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Corruption in healthcare: a view from the pandemic. 医疗保健领域的腐败：从大流行病看腐败。
Medico-Legal Journal Pub Date : 2024-03-01 Epub Date: 2022-12-12 DOI: 10.1177/00258172221135751
Yevheniia Duliba, Yevgen Streltsov, Vadym Kharchenko, Nataliia Korchak, Olena Antonova
{"title":"Corruption in healthcare: a view from the pandemic.","authors":"Yevheniia Duliba, Yevgen Streltsov, Vadym Kharchenko, Nataliia Korchak, Olena Antonova","doi":"10.1177/00258172221135751","DOIUrl":"10.1177/00258172221135751","url":null,"abstract":"<p><p>Corruption in healthcare has become transnational and intersectoral in nature; leading countries around the world have become vulnerable and insufficiently prepared to address health crises. The article deals with topical issues of corruption in healthcare during the Covid-19 pandemic in public and private sectors. By comparing different ratings, we concluded that there is a correlation between the level of corruption and the average annual income of the respective state, the observance of human rights and democratic standards in the context of their response to the Covid-19 pandemic.</p>","PeriodicalId":35529,"journal":{"name":"Medico-Legal Journal","volume":" ","pages":"43-45"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10332491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fatal wild leopard attack injuries in Uttarakhand, India. 印度北阿坎德邦发生的致命野豹袭击伤人事件。
Medico-Legal Journal Pub Date : 2024-03-01 Epub Date: 2021-12-03 DOI: 10.1177/00258172211057370
Swapan Debbarma, Ashish R Bhute, Vikas Vaibhav, Shailesh V Parate
{"title":"Fatal wild leopard attack injuries in Uttarakhand, India.","authors":"Swapan Debbarma, Ashish R Bhute, Vikas Vaibhav, Shailesh V Parate","doi":"10.1177/00258172211057370","DOIUrl":"10.1177/00258172211057370","url":null,"abstract":"<p><p>Leopard attacks on human beings is common in Uttarakhand which is an area of national conservation. The objective of this study is to examine the pattern of injuries and circumstances to encourage ways of reducing such conflicts. There were eight deaths from leopard attacks brought for autopsy to the mortuary between January 2019 and August 2020. Incidents occurred mostly in a forest close to human settlements. One tourist was among the male victims, the remainder of whom were women carrying out household duties near the forest. Leopard attack injuries present in the head and neck were ante-mortem, with abdomen, buttocks and limbs post-mortem. People living at the border of protected areas need alternative means of support to enable them to avoid using forest resources, tourists must be warned to avoid wandering in the area.</p>","PeriodicalId":35529,"journal":{"name":"Medico-Legal Journal","volume":" ","pages":"24-26"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39802204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Protecting the right to hear and to speak the truth in public. 保护在公共场合倾听和说出真相的权利。
Medico-Legal Journal Pub Date : 2024-03-01 Epub Date: 2024-02-09 DOI: 10.1177/00258172231219144
Diana Brahams, Eleanor Jane Turner
{"title":"Protecting the right to hear and to speak the truth in public.","authors":"Diana Brahams, Eleanor Jane Turner","doi":"10.1177/00258172231219144","DOIUrl":"10.1177/00258172231219144","url":null,"abstract":"","PeriodicalId":35529,"journal":{"name":"Medico-Legal Journal","volume":" ","pages":"2-4"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Infant death resulting from sharing a cot with a 10-year-old boy. 与一名 10 岁男孩共用一张婴儿床导致婴儿死亡。
Medico-Legal Journal Pub Date : 2024-03-01 Epub Date: 2020-07-23 DOI: 10.1177/0025817220930550
C Behera, M Chauhan, M Bijarnia
{"title":"Infant death resulting from sharing a cot with a 10-year-old boy.","authors":"C Behera, M Chauhan, M Bijarnia","doi":"10.1177/0025817220930550","DOIUrl":"10.1177/0025817220930550","url":null,"abstract":"<p><p>An infant may die from unintentional suffocation if their exhausted, or inebriated or sedated mothers fall asleep while breast feeding or just sharing a bed and roll over on to them. The mother wakes up to find the baby dead in the morning. Diagnosis is complex due to minuscule autopsy findings and denial by parents about overlaying although it was accidental. Unusually, in this case, the baby was \"over layed\" by a young male child from the same family. The female baby was found listless next morning by her mother and died after three months of treatment. Death circumstances, non-sudden outcome, and unusual circumstances of overlaying the baby.</p>","PeriodicalId":35529,"journal":{"name":"Medico-Legal Journal","volume":" ","pages":"54-56"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38182789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Palliative care and euthanasia: A Nepalese scenario. 姑息治疗和安乐死：尼泊尔的情况。
Medico-Legal Journal Pub Date : 2024-03-01 Epub Date: 2021-10-04 DOI: 10.1177/00258172211042694
Alok Atreya, Anuska Khadka, Rakshya Arun Kandel
{"title":"Palliative care and euthanasia: A Nepalese scenario.","authors":"Alok Atreya, Anuska Khadka, Rakshya Arun Kandel","doi":"10.1177/00258172211042694","DOIUrl":"10.1177/00258172211042694","url":null,"abstract":"<p><p>Palliative care, namely the relief of pain, is a priority for cases of incurable diseases in Nepal. However, since oral morphine is not available, pain control is often inadequate. Euthanasia is not permissible by law but could be a better solution in some cases and should be made understandable to patients and physicians as in developed countries. Should euthanasia be legal? If cheap and effective palliative care were easily accessible, most terminally ill Nepalese would avoid pressure to practise euthanasia because it is a cheaper option.</p>","PeriodicalId":35529,"journal":{"name":"Medico-Legal Journal","volume":" ","pages":"20-23"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39483477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Legal changes to informed consent and application to clinical practice in surgery. 知情同意的法律变化及在外科临床实践中的应用。
Medico-Legal Journal Pub Date : 2024-03-01 Epub Date: 2023-07-06 DOI: 10.1177/00258172231184549
Marco Dalle Carbonare, Elizabeth A Gruber
{"title":"Legal changes to informed consent and application to clinical practice in surgery.","authors":"Marco Dalle Carbonare, Elizabeth A Gruber","doi":"10.1177/00258172231184549","DOIUrl":"10.1177/00258172231184549","url":null,"abstract":"<p><p>For consent to be fully informed, it must be tailored to each patient, who must be appraised of alternative treatments (including that of no treatment) and informed of the material risks which an individual would wish to know and consider significant. This also includes Covid-19 related risks. Whilst surgeons had at times to offer sub-optimal treatments due to pressures caused by the pandemic, patients should still be given the choice to delay their treatment. Consent obtained remotely via digital technology must comply with the same requirements as in a face-to-face setting.</p>","PeriodicalId":35529,"journal":{"name":"Medico-Legal Journal","volume":" ","pages":"46-49"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9752600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Medical termination of pregnancy: A global perspective and Indian scenario. 医疗终止妊娠：全球视角与印度情况。
Medico-Legal Journal Pub Date : 2024-03-01 Epub Date: 2023-04-05 DOI: 10.1177/00258172231155317
Devendra Jadav, Daideepya C Bhargava, Vikas Meshram, Raghvendra S Shekhawat, Tanuj Kanchan
{"title":"Medical termination of pregnancy: A global perspective and Indian scenario.","authors":"Devendra Jadav, Daideepya C Bhargava, Vikas Meshram, Raghvendra S Shekhawat, Tanuj Kanchan","doi":"10.1177/00258172231155317","DOIUrl":"10.1177/00258172231155317","url":null,"abstract":"<p><p>Abortion has always been a vital issue in reproductive and legal medicine. Globally, medical termination of pregnancy (MTP) is allowed primarily on six grounds: (1) to save the life of a woman, (2) risk to the physical and mental health of a woman, (3) pregnancy due to rape or incest, (4) risk of a child being born with a serious fetal anomaly, (5) socio-economic reasons, (6) a woman's request. Most countries have standard legal abortion policies, yet there remains disparity with respect to prohibition, gestational age limit, specific grounds, etc. Abortion laws are constantly changing globally based on regional social and economic viewpoints. Recently, some countries have liberalised their abortion laws, while a few have further restricted theirs. While some countries still completely prohibit MTP. Like some others, India amended its MTP law in 2021. We consider the medico-legal and ethical issues and examine existing MTP laws both globally and as generally applied in India.</p>","PeriodicalId":35529,"journal":{"name":"Medico-Legal Journal","volume":" ","pages":"34-42"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9247722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Demonstrating the expertise of an expert witness in the civil court: Use of a concise CV after the judgment in Re C. 在民事法庭上展示专家证人的专业知识：Re C.案判决后简明简历的使用
Medico-Legal Journal Pub Date : 2024-02-10 DOI: 10.1177/00258172231191343
Nicholas Todd
{"title":"Demonstrating the expertise of an expert witness in the civil court: Use of a concise CV after the judgment in <i>Re C</i>.","authors":"Nicholas Todd","doi":"10.1177/00258172231191343","DOIUrl":"https://doi.org/10.1177/00258172231191343","url":null,"abstract":"<p><p>The suitability of an unregistered expert psychologist to give evidence to the Family Court was considered in <i>Re C</i> [2023] EWHC 345 (Fam). An important part of the judgment focused on the need for an expert witness to demonstrate, in a short, concise and relevant CV, why they have the expertise to give opinion evidence in the case. The judgment has important implications for experts in civil litigation, where the same issues arise. The case of <i>Re C</i> is reviewed and recommendations for a new format for part of expert reports provided in civil litigation are discussed.</p>","PeriodicalId":35529,"journal":{"name":"Medico-Legal Journal","volume":" ","pages":"258172231191343"},"PeriodicalIF":0.0,"publicationDate":"2024-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139716466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Glasgow Coma Scale: A disconnect between medical documentation and traumatic brain injury litigation in the United States. 格拉斯哥昏迷量表：美国医疗记录与脑外伤诉讼之间的脱节。
Medico-Legal Journal Pub Date : 2023-12-01 Epub Date: 2023-04-17 DOI: 10.1177/00258172231161975
Nicole A Kelly, Rachel E Kelly, Ross P Berkeley
{"title":"The Glasgow Coma Scale: A disconnect between medical documentation and traumatic brain injury litigation in the United States.","authors":"Nicole A Kelly, Rachel E Kelly, Ross P Berkeley","doi":"10.1177/00258172231161975","DOIUrl":"10.1177/00258172231161975","url":null,"abstract":"<p><p>Traumatic brain injuries are consistently difficult to objectively measure. This creates significant challenges for medical and legal practitioners who each apply the Glasgow Coma Scale-based traumatic brain injury severity classifications of \"mild\", \"moderate\" and \"severe\". It can be difficult to medically define an often-subjective traumatic brain injury, where the law requires objective evidence of injuries. This descriptive review aims to elucidate the intended purpose of the Glasgow Coma Scale in traumatic brain injury assessment by doctors and attorneys. We highlight two different Glasgow Coma Scale uses, demonstrating a disconnect between the clinical traumatic brain injury adjectival classifications used in medicine and law. The Glasgow Coma Scale-based adjectival traumatic brain injury classifications create a diagnostic label which can affect a patient long after their initial medical assessment, representing a de facto diagnosis to the legal profession which may affect a patient's potential legal financial recovery.</p>","PeriodicalId":35529,"journal":{"name":"Medico-Legal Journal","volume":" ","pages":"175-179"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9364755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
What are the precise reasons for the disparity in referrals to fitness to practise between international and UK medical graduates? 国际医学毕业生和英国医学毕业生在推荐适合执业方面存在差异的确切原因是什么？
Medico-Legal Journal Pub Date : 2023-12-01 Epub Date: 2023-10-04 DOI: 10.1177/00258172231184551
Vedamurthy Adhiyaman, Peter Hobson, Radha Sundaram, Llinos Williams
{"title":"What are the precise reasons for the disparity in referrals to fitness to practise between international and UK medical graduates?","authors":"Vedamurthy Adhiyaman, Peter Hobson, Radha Sundaram, Llinos Williams","doi":"10.1177/00258172231184551","DOIUrl":"10.1177/00258172231184551","url":null,"abstract":"<p><strong>Purpose of the study: </strong>To discover the precise reasons for referring a doctor to the Medical Practitioners Tribunal Service, and whether there are any disparities between referrals of international medical graduates and UK graduates. Further to consider whether understanding the precise reasons would provide insight into the nature of referrals.</p><p><strong>Study design: </strong>We collected and analysed the data from the Medical Practitioners Tribunal Service website over a period of 12 months.</p><p><strong>Results: </strong>There were 228 cases of which 142 (62%) were international medical graduates and 86 (38%) were UK graduates. More international medical graduates were referred for professional misconduct, poor performance and lack of adequate English language. The common reasons for professional misconduct were providing sub-optimal care, sexual misconduct and dishonest behaviour. More UK graduates were referred following convictions due to offences related to alcohol intake and financial dishonesty. There is paucity of good quality information to identify the exact reasons for the disparity.</p><p><strong>Conclusion: </strong>More international medical graduates were referred to the Medical Practitioners Tribunal Service than UK graduates. There was disparity in the nature of the referrals and we hope our findings will inform employers and the regulatory bodies to understand that comprehensive induction, inclusion, mentoring and adjustments are needed to support international medical graduates to mitigate the risks of failure and help them to meet the required professional standards.</p>","PeriodicalId":35529,"journal":{"name":"Medico-Legal Journal","volume":" ","pages":"198-203"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41150762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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