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Your search keyword '"Montisci, Massimo"' showing total 14 results
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14 results on '"Montisci, Massimo"'

13. 'Tampering to Death': A Fatal Codeine Intoxication Due to a Homemade Purification of a Medical Formulation

Author

Franco Tagliaro, Rossella Gottardo, Giovanni Cecchetto, Paolo Fais, Guido Viel, Massimo Montisci, Jennifer P. Pascali, Nicola Pigaiani, Fais, Paolo, Pigaiani, Nicola, Cecchetto, Giovanni, Montisci, Massimo, Gottardo, Rossella, Viel, Guido, Pascali, Jennifer Paola, and Tagliaro, Franco

Subjects
medicine.medical_specialty, forensic science, Drug overdose, 01 natural sciences, Pathology and Forensic Medicine, 03 medical and health sciences, codeine-related death, 0302 clinical medicine, Genetics, medicine, 030216 legal & forensic medicine, forensic science, death scene investigation, toxicology, drug tampering, forensic pathology, drug abuse, codeine-related death, opiate abuse, death scene investigation, drug abuse, drug tampering, forensic pathology, opiate abuse, toxicology, Drug compounding, business.industry, 010401 analytical chemistry, Codeine, Medical jurisprudence, medicine.disease, 0104 chemical sciences, Anesthesia, Medical emergency, Opioid analgesics, business, medicine.drug
Abstract

Many homemade tamper processes of medical codeine formulations are available on selected “forums” on the Internet, where recreational codeine users claim to be able to purify codeine by removing additives, such as acetaminophen, to avoid or limit adverse effects. In this work, it is reported and discussed a fatal case of codeine intoxication. The findings of objects such as jars, filters, and tablets, and amounts of unknown liquid material at the death scene investigation suggested a fatal codeine intoxication after the tampering procedure called “cold water extraction.” Toxicological results obtained from the analysis of both the nonbiological material and the body fluids of the decedent integrated with the information collected at the death scene investigation confirmed the above-mentioned hypothesis. This report underlines the importance of a tight interconnection between criminalistics and legal medicine to strengthen the identification of the cause of death and the reconstruction of the event.

Published
2017

14. An inflatable ergonomic 3-chamber fundal pressure belt to assist vaginal delivery.

Author

Acanfora L, Rampon M, Filippeschi M, Marchi M, Montisci M, Viel G, and Cosmi E

Subjects
Adult, Cesarean Section statistics & numerical data, Delivery, Obstetric instrumentation, Equipment Design, Ergonomics, Female, Humans, Incidence, Infant, Newborn, Italy, Labor Stage, Second, Lacerations epidemiology, Pregnancy, Pressure, Prospective Studies, Single-Blind Method, Vacuum Extraction, Obstetrical statistics & numerical data, Cervix Uteri injuries, Delivery, Obstetric methods, Fatigue epidemiology, Perineum injuries
Abstract

Objective: To evaluate whether Baby-guard-a new medical device with an ergonomic 3-chamber inflatable abdominal belt-can reduce complications associated with vaginal delivery., Methods: A randomized controlled single-blind prospective study of 80 pregnant women delivering at term was conducted at San Giuseppe Hospital, Empoli, Italy. In the study group (n=40), the abdominal belt was inflated to optimal therapeutic pressures. In the control group (n=40), the abdominal belt was inflated to minimal, non-therapeutic pressures. Factors relating to maternal, fetal, and labor complications during vaginal delivery were evaluated., Results: Compared with the control group, women in the study group experienced a lower incidence of perineal and cervical lacerations (P<0.001); reduced use of the Kristeller maneuver (P<0.001); shorter duration of the second stage of labor (P<0.001); less psychologic and physical fatigue (P<0.001); fewer maternal requests for cesarean delivery during labor (P<0.001); fewer vacuum extractions (P<0.01); and fewer cesarean deliveries (P<0.02). No neonatal intensive care unit admissions were recorded in the study group versus 7 in the control group (P<0.012)., Conclusion: Use of the ergonomic 3-chamber inflatable abdominal belt system reduced the incidence of risks associated with vaginal labor. Clinical trials.gov identifier: NCT01566331., (Copyright © 2012 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.)

Published
2013
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