scholarly journals Fogászati sérülésekről készült látleletek komplex terminológiai, fogászati és igazságügyi orvosszakértői elemzése

2018 ◽  
Vol 159 (51) ◽  
pp. 2154-2161
Author(s):  
Ágnes Bán ◽  
Zoltán Patonai ◽  
Katalin Fogarasi ◽  
Philipp Schneider ◽  
Róbert Boda ◽  
...  
Keyword(s):  
Multidisciplinary Approach ◽  
Healthcare Providers ◽  
Soft Tissue Injuries ◽  
Legal Aspects ◽  
Tooth Injuries ◽  
General Physician ◽  
Medical Opinion ◽  
Medical Reports ◽  
Dental Injuries ◽  
Legal Consequences

Abstract: Writing a constat is a professional skill required of every general physician and dentist. Constats are issued by healthcare providers on the investigating authority’s, court’s or injured person’s request. This document is an official judicial evidence, a record of medical examination, and it is also a medical opinion which can determine the outcome of the subsequent legal process. Incomplete and incorrect injury descriptions make it difficult for forensic experts to form accurate and appropriate opinions. The authors examined 147 dental and oral surgical constats from the Universities of Pécs and Debrecen using multidisciplinary approach (according to terminological, dental, surgical, forensic and criminal legal aspects). Several medical reports contained mistakes in terms of inaccuracies and self-contradictions, terminology and professional medical practice. The documents included 352 injuries (11.1% of which were tooth injuries, 47.7% bone injuries and 41.2% soft-tissue injuries). The low number of attributes per injury (0.64 on average) indicates insufficient documentation. As a result of the comparative analysis, significant differences were found between the documentation of dental injuries and that of other bone injuries pertaining to their information content. We can state that physicians are most consistent when describing bone injuries, while they are less articulate about tooth injuries. The authors provide an overview of the legal consequences of injuries as well as the legal practice regarding tooth injuries in Germany and Austria, and recommend the creation of a nationwide, unified terminology for both dental and trauma departments on nasal and dental injuries. Orv Hetil. 2018; 159(51): 2154–2161.

Malpractice in paediatric minimally invasive surgery – a current concept: Results of an international survey

2017 ◽  
Vol 57 (4) ◽  
pp. 197-204 ◽  
Author(s):  
Ciro Esposito ◽  
Maria Escolino ◽  
Marcela Bailez ◽  
Steve Rothenberg ◽  
Mark Davenport ◽  
...  
Keyword(s):  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Legal Aspects ◽  
Minimal Impact ◽  
Monetary Compensation ◽  
Malpractice Claims ◽  
Negative Effect ◽  
Legal Consequences ◽  
A Current

This study aimed to assess malpractice in paediatric minimally invasive surgery (MIS), and attitudes, prevention strategies and mechanisms to support surgeons while they are under investigation. An observational, multicentric, questionnaire-based study was conducted. The survey questionnaire was sent via mail, and it comprised four sections. Twenty-four paediatric surgeons (average age 54.6 years), from 13 different countries, participated in this study. The majority had >15 years of experience in MIS. Three (12.5%) surgeons reported a total of five malpractice claims regarding their MIS activity. The reasons for the claims were a postoperative complication in 3/5 (60%) cases, a delayed/failed diagnosis in 1/5 (20%) cases and the death of the patient in 1/5 (20%) cases. The claims concluded with the absolution of the surgeon in all cases, and monetary compensation to the claimant in two (40%) cases. Eleven (45.8%) surgeons were invited as expert counsels in medico-legal actions. Medico-legal aspects have a minimal impact on the MIS activity of paediatric surgeons. In this series, claims concluded with the absolution of the surgeon in all cases, but they had a negative effect on the surgeon’s reputation and finances. A key element in supporting surgeons while they are under investigation is always to choose a surgeon who is an expert in paediatric MIS as legal counsel. A constant update on innovations in paediatric MIS and appropriate professional liability insurance may also play a key role in reducing medico-legal consequences.

scholarly journals Genetic Privacy: The Potential for Genetic Discrimination in Insurance

1999 ◽  
Vol 29 (2) ◽  
pp. 347
Author(s):  
Pamela Jensen
Keyword(s):  
Human Genetics ◽  
Social Economic ◽  
Legal Aspects ◽  
Genetic Discrimination ◽  
Advisory Group ◽  
Medical Genetic ◽  
Genetic Privacy ◽  
New Developments ◽  
Set Up ◽  
Legal Consequences

The threat of modern genetics has been perceived as coming, rather dramatically, from genetic engineering, but the less flashy field of medical genetic testing poses significant and immediate issues. This article discusses the potential for breach of confidentiality or invasion of privacy through the acquisition of information, the disclosure of information, and the potential for prejudicial use of that information by third parties. The author concludes that New Zealand's ethical and legal aspects of human genetics needed a review at the time of writing, recommending an advisory group to be set up to monitor developments in human genetics, facilitate discussion with all relevant persons, groups and bodies, and report on issues arising from new developments in human genetics that can be expected to have wider ethical, social, economic, and legal consequences. However, the author does not find it necessary to enact genetic-specific legislation. 

Some Choice: Law, Medicine, and the Market (1998) by George J. Annas. New York, N.Y.: Oxford University Press, 1998. 320 pp. $29.95

2000 ◽  
Vol 9 (2) ◽  
pp. 288-291
Author(s):  
Norman L. Cantor
Keyword(s):  
New York ◽  
New England ◽  
Assisted Suicide ◽  
Healthcare Providers ◽  
Legal Aspects ◽  
Physician Assisted Suicide ◽  
Critical Function ◽  
Presidential Candidates ◽  
Medical Experiments ◽  
Cigarette Advertising

George Annas serves a critical function as an incisive commentator on the interactions between law and medicine and law and public health. Along with Alex Capron, Dena Davis, Rebecca Dresser, and Larry Gostin—to pinpoint a few—Professor Annas analyses legal aspects of a spectrum of medicolegal issues both in a forum and in a manner that makes them accessible and understandable to a broad community of healthcare providers. His latest book, Some Choice, continues that valuable tradition. The bulk of the volume (17 out of 22 chapters) is drawn from essays originally published as the “Legal Issues in Medicine” feature of the New England Journal of Medicine. The topics include such staples of patients' rights debate as the boundaries of informed consent, authorization of medical experiments, and physician-assisted suicide. A treat is the inclusion of less frequently covered issues, such as access to health information concerning presidential candidates and constitutional bounds of limits on cigarette advertising.

scholarly journals Trauma in the Obstetrical Patient

2009 ◽  
Vol 5 (3) ◽  
pp. 269-283 ◽  
Author(s):  
Christina C Hill
Keyword(s):  
Multidisciplinary Approach ◽  
Healthcare Providers ◽  
Organ System ◽  
Fetal Mortality ◽  
Trauma Patients ◽  
Minor Trauma ◽  
Fetal Exposure ◽  
Trauma Victim ◽  
Assessment And Treatment ◽  
Obstetrical Patient

Trauma complicates approximately 6–7% of all pregnancies and is associated with significant maternal and fetal morbidity and mortality. While the majority of trauma is minor, it is minor trauma that contributes to the majority of fetal mortality. Since virtually every organ system is affected anatomically and physiologically by pregnancy, it is important for healthcare providers who care for trauma victims to be aware of these changes. While assessment and resuscitation considers the existence of two patients, stabilization of the mother takes priority. Diagnostic and radiologic procedures should be used as indicated, with fetal exposure to radiation limited as much as possible. Management of the pregnant trauma victim requires a multidisciplinary approach in order to optimize outcome for mother and fetus. This review discusses the epidemiology, assessment and treatment of pregnant trauma patients and reviews areas where prevention efforts may be focused.

Multidisciplinary Treatment of Complicated Crown-Root Fractures: A Case Study

2016 ◽  
Vol 41 (6) ◽  
pp. e168-e173 ◽  
Author(s):  
IL Stojanac ◽  
BV Bajkin ◽  
MT Premovic ◽  
BD Ramic ◽  
LM Petrovic
Keyword(s):  
Multidisciplinary Approach ◽  
Multidisciplinary Treatment ◽  
Functional Rehabilitation ◽  
Crown Root ◽  
Reinforced Composite ◽  
Root Fractures ◽  
Traumatic Dental Injuries ◽  
Surgical Conditions ◽  
Dental Injuries

SUMMARY Traumatic dental injuries usually occur among children and adolescents, with maxillary central incisors as the most often affected teeth. Complicated crown-root fractures are particularly challenging for esthetic and functional rehabilitation and often require a multidisciplinary approach. A 21-year-old male patient came to the Dental Clinic due to fractured maxillary incisors caused by trauma during a sporting activity. Clinical examination revealed horizontal fractures of teeth 7, 8, and 9, initiating in the labial cervical third and extending subgingivally on the palate, with exposed pulp tissues. On provisional repositioning and splinting the fragments, root canal treatment was performed. Definitive repositioning was accomplished by raising a full-thickness gingival flap, using fiber-reinforced composite posts, by an endodontist and an oral surgeon. Reattachment was accomplished under surgical conditions to ensure precise positioning of fragments by exposing the palatal aspect of the fracture lines and providing a dry operating field. Definitive composite resin veneers were performed after seven days.

scholarly journals Medical and legal aspects of patient identification

2021 ◽  
Vol 69 (1) ◽  
Author(s):  
Serghei Pisarenco ◽  
◽  
Constantin Pisarenco ◽  
Constantin Martiniuc ◽  
Mihaela Manea ◽  
...  
Keyword(s):  
Medical Information ◽  
Emergency Situation ◽  
Medical Personnel ◽  
Patient Safety Culture ◽  
Legal Aspects ◽  
Expert Assessment ◽  
Identification Algorithm ◽  
Patient Identification ◽  
Medical Organization ◽  
Legal Consequences

Purpose. Highlighting the medical and legal aspects of patient identification in a specialized medical institution. Materials and methods. The materials of the expert assessment of the patient identification process in a medical organization have been studied: regulatory and methodological acts; medical records; data of direct observation of the processes of medical activity, interviews of medical personnel and patients; special literature selected from medical information databases. Results. It has been established that patient identification is carried out in accordance with international recommendations; within the framework of the current national regulations. The patient identification algorithm is performed by all medical professionals at all stages of medical care. At the same time, omissions were noted in the actions of medical personnel, which in an emergency situation could cause a real mistake — unintentional harm to the patient. Conclusions. Developing a patient safety culture in a medical organization and implementing a system that ensures correct patient identification helps to reduce the number of errors associated with it and the associated medical and legal consequences.

scholarly journals On the Legal Consequences of Brexit (on the example of personal data protection)

2021 ◽  
Vol 105 (5) ◽  
pp. 45-55
Author(s):  
Mark Entin ◽  
◽  
Dmitriy Galushko ◽  
Keyword(s):  
European Union ◽  
Data Protection ◽  
Personal Data ◽  
Legal Regulation ◽  
Legal Aspects ◽  
The European Union ◽  
Cooperation Agreement ◽  
National Regulation ◽  
Personal Data Protection ◽  
Legal Consequences

The article explores the legal consequences of the UK's withdrawal from the European Union. The scope of personal data protection was taken as an example. The purpose of the article is to study and analyze the legal aspects of the termination of the UK's membership in the European Union, its impact on the cross-border transfer of personal data between the parties, as well as the development of legal regulation in this area. The article shows that, despite the signing of the Withdrawal Agreement, as well as the Trade and Cooperation Agreement, there is a complication of legal regulation, as well as the emergence of potential contradictions and threats to the interests of interested parties. The sphere of personal data protection clearly demonstrates that despite the desire for the sovereignization of legal regulation on the part of the UK, its legal system remains dependent on the legal order of the European Union. The UK's national regulation on personal data will be under constant monitoring by the competent EU authorities, which indirectly confirms the failure to achieve the goals of the full return of the UK's delegated sovereign powers. It is concluded that the EU Court of Justice still retains its jurisdiction over the United Kingdom, in particular, in connection with possibility to challenge decisions on adequacy, as well as through the adoption of its own practice on issues related to personal data protection.

scholarly journals Opportunities in the cloud or pie in the sky? Current status and future perspectives of telemedicine in nephrology

2020 ◽  
Author(s):  
Madelena Stauss ◽  
Lauren Floyd ◽  
Stefan Becker ◽  
Arvind Ponnusamy ◽  
Alexander Woywodt
Keyword(s):  
Digital Divide ◽  
Patient Empowerment ◽  
Healthcare Providers ◽  
Stroke Care ◽  
Legal Aspects ◽  
Current Status ◽  
Current Evidence ◽  
Patient Dissatisfaction ◽  
Transformative Potential ◽  
Robust Evidence

Abstract The use of telehealth to support, enhance or substitute traditional methods of delivering healthcare is becoming increasingly common in many specialties, such as stroke care, radiology and oncology. There is reason to believe that this approach remains underutilized within nephrology, which is somewhat surprising given the fact that nephrologists have always driven technological change in developing dialysis technology. Despite the obvious benefits that telehealth may provide, robust evidence remains lacking and many of the studies are anecdotal, limited to small numbers or without conclusive proof of benefit. More worryingly, quite a few studies report unexpected obstacles, pitfalls or patient dissatisfaction. However, with increasing global threats such as climate change and infectious disease, a change in approach to delivery of healthcare is needed. The current pandemic with coronavirus disease 2019 (COVID-19) has prompted the renal community to embrace telehealth to an unprecedented extent and at speed. In that sense the pandemic has already served as a disruptor, changed clinical practice and shown immense transformative potential. Here, we provide an update on current evidence and use of telehealth within various areas of nephrology globally, including the fields of dialysis, inpatient care, virtual consultation and patient empowerment. We also provide a brief primer on the use of artificial intelligence in this context and speculate about future implications. We also highlight legal aspects and pitfalls and discuss the ‘digital divide’ as a key concept that healthcare providers need to be mindful of when providing telemedicine-based approaches. Finally, we briefly discuss the immediate use of telenephrology at the onset of the COVID-19 pandemic. We hope to provide clinical nephrologists with an overview of what is currently available, as well as a glimpse into what may be expected in the future.

LEGAL ASPECTS OF USING UAVs FOR AIR OPERATIONS WITHIN THE RESPONSIBILITY REGION OF FIR WARSZAWA

2018 ◽  
Vol 145 (1) ◽  
pp. 139-154
Author(s):  
Piotr Romanowski ◽  
Zbigniew Lewandowski
Keyword(s):  
Unmanned Aerial Vehicles ◽  
Legal Aspects ◽  
Final Part ◽  
Legal Regulations ◽  
Aerial Vehicles ◽  
Air Space ◽  
Legal Consequences ◽  
Different Parts

The paper describes currently binding legal regulations for execution of flights by unmanned aerial vehicles (UAV) of particular categories. The division of the air space in the Warsaw’s flight information region (FIR) including consideration of possibilities for flights with the use of UAVs in different parts of this space is also presented. The final part of the paper provides information on legal consequences after violation of binding law regulations relating to the performance of flights by the UAVs.

scholarly journals Transition of care from paediatric to adult age for rare chronic disorders: an Italian experience

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E Olivero ◽  
F Bert ◽  
M Corezzi ◽  
D Corsi ◽  
S Dominici ◽  
...  
Keyword(s):  
Social Support ◽  
Multidisciplinary Approach ◽  
Social Issues ◽  
Illness Perception ◽  
Healthcare Providers ◽  
Drop Out ◽  
Transition Of Care ◽  
Adult Care ◽  
Adult Age ◽  
Taking Charge

Abstract Background Transition of care represents the transfer from child to adult care. An effective transition maintains continuity of care and presents better clinical outcomes. Thanks to improved survivorship of chronic paediatric patients to adulthood, this process has assumed growing relevance. Aim of the study was to evaluate quality and effectiveness of transition of care model of one of the biggest Hospitals of Northern Italy, that has organised a common structured model, differentiated according to patients' clinical and social complexity. Methods The sample consisted of patients with chronic rare diseases transited within the Hospital in the years 2016-2019. To analyse the evolution of all pathologies, for each patient the medical record was consulted; questionnaires were then administered to patients to investigate their illness perception and quality of life. Results The average age at transition of the retrospective study patients was 19.8±4.7 years. For most disorders, 100% of patients made the first post-transition visit. More than 90% of patients who did not make further post-transition visits were patients with Neurofibromatosis 1. Only 7 out of 18 patients with NF1 continued their treatment to the indicated specialist. One-year drop-out was 13%. Regarding the perception of one's own illness, 78% of respondents consider their health status from good to excellent, but more than 30% of respondents believe not to have currently adequate psychological and social support. Conclusions Transition of care represents an important phase in chronic diseases management. The proposed model assures a multidisciplinary approach, involving all specialists of both paediatric and adult teams. Preliminary data were positive and showed how this model could be an example for other institutions in Europe. Anyway, the transition model might be still be improved. Our data underlined the importance of a complete taking charge, with peculiar attention to psychological and social support. Key messages The study shows to the European Healthcare Providers the importance of a personalized planning of transition of care, that considers the complexity of clinical situation and concomitant social issues. A successful strategy of transition of care requires a multidisciplinary approach, that guarantees a complete taking charge, with peculiar attention to psychological and social support.

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