The paper presents some considerations about medical waste management in private medical facilities which are considered to be small generators of such waste. The regulations are also applicable in these facilities and the management must develop strategic plans for minimizing the amount of medical waste. Some examples are revealed and a statistical analysis is conducted in order to reveal the efficiency of the medical waste management system. A forecast of hazardous medical waste is determined using the moving average method.
The study aimed to determine the influence of the levels of education among people that committed suicide by the use of chemical substances. Data were collected from 2 groups of subjects investigated at the Institute of Legal Medicine in Cluj-Napoca, between January 2012 and December 2016. The first group consisted of 20 deceased persons that committed suicide by chemical substances and the second group consisted of 13 persons that attempted suicide by chemical substances. We investigated the following data: gender, age and type of toxic substance, level of education, field of study, existence of mental illness or other attempts. Age was statistically significantly higher in successful suicides versus suicides attempts. The rest of the variables did not differ statistically significantly between groups, although a higher percentage of subjects with psychiatric illness were observed in the completed suicides group. Also, a higher percentage of subjects who attempted to commit suicide with combination of alcohol and other chemical substances were observed, without achieving statistical significance. We also analyzed the differences within the group with completed suicide subjects from the point of view of their studies. Although we did not get a statistical significance because of the low number of subjects, there were a few associations that slightly exceeded the statistical significance threshold. Thus, those without higher education have used alcohol more frequently in combination with medication, and those with higher education have preferred medication alone. The obtained results may have implications for the targeted prevention of suicides by chemical substances.
An aortoenteric fistula is an open link between the aorta and a portion of the gastrointestinal tract. Aortoenteric fistulas (AEFs) are rare clinical entities that result in fatal exsanguination if undiagnosed. They are in the majority of cases the result of erosion of the bowel wall, caused by abdominal aortic aneurysm, and mostly involve the third portion of the duodenum. Most cases of AEF occur in middle-aged or elderly patients. We report the case of 83-year-old woman, who had suffered a surgical intervention for a gastric ulcer, and died 3 days later, in the hospital. At the autopsy we discovered an aortoduodenal communication due to a penetrating atherosclerotic ulcer into the duodenum. This resulted into acute enteral hemorrhage with consequent death.
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