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Oesophageal Fistula – Forensic Implications 18 LASCU Ana Maria, CIUBARA Anamaria, ROMAN Loredana Mariana, FULGA Ana, PÎRĂIANU Alin Ionuț, CIUBARA Bogdan Alexandru

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Oesophageal Fistula – Forensic Implications 18 LASCU Ana Maria, CIUBARA Anamaria, ROMAN Loredana Mariana, FULGA Ana, PÎRĂIANU Alin Ionuț, CIUBARA Bogdan Alexandru International Conference on Legal Medicine from Cluj, 3rd edition ©Filodiritto Editore – Proceedings PROCEEDINGS OF THE International Conference on Legal Medicine from Cluj, 3rd edition (Cluj-Napoca, Romania, 1-4 October 2020) Editors Costel Vasile SISERMAN and Cristian DELCEA FILODIRITTO INTERNATIONAL PROCEEDINGS 1 International Conference on Legal Medicine from Cluj, 3rd edition ©Filodiritto Editore – Proceedings Log in to find out all the titles of our catalogue Follow Filodiritto Publisher on Facebook to learn about our new products ISBN 978-88-85813-93-9 First Edition July 2020 © Copyright 2020 Filodiritto Publisher filodirittoeditore.com inFOROmatica srl, Via Castiglione, 81, 40124 Bologna (Italy) inforomatica.it tel. 051 9843125 - Fax 051 9843529 - [email protected] Translation, total or partial adaptation, reproduction by any means (including films, microfilms, photocopies), as well as electronic storage, are reserved for all the countries. Photocopies for personal use of the reader can be made in the 15% limits for each volume upon payment to SIAE of the expected compensation as per the Art. 68, commi 4 and 5, of the law 22 April 1941 n. 633. Photocopies used for purposes of professional, economic or commercial nature, or however for different needs from personal ones, can be carried out only after express authorization issued by CLEA Redi, Centro Licenze e Autorizzazione per le Riproduzioni Editoriali, Corso di Porta Romana, 108 - 20122 Milano. e-mail: [email protected], sito web: www.clearedi.org 2 International Conference on Legal Medicine from Cluj, 3rd edition ©Filodiritto Editore – Proceedings INDEX Foreword 5 Difficulties of Forensic Analysis of Postoperative Complications of Surgical Diathermy 6 GORUN Gabriel Stefan, GEORGESCU Adina Oesophageal Fistula – Forensic Implications 18 LASCU Ana Maria, CIUBARA Anamaria, ROMAN Loredana Mariana, FULGA Ana, PÎRĂIANU Alin Ionuț, CIUBARA Bogdan Alexandru Non-Accidental Electrical Death 25 ROMAN Loredana Mariana, CIUBARA Anamaria, FULGA Ana, LASCU Ana Maria, PÎRĂIANU Alin Ionuț, CIUBARA Bogdan Alexandru Incarcerated Mothers. A Psychosocial Perspective 30 MÜLLER-FABIAN Andrea, BACIU Ana Cristina Diagnosing ADHD Syndrome in Adults: Identifying Symptoms and Assessing Treatment Options 40 STANCIU Camelia, DELCEA Cristian Psychopathological Personality Traits and Decision Making in the Act of Murder 47 DELCEA Cristian Individual Differences in Subjects with Psychiatric Comorbidities and Personality Disorders in Domestic Violence 53 POPA-NEDELCU Radu, SISERMAN Costel, DOMNARIU Carmen Multiple Methods of Self-Annihilation – Case Report 62 NECULAI-CÂNDEA Lavinia, PRICOP Ștefan, POPA Marius, DEACU Sorin The Portrait of Inmate Mothers from Romanian Prisons – Case Study 66 MÜLLER-FABIAN Andrea, BACIU Ana Cristina Meta-Analysis Studies from the Perspective of Normative and Descriptive Theories in the Case of Committers of Murder 73 DELCEA Cristian, CRIȘAN Cătălina Multifactorial Determinism of the Request of Forensic Expertise Regarding Sentence Interruption on Medical Grounds 81 GHERMAN Cristian 3 International Conference on Legal Medicine from Cluj, 3rd edition ©Filodiritto Editore – Proceedings Evaluation of Personality Disorders and Aggressive Behaviour in the Medico-Legal Activity 91 URECHE Daniel, SISERMAN Costel, MICLUȚIA Ioana Ischemic Stroke Secondary to Carotid Artery Thrombosis Following Direct Penetrating Cervical Trauma 98 COMANICI Radu-Stefan, TABIRCA Daniela-Draguta, DEACU Sorin, POPA Marius Quality of Life and Emotional Distress of Teachers During The COVID-19 Pandemic. Comparative Study Romania-Brazil 104 RUS Mihaela, SANDU Mihaela Luminița, TĂNASE Tasențe Left Ventricular Remodelling – Predictive Factor of Morbidity and Mortality in Beta-Thalassemia Major 116 STANCĂ Ionut, RUS Mihaela, ALBU Alice, FICA Simona The Implications of Alcohol Consumption in Forensic Medicine 128 URECHE Daniel Ioan, DOBRESCU Lavinia, REBELEANU Codrin, SISERMAN Costel Silver Nanoparticles and Their Antiviral Action on Hepatitis B Virus 141 DRAGNEA Elena-Mihaela, VICĂ Mihaela Laura, BÂLICI Silvia Ștefana, MATEI Horea-Vladi Maladaptive Cognitive Schemas and Decision Making 145 DELCEA Cristian, SIMONELLI Chiara Drop-Out in Psychotherapy Training. Case Study 153 VIȘCU Loredana-Ileana, CĂDARIU Ioana-Eva, CIUCUR Daniel 4 International Conference on Legal Medicine from Cluj, 3rd edition ©Filodiritto Editore – Proceedings FOREWORD The Forensic Institute of Cluj-Napoca organizes in 2020 the 3rd edition of The International Conference on Legal Medicine from Cluj, during 1-4 October 2020 in Cluj-Napoca, Romania. This edition gathers specialists in the domain of forensic medicine from the country and from abroad, together with specialists from psychology, psychotherapy and clinical supervision. On the occasion of this event, interdisciplinary topics are discussed, in fields related to the forensic field (medical, legal, human and penitentiary sciences), the general objective being to encourage the local and national community to participate in the development of the scientist- practitioner model in forensic medicine. The scientific contribution of specialists in the domain contributes to the innovation of scientifically validated working tools in the field. Transdisciplinarity is also a key element in all fields, thus the participation of practitioners and specialists from other theoretical and research fields only adds value to this collection of manuscripts, which is The Proceedings of The International Conference on Legal Medicine from Cluj, 3rd edition. This volume thus collects some studies that are accepted to be presented in the International Conference on Legal Medicine from Cluj, 3rd edition, considered to be the most relevant for the scope of this event. The volume thus brings together interdisciplinary topics related to the forensic, legal medicine domain (medical, legal, human sciences and penitentiary studies) to encourage the local and national community to participate in the development of the scientist-practitioner model in forensic medicine. Our goal is to convene researchers and practitioners in the fields of medicine, law, penitentiary, psychology, etc. to contribute to the benefit of our community, giving scientific robustness in our forensic activities. All the papers registered in the conference are first analysed and reviewed by the conference Scientific Committee, and go through a blind peer-review process before being accepted to be published in the conference Proceedings. The conference schedule includes sessions of studies presented by researchers, forensic doctors, lawyers, psychologists and sociologists from all over the country and abroad, covering a wide range of current topics for the discipline of forensic medicine and psychology. This event is an exceptional one both due to its scientific content and its organization and has as objective to become a tradition for the field of forensic medicine in Romania. Associate Professor Costel Vasile SISERMAN MD, PhD, MSc Associate Professor Cristian DELCEA PhD 5 International Conference on Legal Medicine from Cluj, 3rd edition ©Filodiritto Editore – Proceedings Difficulties of Forensic Analysis of Postoperative Complications of Surgical Diathermy GORUN Gabriel Stefan1, GEORGESCU Adina2 1 “Mina Minovici” National Institute of Legal Medicine Bucharest (ROMANIA) 2 Constanta county forensic services (ROMANIA) Emails: [email protected], [email protected] Abstract The increase in responsibility of the medical-surgical act, introduced by the scientific and technological progress, popularized sometimes at an unrealistic level, constitutes one of the current causes that led to the avalanche of accusations of medical malpractice. Within these, postoperative complications play an important role. The present paper aims to present one of the complications of surgical diathermy (secondary diffusion of an unknown, uncontrolled, at distance, of electric current – SDUUDEC), in relatively common cases (cholecystectomy, hysterectomy, laparoscopic biopsy, adhesiolysis in peritoneal adhesion syndrome), focusing on principles of forensic analysis. Keywords: medical malpractice, electrocoagulation, two-stage complications, deviations 1. Introduction Since Bovie introduced in surgical practice the technique that uses electric current for dissection/coagulation, based on diathermy (the therapeutic method consisting in raising the temperature of some internal organs with the help of high frequency currents), a series of incidents and complications was reported, some belonging exclusively to the principles of the technique, which have not yet been fully solved. In practice, they are more common than reported, as up to a two-thirds percentage are not known/recognizable or are incorrectly attributed to other causes [1]. There are several types of electrode and circuit configurations: monopolar (the most popular nowadays) and bipolar, which is mainly represented by an electrode hook, used to perform electrocoagulation and electro section, the action being dependent on the heat generated (Cutting – the electrode touches the tissue and a high power density is applied to vaporize the water content of the tissue; Coagulation – vaporization explosive, but producing a thermal coagulation; Dissection; Lightning – the electrode is kept away from the tissue, and in the air space between the electrode and tissue, ionized, is a discharge of an electric arc – useful when monitoring the haemostasis of a bed bleeding diffusely) [2]. Such effects
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