THE GENERIC OBJECT OF THE CRIME IN CASE OF FAILURE TO RENDER ASSISTANCE TO A SICK PERSON BY A MEDICAL PROFESSIONAL

Author(s):  
V. V. Botiakova
2019 ◽  
Vol 42 (2) ◽  
pp. 156-171
Author(s):  
Salvador Morales Ferrer

Desde o início do século XXI, os hospitais espanhóis praticam os cuidados paliativos às pessoas doentes em uma fase terminal, para que estas no último momento de sua vida não sofram, todo o caso, é importante registrar que não existe regulamentação legal muito específica sobre essa matéria na Espanha. Assim, resta a possibilidade de autorizar possibilidade ao enfermo terminal, seus familiares, ou o médico. O que pretende o legislador Socialista na proposta de Lei Orgânica da Eutanásia consiste na possibilidade de que essa prática realizada seja por profissional médico ou por familiar do enfermo, desde que mediante o consentimento do doente ou de seus familiares sem que seja considerada crime. Compreende-se que essa proposta é um grande avanço legislativo para a Espanha e para os seus países vizinhos. Resumen Desde principios del siglo XXI, siempre en los Hospitales Españoles sea practicado los cuidados paliativos a las personas enfermas en fase terminal, para que estas en su último momento de su vida no sufran, a todo esto, cabe mencionar que no existe una regulación legal muy específica sobre esta materia en España, sin embargo, cabe la posibilidad tanto del enfermo terminal o, sus familiares incluso el médico que pueda permitir su aplicación. Lo que intenta el legislador Socialista en la Proposición de Ley Orgánica de la Eutanasia consiste en la práctica directa de quién la practica ya sea un profesional de la medicina o incluso un familiar al enfermo terminal sin carácter punitivo mediante el consentimiento tanto del paciente o, sus familiares que están a cargo de la persona enferma que ésta en fase terminal. Por lo que, se entiende que es un gran avance legislativo para España e incluso para los países del entorno. Abstract Since the beginning of the 21st century, always in the Spanish Hospitals palliative care is practiced to the sick people in the terminal phase, so that at the last moment of their life they do not suffer, to all this, it is possible to mention that there is not a very legal regulation specific on this matter in Spain, however, it is possible for the terminally ill or their relatives even the doctor who can allow its application. What the Socialist legislator intends in the Organic Law Proposal of Euthanasia consists in the direct practice of those who practice it either a medical professional or even a relative to the terminal patient without punitive character through the consent of either the patient or their relatives who are in charge of the sick person who is in the terminal phase. Therefore, it is understood that it is a great legislative advance for Spain and even for the surrounding countries.


2020 ◽  
Vol 29 (3) ◽  
pp. 1389-1403
Author(s):  
Jessica Brown ◽  
Kelly Knollman-Porter

Purpose Although guidelines have changed regarding federally mandated concussion practices since their inception, little is known regarding the implementation of such guidelines and the resultant continuum of care for youth athletes participating in recreational or organized sports who incur concussions. Furthermore, data regarding the role of speech-language pathologists in the historic postconcussion care are lacking. Therefore, the purpose of this retrospective study was to investigate the experiences of young adults with history of sports-related concussion as it related to injury reporting and received follow-up care. Method Participants included 13 young adults with history of at least one sports-related concussion across their life span. We implemented a mixed-methods design to collect both quantitative and qualitative information through structured interviews. Participants reported experiencing 42 concussions across the life span—26 subsequent to sports injuries. Results Twenty-three concussions were reported to a parent or medical professional, 14 resulted in a formal diagnosis, and participants received initial medical care for only 10 of the incidents and treatment or services on only two occasions. Participants reported concussions to an athletic trainer least frequently and to parents most frequently. Participants commented that previous experience with concussion reduced the need for seeking treatment or that they were unaware treatments or supports existed postconcussion. Only one concussion incident resulted in the care from a speech-language pathologist. Conclusion The results of the study reported herein shed light on the fidelity of sports-related concussion care management across time. Subsequently, we suggest guidelines related to continuum of care from injury to individualized therapy.


Author(s):  
P.Venu Gopala Rao ◽  
Eslavath Raja ◽  
Ramakrishna Gandi ◽  
G. Ravi Kumar

IoT (Internet of Things) has become most significant area of research to design an efficient data enabled services with the help of sensors. In this paper, a low-cost system design for e-healthcare service to process the sensitive health data is presented. Vital signs of the human body are measured from the patient location and shared with a registered medical professional for consultation. Temperature and heart rate are the major signals obtained from a patient for the initial build of the system. Data is sent to a cloud server where processing and analysis is provided for the medical professional to analyze. Secure transmission and dissemination of data through the cloud server is provided with an authentication system and the patient could be able to track his data through a smart phone on connecting to the cloud server. A prototype of the system along with its design parameters has been discussed.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Bo Sun ◽  
Fei Zhang ◽  
Jing Li ◽  
Yicheng Yang ◽  
Xiaolin Diao ◽  
...  

Abstract Background With the development and application of medical information system, semantic interoperability is essential for accurate and advanced health-related computing and electronic health record (EHR) information sharing. The openEHR approach can improve semantic interoperability. One key improvement of openEHR is that it allows for the use of existing archetypes. The crucial problem is how to improve the precision and resolve ambiguity in the archetype retrieval. Method Based on the query expansion technology and Word2Vec model in Nature Language Processing (NLP), we propose to find synonyms as substitutes for original search terms in archetype retrieval. Test sets in different medical professional level are used to verify the feasibility. Result Applying the approach to each original search term (n = 120) in test sets, a total of 69,348 substitutes were constructed. Precision at 5 (P@5) was improved by 0.767, on average. For the best result, the P@5 was up to 0.975. Conclusions We introduce a novel approach that using NLP technology and corpus to find synonyms as substitutes for original search terms. Compared to simply mapping the element contained in openEHR to an external dictionary, this approach could greatly improve precision and resolve ambiguity in retrieval tasks. This is helpful to promote the application of openEHR and advance EHR information sharing.


2015 ◽  
Vol 45 (1) ◽  
pp. 83-99 ◽  
Author(s):  
MARK EXWORTHY ◽  
PAULA HYDE ◽  
PAMELA MCDONALD-KUHNE

AbstractWe elaborate Le Grand's thesis of ‘knights and knaves’ in terms of clinical excellence awards (CEAs), the ‘financial bonuses’ which are paid to over half of all English hospital specialists and which can be as much as £75,000 (€92,000) per year in addition to an NHS (National Health Service) salary. Knights are ‘individuals who are motivated to help others for no private reward’ while knaves are ‘self-interested individuals who are motivated to help others only if by doing so they will serve their private interests.’ Doctors (individually and collectively) exhibit both traits but the work of explanation of the inter-relationship between them has remained neglected. Through a textual analysis of written responses to a recent review of CEAs, we examine the ‘knightly’ and ‘knavish’ arguments used by medical professional stakeholders in defending these CEAs. While doctors promote their knightly claims, they are also knavish in shaping the preferences of, and options for, policy-makers. Policy-makers continue to support CEAs but have introduced revised criteria for CEAs, putting pressure on the medical profession to accept reforms. CEAs illustrate the enduring and flexible power of the medical profession in the UK in colonising reforms to their pay, and also the subtle inter-relationship between knights and knaves in health policy.


PEDIATRICS ◽  
1987 ◽  
Vol 80 (1) ◽  
pp. 130-1-158
Author(s):  
Andrea Marks ◽  
Martin Fisher

The "medical checkup," like hot dogs and apple pie, has become an American tradition. Adolescents have checkups requested by schools, summer camps, sports teams, employers, parents, and, less frequently, themselves. At such times, a cursory chat between the teenager and health professional, followed by a quick physical examination, is unlikely to detect the most prevalent and significant health problems of young people today. The very nature of such an interaction may even serve to alienate the teenager from the health care system or provider. Alternatively, if properly focused and thorough, a checkup may not only uncover important areas of disease or dysfunction, but also should initiate a meaningful dialogue and relationship between the adolescent patient and health professional. A checkup generally occurs when an individual feels well and visits a medical professional without complaint or a checkup may be had in conjunction with medical attention to a specific problem. In either case, the primary purpose of a checkup is health assessment and screening. Health screening has been defined by the World Health Organization as ". . . the presumptive identification of unrecognized disease or defect by the application of tests, examinations, or other procedures which can be applied rapidly." The purpose of health screening is to detect a problem (or problems) before it would usually become apparent or before medical attention is sought, with the intent of initiating treatment at an earlier and more optimal time, so as to prevent or favorably alter its course and consequences. Screening is not in itself diagnostic.


Transilvania ◽  
2021 ◽  
pp. 88-99
Author(s):  
Mihail K. Qaramah

Mystirio sau, Sacrament, sau, Taine 2, de în ceale 7, Botezul și S[fân]t[ul] Mir (= MYS) is a liturgical handbook for priests printed in 1651 in Târgoviște (Wallachia) at the initiative of Metropolitan Stephen I. This book of small dimensions comprises an introductive guide of sacramental theology for two Sacraments of Christian initiation, namely the Holy Baptism and Holy Chrismation, together with the description of their ordo and other prebaptismal and postbaptismal rites, the Canons of the Apostles and Holy Fathers for the Sacrament of Baptism, the ordo when in extreme urgency occasion arises to give communion to a sick person, a prayer for one who has eaten something defiling and instructions for the confessor priest. Although the prayers, liturgical formulas and scripturistic lectures are printed in Slavonic, the teachings and the rubrics are translated into Romanian language. In this paper the author analyses the liturgical rites described in MYS and, comparing it with other contemporary liturgical documents, demonstrates that while some parts in MYS were taken from an Slavonic Euchologion printed at Câmpulung (Wallachia) in 1635, the primary source of this book is the Kievan Trebnik of Peter Mohyla (1646).


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