Standard of care and guidelines in prevention and diagnosis of venous thromboembolism: medico-legal implications

Concerning recent Italian laws and jurisprudential statements, guidelines application involves several difficulties in clinical practice, regarding prevention, diagnosis and therapy of venous thromboembolism. International scientific community systematically developed statements about this disease in order to optimize the available resources in prophylaxis, diagnosis and therapy. Incongruous prevention, missed or delayed diagnosis and/or inadequate treatment of this disease can frequently give rise to medico-legal litigation

Perinatal asphyxia and medical professional liability: A case series

Abstract In the context of medical professional liability, obstetrics is one of the most involved medical specialties because the unfavorable outcome of a pregnancy is difficult to accept for parents, who tend to reduce it to inappropriate care that occurred during pregnancy or birth. 32 cases of perinatal asphyxia were evaluated by the Institute of Forensic Medicine in Brescia during the period between 1999 and 2014 (13 in Civil Court and 19 in Penal Court). 9 out of the 32 pregnancies were twins, so the considerations were carried out on a total of 41 fetuses/newborns. Profiles of inadequacy were identified in 66% of cases (85% of the cases evaluated in Civil Court; 53% of the cases evaluated in Penal Court). The existence of a causal relationship between the medical conduct and the onset of asphyxia was recognized in 79% of civil cases and in 38% of penal cases. There is a "greater rigor" in the verification of causal relationship and malpractice profiles in penal cases compared to civil ones: this is in harmony with the most recent Italian Court decisions, characterized by compelling suspect's protection in the presence of a reasonable doubt in criminal matters and by victim's protection in civil ones

METODOLOGÍAS INTEGRADAS PARA UNA NUEVA PROPUESTA RECONSTRUCTIVA DEL ANFITEATRO DE CATANIA

[EN] The roman amphitheatre of Catania stands in a very complex and interesting area where settlement dynamics and transformations have profoundly marked its urban landscape. Over the centuries, the urban and architectural histories together with the formation of the archaeological deposits have led to the complete obliteration of the monument and restricted knowledge of its plan and architectural development. Therefore, it constitutes an interesting context in which to experiment methods and techniques for architectural representation and the three-dimensional reconstruction of the monument[ES] El anfiteatro romano de Catania se encuentra en una zona compleja e interesante donde la dinámica de asentamiento y transformaciones han marcado profundamente su paisaje urbano. A través de los siglos, las historias urbanas y arquitectónicas, junto con la formación de los depósitos arqueológicos han dado lugar a la destrucción completa del monumento y el conocimiento de su plan de desarrollo arquitectónico. Por lo tanto, constituye un contexto interesante en el que experimentar métodos y técnicas para la representación de la arquitectura y la reconstrucción tridimensional del monumento.Malfitana, D.; Gabellone, F.; Leucci, G.; Cacciaguerra, G.; Ferrari, I.; Giuri, F.; De Giorgi, L.... (2016). INTEGRATED METHODOLOGIES FOR A NEW RECONSTRUCTIVE PROPOSAL OF THE AMPHITHEATRE OF CATANIA. En 8th International congress on archaeology, computer graphics, cultural heritage and innovation. Editorial Universitat Politècnica de València. 146-154. https://doi.org/10.4995/arqueologica8.2015.3555OCS14615

Beyond aerodigestion: exaptation of feeding-related mouth movements for social communication in human and non-human primates

Three arguments are advanced from human and non-human primate infancy research for the exaptation of ingestive mouth movements (tongue-protrusion and lip-smacking) for the purposes of social communication: Their relation to affiliative behaviours; their sensitivity to social context; and their role in social development. Although these behaviours may have an aerodigestive function, such an account of their occurrence is only partial

Similarities and differences in the functional architecture of mother-infant communication in rhesus macaque and British mother-infant dyads

Similarly to humans, rhesus macaques engage in mother-infant face-to-face interactions. However, no previous studies have described the naturally occurring structure and development of mother-infant interactions in this population and used a comparative-developmental perspective to directly compare them to the ones reported in humans. Here, we investigate the development of infant communication, and maternal responsiveness in the two groups. We video-recorded mother-infant interactions in both groups in naturalistic settings and analysed them with the same micro-analytic coding scheme. Results show that infant social expressiveness and maternal responsiveness are similarly structured in humans and macaques. Both human and macaque mothers use specific mirroring responses to specific infant social behaviours (modified mirroring to communicative signals, enriched mirroring to affiliative gestures). However, important differences were identified in the development of infant social expressiveness, and in forms of maternal responsiveness, with vocal responses and marking behaviours being predominantly human. Results indicate a common functional architecture of mother-infant communication in humans and monkeys, and contribute to theories concerning the evolution of specific traits of human behaviour