Safety, legal issues, and driving

Author(s):  
Roy W. Jones

This chapter describes the many practical and legal issues that are important for people with dementia and their families. A person with dementia’s autonomy must be respected together with recognition of their remaining abilities. The capacity needed for a particular decision depends on the nature and complexity of the decision. Capacity to deal with financial affairs is discussed, together with capacity to make a will, to make decisions about personal welfare, medical treatment, and consent for research including genetic testing. Whilst there are many potential safety issues for people with dementia, it is important to balance the need for protection with their continuing independence. Safety within the home includes fire, gas, and electrical safety; kitchen safety; risk of falls; risk from dangerous substances and medications; and vulnerability. Safety outside the home includes the risk of falls together with wandering, getting lost, and issues around driving.

2019 ◽  
Vol 23 (2) ◽  
pp. 141-148 ◽  
Author(s):  
Yuko Yasuhara ◽  
Ryuichi Tanioka ◽  
Tetsuya Tanioka ◽  
Hirokazu Ito ◽  
Yoshiteru Tsujigami

The purpose of this article is to examine ethico-legal issues and existing Japanese law addressing interpersonal relationships in healthcare situations involving Humanoid Caring Robots (HCRs) and older adult patients. Potential safety issues include environmental situations between older adults and HCRs; identification of potential “leakage” of personal information from stored data in the cloud server; and issues of access authority for HCRs' stored data. It is necessary to have accurate findings supporting the legislation about HCRs to provide safe and effective care for older adults, and to limit healthcare facilities to reasonable risk level.


2021 ◽  
pp. 025371762110309
Author(s):  
Adesh Kumar Agrawal ◽  
Mahesh Gowda ◽  
Umesh Achary ◽  
Guru S. Gowda ◽  
Vijaykumar Harbishettar

Wandering behavior is one of the most important and challenging management aspects in persons with dementia. Wandering behavior in people with dementia (PwD) is associated with an increased risk of falls, injuries, and fractures, as well as going missing or being lost from a facility. This causes increased distress in caregivers at home and in healthcare facilities. The approach to the comprehensive evaluation of the risk assessment, prevention, and treatment needs more strengthening and effective measures as the prevalence of wandering remains high in the community. Both the caregiver and clinicians need a clear understanding and responsibility of ethical and legal issues while managing and restraining the PwD. Ethical and legal issues especially in the light of the new Indian Mental Healthcare Act of 2017, related to confinement by family members in their homes by family caregivers, seclusion, physical or chemical restraints, other pharmacological and behavioral treatment, highlighting their effectiveness as well as adverse consequences are discussed. This article attempts to address an approach in managing wandering behavior in PwD in light of MHCA, 2017


Author(s):  
Tommaso Pensabene Lionti

<p>El 4 de diciembre de 2016 los italianos fueron llamados a participar, a través de la votación, en el <em>referéndum</em> concerniente una ley constitucional que (en caso de resultado positivo), habría modificado de manera radical el ordenamiento constitucional italiano. Entre las múltiples modificaciones que la reforma quería introducir, se enfocan lo significativos cambios que la misma habría producido en materia de procedimiento legislativo. En efecto, al final de la reforma, el sistema parlamentario italiano habría cambiado, transitando desde el llamado “bicameralismo paritario” hasta un sistema monocameral “asimétrico o diferenciado”. En consecuencia, habría cambiado el procedimiento legislativo, estructurándose en múltiples procedimientos, o variantes procedimentales, de los cuales se describe la disciplina, haciendo hincapié sobre algunos relevantes aspectos problemáticos. Se subraya, también, que la reforma, a través de la modificación del procedimiento legislativo, junto con la nueva disciplina constitucional de los decretos-leyes y de la nueva repartición de las competencias normativas entre el Estado y las Regiones, habría producido cambios importantes sobre las mismas características de las leyes y de los actos con fuerza de ley. En conclusión, se plantean las posibles razones, políticas y jurídicas, que han llevado al resultado negativo del <em>referendum</em> constitucional.</p><p>On December 4, 2016, Italians were called upon a <em>referendum</em> to approve a constitutional law that would (if successful) radically change the Italian constitutional system. Among the many changes that the reform intended to pursue, we are focusing on the significant changes it would bring in the legislative procedure. As a result of the reform, in fact, the Italian parliamentary system would be changed, passing from "bicameralism equal" to a "asymmetric or differentiated" monocameral system. Consequently, the legislative process would have changed, articulating into multiple procedures or procedural variants, of which the discipline is described, focusing on some relevant problematic profiles. It should also be noted that the reform, with the modification of the legislative procedure, together with the new constitutional discipline of the decree-law and the new division of normative competences between the State and the Regions, would have produced important changes in the features of laws and acts with force of law. Finally, we are questioning about the possible reasons, policies and legal issues, that have led to the negative outcome of the constitutional <em>referendum</em><em>.</em></p>


2021 ◽  
Vol 14 (6) ◽  
pp. 1093-1101
Author(s):  
Stephen Macke ◽  
Hongpu Gong ◽  
Doris Jung-Lin Lee ◽  
Andrew Head ◽  
Doris Xin ◽  
...  

Computational notebooks have emerged as the platform of choice for data science and analytical workflows, enabling rapid iteration and exploration. By keeping intermediate program state in memory and segmenting units of execution into so-called "cells", notebooks allow users to enjoy particularly tight feedback. However, as cells are added, removed, reordered, and rerun, this hidden intermediate state accumulates, making execution behavior difficult to reason about, and leading to errors and lack of reproducibility. We present nbsafety, a custom Jupyter kernel that uses runtime tracing and static analysis to automatically manage lineage associated with cell execution and global notebook state. nbsafety detects and prevents errors that users make during unaided notebook interactions, all while preserving the flexibility of existing notebook semantics. We evaluate nbsafety's ability to prevent erroneous interactions by replaying and analyzing 666 real notebook sessions. Of these, nbsafety identified 117 sessions with potential safety errors, and in the remaining 549 sessions, the cells that nbsafety identified as resolving safety issues were more than 7X more likely to be selected by users for re-execution compared to a random baseline, even though the users were not using nbsafety and were therefore not influenced by its suggestions.


2016 ◽  
Vol 9 ◽  
pp. 227
Author(s):  
Ken Cramer ◽  
Stewart Page ◽  
Vanessa Burrows ◽  
Chastine Lamoureux ◽  
Sarah Mackay ◽  
...  

Based on analyses of Maclean’s ranking data pertaining to Canadian universities published over the last 24 years, we present a summary of statistical findings of annual ranking exercises, as well as discussion about their current status and the effects upon student welfare. Some illustrative tables are also presented. Using correlational and cluster analyses, for each year, we have found largely nonsignificant, inconsistent, and uninterpretable relations between rank standings of universities and Maclean’s main measures, as well as between rank standings and the many specific indices used to generate these standings. In our opinion, when assessed in terms of their empirical characteristics, the annual data show generally that this system of ranking is highly limited in terms of its practical or academic value to students. Among other difficulties with the interpretation of ranks, we also discuss the possibility that ranking exercises have unintended, though potentially serious, negative consequences for the intellectual and personal welfare of students.


1991 ◽  
Vol 159 (6) ◽  
pp. 769-782 ◽  
Author(s):  
Danya Glaser

Child sexual abuse is a commonly encountered and often emotionally damaging experience, maintained by secrecy and followed by denial after disclosure. Treatment in this field involves both the child and the family in a variety of treatment settings and modalities, often proceeding in parallel. Child developmental considerations dictate that treatment often proceeds in phases. It aims to protect the child from further abuse and the consequences of disclosure, and address the trauma and context of the abuse. Careful planning and co-operation is required by the many professionals working in this stressful area in order to avoid confusion, conflicts, and splits which may mirror relationships in the family. The heterogeneity of the problem is reflected in the fact that treatment cannot be offered in a uniform programme. Legal issues may influence the treatment process. Evaluation of treatment modalities, the identification of protective factors and achieving long-term adjustment in the least detrimental manner offer challenges in this newly developing field.


2016 ◽  
Vol 41 (3) ◽  
pp. 38-43
Author(s):  
Qin Yan ◽  
Yin Pan

Planning for underground spaces has become an effective way to use central areas in cities given the steady economic growth in China. The development of underground spaces in mountainous cities has satisfied the needs of the diversification of the city commercial areas and pedestrian movement. Safety issues exist because these underground spaces were originally used for civil air defense. This study was based on the underground commercial street in Chongqing, which is a typical mountainous city. Based on the results of combined fieldwork and survey, this paper summarized current safety issues, which include the not-fully-open exit, the imbalanced exit location, blocked evacuation routes, and the poor awareness of the potential safety issues. This paper proposed a framework of the safety factors for the underground space and synopsized prevention strategies that are specific to potential disasters in the underground environment. The framework comprises ensuring that the exits are fully open, the underground corridors are kept unblocked, the open space on the street is increased for disaster prevention, and equipment security is maintained and managed. At last, This paper summarized disaster prevention strategies, which include ensuring unimpeded exits, balancing the locations of the exits, avoiding blocks, increasing the disaster prevention square area in the underground space, maintaining and managing the security of the equipment.


Author(s):  
R.S. Talab ◽  
Hope R. Botterbusch

As a growing number of faculty use SL as a teaching platform, outside of anecdotal articles and the legal literature, no research exists on the many legal and ethical issues that affect course development. Ethical issues include abuse (“griefing”) nudity and lewd behavior, and false/misleading identities. Legal issues include creation and use of copyrighted and trademarked items, faculty intellectual property rights in objects and course content, and criminal behavior. Following the experiences of the instructor and 5 students, their 12-week journey is documented through interviews, journals, weekly course activities, SL class dialogs, and in-world assignments. Additionally, 5 faculty and staff experts who teach or train in SL at this university were interviewed and consulted, as well. This study provides insight for designing courses that foster exploration of rich learning opportunities outside a traditional classroom-both real and virtual.


Author(s):  
Jack W. Foster ◽  
John V. Kauffman

The United States Nuclear Regulatory Commission (NRC) has a Generic Issues Program (GIP) to address Generic Issues (GI). A GI is defined as “a regulatory matter involving the design, construction, operation, or decommissioning of several, or a class of, NRC licensees or certificate holders that is not sufficiently addressed by existing rules, guidance, or programs.” This rather legalistic definition has several practical corollaries: First, a GI must involve safety. Second, the issue must involve at least two plants, or it would be a plant-specific issue rather than a GI. Third, the potential safety question must not be covered by existing regulations and guidance (compliance). Thus, the effect of a GI is to potentially change the body of regulations and associated guidance (e.g., regulatory guides). The GIP was started in 1976, thus it is a relatively mature program. There have been approximately 850 issues processed by the program to date. More importantly, even after 30 years, new GIs continue to be proposed. The entire set of Generic Issues (GIs) is updated annually in NUREG-0933, “A Prioritization of Generic Safety Issues.” GIs tend to involve complex questions of safety and regulation. The efficient and effective means of addressing these issues is very important for regulatory effectiveness. If an issue proves to pose a genuine, significant safety question, then swift, effective, enforceable, and cost-effective action needs to be taken. Conversely, if an issue is of little safety significance, the issue should be dismissed in an expeditious manner, avoiding unnecessary expenditure of resources and regulatory burden or uncertainty. This paper provides an overview of the 5-stage program, from identification through the regulatory assessment stage. The paper also includes a discussion of the program’s seven criteria, sources of proposed GIs, recent improvements, publicly available information, historical performance, and status of current GIs.


Author(s):  
Roy W. Jones

• A person with dementia’s autonomy must be respected as far as possible and recognition given to their remaining abilities and rights• People with dementia usually reach a point where they cannot manage their own legal and financial affairs• The capacity needed to make a particular decision depends on the nature and complexity of the decision...


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