1,721,095 research outputs found
Il "nuovo" danno non patrimoniale e la "sofferenza" ... del medico-legale. Proposta di una metodologia operativa
No full textGli autori, in considerazione delle sentenze delle Sezioni Unite dell'11.11.2008, affrontano la problematica della sofferenza e propongono una metodologia operativ
L'audit clinico nella valutazione del trattamento extraospedaliero del paziente traumatizzato: considerazioni medico-legali in relazione al personale che opera in area critica
No full textNel presente lavoro si ricorda l'importanza dell'audit clinico, che rappresenta uno strumento del governo clinico, per cercare di migliorare la qualita e gli outcome di assistenza sanitaria. E questo risulta importante anche nella valutazione del trattamento extraospedaliero del paziente traumatizzato
Alla luce delle vigenti normative, quali procedure sarebbero a priori precluse all'ifermiere operante nell'ambito extra-ospedaliero della emergenza/urgenza?
No full textRiflessioni critiche sulla tabella delle menomazioni all'integrità psico-fisica comprese tra 1 e 9 punti di invalidità (cranio)
No full textEvoluzione legislativa ed eventuali correlate modificazioni negli ambiti di competenza delle professioni sanitarie: necessità di specifico monitoraggio normativo
No full textevoluzione della normativa delle professioni sanitarie, ambiti di responsabilita
Morte improvvisa secondaria a cardiomiopatia aritmogena del ventricolo destro (ARCV). Analisi di due casi
No full textCogan Syndrome
No full textTo lead ophthalmologists to consider Cogan syndrome
when managing a patient presenting with keratitis or other ocular
inflammation accompanied by sensorineural hearing loss. Methods.
Seven patients affected by Cogan syndrome were studied: two
males and five females, ranging from 27 to 65 years of age (mean
age: 41 years). Subjects were evaluated for a period ranging from
22 to 46 months (mean follow up time: 29.2 months). All patients
were treated with immunosuppressive drug combination therapy
(IDCT). Results. Three patients were affected by classic Cogan
syndrome (i.e., vestibuloauditory symptoms and later sensorineural
hearing loss and interstitial keratitis). Four patients presented
atypical Cogan syndrome (i.e., sensorineural hearing loss and
chronic ocular inflammation such as uveitis, scleritis, conjunctivitis,
retinal vasculitis, etc.). Four of these patients had a late diagnosis.
Two of them were diagnosed when they already had a
cochlear implant, one with bilateral deafness underwent cochlear
implantation 1 year after the beginning of IDCT, one had severe
bilateral hearing loss that improved during the first year of IDCT,
and then rapidly worsened to total deafness in 1 month following
an episode of severe systemic hypotension. Three patients who had
an early diagnosis of Cogan syndrome had no worsening of vestibuloauditory
dysfunction during the follow up period. Conclusion.
Diagnosis of Cogan syndrome should not be overlooked by
ophthalmologists in all patients with recurrent ocular inflammatory
disease associated with vestibuloauditory symptoms. Early diagnosis
is essential to commence the appropriate immunosuppressive
therapy that may prevent permanent hearing loss and ocular
dysfunctio
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