Traditional medical education can be disrupted during periods of epidemic or pandemic, due to the closure of universities and the restriction of social human contact in order to limit the pathogen transmission. COVID-19 pandemic determined universities and teachers to identify alternative virtual education methods, by teaching online courses and practical activities stipulated in the university curriculum. The aim of this paper is to compare the traditional method of teaching forensic autopsy with the virtual one, imposed by the COVID-19 pandemic. Based on the literature data, the authors analyze the importance of autopsy in the training of future physicians, including the advantages and disadvantages of direct exposure of students to this medical procedure. The virtual teaching of forensic autopsy is also analyzed, highlighting its advantages and disadvantages. The authors particularize the analysis through a case study, in which they describe the online teaching of forensic autopsy at "Grigore
From its beginning, the autopsy represented a useful instrument for the progression of medicine and continues to be a valuable tool in postmortem diagnosis of various diseases or traumatic injuries. Modern laboratory technology is an important aid in achieving autopsy goals but it is either not available or not permanently available in all the departments of Forensic Medicine and do not offer every time quick results, which might be necessary to guide the next steps of the forensic investigation. In this paper the authors present a set of rapid, sensitive and effective chemical reactions, described in the literature over the time and meant to support the forensic experts, as they can be easily performed in the autopsy room. Moreover, the application of these reactions may reduce the costs of laboratory analyzes in cases where the use of expensive laboratory technologies is no longer required or limited by the results of these reactions. Also, a brief description of the collection method for biological samples to be used is provided. At the end of the paper the authors suggest a minimum kit of chemical substances which are necessary in the autopsy room, in order for these analyses to be performed.
"Introduction: In the context of a relatively constant heart donation rate, the effort to satisfy the needs, has led to the development of mechanical devices that can replace the cardiac function. Estimating an annual potential of 100,000 artificial heart implants in the United States alone, there is an increased interest in these devices, which is why it is appropriate to explore the situations where its inactivation may be ethically appropriate. Method: We performed a systematic review, which includes all the studies regarding the dilemma of artificial hearts inactivation from the beginning until 2020, published in PubMed, Embase and Scopus. The searched keywords were “totally artificial heart and ethics”; the duplicate studies and those referring to other cardiac support devices were excluded. Results: Following the selection, 12 articles were included in the review. The conflict between the principle of discontinuity and the prohibition generated by the indispensability of the artificial heart was emphasized. The decision to inactivate the support dependent on the patient’s declared level of happiness or clinical evolution over time was reviewed. The dilemma of self-inactivation of artificial cardiac support as suicide versus the acceptance of death caused by the underlying heart condition, as well as the impact of total removal of the native heart were included in the ethical analysis. Conclusions: Requests for withdrawal of TAH support are not uncommon among patients, their discontinuation being ethically acceptable when it does not serve the patient’s interests, even though they may still be capable to prolong their life. "
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