Browsing by Author "JORGE ANDRES FRANCO ZULUAGA"

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    Estudio de lesiones isquémicas miocárdicas en víctimas de muerte súbita cardiaca del adulto mediante tres técnicas diagnósticas postmortem
    (INSTITUTO NACIONAL DE MEDICINA LEGAL Y CIENCIAS FORENSES, 2010) JHON ALEXANDER VERGEL GUERRERO; JORGE ANDRES FRANCO ZULUAGA; Vergel Guerrero, John Alexander; Franco Zuluaga, Jorge Andrés
    Las muertes súbitas cardiacas son muertes naturales, de causa cardiaca, que se producen en corto tiempo tras el inicio de síntomas agudos en individuos previamente sanos o clínicamente estables. En las muertes súbitas de origen coronario, el intervalo entre el inicio de la isquemia y la muerte suele ser tan breve que no se alcanzan a establecer signos macroscópicos ni microscópicos de isquemia con tinciones convencionales como hematoxilina-eosina, lo que dificulta el diagnóstico de la causa de muerte en necropsias médico-legales. Este estudio describe las características epidemiológicas de casos de muerte súbita en los que se sospechó una causa cardiaca y evalúa tres técnicas diagnósticas postmortem: examen macroscópico del corazón, estudio microscópico con hematoxilina-eosina y tricrómico de Masson, y marcadores inmunohistoquímicos (actina de músculo estriado, desmina y C9), con el fin de determinar la utilidad de estos últimos en la detección de isquemia miocárdica. Los resultados muestran que desmina y C9 son marcadores útiles para evidenciar isquemia cardiaca, incluso en casos con hallazgos negativos al examen macro y micro convencionales, incrementando la capacidad diagnóstica en muertes súbitas cardiacas de origen coronario.
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    Result of the judicial investigations of deaths for procedures lipoplastic submitted to autopsy legal medico in Bogotá between 1993 and 2007.
    (INSTITUTO NACIONAL DE MEDICINA LEGAL Y CIENCIAS FORENSES, 2010) ANIBAL ISRRAEL NAVARRO ESCOBAR; HERLEY AGUIRRE SERRANO; JORGE ANDRES FRANCO ZULUAGA; Navarro Escobar, Aníbal Israel; Aguirre Serrano, Herley; Franco Zuluaga, Jorge Andrés
    The lipoplastic is a procedure every day more used to mold the corporal contour and to reach the standards of beauty imposed by the society, this procedure not is exempt this one from some slight different complications with fatal conclusion, this investigation studies 28 judicial processes, of which one has condemnatory judgment, 3 have resolution of accusation, 4 continue in judicial investigation, 18 are closed by atypical conduct and 2 judicial processes closed by maturity of terms. One found 22 institutions of health involved in 28 deaths. 25 persons who acted as surgeons of which 19 are plastic surgeons, 2 general doctors and in 4 one did not find information. Of these 28 deaths the forensic doctor in a case declare on the way of death as of type homicide, 4 like native and in 23 not declare on way of death. A case was treating itself about a minor that it was controlled surgically and this surgery was not consented by the guarantors of the rights of this minor. Four cases I treat of foreigners. It is suggested as new category of way of death: death related to procedure medicate. Constant update is recommended to the personnel of health in medical responsibility and to the institutions that they regulate to the clinics and hospitals, the strengthening or creation of his groups of alertness. To the Institute of Legal Medicine and Forensic Sciences the creation of a group specializing in the accomplishment of autopsies in deaths for medical procedures.