1,721,069 research outputs found
La responsabilità professionale del chirurgo plastico nella mastoplastica additiva.
No full textRIASSUNTO
Il tema della responsabilità professionale del medico è apparso nel tempo in continua evoluzione in virtù dei continui indirizzi giurisprudenziali, sia civili che penali, che hanno determinato un incessante rimaneggiamento della dottrina in merito alle problematiche connesse all’operato medico. Negli ultimi anni infatti la classe medica è stata oggetto di innumerevoli battaglie legali inoltrate da pazienti insoddisfatti delle prestazioni mediche ottenute: prima fra tutte la branca della chirurgia plastica. Con riferimento a tale disciplina, il seguente lavoro trae spunto da una personale casistica inerente 44 richieste di risarcimento del danno, in seguito a presunta condotta medica erronea, da parte di donne sottoposte ad intervento chirurgico di mastoplastica additiva. Vengono così poste in risalto, le cause di insoddisfazione delle pazienti, gli errori professionali ricorrenti ed analizzati gli elementi costituenti l’errore, al fine di fornire al chirurgo plastico un’ampia prospettiva circa le motivazioni che inducono l’avvio di un’istanza risarcitoria. In relazione alla giurisprudenza attuale in tema di responsabilità professionale e consenso e dall’analisi degli errori intercorsi nella relazione medico- paziente si sottolineano alcuni aspetti da curare nella compilazione della cartella clinica.
SUMMARY
The jurisprudential evolution on matter of sanitary responsibility in civil and criminal worlds had produce continuous change of judge’s point of view of the problems connected to the doctor’s action. Often medical doctors are sued to the Court by unhappy patients, asking to justify their professional actions: among the specialists the plastic surgeons are frequently involved in medical litigation cases.
Aim of this paper is to present the Authors experience with 44 claims evaluated after an augmentation mammaplasty procedure. The unsatisfactory reasons leading to medical litigation are analyzed. In this article we report the recurrent causes of dissatisfaction of the patients and the professional errors when occurred with an analysis of the constituent elements of the error. The aim of this study is to supply to the plastic surgeon a wide perspective of the motivations that induce the patients to start the judicial procedure , as well as highlighting some elements asking for attention in the doctor- patient relationship
Macroseismic risk classification of historical constructions: the LEXSIS approach
No full textThe present paper deals with the elaboration of a methodology to assess the macro-seismic risk of monumental historical buildings, representing a fundamental part of the European cultural assets. Monumental buildings typically arise from a very complex constructive and morphological evolution process characterised by modifications occurred over the centuries. Therefore, they are usually heterogeneous buildings similar to 'structural aggregates' rather than single constructions and characterised by a structural behaviour depending on the mutual interaction of different structural units. An accurate knowledge process can allow the determination of structural units within the complex: such units can be therefore analysed using a specific evaluation form conceived to provide a 'risk ranking' of the different portions constituting the aggregate and accounting for vulnerability, exposure and seismic hazard parameters. The proposed methodology exploits what is already used to quickly determine structural features and eventual damages in the post-earthquake phase for ordinary buildings, introducing specific aspects typical of historical-cultural heritage requiring attention. According to the results achieved, retrofit interventions or deepen investigations can be planned for units provided by a higher position in the risk scale, optimising and rationally planning the use of available economic and time resources. In the present work, the proposed methodology is applied to the monumental complex of the Certosa di Calci, Pisa (Italy)
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Full text linkWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Il Disturbo Ossessivo Compulsivo (DOC): dalla clinica alle valutazioni medico legali nella valutazione di disabilità
No full textObsessive-compulsive disorder (OCD) is among the leading causes of disability in adults. Despite growing evidence provided by genetic, clinica! and neuroimaging studies, the pathophysiology of this disorder is
stili a matter of debate. Further complexity comes from the great variability in individuai response to psychiatric treatment as well as pharmacoresistance. Moreover, the variable burden of OCD is associated with the heterogeneous psychopathological symptoms and course characteristic of the disease. In the present study, we will first discuss the clinica! features of OCD, then we will focus on the most reliable assessment procedures that can be used to evaluate patients' disability within a medico-legai context
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