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Романюк, Анатолій Миколайович, Анатолий Николаевич Романюк, Anatolii Mykolaiovych Romaniuk, Людмила Іванівна Карпенко, Людмила Ивановна Карпенко, Liudmyla Ivanivna Karpenko, Роман Андрійович Москаленко, et al. "Оптимізація навчання інтернів-патологоанатомів у світлі вимог Болонського процесу." Thesis, Видавництво СумДУ, 2012. http://essuir.sumdu.edu.ua/handle/123456789/27626.
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Науково-технічний прогрес, досягнення медичної науки та освіти вимагають новітніх підходів у викладанні патологічної анатомії для інтернів. У зв’язку з цим заслуговують уваги питання вдосконалення та оптимізації навчального процесу серед інтернів-патологоанатомів.
При цитуванні документа, використовуйте посилання http://essuir.sumdu.edu.ua/handle/123456789/27626
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Дяченко, М. І. "Можливість інфікування ВІЛ при розтині трупа." Thesis, Сумський державний університет, 2015. http://essuir.sumdu.edu.ua/handle/123456789/44233.
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Вірус імунодифіциту людини має виражену стійкість у навколишньому середовищі: гине при температурі 56°С протягом 30 хв, стійкий до низьких температур, відносностійкий до впливу ультрафіолетового та гамма-випромінювань у дозах, які зазвичай застосовуються для стерилізації. В крові і інших біологічних рідинах зберігає життєздатність протягом декількох діб.
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Bourigault, Michel. "Vers une médecine sans autopsie : étude personnelle sur l'évolution de la pratique des autopsies scientifiques dans les hôpitaux de l'ouest de la France." Nantes, 1991. http://www.theses.fr/1991NANT013M.
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Rambaud, Caroline. "Autopsie pédiatrique." Paris 5, 2003. http://www.theses.fr/2003PA05N100.
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Le consentement éclairé est un élément clef de la relation médecin-patient. L' autopsie, acte portant atteinte à l' intégrité du corps humain, nécessite un tel consentement de la part des parents. La difficulté pour le pathologiste réside dans le fait que ce n'est pas lui qui donne l' information et recueille le consentement pour l'acte qu' il va effectuer : il ne sait donc pas ce qui a été dit aux parents ni ce à quoi ils ont réellement consentis. Nous avons posé 2 questions : "Que savent les pédiatres de l' autopsie ?" pour savoir quelle information ils donnent aux parents, et "Quel doit être le devenir des tissus et organes prélevés lors d'une autopsie ?" pour connaitre le sentiment des parents. Des questionnaires ont été envoyés : à des pédiatres, et à des parents qui avaient consenti à l' autopsie de leur enfant. Les réponses ont montré que les pédiatresThe informed consent is a keystone to the patient-physician's relationship. As autopsy is an attack on human body integrity, the parents' consent is needed for a child autopsy. The difficulty for the pathologist is that is not the one who delivered the information and collected the consent for the autopsy he does. Thus, he don't know what the parents where told nor to what they actually gave their consent. We asked 2 questions through questionnaires sent to pediatricians and to parents who consented to their child's autopsy : " What do pediatricians know about autopsy ?" to approach what they say to parents and "What should be done of the tissues and organs retained at the autopsy ?" to know the parents' wishes. The answers showed that legal procedures are badly known by pediatricians who didn't know either if organs.
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Orellana, Fernández Rocío. "Autopsia AXD-66." Tesis, Universidad de Chile, 2005. http://repositorio.uchile.cl/handle/2250/101608.
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Abarcando todos los criterios, ciencias y creencias, el “azar” ha estado en algún momento presente. Desde tiempos inmemoriables, el hombre ha experimentado, creyendo en sí mismo y creando cosas que aparecen sin ser pensadas con anticipación. Al pasar las épocas todo empezó a ser mas racionalizado, pero a pesar de la potencial intelectualidad del hombre seguimos sujetos a ciertos conceptos que no necesitan ni requieren ser pensados, es como la suerte, que es solo un conjunto de hechos fortuitos que le suceden a una persona en una determinada situación.
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Ochoa, Reyes José Luis. "Autopsia de una muerte anunciada." Thesis, McGill University, 1997. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=20173.
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Since its publication in 1981, Cronica de una muerte anunciada, has been in general interpreted in terms of tragedy. The death of Santiago Nasar, which is due to the rigid observance of a code of honour concerning women's virginity before marriage, appears to be absurd. Nonetheless, in my opinion, the death of Santiago Nasar acquires meaning the moment the victim is symbolically reborn in the love that eventually will join the disgraced couple.My interpretation, which relies on both historiography and narrative, is supported by an evaluation of the narrator's role in this fictional world. Significantly enough, the narrator is none other than Gabriel Garcia Marquez who, through a self-splitting fictionalisation, appears as one more among the many characters. Thus, Garcia Marquez as the narrator and a character, relates the events and organizes them into a chronicle. In this sense, he assumes the role of "chronicler-narrator." Yet, he also assumes the role of "oracle-narrator," in the sense that he imbues Santiago Nasar's crime with a mythical dimension which reveals the message of love suggested in the novel.
Another hermeneutic resource applied to my analysis is the analogy I draw between the novel and the Gospel, and my view of Santiago Nasar as a sort of Christ. In my opinion, the character's death is not meaningless because it appeals to give life to the love of a couple and to open the possibility of love for the other characters.
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Ochoa, Reyes Jose Luis. "Autopsia de una muerte anunciada." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp01/MQ43926.pdf.
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Barnes, Sara Elizabeth. "Autopsic art : sublime, abject, spectacular." Thesis, Lancaster University, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.543954.
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Montesinos, Nolasco Edwin. "La autopsia de Javier Díaz." Universidad Peruana de Ciencias Aplicadas (UPC), 2015. http://hdl.handle.net/10757/338893.
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Ganador (Mención honrosa), género Cuento. "XIX Juegos Florales 2014", realizado del 27 de Junio al 14 de Julio de 2014. Universidad Peruana de Ciencias Aplicadas - UPC. Lima, PerúSeudónomo: Enrique Vita Obitus
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Vargas, Mata Raúl. "La autopsia en la práctica judicial del Perú." Pontificia Universidad Católica del Perú, 2013. http://repositorio.pucp.edu.pe/index/handle/123456789/116691.
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Lisse, Elisabeth. "Les questions que se posent ceux qui ne sont pas medecins a propos de la mort et des autopsies." Lille 2, 1990. http://www.theses.fr/1990LIL2M104.
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CHAMBOST, MARC. "Les examens toxicologiques post mortem." Lyon 1, 1990. http://www.theses.fr/1990LYO1M421.
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Marchat, Philippe. "A propos de 45 autopsies de malades decedes dans les 24 premieres heures apres l'admission." Toulouse 3, 1988. http://www.theses.fr/1988TOU31012.
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BIOTTEAU, CLAUDE. "Interet de l'autopsie chez le patient decede en reanimation." Reims, 1994. http://www.theses.fr/1994REIMM075.
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Landon-Klapper, Nicole. "Alcoolemie dans les autopsies medico-legales : a propos de 295 cas." Toulouse 3, 1992. http://www.theses.fr/1992TOU31156.
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Aubry, Christiane. "Interet de l'autopsie dans l'etude de la mortinatalite en ille-et-vilaine." Rennes 1, 1993. http://www.theses.fr/1993REN1M093.
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Blum, Marc. "Importance de l'autopsie en gériatrie : à propos d'une série de 320 cas." Université Louis Pasteur (Strasbourg) (1971-2008), 1990. http://www.theses.fr/1990STR1M010.
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Mjaaland, Marius Timmann. "Autopsia self, death, and God after Kierkegaard and Derrida." Berlin New York, NY de Gruyter, 2005. http://d-nb.info/985469048/04.
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Desmoulin, Sophie. "Albert Londres et le grand reportage : autopsie d'un mythe." Thesis, Limoges, 2014. http://www.theses.fr/2014LIMO0008.
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Si un véritable mythe auréole aujourd’hui le nom et la figure d’Albert Londres, la production journalistique du célèbre grand reporter des années vingt reste relativement méconnue. Loin de se limiter aux enquêtes sociales qui ont forgé sa réputation de redresseur de torts, elle se compose d’une riche correspondance de guerre, de nombreux articles politiques et de plusieurs reportages d’évasion. Outre cette hétérogénéité, l’œuvre d’Albert Londres, qui oscille notamment entre argumentation et information, entre héritage et modernité, révèle nombre de tensions et de contradictions que la légende qui l’entoure a contribué à estomper. Il convient donc de redécouvrir son œuvre, de jeter sur elle un regard nouveau, de l’autopsier au sens étymologique du terme, pour diagnostiquer les raisons de son succès et les causes de sa consécration. Particulièrement ancrés dans l’actualité de leur époque, conditionnés par la situation de communication et de publication dans laquelle ils s’inscrivent, les reportages de Londres méritent d’être envisagés dans leur contexte, comme des discours traversés par de multiples stratégies. Outrepassant largement les seules intentions du journaliste, ces stratégies parcourent le reportage à tous les niveaux, de la pratique de terrain au circuit de diffusion, de la relation au lecteur à la posture du reporter. À la lumière de l’histoire de la littérature et du journalisme, de l’analyse du discours et de la sociologie de la littérature, nous tenterons donc de caractériser la poétique – au sens élargi du terme – des reportages afin de mettre au jour l’ambivalence et l’efficacité du « style Albert Londres »Albert Londres has become a household name and a mythical figure, however the journalistic work of this famous great reporter of the 1920s still remains unknown. This corpus extends far beyond his social ‘reportages’ that built his fame as a righter of wrongs and consists of a rich war correspondence, numerous political articles and several escapist reportages. To add to its diversity, the work of Albert Londres is always on the fence between argumentation and information, tradition and modernity. His work therefore reveals various tensions and contradictions which have been overshadowed by his myth. As a consequence, it is worth rediscovering his work, adopting a new point of view and performing an ‘autopsy’, that is, etymologically, a critical examination, in order to diagnose the reasons of its success and the causes of its critical acclaim. Deeply rooted in their time and strongly dependent on the communicational and publication context in which they appeared, Londres’ reports deserve to be seen against this background, as discourses informed by multiple strategies. Surpassing the sole intentions of a journalist, these strategies inform the reportages in all their dimensions, from the field research to the network of circulation and from the relationship with the reader to the ‘posture’ of the reporter. By drawing on the historiography of literature, journalism, discourse analysis and sociology of literature, this dissertation aims therefore to define the poetics – in the broad sense of this term – of these reports, in order to reveal the ambivalence and the effectiveness of the “Albert Londres style”
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GALEAZZI, JEAN-MARC. "Contribution a l'etude d'un protocole de dissection mandibulaire dans le cadre de l'autopsie oro-faciale." PARIS 6, DENTAIRE, 1992. http://www.theses.fr/1992PA06H001.
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ELBAZ, MAZAL-TOB. "Endocardites infectieuses de decouverte autopsique : analyse de 18 observations." Reims, 1993. http://www.theses.fr/1993REIMM033.
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DE, YBARLUCEA LOUIS-REMI. "Place de l'autopsie dans la medecine actuelle : bilan de l'experience remoise sur cinq annees." Reims, 1994. http://www.theses.fr/1994REIMM037.
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Start, Roger David. "Attitudes towards autopsy." Thesis, University of Sheffield, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.285544.
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Souza, Carlos Alberto Fontes de. "Carcinoma histologico da prostata em autopsias : frequencia, origem, extensão, graduação e nomenclatura." [s.n.], 2003. http://repositorio.unicamp.br/jspui/handle/REPOSIP/308449.
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Orientador: Athanase BillisDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas
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Resumo: Objetivos: Estudar a Freqüência do carcinoma incidentalmente encontrado em autópsias, procurar alguma evidência morfológica para um possível melhor comportamento quando a neoplasia se origina na zona de transição, analisar a graduação histológica e discutir a terminologia empregada para se referir a esta neoplasia. Material e Métodos: As próstatas de autópsias de 150 homens com mais de 40 anos de idade foram dissecadas em zonas de transição e periférica através de um corte passando por um plano indicado pelo trajeto do ducto ejaculador e procederam-se cortes frontais seriados em intervalos de 0,3 a 0,5cm. No exame microscópico dos cortes observou-se presença ou não de adenocarcinoma, extensão da neoplasia avaliando-se o número de fragmentos que a apresentavam e a graduação histológica utilizando-se o sistema Gleason. Os dados foram analisados estatisticamente pelo teste do X2 para diferenças entre proporções ao nível de significância de 0,05...Observação: O resumo, na íntegra, poderá ser visualizado no texto completo da tese digital
Abstract: Objectives: To study the frequency of incidentally found carcinoma of the prostate in autopsies, to find any morphological evidence for a possible better behavior when neoplasia originates in the transition zone, to analyze the histologic grading, and to discuss the terminology used when referring to this neoplasia. Material and methods: The prostates from 150 autopsied men were dissected in transition and peripheral zones through a section passing a plane indicated by the course of the ejaculatory duct, and a step section method was used to cut the prostate in coronal planes in intervals of 0,3-0,5cm. The microscopic examination included presence or absence of carcinoma, extension evaluated according to the percentage of sections showing the neoplasia and histologic grading according to the Gleason system. The data were statistically analyzed thrugh the chi-square test to determine the differences in proportion at a significance level of O,05 ...Note: The complete abstract is available with the full electronic digital thesis or dissertations
Mestrado
Anatomia Patologica
Mestre em Ciências Médicas
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Danso, Samuel Odei. "Text analytics to predict time and cause of death from verbal autopsies." Thesis, University of Leeds, 2015. http://etheses.whiterose.ac.uk/12400/.
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This thesis describes the first Text Analytics approach to predicting Causes of Death (CoD) from Verbal Autopsies (VA). VA is an alternative technique recommended by the World Health Organisation for ascertaining CoD in low and middle-income countries (LMIC). CoD information is vitally important in the provision of healthcare. CoD information from VA can be obtained via two main approaches: manual, also referred to as the physician-review and automatic. The automatic-based approach is an active research area due to its efficiency and cost effectiveness over the manual approach. VA contains both closed responses and open narrative text. However, the open narrative text has been ignored by the state-of-art automatic approaches and this remains a challenge and an important research issue. We hypothesise that it is feasible to predict CoD from the narratives of VA. We further contend that an automatic approach that could utilise the information contained in both narrative and closed response text of VA could lead to an improved prediction accuracy of CoD. This research has been formulated as a Text Classification problem, which employs Corpus and Computational Linguistics, Natural Language Processing and Machine Learning techniques to automatically classify VA documents according to CoD. Firstly, the research uses a VA corpus built from a sample collection of over 11,400 VA documents collected during a 10 year period in Ghana, West Africa. About 80 per cent of these documents have been annotated with CoD by medical experts. Secondly, we design experiments to identify Machine Learning techniques (algorithm, feature representation scheme, and feature reduction strategy) suitable for classifying VA open narratives (VAModel1). Thirdly, we propose novel methods of extracting features to build a model that predicts CoD from VA narratives using the annotated VA corpus as training and testing set. Furthermore, we develop two additional models: only closed responses based (VAModel2); and a hybrid of closed and open narrative based model (VAModel3). Our VAModel1 performs reasonably better than our baseline model, suggesting the feasibility of predicting the CoD from the VA open narratives. Overall, VAModel3 performance was observed to achieve better performance than VAModel1 but not significantly better than VAModel2. Also, in terms of reliability, VAModel1 obtained a moderate agreement (kappa score = 0.4) when compared with the gold standard– medical experts (average annotation agreement between medical experts, kappa score= 0.64). Furthermore, an acceptable agreement was obtained for VAModel2 (kappa score =0.71) and VAModel3 (kappa score =0.75), suggesting the reliability of these two models is better than medical experts. Also, a detailed analysis suggested that combining information from narratives and closed responses leads to an increase in performance for some CoD categories whereas information obtained from the closed responses part is enough for other CoD categories. Our research provides an alternative automatic approach to predicting CoD from VA, which is essential for LMIC. Therefore, further research into various aspects of the modelling process could improve the current performance of automatically predicting CoD from VAs.
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Vargas, Pablo Agustin 1973. "A glandula parotida na AIDS : analise de 100 casos de autopsia." [s.n.], 1999. http://repositorio.unicamp.br/jspui/handle/REPOSIP/288388.
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Orientador: Oslei Paes de AlmeidaTese (doutorado) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba
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Resumo: O objetivo deste estudo foi avaliar as alterações anatomopatológicas das glândulas parótidas de 100 pacientes aidéticos autopsiados e de 13 que morreram por outras causas. As autópsias foram realizadas no SVOC (Serviço de Verificação de Óbitos da Capital) ¿ FMUSP (Faculdade de Medicina da Universidade de São Paulo) em 1996 e 1997, seguindo os preceitos éticos e técnicos do local. As glândulas parótidas foram dissecadas, cortadas em seis fragmentos e os cortes histológicos corados em H/E, Grocott e Zieh-Nielsen. No grupo HIV negativo observou-se em três casos sialadenite discreta crônica. Nas parótidas do grupo aidético observou-se dez casos de micobacteriose, três de criptococose, dois de histoplasmose e nove de citomegalovirose. Sialadenite esteve presente em 34 casos. Foram encontradas seis cistos linfoepiteliais, um tumor de Wasthin e um linfoma não-Hodgkin difuso de grandes células B. Os linfonodos intraparotídeos do grupo aidético apresentaram: depleção de linfócitos em 32 casos; granulomas com bacilos álcool-ácido resistentes e 10 de inclusão de tecido glandular nos linfonodos em 36 casos. Em 90% dos casos o nível de linfócitos CD4 no sangue dos indivíduos aidéticos esteve abaixo de 200 cels/ 'mu'l. A etiologia da sialadenite crônica em pacientes aidéticos ainda precisa ser melhor determinada. Micobacteriose e citomegalovirose foram mais freqüentes do que criptococose e histoplasmose. Estas doenças não estavam localizadas na parótida exclusivamente, envolvendo também outros órgãos. Lesões infecciosas, císticas e neoplásicas acometeram as glândulas parótidas de pacientes aidéticos mesmo sem alterações clínicas evidentes. Estudos imunohistoquimicos, hibridização ¿in situ¿ e PCR para detecção de agentes infecciosos bacterianos, fúngicos e virais tornam-se necessários para melhor determinar o envolvimento das glândulas na AIDS
Abstract: This study describes the alterations found in the parotid glands of 100 patients who died of AIDS and of 15 who died for other reasons. Sialadenitis occurred in the parotid of 13,34% cases of the control group, and in 35% cases of the AIDS group. Ten cases of mycobacteriosis, three of cryptococosis, two of histoplasmosis, nine of citomegalovirusis, six lymphoepithelial cysts, one Warthin¿s tumor and one non-Hodgkin lymphoma were found in the parotid of the HIV positive patients. Intraparotid Iymph nodes showed depletion of Iymphocytes in 31 cases and inclusion of glandular tissue in 37 cases of immunodeficient patients. Mycobacteriosis, cryptococosis and histoplasmosis in the parotid glands are well documented in the literature, but in HIV positive it is rarely described. It is also important to consider that the alterations of the parotid here described had not been diagnosed clinically. This results indicate that infectious and others lesions in the parotid gland and probably in the other major salivary glands are more frequent than here to fore described in the literature in AIDS patients
Doutorado
Biologia e Patologia Buco-Dental
Doutor em Odontologia
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Guihur, Izold. "Le processus d'innovation en réseau dense : autopsie d'un échec en codéveloppement." Thèse, Université de Sherbrooke, 2010. http://hdl.handle.net/11143/8244.
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L'innovation détermine en grande partie la compétitivité des entreprises car elle facilite leur distinction dans l'économie du savoir et qu'elle induit une flexibilité organisationnelle face un environnement turbulent. Selon une perspective évolutionniste, toutefois, les organisations poursuivent avec le temps une trajectoire technologique de plus en plus étroite car les routines qui sous-tendent la création et l'accumulation de connaissances à la base de l'innovation rigidifient les organisations. L'exploration technologique des organisations devient plus locale, plus proche de ce qu'elles connaissent déjà. Dans un processus de vieillissement, les organisations perdent graduellement leur flexibilité concurrentielle. Le problème est que l'innovation a besoin d'être alimentée en nouvelles connaissances, et donc, en information riche pour poursuivre sa contribution à la flexibilité des organisations. Le réseau dense, à cause de la densité des interactions entre partenaires, représente une source particulièrement féconde d'information riche pour innover. Nombre de travaux identifient d'ailleurs le potentiel du réseau dense pour innover dans un milieu turbulent. Le comment demeure néanmoins peu connu. Cette recherche vise à mieux comprendre comment le réseau dense alimente l'innovation en information riche. L'étude longitudinale d'un cas unique a servi à répondre aux questions spécifiques sur les processus d'apprentissage, d'absorption de l'information et sur des conditions de faisabilité de l'innovation en réseau dense, ou codéveloppement. L'unité d'analyse, constituée de cinq partenaires en codéveloppement, a représenté un contexte très complexe qui a justifié une étude empirique en profondeur. L'observation des chercheurs à quatre réunions de travail, la tenue d'un journal de bord, des entrevues semi-dirigées auprès des partenaires et des documents sur la préhistoire, la période active et la période passive du projet jusqu'à son abandon ont servi à la collecte des données. La technique du modèle logique a servi à valider des modèles proposés sur l'apprentissage et l'absorption d'information riche à la base du codéveloppement. Les comportements des partenaires ont aussi été comparés aux comportements considérés nécessaires à la faisabilité du codéveloppement. Malgré l'abandon du projet, les chaînes d'événements observés ont supporté les modèles logiques proposés dans l'explication de l'échec. Premièrement, l'apprentissage repose sur le déploiement d'une infrastructure qui est stabilisée par la coopération, activée par l'interaction et permettant l'appropriation des nouveaux savoirs. Cependant, les nouvelles connaissances produisent des effets rétroactifs sur les conditions d'apprentissage qui, dans le cas étudié, ont eu l'effet de déstabiliser la coopération et de créer un désinvestissement menant à l'échec du partenariat. Deuxièmement, des informations riches ont été absorbées à travers des activités d'interprétation, de création de savoir et de décisions. Les partenaires ont utilisé des signaux faibles et forts mis à leur disposition par des liens faibles et forts du réseau. La proximité socio-technique entre les partenaires a facilité la prise de décision mais en contrepartie, un mode décisionnel centralisé a inhibé les efforts d'action collective. Dans le cas étudié, les comportements ont permis de constater la corrélation entre la faiblesse des conditions de faisabilité et l'échec du codéveloppement. Ces conditions se composaient d'anticipations positives, de l'autonomie des individus, de leur ouverture, de mécanismes de réflexivité, de la légitimité du réseau, d'un leadership transformationnel, de coévôlutions fortes, de cultures alignées, d'un langage commun et de temps approprié pour déployer le codéveloppement. La recherche tient son originalité de l'autopsie d'un échec en codéveloppement à partir d'une étude in tiempo de sa perte. En plus de donner une réponse à l'apport d'information riche au codéveloppement, elle montre l'intérêt des chaînes logiques pour s'adapter aux mouvances d'un contexte complexe. La recherche fournit des ancrages théoriques à la recherche-action ou par systèmes souples. Ces résultats, de généralisation analytique, seront applicables à d'autres situations en considérant la richesse des constats de ce cas longitudinal unique.
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Szpotowicz, Monika. "Étude exploratoire sur la validité de l'autopsie psychologique dans le contexte du suicide des adultes vieillissants." Sherbrooke : Université de Sherbrooke, 2002.
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TRUYEN, MICHEL. "Mort subite inopinee du nourrisson : apport de l'examen anatomo-pathologique ; bilan de 4 annees d'autopsies (79 cas)." Reims, 1991. http://www.theses.fr/1991REIMM112.
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Raimondo, Franck. "Humeur vitree : nouveau milieu de reference pour la determination de l'impregnation ethylique d'un sujet decede ?" Lyon 1, 1992. http://www.theses.fr/1992LYO1M058.
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MELLOUL, SARAH. "Le respect du corps humain dans la tradition hebraique." Aix-Marseille 2, 1988. http://www.theses.fr/1988AIX20371.
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Tennstedt, Cornelia. "Konzept für eine klinisch orientierte Autopsie von Feten unter Nutzung informationstechnischer Methoden." [S.l.] : [s.n.], 2002. http://deposit.ddb.de/cgi-bin/dokserv?idn=964404494.
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Tennstedt, Cornelia. "Konzept für eine klinisch orientierte Autopsie von Feten unter Nutzung informationstechnischer Methoden." Doctoral thesis, Humboldt-Universität zu Berlin, Medizinische Fakultät - Universitätsklinikum Charité, 2002. http://dx.doi.org/10.18452/13795.
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Aufgrund der rasanten technischen Entwicklung im Bereich der pränatalen Diagnostik in den letzten Jahren werden mehr angeborene Fehlbildungen zu einem früheren Zeitpunkt der Schwangerschaft und detaillierter erkannt. Das führt dazu, dass die zur Autopsie gelangenden Feten zunehmend kleiner sind und komplexere Befunde aufweisen. Gleichzeitig werden die genetischen Ursachen von mehr Erkrankungen, Fehlbildungen und Syndromen aufgedeckt, so dass die DNA-Diagnostik, Chromosomenanlyse u.a. molekulargenetische und biochemische Erkenntnisse die klinisch-genetische Diagnostik zunehmend ergänzen. Durch Festlegung einer gezielten Autopsiestrategie und Nutzung moderner Kommunikationsmittel kann der Pathologe die in den letzten Jahren gestiegenen klinischen Anforderungen erfüllen. Ein Problem ist es jedoch, dass nicht genügend Pathologen auf dem Gebiet der Fetalpathologie spezialisiert sind. Das trifft nicht nur für Deutschland zu, sondern das ist mehr oder weniger eine weltweite Situation. Ein möglicher Lösungsansatz dieses Problems wäre die Nutzung von Softwareprogrammen, die dazu dienen, unerfahrene Pathologen moderne Anleitungen während der Autopsie von Feten zu geben. Das kann mit einer telepathologischen Betreung durch einen Experten auf diesem Gebiet kombiniert werden. Darüberhinaus erlaubt die derzeitige digitalisierte Befunddokumentation den Vergleich aktueller mit gespeicherten Fällen sowie Recherchen und stellt eine gute Basis zur Erstellung von Lehrmaterial dar.Due to the enormous technical developments in recent years in the area of prenatal ultrasound more malformations are detected in greater detail and at an earlier point in time during pregnancy than in the past. As a result, fetuses of increasingly smaller size and with complex diagnoses are presented for autopsy. At the same time, the genetic causes of ever more diseases, malformations and syndromes are being discovered, so that DNA diagnostics, chromosome analysis and, among others, molecular-genetic and biochemical investigations have come increasingly to complement clinical-genetic diagnostics. Through establishment of a clinically oriented autopsy strategy and the use of modern communication media, pathologists can satisfy the increased clinical demands of recent years. The remaining problem is that we do not have enough pathologists experienced in fetal pathology. This is not only true for Germany, it is more less the situation worldwide. One means of dealing with this problem may be the use of software programs to guide inexperienced pathologists through the modern autopsy procedure. This can be combined with the use of telepathological advise given by an expert in the field. Over and above this, digitized documentation of findings can be used in research, which allows the comparison of current with previously saved cases and presents a good basis for the development of education material.
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Mauger, Cyrielle Tamzali Youssef. "Etude rétrospective de la rhodococcose à partir d'une population de 1617 poulains autopsiés au laboratoire d'études et de recherches en pathologie équine (Afssa-dozule) de 1986 à 2006." [S.l.] : [s.n.], 2009. http://oatao.univ-toulouse.fr/3048/1/hartmann_3048.pdf.
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Wehmeyer, Sven-Eric [Verfasser], Jörg [Akademischer Betreuer] Drews, and Manfred [Akademischer Betreuer] Smuda. "Monströse Bilder: Autopsie der Horror-Kunst / Sven-Eric Wehmeyer ; Jörg Drews, Manfred Smuda." Bielefeld : Universitätsbibliothek Bielefeld, 2017. http://d-nb.info/1145132596/34.
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Werlang, Blanca Susana Guevara. "Proposta de uma entrevista semi-estruturada para autopsia psicologica em casos de suicidio." [s.n.], 2000. http://repositorio.unicamp.br/jspui/handle/REPOSIP/311440.
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Orientador: Neury Jose BotegaTese (doutorado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas
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Resumo: Pela literatura, sabe-se que a avaliação retrospectiva parece ser uma maneira científica de colher dados. Nos casos em que é necessário investigar o modo de morte, a avaliação retrospectiva costuma ser denominada autópsia psicológica, realizando a coleta de dados necessários através de entrevistas com pessoas que conheciam a vítima. Os pontos chaves de uma autópsia psicológica para casos de suicídio são: precipitadores e/ou estressores, motivação, letalidade e intencionalidade. Os autores, ainda que salientem a importância da experiência clinica para autópsia psicológica, não mencionam estratégias definidas, mas tão somente algumas listas, sugerindo áreas ou tópicos de investigação. Um instrumento para autópsia psicológica deveria fornecer informações adequadas e suficientes para permitir um grau razoável de concordância entre avaliadores. A Entrevista Semiestruturada para Autópsia Psicológica proposta neste trabalho ficou constituída por quatro módulos para avaliação dos temas chaves associados ao suicídio. Critérios para inclusão dos sujeitos na pesquisa foram identificados através de um estudo-piloto. Para avaliar a aplicabilidade do instrumento, foi utilizada uma amostra de 42 sujeitos, de alguma forma associados com 21 casos de suicídio, sendo realizadas 25 entrevistas, gravadas em áudio e posteriormente transcritas. O material correspondente, bem como os dados do inquérito policial, foram apresentados a quatro juízes. A avaliação das informações foi realizada com o auxílio de um formulário para a tomada de decisão, em quatro módulos: precipitadores e/ou estressores, motivação, letalidade e intencionalidade. O processamento dos dados, sempre que possível, foi feito através da estatística kappa do programa STATA. Quando não foi utilizada a estatística kappa, foi examinado o percentual de concordância. Os resultados deste estudo demonstraram que: é possível usar um instrumento semi-estruturado para autópsia psicológica, em casos de suicídio; a Entrevista Semi-estruturada para Autópsia Psicológica (ESAP) para casos de suicídio, elaborada com base teórica em quatro temas chaves, é aplicável, porque fornece informações que permitem um grau marcante de concordância entre avaliadores, verificado em 120 mensurações de julgamentos de quatro juízes, isto é: a) em três módulos do esquema decisório, houve concordância entre os juízes, em grau estatisticamente significante em todos os passos, exceto em um em cada módulo, mas que não comprometeu a concordância final sobre a avaliação de precipitadores e/ou estressores, motivação e intencionalidade; b) no módulo relativo à avaliação da letalidade, houve 100,0% de concordância entre juízes; c) os julgamentos dos quatro avaliadores, nos quatro módulos, permitiu chegar à concordância final quanto ao modo de morte como suicídio
Abstract: From the literature, it is well known the retrospective evaluation seems to be a scientific way to collect data. In cases that require mode of death investigation, the retrospective evaluation is usually called psychological autopsy. Data collection has been done through interviews with people who knew the victim. The key items to a psychological autopsy for suicide cases are: precipitants and/or stressores, motivation, lethality, and intentionality. Although the authors point out the importance of the clinic experience for psychological autopsy, they do not mention definite strategies, but just some lists, suggesting areas or topics of investigation. An instrument to evaluate psychological autopsy should provide enough, and suitable information in order to allow a reasonable degree of agreement among evaluators. The Semi-Structured interview for Psychological Autopsy proposed in this paper consists of four evaluation modules to evaluate key topics associated to suicide. Criteria for choosing the subjects for the research have been identified through a pilot study. In order to evaluate the instrument applicability, a sample formed by 42 subjects related to 21 suicide cases has been used. Twenty-five (25) interviews have been tape recorded first, and then transcribed. The related material as well as the police inquiry data investigation have been presented to four judges. Evaluation of information has been carried out with the help of a four-module formulary for decision taken: precjpitants and/or stressores, motivation, lethality, and intentionality. Data processing, whenever possible, has been done through kappa statistics, from STATA software. Every time when kappa statistics was not possible to beutilized, agreement percentage has been used. The results of this study have shown that: a) it is possible to use a semi-structured instrument for psychological autopsy, in suicide cases; b) the Semi-Structured Interview for Psychological Autopsy (SSIP A) in suicide cases, theoretically based on four key topics, is applicable because it provides information containing a significant degree of agreement among evaluators, found in one hundred twenty measurements of judgements made by four judges. That is to say: a) there has been significant statistics agreement among the judges three modules of the model for decision, except in one step ftom each module, which did not interfere in the final agreement on the present evaluation; b) in the lethality evaluation module, there has been a 100% agreement among judges; c) the judgements made by four evaluators on the four modules have allowed to reach a final agreement related to suicide mode
Doutorado
Saude Mental
Doutor em Ciências Médicas
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Martinelli, Pascal. "Incidence des emboles à cholestérol chez le sujet âgé : 30 ans d'histoire et 4000 autopsies /." Genève : Médecine et Hygiène, 2006. http://www.unige.ch/cyberdocuments/theses2006/MartinelliP/these.pdf.
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Chandramohan, Daniel. "Verbal autopsies for assessing causes of adult death : development and validation of a model tool." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2002. http://researchonline.lshtm.ac.uk/682249/.
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Data on adult mortality are very limited in sub-Saharan Africa where only small proportions of deaths occur in health facilities. In such settings, ascertainment of causes of death from data obtained from relatives or associates of the deceased through interviews in surveys or longitudinal surveillance systems appears to be an attractive option. This technique, known as verbal autopsy (VA) is based on the assumption that important causes of death have distinctive symptoms and signs, and these can be recognised, remembered and reported by lay respondents, and that based on the reported information causes of death can be reached. The existing experience of VA for adult death is limited mainly to maternal deaths and the validity of VA for adult death is unknown. We developed a VA questionnaire, mortality classification system and "expert opinion" based algorithms for reaching diagnoses for adult deaths and tested their validity on deaths occurring at hospitals in Tanzania (n=315), Ethiopia (n=249) and Ghana (n=232). Hospital records of adult deaths occurring at study hospitals from June 1993 to April 1995 were collected prospectively. VA interviews were conducted by trained non-medical interviewers. Caused of death from VA data were reached by a panel of three physicians and by a computerised algorithm. The validity of VA was assessed by comparing the VA diagnoses with hospital diagnoses. Specificity of VA fell below 95% only for few common causes of adult death. Sensitivity and kappa of VA for all common causes of adult death were low and this suggests that the accuracy of VA at the individual level is low. However, the misclassification of causes of death was bi-directional and the number of false positive and false negative diagnosis for most common causes of adult death tend to be similar. Thus there was robust agreement between the true and VA estimates of cause specific mortality fractions of common causes of adult death and VA is useful for assessing cause specific mortality fractions of common causes of adult death.
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Remy, Paul. "50 autopsias de crisis ¿Por qué el manejo mata más que el problema? [Capitulo 1]." Universidad Peruana de Ciencias Aplicadas (UPC), 2018. http://hdl.handle.net/10757/623763.
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La publicación analiza cincuenta episodios en los que el manejo de crisis afectó la reputación y constitución de diversas compañías e instituciones. El autor de este libro propone este análisis para explicar los aciertos y errores manejados que pueden tener, en algunos casos un desenlace positivo y en otros uno negativo, debido a cómo se manejó la crisis. Bajo enorme presión, tiempo en contra e información muchas veces confusa e insuficiente, la comprensión de los problemas y la toma de decisiones en escenarios de crisis demandan una especial capacidad de liderazgo. 50 autopsias de crisis es un libro indispensable para quienes desempeñan posiciones de máxima responsabilidad en organizaciones y también para miembros de sus equipos de comunicaciones, administración, operaciones, logística, recursos humanos, legal o seguridad.
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Menenteau, Sandra Chauvaud Frédéric. "Dans les coulisses de l'autopsie judiciaire cadres, contraintes et conditions de l'expertise cadavérique dans la France du XIXe siècle /." [Poitiers] : [I-médias], 2009. http://theses.edel.univ-poitiers.fr/theses/2009/Menenteau-Sandra/2009-Menenteau-Sandra-These.pdf.
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FOREST, FREDERIC. "Evaluation de la qualite des soins d'un service de reanimation par l'autopsie." Lyon 1, 1991. http://www.theses.fr/1991LYO1M401.
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PINEAU, JEAN-CHRISTOPHE. "Cultures in vitro de cellules epitheliales bronchiques humaines a partir de prelevements tracheo-bronchiques post-mortem : aspects techniques et medico-legaux." Lyon 1, 1994. http://www.theses.fr/1994LYO1M282.
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Díaz, Ayala Nataly Tamara. "Hallazgos Post-Mortem en mamíferos y aves silvestres provenientes de un zoológico de la Región Metropolitana." Tesis, Universidad de Chile, 2014. http://repositorio.uchile.cl/handle/2250/143085.
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Memoria para optar al Título Profesional de Médico VeterinarioLos análisis post-mortem en parques zoológicos, son cada vez más solicitados e incluidos dentro de sus protocolos de rutina. Sin embargo, los zoológicos chilenos aun no incluyen la realización de necropsias y análisis histopatológico a todos los animales que mueren dentro de sus instalaciones. Es por ello, que el presente estudio sometió a todos los animales muertos del Zoológico Buin Zoo a dichos análisis durante un periodo de cinco meses para identificar y describir procesos patológicos, con el fin de clasificarlos y tratar de determinar las causas de muerte. Esto resultó en 41 animales estudiados, 15 aves y 26 mamíferos, de los cuales un 51% de las lesiones descritas fueron atribuidas a procesos infecciosos, mientras un 32% a causas no infecciosas y un 17% a causas no determinadas. La aproximación a las causas de muerte del 83% de los casos, indica que los análisis patológicos deben ser incluidos dentro del protocolo sanitario de rutina del parque zoológico. No obstante, se deben considerar otras técnicas diagnósticas complementarias para establecer el diagnóstico definitivo, fundamentalmente en aquellos casos asociados a agentes infecciosos que podrían perjudicar gravemente a la colección del zoológico. Finalmente, es importante establecer protocolos de acción frente al deceso de un animal y adquirir la infraestructura necesaria, para que procesos como la autolisis no dificulten la necropsia ni el análisis histopatológico.
The request of post mortem analyses in zoological parks is currently increasing and included in their protocols of routine. However, the Chilean zoos don’t perform necropsies and histopathological examination to all animals that die inside their facilities. For that reason, the present study included all dead animals of the Buin Zoo for post mortem analyses for a period of five months, in order to identify and to describe pathological processes, and also to classify and try to determine the cause of death. Forty one animals were analyzed, which included 15 birds and 26 mammals. Fifty one percent of the described injuries were attributed to infectious processes, while the 32% to causes not infectious and the 17% were attributed to reasons not determined. The cause of death was determined in 83% of the cases, which indicates that post mortem analyses should be included in the sanitary protocol of the park. Nevertheless, additional diagnostic tests should be considered to establish the final diagnosis, mainly in those cases associated with diagnostic etiologies. Finally, it is important to establish the action protocols to confront the death of an animal and also consider appropriate infrastructure, so autolysis does not preclude the necropsy and histopathologic analysis.
Financiamiento: Zoológico Buin Zoo
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Leon, Jorge Esquiche. "A glandula submandibular na sindrome de imunodeficiencia adquirida : analise anatomopatologica de 103 casos de autopsia." [s.n.], 2004. http://repositorio.unicamp.br/jspui/handle/REPOSIP/288425.
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Orientador: Pablo Agustin VargasDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba
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Dedieu, François. "La sécurité civile dans la tempête : autopsie organisationnelle de la catastrophe du 27 décembre 1999." Paris, Institut d'études politiques, 2007. http://www.theses.fr/2007IEPP0050.
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À travers l’étude de deux dispositifs organisés de sécurité civile, la vigilance météorologique et l’organisation des secours ORSEC, la thèse se propose de comprendre les mécanismes organisationnels qui correspondent aux deux caractéristiques ontologiques d’une catastrophe : son imprévisibilité et la rupture brutale du temps ordinaire. Le cas de la tempête du 27 décembre 1999 qui a ravagé le Sud de la France, offre un cas d’étude exemplaire puisque la catastrophe a semblé surgir par surprise et l’ampleur de ses dégâts a donné lieu à une importante crise post-accidentelle (coupure généralisée d’électricité, secours à personne, etc. ). La thèse est construite autour de deux problématiques : d’une part, il s’agit de comprendre pourquoi, dans cet épisode le phénomène n’a pu être anticipé et, d’autre part, comment les secours agissent dans une situation de crise post-accidentelle à laquelle ils ne sont pas préparés. Dans une première partie, nous avons montré que si l’alerte avait été ignorée au cours de cet épisode ce n’est pas parce qu’il s’agissait ni véritablement d’un risque « peu probable », ni même d’un dysfonctionnement de la procédure d’alerte, mais d’une catégorie particulière de risque que nous avons qualifié de « scélérat ». Il s’agit d’un danger dissimulé sous une apparence normale qui laisse croire aux acteurs qu’ils ne courent aucun danger même lorsqu’ils sont avertis. Dans une seconde partie, et contrairement aux approches traditionnelles en sciences sociales sur les situations de crises, nous avons choisi de nous intéresser aux ressorts de la dynamique d’action collective qui s’instaure dans ces situations de déstabilisation. Nos résultats montrent que la dynamique d’organisation des secours suit un processus dit « de collision sectoriel désordonné » qui se définit comme une tension entre, d’une part, une désectorisation exogène provoquée par les dégâts de la catastrophe et, d’autre part, une re-sectorisation endogène puisque les secours ont tendance à reproduire, dans l’action, les frontières sectorielles ordinairesOur PhD dissertation examines, at the organizational level, the reasons for which a natural catastrophe is unpredictable and how it causes a major break with an ordinary time period. We study the case of the storm known as “Martin” which hit the southern part of France on the 27th of December, 1999. Our study examines two issues : first, the meteorological alarm; Second, the organization of the rescue during the crisis. More specifically, we wanted to understand how the rescue could be coordinated in a situation without preparation. The first part of our dissertation shows that it was really neither an "unlikely" risk, or even a dysfunction of the procedure of alert, but it was a particular category of risk which we qualified as "traitorous": it is a danger hidden under a normal appearance which makes the actors believe, even when they are informed, that they there is no dangerous risk at hand. More broadly, in this case, normal appearance resisted two alert attempts. In the second part, we study the rescue organization during the crisis. More specifically, we focus on the dynamics of collective action in this situation of disturbance. In order to do so, we examine the modes of coordination at work in the actions of the relief services as set by the ORSEC rescue organization which is a a part of the French national plan. To seize these dynamics and which links crises to an effect of desectorization. Indeed, in the ORSEC plan, most actors, ordinarily autonomous entities (the army, the French national railway, the fire departments etc), found themselves united within the same areas of intervention
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Osores, Rodríguez Jaime Arturo. "Autopsia psicológica en suicidas por la modalidad de ahorcamiento en la Morgue Central de Lima." Bachelor's thesis, Universidad Nacional Mayor de San Marcos, 2006. https://hdl.handle.net/20.500.12672/15907.
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El suicidio es un problema de Salud Pública relevante en el mundo y causa creciente de mortalidad sobretodo en la población joven, siendo necesario conocer la personalidad del suicidado, mediante la autopsia psicológica que permitirá reconstruir su perfil psicológico y el estado mental antes del deceso. El presente estudio busca comprobar los resultados de la autopsia psicológica aplicada en suicidas con muerte violenta por ahorcamiento, para identificar el perfil psicológico, estado mental y causas que propiciaron o precipitaron el suicidio. El estudio fue de tipo cualitativo, retrospectivo, de interrogación y descriptivo, con la evaluación de las características de 112 casos de suicidio por ahorcamiento, informado en el año 2005 por la División de Exámenes Tanatológicos Forenses del Instituto de Medicina Legal de la Morgue Central de Lima. De este análisis se obtuvo que los menores de 30 años constituyen la población de mayor riesgo suicida, con mayor incidencia en solteros. A su vez, la ausencia de vínculo laboral y problema de vivienda se encuentran asociados al suicidio. El consumo de alcohol o drogas, también fueron factores asociados al suicidio. Por estas razones el perfil psicológico del suicida estuvo identificado por ser personas que se sentían descontentos e insatisfechos, mentían siempre, gustaba de estar solo o aislado, estuvo en peleas o presentó embriaguez constante. Asimismo, casi todos los suicidas emitieron señales de avisos acerca de su decisión de auto eliminarse. Por ello se concluye en que la autopsia psicológica se mostró como una herramienta útil y eficaz.
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Puech, Isabelle. "Tumeurs du fœtus et du nouveau-né : à propos d'une série autopsique de 23 cas." Bordeaux 2, 2000. http://www.theses.fr/2000BOR23027.
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Lira, Véliz Rosario. "Validez del indicador por diatomeas en muerte por asfixia de sumersión vital y por sumersión pasiva post morten." Bachelor's thesis, Universidad Nacional Mayor de San Marcos, 2014. https://hdl.handle.net/20.500.12672/8974.
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Publicación a texto completo no autorizada por el autorDetermina la validez del indicador diatomeas como prueba diagnóstica para diferenciar la muerte por asfixia de sumersión vital de la muerte por sumersión pasiva post morten; en cadáveres necropsiados en la Morgue Central de Lima durante el período 2008 al 2013. El tipo de estudio es observacional, descriptivo, analítico-comparativo. La muestra de estudio abarca 60 de 70 informes periciales de necropsia médico legal y muestra 60 de 70 informes periciales de biología forense donde se realiza toma de muestra para diatomeas; los 10 restantes son considerados no válidos por presentar datos incompletos. A la revisión de 50 resultados de exámenes de diatomeas en cadáveres necropsiados por asfixia de sumersión vital, se encuentran 35 exámenes de diatomeas con resultados positivos que hacen un 70% del total y 15 exámenes de diatomeas con resultados negativos que hacen un 30% del total. Las diatomeas se localizan con mayor frecuencia en pulmones e hígado con 15 (42.86%) de 35 necropsias por asfixia de sumersión vital con examen de diatomeas positivo. A la revisión de 10 resultados de exámenes de diatomeas en cadáveres necropsiados por sumersión pasiva post morten, se encuentran 7 exámenes de diatomeas con resultados positivos que hacen un 70% del total y 3 exámenes de diatomeas con resultados negativos que hacen un 30% del total. Las diatomeas se localizan con mayor frecuencia en pulmones con 7 (100%) de 7 necropsias por sumersión pasiva post morten con examen de diatomeas positivo. Para determinar la validez del indicador diatomeas se evalúa la sensibilidad que da un resultado de 70%, una especificidad de 30%, valor predictivo positivo de 85% y valor predictivo negativo de 15%. Concluye que el indicador diatomeas es válido como prueba diagnóstica para diferenciar la muerte por asfixia de sumersión vital de la muerte por sumersión pasiva post morten.
Trabajo académico
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Barreto, Ivana Cristina de Holanda Cunha. "Utilização de autópsias verbais na investigação da causa básica de óbito de crianças menores de um ano de idade em três municípios do Ceará." reponame:Repositório Institucional da UFC, 1997. http://www.repositorio.ufc.br/handle/riufc/4594.
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BARRETO, Ivana Cristina de Holanda Cunha. Utilização de autópsias verbais na investigação da causa básica de óbito de crianças menores de um ano de idade em três municipios do Ceará. 1997. 71 f. Dissertação (Mestrado em Saúde Pública) - Universidade Federal do Ceará. Faculdade de Medicina, Fortaleza, 1997.Submitted by denise santos (denise.santos@ufc.br) on 2013-02-22T13:23:06Z No. of bitstreams: 1 1997_dis_ichcbarreto.pdf: 395141 bytes, checksum: 6a9b479fc4eb30c203ffbdc294fc0755 (MD5)
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This study, was done in three municipalities of Ceará with Primary Health services funcioning at least four years. It was investigated with an epidemiological instrument, the verbal autopsy (VA), 215 deaths of children less one year of age, 90% of total identificated deaths from january, 1993 to dezember 1994. It was investigated social and economicas caratheristics, care with the children, nutricional status, basic cause of death. It was investigated too, the funcioning of Mortality Information Sistem (SIM), the Information Sistem of Comunitary Health Workers (CHW) Sistem and the sickness-assistance and death process. The basic cause of the investigated deaths by the VA was diarrhoea (39,1%), prematurity (17,2%) and acute respiratory infection (ARI), 10,2%. About the sickness-assistance and death process, 49,5% of the children died at home, however 79% of the families have had search for health services during the children sickness. This indicates low efectivity in identification and treatment of sick infants. The families search for popular healers in 84% of cases. The CHW was searched for 29% families, however have had notificated 78% of investigated deaths, showing the necessity of better training. The statistical concordance between information of CHW and VA about basic cause of death was good to diarrhoea, regular to other cases, and low to ARI. In the discussion is related actions of health workers of three municipalities based on the information of VA to reduce infant mortality. The study concluded that the investigation of infant deaths with an instrument of VA can be incorporated to the routine of Health Primary Services of Ceará.
No presente estudo, realizado em três municípios do interior do Ceará com boa cobertura de serviços de Atenção Primária à Saúde (APS), foram investigados através de um instrumento epidemiológico denominado Autópsia Verbal (AV), 215 óbitos de crianças menores de um ano de idade, representando 90% do total identificado num período de dois anos - 1993/1994. Foram averiguadas as características sócio-econômicas, cuidados e higiene, estado nutricional, o processo de doença-assistência-morte, a causa básica do óbito, o funcionamento do Sistema de Informação sobre Mortalidade e do Sistema de Informação dos Agentes de Saúde (AS). Dentre os óbitos investigados, 39,1% tiveram como causa básica diarréia, seguida da Prematuridade que representou 17,2% dos casos e Infecção Respiratória Aguda (IRA) - 10,2%. Quanto ao processo doença-assistência-morte, destaca-se que 49,5% das crianças morreram no domicílio, embora 79% das famílias tenham procurado os serviços de saúde no decorrer da doença fatal, sugerindo uma baixa efetividade na identificação e no tratamento de lactentes com doenças graves. Em 84% dos casos, a família procurou a rezadeira. Os AS foram procurados em 29% dos casos, embora tenham notificado 78% dos óbitos investigados, chamando atenção para a necessidade destes profissionais serem melhor treinados para intervir nestes casos. A concordância estatística do diagnóstico dos AS para causa básica do óbito em relação ao da AV foi boa para diarréia, regular para outras causas, e fraca para IRA. Na discussão são relatadas iniciativas tomadas pelas equipes de saúde dos três municípios com base nas informações obtidas pelas AV com o objetivo de evitar novas mortes. O Estudo conclui que a investigação de óbitos com instrumento de AV pode ser incorporada à rotina dos serviços de APS do Estado, propiciando informações valiosas para as equipes locais de saúde e gerando uma consciência crítica que favorece a redução da mortalidade infantil.
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Hofman, Paul. "Les lésions anatomo-pathologiques observées au niveau du cœur chez le sujet VIH positif : étude anatomoclinique à propos de 25 cas autopsiques et revue de la littérature." Nice, 1989. http://www.theses.fr/1989NICE6008.
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