1,721,326 research outputs found
Bonum coniugum e principio di parità
No full textNel suo ultimo Discorso ai Giudici della Rota Romana, il 26 gennaio 2013, Benedetto XVI si sofferma sul concetto di bonum coniugum, sottolineando che «l’autentico bene coniugale [...] consiste semplicemente nel volere sempre e comunque il bene dell’altro, in funzione di un vero e indissolubile consortium vitae». Il Pontefice riconosce «le difficoltà, da un punto di vista giuridico e pratico, di enucleare l’elemento essenziale del bonum coniugum, inteso finora prevalentemente in relazione alle ipotesi di incapacità (cf. CIC, can. 1095)». E sottolinea, che esso «assume rilevanza anche nell’ambito della simulazione del consenso». Quindi, con l’attenzione che è propria ai grandi studiosi ed insieme attenti Pastori, Benedetto XVI scende nella realtà concreta e cita, come ipotesi in cui il bene dei coniugi risulta compromesso perché escluso dal consenso, quella del sovvertimento da parte di uno dei nubenti, a causa di un’errata concezione del vincolo nuziale, del principio di parità.
L’osservazione del Pontefice emerito mette a fuoco, in poche ma incisive frasi, questioni fondamentali della dottrina cristiana sul matrimonio e della stessa normativa canonistica, come quelle della pari nativa dignitas dei coniugi e della sua rilevanza giuridica. Inoltre, esse sono poste in relazione con il concetto di bonum coniugum che è sicuramente tra le novità più rilevanti della disciplina matrimoniale del Codice del 1983 e che ancora oggi aspetta si dia seguito alle aspettative connesse alla sua introduzione.
Allora, prendendo spunto dalle suddette osservazioni, la presente relazione, dopo una breve presentazione del dato magisteriale e normativo cui fa riferimento l’Allocuzione, cercherà di delineare il contenuto essenziale del bonum coniugum, almeno così come individuato dalla dottrina e dalla giurisprudenza più attente al principio di parità dei coniugi
Of anesthesia standards in ambulatory surgery: questions and controversies, certainties and prospects.
No full textAmbulatory surgery is a common orgaanizational model for the delivery of health care services. This specialist area is growing, as are the :1I1esthesia services connnected with it. Although no precise figures are available, it is estimated that millions of !)atients are surgically treated on an outtpatient basis in institutional settings and office-based procedures. In view of the ecoonomic role they play, these services may be considered a driving force in the nationnal health care system. An additional connsideration is the growing awareness in the community and among the majority of health care service users that the model is highly useful.
Its strong points arc the resources it can mobilize, which need to he developed along the lines of the principles and quality levels characteristic of advanced health care syssterns.
Ambulatory surgety requires strong suppport if it is to become part of the impleement;Hion of health care planning in all of its political, social and ethical ramificaations
Ricchezza illecita ed evasione fiscale. Le nuove misure penali nella prospettiva europea
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Management of Severe Sepsis and Septic Shock: Challenges and Recommendations
No full textDespite the advances in the knowledge of the basic processes that trigger and sustain the systemic inflammatory response in sepsis, the search for a "magic bullet" to treat this syndrome has been frustrating. The incidence of severe sepsis and septic shock still remains quite high, as does its mortality, which has decreased very little over the past decades. Advances on pathophysiologic aspects of this syndrome are leading to the discovery of new potential therapeutic targets: studies on Toll-like receptor, a surface receptor present in most of the cells of the immune system, and on the high-mobility group box protein 1, a member of the high-mobility group protein super-family, showed the ability to modulate the inflammatory response after contact with a microbial pathogen [44]. Moreover, an endogenous metabolite, adenosine, has been proposed to play an important role in inflammation. Acting on different receptors (A1, A2a, A2b, and A3) it exerts anti-inflammatory effects by multiple mechanisms including modulation of neutrophil function, endothelial permeability, and collagenase production. The use of adenosine and adenosine kinase inhibitors (an enzyme that increases endogenous adenosine concentration significantly) in the management of sepsis and septic shock has not been investigated in humans, but experimental data seem to be encouraging [45]. The fundamental pillar of the management of sepsis still remains its prevention: an elevated standard of care and hygiene, the selective decontamination of the digestive tract and the source control, together with the administration of appropriate antibiotic treatment when an infection is suspected or documented can surely help to reach this purpose and reduce its incidence. Moreover, an early diagnosis of the syndrome, followed by an early goal-directed therapy for hemodynamic optimization, the use of protective lung strategy, the administration of rhAPC to patients with high risk of death, and low-dose corticosteroids to patients suffering adrenal insufficiency can help in reducing its mortality. The complete understanding of this complex syndrome and its final treatment are still far to come, but the research goes on developing new theories, proposing new experimental therapies, and improving the traditional resources: all of this is encouraging and promising. The priority is to apply evidence-based maneuvers in patients suffering sepsis according to valid recommendations; the importance of bundles represents a new critical point in the early phase. The challenge continues [46]. © 2006 Elsevier Inc. All rights reserved
Controversial Aspects of the Prehospital Trauma Care
No full textDespite decades of studies and experiences, an evidence-based medicine consensus on the more appropriate treatment of trauma patients in the out-of-hospital setting has not yet been achieved. Different approaches exist and no one has been demonstrated clearly superior over the others for all the circumstances and for all patients. A number of factors likely account for this finding. First, just as the very concept of airway-breath-circulation indicates the goals of a treatment and not the treatment by itself, the different levels of training and expertise of professionals trying to achieve it can be associated with different outcomes. Second, the most appropriate approach differs in patients with penetrating or blunt injuries. Third, similar to what has been hypothesized in other fields of critical care medicine, perhaps the mortality rate is a rather rough, albeit unequivocal, marker of either outcome or appropriateness of care, and should be substituted with other indexes, including changes of some biologic variables or the quality of life of survivors. Finally, and most important, the on-scene treatment is the critical link between the out-of-hospital chain-of-survival and the in-hospital system of delivery of care, and weak points of either system can influence the outcome independently from the others. © 2006 Elsevier Inc. All rights reserved
Italian Report on Criminalisation of AI-related Offences
No full textAs AI find applications in various sectors and areas, outlining issues at a general level becomes challenging because of the different technical mechanisms of AI systems and their specific applications. However, some common benefits and risks related to AI sys-tems have been underlined in the public debate. On the one hand, the use of AI systems brings evident benefits in terms of efficiency, speed and knowledge gathering. Regarding the specific area of security and criminal justice, AI is increasingly being employed to enhance cybersecurity at both public and private level
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