1,721,175 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
Malignant hyperthermia: A case report
No full textMalignant hyperthermia manifests clinically as a hypermetabolic crisis when a malignant hyperthermia-susceptible individual is exposed to a volatile anesthetic such as halothane, isoflurane, enflurane, sevoflurane, or desflurane or depolarizing muscular blockers such as succinylcholine. The condition shows autosomal dominant inheritance with reduced penetrance, and is mostly associated with mutations resulting in abnormal ryanodine receptor type 1 or, more rarely, dihydropyridine receptors. Exposure to triggering agents may lead to unregulated passage of calcium from the sarcoplasmic reticulum into the intracellular space, resulting in an acute malignant hyperthermia crisis. Mortality from malignant hyperthermia in the United States was 16.9% in 2001 and 6.5% in 2005, but it is characterized by high morbidity. Therapy is based on suspension of the triggering agent and administration of dantrolene. Diagnosis is possible by biopsy using in vitro contraction tests or DNA screening for malignant hyperthermia. The authors present a case of malignant hyperthermia during myocardial revascularization through off-pump coronary artery bypass graft
Il rapporto tra la fattispecie di reato di falsa perizia ex art. 373 c.p. e la nuova fattispecie di falsità in processo penale e depistaggio
No full textThe new crime of falsehood in the criminal trial and misdirection has been introduced in the Italian Legislation by the Law July 11th 2016, no. 133. The authors discuss about the applicability of the new offense even to the expert appointed by the court in the criminal trial, and if so, on what terms this crime is raised to that of false expert opinion and interpretation
Luci ed ombre delle polizze assicurative per responsabilità professionale medica con clausola claims made
No full textThe exponential increase in disputes within the context of professional responsibility of physicians has led to the introduction of new clauses to be included in insurance policies for civil liability, including the claims-made and loss occurrence clauses. Particularly, the use of both pure and mixed claims-made clauses is increasing among the Italian insurance providers. The peculiarity of such clauses lies in the period of cover, since the notice of a compensation claim must be received by the insurer during the coverage period. This paper aims to analyze the repercussions resulting from these new types of policies within our legal system, and, particularly, to highlight the views expressed in doctrine and case law precedents in the recent years
Clinical Experimentation On Vulnerable Subjects: Issues On The Evaluation Of A Study On Patients Of The Italian Secure Hospitals (Opg)
No full textGoing 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
Comportamento professionalmente adeguato: un caso di correzione chirurgica miopica
No full textL'incidenza della miopia in Italia è di circa 41% e rappresenta il vizio refrattivo più diffuso. Gli autori si soffermano su un caso di un soggetto che si sottopone a intervento di chirurgia refrattiva per correggere la miopia, che però, non solo non conduce agli effetti sperati, ma provoca tutta una serie di complicanze. Discusse le principali caratteristiche della patologia in questione e i principali approcci chirurgici, si indicano gli estremi della responsabilità professionale della quale fu inquinata la condotta del sanitario che praticò l'intervento di correzione chirurgica.The incidense of myopia in Italy and about 41% and represents the most common refractive defect. The autors dwell on a case of a person who is undergoing refractive surgery to correct myopia, that does not lead to expected effects, and causes a variety of complications. Discussed the main features of disease and the main surgical approaches, we show the extremes of professional responsability which was polluted by the conduct of health who practiced the intervention of surgical correction
Il perito nei processi canonistici di nullità matrimoniale
No full textGli autori dopo un breve excursus sulla storia della figura del perito e sulla struttura del processo in diritto canonico, argomentano circa le funzioni del perito medico legale nei casi di nullità del matrimonio nei processi canonistici.The authors, after a brief digression on the history of the figure of the expert and the structure of the process under canon law, argue about the functions of the expert in legal medicine in cases og nullity of marriage in the canonical process
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