1,721,279 research outputs found
La redefinición de la culpa (imprudencia) penal médica ante el fenómeno de la medicina defensiva. Bases desde una perspectiva comparada
Full text linkFrente al fenómeno de la medicina defensiva, una opción político-criminal consiste en reducir el alcance de la culpa (imprudencia) penal médica como criterio de imputación, con el objetivo de conjugar, por un lado, el principio de responsabilidad y, por otro lado, la implementación de mejores condiciones para el ejercicio de la actividad médica y la protección de los bienes jurídicos involucrados. En este sentido, la presente contribución analiza críticamente las reformas adoptadas por el legislador italiano en 2012 y 2017, y algunos aspectos propios de la “imprudencia profesional” regulada por el Código Penal español; poniendo un especial énfasis, en ambos contextos, a la problemática noción de “impericia”. En las conclusiones se ofrecen algunas advertencias y sugerencias deducibles desde la perspectiva comparada tenida en consideración. En particular, se muestran los límites de la heterointegración normativa del cuidado debido a través de protocolos y guidelines; se defiende la oportunidad de distinguir entre pautas de cuidado “típicas” (leges artis predeterminadas) y expectativas de cuidado “atípicas” (definibles en el marco del juicio); y, sobre esa base, se propone un criterio de culpa (imprudencia) grave para las hipótesis de culpa médica in eligendo.
Going 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
Decompressive craniectomy in a case of intractable intracranial hypertension due to pneumococcal meningitis.
No full textA young woman suffering from S. pneumoniae meningitis developed intractable intracranial hypertension with a GCS of 3. Intracranial pressure (ICP) ranged above 30 mmHg despite maximal medical treatment and continuous CSF drainage. We performed a wide bilateral decompressive craniectomy (DC) with duraplasty and we observed an immediate and stable drop of her ICP. When discharged she was independent. DC has been rarely used to control ICP in encephalitis patients and recently only in one case of meningitis. This operation could be a valuable option when all other measures to decrease ICP have failed; when necessary, it should be performed according to some rules otherwise it could be harmful for the patient. Conclusive data on the impact of DC on the final outcome of such patients are not available yet
Archiwordnet, a bilingual thesaurus for architecture and building: compilation and application to hybrid archives
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