesiones/epidemiología , Adulto JovenRESUMEN
Assisted reproduction is used to resolve infertility problems in human and in breeding programs to generate livestock. Except for gestation length and birth weight, perinatal outcome of children conceived by In Vitro Fertilization is similar to that of spontaneously conceived children. However, large offspring syndrome observed after In Vitro Production in livestock is quite alarming. The distinct parts of assisted reproduction (oocyte maturation, fertilization and culture) have been found to contribute to abnormal fetal growth and development. Genomic imprinting is suggested to be involved in the induction of the aberrant phenotypes observed after assisted reproduction. Furthermore, current knowledge on postnatal health of offspring conceived by assisted reproduction and speculations on potential longterm effects of In Vitro Fertilization will be described.