scholarly journals THE ETHICS OF THE RELATION BETWEEN THE CONVICTED PATIENT AND THE PHYSICIAN

2016 ◽  
Vol 89 (4) ◽  
pp. 474-479
Author(s):  
Cristian Gherman ◽  
Ovidiu Chiroban ◽  
Dan Perju-Dumbrava
Keyword(s):  
Medical Records ◽  
Professional Ethics ◽  
Medical Condition ◽  
Pathological Condition ◽  
Real Life ◽  
Legal Medicine ◽  
Ethical Framework ◽  
Personality Changes ◽  
Deceptive Behavior ◽  
System Information

Backgrounds and aims: Approaching the convicted patient is a topical issue in terms of alignment with EU provisions and recommendations, more so in the context of year by year increase in the number of convicts and consequently, prison patients. The prison patient exhibits increased vulnerability in regard to the rest of the convicts due to his/her medical status overlapping personality changes induced, while coping with a new environment. This represents a challenge for the physicians involved in the expertise process, which must act objectively within the limits and by the principles of professional ethics, while confronting a patient influenced by the prison environment.Methods: We studied the existing legal and ethical framework concerning the expertise in view of sentence postponement/interruption on medical grounds and made a comparison between the theoretical information available and the “real life” situations encountered in our experience at the Institute of Legal Medicine Cluj-Napoca. Following this step we tried to establish some principles needed to optimize health care in the penitentiary system by detecting and sanctioning situations of deceptive behavior, doubled or not by simulation and over-simulation.Results: Convicts present pathologies documented in medical records, but accuse new symptoms that could suggest a new pathological condition. During the expertise, convicted patients emphasize their symptoms and/or claim new symptoms unrelated to their documented medical condition. Convicts submit repeated requests for which treatment solutions within the NAP healthcare system had been already formulated.Conclusion: The patient must be properly informed about the steps to be taken and duration expected in performing a legal medicine expertise in pursuit of sentence postponement or interruption for the treatment of a medical condition that cannot be properly addressed within the NAP sanitary system. Information should come from authorized sources. Efforts to determine unauthorized sources (mainly "experienced" detainees with records of unsubstantiated demands) are surely beneficial.

scholarly journals Consultations in Child Abuse Pediatrics

2020 ◽  
Vol 59 (8) ◽  
pp. 809-815
Author(s):  
Ralph A. Hicks ◽  
Antoinette L. Laskey ◽  
Tara L. Harris ◽  
Roberta A. Hibbard
Keyword(s):  
Child Abuse ◽  
Medical Records ◽  
Medical Condition ◽  
Case Fatality ◽  
Final Diagnosis ◽  
Descriptive Statistics ◽  
Insufficient Information ◽  
Intracranial Injury ◽  
Skin Injury ◽  
Consultation Service

This study describes a hospital-based child abuse pediatrics consultation service. Medical records for all child abuse pediatrics consultations during 2006 to 2009 were reviewed. Descriptive statistics were used for data analysis. Of 2495 consultations, 13 were excluded due to insufficient information, 1682 were examinations for suspected sexual abuse, and 800 were examinations for nonsexual abuse concerns. Among the latter group of 800 patients, the most common reasons for consultation were fracture (33.5%), nonburn skin injury (16.8%), burn (15.4%), and intracranial injury (13.2%). Median patient age was 11 months (range = 3 days to 16 years). Case fatality rate was 3.9%. Final diagnosis was classified as definite/likely abuse in 40.0%, questionable/unknown in 24.5%, definite/likely accident in 23.6%, no injury in 4.6%, neglect in 4.0%, and a medical condition in 3.2%. Therefore, among consultations requested for suspected child maltreatment, a child abuse pediatrician concluded that abuse was definite or likely in less than half of patients.

Islam and Female Migrant Domestic Workers in Qatar

2017 ◽  
Vol 5 (2-3) ◽  
pp. 179-199
Author(s):  
Jawad Syed
Keyword(s):  
Real Life ◽  
Domestic Workers ◽  
Ethical Framework ◽  
Islamic Ethics ◽  
Intersectionality Theory ◽  
Multiple Identity ◽  
Female Migrants ◽  
Analyse Power ◽  
Female Migrant ◽  
Migrant Domestic Workers

This paper offers an Islamic perspective on the issues of female migrants, mainly in domestic work, and the Islamic ethics that pertain to their contemporary circumstances in Qatar. It uses intersectionality theory to argue that multiple identity categories of migration, ethnicity and class are important along with gender to better analyse power relations and discrimination facing female migrant domestic workers. It refers to Islamic egalitarian and humanitarian teachings as an ethical framework for legislative and cultural reforms. The paper also offers some real-life examples to illustrate the issues and challenges facing migrant domestic workers in Qatar. In the end, some recommendations and implications are offered.

The Sense of Nonsense in Fielding's Author's Farce

1982 ◽  
Vol 23 (1) ◽  
pp. 45-54
Author(s):  
Susan K. Ahern
Keyword(s):  
Social Behavior ◽  
Daily Life ◽  
Real Life ◽  
Deceptive Behavior ◽  
The Temple ◽  
The Way

Henry Fielding's Author's Farce, performed forty-one times in the spring and summer of 1730, was the hit of London's theatrical season. In this, his third play, Fielding turned away from the stylized realism of his Love in Several Masques (1728) and The Temple Beau (1730). In the earlier plays, and indeed throughout his career, he perceived and judged social behavior by comparing people who play roles in daily life to actors who assume roles on stage; in particular, he scrutinized the theatrical rituals and fashionable deceit of courting couples. By adopting the techniques of burlesque in The Author's Farce, he exposes simultaneously the false roles of courtship in daily life and the way that the theatre itself portrays such love-making. Understanding the technique by which Fielding criticizes courtship clearly reveals his larger purpose — to criticize the deceptive behavior and mercenary values, implicit in the stage's conventions, which the theatre fosters and endorses in real life.

Drugs that can cause respiratory depression with concomitant use of opioids

2017 ◽  
Vol 16 (1) ◽  
pp. 186-186
Author(s):  
B.D. Sigmarsdottir ◽  
Th.K. Gudmundsdottir ◽  
S. Zoäga ◽  
P.S. Gunnarsson
Keyword(s):  
Respiratory Depression ◽  
Medical Records ◽  
Medical Condition ◽  
University Hospital ◽  
Drug Classes ◽  
Threatening Condition ◽  
Life Threatening ◽  
Using Data ◽  
Medical Records System ◽  
Sedative Drugs

Abstract Aims Respiratory depression is a serious life threatening condition and a known adverse event of opioids. Little is known about the use of the opioid antidote naloxon in Iceland, and the additive effects of other potentially respiratory depressive drugs administered with opioids. The aim of the study was to review the literature on drugs that may cause respiratory depression and to assess medication use in patients receiving parenteral naloxone in Landspítali University Hospital. Methods A review and analysis of drugs that can cause respiratory depression based on information from the scientific literature, medicine databases and clinical guidelines. A retrospective study was performed using data collected from the electronic medical records system of Landspítali University Hospital for all patients, 18 years and older that had parenteral naloxon administered in the years 2010–2014. Information about the type of opioid and other respiratory depressive drugs was collected and the data was further investigated in regards to age, gender, and type of service. Results The most potential drugs and drug classes that can cause respiratory depression when used concomitantly with opioids are benzodiazepines and other anxiolytics, hypnotics and sedatives, antipsychotics, antiepileptics, antihistamins and anesthetics. When use was examined (N=138) morphine was the most frequent opioid given (49%). Concomitant use of opioids and other respiratory depressive drugs was seen in 63% of cases, and benzodiazepines were the most frequent drugs given with opioids (33%). Conclusions The concomitant use of benzodiazepines and other sedative drugs with opioids is frequent, despite the known risk of additive respiratory depression as described in the literature. Other patient risk factors such as medical condition, general health and consciousness should be considered in context with drugs used.

scholarly journals Imperfect osteogenese: child case report

2018 ◽  
Vol 21 (3) ◽  
pp. 351
Author(s):  
Eduarda Gallito Féres ◽  
Mônica Almeida Tostes ◽  
Viviane Cancio
Keyword(s):  
Case Report ◽  
Osteogenesis Imperfecta ◽  
Medical Records ◽  
Collagen Fiber ◽  
Medical Condition ◽  
Adequate Treatment ◽  
Medical Disorder ◽  
Dental Management ◽  
Blue Sclera

<p>Osteogenesis Imperfecta leads to alterations in type 1 collagen fiber, apart from causing bone fracture, blue sclera and other related deformities. As few medical records are available in the field of dentistry regarding these alterations, having a better understanding of this medical disorder and its dental management has become a matter of extreme relevance if one is to provide adequate treatment for patients suffering from this medical condition. This paper reports the case of a 2-year old patient with Osteogenesis Imperfecta who received treatment as part of the Acolher Project – PNE run by the Federal Fluminense University in Rio de Janeiro, Brazil.</p>

scholarly journals Discovering hidden information in biosignals from patients using artificial intelligence

2020 ◽  
Vol 73 (4) ◽  
pp. 275-284
Author(s):  
Dukyong Yoon ◽  
Jong-Hwan Jang ◽  
Byung Jin Choi ◽  
Tae Young Kim ◽  
Chang Ho Han
Keyword(s):  
Artificial Intelligence ◽  
Machine Learning ◽  
Deep Learning ◽  
Medical Condition ◽  
Real Life ◽  
Black Box ◽  
Basic Knowledge ◽  
Hidden Information ◽  
Near Future ◽  
Invasive Evaluation

Biosignals such as electrocardiogram or photoplethysmogram are widely used for determining and monitoring the medical condition of patients. It was recently discovered that more information could be gathered from biosignals by applying artificial intelligence (AI). At present, one of the most impactful advancements in AI is deep learning. Deep learning-based models can extract important features from raw data without feature engineering by humans, provided the amount of data is sufficient. This AI-enabled feature presents opportunities to obtain latent information that may be used as a digital biomarker for detecting or predicting a clinical outcome or event without further invasive evaluation. However, the black box model of deep learning is difficult to understand for clinicians familiar with a conventional method of analysis of biosignals. A basic knowledge of AI and machine learning is required for the clinicians to properly interpret the extracted information and to adopt it in clinical practice. This review covers the basics of AI and machine learning, and the feasibility of their application to real-life situations by clinicians in the near future.

scholarly journals Using T˜-Transformation for Solving Tank and Heating System Equations

2021 ◽  
Vol 8 (3) ◽  
pp. 441-446
Author(s):  
Rehab A. Khudair ◽  
Ameera N. Alkiffai ◽  
Ahmed S. Sleibi
Keyword(s):  
Differential Equations ◽  
Real Life ◽  
Heating System ◽  
Computational Power ◽  
Fuzzy Transform ◽  
Constant Coefficients ◽  
System Equations ◽  
Fractional Differential ◽  
System Information ◽  
A New Technique

In this article, a fuzzy Tarig evolve (T-n-transform) is implemented. Similar theorems and properties have been proven. To explain the technique of this fuzzy transform in differential equations, examples in real life are presented. This study shows the applicability of this interesting fuzzy transform for solving differential equations with constant coefficients also for its computational power. It is desirable to use it as a new technique, to not only solve “nonlinear fractional differential equations", and to analyze prelocal system information. Moreover, significant theorems are presented to explain the properties of T˜-transform as well as a suggested method is validated with two reality examples.

scholarly journals Design Information Consentpasiment Competition Of Desktop Based Dental Poly Information System In Palkesmas Talagabodas Bandung

2019 ◽  
Vol 3 (1) ◽  
pp. 43
Author(s):  
Yudhi Yanuar ◽  
Lilis Emalia ◽  
Novia Surya Ghani
Keyword(s):  
Information System ◽  
Informed Consent ◽  
Medical Records ◽  
Research Method ◽  
Field Studies ◽  
The Internet ◽  
Data Field ◽  
System Information ◽  
The Creation ◽  
The City

The research aims to know the design of system information completeness of charging the informed consent of the patient's Poly. teeth to use microsoft Visual Studio 2010 in UPT Puskemas Talagabodas the city of Bandung. The research method used is the method of qualitative techniques of collecting data field studies, interviews, the library and browsing the internet. Methods of use is a waterfall. From a study found no problems, namely : The process of completwness analysis  of charging the informed consent is still not running, The informed consent in Poly. teeth are not filled with complete, the lack of socialization of the creation and filling the informed consent, especially in Poly. teeth. The advice is give, namely :  start to do the analysis of the completeness of charging the informed consent in accordance with SOP,  the medical records that there can be re-socialization  back about the creation and filling the informed consent to all staff of other medical right to send out the,  should the institution has a system information that can rock the performance of staff medical records more effective in terms of analyzing the completeness of the informed consent and facilitate the creation of the,quipment.

Sign in / Sign up

Export Citation Format

Share Document