International Journal of Risk & Safety in Medicine - Volume 3, issue 1
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The International Journal of Risk and Safety in Medicine is concerned with rendering the practice of medicine as safe as it can be; that involves promoting the highest possible quality of care, but also examining how those risks which are inevitable can be contained and managed.
This is not exclusively a drugs journal. Recently it was decided to include in the subtitle of the journal three items to better indicate the scope of the journal, i.e. patient safety, pharmacovigilance and liability and the Editorial Board was adjusted accordingly. For each of these sections an Associate Editor was invited. We especially want to emphasize patient safety. Our journal wants to publish high quality interdisciplinary papers related to patient safety, not the ones for domain specialists. For quite some time we have also been devoting some pages in every issue to what we simply call WHO news. This affinity with WHO underlines both the International character of the journal and the subject matter we want to cover. Basic research, reports of clinical experience and overviews will all be considered for publication, but since major reviews of the literature are often written at the invitation of the Editorial Board it is generally advisable to consult with the Editor in advance. Submission of news items will be appreciated, as will be the contribution of letters on topics which have been dealt with in the journal.
Abstract: The risks of mercury exposure arising from the use of dental amalgam fillings are reviewed and discussed. On the basis of both knowledge acquired in various scientific disciplines and ten years of experience in the field it is concluded that mercury from amalgam may well contribute significantly to a number of modern health problems and to decreased quality of life in a large population group in many countries. Erroneous opinion as to “negligible” mercury exposure and lack of cooperation between the dental, medical and other professions are two important factors in the issue. There is both biological and metallurgical evidence…that typical Hg-exposure levels produced by amalgam fillings are 5–10-fold higher than what are regarded as safe limits for exposure to mercury from other sources. There is no doubt that dental mercury should be taken into consideration as a possible etiological factor when considering neurological, immunological and endocrinological diseases of unknown etiology. Protective measures during amalgam removal and prospects for alternative dental materials are discussed.
Keywords: Mercury, Dental amalgam, Toxicity, Alternative materials
Abstract: Arterial hypertension is a risk factor both for morbidity and mortality. The diagnosis usually depends on the auscultation method using the cuff and the mercury manometer, which remains the international reference method. However, this indirect method is the source of numerous errors, sometimes important, which are related variously to the equipment used, the observer, the conditions under which the measurement is taken and sometimes to the patient. Such errors can in turn lead to therapeutic overdosage and to unnecessary treatment, which may be dangerous. “Pseudohypertension” is a typical example of the problems. Various means have been proposed to improve the…reliability of measurements, above all the physician must adhere strictly to the correct routine. The use of self-registering equipment, provided it is scientifically assayed, can be considered for incidental measurements or for ambulant use. The ambulant measurement of arterial pressure promises to be of diagnostic, therapeutic and prognostic value, but further experience is required to confirm these impressions.