International Journal of Risk & Safety in Medicine - Volume 3, issue 1

Authors: Pleva, Jaro

Article Type: Research Article

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. Show more

Keywords: Mercury, Dental amalgam, Toxicity, Alternative materials

DOI: 10.3233/JRS-1992-3101

Citation: International Journal of Risk and Safety in Medicine, vol. 3, no. 1, pp. 1-22, 1992

Authors: Dalla-Vorgia, Panagiota | Garanis, Tina N.

Article Type: Research Article

Abstract: A case of medical negligence is presented involving both surgical injury and failure to diagnose the fault and provide appropriate corrective treatment.

Keywords: Medical responsibility, Negligence, Diagnosis, Otolaryngology

DOI: 10.3233/JRS-1992-3102

Citation: International Journal of Risk and Safety in Medicine, vol. 3, no. 1, pp. 23-28, 1992

Authors: Van Viet, H. | Chevalier, P. | de Jaeger, C. | Rullière, R.

Article Type: Research Article

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. Show more

Keywords: Hypertension, Diagnostic method, Diagnostic error

DOI: 10.3233/JRS-1992-3103

Citation: International Journal of Risk and Safety in Medicine, vol. 3, no. 1, pp. 29-35, 1992

Authors: Keon, W.J.

Article Type: Other

DOI: 10.3233/JRS-1992-3104

Citation: International Journal of Risk and Safety in Medicine, vol. 3, no. 1, pp. 37-42, 1992

Article Type: Other

DOI: 10.3233/JRS-1992-3105

Citation: International Journal of Risk and Safety in Medicine, vol. 3, no. 1, pp. 43-44, 1992

Authors: Hodgkin, Catherine

Article Type: Other

DOI: 10.3233/JRS-1992-3106

Citation: International Journal of Risk and Safety in Medicine, vol. 3, no. 1, pp. 45-47, 1992

Article Type: Other

DOI: 10.3233/JRS-1992-3107

Citation: International Journal of Risk and Safety in Medicine, vol. 3, no. 1, pp. 49-51, 1992

Article Type: Other

DOI: 10.3233/JRS-1992-3108

Citation: International Journal of Risk and Safety in Medicine, vol. 3, no. 1, pp. 53-56, 1992

Article Type: Other

DOI: 10.3233/JRS-1992-3109

Citation: International Journal of Risk and Safety in Medicine, vol. 3, no. 1, pp. 58-58, 1992

Article Type: Other

DOI: 10.3233/JRS-1992-3110

Citation: International Journal of Risk and Safety in Medicine, vol. 3, no. 1, pp. 59-60, 1992