Análisis jurisprudencial sobre responsabilidad profesional sanitaria

El papel que juega la enfermería dentro del sector de la Salud es de suma importancia, ya que está en contacto directo con el usuario sano o enfermo. En caso de hospitalización el paciente está las 24 horas del día bajo su custodia y responsabilidad, por lo que es necesario que el personal esté formado y actualizado tanto en conocimientos técnicos y científicos como en las implicaciones legales en las que puede incurrir al ejecutar su trabajo. Cada día es más frecuente la aparición en los medios de comunicación de noticias relacionadas con procedimientos seguidos contra profesionales sanitarios por denuncias de mala praxis o negligencia en los que además de sanciones penales el Ministerio Fiscal o las acusaciones particulares reclaman fuertes indemnizaciones La realidad es que hay más errores que daños, más daños que denuncias y más denuncias que condenas. A lo largo de este análisis se introducirá el concepto de responsabilidad profesional y se expondrá la definición de los tipos de responsabilidad y sus requisitos. También se analizarán 2 sentencias judiciales contra profesionales de enfermería.OtroGrado en Enfermerí

Thermoviscoplastic modelling of asymmetric effects for polymers at large strains

AbstractGlassy polymers such as polycarbonate exhibit different behaviours in different loading scenarios, such as tension and compression. To this end a flow rule is postulated within a thermodynamic consistent framework in a mixed variant formulation and decomposed into a sum of weighted stress mode related quantities. The different stress modes are chosen such that they are accessible to individual examination in the laboratory, where tension and compression are typical examples. The characterisation of the stress modes is obtained in the octahedral plane of the deviatoric stress space in terms of the Lode angle, such that stress mode dependent scalar weighting functions can be constructed. Furthermore the numerical implementation of the constitutive equations into a finite element program is briefly described. In a numerical example, the model is used to simulate the laser transmission welding process

Enhancing the Toolbox of Fixed Income Active Portfolio Management

AbstractMany central banks adopt an active investment style for reserve management. This paper discusses various possible enhancements to active management tools and processes to generate extra returns in an increasingly challenging environment. The proposed framework is based on an affine model, which includes macroeconomic and market sentiment indicators among the explanatory variables. Using estimates of expected excess returns drawn from the model, an operational indicator produces input highlighting the portfolio's exposure to duration risk. This indicator is incorporated within a broader framework, in which a scorecard considers a range of qualitative elements, including consensus figures on macroeconomic data, monetary policy and interest rates. These elements are then combined with the model output to produce a comprehensive indication with respect to portfolio deviation from the benchmark. It should be noted that the approach presented in this paper is experimental; it has not yet been used in an active portfolio. Finally, consideration is given to the governance of the central bank investment process in order to assess how the proposed enhancements could strengthen the decision-making process. The analysis suggests that the scorecard with model-based input may address some weaknesses inherent in tactical decision- making.The views expressed herein are solely our own and do not necessarily reflect those of the Bank of Italy or the European System of Central Banks

Practical application of contrast-enhanced magnetic resonance mammography [CE-MRM] by an algorithm combining morphological and enhancement patterns

The purpose of this article is to report our practical utilization of dynamic contrast-enhanced magnetic resonance mammography [DCE-MRM] in the diagnosis of breast lesions. In many European centers, was preferred a high-temporal acquisition of both breasts simultaneously in a large FOV. We preferred to scan single breasts, with the aim to combine the analysis of the contrast intake and washout with the morphological evaluation of breast lesions. We followed an interpretation model, based upon a diagnostic algorithm, which combined contrast enhancement with morphological evaluation, in order to increase our confidence in diagnosis. DCE-MRM with our diagnostic algorithm has identified 179 malignant and 41 benign lesions; final outcome has identified 178 malignant and 42 benign lesions, 3 false positives and 2 false negatives. Sensitivity of CE-MRM was 98.3%; specificity, 95.1%; positive predictive value 98.9%; negative predictive,. value, 92.8% and accuracy, 97.7%. (C) 2008 Elsevier Ltd. All rights reserve

Does Children's Education Improve Parental Health and Longevity?:Causal Evidence from Great Britain

Parents with better-educated children are healthier and live longer, but whether there is a causal effect of children's education on their parents' health and longevity is unclear. First, we demonstrate an association between adults' offspring education and parental mortality in the 1958 British birth cohort study, which remains substantial-about two additional years of life-even when comparing parents with similar socioeconomic status. Second, we use the 1972 educational reform in England and Wales, which increased the minimum school leaving age from 15 to 16 years, to identify the presence of a causal effect of children's education on parental health and longevity using census-linked data from the Office for National Statistics Longitudinal Study. Results reveal that children's education has no causal effects on a wide range of parental mortality and health outcomes. We interpret these findings discussing the role of universal health care and education for socioeconomic inequality in Great Britain.</p

Body-kun/body-chan style model figures for artists in forensic visualization applications

Posture and body position are often in the focus of forensic medicine. Visualization for the purposes of documentation, teaching, scientific presentation or expert opinion in court is often desired. Plenty of possible tools to support visualization are available. However, there is a significant gap between quick drawings and more complex techniques. Body-chan (female) and body-kun (male) artist’s model figurines (genericized trademark) may provide a useful means to fill this gap. These models, about 12–15 cm in height, are multi-articulated humanoids of realistic proportions, intended to serve as models for manga (japanese comic) drawing. Plenty of different models are available in different quality which usually are equipped with interchangeable hand and feet attachments, a frame for ‘levitating’ positions as well as assorted objects to scale. These inexpensive models may be positioned quickly and intuitively. Photodocumentation from various angles can be performed using a mobile phone camera. Images may be further improved applying digital image manipulation software. Taken together, the process is quick and intuitive and the level of achievable complexity is sufficient for many forensic applications