ABSTRACT
The contestations arising from the introduction in various European countries of mandatory vaccination against Covid-19 for certain categories of workers are expressions of a profound malaise, not new and common to Western societies. Misinformation about vaccines is not a new phenomenon, but has been heightened due to the rise of social media, clearly evident during the Covid-19 emergency. These conflicts have a significant social impact and can hinder the struggle against the spread of the virus. This work analyses the origins and legal implications of this growing social mistrust in science, which jeopardises the stability of the constitutional order, founded on the principles of trust and solidarity.
ABSTRACT
Introduction: SARS-Co-V2 neuroinvasive ability might be the basis for the onset of delirium and neuropsychiatric outcomes. Objective(s): We hypothesized that some infected patients with preexisting cognitive dysfunction may present delirium as unique manifestation of COVID-19 infection or as a prodrome of a new episode consistent with the psychiatric history. Method(s): We conducted a PubMed literature search to verify whether cognitive impairment might predispose to COVID-19. We included three patients with mild cognitive impairment and delirium at admission for SARS-Co-V2 suspected infection. Delirium was diagnosed according to DSM-5 criteria, Cognitive Assessment Method and Coma Glasgow Scale. Result(s): Literature analysis evidenced patients presenting delirium or delirium-like symptoms as clinical manifestation of COVID-19, plus a cognitive impairment, from mild to severe, which preexisted or was evidenced during the acute phase or after the infection. Most studies described delirium in patients with a past neurological/ psychiatric history. Contrasting data emerged on the potential link between COVID-19 and delirium in patients with cognitive impairment and without a past neuropsychiatric history. Our patients had no history of other medical complications. Our first patient had no psychiatric history, the second reported only a depressive episode, and the third had story of bipolar disorder. Delirium resolved completely after 2 days in the first patient. The other patients required 4 and 14 days to resolve: delirium appeared as the prodrome of a new psychiatric episode in line with their past history. Conclusion(s): Clinicians should acknowledge the possibility that COVID-19 infection may appear as delirium and acute psychiatric sequelae as unique manifestation.
ABSTRACT
In the context of the COVID crisis, Italy has witnessed a spate of extraordinary legal measures pressed by executive discretion, with a multitude of problems related to proper limitation of constitutional freedoms, sources of law, relations among State, regions and municipalities, as well as difficult adaptation of the Parliament to this new reality. Against this background, the case note to Constitutional Court 37/2021 argues that the major problem in the current crisis is the departure from the constitutional principles, rules and procedures created by legislature and administrative case-law in more than twenty-five years since the creation of the National Civil Protection System, which has efficiently and proportionally governed cases of emergency so far. © 1967 Colombian Geological Service