1,721,010 research outputs found
L'epidemia, la cura, la responsabilità e le scelte che non avremmo mai voluto fare
No full textThe emergency due to the COVID 19 epidemic in Italy has forced important changes in the way of life of citizens and in health care. The contribution discusses some medico-legal aspects inherent in the Recommendations issued by the Italian Society of Anesthesia and Resuscitation (SIAARTI) regarding the criteria for allocating intensive care resources. In addition, aspects related to possible medical professional liability profiles related to cases due to the epidemic are taken into consideration. Areas of improvement of management strategies aimed at maintaining essential services and the contribution that can be made by forensic medicine in scientific research to combat the epidemic are also suggested
Prevalence of paunch calf syndrome carriers in Italian Romagnola cattle.
No full textThe term 'paunch calf syndrome' encompasses the multi-organic lethal developmental dysplasia reported in the Romagnola breed of cattle and is characterised by facial deformities, an enlarged and floating abdomen containing considerable abdominal effusion, and hepatic fibrosis. Paunch calf syndrome is caused by a missense mutation in the KDM2B gene (c.2503G>A) that is thought to lead to an amino acid exchange (p.D835N). In this study, the prevalence of carriers of the mutant KDM2B allele (and thus the frequency of the allele) was assessed in selected subpopulations of Romagnola cattle. The prevalence of carriers within top-ranked Romagnola sires over the years 2007-2012 was 29.3% (allele frequency 14.6%). In young bull calves, 30.9% were carriers with an allele frequency of 15.4%
The refusal of medical treatment by the parents of a minor and the prevention of recourse to the tutelary judge: The case of blood transfusion|Il rifiuto del trattamento sanitario da parte dei genitori della persona minore di età e la prevenzione del ricorso al giudice tutelare: Il caso della trasfusione ematica
No full textNella pratica clinica possono verificarsi situazioni di contrasto tra genitori e medici
in merito alle scelte di cura per i figli minorenni. Un caso relativamente frequente
è rappresentato dal mancato consenso alla trasfusione ematica da parte dei genitori.
L’articolo delinea un aggiornato inquadramento legislativo sulla questione
e un possibile approccio operativo, che nella pratica si è rivelato efficace al fine
di soddisfare le esigenze di salute dei pazienti e le volontà espresse dai genitori.
In clinical practice, there may be situations of conflict between parents and doctors regarding
care choices for minors. A relatively frequent case is represented by the parents’ refusal to consent
to blood transfusion. The article outlines an updated legislative framework on the issue
and a possible operational approach, which has proved to be effective in meeting the health
needs of patients and the wishes expressed by parent
A 6.7 kb deletion in the COL2A1 gene in a Holstein calf with achondrogenesis type II and perosomus elumbis
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The clinical legal medicine: a need for quality of care and patient’s safety. A single center five-year experience.
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Healthcare professionals and patient information: a fresh look from the recent Italian law on consent
No full text: This article discusses the importance of providing patients with adequate information and creating the care relationship, particularly focusing on the role of healthcare professionals in this activity. It examines the main legislative references on this topic at a European level and the new law, No. 219/2017, in Italy on informed consent that serves as a starting point for recalling important legal and ethical principles regarding the information to be provided to patients in the therapeutic relationship
Shared care plan: an extraordinary tool for the personalisation of medicine and respect for self-determination
Full text linkThe contribution of legal medicine in clinical risk management
Full text linkBackground: In advanced health services, a main objective is to promote the culture of safety and clinical risk management. In this regard, the reporting of sentinel events fits within a perspective of error analysis, attempting to propose solutions aimed at preventing a new occurrence of the harmful event. The purpose of this study is to analyze the contribution of medico-legal litigation in the management of clinical risk and to propose an organizational model so as to coordinate the intervention of clinical risk management and medico-legal services. Methods: Retrospective review of 206 cases of medico-legal litigation, settled against a Hospital of a North-eastern city in Italy from January 1, 2014 and December 31, 2015. Results: Approximately 20% of cases, that are classifiable as "sentinel events", were not reported due to various factors. The reason that these events are under-reported is mainly due to the latency between the event itself and its manifestation as a serious damage to health as well as the discomfort in reporting the events of this kind, which is still widespread among healthcare workers. The systematic research of the available documentation for medico-legal purposes permits the acquisition of more information concerning the clinical event, thereby increasing the number and accuracy of the reports to the clinical risk unit. Conclusion: The analysis of medico-legal litigation is a valid tool to enhance the reporting of "sentinel events". One possible proposal is the implementation of an organizational model to establish a rapid procedure for the reporting of sentinel events during the evaluation of medico-legal litigations
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