scholarly journals Forensic medical evaluation manifestations infliction of torture and torture and effective ways of fixation documented in the «Istanbul protocol»

2017 ◽  
pp. 25-30
Author(s):  
Valerii Voichenko ◽  
Volodymyr Mishalov ◽  
Valerii Viun ◽  
Davyd Valyakhmetov

In the article the forensic evaluation of certain manifestations of torture and infliction of torture and other cruel, inhuman or degrading Degrading Treatment or Punishment and effective ways of fixing the documentary under the provisions of «Istanbul Protocol».

2018 ◽  
Vol 25 (1) ◽  
pp. 11 ◽  
Author(s):  
Thomas Wenzel ◽  
Andreas Frewer ◽  
Siroos Mirzaei

The Manual on Effective Investigation and Documentation of Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment, commonly known as the Istanbul Protocol, is an interdisciplinary standard supported by, among others, the United Nations and the World Medical Association. It aims at aiding the fight against torture by giving clear guidelines to ensure better and more effective assessment of physical and psychological sequels. Mental health is a key aspect of diagnostical assessment and documentation due to the severe and frequently long-lasting impact of torture that often lasts longer than physical sequels. The inclusion of psychological aspects and a psychiatric diagnosis is to be treated as an important obligatory. Care must be taken to avoid common pitfalls. The new and substantial revisions in the frequently used but also criticised Diagnostical and Statistical Manual (DSM) reflect challenges and opportunities in a comprehensive approach to the documentation of torture.


Tequio ◽  
2020 ◽  
Vol 4 (10) ◽  
pp. 36-46
Author(s):  
Guadalupe del Carmen Morales-Toledo

Torture is a crime linked to serious human rights violations. To prevent, investigate, sanction and eradicate it, represents one of the biggest challenges when it comes to justice and human rights within our country, which currently holds high levels of impunity, and requires new and better investigation techniques, methods and strategies, that will allow meeting the demands for access to justice requested by the victims of these crimes. People deprived of their liberty (PDL) are demanding that all acts of torture itself become the subject of an investigation conducted by a multidisciplinary team in which lawyers, doctors and psychologists participate, based on the guidelines constituted in the Manual on Effective Investigation and Documentation of Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment, commonly known as the Istanbul Protocol.


2017 ◽  
pp. 111-114
Author(s):  
Ihor Ustinchenko

Speaking about violent actions, torture of other cruel, inhuman or degrading treatment and punishment under the Istanbul Protocol, we bring a specific case from the practice of forensic medical examination of the Luhansk regional bureau.


2019 ◽  
Vol 34 (5) ◽  
pp. 1559-1565
Author(s):  
Svetlozar Spasov

The promotion and protection of human rights is one of the fundamental priorities of the United Nations, the European Union and every rule of law and democracy governed country. One of the most serious violations of human rights and human dignity is torture and other forms of cruel, inhuman or degrading treatment or punishment. For decades, the international community and the European Union take a number of actions aimed at preventing and limiting this type of negative manifestations. The main ones are the adoption of international universal and regional human rights instruments and the creation of specialized jurisdictions to monitor compliance with the established legal framework. Judicial experts and their expertise play an extremely important role in the proper and effective investigation of torture and other forms of cruel, inhuman or degrading treatment or punishment. The serious importance that the international community attaches to these medical professionals and their expertise is reaffirmed in the 2004 Istanbul Protocol drawn up by the Office of the United Nations High Commissioner for Human Rights. This act establishes internationally recognized standards and principles for the effective investigation and documentation of torture and other forms of cruel, inhuman or degrading treatment or punishment, some of which relate specifically to the role of judicial experts and their medical expertise. These include: the principles of impartiality and independence of medical experts in identifying such types of offenses, the compliance of their activities with the highest ethical standards, the principle of obtaining informed consent from the person alleged to be a victim of torture before doing any research. The Istanbul Protocol also introduced standards for order in which any medical examination of victims of torture or other ill-treatment should take place, as well as on the form and structure of medical expertise.The particular emphasis placed on the role of judicial experts by the international community is completely understandable, as it is these medical professionals who make the physical and / or psychological evaluation of the victim, which is objectified in the medical expertise, medical psychiatric expertise, or medical psychological expertise. On the basis of these expertises, the investigating authorities have the opportunity to prove the causal link between the victim's bodily harm and the psycho-traumas with the alleged torture or other cruel, inhuman or degrading treatment or punishment. Medical expertise is a method of proof not only in the course of the investigation, but also in the judicial process, as the specialized knowledge of forensic experts assist the court in establishing the objective truth, as well as the victims and their lawyers in the exercise of their rights of defense.


2021 ◽  
pp. 96-104
Author(s):  
Ihor Ustinchenko ◽  
Volodymyr Mishalov ◽  
Valerii Voichenko

The article contains a case of causing violent acts, namely torture, which corresponds to the section «Physical evidence of torture» of the «Istanbul Protocol». The morphological manifestations of bodily injuries are given, which are sufficiently informative for their further assessment by law enforcement agencies as manifestations of torture and torture and other cruel, inhuman or degrading treatment. Aim of the work. Forensic medical characteristics of morphological manifestations of bodily injury as manifestations of torture and torture and other cruel, inhuman or degrading treatment. Material and methods. The material of the research was the archival data of the Luhansk Regional Bureau of Forensic Medical Examination. Well-known forensic and statistical research methods were used. Results. During the forensic examination of the corpse of gr. There were at least 100 injuries in the form of numerous bruises, bruises, wounds, a strangulation furrow on the neck, and changes in the anus. Conclusion. Revealed during the forensic medical examination of the corpse of gr. M. at least 100 bodily injuries in the form of numerous abrasions, bruises, wounds, a strangulation groove on the neck and changes in the anus were identified by law enforcement agencies as manifestations of torture and torture and other cruel, inhuman or degrading treatment in accordance with the section «Physical evidence torture» of the «Istanbul Protocol».


2000 ◽  
Vol 5 (5) ◽  
pp. 4-5
Author(s):  
James B. Talmage ◽  
Leon H. Ensalada

Abstract Evaluators must understand the complex overall process that makes up an independent medical evaluation (IME), whether the purpose of the evaluation is to assess impairment or other care issues. Part 1 of this article provides an overview of the process, and Part 2 [in this issue] reviews the pre-evaluation process in detail. The IME process comprises three phases: pre-evaluation, evaluation, and postevaluation. Pre-evaluation begins when a client requests an IME and provides the physician with medical records and other information. The following steps occur at the time of an evaluation: 1) patient is greeted; arrival time is noted; 2) identity of the examinee is verified; 3) the evaluation process is explained and written informed consent is obtained; 4) questions or inventories are completed; 5) physician reviews radiographs or diagnostic studies; 6) physician records start time and interviews examinee; 7) physician may dictate the history in the presence of the examinee; 8) physician examines examinee with staff member in attendance, documenting negative, physical, and nonphysiologic findings; 9) physician concludes evaluation, records end time, and provides a satisfaction survey to examinee; 10) examinee returns satisfaction survey before departure. Postevaluation work includes preparing the IME report, which is best done immediately after the evaluation. To perfect the IME process, examiners can assess their current approach to IMEs, identify strengths and weaknesses, and consider what can be done to improve efficiency and quality.


2000 ◽  
Vol 5 (6) ◽  
pp. 1-7
Author(s):  
Christopher R. Brigham ◽  
James B. Talmage ◽  
Leon H. Ensalada

Abstract The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Fifth Edition, is available and includes numerous changes that will affect both evaluators who and systems that use the AMA Guides. The Fifth Edition is nearly twice the size of its predecessor (613 pages vs 339 pages) and contains three additional chapters (the musculoskeletal system now is split into three chapters and the cardiovascular system into two). Table 1 shows how chapters in the Fifth Edition were reorganized from the Fourth Edition. In addition, each of the chapters is presented in a consistent format, as shown in Table 2. This article and subsequent issues of The Guides Newsletter will examine these changes, and the present discussion focuses on major revisions, particularly those in the first two chapters. (See Table 3 for a summary of the revisions to the musculoskeletal and pain chapters.) Chapter 1, Philosophy, Purpose, and Appropriate Use of the AMA Guides, emphasizes objective assessment necessitating a medical evaluation. Most impairment percentages in the Fifth Edition are unchanged from the Fourth because the majority of ratings currently are accepted, there is limited scientific data to support changes, and ratings should not be changed arbitrarily. Chapter 2, Practical Application of the AMA Guides, describes how to use the AMA Guides for consistent and reliable acquisition, analysis, communication, and utilization of medical information through a single set of standards.


2003 ◽  
Vol 8 (4) ◽  
pp. 4-5
Author(s):  
Christopher R. Brigham ◽  
James B. Talmage

Abstract Permanent impairment cannot be assessed until the patient is at maximum medical improvement (MMI), but the proper time to test following carpal tunnel release often is not clear. The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) states: “Factors affecting nerve recovery in compression lesions include nerve fiber pathology, level of injury, duration of injury, and status of end organs,” but age is not prognostic. The AMA Guides clarifies: “High axonotmesis lesions may take 1 to 2 years for maximum recovery, whereas even lesions at the wrist may take 6 to 9 months for maximal recovery of nerve function.” The authors review 3 studies that followed patients’ long-term recovery of hand function after open carpal tunnel release surgery and found that estimates of MMI ranged from 25 weeks to 24 months (for “significant improvement”) to 18 to 24 months. The authors suggest that if the early results of surgery suggest a patient's improvement in the activities of daily living (ADL) and an examination shows few or no symptoms, the result can be assessed early. If major symptoms and ADL problems persist, the examiner should wait at least 6 to 12 months, until symptoms appear to stop improving. A patient with carpal tunnel syndrome who declines a release can be rated for impairment, and, as appropriate, the physician may wish to make a written note of this in the medical evaluation report.


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