Archive for March, 2010

Another thought - 2 in a week (need a holiday now)!

Friday, March 12th, 2010

How’s this for fair?

You win your case and your not guilty at a Criminal Court (beyond reasonable doubt), but still have to fight for your children…now that’s bad enough…although of course someone may have done something and theres just not enough evidence to convict, but children need to be protected.

But here’s the bigger issue how about you get found Not Guilty at the Civil Court (lower burden of proof …if you just look a bit dodgy…only kidding….look ‘really’ dodgy, or whatever it is). You then after being found Not Guilty there have to go to Criminal Court?

WHY??

How can this be right, if you can’t get them on the lower burden of proof…how on earth are you going to get them on the higher one….unless you can hire a load of experts to say what you need them to say of course…………surely that would never happen.

I know…stop calling you Shirley.

Anyway 2 thoughts have worn me out!

Don’t forget its Friday - wear red - support our troops!

Just a thought

Thursday, March 11th, 2010

Hi,

With the good news that Ben Butler has walked free from the Royal Courts, just one more case to go and then we all wait to hear what has formally been decided for us all.

But the stories still come out of harm to children, the Dad who raped his own daughters for 30 years and the State didn’t do too well etc. We really should get Judges, victims, the State etc together and sort this mess out.

But especially with SBS there needs to be some money spent on research all the millions wasted on experts, police hours, tests done, conferences etc etc on SBS cases is disgusting, if a few hundred thousand to start with was put to one side maybe real research could be done. Like finding how many Non SBS cases actually come into hospital but that actually show the triad symptoms. So then we may find out what - if any, other things cause SBS. 

It needs to be done, we also need to look at if Judges should pull cases before they even get before a jury, if experts can’t agree then the case shouldn’t go on. May even have to record details of the juries deliberations. Stop using majority verdicts unless intimidation is alleged. And many, many more!

Maybe not too much more at the mo to come out as Butler is a family case, they now have to fight on the front too. You see Stoodley, Richards, Risdon etc you can seriously screw up lifes … but for how much longer? We’ll see, we’ll see…

 The investigators need to look at what is said and by whom and avoid Horn & Halo effect. Experts need to be monitored and checked to see if they are who they say they are etc. If they are actually qualified etc.

Just a thought though…

The Missing Link

Thursday, March 11th, 2010

http://www.ncbi.nlm.nih.gov/pubmed/16678742?itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum&ordinalpos=1

Retinal Bleeding from birth and beyond

Thursday, March 11th, 2010

Incidence, Distribution, and Duration of

Birth-Related Retinal Hemorrhages:

A Prospective Study

Lindsey A. Hughes, B. Med Sci (Orthoptics),a Kristina May, MB, ChB, FRCOphth,b

John F. Talbot, FRCOphth, FRCS,b and Michael Andrew Parsons, MB, ChB, FRCPatha

Background: Retinal hemorrhages secondary to birth trauma are part of the differential diagnosis of intraocular

hemorrhages seen in the setting of Shaken baby syndrome in very young infants. This prospective study aimed to

document the morphology, distribution and, most importantly, the natural history of these hemorrhages using

digital imaging. Subjects and methods: Infants were recruited as soon after birth as possible and examined by

indirect ophthalmoscopy. Retinal hemorrhages were photographed using the RetCam 120. Birth history was

documented from the medical notes. Infants were reexamined and photographed until hemorrhages had resolved.

Results: Data were analyzed for a total of 53 neonates. The number of infants with retinal hemorrhage was 18

(34%). The incidence in relation to mode of delivery was as follows: vacuum delivery, 77.8%; normal vaginal

delivery, 30.4%; cesarean section, 8.3%; forceps delivery, 30.3%. All hemorrhages were intraretinal and in all but

two infants hemorrhages had resolved by 16 days. In two subjects hemorrhages were still present at 31 and 58

days, respectively. Both these infants were delivered by vacuum delivery. Conclusions: The RetCam 120 provides

excellent documentation of retinal hemorrhages and their natural history. We have demonstrated hemorrhages

still present at 58 days in a child born by vacuum delivery and this may have important implications for

consideration in the differential diagnosis of Shaken baby syndrome. (J AAPOS 2006;10:102-106)

I t is well known that retinal hemorrhages occur in

newborn infants during delivery. The reported incidence

varies from 2.6 to 50%.1,2 This variation appears

to be primarily due to when infants are examined

after birth. Giles3 demonstrated that the incidence was

reduced from 40% at 1 hour postdelivery to 20% at 72

hours. Sezen4 found the incidence was only 2.6% after 3 to

5 days. Experience of the examiner, mode of examination

(direct versus indirect ophthalmoscopy), and use of a

speculum are also thought to contribute to this variation.

1,2,5 The incidence varies with mode of delivery. They

occur most frequently in those delivered by vacuum extraction

(75%); 33% in those delivered by spontaneous

vaginal delivery; and 6.7% by cesarean section.2 These

figures concur with those of other authors.6,7

The severity of the hemorrhages varies considerably.This is an extract from the report, there is more to it and will post links up.

Iain