Spanish Journal of Legal Medicine最新文献_第8页

Towards a paradigmatic change in psychological care in major emergencies: from incidents with multiple victims to incidents with multiple affected individuals 在重大突发事件中心理护理的典范变化:从有多名受害者的事件到有多名受影响个人的事件

Spanish Journal of Legal Medicine Pub Date : 2023-04-01 DOI: 10.1016/j.remle.2023.07.001

Andrés Cuartero , Alba Pérez-González

{"title":"Towards a paradigmatic change in psychological care in major emergencies: from incidents with multiple victims to incidents with multiple affected individuals","authors":"Andrés Cuartero , Alba Pérez-González","doi":"10.1016/j.remle.2023.07.001","DOIUrl":"https://doi.org/10.1016/j.remle.2023.07.001","url":null,"abstract":"<div><p><span>Major emergencies or disasters pose great challenges to society and especially to all emergency services. In the last decades, the Mental Health perspective has been incorporated as an important part of comprehensive health care for those affected. Thus, the conceptual change from “multiple casualty incident” (MCI) to “multiple affected incident” (MAI) focuses on the care and well-being of all people affected by an incident, not only those who have suffered physical injuries. The objective of this article is focused on finding out the possibilities of intervention with patients labelled in triage as psychological green (without affectation and/or physical injuries), based on advanced psychological intervention in emergencies (IPA). The IPA, beyond removing those affected from danger, seeks to increase their sense of control and efficacy, both to face the situation and to increase their sense of competence in the experience of subsequent trauma with respect to that experience. In this sense, recent assessment possibilities, as well as </span>psychological first aid approaches, allow new intervention applications in emergencies such as those made possible by remote air support (drones). Its application and possibilities as future options are discussed.</p></div>","PeriodicalId":101178,"journal":{"name":"Spanish Journal of Legal Medicine","volume":"49 2","pages":"Pages 64-70"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49756551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Spanish National Technical Board for Mass Disasters 西班牙国家大规模灾难技术委员会

Spanish Journal of Legal Medicine Pub Date : 2023-04-01 DOI: 10.1016/j.remle.2022.11.002

Rafael Bañón González

引用次数: 0

Evaluation of intra-abdominal pressure as an early marker of diuretic response in patients with cardiorenal syndrome 评价腹内压作为心肾综合征患者利尿反应的早期标志

Spanish Journal of Legal Medicine Pub Date : 2023-03-09 DOI: 10.24875/sjmed.22000013

S. Crespo-Aznárez, M. Sánchez-Marteles, A. Campos-Sáenz de Santamaría, V. Garcés-Horna, C. Josa-Laorden, I. Giménez-López, J. Pérez-Calvo, J. Rubio-Gracia, Nerea Yanguas-Barea

{"title":"Evaluation of intra-abdominal pressure as an early marker of diuretic response in patients with cardiorenal syndrome","authors":"S. Crespo-Aznárez, M. Sánchez-Marteles, A. Campos-Sáenz de Santamaría, V. Garcés-Horna, C. Josa-Laorden, I. Giménez-López, J. Pérez-Calvo, J. Rubio-Gracia, Nerea Yanguas-Barea","doi":"10.24875/sjmed.22000013","DOIUrl":"https://doi.org/10.24875/sjmed.22000013","url":null,"abstract":"Introduction: Renal dysfunction and heart failure (HF) are closely intermingled, even though their pathophysiology is not fully understood. Recently, abdominal congestion, through an increase of intra-abdominal pressure (IAP), has been proposed as a novel and important factor in cardiorenal interactions. In this study, we postulated that IAP is linked to renal function and diuretic response in acute heart failure (AHF) patients. Objectives: The objectives of this study were to analyze whether IAP variations in AHF patients are associated with changes in renal function and diuretic response during the first 72 h of admission. Methods: The prospective, observational, and single-center cohort study in AHF patients admitted at the Internal Medicine department. Multiparametric congestion assessment, including X-rays, point of care ultrasoung, serum biomarkers and IAP, will be performed during the first 72 h. Conclusions: We aim to broaden the knowledge about IAP changes and its correlation with renal function and diuretic response in patients admitted with AHF.","PeriodicalId":101178,"journal":{"name":"Spanish Journal of Legal Medicine","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87697362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Estimands: a new way of interpreting the results of clinical essays 评估:一种解释临床论文结果的新方法

Spanish Journal of Legal Medicine Pub Date : 2023-02-21 DOI: 10.24875/sjmed.22000015

J. Martín-Vallejo, J. Miramontes-González, R. Gómez-Huelgas

引用次数: 0

Time of immersion of bodies found in water in Northern Patagonia Argentina 阿根廷巴塔哥尼亚北部发现尸体浸入水中的时间

Spanish Journal of Legal Medicine Pub Date : 2023-01-01 DOI: 10.1016/j.remle.2023.03.005

Gustavo A. Breglia , Marcelo H. Uzal , Jorge A. Herbstein

{"title":"Time of immersion of bodies found in water in Northern Patagonia Argentina","authors":"Gustavo A. Breglia , Marcelo H. Uzal , Jorge A. Herbstein","doi":"10.1016/j.remle.2023.03.005","DOIUrl":"https://doi.org/10.1016/j.remle.2023.03.005","url":null,"abstract":"<div><h3>Introduction</h3><p>The estimation of the immersion time of bodies recovered from the water, through the evaluation of the cadaveric changes, allows inferring the time that they have remained in the water regardless of the cause of death. In the present study, the Daily Accumulation of Degrees (ADG) method is analyzed for the calculation of the immersion interval in bodies recovered from the water in 36 bodies with a known interval of permanence in the water.</p></div><div><h3>Material and methods</h3><p>A total of 161 bodies were recovered from the water between 2007 and 2022, in 41 cases there was data to be analyzed by the ADG method and 36 were suitable for analysis of the method when confronted with the known intervals of immersion of the bodies.</p></div><div><h3>Results</h3><p>The comparison of calculation by Daily Accumulation of Degrees versus Known Immersion Interval, of the sample of 36 cases, showed that the difference in days obtained is statistically significant (p 0.48 > 0.005). In 16 cases (44.4%) there was an underestimation by the Daily Accumulation of Degrees method with respect to the time spent in the known water that differed by an average of 40%, and in 18 cases (50%) an overestimation of 41%. Based on the observation of the cadaveric changes, the month of the year and the water temperature, a table was made to estimate the Postmortal Interval of Immersion for watercourses in Northern Patagonia.</p></div><div><h3>Conclusion</h3><p>The method of Daily Accumulation of Degrees in bodies recovered from the water to estimate the immersion interval may give a false perception of accuracy due to the complexity of integrating all the changing factors that affect human decomposition in aquatic environments.</p></div>","PeriodicalId":101178,"journal":{"name":"Spanish Journal of Legal Medicine","volume":"49 1","pages":"Pages 20-27"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50193096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Suicidal poisoning by sodium nitrite: A dangerous mode from Internet. In regard of a case 亚硝酸钠自杀性中毒：来自互联网的一种危险模式。就案件而言

Spanish Journal of Legal Medicine Pub Date : 2023-01-01 DOI: 10.1016/j.remle.2023.03.007

Carlos García Caballero, Virginia González del Campo Rollán, María Antonia Martínez González

引用次数: 1

Incidence of psychoactive substances in victims of sexual assaults in Alicante province (Spain) during the years 2016-2020 2016-2020年西班牙阿利坎特省性侵受害者中精神活性物质的发病率

Spanish Journal of Legal Medicine Pub Date : 2023-01-01 DOI: 10.1016/j.remle.2023.03.003

Esperanza Navarro Escayola , Clara Vega Vega , Rafael Bañon González , Nuria Sanvicens Díez

{"title":"Incidence of psychoactive substances in victims of sexual assaults in Alicante province (Spain) during the years 2016-2020","authors":"Esperanza Navarro Escayola , Clara Vega Vega , Rafael Bañon González , Nuria Sanvicens Díez","doi":"10.1016/j.remle.2023.03.003","DOIUrl":"https://doi.org/10.1016/j.remle.2023.03.003","url":null,"abstract":"<div><h3>Introduction</h3><p>The use of psychoactive drugs to facilitate sexual assault has acquired great relevance in recent years. The objective of this work is to help make this type of situation visible, establishing diagnostic criteria and thus being able to determine the real incidence of this type of crime.</p></div><div><h3>Materials and methods</h3><p>In order to determine the frequency and characteristics of victims of sexual assault with suspected chemical submission (SSQ), a retrospective descriptive study of sexual assaults facilitated by psychoactive substances has been carried out at the Institute of Legal Medicine and Forensic Sciences of Alicante (IMLCFA) in the years 2016-2020.</p></div><div><h3>Results</h3><p>Among 702 cases studied, 95 (13,5%) met the criteria for inclusion in the probable DFSA (drug-facilitated sexual assault) group.</p><p>The profile of the victim was a woman (95,4%) around 24 years old. In most cases, the sexual violence was committed by a single male aggressor, recently met or known by the victim, and generally these events happen on weekends. The victim had voluntarily consumed alcohol, drugs or psychotropic drugs<span> immediately before the events in most cases (88,5%). This vulnerable state of the victim was used by the aggressor to sexually assault her (opportunistic DFSA). The toxicological analyses performed on blood and/or urine were positive in 85,3%. In almost half of them (46,3%), there was more than one substance found in the toxicological analyses. The most frequent substance found were: alcohol (54,7%), cannabinoids<span> (37,9%), benzodiazepines<span> (22,1%), cocaine (15,8%) and ecstasy or MDMA (8,4%).</span></span></span></p><p>In half of the cases (50,5%), unexpected positive toxicological findings were obtained for psychoactive substances that the victim did not admit to having consumed voluntarily.</p></div>","PeriodicalId":101178,"journal":{"name":"Spanish Journal of Legal Medicine","volume":"49 1","pages":"Pages 3-10"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50193095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Review on the methodology for the design of quality strategies in forensic pathology services 法医病理学服务质量策略设计方法综述

Spanish Journal of Legal Medicine Pub Date : 2023-01-01 DOI: 10.1016/j.remle.2023.03.001

Luciana Miguel Alhambra , Julio Zarco Rodríguez , Eduardo Andreu Tena

引用次数: 0

Maternal death associated with uterine arteriovenous malformation 与子宫动静脉畸形相关的孕产妇死亡

Spanish Journal of Legal Medicine Pub Date : 2023-01-01 DOI: 10.1016/j.remle.2023.03.002

Rebeca Jiménez Herrera , María Urbelina Fernández Vazquez , Ariadna Hernández y Ballinas , María de Lourdes Palmer Marquez , Efren Durand Aguilar

引用次数: 0

Chemical submission: Current situation 化学品提交：现状

Spanish Journal of Legal Medicine Pub Date : 2023-01-01 DOI: 10.1016/j.remle.2023.03.006

Oscar Quintela Jorge

引用次数: 0