Search results for "medicina legal"
showing 10 items of 424 documents
Responsability in management of the early stages in clinical evaluation of oral-facial traumatic events
2019
Obiettivi Scopo del presente lavoro è esaminare gli eventi traumatici oro-facciali e i loro effetti e individuare linee e schemi comportamentali e un linguaggio clinico e medico-legale appropriato che aiutino a identificare con immediatezza l’evento traumatico e i suoi postumi, e una corretta gestione dello stesso, in modo consono alle esigenze assicurative e/o giudiziarie, oltre che strettamente cliniche. Si vuole, inoltre, sottolineare l’importanza clinica e medico-legale della prima visita. Materiali e metodi I diversi aspetti dell’argomento sono esaminati sia da un punto di vista clinico che medico legale. Attraverso l’analisi delle diverse tipologie di trauma e degli schemi procedurali…
Pharmacogenetics and Forensic Toxicology: A New Step towards a Multidisciplinary Approach
2021
Pharmacogenetics analyzes the individual behavior of DNA genes after the administration of a drug. Pharmacogenetic research has been implemented in recent years thanks to the improvement in genome sequencing techniques and molecular genetics. In addition to medical purposes, pharmacogenetics can constitute an important tool for clarifying the interpretation of toxicological data in post-mortem examinations, sometimes crucial for determining the cause and modality of death. The purpose of this systematic literature review is not only to raise awareness among the forensic community concerning pharmacogenetics, but also to provide a workflow for forensic toxicologists to follow in cases of unk…
An ethical algorithm for rationing life sustaining treatment during the COVID-19 pandemic
2020
The burning ethical question raised by the COVID-19 pandemic is how to deal fairly and ethically with a large number of patients simultaneously becoming critically unwell. Across the world, in both developed and developing countries, health systems are grappling with the possibility or the reality that the demand for intensive medical care will outstrip availability. There is a need for ethical guidelines on how to allocate treatment, but such guidelines are potentially highly controversial.1 In this commentary, we set out a simple algorithm (Figure 1), including what we take to be the essential ethical principles that ought to guide resource allocation in any country or setting as well as …
Skull and Encephalic Injuries Caused by Beach Umbrellas: Case Reports and Review of Literature
2016
This study reports two unusual cases of skull-encephalic injuries in bathers that were caused by violent impacts with beach umbrellas. The first case concerned a 36-year-old man who, while lying on a sun bed, was struck on his left temple by a beach umbrella, which had been blown away by a gust of wind. The second case concerned a six-year-old child who was struck on the right temporal region while he was playing on the sand. Both subjects died. A review of the literature was carried out. Various skull and brain injuries caused by several objects were found, but no injuries caused by beach umbrellas were detected. There were only cases of injuries caused by normal umbrellas. These cases sho…
Medico-legal study of death in custody by excited delirium. A case report
2014
En este artículo exponemos los resultados de la autopsia de un varón joven que falleció en el hospital por un cuadro de delirium agitado. Es un síndrome caracterizado generalmente por agitación psicomotriz, agresividad y puede producir muerte súbita, en ocasiones durante la aplicación de métodos de contención mecánica por los Cuerpos de Seguridad del Estado o personal sanitario. Está típicamente asociado al consumo de drogas de abuso, como la cocaína. En estos casos, estará incluida en el grupo de muertes en custodia, que es aquella que se produce cuando la víctima se encuentra privada de libertad. Tiene una indudable repercusión médico legal, puesto que se considera prototipo de muerte sos…
Child abuse in a medical setting: Case illustrations of two variants of munchausen sindrome by proxy
2017
Munchausen syndrome is a complex type of abuse, which is often underdiagnosed or misdiagnosed in clinical practice, and has harmful consequences for children. Its relationship with child abuse, of which it is a variety, must be recognized in clinical and forensic practice. The authors report herein two observed cases of different types of Münchausen syndrome by proxy (MSbP). The first, is the most severe form of MSbP, with induced, true illness and related pathological symptoms into victim. The second case is a moderate form, much more complex to detect, in which a perpetrator parent simulates and aggravates the childâs illness. Adequate training of health professionals and investigators…
FEMALE GENITAL MUTILATIONS: GENITO-URINARY COMPLICATIONS AND ETHICAL-LEGAL ASPECTS
2015
Many women in the world are still undergoing female genital mutilations (FGMs) even if in almost all the countries, the practice of FGM is illegal. The increase of immigration, particularly from African Countries, to Europe, and Italy too, led to consider this phenomenon with particular attention and skill. All the operators in health services need to know the different types of FGMs and the related complications and the psychological and sexual sequels. Urological complications, in particular, are not rare and the changing anatomy of the external genital apparatus can also make the catheter insertion sometimes difficult. This review analyzes the epidemiology of FGMs, the reasons why the p…
Role of MDCT virtopsy in valuation of burned bodies and its comparison with traditional autopsy
2014
Aims and objectives Methods and materials Results Conclusion Personal information References
Changes to legal forensic inspections in Sicily during Covid-19
2020
Our institute, in collaboration with the Public Prosecutor’s Office, arranges for cadaveric inspections during a judicial inspection, jointly with the police. With the advent of the Covid-19 pandemic, operating methods have changed. Specifically, we now discuss the cases individually before attending to guarantee the health of operators and citizens
Sexual Abuse-Current Medico-legal, Forensic and Psychiatric Aspects
2013
Abstract Violence against women and minors is a worldwide problem that has not yet been sufficiently acknowledged. There are many obstacles especially when sexual abuses have to be evaluated. These problems are present both when victims of sexual abuse are evaluated and when sex offenders are dealt with, especially when the offenders are juvenile sex offenders (JSO). These issues give cause for great concern about prognosis, and the resulting psychosocial implications, and call for a special effort from the scientific community in identifying appropriate prevention and treatment methods. This chapter is divided into two parts. The first part deals with the forensic and psychiatric features,…