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Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 1)
On the 8 December 2020, Justice Judianna Barnes sentenced Dr Mak Wan-ling to three and a half years in prison. The charge for which she was found guilty was gross negligence manslaughter (GNM). She had injected a contaminated blood sample into a patient and the patient had died. The conviction was fundamentally flawed.Venous lake of the lip treated with Nd YAG, LONGPULSE Laser: Two case reports
Venous lake of the lip is a benign vascular lesion characterised by dilation of superficial veins (venous ectasia). Clinically, it presents as a purplish-blue to violaceous, soft and compressible papule or nodule, most commonly located on the lower lip of...When does a non-surgical procedure fall within the scope of CQC registration? An update on cogged PDO thread lifts
In December 2018 the CQC ruled that any healthcare professional performing thread lifting now has to meet its full requirements for surgical procedures. Dr Bea Brookes takes a look at the decision. Non-surgical thread lift with dissolving threads has been...Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 4)
I want to return to the case of Dr Mak, who was, from the available evidence, caught up in a miscarriage of justice that arose because of a lack of effective interprofessional communication in the legal process.
Patient-related outcomes in rhinoplasty surgery
This paper centres on defining and providing a patient-related outcome tool in rhinoplasty surgery. There are currently no validated tools specifically for cosmetic alteration of the nose alone. The authors devised specific scales within the FACE-Q framework to specifically assess...
Effects of ultraviolet radiation on the skin
A comprehensive paper concerning the dermal effects of sun exposure, including strategies which aesthetic nurses can adopt to guide patients in making evidence-based choices in selecting suitable sun protection. The key principles of ultraviolet radiation (UVR), including the immediate and...
The initial management of nasal trauma
Nasal trauma and fractures are some of the most prevalent clinical problems in a facial surgery practice. Fractures of the nose are the most common facial fractures and reported to be the third most common fracture of the human skeleton....
Crushed cartilage and fibrin sealant graft for radix augmentation
This paper shows a new technique for radix augmentation on Asian patients using crushed cartilage layers stacked on the nasal dorsum and stabilised with fibrin sealant. The study was made on 51 patients operated by the same surgeon in two...
An update on alopecia treatment options
In this paper the authors make a thorough review of the different medical and surgical options for the treatment of androgenic alopecia. Combined therapy with oral finasteride and topical minoxidil continue to be the mainstay for medical treatment. Follicular unit...
A model for Lentigo Maligna recurrence
Lentigo Maligna presents a difficult problem for both the histopathologist and the plastic surgeon. The pathologist has great difficulty in assessing where the borders of the lesion lie, while the plastic surgeon is dealing with these lesions which commonly occur...
A retrospective comparison between standard septoplasty and extracorporeal septoplasty
This paper shows the results of a retrospective study made on 169 patients with nasal obstruction due to a deviated nasal septum who were operated using a standard septoplasty technique or performing an extracorporeal septoplasty. Postoperative nasal patency, aesthetic outcome,...
