1,721,028 research outputs found
Competenze e limiti della nuova figura del mediatore di cui al D.Lgs. 28/2010
No full textGli autori dopo aver ripercorso l'iter normativo che ha introdotto in Italia l'Istituto della Mediazione/Conciliazione, delineano la figura del mediatore e le sue competenze nell'ambito della valutazione del danno da responsabilità civile, soffermandosi inoltre sulle specifiche competenze necessarie per il mediatore chiamato ad assolvere il suo ruolo in que casi ove la proposta conciliativa deve prevdere una valutazione della pretesa stessa, l'accertamento del nesso causale ed al contempo del quantum risarcitorio
La vasectomia a sostegno del piacere: analisi casistica e considerazioni medico legali
No full textIn Italy, the resort to vasectomy, surgery adapted to determine an irreversible alteration of the physical state of an individual, resulting in the loss of the ability to procreate, is somewhat reduced compared to the others European countries, even though legitimate, it carries the disadvantage of the absence of a clear and univocal legislation concerning surgical sterilization. Despite, in recent years there has been a change in the assessment of such surgery. Nevertheless, is relevant that in the Italian legal system still lacks a regulatory of such medical-surgery activities, although several bills have been submitted to the competent parliamentary bodies. The attitude of indifference to the problem is also evident from the analysis of the provisions relating to assistance by the SSN, even if the vasectomy and the voluntary sterilization have been included in the reimbursable procedure’s list. On the basis of these assumptions the authors report - for the peculiarity of the case and that the issue is of interest in forensic discipline - a case came to their attention, and the data from medical records relating to the 64 requests of vasectomy received during the period of between January 2000 and October 2011 in a hospital in Lombardy, highlighting strengths and weaknesses of the existing protocol in use at that hospital: in addition, there are deficiencies in the informed consent form
Fatal anaphylactic shock due to a dental impression material
No full textMaterials used for dental impressions are usually safe. This study describes a case of
fatal anaphylaxis that appeared immediately after the oral mucosa came into contact
with an alginate paste used for dental impressions. The cadaveric examination and
the poslmortem toxicology report confirmed that the cause of death was anaphylactic
shock. The patient was affected by both cardiovascular and lung dlseases that
worsened the condition and forbade the use of epinephrine. To the authors'
knowledge, dental impression materials, and alginate in particular, have not been reported previously as being a cause of anaphylaxi
La responsabilità penale da derelizione di corpo estraneo in sito chirurgico
No full textThe authors focus on the liability of the surgery team members in the case they inadvertently forget behind in the patient's body a foreign abject, which causes injuries and/or death. The authors underline that, according to the current case law regarding medical malproactice, both the main surgeon and their assistant/subordinate are liable for engaging in a markedly imprudent and/or negligent conduct, such as not double-checking scrupulously the surgical site before its closure in order to highlight forgotten foreign bodies. As well, the authors underline that either the circulator nurse or the theatre nurse can be considered punishable by law when that medical error occurs, even if they are responsible for the count of the instruments used in the course of the surgery. Conversely, the main surgeon and his or her assistant are always directly responsible, due to the fact that the nurses' count procedure represents merely an additional control measure, without substituting at all the check the surgeons must obligatory conduct on the surgical site. Finally, the authors point out that, as the count procedure is performed by the members of a surgical team, where a hierarchy-based relationship rules, the main surgeon is the liable for any preventable and avoidable adverse event provoked by the nursing staff as a consequenc of the objective responsibility due to culpa in eligendo and culpa in vigilando
[Consideration on the treatment of chronic occlusive lesions of the iliac arteries]. FT Considerazioni sul trattamento delle lesioni arteriose ostruttive croniche dell'asse iliaco
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