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[Tyramine and serotonin syndromes. Pharmacological, medical and legal remarks].

The tyramine syndrome and the serotonin syndrome are a complex of signs and symptoms that are thought to be largely attributable to drug - drug interactions or drug - food interactions that enhances norepinephrine o serotonin activity. This article reviews: pharmacological basis of those syndromes; clinical features; forbidden foods, drug-drug interactions, and treatment options. Finally a set of legal recommendations are proposed to avoid liability litigations.

Antidepressive Agents↗

Grave mistakes.

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Abortion, Legal↗

Liability for infectious diseases in day care: legal and practical considerations.

A lawsuit directed by parents at a day care program following an outbreak of infectious disease would most likely be based on the legal theory of negligence--the failure to exercise due care as required by circumstances. In the determination of liability for infectious diseases in child day care, the element of causation is most critical. Did the day care facility's actions or failure to act cause the harm? Another important question is whether an infectious disease can be occupational and under what circumstances. Although worker's compensation laws initially had no provisions for occupational disease, now all states recognize responsibility for them. Awareness of potential problems with legal liability and establishment of procedures to minimize risk are important for day care providers, public health officials, clinicians, and parents.

Child Day Care Centers↗

Legal and medical aspects of liability for negligently occasioned nervous shock: a current perspective.

This article examines recent developments in Australian and English common law relating to negligently occasioned psychiatric illness (nervous shock) in the light of advances in understanding of aetiology, neurophysiology and psychology of emotional injury. The legal analysis focuses on the modern concept of proximity relationship between the plaintiff and the defendant. The courts use the notion of proximity to determine the existence of duty of care in cases involving liability of the defendant for the negligent infliction of 'mere' nervous shock; that is where the plaintiff who had not been present at the site of the accident in which a close relative or a co-worker has been negligently killed or injured, claims to have suffered a lasting psychoneurosis or a psychosomatic illness as a result of a sudden and severe emotional distress occasioned by the defendant's wrongful act. Cases from the US, [1] Canada, [2] South Africa [3] and New Zealand [4] are not discussed; to include them would have involved too much exposition in comparison to their influence upon the development of the law of nervous shock. Nevertheless, since the developments described below concern the core question of law, the nature and the ambit of defendant's liability for unintentionally occasioned psychiatric damage, they will have to be considered in any jurisdiction in which this question arises.

Australia↗

[Laparoscopic surgery: from clinic to legal medicine].

The laparoscopic technique introduced a new way of operating but inevitably causing new problems for the surgeon. After a comprehensive review of the history and the evolution of laparoscopic surgery from its beginning, the technical aspects of minimally invasive surgery and its fields of application are described. The close dependence on instruments and technology is emphasized. A detailed analysis of the advantages and limitations of laparoscopy is made with emphasis on the importance of a risk-benefit evaluation by the health care provider. Of key importance is to obtain a detailed and clear informed consent. The medico legal aspects of intraoperative complications and the liability of the surgical team in case of patients' injury or death are examined. However, it is always necessary to consider if the potential complications are predictable and/or preventable in accordance to the parameters of negligence, imprudence and lack of knowledge. The same criteria have to be applied to assure compliance with the preventive sanitary rules and that the conversion to laparotomy has been promptly carried out.

Forensic Medicine↗