Forensic medicine encompasses various subspecialties that involve resolving legal issues using diverse techniques. Medical students should be prepared for their near future career, in particular, the challenge of facing medico-legal cases with their consequent legal responsibilities. The aim of the study was to assess final year medical students' knowledge, attitude and practice of medico-legal problems. This crosssectional study included randomly selected 138 6 th year medical students at Ibn Sina National College in Jeddah. 56 (40.6%) were male and 82 (59.4%) were female, aged 24.46±1.45 years, and 114 (82.6%) were Saudis. A pre-designed, self-answered 23-item questionnaire in English was devised by a specialist in the field and circulated though Survey-Monkey forms from November 2018 to January 2019. Most students had good knowledge (66.27%) and positive attitude (71.47%). Some had poor (14.49%) or no knowledge (19.24%), negative (15.67%), or borderline attitude (14.31%). Poor responses were the legal value of incomplete reports (28.99%), notifications of relatives before police notification (15.94%) and informed consent before photographing (21.74%). Many students (44%) had negative attitude towards their current medico-legal overall education and knowledge. Only 14.5% had been previously involved in photographic documentation. Students thought that the main sources of stress/pressure during managing medico-legal problems were the victim's relatives (69.79%), followed by fear of legal consequences (54.17%). They also thought that the best educational stage for medico-legal training programs should be during undergraduate years (57.25%), or less frequently during residency (55.8%) or postgraduate years (46.38%). In conclusion, final year medical students were prepared for their future practice by good knowledge and positive attitude towards medico-legal problems. However, many gaps were detected between theory and practice. Therefore, we recommend medical colleges to initiate an undergraduate clinical forensic medicine training program. Moreover, residents and post graduate emergency physicians need to know their medico-legal responsibilities and to acquire technical skills to perform forensic evaluations of victims.

Painful Diabetic Neuropathy (PDN) is associated with a significant reduction in health-related quality of life (HRQOL). Glycemic control and improving HRQoL are now recognized as the main goals of patientcentered diabetes care. This pre-post quasi study aimed to assess HRQoL in type 2 diabetic patients with PDN before and after pregabalin therapy from October 2017 to April 2018. Adult Saudis outpatients (N=103) with PDN, under no specific therapy, were selected from three private hospitals in Jeddah, Saudi Arabia. Neuropathy Symptom Score, Numeric Rating Scale (NRS-11), neurological examination, 10 gm monofilament, and Ewing's reflex tests were used for assessment. All enrolled patients received pregabalin 75 mg once for 1 week followed by twice daily; then higher doses were used based on response (median dose 150 mg for 6 weeks). Weekly follow up was performed for patient's severity using NRS-11 and for drug side effects. HRQOL was assessed before and 6 weeks after pregabalin therapy using the Arabic version of The RAND 36-item Health Survey. Patients had severe PDN (median of 7), poor metabolic control (median A1C of 9.1) and disabling both mental (36.71) and physical summary scores (32.50) of HRQoL (both below 50). Higher baseline A1C was significantly associated with higher pain severity (r=0.467, p=0.000) and lower pain score-QoL (r=-0.267, p=0.006). After 6 weeks of therapy, significant improvements were detected in pain severity, metabolic control and all subparameters of HRQoL (p=0.000 for all). The major side effect was dose-dependent somnolence (18%). Uncontrolled type 2 adult Saudi patients with severe PDN have disabling HRQoL. Six weeks of pregabalin therapy was safe and effective and was associated with the improvement of physical and mental parameters of HRQoL. Given its recent restrictions in Saudi Arabia, risk of misuse and dependency, other therapeutic modalities for these patients should be similarly investigated.