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The methodology of expert analysis on the materials of criminal and civil court cases associated with the adverse outcomes of treatment
Zakharov, Sergey ; Dostál, Ondřej (advisor) ; Čeledová, Libuše (referee) ; Doležal, Tomáš (referee)
Objective. The development of the methodology of expert analysis ensuring comprehensiveness, completeness and objectivity of expert investigation in the criminal and civil cases associated with the adverse outcomes of treatment. Materials and Methods. For the purpose of the study the special program was prepared 'The comprehensive study of the content of the expert testimonies in the criminal and civil court cases associated with the adverse outcomes of treatment'. The continuous research method was used for the content analysis of the expert testimonies (116 units of observation), the selective research method was used when interviewing health care providers (50 units of observation) and lawyers specializing in medical law (50 units of observation). Results and discussion. The expert analysis should be considered an essential element of the expert investigation in the criminal and civil cases associated with the adverse outcomes of treatment, since it ensures the comprehensiveness, completeness and objectivity of expert testimony. For the purposes of expert analysis, the process of health care provision can be considered as an open process information system, the sequence of the implementation of therapeutic measures within it is conditioned by the character of diagnostic information, and the...
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The methodology of expert analysis on the materials of criminal and civil court cases associated with the adverse outcomes of treatment
Zakharov, Sergey ; Dostál, Ondřej (advisor) ; Čeledová, Libuše (referee) ; Doležal, Tomáš (referee)
Objective. The development of the methodology of expert analysis ensuring comprehensiveness, completeness and objectivity of expert investigation in the criminal and civil cases associated with the adverse outcomes of treatment. Materials and Methods. For the purpose of the study the special program was prepared 'The comprehensive study of the content of the expert testimonies in the criminal and civil court cases associated with the adverse outcomes of treatment'. The continuous research method was used for the content analysis of the expert testimonies (116 units of observation), the selective research method was used when interviewing health care providers (50 units of observation) and lawyers specializing in medical law (50 units of observation). Results and discussion. The expert analysis should be considered an essential element of the expert investigation in the criminal and civil cases associated with the adverse outcomes of treatment, since it ensures the comprehensiveness, completeness and objectivity of expert testimony. For the purposes of expert analysis, the process of health care provision can be considered as an open process information system, the sequence of the implementation of therapeutic measures within it is conditioned by the character of diagnostic information, and the...
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Mercury and its Future in the Czech Republic
Navrátil, Tomáš ; Vytopilová, M. ; Vlčková, Š. ; Mrázová, K. ; Zakharov, S. ; Honsová, Š. ; Pelclová, D.
Toxicity of mercury has been discussed for many years by specialists as well as by laymen. Legislative tools connected with measures and conditions concerning the trade, manufacture, use and interim storage of mercury, mercury compounds, mixtures, mercury-added products and the management of mercury waste are currently being prepared. Some suggestions and prepared measurements are mentioned and discussed in this contribution. Of course, it is necessary to differentiate among various forms of it, i.e., metallic form, vapors, amalgams, soluble and insoluble inorganic and organic compounds.
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Information on Several Interesting Case Reports of Liquid Mercury Intoxication
Navrátil, Tomáš ; Vlčková, Š. ; Mrázová, K. ; Nováková, Kateřina ; Zakharov, S. ; Honsová, Š. ; Pelclová, D.
This contribution reports on several mercury non-professional intoxications. It can be summarized that it is very important to differentiate among forms of mercury which can (acute or chronic) endanger human health. Contrarily to the wide spread fears, liquid mercury represents low danger for men and for environment. Solid amalgams are probably the less toxic forms of mercury compounds. On the other hand, widely spread daily consumer goods can be very dangerous and toxic (saving balls, fluorescent tubes, etc.). Moreover, these goods are not marked as “toxic mercury containing”. The article discusses the instruction for removing mercury from our environment. Most of the reported data are based on database of the Czech Toxicological Information Centre (TIC) (from the years 1995 – 2015).
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Methanol Outbreak in the Czech Republic in the year 2012 – Almost Two Years Later
Navrátil, Tomáš ; Zakharov, S. ; Pelclová, D. ; Mrázová, K.
Almost two years ago, in autumn 2012, a large methanol outbreak was registered in the Czech Republic (CR). The first case was registered in September 2012 in Moravian city Havířov. The source was connected with illegal production and sale of adulterated spirits. About 50 dead and more than 150 cases of methanol intoxications have been reported since September 2012. Some cases of intoxications, connected with old methanol sources distributed in 2012, have been registered up to now. Not all of total amount of prepared methanolic drinks has been found and hundreds liters of toxic methanol have remained in stores or in households. n the other hand, many people intoxicated during this outbreak and classified as “fully recovered” by their hospital discharge, have suffered by sequels of their intoxication at present (visual and nervous system disturbances) and their number has been increasing.
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Markers of Oxidative Stress are Elevated in Workers Exposed to Nanoparticles
Pelclová, D. ; Ždímal, Vladimír ; Fenclová, Z. ; Vlčková, Š. ; Schwarz, Jaroslav ; Pušman, Jan ; Zíková, Naděžda ; Syslová, K. ; Kuzma, Marek ; Navrátil, Tomáš ; Zakharov, S. ; Kačer, P.
Health-effects of nanoparticles in humans are little understood. Pre-shift and post-shift spirometry, markers in exhaled breath condensate (EBC), and fractional exhaled nitric oxide (FeNO) were measured both in 20 workers exposed to TiO2 aerosol and 19 controls. Particle number size distributions were monitored by aerosol spectrometers SMPS and APS, covering the overall size range 15 nm-10 μm. Simultaneously, the spatial distributions of total particle number and mass concentrations were determined using a particle number concentration monitor (P-TRAK) and a monitor of particle mass concentrations (DustTRAK DRX). Total aerosol concentrations in the production plant varied greatly in both space and time; number concentrations 1x104-2x105 particles/cm3 and mass concentrations 0.1-30 mg/m3. In the workshops, 90% of the particles were smaller than 100 nm in diameter and particle concentrations were 10x higher than in the control room.
Fulltext: content.csg -  PDF
Plný tet: SKMBT_C22013111914100 - PDF
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Short Information on Methanol Outbreak in the Czech Republic in the year 2012
Navrátil, Tomáš ; Zakharov, S. ; Pelclová, D. ; Mrázová, K.
This contribution reports briefly on the large methanol outbreak in the Czech Republic (CR) in autumn 2012. The first case was registered in September 2012 in Havířov. The source was unknown at that time, but it was connected with the illegal production and sale of adulterated spirits. More than 130 cases of methanol intoxication have been reported during September 2012 – April 2013. 44 people died, about 1/5 of intoxicated patients have suffered by sequels of intoxication and their number have been increasing. Moreover, the samples of methanol can be found in some illegal stores and in some households up to now.
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