FORENSICS

Author: AYALA ESPINOSA GABRIEL.
Year: 2003.
University: MIGUEL HERNÁNDEZ DE ELCHE [More theses of this university] [www.umh.es].
Place of defense: MEDICINA.

Summary: Objectives To determine the actual incidence of suicide consummated in the game judicial Saint Vincent from 1990 to 2001. Analyzing selected variables: gender, age, marital status, machinery, instead of suicide, municipality where held, the year of suicide, previous attempts, left documents in all cases of suicide consummated. To test the hypothesis linking 9 variables with each other to establish statistically significant correlations. METHODOLOGY are studied 92 sucididios consummated from the information available in the judicial files. We analyze the relationship between these variables. Due to the sampling method in data collection and this is a cross-sectional study we have the hypothesis of independence of the variables two to two. Results The overall rate of suicide obtained 10.45 / 100,000 inhabitants and year, is significantly higher than the officially reported, not only in Alicante but capital and the provinces of Valencia, and those obtained in the various judicial districts province of Alicante. CONCLUSIONS There are statistically significant differences, then it has been eliminated the possible effect of random, the following variables: age and gender, gender and machinery, gender and place of the facts, and previous attempts gender, gender and documents; age and marital status; marital status and year: mechanism and place of sucidio and previous attempts. It describes some characteristics of the profiles sucidas according to the results of our study as to each variable. We believe the data and the forensic study of the pre-judged the precise source for the study of statistics on suicide consummated in Spain. KEYWORDS Suicide consummated. Risk Factors. Epidemiology. Measures prior court.

Author: ALI EL LAMEY HASHAD AHMED.
Year: 2003.
University: COMPLUTENSE DE MADRID [More theses of this university] [www.ucm.es].
Place of defense: FACULTAD DE FILOLOGÍA.
Place of preparation: FACULTAD DE FILOLOGÍA.

Summary: The artistic career josé Luis Alonso Santos represents the beginning of modern Spanish theater in the last quarter of the twentieth century or more accurately, the "Theater of the transition." New theatrical trends and the problems of social drama that has occurred in recent decades of Franco to the transition, not only represent an indispensable tool to understand and embrace both the current tragic fact, the staging, or the development of the cultural activity of theatrical movement that emerged at root of Franco but we take the years that saw the evolution and impact of new theatrical as theater or independent theater alternative "social" and "artistic" one of the most exciting times of transformation the Spanish society. In Part One of our thesis, it has sought to connect all proposals both ideological and artistic through the examination of trends, the author and the problem of social theater until well into the final stage Franco when he begins to emerge a realistic new trend which, in turn tried to renew the theater Spanish creating other popular theater to attract new públicos.Por Furthermore, the power to adopt new formulas and new methods offered a vision, ocn a social dimension other than where its importance is to update and revitalize the social problems budgets ideological and social time. In Part Two, through the classification of the works, analysis dramatúrgico both works reprentativas as dramatic important aspect in the theater of the author, we were able to focus their "social vision." Vision or perspective figuara as one category very characteristic of the reception teatral.Su approach involves restituirla the aesthetic universe since the topology of the dramatic perspective, leads to the possibility of introducing a viewpoint by identifying receptor with the characters and therefore, with the facts objetico main therefore the study has been to combine some routes theoretical approach, we practice and both sides, ie combine socilogía with semiológia, wave theory and practice in both seemed an area suitable for conducting our perspective, This thesis is a detailed and careful study, which not only focuses on the social vision from a theoretical and practical parameters, but empirically corroborates the topics usually broadcast on the theater of José Luis Alonso de Saints.

Author: NICOLAS GARCÍA AMPARO.
Year: 2003.
University: MURCIA [More theses of this university] [www.um.es].
Place of defense: FACULTAD DE MEDICINA.
Place of preparation: FACULTAD DE MEDICINA.

Summary: INTRODUCTION The Primary Care, is the gateway to the central National Health System, bringing as close to health care to where people live and work. At this level of care which meets the demand of patients regardless of age, sex or diagnosis, those older than 65 years represent a significant percentage. With regard to these two adjectives provides basic care provides a conducive to long life and well-being to ensure that happens a dignified death at home. Given the closeness, trust and accessibility that characterizes the physician-patient relationship in Primary Care we can bring this environment as the appropriate forum to deal with issues that are not the usual care can be of great importance to our patients, as the various aspects collected by law 41/2002. The patient rights historically fall in the prices of personal rights and the exaltation of the dignity of the person, the entry into force of Law 41/2002 of 14 November, basic regulatory autonomy of the patient and rights and obligations in the field of information and documentation clinic, has clarified some issues not specified in the application of the General Law on Health. The right to health information, privacy, the prior informed consent and instructions. Just as rights relating to medical history, to report high and other documentation clinic, are widely developed in such a regulatory framework. OBJECTIVES 1-Analyzing content knowledge of the Law 41/2002, in terms of rights and obligations arising therefrom, in a sample of patients from different age profile and greater than or equal to 65 years, drawn from different Centers Health of the Region of Murcia. 2-Establish proposals to allow the necessary changes in the performance to achieve a more effective enforcement of the rights granted to patients. MATERIALS AND METHODS cross-sectional study, Descriptive, and Retrospective Observed using the questionnaire with open and closed questions, previously validated. The study population comprised the total patients over 65 with health insurance card Social Security (N = 178,364) in the region in January 2003. The sample calculated to be a number of 384 patients, and was distributed proportionally between the different areas of Health in the region, in order to obtain the same, we used estimates of parameters for people with a finite Epsilon (euro)% ( Maximum acceptable inaccuracy) of a 5% with a Q1% (initial estimate) of 50% and a confidence level of 95%. The statistical analysis of the data obtained, we use the package SPSS 10.0 and programs implemented were: Analysis Univariante or simple frequency distribution and Analysis Bivariante or association between variables. RESULTS AND DISCUSSION The sample consists of 156 men (40.6%) and 228 women (59.4%). The average age has been 72.28 +-0.28 years (SD 5.50), having a range of ages between 65 and 90 years. RESULTS AND DISCUSSION The sample consists of 156 men (40.6%) and 228 women (59.4%). The average age has been 72.25 +-0.28 years (SD 5.50), having a range of ages between 65 and 90 years. Between 34.1% and 44% of patients surveyed have expressed an intention to complete a friendly paper instructions, with the highest percentage (44%) to citizens at the end of life and the lowest (34, 1 8%) to c13 stino body after death. In various works can be seen that people older than 65 years are less likely to use such documents. We have shown that the increase in admissions to the center of Health by patients not translated into greater awareness of the existence of paper instructions, or a greater intention to formulate. Although most patients know the environmental obligation to explain your disease, 15.4% believed that the doctor has no obligation to explain its common illnesses (influenza, ETS ..), that percentage rises to 22.4% this is serious illnesses (cancer â |). Thus, we see the roots in our society's privileged treatment: patients feel that their doctor they can hide certain information if he sees fit, or paternalism, thus avoiding the patient's suffering. The 95.3% of the respondents wish to inform their families about their common diseases, a percentage that is declining when we refer to serious diseases (82.3%) and even more when we talk about the intimate sphere (illness related drink, sexually transmitted associated with virility, etc..). It is noted as the patient gives greater importance to their right to privacy as to extend the information to their families. CONCLUSIONS 1-In the test population, the assumption is very paternalistic model of the relationship of care, in which the patient takes leave the decision-making process in the hands of health care professionals. Greater awareness of the rights of patients and a better quality of information provided by health professionals help a more equitable and based on the principle of autonomy. 2, the sample-collecting a desire to extend the entitlement to information with the families, who remain in them in the patient entrusted with the decision-making in situations of impossibility. However, the level of confidence decreases when the information relates to aspects relating to the intimate area of the patient. 3 - The increase in patronage by patients to the health center, do not translate into a greater understanding of the Document Institutions Pre or a greater interest in its completion.

Author: UROZ MARTÍNEZ M. VICTORIA.
Year: 2004.
University: COMPLUTENSE DE MADRID [More theses of this university] [www.ucm.es].
Place of defense: FACULTAD DE MEDICINA.
Place of preparation: UNIVERSIDAD COMPLUTENSE DE MADRID.

Summary: This dissertation examines the neurotoxicity and affectation glial astrocitaria (rat brain) induced in vitro three heavy metals (methyl mercury, cadmium and chromium) using biomarkers. This is a brief summary of the current status of these metals and is a situational analysis of existing legislation regarding these three metals so far. This dissertation work have resulted in the following findings: * Methylmercury presents a DI50 of 5 x 10-6M, observandose alterations in neuronal synapses and neuronal body, the latter to concentration 10-5M. * Cadmium presents a DI50 of 3.7153 x 10-6M, with severe disruption of the sprolongaciones neural concentrations of 10-6M. * The chromium presents a DI50 of 5.3383 x 10-6M, appreciate further destruction of somas neural than methylmercury and cadmium. * The methyl mercury, cadmium and chromium produced a decrease in the number of neurons acetylcholinesterase positive compared to the control culture, most notably in the case of methylmercury. * Methylmercury presents a DI50 1.4588 x 10-5M in rat astrocytes. * Cadmium presents an LD50 3729 x 10-5M in rat astrocytes. * The chromium presents a DI50 2.4575 x 10-5M in rat astrocytes. * Protein gliofribrilar acid is a marker of high specificity, which serves as a suitable indicator to detect processes gliosis, producièndose in all three metals studied this protein increased in all cells in the nervous tissue of crops, compared with crops untreated controls, this being particularly evident in the CD, followed by Cr and MeHg. * The maximum permitted levels for methyl mercury, cadmium and chromium in the Spanish and European legislation must review and suggested the decline in the level of hexavalent chromium.

Author: CRESPO ALONSO SANTIAGO.
Year: 2004.
University: AUTÓNOMA DE BARCELONA [More theses of this university] [www.uab.es].
Place of defense: FACULTAD DE MEDICINA.
Place of preparation: ESCUELA DE POSTGRADO.

Summary: We analyzed 10,151 documents in the Registry Office in the city of Sabadell. These documents consist of Certified Medical Death and model MNP-52 from the National Institute of Statistics for violent deaths. We studied the causes of death in the types of natural death, violent and natural justice. All entries were divided into two periods, one prior to the entry of forensic doctors in the discharge of the functions of the medical registry civil 1989-1992 and another after that inning, 1996-1997. A study descriptive statistical and analytical. The conclusions reached were that: * There are certificates where no records the cause of death in sections of root and proximate cause. * We have revealed the existence of deaths were certified as natural causes when in reality deaths were susceptible autopsy court considered violent deaths. * The medical care and the medical examiner, conducted an autopsy even legal, medical terminology used sometimes unclear or does not identify the cause of death. * One of the commonly used diagnostic has been to stop cardiorespiratory, mainly in the period 1989-1992. There is almost nothing following the intervention of forensic doctors at the Civil Registry (period 1996-1997). * The involvement of the forensic doctors in the control of Death Certificates has meant declining terminology misleading, inaccurate quality Medical Certificate of Death. * It has been shown that the model printed by the National Statistical Institute (MNP-52) for deaths of judicial intervention, developed in the wake of data from the autopsy court, there are inaccuracies. * In our study in the primary etiology medico legal death was accidental and within this traffic accidents. * The main victims in traffic accidents are drivers followed by pedestrians. * The main mechanisms of death in the etiology medical suicidal, precipitation followed by hanging. * The knives are the most frequently used to commit homicides. * There is a change in the trend of the place of death from home to hospital. * Causes of death in the natural death did not show significant differences when compared to cases from other sources of information. Our final proposal is the removal of sections of root and proximate cause of the Doctors of Death Certificates, being replaced by the legend of natural causes.

Author: SÁEZ RODRÍGUEZ JOSÉ.
Year: 2004.
University: CÓRDOBA [More theses of this university] [www.uco.es].
Place of defense: FACULTAD.
Place of preparation: FACULTAD DE MEDICINA.

Summary: Suicide has its origins in the roots of humanity, has been found in all cultures and eras, not having outdated over time. The frequency of the same means that the WHO deems as a danger to public health, it has become necessary to prevent it requires studies showing the risk variables that promote suicide prevention. With this work claimed to be twofold: a) First, conduct a forensic study of suicide in general, analyzing the evolution of the work done on the subject from different optical (sociology, psychiatry, statistics, etc.) b) Furthermore, there has been a estudiio retrospective in the incidence of this phenomenon in the Match Judicial Priego de Cordoba during the period of 30 years (1960-1989), which were found 147 suicides in which there has been analyzing a series of dependent variables of affiliation (gender, age, marital status and occupation), history (presence or absence of disease and type) and the fact suicidal (mechanism, the core population in which suicide run, when that has occurred, season, month, day of week and time) with the purpose of obtaining an epidemiological pattern of suicide. Later there has been a statistical survey with a dual purpose: eln initially ascertain whether the distribution of suicides has taken place in each of these variables according to a theoretical pattern. In a second time has been exploring a possible relationship between the different variables with each other. The profile of suicide arising from our study would read: male between 50 and 59 years old, married, farmer, used as a means to the ahorcadura, mainly in the months calidoas, between 8 and 16 hours. On the other laso has been found high incidence of suicides in the District Judicial Priego de Cordoba: three times the national average (3,18,1) is more than twice that achieved in the province of Cordoba (1,76:1 ).

Author: LLORET LARREA MAXIMILIANO R.
Year: 2004.
University: MIGUEL HERNÁNDEZ DE ELCHE [More theses of this university] [www.umh.es].
Place of defense: FACULTAD DE MEDICINA.
Place of preparation: FACULTAD DE MEDICINA.

Summary: Deaths Medical statutory interest in the last third of the nineteenth century in the Municipality of Pozohondo (Albacete). It has studied the causes of death occurred in Pozohondo during the past 27 years of the nineteenth century, and the deaths of priority interest Médico, with the aim of conover aspects medico-legales, and to obtain data on the situation meclico - social and hygiene. There are similar studies in the provinces of Alicante and Lleida, but was unaware of this type of work in Castilla-La Mancha. The study was conducted from 2993 Record of Death given by valid, in the Civil Registry, from March 1874 until December 1900. The. Data from the study parameters (sex, age, marital status, time and month of death, cause of death number of births and deaths) have been distributed in proporciones.En analysis of the deaths of Interest Medico have been included, in addition to the parameters previously descritoso,. machinery and etiogía of muerrte, practice autopsy, the report médiúo and endorsements extras. It outlines the results of lamuertes natural, in which there is a higher proportion discreetly in males; that minors b years represenrón more than 50% of all deaths that unmarried upuesieron for 68% of all deaths that the largest number of successes were accounted for between 8 and 15 hours in July and August were the months with the greatest number and that gastroenteritis, respiratory diseases, diarrhea and diphtheria were the main causes. The rate of infant mortality stood above 250 and the Natural growth was negative during these 27 years. We present data from 34 deaths interest Médico meant that the 1.14% of total deaths being 23.5% female and 76.5% male with a more extensive distribution in those older than 70 years, followed by groups of 1-10 and 31-40 years. The mechanism nuerte firearm represent the 38% etiology was accidentally introduced between 30 and 44% of cases. We compare the results with similar work in other towns in Alicante and Lerida, finding similarities in the percentages and distribution deaths Médico-Legales and suspicious, and its etiology is not well in the number of autopsies performed worse over our study, nor the high mortality firearms conditioned by the context of our military population in this period. The findings show the highest incidence of deaths in males remain the largest group of older, representing the most frequent mechanism firearms and being the most common etiology the accident.

Author: PONCE LORENZO FRANCISCO.
Year: 2004.
University: MIGUEL HERNÁNDEZ DE ELCHE [More theses of this university] [www.umh.es].
Place of defense: FACULTAD DE MEDICINA.
Place of preparation: FACULTAD DE MEDICINA.

Summary: Objectives: Cuantificarla average incidenciade suicidioen City Alicanteentre 1995 and 2000 Ycompararla with its surroundings. Valuing the incidenciaen risk suicidiodel sex, age and state civil.Estudiar what are the mechanisms suicidiomás frequent, and if there are differences in the same among men and mujeresValorar the relationship quality of the day and incidenciade suicidioy establish what most frequent consummation of the act of suicide. Methodology: The material utilizadose obtained from the informaciónextraída of cases brought by deaths etiologíamédico-legal suicide embodied in the Courts of Instrucciónde Alicante, which took place between the years 1995 and 2000 both inclusive.Se realizaronun total 1078 autopsies judicialesde the which, 150 cases were etiology médico-Iegalsuicida. Each case was examined to extract the data of interest to this study. For the study categorical variables were utilizóla proprorcióno percentage of each category. For the relationship between these variables, the Chi-square test Pearson. When this was not applicable utilizóla Fisher's exact test. When the independent variable was categorical ordinaly the dichotomous dependent is utilizóla proof linear trend of Mantel-Haenszely proof Mann-Whitney.Se considered significant p less than 0.05. The significaciónclínicade results were studied with measures of risk and association; incidenciaacumulada, incidence rate, relative risk, risk difference or risk atribuiblee intervalosde confidence. We used the stratified analysis, utilizandocomo far significaciónla Ji-s.corede Mantel-Haeenszel and as a measure of association risk relativoy risk difference Mantel. Results and conclusions: Latasa average incidenciade suicides in the city of Alicanteentre 1995 and 2000 was 9.11 cases per 100000 inhabitants and year. Losvarones filed a incidenciade suicidio3 times higher than that of women. The state civildel subject influyeen risk suicidioen man committing suicide over the separated and divorced and married less. The incidenciade suicide presents a growing trend with age of the population. The mechanisms suicide Frequently fuerolla ahorcadura and precipitation, while the first was used mostly by men, it is rare in women who show a preference for precipitacióny the intoxicaciones.El suicidioes more common in the festive not Sundays, followed by working and less frequent Sunday. The festive Sundays not associated with a risk of suicidio5.14 times on Sundays and 2 veeces superior to the rest of the day in general. The domicilioes place preferidopara the consummation of the suicidal act, especially among women, who utilizaneste rise 1.54 times more than men.

Author: SANTIAGO SÁEZ ANDRÉS.
Year: 2004.
University: COMPLUTENSE DE MADRID [More theses of this university] [www.ucm.es].
Place of defense: FACULTAD DE MEDICINA.
Place of preparation: FACULTAD DE MEDICINA.

Summary: The objective of the research work of this thesis has been the analysis of the reasons for demand more frequent in the urgent assistance of our environment both in the hospital setting as extrahospitalario. It has reviewed the database of all claims submitted to the ethics committee of illustrious college medical officer of the autonomous region of Madrid during the period of 1976 to 2004. The avenues of complaint extrajudical are presented as a valid alternative to clarify the conflicts that are created in the area of emergency. One of the avenues of complaint is the most representative delas commissions of professional ethics. Statistical analysis of the outcome determines which are the "type profiles" that characterize the claims before that committee and allows us to deliver a series of conclusions to form a body of doctrine that facilitates the prevention of a potential claim against the seller or subsequent prosecutions .

Author: GIRONDA BALLESTEROS JOSE LUIS.
Year: 2004.
University: MURCIA [More theses of this university] [www.um.es].
Place of defense: FACULTAD DE MEDICINA.
Place of preparation: FACULTAD DE MEDICINA.

Summary: We intend to assess whether a medical emergency department of a hospital side were able to transmit patient information clearly and effectively act on the medical urgency, as well as aspects concerning the conduct to be followed in terms of treatment or later revisions . In view of the foregoing assumptions of our work is that despite the general framework that offers a broad range of challenges for patient information, the quality remains the same thanks to the efforts of professionals a threshold of sufficient quality to ensure so the basic right to patient information, as described above factor is a fundamental fact which is that a significant percentage of the processes are not really emergencies, it is possible a communication acceptable. TYPE OF STUDY This is an observational study, descriptive, cross-sectional and retrospective study Population All patients who come to the emergency department of the General Hospital basics of Defense in Cartagena (Murcia), demanding healthcare in the period from 3 March to May 23, 2003. STATISTICAL ANALYSIS The results, properly categorized and variabilizados were analyzed using the statistical package SSPS 11.0, programs have been implemented: 3.5.1. Univariate analysis or simple frequency distribution is observing the distribution of frequencies in absolute and relative percentages, as well as descriptive statistics (standard deviation, mean, median, mode, etc.) for each of the variables. 3.5.2. Analysis or bivariate association between variables is to know what variables significantly related to one another. The program used applies the test "chi-squared (c2, statistical Pearson), obtained probability value and the minimum expected. It should be emphasized that we have crossed one another all the variables that the study was broken down, searching for possible partnerships. The process followed in the event that two variables are related significantly as follows: note that all frequencies are greater than unity and that 20% of all of them are equal to or greater than 5; if so, as relate significant partnerships with a statistician Pearson representing a probability p = 0.05. We must clarify that often are not met premise in relation to the expected values, because of an inadequate distribution of the marks of class between them (if your content as to make good logic), or removing marks class whose frequency is too small or whose content is not in our interest. Once restructured each variable gets to implement the agenda for the bivariate analysis. DISCUSSION In our study agrupamos ages of the patients at 6 intervals (15 to 25 years, 26 to 35, 36 to 45, 46 to 55, 56 to 65 and over 65 years), other variables to analyze why were testing additional information on nuisance because of the additional tests, information from complications due to the additional tests, understanding of the process, information regarding the tracking of the disease, sequelae of the disease, prognosis of the disease, plea implementation of treatment, therapeutic regimen, duration of treatment, side effects of treatment, the report understand high risk and got a number of statistically significant associations between this variable and the rest. CONCLUSIONS 1. In our sample the line of duty to report presents an acceptable level both in the process of information, as in the process of understanding. 2. The degree of patient understanding of the process, a high percentage meets the minimum required by existing legislation. 3. Contrary to what it might suggest the circumstances of assistance in a hospital emergency department, 8 the grad 93b or satisfaction given by patients in our sample to the information received, it is good. 4. Where is expressed less satisfaction and knowledge of the patient, is dealing with complications and / or discomfort arising for additional tests and side effects of treatment. 5. It is remarkable understanding of the difficulties of that report high contrast with the rest of information provided by the optional. What we face as a target to develop in the immediate future. 6. The variable age defines a group of patients with the worst problems of information. Here interacts not only age as a determinant deficit of understanding, but these patients at higher risk and more serious diseases. 7. The level of education determines a lesser degree of understanding of the information received and a major flaw in the quality of the same. What does not oblige in this population group to a proactive approach to physician strive to convey a proper information. 8. It should highlight the misuse of the emergency services on the part of our population sample, as only a small percentage of cases analyzed justifies assistance to a hospital emergency department, which generates a significant distortion of care that requires both a critical reflection by the Administration for users. 9. Our results highlight the need for continued training of professionals not only in compliance with the regulations, but the development of skills, talents and abilities that will enable effective information to the patient.

Author: MUÑOZ BARRIO JOSE EMILIO.
Year: 2005.
University: MURCIA [More theses of this university] [www.um.es].
Place of defense: FACULTAD DE MEDICINA.
Place of preparation: FACULTAD DE MEDICINA DE MURCIA.

Summary: The objective of this study is to explore possibilities for morphological identification of a human bite, established as a reference for the calculation of the angle of rotation of incisors, a shaft intercanino hypothetical, in the worst cases, through what we have referred to as "method incisal edge of one of the central". This method provides us with incomplete records of bite (without the mark of the canines, but with the presence of at least one central incisor), the ability to draw a subs intercanino with great proximity to the real axis, can make the measurement of angles that set the incisors with the shaft. For the study, we used 50 individuals selected at random genetic who have taken their molds in dental occlusion usual aided by a articulator have inflicted on a mannequin covered with clay, three bites at different anatomic areas (shoulder, forearm and finger) and Projections photographic also different (from the front or 90Â º to more and less 45Â º, and projection open to 90Â °). The data obtained from these measurements will be analyzed statistically, with the aim of establishing a possible correlation with the actual values obtained modeling study authors bites. For this study we used three software Adobe Illustrator 10, and the Image Tools 3,000 UTHSCSA, the SPSS version 12.0 them all easy accessibility and management.

Author: ALVAREZ ENJUTO JOSE MANUEL.
Year: 2005.
University: MIGUEL HERNÁNDEZ DE ELCHE [More theses of this university] [www.umh.es].
Place of defense: FACULTAD DE BELLAS ARTES.
Place of preparation: FACULTAD DE BELLAS ARTES.

Summary: The importance in the twentieth century and especially towards the second half, reaching the exhibition space as a key element in the artistic representation, and also as an interactive and defining the work offered, has sued the artist a study and analysis exhautivo of conditions, the properties and the obstacles to saving such places likely to house works of art for exhibition. This thesis investigates on these points

Author: Noguera Velasco José Antonio.
Year: 2005.
University: MURCIA [More theses of this university] [www.um.es].
Place of defense: Facultad de Medicina, Universidad de Murcia.
Place of preparation: Hospital Universitario Virgen de la Arrixaca.

Summary: INTRODUCTION. The postmortem diagnosis of myocardial infarction which is the leading cause of sudden death in adults poses important in situations where no findings or inespecificidad the results of pathological examination does not allow us to confirm the cause of death . The postmortem examination is therefore essential to establish the cause of sudden death from cardiac possible etiology. As we said, in some cases, allow histological findings establish a clear diagnosis of death, but in many others, there are data that support the diagnosis of cardiac death, but not conclusive. This is where paid special relevance determining the biochemical cardiac markers in the postmortem diagnosis of myocardial necrosis, especially when the lesion is suspected but can not be demonstrated by applying the usual histological methods. The objectives are: 1. To determine concentrations of different biochemical markers derived from the measurement of isoforms and isoenzymes of CK-MB to hear the origin (cardiac or skeletal muscle) from the release of biochemical markers 2. To examine the possible influence of postmortem interval in the concentrations of biochemical markers evaluated 3. Analyzing the correlation of the concentrations of these markers in the fluids of the body with that obtained in other biochemical markers commonly used in clinical practice. 4. To study the correlation between the biochemical study conducted in the fluids of the body with lipoperoxidación levels of cardiac tissue. 5. Establish a possible protocol for evaluating postmortem diagnosis of the etiology of ischemic myocardial injury or trauma. MATERIAL AND MÉTODOSHemos studied a total of a total of 300 samples, as well as 825 samples of heart tissue from 75 bodies (64 males and 11 females) with an average age of 51.07 years (SD 19.16; range 12 -87 years) medico from autopsies conducted at the Institute of Legal Medicine and Forensic Cartagena (Murcia). The postmortem interval (IPM) medium is 7.48 hours (SD 4.16, range 2-18 hours) .. The cases were classified into 4 groups according to diagnosis the cause of death, heart tissue samples were processed to determine the lipid peroxidation, and serum or plasma and pericardial fluid to determine the creatinkinasa MB isoenzyme (CK-MB) isoforms CK-MB, isoforms of CK-MM, troponin I (cTnI), and mioglobina. CONCLUSIONS 1. There is a lack of interference phenomena autolíticos on concentrations of isoforms MB parameters and their derivatives, in certain fluids, in the postmortem interval used in the present study. 2. In comparison to comparison of the diagnostic yield curves (ROC) through the comparison of test areas under the ROC curves dependent, in the version Nonparametric with other markers found that the concentration of MB2 in the pericardial fluid is showing a greater area under the curve very similar to the cardiac troponin I, which means that its diagnostic utility postmortem is equal or superior to that marker 3. We emphasize the high specificity sample analysis isoforms, as well as the ratios of them arising from its calculation, common feature in the postmortem diagnosis biochemist, as has been shown in previous studies. 4. We found a good correlation between levels 8 of isof 6d0 ormas of CK-MB with levels of peroxidation of heart tissue, especially those belonging to top of the wall and left ventricle, which shows the relationship between the affected tissue due to phenomena of ischemia and reperfusion with the discharge of bookmarks fluids surrounding miocito. 5. The combined determination of the isoforms of CK-MB in pericardial fluid with peroxidation average of left ventricular tissue and troponin I in pericardial fluid shows a very useful to rule out an etiology of cardiac death. 6. We note a correlation between the levels of isoforms of CK-MB in pericardial fluid and serum and the diagnostic category established myocardial injury, which allows us to propose the inclusion of these markers as a complementary method to the study of the corpse. 7. We confirm the usefulness of determining postmortem of the isoforms of creatin kinase MB on the body fluids for the diagnosis of cardiac injury (traumatic or ischemic origin).

Author: Bocchio Rubén Armando.
Year: 2005.
University: MURCIA [More theses of this university] [www.um.es].
Place of defense: Facultad de Medicina. Universidad de Murcia.
Place of preparation: Universidad de Murcia.

Summary: The lead poisoning has always been one of the most recognized occupational diseases. It has demonstrated the vulnerability of workers exposed to diseases or pathologies banal inespecíficas due to increased spending biological organism by impregnating lead. Based on this there is a need to study the impact of this vulnerability to diseases unremarkable on the workforce of a company dedicated to the export metallurgical smelting and lead recovery and its influence on absenteeism from work with the firm. This specific objectives are established as follows: 1. Measured concentrations of lead environmental (workplace) and biological (working population), assessing the environmental impact in the context of disease banal, 2. Amalizar legal frameworks of Argentina and Spain relating to safety and health at work; 3. Analyze pathologies banal filed by a sample of trabajaadores a company engaged in the smelting and lead recovery between the years 1997 and 2001, not including their impact on absenteeism from work. The study sample consists of 45 employees, all of them men, aged between 19 and 61 years inclusive. Monthly is a clinical examination and toxicological to each worker. As a control group was used from the consultations realizadeas in Consultorio external Hospital "Governor Rye" General Peak. The findings obtained after analysis of the results are as follows: 1. The industrial handling of lead favors workers in the industry in the emergence of diseases that typically banal are considered ineligible as a result of the impregnation with lead; 2. All occupational diseases are, in principle, preventable. Just as the causes of accidents are identifiable and treatable for disposal. In Argentina legal frameworks on Safety and Health at Work obresros exposed to lead at work are contradictory and insufficient and therefore should be implemented new rules that include aspctos medico-regulatory organizations; 3. The lead pollution at work acting as concausa generates higher incidence of diseases unremarkable in the exposed population, producing an increase in absenteeism from work and the possibility of demendas legal based on the "presumption of origin."

Author: Dominguez Matheu Miguel Angel.
Year: 2005.
University: MURCIA [More theses of this university] [www.um.es].
Place of defense: Facultad de Medicina. Universidad de Murcia.
Place of preparation: Universidad de Murcia.

Summary: The traffic accident is a major threat to public health. To find and implement mechanisms to prevent it must understand the epidemiology accidentológica from a specific region, such as Santa Fe Capital District, Argentina, given its unique characteristics, being large area of international traffic on the highway bioceánica Mercosur. The purpose of this study is to conduct an epidemiological investigation of the accident by traffic accidents to know the true dimensions of the problem, and thereby carry out preventive measures. This would make the measure or discordant competing factors in the mechanism of production of traffic accidents and pattern lesion of the victims. The unit consists of analysis of data procedenters of the following agencies: Institute of Road Safety and Education of the Republic of Argentina, data from the Provincial Administration of Taxation, Department of the Division of Traffic Police of the Province of Santa Fe, Ente government of the Province of Santa Fe and Research Group Accident vials. The study was conducted following the diagram Haddon matrix. In our study we observed significant gaps in the collection of data by different institutions, which prevents conduct a quality approach to the problem. From the existing data we get a pattern and differential particularly in relation to the rest of the country. There is a perceived low security vehicles driven, which coupled with the increase in traffic density translates into an increase in accidentabilidad affecting mostly young ages. The biggest accidentabilidad occurs between 18 and 24 years and older age group of deaths is located between 45 and 65 years. We must emphasize that there is a lack of a record on the nature and the injuries more frequent and sequels presenting victims.

Author: Castoldi Florencio Carlos.
Year: 2005.
University: MURCIA [More theses of this university] [www.um.es].
Place of defense: Fcaultad de Medicina. Universidad de Murcia.
Place of preparation: Universidad de Murcia.

Summary: The pollution, degradation and destruction of the environment is a challenge at present. The cvreación in the town of Hope of a statutory regulatory framework on sustainable municipal environmental contaminants that contemplates a system of permanent surveillance, epidemiological will reduce the risk of disease generated by environmental changes. The objective of this study is to assess the types and levels of environmental pollution in the city of Hope and its impact on patologias Frequently, in order to realize sustainable management of the problem through an appropriate regulatory framework. This specific objectives are: to assess and identify toxic environmental contaminants in the city; 2. An assessment of epidemiological diseases presented by the inhabitants linked to emission sources and areas inmision pollutant; 3. Medico establish guidelines for the creation of a municipal ordinance that provides for the protection and restoration of the environment of the city, laying the groundwork to make a vigilanci epidemiological patologias related to environmental changes. For the implementation of this work was used as the unit of analysis urban and suburban of the city of Hope, witha population of 33,000 inhabitants and population density of 2.444.44 hab/km2. The areas related industriaas were subjected to various studies and evaluations in order to identify sources of emissions, establishing areas inmision as exposure to toxic. The findings obtained after analysis of the results are as follows: 1. The xenobiotics in the environment have a direct relationship with certain kinds of diseases, especially those within the group and poisoning their relationship with the placement and retention in the previous and current address; 2. The municipal environmental laws through an ordinance should be consistent with the provincial and national legislation, giving the agency national and provincial human and economic resources necessary for the effective implementation of the law; 3. The legislation must provide for the implementation of an epidemiological surveillance system for diseases related to environmental changes, as well as a recovery system of environmental liability in the town of Esperanza, 4. For the implementation of a system of vigilanci epidemiological will require the creation of a center for receiving data, which receptará information on all current and new cases that arise, avoiding the bias of statistical information; 5. The laws national, provincial and municipal levels should provide for the implementation of a system of information and education to the population for the protection, care and recuepración of the human environment in the city of Hope.

Author: RICO GARCÍA ANTONIO.
Year: 2005.
University: SEVILLA [More theses of this university] [www.us.es].
Place of defense: FACULTAD DE MEDICINA DE LA UNVIERSIDAD DE SEVILLA.
Place of preparation: FACULTAD DE DE MEDICINA DE LA UNIVERSIDAD DE SEVILLA.

Summary: Have been collected 112 cases consecutive sudden death in the province of Seville, in the period between October 2003 and December 2004. We studied through autopsy médico-forense, including toxicological tests and histopathological in all cases. In turn the clinical variables were collected through telephone interviews with the families of the deceased. It has been established that causes of sudden death are more frequent in our province, which are risk factors and the results were compared with those collected in the American medical literature. Key results were as follows: there is a 7:1 between men and women and the average age was 55 + / -15 years. As for the risk factors has highlighted obesity, both in relation to the MIMC (50.8%) and the perimeter of waist (41%). The causes of sudden cardiac death have passed an 85% from the extracardíacas (15%). The differences with the American studies were significant in terms of percentage of atherosclerosis coronary (80% in American Studies), the age of presentation (higher in our series), as well as the presence of plaques stable (higher in our series) occlusive and acute thrombosis (lower in our series).

Author: GASCON SANTOS SANTIAGO.
Year: 2005.
University: ZARAGOZA [More theses of this university] [www.unizar.es].
Place of defense: FACULTAD DE MEDICINA.
Place of preparation: FACULTAD DE MEDICINA.

Summary: Studies conducted in different health centers in two autonomous regions, the incidence of assaults suffered by health professionals by users: the number, type and characteristics of the violent episodes, profile of the aggressor, risk areas, etc. . Just as impact analysis for health, especially for mental health and the burnout of the attack. The study was validated two questionnaires: Attacks Questionnaire and Questionnaire TEEM, which measures the degree of imbalance in the relationship of care as a result of having suffered violent situations. They also presented proposals Protocol Action Médico before the assault and a tab with details of the incident that could be used to drawing up a register of assault.

Author: CONCHEIRO GUISÁN MARTA.
Year: 2006.
University: SANTIAGO DE COMPOSTELA [More theses of this university] [www.usc.es].
Place of defense: FACULTAD DE MEDICINA Y ODONTOLOGÍA.
Place of preparation: FACULTAD DE MEDICINA Y ODONTOLOGÍA.

Summary: The objective of this report, which is the Doctoral Thesis, has been the development of methods for determining derivatives anfetamínicos and other drugs of abuse, such as cocaine and opiates in biological matrices, which provide for a proper interpretation of the situation in which fall cases of medical nature. The technique has been used liquid chromatography coupled with mass spectrometry in tandem or simple, applying it to real cases, and paying special attention to deaths from traffic accidents, and medical significance of the deaths related to the consumption of derivatives anfetamínicos. We have developed and validated four completely different analytical methods. One of them allowed the simultaneous determination of amphetamine, methamphetamine, MDA, MDMA, MDEA, MBDB, morphine, 6-monoacetilmorfina, cocaine and benzoilecgonina in 0.2 mL of plasma, reaching a limit quantification of 2 ng / mL, using an automated solid phase extraction, and a reversed phase chromatographic separation. The other three, aimed at stemming anfetamínicos allowed the simultaneous determination of amphetamine, methamphetamine, MDA, PMA, MDMA, the MDEA and MBDB, in samples of blood, urine and liver, using 0.5 mL or 1 g biological sample, getting limits of quantification of between 1 and 2 ng / mL, and 8 ng / g, respectively. Extraction used in these three cases, it was using liquid diethylether to basic pH, and chromatographic separation was also done in reversed phase. The method of determination of amphetamines, opiates and cocaine in plasma, was applied to clinical samples / judicial cases and deaths in traffic accidents, referred to the Service Toxicology from the University Institute of Forensic Medicine of Santiago de Compostela, one of the drugs found abuse investigated by approximately 9% of the accidents occurred between 2004 and 2006. The methods that allow the determination of the seven derivatives anfetamínicos were applied in cases of poisoning amphetamines in subjects living and postmortem referred to the Lisbon Delegation to the National Institute of Forensic Medicine from 2003 to 2005. The interpretation of the postmortem findings should be done with caution because of the phenomena of redistribution, and the differences between individuals (development of tolerance and genetic factors).

Author: MEDINA SOLORZANO JUAN CARLOS.
Year: 2006.
University: ZARAGOZA [More theses of this university] [www.unizar.es].
Place of defense: FACULTAD DE MEDICINA.
Place of preparation: FACULTAD DE MEDICINA.

Summary: JUSTIFICATION: CUNADO STILL REMAINS OSEOS AND INICIAN A JUDICIAL INVESTIGATION, THE APPROACHES TO RESOLVE ARE: THE SPECIES, THE DATA, THE IDENTIFICATION AND THE CAUSE OF DEATH FOR SUCH REMNANTS OSEOS, SO WITH OUR STUDY CONTRIBUIREMOS TO THE RESOLUTION OF THESE APPROACHES. PRETENDEMOS SEARCH TOOL METHODOLOGICAL A SIMPLE, CHEAP, EFFECTIVE AND EXPORTABLE TO OUR ENVIRONMENT PERICIAL FORENSIC AND TO SERVE AS FOR THE STUDY OF THE DATA OF THE REMNANTS OSEOS HUMAN. HIPOTESIS: 1. MOVEMENT OF THE OPACIDAD RADIOLOGICA OF BONE MINERAL 2. ESTABLISH REALCION AMONG DENISDADES MEASURES AND THE DATA OF DEATH AFTER THE DEATH. 3. IMPLEMENTATION OF THIS APPROACH AS A TOOL FOR THE STUDY OF REMAINS OSEOS HUMAN. ALGUMAS CONCLUSIONS: 1. THIS IS METHOD FOR THE EVALUATION OF THE DATA OF REMAINS OSEOS HUMAN. 2. THERE AN VARACION OF OPACIDAD RADIOLOGICA DUE TO THE MOVEMENT OF THE DENSITY OSEA, PRESENTANDO RELATIONSHIP PROPORCIONAL WITH THE DATA OF DEATH IN YEARS. 3. SECTION B IS VARIABLE OPTIMA FOR THE STUDY OF DATA FOR REMNANTS OSEOS.