No abstract

Background: Emergency department physicians often encounter medico-legal cases when patients initially present to the hospital, and thus there is a strong need for them to have robust medico-legal management and reporting knowledge. Objective: To assess the awareness of emergency department physicians of two major hospitals in the Eastern Province of Saudi Arabia in managing medico-legal cases. Methods: This descriptive cross-sectional survey-based study included all adult and pediatric emergency physicians working at King Fahd Hospital of the University and King Fahd Specialist Hospital, two major government hospitals in the Eastern Province of Saudi Arabia. The questionnaire included questions about demographic information, the workload in the emergency department, previous medico-legal training, and information about physicians' perspectives regarding medico-legal situations. Results: A total of 85 physicians completed the questionnaire, with most being Saudis (78.8%) and consultants (44.7%). Most participants (84.7%) immediately notified the police authority through the official procedure on suspicion of a case being criminal. However, only 28.2% of the participants were aware of how to complete the medico-legal report, and the majority (82.4%) had not received any specific training or attended specific courses in writing medico-legal reports. Most participants (91.8%) expressed the need for additional medico-legal case training programs, with continuous education (29.4%) being the preferred mode. In addition, 60% of the consultants were dissatisfied with the current medico-legal reporting and management workflow in their hospital. About half of the participants did not obtain photographs in medico-legal cases and did not know if their workplace provided a protocol for collecting evidentiary material such as clothes, swabs, bullets, remnants of foreign bodies, etc. Conclusions: The results of the present study indicate the necessity to consider periodical continuing medical education programs and workshops for emergency department physicians in the Eastern Province of Saudi Arabia to help them in appropriately handling medico-legal cases.

No abstract

No abstract

Langerhans cell sarcoma (LCS) is a highly malignant neoplasm exhibiting<b> </b>aggressive clinical behavior. In this study, we aimed to explore the current status and trends of research on LCS by doing a bibliometric analysis. Data on LCS were retrieved from the Web of Science database and a bibliometric analysis was conducted to measure the impact of publications, authors, organizations, and countries. Different software packages, including BiblioAnalytics, Bibliomaster, MS Excel, MS Access, VOSviewer, Biblioshiny, Power BI, and an online visualization platform were used for analysis and visualization in the present study. A total of 96 publications were included in the present bibliometric analysis. Authors “Lebbe C”, “Lorillon G”, “Mourah S”, and “Tazi A” received the highest number of citations, and the journal “Histopathology” received the highest number of citations. The outstanding organization was the Mayo Clinic in the USA with the highest number of 5 publications and the highest number of 175 citations. Japan and the USA were the outstanding countries that contributed to the research on LCS. Current literature on LCS is minimal, which stresses the need for more research productivity, especially within areas regarding diagnosis and immunohistochemical staining with CD markers for this pathology.