117,447 research outputs found
Commento agli artt. 628 bis - 647 c.p.p.
No full textSi è assistito, negli ultimi anni, a una progressiva erosione del principio della c.d. firmitas del giudicato, considerato in passato principio-cardine del processo penale, condotta invocando prioritarie istanze di giustizia ed equità. L'ultimo contributo in questo senso è coinciso con l'introduzione, ad opera della c.d. riforma Cartabia, del nuovo istituto della richiesta per l'eliminazione degli effetti pregiudizievoli delle decisioni adottate in violazione della Cedu o dei relativi Protocolli addizionali. Il contributo, attraverso una ricognizione dei più importanti mezzi straordinari di impugnazione, prova a definire la portata del fenomeno dalle così sensibili ripercussioni sistematiche
Commento agli artt.629-647 c.p.p.
No full textIl contributo contiene un commento articolato, aggiornato alle ultime novità legislative e giurisprudenziali, della disciplina in tema di rescissione del giudicato, revisione e riparazione per ingiusta detenzione
Introduzione di permessi di affettività
No full textproposte di attuazione della legge-delega per la riforma dell'ordinamento penitenziario contenuta nella l. 23 giugno 2017, n.10
Previsione di visite intime
No full textproposte di attuazione della legge-delega per la riforma dell'ordinamento penitenziario contenuta nella l. 23 giugno 2017, n.10
Controllo a distanza in luogo dell'obbligo di scorta
No full textproposte di attuazione della legge-delega per la riforma dell'ordinamento penitenziario contenuta nella l. 23 giugno 2017, n.10
Ampliamento dei presupposti del permesso di necessità
No full textproposte di attuazione della legge-delega per la riforma dell'ordinamento penitenziario contenuta nella l. 23 giugno 2017, n.10
Video-partecipazione del soggetto detenuto fuori della circoscrizione del giudice
No full textproposte di attuazione della legge-delega per la riforma dell'ordinamento penitenziario contenuta nella l. 23 giugno 2017, n.10
Efficacia dell'ordinanza che decide il reclamo giurisdizionale
No full textproposte di attuazione della legge-delega per la riforma dell'ordinamento penitenziario contenuta nella l. 23 giugno 2017, n.10
Carotid plaque gross morphology and clinical presentation: A prospective study of 457 carotid artery specimens.
No full textBackground and purpose. In carotid artery disease,the relationship between carotid plaque morphologyand the patient’s neurologic symptoms is reportedly conflicting. The aim of this study was to correlate gross carotid plaque characteristics with the presenting symptoms in a relatively large series of patients who underwent carotid endarterectomy (CEA).
Methods. Four hundred and five patients who underwent 461 CEAs were divided into three groups: (1) transiently symptomatic [transient ischemic attack (TIA) or amaurosis fugax]; (2) prior stroke; and (3) asymptomatic. The degree of stenosis based on the preoperative angiograms was used in association with the presenting symptoms as the primary criterion in the decision to operate. Carotid plaque characteristics, including ulcerated plaque (UP), intraplaque hemorrhage (IH), uncomplicated plaque, and degree of stenosis, were recorded prospectively for 457 CEAs, since 4 CEAs were excluded from the study. All CEA specimens were grossly evaluated at surgery.
Results. There was a statistically higher incidence of UP in transiently symptomatic (P 5 0.008) or prior stroke (P 5 0.006) patients than in the asymptomatic group. When IH was onsidered independently, its incidence did not differ significantly between the three groups. Previously symptomatic patients tended to have higher-grade stenosis than asymptomatic patients, although the difference failed to reach statistical significance (P 5 0.06). Although the incidences of UP and IH were higher in the higher-grade stenosis group, the difference was again not significant.
Conclusions. Carotid UP correlates closely with an initial presentation of TIA, amaurosis fugax, or prior stroke, while the association between IH and presenting symptoms is less clear. Although there is an insignificant trend toward a correlation between the higher degrees of stenosis and the onset of transient symptoms, the degree of stenosis appears unaffected by the morphology of the plaque. These findings suggest that plaque morphology may play an important role in the presentation of carotid artery disease
Early and late outcomes of young patients after carotid endarterectomy.
No full textBackground and purpose. Carotid atherosclerotic disease in young adults is uncommon but may be more virulent and diffuse than in older patients. Although few studies have well established that carotid endarterectomy (CEA) is of benefit for high-grade asymptomatic lesions and for moderate- and high-grade symptomatic lesions, the safety and durability of CEA in the young remain controversial. The aim of this study was to compare CEA outcome in young people with outcome in an older control group.
Methods. Thirty-five patients up to 50 years old (mean 46.5 ± 0.5 years) and undergoing 42 CEAs were compared with a randomly selected group of 50 patients more than 60 years old (mean 68.7 ± 0.4 years) and undergoing 55 CEAs during the same period. Data were obtained on demographics, atherosclerotic risk factors, indications for surgery, perioperative outcome, recurrent stenosis and symptoms, late stroke, and survival.
Results. Smoking (P < .001), alcohol consumption (P < .001), and lower levels of high-density lipoprotein cholesterol (P = .02) were more prevalent in the young patients, who were also more likely to be symptomatic at presentation (P < .001) with a higher incidence of stroke (P = .01) and contralateral carotid occlusion (P = .04). The perioperative stroke risk and mortality rates were nil for the young group. During a mean follow-up of 47 ± 40 months, there were no significant differences between the 2 groups in survival, symptom recurrence, stenosis recurrence, and reoperation rates. Young patients had a higher incidence of contralateral disease requiring surgery (P = .04).
Conclusions. These findings show that CEA may be performed in young adults with an excellent perioperative outcome; recurrence, late stroke, and survival rates do not differ significantly from those observed among their older counterparts
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