Consent and the use of Foley catheters in epistaxis

2005 ◽  
Vol 119 (10) ◽  
pp. 822-824 ◽  
Author(s):  
Sarah Pellard ◽  
Jamie Boyce ◽  
Duncan R Ingrams
Keyword(s):  
Informed Consent ◽  
Regulatory Agency ◽  
Questionnaire Survey ◽  
Legal Status ◽  
British Association ◽  
Legal Action ◽  
Product Licence ◽  
Lack Of Knowledge

The Medicines and Healthcare Products Regulatory Agency stated in 2003 that doctors should endeavour to avoid using products in treatments not covered by their product licence. Foley catheters are commonly used in the management of epistaxis although their product licence does not cover this. We undertook a questionnaire survey of members of the British Association of Otorhinolaryngologists – Head & Neck Surgeons to study the extent of the use of these catheters and the knowledge that members had of their legal status.Most members appear to use Foley catheters in the management of epistaxis; however, many are not aware that the product is not licensed for this purpose. Because of this lack of knowledge, only half obtain verbal consent for treatment with this device and only a very small number obtain written consent from patients.In the era of increasing litigation, documentation of informed consent could be considered mandatory to protect us from possible legal action, and this needs to be known by all practising otolaryngologists.

The subjective incremental cost of informed consent and documentation in hospital care: a multicentre questionnaire survey in Japan

2009 ◽  
Vol 15 (2) ◽  
pp. 234-241 ◽  
Author(s):  
Haruhisa Fukuda ◽  
Yuichi Imanaka ◽  
Hiroe Kobuse ◽  
Kenshi Hayashida ◽  
Genki Murakami
Keyword(s):  
Informed Consent ◽  
Incremental Cost ◽  
Questionnaire Survey ◽  
Hospital Care

scholarly journals Knowledge and acceptance research of use of vine-branch in micro region of Gyöngyös

2012 ◽  
Vol 6 (3-4) ◽  
pp. 117-119
Author(s):  
Cecília Gonda
Keyword(s):  
Questionnaire Survey ◽  
Plant Biomass ◽  
Study Research ◽  
Communication Method ◽  
Acceptance Research ◽  
By Products ◽  
Knowledge And Acceptance ◽  
Lack Of Knowledge

Significant quantity of renewable plant biomass comes into existence in Hungary year by year. Nowadays there are different wellknow possibilities for utilization. However these methods are not widely accepted. The most important obstacle is frequently caused by lack of knowledge of farmers. Without the necessary information the farmers become distrustful, and in many cases significantly decrease the efficiency of reclamation. Targeted communication method should be used to improve the rates of utilization. It should include appropriate content to their knowledge. This study research the knowledge and the acceptance of vine-branch utilization circle of wine-grower in micro region of Gyöngyös by questionnaire survey. We will know why the use of by-products has not spreaded yet circle of wine-grower and where they get their information from. The typically fragmented farms do not utilize because they do not know the process for doing or other people cultivate their vine-yard so they have not necessary machine. The questionnaire ask the farmers they want to offer their vine-branch a user factory.The questionnaires was completed by personal request. The reason of methods was the bigger rate of query. The questionnaire include question about the farm, the use of vinebranch and data of farmers. The villages were asked the rates of wine-grower. The aim of the research the rational utilize of by-product by wine-growers year by year. With the results of questionnaire survey we can inform the farmers with the appropriate method about the necessary knowledge.

scholarly journals LAW REASONING OF CHILD CUSTODIAL RIGHT FOR NON-MUSLIM MOTHER

2020 ◽  
Vol 5 (1) ◽  
pp. 97-125
Author(s):  
Ahmad Ali Mashudi
Keyword(s):  
Child Care ◽  
Religious Education ◽  
Child Custody ◽  
Legal Status ◽  
Legal Reasoning ◽  
Legal Action ◽  
Legal Research ◽  
Indirect Influence ◽  
Library Research

This article is result of library research. This research is included in the category of normative legal research. This research discussion aims to explain the legal status of non-Muslim mothers in the context of post-divorce child care. The findings of this study are that according to the ulama' of the four schools of thought, the haānah rights of an apostate mother should not be granted. The argument that is built is that haānah does not only take care of physically but also includes children's religious education. The non-Muslim mother is feared to have a direct or indirect influence on the child. The legal status of an apostate also affects legal action. The apostasy reduces the ability to raise children, so the majority of scholars' abort the haānah rights for apostate mothers. KHI explains child custody/haānah in general as regulated in article 105. Parenting rights of non-Muslim mothers are not regulated by KHI. Keywords: Parenting rights, non-Muslim mothers, legal reasoning   Abstrak Artikel ini adalah hasil dari penelitian pustaka (library research). Penelitian ini masuk dalam kategori penelitian hukum normatif. Diskusi penelitian ini bertujuan menjelaskan status hukum ibu nonmuslim dalam konteks pengasuhan anak pascaperceraian. Temuan penelitian ini adalah bahwa menurut ulama’ empat mazhab, hak haḍānah ibu murtad, tidak boleh diberikan. Argumen yang dibangun adalah haḍānah  tidak  hanya merawat secara jasmani saja akan tetapi haḍānah juga meliputi pendidikan agama anak. Ibu nonmuslim itu dikhawatirkan memberi pengaruh baik langsung maupun tidak langsung kepada anak. Status hukum seorang yang murtad juga mempengaruhi tindakan hukum. Kemurtadan itu mengurangi kecakapan dalam mengasuh anak, sehingga mayoritas ulama’ menggugurkan hak haḍānah bagi ibu murtad. KHI menjelaskan hak asuh anak/haḍānah secara umum saja sebagaimana diatur dalam pasal 105. Hak Pengasuhan ibu non muslim tidak diatur oleh KHI. Kata kunci: Hak pengasuhan, ibu nonomuslim, nalar hukum

A Defense of Self-Medication

2017 ◽  
Author(s):  
Jessica Flanigan
Keyword(s):  
Informed Consent ◽  
Regulatory Agency ◽  
Access To Medicines ◽  
Public Officials ◽  
Self Medication ◽  
Medical Decisions ◽  
Making Choices ◽  
Doctor's Office ◽  
The Right ◽  
Medical Choice

The same considerations that justify rights of informed consent also justify rights of self-medication because paternalism is wrong at the pharmacy and in the doctor’s office. Rights of self-medication require that patients have legal access to medicines without a prescription and without authorization from a regulatory agency. Like informed consent, the right of self-medication does not rely on a single, potentially controversial normative premise. From a consequentialist perspective, patients should be entrusted with making choices for themselves because they are generally most knowledgeable about which decision will further their interests. From a rights-based perspective, medical decisions are often intimate and personal choices that are especially significant to patients. Furthermore, even if a medical choice is not intimate, personal, or especially significant, people are more generally entitled to choose how they live their lives without being subjected to benevolent interference by physicians or public officials.

Ethics Committees at Work: Physician Experience as a Measure of Competency: Implications for Informed Consent

1996 ◽  
Vol 5 (3) ◽  
pp. 458-466
Author(s):  
Paul B. Hofmann ◽  
William Nelson ◽  
Neal Cohen ◽  
Robert L. Schwartz
Keyword(s):  
Informed Consent ◽  
Diagnostic Procedure ◽  
Ethics Committees ◽  
House Staff ◽  
Legal Action ◽  
Actual Case ◽  
Attending Physician ◽  
Invasive Diagnostic Procedure

The following description is based upon an actual case in which a patient initiated legal action after suffering a complication subsequent to an invasive diagnostic procedure performed by a senior fellow. Named as codefendants were the senior fellow, attending physician, and the hospital. Because any hospital with house staff is potentially vulnerable to similar litigation, Ethics Committees at Work is addressing the questions raised by this dilemma.

Patients' Satisfaction With the Preoperative Informed Consent Procedure: A Multicenter Questionnaire Survey in Switzerland

2006 ◽  
Vol 81 (3) ◽  
pp. 307-312 ◽  
Author(s):  
Amina T. Ghulam ◽  
Margrit Kessler ◽  
Lucas M. Bachmann ◽  
Urs Haller ◽  
Thomas M. Kessler
Keyword(s):  
Informed Consent ◽  
Questionnaire Survey ◽  
Informed Consent Procedure ◽  
Patients Satisfaction ◽  
Consent Procedure

scholarly journals A Questionnaire Survey on awareness of Clinical Trials Among Medical Students

2018 ◽  
Vol 11 (4) ◽  
pp. 2005-2009
Author(s):  
Amberkar Mohanbabu Vittalrao ◽  
K. Meena Kumari ◽  
Seema V. Bhat ◽  
Rupam Gill ◽  
Serene Rose Thomson
Keyword(s):  
Clinical Trials ◽  
Informed Consent ◽  
Medical Students ◽  
Questionnaire Survey ◽  
Medical Curriculum ◽  
Trial Participation ◽  
Undergraduate Medical Students ◽  
Ethical Decisions ◽  
Institutional Review ◽  
Medical Undergraduates

There is an immense need to inculcate research in the medical curriculum of undergraduate medical students, which will help them to interpret the evidence based literature like journal articles, analyze, interpret & to help their decision making ability. Involvement in innovative research will help them develop a holistic attitude towards the patients especially in terms of informed consent and ethical decisions. This study a questionnaire survey was conducted on undergraduate medical students. It consists of statements spread over various aspects of clinical trials. The percentage of questions answered correctly in each group was graded as good, average and poor depending on scores. A total of 257 students participated in the study. Students had average knowledge about statements describing concept, need of clinical trial, participation, about Food and Drug Administration, informed consent had average knowledge. The response was poor for statements on Institutional Review Board (IRB) and Drug Controller General of India (DCGI). The medical undergraduates are future innovators, clinicians and scientific explorers. It would be better if they are trained at earlier days of learning about clinical trials/research and medical ethics these can be made a part of medical curriculum so that they can build their concrete future.

scholarly journals A Questionnaire Survey Study of Obtaining Informed Consent on Anesthesia in Emergency Surgeries for a Month in a Single Territory Center

2018 ◽  
Vol 38 (4) ◽  
pp. 421-425
Author(s):  
Junko ICHIKAWA ◽  
Haruna NIHEI ◽  
Keiko NISHIYAMA ◽  
Mitsuharu KODAKA ◽  
Makiko KOMORI
Keyword(s):  
Informed Consent ◽  
Questionnaire Survey ◽  
Survey Study

scholarly journals Informed consent to the receipt and use of human cellular material: juristic and ethical regulation

2018 ◽  
pp. 84-90 ◽  
Author(s):  
D. V. Stambolsky ◽  
E. V. Bryzgalina ◽  
A. Yu. Efimenko ◽  
K. Yu. Alasania ◽  
E. M. Shkomova ◽  
...  
Keyword(s):  
Informed Consent ◽  
Cell Therapy ◽  
Legal Status ◽  
Cellular Material ◽  
Global Trends ◽  
Cell Material

Further progress in medicine is closely related to the clinical introduction of regenerative technologies, including cell therapy. Presented article covers the ethical and legal status of obtaining an informed consent from donors of cell material. The manuscript defines specific functions of such informed consent related to the features of research object and possibilities of its further use. The recommended content of the informed consent from cell material donors is determined in the context of global trends as well as guidelines for obtaining the consent. Existing difficulties and contradictions while developing an informed consent are presented

Reshaping Informed Consent in the Biobanking Context

2012 ◽  
Vol 19 (3) ◽  
pp. 271-288 ◽  
Author(s):  
Matteo Macilotti
Keyword(s):  
Informed Consent ◽  
Legal Status ◽  
Personal Data ◽  
Point Of View ◽  
Personal Beliefs ◽  
Crucial Point ◽  
Basic Issue ◽  
Definition Of ◽  
The Relationship

Abstract In my article, I discuss the role of informed consent in the context of biobanking. I argue that the basic issue in understanding the role of the consent is one of identifying the interests at stake and determining which of these interests we intend to promote. The definition of the informational content represents only a consequential step. For this purpose, I analyse the legal status of human biological materials from three different perspectives: “material”, “informational” and “relational”. Informed consent produces different effects on each of these perspectives. From the material perspective, consent can influence the allocation of property rights over human tissue; from the informational point of view, consent is the legal instrument that permits control over personal data; while from the “relational” perspective, it is possible through consent to ensure that the person’s personal beliefs are respected. The crucial point is that the legal effects that informed consent has on the three perspectives overlap. Therefore, in order to understand the role of informed consent holistically, in this article I analyse how these perspectives relate to each other. This analysis shows that the relationship between the perspectives can vary depending on the interests that we intend to promote. If we intend to promote the freedom of research, then the material dimension can prevail, whilst if we focus our attention on the interests of individuals then the informational and the relational dimensions will prevail. The challenge is to find a good balance between these two extremes.

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