Le asfissie meccaniche

SOMMARIO: 1. Definizione. –2. Il decorso del processo asfittico. —3. Reviviscenza. —4. Quadri generici di asfissia. —5. Reperti istologici. — 6. Reperti ultrastrutturali. — 7. Reperti biochimici. — 8. Soffocamento. — 8.1. Definizione. — 8.2. Meccanismo asfittico. — 8.3. Esame necroscopico. — 8.4. Dinamica. —9. Strozzamento. — 9.1. Definizione. — 9.2. Meccanismo asfittico. — 9.3. Esame necroscopico. — 9.4. Dinamica. — 10. Strangolamento. — 10.1. Definizione. — 10.2. Meccanismo asfittico. — 10.3. Esame necroscopico. — 10.4. Dinamica. — 10.5. Diagnosi differenziale. — 11. Impiccamento. — 11.1. Definizione. — 11.2. Meccanismo asfittico. — 11.3. Esame necroscopico (segni esterni). — 11.4. Esame necroscopico (segni interni). — 11.5. Dinamica. — 11.6. Diagnosi differenziale. — 12. Le asfissie da aspirazione: il problema definitorio. — 12.1. Sommersione interna. — 12.1.1. Defmizione. — 12.1.2. Meccanismo asfittico. — 12.1.3. Esame necroscopco. — 12.1.4. Dinamica. — 12.2. Intasamento. — 12.2.1. Definizione. — 12.2.2. Meccanismo asfittico. — 12.2.3. Dinamica. — 12.2.4. Esame necroscopico e diagnosi differenziale. — 13. Compressione del torace: — 131. Definizione. — 13.2. Meccanismo asfittico. — 13.3. Esame necroscopico. — 13.4. Dinamica. — 14. Asfissia da spazio confinato. — 14.1. Definizione. — 14.2. Dinamica

Una recente proposta di intervento normativo in tema di bioetica: l’avant-project francese sulle scienze della vita e sui diritti dell’uomo.

Gli Autori riportano il contenuto di un recente progetto di legge francese sulle "scienze della e vita e i dirtti dell'uomo", concernente temi di rilevante interesse etico e deontologico quali la ricerca in campo biomedico, le tecniche di procreazione artificiale, la sperimentazione ed i trapianti sull'uomo, la diagnostica prenatale e l'attività dei Comitati etici. L'interesse dell'argomento si desume anche nella prospettiva ormai imminente dell'Europa Comunitaria che, in campi così importanti, non potrà prescindere da una armonizzazione delle diverse normative nazionali. I contenuti del progetto di legge vengono, pertanto, analizzati anche con riferimento alla normativa italiana, peraltro, del tutto carente riguardo alle problematiche ora ricordate

Medical liability in organ transplantation procedures.

In February 2000, a sentence of the Supreme Court of Justice ratified that being the transplantation surgery procedures close dependent, they have to be co-ordinate. Therefore, this kind of surgery presupposes a "multidisciplinary co-operation", where different specialists work at the same time or one after another. For this reason, in the sentence not only the doctor who committed the mistake was held responsible, but also other colleagues that have undervalued his action. Strarting from this sentence, Authors describe the procedure of transplantation in all phases (donor's and receiver's clinical condition, donor-receiver compatibility, surgical treatment, receiver short or long time post- surgical assistance) isolating the cases of receiver damage and analysing in which of these hypothesis of professional liability can be recognised

Aspetti neurologici e psichiatrico-forensi delle infezioni HIV in una popolazione carceraria.

Relazione presentata al 5th World Conference on Prison Health Care, Brisbane, 6-11 giugno 1993

[Proposal for an informed consent form for hormonal replacement therapy in ambulatory care].

Hormonal Replacement Therapy (HRT) represents a valid therapeutic approach for menopausal symptoms and for the prevention of cardiovascular disease and osteoporosis. Nevertheless, an informed consent, after a complete information, must be obtained from the patient. This procedure is generally adopted in any medical activity, but the modality of the consent in the HRT administration is not well established (verbal or written?, timing of administration?). The authors propose an informed written consent model to be utilized in menopausal centers; this model synthetically informs about HRT benefits and risks and must be red and signed by the patient. The written consent should be explained through a verbal detailed discussion about it, during which the patient's comprehension must be assured. The informed consent procedure should be renewed every year in long term-users. The influence of the HRT informed consent in menopausal centers must be analyzed in particular as far as women compliance is concerned

Informed consent form for the hormonal replacement therapy in a menopausal center: A proposal

Hormonal Replacement Therapy (HRT) represents a valid therapeutic approach for menopausal symptoms and for the prevention of cardiovascular disease and osteoporosis. Nevertheless, an informed consent, after a complete information, must be obtained from the patient. This procedure is generally adopted in any medical activity, but the modality of the consent in the HRT administration is not well established (verbal or written?, timing of administration?). The authors propose an informed written consent model to be utilized in menopausal centers; this model synthetically informs about HRT benefits and risks and must be red and signed by the patient. The written consent should be explained through a verbal detailed discussion about it, during which the patient's comprehension must be assured. The informed consent procedure should be renewed every year in long term-users. The influence of the HRT informed consent in menopausal centers must be analyzed in particular as far as women compliance is concerned

Post-traumatic headache: neuropsychological and clinical aspects.

Seventy patients suffering from post-traumatic headache were studied. Pain characteristics, personality and intellectual functions were assessed to be related to cranial trauma. No evident signs of brain damage were present, but an impairment related to pain in personal adjustment and well-being reducing work and study capabilities was identified. A psychopathological condition described as anxiety with somatizations and conversion mechanisms was found and when compared with the psychopathological characteristics from a group of common headache patients no differences were obtained between the two groups. DSM III diagnostic possibilities for post-traumatic headache patients were discussed