41. The cost of mistakes: Penalties for surgical malpractice through the ages

2007 ◽  
Vol 30 (4) ◽  
pp. 49
Author(s):  
B. A. Vartian
Keyword(s):  
Capital Punishment ◽  
Surgical Care ◽  
Ancient Greece ◽  
The United States ◽  
Ancient Egypt ◽  
The World ◽  
The Subject ◽  
The Cost ◽  
Patient Abuse ◽  
Modern Era

In recent years the United States has undergone what some have termed a malpractice “crisis”. It has affected Canada and other parts of the world to a lesser extent and has been the subject of much debate. Throughout history the idea of what constitutes negligent surgical care and its consequences has not been an immutable concept but rather has fluctuated between seemingly polar extremes. In ancient Mesopotamia, the Hammurabi code describes bountiful rewards for successful surgery contrasted with mutilation or death for failed attempts. In ancient Egypt we see the extremes of strict dogma, where acceptable practice was laid out by ancient priestly documents and those who strayed from their precise format could be met with deportation or beheading, a practice that discouraged developing treatment for those with a poor chance of survival. In stark contrast to these cultures the physician/surgeons of ancient Greece had almost complete impunity. After the monastic orders in Europe were banned from surgical practice in 1130 the uneducated barber surgeons dominated the field. The minority of educated surgeons pointed out many examples of negligence and improper care by this group. Capital punishment and mutilation of negligent surgeons became common once again in the crusader states, as public humiliation was added to the punishment. During the renaissance in Italy, the actions of a regulatory council levied stiff fines for surgeons who infringed on the practice of physicians while seemingly paying very little attention to examples of gross negligence and patient abuse. Finally in the modern era, surgery developed much more effective treatments for many conditions. Paradoxically as soon as a technique became better for a condition, accusations of negligence for treatment of that condition became common.

SUDDEN AND UNEXPECTED DEATH IN INFANCY: A REVIEW OF THE WORLD LITERATURE 1954-1966

PEDIATRICS ◽  
1967 ◽  
Vol 39 (1) ◽  
pp. 123-138
Author(s):  
Marie A. Valdes-Dapena
Keyword(s):  
United States ◽  
World Literature ◽  
The United States ◽  
Large Series ◽  
Human Race ◽  
Unexpected Death ◽  
The World ◽  
The Subject ◽  
To Come

It is apparent that we are still woefully ignorant with respect to the subject of sudden and unexpected deaths in infants. Only by continual investigation of large series of cases, employing uniform criteria to define such deaths and using the investigative procedures outlined above as well as others which will undoubtedly suggest themselves, can we hope to understand and possibly prevent the deaths of some 15,000 to 25,000 infants in the United States each year. These lives, to say nothing of those in other countries throughout the world might provide some of the leadership which is necessary to maintain and advance the human race in the years to come.

Neuroscience20 (BRAIN20, SPINE20, and MENTAL20) Health Initiative: A Global Consortium Addressing the Human and Economic Burden of Brain, Spine, and Mental Disorders Through Neurotech Innovations and Policies

2021 ◽  
pp. 1-39
Author(s):  
Kevin Morris ◽  
Mohammad Nami ◽  
Joe F. Bolanos ◽  
Maria A. Lobo ◽  
Melody Sadri-Naini ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Neurological Disorders ◽  
World Economy ◽  
Disease Burden ◽  
The United States ◽  
Fast Tracking ◽  
The World ◽  
Life Threatening ◽  
The Cost ◽  
The Impact

Neurological disorders significantly impact the world’s economy due to their often chronic and life-threatening nature afflicting individuals which, in turn, creates a global disease burden. The Group of Twenty (G20) member nations, which represent the largest economies globally, should come together to formulate a plan on how to overcome this burden. The Neuroscience-20 (N20) initiative of the Society for Brain Mapping and Therapeutics (SBMT) is at the vanguard of this global collaboration to comprehensively raise awareness about brain, spine, and mental disorders worldwide. This paper aims to provide a comprehensive review of the various brain initiatives worldwide and highlight the need for cooperation and recommend ways to bring down costs associated with the discovery and treatment of neurological disorders. Our systematic search revealed that the cost of neurological and psychiatric disorders to the world economy by 2030 is roughly $16T. The cost to the economy of the United States is $1.5T annually and growing given the impact of COVID-19. We also discovered there is a shortfall of effective collaboration between nations and a lack of resources in developing countries. Current statistical analyses on the cost of neurological disorders to the world economy strongly suggest that there is a great need for investment in neurotechnology and innovation or fast-tracking therapeutics and diagnostics to curb these costs. During the current COVID-19 pandemic, SBMT, through this paper, intends to showcase the importance of worldwide collaborations to reduce the population’s economic and health burden, specifically regarding neurological/brain, spine, and mental disorders.

The Detraditionalization of Intimacy Reconsidered

2005 ◽  
Vol 23 (3) ◽  
pp. 286-311 ◽  
Author(s):  
Neil Gross
Keyword(s):  
Intimate Relationships ◽  
The United States ◽  
Sexual Intimacy ◽  
Moral Communities ◽  
Cultural Frameworks ◽  
The World ◽  
Relative Decline ◽  
Modern Era ◽  
Late Modern ◽  
The U.S

This essay challenges those strains of contemporary social theory that regard romantic/ sexual intimacy as a premier site of detraditionalization in the late modern era. Striking changes have occurred in intimacy and family life over the last half-century, but the notion of detraditionalization as currently formulated does not capture them very well. With the goal of achieving a more refined understanding, the article proposes a distinction between “regulative” and “meaning-constitutive” traditions. The former involve threats of exclusion from various moral communities; the latter involve linguistic and cultural frameworks within which sense is made of the world. Focusing on the U.S. case and marshaling various kinds of empirical evidence, the article argues that while the regulative tradition of what it terms lifelong, internally stratified marriage has declined in strength in recent years, the image of the form of couplehood inscribed in this regulative tradition continues to function as a hegemonic ideal in many American intimate relationships. Intimacy in the United States also remains beholden to the tradition of romantic love. That these meaning-constitutive traditions continue to play a central role in structuring contemporary intimacy suggests that detraditionalization involves the relative decline only of certain regulative traditions, a point that calls into question some of the normative assessments that often accompany the detraditionalization thesis.

The Use of the Death Penalty

1969 ◽  
Vol 15 (1) ◽  
pp. 43-56 ◽  
Author(s):  
Walter C. Reckless
Keyword(s):  
United States ◽  
Death Penalty ◽  
Capital Punishment ◽  
The United States ◽  
Death Sentence ◽  
Dramatic Reduction ◽  
Public Sentiment ◽  
Discernible Effect ◽  
The World ◽  
Important Trend

Undoubtedly the most important trend in capital punishment has been the dramatic reduction in the number of offenses statutorily punishable by the death penalty. About two hundred years ago England had over two hundred offenses calling for the death penalty; it now has four. Some countries have abolished capital punishment completely; a few retain it for unusual offenses only. The trend throughout the world, even in the great number of countries that retain the death penalty, is definitely toward a de facto, not a de jure, form of abolition. In the United States, where the death penalty is possible in three-fourths of the states, the number of executions has declined from 199 in 1935 to an average of less than three in the last four years. This change is related to public sentiment against the use of the death penalty and even more directly to the unwillingness of juries and courts to impose a first-degree sentence. The increasing willingness of governors to commute a death sentence and of courts to hear appeals also contributes to this decline. A review of the evidence indicates that use of the death penalty has no discernible effect on the commission of capital offenses (especially murder).

KARST IN URBAN AREAS

2021 ◽  
Vol 2 (1) ◽  
pp. 1-13
Author(s):  
PHILIP VAN BEYNE ◽  
VANDA CLAUDINO-SALES ◽  
SAULO ROBERTO DE OLIVEIRA VITAL ◽  
DIEGO NUNES VALADARES
Keyword(s):  
Urban Areas ◽  
Graduate Program ◽  
The United States ◽  
South Florida ◽  
State University ◽  
William Morris ◽  
Important Data ◽  
The World ◽  
The Subject ◽  
The University

In its third edition, the “William Morris Davis – Journal of Geomorphology” presents its second interview with geographers, to head the “Interviews” section, which opens each published issue. This time, it is the first international interview, carried out with Professor Philip van Beynen, from the University of South Florida, in the United States. Professor Philip van Beynen was interviewed on the topic “Karst in Urban Areas”, and brings important data on the subject, with beautiful illustrations and with examples from all over the world. The interview took place on September 17, 2020, with the participation of Vanda de Claudino-Sales (Professor of the Academic Master in Geography at the State University of Vale do Acarau-UVA) and Saulo Roberto Oliveira Vital (Professor of the Department of Geography and the Post-Graduate Program in Geography at the Federal University of Paraiba - UFPB), and was transcribed by Diego Nunes Valadares, master's student on Geography at the Federal University of Rio Grande do Norte. Professor van Beynen was born in New Zealand, where he received his degree in Geography at the University of Auckland. He earned a master's degree from the same university, and a doctorate and post-doctorate from McMaster University, Canada. He has been a professor at the School of Geoscience at the University of South Florida since 2009, where he   has been developing research related to different components of karst environments. The interview shows his great expertise on the subject, and is very much worth to be read and seen even for those who are not specialists in karst.

Avatar-Based Intellectual Managing for Innovation Technologies Transfer in Nationals Entrepreneurships of Armenia

2021 ◽  
pp. 1468-1479
Author(s):  
Vardan Mkrttchian ◽  
Serge V. Chernyshenko ◽  
Mikhail Ivanov
Keyword(s):  
Technology Transfer ◽  
The United States ◽  
Sustainable Growth ◽  
The European Union ◽  
Technical Problems ◽  
Armenian Diaspora ◽  
The World ◽  
Science And Education ◽  
The Republic ◽  
The Cost

Technology transfer is considered as one of the most important instruments of national and regional economic growth in such countries as world leaders such as the United States, Japan, the European Union, China, and others. The importance of developing this direction is not in doubt. It invests a lot of money, is supported at the legislative level. The activity of technology transfer centers is aimed at commercialization of the results obtained in different organizations of the world, ensuring the acceleration of solving technical problems of enterprises, improving the quality and reducing the cost of their products, and developing new types of products. The main goal of the Center is to facilitate the transfer of the Internet intellectual innovative technologies and blockchain technologies developed both in the Republic of Armenia and in the Armenian Diaspora to ensure sustainable growth of the economy, increase the competitiveness of industry, agriculture, science and education, tourism and business attractiveness Republic of Armenia and Artsakh Republic.

Whose Territory is it Anyway? Should Psychiatry own Alcohol and Drugs in Australia?

1994 ◽  
Vol 28 (3) ◽  
pp. 375-377 ◽  
Author(s):  
Alex Wodak
Keyword(s):  
World Health Organisation ◽  
The United States ◽  
World Health ◽  
Improve Treatment ◽  
The United Kingdom ◽  
Alcohol And Drugs ◽  
The World ◽  
The Subject ◽  
The Many ◽  
Drug Problems

Surely alcohol and drug matters in Australia should be regarded as the province of psychiatry? Decades before any other branch of medicine displayed any interest in the subject and long before alcohol and drugs were considered even remotely respectable, numerous Australian psychiatrists provided inspiration and leadership in this Cinderella field. Drs Bartholomew, Bell, Buchanan, Chegwidden, Dalton, Drew, Ellard, Lennane, Milner, Milton, Waddy and Pols are some of the best known among the many Australian psychiatrists who pioneered efforts to improve treatment for patients with alcohol and drug problems. The NHMRC Committee on Alcohol and Drug Dependence, which has a considerable potential for influencing the field in Australia, has always been dominated by psychiatrists. In the United Kingdom and the United States, countries which often serve as models for much of Australian medical and other practice, alcohol and drug matters are determined almost exclusively by psychiatrists. Is there any evidence that they have been held back by a psychiatric hegemony on alcohol and drug's? For many decades (and until quite recently), alcohol and drug matters were handled for the World Health Organisation by its Mental Health Division. Did we suffer globally because WHO placed alcohol and drugs under the control of psychiatry?

Ut musica poesis: Music and Poetry in France in the Late Sixteenth Century

1994 ◽  
Vol 13 ◽  
pp. 1-63 ◽  
Author(s):  
Howard Mayer Brown
Keyword(s):  
Sixteenth Century ◽  
Subject Matter ◽  
Ancient Greece ◽  
World Order ◽  
Pierre De Ronsard ◽  
Ideal Form ◽  
Literary Sources ◽  
The World ◽  
The Subject ◽  
Crucial Part

By praising rulers, whose magnificence formed a crucial part of the world order, Pierre de Ronsard and his French colleagues in the second half of the sixteenth century often depicted the world not as it was but as it ought to be. This idea informs Margaret McGowan's book on ideal forms in the age of Ronsard, in which she explores the ways poets and painters extolled the virtues and the theatrical magnificence of perfect princes following the Horatian dictum ut pictura poesis: as is painting so is poetry. McGowan demonstrates the virtuosity of the painters and poets of the sixteenth century in shaping their hymns of praise from the subject matter and ideals of ancient Greece and Rome by following Horace's advice to regard paintings as mute poems and poems as speaking pictures. McGowan shows how artists and intellectuals pursued their goals by creating four kinds of ideal form: iconic forms, sacred images derived from classical literary sources offering princes some guarantee of immortality; triumphal forms that evoke the heroic imperial past; ideal forms of beauty to be found in contemplating the beloved; and dancing forms that mirror rituals of celebration. McGowan claims that such ideal forms were intended to enlighten the ruler himself as much as they celebrated his grandeur in the eyes of others.

International perspectives and practice differences

2017 ◽  
Author(s):  
Lindsay D. G. Thomson
Keyword(s):  
Health Services ◽  
Mental Disorder ◽  
Capital Punishment ◽  
Geographical Location ◽  
The United States ◽  
Mentally Disordered Offenders ◽  
Mentally Disordered ◽  
The World ◽  
Ethical Stance ◽  
The Right

Across the developed world, services for those with mental disorder in prison have been established but are seldom equivalent to those found in the community. Prisoners are largely the socio-economically deprived with high rates of mental disorder. They have often been victimized. Prisons are our new asylums. In the United States three times as many mentally ill people are in prison than in psychiatric hospital. It is essential that whatever our geographical location, we learn from other jurisdictions and other systems. Rates of imprisonment, organization of psychiatric services, and location of treatment of mentally disordered offenders all vary; and it is easy to fall into the trap of assuming that the system with which you are familiar is the right one. There are major differences across the world in terms of rates of imprisonment, place of treatment of acutely ill prisoners, and the structure of our mental health services in prisons. Those requiring hospital care should be transferred out of prison for this. Independence of health services from correctional services would promote the development of the former. One challenging issue for correctional psychiatry in some jurisdictions is capital punishment and psychiatrists ethically should have no role in executions and be aware of the ethical stance of the World Psychiatric Association. This chapter examines correctional psychiatry in an international context and explores similarities and differences in our practices, and the cultural, political, and economic background to these.

Capital Punishment

2019 ◽  
Author(s):  
Paul Kaplan
Keyword(s):  
United States ◽  
Death Penalty ◽  
State Government ◽  
Capital Punishment ◽  
The United States ◽  
The European Union ◽  
Criminal Offenses ◽  
Complex Process ◽  
Criminal Charge ◽  
Modern Era

The death penalty, also referred to as capital punishment, is the process whereby a state government orders a sentence of death for a person found guilty of a particular set of criminal offenses. In the United States, the primary capital crime is first-degree murder with an additional aggravating factor, usually called a “special circumstance” (e.g., murder of a law enforcement officer). Capital punishment is a complex process that includes a criminal charge, an involved legal process, sentencing, special “death row” prison housing, post-conviction appeals, and the ultimate execution of the defendant. Persons sentenced to death are called condemned. Execution refers specifically to the process in which the defendant is killed. Capital punishment has been practiced throughout human history, with considerable variation across eras and regions. In the last 50 years, the use of capital punishment has declined across the globe, and there are relatively few countries that use it regularly as a form of punishment, most notably China. Some countries have abolished the death penalty completely, such as all member states of the European Union. Most other countries have seen a decline in its use. For instance, only 31 out of 50 states in the United States currently have death penalty statutes (there are also federal death penalty statutes, which are rarely used). The other 19 U.S. states are referred to as “abolitionist.” The “modern era” of capital punishment in the United States was spurred by two important Supreme Court cases. The Furman v. Georgia (1972) decision ruled that arbitrariness in the application of the death penalty deemed its use unconstitutional. The reversal of that ruling four years later in Gregg v. Georgia (1976) reestablished the death penalty in America, and experts refer to the modern era as 1976 to the present.

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