1,720,974 research outputs found

    Adverse events ed incident reporting nella gestione del rischio clinico

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    fra gli scopi prefissati dai programmi di clinical risk management vi è quello di ridurre l'incidenza degli eventi avversi e tale ambiziosa finalità presuppone la dettagliata conoscenza del singolo caso , il suo raggruppamento nell'ambito di specifici di rischio , lo studio dei fattori causali che hanno prodotto quell'evento avverso e la messa a punto di provvedimenti volti ad impedire o a limitare futuri casi analogh

    Su di un caso di lesione del nervo accessorio spinale in corso di intervento chirurgico al collo: riflessioni medico-legali in tema di responsabilità professionale

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    Gli autori discutono le Problematiche medico-legali delle lesioni derivanti dall'insulto traumatico del nervo accessorio spinale, complicanza ben nota di interventi c.d. minori che interessano la regione postero-laterale del collo

    aspetti medico-legali e criminologici dell'omicidio-suicidio nel settorato modenese

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    studio sull'omicidio-suicidio nel settorato medico-legale modenese dal 1984 al 2005, si è proceduto anche allo studio dei rapporti fra vittime e uccisori e del movente degli eventi delittuos

    Spontaneous umbilical cord hematoma: An unusual cause of fetal mortality: A report of 3 cases and review of the literature

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    Spontaneous hematoma of the umbilical cord represents a rare cause of fetal morbidity and mortality and the outcome is poor in half of the cases. There are many risk factors, such as infections, morphologic anomalies, alterations of the vessel walls, prolapses, twisting and traction of the cord, but in many cases the causes remain unknown. We present 3 cases of umbilical cord hematoma which took place at the end of the pregnancy and were followed by perinatal death of the fetus. In the 3 cases, which were autopsied including macroscopical and histopathologic examination of the placenta and the umbilical cord, a cordonal pathology was present; in all cases, there were alterations of the vascular wall, and in the third case inflammatory vasculopathy was found. In all 3 cases, the cause of death was attributed to acute anoxia due to the cordonal hematoma.Spontaneous hematoma of the umbilical cord represents a rare cause of fetal morbidity and mortality and the outcome is poor in half of the cases. There are many risk factors, such as infections, morphologic anomalies, alterations of the vessel walls, prolapses, twisting and traction of the cord, but in many cases the causes remain unknown. We present 3 cases of umbilical cord hematoma which took place at the end of the pregnancy and were followed by perinatal death of the fetus. In the 3 cases, which were autopsied including macroscopical and histopathologic examination of the placenta and the umbilical cord, a cordonal pathology was present; in all cases, there were alterations of the vascular wall, and in the third case inflammatory vasculopathy was found. In all 3 cases, the cause of death was attributed to acute anoxia due to the cordonal hematoma

    Per partum death at term pregnancy due to spontaneous cord hematoma.

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    hematoma of the umbilical cord is rare but the outcome is poor in the half of the cases. spontaneous cord hematoma can present morphologically in a different manner so in all cases in which acute asphyxia is verified, it is necessary to proceed to an accurate study of the cord, in fact we feel that the diagnosis of spontaneous cord hematoma is understimated because a study wich multiple section in not performed routinel

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The 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

    Sudden death and lipomatous infiltration of the heart involved by fat necrosis resulting from acute pancreatitis

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    The possible causal link between damage to the heart and acute pancreatitis and other pancreatic diseases has been considered in both adults and children, particularly in cases of sudden, unexpected death. However, the cardiac pathological findings so far reported in the literature are neither specific enough, nor of a kind to prove a direct pancreatic pathogenesis. We describe the occurrence of steatonecrosis developed in areas of lipomatous infiltration of the heart following acute exacerbation of latent chronic pancreatitis. The presence of mature adipocytes in the myocardium is an adequate substrate for the pancreatic lipase to give rise to the steatonecrosis, which is a well-known marker of acute pancreatitis. As far as we are aware, this is the first reported case of heart steatonecrosis in the literature

    Variations on the Author

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    “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
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