We report an unusual case of a 70-year-old female patient admitted in the Department of Cardiology, Emergency County Hospital, Oradea, Romania, for unstable angina and heart failure. Coronary angiography and computed tomography revealed multiple coronary artery aneurysms, some of them giant, associated with significant coronary artery disease. Coronary artery aneurysm is a rare disease, but the frequency of diagnostic increased with the development of coronary angiography. However, very rarely coronary artery aneurysm is very large and can be termed “giant aneurysm”, and a small number of reports have been described in literature. The management and the prognosis of the disease is still controversial.

Introduction. Understanding the risk factors leading to child abuse is useful when developing effective prevention and early intervention strategies. Modern experts who assessed the environment of the abused child reported that risk factors are multidetermined and are derived from three main etiological causes: parental, ecological and intrinsic problems of the child. Material and methods. A statistical analysis was performed on a group of 176 cases of reported child abuse in Bihor County between 2013 and 2017. The collected data was examined with the use of SPSS 2.0 statistical program. Results. Results demonstrate that the most frequent risk factor involved in physical child abuse is alcohol consumption (28.98% of cases), followed by abuser’s nervousness and drug consumption; the least frequent risk factor being abuser’s response to property theft. Discussions. Physical violence can cause both psychological and physical damage to the child. Research shows that when children experience a certain form of violence, they are also associated with a higher risk of being vulnerable to other forms of abuse. Conclusions. The most frequent risk factor involved in physical abuse of children from Bihor County is alcohol consumption, representing 28.98% of all risk factors analyzed. A holistic approach is absolutely essential for eliminating physical abuse of children

Child abuse remains a current problem, despite progress in the field of prevention and social assistance. The injuries produced by physical abuse have to be evaluated using scientific methods, in order to be considered as evidences later in Court, but also to ensure the physical and social security of the child. Among the morphological characteristics of the child (on which depends how the lesions are formed, differently in children from adults), there is the strong adherence of the dura mater to the skull bones, this fact preventing the formation of extradural hematomas. Another special aspect is the poor development of skeletal muscle before puberty, which confers poor protection of the internal organs against the traumatic physical agents. This paper presents the particular morphological and histological aspects that can be evidenced by forensic autopsy in children. The study was conducted on a female child, physically assaulted, arrived in the emergency department of the hospital. The death occurred shortly after hospitalization. The investigations revealed multiple external (on the whole body) and internal injuries. According to the statements of those who called the ambulance, the injuries occurred because of falling on the stairs and were considered by the family as being superficial, without requiring medical care. The forensic autopsy, through the external, internal and histopathological examination, highlighted the specific injuries that led to the death, thereby contributing to the elucidation of the tanatogenerative mechanism, of the way the lesions were produced and to the applying the law.