1,721,623 research outputs found
Discussion on "Stabilization for Continuum Models of Large Space Structures in Large Attitude Maneuvers" by A. De Santis and S. Di Gennaro
No full text
The pros and cons of diagnostic-therapeutic protocols for clinical practice and teaching in neurosurgery
No full text
Neurosurgery in the law court
No full textAIM: The evident rise in the number of neurosurgical malpractice and the
apparent
lack of adequate training in neurosurgery patient management are discussed.
However, alongside neurosurgeons, neurosurgical malpractice claims involve
also
physicians from primary to specialist care, particularly those attending
neurosurgical patients in emergency rooms. Some pathologies and disputed
treatments are described.
METHODS: The case series includes 138 medical malpractice lawsuits examined
over
a 10-year period (1992-2002). The pathologies for which disputed treatment
led to
malpractice lawsuit as well as their frequency are presented.
RESULTS: Of the total 138 lawsuits examined, 38 did not involve
professional
health care workers, whereas the remaining 100 cases involved:
neurosurgeons (48
cases); other specialist or primary physicians (51 cases); nursing staff (1
case). These malpractice lawsuits and the relevant pathologies are examined
in
detail.
CONCLUSION: On the basis of personal experience, some considerations and
recommendations are suggested for the clinical practice
Valutazione dei risultati del tratttamento nei pazienti operati di aneurisma
No full textThe evaluation of the surgical results in patients operated on for intracranial aneurysms is still controversial, since a satisfactory method able to provide complete informations and ease to use is not still available. The more often used evaluation criteria provide standardized patterns, but the excessive simplifications affect the reliability of the final evaluation. Therefore, I suggest a brand new scale called Clinical Social Emotional Evaluation (CESE), based upon the following domains: neurological evaluation, psychomotor autonomy, return to prior job, behavioural and affective disorders, social reintegration and occurrence of seizures. In order to validate this scale, 190 patients operated on for intracranial aneurysms were assessed. Different scales provided different results. In detail, the number of the "best results" according to CESE was smaller (48%) when compared to the number provided by GOS (80%) and Rankin (62%). Nevertheless, the smaller amount of good results does not imply an overall worsening of the outcome. It is due to the different selection criteria employed by the diverse scales. Indeed, CESE selects groups of patients very homogeneously, whilst other scales include much more heterogeneous subjects. Thus, CESE would prove it-self to be a reliable, accurate and easy to use evaluation scale
Addome acuto
No full textIn questo testo, dopo aver formulato una definizione di addome acuto, si indica la necessità di una rapida valutazione clinica iniziale della gravità del paziente. Si descrive la modalità di raccolta dell'anamnesi e di effettuazione dell'esame obiettivo. Si indicano gli esami di laboratorio e le indagini strumentali utili per la diagnosi e il monitoraggio della malattia. Dopo averne descritte le cause, si descrivono le possibilità terapeutiche, mediche e chirurgiche, a disposizione
- …
