Psychosurgery and the Medical Control of Violence: Autonomy and Deviance

1979 ◽  
Vol 136 (1) ◽  
pp. 134-134 ◽  
Author(s):  
ROBERT MICHELS
Keyword(s):  
Medical Control

Standardization of Equipment and Methods of Medical Control in Manned Space Flights and Issues of Telemedicine

2020 ◽  
Vol 25 (1) ◽  
pp. 45-53
Author(s):  
L.B. Strogonova ◽  
◽  
Yu.A. Vasin ◽  
R.A. Gardunio ◽  
A.N. Knyazev ◽  
...  
Keyword(s):  
Space Flight ◽  
Medical Information ◽  
Medical Decision ◽  
Flight Safety ◽  
Space Technology ◽  
Medical Specialists ◽  
Space Flights ◽  
Medical Control ◽  
Manned Space ◽  
Manned Space Flights

Since April 1961, all manned space flights have been accompanied by medical control ensuring flight safety. Medical control in space flight has a technological and medical methodology that allows, at a distance from medical specialists, to make an adequate medical decision for the current situation. This work would be impossible if there were no measures taken to unify and standardize equipment and techniques. Telemedicine technologies developed on the basis of flight medical control. The origin of the word telemedicine comes from the expression «telemetric medical information», adopted in space technology. The issues of mutual development and mutual enrichment, standardization of methods and equipment of two areas of medicine, medical control in extreme situations and general telemedicine are considered in this article.

Medical Control

JAMA ◽  
1986 ◽  
Vol 256 (8) ◽  
pp. 1027 ◽  
Author(s):  
Brian R. Holroyd
Keyword(s):  
Medical Control

scholarly journals The cardiac profile and electrocardiographic standard of at-height workers

2018 ◽  
Vol 64 (5) ◽  
pp. 448-453
Author(s):  
Tatiana Soares ◽  
Maria Claudia Irigoyen ◽  
Sílvia Goldmeier
Keyword(s):  
Control Program ◽  
Cross Sectional Study ◽  
Left Ventricular ◽  
Demographic Variables ◽  
Medical Assessment ◽  
Cross Sectional ◽  
Medical Control ◽  
Medicine Service ◽  
Electrocardiographic Changes ◽  
Electrocardiogram Ecg

SUMMARY BACKGROUND The Medical Control Program for Occupational Health establishes the required supplementary exams, according to the activity exercised by the worker and its inherent risks. The Regulatory Norm No. 35, recently deployed, stipulates that at-height workers must undergo electrocardiogram exams as an additional routine examination. OBJECTIVE To evaluate the electrocardiographic standard in at-height. METHODOLOGY A cross-sectional study, developed from May 2014 to January 2015 with male at-height workers. Anthropometric and clinical data were collected after the electrocardiogram (ECG). The workers included in the program were evaluated by an occupational medicine service of Serra Gaúcha, responsible for medical assessment and occupational tests. All workers were assessed by the researcher. RESULTS A total of 561 at-height workers participated in the study. The average age was 35.9 ± 12.2 years. A total of 176 (31%) presented electrocardiographic changes in the analysis of the resting ECG. Regarding the amendments in the resting ECG, 15.7% were attributed to changes in ventricular repolarization, 8% as blocks conductions, and 5.8% as left ventricular overload. Demographic variables were not associated with changes in the electrocardiographic tracing CONCLUSION This study demonstrated the electrocardiographic alterations and the profile of at-height workers. These findings can help determine prevention strategies and provide warnings of possible future harms to the health of these workers.

The Hillsborough football stadium disaster: a single case study

1992 ◽  
Vol 9 (1) ◽  
pp. 57-59
Author(s):  
Raymond F Travers ◽  
Gus A Baker
Keyword(s):  
Case Management ◽  
Service Provision ◽  
Single Case ◽  
Single Case Study ◽  
Compulsory Admission ◽  
Medical Control ◽  
Risk Patients ◽  
Organic Brain ◽  
Football Stadium

AbstractExpectations for service provision following a disaster are understandably high but difficult to meet. This report considers the case of a patient with pre-morbid anxiety traits and asthma who suffered organic brain damage as a consequence of the Hillsborough Football Stadium disaster, whose care was reactive rather than proactive and resulted in his compulsory admission to a psychiatric hospital. Aftercare arrangements need to be anticipated in advance and should involve early psychiatric assessment of at-risk patients. Medical control of case management following disasters needs further clarification.

scholarly journals Proteome-Wide Mapping and Reverse Vaccinology Approaches to Design a Multi-Epitope Vaccine against Clostridium perfringens

Vaccines ◽  
2021 ◽  
Vol 9 (10) ◽  
pp. 1079
Author(s):  
Fahad M. Aldakheel ◽  
Amna Abrar ◽  
Samman Munir ◽  
Sehar Aslam ◽  
Khaled S. Allemailem ◽  
...  
Keyword(s):  
Molecular Docking ◽  
In Silico ◽  
Epitope Vaccine ◽  
Ifn Gamma ◽  
Cellular Immune Responses ◽  
Medical Control ◽  
Food Borne ◽  
Food Borne Illness ◽  
Cellular Immune ◽  
The Brain

C. perfringens is a highly versatile bacteria of livestock and humans, causing enteritis (a common food-borne illness in humans), enterotoxaemia (in which toxins are formed in the intestine which damage and destroy organs, i.e., the brain), and gangrene (wound infection). There is no particular cure for the toxins of C. perfringens. Supportive care (medical control of pain, intravenous fluids) is the standard treatment. Therefore, a multiple-epitope vaccine (MEV) should be designed to battle against C. perfringens infection. Furthermore, the main objective of this in silico investigation is to design an MEV that targets C. perfringens. For this purpose, we selected the top three proteins that were highly antigenic using immuno-informatics approaches, including molecular docking. B-cells, IFN-gamma, and T cells for target proteins were predicted and the most conserved epitopes were selected for further investigation. For the development of the final MEV, epitopes of LBL5, CTL17, and HTL13 were linked to GPGPG, AAY, and KK linkers. The vaccine N-end was joined to an adjuvant through an EAAK linker to improve immunogenicity. After the attachment of linkers and adjuvants, the final construct was 415 amino acids. B-cell and IFN-gamma epitopes demonstrate that the model structure is enhanced for humoral and cellular immune responses. To validate the immunogenicity and safety of the final construct, various physicochemical properties, and other properties such as antigenicity and non-allergens, were evaluated. Furthermore, molecular docking was carried out for verification of vaccine compatibility with the receptor, evaluated in silico. Also, in silico cloning was employed for the verification of the proper expression and credibility of the construct.

Monitoring the health of prisoners subjected to disciplinary isolation in penal enforcement legislations of the CIS countries

2019 ◽  
pp. 45-53
Author(s):  
Андрей Анатольевич Павленко
Keyword(s):  
Medical Personnel ◽  
Solitary Confinement ◽  
Early Termination ◽  
Correctional Institutions ◽  
Nelson Mandela ◽  
Detention Centers ◽  
Medical Control ◽  
The Russian Federation ◽  
Cis Countries ◽  
Correction System

Контроль за состоянием здоровья осужденных, повергнутых дисциплинарной изоляции, является важной гарантией недопущения пыток и других жестоких, бесчеловечных или унижающих достоинство видов обращения или наказания. Прежде всего это относится к взысканию в виде одиночного заключения, при применении которого зачастую происходит «перерастание» легальной дисциплинарной меры в меру, равнозначную пытке. В статье проводится сравнительный анализ сферы медицинского контроля за применением дисциплинарных взысканий к осужденным в уголовно-исполнительном законодательстве стран СНГ по трем основным параметрам, обозначенным в п. 46 Правил Нельсона Манделы (далее - ПНМ). К таким параметрам отнесены: 1) обязательность медицинского осмотра (освидетельствования) перед водворением в помещение для дисциплинарной изоляции; 2) регулярное медицинское наблюдение в период нахождения осужденного в помещении для дисциплинарной изоляции; 3) возможность досрочного прекращения дисциплинарного взыскания в виде водворения в указанное помещение. В результате проведенного анализа выявлено, что в сфере контроля за состоянием здоровья осужденных, подвергнутых дисциплинарной изоляции, положениям ПНМ наиболее соответствуют нормы УИК Беларуси и Туркменистана, а также Кодекса исполнения уголовных наказаний Таджикистана и Исполнительного кодекса Молдовы. Приходится констатировать, что соответствие положений УИК РФ рекомендациям Правил Нельсона Манделы в рассматриваемой сфере четко прослеживается только по первому из трех параметров ПНМ. Второй и третий параметры в Кодексе прямо не указаны. Полагаем, что законодательные пробелы, регулирующие медицинский контроль в период нахождения осужденного в помещении для дисциплинарной изоляции, а также досрочное прекращение такой изоляции создают определенные проблемы в профессиональной деятельности работников УИС и подлежат устранению. В первую очередь предлагаем закрепить заложенные во втором и третьем параметрах п. 46 ПНМ на законодательном уровне - в ст. 118 УИК РФ. Далее целесообразно раскрыть процедуру (алгоритм) реализации рассматриваемых норм уже на подзаконном уровне для всего персонала мест лишения свободы - в Правилах внутреннего распорядка ИУ. Алгоритм деятельности медработников УИС в этих ситуациях уже достаточно детально изложен в Порядке организации оказания медицинской помощи лицам, заключенным под стражу или отбывающим наказание в виде лишения свободы. Monitoring the health of prisoners subjected to disciplinary isolation is an important safeguard against torture or other cruel, inhuman or degrading treatment or punishment. This applies in particular to the punishment in the form of solitary confinement, whose application can escalate from legal disciplinary measures into measures that amount to torture. In this article, medical control over disciplinary measures to convicted in penal enforcement legislations of the CIS countries is compared by three main parameters identified in paragraph 46 of Nelson Mandela Rules (hereinafter referred to as the “NMR”). Those parameters include: 1) compulsory medical examination before transfer into disciplinary confinement cell; 2) regular medical supervision while the prisoner is held in a disciplinary confinement cell; 3) opportunity of early termination of disciplinary measures. As the result of the analysis, the Penal Enforcement Code norms of Belarus, Turkmenistan, Tajikistan, and Moldova were distinguished as the most appropriate to the NMR provisions in the area of monitoring the health of prisoners subjected to disciplinary isolation. It should be noted that the Penal Enforcement Code of the Russian Federation is in conformity with the provisions of the Nelson Mandela Rules if we consider only the first out of three NMR parameters identified. Second and third parameters are not expressly mentioned in the Penal Enforcement Code. We believe that legislative gaps regulating medical control during solitary confinement of convicts and early termination of such measures present certain challenges for medical personnel in correctional institutions and must be addressed. Initially, it will be necessary to legislate specified requirements according to second and third parameters of paragraph 46 of NMR - in article 118 of the Penal Enforcement Code of Russia. Then it is appropriate to lay out a procedure (algorithm) for realization of norms under consideration on a sub-legal level, namely: for medical personnel of penal correction system - in organization of provision of health care to persons remanded in custody or serving sentences of deprivation of liberty, for the other officials in detention centers - in the internal work regulations for correctional institutions.

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