Causation in Criminal Law: A New Look at Jordan, Smith, Blaue and Cheshire

1998 ◽  
Vol 62 (5) ◽  
pp. 461-467
Author(s):  
Solomon E Salako

This article re-evaluates cases decided on legal causation in criminal law since Holland (1841) taking cognisance of advances in medical science, good medical practice and judicial attitudes. It is argued that Re T (1992) and Bland (1993) and cases sequel to them cast serious doubts on (and indeed compel a restatement of) the principles of legal attribution relating to intervening events and refusal of medical treatment.

2016 ◽  
Vol 9 (1) ◽  
pp. 21-39
Author(s):  
Damjan Korošec

Regarding the question under which conditions a physician in Slovenia is allowed to omit life-prolonging medical treatment of dying patients, the main legal source is the Patient Rights Act, adopted in Slovenia in 2008 (parallel to Criminal Code of Slovenia). Under this law, there are two possible circumstances in deciding about life-prolonging medical treatment regarding dying patients: a) on the basis of the so-called patient’s testament in the sense of Art. 34 of the Patient Rights Act; and b) without any known patient's testament in the sense of Art. 34 of the Patient Rights Act. Such decisions can also be contrary to a decisive wish of relatives of the dying patient to prolong the patient’s life under all circumstances. If this decision is reached with full respect of the Patient Rights Act as well as the rules of medical science, omitting life prolonging medical treatment cannot be unlawful in the sense of medical criminal law.


Author(s):  
Michael Dunn ◽  
Tony Hope

Euthanasia is one form of assisted dying. Other forms include assisting suicide and the withholding or withdrawing of life-extending medical treatment. The practice of euthanasia—killing a patient for the patient’s benefit—under some circumstances, is morally required by the two most widely regarded principles for guiding good medical practice: respect for patient autonomy and promoting patients’ best interests. ‘Assisted dying: good medical practice, or murder?’ considers four tools of ethical reasoning: defining terms, elucidating concepts, case comparison, and logic. It argues in favour of the law allowing health professionals, under certain conditions, to assist patients to die, and illustrates one common and powerful method of argument: countering the counter-arguments.


2019 ◽  
Author(s):  
Stéphane Sanchez ◽  
Cécile Payet ◽  
Marie Herr ◽  
Anne Dazinieras ◽  
Caroline Blochet ◽  
...  

BACKGROUND The elderly are particularly exposed to adverse events from medication. Among the various strategies to reduce polypharmacy, educational approaches have shown promising results. OBJECTIVE We aimed to evaluate the impact of the implementation of a good medical practice booklet on polypharmacy in nursing homes. METHODS We identified nursing homes belonging to a geriatric care provider that had launched a policy of proper medication use using a good medical practice booklet delivered to prescribers and pharmacists. Data were derived from electronic pill dispensers. The effect of the intervention on polypharmacy was assessed with multilevel regression models, with a control group to account for natural trends over time. The main outcomes were the average daily number of times when medication was administered and the number of drugs with different presentation identifier codes per resident per month. RESULTS 96,216 residents from 519 nursing homes were included between 1 January 2011 and 31 December 2014. The intervention group and the control group both decreased their average daily use of medication (-0.05 and -0.06). The good medical practice booklet did not have a statistically significant effect (exponentiated difference-in-differences coefficient 1.00, 95% confidence interval 0.99-1.02, P=.45). CONCLUSIONS Although the good medical practice booklet itself did not seem effective in decreasing medication use, our data show the effectiveness of a higher-level policy to decrease polypharmacy.


PEDIATRICS ◽  
1980 ◽  
Vol 66 (5) ◽  
pp. 817-818
Author(s):  
Michael S. Kramer ◽  
I. B. Pless

We read with surprise and considerable alarm Dr Crook's editorial concerning the role of scientific proof in medical practice. Unfortunately, he appears to confound the admittedly problematic philosophical construct of "proof" with the basic tenets of the scientific method. It is one thing to argue that scientific proof is difficult to define, but quite another to then conclude that opinion, even enlightened and informed opinion, is preferable to hard evidence as the principal criterion for assessing the efficacy of medical treatment.


2021 ◽  
Vol 14 (1) ◽  
pp. 55-60
Author(s):  
Abul Hasan Muhammad Bashar

Ultrasound is a key investigating tool aiding diagnosis and treatment in the day-to-day medical practice nowadays. Like any other invention, ultrasound technology also has a long history strewn with successes and setbacks. From its modest beginning, it has come a long way to be applied not only in medical science but also in many other areas including navigation and warfare. Scientistsengineers, physicists, mathematicians, biomedical engineers and physicians worked relentlessly over centuries to bring about developments in the field of ultrasound technology as a whole. Medical ultrasound has a relatively recent history that has seen great dedication and commitment from researchers to achieve the degree of finesse we see today. The present article looks back on the historical aspects of ultrasound technology with a focus on medical ultrasound. Cardiovasc j 2021; 14(1): 55-60


2012 ◽  
Vol 94 (4) ◽  
pp. 128-130
Author(s):  
Sac MacKeith ◽  
Svelusamy ◽  
A Pajaniappane ◽  
P Jervis

Doctors' handwriting has long been criticised as being difficult to read or even illegible. In more recent years research has confirmed that it is not uncommon to find medical case note entries that are deficient, illegible or unidentifiable. In Good Medical Practice the General Medical Council (GMC) asks that doctors 'keep clear, accurate, legible and contemporaneous patient records'. In addition, the GMC 'expects that all doctors will use their reference numbers widely to identify themselves to all those with whom they have professional contact'. This includes encouragement for its use in case note entries and prescribing.


2021 ◽  
Vol 3 (1) ◽  
pp. 106-118
Author(s):  
Timea Vitan ◽  

In the context of the COVID19 pandemic, during last year all public attention has been focused on Medicine. Epidemiology is no longer just one medical specialty among many others, but became the main paradigm and the unique background of medical science. The individual pacient has turned into the collective pacient. Medical policies are not centered on the pacient anymore, but on its social group. In this article I will try to show how the characteristics of medical practice changed since the pandemic began and which are the deontological implications of such changes. With a short introduction on the medical policies proposed by the WHO during the last decades, I wish to underline the recent history of medical practice and its obvious turning point occasioned by the pandemic. Once the new bioethical vantage points are set, I wonder to which extent posthumanist philosophy foresaw this new deontological paradigm. Having Rosi Braidotti`s “The Posthuman” as my starting point, I maintain that medical doctors no longer practice on a humanist background, but with a sort of commitment that goes beyond the individual. However, this is not an antihumansit pledge, because contemporary medical doctors still adhere to certain humanist principles. As it so often happens, we will be left with even more questions. If the pacient is no longer the individual, but the group of individuals, which is the nature of a symptom and how should we decipher its meaning? How would a new medical science look like if we are to build it not on a human but on a posthuman biology?


The Lancet ◽  
2002 ◽  
Vol 359 (9309) ◽  
pp. 895
Author(s):  
MJ Henderson ◽  
K Holland-Elliot

PEDIATRICS ◽  
1967 ◽  
Vol 40 (3) ◽  
pp. 390-394
Author(s):  
Richard Winkelmayer ◽  
A. Bradford Judd ◽  
Richard P. Stearns

Understanding the emotional impact of physical illness is generally recognized as an indispensable aspect of good medical practice. The diagnosis of fatal illness and the feelings connected with it possibly present the most difficult challenge in the art of medicine. We have tried to present some of the factors that led a mother to influence independent specialists to supply her with diagnoses of fatal diseases for two of her children. We feel that such processes are quite often at work, and we might have dismissed the untenable diagnosis of a fatal disease with the remark, "such things happen," were it not for the fact that this unlikely event happened twice in the same family. As physicians, we should all like to believe that our knowledge of the science of medicine is sufficient to remove us from the possibility of parental or other influence in such an instance. However, we are always exposed to these influences, and we may be swayed by them more often than we care to admit.


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